C.I. MEDICINA LEGALE E DEL LAVORO

10 CFU - 2° Semester

Teaching Staff

MARIA FIORE - Module Hygiene - MED/42 - 2 CFU
GUIDO ROMANO - Module Legal Medicine - MED/43 - 3 CFU
VENERANDO RAPISARDA - Module Occupational Medicine - MED/44 - 2 CFU
GIUSEPPE CHIARA - Module ISTITUZIONI DI DIRITTO PUBBLICO - IUS/09 - 3 CFU

Learning Objectives

ISTITUZIONI DI DIRITTO PUBBLICO
At the end of the course, students must be able to know the basic notions, the theory of law and the legal system, the fundamental principles, the sources of law, fundamental rights, constitutional bodies, guarantee instruments, type of state, the relationships between the Italian legal system and the European and international legal system. The student must also demonstrate the ability to frame practical problems within the framework of the reference constitutional principles.

Detailed Course Content

Hygiene
Clinical risk

Evaluative epidemiology

Literature reviews

Systematic reviews and meta-analysis

Evidence-based medicine

Preparation and organization of research projects, training programs, educational and support interventions for individuals and community aimed at self-management, control of risk factors and health problems.
Legal Medicine
Introduction to Penal Law (crime, classifications, objective and subjective elements). Civil capacity
(legal capacity and capacity to act, interdiction, disqualification, natural incapacity). Material
causation and law regulations. Chain of material causation. Imputability (under age, full or partial
infirmity of the mind, intoxications, deaf-mutism). Diagnosis of death. Report of the causes of
death. Regulations of mortuary Police. Time of death and thanatological changes of corpse. Medical
Deontology. Informed consent. Notes on pathology: injuries from blunt instruments; stab injuries;
injuries from fire-arm; electrical injuries; asphyxia (suffocation, hanging, strangulation, constriction,
drowning). Forensic Toxicology: diagnosis of poisoning; CO poisoning; alcoholism and drug
addiction; legislation on drugs. Degrees of murder. Crimes of beating and personal injury. Crime of
sexual violence. Abortion. The professional medical liability. Medical Report to Public Prosecutor’s
Office. Professional secrecy. Medical record; medical certification. Legal advice to the Office of
Public Prosecutions. Compulsory medical treatments. Social system of assistance and welfare
services.
Occupational Medicine
History and evolution of Occupational Medicine: prevention service legislation and organization; work accidents and professional diseases insurance practices. Risk assessment procedure; exposure times and limit levels/values.

Primary and secondary prevention principles. Healthcare surveillance and duties of competent physician. Biological monitoring procedures. General and individual preventive practices and first aid action organization. Biological risk and vaccinations. Physical risks: noise, vibrations, ionizing-non-ionizing radiations, microclimate and compressed atmosphere. Ergonomy principles: postures and work. Workstation, shift and night work risks. Assessment of risks in manual loads handling and in repetitive movements of upper limbs with associated pathologies. Organizational wellness and its associated work stress. Health promotion in working places.

Main dust/fibre and professional allergene exposure–related pathologies; indoor and outdoor pollutants. Exposure risks to chemical, mutagen and carcenogenic agents.

Principles of Industrial Hygiene and hints of Statistics. Risks in the main working cycles. Guidelines on safety and health in working places.
ISTITUZIONI DI DIRITTO PUBBLICO
General concepts: law, legal system and state. - The subjects of the legal system and subjective legal situations: basic notions. - The components of the notion of state. The forms of state and forms of government. - The Italian State: outline of constitutional history. - The sources of the legal system. - The person in the Constitution: inviolable rights and constitutional duties. - The electoral body. - The parliament. - The president of the Republic. - The government. - The constitutional principles on public administration. - Administrative organization and administrative activity. - The protection of individuals against the public administration. - The jurisdictional power. - The Constitutional Court. - Regional political decentralization after the reform of Title V of the Constitution.

Textbook Information

Hygiene
- Luca degli Esposti. Valutare l’efficacia degli interventi in sanità. Il Pensiero Scientifico Editore.
- Material provided by the teacher
Legal Medicine
1. L. Macchiarelli, P. Arbarello, G. Cave Bondi, N. M. Di Luca, T. Feola - Compendio di Medicina
Legale. Editore: Minerva Medica
2. G.A. Norelli, C. Buccelli, V. Fineschi - Medicina legale e delle assicurazioni. Editore: Piccin
3. Zagra M., Argo A., Madea B., Procaccianti P. Medicina legale orientata per problemi. Editore:
Elsevier Srl, 2011.
Occupational Medicine
- David Koh, Ken Takahashi. Textbook of Occupational Medicine Practice. 3rd Edition ISBN: 978-981-4329-57-6
- Antonio Mutti, Massimo Corradi: "Lezioni di Medicina del Lavoro". Nuova Editrice Berti, 2014 (ISBN 978-88-7364-627-3)
- Per Alberto Bertazzi: "Medicina del lavoro". Raffaello Cortina Editore, 2013 (ISBN 978-88-6030-633-3)
ISTITUZIONI DI DIRITTO PUBBLICO
L. ARCIDIACONO - A. CARULLO - Institutions of public law, CEDAM, Padua, latest edition.

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