Questioning Walking Tourism from a Phenomenological Perspective: Epistemological and Methodological Innovations

This article aims to illuminate the overlooked entanglement of space, material practices, affects, and cognitive work emplaced in walking tourism. Walking as a tourism activity is generally practised in the open air away from crowded locations; therefore, it is being encouraged even more in this (post)pandemic era than prior to the pandemic. While walking is often represented as a relatively easy activity in common promotional discourse, this article argues that it is much more complex. It revises the notion of tourist place performance, focusing on walking both as a tourist practice and as a research method that questions multi-sensory and emotional walker engagement. While extensively revisiting literature on walking tourism and the most novel methodological innovations, the article draws from a walking tourism experience undertaken as part of a student trip to demonstrate that the emotions that arise from walkers’ embodied encounters with living, as well as inanimate elements, extend beyond what might be included in a simple focus on landscape “sights”. In conclusion, it is suggested that a phenomenological approach to walking may prove particularly useful for understanding key issues associated with space, place, and tourism mobilities

Neighbourhood branding and urban regeneration: performing the 'right to the brand' in Casilino, Rome

In the last decade, many cities have experimented with small-scale initiatives aimed at enhancing the quality of life of residents; these initiatives have somehow fostered a reconceptualization of the term, as well as practice, of urban regeneration. In this context, the role of civic networks in bringing forward experiments in the production of alternative imaginaries and place-making has gained a major role, in particular in marginal neighbourhoods. By focusing on a case study in the eastern periphery of Rome, the paper explores the case of citizen-led neighbourhood branding, highlighting open issues and ambiguities in claiming a 'right to the brand'

Introduction to the special issue: between practices and policies. Rethinking urban regeneration in Southern European cities after the crisis

This Special Issue explores new approaches to urban regeneration, and potentially give new meanings to the term itself, as it appears in the context of austerity urbanism. In particular, the aim of this Special Issue is to offer a Southern European perspective of the nexus between the withdrawal of the State from urban governance, and of the new forms of cooperation arising from civil society, thus presenting original research material, and innovative perspectives, for current debates in urban studies

NORMALIZING EFFECT OF GAMMA-LINOLENIC ACID ON ETRETINATE-INDUCED HYPERTRIGLY- CERIDEMIA IN PSORIATIC PATIENTS: PRELIMINARY RESULTS

_________________ Synopsis Retinoids are a group of. synthesis compounds having vitamin A as their precursor. Among retino i d s, etretin ate i s commonly used, al o n e or in combi n ati o n with PUVA (8-methoxypsoralen+UYA), for diffuse and resistant psoriasis. However, eretrinate may induce locai (severe ski n dryness, flaking, cheilitis and fiss ures) and systemic side-effects. Among the systemic side-effects of etretinate, increased triglycerides, VLDLs, and cholesterol are freq ue ntly detected, whic h may cause treatment discontinuation. In the present paper 41 psoriatic patients undergoing Re-PUVA (Etretinate+PUVA) were considered. One month after the beginning of the therapy, 27 of them were additionally treated with gamma-linolenic acid, because of the dryness and itch induced by etretinate. During Re-PUVA treatment 11 out of these 27 patients showed increased triglyceride and cholesterol levels. A 2 month-treatment with gamma-linolenic acid induced an improvement of the cutaneous side-effects of eretrinate. Moreover, a statisticall y significant decrease of triglyceridemia (p<O.O I) and cholestero lemia (p<O.O I ) was detected followi ng the treatment with gamma-linolenic acid. These results demonstrate that association of gamma-linolenic acid is useful in contolling dyslipidemia if Re-PUVA treatment has to be continued to achieve clearing of psoriasis. ------------------Riassunto I retinoidi sono una famiglia di composti di sintesi che hanno il loro precursore nella Yit. A. I più diffusi in ambito terapeutico dermatologico sono l'etretinato, l'isotretinoina e l'acitretina. Questi farmaci agiscono promuovendo la differenziazione cheratinocitaria ed esercitano un effetto immunomodulatore. In particolare, l'etretinato trova indicazione, da solo o in associazione con PUVA-terapia (8-metossipsoralene+UYA), nel trattamento delle forme più estese e resistenti di psoriasi. L'etretinato, tuttavia, può indutTe effetti collaterali sia locali (secchezza cutanea marcata, desquamazione, cheilite e ragadi) che generali. Tra gl i effetti sistemici collaterali c he l'etretrinato può indun-e si ri leva più frequentemente un innalzamento dei trigliceridi, delle VLDL e del colesterolo che possono indun-e a sospendere la terapia prima del conseguimento di una risposta clinica soddisfacente. Nel presente lavoro vengono riportati i dati relativi al contollo dell' iperlipemia indotta da etretinato me- 107 Norma/1zmg effect of gamma-linolenic acid on etretinate-finduced hypertriglyceridemia in. .. diante l'impiego di acido gamma-linolenico per via generale. Tale acido grasso essenziale è stato impiegato in epoca recente per il controllo del prurito e della secchezza cutanea nei soggetti affetti da dermatite atopica; per questo motivo abbiamo ritenuto di utilizzarl o (480 mg/os/die) in un gruppo di 27 pazienti ps oriasici che, in cor so di tra ttame nto co n Etretinato (Etretinato 0,5 mg/Kg/os/die)+PUVA (Re-PUVA), avevano manifestato marcata secchezza cutanea e prurito, imputabili al retinoide. Ad un mese dall'inizio della terapia, 11 dei 27 pazienti affetti da secchezza cutanea e prurito avevano presentato anche anomalie del quadro lipidico, imputabili al trattamento con etretinato. II trattamento con acido gamma-linolenico per 2 mesi, o ltre a determ inare un miglioramento degli effetti collaterali cutanei, ha indotto anche una ridu zione statisticamente significativa della trigl iceridemia (p<0,01) e della colesterolemi a (p<0,0 1). Pertanto anche se gli innalzamenti di colesterolo e trigliceridi nella nostra casistica sono risultati, durante al terapia con etretinato, di moderata entità, l'util izzo d i acido gamma-linolenico ci ha permesso di continuare la terapia Re-PUVA con una certa sicurezza per il paziente. Come noto, infa tti , la popolazione psoriasica risu lta esposta ad un aumentato rischio di accidenti cardiovascolari, in associazione a diabete ed obesità, e l'ipertrig liceridemia iatrogena costituirebbe quindi un ulteriore fattore di ri schio

