Course manual 2017/2018

Course content

The human body requires a continuous and well-regulated supply of oxygen to all cells. This is accomplished by the respiratory and circulatory systems, connected in series. Physical aspects such as fluid mechanics, diffusion and elasticity are of primary importance for functioning of these systems. Moreover, such physics play a key role in diseases such as asthma, hypertension and heart failure. Finally, physical principles form the heart of many of the measurements done on the respiratory and circulatory systems in experimental studies and in clinical routine. We will combine physics and physiology in order to improve your understanding of these important systems.

Study materials

Literature

  • So far we used the book 'Medical Physiology' by Boron, but please ask us to confirm before you buy the book.

Other

  • Notes on notably the physical aspects, added to a book on physiology.

Objectives

On completion of this course, you understand the functioning of circulation and respiration from a physical point of view. In particular, you should be able to:

  • Reproduce the essentials of physics and physiology of transport of fluids and gasses in the respiratory and cardiovascular system.
  • Describe the interplay between physics and physiology in regulation of cardiovascular and pulmonary quantities
  • Apply physical theory to specific problems in the cardiovascular-respiratory system.
  • Analyze the behavior of (sub-systems of) the cardiovascular-respiratory system on the basis of your understanding of the underlying physics and physiology

Teaching methods

  • Lecture
  • Self-study
  • Supervision/feedback meeting
  • Group application exercizes

Work groups aimed at clarifying the functioning of heart, vessels and lungs. Individual and Group exercises and presentation by students of basic training questions and challenging problems, discussions on current state of this research field. 

Learning activities

Activity

Number of hours

First instruction meeting

4

11 regular sessions, each:

6 hours preparation

4 hours meeting

110

Two round-up sessions, each:

3 hours preparation

4 hours meeting

14

Preparation for exam

35

Exam

3

Total

166

Attendance

Requirements concerning attendance (OER-B).

  • In addition to, or instead of, classes in the form of lectures, the elements of the master’s examination programme often include a practical component as defined in article 1.2 of part A. The course catalogue contains information on the types of classes in each part of the programme. Attendance during practical components is mandatory.
  • Assessment

    Item and weight Details Remarks

    Final grade

    50%

    Tentamen

    50%

    Preparation tests

    Tests at the start of each meeting

    0%

    Hertentamen 1

    We expect extensive preparation for nearly all of the meetings. We will test this at the start of each meeting and the test
    results form 50% of your final grade. The meetings include for a large part group work on problems related to the studied materials.

    The final exam will be based on a few physiological cases. Each case will contain a number of questions, ranging from the style seen in the entrance tests of the meeting (knowledge, understanding) to that of the group work questions (application, analysis) . We will provide example exams on BB and use the two last meetings to discuss these. The final exam counts for 50% of your grade.

    Fraud and plagiarism

    The 'Regulations governing fraud and plagiarism for UvA students' applies to this course. This will be monitored carefully. Upon suspicion of fraud or plagiarism the Examinations Board of the programme will be informed. For the 'Regulations governing fraud and plagiarism for UvA students' see: www.uva.nl/plagiarism

    Course structure

     

    meeting

    Where When

    Who

    What (Boron pages 3rd edition)

    1

    Monday, Sept 04 WN-C659

    Marcus

    Cardiac Electrophysiology

    ·         introduction of the course and intake test

    ·         Boron Ch 6, pgs 149-150; Ch 7 pgs 173-177; Ch 21: Cardiac Electrophysiology

    ·         Electrical model of cell membrane

    ·         Action Potential

    2

    Thursday, Sept 07, WN-P647

    van Bavel

    Fluid mechanics 1

    ·         Boron Ch 17: Introduction Cardiovascular System (flow part)

    ·         Boron Ch 18: Blood

    ·         Boron Ch 19: Arteries and Veins (up to elastic properties)

    3

    Monday, Sept 11, HG-14A36

    van Bavel

    Fluid Mechanics 2

    ·         Fluid mechanics: Navier-Stokes (document in BB)

    4

    Thursday, Sept 14,

    Marcus

    The Heart as a Pump

    ·         Boron Ch 9: mechanics of muscle cells, pg 238 Muscle

     

     

    WN-P647

     

    contractions.. until pg 240 including At higher load..

