<?xml version="1.0" encoding="UTF-8"?>
<?xmlspysps C:\Program Files\Altova\AUTHENTIC\sps\template\TeachEngineering\lesson.sps?>
<lesson xmlns="http://www.teachengineering.org" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.teachengineering.org C:\PROGRA~1\Altova\AUTHENTIC\sps\template\TeachEngineering\lesson.xsd" xml:lang="en-US" version="1.0">
	<title>Out of Breath</title>
	<header>
		<text_section>
			<text_block format="text">
				<text_element><image url="../cub_images/cub_human_lesson09_figure1.jpg" description="A drawing of a girl showing her respiratory system. Labeled are the nasal cavity, the trachea, the right and left lungs, the bronchi, the heart, the pulmonary vessels and the diaphragm." horizontal_alignment="right" vertical_alignment="wrap" rights="U.S. Department of Health and Human Services, National Women&apos;s Health Information Center (NWHIC), http://www.4girls.gov/body/body_  tool2.htm   " caption="Figure 1. The respiratory system."/></text_element>
			</text_block>
		</text_section>
	</header>
	<grade realm="k12" target="5" lowerbound="3" upperbound="5"/>
	<lesson_number rank="9" total="10"/>
	<dependency>
		<link url="cub_human_lesson05.xml" type="lesson" description="(specifically, red blood cells)">Lesson 5</link>
	</dependency>
	<time total="15" unit="minutes"/>
	<summary>This lesson goes over the parts of the human respiratory system and the gas exchange process that occurs in the lungs. It also covers changes in the respiratory system that occur during spaceflight, such as decreased lung capacity.  </summary>
	<engineering_connection>By studying the respiratory system, engineers have been able to come up with assistive technology, such as the heart-lung machine. This machine is hooked up to the blood vessels that lead to and from the heart, allowing blood to be pumped into the machine to receive oxygen and get rid of carbon dioxide (such as what the lungs would normally do). The machine accomplishes this by directing the blood through a series of chambers before diverting it back into the body. This invention is a critical part of life-saving surgeries that involve organ transplants (usually the heart). Chemical engineers develop pharmaceuticals that can aid lung diseases, such as emphysema, pneumonia, cystic fibrosis, and asthma. Engineers are currently working on creating an implantable, artificial lung that would aid patients with serious lung disease.</engineering_connection>
	<engineering_category_TYPE category="Category1_Relating_Science_Concept_to_Engineering"/>
	<keywords>
		<keyword>respiratory system</keyword>
		<keyword>lungs</keyword>
		<keyword>pulmonary capillaries</keyword>
		<keyword>trachea</keyword>
		<keyword>alveoli</keyword>
		<keyword>bronchi</keyword>
		<keyword>astronaut</keyword>
		<keyword>space</keyword>
	</keywords>
	<edu_standards>
		<edu_standard identifier="S11417F6  "/>
		<edu_standard identifier="S11416E7  "/>
		<edu_standard identifier="S1142559  "/>
		<edu_standard identifier="S114255A  "/>
	</edu_standards>
	<prerequisite_knowledge>
		<text_section>
			<text_block format="text">
				<text_element>A basic understanding of red blood cells (Lesson 5) is necessary for this lesson.</text_element>
			</text_block>
		</text_section>
	</prerequisite_knowledge>
	<learning_objectives>
		<text_section>
			<text_block format="text">
				<text_element>After this lesson, students should be able to:</text_element>
			</text_block>
			<text_block format="unordered">
				<text_element>Identify and describe the components of the respiratory system. </text_element>
				<text_element>Describe what happens during the inhalation and exhalation process. </text_element>
				<text_element>Describe how the respiratory system is affected during space flight. </text_element>
				<text_element>List several innovations that engineers have designed related to the respiratory system.  </text_element>
			</text_block>
		</text_section>
	</learning_objectives>
	<introduction>
		<text_section>
			<text_block format="text">
				<text_element>Did you know that you can live for about thirty days without food, three days without water, but only three minutes without air! You breathe in and out 15-25 times (approximately 250 ml of oxygen and 200 ml of carbon dioxide) per minute without even thinking about it! Every organ in our body needs oxygen in order to function properly and keep us alive. The respiratory system delivers this precious oxygen to our blood that then delivers it throughout our body, just as we learned in the circulatory system. The harder your body is working (exercising), the more oxygen it needs, which causes you to breathe harder and faster. </text_element>
