The blue side of diabetes: assessing the impact of depression in people with type 2 diabetes using real-world data

The aim of the thesis is to assess the impact of depression in people with type 2 diabetes. Using Healthcare Utilization Databases, I estimated in a large population-based cohort with type 2 diabetes the incidence of depression over 10 year-period, identified the demographic and clinical predictors of depression, and determined the extent to which depression is a risk factor for acute and long-term complications and mortality. In the context of COVID-19 pandemic, I evaluated whether the presence of a history of depression in type 2 diabetes increased the Emergency Department (ED) access rate for diabetes-related complications, and I investigated changes in the incidence of depression during the first year of the pandemic. Findings from the first study indicated that developing depression was associated with being a woman, being over 65 years, living in rural areas, having insulin as initial diabetes medication and having comorbid conditions; the study also confirmed that depression was associated with an increased risk for acute and long-term diabetes complications and all-cause mortality. The second observational study showed a higher rate of ED access for diabetes-related complications during the pandemic in people with type 2 diabetes and a history of depression than in those without a history of depression, similar to what was observed in a pre-pandemic period. As shown in the third population-based study, the incidence of depression decreased in 2020 compared to 2019, mainly during the first and the second waves of the COVID-19 pandemic, when people probably had difficulty reaching healthcare services. This new real-world evidence will help healthcare professionals identify timely patients at high risk of developing depression. Lastly, policymakers and physicians will benefit from new evidence of the effects of the COVID-19 pandemic on depression in people with type 2 diabetes to ensure a high level of care during crisis periods.

Resistance and opposition to the Macedonian kingship in the ancient Iranian world

This thesis deals with the criticism of Macedonian kingship in the ancient Iranian world. The question of indigenous opposition and resistance to the Greeks and Macedonians has been little addressed by ancient historians. The study therefore adopts a different, interdisciplinary perspective and seeks to understand where the utterly negative portrayal of Alexander and the Macedonians found in most Iranian sources stems from. The first part deals with the subject by first examining the acts of violence committed by Alexander and his men against the Iranians during the expedition to Asia that might have led to such a portrayal in the Iranian sources. I have focused on looting, massacres and insults to deities, such as the looting of temples or the destruction of many settlements in ancient Iran handed down in classical sources. To this end, an important part was devoted to the analysis of archaeological sources, especially the signs of destruction in areas such as Persia and Sogdiana. In the second part, the image of Alexander and his successors, although mentioned much less frequently, as it appears in pre-Islamic Iranian literature, is analysed in detail, focusing on the faults and cruelties attributed to them against the Iranians, but especially against their religion. These are mostly Zoroastrian religious sources, whose clergy preserved a demonic image of the Macedonian kings. In the third and final part, further examples of offences committed by the Diadochi and Seleucids against the Iranians in the classical tradition are collected. At the same time, it is examined how the Hellenistic rulers of Iranian origin, e.g. the Arsacids and the Orontids, opposed not only militarily but also ideologically the Macedonian tradition represented by the kingdoms of Macedonian descent and chose a pro-Iranian tradition that was clearly different from the Greco-Roman one.

Coworking spaces: thriving and organizing in the new world of work

The present Ph.D. thesis proposes three studies on coworking spaces to understand how they foster thriving and organizing in the new world of work. The first study maps and analyzes the thematic structure and evolution of the academic debate that has emerged around coworking spaces in recent years. In doing so, it conducts a science mapping analysis of 351 publications on coworking spaces to detect and visualize key themes in the literature and their co-occurrence with subthemes. The second study proposes an interpretive review of 98 publications from multiple disciplines to shed light on how coworking spaces emerge as sites of organizing for professionals who are not formally connected to one another. It suggests five dimensions that articulate coworking spaces as sites of organizing – ‘materiality,’ ‘temporality,’ ‘affect,’ ‘identity,’ and ‘formalization.’ This study aims to go beyond the community-related understanding of coworking that has characterized most scholarly attention, instead focusing on coworking spaces’ organizational character. The third study investigates what drives thriving at work for remote workers in coworking spaces. In doing so, it acknowledges the potential complex set of interrelationships underpinning thriving at work and mobilizes complexity theory and qualitative comparative analysis to uncover six different, yet equifinal, configurations of antecedents driving remote workers’ thriving in coworking spaces.