I. Horbachevsky Ternopil STATE MEDICAL university

 

 

’’COMFIRM’’

Vice-rector

__________Prof. I.R.Mysula

25.06. 2008

 

SHEDULE PROGRAM

 

microbiology, virology and immunology

 

Microbiology, virology and immunology department

 

Speciality “Dentistry business" 7.110106

 

NORMATIVE DATA

 

Course

Semesters

Amount of  hours

Control Appearance

Total

 

Independing study with  teacher’s control

Lectures

Practical training

2

3

189

12

108

17

Test-examination

Matricales

42

 

 

 

The program was made by Prof. Klymnyuk S.I., Senior Teacher Malyarchuk H.R.

 

The program was discussed at department meeting,

12.06.2008,  minute ¹ 12

 

Head of Department                                                              Prof.,   D. M.  Klymnyuk S.I.

 

 

The program is confirmed by cyclic methodical commission of

medical, biological and humanitarian disciplines

18.06 2007  minute ¹  6

 

 

Head of the cyclic methodical commission                                  Ass. Prof. Tkachuk N.I.

                                                                                                                                                                                  

 

 

 

Ternopil 2008

 

 

 

 

3. Contents of the Work Program

LECTURES SHEDULE OF MICROBIOLOGY, Virology and Immunology

FOR THE SECOND YEAR STUDENTS of dentistry faculty, 

2008-2009 YEAR

 

 

¹

Title of lectures

 

Date

Lecturer’s surname

1        

The history of microbiology development as a science.  Classification of  microorganisms. The morphology of bacteria. The physiology  of microorganisms.

 

Prof. S. Klymnyuk

2        

Genetics of bacteria and viruses.

 

Prof. S. Klymnyuk

3        

The microbiology of special environments. The microbiology of  human  bodies. Normal flora of mouth cavity.

 

As. O. Pokryshko

4        

Infection and infectious process.

 

Lect. M. Tworko

5        

The doctrine about immunity

 

Lect. M. Tworko

6        

Pathogenic and conditionally-pathogenic cocci. Pathogenic and conditionally-pathogenic enteric gram-negative microorganisms.

 

Prof. S. Klymnuyk

7        

Pathogenic Clostridia. The anaerobic nonsporeforming gram-negative microorganisms – causative agents of damage of soft tissues in mouth cavity. Corynebacteria. Mycobacteria.

 

Prof. S. Klymnuyk

8        

RNA-viruses. DNA-viruses.

 

Lect. M.S. Tworko

9        

Causing agents of viral hepatites. Human immunodeficiency virus. Tumor viruses.

 

Prof. S.Klymnuyk

 

 

 

                                                Chief of medical biology, microbiology,

                                                virology   and immunology Department                        Prof.   S. Klymnyuk

 


 

SHEDULE of practical CLASSES

oF Microbiology, Virology and Immunology

FOR THE SECOND YEAR STUDENTS, 2008-2009 YEAR

 

¹

Title of units

 

Number of hours

Date

1.       

The regime of microbiological laboratory. Basic methods of bacteria morphology research.  Microscopic methods. Preparation of smears.   Simple methods of smears staining

Basic methods of bacteria studying. Complex staining methods: Gram’s staining method.  Ziel-Nilssen’s and Neisser’s staining. Structure of bacterial cell. Nucleoid, cytoplasm, inclusions.

Basic methods of bacteria studying. Complex staining methods: Ozheshcko’s method. Hanging drop technique and wet-mout technique. Spores and flagella of bacteria. Peculiarities of structure of Actinomycetes, Spirochetes, Rickettsies, Chlamydiae, Mycoplasma, Fungi, and Protozoon.

6

 

2.       

Cultivation of bacteria. Methods of determination of bacterial number in different materials. Nutrient media and their classification. Types and mechanisms of  bacteria nutrition.

Influence of environmental factors to Microorganisms. Sterilization and disinfection methods. Methods of physician hands prepearing.

Genetics of microorganisms. Modifications and mutations. Mutagens. Methods of isolating of mutants. Reparation proceses. Genetic recombinations (transformation, conjugation, transduction). Genes enginering and  biotechnology.

6

 

3.       

