MC/0752 - Physiopathology of the nervous system
Academic Year 2021/2022
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ELEONORA COCCO (Tit.)
- Teaching style
- Lingua Insegnamento
|[40/64] NEUROPHYSIOPATHOLOGICAL TECHNIQUES||[64/00 - Ord. 2020] PERCORSO COMUNE||5||40|
BASIC KNOWLEDGE AND COMPREHENSION CAPACITY: The student is required to know:
- the clinical features of the main diseases of the nervous system (epilepsia, brain and spinal cord injuries, tumors, infective and inflammatory disorders) of the adult and pediatric ages.
- Of the newborn and the patient in pediatric age
- And apply the advanced neurophysiological techniques useful in pediatric age.
APPLICATION CAPACITIES: the student must be able to apply neurophysiological diagnostic strategies of neurological disorders of the adult and the baby, participate with his own specific expertise in the design of a diagnostic neurophysiological program in collaboration with other health professionals. Formulate, through reasoning, diagnostic goals to be achieved. Define the contingency plan about objectives. Identify aids and orthotics useful to the achievement of personal autonomy. Identify the specific characteristics of the physician in the clincal setting team.
AUTONOMY JUDGEMENT: The student will learn to acquire and integrate anamnestic and instrumental data to formulate a diagnostic judgment in the context of neurology of the adult and the baby. Critically examine the aims and methods of assessing the results obtained
COMMUNICATION CAPACITY: The student will learn to present relevant data regarding a specific clinical case and to properly expose the development of diagnostic pathways. Analyze the main channels and communication techniques to define the most appropriate methodology in the context analyzed. Planning, implementing, and evaluating the results of the communication strategy used. In particular, acquire the ability to communicate information, problems, and solutions with the team members, patients, and families
COMPREHENSION CAPACITY: The student will learn to acquire new information and to enforce his cultural background critically through the consultation and interpretation of recent scientific literature
Prior knowledge of neuroanatomy and neurophysiology of the central and peripheral nervous system is suggested to reach a fruitful course attendance.
The contents of the teaching unit are as follows:
Structure and development of the CNS; glia and cellular neuropathology; higher sensory processing and cortical organization, the phenomenon of pain, organization of motor control, and sensory and neurological semeiology.
General Introduction to Neonatology, Neonatal Adaptation and Physiological Phenomena. Care for a healthy newborn.
Classification of newborns according to gestational age.
Assistance in the Delivery Room: Outline of Neonatal Resuscitation. Birth trauma. Perinatal asphyxia.
Screening and health balances. Vaccination calendar.
Nutrition in the first year of life.
Physiological jaundice of the newborn, Pathological jaundice.
Infections in the neonatal period. Clinic, diagnosis and therapy.
Respiratory diseases in the neonatal period.
Celiac disease; Cystic fibrosis.
Epilepsies with onset in developmental age: clinical and electroencephalographic characteristics;
- conditions characterized by subcontinuous / continuous paroxysmal electroencephalographic abnormalities in sleep, with particular attention to their neuropsychological and neurobehavioral implications;
- neurodevelopmental disorders (in particular: autism spectrum disorder, intellectual disability, ADHD);
- disturbances of consciousness in developmental age;
- infantile cerebral palsy.
Stimuli, stimulators, EEG / PE recording techniques
NEWBORN EEG REGISTRATION TECHNIQUES
• Physiological EEG pictures
• Pathological EEG pictures
VISUAL SUMMONED POTENTIALS
SOMATO SENSORY EVOKED POTENTIALS
ACOUSTIC SUMMONED POTENTIALS
POTENTIALS EVOKED STIMULUS AND RELATED EVENT (ERP)
The entire course will include both frontal lectures presented through PowerPoint presentations and clinical practice through the attendance of clinical ward, day hospital, and clinic. The frontal lecture may be integrated by innovative teaching routes (active learning) through the analysis and interpretation of clinical cases.
Verification of learning
An intermediate evaluation is planned for each discipline of the course.
The final examination (oral) evaluates the degree of understanding of the main learning targets of the course and a specific attention is paid to the knowledge of the principles of the neurophysiology and the neurophysiological lab.
Finally, the expression capacity, the use of appropriate scientific language, and the ability to synthesize information will be assessed.
The final grade will take into account:
Manifested quality of the knowledge, capacities, and competencies:
a) Knowledge pertinence, accuracy, and consistency
b) Capacity pertinence, accuracy, and consistency
c) Competences pertinence, accuracy, and consistency
a) Expressive capacity.
b) Appropriate and correct use of specific discipline-related language.
c) Logic reasoning capabilities in content connection.
e) Ability to create links between different topics focusing on common points, and to make a general coherent speech, taking care of the structure, organization, and logic connections of the speech.
f) Ability to synthesize information.
The final grade can be:
a) Sufficient (18 to 20/30)
Scarcity of acquired notions, superficial level of knowledge with numerous gaps, simple expressive capacities but sufficient to sustain a coherent speech. The capacity to link different topics lays at an elementary level. Scarce ability to synthesize and to interact with the professor during the interview.
b) Decent (21 to 23)
Reasonable quantity of acquired notions, but scarce in-depth analysis. Few knowledge gaps. Expressive capacities adequate to sustain a coherent speech and acceptable scientific language fluency. The ability to logically link different topics lays at a moderate complexity level. Adequate ability to synthesize and interact with the professor during the interview.
c) Good (24 to 26)
Wide knowledge, moderate in-depth analysis, with little gaps; satisfying expressive capacities and significative scientific language fluency; well recognizable ability to dialog and acceptable critical sensibility. Good ability to synthesize and interact with the professor during the interview.
d) Very good (27 to 29)
Extensive and deeply analyzed knowledge, with only negligible gaps; notable expressive capacities and high scientific language fluency; remarkable ability to dialog and inclination to synthesize and to interact with the professor during the interview.
e) Excellent (30)
Exceptionally extensive and deeply analyzed knowledge, eventually with irrelevant gaps. Very high expressive capacities and scientific language fluency, excellent ability to dialog, exceptional inclination to create links between different topics, outstanding ability to synthesize and to interact with the professor during the interview.
The "laude" will be awarded to the candidates that demonstrate to be remarkably above the average, whose eventual expressional, conceptual, logical, and notional limits result to be mainly irrelevant.
Core Curriculum Malattie del Sistema Nervoso. Ferrarese Carlo, Mac Graw Hill web site. 431 pag. Edizione 2011
Neurologia. Gian Camillo Manzoni e Paola Torelli. Esculapio. Formato 19×26,5 in brossura Pag. 496 ISBN: 9788874884346 - Febbraio 2012.
Fondamenti delle neuroscienze e del comportamento, E.R. Kandel, J.H. Schwartz, T.M. Jessel - CEA Fundamental Neuroscience, L.R. Squire, D. Berg, F.E. Bloom et al. - ELSEVIER, 3a ed., 2008
Eleonora Cocco (firstname.lastname@example.org) (Neurophisiopathology)
Antonella Gagliano (email@example.com) (Pediatric Neurology and psychiatry)
Raffaella Origa (firstname.lastname@example.org) Pediatrics