Italian Administrative Regions Research Articles

The illness trap: The impact of disability benefits on willingness to receive HCV treatment

Health care is assumed to be a primary good, implying that patients should always demand or accept treatments that may enhance their life expectancy and quality of life, especially if the risks associated with the treatment are low. We argue that, especially in countries with a well-developed welfare state, treating an invalidating condition may lead to opportunity costs in terms of reduced disability allowances that may represent a barrier to treatment for low-income individuals. We test this hypothesis by applying a recursive bivariate probit approach to population data from an ad hoc administrative database for Liguria (an Italian administrative region). The dataset includes data for more than 8 thousand people affected by hepatitis C Virus (HCV) infection between 2013 and 2020. After the discovery of new direct-acting antivirals (DAAs) in 2014, HCV eradication may now be possible. However, despite the national and international efforts, several patients diagnosed with HCV choose not to undergo drug therapy despite the adverse consequences for their personal health and relevant costs to the national health system. We show that five years after the implementation of the new drugs, approximately 41 % of the diagnosed population in Liguria remains untreated. This percentage increases to 64 % within the subgroup entitled to disability benefits and characterized by lower income levels. The “illness trap” effect is more substantial for older people but also low-income patients. Moreover, we find that this effect is higher in patients with an intermediate range of comorbidities; indeed, these patients are at a higher risk of losing economic benefits if they recover from HCV. These results suggest the need for healthcare policies addressing this distorting effect when designing benefit programs and granting financial benefits to patients.

New national and regional Annex I Habitat records: from #83 to #101

New Italian data on the distribution of 17 Annex I Habitats are reported in this contribution. Specifically, 11 new occurrences in Natura 2000 sites are presented and 30 new cells are added in the EEA 10 km × 10 km reference grid. The new data refer to the Italian administrative regions of Apulia, Campania, Calabria, Lazio, Sardinia, Sicily and Tuscany.

Floristic Richness in a Mediterranean Hotspot: A Journey across Italy.

Species richness is a fundamental property of biodiversity patterns and is properly expressed by the species-area relationship (SAR), namely the increase in the number of species with the area. Here, we studied and explored the species-area relationship with respect to vascular plant species in Italy and compared vascular plant richness among Italian administrative regions. Concerning the entire vascular flora (native and alien), the best-performing formula is the Arrhenius' Power function: S = c Az. The constants of this function are c = 241.2 and z = 0.281. The best-performing formula concerning just native (c = 245.2 and z = 0.263) and alien (c = 10.1 and z = 0.404) richness is the Power function as well. The floristically richest Italian regions considering the entire flora are Liguria, Friuli Venezia Giulia, and Trentino-Alto Adige, which are also the regions that are richest in alien flora unfortunately. Regions of particular naturalistic interest are Abruzzo, Valle d'Aosta, and Molise, because only these three regions exhibit native floristic richness that is higher than expected, and this is coupled with an alien floristic richness that is lower than expected. On the contrary, four regions (Lombardia, Veneto, Toscana, and Emilia-Romagna) show potentially severe conservation problems due to biological invasions since they experience native floristic richness that is lower than expected, with an alien floristic richness that is higher than expected. This study offers for the first time the 'c' and 'z' constants specifically calibrated at the national level for Italian vascular flora. The availability of such constants allows the calculation of the number of expected species for a given area to be investigated, providing a robust starting hypothesis for floristic studies.

Notulae to the Italian alien vascular flora: 16

In this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records and status changes from casual to naturalized for Italy or for Italian administrative regions. Nomenclatural and distribution updates, published elsewhere, and corrections are provided as supplementary material.

Trends in hospital volume and operative mortality in hepato-biliary surgery in Veneto region, Italy.

