HUMAN PHYSIOLOGY – HS2410 SPRING 2016 The Faculty, Fellows, Students, and Staff of the Physiology Department welcome you to the Human Physiology HLSC2410 course. Physiologists explore the normal functioning of living organisms. In Human Physiology, functional processes within each organ system of our bodies are studied to determine how homeostasis, the maintenance of an optimal internal environment that supports cellular life, is achieved. These processes, resulting from regulated functions of each organ system, involve coordinated neural and hormonal communication systems. We will study each system individually, and as the course progresses, you will learn to integrate each system to understand how homeostatic regulation of the whole body attempts to return abnormal function to normal homeostasis. Our goal is to help you achieve a working knowledge of physiology, not just a memory bank full of physiological facts, as you acquire an understanding of and an appreciation of organ function and homeostatic control mechanisms. E. H. Starling, a famous physiologist of the early 20th century, once remarked that "The physiology of today is the medicine of tomorrow." We hope your efforts to learn physiology will equal or surpass our efforts to teach you this most important science for all healthcare professionals. I. COURSE CO-DIRECTORS: Dr. Raymond E. Shepherd and Dr. Lisa M. Harrison-Bernard The Course Co-Directors are directly responsible for supervision and administration of HS2410. Any policy or schedule change will be formally announced by Dr. Shepherd and/or Dr. Harrison-Bernard by E-mail or Moodle. Dr. Harrison-Bernard is pleased to schedule an appointment by E-mail to meet with you in her office. She is unable to meet with students that do not have a prior appointment. Dr. Shepherd has an open door policy – if the door is open, come in. However, prior appointments will reserve your requested date and time with Dr. Shepherd. II. INSTRUCTORS Raymond E. Shepherd, PhD Lisa M. Harrison-Bernard, PhD Anthony A. Duplanty, PhD Jason D. Gardner, PhD Alan J. Mouton, BS; PhD Student Andrew A. Pellett, PhD Andrew L. Pitt, CRNA, DNP Annie M. Whitaker, PhD Barry J. Potter, PhD Flavia M. Souza-Smith, PhD John B. Zamjahn, PhD Margaret A. Zimmerman, PhD Stefany D. Primeaux, PhD Building/Rm Office Phone MEB, 7C29 568-6191 MEB, 7C7 568-6175 MEB, 7A2 568-6171 MEB, 7B1 568-7252 MEB, 7F3 568-6171 N/AH, 6A-1 568-4229 N/AH, 154 896-9478 MEB, 7A2 568-6171 MEB, 7C10 568-3385 MEB, 7A2 568-2203 N/AH, 6A-5 568-4234 Tulane Med Sch MEB, 7159D 568-2633 Page 1 of 7 E-mail address rsheph@lsuhsc.edu lharris@lsuhsc.edu adupl4@lsuhsc.edu jgardn@lsuhsc.edu amout2@lsuhsc.edu apelle@lsuhsc.edu apitt@lsuhsc.edu awhita@lsuhsc.edu bpotte@lsuhsc.edu sfouz1@lsuhsc.edu jzamja@lsuhsc.edu mzimmer5@tulane.edu sprime@lsuhsc.edu III. LEARNING PHYSIOLOGY Doing well in Physiology will require concentrated effort on your part, as you will become involved in your own learning process. The following tips will enhance your chances for success in this course: 1. A cursory understanding of the material is only the foundation from which to begin studying. Use the questions in the textbook to help guide your understanding of the physiologic concepts presented in class. 2. Facts are only memorized; understanding physiology requires integration and application of concepts. Ask yourself, “What is the primary concept this unit covers?” Then study to understand the application of that concept to physiologic regulation of whole-body homeostasis. 