Guías Docentes Electrónicas
1. General information
Course:
CLINICAL BIOCHEMISTRY
Code:
13323
Type:
CORE COURSE
ECTS credits:
6
Degree:
341 - UNDERGRADUATE DEGREE PROGRAMME IN BIOCHEMISTRY
Academic year:
2023-24
Center:
501 - FACULTY OF ENVIRONMENTAL SCIENCES AND BIOCHEMISTRY
Group(s):
40 
Year:
3
Duration:
C2
Main language:
Spanish
Second language:
Use of additional languages:
English Friendly:
Y
Web site:
Bilingual:
N
Lecturer: YOLANDA CAMPOS MARTIN - Group(s): 40 
Building/Office
Department
Phone number
Email
Office hours
Edificio 6/10
QUÍMICA INORG., ORG., Y BIOQ.
Yolanda.Campos@uclm.es

Lecturer: MARIA JIMENEZ MORENO - Group(s): 40 
Building/Office
Department
Phone number
Email
Office hours
Sabatini/0.8
Q. ANALÍTICA Y TGIA. ALIMENTOS
926051710
maria.jimenez@uclm.es
Tuesday, Wednesday and Thursday from 12 p.m. to 2 p.m. Arrange an appointment by e-mail.

Lecturer: ÁNGELA MARQUINA RODRÍGUEZ - Group(s): 40 
Building/Office
Department
Phone number
Email
Office hours
QUÍMICA INORG., ORG., Y BIOQ.
Angela.Marquina@uclm.es

Lecturer: ROSA DEL CARMEN RODRIGUEZ MARTIN-DOIMEADIOS - Group(s): 40 
Building/Office
Department
Phone number
Email
Office hours
Sabatini/0.16
Q. ANALÍTICA Y TGIA. ALIMENTOS
5420
rosacarmen.rodriguez@uclm.es

2. Pre-Requisites

It is recommended to have a previous knowledge about Fundamentals of Biochemistry, Methodology and Instrumentation in Biochemistry, Molecular Pathology and Human Physiology.

3. Justification in the curriculum, relation to other subjects and to the profession

This is a mandatory subject focused on two main aspects, the analytical methodology that is usually employed for the determination of main metabolites in clinical analysis and the study of the potential metabolic alterations of these analytes and their clinical implications. 

This subject also presents the role of a biochemist in a clinical laboratory mainly related to the interpretation of clinical analysis and the detection of potential pathologies.


4. Degree competences achieved in this course
Course competences
Code Description
E01 Express themselves correctly in basic biological, physical, chemical, mathematical and computer terms.
E02 Work properly and quality driven in a chemical, biological and biochemical laboratory, including safety, handling and disposal of waste and keeping a record of activities.
E03 Understand and know how to explain the physical and chemical bases of biochemical processes and the techniques used to investigate them
E04 To know the principles and applications of the methods and instrumentation used in bioanalytical determinations.
E12 Have the numerical and computational skills to apply mathematical procedures for data analysis.
E13 Correct handling of different computer tools
E28 Calculate well the sensitivity, specificity, predictive value and efficiency of an analytical test and interpret the results obtained, with respect to the reference intervals.
E29 To interpret the results of the biochemical parameters of a blood and urine analysis, among others, suggesting the orientation of the possible underlying pathologies of the alterations found.
G01 To possess and understand the knowledge in the area of Biochemistry and Molecular Biology at a level that, based on advanced textbooks, also includes cutting-edge aspects of relevance in the discipline
G03 Be able to collect and interpret relevant data, information and results, draw conclusions and issue reasoned reports on relevant social, scientific or ethical issues in connection with advances in Biochemistry and Molecular Biology.
T01 Proficiency in a second foreign language, preferably English, at level B1 of the Common European Framework of Reference for Languages
T03 A correct oral and written communication
T05 Organizational and planning skills
T06 Capacity for design, analysis and synthesis
T08 Ability to work as a team and, where appropriate, exercise leadership functions, encouraging entrepreneurship
5. Objectives or Learning Outcomes
Course learning outcomes
Description
Know how to evaluate and interpret the results of the analytical parameters.
To apply and know the quality control methods in clinical analysis laboratories, understanding the concepts of reference interval and variation of results by analytical and biological cause.
Learn how to handle biological samples in the appropriate conditions and considering the factors that could affect the specific analysis.
Understand the use of molecular biology tools to determine analytical parameters.
Interpreting the results of biochemical and cellular parameters of an analysis and suggesting possible pathologies according to the alterations found.
To know the basic applications of analytical biochemistry.
Perform the most common determinations in clinical analysis laboratories.
Additional outcomes
Not established.
6. Units / Contents
  • Unit 1: Introduction to clinical biochemistry.
    • Unit 1.1: Introduction to clinical analysis.
    • Unit 1.2: Pre-analytical phase.
    • Unit 1.3: Analytical phase.
    • Unit 1.4: Post-analytical phase.
  • Unit 2: Analytes and metabolic pathways.
    • Unit 2.1: Hydroelectrolitic balance and its alterations. Blood gases.
    • Unit 2.2: Acid-base balance and its alterations. Biological buffer systems.
    • Unit 2.3: Study of alterations of plasma, urine and cerebrospinal fluid proteins.
    • Unit 2.4: Biochemical diagnosis and follow-un of patients with alterations in carbohydrate metabolism. Diabetes and Hipoglycemia.
    • Unit 2.5: Study of the biochemical alterations involved in the study of dyslipidemias.
    • Unit 2.6: Biochemical diagnosis of iron-related disorders.
  • Unit 3: Biochemical analysis of the function of organs and tissues.
    • Unit 3.1: Cardiac markers related to the diagnosis of acute cronary syndrome and heart failure.
    • Unit 3.2: Biochemical alterations of liver function.
    • Unit 3.3: Biochemical alterations related to gastrointestinal function.
    • Unit 3.4: Biochemical magnitudes involved in the study of renal function.
    • Unit 3.5: Hormones regulating homeostasis of calcium and phosphorus.
    • Unit 3.6: Endocrine and biochemical alterations of the hypotalamic-hypophyseal axis and hypotalamic-hypophyseal- thyroid axis.
    • Unit 3.7: Endocrine and biochemical alterations of the hypotalamic-hypophyseal-adrenal and hypotalamic-hypophyseal-gonadal axis.
    • Unit 3.8: Tumor markers used in clinical practice.
ADDITIONAL COMMENTS, REMARKS

