BIOS 486/586 Human Systemic Physiology (5 credits) Fall 2005, Course Description Instructors: Ken Rodnick, Ph.D. Office: LS 327 Biological Sciences Building Office Hours: 4-6 pm Wed. or by appt. Phone: 282-3790 E-mail: rodnkenn@isu.edu Schedule: Curt Anderson, Ph.D. Office: LS 331 Biological Sciences Building Office Hours: 10-11am Mon, Wed or by appt. Phone: 282-5813 E-mail: andecurt@isu.edu http://www.isu.edu/~andecurt Lecture (First 10 weeks – PLSCI 114, Last 6 weeks – PLSCI 117): Monday, Tuesday, Wednesday, and Fridays 8:00-8:50 am Group Discussions of Case Studies: Fridays 8:00-8:50 am LC 4 Laboratory (BIOS 486/586): Friday 9 am-noon or 1-4 pm LS 243 Course Description: The purpose of this course is to familiarize you with function and organization of the human body. Basically, “How does the human body work?” Unlike previous courses you may have had, we will take an “active” rather than a “passive” approach to learning physiological principles and problem solving. As such, we will devote a significant portion of the course to open discussions, model creation, and clinical case studies. We will begin with basic cellular functions and then focus on mechanisms that regulate neural, muscular, cardiovascular, respiratory, urinary, immune, and endocrine systems. Not surprisingly, these topics are extensive and there is a large amount of material to be covered. Don't fall behind on the assigned readings and lecture material; ideally, reading assignments should be completed prior to the class period. We will also expect you to be building your physiology ‘vocabulary’ throughout the semester. Clinical contexts are used thorough the course in all the areas to make the students aware of the importance of physiology in their future medical practice. You are encouraged to visit with your instructors for clarification, discuss the material with classmates, and, if desired, review sessions will be held prior to each exam. Your instructors will also be posting material on WebCT. “Students of physiology should be taught principles rather than facts alone” (Joseph Bancroft 1934) “There is a great difference between teaching and learning; there is too much teaching and not enough learning” (Horace Davenport 1985). 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 discussions. Approach laboratory activities with a degree of enthusiasm and curiosity. 1 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, discussions of case studies 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. 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” and basic electrocardiography Circulatory function and blood pressure Microcirculation dynamics 2 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 Blood volume and extracellular fluid volume Acid-base balance 2.7 Endocrine system Hypothalamus Anterior and posterior pituitary Adrenal medulla and cortex Thyroid gland Pancreatic hormones 2.8 Immune system Tissue healing TOTAL LECTURE HOURS: 45 HOURS ACTIVE LEARNING ACTIVITIES: 48 HOURS 1. SMALL GROUP DISCUSSIONS: 7 HOURS 2. HANDS ON LABORATORY EXERCISES: 39 HOURS 3. COMPUTER LABORATORY: 2 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 Fri. 12/10 Multiple Event First Exam Second Exam Final (Third) Exam Laboratory Presentation Group Discussions of Case Studies 3 Location TBA TBA PLSCI 114 TBA TBA % of final grade 20% 20% 25% 15% 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 4 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 your instructors privately to discuss how to accommodate any needs. Grading averages: A (93.0-100%), A- (89.5-92.9%), B+ (87-89.4%), B (83.0-86.9%), B- (79.5-82.9%), C+ (77-79.4%), C (73.0-76.9%), C- (69.5-72.9%), D+ (67-69.5%), D (63-66.9%), D- (59.5-62.9%), F (<59.5%) 5 Tentative Lecture Schedule for Combined Module – IDEP, OT, PA, and PT 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 IV. 10 9/12 11 9/13 12 9/14 9/16 V. 13 9/19 14 9/20 15 9/21 9/23 VI. 16 9/26 17 9/27 18 9/28 9/30 Ken Rodnick VII. 19 20 21 VIII. 22 23 24 IX. 25 26 27 X 28 29 30 10/3 10/4 10/5 10/7 10/10 10/11 10/12 10/14 10/17 10/18 10/19 10/21 10/24 10/25 10/26 10/28 Chapter 4 Chapter 5 Labor Day The language of the nervous system Chapter 7 Functional organization of the nervous system Case study 2 (Small group conference) Fundamental neuroanatomy The action potential The action potential Case study 3 (Small group conference) The synapse Sensory systems Chapter 8 Sensory systems Case study 4 (Small group conference) Motor systems Chapter 9 Control of Movement Sensory and motor dysfunction Case study 5 (Small group conference) and Examination 1 Autonomic nervous system Chapter 10 Skeletal muscle structure and function Chapter 16 Skeletal muscle structure and function Metabolism and regulation of muscle contraction Case study 6 (Small group conference) Circulation (arteries and veins) Chapter 19 Circulation (capillaries) Circulation (regulation, and disease) Case study 7 (Small group conference) Heart mechanical function Chapter 18 Heart electrical function Regulation of heart function Case study 8 (Small group conference) 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 6 Tentative Lecture Schedule for OT/PT Module Week Lecture Ken Rodnick XI. 31 32 33 XII. 34 35 36 XIII. 37 38 39 XIV. XV. 40 41 42 XVI. 43 44 45 Date Topic Readings 10/31 111 11/2 11/4 11/7 11/8 11/9 11/11 11/14 11/15 11/16 11/18 11/21 11/22 11/23 11/25 11/28 11/29 11/30 12/2 12/5 12/6 12/7 12/9 12/12 Kidney structure and function Kidney structure and function Formation of urine and micturition Case study 10 (Small group conference) Regulation of kidney function and fluid balance Electrolyte balance Acid-base physiology Case study 11 (Small group conference) Calcium and bone homeostasis Bone disease Gastrointestinal system Case study 12 (Small group conference) Thanksgiving Break Thanksgiving Break Thanksgiving Break Thanksgiving Break The immune response and body healing The immune response and body healing Endocrine control mechanisms Case study 13 (Small group conference) Pituitary hormones Endocrine pancreas Physiology of aging Case study 14 (Small group conference) Final Exam 7 Chapter 23 Chapter 24 Chapter 25 Chapter 26 Chapter 28 Chapter 12 Chapter 13 Chapter 15 Tentative Laboratory Schedule for Fall 2005: Week Date Topic I. 8/26 Information gathering (Ken) II. 9/2 Information gathering, somatosensory, reflexes – BioPac (Ken & Curt) III. 9/9 Neurosensory – BioPac (Curt) IV. 9/16 EEG – BioPac (Curt) V. 9/23 EMG – BioPac (Curt & Ken) VI. 9/30 EMG experiment – BioPac (Curt & Ken) VII. 10/7 Skeletal muscle performance – BioPac (Ken) VIII. 10/14 EKG and cardiac function – BioPac (Ken) IX. 10/21 EKG interpretation and blood pressure – BioPac (Ken) X. 10/28 Blood pressure – BioPac (Ken) XI. 11/4 Pulmonary function and spirometry – BioPac (Ken) XII. 11/11 Pulmonary function and spirometry – BioPac (Ken) XIII. 11/18 Independent experiments – BioPac (Curt & Ken) 11/25 Thanksgiving Break XIV. 12/2 Independent experiments – BioPac (Curt & Ken) XV. 12/9 Presentations (Curt & Ken) 8