$ Q Q R ; , 9 1 ‡ 1 R Y H P E U H ' L F H P E U H Bollettino della Facoltà di Medicina e Chirurgiaa
dell’Università Politecnica delle Marche
LETTERE
S
DALLA
O
M
FACOLTÀ
M
A
R
I
O
LETTERA DEL PRESIDE
Vita della nostra Facoltà nell’ultimo anno
7UDVFRUVR UDSLGDPHQWH O·XOWLPR DQQR q VWDWR SDUWLFRODUPHQWHLQWHQVRFRQPROWLFDPELDPHQWLJLjDYYHQXWLHG
DOWULLPPLQHQWL
&RPH QRWR D WXWWL OD 5LIRUPD GHOO·8QLYHUVLWj KD LPSRVWR GHOOH PRGLILFKH DOOD VWUXWWXUD GHJOL $WHQHL /D QRVWUD
)DFROWj q VWDWD SURQWD DG XQ DGDWWDPHQWR TXDVL ´LPPHGLDWRµ VLDPR ULXVFLWL LQ WHPSL EUHYL D ULRUJDQL]]DUFL LQ
TXDWWUR QXRYL 'LSDUWLPHQWL ,O SDVVDJJLR q VWDWR DJHYROH
VLD GDO SXQWR GL YLVWD VFLHQWLILFR FKH DPPLQLVWUDWLYR 6L q
WURYDWDXQDYLDSHUIDUHLQPRGRFKHL'LSDUWLPHQWLVLDQR
RPRJHQHL FRQ XQ WUDLW G·XQLRQ DO ORUR LQWHUQR FKLDUR LQ
SDUWLFRODUPRGRSHUILQDOLWjVFLHQWLILFKHHGLULFHUFD$QFKH
OD WUDQVL]LRQH DPPLQLVWUDWLYD VHPEUD HVVHUVL DYYLDWD LQ
PDQLHUD VSHGLWD FRQ OD ULGLVWULEX]LRQH GHO SHUVRQDOH H
O·LPSXWD]LRQH GHL IRQGL GL ULFHUFD FKH KDQQR FRPSRUWDWR
GLIILFROWjLQIHULRULDOOHDWWHVH2UDORVIRU]RFKHWXWWLVLDPR
FKLDPDWL D IDUH q ODYRUDUH FROOHJLDOPHQWH LQ TXHOOR FKH q
LOWHPDSLFDOGRGLTXHVWRSHULRGRFLRqLOQXRYR6WDWXWR
GL $WHQHR , SDVVL FKH VL IDQQR DGHVVR DYUDQQR XQ SHVR
GHWHUPLQDQWHQHOQRVWURIXWXUR
/D )DFROWj KD ODYRUDWR FRPH FRQVXHWXGLQH RUPDL
QHOO·LPSOHPHQWDUH O·RIIHUWD IRUPDWLYD SHU JOL VWXGHQWL
3HQVRFKHOHQRYLWjGLPDJJLRUULOLHYRULJXDUGLQRSURSULR
LO &RUVR GL /DXUHD 0DJLVWUDOH LQ 0HGLFLQD H &KLUXUJLD
Ë VWDWD LQIDWWL SUHYLVWD OD SDUWHFLSD]LRQH DWWLYD FRPH
GRFHQWL GHL 0HGLFL GL 0HGLFLQD *HQHUDOH 7DOH GHFLVLRQH
VLFROORFDQHOO·DPELWRGLXQDSURJHWWXDOLWjSLDPSLDFKH
KDO·RELHWWLYRGLUHQGHUHOHSURIHVVLRQDOLWjPHGLFKHTXDQWR
SLLQWHJUDWHSRVVLELOH
3L UHFHQWHPHQWH q VWDWR SUHVHQWDWR LO SURJHWWR SHU
O·DWWLYLWj IRUPDWLYD SURIHVVLRQDOL]]DQWH VYLOXSSDWR GDO
JUXSSRGLODYRURQRPLQDWRGDOOD)DFROWj4XHOORFKHVLVWD
PHWWHQGRLQDWWRqXQRVYLOXSSRPROWRLQQRYDWLYRTXLQGL
VWLPRODQWHGHOODPHWRGRORJLDGLGDWWLFD6LSUHYHGHFKHQHO
QXRYRRUGLQDPHQWRO·DWWLYLWjIRUPDWLYDSURIHVVLRQDOL]]DQWH
DUULYL DG DYHUH XQ UXROR GHWHUPLQDQWH QHOOD IRUPD]LRQH
GHJOL VWXGHQWL FKH YHUUDQQR VXGGLYLVL LQ SLFFROL JUXSSL
LETTERA DEL PRESIDE
1
Vita della nostra Facoltà nell’ultimo anno
RICORDO
3
Ricordo di Claudio Cervini
di Walter Grassi
VITA DELLA FACOLTÀ
4
Appunti dal Regolamento didattico - Notiziario
a cura di Loreta Gambini e Francesca Campolucci
DALLE PROFESSIONI SANITARIE
11
Appunti per un’infermieristica del Risorgimento, di Maurizio
Mercuri, 11
Le nuove etichette di pericolo per le sostanze chimiche, di
Ugo Sabbatini, 14
Corriamo più veloci del diabete, di Silvano Troiani, Manuela
Amadio, Agnese Gionni, 17
Illenah: keeping in touch with different health education and
service, di Augusta Cucchi, Gianni Mazzoni, Maurizio Mercuri,
Mauro Barchiesi, 20
DOSSIER
22
Introduzione illustrata all’Immunologia clinica
di Maria Montroni, Walter Scotucci, Giovanni Danieli
CONVEGNO ANNUALE DI FACOLTÀ
33
Lo stabilimento chimico-farmaceutico Russi & C., Ancona
di Walter Scotucci
DIVENTARE MEDICO
42
The Clinical Equipoise
di Francesco Orlandi
SETTIMANA INTRODUTTIVA ALLA FACOLTÀ
L’evoluzione delle Professioni sanitarie tra storia ed attualità
di Gianni Mazzoni
43
CONVEGNO ANNUALE DELLA FACOLTÀ
&Lz FRQVHQWLUj VRWWR OD JXLGD GL WXWRUV O·DFTXLVL]LRQH GL
VNLOOV H GHL ORUR FRUULVSRQGHQWL FUHGLWL VHFRQGR GLYHUVH
PRGDOLWj L FRQ GLPRVWUD]LRQL LQ DXOD LL LQ VWUXWWXUH
FOLQLFKH RSSXUH LLL PHGLDQWH O·LPSLHJR GL VLPXODWRUL ,O
QXRYR VLVWHPD GLGDWWLFR SUHYHGH DQFKH XQ FRPSOHVVR
VLVWHPDRUJDQL]]DWLYRFKHFRPSUHQGHUjDQFKHDGHVHPSLR PRPHQWL GL EULHILQJ H GHEULHILQJ SHU YDOXWDUH VLD LO
UHDOH DSSUHQGLPHQWR GD SDUWH GHJOL VWXGHQWL FKH OD UHDOH
HIILFDFLDGHOODPHWRGRORJLDGLGDWWLFD
,O SDQRUDPD IRUPDWLYR RIIHUWR GDOOD QRVWUD )DFROWj
ULPDQH FRPXQTXH DPSLR 2OWUH DL GXH FRUVL GL /DXUHD
0DJLVWUDOH D FLFOR XQLFR L GRFHQWL VL VRQR LPSHJQDWL
QQHOOR
QH
HOOR VYROJHUH OD OR
RUR DWWLYLWj GLGDWWLFD
ORUR
GLGDWWLFD LQ RWWR FRUVL GL
OD
DXU
XUHD
HDWWUL
U HQQDOHQR
QRYH
QR
YHP
YH
DVWHUQRYH FXUU
P
ODXUHDWULHQQDOHQRYHPDVWHUQRYH
FXUULFXODGHOOD6FXROD
GL
GLL 'RWWRUDWR
'RWWRUD
UDDWR
WR H WUHQWDFLQTXH
WUHQWDFFLQQTXH VFXROH GL VSHFLDOL]]D]LRQH
4XHVWHXOWLPHPHULWDQRXQ·DWWHQ]LRQHSDUWLFRODUH,OGHFUH4XHVWHXOWLP
4X
PHPH
P ULWDQRXXQ·DWWHQ]
Q]LR
Q]
LRQHSD
LR
WR
WRR PLQLVWHULDOH
PLQ
L LVVWHHUL
ULDDOH GL
GL ULRUGLQR
ULRUGLQ
LQQR
R GHOOH
GHOOOOOH VFXROH
GH
VF
KD
K FRPSRUWDWR XQ
U DV
UL
DVVH
V WW
VH
WWR
WR GHOO
GHHOOOH
H VW
V HVVVH
VHL
LQ
L
Q,W
Q
,WDOLDSULP
,W
PDFRP
ULDVVHWWRGHOOHVWHVVHLQ,WDOLDSULPDFRPHIHGHUD]LRQLSRL
FRPH
FR
P DDJJUHJD
PH
JDD]LLRQ
R LGGHOOOH
H VFXROHSSUHFHGHQ
FRPHDJJUHJD]LRQLGHOOHVFXROHSUHFHGHQWHPHQWHHVLVWHQWL
WL /D
/ QRVWUD
/D
QRV
R WU
W D
D )DFROWj
) FR
)D
F OWWj
j GRSR
GRS
R R
R GLIILFROWj
GLII
GL
LII
IILF
LFRO
LF
ROWj
RO
Wj LQL]LDOL
Wj
LQL
q ULXVFLWD D
PDQWHQHUH
PDQWHQHU
PD
HUH
HU
H OD
H
OD VHGH
VHGH
VH
H DP
DPPLQLVWUDWLYD
PPL
P QL
QLVW
VWWUDWLYDD LQ
LQ YHQWLWUp
YH
VFXROH FKH
UDSSUHVHQWDVLFXUDPHQWHXQVXFFHVVRËRSSRUWXQRSHUz
UDDSSSUHHVHHQWDVLFXXUDPH
PHQW
PH
QWHH XQVXFFHHVVRË
QW
FRQW
FR
QWLQ
QW
LQXXDUHDODYYRUDU
LQ
DUHVVLD SH
S UPDDQW
QWHQHUH
FRQWLQXDUHDODYRUDUHVLDSHUPDQWHQHUHWDOHVLWXD]LRQHH
VRSU
VR
S DW
SU
DWWXWWRSHU
HUUHQ
U HHQQGH
GHUH
U DDXW
UH
XWRQ
RQRP
RQ
RPHRGHV
RP
VRSUDWWXWWRSHUUHQGHUHDXWRQRPHRGHVLJQDWHTXDOLVHGH
LOPDJJLRUQXPHURGLVFXROHSRVVLELOH,QWDOVHQVRqXWLOHLO
LOOPDJ
P
PDJ
DJJL
J RUQXP
PHURGL
GLVFX
GL
FXXRO
ROH
H SRRVV
V LELOH,Q
UXRORPROWRDWWLYRVYROWRRUPDLGDPHVLGDOO·2VVHUYDWRULR
UXRO
UX
R R
RO
R PR
PROWRDW
DWWL
WWL
W YRRVVYRROW
OWRRUPDLLGD
GDPHVL
GD
5HJLRQDOHSHUOHVFXROHGLVSHFLDOL]]D]LRQH
5HJL
5H
J RQQDO
JL
D H
H SH
S U
UOHVVFX
FXRO
R H
RO
H GL
G VSHFLDOL]
L]]D
L]
]D]L
]D
] RQ
´2VSHGDOL5LXQLWLµGLYHQJDVHPSUHSLFRQFUHWD6LqIDWWR
LQPRGRFKHQHOODULRUJDQL]]D]LRQHGHLGLSDUWLPHQWLD]LHQGDOL FL IRVVH XQD DGHJXDWD RPRJHQHLWj IXQ]LRQDOH H LQ
SDUWLFRODUPRGRXQDDGHJXDWDUDSSUHVHQWDQ]DGHLPHPEUL
GHOOD)DFROWjWUDL'LUHWWRUL8QDSUREOHPDWLFDFKHKDFRPSRUWDWR XQ ODYRUR LQWHQVR SHU PROWL GL QRL q VWDWD TXHOOD
GHOOD ULGLVWULEX]LRQH GHOOH SRVL]LRQL D]LHQGDOL /·LPSHJQR
GHL PHPEUL GHOOD )DFROWj FRLQYROWL QHOOH ´WUDWWDWLYHµ KD
SHUPHVVRFKHDOPHQRODULGLVWULEX]LRQHQRQIRVVHSHQDOL]]DQWHSHUFRORURGLQRLFKHVYROJRQRDWWLYLWjDVVLVWHQ]LDOH
6HGDXQODWRLQVHQVRDVVROXWRFLzQRQSXzHVVHUHFRQVLGHUDWD XQD YLWWRULD OR GLYLHQH SHUz VH FRQWHVWXDOL]]DWD
QHO PRPHQWR DWWXDOH Ë QHFHVVDULR GXQTXH SURVHJXLUH
QHOO·LQWHQVLILFDUH L UDSSRUWL FRQ O·$]LHQGD FRQ O·RELHWWLYR
GL UDJJLXQJHUH XQ·DGHJXDWD YDORUL]]D]LRQH GHOO·DWWLYLWj
FOLQLFDGHLPHPEULGHOOD)DFROWj
1HOFRQWHPSRqSURVHJXLWRORVWXGLRGHOSHUIH]LRQDPHQWR GHL UDSSRUWL FRQ DOWUH VWUXWWXUH RVSHGDOLHUH Ë SURSULR
GHOO·XOWLPR SHULRGR LO UDJJLXQJLPHQWR GL XQ DFFRUGR FRQ
O·,15&$GL$QFRQDSHUXQDSLDPSLDFROODERUD]LRQHFKH
SUHYHGH FKH GLYHUVL PHPEUL GHOOD )DFROWj YL VYROJDQR VLD
DWWLYLWjFOLQLFDFKHGLULFHUFD
Ë VWDWD LQROWUH ULDWWLYDWD OD &RPPLVVLRQH 3DULWHWLFD FRQ
OD5HJLRQH0DUFKHORVWUXPHQWRFKHFRQVHQWHFRPHQRWR
DOOD QRVWUD )DFROWj GL SDUWHFLSDUH LQ PDQLHUD DWWLYD DOOD
GLVFXVVLRQHVXOO·RUJDQL]]D]LRQHGHOVLVWHPDVDQLWDULRUHJLRQDOHËHYLGHQWHFKHTXHVWRqXQRVWUXPHQWRLQGLVSHQVDELOHLQSDUWLFRODUPRGRLQTXHVWRSHULRGRGLLPSRUWDQWLFDPELDPHQWLROWUHFKHXQVHJQRWDQJLELOHGHOULWURYDWRUXROR
GDSDUWHGHOODQRVWUD)DFROWjGLLQWHUORFXWRUHSULYLOHJLDWR
GHOOH,VWLWX]LRQLUHJLRQDOL
6HPSUHSHUFLzFKHFRQFHUQHLOUXRORFHQWUDOHQHOODIRU6HPS
6H
6HPS
PSUH
UHSHU
SHU
HUF
FLz
F
LzF
Lz
FFKH
KHF
RQFHUQHLOUXRORF
PD]LRQH
PD]L
PD
]LRQ
RQH
H OD
H
OD
D QRVWUD
QRVW
QR
VWWUD
UD )DFROWj
)DF
)DF
DFRO
ROWj
RO
W VL q GRWDWD GL
G XQR VWUXPHQWR
IRQGDPHQWDOH
VHJXLWR
FRPSOHVVD
IRQG
IR
QGDP
QG
DPHQ
DP
HQWD
HQ
WDOH
WD
OH $
OH
$ VH
VHJX
JXLW
JX
LWR
LW
R GL
GGL XQD SURFHGXUD
SURF
GXUDWD
)DFROWj
ULFRQRVFLXWD
G UD
GX
UDWD
WD FLUFD
FLUUFD
FLU
FD GLHFL
GLH
LHFL
FL PHVL
FL
PHV
PHV
HVLLL OD
OD )D
)DFR
F OWj q VWDWD
V
FRPH
F PH
FR
PH 3U
33URYLGHU
RYLG
RY
LGGHUU SHU
SSHU
HU OO·(GXFD]LRQH
HU
·(GX
·(
GXFD
GX
FD]L
FD
] RQ
]L
RQH
H &RQWL
&RQWLQXD LQ 0HGLFLQD
(&0
(
(&0$QFKHLQTXHVWRFDPSRODQRUPDWLYDKDGHWHUPLQD&0
&0
$
$QF
QFKH
KHHLLQTX
TXHV
HVWR
HV
WRF
WR
FFDP
DPSR
SROOOD
SR
D QR
QRUPDW
WRXQULDVVHWWRJHQHUDOL]]DWRGHLSURYLGHUVXVFDODQD]LRQDWRX
WR
XQ
X
Q UL
Q
U DV
D VHHWW
WWR
R JH
R
JHQH
QHUD
QH
U OLOL]]
UD
]]DW
]]
DWR
DW
R GH
R
GHLLSU
SURY
R LG
RY
LGHU
OHGHWHUPLQDQGRXQDQRWHYROHULGX]LRQHGHOORURQXPHUR
OH
OH
GH
GHWH
WHHUP
PLQQDQ
D GR
GRX
XXQD
QDQ
QRW
QRWWHY
HYRO
ROH
RO
H UL
ULGX
GX]L
GX
]LRQ
]L
RQH
RQ
/D
/D
D UD
UDWLR
UDWL
LR GHOOD
GHO
H ODD QRUPD
QRUPD
QRU
PD GL
GL ULRUGLQR
U RU
UL
RUGL
GLQR
GL
QRR q
q VWDWD
VWD
W WD TXHOOD GL IDUH LQ
PRGR
P
PR
GR GGLL LQ
LQQD
LQQDO]DUH
Q O]]DU
QD
D H LO
LO OLYHOOR
OLYYHO
OLY
H OR
OR GL
GLL DXWRUHYROH]]D
DXXWR
WRUH
U Y
UH
VFLHQWLILFD
GHLLL SURYLGHU
GHL
SURY
SU
RYLG
RY
LGGHU
H VWHVVL
VWHHVV
VWH
VVLL 2UD
2UD
UD VH
V GD
VH
GD XQ
GD
XQQ ODWR
ODWWR
R QRQ
Q HUD SHQVDELOH
FKHXQDLVWLWX]LRQHDFFDGHPLFDFRPHODQRVWUDQRQIRVVH
FK
KHXQQDLV
LLVVWL
W WX
W ]L
]LRQ
RQHHDF
RQ
D FDDGH
DF
GHPLFDDFFRP
RPHH OD
O DFFUHGLWDWDqFRPXQTXHPROWRVRGGLVIDFHQWHLOIDWWRFKH
DFFUHG
HGGLWDWWDqqFFRP
RPXQ
XQTX
XQ
T H
TX
HPR
PROW
PR
O R
OW
RVR
VRGG
VR
GGLVID
GG
XQD SSURFHGXUD
URFHG
HGXU
HG
XUDD FRPSOHVVD
XU
FRRPS
PSOH
OHVV
OH
VVD
VV
D VLD
VLDD VWDWD
VL
VWWDWD
DWD LVWLWXLWD
LVWL
FRQGRWWD H
ILQDOL]]DWDFRQVXFFHVVR&RPH3URYLGHUODQRVWUD)DFROWj
ILILQD
Q OLOL]]DWDDFR
QD
FRRQVX
VXFF
FFHV
HVVVRR&R
& PH
&R
P 33URRYL
YLGGHU
DVVXPHXQUXRORDQFRUDSLFHQWUDOHQHOO·RUJDQL]]D]LRQHGL
DV
VVX
V PHXQ
QUX
Q
UXRO
UX
ROR
RO
RDQ
R
DQQFR
FRUD
UDSSL
UD
LFFHQ
HQWU
WUUDO
D HQHHOO·
HYHQWLIRUPDWLYL7DOHDVSHWWRqGXQTXHGLSULPDULDLPSRUHYH
HY
HQWLIRUUPD
PDWL
WLLYL
Y 7D
7DOH
7D
OHDDVSSHHWWWRRqqGGXQ
OH
XQTX
TXHG
TX
WDQ]D
WDDQ]D DQFKH
DQF
QFFKH
K SHUFKp
SHUUFK
FKp
p FL
p
FLL SHUPHWWH
SHU
H PH
PHWW
WWH
WW
H GL
H
GL DYHUH
DYHU XQR VWUXPHQWR
HIILFDFHSHULO
HIIILFDFHSSHU
HI
H LLOIX
IXQGUDLVLQJ
IXQG
QGUUDDLLVL
QG
V QJJ.
8QRGHJOLDVSHWWLFKHWRFFDQRGDYLFLQRO·DWWLYLWjTXRWL8QRR GHJO
8Q
GHJO
GH
J LLDV
DVSH
DV
S WWWLLFK
SH
FKH
FK
H WRRFF
F DQ
DQR
RGD
R
GDY
GD
YYLFLQ
GLDQDGLPROWLGLQRLqO·DVVLVWHQ]D/D)DFROWjVLqLPSHG DQDD GL
GL
G P
PRO
ROWWLG
GLLQR
L QRRLLq
q O·O·DV
DVVVL
DV
VLVWWHQ
VLVW
HQ]D
] /D)
]D
JQDWD
JQDWWD SHUFKp
SHHUFFKp
Kp O·LQWHJUD]LRQH
O·L·LQW
O·L
QWHJ
QW
HJUD
HJ
UDD]L
]LRQ
RQH
RQ
H FRQ
H
FRRQ
Q O·$]LHQGD
O·$]LH
2VSHGDOLHUD
$OOR VFRSR GL IDFLOLWDUH O·DWWLYLWj GL ULFHUFD LQ )DFROWj
QHOOH XOWLPH VHWWLPDQH VL q LQL]LDWR D GLVFXWHUH GHOO·RUJDQL]]D]LRQH GL &RUH )DFLOLWLHV VWUXPHQWR XWLOH SHU OD
VWDQGDUGL]]D]LRQH GHOOH SURFHGXUH H LQ SDUWLFRODUH GL
UD]LRQDOL]]D]LRQH GHOO·LPSLHJR GL IRQGL Ë XQR VWUXPHQWR
TXHVWRFKHDYYLFLQDODQRVWUD)DFROWjDOOHJUDQGLLVWLWX]LRQL
VFLHQWLILFKHHXURSHHHFKHDXVSLFDELOPHQWHFLSHUPHWWHUj
GLPDQWHQHUHDWWLYLPROWLGHLQRVWULILORQLGLULFHUFD
$ EUHYH VDUj ILQDOL]]DWR LO QXRYR VLWR LQWHUQHW GHOOD
)DFROWj JLj YLVLELOH GD DOFXQL PHVL QHOOD VXD YHUVLRQH
WHPSRUDQHD Ë FKLDUR D WXWWL FRPH DQFKH TXHVWR VLD XQR
VWUXPHQWR LPSUHVFLQGLELOH VLD SHU VHPSOLILFDUH OD QRVWUD
DWWLYLWjSURIHVVLRQDOHTXRWLGLDQDFKHSHUUHQGHUHDGHJXDWDPHQWHYLVLELOHDWXWWLODYLWDGHOODQRVWUD)DFROWj
$QWRQLR%HQHGHWWL
3UHVLGHGHOOD)DFROWj
2
RICORDO
Ricordo di Claudio Cervini
OHPDHVWUR,OSURI&HUYLQLqVWDWR
3UHVLGHQWHGHOOD6RFLHWj,WDOLDQDGL
5HXPDWRORJLDGDODOH
VXFFHVVLYDPHQWH3UHVLGHQWH2QRUDULRGHOOD6RFLHWjVWHVVD(·VWDWR
DQFKH3UHVLGHQWHGHO&ROOHJLRGHL
3URIHVVRUL 2UGLQDUL GL 5HXPDWRORJLD 6RWWR OD 6XD JXLGD OD 5HXPDWRORJLD ,WDOLDQD KD FRQVHJXLWR
SUHVWLJLRVLWUDJXDUGLVXOSLDQRGHOODULFHUFDGHOODGLGDWWLFDHGHOO·DVVLVWHQ]D DL PDODWL UHXPDWLFL 1RQ
VLFRQWDQRLQILQHLULFRQRVFLPHQWL
HG L SUHPL FKH LO 3URI &HUYLQL KD
FROOH]LRQDWRQHOODVXDYLWDLQWHUDPHQWHGHGLFDWDDOODULFHUFD
&KLKDDYXWRODIRUWXQDHGLOSULYLOHJLR GL HVVHUH VXR DOOLHYR YHQLYD LPPHGLDWDPHQWH FROSLWR GDOOD
VXD TXDVL IHEEULOH RSHURVLWj FKH
VLHVSULPHYDLQJLRUQDWHLQILQLWHGL
ODYRURGDOOHGHOPDWWLQRILQRDOOD
WDUGDVHUDWDLQXQFOLPDGHOWXWWR
VSHFLDOHGLHQWXVLDVPRFRVWUXWWLYR
VHPSUH DOOD ULFHUFD GL XQ OLPLWH GD VXSHUDUH (UD YHUDPHQWHGLIILFLOHQRQHVVHUHFRQWDJLDWLGDOVXRSDUWLFRODULVVLPRPRGRGLFRVWUXLUHOHEDVLGLXQDFRQRVFHQ]DVHPSUHRULHQWDWDDOQXRYRVRWWRODVSLQWDGLTXHOODFKH.DQW
DYUHEEHGHILQLWRXQDSRWHQWHLQWXL]LRQHLQWHOOHWWLYD
*OL DOWUL LQJUHGLHQWL IRQGDPHQWDOL GHO VXR IDVFLQR GL
JUDQGHPDHVWURHUDQRXQDPHPRULDSURGLJLRVDHGXQD
FXOWXUDVFRQILQDWDFKHVSD]LDYDFRQLPSUHVVLRQDQWHGLVLQYROWXUDGDOODPHGLFLQDDOODOHWWHUDWXUDDOOHDUWLILJXUDWLYH
/H OH]LRQL GHO 3URI &HUYLQL HUDQR SDUWLFRODUL 1HVVXQ
EUXVLRQHVVXQDGLVWUD]LRQH$VFROWDUORHUDXQSLDFHUHH
QRQVLGRYHYDQRULOHJJHUHJOLDSSXQWLGHOOHOH]LRQLWDQWR
ULFFDHIRUWHHUDODVXDFDSDFLWjGHVFULWWLYDHQDUUDWLYD
FKHULXVFLYDDSRODUL]]DUHO·DWWHQ]LRQHGLFKLORDVFROWDYDUHQGHQGRLPPHGLDWDPHQWHLQGHOHELOLJOLVFHQDULFKH
GLVHJQDYDFRQOHVXHSDUROH
(·GRORURVRSHQVDUHFKHODVXDYRFHQRQSRWUjSLHVVHUHDVFROWDWDGDDOWUL
:DOWHU*UDVVL
6LqVSHQWRVHUHQDPHQWHDOO·HWjGLDQQLLOSURI&ODXGLR&HUYLQLIRQGDWRUHHGRFHQWHGHOOD&OLQLFD5HXPDWRORJLFDHGHOOD6FXRODGL6SHFLDOL]]D]LRQHLQ5HXPDWRORJLDGHOO·8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKH
,O3URI&HUYLQLqVWDWRXQRGHLSDGULGHOOD5HXPDWRORJLD,WDOLDQDHGXQULFHUFDWRUHFKHqULXVFLWRDGHVSULPHUH
DOPDVVLPROLYHOORLOIHOLFHFRQQXELRWUDXQJUDQGHWDOHQWRLQQDWRHGXQDSSDVVLRQDWRLPSHJQRQHOVXRODYRURGL
PHGLFRHGLVFLHQ]LDWR6LGHYHDO3URI&HUYLQLODQDVFLWD
GHOODSULPDVWUXWWXUDFOLQLFDQHOOD5HJLRQH0DUFKHFKH
VLqSURJUHVVLYDPHQWHHVSDQVDVXSHUDQGRPLOOHRVWDFROL
HPLOOHGLIILFROWjILQRDFRVWLWXLUHXQSXQWRGLULIHULPHQWR
DFDUDWWHUHQD]LRQDOHHGLQWHUQD]LRQDOHQHOFDPSRGHOOD
DVVLVWHQ]DGHOODULFHUFDHGHOODGLGDWWLFD
,OFXUULFXOXPGHO3URI&HUYLQLqGLTXHOOLFKHLPSUHVVLRQDQRSHUPROHHTXDOLWjGHOOHRSHUH0RQRJUDILHSUHVWLJLRVHXQDLQILQLWDOLVWDGLFDSLWROLQHLSLLPSRUWDQWL
WUDWWDWLGL5HXPDWRORJLDH0HGLFLQD,QWHUQDHFHQWLQDLD
GLDUWLFROLSXEEOLFDWLVXOOHSLDXWRUHYROLULYLVWHQD]LRQDOL
HGLQWHUQD]LRQDOLVRQRODWHVWLPRQLDQ]DLQGHOHELOHGHOOD
RSHURVLWjHGHOO·LQJHJQRGLTXHVWRJUDQGHHGLQIDWLFDEL3
VITA DELLA FACOLTÀ
Vita della Facoltà
a cura di Loreta Gambini e Francesca Campolucci
Appunti dal Regolamento Didattico
3RVVRQR SUHVHQWDUH LO SLDQR GL VWXGLR PHGLDQWH PRGDOLWj RQ
OLQH JOL VWXGHQWL LVFULWWL LQ FRUVR RYYHUR ULSHWHQWL 1RQ q FRQVHQWLWDODSUHVHQWD]LRQHGHOSLDQRGLVWXGLRDJOLVWXGHQWLIXRUL
FRUVRLQTXDQWRODFRQGL]LRQHGLIXRULFRUVRFRPSRUWDODVROD
QHFHVVLWj GL VRVWHQHUH JOL HVDPL GL SURILWWR DYHQGR RWWHQXWR
WXWWHOHDWWHVWD]LRQLGLIUHTXHQ]H
1) Presentazione dei Piani di Studio via Web
3HUO·DQQRDFFDGHPLFRqSUHYLVWDSHUWXWWLJOLVWXGHQWL OD SUHVHQWD]LRQH GHL SLDQL GL VWXGLR PHGLDQWH PRGDOLWj
RQOLQH
4XDOLVRQROHUHJROHSHUODVFHOWDGHL&RUVLPRQRJUDILFLIRUXP"
/R VWXGHQWH VFHJOLH LO QXPHUR PLQLPR GL &RUVL PRQRJUDILFL
IRUXP SUHYLVWR GDO SURSULR SLDQR GL VWXGL 7DOH QXPHUR SXz
DXPHQWDUHVROWDQWRSHULOUHFXSHURGLHYHQWXDOLGHELWLGLDQQL
SUHFHGHQWL GRYXWL D PRGLILFKH DOOH SURSULH VFHOWH IUHTXHQ]D
QRQ HIIHWWXDWD RYYHUR DVVHQ]D GL VFHOWH ILQR DG XQ PDVVLPR
GLFRUVLPRQRJUDILFLIRUXPSDULDOGHELWRGHULYDQWHGDJOLDQQL
SUHFHGHQWL
'RYHHTXDQGR"
/D SURFHGXUD SHU OD FRPSLOD]LRQH GHO SLDQR GHJOL VWXGL q
DWWLYDDFFHGHQGRDOODSURSULD´$UHD5LVHUYDWDµ,OSLDQRGHJOL
VWXGL GRYUj HVVHUH SUHVHQWDWR LPSURURJDELOPHQWH HQWUR LO
3ULPDGLSUHVHQWDUHLOSLDQRGHJOLVWXGL
/RVWXGHQWHSHUSRWHUSUHVHQWDUHLOSLDQRGHJOLVWXGLGHYHHVVHUH LQ UHJROD FRQ O·LVFUL]LRQH SHU LO FRUUHQWH DQQR DFFDGHPLFR
DYHQGRSDJDWRODSULPDUDWDGHOOHWDVVH
DYHQGR RWWHQXWR WXWWH OH DWWHVWD]LRQL GL IUHTXHQ]D DOO·DQQR
SUHFHGHQWH
DYHQGR VXSHUDWR WXWWL JOL HVDPLWLURFLQL FKH GHWHUPLQDQR
VEDUUDPHQWLDOO·LVFUL]LRQHLPSURURJDELOPHQWHHQWURODVHVVLRQH
G·HVDPHGLVHWWHPEUH
2) Rilevazione informatica delle frequenze
/DIUHTXHQ]DDOOHDWWLYLWjGLGDWWLFKHqREEOLJDWRULDHYLHQHYHULILFDWDDWWUDYHUVRXQDSURFHGXUDLQIRUPDWL]]DWD
&RVDPLVHUYH"
7XWWLJOLVWXGHQWLKDQQRULFHYXWRXQ%$'*(HOHWWURQLFRFRQLO
TXDOHVRQRWHQXWLDWLPEUDUHO·LQJUHVVRHO·XVFLWDGDOOD)DFROWj
QHLJLRUQLLQFXLVLUHFDQRDOH]LRQHPHGLDQWHJOLDSSRVLWLDSSDUHFFKLGLULOHYD]LRQHVLWLQHLYDULLQJUHVVLGHOOD)DFROWj
&RPHFRPSLODUHLOSLDQRGHJOLVWXGL
8QDYROWDHQWUDWRQHOODSURFHGXUDORVWXGHQWHDYUjOHQHFHVVDULH
LQIRUPD]LRQLSHUODFRPSLOD]LRQH6LULFRUGDFKHLOSLDQRGHJOL
VWXGLSHUWXWWLLFRUVLGLODXUHDHODXUHDVSHFLDOLVWLFDGHOOD)DFROWj
GL 0HGLFLQD H &KLUXUJLD q ULJLGR RYYHUR L FRUVL LQWHJUDWL VRQR
DVVHJQDWL D FLDVFXQR VWXGHQWH DOO·DWWR GHOO·LPPDWULFROD]LRQH
SHUWXWWDODGXUDWDGHOFRUVRGLVWXGLRHQRQVRQRPRGLILFDELOL
/HXQLFKHDWWLYLWjDVFHOWDGHOORVWXGHQWHSHUOHTXDOLVLULFKLHGH
ODFRPSLOD]LRQHGHOSLDQRVRQROH$WWLYLWj'LGDWWLFKH(OHWWLYH
FRUVLPRQRJUDILFLIRUXPLQWHUQDWL
$WWHQ]LRQH 3ULPD GL SURFHGHUH DOOD FRPSLOD]LRQH GHO SLDQR
GHJOL VWXGL FRQ OD VFHOWD GHOOH $WWLYLWj 'LGDWWLFKH (OHWWLYH OHJJHUHEHQHO·(OHQFRGHOOH$WWLYLWjLQRIIHUWDSHULOFRUUHQWHDQQR
DFFDGHPLFR
&RPHSRVVRYHULILFDUHOHPLHWLPEUDWXUH"
&LDVFXQRVWXGHQWHHQWUDQGRQHOODSURSULD´$UHD5LVHUYDWDµDOOD
YRFH´3UHVHQ]D6WXGHQWLµSXzYHULILFDUHOHDYYHQXWHWLPEUDWXUH
HORVWDWRGHOOHRUHHGHLJLRUQLGLIUHTXHQ]DULOHYDWL
$WWHQ]LRQH$IILQFKpODULOHYD]LRQHVLDYDOLGDqQHFHVVDULRFKH
VLD SUHVHQWH SHU OR VWHVVR JLRUQR XQD WLPEUDWXUD LQ LQJUHVVR
HGXQDWLPEUDWXUDLQXVFLWD,OSHULRGRYDOLGRSHUOHWLPEUDWXUH
FDGHHVFOXVLYDPHQWHQHLJLRUQLLQFXLqSUHYLVWDGDFDOHQGDULR
ODGLGDWWLFDIURQWDOHGDOOXQHGuDOYHQHUGuGDOOHRUHDOOH
3HUFKp"
2WWHQHUH O·DWWHVWD]LRQH GL IUHTXHQ]D DOOH OH]LRQL q FRQGL]LRQH
QHFHVVDULDHGLQGLVSHQVDELOHSHUSRWHUHVVHUHDPPHVVLDVRVWHQHUH JOL HVDPL GL SURILWWR ,QIDWWL OD SUHQRWD]LRQH LQIRUPDWLFD
DJOLHVDPLGLSURILWWRSHURJQLVHVVLRQHG·HVDPHSRWUjDYYHQLUH
VROR VH OR VWXGHQWH DYUj UDJJLXQWR OD UHODWLYD DWWHVWD]LRQH GL
IUHTXHQ]D
$WWHQ]LRQH,QRJQLFDVRLO'RFHQWHSXzULOHYDUHLQDXODODIUHTXHQ]DPHGLDQWHIRUPHUHVHQRWHDJOLVWXGHQWLSULPDGHOO·LQL]LR
GHOOHDWWLYLWjGLGDWWLFKH
4XDOLVRQROHUHJROHSHUODSUHVHQWD]LRQHGHOSLDQRGHJOLVWXGL"
/RVWXGHQWHqWHQXWRDOODFRPSLOD]LRQHDQQXDOHGHOSLDQR
,OSLDQRXQDYROWDSUHVHQWDWRYLQFRODORVWXGHQWHDOODIUHTXHQ]D GHOOH VROH DWWLYLWj VFHOWH QRQ q FRQVHQWLWR DOOR VWXGHQWH
IUHTXHQWDUH DWWLYLWj QRQ SUHYLVWH QHO SURSULR SLDQR GL VWXGLR
HQRQqPRGLILFDELOHSHUWXWWRLOFRUVRGHOO·DQQR/HPRGLILFKH
SRWUDQQR HVVHUH SUHVHQWDWH FRQ OD FRPSLOD]LRQH GHO SLDQR
O·DQQRVXFFHVVLYR
4
APPUNTI DAL REGOLAMENTO
VLqVXSHUDWR6FLHQ]H0HGLFKH
'LVFLSOLQH FKLUXUJLFKH GHO GLVWUHWWR FHIDOLFR 3DURGRQWRORJLD
2UWRGRQ]LD 2GRQWRLDWULD 5HVWDXUDWLYD &KLUXUJLD 2UDOH 3URWHVL 'HQWDULD 3HGRGRQ]LD &OLQLFD 2GRQWRVWRPDWRORJLFD VH
QRQVLVRQRVXSHUDWL$QHVWHVLRORJLDH&KLUXUJLD*HQHUDOH
3. Propeduticità
CLM IN MEDICINA E CHIRURGIA
3HUJOL6WXGHQWLLVFULWWLDSDUWLUHGDOO·DD 2009-2010
1RQVLSRVVRQRVRVWHQHUH
$QDWRPLDVHQRQVLqVXSHUDWR,VWRORJLD
%LRFKLPLFD VH QRQ VL q VXSHUDWR )LVLFD PHGLFD &KLPLFD H
3URSHGHXWLFD%LRFKLPLFD
)LVLRORJLDVHQRQVLqVXSHUDWR$QDWRPLDH%LRFKLPLFD
3DWRORJLD*HQHUDOHVHQRQVLqVXSHUDWR)LVLRORJLD
3HUJOL6WXGHQWLLVFULWWLGDODOOHSURSHGHXWLFLWj VRQR TXHOOH GHO YHFFKLR RUGLQDPHQWR UHSHULELOL QHO
VLWRGLIDFROWj
CL IN EDUCAZIONE PROFESSIONALE
1RQVLSXzVRVWHQHUH
7LURFLQLR SUDWLFR ƒ DQQR VH QRQ VL q VXSHUDWR 0HWRGRORJLH
GHOO·HGXFD]LRQHSURIHVVLRQDOH
7LURFLQLR SUDWLFR ƒ DQQR VH QRQ VL q VXSHUDWR 0HWRGRORJLH
GHOO·HGXFD]LRQHSURIHVVLRQDOH
,JLHQH 6HPHLRWLFD H 0HWRGRORJLD &OLQLFD H 6WDWLVWLFD 3DWRORJLD 0HGLFD H &KLUXUJLFD 0HGLFLQD LQWHUQD H FKLUXUJLD
JHQHUDOH )DUPDFRORJLD &OLQLFD 2GRQWR2WRULQR2IWDOPR
&OLQLFD'HUPDWRORJLFDH&KLUXUJLD3ODVWLFD&OLQLFD3VLFKLDWULFD
&OLQLFD $SSDUDWR /RFRPRWRUH $QDWRPLD 3DWRORJLFD &OLQLFD
(PDWRORJLFD H ,PPXQRORJLFD &OLQLFD 8URORJLFD H 1HIURORJLFD 'LDJQRVWLFD SHU ,PPDJLQL &OLQLFD *DVWURHQWHURORJLFD
HG (QGRFULQRORJLFD &OLQLFD &DUGLR 9DVFRODUH H 3ROPRQDUH
&OLQLFD1HXURORJLFD1HXURFKLUXUJLFDH5LDELOLWDWLYD0DODWWLH
,QIHWWLYH H 3QHXPRORJLD 3HGLDWULD H &KLUXUJLD 3HGLDWULFD
2VWHWULFLDH*LQHFRORJLD(PHUJHQ]H&OLQLFD0HGLFD&OLQLFD
&KLUXUJLFD 0HGLFLQD /HJDOH GHO /DYRUR H 2UJDQL]]D]LRQH
6DQLWDULD2QFRORJLD&OLQLFD
VHQRQVLqVXSHUDWR3DWRORJLD*HQHUDOH
CDL IN FISIOTERAPIA
1RQVLSXzVRVWHQHUH
6FLHQ]H GHO PRYLPHQWR H 6FLHQ]H ELRPHGLFKH VH QRQ VL q
VXSHUDWR6FLHQ]HELRPHGLFKH
*OL HVDPL GHO ƒ H ƒ DQQR VH QRQ VL VRQR VXSHUDWL 6FLHQ]H
ELRPHGLFKH6FLHQ]HELRPHGLFKHH6FLHQ]HGHOPRYLPHQWR
CDL IN IGIENE DENTALE
1RQVLSRVVRQRVRVWHQHUH
6FLHQ]HGHOO·LJLHQHGHQWDOHƒDQQRH6FLHQ]HPHGLFKH
VHQRQVLqVXSHUDWR6FLHQ]HPRUIRORJLFKHXPDQHHILVLRORJLD
0HGLFLQD ,QWHUQD H &KLUXUJLD *HQHUDOH VH QRQ VL q VXSHUDWR
3DWRORJLD0HGLFDH&KLUXUJLFD
$QDWRPLD3DWRORJLFDVHQRQVLqVXSHUDWR0HGLFLQD,QWHUQDH
&KLUXUJLD*HQHUDOH
&OLQLFD0HGLFDH&OLQLFD&KLUXUJLFD VHQRQVLqVXSHUDWR)DUPDFRORJLDH$QDWRPLD3DWRORJLFD
CDL IN INFERMIERISTICA
1RQVLSRVVRQRVRVWHQHUH
)LVLRORJLD3DWRORJLDH0LFURELRORJLDFOLQLFDVHQRQVLqVXSHUDWR0RUIRORJLDXPDQD
0HGLFLQD,QWHUQD0DODWWLH,QIHWWLYHH)DUPDFRORJLDH5DGLRSURWH]LRQH&KLUXUJLD*HQHUDOHH6SHFLDOLVWLFD0HGLFLQD,QWHUQD6SHFLDOLVWLFD$QHVWHVLD5LDQLPD]LRQHH(PHUJHQ]H0HGLFKHVHQRQVLqVXSHUDWD3DWRORJLDH0LFURELRORJLDFOLQLFD
7LURFLQLRƒDQQRVHQRQVLqVXSHUDWR/DERUDWRULƒDQQR
7LURFLQLRƒDQQRVHQRQVLVRQVXSHUDWL,QIHUPLHULVWLFDJHQHUDOHHWHRULHGHOQXUVLQJ,QIHUPLHULVWLFDFOLQLFD
7LURFLQLRƒDQQRVHQRQVLVRQRVXSHUDWL,QIHUPLHULVWLFDDSSOLFDWDDOOD0HGLFLQD,QWHUQD*HQHUDOH*HULDWULFDH&KLUXUJLFD
3DWRORJLDH0LFURELRORJLDFOLQLFDH)LVLRORJLD
3HUJOL6WXGHQWLLVFULWWLGDODOOHSURSHGHXWLFLWj VRQR TXHOOH GHO YHFFKLR RUGLQDPHQWR UHSHULELOL QHO
VLWRGLIDFROWj
CLM IN ODONTOIATRIA E PROTESI DENTARIA
3HUJOL6WXGHQWLLVFULWWLDSDUWLUHGDOO·DD 2009-2010
1RQVLSXzVRVWHQHUH
%LRFKLPLFD VH QRQ VL q VXSHUDWR )LVLFD $SSOLFDWD H &KLPLFD
0HGLFD
1RQVLSRVVRQRVRVWHQHUH
)LVLRORJLD8PDQD3DWRORJLD*HQHUDOH)DUPDFRORJLD0LFURELRORJLD &OLQLFD VH QRQ VL VRQR VXSHUDWL $QDWRPLD 8PDQD
,VWRORJLD%LRFKLPLFD
6FLHQ]H0HGLFKH$QDWRPLDHG,VWRORJLD3DWRORJLFD0DODWWLH
,QIHWWLYH 3DWRORJLD 6SHFLDOH 2GRQWRVWRPDWRORJLFD VH QRQ VL