Hepatobiliary resections are among the most complex and technically challenging surgical procedures. Even though robust evidence showed that complex surgical procedures such as hepatobiliary surgery have better short- and long-term outcomes and lower mortality rate when performed in high-volume centers, the minimal criteria of centers that can perform hepatobiliary activity are not clearly defined. We conducted a retrospective population study of patients who underwent hepatobiliary surgery for malignant disease in a single Italian administrative region (Veneto) from 2010 to 2021 with the aim to investigate the hospitals annual surgical volume for hepatobiliary malignant diseases and the effect of hospital volume on in-hospital, 30- and 90-day postoperative mortality. The centralization process of hepatobiliary surgery in Veneto is rapidly increasing over the past 10years (rate of performed in highly specialized centers increased from 62% in 2010 to 78% in 2021) and actually it is really established. The crude and adjusted (for age, sex, Charlson Index) mortality rate after hepatobiliary surgery resulted significantly lower in centers with high-volume activity compared to them with low-volume activity. In the Veneto region, the "Hub and Spoke" model led to a progressive centralization of liver and biliary cancer treatment. High surgical volume has been confirmed to be related to better outcomes in terms of mortality rate after hepatobiliary surgical procedures. Further studies are necessary to clearly define the minimal criteria and associated numerical cutoffs that can help define the characteristics of centers that can perform hepatobiliary activities.

New national and regional Annex I Habitat records: from #60 to #82

New Italian data on the distribution of the Annex I Habitats are reported in this contribution. Specifically, 8 new occurrences in Natura 2000 sites are presented and 49 new cells are added in the EEA 10 km × 10 km reference grid. The new data refer to the Italian administrative regions of Campania, Calabria, Marche, Piedmont, Sardinia, Sicily, Tuscany and Umbria. Relevés and figures are provided as Supplementary material respectively 1 and 2.

Notulae to the Italian alien vascular flora: 15

In this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records, confirmations, exclusions for Italy or for Italian administrative regions. Nomenclatural and distribution updates, published elsewhere, and corrections are provided as Suppl. material 1.

Notulae to the Italian native vascular flora: 15

In this contribution, new data concerning the distribution of native vascular flora in Italy are presented. It includes new records, confirmations, and exclusions to the Italian administrative regions. New combinations in the genera Pilosella and Roemeria are proposed. Furthermore, the name Papaver siculum is lectotypified. Nomenclatural and distribution updates, published elsewhere, and corrigenda are provided as Suppl. material 1.

Estimating Afforestation Area Using Landsat Time Series and Photointerpreted Datasets

Afforestation processes, natural and anthropogenic, involve the conversion of other land uses to forest, and they represent one of the most important land use transformations, influencing numerous ecosystem services. Although remotely sensed data are commonly used to monitor forest disturbance, only a few reported studies have used these data to monitor afforestation. The objectives of this study were two fold: (1) to develop and illustrate a method that exploits the 1985–2019 Landsat time series for predicting afforestation areas at 30 m resolution at the national scale, and (2) to estimate afforestation areas statistically rigorously within Italian administrative regions and land elevation classes. We used a Landsat best-available-pixel time series (1985–2019) to calculate a set of temporal predictors that, together with the random forests prediction technique, facilitated construction of a map of afforested areas in Italy. Then, the map was used to guide selection of an estimation sample dataset which, after a complex photointerpretation phase, was used to estimate afforestation areas and associated confidence intervals. The classification approach achieved an accuracy of 87%. At the national level, the afforestation area between 1985 and 2019 covered 2.8 ± 0.2 million ha, corresponding to a potential C-sequestration of 200 million t. The administrative region with the largest afforested area was Sardinia, with 260,670 ± 58,522 ha, while the smallest area of 28,644 ± 12,114 ha was in Valle d’Aosta. Considering elevation classes of 200 m, the greatest afforestation area was between 400 and 600 m above sea level, where it was 549,497 ± 84,979 ha. Our results help to understand the afforestation process in Italy between 1985 and 2019 in relation to geographical location and altitude, and they could be the basis of further studies on the species composition of afforestation areas and land management conditions.

New national and regional Annex I Habitat records: from #45 to #59

New Italian data on the distribution of Annex I Habitats are reported in this contribution. Specifically, 8 new occurrences in Natura 2000 sites are presented and 27 new cells are added in the EEA 10 km × 10 km reference grid. The new data refer to the Italian administrative regions of Apulia, Campania, Calabria, Lazio, Tuscany, Umbria, Sardinia, and Sicily.

Notulae to the Italian native vascular flora: 14

In this contribution, new data concerning the distribution of native vascular flora in Italy are presented. It includes new records, confirmations, and status changes to the Italian administrative regions. Nomenclatural and distribution updates, published elsewhere, and corrigenda are provided as Suppl. material 1.

Notulae to the Italian alien vascular flora: 14

In this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records, confirmations, and status changes for Italy or for Italian administrative regions. Nomenclatural and distribution updates, published elsewhere, and corrections are provided as Suppl. material 1.

