Pensions and the Dynamics of Inequality in Italy: Initial Evidence, 1987-2014

As certified by Eurostat, in 2015 Italy was among the European countries with the most pronounced income inequality, with a “20:20 ratio” of 5.8. That is, the income share of the richest 20% of households is 5.8 times that of the poorest 20%. Only Serbia, Romania, Lithuania, Bulgaria, Spain, Greece, Latvia, Estonia e Portugal displayed a higher inequality ratio that year. Even in the broader group of all OECD countries, including the US and the UK, Italy is among the most unequal. The main difference between Italy and the US or Britain is that in Italy inequality had gradually decreased through the 1980s, scoring a minimum in 1991, before then rising dramatically (Fiorio, 2011; Brandolini and Smeeding, 2008). In the US and the UK, by contrast, inequality has increased steadily. The social costs of income inequality can be substantially aggravated or mitigated by a country’s welfare system, so it is important to analyze the structures that the various nations have adopted. The main differences concern both amount of expenditure and the form in which benefits are delivered. For Italy, between 2000 and 2008 the bulk of social expenditure went for old age pensions (59.1% compared with an average of 43.7% in Europe). The article examines trends in inequality in Italy from 1987 to 2014 and analyzes the changing distribution of individual incomes by source (payroll employment, self-employment, pension) and by geographical area

Extremal metrics on blow ups

Given a compact Kahler manifold with an extremal metric (M,\omega), we give sufficient conditions on finite sets points p_1,...,p_n and weights a_1,...a_n for which the blow up of M at p_1,...,p_n has an extremal metric in the Kahler class \pi^*[\omega] - \epsilon (a_1 PD[E_1] + .. + a_n PD[E_n]) for all \epsilon sufficiently small. In particular our result implies that if (M,\omega) is a toric manifold and p_1,...,p_n is any subset of the fixed locus of the torus action, then such metrics exist for any choice of the weights. The relationship with previous constructions of the first two authors for Kahler constant scalar curvature metrics is discussed.Comment: 39 page

The willingness to pay in the food sector. Testing the hypothesis of consumer preferences for some made in Italy products

Previous publications have shown that Italian consumers are willing to pay a premium price for certain categories of Made in Italy products. The premium price has proven to be higher in the food sector. This study provides an extensive literature review on the topic and aims to test a hypothesis regarding consumer preferences towards some Made in Italy food products of mass consumption (olive oil, meat and fish), with specific reference to the value systems that influence the purchase. This paper studies the correlation between the potential willingness to pay a premium price for the mentioned products and the characteristics of consumers' sample. The results obtained confirm the willingness to pay for Made in Italy products and correlate the willingness to pay a premium price with the level of education of the respondents to the questionnaire. Thus, these findings show that consumers with a higher educational level tend to make more sustainable food choices and by doing so lean toward a sustainable lifestyle

Balanced metrics on Cartan and Cartan-Hartogs domains

This paper consists of two results dealing with balanced metrics (in S. Donaldson terminology) on nonconpact complex manifolds. In the first one we describe all balanced metrics on Cartan domains. In the second one we show that the only Cartan-Hartogs domain which admits a balanced metric is the complex hyperbolic space. By combining these results with those obtained in [13] (Kaehler-Einstein submanifolds of the infinite dimensional projective space, to appear in Mathematische Annalen) we also provide the first example of complete, Kaehler-Einstein and projectively induced metric g such that $\alpha g$ is not balanced for all $\alpha >0$.Comment: 11 page

Laparoscopic peritoneal lavage: A definitive treatment for diverticular peritonitis or a "bridge" to elective laparoscopic sigmoidectomy?

To this day, the treatment of generalized peritonitis secondary to diverticular perforation is still controversial. Recently, in patients with acute sigmoid diverticulitis, laparoscopic lavage and drainage has gained a wide interest as an alternative to resection. Based on this backdrop, we decided to perform a systematic review of the literature to evaluate the safety, feasibility, and efficacy of peritoneal lavage in perforated diverticular disease. A bibliographic search was performed in PubMed for case series and comparative studies published between January 1992 and February 2014 describing laparoscopic peritoneal lavage in patients with perforated diverticulitis. A total of 19 articles consisting of 10 cohort studies, 8 case series, and 1 controlled clinical trial met the inclusion criteria and were reviewed. In total these studies analyzed data from 871 patients. The mean follow-up time ranged from 1.5 to 96 months when reported. In 11 studies, the success rate of laparoscopic peritoneal lavage, defined as patients alive without surgical treatment for a recurrent episode of diverticulitis, was 24.3%. In patients with Hinchey stage III diverticulitis, the incidence of laparotomy conversion was 1%, whereas in patients with stage IV it was 45%. The 30-day postoperative mortality rate was 2.9%. The 30-day postoperative reintervention rate was 4.9%, whereas 2% of patients required a percutaneous drainage. Readmission rate after the first hospitalization for recurrent diverticulitis was 6%. Most patients who were readmitted (69%) required redo surgery. A 2-stage laparoscopic intervention was performed in 18.3% of patients. Laparoscopic peritoneal lavage should be considered an effective and safe option for the treatment of patients with sigmoid diverticulitis with Hinchey stage III peritonitis; it can also be consider as a “bridge” surgical step combined with a delayed and elective laparoscopic sigmoidectomy in order to avoid a Hartmann procedure. This minimally invasive staged approach should be considered for patients without systemic toxicity and in centers experienced in minimally invasive surgery techniques. Further evidence is needed, and the ongoing RCTs will better define the role of the laparoscopic peritoneal lavage/drainage in the treatment of patients with complicated diverticulitis

