Effect of Bacillus subtilis on growth performance, bone mineralization, and bacterial population of broilers fed with different protein sources.

The objective of this study was to investigate the impacts of Bacillus subtilis (BS), ATCC 6051a strain, as a probiotic bacterium in broiler diets based of 2 protein sources (soybean meal [SBM] and cowpea seeds [CWP]), on growth performance (GP), carcass traits, bone mineralization, and microflora population (0 to 42 d age). The SBM and CWP starter, grower, and finisher diets were tested in the presence or absence of BS (5.0 × 1011 CFU spores g-1 feed) in a 2 × 2 factorial arrangement of treatments in a completely randomized design. Broilers were randomly assigned to 4 dietary treatments with 6 replicate pens per treatment (20 chicks per pen). The results showed that broilers fed CWP had comparable GP (body weight gain, feed intake, and feed conversion ratio) to the birds fed the SBM diet. Carcass, breast and legs' yield, organ size (i.e., gizzard, liver, pancreas, small intestine, cecum), and bone development were not affected by the protein source. The addition of BS in both types of diet improved BWG (P < 0.001) and feed efficiency, especially in the grower and finisher period (P = 0.047; P = 0.043, respectively). In addition, BS significantly decreased abdominal fat (P = 0.026) and cecum weight (P = 0.034) and increased tibia bone P concentration (P = 0.015). Furthermore, BS decrease cecal pH (P = 0.010) and reduced Escherichia coli and Staphylococcus spp. from cecum and excreta broilers (P < 0.001; P < 0.0001, respectively). It is concluded that the BS significantly improved the GP of broilers and can beneficially affect the gut and excreta bacterial community in both SBM and CWP diets.

[Predictive assays for responses of tumors and normal tissues in radiation oncology]. / Outils pour la prédiction de la réponse tumorale et des tissus sains en oncologie radiothérapie.

The impact of curative radiotherapy depends mainly on the total dose delivered homogenously in the target volume. Tumor sensitivity to radiotherapy may be particularly inconstant depending on location, histology, somatic genetic parameters and the capacity of the immune system to infiltrate the tumor. In addition, the dose delivered to the surrounding healthy tissues may reduce the therapeutic ratio of many radiation treatments. In a same population treated in one center with the same technique, it appears that individual radiosensitivity clearly exists, namely in terms of late side effects that are in principle non-reversible. This review details the different radiobiological approaches that have been developed to better predict the tumor response but also the radiation-induced late effects.

[Individual modification of the dose, volume and fractionation of breast radiotherapy]. / Personnalisation de la dose, du volume et du fractionnement de la radiothérapie du sein.

Randomized trials demonstrated similar overall survival between mastectomy and breast-conservative surgery followed by adjuvant radiation therapy. Breast-conservative surgery, with adjuvant radiation therapy, with or without neoadjuvant systemic therapy has become the standard of care for women with early or locally advanced breast cancer. Nevertheless, certain cardiac, lung or cutaneous toxicities may alter the long-term body image and the quality of life of a limited number of patients who consider having had "overtreatment" or treatment outside the best knowledge of science. In case of low-risk breast cancer, several trials have evaluated the carcinologic outcome in absence of radiation therapy after breast-conservative surgery. Local recurrences increased in case of breast-conservative surgery alone but without impact on overall survival. Multiple debates have emerged in order to select the most appropriate evaluation criteria. Finally, a large consensus has considered that reducing local recurrences is important but with modern technologies and after identifying patients of individual radiosensitivity. Indeed, in case of a low absolute risk of local recurrence, radiation therapy techniques have been developed to allow a focal treatment especially for patients with high risk of developing late effects. This kind of compromise takes into account the reduction risk of local recurrences but also the probability of developing radiation-induced cutaneous sequelae. In the same way, for patients considered at high risk of recurrence, the huge volumes need specific techniques to better cover the targets while protecting the surrounding critic organs such as heart and lung. Intensity-modulated radiation therapy and the local high boost may help to decrease local recurrences of these more extended and aggressive diseases while considering the individual radiosensitivity that paves the way of long-term sequelae. In this article, we detail a personalized approach of breast radiation therapy considering the absolute risk of local recurrences and the probability of radiation-induced toxicity appearance.

Dental color assessment through TTB exercises.

Aim.To verify the impact of taking the Toothguide Training Box (TTB) exercise in improving the individual ability to correctly determine dental color. Material and method.A prospective study was conducted on the 5th year dental students. The participants were required to carry out 3 distinct steps: visual color determination for sample tabs out of the 3DMaster shade guide, the TTB exercise and another color determination after training completion. Results.The sample included 60 students (19M/ 41F) with a mean age of 24, which made 360 color determinations of 6 shade tabs before and after TTB exercise. 32,5% (n=117) of the color determinations were incorrect in both moments, and the value was incorrectly determined just in 11% of them. Students found 3L1.5 and 3M2 colors as the hardest to determine. The results suggested that a single TTB training exercise did not have a high positive influence on the individual capacity to correctly determine the color for tabs out of the shade guide. Conclusions.While there is no evidence of an immediate positive impact of the TTB exercise in evaluating and determining different color variations for sample key elements, through repeat exercises, the individual perception can be improved and thus the correct determination of dental color and its correct codification can be increased. ABBREVIATIONS: TTB = Tooth Training Box, CIE = Commission internationale de l'éclairage, L = lightness, C = chroma, H = hue.

[Modalities of breast cancer irradiation in 2016: Aims and indications of intensity modulated radiation therapy]. / Techniques d'irradiation du cancer du sein en 2016 : intérêt et indications de la radiothérapie conformationnelle avec modulation d'intensité.

Irradiation techniques for breast cancer (arctherapy, tomotherapy) are evolving and intensity-modulated radiation therapy is being increasingly considered for the management of these tumours. Here, we propose a review of intensity-modulated radiation therapy planning issues, clinical toxicities and indications for breast cancer.