IGIENE GENERALE E APPLICATA

Degree course: 
Corso di First cycle degree in Midwifery
Academic year when starting the degree: 
2020/2021
Year: 
2
Academic year in which the course will be held: 
2021/2022
Course type: 
Basic compulsory subjects
Seat of the course: 
Varese - Università degli Studi dell'Insubria
Credits: 
1
Period: 
First Semester
Standard lectures hours: 
16
Detail of lecture’s hours: 
Lesson (16 hours)
Requirements: 

There are no prerequisite constraints, but according to the regulations, the student must have passed all the exams and suitability provided for the first year

The exam consists of an oral test. The objective of the exam is to verify the level of achievement of the previously indicated training objectives, evaluating the level of knowledge and deepening of the topics addressed. In particular, the knowledge of the topics, the understanding / ability to discuss the topics connected to it and the mastery of the scientific language of the reference field and the clarity of expression will be evaluated.

Assessment: 
Voto Finale

The course aims to provide the student with:
The main knowledge on the determinants and the main risk factors
which affect health, disease and the interaction between the human being and
its physical and social environment, with particular attention to the woman in
pregnancy.
The essential notions of epidemiology for public health, the
determinants of health, the prevention of infectious and chronic degenerative diseases,
hospital hygiene in an obstetric environment. The criteria of cause and effect in medicine, the main types of epidemiological studies, their validity, measures and principles of statistical analysis
relevant to the measures.

INTRODUCTION TO PUBLIC HEALTH:
The concept of health; evolution of public health and current epidemiological scenario; public health instruments; prevention; fields of application
PART I - EPIDEMIOLOGY AND PREVENTION OF COMMUNICABLE DISEASES
1. Sources and reservoirs of infection, mode of transmission;
2. Population Interventions: Vaccinations (programming, vaccination coverage, the problem of real and perceived effectiveness, misinformation and infoedemia), passive immunoprophylaxis, chemoprophylaxis, disinfection and sterilization, health surveillance and notification
3. Health management of SarCOV2 infection: Epidemiology, risk scenarios and specific prevention with particular reference to the obstetric field
4. Interventions in care facilities (Hospital hygiene): Healthcare-associated infections, Procedures for the prevention of infections related to health care (hand washing, use of PPE, instrumentation management, environment), management of medical waste
PART II - EPIDEMIOLOGY AND PREVENTION OF NON-COMMUNICABLE DISEASES
1. Risk factors, assessment of intervention priorities (effect, impact, modifyability);
2. Primary prevention interventions (health promotion, health education) and tertiary (health education. and therapeutic education.): risk factors and specific interventions (smoking, alcohol, Mediterranean diet, physical activity), methodology for health education
3. Secondary prevention interventions - screenings: criteria, methodology, specific examples, current and new fields of application
PART III - EPIDEMIOLOGICAL METHODOLOGY
1. The main epidemiological studies: descriptive, cross-sectional, case-control, cohort, ecological, clinical trials, secondary studies (systematic review and metanalysis)
2. Frequency measures: prevalence, incidence, incidence rates
3. Association measures: relative risk, odds ratio, absolute risk and attributable risk
PART IV - VALIDITY OF STUDIES
1. Bias and confounding: selection, information and confounding bias
2. Confounding and control methods for confounding
PART V - THE MAIN SOURCES OF INFORMATION OF HEALTH DATA
1. Death registry and hospital discharge registry
2. Disease registers: cancer registry, rare disease registry

IGIENE - Medicina Preventiva Sanità Pubblica – II edizione. W. Ricciardi, ed. Idelson Casa Editrice, 2013.
Epidemiologia e Management in Sanità – Elementi di metodologia, II edizione 2015. Manzoli L, Villari P, Boccia A. Edi-ermes.
Lesson slides and supplementary materials, uploaded on the e-learning webpage

The course is based on lectures with slide presentation, examples, exercises and practical sections on the use of bibliographic databases on the web (PubMed), drawing of epidemiological studies, population surveys, meta-analysis.
There will be thematic lessons with experts in the field.
Examples from recent international literature will be used to supplement specific topics. To allow students the possibility of self-assessment, at the end of the course questionnaires with multiple choice questions could be proposed in the classroom. The tests are then analyzed and discussed in the classroom; They are not withdrawn by the teacher and have no weight for the final evaluation.

Available on request: licia.iacoviello@uninsubria.it Phone: 0331 217223 EPIMED via Rossi 9 – Pal. Rossi - 21100 Varese.
Email: licia.iacoviello@uninsubria.it
Skype contact: licia.iacoviello

Professors

Parent course