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In this "clicker case," students learn about sex determination, meiosis, and chromosomal "crossing over" through the story of Santhi Soundararajan, an athlete from Kathakkurichi, India, who was stripped of a medal at the 2006 Asian Games after failing to pass a sex test. The case is called a clicker case because it combines the use of student personal response systems (clickers) with case teaching methods and formats. The case itself is a PowerPoint presentation (~2 MB) shown in class that is punctuated by questions students respond to using their clickers. It can be adapted for use without these technologies. Developed for an introductory biology class for both majors and non-majors, the case could also be used in an anatomy and physiology course or an endocrinology course.

In this "clicker case," students learn about sex determination, meiosis, and chromosomal "crossing over" through the story of Santhi Soundararajan, an athlete from Kathakkurichi, India, who was stripped of a medal at the 2006 Asian Games after failing to pass a sex test. The case is called a clicker case because it combines the use of student personal response systems (clickers) with case teaching methods and formats. The case itself is a PowerPoint presentation (~2 MB) shown in class that is punctuated by questions students respond to using their clickers. It can be adapted for use without these technologies. Developed for an introductory biology class for both majors and non-majors, the case could also be used in an anatomy and physiology course or an endocrinology course.

Socrative is a smart student response system that empowers teachers to engage their classrooms through a series of educational exercises and games via smartphones, laptops, and tablets.

This case study examines the molecular methods that were used to reverse engineer the 1918 influenza virus strain in order to try and solve the mystery of why it was so deadly. The story starts in the 1950s with the unsuccessful attempts to culture the influenza virus and follows scientists through to the turn of the century when cutting edge molecular tools enabled scientists to finally resurrect the 1918 virus through reverse genetics. The history and methods involved in resurrecting this deadly virus are reviewed in class with a PowerPoint presentation containing clicker questions (answered with a personal response system) and discussion questions (answered in small groups). This "clicker case" is suitable for high school biology and lower division undergraduate biology classes for non-majors. It could also be used in any lower division non-major class focused on human disease and the history of human disease.

This "clicker case" gives students an opportunity to apply their understanding of three different types of selection (directional, stabilizing, and disruptive) to a variety of model systems. The case describes each type of selection in detail, presents a paradigm case of each, and then uses clicker questions to test whether students can identify the mode of selection in other systems (answers included in the teaching notes).  Nine different studies are presented so that students gain a broad understanding of selection and how environmental factors can impact species differently. The case concludes with an optional discussion activity (also discussed in the teaching notes) to deepen understanding. Although designed for a high school classroom, it could easily be used in a lower-level college course as an engaging introduction or review of concepts. The case could be used at the beginning of an evolution unit, but it would be helpful if the students were familiar with natural selection before completing the activity.

This case study was developed for an introductory biology course with the goal of integrating content (specifically, structure/function, signaling pathways, and homeostasis) while reinforcing general critical thinking skills and the scientific method (generating hypotheses, evaluating evidence, and making predictions). The case is suitable for a flipped classroom and there are several videos associated with it. The case revolves around an obese two-and-a-half-year-old boy who won't stop eating. Students become familiar with some basic concepts related to obesity and leptin signaling through the videos that they watch before class. They then use class time to work through the case (delivered as an interactive slide show, including several clicker questions) to determine the genetic basis for this child's obesity and possible therapies to manage his weight. The case could also be adapted and expanded to be used in a physiology course to explore the interaction of various hormones that regulate appetite and metabolic rate or in a cell biology class to explore JAK-STAT signaling.

This interrupted case study tells the story of Miles, a freshman in college, who volunteers to help with the composting program on campus. Miles is excited about composting but his mother is hesitant to try it at home. Miles learns about the key ingredients for successful composting and his mother eventually begins to see its value. This case is presented in four parts, and can be used with or without the PowerPoint presentation and associated clicker questions (see Supplemental Materials). First, students are asked to analyze waste that they generate at home and identify any material that is compostable. Next, students explore the science of composting. Finally, students explore the topic of human manure to consider composting to the extreme. The case was designed for an environmental science course for non-majors; no prerequisite knowledge is assumed.

This interrupted case is based on a genome wide association study (GWAS) that identified the genetic variation causing some inhabitants of the Solomon Islands to have blond hair. The case illustrates the connection between genotype and phenotype, and an application of Hardy-Weinberg equilibrium. The narrative focusses on John and his new roommate, Peter, from the Solomon Islands who happens to have dark skin and blond hair. Using thought-provoking questions students learn about the genetics and the biochemistry of the hair color trait and how a single genetic variation can influence phenotype. Is migration or mutation involved?  Upon completion of the activity students will know the source of the genetic variation that causes the blond hair phenomenon in the Solomon Islands and if it has any European origins. The case was written for an upper-level genetics course, but could also be adapted for introductory biology or for a genetics course for non-majors. An optional PowerPoint presentation with clicker questions is available for download from within the Answer Key.

