saaplikacio forma -...

”alergologia/imunologia”

diplomisSemdgomi samedicino ganaTlebis programa

alergologia/imunologia

/xangrZlivoba – 3 w. - 33 Tve/

I. zogadi debulebebi1. programis mizani da amocanebi

programis mizania alergologia-imunologiaSi postdiplomuri sarezidento swavlebis ganxorcieleba. am dargSi Tanamedrove specialistis momzadeba, romelsac aqvs mecnierul mtkicebulobebze dafuZnebuli iseTi donis fundamenturi Teoriuli codna da praqtikuli unarebi, romelic saWiroa alergiul, autoimunur da imunodeficitur daavadebaTa diagnostikis, mkurnalobisa da prevenciisaTvis.

2. specialobis aRweriloba

specialobisa da specialistis gansazRvreba (definicia)-alergologia da klinikuri imunologia warmoadgens medicinis dargs imunopaTologiis Sesaxeb, romelic Seiswavlis alergiul, autoimunur da imunodeficitur daavadebebs. alergologi da kl. imunologi aris sertificirebuli specialisti, romelsac aqvs mecnierul mtkicebulobebze dafuZnebuli codna da flobs praqtikuli saeqimo saqmianobisTvis aucilebel unarebs, romelic saWiroa alergiul, autoimunur da imunodeficitur daavadebaTa diagnostikis, mkurnalobisa da prevenciisaTvis.specialoba alergologia/imunologia warmoadgens eqimis praqtikuli moRvaweobis im sferos, romlic moicavs (Semoifargleba) imunopaTologiuri mdgomareobebiT (alergia, autoimunuri da imunodeficituri daavadebebi) daavadebuli pacientebis Tanamedrove donis Sesabamis samedicino momsaxurebas. alergologi/imunologi aris specialisti, romelic flobsTanamedrove standartebis Sesabamis Teoriul codnas da unarebs Tavisi specialobis kompetenciis farglebSi da damoukideblad SeuZlia warmarTos imunopaTologiuri mdgomareobebis (alergiuli bronq-pulmonaluri aspergilozi, anafilaqsia, asTma, xvela, dermatiti (atopiuri da kontaqturi), wamlis alergia, kvebiTi alergia, inseqtalergia, hipersensitiuli pnevmoniti, profesiuli alergia, riniti, sinusiti, rinosinusiti, koniunqtiviti, urtikaria, angioSeSupeba, pirveladi da meoradi imunodeficituri mdgomareobebi) diagnostika, mkurnaloba, prevencia, prognozireba da marTva rogorc mozrdilebSi, aseve bavSvTa asakis pacientebSi.

specialistis profesiuli zogadi codna –(kanonmdebloba, gaidlainebi da sxv.)eqim specialist alergolog-imunologs unda gaaCndes zogadi codna specialobis, kanonmdeblobisa da deontologiis mimarTulebiT.

zogadi codna specialobis mimarTulebiTgulisxmobs Tanamedrove standartebis Sesabamis codnas imunopaTologiuri mdgomareobebis (rogoricaa: alergiuli bronq-pulmonaluri aspergilozi, anafilaqsia, asTma, koniunqtiviti, xvela, dermatiti (atopiuri da kontaqturi), wamlis alergia, kvebiTi alergia, hipersensitiuli pnevmoniti, profesiuli alergia, pirveladi imunodeficituri mdgomareobebi, riniti, sinusiti, rinosinusiti, urtikaria, angioSeSupeba) epidemiologiis, etiologiis, risk-faqtorebis, paTogenezuri meqanizmebis, diagnostikis, mkurnalobisa daprevenciis sakiTxebis Sesaxeb. aRniSnuli specialobis eqims unda SeeZlos am daavadebebis marTva rogorc mozrdilebSi, aseve bavSvTa asakis pacientebSi.

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zogadi codna kanonmdeblobis mimarTulebiT eqimi aleegologi unda erkveodes kanonmdeblobis sakiTxebSi:

saqarTvelos kanoni “janmrTelobis dacvis Sesaxeb” saqarTvelos kanoni “saeqimo saqmianobis Sesaxab” saqarTvelos kanoni “pacientis uflebebis Sesaxeb” eqimisa da pacientis urTierTobebis safuZvlebi bioeTikis Tanamedrove principebi The World Medical Association Declaration of Madrid on Professional Autonomy and

Self-Regulation (http://www.wma.net/e/policy/a21.htm) Medical Practice (http://www.allbusiness.com/services/health-services-offices-clinics-

doctors/3778853-1.html) Policy statement. American Board of Allergy and Immunology. 1995.

zogadi codna deontologiis mimarTulebiTeqimi aleegologi unda flobdes deontologiis sakiTxebs. rac eqimis warmatebis aucilebeli winapirobaa. am TvalsazrisiT mniSvnelovania Semdegi unarCvevebis floba: pacientisTvis eqimis maqsimaluri miwvdomadobis uzrunvelyofa, misTvis Tavis wardgenis, darwmunebis da waxalisebis xelovneba. pacientisTvis saintereso sakiTxebis axsnis da SeTavazebuli diagnostikiuri, samkurnalo profilaqtikuri zemoqmedebebis Catarebis damajerebeli argumentirebis unari.

eqim-specialistis zogadi unar-Cvevebi – (im daavadebebis da mdgomareobebis CamonaTvali, romelTa pirveladi da gansakuTrebuli/gadaudebeli daxmareba unda SeeZlos eqim-specialists).

alergiuli bronqopulmonaluri aspergilozi, anafilaqsia, asTma, koniunqtiviti, xvela, dermatititi (atopiuri da kontaqturi), wamlis alergia, kvebiTi alergia, hipersensitiuli pnevmoniti, profesiuli alergia, pirveladi imunodeficituri mdgomareobebi, riniti, sinusiti, rinosinusiti, urtikaria, angioSeSupeba.

eqim-specialistis zogadi unar-Cvevebi moicavs, aseve:literaturuli resursebis Segrovebis da gamoyenebis meTodologias

im meTodebis codna, aRwera da gamoyeneba, romelTa saSualebiTac SesaZlebelia maRali sarwmunoobis literaturis wyaroebis identificireba;

pirveladi kvlevebis arsi da maTi Sefaseba; meoradi kvlevebis arsi da maTi Sefaseba; eleqtronuli resursebis gamoyeneba; gaidlainebis da konsensusebis xarisxis da sarwmunoobis Sefaseba.

literaturis wyaroebis sarwmunoobis doneebis codnas Ia meta-analizi (kontrolirebadi kvlevebis); Ib randomizebuli kontrolirebadi kvlevebi;

