· Table of Contents Dean’s introduction...

© EDITURA MEDICALĂ UNIVERSITARĂ

“IULIU HAŢIEGANU” CLUJ-NAPOCA

ECTS STUDY GUIDE FACULTY OF MEDICINE

ISSN 2284-7456 ISSN-L 2284-7456

All rights of this edition are reserved to Editura Medicală Universitară “Iuliu Hațieganu” Publishing House. Printed in Romania. No part of this work can be reproduced under any form, by any means, mechanical or electronic, or stored in a data base without the prior written permission of the publisher.

Copyright © 2014 EDITURA MEDICALĂ UNIVERSITARĂ “IULIU HAŢIEGANU” CLUJ-NAPOCA

Editura Medicală Universitară “Iuliu Haţieganu” CLUJ-NAPOCA “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj - Napoca. 400012 Cluj-Napoca, 8 Victor Babeş Street, Tel. + 40-264-597256, Fax: +40-264-597257

Supervisors: Professor Anca Dana Buzoianu, MD, PhD Associate Prof. Șoimița Suciu, MD, PhD

Revisers: Adriana Galoș Daniela Popescu Ioana Stan

PRINTED IN ROMANIA

Table of Contents

Dean’s introduction ................................................................................. 5

A brief history of the faculty of medicine ............................................................ 6

Faculty structure .................................................................................................. 8

I. Academic leadership structure ..................................................................... 8

II. Educational offer ........................................................................................10

III. Medicine Faculty’s Departments .............................................................11

The structure of academic year 2016-2017 .......................................................13

Faculty of medicine – student registration procedures .....................................18

Curriculum ..........................................................................................................28

Organizing academic activities. Examinations. Completing the requirements of

a study year ........................................................................................................30

Regulation regarding the equivalence of studies ...............................................33

Allocation of students to state subsidized – fee-paying places .........................35

Curriculum ..........................................................................................................37

Syllabus – subjects description ..........................................................................46

A. Compulsory courses ......................................................................... .......46..

YEAR I .........................................................................................................46

YEAR II ........................................................................................................86

YEAR III .................................................................................................... 112

YEAR IV ................................................................................................... 145

YEAR V ................................................................................................ 195....

YEAR VI ................................................................................................... 235

B. Elective courses ...................................................................................... 271

Methodology regarding the elective courses ......................................... 271

Elective courses free of charge ................................................................273

Elective courses with fees ...................................................................... 275

Optional courses ..................................................................................... 276

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DEAN’S INTRODUCTION

For more than 140 years, the Medicine Faculty of Cluj-Napoca has been contributing to the improvement of healthcare system, by training several generations of valuable doctors who are committed to their profession. The faculty’s name represents a brand for our city, and the way in which the name is perceived by the community is the result of years of endeavour and commitment from our teachers, graduates and students alike. Our core values, the excellence and the increased care for our patients, created since the establishment of the Faculty by its founders, have endured throughout history and the passage of time, being impregnated in our daily efforts and meanwhile in Faculty’s development strategy. A modern and dynamic faculty, the medical school of Cluj is differentiating from other medical schools by an attractive educational offer: four undergraduate study programmes, thirteen master’s programmes, a remarkable doctoral school and all the specializations for residency; the mission of the management team being the continuous improvement of teaching quality and implicitly of the healthcare system. As an additional advantage of our school, we can mention the fact that medical school of Cluj is among the few institutions throughout the world which can provide an educational programme in medicine taught in three languages: Romanian, English and French.

Based on our graduates’ professional mobility, the adjustment of medical education to the modern requirements of healthcare services becomes a fundamental goal. In a globalized society, where fierce competition demands very high standards, physicians’ training must follow two major coordinates: obtaining professional expertise and necessary practical skills and in parallel, obtaining higher communication skills, based on a flawless professional ethics. We all believe in the necessity of a continuous progress, as well as in actual competition between similar faculties on the modern education market. Competitive awareness will make the difference. This will represent a fundamental difference that will allow us to maintain a national leading position and to aim at the most significant position in Eastern and Central Europe. Being proud of both our tradition and our present and also being confident in the future, we kindly invite you to discover us.

Dean,

Professor Anca Dana Buzoianu, MD, PhD

https://www.google.ro/search?espv=2&biw=1280&bih=884&q=is+differentiating&spell=1&sa=X&ei=uNw7VIqgKsK_ygP2s4IQ&ved=0CBcQvwUoAA

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A BRIEF HISTORY OF THE FACULTY OF MEDICINE

Inaugurated 140 years ago in Cluj within “Franz Josef” University, medical higher education in Transylvania has acquired a long and valuable tradition. The Faculty of Medicine in Cluj, with Romanian as teaching language, was founded in 1919, being part of Upper Dacia University.

Its first dean was Iuliu Haţieganu, the founder of the school of internal medicine in Transylvania, whose contribution was crucial for the fast development of the young academic institution as a whole. The school quickly achieved large international recognition and became famous due to the activity of highly prestigious professors such as Victor Babeş, Constantin Levaditi, Iacob Iacobovici, Iuliu Moldovan, Victor Papilian, who were remembered as the “Golden Generation”. The second decade of the period between the two World Wars saw important advance made by remarkable personalities in the field of medicine such as Valeriu Bologa, Leon Daniello, Ion Manta and Grigore Benetato. The departments of Diagnostic Medicine (1930), chaired by Ion Goia, and Balneology (1930) – chaired by Marius Sutrza were created for the first time in Romania. During 1930-1940, Emil Racoviţă who was at that time professor at the Science Faculty of “King Ferdinand” University in Cluj, taught the Biology-Genetics courses to medical students.

The Faculty underwent a time of great difficulty during the Second World War when the University was relocated in Sibiu (1940-1945). Despite these hardships, thanks to the dedication and competence of Iuliu Haţieganu, the Rector o f the University (1941-1945), as well as of Victor Papilian, who was the Dean of Medicine (1940-1944), and the enthusiastic support of the academic staff, the activity continued at high quality standards.

After its return to Cluj and following the education reform in 1948, the Faculty of Medicine was separated from the University and became the Medical – Pharmaceutical Institute. During the post-war years, despite hardships that affected the entire Romanian higher education system, the Faculty of Medicine continued to give to society valuable people such as Octavian Fodor, Aurel Moga, Aurel Chişu, Aurel Nana, Ion Chiricuţă, Constantin Velluda, Victor Preda, Ion Baciu, personalities who influenced the Romanian medical education as a whole.

In its first years, the Faculty assimilated all innovative aspects that characterized prestigious European medical schools. During the long communist period, the faculty gained from the opportunity of having leaders and teachers who knew how to preserve medical school’s original values, so that the traditions of professional and humanistic performance were not lost.

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In 1990, the Medical-Pharmaceutical Institute was transformed into the University of Medicine and Pharmacy, which had three Faculties: Medicine, Dental Medicine and Pharmacy. Since 1992, the university has boasted with the name of the distinguished founder of the Romanian medical school in Cluj, Iuliu Haţieganu. It was during these years of enthusiastic activity that the difficult process of modernizing the University and the Faculty of Medicine was initiated, a process that has lately led to European integration and recognition of the medical education of Cluj.

https://www.google.ro/search?espv=2&biw=1280&bih=923&q=define+distinguished&sa=X&ei=dwM9VPfdOK_g7QaPgIH4AQ&ved=0CCAQ_SowAA

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FACULTY STRUCTURE

I. ACADEMIC LEADERSHIP STRUCTURE

The Senate

The highest governing body of “Iuliu Haţieganu” University of Medicine and Pharmacy is the Senate. The Chairman of the Senate represents the Senate in relation with the Administration Council and the Rector of the university and rules the meetings of the Senate. The principles that rule the organization and functioning of the university, as well as the norms that regulate the activity of the academic community are established by the University Charter, which is adopted by the Senate.

The Administration Council The Administration Council consists of the Rector, the Vice-Rectors, the Deans, the General Director of Administration and the students’ representative and is in charge of the executive direction of the university. The head of the Administration Council is the Rector. The Senate, the Administration Council and the Rector take decisions regarding the main problems of the instructional process. Decisions are based on university autonomy, on the respect for the academic freedom and on the regulations of the Ministry of National Education and Scientific Research. The Senate consists of academic staff members and 25% students’representatives.

Medicine Faculty’s Council

The Council is the highest governing body of the Faculty of Medicine and consists of 30 academic members and 10 students. The representatives of international students and resident physicians are invited mandatorily to participate in the Board meetings. The Dean of the Faculty chairs the Council.

The Board of the Council

The implementation of the Council’s decisions is done by the Dean of the faculty and the 5 Vice-Deans. The Dean is responsible for the entire activity in the Faculty, and represents the Faculty at University level and outside of it, coordinates its activity and supervises the implementation of Faculty Council’s decisions.

The activity of the academic management team of the Faculty is supported by an administrative team of technicians chaired by the Faculty Head Secretary.

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The academic governing body of the “Iuliu Haţieganu” University and of the Faculty of Medicine was elected in February 2016 for a 4-year period of time and consists of the following academics:

The Board of the “Iuliu Haţieganu” University of Medicine and Pharmacy

Prof. Alexandru Irimie, MD, PhD - Rector

Prof. Ştefan Ioan Florian, MD, PhD - President of the Senate

Prof. Grigore Băciuţ, MD, PhD - Vice-Rector, resident and

postgraduate students

Prof. Ioan Coman, MD, PhD - Vice-Rector, Didactic Activities

Assoc. Prof. Valentin Cernea, MD,

PhD

- Vice-Rector, Academic Development

and University Administration

Prof. Felicia Loghin, MD, PhD - Vice-Rector, Research and Scientific

Activities

Prof. Dan Dumitraşcu, MD, PhD - Vice-Rector, Quality Management and

International Relations

The Board of the Faculty of Medicine

Prof. Anca Dana Buzoianu, MD, PhD - Dean of the Medical Faculty

Assoc. Prof. Daniel Mureșan, MD, PhD - Vice-Dean, International Relations and

Foreign Students’ Issues

Assoc. Prof. Șoimiţa Suciu, MD, PhD - Vice-Dean, Teaching activities

Prof. Carmen Mihu, MD, PhD

Assoc. Prof. Sorin Man, MD, PhD

Prof. Dana Pop, MD, PhD

- Vice-Dean, Evaluation and Quality

Control

- Vice-Dean, Management, Accademic

Development and Students’ Issues

- Vice-Dean, Scientific and Evaluation

Activity Address: FACULTY OF MEDICINE Dean’s Office No. 4 Pasteur Street, 1st floor Cluj-Napoca, Romania Tel: +40-374-834114 Fax: +40-374-834267 Email: [email protected]

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II. EDUCATIONAL OFFER

A) UNDERGRADUATE STUDIES:

- Romanian Study Programme (courses taught in Romanian) - French Study Programme (courses taught in French) - English Study Programme (courses taught in English)

o Field of study: HEALTH o Study Programme: MEDICINE – 360 ECTS

Graduate degree in Medicine (medical-doctor), 6-year university studies.

o Study Programme: GENERAL NURSING – 240 ECTS Graduate degree in Nursing (university degree as nurse), 4-year university studies (courses taught in Romanian).

o Study Programme: RADIOLOGY AND MEDICAL IMAGING – 180 ECTS Graduate degree in Radiology and Medical Imaging (radiology and imaging assistant), 3-year university studies (courses taught in Romanian).

o Study Programme: BALNEO-PHYSIO-KINESIOTHERAPY AND RECOVERY-180 ECTS Balneo-physio-kinesiotherapy and recovery diploma (balneo-physio-kinesiotherapy and rehabilitation assistant), 3-year university studies (courses taught in Romanian).

B) POSTGRADUATE STUDIES

Master’s Degree

There are thirteen Master’s Degree Programmes within the Faculty of Medicine. Some of them have one-year study programmes and others have two-year study programmes.

Doctoral Studies

As Master’s Degree programmes for medical studies are considered to be included within six years of studies, graduates from Medicine Faculty may enroll directly to doctoral study programmes.

C) TRAINING SPECIALISTS IN MEDICAL FIELDS, THROUGH RESIDENCY PROGRAMMES (3-7 YEARS)

D) CONTINUOUS MEDICAL EDUCATION, THROUGH NUMEROUS POSTGRADUATE PROGRAMMES, COVERING ALL MEDICAL SPECIALTIES

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III. THE DEPARTMENTS OF THE FACULTY OF MEDICINE

Departments Disciplines

1. Morphological Sciences Anatomic Pathology Anatomy and embryology Histology

2. Functional Sciences Pharmacology, toxicology and clinical pharmacology

Physiology Physiopathology

Immunology and Allergology

3. Molecular Sciences Medical Biochemistry Medical Biophysics Cell and Molecular Biology Medical Genetics Microbiology

4. Community Medicine Epidemiology Hygiene Occupational Medicine Family Medicine Forensic Medicine Public Health and Management

5. Internal Medicine Medical Clinic I Medical Clinic II

Medical Clinic III Medical Clinic IV Medical Clinic V Cardiology – Heart Institute Cardiology - Rehabilitation

6. Medical Specialties Medical Rehabilitation Dermatology Diabetes and nutrition-related diseases Endocrinology Pneumology Rheumatology Nephrology Geriatrics Infectious Diseases

7. Surgery Anesthesia and Intensive Care I Anesthesia and Intensive Care II

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Cardiovascular and Thoracic Surgery Plastic and Reconstructive Surgery

Surgical Clinic I Surgical Clinic II Surgical Clinic III Surgical Clinic IV Surgical Clinic V Emergency Medicine

8. Surgical Specialties Orthopedics, Traumatology and Pediatric Orthopedics

Urology Otolaryngology Ophthalmology Radiology Medical Imaging

9. Mother and child Obstetrics and Gynecology I Obstetrics and Gynecology II Neonatology Pediatrics I Pediatrics II Pediatrics III Pediatric Surgery Nursing

10. Neurosciences Neurology and pediatric neurology Psychiatry and pediatric psychiatry Neurosurgery

11. Oncology Medical Oncology and Radiotherapy Hematology Oncologic surgery and gynecology

oncology

12. Medical Education Physical Education Medical Informatics and Biostatistics Clinical Psychology Modern Languages Skills - Humanistic Sciences

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THE STRUCTURE OF THE ACADEMIC YEAR 2016-2017

CONVENTIONAL (CONTINUOUS) STUDIES

MEDICINE – YEARS I – III

1st SEMESTER

3rd October 2016 – 16th December 2016 → classes (11 weeks) 19th December 2016 – 02nd January 2017 → Christmas holiday (2 weeks) 03rd January 2017 – 20th January 2017 → classes (3 weeks)

23rd January 2017 – 17th February 2017 → examination session (4 weeks) 20th February 2017 – 24th February 2017 → winter holiday (1 week)

2nd SEMESTER

27th February 2017 – 09th June 2017 → classes (14 weeks +1 week Easter holiday; 17 – 21 April 2017)

12th June 2017 – 07th July 2017 → examination session (4 weeks) 17th July 2017 – 21th July 2017 → re-examination session 1 24th July 2017 – 28th July 2017 → re-examination session 2 07th July 2017 – 15th September 2017 → Summer practice (4 weeks)+ summer

holiday*** *** the number of weeks for summer practice and the period in which they take place is different for each year and specialization

MODULAR STUDIES

MEDICINE – YEARS IV-V

(Modular structure: 36 weeks, representing 30 weeks of courses and 6 weeks of examination sessions)

Ist Semester

Ist Module 3rd October 2016 – 25thNovember 2016 → classes (8 weeks) 28th November 2016 – 2th December 2016 → examination session (1 week) IInd Module 05th December 2016 – 16th December 2016 → classes (2 weeks)

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19th December 2016 – 02nd January 2016 → Christmas holiday (2 week) 03rd January 2017 – 10th Fevrier 2017 → Classes (6 weeks) 13th February 2017 – 17th February 2017 → examination session (1 week) 20th February 2017 – 24th February 2017 → winter holiday (1 week)

IInd Semester

IIIrd Module 27th February 2017 – 14th April 2017 → classes (7 weeks) 17th of April 2017 – 21th of April 2017 → Easter holiday (1 week) 24th April 2017 – 28th April 2017 → Classes (1 week) 2nd May 2017 – 5th May 2017 → examination session (1 week) IVth Module 08th May 2017 – 30th June 2017 → classes (8 week) 3rd July 2017 – 7th July 2017 → examination session (1 week) Summer practice will take place between 7th July 2017 – 15th September 2017 and it may start any day of Monday within the period mentioned above. 17th July 2017 – 21 July 2017 → re-examination session 1 24th July 2017 – 28th July 2017 → re-examination session 2

MEDICINE YEAR VI

(Modular structure 36 weeks, representing 30 weeks of courses and 6 weeks of examination sessions)

Ist Module 3rd October 2016 – 25th November 2016 → classes (8 weeks) 28th November 2016 – 02ndDecember 2016 → examination session (1 week) IInd Module 05th December 2016 – 16thDecember 2016 → classes (2 weeks) 19th December 2016 – 02nd January 2017 → Christmas holiday (2 weeks) 03rd January 2017 – 10th February 2017 → Classes (6 weeks) 13th February 2017 – 17th February 2017 → examination session (1 week) 20th February 2017 – 24thFebruary 2017 → winter holiday (1 week) IIIrd Module 27th February 2017 – 14th April 2017 → classes (7 weeks) 17th April 2017 – 21st April 2017 → Easter Holiday (1 week) 24th April 2017 – 28th April 2017 → Classes (1 week) 2nd May 2017 – 5th May 2017 → examination session (1 week) IVth Module 08th May 2017 – 23th June 2017 → classes (7 weeks)

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26th June 2017 – 30th June 2017 → examination session (1 week) 4th July 2017-7th Julz 2017 → re-examination session 1 11th July 2017 – 13th July 2017 → re-examination session 2 19th June 2017 – 23rd June 2017

→ ECN – Study Programme Medicine – French section

24th July – 28th July 2017 → taking the graduation degree

examination for English and French study programme

September 2017 taking the graduation degree examination for the Romanian Study programme

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DOCTORAL SCHOOL

THE STRUCTURE OF ACADEMIC YEAR 2016-2017

Principles:

Classes: 28 weeks

Research methodology is studied in a conventional (continuous) manner

The other subjects are studied in modules

Admission to the doctoral school:

05-9 September 2016 – enrollment of candidates 19-28 September 2016 – admission exam 1st of October 2016 – registration of candidates

The Foreign Language Test taken at the Foreign Languages Department, no. 6 Pasteur Street, scheduled as follows: English: 6th of September 2016, starting from 10:30, room 6, second floor French: 6th of September 2016, starting from 10:30, room 13, third floor German: 9th of September 2016, starting from 10:30, room 10, third floor

10th of October 2016 – 26th of May 2016 → teaching activities organized for the year of advanced academic training, including:

Christmas holiday: 19.12.2016 - 08.01.2017 Easter holiday: 10.04.2017 – 23.04.2017

29th of May-09th of June 2017 → re-examination session (one session only)

The schedule of the research projects presentations for the doctoral studies candidates who completed the advanced university training year:

05.06 – 09.06.2016 → submission of project titles and appointing the admission panel

12.06 – 23.06.2016 → presentation of research projects

EXAMINATIONS AND CONTESTS

23rd of September – 28th of October 2016 → enrollment on Master’s Degree programmed admission examination 29th of September – confirmation and registration 01st of February 2017 – 10th of February 2017→ enrollment for the 2nd session of graduate degree examination 13th of February 2017 – 17 th of February 2016 → taking the graduate degree examination

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OTHER EVENTS

21 – 25 November 2016 → „University Days” July 2017 → The Ceremony for the students graduating in 2017

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FACULTY OF MEDICINE – STUDENT REGISTRATION PROCEDURES

1. The procedure for 1st year student’s registration is the following:

Students’ registration after passing admission examination is based on the matriculation decision issued by the Rector. Tuition fee-paying students will be registered after the payment of tuition fee and after signing the study agreement.

In the case of international students admitted on Romanian state scholarship or on fee paying places (Romanian currency payment), registration is based on the decision of the Ministry of National Education and Scientific Research, following the approval granted by the university management and the signing of Study Agreement.

In the case of international students on fee paying places (foreign currency payment), registration is carried out on the basis of the registration decision issued by the Foreign Students Department and the final decision of registration issued by the Ministry of National Education and Scientific Research, after the payment of tuition fee and after signing the Agreement of Study.

The complete application file, endorsed by the Foreign Students Department, will be sent to Dean’s Office only after the approval of Ministry of National Education and Scientific Research, until the end of the current calendar year.

The candidates admitted in the first year and not registered within the period established by the decision of the Administration Council will lose their right to be enrolled.

According to Ministry’s decision, a student may be allowed to study at only one specialty financed by state budget. The student will pay a tuition fee to attend a second specialty.

2. Each student is enrolled in matriculation register under a unique number, which is valid for the entire duration of undergraduate studies.

3. Upon registration, a personal record is created for each student, consisting of:

the original Baccalaureate diploma. Students who pay tuition fees to attend a second faculty must provide a copy of the Baccalaureate diploma authenticated by the public notary and a document that proves the fact that the student has the original Baccalaureate diploma in other university where the student benefits from a budgeted place.

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an authenticated copy of MD or BSc diploma in the case of students who graduated from a faculty where they had a state subsidized place and who have to pay the tuition fee in order to attend a second faculty,

the enrollment form,

an authenticated copy of the birth certificate,

the medical tests required by the university,

the written agreement proving the fact that the student knows and agrees to respect university’s regulations concerning academic activity and examinations and those of the Study Contract,

four passport-size photographs.

4. The personal record of international students consists of:

the original Baccalaureate diploma and its translation in an international language, authenticated and validated by the issuing country’s embassy in Romania.

the language test (Romanian, French, English), according to the teaching language of the section that the student applies for,

a photocopy of their passport,

an authenticated copy of their birth certificate,

the decision of the Ministry of National Education and Scientific Research mentioning status: scholarship holder, tuition-fee paying student – Romanian currency, foreign currency

the enrollment form,

the medical tests required by the university,

the written agreement proving the fact that the student knows and agrees to respect university’s regulations concerning academic activity and examinations and those of the Study Contract,

four passport-size photographs. The registration of international students takes place within the period established by the direction of the university.

5. Upon the student’s enrollment at a faculty, the Dean’s Office issues a "Student Report card" for each student. The student report card will contain all the marks obtained by the student at examinations or other assessment forms. It will also include the marks for the failed exams. The examiner has the responsibility for filling in the marks and signing them. In the following cases - transfer, studies interruption or expulsion, the Dean’s Office withdraws the student report card and the travel pass, where applicable.

6. Enrollment in the second year and in the following years implies filling in an application form, within the first 15 days from the beginning of the academic year. Enrollment is based upon academic results from the previous year and

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entails the achievement of the minimum number of credits (45 credits minimum) required to complete the requirement for a year of study. Students in the supplementary year will be enrolled in the academic study year that they must repeat after paying all the financial dues for the supplementary year.

International students

International students are welcomed by both the academic and civic communities. Apart from medical education taught in Romanian language, our faculty has been offering, for more than ten years, medical education in English and French, which attracts more and more students from over 56 countries. Currently, about 40% of the students enrolled in the Faculty of Medicine are international students who study in English, French or Romanian. International students are enrolled following a selection procedure based on their record, according to criteria established by the Faculty Council Board. They do not have an entrance examination. The candidates must hold a baccalaureate or equivalent diploma and must obtain confirmation from the Ministry of National Education and Scientific Research. All the documents presented must be authenticated.

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ECTS STUDENTS

The European credit transfer and accumulation system (ECTS) was created to facilitate student mobility among universities. The European Union encourages study periods at partner universities and the Bologna and Berlin Declarations stipulate the need to eliminate obstacles in the way of academic mobility.

Student mobility within Socrates-Erasmus programmes offers students the possibility to study at another European university for a semester or a whole academic year. Then, they go back to home university, complete their studies and obtain a graduation diploma there. In this way, students benefit from continuity of studies and, at the same time, they have access to other educational perspective and to a new academic, cultural, social and linguistic environment.

The main purpose of developing this system was to support student mobility in enhancing their formation, in gathering the experience of other European universities in order to obtain full academic recognition for the period they have spent away from the home university.

Full academic recognition means that the study period abroad replaces a similar period of study at the home university without lengthening the duration of initial studies.

ECTS credits

ECTS credits represent values allocated to course units and practical activities in order to describe students workload required to complete them. They reflect the amount of work each course requires in relation to the overall amount of work necessary to complete a full academic year of study at the university, which includes: courses, seminars, practical work and individual work in the laboratory, in the library or at home, examinations and other assessment activities.

In the ECTS system, 60 credits represent one year of study (in terms of workload); on average, 30 credits are allocated for each semester.

The ECTS credits are also allocated to practical training and to graduate thesis preparation when these activities are part of the regular curriculum at both home and host institutions.

ECTS credits are allocated to each course and are awarded only to the students who have completed the courses successfully by passing the examinations or other types of assessment.

For the acknowledgment of the Socrates-Erasmus mobility, the student must earn minimum 25 ECTS credits for a period of 4-5 months and minimum 50

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ECTS credits for a period of 9 months spent in the host institution abroad. The credits earned abroad must be obtained for disciplines that the student would have to study at UMF “Iuliu Haţieganu” Cluj-Napoca during the academic year that he is enrolled in when he takes the mobility. It is allowed to acknowledge no more than two exams from higher years (maximum 15 credits in advance).

The ECTS grading scale

Examination and assessment results are generally expressed in marks. There are various grading systems in Europe. Therefore, an ECTS grading system has been developed in order to help institutions translate the marks awarded by host institutions to ECTS students. This procedure also offers other information regarding the activity of the student, but it does not replace the mark that the student will get at the home university.

How does it work?

The main ECTS instruments meant to facilitate academic recognition are: - Information Package - Learning Agreement - Transcript of Records

The Information Package is offered by all institutions which use ECTS system and describes the courses available at the university. It also provides general information about the institution, its location, student accommodation, administrative procedures necessary for registration and the academic calendar. The Package is updated annually.

The Learning Agreement describes the study programme abroad and is completed by the individual student together with the two academic institutions involved, before the student arrives at the host institution.

The Transcript of Records details the student’s academic achievements prior to and after the period of study abroad. It contains the ECTS credits, the mark awarded according to the local marking scale and the ECTS grading scale. The combination of local marks and ECTS credits represents quantitatively and qualitatively the student’s performance at the host institution.

These tools are then used by the institutional and departmental coordinators appointed by each institution to deal with the administrative and academic aspects of ECTS. The grade obtained by the student for a certain subject, written in the transcript of records, is given by the Faculty academic coordinator for ECTS, considering the grade obtained by the student in the host institution, according to the ECTS grading scale.

The use of ECTS ensures the transparency of curricula and students’ academic achievements, which leads to academic recognition throughout Europe.

How can ECTS students obtain mobility?

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They should contact their home departmental coordinator and they must study the Information Package of other institutions in order to choose the best destination and plan their programme of study abroad.

How is academic recognition ensured?

An ECTS study programme must be approved by both home and host institutions before the student leaves for the study period abroad. If the programme of study described in the Learning Agreement is completed satisfactorily by the student, it is fully recognized by the home university. This means that the volume of study, measured in terms of numbers of achieved ECTS credits, will be the equivalent of the same volume of study which would otherwise have been undertaken at the home university.

How are ECTS credits transferred?

Institutions prepare and transfer transcripts of records for all students who benefit from ECTS mobilities. A copy of the transcript is given to the student and checked by both home and host universities, before and after the period of study abroad.

Are further studies abroad for ECTS students possible?

A student who has benefited from ECTS mobility may choose to remain at the host university to get a degree there or to move to a third institution. This is possible only if both institutions involved agree and that the student accepts the conditions to be fulfilled in order to get a diploma or transfer registration.

By providing a history of the student’s academic achievements, the transcript of records is the document which helps partner institutions make decisions regarding the continuation of studies abroad, thus further opening up Europe to academic mobility in general.

Student evaluation criteria and ECTS grading scale

Courses and study modules are evaluated through oral and written examinations, practical assignments, demonstrations and other applicable methods. Students receive information on the evaluation criteria at the beginning of the study module.

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ECTS Grade in Romania

Definition

A B C

D E

FX

F

10 9

7-8

6 5 4

1-3

Excellent = outstanding achievement with only minor errors Very Good = above the average standard with some errors Good = generally sound work with a number of notable errors Satisfactory = average, with significant shortcomings Sufficient = performance meets the minimum criteria Fail = some more work required before credit can be awarded Fail = considerable further work is required

ECTS grading scales for different countries

Romania 1 - 4 5 6 7 8 9 10

ECTS scale FX, F Fail

E Sufficient

D Satisfactory

С Good

С Good

В Very Good

A Excellent

Austria 5 - 4 - 3 2 1

Albania 1 - 4 5 6 7 8 9 10

Bulgaria 2 Слаб

5 Среден

- - 4 Добър

5 Много добър

6 Отличен

Belgium 7, 8, 9 10 11 12 13, 14 15, 16, 17 18, 19, 20

China 0 - 59.99 60 - 69.99

70 - 74.99 75 - 79.99

80 - 84.99

85 - 89.99 90 - 100

Denmark 0, 3, 5 6 7 8 9 10 11, 13

Switzerland < 3,5 3,5 - 3,99 4,0 - 4,49 4,5 - 4,99

5,0 - 5,49

5,5 5,51 - 6,0

Finland

1 1½ - 2 2½ 3

France Insuffisant (< 10)

Passable (10 - 10,49)

Passable (10,5-10,99)

Assez bien (11,0 - 11,49)

Assez bien (11,5 - 12,49)

Bien (12,5 - 14,49)

Très bien (14,5-20,0)

Germany > 4,01 4,00 - 3,51

3,5 - 3,01 3,00 - 2,51

2,50 - 2,01

2,00 - 1,51 1,50 - 1,00

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Greece 2, 3, 4 5 6 - 7 8,9 10

Jordan 0 - 49.99 50 - 50.99

51 - 59.99 60 - 69.99

70 - 79.99

80 - 89.99 90 - 100

Ireland < 25% Fail

25% - 39% Pass

40% - 44% 3rd pass

45% - 54% -

55% - 69% 2nd/II

70% - 84% 2nd/I

85% - 100% I

Iceland Fail 5 - 6 7 8 9, 10

Italy ≤ 17 18, 19 20 - 22 23 - 24 25 - 26 27, 28 29, 30, 30+

Great Britain

0 - 39% (Fail)

40 - 49% (3rd)

50 - 54% (2ii)

55 - 59% (2ii)

60 - 64% (2i)

65 - 69% (Upper 2i)

70 - 100% (First)

Norway 6 - 4.1 4 - 3.5 3.5 - 3 2.9 - 2.4

2.3 - 2 1.9 - 1.2 1.1 - 1.0

The Netherlands

1 - 4 5 6 - 7 8 9, 10

Polland < 3,00 3,00 3,01 - 3,49 - 3,50 - 3,99

4,00 - 4,49 4,50 - 5,00

Portugal 1 - 9 10 11, 12 13 14, 15 16, 17 18, 19, 20

Slovakia 5 - 4 - 3 2 1

Slovenia 1 - 5.9 6 6.1 - 6.9 7 - 7.5 7.6 - 7.9

8 - 9.9 10

Spain < 5 Suspenso

5,0 - 5,49 Aprobado

5,5 - 6,49 Aprobado

6,5 - 7,49 Notable

7,5 - 8,49 Notable

8,5 - 9,49 Sobresaliente Excellent

9,5 - 10 Matricula de Honor

United States of America

E - F/0 - 59 D/60 - 65 - /66 - 72 C/73 - 79

B/80 - 86

A - /87 - 93 A/94 - 100

Hungary 1,00 - 1,99 elegtelen

- 2,00 - 2,50 elegseges

-

2,51 - 3,50 kôzepes

3,51 - 4,50 jo

4,51 - 5,00 jelcs, kivalo

Turkey 1 - 4 Noksan/Рек Noksan

4,5 - 4,99 5,00 - 6,49 Orta

6,5 - 6,99 Orta

7,00 - 7,99 Lyi

8,00 - 8,99 Lyi

9,0 - 10,0 Реk iyi

26

For further information on the ECTS system of credits and how it is applied in “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca, please access the regulations concerning the application of the European credit transfer and accumulation system (ECTS) on the university site: http://www.umfcluj.ro.

ECTS Coordinators

University ECTS Coordinator: Prof. Ioan Coman, MD, PhD - Vice-Rector, Teaching and Educational Evaluation Faculty of Medicine: Assoc. Prof. Șoimiţa Suciu, MD, PhD - Vice-Dean, Teaching and Educational Activities Vice-Rector Quality Assurance and International Relations: Prof. Dan L. Dumitraşcu, MD, PhD

Language of instruction

The language of instruction at the “Iuliu Haţieganu” University of Medicine and Pharmacy is Romanian. The Faculty of Medicine at the University offers degree programmes in English and French within the English and French sections.

Foreign language learning opportunities

All students from our University have the possibility to learn a European language. The purpose of these courses is to provide our students with practical skills – reading, writing, listening and speaking. All the facilities at the Department of Modern Languages are available to all the students and academic staff of our University.

Scholarships

Over 40% of our students benefit from study or social scholarships, which are offered by the Ministry of National Education and Scientific Research.

These scholarships are granted to students with outstanding achievements and, under certain circumstances, to students with a special social situation.

During the mobility period, students keep their right to scholarship, given in the national scholarship system. Students who have benefited from mobility, but could not earn the maximum number of credits to validate the year, are eligible for the scholarship criteria,

27

and for accommodation in the university campus, according to Senate Council’s decision from 16.10.2007, and they are exonerated from paying remaining invalidated credits.

Food and Accommodation

Our University owns a campus which includes 9 hostels where approximately 2700 students are accommodated. Most Romanian students who come from outside Cluj live in the University hostels. However, international students prefer rented accommodation.

The University Restaurant, situated in the close proximity of the university campus, on no. 13 Victor Babeş Street, offers diversified menus and accommodates 150 students.

There are also many restaurants and fast food places in the city centre and close to the university premises.

For students who do not live in hostels, the supermarkets and restaurants located in every district offer convenient food supply as prices are lower than in most European countries. The cost of food could range between 200-300 EUR a month.

Health

Student Health Centre is located in the centre of the city, close to the administrative building of the University, offering a wide range of free-of-charge medical services to the students. The Student Pharmacy offers free medication on prescription issued by the Students Health Centre.

Sports

The University Sports Club, founded in 1966, has a sports area and a gym where students can practice sports such as basketball, volleyball, aerobics, tennis, etc.

28

CURRICULUM

STUDIES STRUCTURE

The structure of all University’s educational programmes is based on the academic year system. One academic year consists of two semesters.

The unfolding of education implies:

- Conventional (continuous) studies, with 2 examination sessions, one at the end of each semester (winter and summer examinations)

- Modular studies, having modules organized in discipline blocks, with four examination sessions, two for each semester.

The studies include theoretical courses, practical training, seminars and practical assignments, optional courses, complementary courses and the graduate degree examination.

The undergraduate studies in medicine aim to familiarize students with the main applications of the medical field and with their theoretical basis. After graduation, students need to be able to work independently as experts in the medical field, as practitioners or as researchers.

Language studies are very important for Romanian students because achieving a good level of proficiency in a foreign language is essential for students’ professional development, due to the increased mobility of EU citizens and non EU citizens. International students are required to study Romanian as a foreign language because starting with the fourth year of studies; practical training in clinics is conducted in Romanian.

Optional courses

Each year of study has a package of optional courses. Students may choose one of the optional courses offered; the chosen course then becomes compulsory. According to the university curriculum, 14 hours/ semester and 2 credits are assigned for each optional course.

Complementary courses

For each year of study there are several complementary courses beside the compulsory ones. Their role is to help students enhance the knowledge they acquired during the compulsory study programme.

Choosing such courses, attending them and taking examinations in these subjects are not compulsory. The complementary courses have additional credits.

29

The final examination

The final examination at the “Iuliu Haţieganu” University of Medicine and Pharmacy is the graduate degree examination. For undergraduate studies, it includes two tests:

1. The specialty test having two components:

- Written test – it is part of the national graduation examination to be taken at the same time and based on the same bibliography at all medical universities. - Practical test – it is specific to each university.

2. The presentation of graduation thesis:

The minimum average required to pass the graduate degree examination is 6 (six). Graduate degree examination sessions: July and February

30

ORGANIZING ACADEMIC ACTIVITIES. EXAMINATIONS. COMPLETING THE REQUIREMENTS OF A STUDY YEAR

1. Undergraduates’ knowledge is tested through examinations. Students are assessed with marks from 1 to 10. The minimum mark to pass an exam is 5 and the highest mark is 10. The final forms of testing are theoretical written examinations as well as practical examinations. In case students’ knowledge cannot be tested through practical examinations due to the specific features of a particular subject matter, an oral final evaluation will be organized. The examination can be passed only if students obtain a pass mark (minimum 5) for both the written and the practical examination. If the students are present to only one form of examinations, their final mark will be 4. On re-examination, these students will only take the examination which they failed.

2. Students are allowed to participate to an examination only if they are listed in the official students’ record issued by the Dean’s Office. This official record certifies the students’ status, including the fulfillment of their financial dues.

3. At the beginning of each academic year, the departments have the duty to display the requirements for completing the study subject in order to pass the examinations and the percentage each exam component holds within the student’s final mark. It is mandatory that the marks obtained at both theoretical and practical examinations are part of the student’s final mark.

4. In order to complete the requirements for a study year, at least 45 credit units must be obtained out of the 60 credits allotted for a year. A total of 15 credits can be transferred to the following year of study. In order to fulfill the requirements of a study year, the credits transferred from the previous years must not exceed 15 ECTS. Within the respective year, the credit units transferred from a previous year will not be taken into account. At the same time, students have to pay a fee for the transferred credits – see “Tuition Fees” Chapter in Regulations Concerning Student Academic Activity.

5. All missing credits must be obtained within maximum two years; otherwise, students will be enrolled in a supplementary year.

6. For Medicine study programme, at the end of the third year of study students have to obtain all 180 credits allocated for the first three years of study.

7. In an academic year, students can be present themselves to an examination maximum three times. The curriculum includes four examination sessions (the winter session, the summer session and two

31

autumn sessions in the continual system). The third presentation to an examination must be paid according to “Tuition Fees” Chapter. Exams are organized only during examination sessions for the conventional system or at the end of modules for the modular system. Students must respect the examination dates as scheduled by departments, in agreement with students’ representatives. The absence to one scheduled exam is considered to be a failure of the exam.

8. Within the modular system, examinations must be taken at the end of each module, in the weeks allotted for organizing exams. During an academic year, a student has the right to be present to an exam only three times. Students are allowed be present themselves to an exam only once during the October –July period (with their own series), whereas the second and third examination can only be organized during the summer sessions.

9. In case of departments that are required to organize complex examinations resulting in one mark, the number of questions included in the written examination will be proportional to the number of hours allotted to each subject matter, there will be only one practical examination scheduled at the end of all teaching activities, and the final mark will reflect the proportional ratio according to the different subject matters and will consider an algorithm accepted by all the departments involved. Students should be informed of this algorithm in due time.

10. The dates for written examinations will be scheduled in agreement with the students’ representatives. Each department must schedule an examination on at least two different days for a series of students. If the theoretical examination takes place on the same day for the entire series of students, the practical examination should not exceed three successive days.

11. Re-examination for a higher mark is allowed only following the approval of the Faculty Council Board as follows: a maximum of 6 times during the university studies and not more than twice in one academic year. The mark obtained after re-examination is final. A three-member board will re-examine the student applying for re-examination. The new mark obtained is taken into account in the calculation of the average mark that ensures social rights to the student. The due fee for this type of examination is mentioned in the “Tuition Fees” Appendix. A student can only apply for re-examination for a higher score if the respective student has passed all examinations.

12. Fraud within examinations will be punished. The penalties that the Faculty Council Board may propose are included in Chapter VIII of the Regulations concerning student academic activity.

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* All foreign language programme students, excepting Romanian citizens, must sit for a Romanian language test at the end of the third year. The test is organized at the Foreign Languages Department of the Faculty of Medicine within our university. Foreign students may be enrolled in IVth year only if they pass this test. Those who do not pass this test are enrolled in a supplementary year.

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REGULATION REGARDING THE EQUIVALENCE OF STUDIES

These regulations concern the courses undertaken at other higher education medical institutions by students applying to be enrolled in an academic year other than the 1st or 6th year.

These provisions apply both to international students who request enrollment and to Romanian students who apply for transfer or equivalence and have partially completed studies at similar institutions in Romania.

Equivalence is not granted for courses taught in the academic year that the student is enrolling in.

Equivalence is not granted for courses of studies completed more than 6 years before the application date.

Requirements necessary for the studies to be eligible for equivalence:

The content of the courses (certified by the syllabus) and their duration (certified by the curriculum) should be at least 70% similar to the equivalent curriculum of the “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca.

The sum of the transferable credits corresponding to the subjects not studied but required by the syllabus of the “Iuliu Haţieganu” University of Medicine and Pharmacy faculties (compensatory examinations) may not exceed 15 credits (excluding Physical Education and Romanian as a Foreign Language).

In the case of students who have completed studies at accredited universities in the EU, equivalence may be also granted to courses taught in the academic year that the student enrolls in, provided that the difference between the missing credits and the recognized extra credits does not exceed 15.

Students must have an official certificate stating the marking system used by the institution where they studied and its equivalence to the ECTS system.

Only those subjects in whom the students passed the examination required by the corresponding institution are eligible for equivalence.

Practical training in a clinic that was not followed by the passing of the corresponding exam will not be eligible for equivalence.

Applicants seeking equivalence of studies will submit a file folder containing the following documents:

- a certificate of studies mentioning the marks obtained in examinations - a curriculum - a syllabus for each subject proposed for equivalence,

34

- an official statement explaining the marking system used by the institution where the applicant studied as well as its correspondence to the ECTS system - an empty folder - a written application mentioning the subjects for which the applicant is seeking equivalence - a request for the equivalence of studies submitted by the Vice-Rector’s Office for Teaching Activities. All documents required for equivalence will be submitted at the same time. Further additions to the application pack will not be accepted. Only studies completed at higher education medical institutions leading to the awarding of a physician’s diploma will be eligible for equivalence. Subjects studied at faculties of biology, veterinary medicine as well as nursing, medical colleges or master studies are not eligible.

These Regulations are appended to the Learning Agreement.

The applications files for equivalence and recognition will be submitted to the Dean’s Office until the 21st of September for the current academic year or, pending on the approval of the Administration Council, until the deadline for enrollment of international students as set by the Administration Council according to the instructions of the Ministry of Education.

The review of the equivalence applications is carried out by a member assigned by the Faculty Council Board and is approved in the minutes signed by all the members of the Faculty Council Board.

Applications are reviewed within 15 working days from their receipt by the Dean’s Office.

The Faculty Council Board has the right to seek and take into consideration the opinion of the taught course leaders regarding those subjects for which the duration of the studies and / or the syllabus content do not coincide with those of the faculties that the applicant wants to enroll in.

The decision of the Faculty Council Board may be contested within 48 hours after the applicant has been informed on it.

The contested decision is discussed by the contestant and an assessor designated by the Board.

The decision adopted by the Board following this discussion is final and non-opposable.