VRQRVXSHUDWL)LVLRORJLD8PDQD3DWRORJLD*HQHUDOH)DUPDFRORJLD0LFURELRORJLD&OLQLFD
$QHVWHVLRORJLD&KLUXUJLD*HQHUDOHH0HGLFLQD/HJDOH VHQRQ
3HUJOL6WXGHQWLLVFULWWLFRQLOYHFFKLRRUGLQDPHQWROHSURSHGHXWLFLWjVRQRFRVuOLPLWDWH
0RUIRORJLD8PDQDSHU)LVLRORJLD
)LVLRORJLDSHU3DWRORJLD
3DWRORJLD SHU 0HGLFLQD ,QWHUQD *HQHUDOH H )DUPDFRORJLD
0HGLFLQD ,QWHUQD 6SHFLDOLVWLFD &KLUXUJLD *HQHUDOH H 6SHFLDOLVWLFD
5
VITA DELLA FACOLTÀ
CDL IN OSTETRICIA
1RQVLSXzVRVWHQHUH
)LVLRORJLDGHOODULSURGX]LRQHVHQRQVLVRQRVXSHUDWL%LRFKLPLFDH%LRORJLDH0RUIRORJLDHG,VWRORJLD
)LVLRORJLD RVWHWULFD H JUDYLGDQ]D 3XHUSHULR QHRQDWR DOODWWDPHQWR3DWRORJLDRVWHWULFD3DWRORJLDJLQHFRORJLFD'LDJQRVWLFDRVWHWULFDVHQRQVLqVXSHUDWR)LVLRORJLDGHOODULSURGX]LRQH
7LURFLQLRƒDQQRVHQRQVLVRQRVXSHUDWL)LVLRORJLDRVWHWULFD
HJUDYLGDQ]D3XHUSHULRQHRQDWRDOODWWDPHQWR3DWRORJLDRVWHWULFD6FLHQ]HLQIHUPLHULVWLFKHRVWHWULFRJLQHFRORJLFKH,,,
CDL IN TECNICHE DELLA
LAVORO
PREVENZIONE
5. Internati
/R VWXGHQWH q WHQXWR D VFHJOLHUH O·DWWLYLWj GL LQWHUQDWR GHO
SURSULR DQQR GL FRUVR RYYHUR GHJOL DQQL GL FRUVR SUHFHGHQWL
QRQ q FRQVHQWLWD OD VFHOWD GL DWWLYLWj GL DQQL VXFFHVVLYL DO
SURSULRDQQRGLFRUVR
1RQ q FRQVHQWLWR DOOR VWXGHQWH VYROJHUH LQWHUQDWL LQ SL
ULVSHWWR D TXHOOL SUHYLVWL GDOO·2UGLQDPHQWR RWWHQHQGR FUHGLWL
LQVRYUDQQXPHURSHUWDOLDWWLYLWjHQRQSRVVRQRHVVHUHVYROWL
SLGLGXHLQWHUQDWLQHOORVWHVVRDQQR
/·DFFHVVR DOO·DWWLYLWj GL LQWHUQDWR SHU OD VWUXWWXUD SUHVFHOWD
q YLQFRODWD DO QXPHUR GL SRVWL SUHYLVWL GDOOD VWUXWWXUD /R
VWXGHQWHDFFHGHDOODVWUXWWXUDVHFRQGRXQFULWHULRWHPSRUDOH
GLLVFUL]LRQH
NELL’AMBIENTE E NEI LUOGHI DI
1RQVLSXzVRVWHQHUH
7LURFLQLRSUDWLFRƒDQQR VHQRQVLqVXSHUDWR6FLHQ]HGHOOD
SUHYHQ]LRQHHGHLVHUYL]LVDQLWDUL
6FLHQ]HELRPHGLFKHVHQRQVLqVXSHUDWR6FLHQ]HSURSHGHXWLFKH
7LURFLQLRSUDWLFRƒDQQRVHQRQVLqVXSHUDWR6FLHQ]HGHOOD
SUHYHQ]LRQHDSSOLFDWDDOO·LJLHQHGHJOLDOLPHQWL
6FLHQ]HGHOODSUHYHQ]LRQHQHOO·DPELHQWHVHQRQVLqVXSHUDWR
,PSLDQWLLQGXVWULDOL
$WWHQ]LRQH3ULPDGLSURFHGHUHDOODVFHOWDGHOO·LQWHUQDWROHJJHUH EHQH O·HOHQFR GHOOH VWUXWWXUH H UHODWLYL SRVWL GLVSRQLELOL
SHULOFRUUHQWHDQQRDFFDGHPLFRULSRUWDWRDSDJ
GLVWLQWRSHUL&RUVLGL/DXUHD0DJLVWUDOH&/0H6SHFLDOLVWLFD&/6LQ0HGLFLQDH&KLUXUJLDHGL/DXUHD0DJLVWUDOH&/0
LQ2GRQWRLDWULD
6. Prenotazione agli esami di profitto
CDL IN TECNICHE DI LABORATORIO BIOMEDICO
1RQVLSXzVRVWHQHUH
)LVLRORJLDJHQHUDOHVHQRQVLVRQRVXSHUDWL%LRORJLDJHQHUDOH
HFKLPLFDELRORJLFDH$QDWRPLDHLVWRORJLD
3DWRORJLDJHQHUDOHVHQRQVLVRQRVXSHUDWL)LVLRORJLDJHQHUDOH
H%LRFKLPLFDFOLQLFD
$QDWRPLDSDWRORJLFDVHQRQVLqVXSHUDWR3DWRORJLDJHQHUDOH
/D SUHQRWD]LRQH DJOL HVDPL GL SURILWWR SHU RJQL VHVVLRQH
G·HVDPH q FROOHJDWD GLUHWWDPHQWH DO SLDQR GHJOL VWXGL SUHVHQWDWR H VDUj UHDOL]]DWD PHGLDQWH XQD VSHFLILFD SURFHGXUD
LQIRUPDWL]]DWD
/DSUHQRWD]LRQHDOO·HVDPHVDUjFRQVHQWLWDVRORSUHYLDYHULILFD
GHOODUHJRODUHLVFUL]LRQHDOO·DQQRDFFDGHPLFRFRUUHQWH
GHOO·RWWHQLPHQWRGHOOHSUHYLVWHDWWHVWD]LRQLGLIUHTXHQ]D
GHO ULVSHWWR GHL YLQFROL GL SURSHGHXWLFLWj SUHYLVWL GDOO·2UGLQDPHQWR
SHU OH $WWLYLWj 'LGDWWLFKH (OHWWLYH FRUVL PRQRJUDILFL,QWHUQDWLDQFKHGHOUHJRODUHLQVHULPHQWRQHOSURSULRSLDQRGHJOL
VWXGLGHOO·DWWLYLWjSHUODTXDOHVLLQWHQGHSUHQRWDUHLOVRVWHQLPHQWRGHOO·HVDPH
CDL IN TECNICHE DI RADIOLOGIA MEDICA PER IMMAGINI E RADIOTERAPIA
1RQVLSXzVRVWHQHUH
7LURFLQLRSUDWLFRƒDQQRVHQRQVLqVXSHUDWR6FLHQ]HDQDWRPRILVLRORJLFKH
7LURFLQLRSUDWLFRƒDQQRVHQRQVLVRQRVXSHUDWL'LDJQRVWLFD
SHULPPDJLQLLQWRPRJUDILDFRPSXWHUL]]DWD7&H'LDJQRVWLFDSHULPPDJLQLLQ5LVRQDQ]D0DJQHWLFD50
7. Media esami
4. Attività Didattiche Elettive
$VHJXLWRGHOODPRGLILFDDSSRUWDWDDOQXRYRRUGLQDPHQWR
GHO&G/0DFLFORXQLFRLQ0HGLFLQDH&KLUXUJLDFKHSUHYHGH
LOFRUVRLQWHJUDWRGL´6FLHQ]HXPDQHHFRQRVFHQ]HOLQJXLVWLFKHµO·LQVHJQDPHQWRGL,QJOHVHVFLHQWLILFRODFXLYDOXWD]LRQH
ILQRDGRJJLQRQYHQLYDFRQVLGHUDWDQHOFDOFRORGHOODPHGLD
q VWDWR ULFRPSUHVR QHO SUHGHWWR FRUVR LQWHJUDWR XQLWDPHQWH
DOO·LQVHJQDPHQWRGL6WRULDGHOOD0HGLFLQDH[0RGXORGLGDWWLFRGHO&RUVRLQWHJUDWRGL)LVLRORJLD
$VHJXLWRGLTXDQWRVRSUDLOYRWRGHOSUHGHWWRFRUVRLQWHJUDWRYHUUjLQVHULWRQHOFDOFRORGHOODPHGLDFRQVLGHUDWRFKH
FRQWDOHVFHOWDLOQXPHURGHJOLHVDPLSUHYLVWRULHQWUDQHOOLPLWH
VWDELOLWRGDLQXRYLRUGLQDPHQWL
/RVWXGHQWHVFHJOLHOHDWWLYLWjGLGDWWLFKHGHOSURSULRDQQRGL
FRUVRRYYHURGHJOLDQQLGLFRUVRSUHFHGHQWLQRQqFRQVHQWLWD
ODVFHOWDGLDWWLYLWjGLDQQLVXFFHVVLYLDOSURSULRDQQRGLFRUVR
1RQqFRQVHQWLWRDOORVWXGHQWHRWWHQHUHSHUFRUVLPRQRJUDILFLIRUXP XQ QXPHUR GL FUHGLWL VXSHULRUH D TXHOOR SUHYLVWR
GDOO·2UGLQDPHQWRSHUFLDVFXQDQQRGLFRUVR
4XDORUDORVWXGHQWHQRQIUHTXHQWLO·DWWLYLWjVFHOWDRYYHUROD
IUHTXHQWLPDQRQVRVWHQJDODYHULILFDO·DQQRVXFFHVVLYRSRWUj
IUHTXHQWDUHRVRVWHQHUHODYHULILFDVHLOFRUVRULVXOWHUjDWWLYDWR
RYYHURSURYYHGHUHDOODVXDVRVWLWX]LRQHFRQODSUHVHQWD]LRQH
GHOQXRYRSLDQRGLVWXGLR
6
APPUNTI DAL REGOLAMENTO
,O YRWR FRPSOHVVLYR GHWHUPLQDWR GDOOD VRPPD GHL SXQWHJJL
SUHYLVWLGDOOHYRFL´DHµYLHQHDUURWRQGDWRSHUHFFHVVRRSHU
GLIHWWRDOQXPHURLQWHURSLYLFLQR
/DORGHSXzYHQLUHDWWULEXLWDFRQSDUHUHDPDJJLRUDQ]DTXDOLILFDWDGHOOD&RPPLVVLRQHDLFDQGLGDWLFKHFRQVHJXRQR
XQSXQWHJJLRILQDOHPDJJLRUHRXJXDOHD
8. Sessioni esami di recupero
$OILQHGLIDFLOLWDUHLOUDJJLXQJLPHQWRGHOODODXUHDQHOFLFOR
GLVWXGLDOPDJJLRUQXPHURGLVWXGHQWLVRQRVWDWHSURJUDPPDWH GXH VHVVLRQL GL HVDPL GL SURILWWR XQD SHU VHPHVWUH
LQ RUDULR SRPHULGLDQR GHVWLQDWH DJOL VWXGHQWL LVFULWWL LQ
FRUVRHIXRULFRUVRDO&G/6SHFLDOLVWLFRHDO&G/0DJLVWUDOH
LQ0HGLFLQDH&KLUXUJLDDGHELWRGLHVDPLUHODWLYLDJOLDQQL
SUHFHGHQWLDOO·DQQRGLLVFUL]LRQH
7DOLDSSHOOLGHILQLWL´GLUHFXSHURµYHUUDQQRILVVDWLLQRUDULR
SRPHULGLDQRHSHUPHWWHUDQQRDOORVWXGHQWHDWWUDYHUVRXQD
SURFHGXUD LQIRUPDWL]]DWD SUHGLVSRVWD GDOOD 3UHVLGHQ]D GL
LVFULYHUVLHVRVWHQHUHXQXQLFRHVDPHDVHPHVWUH
/·DSSHOOR GHO ƒ VHPHVWUH q VWDWR SUHYLVWR QHO PHVH GL
QRYHPEUH
CDLS IN ODONTOIATRIA E PROTESI DENTARIA
$GHWHUPLQDUHLOYRWRGLODXUHDHVSUHVVRLQFHQWRGHFLPLFRQWULEXLVFRQRLVHJXHQWLSDUDPHWUL
D/D PHGLD GHL YRWL FRVu FRPH YHUEDOL]]DWL FRQVHJXLWL QHJOL
HVDPLGLSURILWWRVXSHUDWLHWUDVIRUPDWDLQFHQWRGHFLPL
E, SXQWL DWWULEXLWL GDOOD &RPPLVVLRQH GL /DXUHD LQ VHGH GL
GLVFXVVLRQHWHVLGLVWLQJXHQGRWUD
7HVLFRPSLODWLYDWHWWRPDVVLPRSXQWL
7HVL FOLQLFRVSHULPHQWDOH R VSHULPHQWDOH WHWWR PDVVLPR SXQWL
,O 5HODWRUH SULPD GHOOD GLVFXVVLRQH q WHQXWR D GLFKLDUDUH VH
ODWHVLqFRPSLODWLYDRFOLQLFRVSHULPHQWDOHRVSHULPHQWDOH
F,SXQWLDWWULEXLWLSHUODGXUDWDGHJOLVWXGLGDDSXQWR
8QSXQWRDFKLFRQVHJXHODODXUHDHQWURDQQLGDOO·LPPDWULFROD]LRQHSXQWLDFKLFRQVHJXHODODXUHDIXRULFRUVR
G,SXQWLSHURJQLORGHRWWHQXWDQHJOLHVDPLGLSURILWWR
SXQWL SHU ORGH FKH YDQQR DJJLXQWL DOOD PHGLD GHL YRWL JLj
WUDVIRUPDWDLQFHQWRGHFLPL
H,SXQWLSHUFRLQYROJLPHQWRLQSURJUDPPLGLVFDPELRLQWHUQD]LRQDOHGDDSXQWRLQUHOD]LRQHDOQXPHURDOODGXUDWD
HGDOSURILWWR
,O YRWR FRPSOHVVLYR GHWHUPLQDWR GDOOD VRPPD GHL SXQWHJJL
SUHYLVWLGDOOHYRFL´DHµYLHQHDUURWRQGDWRSHUHFFHVVRRSHU
GLIHWWRDOQXPHURLQWHURSLYLFLQR
/DORGHSXzYHQLUHDWWULEXLWDFRQSDUHUHDPDJJLRUDQ]DTXDOLILFDWDGHOOD&RPPLVVLRQHDLFDQGLGDWLFKHFRQVHJXRQR
XQSXQWHJJLRILQDOHPDJJLRUHRXJXDOHD
9. Criteri applicativi per la determinazione del
voto di laurea
CDLS IN MEDICINA E CHIRURGIA
$ GHWHUPLQDUH LO YRWR GL ODXUHD HVSUHVVR LQ FHQWRGHFLPL
FRQWULEXLVFRQRLVHJXHQWLSDUDPHWUL
D/DPHGLDGHLYRWLFRVuFRPHYHUEDOL]]DWLFRQVHJXLWLQHJOL
HVDPL GL SURILWWR VXSHUDWL H WUDVIRUPDWD LQ FHQWRGHFLPL LO
YRWR GHOO·HVDPH FKH DEEDVVD GL SL OD PHGLD DL ILQL GHOOD
YRWD]LRQH ILQDOH YLHQH HVFOXVR GDO FRPSXWR GHOOD PHGLD
VWHVVD
E,SXQWLDWWULEXLWLGDOOD&RPPLVVLRQHGL/DXUHDLQVHGHGL
GLVFXVVLRQHWHVLGLVWLQJXHQGRWUD
7HVLFRPSLODWLYDWHWWRPDVVLPRSXQWL
7HVL FOLQLFRVSHULPHQWDOH R VSHULPHQWDOH WHWWR PDVVLPR SXQWL
,O5HODWRUHSULPDGHOODGLVFXVVLRQHqWHQXWRDGLFKLDUDUHVH
ODWHVLqFRPSLODWLYDRFOLQLFRVSHULPHQWDOHRVSHULPHQWDOH
F,SXQWLDWWULEXLWLSHUODGXUDWDGHJOLVWXGLGDDSXQWL
PDVVLPRGLVWULEXLWLQHOVHJXHQWHPRGR
SXQWLDFKLFRQVHJXHODODXUHDHQWURDQQLGDOO·LPPDWULFROD]LRQH
SXQWLDFKLFRQVHJXHODODXUHDHQWURDQQLGDOO·LPPDWULFROD]LRQH
SXQWRDFKLFRQVHJXHODODXUHDHQWURDQQLGDOO·LPPDWULFROD]LRQH
WHQHQGR LQ FRQVLGHUD]LRQH VLWXD]LRQL SDUWLFRODUL LQGLYLGXDOL
GRFXPHQWDWH
G,SXQWLSHURJQLORGHRWWHQXWDQHJOLHVDPLGLSURILWWR
SXQWL SHU ORGH FKH YDQQR DJJLXQWL DOOD PHGLD GHL YRWL JLj
WUDVIRUPDWDLQFHQWRGHFLPL
H, SXQWL SHU FRLQYROJLPHQWR LQ SURJUDPPL GL VFDPELR
LQWHUQD]LRQDOHGDDSXQWRLQUHOD]LRQHDOQXPHURDOOD
GXUDWDHGDOSURILWWR
5HODWLYDPHQWHDOODWLSRORJLDGHOODWHVLLO&RQVLJOLRGL)DFROWj
KD GHFLVR GL DIILGDUH DG XQ JUXSSR GL ODYRUR FRPSRVWR GD
DOFXQL GRFHQWL IDFHQWL SDUWH GHOOD &RPPLVVLRQH 'LGDWWLFD OR
VWXGLRHODGHILQL]LRQHGHLFULWHULLQEDVHDLTXDOLXQDWHVLSXz
HVVHUHGLFKLDUDWD´FRPSLODWLYDµRYYHUR´FOLQLFR²VSHULPHQWDOHµRYYHUR´VSHULPHQWDOHµ
,O JUXSSR GL ODYRUR KD GHILQLWR WDOL FULWHUL HG KD SUHGLVSRVWR
XQD VFKHGD FKH LO 5HODWRUH QHO GLFKLDUDUH OD WLSRORJLD GHOOD
WHVL DYUj FXUD GL FRPSLODUH H QHOOD TXDOH GRYUDQQR HVVHUH
GHVFULWWHOHFDUDWWHULVWLFKHGHOODWHVLVYROWDGDOORVWXGHQWH
7DOH VFKHGD ILUPDWD GDO 5HODWRUH GRYUj HVVHUH FRQVHJQDWD
GDOORVWXGHQWHLQ6HJUHWHULD6WXGHQWLDOO·DWWRGHOODSUHVHQWD]LRQH GHOOD WHVL H VDUj SRL D GLVSRVL]LRQH GHOOH &RPPLVVLRQL
GL/DXUHDSHUOHVXFFHVVLYHYDOXWD]LRQLJLjSUHYLVWHGDO5HJRODPHQWRYLJHQWH
/DVFKHGDGLVFXVVDHGDSSURYDWDGDO&RQVLJOLRGL)DFROWjQHODO
VHGXWDGHOYLHQHDOOHJDWDDOODSUHVHQWHFLUFRODUH
DIILQFKqWXWWLQHSUHQGDQRYLVLRQH
7
VITA DELLA FACOLTÀ
10. Esami di Stato in Medicina e Chirurgia
11. Riconoscimento degli studi compiuti presso altre sedi o altri corsi di studio
&RQ 2UGLQDQ]D GHO 0LQLVWHUR GHOO·,VWUX]LRQH GHOO·8QLYHUVLWj H GHOOD 5LFHUFD GHO VRQR VWDWH LQGHWWH SHU
O·DQQROHVHVVLRQLGLHVDPLGL6WDWRGLDELOLWD]LRQHDOOD
SURIHVVLRQHGL0HGLFR&KLUXUJR
,FDQGLGDWLDJOLHVDPLGL6WDWRKDQQRSUHVHQWDWRGRPDQGD
GLDPPLVVLRQHDOODVHFRQGDVHVVLRQHHQWURLORWWREUH
SUHVVROD6HJUHWHULD6WXGHQWLGHOOD)DFROWj
+DQQRSUHVHQWDWRGRPDQGDGLDPPLVVLRQHLFDQGLGDWLJLj
ODXUHDWLLQ0HGLFLQDH&KLUXUJLDRYYHURJOLVWXGHQWLODXUHDQGL
FKHKDQQRFRQVHJXLWRLOWLWRORDFFDGHPLFRVXFFHVVLYDPHQWH
DOODVFDGHQ]DGHOWHUPLQHVRSUDGHWWRHFRPXQTXHHQWURLO
RWWREUH
/·HVDPHGL6WDWRGLDELOLWD]LRQHDOO·HVHUFL]LRGHOODSURIHVVLRQH GL 0HGLFR&KLUXUJR FRQVLVWH LQ XQ WLURFLQLR SUDWLFR H
XQDSURYDVFULWWD
,OWLURFLQLRSUDWLFRSHUODVHFRQGDVHVVLRQHKDDYXWRLQL]LR
LOQRYHPEUH
,OWLURFLQLRFRQVLVWHLQXQDSURYDSUDWLFDDFDUDWWHUHFRQWLQXDWLYRGHOODGXUDWDGLWUHPHVLVYROWRSHUXQPHVHSUHVVR
XQUHSDUWRGLPHGLFLQDSHUXQPHVHSUHVVRXQUHSDUWRGLFKLUXUJLDHSHUXQPHVHSUHVVRXQPHGLFRGLPHGLFLQDJHQHUDOH
FRQYHQ]LRQDWRFRQLO6HUYL]LRVDQLWDULRQD]LRQDOH/DFHUWLILFD]LRQHGHOODIUHTXHQ]DHODYDOXWD]LRQHGLFLDVFXQRGHLWUH
SHULRGL DYYHQJRQR VRWWR OD GLUHWWD UHVSRQVDELOLWj H D FXUD
GHOGRFHQWHXQLYHUVLWDULRRGHOGLULJHQWHPHGLFRUHVSRQVDELOHGHOODVWUXWWXUDIUHTXHQWDWDGDOFDQGLGDWRGHOPHGLFRGL
PHGLFLQD JHQHUDOH FKH QH GDQQR IRUPDOH DWWHVWD]LRQH VXO
OLEUHWWRGLDULRIRUQHQGRQHXQPRWLYDWRJLXGL]LRHVSUHVVRVXOOH FDSDFLWj H OH DWWLWXGLQL GHO FDQGLGDWR FRQ O·DWWULEX]LRQH
GLXQSXQWHJJLRPDVVLPRGLQRYDQWDSXQWLWUHQWDSHURJQL
SHULRGR2YHLOFDQGLGDWRQRQFRQVHJXDXQSXQWHJJLRFRPSOHVVLYRGLDOPHQRVHVVDQWDSXQWLFRQXQPLQLPRGL
SHUFLDVFXQSHULRGRQRQqDPPHVVRDOODSURYDVFULWWDVDOYD
ODSRVVLELOLWjGLULSHWHUHLOWLURFLQLRFOLQLFR
/DSURYDVFULWWDVLVYROJHFRQWHPSRUDQHDPHQWHQHOOHVHGL
XQLYHUVLWDULHSUHYLVWHFRQFRQWHQXWRLGHQWLFRVXWXWWRLOWHUULWRULR QD]LRQDOH LO JLRUQR IHEEUDLR SHU OD VHFRQGD
VHVVLRQHHGqDUWLFRODWDLQGXHSDUWL/HGXHSDUWLGHOODSURYD
G·HVDPHVLVYROJRQRLQVHTXHQ]DLQXQ·XQLFDJLRUQDWD&LDVFXQD GHOOH GXH SDUWL FRQVLVWH QHOOD VROX]LRQH GL TXHVLWL D ULVSRVWD PXOWLSOD HVWUDWWL GDOO·DUFKLYLR SUHGLVSRVWR GDO
0,85 3HU FLDVFXQD SDUWH GHOOD SURYD L FDQGLGDWL KDQQR D
GLVSRVL]LRQH PLQXWL /D YDOXWD]LRQH GHOOD SURYD VFULWWD
GHWHUPLQD O·DWWULEX]LRQH GL XQ SXQWHJJLR GL SL SHU RJQL
ULVSRVWDHVDWWDGLSHURJQLULVSRVWDQRQGDWDHPHQR
SHURJQLULVSRVWDHUUDWD/DSURYDVLLQWHQGHVXSHUDWDVHLO
FDQGLGDWRFRQVHJXHDOPHQRSXQWLLQFLDVFXQDGHOOHGXH
SDUWLGLHVVD
&RQFOXVDFRQHVLWRSRVLWLYRODSURYDVFULWWDLOPHGLFRODXUHDWRFRQVHJXHO·DELOLWD]LRQHDOO·HVHUFL]LRGHOODSURIHVVLRQH
GLPHGLFRFKLUXUJR
*OLVWXGLFRPSLXWLSUHVVRDOWUHVHGLXQLYHUVLWDULHRDOWULFRUVL
GLVWXGLRGLTXHVWR$WHQHRHLUHODWLYLFUHGLWLFRQVHJXLWLSRVVRQRHVVHUHULFRQRVFLXWLVXLVWDQ]DGHOORVWXGHQWHFRQGHOLEHUD
GHOOD )DFROWj SUHYLR HVDPH GHO FXUULFXOXP H YDOXWD]LRQH GHL
SURJUDPPLVYROWL
/DGRPDQGDGLULFRQRVFLPHQWRqVWDWDSUHVHQWDWDSUHVVROD
6HJUHWHULD6WXGHQWLHQWURLOVXDSSRVLWRPRGXORLQ
GLVWULEX]LRQHSUHVVRTXHVWD6HJUHWHULDFRQDOOHJDWLLSURJUDPPLGHLFRUVLGLLQVHJQDPHQWRGLFXLVLFKLHGHODFRQYDOLGDHLO
FHUWLILFDWRGHJOLHVDPLVXSHUDWLSUHVVRODVHGHGLSURYHQLHQ]D
12. Attività di Laboratorio
'DOO·DDJOLRUGLQDPHQWLGHL&G/WULHQQDOLSURIHVVLRQDOL]]DQWL GL DUHD VDQLWDULD SUHYHGRQR FUHGLWL IRUPDWLYL
GHVWLQDWLDOO·DWWLYLWjGLODERUDWRULR7DOHDWWLYLWjYHUUjFRVuRUJDQL]]DWD
2UHGDGHGLFDUHDOO·DWWLYLWjGLODERUDWRULR
GDXQPLQLPRGLSHU&G/,QIHUPLHULVWLFDHG2VWHWULFLD
DGXQPDVVLPRGLSHU&G/,QIHUPLHULVWLFDHG2VWHWULFLD
&G/LQ,QIHUPLHULVWLFDRUH
&G/LQ7HFQLFKHGL5DGLRORJLDRUH
&G/LQ7HFQLFKHGL/DERUDWRULR%LRPHGLFRRUH
&G/LQ7HFQLFKHGHOODSUHYHQ]LRQHRUH
&G/LQ(GXFD]LRQHSURIHVVLRQDOHRUH
&G/LQ2VWHWULFLDRUH
&G/LQ)LVLRWHUDSLDRUH
&G/LQ,JLHQHGHQWDOHRUH
5HJRODPHQWD]LRQH
/·DWWLYLWj GL ODERUDWRULR YHUUj UHJRODPHQWDWD QHOO·DPELWR GHO
5HJRODPHQWRGHO7LURFLQLRGLRJQLVLQJRORFRUVRGLVWXGLR
)LJXUHGHGLFDWHDWDOHDWWLYLWj
&RRUGLQDWRUL$WWLYLWj)RUPDWLYD3UDWLFDH7LURFLQLR&OLQLFR
7XWRULDWHPSRSLHQR
*XLGHGLWLURFLQLRGHGLFDWHDOO·DWWLYLWjGLODERUDWRULR
LQVHUYL]LRFROH6WUXWWXUHGHO6HUYL]LR6DQLWDULRROHVWUXWWXUH
HVWHUQHFRQYHQ]LRQDWH
/XRJRGLVYROJLPHQWR
LQ)DFROWjDXODRODERUDWRUL
FROH6WUXWWXUH&RQYHQ]LRQDWH
&HUWLILFD]LRQH
/D FHUWLILFD]LRQH DYYHUUj VX DSSRVLWR YHUEDOH G·HVDPH H VX
DSSRVLWD VH]LRQH QHO OLEUHWWR GL WLURFLQLR H VDUj VRWWRVFULWWD
GDO &RRUGLQDWRUH $)37& H GDO WXWRUJXLGD FRQ YRWD]LRQH LQ
WUHQWHVLPL
8
Istologia
Biologia
Istologia
Biologia
9
Nefrologia
Urologia
Cardiologia
Chirurgia vascolare
Pneumologia
Chirurgia Toracica
Igiene
Metodologia Medica
Metodologia Chirurgica
Clinica di Ematologia
Serv. Immunologia clinica
4° Anno
Endocrinologia
Biochimica
Anatomia
Immunologia
3°Anno
Fisiologia
Microbiologia
Medicina di Laboratorio
Patologia Fisiopatologia Generale
2°Anno
1°Anno
CLS Med Chir - Strutture
Patologia medica e chirurgica
Patologia Generale
Semeiotica e metodologia clinica e
statistica
Igiene
Biochimica
Anatomia
Immunologia
Fisiologia
3°Anno
Microbiologia
Medicina di Laboratorio
2°Anno
1°Anno
CLM Med Chir
- Strutture
STRUTTURA
Prof. Marcello D'Errico
Dott. Giovanni Frascà
Prof. Giovanni Muzzonigro
Prof. Alessandro Capucci
Prof. Francesco Alò
Dott. Stefano Gasparini
Prof. Aroldo Fianchini
Prof. Maurizio Battino
Prof. Antonio Procopio
Prof. Paolo Dessì Fulgheri
Prof. Mario Guerrieri
Prof. Pietro Leoni
Prof. Armando Gabrielli
Prof. Marco Boscaro
Prof.ssa Laura Mazzanti
Prof. Saverio Cinti
Prof. Antonio Procopio
Prof. Fiorenzo Conti
Prof. Piero E. Varaldo
Prof. Roberto Di Primio
Prof. Giovanni Principato
Responsabile
Prof. Marcello D'Errico
Prof. Riccardo Sarzani
Prof. Mario Guerrieri
Prof. Maurizio Battino
Prof. Antonio Procopio
Prof.ssa Laura Mazzanti
Prof. Saverio Cinti
Prof. Antonio Procopio
Prof. Fiorenzo Conti
Prof. Piero E. Varaldo
Responsabile
Prof. Roberto Di Primio
Prof. Giovanni Principato
Prof. Armando Gabrielli
Prof. Paolo Pelaia
Prof. ssa Lory Santarelli
Prof. Stefano Cascinu
Parodontologia
Protesi Dentaria
Prof. Giorgio Rappelli
Prof. Fabrizio Bambini
Prof. Giorgio Rappelli
Prof. Matteo Piemontese
Prof. Maurizio Procaccini
Prof. Matteo Piemontese
CLM in Odontoiatria e Protesi Dentaria
p
Emergenze med.chir.
Medicina del Lavoro
Oncologia
Chirurgia Orale
Protesi Dentaria
Parodontologia
5°A Clinica Odontostomatologica
4°Anno
6°Anno
Malattie Infettive
Psichiatria
Clinica Ginecologica
Clinica Pediatrica
Clinica Chirurgica
Clinica Medica
Prof. Leandro Provinciali
Prof.ssa M. Gabriella Ceravolo
Prof. Massimo Scerrati
Prof. Adriano Tagliabracci
Prof. Paolo Dessi' Fulgheri
Clinica Neurologica
Serv.Neuroriab.
Clinica Neurochirurgia
Medicina Legale
Medicina interna e geriatria
Anatomia Patologica
Malattie Cutanee e Veneree
Prof.ssa Marina Scarpelli
Prof.ssa A. Maria Of2dani
Prof. Andrea Giacometti
Prof. Cesario Bellantuono
Prof. Andrea Tranquilli
Prof. Orazio Gabrielli
Prof. Aroldo Fianchini
Prof. Antonio Benedetti
Prof. Francesco Greco
Prof. Walter Grassi
Prof. Gian Marco Giuseppetti
Prof. Maurizio Procaccini
Prof. Alfonso Giovannini
Prof. Cristina Marmorale
Prof. Antonio Benedetti
Prof. Cristina Marmorale
Prof. Salvatore Amoroso
Responsabile
Clinica Gastroent. V anno
Clinica ortopedica
Reumatologia
Diagnostica Per Immagini
Odonto/ORL
Oftalmologia
5°Anno
Chirurgia Generale
Clinica Gastroent. IV anno
Chirurgia generale
Farmacologia
CLS Med Chir - Strutture
INTERNATO
13. Elenco delle strutture disponibili e dei relativi posti per l’internato 2011/2012
VITA DELLA FACOLTÀ
VHPDSKRULQ %HWD $ QHO VRJJHWWR QRUPDOH H QHL SRUWDWRUL GL
QHRSODVLDSROPRQDUH/D6,&IRQGDWDQHOqODSLDQWLFD
6RFLHWj,WDOLDQDGL2QFRORJLDFROODERUDFRQOHSLSUHVWLJLRVH
FRQVRUHOOHLQWHUQD]LRQDOLUDSSUHVHQWDRJJLXQDGHOOHSLLPSRUWDQWL6RFLHWj6FLHQWLILFKH,WDOLDQH
Notiziario
Il Preside Benedetti Socio dell’Accademia delle
Scienze di Bologna
/D SUHVWLJLRVD $FFDGHPLD FKH KD FHOHEUDWR TXHVW·DQQR LO
WHU]RVHFRORGLDWWLYLWjQDFTXHSHUO·LQL]LDWLYDGL3DSD%HQHGHWWR;,9HYHQQHSRWHQ]LDWDGD3DSD*UHJRULR;9,
/·$FFDGHPLD DUWLFRODWD QHOOH FODVVL GHOOH 6FLHQ]H ILVLFKH
HGHOOH6FLHQ]HPRUDOLRXPDQHKDVHPSUHDYXWRULVRQDQ]D
LQWHUQD]LRQDOH HG KD DQQRYHUDWR WUD L VXRL 6RFL SHUVRQDOLWj
LOOXVWULFRPH0DULH&XULH$OEHUW(LQVWHLQ*XJOLHOPR0DUFRQL
/D VH]LRQH GHOOH 6FLHQ]H )LVLFKH q DWWXDOPHQWH SUHVLHGXWD
GDO3URI)UDQFHVFR$QWRQLR0DQ]ROLFKHKDFXUDWRWUDO·DOWUR
XQDVHULHGL&RQIHUHQ]HGLDOWLVVLPROLYHOOR
1HOO·XOWLPDULXQLRQHGHOO·$FFDGHPLDLOQRVWUR3UHVLGHGRSR
DYHU WHQXWR XQD OHWWXUD PDJLVWUDOH VXO FRODQJLRFDUFLQRPD q
VWDWRDPPHVVRWUDL6RFLHIIHWWLYLGHOO·$FFDGHPLDHGKDULFHYXWRODPHGDJOLDGHOOD $FDGHPLD6FLHQWLDUXP,QVWLWXWL%RQRQLHQVLV.
*LRYHGuH9HQHUGuQRYHPEUHVLqVYROWDOD*LRUQDWD
QD]LRQDOH SHU OD ULFHUFD VXO FDQFUR RUJDQL]]DWD GDOOD ´$VVRFLD]LRQHLWDOLDQDSHUODULFHUFDVXOFDQFUR$,5&µVRWWRO·DOWR
SDWURQDWR GHOOD 3UHVLGHQ]D GHOOD 5HSXEEOLFD 4XHVW·DQQR LO
SURJUDPPDGLODYRURVLqLQFHQWUDWRVXLQWHUYHQWLGLUHODWRUL
FKH VRQR HQWUDWL QHOOH VFXROH VHFRQGDULH SHU VHQVLELOL]]DUH L
JLRYDQL VXOOH WHPDWLFKH OHJDWH DOOD ULFHUFD H SHU UDFFRQWDUH
ODSURSULDHVSHULHQ]DSURIHVVLRQDOHHGLYLWD1HOOH0DUFKHVL
VRQR VYROWH WUH VHVVLRQL GL LQFRQWUL GHOOH TXDOL OD SULPD FRQ
VHGH $QFRQD H OD SUHVHQ]D GHO SURIHVVRUH 6WHIDQR &DVFLQX
FRPHUHIHUHQWH´$LUFµODVHFRQGDFRQVHGHD&LYLWDQRYD0DUFKHUHIHUHQWHLO3URI$OIRQVR&DWDODQR
3HGLDWULD
,O3URI2UD]LR*DEULHOOLqVWDWRUHODWRUHLORWWREUH
D)HUUDUDVXOOD7HUDSLDGHOOH0DODWWLH0HWDEROLFKHLORWWREUHD%RORJQD&RQJUHVVR6RFLHWj0DODWWLH0HWDEROLFKH
VXOWHPD)ROORZXSPDODWWLHOLVRVRPLDOLPHGLDQWHLOGRVDJJLR
GHL JOLFRVDPLQRJOLFDQL QHO SODVPD H LQILQH LO QRYHPEUH D
&KLHWLDO&RQYHJQR1D]LRQDOHVX/HQHIURSDWLHQHOOHPDODWWLH
OLVRVRPLDOL
Riconoscimenti
/D &OLQLFD GL (QGRFULQRORJLD H 0DODWWLH GHO 0HWDEROLVPR
GHOODQRVWUD)DFROWjGLUHWWDGDO3URI0DUFR%RVFDURqVWDWDULFRQRVFLXWDGDOOD(XURSHDQ$FDGHP\RI$QGURORJ\FRPH7UDLQLQJ&HQWUHLQ$QGURORJ\FRQDXGLWSHULRGLFRHGDOOD8(06
FRPH7UDLQLQJ&HQWUHLQ(QGRFULQRORJ\GLDEHWHVDQGPHWDEROLVP &RPH WDOH OD &OLQLFD FROODERUD FRQ OD 1,+ GL %HWKHVGD
VXOORVWXGLRGHLSROLPRUILVPLGHOOD&%*HFRQDOWULODERUDWRUL
SUHVWLJLRVLGHJOL6WDWL8QLWL8QDGHOOHULFHUFKHIRQGDPHQWDOLq
ORVWXGLRGHOSDVLUHRWLGHDQDORJRGHOODVRPDWRVWDWLQDQHOOD
VLQGURPHGL&XVKLQJHQHLWXPRULLSRILVDOL
I prossimi appuntamenti in Facoltà
1RYHPEUH&RQYHJQRVXOOD7LURLGH
'LFHPEUH&RQYHJQR´(WjGLWUDQVL]LRQHµ
)LQH*HQQDLR²SULPLGL)HEEUDLR&RQYHJQRVXOO·2VWHRSRURVL
PDU]R9&RQYHJQRGL$QGURORJLDH6HVVXRORJLD0HGLFDGHO&RQHUR
/D&OLQLFDLQROWUH'RWW*LDQFDUOR%DOHUFLDqGDO&HQWURGLULIHULPHQWRGHOOD(XURSHDQ$FDGHP\RI$QGURORJ\SHUOD
)RUPD]LRQHLQ$QGURORJLDHFROODERUDFRQLO&HQWHUIRUUHSURGXFWLYH0HGLFLQH$QGURORJ\/DERUDWRU\GL&OHYHODQG
Pubblicazioni
$OFXQHDSSDUVHQHOQHOODVWDPSDLQWHUQD]LRQDOH
Congressi e Convegni
(QGRFULQRORJLD
,QUHOD]LRQHDOODSDUWHFLSD]LRQHD&RQJUHVVLLQWHUQD]LRQDOLH
QD]LRQDOL LO 3URI 0DUFR %RVFDUR q VWDWR QHO UHODWRUH DL
FRQJUHVVL QD]LRQDOL 6,( HG $0( DO FRQJUHVVR LQWHUQD]LRQDOH
(6(5RWWKHUGDPHDO0HHWLQJVXO0RUERGL&XVKLQJD%DVLOHD
1HOORVWHVVRDQQRLO'RWW*LDQFDUOR%DOHUFLDqVWDWRUHODWRUHDO
;;;9ƒ&RQJUHVVR1D]LRQDOHGHOOD6,(D&KLHWLDO&RQYHJQR
6,$06 DG $EDQR 7HUPH /·XRPR LQIHUWLOH H OD ULSURGX]LRQH
DVVLVWLWD HGKDVYROWRD&DWDQLDXQDUHOD]LRQHGDOWLWROR AnGURORJLDLWDOLDQDSUHVHQWHHIXWXUR.
(QGRFULQRORJLD
9LJQLQL$0RURQL&1DQHWWL/5DIIDHOOL)&HVWHU$&KHUXELQL
90D]]DQWL/'LDEHWHV0HWDE5HV5HY0DU
GRLGPUU
3HUFXWDQHRXV ELRSV\ RI WKH WHVWLFOH D PLQLUHYLHZ ZLWK D
SURSRVDORIIORZFKDUWIRUQRQREVWUXFWLYHD]RRVSHUPLD&DUSL
$$JDUZDO$6DEDQHJK(7RGHVFKLQL*%DOHUFLD*$QQ
0HG,)
6XEMHFWLYH SHUFHSWLRQ RI HLDFXODWH YROXPH UHIOHFWV REMHFWLYH
FKDQJHVLQHLDFXODWHYROXPH5DVWUHOOL*&RURQD*3DJJL)
%DOHUFLD*)RUWL*0DJJL0-$QGURO-DQ,)
3HUFHLYHG UHGXFHG VOHHSUHODWHG HUHFWLRQV LQ VXEMHFWV ZLWK
HUHFWLOH G\VIXQFWLRQ SV\FKRELRORJLFDO FRUUHODWHV &RURQD *
5DVWUHOOL*%DOHUFLD*6IRU]D$)RUWL*0DQQXFFL(0DJJL0-6H[0HG0DU,)
2QFRORJLD
,O3URI$OIRQVR&DWDODQRqVWDWR5HODWRUHQHOORVFRUVRRWWREUH DO ƒ&RQJUHVVR 1D]LRQDOH GHOOD 6RFLHWj ,WDOLDQD GL
&DQFHURORJLDFRQXQDUHOD]LRQHGDOWLWROR 5HJXODWRU\UROHRI
10
DALLE PROFESSIONI SANITARIE
MAURIZIO MERCURI
6RFLRORJLD
8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKH
URPDQD
PHQWUH
LQIXULDYDQR L FRPEDWWLPHQWL &ULVWLQD
7ULYXO]LRGL%HOJLRMRVR DVVLHPH D (QULFKHWWD 'H /RUHQ]R
3LVDFDQH*LXOLD%RYLR6LOYHVWL3DXOXFFL
DOOHDPLFKHGL0D]]LQL0DUJDUHW)XOOHU
*LXOLD&DWUDPH0RGHQD OD PDUFKHVD
0DULDQQD )ORUHQ]L
:DGGLQJWRQHGDG
DOWUH YHQQH GHOHJDWDGDOWULXPYLUDWR
&ULVWLQD7ULYXO]LR%HOJLRMRVR JXLGDWR GD *LXVHSULWUDWWDGD)UDQFHVFR+D\H]QHO
SH 0D]]LQL $XUHOLR
2OLRVXWHOD
6DIILH&DUOR$UPHOOLQLDOODRUJDQL]]D]LRQHGHO&RPLWDWRGLVRFFRUVRDLIHULWL.
