Nursing REPLICA O-ASL FROSINONE UMBERTO I

ENKE BALDINI
SALVATORE ULISSE
GIOVANNI SEBASTIANO ALEMA'
STEFANO PONTONE
ALESSANDRO FERRETTI
ANDREA FUSCHI

The student during the three years acquires specialistic knowledge of choosing among those made available by the course teachers.

The Elective Educational Activities (ADE) planned for the 2025/2026 Academic Year include six in-depth courses with the aim of increasing the student's knowledge on topics relating to different areas of their professional activity.
Knowledge and understanding
At the end of the seminar activity the student will achieve knowledge and understanding:
• on thyroid diseases and pathologies associated with dietary iodine deficiency;
• on infertility and assisted procreation methods;
• on antibacterial and antineoplastic chemotherapy;
• on nursing care for patients undergoing a bariatric procedure;
• on the role of the nurse in pediatric infectious diseases;
• on the instruments used in minimally invasive urological surgery, with a focus on laparoscopic and robotic-assisted techniques.

Ability to apply knowledge and understanding
The knowledge acquired will allow the student an autonomous approach in the various areas of her/his future professional activity. Applying the knowledge acquired on diseases of the thyroid gland and pathologies associated with dietary iodine deficiency, on infertility and assisted procreation methods, on antibacterial and antineoplastic chemotherapy, on nursing care of the patient undergoing a bariatric procedure and on the role of the nurse in pediatric infectious diseases they will be able to increase their awareness of the various topics addressed and collaborate with their colleagues and medical staff in an effective manner. The student will also be able to use the knowledge acquired for the independent study of specific aspects that they will encounter in the context of their professional activity.
Critical and judgment skills
The various seminar activities will allow the student to: i) be able to carry out evaluations relating to the topics covered; ii) understand and explain the importance of one's role in the treatment of the various pathologies faced; iii) have autonomy of judgment in the evaluation in the work areas described.
Communication skills
At the end of the Course the student will have acquired the scientific terminology, which will allow him to communicate information, ideas, problems and solutions in the correct way with his colleagues and others (i.e. patients), in relation to the various pathologies faced.

It is important that the student has knowledge of biology, genetics, histology, anatomy and physiology of the main organs and systems of the human body.

The Elective Educational Activities (ADE) include six seminars whose programs are described below.
Thyroid pathologies (Teacher Prof. Salvatore Ulisse, 2 CFU-24 hours)
Overview of the pathophysiology of the thyroid gland and regulation of the hypothalamus-hypophysis-thyroid axis. Pathogenesis, diagnosis and therapy of hypothyroidism. Iodine deficiency disorders. Pathogenesis, diagnosis and therapy of hyperthyroidism. Risk factors associated with the onset of thyroid neoplasms (ionizing radiation, familiarity, iodine intake, etc.). Overview of the molecular pathogenesis of thyroid tumors. Main biochemical, genetic and instrumental diagnostic pathways used in the diagnosis of thyroid carcinomas. Staging systems and prognosis of patients affected by thyroid neoplasms.

Infertility and assisted reproduction methods (Teacher Prof. Enke Baldini, 1 CFU-12 hours)
Basics of the hypothalamus-pituitary-gonadal axis. Reminders of the physiology of the male and female gonads. Infertility and sterility: definitions and epidemiology. Causes of male infertility. Causes of female infertility. Causes common to both sexes. PMA techniques. Artificial insemination. IVF. GIFT. Additional techniques (ICSI, PICSI, IMSI, pre-implantation diagnosis, fertility preservation). Sperm collection and preparation. Main diagnostic tests performed on sperm. Notes on PMA legislation.

The role of the nurse in the main pediatric infectious diseases (Teacher Prof. Alessandro Ferretti, 1 CFU – 12 hours)
The Elective Teaching Activity focuses on the crucial role of nurses in managing the main infectious diseases in pediatric age. During the course, students will explore diseases such as measles, chickenpox and meningitis in depth, understanding the modes of transmission, main symptoms and preventive strategies. Attention will be paid to isolation techniques, symptom management and the importance of vaccination. Through case studies and simulations, students will learn to develop specific care plans, improving their skills in observation and emotional support of young patients and their families. The nurse, in this context, emerges as a key figure in the prevention of complications and in the promotion of pediatric public health.

