GENERAL PHARMACOLOGY

Degree course: 
Corso di First cycle degree in Midwifery
Academic year when starting the degree: 
2017/2018
Year: 
1
Academic year in which the course will be held: 
2017/2018
Course type: 
Basic compulsory subjects
Credits: 
1
Standard lectures hours: 
20
Detail of lecture’s hours: 
Lesson (20 hours)
Requirements: 

Prerequisites
CHEMISTRY AND PROPEDEUTICAL BIOCHEMISTRY MODULE
There are no pre-requisites for this integrated course.
GENERAL BIOLOGY MODULE
There are no pre-requisites for this integrated course.
BIOCHEMISTRY MODULE
To attend the course, students must have followed the two previous integrated courses (chemistry and biochemical propedeutics) and general biology
PHARMACOLOGY MODULE
Understanding both the general pharmacology module requires basic knowledge of general chemistry and biochemical propagation and organ anatomy and physiology (particularly kidney function, digestive system, cardiovascular function) given in other courses.

Assessment: 
Voto Finale

Formative objectives
The integrated course aims to provide basic knowledge to understand the main biological phenomena at cellular and tissue levels in a chemical, biochemical, and genetic manner integrating with specific knowledge of the principles of pharmacology
CHEMISTRY AND PROPEDEUTICAL BIOCHEMISTRY MODULE
The purpose of the course is to convey to the student the understanding of the chemical reactions at the basis of life. The course provides for the discussion of the fundamental laws of chemical transformations, the concept of structure and molecular organization, spatial orientation, the role of different molecules in the constitution of biological structures, in the cell or organism, the main categories of nutrients and of their value under a proper diet regime. The course aims to provide basic knowledge on the chemistry of living organisms. Such knowledge includes the structure and organization of living matter (structure and function of the main biological macromolecules).
GENERAL BIOLOGY MODULE
The course aims to provide the methodological basis for the study of biological phenomena in humans and in particular the mechanisms that are the source of hereditary variability due to gene and chromosomal mutations.
BIOCHEMISTRY MODULE
The course aims to provide the student with information on basic biochemistry concepts, including structural biochemistry, major metabolic cycles and biologically important molecules such as vitamins, hormones and oxygen transducers. In all the subjects will be extrapolated aspects of specific medical interest, which will be addressed in particular with references to particular situations of obstetric interest. The course aims to provide a solid basis for molecular knowledge on which further concepts can be on clinical and theoretical obstetrical preparation.
PHARMACOLOGY MODULE
The course aims to provide the student with information on the general principles of interaction between human organism and medicines in healthy subjects, patients, pregnancy and childbirth and their mechanism of action. Knowledge will also be provided on the setting correct dosing and drug-related risk assessment related to various factors (administration, adverse effects, drug intolerance, and pharmacological interactions), interpretation and application of legislative provisions for the conservation of use of drugs and the development of clinical trials for the discovery of new drugs. The course aims to provide pharmacological and toxicological bases for the management and use of medicines in hospital.

Content of the course
CHEMISTRY and PROPEDEUTICAL BIOCHEMISTRY Module
The structure of the atom and the radioactivity notes. Chemical bonds and oxidation numbers. States of matter and their property. Water, Solutions and Their Properties. Osmotic pressure and redox reactions. Chemical balance. Acids and bases, pH measurement. Pad solutions and biological applications. Description and main reactions of alcohols, alkenes, alkenes, alcohols, thiols, ethers, esters, aldehydes, ketones, carboxylic acids, esters, anhydrides, amides and amines with biological examples. Carbohydrates. Lipids. Amino Acids and Nucleotides. Protein structure.
GENERAL BIOLOGY MODULE
The cell; Mendel's reading; Exceptions to Mendel's laws; Human chromosomes; Mobile divisions; Male and female gametogenesis; Chromosomal theory of eriditariality; Chromosome determination of sex; DNA, structure and duplication; Chromatin; heterochromatin; RNA, structure and maturation; Protein synthesis and genetic code.
BIOCHEMICAL MODULE
Carbohydrates: nomenclature and classification of aldose and ketosis. Proteins: Chemical Amino Acids Classification. Peptide bond and physical chemical characteristics. Protein structure, Lipids: Simple lipids: fatty acids. Complex Lipids Node on the structure of biological membranes. Cholesterol and its derivatives. The structural organization of biological membranes. Oxygen Conveyors: Structural and Functional Properties Enzymes: Properties and Enzymatic Kinetics. Enzyme Inhibition. Regulatory enzymes: allosteric enzymes and enzymes regulated covalently. Metabolism: generality, features of bioenergetics. The "energy charge". The respiratory chain and oxidative phosphorylation. Activating glucose. Glycogen metabolism. Glycolysis and control mechanisms. The pyruvic acid oxidative decarboxylation. The gluconeogenesis and control mechanisms. Oxygenation of fatty acids. The Krebs cycle, its energy balance, and control mechanisms. Anaplerotic reactions. Metabolism of amino acids. Mechanisms of defense against the toxicity of ammonia: urea cycle. The ketone bodies. Metabolic adaptations in fasting. Hormones: general properties and mechanisms of action.
PHARMACOLOGY MODULE
- Pharmacokinetic Exercises (10 hours). the main routes of drug administration, and the pharmacokinetic processes of absorption, distribution, metabolism and elimination of drugs in healthy subjects, in patients, during pregnancy and in puerperium. Quantitative pharmacokinetic topics will also be used to set a correct dose, such as distribution volume, clearance, half life, maintenance dose, and loading dose. The concept of bioavailability and the equivalent drug will be addressed.
- Pharmacodynamic properties (6 hours): the main mechanisms underlying drug action. They will also discuss the theoretical basis for the interpretation of drug action by imparting the concepts of agonist, antagonist, partial agonist. Dosage-response curves that allow you to interpret efficacy and pharmacological potency. Drug-toxicology topics will be addressed to interpret toxic drug effects, drug interactions, abuse, tolerance, addiction.
-Examples of pharmaceutical legislation, experimentation (4 hours). The main laws in force in Italy and the European Union concerning the production, classification of medicines, prescription and pharmacovigilance. Preclinical and clinical studies will also be described for the discovery of new drugs.

REFERENCE TEXTS
CHEMISTRY AND PROPEDEUTICAL BIOCHEMISTRY MODULE
Chemistry, Biochemistry and Biology Applied
Stefani M., Taddei N.
Zanichelli

Chemistry and biochemical propedeutics
A. Fiecchi, Galli Kienle M., Scala A.
Edi-ermes

Chemistry and biochemistry, for biomedical triennial degrees
Same M., Paroni R.,
PICCIN
Principles of general and organic chemistry - for biomedical degree courses
Santaniello - Alberghina - Coletta - Malatesta - Marini
Piccin

GENERAL BIOLOGY Module
-Tiepolo, Laudani: The biological bases of inheritance. 3rd ed., Ed. La Goliardica Pavese s.r.l., 1995
-Reece, Urry ...: Campepbell Biology and Genetics. Pearson, 2015
Other educational material: the slides used for the lessons are available to students on the e-learning site of the University.
BIOCHEMISTRY MODULE
Nelson et al: Introduction to Biochemistry by Lehninger Zanichelli
Ferrier DR The basics of biochemistry Zanichelli
PHARMACOLOGY Module
General and clinical pharmacology. Katzung B.G. Piccin Ed IX edition on the XII edition of English language
Pharmacology. Rang, Dale, Ritter, Flower, Henderson. Elsevier Ed. VII edition

Professors

Parent course