LF:aZLVL7X61c Vnitřní lékařství blok 1 - Informace o předmětu

aZLVL7X61c Vnitřní lékařství blok 1 - geriatrie, pracovní lékařství

Rozsah

0/2/0. 30. 1 kr. Ukončení: z.
Vyučováno kontaktně

Vyučující

prof. MUDr. Petr Brhel, CSc. (cvičící)
prof. MUDr. Petr Dobšák, CSc. (cvičící)
prof. MUDr. Ondřej Ludka, Ph.D., FESC (cvičící)
MUDr. Petr Malenka, Ph.D. (cvičící)
MUDr. Terézia Moravčíková (cvičící)
MUDr. Juraj Pramuka (cvičící)
prof. MUDr. Pavel Weber, CSc. (cvičící)
Sabina Haasová (pomocník)
Ing. Soňa Hanzelková (pomocník)
Ing. Miroslava Prokopová (pomocník)

Garance

prof. MUDr. Ondřej Ludka, Ph.D., FESC
Všeobecná interní klinika – Společná pracoviště s Fakultní nemocnicí Brno - pracoviště Nemocnice Bohunice a Porodnice – Lékařská fakulta
Kontaktní osoba: Sabina Haasová
Dodavatelské pracoviště: Všeobecná interní klinika – Společná pracoviště s Fakultní nemocnicí Brno - pracoviště Nemocnice Bohunice a Porodnice – Lékařská fakulta

Rozvrh

Po 13. 1. 7:30–12:30 KOM 409, Út 14. 1. 7:30–12:30 KOM 409, St 15. 1. 9:00–14:00 VIK N01180, Čt 16. 1. 13:30–18:30 KPL N02029, Pá 17. 1. 13:30–18:30 KPL N02029

Předpoklady

aZLIP061p Interní propedeutika - předn. && aZLPA0622c Patologie II - cvičení && aZLPF0622c Patol. fyziologie II -cvičení && aZLFA0621c Farmakologie I - cvičení && ( aZLED061p Konz.zub.lék.-endodnc.I - př. || aZLKED061p Konz.ZL II-Endod I-před ) && aZLPL0663c Protetické zub.lék.III.- cv. && aZLOC0653c Orální chirurgie III - cvičení && aZLOR0641c Ortodoncie I - cvičení && aZLPD0631c Parodontologie I - cvičení
Clinical propaedeutic, Theoretical background of practical medicine, Pathology, Pathophysiology

Omezení zápisu do předmětu

Předmět je určen pouze studentům mateřských oborů.

Mateřské obory/plány

• Dentistry (program LF, M-DENT)
• Zubní lékařství (angl.) (program LF, M-ZL)

Cíle předmětu

Occupational medicine
This course explains the impact of work and working conditions on the health of workers, the prevention diagnostics, treatment, and medicolegal aspects of diseases caused or exacerbated by working conditions: occupational diseases, accidents at work, work-related diseases, occupational health services in the Czech Republic, aims and functions of an occupational health service, types of service
Functional diagnostics and rehabilitation
This course unit provides detailed information about key diagnostic functional tests in clinical medicine, all of which are conducted inside the lab. Students will be able to apply the basic concepts by conducting self-made examinations and recording their own physiological responses to exercise.
Geriatrics
Students will understand the main differences between seniors and younger patients, especially in disease diagnostics, specificities of objective findings, laboratory parameters and treatment targets as well.

Výstupy z učení

Occupational medicine
The student knows occupational preventive measures including the evaluation of working ability, health risks of ionization, physical factors, industrial toxins. Students can describe basic obligatory of employers in relation to employee, basic rules for evaluation of occupational diseases, risks of occupational diseases or risks of accidents at work. The student is able to describe the duties of attending physician, injured employee and employer in the event of an accident of work.
Functional diagnostics and rehabilitation
After completing the course the student will know: principles of implementation, indications and contraindications of CPX (cardiopulmonary exercise testing) in clinical and outpatient practice (especially spiroergometric testing, basic principles of functional diagnostics of respiratory functions and investigation of autonomic nervous regulations), reactions of the organism to various types of exertion and the differences between the physiological and pathological reactions of the basic functional parameters to the physical load, the importance of prescribing exercise therapy in internal medicine, especially in patients with cardiovascular or respiratory diseases, and metabolic disorders, the importance of different training types for cardiac patients (phase I. - IV. of cardiovascular rehabilitation)
Geriatrics
The student knows complex geriatric assessment Student is able to plan the diagnostics with regard to specific features of older patients Student is able to prepare the therapeutic scheme with regard to specific features of older patients Student is able to formulate the régime and diet measures with regard to specific features of older patients The student is able to plan and assure the aftercare with regard to interdisciplinary syndromes.