Basic principles and methods of isolation of pure cultures. Streaking of tested material onto nutrient media. Reproduction of bacteria. Isolation of pure cultures of aerobic Bacteria.

Isolation of pure cultures of aerobic bacteria. Cultural properties of Microorganisms. Respiration in bacteria. Its types. Creation of anaerobic conditions. Streak of material for isolation of pure cultures of anaerobic bacteria.

Isolation of pure bacterial cultures. Bacteria ferments and their significances for identification.

6

 

4.       

Modern classification, morphological and chemical structure of viruses. Basic methods of viruses cultivation.

Bacterial viruses (Bacteriophages). Morphology, chemical structure, interaction phases of bacteriophages and bacterial cells. Conversion of bacteriophages. Practical significance of bacteriophage phenomenon.

Ecology of microorganisms. Microflora and sanitary-indicative bacteria of soil, water, air. The method of studying.

6

 

5.       

Human microflora and methods of its studying. Normal flora of mouth cavity.  Dysbacteriosis, causes of its appearance. Principles of prophylaxy and therapy.

Pathogenic flora of mouth cavity. Fuzospirochetosis. Streptococcus mutans, its role in development caries.

Doctrine abour antibiotics. Bacterial antagonism, significance. Methods of determination of bacterial susceptibility to antibiotics. Basic principles of rational chemotherapy of infectious disease.

6

 

6.       

Infection and infectious processes. Bacterial pathogenicity and virulence their role in the development of stomatologic diseases. Unspecific host defense factors in oral cavity.  Phagocytosis, complement system. Immunity. Immunity, its types and forms.

6

 

7.       

Antigens. Their characteristics. Antigenic structure of microbial cells an viruses. Immunoglobulins. Major histocompatibility complex. Immunoglobulins of mouth cavity.

Structure of immune System. Ò- and B-systems of the immunity. Cooperation of cells in immune Response. Mechanisms of antibacterial, antiviral and antiprotozoal immunity. Immune status. Immunodeficiency and immunocorection. Evaluation of immune status of oral cavity.

6

 

8.       

Use of immunologic reactions for identification and serologic diagnosis.

Modern tests for diagnosis of infectious diseases immunofluorescens, CPR. ELISA, gene diagnosis.

Using of immunologic reactions in diagnosis of viral infections. Allergy. Types of hypersensitivity.

6

 

9.       

Immune preparations for active immunization – vaccines. Their use, control. Other antigenic preparations. Significance. Specific prophylaxy and therapy of infectious diseases. Main groups of vaccines.

Seroprophylaxias and therapy. Antibacterial and antiviral sera and immunoglobulins. Mthods of obtaining, practical value. Hybridomas technology..

6

 

10.  

Laboratory diagnosis of  coccal infections: Staphylococcal  Streptococcal. Oral cavity diseases. Odontogenic processes. Streptococcus mutans, its role in the development caries.

Neisseria and other gram-negative bacteria of oral cavity. (moraxella, acinetobacter, veilonella).

6

 

11.  

Microbiological diagnosis of diseases caused by Escherichia Klebsiella. Enterobacteria – causative agents of oral cavity diseases. Microbiological diagnosis of typhoid fever and paratyphoids. Microbiological diagnosis od Salmonellosis.

Microbiological diagnosis of  bacterial dysentery.

Microbiological diagnosis of cholera. Aeromonas, Campylobacter and Helycobacter infection.

6

 

12.  

Microbiological diagnosis of dangerous infectious diseases (plague, other yersiniosis and tularaemia, brucellosis and anthrax).

Microbiological diagnosis of pulmonary tract infections: diphtheria, whooping cough. Prophylaxis and treatment

Microbiological diagnosis of tuberculosis, leprosy and other mycobacteriosis. Preparations for treatment and prophylaxis.

6

 

13.  

 Microbiological diagnosis of anaerobic infection, tetanus and botulism. Preparations for treatment and prophylaxis.

The anaerobic nonsporeforming gram negative microorganism – causative agents of damage of soft tissues of mouth cavity.

6

 

14.  

Microbiological diagnosis of syphilis and other treponematoses (borreliosis, Lyma disease). Microbiological diagnosis of Leptospirosis and relapsing fever. Spirochetes of oral cavity.