				<text_element>The respiratory system is made up of <italic> trachea</italic>, <italic> bronchi</italic>, <italic> alveoli </italic>and the <italic> lungs</italic>. These organs are protected by your <italic> rib cage</italic>, which helps us breathe by moving as we breathe in and out. When we breathe in, our rib cage swings up and out: making more space for air to enter our lungs. When we breathe out, our rib cage moves down and back: pushing air from our lungs out our nose and mouth.</text_element>
				<text_element>Sometimes people have lungs that do not work properly. There are many lung diseases that can affect how well a person is able to breathe, such as asthma, emphysema, bronchitis and pneumonia. By studying the respiratory system and lung diseases, chemical engineers can develop medicines to treat these diseases (e.g., inhalers for asthmatics). Engineers are also working on developing an artificial lung that would allow patients to live long enough to fight off potentially deadly infections. Currently, however, the artificial lung is only suitable to use for about two weeks. The artificial lung is approximately 18 inches long and consists of membranes that pass oxygen to the blood and remove carbon dioxide. The way in which the artificial lung is inserted is very interesting: it is inserted through a vein in the leg and lodged in the main vein (the <italic> vena cavae</italic>), passing blood to the heart. The blood is re-oxygenated through a catheter that is attached to an oxygen supply.</text_element>
				<text_element>What happens to an astronaut&apos;s lung when traveling in space? Can you guess? Can a person breathe in space with out any help? No, they cannot, because there is no air in space. The respiratory system needs oxygen and pressure to push the air in and out of the lungs. This is where engineers can help.</text_element>
				<text_element>Inside a spacecraft, engineers have designed systems to provide the right amount of oxygen and air pressure &#x2014; similar to the air and pressure provided while flying in an airplane. The body&apos;s respiratory system is probably the least affected during spaceflight as long, provided there is plenty of oxygen available and the air pressure inside the spacecraft remains at an appropriate level. This is the same for the specially engineered space suits that astronauts have worn when they walk on the moon. The main difference when breathing in space is that there is a decrease in lung capacity &#x2014; meaning astronauts cannot take in as much oxygen in a single breath as they can on Earth. Due to weightlessness, the organs in the abdominal cavity are no longer pulled downward causing them to shift up and press on the diaphragm. This decreases how much air the lungs can take in during a single breath. Although astronauts cannot inhale as much air at one time, this change is quickly reversed once they return to Earth.</text_element>
				<text_element>Today, we are going to learn more about how the respiratory system works and how engineers help people with respiratory problems and help astronauts travel in space.</text_element>
			</text_block>
		</text_section>
	</introduction>
	<lesson_background>
		<text_section>
			<text_block format="text">
				<text_element>The respiratory system consists of the <italic> trachea</italic>, <italic> bronchi</italic>, <italic> alveoli</italic>, and the <italic> lungs </italic>and is responsible for gas exchange between the environment and the body (delivery of oxygen from the lungs to the bloodstream and elimination of carbon dioxide from the bloodstream to the lungs). This system &#x2014; along with the <italic> heart </italic>(located between the lungs; in fact, the left lung is slightly smaller to accommodate the heart) &#x2014; is located in the thoracic cavity of the ribcage that provides protection. The diaphragm muscle separates this system from the abdominal cavity. See Figure 2 for an illustration of the chest cavity. </text_element>
				<text_element><image url="../cub_images/cub_human_lesson09_figure2.jpg" description="Drawing of the chest cavity (including the heart), with a magnified image of the alveoli off to the right side of the image." horizontal_alignment="center" rights="Montgomery County Fire and Rescue Service, Montgomery County, Maryland, http://www.montgomerycountymd.gov/firtext.asp?url=/Content/FireRescue/psta/asthma/WhatISPg.asp , modified by Janet Yowell, University of Colorado at Boulder, 2006." caption="Figure 2. The cardiovascular system."/></text_element>
