MEDICAL SCIENCES IN SPEECH THERAPY I
Academic year and teacher
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- Versione italiana
- Academic year
- 2019/2020
- Teacher
- VITTORIO GOVONI
- Credits
- 6
- Didactic period
- Secondo Semestre
Training objectives
- NEUROLOGY
After the course the students will be able to recognize the main disorders of the central and peripheral nervous system, as well as miopathies (ie., most frequent or at higher social impact disorders) with regard to clinical manifestations; they will be able to show knowledge on the main etiopathogenetic and pathophysiological aspects of such disorders and know the main issues in relation to the specific Degree course objectives (logopedics). They will also have to know the basics and rationale for care and therapeutic management of patients affected by these disorders.
PSYCHIATRY
The main acquired knowledge will be:
Knowledge of the most important psychiatric disorders and their risk factors in the general population.
Application of psychiatry in oncology and psychosocial implications of head-neck cancer.
Knowledge of the assessment instruments in psychiatry, with specific application in rehabilitation.
Knowledge of the most important intervention both at the prevention and treatment levels.
Basic knowledge of the most important neurological diseases.
Knowledge of the latest diagnostic procedures and therapeutic techniques
The main skills (rather the ability to apply their knowledge) will be:
evaluate the mental condition of the patient, according to an adequate and complete bio-psycho-social approach
differentiate the psychic manifestations attributable to physiological conditions than those suggesting of pathological conditions, recognizing the major psychiatric clinical pictures
make a correct referral of the patient to the apprpriate psychiatric service, based on the needs detected through patient assessment
CHILD NEUROPSYCHIATRY
Being able to recognize the major neuropsychiatric disorders in childhood
INTERNAL MEDICINE
- To provide basic skills and knowledge to appreciate the social, clinical, and psychological characteristics of the geriatric patient. To appreciate the importance of cognitive rehabilitation in older patients.
GENERAL AND SPECIALISED PEDIATRICS
Provide the basics for understanding of pediatric pathology correlation disorders of language and communication. Prerequisites
- Knowledge of psychology, of neuroanatomy and clinical physiology. Basic notions of anatomy and physiology
Course programme
- NEUROLOGY
Motor system: voluntary movement, anatomic and functional basis of muscular tone and reflexes. Disorders of the motor system: central paralysis, peripheral paralysis, muscular paralysis, neuromuscular transmission disorders, Movement disorders, cerebral system, somatic system, dysfunctions of sensitivity. Coma and disorders in the consciousness state. Clinical aspects of most frequent or at higher social impact neurological diseases (stroke, multiple sclerosis, Parkinson’s disease, epilepsy, dementia, amyotrophic lateral sclerosis, myasthenia gravis, peripheral nervous systems affections, main myopathies).
PSYCHIATRY
The module forecasts 12 hours of frontal lectures.
Psychiatry as a science of mental health and its application in rehabilitation, theory and clinical models in psychiatry, the most important psychiatric disorders, with specific reference at the rehabilitation context (with particular attention to mood disorders, anxiety and adjustment disorders, psychiatric disorders secondary to medical factors), psychiatric and psychosocial implications of head-neck cancer (psychoncology), the Consultation Liaison Psychiatry in the General Hospital and Medical practice, psychiatric assessment and integrated intervention in rehabilitation (counselling, psychotherapy, principles of psychopharmacology)
CHILD NEUROPSYCHIATRY
Psychomotor development; congenital disorders of the CNS ( chromosomal abnormalities, , neurometabolic diseases, congenital structural defects ) Cerebral palsy; Neonatl hypoxic- ischemic brain injury. Mental retardation and autism. Epilepsy and Infantile convulsions.
INTERNAL MEDICINE
Epidemiology of aging. Biology of aging. Characteristics of the older patient: complexity and vulnerability.
Principles of geriatric assessment. Physical disability. Cognitive impairment, dementia and delirium. Depression
GENERAL AND SPECIALISED PEDIATRICS
Elements of auxology. Healthy newborn. Characteristics of the preterm infant. Disease of prematurity. TORCH complex infections. Respiratory infections in children: pharyngitis, tonsillitis, acute otitis media, ipoglottics laryngitis, epiglottis, bronchiolitis, pneumonia. Bronchial asthma. Meningitis. Head trauma.
Dysphagia in infantile cerebral palsy. Gastroesophageal reflux disease. Didactic methods
- frontal lessons
Learning assessment procedures
- NEUROLOGY
Written Text. Duration: 80 min. Four open questions (2 on pathophysiology and 3 on clinical neurology). Knowledge and detail extent, clarity, completeness, capacity of conceptual connections, rigor and descriptive capacity will be evaluated. Severe gaps of knowledge, or the lack of response to even one question will determine the examination failure.
PSYCHIATRY
Written exam (90 minutes) with three open questions (usually, the first question on the psychiatric evaluation, the second on one of the psychiatric disorders discussed during the lessons, the third concerning psychiatric treatments). The test is invalidated by the lack of one of the answers. For the passed test, (starting from 18 points), for each answer will be given a score from 1 to 4, based on its accuracy and completeness. If the three answers have all got the maximum points, then it is given 30 “cum laude”.
CHILD NEUROPSYCHIATRY: oral exam : 2 answers . The score results by knowledge, clarity and pertinence of scientific language
INTERNAL MEDICINE
30 multiple choice questions (5 possible answers, one right). Scoring: correct answer: 1 point; wrong answer -0.2 point; no answer: 0 point. Time: 45 minutes.
GENERAL AND SPECIALISED PEDIATRICS
Multiple choice quizzes: 31 quiz with a single correct answer in 30 minutes. 1 point if correct answer, 0 points if answered incorrectly or not given.
THE FINAL GRADE IS A WEIGHTED AVERAGE OF THE MARKS OBTAINED IN EACH TESTS. Reference texts
- NEUROLOGY
Bibliography provided by the teacher in the classroom
PSYCHIATRY
Teacher’s handouts
Specific topics can be further developed in the following texts:
Balestrieri M., Bellantuono C., Berardi D., Di Giannantonio M., Rigatelli M., Siracusano A., Zoccali R.A., Manuale di Psichiatria. Il Pensiero Scientifico Editore, Roma, II Edizione, 2014
CHILD NEUROPSYCHIATRY
Pavone e Ruggieri, Neurologia Pediatrica. Masson Ed.
INTERNAL MEDICINE
The Merck Manual of Geriatrics - Edizione Italiana - Medicom Italia
Umberto Senin, Paziente Anziano e Paziente Geriatrico. Fondamenti di gerontologia e geriatria, EdiSES
GENERAL AND SPECIALISED PEDIATRICS
Giorgio Bartolozzi, Maurizio Guglielmelli, Pediatria. Principi e pratica clinica, Ed. Elsevier
Educational material provided by the teacher, that can be downloaded from the site during the course.
