HS 453 - Health Assessment & Promotion
Fall 2009
Classroom: KHS 100 - T-Th 12:30-1:45
Wynn Gillan, DrPH, CHES (wgillan@selu.edu)
Office: KHS Bldg., Rm. 112
Phone: (985) 549-5252 -- FAX: 549-5119 
Office Hours: 
 Wed: 9-12
 Tues: 9-12; Th 9-12 & 2-4

Course Description: Credit 3 hours. Prerequisite: HS 132 and Junior standing. An examination of the cause, identification and control of selected lifestyle diseases. Emphasis is placed on risk factor assessment and health screening methodologies.

Objectives- By the end of this course students should be able to (corresponding health education responsibilities and competencies as maintained by The National Commission for Health Education Credentialing, Inc (NCHEC)):
    1. Discuss basic concepts and terms associated with epidemiology and disease prevention. (VII - A, B, C)
    2. Differentiate between the various types of investigations used to determine disease etiology. (VI - A, C, D; VII - A, B, D)
    3. Discuss validity as it relates to health screenings and other types of health assessments. (VII - A; VII - A, B, C)
    4. Identify internet sites that provide reliable information on chronic diseases and their prevention. (VI - A, C, D; VII - A, B, C, D)
    5. Select and apply population appropriate health evaluations. (VI - A, C, D; VII - A, B, C, D)
    6. Demonstrate the accurate use of health appraisal instruments (VI - A, C, D; VII - A, B, C, D)
    7. Access current state and national health and disease information through the internet. (VI - A, C, D; VII - A, B, C, D;  VIII - A)
    8. Act responsibly in conducting sensitive public health practices (X - C)
    9. Respect privacy and confidentiality of personal data (X - C)
   10. Discuss the etiology, pathophysiology, and prevention strategies for cardiovascular disease, hypertension, diabetes, cancer, chronic lung disease, cirrhosis, depression, and other selected conditions. (VII - A, B, C, D)


COURSE EVALUATION
Progress Checks: (at least 70 pts.) Throughout the course your progress will be measured by a series of quizzes, lab assignments, readings, online assignments, and other competency checks. Each will be related to the material covered in class. Most of them are worth 10 points each. Online quizzes must be completed on or before the date they are assigned. No make-ups for in-class or late online progress checks will be given unless the absence is university approved and arrangements are made beforehand.

Examinations: (100 pts each) Three examinations using multiple choice and short answer questions will evaluate your knowledge and comprehension levels. Each exam is comprehensive in nature (about 10% of the material will come from previously covered information).  It is a good idea to begin studying well before these examinations. Objectives for all of the exams are provided in your course packet. No make-up exams will be given unless the absence is university approved and arrangements are made beforehand, or if a serious circumstance occurs. If these situations occur, plan on taking the exam the day you return to class.

Disease Project (50 pts) [Portfolio Project] See Course Outline for due date.
Each student will select a chronic disease, review the current literature, gather descriptive data, determine screening methodology, and develop a presentation (powerpoint) on that condition. Length of the presentation will vary depending on the complexity of the condition and the extent of the literature search. This assignment will be submitted electronically using either Blackboard Assignments option on or before the scheduled deadline.  Referencing must follow Science style.
Presentation Grading:
    -    Introduce the condition (e.g.: how many people are affected; what's the cost) (5 pts)
    -    Definition or description of the disease, including incidence and/or prevalence (5 pts)
    -    Signs & symptoms of the condition (5 pts)
    -    Established and suspected risk factors (10 pts)
    -    Screening guidelines to include (10 pts):
            - how the condition is diagnosed
            - who should be screened, when, and how often (reference national guidelines)
    -    Primary and tertiary non-pharmacological prevention strategies (5 pts)
    -    Conclusion (5 pts)
    -    Each slide with information must have a reference and there must be a bibliography at the end (5 pts)
- No dot-com or wiki references will be accepted. The first slide must include the title and your name.
Sample topics include: Arthritis, HIV/AIDS, Alzheimer's, COPD, Cardiomyopathy, Depression, MS, Heart Failure, Crohn's Dz, Obesity, Lung Cancer, Prostate Cancer, HPV, Breast Cancer, Coronary Heart Disease, Asthma, Diabetes, Stroke, Osteoporosis, Hypertension, Cirrhosis, Tuberculosis,  or any other approved topic.
- References must be in American Medical Association (AMA) 10th edition (2007) Manual of Style. For examples: AMA style.