				<text_element>Air first enters the body through the nose or mouth and then travels down the throat to the <italic> trachea </italic>(windpipe). Rings of cartilage protect the trachea from collapsing and subsequently blocking air from entering the lungs. The trachea then splits into two large tubes (one for each lung) called the right and left <italic> bronchi</italic>. The bronchi split into smaller bronchi and eventually become tiny <italic> bronchioles </italic>inside the lungs (see Figure 3). These bronchioles end in clusters of <italic> alveoli</italic>, which are tiny, thin-walled, air sacs that inflate as air enters the lungs and deflate as air exits (see Figure 4). The average, adult lung contains approximately 300 millions of these expandable sacs. Gas exchange then occurs between the alveoli and the <italic> pulmonary capillaries </italic>(tiny blood vessels) that lie within the alveoli walls. During inhalation, oxygen travels from the alveoli (high oxygen concentration) to the blood (lower oxygen concentration). Oxygen is then stored in the hemoglobin of the red blood cells to be delivered to the rest of the body. Conversely, during exhalation, carbon dioxide travels from the blood to the air.</text_element>
				<text_element><image url="../cub_images/cub_human_lesson09_figure3.jpg" description="Drawing of the bronchi, bronchial tree, and lungs with a magnified image of the alveoli off to the right side." horizontal_alignment="center" rights="U.S. National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) Program, Training Website, http://training.seer.cancer.gov/module_anatomy/unit9_4_resp_passages4_bronchi.html " caption="Figure 3. The respiratory system."/></text_element>
				<text_element><image url="../cub_images/cub_human_lesson09_figure4.jpg" description="SEM image of alveoli with a magnified image of a single air sac below it." horizontal_alignment="center" rights="Lawrence Berkeley National Laboratory, LBNL Image Library, http://imglib.lbl.gov/ImgLib/COLLECTIONS/BERKELEY-LAB/RESEARCH-1991-PRESENT/LIFE-SCIENCES/LUNG-RESEARCH/images/96703330.lowres.jpeg" caption="Figure 4. Alveoli SEM image."/></text_element>
				<text_element>During inhalation, the <italic> diaphragm </italic>contracts downward and rib muscles pull upward causing air to fill the lungs (increases the volume of the thoracic cavity and decreases pressure in the lungs so the air will flow from the higher-pressure environment to lower-pressure area in the lungs). The diaphragm then relaxes, and the lungs contract which causes air to be pushed out from the lungs (exhalation).</text_element>
				<text_element>Some common types of lung disease are:</text_element>
			</text_block>
			<text_block format="unordered">
				<text_element><bold> Asthma: </bold>When respiratory muscles have to work harder due to the bronchioles constricting, which creates smaller airways (see Figure 5). It is a response to an allergen or other irritant (e.g., animal fur).</text_element>
			</text_block>
			<text_block format="text">
				<text_element><image url="../cub_images/cub_human_lesson09_figure5.jpg" description="Drawing of a normal bronchus on the left compared to an asthmatic bronchus on the right." horizontal_alignment="right" vertical_alignment="wrap" rights="Montgomery County Fire and Rescue Service, Montgomery County, Maryland, http://www.montgomerycountymd.gov/firtext.asp?url=/Content/FireRescue/psta/asthma/WhatISPg.asp " caption="Figure 5. Normal bronchus (left) and asthmatic bronchus (right)."/></text_element>
			</text_block>
			<text_block format="unordered">
				<text_element><bold>Emphysema:</bold> When respiratory muscles have to work harder due to the fact that the lungs have become stiff with fibers and are less elastic in nature.</text_element>
				<text_element><bold> Bronchitis: </bold>When respiratory muscles have to work harder due to inflamed, narrow airways.</text_element>
				<text_element><bold> Pulmonary Edema: </bold>A slowing of the gas exchange due to a build up of fluid between the alveolus and pulmonary capillary (increases distance that the gases have to travel).</text_element>
				<text_element><bold> Pneumonia: </bold>Bacteria or virus that affects the membrane (pleura) that surrounds the lungs.</text_element>
				<text_element><bold> Lung Cancer:</bold> When malignant cells divide in the lung tissue, possibly invading nearby tissues or spreading through the blood stream; oftentimes caused by smoking. Figure 6 illustrates the presence of cancer in the lungs: the black areas are the lungs and the white patch on the right lung is cancer.  </text_element>
			</text_block>
			<text_block format="text">
				<text_element><image url="../cub_images/cub_human_lesson09_figure6.jpg" description="Image of the lungs (black masses) where the right lung (left side of image) has cancer (white mass)." horizontal_alignment="center" rights="National Aeronautics and Space Administration, The Remote Sensing Tutorial (RST), http://rst.gsfc.nasa.gov/Intro/Part2_26c.html " caption="Figure 6. Lung cancer."/></text_element>
			</text_block>
		</text_section>
	</lesson_background>
	<vocabulary>
		<definition word="Alveolar Ducts">Tiny tubules at the ends of bronchioles that divide into alveolar sacs.</definition>
		<definition word="Alveoli">Terminal sacs where gas exchange occurs; they constitute the majority of the lung tissue and give the lungs a soft, spongy texture.</definition>
