HYGIENE
cod. 1002598

Academic year 2023/24
5° year of course - First semester
Professor responsible for the course unit
Cesira Isabella Maria PASQUARELLA
integrated course unit
12 credits
hub: PARMA
course unit
in ITALIAN

Learning objectives

With reference to the specific subjects: knowledge and understanding;
applying knowledge and understanding; making judgements;
communication skills; learning skills.

Prerequisites

None

Course unit content

The Course "IGIENE, SANITA’ PUBBLICA E POLITICHE DELLA SALUTE" consists of 6 modulesi: "Igiene generale e applicata", "Igiene generale e applicata (interdisciplinare)", "Epidemiologia e organizzazione sanitaria", Economia aziendale", "Il Servizio Sanitario Nazionale, la medicina di famiglia, l'ordine professionale", "Etica e Bioetica".

Full programme

EPIDEMIOLOGY
Definition of epidemiology and the importance of the denominator. Sources of epidemiological data.
Status and movement of populations
Average life, life expectancy at birth, old age index, infant mortality rate. The main epidemiological measures of frequency and risk: proportions and rates, prevalence and incidence (cumulative and person-time)
The secondary, spurious and causal association, the criteria of causality. Classification of observational epidemiological studies: case-report, analysis of current, cross-sectional, case-control, cohort statistics. Outline of randomized clinical trials.
Systematic reviews and meta-analysis.
HEALTH ORGANIZATION
Health systems and the organization of assistance in Italy. The articulations of the National Health Service
Health planning in Italy.
The national prevention plan 2020-2025.
International Health and Global Health.

HYGIENE AND APPLIED HYGIENE (INTERDISCIPLINARY)
Concepts of Hygiene, Public Health, Preventive Medicine, Health Policies. Concept of health and its evolution.
Levels of prevention: primary, secondary, tertiary, quaternary. Epidemiology and general prophylaxis of infectious diseases (part treated in the third year of the course): Methods of transmission of infectious diseases.
Direct prophylaxis and indirect prophylaxis; Direct prophylaxis (Notification, Diagnostic assessment, Isolation, Cleaning, Disinfection, Sterilization, Disinfestation, Active and passive immunoprophylaxis, Primary and secondary chemoprophylaxis).
Epidemiology and prevention of healthcare-related infections (HAIs). Epidemiology and prevention of antimicrobial resistance.
Hand hygiene.
Food hygiene: foodborne infections and food poisoning, the main agents responsible for food infections and poisoning and control strategies.
The HACCP system and its applications.
The determinants of health and disease.
Risk factors / protective factors related to lifes.

HEALTH ECONOMY
Introduction to Health economics and health management.

THE NATIONAL HEALTH SERVICE
The Eco-assisted visit: eco-topographic anatomy and advantages of ultrasound semeiotics
Basic medicine as told to medical students Part 1
The Eco-assisted visit: execution of the examination, indications and its objectives in thoraco-abdominal pathology.
The basic medicine told to the students of Medicine Part 2
Family medicine at the time of the Coronavirus and the role of the family doctor in the SSN.
Territorial medicine, PDTA and ADI. Group Medicine and Health Homes. Primary Care: the GP between past, present and future 1
Primary Care: the GP between past, present and future 2
Screening of the movie "Next Generation MMG" by SIMG (Italian Society of General Medicine and Primary Care) + The Parma model: Hospital- Territory Integration (UMM, SPOC on call specialist, anti-Covid Operations Center)
Home care, intermediate care and community hospital.

NATIONAL HEALTH SERVICE, FAMILY MEDICINE, PROFESSIONAL ORDER

The Eco-assisted visit: eco-topographic anatomy and advantages of ultrasound semeiotics
Basic medicine as told to medical students Part 1
The Eco-assisted visit: execution of the examination, indications and its objectives in thoraco-abdominal pathology.
The basic medicine told to the students of Medicine Part 2
Family medicine at the time of the Coronavirus and the role of the family doctor in the SSN.
Territorial medicine, PDTA and ADI. Group Medicine and Health Homes. Primary Care: the GP between past, present and future 1
Primary Care: the GP between past, present and future 2
Screening of the movie "Next Generation MMG" by SIMG (Italian Society of General Medicine and Primary Care) + The Parma model: Hospital- Territory Integration (UMM, SPOC on call specialist, anti-Covid Operations Center)
Home care, intermediate care and community hospital.

METICAL ETHICS AND BIOETHICS

- The ethical aspects of the profession
- clinical risk and ethical aspects in relations between doctors - communication in medicine
- aspects of the end of life and tragic choices in medicine

Bibliography

IGIENE, EPIDEMIOLOGIA, ORGANIZZAZIONE SANITARIA
Auxilia F, Pontello M, et al. Igiene, Medicina Preventiva e Salute globale. Padova: Piccin, 2021.
Barbuti S, Fara GM, Giammanco G, et al. Igiene, Medicina, Preventiva, Sanità Pubblica. Napoli: Edises Editore, 2022.
Signorelli C, et al. Igiene e Sanità Pubblica. Roma: Società Editrice Universo, 2021.
Signorelli C, Odone A. Elementi di metodologia epidemiologica. Roma: Società Editrice Universo, 2023.

Materiale didattico (diapositive delle lezioni) e altro materiale fornito dal docente attraverso la piattaforma Elly (https://elly2023.medicina.unipr.it/)





ECONOMIA AZIENDALE
Materiale didattico fornoto dal docente e disponibile sulla piattaforma Elly.

SSN, MEDICINA DI FAMIGLIA, ORDINE PROFESSIONALE
Harrison's Principles of Internal Medicine, XVIII ed. Mc. Graw Hill ed.
Goldman-Cecil Medicina Interna, XXV ed. Edra SPA editor

Teaching methods

The course will be conducted through traditional frontal lectures, with interactive teaching.
Lessons will be supported by visual aids, and these materials will be made available to students on the Elly platform
(https://elly2023.medicina.unipr.it/).

Assessment methods and criteria

The course includes a single final written exam.
The final evaluation will take place through a multiple-choice qu
conducted on ELLY platform. The test will last 45 minutes and will consist
of 31 multiple-choice questions. The test will cover all the topics covered
in all modules of the course.
One point is assigned to each correct answer, and the minimum score to
pass the test is 18. The test is evaluated on a scale of 0-31. A student
who achieves the maximum score (31) will receive honors.
The questions are designed to assess knowledge, the ability to apply
knowledge, judgment autonomy, and learning capacity.
Students with learning disabilities (DSA/BSE) must contact
University's Center for Accommodation and Inclusion (cai@unipr.it).

Other information

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2030 agenda goals for sustainable development

This teaching contributes to realising the UN objectives of the 2030 Agenda for Sustainable Development.