35

ALLOCATION OF STUDENTS TO STATE SUBSIDIZED – FEE-PAYING PLACES

Starting with the 2009-2010 academic year, students are allocated state subsidized places yearly according to their academic achievements.

The allocation is based on regulations available on the university website.

Main criterion: academic achievements.

The following are extracts from the regulations regarding the allocation of students to state subsidized – fee-paying places.

This methodology applies to all students who enrolled following a written entrance examination beginning with the 2005-2006 academic year. Students enrolled on special subsidized places, tuition fee-paying students (foreign or Romanian currency), students who pay a fee for the equivalence of studies and students who were enrolled by order of or acceptance letter from the Ministry of National Education and Scientific Research are not subject to this decision and do not benefit from its provisions 1. Students’ school performances at the end of the first exams session of the

previous academic year represent the standard used for the allocation of students to state-subsidized places.

2. The average grade taken into account for the allocation of students to state-subsidized places is the arithmetic mean between the weighted mean of a student’s marks and their arithmetic mean, calculated for the closing academic year.

3. Failed examinations, regardless of the non-passing marks received, will be awarded a 0 (zero) for the calculation of both types of means (weighted mean and arithmetic mean of marks).

4. Summer medical practice is not taken into account for the allocation of state subsidized places. The total number of credits allotted to the summer practice is correspondingly subtracted when calculating the weighted mean.

5. Places are allotted in descending order of students’ average grades. 6. In case more students have the same average grade, the following criteria

are applied in this order: a. weighted mean of marks b. in the case there are still students with the same grade, the course

with the most credits will take precedence c. in case there are still students with the same grade, the course with

the next most credits will count (if this course is divided over two semesters, the arithmetic mean is calculated). This criterion will be applied until there are no more same average grades. If there are more courses with the same number of credits, they will be taken into consideration alphabetically.

36

7. Students’ results are considered as a unity, according to the year of study and the faculty, without any differences among student series.

8. Students who have all the required credits before the summer re-examination session (students who passed all examinations in the summer session) may be re-examined for a higher mark in the re-examination sessions.

9. A student may apply for retesting for a higher mark only twice in an academic year.

10. Students’ ranking for the allocation of state-subsidized places is carried out by the staff of each Dean’s office, checked by the designated representatives of the student unions of each faculty and approved, by signature, by the dean of each faculty.

11. The ranking is announced and posted at the Dean’s office of each faculty in 15 working days after the end of the first re-examination session.

12. Students may contest the ranking within 2 calendar days after its announcement.

For further details, please visit the current regulations available on the university website: www.umfcluj.ro

http://www.umfcluj.ro/

37

CURRICULUM

YEAR I (2016-2017)

Course code Discipline

Co

urs

e h

ou

rs

Pra

ctic

al

cou

rse

ho

urs

Cre

dit

s

Sem

este

r

Eval

uat

ion

MED1 1 01EN General Anatomy and Embryology

56 140 14

(7+7) I/II E1, E2

MED1 2 02EN Biophysics 28 28 6 I E1

MED1 1 03EN Cell and Molecular Biology 28 28 6 I E1

MED1 1 04EN Medical Informatics and Biostatistics

14 28 3 I E1

MED1 1 05EN Medical Psychology 14 14 2 I E1

MED1 106EN Medical Bioethics and History of Medicine

14 7 2 I V

MED1 1 07EN Bases of Medical Communication

7 14 2 I C

MED1 2 08EN Descriptive Biochemistry 28 28 6 II E2

MED1 2 09EN Physiology 28 28 6 II E2

MED1 2 10EN First Aid 7 14 2 II V2

MED1 1 11EN Behavioral Sciences. Medical Sociology

14 14 2 II E2

MED12 12EN Problem Based Learning - 28 2 II C

MED 12 13EN Romanian Language - 56 3 II C

MED 12 14EN Sport* - 28 2* II V

Elective Course 14 - 2 I V

Medical Practice - 90 2 - C

- Romanian Language is compulsory for foreign students and it will consist of

84 h = 3 hours/week. Modern languages are compulsory for Romanian students and optional for foreign students.

- Medical Biophysics, Cell and Molecular Biology and Medical Informatics and Biostatistics are studied fully in the Ist semester.

- Medical Biophysics, Cell and Molecular Biology and Medical Informatics

and Biostatistics are fully studied during the first semester.

38

- Medical Psychology is done by rotation with Behavioral Sciences: 2

series (series 1 and 2) in the first semester and 2 series (series 3 and 4) in the

second semester.

- First Aid is is done by rotation with Bases of Medical Communication -

2 series (series 1 and 2) in the first semester and 2 series (series 3 and 4) in the

second semester.

- Physical Education is a complementary subject and the credits for are supplementary allocated.

39

YEAR II (2016-2017)


Co

urs

e h

ou

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Pra

ctic

al

cou

rse

ho

urs

Cre

dit

s

Sem

este

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Eval

uat

ion

MED2 1 01EN Topographic and Sectional Applied Anatomy

28 56 6 I E1

MED2 1 02EN Metabolic Biochemistry 42 42 7 I E1

MED2 1203EN

Histology 56 56 8

(4+4) I/II

E1, E2

MED2 1204EN

Physiology 84 84 12

(6+6) I/II

E1, E2

MED2 12 05EN

General Microbiology 56 56 8

(4+4) I/II

E1, E2

MED2 12 06EN

Medical Genetics 42 56 7

(3+4) I/II

V1, E2

MED2 2 07EN Medical Research Methodology

21 21 4 II E2

MED2 2 08EN Primary Healthcare 14 14 2 II V2

MED2 209EN Modern Languages (Romanian as a foreign language)

- 56 2 I/II C2

MED2 2 10EN Physical Education* - 28 2* I/II V2

Elective Course 14 - 2 II V2

Medical Practice - 100

2 - C

- Romanian Language is compulsory for foreign students and it will consist

of 84 h = 3 hours/week;

- Modern Language is compulsory for Romanian students and elective for

foreign students.

- Credits for Physical Education are supplementary allocated.

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YEAR III (2016-2017)


Co

urs

e h

ou

rs

Pra

ctic

al

cou

rse

ho

urs

Cre

dit

s

Sem

este

r

Eval

uat

ion

MED31201EN Medical Semiology 84

7 168

- 15

(7+8) I/II

E1, E2

MED3102 EN Surgery-Semiology 42 56 6 I E1

MED31203EN Physiopathology 56 56

7 (3+4)

I/II E1, E2

MED31204EN Pathology 70 70

9 (4+5)

I/II E1, E2

MED31205EN Pharmacology 42 28

6 (4+2)

I/II E1, E2

MED31206EN Hygiene 42 42

7 (2+5)

I/II V1/E2

MED3107EN Basic Practical Skills 7 14 2 I V1

MED3208EN Clinical Microbiology 14 14 2 II V2

MED3209EN Immunopathology 14 14 2 II V2

Elective Course 14 - 2 I V1


Romanian Language - 84 - I/II C

- Romanian Language is compulsory for foreign students. At the end of the IIIrd year, students from the study programmes in English and French are going to have a Romanian language test. - There are 7 course hours at: - Cardiology Heart Institute (Romanian and French series) - Cardiology Rehabilitation – English series - 7 course hours for Neurological and Psychiatric Semiology = 4 hours

Neurology and 3 hours Psychiatry

- Romanian series 1 and 2, will study Surgery in the Ist semester and Clinical Microbiology and Immunopathology in the IInd semester. - Romanian series 3 and 4, will study Surgery in the IInd semester and Clinical Microbiology and Immunopathology in the Ist semester.

41

YEAR IV (2016-2017)


Co

urs

e h

ou

rs

Pra

ctic

al

cou

rse

ho

urs

Cre

dit

s

Sem

este

r

Eval

uat

ion

MED4 1 01EN Internal medicine. Gastroenterology

56 120 10

I E1

MED4 1 02EN Clinical Pharmacology 21 14 3 I E1

MED4 1 03EN Nephrology 21 28 3 I E1

MED4 1 04EN Radiology. Locomotor system, excretory system and emergency

21 21 5 I E1

Medical Imaging 14 14

MED4 1 05EN Hematology 21 28 3 I E1

MED4 1 06EN Clinical Biochemistry 14 7 2 I E1

MED4 2 07EN Urology 14 28 2 II

E2

MED4 2 08EN Occupational Medicine 14 28 2 II

E2

MED4 2 09EN

General Surgery 56 140

13

II

E2 Oncologic Surgery 7 14

Cardiovascular Surgery 14 14

Plastic Surgery 7 7

MED4 2 10EN Oral and Maxillofacial Surgery 14 14 2 II

E2

MED4 2 11EN Orthopedics – Traumatology Paediatric Orthopedics

14 7

28 7

4 II

E2

MED4 2 12EN Ophthalmology 14 28 2 I E1

MED4 2 13EN Endocrinology 14 28 3

II

E2 Diabetes, Nutritional and Metabolic Diseases

14 14 2 I

Elective Course 14 - 2 II

V2


- Modules are organized in 8 week blocks + 1 week of examination session

- Modules are organized in blocks of 7 weeks + 2 weeks of examination session

- Internal Medicine has the clinical internship of 3 hours /day

- Surgery clinical internship takes place 3 hours /day (2,5 hours clinical internship/week - 20 hours/block – compulsory in emergency)

42

The exams for the following subjects: Radiology. Locomotor System, Excretory

System and Emergency and Medical Imaging, General Surgery, Oncologic

Surgery, Cardiovascular Surgery and Plastic Surgery, Endocrinology and

Diabetes, Nutritional and Metabolic Diseases, Orthopedics -Traumatology and

Pediatric Orthopedics are complex and carried out according to the

methodology issued by the Dean’s Office.

43

YEAR V (2016-2017)


Co

urs

e h

ou

rs

Pra

ctic

al

cou

rse

ho

urs

Cre

dit

s

Sem

este

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Eval

uat

ion

MED5 1 01EN

Internal Medicine 63 120 12

2

I E1 Interventional Cardiology. Heart Institute

- 14

Pneumology 14 14

MED5 1 02EN Clinical Pharmacology 21 21 4 I E1

MED5 1 03EN

Neurosciences - -

10

I E1 Adult Neurology 56 56

Pediatric Neurology 14 14

Neurosurgery 14 14

MED5 2 04EN Radiology. Respiratory, cardiovascular systems and neurology

14 14 2 II E2

MED5 2 05EN Pediatrics Puericulture Pediatric Surgery

70 14 7

168 14 21

13

II E2

MED5 2 07EN ENT – Otolaryngology 28 28 5 II E2

MED5 2 08EN Oncology and Radiotherapy 14 28 4 II E2

MED5 1 09EN Rheumatology Medical Rehabilitation

14 14 2 II E2

14 14 2 I -



Graduate Thesis Preparation*

- 60 2*

II V

- Modules are organized in 8 week blocks + 1 week of examination session.

- Modules are organized in 7 week blocks + 2 weeks of examination session.

- Each group has, on turns, Interventional cardiology in clinical internship take place at the Heart Institute – 1 week during the Internal Medicine clinical internship.

- For the neurosciences module, there is only one exam (complex)

- For Pediatrics Clinical Internship there are 4 hours/day; 8 hours of clinical

internship are required in the Emergency room.

44

- The following exams Neurosciences, Adult Neurology, Pediatrics,

Puericulture and Pediatric Surgery, Cardiology and Pneumology,

Rheumatology and Medical Rehabilitation are complex and carried out

according to the methodology issued by the Dean’s Office

- Credits for the Graduate Thesis Preparation are supplementary allocated YEAR VI (2016-2017)


Co

urs

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ou

rs

Pra

ctic

al

cou

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ho

urs

Cre

dit

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Sem

este

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Eval

uat

ion

MED6 1 01EN Family Medicine 28 42 5 I E1

MED6 1 02EN Epidemiology 14 14 2 I E1

MED6 1 03EN Dermatology Allergology

28 7

28 14

4 2

I E1

MED6 1 04EN Obstetrics-Gynecology 70 168

11 I E1 Neonatology 7 14

MED6 1 05EN Forensic Medicine 28 21 3 I E1

MED6 1 06EN Geriatrics 14 21 2 II E1

MED6 2 07EN Psychiatry Pediatric Psychiatry

42 49 9 II E2

14 14

MED6 2 08EN Infectious Diseases 42 84 9 II E2

MED6 2 09EN Anesthesia and Intensive Care

21 21 3 II E2

MED6 2 10EN Emergency Medicine 21 21 3 I E1

MED6 2 11EN Training in the Practical Skills Center

7 21 2 II V2

MED6 2 12EN Public Health and Management

28 14 3 II E2


Graduate Thesis Preparation* - 60 2* II C

- Modules are organized in 7 week blocks + 2 weeks of examination session.

- 12 hours, on turns, compulsory in Family Medicine cabinets - Gynecology clinical internships are 4h/day, 4h clinical internship/week of

standby cover in the emergency room are compulsory - Credits for the Graduate Thesis Preparation are supplementary allocated

45

The exams for the following subjects: Obstetric and gynecology, Neonatology, Psychiatry, Child Psychiatry are complex exams and are conducted according to the methodology provided by Dean’s office

46

SYLLABUS – SUBJECTS DESCRIPTION A. COMPULSORY COURSES

YEAR I

GENERAL ANATOMY AND EMBRIOLOGY. TOPOGRAPHIC AND SECTIONAL ANATOMY

Field of Study Medicine Study programme Medicine Course title General Anatomy and Embryology Course coordinator Lecturer Dr. Carmen Micu, MD. PhD,

Lecturer Bartoş Dana, MD. PhD Department Morphological Sciences Discipline Anatomy and Embryology Course code MED 1 1 01 EN

Sem

este

r

Course type

Lectures Practical activities


Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion

hours/week hours/semester

L PA CI PA CI

I

Compulsory 2

5

- 28

70

- 30

98 7 Written exam + oral exam

II 5 70 98 7

L = lectures; PA = practical activities; CI = clinical internship

Pre-requisites: -

General objectives

Achievement of a tridimensional representation of the human body as a whole and by regions.

Learning of superficial landmarks for the content of the great cavities of the body.

Development of dynamic ontogenetic representations, of use in prenatal diagnosis.

Assimilation of certain skills and maneuvers.

47

Specific objectives

Knowledge of fundamental head, neck, trunk and limb morphology notions.

Course content

1. Object of anatomy. 2. Age stages and their characteristic features. 3. Human body types. Gametogenesis. Fertilisation. Anomalies. 4. Weeks I-IV of development. Anomalies. 5. Organogenesyis: morphogenesis and histogenesis, integration. 6. Embrionary appendages. 7. Generalities of the bone system, articular system and skeletal muscle system. 8. Development of the locomotor system. 9. Anatomy and ontogeny of the limbs. 10. General organisation of the trunk: walls, cavity. 11. Development of the trunk and diaphragm. Anomalies. 12. General features of the respiratory system. 13. Phonatory apparatus. 14. Development of the respiratory system. Anomalies. 15. Generalities of the cardiovascular system. 16. Development of the cardiovascular system. Anomalies. 17. General description of the thorax: walls, content. 18. General features of the digestive system. 19. Development of the digestive system. Anomalies. 20. General description of the abdomen: walls, content. 21. General description of the urinary system. 22. Development of the urinary system. Anomalies. 23. Pelvis: walls, pelvic portion of the peritoneal cavity, gender differences. 24. General organisation of the reproductive system. 25. Development of the reproductive system. Anomalies. 26. Generalities of the perineum, gender differences. 27. General description of the head and neck. 28. Development of head and neck. Anomalies. 29. Generalities of the endocrine system.

Bibliography

1. Clinical Oriented Anatomy – K. L. Moore, A.F. Dallay, A.M.R. Agur –2014

Ed.

2. Langman’s Medical Embryology – T.W. Sadler –2015 Ed.

48

Evaluation – standardized exam

Written exam 60% Practical exam 25% Activity portfolio 15%

49

BIOPHYSICS

Field of Study Medicine Study programme Medicine Course title Biophysics Course coordinator Prof. Mihai Lucaciu, MD, PhD Department Molecular Sciences Discipline Medical Biophysics Course code MED 1 1 02 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI PA CI

I Compulsory 2 2 - 28 28 - - 56 6

Written exam +

Practical exam


Pre-requisites -

General objectives

Acquiring knowledge about the physical mechanisms and phenomena in biological systems.

Using applications of physical methods in the qualitative, quantitative and functional analysis of biological systems.

Understanding the biophysical aspects in different functions and structures of the human body, at different levels of organization, in normal and pathological situations; assimilating general concepts concerning the physical processes involved in the functioning of our body

Understanding the functioning principles of the methods, devices and appliances used in medical research and practice.

Acquiring certain abilities and minimum skills in the usage of appliances or in the execution of experiments.

Specific objectives

Acquiring knowledge about the superficial tension of fluids, viscosity, and capillarity, thermal and electric phenomena in the human body.

Acquiring the ability to explain how the human body works as a thermodynamic system and to apply the principle of energy conservation to the calculation of the body’s energetic balance.

50

Being able to explain, in physical terms, the creation of the potential differences in the cellular membranes and the electric properties of the membranes.

Acquiring knowledge about the physic-chemical phenomena on which the cellular transport mechanisms are based.

The critical evaluation of results and the correct usage of the International System of Units and Measurements in medicine.

Being able to apply modern biophysical methods to the study of the membrane and the cellular processes. Response to medication.

Acquiring knowledge about the principles of physical methods used for the micro-and macroscopic study of biosystems; the impact of physical factors on the functioning of biosystems.

Being able to use radiations for diagnosis and therapy, as well as knowing all about their side effects. Radiation dosimetry.

Acquiring scientific knowledge about the influence that physical factors have on the human body, especially ionizing radiations. The cellular mechanisms of the live tissue interaction with electromagnetic radiations. Radioprotection.

Being able to apply related physical principles to some methods of investigation. Being able to explain the relative advantages and disadvantages of these investigation methods. The biophysical basic features of a few non-invasive methods of diagnosis and treatment: - Clinical scintigraphy: radioactive and radiopharmaceutical tracers,

static and dynamic examination. - Ultrasounds: production and reception, the Doppler effect,

applications in medicine. - X-rays in medicine: radioscopy, radiography, CT scan, radiotherapy. - Physical principles of Magnetic Resonance Imaging (MRI) and

applications. - LASER- principles and applications in medicine. - Light polarization and its applications in medicine.

Understanding the basic physical features of the biological phenomena involved in medical disciplines: cellular biology, physiology, pathophysiology, cardiology, neurophysiology, ophthalmology, radio diagnostic and medical imaging, nuclear medicine, oncologic radiotherapy, physiotherapy etc.

Developing the ability to assimilate and define the necessary methodology for structuring a biological or clinical study, based on data provided by an experiment; processing and analyzing experimental results that will allow the elaboration of a scientific paper (report, article).

Getting familiarized with the physical principles that grant the functioning of modern medical appliances, with the purpose of offering our graduates

51

the possibility to activate in domains where high-tech devices for non-destructive medical investigations and therapy are used.

Course content

Bioenergetics (6 hours) Thermodynamic systems, states and processes Equilibrium states and steady states. State functions. Gas law. Energy, the internal energy. The first law of thermodynamics. Enthalpy. The laws of thermochemistry. Hess' law. Standard enthalpy of combustion of foodstuffs. Entropy. The second law of thermodynamics. Statistic interpretation of the third law of thermodynamics. Entropy and disorder. Entropy and biology. Termodynamic potentials Free energy. Helmholtz free energy, Gibbs free energy. The direction of spontaneity and the criteria for equilibrium. The chemical potential. The standard free energy and the free energy of reactions occurring in metabolic pathways. The equilibrium constant. Factors deciding in spontaneity of reactions in living systems. Free energy of sequential (tandem) reactions. High-energy phosphate bonds. Standard free energy of hydrolysis of ATP, conditions affecting free energy of hydrolysis of ATP. Oxidation-reduction reactions. Electrode reduction potentials, standard half cell potentials. Electrochemical conversion of energy. First type half cells and concentration cells. The pH. Oxidative phosphorylation and electron transport. Photophosphorylation. The chemiosmotic-coupling hypothesis. Molecular phenomena in liquid state (4 hours) Liquid state Vaporisation and condensation. The phase diagram Colligative properties of solutions. Osmosis; osmotic pressure; cells as osmometers; Starling effect. Edema formation. Dialysis and ultra filtration. Fluid mechanics hydrostatic pressure, Bernoulli’s law. Law of Poiseuille. Application to blood flow. Viscosity, blood viscosity. Surface tension surface tension at interfaces. Surfactants. Laplace law. Medival applications Molecular biophysics (6hours) Atom models. Rutherford-Bohr atom. Spectral series. Bohr-Sommerfeld atom. Quantum numbers. Elementary approach to quantum mechanics: wave function, uncertainty principle,. Atomic orbitals. The periodic table. Chemical binding.

52

Electronegativity. Hybridisation of molecular orbitals. Covalent binding; molecular orbitals; molecular energy levels. The dipolar moment. Metallic binding. Ionic binding. Physical binding Hydrogen bonding and water structure; hydrophobic interactions; ionic interactions; dipolar (van der Waals) interactions. Biological macromolecules. Levels of structure of biological macromolecules.. Properties of water. Physical properties of polypeptides. Proteins Techniques for the study of biological molecules Optical techniques, hydrodynamic techniques, X-ray crystallography Transport processes (4 hours) Biomembranes Structure and functions of biomembranes. Membrane models. Composition. Lipids . Properties of lipids. Passive transport. Diffusion. Free-diffusion equations; diffusion coefficient. Diffusion through membranes; permeability coefficients of cell membranes. Overton’s rule Facilitated diffusion. Transport through channels. Channel types. Active transport in living systems. Na-K-ATP and other active transport systems. Basic physics of membrane potentials (4 hours) The Nernst potential. The Donnan equilibrium and potential. The diffusion potential. Goldman equation. The sodium-potassium pump. Action potential The resting membrane potential. Events that cause the action potentials. Pases of the action potential. The Na and K channels. Propagation of the action potentials. Synaptic transmission of nervous impulse. Radiation biophysics (4 hours) The primary interactions of ionizing radiation with substance. The nature of radiations. Chemical and biological effects of non-ionizing radiation Effects of ionizing radiation on molecules: direct action; indirect action. Application of radiations in medicine: X ray radiography. Computed tomography Radioisotopes as tracers. Scinthigraphy. Positron emission tomography (PET) Actions of ionizing radiation on living cells. Survival curves and target theory. Radiation hazard and protection.

53

Bibliography

1. Ronto G.,Tarjan I. (Eds.): An Introduction to Biophysics with Medical Orientation, Akademiai Kiado, Budapest, 1994(This textbook is available for loan at the Central Library of the University of Medicine and Pharmacy)

2. Glaser R. Biophysics, Springer, Berlin, 1996 3. Yeargers EK., Basic Biophysics for Biology, CRC Press, Boca Raton,

1992


Practical assessment The practical assessment takes place during the last practical class of the semester. The practical assessment consists of practical and spoken tests. The resulting marks are part (25%) of the final marks obtained. Marks are attributed from 1 to 10. The minimal mark required to pass the practical assessment is 5. Failure to pass or absence from the practical examination prohibits participation in the theoretical examination. Theoretical assessment The theoretical examination takes place during the winter assessment session and consists of a written test. Marks are attributed from 1 to 10. The minimal mark required to pass the theoretical assessment is 5.

In the event of failure or absence from the theoretical examination in the summer session, students are allowed to be present in the 1s and in the 2nd reexamination sessions.


Written exam 75% Practical exam 25%

54

CELL AND MOLECULAR BIOLOGY

Field of Study Medicine Study programme Medicine Course title Cell and Molecular Biology Course coordinator Assoc. Professor Adrian Florea, MD PhD

Lecturer Lucian Frenţescu, MD PhD Department Molecular Sciences Discipline Cell and Molecular Biology Course code MED 1 1 03 EN

Sem

este

r

Course type



Individual

study TOTA

L

Cre

dit

s

Evaluation


L PA CI L PA CI

I Compulsory 2 2 - 28 28 - 54 108 6

Written Ex. +Practical Ex.

+Practical Application


Pre-requisites: -

General objectives:

teaching of the fundamental teoretical notions of Cell and Molecular Biology necessary for a physician;

laboratory practical skills’ training necessary in the following years as well as in the medical practice.

Specific objectives:

gaining the skills necessary to understand the medical applications of the concepts taught, taking into account that we are in the age of cell and molecular medicine;

teaching the technique of light microscope use; microscope’s images interpretation emphasizing medical applications; basic notions of the techniques of cell and molecular biology such as the

cell fractionation by differential centrifugation and chromatography of membrane lipids.

55

Course content:

1. Introduction to Cell and Molecular Biology. 2. General Notions About Cells. 3. Molecular Basis of the Chemical Organization of the Cell. 4. Cytoplasmic Matrix. 5. Molecular Basis of the Cell Motility. 6. Molecular Biology of the Cell Membranes. 7. Nucleus. 8. Eukaryotic Chromosomes: Aspects of Cell and Molecular Biology with

Medical Applications. 9. Cell Division. 10. Endoplasmic Reticulum. 11. Golgi Apparatus. 12. Cell Secretion. 13. Lysosomes. 14. Peroxysomes. 15. Mitochondria. 16. Extracellular Matrix and Cell Adhesion. 17. Cell Recognition. 18. Cell Aging and Cell Death. 19. Central Dogma of Molecular Biology and Medical Applications. 20. Cancer Cell and Oncogenes. Mandatory bibliography: 1. Lecture notes; 2. Gheorghe Benga, Introducere în Biologie Celularã şi Molecularã, Ed. Medicalã Universitarã, Cluj-Napoca, 2005. Supplementary bibliography: 3. Alberts B., Bray D., Hopkin K., Johnson A., Lewis J., Raff M., Roberts K. and Walter P., Essential Cell Biology, second edition, Garland Publishing, Inc., New York, 2005; 4. Lodish H., Berk A., Kaiser C.A., Krieger M., Scott M.P., Bretscher A., Ploegh H., Matsudaira P., Molecular Cell Biology, 6th edition, W.H. Freeman, New York, 2007; 5. Maillet Marc, Biologie Cellulaire, Ed. Masson, 7eme edition, 1995


Written exam 75% Practical exam 12.5% Practical application 12.5%

56

MEDICAL INFORMATICS AND BIOSTATISTICS

Field of Study Medicine Study programme Medicine Course title Medical Informatics and Biostatistics Course coordinator Assoc. Prof. Sorana Bolboacă, PhD Department Community Medicine Discipline Medical Informatics and Biostatistics Course code MED 1 1 04 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion

hours/week hours/sem.

L PA CI L PA CI

I compulsory 1 2 - 14 28 - 42 84 3

Written Ex.

+Practical Ex.


Pre-requisites: -

General objectives:

The aim of the course is to help students to gain basic information about information technologies with applications in dentistry and medicine (birotics, databases, working in networks, storing data, searching information) as well as basic methods of statistics. In addition, students will learn about current technologies and methods in computer science and biostatistics and their impacts on health care practice and research.


A. Theoretical knowledge (What is need to know):

Elements of information theory.

Data structures. Models and systems for information management.

Software applications for dentistry/medical birotics.

Probabilities and their dentistry/medical applications.

Statistical methods and their applications. B. Skills (What they know to do?):

Microsoft Work processing.

57

Dentistry/Medical data. Collecting data; data management with Microsoft Excel.

Descriptive statistics with Microsoft Excel.

Data communication using Microsoft PowerPoint and Microsoft Word.

Searching and accessing information using Internet.

Course content:

Course 1.

Introduction in Medical Informatics and Biostatistics.

Course objectives.

About Medical Informatics & Statistics. Course 2.

Information Theory.

Quantity of Information. Coding information.

Information vs. Medical Data.

Basic elements of information theory

Information’s quantity. Coding pieces of information

Pieces of information and medical data Course 3.

Introduction in statistics. o Definitions o Stages of Scientific Knowledge o Quantification and Accuracy o Data Types o Notations o Population, sample and randomization

Course 4.

Descriptive statistics: o Measures of centrality o Measures of dispersion o Measures of localization o Measures of symmetry

Course 5.

Probabilities o Introduction o Odds and ratio o Properties

Conditional probabilities Course 6.

Random variables

Frequency distributions Course 7.

58

Summary statistics: o Numerical summaries: one & two variables. o Ordinal summaries: one & two variables. o Good Graphical Practices

Course 8.

Estimation of statistical parameters: o Confidence intervals for means o Confidence intervals for frequencies

Hypothesis testing: Concept and Practice Course 9.

Testing the Distribution Shape of Continuous Data. o Objectives. o Test of Normality of a Distribution. o Test of Equality of Two Distributions.

Course 10.

Tests on Categorical Data I: o 2×2 Tables & r×n: Contingency Tables o Risks and Odds in Medical Decisions o 2×2 Tables: Tests of Associations

Course 11.

Tests on Categorical Data II: o Tests of Proportion o Matched Pair Test (McNewman’s Test)

Course 12.

Tests on means: o Normal z and t Tests for single or paired means. o Normal z and t Tests for two means. o Three or more means: One-Way Analysis of Variance

Course 13.

Tests on Variances of Continuous Data: o Basics of tests of Variability. o Single Sample. o Two Samples. o Three or more samples.

Course 14.

Medical Experts Systems.

Medical Documentation.

Image Processing. Dicom Standard.

59

Bibliography

1. Cozman D, Nemeș B. Medical Psychology. Cluj-Napoca: Presa

Universitară Clujeană; 2014. ISBN 978-973-595-651-6 2. Cosman D. Suicidology. Cluj-Napoca: Presa Universitară Clujeană;

2013. ISBN 978-973-595-601-1

Evaluation– standardized exam

Scale theoretical examination 70%

Practical exam 30%

60

MEDICAL PSYCHOLOGY

Field of study: Medicine Study programme: Medicine Course title: Medical Psychology Course coordinator: Lecturer Bogdan Nemeş, PhD Department: Medical Education Discipline: Medical Psychology Course code: MED 2 1 07 EN

Sem

este

r

Courses Type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I Compulsory 1 1 - 14 14 - 28 56 2 Written

exam


Pre-requisites: -

General objectives:

Developing practical skills for a therapeutical relationship Learning how to communicate with the patient Gaining basic psychological knowledge Specific objectives: Mental state examination Assessing personality in medical practice Identifying the psychological aspects related to illness Assisting the patient for adjusting to illness Learnng methods of encreasing therpeutic compliance Life style counseling Identifying risk behaviors

Course content:

1. Introduction in Medical Psychology. Concept, definition and importance in medical field.

2. Normality and Abnormality. Criterias for normality and abnormality. Health and Diseases. Differences between disease/sickness and illness.

3. Mental functions. (cognitive, affective and conative functions). 4. Doctor-Patient relationship. Doctor’s and patient’s status and roles.

61

5. Doctor-Patient communication. Verbal versus non verbal communication. Empathy.

6. Therapeutic compliance and non compliance. 7. Iatrogenies. Definition, classification (farmacological, psychological,

paraclinical and hospitalisation iatrogenies). 8. Stress and coping strategies. Stress and illness. 9. Elements of psycho oncology. Psychological, behavioral and social factors

implicated in cancer. 10. Pain psychology. Definition, classification and pain physiology. Acute and

chronic pain psychology. Theories of pain. 11. Suicide, parasuicide and deliberate harm. Definition. Phases in suicidal

process. 12. Crisis and crisis intervention. Types of crises. Crisis characteristics.

Interventional algorithme. 13. Placebo medication. 14. Introduction in psychotherapies. Classification. Principles of different types

of psychotherapy.

Bibliography

1. Cozman D, Nemeș B. Medical Psychology. Cluj-Napoca: Presa Universitară

Clujeană; 2014. ISBN 978-973-595-651-6 2. Cosman D. Suicidology. Cluj-Napoca: Presa Universitară Clujeană; 2013.

ISBN 978-973-595-601-1


62

MEDICAL BIOETHICS AND HISTORY OF MEDICINE

Field of Study Medicine Study programme Medicine Course title Bioethics and History of Medicine Course coordinator Assoc. Prof. Cristian Bârsu, MD. PhD Department Medical Education Discipline Socio-humanistic Sciences Course code MED 1 1 06 EN

Sem

este

r

Course Type


Lectures

Practical activities

Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory 1 0.5 - 14 7 - - 21 2 Ongoing evaluati

on

L = lectures; PA = practical activities; CI= clinical internship

Pre-requisites: -

Knowledge of basic elements from medical bioethics

General objectives:

Assimilating fundamental notions in the field of bioethics with the purpose of identifying the ethical issues in medicine and the healthcare system.

Justifying ethical decisions that could be taken in these situations. Applying ethical principles from the main documents in the field and the

scientific literature.


Distinguishing between describing and evaluating a particular situation and delimiting the ethical themes.

Reflecting on presented cases. Assimilating the main approaches in bioethics.

Course content:

Medical Bioethics 1. Introductory notions: definitions, history and foundations of bioethics. 1.1. Terminology: ethics, morals, bioethics. 1.2. Definitions of bioethics 1.3. The birth of the term „bioethics”

63

1.4. The purpose of bioethics 2. The principles of medical bioethics 2. 1. The principle of autonomy 2. 2. The principle of non-maleficence (primum non nocere) 2. 3. The principle of beneficence 2. 4. The principle of justice 3. The concept of „person” and its relevance in bioethics 3. 1. The concept of person. Definitions and meanings 3. 2. Main approaches in bioethics 3.3. Reasons for which certain human beings are not regarded as „persons” 4. The issue of informed consent 4.1. The consent of the informed patient. 4. 2. Accomplishing consent. 4. 3. Exceptions from the rule of informed consent. 4.4. Advanced directives as limits to accomplishing informed consent. 5. Bioethical aspects of organ transplant 5.1. The principles of organ removal and transplantation 5.2. Controversial aspects of organ removal and transplantation 5.3. Types of transplantation: autotransplantation, allotransplantation, xenotransplantation 5.4. The legal constraints in medical practice and Romanian legislation 6. Death. Euthanasia. Assisted suicide 6.1. Definition and „meaning of death” 6.2. Distinctions among euthanasia, assisted suicide, therapeutic abandonment, therapeutic fierceness. 6.3. Is the „right to die” guaranteed? 6.4. Ethical aspects of legalizing euthanasia and medically assisted suicide 7. Assisted reproduction technologies 7.1. Definition and traits 7.2. Legal and ethical aspects regarding embryo’s identity 7.3. Embryo’s rights tutelage 7.4. Ethical aspects regarding assisted reproduction technologies

64

Bibliography

1. Aluaş, Maria, Bioetica în dezbaterea contemporană: istorie şi interpretări, in: “Studia Universitatis Babes-Bolyai – Bioethica”, LVI, 1, 2011, pp. 39-58.

2. Astărăstoae Vasile, Almoş, Bella Trif, (1998), Essentialia în bioetică, Iaşi, Editura Cantes.

3. Beauchamp, Tom, James F. Childress, (1989), Principles of biomedical ethics, New York, Oxford University Press.

4. De la Croix, J. M., (2001), Mic manual de Bioetică, traducere: Alexandru Cobzaru, Bucureşti, Asociaţia Caritas.

5. Engelhardt, H. Tristram Jr., (2005), Fundamentele Bioeticii Creştine, traducere: M. Neamţu, Cezar Login şi I. Ică jr, Sibiu, Deisis.

6. Gavrilovici, Cristina, (2007), Introducere în Bioetică, Iaşi, Ed. Junimea. 7. Ioan, Beatrice, Astărăstoaie, Vasile, Dileme etice la sfârşitul vieţii,

Polirom, Iaşi, 2013. 8. Lamb, David, (1995), Therapy Abatement, Autonomy and Futility:

Ethical Decisions at the Edge of Life, Aldershot, Averbury, Ashgate publishing Group.

9. Larchet, Jean-Claude (2010), Une fin de vie paisible sans douleur sans honte…, Paris, Editions du Cerf.

10. Pessina, Adriano, (2009), Eutanasia. Despre moarte şi despre alte lucruri, traducere: Maria Aluaş, Cluj-Napoca, Renaşterea.

11. Reich, W.T. (ed), (1995), Encyclopedia of Bioethics, New York, USA, Macmillan Library Reference.

12. Sgreccia, Elio, Tambone, Victor, (2001), Manual de Bioetică, traducere: Gilda Levescu, Bucureşti, Tipografia Everest, Arhiepiscopia Romano-Catolică.

13. Zanc, Ioan, Iustin Lupu, (2006), Bioetică medicală. Principii, dileme, soluţii. Ediţia a III-a revăzută şi adăugită, Cluj-Napoca, Editura Medicală Universitară „Iuliu Haţieganu”

Official documents: UNESCO, Universal Declaration on Bioethics and Human Rights, 2005. Council of Europe, Convention on Human Rights and Biomedicine,

Oviedo, 1997 and the additional protocols.

Evaluation: 1. Entry to the exam can be validated only if the following requirements are fulfilled: - presence at the practical works is 100% - presence at the course is minimum 70% 2. Evaluation: - on-going evaluation (70% of the grade)

65

- activity at the practical activities during the semester (30% of the grade) History of Medicine General purposes - Historical fundamental concepts of history assimilation and their applications to the contemporary medicine. - Creating a general view of social and cultural influences implicated in the development of medicine. - Understanding the importance of the modern level of medicine, regarding its past. - Understanding the role of cross-culture for Romanian medical evolution. - Appropriating some historical examples of medical humanism. Specific purposes - To be acquainted with Romanian and international medical traditions and to respect them. - To apply a fair-play evaluation for understanding the history of different medical schools. - To learn the evolution of general medical landmarks during ages. - To create a framework for understanding the topics learnt at different courses. - To assert the Cluj Medical School identity.

Course subjects 1. Paleopathology. 2. Medicine in antiquity.

2.1. Medicine in Mesopotamia. 2.2. Medicine in Ancient Egypt. 2.3. Medicine in Ancient Greece. 2.4. Medicine in Ancient Rome.

3. Medieval medicine in the world of Islam and in Europe. 4. The Renaissance.

4.1. Vesal – the founder of modern anatomy. 4.2. The first steps of physiology. 4.3. The surgical development.

5. Medicine in the 17th century. 5.1. William Harvey – the discoverer of blood circulation.

5.2. The First Steps in Microscopy. 6. Medicine in the 18th century. Bichat and histology. 7. Masters of Cluj, Iasi and Bucuresti faculties of medicine.

66

References:

1. Barsu C. – Istoria anatomiei, embriologiei si histologiei, U.T. Pres, Cluj-Napoca, 2006. 2. Duffin J. – History of Medicine, University of Toronto Press Incorporated, 2004. 3. Halioua B. – Précis d’histoire de la médecine, Ed. Masson, Paris, 2004. 4. Kennedy M. T. – A Brief History of Disease, Science and Medicine, Asclepiad Press, Mission Veijo, California, 2004. 5. Porter R. – The Greatest Benefit to Mankind. A Medical History of Humanity, W.W. Norton & Co., New York, London, 1998. 6. Porter R. (ed.) – The Cambridge Illustrated History of Medicine, Cambridge University Press, 2001. 7. Richardson R, Morris H. S. – History of Medicine. With Commentaries, Quiller Press, Shrewsbury, 2005.

Evaluation

written examination 90% course attendance 10%

67

BASIC MEDICAL COMMUNICATION

Field of Study Medicine Study programme Medicine Course title Basic Medical Communication Course coordinator Lecturer Codruţa Alina Popescu Department Medical Education Discipline Socio-humanistic Sciences – History of Medicine Course code MED 1 1 07 EN

Sem

este

r

Courses type



Individual study

TOTA

L C

red

it

Eval

uat

ion


L PA CI L PA CI

II Compulsory 0.5 1 2 7 14 - 39 60 2 Continuous assessment


Pre-requisites: -

General objectives:

The aim of this course is to develop the communication skills that will enable the students to communicate effectively and sensitively with patients and their relatives.


At the end of the course the student should be able to: Demonstrate competency in communication skill Conduct comprehensive and focused interviews Establish a therapeutic doctor – patient relationship and communicate

verbally and non-verbally in a manner that facilitates good patient care. Deal with sensitive psychosocial issues such as sexuality Work with patients in challenging situations such as breaking “bad news”

and conflict management such as the angry patient

Course content

1. Introduction to communication theory 2. Clinical communication 3. Providing structures to the clinical interview 4. The doctor-patient relatioship 5. Types of communication skills and how they interrelate 6. Building the relationship with the patient

68

7. Emotions in communication (introduction)

Lecture Themes

1. Basic communication skills, how to use questions, type of questions 2. Gathering information 3. How to give information 4. Breaking bad news 5. How the approach a difficult patient 6. Assesment of communication skills

References:

1. Leavitt Jessica, Leavitt Fre. Improving Medical Outcomes: The Psychology of Doctor-Patient Visits, Rowman & Littlefield , 2011

2. Kurtz Suzanne. Teaching and Learning Communication Skills in Medicine, Radcliffe Publishing, 2005

3. Dianne Berry . Health Communication: Theory and Practice. Open University Press. Maidenhead, England, 2007.

4. John O. Greene, Brant R. Burleson. Handbook of Communication and Social Interaction Skills. Lawrence Erlbaum Associates, Mahwah, NJ. 2003.

5. Steve Bedney Mark A Hertzberg. The Most Unhealthy Relationship of All: A Guide to Better Doctor-Patient Communication. Universe. New York, 2002.

6. Debra L. Roter , Judith A. Hall Doctors Talking with Patients/Patients Talking with Doctors: Improving Communication in Medical Visits. Auburn House. Westport, CT. 1993.

7. Margaret Lloyd, Robert Bor, Geraldine Blache , Zack Eleftheriadou. Communication Skills for Medicine, Churchill Livingstone. New York. 1996.

Evaluation

Tests during the semester

69

BIOCHEMISTRY

Study domain: Medicine Study programe: Medicine Course: Descriptive Biochemistry Course entitled: Lecturer Tiberiu Nistor, PhD Department: Molecular Sciences Discipline: Medical Biochemistry Course code: MED 1 2 08 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II

Compulsory 2 2 - 28 28 - 50 106 6 Written

Exam


Pre-requisites: -

General objectives:

The accumulation of basic knowledge necessary for the understanding of the structure of the macromolecular compounds and biochemical processes in living organisms.

The students need to be prepared for the correct interpretation of the biochemical analysis and for establishing connections allowing the understanding of physiological and pathological processes at a molecular level.