    ·         Boron Ch 22: The heart as a pump

    ·         Pressure-Volume loops

    5

    Monday, Sept 18, WN-S631

    van Bavel

    Vascular Wall Mechanics

    ·         Boron Ch 19: Arteries and Veins / elastic properties

    ·         Introduction to wall mechanics (document in BB)

    6

    Thursday, Sept 21, WN-P647

    Marcus

    The Respiratory System

    ·         Boron Ch 26: Organization of the respiratory system

    ·         Boron Ch 27: Mechanics of ventilation

    7

    Monday, Sept 25, WN-F637

    Marcus

    Gas Exchange in the Lungs

    ·         Boron Ch 29 Transport of O2 and CO2 …, pg 642-~651;

    ·         Ch 30: Gas exchange in the lungs

    ·         Diffusion and perfusion effects on gas transport

    8

    Thursday, Sept 28, WN-P647

    van Bavel

    Wave Propagation and Reflection

    ·         Wave propagation and reflection (document in BB)

    9

    Monday, Oct 02, WN-F607

    van Bavel

    The Microcirculation

    ·         Boron Ch 20: The Microcirculation

    ·         Diffusion (document in BB)

    10

    Thursday, Oct 05, WN-P647

    Marcus

    Ventilation and Perfusion of the Lungs

    ·         Boron Ch 31: Ventilation and perfusion of the lungs

    ·         Pulmonary vascular pressure, resistance and compliance

    11

    Monday, Oct 09, WN-C659

    van Bavel

    Regulation of Arterial Pressure and Cardiac Output

    ·         Boron Ch 23: Regulation of arterial pressure and cardiac output

    ·         Boron Ch 25: Integrated control

    12

    Thursday, Oct 12, WN-P647

    Marcus

    Control of Ventilation

    ·         Boron ch 32: Control…

    13

    Monday, Oct 16, WN-C659

    Marcus

    Round-up of cardiac and pulmonary aspects of the course

    14

    !!!!!

    van Bavel

    Round-up of vascular and integrated aspects of the course

    (availability issue, originally scheduled for Thursday, Oct 19, WN- P647 but we will announce an alternative)

    EXAM

    Tuesday, Oct 24, WN-Q105

    8.45-11.30

    You!

    PLEASE CHECK BB ANNOUNCEMENTS AND DATANOSE FOR POSSIBLE UPDATES ON TIME AND PLACE!!!!

     

     

    The vast majority of the meetings will be based on a specific subject within the scope of this course. Importantly, we expect you to have studied the relevant material before you come to the meeting. You will therefore need to heavily prepare for each meeting; this is not a ‘sit back and relax’ course with a tutor sweating over 200 powerpoint slides or endless mathematical derivations on the chalk board!

    Rather, we will build each meeting on the following parts:
    - We will start with a short entrance test, typically consisting of around 10 multiple choice questions. This test aims to probe whether you are sufficiently prepared, meaning that you know the facts and understand the meaning of the material. You will  obviously do this test individually. The entrance tests are part of your Exam.
    - After taking in the tests, we will give and discuss the answers should there be anything unclear.
    - We will then address any questions you might have on the material. We strongly suggest that you mail your questions at 9.00 AM on the meeting day at the latest, so that we have some time to prepare their discussion.
    - We then will commence group work: In groups of four persons, you will be addressing more complicated group exercises, generally at the level of application of your achieved knowledge and understanding. Some exercises are rather straightforward applications, some may have multiple approaches and answers, some may show to be too complex to handle and once and awhile, we also don’t know the answer…. The purposes of these exercises are to let you apply the material in a proactive and creative way, to provide perspective for the material, for instance as concerns relevance for cardiovascular diseases, and to train your skills as collaborator in groups. All groups will get the same questions and after each set we will compare and discuss the answers. This work is not part of your Exam but we do take the liberty to adjust your final grade (in either direction) on the basis of your attitude during this work. We will make a new grouping for each meeting.

    In the first meeting we will among others introduce the course, arrange some logistics and make a start with cardiac electrophysiology; you do not have to prepare for this but we will also do some group work.

    The last two meetings are reserved for reflection on the material, re-iteration of difficult subjects an discussion of example exam questions.

    Timetable

    The schedule for this course is published on DataNose.

    Additional information

    Recommended prior knowledge: In previous years students with Bachelor's in either physical or medical/biologic disciplines attended this course. We find the interaction between these students stimulating and of value for their training. However, a willingness to address both the mathematical/physical and medical/biological aspects is needed. To be able to succesfully follow this course, you should have a sufficient grasp of basic physics and mathematics, such as provided by Bachelor degrees in physics, engineering disciplines. Students with a background in medicine- and biology-related sciences should make sure that they have a sufficient background here.

    We do not assume background knowledge in cardiovascular/respiratory physiology, but will maintain a high pace in introducing this during the course. Some background/interest in physiology therefore is quite helpful. Don't hesitate to contact the instructer for more information on this.

    Max. participants: 30. 

    Contact information

    Coordinator

    • E.T. van Bavel