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Parasitology

Course Description
        The aim of the course is to develop basic knowledge and skill to identify the parasites,
diagnose the diseases caused by them, manage the patients, prevent and control parasitic
diseases. At the end of the course the students should be able to,
     State the definitions and classification of parasites
     Describe the geographical distribution, life cycle, morphology at different stages, sources
      of infection and mode of transmission of each parasite with a view of prevention and
      control of parasitic diseases.
     Identify the parasites at different stages of life cycle, their vectors and hosts by
      macroscopic or microscopic examination as appropriate.
     List the organs or the systems affected by the parasites and describe the pathogenesis, signs
      and symptoms
     Describe the sample collection methods, transport and laboratory diagnosis of parasitic
      diseases.
     Perform stool examination for intestinal parasites and blood smear staining for malaria and
      filarial parasites.
     Outline treatment of parasitic illnesses and management of patients.
     Describe the prevention and control of each parasitic illness
     Describe the parasitic zoonotic diseases
     Identify the medically important snakes and the basis of management of snake bite.
     Motivated to use the knowledge and skills obtained in the subject to understand the
      problems and management of their patients during clinical clerkships at the Teaching
      Hospital.

       The teaching / learning methods include lectures, practical classes, tutorials and modified
small group discussions. Students are encouraged to actively participate in the activities.
Handouts and copies of power point presentations are given to students as learning materials.
       Students are evaluated by two in course assessments and end of course assessments.
Formative evaluations will be conducted frequently and the answers will be discussed with the
students.
Detailed Syllabus
                                Term 6
                                           Protozoa
                 Alimentary system
 1   Lecture     Amoebiasis
 1   Lecture     Amoebiasis + Balantidiasis
 1   Lecture     Giardiasis + Cryptosporidiosis
 1   Practical   Use of microscope [4 groups 45 min each]
 1   Practical   Amoebiasis [4 groups 45 min each]
 1   Practical   Balantidiasis+ Giardiasis [4 groups 45 min each]
 3   SGD         Diarrhoea - 4 groups
                 Blood and other organs
 3   Lecture     Malaria
 1   Practical   Malaria (Demonstration) [4 groups 45 min each]
 1   Practical   Malaria (staining) [4 groups 45 min each]
 3   SGD         Malaria [4 groups]
 1   Lecture     Leishmaniasis
 1   Lecture     Trypanosomiasis
 1   Lecture     Toxoplasmosis
 1   Practical   Leishmaniasis + Trypanosomiasis [4 x 45 min each]
 1   Practical   Trypanosomiasis + Toxoplasmosis [4 x 45 min each]
 3   SGD         Leismaniasis [4 groups]
                 Reproductive system
 1   Lecture     Trichomoniasis


                                Term 7
                                       Helminthes
                 Alimentary system
 1   Lecture     Ascariasis & Trichuriasis
 1   Lecture     Hookworm disease & Strongyloidiasis
 1   Lecture     Enterobiasis, Trichinellosis
 1   Practical   Ascariasis & Trichuriasis + Hookworm disease+
                 Enterobiasis & Trichinellosis [4 groups 45 min each]
 3   SGD         Nematodes
 1   Lecture     Adult cestodes
 1   Lecture     Hydatid disease & cysticercorsis
 1   Lecture     Larvae migrans
 3   Practical   Adult cestodes + Hydatid disease [4 groups 45 min each]
 1   Lecture     GI tract Trematodes
Blood & Lymphatic system
1    Lecture     Schistosomiasis + Other trematode
1    Practical   Trematodes
1    Lecture     Lymphatic filariasis
1    Lecture     Lymphatic filariasis + Tropical Pulmonary eosinophilia
1    Practical   Filariasis
1    Practical   Stool examination
3    SGD         Nematodes
3    SGD         Cestodes & Trematodes
                 Arthropods
1    Lecture     Mosquitoes
1    Lecture     Mosquito control
1    Lecture     Flies+ Myasis
1    Practical   Mosquitoes + Flies [4 groups 45 min each]
3    SGD         Mosquitoes + Mosquito control
1    Lecture     Scabies+ Typhus mite
1    Lecture     Lice+ Fleas + Ticks
1    Practical   Scabies + Lice+ Fleas + Ticks [4 groups 45 min each]
3    SGD         Ectoparasites
                 Snakes
1    Lecture     Snakes classification & identification
1    Lecture     Snake bite treatment & management
1    Practical   Snakes [4 groups 45 min each]
3    SGD         Snake bite
                 Zoonosis
1    Lecture     Parasitic Zoonosis
3    SGD         Parasitic Zoonosis


