1. Group name: CSI: Case Study Investigators Members Title KC: Recorder/Summarizer AD: Gatekeeper AF: Optimist MM: Timekeeper BM: Task master/Skeptic EB: Leader/Coordinator/Artist 2. Objective: Our goal is to strengthen our anatomy and physiology knowledge by working together as a team while exploring the case of The Tired Swimmer. 3. Ways of Communication: Communication will take place via the Team 3 Group Discussion Board. A new thread will be created for every new subject. Drafts and edited copies of the group charter and case study analysis will be posted on the board for review before submitting the final version for Professor Miller to grade. Email will be used by the gatekeeper as needed to reach a team member who has not responded to the current discussion. The gatekeeper will also contact Professor Miller via email if she does not answer within a couple of days our questions posted under the Questions for Professor Miller thread. 4. Responding Time Frame: The group has agreed to respond to the current discussion within a one day time frame. For example if a member of the team posts a question in the morning then the rest of the group should respond by the evening of the next day. Members of the group should try to check the board each day if possible. 5. Helpful Hints from Terry Morris Working in Teams and The Penn State Team Collaboration Page: KC: Being more engaged as a learner. It is important to know that we are learning from each other in this group project. Everyone has their own opinions and though we will not always agree, we should still try to respect each other and be considerate of everyone’s ideas. AD: The Penn State Collaboration Page gives us a clear guideline of how to keep the team project on track by setting up goals and timelines. Defining the goal will bring forth the tasks needed to be completed, and by having the tasks defined will make it possible for the members to subdivide it, by having roles, duties and responsibilities. The Terry Morris page mentions how to become a productive and positive member of the group by attending asynchronous meetings and by promptly responding to messages and emails. Also, being courteous to others is the key for a positive and conflict-free team. The team might not always have the same idea, but by being courteous it makes it easy for us to sort out the differences and disagreements. Sample Group Charter 1 Page 1 AF: Being a productive and positive team member. If each member of the group did not put forth an effort to make this the best achievable project, it would not be a team project. In order to be a productive and positive team member, each member must attend the meetings, meet set deadlinesincluding logging on to the team board each day, and being respectful to each other. MM: Resolving conflicts within the group. The group must first admit that the conflict exists. Secondly, the group has to try to understand all aspects of the conflict and not attack each other in the group. Finally, the group must come up with an action plan to solve the conflict. BM : It is important that each member provides input on every facet of the project. Everyone should feel comfortable to give input to one another in order to enhance the common learning experience and have a stronger ending team result. This way each member can share a little of all the responsibilities. EB: Positive Interdependence- “The group has a clear task of goal so that everyone knows that they sink or swim together. The efforts of each person benefit not only that individual but everyone else in the group. The key to positive interdependence is having commitments made to personal success as well as the success of every member of the group”. 6. Roles: Leader: sets agendas, monitors progress. Task master: persuades others to stay on task. Skeptic: looks for potential flaws in ideas. Timekeeper: tracks time spent on topics. Gatekeeper: makes sure that each member has provided input on each issue; will also contact professor Miller if no response has been received to a member’s question after a couple of days under the Questions for Professor Miller thread. Summarizer: summarizes a list of options, tasks, or meeting results. Recorder: records idea. Optimist: tries to maintain a positive outlook and direction. Coordinator: responsible for proof reading and editing finished projects. Artist: responsible for drawings required for the case that was chosen. Initiator: suggests new ideas- this role will be fulfilled by all group members as needed. If a member of the group is unable to perform their role due to unforeseen circumstances, the person should inform the other members of the group and ask someone to fill in for him/her. If the person asked to finish the job does not want or cannot do it, then this will be addressed by the group for another member to volunteer for the task. 7. Criteria for Team Reviews: Communication: Did each member respond within the one-day time period. Response Quality: Did each person try to provide a quality input. In other words, were the responses more than a yes or no, or quick one sentence replies. Role Performance: Did each member stick to their role and fulfill it the best that they could. Sample Group Charter 1 Page 2 Attitude: Did each member maintain a positive attitude to help the project and the team in its progress. Dependability: Did each member complete the tasks that he/she signed up for. Overall Contribution: Did each member do their part overall with the project, and help out in each areapossibly doing more than necessary. Feedback: Did each member of the group give feedback to the others' answers/ideas. 