Long-term disease-free survival in surgically-resected oral tongue cancer: a 10-year retrospective study

Sopravvivenza libera da malattia a lungo termine nel tumore della lingua mobile operato: studio retrospettivo a 10 anni.PLAIN-LANGUAGE-SUMMARY: Early and loco-regionally advanced oral tongue squamous cell carcinoma (OTSCC) can be treated by surgery alone or followed by adjuvant radiotherapy or chemoradiotherapy. Nevertheless, up to 40% of patients develop tumour relapse. The aim of our study is to investigate the clinical and pathological features associated with reduced disease-free survival (DFS) in a cohort of surgically-resected OTSCC patients. One hundred and six patients surgically resected for OTSCC were retrospectively identified from clinical records. DFS was calculated according to the Kaplan\u2013Meier method and differences between variables were assessed with Log-Rank test. A multivariable Cox regression model was used to analyse the impact of different prognostic factors on DFS. After a median of follow-up of 8.9 years, 22 events, including 11 deaths, were observed. Overall, the 5-year DFS-rate was 87.4%. The presence of extra-nodal extension (p = 0.023) and perineural invasion (p = 0.003) were significantly correlated with shorter DFS (in univariate analysis). In multivariable analysis, extra-nodal extension and perineural invasion confirmed their role as independent prognostic factors associated with an increased risk of disease recurrence [hazard ratio (HR) 2.87, 95% CI 1.11-7.42, p = 0.03; HR 3.85, 95% CI 1.49-9.96, p = 0.006, respectively]. p16 and p53 expressions in tumour cells were detected in 12% (n = 9) and 46% (n = 40) of cases, respectively. No differences in DFS were observed between p16+ and p16- (p = 0.125) and between p53+ and p53- tumours (p = 0.213). In conclusion, radical surgery, eventually followed by adjuvant radiotherapy or chemo-radiotherapy, can achieve high cure rates in OTSCC. After long-term follow-up, perineural invasion and extra-nodal extension confirmed their role as prognostic factors associated with reduced DFS in OTSCC patients

Congenital hypothyroidism with eutopic thyroid gland : analysis of clinical and biochemical features at diagnosis and after re-evaluation

Context: In recent years changes in screening strategies for congenital hypothyroidism (CH) led to an increased detection of mild forms of CH, associated with eutopic thyroid gland. Objectives: We aimed to determine the clinical evolution of CH with eutopic thyroid gland and to find out prognostic factors at diagnosis and follow-up. Patients and Methods: We retrospectively analyzed agroup of84 children withCH andeutopic thyroid gland treated at our institution. They all underwent clinical re-evaluation after the age of 3, based on thyroid function testing after L-thyroxine therapy withdrawal, thyroid ultrasonography, and 123I scintigraphy with perchlorate discharge test. Genetic analysis was performed in selected cases. Results: At re-evaluation, 34.5% of patients showed permanent hypothyroidism and needed L-thyroxine reintroduction, 27.4% had persistent hyperthyrotropinemia (TSH5-10mU/L), and 38.1% had transient hypothyroidism. Major risk factors for permanent CH were prematurity, first-degree familial history of goiter/nodules, thyroid hypoplasia at diagnosis, and high L-thyroxine requirements at follow-up. Iodine organification defects were found in 29.7% of patients, 30% of whom harbored DUOX2 mutations. TSH receptor gene mutations were found in 8.7% of patients with persistent thyroid dysfunction and negative perchlorate discharge test. Conclusions: Only one-third of patients with CH and eutopic thyroid gland needed to continue L-thyroxine therapy after re-evaluation. A frequent finding was the persistence of mild hyperthy-rotropinemia. The evolution of CH remains difficult to predict, although different clinical features might suggest different outcomes. Mutations in the genes commonly linked to mild forms of CH were documented in a minority of cases. Copyrigh

Food and Femininity in Twentieth-Century British Women's Fiction

In Food and Femininity Andrea Adolph explores the effects of the western philosophical distinction of mind and body on physical female bodies