SCIENZE DELLA PREVENZIONE III

Module forensic medicine

Instruction is delivered through scheduled lectures and supplementary activities, such as forensic medical laboratory work and case study examples.

Mechanical trauma injuries – Blunt force injuries – Abrasions, contusions, lacerations and lacerocontusions, bone fractures – Sharp force injuries (stab wounds, incised wounds, chop wounds) – Major trauma (falls from height, crushing injuries, road traffic accidents) – Firearm injuries (general aspects, shooting dynamics, effects on the target, characteristics of single-bullet wounds, features of entry wounds, distant shots, close-range or contact shots, features of the wound track, features of exit wounds, characteristics of wounds from multiple-projectile firearms). Forensic asphyxiology (dynamics of asphyxia – suffocation, hanging, strangulation, manual strangulation, drowning, death in water) – Post-mortem changes due to immersion in water – Aspiration asphyxia – Internal submersion.

Offense of battery (Art. 581 Penal Code) – Offense of personal injury (Art. 582 Penal Code) – Concept of illness, pathological process, functional disorder, individual organic or psychological suffering and its impact on social life – Classification of personal injuries – Illness endangering the victim's life – Illness or incapacity to attend to ordinary activities for more than 40 days – Permanent impairment of a sense or organ – Very serious personal injury – Illness that is certainly or probably incurable – Loss of a sense – Loss of a limb – Mutilation rendering a limb useless – Loss of use of an organ – Loss of reproductive capacity – Permanent and severe speech impairment – ​​Permanent facial deformity or disfigurement – ​​Negligent personal injury – Transmission of a sexually transmitted disease.

Personal identification. General methodology, genetic identification. DNA testing and privacy. The National Health Service (SSN); medical and non-medical professions; the authority to practice the profession; the Code of Medical Ethics; medical certificates and the offense of falsifying them; official reports and mandatory health notifications; the medical record.

Professional negligence; professional liability and material causation; Law 24/2017; contractual and non-contractual liability.

Patient consent and Advance Healthcare Directives (DAT) under Law 219/2017; compulsory medical treatment.

Professional secrecy and privacy protection; Art. 622 of the Penal Code (disclosure of professional secrets): concept of professional secrecy, the disclosing party, the act of disclosure/transmission of the secret, legitimate grounds for disclosure, professional secrecy and the obligation to testify in court.

Forensic toxicology: concept of poison; medico-legal diagnosis of poisoning (in the deceased and the living); Presidential Decree 309/90; major narcotic substances (toxic effects, mortality); alcohol (toxic effects, mortality); alcohol and criminal liability; Articles 186 and 187 of the Highway Code; vehicular homicide.

The final grade is determined based on the following criteria:

Grade 29–30 with honors: The student demonstrates in-depth knowledge of the main pathological conditions; is able to promptly and correctly integrate and critically analyze the scenarios presented, independently solving even highly complex diagnostic problems; and possesses excellent communication skills and a mastery of medical-scientific and anatomical-pathological terminology.

Grade 26–28: The student demonstrates good knowledge of the main pathological conditions; is able to integrate and analyze the scenarios presented in a critical and logical manner; can solve complex diagnostic problems with a reasonable degree of independence; and presents topics clearly using appropriate medical-scientific and anatomical-pathological terminology.

Grade 22–25: The student demonstrates fair knowledge of the main pathological conditions, albeit limited to the core topics; is able to integrate and analyze the scenarios presented critically, though not always logically; and presents topics with reasonable clarity and a fair command of language.

Grade 18–21: The student demonstrates minimal knowledge of the main pathological conditions; has a limited ability to integrate and critically analyze the scenarios presented; and presents topics with sufficient clarity, although their command of language is not well-developed. Exam not passed: the student does not possess the minimum required knowledge of the course's core content. The ability to use specialized terminology is extremely limited or non-existent, and the student is unable to independently apply the knowledge acquired.

Classification of intentional personal injuries, Classification of negligent personal injuries, Battery and Personal Injury (Art. 581 of the Penal Code et seq.), Definition of illness, Duration of illness, Inability to attend to ordinary activities, Life-threatening condition, Permanent weakening of an organ, Illness that is certainly or probably incurable, Loss of a sense or of the use of an organ, Loss of a limb or mutilation rendering the limb unusable, Loss of reproductive capacity, Severe and permanent speech impairment, Deformity, Disfigurement. Classification of post-mortem phenomena: Algor mortis (post-mortem body temperature), Rigor mortis (post-mortem rigidity), Livor mortis (hypostasis), Common transformative phenomena, Special transformative phenomena. Principles and objectives of toxicological investigations..