THE MINISTRY OF HEALTH AND SOCIAL PROTECTION OF THE REPUBLIC OF MOLDOVA STATE UNIVERSITY OF MEDICINE AND PHARMACY „NICOLAE TESTEMIŢANU” Syllabus Course name: Human Anatomy Course Code: F,01.O.001 F. 02.O.001 Type of Course: Compulsory discipline Total number of hours: 170 hours, Including: I semester-102 hours, including: lectures -34 hours, practical hours - 68 hours II semester-68 hours,including: lectures -17 hours, practical hours-51 hours Number of tests provided for the courses: 5 credits, including: I semester - 3, II semester - 2 The teaching staff: MD, associate professor – T.Hacina, MD, assistant – S.Brenișter, Assistant – A.Babuci, Assistant – L.Globa, Assistant – A.Bendelic 1 The purpose of the discipline ”Human Anatomy”: The study of morpho-functional peculiarities of organs and organ systems in different periods of postnatal development and the use of this knowledge in learning basic and clinical disciplines for preventing different diseases and for their proper diagnosis and treatment. A special attribution refers to the educational role in professional training and to self-education when studying our body , which approaches us to the principle of Socrates "Know Yourself". Objectives of formation of students' knowledge of the discipline „Human Anatomy” On the level of understanding and comprehension students need to: - realize the formation of clear and accurate ideas about the human anatomy, its evolution and branches , its role and place among the basic and clinical medical disciplines and about anatomy on live. - know traditional and modern methods of anatomical exploration - possess and reproduce information about the human organism as a whole unit , its relationship with the environment, its constituent elements (tissues, organs, organ systems, appliances) - reproduce knowledge about the essential stages of development of the body, ontogenesis and phylogenesis of organs and organ systems apart - comprehend and reproduce general definitions about the norms, variants of norms , abnormalities and the importance of their application - possess and reproduce information about the human body proportions, constitutional types, and the importance of their application - possess and reproduce information about individual peculiarities, age and sex of all anatomical formations - reproduce information about the general structural peculiarities of the systems and organ systems. - reproduce knowledge about the structure of anatomical formations on macro and macromicroscopic levels , their function, topography, its radiographic, ultrasound, MRI, endoscopic projection and aspect on live . On the level of application students need to: -identify anatomical formations; -arrange all anatomical formations into their correct anatomical position -demonstrate the structural aspects of body regions (the dissected corpse), anatomical preparations, molds, etc. - identify anatomical structures on radiological (radiograms, tomography) and sonographical images, obtained by MRI; - determine on live the parts of bones, muscles, joints, vascular and nervous parts of various body regions; - palpate on live the prominent formations of bones, muscles, joints; - palpate the pulse of the arteries of the head, neck and extremities and indicate their points of compression in order to prevent the bleeding; - reproduce schemes referring to the structure, topography, projection and classification of anatomical formations; - solve problem situations and tests on the structure, topography, functions , live aspects of anatomical formations; - possess basic skills of dissection in the dissecting-room and producing preparations for studies. On the level of integration students need to: - Appreciate the importance of knowledge in human anatomy in learning basic medical disciplines; - Recognize the applicability of anatomical knowledge for diagnosis and treatment of diseases. 2 Conditions and preliminary requirements: Anatomy is a fundamental science of medical education, studying the human organism and its ontogenetic development, which is closely related to the environmental changes and daily activities of each individual. By using the methods, which come to support each physician (palpation, percussion, radiological, endoscopic, CT, ultrasound, ultrasonic methods and others) Anatomy becomes the science of all living forms, and the basis for other disciplines of medical education, including the vocabulary of over 5000 terms. Modern medicine does not require from today's anatomy the an abstract human structure and form, but real data about individual structure. Therefore , Anatomy is the science of living forms, of changing and reorganization of human body. It includes systematization and integration of knowledge about the mutual connection and influence of somatic and visceral