Health Fair Project(25 pts.) DUE: one week after the health fair.
Small groups will be selected to organize and conduct a campus health and information fair. Groups include: marketing, site preparation, registration, health risk appraisal (HRA), physical measurement (e.g.: BP, Ht/Wt, %BF), cholesterol/blood glucose, and health counseling. Each student will write a report describing his/her personal contribution to the event.
Include the following components in your report:
  - Describe your role or responsibility in the success of the health fair
  - How many contacts (people) did you have during the fair
  - What were the stats for all data collected?
        - mean weight, height, body comp, BP, cholesterol, glucose, vertical jump height, muscle strength, or any other continuous type of physical measurements
        - what proportion were male/female, and what was the racial breakdown
        - what were the high and low scores on each evaluation
  - Whas was your overall impression of the impact or effectiveness of this health fair
  - What suggestions do you have for improvement

Extra credit (up to 3-10 point) opportunities may be offered through the semester. For instance, you may attend the HS 401 student presentations (usually held Wednesdays at noon).
  - To receive credit, a written summary of the event must be provided, including the date of the event, the location,  a description of the content, the presenter's name(s), and your overall impression of the event (was it useful). Other options may develop over the semester, such at attendance at a  conference or lecture, online presentations, and the like.
  - Extra credit points are added to the numerator and denominator.


Textbook: No purchase or rental book is available for this course. You should ask to get your rental book charge returned to you. I suggest that you obtain the course lecture packet (available in the "Document Source" in student union). All other reading materials are indicated in the course outline (below) Those materials should be read or reviewed prior to the lectures.

Grading: A = 90%; B = 80%; C = 70%, etc.
   - All assigned work is due in class on the due date, or before. NO late material is accepted unless prior arrangements are made.
   - Exams may be made-up only for university excused absenses and will typically occur the day the student returns to class.
   - Lab reports are typically due one week after the lab class, unless otherwise noted. Get with someone who was in the lab class if you've missed that day. Late labs are NOT accepted.
   - Online quizzes and assignments are date sensitive. No make ups are allowed after the closure date.

Attendance: Class attendance is an obligation and a privilege. Students are expected to attend every class meeting. Failure to do so may jeopardize a student's scholastic standing and may lead to suspension from the university. Presence in class will be marked either on a roll, or through assignments turned in for that day (quizzes or labs). If 25% of the scheduled classes have been missed for excused or unexcused absences during the entire course, an "F" may be given. Arriving 5 minutes late for class is considered an absence, unless otherwise arranged. Students are responsible for the material covered in class as well as any assignments due on the day he/she was absent and on subsequent class meetings. An absence is excused if it meets criteria set in "Southeastern Attendance Procedures" or if deemed so by the instructor. Unless prior arrangements are made with the instructor, regardless of the reason class was missed, work that is not turned in on the due date assigned will not receive any credit. You are encouraged to come by my office to discuss course issues.

Academic integrity is highly valued, and as such, your submitted  work should represent the best of your creative effort, not the efforts of someone else. Give reference credit to your sources of information and plagiarism issues will not pester you. Cheating on exams/quizzes, sharing exam or quiz information, plagarism, lack of appropriate referencing, or other breeches of integrity will result in a substantial grade reduction (eg: "F" or zero points for assignment or exam).

Classroom Behavior: Sections of this course follow a question-group answer format. As such, personal expression of thoughts and questions is highly valued. Verbal musings deserve the highest level of respect from all fellow classmates. Disruptions of idea exchanges by inappropriate or rude behavior is strongly discouraged. Classrooms are not the place for children, friends, or relatives. If you need to arrive late or leave early, please do so in a respectful and quiet manner.  Please inform me ahead of time if you anticipate having to leave class early. The following behavior would be considered rude or inappropriate:
  - talking during lectures                             - acting bored or sleeping
  - entering late                                            - leaving class without permission
  - packing up before class is over                 - asking,  "did we do anything important" after missing class
  - showing disrespect to others                    - complaining
  - texting or using electronic devices           - listening to music during class

Email Policy: SLU policy dictates that all email correspondence between faculty and students be done using the SLU email system. As a result, the instructor will not communicate via email with you using addresses other than the SLU system. You will need to check your email frequently.
Cell phones must be turned OFF completely during class time –VIBRATE is not allowed. All students deserve a quiet environment. Five points may be taken off of your final grade each time your cell phone is seen being used or heard during class.
Study tips: Read through the material ahead of time and read through your notes as soon as possible after class. Review your notes again before the next class. Ask questions if you don't understand what was covered. Study or review the material as soon as possible after class. Read all highlighted articles indicated in the course outline. Think of questions as you read the text or notes and ask them the next class period.  Some find it helpful to study in groups. For current health updates, try medscape.com or docguide.com (both require a one-time free registration).
Modifications: If you are a qualified student with a disability seeking accommodations under the Americans With Disabilities Act, you are required to self-identify with the Office of Student Life, Room 203, Student Union. No accommodations will be granted without documentation from the Office of Disability Services.


