Education-job (mis)match and interregional migration:Italian university graduates’ transition to work

This paper analyses the micro-level determinants of the education-job (mis)matches of recent university graduates in Italy. As the Italian graduate population has experienced increasing internal migration, we focus in particular on the role of interregional migration in driving education-job match. The methodology takes into account both the endogenous relationship between migration and employment, and the self-selection bias between employment and education-job (mis)match. Using a survey on Italian graduates’ entry into the labour market, we find that whilst migration at the national level is confirmed to have a positive role in both finding a job and decreasing the probability of overeducation, robust differences emerge when looking at the subnational dimension. Indeed, the Northern regions by receiving inflows of Southern graduates that manage to attain a good education-job match in the recipient labour markets, are apparently reaping part of the return to the investment in university education bore in the Sout

Prospective validation of the CLIP score: a new prognostic system for patient with cirrhosis and hepatocellular carcinoma

Prognosis of patients with cirrhosis and hepatocellular carcinoma (HCC) depends on both residual liver function and tumor extension. The CLIP score includes Child-Pugh stage, tumor morphology and extension, serum alfa-fetoprotein (AFP) levels, and portal vein thrombosis. We externally validated the CLIP score and compared its discriminatory ability and predictive power with that of the Okuda staging system in 196 patients with cirrhosis and HCC prospectively enrolled in a randomized trial. No significant associations were found between the CLIP score and the age, sex, and pattern of viral infection. There was a strong correlation between the CLIP score and the Okuda stage, As of June 1999, 150 patients (76.5%) had died. Median survival time was 11 months, overall, and it was 36, 22, 9, 7, and 3 months for CLIP categories 0, 1, 2, 3, and 4 to 6, respectively. In multivariate analysis, the CLIP score had additional explanatory power above that of the Okuda stage. This was true for both patients treated with locoregional therapy or not. A quantitative estimation of 2-year survival predictive power showed that the CLIP score explained 37% of survival variability, compared with 21% explained by Okuda stage. In conclusion, the CLIP score, compared with the Okuda staging system, gives more accurate prognostic information, is statistically more efficient, and has a greater survival predictive power. It could be useful in treatment planning by improving baseline prognostic evaluation of patients with RCC, and could be used in prospective therapeutic trials as a stratification variable, reducing the variability of results owing to patient selection