This clicker case study follows a dialogue between two college students, Lucy and Dan, as they discover how alternative splicing of mRNA molecules can allow a single gene to code for multiple proteins. Dan is participating in a clinical trial for a drug that may treat his migraines by inhibiting calcitonin gene-related peptide, and Lucy is working in a summer research lab that studies the protein calcitonin. They soon realize that the two proteins are both encoded by the same gene, and through their questioning and dialogue they come to understand the phenomenon of alternative splicing. They also learn about other steps of mRNA processing and about monoclonal antibodies. This case was designed to be taught in a flipped classroom, but could easily be adapted for a more traditional classroom setting if content covered in the pre-class videos is covered during the case study instead. It was designed for an introductory-level molecular biology course, but could be adapted for higher levels by including more information about the physiology and regulatory mechanisms involved.

This case study explores the recent (2010 - 2016) outbreak of neural tube defects, specifically anencephaly, in a rural three-county region of Washington state, particularly Yakima, WA. The case study focuses on the biological aspects of teratogens that may cause birth defects as well as epidemiological investigations of disease outbreaks. By the end of the case, students will have explored how our environment may have severe biological consequences on the human body during pregnancy and will have evaluated governmental and scientific investigations of a rare outbreak of birth defects. This clicker case study was developed for a non-majors biology course entitled "Human Development: Conception to Birth," although it could be taught in any introductory biology course for majors or non-majors during a unit on human reproductive biology or developmental biology. The case assumes that students have no prior knowledge of developmental biology or birth defects. The case study could also be adapted for upper-division courses by getting more in-depth on the specifics of teratogen mechanisms, the developmental biology and physiology of neural tube defects, or more complex epidemiological analyses.

This set of mini cases on the ecology of eastern cottontail rabbits is designed to give students practical experience using statistics in a scientific context. Given a dataset and experimental design, groups of students are asked to play the part of a wildlife management researcher to determine the results for each study. Students practice the scientific process and gain experience making hypotheses and predictions, choosing an appropriate statistical test, interpreting and displaying results, and presenting data to others. Students choose between four basic, commonly used, statistical tests (t-test, one-way ANOVA, linear regression, and Chi-square test), and justify their choices. This activity was developed for undergraduate level students and is applicable to biology courses, particularly those dealing with ecology or management. The case is designed for student groups, but could be modified into clicker questions or individual assignments.

This interrupted case study examines molecular genetic evidence reported in scientific literature to determine the fate of Louis-Charles, son of Louis XVI and Marie-Antoinette of France. Controversy and rumors surrounding the death of Louis-Charles suggested that either he died as a young boy while being held in captivity by the French revolutionaries or he escaped and was replaced by a substitute who died in his place. One individual claiming to be Louis-Charles was Karl Naundorff. Students begin the case by preparing pedigrees for the descendants of Maria Theresa and Francis I, the Holy Roman Emperor, parents of Marie-Antoinette. The pedigrees can be used to introduce the concepts of alleles identical-by-descent and cytoplasmic inheritance patterns. Students then compare mitochondrial DNA sequences and XY chromosome sequences from hair, bone, heart, and blood samples taken from descendants of Marie Theresa, Karl Naundorff and the heart of the boy who died in captivity to determine if the latter was truly Louis-Charles. An optional PowerPoint presentation with clicker questions is available to help guide the classroom activities.

This case study is based on the 2014 Ebola epidemic that spread to multiple highly populated countries in West Africa, making it the largest and most devastating outbreak in the history of the virus. The storyline, inspired by a compilation of factual information, unfolds through a fictional narrative wherein students play the role of an infectious disease specialist in training to learn about the techniques used in the detection, diagnosis, and management of Ebola virus outbreaks. The story is presented as an interrupted "clicker case" that combines problem-based case teaching methods with simulated biological laboratory inquiry through the use of Case It, a free molecular biology software, along with the NCBI's online bioinformatics tools and databases. Students work in groups to collaboratively explore various biological and social aspects of this infectious disease outbreak. This case was developed for senior students at the secondary level and can be modified for use in an introductory biology, microbiology, or epidemiology course at the undergraduate level.

This PowerPoint-driven case study presents three different stories, each of which explores an aspect of membranes. The first (The Exploding Fish) covers diffusion, specifically addressing the question of why animal cells explode in freshwater but fish do not, and differences between saltwater and freshwater fish. The second case (The Pleasurable Poison) is designed to show that alcohol can slip across membranes and also highlights some of the problems of ingesting this toxin. The third case (The Dangerous Diet) explores a weight-loss drug, DNP, and how it operates in mitochondrial membranes. The first of these case studies also includes a number of "clicker" questions. These cases were originally designed for a semester-long, introductory biology course for non-majors, and instructors can choose to use one or all of the cases to suit their course.

This case study presents the story of "Nick," a student who has been assigned the task of writing a research paper describing the fundamentals of chemical bonds and how they relate to human life. When Nick experiences difficulty remembering information about the different types of chemical bonds, he turns to his tutor, Josh, for help. Josh explains orbitals and valence electrons to Nick, and then they together review nonpolar and polar covalent bonds, ionic bonds, and hydrogen bonds. A final practical application exercise requires that students write about how different types of chemical bonds may relate to the development of Alzheimer's disease and to the mechanism of action of potential drug treatments.  The case is presented with PowerPoint slides and is designed to be used with a personal response system ("clickers"), but students can instead record their answers on paper or share them verbally.  The content is appropriate for use in high school and undergraduate introductory chemistry and biology courses.

