BACKGROUND: The purpose of our study was to evaluate the activity and toxicity of a sequential chemo-radiotherapeutic treatment on the basis of an earlier report by The Johns Hopkins Oncology Center. MATERIALS AND METHODS: Eighteen patients with histologically diagnosed malignant gliomas entered the study. Fifteen patients had glioblastoma multiforme (83%). BCNU (40 mg/sqm/die) and Cisplatin (40 mg/sqm/die) were administered concurrently for 3 days every 3-4 weeks. Radiotherapy consisted of 45 Gy whole cranial irradiation plus a 15 Gy boost on the preoperative volume. RESULTS: Thirteen patients had measurable disease and were evaluable for response. After chemotherapy we obtained 3 CRs (complete remission) and 4 PRs (partial remission) (RR (response rate 54%). Three PRs were converted to CRs after radiotherapy, for a complete remission rate of 46% (6/13). The median duration of response was 10 months. The median survival of the entire patients population was 9 months with 33% survival rates at 1 year. Hematological toxicity grade 4 in one patient and grade 3 in two patients were the major complications due to chemotherapy. CONCLUSIONS: Our sequential chemo-radiotherapeutic regimen appears to have significant activity in adults with newly diagnosed high-grade gliomas.

Adult↗

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The effect of elapsed time following bleaching on enamel bond strength of resin composite.

Recent studies have concluded that carbamide peroxide bleaching agents significantly affect the bond strength of composite to bleached enamel. This study evaluated the effects of bleaching regimen with different carbamide peroxide concentrations and post-treatment times on composite bond strength to enamel. Two hundred and four flat buccal and lingual enamel surfaces obtained from erupted sound third molars were randomly divided into 17 groups (n = 12). Sixteen experimental groups comprised the evaluation of four carbamide peroxide home bleaching agents (Opalescence 10%-20% and Whiteness 10%-16%) and four time intervals after bleaching (one day, one, two and three weeks). Specimens of control group were not submitted to bleaching and were stored in artificial saliva at 37 degrees C for 10 days. The specimens of experimental groups were exposed to one daily application of carbamide peroxide for six hours for 10 consecutive days. After each daily treatment and post-bleaching, the specimens were stored in artificial saliva solution. Bonds were formed with Scotchbond MP and Z-100 composite resin, and shear bond test was carried out 24 hours after adhesive-composite application. Two-way ANOVA showed that the bond strengths were significantly different (p < 0.05). For the first two weeks post-bleaching, the bond strengths of resin to enamel were low. After a lapse of three weeks, the bond strength returned to that of the untreated control group. Increased concentration did not prolong the time needed prior to bonding.

Analysis of Variance↗

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