systems, about the influence of various external environmental factors on musculoskeletal and visceral activity and on the central nervous system. For a good comprehension of the discipline, there will be needed a good knowledge of biology and anatomy, obtained in undergraduate studies. The basic contents of the course for the first semester A. Lectures: 34 hours Week Theme Nr. of hours I Anatomy as a fundamental science in the study of medicine. Introduction to the 2 hours study of anatomy. Elements of the human body. II General Osteology: Bone Development. Structure and classification of the 2 hours bones, bone as an organ, chemical composition, bone, periosteum. III The skeleton of the trunk and limbs. IV General Arthrosindesmology. Classification of joints between bones. Joint 2 hours biomechanics. V General myology. Development of the muscles. Muscle as an organ. Structure 2 hours and classification of the muscles. Muscular labor, muscular chains and crossings. Annexes of the muscles. VI Functional anatomy of the muscles of the trunk and limbs. VII General Splanchnology. Classification of the viscera. Parenchymatous and 2 hours cavitary organs. Functional anatomy of the digestive system. Peritoneum. VIII Functional anatomy of the respiratory organs. Upper and lower respiratory 2 hours airways. Pleura and mediastinum. IX Anatomy of the cardiovascular system. Heart: structure, development, 2 hours abnormalities. Arteries, veins and microcirculatory network. Collateral circulation. X Functional anatomy of the urinary system. Kidneys and urinary tract: structure, 2 hours development, anomalies. XI Functional anatomy of the reproductive system. Development and anomalies of 2 hours 2 hours 3 2 hours genital organs. XII Functional anatomy of the lymphatic and immune systems. XIII General overview of the central nervous system. the spinal cord and the brain. 2 hours The reticular and limbic systems. XIV Functional anatomy of spinal and cerebral meninges; intermeningeal spaces. 2 hours Cerebrospinal fluid, its production, circulation, absorption. Blood-brain barrier. XV Functional anatomy of the endocrine glands. XVI Functional anatomy of the vegetative nervous system. Central and peripheral 2 hours subdivisions of the VNS. XVII Characteristic features of innervation and vascularization of the visceral and 2 hours somatic organs. Total 2 hours 2 hours 34 hours B. Practical lessons (68 hours) Week I Theme 1 Orientation elements of the human body. Methods of anatomical exploration. 2 hours Skeleton of the trunk. The vertebral column, common structure of the vertebrae, regional particularities of the vertebrae. Sacrum and coccyx, ribs and sternum. Exploration on a living person. 2. Bones of the shoulder girdle and free upper limb: clavicle, scapula, humerus, radius and ulna, carpal bones, metacarpals and phalanges fingers. Exploration on a living person. II III Nr. of hours 2 hours 3. Bones of the pelvic girdle and free lower limb. Hip bone and its components. 2 hours The femur and patella, tibia and fibula, tarsal and metatarsal bones, phalanges of the toes. Exploration on a living person. 4. General arthrosyndesmology: synarthrosis and diarthrosis. Biomechanics of the joints. Junctions of the spine and thoracic cage. Spine as a whole. Thorax as a whole. Exploration on a living person. 2 hours 5. Joints of the shoulder girdle and free upper limb. Sternoclavicular and acromioclavicular joints. The scapulohumeral (shoulder) joint. The elbow joint. Proximal and distal radioulnar joints, radiocarpal joint. Joints of the carpals, metacarpals and phalanges fingers 2 hours 6. Joints of the pelvic girdle and free lower limb. Sacroiliac joint and pubic symphysis. The pelvis as a whole. The hip joint, knee joint. Joints of the leg bones. Talocrural joint. Joints of the tarsal bones. Transverse joint of the foot (Chopart’s joint). The tarsometatarsal joints (Lisfrank’s) and intertarsal joints. Metatarsophalangeal and interphalangeal joints. Strengthen apparatus of the foot. Foot as a whole. 2 hours 4 IV 7. General myology, muscle as an organ. Classification of the muscles, 2 hours muscular annexes. Muscles of the trunk and their fasciae. Muscles and fasciae of the back, topography. Muscles and fasciae of the thorax. The diaphragm. Abdominal muscles and fasciae. The weak places of the anterior abdominal wall. Topography of the abdomen and thorax. 