Two-Year Follow-Up of Self-Etching Ceramic Primer as Surface Treatment for Feldspathic Veneers: A Clinical Case Review.

The two-step approach of applying hydrofluoric acid followed by silane is deemed the gold-standard surface treatment protocol before bonding to glass ceramics. Given hydrofluoric acid is a toxic conditioning agent and with the intention to simplify this step, the dental company Ivoclar Vivadent (Schaan, Lietchtenstein) released a self-etching ceramic primer, Monobond Etch & Prime in 2015, claiming that hydrofluoric acid and silane application would no longer be required prior to luting glass ceramics. Therefore, this clinical case report and retrospective analysis describes the replacement of unsatisfactory anterior veneers due to clinical failures for new feldspathic glass ceramic veneers, using the aforementioned self-etching ceramic primer. After two years, feldspathic glass ceramics presented satisfying clinical performance with absence of debonding, tooth sensitivity, recurrent carious lesions, or marginal infiltration.

Scirtothrips dorsalis (Thysanoptera: Thripidae): a Newly Introduced Polyphagous Pest in Northeastern Brazil.

We report for the first time the detection of Scirtothrips dorsalis Hood (Thysanoptera: Thripidae) in Brazil and describe the occurrence of the thrips on leaves of ungrafted dwarf-cashew Anacardium occidentale Linnaeus 1753 (Anacardiaceae), maintained into a greenhouse, in the northeastern state of Ceará. This exotic polyphagous species listed as absent quarantine pest in the country is originated in Asia, but since the beginning of this century, it has readily dispersed despite the strict quarantine regulations currently in several countries. Individuals of S. dorsalis identified in Brazil are similar to specimens found in South Africa rather than Asia by virtue of the absence of conspicuous reticulation on the posterior half of the metanotum and the presence of complete lines of microtrichia restricted to the posterior part of the abdominal sternites. Scirtothrips dorsalis is a particularly invasive pest and its introduction represents a potential threat to various crops in Brazil, especially mango.

New sources of resistance to leafminers (Liriomyza sativae) in melon (Cucumis melo L.) germplasm.

Leafminers (Liriomyza sativae) are the main melon (Cucumis melo L.) pests in Northeast Brazil, which is the main region for the production and export of the fruit in Brazil. Of the integrated management strategies available, genetic resistance is the best method of preventing damage by these insects. The aim of this study was to select sources of resistance to leafminers in melon germplasm. Seven experiments were conducted in the laboratory, field, and greenhouse, with and without choice, using 52 melon accessions and 4 commercial hybrids as controls. Genetic variability among the accessions made it possible to select four new sources of resistance: 'CNPH 11-1072' and 'CNPH 11-1077', because they exhibited lower levels of infestation by the insect (antixenosis); and 'CNPH 00-915(R)' and 'BAGMEL 56(R)', because the pest larvae died soon after beginning to feed on the leaf mesophyll (antibiosis).

In vitro Efficacy of Experimental Chitosan-Containing Solutions as Anti-Erosive Agents in Enamel.

The present study evaluated the effect of chitosans with different viscosities, dissolved in an AmF/SnCl2 solution, against erosion or erosion/abrasion. A total of 192 specimens were assigned to 2 × 6 groups (n = 16 specimens each): negative control, 4 chitosan solutions (groups Ch50, Ch500, Ch1000, and Ch2000, with viscosity of 50, 500, 1,000, or 2,000 mPas, respectively, 0.5% chitosan, 500 ppm F-, 800 ppm Sn2+, pH 4.4), and positive control (500 ppm F-, 800 ppm Sn2+, pH 4.3). One half of the groups was demineralized (experiment 1, E1; 10 days, 6 × 2 min/day, 0.5% citric acid, pH 2.8) and exposed to solutions (2 × 2 min/day); the other half was additionally brushed (15 s, 200 g) with non-fluoridated toothpaste before solution immersion (experiment 2, E2). Treatment effects were investigated by profilometry, energy-dispersive X-ray spectroscopy and scanning electron microscopy (SEM). In E1, all the chitosan-containing solutions reduced enamel loss by 77-80%, to the same extent as the positive control, except for Ch2000 (p ≤ 0.05), which completely inhibited tissue loss by the formation of precipitates. In E2, Ch50 and Ch500 showed best performance, with approximately 60% reduction of tissue loss compared to the negative control group (p ≤ 0.05 compared to other groups). SEM analysis showed differences between negative control and the other groups but only minor differences amongst the groups treated with active agents. In both E1 and E2, treatment with active agents resulted in surface enrichment of carbon and tin compared to negative control (p ≤ 0.001); brushing removed parts of carbon and tin (p ≤ 0.001). Chitosan shows different properties under erosive and erosive/abrasive conditions. Under erosive conditions high viscosity might be helpful, whereas lower viscosity seems to be more effective in cases of chemo-mechanical challenges.

