Italian Prime Minister Silvio Berlusconi reacts following a confidence vote at the lower chamber of parliament in Rome, Tuesday, Dec. 14, 2010. Mr. Berlusconi has won back-to-back votes of confidence in parliament but has been left with a razor-thin majority that will make it hard for him to govern effectively. In the second and most dramatic of Tuesday's votes, Mr. Berlusconi survived a no-confidence motion in the lower house by three votes. Voting was briefly interrupted after scuffles broke out during the tense session. (AP Photo/Gregorio Borgia)
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