VLPL9X1a Preventive Medicine

Faculty of Medicine
autumn 2020
Extent and Intensity
0/5/0. 2 credit(s). Recommended Type of Completion: z (credit). Other types of completion: k (colloquium).
Teacher(s)
prof. MUDr. Bc. Zuzana Derflerová Brázdová, DrSc. (seminar tutor)
doc. MUDr. Jindřich Fiala, CSc. (seminar tutor)
Mgr. Jana Fialová, Ph.D. (seminar tutor)
Mgr. Martin Forejt, Ph.D. (seminar tutor)
RNDr. Jan Hollan, Ph.D. (seminar tutor)
prof. MUDr. Drahoslava Hrubá, CSc. (seminar tutor)
MUDr. Miluše Jurášková (seminar tutor)
MUDr. Anna Klimová (seminar tutor)
RNDr. Danuše Lefnerová, Ph.D. (seminar tutor)
MVDr. Halina Matějová (seminar tutor)
MUDr. Veronika Mičulková, Ph.D. (seminar tutor)
Mgr. Aleš Peřina, Ph.D. (seminar tutor)
MUDr. Kräuff Rainer Schwanhaeuser Wulff, MBA, Ph.D. et Ph.D., M.A. (seminar tutor)
doc. MUDr. Jan Šimůnek, CSc. (seminar tutor)
Mgr. Robert Vysoký, Ph.D. (seminar tutor)
MUDr. Miroslava Zavřelová (seminar tutor)
RNDr. Ondřej Zvěřina, Ph.D. (seminar tutor)
Jana Chaloupková (assistant)
Zdeňka Jochová (assistant)
Guaranteed by
doc. MUDr. Jindřich Fiala, CSc.
Department of Public Health - Theoretical Departments - Faculty of Medicine
Contact Person: Mgr. Aleš Peřina, Ph.D.
Supplier department: Department of Public Health - Theoretical Departments - Faculty of Medicine
Prerequisites
VSIP0622c Introduction to internal II-pr && VLCP0622c Introduc. to surgery II -pr. && VLLM0522p Medical Microbiology II - lect && VLIM051p Immunology - lecture && VSEI7X1 Epidemiology of Infect. Diseas && VLDM7X1c Diagn. imamaging -practice

Prerequisites according to the MU study and examination regulations.
Course Enrolment Limitations
The course is also offered to the students of the fields other than those the course is directly associated with.
fields of study / plans the course is directly associated with
Course objectives

At the end of course, student will be able to explain the relationship between human and environment, its physical, chemical, biological and psychosocial factors and their interactions. Student will be able to explain the role of adaptation and its active support for the positive development and promotion of both individual and public health;

Student will be able to make deduction about possibilities for preventive provisions in the field of clean and safe environmental, occupational and home surrounding, the quality of air, water, food. Student will be able to understand and explain the different types of prevention, their tasks and aims and methods of realization.

The student will be able to interpret the positive and negative influences of lifestyle factors on human/public health, including the autoagressive behaviours (nutrition, physical activity, psychical overload and stress, smoking, abuse of alcohol and illegal drugs); Based on acquired knowledge, the student will be able to make deductions about the importance of environment and lifestyle in the health protection and promotion, and about the primary prevention priorities;

Based on acquired knowledge, the student will be able to formulate decisions about concrete preventable possibilities for some more important non-communicable diseases, such as cardiovascular, oncological, metabolically, immune, respiratory.
Learning outcomes (in Czech)
Student bude po absolvování předmětu schopen:
stanovit rizikové faktory onemocnění;
formulovat doporučení zdravého životního stylu;
identifikovat rizikové faktory životního a pracovního prostředí a navrhnout opatření k ochraně zdraví lidí;
Syllabus

