Lectures in Human Physiology BIOS 464/564 Fall 2005 8:00-8:50am M,T,W,F PLSCI 114 Instructors Curt Anderson, Ph.D. Office: LS 331 Office Hours: 10-11am M,W or by appt. Phone: 282-5813 e-mail: andecurt@isu.edu http://www.isu.edu/~andecurt Ken Rodnick, Ph.D. Office: LS 327 Office Hours: 4-6 pm Wed. or by appt. Phone: 282-3790 e-mail: rodnkenn@isu.edu Course Description Physiology is the study of functions and mechanisms of living organisms. Human Physiology is a course that addresses the processes and mechanisms that are characteristic of human life with an emphasis on several important systems and how these systems interact with each other for maintenance of homeostasis of the organism as a whole. The objectives of this course are to provide students with fundamental concepts of how normal systems work, upon which an understanding of consequences in disease states can be built. Because students in this course have had a previous course(s) in human or mammalian physiology, material will be covered in greater depth. The material will be presented under several major topic areas: general physiology and biological molecules, muscle, endocrine, gastrointestinal, cardiovascular, respiratory, renal and neuro-physiology. These units will be integrated as the course progresses. The study of intrinsic and extrinsic control systems and how they help maintain homeostasis is of prime importance in physiology. An attempt will be made to emphasize understanding the fundamental processes and on problem solving rather than on memorization and recalling excessive amounts of ‘facts’. However, we will be building upon your physiology ‘vocabulary’ throughout the course as your working knowledge of physiology improves. Objectives Detailed objectives will be provided prior to each module, however, in general your goals should be: 1.1 Demonstrate a positive attitude toward learning. Attend didactic lectures and laboratory exercises, and actively participate in open discussions. Approach laboratory activities with a degree of enthusiasm and curiosity. 1.2 Recognize learning objectives as well as responsibilities of the instructor and students. Learning objectives will be provided at the beginning of each topic. The goal and responsibility of the instructor is to facilitate learning and development of problem-solving ability in students. The student, in turn, should not simply be a passive recipient of information. The success of this course depends on effective communication between students and instructor in the classroom. 1.3 Acquire factual knowledge and develop an understanding of physiological concepts and principles. Complete textbook readings and complimentary outside assignments. Student are also expected to develop a wider scope of understanding than can be provided in lecture and laboratory. 1.4 Demonstrate the ability to identify and complete physiology problems, including data analysis and presentation. Perform at an appropriate level (80% or higher) on written examinations and oral presentations. Examinations will strike a balance between fact recall, logical explanation, and synthetic analysis. Evaluation is based on a traditional format (e.g., multiple choice and fill-in-the blank), short essays, and problems that integrate several sources of information. 1.5 Identification of need for further information and location of resources. Students will familiarize themselves with additional resources for medical physiology as it pertains to the PA program. Examples include scientific journals, on-line medical databases, library searches, and Science Citation Index. Students should develop a strong appreciation for seeking clarification in our understanding of physiology as it pertains to clinical medicine and therapy. 2.0 Major physiological systems, including components to be covered: 2.1 Cellular physiology Membrane functions, diffusion, osmosis, and transport processes 2.2 Nervous system Neurotransmitters and receptors Action potential conduction Synaptic transmission Motor function (spinal cord, brain stem, cerebellum and basal ganglia) Autonomic (sympathetic and parasympathetic systems) Somatic sensations (tactile, position, pain, and temperature) Introduction to neuropathology 2.3 Skeletal muscle Mechanism of contraction Muscle spindle Golgi tendon organ Strength, endurance, and fatigue 2.4 Cardiovascular system Cardiac and smooth muscle Characteristics of cardiac contractility The heart as a mechanical pump The “Cardiac Cycle” Basic electrocardiography Circulatory function Blood pressure Microcirculation dynamics 2.5 Pulmonary system Respiratory movement and volumes Gaseous exchange Pulmonary circulation Pulmonary function tests 2.6 Renal system Regulation of water and osmolytes Formation of urine Acid-base balance 2.7 Endocrine system Hypothalamus Anterior and posterior pituitary Adrenal medulla and cortex Thyroid gland Pancreatic hormones Reproductive physiology Required Text R. Rhoades and R. Planzer. Human Physiology. 4th edition. Thomson Brooks/Cole. Pacific Grove, CA. ISBN 0 03-032129-8, 2003. TOTAL LECTURE HOURS: 45 HOURS ACTIVE LEARNING ACTIVITIES: 48 HOURS SMALL GROUP DISCUSSIONS: 5-6 HOURS HANDS ON LABORATORY EXERCISES: 39 HOURS There will be 2 two-hour exams and a final exam. Questions for will be drawn from lecture and laboratory material, reading assignments, vocabulary, module objectives, and case studies. Each exam will consist of short answers and multiple choice questions similar to professional board exams. If you are going to be absent from an exam, bring your situation to our attention at least 48 hours before the exam is given and a make-up exam will be scheduled. Questions about exam results must be resolved before the next exam is given. The final will be take place at 7:30 am on Monday, December 12. Dates Fri. 9/30 Fri. 10/28 Mon. 12/12 Multiple Event Location First Exam Second Exam Final (Third) Exam Group Discussions of Case Studies % of final grade TBA TBA PLSCI 114 TBA 25% 25% 30% ~20% Participation In The Case Studies Case studies are small group learning experiences in which basic physiological science is presentedin a clinical context. They will be are carried out in groups of 10 to 12 students under the direction of one of your instructors. The cases allow students to see the relevance of the knowledge that they gain in class within the context of basic and applied physiology. There will be 14 cases during the 16 weeks duration of the physiology course, and each student is expected to attend 7 cases, on alternate weeks. All students are welcome to attend but not participate on assigned cases. The evaluation of the case studies will be carried out by one of your instructors, who evaluates each student individually. Participation in the case studies is mandatory. The criteria used to evaluate the students in the case studies are as follows: Presence and Alertness…………………………… Preparation…………………………………………… Evoked Participation………………………………… Spontaneous Participation………………………….. 