Syllabus for PSG-104

SLEEP DISORDERS


COURSE DESCRIPTION

Sleep Disorders provides students a solid foundation in the classification, evaluation, and differential diagnosis of sleep and arousal disorders. The course covers the classification of sleep disorders into appropriate categories, diagnostic criteria, essential and associated features, and polysomnographic evaluation of sleep disorders. It also reviews the most common sleep and arousal disorders in adults and children, focusing on those disorders evaluated using polysomnography or other objective clinical measures.

COURSE OBJECTIVES

After successfully completing this course, you should be able to:

  1. Identify the major categories of sleep disorders according to ICSD-2.
  2. Summarize the most common sleep disorders associated with each of the major classifications of sleep and arousal disorders.
  3. Describe the signs and symptoms associated with each of the major categories of sleep and arousal disorders.
  4. Describe the polysomnographic features of the most common sleep disorders for which polysomnography is required.
  5. Describe the most commonly encountered sleep disorders seen in pediatric and elderly patients based on age-specific criteria.
  6. Discuss the process of differential diagnosis in the evaluation of sleep, arousal, and other disorders.

COURSE MATERIALS

You will need the following textbooks to do the work of the course. The required texts are available from the University's textbook supplier, MBS Direct.

  • Mattice, C., Brooks, R., & Lee-Chiong, T. (Eds). (2012). Fundamentals of sleep technology (2nd ed.). Philadelphia: Lippincott Williams and Wilkins.
    ISBN-13: 978-1451132038

  • American Academy of Sleep Medicine. (2005). The International classification of sleep disorders: Diagnostic and coding manual (2nd ed.). Westchester, IL: American Academy of Sleep Medicine. [ICSD-2]
    ISBN-13: 978-0965722025

COURSE STRUCTURE

Polysomnography Scoring is a three-credit online course consisting of ten modules. Modules include learning objectives, study materials (lecture notes, assigned reading, and PowerPoint presentations on select topics), and activities (online discussions and written assignments). Module titles are listed below along with their respective course and module objectives.

  1. Identify the major categories of sleep and arousal disorders.
  2. Summarize and classify the most common sleep disorders according to the following parameters: acuity, primary sleep disorders, and intrinsic sleep disorders.

  1. Obstructive sleep apnea
  1. mixed apnea
  2. hypopneas
  3. upper airway resistance syndrome (UARS)
  4. primary snoring
  1. Central sleep apnea
  1. primary
  2. Cheyne-Stokes
  3. periodic breathing
  4. medical, drug, or substance related
  1. Sleep-related hypoventilation-hypoxemia
  1. idiopathic hypoventilation
  2. medical related to pulmonary pathology
  3. medical related to vascular/neuromuscular/chest wall pathology

  1. Periodic limb movements in sleep
  2. Restless legs syndrome
  3. Bruxism
  4. Medical, drug, or substance-related

  1. Delayed sleep phase syndrome
  2. Advanced sleep phase syndrome
  3. Jet lag disorders
  4. Irregular sleep-wake rhythm
  5. Shift work disorder
  6. Medical, drug, or substance related

  1. Narcolepsy
  2. Recurrent hypersomnia
  3. Idiopathic hypersomnia
  4. Insufficient sleep syndrome
  5. Medical, drug, or substance related

  1. Acute/adjustment insomnia
  2. Psychophysiological insomnia
  3. Paradoxical insomnia
  4. Idiopathic insomnia
  5. Inadequate sleep hygiene
  6. Medical, drug, or substance related

  1. Disorders of arousal (confusional arousals, sleepwalking, sleep terrors)
  2. Parasomnias associated with REM sleep (RBD, nightmares)
  3. Other parasomnias (catathrenia, sleep-related eating disorder)
  4. Medical, drug, or substance related

  1. Cardiopulmonary disorders affecting sleep  
  2. Sleep disorders and degenerative neurologic disorders
  3. Sleep disorders and vascular disorders
  4. Sleep disorders and seizure disorders

  1. Psychiatric disorders that affect sleep
  2. Environmental sleep disorder
  3. Apparently normal variants

  1. Behavioral insomnias (sleep-onset association disorder, limit-setting sleep disorder)
  2. Sleep-related breathing disorders (apnea of prematurity, apnea of infancy, OSA)
  3. Enuresis
  4. Restless legs syndrome
  5. Rhythmic movement disorder
  6. Parasomnias

ASSESSMENT METHODS

For your formal work in the course, you are required to participate in online discussion forums, to submit written assignments, to take a proctored online midterm examination, and to complete a final project. See below for more details.

