Course: Clinical Biochemistry

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Course title Clinical Biochemistry
Course code KBBV/C631
Organizational form of instruction Lecture + Seminar
Level of course Bachelor
Year of study not specified
Semester Winter
Number of ECTS credits 5
Language of instruction Czech
Status of course Compulsory
Form of instruction Face-to-face
Work placements This is not an internship
Recommended optional programme components None
Lecturer(s)
  • Kanďár Roman, prof. Mgr. Ph.D.
  • Žáková Pavla, Mgr. Ph.D.
Course content
Clinical biochemistry is inter-discipline branch (definition, history, safety at work in laboratories of clinical biochemistry, operating sequences, biological materials). Influence on a sample preparation, summary of biochemical methods, results explication, analysis interference (extra-, intra-laboratory), laboratory results evaluation, analytical performance of method (inaccuracy, bias), clinical aspect (diagnostic sensitivity, specifity), reference values, external and internal control of quality (EQC,IQC). Laboratory information system and hospital information system. Mechanization and automatization in laboratories of clinical biochemistry, analyzer units. Internal environment of human: acid-base balance, water, electrolytes, microelements, theoretic introduction, electrolytes and microelements important for clinical practice, clinical implication (interpretation). Enzymes, theoretic introduction, general principles of clinical enzymology, enzymes in clinical practice, clinical implication (interpretation), diagnostic of myocardial infarction. Lipids: theoretic introduction (apoproteins, lipoproteins), lipids important for clinical practice, clinical implication (interpretation), atherosclerosis, independent risk factors of atherosclerosis, hyperlipidemias, general classification. Amino acids and proteins: theoretic introduction, important proteins in human plasma, clinical implication (interpretation), proteins of acute phase. Saccharids. General investigation of urine, urinary sediment, theoretic introduction, important compounds determined in human urine, clinical implication (interpretation), diabetes mellitus (diagnostic, compensation), proteinuria - summery. Metabolism of non-proteine nitric compounds. Blood pigments. Theoretic introduction (urea, uric acid), summary and importance of blood pigments, clinical implication (interpretation), creatinine, glomerular filtration, hyperbilirubinemia. Hormones, theoretic introduction (classification based on structure, effects, regulation of secretion, back-coupling), clinical implication (interpretation). Tumour markers. Metabolism of bone. Theoretic introduction (cancerogenesis, definition of tumour marker; structure and metabolism of bone), clinical implication (interpretation), osteoporosis. Concrements. Vitamins. Free radicals, antioxidants, theoretic introduction, clinical implication (interpretation). Function tests, kidneys, liver, gastro-intestinal tract, glycemic curve, function of glands with internal secretion. Therapeutic drug monitoring (TDM). Theoretic introduction, pharmacokinetic, reasons for TDM, general active substances, clinical implication (interpretation).

Learning activities and teaching methods
Monologic (reading, lecture, briefing)
Learning outcomes
The general aim of this subject is to evoke a complex image about modern diagnostic advances in laboratories of clinical biochemistry.
Student is theoretically able attend to specialization clinical biochemistry and diagnostic.
Prerequisites
KALCH/C624 Analytical chemistry II; KBBV/C627 Biochemistry

Assessment methods and criteria
Oral examination

The aim of oral examination is to verify obtained knowledge and acquirements.
Recommended literature
  • Doležalová, V. a kol. Laboratorní technika v klinické biochemii a toxikologii, Institut pro další vzdělávání pracovníků ve zdravotnictví; BRNO, 1995.
  • Doležalová, V. a kol. Principy biochemických vyšetřovacích metod I, II, Institut pro další vzdělávání pracovníků ve zdravotnictví; BRNO, 1995.
  • Dršata, J., Palička, V. Úvod do klinické biochemie, skripta, FaF UK Hradec Králové, 1989.
  • Masopust, J. Klinická biochemie I, II, (požadování a hodnocení biochemických vyšetření), Karolinum, 1998.
  • Racek, J. a kol. Klinická biochemie, Galén, Karolinum, 1999.


Study plans that include the course
Faculty Study plan (Version) Category of Branch/Specialization Recommended year of study Recommended semester
Faculty: Faculty of Chemical Technology Study plan (Version): Laboratory Assistant (2015) Category: Health service 3 Recommended year of study:3, Recommended semester: Winter
Faculty: Faculty of Chemical Technology Study plan (Version): Clinical Biology and Chemistry (2015) Category: Special and interdisciplinary fields 3 Recommended year of study:3, Recommended semester: Winter
Faculty: Faculty of Chemical Technology Study plan (Version): Laboratory Assistant (2013) Category: Health service 3 Recommended year of study:3, Recommended semester: Winter
Faculty: Faculty of Chemical Technology Study plan (Version): Clinical Biology and Chemistry (2013) Category: Special and interdisciplinary fields 3 Recommended year of study:3, Recommended semester: Winter
Faculty: Faculty of Chemical Technology Study plan (Version): Laboratory Assistant (2016) Category: Health service 3 Recommended year of study:3, Recommended semester: Winter
Faculty: Faculty of Chemical Technology Study plan (Version): Laboratory Assistant (2014) Category: Health service 3 Recommended year of study:3, Recommended semester: Winter
Faculty: Faculty of Chemical Technology Study plan (Version): Clinical Biology and Chemistry (2016) Category: Special and interdisciplinary fields 3 Recommended year of study:3, Recommended semester: Winter
Faculty: Faculty of Chemical Technology Study plan (Version): Clinical Biology and Chemistry (2014) Category: Special and interdisciplinary fields 3 Recommended year of study:3, Recommended semester: Winter