8. Muscles, fasciae and topography of the upper limb. Muscles and fasciae of the shoulder girdle, arm, forearm and the hand. Topography of the axillary region, arm, forearm. Synovial sheaths of the hand. V 9. Muscles, fasciae and topography of the lower limb (pelvic girdle, thigh, leg 2 hours and foot). Muscular and vascular lacunae, femoral triangle, femuropopliteal canal (canalis adductorius), popliteal fossa, cruropopliteal canal, upper and lower musculofibular canals. Retinaculi of the ankle region. Plantar aponeurosis. Active and passive elements supporting arches of the foot. 10. The first assessment: osteology, arthrosyndesmology and myology. VI 2 hours 2 hours 11.General splanchnology. Classification of the viscera by development, 2 hours topography, structure and functions. Cavitary and parenchymatous organs. Esophagus and stomach, divisions, topography, structure, functions. Exploration of the stomach and esophagus of a living person. 12. Small intestine: divisions, topography, structural peculiarities. Distinctive 2 hours relationship with the peritoneum of the duodenum, and mesenterial portion of the small intestines. Large intestine, portions, distinctive features, relationship with the peritoneum, topography. Caecum and vermiform appendix. Colon, its parts. The rectum. Exploration of the small and large intestine. VII 13. Liver and pancreas. Liver, structure, topography, functions, relationship 2 hours with the peritoneum, liver ligaments. Gallbladder, structure, functions. Intrahepatic and extrahepatic biliary ways. Pancreas, structure, topography, functions, relationship with the peritoneum. Exploration of the liver and pancreas of a living person. 14. Spleen and peritoneum. Spleen, structure, topography, functions. Parietal and visceral peritoneum, abdominal cavity, peritoneal cavity and retroperitoneal space. Supramesocolic and inframesocolic storeys of the peritoneal cavity. Peritoneal derivatives. Greater omentum and lesser omentum. Mesenteries. VIII 15. Respiratory system. Upper and lower respiratory airways, general 2 hours characteristics. Trachea, bronchi, lungs - topography, structure, functions. Exploration of the respiratory organs on a living persons. 16. Pleura and mediastinum. Parietal and visceral pleura, pleural cavity, pleural sinuses and their functional importance. Mediastinum, classification. Anterior and posterior mediastinal organs. IX 2 hours 2 hours 17. Urinary system. Kidney, its structure, topography, features, relationship 2 hours with the peritoneum. Fixation apparatus of the kidney. Infrarenal and extrarenal urinary ways. Ureter, urinary bladder. Male and female urethra. Exploration of the kidney and urinary tract. 5 18. Female genitalia. Ovary, uterine tube, uterus, vagina: their structure, topography, functions, relationship with peritoneum. Apparatus of fixation. External genitalia. X XI XII 2 hours 19. Male genital organs: testes, epididymis, scrotum, structure, topography. 2 hours Spermatic cord, prostate, seminal vesicles, bulbourehtral glands, structure, functions. External male genitalia. Topography of the pelvic organs in male and female. Perineum, sex differences. 20. Endocrine system. Structure, topography and functions of the endocrine glands: thyroid, parothyroid, pituitary, epiphyseal, adrenal (medulla and cortex) glands. Endocrine component of the pancreas and gonads (ovary and testis). 2 hours 21. Assessment on viscera. 2 hours 22. General characteristic of the cardiovascular system. Pulmonary and systemic blood circulation. The heart and pericardium, structure, topography, exploration. Pericardial sinuses. Magistral and extraorganic blood vessels. Arteries and veins. 2 hours 23. Parietal and visceral arteries of the trunk cavities. Branches of the ascending aorta and aortic arch. Thoracic aorta and its branches. Abdominal aorta and its branches. Exploration of the arteries and veins. 2 hours 24. Upper and lower limb arteries. Subclavian, axillary, brachial, ulnar and 2 hours radial arteries. Arterial anastomosis of the upper limb. Internal and external iliac artery. Femoral, popliteal, anterior and posterior tibial arteries. Lower limb arterial anastomosis. XIII 25. Systems of the superior and inferior venae cavae. Portal system. 2 hours Regularities of the vein formation. The superior vena cava. Pulmonary veins. The inferior vena cava. Portal vein, its tributaries. Cavo-caval and porto-caval anastomosis. 26. Lymphatic system: lymphatic capillaries, lymphatic vessels, lymph vessels and lymph trunks. Thoracic lymphatic duct and right lymphatic duct. Lymph nodes. Parietal and visceral lymphatics of the trunk cavities. Superficial and deep lymphatics of the upper and lower limbs. Exploration of the lymphatics. XIV 27. Immune system. The central and peripheral immune system. Thymus and 2 hours spleen, topography, structure, functions. Lymphoid formations of the digestive, respiratory and urogenital systems. 28. Central and peripheral nervous system. Spinal cord, shape, topography, internal structure. The segment of the spinal cord, spinal roots, spinal ganglia, spinal nerves formation. Branches of the spinal nerves, principles of somatic plexuses formation. XV 2 hours 2 hours 29. Brain, general characteristics. Brainstem. Medulla oblongata, pons of 2 hours Varolio: external conformation, internal structure, conductive ways. Cerebellum, gray matter and white matter. The fourth ventricle, its ommunications. Rhomboid fossa. Cranial nerves nuclei. Mesencephalon and diencephalon. 