The knowledge of basic biochemical principles important in medicine: - The structure and function of amino-acids and proteins important in

the human body - Receptors’ structure and action mechanism - Enzymes as catalysts of metabolic processes in living organisms and

their medical implications - Vitamins and coenzymes: structure, role and deficiency - Nucleic acids: structure, role, transmission and expression of genetic

information

70

Course content:

1. Introduction in biochemistry Water – the major component of the cell Acids and bases: general aspects Henderson – Hasselbalch equation

2. Amino acids: - Structure and importance - Properties of amino acids

3. Structure of proteins: - Primary structure of proteins - Secondary structure of proteins - Tertiary structure of proteins - Quaternary structure of proteins

4. Types of proteins: - Myoglobin - Hemoglobin - Immunoglobulins - Collagen - Elastin

5. Receptors: - General aspects - Types of receptors and their characteristics

6. Enzymes: - General aspects - Classification of enzymes - Structure of enzymes - Enzyme specificity - Enzyme kinetics - Types of enzyme inhibition - Control of enzyme activity - Isoenzymes

7. Vitamins and coenzymes: - Water soluble vitamins: ▫ Vitamin B1 ▫ Vitamin B2 ▫ Niacin ▫ Biotin ▫ Pantothenic acid ▫ Vitamin B6 ▫ Folic acid ▫ Vitamin B12 ▫ Vitamin C

71

- Fat soluble vitamins: ▫ Vitamin A ▫ Vitamin D ▫ Vitamin K ▫ Vitamin E

8. Nucleic acids: - General aspects - Nitrogenous bases - Nucleosides - Nucleotides - Structure and types of DNA - Structure and types of RNA

References:

1. Michael L. Bishop, Janet L. Duben-Engelkirk, Edward P. Fody – Clinical Chemistry, second edition, 1992

2. Robert K. Murray, Daryl K. Granner, Peter A. Mayes, Victor W. Rodwell – Harper’s Illustrated Biochemistry, twenty-sixth edition, 2003

3. Pamela C. Champe, Richard A. Harvey, Denise R. Ferrier – Biochemistry, Lippincott’s Illustrated Reviews, 2005

4. David L. Nelson, Michael M. Cox – Lehninger-Principles of Biochemistry, fourth edition, New York, 2005

5. Thomas M. Devlin – Textbook of Biochemistry with Clinical Correlations, sixth edition, 2006

6. Tiberiu Nistor – Medical Biochemistry. A Practical Approach, 2010 7. Tiberiu Nistor – Basics in Descriptive Biochemistry, 2010

Evaluation:

Theoretical Exam – written and multiple choice questions (75% of the final mark)

Practical Exam – written and oral questions (25% of the final mark)

72

PHYSIOLOGY

Field of Study Medicine Study programme Medicine Course title Physiology, 1st year Course coordinator Assoc. Prof. Șoimiţa Suciu, MD, PhD Department Functional Sciences Discipline Physiology Course code MED 1 2 09 EN

Sem

este

r

Course type

Lectures Practical activity

Lectures Practical activity

Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion

Hours/week Hours/semester

L PA CI L PA CI

II Compulsory 2 2 - 28 28 - 50 106 6

Written exam +

practical exam


Pre-requisites: -

General objectives

Presentation of the fundamental principles of physiology, required for thoroughgoing study of the complex performance of organs and systems

Specific objectives

Acquirement of basic notions regarding the internal environment Accumulation of notions regarding various classes of receptors,

neurotransmitters, cytokines Understanding the main principles of regulation of the human body

functions Functional exploration of respiratory and nervous systems

Course content

1. Homeostasis of the internal environment. Fluid compartments of the human body.

2. Membrane transport mechanisms. 3. Physiology of the respiratory system: functional role of the upper

respiratory airways. Mechanics of pulmonary ventilation. Gaseous exchange through respiratory membrane. Transport of respiratory gases in the blood. Nervous and humoral regulation of respiration.

4. Physiology of excitable tissues

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5. Digestion Physiology: Morpho-functional particularities of digestive system. Gastric digestion. Pancreatic exocrine secretion. Bile secretion. Intestinal digestion. Large bowel digestion. Absorption along the digestive tract. Motor function of alimentary tract

References

1. Boron W.F, Boulpaep E.L., Medical physiology, Elsevier Saunders, 2005. 2. Ganong W.F., Review of Medical Physiology, Lange Medical

Books/McGraw-Hill, 2005 3. Guyton A.C., John E.Hall, Textbook of Medical physiology. WB Saunders

Company, USA, Sept. 2005.

Evaluation

written exam: 80% of the final grade practical exam: 10% of the final grade seminars: 5% of the final grade weekly tests: 5% of the final grade

74

FIRST AID

Field of study: Medicine Study programme: Medicine Course title: Medical First Aid Course coordinator: Assoc. Prof. Constantin Bodolea, MD, PhD Department: Surgery Discipline: AIT II Course code: MED 1 1 10 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I

Compulsory 0,5 1 - 7 14 - 21 2 Continuous assessment


Pre-requisites: -

General objectives:

To acquire general notions related to providing first aid in environmental emergencies, trauma and acute intoxications.

To evaluate patients in cardiac and respiratory arrest and to acquire necessary skills to perform resuscitation outside the hospital settings


the survival chain, cardio-pulmonary resuscitation, the diagnosis of cardiac and respiratory arrest, basic life support, airway desobstruction, the safety of the rescuer

environmental emergencies: caloric shock, sunstroke, hypothermia and frost bites, drowning, avalanches

environmental emergencies: viper bites, insect stings: the first aid acute drug intoxication, carbon monoxide intoxication: the first aid trauma: survey, hemostasis, bandages, fracture spliniting

Course content:

1. cardio-pulmonary resuscitation, the diagnosis of cardiac arrest, basic life support

2. resuscitation: simulation training

75

3. environmental emergencies: caloric shock, sunstroke, hypothermia and frost bites, drowning, avalanches

4. environmental emergencies: viper bites, insect stings 5. trauma: survey, hemostasis, fracture splinting 6. acute intoxications 7. practical activity: the first aid kit, fracture splinting, wound cleaning,

hemostasis, intramuscular and subcutaneous injections

References:

1. Sethi D et al. Advanced trauma life support training for ambulance crews. On behalf of the WHO Pre-Hospital Trauma Care Steering Committee. The Cochrane Database of Systematic Reviews 2006, Issue 1. Chichester, UK, John Wiley & Sons, Ltd., 2006

2. Natalia Hagău (editor), Constantin Bodolea, Dan Dîrzu, Cristina Indrei, Sebastian Trancă. Prim ajutor medical. Curs pentru studenţi din anul I medicină generală şi medicină dentară. Editura Medicală Universitară „Iuliu Haţieganu” Cluj-Napoca 2010.

3. Reading CJ. Incidence, pathology and treatment of adder (Vipera berus) bites in man. Journal Accidents Emergency Medicine 1996; 13: 346-351.

4. www.emedicine.com/emerg/index.shtml 5. Stewart S. Environmental emergencies. Baltimore: Williams& Wilkins

1990. 6. Mock C et al. Guidelines for essential trauma care. Geneva, World Health

Organization, 2004. 7. Prehospital trauma care systems. Geneva, World Health Organization,

2005. 8. Road safety training manual. World Health Organization, 2006. 9. Varghese M, Mohan P. When someone is hurt: a first aid guide for lay

persons and community workers. New Delhi, The Other Media Communications, 1998.

10. www.parasolemt.com.au/manual.php 11. http://emedicine.medscape.com 12. Diaz JH. Syndromic diagnosis and management of confirmed mushroom

poisonings. Crit Care Med 2005; 33(2): 427-36. 13. Berger KJ, Guss DA. Mycotoxins revisited: Part I. J Emerg Med 2005; 28(1):

53-62. 14. Eckstein M, Maniscalco PM. Focus on smoke inhalation--the most

common cause of acute cyanide poisoning. Prehospital Disaster 2006;21(2 Suppl 2): s49-55

15. Gorman D, Drewry A, Huang YL. The clinical toxicology of carbon monoxide. Toxicology 2003; 187(1): 25-38.

16. http://en.wikipedia.org/wiki/Mushroom_poisoning

http://www.emedicine.com/emerg/index.shtml

http://www.parasolemt.com.au/manual.php

http://emedicine.medscape.com/

76

17. First Aid Manual. 8th Edition St John Ambulance, St Andrew s First Aid,

British Red Cross 2002.

18. www.britishredcross.org.uk

Evaluation:

Written exam 50% Practical exam and portofolio 50%

http://www.britishredcross.org.uk/

77

BEHAVIORAL SCIENCES AND MEDICAL SOCIOLOGY

Field of Study Medicine Study programme Medicine Course title Behavioral Sciences and medical sociology Course coordinator Lecturer Bogdan Nemeş, MD, PhD Department Medical Education Discipline Clinical Psychology Course code MED 1 1 11 EN

Sem

este

r

Courses type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory 1 1 - 14 14 - 28 2 Exam


Pre-requisites: -

General objectives:

Understading thoretical aspects about mental processes and their main disorders

Knowledge aquisition about behavior: types, neurophysiological basis, principles of behavior therapy

Understanding thoretical aspects about social psychology and its relevance in medical practice


Patient mental state examination Assessing personality in medical practice Aquisition of apropriate methods of comunication with the patient Life style counseling Identifiying risk behaviors

Course content:

1. Introduction – Mental processes 2. Sensation and perception 3. Attention and memory 4. Thought and language 5. Emotions and motivation 6. Personality 7. Instinctual behavior

78

8. Learned behavior 9. Neurophysiological basis of behavior 10. Normal and abnormal human behavior 11. Stress and coping 12. Social psychology 13. Health psychology 14. Theoretical principles of counseling in medical practice

Bibliography

1. Coman H, Nemeș B. Behavioral Sciences. Cluj-Napoca: Presa Universitară Clujeană; 2014. ISBN 978-973-595-652-3

2. Fadem B. High-Yeld Behavioral Science. 2nd ed. Baltimore: Lippincott Williams & Wilkins; 2001. ISBN 0-7817-3084-8

3. Daugherty SR, editor. USMLE Step 1. Behavioral Sciences Notes. Washington, DC: Kaplan Medical; 2002.


Written exam - multiple choice test

79

PROBLEM BASED LEARNING

Field of Study Medicine Study programme Medicine Course title Problem based learning – 1st year Course coordinator Prof. Anca Dana Buzoianu, MD, PhD

Assoc. Prof. Adriana Albu, MD, PhD Assoc. Prof. Alexandra Craciun, MD, PhD Assoc. Prof. Soimita Suciu, MD, PhD Assoc. Prof. Bianca Szabo, MD, PhD Lecturer Cecilia Lazea, MD, PhD Lecturer Daniela Mitrea, MD, PhD Lecturer Mariana Muresan, MD, PhD Lecturer Traian Oniu, MD, PhD

Department Medical Education Discipline Problem based learning Course code MED 1 2 12 RO

Sem

este

r

Courses type

Lectures



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory - 2 - - 28 - 8 38 2 On-going evaluation


Pre-requisites: -

General objectives

The development of cognitive and psychomotor skills necessary to identify relevant information, in order to integrate fundamental knowledge in a clinical context, to assure communication and collaboration in groups in order to solve specific clinical situations.

Specific objectives

The acquisition of fundamental knowledge in an integrated manner and in a clinically relevant context

Early contact with clinical problems and the assimilation of cultural values for medical profession

Clinical thinking skills’ development

80

Independent and efficient learning skills development

The development of a strong internal motivation for learning and professional fulfilment

The development of the ability to communicate effectively and work in team

Practical activities contents 1. Introduction to the theory and practice of learning through problem solving 2. Thrombophilia 3. Down syndrome 4. Polycystic kidney disease 5. Neurofibromatosis 6. Diabetes 7. Macrocytaire anaemia 8. Programme evaluation Teaching – learning methods 1. Conversation 2. Conversation with the involvement of all group members 3. Case Study 4. Fostering interaction between group members 5. Encourage the free expression of opinions and collaboration between individuals in order to solve tasks 6. Setting specific tasks to group members

References:

References necessary for cases solving will be identified by students

Evaluation

On-going evaluation during the semester

81

ROMANIAN LANGUAGE

Field of study: Medicine Study programme: Medicine Course title: Romanian language Course coordinator: Asist. Alina Andreica, PhD Department: Medical Education Discipline: Modern Languages Applied to Medicine Course code: MED 1 2 13 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion

hours/week hours / semester

L PA CI L PA CI

I II

Compulsory - 2 - - 56 - 14 70 3 On-going evaluatio

n

L=lectures; PA=practical activities; CI=clinical internship

Pre-requisites: -

General objectives

integrating the four communication skills (listening, reading, speaking, writing);

developing skills in academic and medical language; developing team-work skills using pair and group-work; interdisciplinarity: raising ethical awareness of students’ future

profession.

Specific objectives

Speaking: interacting in familiar and professional environment, expressing personal opinion, expressing agreement and disagreement on a personal or medical issue;

Listening: listening for understanding general information; listening for understanding specific information;

Writing: writing short formal and informal texts; filling in a table, a diagram; writing an abstract;

Reading: reading for understanding formal and informal texts; reading in order to write a medical text; rearranging paragraphs into texts according to the logic of the discourse.

Course contents

82

1. Basics of Romanian language phonetics, morphology and syntax. 2. Familiar and professional vocabulary, introduced through the

communicative method, in specific contexts. 3. Daily life. 4. The human body, basics in diagnosis and treatment. 5. The doctor-patient interview. 6. Filling in forms. Writing a CV. 7. Filling in medical tables and diagrams. 8. Medical letters, case presentations, abstracts of medical texts. 9. Conversation as the main method used in the teaching-learning process.

References:

1. Bejan, D., Gramatica limbii române, editia a III-a, Ed. Echinox, Cluj, 2001 2. Brancus, G., Ionescu Adriana, Saramandu Mariana, Limba Romana.

Manual pentru studentii straini, editia a IV-a, Ed. Universitatii din Bucuresti, 1996

3. Kohn, Daniela, Puls. Limba română pentru străini, Ed. Polirom, Iaşi 2009 4. Pop, Liana, Româna cu sau fara profesor, editia a V-a, Ed. Echinox, Cluj,

2003 5. Larousse Dicţionar de Medicină, ed. Univers Enciclopedic, Bucuresti, 1998

Evaluation

On-going evaluation:

Students’ activity during the practical course and portfolio 50% Written test 25% Oral assessment 25%

83

PHYSICAL EDUCATION

Field of study: Medicine Study programme: Medicine Course title: Physical Education and Sport – Ist year Course coordinator: Assist. Drd. David Sergiu Department: Medical Education Discipline: Physical Education Course code: MED 12 14 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory - 1 - - 28 - - 28 2 On-going

evaluation


Pre-requisites: -

General objectives

Maintenance of an optimal health status Promotion of growth processes and harmonious physical development Development of basic motor skills and motor skills specific for certain sport

disciplines The correct acquisition of a rich system of motor skills (basic and practical-

applicative or specific for certain sport disciplines) Development of the capacity and habit of systematic practice of physical

exercise, as a basic component of a life style favorable to health. Prevention and correction of defective attitudes and recovery of

posttraumatic and disease sequelae Development of moral-volitional and intellectual skills and traits, aesthetic

sense and social responsibility Adaptation of the curriculum to the new individualized practical work

system, based on offers and options (elaboration of 10-12 framework curricula).

Specific objectives


disciplines

84

The correct acquisition of a rich system of motor skills (basic and practical-applicative or specific for certain sport disciplines)

Development of the capacity and habit of systematic practice of physical exercise, as a basic component of a life style favorable to health.

Prevention and correction of defective attitudes and recovery of posttraumatic and disease sequelae

Development of moral-volitional and intellectual skills and traits, aesthetic sense and social responsibility

Adaptation of the curriculum to the new individualized practical work system, based on offers and options (elaboration of 10-12 framework curricula).

Course content

1) Improvement of technical elements necessary for the practice of individual sports (by choice).

- Athletics - Body building - Swimming - Skiing-Tourism - Chess Acquisition of skills and abilities necessary for the development of

basic motor skills Practice of exercises for the development of speed, strength and

motor coordination On-going physical evaluation tests.

2) Improvement of technical elements necessary for the practice of team sports (by choice).

- Basketball football - Dance sport + salsa - Modern dance + cheerleading - Volleyball - Table tennis (ping-pong) - Badminton Acquisition of skills and abilities necessary for the development of



3) Acquisition of technical and methodological elements necessary for the practice of modern physical activities.

- Aerobics - Aquagym - Fitness

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- Jogging Acquisition of skills and abilities necessary for the development of



References

1. Bocu T. Activitatea fizică în viaţa omului contemporan. Editura Casa Cărţii de Ştiinţă 2007

2. Bocu T. Cercetări în educaţie fizică şi sport. Actualităţi şi perspective. Editura Casa Cărţii de Ştiinţă Cluj-Napoca 2008

3. Regulations of the practiced sport disciplines, handbooks and courses specific for physical education and sport activities.

Evaluation

On-going evaluation.

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YEAR II

TOPOGRAPHIC AND SECTIONAL APPLIED ANATOMY

Field of Study Medicine Study programme Medicine Course title Clinical, topographic and sectional anatomy Course coordinator Assoc. Prof. Dr. Bianca Szabo, MD, PhD

Lecturer Dr. Carmen Crivii, MD, PhD Department Morphological Sciences Discipline Anatomy and Embryology Course code MED 2 1 01 EN

Sem

este

r

Course type



Individual studies

TOTA

L

Cre

dit

s

Eval

uat

ion

hours / week hours / semester

L PA CI L PA CI

I Compulsory 2 4 - 28 56 - - 84 6

Written exam +

Oral exam


Pre-requisites: -

General objectives:

Achievement of a tridimensional representation of the human body as a whole and by regions. Learning of superficial landmarks for the content of the great cavities of the body. Development of dynamic ontogenetic representations, of use in prenatal diagnosys. Assimilation of certain skills and maneuvers.


Knowledge of topographic and sectional anatomical data with medical, surgical and imagistic relevance.

Course content:

1. Central nervous system generalities. 2. Central nervous system development. Anomalies. 3. Clinical anatomy of the spinal cord, brain stem, cerebellum, diencephalon,

telencephalon, subarachnoidian space and cerebral ventricles. 4. Sectional anatomy of the central nervous system in adult and in foetus.

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5. Anatomical substantiation of cranio-cerebral imagistic investigation techniques.

6. Clinical anatomy of the organs of special sense. Development. Anomalies. 7. Topographic and sectional anatomy of limbs. 8. Clinical anatomy of the pleuro-pulmonary regions. 9. Sectional anatomy of the mediastinum. 10. Clinical anatomy of the antero-lateral and the posterior abdominal wall. 11. Retroperitoneal space. 12. The anatomical base of abdominal surgical operative techniques. 13. The anatomical base of genito-urinary surgical operative techniques and

investigations (pelvis and perineum). 14. Transverse anatomical sections at the level of the neck. 15. Anatomical substantiation of curative and investigative techniques at the

cervical level (tracheotomy, vascular surgical approach at the level of the neck).

16. The anatomical base of investigations and surgical operative techniques of the orbit, nasal cavities, paranasal sinuses, middle and internal ear.

Bibliography

1. Clinical Neuroanatomy – Richard Snell – 2010 Ed. 2. Clinical Oriented Anatomy – K. L. Moore, A.F. Dallay, A.M.R. Agur –

2014 Ed Evaluation - standardized exam Written exam 60% Practical exam 25% Activity portfolio 15%

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METABOLIC BIOCHEMISTRY

Field of study: Medicine Study programme: Medicine Course title: Metabolic Biochemistry Course coordinator: Prof. dr. Crăciun Alexandra, MD, PhD Department: Molecular Sciences Discipline: Medical Biochemistry Course code: MED 2 1 02 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI C PA CI

I Compulsory 3 3 - 42 42 - - 84 7 Written

Exam


Pre-requisites: -

General objectives:

The students must learn the major metabolic pathways important in their future activity in order to understand the etiopathogenesis of different diseases in the human body.

The students need to be prepared for a correct interpretation of biochemical analysis and for establishing connections which allows them the understanding of physiological and pathological processes at a molecular level.

Specific goals:

The knowledge of basic biochemical principles which are important in medicine:

- Major metabolic pathways’ structure and and deficiency of carbohydrates

- Major metabolic pathways’ structure and deficiency of lipids - Major metabolic pathways’ structure and deficiency of amino acids - Major metabolic pathways’ structure and deficiency of nucleotides

Course content:

1. Metabolism – general aspects 2. Carbohydrate metabolism:

89

- Digestion and absorption of carbohydrates - Classification and structure of carbohydrates - Glycolysis - Alternate fates of pyruvate - Gluconeogenesis - Tricarboxylic acid cycle - Pentose phosphate pathway - Glucuronic acid pathway - Fructose metabolism - Galactose metabolism - Glycogen metabolism - Glycosaminoglycans and glycoproteins

3. Lipid metabolism: - Digestion, absorption and transport of lipids - Classification and structure of lipids - Oxidation of fatty acids - Synthesis of fatty acids - Synthesis and degradation of triglycerides - Synthesis and degradation of complex lipids. Lipid storage diseases - Metabolism and importance of ketone bodies - Cholesterol – importance, synthesis and regulation - Synthesis and importance of bile acids - Steroid hormones – classification, synthesis, role - Eicosanoids

4. Amino acid metabolism: - Digestion of proteins and absorption of amino acids - General catabolic reactions of amino acids: - Metabolism of ammonia - Urea cycle - Amino acids that form pyruvate - Amino acids that form acetyl-CoA or acetoacetyl-CoA - Metabolism of phenylalanine and tyrosine - Metabolism of creatine and creatinine - Synthesis and degradation of heme. Medical importance

5. Metabolism of purine and pyrimidine nucleotides: - Synthesis of purine nucleotides - Degradation of purine nucleotides - Synthesis of pyrimidine nucleotides - Degradation of pyrimidine nucleotides

6. Storage and expression of genetic information: - DNA replication - DNA transcription (RNA synthesis) - Genetic code

90

- RNA translation (Protein synthesis)

References:

Evaluation - standardized exam

Theoretical Exam – written and multiple choice questions: 75% Practical Exam – written and oral questions 25%

91

HISTOLOGY

Field of study: Medicine Study programme: Medicine Course title: Histology- Organs Course coordinator: Lecturer Anne Marie Constantin, MD, PhD

Lecturer Bianca Bocşa, MD, PhD Department: Morphological Sciences Discipline: Histology Course code: MED 2 12 03 EN

Sem

este

r

Courses type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I Compulsory 2 2 - 28 28 - 40 96 8

written exam +

practical exam


Pre-requisites: -

General objectives:

Histology, anatomy, physiology and pathology are basic sciences that represent the main stone of medical study, theory and practice.

Histology I - or the first part contains the microscopical and electronomicroscopical study of tissues, correlated with their evolution and histophysiology.

Specific objective:

During practical work, students are encouraged to correctly identify the tissues. The acquired notions represent a proper basis for their future knowledge regarding pathology.

Great importance is given to individual study of histological sections, allowing students to gain practical knowledge both regarding the use of microscopy and the acquisition of a medical judgement, insisting on differential diagnosis elements between sections, histophysiological, histopathological and clinical correlations.

92

Course content:

1. Introduction. Epithelial Tissues. Covering epithelia and glands. Simple epithelial tissues, stratified epithelial tissue and particular types. Exocrine, endocrine and mixt glandular epithelia.

2. Connective tissue. General considerations. Classification of conective tissues. Embryonary and common connective tissues. Specialized connective tisssues. Cartilage: hyaline, elastic and fibrous cartilage. Intervertebral disc. Bone: compact and spongy bone.

3. Muscle tissue: Scheletal muscle, cardiac and smooth muscle. 4. Vascular system. Histological structure of arteries, capillaries and veins. 5. The Blood vascular system and immune system. General considerations.

Definition. Red bone marrow. Hematopoesis: erythropoesis, granulocytopoesis, thrombocytopoesis, lymphocytopoesis, monocytopoesis. Lymphoid tissue. Classification, general considerations. T lymphocytes and B lymphocytes. Thymus. Spleen. Lymph Node.

6. Nervous tissue and nervous system. Neuron and nevroglia. Classification. Peripheral nervous system: nerve, spinal and vegetative ganglia.

Bibliography

1. General Histology: Tissues. Maria Crisan, Carmen Mihaela Mihu, Carmen Melincovici, Bianca Bosca, Anne Marie Constantin, Andrei Coneac, Ioana Moldovan. Editura Medicala Universitara “Iuliu Hatieganu”, Cluj-Napoca, 2013 ISBN 978-973-693-554-1


Written exam 50% Practical exam 40% Activity during the semester 10%

93

PHYSIOLOGY

Field of study: Medicine Study programme: Medicine Course title: Physiology Course coordinator: Lecturer Daniela Mitrea, MD, PhD Department: Functional Sciences Discipline: Physiology Course code: MED 2 12 04 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion

Hours/week. Hours/semester

L PA

CI L PA

CI

I

II Compulsory

3

3

3

3 - 84 84 - 120 288

6

6

Written

exam +

practical exam

L=Lectures; PA=practical activity; CI=clinical internship

Pre-requisites:

Cell Biology, Biophysics

General objectives:

To develop observational capacity, an essential skill for future physicians To clarify and to render understandable some high complexity and

difficulty biological phenomena To present the functional exploration of various organs systems


to acquire the needed knowledge concerning the integration of the functions at molecular-cellular level; at tissue-organ level; in order to understand the physiology of the various organs, systems of organs and the interactions between them;

to acquire information concerning the various categories of receptors, neurotransmitters, cytokines, needed in order to have a modern base for the various physiological mechanisms.

94

Course content:

1. Sanguine system physiology: Introduction of blood physiology. Blood functions. Volemy.Erythrocyte, erytropoiesis. Blood groups. Leucocytes. Immunity. Platelets. The function of maintaining fluid-coagulation equilibrium. Blood homeostasis and coagulation. Fibrinolysis.

2. Cardiac System Physiology: Hearth physiology. Hearth muscle. Myocardial properties. Hearth cycle. Hearth activity manifestations-mechanical, acoustical, volumetric phenomena. Functional consequences of hearth activity. Hearth performance

3. Hemodynamic: Hemodynamics. Physiological properties of vascular system. Arterial pressure. Neuro-umoral arterial pressure. Arterial pulse. Capillary circulation. Regional, coronary, liver, cerebral, pulmonary, renal circulations.

4. Kidney Excretion Physiology: Kidney functions in homeostasis. Kidney anatomy. Urinary tube physiology. Kidney combing out mechanisms.

5. Physiology of the nervous system: Somatic sensations. Somatic sensory cortex. Pain. Pain receptors. Pain pathways. Types of pain. Reflexes. Types of reflexes. Cord somatic reflexes. Spinal shock. Cortical control of motor function. Motor cortex. Functions of the thalamus. Thermoregulation.

6. Endocrine grand physiology: Introduction in endocrine grand physiology. Hypophysis gland physiology. Thyroid gland physiology. Parathyroid gland physiology. Suprarenal gland physiology. Endocrine pancreas physiology. Gonad physiology. Pineal gland physiology

References:

1. Daniela-Rodica Mitrea, Human Physiology: Blood, Heart, Circulatory System, Techno Media Sibiu, 2015, ISBN 978-606-616-151-0


written exam: 70% of the final grade practical exam: 10% of the final grade evaluations at the end of every chapter: 10% of the final grade weekly tests, during the entire semester: 10% of the final grade

95

GENERAL MICROBIOLOGY

Field of study: Medicine Study programe: Medicine Course title: Microbiology Course coordinator: Prof. dr. Monica Junie, MD, PhD Department: Molecular Sciences Discipline: Microbiology Course code: MED 2 12 05 EN

Sem

este

r

Courses Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I

II Compulsory

2

2

2 2

- 56 56 - 56 168

4

4

written exam & practical

exam

L=Lectures; PA=practical activity; CI=clinical internship

Pre-requisites: -

General objectives:

Study of the microorganisms (bacteria and viruses): Properties of different microorganisms groups and their relationship with humans and their environment.


General Bacteriology, Medical Bacteriology, Virology Assimilation of microbiology basic knowledge, following the criteria of

utility to students for different basic specialties, used in research fields, molecular diagnosis and classical and molecular diagnosis of infections.

Knowledge of methods and techniques used for the detection and identification of microorganisms.

Enabling students to perform minimum laboratory techniques necessary for a general practitioner doctor.

Enabling student to interpretate microbiology laboratory data.

Course content:

General Bacteriology includes bacterial morphology, bacterial physiology, genetics and microbial chemotherapy. 1. The world of microorganisms, Evolution, General properties (1)

microbiology, features of the microorganisms, differences between

96

prokaryotes and eukaryotes; Bacterial taxonomy, Bacterial classification, Current classification of microorganisms, bacterial nomenclature, Hazard groups.

2. Bacterial morphology and structure (3): Essential components (necessary structures); The nucleoid, Cytoplasm, Cytoplasmic membrane, Cells wall (peptidoglycan or murein); Non-essential components (unnecessary structures): The capsule, Glycocalix, Common pili and sex pili, Flagella, Spores

3. Bacterial Metabolism (3): The importance of bacterial metabolism, Particularities of the bacterial metabolism, The general scheme of bacterial metabolism, The effect of physical factors on bacteria, Nutrition in bacteria, Catabolic pathways, The bacterial energetic metabolism, Bacterial growth and multiplication

4. Bacterial genetics (4): Heredity: DNA Structure, DNA replication, DNA lesions Repair, The modification and restriction system, Transcription in bacteria, Translation in bacteria, Operon: Lactose Operon, Tryptophan Operon; Variability: Genetic recombination, Transposition, Mutation, Transformation, Plasmids, Bacterial conjugation, phages, Transduction, Lizogenic Conversion, Genetic engineering,

5. Antibiotics (4) : General properties of antibiotics, Antibiotic families, Resistance to antibiotics, Bacterial cell wall inhibitors: β-lactam family, Antibiotics affecting the cytoplasmic membrane: cyclic polipeptydes, Antibiotics which inhibit protein synthesis, Antibiotics with action at genetic level, Inhibitors of folic acid synthesis; Quantitative aspects in antibiotic therapy, Rules for antibiotic therapy

6. Infections – postulates, endotoxins, exotoxins (2)

Medical Bacteriology – treats the most important group of bacteria, which are involved in human infectious diseases,

Bacteria: General properties, classification, genus –species, main representatives, transmission, pathogenesis, diseases, laboratory diagnosis, sensitivity to antibiotics, control and prevention: 1. Gram positive cocci: Genus Staphylococci, Genus Streptococci, 2. Gram negative cocci and coccobacilli: Genus Neisseria: Neisseria

meningitidis (meningococcus), Neisseria gonorrhoeae (gonococcus), Genus Bordetella, Genus Haemophilus, Genus Brucella,

3. Gram positive bacilli: Genus Corynebacterium – diphteria, Genus Clostridium, Genus Bacillus; Genus Mycobacterium - tuberculosis,

4. Enterobacteriaceae family: pathogens: Salmonella, Shigella; opportunistic pathogens (E.coli, Klebsiella, Proteus, Enterobacter, Serratia, Yersinia enterocolitica);

5. Genus Pseudomonas, Genus Vibrio- cholera, 6. Intracellular bacteria: Rickettsia, Genus Chlamydia, Genus Mycoplasma,

97

7. Spirochetes: Genus Treponema, Genus Borrelia, Leptospira; Genus Legionella - Legionella pneumophila

Virology: presents the general characteristics of viruses and the most important families of viruses involved in human diseases.

General virology - Viruses: definition, General properties, classification, viral structure and architecture (2), Viral genetics, Viral multiplication (1), Viral infections pathogeny (1) Viral Persistence, Antiviral drugs & other antiviral agents, (1)

Medical virology: Representatives, Infections, viral replication, transmission, pathogenesis, pathogenicity, antigens, antibody, immunity, vaccines, laboratory diagnosis 1. Orthomyxoviridae: Representatives, Infections, Antigenic shift & antigenic

drift 2. Paramyxoviridae, Coronaviridae, Rhabdoviridae: Rabies virus,

Bunyaviridae, Togaviridae: arboviruses, rubivirus or rubella virus, Arenaviridae, Filoviridae: Ebola viruses

3. Retroviridae Family: Human immuno-deficiency virus – HIV 4. Hepatitis viruses : Types of hepatitis, Hepatitis A Virus, Hepatitis E virus,

Hepatitis B Virus, Hepatitis C virus, Hepatitis D virus 5. Fam Herpetovirinae, Picornaviridae, Caliciviridae -Norwalk agent,

Reoviridae: Reovirus, Rotavirus

References:

1. Lia Monica Junie, Traducator: Carmen Costache, „Basic bacteriology and virology” Editura UMF "Iuliu Haţieganu", ISBN 978-973-693-422-3, 2011

2. Carmen Costache, Lia Monica Junie, ”Medical bacteriology and medical virology” Ed. a 2-a, rev. Editura Universitară "Iuliu Haţieganu", ISBN 978- 973-693-426-1, 2011


Written final exam consisting of multiple choice tests and written subjects 70%

Verification tests during the year: Written/oral exam: 10% Practical exam: 20%

98

MEDICAL GENETICS

Field of study: Medicine Study programme: Medicine Course title: Medical Genetics Course coordinator: Lecturer Rodica Elena Cornean, MD, PhD Department: Molecular Sciences Discipline: Medical Genetics Course Code MED 2 12 06 EN

Sem

. Course type



Individual

study

TOTA

L

Cre

dit

s

Eval

uat

ion

hours / week ore / sem.

L PA CI

L PA CI

I

II Compulsory

1

2

2

2 - 42 56 - 200 298

3

4

On going assessme

nt


General objectives:

Understanding of normal and pathological laws of heredity and variability Understanding of the general molecular basis of human pathology Understanding of the impact of genetics in medicine Understanding of structure, mechanisms and basic laws of preservation,

transmission and expression of hereditary information, for the formation, development and functioning of human organism

Understanding of the importance for medicine due to the new perspective over the modern medicine, dominated by molecular biology, genetics and immunology

Understanding that the genetic diseases are a major health problem Understanding the relation between heredity and disease, the role of

mutations for disease or risk Basic knowledge on diagnosis and care of patients with genetic disorders

and their families Basic knowledge on genetic advice, prenatal diagnosis, neonatal screening,

and presymptomatic diagnosis

99

Specific objectives

Understanding the role of biological individuality in: a. differences of response to environmental factors, different vulnerability

to disease b. common disorders – interaction between the genetic structure

(predisposition) and the environmental factors c. different phenotype and severity of symptoms for the same disease in

different individuals d. different response to the same therapy in different patients suffering

from the same disease.

Course content:

1. Importance of genetics in medical practice 2. Human genome 3. Gene structure 4. Expression of genetic information. Regulation of gene expression 5. Preservation and transmission of hereditary information 6. Transmission of hereditary information 7. Variability of genetic information 8. Population genetics 9. Chromosomal abnormalities in pathology 10. Gene mutations in molecular diseases 11. Polygenic and multifactorial disorders 12. Developmental genetics. Defects of development 13. Normal and pathological sexualisation 14. Immunogenetics and immunopathology

15. Oncogenetics 16. Eco- and nutrigenetics 17. Pharmacogenetics 18. Mitochondrial diseases 19. Prophylactic measures for genetic disorders 20. Treatment of genetic disorders 21. Bioethics in genetics Practical activities: 1. Human chromosomes morphology 2. Human chromosomes analysis (1) 3. Human chromosomes analysis (2) 4. Practical activities – cytogenetics 5. Seminar 6. Prenatal cytogenetic diagnostic 7. Postnatal cytogenetic diagnosis 8. Molecular cytogenetics - FISH technique

100

9. Seminar 10. Molecular analysis of genes (1) 11. Molecular analysis of genes (2) 12. Molecular diagnosis - genetics in forensic medicine 13. Practical activities – molecular genetics 14. Seminar 15. Genetic counseling 16. Chromosomal autosomal trisomies 17. Chromosomal autosomal structural abnormalities 18. Chromosomal heterosomal abnormalities 19. Seminar 20. Autosomal dominant disorders 21. Autosomal recessive disorders 22. X-dominant disorders 23. X-recessive disorders 24. Seminar 25. Genetics of multifactorial disorders (1) - Common disorders 26. Genetics of multifactorial disorders (2) - Cancer 27. Genetics of multifactorial disorders (3) – Congenital malformations 28. Genetics of multifactorial disorders (4) – Teratogen-induced congenital

malformations

References:

1. Human molecular genetics - Strachan, Tom (2011) 2. Medical genetics - Jorde, Lynn B (2010)

Evaluation

Written exam 50% Oral exam 50%

101

MEDICAL RESEARCH METHODOLOGY

Field of study: Medicine Study programme: Medicine Course title: Medical Research Methodology Course coordinator: Assoc. Prof. Tudor Drugan, MD, PhD Department: Community Medicine Discipline: Medical Informatics and Biostatistics Course code: MED 2 2 07 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory 1.5 1.5 - 21 21 - 30 72 4

written exam +

practical exam


Pre-requisites:

Medical informatics and biostatistics

General objectives:

To develop skills and knowledge for efficient retrieval, use and critical appraisal of medical scientific literature.

To develop skills and knowledge about clinical study-types and correct methods for medical research.

To develop skills and knowledge on suitable analysis and interpretation of results coming from medical research.

To develop skills and knowledge on appropriate methods of presenting results from original research.

To develop skills and knowledge for the practice of evidence based medicine.


The lectures offer to 4th year students of the Faculty of General Medicine the fundamental knowledge regarding: 1. Searching, recording and analyzing medical literature 2. Domains of medical research and types of clinical studies 3. Methods of medical research 4. Analysis and interpretation of results from medical studies

102

5. Principles of correct written and oral presentation of research results 6. Principles of Evidence based Medicine (EBM) 7. Ethical principles in medical research

The practical labs have as an objective the acquisition and practice of knowledge regarding: 1. Accessing relevant medical information through literature search 2. Formulating correct research questions, choosing a research aim and

objectives. Selecting and formulating research hypotheses. Identifying target populations. Understanding sampling methods. Defining appropriate research variables. Writing a research protocol.

3. Understanding and choosing correct data collection methods 4. Understanding and choosing correct data analysis methods 5. Using specific computer tools to assist medical research 6. Understanding and using correct principles for medical writing and oral

presentations of medical research 7. Study validity 8. Critical appraisal of scientific medical papers

Course content:

1. Introduction 2. Basic methodology of medical research. Principles of literature search 3. Prognostic studies 4. Survival analysis 5. Diagnostic studies 6. Therapeutic studies 7. The description of a health phenomenon 8. Meta-analysis 9. Study validity. Avoiding bias in medical studies 10. Choosing statistical methods 11. Presenting data 12. Medical writing and communication of research results 13. Evidence based medicine (EBM) 14. Ethical aspects of medical research 15. Modeling and simulation in medical research

References:

1. Achimaş A. Metodologia Cercetării Ştiinţifice Medicale. Cluj-Napoca: Editura Universitară Iuliu Haţieganu; 1999.

2. Machin D, Campbell MJ. Design of studies for medical research. Chichester. West Sussex: John Wiley & Sons Ltd; 2005.

3. Laplanche A, Com-Nougué C, Flamant R. Méthodes statistiques appliquées a la recherche clinique. Paris: Flammarion; 1987.

103

4. Colosi H, Leucuţa D, Bolboacă S. Lucrări practice de metodologia cercetării ştiinţifice medicale - pentru studenţii facultăţii de medicină generală (RO/EN/FR) [online] 2007-2012. Available from URL: http://www.info.umfcluj.ro/

Evaluation:

Practical exam – Applicative problems based on research scenarios, followed by an interview. The ability to understand, to reason and to interpret research protocols and results, as well as practical abilities to use computers for medical research will be evaluated (30% of the final mark).

Written exam – Multiple-choice questions aiming to evaluate the theoretical understanding and reasoning regarding the design of medical research, medical writing and critical appraisal of scientific medical papers (70% of the final mark).

104

PRIMARY HEALTHCARE

Field of study: Medicine Study programme: Medicine Course title: Primary Health Care Course coordinator: Assoc. Prof. Amanda Radulescu, MD, PhD Department: Community Medicine and Family Practice Discipline: Epidemiology Course code: MED 2 2 08 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uar

e


L PA CI C LP St

II Compulsory 1 1 - 14 14 - 40 82 2 On-going

evaluation

L = lectures; PA= practical activities; CI=clinical internships

Pre-requisites: -

General objectives

Basic principles and concepts of Primary Health Care, applied in Community medicine and Preventative medicine.

Explanation of disease causation and frequency measurements of health events

Encourage the application of epidemiology in disease prevention and health promotion

Introduction of clinical epidemiology

Specific Objectives

Introduction in community medicine Health and determinants of health Epidemiology - a science with practical approach: uses, methods applied

in Primary Health Care Application of epidemiology in public health: epidemiological surveillance,

epidemiological investigation, epidemiological analysis, epidemiological evaluation

Descriptive epidemiology – indicators and indices Epidemiological studies Screening in secondary prevention Causality Clinical epidemiology Principles and methods used in the prevention and control of diseases

105

Fundamentals in the epidemiology of infectious diseases.

Course content

Courses = 21 hours 1. Community medicine – background and general presentation.

a. Health – individual health and community health. Health determinants. Concepts of community health and community oriented medicine. Successes and failures in the public health.

b. Methods for health promotion, maintenance and health recovery.

2. Epidemiology: History and definition of epidemiology as a science and a practical approach. The scopes of epidemiology. Epidemiological methods and rationales. Practical applications of epidemiology.

3. Surveillance. Definition, aims, algorithm. The attributes of the surveillance system. Epidemiological investigation. Analysis in epidemiology. Epidemiological evaluation. Application of epidemiology in public health: management of epidemics, health programs, health policies.

4. Basic epidemiology in infectious diseases. Epidemiological characteristics of the microorganisms, incubation period, transmission routes, susceptibility to infectious agents, chain of infection. Preventive measures, control and eradication of communicable diseases.

5. Causality in epidemiology 6. Clinical epidemiology. 7. Prophylaxis. Definitions and basics of primordial, primary, secondary and

tertiary prevention. 8. Primary health care (PHC): definition, history, content and management.

Tutorials = 21 hours 1. Descriptive epidemiology: incidence, prevalence, interrelationship

between prevalence and incidence. Adjusted mortality rates and ratios. Exercises.

2. Epidemiological studies: overview of study designs used in epidemiology, the merits and limitations. Case-control and cohort studies. Relative risk, OR and attributable risk. Intervention studies.

3. Practical applications of study designs. Doll’s study upon cigarette smoking and lung cancer, study design for different research themes

4. Screening for disease in the community – criteria for use of screening tests and programs, properties of useful screening tests, evaluation of screening tests. Exercise: introducing a screening test for HIV infection or for lung cancer

5. Miniprojects – application of the epidemiologic knowledge in health programmes.

6. Management of an outbreak – exercises.

106

7. Keys to understanding articles on epidemiologic studies – general outline and discussion upon medical literature.

References

Materials / handouts from lectures and tutorials. 1. I.S. Bocşan. Epidemiologie practică pentru medicii de familie. Editura

Medicală Universitară « Iuliu Haţieganu », Cluj-Napoca, 1999. 2. Maria Irina Brumboiu. Metode epidemiologice de bază pentru practica

medicală. Editura Medicală Universitară « Iuliu Haţieganu », Cluj-Napoca, 2005

3. I.S. Bocşan. Epidemiologia generală. Editura Medicală Universitară « Iuliu Haţieganu », Cluj-Napoca, 2006.

Evaluation

Exam – MCQ final test

107

ROMANIAN LANGUAGE

Study field: Medicine Study program: Medicine Course title: Romanian language Course coordinator: Lect. Nora Marcean, PhD, Asist. Stefana Duncea, PhD,

Asist. Alexandrina Tomoioagă, PhD, Asist. dr. Anca Ursa, PhD, Asist. Cristina Gogâţă, PhD,

Department: Medical Education Discipline: Modern Languages Applied to Medicine Course code: MED 2 2 09 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I II

Compulsory - 2 2

- - 56 - 28 84 2

On-going

evaluation


Pre-requisites: -

General objectives


developing skills in academic and medical language; developing team-work skills using pair and group-work; Interdisciplinarity: raising ethical awareness of students’ future

profession.

