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HSC 4501: Epidemiologyof ChronicDiseases (3 credits)
Departmentof Health Professions
College of HealthandPublicAffairs, Universityof Central Florida
COURSE SYLLABUS
Instructor: Kiarash P. Rahmanian, MPH Term: Spring 2016
Office: TBA Class Meeting Days: Mon. & Wed.
Email: TBA ClassMeetingHours: 3:00 PM-4:15 PM
4:30 PM-5:45 PM
Office Hours: Monday and Wednesday1:30 PM- 2:30 PM
beginningon1/20/15 or by appointment–drop
insnot welcome, Special office hours during finals
TBA
I. University Course Catalog Description
Epidemiologyof chronicdiseasesincludingriskfactors, etiology,mortalityandmorbidityasthey
relate to clinical practice, research, and intervention.
II. Course Overview
This course will explore chronic diseases as it relates to clinical practice. Students will critically
analyze the current epidemiologicliterature includingmethodology,contemporaryfindings, and
recommendations for future directions of research.
III. Course Objectives
Upon completion of this course, the student will be able to describe and/or evaluate:
1. Historical development of ideas regarding chronic disease etiology
2. Epidemiology of leading causes of mortality and morbidity of chronic diseases
3. Methodsusedand analysesof associationsbetweenriskfactorsandchronicdisease
endpoints
4. Methods used in screening and diagnosis of chronic diseases
5. Established and proposed risk factors for specific diseases
6. Established and proposed interventions regarding specific diseases
7. Public health impact of leading causes of morbidity and mortality in the world.
IV. Course Prerequisites
Anatomy & Physiology, Statistics
V. Required Texts and Materials
Title (REQUIRED): Fundamentals of Chronic Disease Epidemiology: Methods, Materials, and
Milestones. 2nd Edition
Author: Rovito, MJ
Publisher: Kendall-Hunt, 2014
VI. Supplementary (Optional) Texts and Materials
Title (RECOMMENDED): Epidemiology, Biostatistics, and Preventative Medicine
Author: Jekel et al
Publisher: Saunders
Jekel et al. IS ON RESERVE AT THE LIBRARYAND CAN BE FOUND HERE:
Online: http://ucf.catalog.fcla.edu/cf.jsp?st=CF032308212&ix=pm&I=0&V=D&pm=1
Print Record: http://ucf.catalog.fcla.edu/cf.jsp?st=CF031004461&ix=pm&I=0&V=D&pm=1
VII. Office Hours
I am an adjunctinstructor, andtherefore donothave a dedicated office on campus. I will utilize
the adjunctoffice duringthe hoursindicatedatthe top of page one,but otherwise will notbe on
campus. Email is my preferred method of communication.
VIII. Canvas Site
I use Canvas for this course. I will use this site to upload course documents (syllabus, lectures,
required readings), enter grades, and post important announcements. I will also post any
supplemental mediaonthiswebsite. I will make available numerouspractice problemactivities
via modules as the course progresses. You will also submit your assignments in this course
electronically through file uploads. In other words, all assignments should be submitted
electronically (typed, not hand written).
IX. Course Guidelines
Consideringthe extraordinaryeffort it will take us all to ensure you have the rich opportunity to
successfully complete this course, the following rules will apply:
Quizzes and Exams: There will be quizzes following every week’s lesson, totaling to 13 quizzes.
These quizzes will be T/F or multiple choice questions given through Canvas throughout the
semester. YOURLOWESTQUIZ GRADE will be droppedat the end of the semester. Ifyou miss a
quiz,this will count as your one drop for the semester. The Midtermexamwill be acombination
of T/F multiple choice questions, short-answer questions, and an essay question covering all
material priortothe examdate.The final examwill have multiple choicequestionsandwillinclude
all material followingthe midtermexam.The exams andquizzes are timed.If youhave adisability
that may prevent you from completing the exam on time, please let the instructor know by the
second week of class by e-mail.
Group Presentation: Groupswill be chosenwithinthe firsttwo weeksof classesby the students.
Groupswill consistof amaximumof8students.The groupmustmeettochoose atopicareabased
on one of the covered Chronic Diseases from the latter half of the course to complete an article
critique and present to their classmates. The group leader will then email the professor their
chosen topic area based and the names of their group members PRIOR TO FEBRUARY 28TH
@
11:59PM. 5 points will be deducted for every day that this is late.
The structure of the presentation will be an introduction to the chronic disease and some
background information, the presentation of the article, the group’s critiques, suggestions for
future studies, and suggested public health interventions and personal measures to prevent the
occurrence of thatgroup’schosenchronicdisease.A rubricwill be postedlateroninthe semester
throughCanvas for review.The grade for thisassignmentwill be based75% on the gradedrubric
by the professor, and 25% on the average grade given through peer grading. Non-presenting
students will be provided with a grading rubric on the day of the presentations.
Participation:Participationwill be evaluatedbasedonclassroom attendance andparticipationin
class. There will also be a segment at the end of each class that requires participation in group
discussion of the assigned readings. Attendance is mandatory and I tend to call on people
randomlyand ask for your insight.If I call on you and you are absentfrom class, I will count that
as one absence. Three absences are granted for each student (excused or unexcused). For each
additional absence participation grade will decrease by 5% points. Participation in class will be
demonstrated by active participation in discussions. Students who clearly have not read the
readingspriorto class will have 5% pointsdeductedfromtheirgrade for each time the instructor
notes lack of preparation.
Attendance:Classeswill startpromptlyasscheduled. Late studentsare verydisruptivetothe class.
Althoughthe instructorunderstandsthattrafficproblemscanoccasionallycause studentstoarrive
late to class, the instructor expects that students will show courtesy to other students and the
instructorbyconsistentlyarrivingtoclassontime.Itisthe student’sresponsibilitytoobtainallthe
classmaterial/announcementsthatwere made whilethe studentwasabsentorlate. Iwill notre-
lecture material to you during office hours. I can clarify material, but will not re-teach it.
IX. Grades
Grade distribution:
Quizzes 20%
Group Presentation 20%
Participation 10%
Midterm Exam 30%
Final Exam 20%
Please note the following:
 There isno +/- systemintermsof grades.Forexample,there isnoB+or A- grade.Those grades
would be a B or an A, respectively.
