Dynamics of collaborative research medicine: the case of glaucoma

This paper inquires into the organizational and spatial dynamics of scientific research by focussing on the evolution of epistemic networks in a specific area of medical practice, glaucoma. As researchers and practitioners struggle to come to grips with this elusive disease, the medical scientific community exhibits a great degree of variety in the ecology of organisations and the associated scientific pathways. Data on scientific publications over a thirty-year period affords a clearer understanding of the changing configurations of a clinical-scientific community, and speaks to the adaptive nature of problem-solving in medicine.     

The Sub-State Politics of Welfare in Italy: Assessing the Effect of Territorial Mobilization on the Development of Region-Specific Social Governance

This article demonstrates that the political mobilization of regional identities through the creation of regionalist parties has positively impacted on the development of region-specific models of welfare governance in Italy. This means that, in a decentralized country, the ‘centre-periphery’ cleavage may significantly influence the sub-state politics of welfare.     

Massive lesions owing to motorcyclist impact against guardrail posts: analysis of two cases and safety considerations

Two motorcycle riders lost control of their vehicle, fell, and hit a guardrail, which acted as a blade and led to a rapid, fatal outcome. In one case, the high velocity of the body at the time of the impact resulted in complete detachment of the trunk. Reconstruction of the accident dynamics enabled the guardrail post to be identified as the means of injury in both cases. The two accidents occurred over a short period of time, highlighting a dangerous phenomenon that in less severe cases is presumably associated with different degrees of survivor disability. The accidents deserve mention, because a different design of the impact surface of the guardrail post might have prevented the lethal outcome. There is an urgent need for legislators to pass regulations that modify crash barrier homologation criteria, which have been devised primarily for the safety of car passengers but fail to protect motorcyclists.     

Beyond “financial incentives”: how stakeholders interpret Ontario's funding structure for midwifery

Abstract: The 1994 introduction of midwifery as a publicly paid service in Ontario created new incentives in the health-care system. Traditional economic models of financial incentives explain stakeholder responses in terms of the pursuit of financial gains and avoidance of financial losses. To explore and explain more social and political responses by stakeholders, we conducted a qualitative case study. We applied an alternative model of financial incentives to analyze funding arrangements as policy messages and to investigate how stakeholders interpret them. Interpretations of the midwifery funding structure follow three broad themes. First, payment structures make a policy statement about the legitimacy and autonomy of the midwifery profession and its status relative to other professions such as medicine and nursing. Second, funding mechanisms imply how midwifery's services will fit in with other health services (specifically, substituting for, adding to, or competing with traditional obstetrics). Finally, stakeholders caricaturize midwifery clients to illustrate whether public funding creates more or less equitable access to care. Ontario's experience with midwifery offers insights for understanding the social dimensions of financial incentives, as well as for anticipating issues that arise when using funding policies as instruments of health-care reform. Sommaire: L'introduction en 1994 des services de sage-femme déefrayés a même les deniers publics en Ontario a Créeée de nouveaux incitatifs au sein du systéme de soins de santé. Selon les modèles économiques d'incitatifs financiers classiques, les réactions des intervenants s'expliquent par la recherche de gains financiers ou l'effort d'éviter les pertes. Nous avons entrepris une étude de cas qualitative pour explorer et expliquer d'autres réactions sociales et politiques de la part des intervenants. Nous avons fait appel à un modèle d'incitatifs financiers alternatif pour analyser les schémas de financement en tant que messages politiques et pour vérifier la manière dont les intervenants les interprètent. Les interprétations de la structure de financement des services de sage-femme se rangent dans trois grandes catégories. Premièrement, les structures de paiement équivalent à une déclaration sur la légitimité et l'autonomie de la professon de sage-femme et sur son statut relativement à d'autres professions, telles que la médecine et l'infirmerie. Deuxièmement, les mécanismes de financement indiquent comment les services de sage-femme se rapportent aux autres services de santé (plus précisément s'agit-il là d'un substitut, d'un complément ou d'un concurrent des services obstétriques classiques?). Enfin, les intervenants tracent les portraits types de la clieritèle des sages-femmes pour déterminer si le financement public permet d'accéder aux soins voulus de manière plus ou moins équitable. L'expérience ontarienne dans le domaine des services de sage-femme aide à cerner les dimensions sociales des incitatifs financiers ainsi qu'à prévoir les questions qui se posent lorsqu'on utilise des politiques de financement comme instruments de réforme des soins de santé.     