  • PRACTICES:
  • 1. General information about the course Preventive medicine.
  • 2. BASIC PRINCIPLES OF NON-INFECTIOUS EPIDEMIOLOGY AND PREVENTIVE MEDICINE.
  • 3. PREVENTION OF CARDIOVASCULAR DISEASES.
  • 4. PREVENTION OF CANCER.
  • 5. METHODS OF MEASUREMENT OF NUTRITIONAL INTAKE: Questionnaire and laboratory methods - presentation. Self-evaluation of short-term recalls and long-term nutritional habits. .
  • 6. PREVENTION OF THE MUSCULOSKELETICAL DISTURBANCES: ergonomic approaches to the optimalization of working conditions. Risk of the sedentary position. Exercises lowering the static load. .
  • 7. PREVENTION OF THE STRESS: Tests for self-availability to be stressed by the obvious load. Techniques for relaxation.
  • 8. TREATMENT OF TOBACCO ADDICTION.
  • 9. PROGRAMMES OF DRUGS ABUSE PRIMARY PREVENTION.
  • 10. NUTRITION AND FOOD: food labelling, nutritional and health recommendations, nutritional safety .
  • 11. ENVIRONMENT AND HEALTH: noise, light, radiation, living, water.
  • 12. TOXICOLOGY IN PREVENTION.
  • 13. WORK AND HEALTH.
  • PRAXIS:
  • 1. EPIDEMIOLOGIC STUDY ABOUT THE NUTRITION OF TARGET POPULATIONS: proposals for the development of questionnaires, selection of a population sample, use of standardised questionnaires, digitalized information and data, evaluation of obtained results at individual and group basis.
  • 2. SPECIAL TOXIKOLOGY: power point presentations on chosen chemical xenobiotics (Pb, Hg, Cr, Cd, toluene, benzene, trichloretylene): their sources in the environment and working exposure, way of exposures, effects on humans. Clinical manifestations of poisoning, therapy. Primary and secondary prevention.
  • 3. KOMPLEX PREVENTION OF CARDIOVASCULAR DISEASES: anamnesis, clinical and biochemical measurements of the main risk factors (smoking, nutrition, physical activity, blood lipids, anthropometry); evaluation of the results, preventive proposals.
  • 4. SMOKING CESSATION AMONG THE HOSPITALIZED PATIENTS: Practical application of the 4A programme used for smoking cessation at some clinics.
  • 5. BREAST-FEEDING PROMOTION: Practical application of the knowledge about the postnatal cure for newborns with the concern on the breast-feeding promotion.
  • 6. EPIDEMIOLOGIC STUDIES WITH DIFFERENT AIMS: Preference of the different foods among children. The frequencies of the fast food consumption among children. Approaches of different target population groups to the non-smoking activities. Frequency of the fruit and vegetables consumption, dairy products among children.
  • 7. CONSEQUENCES OF PRENATAL EXPOSURE TO SMOKING, during childhood and adulthood. Review of scientific literature.
  • 8. BASIC OF RISK ASSESMENT, MANAGEMENT AND COMMUNICATION: examples of case-studies.
Literature
    required literature
  • Interaktivní osnova / Interactive syllabi
  • MÜLLEROVÁ, Dana. Hygiena, preventivní lékařství a veřejné zdravotnictví. 1. vydání. Praha: Karolinum, 2014. 254 stran. ISBN 9788024625102. info
  • TUČEK, Milan. Hygiena a epidemiologie. 1. vyd. Praha: Karolinum, 2012. 358 s. ISBN 9788024620251. info
    recommended literature
  • Manuál prevence v lékařské praxi. Edited by Kamil Provazník - Lumír Komárek. 1. vyd. Praha: Státní zdravotní ústav, 1999. 55 s. ISBN 8070711353. info
  • Manuál prevence v lékařské praxi. Edited by Kamil Provazník. 1. vyd. Praha: Státní zdravotní ústav, 2000. 158 s. ISBN 8070711612. info
  • Manuál prevence v lékařské praxi. Edited by Kamil Provazník - Lumír Komárek. 1. vyd. Praha: Státní zdravotní ústav, 2001. 63 s. ISBN 8070711949. info
  • TUČEK, Milan, Miroslav CIKRT and Daniela PELCLOVÁ. Pracovní lékařství pro praxi : příručka s doporučenými standardy. Vyd. 1. Praha: Grada, 2005. 327 s. ISBN 8024709279. info
  • Referenční hodnoty pro příjem živin. V ČR 1. vyd. Praha: Společnost pro výživu, 2011. 192 s. ISBN 9788025469873. info
  • KOTULÁN, Jaroslav. Zdravotní nauky pro pedagogy. 3. vydání. Brno: Masarykova univerzita, 2012. 258 stran. ISBN 9788021057630. info
  • J.Kotulán: Primární prevence I, II. Lékařská fakulta MU, Brno, 1991,1992
  • Manuál prevence v lékařské praxi : souborné vydání. Edited by Kamil Provazník. 1. vyd. Praha: Státní zdravotní ústav, 1998. 622 s. ISBN 8070710802. info
    not specified
  • .
  • REQUIRED LITERATURE FOR PREVENTIVE MEDICINE AND HYGIENE
  • .
  • 1. Lener J et al: Medical hygiene. Prague - Czech Republic: Vydavatesltví Karolinum; 1997. pp 1-128.
  • 2. Bártová J, Havránek J, Hrnčíř E, Lener J, Petrová K: General and environmental hygiene. Edited by J. Bártová. Prague - Czech Republic: 3rd Medical Faculty Charles University Prague; 1994. pp 5-87.
  • 3. Varkey P: Mayo clinic preventive medicine and public health board review. Edited by Prathibha Varkey. New York - United States: Mayo Clinic Scientific Press - Oxford University Press; 2010. pp 111-232.
  • 4. Brázdová Z, Fiala J: Dietary guidelines in the Czech Republic. Brno: Acta Facultatis Medicae Universitas Masarykianae; 1998.
  • 4. Krause's food & nutrition therapy. Edited by L. Kathleen Mahan - Sylvia Escott-Stump. 12th ed. St. Louis, Mo.: Saunders/Elsevier, 2008. ISBN 9781416034018. pp 2-144, 200-206, 224-228, 249-254, 269-283, 299-300.
  • 5. Bonita R, Beaglehole R, Kjellström: Basic epidemiology. 2nd edition. Geneva - Switzerland: World Health Organization; 2006. pp 99-177.
  • 6. Farmer R, Lawrenson R, Miller D: Epidemiology and public health medicine. 5th edition. Oxford - U.K.: Blackwell Publishing; 2004. pp 96-102, 127-139.
  • 7. Stone DB, Armstrong WR, Macrina DM, Pankau JW: Introduction to epidemiology. Dubuque, IA - USA: Brown & Benchmark Publishers; 1996. pp 49-63, 163-190.
  • 8. All study materials provided in the IS subject's vault
  • 9. www.who.int (information not found in the books).
  • .
  • .
  • RECOMMENDED LITERATURE FOR PREVENTIVE MEDICINE AND HYGIENE
  • .
  • 1. Wallace/Maxcy-Rosenau-Last: Public health & preventive medicine. 15th edition. Edited by Robert B Wallace. United States: The McGraw-Hill Companies; 2008.
  • 2. Jekel J, Katz D, Elmore J, Wild DMG: Epidemiology, biostatistics and preventive medicine. 3rd edition. United States: Saunders Elsevier; 2007.
  • 3. Hrubá D: Occupational Medicine Practice. Basic Toxicology. (Fundamental abstracts from textbooks. LF MU: 1997.
  • 4. Lu FC: Basic Toxicology. Taylor, Francis, Washington, DC, 1996
Teaching methods