&ULVWLQDRUJDQL]]zFRQO·DLXWRGHOOHGRQQHGL7UDVWHYHUH
RVSHGDOLHLQIHUPHULHWHQWDQGRLQXWLOPHQWHGLFRLQYROJHUH
OHVXRUHGHLFRQYHQWLDGDFFRJOLHUHLIHULWL,VWLWXuLOVHUYL]LRGHOOHDPEXODQ]HXQDVRUWDGLRVSHGDOLPRELOLFKHIXQJHYDQRGDUDFFRUGRWUDLQRVRFRPLFLWWDGLQLHLOIURQWHGHL
FRPEDWWLPHQWL/DVHGHHUDQHLSUHVVLGHOO·RVSHGDOHGHOOD
7ULQLWjGHL3HOOHJULQL&ULVWLQDVLWURYzDIURQWHJJLDUHQRQRVWDQWHOHSUHFLVHGLVSRVL]LRQLHPDQDWHDULJXDUGRGDOOH
DXWRULWj UHSXEEOLFDQH JUDYLVVLPL SUREOHPL JOL RVSHGDOL
HUDQR YHFFKL VSRUFKL H VFDUVDPHQWH DULHJJLDWL PHQWUH
LOSHUVRQDOHDGGHWWRHUDSRFRTXDOLILFDWRHVSHVVRXEULDFR3,O&RPLWDWRGLVRFFRUVRDLIHULWLDVVXQVHODJHVWLRQH
GHOVHUYL]LRDPEXODQ]HPXWzLOQRPHLQ&RPLWDWRGHOOH
DPEXODQ]HHULGLVWULEXuODGLUH]LRQHGLTXHVWHXOWLPHGRGLFLLQWXWWRDXQDUHVSRQVDELOHVFHOWDWUDOHFRPSRQHQWL
GHO&RPLWDWRO·DVVLVWHQ]DGHOO·2VSHGDOHGHOOD7ULQLWjGHL
3HOOHJULQLYHQQHDIILGDWDD*LXOLD3DROXFFLH'LQD*DOOHWWLTXHOODGHOO·2VSHGDOHGL6DQWR6SLULWRD*LXOLD&DWUDPH
0RGHQDTXHOODGHO6DQ*LDFRPRDOODIHUUDUHVH0DOYLQD
&RVWDELOLTXHOODGHO6DQ*DOOLFDQRDG$GHOH%DURIILRLQROWUHDQGDURQRDO6DQ*LRYDQQL3DROLQD/XSLDO6DQ3LHWURLQ
0RQWRULR(QULFKHWWD'L/RUHQ]RDO)DWHEHQHIUDWHOOLSarah
Margaret Fuller JLRUQDOLVWD VWDWXQLWHQVH FRUULVSRQ-
Appunti per una infermieristica
del Risorgimento
3HULO&HQWRFLQTXDQWHQDULRGHOO·8QLWjG·,WDOLDqGRYHURVRULFRQRVFHUHDL0DUWLULG·DOORUDODSDWHUQLWjGHOODQRVWUD
1D]LRQH9DOHODSHQDVSHQGHUHTXDOFKHULJDSHUULFRUGDUH TXHOOH LPPHQVH ILJXUH GHOO·,QIHUPLHULVWLFD QDVFHQWH
GRQQHLWDOLDQHHVWUDQLHUHSDWULRWHHGLQIHUPLHUHPDGUL
VHPLVFRQRVFLXWHGHOO·,WDOLDULVRUJLPHQWDOH9RUUHLSDUODUYL
GL0DULD&ULVWLQD%HDWULFH%DUEDUD/HRSROGD&ORWLOGH0HOFKLRUUD&DPLOOD*LXOLD0DUJKHULWD/DXUD7ULYXO]LRSULQFLSHVVDGL%HOJLRMRVRGL6DUDK0DUJDUHW)XOOHU2VVROLHGL
-HVVLH-DQH0HULWRQ:KLWH0DULR
,Q ,QJKLOWHUUD Florence Nightingale QHO DQQXQFLzDOODIDPLJOLDGLYROHUVLGHGLFDUHDOODFXUDGLPDODWL
HLQGLJHQWLQHOHQHOVRJJLRUQzSHUXQSHULRGR
D.DLVHUVZHUWKSUHVVR'VVHOGRUIXQRVSHGDOHJHVWLWRGD
XQJUXSSRGLGLDFRQHVVHOXWHUDQHHGDODJRVWR
DORWWREUHIXVRYULQWHQGHQWHDOO·,QVWLWXWHIRUWKH
&DUHRI6LFN*HQWOHZRPHQGL/RQGUD,ORWWREUH
DXWRUL]]DWDGD6LGQH\+HUEHUW)ORUHQFH1LJKWLQJDOHSDUWu
FRQWUHQWRWWRLQIHUPLHUHYRORQWDULHDGGHVWUDWHGDOHLSHU
OD7XUFKLDHDLSULPLGLQRYHPEUHJLXQVHD6FXWDULRJJL
XQTXDUWLHUHGL,VWDQEXODNPGD%DODNODYDTXDUWLHUJHQHUDOHGHOODVSHGL]LRQHEULWDQQLFDLQ&ULPHDSUHVVR 6HEDVWRSROL 1RQRVWDQWH TXDOFKH UHVLVWHQ]D GD SDUWH
GHLPHGLFLOHLQIHUPLHUHSXOLURQRDIRQGRO·RVSHGDOHHJOL
VWUXPHQWLHULRUJDQL]]DURQRO·DVVLVWHQ]DPDODPRUWDOLWj
QRQGLPLQXuGRYXWDVRORSHULODOOHIHULWHHVVDGLSHQGHYDGDOVRYUDIIROODPHQWRGDOODPDQFDQ]DGLYHQWLOD]LRQHHGDOOHFDUHQ]HGHOVLVWHPDIRJQDULR6RORQHOPDU]R
XQD FRPPLVVLRQH VDQLWDULD LQYLDWD GDOO·,QJKLOWHUUD
SRUWzXQDGUDVWLFDULGX]LRQHGHOODPRUWDOLWj$OVXRULWRUQR
LQSDWULDGRYXWRSUREDELOPHQWHDGXQDIRUPDFURQLFDGL
EUXFHOORVLFRQWUDWWDGXUDQWHODJXHUUDUDFFROVHPDWHULDOH
SHUOD5R\DO&RPPLVVLRQRQWKH+HDOWKRIWKH$UP\SHUOD
TXDOHVFULVVHLO5DSSRUWR)LQDOHGHOOD&RPPLVVLRQHGLSL
GLSDJLQHHULFFRGLVWDWLVWLFKHGHWWDJOLDWHIXFHQWUDOH DQFKH QHOOD VXFFHVVLYD DWWXD]LRQH GHOOH UDFFRPDQGD]LRQLILQDOLGHOUDSSRUWRFKHULYROX]LRQDURQRODVDQLWj
PLOLWDUHVLQRDOODFRVWLWX]LRQHGHOO·$UP\0HGLFDO&ROOHJH.
0ROWLRVSHGDOLVRSUDWWXWWRPLOLWDULYHQQHURFRVWUXLWLVHJXHQGR OH VXH LQGLFD]LRQL H D OHL VL GHYH OD SL IDPRVD
VFXRODGLQXUVLQJGHOPRQGRPRGHUQRSUHVVRLO6DLQW7KRPDV+RVSLWDO
%DQWL$0,O5LVRUJLPHQWRLWDOLDQR(GLWRUL/DWHU]D5RPD%DUL
S
9LOODUL/ %HOODHSHUGXWD/·,WDOLDGHO5LVRUJLPHQWR(GLWRUL/DWHU]D
5RPD%DULS
35RVVL0&ULVWLQD7ULYXO]LR3ULQFLSHVVDGL%HOJLRMRVR,OSHQVLHURSR-
1HOOR VWHVVR SHULRGR LQ ,WDOLD GXUDQWH OD 5HSXEEOLFD
OLWLFR)UDQFLDFRUWD%UHVFLDS
11
MAURIZIO MERCURI
EHQUHJRODWRGLDVVLVWHQ]DEDVDWR VXLGDWLGHOODVFLHQ]D
HTXDOHYLHQHSUDWLFDWRQHLSDHVLSLLQFLYLOLWLG·(XURSDµ.
&DSDFHGLPHWWHUHLQDWWREHQSLFKHIRUPHVLVWHPDWLFKHGLYRORQWDULVPRHULYHODQGRFRPSHWHQ]HJHVWLRQDOL
IXRULGDOFRPXQH&ULVWLQDQHOO·DUFRGLSRFKLVVLPRWHPSR
FRQFHSuXQDVWUXWWXUDLQWHJUDWDGLLQWHUYHQWLWHFQLFLHGXFDWLYLHUHOD]LRQDOLFKHDJLXGL]LRGLVWRULFLGHOFDPSR
SUHFRUURQRODULIRUPDLQIHUPLHULVWLFDPRGHUQDFRPSLXWD
TXDWWUR DQQL GRSR GD )ORUHQFH 1LJKWLQJDOH GXUDQWH OD
JXHUUDGL&ULPHD,QOHLROWUHDOO·RUJDQL]]D]LRQHIUHGGDH
IDWWLYDSXOVDXQFXRUHGROFHHSUHPXURVRVRVWLHQHLOPRUDOHGHLIHULWLUHVWDQGRILQRDWDUGLDOHJJHUHLURPDQ]LGL
'LFNHQVDOFDSH]]DOHGHLPDODWLGHOO·XQRHGHOO·DOWURFDPSR&ULVWLQDYLYHGHOO·LGHDOHHYDQJHOLFRGHOODFRPSDVVLRQH
HGLTXHOORVDQVLPRQLDQRGHOODGHGL]LRQH.
4XHVWHGRQQHLQIHUPLHUHVRWWRODJXLGDGL&ULVWLQDIXURQRORGDWHGDLIUDQFHVLSHUO·LGHQWLFR]HORFRQFXLFXUDYDQR
LIHULWLGLHQWUDPELJOLHVHUFLWLWURYDURQROHFULWLFKHGLPHGLFLHGLUHVSRQVDELOLGLVWUXWWXUHVDQLWDULHYHWXVWHHLQDGHJXDWHGLVSUH]]DWHHIXURQRULGLFROL]]DWHGDJOLHVSRQHQWL
GHOIURQWHOHJLWWLPLVWDHFRQWURULYROX]LRQDULRFKHVSDUVHUR
O·RPEUDGHOO·LPSXGLFL]LDHLOVRVSHWWRGHOORVFDUVRRQRUH
VXOORURLPSHJQRDVVLVWHQ]LDOH&RPPRYHQWHODOHWWHUD
DO3DSDLQGLIHVDGHOOHGRQQHLQIHUPLHUH ´FKHPLIXURQR
FRPSDJQHHFKHYRORQWDULDPHQWHPLDFFHWWDURQRSHUORUR
GLUHWWULFH « OH GRQQH FKH PL HUDQR VWDWH GHQXQ]LDWH
HUDQRJLjGDYDULJLRUQL«YLJLODQWLDLOHWWLGHLIHULWLQRQ
DYHYDQR ULIXJJLWR LQQDQ]L Qp DOOD SL LQJHQWH IDWLFD Qp
DOOHYLVWHHDOOHRSHUHSLULOXWWDQWLQpDOSHULFRORSRLFKp
JOL RVSHGDOL HUDQR VHJQR DOOH ERPEH IUDQFHVL 1HVVXQR
SRWUHEEHULQIDFFLDUHDTXHVWHGRQQHXQDSDURODQRQFKH
XQDWWRPHQRFKHGHFRURVRHYHUHFRQGR)RUVHOHDYUHLFLz
QRQRVWDQWHHVSXOVHVHQRQDGRUDVVLLSUHFHWWLGLTXHO'LR
FKHULYHVWLWRGHOO·XPDQDVSRJOLDQRQHEEHDVGHJQRFKH
XQDGRQQDGLSHUYHUVLFRVWXPLJOLXQJHVVHLSLHGLHFRQOH
OXQJKHWUHFFHOLDVFLXJDVVH«FKHFRVDVLDVWDWDTXHOOD
GRQQDSULPDG·RUDQRQORVRPDVRFKHGDOPRPHQWRLQ
GHQWH D 5RPD
SHU LO ´7ULEXQHµ H DXWULFH
QHO GHO
SULPR PDQLIHVWR IHPPLQLVWD
DPHULFDQR DO
6DQWD 7HUHVD
(QULFD)LORSDQWL
DO 0RQWL 2OLPSLD5D]]DQL.
,Q XQ GLVSDFFLR GHOOD )XOOHU GDWDWR PDJJLR VL
OHJJH´«SHU
OD SULPD YROWD
KR YLVWR TXHO
FKH VRIIURQR
'DJKHUURWLSRGL6DUDK0DUJDUHW)XOOHU JOL XRPLQL IHULGL-RKQ3OXPEH
WL /D QRWWH GHO
DSULOHO·KRSDVVDWDLQRVSHGDOHHKRYLVWRODWHUULELOH
DJRQLDGLFKLPRULYDRGLFKLGRYHYDHVVHUHDPSXWDWRKR
SURYDWROHORURVRIIHUHQ]HPHQWDOLHODPDQFDQ]DGHLFDUL
ORQWDQLGDWRFKHPROWLGLTXHVWLHUDQR/RPEDUGLYHQXWL
GDLFDPSLGL1RYDUDSHUFRPEDWWHUHFRQPDJJLRUIRUWXQD0ROWLHUDQRVWXGHQWLGHOO·8QLYHUVLWj«DUUXRODWLVLH
«JHWWDWLVLQHOODSULPDOLQHDGLFRPEDWWLPHQWR«JOL
RVSHGDOL«VRQRVWDWLPHVVLLQRUGLQHHYLFLVRQRVWDWL
PDQWHQXWLGDOOD3ULQFLSHVVD%HOJLRMRVRµ6.
Cristina Trivulzio di Belgiojoso QHL 6RXYHQLUV
ULFRUGDODJHQHURVLWjGHOSRSRORURPDQRFKHDOJULGRGL
´9LYDOD5HSXEEOLFDµIDFHYDSLRYHUHGDOOHILQHVWUHPDWHUDVVLFXVFLQLHFRSHUWH/DFLWWDGLQDQ]DJHQHURVDPHQWH
UDFFRJOLHYDIRQGL6RWWRODJXLGDGL$QJHOR%UXQHWWLLOSRSRODUH&LFHUXDFFKLROHIDPLJOLHGL7UDVWHYHUHDOOHVWLYDQR
EHQGHHILODFFHHVLLPSHJQDYDQRSHUWURYDUHFDVHSULYDWH
SURQWHDGDFFRJOLHUHLIHULWLTXDQGRJOLRVSHGDOLHUDQRSLHQL&ULVWLQD7ULYXO]LRFROSHQVLHURDOPRGHUQRRVSHGDOHGL
3DULJL FKLHVH DL WULXPYLUL GL VRVWLWXLUH JUDGDWDPHQWH ´OH
PRVWUXRVLWjµ GHOO·DSSDUDWR SUHVHQWH FRQ ´XQ VLVWHPD
GHO&RQYHJQR5RPD)DWHEHQHIUDWHOOLPDJJLRS
7ULYXO]LRGL%HOJLRMRVR&5LFRUGLGDOO·HVLOLRWULWGL0)'DYu(7$6
3LVDS
/HWWHUD DL &LWWDGLQL 7ULXPYLUL PDJJLR LQ 5RVVL &ULVWLQD
7ULYXO]LR3ULQFLSHVVDGL%HOJLRMRVR,OSHQVLHURSROLWLFRFLWS
'HO7URQR/ /DSULQFLSHVVD&ULVWLQD7ULYXO]LRGL%HOJLRMRVRHO·DVVLVWHQ]DLQIHUPLHULVWLFDLQ´0HGLFLQDVRFLDOHµSS
*URVVR05RWRQGR/ ´6HPSUHWRUQHUzDSUHQGHUHFXUDGHOPLR
SDHVH H D ULYHGHUH WHµ &ULVWLQD 7ULYXO]LR GL %HOJLRMRVR LQ $$99
'RQQHGHO5LVRUJLPHQWRLO0XOLQR%RORJQDS
$QFKH3LR,;QHOO·HQFLFOLFD1RVWLVHWQRELVFXPGLFHPEUH
HVSUHVVHLOVXRVGHJQRSHULSRYHULLQIHUPLFRVWUHWWLDUHQGHUHO·DQLPD
IUDJOLDOOHWWDPHQWLGLTXDOFKHVIDFFLDWDPHUHWULFH
/LD /HYL ,O VRJQR LWDOLDQR GL XQ·DPHULFDQD 0DUJDUHW )XOOHU LQ
$$99 'RQQH GHO 5LVRUJLPHQWR LO 0XOLQR %RORJQD S 7DPEOp'/HFDUWHVX0DUJDUHW)XOOHUQHOO·$UFKLYLRGL6WDWRGL5RPD
LQ´'LPHQVLRQLHSUREOHPLGHOODULFHUFDVWRULFDµ
'H/RQJLV' 3DWULRWHHLQIHUPLHUHLQ%LEOLRWHFDGLVWRULDPRGHUQD
H FRQWHPSRUDQHD )RQGDUH OD QD]LRQH , UHSXEEOLFDQL GHO H O
GLIHVDGHO*LDQLFRORDFXUDGL/5RVVL5RPD3DORPELS
6 ,GLVSDFFLGHOOD)XOOHUDFXUDGL0DULR%DQQRQLLQ 0DUJDUHW)XOOHU
2VVROL/HGRQQHHO·LPSHJQRFLYLOHQHOOD5RPD5LVRUJLPHQWDOH$WWL
12
INFERMIERISTICA DEL RISORGIMENTO
FXLVLDFFLQVHDTXHVWD RSHUD SLD SLDPHQWH VL q FRPSRUWDWD Qp PL RFFRUUH
VDSHUHDOWURµ.
/D %HOJLRMRVR VL
GLVWLQVHSHUOHJUDQGL
FDSDFLWj RUJDQL]]DWLYH H SHU OD GHWHUPLQD]LRQH H JLXQVH
SHUVLQR D FRQFHSLUH
XQ SURJHWWR GL ULRUJDQL]]D]LRQH GHO
VHWWRUH FXL VL DJJLXQVH TXHOOR GHO
SDWULRWD
PHGLFR
$JRVWLQR %HUWDQL
FKH SHUz QRQ WURYz
VHJXLWR.
5LWUDWWR GL -HVVLH :KLWH 0DULR /·HVHPSLR FDSLLQ6FULWWLHGLWLHGLQHGLWLY/9,,GHOO·
WROLQR
IX OD VFLQWLOOD
(GL]LRQH1D]LRQDOH,PROD*DOHDWL
SHU DOWUH ORFDOLWj
GHOOR6WDWR3RQWLILFLR$QFRQDODWHU]DFLWWjSHULPSRUWDQ]D GHOOD 5HSXEEOLFD IX SRVWD VRWWR DVVHGLR GDOO·HVHUFLWR
DXVWULDFR ,O PDJJLR OD &RPPLVVLRQH VDQLWDULD
PLOLWDUH LVWLWXu XQ VHUYL]LR GL DPEXODQ]H SHU SHUPHWWHUH
O·DVVLVWHQ]DDLIHULWLGXUDQWHLOEORFFRLPSHULDOH6LVWDELOLURQRVHLVH]LRQLGLDPEXODQ]HLQGLYLGXDELOLGDEDQGLHUH
QHUHSRVWHVXOWHWWRVLWXDWHLQGLIIHUHQWLTXDUWLHULFRQYHQWR6DQ3ULPLDQRPDJD]]LQLGLFDVD)RVFKLLQYLDGHO3RUWR
PDJD]]LQRLQYLDYROWRQHGL6DQW·$JRVWLQRULPHVVDGLYLD
*UDQGHGL&DSRGL0RQWHULPHVVDGLFDVD7RUVLRQLD3RUWD)DULQDPDJD]]LQRDO&DVRQHVRWWRL&DSSXFFLQL7UDOH
YRORQWDULHHOHLQIHUPLHUHYDQQRULFRUGDWH)HOLFLWD$OILHUL
0DULD%HOHOOL0DULD%LJD]]L(PLOLDH5RVD%UDQFLDUG$QJHOD&DVHOOD*LXOLD&RVWDQWLQL&DWHULQDHG(PLOLD&RVWD
*HOWUXGHH&OHRIH(VSHUR0DULD)ULJJHULR2UVROD*LUHWWL
)UDQFHVFD/RSH]0DULD0RQWHFXFFROL*LRYDQQD3LQWRH
ODFRQWHVVD/XLJLD0LOHWWR%DOGLQL.
GL GLYHQLUH O·LQIHUPLHUD GHL VXRL IHULWL /H IX YLHWDWR O·LQJUHVVRDOODIDFROWjGLPHGLFLQDXQSURIHVVRUHPLQDFFLzGL
GLPHWWHUVLVHIRVVHVWDWDDPPHVVDXQDGRQQD-HVVLHIX
SHUFLz´VRORµXQ·LQIHUPLHUDPDFKHLQIHUPLHUD'RSROD
SUHVDGL3DOHUPRIXURQRDSHUWLRVSHGDOLSURYYLVRUL,OGRWWRU
5LSDULPHGLFRLQFDSRGHOO·HVHUFLWRGL*DULEDOGLYROJHQGR
JOLRFFKLLQWRUQRLQFHUFDGLXQOXRJRDULRVRHVDQRSHUL
VXRLXRPLQLVFHOVHLOFROOHJLR0DVVLPRGHL*HVXLWL'XUDQWHOHFLQTXHVHWWLPDQHGLDSHUWXUDFRQO·RUJDQL]]D]LRQH
GHOOHFXUHGDSDUWHGHOOD:KLWHQRQDQGzSHUGXWRDOWUR
FKHXQXRPRLOTXDOHPRUuGLYDLRORQHURPDVLFFRPH
LOOXRJRHUDVSD]LRVRJOLVLSRWqDVVHJQDUHXQSDYLPHQWR
SHUOXLVRORO·LQIH]LRQHQRQVLGLIIXVH´,OGLDYROHWWRµ1DSROLDJRVWRµ8QRGHJOLXOWLPLLPSHJQLGL-HVVLH
FRPHLQIHUPLHUDIXGLDVVLVWHUH*DULEDOGLQHOO·RSHUD]LRQH
SHUHVWUDUUHGDOVXRSLHGHGHVWURXQDSDOODGLIXFLOHFKH
JOLHUDVWDWDVSDUDWDVXOO·$VSURPRQWHGDXQEHUVDJOLHUH
GRSRFKHLOJRYHUQDWRUH&LDOGLQLDYHYDRUGLQDWRFKHXQD
FRORQQDPXRYHVVHFRQWURLYRORQWDUL,O*HQHUDOHIXRSHUDWRGDXQPHGLFRWRVFDQRLOSURIHVVRU=DQHWWLDLXWDWRGD
-HVVLHFKHVLRFFXSzGHOO·DQHVWHVLDFROFORURIRUPLRHGHL
IHUUL H FKH VXELWR PDQGz XQ WHOHJUDPPD UDJJLDQWH DJOL
DPLFLLQJOHVLSHUDQQXQFLDUHLOEXRQHVLWRGHOO·RSHUD]LRQH
1RQSDVVzPROWRWHPSRFKHGDOO·,QJKLOWHUUDDUULYDURQRULFKLHVWHGHOOHEHQGHHGHOOHOHQ]XRODPDFFKLDWHGDOVDQJXH
GL*DULEDOGLGDFRQVHUYDUHSHUULFRUGRGHOO·(URHGHL'XH
0RQGL'RSRO·XQLILFD]LRQHLWDOLDQDVLRFFXSz GHL SUREOHPLVRFLDOLLQWUHSURJHWWLULJXDUGDQWLODSHOODJUDQHOOH
FDPSDJQHODULFHUFDVXOOHFRQGL]LRQLGHLSRYHULGL1DSROL
HODVDOXWHGHLPLQDWRULQHOOHVROIDWDUHVLFLOLDQH
$OFXQHGLTXHVWHHURLQHPRULURQRSULPDGHOO·8QLWjG·,WDOLD4XHOOHFKHVRSUDYYLVVHURQRQWURYDURQRO·DSSRJJLR
GHLJRYHUQLGHOO·,WDOLDXQLWDVHEEHQHSDUWHFLSDURQRLGHH
HFRUSRDGDUQHIRQGDPHQWR6RSUDWWXWWRQRQLVWLWXLURQR
VFXROHLOFKHOHODVFLzLQRPEUDSHUFLzFKHFRQFHUQHOD
SURIHVVLRQHGL,QIHUPLHUD
'RQL( /·LQJOHVHFKHDPDYDO·,WDOLDHODVJULGDYD-HVVLH:KLWH
0DULRLQ$$99'RQQHGHO5LVRUJLPHQWRLO0XOLQR%RORJQD
SS
%DQWL $0 D FXUD GL 1HO QRPH GHOO·,WDOLD ,O 5LVRUJLPHQWR QHOOH WHVWLPRQLDQ]H QHL GRFXPHQWL H QHOOH LPPDJLQL (GLWRUH /DWHU]D
5RPD%DULFDSDFXUDGL=D]]DUL$SS/·RVSHGDOH
GL*DULEDOGL
'RQL/·LQJOHVHFKHDPDYDO·,WDOLDHODVJULGDYD-HVVLH:KLWH0DULRFLWSS6HFRQGRXQ·DOWUDYHUVLRQH*DULEDOGLIXRSHUDWRD
&DSUHUDHVRORDOORUDJOLIXWROWDODSDOORWWRODGDOSLHGHSHURSHUDGHO
FKLUXUJRIUDQFHVH$XJXVWH1pODWRQPHGLFRGL1DSROHRQH,,,6LYHGD
,O5LVRUJLPHQWR6WRULDGRFXPHQWLWHVWLPRQLDQ]HDFXUDGL9LOODUL/
/DELEOLRWHFDGL5HSXEEOLFD/·(VSHVVRYRO9,,
1HOO·HVWDWHGHOODPD]]LQLDQDLQJOHVHJessie Jane
Meriton WhitePRJOLHGHOSDWULRWD$OEHUWR0DULRIX
XQD GHOOH ILJXUH GL ULIHULPHQWR QHOO·RUJDQL]]D]LRQH GHOOH
UHWURYLHJDULEDOGLQH$YHYDGDWRODVXDSDURODD*DULEDOGL
/HWWHUDD3LR,;JHQQDLRFLWLQ$0DOYH]]L /DSULQFL-
SHVVD&ULVWLQDGL%HOJLRLRVR7UHYHV0LODQRYRO,,,SS
6HYHULQL 0 /D 5HSXEEOLFD URPDQD GHO 0DUVLOLR 9HQH]LD
SS
,YLS
13
DALLE PROFESSIONI SANITARIE
UGO SABBATINI
5633'LSDUWLPHQWRGL6FLHQ]H%LRPHGLFKH
H6DQLWj3XEEOLFD
8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKH
Principali modifiche introdotte dal regolamento CLP - GHS
,OUHJRODPHQWRXWLOL]]DODWHUPLQRORJLD*+6
LOWHUPLQH´VRVWDQ]DµYLHQHPDQWHQXWR
LOWHUPLQH´SUHSDUDWRµYLHQHVRVWLWXLWRGD´PLVFHODµ
LO WHUPLQH ´FDWHJRULD GL SHULFRORµ YLHQH VRVWLWXLWR GD
´FODVVHGLSHULFRORµ
/DFODVVHGLSHULFRORLQGLFDODQDWXUDGHOSHULFRORILVLFRSHUODVDOXWHRSHUO·DPELHQWH
$OFXQHFODVVLGLSHULFRORFRPSUHQGRQRGLIIHUHQ]LD]LRQLDOWUHSRVVRQRFRPSUHQGHUHFDWHJRULHGLSHULFROR
Le nuove etichette di pericolo
per le sostanze chimiche
Nuova classificazione ed etichettatura
CLP - GHS in Italia
6XOOD *D]]HWWD 8IILFLDOH Q GHO PDU]R q
VWDWR SXEEOLFDWR LO 'HFUHWR GHO 0LQLVWHUR GHOOD 6DOXWH
GHOPDU]RFRQFXLqVWDWDUHFHSLWDOD'LUHWWLYD &( UHFDQWH PRGLILFKH D SUHFHGHQWL GLUHWWLYH SHU DGHJXDUOH DO 5HJRODPHQWR &( Q ´5($&+µ O·DFURQLPR FKH VLQWHWL]]D OD UHJLVWUD]LRQH
OD YDOXWD]LRQH O·DXWRUL]]D]LRQH H OD UHVWUL]LRQH GHOOH
VRVWDQ]H FKLPLFKH 5HJLVWUDWLRQ (YDOXDWLRQ $XWKRULVDWLRQ DQG UHVWULFWLRQ RI &+HPLFDOV UHODWLYR DOOD
FODVVLILFD]LRQHDOO·HWLFKHWWDWXUDHGDOO·LPEDOODJJLRGHOOH VRVWDQ]H H GHOOH PLVFHOH &ODVVLILFDWLRQ /DEHOOLQJ
3DFNDJLQJ &/3
/·DSSOLFD]LRQHGHLQXRYLFULWHULGLFODVVLILFD]LRQHHWLFKHWWDWXUHHGLPEDOODJJLRqJLjREEOLJDWRULDDSDUWLUH
GDOƒGLFHPEUHSHUOHVRVWDQ]HHORVDUjGDOƒ
JLXJQRSHULSUHSDUDWL,OQXRYR5HJRODPHQWRFRQVHQWLUjGLUDJJLXQJHUHJOLRELHWWLYLSUHYLVWLGDO*OREDOO\
+DUPRQL]HG6\VWHP*+6HPDQDWRGDOOD&RPPLVVLRQH
81&(' GHOO·218 VLQ GDO FRQ GXH UHYLVLRQL QHO
HQHO,OVLVWHPD&/3*+6FRQVHQWLUjGLFODVVLILFDUHHGHWLFKHWWDUHXQDVRVWDQ]DLQPRGRXQLYRFRD
OLYHOORPRQGLDOH,O5HJRODPHQWRFRLQYROJH
WXWWLLSURGXWWRULLGLVWULEXWRULHJOLXWLOL]]DWRULDYDOOH
GL SURGRWWL FKLPLFL LQGLSHQGHQWHPHQWH GDOOD TXDQWLWj
SURGRWWDYHQGXWDRGXWLOL]]DWD
/·8QLRQH(XURSHDKDDGRWWDWRIRUPDOPHQWHLOQXRYR
VLVWHPDGLFODVVLILFD]LRQHDWWUDYHUVRLOUHJRODPHQWR&/3
SUHYHGHQGRSHUO·DSSOLFD]LRQHGHOOHQRUPHDUPRQL]]DWHXQDIDVHGLWUDQVL]LRQHILQRDOODDEURJD]LRQHGHILQLWLYDGHOOHDWWXDOLQRUPDWLYHLQPDWHULDGLFODVVLILFD]LRQH
GHOOHVRVWDQ]HHGHLSUHSDUDWLSHULFRORVLFKHDYYHUUjLO
ƒJLXJQR
,O VLVWHPD GL FODVVLILFD]LRQH H HWLFKHWWDWXUD GHILQLWR
QHO5HJRODPHQWR&/3*+6VLXQLIRUPDLQROWUHDOVLVWHPDGLHWLFKHWWDWXUDGHOWUDVSRUWRVXWHUUDPDUHHDULD
8QRGHLYDQWDJJLSLHYLGHQWLHLPPHGLDWLGHOODDSSOLFD]LRQHGHOOHQXRYHQRUPHqO·DGR]LRQHQHOOHHWLFKHWWHGHL
SURGRWWLFKLPLFLGHJOLVWHVVLVLPEROLGLSHULFRORGDSDUWH
GL3DHVLHXURSHLHGH[WUDHXURSHLFKHDYUDQQRVLJQLILFDWLXQLYRFLDOGLOjGHOOHGLIIHUHQ]HOLQJXLVWLFKH
5LSRUWLDPRXQDVLQWHVLGLXQGRFXPHQWRVXOWHPDSUHSDUDWRGD6LFXUODELOGLFHPEUH
,OUHJRODPHQWR&/3GHILQLVFHFODVVLGLSHULFROR
FODVVLGLSHULFRORILVLFR
FODVVLGLSHULFRORSHUODVDOXWHXPDQD
FODVVHGLSHULFRORSHUO·DPELHQWH
FODVVHVXSSOHPHQWDUHSHUOHVRVWDQ]HSHULFRORVHSHU
ORVWUDWRGLR]RQR
/H FODVVL EDVDWH VXOOH SURSULHWj ILVLFRFKLPLFKH VRQR
GLYHUVHGDOOHDWWXDOLFDWHJRULHGLSHULFROR(VVHWHQJRQR
FRQWRGHOOHFODVVLGHILQLWHQHOODOHJLVOD]LRQHLQWHUQD]LRQDOHULJXDUGDQWHLOWUDVSRUWRGLPHUFLSHULFRORVH
/·HWLFKHWWDWXUD FRPSUHQGH HOHPHQWL SLWWRJUDPPL
FKHVRQRGLYHUVLGDTXHOOLDWWXDOPHQWHXWLOL]]DWL/HLQIRUPD]LRQLULFKLHVWHVRQRJOLLGHQWLILFDWRULGHOSURGRWWR
O·LGHQWLWj GHO IRUQLWRUH L VLPEROL GL SHULFROR OH SDUROH
GL VHJQDOD]LRQH OH IUDVL GL ULVFKLR H L PHVVDJJL GL DWWHQ]LRQH,QEDVHDOODQXRYDFODVVLILFD]LRQHSUHYLVWDGDO
UHJRODPHQWR&/3VXOO·HWLFKHWWDGHYRQRHVVHUHULSRUWDWLL
QXRYLSLWWRJUDPPL
/HIUDVLGLULVFKLR5VRQRVRVWLWXLWHGDOOHQXRYHLQGLFD]LRQLGLSHULFROR+
LFRQVLJOLGLSUXGHQ]D6VRQRVRVWLWXLWLGDLQXRYLFRQVLJOLGLSUXGHQ]D3
7UDOHQRYLWjSULQFLSDOLVLSRVVRQRFLWDUHOHVHJXHQWL
WXWWLLVLPEROLVDUDQQRUDFFKLXVLLQXQDFRUQLFHDURPER
RORVDQJDVXOWLSRGLTXHOOLDWWXDOPHQWHXWLOL]]DWLSHU
O·HWLFKHWWDWXUDGHOWUDVSRUWRDQ]LFKpUHWWDQJRODUH
LOWHVFKLRULPDUUjVSDULUjODFURFHGL6$QGUHDVRVWLWXLWDGDOSXQWRHVFODPDWLYR
QRQYLVDUjSLODGHILQL]LRQH´PROWRWRVVLFRµVRVWLWXLWDGD´OHWDOHµ
1RYLWj DVVROXWD q O·LQTXLHWDQWH VLPEROR GHQRPLQDWR
´3HULFRORSHUODVDOXWHµFKHFDUDWWHUL]]DLSURGRWWLVHQVLELOL]]DQWLPXWDJHQLFDQFHURJHQLWRVVLFLSHUODULSURGX]LRQH´WRVVLFLVXJOLRUJDQLEHUVDJOLRSHUHVSRVL]LRQH
VLQJRODHULSHWXWDµRSHULFRORVLLQFDVRGLDVSLUD]LRQH,
SURGRWWLFRQTXHVWHFDUDWWHULVWLFKHQRQHUDQRPDLVWDWL
FRQWUDVVHJQDWLGDXQORURVLPERORVSHFLILFRPDODORUR
14
NUOVE ETICHETTE DI PERICOLO
SHULFRORVLWjHUDHYLGHQ]LDWDGDOOHIUDVLGLULVFKLRLQDVVRFLD]LRQHFRQLVLPEROLWUDGL]LRQDOL´WRVVLFRµR´QRFLYRµ
,SURGRWWLFRQ'/GRVHOHWDOH²PJNJFRPSUHVDWUD
HPJNJDWWXDOPHQWHQRQFODVVLILFDWLVDUDQQRLQYHFHQHOODFDWHJRULDGHO&/3PHQWUHXQSURGRWWR
SRWUj YDQWDUVL
GLHVVHUH´QRQ
S H U L F R O R V R µ
VROR VH DYUj
XQD
'/
VXSHULRUH D
PJNJ
UHWWRHVLFXURQHJOLDPELHQWLGLODYRURHLQWXWWHOHIDVLGHO
FLFORSURGXWWLYRGHOODVRVWDQ]DRPLVFHODFKLPLFD
Attenzione!!!
)LQR DOOD GDWD GL HQWUDWD ´D UHJLPHµ GHO 5HJRODPHQWR
&/3*+6SUREDELOPHQWHQHOOH6FKHGHGL6LFXUH]]DGHOOH VRVWDQ]H H
GHL SUHSDUDWL
S H U L F R O R V L FL WURYHUHPR D OHJJHUH
VFKHGH FKH
ULSRUWHUDQQR DPEHGXH
OH PRGDOLWj
>9HGL 6LQRWWLFD@
3UHVVR O·,VWLWXWR 6XSHULRUHGL6DQLWj
q FRVWLWXLWR LO
´&HQWUR 1D]LRQDOH 6RVWDQ]H &KLP L F K H µ ' L U H W W U L F H
'RWWVVD 5RVD
'UDLVFL SHU
VYROJHUH OH
DWWLYLWj SUHYLVWH GDL 5HJRODPHQWL FRPH
$JOLXWLOL]]DWRUL SURIHVVLRQDOL LQVLHPH
DOO·HWLFKHWWD GL
SHULFROR YLHQH
FRQVHJQDWD OD
6FKHGD ,QIRUPDWLYD GL 6LFXUH]]D 6'6
FRPH GHILQLWD
QHOO·DOOHJDWR ,,
DO 5HJRODPHQWR5($&+FKH
GHVFULYH LQ SXQWL WXWWH OH
LQIRUPD]LRQL H
OH LQGLFD]LRQL
SHUXQXVRFRU15
UGO SABBATINI
RUJDQLVPR WHFQLFRVFLHQWLILFR DOO·LQWHUQR
GHOO·$XWRULWj &RPSHWHQWH SUHSRVWD DOOD
DSSOLFD]LRQHGHLUHJRODPHQWL5($&+H&/3
LQ,WDOLD
,O &HQWUR 1D]LRQDOH 6RVWDQ]H &KLPLFKH
GHOO·,VWLWXWR 6XSHULRUH GL 6DQLWj KWWS
ZZZLVVLWFQVF LQ FROODERUD]LRQH FRQ
O·$VVRFLD]LRQH 3URIHVVLRQDOH RI &KHPLFDO ,QGXVWU\ %* 5&, ZZZEJUFLGH KD
UHDOL]]DWR XQR VWUXPHQWR GL VXSSRUWR SHU
XQD PLJOLRUH JHVWLRQH GHOOD WUDQVL]LRQH
DO QXRYR VLVWHPD GL FODVVLILFD]LRQH H HWLFKHWWDWXUD SUHYLVWR GDO UHJRODPHQWR &/3
LO´FRQYHUWLWRUHµ
,O FRQYHUWLWRUH *+6 SXz HVVHUH XVDWR
SHU VWDELOLUH XQD ´QXRYDµ FODVVLILFD]LRQH
´*+6FRQIRUPHµ EDVDWD VXOOD SUHFHGHQWH FODVVLILFD]LRQH LQ DFFRUGR FRQ OH OLQHH
JXLGD UHODWLYH DOOH VRVWDQ]H ULOHYDQWL R DL
SUHSDUDWL
3HUXOWHULRULDSSURIRQGLPHQWL
*XLGD DOO·HWLFKHWWDWXUD H DOO·LPEDOODJJLR D QRUPD GHO UHJRODPHQWR &( Q
KWWSHFKDHXURSDHX
Alcune raccomandazioni
&RQVHUYDUHFRUUHWWDPHQWHOHVRVWDQ]HSHULFRORVH
/H VRVWDQ]H SHULFRORVH QRQ
GHYRQRPDLHVVHUHDFFHVVLELOLDL
QRQDGGHWWLDLODYRUL
&RQWUROODUH OH LQGLFD]LRQL GHOOD
VFKHGD GL VLFXUH]]D R GHOO·LPEDOODJJLR
*OL DUPDGL H L ORFDOL GHYRQR HVVHUH FRQWUDVVHJQDWL LQ
PDQLHUDFKLDUDHYLVLELOHFRQO·RSSRUWXQDVHJQDOHWLFDGL
VLFXUH]]D
(YLWDUHULVFKLLJQRWL
0DQLSRODUH VRVWDQ]H SHULFRORVHULFKLHGHLQPROWLFDVLXQD
IRUPD]LRQHSDUWLFRODUHRXQDGGHVWUDPHQWR
121XVDUHVRVWDQ]HGLFXLQRQ
VL FRQRVFH OD SHULFRORVLWj R SHU
OH TXDOL QRQ VL q LQ JUDGR GL
DGRWWDUHOHQHFHVVDULHPLVXUHGLSURWH]LRQH
(YLWDUHGLFRQIRQGHUHLUHFLSLHQWL
&RQVHUYDUHOHVRVWDQ]HSHULFRORVH VROR QHOO·LPEDOODJJLR RULJLQDOH
*OL LPEDOODJJL GHYRQR HVVHUH
WDOLGDQRQHVVHUHFRQIXVLFRQ
SURGRWWL DOLPHQWDUL FLEL YDUL
FRVPHWLFLRPHGLFLQDOL
,OLTXLGLSHULFRORVLQRQGHYRQR
PDLHVVHUHWUDYDVDWLLQERWWLJOLHSHUEHYDQGH
6PDOWLUHFRUUHWWDPHQWHOHVRVWDQ]HSHULFRORVH
/HVRVWDQ]HSHULFRORVHRHYHQWXDOL ULPDQHQ]H LQXWLOL]]DWH GHYRQR HVVHUH VPDOWLWH LQ PRGR
FRUUHWWR²5HJLVWURGHL5LILXWL 6,675,'LWWD´DXWRUL]]DWDµLQFDULFDWDSHUORVPDOWLPHQWRSURFHGXUHSUHYLVWHGDOODQRVWUD$PPLQLVWUD]LRQH
16
DALLE PROFESSIONI SANITARIE
SILVANO TROIANI, MANUELA AMADIO,
AGNESE GIONNI
&RUVRGLODXUHDLQLQIHUPLHULVWLFD
3RORGLVWDFFDWRGL$VFROL3LFHQR
GHOOD=RQD7HUULWRULDOHGL$VFROL3LFHQRVWXGHQWL
GHO,,,DQQRGHO&RUVRGL/DXUHDLQ,QIHUPLHULVWLFDVRQR
VWDWLFRLQYROWLQHOODUHDOL]]D]LRQHGLLQWHUYHQWLHGXFDWLYL
ULYROWLDOODSRSROD]LRQHQHOO·DPELWRGHOO·LQL]LDWLYD ´&RUULDPR SL YHORFL GHO 'LDEHWH´ VYROWDVL LO QRYHPEUH
QHOOD&LWWjGL$VFROL3LFHQR
/D SDUWHFLSD]LRQH GHJOL VWXGHQWL DOO·HYHQWR q VWDWD
SUHFHGXWDGDXQPRPHQWRIRUPDWLYRFRQGRWWRGDO'LULJHQWHPHGLFRHGDOO·,QIHUPLHUDGHO&HQWUR$QWLGLDEHWLFR
FRQ O·LQWHQWR GL FRQGLYLGHUH O·RUJDQL]]D]LRQH H OD PRGDOLWjGLUHDOL]]D]LRQHGHOODFDPSDJQDGLLQIRUPD]LRQH
HVHQVLELOL]]D]LRQHULYROWDDOODFLWWDGLQDQ]D6LqPHVVR
LQ HYLGHQ]D LO GXSOLFH VFRSR GHOO·HYHQWR GD XQD SDUWH
LQGLYLGXDUH HG DIIURQWDUH L ELVRJQL GL DXWRJHVWLRQH GHO
SD]LHQWHGLDEHWLFRHGDOO·DOWURLQGLYLGXDUHLFLWWDGLQLFRQ
´SUHGLDEHWHµTXHOOLFLRqFKHQRQVRQRDQFRUDGLDEHWLFL
PDDULVFKLRGLGLYHQWDUOR
,Q SDUWLFRODUH O·LQWHUYHQWR HGXFDWLYR VL SURSRQHYD GL
UDJJLXQJHUHLVHJXHQWLRELHWWLYL
LVWUXLUHO·XWHQWHDOO·DXWRJHVWLRQHGHOODPDODWWLD
DGGHVWUDUHLOSD]LHQWHDFRQWUROODUHODSURSULDJOLFHPLD
ULOHYDUHLVHJQLGHOODSRVVLELOHFRPSDUVDGHOOHFRPSOLFDQ]H
GLVWULEXLUHPDWHULDOHLQIRUPDWLYR
FRQVLJOLDUHODFRUUHWWDGLHWD
LOOXVWUDUHOHFDUDWWHULVWLFKHSULQFLSDOLGHOODPDODWWLD
LOOXVWUDUHLYDORULHJOLRELHWWLYLGHOOHFXUHHGLFRPSRUWDPHQWLGDPHWWHUHLQDWWR
GLVWULEXLUHTXHVWLRQDULGLDJQRVWLFL
YDOXWD]LRQHGHOULVFKLRVYLOXSSRGLDEHWH
LGHQWLILFDUHLELVRJQLGHLFLWWDGLQLLQTXDGUDQGROLDQFKH
VHFRQGR FDSDFLWj GL DSSUHQGLPHQWR H QHO FRQWHVWR
SVLFRVRFLDOH
YDOXWDUHODFDSDFLWjJHVWXDOHDGHVHJXLUHXQRVWLFNJOLFHPLFRDSSRUWDQGRD]LRQLFRUUHWWLYHVHQHFHVVDULH
XVDUHODSHQQDHRVLULQJDGDLQVXOLQDHJHVWLUHLOGLDULR
GHOO·DXWRFRQWUROOR
/·RSSRUWXQLWjGLSDUWHFLSDUHDOO·HYHQWRGHJOLVWXGHQWL
GL,QIHUPLHULVWLFDqVFDWXULWDGDOIDWWRFKHO·HGXFD]LRQH
IRUPD]LRQHGHOSD]LHQWHqSDUWHLQWHJUDQWHGHOFRQFHWWR
GLDVVLVWHQ]D/DJHVWLRQHGHOSD]LHQWHGLDEHWLFRULFKLHGH LQIDWWL XQ DSSURFFLR PXOWLGLVFLSOLQDUH GRYH O·LQIHUPLHUHDVVXPHXQUXRORFUXFLDOHVRSUDWWXWWRSHUODVWUHWWD
UHOD]LRQHFRQODFDSDFLWjGHOO·XWHQWHGLUHFHSLUHHFRQGLYLGHUHOHLQGLFD]LRQLHOHVWUDWHJLHIRUQLWLJOLFLUFDO·DXWRFRQWUROORGHOOHSURSULHSDWRORJLHHODPRGLILFD]LRQHGHO
VXRPRGXVYLYHQGL.