 I will NOT round up final grades. For example, a 79.5 (C+) will not be rounded to a (B-).
 PLEASEREAD thisnote ongrades:Do not email me at the endof the course begging me forthe
nexthighergrade (i.e.“Iam onlyone pointaway froman A, and since I got a 100 on the final, it
is tragicthat I am gettinga B.”). Theyare assignedbasedonthe rubricabove,andare basedon
yourperformance throughoutthecourse. Iwill notrespondtothese emails. Final gradeswillbe
available toyouthroughUCF on the day the Registrar’sOffice saystheywill be released. If you
don’tsee your final grade inCanvas priorto this date,don’temail me askingit where itis. I am
workingtogetthemsubmittedontime,andyouremailsonlyslow me down. There are noextra
creditassignmentsinthiscourse.
 ReviewyourassignmentsandquizzesforaccuracywhenIreturnthemtoyou. Youhave twoweeks
fromthe date I returnthemto youto see me withgrade concerns. Aftertwoweeks,Ireservethe
right to not re-review your document or make grade adjustments.
X. Course Policies: Make Ups
Grading Scale
90-100 A
80-89 B
70-79 C
60-69 D
0-59 F
Make-up quizzes and exams absolutely will NOT be given unless there is an unforeseeable
emergency(deathinIMMEDIATEfamily,hospitalization,orsome otherequallypressingevent).
If this happens, you will need two things:
1. Email the instructorwithin24hoursof the missedquizorexamexplainingwhy
you could not be present.
2. Formal and official documented proof of why you were absent has to be
offered. I reserve the right to verify all documentation with emergency
medical, clinics, funeralhomes, andoranyotherinstitutionIfeel necessaryto
substantiate yourrequestandgrantamake-upexam. Youhave oneweekfrom
the date of the missedquizorexamtoprovide the necessarydocumentation.
I will absolutelyNOTgrantunderanycircumstancesanymake-upexamsforreasonsoutsideof
the aforementioned.Thisincludesfamilyvacations,oversleeping, winterorspringbreaktravel,
etc. Ensure youmatch up datesfor all materialswithyourprivate plansbefore youcommitto
this class. Merriam-Webster’s definition of an emergency is “an unexpected and usually
dangerous situation that calls for immediate action.” Oversleeping is not an emergency!
Transportationissues, includingcar trouble,are not reasonsto grant a make-upexamor quiz
either. Please leave early enough to deal with these issues should they arise.
If a make-up quiz is granted, you will need to schedule an appointment with the instructor to
complete the quiz. It will take approximatelythe same amountof time as the in-classversion.
If a make-upexamisgranted,the examiscompletelyessay-basedandwill be the equivalentof
a 5-10 page term paper. You will have 18 hours to complete the essay.
Attendingthe othersectionthat I teach requirespriorpermission. Also,takinganexamin the
other sectionthatI teachrequirespriorpermissionfollowingthe rulesabove. Youwill receive
a zero for the assignment if you do not comply.
XI. Course Policies: Exams
You need pink Scantron sheets for the 2 exams in this course. These can be purchased in the
universitybookstore. Quizzeswillbe providedbythe instructorthrough Canvas. If youcome to
the examwithouta Scantron, you are permittedto leave the classroomto obtainone PRIORTO
RECEIVINGEXAMQUESTIONS. Otherwise,youmustspeaktome regardingamake-up(seeabove)
or youwill receive azero. You will onlybe giventhe timeremainingwhenyoureturntofinishthe
exam. You will not be allotted additional time.
Come toexamsontime andcomplete quizzesontime. Have thecommoncourtesynottodisrupt
your fellow students. Exams are given at the beginning of class. Quizzesare on Canvas and can
be completedfollowingWednesday’sclass. Be ontime. If you’re late,youcanuse the remaining
4llotted time to work on your exam, but you will not be given an extension.If you come to an
examafteranotherstudenthasfinishedandleftthe room,youwillnotbe permittedtotake the
exam, and will receive a zero without a valid, documented reason for being late (see above).
XII. Course Policies: Technology and Media
Email: In this classe-mail communicationshouldbe throughKnightsmail.All communication
between student and instructor and between student and student should be respectful and
professional.Asof 2009, Knightsmail isthe onlyofficialstudentemail atUCF.Classrosterslist
Knightsmail addresses rather than external email addresses, and all official class
communications will be sent only to the Knightsmail addresses. Students are responsible for
checking their Knightsmail accounts regularly. See www.knightsemail.ucf.edu for further
information.
ElectronicDevices:At no time doI grant permissionformylecturestobe audioor video
recorded.
All electronicdevicessuchascell phones, etc.mustbe turnedoff or on silentduringlecture.
Textmessagingandtalkingduringlecture will be considereddisruptive,andawarningwill be
issued. If continued, the individual will be asked to leave the lecture.
You getone warningall semestertogetoff of yourphone.If it happensagain,youwill be asked
to leave class and it will be counted as an absence. If it happens a third time, you will lose 10
pointsonnextexam.If Iaskyouafourthtime togetoff yourphone,Iwillseektoexpel youfrom
the class for disruption of the learning process.
If there isan emergency, please leave the classroomtomake a phone call.If there isanother
scenario where you need to have your phone on, no problem, just tell me before class.
XIII. Course Policies: Student Expectations
Course Accessibility: It is my goal that this class be an accessible and welcoming experience for
all students, including those with disabilities that may impact learning in this class. If anyone
believesthe designof thiscourse posesbarrierstoeffectivelyparticipatingand/ordemonstrating
learning in this course, please meet with me (with or without a Student AccessibilityServices
(SAS) accommodationletter) todiscussreasonable optionsoradjustments.Duringourdiscussion,
I may suggest the possibility/necessity of your contacting SAS (Ferrell Commons 185; 407-823-
2371; sas@ucf.edu) to talk about academic accommodations.You are welcome to talk to me at
any point in the semester about course design concerns, but it is always best if we can talk at
least one week prior to the need for any modifications.
Attendance Policy:Attendance isrequiredforthiscourse, oryouwill notperformwell.However,
I also believe in personal responsibility, and I hate to micromanage people. I will not take
attendance,or deductpointsfrom your grade for missingclass. It isyour choice to attend,but
do not expectme to teachyou privatelyoutsideof classif you are absentwithoutanimportant
reason. Important reasons do not include: oversleeping, studying for another course, taking
vacations, etc.Thisalsoappliestoannouncements.IMPORTANTANNOUNCEMENTSAREOFTEN
GIVENWITHINTHE FIRST5 MINUTESOFCLASS.IT ISYOURRESPONSIBILITY TO COMEONTIME!