20% 30% 25% 25% The grade obtained by the students in the case studies will count as 20% of the course final grade. Students who do not attend a case study will receive a grade of 0%(zero). If the student has a valid excuse for the absence, then he/she may be given the option of removing the grade by taking a written test pertaining to the specific case study or arranging a discussion of the case with the professor of the specific section. The grade assigned to the student in the specific case study will be the grade obtained in this test or the evaluation carried out by the professor. ISU Official Policy on Academic Integrity Academic integrity is expected of all individuals in academe. Behavior beyond reproach must be the norm. Academic dishonesty in any form is unacceptable. Academic dishonesty includes, but is not limited to, cheating and plagiarism. CHEATING is defined as the act of using or attempting to use, in examination(s) or other academic work, material, information, or study aids which are not permitted by the instructor. PLAGIARISM is defined as representing another person’s words, ideas, data or work as one’s own. Plagiarism includes, but is not limited to, the exact duplication of another’s work and the incorporation of a substantial or essential portion thereof without appropriate citation. Other examples of plagiarism are the acts of appropriating the creative works in such fields as art, music and technology, or portions thereof, and presenting them as one’s own. ISU Official Policy on Disabilities Idaho State University, in the spirit and letter of the law, will make every effort to make reasonable accommodations, according to Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Act. ISU will not discriminate in the recruitment, admission, or treatment of students or employees with disabilities. Students who believe they qualify for services under the Act should contact The Office of Services for Students with Disabilities, Campus Box 8118, (208) 282-3599. Please then meet with me privately to discuss how to accommodate any needs. Handouts and Class Participation Extensive copies of the lecture notes will not be available. Therefore, students are expected to attend class and to take thorough notes during each class. Lecture Schedule for Combined Module – OT, PA, PT and IDEP students Week Lecture Ken Rodnick I. 1 2 3 4 II. 5 6 7 Date Topic Readings 8/22 8/23 8/24 8/26 8/29 8/30 8/31 9/2 Course introduction and expectations Strategies for learning physiology Chemical principles, Cell structure and function Cell structure and function Transport through the cell membrane Transport through the cell membrane Cellular control mechanisms Case study 1 (Small group conference) pp. 2-4, 11-21 pp. 22-27 Chapter 3 Curt Anderson III. 9/5 8 9/6 9 9/7 9/9 Labor Day The language of the nervous system Functional organization of the nervous system Case study 2 (Small group conference) IV. 10 11 12 9/12 9/13 9/14 9/16 Fundamental neuroanatomy The action potential The action potential Case study 3 (Small group conference) V. 13 14 15 9/19 9/20 9/21 9/23 The synapse Sensory systems Sensory systems Case study 4 (Small group conference) 16 17 18 9/26 9/27 9/28 9/30 9/30 Motor systems Sensory and motor dysfunction Autonomic nervous system Case study 5 (Small group conference) Examination 1 VI. Chapter 4 Chapter 5 Chapter 7 Chapter 8 Chapter 9 Ken Rodnick VII. 19 20 21 10/3 10/4 10/5 10/7 Skeletal muscle structure and function Skeletal muscle structure and function Metabolism and regulation of muscle contraction Case study 6 (Small group conference) Chapter 16 VIII. 22 23 24 10/10 10/11 10/12 10/14 Circulation (arteries and veins) Circulation (capillaries) Circulation (regulation, and disease) Case study 7 (Small group conference) Chapter 19 IX. 25 26 27 10/17 10/18 10/19 10/21 Heart mechanical function Heart electrical function Regulation of heart function Case study 8 (Small group conference) Chapter 18 X 28 29 30 10/24 10/25 10/26 10/28 Lung mechanics and function Chapter 20 Pulmonary circulation and gas exchange Chapter 21 Gas exchange and control of breathing and disease Case study 9 (Small group conference) and Examination 2 Lecture Schedule for PA and IDEP Module Curt Anderson Week Lecture Date Topic XI 39 10/31 Kidney structure and function 40 11/01 Kidney structure and function 41 11/02 Formation of urine and micturition 42 11/04 Regulation of kidney function XII XIII 43 44 45 46 11/7 11/8 11/9 11/11 Acid-base physiology Acid-base physiology Energy balance and nutrition Gastrointestinal system I 47 48 49 50 11/14 11/15 11/16 11/18 Regulation of GI function Absorption Endocrine control mechanisms Pituitary hormones/ Adrenals 11/21 11/22 11/23 11/25 Thanksgiving Break Thanksgiving Break Thanksgiving Break Thanksgiving Break 51 52 53 54 11/28 11/29 11/30 12/02 Adrenals continued The endocrine pancreas The endocrine pancreas Growth 55 56 57 58 12/5 12/6 12/7 12/9 Reproductive physiology Reproductive physiology Pregnancy, Fetal development and lactation Pregnancy, Fetal development and lactation 12/12 Final Exam 7:30-9:30am XIV XV XVI Readings Chapter 23 Chapter 25 Chapter 22 Chapter 12 Chapter 13 Chapter 15 Chapter 14 Chapter 32