Corriamo più veloci del diabete
Esperienza di educazione sanitaria degli
studenti di III anno C. di L. in Infermieristica
Introduzione
6HFRQGRXQDGHILQL]LRQHGHOO·$PHULFDQ'LDEHWV$VVRFLDWLRQLOGLDEHWHqXQGLVRUGLQHPHWDEROLFRFDUDWWHUL]]DWRGDHOHYDWLOLYHOOLGLJOLFHPLDHGDFRPSOLFDQ]HPLFUR
YDVFRODULFKHLQFUHPHQWDQRVRVWDQ]LDOPHQWHODPRUELOLWj
HODPRUWDOLWjDVVRFLDWHDOODPDODWWLDULGXFHQGRO·DVSHWWDWLYDGLYLWD
3URSULRSHUODVXDGLIIXVLRQHHJUDYLWjHSHUOHFRPSOLFDQ]H q GLIILFLOH GD DIIURQWDUH H ULVROYHUH O·218 LO
GLFHPEUHVLJODXQD5LVROX]LRQHFKHGHVLJQDLO
QRYHPEUHFRPH *LRUQDWDGHOOH1D]LRQL8QLWHSHULO
GLDEHWHGRYHVLULFKLHGHDWXWWLJOL6WDWLPHPEULGLSURPXRYHUH XQD SROLWLFD SHU OD SUHYHQ]LRQH /R VFRSR q
TXHOORGLVHQVLELOL]]DUHHLQIRUPDUHO·RSLQLRQHSXEEOLFD
VXOO·LPSRUWDQ]DFKHULYHVWHXQFRUUHWWRVWLOHGLYLWDHOD
FRPSOLDQFHGHOFLWWDGLQRYHUVRODSUHYHQ]LRQHHFXUDGL
TXHVWDSDWRORJLD
6HFRQGRGDWLUHFHQWLGHOO·2060LQLVWHURGHOOD6DOXWHO·GHLGHFHVVLLOGHOODSHUGLWDGLDQQL
GL YLWD LQ EXRQD VDOXWH H LO GHOOH VSHVH VDQLWDULH
LQ (XURSD H LQ ,WDOLD VRQR FDXVDWL GD DOFXQH SDWRORJLH
PDODWWLH FDUGLRYDVFRODUL WXPRUL GLDEHWH PDODWWLH UHVSLUDWRULHFKHKDQQRLQFRPXQHIDWWRULGLULVFKLRSHUOR
SLPRGLILFDELOLTXDOLLOIXPRGLWDEDFFRO·REHVLWjHLO
VRYUDSSHVR OD VHGHQWDULHWj O·DEXVR GL DOFRO OR VFDUVR
FRQVXPRGLIUXWWDHYHUGXUD
4XHVW·DQQROD*LRUQDWDGHO'LDEHWHqGHGLFDWDDOO·HGXFD]LRQHHGDOODSUHYHQ]LRQHGHO'LDEHWH
*UD]LH DO VXSSRUWR YRORQWDULR GL PHGLFL H LQIHUPLHUL
GLDEHWRORJLGLHWLVWLDVVRFLD]LRQLGLSD]LHQWLHDOWULRSHUDWRUL VDQLWDUL H LO FRRUGLQDPHQWR GHOOD *LRUQDWD DVVLFXUDWRGDXQDSSRVLWRFRPLWDWRGLODYRURSURPRVVRGD
'LDEHWH,WDOLDVLqSRWXWRUHDOL]]DUHTXHVWRHYHQWR
1HOOH SULQFLSDOL SLD]]H LWDOLDQH ROWUH GHL SUHVLGL
GLDEHWRORJLFLSUHGLVSRVWLRIIURQRJUDWXLWDPHQWH
FRQVXOHQ]DPHGLFDTXDOLILFDWD
PDWHULDOHLQIRUPDWLYR
VXVVLGLR DOOD FRPSLOD]LRQH GL TXHVWLRQDUL GLDJQRVWLFL
SHUYDOXWDUHLOULVFKLRGLVYLOXSSDUHLOGLDEHWH
O·HVHFX]LRQHGLVFUHHQLQJSHUODULOHYD]LRQHGHOODJOLFHPLD ROWUH DOOD PLVXUD]LRQH GHOOD SUHVVLRQH GHO SHVR
GHOODFLUFRQIHUHQ]DYLWD
1HOO·DPELWRGHOOHDWWLYLWjGHOVHUYL]LRGL'LDEHWRORJLD
17
SILVAN
ILVANO
ANO
AN
O TROIANI, MANUELA AMADIO, AGNESE GIONNI
,PPDJLQLGDOODJLRUQDWDGHOGLDEHWHVYROWDVLDG$VFROL3LFHQRLOQRYHPEUH
/DVWHVVDWHRULFDGHO QXUVLQJ+3HSODXQHOGHVFULYHYDO·DVVLVWHQ]DLQIHUPLHULVWLFDFRPH ´XQSURFHVVR
LQWHUSHUVRQDOHWHUDSHXWLFRFKHKDODIXQ]LRQHLQFROODERUD]LRQHFRQJOLDOWULSURFHVVLGLPDQWHQHUHHRUHFXSHUDUH OR VWDWR GL VDOXWH GD SDUWH GL XQ LQGLYLGXR R GL
XQJUXSSRµ &RQWDOHDIIHUPD]LRQHVLHQIDWL]]DLOUXROR
HGXFDWLYRHWHUDSHXWLFRGHOO·LQIHUPLHUHLQTXHVWRFDVR
ODXUHDQGRFKHVLUHDOL]]DVWDELOHQGRFRQOXLXQDHIILFDFHUHOD]LRQHG·DLXWR
ODWWLHSUHVHQWL,QGDJDLQROWUHODPRWLYD]LRQHFKHKDQQRLQGRWWRLFLWWDGLQLD
VRWWRSRUVLDOFKHFNXS.
/·LQGDJLQHKDSUHYLVWRLQROWUHODULOHYD]LRQHGHO%0,%RG\0DVV,QGH[
,GDWLUDFFROWLVRQRVWDWLHODERUDWLFRQVLVWHPLLQIRUPDWL]]DWL
Risultati
/HLQIRUPD]LRQLUDFFROWHPHGLDQWHO·HODERUD]LRQHGHLGDWLGXUDQWHOD
JLRUQDWDVRQR
XWHQWLLQWHUYLVWDWLGLFXLGRQQHHXRPLQL
3HUTXDQWRULJXDUGDORVWLOHGLYLWDODPDJJLRUSDUWHGHOFDPSLRQHPDQJLD
IUXWWDHYHUGXUDWXWWLLJLRUQLHIDHVHUFL]LRILVLFRJLRUQDOLHURHODPDJJLRU
SDUWHGHJOLXRPLQLDVVXPHIDUPDFLDQWLSHUWHQVLYL7DE
,FLWWDGLQLLQWHUYLVWDWLVRQRVWDWLLQSUHYDOHQ]DDQ]LDQLFRQVLJOLDWLGDLSURSUL
PHGLFLGLIDPLJOLDRILJOLFKHLQFXULRVLWLKDQQRFHGXWRDOODWHQWD]LRQHGL
VRWWRSRUVL DO FKHFNXS 6RQR VWDWL FRQWUROODWL DQFKH JLRYDQL JLj DIIHWWL GD
GLDEHWHHDGXOWLVSLQWLGDOGHVLGHULRGLVDSHUQHGLSL
Obiettivo
,QGDJDUH OR VWLOH GL YLWD O·DOLPHQWD]LRQH H O·DWWLYLWj
ILVLFD GHOOD SRSROD]LRQH DVFRODQD H FRQWHVWXDOPHQWH
SURPXRYHUHXQSURFHVVRHGXFDWLYRGLSUHYHQ]LRQHHJHVWLRQHGHOGLDEHWH
/DPDJJLRUSDUWHGHJOLXRPLQLQRQKDIDPLOLDULWjGLDEHWLFDDOFRQWUDULRGHOOH
GRQQHFKHLQYHFHODGLFKLDUDQR/DPDJJLRUDQ]DGHOFDPSLRQHQRQPRVWUD
DOPRPHQWRGHOO·LQGDJLQHSUHVHQ]DGLGLDEHWH7DE
/·LQGLFH %0, VL q ULYHODWR QHOOD QRUPDOLWj QHOOD PDJJLRU SDUWH GHOOH GRQQH
PHQWUHqLQDXPHQWRQHOODPDJJLRUSDUWHGHJOLXRPLQL7DE
Materiali e Metodi
,OFDPSLRQHqUDSSUHVHQWDWRGDOODSRSROD]LRQHDVFRODQDGLRJQLHWjHVHVVR
FKHQHOJLRUQRGHGLFDWRDO'LDEHWHVLqDYYLFLQDWDDOODSRVWD]LRQHSHUVRWWRSRUVLDOORVFUHHQLQJRIIHUWR
,GDWLVRQRVWDWLUDFFROWLLQIRUPDDQRQLPDFRPSLODQGRODVFKHGDSUHGLVSRVWDSHUO·RFFDVLRQH
/·LQWHUYLVWDQHFHVVDULDDOODFRPSLOD]LRQHGHLGDWLLQGDJDLQSDUWLFRODUHOR
VWLOHGLYLWDTXLQGLLOWLSRGLDOLPHQWD]LRQHO·HVHUFL]LRILVLFRHGHYHQWXDOLPD
8RPLQL
'RQQH
6L
1R
6L
0DQJLDQRIUXWWDH
YHUGXUDWXWWLLJLRUQL
(VHUFL]LRILVLFRJLRUQDOLHUR
)DUPDFLLSHUWHQVLYL
7RWDOH
7DE6WLOHGLYLWD
18
Discussione
,OQRYHPEUHXVLQRFFDVLRQHGHOODJLRUQDWD´&RUULDPRSLYHORFLGHOGLDEHWHµVYROWDVLLQ$3VRQRVWDWL
UDFFROWLGDWLGLWLSRDQDJUDILFRDQDPQHVWLFRILQDOL]]DWL DOO·LQTXDGUDPHQWR FOLQLFR H VL q LQGDJDWR VXOOH FRQRVFHQ]H GD SDUWH GHL
7RWDOH
FLWWDGLQL FLUFD OD FRPSOLDQFH H OR VWLOH
1R
GLYLWDDSSURSULDWLDOODSUHYHQ]LRQHGHO
GLDEHWH
&RQWHVWXDOPHQWH DOOD UDFFROWD GDWL
FLUFD OH DELWXGLQL GL YLWD VL q DYXWD
O·RFFDVLRQHGLFRQVLJOLDUHVWUDWHJLHSHU
SRWHU PLJOLRUDUH O·DOLPHQWD]LRQH SUR
SRQHQGR XQD GLHWD HTXLOLEUDWD HG LQYLWDQGRDGXQDUHJRODUHDWWLYLWjILVLFD
CORRIAMO PIÙ VELOCI DEL DIABETE
8RPLQL
6L
1R
6L
)DPLOLDULWjGLDEHWLFD
6RJJHWWLGLDEHWLFL
FKH OD SURIHVVLRQH LQIHUPLHULVWLFD QRQ
SXzLQQHVVXQPRGRSUHVFLQGHUHGDOOD
1R
UHOD]LRQH H GDOO·HGXFD]LRQH GHOO·DVVLVWLWR
/·HVSHULHQ]DSHUJOLVWXGHQWLqVWDWD
VHQ]·DOWURGLHOHYDWROLYHOORIRUPDWLYRH
QHO SX]]OHGHOO·DVVLVWHQ]DLQIHUPLHULVWLFDKDQQRDJJLXQWRXQDWHVVHUDFKLDPDWD3UHYHQ]LRQHFKHUDSSUHVHQWDLOSULPR
FDUGLQHGHOODVDOXWHGHLFLWWDGLQL
6XOODEDVHGHOOHFDUDWWHULVWLFKHVRFLDOLHGHPRJUDILFKH
HVXOODEDVHGHLGDWLHPHUVLGDOO·LQWHUYLVWDJXLGDWDYLHQHUDIIRU]DWDODYDOLGLWjGHOO·DWWLYLWjHGXFDWLYDLQTXDQWR
FHQWUDWDVXOODYLWDUHDOHGHOVLQJRORLQWHUYLVWDWRLQTXHVWRPRGRLOODYRURVYROWRVHSSXUHVXXQSLFFRORFDPSLRQHDFTXLVLVFHYDORUHHVLJQLILFDWRLQTXDQWRWUDVIHULELOH
VXOODTXRWLGLDQLWjGHOFLWWDGLQRHVXOODGLYXOJD]LRQHGHOOH
LQIRUPD]LRQL R PHJOLR GLIIXVLRQH GL FRPSRUWDPHQWL WUD
OHUHWLVRFLDOL
'RQQH
7DE)DPLOLDULWjSHULOGLDEHWHGLDEHWHFRQFODPDWR
%0,
8RPLQL
'RQQH
GL
'DD
GL
7RWDOH
7RWDOH
7DE,QGLFH%0,
TXDOHVWUDWHJLDHIILFDFHSHUODSUHYHQ]LRQHGHOGLDEHWH
HGHOOHVXHFRPSOLFDQ]H/HSHUVRQHVLVRQRVRWWRSRVWH
DOOD ULOHYD]LRQH GHO SHVR FRUSRUHR GHOO·DOWH]]D H OD FLUFRQIHUHQ]DYLWDVLqVSLHJDWRFKHO·DXPHQWRGLTXHVWR
XOWLPRYDORUHqIDWWRUHGLULVFKLRQRQVRORGHOOHSDWRORJLH
PHWDEROLFKHPDDQFKHGLTXHOOHWXPRUDOL'RSRLSDUDPHWULDQWURSRPHWULFLqVWDWDULOHYDWDDQFKHODSUHVVLRQH
DUWHULRVDHODJOLFHPLD
/·LQL]LDWLYDKDGDWRDJOLVWXGHQWLO·RSSRUWXQLWjGLPHWWHUHLQSUDWLFDQRQVROROHORURFRQRVFHQ]HHOHDELOLWj
JHVWXDOLPDDQFKHGLVSHULPHQWDUHODUHOD]LRQHG·DLXWR
FRQO·XWHQWHDIILQFKpDFTXLVLVFDPDJJLRUHFRQVDSHYROH]]DGHOODSURSULDSHUVRQDOLWjGHOSURSULRDWWHJJLDPHQWR
YHUVRODPDODWWLDGHLSURSULELVRJQLLPSOLFLWLHGHVSOLFLWL
QRQFKpGHOOHSDXUHHIDOVHFUHGHQ]H
1HOODFLUFRVWDQ]DWXWWDO·DWWLYLWjGHJOLVWXGHQWL q VWDWD ULOHYDWD GDOOH 7XWRU FKH OL KDQQR JXLGDWL LQVLHPH DO
SHUVRQDOHGHO&HQWUR'LDEHWRORJLFRLOTXDOHKDHVSUHVVR
SLHQDVRGGLVID]LRQHSHUO·LQWHUYHQWRHSHULOVXSSRUWRLQ
TXHVWDLQL]LDWLYD
/·HVSHULHQ]D KD WHVWLPRQLDWR FKH RJJL DOO·LQIHUPLHUH
SL FKH PDL YHQJRQR ULFKLHVWH FRPSHWHQ]H HGXFDWLYH
FKHSUHYHGRQRROWUHDOODFRQRVFHQ]DHSHUL]LDFDSDFLWj
FRPXQLFDWLYHHGLDGDWWDPHQWRDOOHQXRYHORJLFKHVRFLDOL
SVLFRORJLFKHHGHFRQRPLFKHGHOO·XWHQWHHGHOIDPLOLDUH,O
VHOIFDUHWHRULDGHOODFXUDGHOOD'2UHPFLVXJJHULVFH
LQIDWWL FKH LO SD]LHQWH GHYH HVVHUH FRQGRWWR DOO·DXWRYDOXWD]LRQHJHVWLRQHGHOODVXDPDODWWLDLQPRGRJUDGXDOH
HVLVWHPDWLFD µ/·$UWHGHO QXUVLQJqSUDWLFDWDRSHUDQGR
SHUODSHUVRQDGLVDELOHDLXWDQGRODDGRSHUDUHGDVRODR
DLXWDQGRODDLPSDUDUHDIDUHGDVRODµ2UHP
7DOH RSSRUWXQLWj KD IDWWR SL FKH PDL SUHQGHUH DWWR
Conclusioni
/HHYLGHQ]HVFLHQWLILFKHGLPRVWUDQRFKHODVWUDWHJLDGL
SUHYHQ]LRQHGHOOHPDODWWLHFRPHLOGLDEHWHFRQVWUXPHQWL
FKHSUHYHGRQROLQJXDJJLFKLDULDFFHVVLELOLPHGLDQWHUHJROHDSSURSULDWHHO·DGHVLRQHDGXQRVWLOHGLYLWDFRUUHWWR
GLVHDVHPDQDJHPHQWGDXQDSDUWHSHUPHWWHLOFRQWUROOR
GLTXHVWDSDWRORJLDFKHRJJLFRLQYROJHODTXRWLGLDQLWjGL
FLUFDWUHPLOLRQLGLLWDOLDQLHGDOO·DOWUDFRQIHUPDFKHLOGLDEHWHSXzHVVHUHSUHYHQXWRVRORFRQRVFHQGRLOSULPDSRVVLELOHLOOLYHOORGLULVFKLRHGLQWHUYHQHQGRSUHFRFHPHQWH
,QILQH DQFKH VH F·q PROWR DQFRUD GD IDUH SHU VHQVLELOL]]DUHLOSD]LHQWHRLO FDUHJLYHU DOORVFRSRGLULGXUUH
ODPRUELOLWjHGLSUHYHQLUHQXRYLFDVLGLGLDEHWHqQHFHVVDULRSURPXRYHUHXQPRGHOORDGHJXDWRGLHGXFD]LRQH VDQLWDULDSURPR]LRQH DOOD VDOXWH GRYH O·LQIHUPLHUH
QHOO·DPELWRGHOVHWWLQJWHUDSHXWLFRDVVLVWHQ]LDOHVLDXQ
SXQWRGLULIHULPHQWRSHULOPLJOLRUDPHQWRGHOODTXDOLWj
GLYLWDGHLFLWWDGLQL
Bibliografia
06RPPDUXJD&RPXQLFDUHFRQLOSD]LHQWH&DUURFFL)DEHU,9(G
5RPD
$QGHUVRQ50)XQQHOO007KH$UWRI(PSRZHUPHQW6WRULHVDQG
6WUDWHJLHVIRU'LDEHWHV(GXFDWRUV
%DUELHUL*´/HUHVSRQVDELOLWjGHOO·LQIHUPLHUHµ&DURFFL)DEHU
%UXQQHU6´,QIHUPLHULVWLFDPHGLFRFKLUXUJLFDµYRO,,&($
/%HQFL$VSHWWL*LXULGLFLGHOODSURIHVVLRQH,QIHUPLHULVWLFD0F*UDZ
+LOO0LODQR
ZZZGLDEHWHQHW
ZZZVDOXWHJRYLWƒ&RQIHUHQ]DLQWHUQD]LRQDOHVXOODVRUYHJOLDQ]DGHLIDWWRULGLULVFKLRFRPSRUWDPHQWDOL
19
DALLE PROFESSIONI SANITARIE
AUGUSTA CUCCHI, GIANNI MAZZONI*,
MAURIZIO MERCURI, MAURO BARCHIESI
&G/LQ,QIHUPLHULVWLFD&G/LQ5DGLRORJLD
PHGLFDSHULPPDJLQLH5DGLRWHUDSLD
8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKH
Illenah: keeping in touch with
different health education and service
*OREDO+HDOWK(OHFWLYH,Q<HDUWKHQLQWK3ODFHPHQWGHDOV
ZLWKDFXWHVHULRXVO\LOODQGFRPSOH[FDUHDQGVRLVWKH3UDFWLFH
3ODFHPHQW ERWK QRZ FRQVLVWV RI ZHHNV 7KLV WLPH
3UDFWLFH 3ODFHPHQW ODVWV ZHHNV DQG GHDOV ZLWK
0DQDJHPHQW3UDFWLFHDQGLVSUHOLPLQDU\WRDWHQGD\KROLGD\
EHIRUH ILQDO &RQVROLGDWLRQ &RQFHUQLQJ 3UDFWLFH 3ODFHPHQW
RIWKDWLVFDUULHGRXWZLWKPHQWRULQJWKHRWKHUZLWK
KRVSLWDOVWDII6LQFHDSRUWDOIRUPHQWRULQJLVDYDLODEOH
RQOLQHDWZZZSOVVRUJXN,IDVWXGHQWIDLOVSODFHPHQWDQG
RQRQJRLQJDFKLHYHPHQWUHFRUGLVZULWWHQIDLODQGQRWSDVV
WKHPHQWRULQIRUPVWKHXQLYHUVLW\ZLWKSDSHUGRFXPHQWDQG
WKH SODFHPHQW UHSHDWHG DJDLQ 3ODFHPHQW ZKLFK QRUPDOO\
KDSSHQVGXULQJWKHZHHNIRUKRXUVFRQVLVWVRIVWDQGDUG
QXUVLQJ DFWLYLWLHV RQ WKH ZDUG ZKLFK PHDQV HYHU\WKLQJ EXW
LQWUDYHQRXVOLQHZLWKDQWLELRWLFVDQGFDQQXODWLRQ)RUWKHUHVW
RI QXUVLQJ ZRUN ZKLFK LV GRQH RQ WKH ZDUG WKH VWXGHQW
GXULQJSODFHPHQWFDQQRWDFWDXWRQRPRXVO\)RUHDFKSODFHPHQWFUHGLWVDUHJLYHQDQGDOVRDXGLWLQJLVGRQHWRDVVHVV
ZKLFK FRXUVH LV VXLWDEOH IRU VWXGHQWV 2Q WRS RI PHQWRULQJ
DQGPHQWRUVZHILQGWKHVRFDOOHG3UDFWLFHEDVHG(GXFDWLRQ
)DFLOLWDWRUZKRVHZRUNPXVWPHHW1DWLRQDO6WDQGDUGVDQGEH
XQGHU10&JXLGHOLQHVDQGWKH\VXSHUYLVHWKHPHQWRUV·DFWLYLW\DQGWKDWRIWKHVWXGHQWWRR3ODFHPHQWLVFKHFNHGRQFHD
\HDUE\WKH3()$WWKHHQGRIWKLV(GXFDWLRQSURJUDPPHZLWK
ILQDOGLVVHUWDWLRQDVWXGHQWZKRJHWVWKH%DFKHORURI1XUVLQJ
FDQEHDZDUGHGZLWKH[FHOOHQWJRRGVDWLVIDFWRU\RURXWVWDQGLQJ 2QFH D VWXGHQW KDV EHFRPH D JUDGXDWH ZLWK WKH
%DFKHORURI1XUVLQJVKHZLOOKDYHWREHUHJLVWHUHGRQZZZ
QPFXNRUJIROORZLQJWKHSURFHGXUHWREHDQRIILFLDO51UHDG\
WR ZRUN IRU WKH 1+6)RU WKH VHFRQG VFKHGXOHG DFWLYLW\
&DUPHQ0DULD-RVp-HVXVDQG´(O'HFDQRµRI´&LHQFLDVGH
OD6DOXGµ)DFXOW\ZHOFRPHGXVLQ*UDQDGDIURPWKHWKWR
WKH VW RI 0DUFK IRU RXU ,OOHQDK ZRUN DQG ZLWK DQ
DJHQGD WKDW FRQVLVWHG RI PHHWLQJV ZLWK WKH 'HDQ DQG DOVR
ZLWKDJURXSRIVWXGHQWVSURILFLHQWURXQGWDEOHV7KH5HJLRQ
RI $QGDOXVLD DQG DOO WKH RWKHU 6SDQLVK 5HJLRQV DORQJVLGH
ZLWKWKH0LQLVWU\RI+HDOWKKDYHWDNHQWKHGHFLVLRQDFFRUGLQJ
WR %RORJQD 7UHDW WR SURORQJ HGXFDWLRQ DW XQLYHUVLW\ IRU
1XUVLQJ3K\VLRWKHUDS\DQG2FFXSDWLRQDO7KHUDS\XSWRIRXU
\HDUV WR JHW WKH %DFKHORU RI 1XUVLQJ RU WKH RWKHU TXDOLILFDWLRQV PHQWLRQHG DQG DOO WKLV KDV KDSSHQHG WR UHIRUP WKH
SUHYLRXVFRXUVHRIVWXG\WKDWIRU+HDOWK6FLHQFHVZDVWKUHH
\HDUV7KHQIRULQVWDQFHLI\RXZDQWWRVWDUWDFDUHHUDVD
PDWURQ \RX PXVW VWXG\ WZR \HDUV PRUH DOVR WR EHFRPH D
PLGZLIH DQG SDVV DQ H[DPLQDWLRQ FDOOHG (,5 (QIHUPHUR
,QWHUQR UHVLGHQWH ZLWK D FHUWDLQ QXPEHU RI DGPLVVLRQV IRU
HDFK\HDUGHSHQGLQJRQWKH5HJLRQ$VLWLVVWUXFWXUHGWKH
H[DPLQDWLRQ(,5JLYHVPRUHSURIHVVLRQDOLVPWRQXUVLQJZRUN
LQLPSRUWDQWQXUVLQJUDQNVDVLWKDVDOZD\VEHHQIRUGRFWRUV
ZLWK0,57KHUHDUHFXUUHQWO\UHFRJQL]HGVSHFLDOLWLHV0DWURQ
WZR\HDUV0HQWDO+HDOWK\HDUDQG2FFXSDWLRQDO+HDOWK
1XUVLQJ)RU5DGLRORJ\DQGLI\RXZDQWWREHFRPHDUDGLR-
)RUWKRVHZKRVSHQGWKHLUGD\VDQGRIWHQHYHQLQJVWKLQNLQJDERXWGLIIHUHQFHVDPRQJGLIIHUHQWQXUVLQJV\VWHPVLQRXU
(XURSHDQ XQLYHUVLW\ HGXFDWLRQ SURJUDPPHV LW EHFRPHV
HDVLHUWRIDOOLQWRWKHWUDSRIEHFRPLQJVXVSLFLRXVHVSHFLDOO\LI
\RXDUHSDUWRIWKLVV\VWHPEXWUHJXODUFRQWDFWZLWKRXUSHHUV
DV LW KDV KDSSHQHG IRU RXU SURMHFW FDOOHG ,QWHUQHW 8VH LQ
/LIHORQJ /HDUQLQJ IRU (XURSHDQ 1XUVHV DQG $OOLHG +HDOWK
3URIHVVLRQDOV KDV KHOSHG UHLQIRUFH RXU YLHZSRLQWV ERXQFHG
LGHDV DURXQG VKDUHG YLHZV RQ ZKDW ZH KDYH OHDUQHG DQG
KHQFHZHDOOKDYHEXLOWXSDQHZYDOXDEOHNQRZOHGJHEDVH
DQG VXFK NQRZOHGJH LV XQGRXEWHGO\ XVHIXO 2XU ILUVW YLVLW
KDSSHQHGIURPWKWRWK0DUFKLQ/LYHUSRROIRURXU
,//(1$+ ZRUN ZDUPO\ ZHOFRPHG E\ RXU FROOHDJXHV 0DULD
DQG'DYHLQWKHLU'HSDUWPHQWRI+HDOWK6FLHQFHV6FKRRORI
1XUVLQJ DQG 0LGZLIHU\ LQ D SHULRG RI UHIRUPV QHFHVVDU\ WR
WDFNOHWKHFUHGLWFUXQFKWKDWKDVKLWDQ\DVSHFWRIWKHSHRSOH·V
OLIH DOVR HGXFDWLRQ DV LW KDV KDSSHQHG LQ DOO (XURSH DQG
DFURVVWKHZRUOGJOREDOO\$WSUHVHQWXQLYHUVLW\LQWKH8.LV
XQGHUJRLQJFKDQJHVDQGQHZUHJXODWLRQVQRWRQO\UHODWHGWR
ILQDQFLDO FULVLV DQG WKLV LV KDSSHQLQJ DW 6FKRROV RI 1XUVLQJ
ZKHUHWKH'LSORPDZLOOEHGHILQLWLYHO\DEROLVKHGVWDUWLQJIURP
QH[W DFDGHPLF\HDU$QHZSHUVSHFWLYHIRUVWXGHQWV ZLOOEH
SRVVLEOHVXFKDVFRPSHWLRQEHWZHHQSULYDWHDQGSXEOLFVHFWRU
LQ1XUVLQJ(GXFDWLRQ$WWKHWKHPRPHQWIRUHDFKDFDGHPLF
\HDU&$2UHJXODWHVWKHDGPLVVLRQRIVWXGHQWVWR6FKRROVRI
1XUVLQJ DQG WKHLU SDWKZD\ WR WKH WKUHH \HDUV RI VWXG\ DQG
SULRU WR WKDW LW LV LPSRUWDQW WR SRLQW RXW WKDW HYHU\ QXUVLQJ
DFWLYLW\ LV UXOHG E\ 10& )RU LQVWDQFH ZH VHH WKDW DW WKH
8QLYHUVLW\RI/LYHUSRRO'HSDUWPHQWRI+HDOWK6FLHQFHVQRZ
&RKRUWLQ\HDUVWDUWVZLWKVHPHVWHUZHHNVWKDQ
WKHUHDUHRWKHUVL[ZHHNVIRU3ODFHPHQWDQGDIWHU&KULVWPDV
+ROLGD\WKHUHLVDUHYLVLRQZHHNWKHQWZRDVVHVVPHQWZHHNV
XVXDOO\WKHWKDQGWKZHHNWKHQWKHVHFRQGVHPHVWHU
VWDUWV ZLWK RWKHU VL[ ZHHNV $IWHU WKLV VHPHVWHU 3UDFWLFH
3ODFHPHQWWDNHVSODFHDJDLQDQGWKHUHLVDIRFXVRQVSHFLDOLVP$IWHU(DVWHU+ROLGD\XVXDOO\ZHHNVWKHUHLVDZHHN
RIVLPXODWHGSUDFWLFHWKHQDQRWKHUZHHNRIOHFWXUHVWKHRU\
DQGDUHYLVLRQZHHN7ZRZHHNVRIDVVHVVPHQWPDNHRXWWKH
SHULRGDIWHU(DVWHUDQGWKHQDQRWKHU3UDFWLFH3ODFHPHQW
VWDUWV DQG WKLV WLPH PDLQO\ UHODWHG WR VXUJLFDO DQG FOLQLFDO
DUHDV$VWKLVRQHHQGVVWXGHQWVNHHSRQZRUNLQJLQSUDFWLFH
ZLWK WKH IRXUWK 3ODFHPHQW DJDLQ VXUJLFDO DQG PHGLFDO ZHHNV ,Q 6HSWHPEHU VWXGHQWV KDYH WKHLU WLPH RII WR VWXG\
WKUHHZHHNVDQGWKHQWKH\DUHUHDG\DJDLQWRJRRQZLWK
WKHLUFRXUVHRIVWXG\IRUWKHRWKHUWZR\HDUVZKLFKDUHQRWVR
GLIIHUHQWDVWKH\DUHRUJDQL]HGH[FHSWWKH3RUWIROLRZHHNDW
WKHHQGRI$SULOWKH(OHFWLYH3UHSRQWKHILUVWZHHNRI-XQH
DQG3UDFWLFHSODFHPHQWZKLFKLQ<HDUWZRLVEDVLFDOO\RQ
20
ILLENAH
JUDSKHUWKHUHLVVWLOOWKH6FKRRORI5DGLRORJ\ZKLFKLVEDVHG
RQVHFRQGDU\HGXFDWLRQODVWVWZR\HDUV&RQFHUQLQJ1XUVLQJ
ZHVHHWKDWLQ*UDQDGDIRUWKHILUVWWZR\HDUVZHKDYHHGXFDWLRQ EDVHG RQ *HQHUDO +HDOWK 6FLHQFH DQG 3K\VLRWKHUDS\
WKHQWZR\HDUVRI1XUVLQJ)RU3UDFWLFH3ODFHPHQWDSUHQGL]DMHSUDFWLFRDSURIHVVRUFRRUGLQDWHVWXWRUVZKRNHHSLQFRQWDFW ZLWK WKH KHDOWK VWDII LQ KRVSLWDO DQG FROODERUDWHV ZLWK
PDWURQV WRR 1XUVLQJ VWXGHQWV VWDUW WKHLU SODFHPHQW DW WKH
EHJLQQLQJRIWKHVHFRQGVHPHVWHULQ<HDUVRLQWRWDOWKH\
PDNHSUDFWLFHIRUWKUHHVHPHVWHUVILUVWVHPHVWHULVPDLQO\RQ
EDVLFFDUHDQGJHQHUDOQXUVLQJ'XULQJWKLVWLPHRISODFHPHQW
WXWRUV VXSHUYLVH DVVHVV DQG SODQ WKH DFWLRQV IRU VWXGHQWV
7KHUHLVDNLQGRIDQQXDOFRQWUDFWEHWZHHQWKHKRVSLWDODQG
XQLYHUVLW\IRUVWXGHQWV·SODFHPHQW8VXDOO\DWXWRUWDNHVFDUH
RI VWXGHQWV 7R JHW WKHLU GHJUHH %DFKLOOHUDWR VWXGHQWV
PXVWSUHVHQWWKHLUGLVVHUWDWLRQWUDEDMRGHJUDGRDQGLIRQH
ZLOOEHDZDUGHGZLWK´DSWRµZKRVHDZDUGHTXDOVWR´SDVVµ
LQFOXGLQJIURPWRLQWKHLUXQLYHUVLW\SRUWIROLRGRFXPHQWR GH H[SHUHQFLD ZLWK FUHGLWV WKH VWXGHQW ZLOO EH
JLYHQ D VXP RI PRQH\ E\ WKH 6SDQLVK &ROOHJH RI 1XUVLQJ
&ROHJLR 2ILFLDO GH (QIHUPHULD 5HJDUGLQJ WKH &ROOHJH LW LV
LPSRUWDQW WR SRLQW RXW WKDW VWDQGDUG UHJLVWUDWLRQ RU RQOLQH
UHJLVWUDWLRQLVQRWFRPSXOVRU\EXWUHFRPPHQGHGIRUIXUWKHU
TXDOLILFDWLRQOLQHDGHLQYHVWLJDFLRQVXFKDV0DVWHUVRIRU
\HDUVZKLFKDUHDYDLODEOHWRDQ\JUDGXDWHDQGDIWHUWKDW
SHULRGRIIXUWKHUVWXG\IRUWKRVHZKRZDQWWRNHHSRQGRLQJ
UHVHDUFK RWKHU WZRWKUHH \HDUV RI SRVWJUDGXDWH UHVHDUFK LV
DOVR SRVVLEOH LI WKH\ DLP WR JHW WKHLU 3K' HVSHFLDOO\ LI VWXGHQW·V LQWHQWLRQ LV WU\LQJ WR EHFRPH DQ DVVRFLDWH SURIHVVRU
,PSRUWDQWVWHSVKDYHEHHQGRQHIRUQXUVLQJLQ6SDLQUHFHQWO\
DQGQRZLWLVSRVVLEOHZLWKD%DFKHORURI1XUVLQJWRVWDUWD
FDUHHU ZKLFK LQ WKH SDVW ZDV FRQVLGHUHG RQO\ DW GRFWRUV·
KDQGVDVGHPRQVWUDWHGDOVRE\SURIHVVLRQDOSURJUHVVLRQWR
(,5%2()RUWKHILQDOPHHWLQJWKHYLVLWRIWKH,WDOLDQGHOHJDWLRQDWWKH$OH[DQGHU7HFKQRORJLFDO(GXFDWLRQDO,QVWLWXWHRI
7KHVVDORQLNLKDSSHQHGWKHWKWRWK$SULODSHULRG
RI LQWHQVLYH WHDFKLQJ LQ WKHVH VWUXFWXUHV PDLQO\ DW WKH
GHSDUWPHQWVRIREVWHWULFVDQGQXUVLQJ'XULQJWKHYLVLWWKHUH
ZDVDOLYHO\DFWLYLW\IRUWKHSUHVHQFHRIVWXGHQWVLQODERUDWRULHV DQG SURIHVVRUV LQ WKH FODVVURRPV7KH ,WDOLDQ GHOHJDWLRQ
ZDVLPSUHVVHGE\WKHKRVSLWDOLW\DQGWKHDWWHQWLRQRIFROOHDJXHVDQGVWXGHQWVWRUHVSRQGZLWKUHOHYDQFHWRWKHTXHVWLRQV
DVNHGGXULQJZRUNLQJPHHWLQJV
7KH $OH[DQGHU 7HFKQRORJLFDO (GXFDWLRQDO ,QVWLWXWH RI
7KHVVDORQLNL LV RQH RI PDQ\ 3RO\WHFKQLFV 1XUVLQJ VWXGHQWVDUHIRUHDFK\HDULQWKHFRXUVHRI2EVWHWULFV
7KH KHDOWK VHUYLFH LV D *UHHN SXEOLF KHDOWK V\VWHP ZLWK D
VLJQLILFDQW SULYDWH FRPSRQHQW 7KH GLYLVLRQ EHWZHHQ SXEOLF
DQGSULYDWHKHDOWKFDUHVHFWRULVHYLGHQWLQDOODUHDVRIWKHVHUYLFH7KHQDWLRQDOKHDOWKVHUYLFHFXUUHQWO\LQIRUFHLQ*UHHFH
ZDVHVWDEOLVKHGLQ7KHSUHVHQWV\VWHPLVILQDQFHGE\
HPSOR\HUVDQGZRUNHUVZKRSD\FRQWULEXWLRQVWRWKHH[LVWLQJ
KHDOWK LQVXUDQFH DQG JRYHUQPHQW IXQGV 3XEOLF KRVSLWDOV
LQ *UHHFH DUH GLYLGHG LQWR WZR PDLQ FDWHJRULHV UHJLRQDO
JHQHUDO KRVSLWDOV DYDLODEOH IRU PLOOLRQ SHRSOH DQG
GLVWULFWJHQHUDOKRVSLWDOVVHUYLQJWRSHRSOH
$PRQJ SXEOLF KRVSLWDOV WKHUH LV D FRPSUHKHQVLYH UDQJH RI
VSHFLDOL]HG GHSDUWPHQWV WUHDWPHQW RSWLRQV IRU RXWSDWLHQWV
DQGHPHUJHQF\VHUYLFHV7KHQXPEHURIVPDOOSULYDWHKRVSLWDOVLVGHFUHDVLQJZKHUHDVWKHPDUNHWVKDUHRIODUJHSULYDWH
KRVSLWDOVLVLQFUHDVLQJ7KHJHRJUDSKLFDOGLVWULEXWLRQRIKHDOWK
IDFLOLWLHVEHWZHHQXUEDQDQGUXUDODUHDVLVXQHYHQRIDOO
VHUYLFHVLVFRQFHQWUDWHGLQ$WKHQV5XUDODUHDVVWLOORIWHQODFN
PHGLFDOVHUYLFHV
7KH SULPDU\ FDUH LQ UXUDO DUHDV LV SURYLGHG RU E\ H[LVWLQJ
RXWSDWLHQW FOLQLFV DW GLVWULFW JHQHUDO KRVSLWDOV RU VSHFLDOLVWV
ZKR ZRUN LQ SULYDWH SUDFWLFHV ,Q WKH FLWLHV WKHUH DUH DOVR
JHQHUDO SUDFWLWLRQHUV DW KHDOWK FHQWUHV %RWK KHDOWK FHQWUHV
DQGRXWSDWLHQWFOLQLFVDUHVWDWHSURSHUW\DUHIXQGHGWKURXJK
WD[UHYHQXHVDQGDUHIUHHIRUWKHXVHU,IDSDWLHQWJRHVWRD
GRFWRU IRU D VRFLDO GLVHDVH RQO\ SDUW RI WKH LQYRLFH ZLOO EH
UHIXQGHG 2QO\ GUXJV LQFOXGHG LQ WKH IRUPXODU\ DUH VXEMHFW
WRUHLPEXUVHPHQW7KHSDWLHQWSD\VDVKDUHRIRQHDFK
SUHVFULSWLRQ
7KHUH LV D QDWLRQDO DFFUHGLWDWLRQ V\VWHP IRU SXEOLF DQG
SULYDWHVWUXFWXUHV
)RFXVLQJRQWKHQXUVLQJGLVFLSOLQHWKHZKROHFRXUVHWRJHW
DGHJUHHODVWVIRXU\HDUV7KHWUDLQLQJLVFDUULHGRXWLQWZR
ODUJHFLW\KRVSLWDOVRULQLQWHQVLYHFRXUVHVDWDFFUHGLWHGIDFLOLWLHV VRPHWLPHV ZLWK (UDVPXV SURMHFWV LQ PDQ\ (XURSHDQ
FRXQWULHV 3UDFWLFH SODFHPHQW LV PDGH IURP WKH VHFRQG KDOI
RIWKHILUVW\HDU7KHILUVWKDOILVRQO\WKHRU\DQGODERUDWRU\
VWXGHQWVWKHQVSHQGWKUHHGD\VDWWKHXQLYHUVLW\IRUOHFWXUHV
DQGODERUDWRULHVDQGWZRGD\VLQKRVSLWDORULQVHUYLFHVIROORZHGE\FOLQLFDOVXSHUYLVRUVLQDUDWLRRIWHQVWXGHQWVSHUWXWRU
'XULQJ SODFHPHQW VWXGHQWV DSSO\ ZKDW WKH\ KDYH OHDUQW LQ
WKHVDPH\HDU
3DUWLFXODULPSRUWDQFHLVJLYHQWR$7(,DNLQGRIVWXGHQW
UHSUHVHQWDWLRQ LQFOXGLQJ SDUWLFLSDWLRQ LQ WKH JRYHUQPHQW
RI WKH XQLYHUVLW\ 6WXGHQWV KDYH D PDMRU UROH LQ WKH OHDUQLQJH[SHULHQFHHYHQSURSRVLQJGLIIHUHQWWHDFKLQJPHWKRGV
DQG UHVRXUFHV 3DUWLFXODU HPSKDVLV LV SXW RQ ODERUDWRU\ IRU
OHDUQLQJ EDVLF DQG DGYDQFHG VNLOOV IURP PDNLQJ EHGV WR
HPHUJHQF\ RU VXUJLFDO RU REVWHWULF QXUVLQJ 3DWLHQW·V KLVWRU\
RUFKHFNOLVWVDUHQRWXVHGIRUOHDUQLQJRUIRUWKHVWXGHQW·V
HYDOXDWLRQ7KHUHDUHQRILQDOH[DPVIRUWKHIRXU\HDUVRISURJUHVV7KHDXWRQRP\RIWKHSURIHVVLRQLVVWURQJO\HQFRXUDJHG
E\ WKH JRYHUQPHQW ZKLFK FRQVLGHUV WKH XQGHUJUDGXDWHV LQ
WKH VHYHQWK VHPHVWHU DFWXDOO\ ZRUNHUV WR EH SDLG GXULQJ
WKLVWUDLQLQJH[SHULHQFH7KHUHDUHUXOHVFRGLILHGLQWRFROOHJH
FUHGLWVIRUDOOIRXUVHPHVWHUVRIWHDFKLQJFOHDUO\YLVLEOHRQOLQH
DWZZZWHLWKHJUXSORDGVHQJOLVKVHLS
21
DOSSIER
MARIA MONTRONI, WALTER SCOTUCCI*
GIOVANNI DANIELI
8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKH
Introduzione illustrata
all’Immunologia Clinica
$QFKH VH KD UDGLFL DQWLFKH O·LPPXQRORJLD q XQD
VFLHQ]DPRGHUQDFKHKDDYXWRHQRUPHVYLOXSSRQHJOL
XOWLPLFLQTXDQW·DQQL
/DVFHOWDGLFROOHJDUHDOO·,PPXQRORJLDXQFRUUHGRLFRQRJUDILFR GHO 1RYHFHQWR QDVFH GDOOD FRQVWDWD]LRQH FKH
O·LQL]LDOH VYLOXSSR GHJOL VWXGL LPPXQRORJLFL FRLQFLVH FRQ
O·HVRUGLR GHOOH DYDQJXDUGLH DUWLVWLFKH H SDUWLFRODUPHQWH
FRQLOPRYLPHQWRIXWXULVWD,OJUDQGHLPSDWWRHODIRU]D
ULYROX]LRQDULDFKHOHGXH¶QRYLWj·HEEHURDOO·LQL]LRGHO;;
VHFRORIXWDOHGDLQIOXHQ]DUHPDVVLPDPHQWHVLDODFXOWXUD
FKHODVFLHQ]DPRQGLDOHGRPLQDQGRQHODVFHQD
0DQRQVLWUDWWDVRORGLTXHVWLRQHFURQRORJLFDSHUFKp
VLDXQTXDGURIXWXULVWDVLDXQDULVSRVWDGHOVLVWHPDLPPXQLWDULRSRWUHEEHURHVVHUHGHILQLWLFRPH´ODVLQWHVLGL
