An injured demonstrator, centre, receives assistance after scuffles in Rome, Tuesday, Dec. 14, 2010. Premier Silvio Berlusconi won back-to-back votes of confidence in the Italian parliament Tuesday, but he was left with a razor-thin majority that will make it hard for him to govern effectively. In the second and most dramatic of the tests, Berlusconi survived a no-confidence motion in the lower house by just three votes. The tense session was briefly interrupted as lawmakers pushed and shoved each other, while outside parliament protesters hurling firecrackers, eggs and paint scuffled with police. (AP Photo/Pier Paolo Cito)