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Course, academic year 2024/2025
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State Examination in Preventive Medicine - CVSE5P0066
Title: Obory preventivního lékařství
Guaranteed by: Department of Hygiene 3FM CU (12-HYG)
Faculty: Third Faculty of Medicine
Actual: from 2023
Semester: both
Points: 0
E-Credits: 0
Examination process:
Hours per week, examination: 0/0, STEX [HT]
Capacity: winter:unknown / unknown (unknown)
summer:unknown / unknown (unknown)
Min. number of students: unlimited
4EU+: no
Virtual mobility / capacity: no
Key competences:  
State of the course: taught
Language: Czech, English
Teaching methods: full-time
Level:  
Note: you can enroll for the course in winter and in summer semester
Guarantor: doc. MUDr. Pavel Dlouhý, Ph.D.
doc. MUDr. Alexander Čelko, CSc.
Examination dates   Schedule   
Aim of the course -

The aim of State Final Exam in Preventive Medicine is to find the level of students´knowledge in population health protection and health promotion, recognition of adverse health risks and proposing preventive measures in population and individuals.

Last update: Hrnčířová Daniela, Mgr., Ph.D. (22.10.2013)
Course completion requirements -

Students have to pass successfully the Final State Exam.

Last update: Hrnčířová Daniela, Mgr., Ph.D. (26.09.2022)
Teaching methods -

Student presents his/her knowledge in all branches of preventive medicine and public health.

Last update: Hrnčířová Daniela, Mgr., Ph.D. (22.10.2013)
Requirements to the exam -

Requirements for State Examination from Preventive Medicine (CVSE5P0066):

  1. credit from subject Public Health and Medical law (I, II, III),
  2. credit from subject HEPM 1-5.


Last update: Hrnčířová Daniela, Mgr., Ph.D. (26.09.2022)
Syllabus -

STATE EXAMINATION TOPICS FROM PREVENTIVE MEDICINE (CVSE5P0066)

 

PUBLIC HEALTH  

1)     Health Care indicators – overview, examples.

2)     Advanced directive (Do Not Resuscitate) principle – description, possible risks.

3)     Reform of health care systems – generic aspects.

4)     Structure and function of a health care system. Principles and mechanisms of the organization of the health care.

5)     Health care financing – basic types. Principles of public health insurance.

6)     DRG system – overview, pros and cons.

7)     Describe the Czech health care system. Who pays the care, who provides it and what is the access of population to the health care.

8)     Forms of physicians’ reimbursement and hospital financing. Advantages and disadvantages of different modes of financing hospitals.

9)     Risk in healthcare – general principles, examples.

10)   Quality management in healthcare – overview, examples.

11)   International Patient Safety Goals – overview, basic principles.

12)   Basic rights of patients guaranteed by current legislation.

13)   Confidentiality in healthcare- basic principles, exceptions.

 

CHILD AND YOUTH HEALTH             

1)      Basic needs and rights of children.

2)      Infant and young child feeding.

3)      Breastfeeding promotion and protection.

4)      Nutrition in preschool and school children.

5)      Obesity in children.

6)      Assessment of growth and development in children.

7)      Assessment of school readiness in a preschool child.

8)      Health risks in the school environment.

9)      Hygienic requirements for schools and health promotion in school.

10)   Syndrome of risk behaviour in children.

11)   Self-destructing behaviour in children.

12)   Injuries in children.

13)   Child abuse and neglect syndrome in primary health care.

14)   Prevention of smoking and tobacco use in children.

15)   Prevention of psychoactive substance use and addictions in children.

 

EPIDEMIOLOGY 

General Epidemiology

1) Descriptive Studies: Principles, frequency measures (incidence rate, attack rate, mortality, period and point prevalence)

2) Analytical Studies: Principles, effect size (odds ratio, relative risk, incidence rate ratio, attributable risk)

3) Clinical Trials: Principles, reducing bias risk, phases of clinical trials

4) Screening and Test Validity: Screening principles, specificity, sensitivity, and other test performance measures

Epidemiology of Infectious Diseases:

5) Spread of Diseases: Agent, transmission, host, forms of occurrence, surveillance, nosocomial infections [Healthcare-Acquired Infections (HAIs)]

6) Droplet or Airborne Viral Infections: Influenza, Coronavirus, Acute Respiratory Infections (ARI)

7) Droplet or Airborne Bacterial Infections: Pneumococcal infections, Meningococcal infections, Whooping cough

8) Viral Alimentary Infections: Viral hepatitis A and E, Poliomyelitis, Rotavirus infections

9) Bacterial Alimentary Infections: Salmonellosis, Campylobacteriosis, Typhoid fever

10) Vector-borne or Wound-acquired Infections: Tick-borne encephalitis, Lyme disease, Rabies, Tetanus

11) Sexually or Blood-borne Viral Infections: HIV/AIDS, Viral hepatitis B, D, and C, Human papillomavirus (HPV)

12) Sexually Transmitted Bacterial Infections: Syphilis, Gonorrhea, Chlamydia trachomatis infections

13) Bacterial Infections Preventable by Vaccination in Childhood: Haemophilus influenzae type b, Diphtheria, Tuberculosis

14) Vaccine-preventable Viral Infections in Childhood: Measles, Mumps, Rubella, Chickenpox

Vaccination:

15) Principles of Active and Passive Immunization: Seroconversion, efficacy, and safety of vaccination

16) Immunization Programmes: Specific vaccinations in childhood and adulthood, herd and individual protection

 

GENERAL HYGIENE          

1)      Drinking water – sources, quality and health requirements, organoleptic properties.

