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Hyper-IgM syndrome is an X-linked genetic disorder more commonly affecting males than females. It is caused by the lack of heavy chain class-switching from IgM to other isotypes. Patients with hyper-IgM syndrome are susceptible to a variety of infections as demonstrated in this medical case study. Students are presented patient information, symptoms and a diagnosis that must be interpreted. The case was written for use with the team-based learning (TBL) format involving groups of 4-5 students per group, but it could also be completed as an individual project. The case is targeted to premedical/allied health advanced students and is appropriate for any immunology course at the undergraduate or graduate level in a biomedical science program, or health-related professional courses such as advanced physiology, pathophysiology, microbiology, or histology and cytology.

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.

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.

In this interrupted case study, students will help Dr. Gupta investigate and assess complications arising in one of her long-term patients, Jorge Alvarez. Jorge was diagnosed with Type II diabetes mellitus 10 years ago as documented in "Living the Sweet Life," an optional prequel case study also in the NCCSTS collection. Jorge has been working with Dr. Gupta to manage his condition, but this year he has come under additional stress, both emotionally and financially, and his health has deteriorated. Jorge now presents with several new signs and symptoms, including numbness, tingling and burning sensations, and a foot sore that just won't heal. Students will review the nervous system and assess Jorge's symptoms, vitals, and blood tests to determine if his diabetes has worsened. Students will also learn about tests used to diagnose types of neuropathy and consider which of them would be most beneficial for Jorge. In addition to a non-majors anatomy and physiology course, this case study may be appropriate for an introductory biology, nutrition/dietetics, or a sensory and perception course.

"This case study introduces students to Duchenne muscular dystrophy (DMD) and its underlying genetics, cell biology, and some of the associated biochemical pathways.  DMD is an X-linked disorder characterized by progressive muscle weakness and wasting due to the absence of a protein called dystrophin, which in turn causes degeneration of skeletal and cardiac muscle. There is currently no established cure for this disease.  The case follows the progress of "Casey," an undergraduate student who has just declared her biology major and is interested in expanding her scientific understanding of the different fields of biology. The case is organized in three parts: genetics, cell biology, and biochemistry, each exploring DMD through its unique lens. Throughout the case, Casey is presented with multiple outlets of information, including class lectures, direct e-mail interaction with a professor, scientific journals and websites, from which she (and any student engaged with the case) gathers knowledge about DMD."

Emerging diseases and potential pandemics make the news nearly every year. Students (and everyone else) may wonder where new infectious diseases come from, how scientists assess the risk of a pandemic, and how we might go about preventing one. This case study uses a PowerPoint presentation to explore these questions by focusing on HIV, a pandemic that began as an emerging disease. The storyline progresses backwards through time as scientists attempt to unravel the origins of a new, mysterious plague. Much of the case relies on audio excerpts from an episode produced by Radiolab, an acclaimed radio show that explores a variety of topics in science and culture (www. radiolab.org). Students use graphics, animations, and sound clips presented in the PowerPoint slides to discuss several sets of questions. The case is suitable for a wide range of high school and college introductory biology courses, as well as undergraduate microbiology, ethics, and public health courses.

This case study presents the mock trial of "Martin Miller." There is no question that Martin killed his girlfriend; he admitted to stabbing her in a violent rage. But what is the degree of his responsibility? By virtue of Martin having the MAOA-L gene variant, together with a history of childhood abuse, should his punishment be reduced? This hypothetical case, which requires students to think through the issues rather than simply look up a verdict, is based on actual events and violent behaviors that resulted in criminal charges claimed to be related to MAOA. The MAOA gene and its effect on behavior have been extensively studied, and research results have been introduced as evidence in court cases with differing results. The present case study allows students to explore how behavioral genetic information can be applied to a courtroom situation, and requires them to integrate information from biology, ethics, and the law. Note: Due to the unusual structure of the case, no answer key is available.

iKeepSafe is dedicated to the education of families on how to stay safe online. That's why we've teamed up with Google to develop curriculum that educators can use in the classroom to teach what it means to be a responsible digital citizen. The curriculum is designed to be interactive, discussion filled and allow students to learn through hands-on and scenario activities. Each workshop contains a resource booklet for both educators and students that can be downloaded in PDF form, presentations to accompany the lesson and animated videos to help frame the conversation.

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 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.

We create interactive lessons for high school and college educators to engage their students in discussions of ethics and personal genetics. The lessons are relevant to multiple subjects, including biology, health, social studies, law, physical education and psychology. All of our lesson plans contain background reading for teachers and students, a selection of classroom activities, discussion points, in some cases a slide presentation or video clip, and an evaluation. Each lesson can stand alone, or all the lessons can be taught as a unit.