New national and regional Annex I Habitat records: from #37 to #44

In this contribution, Italian new data concerning the distribution of the Annex I Habitats 3150, 3170*, 3260, 4090, 91L0, 91M0, 9340 are reported. In detail, 20 new occurrences in Natura 2000 sites are presented and 30 new cells are added in the EEA 10 km × 10 km reference grid. The new data refer to the Italian administrative regions of Campania, Lazio, Sardinia, Sicily, Tuscany, and Umbria.

Multilayer perceptron models for the estimation of the attained level of education in the Italian Permanent Census

In the Italian Permanent Census, estimates of the attained level of education are derived by the integration of administrative data, 2011 census data, and sample survey data. The result of the integration procedure is the prediction of the attained level of education (ALE) for each single resident. Due to the complexity and heterogeneity of the available information, traditional statistical methods require the construction of different imputation models for different subpopulations, with a considerable effort in terms of human intervention. We study the use of a multilayer perceptron (MLP) model to make the process more automatic, i.e., less costly in terms of human resources, and possibly more accurate in terms of estimates. The MLP model is applied to Istat data referred to an Italian administrative region (Lombardia) in 2018, and the results are compared with those obtained using the official procedure. The study shows that the MLP approach is indeed less demanding in terms of human work needed for data preparation and modeling, yet it leads to estimates characterized by the same level of accuracy as the ones provided by the official procedure.

Notulae to the Italian native vascular flora: 13

In this contribution, new data concerning the distribution of native vascular flora in Italy are presented. It includes new records, confirmations, and exclusions to the Italian administrative regions. Nomenclatural and distribution updates, published elsewhere, and corrigenda are provided as Suppl. material 1.

University Technology Transfer and the Contribution of University Spin-offs in Stimulating the Socio-economic Development of Regions

Abstract The commercialization and dissemination of knowledge technologies developed in academia have increased the attention of policy makers as strategic components to support regional socio-economic and innovative development. The emerging models of the third and fourth university missions underline the critical function of commercializing the results of academic research, innovation and entrepreneurship for the growth and competitiveness of regional areas. This study aims to investigate, both from a theoretical and empirical point of view, the role of university spin-offs as a contribution to the socio-economic and innovative development of the regions in which they are located. To this end, the contributor analyzes a longitudinal sample of 952 university spin-offs located in 20 Italian administrative regions. The results from the empirical analysis show that the knowledge and technological production of the university spin-out process generate an affective and active role in the regional context, stimulating it innovative capacities and supporting their socio-economic development. JEL classification numbers: M21, O30, O32. Keywords: University technology transfer, University spin-offs, Regional economic development, Regional innovation.

Notulae to the Italian alien vascular flora: 13

In this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records, confirmations, exclusions, and status changes for Italy or for Italian administrative regions. Nomenclatural and distribution updates published elsewhere are provided as Suppl. material 1.

Regional multipliers across the Italian regions

AbstractThis paper estimates the multipliers of different types of government spending in the 20 Italian administrative regions throughout 1994–2016. We derive region‐specific multipliers through a Bayesian random effect panel vector autoregressive model. We find that the EU structural funds, compared to the other types of government spending, provide the largest and most pervasively significant GDP multipliers, whereas the effectiveness of nationally funded government investment and, especially, government consumption shocks is more limited. An exploratory analysis of the regional multipliers suggests that they are positively associated with the amount of unused resources and the size of the regional economy.

New national and regional Annex I Habitat records: from #26 to #36

New Italian data on the distribution of the Annex I Habitats 1510*, 2130*, 2250*, 3180*, 3260, 5230*, 6410, 7140, 7220*, 9320 are reported in this contribution. Specifically, 14 new occurrences in Natura 2000 sites are presented and 20 new cells are added in the EEA 10 km × 10 km reference grid. The new data refer to the Italian administrative regions of Abruzzo, Apulia, Friuli Venezia Giulia, Liguria, Marche, Molise, Sardinia, Sicily, Tuscany and Umbria.

Notulae to the Italian alien vascular flora: 12

In this contribution, new data concerning the distribution of vascular flora alien to Italy are presented. It includes new records, confirmations, exclusions, and status changes for Italy or for Italian administrative regions. Nomenclatural and distribution updates published elsewhere are provided as Suppl. material 1.