3. One learns by hearing what is being taught, observing what is being taught, experiencing what is being taught, and then teaching another person what was taught to you. Use this process during your learning. 4. Read carefully the assigned and relevant chapters and sections in the textbook before class sessions. 5. Take your own notes during lectures. As soon after the lecture as possible, integrate your notes with the textbook (focus on tables and figures) and other lecture materials. Look at the material from different angles. Embrace this new experience of learning. 6. Form small study groups and meet at least once per week throughout the entire semester. Review class material by taking turns “teaching” the other members of the study group. You will really understand physiology when you can help another student learn physiology. 7. Apply facts and concepts presented in the lecture to the clinical scenarios presented in the textbook. Moderate to severe exercise is used as a clinical scenario throughout the course because we can easily visualize this activity. IV. LECTURES, ATTENDANCE, TEXTBOOK Lectures: Class meets Tues and Fri from 8-10 AM (LH-C) in the Nursing-Allied Health Bldg. Class begins at 8 AM sharp. The lectures support and supplement the textbook. The textbook will help you understand basic physiological concepts as applied to patient care. Read the assigned chapter in the textbook prior to class. You must achieve a working knowledge of physiology, not just memorizing physiological facts. Our emphasis will be on the application of physiological concepts for patient care. Textbook: Human Physiology: The Mechanisms of Body Function by Widmaier, Raff, and Strang, 13th edition (McGraw-Hill: ISBN 9780073378305). Earlier versions of the textbook are not recommended. Our PPT slides are not equal to the textbook. You are responsible for applying the textbook material to supplement the PPT slides that we present in class. Read and study the textbook as you study the slides. Laboratory: The ECG lab (MEB-MDL #6) will be given on Tues and Thurs from 1-4 PM. You need attend only one session of this lab (AbPsych students must have lab on Tues). The MDL labs are on the 4th floor of the Medical Education Building (MEB). Clinical correlation labs will be in LH-C from 1-3 PM on Tuesdays for all students. ADOBE presentations are optional and will be posted to the Moodle website for you to listen wherever and whenever you prefer. The ADOBE presentations are included to enhance your understanding of the material being presented in class. Cell Phones: Cell phones are to be on vibrate during class and kept out of sight. If an emergency exists, take the call outside of the classroom. Please, respect our learning environment. Electronics: Tablets, iPad, notebooks, and small computers may be used in the classroom for the sole purpose of viewing the lecture material and taking notes. Your face is better to communicate with than a computer lid. You may record, but not videotape the lecture. Do not take snapshots with any electronic devices. Tutoring: Tutoring for the course is provided by our advanced physiology PhD students. Alan Mouton is the assigned tutor for the course and will conduct weekly question and answer review sessions. You may contact John Maxi and Jacques Mayeux for private tutoring. Page 2 of 7 Students with Disabilities: Students who have authenticated disabilities must petition the Nursing School Administrative Assistant Dean, Ms. Kendra Barrier. Ms. Barrier will inform the course director that you will receive additional time and/or special accommodations