Email Communication with Instructor: Email is not a substitute for coming to class and office
hours. Do not abuse the attendance policy by cominglate or beingabsent, andthenemail the
instructor with questions regarding missed announcements. I will disregard these emails (you
will notreceive a response). Itis also beneficial foryouto come to office hourswithquestions,
because I getto know you andjust mightagree to write a recommendationletterforyouin the
future. Plus,itis easiertodemonstrate conceptsyouare strugglingwithface-to-face. Youmay
email me and expect a response under the following two conditions:
1. You have experiencedanemergency(see above)andare notifyingme because youwillmiss
or have missed a quiz or exam.
2. You absolutely cannot attend my office hours and needto schedule an appointment. I am
not full-time faculty, anddonotlive nearcampus, thusthisisfor exceptionalcircumstances.
Emails to the instructor should be of professional tone. Once you have emailed the instructor
for any reason, do not send duplicate emails. This will not result in speedier reply. It can take
upto 48 hoursto receive aresponse duringweekdays,andupto72 hoursonthe weekend.Thus,
planaccordingly! Remember,manyquestionscanbeansweredbyreadingthesyllabus.If youemail
me with a question that is easily answered by the syllabus, I will not reply.
Academic Conduct Policy:The Universityof Central Floridaiscommittedtoa policyof honesty
in academic affairs. UCF faculty supports the UCF Creed.
Integrity – practicinganddefendingacademicandpersonal honesty–isthe firsttenetof the UCF
Creed. This is in part a reflection of the second tenet…
Scholarship:- I will cherish and honor learning as a fundamental purpose of membership in the
UCF community.
Course assignmentsandtestsare designedtohave educational value;the processof preparing
for and completing these exercises will help improve your skills and knowledge. Material
presented to satisfy course requirementsis therefore expected to be the result of your own
original scholarly efforts.
Plagiarismandcheating–presentinganother’sideas,arguments,wordsorimagesasyourown,
usingunauthorizedmaterial,orgivingoracceptingunauthorizedhelponassignmentsortests–
contradict the educational value of these exercises.
Examplesof conductforwhich studentsmay be subjectto academicand/ordisciplinary penalties
including expulsion are:
1. Cheating,wherebynon-permissive written, visual,ororal assistanceincludingthatobtained
from another student is utilized on examinations, course assignments, or projects. The
unauthorized possession or use of examination or course related material might also
constitute cheating.
2. Plagiarism, whereby another’s work is deliberately used or appropriated without any
indicationof the course, therebyattemptingtoconveythe impressionthatsuchworkisthe
student’sown.Anystudentfailingtoproperlycreditideasormaterialstakenfromanother
has plagiarized.
Course assignmentsand tests are designedto have educational value; the process of preparing
for and completing these exercises will help improve your skills and knowledge. Material
presented to satisfy course requirements is therefore expected to be the result of your own
original scholarly efforts.
Further, there is a university requirement for student engagement in this course. Thisneedsto
be completed during the first 2 weeks of class. Without this, you cannot move forward in the
semester.
Note: A student who has assisted another in any of the aforementioned breach of standards
shall be consideredequallyculpable.Incasesof cheatingorplagiarism,the instructormaytake
appropriate academicactionrangingfromlossof creditforaspecificassignment,examination,
or project to removal from the course with a grade of “F”. Additionally, the instructor may
requestdisciplinaryactionthroughthe Deanof StudentsOfficeasoutlinedinThe GoldenRule.
Tips for Success: We are all adults; therefore, we should act accordingly. A mutual respect
betweenusall willbe upheldinthe classroom, aswell asanycommunicationbetweenmyself
and you as it pertains to this course.
We belongtoaninstitute of higherlearning.Youare here togainthe skillsnecessarytobe
successful inlife.Partof thatislearninghow torespecttheinstitution,eachother,andthe
learning process.
I amtrainingyouforthe professionalworld. Inthatworld,youare rewardedforresultsandnot
effort,and that is how my classroomoperates. Don’t tell me life isnot fair. I alreadyknow. I
want to prepare you fully to deal with that reality in the outside world.
Remember, the “A” equates to EXCELLENT work, the “B” equates to GOOD work, the “C”
equates to AVERAGE work, the “D” equates to BELOW AVERAGE, and the “F” equates to
failing. We don’t always do “excellent” work, which is the same as getting all 5s on your
performance reviewatwork. Thisneverhappensevenwiththe mostexceptionalemployees.
XIV. DISCLOSURE STATEMENT
The instructor reserves the right to modify or change the contents of the course syllabus when
necessary to assure achievement of course learning goals and objectives. Students will be
notifiedinclassof suchchanges. If astudent missesthe classwhenthe announcementwasmade,
the student is still responsible to comply with these changes.
XV. IMPORTANT FINANCIAL AID NOTICE
As of Fall 2014, all facultymembersare requiredtodocumentstudents’academicactivityatthe
beginningof eachcourse.Inordertodocumentthatyoubeganthiscourse,pleasecompletethe
following academic activity by the end of the first week of classes, or as soon as possible after
addingthe course,butnolaterthanJanuary16by11:59 pm.Failure todosowill resultinadelay
in the disbursement of your financial aid.
“Course Engagement Activity – Course Agreement Quiz” in Canvas
Jan 14 – Last day to drop/swap Mar 23 – Last day to withdraw without academic penalty
Course Agreement
YOU MUST COMPLETE THE COURSE AGREEMENT QUIZ IN CANVASBY January 16, 2015 AT 11:59 PM.
SUBMISSION OF THE QUIZ INDICATES YOUR ELECTRONIC SIGNATURE AND AGREEMENT TO THE
BELOW. PLEASE KEEP THIS PAGE FOR YOUR RECORDS.