The Impact of Social Media Use for Elected Parliamentarians: Evidence from Politicians' Use of Twitter During the Last Two Swiss Legislatures

Notwithstanding growing research on how using social media for political campaigning impacts politicians' chances of winning votes, we still have limited knowledge about whether and how the use of social media and online styles of communication affect political success over successive legislatures. We address this deficit by analyzing a panel dataset about the Twitter activity of politicians who have had a parliamentary mandate at least once. We first demonstrate that politicians' interaction with specific online audiences (e.g. in terms of replies and mentions) is still evolving, thus pointing to possible strategic adaptations of politicians' communication as social media are mastered. Then, we show that Twitter-based activity moderately impacts politicians' political success, both in terms of political ranking and media coverage. This success, however, strongly depends on the style of political communication and on the legislature under scrutiny.     

The Innovation Paradox in Southern Europe. Unexpected Performance During the Economic Crisis

The international crisis has exerted a strong impact on the National Innovation Systems (NIS) of three Southern European economies: Italy, Portugal and Spain. These countries represent interesting cases for analysing responses to the crisis because they show a sort of innovation paradox: despite the weakness of their institutional systems and the defensive policies developed by governments, some of their companies have nevertheless been able to innovate even during the hardest years of the recession. In order to shed light on this paradox, three matters are taken into account: the distinctive features of the South European National Innovation Systems; the behaviour of governments and companies; the ‘generative dynamics’ and the ‘creative processes’ that have taken place during the crisis.     

Feasibility of Contactless 3D Optical Measurement for the Analysis of Bone and Soft Tissue Lesions: New Technologies and Perspectives in Forensic Sciences

Abstract:  In forensic pathology and anthropology, a correct analysis of lesions on soft tissues and bones is of the utmost importance, in order to verify the cause and manner of death. Photographs, videos, and photogrammetry may be an optimal manner of immortalizing a lesion, both on cadavers and skeletal remains; however, none of these can supply a detailed three-dimensional (3D) modeling of the lesion. Up to now, only the use of casts has given us the possibility of studying deep lesions such as saw marks with an accurate and complete 3D reconstruction of bone structure. The present study aims at verifying the applicability of 3D optical contactless measurement for the accurate recording of soft tissue and bone lesions, in order to develop a unique and precise method of registering and analyzing lesions, both in forensic pathology and anthropology. Three cases were analyzed: the first, a car accident with blunt force skin injuries; the second, a murder with blunt force injury to the head applied with a metal rod; the third, a series of sharp force knife and saw lesions on bone. Results confirm that 3D optical digitizing technology is a crucial tool in the immortalization of wound morphology in the medico-legal context even on "difficult" substrates such as cut marks and saw marks on bone.     

Reshaping EU Attitudes? The Case of Social Democratic and Radical Left Parties in Spain and Italy

Since the beginning of the Great Recession, the issue of European integration has become increasingly salient in many European polities. The European left has adopted a different stance toward European integration, both in terms of economic and welfare‐state integration. On the one hand, radical left parties (RLPs) have always opposed a process of integration dominated by neoliberal logic; on the other hand, the social democratic parties (SDPs) have appeared as one of the main pro‐EU party families, identifying the EU as a privileged space in which to promote the building of a European social model. In this paper, we propose a binary comparison between RLPs and SDPs in Italy and Spain with a qualitative content analysis methodology. Our results show that albeit the crisis brought SDPs closer to a Eurocritical stance vis‐à‐vis the social‐Europe, this dimension along with the political integration are still dividing issues for the RLPs and SDPs families.     

Applicability of Cranial Models in Urethane Resin and Foam as a Substitute for Bone: Are Synthetic Materials Reliable?

As literature is poor in functional synthetic cranial models, in this study, synthetic handmade models of cranial vaults were produced in two different materials (a urethane resin and a self‐hardening foam), from multiple bone specimens (eight original cranial vaults: four human and four swine), in order to test their resemblance to bone structure in behavior, during fracture formation. All the vaults were mechanically tested with a 2‐kg impact weight and filmed with a high‐speed camera. Fracture patterns were homogeneous in all swine vaults and heterogeneous in human vaults, with resin fractures more similar to bone fractures. Mean fracture latency time extrapolated by videos were of 0.75 msec (bone), 1.5 msec (resin), 5.12 msec (foam) for human vaults and of 0.625 msec (bone), 1.87 msec (resin), 3.75 msec (foam) for swine vaults. These data showed that resin models are more similar to bone than foam reproductions, but that synthetic material may behave quite differently from bone as concerns fracture latency times.