8. Ways to Amend Charter if Necessary: If a situation arises where members of the group want to amend the charter, they will need to start a new thread titled Amendment to Charter in which they will state their desired amendment and the reasoning behind it. The group has one day to cast a vote for or against the amendment. If the following day there are more votes for the amendment than against it, then the change will be made. If not, then the charter will stay the same. If the amendment is approved, the new charter with the added amendment will be posted on the discussion board. 9. Summaries of the Case Studies: Chemical Eric: Dealing with the Disintegration of Central Control Chemical Eric is about a man who had a normal childhood until his teenage years. He was skinny but was very tall and wore size 13 shoes. He had swelling in his right knee, ulcers on his leg, and felt sick a lot. The doctor believed that it had to do with his hormones and found that they were at abnormal levels. Fluid was removed from his knee, but nothing was really wrong with it. However, he still looked unhealthy and ended up falling and breaking his left hip. The doctor found out that there was a tumor on his pituitary gland and this was causing his medical problems. He was referred to a hospital in Wisconsin where they removed the tumor along with the pituitary gland and performed surgery on his hip and knee. He was now okay, but needed replacement hormones the rest of his life. At 25, the patient came back to see the doctor and told him that he was getting married. The man had little body hair and had the chance of being sterile because of his condition. At 28, he was injected with human chorionic gonadotropin to produce sperm but it did not work. He had big hands and feet, was very tall and weighed 275 lbs. He also had to go to a dental surgeon to receive surgery on his jaw as it was suspected that he had temporal mandibular joint dysfunction. At 45, he was still a very large man with a variety of health problems. He was complaining of frequent middle of the night trips to the bathroom. After tracking the frequency of the visits and amount of urine produced, the doctor learned that he had diabetes insipidus and subscribed medication. A Friend in Need is a Friend Indeed: A Case Study on Human Respiratory Physiology This case study is different compared to the other case studies, as this one requires math solving and computations. Sample Group Charter 1 Page 3 The case revolves around Charles who was rushed to the hospital unconscious after being in a room with a kerosene-fueled space heater. Before passing out, he noticed that his sight became progressively blurred, felt lightheaded, disoriented and unsteady. In the arterial blood sample drawn when he first arrived at the hospital, abnormal or out of range blood gas measurements were detected. MDR Tuberculosis: A Case Study for Non-Science Majors Focused on Social Justice This study is about making a worldwide TB day. Aisha found out during her DOH internship that there was a TB breakout in urban areas. The breakout in the late 1980s was caused by immigration and HIV. It began to get worse due to drug abuse, poverty and incarnation. TB is spread through deposits in the air (breathing). Aisha found that in four years it had spread around the entire world. The doctors have six antibiotics out to protect the spread of tuberculosis. In the next part of the investigation, Aisha worked on getting outreach communities together to provide the TB patients with care. Also, she reviewed the Senate Immigration bill. This way the immigrants that had to return to their country got treatment before entering the U.S. again. Whoever was infected with this awful disease had to stay home until they weren’t contagious anymore and undergo treatment up to 24 months. The third part is about protecting everyone from TB. The vaccine wasn’t developed in the U.S. yet but some children in other countries were being protected by the vaccine. Aisha found that the immigrant children were being tested through skin tests, using X-Rays, and sputum tests. Other students were screened using the Mantoux skin test. Whoever tested positive for LTBI was