Medicine and Surgery

Activity type

Clinica delle specialità medico-chirurgiche

SSD

MED/10

Year

4th year

Semester

1st semester

CFU

1

Hours distribution

13 classroom hours

Lecturers

MARIANNA MARANGHI

Activity type

Clinica delle specialità medico-chirurgiche

SSD

MED/11

Year

4th year

Semester

1st semester

CFU

1

Hours distribution

13 classroom hours

Lecturers

PAOLO SEVERINO

Activity type

Clinica generale medica e chirurgica

SSD

MED/18

Year

4th year

Semester

1st semester

CFU

1

Hours distribution

13 classroom hours

Lecturers

ROBERTO GATTUSO

Activity type

Formazione clinica interdisciplinare e medicina basata sulle evidenze

SSD

MED/49

Year

4th year

Semester

2nd semester

CFU

1

Hours distribution

13 classroom hours

Lecturers

MAURIZIO MUSCARITOLI

Activity type

Clinica generale medica e chirurgica

SSD

MED/18

Year

4th year

Semester

2nd semester

CFU

1

Hours distribution

13 classroom hours

Lecturers

PAOLO BRUZZONE

Activity type

Inglese scientifico e abilità linguistiche, informatiche e relazionali, pedagogia medica, tecnologie avanzate e a distanza di informazione e comunicazione

SSD

L-LIN/12

Year

4th year

Semester

2nd semester

CFU

2

Hours distribution

25 classroom hours

Lecturers

SILVIA PICONESE

Activity type

Clinica generale medica e chirurgica

SSD

MED/09

Year

4th year

Semester

2nd semester

CFU

1

Hours distribution

13 classroom hours

Lecturers

ALESSIO MOLFINO

Learning outcomes:
• To understand and critically discuss medical research articles in English.
• To classify a publication based on its genre, goals, and characteristics.
• To transform a non-linear text (graphs, tables, figures) into a linear text and viceversa.
• To recognize, in a research article, the methodological elements used by the researchers (inclusion and exclusion criteria, sample choice and size, laboratory methods and data management methods).
• To interpret and critically evaluate the medical and scientific value of the data presented based on its statistical soundness.
• To perform researches on biomedical databanks in English (online and on printed journals).
• To communicate in English (oral or written) with the correct register for scientific communications with colleagues or at conferences.

At the end of the course, students will be able to apply theoretical knowledge to clinical practice in the diagnosis and treatment of metabolic, cardiovascular, surgical and internal diseases.

The knowledges acquired in Applied Pathology 3

Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE RESPIRATORY SYSTEM

Internal Medicine – Evidence-based practice in clinical care
1. Frontal lectures (clinical cases) to understand: the concept of different type of prevention; refresh pyramid of evidence-based medicine sources; types of clinical and experimental studies; basic concepts on how to analyze a cardiovascular RCT; discuss how to apply the evidenced based result of a RCT to a clinical case.
2. Students will be asked to read and analyze with the help of a grid:
- a prospective study (selected by the teacher) in order to understand when we could define a factor as prognostic for a certain disease and the clinical significance applied to a particular clinical case
- a cardiovascular RCT selected by the teacher in order to understand the methodology behind an RCT and how to critically analyze methods, results.



Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE CARDIOVASCULAR SYSTEM
Contents:
Through the discussion of clinical cases, we will discuss the diagnostic assessment and prognostic stratification of congestive heart failure, acute coronary syndrome and pulmonary embolism.



Module: APPLIED MEDICAL SCIENTIFIC METHODS I - GENERAL SURGERY
Contents:
Vascular clinical exam: priciples. Cerebrovascular ischemia. Peripheral obstructive disease of the lower limbs. Acute limbs ischemia. Renovascular hypertension. Venous insiufficiency.




