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Course, academic year 2023/2024
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Hygiene, Epidemiology and Preventive Medicine C. - C4VL001
Title: Hygiena, epidemiologie a preventivní lékařství C.
Guaranteed by: Katedra preventivního lékařství (12-KPL)
Faculty: Third Faculty of Medicine
Actual: from 2021 to 2023
Semester: winter
Points: 2
E-Credits: 2
Examination process: winter s.:
summer s.:
Hours per week, examination: winter s.:14/56, C [HS]
summer s.:14/56, C [HS]
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
Teaching methods: full-time
Teaching methods: full-time
Level:  
Guarantor: doc. MUDr. Pavel Dlouhý, Ph.D.
Examination dates   Schedule   
Annotation -
Last update: Mgr. Dana Hrnčířová, Ph.D. (04.12.2019)
This subject is taught in the fourth year of the Master’s programme of General Medicine in connection with the subject Hygiene, Epidemiology and Preventive Medicine III and topics from diabetology, metabolism and pediatrics. Students will be introduced into nutrition, sport medicine, child and youth health and occupational medicine.
Aim of the course -
Last update: Mgr. Dana Hrnčířová, Ph.D. (03.12.2019)

Students will be introduced into the crucial topics in the field of nutrition (nutrition intake requirements, nutrition of different population groups, nutrition in prevention of mass illnesses, nutrition toxicology, and prevention of alimentary infections), protection and support of child and adolescent health and basics of sport and occupational medicine. In practical training students will be taught how to assess and evaluate nutritional status, prescribe appropriate physical activity in primary and secondary prevention of illnesses, perform stress tests and evaluate health risks connected with preschool and school facilities and with school stress.

Course completion requirements -
Last update: Mgr. Dana Hrnčířová, Ph.D. (21.09.2018)

This subject is finished as a credit. To receive this credit student has to work out a final credit test and be present at the classes. The attendace of at least 80 %  of practices (P)/ seminars with controlled attendance (SCA) listed in attendance sheet is required. Presence at P/SCA has to be confirmed by a signature of a lecturer in  the attendance sheet. In the case that student is absent at more than 80 % of P/SCA, he/she can document his/her attendance at a corresponding number of other seminars. the head of the department. Another way of attendance substitution is under the competence the head of the Department of Hygiene, Epidemiology and Preventive Medicine (for specific/exceptional reasons only), request for the substitution no later before summer holiday begins at the secretariat of the department (Ruska 87, 6th floor, door 620). There are two possible repetitions of the credit test.

Literature -
Last update: Mgr. Dana Hrnčířová, Ph.D. (04.12.2019)

Basic literature:

KASPER, Heinrich and Walter BURGHARDT. Ernährungsmedizin und Diätetik: Unter Mitarbeit von Walter Burghardt. Elsevier 2014.

Lee Robert D. and Niegman David C. Nutritional assessment. Sixth edition. New York, N.Y.: McGraw-Hill Education, 2013.

Velíšek Jan. The Chemistry of Food. John Wiley & Sons 2013.

US Dep. of Health and Human Services and U.S. Dep. of Agriculture: Dietary Guidelines for Americans, Washington, 2010

Gibbon R.S.: Principles of Nutritional Assessment. Oxford University Press, 2005

WHO: Preventing Child Maltreatment. WHO 2006

 

Teaching methods -
Last update: Mgr. Dana Hrnčířová, Ph.D. (29.09.2012)

Lectures, seminars, practical training.

Requirements to the exam -
Last update: Mgr. Dana Hrnčířová, Ph.D. (21.09.2018)

This subject is finished as a credit. To receive this credit student has to work out a final credit test and be present at the classes. The attendace of at least 80 %  of practices (P)/ seminars with controlled attendance (SCA) listed in attendance sheet is required. Presence at P/SCA has to be confirmed by a signature of a lecturer in  the attendance sheet. In the case that student is absent at more than 80 % of P/SCA, he/she can document his/her attendance at a corresponding number of other seminars. the head of the department. Another way of attendance substitution is under the competence the head of the Department of Hygiene, Epidemiology and Preventive Medicine (for specific/exceptional reasons only), request for the substitution no later before summer holiday begins at the secretariat of the department (Ruska 87, 6th floor, door 620). There are two possible repetitions of the credit test.

Syllabus -
Last update: Mgr. Dana Hrnčířová, Ph.D. (29.09.2012)

Elemental requirements for the intake of nutrients. Principles of healthy nutrition.

Proteins, lipids, carbohydrates, mineral elements and vitamins in nutrition. Characteristics and division, needs, sources, excess and deficiency risks. Principles of healthy nutrition, nutritional recommendations. Fluid intake.

 

Alimentary infections and intoxications and their prevention

Alimentary infections and intoxications of microbial origin (salmonellosis, shigellosis, campylobacteriosis and other bacterial alimentary infections - epidemiology, prevention; parasitic infections; viral infections; transmissible spongiform encephalopathy; alimentary intoxications).

 

Nutritional toxicology I

Saprophytic microflora. Microflora of digestive system.

 

Nutritional toxicology II

Toxic (contaminating) substances in food. Health risks, prevention. Biotransformation and interaction of toxic substances in organism. Health risks arising from substances generated during production, storage or food preparation of food stuff, prevention. Mushrooms intoxications.