Microbiological diagnosis and prophylaxis of diseases, which are caused by pathogenic Rickettsia, Chlamydia and Mycoplasma. Actynomyces. Actynomycosis of oral cavity. Diagnosis, treatment.

Pathogenic fungi. Diseases, methods of laboratory diagnosis.

Pathogenic protozoa. Diseases, methods of laboratory diagnosis.

6

 

15.  

RNA-viruses. Picornaviruses. Epidemic poliomyelitis viruses. Coxsackie and ÅÑÍÎ viruses. Rhinoviruses Aphthoviruses. Laboratory diagnosis of diseases.

RNA-viruses. Orthomyxoviruses and Paramyxoviruses. Laboratory diagnosis of influenza and parainfluenza.

Measles and Epidemic Parotitis Viruses.                                                                                                                                                                                                                                                                                                                                                                                         Respiratory syncytial virus. Laboratory diagnosis of diseases.

Prophylaxis.

6

 

16.  

Arboviruses.  Viruses of encephalitis and haemorrhagic fevers. Rubella virus. Laboratory diagnosis of diseases.

Rhabdoviruses, Arenaviruses, Rotaviruses, Coronaviruses. Laboratory diagnosis of diseases. Prophylaxis.

DNA-viruses. Herpesviruses. Adenoviruses. Herpetic infections of oral cavity. Laboratory diagnosis. Preparations for herpes treatment.

6

 

17.  

Hepatites Viruses. Laboratory diagnosis of diseases. Prophylaxis.

Laboratory diagnosis of AIDS (Human Immunodeficiency Viruses). Oncogenic viruses. Slow viral infections.

6

 

18.  

Clinical microbiology

6

 

 

 

 

THEMATICAL PLAN OF INDIVIDUAL ORIGINAL STUDENTS WORK

for students of dentistry faculty

ON 2008-2009 YEAR

 

¹

Title of units

 

Number of hours

1.                        

 

The great microbiologists, their role in the development of microbiology.

1

2.                        

The role of microorganisms in forming and development of Earth biosphere.  Conception of microbial dominant. Participation of bacterium in geochemical cycles.

1

3.                        

Microbiological  aspects of environment protect. The role of microbes in  biodegradation. The problems of biosphere’s defence from artificial mutants  and cosmic microbes.

1

4.                        

Human microflora, normal flora of mouth cavity.  Dysbacteriosis, causes of its appearance. Principles of prophylaxy and therapy.

1

5.                        

Basic principles of rational chemotherapy of infectious disease.

1

6.                        

Bacteriophages. Practical significance of bacteriophage phenomenon.

1

7.                        

Microbiologic bases of gene engineering. Biotechnology.

1

8.                        

Pathogenesis of viral infections.

1

9.                        

Mechanism of formation of of bacterial resistance.. Principles of struggle with microbial drug resistance.

1

10.                   

History of immunology.development

1

11.                   

Specific prophylaxy and therapy of infectious diseases. Main groups of vaccines.

1

12.                   

Antibacterial and antiviral sera and immunoglobulins.

1

13.                   

Hybridomas technology.

1

14.                   

Pollen and atopy reaction, their mechanisms. diagnostics and prophylaxis.

1

15.                   

Pathogenic fungi. Diseases. The methods of laboratory diagnosis.

1

16.                   

Pathogenic Protozoa. Diseases, methods of laboratory diagnosis.

1

17.                   

Special and Sanitary virology.

1

 

 

 

 

 

 

Practical scills included in matricales

 

 

²²² ñåìåñòð, ²² course

Module 1

¹

Names of practical skills

Level of mustering

 

1

To be able to prepare smears for microscopic examination pathological material (pus, sputum, blood). To stain smears by simple and complex method of staining (Gram’s technique). To differentiate the main groups of microorganisms according to their morphology (light microscope with immersion objective).

3

2

To be able to collect pathological material for diagnosis of infectious diseases (pus, sputum, blood).

3

3

To examine the susceptibility of microbes to chemotherapeutic drugs and antibiotics (method of serial dilutions and diffusion disc technique).

3

 

 

 

 

4. Examples of test questions for semester exam:

 

1. For statement of the microbiological diagnosis it is necessary to obtain pure

culture of a microorganism. What is the pure culture of bacteria?