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http://www.allbusiness.com/services/health-services-offices-clinics-doctors/3778853-1.html

http://www.allbusiness.com/services/health-services-offices-clinics-doctors/3778853-1.html

http://www.wma.net/e/policy/a21.htm


II ararandomizebuli kontrolirebadi kvlevebi; III observaciuli kohortuli kvlevebi an sacdel-sakontrolo kvlevebi; IV mimoxilviTi statiebi an eqspertTa rekomendaciebi; praqtikuli rekomendaciebis formulirebis, xarisxis da implementurobis Sefaseba; rekomendaciebis ranJireba sarwmunoobis mixedviT.

specialoba moicavs qvemoCamoTvlili daavadebebis, paTologiuri mdgomareobebis klinikas, diagnostikas, mkurnalobasa da profilaqtikas –

alergiuli bronqopulmonaluri aspergilozi, anafilaqsia, asTma, koniunqtiviti, xvela, dermatititi (atopiuri da kontaqturi), wamlis alergia, kvebiTi alergia, hipersensitiuli pnevmoniti, profesiuli alergia, pirveladi imunodeficituri mdgomareobebi, riniti, sinusiti, rinosinusiti, urtikaria, angioSeSupeba.

im laboratoriul-instrumentuli gamokvlevebis CamonaTvali, romelTa Sedegebis interpretacia da klinikuri Sefaseba unda SeeZlos eqim – specialists –

kanis alergiuli sinjebis Catareba; provokaciuli alergiuli sinjebis Catareba; spirometriisa da pikfloumetriis Catareba; imunuri statusis Sefaseba.

eqim-specialistis aucilebeli praqtikuli unar-Cvevebi -(diagnostikuri da samkurnalo manipulaciebi)alergiuli pacientebis farmakologiuri da imunologiuri marTva

sainhalacio da peroraluri steroidebis gamoyeneba; imunomodulaciuri Terapia; inhalaciuri Terapia; desensibilizaciuri Terapia; Terapiuli efeqtebis Sefaseba; diagnostikuri testebis mgrZnobelobis/specifikurobis, dadebiTi da uaryofiTi prognozuli

mniSvnelobebis Sefaseba; diagnostikuri testebis sizustis Sefaseba.

alergiuli pacientebis arafarmakologiuri marTva daavadebis prevenciis sakiTxebSi pacientis ganaTleba; pacientis mkurnalobisa da marTvis dagegmareba; TviTmonitorirebis sakiTxebSi pacientis ganaTleba; TviTmkurnalobis sakiTxebSi pacientis ganaTleba.

eqim-specialistis pacientTa momsaxurebis populacia (asakobrivi jgufi),romelsac emsaxureba konkretuli specialobis eqimi –

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eqimi specialistis alergolog-imunologis momsaxurebis populacias warmoadgens rogorc mozrdili, aseve bavSvTa asakis pacientebi.

im specialobaTa da Sesabamisi subspecialobebis (specializaciebis) CamonaTvali, romelTanac konkretul dargs SesaZlebelia hqondes saerTo/saziaro kompetenciebi da aRwerdes maT Soris kompetenciaTa gamijvnis SesaZleblobebs pirveladi jandacvis, zogadi profilis hospitaluri da maRalteqnologiuri servisebis specifikis gaTvaliswinebiT –

alergologiasa da kl. imunologiaSi sertificirebul specialists aucilebelia gaaCndes zogadi codna mocemul specialobasTan momijnave yvela specialobaSi (Sinagani medicina, pediatria, laboratoriuli imunologia, dermatologia, gastroenterologia, pulmonologia, endokrinologia).

sasurvelia gaaCndes zogadi codna - damatebiT specialobebSi. magaliTad, klinikuri farmakologia, epidemiologia, profesiuli medicina, prevenciuli medicina, oto-rino-laringologia, mtikicebiTi medicina, deontologia.

3. profesiuli mzadebis struqtura alergologia-imunologiaSi profesiuli mzadebis struqtura moicavs or safexurs: zogadsa da specifikurs,romlebSic mzadebis etapebis Sesabamisad integrirebulia kompetenciebis da Sefasebis sistema;pirveli safexuri- zogadi mzadebis nawili saerToa Sinagani medicinis yvela specialobisTvis. igi miznad isaxavs sabazo unar-Cvevebis Camoyalibebas, amasTan orientirebulia mwvave, gadaudebel mdgomareobebze. zogadi nawili saSualebas aZlevs rezidents daeuflos kompetenciebs, romelic saerToa Sinagani medicinis specialobebisaTvis. mzadebis meore - specifikuri nawili orientirebulia alergologia-imunologiaSi mzadebasa da specifikuri kompetenciebis dauflebaze(alergiuli da sxva imunopaTologiuri daavadebebis diagnostika da mkurnaloba).

pirveli wlis modulebi

programis zogadi nawili - profesiuli mzadebis I welimod.# modulis dasaxeleba xangrZlivoba1.1. ambulatoriuli Terapia 4Tve1.2 Terapiuli pacientebis marTva stacionarSi 3 Tve1.3. gadaudebeli medicina 2 Tve1.4. gul-sisxlZarRvTa daavadebebi 2Tve

programisspecifikurinawiliprofesiuli mzadebisI (II) weliwadimod.#

modulis dasaxeleba xangrZlivoba

1.1. sabaziso codnis gadasinjva anatomiasa da fiziologiaSi (alergiis manifestaciis organoebisa da sistemebis anatomia da fiziologia). alergiisa da imunitetis ZiriTadi cnebebi da kriteriumebi. alergia da imuniteti. alergiuli reaqciebis Tanamedrove klasifikacia.

4 Tve

1.2. alergiuli daavadebebis diagnostika. specifikuri alergodiagnostikis cneba da etapebi. alegodiagnostika in vivo; alergodiagnostika in vitro.

5 Tve

1.3. bronquli asTma 2 Tveprofesiuli mzadebis II (III) weliwadimod. modulis dasaxeleba xangrZlivoba

4


#2.1. alergiuliriniti, araalergiuliriniti,

alergiulirinitisTanmxlebidaavadebebi (mwvave da qronikulisinusiti, otiti), atopiuri egzema, kvebiTi alergia, oraluri alergiuli sindromi

3 Tve

2.2. inseqtalergia, urtikaria, angioSeSupeba, Tandayolili da SeZenili C1 esTerazis inhibitoris deficiti, wamlis alergia, kontaqturi dermatiti, profesiuli alergia, egzogenuri alergiuli alveoliti, mastocitozi

4 Tve

2.3. antihistaminuri preparatebi, glukokortikosteroidebi, β2-agonistebi, qolinolizuri da membranmastabilizebeli saSualebebi, meTilqsantinebi, leikotrienebis modifikatorebi, kalcineurinis inhibitorebi, monoklonuri anti-IgE preparati

2 Tve

2.4. imunoTerapia, preparatebis xarj-efeqturoba da risk-sargebloba, gverdiTi efeqtebi da wamalTa Soris urTierTqmedeba; sainformacio resursebis gamoyeneba, pacientebis gadamisamarTebis sakiTxebi. imunodeficituri daavadebebi: Tandayolili da SeZenili; ujreduli, B sistemis deficitiT mimdinare da kombinirebuli imunodeficitebi.

