Contesting Urban Tourism: Creative protest in Barcelona and Venice

[eng] In the last years we have witnessed an ever-increasing politicization of urban tourism. The questioning of the tourist industry, which has become part of the actions of several groups of citizens, has proved to be as articulated as diversified. Often, many of these protests share the proliferation of creative tactics that highlight the relation between the symbolic mediation and the resignification of public space. Through an ethnographic work, which runs between the urban centres of Barcelona and Venice, the research fits inside the increasing dynamicity of the present critique to the touristification of the city. Moreover, it analyses different forms of protest, which directly emerge from grassroot projects and aim to a socio-political change. The purpose is to contribute and problematize in a complex way to the debate on contemporary forms of claim within the touristified city. On the whole, the thesis wants to be an incursion by social sciences in the debate on overtourism. The aim is to integrate spatial, cultural and reflexive focus both on the urban collectives and the researcher that approaches such practices.[ita] Negli ultimi anni si è assistito ad una crescente politicizzazione del turismo urbano. La critica all’industria turistica, entrata ormai nell’agenda delle azioni di diversi gruppi cittadini, si è dimostrata tanto articolata quanto diversificata. Spesso, molte di queste proteste condividono la proliferazione di tattiche creative che rendono evidente il rapporto tra mediazione simbolica e risignificazione dello spazio pubblico. Attraverso un lavoro etnografico che si snoda tra i centri urbani di Barcellona e Venezia, la ricerca si inserisce all’interno di questa crescente dinamicità dell’attuale critica alla turistificazione della città ed analizza diverse forme di protesta che emergono direttamente da progetti dal basso ed aspirano ad un cambiamento socio- politico. L’obiettivo è quello di contribuire e problematizzare in maniera complessa il dibattito sulle forme contemporanee di rivendicazione all’interno della città turistica. Nel complesso, la tesi si presenta come un’incursione delle scienze sociali nel dibattito sull’overtourism con il proposito di integrare focus spaziali, culturali e riflessivi sia dei collettivi urbani, sia dello stesso ricercatore che si avvicina a queste pratiche

Switching from twice-daily glargine or detemir to once-daily degludec improves glucose control in type 1 diabetes. An observational study

Degludec is an ultralong-acting insulin analogue with a flat and reproducible pharmacodynamic profile. As some patients with type 1 diabetes (T1D) fail to achieve 24-h\ua0coverage with glargine or detemir despite twice-daily injections, we studied the effect of switching T1D patients from twice-daily glargine or detemir to degludec

Influence of health locus of control and fear of hypoglycaemia on glycaemic control and treatment satisfaction in people with Type 1 diabetes on insulin pump therapy

To assess the influence of health locus of control and fear of hypoglycaemia on metabolic control and treatment satisfaction in people with Type 1 diabetes mellitus on continuous subcutaneous insulin infusion. METHODS: People with Type 1 diabetes on continuous subcutaneous insulin infusion for at least 1 year, sub-classified as an 'acceptable glucose control' group [HbA1c 64 58 mmol/mol (7.5%)] and a 'suboptimum glucose control' group [HbA1c > 58 mmol/mol (7.5%)], were consecutively enrolled in a multicentre cross-sectional study. Questionnaires were administered to assess health locus of control [Multidimensional Health Locus of Control (MHLC) scale, with internal and external subscales], fear of hypoglycaemia [Hypoglycaemia Fear Survey II (HFS-II)] and treatment satisfaction [Diabetes Treatment Satisfaction Questionnaire (DTSQ)]. RESULTS: We enrolled 214 participants (mean \ub1 sd age 43.4 \ub1 12.1 years). The suboptimum glucose control group (n = 127) had lower mean \ub1 sd internal MHLC and DTSQ scores than the acceptable glucose control group (19.6 \ub1 5.2 vs 21.0 \ub1 5.0, P = 0.04 and 28.8 \ub1 4.8 vs 30.9 \ub1 4.5, P < 0.001). HFS-II scores did not differ between the two groups. Internal MHLC score was negatively associated with HbA1c (r = -0.15, P < 0.05) and positively associated with the number of mild and severe hypoglycaemic episodes (r = 0.16, P < 0.05 and r = 0.18, P < 0.001, respectively) and with DTSQ score (r = 0.17, P < 0.05). HFS-II score was negatively associated with DTSQ score (r = -0.18, P < 0.05) and positively with number of severe hypoglycaemic episodes (r = 0.16, P < 0.5). CONCLUSIONS: In adults with Type 1 diabetes receiving continuous subcutaneous insulin infusion, high internal locus represents the most important locus of control pattern for achieving good metabolic control

Carbohydrate Counting in Children and Adolescents with Type 1 Diabetes

Carbohydrate counting (CC) is a meal-planning tool for patients with type 1 diabetes (T1D) treated with a basal bolus insulin regimen by means of multiple daily injections or continuous subcutaneous insulin infusion. It is based on an awareness of foods that contain carbohydrates and their effect on blood glucose. The bolus insulin dose needed is obtained from the total amount of carbohydrates consumed at each meal and the insulin-to-carbohydrate ratio. Evidence suggests that CC may have positive effects on metabolic control and on reducing glycosylated haemoglobin concentration (HbA1c). Moreover, CC might reduce the frequency of hypoglycaemia. In addition, with CC the flexibility of meals and snacks allows children and teenagers to manage their T1D more effectively within their own lifestyles. CC and the bolus calculator can have possible beneficial effects in improving post-meal glucose, with a higher percentage of values within the target. Moreover, CC might be integrated with the counting of fat and protein to more accurately calculate the insulin bolus. In conclusion, in children and adolescents with T1D, CC may have a positive effect on metabolic control, might reduce hypoglycaemia events, improves quality of life, and seems to do so without influencing body mass index; however, more high-quality clinical trials are needed to confirm this positive impact

A sub-analysis of the SAGE study in Italy indicates good glycemic control in type 1 diabetes

use pumps/continuous glucose monitoring and HbA1

A multi-element psychosocial intervention for early psychosis (GET UP PIANO TRIAL) conducted in a catchment area of 10 million inhabitants: study protocol for a pragmatic cluster randomized controlled trial

Multi-element interventions for first-episode psychosis (FEP) are promising, but have mostly been conducted in non-epidemiologically representative samples, thereby raising the risk of underestimating the complexities involved in treating FEP in 'real-world' services