treated for three months. They did this because LTBI could later turn into TB by smoking, old age, or secondary infections. The Strange Case of Jennifer Strange: A Tragic and Stupid Radio Stunt This is a very strange story about Jennifer Strange who was 28 years old, and had 3 children. On January 12th 2007 she participated in a contest at the KDND Radio Station. In order for her to win A Nintendo game system Wii, she had to consume more water than any other contestant without weeing- urinating that is. It was not sure how much water she drank, but it was probably two gallons in three hours. Furthermore, she did not wee not even one time during this period. When the DJ asked her how was she feeling, she said that her stomach was really full, but she didn’t have to go to the bathroom. Also, she felt like she was pregnant again, and she had a bad headache. At the end, she didn't win the contest and she drove herself home, but while she was driving she called her work (Radiological Associates of Sacramento) crying and asked her supervisor's permission to stay home because her head hurt really bad. Her supervisor was so worried about her that he called Jennifer's mom, Nina Hulse. Sample Group Charter 1 Page 4 An hour later, when Jennifer's mom and her friend got home, they found Jennifer lying on the bathroom floor not moving at all. They tried to call her name, shook her several times but she didn't respond. Her face was purple and blue; she was cold and already gone. Later on the police came and they transfered her body to the county's medical facility where she was autopsied. The Unfortunate Nurse: A Case of Dengue Fever and Social Policy This is a three part case study that involves a dialogue between two nurses and a doctor. One of the nurses, Nancy, is a patient not an employee. Nancy is a 25 year old nurse who formerly shadowed at Dr. Ghee’s doctors office. She presently works at a different office where all the nurses in her unit got flu shots. She stops by in early July, her first visit since October, because she has been feeling rather weird and just plain bad for the past few days. Her symptoms are a fever that will only go away when she is on medication, a bad headache, lack of appetite, and all over aching. When asked if she knows what might be wrong with her, she informs the doctor that she did get pricked by a needle that was used on a patient that tested positive for having a Dengue Fever infection. The other parts of the case study go over the articles, Texas Lifestyle Limit Transmission of Dengue Virus, and Nosocomial Acquisition of Dengue followed by questions and activities to do as a class. A Tired Swimmer: A Case Study of the Nervous System This four-part case study describes the signs and symptoms experienced by Annie and the diagnosis that was made as a consequence of her test results. Annie used to be a great swimmer, but in the last months her performance decreased. She also complained of blurred vision and eye strain, achy, weak fingers that failed to grasp the keys, a constant fatigue, and difficulty breathing after physical activity. After a few days of rest at home though, Annie seemed to feel much better. Still, her boyfriend insisted on seeing a doctor, so they went to Dr. Jones. After a few questions related to Annie's condition, Dr. Jones decided to refer her to a neurologist. In the hospital, Annie went through different tests. The results showed that her nerves were fine, but her muscle response decreased during repeated nerve stimulation. Also, the edrophonium test showed an abnormally high level of antibodies in her blood, which often occurs in myasthenia gravis cases. Finally, according to the CT scan, the reason for Annie's signs and symptoms was a tumor on her thymus gland. Fortunately, by removing the thymus and implementing additional treatment, Annie's life will be back to normal. A Typical Cold Is about a 3 year old boy who was adopted after his parents were killed in an automobile accident. Before his adoption was final, he had to be seen by a doctor for a complete physical. His adoptive parents noticed that he had oily/greasy stools and was wheezing, which which was also Sample Group Charter 1 Page 5 confirmed by the doctor; he had a small size for his age. Other observations seemed normal. A chest xray and blood work was ordered. At the follow-up appointment, the young boy’s adoptive parents told the doctor that the sputum that he was coughing up was green and viscid. He also had a white “frosting” on his face, a salty build up of dried sweat. His blood work was normal except that his neutrophils were elevated. The chest x-ray showed some hyperinflation and bronchial wall thickening. The doctor had a thought about what was going on with the boy so she ordered a sweat chloride test that came back indeterminate. 10. Case Study Chosen: A Tired Swimmer: A Case Study of the Nervous System Sample Group Charter 1 Page 6