Chronic pancreatitis (CP) is a complex disease with a wide range of clinical manifestations. This range comprises from asymptomatic patients to patients with disabling symptoms or complications. The management of CP is frequently different between geographic areas and even medical centers. This is due to the paucity of high quality studies and clinical practice guidelines regarding its diagnosis and treatment. The aim of the Spanish Pancreatic Club was to give current evidence-based recommendations for the management of CP. Two coordinators chose a multidisciplinary panel of 24 experts on this disease. These experts were selected according to clinical and research experience in CP. A list of questions was made and two experts reviewed each question. A draft was later produced and discussed with the entire panel of experts in a face-to-face meeting. The level of evidence was based on the ratings given by the Oxford Centre for Evidence-Based Medicine. In the second part of the consensus, recommendations were given regarding the management of pain, pseudocysts, duodenal and biliary stenosis, pancreatic fistula and ascites, left portal hypertension, diabetes mellitus, exocrine pancreatic insufficiency, and nutritional support in CP.
Multivariate analysis was carried out in order to elucidate the taxonomic relationships between Salvia officinalis L., the type species of the genus, and S. fruticosa Mill., both taxa included in section Salvia (Labiatae). Seventy-five different herbarium specimens from all over the Mediterranean Region, belonging to these two taxa, were analysed. Twenty-four specimens belonging to S. lavandulifolia Vahl. s.l., were used as outgroups. Twenty-six morphological characters were measured and a data matrix was constructed prior to multivariate analysis by means of R software. Multiple correspondence analysis was used to obtain a single dendrogram, applying Ward's minimum variance algorithm. This tree was used as a basis to propose a key for the determination of the species and subspecies studied. S. lavandulifolia is separated in two groups, one belonging to S. officinalis and another one representing what was called S. blancoana.
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