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This directed case study follows the story of "Pauline," a 20-year-old college student who has just received results from a personal genetic testing kit she purchased online. The report shows a negative result for variants of the BRCA 1 and 2 genes, which are associated with a greater risk for breast cancer. Although Pauline has a family history of breast cancer, she concludes that she no longer needs to be concerned, or does she? As students work through the questions in this case study, they review the role of genes and how they code for proteins as well as the effects of proteins on health, especially on cellular growth regulation and cancer. They also learn about the process of genetic testing and consider the ramifications of positive and negative tests for diseases or health conditions, especially with respect to breast cancer. The case is designed for non-science majors in a scientific methods course and could also be used in an introductory biology course. The questions in the case could be adapted for an upper level genetics class.

"This modular case study tells the story of Dan and Annie, a married couple of Acadian ancestry who have a genetic form of deafblindness called Usher syndrome. They live in Southwest Louisiana, home of the largest population of DeafBlind citizens in the United States. Acadian Usher syndrome is caused by an allele of the USH1C gene that came to Louisiana with the first Acadian settlers from Canada who founded today's Cajun population. This allele's single nucleotide substitution creates an erroneous splice site that produces a defective cytoskeletal protein (harmonin) of the cochlear and vestibular hair cells and retinal photoreceptors. This splice site is the target of a promising gene therapy. The case study applies and connects Mendelian inheritance, chromosomes, cell division, vision and hearing, DNA sequences, gene expression, gene therapy and population genetics to a specific gene and its movement through generations of Dan and Annie's families.  After the introduction, each of the remaining sections can be used independently either for in-class team activities or out-of-class extensions or assignments over an entire year of introductory undergraduate biology. "

In this case study, students will have the opportunity to model the spread of tuberculosis and development of antibiotic resistance in a hypothetical prison environment. After reading a brief handout and viewing a short video, students play a simulation game by first identifying a group of prison inmates represented by index cards. The placement of the cards will influence how drug resistance spreads from one inmate to another. Using a dice roll to mimic random probability of infection and antibiotic misuse, students then track the development of resistance to four specific antibiotics, determined by selection of playing card suit. Opportunity for release or transfer on inmates from one facility to another introduces a further level of complexity, allowing students to study resistance spread. This activity was originally designed for a section of an upper-division biology course about antibiotic resistance, but it would also be appropriate for lower-division undergraduate and high school biology courses discussing antibiotic use.

This case study uses an interactive activity to illustrate density dependence in ecology classes. We developed a "hunt" using paper butterflies with warning signals on the upper side of the wings and symbols that indicate if a butterfly is noxious underneath the wings. Butterflies are distributed in four different patches with varying densities of noxious and palatable butterflies, simulating Batesian or Müllerian mimicry. Students can catch as many butterflies they want for a period of time, but if they catch more than three noxious butterflies they are out of the game. After the activity, students calculate the survival rate of each type of butterfly in each patch and discuss the implications of density and warning signals according to their results. Students then answer questions and build graphs using the data from the activity and knowledge from the class and the discussion. With this case study, students will be able to understand negative and positive density dependence, as well as predation, learning, and convergent evolution, while recalling or being introduced to Batesian and Müllerian mimicry.

This case study describes a visit by "Naomi" to her physician, who upon seeing Naomi's bloodwork decides to prescribe her a cholesterol-lowering agent, a statin. The case discusses (1) the prevalence of non-communicable diseases such as atherosclerosis, which can lead to strokes and heart disease; (2) circulating lipoprotein particles including LDL and HDL, differentiating between which is a risk factor for heart disease and which is protective;  (3) the pathway for cholesterol synthesis; (4) the evidence demonstrating that statins inhibit the enzyme HMG-CoA reductase, which is the committed step for cholesterol synthesis; and (5) the kinetic mechanism by which statins inhibit the enzyme. Students examine and interpret data from radioactive tracer and enzyme kinetics studies. The case ends with another visit by Naomi to her physician, who reexamines her bloodwork after she has been taking a statin for six months. Students are asked to determine whether the drug was effective for Naomi and, if not, what changes could be made to her regimen. The case was originally written for use in a survey of biochemistry course for upper level undergraduates.

