Chi vivrà vedrà : le arene metropolitane tra Legge Delrio e referendum costituzionale

The creation of metropolitan government structures was on the agenda in Italy for at least twenty years before they were finally instituted in 2014 within a more wideranging reform of local governance. Ten \uabMetropolitan cities\ubb are thus headed to become a second-tier level in Italian local government, responsible for a number of vital functions including territorial planning, development, transport. Based on document analysis and interviews, the article describes the transitional phase in which Metropolitan cities have been set up and have started to operate, and analyzes the main dynamics of politics and policy: the indirect election of councils and executive organs, the struggle for economic resources, and the start of policy initiatives

Traps of multi-level governance. Lessons from the implementation of the Water Framework Directive in Italy

During recent decades, different patterns of multi-level governance (MLG) have spread across Europe as a consequence of Europeanisation of public policies, which have increasingly adopted decentralized and participatory procedures conceived as a tool of more effective and accountable policy-making. It appears, however, that the implementation of operational designs based on MLG may be rather problematic and it does not necessarily bring to the expected performance improvements. Referring to the case of the EU Water Framework Directive (2000/60/EC), which conceives the creation of new multi-level institutional settings as a key tool for enacting a new holistic approach to water management and protection, this article explores the difficulties that the implementation of such settings has brought in Italy, despite some favorable pre-conditions existing in the country. Evidence is provided that along with institutional and agency variables, the implementation effectiveness of MLG arrangements promoted by the EU can be challenged by their inherent characteristics

Linear, Non-Conjugated Cyclic and Conjugated Cyclic Paraphenylene under Pressure

The n-paraphenylene family comprises chains of phenylene units linked together by C-C bonds that are between single- and double-bonded, and where n corresponds to the number of phenylene units. In this work, we compare the response of the optical properties of different phenylene arrangements. We study linear chains (LPP), cyclic systems (CPPs), and non-conjugated cyclic systems with two hydrogenated phenylenes (H4[n]CPP). Particularly, the systems of interest in this work are [6]LPP, [12]- and [6]CPP and H4[6]CPP. This work combines Raman and infrared spectroscopies with absorption and fluorescence (one- and two-photon excitations) measured as a function of pressure up to maximum of about 25 GPa. Unprecedented crystallographic pressure-dependent results are shown on H4[n]CPP, revealing intramolecular ¿-¿ interactions upon compression. These intramolecular interactions justify the H4[n]CPP singular optical properties with increasing fluorescence lifetime as a function of pressure

Evaluation of the performance of Dutch Lipid Clinic Network score in an Italian FH population: The LIPIGEN study

Background and aims: Familial hypercholesterolemia (FH) is an inherited disorder characterized by high levels of blood cholesterol from birth and premature coronary heart disease. Thus, the identification of FH patients is crucial to prevent or delay the onset of cardiovascular events, and the availability of a tool helping with the diagnosis in the setting of general medicine is essential to improve FH patient identification.Methods: This study evaluated the performance of the Dutch Lipid Clinic Network (DLCN) score in FH patients enrolled in the LIPIGEN study, an Italian integrated network aimed at improving the identification of patients with genetic dyslipidaemias, including FH.Results: The DLCN score was applied on a sample of 1377 adults (mean age 42.9 +/- 14.2 years) with genetic diagnosis of FH, resulting in 28.5% of the sample classified as probable FH and 37.9% as classified definite FH. Among these subjects, 43.4% had at least one missing data out of 8, and about 10.0% had 4 missing data or more. When analyzed based on the type of missing data, a higher percentage of subjects with at least 1 missing data in the clinical history or physical examination was classified as possible FH (DLCN score 3-5). We also found that using real or estimated pre-treatment LDL-C levels may significantly modify the DLCN score.Conclusions: Although the DLCN score is a useful tool for physicians in the diagnosis of FH, it may be limited by the complexity to retrieve all the essential information, suggesting a crucial role of the clinical judgement in the identification of FH subjects

Using Analytic Narratives in Policy Analysis: An Explanation of the Implementation of the Water Reform in Italy (1994-2002)

Various critiques have been made of the analytic narrative, which is a methodological approach that combines historically oriented research with rational choice models. This paper discusses strengths and limitations of the approach and provides some suggestions for its inclusion in the repertoire of methodological tools at disposal for comparative policy studies. The argument is supported by evidence provided by the case study of the implementation of the water reform in Italy in the period 1994-2002. The case study shows how the interplay of game theoretic modeling and historical analysis results in the formulation of tentative hypotheses for explaining variation in the observed trajectory of policy reform implementation across time and space