for exams or other course functions. Academic Honesty: Use of any unauthorized material or method other than your knowledge and memory to answer questions on an exam constitutes cheating and will result in your failing that exam and possibly failure of the course. The Dean of the School of Nursing will be notified. Clicker sign-up: Purchase you Turning Technologies Clicker Device from the bookstore. Included in the box with the clicker device is a card with a number on it that you will need to register for the class at Turning Technologies. V. EXAMINATIONS AND GRADING Exam Schedule: Four unit exams will be given during the course; Exam 5 is a Comprehensive Final. Unit exams are Tuesdays 8 AM-10 AM. BSN students will report to the Computer Testing Lab, 5th Floor, N/AH. CARE students will report at the same time to LH-A N/AH building, with laptop computer, Respondus lockdown browser software, power cord, and an internet cable. You will have 2 hours to complete the exam once the exam starts. Students with documented disabilities will test in the ADA room. ADA students will be given 3 hr to complete the exam once started. There will be no extension of time. Attire and Personal Material: Caps and other headgear, and water and food are not allowed during the exam. We will supply paper upon which you can write or calculate as you answer the exam questions. You provide a pen or pencil. Sign your papers before leaving the NSTC or LH-A test site so when you come to review the concepts of the exam with us, we will be able to find your paper. Moodle provides calculators, if needed. Leave cell phones turned off in your book bag. If you expect an emergency call during the exam, silence your cell phone, leave it with the proctor so we can notify you should you receive a call. All material must be stored in the designated storage areas in the NSTC. CARE students will place all personal materials in the front of LH-A before being seated in every third seat of alternate rows for the exam period. Exam Format: All examinations will consist of 50 multiple-choice questions that are submitted to the co-directors for final review. Each exam question will have 4 possible choices that utilize clinical scenarios that will test your understanding (know and apply facts) of physiologic principles that have been covered in lecture, lab, and in the textbook. Exams will start promptly at 8 AM. Be seated quickly, activate Respondus, and log into Moodle. The password to activate the exam will be posted at the door (NSTC) or on the front screen (LH-A). Exams are limited to exactly 2 hours. If you arrive 1 hour after the exam starts, you will have missed the exam, and will have to make arrangements to take a make-up exam with documentation from Ms. Barrier. Missing an Exam: Students must submit hand-written documentation from Ms. Barrier to the course director for missing an examination period. Please inform the Course Director before the exam if you will be absent. If a student misses an exam because of an emergency, informs the course director within 24 hours after the exam has been given, and has the necessary documentation for their absence, the student will be offered a make-up exam. Make-up exams may be multiple choice, but likely will be oral and essay format. Students with a valid excuse must take a “make-up” exam within one week of returning to school. It is the student’s responsibility to schedule this make-up exam. Failure to take the exam or the make-up exam results in a “0” for that exam. This grade cannot be replaced with the final exam grade. This