A. Bacteria of one kind which grow as a superficial lay

B. Growth of bacteria of one kind on a solid nutrient medium

C. Growth of bacteria of one kind on a nutrient medium

D. Growth of bacteria of one kind on a liquid nutrient medium

E. Bacteria of one kind killed by heating

 

2. For obtain  pure cultures one of the next  methods is used.

Choose among listed one of such methods.

A. Fortner's method

B. Drigalskies' method

C.  Membrane filter method

D. Hins’ method

E. Leffler's method

 

3. Specify sanitary - indicative microbes of air.

À. Neisseria, Streptococcus haemolyticus

B. Escherichia coli, Clostridium perfringensa

C. Staphylococcus aureus, Streptococcus haemolyticus

D. Sarcina luteae, Actynomycetes

E. Bacillus subtilis, Streptococcus pneumoniae

 

4.  What diseases can be transferred through water more often?

A. Tuberculosis, tetanus

B. Typhoid fever, dysentery, hepatites A

C. Anthrax, plagues, tularemia

D. Flu, measles, diphtherias

E. Botulism, gas gangren infections,  tetanus

 

5.      The function/s of a viral capsid is/are:

A. it protects the viral genome from physical and enzymatic destruction.

B. it provides binding sites that enable the virus to attach to specific receptor sites on the host cell.

C. it serves as a vehicle of transmission from one host to another.

D. all of the above.

 

6. The typical course of an untreated HIV infection extends over 10 or more years. There is usually a long period (clinical latency) between the time of primary HIV infection and the development of AIDS. During this period of clinical latency

A.                       HIV is not detectable in the plasma

B.                       CD4 cell counts remain unchanged

C.                       Virus cannot be transmitted to others

D.                      *Virus is present in lymphoid organs        

E.     Neutralizing antibodies are not elicited

 

7. Viral coinfections occur in HIV-1-infected inviduals and may contribute to morbidity and mortality. The most common coinfection in HIV-1-positive persons involves

A.     *Hepatitis C virus

B.     Hepatitis D virus

C.     Human immunodeficiency virus type 2

D.    HumanT-lymphotropic virus  

E.     Kaposi's sarcoma herpesvirus

 

8. What characteristic is shared by the Salk and the Sabin vaccines?

         A. Both are attenuated, active vaccines.

         B. Both are composed of virus serotypes 1, 2, and 3.

         C. Both are administered by injection.

         D. Both are capable of reversion to virulence

         E. Both are shed in the feces of vaccinees.

 

9. Infection by these viruses is preventable with a licensed vaccine

A. Coxsackievirus A

         B. Coxsackievirus B

         C. Enterovirus 72

         D. Poliovirus

         E. Rhinovirus

 

 

 

 

5. Control form and criteria of evaluation of students’ knowledge at the end of working day.

 

I. Criteria of practical activity evaluation

 

Marks

Criteria of evaluation of practical skills

1 - 3

Carrying out some fragments of practical work, there are crude errors during experiment, absence of essence and value of practical work explanation, minutes of practical work are not drawn up

4 - 6

Carrying out practical work is incomplete, there are some errors during  experiment, there are incomplete characteristics of mechanisms, methods, results interpretation, there are errors in students’ minutes.

7 - 9

Practical work is executed completely, there are conclusions according to the results, minutes of practical work are drawn up with insignificant inexactitudes, during explanation of experimental methods there are some mistakes  in sequences of carrying out practical work and use of scientific terms.

10 - 12

Practical work is executed completely, well founded conclusions have done, students’ minutes are drawn up.  There are complete answers according to the methods of investigations, mechanisms  and practical use of microbiological researches; scientific terms and concepts are correctly applied.

 

 

II. evaluation  Criteria of students’ participation

in discussion

 

 

Levels of

educational achievements

Marks

Criteria of evaluation of students’ educational achievements

². Elementary

1

The matter of educational material is not exposed; there are crude mistakes in determination of concepts, and use of terminology.

2

The matter of educational material is exposed fragmentary; elementary examples and signs of microbiological objects are resulted; there are crude mistakes in determination of concepts, and use of terminology.

3

The matter of educational material is exposed fragmentary; bad characteristics of microbiological objects; there are errors in determination of concepts and use of terminology.

