Syllabus for Global and Environmental Aspects on Neurohealth

Globala och miljömässiga effekter på neurohälsa

Syllabus

  • 7.5 credits
  • Course code: 3NR018
  • Education cycle: First cycle
  • Main field(s) of study and in-depth level: Medical Science G2F

    Explanation of codes

    The code indicates the education cycle and in-depth level of the course in relation to other courses within the same main field of study according to the requirements for general degrees:

    First cycle
    G1N: has only upper-secondary level entry requirements
    G1F: has less than 60 credits in first-cycle course/s as entry requirements
    G1E: contains specially designed degree project for Higher Education Diploma
    G2F: has at least 60 credits in first-cycle course/s as entry requirements
    G2E: has at least 60 credits in first-cycle course/s as entry requirements, contains degree project for Bachelor of Arts/Bachelor of Science
    GXX: in-depth level of the course cannot be classified.

    Second cycle
    A1N: has only first-cycle course/s as entry requirements
    A1F: has second-cycle course/s as entry requirements
    A1E: contains degree project for Master of Arts/Master of Science (60 credits)
    A2E: contains degree project for Master of Arts/Master of Science (120 credits)
    AXX: in-depth level of the course cannot be classified.

  • Grading system: Fail (U), Pass (G)
  • Established: 2019-12-12
  • Established by: The Educational Board of Medicine
  • Applies from: week 27, 2020
  • Entry requirements: 120 credits from a medical, nursing, physiotherapist, biomedicine, pharmacy, or biology programme or other courses providing equivalent knowledge
  • Responsible department: Department of Neuroscience

Learning outcomes

After the course, the student should be able to

Knowledge and understanding

  • Develop trans-disciplinary and interprofessional cooperation in a global and environmental context for the subject neurology
  • Describe differences in global resources, the importance of poverty and its current spread including the effect of this in our local care
  • Identify environmental risks that influence the nervous system including specific biological mechanisms of man and in animal models
  • Give an account of environmental factors that are essential for neurological health
  • Give an account of risks of modern warfare (nuclear and chemical) and of climate changes from a medical perspective
  • Give examples of implementation of the aim of the course in the form of local efforts for sustainable development
  • Describe principles of medical priority at large accidents that influence the infrastructure

Skills and abilities
  • Carry out risk assessments and decision models for environmental impact on organisms
  • Calculate risks of environmental factors in a fourfold table
  • Describe relevant laboratory methods that are included in the course
  • Develop local (including own) medical care and diagnostics so that it includes aspects from global health and environmental impact

Judgement and approach
  • Describe influence of ethical and political issues in different social systems
  • Identify economic driving forces behind risks and positive development in the modern society from a global perspective

Content

The aim of the course is to give basic information about all factors that give environmental health risks for the nervous system together with possibilities/instruments to handle these risks interdisciplinary and multiprofessionally.

Main fields of study/week (1-5)

1. Public health and epidemiology (Introduction week joint with Global Health in the physician programme)
Principles of causality, complexity, Big data, risk assessment, prevention, preventive principles, public health, global aspects, poverty, access to care, resources, rehabilitation, social progress, effect on care

2. Basic science
One Health anthropo-zoonosis, medical entomology, basic and clinical toxicology, ionising and non ionising radiation, noise, contaminants in water and air, endocrine disruptors, chemical effects in the environment, risks in occupational medicine

3. Environmental factors
Risk factors in the environment: external/internal, local/global. Genetics, epigenetics, environmental medicine, Water circle, physiology, adaptation, metabolic biorhythms, ecology, climate changes, evolutionary biology (CNS), anthropology. Concept: critical window in the ontogenesis.

4. Neurological disease
Fetal development, environmental threat and autism, global stroke risks, influence of air pollutions, brain tumours, endocrine disruptors, obesity, diabetes risk, "wellfare diseases", environmental factors at MS, neurodegenerative diseases, psychiatric problems, HIV patients in Africa, trauma, post-traumatic stress syndrome, tropical diseases versus climate changes, disaster medicine versus climate changes, extreme events.