Osnova

• Occupational medicine
• 1 Introduction: The impact of work and working conditions on the health of workers.
• The prevention diagnostics, treatment, and medicolegal aspects of diseases caused or exacerbated by working conditions: occupational diseases, accidents at work, work-related diseases.
• 2 Occupational health services in the Czech Republic. Aims and functions of an occupational health service, types of service
• Occupational health ethics
• Knowledge of the work environment, specific workplace hazards
• Medical examinations: pre-placement, periodic and special medical examinations, occupational history, biological monitoring, medical records
• Rehabilitation and resettlement
• 3 Occupational diseases and toxicology List of occupational diseases (appendix of government decree no. 290/1995)
• Occupational diseases due to chemical agents, poisoning by lead or a compound of lead, poisoning by a nitro- or amino- or chloroderivate of benzene or of a homologue of benzene, poisoning by organophosphates, poisoning by chemical asphyxiants (carbon monoxide, hydrogen cyanide)
• Occupational diseases due to physical agents, work-related cumulative trauma disorders of the hand and arm, hand-arm vibration syndrome, noise-induced hearing loss, non-stochastic and stochastic health effects of ionizing radiation, dysbarism, disorders due to heat
• Occupational lung disorders, pneumoconioses (silicosis, coal workers´ pneumoconiosis, asbestosis), asthma, extrinsic allergic alveolitis- farmer´s lung), acute inflammation, malignancy Occupational dermatoses, primary irritant contact dermatitis, allergic contact dermatitis, neoplasms
• Occupational infections, infections due to exposure to infected humans or their tissues, infections transmitted from animals to humans (zoonoses), travel-associated infectious diseases
• 4 Mental health at work
• 5 The main areas of law relevant to occupational health, workers compensation law
• FUNCTIONAL DIAGNOSTICS AND REHABILITATION
• 1 Introduction
• 2 Reaction and adaptation to physical stress
• Gas transport systém, respiration, circulation, energy metabolism, body fluids and ions, acid-base balance, neuromuscular system
• 3 Stress tests
• Characteristics, indications and contraindications
• Stress testing procedure, criteria of evaluation and interpretation
• Methods, special approaches to stress testing
• 4 Fundamentals of exercise therapy and rehabilitation
• Exercise therapy as a part of rehabilitation
• Definition and division into constituent parts
• Therapeutical rehabilitation
• Prescription of exercise therapy, principles, physiologic efficiency of physical activities, kinds of physical activities, stress intensity, frequency and duration of stress
• 5 Stress testing and exercise therapy in selected diseases
• Cardiovascular and haematologic diseases
• Functional disorders of circulation
• Congenital heart diseases, valvular heart diseases, acute inflammatory diseases. Cardiomyopathy, atherosclerosis, coronary artery diseases, heart failure, arrhythmias, arterial hypertension, chronic ischaemic arterial obstructive disease of lower limbs, respiratory, haematological diseases, diabetes mellitus and other endocrinology diseases
• GERIATRICS
• 1 Specificity of disease symptoms in elderly, diagnostic approach, complex geriatric assessment
• 2 Different disease course in elderly, complications, chronicity
• 3 Immobilization, complication cascade
• 4 Necessarity of emergent approach to elderly to accelerate the healing process and to keep the independency od the elderly
• 5 Giants of geriatrics, multidisciplinary approach
• 6 Social context of diseases in the elderly
• 7 The influence of senzoric, cognitive and motoric deterioration on the independence and ability to live in own environment
• 8 Theriatric maldaptation syndrom
• 9 Sleeping disorders in elderly, behavioral disorders in the elderly
• 10 Psychical disturbances in elderly, communication basics, stress situation management