Nursing care for bariatric patients (Teacher Prof. Stefano Pontone, 1 CFU-12 hours)
The aim of the Elective Teaching Activity is to address issues relating to obesity, clarifying epidemiology, etiology and treatment methods, with particular attention to nursing care in the three phases, pre-, intra- and post-operative. The topics relating to comorbidities and pre-operative weight management within the department and the patient's preparation for treatment will be explored in depth. Minimally invasive treatments for obesity and the role of the nurse in the management and control of the patient during the various therapeutic pathways will also be considered.
Chemotherapy: antibacterial and antineoplastic (Teacher Prof. Sebastiano Alemà, 1 CFU-12 hours)
Antibacterial chemotherapy
General information on the classification of bacteria. General information on the different types of antibacterial therapy: sensitivity testing. Spectrum of activity, bactericidal/bacteriostatic effect. General information on the toxicity of antibacterial drugs: superinfections and hypersensitivity reactions. Bacterial resistance. The various types of resistance, the mechanisms and principles to minimize it. Classes of antibiotics: mechanisms of action, main indications and particular toxicities. Beta-lactams, protein synthesis inhibitors, sulphonamides and quinolones.
Antineoplastic chemotherapy
General information on oncology: epidemiology, etiology, classification of neoplasms. Principles of anti-neoplastic therapy: cell cycle, polychemotherapy. Mechanisms of action of the various classes of antineoplastic drugs: Alkylating agents, antibiotics, antimetabolites, topoisomerase inhibitors, antimitotics, endocrine therapy, biological therapy and targeted therapies. Generic toxicities of antiblastic drugs. Myelosuppression, emesis and organ toxicity. Ancillary supportive therapies, routes of administration and patient care. Antineoplastic drug resistance: mechanisms of action and strategies to minimize it.

Surgical instrumentation in laparoscopic, robotic, and endoscopic procedures of urological interest (Prof. Andrea Fuschi, 1 CFU 12 hours)
The course aims to provide a theoretical overview of the instruments used in minimally invasive urological surgery, with a focus on laparoscopic and robotic-assisted techniques. The main equipment and devices used will be analyzed, including scopes, trocars, energy instruments, and suturing systems. The course is intended for nurses interested in advanced urological surgery. The goal is to ensure up-to-date training on the most advanced techniques currently available in urological surgery, knowledge necessary to optimize the effectiveness and precision of procedures, reducing operating times and complications.

ADE Prof. Ulisse - F. Monaco: “Endocrinology for Degree Courses in the Health Professions. Società Editrice Universo, 1st Edition 2008. Students will also be provided with slides and other in-depth material.

ADE Prof. Baldini - L. Gandini, A. Lenzi: "Biotechnologies of human reproduction", Carocci Faber, Edition: 2013. Series: The Manuals. Students will also be provided with slides and other in-depth material.

ADE Prof. Ferretti - Nelson's Paediatrics, 2 volumes. by Robert M. Kliegman, Joseph W. St Geme III, et al., 2023. Students will also be provided with all the slides necessary for the study/in-depth study of the topics.

ADE Prof. Pontone - Students will be provided with all the slides necessary for the study/in-depth study of the topics covered.

ADE Prof. Alemà - Rang-Dale, Pharmacology Chapters: Anti-tumor drugs, Basic Principles of Chemotherapy, Antibacterial agents.

ADE Prof. Fuschi - ADE Prof. Fuschi - Francesco Porpiglia, Urology, Edizione Minerva Medica, 2015).

Lectures with the aid of "PowerPoint" presentations that will be made available to students.

To be able to support the suitability for a specific course it is necessary to have documented the presence in the classroom of at least 67% of the hours corresponding to the credits assigned to the integrated course. The attendance will be measured by roll call at the beginning of the lesson.

To pass an ADE the student need to obtain a qualification. The student must demonstrate to have acquired sufficient knowledge of the topics covered in class, and to be able to expose them in a clear way with language property.

Describe the health consequences of dietary iodine deficiency.

List the main causes of infertility common to both sexes.

Describe the main infectious diseases in pediatric age.

Describe the etiology and main methods of treatment of obesity.

Describe the main types of antibacterial therapy.

What is needed to perform a video-laparoscopic/robotic-assisted procedure?

• For seminar planning, please refer to the class calendar.