does not apply to clicker quizzes. There are no make-up clicker quizzes given for any student for any reason. Students who submit documentation from Ms. Barrier to a Course Director for missing a clicker quiz will receive the attendance credit only for the missed quiz. Exam Reviews: Exams are evaluative and not instructional. We will not review the exam key with you. We will discuss physiological concepts related to the notes you wrote on your scratch paper during the exam. Page 3 of 7 Clicker Quizzes: Make certain your clicker is in working order and carry extra batteries. Connection with the class computer is indicated when the projected clicker number darkens on the overhead screen. Clickers may take up to 5 sec to connect. Submit your clicker answer at least 5 sec prior to the end of the question timer. Check with einstruction.com after every clicker quiz to make sure your clickers made contact with their site. Check with us if Turning Point did not record your score. Notify us that day if contact was not made. No notification =No Credit. If your clicker is not working, you may take the quiz by paper and pen only if you are seated in the front of the classroom during the entire quiz. One point will be earned for attendance and one point will be earned for answering each clicker question correctly. All clicker points are added together and constitute Exam #6 for the semester. The percentage clicker quiz score is determined by dividing [[number correct]/[total]] X 100. If we have 100 clicker quizzes during the semester, and you score 180 of the 200 total points, you have 180/200 or a score of 90% for Exam #6. VI. STUDENT EVALUATION Exams are graded as % Score: [Correct/Total X 100]. Each exam question is analyzed by a statistical program, and both Drs. Harrison-Bernard and Shepherd scrutinize each answer before we release the grades on Moodle. We recognize you may have a ‘bad hair day’ and do poorly on one unit exam. If your Final Comprehensive Exam #5 score is higher than any one score on unit Exams 1-4, then the final exam score will substitute for that lowest score, as well as, be counted for the Exam #5 score. The Exam #6 for clicker quizzes will NOT be included for this grade substitution. Final grades are based on your TOTAL score (600 pts) from the five exams (500 pts) plus the clicker quizzes (100 pts). The grading scale is 90%-80%-70%-60% for A-B-C-D, respectively. Scores are absolute. A final score of 539 is a “B” and a score of 540 is an “A.” We do not “curve” the exams or the grades. The Course Final Grades are determined by summing the % correct for each exam. The total summed score is the Total Points earned during the semester. Exam Pts Final Percentage Total Points Exam I Exam II Exam III Exam IV Exam V-Final Exam VI (Clickers) 100 100 100 100 100 100 A B C D F 90 – 100 80 – 89 70 – 79 60 – 69 < 59 540 - 600 480 - 539 420 - 479 360 - 419 000 - 359 Total Points 600 Spring 2016 Classes begin Wed 13Jan16 Mardi Gras Tues 9Feb16 Spring break Tues 22Mar16 – Tues 29Mar16 Reading day Fri 6May16 Final Exams Mon 9May16 – Thur 12May16 Last day of semester 13May16 Pre-commencement Wed 18May16 Graduation Thur 19May16 Page 4 of 7 VIII. COURSE SCHEDULE No. Day/Date TIME and TOPIC Instructor______ 01 02 F 15 Jan F 15 Aug 8 9 Homeostasis: Maintenance of Internal Environment (Ch 1) Cell Physiology: Cell Function – Metabolism (Ch 3) Dr. Shepherd Dr. Shepherd 03 04 LAB 05 06 T 19 Jan T 19 Jan T 19 Jan F 22 Jan F 22 Jan 8 9 1 8 9 Cell Physiology: Membranes – Molecular Structure (Ch 3) Cell Physiology: Diffusion, Osmosis (Ch 4) How To Study Cell Physiology: Membrane Transport (Ch 4) BioCommunication: Electrical Properties of Membranes (Ch 4) Dr. Primeaux Dr. Primeaux Dr. Harrison-Bernard Dr. Primeaux Dr. Primeaux 07 T 26 Jan 08 T 26 Jan LAB #1 T 26 Jan 09 F 29 Jan 10 F 29 Jan 8 BioCommunication: Action and Graded Potentials (Ch 6) 9 BioCommunication: Synapses and Signaling (Ch 6) 1 PM Fluids, Electrolytes, and Resuscitation 8 BioCommunication: Neurotransmitters & Receptors (Ch 5) 9 BioCommunication: Sensory Physiology (Ch 7) Dr. Primeaux Dr. Primeaux Dr. Shepherd Dr. Primeaux Dr. Primeaux 11 12 8 9 Dr. Duplanty Dr. Duplanty T 02 Feb T 02 Feb BioCommunication: Body Movement and Reflexes (Ch 10) BioCommunication: Skeletal Muscle (Ch 9-A) Exam #1: 8-10 AM, Fri, 05 Feb 2016, Lectures 1-12, Lab #1 (NCTS, N/AH 5th Floor; LH-A) T 09 Feb MARDI GRAS 13 14 F 12 Feb F 12 Feb 8 9 BioCommunication: Cardiac and Smooth Muscle (Ch 9-B) BioCommunication: Autonomic Nervous System (Ch 6-18) Mr. Mouton Mr. Mouton 15 16 17 18 T 16 Feb T 16 Feb F 19 Feb F 19 Feb 8 9 8 9 Endo: Hypothalamus and Pituitary Gland (Ch 11-B) Endo: Thyroid-Parathyroid Gland (Ch 11-C) Endo: Adrenal Gland (Ch 11-D) Endo: Pancreas (Ch 16-2) Dr. Shepherd Dr. Shepherd Dr. Shepherd Dr. Shepherd 19 20 21 22 T 23 Feb T 23 Feb F 26 Feb F 26 Feb 8 9 8 9 Endo: Growth Hormone (Ch 11-E) Endo: Physiology of Reproduction (Ch 17) CV: Blood and Blood Components (Ch 12-F) CV: Hemostasis, INR (Ch 12-F) Dr. Shepherd Dr. Shepherd Dr. Potter Dr. Potter 23 24 25 26 T 01 Mar T 01 Mar F 04 Mar F 04 Mar 8 9 8 9 CV: Innate Immune Responses (Ch 18-1, 2) CV: Acquired Immune Responses (Ch18-3) CV: Overall Design and Hemodynamics (Ch 12-A) CV: Electrical Activity of the Heart (Ch 12-B) Dr. Potter Dr. Potter Dr. Harrison-Bernard Dr. Harrison-Bernard Exam #2: 8-10 AM, Tues, 08 Mar 2016, Lectures 13-24 (NCTS, N/AH 5th Floor; LH-A) 27 28 F 11 Mar F 11 Mar 29 T 15 Mar 30 T 15 Mar LAB #2 T 15 Mar LAB #2 Th 17 Mar 31 F 18 Mar 32 F 18 Mar 8 9 CV: Heart as a Pump (Ch 12-B) CV: Cardiac Cycle/Cardiac Output (Ch 12-B) 8 CV: Vasculature and Microcirculation (Ch 12-C) 9 CV: Venous Return (Ch 12-C) 1 PM ECG Lab (MDL #6) 1 PM ECG Lab (MDL #6) 8 CV: Regulation of Mean Arterial Blood Pressure (Ch 12-D) 9 CV: Review of Cardiovascular Physiology (Ch 12-E) Page 5 of 7 Dr. Gardner Dr. Gardner Dr. Souza-Smith Dr. Souza-Smith Dr. Gardner Dr. Gardner Dr. Whitaker Dr. Whitaker No. Day/Date TIME and TOPIC T 22 Mar Instructor__ NO CLASS SPRING BREAK 22Mar16 5PM to 29Mar16 7AM 33 34 35 36 T 29 Mar T 29 Mar F 01 Apr F 01 Apr 37 T 05 Apr 38 T 05 Apr LAB #3T 05 Apr 39 F 08 Apr 40 F 08 Apr 8 9 8 9 Respiratory: Organization (Ch 13-1, 2) Respiration: Exchange of Gases (Ch 13-3) Respiration: Ventilation and Perfusion (Ch 13-3) Respiration: Transport of Gases (Ch 13-4, 5, 6) 8 Respiration: Control of Breathing (Ch 13-7, 8, 9) 9 GI Function, Motility, and ENS (Ch15) 1 PM Pulmonary Function Tests (LH-C) 8 GI: Cephalic Phase of Digestion (Ch 15) 9 GI: Gastric Phase of Digestion (Ch 15) Dr. Pellett Dr. Pellett Dr. Pellett Dr. Pellett Dr. Pellett Dr. Shepherd Dr. Zamjahn Dr. Shepherd Dr. Shepherd Exam #3: 8-10 AM, Tues, 12 Apr 2016, Lectures 25-37, Lab #2 (NCTS, N/AH 5th Floor; LH-A) 41 42 F 15 Apr F 15 Apr 8 9 GI: Intestinal Phase of Digestion (Ch 15) GI: Metabolism and Energy Balance (Ch 16) Dr. Shepherd Dr. Shepherd 43 T 19 Apr 44 T 19 Apr LAB#4 T 19 Apr 45 F 22 Apr 46 F 22 Apr 8 9 1 8 9 Renal: Structure, Basic Processes (Ch 14-A) Renal: Epithelial Transport Mechanisms (Ch 14-A) CV, Renal: Hypertension and the Kidney (LH-C) Renal: GFR, Clearance, Intra-renal