		<definition word="Bronchi">The two large tubes connected to the trachea that carry air to and from the lungs.</definition>
		<definition word="Bronchioles">Branches of the bronchi which distribute air to the alveoli (smaller than one millimeter in diameter); they are the first airway passages that no longer contain cartilage.</definition>
		<definition word="Cartilage">A type of dense connective tissue.</definition>
		<definition word="Diaphragm">A shelf of muscle extending across the bottom of the ribcage.</definition>
		<definition word="Intercostal Muscles">Muscles that line the rib cage and assist in breathing.</definition>
		<definition word="Lungs">Spongy, saclike respiratory organs that occupy the chest cavity (with the heart) and provide oxygen to the blood and remove carbon dioxide from it.</definition>
		<definition word="Pleural Membranes">Double-layered membranes that cover the lungs, separating them from other organs (forms a fluid-filled chest cavity in order to reduce friction during inhalation and exhalation).</definition>
		<definition word="Pulmonary Capillaries">Tiny blood vessels that surround each alveolus.</definition>
		<definition word="Trachea (windpipe)">The air tube that connects with the bronchi; lined with ciliated (finger-like projections) cells to keep foreign bodies out and reinforced with cartilage rings to keep it from collapsing.</definition>
	</vocabulary>
	<child_documents>
		<link url="../../activities/cub_human/cub_human_lesson09_activity1.xml" type="activity" description="In this activity, students build a model lung to investigate the process of inhalation and exhalation. They discuss what happens during respiration and what might happen if the respiratory system were damaged.">Just Breathe</link>
	</child_documents>
	<lesson_closure>
		<text_section>
			<text_block format="text">
				<text_element>The respiratory system is closely linked with the circulatory system (they are even sometimes combined into the cardiovascular system since the heart, blood and lungs work together to provide oxygen to the body). The ability for air to reach the lungs and the lungs to deliver oxygen to the bloodstream (and elimination of carbon dioxide from the bloodstream to the lungs) is vital to the survival of the rest of the systems of our body. Without breathing, our whole body would shut down from lack of oxygen in the bloodstream. It is a good thing we breathe without having to remember or even to think about it!</text_element>
				<text_element>Who remembers the organs in the respiratory system? (Answer: The trachea, bronchi, alveoli and  lungs.) These are protected by your rib cage, which also helps us breathe by moving in and out. Place your hand over your ribcage. Can you feel it moving in and out as your breath?</text_element>
				<text_element>How do engineers help people who have respiratory problems? Chemical engineers have created medicines for people with asthma, emphysema, bronchitis and pneumonia. Engineers have also designed an artificial lung to help people fight off infections. Lastly, engineers help design systems to give astronauts the right amount of air pressure and oxygen to survive in space!</text_element>
			</text_block>
		</text_section>
	</lesson_closure>
	<summary_assessment>
		<text_section name="Pre-Lesson Assessment">
			<text_block format="text">
				<text_element><italic> Discussion Question: </italic>Solicit, integrate and summarize student responses.</text_element>
			</text_block>
			<text_block format="unordered">
				<text_element>Ask the students if they know what happens inside their body when they breathe in and out. Do you breathe faster or slower when you are playing a sport? Why? (Answer: You breathe faster, because your body is using more oxygen.) </text_element>
			</text_block>
		</text_section>
		<text_section name="Post-Introduction Assessment">
			<text_block format="text">
				<text_element><italic> Voting: </italic>Ask a true/false question and have students vote by holding thumbs up for true and thumbs down for false. Count the votes and write the totals on the board. Give the right answer.</text_element>
			</text_block>
			<text_block format="unordered">
				<text_element>True or False: The lungs are part of the respiratory system. (Answer: True)</text_element>
				<text_element>True or False: Our rib cage pushes in when we breathe in. (Answer: False. When we breathe in, our rib cage swings up and out, making more space for air to enter our lungs; when we breathe out, our rib cage moves down and back, pushing air from our lungs out our nose and mouth.) </text_element>
				<text_element>True or False: An astronaut can breathe easily in space the same as they do on Earth. (Answer: False. An astronaut cannot breathe the same in space, because there is no air in space. The respiratory system needs oxygen and pressure to push the air in and out of the lungs.)</text_element>