Reestablishing Biology, Function, and Esthetics for Fractured, Immature Incisors.

A seven-year-old boy with enamel-dentin fractures on both maxillary central incisors presented to the Piracicaba Dental School-UNICAMP seven days after the trauma. At the clinical evaluation, there were no clinical signs of pulp exposure, neither tooth was mobile, and both affected teeth presented a positive response to sensitivity tests and a negative response for percussion and palpation. The radiographic examination showed an undeveloped root and opened apex for both teeth. Indirect pulp capping was performed on the left maxillary central incisor, followed by a direct restoration. After one month, the patient complained of pain in the left central incisor, which responded negatively to sensitivity testing. Pulp revascularization was performed only on this tooth and was followed for 18 months. During this period, the left maxillary central incisor did not recover sensitivity, although radiographic examination showed apical closure, a slight increase in root length, and the formation of a mineralized barrier between the root canal and sealing material. The technique achieved its goal of restoring biological aspects, function, and esthetics of traumatized teeth when using this multidisciplinary approach.

Porcelain veneers as an alternative for esthetic treatment: clinical report.

This case report describes the restoration of the anterior dentition with porcelain laminate veneers. The advances in bonding of porcelain to tooth structure make this treatment a feasible alternative to restore teeth with alteration in shape and position in cases in which the esthetic demand is high. The rationale for various choices in this treatment protocol is detailed with reference to the pertinent literature. Thus, the clinical success of the technique depends on the correct identification of a case for which this treatment is appropriate and the successful execution of the clinical steps involved.

Efeito de pós vegetais sobre sitophilus zeamais (mots., 1855) (coleoptera: curculionidae) / Effect of plant powders on Sitophilus zeamais (mots., 1855) (Coleoptera: Curculionidae)

Objetivou-se testar a atividade inseticida de pós vegetais em Sitophilus zeamais. Foram testados os pós de Anadenanthera colubrina (folhas); Annona muricata (sementes); Azadirachta inidica (folhas e flores); Caesalpinia pyramidalis (folhas), Chenopodium ambrosioides (folhas e flores); Cymbopogon sp.(folhas); Cymbopogon citratus (folhas); Momordica charantia (folhas e frutos); Piper nigrum (sementes); e Ricinus communis (folhas). Além disso, avaliou-se o potencial inseticida de folhas e flores de C. ambrosioides em diferentes dosagens. Na avaliação de repelência foi estabelecido um índice de preferência, e utilizado o teste t para comparação das médias das espécies vegetais. Também foi realizada a comparação das médias das plantas que foram classificadas como repelentes. Para avaliação da mortalidade, procedeu-se a análise de variância e a comparação das médias pelo teste de Tukey e também o teste t para comparação das médias dos tratamentos C. ambrosioides e P. nigrum. Os dados de emergência foram analisados pelo teste de Tukey. Para avaliar os dados de mortalidade, ocasionados por C. ambrosioides, determinou-se a CL50 utilizando a análise de Probit. Os dados de emergência foram verificados pela análise de regressão. As plantas que provocaram repelência foram Cymbopogon sp., C. citratus e C. ambrosioides. A planta que mais afetou a sobrevivência da praga foi C. ambrosioides, que provocou mortalidade total dos insetos infestantes e nenhuma emergência. Adultos de S. zeamais são mais suscetíveis a concentração de 0,125 g do pó de C. ambrosioides.