Module: APPLIED MEDICAL SCIENTIFIC METHODS II - INTERNAL MEDICINE
Contents:
Introduction to Human Nutrition and disease malnutrition-related
Nutrition in Kidney Diseases and in Neoplastic Diseases
Clinical cases of malnutrition


Module: APPLIED MEDICAL SCIENTIFIC METHODS II - GENERAL SURGERY
Contents:
Abdominal Wall Surgery
Classification of abdominal hernias
Incisional hernia
Anterior and posterior component separation
Meshes and abdominal wall surgery
Inguinal and crural hernias
Umbilical hernia
Gastrointestinal (G.I.) bleeding



Module: APPLIED MEDICAL SCIENTIFIC METHODS II- SCIENTIFIC ENGLISH
Write, share, and argue
1. Scientific communication on social networks. Role of social networks in dissemination and communication. Tips and rules for using twitter. How to write a thread addressed to lay public or scholars.
2. Thesis writing. Best practice for thesis writing (structure of a thesis, how to make a good title, composing figures and legends, citations and bibliography). Tutorial with text processing tools in Word: how to use styles, how to make TOC and lists, how to add references, how to review and comment. Critically revise and correct pieces of text from past theses (style, meaning, structure, etc.). Compose a thesis title and table of contents, and assess these texts based on clarity, completeness, correctness.
3. Proposal writing. Mechanisms for funding science. Tips for writing a successful proposal. Read a call for proposal and understand key requirements. Creating and evaluating proposal drafts on a given topic.



Module: APPLIED MEDICAL SCIENTIFIC METHODS II - APPLIED DIETETIC SCIENCE
Contents:
Clinical case solution:
A case of sudden polydipsia and polyuria in a young adult
The determination of fasting and after oral glucose test glycaemia and of glycated haemoglobin for the diagnosis of normal glycemia, impaired fasting glucose, impaired glucose tolerance and diabetes mellitus
A girl with chylous serum and recurrent abdominal pain
A young man with albuminemia and severe hypercholesterolemia
Premature myocardial infarction in a patient with hypercholesterolemia and severe family history of early cardiovascular events
Hyperuricemia with or without deposition of urate: an emerging risk factor for cardiovascular and metabolic diseases
Apple-shaped or pear-shaped? Which obesity is worse?
Asymptomatic AST/ALT elevation in a 50 years old man
Non-alcoholic fatty liver disease: from liver disease to cardiovascular and metabolic disease

Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE RESPIRATORY SYSTEM
Suggested textbooks:
Goldman’s Cecil medicine 24th edition
Harrison Principles of Internal Medicine 20th edition
Clinical case https://accessmedicine.mhmedical.com/


Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE CARDIOVASCULAR SYSTEM
Suggested textbooks:
Braunwald’s Heart Diseases
Harrison Principles of Internal Medicine 20th edition


Module: APPLIED MEDICAL SCIENTIFIC METHODS I - GENERAL SURGERY
Suggested textbooks:
Goldman’s Cecil medicine 24th edition
Harrison Principles of Internal Medicine 18 edition


Module: APPLIED MEDICAL SCIENTIFIC METHODS II - INTERNAL MEDICINE
Suggested textbooks:
Goldman’s Cecil medicine 24th edition
Harrison Principles of Internal Medicine 18 edition
M. Elia, et al. Nutrizione Clinica Second Edition. Casa Editrice Ambrosiana.



Module: APPLIED MEDICAL SCIENTIFIC METHODS II - GENERAL SURGERY
Suggested textbooks:
Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. Elsevier, 2021



Module: APPLIED MEDICAL SCIENTIFIC METHODS II- SCIENTIFIC ENGLISH
Suggested textbooks:
Universal Principled Review: A Community-Driven Method to Improve Peer Review. Cell 179, December 12, 2019
How to Write Your First Research Paper. Yale J Biol Med. 2011 Sep; 84(3): 181–190.
A better letter. Nature volume 538, page131(2016)
Other papers on this topic will be selected during the course.



