| 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)
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.
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.
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 |