Veřejné zdravotnictví a hygiena - EA0909019

• Anglický název: Public Health Medicine
• Zajišťuje: Ústav sociálního a posudkového lékařství (14-140)
• Fakulta: Lékařská fakulta v Plzni
• Platnost: od 2017 do 2017
• Semestr: zimní
• Body: 2
• E-Kredity: 2
• Způsob provedení zkoušky: zimní s.:
• Rozsah, examinace: zimní s.:1/1, Z+Zk [HT]
• Počet míst: neomezen / neomezen (neurčen)
• Minimální obsazenost: neomezen
• 4EU+: ne
• Virtuální mobilita / počet míst pro virtuální mobilitu: ne
• Stav předmětu: vyučován
• Jazyk výuky: angličtina
• Způsob výuky: prezenční
• Způsob výuky: prezenční
• Poznámka: odhlásit z termínu zkoušky při nesplněné rekvizitě
• Garant: prof. MUDr. Dana Müllerová, Ph.D.; doc. MUDr. Libuše Čeledová, Ph.D.
• Vyučující: MUDr. Jaroslav Kotrba; prof. MUDr. Dana Müllerová, Ph.D.; MUDr. Pavel Sedláček, Ph.D.; MUDr. Květuše Zikmundová, CSc.; doc. Ing. Zdenek Zloch, CSc.
• Je korekvizitou pro: EA0910361, EA0910477, EA0910485, EA0910481, EA0910483, EA0910479

Anotace

Poslední úprava: Vanda Stříbrná (21.06.2022)

Public Health:
The student acquires the theoretical knowledge in the field of public health, hygiene and preventive medicine, the student knows the current state of health of the population of the Czech Republic, ways of its evaluation, its development trends including the international comparison. He/she is able to evaluate the risk factors of the environment and work place, including lifestyle factors, on the health status of the population and on the individual level using the risk analysis method. He/she is able to design community health programs, is able to evaluate the individual risks of non-communicable diseases, especially cardiovascular and cancer, to carry out preventive examinations with a proposal of "self tailored" recommendations in the field of primary and secondary prevention with the use of principles of personalized medicine. Student has skills and competences in the field of health promotion in the area of nutrition, promotion of children and adolescents health, municipal hygiene, and hygiene of work.

Social and Assessment Medicine :
The main aim of study subject is to inform medical students about system and organization of health care, provision of health care, development of care for health and social determinants of health, understanding health and disease with their determinants. Students will obtain information about health care system and social services, Medical Assessment Service, cooperation primary care, ambulatory care and hospital care. Students will have basic information about medical law, social gerontology and history of medicine.

Literatura

Poslední úprava: Vanda Stříbrná (21.06.2022)

  

Public Healths

Obligatory literature:

Bencko, V. and col.: Hygiene and epidemiology, Selected Chapters, Charles University, 2004

Additional literature:

Bencko, V. and col.: Hygiene and epidemiology, Selected Chapters, Prague, 2007

Lener, J. and col.: General and environmental hygiene, Prague  1994

Lener, J. and col.: Medical hygiene, Prague 1997

 

http://www.who.int/en/

http://www.who.int/topics/child_development/en/

http://www.who.int/topics/child_abuse/en/

  

Social and Assessment Medicine

  Literature:  in English language :

 1.      Materials from seminars.

 2.      Health for All in 21^st century - WHO websites

 3.      Brett, J. Cassens : Preventive medicine and Public Health 1992, ISBN 0-683-06262-X

 4.      Howard, P., Bogle, J: Medical Law and Ethics. 2005, ISBN  1-4051-1868-7

 5.      Farmer, R. : Epidemiology and Public Health Medicine , 2004, ISBN 1-4051-0674-3

 6.      Knapp, R.G., , Miller, M. C. : Clinical Epidemiology and Biostatistics. 1992, ISBN  0-683-06206-9

 7.      E- learning materials

 8.      Websides

 

Požadavky ke zkoušce

Poslední úprava: Vanda Stříbrná (21.06.2022)

Public Health: Education is finished  with credit.  Processing seminar work and  90% of presents in education is condition for credit.

Social Medicine: Education is finished with credit (80% presentations). Exam is from 2 subjects – Social Medicine together with Hygiene and Preventive Medicine

 

Sylabus

Poslední úprava: Vanda Stříbrná (21.06.2022)

Public Health:

S y l l a b u s   o f   L e c t u r e s 
f r o m   t h e   s u b j e c t   “P u b l i c   H e a l t h   M e d i c i n e”