homeostasis (Ch 14) Renal: Sodium and Potassium Balance (Ch 14-B) Dr. Harrison-Bernard Dr. Harrison-Bernard Dr. Zimmerman Dr. Harrison-Bernard Dr. Harrison-Bernard 47 T 26 Apr 48 T 26 Apr LAB#5 T 26 Apr 8 Renal: Water Balance (Ch 14-B) 9 Renal: Hydrogen Ion and Acid-Base Balance (Ch 14-C) 1 PM Arterial Blood Gases from a Clinical Setting Dr. Harrison-Bernard Dr. Harrison-Bernard Dr. Pitt Exam #4: 8-10 AM, Tues, 03 May 2016 Lectures 38-48, Labs #3-4 (NCTS, N/AH 5th Floor; LH-A) FINAL EXAM #5: Time-TBA Tue, 10 May 2016 Lectures 1-48, Labs #1-4 (NCTS and LH-A) Each student is required to complete the Moodle Syllabus Quiz prior to Friday, January 15, 2016 to attest to your reading and understanding the content of the class schedule. AGAIN – Your respectful and professional comments for this Course Evaluation will be used to maintain the strengths of the course and implement your suggestions on how the course can be improved. The purpose of this evaluation is to assist your professors in providing the best possible education to you on the functioning of the human body as related to healthcare professionals. Although, your comments are being made in anonymity, they will be read by the course directors, program directors, and deans of your school. Page 6 of 7 Jan Mon 11 Tuesday 12 Wed 13 Class Begins Thu 14 Friday 15 L01 Homeostasis L02 Cell Function - Metabolism 18 19 L03 Cell Function – Membranes L04 Diffusion – Osmosis LAB: How To Study 20 21 22 L05 MembraneTransport L06 Electrical Properties of Membranes 26 L07 Action and Graded Potentials L08 Synapses and Signaling Lab 1: Fluids, Electrolytes, Resuscitation, LH-C 02 L11 Neural Pathways and Body Movement L12 Skeletal Muscle 27 28 29 L09 Neurotransmitters and Receptors L10 Sensory Physiology 03 04 05 09 10 12 13 L13 Cardiac-Smooth Muscle L14 Autonomic Nervous System MLK Day 25 Feb 01 08 8-10 AM: Exam #1 L01-L12; Lab #1 MARDI GRAS Mar 15 16 L15 Endo: Hypothalamus and Pituitary L16 Endo: Thyroid-Parathyroid 17 18 19 L17 Endo: Adrenal Gland L18 Endo: Pancreas and Metabolism 22 23 L19 Endo: Growth Hormone L20 Endo: Physiology of Reproduction 24 25 26 L21Hematopoiesis L22 Hemostasis 29 01 L23 Innate Immunity L24 Adapted Immunity 02 03 04 L25 CV: Overall Design/Hemodynamics L26 CV: ECG and Electrical Activity 07 08 09 10 11 L27 CV: Heart as a Pump L28 CV: Cardiac Cycle/Cardiac Output 16 17 ECG Lab, MDL 6 18 L31 CV: Regulation of MABP L32 CV: Review of Cardiovascular Physiology 23 24 25 8-10 AM: Exam #2 L13-L24 14 21 15 L29 CV: Vasculature and Microcirculation L30 CV: Venous Return Lab #2: ECG, MDL 6 22 NO CLASS Apr 28 29 L33 Respiratory: Mechanisms of Breathing L34 Respiratory: Lung Volumes; Gas Exchange 30 31 01 L35 Respiratory: Ventilation/Perfusion L36 Respiratory: Gas Transport 04 05 L37 Respiratory: Control of Breathing L38 GI: Function, Motility and ENS Lab #3: PFT, LH-C 12 8-10 AM: Exam #3 L25-37, Lab #2-3 06 07 08 L39 GI: Cephalic phase of Digestion L40 GI: Gastric Phase of Digestion 13 14 15 L41 GI: Intestinal Phase of Digestion L42 GI: Metabolism and Energy Balance 19 L43 Renal: Structure and Basic Processes L44 Renal: GFR, Clearance, Transport Lab #4: Hypertension and the Kidney 26 L47 Renal: Water Balance L48 Renal: H+ ion Regulation & Renal Diseases Lab #5: ABGs, LH-C 03 8-10 AM: Exam #4 L38-L48, Lab #4-5 20 21 22 L45 Renal: Epithelial Transport L46 Renal: Sodium and Potassium Balance 27 28 29 04 05 06 10 11 12 13 11 18 25 02 May GOOD FRIDAY 09 Exams Comprehensive Final Exam #5: L01-L48, Lab #1-5 NO CLASS Reading Day Exams Page 7 of 7 Exams Final Day of Semester