FLzFKHVLULFRUGDHGLFLzFKHVLYHGHµ
/·,PPXQRORJLDKDGLVFKLXVRQXRYLVWUDRUGLQDULVFHQDUL
QHJOLDPELWLGHOODFRQRVFHQ]DGHOOHPDODWWLHHGHLPHFFDQLVPLFKHQHVRQRDOODEDVHHGKDDSHUWRODYLDSHUQXRYH
HIILFDFL WHUDSLH )X LO PDUFKLJLDQR (XJHQLR &HQWDQQL QHO
D 0LODQR D SXEEOLFDUH LO SULPR WUDWWDWR LWDOLDQR
VXOO·DUJRPHQWRFRQORVFRSRGLVWDELOLUHO·LPSDOFDWXUDPDHVWUDGHOODGRWWULQD,QSUHID]LRQHXQDVRUWDGLPDQLIHVWR
IXWXULVWDHJOLYHGHYDO·LPPXQLWjQRQDVpVWDQWHPDULFRQQHVVDFRQOHJUDQGLDWWLYLWjGHOO·RUJDQLVPR3XUVYROWD
LQ WXWWH OH EUDQFKH DOORUD FRQRVFLXWH ULWHQHYD SHUz FKH
´SLGLXQDVRQROHYLHDSHUWHHPROWHSLDQFRUDTXHOOH
FKHQHOOHULVRUVHLQHVDXULELOLGHOODQDWXUDHGHOODVFLHQ]D
FUHDWULFHLOIXWXURULVHUYDGLDSULUHµ
$QFKHSHULO)XWXULVPRVLWUDWWzGLPRYLPHQWRDQLPDWR
GDOODIRUWHYRORQWjGLULQQRYDPHQWRFKHSURFODPDYDLOULILXWRGHOSDVVDWR
6HPSUHGD0LODQRLOPDQLIHVWRGHOJHQQDLRGL)LOLSSR 7RPPDVR 0DULQHWWL DQQXQFLDYD OD QDVFLWD GL XQD
DYDQJXDUGLDHVWHVDDWXWWLLFDPSLGHOO·DUWHHO·DYYHQWRGL
XQDQXRYDHVWHWLFDHGLXQDQXRYDVHQVLELOLWjSURSULHGHOOD
VRFLHWjPRGHUQDWXWWDIRQGDWDVXOGLQDPLVPR$QFK·HVVR
YROHYDRFFXSDUHRJQLDVSHWWRGHOO·DWWLYLWjXPDQDGDOO·DUWH DOOD SROLWLFD LQ TXDQWR LGHRORJLD GHOOH SURPHVVH GHO
IXWXUR GHOO·DQWLSDVVDWLVPR H GHOO·HVDOWD]LRQH GL QXRYL
YDORULTXDOLO·LUUD]LRQDOLVPRODYLWDOLWjO·D]LRQHHORVFRQILQDPHQWR GHOO·DUWH QHOOD YLWD 3XU HVVHQGR SURGRWWR WLSLFDPHQWHLWDOLDQRO·LQFRQWURFRQODSLWWXUDFXELVWDHOD
FRQVHJXHQWHVFRPSRVL]LRQHGHOO·LPPDJLQHIUDLOHLO
GLYHQQHIXQ]LRQDOHDOSULQFLSLRGHOODVLPXOWDQHLWjGHJOL
VWDWL G·DQLPR H G·DPELHQWH HG HEEH FRPH FRQVHJXHQ]D
ORVPHPEUDPHQWRGHJOLRJJHWWLHODIXVLRQHGHLGHWWDJOL
'XHULYROX]LRQLGXQTXHSHUPROWLYHUVLWUDORURFRLQFLGHQWLHSURLHWWDWHGLQDPLFDPHQWHYHUVRLOIXWXUR
$QFRUDQHOODPHWjGHOVHFRORVFRUVRLOOLQIRFLWDHUD
FRQVLGHUDWRXQDSRRUFHOOFKHFLUFRODYDQHOVDQJXHQRQ
VLVDSHYDEHQHSHUFKpQpVLHUDLQJUDGRGLIRUQLUHXQD
VLFXUD LQWHUSUHWD]LRQH DOO·RVVHUYD]LRQH FKH L OLQIRFLWL
XPDQLVWLPRODWLFRQILWRHPDJJOXWLQLQHRDOWULPLWRJHQLVXELYDQRXQDPRGLILFD]LRQHPRUIRORJLFDLQJUDQGL
FHOOXOHXQDYHUDPHWDPRUIRVLILJQRWDFRPHWUDVIRUPD]LRQHEODVWLFD6LLQL]LDYDTXLQGLDFRPSUHQGHUH
FRPHLOLQIRFLWLQRQIRVVHURGHOOH HQGFHOOFLRqFHOOXOH
WHUPLQDOLEHQVuGHOOHVWHPFHOOFHOOXOHVWDPLQDOLFDSDFL
GLVYLOXSSDUHXQJUDQGHSRWHQ]LDOHSUROLIHUDWLYRHGLIIHUHQ]LDWLYRXQDYROWDYHQXWHLQFRQWDWWRFRQVRVWDQ]H
HVRJHQHRHQGRJHQHPRGLILFDWHDQWLJHQLSHUOHTXDOL
HUDQRVWDWHSURJUDPPDWH
)LJ,WDOR&UHPRQD0HWDPRUIRVL7RULQR*DOOHULD&LYLFD
G·$UWHPRGHUQD)RQGD]LRQH*XLGRHG(WWRUH'H)RUQDULV
0HGLFR3HGLDWUDH6WRULFRGHOO·DUWH
22
IMMUNOLOGIA CLINICA
ELRORJLFD H TXHVWR ULVXOWDWR VL
RWWLHQHPHGLDQWH
O·HOLPLQD]LRQH GL
DQWLJHQL SHQHWUDWL R IRUPDWLVL
QHOO·RUJDQLVPR DO
VHJXLWR GL LQIH]LRQLHVSRVL]LRQH
D WRVVLFL GDQQR
DFXWR G·RUJDQR
WUDXPL LVFKHPLD
HG DOWUR WUDVIRUPD]LRQH QHRSODVWLFD
9HORFHPHQWHFRPHLOWUHQRLQFRUVDGL3DQQDJJLILJ
OHFRQRVFHQ]HVXOVLVWHPDLPPXQLWDULRVLVRQRYLD
YLDDFFXPXODWHHRUDQHFRQRVFLDPRDQDWRPLDHUXROR
VLDQHLPHFFDQLVPLGLGLIHVDVLDQHOO·LQGX]LRQHGLPDODWWLD
/D IXQ]LRQH IRQGDPHQWDOH GHO VLVWHPD q TXHOOD GL
PDQWHQHUHO·RPHRVWDVLGHOO·RUJDQLVPRODVXDLGHQWLWj
/ · R U J D Q L V P R
GLVSRQH GL WUH OL- )LJ,RKDQQHV,WWHQ,QFRQWUR=XQHH GL GLIHVD OD ULJR.XQVWDXV
SULPD UDSSUHVHQWDWDGDOO·LQWHJULWjGHOOHEDUULHUHFXWDQHDHPXFRVDOD
VHFRQGDHODWHU]DGDGXHIRUPHGLLPPXQLWjO·LPPXQLWjLQQDWDDVSHFLILFDHTXHOODDGDWWDWLYDLQGLUL]]DWD
VHOHWWLYDPHQWHYHUVRXQXQLFREHUVDJOLR
/·LPPXQLWj LQQDWD ILORJHQHWLFDPHQWH OD SL DQWLFD
HGDSSDQQDJJLRGLWXWWLJOLHVVHULYLYHQWLqDVVLFXUDWD
)LJ)RUWXQDWR'HSHUR,PLHLEDOOLSODVWLFL0LODQR&ROOH]LRQHSULYDWD3UROLIHUD]LRQHFORQDOHGHLOLQIRFLWL
)LJ)RUXQDWR'HSHUR)HVWDGHOOD6HGLD0XVHRGL$UWHPRGHUQDHFRQWHPSRUDQHDGL7UHQWRH5RYHUHWRL7HL%OLQIRFLWLYDQQR
LQFRQWURDOO·DQWLJHQHWUDVSRUWDWRVXXQFDUUHWWRGDOPDFURIDJR
)LJ,YR3DQQDJJL7UHQRLQFRUVD0DFHUDWD&DVVDGL5LVSDUPLR
23
MAR
ARIA MO
ONTRONI, WALTER SCOTUCCI, GIOVANNI DANIELI
OLYHOOL GL DWWLYD]LRQH DWWLYLWj FKHPLRWDWWLFD
SURLQILDPPDWRULDHGLQILQHFRQLOFRPSOHVVR
WHUPLQDOH FLWROLWLFD ,Q WDO PRGR LO FRPSOHPHQWR DVVLFXUD QRQ VROR XQ·HIILFDFH GLIHVD
FRQWUROHLQIH]LRQLPDDQFKHODWROOHUDQ]DDO
VHOI DWWXDQGR OD ULPR]LRQH GL FRUSL DSRSWRWLFL SURGRWWLVL DO VHJXLWR GHOOD QHFURVL FHOOXODUH IDYRULVFH LQILQH OD IDVH ULSDUDWLYD SRVW
LQILDPPDWRULD GHO SURFHVVR VWLPRODQGR OD
SURGX]LRQHGLFLWRFKLQHLQSDUWLFRODUH7*)`
FXL VL GHYH OD VLQWHVL GHO FROODJHQH (VVHQGR
TXHOORGHOFRPSOHPHQWRXQVLVWHPDDOWDPHQWH GLVWUXWWLYR O·DOWHUD]LRQH GL XQR GHL VXRL
PHFFDQLVPL GL DXWRUHJROD]LRQH & LQLELWRUH
IDWWRUH+SURWHLQHGLPHPEUDQDFRPH&'
&'FKHOHJDQR&SXzHVVHUHUHVSRQVDELOH
GHOO·LQVRUJHQ]DGLPDODWWLHDXWRLPPXQL
/·LPPXQLWjDGDWWDWLYDSURSULDGHOOHVSHFLHVXSHULRULqLQYHFHGRYXWDDL
OLQIRFLWL FKH KDQQR OD VWUDRUGLQDULD
)LJ&HVDUH$QGUHRQL)XFLQD0LODQR&ROOH]LRQH$UWH&HQWUR
FDSDFLWj GL GLVFULPLQDUH WUD SURSULR
VHOIHGLYHUVRQRQVHOI&LDVFXQOLQGDO VLVWHPD FRPSOHPHQWDUH H GD PDFURIDJL PRQRFLWLJUDQXORFLWLQHXWURILOLFHOOXOHLQJUDGRGLDYYHUWLUHOH IRFLWDULFRQRVFHXQVRORGHWHUPLQDQWHDQWLJHQLFRHSLPRGLILFD]LRQLGHOO·DPELHQWHHGLFRQWUDVWDUOHPHGLDQWH WRSR SHUFKp LO VXR UHFHWWRUH FRVWLWXLWR QHL OLQIRFLWL
OD IDJRFLWRVL H OD SURGX]LRQH GL FLWRFKLQH IORJRJHQH 7GDHWHURGLPHULDOIDEHWDHSLUDUDPHQWHJDPPD
,/ LQ SDUWLFRODUH FKH ULFKLDPD HG DWWLYD L JUDQXORFLWL GHOWD H QHL % GD PROHFROH LPPXQRJOREXOLQLFKH q LQ
QHXWURILOLFKHFRRSHUDQRDOODGLIHVDULODVFLDQGROHORUR JUDGR GL ULFRQRVFHUH XQ VROR DQWLJHQH TXHVW·XOWLPR
YLHQHSUHVHQWDWRDOOLQIRFLWDGDPDFURIDJLFKHO·KDQQR
SURWHDVL DWWXDQGR
IDJRFLWDWR HODERO·HQGRFLWRVL H TXLQUDWRHGHVSUHVVRLQ
GL OD GLJHVWLRQH GL
VXSHUILFLH QHO FRQTXDQWRIDJRFLWDWR
WHVWR GL PROHFROH
GL LVWRFRPSDWLEL, PDFURIDJL WUDPLWH
UHFHWWRUL GL VXSHUILFLH
OLWj +/$ GL FODVVH
L 7/5 7ROO /LNH 5HFHS,, SHU JOL DQWLJHQL
WRUV OHJDQR LQ PDQLHUD
HVRJHQLHGLFODVVH
FRPSOHPHQWDUH VRVWDQ,SHUJOLHQGRJHQL
]H HVSUHVVH VXL EDWWHUL
SL VSHVVR SROLVDFFDULGL L 3$03 3DWKRJHQ
$VVRFLDWHG 0ROHFXODU
3DWWHUQ R VX FHOOXOH
PRGLILFDWH GD XQD QR[D
SDWRJHQD L '$03 'DPDJH $VVRFLDWHG 0ROHFXODU3DWWHUQ
'HOO·LPPXQLWj LQQDWD
IDSDUWHDQFKHLOVLVWHPD
GHOFRPSOHPHQWRFDUDWWHUL]]DWRGDXQDVHULHGL
PROHFROHDGDWWLYLWjSURWHDVLFDFKHVLDWWLYDQRLQ
VXFFHVVLRQH D FDVFDWD
SURGXFHQGR DL GLYHUVL )LJ3RSROD]LRQLHVRWWRSRSROD]LRQLOLQIRFLWDULH
24
,O ULFRQRVFLPHQWR
ULFKLHGH XQ FRQWDWWR
ILJXQLQFRQWURWUD
LOUHFHWWRUHGHLOLQIRFLWL
HO·DQWLJHQHHVSUHVVRLQ
VXSHUILFLHHWUDVSRUWDWR
GD PDFURIDJL VSHFLDOL]]DWL OH FHOOXOH GHQGULWLFKH FKH GDO OXRJR
GHOO·LQFRQWUR PLJUDQR
QHL OLQIRQRGL LQFRQWUDQR LO OLQIRFLWD FKH VL
DWWLYD SUROLIHUD ILJ
VLQRDOODFRVWLWX]LRQHGL
XQFORQHGLFHOOXOHWXW-
IMMUNOLOGIA CLINICA
WH SURJUDPPDWH SHU
HOLPLQDUHTXHOGHWHUPLQDWRHVWUDQHRDOOD
SUROLIHUD]LRQH IDQQR
VHJXLWR GLIIHUHQ]LD]LRQH H PDWXUD]LRQH
LQ SL VRWWRSRSROD]LRQL OLQIRFLWDULH FRRSHUDQWLWUDORUR
FRUSRSRLHVLPDDQFKHODFDSDFLWjGLOHJDUHDOFXQLDQWLJHQLHGLFRQVHUYDUHODPHPRULDGHOO·DYYHQXWRFRQWDWWR
FRQHVVL
6LQWHWLFDPHQWH L PRPHQWL FKH UHJRODQR OD ULVSRVWD
LPPXQLWDULDVRQR
LOFRQWDWWRGHLPDFURIDJLFRQO·DQWLJHQHODVXDIDJRFLWRVLHODSUHVHQWD]LRQHDLOLQIRFLWL7
ODPLJUD]LRQHGHLOLQIRFLWLDWWLYDWLQHOOHVHGLGLSDUWHQ]DGHOORVWLPRORJUD]LHDGXQUHFHWWRUH&;'5FKH
ULVSRQGHDOULFKLDPRGHOODFLWRFKLQD&;&/SURGRWWD
GDPDFURIDJLHFHOOXOHGHQGULWLFKH
ODSURGX]LRQHGDSDUWHGLOLQIRFLWLPDFURIDJLHFHOOXOHHQGRWHOLDOLGLFLWRFKLQH7)1_H,)1aHFKHPRFKLQH FKH PRGLILFDQR LO FRPSRUWDPHQWR GL DOWUH FHOOXOH
VWLPRODQGRQH OD SUROLIHUD]LRQH OD PDWXUD]LRQH H OD
PLJUD]LRQH
ODGLIIHUHQ]LD]LRQHQHOOHVRWWRSROD]LRQLGHLOLQIRFLWL
7&'LQ7+7+7+H7+)FXLVRQRGRYXWHO·LPPXQLWjFHOOXORPHGLDWDHO·DWWLYD]LRQHGLTXHOODXPRUDOHHGLQOLQIRFLWL7&'DGD]LRQHFLWRWRVVLFD
ODSURGX]LRQHGL7PHPRULDHGL7UHJRODWRUL
O·DWWLYD]LRQHGHL%OLQIRFLWLFKHFRQGXFHDOODWUDVIRUPD]LRQHLQSODVPDFHOOXOHHGDOO·DQWLFRUSRSRLHVL
6L GLVWLQJXRQR
GXH JUDQGL FODVVL
GLOLQIRFLWLILJ
L7HGL%OLQIRFLWL
$L OLQIRFLWL 7
FRPSHWRQR
D LO
)LJ$UGHQJR6RIILFL6LPXOWDQHLWjHFKLPLVPL/LULFL)LUHQ]H%LEOLRWHFDQD- ULFRQRVFLPHQWR
]LRQDOH&HQWUDOH
G H O O · D Q W L J H Q H E O·DWWLYD]LRQH
FORQDOH H OD PDWXUD]LRQHLQSLVRWWRSRSROD]LRQLFODFRRSHUD]LRQH
FRQDOWUHOLQHHFHOOXODULOLQIRFLWL%PDFURIDJLHFHOOXOH
HQGRWHOLDOLGO·HVWULQVHFD]LRQHGHOO·LPPXQLWjFHOOXODUH H OD PHPRULD LPPXQRORJLFD H I OD UHJROD]LRQH
GHOODULVSRVWDLPPXQLWDULD6SHWWDDLOLQIRFLWL%O·DQWL-
)LJ 2WWR 'L[ /D JXHUUD 'XVVHOGRUI
.XQVWPXVHXP&HQWUDOH
)LJ*LQR6HYHULQL&DQQRQLLQD]LRQH0XVHRGL$UWHPRGHUQDHFRQWHPSRUDQHDGL7UHQWRH5RYHUHWR
25
MARIA MONTRONI, WALTER SCOTUCCI, GIOVANNI DANIELI
)LJ0HFFDQLVPLGHOO·DJJUHVVLRQHDQWLFRUSDOH
)LJ0HFFDQLVPLGHOO·LPPXQLWjFHOOXORPHGLDWD
,7PHPRULDDVVLFXUDQRODULVSRVWDVHFRQGDULDDOO·DQWLJHQHFKH
qSLUDSLGDGHOODSULPDULDHVLDWWLYDDQFKHLQSUHVHQ]DGLSLFFROH
TXDQWLWjGLDQWLJHQH
,OLQIRFLWL7UHJRODWRUL&'&'7UHJEORFFDQRO·LSHUDWWLYLWj
DQRPDODGLOLQIRFLWL7DXWRUHDWWLYLVRQRLOULVXOWDWRGLXQDSRODUL]]D]LRQHOLQIRFLWDULDLQGRWWDGD,/H7*)`O·HVWULQVHFD]LRQHGHOOD
ORURD]LRQHULFKLHGHXQFRQWDWWRGLUHWWRFRQLOLQIRFLWLDXWRUHDWWLYL
ODSURGX]LRQHGLFLWRFKLQHHODSUHVHQ]DGLXQIDWWRUHGLWUDVFUL]LRQH)R[3FKHLSHUHVSULPHLJHQLFKHFRGLILFDQRSHU,/H&7/$_
, OLQIRFLWL 7+) SURGXWWRUL GL ,/ SUHVHQWL QHOOH DUHH IROOLFRODUL
GHLOLQIRQRGLDWWLYDQRWUDPLWHLOOHJDPH&'&'/L%OLQIRFLWL
HVWLPRODQRO·DQWLFRUSRSRLHVL
,OLQIRFLWL7+VRQRODFRQVHJXHQ]DGHOODSRODUL]]D]LRQHHGHOO·
HVSDQVLRQHOLQIRFLWDULDLQGRWWDGD,/_,/H,/SURGXFRQR,/
,/71)_H,/XQDGHOOHFLWRFKLQHSLLPSRUWDQWLQHOO·LQGX]LRQHGHOODULVSRVWDYHUVRDJHQWLLQIHWWLYLH[WUDFHOOXODULVIXJJHQGRDO
FRQWUROOR GHL 7 UHJRODWRUL L 7K FRQ OD FROODERUD]LRQH GHL 7+
VRQRDQFKHUHVSRQVDELOLGHOODFURQLFL]]D]LRQHGHOODIORJRVLDWWLYD-
QRL5$1.FRQWULEXHQGRDOULDVVRUELPHQWRRVVHR7KqLQILQHXQD
FHOOXODGRWDWDGLJUDQGHSODVWLFLWjSUHVHQWDQGRVLQHLIRFRODLGLLQILDPPD]LRQHDQFKHFRPH7)R[3FLRqFRPHFHOOXODUHJRODWULFH
LQLELWRULD FRQIHUPDQGRVL FRVu O·DVVLRPD FKH OD OLEHUWj LQ TXHVWR
FDVRGLGLVWUXJJHUHqUHPRUDGLVHVWHVVD
3URWDJRQLVWHGHLSURFHVVLLPPXQRIORJLVWLFLVRQRDQFKHOHFHOOXOHHQGRWHOLDOLFKHLQSRFRSLGLWUHQW·DQQL
GD VHPSOLFH ULYHVWLPHQWR LQWHUQR GHOOH SDUHWL YDVDOL
VRQRGLYHQWDWHXQDYHUDIXFLQDILJGLSURGRWWLFKH
UHJRODQR ROWUH DOO·HPRVWDVL O·LPPXQRIORJRVL D SL OLYHOOL WUDPLWH LO UHFOXWDPHQWR GHOOH FHOOXOH GHOOD GLIHVD
LPPXQLWDULDQHLOXRJKLGHOO·LQIH]LRQHRSLLQJHQHUDOHGHOGDQQRVXELWRODSURGX]LRQHGLFLWRFKLQHLOWRQR
)LJ)RUWXQDWR'HSHUR/DULVVD0XVHRG·$UWHPRGHUQDH
FRQWHPSRUDQHDGL7UHQWRH5RYHUHWR
)LJ)RUWXQDWR'HSHUR,QJUDQDJJLGLJXHUUD0LODQR*DOOHULD$UWH&HQWUR
26
IMMUNOLOGIA CLINICA
ULHGHWHUPLQDQGRQHORVFRUULPHQWRUROOLQJO·DGHVLRQHDOODSDUHWH YDVDOH HG LQILQH LO WUDVIHULPHQWR H[WUDYDVD]LRQH QHOOR VSD]LR
VRWWRHQGRWHOLDOHO·DWWLYD]LRQHHQGRWHOLDOHqLQIOXHQ]DWDGDVWLPROL
DPELHQWDOL UDSSUHVHQWDWL GD FRPSRQHQWL GHL FRUSL EDWWHULFL OLSRSROLVDFFDULGLGDSURGRWWLGHOODFDVFDWDHPRFRDJXODWLYDHGLTXHOODGHOFRPSOHPHQWRGDFLWRFKLQH,/71)HVSULPRQRVXOODORUR
VXSHUILFLHPROHFROHGLLVWRFRPSDWLELOLWjGHOODFODVVH,,HSRVVRQR
TXLQGL DJLUH FRPH FHOOXOH SUHVHQWDQWL O·DQWLJHQH SURGXFRQR FLWRFKLQHFRPH,/H*0&6)FKHPRGXODQRODULVSRVWDLPPXQHFRVWLWXLVFRQRLOIDWWRUHSLLPSRUWDQWHGHOO·DWWLYD]LRQHGHLILEUREODVWL
WUDPLWHODSURGX]LRQHGHO3'*)UHJRODQRLOWRQRHGLOFDOLEURYDVDOH
PHGLDQWHODJHQHUD]LRQHGLGXHVRVWDQ]HGLVHJQRRSSRVWRO·RVVLGRQLWULFRYDVRGLODWDWRUHHO·HQGRWHOLQDYDVRFRVWULWWRUHLQGXFRQR
LQILQHODGLIIHUHQ]LD]LRQHHODPDWXUD]LRQHGLFHOOXOHVWDPLQDOLSURPXRYRQRWUDPLWH9(*)ODQHRDQJLRJHQHVL
/H FLWRFKLQH ILJ DUWHILFL GHOOD FRRSHUD]LRQH LPPXQRORJLFDVRQRSDUROHFKHOHFHOOXOHVLVFDPELDQRWUD
GLORURRUGLQLGLULFKLDPRGLUHFOXWDPHQWRDWWLYD]LRQH
H VRSSUHVVLRQH GL FRRSHUD]LRQH WUD FHOOXOH GLYHUVH H
FKHWURYDQRQHOO·DPELHQWHRUHFFKLHSHUHVVHUHDVFROWDWHLFRUULVSRQGHQWLUHFHWWRUL
/H FHOOXOH HQGRWHOLDOL HVSULPRQR LQIDWWL VXOOD SURSULD VXSHUILFLH
PROHFROH GL DGHVLRQH 3 HG ( VHOHWWLQH FKH OHJDQR VWUXWWXUH FRUULVSRQGHQWL LQWHJULQH VXOOD PHPEUDQD GHOOH FHOOXOH LQILDPPDWR-
7UD OH SL VLJQLILFDWLYH H LPSRUWDQWL GDO SXQWR GL YLVWD FOLQLFR
SHUFKpEHUVDJOLRGHLQXRYLIDUPDFLELRWHFQRORJLFLO·,/HLO71)_
SURGRWWL GDL PDFURIDJL UHVSRQVDELOL GHL VHJQL VLVWHPLFL IHEEUH
DVWHQLD GHFDGLPHQWR JHQHUDOH H GHOO·DWWLYD]LRQH GHL % H GHL 7
OLQIRFLWL GHO ULFKLDPR H GHOOD OLEHUD]LRQH GD SDUWH GHL JUDQXORFLWL
QHXWURILOL GL PHWDOORSURWHLQDVL GHOOD SUROLIHUD]LRQH GL ILEUREODVWL
GHOODGLIIHUHQ]LD]LRQHGHJOLRVWHEODVWLLQRVWHRFODVWLHGHOULODVFLRGL
XOWHULRULFLWRFKLQHTXDOL*0&6),/HG,//·,/FKHLQGXFHO·DWWLYD]LRQHGLOLQIRFLWL7OLQIRFLWL%HPDFURIDJLVWLPRODODPDWXUD]LRQH
HORVYLOXSSRGHJOLRVWHRFODVWLODSUROLIHUD]LRQHGHLILEUREODVWLVLQRYLDOL OD DQJLRJHQHVL H LO UHFOXWDPHQWR GHOOH FHOOXOH LQILDPPDWRULH
PHGLDQWH OD SURGX]LRQH GL &&/ H GL 9()* QRQFKp O·HVSUHVVLRQH
GLPROHFROHGLDGHVLRQHDOODVXSHUILFLHHQGRWHOLDOHFKHSHUPHWWRQR
O·H[WUDYDVD]LRQHGHOOHFHOOXOHLQILDPPDWRULH+DLQILQHDWWLYLWjVXJOL
HSDWRFLWLIDYRUHQGRODSURGX]LRQHGLUHDWWDQWLGHOODIDVHDFXWDHVXL
)LJ&KULVWRSKHU5:1HYLQVRQ5LWRUQDQGRLQWULQFHD
2WWDZD1DWLRQDO*DOOHU\RI&DQDGD
)LJ&KULVWRSKHU5:1HYLQVRQ7UXSSHDULSRVR/RQGUD
7KH7UXVWHHVRI,PSHULDO:DU0XVHXP
)LJ)HUQDQG/pJHU&RVWUXWWRULFRQIXQH%LRW0XVpH)HUQDQG/pJHU
HGLOFDOLEURYDVDOHODULSDUD]LRQHWHVVXWDOH
27
MARIA MONTRONI, WALTER SCOTUCCI, GIOVANNI DANIELI
WR YDORUH GLGDWWLFR LQ UHDOWj OD ULVSRVWD LPPXQLWDULD
DOO·DQWLJHQHqXQJURYLJOLRGLFHOOXOHGLVHJQDOLGLPHGLDWRULHGLHIIHWWRULILQDOLILJ
7UDTXHVWLXOWLPLJOLDQWLFRUSLILJFKHVRQRSURLHWWLOL FKH OH SODVPDFHOOXOH LQYLDQR YHUVR LO EHUVDJOLR
FKHGLVWUXJJRQRIXQJHQGRGDVXSSRUWRSHULOGHSRVLWR
HO·DWWLYD]LRQHGHOFRPSOHPHQWRRWUDPLWHXQOHJDPH
D SRQWH FRQ FHOOXOH FLWRWRVVLFKH PDFURIDJL H FHOOXOH
1. ILJ L OLQIRFLWL FLWRWRVVLFL FKH LQ XQD YHUD ULVVDILJDIIURQWDQRLOQRQVHOILQXQFRPEDWWLPHQWR
FRUSR D FRUSR FKH ULFKLHGH FLRq XQ FRQWDWWR WUD GXH
FHOOXOH SURYRFDQGR OD PRUWH GHO EHUVDJOLR WUDPLWH
DSRSWRVLOHJDPH)$6)$6OLJDQGRFXLFRQVHJXHODSURGX]LRQHGLFDVSDVLRQHFURVLPHGLDWDGDOODOLEHUD]LRQH
GLSHUIRULQHJUDQ]\PHH71)_ILJ
4XHVWR VLVWHPD IRUWHPHQWH GLVWUXWWLYR RYYLDPHQWH SRVVLHGH DQFKH PHFFDQLVPL GL DXWRUHJROD]LRQH
ILJVRSUDWWXWWRUDSSUHVHQWDWLGD,/HGDXQDSR)LJ1LFRODM'LXOJKHURII(TXLOLEULRVSLULWXDOH/RFDOLWjVFRSROD]LRQHOLQIRFLWDULDSULPDULFRUGDWDTXHOODGHL7UHJ
QRVFLXWD&ROOH]LRQHSULYDWD
OD FXL GLIIHUHQ]LD]LRQH q LQGRWWD GDO 7*)` SURGRWWR
GDLPDFURIDJLHGD,/,/H71)_RVVLDGDOOHVWHVVH
FRQGURFLWLLQGXFHQGRLOFDWDEROLVPRGHOODFDUWLODJLQH$OODIDPLJOLD
GHOOHFLWRFKLQHDSSDUWHQJRQROHFKHPRFKLQHILJFKHQRQSDUFLWRFKLQH FKH LQGXFRQR OD IORJRVL LO VLVWHPD LPPXQLODQRPDFRPHVLUHQHFDQWDQRFKLPLVPROLULFRHFRQLOORURFDQWR
WDULR DWWLYD TXLQGL FRQWHPSRUDQHDPHQWH PHFFDQLVPL
DWWUDJJRQROHFHOOXOHQHOODVHGHGHOO·LQILDPPD]LRQH
GLGLVWUX]LRQHHGLDXWRUHJROD]LRQHSULPDHGLULSDUD]LRQHGRSRILJOHJDWLTXHVWLXOWLPLDOO·DWWLYLWjGHL
2YYLDPHQWH LQ QDWXUD QRQ q WXWWR FRVu VHPSOLFH
PDFURIDJL H GHL ILEUREODVWL FKH DVVLFXUDQR L SULPL OD
XQD VWHVVD FLWRFKLQD SXz HVVHUH SURGRWWD GD SL WLSL
GHWHUVLRQHGHOIRFRODFHOOXODULRJQLFLWRFKLLR HOLPLQD]LRQH GL
QD LQ UHOD]LRQH DOOD
SRWHQ]LDOL DXWRDQWLGHULYD]LRQH FHOOXODUH
JHQLSURYHQLHQWLGDOOH
HG DOO·DPELHQWH LQ
FHOOXOH GDQQHJJLDWH
FXL YLHQH SURGRWWD
HGLVHFRQGLODSURGXVYLOXSSD D]LRQL GL]LRQH GL FROODJHQH H
YHUVHHWDOYROWDDQFKH
TXLQGL OD ULSDUD]LRQH
GL VHJQR RSSRVWR OH
FLFDWUL]LDOH
FLWRFKLQH DJLVFRQR
7HUPLQDWD OD EDWFLDVFXQD VX GLIIHWDJOLD L OLQIRFLWL VRUHQWL EHUVDJOL LQGXSUDYYLVVXWL ULHQWUDQR
FRQR HVVH VWHVVH OD
LQ WULQFHD ILJ H
SURGX]LRQH GL DOWUH
VL ULSRVDQR ILJ FLWRFKLQH H TXLQGL
FRQVHUYDQGR WXWWDYLD
O·LQVWDXUDUVLGLFLUFXLWL
OD PHPRULD GHOO·DYGLDPSOLILFD]LRQHHGL
YHQXWR FRQWDWWR H
DXWRPDQWHQLPHQWR
PDQWHQHQGR WUDPLWH
/D VFKHPDWL]]DXQD FRQWLQXD ULFLUFR]LRQH SUHVHQWDWD KD )LJ)RUXQDWR'HSHUR7KHQHZ%DEHO0XVHRG·$UWHPRGHUQDHFRQWHP- OD]LRQHO·LPPXQRVRUTXLQGL
VRSUDWWXW- SRUDQHDGL7UHQWRH5RYHUHWR
YHJOLDQ]DYHUVRLOQRQ
28
IMMUNOLOGIA CLINICA
)LJ*LDFRPR%DOOD(·URWWRO·LQFDQWR5RPD&ROOH]LRQH
SULYDWD
)LJ)RUWXQDWR'HSHUR7UHQRSDUWRULWRGDOVROH&ROOH]LRQH
SULYDWD
VHOI6LULSULVWLQDQRFRVuILJO·HTXLOLEULRHO·RPHRVWDVLGHOO·RUJDQLVPR
QHRIRUPD]LRQHGLDQWLJHQLSURYHQLHQWLGDLWHVVXWLGDQQHJJLDWL GD PLPLFULD PROHFRODUH H VRSUDWWXWWR GDOOD
SHUGLWD GHOOD LPPXQRUHJROD]LRQH SULPD ULFRUGDWD
'HYH HVVHUH LQILQH FRQVLGHUDWR LO UDSSRUWR WUD FHOOXOH
HIIHWWULFLHFHOOXOH7UHJRODWRULHLQFRQJUXDSURGX]LRQH
GL,/GHILFLWGL7UHJRODWRULLOFXLVTXLOLEULRFRQWULEXLVFHDURPSHUHODWROOHUDQ]D
'DTXHVWRHTXLOLEULRVLSXzWXWWDYLDSDVVDUHDGXQD
QXRYD%DEHOHILJGDOO·LPPXQLWjFKHqGLIHVDDOO·LSHUVHQVLELOLWjFKHqPDODWWLD3HUFKpFLzDYYLHQH"3HU
PROWLDQQLVLDPRVWDWLOHJDWLDGXQDWHRULDTXHOODGHOOD VHOH]LRQH FORQDOH GL 0DF )DUODQH %XUQHW VHFRQGR
FXLLOVLVWHPDLPPXQLWDULRQRQUHDJLVFHFRQWURLSURSUL
FRVWLWXHQWLSHUFKpLFORQLOLQIRFLWDULDXWRUHDWWLYLLQFRQWUDQGR QHO WLPR O·DQWLJHQH FRUULVSRQGHQWH YHQJRQR
HOLPLQDWLQHOODIDVHGHOODYLWDIHWDOHRJJLSHUzVDSSLDPRFKHFORQLOLQIRFLWDULDXWRUHDWWLYLHVLVWRQRQHOQRVWUR
RUJDQLVPR PD VRQR FRQWLQXDPHQWH QHXWUDOL]]DWL GDL
VLVWHPLGLUHJROD]LRQHL7UHJLQSDUWLFRODUH/DWHRULD
GHOOHVHOH]LRQHFORQDOHGHYHHVVHUHTXLQGLLQWHJUDWDGD
DOWUHFRQVLGHUD]LRQLULFRUGDQGRFRPHODSHUGLWDGHOOD
WROOHUDQ]DYHUVRLOVHOIHLOFRQVHJXHQWHDYYHQWRGHOOD
PDODWWLDGLSHQGDQRGDSLIDWWRULJHQHWLFLLQQDQ]LWXWWR
FRQIRUPD]LRQH+/$SROLPRUILVPRGHLJHQLFRGLILFDQWL
SHU&7/$FKHLQLELVFHO·DWWLYD]LRQH7HPXWD]LRQHGHO
UHFHWWRUH 12' PD DQFKH UDSSUHVHQWDWL GDOOD SHUVLVWHQ]DGHOO·DQWLJHQHRGDOODVXDORFDOL]]D]LRQHLQWUDFHOOXODUHRDQFRUDGDOODVXDUHIUDWWDULHWjDOODGLVWUX]LRQH
DG HVHPSLR FULVWDOOL GL VLOLFLR H GL DFLGR XULFR GDOOD
/·DXWRLPPXQLWj SHUFRUUH YLH GLYHUVH FKH SRVVRQR HVVHUH ULFRQGRWWH DOOD FODVVLILFD]LRQH QRQ UHFHQWH PD VHPSUH GLGDWWLFDPHQWH YDOLGD GL &RRPEV H *HOO FKH GLVWLQJXH FLQTXH SRVVLELOL VFHQDUL
,OWLSR,GLULVSRVWDGHILQLWD,PPXQLWjLPPHGLDWDqDOODEDVHGHOOH
PDODWWLH DOOHUJLFKH ULQLWH FRQJLXQWLYLWH DVPD GHUPDWLWH DWRSLFD
VKRFNDQDILODWWLFRHGqGRYXWRDOODSRODUL]]D]LRQHVRWWRORVWLPROR
GLDOOHUJHQLGHOOLQIRFLWD7+LQ7+FKHULODVFLD,/,/H,/DORUR
YROWDUHVSRQVDELOLGHOO·LSHUSURGX]LRQHGL,J(GDSDUWHGHLOLQIRFLWL%
OH,J(PHGLDQWH)FVLOHJDQRDLEDVRILOLHLQGXFRQRLQHVVLXQDYROWD
VWDELOLWR LO FRQWDWWR FRQ O·DOOHUJHQH H GXH PROHFROH GL ,J( SUHVHQWL
VXOODPHPEUDQDGHLPDVWRFLWLHGHLEDVRILOLULODVFLRGLLVWDPLQDOHXFRWULHQLIDWWRUHFKHPLRWDWWLFRSHUJOLHRVLQRILOL
/HUHD]LRQLGLWLSR,,VRQRO·HVSUHVVLRQHGHOO·LPPXQLWjXPRUDOHLQ
TXDQWROHJDWHDOO·D]LRQHGLDQWLFRUSLFLUFRODQWLFKHXQDYROWDOHJDWLDO
EHUVDJOLRDWWLYDQRODFDVFDWDFRPSOHPHQWDUHFRPHSULPDULFRUGDWR
1HOOH UHD]LRQL GL WLSR ,,, LO PHFFDQLVPR SDWRJHQHWLFR q TXHOOR
GL LPPXQRFRPSOHVVL FKH HVVHQGRVL FRVWLWXLWL LQ OHJJHUR HFFHVVR
GL DQWLJHQH VIXJJRQR DOOD FOHDUDQFH PDFURIDJLFD H VL GHSRVLWDQR OXQJR OH PHPEUDQH EDVDOL GHL YDVL SRVVRQR DQFKH IRUPDUVL
GLUHWWDPHQWH VXOOH VWHVVH DO VHJXLWR GHO OHJDPH GL DQWLFRUSL FLUFRODQWL FRQ DXWRDQWLJHQL GL PHPEUDQD $O GHSRVLWR GHL FRP-
29
MAR
ARIA MO
ONTRONI, WALTER SCOTUCCI, GIOVANNI DANIELI
SOHVVL VHJXRQR O·DWWLYD]LRQH GHO FRPSOHPHQWR H OD VXD D]LRQH
IORJRJHQD H QHFURWL]]DQWH JOL HIIHWWRUL ILQDOL VRQR LQ TXHVWD UHD]LRQH FRVWLWXLWL HVVHQ]LDOPHQWH GDOOH SURWHDVL OLEHUDWH GDOOD GHJUDQXOD]LRQH JUDQXORFLWDULD GDOOH VSHFLH UHDWWLYH GHOO·RVVLJHQR
526SURGRWWHHGDOFRPSOHVVRWHUPLQDOH&&DGD]LRQHOLWLFD
,OWLSR,9GLUHD]LRQHVLGHILQLVFHFHOOXORPHGLDWRLQTXDQWRGRYXWD
DOO·D]LRQH GL OLQIRFLWL FLWRWRVVLFL FKH DGHULVFRQR DOOD FHOOXOD EHUVDJOLRHQHSURYRFDQRODPRUWHWUDPLWHSHUIRULQHJUDQ]\PHH71)R
DGXQPHFFDQLVPRGLDSRSWRVLFKHULFKLHGHLOFRQWDWWR5$6OLJDQGR
&'5$6VXFFHVVLYDPHQWHFHOOXOHPDFURIDJLFKHDWWLYDWHGDFLWRFKLQHSURGRWWHGDJOLVWHVVLOLQIRFLWLDWWXDQRODGHWHUVLRQHGHOIRFRODLR/DUHD]LRQHGHILQLWDULWDUGDWDSHUFKpULFKLHGHRUHSHUOD
VXDFRPSOHWDUHDOL]]D]LRQHDVVLFXUDODGLIHVDYHUVRDJHQWLLQIHWWLYL
SLVSHVVRYLUDOLLQWUDFHOOXODUL
1HOODUHD]LRQHGLWLSR9VRQRLQFDXVDDQWLFRUSLFKHOHJDQRFRPSRQHQWL GHOO·RUJDQLVPR HVHUFLWDQGR D]LRQH LQLELWRULD DQWLFRUSL
DQWLIDWWRUH 9,,, IDWWRUH LQWULQVHFR LQVXOLQD UHFHWWRUH SHU O·DFHWLOFROLQD R GL VWLPROR DQWLFRUSL FKH OHJDQR L UHFHWWRUL SHU LO 76+
LQGXFHQWL WLUHRWRVVLFRVL R DQWLFRUSL FKH VL ILVVDQR DL UHFHWWRUL SHU
LO3')*GLPRVWUDWLQHOQRVWURJUXSSRGDOOHULFHUFKHGL$UPDQGR
*DEULHOOLFKHDWWLYDQRQHLILEUREODVWLODSURGX]LRQHHLOULODVFLRGL
FROODJHQH
GHWHUPLQDQR LQILDPPD]LRQH GHOOD VLQRYLD IRUPD]LRQH GHO SDQQR
VLQRYLDOHGLVWUX]LRQHGHOODFDUWLODJLQHDUWLFRODUHHULDVVRUELPHQWR
RVVHR WUDPLWH JOL HIIHWWRUL ILQDOL LO FRPSOHPHQWR OH PHWDOOR SURWHLQDVLLUDGLFDOLOLEHULGHOO·RVVLJHQRHVRSUDWWXWWRLO71)_5HFHQWL
ULFHUFKHFKHKDQQRDYXWRLPPHGLDWDULFDGXWDWHUDSHXWLFDGLPRVWUDQRFRPHLOULODVFLRGHOOHPHWDOORSURWHDVLHIIHWWRULILQDOLGLVWUXWWLYLSHULWHVVXWLLQFXLVLJHQHUDQRGDSDUWHGLJUDQXORFLWLQHXWURILOL
H OD SURGX]LRQH GL DOWUH FLWRFKLQH SURLQILDPPDWRULH GD SDUWH GHL
ILEUREODVWLVLQRYLDOLVLDQRDWWXDWLGDLOLQIRFLWL7+FKHDJLUHEEHUR
QHOODIDVHSUHFRFHGLPDODWWLDSULPDFKHODVWHVVDVLPDQLIHVWLFRPH
7KGLSHQGHQWH
1HOODVFOHURVLVLVWHPLFDVHPSUHOHULFHUFKHGL$UPDQGR*DEULHOOL
KDQQRSHUPHVVRGLULFRVWUXLUHOHIDVLVXFFHVVLYHGHOO·LPPXQRIORJRVLDOOHTXDOLFRUULVSRQGRQRGLYHUVHPRGLILFD]LRQLDQDWRPRSDWRORJLFKHHOHVWHVVHPDQLIHVWD]LRQLFOLQLFKHFDUDWWHULVWLFKHGHOODPDODWWLD,QSDUWLFRODUHVLqGLPRVWUDWRFRPHXQRGHLSULQFLSDOLHIIHWWRUL
ILQDOLVLDORVWUHVVRVVLGDWLYRFRQWULEXLVFRQRDOFXQLPHFFDQLVPLGL
DPSOLILFD]LRQH WUD L TXDOL OD SURGX]LRQH GHJOL DQWLFRUSL SULPD ULFRUGDWLFKHOHJDQRLOUHFHWWRUHGHO3'*)LQGXFHQGRDWWLYD]LRQHGL