Effect of plant powders on Sitophilus zeamais (Mots., 1855) (Coleoptera: Curculionidae). The objective of the present study was to test the insecticidal activity of vegetable powders on Sitophilus zeamais. Powders of Anadenanthera colubrina (leaves); Annona muricata (seed); Azadirachta inidica(leaves and flowers);Caesalpinia pyramidalis(leaves);Chenopodium ambrosioides (leaves and flowers);Cymbopogon sp. (leaves);Cymbopogon citratus (leaves); Momordica charantia (leaves and fruits);Piper nigrum (seed); andRicinus communis (leaves) were evaluated. In addition, we evaluated the insecticidal potential of leaves and flowers of C. ambrosioidesat different dosages. In the evaluation of repellency a preference index was established, and the t test was used to compare the means of plant species. The means of plants that were classified as repellent were also compared. To assess mortality, we proceeded with the analysis of variance and comparison of means by Tukey test and also the t test for comparing the means of the C. ambrosioides and P. nigrum treatments. The emergence data were analyzed by Tukey test. To evaluate the data on mortality caused by C. ambrosioides, the CL50 was determined using Probit analysis. The emergence data were verified by regression analysis. Plants that caused repellency were Cymbopogon sp., C. citratusand C. ambrosioides. The plant that most affected the survival of the pest wasC. ambrosioides, which caused total mortality of insect infestations and no adult emergence. Adults of S. zeamaisare most susceptible to the concentration of 0.125 g ofC. ambrosioides powder.

Seasonal variation in prevalence of antibody to hantaviruses in rodents from southern Argentina.

We conducted a small mammal trapping study to investigate temporal variation in prevalence of infection in hantavirus reservoir populations in the Patagonian Andes mountain range, Rio Negro province, Argentina. Rodent blood samples collected in natural and periurban habitats and at the home of an hantavirus pulmonary syndrome (HPS) case patient were analysed by enzyme-linked immunosorbent assay. Organ tissue samples were tested by polymerase chain reaction (PCR) and nucleotide sequence analysis. Eight species of 1032 rodents were captured in 15 551 trap nights, giving an overall trap success of 6.6%. Hantavirus antibody was detected in 30 of 555 Oligoryzomys longicaudatus (reservoir of Andes virus), three of 411 Abrothrix longipilis, and one of 10 Loxodontomys micropus. Antibody prevalences in O. longicaudatus were 13.7% in spring 1996, 59.3% in summer 1996, 2.1% in autumn 1997, 12.4% in winter 1997 and 3.1% in spring 1997. A much higher antibody prevalence (33%) was found during trapping around the residence of an HPS case patient. Higher prevalences were found in older male O. longicaudatus. There was no apparent correlation of antibody prevalence with rodent population density, or of rodent population density or antibody prevalence with numbers of human cases. For an HPS case that occurred in our study area in 1997, we identified the probable rodent reservoir and likely site of exposure by matching the genetic sequences of virus obtained from a rodent and the HPS case patient.

[Hantavirus pulmonary syndrome in southern Argentina]. / Síndrome pulmonar por Hantavirus en el sur andino argentino.

Andes virus was identified in 1995 as the etiologic agent of Hantavirus Pulmonary Syndrome (HPS) in Southern Argentina. We describe herein the main clinical characteristics of 25 HPS confirmed cases acquired in this area between 1993 and September 1999. The mean age was 34 years (range 11-70), with 72% males. Clinical characteristics were similar to those previously reported for Sin Nombre virus (SNV) cases. However, in this group of patients we also observed conjuntival injection in 10/25 (42%), facial flushing in 8/25 (33%), pharyngeal congestion in 7/25 (29%) and petechiae in 3/25 (12%). On the other hand, BUN was increased in 83% of cases (mean 0.77 g/l range 0.31-2.01). Mean serum creatinine concentration was 26.8 mg/l (range: 8.1-110 mg/l) with serum creatinine being higher than 20 mg/l in 8/15 patients (53%). Urinalysis was abnormal in 12/12 cases and was characterized by presence of proteins, red blood cells and granular casts. Aminotransferases were increased in 90% of cases with levels 5-10 times over normal values in 50% of cases. Serum creatine kinase concentration was elevated in 11/14 cases. Two patients required hemodialysis. Case fatality rate was 44% (11/25) and 10 of these cases died among the first 10 days of illness. Mononuclear myocarditis was observed in two cases, a finding that has not been reported for SNV cases. During the 1996 HPS outbreak in Southern Argentina due to Andes virus, there were epidemiological and molecular evidences of person-to-person transmission, a feature not previously shown for other members of the hantavirus genus. These data would also be indicative of some distinctive clinical characteristics of HPS caused by Andes virus, with more frequent renal involvement than in SNV cases.