2 Tve

4. akademiuri personali, kvalifikacia da saganmanaTleblo resursebi:

sarezidento programiT mzadebas uzrunvelyofen maRalkvalificiuri pedagogebi, „alergologia-imunologiasa~da “Sinagan medicinaSi” sertificirebuli akademiuri personali, romelTac sakmarisi saganmanaTleblo resursi gaaCniaT imisaTvis, rom rezidentma srulyofili kursi gaiaros. dakmayofildeba moTxovna wlis ganmavlobaSi ambulatoriul reJimSi pacientebis momarTvianobis da stacionarul reJimSi dayovnebis (sawoldReebis) mixedviT; Catarebuli samkurnalo, profilaqtikuri, diagnostikuri manipulaciebis raodenobis mixedviT; aseve saswavlo farTis da teqnikuri aRWurvilobis mixedviT.

5. xarisxisuzrunvelyofismeqanizmebi

programaSi monawile akademiuri personalis maRali kvalifikacia; programis Sesabamisoba saqarTveloSi amJamad moqmed diplomisSemdgom

programebTan da, aseve, diplomisSemdgomi ganaTlebis saerTaSoriso (evropul da amerikul) standartebTan;

rogorc Teoriuli kursis, aseve praqtikuli unarebis aTvisebis kontroli programis xelmZRvanelis, modulebze pasuxismgebeli pirebisa da swavlebaSi monawile sxva personalis mier;

saswavlo meTodebis mravalferovneba da kurikulumebis mudmivi ganaxlebadoba.

6. programismarTva da administrireba

sarezidento programis marTva da administrireba gulisxmobs adgilze Semdegi meqanizmebis ganxorcielebis uzrunvelyofas:

kurikulumismiznobrivgamoyenebaspedagogebisa da maZieblebis/rezidentebismier; literaturisxelmisawvdomobas, pacientebTanmuSaobispraqtikuliunarebisa da

specifikuridiagnostikurimeTodebisaTvisebisuzrunvelyofas;

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maZieblebis/rezidentebispasuxismgeblobisa da programisdauflebisxarisxiskontrolsakademiuripersonalismierkurikulumisganxorcielebisas;

kurikulumis marTvas programebis SigniT rotaciebis dros.

7. programisxangrZlivoba – 3 weli

8. programisganaxlebisperioduloba

a) yoveli programa, Teoriuli da praqtikuli unarebi, iseve rogorc gaidlainebi, eqvemdebareba revizias - konkretul garemosa da viTarebaSi maTi implementaciis Sefasebas. amitomac, aucilebelia danergili programebis efeqturobisa da margi qmedebis perioduli Sefaseba. Sefaseba xorcieldeba rogorc pedagogiuri personalis, aseve Tavad maZieblebis mier specialuri kiTxvaris saSualebiT (kiTxvari Tan erTvis – ix. punqti programis Sefaseba/gamocda).

b) programis ganaxleba moxdeba 3 weliwadSi erTxel masSi Semavali komponentebis 5-10 procentiT, axali informaciis Semosvlis periodulobis gaTvaliswinebiT.

I. programis zogadi nawili - profesiuli mzadebis I weli1.1. modulis dasaxeleba, xangrZlivoba - ambulatoriuli Terapia(pirveladi jandacvis rgolebSi) - 4 Tve;

modulis mizani - zogadi klinikuri da simptomze dafuZvnebuli kompetenciebis daufleba. diagnistikuri TvalsazrisiT rTuli sindromebis diagnostika, marTva da monitoringi. ZiriTadi kompetenciebis daufleba; modulis ganxorcielebis pirobebi –akreditaciis mqone nebismieri ambulatoriuli dawesebuleba Sesabamisi asakobrivi kontigentis momsaxurebis (Sinagani medicina, ojaxis eqimi) profiliT.

kompetenciazogadi klinikuri kompetenciebi (ganmartebebi dawvrilebiT ix. silabusSi)

anamnezis Sekrebaklinikuri kvlevawamlebi da usafrTxi recepturadaavadebis simwvavis xarisxis dadgena da gadawyvetilebis miRebis unarigadawyvetilebis miReba da klinikuri azrovnebapacienti, rogorc zrunvis centraluri fokusipacientisaTvis usafrTxoebis prioritetis miniWebajgufuri muSaoba da apcientis usafrTxoeba

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xarisxis da usafrTxoebis gaumjobesebis principebiinfeqciis kontroligaxangrZlivebuli mdgomareobebis marTva da pacientis TviTzrunvis xelSewyobapacientTan urTierToba da komunikacia konsultaciis drosobieqturi informaciis miwodebis unarikomunikacia da kolaboracia kolegebTansazogadoebrivi jandacvasamedicino eTikis da konfidencialobis principebiinformirebuli TanxmobamuSaobis legaluri CarCoebieTikuri kvlevebimtkicebulebebi da gaidlainebisimptomze dafuZvnebuli kompetenciebi (ix. qvemoT)uxSiresi klinikuri mdgomareobebi:muclis tkivilimwvave zurgis tkivilihaeris ukmarisobatkivili gulis areSixveladiareagonebis kargvacxelebahematemezi da melenaTavis tkivilisiyviTlekiduris tkivili da SeSupebagamonayarigulisreva da Rebinebasisuste da dambla sxva mniSvnelovani klinikuri situaciebi:warmonaqmni mucelSi da hepatosplenomegaliapaTologiuri mgrZnoneloba (paresTezia da mgrZnobelobis dakargva)agresiuli da paTologiuri qcevaSfoTva da panikuri aSlilobasisxlCaqcevebi da spontanuri sisxldenadispefsiadizuriagamonadeni da wylulebi sasqeso organoebzehematuriahemoptizi (sisxliani xvela)moZraobis SezRudvaSemTxveviT gamovlenili darRvevebisaxsrebis SeSupebalimfadenopaTiawelis tkiviliqirurgiuli procedurebis Semdgomi problemebi da garTulebebiorsulobis dros aRmocenebuli darRvevebiSardvasTan dakavSirebuli problemebifizikuri simptomebi organuli daavadebis gareSepolidifsiapoliuriaqavilisisxldena swori nawlavidankansa da piris RruSi arsebuli wylulebiylapvasTan dakavSirebuli problemebiwonasworobis dakargva/disbalansi

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wonaSi kleba

literaturis nusxa: 1. g.qavTaraZe diagnostikuri Zieba Sinagan sneulebaTa klinikaSi. simptomidan

diagnozamde.2. n.tatiSvili g.simonia – “Sinagani daavadebebi”3. Harrison – “Internal Diseases”4. Merck Manuel5. vaSintonis Terapiuli cnobari