Module: APPLIED MEDICAL SCIENTIFIC METHODS II - APPLIED DIETETIC SCIENCE
Suggested textbooks:
Goldman’s Cecil medicine 24th edition
Harrison Principles of Internal Medicine 18 edition

Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE RESPIRATORY SYSTEM
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE CARDIOVASCULAR SYSTEM
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS I - GENERAL SURGERY
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS II - INTERNAL MEDICINE
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS II - GENERAL SURGERY
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS II- SCIENTIFIC ENGLISH
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS II - APPLIED DIETETIC SCIENCE
N/D

Lectures in class with projection and illustration of powerpoint slides. The lessons are based on maximum interactivity, stimulating the student's curiosity and participation

Attendance is mandatory. Attendance is detected by signing a special dated form, specific for the lesson of the day

The oral exam will be aimed at verifying the student's degree of learning in relation to the topics covered in the program and to evaluate the student's ability to contextualize the knowledge acquired within clinical practice

Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE RESPIRATORY SYSTEM
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE CARDIOVASCULAR SYSTEM
Patient with chest pain: what do you do as first?


Module: APPLIED MEDICAL SCIENTIFIC METHODS I - GENERAL SURGERY
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS II - INTERNAL MEDICINE
Malnutrition due to disease
High gastrointestinal tract hemorrhages
Lower gastrointestinal tract hemorrhages
Metabolic syndrome
obesity
Anorexias





Module: APPLIED MEDICAL SCIENTIFIC METHODS II - GENERAL SURGERY
No examples are provided.


Module: APPLIED MEDICAL SCIENTIFIC METHODS II- SCIENTIFIC ENGLISH
N/D
Module: APPLIED MEDICAL SCIENTIFIC METHODS II - APPLIED DIETETIC SCIENCE
Oral examination on clinical cases and on programs

Module: APPLIED MEDICAL SCIENTIFIC METHODS I - DISEASES OF THE RESPIRATORY SYSTEM

• Introduction
  to the course: Course Goals, Topics, Exam modalities, Different type of Prevention
  
  
  
  
  
  
   


• experimental studies: differencesOngoing Exam


• Randomized Clinical Trials: examples


• How to analyze a RCT: examples


• EBM: what is and why is important


• How to apply EBM to a clinical case: from theory to practice


• shared clinical case to discuss with other Course Teachers in order to apply EBM


• shared clinical case to discuss with other Course Teachers in order to apply EBM


• Ongoing Exam II

• Through the discussion of interactive clinical cases, the approach for the diagnostic classification and prognostic stratification of relevant cardiac syndromes or pathologies such as heart failure, acute and chronic coronary syndrome, valvular heart disease, pulmonary embolism will be shown.
  • Books: Harrison

• Clinical cases vascular insufficiency


• Clinical cases VTE


• Peripheral vascular disease


• nephrovascular disease

• THE DOMAINS OF HUMAN NUTRITION
  • Books: TEACHER'S SLIDES AND TEXTBOOK


• TERMINOLOGY OF NUTRITION DISORDERS
  • Books: TEACHER'S SLIDES AND TEXTBOOK


• DISEASE-RELATED MALNUTRITION (DRM)
  • Books: TEACHER'S SLIDES AND TEXTBOOK


• TYPES OF DRM
  • Books: TEACHER'S SLIDES AND TEXTBOOK


• CACHEXIA, SARCOPENIA, MALNUTRITION
  • Books: TEACHER'S SLIDES AND TEXTBOOK


• RECOGNIZING MALNUTRITION AS A SILENT KILLER
  • Books: TEACHER'S SLIDES AND TEXTBOOK


• NITROGEN BALANCE
  • Books: TEACHER'S SLIDES AND TEXTBOOK


• THE GLIM FRAMEWORK
  • Books: TEACHER'S SLIDES AND TEXTBOOK

• Formal lessons on topics of General Surgery 
  • Books: SCHWARTZ'S Principles of Surgery (2 volumes) 11th edition

• Lectures
  • Books: see sections for the books