Specific objectives




108


Course contents



References:

1. Bejan, D., Gramatica limbii române, editia a III-a, Ed. Echinox, Cluj, 2001 2. Brancus, G., Ionescu Adriana, Saramandu Mariana, Limba Romana. Manual

pentru studentii straini, editia a IV-a, Ed. Universitatii din Bucuresti, 1996 3. Kohn, Daniela, Puls. Limba română pentru străini, Ed. Polirom, Iaşi 2009 4. Pop, Liana, Româna cu sau fara profesor, editia a V-a, Ed. Echinox, Cluj,


Evaluation

On-going evaluation:

Students’ activity during the practical course and portfolio 50% Written test 25% Oral assessment 25%

109

PHYSICAL EDUCATION

Field of study: Medicine Study programme: Medicine Course title: Physical Education and Sport Course coordinator: Lecturer Popovici Cornelia, PhD Department: Medical Education Discipline: Physical Education Course code: MED 2210 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

io

n


L PA CI L PA CI

I II

Compulsory - 2 1

- - 42

- 28 84 2

On-going evalua

tion


Preliminary conditions (pre-requisites):

General knowledge of physical education and sport. Practical work based on offers and options.

General objectives

1. Maintenance of an optimal health status 2. Promotion of growth processes and harmonious physical development 3. Development of basic motor skills and motor skills specific for certain sport

disciplines 4. The correct acquisition of a rich system of motor skills (basic and practical-

applicative or specific for certain sport disciplines) 5. Development of the capacity and habit of systematic practice of physical

exercise, as a basic component of a life style favorable to health. 6. Prevention and correction of defective attitudes and recovery of

posttraumatic and disease sequelae 7. Development of moral-volitional and intellectual skills and traits, aesthetic

sense and social responsibility 8. Adaptation of the curriculum to the new individualized practical work


110

Specific objectives


disciplines The correct acquisition of a rich system of motor skills (basic and practical-

applicative or specific for certain sport disciplines) Development of the capacity and habit of systematic practice of physical

exercise, as a basic component of a life style favorable to health. Prevention and correction of defective attitudes and recovery of

posttraumatic and disease sequelae Development of moral-volitional and intellectual skills and traits, aesthetic

sense and social responsibility Adaptation of the curriculum to the new individualized practical work


Course content

1) Improvement of technical elements necessary for the practice of individual sports (by choice).

- Athletics - Body building - Swimming - Skiing-Tourism - Chess Acquisition of skills and abilities necessary for the development of



2) Improvement of technical elements necessary for the practice of team sports (by choice).

- Basketball football - Dance sport + salsa - Modern dance + cheerleading - Volleyball - Table tennis (ping-pong) - Badminton Acquisition of skills and abilities necessary for the development of


motor coordination

111

On-going physical evaluation tests. 3) Acquisition of technical and methodological elements necessary for the practice of modern physical activities.

- Aerobics - Aquagym - Fitness - Jogging Acquisition of skills and abilities necessary for the development of



References

1. Bocu T. Activitatea fizică în viaţa omului contemporan. Editura Casa Cărţii de Ştiinţă 2007

2. Bocu T. Cercetări în educaţie fizică şi sport. Actualităţi şi perspective. Editura Casa Cărţii de Ştiinţă Cluj-Napoca 2008

3. Regulations of the practiced sport disciplines, handbooks and courses specific for physical education and sport activities.

Evaluation

On-going evaluation.

112

YEAR III

INTERNAL MEDICINE – SEMIOLOGY

Field of study: Medicine Study programme: Medicine Course title: Semiology and Internal Medicine Course coordinator: Lecturer Cristina Hoţoleanu, MD, PhD, Lecturer

Ciovicescu Felix, MD, PhD Departament: Internal Medicine Discipline: Medical Clinic II, Medical Clinic V Course code: MED 3 12 01 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

i

on

hours / week Hours / semester

L PA CI L PA CI

I II

compulsory 3

0,5 -

6 0

42 7

- 84 0

- 226 107

7 8

exam


Pre-requisites:

Physiology

General objectives:

To be able to develop a logical approach to the patient, based on anamnesis (history taking), physical exam and main complementary examinations


To be able to perform the correct physical exam of the patient, to correlate the information obtained from anamnesis, physical exam and investigations and to be able include the pathology in a syndrome/disease.

Course content:

Ist semester: 1. Introduction in medical semiology and internal medicine 2. Anamnesis (history taking): technique, principles, steps doctor- patient relationship principles of medical communication

3. General physical exam.

113

steps general principles tools (inspection, palpation, percussion, auscultation)

4. Anamnesis and physical exam in respiratory diseases; respiratory syndromes. anamnesis and changes at the general physical exam in relationship

with respiratory pathology respiratory physical exam main syndromes: consolidation, broncho-obstructive, atelectasis,

cavitary, mediastinal, pleural syndrome, respiratory failure 5. Anamnesis and physical exam in urinary diseases; renal syndromes. anamnesis and general physical exam changes in relationship with

urinary disorders Renal physical exam main syndromes: tubulo-interstitial, glomerular, vascular, renal failure

IInd semester: 1. Anamnesis and physical exam in cardiovascular diseases; cardiac and

vascular syndromes. anamnesis and changes at the general physical exam in relationship

with cardiovascular pathology cardiac physical exam; specific exam in vascular disorders main syndromes: coronary artery diseases, pericardial syndromes,

cardiomyopathies, endocarditis, arrhythmias and conduction troubles, cardiac failure; main vascular syndromes

2. Anamnesis and physical exam in digestive diseases; digestive syndromes. anamnesis and changes at the general physical exam in relationship

with digestive disorders specific physical exam main syndromes

3. Anamnesis and physical exam in metabolic diseases anamnesis and general physical exam changes in relationship with these

disorders semiology of diabetes mellitus, gout, porphyria, dyslipidemia

4. Anamnesis and physical exam in hematologic disorders; hematology syndromes. anamnesis and general physical exam changes in relationship with

hematological disorders physical exam: the assessment of splenomegaly, adenopathy main syndromes: anemia, leukemias, lymphomas, main hemorrhagical

disorders The main complementary examinations of each chapter are detailed during the presentations scheduled weekly in the Amphiteather (as well as case reports).

114

References:

Compulsory: 1. Hotoleanu Cristina. Medical semiology and Internal Medicine (vol.I).

Ed.Napoca Star, 2011 2. Hotoleanu Cristina (ed.). Medical Semiology. Digestive sundromes.

Hematological Syndromes. Ed. Casa Cartii de Stiinta, 2011. 3. Hotoleanu Cristina, Lupu Delia, Muntean Laura, Rusu Daniel. Medical

semiology. Respiratory syndromes. Renal syndromes. Ed. Casa Cartii de Stiinta. 2008

4. Hotoleanu Cristina. Medical semiology: Cardiovascular syndromes. Ed.Napoca Star, 2006; revised, second ed. 2008

5. Lectures- electronic format (presented during the course) Optional: 1. Hotoleanu Cristina. Quizzes of semiology and internal medicine. Ed.Napoca

Star. 2009 2. Talley N, O”Connor S. Clinical examination. A systematic guide to physical

diagnosis. 5th Ed. 2007 3. Douglas G, Nicol F, Robertson C. Macleod”s clinical examination. 11th Ed.

2007 4. Saunders WB. Hutchinson’s clinical methods. 21 st Ed. Ed by M Swash.

2002 5. Bates* Guide to Physical Examination and History Taking. Lippincott

Williams & Wilkins.1999


Written exam 40% Practical exam 50% The results of 2 tests/semester 20% Activity on practical activities and control tests 10%

115

NEUROLOGICAL AND PSYCHIATRIC SEMIOLOGY

Field of study: Medicine Study programme: Medicine Course title: Signs and symptoms in psychiatry Course coordinator: Prof. dr. Dafin Mureşanu, MD, PhD Department: Neurosciences Discipline: Psychiatry and Pediatric Psychiatry Course code: MED 3 1 02 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I compulsory 0.5 - 7 - 6 13 Written

exam


Pre-requisites: -

General objectives:

acquiring fundamental concepts of descriptive psychopathology clustering of signs into syndromes


systematic study of abnormal experience, cognition and behavior the study of the products of a disordered mind

Course content:

1. Disorders of perception 2. Disorders of thought and speech 3. Disorders of attention, memory and imagination 4. Disorders of mood 5. Drive and motor disorders 6. Disorders of consciousness, sleep and it’s rhythms

References:

1. Casey, P, Kelly, B,( 2007) Fish`s Clinical Psychopathology, Gaskell, The Royal College of Psychiatrists, London.

2. Sims, A,(2006) Syptoms in the Mind, Saunders, Elsevier Limited, London

Evaluation:

Written Exam – multiple choice (part of signs and symptoms in medicine)

116

SURGICAL SEMIOLOGY

Field of study: Medicine Study programme: Medicine Course title: Surgical propedeutics, semiology and pathology Course coordinator: Assoc. Prof. Achimas Patriciu – Cadariu, MD, PhD Department: Oncology Discipline: Oncologic Surgery and Oncologic Gynecology Course code: MED 3 1 02 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I

compulsory 3 - 4 42 - 56 98 6 Written

exam


Pre-requisites:

Anatomy, general morphopathology

General objectives:

Learning the concepts and principles of Surgical propedeutics and semiology; an introduction to the fundamental concepts of surgical pathology.

Correlating the topics of Surgical propedeutics, semiology and pathology with the concepts and topics taught in 3rd year introductive clinical courses : Physiopathology, Medical Semiology and Immunopathology

Introducing concepts of therapeutic behaviour and paraclinical exams that are necessary in order to understand the elements of Surgical pathology

Observing and offering examples of concepts such as Surgical semiology and pathology through case studies and „Problem-based-learning”exercises.

Acquiring a clinically-oriented medical and surgical vocabulary


Learning some basic principles and concepts regarding the surgical specialties learning the correct principles of asepsy and antisepsy learning all characteristics of specific and non-specific infections, that are

surgically treatable

117

learning the methods of treating and healing wounds of the cutaneous traumas of the hand, burns and frostbites or of abdominal and thoracic traumas.

clinical recognition of hernias and their differentiation from eviscerations; surgical treatment

implementing specific notions of the tumoral pathology: cutaneous and of the soft tissues

learning the clinical features of the vascular pathology (artherial, venous and limphatic) and of its surgical treatment

recognizing different clinical features in the pathology of the mammary and the thyroid gland; differentiated diagnosis and treatment

introduction to the laparoscopic surgery and the surgery of transplants.

Course contents

1. History of the surgery. 2. Asepsy and antisepsy in surgery. 3. Infections in surgery. 4. Hemorrhage and hemostasis – Pathology of the hemostasis. 5. Traumas of the soft tissues – Contusions and wounds; care and healing of

wounds. 6. Thoracic traumas. 7. Abdominal traumas. 8. Thermical, chemical, electrical traumas; burns. 9. Polytraumas. 10. First-aid elements in traumas. 11. Hernias, eviscerations. 12. Tumors – Principles of oncologic surgery. 13. The artherial pathology. 14. The venous pathology. 15. The lymphatic pathology. 16. Cutaneous tumors. 17. Tumors of the soft tissues. 18. Semiology and pathology of the mammary gland. 19. Semiology and pathology of the thyroid gland. 20. Semiology and pathology of the hand. 21. Principle of laparoscopic surgery. 22. Biological and surgical principles of organ transplants.

References

1. Essentials of General Surgery. Peter F Lawrence Ed., Wolters Kluwer Health/ Lippincott Williams and Wilkins, Fifth Edition, Baltimore, 2013

2. Surgical Recall. Lorne H Blackbourne Ed., Wolters Kluwer Health/ Lippincott Williams and Wilkins, Sixth Edition, Baltimore, 2012

118


MCQ test (50 questions) 60% of the final grade Practical exam 40% of the final grade

119

PHYSIOPATHOLOGY

Field of study: Medicine Study programme: Medicine Course title: General physiopathology Course coordinator: Prof. Pârvu Alina, MD, PhD, Assoc. Prof. Bulboacă

Adriana, MD, PhD Department: Functional Sciences Discipline: Physiopathology Course code: MED 3 12 03 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I

Compulsory

2 2

-

28 28

-

20 76 3 Written exam +

practical exam

II 2 2 28 28 25 81 4


Preliminary conditions:

Physiology

General objectives:

Understanding the integrative human physiopathology with an emphasis

upon homeostatic mechanisms and etiologies of disease.

The interrelationships of function and dysfunction at molecular, cellular and tissue level, organ and systemic level and to the total human body will be applied in each of the body systems.


to identify etiological and risk factors that may alter the homeostatic balance along the health-illness continuum.

to describe and discuss the pathophysiology of specific disease processes. to be able to identify the pertinent diagnostic tests, which would be useful

to define the pathophysiology, and ultimately identify the pathological

processes at work, to correlate these to the clinical and laboratory tests.

to apply a diagnostic reasoning to accessing and evaluating case situations.

120

Course content:

1. Introduction, disease, cell pathophysiology 2. Inflammatory response and Thermoregulation disorders pathophysiology 3. Protein metabolism disorders pathophysiology 4. Lipid metabolism disorders pathophysiology 5. Carbohydrate metabolism disorders pathophysiology 6. Haemostasis disorders pathophysiology 7. Red Blood cells disorders pathophysiology 8. Respiratory diseases pathophysiology 9. Cardiovascular diseases pathophysiology

a. ischemic heart disease disorders pathophysiology b. blood pressure disorders pathophysiology c. shock disorders pathophysiology d. heart failure disorders pathophysiology

10. Fluid-electrolyte disorders pathophysiology 11. Acid-base disorders pathophysiology 12. Renal disorders pathophysiology

a. Acute renal disorder b. Chronic renal disorder c. Glomerular diseases d. Tubulointerstitial disorders e. Nepholitiasis

13. Digestive system pathophysiology a. esophageal and gastric disorders pathophysiology b. malabsorption pathophysiology c. liver and gallbalder disorders pathophysiology d. pancreatic disorders pathophysiology

14. Endocrine disorders pathophysiology a. pathophysiology of hormones excess or deficiency b. ADH disorders pathophysiology c. prolactin disorders pathophysiology d. STH disorders pathophysiology e. suprarenal gland disorders pathophysiology f. thyroid disorders pathophysiology

15. Nervous system disorders pathophysiology a. pain pathophysiology b. peripheral nerves disorders pathophysiology c. central nervous system disorders pathophysiology

121

Mandatory bibliography - handout

Supplementary bibliography 1. SHAYMAN, RENAL PATHOPHYSIOLOGY, LIPPINCOTT’S PATHOPHYSIOLOGY

SERIES, 1995. 2. GRIPPI M., PULMONARY PATHOPHYSIOLOGY, LIPPINCOTT’S

PATHOPHYSIOLOGY SERIES, 1995. 3. JOSEPH M. HENDERSON, GASTROINTESTINAL PATHOPHYSIOLOGY,

LIPPINCOTT’S PATHOPHYSIOLOGY SERIES, 1996. 4. KAUFMAN CHIRSTIAN, MC KEE PATRIK A., ESSENTIALS OF

PATHOPHYSIOLOGY, CURCHILL LIVINGSTONE, 1996. 5. SCHIFFMAN F.J., HEMATOLOGIC PATHOPHYSIOLOGY, LIPPINCOTT’S

PATHOPHYSIOLOGY SERIES, 1998. 6. BURNS MARY V., PATHOPHYSIOLOGY, APPLETON & LANGE, STAMFORD,

CONNETICUT, 1998. 7. LAUER KATHY, BROZENEC SALLY, PATHOPHYSIOLOGY, SPRINGHOUSE

PENNSYLVANIA, 1999. 8. NOWAK THOMAS J., A. GORDON HANDFORD, ESSENTIALS OF

PATHOPHYSIOLOGY, MC GRAW-HILL, SECOND EDITION, 1999. 9. BRAUNWALD, FAUCI, KASPER, HAUSER, LONGO, JAMESON, HARRISONS’S

PRINCIPLES OF INTERNAL MEDICINE, 15TH EDITION, MC GRAW HILL, 2001. 10. PÂRVU ALINA ELENA - GENERAL PATHOPHYSIOLOGY ED. MED. UNIV.

"IULIU HAŢIEGANU" CLUJ-NAPOCA, 2003 11. PÂRVU ALINA ELENA - SYSTEMIC PATHOPHYSIOLOGY VOL.I. ED. MED.

UNIV. "IULIU HAŢIEGANU" CLUJ-NAPOCA, 2004 12. BULBOACA ADRIANA, PARVU ALINA ELENA, PATHOPHYSIOLOGY FOR

DENTAL MEDICINE, ECHINOX, CLUJ NAPOCA, 2009 13. SILBERNAGL STEFAN, LANG FLORIAN, COLOR ATLAS OF

PATHOPHYSIOLOGY, THIEME PUBLISHING GROUP, 2009 14. STEFAN SILBERNAGL, FLORIAN LANG, RÜDIGER GAY, ASTRIED

ROTHENBURGER, DOMINIQUE DUVAL, ATLAS DE POCHE DE PHYSIOPATHOLOGIE, MÉDECINE SCIENCES PUBLICATIONS, 2015.

15. PÂRVU ALINA ELENA, BULBOACĂ ADRIANA, BĂRĂCAN ADRIAN, PATHOPHYSIOLOGY. HANDOUTS FOR MEDICAL STUDENTS, VOLUME 1, ED ECHINOX, 2010.

16. HAMMER GARY D., MCPHEE STEPHEN J., PATHOPHYSIOLOGY OF DISEASE: AN INTRODUCTION TO CLINICAL MEDICINE, 7th Ed. MCGRAW-HILL EDUCATION - EUROPE, 2014.

17. MCCANCE KATHRYN L., HUETHER SUE E., PATHOPHYSIOLOGY: THE BIOLOGIC BASIS FOR DISEASE IN ADULTS AND CHILDREN, ELSEVIER HEALTH SCIENCES, 2009.

122

18. JUZAR ALI, WARREN SUMMER AND MICHAEL LEVITZKY, PULMONARY PATHOPHYSIOLOGY: A CLINICAL APPROACH, THIRD EDITION, LANGE MEDICAL BOOK, MCGRAW-HILL MEDICAL, 2009.

19. LEONARD S. LILLY, PATHOPHYSIOLOGY OF HEART DISEASE: A COLLABORATIVE PROJECT OF MEDICAL STUDENTS AND FACULTY, FIFTH EDITION, LWW, 2010.

20. BUNN HOWARD FRANKLIN, ASTER JON C., PATHOPHYSIOLOGY OF BLOOD DISORDERS, LANGE MEDICAL BOOKS, MCGRAW-HILL MEDICAL, 2011.

21. WEST JOHN B., PULMONARY PATHOPHYSIOLOGY: THE ESSENTIALS LIPPINCOTT WILLIAMS & WILKINS; EIGHTH EDITION

22. HOFFBRAND VICTOR, MOSS PAUL, ESSENTIAL HAEMATOLOGY, WILEY-BLACKWELL; 6 EDITION


Theoretical Exam 70% Practical Exam 20% Semester activity portfolio 10%

http://www.amazon.com/John-B.-West/e/B001IGQI88/ref=sr_ntt_srch_lnk_3?qid=1351709179&sr=1-3

http://www.amazon.com/Pulmonary-Pathophysiology-Essentials-PULMONARY-PATHOPHYSIOLOGY/dp/1451107137/ref=sr_1_3?s=books&ie=UTF8&qid=1351709179&sr=1-3&keywords=respiratory+pathophysiology

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PATHOLOGICAL ANATHOMY

Field of study: Medicine Study programme: Medicine Course title: Pathology: General Pathology Course coordinator: Lecturer Dan Gheban, MD, PhD Department: Morphological Sciences Discipline: Pathology Course code: MED 3 12 04 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I Compulsory 2

2

- 28

28

56

84

4

Theoretical and

practical exam


Pre-requisites:

Histology

General objectives:

To acquire general notions of pathology - macroscopic and microscopic features of basic pathological processes (fluid derangements, metabolic disorders, inflammation, neoplasia) and to correlate them with data presented in other specialties, referring to the etiology, pathogenesis, diagnosis, evolution, and complications of the diseases.


At the end of the semester, students must be able to: use specific terms of pathology recognize macroscopic lesions: on pictures, surgical specimens, autopsic

cases recognize microscopic lesions: on pictures, at the microscope establish correlations between the clinical features and the pathologic

modifications of the diseases interpret a histopathological report: to recognize a specific pathologic

entity and to formulate the main differential diagnoses

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Course content:

I. FLUID & HEMODYNAMIC DISORDERS: 1. Hyperemia. 2. Hemorrhage. 3. Ischemia. 4. Thrombosis. 5. Embolism. 6. Infarction. 7. Disseminated intravascular coagulation. 8. Shock. 9. Edema. 10. Disorders of the lymphatic fluid).

II. DISORDERS OF METABOLISM: 1. Adaptative processes: hypertrophy, hyperplasia, atrophy, metaplasia 2. Cellular injury and cell death: hydropic change, steatosis, cellular death

– apoptosis, necrosis 3. Pathology of the extracellular matrix: proteoglycans, elastic fibers,

collagen, amyloid, hyaline. 4. Intracellular accumulations: proteins, mucopolysaccharides, pigments –

melanin, hemosiderin, copper, bilirubin. 5. Pathologic calcification. 6. Lithiasis. 7. Keratin disorders.

III INFLAMMATION AND HEALING: 1. Inflammation: general features. 2. Acute inflammation: serous, fibrinous, purulent, hemorrhagic,

necrotizing. 3. Chronic inflammation: viral, bacterial, fungal, parasitic. 4. Healing: regeneration, repair.

IV. NEOPLASIA: 1. Etiopathogenesis. 2. Tumor biology. 3. General features of benign and malignant tumors. 4. Tumor invasion and metastasis. 5. Benign and malignant epithelial tumors: papilloma, adenoma,

carcinoma. 6. Benign and malignant tumors of the soft tissue. 7. Benign and malignant melanocytic tumors.

125

Mandatory bibliography - handout


Written theory exam: 70% of the final grade Oral practical exam: 25% of the final grade Activity during the semester: 5% of the final grade

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PATHOLOGICAL ANATHOMY

Field of study: Medicine Study programe: Medicine Course title: Pathology: Systemic Pathology Course coordinator: Lecturer Dan Gheban, MD, PhD Department: Morphological Sciences Discipline: Pathology Course code: MED 3 12 04 EN

Sem

este

r

Courses Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory 3 3 - 42 42 - 84 126 5

Theoretical and

practical exam


Preliminary conditions:

Histology

General objectives:

Based on the material studied in the first semester, students will acquire notions of pathological changes from the main diseases of organ systems and their integration in the context of knowledge acquired in other specialties (physiopathlogy, medical and surgical semiology, pharmacology, etc.).


At the end of the semester, students must be able to: use specific terms of pathology recognize macroscopic lesions: on pictures, surgical specimens, autopsic

cases recognize microscopic lesions: on pictures, at the microscope establish correlations between the clinical features and the pathologic

modifications of the diseases interpret a histopathological report: to recognize a specific pathologic

entity and to formulate the main differential diagnoses.

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Course content:

I. PATHOLOGY OF THE RESPIRATORY TRACT. 1. Upper airways: congenital anomalies, inflammations, lethal midfacial

granuloma, tumor-like lesions, benign and malignant tumors. 2. Lung: congenital anomalies, vascular diseases, acute respiratory distress

syndrome, atelectasis, emphysema, chronic bronchitis, bronchiectasis, pulmonary infections, granulomatous lesions, pulmonary eosinophilia, hypersensitivity pneumonitis, bronchial asthma, pneumoconiosis, pulmonary fibrosis, tumors, pleural effusions, pleural tumors.

II. PATHOLOGY OF THE CARDIOVASCULAR SYSTEM. 1. Heart: congenital anomalies, rheumatic fever, endocarditis (infective,

noninfective), other valvulopathies, complications of artificial valves, myocarditis, ischemic heart disease, cardiosclerosis, cardiomyopathies, tumors, pericardial effusions.

2. Blood vessels: congenital anomalies, vasculitis, atherosclerosis, aneurysms, varices.

III. PATHOLOGY OF THE DIGESTIVE SYSTEM. 1. Esophagus: congenital anomalies, lesions associated with motor dysfunction,

esophageal varices, esophagitis, tumors (benign, malignant). 2. Stomach: congenital anomalies, gastritis (acute, chronic), ulcerations, peptic

ulcer, tumors (benign, malignant). 3. Small bowel: congenital anomalies, ischemic bowel disease, infectious

enterocolitis, malabsorbtion syndromes, tumors. 4. Large bowel: congenital anomalies, megacolon, necrotizing enterocolitis,

pseudomembranous colitis, inflammatory bowel disease (Crohn disease, ulcerative colitis), polyps and polyposis syndromes, carcinomas, lymphomas of the gastrointestinal tract, carcinoid, gastrointestinal stromal tumors, ileus. Appendicitis.

5. Liver: congenital anomalies, vascular diseases, hepatitis (acute, chronic), cirrhosis, tumor-like lesions, tumors (primary - benign, malignant; liver metastases).

6. Gallbladder: congenital anomalies, cholecystitis, tumors. 7. Pancreas: congenital anomalies, cystic fibrosis, pancreatitis (acute, chronic),

benign and malignant tumors of the exocrine and endocrine pancreas, diabetes mellitus.

IV. PATHOLOGY OF THE URINARY SYSTEM. 1. Kidney: congenital anomalies, cystic diseases, genetic nephropathies,

glomerulopathies, tubulopathies, interstitial nephropathies, vascular diseases, benign and malignant tumors.

2. Urinary tract and urinary bladder: congenital anomalies, cystitis, tumors of the urinary bladder.

V. PATHOLOGY OF THE MALE GENITAL SYSTEM.

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1. Penis: congenital anomalies, traumatic and vascular disorders, inflammations, preneoplastic lesions, carcinoma.

2. Testis and epididymis: congenital anomalies, orchitis, epididymitis, infertility, testicular tumors.

3. Prostate: prostatitis, benign hyperplasia, carcinoma. VI. PATHOLOGY OF THE FEMALE GENITAL SYSTEM. 1. Congenital anomalies, intersexuality. 2. Vulva. Vagina. 3. Uterine cervix: cervicitis, cervical polyp, carcinoma. 4. Uterine body: nontumoral lesions of the endometrium, tumors. Pelvic

inflammatory disease. 5. Ovary: non-neoplastic and functional cysts, tumors. Gestational

trophoblastic disease. 6. Breast: congenital anomalies, mastitis, fibrocystic chance, benign and

malignant tumors. VII. PATHOLOGY OF THE ENDOCRINE SYSTEM. 1. Thyroid: congenital anomalies, thyroiditis, goiters, tumors. 2. Adrenal glands: pathology of the cortex and of the medulla.

VIII. PATHOLOGY OF BONES, JOINTS AND MUSCLES 1. Bone: congenital anomalies, developmental and acquired abnormalities in

bone cells, matrix, and structure, osteonecrosis, osteomyelitis, tumor-like lesions, bone-forming tumors, cartilage-forming tumors.

2. Joints: osteoarthritis, rheumatoid arthritis, infectious arthritis. 3. Muscular system: Congenital myopthies, muscular dystrophies, myotonic

disorders, inflammatory myopathies, myasthenia gravis, denervation atrophy.

IX. PATHOLOGY OF THE CENTRAL NERVOUS SYSTEM. 1. Congenital anomalies, meningitis and encephalitis, tumors.

X. PATHOLOGY OF WHITE CELLS AND LYMPH NODES 1. Lymphadenitis, reactive proliferations, non-Hodgkin lymphomas, multiple

myeloma/plasma cell myeloma, Waldenström macroglobulinemia, Hodgkin lymphoma, Langerhans cell histiocytosis.

References:

1. Notes during lectures 2. The electronic form of the courses (pdf, ppt) 3. Robbins Pathologic Basis of Disease, 7th or 8th editions 4. Florescu P, Précis de Anatomie Patologică, vol I, Fundaţia Academia Civică

Cluj, Cluj-Napoca, 2006 5. Florescu P, Précis de Anatomie Patologică, anul IV, Fundaţia Academia

Civică Cluj, Cluj-Napoca, 2007 6. Crişan D, Patologia Tubului Digestiv, Editura Medicală Universitară „Iuliu

Haţieganu” Cluj-Napoca, 2008

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7. Florescu P, Précis de Anatomie Patologică, anul V, Fundaţia Academia Civică Cluj, Cluj-Napoca, 2008

8. http://www.pathguy.com/ 9. http://www.pathologyoutlines.com/ 10. http://library.med.utah.edu/WebPath/webpath.html 11. http://alf3.urz.unibas.ch/pathopic/intro.htm 12. http://www.pathologie-online.de/ap/index.php 13. http://www.emedicine.com/

Evaluation:

Written theory exam: 70% of the final grade Oral practical exam: 25% of the final grade Activity during the semester: 5% of the final grade

http://www.pathguy.com/

http://www.pathologyoutlines.com/

http://library.med.utah.edu/WebPath/webpath.html

http://alf3.urz.unibas.ch/pathopic/intro.htm

http://www.pathologie-online.de/ap/index.php

http://www.emedicine.com/

130

PHARMACOLOGY

Field of study: Medicine Study programme: Medicine Course title: Pharmacology Course coordinator: Lecturer Corina Bocsan, MD, PhD Department: Functional Sciences Discipline: Pharmacology, Toxicology AND Clinical

Pharmacology Course code: MED 3 12 05 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion

Hours / week. hours / sem.

L PA CI

L PA CI

I

II compulsory

2

1

1

1 -

28

14

14

14 - 50 120

4

2

Written +

practical exam

L=lecture; PA=practical activities; CI=clinical internship

Pre-requisites:

Physiology, microbiology

General objectives

General characteristics of drugs, national and international regulation, pharmacokinetics, pharmacodynamics, pharmacoeconomics and pharmacoepidemiology; drugs with role in basic functions of the body; chemotherapy.

Specific objectives

Major criteria of efficacy in drug treatment and risc-beneficial analysis Basic elements of pharmacokinetic-pharmacodynamic model Selection criteria of drugs based on therapeutic objectives Basic principles and treatment guidelines in antibiotherapy, antiviral and

other specific drug therapy

Course content

1. General Pharmacology. 2. General Pharmacokinetics. 3. General Pharmacodynamics.

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4. Pharmacovigilance. 5. Neurotransmitters and chemical modulators. 6. Cholinergic autonomic system. 7. Adrenergic autonomic system. 8. Serotonin. Serotonin antagonists. 9. Histamine. Histamine antagonists. 10. Amino acids as mediators. 11. Opioids. 12. Renin-angiotensinogen-angiotensin system. 13. Plasma kinins. 14. Purinergic nervous system (Adenosine and ATP). 15. Eicosanoids (prostaglandins, prostacyclins, tromboxans, leucotrienes). 16. PAF. 17. Endothelial vascular agents. 18. Nitritergic system (nitric oxide). 19. Endothelins. 20. Vitamins. 21. Enzymes as drugs. 22. Ion and ion-channel pharmacology. 23. Cytokines and growth factors. 24. Steroid hormones. Thyroid hormones. Proteic hormones. 25. Diabetes treatment. Oral antidiabetics. Insulins. 26. Chemotherapeutic agents in infectious diseases. 27. Guidelines for antibiotic use. 28. Antibacterial agents. 29. Antiviral agents. 30. Antifungal agents. 31. Antiprotozoar agents. 32. Antineoplastic medication.

Mandatory bibliography - handout Supplementary bibliography

1. RA Harvey, PC Champe, MJ Mycek. Pharmacology – 4th ed. Lippincott Williams and Wilkins, 2009.

2. Katzung BG. Basic and Clinical Pharmacology (10th edition) – McGraw Hill, 2007

3. Goodman and Gilman’s. The Pharmacological Basis of Therapeutics (12th edition). McGraw Hill Publishing, 2010.

132


Written exam 60% Practical exam 20% Activity profile 10%

133

CLINICAL MICROBIOLOGY

Field of study: Medicine Study programme: Medicine Course title: Microbiology Clinical Microbiology Course coordinator: Lecturer Carmen Costache, MD, PhD Department: Molecular Medicine Discipline: Microbiology Course code: MED 3 2 08 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II Compulsory 1 1 - 14 14

- 25 53 2 On going examina

tion


Pre-requisites:

Microbiology – 2nd year

General objectives:

Study of the microorganisms (parasites, fungi) and their relations with humans, their biotic or non biotic medium.

Revealing the protozoa, helminthes and fungi importance, as etiologic agents of different infectious clinical entities: respiratory tract infections, CNS infections (meningitis, encephalitis) and the diarrhea syndrome.

Integrating bacteriology, virology, parasitology and mycology in one single discipline.


Learning the notions concerning the pathogenesis and laboratory diagnosis of parasitic and fungal infections, in order to understand their role in the human pathology.

Knowledge of methods and techniques used for microorganisms’ detection and identification.

Enabling students to perform minimum laboratory techniques necessary for a general practitioner doctor.

Enabling student to interpretate microbiology laboratory data.

Course content:

134

1. Parasites –parasitism, definitive host, intermediary host, vector (active, passive), life cycle

Parasites action on human body. Human body reaction to the presence of parasite. Parasites. Generalities, genres and species proprieties, classification, The natural reservoir, transmission/ human contamination; pathogenity factors, pathogenesis, diseases produced, prevention, treatment, and laboratory diagnosis. 2. Helminthes: trematodes (fasciola), cestodes (tapeworms): Tenia,

Diphylobotrium, Echinococcus , Cisticercosis, Hydatic cyst, Alveolar echinococcosis

Nematodes: Ascaris lumbricoides, Trichuris trichiura, Enterobius vermicularis, Trichinella spiralis, Ancylostoma duodenalis, Strongyloides stercoralis 3. Protosoa: Entamoeba, Free living amoeba: Naegleria, Acanthamoeba,

Giardia, Trichomonas, Cryptosporium, Microsporidium, Toxoplasma, Plasmodium, Flagelates of blood

Blood Protozoa - Plasmodium Congenital infections -Toxoplasma Sexually transmitted infections: vaginitis. Candida and Trichomonas vaginalis Digestive tract infections produced by Protozoa: Entamoeba, Giardia, Cryptosporidium, Microsporidium 4. Fungi: general properties, morphology, species, Transmission, infections,

Risk factors, pathogenesis, diseases produced, susceptibility to antifungal drugs, prophylaxis and laboratory diagnosis: genus Pneumocistis (Pneumocystis jiroveci), Candida, Criptococcus, Aspergillus

Respiratory tract infection, Fungal Pneumonia - Pneumocystis jiroveci - Aspergillus, Central nervous syndrome infections Fungal Infections of the CNS (meningitis) - Criptococcus neoformans, Parasitic Infections of the CNS, Encephalitis produced by parasites - Free living amoeba: Naegleria, Acanthamoeba - Cerebral malaria, - Cerebral toxoplasmosis Fungal Generalized infections - Candida 5. Infections with intestinal Nematodes: Ascaris lumbricoides, Trichuris

trichiura, Enterobius vermicularis, Trichinella spiralis, Ancylostoma duodenalis, Strongyloides stercoralis

Infections with intestinal Flatworms: Fasciola, Tenia, Diphylobotrium, Echinococcus, Diseases produced by nematodes larvae Cisticercosis, Hydatic cyst, Alveolar echinococcosis

135

References:

1. George F. Brooks, Janet S. Butel, Stephen A. Morse, Joseph L. Melnick, Ernest Jawetz, Edward A. Adelberg- Jawetz, Melnik Adelberg’s Medical Microbiology – 24-th edition, McGraw-Hill Professional Ed., 2004, ISBN 0071412077, 9780071412070

2. Medical Parasitology – Markell, Voge, John, 9-th edition, 2006 3. Diagnostic Medical Parasitology - Lynne Shore Garcia, 5th Edition, ASM

Press, 2006 4. www.dpd.cdc.gov/dpdx

Evaluation:

Written final exam consisting of multiple choice tests and written subjects (70%). Tests during the year through oral/written and examination for laboratories + practical exam (30%)

http://www.dpd.cdc.gov/dpdx

136

IMMUNOPATHOLOGY

Field of study: Medicine Study programme: Medicine Course title: Immunology Course coordinator: Professor Diana Deleanu, MD, PhD Department: Oncology Discipline: Immunology Course code: MED 3 2 09 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory 1 1 - 14 14 - - 28 2

On going evalua

tion


Pre-requisites:

Microbiology, physiology

General objectives:

Acquiring information about immune system functioning in normal and pathological conditions.

Enabling students to recognize clinical picture of major autoimmune diseases, allergy, immunodeficiency, and treatment principles that apply to these pathological entities.


Knowledge of basic principles of normal and pathological immunology: knowledge of organs and cells in the body with importance in the

development of immune responses; knowledge of molecules involved in immune response (antigens,

antibodies, cytokines, adhesion molecules, complement); knowledge of interrelations established between cells and molecules

above in order to build an immune response; knowledge of cellular and molecular deviations occurring during diseases

with immune substrate; knowledge of clinical pictures of the main classes of diseases with

immune substrate: allergies, autoimmune diseases, immunodeficiencies; knowledge of therapy principles applicable to the diseases listed above;

137

knowledge of particular aspects related to the immune system: transplant immunology, tumor immunology;

Course content:

1. Major defence mechanisms of the body. 2. Lymphoid organs, immune system cells. 3. Specific immunity. 4. Antigens. 5. Antibodies. 6. Major Histocompatibility Complex. 7. Complement system. 8. Phases of immune response and cooperation between cells. 9. Molecular mediators of immune response. 10. Hypersensitivity. 11. Immunodeficiency. 12. Autoimmune diseases. 13. Allergic diseases. 14. Transplantation immunology and tumor immunology.

References:

1. CRISTEA V, CRIŞAN M. Curs de Imunologie pentru studenţii Facultăţii de Medicină, Editura Medicală Universitară „Iuliu Haţieganu”, Cluj-Napoca 2011

2. Charles A Janeway, Paul Travers. Immunobiology 8th edition, Garland Science, 2011

Evaluation:

Evaluation during semester

138

HYGIENE

Field of study: Medicine Study programme: Medicine Course title: Hygiene / Environmental Health Course coordinator: Professor Monica Popa, MD, PhD Department: Community Medicine Discipline: Hygiene Course code: MED 3 12 06 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI C PA CI

I II

Compulsory

Compulsory

1

2

1

2 -

14

28

14

28 -

20

30

48

86

2

5

Written +

practical exam


Pre-requisites: -

General objectives:

Understanding the influence of the environment and environmental agents on human health

Exposure sources recognition relating to common environmental agents and conditions

Knowledge and skills in finding and using information about environmental diseases

Understanding the concept of environmental risk and its application to groups and individuals

Developing implementation strategies for intervention and environmental manipulation


Identification of environmental current hazards and their correct classification (physical, chemical, biological, irradiation hazards)

A critical approach upon the complex relationship between environmental pollution and the health of those exposed to establish a possible link exposure - health effect.

Specific skills to elicit an appropriately detailed environmental exposure history

139

Identification of recommendations at individual/ population level to minimize the risk upon health

Solid knowledge of human nutrition (in terms of diet, food and human health)

Selection and application of proper techniques / methods used in hygiene (anthropometric measurements, questionnaires, statistical analyses, laboratory methods)

Synthesis and interpretation of the nutritional status data for population groups and sub-groups.

Identification of the most proper preventive / interventional strategies for specific nutritional problems in a population.

Course content:

I. Environmental hygiene 1. The basic requirements of a healthy environment. The relationship

between global ecological change and health. 2. The basic characteristics of chemical, physical, biological, mechanical

and psychosocial hazards. 3. The basic mechanisms through which environmental

pollutants/contaminants act upon human health. 4. Basic method in the assessment and control of physical, chemical,

biological hazards. 5. Data collection concerning the recognition, assessment, management

and control of environmental hazards. 6. Knowledge and application of preventive / interventional strategies in

communities at risk or potentially affected. 7. Air/water/soil pollution related to human health: major sources of

environmental pollution, quality criteria for environmental factors & their importance as determinants of health.

8. The acute/chronic health effects of air pollution. 9. Water quality, sanitation and health. The nature and extent of

waterborne diseases. 10. Human settlements as ecosystems: health problems related to

urbanization, housing and health, indoor pollution - exposure and control, waste management.

II. Food hygiene and nutrition 1. Basis knowledge in interpretation and application of nutritive demands

in healthy humans and food requirements at different population groups. The health impacts of nutritional deficiencies.

2. Demonstration of nutrients’ changes during different stages of life cycle.

140

3. Adequate selection and application of nutritional status evaluation methods for early identification of nutritional problems in target populations.

4. Knowledge of the factors that are limiting the foodstuffs’availability, quality & security.

5. Identification of chemical/biological hazards given by the consumption of contaminated foodstuffs or due to improper cooking techniques, and the determination of health risks for consumers. Food poisoning and foodborne infections.

6. The determination of adequate preventive/interventional measures, consecutive to simple risk assessments in collectivities. The impact of HACCP system on food safety.

7. Demonstrating ability skills for carrying out and dissemination of educational measures in the domain of food and nutrition at target populations

III. Scholar hygiene 1. Knowledge and application of growth and physical development

investigation methods during childhood and adolescence at the level of primary health assistance.

2. Analysis and interpretation of physical development data related to scholar ergonomy.

3. Demonstrating ability skills in organisation and development of medical control of physical development in scholar colectivities.

References:

1. Popa Monica – „Environmental Hygiene and Human Health - course for medical students”, Ed. Med. Univ. „I. Haţieganu” Cluj, 2006.

2. Popa Monica– „Food Hygiene and Human Health - course for medical students”, Ed. Med. Univ. „I. Haţieganu” Cluj, 2006.

3. A. Yassi, T. Kjellstrom, T. de Kok, T. Guidotti – „Basic Environmental Health”, Oxford Uni. Press, 2001

4. D.Bender – „Introduction to Nutrition and Metabolism” CRC Press, 2008 5. W.Ott, A.Steinemann, L. Wallace- „ Exposure analysis”, CRC Press, 2006 6. Deshpande S.- „ Handbook of Food Toxicology”, M.Dekker Publ., 2002

Evaluation:

Written exam 60 % Practical exam 30 % Activity during the semester 10%

141

BASIC PRACTICAL SKILLS

Field of study: Medicine Study programme: Medicine Course title: Basic practical skills Course coordinator: Assoc. Prof. Dr. Gherman Claudia, MD, PhD Department: Surgery Discipline: Surgical Clinic II Course code: MED 3 1 07 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I Compulsory 0,5 1 - 7 14 - 21 2 On going

evaluation

L=lectures; PA=practical activities; CI=clinical internships

Pre-requisite: -

Obiective generale:

Gaining the necessary practical skills in order to achieve basic medical practical gestures

Obiective specifice:

Knowledge of indications and clinical skills techniques, as described in “Book for practical abilities”, chapter “Performe by itself and explain to the patients”. Practical learning of these skills by hands-on exercises on mannequins and simulators.

