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Clinical Immunology and Genetics

Study Course Description

Course Description Statuss:Approved
Course Description Version:8.00
Study Course Accepted:23.08.2023 08:54:26
Study Course Information
Course Code:BUMK_068LQF level:Level 7
Credit Points:2.00ECTS:3.00
Branch of Science:Biology; ImmunologyTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Nataļja Kurjāne
Study Course Implementer
Structural Unit:Department of Biology and Microbiology
The Head of Structural Unit:
Contacts:Riga, 16 Dzirciema Street, bmkatrsu[pnkts]lv, +371 67061584
Study Course Planning
Full-Time - Semester No.1
Lectures (count)0Lecture Length (academic hours)0Total Contact Hours of Lectures0
Classes (count)8Class Length (academic hours)4Total Contact Hours of Classes32
Total Contact Hours32
Study course description
Preliminary Knowledge:
Basics of Immunology, Pathophysiology, Pathological Anatomy, clinical medicine courses: Internal Medicine, Infectious Diseases, Haematology, Rheumatology, Nephrology. Knowledge of medical genetics acquired during previous study process.
Objective:
To provide students with the opportunity to acquire knowledge of the main types of immune pathology and related diseases (immunodeficiencies, autoimmunity, allergies, etc.); the most important parameters characterising human immunity, possibilities to establish them, indications, clinical interpretation and use in the diagnosis and differential diagnosis of various diseases; immune correction and immune prophylaxis techniques, agents, indications of use and side effects, as well as practical skills in the use of immunological parameters in the diagnosis of various diseases. To provide students with basic knowledge in clinical genetics, genetic counselling to develop the necessary skills to apply this knowledge in temporal diagnostics and treatment.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Main primary and secondary immunodeficiencies, their causes, clinical signs, immunological diagnosis and principles of therapy.Classes1.00clinical base
2Immunological diagnosis and differential diagnosis of immune complex diseases, clinical examples.Classes1.00clinical base
3Immunological diagnosis of autoimmune diseases. Systemic autoimmune diseases. Clinical examples. Detection and clinical interpretation of autoantibodies.Classes1.00clinical base
4Immunological diagnosis of allergic diseases and immunotherapy.Classes1.00clinical base
5Immunomodulatory therapy. Immunosuppression and immunostimulation. Immunoglobulin therapy.Classes1.00clinical base
6Genetic counseling, indications, specificity of genetic counseling. Types of genetic investigations. Diagnostic methods in genetics. Clinical case solving. Genetics and ethics. Mental retardation as clinical example for genetic counseling. DysmorphologyClasses1.00clinical base
7Genetic aspects of reproductive problems. Preconception, preimplatation and prenatal diagnostics. Teratology.Classes1.00clinical base
8Classification of inborn errors of metabolism. Treatable metabolic disease. Hyperammonemia. Homocysteine metabolisms disorders. Common lysosomal disorders. Modern treatment possibilities in clinical genetics.Classes1.00clinical base
Assessment
Unaided Work:
Within the study course, the information is provided to students by different sources (panopto, pdf, etc.). As well as students' independent work is organized in online classes, during which students solve clinical cases, as well as learn how to independently use the available resources to provide diagnostics, patient care and treatment. During the three genetics and five immunology classes, each student must give a prepared presentation twice (one presentation in each part, respectively 1 presentation in clinical immunology, 1 in clinical genetics) on the topics specified in the e-studies. The length of the presentation is 8 to 10 minutes. The presentation is counted as independent work and gives 20% of the colloquium assessment. Each case where plagiarism exceeds 70% will be considered individually and the student will receive a 0% rating if plagiarism is confirmed. If your presentation has not been uploaded to e-studies at the specified time, the student also gets a grade of 0%. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal.
Assessment Criteria:
Students should attend and take part in online classes to have a chance to receive a cumulative grade. Acquisition of cumulative grade - at the end of the study course, a student may receive cumulative grade, where 80% is drawn up by a single colloquium of the study course and 20% of independent work (presentation), 10% in clinical immunology, and 10% in genetics, respectively. A single colloquium for both parts of the course (10 questions in total): Immunology: 6 questions in total (4 open-type questions and 2 clinical cases). In genetics: 4 questions in total (3 open-type questions and 1 clinical case). All theoretical question topics are available in e-studies. There is the possibility that only part of the topic will be published in the colloquium. Clinical cases will not be known in advance but will be consistent with theoretical topics. If a student fails the colloquium, it has to be retaken. The format of the colloquium does not change. If the final grade of the study course is not a whole number, the grade will be rounded up.
Final Examination (Full-Time):Exam (Written)
Final Examination (Part-Time):
Learning Outcomes
Knowledge:After completing the study course, students will be able to describe the most important types of immunopathology, their clinical and immunological manifestations, methods of immunological examination of patients, manifestations of humoral, cellular, complement system and phagocytic disorders, and the possibilities of immune correction. Students will be able to describe most important genetic diseases and methods of genetic examination.
Skills:As a result of completing the study course, students are able to evaluate normal functioning of the immune system and functioning in case of various immune system pathologies; clinically evaluate a simple immunogram and determine indications for in-depth special immunoassay; to use immunity parameters in the diagnosis and differential diagnosis of various diseases. They can be able to differentiate most important genetic disorders and sent patients to specialist. Students gain skills in the basics of infertility and prenatal counselling.
Competencies:By combining theoretical and practical knowledge, students will be able to detect immunopathological and genetic changes, evaluate a simple immunogram. At the end of the course students will be familiar with genetic counselling, the most common metabolic diseases and the latest treatment methods. Will be able to assess the need for genetic counselling. Gain the ability to analyze the applicability of genetic methods.
Bibliography
No.Reference
Required Reading
1https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157160/
2The Autoimmune Diseases. 6th edition by M. Eric Gershwin MD (Editor), George Tsokos (Editor) 2020
3https://www.omim.org/
4https://www.ncbi.nlm.nih.gov/books/NBK1116/
5https://www-uptodate-com.db.rsu.lv/contents/search
6Rezaei N., et al. Primary immunodeficiency Diseases. Springer Verlag Berlin, 2019
Additional Reading
1http://www.ncbi.nlm.nih.gov/sites/entrez?db=OMIM
2GeneReviews
3 Helen V. Firth Oxford Desk Reference: Clinical Genetics and Genomics (Oxford Desk Reference Series). OUP Oxford; 2nd edition, 2017
4Smith's Recognizable Patterns Of Human Malformation. Saunders; 8th edition, 2022.
5Reardon, William. The Bedside Dysmorphologist. Oxford University Press; 2nd edition, 2016.
6https://ejim.springeropen.com/articles/10.1186/s43162-021-0…
7Neiroimunoloģija klīniskajā praksē. V. Ķēniņa, N. Kurjāne 2021
8Chinn J.K et al. Primary immunodeficiencies: An Overview, 2020
9Ārvalstu studentiem/For international students:
10Chinn J.K et al. Primary immunodeficiencies: An Overview, 2020
11 Helen V. Firth Oxford Desk Reference: Clinical Genetics and Genomics (Oxford Desk Reference Series). OUP Oxford; 2 edition2017
12Reardon, William. The Bedside Dysmorphologist. Oxford University Press; 2nd edition, 2016