VHJQDOL LQWUDFHOOXODUL VL UHDOL]]DQR XQ·DXPHQWDWD HVSUHVVLRQH GHL
JHQLFKHFRGLILFDQRSHUODSURGX]LRQHGLFROODJHQHHODSUROLIHUD]LRQHHPLJUD]LRQHGLILEUREODVWLHFHOOXOHPXVFRODULOLVFH1HGHULYDQR
ILEURVLHGREOLWHUD]LRQHYDVDOH
1HOOHPDODWWLHDXWRLPPXQLVLULSHWRQRJOLVWHVVLPHFFDQLVPLDWWLYLQHOODGLIHVDFRQWURLOQRQVHOIFRQDOPHQR GXH IRQGDPHQWDOL GLIIHUHQ]H OD ULVSRVWD q GLUHWWD
YHUVRLFRPSRQHQWLGHOO·RUJDQLVPRODVWHVVDQRQKDDOFXQDWHQGHQ]DDGHVDXULUVLDYHQGRSHUGXWRLOVLVWHPD
ODFDSDFLWjGLDXWRUHJROD]LRQH6LVWDELOLVFHTXLQGLXQR
VWDWR GL LQILDPPD]LRQH FURQLFDPHQWH DWWLYD
FKH
FRQGXFH
DOOD QHFURVL H
VXFFHVVLYDPHQWH DOOD ILEURVL
GHL WHVVXWL FRLQYROWL 6L q URWWR
O·LQFDQWR H O·DUPRQLD WUD L GLYHUVL FRVWLWXHQWL
GHOO·RUJDQLVPR
ILJ H QDVFH
FRVuODPDODWWLD
1HOO·DUWULWH UHXPDWRLGH DG HVHPSLR OD ULVSRVWD
LPPXQLWDULD FRPSUHQGHO·DWWLYD]LRQH
GDSDUWHGLXQDQWLJHQH VFRQRVFLXWR
GL OLQIRFLWL 7 % H
GL PDFURIDJL FKH
0D GDO VROH GHOOD ULFHUFD ULSDUWH LO QRVWUR WUHQR LQ
FRUVDILJSHUVHJXLUHLWLQHUDULFKHSHUPHWWRQRGL
JLXQJHUHDGXQDGLDJQRVLSUHFRFHGHLGLVRUGLQLLPPXQLWDULHFKHSUHYHGRQRHVVHQ]LDOPHQWHORVWXGLRGHJOL
DXWRDQWLFRUSLHGHOOHORURVSHFLILFLWjDQWLJHQLFKHGHOOH
FHOOXOHLPSOLFDWH
QHOOD ULVSRVWD
L P P X Q L W D U L D
H GHO VLVWHPD
FRPSOHPHQWDUH
3HUTXHOFKHFRQFHUQH LQ SDUWLFRODUH
OR VWXGLR GHJOL DQWLFRUSL DQWLQXFOHR
$1$ SDWRJQRPRQLFL GHOOH FRQQHWWLYLWLODORURSUHVHQ]D
HODORURGLYHUVDDVVRFLD]LRQH FRQ DOWUL
DXWRDQWLFRUSL SHUPHWWHGLLGHQWLILFDUH
OH VLQJROH FRQQHWWLYLWLILJPHQWUH
O·DQDOLVL TXDOLWDWLYD
H TXDQWLWDWLYD GHOOH
GLYHUVH SRSROD]LRQL
H VRWWRSRSROD]LRQL
OLQIRFLWDULH
PHGLDQWH
DQWLFRUSL
PRQRFORQDOL
GD
)LJ*OLDQWLFRUSLDQWLQXFOHDULQHOODGLDJQRVLGLIIHUHQ]LDOHGHOOH&RQQHWWLYLWLHGHOOH9DVFROLWL LEULGRPD H PHWR-
30
IMMUNOLOGIA CLINICA
PHWRWUH[DWHVLFXUDPHQWHHIILFDFL
LQTXHVWHDIIH]LRQLPDDQFKHUHVSRQVDELOL GHOOD FRPSDUVD GL HIIHWWL DYYHUVL VRSUDWWXWWR D FDULFR
GLFXWHWUDWWRGLJHVWLYRHVLVWHPD
HPRSRLHWLFR
8QD SULPD VLJQLILFDWLYD HYROX]LRQH LQ TXHVWR FDPSR VL q RWWHQXWD FRQ O·DYYHQWR GHOOD FLFORVSRULQDXQIDUPDFRVWUDRUGLQDULR
FKHqVWDWRLOSULPRLPPXQRVRSSUHVVRUH VHOHWWLYR LO SULPR GHL
IDUPDFL ´LQWHOOLJHQWLµ LQ TXDQWR
QRQ GHWHUPLQD OD GLVWUX]LRQH LQFRQGL]LRQDWD GHOOH FHOOXOH PD
HVSOLFD OD VXD D]LRQH DWWUDYHUVR
)LJ8PEHUWR%RFFLRQL$XWRLQFRUVDHFDFFLDDOODYROSH$XWRPRELO&OXEG·,WDOLD
LO EORFFR IXQ]LRQDOH GHO OLQIRFLWD
7 LQWHUIHUHQGR FRQ LO VLVWHPD GL
GLFKH GL FLWRIOXRULPHWULD ULVXOWDQR FOLQLFDPHQWH XWLOL QHOOR VWXGLR
DWWLYD]LRQH HQGRFHOOXODUH OD WUDGHOOH PDODWWLH GD LPPXQRGHILFLHQ]D H GHOOH LPPXQRSUROLIHUD]LRQL
VFUL]LRQH GHOO·,/ H OD VLQWHVL GL DOWUH FLWRFKLQH H LQ
UHDWWLYH H QHRSODVWLFKH LQILQH LQ SDUWLFRODUL FRQGL]LRQL PRUERVH
XOWLPDDQDOLVLFRQO·DWWLYD]LRQHGHLOLQIRFLWL7KHOSHU
qGLDJQRVWLFRORVWXGLRGHOO·LPPXQLWjLQQDWDFKHPLRWDVVLIDJRFL2JJLODVFRSHUWDGHLPHGLDWRULHGHJOLHIIHWWRULGHOWRVLNLOOLQJGDSDUWHGLFHOOXOHPDFURIDJLFKHQRQFKqTXHOORVWXGLR
OHULVSRVWHLPPXQLHODSRVVLELOLWjGLEORFFDUOLWUDPLWH
GHOO·DWWLYLWjFRPSOHPHQWDUHWRWDOHHGHOOHVXHVLQJROHFRPSRQHQWL
DQWLFRUSLPRQRFORQDOLFDSDFLGLFROSLUHVHOHWWLYDPHQWH
3RLFKpODULVSRVWDLPPXQHqLQL]LDOPHQWHXQHYHQWR TXHVWLEHUVDJOLKDQQRSHUPHVVRGLRWWHQHUHXQUDGLFDFORQDOHFKHFRPSRUWDODSUROLIHUD]LRQHLQFRQWUROODWDGL OHFDPELDPHQWRQHOODVWRULDQDWXUDOHGLTXHVWHDIIH]LRFHOOXOH LPPXQLILJ
QRFRPSHWHQWL
6RQR
GLGRWDWHGLFDSDVSRQLELOL RJJL
FLWjGLVWUXWWLYH
SHU OD FXUD
OHSULPHIRUPH
GHOOH PDODWWLH
GL WHUDSLH LPD X W R L P P X Q L
PXQRVRSSUHVDQWLFRUSL PRVLYH R LPPXQRFORQDOL FKH
QRPRGXODQWLVL
HOLPLQDQR L
VRQREDVDWHH
OLQIRFLWL % OHVL EDVDQR WXWJDQGRVL DG
WRUD VXOO·XVR
XQDORURVWUXWGL IDUPDFL DQWXUD GL PHPWLSUROLIHUDWLYL
EUDQDLO&'
S U R Y H Q L H Q W L
5LWX[LPDE
GDOO·DUPDPHQDQWLFRUSL FKH
WDULR GHOOH WHEORFFDQR OD
UDSLH RQFRORFRVWLPROD]LRJLFKH IDUPDFL
QH 7 $EDWDFRPH OD FLFORFHSW DOWUL
IRVIDPLGH O·DFRPH JOL DQWL]DWLRSULQDHGLO )LJ*LRUJLR'H&KLULFR/D9LWWRULD,OWULRQIR0LODQR&ROOH]LRQHSULYDWD
FRUSL DQWL,/
31
MAR
ARIA MO
ONTRONI, WALTER SCOTUCCI, GIOVANNI DANIELI
$QDNLQUD ,/
FLR GHOO·DQWLFRU7RFLOL]XPDE H
SRSDWRJHQR
ULVSHWWLYL UHFHWWRULLQWHUIHULVFR(· LO WULRQIR
QR FRQ O·DWWLYLWj
GHOOD PHGLFLGL DOFXQH FLWRQD PROHFRODUH
FKLQH DOWUL QHXILJ
FKH
WUDOL]]DQR LO SL
QRQ q XQ QXRSRWHQWHGHJOLHIYR PRGR GL IDUH
IHWWRUL ILQDOL GHO
PHGLFLQD PD
GDQQRWHVVXWDOH
XQD LQWHJUD]LRLO71)_JOLDQWLQH IRQGDPHQWDFRUSL PRQRFOROH H IRULHUD GL
QDOL ,QIOL[LPDE
JUDQGL ULVXOWDWL
$ G D O L P X P D E GHOOD PHGLFLQD
* R O L P X P D E WUDGL]LRQDOH
& H U W R O L ] X P D E
SHJRO HG XQ UH& K L X G L D P R FHWWRUH VROXELOH
GRSRWDQWRIXWX)LJ/XNH6DPXHO)LOGHV7KH'RFWRU/RQGUD7DWH*DOOHU\
(WDQHUFHSW1HULVPR GHOOH LPJOL 86$ q VWDWR
PDJLQLFRQXQD
GHO WXWWR UHFHQLPPDJLQH
DQWLFD
DOOD
7DWH
*DOOHU\
GL
/RQGUD VL SXz
WHPHQWH DXWRUL]]DWR O·LPSLHJR FOLQLFR GL %HOLPXPDE
DPPLUDUH
7KH
'RFWRU
GLSLQWR
GD
/XNH
6DPXHO )LOGHV
XQDQWLFRUSRPRQRFORQDOHFKHOHJDQGR%O\6IDWWRUHGL
QHOILJUDSSUHVHQWDXQ0HGLFRFKHYLVLWDXQD
VWLPROD]LRQHGHL%OLQIRFLWLGRYUHEEHPRGLILFDUHVRVWDQ]LDOPHQWHO·HYROX]LRQHGHO/(66RQRDWWXDOPHQWHLQIDVH JLRYDQHSD]LHQWHODRVVHUYDFRQDWWHQ]LRQHFHUFDQGR
GL VSHULPHQWD]LRQH FOLQLFD DQWDJRQLVWL GHOO·,/ H GHOOD GLFRJOLHUHWXWWLLVHJQLGHOODPDODWWLDUDJLRQDVXTXDQVXDFLWRFKLQDLQGXWWULFH,/FKHKDQQRFRQVHQWLWRXQ WRUDFFROWRFRQORVFRSRGLGHILQLUHGLDJQRVLHWHUDSLD
VLFXURSURJUHVVRQHOODFXUDGHOODPDODWWLDUHXPDWRLGHHG SDUWHFLSDDOOHVRIIHUHQ]HGHOODJLRYDQHHDOGRORUHGHL
IDPLOLDUL,QVLQWHVLHPHUJRQRVWUDRUGLQDULDPHQWHGDODQFKHGLDOWUHPDODWWLHLPPXQRIORJLVWLFKHTXDOLO·DUWURSDODYLVLRQHGLTXHVWRTXDGURO·RVVHUYD]LRQHLOUDJLRQDWLDSVRULDVLFDODVFOHURVLPXOWLSODHOHPDODWWLHLQILDPPDWRULHFURQLFKHGHOO·LQWHVWLQRDOORVWXGLRLQILQHDQWLFRUSL PHQWRFOLQLFRHO·HPSDWLDFKHVRQRHVDUDQQRVHPSUH
FKHOHJDQRLOUHFHWWRUHSHULO3'*)LPSHGHQGRO·DJJDQOHWUHYLUWHIILFDFLGHOPHGLFR
/DVHOH]LRQHGHOOHLPPDJLQLSXEEOLFDWHqRSHUDGL:DOWHU6FRWXFFL
Ringraziamento
*OLDXWRULHVSULPRQRLOSLYLYRULQJUD]LDPHQWRDO3URI$QWRQLR3URFRSLR2UGLQDULRGL3DWRORJLDH)LVLRSDWRORJLDJHQHUDOHGHOODQRVWUD)DFROWjSHUDYHUJHQWLOPHQWHUHYLVLRQDWRLOWHVWR
32
CONVEGNO ANNUALE DI FACOLTÀ
WALTER SCOTUCCI
0HGLFR3HGLDWUD
)HUPR
DFFRPDQGLWD VHPSOLFH FKLDPDWD ´6RFLHWj 5XVVL &L
$QFRQDJLj6XFFHVVRULGL*&ROODPDULQL&LµFRQLO
ILQHGLFRQWLQXDUHORVWHVVRFRPPHUFLRSHUXQSHULRGR
GLTXDWWURDQQL(UDFRPSRVWDGDL6LJQRUL$QQDHUHGHGL
9LWR %HOJLRYLQH GDL )UDWHOOL $OEHUWLQL GDOOD GLWWD $VFROLGDOODGLWWD7HUQL&LGD$QJHOR$QDXHGD'DYLGH
5XVVLDOTXDOHIXDIILGDWDODUDSSUHVHQWDQ]DOHJDOHHOD
JHVWLRQH,OJLXJQRGHODOODVFDGHQ]DGHOWHUPLQH FRQWUDWWXDOH GRSR XQ GRFXPHQWDWR UHQGLFRQWR
'DYLGHGHOIX-DFREHEEHDUHFXSHUDUHODSLFRPSOHWD
OLEHUWjG·D]LRQHHODIDFROWjGLDJLUHHGLVSRUUHQHOSURSULRSHUVRQDOHLQWHUHVVHYDOHQGRVLGHOODUDJLRQHVRFLDOH
RULJLQDULD'DYLGHVLHUDVSRVDWRFRQ6DUD0RVFDWRHGDO
ORURPDWULPRQLRQDFTXHUREHQXQGLFLILJOL1HVVXQDGHOOH
VHLILJOLHIHPPLQHVLRFFXSzGHOO·D]LHQGDIDUPDFHXWLFD
PHQWUHTXDWWURGHLFLQTXHILJOLPDVFKLEHQSUHVWRDIILDQFDURQRLOSDGUHQHOODFRQGX]LRQH 9LWR LO PDJJLRUH GL
ORUR YHQQH QRPLQDWR GDO
SDGUH LO QRYHPEUH GHO
VXR SURFXUDWRUH LQ
UDSSUHVHQWDQ]D GHOOD GLWWD
LOVHFRQGR5DIIDHOHVLWUDVIHUuD%DULGRYHDVVXQVHOD
GLUH]LRQH GHOOD VXFFXUVDOH
SXJOLHVH LO WHU]R *LDFRPR
)LJ IX OD JUDQGH PHQWH
GHOOD GLWWD 5XVVL PD DQFKH LOOXPLQDWR GLULJHQWH H
SHUVRQD PROWR DPDWD GDL
GLSHQGHQWL H GDJOL DQFRQHWDQL LO TXDUWR 5RGROIR VL
WUDVIHUu D )RUOu GRYH GLUHVVHODORFDOHILOLDOHO·XOWLPR
)UDQFRODXUHDWRLQ0HGLFLQDQHOGLYHQQHLQYHFH
SULPDULRQHOO·2VSHGDOH8PEHUWR,GL$QFRQD
*LDFRPRODXUHDWRLQ&KLPLFDD%RORJQDQHOH
SRL LVFULWWR DOOD IDFROWj GL
)DUPDFLD GHOO·8QLYHUVLWj GL
&DPHULQRIXLOYHURDUWHILFH
GHO VXFFHVVR H LQYRORQWDULDPHQWH GHOOD GHFDGHQ]D
GHOO·D]LHQGD GLYHQXWD WUD
OHGXHJXHUUHXQYHURHSURSULR FRORVVR LQGXVWULDOH )X
OXLFKHSRUWzOD6RFLHWj5XV-
Lo Stabilimento chimico - farmaceutico
Russi & C. - Ancona
e l’esordio dell’industria
farmaceutica nelle Marche
Premessa
3L FKH XQD HVDXULHQWH WUDWWD]LRQH TXHVWR VWXGLR VL
SRQH O·RELHWWLYR GL UDFFRJOLHUH L IUDPPHQWL VXSHUVWLWL
GHOODOXQJDHJORULRVDVWRULDGXUDWDROWUHFHQWRDQQLGL
TXHOODFKHSXzHVVHUHFRQVLGHUDWDODSULPDHSLLPSRUWDQWH D]LHQGD IDUPDFHXWLFD PDUFKLJLDQD ILQR DJOL DQQL
&LQTXDQWD /D YDVWLWj GHOO·DUJRPHQWR FRQWUDVWD FRQ OD
VFDUVLWjGHLGRFXPHQWLLQSDUWHVSLHJDELOHFRQLOERPEDUGDPHQWRFKHQHOKDFRPSOHWDPHQWHGHYDVWDWR
ORVWDELOLPHQWRHLVXRLDUFKLYLPDDQFKHFRQO·HVLJXLWj
GL VWXGL IRUVH GRYXWD DOOD
GLVDIIH]LRQH GHOOD FLWWj GL
$QFRQD SHU OD VXD VWRULD
3HU WDOL UDJLRQL PL VRQR
VHUYLWRGHOOHSUH]LRVHWHVWLPRQLDQ]H GL DOFXQL SURWDJRQLVWLFKHKDQQRDYXWRXQ
UXRORLQTXHVWDVWUDRUGLQDULDTXDQWRWURSSRGLPHQWLFDWDYLFHQGD
Introduzione
/D GLWWD IDUPDFHXWLFD
QDFTXH DG $QFRQD QHO
FRPH6RFLHWjWUDVRFL
DFFRPDQGDWL
FKLDPDWD
´6XFFHVVRULGL*&ROODPDULQL &Lµ ,O VXR UDSSUHVHQWDQWH OHJDOH H JHVWRUH
HUD -DFRE GL ' 5XVVL )LJ
HEUHR GL RULJLQH GDOPDWD H SL SUHFLVDPHQWH
UDJXVDQD DOOD PRUWH GHO
TXDOHYHQQHQRPLQDWRLO
PDJJLRLOILJOLR'DYLGH OLTXLGDWRUH SURYYLVRULR
,OSULPROXJOLRGHOORVWHVVR
DQQR GD HVVD SUHVH LO YLD
XQDQXRYDGLWWDVHPSUHLQ
/HWWXUD WHQXWD LO PDJJLR
DO &RQYHJQR DQQXDOH GHOOD
)LJ-DFRE5XVVL
)DFROWj)DUPDFLH)DUPDFLH
33
WALTER SCOTUCCI
VL &L D GLPHQVLRQH QD]LRQDOH ILQR D FRPSHWHUH DOOD
SDULFRQ0DQHWWL5REHUWV6FKLDSSDUHOOL)DUPLWDOLDH
&DUOR(UED,QXPHURVLFRQWDWWLFRQLOPRQGRLQGXVWULDOH
WHGHVFRGRYHOHD]LHQGHIDUPDFHXWLFKHVLHUDQRSUHFRFHPHQWH VYLOXSSDWH GD TXHOOH FKLPLFKH GHL FRORUDQWL
RIIULURQRRFFDVLRQHGLFRQIURQWRHGLDUULFFKLPHQWRSHU
O·LPSUHVD GRULFD H QH GHFUHWDURQR O·HQRUPH VXFFHVVR
FRQVLGHUDQGR DQFKH OR VWDWR GL DUUHWUDWH]]D GHOOD UHVWDQWHLQGXVWULDIDUPDFHXWLFDLWDOLDQD0&LDQL(6RUL
/DUDJLRQHSHUODTXDOH$QFRQDFLWWjWUDGL]LRQDOPHQWHYRWDWDDOFRPPHUFLRGLYHQQHULOHYDQWHSRORLQGXVWULDOHIDUPDFHXWLFRHVVHQGRVLQHOIUDWWHPSRVYLOXSSDWD
DQFKHODGLWWD)HUUDQWL$QJHOLQLQRQYDWDQWRULFHUFDWD
QHOOD FRPXQH SHUFRUVR IRUPDWLYR GHL SURWDJRQLVWL *LDFRPR 5XVVL )UDQFHVFR $QJHOLQL H *LXVHSSH )HUUDQWL
FKH DYHYDQR IUHTXHQWDWR OD VWHVVD VFXROD GL )DUPDFLD
GHOO·8QLYHUVLWjGL&DPHULQRTXDQWRQHOO·HVSHULHQ]DDFFXPXODWD GDOOD FLWWj GRULFD QHO FRPPHUFLR DOO·LQJURVVR
GHOOHGURJKHHGHOOHVSH]LHHSLLQJHQHUDOHSHUHVVHUHLO
FDSROXRJR PDUFKLJLDQR GLYHQXWR XQ·LPSRUWDQWH FHQWUR
RVSHGDOLHUR H VDQLWDULR 0 &LDQL ( 6RUL /·LQGXVWULDIDUPDFHXWLFDGL*LDFRPR5XVVLFRPHLO´&DO]DWXULILFLR'RULFRµGL*'HO9HFFKLRYDSXUHFRQVLGHUDWD
XQDVRUWDGL´GHYLD]LRQHµULVSHWWRDLFRQVXHWLFDPSLGL
DWWLYLWjFKHJOLHEUHLDQFRQHWDQLVLHUDQRULWDJOLDWLQHOO·HFRQRPLDFLWWDGLQDVROLWDPHQWHOLPLWDWLDOVHWWRUHWHVVLOH
HGHLFRORQLDOL
FDWDORJRJHQHUDOHFKHGHEERDOODFRUWHVLDGHOGRWW&DWDQ]DURVWDPSDWRD7UHYLVRQHOHSXEEOLFDWRGDOOD
5XVVL&XQDYROWDO·DQQRGLPRVWUDFRPHLOSUHPLDWR
VWDELOLPHQWRFRQVHGHLQ9LD6DIILDG$QFRQD)LJROWUH
DLPHGLFLQDOLDLSURGRWWLFKLPLFLDJOLDUWLFROLSHUWLQWRULH
VLRFFXSDVVHDGGLULWWXUDGLSLURWHFQLFD
,O FDSLWROR ´&RQGL]LRQL HG $YYHUWHQ]Hµ VSLHJD EHQH
LOPHWRGRGLODYRURGHOO·D]LHQGDLSDJDPHQWLYHQLYDQR
ILVVDWLDTXDWWURPHVLGDOODGDWDGLIDWWXUDVHQ]DVFRQWR
RSHUSURQWRFRQWDQWLFRQORVFRQWRGHOTXDQGROH
IDWWXUHDPPRQWDYDQRDOPHQRD/3HULSDJDPHQWL
ULWDUGDWLHUDSUHYLVWRXQGLULWWRGLLQWHUHVVLOHJDOLSDULDO
O·DQQR/HRUGLQD]LRQLGHLFOLHQWLDYYHQLYDQRVFULYHQGRVXPRGXOLSUHGLVSRVWLLOQRPHGHOODGLWWDODGDWDHLO
GRPLFLOLRODTXDQWLWjHTXDOLWjGHOO·DUWLFRORRUGLQDWR,
UHFLSLHQWLHJOLLPEDOODJJLGRYHYDQRHVVHUHDFDULFRGHL
FRPPLWWHQWLRDOWHUQDWLYDPHQWHFRQIDFROWjSHUTXHVWL
GLVSHGLUOLLQGLWWDIUDQFKLGLRJQLVSHVDHLQRWWLPRVWDWRGLQHWWH]]D/DPHUFHXQDYROWDVSHGLWDSHUWHUUDR
SHUPDUHYLDJJLDYDDULVFKLRHSHULFRORGHOFRPPLWWHQWH
DQFKHVHVSHGLWDLQSRUWRDIIUDQFDWRHYHQLYDDVVLFXUDWD VROR GLHWUR HVSUHVVR RUGLQH )RQGDPHQWDOH HUD O·LQGLFD]LRQH GHOOD VWD]LRQH IHUURYLDULD GL ULIHULPHQWR PD
GRYHYDQR HVVHUH FRPXQTXH L FRPSUDWRUL D GLFKLDUDUH
FRQTXDOHPH]]RGHVLGHUDYDQRYHQLVVHLQYLDWDODPHUFH
3HUOHVSHGL]LRQLYLDPDUHHUDSUHYLVWRXQDJJUDYLRSHU
OHPLVXUHLPSRVWHGDOODGRJDQD2JQLLQYLRYHQLYDLPPHGLDWDPHQWHVHJXLWRGDOODUHODWLYDIDWWXUD/HYHQGLWH
SRWHYDQRHVVHUHIDWWHWUDPLWHL9LDJJLDWRULH5DSSUHVHQWDQWLVDOYRO·DSSURYD]LRQHGHOODFDVDHVDOYRLOYHQGXWR
RSSXUHSRWHYDQRHVVHUHDFRQVHJQD
Lo stabilimento chimico-farmaceutico
/·D]LHQGD IDUPDFHXWLFD 5XVVL QDFTXH FRPH VWDELOLPHQWRSHULOFRPPHUFLRDOO·LQJURVVRHGDOPLQXWRGHOOH
GURJKHHGHOOHVSH]LHHGLDOWULYDULSURGRWWL(EEHGXQTXHLOFDUDWWHUHGLIDUPDFLDVSHFLDOL]]DWDQHOODSUHSDUD]LRQHGLSURGRWWLJDOHQLFL9HUVRODILQHGHOO·2WWRFHQWR
FRQO·DYYHQWRGLSURGRWWLGLVLQWHVLVLDFFUHEEHLQ,WDOLD
ODULFKLHVWDIDUPDFHXWLFDHODGLWWD5XVVLDVVXQVHFDUDWWHUHLQGXVWULDOH1HOSULPR1RYHFHQWRFRQWLQXzDVYROJHUH
VLDDWWLYLWjLQGXVWULDOHFKHFRPPHUFLDOHFRQVROLGDQGRVL
FRPH SURGXWWULFH GL GURJKH FRORQLDOL SURGRWWL FKLPLFL FRORUL SURGRWWL SHU OH DUWL OH LQGXVWULH H OD WLQWRULD
HSUHSDUDWLIDUPDFHXWLFLHPHGLFLQDOLRWWHQHQGRQXPHURVL ULFRQRVFLPHQWL LQ GLYHUVH HVSRVL]LRQL QD]LRQDOL HG
LQWHUQD]LRQDOL)$PDWRUL)XQ]LRQzDQFKHFRPH
JUDQGHGHSRVLWRGLDFTXHPLQHUDOLGLRJJHWWLGLJRPPD
HODVWLFDHGHEDQLWHGLVWUXPHQWLSHUODFKLUXUJLDGLDSSDUHFFKLHGXWHQVLOLSHUODERUDWRULFKLPLFLGLPDWHULDOLGL
PHGLFDWXUDDQWLVHWWLFDDOOD/LVWHUGLFLQWLHUQLDULGLFDO]H
HODVWLFKHSHUYDULFLHGLPROWRDOWURDQFRUD8QUDULVVLPR
*UD]LHDOODQRWHYROHFRPSHWHQ]DWHFQLFDHDOQRQFRPXQHLQWXLWRFRPPHUFLDOHGL*LDFRPR5XVVLORVWDELOLPHQWRGL$QFRQDYHQQHJUDGXDOPHQWHSRWHQ]LDWRWDQWR
FKHQHOYLODYRUDURQRFLUFDRSHUDLLQPDJJLRUDQ]DGRQQH*LDFRPRDYHYDFUHDWRDQFKHXQHFFHOOHQWH
ODERUDWRULR DYYDOHQGRVL GL RWWLPL FROODERUDWRUL /D VXD
JHVWLRQH GHOOH PDHVWUDQ]H ULVXOWz SHU O·HSRFD PROWR
DYDQ]DWDVSLQWDILQRDOO·RUJDQL]]D]LRQHGLJLWHD]LHQGDOLSHULGLSHQGHQWLFRPHTXHOODLQGLPHQWLFDELOHD=DUD
/·D]LHQGDULXVFuFRQOXLDSURGXUUHTXDVLFLQTXDQWDVSHFLDOLWjSURSULHWUDOHTXDOL6DQDOHSVLH5HVROXWLQIXURQR
TXHOOH FKH RWWHQQHUR LO PDJJLRU VXFFHVVR QHOO·DPELWR
PHGLFRVFLHQWLILFR /D GLWWD LQL]LDOPHQWH D FRQGX]LRQH
TXDVLIDPLOLDUHVRFLHWjLQDFFRPDQGLWDVHPSOLFHVLDFFUHEEH FRVWDQWHPHQWH H VXEu DQFKH QHO WHPSR GLYHUVL
PXWDPHQWL1HOYHQQHWUDVIRUPDWDLQ6RFLHWjDQR34
LO STABILIMENTO CHIMICO-FARMACEUTICO RUSSI & C.
)LJ*LDFRPR5XVVLHLOILJOLR6HUJLR
QLPDJDOHQLFDLWDOLDQD6$*,HQHODVHJXLWRGHOOH
OHJJLUD]]LDOLGHOO·DQQRSUHFHGHQWHLQ6RFLHWjDQRQLPD
IDUPDFHXWLFDLWDOLDQD6$),GL$QFRQDFRQVHGHD0LODQRLURQLFDPHQWHULEDWWH]]DWDGDJOLDQFRQHWDQL´6RFLHWj
$ULDQD )UD ,VUDHOLWL µ $ *LDFRPR 5XVVL ULXVFu LQIDWWL LO
WHQWDWLYRGL´DULDQL]]DUODµRWWHQHQGRLOSURYYHGLPHQWR
GLGLVFULPLQD]LRQH4XHVWRSDVVDJJLRFRPSRUWzODWUDVIRUPD]LRQHLQ6S$O·DXPHQWRGHOFDSLWDOHVRFLDOHOD
QRPLQDGLXQQXRYR&RQVLJOLRGL$PPLQLVWUD]LRQHFRPSRVWR GD VROL DULDQL H OH GLPLVVLRQL GHOOR VWHVVR *LDFRPRVRVWLWXLWRQHOO·LQFDULFRGL$PPLQLVWUDWRUHGDOO·DPLFR
GRWWRU%HUQL,QTXHOO·DQQRLOFDSLWDOHVRFLDOHHUDVWLPDWR
LQRWWRPLOLRQLLOYDORUHGHJOLLPSLDQWLLQFLQTXHPLOLRQLODGLVWULEX]LRQHGHOO·XWLOHHUDGL/DQQXH)
$PDWRUL3HUFRPSUHQGHUHO·LPSRUWDQ]DGLTXHVWL
GDWLEDVWLFRQIURQWDUOLFRQTXHOOLFRQWHPSRUDQHLGHOO·DOWUDD]LHQGDDQFRQHWDQDGHOVHWWRUHOD$QJHOLQL)HUUDQWL
FKHYHQLYDYDOXWDWDFRQXQFDSLWDOHVRFLDOHGLSRFRSL
GLXQPLOLRQH
GHOODGLWWD5XVVL'LTXDOFXQRqVWDWRSRVVLELOHWURYDUH
WUDFFLD1HJOLDQQL9HQWL7UHQWDLO3URIHVVRU3LR0DUIRULGLUHWWRUHGHOO·,VWLWXWRGL)DUPDFRORJLDH7HUDSLDGHOOD
5HJLD8QLYHUVLWjGL1DSROLHUDLOFRQVXOHQWHIDUPDFRORJLFR1HJOLVWHVVLDQQLLO3URIHVVRU5LFFDUGR&LXVDHUDLO
FRQVXOHQWHFKLPLFRFKHDIILDQFzOHFRPSHWHQ]HGL*LDFRPR H YHQQH QRPLQDWR 'LUHWWRUH GHO /DERUDWRULR GL
ULFHUFD ,O 3URIHVVRU (XJHQLR &HQWDQQL PDUFKLJLDQR GL
0RQWHUXEELDQR IX LQYHFH 'LUHWWRUH VFLHQWLILFR GRSR LO
VXRSHQVLRQDPHQWRXQLYHUVLWDULRGHOILQRDOODVXD
PRUWH DYYHQXWD QHO 9LVVH LO PRPHQWR GHOO·DSLFH
SURGXWWLYR ILQR DO UHJLPH GL GLVFULPLQD]LRQH &HQWDQQL
HUDVWDWRGRFHQWHGL3DWRORJLD*HQHUDOHQHOOH8QLYHUVLWj
GL&DJOLDUL)HUUDUD6LHQD0RGHQDH%RORJQDHGDYHYD
VWUHWWR IRUWL OHJDPL FRQ LO PRQGR VFLHQWLILFR WHGHVFR ,
VXRLVWXGLROWUHSXEEOLFD]LRQLULJXDUGDURQRSULQFLSDOPHQWHO·,PPXQRORJLDOD5DEELDOD3HVWHDYLDULDOD
)HEEUHOH7RVVLQHO·2QFRORJLDODFDUHQ]DDOLPHQWDUH
HOH9LWDPLQHOHFROWXUHGHLWHVVXWLLQYLWURL9LUXVILOWUDELOLL7XPRULOD%LRFKLPLFD,O'RWWRU*LQR%DUDWWLQL
FKLPLFR H IDUPDFLVWD IX LO GLUHWWRUH GHOOR VWDELOLPHQWR
IDUPDFHXWLFRSHUWDQWLDQQL7UDJOLDOWULFROODERUDWRULFL
IXURQRDQFKH*LRYDQQL*DWWLSULPDULRPHGLFRDOO·2VSHGDOH6DQ6HUYLOLRGL9HQH]LDHLOSURIHVVRU&RUUDGR)Xj
I consulenti e l’attività scientifica
0ROWL H TXDOLILFDWL XRPLQL GL VFLHQ]D VL DOWHUQDURQR
FRPHFRQVXOHQWLQHOOXQJRDUFRWHPSRUDOHGLHVLVWHQ]D
35
WALTER SCOTUCCI
4XHVW·XOWLPR DUULYDWR GRSR LO IX IDWWR FKLDPDUH
FRQO·LQFDULFRGLFRQVXOHQWHGD)UDQFR5XVVLQHOWHQWDWLYRGLULVROOHYDUHODGLWWDLQGHFOLQR(JOLULFRUGDGLTXHO
SHULRGRXQDOWURFROODERUDWRUHGLRULJLQHVDUGDHXQIRUWH
OHJDPHGHOODGLWWDFRQODIDFROWjGL)DUPDFRORJLDGL8UELQR
*UD]LHDLVXRLFRQVXOHQWLO·D]LHQGD5XVVLUHDOL]]zXQD
QRWHYROHDWWLYLWjGLVWXGLRHGLULFHUFDFRPHWHVWLPRQLDQR SXUH DOFXQH SXEEOLFD]LRQL FKH GHEER DOOD FRUWHVLD
GL*LDQFDUOR$LXGLHFKHUDSSUHVHQWDQRODOHWWHUDWXUDGL
ULIHULPHQWRSHUODSURGX]LRQHIDUPDFHXWLFD8QRVWXGLR
GL3LR0DUIRULGHOVLRFFXSzGLWHUDSLDQHUYRVDFRQ
)RVIRNROD2UWRQHYUROH6DQDOHSVL8QDOWURGHOORVWHVVR
DXWRUHVSLHJDYDLOVLQHUJLVPRHO·DQWDJRQLVPRIUD&DOFLR
H0DJQHVLR*LRYDQQL*DWWLqO·DXWRUHGHOO·DUWLFRORVXOOD
9DOHULDQDHOHVXHDSSOLFD]LRQLWHUDSHXWLFKH8QRSXVFRORFXUDWRGDOODGLWWDQHOWLUDYDOHVRPPHGHOOHDSSOLFD]LRQLFOLQLFKHGHO5HVROXWLQ5XVVLRLPPXQRWHUDSLD
GL &HQWDQQL FKH LQ TXHOO·HSRFD SUHDQWLELRWLFD UDSSUHVHQWz LO SXQWR SL DYDQ]DWR GHOOD ULFHUFD IDUPDFHXWLFD
FRQWUROHSLJUDYLSDWRORJLHLQIHWWLYH1HJOLVWHVVLDQQL
ODEHQHPHULWDD]LHQGDDQFRQHWDQDFXUDYDDQFKHODSXEEOLFD]LRQH GL DSSURIRQGLPHQWL VFLHQWLILFL H IRUPDWLYL VX
YDUL DOWUL WHPL FRPH JOL (Q]LPLLQWHUDSLD H FRQ OD GLUH]LRQHGHOGRWW*DHWDQR*HQWLOHDFDGHQ]DELPHVWUDOH XQD GRWWD H QXWULWD UDVVHJQD GL 0HGLFLQD LQWLWRODWD
,O %DJOLYLLQULFRUGRGHOIDPRVRPHGLFRHVFLHQ]LDWRGHO
VHFROR;9,,*LRUJLR%DJOLYLGL/HFFHHGLWDGD6DQVRQL
GL )LUHQ]H H GHJQD SHU VHULHWj H SURIRQGLWj GHJOL VWXGL
GHOFHOHEUHVFLHQ]LDWR1RQIXXQFDVRVHODVFHOWDFDGGH
VXO QRPH GHO PHGLFR OHFFHVH LQ UHDOWj GL SURYHQLHQ]D
GDOPDWDQDWRD5DJXVDO·VHWWHPEUHGHOFRQXQ
FRJQRPHGLRULJLQHDUPHQDPDDGRWWDWRGDSLFFRORGDO
PHGLFR3LHWUR$QJHOR%DJOLYL
SUHSDUD]LRQH VFLHQWLILFD EUHYHWWDWD GHOOR VWDELOLPHQWR
HUD LQYHFH XQ DQWLPDODULFR WRQLFRULFRVWLWXHQWH LQ JUDGRGLGLVWUXJJHUHFRPSOHWDPHQWHTXDOXQTXHSDUDVVLWD
VLDTXDUWDQDULRVLDWHU]DQDULRVLDHVWLYRDXWXQQDOH(UD
YHQGXWRLQVFDWROHFRPRGHHGHOHJDQWLFRQWHQHQWL
FDFKHWVHLQJLRUQLJDUDQWLYDODJXDULJLRQHGDOOHIHEEULPDODULFKHDQFKHVHULEHOOLDSUHFHGHQWLWUDWWDPHQWL6L
SRQHYDDQFKHFRPHIDWWRUHHPRSRLHWLFRSHUODFRPELQD]LRQHGL)HUURH0DQJDQHVHFKHIDYRULYDODVLQWHVLGHOO·HPRJORELQDGLVWUXWWDGDOO·LSHUHPROLVL$OWULSULQFLSLWRQLFL
DPDULHXSHSWLFLFRDGLXYDQWLO·D]LRQHGHOFKLQLQRUHQGHYDQRSRLLOSURGRWWRDQFKHSHUIHWWDPHQWHGLJHULELOH
&·HUDSRLLO1HXURFROQXWULPHQWRGHLQHUYLFRPSRVWRGL
IHUURIRVIRURDOORVWDWRRUJDQLFRHGLVWULFQLQDFRQD]LRQH
WRQLILFDQWHHULFRVWLWXHQWHXWLOL]]DWRSHUULDO]DUHOHIRU]H
GHOO·RUJDQLVPRLQPDQLHUDGHOWXWWRPLUDFRORVD)RUWHGL
LQQXPHUHYROLHVSHULHQ]HHVHJXLWHGDOO·LQWHUDFODVVHPHGLFDFKHQHDWWHVWDYDQRODVXSHULRULWjVXOOHSUHSDUD]LRQL
FRQJHQHULHUDDQFKHSUHVFULWWRSHUJXDULUHO·DQHPLDOD
QHXURDVWHQLDLQWXWWHOHVXHPDQLIHVWD]LRQLHOHDWRQLH
GHOORVWRPDFRHGHOO·LQWHVWLQR0DLOYHURULFRVWLWXHQWH
VRYUDQRHUDLO)HUUR&KLQD5XVVLULPHGLRSHUO·DQHPLDOD
FORURVLODSDOOLGH]]DLPDOLGLVWRPDFRO·LQDSSHWHQ]DHL
GHELOLWDPHQWLLQJHQHUHXQOLTXRUHWRQLFRULFRVWLWXHQWH
ULFFR GL IHUUR DVVLPLODELOH H GHL SULQFLSL GHOOD FKLQD /D
GLWWDDYHYDLQIDWWLXQEHQIRUQLWRDVVRUWLPHQWRGLFKLQH
GLWXWWHOHTXDOLWjDFTXLVWDWHGLUHWWDPHQWHDJOLLQFDQWLGL
$PVWHUGDP5RWWHUGDPH/RQGUDHTXHVWRJDUDQWLYDXQD
JUDQGHFRQYHQLHQ]DGLSUH]]LHGLTXDOLWjGHLSURGRWWL6H
QHUDFFRPDQGDYDO·XVRFRQWLQXDWRHVLSUHQGHYDSULPD
GHLSDVWLLQXQELFFKLHULQRVHPSOLFHRFRQDFTXDGL6HOW]
&·HUDQRSXUHO·(VVHQ]DGLFKLQDHFDFDR5XVVLXQOLTXRUH
WRQLFRQXWULWLYRGLVDSRUHJXVWRVRFKHULGRQDYDIRU]DDL
FRQYDOHVFHQWLDLEDPELQLGHQXWULWLHDLYHFFKLGHELOLWDWL
H TXHOOD DOOD QRFH YRPLFD FKH ROWUH DG DYHUH WXWWH OH
SURSULHWjGHOO·HVVHQ]DGLFKLQDFDOLVDLDSRVVHGHYDTXHOOHGHJOLDOFDORLGLGHOODQRFHYRPLFDWRQLFKHHVWLPRODQWLLOVLVWHPDQHUYRVR'XHFXFFKLDLQLGDFDIIqDOJLRUQR
DVVLFXUDYDQRLOQRUPDOHIXQ]LRQDPHQWRGHJOLRUJDQLGLJHVWLYL ,O FDWDORJR GHL SURGRWWL GLYHQQH JUDGXDOPHQWH
VHPSUHSLFRUSRVRHVLDUULFFKuGLVSHFLDOLWjIDUPDFHXWLFKHFKHHEEHURXQHQRUPHVXFFHVVRLQWXWWRLOWHUULWRULR
QD]LRQDOH1HOO·DPELWRGHOODWHUDSLDVHGDWLYDHDQWLFRQYXOVLYDLOUXRORSULQFLSDOHVSHWWDDOODJLjULFRUGDWD6DQDOHSVL)LJFKHULVXOWDYDFRPSRVWDHVVHQ]LDOPHQWHGL
IHQLOHWLOPDORQLOXUHD /XPLQDO GDOOH EHQ QRWH SURSULHWj
DQWLHSLOHWWLFKH,OSUHSDUDWR5XVVLFRQWHQHYDSHUzDQFKH
HVWUDWWL YHJHWDOL DQWLVSDVPRGLFL WUD L TXDOL LO 5KDPQXV
I prodotti farmaceutici
1HLSULPLDQQLGHO1RYHFHQWROD5XVVL&LGLVSRQHYDGLGURJKHPHGLFLQDOLSURGRWWLFKLPLFLHWLQWRULHFRQ
FRORULDOO·DQLOLQDHVVHQ]HHVWUDWWLHVWUDWWLIOXLGLRYXOLH
VROX]LRQL WLWRODWH 7UD OH VXH SURGX]LRQL SL FRQRVFLXWH
F·HUDOR 6FLURSSRGLLSRVROILWLFRPSRVWR²5XVVLFKHYHQLYDFRPPHUFLDOL]]DWRFRPHVWLPRODQWHGHLFHQWULQHUYRVL
H ULDWWLYDWRUH GHOOH IXQ]LRQL YLWDOL GHOOD ULSURGX]LRQH H
GHOO·DVVLPLOD]LRQH 7URYDYD LQGLFD]LRQH DQFKH QHO UDFKLWLVPRQHOOHSVLFRVLGHOO·DGROHVFHQ]DHQHLFDVLGLGHQXWUL]LRQHVSHFLHGHLYHFFKLHGHLFRQYDOHVFHQWL0ROWR
ULFKLHVWDHUDSXUHO·(PXOVLRQH5XVVLGLSXULVVLPRROLRGL
IHJDWRGLPHUOX]]RJUDGHYROHHHIILFDFH,O 3/2'5XVVL
36
LO STABILIMENTO CHIMICO-FARMACEUTICO RUSSI & C.