This clicker case addresses several important concepts related to evolution. First, it explores artificial selection and selective breeding. Charles Darwin used artificial selection as an example to support his Theory of Evolution by Natural Selection. Belyaev's Fox-Farm experiment is used as an example of a study that used selective breeding as the primary experimental procedure to investigate changes in a lineage. Second, it addresses an interesting observation made by Charles Darwin in The Origin of Species in which he noted how domesticated species also show interesting traits such as drooping ears which seem to be common in domesticated species. The "Farm-Fox Experiment" not only demonstrates how a research team can thoroughly investigate an intriguing question, but also serves as a classic example of elegant experimental design. Designed for use in a large introductory-level biology class, this case study would also be appropriate for smaller classes as well as for upper-level evolution courses.

For years whale evolution was characterized by speculation and limited evidence. Evolution critics even focused on whales as a means to criticize evolutionary theory. Now whale evolution represents one of the best examples of "macroevolution." This "clicker case" uses this fascinating story of historical irony as a backdrop to the study of whale evolution. First, students study an array of whale fossils to learn how evolution is properly viewed as a branching, relationship-based process, not a linear, progressive, "chain-of-being." Using this view they learn how scientists seek to reconstruct past relationships and study transitional features, not search for "missing links." Students then learn that evidence for macroevolution relies on several lines of independent evidence from fossils, comparative anatomy, embryology, genetics, and paleoecology. With a focus on macroevolution, this case makes a critical contribution to evolution education. It could work well in a lower level undergraduate biology / evolution / paleontology course (non-majors or majors), or in an upper-level evolution course, perhaps early in the semester as a primer for related topics.

This flipped clicker case study explores the fascinating relationship between the Arizona Bark Scorpion (the most venomous scorpion in North America) and the Southern Grasshopper Mouse. Initially it would seem that the grasshopper mouse is no match for the scorpion's venom; however, the grasshopper mouse is easily able to eat the scorpion and is largely immune to the scorpion's sting. By working through this case study, students learn about neuron anatomy and physiology as they explore how the grasshopper mouse is able to survive the scorpion's venom. This case study was developed for an introductory biology course for majors, but it could also be used in an introductory biology course for non-majors or in an anatomy and physiology course. The case requires that students learn basic neuron anatomy and action potential physiology prior to class by reading their textbook or by watching videos on the subjects. An optional set of guided questions tailored to Campbell Biology (10th ed.) is included in the teaching notes.

In this clicker case study for a flipped classroom, students familiar with the stages of meiosis work in small groups to determine the predicted genetic makeup of the parthenogenetic offspring of a Komodo dragon, based on four different types of parthenogenesis. Students then learn about the actual genetic makeup of the offspring and determine how meiosis was modified to allow parthenogenesis in this fascinating lizard. The sex of the offspring is explained, based on ZW/ZZ sex determination. A video specifically made for this case prepares students for the in-class activities, which are guided by a PowerPoint presentation. The case also examines how facultative parthogenesis may be adaptive in Komodo dragons and the implications of facultative parthogenesis to conservation of these vulnerable lizards. The case was developed for a general biology class, but could also be used in an introductory course on conservation or cell biology.

This case study synthesizes students' knowledge of the central dogma and cell structure by examining a rare health disorder in order to understand protein targeting and its medical consequences. Students first identify the molecular alteration in affected members of a family with renal Fanconi syndrome as reported in the New England Journal of Medicine (2014). Students then use an online bioinformatics tool to analyze the wildtype and mutant proteins and examine their subcellular localization. Finally, students use this information to explain the symptoms of affected family members. The case is delivered with a PowerPoint presentation that includes a selection of brainstorming prompts and "clicker questions." Students complete a worksheet (included in the teaching notes) before class, making the activity suitable for a flipped classroom. A second worksheet (also included in the teaching notes) is completed during class. The case is written for an introductory biology course for majors, but could also be used as a unit capstone in a non-majors human biology course; the case is also scalable to upper division courses in physiology that specifically explore kidney function.

"This case study uses a PowerPoint presentation to guide students through two activities designed to teach them about the basics of coronavirus diagnosis and transmission. The first activity involves a set of five "clicker questions" that students answer using either a personal response system, online polling application, or show of hands as they consider symptoms and test results of a hypothetical patient. The second activity is an outbreak simulation in which students consider the spread of a pathogen in various geographical settings and from different perspectives. Students work together to draft a list of precautions that could be taken to limit the spread of the disease and minimize healthy individuals' risk of contracting it. The simulation is designed for a biology lesson pertaining to outbreaks. Although coronavirus is used as the model, the concepts of disease transmission and prevention covered in this case are relevant to many diseases."