C.I. MEDICINA LEGALE E DEL LAVORO

Learning Objectives

• General and applied Hygiene

  At the end of the course the student must: recognize the motivations, also ethical, for the commitment to prevention and management of clinical risk in daily professional practice. Furthermore, it must have developed the ability to produce and interpret the scientific, experimental or observational evidence necessary for the evaluation of the effectiveness, efficiency and quality of the interventions.

• 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

  At the end of the course students will be able to know the basics, the theory of law and legal systems, the basic principles, the sources of law, fundamental rights, constitutional bodies, guarantee instruments, the relationship between the Italian legal order and the European and international level. The student will demonstrate, also, the ability to framing practical problems within the framework of the constitutional principles of reference.

Detailed Course Content

• General and applied Hygiene

  Clinical risk
  
  Global Trigher Tool
  
  Evaluative epidemiology
  
  Literature reviews
  
  Systematic reviews and meta-analysis
  
  Evidence-based medicine
  
  Drafting and organization of research projects, training interventions, educational interventions and support of the individual and the community for self-management and control of risk factors and health problems.

• 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

  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
  1. Maria Triassi. Il management in sanità. Il governo dei sistemi sanitari complessi. Società Editrice Universo
  2. Luca degli Esposti. Valutare l’efficacia degli interventi in sanità. Il Pensiero Scientifico Editore.
• 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

  R. Bin, D. Donati, G. Pitruzzella, Lineamenti di diritto pubblico per i servizi sociali, Giappichelli 2017, excluding chapters VIII, XI and XIII.