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In this randomized study, the addition of CP mouth rinse to standard of care did not improve the frequency, duration or severity of the most common acute toxicities during and early after (chemo)radiation. There is currently no evidence supporting its standard use in daily practice.

During summer in Brittany, France, sea farmed brown trout, Salmo trutta L., regularly experience a high mortality rate which is associated, at least in part, with cardiac disorders (aneurysms and infarcts). The present study is preliminary to a more extensive research programme, the objective of which is to determine to what extent the physiological performance of the cardiovascular system of brown trout is affected by the environmental conditions the fish experience in farm cages. We conducted a 2-week in situ experiment during which the heart rate of eight sea water acclimatized individuals was telemetered using acoustic tags. During the experimental period, water temperature ranged from 16.0 to 17.6°C. Water oxygen saturation was above 80% at all times and salinity was very high (35.5‰) but stable. Although they were unfed and not active, seven of out the eight tagged animals displayed near maximum heart beat frequencies, which ranged between 83 and 98 beats per minute (bpm). On the other hand, the eighth animal exhibited medium-range heart rates (50-70 bpm). Using phase delay maps, we established that the maximum heart rate of brown trout at 17°C was in the range of 96 -100 bpm. This result suggests that in our experimental conditions, the heart rate of most of our inactive fish was between 85 and 100% of maximum myocardial performance. We hypothesize that the cardiac failures observed in brown trout during summer are most likely a result of strenuous workloads imposed on the cardiovascular system by a combination of elevated temperature, high salinity and possibly season-related decreased hypo-osmoregulatory abilities.