for the students of the 5th year (English speaking), branch Dentistry,
Faculty of Medicine in Pilsen, Charles University in Prague
1. An analysis of the status of public health. Recent and current issues in public health. Scope, functions and responsibilities of public health. Primary prevention specific and non-specific as the basic attitude towards the human health; Principles and methods for studying of environmental, working and living conditions and their impact on the human being; Health protection and health promotion, health risks and health hazards assessments. The main environmental problems of Czech Republic and in Europe at present their roots and their consequences in the health situation of the population. The chemical contamination of the air, soils, waters, foods, the beneficial projects for environmental problems resolution.
2. Health and Diet:  Food supply. Food safety. Nutrition. Nutritional composition of diet. Definition of Functional food. Dietary recommendations, their definition and application: General guidelines, Food based dietary guidelines during life span. Energy and nutrients standards and recommendations for healthy person and patients.
3. Food safety and quality. Health food safety, EU legislation, risk analysis, supervisory authorities, rapid alert system for food and feed. Xenobiotics:  Additives. Contaminants.  The difference between food quality, food safety, and nutritional needs  from public health perspectives.
4. Obesity pandemic, epidemiology, determinants, heredity, definition and classification according WHO, its comorbidities, the possibilities of prevention and treatment of obesity. Community programmes for obesity prevention. Call for action on obesity. Obesity management. Promotion through nutrition of children` and mothers` health. The other chronic non - communicable diseases: especially cardiovascular diseases and cancer; their prevention at the individual and community levels.
5. Prevention of health disorders and healthy development of children and youth. Assessment of child growth and development - basic somatometric characteristics, use and interpretation of growth charts for children. Injury prevention. Prevention of child maltreatment and other types of violence against children. Healthy school environment – health risks and health promotion in schools, inadequate school stress. Risk behaviour in adolescence.
6. Non-ionizing and ionizing radiation. Principles of protection of health care professionals from irradiation. UV radiation - consequences for health. Hygienic management of waste and waste water. Sustainable Development - worldwide principles to achieve a healthy environment and responsible, healthy society.

S y l l a b u s   o f   E x e r c i s e s 
f r o m   t h e   s u b j e c t   “P u b l i c   H e a l t h   M e d i c i n e”

for the students of the 5th year (English speaking), branch Dentistry,
Faculty of Medicine in Pilsen, Charles University in Prague

7. Principles of chemical, biological and microbiological analysis of drinking water sample, public health demands on drinking water quality including the hygienic limits. Methods of drinking water disinfection.  Hygienic management of drinking water supplying including alternative modes. Principles of building and maintenance of individual sources of drinking and service water.
In-door environment: lighting, noise, hydro thermic complex; chemical pollution use of measurements and risk analyses, the hygienic limits.
8. Planning of Community health projects (identifying priorities, setting aims and objectives, defining target population, identifying resources, strategy, personal responsibility, time schedule, budget and strategy of evaluation).
9. Nutritional monitoring I: Dietary habits and food pattern assessment: Food balance sheets. Food frequency questionnaire. Dietary recall and records.  Food basket studies. Household food budget surveys. Their validity. Individual diet history. Alternative diets. Negative outcomes of macrobiotic or vegan diet. 
10. Nutritional monitoring II:  Examination if nutritional state: somatometric examination (body weight, height, body fatness assessment using BIA, caliper skinfold thickness measurement, waist circumference), clinical examination of markers of nutrient deficiency, blood pressure.) and biochemical examination using Reflotron: (lipids and glucose plasma level measurements..). Self-tailored recommendation on cardiovascular disease prevention based on individual risk analysis.
11. Differentiation of energy needs. Resting energy expenditure. Thermic effect of food. Thermic effect of exercise, general signs of marasmus. Proteins and amino acids, their dietary sources, recommended allowances for protein, general signs of deficiency. Lipids in the diet, their dietary sources, usual and recommended intakes, their pathophysiological significance for health Carbohydrates in the diet, their dietary sources, recommended allowances. Dietary fiber, its function, sources, daily recommended intake and preventive effects. Primary prevention of tooth decay. Nutritional strategy and dental hygiene.  Dietary recommendations.
12. Food safety and health prevention. Screening method of salt content assessment in the diet. Hand hygiene, standards requirements, determination of the total number of microorganisms by the fingerprint method on the Petri dish and evaluation of the correct procedure for hand hygiene.
13. Epidemiology and prevention of harmful use of tobacco. The legislative framework and possible solutions to this global epidemic. The health impacts of smoking. .
14. Mental health and prevention of mental and psychosomatic disorders – basic principles and techniques: importance of life-style, interpersonal ties, work environment, emotional self-regulation, coping strategies and assertiveness, relaxation techniques. Psychosocial stress – key concepts, influence on human organism. Psychosomatics – theoretical basis, psychosomatic disorders, alexithymia. Personality typologies in relation to morbidity. Burn-out syndrome – risk factors, symptoms and diagnostics.

 

Social  and Assessment Medicine

Sylabus:   7  lectures  and  7 seminars – 14 hours

1.     Introduction to the study subject.  Social medicine and public health.

2.     Theory of health and disease. Determinants of health and  possibilities how to affect

        them.

3.     Prevention and regular check-ups.  Screening.

4.     Health education, promotion and protection. Health literacy.

5.     World Health Organization. Program Health 21. Health 2020.

6.     Demography and its meaning for  health care. Demographic indicators.

7.     Health status of population, methods of study, aims and meaning of  its  study.

8.     Heath status indicators. Mortality, morbidity , Life Expectancy.

9.      Institute of Health Information and Statistics. Basic statistics.

10.    Principles of modern health care. System approach  for health  and  medical care.

11.     Systems of health care in the world. 

12.    Organization of health care.  Therapeutic preventive care (methods, parts, rules,   

         provision).  Ambulatory  and hospital care. Primary care.

13.   International Classification of Disease and Related Problems.

14    Health care professionals (duties, status,  education).   Ethical  and  legal aspects of

        physicians’ and health   care professionals’´ activity.