5. Economical and ethical aspects
Economic driving forces behind social progress. Sustainable development. the millennium goals. Warfare: nuclear weapons, chemical risks, perspectives. Combined approaches: the new diseases, obesity. New threats: drugs in the environment. Decision-making during uncertainty. Critical assessment of alternative medicine. Hypersensitivity.

Instruction

Cathedral lectures, Skype lectures of international speakers, video lectures, seminars, group assignments, laboratory sessions, study visits

Assessment

Formative examinations.

Final written examination (Multiple choice questions (MCQ) + Modified question essay (MEQ), half of each).

To pass the course, 67% on final written examination is required.

If there are special reasons for doing so, an examiner may make an exception from the method of assessment indicated and allow a student to be assessed by another method. Special reason can e.g. be a notice of special educational support from the coordinator of the university.

Reading list

Reading list

Applies from: week 34, 2021

Some titles may be available electronically through the University library.

Obligatory

  • Cohen, Aly; Vom Saal, Frederick Integrative environmental medicine

    Weil Integrative Medicine Library,

    Mandatory

  • Gracia-Lor, Emma; et al, Measuring biomarkers in wastewater as a new source of epidemiological information: Current state and future perspectives

    Institutionen för neurovetenskap,

    Mandatory

  • Grandjean, Philippe Only one chance : how environmental pollution impairs brain development - and how to protect the brains of the next generation

    New York: Oxford University Press, [2013]

    Find in the library

    Mandatory

  • Occupational and environmental health Levy, Barry S.; Wegman, David H.; Baron, Sherry L.; Sokas, Rosemary K.

    Seventh edition.: New York, NY: Oxford University Press, 2017

    Table of Contents / Abstracts

    Find in the library

    Mandatory

  • Patisaul, Heather B.; Belcher, Scott M. Endocrine disruptors, brain, and behavior

    New York, NY: Oxford University Press, 2017

    Find in the library

    Mandatory

Optional

  • Klaassen, Curtis D. Casarett and Doull's toxicology : the basic science of poisons

    Ninth edition.: New York: McGraw-Hill Education, [2019]

    Find in the library

  • Celentano, David D.; Szklo, M. Gordis epidemiology

    6th edition.: Philadelphia, PA: Elsevier, [2019]

    Find in the library

  • Environmental Agents

    National Institute of Environmental Health Sciences,

    https://www.niehs.nih.gov/health/topics/agents/index.cfm

  • Spencer, Peter S.; Schaumburg, Herbert H.; Ludolph, Albert C. Experimental and clinical neurotoxicology

    2. ed.: New York: Oxford University Press, 2000

    Find in the library

  • Extremely low frequency fields [Elektronisk resurs]

    Geneva: World Health Organization, cop. 2007

    Find in the library

  • Goldfrank's toxicologic emergencies Hoffman, Robert S.; Howland, Mary Ann; Lewin, Neal A.; Nelson, Lewis; Goldfrank, Lewis R.; Flomenbaum, Neal

    Tenth edition.: New York: McGraw-Hill Education, 2015

    Find in the library

  • Hanna-Attisha, Mona What the eyes don't see : a story of crisis, resistance, and hope in an American city

    New York: One World, 2018

    Find in the library

  • Landrigan, Philip J. Children and Environmental Toxins : What Everyone Needs to Know® [Elektronisk resurs]

    2018

    Find in the library

  • Markle, William H.; Fisher, Melanie A.; Smego, Raymond A. Understanding global health

    2. ed.: New York: McGraw-Hill Education Medical, cop. 2014

    Second edition

    Find in the library

  • Trasande, Leonardo Sicker, fatter, poorer : the urgent threat of hormone-disrupting chemicals to our health and future ... and what we can do about it

    Boston: Houghton Mifflin Harcourt, 2019

    Find in the library

  • Rosling, Hans Factfullness

    Institutionen för neurovetenskap, 2018

Reading list revisions