6 30. Cerebral hemispheres. Relief of the cerebral cortex. Olfactory brain, the corpus callosum, fornix. Basal nuclei. White matter of the hemispheres. Lateral ventricles. Cerebral and spinal meninges. Cerebrospinal fluid. Blood-brain barrier. 2 hours 31. Nerves of the trunk and upper limb. Thoracic spinal nerves and their 2 hours branches. Brachial plexus, its formation. Long and short branches of the brachial plexus. Exploration on a living person. XVI 32. Nerves of the pelvis and lower limb. Lumbar plexus, its formation, long and short branches. Sacral plexus, branches, areas of innervation. Exploration. 2 hours 33. Vegetative nervous system: its structural and functional peculiarities. 2 hours Sympathetic and parasympathetic nervous systems, their central and peripheral portions. Preganglionic and postganglionic nerve fibers. General notions about visceral innervation. Nervous plexuses of the thoracic, abdominal and pelvic cavities. XVII 34. Assessment of knowledge acquired from practical classes: 22 – 33. Total 2 hours 68 hours The basic contents of the course for the second semester C. Lectures: 17 hours Week Theme Nr. of hours I Skull development. Skull and facial cranium. Developmental abnormalities. Morpho-functional features of the skull. 2 hours II Age and gender features of the skull bones. Periods of intensive development of the skull. Skull topography. Skull joints. Oral cavity. Functional anatomy of odonton. 2 hours III Muscles and fasciae of the head. Muscles of mastication and facial expression, development and morphofunctional peculiarities. Topography of the head. Interfacial spaces of the head. Biomechanics of the temporomandibular joint. 2 hours IV Muscles and fasciae of the neck. Neck topography. Interfascial spaces of the neck and their importance in spreading of suppurative processes 2 hours V Functional anatomy of the arterial and venous system of the head and neck. Head and neck lymphatics. Arterial and venous anastomosis in head and neck regions and their practical importance. 2 hours VI Functional anatomy of cranial nerves. Cranial nerve connections with the autonomic nervous system. Particular feature characteristics of cranial nerves. 2 hours VII Somatic and autonomic innervation of the muscles, joints and organs of the head and neck regions. Cervical plexus, its formation principles, areas of innervation. 2 hours 7 VIII Functional anatomy of the sense organs. General characteristics and classification of the analyzers. Conductive paths of analyzers. 1 hour Total 17 hours D. Practical classes (51 hours) Week Theme Nr. of hours I Skull - compartments, structural features skull. Skull bones: occipital, frontal, parietal and sphenoid. 3 hours II Temporal bone and ethmoid bone, structure, foramens, cavities. 3 hours III Facial skull bones: maxilla, mandible, zygomatic, nasal, palatine, lachrymal, inferior nasal cone, vomer and hyoid bone. 3 hours IV Overall skull: cranial calvaria, endobase and exobase of the cranium, orbit, nasal cavity, oral cavity bone formation. Temporal, infratemporal and pterigopalatine fossae. 3 hours V Age and gender features of the skull. Articulation of the skull, temporomandibular joint and its biomechanics. 3 hours VI Muscles of the head and neck. Mimic and masticatory muscles. Peculiarities of structure functions. Mimics. Neck muscles. Occipitovertebral muscles. Fascia and topography of the head and neck. 3 hours VII Oral cavity, tongue, teeth, salivary glands. Pharynx, topography, structure, functions. Deglutition. Nasal cavity and paranasal sinuses, structure, functions. Larynx, structure, topography, functions. 3 hours VIII The first assessment. Common carotid artery and its branches. External carotid artery. Internal carotid artery, branches, paths, areas of vascularization, anastomoses intra-and intersystemic. 3 hours IX Subclavian artery and its branches. Vascularization of the head and neck organs. Arterial anastomosis of the head and neck. Pulse palpation sites on the head and neck arteries. 3 hours X Veins and lymphatics of the head and neck. Brain veins, venous sinuses of the Dura matter. Venous connections of intracranial and extracranial system (emissary and diploic veins). Superficial and deep veins of the head. Jugular veins: anterior, external and internal. Head and neck lymphatics. 3 hours XI Trigeminal nerve (V) nuclei, fibril structure, trigeminal ganglia. Path branches, areas of innervation, connections. Conductive path of the trigeminal nerve. 