Learning-Shaping Crises: A Longitudinal Comparison of Public Personnel Reforms in Italy, 1992‒2014

Abstract

This article analyses the attempts to reform public administration, notably personnel management, in Italy between 1992 and 2014, with a focus on implementation and the period following the multiple crises that have unfolded since 2008. By untangling the policy learning processes between multiple crises, past reform attempts and domestic and European “contexts in motion”, the article finds that efficiency-oriented reforms have floundered regardless of the political color of governments or indeed of the nature – political or technocratic – of the governments. Domestic factors, notably the frequency of government alternation, i.e. government instability, and European pressure have further reinforced the orientation towards single-loop lessons, i.e. the almost exclusive effecting of short-term cost-cutting measures.     

Unusual and Fatal Case of an Undiagnosed Intravascular Large B-cell Lymphoma: The Oncologist’s Great Imitator†

Intravascular lymphoma (IVL) is a rare subtype of extranodal lymphomas that is characterized by the selective growth of neoplastic cells within the lumen of small vessels. Authors document the case of an unexpected death caused by an undiagnosed intravascular large B-cell lymphoma with multi-organ involvement, which had initially manifested as an infection and then as an unclarified central nervous system pathology. Histological examination showed a diffuse intravascular large B-cell brain lymphoma with prominent cerebral involvement. The relevance of the case report reveals the importance of an autopsy of an extremely rare and threatening pathology that in most cases is diagnosed only postmortem. As a result, the role of the forensic pathologist becomes particularly important. When specifically performing an in-depth autopsy evaluation with a specific histologic analysis, it is possible to identify the intravascular lymphoma and declare a more accurate cause of death.     

The Erratic Behavior of Lesions in Burnt Bone

This study analyses depressed fractures (by blunt force trauma) and circular full‐thickness injuries (drill injuries and gunshot wounds) in charred bones. Fifty bovine ribs (total 104 lesions) were divided into three groups. The first group consisted in 20 depressed hammer‐produced fractures; in the second one, 60 round drill‐holes were produced (30 circular, 30 semicircular); in the third group, 12 fleshed and 12 skeletonized ribs were hit by 9‐mm bullets. Each specimen was carbonized in an electric oven up to 800°C. Morphological and metric analyses were performed before and after: morphological features were preserved, but depressed fractures showed an increase in their dimensions (p‐value < 0.05); the drilled holes shrunk (p‐value < 0.01); the charring cycle increased the number of fractures in samples with gunshot wounds differently in fleshed and defleshed ribs. This study showed the complex behavior of charred bone, for what concerns the interpretation of trauma and how caution should be applied.     

Amino acid content in fresh sperm and sperm stains

Seminal fluid was studied biochemically for sperm identification in stains. The qualitative and quantitative distribution of amino acids in samples of fresh sperm has been alayzed. These findings were compared to the results of a similar study of fresh samples and stains of urine, saliva, vaginal fluor, and sweat. The results obtained show a specific and relatively constant level of amino acids in each of five biological liquids. There was no significant variation in results between fresh samples and stains.     

Chronic hydrocephalus and alcohol abuse in a young male suicide

The paper describes a case of suicide in a young man affected by compensated chronic hydrocephalus who was subject to alcohol abuse. The case was studied by means of a complex set of analyses, including circumstantial and clinical data, anatomohistopathological findings, and chemicotoxicologic tests. What clearly emerges in the case is the importance of a continuing neuropsychological follow-up in patients with shunted hydrocephalus. The forensic interest in the case is due to the peculiar autopsy findings discussed in relation to the possible causes of sudden death in subjects with hydrocephalus.     

Max Frei theory revisitation: does really strokes depth change along time?

A serious problem in questioned document examination is to establish the age of written lines. With respect to paper dating, in the past, Max Frei theory (based only on microscope analysis) claimed that strokes are time-dependent. Therefore, according to this theory, it has been asserted that from the analysis of the strokes depth changes it is possible to try to date the handwritten document (to find out that the document is older than ...). In the present work, we investigate the strokes depth change by a laser profilometer considering not only the time but also microclimatic variations. First, we analyze the stability of stroke characteristics along the time. In particular, we demonstrate that if the document is preserved without change of temperature and humidity, the depth of the strokes has not appreciable changes. In this way, we have the purpose to verify the real possibility of documents dating by means of Max Frei theory. Subsequently, we test how the 3D profile of strokes changes in connection with the microclimatic variations. In particular, we test humidity variations. With this experiment, we show that humidity variations reduce the strokes depth. Moreover, this effect shows a non-linear trend, leaving a hysteresis on the depth. Finally, we show that the analysis of 3D stroke profile is unable to determine the age of documents.