Síndrome pulmonar por Hantavirus en el sur andino argentino. / [Hantavirus pulmonary syndrome in southern Argentina]

Andes virus was identified in 1995 as the etiologic agent of Hantavirus Pulmonary Syndrome (HPS) in Southern Argentina. We describe herein the main clinical characteristics of 25 HPS confirmed cases acquired in this area between 1993 and September 1999. The mean age was 34 years (range 11-70), with 72

males. Clinical characteristics were similar to those previously reported for Sin Nombre virus (SNV) cases. However, in this group of patients we also observed conjuntival injection in 10/25 (42

), facial flushing in 8/25 (33

), pharyngeal congestion in 7/25 (29

) and petechiae in 3/25 (12

). On the other hand, BUN was increased in 83

of cases (mean 0.77 g/l range 0.31-2.01). Mean serum creatinine concentration was 26.8 mg/l (range: 8.1-110 mg/l) with serum creatinine being higher than 20 mg/l in 8/15 patients (53

). Urinalysis was abnormal in 12/12 cases and was characterized by presence of proteins, red blood cells and granular casts. Aminotransferases were increased in 90

of cases with levels 5-10 times over normal values in 50

of cases. Serum creatine kinase concentration was elevated in 11/14 cases. Two patients required hemodialysis. Case fatality rate was 44

(11/25) and 10 of these cases died among the first 10 days of illness. Mononuclear myocarditis was observed in two cases, a finding that has not been reported for SNV cases. During the 1996 HPS outbreak in Southern Argentina due to Andes virus, there were epidemiological and molecular evidences of person-to-person transmission, a feature not previously shown for other members of the hantavirus genus. These data would also be indicative of some distinctive clinical characteristics of HPS caused by Andes virus, with more frequent renal involvement than in SNV cases.

Hantavirus reservoir hosts associated with peridomestic habitats in Argentina.

Five species of sigmodontine rodents have been identified in Argentina as the putative reservoirs of six circulating hantavirus genotypes. Two species of Oligoryzomys are associated with the genotypes causing hantavirus pulmonary syndrome, Oligoryzomys flavescens for Lechiguanas and O. longicaudatus for Andes and Oran genotypes. Reports of human cases of hantavirus pulmonary syndrome prompted rodent trapping (2,299 rodents of 32 species during 27,780 trap nights) at potential exposure sites in three disease-endemic areas. Antibody reactive to Sin Nombre virus was found in six species, including the known hantavirus reservoir species. Risk for peridomestic exposure to host species that carry recognized human pathogens was high in all three major disease-endemic areas.

Genetic diversity and epidemiology of hantaviruses in Argentina.

Phylogenetic analysis of a 292-nucleotide (nt) fragment of the hantavirus M genome segment from 36 rodent and 13 human samples from three known foci of hantavirus infection in Argentina was conducted. A 1654-nt fragment of the M genome segment was analyzed for 1 representative of 7 genetically distinct hantavirus lineages identified. Additionally, the nt sequence of the complete M genome segments of Lechiguanas, Oran, and Hu39694 hantavirus genotypes was determined. nt sequence comparisons reveal that 7 hantavirus lineages from Argentina differ from each other by 11.5%-21.8% and from Sin Nombre, Bayou, and Black Creek Canal viruses by 23.8%-26.5%. Phylogenetic analyses demonstrate that they form a unique, separate branch within the clade containing other New World sigmodontine-borne hantaviruses. Most Oligoryzomys-borne hantavirus genotypes clearly map together. The Oligoryzomys-borne genotypes Lechiguanas, Oran, and Andes appear to be associated with human disease. Oligoryzomys longicaudatus was identified as the likely rodent reservoir for Andes virus.