       Summary
                      Term 5     Term 6     Term 7   Total
Lecture                            10         18      28
SGD                                3           7      10
Practical                          7          10      17
Total                    0         20         35      55
References:

Textbooks

1) Text book of Medical Parasitology. C K Jayaram Paniker, 6th edition, New Delhi: Jaypee
    Brothers, 2007.
2) Parasitology (Protozology and Helminthology) in relation to clinical Medicine. Chatterjee,
    K.D, 12th edition, Calcutta: Chatterjee medical publishers, 1980.
3) Basic Clinical Parasitology. Franklin A Neva, 6th edition, East Norwalk: Prentice Hall
    International Inc, 1996.
 4) Entomology for students of Medicine. Gordon R M and Lavoipierre M M J, Blackwells
     Scientific Publications, 1978.

Reference Books
1) Manson’s Tropical Diseases. Gordon Cook and Alimuddin Zumla, 21st edition, Saunders,
   2002.
2) Toply and Wilson’s Microbiology and Microbial Infections.Volume 5. 10th edition, ASM
   Press, 2005.


Evaluation of Parasitology

                           Distribution   Distribution
                           of Marks-      of Marks-        Details of evaluation-   Qualifying
  Type of Examination      First          subsequent         No. of hrs No. of      pass marks
                           examination    examinations         question etc.           (%)
  1     In course                                        2 Theory Papers + 2
        Assessment:            15
                                                         Spots
  2   End of the course        85             100
 2.1. Essay                    50              60        4 questions-2hr              40%
 2.2. Practicals:
2.2.1 Stool                    20             20         20 min/group
      Examination
2.2.2 Spots                     5              5         20 min/group
 2.3. Viva                     10             15         10 min/ student