3 hours XII Facial nerve (VII). Topography, branches and regions of innervation. Inside and extracanalicular branches. Conductive path of the facial nerve. 3 hours XIII Cranial nerves: glossopharyngeal (IX), vagus (X), accessory (XI) and hypoglossal (XII). Origin, paths, branches, areas of innervation. Taste analyzer. 3 hours 8 Intrasystemic and intersystemic connections of the cranial nerves. XIV Cervical plexus, forming, structure, topography, branches of cervical plexus, innervation zones. Innervation and vascularization of skin, muscles and organs of the the head and neck. 3 hours XV Organ of vision. Eyeball, structure, topography. Chambers and reflecting media of the eyeball. Eyeball annexes. Conductive path of the visual analyzer. Cranial nerves: optic (II), oculomotor (III), trochlear (IV), access (VI). Olfactory analyzer. 3 hours XVI Vestibulocochlear organ. Auricle, external auditory canal, tympanic membrane, tympanic cavity and its contents, communications, bone and membranous labyrinth. Vestibulocochlear nerve (VIII). Conductive path of the acoustic and balance analyzers. 3 hours XVII Assessment of knowledge ofthe section "Anatomy of the head and neck" and the third assessment. 3 hours Total 51 hours Recommended Bibliography Basic sources: 1. M.Prives, N.Lysenkov, V.Bushkovich “Human Anatomy”, v. I,II, 1989 2. R.D. Sinelnikov “Atlas of human anatomy” v. I,II,III,IV M-1990 3. Keith L. Moore, Artur F. Dalley, Anne M.R.Agur “Clinically Oriented Anatomy”, 6-th edition, 2007. Additional sources: “Gray’s Anatomy” 27-th edition Gray’s Atlas of Anatomy. Richard L.Drake, A.Wayne Vola, Adam V.M. Mitchell, Richard M.Tibbitts, Paul E. Richardson. International Edition, 2008. 3. Frank H. Netter “Atlas of Human Anatomy”4-th Edition, 2006 4. Artur C.Guyton “Anatomy and Phyziology” Philadelphia, New York,Chicago, 1985 5. Romanes G.J. “Cunningham’s manual and practical anatomy” Volume I “Upper and lower limbs”; Volume II “Thorax and abdomen”; Volume III “Head, neck and brain” 6. Gardner Ernest “A regional study of Human structure” 7. Heinz Fencis “Pocket atlas of Human anatomy” 8. James E. Angerson M.D. “Grant’s atlas of anatomy” 9. Wilhelm Firban, Roland Sehmield “Atlas of Radiologic Anatomy” 10. Yohaness Sobotta “Human anatomy ”, Munhen-Wien-Baltimor, Bonn, Germany, 1977 1. 2. Methods of Teaching and Learning: The discipline “Human Anatomy” is taught by using classical methodology: that is lectures and practical classes. The theoretical course is taught on lectures by the course lecturers. At practical classes, students together with their group teacher will study the preliminary made anatomical 9 preparations, will use drawings, molds, tables, will complete their notebooks for practical works ,will individually perform preparations on a subject, which will be shown to their colleagues later. Suggestions for individual activity Passive listening of course lectures is one of the least effective methods of learning, even in case of using modern methods of teaching. Therefore , to achieve the goals a variety of methods of learning are in need. Practical performing of any task is more efficient than just reading about how to perform it, but it is even more efficient to teach others to do so. Those who wish to succeed in learning Human Anatomy Course need to work with illustrative material insistently and actively. Regarding the methodology of learning, the department will propose a few useful tips to follow: 1. At first it is necessary to get acquainted with the theme and subjects that you have to answer using your notebooks for practical works. 2. Read carefully the material from the book , make notes.Try to formulate the key moments by your own . Study diagrams and pictures from your books and notebooks. Apply your knowledge on anatomical preparations. Answer the questions and tests written in the notebooks for practical work. Think of the connection between the gained information and a human being. 3. Come to lectures and practical classes not only for presence! If you do so, there might be a little probability that you’ll meet all the requirements. Write down carefully all the information at the lectures, comprehend it thoroughly , always ask yourself if you understand what it is spoken about and if the studied material corresponds to what you studied before and appreciate your level of knowledge. 4. Remember! Teachers are happy when students ask questions on the subject. Participate in conversations, put questions to the teacher, colleagues and yourself. This means that you try to understand and process the taught material. 5. For a more productive study divide into groups of 2-3 students in order to meet regularly for discussions on the material studied from lectures and practical classes, prepare for tests and exams. As a rule, working in small groups can help you get a more comprehensive, clearer and steady understanding than working individually. In addition to, the ability to explain the learned material to colleagues will develop memory and speech which are useful things for future. 