In Italy and other parts of the Mediterranean region, the gesture must usually be performed with the fingers tilting downward to signify the warding off of bad luck; in the same region and elsewhere, the gesture may take a different, offensive and insulting meaning if it is performed with fingers upward or if directed aggressively towards someone in a swiveling motion (see section below). In Italy, one can also "touch iron" ("tocca ferro") or touch one's nose to ward off bad luck. Males in Italy may also grab their testicles when confronted by bad luck; however, this is considered more vulgar.