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Parasitology Course details

  • 1. Parasitology Course Description The aim of the course is to develop basic knowledge and skill to identify the parasites, diagnose the diseases caused by them, manage the patients, prevent and control parasitic diseases. At the end of the course the students should be able to,  State the definitions and classification of parasites  Describe the geographical distribution, life cycle, morphology at different stages, sources of infection and mode of transmission of each parasite with a view of prevention and control of parasitic diseases.  Identify the parasites at different stages of life cycle, their vectors and hosts by macroscopic or microscopic examination as appropriate.  List the organs or the systems affected by the parasites and describe the pathogenesis, signs and symptoms  Describe the sample collection methods, transport and laboratory diagnosis of parasitic diseases.  Perform stool examination for intestinal parasites and blood smear staining for malaria and filarial parasites.  Outline treatment of parasitic illnesses and management of patients.  Describe the prevention and control of each parasitic illness  Describe the parasitic zoonotic diseases  Identify the medically important snakes and the basis of management of snake bite.  Motivated to use the knowledge and skills obtained in the subject to understand the problems and management of their patients during clinical clerkships at the Teaching Hospital. The teaching / learning methods include lectures, practical classes, tutorials and modified small group discussions. Students are encouraged to actively participate in the activities. Handouts and copies of power point presentations are given to students as learning materials. Students are evaluated by two in course assessments and end of course assessments. Formative evaluations will be conducted frequently and the answers will be discussed with the students.
  • 2. Detailed Syllabus Term 6 Protozoa Alimentary system 1 Lecture Amoebiasis 1 Lecture Amoebiasis + Balantidiasis 1 Lecture Giardiasis + Cryptosporidiosis 1 Practical Use of microscope [4 groups 45 min each] 1 Practical Amoebiasis [4 groups 45 min each] 1 Practical Balantidiasis+ Giardiasis [4 groups 45 min each] 3 SGD Diarrhoea - 4 groups Blood and other organs 3 Lecture Malaria 1 Practical Malaria (Demonstration) [4 groups 45 min each] 1 Practical Malaria (staining) [4 groups 45 min each] 3 SGD Malaria [4 groups] 1 Lecture Leishmaniasis 1 Lecture Trypanosomiasis 1 Lecture Toxoplasmosis 1 Practical Leishmaniasis + Trypanosomiasis [4 x 45 min each] 1 Practical Trypanosomiasis + Toxoplasmosis [4 x 45 min each] 3 SGD Leismaniasis [4 groups] Reproductive system 1 Lecture Trichomoniasis Term 7 Helminthes Alimentary system 1 Lecture Ascariasis & Trichuriasis 1 Lecture Hookworm disease & Strongyloidiasis 1 Lecture Enterobiasis, Trichinellosis 1 Practical Ascariasis & Trichuriasis + Hookworm disease+ Enterobiasis & Trichinellosis [4 groups 45 min each] 3 SGD Nematodes 1 Lecture Adult cestodes 1 Lecture Hydatid disease & cysticercorsis 1 Lecture Larvae migrans 3 Practical Adult cestodes + Hydatid disease [4 groups 45 min each] 1 Lecture GI tract Trematodes
  • 3. Blood & Lymphatic system 1 Lecture Schistosomiasis + Other trematode 1 Practical Trematodes 1 Lecture Lymphatic filariasis 1 Lecture Lymphatic filariasis + Tropical Pulmonary eosinophilia 1 Practical Filariasis 1 Practical Stool examination 3 SGD Nematodes 3 SGD Cestodes & Trematodes Arthropods 1 Lecture Mosquitoes 1 Lecture Mosquito control 1 Lecture Flies+ Myasis 1 Practical Mosquitoes + Flies [4 groups 45 min each] 3 SGD Mosquitoes + Mosquito control 1 Lecture Scabies+ Typhus mite 1 Lecture Lice+ Fleas + Ticks 1 Practical Scabies + Lice+ Fleas + Ticks [4 groups 45 min each] 3 SGD Ectoparasites Snakes 1 Lecture Snakes classification & identification 1 Lecture Snake bite treatment & management 1 Practical Snakes [4 groups 45 min each] 3 SGD Snake bite Zoonosis 1 Lecture Parasitic Zoonosis 3 SGD Parasitic Zoonosis Summary Term 5 Term 6 Term 7 Total Lecture 10 18 28 SGD 3 7 10 Practical 7 10 17 Total 0 20 35 55
  • 4. References: Textbooks 1) Text book of Medical Parasitology. C K Jayaram Paniker, 6th edition, New Delhi: Jaypee Brothers, 2007. 2) Parasitology (Protozology and Helminthology) in relation to clinical Medicine. Chatterjee, K.D, 12th edition, Calcutta: Chatterjee medical publishers, 1980. 3) Basic Clinical Parasitology. Franklin A Neva, 6th edition, East Norwalk: Prentice Hall International Inc, 1996. 4) Entomology for students of Medicine. Gordon R M and Lavoipierre M M J, Blackwells Scientific Publications, 1978. Reference Books 1) Manson’s Tropical Diseases. Gordon Cook and Alimuddin Zumla, 21st edition, Saunders, 2002. 2) Toply and Wilson’s Microbiology and Microbial Infections.Volume 5. 10th edition, ASM Press, 2005. Evaluation of Parasitology Distribution Distribution of Marks- of Marks- Details of evaluation- Qualifying Type of Examination First subsequent No. of hrs No. of pass marks examination examinations question etc. (%) 1 In course 2 Theory Papers + 2 Assessment: 15 Spots 2 End of the course 85 100 2.1. Essay 50 60 4 questions-2hr 40% 2.2. Practicals: 2.2.1 Stool 20 20 20 min/group Examination 2.2.2 Spots 5 5 20 min/group 2.3. Viva 10 15 10 min/ student