****Please read eachof the followingclausescarefully.Yourcompletionof thisportionof the syllabus
grants your access to take HSC4501. Failure to provide this completed form prevents you from
participating in this course****
Clause
Week Date Topic Reading from REQUIRED text
1 Jan 11  Course Introduction  Rovito Ch. 1
 CDC ChronicDiseasesandHealthPromotion.Overview
http://www.cdc.gov/chronicdisease/overview/index.htm
 GuzickDS. On the Same Page.Caringfor Those Without
HealthInsurance:Practical Implicationsof the Affordable
Care Act.https://UfandShands.org/
Jan 13  Introduction to Chronic
Disease
2 Jan 18 MLK HOLIDAY (NO CLASS
MONDAY)
 Rovito Ch. 2,3,4
 Haskell,et.al.Physical ActivityandPublicHealth:Updated
RecommendationforAdultsFromthe AmericanCollege of
Sports Medicine and the American Heart Association
http://circ.ahajournals.org/content/116/9/1081.citation
Jan 20  Historical Developments
 Basics of Epidemiological
Research Methods P.1
Jan 24 QUIZ #1 ONLINE DUE BY 11:59PM
3 Jan 25  Basics of Epidemiological
Research Methods P.2
 Rovito Ch. 4, 5
Jan 27  Epidemiological Study Designs
P.1
Jan 31 QUIZ #2 ONLINE DUE BY 11:59PM
4 Feb 1  Epidemiological Study Designs
P.2
 Rovito Ch. 5, 6
Feb 3  Epidemiological Study Designs
P.3
Feb 7 QUIZ #3 ONLINE DUE BY 11:59PM
5 Feb 8  Association & Causality  Rovito Ch. 7, 8
Feb 10  Probability, Statistics, and Risk
Feb 14 QUIZ #4 ONLINE DUE BY 11:59PM
6 Feb 15  Probability, Statistics, and Risk  Rovito Ch. 7, 8
Feb 17  Midterm Review
Feb 21 QUIZ #5 ONLINE DUE BY 11:59PM
7 Feb 22 Midterm Exam  Rovito Ch. 9
 CDC. Surveillance Resources
 CDC: Florida Chronic
 Disease Profile
 CDC: Chronic Disease Indicators
 Florida Charts
 Council of State and Territorial Epidemiologists
Feb 24  Assessing Chronic Disease
Evidence
Feb 28 QUIZ #6 ONLINE DUE BY 11:59PM
Feb 28 Group Presentation Topics Due! Through email by 11:59PM
8 Feb 29  Cardiovascular Disease  Rovito Ch. 9
 Canvas: Stamatakis et al (2009)
 Pearson,et.al.AHA Guide forImprovingCV Healthatthe
CommunityLevel
http://circ.ahajournals.org/content/127/16/1730
Mar 2  Cardiovascular Disease
 Goff,et.al.2013 ACC/AHA Guideline onthe Assessmentof
CV Risk.
http://circ.ahajournals.org/content/129/25_suppl_2/S49
Mar 6 QUIZ #7 ONLINE DUE BY 11:59PM
9 Mar 7 SPRING BREAK (NO CLASS) (NO CLASS)
10 Mar 14  Type 2 Diabetes Mellitus  Canvas: Waters et al (2009)
 Canvas: Watters et al (2010)
 Nelson et al; Screening for breast cancer: an update for
the U.S. Preventive Services Task Force.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972726
/
Mar 16  Cancer
Mar 20 QUIZ #8 ONLINE DUE BY 11:59PM
11 Mar 21  Respiratory Diseases  Canvas: Harding & Darnton (2010)
 US DoHaHS. The health consequences of smoking: a
report of the Surgeon General (2004).
http://monographs.iarc.fr/ENG/Monographs/vol100A/m
ono1
 Feldman et. al. Toward Primary Prevention of Asthma.
Reviewing the Evidence for Early-Life Respiratory Viral
Infections as Modifiable Risk Factors to Prevent
Childhood Asthma.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299628
/pdf/rccm.201405-0901PP.pdf
Mar 23  Respiratory Diseases
Mar 27 QUIZ #9 ONLINE DUE BY 11:59PM
12 Mar 28  Obesity  Canvas: Moore et al (2009)
 Karnik et al. (2012). Childhood Obesity: A Global Public
Health Crisis.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278864
/
 Phillips et. al. Public policy versus individual rights in
childhood obesity interventions
http://www.cdc.gov/pcd/issues/2011/sep/10_0286.htm.
 http://www.hsph.harvard.edu/obesity-prevention-
source/obesity-trends/obesity-rates-worldwide/
Mar 30  Obesity
Apr 3 QUIZ #10 ONLINE DUE BY 11:59PM
13 Apr 4  HIV/AIDS  Canvas: Jarrin et al (2008)
 CDC. (2010). Establishing a holistic framework to reduce
inequities in HIV, viral hepatitis, STD, and tuberculosis in
the United States
http://www.cdc.gov/socialdeterminants/docs/SDH-
White-Paper-2010.pdf
 Rhodes et al. (2010). Community-based participatory
research: a not-so-new approach to HIV/AIDS prevention,
care, and treatment. AIDS Education and Prevention
Apr 6  HIV/AIDS
1. I agree to read in full thissyllabusandto take note of course rulesand regulations.Ifurtheragree
that I fullyunderstand, andwill abide by, the policiesonattendance, lateness, cheating, plagiarism,
classroom behavior, and all other course information as described in the above text.
2. I understandthatMrs. Nashreservesthe righttoalterthe Epidemiologyof ChronicDiseasescourse
schedule as it pertains to the demands and needs of the course timing and flow of material
presentation, ashe statedon Page 8 of thissyllabus.Iunderstandthat changesto this syllabuswill
be announced in class and it is my responsibility to make proper note of possible changes.
