Publications by authors named "S Alessi"

Emerging adulthood (ages 18-25 years old) is a critical period for the onset of problematic drinking, especially within underserved populations, such as Latine emerging adults. This protocol outlines the adaptation of a Mindfulness-Based Intervention (MBI) incorporating Contingency Management (CM) to address alcohol misuse in Latine young adults, a demographic with limited treatment access and increased vulnerability to substance use disorders. Grounded in Community-Engaged Research (CEnR) principles, this study employs a structured formative development approach to culturally and developmentally adapt a Mindfulness-Based Stress Reduction (MBSR) program.

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In order to limit the ever-increasing consumption of new resources for material formulations, regulations and legislation require us to move from a linear to a circular economy and to find efficient ways to recycle, reuse and recover materials. Taking into account the principles of material circularity and waste reuse, this research study aims to produce thermoplastic composites using two types of industrial waste from neighbouring companies, namely waste polypropylene (wPP) from household production and carbon-fibre-reinforced epoxy composite scrap from a pultrusion company. The industrial scrap of the carbon-fibre-reinforced epoxy composites was either machined/ground to powder (pCFRC) and used directly as a reinforcement agent or subjected to a chemical digestion process to recover the carbon fibres (rCFs).

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Background: The aim was to evaluate the performance of the Peritoneal Cancer Index (PCI) using imaging (ultrasound, contrast-enhanced computed tomography (CT), and whole-body diffusion-weighted magnetic resonance imaging (WB-DWI/MRI) in assessing peritoneal carcinomatosis and predicting non-resectability in tubo-ovarian carcinoma patients.

Methods: This was a prospective multicenter observational study. We considered all patients with suspected primary ovarian/tubal/peritoneal cancer who underwent preoperative ultrasound, CT, and WB-DWI/MRI (if available).

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Article Synopsis
  • The study aimed to determine the recurrence rate of para-aortic lymph nodes in patients with early-stage cervical cancer who did not have surgical staging for these nodes while undergoing radical surgery.
  • A total of 432 patients were included, with a focus on various stages of cervical cancer and the follow-up revealed that only 0.5% of patients experienced recurrence in the para-aortic lymph nodes.
  • The overall 5-year recurrence-free survival rate for the cohort was found to be 90%, suggesting that para-aortic lymphadenectomy may not be necessary in all early-stage cases.
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  • Current federal regulations limit contingency management (CM) incentives to $75 per patient per year, which is significantly lower than the amounts used in effective treatment protocols, such as those evaluated in a 2004 study by Petry et al.
  • A re-analysis of this study indicated that the higher incentive of $240 was effective in improving abstinence outcomes, whereas the lower incentive of $80 was not, suggesting that it led to higher rates of non-engagement with treatment.
  • The findings advocate against the federal limit on CM incentives, proposing that evidence-based protocols be utilized instead, alongside necessary regulatory changes to enable their implementation.
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