Course contents

Intensive Care Station Venous puncture Setting up an iv line Arterial puncture Oxygen administration ECG, SpO2, BP, pulse, temperature monitoring Emergency Station Airway desobstruction Defibrillation Fractures immobilisation External bleeding control Surgery – 2 stations

142

Sterility: induction, control, maintenance Knots and Sutures Sutures removal Injections: sc, id, im, iv Incision and drainage of superficial lesions Simple dressing - fixation Wound and Stoma care Nasogastric tube Rectal examination Male urinary catheterisation Obstetrics and Ginecology station Normal birth Vaginal examination Papanicolau test Female urinary catheterisation

References:

Printed documents for each manoeuvre (available at the Simulation Centre)

Evaluation

Practical examination. Instructor evaluation for each station, corresponding with the evaluation forms

143

ROMANIAN LANGUAGE

Study field: Medicine Study program: Medicine Course title: Romanian language Course coordinator: Lecturer Nora Mărcean, PhD, Asist. Cristina Gogâţă, PhD

Asist. Ştefana Duncea, PhD Department: Medical Education Discipline: Modern Languages Applied to Medicine

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI C PA CI

I II

Compulsory - 3 3

- - 84 - 28 112 -

On-going

evaluation


Pre-requisites: -

General objectives


developing skills in academic and medical language; developing team-work skills using pair and group-work; interdisciplinarity: raising ethical awareness of students’ future

profession.

Specific objectives





144

Course contents



References:

1. Bejan, D., Gramatica limbii române, editia a III-a, Ed. Echinox, Cluj, 2001 2. Brancus, G., Ionescu Adriana, Saramandu Mariana, Limba Romana.

Manual pentru studentii straini, editia a IV-a, Ed. Universitatii din Bucuresti, 1996

3. Kohn, Daniela, Puls. Limba română pentru străini, Ed. Polirom, Iaşi 2009 4. Pop, Liana, Româna cu sau fara profesor, editia a V-a, Ed. Echinox, Cluj,


Evaluation

On-going evaluation: Students’ activity during the practical course and portfolio 50% Written test 25% Oral assessment 25%

145

YEAR IV

INTERNAL MEDICINE – GASTROENTEROLOGY

Field of study: Medicine Study programme: Medicine Course title: Internal Medicine Course coordinator: Prof. Dr. Marcel Tanţău, MD, PhD

Assoc. Prof. Marcel Tanţău, MD, PhD Assoc. Prof. Paula Szanto

Department: Internal Medicine Discipline: Medical Clinic III Course code: MED 4 1 01 EN

Sem

este

r

Courses type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA Cl L PA CI

I Compulsory 8 - 17.1 56 - 120 80* 276 10

written exam +

practical exam


Pre-requisites:

Biochemistry, Physiology, Physiopathology, General Morphopathology, Semiology, Immunology, Microbiology, Pathology, Pharmacology

General objectives:

Approach to the patient with digestive disease Work up of clinical data and results of investigations in order to establish

the diagnosis and therapeutic options


Recognition of the digestive diseases with high prevalence Learning of basic skills in clinical dignosis of gastrointestinal and liver

diseases The knowledge of investigations’ indications and interpretation in above

mentioned pathology The knowledge of clinical and investigational data integration The ability to work up a corect and complete diagnosis The ability to create a therapeutic management

146

Course content:

1. Dyspepsia. Functional dyspepsia. Functional gastrointestinal disorders 2. Oesophageal disease: essentials of anatomy and physiology, motility

disorders, gastroesophageal reflux disease, esophageal carcinoma 3. Gastric disease: Peptic ulcer disease. Gastric cancer. Gastric surgery

related complications 4. Chronic diarrhea. Investigations of the small intestine. Malabsorption.

Lactase deficiency. Bacterial overgrowth syndrome. Celiac disease. Whipple’s disease

5. Colonic disease. Irritable bowel syndrome. Constipation. Diverticular disease

6. Colonic polyps and polyposis. Colorectal cancer. 7. Inflammatory Bowel Diseases. 8. Jaundice. Chronic hepatites. Alcohol induced liver disease. Non alcoholic

fatty liver disease and steatohepatitis. Drug induced liver damage 9. Chronic viral hepatitis. Autoimmune hepatitis 10. Liver cirrhosis. Hemochromatosis. Wilson’s disease. Primary biliary

cirrhosis. 11. Complications of liver cirrhosis. Variceal bleeding. Hepatic

encephalopathy. Hepatorenal syndrome. Bacterial spontaneous peritonitis. Hepatic tumors

12. Disease of biliary system. Gall stone disease. Bile duct tumours. Primitive sclerosing cholangitis. Investigations in biliary tract disease.

13. Pancreatic disease. Chronic pancreatitis, pancreatic carcinoma. Other opancrreatic tumors. Investigations of pancreatic disease.

References:

1. Harrison’s Principles of internal Medicine. Ed.McGraw Hill 2009 2. O.Pascu (sub redacţia). Gastroenterologie. Hepatologie., Bazele Practicii

Clinice. Editura Medicala Iuliu Hatieganu Cluj Napoca 3. S.P.L Travis, T.Ahmad, J.Collier, A.H Steinhart .Gastroenterology (Pocket

consultant). Blackweell Publishing 2005 4. S.L Friedman, KR McQuiad, J.H Grendell. Current Diagnosis & Treatment in

Gastroenterology. Lange Medical Books, McGraw-Hill 2003

Evaluation:

Written exam 40% Practical exam 50% Activity portofolio 10%

147

DIABETES AND NUTRITION RELATED DISEASES

Field of study: Medicine Study programme: Medicine Course title: Diabetes, Nutrition, Metabolic diseases Course coordinator: Assoc. Prof. Gabriela Roman, MD, PhD Department: Medical specialties Discipline: Diabetes, Nutrition, Metabolic diseases Course code: MED 4 2 13 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I compulsory 2 2 - 14 14 - - 28 2 Exam


Pre-requisites: -

General objectives:

Introducing the concept of metabolic diseases and nutritional pathology: diabetes mellitus, obesity, metabolic syndrome, hyperuricemia, healthy nutrition.


Learning basic information about metabolic diseases and nutrition: diabetes, obesity, dyslipidemia, metabolic syndrome, hyperuricemia, cardiometabolic risk, healthy nutrition.

Providing general knowledge about metabolic diseases, their impact, pathogenesis and evolution, prevention.

Providing general skills for practical approach of patients with metabolic diseases: clinical and biochemical laboratory test correlated with clinical assessment, diagnosis, screening and evaluation of chronic complications.

General knowledge about healthy nutrtion and medical nutrition therapy in metabolic diseases.

Course content:

Metabolic diseases: epidemiology, medical, social, economic impact Diabetes mellitus: definition, classification, risk factors, pathogenesis,

clinical aspects, complications, clinical management Hypoglicemia

148

Obesity: definition, classification, risk factors, pathogenesis, clinical aspects, complications, clinical management

Dyslipidemia : definition, classification, risk factors, pathogenesis, clinical aspects, complications, clinical management

Metabolic syndrome and cardiovascular risk: definition, assessment, clinical management

Evidence based medicine in metabolic diseases Hyperuricemia: definition, clinical and biochemical assessment, clinical

management Healthy nutrition and medical nutrition therapy: definition, principles

References:

Handouts from the courses Toronto Notes 27th ED, 2011

Optional: 1. Catedra de DNBM. Diabet, Nutriţie, Boli metabolice-Curs pentru studenţi,

Editura Medicală Universitară „Iuliu Haţieganu”, Cluj-Napoca, 2009 2. Hâncu N., Roman G., Veresiu I.A. (editori). Diabetul zaharat, nutritie, bolile

metabolice- Tratat, vol 1 si 2, Editura Echinox Cluj-Napoca, 2010 3. Hâncu N., Roman G., Veresiu I.A. (editori). Farmacoterapia diabetului

zaharat. Editura Echinox Cluj-Napoca, 2008

Evaluation:

Theoretic written exam 50% Practical exam 50%

149

CLINICAL PHARMACOLOGY

Field of study: Medicine Study programme: Medicine Course title: Clinical Pharmacology Course coordinator: Lecturer Corina Bocsan, MD, PhD Department: Functional Sciences Discipline: Pharmacology, Toxicology and Clinical Pharmacology Course code: MED 4 1 02 EN

Sem

este

r

Courses type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I

compulsory 3 2 - 21 14 - 20 55 3

Written exam +

practical exam


Pre-requisites:

General pharmacology

General objectives:

the information core consists in supplement of general pharmacology knowledge (basic) with the systems and special pharmacology.

medicine students must have the ability of learned drugs, must be capable to apply the knowledge in clinical practice, thinking in clinical context according to all the criteria that they have in choosing one drug.


To know some basic principles in clinical pharmacology The pharmacokinetic principles and how to monitor pharmacological

treatment To prevent and to manage the adverse reactions induced by drugs and

drugs interactions Some pharmacogenetics aspects and the variability of therapeutic

response Age and sex as variables of therapeutic response The specific aspects regarding the prescription in elderly, in pediatric

patients, in pregnancy and during lactation

150

The specific aspects regarding the prescription in patients with hepatic and renal failure

The principles of treatment in acute intoxications To prevent the prescription errors

Course content:

1. Drugs used in gastrointestinal diseases

Drugs used in peptic ulcers. Antisecretory drugs. Drugs that protect gastric mucosa. Therapy of helicobacter pylori infection. Recommendations for peptic ulcer treatment

Prokinetic drugs.

Pharmacological modulation of vomiting

Antispasmodic drugs.

Pharmacological modulation of diarrhea

Pharmacological modulation of constipation

Pancreatic substituents

Treatment of inflammatory bowel diseases

Treatment of gall bladder diseases

Therapy of hepatic diseases. Antiviral drugs used in chronic viral hepatitis

2. Drugs used in haematological diseases

Agents used in anemias. Hematopoietic growth factors

Drugs used in disorders of coagulation. Anticoagulant drugs. Antiplatelet and fibrinolytic drugs. Haemostatic and procoagulant drugs.

3. Metabolic therapy.

Agents used in hyperlipidemia.

Therapy of obesity 4. Diuretics

References:

1. Harvey RA, Champe PC, Mycek, MJ. Pharmacology – 4th edition. Lippincott Williams and Wilkins, 2009.

2. Katzung BG. Basic and Clinical Pharmacology (10th edition) - McGraw Hill, 2007

3. Goodman and Gillman's. The Pharmacological Basis of Therapeutics (12th edition). McGraw Hill Publishing, 2011

4. Rang HP, Dale MM, et al. Pharmacology, Elsevier Churchill Livingstone, 7th ed. 2012.

5. Colman Rebecca, Somogiy Ron. The Toronto Notes for Medical Students 2008

Evaluation:

151


152

NEPHROLOGY

Field of study: Medicine Study programme: Medicine Course title: Nephrology Course coordinator: Lecturer Moldovan Diana, MD, PhD

Assoc. Prof. Kacso Ina Maria, MD, PhD Department : Internal Medicine Discipline : Nephrology Course code : MED 4 1 03 EN

Sem

este

r

Type of the

course



Individual study

TOTA

L

Cre

dit

Eval

uat

ion

hours/week hours/week

L PA CI L PA CI

I Compulsory 3 4 21 28 20 69 3 Written ex, practical ex


Pre-requisites:

Physiopathology, Morphopathology, Pharmacology, Semiology

General objectives

Providing basic, theoretical and practical concepts of diagnosis and treatment of renal disease

Specific objectives

Providing basic notions on approaches of renal patients, as well as diagnostic procedures (renal biopsy included) and specific treatment options including renal replacement therapy(hemodialysis, peritoneal dialysis, renal transplantation)

Course content

1. Classification of renal diseases. 2. Glomerular diseases (general aspects). 3. Primary glomerular diseases (IgA nephropathy, minimal change disease,

focal segmental glomerulosclerosis, membranous glomerulopathy, membranoprolipherative glomerulonephritis, extracapillary proliferative glomerulonephritis.

4. Secondary glomerular diseases (postinfectious, lupus nephritis, sistemic vasculitides,cryoglobulinemia, amyloidosis).

153

5. Diabetic nephropathy. 6. Preeclampsia and eclampsia. 7. Tubulointerstitial diseases. 8. Urinary tract infection. 9. Vascular diseases of the kidney (nephroangiosclerosis, renovascular

hypertension, thrombotic microangiopathies – HUS/TTP). 10. Congenital diseases of the kidney (Autosomic dominant polycystic disease,

Alport syndrome, hereditary tubular diseases). 11. Chronic renal failure. 12. Acute renal failure. 13. Renal replacement therapy. 14. Water and electrolyte disorders. 15. Acid base disorders. 16. Urinary stone disease.

References

1. Gherman Căprioară M: Nefrologie, ed Medicală Universitatea Iuliu Haţieganu Cluj Napoca, 1998

2. Vladuţiu DS, Spânu C,I Dulău-Florea: Nefrologie pentru examenele de licenţă şi rezidenţiat, ed Medicala Universitara Iuliu Haţieganu Cluj Napoca, 1999:99-118

3. Vladuţiu DS: Nefrologie- Teme esenţiale în actualitate I, ed Medicala Universitara Iuliu Hatieganu Cluj Napoca, 2004:134-162

4. Harrison –Principles of Internal Medicine – Ed XIV, XV, XVI

Evaluation

Written evaluation 70 % Practical evaluation 30 %

154

UROLOGY

Field of study: Medicine Study programme: Medicine Course title: Urology Course coordinator: Professor Ioan Coman, MD, PhD Department: Surgical Specialties Discipline: Urology Course code: MED 4 2 07 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II Compulsory 2 - 4 14 - 28 20 62 2

written and

practical exam


Pre-requisites:

Anatomy, Physiology, Physiopathology

General objectives:

To acquire the basic concepts for urologic pathology To acquire the practical skills in diagnosis and treatment in urologic

pathology


Implementation of basics semiology and pathology of the urinary tract in both sexes and male genitalia

Implementation of modern diagnostic and treatment approach in urologic pathology

Learning by students the practical skills how to perform basic urological maneuvers and emergency care

Formation of algorithms based on clinical reasoning

Course content:

1. Urological pathological entities: technological progress, top surgery, minimally invasive treatments.

2. Urinary stones.

155

3. BPH and prostate cancer. 4. Specific and nonspecific urinary tract infections. 5. Congenital malformations of the uro-genital apparatus. 6. Urothelial tumors of low and high. 7. Renal tumors. 8. Emergencies and urogenital injuries.

References:

1. Urologie vol I, coordonator Prof Dr Mihai Lucan in Tratat de chirurgie sub redactia Prof Dr. Irinel Popescu, Editura Academiei Romane, 2008

2. "Bazele Urologiei", L. Ghervan, C.Lucan, Editura Medicala Universitara "Iuliu Hatieganu" Cluj-Napoca

3. Caiet de lucrari practice pentru studenti, Litografia UMF "Iuliu Hatieganu" Cluj, 1998

4. Campbell's Urology, Xth edition, 2012 5. Tratat de tehnici chirurgicale Urologice, Editura Infomedica, 2001

Evaluation:

Written examination 50% Practical examination 50%

156

OCCUPATIONAL MEDICINE AND OCCUPATIONAL DISEASES

Field of study: Medicine Study programme: Medicine Course title: Occupational Medicine Course coordinator: Lecturer Armand Râjnoveanu, MD, PhD Department: Community Medicine Discipline: Occupational Medicine Course code: MED 4 2 08 EN

Sem

este

r

Courses Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory 2 4 14 28 20 62 2

written exam +

practical exam

L = lectures; PA = practical activities; CI = clinical internship.

Pre-requisites: -

General objectives:

The courses and practical activities’ aim is for students to assimilate an informational core regarding the relationship between workplace and health status.

The students must gain the practical and theoretical basic knowledge necessary in recognizing the main occupational diseases, their treatment and prophylactic measures.


Upon completing the lecture hours, practical and clinical activities, the students will be able to:

correctly describe the aetiology of the featured occupational diseases (OD) and occupationally related diseases (ORD)

name the compulsory stages for positive diagnose/ prophylactic and curative treatment for the featured OD’s and ORD’s

analize functional respiratory exploration reports indicative of different types of ventilatory dysfunctions

code pneumoconiotic opacities and other thoracic radiographic anomalies described whilst interpreting some of the standard chest x-rays

157

appreciate the consequences of occupational noise exposure based on tonal liminar audiometry reports

name the steps in executing the cardiovascular tests (Teslenko, Brouha, Crampton) and interpret the obtained results.

Course content:

Chapters: Occupational health, occupational medicine: definition and its role in supervising the health. Occupational respiratory diseases. Occupational toxicology. Occupational pathology induce by physical factors. Small chapters: Occupational disease and occupationally related disease. Occupational asthma. The pneumoconiosis (silicosis, coal workers’ pneumoconiosis, asbestosis). Pleural and peritoneal mesothelioma. Occupational cancer. Occupational toxics (occupational intoxications with: lead, mercury, chromium, cadmium, manganese, arsenic, organic solvents, benzene, nitrous and ammonium derived compounds of polynomial aromatics, cyanide compounds, methylated alcohol). Noise-induce occupational pathology. Occupational pathology induced by exposure to vibrations. Occupational pathology cause by unfavorable climate conditions

References:

1. Cazamian P., Traite d' Ergonomie., Ed. Octares Entreprises, Marseille, 1987. 2. Cocârlă A., Medicina Ocupaţională, Ed. Medicală Universitară “Iuliu

Haţieganu”, Cluj-Napoca, 2009. 3. Cocârlă A., Tefas L., Petran Marilena, Manual de Medicina Muncii, Ed.

Medicală Universitară “Iuliu Haţieganu“, Cluj-Napoca, 2000. 4. Cocârlă A., Bronhopneumopatiile cronice în mediul industrial, vol. I-II, Ed.

Dacia, Cluj-Napoca, 1984. 5. Dessoile H., Scherrer J., Truhaut R., Precis de Medecine du Travail., Ed.

Masson, Paris, 1984. 6. La Dou Joseph, Occupational Medicine, Ed. Appleton & Lange, Norwalk,

Connecticut, 1990. 7. Lauwerys R. Robert, Toxicologie industrielle et intoxications

professionnelles, Ed. Massson, Troisieme edition, 2 tirage, Paris, 1992. 8. Toma I. Practica Medicinii Muncii. Sitech Craiova, 2008. 9. Merchant James A., Occupational Respiratory Diseases., US Dept. of Health

& Human Services, Washington, 1986. 10. Oarga Marilena, Medicina Muncii, Ed. Medicală Universitară "Iuliu

Haţieganu", Cluj-Napoca, 2006. 11. Parkes Raymond W., Occupational Lung Disorders., Butterworths, London,

1974.

158

12. Brooks, Stuart M., Environmental medicine. Place: St. Louis, Publisher: Mosby Year book, 1995.

13. Rom William N., Environmental and Occupational Medicine., Ed. Little, Brown & Co, Boston, 1992.

14. Zenz Carl, Occupational Medicine. Principles and Practical Applications., Ed. Year Book Medical Publishers, INC, Chicago, 1988.

Evaluation


159

RADIOLOGY. LOCOMOTOR, EXCRETORY AND EMERGENCY APPARATUS

Field of study: Medicine Study programme: Medicine Course title: Radiology. Locomotor, excretory and emergency

apparatus Course coordinator: Prof. Dudea Sorin, MD, PhD, Lecturer Ciurea Anca,

MD, PhD Department: Surgical Specialties Discipline: Radiology Course code: MED 4 1 04 EN

Sem

este

r

Courses type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I

Compulsory 3 3 - 21 21 - 42 84 3

Written exam + oral exam


Pre-requisites:

Medical semiology, Morphopathology

General objectives:

Learning the physical background of conventional and imaging equipment (nuclear physics, physics of ultrasound, MRI physics, etc.), biological effects of radiation and the principles of professional and general radiation protection.

Acquiring concepts of semeiology according to each examination technique (conventional and imaging) with the explanation of the basic concepts in obtaining images.

Underlining the indications and contraindications of each examination technique as well as learning of algorithms of examination in order to reduce exposure to radiation. Correlation of common and/or specific pathological imaging findings with organ pathology.


Recognition of the imaging method Recognition of the normal anatomical elements and of the variants Recognition of the semeiological elements and their signification Recognition of the pathological findings

160

Discussion of the differential and positive diagnosis Elaborating a radiological report.

Course content:

1. Elementary notions of physics and technique: The structure of the atom; Electromagnetic and corpuscular radiation: classification, properties; X-rays: mechanisms of production, properties; X-ray tube: structure of a radiology device, conventional radiological examination techniques (radioscopy, fluoroscopy, radiography, plain tomography, special techniques, and angiography).

2. Elements of physics and technique of imaging equipment: conventional radiological image (radiography and fluoroscopy), digital image; Ultrasound: physics, basic notions; Computed tomography: physics, basic notions; Magnetic resonance imaging: physics, basic notions; Examination plan of a radiological image.

3. Radiobiology notions: Natural and artificial irradiation; Biological effects of ionizing radiations; Acute irradiation disease: general notions.

4. Radioprotection notions: Notions of measurements in S.I.; Useful and unnecessary irradiation; Main nations of general and professional radioprotection; legislation.

5. Genitourinary system: Examination technique (KUB, ultrasound, CT). Normal radiological anatomy. Syndroms: small kidney, large kidney, renal mass, obstruction, stones, malformation.

6. Imaging of retroperitoneum and pelvis (adrenals, lymph nodes, bladder, genitals).

7. Musculoskeletal system: examination technique (radiography, ultrasound, CT, MR); Radio-imaging anatomy; Elementary semeiology of the musculoskeletal system pathology.

8. Elementary semeiology of the musculoskeletal system pathology. Elementary notions of infectious and tumor pathology of the musculoskeletal system.

9. Elementary notions of the inflammatory joint pathology. Degenerative processes of the musculoskeletal system. Skeletal pathology specific for children (rickets, congenital hip dysplasia).

10. Emergencies: Abdomen and pelvis: trauma, acute abdomen; Extremities: trauma, vascular emergencies, disc hernia; Foreign body.

11. Rehearsal and integration through algorithms of the indications of the imaging techniques

References:

1. D. Rădulescu (sub redacţia) Radiologie Medicală, Ed.IMF Cluj Napoca, 1983.

2. David Sutton – Textbook of radiology and imaging, 7th edition.

161

3. Otto H. Wegener – Whole body computed tomography. 4. M.Buruian – sub redactia, Tratat de tomografie computerizatș, Ed.

University Press, 2006 5. R.Badea, S.Dudea, P.Mircea, F.Stamatian – Tratat de ultrasonografie

clinică, Vol.I, Ed. Medicală București, 2000.

Evaluation:

Composed exam with Medical Imaging (overall 60% radiology, 40% medical imaging).

Written test (50%), practical exam (50%: of which recognition of pathological images, written – 30%, oral description of a clinical case – 20%)

The examination is held in front of a Committee of teachers from both Radiology and Medical Imaging disciplines. Theoretical sample consists of 30 questions on the theme of Radiology and 20 questions on the theme of Medical Imaging. The interpretation of service consists of the design of the pathological changes 10 images with the theme: 6 images of studied topics related to the discipline of Radiology and 4 images from the associated discipline of theme medical imaging. An appropriate clinical trial will take place in front of a Joint Committee composed of 2 members, 1 teaching member from Radiology discipline and 1 teaching member from medical imaging discipline.

162

MEDICAL IMAGING

Field of study: Medicine Study Programme: Medicine Course title: Medical Imaging –Digestive tract Course coordinator: Lecturer Gabriel Andrieş, MD, PhD Department: Surgical Specialties Discipline: Medical Imaging Course code: MED 4 1 04 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I Compulsory 2 2 - 14 14 - 28 56 2

written exam+

practical exam


Pre-requisites:

Medical Semiology, pathological Anathomy

General objectives

To provide information and get students familiarized with the state of the art imaging diagnostic tools, for the clinical use of early finding, caracterizing and for the eveluation of acute and/or chronic illnesses of the abdomen.

Inducing the clinical-imaging integrated way of thinking Understanding the individual indications or, in combination, for the

different imaging techniques, focusing on the digestive tract and adnexal glands pathology

Understanding the way of differentiation between each imaging technique in accordance with their characteristics

Understanding the technological novelties in Medical Imaging and future perspective of the imaging diagnosis focused on the abdominal digestive pathology.

Specific objectives

At the end of the course the students should know:

163

the main up to date Imaging techniques to be used in general practice in abdominal pathology, mainly digestive tract and adnexal glands;

their indications and limitations; the possible risks that patients are exposed to, while using these

methods; the clinical criteria based on which, specific medical imaging

techniques will be made the criteria and the modalities of selecting the specific imaging method

according to the specificity and the severity of the disease the modalities of combining the imaging methods in order to reach the

correct diagnosis the importance of using the Imaging techniques according to the

symptoms the patient has, and also their value and limitations the importance of using the Imaging methods when following chronic

diseases and the detection of acute onset the preparation of each patient in order to create the best condition

for the investigation and the necessary consumables in order to achieve the proposed goal

At the end of Practical work the students should know: to identify each imaging procedure used for a specific image to identify the anatomical region explored throughout each imaging

modality to recognize normal organs to recognize the main pathology of the digestive tract and it’s adnexal

glands throughout each type of imaging examination specific to these organs

to identify the complications and to formulate a prognosis to build-up a clinical diagnosis in which specific images should be

integrated as a part of the clinical exploration

Course content

Course 1. The Conventional Radiology of the Digestive Tract. Techniques and procedures. The ulcerative disease. Digestive tumors. Inflammatory intestinal disease – 2h LP1 and 2: Conventional Radiology: Digestive emergencies. The radiologic semiology of the digestive tract in mono- and double-contrast. Normal and pathological radiologic aspects of the digestive tract segments – 2h Course 2. The Ultrasound examination of the liver and biliary tree. Procedures of examination. Normal sonography. Ultrasonographic Syndromes. Diffuse Hepato-biliary pathologies - acute and chronic. Portal hypertension Syndrome, Hepatic Tumors (primary, metastatic, benign, malignant), Hepatic abscess, Lithiasic Disease (gallbladder, biliary tree).

164

Acute Cholecystitis. Jaundice Syndrome and other illnesses of the biliary tree: cholecystosis, tumors -2h LP3 and 4: The ultrasound of the liver and biliary tree (images with comments, discussions) -2h Course 3. The Ultrasound of the pancreas. Normal aspect. Acute and chronic Pancreatitis. Tumors of the pancreas (cystic and solid). The Ultrasound examination of the digestive tract and peritoneal serosa (normal aspect). Tumors of the digestive tract. Inflammatory disease (acute appendicitis, chronic inflammatory bowel). Digestive emergencies (ileus, intestino– mesenteric infarction) The Ultrasound of the peritoneum. Normal aspect. Peritoneal / retroperitoneal collections (diffuse and circumscribed). Ascites. -2h LP5 and 6: The Ultrasound of the pancreas, digestive tract and peritoneal serosa. (images with comments, discussions) -2h Course 4. The Computerized Tomography in abdominal pathology - normal aspect. Specific modalities of examination. Liver pathology (diffuse hepatopathies, tumors), pathology of the biliary tree (cholestasis, tumors), of the pancreas (inflammatory disease, tumors), digestive tract (tumors) and peritoneum (collections, ascites). LP7 and 8: CT in abdominal pathology. Clinical cases of liver pathology (tumors, cirhosys), biliary tree (colestasys, tumors), pancreas (inflamations, tumors), digestive tube (tumors) and of the peritoneum (colections, ascites) Imaging guided Interventional Procedures. Basic notions, instruments, techniques. Risks, contra-indications, complications; patient’s evolution follow-up – 2h Course 5. The Magnetic Resonance Imaging in abdominal pathology. Procedures for examination. Normal aspects. Examples from Liver pathology, pathology of the biliary tree, pancreas, digestive tract and peritoneum. LP9 and 10: NMR in abdominal pathology, clinicaly-imaging examples. Compared imaging on liver pathology, digestive tract and adnexal glands. -2h Course 6. Nuclear Medicine. Generalities: radioisotopes, the exploration equipment in body scintigraphy, the image formation and acquisition techniques. -2h LP11 and 12: Nuclear Medicine. The preparation of Radio-pharmaceuticals, notions of dosimetry and radio-protection. Specific equipment. – 2h Course 7. Applications in abdominal pathology: exploration of the digestive tract and adnexal glands - hepato-splenic scintigraphy, salivary glands, esophagus, tumors, intestinal bleedings and Meckel’s diverticulum. LP13 and 14: Applications in abdominal pathology: exploration of the digestive tract and adnexal glands - hepato-splenic scintigraphy, salivary glands, esophagus, tumors, intestinal bleedings and Meckel’s diverticulum

165

References:

For the Course 1 1. David Sutton. Section 3: Abdomen and Gastrointestinal tract. In: Textbook

of Radiology and Imaging, Seventh Edition, Elsevier Science Ltd 2003, p. 533-823

2. Rachel Fierro, Jenny Werner. Enteroclysis: What Is It & Why Do We Do It? 2005. On: http://www.radiographicceu.com/article18.html

3. Umschaden H.W., Szolas D., Gasser J., Umschaden M., Hasselbach H. „Small bowel diseases: comparison of MR enteroclysis with conventional enteroclysis and surgical findings“ Radiology 2000; 215:717-725

4. Ajaj W., Goehde S.C., Schneemann H., Ruehm S. G., Debatin J.F., Lauenstein T.C. „Oral contrast agents for small bowel MRI: Comparison of different additives to optimize bowel distention” Eur Radiol 2004;14:458-464

For the Course 2 and 3 5. Bleck JS. Nonparasitic Cysts. In: Gebel M. Ultrasound in Gastroenterology

and Hepatology. Blackwell Science Berlin Viena. 2000, 56 – 58 6. Gebel. Hepatic Hemangioma. In: Gebel M. Ultrasound in Gastroenterology

and Hepatology. Blackwell Science Berlin Viena. 2000, 68 – 69 7. Badea R in colaborare cu Ciobanu L, Lupşor M. Ultrasonografia clinică a

abdomenului şi pelvisului (baze fizice, noţiuni elementare, valoarea adăugată în practica clinică). Ed. Medicală, Bucureşti, 2012

8. Badea RI, Dudea SM, Mircea PA, Stamatian F. Tratat de Ultrasonografie Clinica. Ed. Medicala, Bucuresti, 2000

9. Mittelstaedt CA. Ultrasound. Evaluation of the Billiary System. Yamada T, Alpers DH, Owyang C, Powell DW, Silverstein FE. Textbook of Gastroenterology. Volume Two. J.B.Lippincott Company, Philadelphia, 1991, 2328 - 2332.

10. Badea R. Imaging techniques efficiency in pancreatic diseases diagnosis. In: Barbu ST, Åke Andrén-Sandberg (eds). Pancreatic diseases in 2008. What are the burning issues? Editura Casa Cărţii de Stiinţă Cluj-Napoca, 2008, p. 41 – 49

11. Abdominal Wall/Peritoneal Cavity. In: Diagnostic Imaging. Ultrasound. Ahuja A, Griffith JF, Wong KT şi colab (ed). AMIRSYS, Salt Lake City, Utah, USA, 2007

For the Course 4

166

12. Baron RL, Oliver JH, Dodd GD III, Nalesnik M,Holbert BL, Carr B. Hepatocellular carcinoma: evaluation with biphasic contrast enhanced helicalCT. Radiology 1996;199:505–511

13. Sutton D (Eeditor). Textbook of Radiology and Imaging, Vol 1. 7-th Edition. Churchill Livingstone 2003

14. Oliver JH, Baron RL. Helical biphasic contrast enhanced CT of the liver: technique, indications, interpretations, and pitfalls. Radiology 1996;201:1–14.

15. van Leeuwen DJ, Reeders JWAJ. Primary sclerosing cholangitis and cholangiocarcinoma as a diagnostic and therapeutic dilemma. Ann Oncol 1999;4:89 -93.

16. Campbell WL, Ferris JV, Holbert BL, Thaete FL, Baron RL. Biliary tract carcinoma complicating primary sclerosing cholangitis: evaluation with CT, cholangiography, US, and MR imaging. Radiology 1998; 207:41 -50.

17. Tillich M, Mischinger HJ, Preisegger KH, Rabl H, Szolar DH. Multiphasic helical CT in diagnosis and staging of hilar cholangiocarcinoma. AJR 1998;171:651 -658.

18. Bluemke DA, Cameron JL, Hruban RH, et al. Potentially resectable pancreatic adenocarcinoma: spiral CT assessment with surgical and pathological correlation. Radiology 1995; 197:381-385.

19. Hollett MD, Jorgensen MJ, Jeffrey RB, Jr. Quantitative evaluation of pancreatic enhancement during dual-phase helical CT. Radiology 1995; 195:359-361.

20. Bonaldi VM, Bret PM, Atri M, Garcia P, Reinhold CA. Comparison of two injection protocols using helical and dynamic acquisitions in CT examinations of the pancreas. AJR Am J Roentgenol 1996; 167:49-55.

21. Graf O, Boland GW, Warshaw AL, et al. Arterial versus portal venous helical CT for revealing pancreatic adenocarcinoma: conspicuity of tumor and critical vascular anatomy. AJR Am J Roentgenol 1997; 169:119-123.

22. Horton KM, Eng J, Fishman EK. Normal enhancement of the small bowel: evaluation with spiral CT. J Comput Assist Tomogr 2000; 24: 67-71.

23. Horton KM, Fishman EK. Helical CT of the stomach: evaluation with water as an oral contrast agent. AJR Am J Roentgenol 1998; 171: 1373- 1376.

24. Matsuoka Y, Masumoto T, Koga H, et al. Positive and negative oral contrast agents for combined abdominal and pelvic helical CT: first iodinated agent and second water. Radiat Med 2000; 18: 213-216.

25. Lee DH. Two-dimensional and three-dimensional imaging of gastric tumors using spiral CT. Abdom Imaging 2000; 25: 1-6.

26. Mani NB, Suri S, Gupta S, Wig JD. Two-phase dynamic contrast-enhanced computed tomography with water-filling method for staging gastric cancer. Clin Imaging 2001; 25: 38-43.

167

27. Meyers MA. Distribution of intra-abdominal malignant seeding: dependency on dynamics of flow of ascitic fluid. Am J Roentgenol Radium Ther Nucl Med 1973; 119:198-206.

28. Rosse C, Gaddum-Rosse P. The abdomen in general. In: Rosse C, Gaddum-Rosse P, eds. Hollinshead’s textbook of anatomy. 5th ed. Philadelphia, Pa: Lippincott-Raven, 1997; 515-547.

29. www.thieme-connect.com; www.springer.com For the Course 5 30. Linez G. MRI in clinical practice. Springer London Ltd, 2006 31. Knake J. "Abdominal MRI: The role of dynamic scanning techniques in

hepatic, renal, and pancreatic disease". Applied Radiology 2002; 31; 6: 87-95

32. Semelka RC. "Dynamic Contrast-Enhanced MRI of the Liver and Pancreas". Applied Radiology 2002; 31; 9: 37-43

33. SP Kalva, Blake MA, Sahani DV. "MR contrast agents". Applied Radiology 2006; 35; 1: 18-27

34. Grazioli L, Morana G, Baron RL. "MRI Contrast for the New Millennium: Contrast-Enhanced MR Imaging of Liver Masses". Applied Radiology 2003; 32; 4: 101-126

35. Olivia MR, Mortele KJ, Erturk SM, Ros PR. "Magnetic resonance imaging of the pancreas". Applied Radiology 2006; 35; 2: 7-24

36. Sutton D (Eeditor). Textbook of Radiology and Imaging, Vol 1. 7-th Edition. Churchill Livingstone 2003

37. Maglinte DDT, Siegelman ES, Kelvin FM, "MR Enteroclysis: The Future of Small-Bowel Imaging? " Radiology 2000; 215:639–641

38. Lauenstein TC, Schneemann H, Vogt FM, Herborn CU, Ruhm SG, Debatin JF. "Optimization of Oral Contrast Agents for MR Imaging of the Small Bowel". Radiology 2003; 228:279–283

39. Dunphy T. "Magnetic resonance imaging of focal liver lesions". Applied Radiology 2001; 30; 4: 64-74

40. Lee JKT, Sagel SS, Stanley RJ, Heiken JP. Computed Body Tomography with MRI correlation, Vol 1-2. 4-th Edition. Lippincott Willwams & Wilkins 2006

41. Bydder GM. "Clinical Applications of Gadolinium-DTPA." In Magnetic Resonance Imaging,ed. by. Stark DD and Bradley WG. Mosby Co., St. Louis, MO 1988

42. Westbrook C, Roth C. MRI in practice. 3-rd Edition. Blackwell Science Ltd 2005

43. Westbrook C. Handbook of MRI technique. 2-nd Edition. Blackwell Science Ltd 2003

44. Hornak JP. The Basics of MRI. http://www.cis.rit.edu/htbooks/mri/inside.htm

http://www.thieme-connect.com/

http://www.springer.com/

http://www.cis.rit.edu/htbooks/mri/inside.htm

168

For the Course 6 and 7 45. Ghid de utilizare a tehnicilor scintigrafice Andries G si colab. Ed. Medicala

Universitara „Iuliu Hatieganu” Cluj-Napoca 2006, ISBN 973 – 693 –175 -7 46. Diagnostic Nuclear Medicine Sandler M , Coleman R, Wackers F,Patton J,

Gottschalk A, Hoffer P, Williams & Wilkins, USA 1996 47. Practical Nuclear Medicine, Sharp P si colab, SPRINGER UK 2005, ISBN-10:

1-85233-875-X 48. Diagnostic Nuclear Medicine, Schiepers C si colab,SPRINGER USA 2006,

ISBN 3-540-42309-5 49. Nuclear Cardiology: The Basics, Wackers F, Bruni W, Zaret B, HUMANA

PRESS USA 2004, ISBN 0-89603-983-8 50. Pediatric Nuclear Medicine/PET, Third Edition, Treves S, SPRINGER USA

2007, ISBN-10: 0-387-32321-X

European Association of Nuclear Medicine www.eanm.org/guidelines

Evaluation

Exam Modality. The Exam will take place at the end of the Imaging Module, as aknowledged in the up-dated Guidelines regarding the methods of student’s examination. The Exam is taking place meanwhile with the one of Radiology discipline, in front of a Comission formed by members of the two disciplines; Radiology and Medical Imaging. It consists on two probes, with different weight when regarding the final mark: 1. The theoretical exam which is going to be written and the mark represents 50% from the final mark. This probe is running for 50 minutes and it counts up to 50 questions with 5 answers, from which just a single one is correct. They are composed of 30 questions from the Radiology thematic and 20 questions from the Medical Imaging. The points resulted from the paper is multiplied with 0,2 and thus the result of the written test will be noted. The written test is elliminatory, the students that do not achieve the minimum mark of 5,00 do not promote and can not sustain the Practical exam. The papers correction/checking is undertaken right after the written exam and the results are prompted and comunicated to the students in the same day, at the time that the Comission has previously estabilished. 2. The Practical exam has a written part and an oral one, representing 50% from the final mark. It is composed from: a. The Interpretation of Radiological/Medical Imaging cases – written – 30%; b. The Interpretation/Reading of a Clinical imaging case – oral – 20%. a. The Interpretation of Radiological/Medical Imaging cases – consists in the projection of 10 images with pathological issues from the thematic studied, as follows: 6 images from the thematic of Radiology Discipline and 4 images from thematic of The Medical Imaging Discipline. This probe is written and the

http://www.eanm.org/guidelines

169

students will answer on a (pre)printed sheet at the specific questions addressed to each Image. The duration of this probe is going to take 15 minutes. The correct answer to each of the Images projected is going to obtain 1 point, the sum of the points those obtained will be the mark for this probe. According to the student’s total number, they will be organised in 2 or 3 groups that will receive, each of them, distinct sets of images for the interpretation. To each group there will be presented at the end of the probe the correct answers. b. The Clinical Case – will be performed in front of a comission composed of two members, one member of the Radiology Discipline and the other one from the Medical Imaging Discipline. There will be organised 2 comissions, each of them examining half of the Serie of students. The probe in itself will consist in choosing/extracting a number of a case that is going to be displayed for interpretation on the monitor of a computer. The case is going to be aleatory from the Radiology/Medical Imaging topic that has been studied. The Comission will discuss with the student on the specific issues. The Comission is reserving the right to address questions from the rest of the thematic presented at the Courses. Acording to the Guidelines, the exam is promovated if the mark at the Practical probe (the media of the maks achieved at the probes 2.a. and 2.b.) is equal or bigger than 5,00. The final grade of the Exam is going to be calculated by summarising the marks obtained at the two probes (theoretical and practical). In the case of non-promoting the theoretical probe, the student should repeate the hole examination. In the case of non-promoting just the Practical exam, the student will reconsider/repeate only this probe in its complete formula.

170

HAEMATOLOGY

Field of study: Medicine Study programme: Medicine Course title: Haematology Course coordinator: Assoc. Prof. Anca Bojan, MD, PhD Department: Oncology Discipline: Haematology Course code: MED 4 1 05 EN

Sem

este

r

Courses Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I Compulsory 3 4 - 21 28 - 20 69 3 written exam


Pre-requisites:

Physiology, Genetics, Cell Biology, Semiology

General objectives:

Knowing the diagnostic approach in the main haematological syndromes: anemia, bleeding disorders, disorders of leukocytes, disorders of the spleen, etc.

Knowing the diagnostic approach and principles of treatment in the main haematological disorders


Diagnostic approach of a patient with anemia. Diagnostic approach to the bleeding disorders Diagnostic approach to the leukocytes disorders Knowing the diagnostic approach and principles of treatment in the main

haematological disorders Knowing the indications of bone marrow biopsy, lymph node biopsy, bone

marrow aspiration, etc. Diagnostic approach of the lymph node and spleen disorders.

Course content:

1. Course 1 – 3 h: - Hematopoiesis Chronic Myeloproliferative Diseases: Chronic Myeloid Leukemia, Polycythemia 2. Course 2 – 3 h: - Acute leukemias Aplastic anemia

171

Myelodysplastic syndromes - ethiopathogenesis, classification, diagnosis, prognostic factors and

treatment 3. Course 3 – 3 h: - Chronic lymphoid leukemias: classification, ethiopathogenesis, diagnosis, prognostic factors, treatment

Malignant monoclonal gammopathies: Pathophysiology, pathogenesis, classification, criteria of diagnosis, prognostic factors, treatment

4. Course 4 – 3 h: - Malignant lymphomas. Classification, pathogenesis, histopathology, staging, prognosis and treatment

- Hodgkin’s disease - Non Hodgkin’s lymphomas

5. Course 5 – 3 h: - Disorders of hemostasis: pathophysiology of hemostasis, exploration of hemostasis, classification of bleeding disorders, principles of treatment

Platelet disorders /quantitative and qualitative – congenital and acquired

6. Course 6 – 3 h: - Blood transfusion. Generalities. Blood grouping, leucocyte and platelet antigens. The use of blood components. Posttransfusional reactions : diagnosis and management

Stem cell transplantation / bone marrow, peripheral stem cells: The HLA-system, mode of inheritance, stem cell sourses, indications of allogenic and autologous stem cell transplantation, results, complications

7. Course 7 – 3 h: - The anemias. Classification, pathophsisiology, diagnosis, management.

- Iron deficiency anemia - Anemia of chronic disorders - Megaloblastic anemias: vitamin B 12 and folic acid deficiency - The congenital hemolytic anemias: hereditary spherocytosis, glucose-

6-phosphate dehydrogenase and pyruvat-kinase deficiency, thalasemias, sikle cell anemia

- The acquired hemolitic anemias: autoimmune hemolytic anemias/warm and cold autoantibodies / paroxismal nocturnal hemoglobinuria

References:

1. L. Petrov, A. Cucuianu, Anca Ghiurt - Manual de hematologie clinica, Ed. Casa Cartii de Stiinta, editia 1996, 1997, 1998, 2000, 2009.

