Parthenope University of Naples

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    Cross-cultural Adaptation and Validation of the Italian Version of the Revised Perceived Perioperative Competence Scale

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    Purpose: The nurse's role in the operating room requires essential competencies throughout the care process, such as theoretical knowledge, technical skills, and problem-solving abilities assessed by the Revised Perceived Perioperative Competence Scale (PPCS-R). The study aims to translate, cross-culturally adapt, and validate the Italian version of the scale. Design: A cross-cultural adaptation and validation of the Italian version of PPCS-R. Methods: The revised English version of the 40-item scale PPCS-R was translated into Italian according to Beaton's guidelines. The scale's internal consistency was assessed using Cronbach's α coefficient, ensuring the instrument's reliability. An exploratory factor analysis was conducted, preceded by the Kaiser-Meyer-Olkin test and Bartlett's sphericity test. Statistical analyses were performed using SPSS version 29.1 (IBM Corp.). Findings: The exploratory factor analysis of the Revised Perceived Perioperative Competence Scale—Italian Version (PPCS-R ITA) (N = 509) confirmed the 6 factors served in the original version. The final Italian version of PPCS-R comprises 40 items grouped into 6 latent factors. Each latent component showed a high consistency per Cronbach's α. The statistical analyses of the study confirm the reliability and good consistency of the tool. Conclusions: The statistical analyses of the study confirm the reliability and consistency of the tool (Revised Perceived Perioperative Competence Scale—Italian Version). By investigating the perception of Italian professionals working in the operating room through a translated and validated scale, specific training and professional development needs of a specific context can be better understood to identify appropriate learning and management strategies

    ApoC-III and ectopic fat accumulation in individuals with type 2 diabetes: an exploratory analysis from the MEDEA randomised controlled study

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    Aims/hypothesis: We aimed to investigate the effects of an isoenergetic multifactorial diet, previously shown to reduce liver and pancreatic fat content, compared with a monounsaturated fatty acid (MUFA)-rich diet, on plasma apolipoprotein C-III (ApoC-III) levels and their relationship with ectopic fat and beta cell function in people with type 2 diabetes. Methods: In this randomised controlled, parallel group study, 36 individuals with type 2 diabetes (20 men, 16 women), aged 35–75 years, were assigned to an 8 week intervention with either an isoenergetic MUFA-rich diet (n=16) or a multifactorial diet rich in MUFA, polyunsaturated fats, fibre, polyphenols and vitamins (n=20). Fasting and postprandial (3 h test meal reflecting the assigned diet) plasma glucose, insulin and ApoC-III concentrations were measured before and after the intervention. Beta cell function was assessed as the insulin-to-glucose total AUC ratio. Liver and pancreatic fat content were quantified using magnetic resonance techniques. Results: Compared with the MUFA diet, the multifactorial diet led to a decrease (8 week minus baseline) in fasting ApoC-III levels (−0.006 ± 0.040 vs +0.007 ± 0.048 g/l, p=0.070) and postprandial ApoC-III AUC (−1.34 ± 6.01 vs +1.60 ± 5.56 g/l × 180 min, p=0.043). Regardless of dietary intervention, changes in fasting ApoC-III positively correlated with changes in liver fat (r=0.357, p=0.032) and pancreatic fat (r=0.385, p=0.020). Both fasting and postprandial ApoC-III changes were inversely correlated with beta cell function (r=−0.384, p=0.026; r=−0.402, p=0.018, respectively). Conclusions/interpretation: A multifactorial diet significantly reduced plasma ApoC-III levels in individuals with type 2 diabetes. Independent of dietary intervention, lower ApoC-III levels were associated with reduced liver and pancreatic fat accumulation and improved beta cell function. Trial registration: ClinicalTrials.gov NCT0338041

    I contratti per l'utilizzazione dei beni

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    I contratti per l'esecuzione di opere e servizi

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    Changing Food in a Changing World: Assessing Compliance to Insects, Cultivated Meat, and Soil-Less Products Among Italian Undergraduates

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    : Background/Objectives: In recent decades, the need for sustainable alternatives to traditional foods for the global population has become urgent. To this aim, edible insects, cultivated meat, and vegetables produced through soil-less farming have been proposed. This cross-sectional study was aimed at exploring willingness to eat these novel foods and its possible correlates in young Italian adults. Methods: An electronic questionnaire was administered to the student populations of 13 universities throughout the Italian territory. Results: The results show that insects and cultivated meat were widely acknowledged as possible food, while soil-free cultivation seems to be less known. Indeed, the percentage of participants who have heard of insects, cultivated meat, and soil-free cultivation was respectively equal to 91.5%, 84.7%, and 32.9%. However, the majority of respondents were uncertain about the sustainability of all the proposed products (52.6% for insects, 39.5% for cultivated meat, and 58.0% for soil-free cultivation, respectively), and the propensity to try and eat insects (9.5%) was lower than that declared for synthetic meat (22.8%) and products from soil-free cultivation (19.2%). However, the regression analysis showed that the propensity to eat these foods regularly is positively related to the confidence in their sustainability (p < 0.001). Willingness to try each of the proposed foods positively correlated with that declared for the others (p < 0.001). Conclusions: These findings highlight the need to implement interventions aimed at increasing awareness about the use of these products as alternatives to less sustainable foods and the importance of identifying consumer groups to which these interventions should be addressed

    Il Simbolo di Nicea sullo sfondo del diritto teodosiano

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