This case study was written for an introductory course for biology majors who are first learning about embryonic development. The case is composed of several parts and involves a storyline about a team of researchers who find frogs and eggs in bamboo plants during a field study. Students consider what these observations mean, learn basics about the stages of animal embryonic development, and make connections to phylogeny and natural selection. Students then apply their understanding of animal embryonic stage development to the chemical atrazine in the environment by examining data from several experiments. As a concluding activity students write a letter to an agency or newspaper of their choosing stating their opinion surrounding the use of atrazine in the environment. The case proceeds in a progressive disclosure format and involves a combination of class discussion, small group work, and homework. Because the case focuses on very basic animal embryonic development, it would also be a great start to a developmental biology course or an embryology course.

This case study centers on symbiotic relationships between insects and bacteria using Drosophila melanogaster, the common fruit fly, and the recently discovered bacterial species Sodalis praecaptivus. Until recently, the only known Sodalis species of bacteria were symbiotically associated with several different species of insects. However, free-living non-symbiont Sodalis species are being tested in several different insect species to determine if they can transition into symbiotic relationships. A pre-class assignment (see Supplemental Materials) directs students to read an open access research journal article providing a comprehensive review of S. praecaptivus and describing an experimental weevil model that parallels that of the fruit fly. A PowerPoint presentation shown in class (see Supplemental Materials) provides further background before students work in small groups to complete the case study focusing on results from D. melanogaster and S. praecaptivus model experiments.  Although developed for a genetics course, this interrupted case is appropriate for an upper-level biology course. It can be completed within a 75-minute class meeting, or adapted for shorter time periods.

Symbiotic relationships are interactions between species that live closely with each other and are commonly separated into three types: parasitism, mutualism, and commensalism. Students are often under the impression that these types are distinct and mutually exclusive, but on closer examination some interactions appear to be at times mutualistic, at other times parasitic. Is it perhaps better to think of mutualism and parasitism as two ends of a sliding scale, with commensalism in the middle? In this case study, students consider this question by examining what is often considered to be a classic example of mutualism existing between oxpecker birds and African savanna large mammals. After students examine data from a research study on oxpecker behavior, they then apply a more nuanced understanding of species interactions to a set of additional scenarios. The learning objectives for the case align with the Four-Dimensional Ecology Education Framework. The case was written for an upper-level undergraduate ecology course, but could easily be adapted for an introductory biology course.

In this case study, students follow "Mr. Okoro" as he makes the long journey with his sick daughter "Ada" to seek medical attention at the nearest clinic in Enugu, Nigeria. It is the rainy season, and "Dr. Fabian" from the Division of Parasitic Diseases and Malaria has been called in to investigate a suspected outbreak of malaria. Students learn about the circumstances in Ada's background that may have led to her illness, and then adopt the perspective of Dr. Fabian as she investigates the outbreak. They consider the epidemiological triangle, the different stages of the Plasmodium parasite lifecycle and how it leads to malaria, and evaluate the broader societal factors and future implications of malaria in Sub-Saharan Africa. The case was designed for upper-level global health, public health, and human biology courses, but could also be adapted for general biology, health studies, infectious disease, and epidemiology courses.

Although there have been more than two thousand studies documenting that GMOs do not pose an unusual threat to human health, questions about the safety of genetically modified foods remain in the minds of many consumers.