2. Prof. Dr. D. Colita - Medicina interna - Hematologie clinica, vol. I sub redactia Radu Paun, Editura medicala, Buc. 1998.

3. M. Wintrobe - Clinical Hematology, Lea & Feboiger, Philadelphia, London, 1999.

172

4. Andrei Cucuianu, Mihnea Zdrenghea, Steve Johnson, Mariana Patiu, Calin Coldea, Bogdan Fetica – Manual of Clinical Hematology. Ed. Casa Cartii de Stiinta, Cluj Napoca, 2008

5. Andrei Cucuianu, Mihnea Zdrenghea, Steve Johnson, Mariana Patiu, Calin Coldea, Bogdan Fetica – Manual of Clinical Hematology. Ed. Casa Cartii de Stiinta, Cluj Napoca, 2011

Evaluation:

Written exam 80% Activity portofolio 20%

173

GENERAL SURGERY

Field of study: Medicine Study programme: Medicine Course title: General Surgery Course coordinator: Lecturer Puia Cosmin, MD, PhD Department: Surgery Discipline: Surgery Clinic III Course code: MED 4 2 09 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II

compulsory 8 - 20 56 - 140 - 196 13

Written

+oral exam

L =lectures; PA = practical activities; CI = clinical internship

Pre-requisites:

Anatomy, General Morphopathology

General objectives:

Sound knowledge of surgical pathology Students must know when to refer a patient for operation and what type

of operation is indicated.


Clinical manifestations of surgical diseases Knowledge about basic principles in surgery Clinical diagnosis, differential diagnosis, para-clinical examinations in

surgical diseases Operative indications and surgical treatment.

Course content:

1. Surgical pathology of the esophagus, of the stomach and duodenum, of the small bowel, of the caecal appendix, of the large bowel and rectum.

2. Perianal surgical pathology. 3. Surgical pathology of the liver, of the bile ducts of the pancreas and

spleen. 4. Acute surgical abdomen.

174

5. Abdominal trauma. 6. Organ transplantation

References:

1. Vlad L – Patologie chirurgicală. Ed.Medicală Universitară “Iuliu Haţieganu”, Cluj-Napoca, 2003

2. Schwartz's Principles of Surgery, Eighth Edition 2005, McGraw-Hill 3. Oxford Textbook of Surgery, 2nd edition, 2001

Evaluation:

Test 10% Written paper 40% Oral examination (clinical case) 50%

175

ONCOLOGIC SURGERY

Field of study: Medicine Study programme: Medicine Course title: Oncologic Surgery Course coordinator: Prof. Alexandru Irimie, MD, PhD Department: Oncology Discipline: Oncologic surgery and oncologic gynecology Course code: MED 4 2 09 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II

compulsory 1 - 2 7 - 14 - 21 Evaluation

form


Pre-requisites:

Anatomy, Physiology

General objectives:

Assimilating elements and principles of Surgical Propedeutics and Semiology

Introducing the fundamental notions of surgical pathology in General Surgery

Correlating the topics of this course with the notions and topics of the clinic introductive courses in IIIrd year: Physiopathology, Medical Semiology and Immunopathology

Introducing elements of therapeutical conduct and praclinic investigations, which are necessary for comprehending the notions of Surgical Pathology.

Observing and illustrating specific elements of Surgical Semiology and Pathology through case studies and „Problem-based-learning”exercises

Building a clinical, oriented medico-surgical vocabulary.


implementing specific notions of the tumoral pathology: cutaneous and of the soft tissues

recognizing different clinical features in the pathology of the mammary and the thyroid gland; differentiated diagnosis and treatment

Course contents:

176

1. Breast cancer 2. Thyroid cancer 3. Skin cancers 4. Genital cancers

References:

4. Lazăr Ş. L, Mureşan M. A., Rancea A. C., Eniu D.T, Semiologie şi Patologie Chirurgicală (vol. I, II), ed. Sincron, Cluj-Napoca, 1997.

5. Andercou A., Galea F., Rădulescu Ş., Mironiuc A., Ciuce C., Gherman I., Strâmbu C., Pintea D., Demco D., Mircioiu D., Propedeutică Chirurgicală, ed. Mediamira, Cluj-Napoca, 2000.

6. Popescu I. (sub redacţia), Tratat de Chirurgie – vol. 8 – partea 1a şi 1b, ed. Academiei Române, Bucureşti, 2008.

7. Andercou A., Rădulescu Ş., Mironiuc A., Galea F., Semiologie şi patologie chirurgicală, Editura Medicală universitară „Iuliu Haţieganu”, Cluj-Napoca, 2009.

6. Schwartz S. I., Shires G. T., Spencer F. C., Principles Of Surgery – 7th edition, McGraw-Hill, New York, 2004.

Evaluation:

Evaluation form available at : http://cv.umfcluj.ro/ghidstudiu/uploaded/ghiduri/ghid292.pdf

http://cv.umfcluj.ro/ghidstudiu/uploaded/ghiduri/ghid292.pdf

177

CARDIOVASCULAR SURGERY

Field of study: Medicine Study programme: Medicine Course title: Cardiovascular surgery Course coordinator: Assoc. Prof. Traian Scridon, MD, PhD

Department: Surgical Specialties Discipline: Cardiovascular and Thoracic Surgery Course code: MED 4 2 08 EN

Sem

. Courses type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II compulsory 2 2 - 14 14 - - 21 grid


Pre-requisites: -

General objectives:

Course objectives (course and applications) familiarize students with the pathology of cardiovascular and thoracic practice attitude in cardiothoracic major emergencies.

Course content:

1. Ischemic cardiomyopathy 2. Mechanical complications of myocardial infarction 3. Valvulopathy 4. Complications of prosthetic heart valve 5. Acute pericarditis. 6. Cardiac tamponade 7. Acute pulmonary edema 8. Acute dissection of the aorta 9. Anevrsimul the aorta 10. Peripheral arterial anevrisms 11. Acute periferic ischemia 12. Critical ischemia 13. Carotid artery pathology. Stroke 14. Deep thrombophlebitis 15. Mesenteric ischemia 16. Chest Traumatisme 17. Heart Traumatisme

178

18. Cardiac tumors and bromhopulmonare

References:

1. Cardiovascular surgical pathology Treaty, vol 1 and 2 - Socoteanu, Medical Publishing House - Bucharest 2007

2. Cardiac Surgery in the Adults - Edmunds - Mc Graw Hill, 1997 3. Vascular Surgery, vol 1 and 2 - Rutherford, Saunders Company, 2000 4. Chronic peripheral arteriopathy - Mironiuc A., S. Radulescu, A. Molnar,

Risoprint, Cluj-Napoca, 2002 5. Diseases of veins - Scridon T., A. Molnar, S. Radulescu, Ed Info Medica,

Bucharest, 1999

Evaluation:

Grid

179

PLASTIC SURGERY – RECONSTRUCTIVE MICROSURGERY

Field of study: Medicine Study programme: Medicine Course title: Plastic Surgery – Reconstructive Microsurgery Course coordinator: Prof. Alexandru Georgescu, MD, PhD Department: Surgical Specialities Discipline: Cardiovascular and Thoracic Surgery Course code: MED 4 2 09 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II compulsory 1 1 7 7 20 34

At the end of Surgery module, written exam


Pre-requisites:

Anatomy, physiopathology, general surgery, orthopedics, radiology

General objectives:

Students should know the complex pathology connected to plastic surgery, including: burns, traumatology, hand surgery, congenital malformations. The student should recognize the plastic surgery emergencies, should learn the main principles of emergency assistance for those cases.

The student should recognize the plastic surgery emergencies and should know the main principles of emergency assistance for those cases.


Guiding principles of trauma care Guiding principles of hand surgery and hand rehabilitation Guiding principles of replantation and revascularization Guiding principles of burn and frostbite care Guiding principles of microsurgery Guiding principles of aesthetic surgery

180

Course content:

1. Skin. Skin vascularisation. Wound healing. Surgical care of simple and complex wounds, including wounds with soft tissue and/or bone loss.

2. Soft tissue defects coverage. Skin Grafts. Local, regional, free flaps. Perforator flaps.

3. Replantation. Revascularisation. 4. Burns (including chemical and electrocution): etiology, pathology,

therapy. Frostbite.

References:

1. A. V. Georgescu - Lambourile in chirurgia reconstructiva – vol. I, Ed. Quo Vadis, Cluj Napoca, 1999

2. A. V. Georgescu - Lambourile in chirurgia reconstructiva – vol. II, Ed. Echinox, Cluj Napoca, 2002

3. Green D., Hotchkiss RN., Pederson WC - Green’s Operative Hand Surgery –Ed. Churchill Livingstone

4. Georgescu A, Matei I, Ardelean F, Capota I. Microsurgical nonmicrovascular flaps in forearm and hand reconstruction. Microsurgery 2007; 27(5): 384-394.

5. Blondeel PN, Morris SF, Hallock GG, Neligan PC, editors. Perforator flaps: Anatomy, technique & clinical applications. St. Louis, Missouri: Quality Medical Publishing, Inc; 2006

6. Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. British Journal of Plastic Surgery 1987; 40: 113-141.

7. Papilian V. - Anatomia omului, vol. I, II, ed. a 6-a, Ed. Didactică şi Pedagogică Buc., 1982

8. Charles H. Thorne; Scott P. Bartlett, Grabb and Smith's Plastic Surgery, Ed. 6 Lippincott Williams & Wilkinson, 2006

9. N. Angelescu - Tratat de patologie chirurgicală, Ed. Medicală, Buc. 2001

Evaluation:

Written exam

181

CRANIO AND MAXILLOFACIAL SURGERY

Field of Study Medicine Study programme Medicine Course title Maxillofacial surgery Course coordinator Assoc. Prof. Hurubeanu Lucia, MD, PhD Department Dental Medicine

Department of Cranio-Maxilofacial Surgery and Dental Emergencies

Discipline Maxillofacial Surgery Course code MED 4 2 10 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

s

Evaluation hours/week hours/semester

L PA CI L PA CI

II Compulsory 2 2 - 14 14

- 40 68 2

Written Ex. + Practical Ex. +

Practical Application


Pre-requisites:

Anatomy, physiology

General objectives:

Acquiring practical and theoretical concepts about oral and maxillofacial pathology. Skills needed for diagnostic and therapeutic means applied in Oral and Maxillofacial Pathology.

Course content:

Theme (the major chapters): 1. Clinical examination of the patient in oral and maxillofacial surgery 2. Pathology of dental eruption 3. Dento-maxillo-facial trauma 4. Oro-maxillo-facial infections 5. Pathology of dental origin of the maxillary sinus 6. Benign tumors of soft and hard tissues of the maxillo-facial territory. 7. Malignant tumors of soft and hard tissues of the maxillo-facial territory 8. Salivary gland pathology 9. Cranio-maxillo-facial malformations. 10. Temporo-mandibular joint pathology and trigeminal neuralgia

182

Sub-chapters: 1. Clinical examination of the patient in oral and maxillofacial surgery.

Pathology of dental eruption 2. Dento-maxillo-facial injuries: oro-facial soft tissue wounds, dento-

periodontal trauma, massive facial fractures; politrauma. 3. Oro-maxillo-facial infections: maxillary infections of soft tisues, abscesses

of superficial and profound maxillary regions, specific and nonspecific bone infections jaws.

4. Pathology of dental origin of the maxillary sinus. Etiopathogeny, clinical signs, diagnosis and treatment.

5. Benign tumors of soft and hard tissues of maxillo-facial territory. Clinical aspects, therapeutic conduct. Malignant tumors of soft and hard tissues of maxillo-facial territory. Clinical aspects, therapeutic conduct.

6. Pathology of salivary glands. Methods of investigation of salivary glands. Wounds and fistulae salivary glands. Salivary lithiasis. Salivary gland tumors. Sialoze

7. Cranio-maxillo-facial malformations.Temporo-mandibular joint pathology and trigeminal neuralgia.

Practical activities Theme (the major chapters): 1. Clinical examination of the patient in oral and maxillofacial surgery 2. Pathology of dental eruption 3. Dento-maxillo-facial trauma. 4. Oro-maxillo-facial infections 5. Pathology of dental origin of the maxillary sinus. 6. Benign tumors of soft and hard tissues of the maxillo-facial territory. 7. Malignant tumors of soft and hard tissues of the maxillo-facial territory 8. Salivary gland pathology 9. Cranio-maxillo-facial malformations. 10. Temporo-mandibular joint pathology and neuralgia trigeminala

Sub-chapters: 1. Demonstrations of the peculiarity of the clinical examination in

Maxillofacial surgery . Pathology of dental eruption. Clinical examination, diagnosis and treatment.

2. Dento-maxillo-facial trauma. Clinical aspects, diagnosis, emergency and definitive treatment. Management of politrauma.

3. Oro-maxillo-facial infections. Etiopathogeny, clinical aspects, diagnosis, emergency treatment and curative. Pathology of dental origin of the maxillary sinus. Diagnosis and treatment.

4. Benign tumors of soft and hard tissues of the maxillo-facial territory: jaw and cervico-facial soft tissues cysts, mouth papilloma epitelio-conjunctival hyperplasia, granuloma pregnant, epulisl, hemangioma, ossteoma, fibrous dysplasia, adamantinoma (ameloblastoma).

183

5. Malignant tumors of soft and hard tissues of the maxillo-facial territory: the particular forms of oro-facial cancer, cancer of the middle face, sarcomas jaws, dental care of the patient to be irradiated .

6. Pathology of salivary glands. Clinical aspects, diagnosis and treatment. Cranio-maxillo-facial defects. Clinical aspects, diagnosis, therapeutic principles.

7. Temporo-mandibular joint pathology: diagnosis, treatment. Trigeminal neuralgia: clinical forms, diagnosis, treatment.

References:

1. Burlibasa Corneliu, CHIRURGIE ORALA SI MAXILOFACIALA, Editura Medicala, Bucuresti, 1999;

2. Alexandru Rotaru, Grigore Baciut, Horatiu Rotaru, CHIRURGIE MAXILO-FACIALA, Vol. I si Vol. II, Editura Medicala Universitara “Iuliu Hatieganu” Cluj- Napoca, 2003.

3. Lucia Hurubeanu, STOMATOLOGIE SI CHIRURGIE ORO - MAXILOFACIALA. Editura Medicala Universitara”Iuliu Hatieganu” Cluj – Napoca 2002, ISBN 973 – 8385 – 01 – 6

4. Bucur A. & all, “Compendiu de Chirurgie oro-maxilo-faciala” vol. I Q Med Publishing, 2009;

Evaluation:

Written exam 100% of the final grade

184

ORTHOPAEDICS – TRAUMATOLOGY

Field of study: Medicine Study programe: Medicine Course title: Orthopedics and traumatology - Skeletal trauma

and orthopedics Course coordinator: Lecturer Adrian Todor MD, PhD Department: Surgical specialties Discipline: Orthopaedic, traumatology and pediatric

orthopaedics Course code: MED 4 2 11 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II Compulsory 2 - 4 14 - 28 28 70 2 Written and oral


Pre-requisites:

Anatomy, Semiology

General objectives:

Gaining theoretical and practical knowledge with regard to traumatic and nontraumatic bone and joint disorders


Training the students to properly diagnose the diseases of the bones and joints by integrating clinical, paraclinical and imagistic data

Training the students to perform first aid treatment in bone and joints traumatic injuries

Training the students in performing and following conservative treatments in traumatic injuries

General principles about surgical treatment of bone and joint diseases

Course content:

1. General principles of osteoarticular traumatology 2. Traumatic disorders of the shoulder girdle and arm 3. Traumatic disorders of the elbow, forearm and hand 4. Traumatic disorders of the spine, pelvis and hip

185

5. Traumatic disorders of the thigh and knee 6. Traumatic disorders of the leg and foot 7. Bone and joint tumors and infections 8. Osteoarthritis

References:

10. Campbell’s Operative Orthopedics, Canale TS (ed,), Mosby Year Book, St.Louis, 11th edition.

11. Clinical Orthopedic Examination, McRae R, Churchill Livingstone, New York, 1990.

12. Skeletal Trauma, Browner BD, Jupiter JB, Levine AM, Trafton PG, W.B.Saunders Company, Philadelphia 1992.

Evaluation:

Written exam 50% Oral exam 50%

186

PEDIATRIC ORTHOPAEDICS

Semester

Courses

type

Courses


Course


Individual study

TOTA

L

Cre

dit

Eval

uat

ion


C PA CI C PA CI

2 Mandatory

0.5 0.5 7 7 written exam practical exam

C = courses; PA = practical activities; CI = clinical internship Preliminary conditions:

-

General goals: I. Familiarisation with the most frequent orthopedical conditions in children; early detection and diagnosis of specific disorders, early routing of the cases towars specialists II. Therapeutical algorithms for the most frequent surgical and orthopedical conditions in children.

Specific goals: 1. Knowing the principles in pediatric orthopedics 2. Pediatric orthopedics conditions according to the age 3. Explaining and interpretation of basic theoreticl and practical notions. 3. Leraning the principles of pediatric orthopedics

Course content: PEDIATRIC ORTHOPEDICS 1. Morphologic and functional particularities of the

musculoskeletal system in children.

2. Pediatric musculoskeletal traumatology: fractures-

generalities; obstetrical

fractures; upper limb fractures; lower limb fractures.

Study domain: Medicine Study programe: Medicine Course: Pediatric Orthopaedics Course entitled: Prof. Dr. Vasilescu Dana MD, PhD Department: Surgical Specialties Discipline: Orthopaedics Traumatology and Pediatric Orthopaedics Course code: MED 4211EN

187

3. The Volkmann Syndrome; the pulled elbow; the

physically abused child.

4. Congenital malformations: congenital malformations of

the upper limb;

congenital malformations of the lower limb; congenital

talipes equinovarus, developmental dysplasia of the hip

5. Congenital muscular Torticollis

6. Juvenile Osteochondritis

7. Affections of the Spine: Idiopatic Scoliosis, Juvenile

kyphoscoliosis

8. Management of plaster immobilizations and external

fixation devices

9. Indications and utilisation of protheses, orthoses and

other support devices.

References: 1. Vasilescu Dana et al. Elemente de ortopedie Pediatrică, Editura Risoprint Cluj, 2014. 2. Herring. Tachdjian’s pediatric orthopaedics, 2008.

Evaluation: Written exam(50%), practical exam(50%)

188

OPHTHALMOLOGY

Field of study: Medicine Study Programme: Medicine Course title: Ophthalmology Course coordinator: Assoc. Prof. Cristina Nicula, MD, PhD Department: Surgical specialties Discipline: Ophthalmology Course code MED 4 2 12 EN

Sem

. Course type



Individual Study

TOTA

L

Cre

dit

Eval

uat

ion

hours / week Hours/sem

L PA CI L PA CI

II Compulsory 2 4 - 14 28 - 30 72 2

Written exam, Oral exam,


evaluation

L = lectures; PA = Practical Activities; CI = clinical internship

Pre-requisites: -

General objectives

Learning the basic principles of ophthalmology, proving the importance of ophthalmic knowledge for general pathology.

Specific Objectives

Acquiring the basic skills useful for general practice: examining the eye in daylight, instillations, ointment administration, eyelid exam, foreign body extraction, visual acuity measurement, ophthalmoscopic exam, ability to recognize the most frequent pathology (hordeolum, conjunctivitis, minor traumatisms).

Course Content

1. Eye Physiology: Visual Function, Refraction, Binocular Vision. 2. Pathology of ocular annexes: Orbit, Eyelid, Tear system, Conjunctiva 3. Eye Pathology: Cornea, Uveea, Lens, Retina, Optic Nerve, Glaucoma 4. Ocular Traumatisms

189

References

1. Cristina Nicula :Ophthalmology, Ed.UMF Cluj, 2011,1-133; 2. J.Olver, L.Cassidy: Ophthalmology at a Glance, Blackwell Science Ltd, USA,

ISBN-13: 978-0-632-06473-1, 2005

Evaluation

Written exam 30% Oral exam 60% Practical activities evaluation 10%

190

CLINICAL BIOCHEMISTRY

Field of study: Medicine Study programme: Medicine Course title: Clinical biochemistry Course coordinator: Prof. Alexandra Crăciun, MD, PhD Departament: Molecular Sciences Discipline: Biochemistry Course code: MED 4 1 06 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I compulsory 2 1 - 14 7 - 20 41 2 Written


Pre-requisites:

Biochemistry, Physiology, Pathophysiology, Semiology

General objectives:

Developing skills in applying and interpreting the rational logic of laboratory tests in conjunction with the clinical context


Knowledge of preanalitic factors (related to the patient, harvesting, trasnsport of samples) that may affect laboratory results

Understanding the pathogenetic mechanisms that cause changes in laboratory parameters in various diseases

Acquiring the ability to indicate laboratory tests and to justify the indications from a clinical context

Acquiring the ability to perform an analysis

Course content:

1. Plasma proteins-disproteinemia types. Deficiencies of some plasmatic proteins. Diagnostic significance of serum enzyme changes.

2. Laboratory explorations in liver and gastrointestinal pathology. 3. Iron and hemoglobin metabolism. Laboratory explorations indeficiency and

iron overload. 4. Laboratory explorations in the metabolism of calcium, phosphorus and

magnesium. 5. Lipids and lipoproteins-transport, lipid metabolism laboratory explorations. 6. Primary and secondary dyslipidemia – laboratory diagnosis.

191

7. The significance of laboratory abnormalities in carbohydrate metabolism and uric acid.

8. Disturbances and laboratory exploring fluid and electrolyte balance and electrolyte

References:

9. Ioana Brudaşcă. Biochimie clinică – note de curs şi activităţi practice. Editura Medicală Universitară Iuliu Haţieganu Cluj Napoca, 2011

10. Dobreanu M. Biochimie clinică, implicaţii practice (ed.II). Editura Medicală,

Bucureşti, 2010

11. Alexandra Crăciun. Compendiu de biochimie clinică şi explorări de

laborator. Editura Dacia Cluj Napoca, 2006

12. Ioana Brudaşcă, Anca Cristea. Ghid de laborator, Editura Medicală Universitară Iuliu Haţieganu Cluj Napoca, 2005

13. Sub redacţia Luminiţa Pleşca Manea, M. Cucuianu, I. Crîsnic, Ioana Brudaşcă, Biochimie clinică. Fundamentare fiziopatologică, Editura Argonaut Cluj Napoca 2003

14. Cucuianu M., Trif I., Cucuianu A. Hemostaza. Biochimie, fundamentare fiziopatologică, Editura Dacia Cluj Napoca, 1994

15. Bishop M.L, Duben Engelkirk J. L., Fody E.P. Clinical chemistry. Principles, procedures, correlations J. B. Lipincott (Eds), Philadelphia, New York, London, Hagerstown, 1992

16. Marshall W. J. Clinical chemistry Mosby, London, 1995 17. Gaw A., Cowan R., O’Reilly D., Stewart M., Shepherd J. Biochimie clinique,

Elsevier 2004 18. http//www.specialtylabs.com/books 19. www.medramo.ac.ma/fmp/docm/bio.pdf

Evaluation:

Written exam, multiple choice questions, interpretation of test reports

192

ENDOCRINOLOGY

Field of study: Medicine Study programme: Medicine Course title: Endocrinology Course coordinator: Lecturer Ana Valea, MD, PhD Departament: Medical Specialties Discipline: Endocrinology Course code: MED 4 2 13 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II compulsory 2 4 - 14 28 - 20 69 3

Written exam +

practical exam


Pre-requisites:

Semiology, physiology, physiopathology, internal medicine.

General goals:

There are three general objectives in teaching clinical Endocrinology: The informational core which involves transmitting knowledge of clinical and paraclinical endocrinology. Moreover, acquiring certain clinical abilities specific to the field is also needed as they are to be used while examining patients, formulating a diagnostic, establishing a target for paraclinical explorations or while elaborating a therapeutical plan after a thorough examination of the patient. Beside these, students in Medicine have to develop competences in clinical diagnostic and monitoring of the chronic treatment of endocrine diseases and have to be able to put their acquired knowledge into practice.

Specific goals:

Knowing the principles in medical assisstance of patients with endocrine disorders: diagnosis and treatment of endocrinopathies.

Running into good clinical practice of hormone replacement therapy in pituitary, thyroid, adrenal and gonadal diseases.

193

Establishing indications of investigation and management in primary care of most important endocrine diseases – myxedema, thyrotoxicosis, hypocalcemia, chronic and acute adrenal insufficiency, postmenopause, osteoporosis.

Course content:

1. Chemical classification of hormones. Feedback control in the endocrine systems

2. THE HYPOTALAMUS - Functions of the nonendocrine hypothalamus. - Precocious puberty. - Diabetes insipidus.

3. THE PITUITARY GLAND - The pituitary tumoral syndrome. - Acromegaly. - Hyperprolactinemia - Pituitary insufficiency

4. THE THYROID GLAND - The goiter. - Hyperthyroidism - Hypothyroidism. - Thyroiditis

5. THE PARATHYROID GLANDS - Hormones involved in the calcium regulation. - Hyperparathyroidism{primary, secondary, tertiary} - Hypoparathyroidism - Pseudohypoparathyroidism

6. THE ADRENAL GLANDS - Primary adrenal insufficiency - Secondary adrenal insufficiency - Cushing’s syndrome - Congenital adrenal hyperplasia

7. THE GONADS - Normal sexual differentiation - Ovary - Ovarian failure - Testis - Testicular failure

References:

1. Duncea I. Endocrinologie. Editura Medicală Universitară „Iuliu Haţieganu” Cluj-Napoca, 2006

194

2. Duncea I. Endocrinologie, Editura Medicală Universitară „Iuliu Haţieganu” Cluj-Napoca, 2000

3. Duncea I. Explorări paraclinice în bolile endocrine, Editura Medicală Universitară „Iuliu Haţieganu” Cluj-Napoca, 2000

4. Aron DC, Findling JW, Blake Tyrell J Greenspan FS and Gardner DG –Basic and Clinical Endocrinology 8th edition, 2007, McGraw-Hill, New-York

Evaluation


195

YEAR V

INTERNAL MEDICINE. CARDIOLOGY

Field of study: Medicine Study programme: Medicine Course title: Internal Medicine – Cardiology Course coordinator: Professor Dana Pop, MD, PhD Department: Internal Medicine Discipline: Cardiology – Heart Institute Course code: MED 5 1 01 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I Compulsory 9 - 17.1 63 - 120 20 223 12

Written exam + practical exam


Pre-requisites:

Biochemistry, physiology, physiopathology, general morphopathology, immunology, microbiology, anatomo-pathology, semiology, farmacology

General objectives:

Basic knowledge of respiratory and cardiovascular disease. Running into good theoretical and practical issues in therapeutical and

diagnosis management of different respiartory and cardiovascular diseases.


Knowing the principles in adjustment of proper cardio-respiratory diagnosis, treatment and medical assistance.

Recognition of the cardiovascular patient, the cardiac arrest and the syndromes leading to cardiac arrest.

Implementation of triage and therapeutic – diagnosis emergency management concepts in vital risk medical emergencies: rhythm/conduction disturbances, myocardial infarction, shock, acute respiratory failure.

196

Basic ECG and echocardiography Interpretation of laboratory values, including Astrup, blood gas analysis

and radiography.

Course content:

1. Approach to the patient with respiratory disease 2. Respiratory structure and function: mechanisms and testing 3. Disorders of ventilatory control. 4. Asthma 5. Chronic obstructive pulmonary disease 6. Interstitial lung disease. Sarcoisosis. 7. Pneumonia 8. Lung abscess. Lung cancer. 9. Diseases of the diaphragm, chest wall, pleura, and mediastinum 10. Respiratory failure 11. Approach to the patient with possible cardiovascular disease.

Epidemiology of cardiovascular disease 12. Heart failure: pathophysiology, diagnosis, menagement, prognosis 13. Diseases of the myocardium and endocardium 14. Principles of electrophysiology. Cardiac arrhythmia 15. Arterial hypertension 16. Pulmonary hypertension 17. Congenital heart disease in the adults 18. Atherosclerosis, thrombosis, and vascular biology 19. Angina pectoris 20. Acute coronary syndrome: unstable angina and non-st segment elevation

myocardial infarction 21. ST segment elevation acute myocardial infarction and complications of

myocardial infarction 22. Valvular heart disease 23. Pericardial disease 24. Diseases of the aorta 25. Atherosclerotic peripheral arterial disease 26. Peripheral venous disease. Superficial thrombophlebitis. Deep vein

thrombosis. Post-thrombotic syndrome 27. Pulmonary embolism.

References:

1. MANUAL OF DIAGNOSIS AND THERAPY, Fifth Edition. Ed. Lippincott Williams and Wilkins.Joseph Alpret, Gordon A. Ewy.

2. PRINCIPLES OF INTERNAL MEDICINE. Harrison, Seventeenth Edition. 2008. 3. BRAUNWALD,S HEART DISEASE. A TEXT BOOK OF CARDIOVASCULAR

DISEASE. Ed. Elsevier Saunders. 8th ed. 2007

197

4. CARDIOLOGY, Second edition. Crawford . 2004. 5. APARAT RESPIRATOR ŞI CARDIOVASCULAR. P. Mircea şi colectivul Clinicii

Medicale I. Ed. Medicalǎ Universitarǎ “Iuliu Haţieganu”, Cluj-Napoca. 2005.

6. Goldman: Cecil Medicine, 23rd ed. - 2007 - Saunders, An Imprint of Elsevier

7. COMPEDIU DE ELECTROCARDIOGRAFIE CLINICĂ. Ediţia a II-a. Sub. Red. D. Zdrenghea. Ed. Clusium. 2007.

8. TESTAREA DE EFORT ÎN PRACTICA CLINICĂ. D. Zdrenghea, Dana Pop. Ed Clusium 2009.

Evaluation


http://www.mdconsult.com/das/book/178482221-2/view/1492

198

INTERVENTIONAL CARDIOLOGY – HEART INSTITUTE

Field of study: Medicine Study programme: Medicine Course: Interventional Cardiology Course coordinator: Prof. Capalneanu Radu MD, PhD Department: Internal Medicine Discipline: Cardiology - “Niculae Stancioiu” Heart Institute Course code: MED 5101 RO

Sem

este

r

Courses Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I

Compulsory - - 2 - - 14 - 14

Multiple

choice test


Pre-requisites:

Internal medicine and semiology

General objectives:

Acquiring knowledge of diagnostic and therapeutic interventional cardiology


Knowing the main applications of interventional cardiology in the coronary, valvular and congenital heart disease, cardiomyopathies, arterial and venous diseases

Course content:

1. Cardiac catheterism-left and right - indications, contraindications, risks, technical data, the significance of

pressional and oximetric measurements, ventricular function and angiography, coronary angiography

2. Cardiac catheterism in valvular, congenital and ischemic heart disease - other diagnostic methods

3. Coronary interventional revascularization therapy (angioplasty + stenting) 4. The valvuloplasties

- Treatment of septal defects and patent ductus arteriosus by occluders - Therapeutic embolizations

199

5. Arteriography and percutaneous revascularization of the limbs Carotid, cerebral and visceral arteriography (including the

interventional therapy) 6. The endocavitary electrophysiologic study, interventional techniques by

radioablation. 7. Endomyocardial biopsy-indications, techniques, interpretation. 8. Temporary and permanent pacemakers. Pacemaker malfunction.

References:

1) Christian W Hamm et al-ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation – European Heart Journal (2011), 32, 2999-3054.

2) Anderson JL et al-ACC/AHA 2007 guidelines for the management of patients with unstable angina/non ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Commitee to Revise the 2002 Guidelines for the management of Patients With Unstable Angina/Non ST-Elevation Myocardial Infarction): developed in collatoration with the American College of Emergency Psysician, the Society for Cardiovacular Angiography and Interventions, and the Society of Thoracic Surgenosc: endorsed by the American Associatins of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine. Circulation.Aug 14 2007; 116(7): 1598-1660.

3) Baunwald-Heart disease, a textbook of cardiovascular medicine, 9th edition, 2012, Sauders Elsevier.

4) A.E. Epstein ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhytm Abnormalities. J Am Col Cardiol,2008; 51: 1-62.

5) Grossman’s Cardiac Catheterisation, Angiography And Interventiona. Donald S.Baim. Lippincott, Williams & Wilkins 2005.

6) Oxford Textbook of Interventional Cardiology. Autori: Simon Redwood, Nick Curzen, Martifyn R.Thomas, Oxford University Press, 2012.

7) Textbook of Interventional Cardiology. Eric Topol, Joseph Jacobs, Elsevier, 2011.

Evaluation:

Multiple choice test.

200

RHEUMATOLOGY

Field of study: Medicine Study programme: Medicine Course title: Rheumatology Course coordinator: Lecturer Muntean Laura, MD, PhD Department: Medical Specialties Discipline: Rheumatology Course code: MED 5 109 EN

Sem

. Course type



Idividual study

TOTA

L

Cre

dit

s

Eval

uat

ion

Hours/week Hours/semester

L PA CI L PA CI

I compulsory 2 - 2 14 - 14 - 28 2 Written +

practical ex.


Pre-requisites:

Semiology, Internal Medicine IVth YEAR

General Objectives

Students’ awareness regarding the epidemiology, types, importance and social impact of rheumatological disorders.

Performing musculoskeletal clinical examination and evaluating the degree of activity of different rheumatic diseases

Learning the main laboratory tests used in rheumatology along with their interpretation

Recognition of rheumatologic disorders and the correct refferal to the rheumatologist

Revision of the main classes of medication used in the treatment of rheumatic diseases.

Recognition and classification of a musculoskeletal disease and their correct referral.

The importance of summarizing the specific issues of the history taking and clinical examination in rheumatological disorders:

- Use syndromes in order to guide clinical questions - Make the difference between inflammatory arthritis and

osteoarthritis - Characterize the main articular patterns

Specific Objectives

201

General information about Rheumatology: clinical examination, treatment, patient evaluation. Rheumatoid arthritis - Recognition of rheumatoid arthritis; differential

diagnsosis; priciples of diagnosis and treatment; monitoring of the disease; articular and functional evaluation; use of the activity score; referral to the rheumatologist.

Seronegative spondilarthritides - Recognition of the spondilarthritides as interdisciplinary diseases; multidisciplinarry team in making the diagnosis and following patients with these diseases.

Connective tissue diseases - Identifying and classifying the connective tissue diseases. Necessary conditions for reffering patients to the rheumatologist. Monitoring and follow-up of patients with these diseases.

Systemic vasculitides - Identifying and classifying systemic vasculitides. . Necessary conditions for reffering patients to the rheumatologist. Monitoring and follow-up of patients with these diseases.

Osteoarthritis. Osteoporosis - Principles of diagnosis and treatment in osteoarthritis and osteoporosis

Crystal-induced arthropathies – gout, calcium pyrophosphate deposition disease and other crystal-induced arthritides

Rheumatic features of other systemic diseases - Identifying the rheumatic manifestations as features of other systemic diseases.

Discussion. Clinical cases/scenarios. Questions and answers.

Course content

1. Introduction – what is Rheumatology? 2. Rheumatoid arthritis 3. Seronegative spondilarthritides 4. Is this a connective tissue disease? Systemic lupus erythematosus.

Antiphospholipid syndrome. 5. Is this a connective tissue disease? Systemic Sclerosis, inflammatory

myopathies, Sjogren’s syndrome, Relapsing polychondritis, mixed connective tissue disease, etc

6. Systemic vasculitides – an overview 7. Osteoarthritis 8. Osteoporosis 9. Microcristal deposition diseases – Gout, CPPD etc 10. Rheumatic features of other systemic diseases (Endocrinology,

Hematology etc)

202

References

1. Ciurea P. et al Reumatologie, editura Medicala Universitara, Craiova, 2007 2. Da Silva JAP, Woolf AD. Rheumatology in Practice, Springer Verlag, London,

2010 3. Harrison’s ed. Manual de Medicina (editia 15), A. S. Fauci E. Braunwald K. J.

Isselbacher ed. editura Teora, Bucuresti, 2003 (retiparire editia 2001) 4. Hunder GG ed. Atlas of Rheumatology, Lippincott Williams & Wilkins,

Philadelphia, 2002 5. Ionescu R. Esentialul in Reumatologie, editia a 2-a revizuita, editura

Amaltea, Bucuresti, 2006 6. Klippel JH ed Primer on the Rheumatic Diseases , Springer, New York, 2008 7. Rednic S et al: Ghid de studiu: Reumatologie clinica 8. Stone JH ed. A Clinician’s Pearls and Myths in Rheumatology, Springer,

Dordrecht, Heidelberg, 2009 9. West S. Rheumatology Secrets , 2nd edition, Hanley & Belfus Inc,

Philadelphia, 2002

Evaluation

Exam: written (20 multiple choice questions) practical (maneuver + clinical scenarios)

203

CLINICAL PHARMACOLOGY

Field of study: Medicine Study programme: Medicine Course title: Clinical Pharmacology Course coordinator: Lecturer Dr. Bocsan Corina, MD, PhD Department: Functional Sciences Discipline: Pharmacology, Toxicology and Clinical Pharmacology Course code: MED 5 1 02 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I Compulsory 3 3 - 21 21 - 20 62 4

Written exam + practical exam


Pre-requisites:

General pharmacology

General objectives:

the information core consists in supplement of general pharmacology knowledge (basic) with the systems and special pharmacology.

medicine students must have the ability of learned drugs, must be capable to apply the knowledge in clinical practice, thinking in clinical context according to all the criteria that they have in choosing one drug.


To know some basic principles in clinical pharmacology The pharmacokinetic principles and how to monitor pharmacological

treatment To prevent and to manage the adverse reactions induced by drugs and

drugs interactions Some pharmacogenetics aspects and the variability of therapeutic

response Age and sex as variables of therapeutic response The specific aspects regarding the prescription in elderly, in pediatric

patients, in pregnancy and during lactation

204

The specific aspects regarding the prescription in patients with hepatic and renal failure

The principles of treatment in acute intoxications To prevent the prescription errors

Course content:

1. Drugs affecting the cardiovascular system

Antianginal drugs. Nitrates. Beta adrenoceptor blocking agents. Calcium channel blockers. Other antianginal drugs

Peripheric and cerebral vasodilators

Antiarrhythmic drugs

Antihypertensive drugs. Diuretic drugs in hypertension. Beta adrenoceptor blocking agents. The renin angiotensin aldosteron system. Calcium channel blockers. Alfa adrenoceptor blocking agents. Symphatetic central inhibitors. Ganglioplegic agents. Vasodilator drugs. Treatment of hypertensive emergency

Pharmacologic management of cardiac heart failure. Diuretic drugs in cardiac heart failure. Angiotensin converting enzyme inhibitors. Vasodilators in cardiac heart failure. Beta adrenoceptor blocking agents in cardiac heart failure. Cardiac glycosides

2. Respiratory system pharmacology.

Drugs used to treat cough

Expectorant and mucolytic drugs

Drugs used in bronchial asthma treatment

Drugs used in allergic rhinitis treatment

Pulmonary surphactant 3. Drugs affecting the central nervous system

Sedative hypnotic and anxiolytic drugs

Antipsyhotic drugs

Drugs used in mood disorders

Drugs affecting neuromuscular transmission

Drugs used in Parkinson disease.

Antiepileptic drugs

Drugs used in neurodegenerative diseases

Cardio-respiratory analeptic drugs.

Drugs abuse. Drugs dependence.

References:

1. Harvey RA, Champe PC, Mycek, MJ. Pharmacology – 4th edition. Lippincott Williams and Wilkins, 2009.

2. Katzung BG. Basic and Clinical Pharmacology (10th edition) - McGraw Hill, 2007

205

3. Goodman and Gillman's. The Pharmacological Basis of Therapeutics (12th edition). McGraw Hill Publishing, 2010

4. Rang HP, Dale MM, et al. Pharmacology, Elsevier Churchill Livingstone, 7th ed. 2012.

5. Colman Rebecca, Somogiy Ron. The Toronto Notes for Medical Students 2008

Evaluation:

Written exam 70% Practical exam 30% Activity Portofolio 10%

206

NEUROSCIENCES

ADULT NEUROLOGY

Field of study: Medicine Study programme: Medicine Course title: Adult Neurology Course coordinator: Prof. Dafin Fior Mureşanu, MD, PhD, Lecturer Ioana

Stănescu, MD, PhD Department: Neurosciences Discipline: Neurology Course code: MED 5 1 03 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I Compulsory 8 - 8 56 56 - 112 10

written exam +

practical exam


Pre-requisites:

Anatomy, physiology, physiopathology, semiology, general pharmacology

General objectives:

Introducing the neurological examination into clinical practice. Settlement of theoretical and practical principles of diagnosis and

management of different neurological diseases.


Appreciate that a patient has a neurological problem; Evaluate the common neurological presenting symptoms; Recognise the common neurological disorders; Recognize neurological emergencies and initiate treatment; Manage the common neurological disorders using appropriate drugs and

alternatives of general management; Principles of care in neurological disability

207

Course content:

1. 1.Neurological semiology: motility, stance and gait examination, reflexes, equilibrium and coordination, sensibility testing, pain, autonomic function, cortical functions

2. Cranial nerves examination and disorders 3. Neurological syndromes: pyramidal syndrome, lower motor neuron

syndrome, myopathic sundrome, cerebellar and ataxic syndromes, sensory syndromes, parkinsonian , meningeal syndrome

4. Alteration in consciousness: stupor and coma; persistent vegetative state; brain death. Sleep disorders

5. Primary and secondary headaches: diagnostic approach and principles of mamagement

6. Multiple sclerosis and inflammatory demyelinating diseases of the central nervous system

7. Movement disorders: Parkinson disease; parkinsonism; chirea, dystonias: diagnostic principles and menagement

8. Vascular diseases of the nervous system: ischemic stroke; hemorrhagic stroke; cerebral venous thrombophlebitis

9. Spinal cord pathology: acute and chronic myelopathies 10. Disorders of the neuromuscular transmission; myastenia gravis;

myasthenic syndromes. Muscular diseases; primitive and secondary myopathies

11. Peripheral nervous system pathology: disorders of nerve roots, plexus and nerve trunks; mononeuropathies; polyneuropathies.