Sesasrulebeli samuSaos moculoba da modulis Sefasebis meTodebi. Sesrulebuli procedurebi da manipulaciebi raodenoba

avadmyofis damoukidebeli gasinjva da diagnozis dasma

30

avadmyofobis istoriis damoukidebeli dawera 30morigeoba TveSi minimum 4

Sefasebis sistema lokaluri xelmZRvanelis xelmowerakargidamakmayofilebeliaradamakmayofilebelisfero, romelic saWiroebs daxvewaskomentari

moduli 1.2.modulis dasaxeleba, xangrZlivoba – Terapiuli pacientebis marTva stacionarSi- sami Tvemodulis mizani - zogadi klinikuri da simptomze dafuZvnebuli kompetenciebis daufleba.. diagnistikuri TvalsazrisiT rTuli sindromebis diagnostika, intensiuri Terapia da marTva, modulis ganxorcielebis pirobebi – Sesabamisi akreditaciis mqone nebismieri stacionaruli dawesebuleba.

kompetenciazogadi klinikuri kompetenciebi

anamnezis Sekrebaklinikuri kvlevawamlebi da usafrTxi recepturamdgomareobis simwvavis xarisxis gansazRvra da gadawyvetilebis miRebis unarigadawyvetilebis miReba da klinikuri azrovnebapacienti, rogorc zrunvis centraluri fokusipacientis usafrTxoebis prioritetis miniWebajgufuri muSaoba da apcientis usafrTxoebaxarisxis da usafrTxoebis gaumjobesebis principebiinfeqciis kontroligaxangrZlivebuli mdgomareobebis marTva da pacientis TviTzrunvis xelSewyobapacientTan urTierToba da komunikacia konsultaciis droscusdi ambebis SetyobinebasaCivrebi da samedicino Secdomebikomunikacia da kolaboracia kolegebTansazogadoebrivi jandacvasamedicino eTikis da konfidencialobis principebiinformirebuli TanxmobamuSaobis legaluri CarCoebieTikuri kvlevebimtkicebulebebi da gaidlainebisimptomze dafuZvnebuli kompetenciebiuxSiresi klinikuri mdgomareobebi:

8


muclis tkivilimwvave zurgis tkiviliTirkmlis mwvave dazianeba da Tirkmlis qronikuli daavadebakolafsihaeris ukmarisoba da qoSinitkivili gulis areSimwvave konfuzia/deliriumixveladiareacxelebahematemezi da melenasiyviTlekiduris tkivili da SeSupebamowamvlagulisreva da Rebinebapacientebis marTva, romlebic saWireoben paliatiur mzrunvelobas da terminalur mdgomareobaSi myofi pacientisxva mniSvnelovani klinikuri SemTxvevebiwarmonaqmni mucelSi da hepatosplenomegaliaasciti da gauvalobapaTologiuri mgrZnoneloba (paresTezia da mgrZnobelobis dakargva)sisxlCaqcevebi da spontanuri sisxldenaalkoholsa da narkotikul saSualebebze damokidebulebahematuriahemoptizixmis CaxleCa da stridorihipoTermiaSemTxveviT gamovlenili darRvevebisaxsrebis SeSupebalimfadenopaTiawelis tkiviliqirurgiuli procedurebis Semdgomi problemebi da garTulebebiorsulobis dros aRmocenebuli darRvevebiSardvasTan dakavSirebuli problemebifizikuri simptomebi organuli daavadebis gareSepolidifsiapoliuriaqavilisisxldena swori nawlavidanylapvasTan dakavSirebuli problemebiwonaSi kleba

literaturis nusxa: 6. g.qavTaraZe diagnostikuri Zieba Sinagan sneulebaTa klinikaSi. simptomidan

diagnozamde.7. n.tatiSvili g.simonia – “Sinagani daavadebebi”8. Harrison – “Internal Diseases”9. Merck Manuel10. vaSintonis Terapiuli cnobari

Sesasrulebeli samuSaos moculoba da modulis Sefasebis meTodebi.modulis Sefasebis meTodebi: zepiri gamokiTxva/ prezentaciis Sefaseba/referatis Sefaseba.

Sesrulebuli procedurebi da manipulaciebi raodenoba

9


avadmyofis damoukidebeli gasinjva da diagnozis dasma 30avadmyofobis istoriis damoukidebeli dawera 30periferiuli venis punqcia da venis kaTeterizacia; 30centraluri venis kaTeterizacia; saTanado unar-

Cvevebis mqone eqim specialistTan erTad

Torakocentezi, plevris punqcia saTanado unar-Cvevebis mqone eqim specialistTan erTad

paracentezi saTanado unar-Cvevebis mqone eqim specialistTan erTad

sisxlis aReba arteriuli midgomiT da arteriuli airebis analizi; saTanado unar-Cvevebis mqone eqim specialistTan erTad

eleqtrokardiografia (eleqtrokardiogramis gadaReba da interpretacia);

50

nazogastraluri zondis Cayeneba saTanado unar-Cvevebis mqone eqim specialistTan erTad

Sardis buStis kaTeterizacia; 15morigeoba TveSi minimum 4

Sefasebis sistema lokaluri xelmZRvanelis xelmowerakargidamakmayofilebelisfero, romelic saWiroebs daxvewaskomentari

moduli 1.3.modulis dasaxeleba, xangrZlivoba - gadaudebeli medicina- 2 Tve.modulis mizani - zogadi klinikuri da simptomze dafuZvnebuli kompetenciebis daufleba. kritikuli da gadaudebeli mdgomareobebis diagnostika da marTva.modulis ganxorcielebis pirobebi - Sesabamisi akreditaciis mqone dawesebuleba. ganxorcielebis pirobebi – Sesabamisi akreditaciis mqone dawesebuleba.


anamnezis Sekrebaklinikuri kvlevawamlebi da usafrTxo recepturadrois marTva da gadawyvetilebis miRebis unarigadawyvetilebis miReba da klinikuri azrovnebapacienti, rogorc zrunvis centraluri fokusipacientis usafrTxoebis prioritetis miniWebajgufuri muSaoba da pacientis usafrTxoebaxarisxis da usafrTxoebis gaumjobesebis principebiinfeqciis kontroligaxangrZlivebuli mdgomareobebis marTva da pacientis TviTzrunvis xelSewyobapacientTan urTierToba da komunikacia konsultaciis droscusdi ambebis SetyobinebasaCivrebi da samedicino Secdomebi