2)      Drinking water – chemical and microbiological contamination, health risks, prevention.

3)      Bathing water – hygienic requirements, health risks of microbial and chemical contamination, prevention.

4)      Municipal, industrial and agricultural waste waters, health risks, prevention.

5)      Waste – hygienic problematics, characteristics, disposal possibilities and their health  risks and ecological impacts.

6)      Health care waste - specificity, handling, health risks and prevention.

7)      Environmental pollution – toxic metals - sources, pollution spreading, food chains contamination, health risks for the population - examples.

8)      Endocrine disruptors – sources and spreading of pollution, food chains contamination, health risks from a population perspective - examples.

9)      Health risk assessment of environmental factors – methodology - basic steps, human exposure estimation, risk communication and perception.

10)    Human biomonitoring, and their significance and use in estimating the exposure of the general population to toxic substances from the environment - examples.

11)    UV radiation and its positive and negative effects on human health, prevention. Radon - sources, health effects, prevention.

12)    Hygienic requirements for medical facilities.

13)    Housing - hygienic requirements and health risks of the apartment environment.

14)    Air pollution - sources, main air pollutants and their health risks, air pollution monitoring system at national and local level, prevention possibilities.

15)    Indoor air pollution, physical, chemical and biological factors specific to this environment, possibilities of prevention.

16)    Environmental physical factors  - Noise, Lighting, Microclimate - sources, health effects, prevention.

17)    Environmental factors and specific risks for the children population.

 

OCCUPATIONAL AND TRAVEL HEALTH            

1) Occupational health services, content, and organization of services

2) Health damage from work, work-related diseases, occupational injuries

3) Assessment of medical fitness for work

4) Occupational diseases

5) Categorization of work, hazardous work, and evidence documentation

6) Dust, characteristics and measurement, exposure assessment

7) Measurement and assessment of working positions

8) Occupational carcinogens, chemical intoxications, biological exposure testing

9) Measurement and assessment of noise and vibrations

10) Primary prevention in occupational medicine

11) Biological agents, risk assessment, health protection

12) Secondary and tertiary prevention in occupational medicine

13) Risk analysis of work

14) Physical work overall and repetitive use injury

 

SPORT MEDICINE             

1)     Doping.

2)     Role and prescription of strength and dynamic strength training in primary and secondary prevention.

3)     Functional variables followed during exercise tests at laboratory (VO2, HR, BP, RQ, pulse oxygen). and their clinical significance. Effect of drug medication.

4)     Metabolic syndrome. Treatment options.

5)     Metabolism of principal nutrients during physical exercise. Nutrition in sports.

6)     Exercise tests: types, sources, protocols, variables monitored.

7)     Effect of regular physical activity (training) on physical fitness and metabolic indices. Effect of immobilization.  

8)     Obesity – pathogenesis, diagnosis, treatment.

9)     Physical activity in pathogenesis and treatment of cardiovascular diseases.

10)  Physical activity in pathogenesis and treatment of metabolic diseases (DM, hyperlipidaemias ...).

11)  Muscle dysbalance.

12)  Physical activity and diet in pathogenesis and treatment of obesity.

13)  Role of physical activity in the following conditions: osteoporosis, pulmonary diseases, ischemia of lower extremities, gravidity, aging).

14)  Effect of regular physical activity on body systems (cardiovascular system, skeletal muscle, metabolic indices, hormonal balance). Effect on mortality and morbidity.

15)  Principles of prescription of regular physical activity (PA) in primary and secondary prevention. Determination and expression of the recommended intensity of PA.

16)  Exercise testing – indication, contraindication, criteria of pathological test, criteria of test interruption.

17)  Clinical evaluation of obesity: types of obesity and significance.

             

NUTRITION          

1)        Nutritional guidelines for health promotion (Principles of healthy nutrition).

2)        Fats, proteins and carbohydrates in nutrition.

3)        Vitamins in nutrition – deficiency and overdose.

4)        Minerals and trace elements in nutrition – deficiency and overdose.

5)        Nutrition in newborns, toddlers and pre-school children.

6)        Nutritional aspects of pregnancy and lactation.

7)        Nutrition in elderly.

8)        Evaluation of nutritional status.

9)        Nutrition in prevention of cardiovascular diseases.

10)     Nutrition in prevention of diabetes mellitus.

11)     Nutrition in prevention of tumour diseases.

12)     Vegetarianism and other alternative diets – advantages and risks.

13)     Prevention of alimentary infectious diseases and intoxications.

14)     Nutritional toxicology – inorganic contaminants (toxic metals, nitrates and nitrites).

15)     Nutritional toxicology –organic contaminants (PCBs, PCDDs, PAHs, phthalates, mycotoxins).

16)     Starvation and malnutrition.

17)     Saprophytic microflora and microflora of digestive system.

Last update: Hrnčířová Daniela, Mgr., Ph.D. (27.09.2024)
Entry requirements -
  1. credit from subject Public Health and Medical law (I, II, III),
  2. credit from subject HEPM 1-5.
Last update: Hrnčířová Daniela, Mgr., Ph.D. (26.09.2022)
 
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