Seminář / cvičení, skupinové projekty a diskuze.

Nastudování VEŠKERÉ POVINNÉ LITERATURY.
Studentům, kteří budou vypracovávat výzkumné projekty či psát seminární práce během třetího, čtvrtého či pátého roku studia, je velmi doporučeno zapsat si následující předměty:

 VSIL021 - Information literacy - (3 kredity) - e-learning.
 VSKP041 - Kurz práce s informačními zdroji a nástroji (4 kredity).
Assessment methods

REQUIREMENTS TO OBTAIN THE CREDIT:

1.   100 % attendance to seminars / practices during the semester.

2.   It will be required to successfully complete the prerequisite subjects.

3.   Absences will be tolerated just due to medical reasons - Students must provide appropriate documentation or medical excuse.
  + Students must be aware that even with justified absences (medical excuse), a minimum of 80% attendance is required to obtain the credit. In case a student will have more than 20 % justified / unjustified absences, he / she will have to repeat the course in the following school year.

4.   Fulfilment of given tasks:
  + In case of unjustified absence (per each one), a 1,500-2,000 word seminar paper and a 5-8 minutes power point presentation on the seminar paper topic will be given. If the seminar paper is rejected due to deficiencies and it is not corrected and submitted again, the student will not fulfil with the subject’s requirements, and he / she will not get the credit (See Absence and latecomer policy, Academic misconduct, plagiarism detection and unethical issues).

5.   Active participation during the seminars / practices / lectures.

6.   Pass the credit test. Students will be allowed to take the credit test only if they have fulfilled numeral 4 (requirements to obtain the credit).



CREDIT TEST INFORMATION:

1.   Get at least 70 % (14 out of 20 questions) in the credit test, which is a requisite to sit for examination.

2.   Each student must register in the Information System (IS) in one of the offered credit test terms. The credit test has fixed examination terms / dates - (Only during the examination period, except the examination pre-term). No extra-terms will be given.

3.   Students registered to a credit test term will fail the term if:
  a-) arrive late to the test. No late arrival will be allowed after the start of the credit test.
  b-) they are not present and previously do not cancel the term in the stipulated periods (see IS).

4.   In case of failure, EACH STUDENT CAN RETAKE THE CREDIT TEST TWO MORE TIMES, only in given terms (according to Masaryk University study and examination regulations).

5.   In case of failure during the third term (second resit), the student must repeat the course in the following school year.

6.   All credit test questions are based on ALL REQUIRED LITERATURE, seminars and lectures.


The credit test is a written examination → 20 multiple choice question test, with only one correct answer - (to pass the test, it is required a minimum of 14 correct answers / points).

SCORE:

  Passed → 14 and more correct answers / points.
  Failed → 13,99 or less correct answers / points.



In order to omit / avoid guessing while answering the MCQ test / examination, the following system will be used:
  Correct answer = 1 point.
  No answer = 0 point.
  Wrong answer = -0,5 point.