10


komunikacia da kolaboracia kolegebTansazogadoebrivi jandacvasamedicino eTikis da konfidencialobis principebiinformirebuli TanxmobamuSaobis legaluri CarCoebieTikuri kvlevebimtkicebulebebi da gaidlainebisimptomze dafuZvnebuli kompetenciebigadaudebeli mdgomareobebi:gulis gaCerebaSokuri statusis mqone pacientis marTvaugono pacientis marTvaanafilaqsiauxSiresi samedicino mdgomareobebi:muclis tkivilimwvave zurgis tkivilikolafsihaeris ukmarisoba da qoSinitkivili gulis areSimwvave konfuzia/deliriumixveladiareagonebis dakargvakiduris tkivili da SeSupebagulis frialimowamvlagamonayarigulisreva da Rebinebasisuste da damblasxva mniSvnelovani klinikuri SemTxvevebiasciti da gauvalobapaTologiuri mgrZnoneloba (paresTezia da mgrZnobelobis dakargva)alkoholsa da narkoikul saSualebebze damokidebulebasisxlCaqcevebi da spontanuri sisxldenadializihemoptiziTavis travmaxmis CaxleCa da stridorihipoTermiamoZraobis SezRudvauneblie moZraobebisaxsrebis SeSupebawelis tkiviliqirurgiuli procedurebis Semdgomi problemebi da garTulebebiorsulobis dros aRmocenebuli darRvevebiSardvasTan dakavSirebuli problemebitkivili kisris midamoSifizikuri simptomebi organuli daavadebis gareSesisxldena swori nawlavidanmetyvelebis gaZnelebaylapvasTan dakavSirebuli problemebisinkope da presinkopewonasworobis dakargva/disbalansimxedvelobis darRveva (diplopia, mxedvelobis velis defeqtebi, daqveiTebuli simaxvile)

Sesasrulebeli samuSaos moculoba da modulis Sefasebis meTodebi. 11


procedurebisa da manipulaciebis Sesruleba unda moxdes saTanado unar-Cvevebis mqone eqim specialistTan erTad

Sesasrulebuli procedurebi da manipulaciebi

avadmyofis damoukidebeli gasinjva da diagnozis dasmaavadmyofobis istoriis damoukidebeli daweraperiferiuli venis punqcia da venis kaTeterizacia;sareanimacio RonisZiebebis Catareba: filtvis xelovnuri ventilacia, gulis arapirdapiri masaJi, gulis eleqtruli stimulacia, eleqtruli defibrilacia, kardioversia, traqeis intubacia;transfuziuli Terapiis Cvenebebis gansazRvra da teqnika;cxviris wina da ukana tamponada sisxldenis dros;pirveladi saswrafo daxmareba Tvalis travmis, Wrilobebis, damwvrobis dros;centraluri venis kaTeterizacia;Torakocentezi, plevris punqciaparacentezisisxlis aReba arteriuli midgomiT da arteriuli airebis analizi;eleqtrokardiografia (eleqtrokardiogramis gadaReba da interpretacia);nazogastraluri zondis Cayenebasisxldenis SeCerebis droebiTi meTodebi;motexilobebis droebiTi imobilizacia;Sardis buStis kaTeterizacia;morigeoba

Sefasebis sistema lokaluri xelmZRvanelis xelmowerakargidamakmayofilebeliaradamakmayofilebelisfero, romelic saWiroebs daxvewaskomentariliteraturis nusxa:

a. Harrison – “Internal Diseases”b. Merck Manuelc. Judith Tintinali., Emeregency Medicine Textbook. 2009

1.4. gul-sisxlZarRvTa sistemis daavadebebi – ori Tve. modulis mizani: gul-sisxlZarRvTa sistemis daavadebebis dignostika da marTva. modulis ganxorcielebis pirobebi – Sesabamisi akreditaciismqone dawesebuleba.


anamnezis Sekrebaklinikuri kvlevawamlebi da usafrTxi recepturadrois marTva da gadawyvetilebis miRebis unarigadawyvetilebis miReba da klinikuri azrovnebapacienti, rogorc zrunvis centraluri fokusipacientis usafrTxoebis prioritetis miniWebajgufuri muSaoba da apcientis usafrTxoebaxarisxis da usafrTxoebis gaumjobesebis principebiinfeqciis kontroligaxangrZlivebuli mdgomareobebis marTva da pacientis TviTzrunvis xelSewyobapacientTan urTierToba da komunikacia konsultaciis droscudi ambebis SetyobinebasaCivrebi da samedicino Secdomebikomunikacia da kolaboracia kolegebTansazogadoebrivi jandacva

12


samedicino eTikis da konfidencialobis principebiinformirebuli TanxmobamuSaobis legaluri CarCoebieTikuri kvlevebimtkicebulebebi da gaidlainebisimptomze dafuZvnebuli kompetenciebiuxSiresi samedicino mdgomareobebikolafsihaeris ukmarisoba da qoSinitkivili gulis areSixvelagonebis kargva, sinkopekiduris tkivili da SeSupebagulis frialisxva mniSvnelovani klinikuri SemTxvevebiSfoTviTi /panikuri aSlilobasinkope da presinkopesubspecialobebze dafuZvnebuli kompetenciebistabiluri stenokardiamwvave koronaruli sindromi, miokardiumis mwvave infarqtiqronikuli haeris ukmarisobagulis ukmarisobakardiomiopaTiebigulis sarqvlovani daavadebis mqone pacientis Sefasebaperikaditebipirveladi da meoradi prevenciaarteriuli hipertenziainfeqciuri endokarditis profilaqtika da marTvaaortis daavadebebigulis simsivneebigulis reabilitaciapacientebis Sefaseba arakardioqirurgiuli operaciebis drospacientebis Sefaseba kardioqirurgiuli operaciebis drospulmonuri hipertenzialiteraturis nusxa:

1. n.tatiSvili, g,simonia – “Sinagani daavadebebi:2.g.qavTaraZe diagnostikuri Zieba Sinagan sneulebaTa klinikaSi. simptomidan diagnozamde.3.muraSko - eleqtrokardiografia1. Brawnwald– “Heart Diseases”2. Merck Manuel

Sesasrulebeli samuSaos moculoba da modulis Sefasebis meTodebi. Sesrulebuli procedurebi da manipulaciebi raodenoba

avadmyofis damoukidebeli gasinjva da diagnozis dasma 30avadmyofobis istoriis damoukidebeli dawera 30periferiuli venis punqcia da venis kaTeterizacia; 20eleqtrokardiografia (eleqtrokardiogramis gadaReba da interpretacia);

50

datvirTvis testi saTanado unar-Cvevebis mqone eqim specialistTan erTad

holter-monitoringi saTanado unar-Cvevebis mqone eqim specialistTan erTad

eqokardioskopia saTanado unar-Cvevebis mqone eqim specialistTan

13


erTadsareanimacio RonisZiebebis Catareba: filtvis xelovnuri ventilacia, gulis arapirdapiri masaJi, gulis eleqtruli stimulacia, eleqtruli defibrilacia, kardioversia, traqeis intubacia;

saTanado unar-Cvevebis mqone eqim specialistTan erTad

laboratoriuli maCveneblebis interpretacia 100morigeoba TveSi minimum 4

Sefasebis sistema lokaluri xelmZRvanelis xelmowera

kargidamakmayofilebeliaradamakmayofilebelisfero, romelic saWiroebs daxvewaskomentari