Literatura

doporučená literatura
• The Merck Manual of Geriatrics. http://www.merck.com/mkgr/mmg/search.jsp
• Geraitrie e-learnigový kurz, Portál LF MU
• MCARDLE, William D., Frank I. KATCH a Victor L. KATCH. Exercise physiology : nutrition, energy, and human performance. Eighth edition. Philadelphia: Wolters Kluwer Health, 2015, lix, 1028. ISBN 9781451193831. info
• ŠUBRT, Bořivoj a Milan TUČEK. Pracovnělékařské služby : povinnosti zaměstnavatelů a lékařů. 2. doplněné vydání. Olomouc: ANAG, 2015, 351 stran. ISBN 9788072639441. info
• PELCLOVÁ, Daniela. Nemoci z povolání a intoxikace. 3., doplněné vydání. Praha: Karolinum, 2014, 316 stran. ISBN 9788024625973. info
• MATĚJOVSKÁ KUBEŠOVÁ, Hana a Pavel WEBER. Geriatrie. In Vnitřní lékařství. Praha: Grada, 2011, 30 s. Vnitřní lékařství 1. ISBN 978-80-247-2110-1. info
• MATĚJOVSKÁ KUBEŠOVÁ, Hana, Pavel WEBER, Pavel ŠEVČÍK, Michal MAŠEK, Zdeněk KADAŇKA, Blanka VEPŘEKOVÁ, Vlasta POLCAROVÁ, Roman GÁL, Dagmar SEIDLOVÁ a Helena ONDRÁŠKOVÁ. Akutní stavy v geriatrii. 1. vyd. Praha: Galén, 2009, 233 s. akutní medicína, geriatrie. ISBN 978-80-7262-620-5. info
• DOBŠÁK, Petr, Jarmila SIEGELOVÁ, Hana SVAČINOVÁ, Pavel HOMOLKA, Leona DUNKLEROVÁ, Michaela SOSÍKOVÁ a Zdeněk PLACHETA. Klinická fyziologie tělesné zátěže. 2009. vyd. Brno: Masarykova univerzita, 2009, 98 s. <AA-9,10>. ISBN 978-80-210-4965-9. info
• Pracovní lékařství : základy primární pracovnělékařské péče. Edited by Petr Brhel - Marta Manoušková - Evžen Hrnčíř. 1. vyd. Brno: Národní centrum ošetřovatelství a nelékařských zdravotnických oborů, 2005, 338 s. ISBN 8070134143. info
• Textbook of clinical occupational and environmental medicine. Edited by Linda Rosenstock. 2nd ed. Philadelphia: Elsevier Saunders, 2005, xviii, 133. ISBN 0721689744. info
• KALVACH, Zdeněk. Geriatrie a gerontologie. 1. vyd. Praha: Grada, 2004, 861 s. ISBN 8024705486. info
• PLACHETA, Zdeněk, Ilona DOHNALOVÁ, Jan NOVOTNÝ, Břetislav ZATLOUKAL, Karel ČECHOVSKÝ, Vladimír DRAŽIL a Pavel HOMOLKA. Zátěžová funkční diagnostika a preskripce pohybové léčby ve vnitřním lékařství. 2. přepracované vyd. Brno: Masarykova univerzita Brno, 1995, 156 s. ISBN 80-210-1170-X. info

Výukové metody

Lessons are taking place in blocks. Attendance at the tuition is obligatory. The students work in groups of 6-7 members. Expert seminars and simulation methods are the part of education. Practical training (about 20 % of the total volume of teaching) is complemented by a comprehensive range of simulation teaching methods on simulators with varying degrees of fidelity, trainers and virtual patients. Simulation results in subsequent debriefing (feedback to the student). There is also problem-oriented learning in the foreground, where the student is taught by solving the problem presented, as well as team-oriented teaching when small groups of students discuss and choose a solution of the problem. Emphasis is also placed on the development of soft skills, incl. so-called "21st century skills", particularly communication, decision-making skills, critical thinking, crisis communication and teamwork.

Metody hodnocení

Test, assay as the case report, colloqium. Traditional methods are complemented by objective clinical evaluation that verifies clinical knowledge and other skills such as communication, physical examination, performance, performance interpretation, etc. This evaluation method provides students with objective and specific feedback.

Vyučovací jazyk

Angličtina

• Statistika zápisu (nejnovější)
  
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