  Test scoring will be according to the next formula:
  Final score = Number of correct answers - (Number of wrong answers / two).

  For example:
  15 correct answers (15 x 1 point = 15 points) - Passed.
  5 wrong answers (5 x -0,5 = -2,5 points).
  15 - 2,5 = 12,5. The final score of the test will be 12,5 answers / points.
  Final result = Failed.


  ** For that reason, only answer the question when you are sure of the answer.



ABSENCE AND LATECOMER POLICY:

1.   Justified, unjustified absences and late coming to classes:
  a-) Justified absences → just due to medical reasons - Student must provide appropriate documentation or medical excuse in original.
  b-) Unjustified absences → the student does not present the medical excuse (original) in the following week of the absence.
  c-) Late coming to classes → the student arrives after attendance has been taken (3 minutes).

2.   Measures against absenteeism or late coming to classes:
  a-) Every unjustified absence or late coming to classes leads to a 1,500-2,000 word seminar paper plus a 5-8 minutes power point presentation on the same topic (the topics will be assigned in the same week of the absence or late coming).
  b-) The seminar paper must be submitted on the subject’s vault within the next 6 days of the incident (absence or late coming), in other case it will be rejected → They will not get the credit.
  c-) Students will receive an email with the seminar paper instructions, and the word and power point frames.
  d) Students take full responsibility for their seminar paper(s) and power point presentation(s). (See Academic misconduct, plagiarism detection and unethical issues).

3.   THERE WILL BE NO EXCEPTIONS. In the following cases, students will be not get the credit / allowed to take the credit test:
  * Not submitting the assigned seminar paper.
  * If the seminar paper is rejected due to deficiencies and is not corrected and submitted again.
  * If despite the fact the seminar paper is accepted but the power point presentation is not shown in class.
  * If the seminar paper is rejected three times.
  * If the seminar paper has plagiarism or any unethical issues.



ACADEMIC MISCONDUCT, PLAGIARISM DETECTION AND UNETHICAL ISSUES:

1.   Any attempts of ACADEMIC MISCONDUCT, such as cheating or assisting someone else to cheat during the credit test, will result in disciplinary actions, such as:
  a-) You will be required to hand over your examination paper and asked to leave the examination room. This means, you failed the examination (examination term), with the respective score F / 4, on your academic records in the information system.
  b-) Opening disciplinary proceedings.
  c-) Failing the subject / course.
  d-) Expulsion from university.

2.   During the examination, it is forbidden to:
  a-) Use smart phones / Tablets.
  b-) Use laptops.
  c-) To wear earphones or headphones (if not medical prescribed).
  d-) To talk.

*In such cases, disciplinary actions will be taken (See above numeral 1).

3.   Every seminar paper will be checked / scanned on university and external systems for online plagiarism detection.

4.   Cases of suspected plagiarism will be investigated and given to the Disciplinary Committee as a motion to open disciplinary proceedings, according to the Disciplinary Code for Faculty Students.

5.   Unethical issues will lead to seminar paper rejection → not getting the credit → repeating the course next school year or expulsion from university.

6.   The plagiarism scan system is able to detect cut and paste from other languages with its respective translation into English. Avoid complications. Simply read the source and use your own words and the citate (quote) the source of information.

7.   Students MUST be aware that before acceptance, all citations are controlled (compared with the original source). It will not be tolerated any attempts to create or manipulate citations (ACADEMIC MISCONDUCT). → Seminar paper rejection → not getting the credit → repeating the course next school year or expulsion from university.
Language of instruction
Czech
Further comments (probably available only in Czech)
Information on completion of the course: kolokvium je nutna prerekvizita k SRZk pro studenty LF, pro ostatni studenty MU nikoliv
The course can also be completed outside the examination period.
The course is taught each semester.
The course is taught: in blocks.
General note: pro studenty MU mimo LF nutny souhlas garanta.
Information on the extent and intensity of the course: 75.
Information on course enrolment limitations: mimo studenty LF max. 16 studentu
The course is also listed under the following terms Autumn 2001, Autumn 2002, Autumn 2003, Spring 2004, Autumn 2004, Spring 2005, Autumn 2005, Spring 2006, Autumn 2006, Spring 2007, Autumn 2007, Spring 2008, Autumn 2008, Spring 2009, Autumn 2009, Spring 2010, Autumn 2010, Spring 2011, Autumn 2011, Spring 2012, Autumn 2012, Spring 2013, Autumn 2013, Spring 2014, Autumn 2014, Spring 2015, Autumn 2015, Spring 2016, Autumn 2016, Spring 2017, Autumn 2017, Spring 2018, autumn 2018, spring 2019, autumn 2019.
  • Enrolment Statistics (autumn 2020, recent)
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