3. This syllabusservesasan agreementbetweenme andMrs. Nashthat I agree to the course content
outlined above. My signature below acknowledges that I understand completely the course
requirementsandthatI will abide byall requiredandexpectedactionsto successfully this course.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282157
/pdf/nihms353270.pdf
 Probst et. al. (2011). Higher risk of death in rural Blacks
and Whites than urbanites is related to lower incomes,
education, and health coverage.
http://content.healthaffairs.org/content/30/10/1872.lon
g
Apr 10 QUIZ #11 ONLINE DUE BY 11:59PM
Apr 10 STUDENT PRESENTATIONS DUE ONLINE DUE BY 11:59PM
14 Apr 11 GROUP PRESENTATIONS
Apr 13 GROUP PRESENTATIONS
15 Apr 18 GROUP PRESENTATIONS
Apr 20 GROUP PRESENTATIONS
16 Apr 25 FINAL REVIEW / Q&A
Apr 27 FINALS STUDY WEEK NO CLASS
17 May 2 Final Exam Monday (4:00PM –
6:50PM)
May 4 Final Exam Wednesday (1:00PM –
3:50PM)

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HSC4501 Syllabus

  • 1. HSC 4501: Epidemiologyof ChronicDiseases (3 credits) Departmentof Health Professions College of HealthandPublicAffairs, Universityof Central Florida COURSE SYLLABUS Instructor: Kiarash P. Rahmanian, MPH Term: Spring 2016 Office: TBA Class Meeting Days: Mon. & Wed. Email: TBA ClassMeetingHours: 3:00 PM-4:15 PM 4:30 PM-5:45 PM Office Hours: Monday and Wednesday1:30 PM- 2:30 PM beginningon1/20/15 or by appointment–drop insnot welcome, Special office hours during finals TBA I. University Course Catalog Description Epidemiologyof chronicdiseasesincludingriskfactors, etiology,mortalityandmorbidityasthey relate to clinical practice, research, and intervention. II. Course Overview This course will explore chronic diseases as it relates to clinical practice. Students will critically analyze the current epidemiologicliterature includingmethodology,contemporaryfindings, and recommendations for future directions of research. III. Course Objectives Upon completion of this course, the student will be able to describe and/or evaluate: 1. Historical development of ideas regarding chronic disease etiology 2. Epidemiology of leading causes of mortality and morbidity of chronic diseases 3. Methodsusedand analysesof associationsbetweenriskfactorsandchronicdisease endpoints 4. Methods used in screening and diagnosis of chronic diseases 5. Established and proposed risk factors for specific diseases 6. Established and proposed interventions regarding specific diseases 7. Public health impact of leading causes of morbidity and mortality in the world. IV. Course Prerequisites Anatomy & Physiology, Statistics V. Required Texts and Materials Title (REQUIRED): Fundamentals of Chronic Disease Epidemiology: Methods, Materials, and Milestones. 2nd Edition
  • 2. Author: Rovito, MJ Publisher: Kendall-Hunt, 2014 VI. Supplementary (Optional) Texts and Materials Title (RECOMMENDED): Epidemiology, Biostatistics, and Preventative Medicine Author: Jekel et al Publisher: Saunders Jekel et al. IS ON RESERVE AT THE LIBRARYAND CAN BE FOUND HERE: Online: http://ucf.catalog.fcla.edu/cf.jsp?st=CF032308212&ix=pm&I=0&V=D&pm=1 Print Record: http://ucf.catalog.fcla.edu/cf.jsp?st=CF031004461&ix=pm&I=0&V=D&pm=1 VII. Office Hours I am an adjunctinstructor, andtherefore donothave a dedicated office on campus. I will utilize the adjunctoffice duringthe hoursindicatedatthe top of page one,but otherwise will notbe on campus. Email is my preferred method of communication. VIII. Canvas Site I use Canvas for this course. I will use this site to upload course documents (syllabus, lectures, required readings), enter grades, and post important announcements. I will also post any supplemental mediaonthiswebsite. I will make available numerouspractice problemactivities via modules as the course progresses. You will also submit your assignments in this course electronically through file uploads. In other words, all assignments should be submitted electronically (typed, not hand written). IX. Course Guidelines Consideringthe extraordinaryeffort it will take us all to ensure you have the rich opportunity to successfully complete this course, the following rules will apply: Quizzes and Exams: There will be quizzes following every week’s lesson, totaling to 13 quizzes. These quizzes will be T/F or multiple choice questions given through Canvas throughout the semester. YOURLOWESTQUIZ GRADE will be droppedat the end of the semester. Ifyou miss a quiz,this will count as your one drop for the semester. The Midtermexamwill be acombination of T/F multiple choice questions, short-answer questions, and an essay question covering all material priortothe examdate.The final examwill have multiple choicequestionsandwillinclude all material followingthe midtermexam.The exams andquizzes are timed.If youhave adisability that may prevent you from completing the exam on time, please let the instructor know by the second week of class by e-mail. Group Presentation: Groupswill be chosenwithinthe firsttwo weeksof classesby the students. Groupswill consistof amaximumof8students.The groupmustmeettochoose atopicareabased on one of the covered Chronic Diseases from the latter half of the course to complete an article critique and present to their classmates. The group leader will then email the professor their chosen topic area based and the names of their group members PRIOR TO FEBRUARY 28TH @ 11:59PM. 5 points will be deducted for every day that this is late. The structure of the presentation will be an introduction to the chronic disease and some background information, the presentation of the article, the group’s critiques, suggestions for future studies, and suggested public health interventions and personal measures to prevent the
  • 3. occurrence of thatgroup’schosenchronicdisease.A rubricwill be postedlateroninthe semester throughCanvas for review.The grade for thisassignmentwill be based75% on the gradedrubric by the professor, and 25% on the average grade given through peer grading. Non-presenting students will be provided with a grading rubric on the day of the presentations. Participation:Participationwill be evaluatedbasedonclassroom attendance andparticipationin class. There will also be a segment at the end of each class that requires participation in group discussion of the assigned readings. Attendance is mandatory and I tend to call on people randomlyand ask for your insight.If I call on you and you are absentfrom class, I will count that as one absence. Three absences are granted for each student (excused or unexcused). For each additional absence participation grade will decrease by 5% points. Participation in class will be demonstrated by active participation in discussions. Students who clearly have not read the readingspriorto class will have 5% pointsdeductedfromtheirgrade for each time the instructor notes lack of preparation. Attendance:Classeswill startpromptlyasscheduled. Late studentsare verydisruptivetothe class. Althoughthe instructorunderstandsthattrafficproblemscanoccasionallycause studentstoarrive late to class, the instructor expects that students will show courtesy to other students and the instructorbyconsistentlyarrivingtoclassontime.Itisthe student’sresponsibilitytoobtainallthe classmaterial/announcementsthatwere made whilethe studentwasabsentorlate. Iwill notre- lecture material to you during office hours. I can clarify material, but will not re-teach it. IX. Grades Grade distribution: Quizzes 20% Group Presentation 20% Participation 10% Midterm Exam 30% Final Exam 20% Please note the following:  There isno +/- systemintermsof grades.Forexample,there isnoB+or A- grade.Those grades would be a B or an A, respectively.  I will NOT round up final grades. For example, a 79.5 (C+) will not be rounded to a (B-).  PLEASEREAD thisnote ongrades:Do not email me at the endof the course begging me forthe nexthighergrade (i.e.“Iam onlyone pointaway froman A, and since I got a 100 on the final, it is tragicthat I am gettinga B.”). Theyare assignedbasedonthe rubricabove,andare basedon yourperformance throughoutthecourse. Iwill notrespondtothese emails. Final gradeswillbe available toyouthroughUCF on the day the Registrar’sOffice saystheywill be released. If you don’tsee your final grade inCanvas priorto this date,don’temail me askingit where itis. I am workingtogetthemsubmittedontime,andyouremailsonlyslow me down. There are noextra creditassignmentsinthiscourse.  ReviewyourassignmentsandquizzesforaccuracywhenIreturnthemtoyou. Youhave twoweeks fromthe date I returnthemto youto see me withgrade concerns. Aftertwoweeks,Ireservethe right to not re-review your document or make grade adjustments. X. Course Policies: Make Ups Grading Scale 90-100 A 80-89 B 70-79 C 60-69 D 0-59 F
