2 research outputs found

    Incidence and prophylaxis of venous thromboembolic events in multiple myeloma patients receiving immunomodulatory therapy

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    The diagnosis of multiple myeloma (MM) has been associated to an increased risk of venous thromboembolic events (VTE). Described risk factors that are not exclusive to MM include old age, chemotherapy, immobility, high levels of vascular endothelial growth factor, cancer procoagulant and paraproteinemia. Disease-specific risk factors unique to MM are production of procoagulant autoantibodies, a high incidence of acquired activated protein C resistance, increased levels of factor VIII and von Willebrand factor, and increased production of inflammatory cytokines, mainly IL-6, TNF and C-reactive protein. Treatment regimens that include thalidomide or related compounds such as lenalidomide combined with glucocorticoids and-or cytotoxic chemotherapy were associated with an increased risk of VTE. The risk appears to be particularly high when these immunomodulatory agents are combined with anthracyclines as treatment of newly-diagnosed disease. Combinations including thalidomide plus dexamethasone and-or alkylating agents are associated with an intermediate risk. The same regimens for relapsed-refractory myeloma seem to be associated with a lower risk. The use of newer immunomodulators such as brotezomib seem to reduce the thrombogenic potential. Several different thromboprophylaxis strategies have been effective in lowering the risk of VTE but the data are disputable. None of these VTE prevention strategies have been prospectively compared head-to-head. © 2008 Elsevier Ltd. 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    Determinism and organization. Foundations and limits of Claude Bernard’s program

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    Como lo afirma el autor de este perspicazlibro: el presente de una ciencia no solamente se define por su éxito y su proyección, también hacen parte de su imagen más completa -aunque precisamente por eso jamás acabada- los problemas y polémicas de dicha ciencia; asuntos que la mantienen activa, creativa y avanzando. Este libro se constituye en una franca imagen del presente de una ciencia como la Biología. Magistralmente Gustavo Caponi examina, a la luz de los problemas y tensiones actuales de la Filosofía de la Biología, la historia del programa de la Fisiología Experimental conformado en el siglo XIX por el médico y biólogo francés Claude Bernard. Así, el objeto de este libro es al menos doble: por un lado, examinar con detalle y ofrecer claridad de los presupuestos y consecuencias epistemológicas de la Fisiología Experimental de Claude Bernard; por otro, valerse de las discusiones históricas de la Biología para traer nuevas respuestas y precisiones al actual debate presente en la Filosofía de la Biología.The present of a science is not only defined by its success and projection; the problems and controversies that keep it moving forward are also part of its complete image. This book constitutes a frank image of the present of Biology. The author examines, in light of the current problems of the philosophy of biology, the history of the program of experimental physiology elaborated in the 19th century by the French scientist Claude Bernard
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