C.I. MEDICINA LEGALE E DEL LAVORO

10 CFU - 2° Semester

Teaching Staff

GEA MARZIA OLIVERI CONTI - Module General and Applied Hygiene - MED/42 - 2 CFU
MONICA SALERNO - Module FORENSIC MEDICINE - MED/43 - 3 CFU
CATERINA LEDDA - Module Occupational Medicine - MED/44 - 2 CFU
GIUSEPPE CHIARA - Module Public Law - Scienze riabilitative delle professioni sanitarie (I anno) - IUS/09 - 3 CFU

Learning Objectives

General and Applied Hygiene
The course will allow students to learn concepts on clinical risk assessment and epidemiology acquiring skills about conduction of the literature revisions, meta-analyzes and systematic revisions. Evidence-based medicine will also be deepened and the student will be instructed in the drafting and organization of research projects, training interventions, educational interventions and support for the individual and the community for self-management and control of risk factors and of health problems.
FORENSIC MEDICINE
The course aims to provide knowledge of useful references to operate in compliance with the legal and deontological rules that govern all health professions, in a positive vision of responsibility
Occupational Medicine
The aim of the course is to provide information and knowledge about workplace-related pathologies (accidents and illnesses) as well as to become familiar with prevention principles, with particular reference to risk assessment and preventive measure adoption.

Students will have to learn methods and techniques to collect work history, identify environmental and occupational risks and possible relationships with genetic, demographic, socio-economic, psychological and cultural factors, related to health or illness statuses, as well as to look into the possible non-specific effects of occupational risk factors, especially for degenerative chronic diseases.

The main etiologically diagnostic aspects of occupational medicine will be dealt with, and so will the epidemiology of con-causally work-related diseases. Also, the most frequent professional diseases and work accidents will be classified. The main analysis method and work risk assessment instruments will be provided, that is limit exposure levels, environmental/biological monitoring and healthcare surveillance. Also, occupational risk in/formation, safety and health law guidelines in work places, primary and secondary prevention of occupational diseases, role and duties of the competent physician will be discussed.
Public Law - Scienze riabilitative delle professioni sanitarie (I anno)
The course aims to offer the student a series of knowledge thanks to which he is able to understand the legal and jurisprudential structure of the subject in its theoretical declination and to concretely interpret the rules and limits that, with regard to the legal field, the exercise of the health profession meets daily. At the end of the course, students must be able to know the fundamental elements of Italian public law and a series of specific notions relating to the system of services to the person.

Course Structure

General and Applied Hygiene
The course includes lectures with the help of powerpoint.

Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus.
FORENSIC MEDICINE
The course will include lectures using power point presentations.
Occupational Medicine
Frontale lesson, experiential exercise.

Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus.
Public Law - Scienze riabilitative delle professioni sanitarie (I anno)
The course is based on lectures but seeks to stimulate the active participation of students.

Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus.

Detailed Course Content

General and Applied Hygiene
- Certification and accreditation. Clinical risk and its significance
- Evaluative epidemiology
- Literature reviews and PRISMA type revision methodologies
- Systematic reviews and metanalysis, strengths and limits.
- Evidence-based medicine
- Drafting and organization of research projects, training interventions, educational interventions and support for the individual and the community for self-management and control of risk factors and
- Health problems.
FORENSIC MEDICINE
1. CRIMES OF PERCOSSES AND PERSONAL INJURY Crime of beatings (Art. 581 CP) Crime of personal injury (Art. 582 CP) Concept of illness Dynamism Functional disorder Individual organic or psychic suffering and its repercussion on the relationship life Classification of personal injuries Sickness that endangers the life of the person offense Illness or inability to attend to ordinary occupations for more than 40 days Permanent weakening of a sense or an organ Personal injury and very serious Disease certainly or probably incurable Loss of meaning Loss of limb Mutilation that makes the limb useless Loss of limb use of an organ Loss of ability to procreate Permanent and severe difficulty in speaking Deformation or permanent scarring of the face Personal negligent injury Sexually transmitted disease infection

2. The code of medical ethics. The certification. The certificate. Certificate falsehood. The complaints. Health complaints. The judicial complaints. Consent, Validity of consent - Must inform, consent and nature of the doctor-assisted contractual obligation, Object and content of the information, Understanding, Freedom of consent Implicit consent and explicit consent Authenticity of consent. Law 219/2017.

3. FUNDAMENTALS OF THE PROFESSIONAL RESPONSIBILITY OF HEALTH PROFESSIONS Foreword Professional negligence, professional responsibility and material causal relationship, Responsibility of the medical-surgical team, contractual and extra-contractual responsibility. Law 24/2017.

4. Art. 365 CP Definition Ownership of the obligation-Cases to which reports must be presented: offenses prosecuted ex officio-Crimes for which there is no obligation to report -Refer and criminal procedure code -Referred and disclosure of professional secrecy-judicial report (report).

5. PROFESSIONAL SECRECY AND PROTECTION OF CONFIDENTIALITY Art. 622 C. P .: professional secrecy disclosures - Concept of professional secrecy Active subject Revelation Secret transmission -Just causes of disclosure Professional secrecy -Professional secret and obligation to testify to the Judge.
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.
Public Law - Scienze riabilitative delle professioni sanitarie (I anno)
General concepts: law, legal system and State. The subjects of the sort and subjective legal situations: the basics. The components of the concept of state. Forms of State and forms of government. The Italian State: fundamentals of constitutional history. The sources legal order. The person in the Constitution: the inviolable rights and duties constitutional. The electoral systems. Parliament. The President of the Republic. The Government. The constitutional principles on Public Administration. The administrative organization and activity administrative (notes). The protection of individuals against the Public Administration (notes).The jurisdiction. The Constitutional Court. The decentralization of regional policy after the reform Title V of the Constitution. Right to health and sanitary system. The system of responsibilities.

Textbook Information

General and Applied Hygiene
• Luca degli Esposti. Valutare l’efficacia degli interventi in sanità. Il Pensiero Scientifico Editore.
• Fabrizio Faggiano Applicazioni di epidemiologia per la Sanità Pubblica
• Materiale fornito dal docente
FORENSIC MEDICINE
NORELLI G.A., BUCCELLI C., FINESCHI V., Medicina Legale e delle Assicurazioni, Piccin, Padova, II EDIZIONE.
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)
- Enrico Pira, Canzio Romano, Paolo Carrer: "Manuale di medicina del lavoro". Minerva Medica, 2016 (9788877118431)
Public Law - Scienze riabilitative delle professioni sanitarie (I anno)
R. Bin, D. Donati, G. Pitruzzella, Lineamenti di diritto pubblico per i servizi sociali, Giappichelli 2019, excluding the chapters indicated by the professor in class.

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