Hantavirus infection in children in Argentina.

Clinical hantavirus infection was diagnosed in five Argentine children ages 5 to 11 years by immunoglobulin M (IgM)- capture enzyme-linked immunosorbent assay using Sin Nombre virus (SNV) antigens. Death in three of the children was associated with absence of detectable IgG to SNV antigens. An additional two cases in healthy children were studied: one, a breast-fed 15-month-old whose mother died of suspected hantavirus pulmonary syndrome (HPS) 8 months previously, had hantavirus IgG (> 1:6400); a second, whose mother survived HPS during month three of pregnancy, apparently had maternal antibodies no longer detectable 1 year after birth.

An unusual hantavirus outbreak in southern Argentina: person-to-person transmission? Hantavirus Pulmonary Syndrome Study Group for Patagonia.

Hantavirus pulmonary syndrome is a rodent-borne zoonosis first recognized in the United States in 1993. Person-to-person transmission has not been reported; however, in the outbreak of 20 cases reported here, epidemiologic evidence strongly suggests this route of transmission.

[Retrospective detection of hantavirus clinical infections in Argentina]. / Detección retrospectiva de infecciones clínicas por hantavirus en la Argentina.

Hantavirus activity in rodents and human beings in Argentina has been known since the 1980's. In this study, we retrospectively investigated hantavirus infections among Argentine Hemorrhagic Fever (AHF) cases notified between 1987 and 1994, without virological confirmation. IgG and IgM antibodies to hantavirus were tested by ELISA. Among 1028 patients included in the study, we found 13 recent infections (1.26%) and 13 remote infections (1.26%). IgG antibodies determined in 745 healthy persons living in the same localities of recent infection cases, gave only one positive result (0.13%). Nine of the 13 recent infections had the clinical presentation of Hemorrhagic Fever with Renal Syndrome (HFRS) while the other four were in the form of Hantavirus Pulmonary Syndrome (HPS). We performed a clinical and epidemiological comparison between the nine patients with FHSR and two paired control groups: one with confirmed AHF and the other with Febrile Syndrome of Undetermined Etiology (FSUE), which were negative for hantavirus, Junin and LCM. There were no differences between clinical signs or symptoms. Nevertheless, normal or high leucocyte counts, with thrombocytopenia, hemoconcentration, high creatinine levels and proteinuria in HFRS cases resulted useful for differential diagnosis. These results showed the coexistence of Junin virus and hantaviruses in the endemic area of AHF, and indicate the importance of including the infection with these viruses in the differential diagnosis of hemorrhagic fevers and respiratory distress syndromes of unknown etiology. The clinical variability found could be related to the presence of more than one hantavirus serotype in our country.

Hantavirus pulmonary syndrome in Argentina. Possibility of person to person transmission.

In March 1995 the first case of a familiar outbreak of Hantavirus pulmonary syndrome (HPS) was notified in El Bolson, in the South of Argentina. Until December 15, 1996, a total of 77 cases of HPS had been notified with 48% mortality, distributed in three geographical areas of the country, South, North and Center. During 1996, of the 19 cases from El Bolsón, three were local physicians, one of whom -during the prodrome of her illness- travelled to Buenos Aires to be attended. In the hospital, two of the physicians who assisted her, developed HPS 27 and 28 days after the first contact. These data suggest for the first time the possibility of interhuman transmission of the Hantavirus responsible for the pulmonary syndrome.

[Primary malignant melanoma of the esophagus associated with melanosis of the esophagus and stomach]. / Melanoma maligno primitivo del esófago asociado a melanosis del esófago y del estómago.

A case of malignant melanoma primary of the esophagus with association to melanosis of the esophagus and stomach is presented, with outlive of 18 months. Considerations about esophagic origin of the lesion are made, emphasizing that the existing melanosis, the junctional changes and the absence of another primary localization lets us certificate the presence primary esophagus melanoma. The therapeutic criteria used in this case has been described therein before guide lines.