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Medical nutrition therapy (MNT) is a vital aspect of management of type 1 diabetes mellitus (T1DM) and should be tailored to ethnic and family traditions and the socioeconomic and educational status of the patient. In this article, we discuss the unique aspects of MNT in children and adolescents with T1DM in the Indian setting, with focus on the challenges faced by patients, dieticians and physicians and how these can be overcome. The authors reviewed the available literature on MNT in T1DM from India and prepared the document based on their vast collective clinical experience in treating patients with T1DM from different regions in India. Indian diets are predominantly carbohydrate-based with high glycemic index (GI) and low protein content. Various methods are available to increase the protein and fiber content and reduce the GI of food in order to limit glycemic excursions. Insulin regimens need to be tailored to the child's school timings, meal schedule, and the availability of a responsible adult to supervise/administer insulin. All patients, irrespective of economic and education background, should be taught the broad principles of healthy eating, balanced diet and carbohydrate counting. There are various barriers to dietary compliance, including joint family system, changing lifestyles, and other factors which need to be addressed. There is a need to customize dietary management according to patient characteristics and needs and develop standardized patient educational material on principles of healthy eating in various regional languages.

n September 2013, the Association of British Bookmakers (ABB) launched its new Code for Responsible Gambling and Practice (‘the Code’). The Code included a range of measures aimed at reducing gambling-related harm and increasing business responsibility and sustainability. New measures introduced by the Code included enhanced staff training on responsible gambling with emphasis on staff interaction with customers; technological changes to machines whereby players could set limits on how long they wanted to gamble for or how much money they wanted to spend; mandatory messages on machines alerting players if they had gambled for 30 minutes or more or inserted £250 or more into the machine; greater advertising of responsible gambling messages; and enhancements of existing practice around age-verification and self-exclusion. All aspects of the Code were implemented on 1st March 2014 in bookmakers which signed up to it (termed bookmakers in ‘treated’ areas). Bookmakers in the West Midlands (termed bookmakers in ‘untreated’ areas) implemented the Code one month later, on 1st April 2014. This early impact evaluation compared machine gambling sessions in treated bookmakers in March 2014 (that is, after the Code was introduced) with sessions played in untreated bookmakers over the same period. This was to explore whether the introduction of the Code had any impact on machine gamblers’ behaviour during the first month of implementation (hence early impact). This evaluation was limited to analysis of data captured by bookmakers’ machines. Therefore, this report assesses the early impact of the Code on machine gamblers, rather than all gamblers within bookmakers. Accordingly, more attention is given to the new machine tools (voluntary limits and mandatory alerts).

n September 2013, the Association of British Bookmakers (ABB) launched its new Code for Responsible Gambling and Practice (‘the Code’). The Code included a range of measures aimed at reducing gambling-related harm and increasing business responsibility and sustainability. New measures introduced by the Code included enhanced staff training on responsible gambling with emphasis on staff interaction with customers; technological changes to machines whereby players could set limits on how long they wanted to gamble for or how much money they wanted to spend; mandatory messages on machines alerting players if they had gambled for 30 minutes or more or inserted £250 or more into the machine; greater advertising of responsible gambling messages; and enhancements of existing practice around age-verification and self-exclusion. All aspects of the Code were implemented on 1st March 2014 in bookmakers which signed up to it (termed bookmakers in ‘treated’ areas). Bookmakers in the West Midlands (termed bookmakers in ‘untreated’ areas) implemented the Code one month later, on 1st April 2014. This early impact evaluation compared machine gambling sessions in treated bookmakers in March 2014 (that is, after the Code was introduced) with sessions played in untreated bookmakers over the same period. This was to explore whether the introduction of the Code had any impact on machine gamblers’ behaviour during the first month of implementation (hence early impact). This evaluation was limited to analysis of data captured by bookmakers’ machines. Therefore, this report assesses the early impact of the Code on machine gamblers, rather than all gamblers within bookmakers. Accordingly, more attention is given to the new machine tools (voluntary limits and mandatory alerts).

La parabola di Edoardo Nesi, scrittore che a lungo si è diviso tra il mondo delle lettere e quello imprenditoriale, è un caso pressoché unico nel panorama letterario nazionale: la sua "doppia vita" gli ha però permesso di raccontare dall'interno, in romanzi che sono tutti variazioni su un unico tema, l'ascesa e la caduta di un distretto industriale.

Profilo del famoso personaggio di Altan. – "Marx è morto". "E noi qui a fare la classe operaia, come dei pirla". Cipputi è uno di quelli che tengono in piedi la baracca; sempre al lavoro in tuta e guanti, sempre alle prese con qualche macchinario. Nella vita dell'operaio dal naso prominente creato da Altan non c'è tempo per la nostalgia, il sentimentalismo, la rassegnazione. Ma c'è spazio per la coscienza di classe e per un'ironia impassibilmente lucida che, da dietro le lenti spesse del nascondono lo sguardo, si scaglia in un colpo solo contro i meccanismi del potere, i privilegi dei padroni, l'immaturità delle forze politiche progressive.

Final report (draft) of the project carried out in the framework of the Dutch involvement of World Water Forum; Alterra in cooperation with ITC, Arcadis, WL Delft Hydraulics and Regenboog Advies

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