12. Degenerative disorders of the nervous system: motor neuron diseases; spinocerebellar ataxias; dementias: principles of diagnostic and mamagement

13. Tumors of the nervous system: diagnostic evaluation and therapeutical approach

14. Adult apilepsies: diagnostc and principles of treatment

References:

1. Dafin Mureşanu, Treatise of Fundamental Neurosciences (for students and residency use), The Publishing House of the University of Medicine and Pharmacy, Cluj-Napoca, Romania, 2004

2. Dafin Mureşanu, Neurotrophic Factors, Antagonists of NMDA Receptors and Cerebral Ischemia, “Casa Cărţii de Ştiinţă” Publishing House, Cluj-Napoca, Romania, 2000

3. Ovidiu Băjenaru, Ghid de Diagnostic şi Tratament în Neurologie, Ed. Amaltea, 2010

4. Harrisons Neurology in Clinical Medicine, Derived from Harrisons Principles of Internal Medicine, 16th Edition, McGraw-Hill, 2006

208

5. Mark Mumenthaler, Heinrich Mattle, Neurology, Thieme, 2004 6. Adams R. D. And Victor M., Principles of Neurology, Ed. 8, New-York,

McGraw-Hill Companies, 2005 7. Geraint Fuller, Neurological Examination Made Easy, Churchill Livingstone,

Elsevier, 2008

Evaluation:

The mark for Neurology exam is a component of the final mark calculated by the following formula: Final mark = (Neurology written exam/2 + Neurosurgery written exam/4 + Pediatric Neurology written exam/4) x 70/100 + Neurology practical exam x 30/100

209

PEDIATRIC NEUROLOGY

Field of study: Medicine Study programme: Medicine Course title: Paediatric Neurology Course coordinator: Assistant Professor Mihaela Vinţan, MD, PhD

Department: Neuroscience Discipline: Paediatric Neurology Course code: MED 5 1 03 RO

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I

Modular (compulsory)

2 - 2 14 - 14 - 28 Written

exam

L = Lectures; PA = practical activities; CI = clinical internship

Pre-requisites:

Anatomy, physiology and pathophysiology, general pharmacology, pediatrics and puericulture, neurological semiology

General objectives:

Gaining of basic knowledge by students:

to assess the level of neurological and psychological development of children at different ages

to understand how to approach children with neurological disorders

to create an image of the whole area of the patient in terms of the symptoms, diagnostic classification and therapy, rehabilitation and recovery measures of neurological

implementation of notions with theoretical and applicative nature of the material presented in class.


recognition and individualization of semiology characteristics, at the patient’s age: newborn, infant, toddler, student.

training and application of specific techniques and methods of review, tailored to the pediatric age for characterization of neuro-psychological development of the child and to specify the type of neurological clinical picture

210

recognition the peculiarities of neurological sufferance since the age of the newborn until the age of adolescence

recognition of the developmental disorders in infant and toddler in order to ensure early diagnosis and immediate therapy procedures.

identification and implementation of specific measures:

Cerebral Palsy

Brain and peripheral nervous system trauma (including the obstetrical ones)

Epileptic seizures in childhood

Developmental disorders - cognitive and sensory motor in childhood

Course content:

1. The ontological development of the nervous system. Teratogen factors which disrupt the formation, development and functioning of the nervous system in periods of intrauterine life - embryonic and fetal.

2. Assessment of the maturational level of the nervous system. 3. Normal psychomotor development at different ages: newborn, infant and

toddler. 4. Peculiarities of the neurological examination in newborn, infant and

toddler. 5. Early Diagnosis of neurodegenerative disorders, the importance of early

diagnosis and early intervention to prevent the installation of specific disability or minimizing this.

6. Obstetrical Trauma: brain trauma, spinal and peripheral nervous system trauma.

7. Congenital malformations of the brain and spine. 8. Cerebral palsies: spastic, dyskinetic, hypotonic, mixed. Developmental

disorders of the central coordination. Principles of curative and prophylactic treatment.

9. Epilepsies and epileptic syndromes in children. Forms of epilepsy in relation to the age of onset. Types of epileptic seizures and epileptic syndromes in the light of new classifications for epilepsy. Distinct epileptic seizures. General therapeutic principles in epilepsies in childhood. The treatment of seizures crises. Status epilepticus: definition, clinical forms, therapeutical approach.

References:

1. Course support 2. Ileana Benga, Alexandru Cristea: “Evaluarea neurologică a copilului”,

Editura Napoca Star, Cluj-Napoca, 2005

211

3. Ileana Benga, Alexandru Cristea, Mihaela Vinţan: “Ghid de diagnostic şi tratament de neurologie pediatrică”, Editura Medicală Universitară “Iuliu Haţieganu”, Cluj-Napoca, 2006.

4. Ileana Benga: “Introducere în neurologia pediatrică”, Editura Dacia, Cluj-Napoca, 1994.

5. Ileana Benga: “Tratat elementar de neurologie pediatrică, vol.1: Epilepsia şi crizele neepileptice”, Editura Medicală Universitară “Iuliu Haţieganu”, Cluj-Napoca, 2003.

6. E.Ciofu, Carmen Ciofu: “Esenţialul în pediatrie” ( capitolele de patologie nerologică), ediţia a 2-a, Ed.Almateea, Bucureşti, 2002.

7. Valeriu Popescu: “Neurologie pediatrică”, vol.1 şi vol.2, Editura Teora Bucureşti, 2001.

8. Kenneth F. Swaiman, Stephen Ashwal, Donna M. Ferriero: “Pediatric Neurology: Principles and Practice”, 2-Volume, MOSBY Inc, March, 2006

Evaluation:

The mark for Pediatric Neurology exam is a component of the final mark calculated by the following formula: Final mark = (Neurology written exam/2 + Neurosurgery written exam/4 + Pediatric Neurology written exam/4) x 70/100 + Neurology practical exam x 30/100

212

NEUROSURGERY

Field of study: Medicine Study programme: Medicine Course title: Neurosurgery Course coordinator: Prof. Ioan Stefan Florian, MD, PhD Department: Neuroscience Discipline: Neurosurgery Course code: MED 5 1 03 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA

CI L PA CI

I

Compulsory 2 - 2 14 - 14 - 28 Written

exam


Pre-requisites: -

General objectives:

Aknowledgment of elementary neurosurgical principles and techniques.


Acknowledgment of basic principles of neurosurgery Acknowledgment of neurosurgical pathology Acknowledgment of specific investigation methods in neurosurgical

pathology Specific aspects of providing pre-hospital emergency medical care to

patients with head trauma, spinal injuries, stroke, etc. Principles of neurosurgical treatment(medication or surgery) Description of some basic neurosurgical techniques Principles of prevention and treatment of postoperative complications Nursing and postoperative treatment of patients with neurological

deficits.

Course content:

1. Introduction in Neurosurgery – acknowledgment of basic principles of neurosurgery, basic neurosurgical techniques, aspects of medical care in neurosurgical patients.

2. Head trauma – acknowledgment of the neurosurgical pathological aspects in head trauma patients, investigation methods and their correlation with

213

the neurosurgical operative indication, pre-hospital emergency medical care principles, and principles of surgical treatment, description of basic techniques, nursing and postop treatment of head trauma patients.

3. Spinal injuries - acknowledgment of the neurosurgical pathological aspects in spinal trauma patients, investigation methods and their correlation with the neurosurgical operative indication, pre-hospital emergency medical care principles, principles of surgical treatment, description of basic techniques, nursing and postop treatment of spinal injured patients.

4. Brain tumours – acknowledgment of the cerebral tumoral pathology, clinical aspects in brain tumours, investigation methods, case management principles, operative indications, principles of neurosurgical treatment and techniques, adjuvant therapies, principles of prevention and treatment of postoperative complications

5. Spinal cord compressions - acknowledgment of the pathology, clinical aspects, investigation methods, case management principles, operative indications, principles of neurosurgical treatment and techniques, principles of prevention and treatment of postoperative complications, nursing and postop treatment of patients with neurological deficits due to spinal cord compression

6. Brain hemorrhagic stroke – acknowledgment of the different types of haemorrhages, causes, risk factors, investigations methods regarding operative indications and complications detection, pre-hospital emergency medical care, principles of neurosurgical treatment and techniques, prevention and treatment of postoperative complications, nursing and treatment of patients with neurological sequellaes

7. Paediatric Neurosurgery – introduction to the neurosurgical congenital/malformative pathology in children, presentation of developmental abnormalities, clinical recognition of neurosurgical pathologies in children, radiological investigations and principles of treatment.

References:

1. Neurochirurgie – curs pentru student, Florian Ioan Stefan, Editura Didactica Universitara “Iuliu Hatieganu”, Cluj-Napoca, 215 pag., 2003.

2. “Handbook of Neurosurgery” by Mark S. Greenberg. Thieme Medical Publishers, New York, 2006

3. Atlas of Neurosurgicals Techniques, Brain, editors L.N.Shekar, R.G.Fessler, Thieme 2006

214

Evaluation:

The mark for Neurosurgery exam is a component of the final mark calculated by the following formula: Final mark = (Neurology written exam/2 + Neurosurgery written exam/4 + Pediatric Neurology written exam/4) x 70/100 + Neurology practical exam x 30/100

215

RADIOLOGY -RESPIRATORYCARDIOVASCULAR AND NEUROLOGIC APPARATUS

Field of study: Medicine Study programme: Medicine Course title: Radiology Course coordinator: Lecturer Ciurea Anca, MD, PhD, Lecturer Carolina

Botar - Jid Department: Surgical Specialties Discipline: Radiology Course code: MED 5 2 04 EN

Sem

este

r

Courses type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II Compulsory 2 2 - 14 14 - 28 56 2

Written exam + Oral exam


Pre-requisites:

Medical semiology, general morphopathology, Radiology IVth year.

General objectives:

Learning the physical background of conventional and imaging equipment (nuclear physics, physics of ultrasound, MRI physics, etc.), biological effects of radiation and the principles of professional and general radiation protection.

Acquiring concepts of semiology according to each examination technique (conventional and imaging) with the explanation of the basic concepts in obtaining images.

Underlining the indications and contraindications of each examination technique as well as learning of algorithms of examination in order to reduce exposure to radiation. Correlation of common and/or specific pathological imaging findings with organ pathology.


Recognition of the imaging method Recognition of the normal anatomical elements and of the variants Recognition of the semeiological elements and their signification Recognition of the pathological findings

216

Discussion of the differential and positive diagnosis Elaborating a radiological report.

Course content:

1. Lungs: anatomy and examination techniques. Pulmonary radiological semeiology (opacity, lucency, mix image).

2. Pulmonary syndroms: parietal, pleural, alveolar filling, bronchial, interstitial, (RX and CT).

3. Lung cancer. Mediastinum pathology (RX and CT). 4. Heart examination. Radio-imaging techniques: Contrast media used in

radiology: indications, contraindications, riscs, treatment; Radio imaging techniques of vascular examination (angiography, ultrasound, MRI, angioCT); Radiographic anatomy of the heart (PA and LL); Notions of echocardiography and MRI anatomy of the heart; Elementary radiographic semeiology of the heart. Enlargement of heart chambers.

5. The pulmonary vascular syndrome. The radiographyc appearance of the heart in the main valvulopathies. The miocardial and pericardial syndrome. Elementary changes in peripheral arterial and venous diseases. Elementary notions of vascular interventional radiology.

6. Radio-imaging of the brain and spine: CT and MRI findings in: stroke, tumors, trauma; MRI of the spine (disc hernia, tumors, aso.); Some other indications and aplications specific for MRI (MS, spine posttraumatic lesion).

7. Emergencies: Head and neck trauma, stroke; Thorax: trauma, pulmonary embolism, pneumotorax, pulmonary edema, cardiac tamponade; Abdomen and pelvis: trauma, acute abdomen; Extremities: trauma, vascular emergencies, disc hernia; Foreign body.

References:

1. D. Rădulescu, (sub redacţia) Radiologie Medicală, Ed. IMF, Cluj Napoca, 1983.

2. David Sutton – Textbook of radiology and imaging, 7th edition. 3. Otto H. Wegener – Whole body computed tomagraphy. 4. M. Buruian – sub redacţia, Tratat de tomografie computerizată, Ed.

University Press, 2006. 5. R. Badea, S. Dudea, P. Mircea, F. Stamatian – Tratat de ultrasonografie

clinică, Vol.I, Ed.Medicală, București, 2000. 6. Indra Mihăiţă, Ligia Opriș – IRM vertebro-medular, Centrul de imagistică

MEDINST, 2004. 7. Ligia Opriș – Imagistica cerebrală prin rezonanţă magnetică, Ed. Solness,

2004.

217

Evaluation:

Written exam: 50% Practical exam: 50% of which:

- recognition of pathological images, written: 30% - oral description of a clinical case: 20%

218

PEDIATRICS AND PUERICULTURE

Field of study: Medicine Study programe: Medicine Course title: Pediatrics and Puericulture Course coordinator: Assoc. Prof. Man Sorin Claudiu, MD, PhD Department: Mother and Child Discipline: Pediatrics Clinic III Course code: MED 5 2 05 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II compulsory 10

2

- 24

2

70

14 -

168

14 110 376 13

Tests, practical

and written exam


Pre-requisites: -

General objectives:

Acquiring core information on clinical paediatrics. Acquisition by students of competence in diagnosis and therapy of

pediatric diseases

Specific goals:

Knowledge of pediatric pathology: concepts of epidemiology, etiopathogenesis, pathology, diagnosis, complications, clinical course, prognosis and individualized medical therapy.

Practical implementation of all steps required for making a diagnosis: history, physical exam, interpretation of clinical data (clinical diagnostic formulation), ordering and interpretation of laboratory examinations, diagnostic formulation (learning several modalities in making a diagnosis).

The practical implementation of a treatment plan; treatment monitoring knowledge items.

Communication skills with patients and carers.

219

Course content:

1. Growth and Development of Children 2. Nutritional Needs of Children 3. Human Milk and Breastfeeding 4. Cow Milk and Formula Feeding 5. Complementary Feeding and Nutrition of Toddlers, Pre-School and School

Children 6. The Common Cold 7. Streptococcal Pharyngitis 8. Laryngitis 9. Acute Bronchitis 10. Acute Bronchiolitis 11. Pneumonia 12. Cystic Fibrosis 13. Pulmonary Tuberculosis 14. Asthma 15. Gastroesophageal Reflux Disease (GERD). 16. Gastritis 17. Peptic Ulcer Disease 18. Acute Gastroenteritis 19. Fluid, Electrolyte and Acid-Base Disorders 20. Recurrent Abdominal Pain 21. Inflammatory Bowel Disease 22. Disorders of Malabsorption 23. Chronic Diarrhea 24. Jaundice and Liver Function Tests 25. Chronic Hepatitis 26. Congenital Heart Disease: classification, hemodynamics 27. The Left-to-Right Shunt Lesions (ASD, VSD, PDA) 28. Congenital Heart Disease: The Right-to-Left Shunt Lesions (Tetralogy of

Fallot, Ebstein Anomaly, Transposition of the Great Arteries) 29. Congenital Heart Disease: The Obstructive Lesions (Coarctation of the

Aorta, congenital aortic stenosis) 30. Congenital Heart Disease: Treatment 31. Abnormalities of Chromosomes 32. Inborn Errors of Metabolism (Phenylketonuria, Galactosemia,

Glycogenosis, 33. Birth Defects 34. Glomerulonephritis and Nephrotic Syndrome 35. Urinary tract infection 36. Congenital Anomalies of the Kidneys and Urinary Tract 37. Acute Renal Failure

220

38. Chronic Renal Failure 39. Failure to Thrive and Malnutrition 40. Rickets 41. Obesity 42. Congenital Hypothyoidism 43. Adrenocortical Insufficiency (including 21-hydroxilase deficiency) 44. Short Stature 45. Diabetes Mellitus and diabetic ketoacidosis 46. Anemia 47. The Leukemias 48. Lymphoma 49. Hemorrhagic Diseases 50. Immunodeficiencies 51. Juvenile idiopathic arthritis 52. Rheumatic Fever 53. Diagnostic criteria in other rheumatic diseases 54. Fever in children (Fever Without a Source, Occult Bacteremia, Fever of

Unknown Origin, Antipyretics) 55. Coma 56. Seizures 57. Heart failure 58. Acute poisonings 59. Respiratory failure 60. Shock (hypovolemic, cardiogenic, anaphylaxis, neurogenic, infectious)

References:

1. Kliegman RM et al - Nelson Textbook of Pediatrics, 19th ed., W.B. Saunders Company, 2011.

2. Marcdante K, et al. - Nelson Essentials of Pediatrics, 6th edition, 2011. 3. Hay WW, et al. - Current Diagnosis & Treatment: Pediatrics, 20e ed. The

McGraw-Hill Companies, 2010. 4. Lectures notes and morning clinical demonstrations.

Evaluation:

Writen tests during the module 10% Characterization during the module 5% Final practical exam 45% Final written exam 40%

221

PEDIATRIC SURGERY

Domain Medicine Programme Medicine Lecturers Pediatric Surgery, 5th year Chairman Lecturer Gocan Horaţiu, MD, PhD Department Mother and Child Discipline Pediatric Surgery Code 5205EN

Sem

.

Type

Lecturers Practical

TOTA

L

Cre

dit

s

Eval

uat

ion

hours / modul

L P St

Oblig. 7

21

- 28 Written and oral

exam

L=lecturers; P=practical;

Conditions: - internal medicine, surgery, anatomy, radiology

Objectives

General principles of pediatric surgery Management of main surgical illnesses of infant and child

Specific objectives

Clinical exam of infants and children with surgical diseases Diagnosis (clinical presentation, radiology and lab studies) of children

with surgical diseases Small surgical procedures (under direct supervision) Recognizing emergencies in infants and children Malformations in childhood

Topics

1. Esophageal atresia 2. Duodenal atresia and stenosis 3. Small bowel atresia and stenosis

222

4. Pyloric stenosis 5. Ano-rectal malformations 6. Congenital megacolon 7. Abdominal trauma 8. Diaphragmatic hernia 9. Upper digestive hemorrhage 10. Lower digestive hemorrhage 11. Acute appendicitis 12. Meckel diverticulum and complications 13. Foreign bodies inside digestive tract 14. Meconium ileus and meconium peritonitis 15. Malrotation and volvulus 16. Necrotizing enterocolitis 17. Persistence of peritoneo-vaginal canal 18. Hypospadias 19. Omphalocel 20. Gastroschisis 21. Undescended testis 22. Phymosis and paraphymosis 23. Acute scrotum

223

ENT – OTOLARYNGOLOGY

Field of study: Medicine Study programme: Medicine Course title: Otolaryngology Course coordinator: Lecturer Sever Septimiu Pop, MD, PhD, Lecturer

Alma Maniu, MD, PhD, Lecturer Violeta Necula, MD, PhD

Department: Surgical Specialties Discipline: Otolaryngology Course code: MED 5 2 07 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II

Compulsory 4 4 - 28 28

- 40 96 5

Written exam

Practical exam


Pre-requisites:

Head and neck anatomy, Surgery.

General objectives:

Basic knowledges of ENT pathology: rhinology, pharyngology, laryngology, otology .

Running into good theoretical and practical issues in therapeutical and diagnosis management of different ENT pathologies.

Since the great majority of medical students will not become otolaryngologists, it becomes much more important to them to understand how to recognize potentially dangerous problems that should be referred to the ENT specialist, as well as how to manage uncomplicated cases that can be taken care of at the primary care level.


Knowing the theoretical principles in anatomy, examination and main pathologies of each organ

Development of practical skills in performing the clinical examination of the ENT patient

224

Recognition of the main pathologies in otolaryngology based on typical pictures presented during the lectures and practical stages

Recognition of the main pathologies in otolaryngology based on examination of ENT patients

Course content:

RHINOLOGY 1. ANATOMY OF THE NOSE AND PARANASAL SINUSES 2. EXAMINATION OF THE NOSE AND PARANASAL SINUSES:

2.1. Symptoms of nasal diseases 2.2. Clinical examination 2.3. Investigations

3. ACUTE AND CHRONIC RHINITIS: 3.1. Acute Rhinitis (Coryza) 3.2. Acute Purulent Rhinitis 3.3. Dyphteria 3.4. Chronic Specific Rhinitis: Syphilis, Tuberculosis, Rhinoscleroma, Rhinosporidiosis 3.5. Chronic Atrophic Rhinitis

4. NASAL MANIFESTATIONS IN SYSTEMIC DISEASES: 4.1. Wegener’s Granulomatosis 4.2. Sarcoidosis

5. ALLERGIC RHINITIS 6. NON-ALLERGIC VASOMOTOR RHINITIS 7. NASAL POLYPOSIS 8. RHINO-SINUSITIS:

8.1. Acute Sinusitis 8.2. Chronic Rhino-sinusitis 8.4. Fungal Sinusitis

9. EPISTAXIS 10. TUMORS OF THE NOSE AND PARANASAL SINUSES:

10.1. Benign Tumors 10.2. Malignant Tumors

PHARYNGOLOGY 1. ANATOMY OF THE PHARYNX 2. EXAMINATION OF THE PHARYNX

2.1. Symptoms 2.2. Clinical Examination 2.3. Investigations

3. PHARYNGITIS: 3.1. Acute Pharyngitis 3.2. Acute Follicular Tonsillitis 3.3. Peri-tonsillar Abscess

225

3.4. Dyphteria 3.5. Vincent’s Angina 3.6. Scarlet Fever 3.7. Pharyngeal Manifestations In Blood Disorders : Infectious Mononcleosis, Agranlocytosis, 3.8. Chronic Non-specific Pharyngitis 3.9. Chronic Tonsillitis 3.10. Adenoids 3.11. Chronic Specific Pharyngitis: Tuberculosis, Syphilis

4. NASOPHARYNGEAL CANCER 5. BENIGN TUMORS OF THE NASOPHARNX 6. TUMORS OF THE OROPHARYNX:

6.1. Benign Tumors 6.2. Malignant Tumors

7. TUMORS OF THE HYPOPHARYNX 7.1. Benign Tumors 7.2. Malignant Tumors

8. FOREIGN BODIES IN THE PHARYNX 9. NEUROLOGICAL DISORDERS OF THE PHARYNX

9.1. Sensory disorders: Anaesthesia, Hyperaesthesia, Parestesias, Glossopharyngeal Neuralgia 9.2. Motor disorders: Paralysis, Spasms

LARYNGOLOGY 1. ANTOMY OF THE LARYNX 2. EXAMINATION OF THE LARYNX

2.1. Symptoms 2.2. Clinical Examination 2.3. Investigations

3. LARYNGITIS 3.1. Acute Laryngitis 3.2. Acute Epiglottitis 3.3. Laryngeal Diphteria 3.4. Chronic Non-specific Laryngitis 3.5. Chronic Specific Laryngitis: Tuberculosis, Syphilis, Leprosy, Scleroma, Laryngeal Hyperkeratosis 3.6. Reinke’s Oedema 3.7. Vocal Cord Nodules 3.8. Vocal Cord Polyps

4. BENIGN LARYNGEAL TUMORS 5. MALIGNANT LARYNGEAL TUMORS 6. NEUROLOGICAL DISEASES

6.1. Recurrent Laryngeal Nerve Palsy 7. TRACHEOSTOMY

226

OTOLOGY 1. ANATOMY OF THE EAR 2. PHYSIOLOGY OF THE EAR 3. EXAMINATION OF THE EAR

3.1. Symptoms 3.2. Clinical Examination 3.3. Investigations Of Hearing

4. DISEASES OF THE EXTERNAL EAR 4.1. Diseases Of The Auricle

4.1.1. Congenital Abnormalities 4.1.2. Trauma 4.1.3. Perichondritis 4.1.4. Skin Infections 4.1.5. Tumors

4.2. Diseases Of The External Auditory Canal 4.2.1. Wax 4.2.2. Foreign Bodies 4.2.3. Trauma 4.2.4. Localized External Otitis (Furuncle) 4.2.5. Diffuse External Otitis 4.2.6. Otomicosis 4.2.7. Tumors

5. DISEASES OF THE MIDDLE EAR 5.1. Injuries Of The Eardrum 5.2. Bullous Myringitis 5.3. Acute Suppurative Otitis Media 5.4. Otitis Media With Effusion 5.5. Simple Chronic Suppurative Otitis Media 5.6. Cholesteatoma 5.8. Otosclerosis

6. DISEASES OF THE INNER EAR 6.1. Sudden Sensorineural Hearing Loss 6.2. Progressive Sensorineural Hearing Loss

6.2.1. Presbyacusis 6.2.2. Ototoxic Drugs 6.2.3. Noise Exposure 6.2.4. Infections 6.2.5. Meniere’s Disease 6.2.6. Acoustic Neuroma

7. PERIPHERAL VESTIBULAR SYNDROME 7.1. Vertigo 7.2. Examination Of The Vestibular Function 7.3. Meniere’s Disease

227

7.4. Benign Positional Paroxysmal Vertigo (BPPV) 7.5. Vestibular Neuronitis 7.6. Acoustic Neuroma

References:

1. Marcel Cosgarea, Magdalena Chirilă, Alma Maniu, Violeta Necula, Sever Pop – „Otorinolaringologie Clinică”, Editura Alma Mater Cluj-Napoca, 2010

2. Alma Maniu, Sever Pop, Magdalena Chirilă, Violeta Necula – „Caiet de lucrări practice în ORL”, Editura Medicală Universitară „Iuliu Haţieganu” Cluj-Napoca, 2005

3. Colman BH – „Hall&Colman’s Diseases of the Nose, Throat and Ear, and Head and Neck”, Churchill Livingstone 1992

4. Browning GG, Luxon LM – “Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery”, Edward Arnold (publishers) 2008

Evaluation:

Multiple-choice examination with 30 questions 50% Performing a clinical ENT examination maneuver 25% Recognition of an image from ENT pathology 25%

228

ONCOLOGY AND RADIOTHERAPY

Study domain Medicine Study program Medicine Course Oncology and Radiotherapy Discipline holder Prof. Tudor Ciuleanu, MD, PhD, Lecturer Zsolt Fekete, MD, PhD Department Oncology Discipline Oncology-Radiotherapy Course code MED 5 2 08 EN

Sem

este

r

Courses Type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion

hours / week hours/ week

L PA CI L PA CI

II Compulsory 1 - 2 14 - 28 50 85 4

Written exam+

practical exam


Pre-requisites:

Internal medicine, imagistic, pathology basically acknowledgements

General objectives

To know useful basic theoretical and practical aspects to understand place of cancer in community

Specific objectives

To know few basic principles in clinical oncology Situation of cancer end its trends of evolution in our country and in the

world To know the etiology of cancer Cancerogenesis mechanisms The histogenesis of malignant tumors and of pre-cancer lesions General principles of diagnosis, pretreatment investigations, the staging General principles of oncological treatment The follow-up Prophylaxis notions To identify individual risk factors for cancer

229

To recognize, to describe and the interpretation of characteristic lesions of most frequent cancers in our country available for ordinary clinical exam

To identify and the interpretation of necessary complementary exams for diagnosis, treatment monitoring and follow-up

To evaluate individual prognosis

Course content

1. Epidemiology and etiology of cancer. 2. Cancerogenesis, natural history and malignant phenotype. 3. Diagnosis and classification of cancer. 4. Treatment results. 5. Principles of surgical oncology and cancer radiotherapy. 6. Principles of cancer chemotherapy, hormonal therapy and biologic

therapy. 7. Cancer prevention, precursor lesions and risk factors. 8. Oncologic emergencies. 9. Basic methods of Pain Control.

Bibliography

1. Kacso G et al: Cancer. Principles and Practice of General Oncology. Ed. Medicală Universitara “Iuliu Haţieganu” Cluj Napoca, 2009.

2. Nagy V et al: Propedeutică Oncologică. Ed. Medicală Univ. “Iuliu Haţieganu” Cluj-Napoca, 2008.

3. DeVita VT, Lawrence TS, Rosenberg SA: Cancer- Principles& Practice of Oncology. 8th Ed, Lippincott Williams & Wilkins, 2008.

4. Schmoll HJ: Handbook of cancer diagnosis and treatment evaluation. ESMO. Ed. Iforma Healthcare USA. 2009

Evaluation


230

PNEUMOLOGY

Field of study: Medicine Study programme: Medicine Course title: Phtysiology Course coordinator: Prof. Monica Pop, MD, PhD Departament Medical specialties Discipline: Pneumology Course code: MED 5 1 01 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion

hours / week hours / sem.

L PA CI L PA CI

II compulsory 2 - 2 14 - 14 2 28 2

Written exam +

practical exam

L=lectures; PA= practical activities; CI= clinical internship

Pre-requisites:

Semiology

General objectives:

Fisiopathology of tb, positive diagnosis of tb, principles of tb treatment, epidemiological reseach in tb nuclea, tb prevention and prophylaxisis


history, Morphofology of Mt, Pathogenesis of tb, Koch’s phenomenon, Sources of Mt,Ways of tb transmision, Conditions of tb desease, Primary tb infection, phtysis, positive diagnosis, tb treatment, epidemiological reseach tb, dispensarisation, prophyaxisis, tb nuclea, disinfection in tb nuclea, differential diagnosis.

Course content:

1. Hour (1): Tubercle bacilli. The genus. The specie. Clinical mycobacteriology. Clinical laboratory considerations. Acid-fast staining. Mycobacterial culture. Conventional identification techniques. Rapid identification techniques. Disinfection: ventilation, filtration, ultraviolet germicidal irradiation.

2. .Hour (2): Bacteriology and diagnosis. The source case. Source of infection. Transmission of M tuberculosis.

231

3. Hour (3): Pathogenesis and Immunology. Morphology of healing. 4. Hour (4): Tuberculosis Infection to the human being methods of detecting

infection and disease. Population at special risk for tuberculosis. New developments for the diagnosis of tuberculosis: the impact of molecular biology.

5. Hour (5): Risk factors for developing tuberculosis: exogenous and endogenous factors.

6. Hour (6): Primary tuberculosis. Epidemiology. Clinical manifestations. Diagnosis.

7. Hour (7): Clinical and radiography – anatomic forms. Haematogenous dissemination. Dissemination in serous cavities. Differential diagnosis.

8. Hour (8): Pulmonary tuberculosis to the adult. Symptoms and signs. Laboratory examination. Chest radiography. Diagnosis. Criteria for activity in pulmonary TB. Diagnosis difficulties Tuberculosis and acquired immune deficiency syndrome.

9. Hour (9): Extra pulmonary tuberculosis. The cavity form tuberculosis. 10. Hour (10): Endobrochial tuberculosis. Particular clinical forms of

tuberculosis. Association tuberculosis other diseases. Differential diagnosis. Complications: pneumothorax, endobronchial tuberculosis, bronchiectasis, emphysema, late secondary infections, mycetoma, hemorrhage, hyponatremia. Tuberculosis and HIV infection.

11. Hour (11): Treatment of tuberculosis. Pathogenesis of drugs resistance: bacteriologic factor, clinical factors, definitions, transmission, factor associated with drug resistance.

12. Hour (12): Therapeutic schema of tuberculosis treatment. Treatment of drug-resistant tuberculosis. Treatment of multidrug-resistant tuberculosis. Second-line drugs.

13. Hour (13): Treatment of recalcitrant patients. Quarantine, no adherence and noncompliance. Epidemiologic indices for tuberculosis.

14. Hour (14): Tuberculin skin testing. 15. Hour (15): Preventive treatment of tuberculosis. Sanitary education. 16. Hour (16): The strategic plan to eliminate tuberculosis in Romania.

Strategic plan for elimination of tuberculosis in Romania. National action plan to combat MDR tuberculosis. Coordination of tuberculosis control in hospital. Recognition, isolation and treatment. The noncompliance patients. Environmental controls.

References:

1. Sinteze in pneumologie, Monica Pop, Ed.Medicala Universitara”Iuliu Hatieganu” Cluj Napoca, 2006.

2. Atlas de patologie toraco-pleuro-pulmonara, Monica Pop, 250, Ed.Medicala Universitara Iuliu Hatieganu Cluj Napoca, 2004.

232

3. Ghid de ftiziologie pentru medicii de familie, Monica Pop. 147, Ed.Medicala Universitara Iuliu Hatieganu Cluj Napoca, 2003.

4. Tuberculoza – curs pentru studenti, The Global Fund Everest, Bucuresti, 2004 (colectiv UMF Cluj Monica Pop).

5. Insuficienta respiratorie cronica – clinica, tratament, C.D.Zamora, Monica Pop, Ed.Universitara Iuliu Hatieganu, Cluj Napoca, 2004.

6. Algoritm – semne si simptome, Monica Pop, vol.1, Ed.Universitara Iuliu Hatieganu, Cluj Napoca, 2002, 155.

7. Epidemiologia bolilor pulmonare cronice cu extindere în masă. 8. Epidemiologia astmului bronşic (Cap scris op),.41-72. Editura Curtea

Veche. Bucureşti, 2000, 193(31). 9. Textbook of pneumology, Murray, FOURTH EDITION, 2006, 10. Tuberculosis, Monica Pop, Ed.Medicala Universitara Iuliu Hatieganu Cluj

Napoca, 2002.

Evaluation:

Written exam 75% Practical exam (activity) 25%

233

MEDICAL REHABILITATION

Field of study: Medicine Study programme: Medicine Course title: Physical medicine and rehabilitation Course coordinator: Lecturer Irsay Laszlo, MD, PhD Department: Medical Specialties Discipline: Medical rehabilitation Course code: MED 5 1 09 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I compulsory 2 - 2 14 - 14 20 48 2 Written

exam


Pre-requisites:

Knowledge about locomotor system disorders

General objectives:

Acquiring elementary knowledge about physical medicine and rehabilitation

Acquiring elementary knowledge about physiotherapy, balneology, climatology and the modern concept of rehabilitation


Knowledge of rehabilitation basics Cybernetic concept in rehabilitation Definition of impairment, disability and handicap Treatment with natural physical agents and primary therapeutical

indications Treatment with artificial physical agents and primary therapeutical

indications

Course content:

1. Definition of physical medicine and rehabilitation 2. Branches of balneophysiotherapy 3. Prescription of balneophysiotherapeutic treatments 4. Homeostatic stabilization and optimization 5. Impairment, disability and handicap 6. Main procedures of electrotherapy, hydrotherapy and exercise

234

7. Main types of mineral waters, therapeutic gases and bioclimates in Romania – therapeutical effects, mechanism of action, indications and contraindications

8. Primary massage techniques, indications and contraindications 9. Aerosols - therapeutic effects, types of mineral water used, inidcations.

References:

1. L. Pop – Curs de balneofizioterapie şi recuperare medicală, Cluj-Napoca, 1994.

2. L. Pop, L. Irsay – Textbook of physiotherapy, Cluj-Napoca, 2006. 3. L. Pop – Evaluare clinică articulară şi musculară, Cluj-Napoca, 2002. 4. Adriana Nica – Recuperare medicală, Bucureşti, 2003. 5. I. Kiss – Fiziokinetoterapia şi recuperarea medicală în afecţiunile

aparatului locomotor, Bucureşti, 2002.

Evaluation:

Written exam 90% Portofolio of activity 10%

235

YEAR VI

FAMILY MEDICINE

Field of study: Medicine Study programme: Medicine Course title: Family Medicine Course coordinator: Assoc. Prof. Mira Florea, MD, PhD

Lecturer Codruţa Mărginean, MD, PhD Department: Community Medicine Discipline: Family Medicine Course code: MED 6 1 01 EN

Sem

. Course type



Individual Study

TOTA

L

Cre

dit

Eval

uat

ion

hours / week. hours / semester

L PA CI L PA CI

I Compulsory 2 - 3 28 - 42 60 130

5

written exam + practical exam

L= lectures; PA= Practical activities; CI= clinical internship

Pre-requisites:

Semiology, internal medicine, pediatrics, oncology

General objectives:

Getting the basic theoretical and practical knowledge in the field of primary care medical practice necessary in medical training and useful in future exams.

Assessing the basic practical skills in clinical judgement,diagnosis, management

Getting ability to design preventive medicine interventions, health promotion campaignes

Specific objectives

Family physician’s tasks

Theoretical and practical knowledge assessment, regarding health promotion, early risk factors identification, early diagnosis, chronic diseases management (comprehensive history, efficient physical exam)

Primary and secondary prophylaxis’principles

Selection and interpretation of diagnostic procedures (appropriate and gradual use of laboratory tests)

236

Acquiring the knowledge necessary for the diagnosis and treatment in primary care(counseling regarding the diet, psychological, social and physical stress, recommendations for lifestyle changes)

Acute and chronic disease treatment, side effects

Complementary therapies principles

Iatrogenic pathology-diagnosis errors.

Therapeutic particularities in geriatry Acquiring the knowledge and skills for interventions in palliative care and

home care.

Course content

1. Family medicine: definition, functions, methodology, specific objectives, family physician’s tasks, patients’ rights, basic primary care services in the Romanian health care system.

2. Family medicine principles: first contact medical assistance, long life medical assistance, patient centered care, family centered care, community care, echology approach of human pathology.

3. Primary care particularities: consultation’s particularities, diagnosis particularities, treatment particularities, diagnosis and treatment sinthesis, home care, community care, management issues

4. Physician-patient communication in family medicine 5. Prophilaxis and follow up principles in primary care: primary prophilaxis

(individual, family, community), family riskogramme; secondary prophilaxis, third prophilaxis; health periodically control,follow up principles.

6. Family physician place in the modern health care system: family physician place in the medical community, the relationships with the Health Assurance House, family physician’s services offer.

7. Family medicine setting: conditions for general practitioner setting opening, financial resources, paying modalities, work team, informations circuit, family physician collaborations with others specialists from outpatient and inpatient settings. Family medicine organizations.

8. Family structure and functions: family like social unit, family tipes, pathologic family, life circuit, family physician’s roles in family sanogenesis.

9. Iatrogenic pathology-diagnosis errors. 10. Geriatric issues: geriatric diagnosis; therapeutic particularities. 11. Terminally ill patients home care. 12. Investigations strategy in family medicine 13. Toxics abuse: - family physician attitude, drug and nicotine addiction

prevention and treatment 14. Common symptoms approach in family medicine setting: Astenia, fever

syndrome, allergic pathology, chronic cough

237

15. Frequent syndromes and diseases in family physician practice: dyspnoea, headache, chest pain, leg pain, hepatomegaly syndromes.

16. Complementary medicine.

References

1. Council of the Academy of Theachers in General Practice – The Educational EURACT.Agenda of General Practice /Family Medicine , -WONCA Region Europe Conference, Kos, Grecia , 2005.

2. FRIEDMANN C.Toxicodependenţele, Ed Fundaţiei România de Mâine, Bucureşti, 2004

3. Kevin Clifford “ Family Practice-Common Presenting Problems”,44 -113, 2000

4. Ivan A. -Medicina omului sănătos. Ed. Med. Buc. 1993. 5. Oprea S.; Gherman Madeleine – Practica medicinei interne in ambulator.

Ed.Dacia Cluj-Napoca 1997 6. Oprea S.; Gherman Madeleine – Probleme curente in practica medicului de

familie. Tipografia UMF Cluj-Napoca 1998 7. Legea nr. 46/21.01. 2003 privind drepturile pacientului,Codul deontologic

al Colegiului medicilor din Romania 8. Marko Kolsec ” Introducing performance-based assessment of family

physician” Medical Teacher-International Journal of Education in the Health Sciences, vol.25, nr.1, 59-63;2003

9. Pieper SJ., Stanton MS.” Concise Review for Primary Care Physicians”, Mayo Clin Proc. 70: 371, 2000.

10. Rakel R.E. -Textbook of family practice. 5th edition, 1995. 11. R Taylor R.B. -Fundamentals of family medicine. Springer 1996. 12. Restian A.-Bazele Medicinei de Familie. Ed. Med. Buc. Vol. I 2001 13. Ungureanu G., Stoica O., Patologia iatrogena – dificultatile abordarii:

delimitarea domeniului si evaluarea dimensiunii epidemiologice. Rev Rom Bioetica, 4:3, 39-44, 2006;

14. Ungureanu G., Stoica O., Alexa I., Ardeleanu S., Iatrogenia medicamentoasa: dificultatile preventiei si dilemele bioetice, Rev Rom Bioetica, 4:4, 2006

15. Ungureanu G; Astarastoae V, Maria-Christina Ungureanu, Ortansa Stoica. Iatrogenia: dileme etice si modalitati de abordare a erorii medicale. Revista Romana de Bioetica, 6 (2), 2008.

16. Van Es. J. C. -Medicul de familie şi pacientul său. Ed. Libra Buc. 1997. 17. WONCA EUROPA 2002 –Buletin Informativ pt. Medicii de Familie –

Definitia Europeana A Medicinei de Familie 2005 vol. 5 pag. 122 -137.

Evaluation

Written exam 50%

238

Practical exam – clinical case presentation 30% Case report portfolio 10%.

239

INFECTIOUS DISEASES

Field of study: Medicine Study programme: Medicine Course title: Infectious Diseases Course coordinator: Assoc. Prof. Lupşe Mihaela, MD, PhD,

Lecturer Monica Muntean, MD, PhD Departament: Medical specialities Discipline: Infectious Disease Course code: MED 6 208 EN


Pre-requisites:

Knowledge of internal medicine, neurology, microbiology, clinical pharmacology

General objectives:

At the beginning of the third millennium the infectious diseases still represent, worldwide, major causes of morbidity and mortality. The study and understanding of the infectious diseases is a necessity regarding epidemiological, etiology-pathogenesis and clinical aspects but also concerning the methods of diagnostic and the therapeutic strategies (etiologic, pathogenic and symptomatic).

Importance of Infectious Diseases in condition of the new and re-emerging pathogens and bioterrorism threat.

Difficulties in establishing the therapeutic attitude due to high resistance to chemotherapy of many pathogens (bacterial, viral, fungal, parasitic).

Knowledge that many causes of immunosuppression are contributing factor for emergence of infectious diseases with serious development.


Under the current conditions clinical presentation and outcome of many infectious diseases is not typical being influenced by changes in resistance and reactivity of host organism, pathogenicity and chemotherapeutic sensitivity of microorganisms. As a result, epidemiological and clinical diagnosis requires corroboration with laboratory examinations

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II compulsory 3 - 6 42 - 84 42 168 9 Exam

240

(microbiological, serological, molecular), and a complex differential diagnosis of many other diseases (infectious or noninfectious)must be done.

Establishing therapeutic strategy (etiologic, pathogenic, symptomatic) takes into account the changes in sensitivity to chemotherapy and clinical forms of disease, often severe, and possible complications that may influence the clinical course and prognosis.