6. Human Anatomy Discipline requires good knowledge from students. It should be mentioned that it contains about 5000 terms, most of which need to be memorized. These requirements imply a rational use of time, so you have to manage your time and find a reasonable balance between the effort made for acquiring useful knowledge and other responsibilities to the social and personal life. A deep knowledge of the discipline requires that each hour of work spent directly with a teacher should be supplemented with 1-2 hours of individual study. Therefore, for the sufficient acquirement of the discipline Human Anatomy students should work individually for approximately 8-10 hours a week. Methods of Evaluation During two semesters of study of Human Anatomy there will be 5 assessments (formative testing), as follows: I semester: Evaluation1- Osteology, Arthrosyndesmology, Myology. 10 Evaluation 2- Splanchnology and Endocrine system. Evaluation 3 – Cardiovascular, Lymphatic, immune systems. Central and peripheral nervous systems. II semester Evaluations 4 and 5 – Anatomy of the head and neck So in this way, the formative testing consists of five assessments provided for two semesters. Each test is marked separately with scoring from 0 to 10 and can be taken twice. The average is formed by summing up the gained points from semester evaluations divided to three. The tests include checking of assessed knowledge gained from practical work and theoretical course on a specific chapter of study and include the demonstration and annotation of natural anatomical preparations, the description and annotation of various schemes and drawings from the notebooks for practical work. On promotional exam in Human Anatomy (quarterly and annually) only the students who scored 5.0 and more for the semester and who recovered all missed practical classes are admitted. Students who have absences from lectures will be given additional questions discussed at course lectures. Traditionally the exam ( the summative evaluation) in Human Anatomy consists of practical and oral testing. Stage I (practical test) includes the checking of students’ practical skills and their demonstration of anatomical formations studied at practical classes. The testing is performed by using cards which contain 10 questions. Three of them are underlined and are the most important ones for the assessment. If the students do not know them they are not admitted to the second stage of the exam – that is testing on theoretical knowledge. The demonstration or description of anatomical parts begin immediately after the respondents draw out the exam card , without being given time to prepare. When considering the answers to the exam questions, the examiner receives a special file where the points for each answer are fixed as well as the total amount of points. Stage II (oral test) consists of the oral checking up of theoretical knowledge and it iscarried out in the presence of two examiners. The exam cards contain 3 different tasks, studied during the semester at lectures and practical classes. The evaluation of theoretical knowledge shall be performed in accordance with the total number of points received from those three topics marked with grades from 0 to 10. The subjects for the exams (the Ist and IInd stage) are approved at the chair meeting and are announced to students at the beginning of the semester. The general mark is decided according to three factors: semester medium mark (with 0,5 coefficient), practical test ( Ist stage) – coefficient 0,2 and oral test (IInd stage) with the coefficient 0,3. The knowledge evaluation is appreciated with marks from 10 to 1, (without decimals) as follows: - mark 10 or “excellent” (equivalent ECTS-A) will be offered for the assessment of 91-100% of the material; 11 - mark 9 or ”very good” (equivalent ECTS-B) will be offered for the assessment of 81-90% of the material; mark 8 or “good” (equivalent ECTS-C) will be offered for the assessment of 71-80% of the material; mark 6 and 7 or “satisfactory” (equivalent ECTS-D) will be offered for the assessment of 6165% and 66-70% of the material; mark 5 or “weak” (equivalent ECTS-E) will be offered for the assessment of 51-60% of the material; marks 3 and 4 (equivalent ECTS-FX) will be offered for the assessment of 31-40% and respectively 41-50% of the material; marks 1 and 2 “unsatisfactory” (equivalent ECTS-F) will be offered for the assessment of 030% of the material; The absence at the exam without any reason means “absent” and is equivalent to “0”(zero). The student is allowed to pass the exam twice. Language of teaching: Romanian, Russian, English 12