Introduction. Surgery is first-line therapy for glioblastoma, and there is evidence that gross total resection is associated with improved survival. Gross total resection, however, is not always possible, and relationships among extent (percent) of resection (EOR), residual volume (RV), and survival are unknown. The goals were to evaluate whether there is an association between EOR and RV with survival and recurrence and to establish minimum EOR and maximum RV thresholds. Methods. Adult patients who underwent primary glioblastoma surgery from 2007 to 2011 were retrospectively reviewed. Three-dimensional volumetric tumor measurements were made. Multivariate proportional hazards regression analysis was used to evaluate the relationship between EOR and RV with survival and recurrence. Results. Of 259 patients, 203 (78%) died and 156 (60%) had tumor recurrence. The median survival and progression-free survival were 13.4 and 8.9 months, respectively. The median (interquartile range) pre-and postoperative tumor volumes were 32.2 (14.0-56.3) and 2.1 (0.0-7.9) cm 3 , respectively. EOR was independently associated with survival (hazard ratio [HR], 0.995; 95% confidence interval [CI]: 0.990-0.998; P ¼ .008) and recurrence (HR [95% CI], 0.992 [0.983-0.998], P ¼ .005). The minimum EOR threshold for survival (P ¼ .0006) and recurrence (P ¼ .005) was 70%. RV was also associated with survival (HR [95% CI], 1.019 [1.006-1.030], P ¼ .004) and recurrence (HR [95% CI], 1.024 [1.001-1.044], P ¼ .03). The maximum RV threshold for survival (P ¼ .01) and recurrence (P ¼ .01) was 5 cm 3. Conclusion. This study shows for the first time that both EOR and RV are significantly associated with survival and recurrence, where the thresholds are 70% and 5 cm 3 , respectively. These findings may help guide surgical and adjuvant therapies aimed at optimizing outcomes for glioblastoma patients.

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.

The SF6 tracer technique (SF6) and GreenFeed system (GF) are two methods for measuring enteric methane (CH4) emissions from cattle. Both methods estimate individual daily CH4 emissions from expired gas samples collected either continuously over 24 h in a canister (SF6) or several times a day during short-term periods (3–8 min) when cattle visit an automated head chamber (GF). The objective of this work was to study repeatability (R) of each method according to duration of measurement period as an indicator of their precision. The R of CH4 measurements was evaluated in two different trials using cows. For Experiment 1, the SF6 technique was used for 20 days in six non-lactating dairy cows fed a hay-based diet; for Experiment 2, the GF system was used for 91 days in seven lactating dairy cows fed a maize silage-based diet. The CH4 data were grouped by periods of 1–10 days (SF6) and 1–45 days (GF). The CH4 emissions averaged 23.6 ± 3.9 g/kg dry matter intake (DMI) for the SF6 and 17.4 ± 3.3 g/kg DMI for the GF on the measurement period. To achieve an R value of 0.70 for CH4 emissions (g/kg DMI), 3-day periods were necessary for SF6 and 17-day periods for GF. The R did not increase after 4-day periods for SF6 (R = 0.73), but increased for GF until 45-day periods (R = 0.90). In our experimental conditions and R = 0.70, the total number of cows necessary to detect a significant difference in CH4 emissions (g/kg DMI) between two treatments (e.g. diet) was similar for SF6 and GF.

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