SANITA' PUBBLICA E DEGLI AMBIENTI DI LAVORO E SCIENZE MEDICO LEGALI Nuovo canale 2

8 CFU - 1° Semester

Teaching Staff

MARGHERITA FERRANTE - Module Hygiene and Community Medicine - MED/42 - 1 CFU
NUNZIATA GIUSEPPA ELISABETTA BARBERA - Module Legal Medicine - MED/43 - 3 CFU
LIDIA PROIETTI - Module Occupational Medicine - MED/44 - 2 CFU
TEACHER NOT YET ALLOCATED - Module MEDICINA DI FAMIGLIA - MED/09 - 1 CFU
MARTINO RUGGIERI - Module PEDIATRIA DI FAMIGLIA - MED/38 - 1 CFU

Detailed Course Content

Hygiene and Community Medicine
Principles of demography and health statistics. Sources of demographic and health data. demographic indicators. mortality and morbidity indicators. Indicators of quality of life.
Principles of epidemiological methodology. The measures in epidemiology .The epidemiological studies: descriptive epidemiology; analytical epidemiology; Experimental epidemiology. The causal relationship in epidemiology. The risk assessment. systematic reviews and meta-analysis. The medicine based on evidence of effectiveness.
Epidemiology of of infectious diseases. Mode of infection transmission. The contagion chains. The natural course of infection.

General principles of epidemiology of chronic degenerative diseases and disabilities. The necessary causes and the sufficient causes. Risk factors and protective factors. Causes and factors in the physical and social environment. Lifestyle and health. Frequency of chronic degenerative diseases and other damaging events in the population.

Methodology for prevention and health promotion. Objectives and methods of prevention (primary, secondary and tertiary).
Prevention of infectious diseases. primary prevention of infection Interruption of transmission chains. Interventions for the discovery and inactivation of infection sources. Active and passive immunoprophylaxis. Chemoprophylaxis. Secondary prevention of infections.
Prevention of chronic degenerative diseases and disabilities, primary, secondary and tertiary.
Principles of health education. Health and health promotion. Methods and models of communication. Strategies for health promotion. Health promotion in the Ottawa paper.
Epidemiology and prevention of infectious diseases.
Europe-wide surveillance systems. The networks and activities of ECDC (European Center for Disease Prevention and Control).
- Respiratory tract infections: influenza, tuberculosis, legionellosis.
- Infections transmitted by parenteral or sexual: acquired immune deficiency syndrome (AIDS), viral hepatitis B and C, gonorrhea, syphilis,
infection with human papilloma virus.
- Food-borne infections and zoonoses: cholera, hepatitis A and E, typhoid fever, gastroenteritis.

- Emerging and vector-borne infections: arbovirus infections, leishmaniasis, malaria, rickettsial.

- Infections preventable by vaccination: diphtheria, tetanus, pertussis, polio, measles, mumps, rubella, bacterial meningitis, chickenpox infections, invasive bacterial, rotavirus infections.
- Infections acquired in healthcare sector (HAI, hospital acquired infections): the surveillance programs and national and European networks.

- Epidemiologia and prevention of major chronic diseases. cardiovascular diseases, malignant tumors, diabetes, chronic obstructive pulmonary disease.

- Health promotion and disease prevention in the different phases of life. Pre conceptional prevention, prenatal and neonatal. Health needs in children. Health needs in adulthood. Defense and promotion of health in the elderly.

Food hygiene and nutrition

-Food hygiene. Food and related health issues. microbial contamination. Restoration and preservation of foods. Food safety

Environment and health.

- Environmental factors such as certain health and disease. The pollution of the environment and its effects on health and. The water and its characteristics. Water intended for human consumption, treatment and distribution. Mineral waters. Use of water for recreational purposes. The municipal wastewater, agricultural and industrial. Air pollution; the effects on health and environment of air pollutants. The medical waste and municipal solid waste. Electromagnetic pollution. Risk factors and prevention in living and working environments.

Health organization: Health organization at international and European level. The national health service in Italy: the central, regional and local levels. The health planning. The national health plan and regional health plans. The Health Management.
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.
PEDIATRIA DI FAMIGLIA
So as to provide the students with the basic and fundamental principles of paediatrics and paediatric diseases the course will deal with basic principles of anatomy and physiology in the developmental age, moving then to the main conditions affecting organs illustrating the causes and the basic mechanisms of diseases, thr social impact of diseases during childhood and the main clinical manifestations along with the most important and recent therapeutic strategies.

Thus, the topics will deal with the most frequent conditions affecting children during development. These topics will represent the most frequent medical conditions faced by psychologists. In addition the course will include basic notions of nutrition, growth and development modalities along with related neurological, behaviour and cognitive problems.

PROGRAM:
1. GENERAL TOPICS: Paediatrics (general concepts); History of paediatrics and infancy across the centuries; vaccination procedures; nutrition and feeding procedures; personal hygiene; principles of genetics and heredity; rare disease.
2. NEONATAL AND CHILDHOOD PHYSIOLOGY.
SPECIALTY PAEDIATRICS: cardiology, respiratory medicine, gastroenterology, neurology, haematology, oncology, endocrinology, rheumatology, infectious diseases, and dermatology.

Textbook Information

Hygiene and Community Medicine
1) Maria Triassi, Gabriella Aggazzotti, Margherita Ferrante, Igiene Medicina Preventiva e del Territorio, II edizione, Sorbona, Idelson Gnocchi, Napoli 2015.

2) Buffoli M, Capolongo S., Odone A, Signorelli C. Salute e Ambienter, EDISES, Napoli 2016.

3) Gilli G. Professione igienista Manuale dell'igiene ambientale e territoriale. Casa Editrice Ambrosiana, Milano 2010.
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
1. David Koh, Ken Takahashi. Textbook of Occupational Medicine Practice. 3rd Edition ISBN: 978-981-4329-57-6
2. Antonio Mutti, Massimo Corradi: "Lezioni di Medicina del Lavoro". Nuova Editrice Berti, 2014 (ISBN 978-88-7364-627-3)
3. Per Alberto Bertazzi: "Medicina del lavoro". Raffaello Cortina Editore, 2013 (ISBN 978-88-6030-633-3)
4. Enrico Pira, Canzio Romano, Paolo Carrer: "Manuale di medicina del lavoro". Minerva Medica, 2016 (9788877118431)
PEDIATRIA DI FAMIGLIA
Bona G. - Miniero R. Pediatria Pratica. IX edizione, Torino: Edizioni Minerva Pediatrica, 2013

De Martino M. Pediatria. Napoli; EdiSES, 2012

Marcadante KJ, Kliegman RM, Jenson HB, Behrman RE. Nelson: Manuale di Pediatria, 6a edizione (edizione italiana a cura di Bernardi L, Biondi A, Bravaccio C, Corsello G, Giovannini M, Perilongo G, Plebani A, Riccardi R, Riva E). Milano: Elsevier, 2012

IN PREPARATION: Ruggieri M, et al. Pediatria Generale e Specialistica [Per i corsi di Laurea in Medicina e Chirurgia, in Scienze dell’Educazione e della Formazione, Scienze Pedagogiche, Psicologia ed in Professioni Sanitarie]. Roma: “Il Pensiero Scientifico Editore”, 2017.

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