III. programis specifikuri nawili–2 welialergologia-imunologiaSi sruli treningi alergiuli da sxva imunopaTologiuri daavadebebis diagnostikisa da mkurnalobis yvela sakiTxis momcveli safuZvliani codnisa da unarebis dasaufleblad.

rezidenturis programa uzrunvelyofs:Sesabamisi donis Teoriuli codnisa da praqtikuli unarebis aTvisebas.Teoriuli codna iTvaliswinebs: medicinis safuZvlebis da imunuri sistemis normaluri fiziologiis codnas. es done moicavs Semdeg Tematikas: organizmis Tandayolili da SeZenili imuniteti, antigenis prezentacia da organizmis sensibilizacia; ujreduli da humoruli imuniteti; leikocitebis, eozinofilebis, bazofilebis, poxieri da dendrituli ujredebis, T da B limfocitebis, epiTelialuri ujredebis, citokinebisa da qemokinebis roli imunur pasuxSi. gansakuTrebuli yuradReba maxvildeba jelis da kumbsis kalsifikaciaze da iseT alergenebze, rogoricaa sainhalacio, kvebiTi, medikamenturi, lateqsi da inseqt-alergenebi. alergiuli daavadebebis epidemiologiuri da genotipur-fenotipuri Taviseburebebi. davadebaTa klasifikaciaSi warmodgenili alergiuli daavadebebi: alergiuli riniti, alergiuli koniunqtiviti, rinosinusiti, asTma, urtikaria, Tandayolili da SeZenili angioSeSupeba, atopiuri egzema, alergiuli kontaqturi dermatiti, kvebiTi alergia, anafilaqsia, wamlis alergia, profesiuli alergia, inseqt-alergia, eozinofiluri enteropaTiebi. praqtikuli unarebi iTvaliswinebs:alergodiagnostikuri testebis (kanis sinjebi, aplikaciuri testebi, provokaciuli testebi, serologiuri testebi, saerTo da specifikuri IgE antisxeulebis gansazRvra, spirometria, pikfloumetria) safuZvlebis codnas, maT interpretacias da ganxorcielebas. alergiuli daavadebebis Terapiis strategiis da farmakoTerapiis mizniT gamoyenebadi preparatebis (antihistaminuri, steroiduli, adrenomimetiuri, antiqolinergiuli, antileikotrienuli saSualebebi, anti IgE, meTilqsantinebi, qromolinebi) da aseve, imunoTerapiis Cvenebebis, moqmedebis meqanizmebis, xarj-efeqturobis, risk-sargeblobis, gverdiTi efeqtebisa da winaaRmdegCvenebebis codnas. alergiuli daavadebebis mimdinareobis, maTi simwvavis gansazRvras da pacienetebis drouli da zusti gadamisamarTebis strategiis codnas. specifikuri imunoTerapiis ganxorcielebas.anafilaqsiuri reaqciebis klinikuri gamovlinebebis codnas, maTi mkurnalobisa da marTvis principebis flobas.

14


alergiuli daavadebebis prevenciis sakiTxebis codnas.saswavlo programa iTvaliswinebs alergologisTvis aucilebeli zogadi (zogadi medicina, pediatria, mikrobiologia, imunologia) da masTan momijnave (dermatologia, gastroenterologia, ofTalmologia) disciplinebis codnas. saswavloPprogramis Semadgenlobaprograma Sedgeba 2 nawilisgan:zogadi anu sistematikuri nawilisa da problemaze orientirebuli nawilisgan.

profesiuli mzadebis II wlis modulebi

moduli 1.1.

1. modulis dasaxeleba, xangrZlivoba– sabaziso codnis gadasinjva anatomiasa da fiziologiaSi (alergiis manifestaciis organoebisa da sistemebis anatomia da fiziologia). alergiisa da imunitetis ZiriTadi cnebebi da kriteriumebi. alergia da imuniteti. alergiuli reaqciebis Tanamedrove klasifikacia (xangrZlivoba – 4 Tve).

2. modulis mizania - specialist alergolog-imunologad CamoyalibebisTvis saWiro sakvanZo Teoriuli sakiTxebis gaRrmavebuli Seswavla.

3. literaturis nusxa – ixileT programis bolos.4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis

raodenoba da modulis Sefasebis meTodebi (mocemulia cxrili # 8-is saxiT).cxrili #8

Teoriuli kursis Sinaarsi, moculoba Sefasebis meTodebianatomia - zeda da qveda sasunTqi gzebis, Tvalis, kanis, gastroenteraluri sistemis anatomia (2 kvira).

prezentacia

fiziologia - hemodinamika, sisxliswneva, filtvisfunqcia, filtvismoculobebi, cxvirisfiziologia, gastroe-nteralurisistemisfiziologia, kani(2 kvira).

prezentacia

imunologia– alergiisimunologiurisafuZvlebi, poxieriujredebi, bazofilebi, eozinofilebi, T ujredebi, citokinebi, dendrituliujredebi, antigenisprezentacia, plazmuriujredebi, imunoglobulinebi, IgEantisxeulebi, ujreduli da humorulipasuxi, antigenebi, haptenebi, jvaredini reaqciebis principebi, aerobiologia, kvebiTi alergenebi, profesiuli aleregenebi, imunoTerapiis meqanizmebi, anTebis markerebi ECP, MBP, NO (3Tve).

zepiri Sefaseba

moduli1.2.

1. modulis dasaxeleba, xangrZlivoba - alergiuli daavadebebis diagnostika. specifikuri alergodiagnostikis cneba da etapebi. alegodiagnostikain vivo; alergodiagnostika in vitro(xangrZlivoba – 5 Tve).

2. modulis mizani - alergiuli daavadebebis diagnostikuri meTodologiis Seswavla unarCvevebsa da procedurebze koncentrirebiT.

3. literaturis nusxa - ixileT programis bolos.4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis

raodenoba da modulis Sefasebis meTodebi (mocemulia cxrili # 9-is saxiT). cxrili #9

Teoriuli kursi profesiuli unar-Cvevebi

Sesasrulebeli manipulaciis raodenoba

Sefasebis meTodebi

15


kanisalergiuli sinjebis (wveTovani, prik-testi, kanSiga, aplikaciuri, autologiuri) Catarebis principebi, maTi diagnostikuri Rirebuleba, interpretacia (2 Tve).

kanis aler. sinjebis Catareba 40-50

manipulaciebis Sesrulebis teqnikisa da interpretaciis Sefaseba (saukeTeso,kargi,damakm.,aradamakm.)

provokaciuli testebis Catarebis principebi da interpretacia (1 Tve).

provokac. testebis Catareba

30-40

spirometriis Catarebis teqnika da interpretacia, pikfloumetria (1 Tve).

spirometriis Catareba 15-20

saerToIgE-s gansazRvra ELISA-s meTodiT. specifikuriIgE-s gansazRvra imunoblotingis meTodiT, teqnika, miRebuli Sedegebis interpretacia (1 Tve).

in vitro alerg. kvlevebis Catareba 10-15

moduli 1.3.