II. Satisfactory

4

Basic matter of educational material is exposed, but fragmentary, definitions of some microbiological concepts are given; the general signs of microbiological objects are incompletely described; there are some errors and inexactitudes when useat the use of scientific terminology, definition of concepts are used.

5

Basic matter of educational material is exposed, but fragmentary, not always consistently; definition of some microbiological concepts is given; the general signs of microbiological objects are described; there are errors and inaccuracies when scientific terminology, definition of concepts are used; conclusions are not made.

6

Basic matter of educational material is exposed, but fragmentary, not always consistently; simple examples are resulted; definitions of concepts are not clear enough, not used as proofs conclusions of the supervisions and experiments; the done conclusions are not adequate to the task idea.

III. Good

7

Basic matter of educational material is exposed; essence of microbiological concepts is exposed; definitions of concepts are incomplete; there are insignificant violations of sequence of material exposition, inaccuracy when scientific terms are used; incomplete conclusions are done.

8

Basic matter of educational material is exposed; definitions of concepts are incomplete, there are insignificant violations of sequence of material exposition, insignificant inaccuracies when use scientific terms; unclear formulated conclusions.

9

Basic matter of educational material is exposed; definitions of concepts are full; there are insignificant violations of sequence of material exposition, insignificant inaccuracies when  someone uses scientific terms; drawn up conclusions are clear, lectures’ materials are used.

IV. High

10

The matter of material is fully exposed according to the programme schedule; analysis and essence of the microbiological phenomena, processes and their reasons have done; conclusions are logical; lectutes materials are used.

11

The matter of material is fully exposed according to the programme schedule; analysis and essence of the microbiological phenomena, processes and their reasons have done; materials of lectures are used, additional literature and  materials for independent out-classes work are used.

12

The matter of material is fully exposed according to the programme schedule; analysis and essence of the microbiological phenomena, processes and their reasons have done; someone can show skill to solve problem tasks, make well grounded conclusions problem. Materials of lectures, additional literature and  materials for independent out-classes work are used, materials of Department WEB-site are used too.

III. Criteria of writing control of knowledge evaluation

 

For writing control of knowledge department uses situation tasks, structural questions, tests etc. A student collects the certain sum of conditional marks. Every type of control is estimated separately, for example: tests 0,5 – 1 mark; structural tasks  3 –5 marks; situation tasks 7 –10 mark. The marks’ sum converts according to 12-mark scale of evaluation.

 

 

SUMMARY. Every student will have general mark according to his/her participation in carrying out practical work, discussion and answering the control tasks.

 

6. ÌÅÒHODOLOGICAL DISCIPLINE PROVIDING

 

3.1. Texts of the lectures.

3.2. Methodological materials for practical classes:

1) Students’ methodological instructions for practical classes.

3.3. Lists of studuinf equipments:

1)                 microscopes;

2)                 nutrient media;

3)                 films;

4)                 computer slides;

5)                 tables;

6)                 slide projector;

7)                 computer system;

8)                 CD-roms.

3.4. Situation problems

 

Reference:

1.     W. Levinson, E. Jawetz/ Medical Microbiology and Immunology/ International edition, 2001.– 582 p.

2.     E. Jawetz, J.Melnnick, E.Adelberg  Review of Medical Microbiology, 2000,  553 p.

3.     Hadbook on Microbiology. Laboratory diagnosis of Infectious Disease/ Ed by Yu.S. Krivoshein, 1989, 319 p.

4.     Ronald M. Atlas. Microbiology in our World, 1995, 576 p.

5.     Bacteriology 330 Lecture Topics: 1997 Kenneth Todar University of Wisconsin Department of Bacteriology, Internet, 2002.

6.     Essentials of Medical Microbiology / W.A. Volk, B.M. Gebhardt, M.-L. Hammarskjöld, R.J. Kadner.– Lippincott-Raven Publishers, Philadelphia-New-York, 1995.– 725 p.

7.     M.Gladwin, B. Traller, Clinical Microbiology, 1995, Edition 2 – 273 p.

8.     W. Levinson, E. Jawetz. Medical Microbiology and Immunology. Examination and Board Review/ Lange medical book. Sixth edition, 2000, 536 p.