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While I’m not normally a huge fan of the Kennedy portrait, that was the first time I watched JFK speak and he came off so humble, earnest, and just plain likable. If that alone was the legacy of my state’s first popular president, I’d be happy.Surgical management of lumbar spinal metastasis.
Lumbar spinal metastasis is one of the most common causes of spinal-related neurological deterioration. Single metastasis is more common than multiple metastases. Most malignancies can metastasize to the spine, although prostate, breast, lung, melanoma, and renal cell carcinoma are the most common. In general, patients with solitary metastasis have a better prognosis than those with multiple metastases. Treatment for lumbar spinal metastases includes palliative surgery, decompression for spinal cord compression, excision of a bony metastasis, radiotherapy, chemotherapy, and the local treatment of primary malignancy.Immunological tolerance to haptens induced by exposure to a hapten-carrier conjugate.
Lethally irradiated rats were injected with a conjugate of 4,4′-bis[2-amino-2-methyl-1-aziridinyl)ethoxy]maleimide (BMD), an aryl halide derivative, with keyhole limpet hemocyanin (KLH) or ovalbumin (OA). They developed specific tolerance to KLH but not to OA, with the tolerogenic effect being operative even when animals were sensitised by prior injection of BMD-KLH. In the latter case, however, pre-treatment of animals with OA produced the state of hapten allergy analogous to that found following immunisation with the same antigen. Thus, tolerance was operative only in the presence of a pre-existing antigen-specific response. In vivo and in vitro experiments indicate that T cells are not the effectors of the tolerance; however, the possibility of suppression of
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