1. modulis dasaxeleba, xangrZlivoba –bronquli asTma (xangrZlivoba – 2 Tve).2. modulis mizani - bronquli asTmis diagnostireba, bronquli asTmiT daavadebuli

pacientis marTva.3. literaturis nusxa - ixileT programis bolos.4. Sesasrulebeli samuSaos moculoba, Casatarebeli manipulaciebis

raodenoba da modulis Sefasebis meTodebi (mocemulia cxrili # 10-is saxiT).

cxrili #10

Teoriuli kursis Sinaarsi, moculobaprofesiuli unar-Cvevebi


Sefasebis meTodebi

ganmarteba, etiologia, paTogenezi, Tanamedrove klasifikacia, egzogenuri (atopiuri) da endogenuribronquliasTma (b.a.),misifenotipurivariantebi,maTiklinikuridaxasiaTeba. b.a.-is diagnostika. spirografiis roli b.a.-is diagnostikaSi (1 Tve).

b.a.-is diagnozis dasma, formis gansazRvra

15-20 SemTxvevis prezentacia

bronquliasTmismarTvisZiriTadiprincipebi. specifikuri imunoTerapia. b.a.-is Tanamedrove safexurebrivi mkurnaloba. b.a.-is garTulebebi. asTmuri statusi da misi marTva. b.a.-is prevencia (1 Tve).

b.a.-is mqone pacientis Terapia simZimis gaTvaliswinebiT


profesiulimzadebisIIIwlismodulebi

moduli2.1.16


1. modulisdasaxeleba, xangrZlivoba– alergiuliriniti, araalergiulirinitida maTiTanmxlebidaavadebebi (mwvave da qronikulisinusiti, otiti), atopiuri egzema, kvebiTi alergia, oraluri alergiuli sindromi (xangrZlivoba – 3 Tve).

2. modulis mizani - aRniSnuli daavadebebis diagnostireba, mkurnaloba da prevencia.


raodenoba da modulis Sefasebis meTodebi(mocemulia cxrili # 11-is saxiT).cxrili #11

Teoriuli kursiprofesiuli unar-Cvevebi


Sefasebis meTodebi

alergiuli da araalergiuli rinitis, mwvave da qronikuli sinusitisa da otitis etiologia, paTogenezi, klinikuri formebi, diagnostika, mkurnaloba da profilaqtika (1 Tve).

diagnozis dasma da daavadebis marTva


atopiuri egzemis (neirodermitis) etiologia, paTogenezi, klinikuri formebi, diagnostika, mkurnaloba da prevencia (1 Tve).



kvebiTi alergiisa da oraluri alergiuli sindromis etiologia, paTogenezi, klinikuri formebi, diagnostika, mkurnaloba da prevencia (1 Tve).



moduli2.2.

1. modulis dasaxeleba, xangrZlivoba -inseqtalergia, urtikaria, angioSeSupeba, Tandayolili da SeZeniliC1 esTerazisinhibitorisdeficiti, wamlisalergia, kontaqturidermatiti, profesiulialergia, egzogenurialergiulialveoliti, mastocitozi (xangrZlivoba – 4 Tve).

2. modulis mizani - aRniSnuli daavadebebis diagnostireba, mkurnaloba da prevencia.


raodenoba da modulis Sefasebis meTodebi(mocemulia cxrili # 12-is saxiT).cxrili #12

Teoriuli kursiprofesiuli unar-Cvevebi


Sefasebis meTodebi

inseqtalergiis, urtikariis, angioSeSupebis, Tandayolili da SeZenili C1 esTerazis inhibitoris deficitis etiologia, paTogenezi, klinikuri formebi, diagnostika, mkurnaloba da profilaqtika (1 Tve).

diagnozis dasma da daavadebis mkurnaloba/marTva


wamlis alergiis paTogenezuri meqanizmebi, klinikuri formebi, diagnostika, mkurnaloba da profilaqtika. kontaqturi dermatitis etiologia, paTogenezi, diagnostika da mkurnaloba (2 Tve).

diagnozis dasma da daavadebis mkurnaloba


profesiuli alergiis, egzogenuri alergiuli alveolitisa da mastocitozis

diagnozis dasma da


17


etiologia, paTogenezi, klinikuri formebi, diagnostika, mkurnaloba da profilaqtika (1 Tve).

daavadebis mkurnaloba

moduli2.3.

1. modulis dasaxeleba, xangrZlivoba -antihistaminuri preparatebi, glukokortikosteroidebi, β2-agonistebi, qolinolizuri da membranmastabilizebeli saSualebebi, meTilqsantinebi, leikotrienebis modifikatorebi, kalcineurinis inhibitorebi, monoklonuri anti-IgE preparati (xangrZlivoba – 2 Tve).

2. modulis mizani - alergiuli daavadebebis farmakoTerapiis ZiriTadi jgufebisa da principebis aTviseba.



Teoriuli kursi Sefasebis meTodebiantihistaminuri preparatebis, kortikosteroidebis, β2-agonistebis, qolinolizuri da membranmastabilizebeli saSualebebis moqmedebis meqanizmebi da roli alergozebis mkurnalobaSi (1 Tve).

zepiri Sefaseba

meTilqsantinebis, antileikotrienebis, kalcineurinis inhibitorebis, monoklonuri anti-IgE preparatis moqmedebis meqanizmebi da roli alergiul daavadebaTa mkurnalobaSi (1 Tve).

zepiri Sefaseba

moduli2.4.

1. modulis dasaxeleba, xangrZlivoba- imunoTerapia, preparatebis xarj-efeqturoba da risk-sargebloba, gverdiTi efeqtebi da wamalTa Soris urTierTqmedeba; sainformacio resursebis gamoyeneba, pacientebis gadamisamarTebis sakiTxebi. imunodeficituri daavadebebi: Tandayolili da SeZenili; ujreduli, B sistemis deficitiT mimdinare da kombinirebuli imunodeficitebi (xangrZlivoba – 2 Tve).

2. modulis mizani - imunoTerapiisa da farmakoTerapiis mizanSewonilobis, pacientTa gadamisamarTebis sakiTxebisa da imunodeficituri daavadebebis ganxilva.