 

Nutrition of selected population groups

Nutrition of pregnant and breast-feeding women. Nutrition of seniors, changes of nutritional status in the elderly.

 

Alternative nutrition

Characteristics of main alternative types of nutrition, their possible health advances and risks. 

 

Legislation in nutritional hygiene

Basic regulations, state health supervision in catering services, practical examples.

 

Assessment and Evaluation of nutritional status, evaluation of nutritional consumption

Anthropometric, biochemical, haematological and other methods of nutritional status assessment, interpretation of results, methods of nutritional consumption evaluation.

 

Practice of exercise prescription in primary and secondary prevention

Prescription in primary prevention. Principles of approaches to selection of physical activity, basic parameters in prescription - intensity, duration, frequency. Motivation,  adherence.

Modern concept of physical activity for health. Prescription of physical activity in secondary prevention of selected diseases, unusualness in prescription, contraindication to perform particular sport activities.

 

Adaptation of organism to training

Morbidity and mortality and the influence of regular physical activity. Effects on cardiovascular system, skeletal muscle, lipid and carbohydrate metabolism, anthropometric parameters.

 

Physiology of response to acute bout of exercise  

Energetic sources for physical work. Aerobic and anaerobic energy expenditure. Oxygen consumption during a physical work. Maximal oxygen requirements and anaerobic threshold. Cardiovascular, respiratory and metabolic respond on physical work.

 

Stress tests    

Indication, contraindication. Types of loads. Laboratory tests, terrain tests. Dynamic stress tests: sources of load, load units. Laboratory equipment, safety measures. Evaluation of stress test. Practical performance of stress test.

 

Patient’s examination in primary and secondary prevention focused on follow-up prescription of physical activity

 

Muscle dysbalance

Muscle dysbalance connected with vertebrogenic difficulties. Examination of individual muscle groups. Therapeutic measures, methods of stretching.

 

Doping

Problems of doping in sport. Organization of antidoping control. List of doping substances. Supportive substances in sport.

 

Nutrition in sports and physical strain

Nutritional metabolisms during physical exercise. Recommended food composition. Nutrition before, during and after physical exercise.

 

Basic physical, mental, social and psychic needs of children and adolescents 

Maslow hierarchy of human needs, deprivation and its symptoms, long-term consequences of psychic and emotional deprivation in children and adolescents.

 

Developmental characteristics in preschool and school children

Common characteristics of development; physical, functional, psychomotorical, psychosocial development, characteristics of preschool, school and adolescent maturing.

 

Assessment of growth and development of children and adolescents

Factors influencing child growth, anthropological research in the Czech Republic, methods of growth evaluation, percentile charts and how to work with them, evaluation of growth in suckling age, evaluation of low weight, overweight and obesity, secular trend.

 

Promotion, protection and support of breastfeeding

Present WHO recommendation, advances of breastfeeding, contraindications of breastfeeding. Support, implementation and protection of breastfeeding in the health system. Possible health risks arising from nutrition, prevention.

 

Prevention of nutrition related problems in children and adolescents

Mental anorexia and bulimia in children and adolescents (causes, prevention and therapy, case study). Obesity in children and adolescents. 

 

Health risks related to preschool facilities

Prevalence of acute respiratory illness, accidents and intoxications, defective body posture, psychic overburden, biological, psychic and social part of school maturity, individual evaluation of school maturity of preschool child, social understanding of preschool children; types and forms of preschool facilities.

 

Health risks related to school facilities

Sources of inappropriate burden, reaction of child to it; learning disorders, behaviour disorders; psychic disorders connected with stress, sensual defects; causes and prevention of defective body postures.

 

Health promotion programmes at school

 

Types and forms of injuries and violence in children and adolescents and its prevention

 

Suicidal and self-destructing behaviour in children and adolescents

Epidemiology of data in the Czech Republicand in the world, risk factors, description of types and forms, support of psychic health of children and adolescents, analysis of selected case studies.

 

Social pathological behaviour in children and adolescents (aggressive behaviour)

Inappropriate aggression, bullying, delinquency, criminality, street gangs of children and adolescents, sources and causes of socially-pathological aggression, prevention, case studies.

 

Psychoactive substances and new technologies abuse in children and adolescents

Entry requirements -
Last update: Mgr. Dana Hrnčířová, Ph.D. (01.10.2012)

Knowledge of subjects: Hygiene, epidemiology and preventive medicine II and III.

Course completion requirements -
Last update: Mgr. Dana Hrnčířová, Ph.D. (21.09.2018)

This subject is finished as a credit. To receive this credit student has to work out a final credit test and be present at the classes. The attendace of at least 80 %  of practices (P)/ seminars with controlled attendance (SCA) listed in attendance sheet is required. Presence at P/SCA has to be confirmed by a signature of a lecturer in  the attendance sheet. In the case that student is absent at more than 80 % of P/SCA, he/she can document his/her attendance at a corresponding number of other seminars. the head of the department. Another way of attendance substitution is under the competence the head of the Department of Hygiene, Epidemiology and Preventive Medicine (for specific/exceptional reasons only), request for the substitution no later before summer holiday begins at the secretariat of the department (Ruska 87, 6th floor, door 620). There are two possible repetitions of the credit test.

 
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