Journals: A number of medical-related journal articles  may be viewed and printed on Southeastern computers through the library system.
Books of interest for this course:
    McDermott, R.J. & Sarvela, P. D. (1999). Health education evaluation and measurement. (2nd ed.). Boston: WCB/McGraw-Hill.
    McDowell, I. & Newell, C. (1996). Measuring health: A guide to rating scales and questionnaires. (2nd ed.). New York: Oxford University Press.

TENTATIVE COURSE OUTLINE

Date Content Readings
Aug 20 Course overview; Intro to Health Bookmark Medline medical dictionary
Aug 25 Concepts/Guidelines Become familiar with the Agency for Healthcare Research and Quality (AHRQ
Order a free copy of the U.S. Preventive Services Task Force Guide to Clinical Preventive Services, 2008
Become familiar with www.guideline.gov and the clinical practice guidelines at: National Guideline Clearinghouse
Aug 27 Health Risk Appraisals (HRA) Compare and contrast the results of these two online HRAs (for 10pts) - http://wellness.uwsp.edu/other/lifescan/lifescan.asp and www.cancer.org/healthcheck
Sep 1 Screenings Complete the Framingham Heart Disease Risk Assessment
Read BMJ article on sensitivity and specificity: http://www.bmj.com/cgi/content/full/327/7417/716
Sep 3 Intro to Cardiovascular Disease Review CDCs introduction to Heart Disease  |  Watch a video on lipoproteins
Checkout National Heart Lung and Blood Cardiovascular Gateway
Sep 8
Sep 10
Atherosclerosis Read:  Inflammation & Atherosclerosis
Peruse: AHA Diet & Lifestyle Recommendations - 2006
Read: Evidence-Based Guidelines for Cardiovascular DiseasePrevention in Women: 2007 Update
Sep 15
Sep 17
Heart Disease & Stroke Scan Circulation article: Heart Disease and Stroke Statistics 2008 Update:
Checkout Framingham Heart Study
Watch: What it feels like to have a stroke
Read Primary Prevention of Ischemic Stroke
Sep 22 Etiology of Hypertension Read the 7th Report of the Joint National Committee on the Prevention, Detection & Treatment of High Blood Pressure
Sep 24 EXAM #1 Relax beforehand
Sep 29 Exam Review & Blood Pressure Read:  Recommendations for Blood Pressure Measurment in Humans and Experimental Animals
Oct 1 Fall Break! Be safe
Oct 6 Blood Pressure Measurement Also read:  Sphygmomanometry (BMJ) Part I Part II
Listen to Korotkof sounds
Oct 8 BP Lab How to measure BP: http://www.medphys.ucl.ac.uk/teaching/undergrad/projects/2003/group_03/how.html
Oct 13
Oct 15
Cholesterol & Lipoproteins
Health Fair Duties / Assignments
High cholesterol statistics sheet (American Heart Association)  Last Day to withdraw (Mar 13)
Review the ATP III Executive Summary at: National Heart Lung and Blood Institute Expert Panel on High Cholesterol
Oct 20 Measurement of Blood Cholesterol Read throuth this before the cholesterol lab:  Recommendations Regarding Public Screening for Measuring Blood Cholesterol
Oct 22 Cholesterol Lab Read the clinical guidelines for lipid disorders: USPSTF Screening for Lipid Disorders
Oct 27 Etiology of Diabetes  Read through American Diabetes Assoc Position Statement: Diagnosis and Classification of Diabetes Mellitus
Become familiar with  American Diabetes Association's Position Statement on Nutrition Recommendations for Diabetes
Become familiar with: the Diabetes Prevention Program
Oct 29 Metabolic Syndrome - Definition & Screening Read through American Diabetes Assoc Position Statement: The Metabolic Syndrome
Examine: Diabetes Data & Trends
Nov 3 Diabetes Screening and Prevention Read this before the health fair: Screening for Diabetes; USPSTF Screening Guidelines for Type 2 Diabetes
Nov 5 EXAM #2 Get enough sleep before
Nov 10 Exam Review
Obesity
Become familiar with NHANES Anthropometric Manual and the Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults
Review the Physical Activity Guidelines for Americans (2008)
Nov 12 Obesity Screening Strategies Experience Portion Distortion  Read the Recommendations for the Prevention for Childhood Obesity
Nov 17 Body Composition Lab
Health Fair Preparations
Disease Project DUE
Nov 19 HEALTH FAIR Practice extroversion
Nov 24 Etiology of Cancer Review the current ACS Cancer Facts & Figures; view recent cancer stats at: cancer.gov
Dec 1 Cancer Risk Factors & Prevention  Atlas of Cancer Mortality  |  Colorectal Cancer Slide(CDC)  |  How to do a BSE  | |  American Cancer Guide on Nutrition and Physical Activity for Cancer Prevention
Dec 3 Exam review Health Fair Report DUE
Dec 10 Final Exam (8:00-10:00)  Attend rested