Women-only MBSR groups and tele-health MBSR groups could improve accessibility to MBSR for veterans by addressing barriers such as commute anxiety, time restrictions, and an aversion to mixed gender groups among women. Educating MBSR teachers about veteran culture and health challenges faced by veterans, adding psychoeducation materials that relate mindfulness practice to conditions common among veterans, and improving visual aids for mindful movement exercises in the workbook could better accommodate veterans who participate in MBSR.

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calcifications and the enhancement pattern on computed tomography (CT) imaging, correlates with clinicopathologic features and outcomes of patients with gastroenteropancreatic neuroendocrine tumors. We sought to investigate whether these radiographic characteristics were prognostic among patients with neuroendocrine liver metastases (NELM) undergoing surgical resection. Methods: The preoperative contrast-enhanced CT scans of all patients who underwent resection of NELM at a single institution between 2000e2015 were retrospectively reviewed. The presence of calcifications was determined on non-contrast phase imaging. Enhancement on the arterial phase scan was categorized as hyperenhancing, hypoenhancing, or mixed. Relevant clinicopathologic characteristics as well as recurrence-free (RFS) and overall-survival (OS) were compared between groups. Results: Among 82 patients who underwent resection of NELM, 56 had available data on calcifications while 50 had data available on arterial enhancement patterns. Among all patients, median age was 58 (IQR 47-63) and the majority were female (N = 48, 58%). The most common primary tumor locations were pancreas (N = 25, 30%) and small bowel (N = 27, 33%). The most commonly performed procedures were right hepatectomy (N = 21, 28%) and bisegmentectomy (N = 14, 19%). Median tumor number was 3 (IQR 1e5), median Ki-67 was 5% (IQR 2%e10%), and median size of the largest liver metastases was 4.5 cm (IQR 2.8e7.7). Twelve (21%) patients had tumor calcifications. Among patients with and without calcifications there were no differences in demographics, clinicopathologic characteristics, RFS (p = 0.917) or OS (p=0.104). Arterial enhancement was hypoenhancing in 23 (47%), hyperenhancing in 9 (19%), and mixed in 16 (34%). Similarly, there were no differences between arterial enhancement groups in demographics, clinicopathologic characteristics, RFS (p = 0.303) or OS (p = 0.258). Conclusion: Radiographic characteristics on contrastenhanced CT are not associated with the outcomes of patients undergoing resection of NELM. Future investigations should evaluate the prognostic impact of functional neuroendocrine imaging.Background: Although MELD score is a reliable tool for estimating mortality in the waiting list, criteria for preoperative prediction of survival after liver transplantation (LT) are lacking. ALBI score was validated as a prognostic marker for hepatocellular carcinoma (HCC) patients undergoing transarterial chemoembolization, hepatic resection and sorafenib treatment but not for LT outcomes yet. This study aimed to evaluate ALBI score as a prognostic factor in LT. Methods: Single center analysis of patients undergoing LT between October 2001 and June 2017. Primary endpoint was overall post-LT mortality. Secondary endpoint was 90th day mortality. Results: Of all 301 patients included in this study, 185 (61.5%) were males. The mean age was 54.1 AE 11.3 years. Univariate and multivariate analyses revealed that ALBI grade 3 (HR = 1.836, 95%CI [IQR=1.154e2.921], p = 0.010), low serum al...

The present research proposes a theoretical framework for a thrivable entrepreneurial ecosystem in which thrivability is a novel entrepreneurship approach that embeds a comprehensive view in which sustainability is ‘the way to walk’ rather than the goal to reach. A thrivable entrepreneurial ecosystem aims to create prosperity through ecosystem resource (re)generation and transformation to define long-term economic goals. The framework is applied here to address the grand challenge of sustainable development in wineries. A local wine ecosystem in Italy is employed as a case study supported by mix-method-based, in-depth data collection (survey and interview). Results from the study support the idea that organizations can collaborate in a thrivable entrepreneurial ecosystem as a unique entity respectful of nature, driving economic viability of both firms and territories by improving quality of life, and caring for natural resources and local communities. This novel entrepreneurial approach may represent a turning point for facing increasingly grand business challenges.