Laboratory sessions:

- Determination of metabolites of clinical interest in biological matrices (urine and/or blood).

- Interpretation of experimental results and clinical case studies.

 


7. Activities, Units/Modules and Methodology
Training Activity Methodology Related Competences (only degrees before RD 822/2021) ECTS Hours As Com Description
Class Attendance (theory) [ON-SITE] Lectures E01 E03 E12 T01 1.5 37.5 N N The presentations to follow the teaching classes will be available at the Moodle virtual platform for download. Each presentation will indicate the objetives and the contents of each topic. Teaching classes will be developed in an interactive way with the students including open discussion.
Study and Exam Preparation [OFF-SITE] Self-study 3.2 80 N N
Class Attendance (practical) [ON-SITE] Practical or hands-on activities E02 E04 E12 E13 E28 E29 G03 T05 T06 T08 0.72 18 Y Y The subject will include experimental work in the laboratory, where the students will have to apply and test the theoretical concepts. Moreover, the students will developed the skills for manipulating biological samples and chemical according to safety and waste disposal standards. This activity will be compulsory but unrecoverable. The evaluation of this activity will be recoverable, either in the extraordinary or special call for completion.
Practicum and practical activities report writing or preparation [OFF-SITE] Group Work E12 E13 E28 E29 G01 G03 T01 T03 T05 T06 T08 0.4 10 Y Y The students will deliver a practical note book with their results of lab sessions 1 & 2. This activity will be compulsory and unrecoverable.
Other on-site activities [ON-SITE] Assessment tests E01 E03 E29 T03 0.04 1 Y Y There will be a written test in which laboratory practices sessions will be evaluated. This activity will be mandatory and recoverable, either in the extraordinary or special call for completion.
Final test [ON-SITE] Assessment tests E01 E03 E04 E12 E28 G01 G03 T03 0.1 2.5 Y Y A final written test will evaluate the theoretical concepts of the subject. This activity will be mandatory and recoverable in the extraordinary call.
Mid-term test [ON-SITE] Assessment tests E01 E03 E04 E12 E28 T03 0.04 1 Y Y The evaluation will include a mid-term test for Unit 1 and topics 2.1 and 2.2 of Unit 2. This activity will be mandatory and recoverable in the extraordinary call.
Total: 6 150
Total credits of in-class work: 2.4 Total class time hours: 60
Total credits of out of class work: 3.6 Total hours of out of class work: 90

As: Assessable training activity
Com: Training activity of compulsory overcoming (It will be essential to overcome both continuous and non-continuous assessment).

8. Evaluation criteria and Grading System
Evaluation System Continuous assessment Non-continuous evaluation * Description
Test 22.50% 22.50% This test will evaluate the laboratory sessions. This activity will be mandatory and recoverable. A minimum score of 4 points out of 10 in this test is required to make average with the rest of the marks.
Practicum and practical activities reports assessment 2.50% 2.50% A lab-book report of lab sessions 1 & 2 will be delivered within the indicated period of time. The delivery of this report is mandatory to pass the subject.
Final test 50.00% 75.00% Final written test to assess theoretical knowledge. For continuous assessment, it will encompass topics 2.3-2.6 of Unit 2 and Unit 3. For non-continuous evaluation, it will consist of two parts, one of the first 6 topics and another of the rest of the topics. The final test will be compulsory and recoverable. To apply the grades obtained in the other activities and pass the subject, it will be necessary to obtain a minimum grade of 4 out of 10 in the final test (continuous or non-continuous evaluation).
Mid-term tests 25.00% 0.00% A partial test of Unit 1 and topics 2.1 and 2.2 of Unit 2 will be carried out. This activity will be compulsory and recoverable in the extraordinary call. In order to pass this activity it will be necessary to obtain a minimum grade of 4 points out of 10.
Total: 100.00% 100.00%  
According to art. 4 of the UCLM Student Evaluation Regulations, it must be provided to students who cannot regularly attend face-to-face training activities the passing of the subject, having the right (art. 12.2) to be globally graded, in 2 annual calls per subject , an ordinary and an extraordinary one (evaluating 100% of the competences).