Consult the Course Calendar for due dates.

Discussion Forums

Polysomnography Scoring requires you to participate in ten graded discussion forums worth 23% of your course grade. There is also an ungraded but required Introductions Forum in Module 1.

Communication among fellow students and with the mentor is a critical component of online learning. Participation in online discussions involves two distinct activities: an initial response to a posted question (discussion thread) and subsequent comments on classmates' responses. Meaningful participation is relevant to the content, adds value, and advances the discussion. Comments such as "I agree" and "ditto" are not considered value-adding participation. Therefore, when you agree or disagree with a classmate, the reading, or your mentor, state and support your agreement or disagreement. You will be evaluated on the quality and quantity of your participation. Responses and comments should be properly proofread and edited, professional, and respectful.

Deadlines for posting discussion topics and comments are given in the Course Calendar.

Click the link below for an evaluation rubric that will aid in the grading of online discussion forums.

Written Assignments

Each module concludes with a written assignment, collectively worth 23% of your course grade.

Your answers to the written assignment questions should be well developed and convey your understanding of the course materials. Formulate responses in your own words, citing reading materials and other sources where appropriate and in an appropriate manner.

Click the link below for an evaluation rubric that will aid in the grading of written assignments.

Examinations

You are required to take a proctored online midterm exam administered through the course Web site. Consult the Course Calendar for the official date of midterm exam week.

The exam requires that you use the University's Online Proctor Service (OPS). Please refer to the "Examinations and Proctors" section of the Online Student Handbook (see General Information area of the course Web site) for further information about scheduling and taking proctored online exams and for all exam policies and procedures. You are strongly advised to schedule your exam within the first week of the semester.

Midterm Examination

The midterm exam, worth 25% of your course grade, is two hours long and covers all topics and material from Modules 1–6 of the course. It consists of 100 multiple-choice questions based on the lecture notes and assigned reading.

Statement about Cheating

You are on your honor not to cheat during the exam. Cheating means:

If there is evidence that you have cheated or plagiarized in your exam, the exam will be declared invalid, and you will fail the course.

Final Project

For your final project, you will write an in-depth research paper (10 pages minimum, with references) on one of the sleep disorders discussed during this course. The final project is worth 29% of your course grade and is completed in two steps:

Please see the Final Project section of the course Web site for further details about the project. Consult the Course Calendar for the deadline date of each step.

Click the link below for an evaluation rubric that will aid in the grading of the final project.

Turnitin Requirement for Final Project

You are required to submit the final project in this course to Turnitin.com, an academic plagiarism prevention site, prior to submitting the project within your course space. You will receive immediate written feedback from Turnitin regarding writing style as well as a plagiarism gauge with tips for proper citations. You then have the opportunity to edit your assignment with this feedback in mind and resubmit it to Turnitin for additional checking. Once you are satisfied with the project, you are required to submit the Turnitin feedback (also known as the originality report)  for the final version along with the project itself within the course space.

Read carefully the information found at the following link, as it will provide instructions for this requirement:

Turnitin FAQ Web Page

The course ID and password that you will need in order to create an account may be found at the following link. Look within Step 1, locating your course ID and password by semester.

Course ID and Password by Semester

This information can also be found within Using Turnitin for Assignments. You can locate this document in the topic list area of your course space.

Students please note: You have the option of submitting any of your assignments to Turnitin.com. Submit any additional assignments through the slots with the optional label. However, submitting other assignments is NOT a requirement and you should not submit originality reports for these assignments to your mentor.

GRADING AND EVALUATION

Your grade in the course will be determined as follows:

All activities will receive a numerical grade of 0–100. You will receive a score of 0 for any work not submitted. Your final grade in the course will be a letter grade. Letter grade equivalents for numerical grades are as follows:

A

=

93–100

C+

=

78–79

A–

=

90–92

C

=

73–77

B+

=

88–89

C–

=

70–72

B

=

83–87

D

=

60–69

B–

=

80–82

F

=

Below 60

To receive credit for the course, you must earn a letter grade of C or better (for an area of study course) or D or better (for a course not in your area of study), based on the weighted average of all assigned course work (e.g., exams, assignments, discussion postings, etc.).