This interrupted case study explores the role of cytoskeletal structures on human health, specifically on respiratory function, sperm motility, and female fertility. It follows the story of a couple struggling to conceive a child and the doctors working to help them. Students are presented with clinical histories, narrative elements, documentary-style videos, and microscopic evidence in order to determine the cause of the couple's infertility. Along the way, they learn about the three types of cytoskeletal elements and the roles these play in cellular biology and human physiology. The use of videos makes it suitable for the "flipped classroom," allowing students to prepare outside the classroom for the case study, which they then complete in class. An original video by the author on the structure and function of microtubules, microfilaments, and intermediate filaments is included. The case was developed for an introductory level general biology course and could be delivered during a unit on the cell structure and function. The case could also be used in a cell biology course.

This activity supports the HHMI short film The Origin of Species: The Making of a Theory. Students are presented with a map of the Malay Archipelago and some field notebooks with observations of animals. By plotting which animals are found on which island, the students discover the Wallace Line-a sharp boundary that separates distinct Asian and Australian fauna. 

This case study presents a realistic example of drinking water contamination within a fictional local community and leads students through an abbreviated human health risk assessment. Students are provided background information about the extent of the contamination and a description of the contaminated site and are then required to calculate both the cancer and non-cancer risks to the community. This exercise is appropriate for an environmental toxicology or environmental risk assessment course. It works well after a lecture on the basics of risk assessment including how to calculate exposure intakes and risk estimates.

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.

This case study presents the fictional tale of two neighboring towns that have recently experienced a growth boom and are now suffering the environmental consequences. The case provides an opportunity to explore a wide variety of anthropogenic causes of natural capital degradation. Students are assigned the role of scientists working for the regional Department of Environmental Resources Management, and it is their job to discover the underlying causes for a wide variety of citizen complaints and to suggest reasonable and cost effective solutions. The case may be assigned as a recap activity after teaching a unit on natural capital degradation. The case includes a PowerPoint presentation as well as three lab activities that are included in the teaching notes. The case would be appropriate for high school or lower level undergraduate ecology or environmental science courses.

Currently there is considerable confusion surrounding the use of the term "organic" as applied to food and other consumer products, but within the agriculture industry the term has a well-defined meaning related to the practices that are allowed in the production of a crop. This case study was written to inform students about organic agriculture and its implications with regard to food nutritional value as well as its costs.  The case is presented as a dilemma in the context of buying produce in the grocery store. Concepts presented include the difference between organic and conventional agricultural practices, the analysis of food to quantify nutrient levels, the history of the organic movement, and the economic and environmental impacts of organic agriculture. The activity was designed for use in a lower level general science course (with a cursory review of the scientific literature) or in an upper level chemistry course (with a thorough analysis of the literature).

This interrupted case study introduces the topic of bacterial sporulation and cannibalism in Bacillus subtilis. The storyline follows Susan and her lab mates who are presenting research at a lab meeting when Susan falls asleep and dreams they are stranded on a deserted island. She makes connections between their fight for survival in the dream and the survival mechanisms of the bacteria they study in the lab. The benefits of sporulation under conditions of sustained stress are fairly obvious, but Susan's dream is used to examine the idea that sporulation may not always be beneficial and that bacteria would not want to commit to entering such a state in response to temporary stresses. Through the analysis of actual data from the scientific literature, students uncover a mechanism by which B. subtilis delays its commitment to sporulation by killing members of its own species to release nutrients (i.e., cannibalism). Originally developed for a general undergraduate microbiology course when discussing the structure and growth of prokaryotic cells, the case could also be used in an introductory biology course that emphasizes bacteria and data literacy.

This case study presents the story of Phil, an undergraduate majoring in biology, whose Russian cousin Dimitri has contracted tuberculosis (TB) from inmates at the prison where he works.  Phil learns that his cousin's failure to complete his antibiotic regimen likely contributed to the evolution of antibiotic-resistant TB in his body.  Phil consults with his friend Stacy, and together they try to understand Dimitri's condition by applying what they are learning in their genetics lab experiment about the role of random mutation in bacterial evolution (including the development of antibiotic resistance) through Luria- Delbrück fluctuation analysis. The same analysis includes calculation of the mutation rate, which Phil realizes is sufficient to cause MRSA and other antibiotic-resistant infections. This case study was originally developed for concurrent use in freshman/sophomore-level genetics, elementary statistics, and precalculus. However, it is also very appropriate for courses in introductory biology, evolutionary biology, and biostatistics. The teaching notes discuss various ways to run the case depending on the mathematics and biology background of students.

What do we care most about? We care about social collaboration, immersing students in investigations of science phenomena, developing artifacts that demonstrate rigorous learning, and then presenting those artifacts for community use.