This case study focuses on the relationship between evolution and plasticity using a hands-on, inquiry-based approach. Students view examples from the literature that illustrate the difference between nature and nurture, or the relative contributions of genes and the environment in shaping phenotypes. Using the Trinidadian guppy system as an example, students learn about seminal work in the field in addition to exploring quantitative genetic techniques used to partition phenotypic variance between genes (G) and the environment (E). They use real data from one of the publications cited in the case to graph reaction norms illustrating GxE interactions at the family and population level. The inquiry-based approach means that students are introduced to new concepts in a stepwise fashion, and asked to develop and build their understanding using causal, explanatory evidence. The case concludes with an exercise in which students apply their knowledge to a real conservation problem in Trinidad and Tobago, where guppies are native. This case would be appropriate for an upper level biology, genetics, or evolution course.

Known officially as the Tuskegee Study of Untreated Syphilis in the Negro Male, the 40-year experiment run by Public Health Service officials followed 600 rural black men in Alabama with syphilis over the course of their lives, refusing to tell patients their diagnosis, refusing to treat them for the debilitating disease, and actively denying some of them treatment.

Links for 5 articles covering cancer and cell phones

Case study on the duck-billed platypus

Series of bioethical case studies

The Tuskegee Syphilis Study was initiated because known treatments for syphilis, in 1932, had shown little demonstrated effect, in addition to being toxic and dangerous. The dependent variable in the Tuskegee Experiment (the knowledge researchers wanted), was whether persons with syphilis were, in fact, better off without the treatment.

Before the discovery of insulin in 1921, being diagnosed with Type 1 diabetes was a death sentence. Despite the successful management of diabetes with purified animal insulin, potentially severe side effects were abundant, and alternative ways to produce insulin were needed. This case study guides students through the history of using insulin to treat diabetes, focusing on the development of recombinant DNA technology and the world's first bioengineered drug, recombinant human insulin, which is now used worldwide to treat diabetes. Through the course of this case, students consider the central dogma of molecular biology, the development of recombinant DNA technology, drug design, the importance of recombinant proteins to our society, and the ethical analysis and debates that occur as a result of some scientific discoveries. This case was developed as an introduction to an upper-division biotechnology course focusing on recombinant protein design and production, but could also be used in molecular biology, biochemistry, or introductory biology courses to highlight recombinant DNA and biotechnology.

When an elementary school teacher calls in sick to work, she finds out that she is not the only one who will be missing school that day.  Children from her fifth grade class have also become ill and parents are calling to report the absences. The concerned principal of the school finds out the fifth grade class had a field trip to one of the local parks the day before. The case shows the areas visited by the class and provides discussion between the principal and a physician that teaches the readers about water quality and EPA standards for bacteria levels in recreational water. The case has an optional lab component that provides the theory for three methods that can be used to conduct microbial water analyses.  Procedures are included for teachers to lead a lab activity to test water to identify which location in the park caused the illness. This case study and accompanying laboratory activity are recommended for an environmental engineering course or a lower level science course.

This directed case study in PowerPoint format focusses on the London Underground Mosquito, Culex molestus, and its potential relationship to the common mosquito, Culex pipiens, in order to explore the topics of evolution, reproductive isolation, and speciation. As the story unfolds, the case mirrors the process of science. The students receive some initial data and observations collected by Byrne and Nichols in London. Based on these observations, the students then form a hypothesis and design an experiment. Finally, they receive more data collected by Becker et al. and draw conclusions.

If you were limited to choosing only three crops to sustainably farm in an arid, inhospitable environment, what would they be and how would you decide? This interrupted case study places students in the role of a proposed self-sufficient Martian colony that requires an optimized profile of food crops. After students form small groups, they discuss the factors that affect sustainability of a food supply, determine criteria for selection of crops to grow, and rank crops using these criteria. Lists of criteria and of foodstuffs are provided, but the case can easily be transformed into a problem-based learning (PBL) case by having students research and generate their own lists. The case includes questions that walk students through the selection process and require them to explain why they chose their criteria and how those criteria apply to their chosen foods. The case is designed for undergraduate students at the introductory level in courses in astronomy/astrobiology, food science/nutrition, agricultural engineering, or any discipline where sustainability is a key theme.