Evaluation criteria for the final exam:
  • Continuous assessment:
    The evaluation assigned by default to the student will be the continuous evaluation. Any student may request the change to the non-continuous evaluation modality (before the end of the classes period) by sending an email to the professors if they have not completed the 50% of the evaluable activities.
    In order to pass the subject it will be necessary to obtain a minimum grade of 4 in the final test, in the partial test and in the laboratory practice exam, as well as the delivery of the lab-book report of lab sessions 1 and 2. Any of these 3 exams of the subject (mid-term, final or laboratory tests) may be recovered in the extraordinary call. The final grade for the course will be calculated taking into account the percentages in the table above. The subject will only be considered passed if the set of all evaluable activities results in a grade of 5 or higher (out of 10).
  • Non-continuous evaluation:
    In order to pass the subject it will be necessary to obtain a minimum grade of 4 in the final test and a minimum of 4 in the laboratory practice exam, as well as the delivery of the lab-book report of lab sessions 1 and 2. The final grade for the course will be calculated taking into account the percentages in the table above. The subject will only be considered passed if the set of all evaluable activities results in a grade of 5 or higher (out of 10).

Specifications for the resit/retake exam:
Students who have not passed the mid-term test will be examined of the entire syllabus in the final test. Therefore, the assessment of this test will correspond to 75% of the final grade. Those students who only have to recover a part of the subject will be examined only of those contents with the corresponding weight (25% or 50%). In order to pass the subject it will be necessary to obtain a minimum grade of 4 in the theory exam and a minimum of 4 in the laboratory exam. The final grade for the course will be calculated taking into account the percentages in the table above. The subject will only be considered passed if the set of all evaluable activities results in a grade of 5 or higher (out of 10).
Specifications for the second resit / retake exam:
The assessment of the final test is 75% and of the practice exam 25% in the special call for completion. In order to pass the subject it will be necessary to obtain a minimum grade of 4 in the final test and a minimum of 4 in the lab exam.
9. Assignments, course calendar and important dates
Not related to the syllabus/contents
Hours hours

10. Bibliography and Sources
Author(s) Title Book/Journal Citv Publishing house ISBN Year Description Link Catálogo biblioteca
 
Bishop, M.L. Clinical chemistry : principles, techniques, and correlation Lippincott Williams & Wilkins, 978-1-4511-1869-8 2013 Ficha de la biblioteca
Castaño López, Miguel Ángel Bioquímica clínica: de la patología al laboratorio 978-84-8473-617-2 2007 Ficha de la biblioteca
David Holme Analytical Biochemistry Prentice Hall 9780582294387 1998  
Delvin Thomas Bioquímica: libro de texto con aplicaciones clínicas Reverté 9788429172089 2008  
Fuentes Arderiu, X. Bioquímica clínica y patología molecular Reverté 84-291-1856-X 1998 Ficha de la biblioteca
García Espinosa, Benjamín Fundamentos y técnicas de análisis bioquímicos Algaida 978-84-7647-932-2 2009 Ficha de la biblioteca
García Segura, Juan Manuel Técnicas instrumentales de análisis en bioquímica Síntesis 978-84-7738-429-8 2008 Ficha de la biblioteca
Gaw, A. Bioquímica clínica : texto y atlas en color / Elsevier 978-84-9022-786-2 2014 Ficha de la biblioteca
González Hernández, Álvaro Principios de bioquímica clínica y patología molecular / Elsevier España 9788491133896 2019 Ficha de la biblioteca
González de Buitrago, José Manuel Técnicas y métodos de laboratorio clínico Elsevier-Masson 978-84-458-2029-2 2010 Ficha de la biblioteca
J. W. Baynes y M. H. Dominiczak Bioquímica médica Elsevier 978-84-8086-730-6 2011 Ficha de la biblioteca
Jesús Prieto Valtueña; José Ramón Yuste Interpretación de análisis y pruebas funcionales. Elsevier España 9788445820308 2015  
Kathleen Deska Pagana; Timothy J. Pagana Guía de pruebas diagnosticas y de laboratorio Elsevier España 9788480863582 2008  
Marshall, William J. Bioquímica clínica Elsevier 978-84-9022-115-0 2013 Ficha de la biblioteca
Ocon Navaza, Mª Carmen D' Fundamentos y técnicas de análisis bioquímico: principios de análisis instrumental Paraninfo 84-9732-159-6 2002 Ficha de la biblioteca
Pilar Roca Bioquímica, técnicas y métodos Hélice 84-921124-8-4 2003 Ficha de la biblioteca



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