IHWWDQWHGHOOHYLHUHVSLUDWRULHHQHOO·DPELWRGHOO·LPSOHPHQWD]LRQH FDOFLFD O·2VFDOFLR VROX]LRQH RUDOH H LO )OHERFDOFLR VROX]LRQH VWHULOH LSRGHUPLFD FKH WURYDYDQR
VYDULDWH LQGLFD]LRQL WHUDSHXWLFKH WXEHUFRORVL GLDWHVL
HPRUUDJLFKHHVVXGDWLLQILDPPDWRULPDODWWLHDOOHUJLFKH
YDULVWDWLFRQYXOVLYLGRORULGHLFDQFHURVLKHUSHV]RVWHU
ODULQJLWLIDULQJLWLWRQVLOOLWLFURQLFKH(DQFRUDLO0LRVWHRJHQR 5XVVL LPSLHJDWR TXDOH JHQHUDWRUH GL PXVFROL H
GLRVVDHFRPHHFFLWDQWHORVYLOXSSRLQIDQWLOHQHOWLSR
VHPSOLFH HG LGUDUJLULR O·2OHROD[ YDVHOLQD R SDUDIILQD
SXULVVLPDFKHYHQLYDFRPPHUFLDOL]]DWDLQIODFRQLFRQWUR
VWLWLFKH]]DRFRPHGLVLQIHWWDQWHSHUFROLWLHGHQWHURFROLWL3DUWLFRODUPHQWHLQQRYDWLYDQHJOLDQQL7UHQWDIXOD
FRVLGGHWWD,PPXQRWHUDSLDGL&HQWDQQLRVVLDLO 5HVROXWLQ5XVVLFKHYHQLYDSUDWLFDWDFRQXQDSXQWXUDRJQLWUH
JLRUQL7URYDYDVYDULDWHDSSOLFD]LRQLFOLQLFKHIHEEULFULSWRJHQHWLFKHIRUPHSROPRQDULHULVLSHODLQIH]LRQHSXHU-
SXUVKDGD]LRQHODVVDWLYDHSXUJDWLYD/DIRUPXOD]LRQH
HUDLQFRPSUHVVHHGLQJRFFHHYHQLYDXWLOL]]DWDDQFKH
FRPHVRQQLIHUR1HOFDSLWRORGHOODWHUDSLDULFRVWLWXHQWH
O· (XWRQ5XVVLYHQLYDSUHVFULWWRQHOOLQIDWLVPRQHOODQHYUDVWHQLD QHJOL VWDWL WXEHUFRODUL H SUHWXEHUFRODUL QHOOD
GHEROH]]DJHQHUDOHHQHOOHFRQYDOHVFHQ]H/D)RVIRNROD
5XVVL SUHSDUDWR D EDVH GL JOLFHURIRVIDWL GL FDOFLR H GL
VRGLRHUDLPSLHJDWRFRPHULFRVWLWXHQWHJHQHUDOHHVSHFLDOPHQWH GHO VLVWHPD QHUYRVR /· 2UWRQHYURO VL SURSRQHYDFRPHULFRVWLWXHQWHJHQHUDOHHGDQFKHFRPHWRQLFR
PXVFRODUHHVHGDWLYRGHOVLVWHPDQHUYRVR(UDFRVWLWXLWR
GD JOLFHURIRVIDWR GL VRGLR IRUPLDWR GL VRGLR DUVHQLFR
YDOHULDQDF\SULSHGLXPSXEH.ROD&RPSRQHQWLHILQDOLWjVLPLOLSHUOD'LJHVWDVL.
7UDLSURGRWWLGHOO·D]LHQGD5XVVLYDQQRULFRUGDWLDQFKH
OD %LRDOLQDFRPSOHPHQWRDOODFXUDGLPLQHUDOL]]D]LRQH
VWLPRODWRUHGHLSRWHULGLGLIHVDGHOO·RUJDQLVPR H GLVLQ-
)LJ/D6RFLHWj$QRQLPD)DUPDFHXWLFD,WDOLDQD6$),QHOHO·DUFR5XVVLRJJLSHUJHQWLOHFRQFHVVLRQHGHO&RPDQGR5HJLRQDOHGHOOD
*XDUGLDGL)LQDQ]D
37
WALTER SCOTUCCI
WD$QFKHO·,QGLFHWHUDSHXWLFRHODVXDDSSHQGLFHULSRUWDYDQRRJQLDQQROHPROWHVSHFLDOLWjGHOODFDVD3XEEOLFLWj
YHQLYDQR LQVHULWH DOO·LQWHUQR GL SXEEOLFD]LRQL PHGLFR
VFLHQWLILFKHFRPHQHJOL$WWLGHOO·$FFDGHPLD0HGLFR&KLUXUJLFDGHO3LFHQRGRYHQHJOLDQQL7UHQWDPROWHSDJLQH
VRQRGHGLFDWHDOOHD]LHQGHIDUPDFHXWLFKHHWUDGLHVVHOD
GLWWD5XVVLqODSLUDSSUHVHQWDWD7UDOHDOWUHIRUPHSXEEOLFLWDULHF·HUDODVWDPSDGLFDUWROLQHSRVWDOLLQYLDWHDOOH
IDUPDFLHFKHULSRUWDYDQRO·LQWHVWD]LRQHGHOO·D]LHQGDFRQ
D ILDQFR O·LPPDJLQH GL TXDOFKH SURGRWWR &L SRWHYDQR
HVVHUHSXUHFDUWROLQHLOOXVWUDWHFRPHTXHOODGHO/LHYLWR
6$*,FKHVXOUHWURWHVVHYDOHORGLGHLGROFLSUHSDUDWLFRQ
LOSURGRWWR9HQLYDQRSRLVWDPSDWHORFDQGLQHVXFDUWRQFLQRSHUODSURSDJDQGDDLPHGLFLRPDQLIHVWLDFRORUL
FRQQRPHHLPPDJLQHHYRFDWLYDDIURQWHHLQGLFD]LRQL
WHUDSHXWLFKH VXO UHWUR VLD SHU OD 6DQDOHSVL FKH SHU LO
3KRVSKRUXV R OD 9LWDFL $OWUD SURSDJDQGD VSHFLDOH HUD
VWDPSDWDVXJDGMHWVFRPHFDUWRQFLQLDVVRUEHQWLDIRUPD
HVDJRQDOHRVXEXVWLQHFRQWHQHQWLVWX]]LFDGHQWLLJLHQLFL
SHUDOH VXSSXUD]LRQL LQIH]LRQL FKLUXUJLFKH LQIH]LRQH
JRQRFRFFLFDVHWWLFHPLDLQIH]LRQHWLILFDQHOODSDWRORJLD
LQIDQWLOH H QHOOH IRUPH UHXPDWLFKH 1HO VXR WUDWWDWR GL
,PPXQRORJLDGHOLOSULPRVXOO·DUJRPHQWRLQ,WDOLD
&HQWDQQL DYHYD GLVWLQWR XQD SULPD SDUWH GHGLFDWD DOOD
6LHURORJLD H DOOH UHD]LRQL DQWLJHQH DQWLFRUSR R SULPD
,PPXQLWjDOORUDGLJUDQPRGDGDXQDVHFRQGDGHGLFDWD
DOODIRUPD,VWRJHQHGLVROLWRDEEDVWDQ]DWUDVFXUDWD(JOL
DYHYDSURSRVWRDQFKHXQDWHU]DSDUWHGHOWXWWRQXRYD
GHGLFDWDDOODIRUPDGHWWD 6WRPRJHQHRWHU]D,PPXQLWjFKHVLEDVDYDVXOODFRVWDWD]LRQHFKHODFRVWLWX]LRQH
SURWHLFDFKLPLFDHELRFKLPLFDGHLJHUPLVHEEHQHGLYHUVLILFDWDSRWHYDDVVRPLJOLDUHDGDOWUHVRVWDQ]HSUHVHQWL
LQQDWXUD8QDYROWDLVRODWHHGLQRFXODWHQHOO·RUJDQLVPR
TXHVWHSURWHLQHDYUHEEHURSRWXWRGDUHULVXOWDWLVRUSUHQGHQWLILQRDQFKHDPHWWHUHLQGLVFXVVLRQHODVSHFLILFLWj
VLHURYDFFLQRJHUPH&KLDPzWDOLSURWHLQH´6WRPRVLQHµ
HODQXRYDWHUDSLD´3URWHLQRWHUDSLDµFKHIXODUJDPHQWH
XWLOL]]DWDLQHUDSUHDQWLELRWLFDHGDQWLELRWLFD$GHVVD
SRWUHPPRRJJLDWWULEXLUHLOUXRORGLDGLXYDQWH9HQLYD
FRPPHUFLDOL]]DWDGDOOD5XVVLFRQLOQRPHGL5HVROXWLQ
PDQHOO·,QGLFHWHUDSHXWLFRGHOFRPSDUHDQFKHFRQ
ODGHQRPLQD]LRQH/DF.
$OWUL SURGRWWL 5XVVL FRPH LO 3KRVSKRUXV 5XVVL O·LQWHJUDWRUHGL9LWDPLQD& 9LWDFuLOGLVLQIHWWDQWHDQWLVHWWLFR
JLQHFRORJLFR (XJLQ FRVWLWXLYDQR XOWHULRUL WDVVHOOL GHO
FRPSOHVVRSURGXWWLYRGHOODGLWWDFKHFRPSUHQGHYDDQFRUDO·$EH[LQDVFLURSSRSHUODWRVVHOD 7HUPROHLQDOD
6SLULOOLQDLQVXSSRVWHFRQD]LRQHULVROYHQWHDQWLSLUHWLFDH
DQWLIORJLVWLFDSHUOHWRQVLOOLWLHL &DFKHWV5XVVLFRQWURLO
GRORUH(DQFRUDOHVROX]LRQLWLWRODWHSHUXVRLSRGHUPLFR
FRQODFDQIRUD&·qFKLULFRUGDO·2YRPDOWLQDFKHVLIDFHYD
FRQO·XRYRGXUDQWHODSURGX]LRQHGHOODTXDOHVLGLIIRQGHYDXQFDUDWWHULVWLFRRGRUHLQWXWWRORVWDELOLPHQWR
0DODGLWWDQRQIRUQLYDVRORVSHFLDOLWjIDUPDFHXWLFKH
EDVWLULFRUGDUHO·HOHJDQWH,QDODWRUH5866,&LLQFHUDPLFDSHUO·DHUHRVROWHUDSLDHDOWULSURGRWWLSHUIDPLJOLDFRPH
LO/LHYLWR6$*,GHOFRQVHUYDWRLQXQDVFDWRODLQODWWD
FP[[HJUHJLDPHQWHGHFRUDWDFRQOLWRJUDILHLQ
RJQLVXRODWRFRQGLVHJQLDWWULEXLWLD*UD]LDQD0HVFKLQLR
DOSDGUH*LRYDQQL0HVFKLQLLO 5XVVLOLQGHWHUVLYRVFKLXPRJHQRLFRUURERUDQWL5XVVL0RND/DWWHH/LTXRU/DWWH
O·(VVHQ]DGLFKLQD)LJHLO*LQ6HQJ5XVVL&L
L’attività dell’Ufficio propaganda
)UD OH YDULH IRUPH GL UpFODPH FRPH VL FKLDPDYDQR
DOO·HSRFDODSLHIILFDFHHUDVHQ]DGXEELRLOJLjULFRUGDWR&DWDORJRJHQHUDOHSXEEOLFDWRDQQXDOPHQWHGDOODGLW-
)LJ ,Q TXHVWD H QHOOH GXH ILJXUH VHJXHQWL DOFXQL PDQLIHVWL
SXEEOLFLWDULGLSURGRWWL5XVVL
38
LO STABILIMENTO CHIMICO FARMACEUTICO RUSSI & C.
Il sistema Russi e la nascita della moderna
forma di distribuzione farmaceutica
,OVLVWHPDRUJDQL]]DWLYRGHOODGLWWD5XVVLFRPSUHQGHYDROWUHDOOR6WDELOLPHQWRGL$QFRQDFRQJOLXIILFLHOD
SURGX]LRQHXQDUHWHGL'HSRVLWLHGL6XFFXUVDOLLQWDQWH
DOWUH 5HJLRQL DOPHQR FHQWR PH]]L GL WUDVSRUWR HG XQD
ILWWDUHWHGLIDUPDFLHGLSURSULHWjHGLIDUPDFLHDPLFKH
VXFXLSRWHUFRQWDUH7UDTXHVW·XOWLPHOHSLLPSRUWDQWL
HUDQRFHUWDPHQWHTXHOOHGHO&DY-0RQLFRD9HQH]LDLQ
&DPSR6DQ%DUWRORPHRHLQ&DPSR6DQ/LRTXHOODGHO
GRWW0LRQHLQSLD]]D9LWWRULR(PDQXHOH,D7RULQROH2IILFLQHSURGRWWLFKLPLFLHJDOHQLFLGHOGRWW/XLJL*RUGLQLLQ
SLD]]DGHO'XRPRD)LUHQ]HHOD3UHPLDWDIDUPDFLD%LQGRFFL D 3HUXJLD
2OWUH DOOH IDUPDFLH GL IDPLJOLD
QXPHURVLVVLPH
DOWUH SHU OR SL
FRPXQDOL IXURQR
DYYLDWH H VRVWHQXWH GDOOD 5XVVL
SDUWLFRODUPHQWH
QHOOH 0DUFKH H
VSHFLH VXOOD FRVWD DQFKH SHUFKp IDFLOPHQWH
U D J J L X Q J L E L O L
YLD WUHQR FRPH
D &LYLWDQRYD D
&XSUD 0DULWWLPD
H D 3HGDVR 0D
DQFKH QHOO·LQWHUQR D 0RQWHILRUH GHOO·$VR D
)HUPR DG $VFROL
H D &LQJROL /H
ULFKLHVWH DOO·LQJURVVR HUDQR GLUHWWDPHQWHHYDVH
GDL ´3UHSDUDWRUL
6LJQRUL5XVVLµ/H
YHQGLWH YHQLYDQRIDWWHDPH]]R
GL 9LDJJLDWRUL H
5DSSUHVHQWDQWL
/·LQWHUR VLVWHPD
IXQ]LRQDYD JLj
ILQGDLSULPLDQQL
GHO 1RYHFHQWR PD YD GDWR PHULWR D *LDFRPR GL GXH
JHQLDOLVFRSHUWHFKHKDQQRGDWRLOYLDDOODPRGHUQDIRUPDGLGLVWULEX]LRQHIDUPDFHXWLFDWXWWRUDLQXVRSHUOD
YHQGLWDDOO·LQJURVVRFRQJUDQGHLQWXLWRLPSUHQGLWRULDOH
IDYRUuODFUHD]LRQHGHOODUHWHGL GHSRVLWL FKHGLVWULEXLYD
SURGRWWLLQWXWWDO·,WDOLDFHQWURPHULGLRQDOH3HUODYHQGLWDDOGHWWDJOLRSURYYLGHDOODFUHD]LRQHGLXQFRVSLFXR
SDUFRGLDXWRPH]]LLQJUDGRGLULIRUQLUHJLRUQDOPHQWHOH
IDUPDFLHFRQVHQWHQGRXQQRWHYROHVFDULFRGHOOHVFRUWH
I Depositi
,OGHSRVLWRSULQFLSDOHGHOOD5XVVLHUDTXHOORGL$QFRQD
VHPSUH D ULGRVVR GHOO·DUHD SRUWXDOH VRSUD L PDJD]]LQL
FRPXQDOL H VRWWR OR VWDELOLPHQWR 9L VL DFFHGHYD GDOOD
VWUDGDVRWWRPDUHPROWRWUDQVLWDWDDQFKHSHUODSUHVHQ]D
GLIDPRVHFDVHGLSLDFHUHGLOLYHOORSRSRODUH'DOOHILQHVWUHGHJOLXIILFLDOSULPRSLDQRVLSRWHYDYHGHUHO·LQILQLWR
YLD YDL GL IXUJRQL H GL PDFFKLQH FKH VL FRQIRQGHYD HG
LQWHUDJLYDFRQOHDOWUHGLVFXWLELOLDWWLYLWjFRPPHUFLDOLFKH
LQTXHOO·DUHDDYHYDQRWURYDWRFRQYHQLHQWHVLVWHPD]LRQH
*OLDOWULGHSRVLWLGHOOD5XVVLHUDQRD3HUXJLDHD3HVFDUD
H JDUDQWLYDQR XQD FDSLOODUH GLVWULEX]LRQH GHL SURGRWWL QHOO·,WDOLD FHQWUR PHULGLRQDOH *Lj GDL SULPL DQQL GHO
1RYHFHQWRROWUHDOODSURGX]LRQHHDOODFRPPHUFLDOL]]D]LRQH GL SURGRWWL SURSUL OD 5XVVL IXQJHYD GD GHSRVLWR
SHUPROWLVVLPLDOWULDUWLFROL7UDTXHVWLSDUWLFRODUPHQWH
YDULDHUDVWDWDODGLVSRQLELOLWjGLDFTXHPLQHUDOLFRPHOH
YHUH$FTXHGL9LFK\VRUJHQWLGHOORVWDWRIUDQFHVHSHUOH
PDODWWLHGHOORVWRPDFRHGHOIHJDWRODJRWWDLFDOFROLHG
LOGLDEHWHFRQOHSUHPLDWH3ROYHUL9LFK\'XSUqJD]RVH
GLJHVWLYHGLXUHWLFKHHULQIUHVFDQWL/·$FTXDPLQHUDOHDOFDOLQDGL6DQ3HOOHJULQRLQVXSHUDELOHSHUFRPEDWWHUHOD
GLDWHVLXULFDLFDWDUULYHVFLFDOLJDVWULFLHLQWHVWLQDOLJOL
LQJUDQGLPHQWLHSDWLFLLOGLDEHWHODSROLVDUFLDOHDOWHUD]LRQLUHQDOLHGHOODSHOOH/·$FTXDPLQHUDOHPDJQHVLDIOXLGD'RORPLQDHPROWLVVLPHDOWUHPDUFKHFRPHO·$SHQWD
OD &DVWURFDUR VDOVRLRGLFD OD &ODXGLD OD )HUUDUHOOH OD
)LXJJL TXHOOD GL 0RQWHFDWLQL OD 6DQJHPLQL TXHVW·XOWLPDHFFHOOHQWHDFTXDGDWDYRODDGDWWDDFRPEDWWHUHGLDWHVLXULFDPDODWWLHGHOORVWRPDFRGHOO·LQWHVWLQRHGHOOD
YHVFLFD OD VROD IUD OH FRQJHQHUL FKH VL HUD PHULWDWD OH
PHGDJOLH G·RUR DOOH HVSRVL]LRQL G·,JLHQH GL 1DSROL GHO
H SUHFHGHQWHPHQWH GL 7RULQR GL *HQRYD H
3HUXJLDGHO$QFKHOHDFTXHHVDOLGL0RQWHFDWLQL
GHOOHIRQWL*LXOLDH7DPHULFLHUDQRULFHUFDWHSHUODFXUD
GHOOH PDODWWLH GHOOR VWRPDFR GHO IHJDWR H GHOO·LQWHVWLQR,VDOLQDWXUDOLHTXHOORMRGDWRGHOOH7DPHULFLHVWUDWWL
VRWWRVRUYHJOLDQ]DJRYHUQDWLYDHUDQRRWWLPLSXUJDQWLH
39
WALTER SCOTUCCI
Le Succursali
7UH HUDQR OH 6XFFXUVDOL OD ILOLDOH GL %DUL GRYH VL HUD
WUDVIHULWR5DIIDHOHODILOLDOHGL)RUOuGRYHVLHUDWUDVIHULWR5RGROIRHODILOLDOHGL5RPDFRQWUROODWDGLUHWWDPHQWH
GDOORVWHVVR*LDFRPR&·qTXDOFKHWUDFFLDGHOODYRORQWj
GLFUHD]LRQHGLXQDILOLDOHVLFLOLDQDHIRUVHGLXQDWRULQHVH
ULPHGLR DOOH DOWHUD]LRQL GHO ULFDPELR 8Q·HVFOXVLYD GHL
GHSRVLWL 5XVVL HUD O·DFTXD SXUJDWLYD QDWXUDOH +XQ\DGL
-DQRV LO SXUJDQWH GHOOH IDPLJOLH GHO SURSULHWDULR $QGUHDV 6D[OHKQHU GL %XGDSHVW GL ULQRPDQ]D XQLYHUVDOH
2OWUHDOOHDFTXHPROWHHUDQROHVSHFLDOLWjQD]LRQDOLHG
HVWHUHGLVSRQLELOLLQFDWDORJRFRPHDGHVHPSLROD&DUWD
VHQDSDWD*DHWDQR3LYHWWDGHOODGLWWD*DODQWHH3LYHWWD
GL 1DSROL HIILFDFH FRQWUR L GRORUL QHYUDOJLFL WRVVL FDWDUUL DVPD FROODVVR GLVWXUEL YLVLYL H WXWWH OH DIIH]LRQL
SURYHQLHQWLGDFDXVHUHXPDWLFKHDGRWWDWDGDO0LQLVWHUR
GHOOD0DULQDL3URGRWWLPDJQHVLDFLGHOO·XQLRQH9HQHWR
7UHQWLQDLO)HUUR0DOHVFLORVFLURSSR*RUGLQLHWXWWHOH
VSHFLDOLWjPHGLFLQDOLHGLSURIXPHULDLJLHQLFDGHLODERUDWRULIDUPDFHXWLFL$%HUWHOOL&GL0LODQRWUDFXLOHIDPRVH3LOOROHGL&DWUDPLQD%HUWHOOLGROFLILFDWHGDOVDSRUH
JXVWRVRHGHOLFDWRSLVTXLVLWHGLFDUDPHOOH(DQFRUDOH
3ROYHULGHO&DY&ORGRYHR&DVVDULQLGL%RORJQDLQGLFDWH
SHUODFXUDGHOO·HSLOHVVLDO·LVWHULDOHSDOSLWD]LRQLO·LQVRQQLDHO·HUHWLVPRQHUYRVRPDDQFKHSHULOYRPLWRLOEURQFRVSDVPRODSHUWRVVHO·DVPDO·HPLFUDQLDODVFLDWLFDHG
DOWURDQFRUD/·DQWLGLDUURLFRHGDQWLVHWWLFR7DQQ\OGHOOD
GLWWD*HKHH&LGL'UHVGDOHVSHFLDOLWj=LPPHU&LGL
)UDQFRIRUWHO·ROLRGLIHJDWRGLPHUOX]]R7KRPDV3LOOVRQ
GL1HZIRXQODQGLOULFRVWLWXHQWH)RVIHUDOGHOOD0RGHUQD
)DUPDFLD1LFROD&RVHQWLQRD&DQQDGL&RVHQ]D*UDQGH
IDPDHVXFFHVVRHEEHURSXUHLELEHURQ6XSHULRUEUHYHWWDWL /XLJL 3LYHWWD VHPSOLFL H SUDWLFL GD SXOLUH FRQ VSHFLDOH WHWWLQD LQFOLQDWD D YDOYROD DGRWWDWL QHL SULQFLSDOL
RVSL]LGLPDWHUQLWj,OGHSRVLWRSRWHYDULIRUQLUHGLWXWWR
DQFKHGHO7HQLIXJR
9LRODQLULPHGLRSHU
LO YHUPH VROLWDULR
GL EDOVDPL VDSRQL
PHGLFDWL FRPH LO
VDSRQH %DQIL GHOOD
PDUFD *DOOR EUHYHWWDWR GDOOH &DVH
5HDOL R O·DPLGR
%DQILHDQFRUDVFLURSSLSDVWLJOLHROL
FDQGHOH FRJQDF
XYDSDVVDYHWUHULH
HSHULSLHVLJHQWLROWUHDJOLDUWLFROL
HOHQFDWL LQ FDWDORJRPROWLVVLPLDOWUL
QRQ QRPLQDWL ,QVRPPD GL WXWWR H
GLSL
Le Farmacie
/DIDPLJOLD5XVVLHUDSURSULHWDULDGLQXPHURVHIDUPDFLHLQYDULHFLWWjLWDOLDQHWUDOHTXDOL$QFRQD5RPD
%DUL)URVLQRQHH&DPSREDVVR/HIDUPDFLHLQL]LDOPHQWH
HUDQR6RFLHWj$QRQLPHHODSURSULHWjHUDSHUFLzGLWXWWD
ODIDPLJOLD$UULYzSRLXQDOHJJHSHUODTXDOHGRYHYDQR
HVVHUH REEOLJDWRULDPHQWH LQWHVWDWH DG XQ VLQJROR IDUPDFLVWDHVLJLXQVHGRSRODVHFRQGDJXHUUDDOODVLWXD]LRQHQHOODTXDOHDG$QFRQDRJQLIDPLJOLDGHLPDVFKL
5XVVLJHVWLYDLQSURSULRXQDIDUPDFLDDOODIDPLJOLDGL
)UDQFRVSHWWzTXHOOD&HQWUDOH²QRWWXUQDGLSDOD]]R-RQD
GRYHODYRUzSHUOXQJKLDQQLODGRWWRUHVVD)ULGD'L6HJQL
5XVVLHGDOODTXDOHSURYLHQHXQDSUH]LRVDFROOH]LRQHGL
YDVL GD IDUPDFLD 0RODURQL GL 3HVDUR $OOD IDPLJOLD GL
*LDFRPRRVVLDDOOHGXHILJOLH/LOLDQDH)UDQFDIXGHVWLQDWDODIDUPDFLDJLj/DQ]RQLGLSLD]]D5RPDFHGXWD
SRLQHODOGU=HFFKLQL$OODIDPLJOLDGL9LWRVSHWWz OD IDUPDFLD GHO 3LDQR DQFK·HVVD QRWWXUQD WHQXWD
GDOODIDPLJOLDGHOILJOLR$GROIRSUHPDWXUDPHQWHVFRPSDUVR H VXFFHVVLYDPHQWH GDL QLSRWL 0DULR H 6XVDQQD
LO FXL PDULWR GRWWRU 5REHUWR &DWDQ]DUR q RJJL DWWXDOH
SURSULHWDULR,QILQHO·H[IDUPDFLDGHOGRWWRU3RVVHQWL
JLj /DPDVL VLWXDWD OXQJR LO FRUVR
*DULEDOGL YLFLQR
DO SRUWR FKH HUD
VWDWD DQFK·HVVD
GHL 5XVVL SDVVDWDLQPDQRD9LWR
SLFFROR ILJOLR GL
5RGROIR
RJJL
QRQ SL HVLVWHQWH
SHUFKp YHQGXWD H
VSRVWDWD DOWURYH
/D IDPLJOLD SL
R PHQR GLUHWWDPHQWH DQFRUD
PDQWLHQHXQIRUWH
OHJDPHFRQOHIDUPDFLH GL $QFRQD
LQ TXDQWR DOFXQL
40
LO STABILIMENTO CHIMICO FARMACEUTICO RUSSI & C.
FRQD
&HQWDQQL**OLHQ]LPLLQWHUDSLDVG$QFRQD
&LDQL06RUL($QFRQDFRQWHPSRUDQDSS
$QFRQD
&ODXGL*0&DWUL/5XVVL*LDFRPRDGYRFHP'L]LRQDULR6WRULFRELRJUDILFRGHLPDUFKLJLDQLWRPR,,S-HVL
'L6HJQL5XVVL)1RYDQWDQRYHIRWRJUDILH$QFRQD
*DWWL*/DYDOHULDQDHOHVXHDSSOLFD]LRQLWHUDSHXWLFKHVG5LVXOWDWLGHOOHDSSOLFD]LRQLFOLQLFKHGHO5HVROXWLQ5XVVL,PPXQRWHUDSLD
,O%DJOLYL5DVVHJQDPHGLFDELPHVWUDOHHG6DQVRQL)LUHQ]HGLUHWWRUH*DHWDQR*HQWLOH
,QYHQWDULRGHOOH6RFLHWjHFRRSHUDWLYHVFLROWHRFHVVDWH,O
SDWULPRQLRGRFXPHQWDULR7ULEXQDOHFLYLOHGL$QFRQD)RQGR&DQFHOOHULDFRPPHUFLDOH$UFKLYLRGL6WDWRGL$QFRQD$6$1
0DUIRUL3,SURGRWWLGHOORVWDELOLPHQWR&KLPLFRIDUPDFHXWLFR
0DUIRUL36LQHUJLVPRHDQWDJRQLVPRIUDFDOFLRHPDJQHVLRVG
3DYLD56RUL(/HFLWWjQHOODVWRULDG·,WDOLD$QFRQD%DUL
3LFFLRWWR)DUJLRQ/,OOLEURGHOODPHPRULD0XUVLD0LODQR
S
3UHPLDWRVWDELOLPHQWRFKLPLFRIDUPDFHXWLFR5XVVL&LJLjVXFFHVVRULGL*&ROODPDULQL&L&DWDORJRJHQHUDOH7UHYLVR
5XVVL&LGL$QFRQDSHUODWHUDSLDQHUYRVD)RVIRNROD2UWRQHYURO6DQDOHSVL1DSROL
5XVVL&L&RVWLWX]LRQHGLVRFLHWj7ULEXQDOHGLFRPPHUFLRGL
$QFRQDDQQR9RO;9,,,IDVF)RQGR&DQFHOOHULD$6$1
6XFFHVVRUL * &ROODPDULQL 1RPLQD GL OLTXLGDWRUH 7ULEXQDOH GL
FRPPHUFLRGL$QFRQDDQQR9RO;,9IDVF)RQGR&DQFHOOHULD$6$1
GLVFHQGHQWL FRQWLQXDQR DG RSHUDUH LQ TXHVWR VHWWRUH
,QSDUWLFRODUHODGRWWRUHVVD0DQXHOD5XVVLQLSRWHGL
)UDQFRQHOODIDUPDFLD5XVVLH)HOLFLGL&RUVR$PHQGROD
HODGRWWRUHVVD6XVDQQD5XVVLQLSRWHGL9LWRQHOOD)DUPDFLDGHO3LDQR
L’epilogo
,OVHWWHPEUH*LDFRPR5XVVLHLOILJOLR6HUJLR
YHQQHURFDWWXUDWLGDLQD]LVWLD&DPHUDQRGL$QFRQDH
GHSRUWDWL LQ *HUPDQLD QHO FDPSR GL 0HSSHQ 9HUVHQ
RJJL2ODQGD,OORURDUUHVWRIXXQYHURDWWRGLJXHUUDGD
PHWWHUHLQUHOD]LRQHDOODIXQ]LRQHGHOO·D]LHQGDFKLPLFD
PROWR FRQRVFLXWD DQFKH LQ *HUPDQLD 6SRVWDWL LQ DOWUR
OXRJRGLORURQRQVLHEEHSLDOFXQDQRWL]LDGDOOXJOLR
$QFRQDOLULFRUGDFRQXQPRQXPHQWRDOFLPLWHUR
GHOOH 7DYHUQHOOH H FRQ XQD OXQJD YLD D ORUR LQWLWRODWD
QHLSUHVVLGL3DVVR9DUDQR6HUJLRIXXQDQRELOHILJXUD
GLJLRYDQHFKHGHGLFzLVXRLDQQLDOORVWXGLRHDOODIDPLJOLDHFKHSHUDIIHWWRSDWHUQRVHSSHPRVWUDUHFRUDJJLR
HGHURLVPR*LDFRPRIXXQLQGXVWULDOHIDUPDFHXWLFRGL
JUDQGHLQWHOOLJHQ]DRQHVWjHGLULWWXUDPRUDOHFKHGHGLFz
ODVXDYLWDDOODYRURHFKHJUD]LHDOODVXDRSHURVLWjUDJJLXQVHXQVXFFHVVRGHOTXDOHEHQHILFLDURQRFHQWLQDLDGL
IDPLJOLHHPLJOLDLDGLPDODWL
'XUDWH H VXELWR GRSR OD JXHUUD OR 6WDELOLPHQWR FKLPLFRIDUPDFHXWLFR5XVVL&L6S$$QFRQDVHQ]DOD
JXLGDLOOXPLQDWDGL*LDFRPRLQL]LzDVXELUHTXHOJUDGXDOH GHFOLQR FKH OR SRUWz DOOD WRWDOH FKLXVXUD QHJOL DQQL
&LQTXDQWD
Testimonianze/ interviste
7UDPLWHDOFXQHLQWHUYLVWHqVWDWRSRVVLELOHUDFFRJOLHUHGLUHWWDPHQWH
OHWHVWLPRQLDQ]HGL
'RWWVVD)UDQFD5XVVL&DWDQHVH
'RWWVVD)ULGD'L6HJQL5XVVL
3URI&RUUDGR)XD
3URI/XLJL0LWL
6LJQRUD(OLWH&DQFHOOLHUL
6LJQRU*XLGR%ULOOL
Bibliografia
$PDWRUL)3HUXQGL]LRQDULRELRJUDILFRGHJOLLPSUHQGLWRULPDUFKLJLDQL,Q 6WRULDG·,WDOLD/HUHJLRQLGDOO·8QLWjDGRJJL/H0DUFKHD
FXUDGL6$QVHOPL7RULQR(QDXGLSS
$PDWRUL ) ´3URILOL LPSUHQGLWRULDOL OHDGHU IUD PHWj 2WWRFHQWR H
FRQWHPSRUDQHLWjµ,Q )DUH,QGXVWULDQHOOD0DUFDG·$QFRQD6WRULD
FDUDWWHULVWLFKHHSURVSHWWLYHGLXQVLVWHPDGLLPSUHVHQHOFXRUHGHO
PRGHOORPDUFKLJLDQR)DOFRQDUDSS
$UPHOOLQL$,OIHXGRLPPDJLQDULR/DSUHVHQ]DHEUDLFDQHOO·HFRQRLPLDDQFRQHWDQDGLIURQWHDOOHOHJJLUD]]LDOLLQ6WRULD
HSUREOHPLFRQWHPSRUDQHL(EUHLHDQWLVHPLWLQD99
$WWLGHOO·$FFDGHPLDPHGLFRFKLUXUJLFDGHO3LFHQR
%RQD]]ROL9/HFRPXQLWjLVUDHOLWLFKHLQ6$QVHOPLDFXUDGL
/DSURYLQFLDGL$QFRQD6WRULDGLXQWHUULWRULR%DUL/DWHU]D
S
&DJOLQL&%RPEDUGDPHQWLVX$QFRQDHSURYLQFLD$Q-
Ringraziamenti
/D VWHVXUD GHO WHVWR q VWDWD UHVD SRVVLELOH JUD]LH DOOD FROODERUD]LRQHGL'RWWVVD)UDQFD5XVVL&DWDQHVH'RWWVVD)ULGD'L6HJQL5XVVL
'RWWVVD/LOLDQD5XVVL/X]L'RWW6HUJLR&DWDQHVH'RWWVVD0LFDHOD
&DWDQHVH 3URI &RUUDGR )Xj 3URI /XLJL 0LWL 6LJ (OLWH &DQFHOOLHUL
'RWW5REHUWR&DWDQ]DUR'RWWVVD6XVDQQD5XVVL'RWWVVD(PDQXHOD
5XVVL'RWWVVD%DUEDUD5XVVL6LJ*XLGR%ULOOL'RWW6DQGUR&HQVL
3URI9HUPLJOLR5LFFL3URI6HUJLR%XJLDUGLQL*HQHUDOH&RPDQGDQWHGHOOD*G)'RWW)UDQFHVFR3HWUDUROL3URI)UDQFR$PDWRUL3URI
*LXVHSSH&HQWDQQL'RWW*LDQFDUOR$LXGL3URIVVD6WHIDQLD)RUWXQD
3URI0DVVLPR3DSLQL3URI*LRYDQQL'DQLHOL
41
DIVENTARE MEDICO
FRANCESCO ORLANDI
8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKH
The Clinical Equipoise
H O·HTXLSROOHQ]D QRQ q VWDWD SRVVLELOH H OD VXD ULFHUFD q
VWDWDDGGLULWWXUDGLRVWDFRORTXDQGROHSULPHHYLGHQ]HKDQQR
PRVWUDWRXQDSRWHQ]DGHOIDUPDFRVDOYDYLWDWDOPHQWHDOWDGD
UHQGHUHQRQHWLFRXQWULDOUDQGRPL]]DWR.
,OSUREOHPDqDSHUWR&KLYLYHODPHWRGRORJLDFOLQLFDFRPH
XQFRUSRLPPRGLILFDELOHGLVDFUHVFULWWXUHGDDSSOLFDUHSDVVLYDPHQWHDFFRJOLHUjOHULIOHVVLRQLFRQIDVWLGLR&KLLQYHFHYHGH
LOPHWRGRFOLQLFRFRPHXQGLYHQLUHJXLGDWRGDOO·HVSHULHQ]DQH
VDUjVWLPRODWR
'HGLFKLDPR TXHVWD EUHYH QRWD DOOD QRVWUD )DFROWj FKH
KD RVSLWDWR FRQ SUHVWLJLR LO 9, &RQJUHVVR 1D]LRQDOH GHOOD
6RFLHWj ,WDOLDQD GL 6WDWLVWLFD 0HGLFD HG (SLGHPLRORJLD
&OLQLFD6,60(&TXDWWURJLRUQDWHSLHQHGLWHPLLQWHUHVVDQWL
VRWWR OD EDQGLHUD ´0LVXUDUH SHU 0LJOLRUDUHµ /D OHWWXUD
LQDXJXUDOHGDOWLWRORIRUVHLQYRORQWDULDPHQWHSURYRFDWRULR
HUD´(·SRVVLELOHYDOXWDUHLOVLVWHPDXQLYHUVLWDULR"µ6HPSUH
LQDSHUWXUDODSURIHVVRUHVVD)ODYLD&DUOHKDULFRUGDWRO·DWWLYD]LRQH GL %LRPHWULD H 6WDWLVWLFD PHGLFD QHOOD QHRQDWD
)DFROWj GL $QFRQD GL DQQL ID XQD SULPL]LD DFFDGHPLFD
QD]LRQDOHHGKDFHOHEUDWRXQEHOSHUVRQDJJLRGHOODULFHUFD
ELRPHGLFDLQWHUQD]LRQDOH(WWRUH0DUXELQLFKHHEEHDOORUD
LO VXR SULPR LQFDULFR LQ $QFRQD HG q VWDWR 3UHVLGHQWH GHO
&RQJUHVVR6,60(&
(· HWLFR SHU XQ PHGLFR VSHULPHQWDUH XQ QXRYR IDUPDFR
QHOOD FRQYLQ]LRQH FKH LO QXRYR FRPSRVWR VLD VXSHULRUH DOOR
VWDQGDUGFRUUHQWH"$FFHWWHUHEEHO·DOORFD]LRQHGLXQDSHUVRQD
DOXLFDUDQHOJUXSSRFKHLQFXRUVXRULWLHQHVYDQWDJJLDWR"
8QHGLWRULDOHSURYHQLHQWHGDO1DWLRQDO,QVWLWXWHRI+HDOWK
GL:DVKLQJWRQULYLVLWDXQWHPDFKHDIILRUDSHULRGLFDPHQWH.
4XDUDQW·DQQL ID 7RP &KDOPHUV FOLQLFR HG HSLGHPLRORJR
GHOOD +DUYDUG 8QLYHUVLW\ FL VRWWROLQHDYD FKH LO PHGLFR QRQ
SXz PDL GLPHQWLFDUH LO GRYHUH GL SUHQGHUH OD GHFLVLRQH FKH
HJOLVDHVVHUHRFKHKDEXRQHUDJLRQLGLFUHGHUHHVVDVLDOD
PLJOLRUH&LzVLJQLILFDFRQIURQWDUHWHUDSLHFKHDOO·LQL]LRGHOOR
VWXGLR ULVXOWLQR SRWHQ]LDOPHQWH HTXLSROOHQWL ´7KH FOLQLFDO
HTXLSRLVHµ SHU QRQ VYDQWDJJLDUH QHVVXQ PDODWR LQFOXVR
QHOO·LQGDJLQH.
/·HTXLSROOHQ]D FOLQLFD QRQ q FRVD DVWUDWWD SHU GLEDWWLWL
DFFDGHPLFL q XQ JLXGL]LR FKH LQ ,WDOLD YLHQH FHUWLILFDWR GDL
&RPLWDWLHWLFLGHO6HUYL]LR6DQLWDULRDOODPHGLDGLGXHSDUHUL
IDYRUHYROL DO JLRUQR FRQ JOL 2VSHGDOL 5LXQLWL GL $QFRQD DO
YHQWHVLPRSRVWRGHOODFODVVLILFD3(·XQPRGHOORGLFRPSRUWDPHQWRFKHKDFKLDUHLPSOLFD]LRQLJHQHUDOLVXFRPHIDUHLO
PHGLFR
/·HGLWRULDOHDPHULFDQRLQGLFDDOFXQLSXQWLGLULIOHVVLRQH
DO·HTXLSROOHQ]DVLEDVDVXXQ·RSLQLRQHTXDOLWDWLYDHFRQILGHQ]LDOH (VVD q VWDWD GHILQLWD QHO WHPSR FRPH ´LQFHUWH]]D
Bibliografia
QHOODFRPXQLWjGHJOLHVSHUWLVXLPHULWLFRPSDUDWLYLWUDOHWHUD 0LOOHU *) -RIIH 6 (TXLSRLVH DQG WKH GLOHPPD RI UDQGRPL]HG
SLHGDWHVWDUHµPDQRQHVLVWHQpXQR VFRULQJTXDQWLWDWLYR
FOLQLFDOWULDOV1(QJO-0HG
QpXQDVRJOLDPLQLPDGLLQFHUWH]]D
6KDZ/&KDOPHUV7&(WKLFVLQFRRSHUDWLYHFOLQLFDOWULDOV$QQDOV
E O·RSLQLRQH GHL ´FROOHJL GL HVSHUWLµ q ULVXOWDWD IDOOLELOH LQ
1HZ<RUN$FDG6FL
GLYHUVHRFFDVLRQLGLIURQWHDGXQQXRYRIDUPDFRLQIDWWLHVVD
2VFF$LID 5DSSRUWR
q QHFHVVDULDPHQWH
1D]LRQDOH
VXOOD
EDVDWD VXL GDWL GLVSR6SHULPHQWD]LRQH &OLQLFD
QLELOL SHU JOL HIIHWWL D
,;(GL]LRQH
EUHYHWHUPLQH
)UHHGPDQ % (TXLSRLVH
F LO FULWHULR GHOO·HTXLDQG WKH HWKLFV RI FOLQLFDO WULDOV 1 (QJO - 0HG
SROOHQ]D KD SURYRFDWR
SLYROWHXQDLQRSSRU%XFKDQDQ'0LOOHU)*
WXQD LQWHUUX]LRQH GL
3ULQFLSOHV RI HDUO\ VWRSHFFHOOHQWL VWXGL UDQGRSLQJ RI UDQGRPL]HG WULDOV
PL]]DWL SHU O·RVVHUYDIRU HIILFDF\ D FULWLTXH RI
]LRQH GL XQR VTXLOLEULR
HTXLSRLVHDQGDQDOWHUQDWLGHOOD IUHTXHQ]D GL
YHQRQH[SORLWDWLRQHWKLFDO
HYHQWL LQWHUPHGL WUD L
IUDPHZRUN .HQQHG\ ,QVW
JUXSSLGLPDODWL
(WKLFV-
G LO FRVWR GHL QXRYL
7VLPEHULGRX $0
%UDLWHK ) 6WHZDUW '- HW
IDUPDFL YRFH QRQ
DO 8OWLPDWH IDWH RI RQFRVHFRQGDULDGHOODVRVWHORJ\ GUXJV DSSURYHG E\
QLELOLWj GHO VLVWHPD
WKH 86 )RRG DQG 'UXJ
VDQLWDULRQRQIDSDUWH
$GPLQLVWUDWLRQ ZLWKRXW D
GHL SDUDPHWUL WUDGL]LRUDQGRPL]HG WULDO - &OLQ
QDOL GHOOR VWXGLR FOLQL2QFRO
FR
&0RQHW7HUUDVVHj6DLQWH$GUHVH0HWURSROLWDQ0XVHXPRI$UW1HZ<RUN KWWSZZZVLVPHFLQIR
42
SETTIMANA INTRODUTTIVA ALLA FACOLTÀ
GIANNI MAZZONI
&G/LQ7HFQLFKHGL5DGLRORJLD0HGLFD
SHU,PPDJLQLH5DGLRWHUDSLD
8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKH
QGHODJRVWRYHQJRQRLVWLWXLWHVXWXWWRLO
WHUULWRULRQD]LRQDOHOH6FXROH&RQYLWWRSURIHVVLRQDOLSHU
,QIHUPLHUH GHOOD GXUDWD GL GXH DQQL ULFKLHGHQWL LO SRVVHVVRGHOODOLFHQ]DPHGLDGLSULPRJUDGRRLQPDQFDQ]D
GLFDQGLGDWHDQFKHFRQODVRODVFRODULWjHOHPHQWDUHHG
LOFXLDFFHVVRHUDPROWRVHOHWWLYRSUHYHGHYDQRDQFKHOD
SUHVHQWD]LRQHGLUHIHUHQ]HFLUFDODPRUDOLWjGHOO·DVSLUDQWHGDSDUWHGLSHUVRQHULVSHWWDELOLHFRQRVFLXWHLQDPELWR
VFRODVWLFR
1HJOLDQQLVXFFHVVLYLO·DWWLYLWjODGHGL]LRQHHGLOPHULWRGHOOHLQIHUPLHUHGLSORPDWHIDGHFROODUHDQFKHVHWUD
PROWH GLIILFROWj OD SURIHVVLRQH LQIHUPLHULVWLFD FKH QHO
VLFRVWLWXLVFHLQFROOHJLSURIHVVLRQDOL,3$69,
1HJOLDQQL¶LOODYRURLQIHUPLHULVWLFRDQFKHVHDQFRUDYLVWRFRPHDXVLOLDULRHYRFD]LRQDOHVLDUULFFKLVFHGL
QXRYHFRPSHWHQ]HHGXFD]LRQHVDQLWDULDUHOD]LRQHG·DLXWRODYRURGLpTXLSHPHQWUHVRORQHOOHVFXROHGL
IRUPD]LRQHYHQJRQRDSHUWHDQFKHDOSHUVRQDOHPDVFKLOH
ILQRUDLPSLHJDWRVRORQHOOHVWUXWWXUHSVLFKLDWULFKHFRPH
SHUVRQDOHGLVXSSRUWR6XFFHVVLYDPHQWHQHOFRQ
VHLDQQLGLULWDUGRYLHQHUDWLILFDWRO·$FFRUGRGL6WUDVEXUJR3FKHXQLIRUPDDOLYHOORHXURSHRLFRQWHQXWLIRUPDWLYL
GHLFRUVLSURIHVVLRQDOL7UDOHQRYLWjVRVWDQ]LDOLGHOSURYYHGLPHQWRqQHFHVVDULRVRWWROLQHDUHO·HOHYD]LRQHDGLHFL
DQQLGLVFRODULWjSHUO·DFFHVVRDOFRUVRGLIRUPD]LRQHLOFXL
PRQWHRUHWHRULFRSUDWLFRGHYHHVVHUHSDULDRUH
&RQWHVWXDOPHQWHQHJOLDQQL¶YHQJRQRWUDVIHULWHDOOH
5HJLRQLOHFRPSHWHQ]HRUJDQL]]DWLYHGHOOH6FXROH3URIHVVLRQDOLSXUUHVWDQGRDOOR6WDWRO·DXWRULWjVXOODJHVWLRQH
GHLSURJUDPPLGLGDWWLFLHVXOOHOLQHHJXLGDGLLQGLUL]]R
/·LQWHUYHQWR QRUPDWLYR FKH PDJJLRUPHQWH LQIOXLUj
VXOO·LGHQWLWjFXOWXUDOHHSURIHVVLRQDOHGHJOLLQIHUPLHULLWDOLDQL q VWDWR LO ©QXRYR PDQVLRQDULRª '35 PDU]R
QFRQLOTXDOHYHQJRQRGHILQLWHXQDVHTXHQ]DGLPDQVLRQLDVVLVWHQ]LDOLVHPSOLFLDVXSSRUWRHGLDXVLOLRDOO·DWWLYLWjPHGLFD
,OPDQVLRQDULRUHVWHUjLQYLJRUHILQRDODQQRLQ
FXLFRQOD/HJJHYLHQHILQDOPHQWHFDQFHOODWDO·DQDFURQLVWLFDHGLPSURSULDGHILQL]LRQHGL©SURIHVVLRQHVDQLWDULDDXVLOLDULDªVDQFHQGRQHORVSHFLILFRFDPSRGLDWWLYLWj DXWRQRPLD H UHVSRQVDELOLWj JLj SUHFHGHQWHPHQWH
GHILQLWLQHOGDO'HFUHWRLVWLWXWLYRGHO3URILOR3URIHVVLRQDOH'0GHOOD6DQLWjVHWWHPEUHQ6.
