Summary:The incidence, treatment and outcome of CMV interstitial pneumonia (CMV-IP) were reviewed in 139 consecutive allogeneic BMT patients undergoing extended CMV antigenemia surveillance and two different ganciclovir (GCV) strategies to control CMV infection. Nineteen cases of CMV-IP were reviewed, 16 of 63 patients (25.4%) who received early GCV treatment (ET) and three of 76 patients (3.9%) who received preemptive (PE) GCV therapy. In the ET group, the median time for occurrence of CMV-IP was 55 (range 36 to 311) days. Two patients had three episodes of CMV-IP recurrences after day +100. CMV-IP-related death occurred in two patients (15.4%). In the PE group, 41 patients received pre-emptive GCV therapy prompted by the appearance of positive antigenemia у2 cells. The median time for the occurrence of CMV-IP was 92 (range 48 to 197) days. Response to therapy was observed when GCV was introduced within 6 days of antigenemia positivity. The use of IVIg in association with GCV did not play a major role in response to therapy. The median time for occurrence of CMV-IP was delayed during PE strategy and the cost-effectiveness of CMV surveillance after day +100 should be investigated in this population. Bone Marrow Transplantation (2000) 26, 413-417. Keywords: CMV; pneumonia; BMT; antigenemia; extended surveillance; IVIgIn the early eighties, cytomegalovirus interstitial pneumonia (CMV-IP) was considered a major infectious problem after allogeneic bone marrow transplantation (BMT) because mortality rates higher than 80% were observed even after the introduction of ganciclovir (GCV), the first antiviral with good in vitro and in vivo activity against cytomegalovirus. 1 More recently, the development of new techniques such as the CMV antigenemia (AG) assay and PCR have significantly contributed to the earlier diagnosis of active

Self-adhesive resin cement exhibited superior retention compared to temporary cement, regardless of crown material. Co-Cr and titanium presented higher levels of retention to Ti-base abutment after being cemented.

The association between spectral reflectance and canopy processes remains challenging for quantifying large-scale canopy phenological cycles in tropical forests. In this study, we used a tower-mounted hyper-spectral camera in an eastern Amazon forest to assess how canopy spectral signals of three species are linked with phenological processes in the 2012 dry season. We explored different approaches to disentangle the spectral components of canopy phenology processes and analyze their variations over time using 17 images acquired by the camera. The methods included linear spectral mixture analysis (SMA); principal component analysis (PCA); continuum removal (CR); and first-order derivative analysis. In addition, three vegetation indices potentially sensitive to leaf flushing, leaf loss and leaf area index (LAI) were calculated: the Enhanced Vegetation Index (EVI), Normalized Difference Vegetation Index (NDVI) and the entitled Green-Red Normalized Difference (GRND) index. We inspected also the consistency of the camera observations using Moderate Resolution Imaging Spectroradiometer (MODIS) and available phenological data on new leaf production and LAI of young, mature and old leaves simulated by a leaf demography-ontogeny model. The results showed a diversity of phenological responses during the 2012 dry season with related changes in canopy structure and greenness values. Because of the differences in timing and intensity of leaf flushing and leaf shedding, Erisma uncinatum, Manilkara huberi and Chamaecrista xinguensis presented different green vegetation (GV) and non-photosynthetic vegetation (NPV) SMA fractions; distinct PCA scores; changes in depth, width and area of the 681-nm chlorophyll absorption band; and variations over time in the EVI, GRND and NDVI. At the end of dry season, GV increased for Erisma uncinatum, while NPV increased for Chamaecrista xinguensis. For Manilkara huberi, the NPV first increased in the beginning of August and then decreased toward September with new foliage. Variations in red-edge position were not statistically significant between the species and across dates at the 95% confidence level. The camera data were affected by view-illumination effects, which reduced the SMA shade fraction over time. When MODIS data were corrected for these effects using the Multi-Angle Implementation of Atmospheric Correction Algorithm (MAIAC), we observed an EVI increase toward September that closely tracked the modeled LAI of mature leaves (3-5 months). Compared to the EVI, the GRND was a better indicator of leaf flushing because the modeled production of new leaves peaked in August and then declined in September following the GRND closely. While the EVI was more related to changes in mature leaf area, the GRND was more associated with new leaf flushing.

SUMMARY New resin-based restorative materials have been developed, such as computer-aided design/computer-aided manufacturing (CAD/CAM) and bulk-fill composites, as an alternative to traditional layering techniques. This study evaluated the biaxial flexural strength (BFS) before and after thermocycling of five different resin composites: one hybrid resin/ceramic CAD/CAM indirect material, Lava Ultimate CAD-CAM Restorative (LU, 3M Oral Care); a conventional composite, Filtek Z350 XT (Z350, 3M Oral Care); two bulk-fill composites, Tetric N-Ceram Bulk Fill (TBF, Ivoclar Vivadent) and Filtek Bulk Fill (FBF, 3M Oral Care); and one bulk-fill flow resin composite, Filtek Bulk Fill Flow (FBFF, 3M Oral Care). Three hundred disc-shaped specimens (6.5 mm in diameter and 0.5 mm thick) were fabricated and divided into five groups (n=30 for each composite and condition). The BFS test was performed in a universal testing machine at a crosshead speed of 0.5 mm/min immediately (i, 24 hours) and after thermocycling (a, 500 thermal cycles of 5°C to 55°C with a 30-second dwell time). The Weibull modulus (m) and characteristic stress (η) were calculated, and a contour plot was used (m vs η) to detect differences between groups (95% two-sided confidence intervals). Significantly higher characteristic stress was observed for LUi (286.6 MPa) and Z350i (248.8 MPa) compared to the bulk-fill groups (FBFi=187.9 MPa, FBFFi=175.9 MPa, TBFi=149.9 MPa), with no differences between LUi and Z350i. Thermocycling significantly decreased the characteristic stress of all groups with the highest values observed for LUa (186.7 MPa) and Z350a (188.9 MPa) and the lowest for FBFFa (90.3 MPa). Intermediate values were observed for FBFa (151.6 MPa) and TBFa (122.8 MPa). The Weibull modulus decreased only for FBFa compared to FBFi. Composition and thermocycling significantly influenced the biaxial flexural strength of resin composite materials.