Changes in surgicaL behaviOrs dUring the CoviD-19 pandemic. The SICE CLOUD19 Study

Background: The spread of the SARS-CoV2 virus, which causes COVID-19 disease, profoundly impacted the surgical community. Recommendations have been published to manage patients needing surgery during the COVID-19 pandemic. This survey, under the aegis of the Italian Society of Endoscopic Surgery, aims to analyze how Italian surgeons have changed their practice during the pandemic. Methods: The authors designed an online survey that was circulated for completion to the Italian departments of general surgery registered in the Italian Ministry of Health database in December 2020. Questions were divided into three sections: hospital organization, screening policies, and safety profile of the surgical operation. The investigation periods were divided into the Italian pandemic phases I (March-May 2020), II (June-September 2020), and III (October-December 2020). Results: Of 447 invited departments, 226 answered the survey. Most hospitals were treating both COVID-19-positive and -negative patients. The reduction in effective beds dedicated to surgical activity was significant, affecting 59% of the responding units. 12.4% of the respondents in phase I, 2.6% in phase II, and 7.7% in phase III reported that their surgical unit had been closed. 51.4%, 23.5%, and 47.8% of the respondents had at least one colleague reassigned to non-surgical COVID-19 activities during the three phases. There has been a reduction in elective (> 200 procedures: 2.1%, 20.6% and 9.9% in the three phases, respectively) and emergency (< 20 procedures: 43.3%, 27.1%, 36.5% in the three phases, respectively) surgical activity. The use of laparoscopy also had a setback in phase I (25.8% performed less than 20% of elective procedures through laparoscopy). 60.6% of the respondents used a smoke evacuation device during laparoscopy in phase I, 61.6% in phase II, and 64.2% in phase III. Almost all responders (82.8% vs. 93.2% vs. 92.7%) in each analyzed period did not modify or reduce the use of high-energy devices. Conclusion: This survey offers three faithful snapshots of how the surgical community has reacted to the COVID-19 pandemic during its three phases. The significant reduction in surgical activity indicates that better health policies and more evidence-based guidelines are needed to make up for lost time and surgery not performed during the pandemic.COVID-19; Elective surgery; Emergency surgery; Laparoscopic surgery

Radiomics analysis in ovarian cancer: A narrative review

Ovarian cancer (OC) is the second most common gynecological malignancy, accounting for about 14,000 deaths in 2020 in the US. The recognition of tools for proper screening, early diagnosis, and prognosis of OC is still lagging. The application of methods such as radiomics to medical images such as ultrasound scan (US), computed tomography (CT), magnetic resonance imaging (MRI), or positron emission tomography (PET) in OC may help to realize so-called “precision medicine” by developing new quantification metrics linking qualitative and/or quantitative data imaging to achieve clinical diagnostic endpoints. This narrative review aims to summarize the applications of radiomics as a support in the management of a complex pathology such as ovarian cancer. We give an insight into the current evidence on radiomics applied to different imaging methods

EPV204/#454 Inguinal metastases as presenting sign of ovarian cancer

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Urological melanoma: A comprehensive review of a rare subclass of mucosal melanoma with emphasis on differential diagnosis and therapeutic approaches

Melanoma is reported as the 19th most common cancer worldwide, with estimated age-standardized incidence rates of 2.8–3.1 per 100,000. Although the origin is most frequently cutaneous, mucosal melanoma has been described several times in literature, and despite its rarity (only 1% of all melanomas), increasing attention is being paid to this disease form. Within this subgroup, melanomas of the uropoetic apparatus are a rarity among rarities. Indeed, less than 50 cases of primary melanoma originating from the urinary bladder have been described, and even less originating from the kidney, renal pelvis and urethra. In this work, we present a detailed review of the literature related to this proaches. subclass of mucosal melanoma, delve into the biological landscape of this neoplasm and discuss current approaches, future perspectives and potential therapeutic approaches. Keywords: melanoma; mucosal melanoma; urology