  • 4. Make-up quizzes and exams absolutely will NOT be given unless there is an unforeseeable emergency(deathinIMMEDIATEfamily,hospitalization,orsome otherequallypressingevent). If this happens, you will need two things: 1. Email the instructorwithin24hoursof the missedquizorexamexplainingwhy you could not be present. 2. Formal and official documented proof of why you were absent has to be offered. I reserve the right to verify all documentation with emergency medical, clinics, funeralhomes, andoranyotherinstitutionIfeel necessaryto substantiate yourrequestandgrantamake-upexam. Youhave oneweekfrom the date of the missedquizorexamtoprovide the necessarydocumentation. I will absolutelyNOTgrantunderanycircumstancesanymake-upexamsforreasonsoutsideof the aforementioned.Thisincludesfamilyvacations,oversleeping, winterorspringbreaktravel, etc. Ensure youmatch up datesfor all materialswithyourprivate plansbefore youcommitto this class. Merriam-Webster’s definition of an emergency is “an unexpected and usually dangerous situation that calls for immediate action.” Oversleeping is not an emergency! Transportationissues, includingcar trouble,are not reasonsto grant a make-upexamor quiz either. Please leave early enough to deal with these issues should they arise. If a make-up quiz is granted, you will need to schedule an appointment with the instructor to complete the quiz. It will take approximatelythe same amountof time as the in-classversion. If a make-upexamisgranted,the examiscompletelyessay-basedandwill be the equivalentof a 5-10 page term paper. You will have 18 hours to complete the essay. Attendingthe othersectionthat I teach requirespriorpermission. Also,takinganexamin the other sectionthatI teachrequirespriorpermissionfollowingthe rulesabove. Youwill receive a zero for the assignment if you do not comply. XI. Course Policies: Exams You need pink Scantron sheets for the 2 exams in this course. These can be purchased in the universitybookstore. Quizzeswillbe providedbythe instructorthrough Canvas. If youcome to the examwithouta Scantron, you are permittedto leave the classroomto obtainone PRIORTO RECEIVINGEXAMQUESTIONS. Otherwise,youmustspeaktome regardingamake-up(seeabove) or youwill receive azero. You will onlybe giventhe timeremainingwhenyoureturntofinishthe exam. You will not be allotted additional time. Come toexamsontime andcomplete quizzesontime. Have thecommoncourtesynottodisrupt your fellow students. Exams are given at the beginning of class. Quizzesare on Canvas and can be completedfollowingWednesday’sclass. Be ontime. If you’re late,youcanuse the remaining 4llotted time to work on your exam, but you will not be given an extension.If you come to an examafteranotherstudenthasfinishedandleftthe room,youwillnotbe permittedtotake the exam, and will receive a zero without a valid, documented reason for being late (see above). XII. Course Policies: Technology and Media Email: In this classe-mail communicationshouldbe throughKnightsmail.All communication between student and instructor and between student and student should be respectful and professional.Asof 2009, Knightsmail isthe onlyofficialstudentemail atUCF.Classrosterslist Knightsmail addresses rather than external email addresses, and all official class
  • 5. communications will be sent only to the Knightsmail addresses. Students are responsible for checking their Knightsmail accounts regularly. See www.knightsemail.ucf.edu for further information. ElectronicDevices:At no time doI grant permissionformylecturestobe audioor video recorded. All electronicdevicessuchascell phones, etc.mustbe turnedoff or on silentduringlecture. Textmessagingandtalkingduringlecture will be considereddisruptive,andawarningwill be issued. If continued, the individual will be asked to leave the lecture. You getone warningall semestertogetoff of yourphone.If it happensagain,youwill be asked to leave class and it will be counted as an absence. If it happens a third time, you will lose 10 pointsonnextexam.If Iaskyouafourthtime togetoff yourphone,Iwillseektoexpel youfrom the class for disruption of the learning process. If there isan emergency, please leave the classroomtomake a phone call.If there isanother scenario where you need to have your phone on, no problem, just tell me before class. XIII. Course Policies: Student Expectations Course Accessibility: It is my goal that this class be an accessible and welcoming experience for all students, including those with disabilities that may impact learning in this class. If anyone believesthe designof thiscourse posesbarrierstoeffectivelyparticipatingand/ordemonstrating learning in this course, please meet with me (with or without a Student AccessibilityServices (SAS) accommodationletter) todiscussreasonable optionsoradjustments.Duringourdiscussion, I may suggest the possibility/necessity of your contacting SAS (Ferrell Commons 185; 407-823- 2371; sas@ucf.edu) to talk about academic accommodations.You are welcome to talk to me at any point in the semester about course design concerns, but it is always best if we can talk at least one week prior to the need for any modifications. Attendance Policy:Attendance isrequiredforthiscourse, oryouwill notperformwell.However, I also believe in personal responsibility, and I hate to micromanage people. I will not take attendance,or deductpointsfrom your grade for missingclass. It isyour choice to attend,but do not expectme to teachyou privatelyoutsideof classif you are absentwithoutanimportant reason. Important reasons do not include: oversleeping, studying for another course, taking vacations, etc.Thisalsoappliestoannouncements.IMPORTANTANNOUNCEMENTSAREOFTEN GIVENWITHINTHE FIRST5 MINUTESOFCLASS.IT ISYOURRESPONSIBILITY TO COMEONTIME! Email Communication with Instructor: Email is not a substitute for coming to class and office hours. Do not abuse the attendance policy by cominglate or beingabsent, andthenemail the instructor with questions regarding missed announcements. I will disregard these emails (you will notreceive a response). Itis also beneficial foryouto come to office hourswithquestions, because I getto know you andjust mightagree to write a recommendationletterforyouin the future. Plus,itis easiertodemonstrate conceptsyouare strugglingwithface-to-face. Youmay email me and expect a response under the following two conditions: 1. You have experiencedanemergency(see above)andare notifyingme because youwillmiss or have missed a quiz or exam.