Teoriuli kursi profesiuli unar-Cvevebi


Sefasebis meTodebi

specifikuri imunoTerapiis principebi, meTodebi da saxeebi, Catarebis Cvenebebi da ukuCvenebebi, riskebi. preparatebis xarj-efeqturoba da risk-sargebloba, gverdiTi efeqtebi. pacientebis gadamisamarTebis sakiTxebi (1 Tve).

specifikuri imunoTerapiis ganxorcieleba

5-10 prezentacia

imunodeficituri daavadebebi: diagnozis 5-10 prezentacia18


Tandayolili da SeZenili; ujreduli, B sistemis deficitiT mimdinare da kombinirebuli imunodeficitebi. fagocituri da komplementis sistemis imunodeficitebi. etiopaTogenezi, klinika, diagnostika, mkurnalobis ZiriTadi principebi (1 Tve).

dasma da daavadebis marTva

programis Sefaseba/gamocda:

kiTxvari:

programis realuroba ramdenad moicavs programa praqtikuli daniSnulebis sakiTxebs? ramdenad gamoyenebadia programiT aTvisebuli unarebi pacientis sawolTan?

programis integrirebuloba ramdenad damaxsovrebadia SemoTavazebuli informacia? ramdenad aTvisebadia programiT gaTvaliswinebuli unarebi? ramdenad Tavsebadia miRebuli axali codna arsebul codnasTan? ramdenad aRrmavebs axali codna Zvels? ramdenad amdidrebs axali codna Zvels? xom ar modis axali codna ZvelTan konfliqtSi?

ukukavSiri ramdenad iRebT adekvatur da droul ukugebas miRebuli codnisgan? ramdenad gexmarebaT programa sakuTari Tavis SefasebaSi? kmayofili xarT Tu ara mowodebuli informaciis xarisxiT? ramdenad aris programa kolegebTan an maswavleblebTan dialogis wamowyebis

mastimulirebeli? ramdenad giCndebaT pozitiuri survili codnis misaRebad?

Nicol DJ, Macfarlane-Dick D. Formative assessment and self-regulatedlearning: a model and seven principles of good feedback practice. Studies in Higher Education 2006;31:199–218.

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rezidentisTvis gamosayenebeli literatura da resursebi:

1. Roitt’s Essential Immunology. IM Roitt, PJ Delves, SJ Martin, D Burton. Blackwell Publications, 2006.2. Cellular and Molecular Immunology by Abbas and Lichtman, publisher Saunders, 6th edition 2007.3. Allergy 3rd Edition, ST Holgate, MK Church, L Lichtenstein ISBN: 13: 978 0 323 03227 8.4. Allergies and their Management. RS Walls.MacLennan and Petty, Sydney, Elsevier (Australia), 1997.5. Lecture Notes in Immunology. WG Reeves, I Todd.Blackwell Scientifi c Publications, 3rd edition, 2000.6. A Color Atlas of Pediatric Allergy; JO Warner and WF Jackson. Wolfe, 1994.7. Prevention of Allergy and Allergic Asthma. World Allergy Organization Project Report and Guidelines.Eds, S.G.O. Johansson and T. Haahtela. In: Chemical Immunology and Allergy, Vol. 84, 2004. Basel, Switzerland: Karger. Summary available at http://www.worldallergy.org/professional/who_paa2003.pdf. Eds, J Ring et al.8. WAO GLORIA Educational Modules (covering major topics in allergy, eg, Asthma, Rhinitis, Eczema, Drug Allergy, Anaphylaxis, Urticaria, Allergic Conjunctivitis, Sinusitis and Nasal Polyposis.) Available at http://www. worldallergy.org/educational_programs/gloria.9. The Allergic Diseases Resource Centre of the WAO Web site- www.worldallergy.org/adrc/includes numerouseducational synopses that provide suitable reading for students.

programis Seqmnis dros gamoyenebuli literatura:

1. Pawankar R, Baena-Cagnani CE, Bousquet J, Canonica GW, Cruz AA, et al. State of World Allergy Report 2008: Allergy and Chronic Respiratory Diseases. World Allergy Org J. 2008;1(Suppl):S4-S17. Available at www.waojournal.org.2. Kaliner MA, Del Giacco S, Crisci CD, Frew AJ, Liu G, et al. Requirements for physician training in allergy: Key clinical competencies appropriate for the care of patients with allergic or immunologic diseases-a position statement of the World Allergy Organization. Available at www.waojournal.org.

saswavlo literatura:

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http://www.waojournal.org/

http://www/


1) Г. Лолор, Т.Фишер, Д. Адельман - Клиническаяиммунологияиаллергология. М. 2000;2) Р. Патерсон, К . Греммер, А.Гринбергер - Аллергические болезни. М. 2000;3) LawlorGLJr. FisherTJ (etc): ManualofAllergyandImmunologyDiagnosisandTherapy. 3rdedition. Boston, LittleBrown. 1994;4) Middleton E Jr. Reed CE. Ellis EF (etc): Allergy Principles and Practice. Vol-s 1 and 2.4th edition. St. Louis. CV Mosby Co. 1993;5) М. Стэнли М. Нагуа, Эрик Гершвин, Секреты Аллергологии и Имунологии, М 2004(TavisufalgayidvaSi);6) The Merck Manual of Diagnosis and Therapy.// Pulmonary Disorders// Sixteenth Edition 1992(Tssu-s biblioTekaSi).eleqtronuli wignebiAllergic Diseases (Patterson) (OVID: Lippincott Williams & Wilkins) Available to the Yale/YNHH community only;Allergy: Principles and Practice (Middleton) (MD Consult: Mosby) Available to the Yale/YNHH community only;Allergy: Principles and Practice (Middleton) (OVID: Mosby) Available to the Yale/YNHH community only.

internet saitebiwww.telia.ge (eleqtronuli versia qarTul enaze);MEDLINE (Ovid);PubMed (NCBI);Web of Science (ISI).

JurnalebiAllergology International (Blackwell Science);Full text from vol. 47, no. 4 (Dec. 1998) to the present available to Yale/YNHH community;Allergy (Blackwell Science);Full text from vol. 54 (1999) to the present available to Yale/YNHH community;Clinical and Experimental Allergy (Blackwell Science);Full text from vol. 28 (1999) to the present available to Yale/YNHH community.

damatebiTi literatura:Harrison’s Principles of Internal Medicine. 15th Edition, Braunwald, Fauci, Kasper, Hauser, Longo, Jameson. McGraw-Hill.Medical Pablishing Division. 2001; Asthma pp 1419-1426; Hypersensitivity Pneumonitis and Pulmonary Infiltratis with Eosinophilia pp1426-1437; Disorders of the Immune System pp 1753-1860; Anaphylaxis pp 1862-1864; Urticaria and Angioedema pp 1864-1866; Allergic Rhinitis pp1867-1869 (Tssu-s biblioTekaSi).

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