Course content:

Basic principles of infectious diseases 1. Infection, Infectious diseases 2. Pathogenic Mechanisms of Infectious Diseases 3. Basic Principles in the Diagnosis of Infectious Diseases 4. Anti- Infective Therapy

4.1 Principles of Anti-Infective Therapy 4.2 Pharmacokinetics of antiinfective agents, clinical prophylactic use,

untowards reactions 4.3 Antibacterial drugs: Beta-Lactam Antibiotics ( Penicillins,

Cephalosporins, Other Beta-Lactam Antibiotics), Aminoglycosides, Macrolides, Clindamycin, Ketolides, Glycopeptides, Rifamycins, Tetracyclines, Chloramphenicol, Polymyxins, Oxazolidinones, Sulfonamides and Trimethoprim, Quinolones, Metronidazole

4.4 Antiviral drugs ( other than antiretrovirals) 4.5 Systemic antifugal agents

5. Therapy with hyperimmune antiserum, interferons, immunoglobulins, glucocorticosteroids, immunomodulatory agents

Infectious Diseases 1. Acute Pharyngitis

1.1. Viral Pharyngitis 1.2. Bacterial Pharyngitis ( group A beta-hemolytic streptococci, group

C and G beta-hemolytic streptococci, mixed aerobic/anaerobic infection)

1.3. Vincent and Ludwig Angina, Peritonsillar Abscess 2. Streptococcal Infectious (Scarlet Fever, Erysipelas, Streptococcal Toxic

Shock Syndrome) 3. Staphylococcal Infectious 4. Rubeola ( Measles) 5. Rubella ( German Measles) 6. Infectious with Varicella-Zoster Virus ( Varicella, Herpes Zoster) 7. Influenza 8. Infectious Mononucleosis 9. Mumps 10. Diphteria

241

11. Pertussis 12. Acute Pneumonia ( Infections with Streptococcus pneumoniae,

Haemophilus influenzae, Mycoplasma pneumoniae, Chlamydia spp, Staphylococcus aureus, Klansiela spp, Pseudomonas aeroginosa, Legionella spp; viral pneumonia)

13. Central Nervous System Infections 13.1. Viral and Bacterial Meningitis 13.2. Acute Encephalitis

14. Gastrointestinal Infections 14.1. Shigellosis 14.2. Foodborne Disease 14.3. Botulism 14.4. Cholera 14.5. Trichinosis

15. Acute Hepatitis ( Hepatitis A,B,C,D,E, G and TT Virus) 16. Cardiovascular Infections: Endocarditis 17. Thetanus 18. Anthrax 19. Rhabie 20. Sepsis and sepsis shock 21. Leptospirosis 22. Lyme disease 23. Acquired immunodeficiency virus infection

Clinical Practice: Clinical cases( regarding the etiopathogenie, positive and differential diagnosis, therapeutic strategies in the infectious diseases) 1. Streptococcal Infectious 2. Staphylococcal Infectious 3. Infectious with Varicella-Zoster Virus 4. Urlian Infectious 5. Rubeola 6. Infectious Mononucleosis 7. Influenza 8. Viral and Bacterial Pneumonias 9. Viral and Bacterial Meningitis( including TB meningitis) 10. Acute Encephalitis 11. Acute Viral Hepatitis 12. Gastrointestinal Infections 13. Foodborne Disease 14. Shigellosis 15. Botulism 16. Trichinosis 17. Leptospirosis

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18. Anthrax (clinical practice or images) 19. Thetanos (clinical practice or images) 20. Sepsis 21. HIV infection/AIDS 22. Diphteria (clinical practice or images

References:

1. Cohen J., Powderly W. G. – Infectious Diseases, Second Edition, vol I, II, Mosby, 2004

2. Zanc Virginia – „Boli infecţioase” Ed. Medicală Universitară “Iuliu Haţieganu” Cluj-Napoca 2011

3. Lupse Mihaela- “Lecture Notes on Infectious Diseases” Ed. Medicală Universitară “Iuliu Haţieganu” Cluj-Napoca 2011

4. Mandell G. L., Bennett J. E. , Dolin R. – Mandell, Douglas and Bennett’s – Principles and Practice of Infectious Diseases,7th Edition, vol I, II. Churchill Livingstone, 2010.

5. Gillespie S. H., Hawkey – Principles and Practice of Clinical Bacteriology. Second Edition, 2006, John Wiley and Sons, Ltd.

6. Cooke a. Robin „ Infectious Diseases”- McGraw-Hill Austrralia Pty Ltd,2008

Evaluation

Written exam 60% Practical exam 20% Activity during clinical practice 20%

243

EPIDEMIOLOGY

Field of study: Medicine Study programme: Medicine Course title: Epidemiology, prevention and control of diseases Course coordinator: Assoc.Prof. Amanda Radulescu, MD, PhD Department: Community Medicine Discipline: Epidemiology Course code MED 6 1 02 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I Compulsory 2 2 - 14 14 - 20 48 2 Written

exam


Pre-requisites: -

General objectives

Epidemiology in medicine- importance and uses in research and public health.

Prevention and control of infectious and chronic diseases with important impact in the communities, molecular and behaviour epidemiology as important tools in modern epidemiology

Specific objectives

Learning, understanding and using epidemiology, prevention and control of the main infectious diseases, cardiovascular diseases, plus molecular epidemiology and behavioural epidemiology.

Course content

Courses = 14 hours

1. Epidemiology, prevention and control of respiratory infectious diseases 2. Epidemiology, prevention and control of gastrointestinal infections 3. Epidemiology, prevention and control of nosocomial infections 4. Epidemiology, prevention and control of acute viral hepatitis 5. Epidemiology, prevention and control of HIV infection and AIDS 6. Behaviour epidemiology 7. Epidemiology of cardiovascular diseases 8. Molecular epidemiology

244

Tutorials = 14 hours

1. Active and passive immunoprophylaxis - National Immunization Programmes

2. Immunoprophylaxis and vaccine efficacy – practical approach 3. Emerging and vaccine preventable diseases – outbreak investigation and

pandemic alert 4. Practical approach of epidemiology for general practitioners 5. Chemoprophylaxis in medicine 6. Standard and transmission based precautions, attitude in case of

occupational exposure to blood and other potentially infectious materials.

References

1. Materials/handouts from lectures and tutorials. 2. I.S. Bocşan. Epidemiologie practică pentru medicii de familie. Editura

Medicală Universitară « Iuliu Haţieganu », Cluj-Napoca, 1999. 3. Maria Irina Brumboiu. Metode epidemiologice de bază pentru practica

medicală. Editura Medicală Universitară « Iuliu Haţieganu », Cluj-Napoca, 2005

4. I.S. Bocşan. Epidemiologia generală. Editura Medicală Universitară « Iuliu Haţieganu », Cluj-Napoca, 2006.

Evaluation

Written exam – MCQ final test

245

DERMATOLOGY

Field of study: Medicine Study programme: Medicine Course title: Dermatology and Venerology Course coordinator: Prof. Rodica Cosgarea, MD, PhD Departament: Medical specialties Discipline: Dermatology Course code: MED 6 1 03 EN

Sem

este

r

Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I compulsory 4 - 4 28 - 28 28 84 4

written exam +

practical exam


Pre-requisites:

Histology, histopathology, physiopathology

General objectives:

To recognize the elementary skin lesions Running into good theoretical and practical issues in diagnosis and

therapeutical management of different skin diseases.


To acquire the knowledge connected with pathology of the skin. To integrate the theoretical and practical knowledge acquired in previous

years of study To recognize common skin lesions To make the diagnosis and therapy of common skin diseases

Course content:

1. General data about skin 1.1 The structure and function of the skin 1.2 Basic morphologies: skin lesions 1.3 Tests and techniques for diagnosis 1.4 Histopathology of the skin 1.5 Immunology of the skin

246

2. Viral diseases 3. Bacterial diseases 4. Fungal diseases. Infestations 5. Genodermatoses 6. Urticaria 7. Eczematous dermatoses 8. Vasculitis 9. Psoriasis and other papulosquamous dermatoses 10. Vesiculobullous diseases 11. Connective tissue disorders 12. Adnexal diseases 13. Leg ulcer. Vascular disorders 14. Neoplasms of the skin 15. Sexually transmitted diseases

References:

1. Rodica Cosgarea, Alexandru Tataru, Adrian Baican, Daniela Vornicescu, Dermato-Venerologie clinica, Editura Medicală Universitară ’’Iuliu Haţieganu’’, Cluj-Napoca, 2011;

2. Rodica Cosgarea, Dermato-Venerologie Clinică, Editura Medicală Universitară ’’Iuliu Haţieganu’’, Cluj-Napoca, 2008;

3. Alexandru Tătaru, Curs de Dermato-Venerologie, Editura Dacia Cluj-Napoca, 2003;

4. Rook’s Textbook of Dermatology, Vol. I-IV, 7th edition; 5. J.L. Bolognia, J.L. Jorizzo, R.P. Rapini Dermatology, Vol. I-II, 2th edition; 6. O. Braun-Falco, G. Plewig, H.H. Wolff, W.H.C. Burgdorf Dermatology

Evaluation

Written exam 60% Practical exam 20% Seminar 20%

247

ALLERGOLOGY

Field of study: Medicine Study programme: Medicine Course title: Allergology Course coordinator: Prof. Diana Deleanu MD, PhD Departament: Functional Sciences Discipline: Immunology and Allergology Course code: MED 6 1 03 EN

Sem

.

Course type


TOTA

L

Cre

dit

s

Eval

uat

ion

Hours/week

L PA CI

I compulsory 7 14 7 2 Theoretical exam

within the dermathology exam

L=lectures: PA=practical activities; CI=clinical internship

Pre-requisites:

Immunology, Pharmacology, Internal Medicine, Pneumology, Pediatrics

General objectives:

There are 3 main general objectives in learning Allergology by the medical students in the 6th year:

Developing the knowledge related to the diverse ways to present allergies

The ability to diagnose an allergic desease

Treatment of the emergency, chronic and prophylactic patient related to allergies

Specific objectives

Learning the necessary knowledge in order to integrate the hypersensitivity mechanism.

Allergens knowledge Acquisition of notions related to diagnosis means in hypersensitivity

disorders. Knowledge of therapeutical approach means in allergic disorders

(emergency therapy, fundamental therapy, specific therapy, and means of

248

prevention).

Course content

1. Allergology – general aspects: history, definition, importance, epidemiology

2. The mechanism of hypersensitivity type I-IV (immunologic)

3. Allergens. Diagnosis

4. Respiratory disorders: rhinitis, asthma (+ conjunctivitis), Food Alergy (symptoms, diagnosis, treatment)

5. Epidemic disorders: atopical dermatitis, rash, contact dermatitis, medicine allergy (symptoms, diagnosis, treatment)

6. Anaphilactic shock (allergens, symptoms, diagnosis, treatment)

7. Specific Immunotherapy with allergens

Evaluation

Written exam: 80% of the final grade

Practical exam 10% of the final grade

Ongoing evaluation 5% of the final grade (evaluation of knowledge at the end of each chapter)

Weekly tests: 5% (weekly evaluation of knowledge during the semester)

Bibliography:

1. Cristea V, Monica Crișan (sub red.). Curs de Imunologie – Facultatea de Medicină. Ed a-IVa, Ed. Medicală Universitară „Iuliu Haţieganu”, Cluj-Napoca, 2011,2013

2. Roitt’s. Essential Immunology. 2014

3. Abbas Basic Immunology. 2015

4. Middleton’s Allergy Principles and practice 2015

249

OBSTETRICS – GYNECOLOGY

Field of study: Medicine Study programme: Medicine Course title: Obstetrics and Gynecology Course coordinator: Lecturer Todea Cezarin, MD, PhD, Lecturer Răzvan

Ciortea, MD, PhD Departament: Mother and child Discipline: Obstetrics and Gynecology Clinic II Course code: MED 6 1 04 EN

Sem

.

Course type

Lectures Practical activities Lectures Practical

activities Individual

study

TOTA

L

Cre

dit

s

Eval

uat

ion

Hours/week Hours/sem

L PA CI L PA CI

I compulsory 10 24 - 70 168 - 72 310 11

Theoretical exam +

practical exam

L=lectures: PA=practical activities; CI=clinical internship

Pre-requisites: -

General objectives:

Getting the basic theoretical and practical knowledge in the field of obstetrics and gynecology necessary in medical training and useful in future exams

Specific objectives

Theoretical and practical knowledge assessment, major objective in medical training, because obstetrical and gynecological emergencies can surprise any type of MD, regardless of specialty. We consider that a basic training is absolutely necessary for a quality medical practice.

Course content

1. Anatomy of female genital tract. Osseous pelvis. Lax pelvis. 2. Hypothalamo-hypophyso-ovarian cycle. Menstrual cycle. Vaginal cycle.

Breast cycle. Hormonology. 3. Spermatogenesis, ovogenesis. Ovulation, fecundation, nidation,

placentation, fetal annexes: amniotic fluid, umbilical cord, embriogenesis, organogenesis.

4. Physiologic changes in pregnancy. 5. Diagnosis of pregnancy. Prenatal care. High risk pregnancy. Mothers

school and pshycoprofilactic measures. Medication in pregnancy.

250

6. Term fetus from obstetrical point of view. 7. Clinical stages of birth. Labor physiology. 8. Birth mechanism in different presentations: cephalic presentations

and breech presentation. 9. Placental delivery and the IV th period of birth (normal and

pathological). 10. Fetal trauma in obstetrics. Distocic delivery. 11. Physiological puerperium, lactation. Pathological puerperium. 12. Multiple pregnancies. Vomiting during pregnancy. 13. First half of pregnancy bleeding. 14. Late pregnancy bleeding. 15. Premature delivery and premature rupture of membranes. 16. Hypertension in pregnancy. 17. Medical diseases during pregnancy. Izoimmunisation in pregnancy (Rh

and ABO). Diabetes mellitus in pregnancy. 18. The postdate pregnancy. Artificial induction of labor. 19. Fetal distress. Placental insufficiency and intrauterine growth

retardation. 20. Physiological stages of female. Disorders of menstrual function.

Dismenhorea 21. Vulvovaginal pathology. 22. Anatomic defects of the pelvis and urinary tract incontinence.

Malformations of female genitalia. 23. Pelvic inflammatory disease. Genital tuberculosis. Fallopian tube

tumors .Feminine and masculine sterility and infertility. Endometriosis. 24. Contraception and control of human reproduction. 25. Ovarian disorders. 26. Uterine corpus pathology. 27. Cervical pathology.

References

1. The Johns Hopkins University School of Medicine - The Johns Hopkins Manual of Gynecology and Obstetrics, Lippincott Williams Wilkins, 2007

2. Kenneth.J Leveno – William Manual of Obstetrics, Mcgraw-hill, 2003 3. Ronald S. Gibbs, Beth Y. Karlon, Arthur F. Haney, Ingrid Nygaard –

Danforth’s Obstetrics and Gynecology tenth edition – Lippincott Williams & Wilkins 2008

4. DK James, PJ Steer, CP Weiner, B Gonik – High Risk Pregnancy – Management Options – third ed. Elsevier 2005

5. Lawrence Impey – Obstetrics and Gynecology Ed. Blackwell Science 2003 6. Decherney AH, Nathan L – Current obstetrics and gynecology - Diagnosis

and Treatment - ninth edition. The McGraw - Hill Companies 2003 7. Symonds EM, Symonds 1M - Essential obstetrics and gynecology - fourth

251

edition. Churchill Livingstone. 2004

Evaluation

Theoretical examination 50% Practical examination 40% Neonatology 10%

252

NEONATOLOGY

Field of study: Medicine Study programme: Medicine Course title: Neonatology Course coordinator: Prof. Gabriela Zaharie, MD, PhD Departament: Mother and child Discipline: Neonatology Course code: MED 6 1 04 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

I compulsory 1 - 2 7 - 14 14 35 Written + practical

exam

L= lectures; PA=practical activities; CI=clinical internship

Pre-requisites:

General pediatrics

General objectives:

To achieve theoretic and practic notices about healthy term newborn, intrauterine growth restriction newborn and notices concerning main entities the neonatal pathology.

To achieve practical skills necessary for a complex ressucitation of the newborn.


To achive theoretic notices about the neonatal pathology respiratory distress syndrome, hyperbilirubinemia, neonatal asphyxia, principles of neonatal reanimation complications of intrauterine growth restriction and neonatal infections

Course content:

THEME (main chapters) 1. The term newborn 2. Neonatal asphyxia 3. Principles of neonatal reanimation 4. Respiratory distress syndrome 5. Newborn’s hyperbilirubinemia

253

6. Intrauterine growth restriction 7. Neonatal infections

Devided on subchapters:

Definition. Classification of the newborn. Determination of gestational age. Transition and adaptation to extrauterine life. Clinical panel of the term newborn. Examination of the newborn. Characteristic conditions of the newborn. Nursing of the newborn. Alimentation of the newborn. Incidence and relation with cerebral paralysis. Risk factors. Manifestation of the organs injury in asphyxia. Patterns of cerebral lesion. Diagnosis of neonatal asphyxia. Differential diagnosis of neonatal encephalopathy. Neuroimaging used in HIE. General principles of treatment. Outcome. Ethics. Primary and secondary apnea. Resuscitation principle. Medication used in resuscitation. Hyaline membrane disease (HMD). Transient Tachypnea of the Newborn (TTN). Meconium Aspiration Syndrome (MAS). Rh incompatibility hyperbilirubinemia (Rh isoimmunisation). Hemolytic disease by sanguine incompatibility of ABO group. Hyperbilirubinemia with conjugated bilirubin. Definition. Incidence. Fetal development. Phisiopathology. Clasification. Diagnosis. Clinical examination. Neonatal effects. Outcome. Evolution. The colonization of the normal newborn. Infection prevention. The factors pre-disposing for the neonatal infection. Clinical signs of bacterial sepsis and meningitis. Classification of neonatal infections. Diagnosis of sepsis. Principles of treatment in the neonatal infection.

References:

1. Gabriela Zaharie Neonatology course for English section Editura Medicala Universitara „Iuliu Hatieganu”Cluj-Napoca 2007

2. Janet M Rennie, Roberton’s Textbook of Neonatology, Ed. Elsevier, 2009 3. Gomella TL, Cunningham MD, Eyal FG, Zenk KE, Neonatology:

Management, Procedures, On-Call Problems Diseases, and Drugs, 5th edition, Ed. McGraw-Hill, 2008

4. John P. Cloherty, Ann R. Stark Manual of neonatal care, Lippincott Raven , 2010

Evaluation:

Written 50% Oral 40% Portofolio for activity 10%

254

PSYCHIATRY

Field of study: Medicine Study programme: Medicine Course title: Psychiatry Course coordinator: Prof. Ioana Micluţia, MD, PhD Departament; Neurosciences Discipline: Psychiatry and pediatric psychiatry Course code: MED 6 2 07 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

II compulsory 6 - 7 42 - 49 80 171 9 Written and

practical exam


Pre-requisites:

Anatomy , physiology of CNS. Pharmacology of CNS, Neurology, Medical Psychology, signs and symptoms in Psychiatry.

General objectives:

To gain basic general knowledge referring to main psychiatric disorders


To learn to conduct a psychiatric interview To learn to group the psychiatric symptoms into syndromes Establishment of the psychiatric diagnosis most Planning of the therapeutic frames for the main psychiatric diseases To learn the principles for the patient’s recovery

Course content:

1. The history of psychiatry and the relationship with other sciences 2. Introductory notions concerning normality, psychiatric disorder 3. Schizophrenia and other psychotic disorders 4. Mood disorders. Suicide 5. Dementias 6. Alcoholism and substance induced disorders 7. Psychiatric Emergengies 8. Anxiety disorders and other stress related disorders

255

9. Personality disorders 10. Impulse control disorders. Sleep Disorders 11. Eating disorders 12. Sexuality disorders 13. The treatment of psychiatric disorders (Psychopharmacology and other

biological therapies) 14. Psychotherapies 15. Social therapy and psychiatric rehabilitation 16. Psychiatric legal issues and assessment of the work capacity

References:

1. Cohen RI, Hart JJ, (1995) Student Psychiatry Today. A comprehensive Textbook (second edition) , Elsevier Health Sciences, Kidlington, Oxford

2. Chen YA., (2011)2011 Toronto notes: comprehensive medical reference & review for MCCQE I & USMLE II: McGraw-Hill Education;Toronto.

3. Gelder M, (1994) Concise Oxford Textbook of psychiatry,Oxford University Press, Oxford.

4. Karila L., (2011) Le book de ECN. France: Wolters Kluwer Healyh .Global Media Sante, Neuilly-sur-Seine.

5. Waldinger RJ, MD. (1997)Psychiatry for Medical Students, Third Edition, American Psychiatric Press/Publishing, Arlington.

6. Stoudemire A. (1990) Clinical psychiatry for medical students. J P Lippincott Comp, Philadelphia.

Evaluation:

75% from the final grade (37.5% oral/ 37.5% written psychiatric evaluation)

25% written test in pediatric Psychiatry

256

PEDIATRIC PSYCHIATRY

Field of study: Medicine Study programme: Medicine Course title: Child and adolescent psychiatry Course coordinator: Prof. Ioana Micluţia MD, PhD Department: Neurosciences Discipline: Psychiatry and child psychiatry Course code: MED 6 2 07 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II

compulsory 2 - 2 14 - 14 20 48 Written exam

(part of the adult psychiatry exam)


Pre-requisites:

Medical Psychology, Pediatric Neurology, Signs and symptoms in Psychiatry

General objectives:

basic knowledge regarding child and adolescent psychiatric disorders acquiring competences of recognition and diagnosis of children and

adolescents psychiatric illness, enabling the student to direct the child to the psychiatrist for further evaluation


acquiring competences of recognition and diagnosis of children and adolescents psychiatric illnesses

knowledge of psychopharmacologic treatments best prescribed for each pathology

understand the patient and the illness in the context of their developmental life experiences

treatment in a multidimensional manner acquiring the ability of team-working

257

Course content:

1. General principles of development and the psychiatric evaluation of children and adolescents

2. Developmental disorders: Mental Retardation, Learning Disorders, Pervasive Developmental Disorders

3. Disruptive behavior disorders: ADHD, Conduct Disorders, Oppositional defiant Disorder

4. Early Onset Schizophrenia 5. Peculiarities of bipolarity and anxiety in children and adolescents 6. Tic Disorder 7. Elimination Disorders.Feeding and Eating Disorders of Infancy or Early

Childhood 8. Child Neglect and Abuse. Juvenile delinquency 9. Psychotherapy

References:

1. Holiff, J, White, M, (2011) Psychiatry, in Yinming, A, Tran, C, Toronto Notes for Medical Students, Toronto.

2. Stubbe, D,(2007). Child and Adolescent Psychiatry, Lippincott Williams and Wilkins, Philadelphia.

3. Stoudemire, A, (1990). Clinical Psychiatry for Medical Students, Lippincott Company, Philadelphia.

Evaluation:

Written Exam (25% from the final mark)

258

ANESTHESIA AND INTENSIVE CARE

Field of study: Medicine Study programme: Medicine Course title: Anaesthesia and Intensive Care Course coordinator: Prof. Natalia Hagau, MD, PhD Department: Surgery Discipline: Anesthesia and Intensive Care 2 (ATI 2) Course code: MED 6 2 09 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion

Hours/week Hours/sem

L PA CI L PA CI

I Compulsory 3 3 - 21 21 - - 42 3 Written ex + practical ex


Pre-requisites:

Physiology, Pathophysiology, Pharmacology, Semiology, Internal Medicine

General objectives

Knowledge’s of the essential and specific elements for the management of a critically ill patient, management of advanced cardio-pulmonary resuscitation, basic elements for the practice of Anaesthesia.

Specific objectives

Knowledge’s of basic principles for the management of the critically ill patient: General principles and basic loco-regional and general anesthetic

techniques, general knowledge’s of anesthetic drugs pharmacology and anesthetic equipment;

Details of cardio-pulmonary resuscitation protocols, pathophysiology and management of cardiac arrest;

General knowledge’s about etiology, pathophysiology, clinical aspects and management of acute respiratory failure, general knowledge’s about mechanical ventilation and oxygenation of critically ill patient, particular situations –ARDS

Clinical knowledge’s of different forms of shock (hypovolemic, hemorrhagic, septic, obstructive, distributive, endocrine);

Etiology, diagnosis and treatment of comas, brain death diagnosis, intensive care management of organ donor for organ transplantation;

259

Main disorders of acid-base balance and electrolytes Volemic therapy and transfusion therapy – blood components and

transfusion complications

Curse content

1. General principles of anaesthesia 2. Cardio-pulmonary resuscitation 3. Acute respiratory failure (ARDS) 4. Shock 5. Evaluating the patient with altered consciousness in the Intensive Care

Unit – Brain Death 6. Acid-base balance and electrolytes disorders 7. Volemic therapy and transfusion therapy – blood components and

transfusion complications

References

1. Acalovschi I. Manual de anestezie si terapie intensiva, Ed. Clusium, Cluj-Napoca 2002

2. Ionescu D, Zdrehuş C. Textbook of Anaesthesia and Intensive Care, Ed Ecco, Cluj-Napoca 2004

3. Miller R. Miller’s Anesthesia 6th edition, Elsevier Churchll Livingstone, 2005,

4. Bersten AD, Oh’s Intensive Care 5th edition Butterworth/Heinemann 2003 5. Irwin RS. Rippe J M Manual of intensive care medicine, 4th Edition: 4,

Lippincott Williams & Wilkins, 2010 6. Nolan J European Resuscitation Council Guidelines for Resuscitation 2005

Evaluation

Written Exam 50% Practical Exam 50%

260

EMERGENCY MEDICINE

Field of study: Medicine Study programme: Medicine Course title: Emergency Medicine Course coordinator: Lecturer Adela Golea, MD, PhD Department: Surgery Discipline: Emergency medicine Course code: MED 6 2 10 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I

compulsory 3 4 - 21 21 - 30 72 3

written ex. + practical ex. + activity portfolio


Pre-requisites:

Internal medicine, surgery, cardiology, imaging

General objectives:

Introducing the concept of emergency medical assistance. Running into good theoretical and practical issues in therapeutically and

diagnosis management of different degrees emergencies.


Knowing the principles in adjustment of proper emergency medical assistance: triage and team work, therapeutically and diagnosis particularities.

Recognition of the critical patient, the cardiac arrest and the syndromes leading to cardiac arrest.

Running into good practice of BLS and ALS in pediatric and adult patients. Recognition of particular ALS techniques in special situation.

Implementation of triage and therapeutic – diagnosis emergency management concepts in vital risk medical emergencies: rhythm/conduction disturbances, myocardial infarction, shock, coma and poisonings.

261

Running into good practice of primary/secondary evaluation principles and of emergency therapy methods in the multi-system injured patient, burns patients, both in pre hospital care and ER.

Course content:

1. Organization of a hospital and pre hospital emergency service. Team management concept in emergency. Triage issues. Recognition of the critical patient (cardiac arrest, coma, acute respiratory failure, acute coronary syndrome) and emergency therapy management algorithms. Cardiac arrest causes recognition. BLS.

2. ALS: administration ways and drugs used in ALS, electrical therapy (cardio version/ defibrillation, pace maker). ALS: resuscitation algorithms.

3. CPR in various special situations (pregnancy, poisonings, electrocution, hanging, hypothermia, drowning). Pediatric CPR particularities.

4. Rhythm and conduction disturbances: emergency evaluation, emergency therapy algorithms. Emergency algorithms for myocardial infarction: pre hospital and hospital (STEMI, non STEMI)

5. Emergency attitude in poisonings: evaluation, emergency therapy (hemodynamic and respiratory support, antagonists). The multi-system injured patient. The trauma producing mechanism.

6. Primary and secondary evaluation in the trauma patient. Hypovolemic and traumatic shock. Mobilization/immobilization and transportation of multi-system injured patients.

7. Head, facial and spinal cord injuries: evaluation, emergency therapy. Chest, abdominal and pelvic trauma: evaluation, emergency therapy. Emergency attitude in case of burns patients.

References:

1. Jim Holliman, Raed Arafat, Cristian Boeriu: Asistenţa de Urgenţă a Pacientului Traumatizat- ISBN 973-9087-69-8, Casa de Editură Mureş 2004

2. Mircea Chiorean, Sanda Copotoiu, Leonard Azamfirei: Managementul bolnavului critic, vol.I, Univerity Press Târgu Mureş, 1999

3. CPR protocols: http://www.erc.edu/index.php/guidelines_download/, 2010

4. Judith E. Tintinalli, Emergency Medicine: A Comprehensive Study Guide, 7e, 2010

5. Marx Rosen, Emergency Medicine: Concepts and Clinical Practice, 7th ed., Mosby, 2010

Evaluation:

Written exam 30% Practical exam 60% Activity portfolio 10%

http://www.erc.edu/index.php/guidelines_download/

262

FORENSIC MEDICINE

Field of study: Medicine Study programme: Medicine Course title: Forensic Medicine Course coordinator: Lecturer Stefan Anitan, MD, PhD Department: Community Medicine Discipline: Forensic Medicine Course code: MED 6 1 05 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

Eval

uat

ion


L PA CI L PA CI

I Compulsory 4 3 - 28 21 - - 49 3 Exam


Pre-requisites: -

General objectives:

Browse couse provide students familiarity with aspects of: thanatology and Forensic Pathology clinical forensic medicine forensic toxicology aspects of malpractice/medical law and related jurisprudence


aims to give core info on forensic medicine, ethics, and medical law and also to aquire the necessary knowledge for recognising forensic causes of death, traumatic injuries presented by pacients, requiring forensic evaluations and a guidance to the competent forensic medicine services.

perform medico-legal postmortem exams, and interprete authopsy findings and results of other relevant investigations to logically conclude the cause ,manner and time since death

preserve and dispatch specimens in medico-legal/postmortem cases and other concerned matherials to the appropriate government agencies for necessary exams.

263

Course content:

1. Definition of forensic medicine-legislation 2. Medico-legal thanatology 3. Medico-legal traumatology 4. Injuries and death determined by physical forces 5. Forensic toxicology 6. Clinical forensic medicine 7. Medico-legal obstetrics and sexual offences 8. Problems of medical deontology and responsability

References:

1. Dermengiu Dan—Patologie Medico-Legala, ed.Viata Medicala Romaneasca, 2002

2. Perju-Dumbravă Dan, Margineanu V, TEORIE ŞI PRACTICĂ MEDICO-LEGALĂ ,Ed.Argonaut, 1996 ,

3. Perju-Dumbrava Dan,--EXPERTIZA MEDICO-LEGALĂ ÎN PRACTICA JURIDICĂ, Ed. Argonaut, 1999

4. Perju-Dumbravă Dan--RESPONSABILITATE MEDICALĂ---, Ed.Hipparion, 2000,

5. Perju-Dumbrava Dan, Zaharie Toader--MEDICINĂ LEGALĂ -TEXT, IMAGINE; FILM, Ed.Argonaut, 2001 -- 248 pagini text, 519 imagini , 53 filme, Editată şi pe Compact-Disc.

6. Perju-DumbravaDan--MEDICINA LEGALA, Ed. Argonaut, 2006, . 7. Perju-Dumbrava Dan, Martis Doru--CURS DE MEDICINA JUDICIARA SI

LEGISLATIE MEDICALA, Ed Cordial Lex, Cluj-Napoca 2008 , 8. Stefan Anitan-“Forensic medicine for english students” (under editing-

Humanitas 2012) 9. www.legmed.ro 10. www.imlcluj.ro

Evaluation:

Written exam 30% Practical exams 60% Activity portfolio 10%

http://www.legmed.ro/

264

TRAINING IN THE PRACTICAL SKILLS CENTER

Field of study: Medicine Study programme: Medicine Course title: Training in the practical skills center Course coordinator: Assoc. Prof. Gherman Claudia, MD, PhD Department: Surgery Discipline: Emergency Medicine Course code: MED 6 2 11 EN

Sem

este

r

Course Type



Individual study

TOTA

L

Cre

dit

s

Eval

uat

ion


L PA CI L PA CI

II Compulsory 1 - 3 7 - 21 28 2 On going

evaluation

L=lectures; PA=practical activities; CI=clinical internships

Pre-requisites: -

General objectives:

Gaining the necessary practical skills in order to achieve basic medical practical gestures


Knowledge of indications and clinical skills techniques, as described in “Book for practical abilities”, chapter “Performe by itself and explain to the patients”. Practical learning of these skills by hands-on exercises on mannequins and simulators.

Course contents

Intensive Care Station Venous puncture Setting up an iv line Arterial puncture Oxygen administration ECG, SpO2, BP, pulse, temperature monitoring Emergency Station Airway desobstruction Defibrillation Fractures immobilisation External bleeding control Surgery – 2 stations

265

Sterility: induction, control, maintenance Knots and Sutures Sutures removal Injections: sc, id, im, iv Incision and drainage of superficial lesions Simple dressing - fixation Wound and Stoma care Nasogastric tube Rectal examination Male urinary catheterisation Obstetrics and Ginecology station Normal birth Vaginal examination Papanicolau test Female urinary catheterisation

References:

Printed documents for each manoeuvre (available at the Simulation Centre)

Evaluation

Practical examination. Instructor evaluation for each station, corresponding with the evaluation forms

266

PUBLIC HEALTH MANAGEMENT

Field of Study: Medicine Study programme: Medicine Course title: Public Health and Management Course coordinator: Lecturer Gabor-Harosa Florina, MD, PhD Department: Community Medicine Discipline: Public Health and Management Course code MED 6 2 12 EN

Sem

. Course type



Individual study

TOTA

L

Cre

dit

Eval

uti

on

hours / week hours / week

C LP St C LP St

II Compulsory 4 2 - 28 14 - 20 62 3 Exam:

Written+ practical

C = courses; LP = workshop; St=internship

Pre-requisites:

Primary health care, Legislation, Oncology, Environmental Health, Legal Medicine, Behavior Sciences

General objectives:

Understanding of Public Health content Introduction to Health Services Management


Defining health status and the determining factors Health status measurement Estimation of health status and importance of determining factors Understand the major trends in issues regarding the population Describing the main demographic events and demographic phenomenons Using the demographic information for the demographic phenomenon

measurement Describing of the main characteristics of the demograpic phenomenons Understanding the relationship between demography and Public Health Identify the factors affecting population reproduction Measurement, description and comparative analysis of mortality and

mortality; Identify the key mortality characteristics and the control meanings

Supporting the prevention concept – current trend

267

Demonstrate the advantages and limitations of different preventive strategies

Describing the ways of action and primary preventive services regarding the key health issues

Define the concept of health promotion and health education and define the above two concepts objectives

Understand the communication and behavioral health key factors Identify the steps of planning and evaluation of health education Understand the importance of older adults social/medical aspects Description of ageing-related demographic phenomena Description of the impact of demographic transition on population health Identify roles, functions, attributes management Description of organizational culture and development of systemic thinking

in health Understand the concept of medical-social marketing Importance and project management steps

Course Content

1. The objectives of WHO in the XXI century 2. Public Health and Individual health 3. The health status of the population and the determining factors 4. Health status measurement indicators 5. Key events and demographic phenomena 6. Demographic transition 7. Reproduction of the population 8. Chronic illness as a public health issue 9. Prevention strategies, health promotion and health education, 10. Toxic and narcotic drugs regulations 11. Introduction to health services management, medical and social

marketing and project management 12. Health care systems, health insurance 13. Communication in health services

References

1. BORZAN C. - Noi abordări ale Sănătăţii Publice şi Managementului în Regiunea Europeană a Oranizaţiei Mondiale a Sănătăţii, Editura Medicală Universitară „I. Haţieganu”, Cluj-Napoca, 2007

2. BORZAN C., MOCEAN F., - Sănătate Publică, Editura Medicală Universitară „I. Haţieganu”, Cluj-Napoca, 2002

3. ENĂCHESCU D., MARCU M.GR., Sănătate publică şi management sanitar, Editura All, Bucureşti, 1997

4. MARCU M.G., MINCĂ D., Sănătate publică şi management sanitar, Editura Universitară ”Carol Davila”, Bucureşti, 2003

268

5. MUREŞAN P., Manual de metode matematice în analiza stării de sănătate, Editura medicală, Bucureşti, 1989

6. O.M.S. – Health 21 – Health for all în the 21-st century, European Health for All, Series no. 5, Copenhaga, 1996

7. TREBICI V., Demografie, Editura Ştiinţifică şi Enciclopedică, Bucureşti, 1979 8. TREBICI V., Populaţia Terrei, Editura Ştiinţifică, Bucureşti, 1991 9. VLĂDESCU C. (coord.), Managementul serviciilor de sănătate, Editura

Expert, Bucureşti, 2000

Evaluation

Written 70% Practical 20% Activity 10%

269

GERIATRICS

Field of study: Medicine Study programme: Medicine Course title: Geriatrics and Gerontology Course coordinator: Lecturer Valer Donca, MD, PhD Department: Medical specialties Discipline: Geriatrics Course Code: MED 6 1 06 EN

Sem

. Type of course

Lectures Practical Activities

Lectures Practical Activities

Individual Study

TOTA

L

Cre

dit

Eval

uat

ion

hours/ week hours / sem / module

L PA CI L PA CI

II Compulsory 2 - 3 14 - 21 25 60 2 Writt

en exam

L=lectures; PA=Practical Activities; St= stages

Pre-requisites: -

General Objectives:

Distinction between so-called normal aging and pathological changes of aging

Avoid both curable pathology interpretation as simple manifestation of aging and the attempt to treat the natural process of aging such as diseases


Knowledge of the physiological changes of systems in aging process Identification and management of special problems of elderly patients

Course content:

1. History of geriatrics 2. Demographics 3. Theories of aging: theory of wear, intercatenare theory, radical free

theory, the theory of catastrophic errors, the theory of mitochondrial, accumulation theory, neuro-endocine theory

270

4. Physiological changes of systems in aging: sense organs, respiratory tract, cardiovascular, renal, digestive and endocrine systems

5. Geriatric assessment: medical, functional, cognitive, emotional, nutritional and socio-economic assessment

6. Special problems in geriatric practice: nutrition, dehydration, constipation, urinary incontinence, delirium, tremor, pressure sores, instability, falls, hypothermia, immobilization, sleep disorders

7. Pharmacotherapy in elderly patients. Quality indicators in elderly pharmacotherapy (ACOVE - Assessing Care of Vulnerable Elders). Beers Criteria to avoid the improper use of medication in the elderly.

References:

1. Donca V. Gerontologie şi Geriatrie, Ed. Casa Cărţii de Stiinţă, Cluj Napoca, 2008.

2. Bălăceanu-Stolnici C. Geriatrie practică. Ed. Amaltea, Bucureşti, 1998. 3. Fillit HM, Rockwood K, Woodhouse K. Brocklehurst's Textbook of Geriatric

Medicine and Gerontology.Saunders Elsevier, 2010.

Evaluation

Writing Exam 90% Personal activity 10%

271

B. ELECTIVE COURSES

METHODOLOGY REGARDING THE ELECTIVE COURSES AT THE FACULTY OF MEDICINE

Academic year 2016-2017

The present Methodology has been issued for organising the choice of elective courses for the students from the Faculty of Medicine, “Iuliu Haţieganu” University of Medicine and Pharmacy, Cluj-Napoca.

1. Until 15 of March, all disciplines which are willing to teach elective courses ought to have transmitted, to the Dean’s Office from the Faculty of Medicine the following information concerning the proposal for the elective course: - Course title - Course coordinator - Brief description of the course (course contents; evaluation) - Course location and timetable

2. After the approval of the proposed elective courses in Council Meeting of the Medical Faculty held in 20 of March, they are made public for the students:

a) on the Faculty of Medicine site b) on the News Board of the Faculty of Medicine c) on the mail group for students from the Faculty of Medicine.

3. Based on the available information, each student from the Faculty of Medicine must choose the desired elective course and enrol between 04 April – 13 May 2016.

4. The enrollment can be done online on http://bc.umfcluj.ro/optionale/

5. Once filled in and signed, the application represents the student’s obligation to attend that certain elective course. Once elected, an optional course becomes mandatory.

6. For organising a free-tax course the minimum number of participant students is 60. The maximum number of participant students for an elective course is 80.

7. Elective courses having a number of 15 – 60 enrolled students are going to be organised with payment (fee - 20 RON).

8. After the enrollment deadline, the students who did not enrol for elective courses are going to be enrolled only for the elective courses that have unoccupied places left.

http://bc.umfcluj.ro/optionale/

272

9. Optional courses will receive pass / fail mark.

10. Students willing to attend more than one elective course are allowed to do this depending on places left after the end of enrollment period and the distribution of un-enrolled students.

11. The final list of students for elective courses is going to be communicated to the teachers and students until the end of June 2016.

12. For first year students, of academic year 2016-2017, the enrollment for elective courses is going to take place in October 2016.

13. After approval, the present Methodology is going to be made public for the students from the Faculty of Medicine:

a) on the Faculty of Medicine site b) on the News Board of the Faculty of Medicine; c) on the mail group for students from the Faculty of Medicine.

DEAN, Prof. Anca Dana Buzoianu, MD, PhD

273

ELECTIVE COURSES FREE OF CHARGE YEAR I (2016 / 2017)

MEDICINE STUDY PROGRAMME IN ENGLISH

No. Course title Course coordinator Discipline

1. Introduction to Romanian Contemporary Culture Lecturer Horaţiu Crişan, PhD Skills - Humanistic sciences

2. Advanced Communication Skills Lecturer Codruţa Popescu, PhD

Skills - Humanistic sciences

3. Introduction to experimental surgery Assoc. Prof. George Dindelegan, MD, PhD

Surgery I

YEAR II (2016 / 2017)



1. Drugs and addictions Prof. Anca Dana Buzoianu, MD, PhD

Pharmacology, toxicology and clinic pharmacology

2. Cardio-Circulatory Explorations Lecturer Radu Roşu, MD, PhD Rehabilitation Cardiology

274

YEAR III (2016 / 2017)



1 Neurological examination in emergency medicine

Lecturer Adina Stan, MD, PhD Neurology and Pediatric neurology

2 Applied Pathophysiology Ass. Prof. Adriana Bulboacă, MD, PhD Prof. Elena Pârvu, MD, PhD

Physiopathology

YEAR IV (2016 / 2017)



1 Radioimaging of the medical and surgical emergencies

Prf. Dr. Sorin Dudea Radiology

2 Tropical prasithology Assoc. prof. Mihaela Lupşe MD, PhD Infectious diseases

YEAR V (2016 / 2017)



1 Brief methodological guide for the thesis Lecturer Horaţiu Colosi, MD, PhD Medical Informatics and biostatistics

2 Radioimaging of the medical and surgical emergencies

Prof. Dr. Anca Ciurea Radiology

275

YEAR VI (2016 / 2017)



1 Medico-Legal Aspects of Intrafamilial Violence Lecturer Ştefan Aniţan, MD, PhD Forensic Medicine

2 Infection prevention and control in special populations

Assoc. Prof. Amanda Rădulescu Epidemiology

ELECTIVE COURSES WITH FEES


1 Basics in Molecular Pqthology Lecturer Tiberiu Nistor, MD, PhD Medical Biochemistry

2 Practical Romanian Language Assist. Cristina Gogata, PhD Moderne Languages

3 Principles and Practice in Laparoscopic Surgery Lecturer Vasile Bintintan, MD, PhD Surgical Clinic I

4 La physiologie des systems sensoriels – une approche intégrée

Lecturer Cezar Loghin, MD, PhD Physiology

276

3. Synthèses des physiologie clinique Assoc. Prof. Simona Clichici MD, PhD

Physiology

4. Le diagnostic radioimagerie des urgences médicales et chirurgicales

Assist. Simona Manole, MD, PhD RAdiology

5. Pediatric Cardiology Lecturer Cecilia Lazea, MD, PhD Pediatric Clinic I

6. Pelvic Imagistics Prof. Sorin Dudea, MD, PhD RAdiology

OPTIONAL COURSES - with fee

PEDAGOGIC MODULE


1. Medical pedagogy (second year of study) Assoc. Prof. Horia Coman, MD, PhD Medical Psychology

2. Teaching Methods (4th, 5th, 6th years of study) Prof. Valentin Muntean, MD, PhD Surgical Clinic IV

3. Pedagogical Practice (4th, 5th, 6th years of study) Prof. Valentin Muntean, MD, PhD Surgical Clinic IV

4. Educational Psychology (5th, 6th years of study) Assoc. Prof. Horia Coman, MD, PhD Medical Psychology

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