  • 6. 2. You absolutely cannot attend my office hours and needto schedule an appointment. I am not full-time faculty, anddonotlive nearcampus, thusthisisfor exceptionalcircumstances. Emails to the instructor should be of professional tone. Once you have emailed the instructor for any reason, do not send duplicate emails. This will not result in speedier reply. It can take upto 48 hoursto receive aresponse duringweekdays,andupto72 hoursonthe weekend.Thus, planaccordingly! Remember,manyquestionscanbeansweredbyreadingthesyllabus.If youemail me with a question that is easily answered by the syllabus, I will not reply. Academic Conduct Policy:The Universityof Central Floridaiscommittedtoa policyof honesty in academic affairs. UCF faculty supports the UCF Creed. Integrity – practicinganddefendingacademicandpersonal honesty–isthe firsttenetof the UCF Creed. This is in part a reflection of the second tenet… Scholarship:- I will cherish and honor learning as a fundamental purpose of membership in the UCF community. Course assignmentsandtestsare designedtohave educational value;the processof preparing for and completing these exercises will help improve your skills and knowledge. Material presented to satisfy course requirementsis therefore expected to be the result of your own original scholarly efforts. Plagiarismandcheating–presentinganother’sideas,arguments,wordsorimagesasyourown, usingunauthorizedmaterial,orgivingoracceptingunauthorizedhelponassignmentsortests– contradict the educational value of these exercises. Examplesof conductforwhich studentsmay be subjectto academicand/ordisciplinary penalties including expulsion are: 1. Cheating,wherebynon-permissive written, visual,ororal assistanceincludingthatobtained from another student is utilized on examinations, course assignments, or projects. The unauthorized possession or use of examination or course related material might also constitute cheating. 2. Plagiarism, whereby another’s work is deliberately used or appropriated without any indicationof the course, therebyattemptingtoconveythe impressionthatsuchworkisthe student’sown.Anystudentfailingtoproperlycreditideasormaterialstakenfromanother has plagiarized. Course assignmentsand tests are designedto have educational value; the process of preparing for and completing these exercises will help improve your skills and knowledge. Material presented to satisfy course requirements is therefore expected to be the result of your own original scholarly efforts. Further, there is a university requirement for student engagement in this course. Thisneedsto be completed during the first 2 weeks of class. Without this, you cannot move forward in the semester. Note: A student who has assisted another in any of the aforementioned breach of standards shall be consideredequallyculpable.Incasesof cheatingorplagiarism,the instructormaytake appropriate academicactionrangingfromlossof creditforaspecificassignment,examination,
  • 7. or project to removal from the course with a grade of “F”. Additionally, the instructor may requestdisciplinaryactionthroughthe Deanof StudentsOfficeasoutlinedinThe GoldenRule. Tips for Success: We are all adults; therefore, we should act accordingly. A mutual respect betweenusall willbe upheldinthe classroom, aswell asanycommunicationbetweenmyself and you as it pertains to this course. We belongtoaninstitute of higherlearning.Youare here togainthe skillsnecessarytobe successful inlife.Partof thatislearninghow torespecttheinstitution,eachother,andthe learning process. I amtrainingyouforthe professionalworld. Inthatworld,youare rewardedforresultsandnot effort,and that is how my classroomoperates. Don’t tell me life isnot fair. I alreadyknow. I want to prepare you fully to deal with that reality in the outside world. Remember, the “A” equates to EXCELLENT work, the “B” equates to GOOD work, the “C” equates to AVERAGE work, the “D” equates to BELOW AVERAGE, and the “F” equates to failing. We don’t always do “excellent” work, which is the same as getting all 5s on your performance reviewatwork. Thisneverhappensevenwiththe mostexceptionalemployees. XIV. DISCLOSURE STATEMENT The instructor reserves the right to modify or change the contents of the course syllabus when necessary to assure achievement of course learning goals and objectives. Students will be notifiedinclassof suchchanges. If astudent missesthe classwhenthe announcementwasmade, the student is still responsible to comply with these changes. XV. IMPORTANT FINANCIAL AID NOTICE As of Fall 2014, all facultymembersare requiredtodocumentstudents’academicactivityatthe beginningof eachcourse.Inordertodocumentthatyoubeganthiscourse,pleasecompletethe following academic activity by the end of the first week of classes, or as soon as possible after addingthe course,butnolaterthanJanuary16by11:59 pm.Failure todosowill resultinadelay in the disbursement of your financial aid. “Course Engagement Activity – Course Agreement Quiz” in Canvas Jan 14 – Last day to drop/swap Mar 23 – Last day to withdraw without academic penalty Course Agreement YOU MUST COMPLETE THE COURSE AGREEMENT QUIZ IN CANVASBY January 16, 2015 AT 11:59 PM. SUBMISSION OF THE QUIZ INDICATES YOUR ELECTRONIC SIGNATURE AND AGREEMENT TO THE BELOW. PLEASE KEEP THIS PAGE FOR YOUR RECORDS. ****Please read eachof the followingclausescarefully.Yourcompletionof thisportionof the syllabus grants your access to take HSC4501. Failure to provide this completed form prevents you from participating in this course**** Clause