/DVWRULDUHFHQWHGHOODSURIHVVLRQHLQIHUPLHULVWLFDqGHO
WXWWRVRYUDSSRQLELOHDTXHOODGHOOHDOWUHSURIHVVLRQLVDQLWDULHLQJUDQGLVVLPDSDUWHLQGLYLGXDWHHGHILQLWHDSDUWLUH
GDJOL DQQL ¶ DOOH TXDOL HVVD VL OHJD VXOOD VFLD GL XQD
VHULHGLQRUPHFRPXQL
L’evoluzione delle professioni
sanitarie tra storia ed attualità
´%LVRJQDFKHLOPHGLFRLQSHUVRQDVRPPLQLVWULFLzFKHq
QHFHVVDULRPDDQFKHFKHFRRSHULFRQLOSD]LHQWHTXHOOL
FKHJOLVRQRDFFDQWRHOHFLUFRVWDQ]HHVWHUQHµ
,SSRFUDWHDIRULVPL
5LWHQJR LQQDWD R TXDQWR PHQR FRQVROLGDWD QHOO·XRPRO·HVLJHQ]DGLFRQGLYLGHUHFRQLVXRLVLPLOLLVHQWLPHQWL
GHO GRORUH H GHOOD VRIIHUHQ]D VH QRQ DOWUR SHU LO VHQVR
GL LPSRWHQ]D R DOPHQR GL LQDGHJXDWH]]D GL IURQWH DOOH
VLWXD]LRQLFKHOLUDSSUHVHQWDQR
6XOODEDVHGLWDOHFRQVDSHYROH]]DqSRVVLELOHDIIHUPDUH
FKHLOGHQRPLQDWRUHFRPXQHFKHKDPRVVRLQRJQLHSRFDHFXOWXUDO·DQLPRGHOOHSHUVRQHGHGLWHDOO·DVVLVWHQ]D
GHLELVRJQRVLHGHJOLDPPDODWLqVWDWRORVSLULWRFDULWDWHYROHHODGLVSRQLELOLWjDOVHUYL]LRYHUVRLOSURVVLPR,QWDO
VHQVRODVWRULDGHOOHRULJLQLGHOODSURIHVVLRQHLQIHUPLHULVWLFDVLFXUDPHQWHODSLDQWLFDGLWXWWHOHSURIHVVLRQL
VDQLWDULHDIIRQGDOHSURSULHUDGLFLQHOODFXOWXUDUHOLJLRVD
SURWDJRQLVWDTXDVL HVFOXVLYD SHU VHFROL H ILQR DL QRVWUL
JLRUQL GHOO·DVVLVWHQ]D DL VRIIHUHQWL ,Q SDUWLFRODUH OD
PDWULFHUHOLJLRVDKDLPSUHVVRXQ·LPSURQWDPDUFDWDQHO
SDWULPRQLRFXOWXUDOHGLRJQLSHUVRQDGHGLWDDOODFXUDHG
DOO·DVVLVWHQ]DGHLPDODWLLQWHUPLQLVRSUDWWXWWRGLXPLOWjHGREEHGLHQ]D
6H YRJOLDPR GDUH XQ LQL]LR DOO·,QIHUPLHULVWLFD LQWHVD
FRPHVFLHQ]DXPDQDHVVDYHGHQDVFHUHLVXRLSULPLUXGLPHQWLQHO;,;VHFRORQHOPRQGRDQJORVDVVRQHJUD]LHDG
XQDQRELOGRQQDLQJOHVHQDWDLQ,WDOLD)ORUHQFH1LJKWLQJDOHFKHKDLOPHULWRGLDYHUDVVRFLDWRDOOD
VRODFDULWjLSULQFLSLHGLIRQGDPHQWLVFLHQWLILFLGLYHQXWLOD
EDVHGHOODPRGHUQDGLVFLSOLQDLQIHUPLHULVWLFD
1HOORVWHVVRSHULRGRLQYHFHLQ,WDOLDSHUVLVWHLOSUHJLXGL]LRFKHLOVHUYL]LRLQIHUPLHULVWLFRVLDGLEDVVRYDORUHSDUDJRQDELOHDOODYRURGLXQ·LQVHUYLHQWHVLWXD]LRQHTXHVWD
FKH RVWDFROHUj SHU OXQJR WHPSR OR VYLOXSSR QRUPDWLYR
H OD SURJUHVVLRQH GHOOD IRUPD]LRQH VSHFLILFD GL TXHVWD
SURIHVVLRQH
,QIDWWLPHQWUHQHOPRQGRDQJORVDVVRQHODIRUPD]LRQH
XQLYHUVLWDULDGHOO·LQIHUPLHUHqXQDSURVSHWWLYDJLjFRPSOHWDWDDJOLLQL]LGHO¶LQ,WDOLDRFFRUUHDWWHQGHUHILQR
DOSHUDYHUHLOSULPRLQWHUYHQWRQRUPDWLYRVXOODVXD
UHJRODPHQWD]LRQH TXDQGR FRQ LO 5HJLR 'HFUHWR /HJJH
5HOD]LRQHWHQXWDQHOO·$XOD0DJQDGL$WHQHRLOVHWWHPEUHSHU
OD6HWWLPDQD,QWURGXWWLYDDOOD)DFROWj
43
GIANNI MAZZONI
]LRQHGHOSURILORHGHOUXRORGHOOHYDULHILJXUHSURIHVVLRQDOLHUDVWDWDUHVDSRVVLELOHGDOODHYROX]LRQHQRUPDWLYD
GHJOL RUGLQDPHQWL GLGDWWLFL XQLYHUVLWDUL FDUDWWHUL]]DWL
GDOO·DWWLYD]LRQHGHLFRUVLGL'LSORPD8QLYHUVLWDULRGHOO·DUHDVDQLWDULDDSDUWLUHGDO,OGHILQLWLYRSDVVDJJLR
GHOODIRUPD]LRQHVDQLWDULDGDO661DOO·8QLYHUVLWjFRQVHQWHDWXWWHOHSURIHVVLRQLVDQLWDULHGLFRPSLHUHXQVLJQLILFDWLYRSDVVRLQDYDQWLLQTXDQWRLQXRYLSURJUDPPLGL
LQVHJQDPHQWRVLFDUDWWHUL]]DQRSHULORURDVSHWWLFRJQLWLYL HG LO ORUR DPELWR XQLYHUVLWDULR IRUQLVFH OD JDUDQ]LD
GLXQDIRUPD]LRQHLQOLQHDFRQLVLVWHPLG·LQVHJQDPHQWR
HXURSHL
,OSURFHVVRIRUPDWLYRXQLYHUVLWDULRLWDOLDQRIDXQEDO]RLQDYDQWLHVLDUULFFKLVFHGLXQDQXRYDQRUPDFKHQH
ULYROX]LRQDODVXDRUJDQL]]D]LRQHGLGDWWLFDDWWUDYHUVROD
WUDVIRUPD]LRQHGHLFRUVLGLGLSORPDXQLYHUVLWDULLQFRUVLGL
ODXUHD,O'HFUHWR08567QRYHPEUHQ
SUHYHGH XQD QXRYD DUWLFROD]LRQH GHL FRUVL GL VWXGLR VX
GXHFLFOLSULQFLSDOLHVXFFHVVLYLGLFXLLOSULPR²GLGXUDWD
WULHQQDOH ² SHU LO FRQVHJXLPHQWR GHOOD /DXUHD HG LO VHFRQGR²GLGXUDWDELHQQDOH²SHULOFRQVHJXLPHQWRGHOOD
/DXUHD6SHFLDOLVWLFDFXLVLDFFHGHGRSRLOFRQVHJXLPHQWR
GHOOD/DXUHD
4XDVL FRQWHPSRUDQHDPHQWH DOOD HPDQD]LRQH GHOOD
QXRYD RUJDQL]]D]LRQH GLGDWWLFD XQLYHUVLWDULD LO PRQGR
VDQLWDULRLWDOLDQRSXzFRQWDUHVXXQDQXRYDQRUPDFKH
GLVFLSOLQD WXWWH OH SURIHVVLRQL VDQLWDULH /HJJH DJRVWRQUDJJUXSSDQGRQHYHGLWDEHOOHOH
FRPSHWHQ]HLQTXDWWURDUHHSURIHVVLRQDOLLQIHUPLHULVWLFD
HGRVWHWULFDGHOODULDELOLWD]LRQHWHFQLFDGHOODSUHYHQ]LRQHHGHILQHQGRQHLOJUDGRGLDXWRQRPLDQHOO·DPELWRGHL
YDULVHWWRULVDQLWDUL
3HUODYHULWj,OFRPSLPHQWRULIRUPLVWDGHOODQRUPDVL
DWWXDFRQO·LVWLWX]LRQHGHOODQXRYDILJXUDGLGLULJHQWHQHO
UXRORVDQLWDULRQRQPHGLFRDFRQIHUPDGLXQDVHPSUH
SLVHQWLWDHVLJHQ]DGLDXWRQRPLDGHLSURIHVVLRQLVWLGHOOD
VDOXWH ULVSHWWR DOOD SURIHVVLRQH PHGLFD QRQ SL FRQVLGHUDWDSUHGRPLQDQWHPDVLQHUJLFDQHOODGHILQL]LRQHGHL
SHUFRUVLHGHOOHVFHOWHVDQLWDULHDIDYRUHGHOODSHUVRQD
,QROWUHIDWWRHVWUHPDPHQWHLPSRUWDQWH OD VXGGHWWD OHJJH Gj PDQGDWRDO0LQLVWHURGHOO·8QLYHUVLWjGL
LQGLYLGXDUH FRQ DSSRVLWR GHFUHWR
OD GLVFLSOLQD GHJOL RUGLQDPHQWL GLGDWWLFLGLVSHFLILFLFRUVLXQLYHUVLWDUL
,O 0LQLVWHUR GHOO·8QLYHUVLWj FRQ
SURSULRGHFUHWR'HFUHWRGHO0LQL7DE/617&ODVVHGLODXUHDGHOOH3URIHVVLRQL6DQLWDULH,QIHUPLHULVWLFKHHGHOOD3URIHVVLRQH VWHURGHOO·8QLYHUVLWjHGHOOD5LFHUFD
6DQLWDULD2VWHWULFDR
6FLHQWLILFDH7HFQRORJLFDGHODSUL-
,Q SDUWLFRODUH QHJOL DQQL · O·HYROX]LRQH GHOOH HVLJHQ]HIRUPDWLYHHVDQLWDULHGjRULJLQHDGXQDSOXUDOLWj
GLSURYYHGLPHQWLOHJLVODWLYLHGDPPLQLVWUDWLYLWUDLTXDOLqQHFHVVDULRULFRUGDUHOD/HJJHQUHODWLYD
DOOD ULIRUPD GHJOL RUGLQDPHQWL GLGDWWLFL XQLYHUVLWDUL H
VRSUDWWXWWR LQ DPELWR VDQLWDULR LO 'HFUHWR /HJLVODWLYR
HVXFFHVVLYHPRGLILFD]LRQLLOTXDOHGHWHUPLQDLOULRUGLQRGHOODGLVFLSOLQDLQPDWHULDVDQLWDULDFRQOD
LVWLWX]LRQHGHOOHD]LHQGHVDQLWDULHHVRSUDWWXWWRLOWUDVIHULPHQWRGHOODIRUPD]LRQHVDQLWDULDGDO661DOO·8QLYHUVLWj
,OQXRYRDVVHWWRRUJDQL]]DWLYRGHOOD6DQLWjVLVRVWDQ]LDQHOODHPDQD]LRQHGL'HFUHWL0LQLVWHULDOLVSHFLILFLFKH
LQGLYLGXDQRLOSURILORSURIHVVLRQDOHGLEHQSURIHVVLRQL
VDQLWDULH OD JUDQ SDUWH GHL TXDOL WURYDQR FRPSLPHQWR
QHO*LRYDVRWWROLQHDUHFKH,O3URILOR3URIHVVLRQDOH UDSSUHVHQWD OD SLHWUD PLOLDUH QHO SURFHVVR GL SURIHVVLRQDOL]]D]LRQH GHOOH SURIHVVLRQL VDQLWDULH LQ TXDQWR OD
GHILQL]LRQH GHOOR VWDWXV SURIHVVLRQDOH H OD FRQWHVWXDOH
DWWULEX]LRQHGLUHVSRQVDELOLWjHVFOXVLYDLQVSHFLILFLDPELWL
GLFRPSHWHQ]DKDGDWRRULJLQHDGXQDQXRYDFRQFH]LRQH
GL SURIHVVLRQLVWL GHOOD VDOXWH GHSRVLWDUL GL FRQRVFHQ]H
LQJUDGRGLHVSULPHUHDELOLWjFRJQLWLYHHUDJLRQDPHQWR
FOLQLFRILQDOPHQWHDXWRQRPLQHOSHQVLHURHQHOO·D]LRQH
7XWWDYLDqQHFHVVDULRXQDOWURSURYYHGLPHQWROHJLVODWLYR/HJJHIHEEUDLRQSHUFKpOHSURIHVVLRQL
VDQLWDULH YHGDQR GHILQLWLYDPHQWH ULFRQRVFLXWR LO QXRYR
VWDWXVGLVRJJHWWLLQJUDGRGLHVSULPHUHFRPSHWHQ]H/D
QRUPDULFKLDPDWDLQIDWWLVDQFLVFHODWUDVIRUPD]LRQHGHOODGHQRPLQD]LRQHGL´SURIHVVLRQHVDQLWDULDDXVLOLDULDµLQ
´SURIHVVLRQHVDQLWDULDµHO·DELOLWD]LRQHDOO·HVHUFL]LRGHOOD
SURIHVVLRQH LQ EDVH DL FRQWHQXWL GHL GHFUHWL PLQLVWHULDOL LVWLWXWLYL GHL SURILOL SURIHVVLRQDOL DJOL RUGLQDPHQWL GLGDWWLFLGHLFRUVLGLGLSORPDXQLYHUVLWDULRHGDJOLVSHFLILFL
FRGLFLGHRQWRORJLFL&RQOD/HJJHYLHQHLQROWUH
GLFKLDUDWD O·HTXLSROOHQ]D GHL GLSORPL H GHJOL DWWHVWDWL
FRQVHJXLWLLQEDVHDOODSUHFHGHQWHQRUPDWLYDDLGLSORPL
XQLYHUVLWDULDLILQLGHOO·HVHUFL]LRSURIHVVLRQDOHHGHOO·DFFHVVRDOODIRUPD]LRQHSRVWEDVH
$TXHVWRSURSRVLWRqEHQHULFRUGDUHFKHODWUDVIRUPD-
44
EVOLUZIONE DELLE PROFESSIONI SANITARIE
OH VWDELOLVFH L FULWHUL
FXL JOL $WHQHL GHEERQR DWWHQHUVL
QHOOD GHILQL]LRQH GHL SURJUDPPL
IRUPDWLYLGHLFRUVLGLODXUHDGHOOH
SURIHVVLRQLVDQLWDULHGLVWULEXLWHLQFODVVL&ODVVH3URIHVVLRQL
VDQLWDULH LQIHUPLHULVWLFKH H SURIHVVLRQHVDQLWDULDRVWHWULFD&ODVVH 3URIHVVLRQL VDQLWDULH GHOOD
ULDELOLWD]LRQH &ODVVH 3URIHVVLRQL VDQLWDULH WHFQLFKH &ODVVH
3URIHVVLRQLVDQLWDULHGHOODSUH- 7DE/617&ODVVHGLODXUHDGHOOH3URIHVVLRQL6DQLWDULHGHOOD5LDELOLWD]LRQH
YHQ]LRQH/H7DEHOOH,,,,,,H,9
LGHQWLILFDQR OH YDULH SURIHVVLRQL
VDQLWDULHHGLUHODWLYLGHFUHWLFRQFXLqVWDWRDSSURYDWR GHILQLVFHJOLRUGLQDPHQWLGLGDWWLFLGHOOHODXUHHGL
OR VSHFLILFR SURILOR SURIHVVLRQDOH DIIHUHQWL DOOH GLYHUVH SULPROLYHOORLTXDOLKDQQR´O·RELHWWLYRGLDVVLFXUDUHDOOR
FODVVL
VWXGHQWHXQ·DGHJXDWDSDGURQDQ]DGLPHWRGLHFRQWHQXWL
7XWWLLFRUVLGLVWXGLRGLSULPROLYHOORODXUHDLVWLWXLWL VFLHQWLILFL JHQHUDOL DQFKH QHO FDVR LQ FXL VLD RULHQWDWR
SUHVHQWDQRDOFXQHFDUDWWHULVWLFKHFRPXQLO·DPPLVVLRQH DOO·DFTXLVL]LRQHGLVSHFLILFKHFRQRVFHQ]HSURIHVVLRQDOLµ
q FRQVHQWLWD VROR VH LQ SRVVHVVR GL 'LSORPD GL 6FXROD &DUDWWHULVWLFKHIRQGDPHQWDOLGHLQXRYLFRUVLULVSHWWRDL
0HGLD 6XSHULRUH O·DFFHVVR DL FRUVL q SURJUDPPDWR JOL SUHFHGHQWLqODORURPDJJLRUFDUDWWHUL]]D]LRQHSURIHVVLRVWHVVLKDQQRXQDGXUDWDWULHQQDOHHFRPSRUWDQRO·DFTXLQDOH DWWUDYHUVR O·LQFUHPHQWR GHL &)8 DVVHJQDWL DJOL LQVL]LRQHGLQFUHGLWLIRUPDWLYLXQLYHUVLWDUL&)8DWWUDVHJQDPHQWLFDUDWWHUL]]DQWLHGLQTXHVWRDPELWRDTXHOOL
YHUVRODSDUWHFLSD]LRQHREEOLJDWRULDDOOHVHJXHQWLDWWLYLWj ULVHUYDWLDOSURILORSURIHVVLRQDOHVSHFLILFRHO·LQWURGX]LRIRUPDWLYHDWWLYLWjGLGDWWLFDIURQWDOHH[FDWKHGUDDWWLYLQH GL &)8 GHGLFDWL DL ´ODERUDWRUL SURIHVVLRQDOLµ FKH VL
WjGLGDWWLFDWXWRULDOHLQODERUDWRULRDWWLYLWjIRUPDWLYD VRPPDQRDL&)8GHOWLURFLQLRSUDWLFR
SURIHVVLRQDOL]]DQWH WLURFLQLR SUDWLFR DWWLYLWj HOHWWLYD
,QYHFH LO 'HFUHWR ,QWHUPLQLVWHULDOH JHQQDLR FRUVL PRQRJUDILFL DSSURIRQGLPHQWL UDGLRSURWH]LRQH GHILQLVFHJOLRUGLQDPHQWLGLGDWWLFLGHOOHODXUHHGLVHFRQGR
SURYDILQDOHDELOLWDQWHDOO·HVHUFL]LRGHOODSURIHVVLRQH
OLYHOORRPDJLVWUDOLFKHSUHVHQWDQR´O·RELHWWLYRGLIRUQL3HUODYHULWjLO'HFUHWRGHO08567DSULOH UHDOORVWXGHQWHXQDIRUPD]LRQHGLOLYHOORDYDQ]DWRSHU
ROWUHDGHWHUPLQDUHOHFODVVLGHOOHODXUHHXQLYHUVLWDULHGHOO·HVHUFL]LRGLDWWLYLWjGLHOHYDWDTXDOLILFD]LRQHLQDPELWL
OHSURIHVVLRQLVDQLWDULH/DXUHDGLSULPROLYHOORGHILQLVFH VSHFLILFLDVVLVWHQ]LDOLJHVWLRQDOLIRUPDWLYLHGLULFHUFD
JOLRELHWWLYLIRUPDWLYLHJOLRUGLQDPHQWLGLGDWWLFLGHLFRUVL
DWWUDYHUVR O·DFTXLVL]LRQH GL HOHYDWH FDSDFLWj GL SLDQLILGLODXUHDVSHFLDOLVWLFDGLVHFRQGROLYHOORSUHYHGHQGRXQ
FD]LRQHSURJUDPPD]LRQHRUJDQL]]D]LRQHFRQGX]LRQH
FRUVRGLODXUHDVSHFLDOLVWLFDSHURJQXQDGHOOHFODVVLLQ
QHJR]LD]LRQHHGLQWHJUD]LRQHPXOWLSURIHVVLRQDOH
FXLVRQRVWDWHUDJJUXSSDWHOHSURIHVVLRQLVDQLWDULH
/DVHPSUHPDJJLRUHQHFHVVLWjGL´JRYHUQDUHµFRQHI,FRUVLGLODXUHDVSHFLDOLVWLFDVRQRVWDWLDWWLYDWLSHUOD
ILFDFLDHGHIILFLHQ]DLSURFHVVLVDQLWDULKDIDWWRVuFKHOH
SULPD YROWD GD DOFXQH 8QLYHUVLWj QHOO·$$ O·8QLYHUVLWj3ROLWHFQLFDGHOOH0DUFKHKDDWWLYDWRWDOLFRUVL SURIHVVLRQLVDQLWDULHSRVVDQRFRQWDUHVXXQDQRUPDGL
AHAFODVVHDSDUWLUHGDOO·$$VXOODEDVH UHFHQWH HPDQD]LRQH /HJJH IHEEUDLR Q LO
GLVWLPHGHLIDEELVRJQLRFFXSD]LRQDOLFRQFRUGDWLFRQOD FXLLQWHQWRqTXHOORGLUHJRODPHQWDUHODIXQ]LRQHGLFRRUGLQDPHQWRVDQLWDULR/DQRUPDLGHQWLILFDOHYDULHWLSR5HJLRQH0DUFKH
'DVRWWROLQHDUHFRPHJOLRUGLQDPHQWLGLGDWWLFLKDQQR ORJLHGLODXUHDWRDSSDUWHQHQWHDOOHSURIHVVLRQLVDQLWDULH
UHJRODWR L FRUVL GL ODXUHD QHOO·$WHQHR DQFRQHWDQR ILQR DSURIHVVLRQLVWLLQSRVVHVVRGHOGLSORPDGLODXUHDRGLDOORVFRUVRDQQRDFFDGHPLFRLQTXDQWRSHUHIIHWWRGHO SORPDXQLYHUVLWDULRRWLWRORSURIHVVLRQDOHHTXLSROOHQWH
E SURIHVVLRQLVWL FRRUGLQDWRUL LQ SRVVHVVR GHO PDVWHU GL
'HFUHWR0LQLVWHULDOHRWWREUHQODFRVLGGHW
WD ´ULIRUPD 0RUDWWLµ QHO SUHVHQWH DQQR DFFDGHPLFR SULPROLYHOORLQPDQDJHPHQWRSHUOHIXQ]LRQLGLFRRUGLQDPHQWRFSURIHVVLRQLVWLVSHFLDOLVWLLQSRVVHVVRGHOPDVRQRHQWUDWLLQYLJRUHLQXRYLRUGLQDPHQWLGLGDWWLFL
,QSDUWLFRODUHLO'HFUHWR,QWHUPLQLVWHULDOHIHEEUDLR VWHUGLSULPROLYHOORSHUOHIXQ]LRQLVSHFLDOLVWLFKHGSUR45
GIANNI MAZZONI
'D WHQHU SUHVHQWH WXWWDYLD FKH
QHO ©VDSHU HVVHUHª ULHQWUD DQFKH OD
FRQRVFHQ]D GHO SURSULR UXROR H OD
FRQVDSHYROH]]D GHL SURSUL OLPLWL H
GHOOH SURSULH UHVSRQVDELOLWj ,O IXOFUR
GHOO·HVVHQ]D GHO SURIHVVLRQLVWD VWD
DSSXQWR QHOO·HVVHUH UHVSRQVDELOH
GHLULVXOWDWLGHOSURSULRRSHUDWRVXOOD EDVH GHOOD FRQRVFHQ]D GHOO·LQWHUR
SURFHVVR ODYRUDWLYR HG DVVLVWHQ]LDOH
$ WDOH SURSRVLWR VL WHQJD SUHVHQWH
FKHO·DEROL]LRQHGHOPDQVLRQDULRQRQ
KDGLIDWWRWROWRDLSURIHVVLRQLVWLGHOODVDOXWHODFRPSHWHQ]DHVHFXWLYDGHO
SURFHVVRDVVLVWHQ]LDOHULDELOLWDWLYR
7DE/617&ODVVHGL/DXUHDGHOOH3URIHVVLRQL6DQLWDULH7HFQLFKH
WHFQLFR SUHYHQWLYR PD KD LQVHULWR
TXHVWDIDVHDOO·LQWHUQRGLXQDPHWRIHVVLRQLVWLGLULJHQWLLQSRVVHVVRGHOODODXUHDVSHFLDOLVWLFD
GRORJLD ODYRUDWLYD SL FRPSOHVVD FKH KD WUDVIRUPDWR LO
,QSDUWLFRODUHODOHJJHVXGGHWWDVWDELOLVFHFKHO·HVHUVLQJROR FRPSLWR LQ SUHVWD]LRQH 3HUWDQWR GL IURQWH DG
FL]LRGHOODIXQ]LRQHGLFRRUGLQDPHQWRULFKLHGHLOSRVVHVXQDSUHVWD]LRQHVDQLWDULDLOSURIHVVLRQLVWDGHOODVDOXWHq
VRGHLVHJXHQWLUHTXLVLWLULWHQXWL´PLQLPLµLOPDVWHUGL FROXLFKHSLDQLILFDVWDELOHQGRFULWHULGLHVLWRHULVXOWDWL
SULPROLYHOORLQ PDQDJHPHQW R SHU OH IXQ]LRQL GL FRRURUJDQL]]DHGHIIHWWXDLOSLDQRDVVLVWHQ]LDOHULDELOLWDWLYR
GLQDPHQWRGHOO·DUHDGLDSSDUWHQHQ]DHGXQDHVSHULHQ]D WHFQLFRSUHYHQWLYRDQFKHWHQHQGRFRQWRGHOOHULVRUVH
DOPHQR WULHQQDOH QHO SURILOR GL DSSDUWHQHQ]D LO FHUWLILGLVSRQLELOL
FDWRGLDELOLWD]LRQHDOODIXQ]LRQLGLUHWWLYHQHOO·DVVLVWHQ]D
3RVVLDPR VLFXUDPHQWH DIIHUPDUH FKH L SURIHVVLRQLVWL
LQIHUPLHULVWLFD LQFOXVR TXHOOR ULODVFLDWR DOOD SUHJUHVVD GHOOH SURIHVVLRQL VDQLWDULH VRQR RJJL LQ JUDGR GL HVSULQRUPDWLYD²&DSRVDODqYDOLGRSHUO·HVHUFL]LRGHOODIXQPHUHFRPSHWHQ]HGLEDVHEDJDJOLRFXOWXUDOHHVSUHVVR
]LRQHGLFRRUGLQDPHQWR
GDO SHUFRUVR IRUPDWLYR XQLYHUVLWDULR FRPSHWHQ]H WHFQLFRSURIHVVLRQDOLGLVWLQWHLQWHRULFRWHFQLFKHHSUDWLFR
Considerazioni
DSSOLFDWLYHFRVWLWXLWHGDLVDSHULVSHFLILFLGDOOHWHFQLFKH
'D TXDQWR VRSUD HVSRVWR ULVXOWD HYLGHQWH FRPH L RSHUDWLYH H GDOOH FRQRVFHQ]H SURFHGXUDOL FRPSHWHQ]H
SURIHVVLRQLVWL GHOOH SURIHVVLRQL VDQLWDULH R SURIHVVLRQLWUDVYHUVDOLFRPSRUWDPHQWLFKHFRQVHQWRQRGLWUDVIRUPDVWLGHOODVDOXWHQRQVRQRSLRSHUDWRULFKHHVHJXRQRH UHLVDSHULDFTXLVLWLLQFRPSRUWDPHQWLHIILFDFLLQFRQWHVWL
ULSHWRQR PHFFDQLFDPHQWH SURFHGXUH HG DXWRPDWLVPL VSHFLILFL,QDOWUHSDUROHVRQRSURIHVVLRQLVWLFDUDWWHUL]EHQVuSURIHVVLRQLVWLLQJUDGRGLUHDOL]]DUHJUD]LHDOVLVWH]DWL GD XQ SURSULR VSHFLILFR SURILOR GL FRPSHWHQ]D FKH
PD IRUPDWLYR XQLYHUVLWDULR LO SDVVDJJLR GDOOH FDSDFLWj VLHVWULQVHFDLQTXDWWURGLPHQVLRQLLGHQWLWjHGDXWRQRHVVHUHSRWHQ]LDOHDOOHFRPSHWHQ]HHVVHUHDWWXDOH)LJ PLD FDSDFLWj GL RSHUDUH VFHOWH SHUVRQDOL HG DVVXPHUVL
$TXHVWRSURSRVLWRYDOHULFRUGDUHFRPHODFRPSHWHQUHVSRQVDELOLWjRULHQWDPHQWRFDSDFLWjGLSURJUDPPDUH
]DKDXQFRVWUXWWRPXOWLGLPHQVLRQDOHFRPSUHQVLYRFLRq YHULILFDUH HG DGHJXDUH LO SURSULR UXROR UHOD]LRQH FRQ
GLFDSDFLWjFRQRVFHQ]HDELOLWjHPRGLGLHVVHUHHSUHJOLDOWULFDSDFLWjGLFRHVLVWHUHFRQGLYLGHUHFROODERUDUH
VHQWDXQDVSHFLILFLWjPHWDVLWXD]LRQDOHYDOHDGLUHKDLQ HVVHUH FRUUHVSRQVDELOL VWUXPHQWL FXOWXUDOL FDSDFLWj GL
VpLOFDUDWWHUHGHOODSODVWLFLWjFKHFRQVHQWHDOSURIHVVLRJRYHUQDUHO·HVSHULHQ]DDWWUDYHUVROHFRPSHWHQ]HPDWXQLVWD GL UHVLVWHUH DGHJXDUVL R ULSURJHWWDUVL LQ UDSSRUWR UDWH
DOOHYDULDELOLDPELHQWDOLWHQHQGRFRQWRGHOODSHUVRQDOLWj
'DTXDQWRVRSUDHVSRVWRULVXOWDHYLGHQWHFKHOHIRQWL
GHOVRJJHWWRHGHOOHVXHFDSDFLWj(VVRLQIDWWLGHYHGLGL UHJRODPHQWD]LRQH GHOO·HVHUFL]LR SURIHVVLRQDOH DWWUDPRVWUDUHODSURSULDFDSDFLWjGLVDSHUDFTXLVLUHOHFRQRYHUVROHTXDOLSRWHUHVSULPHUHLOSURSULRVSHFLILFRSURILOR
VFHQ]HVDSHUHWUDVIRUPDQGROHLQDELOLWjVDSHUIDUHLQ GL FRPSHWHQ]D VRQR LO 3URILOR 3URIHVVLRQDOH LO &RGLFH
UDSSRUWRDOOHYDULDELOLDPELHQWDOLVDSHUHVVHUHWHQXWR GHRQWRORJLFR H O·DGHVLRQH DG XQ SURJUDPPD GL IRUPDFRQWRGHLELVRJQLVDQLWDULGHOODSRSROD]LRQH
]LRQHHGDJJLRUQDPHQWRFRQWLQXDWLYRVHFRQGROHLQGL46
EVOLUZIONE DELLE PROFESSIONI SANITARIE
G·LQIDQ]LD*D]]HWWD8IILFLDOHQRYHPEUHQ
$FFRUGR (XURSHR GL 6WUDVEXUJR
VXOO·LVWUX]LRQH H IRUPD]LRQH GHOOH
LQIHUPLHUHRWWREUH
'35PDU]RQ0RGLILFKHDO5'PDJJLRQX7DE/617&ODVVHGL/DXUHHGHOOH3URIHVVLRQL6DQLWDULHGHOOD3UHYHQ]LRQH
PHUR VXOOH PDQVLRQL GHJOL
LQIHUPLHUL SURIHVVLRQDOL H LQIHUPLHUL
FD]LRQLSUHYLVWHGDO3URJUDPPD(&0GHO0LQLVWHURGHOOD JHQHULFL*D]]HWWD8IILFLDOHJLXJQRQ
6DOXWH
/HJJHIHEEUDLRQ'LVSRVL]LRQLLQPDWHULDGLSURIHVVLRQL
VDQLWDULH*D]]HWWD8IILFLDOHQGHOPDU]R
'0GHOOD6DQLWjVHWWHPEUHQ5HJRODPHQWRFRQFHUConclusioni
QHQWHO·LQGLYLGXD]LRQHGHOODILJXUDHGHOUHODWLYRSURILORSURIHVVLRQDOH
,OVLVWHPDIRUPDWLYRXQLYHUVLWDULRKDJHQHUDWRQHJOLXOGHOO·LQIHUPLHUH*D]]HWWD8IILFLDOHJHQQDLRQ
WLPLTXLQGLFLDQQLXQRVYLOXSSRVFLHQWLILFRGHOOHSURIHV/HJJHQRYHPEUHQ´5LIRUPDGHJOLRUGLQDPHQWLGLGDWWLVLRQLVDQLWDULHFKHKDFRQVHQWLWRORURGLEDVDUHODSUDVVL FLXQLYHUVLWDUL*D]]HWWD8IILFLDOHQRYHPEUHQ
'/JVGLFHPEUHQ5LRUGLQRGHOODGLVFLSOLQDLQPDWHULD
DVVLVWHQ]LDOH VXOOH SURYH GL HIILFDFLD YHULILFDUH FRVWDQVDQLWDULDDQRUPDGHOO·DUWLFRORGHOODOHJJHRWWREUHQ
WHPHQWH L ULVXOWDWL GHOOH SUHVWD]LRQL HIIHWWXDWH H VYLOXS*D]]HWWD8IILFLDOHGLFHPEUHQ
SDUHODULFHUFD7XWWDYLDOHFRQRVFHQ]HHOHFRPSHWHQ]H '0GHOO·8QLYHUVLWjH5LFHUFD6FLHQWLILFDGLFRQFHUWRFRQLO0LQLVWHUR
VFLHQWLILFKHVHSSXUIRQGDPHQWDOLGDVROHQRQEDVWDQRD GHOOD6DQLWjGHOOXJOLR$SSURYD]LRQHGHOOD7DEHOOD;9,,,WHU
IRUPDUHXQSURIHVVLRQLVWDGHOODVDOXWHFKHULVXOWLTXDOLILUHFDQWHJOLRUGLQDPHQWLGLGDWWLFLXQLYHUVLWDULGHLFRUVLGLGLSORPDXQLFDWRLQJUDGRGLHVSULPHUHOHSURSULHFRPSHWHQ]HLQYDUL YHUVLWDULRGHOO·DUHDVDQLWDULD*D]]HWWD8IILFLDOHRWWREUHQ
FRQWHVWLRSHUDWLYLFKHVDSSLDLQWHJUDUVLHFROODERUDUHFRQ GHOO·8QLYHUVLWj H GHOOD 5LFHUFD 6FLHQWLILFD H 7HFQRORJLFD QRJOLDOWULSURIHVVLRQLVWLHFKHVLDFDSDFHGLDVVXPHUVLXQD '0
YHPEUHQ5HJRODPHQWRUHFDQWHQRUPHFRQFHUQHQWLO·DXWRSLHQDUHVSRQVDELOLWjQHOODULVROX]LRQHGHLELVRJQLGLVDOXQRPLDGLGDWWLFDGHJOLDWHQHL*D]]HWWD8IILFLDOHJHQQDLRQ
WHGHOODSHUVRQD
/HJJH DJRVWR Q 'LVFLSOLQD GHOOH SURIHVVLRQL VDQLWDULH
LQIHUPLHULVWLFKHWHFQLFKHGHOODULDELOLWD]LRQHGHOODSUHYHQ]LRQHQRQ3HU FRQVHJXLUH XQD FRPSOHWD H FRQVDSHYROH PDWXUD]LRQH SURIHVVLRQDOH WDOL SURIHVVLRQLVWL GHYRQR LQIDWWL FKpGHOODSURIHVVLRQHRVWHWULFD*D]]HWWD8IILFLDOHVHWWHPEUH
HVVHUHLQJUDGRGLVDSHULGHQWLILFDUHLSUREOHPLGLVDOXWH Q
'0GHOO·8QLYHUVLWjHGHOOD5LFHUFD6FLHQWLILFDH7HFQRORJLFDDSULGLSURSULDFRPSHWHQ]DIRUPXODUHXQSLDQRGLLQWHUYHQWR OH 'HWHUPLQD]LRQH GHOOH FODVVL GHOOH ODXUHH XQLYHUVLWDULH GHOOH
VDQLWDULR H YHULILFDUH L ULVXOWDWL SURGRWWL GHJOL LQWHUYHQWL SURIHVVLRQLVDQLWDULH'HWHUPLQD]LRQHGHOOHFODVVLGHOOHODXUHHVSHFLDPHVVLLQDWWRLQDOWULWHUPLQLHVVLGHYRQRHVVHUHLQJUDGR OLVWLFKHXQLYHUVLWDULHGHOOHSURIHVVLRQLVDQLWDULH*D]]HWWD8IILFLDOH
JLXJQRQ
GLHVSULPHUHLOSURSULRVSHFLILFRSURILORGLFRPSHWHQ]D
,OSURILORGLFRPSHWHQ]DFRQVHQWHDLSURIHVVLRQLVWLGHOOH '0GHOO·,VWUX]LRQHGHOO·8QLYHUVLWjHGHOOD5LFHUFDRWWREUH
0RGLILFKH DO UHJRODPHQWR UHFDQWH QRUPH FRQFHUQHQWL O·DXSURIHVVLRQLVDQLWDULHGLDFTXLVLUHXQRQXRYRVWDWXVQHOOD Q
WRQRPLD GLGDWWLFD GHJOL DWHQHL DSSURYDWR FRQ GHFUHWR GHO 0LQLVWUR
PRGHUQD0HGLFLQD&OLQLFDTXHOORGLRSHUDWRULLQJUDGR GHOO·8QLYHUVLWjHGHOOD5LFHUFD6FLHQWLILFDH7HFQRORJLFDQRYHPEUH
GLHVHUFLWDUHSLHQDPHQWHHFRPSLXWDPHQWHOHSURSULH Q*D]]HWWD8IILFLDOHQRYHPEUHQ
FRPSHWHQ]HHVSUHVVHGDLSURILOLSURIHVVLRQDOLLQVWUHWWD 'HFUHWR,QWHUPLQLVWHULDOHIHEEUDLRGHO0LQLVWURGHOO·8QLYHUVLFROODERUD]LRQH H VLQHUJLD FRQ LO PHGLFR VSHFLDOLVWD H OH WjHGHOOD5LFHUFD6FLHQWLILFDH7HFQRORJLFDGLFRQFHUWRFRQ,O0LQLVWUR
GHO/DYRURGHOOD6DOXWHHGHOOH3ROLWLFKH6RFLDOL'HWHUPLQD]LRQHGHOOH
VXHQHFHVVLWjFOLQLFKH²GLDJQRVWLFKH²WHUDSHXWLFKHULFODVVLGHOOHODXUHHGHOOHSURIHVVLRQLVDQLWDULH*D]]HWWD8IILFLDOHGHO
DELOLWDWLYHQHOSLHQRULVSHWWRGHOOHSHFXOLDULHVLJHQ]HHG PDJJLRQ
DWWHVHGHO3D]LHQWH
'HFUHWR,QWHUPLQLVWHULDOHJHQQDLRGHO0LQLVWURGHOO·8QLYHUVLWj
HGHOOD5LFHUFD6FLHQWLILFDH7HFQRORJLFDGLFRQFHUWRFRQ,O0LQLVWUR
Riferimenti normativi
GHO/DYRURGHOOD6DOXWHHGHOOH3ROLWLFKH6RFLDOL'HWHUPLQD]LRQHGHOOHFODVVLGHOOHODXUHHPDJLVWUDOLGHOOHSURIHVVLRQLVDQLWDULH*D]]HWWD
5HJLR'HFUHWR/HJJHDJRVWRQVXOODUHJRODPHQWD]LRQH
8IILFLDOHPDJJLRQ
GHOOD IRUPD]LRQH LQIHUPLHULVWLFD *D]]HWWD 8IILFLDOH GHO QRYHPEUH
/HJJH IHEEUDLR Q 'LVSRVL]LRQL LQ PDWHULD GL SURIHVVLRQL
Q
VDQLWDULH LQIHUPLHULVWLFKH RVWHWULFD ULDELOLWDWLYH WHFQLFRVDQLWDULH H
/HJJHRWWREUHQ,VWLWX]LRQHGHL&ROOHJLGHOOHLQIHUPLHGHOOD SUHYHQ]LRQH H GHOHJD DO *RYHUQR SHU O·LVWLWX]LRQH GHL UHODWLYL
UHSURIHVVLRQDOLGHOOHDVVLVWHQWLVDQLWDULHYLVLWDWULFLHGHOOHYLJLODWULFL
RUGLQLSURIHVVLRQDOL*D]]HWWD8IILFLDOH)HEEUDLRQ
47
4XHVWRQXPHURGL/HWWHUHGDOOD)DFROWjYLHQHSXEEOLFDWRJUD]LHDGXQLOOXPLQDWRH
JHQHURVRFRQWULEXWRGL$QJHOLQL$FUDI6SD
All’interno:
SDUWLFRODUHGLXQJUDIILWR
SUHLVWRULFRGRYHO·LPPDJLQH
GHOODPDQRFRPSDUHQRQSLFRPH
LPSURQWDPDFRPHGLVHJQRYHUR
HSURSULRGHILQHQGR
XQDQXRYDIDVHGHOODVFULWWXUD
HTXLQGLGHOODFRPXQLFD]LRQH
GD,6FKZDU]:LQNOKRIHU
+%LHGHUPDQQ
´/HOLYUHGHVLJQHVHWGHVV\PEROHVµ
3DULJL
LETTERE DALLA FACOLTÀ
%ROOHWWLQRGHOOD)DFROWj
GL0HGLFLQDH&KLUXUJLD
GHOO·8QLYHUVLWj3ROLWHFQLFD
GHOOH0DUFKH
$QQR;,9Qƒ
1RYHPEUH'LFHPEUH
5HJLVWUD]LRQHGHO7ULEXQDOH
GL$QFRQDQ
3RVWH,WDOLDQH6S$6SHGL]LRQHLQ
$EERQDPHQWR3RVWDOH'&%
$QFRQD
3URJHWWR*UDILFR /LULFL*UHFL
6WDPSD (UUHEL*UDILFKH5LSHVL
'LUHWWRUH(GLWRULDOH
$QWRQLR%HQHGHWWL
&RPLWDWR(GLWRULDOH
)UDQFHVFR$Oz)UDQFHVFD&DPSROXFFL
)LRUHQ]R&RQWL6WHIDQLD)RUWXQD/RUHWD
*DPELQL*LRYDQQL0X]]RQLJUR8JR6DOYROLQL
0LFKHOH8UVR5XVVR
5HGD]LRQH
$QWRQHOOD&LDUPDWRUL)UDQFHVFD*DYHWWL
0DULD/DXUD)LRULQL*LRYDQQD5RVVROLQL
9LD7URQWR7RUUHWWHGL$QFRQD
7HOHIRQR)D[
'LUHWWRUH5HVSRQVDELOH
*LRYDQQL'DQLHOL