STRATEGIES FOR SUCCESS

First Steps to Success

To succeed in this course, take the following first steps:

Study Tips

Consider the following study tips for success:

ACADEMIC INTEGRITY

Thomas Edison State University is committed to maintaining academic quality, excellence, and honesty. The University expects all members of its community to share the commitment to academic integrity, an essential component of a quality academic experience.

Students at Thomas Edison State University are expected to exhibit the highest level of academic citizenship. In particular, students are expected to read and follow all policies, procedures, and program information guidelines contained in publications; pursue their learning goals with honesty and integrity; demonstrate that they are progressing satisfactorily and in a timely fashion by meeting course deadlines and following outlined procedures; observe a code of mutual respect in dealing with mentors, staff, and other students; behave in a manner consistent with the standards and codes of the profession in which they are practicing; keep official records updated regarding changes in name, address, telephone number, or e-mail address; and meet financial obligations in a timely manner. Students not practicing good academic citizenship may be subject to disciplinary action including suspension, dismissal, or financial holds on records.

All members of the University community are responsible for reviewing the Academic Code of Conduct Policy in the University Catalog and online at www.tesu.edu.

Academic Dishonesty

Thomas Edison State University expects all of its students to approach their education with academic integrity—the pursuit of scholarly activity free from fraud and deception. All mentors and administrative staff members at the University insist on strict standards of academic honesty in all courses. Academic dishonesty undermines this objective. Academic dishonesty can take the following forms:

Plagiarism

Thomas Edison State University is committed to helping students understand the seriousness of plagiarism, which is defined as using the work and ideas of others without proper citation. The University takes a strong stance against plagiarism, and students found to be plagiarizing are subject to discipline under the academic code of conduct policy.

If you copy phrases, sentences, paragraphs, or whole documents word-for-word—or if you paraphrase by changing a word here and there—without identifying the author, or without identifying it as a direct quote, then you are plagiarizing. Please keep in mind that this type of identification applies to Internet sources as well as to print-based sources. Copying and pasting from the Internet, without using quotation marks and without acknowledging sources, constitutes plagiarism. (For information about how to cite Internet sources, see Online Student Handbook > Academic Standards > “Citing Sources.”)

Accidentally copying the words and ideas of another writer does not excuse the charge of plagiarism. It is easy to jot down notes and ideas from many sources and then write your own paper without knowing which words are your own and which are someone else’s. It is more difficult to keep track of each and every source. However, the conscientious writer who wishes to avoid plagiarizing never fails to keep careful track of sources.

Always be aware that if you write without acknowledging the sources of your ideas, you run the risk of being charged with plagiarism.

Clearly, plagiarism, no matter the degree of intent to deceive, defeats the purpose of education. If you plagiarize deliberately, you are not educating yourself, and you are wasting your time on courses meant to improve your skills. If you plagiarize through carelessness, you are deceiving yourself.

For examples of unintentional plagiarism, advice on when to quote and when to paraphrase, and information about writing assistance and originality report checking, click the links provided below.

Examples of Unintentional Plagiarism

When to Quote and When to Paraphrase

Writing Assistance at Smarthinking

Originality Report Checking at Turnitin

Disciplinary Process for Plagiarism

Acts of both intentional and unintentional plagiarism violate the Academic Code of Conduct.

If an incident of plagiarism is an isolated minor oversight or an obvious result of ignorance of proper citation requirements, the mentor may handle the matter as a learning exercise. Appropriate consequences may include the completion of tutorials, assignment rewrites, or any other reasonable learning tool in addition to a lower grade for the assignment or course. The mentor will notify the student and appropriate dean of the consequence by e-mail.

If the plagiarism appears intentional and/or is more than an isolated incident, the mentor will refer the matter to the appropriate dean, who will gather information about the violation(s) from the mentor and student, as necessary. The dean will review the matter and notify the student in writing of the specifics of the charge and the sanction to be imposed.

Possible sanctions include:

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