  • 8. Week Date Topic Reading from REQUIRED text 1 Jan 11  Course Introduction  Rovito Ch. 1  CDC ChronicDiseasesandHealthPromotion.Overview http://www.cdc.gov/chronicdisease/overview/index.htm  GuzickDS. On the Same Page.Caringfor Those Without HealthInsurance:Practical Implicationsof the Affordable Care Act.https://UfandShands.org/ Jan 13  Introduction to Chronic Disease 2 Jan 18 MLK HOLIDAY (NO CLASS MONDAY)  Rovito Ch. 2,3,4  Haskell,et.al.Physical ActivityandPublicHealth:Updated RecommendationforAdultsFromthe AmericanCollege of Sports Medicine and the American Heart Association http://circ.ahajournals.org/content/116/9/1081.citation Jan 20  Historical Developments  Basics of Epidemiological Research Methods P.1 Jan 24 QUIZ #1 ONLINE DUE BY 11:59PM 3 Jan 25  Basics of Epidemiological Research Methods P.2  Rovito Ch. 4, 5 Jan 27  Epidemiological Study Designs P.1 Jan 31 QUIZ #2 ONLINE DUE BY 11:59PM 4 Feb 1  Epidemiological Study Designs P.2  Rovito Ch. 5, 6 Feb 3  Epidemiological Study Designs P.3 Feb 7 QUIZ #3 ONLINE DUE BY 11:59PM 5 Feb 8  Association & Causality  Rovito Ch. 7, 8 Feb 10  Probability, Statistics, and Risk Feb 14 QUIZ #4 ONLINE DUE BY 11:59PM 6 Feb 15  Probability, Statistics, and Risk  Rovito Ch. 7, 8 Feb 17  Midterm Review Feb 21 QUIZ #5 ONLINE DUE BY 11:59PM 7 Feb 22 Midterm Exam  Rovito Ch. 9  CDC. Surveillance Resources  CDC: Florida Chronic  Disease Profile  CDC: Chronic Disease Indicators  Florida Charts  Council of State and Territorial Epidemiologists Feb 24  Assessing Chronic Disease Evidence Feb 28 QUIZ #6 ONLINE DUE BY 11:59PM Feb 28 Group Presentation Topics Due! Through email by 11:59PM 8 Feb 29  Cardiovascular Disease  Rovito Ch. 9  Canvas: Stamatakis et al (2009)  Pearson,et.al.AHA Guide forImprovingCV Healthatthe CommunityLevel http://circ.ahajournals.org/content/127/16/1730 Mar 2  Cardiovascular Disease
  • 9.  Goff,et.al.2013 ACC/AHA Guideline onthe Assessmentof CV Risk. http://circ.ahajournals.org/content/129/25_suppl_2/S49 Mar 6 QUIZ #7 ONLINE DUE BY 11:59PM 9 Mar 7 SPRING BREAK (NO CLASS) (NO CLASS) 10 Mar 14  Type 2 Diabetes Mellitus  Canvas: Waters et al (2009)  Canvas: Watters et al (2010)  Nelson et al; Screening for breast cancer: an update for the U.S. Preventive Services Task Force. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972726 / Mar 16  Cancer Mar 20 QUIZ #8 ONLINE DUE BY 11:59PM 11 Mar 21  Respiratory Diseases  Canvas: Harding & Darnton (2010)  US DoHaHS. The health consequences of smoking: a report of the Surgeon General (2004). http://monographs.iarc.fr/ENG/Monographs/vol100A/m ono1  Feldman et. al. Toward Primary Prevention of Asthma. Reviewing the Evidence for Early-Life Respiratory Viral Infections as Modifiable Risk Factors to Prevent Childhood Asthma. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4299628 /pdf/rccm.201405-0901PP.pdf Mar 23  Respiratory Diseases Mar 27 QUIZ #9 ONLINE DUE BY 11:59PM 12 Mar 28  Obesity  Canvas: Moore et al (2009)  Karnik et al. (2012). Childhood Obesity: A Global Public Health Crisis. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278864 /  Phillips et. al. Public policy versus individual rights in childhood obesity interventions http://www.cdc.gov/pcd/issues/2011/sep/10_0286.htm.  http://www.hsph.harvard.edu/obesity-prevention- source/obesity-trends/obesity-rates-worldwide/ Mar 30  Obesity Apr 3 QUIZ #10 ONLINE DUE BY 11:59PM 13 Apr 4  HIV/AIDS  Canvas: Jarrin et al (2008)  CDC. (2010). Establishing a holistic framework to reduce inequities in HIV, viral hepatitis, STD, and tuberculosis in the United States http://www.cdc.gov/socialdeterminants/docs/SDH- White-Paper-2010.pdf  Rhodes et al. (2010). Community-based participatory research: a not-so-new approach to HIV/AIDS prevention, care, and treatment. AIDS Education and Prevention Apr 6  HIV/AIDS
  • 10. 1. I agree to read in full thissyllabusandto take note of course rulesand regulations.Ifurtheragree that I fullyunderstand, andwill abide by, the policiesonattendance, lateness, cheating, plagiarism, classroom behavior, and all other course information as described in the above text. 2. I understandthatMrs. Nashreservesthe righttoalterthe Epidemiologyof ChronicDiseasescourse schedule as it pertains to the demands and needs of the course timing and flow of material presentation, ashe statedon Page 8 of thissyllabus.Iunderstandthat changesto this syllabuswill be announced in class and it is my responsibility to make proper note of possible changes. 3. This syllabusservesasan agreementbetweenme andMrs. Nashthat I agree to the course content outlined above. My signature below acknowledges that I understand completely the course requirementsandthatI will abide byall requiredandexpectedactionsto successfully this course. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282157 /pdf/nihms353270.pdf  Probst et. al. (2011). Higher risk of death in rural Blacks and Whites than urbanites is related to lower incomes, education, and health coverage. http://content.healthaffairs.org/content/30/10/1872.lon g Apr 10 QUIZ #11 ONLINE DUE BY 11:59PM Apr 10 STUDENT PRESENTATIONS DUE ONLINE DUE BY 11:59PM 14 Apr 11 GROUP PRESENTATIONS Apr 13 GROUP PRESENTATIONS 15 Apr 18 GROUP PRESENTATIONS Apr 20 GROUP PRESENTATIONS 16 Apr 25 FINAL REVIEW / Q&A Apr 27 FINALS STUDY WEEK NO CLASS 17 May 2 Final Exam Monday (4:00PM – 6:50PM) May 4 Final Exam Wednesday (1:00PM – 3:50PM)