				<text_element>True or False: Engineers design devices to help astronauts breathe in space. (Answer: True. Engineers have designed systems to provide the right air pressure and oxygen amount during space flight and space exploration.)</text_element>
				<text_element>True or False: Engineers work to help people who have respiratory problems (difficulty breathing properly). (Answer: True. Chemical engineers have created medicines for people with asthma, emphysema, bronchitis and pneumonia. Engineers have also designed an artificial lung to help people fight off infections. Lastly, engineers help design systems to give astronauts the right amount of air pressure and oxygen to survive in space.)  </text_element>
			</text_block>
		</text_section>
		<text_section name="Lesson Summary Assessment">
			<text_block format="text">
				<text_element><italic> Send-a-Problem: </italic>Have students write their own questions about the respiratory system. Each student on a team creates a flashcard with a question on one side and the answer on the other. If the team cannot agree on an answer they should consult the teacher. Pass the flashcards to the next team. Each member of the team reads a flashcard and everyone attempts to answer it. If they are right, they pass the card on to another team. If they feel they have another correct answer, they can write it answer on the back of the flashcard as an alternative answer. Once all teams have tested themselves on all the flashcards, clarify any questions.</text_element>
				<text_element><italic> Thoughtful Questions: </italic>Ask the students the following extension questions about the respiratory system </text_element>
			</text_block>
			<text_block format="unordered">
				<text_element>Does the way you breathe change during space flight? (Answer: No, but your lung capacity decreases due to the fact that other internal organs shift upward in microgravity.)</text_element>
				<text_element>Can people breathe underwater? (Answer: People can only breathe underwater if they take an air supply with them. Engineers have helped design air supply devices, such as diving tanks, to help people breathe in extreme conditions.)  </text_element>
			</text_block>
		</text_section>
	</summary_assessment>
	<extensions>
		<text_section>
			<text_block format="text">
				<text_element>Have the students investigate the diaphragm and how it used when we breathe. How do they think the diaphragm changes during space flight? (Answer: The muscles shrink in a microgravity environment.) Relate this back to any lessons on the muscular system (e.g., Lesson 2 of the Bioastronautics unit). How might engineers help astronauts have a healthy diaphragm in space?   The following National Space Biomedical Research Institute website has a number of student investigations that describe some of the physiological changes that astronauts go through during space flight. They are mostly geared towards older or advanced students but may provide some ideas for younger learners: <link url="http://www.nsbri.org/HumanPhysSpace/" type="internet">http://www.nsbri.org/HumanPhysSpace/</link></text_element>
			</text_block>
		</text_section>
	</extensions>
	<references>
		<reference>
			<reference_biblio>BBC News, <italic> Heath</italic>, &quot;Artificial lung breakthrough,&quot; April 26, 2001,</reference_biblio>
			<link url="http://news.bbc.co.uk/1/hi/health/1298102.stm" type="internet" description="accessed May 23, 2006.">http://news.bbc.co.uk/1/hi/health/1298102.stm</link>
		</reference>
		<reference>
			<reference_biblio>Lujan, Barbara. and White, Ronald.  National Space Biomedical Research Institute, Human Physiology in Space, Houston, TX: GPO, 1995,</reference_biblio>
			<link url="http://www.nsbri.org/HumanPhysSpace/" type="internet" description="accessed May 23, 2006.">http://www.nsbri.org/HumanPhysSpace/</link>
		</reference>
		<reference>
			<reference_biblio>Short, Sr., Nicholas M. National Aeronautics and Space Administration, Information Sciences Branch, Goddard Space Flight Center, <italic> The Remote Sensing Tutorial (RST)</italic>.</reference_biblio>
		</reference>
		<reference>
			<reference_biblio>U.S. Department of Health and Human Services, Office on Women&apos;s Health, National Women&apos;s Health Information Center (NWHIC), GirlsHealth.gov, Body - Becoming a Woman, &quot;Learn about your whole body - from your heart to your bones,&quot; March 2006,</reference_biblio>
			<link url="http://www.4girls.gov/body/body_tool2.htm" type="internet" description="accessed May 22, 2006.">http://www.4girls.gov/body/body_tool2.htm</link>
		</reference>
		<reference>
			<reference_biblio>U.S. Department of Health and Human Services, Office on Women&apos;s Health, National Women's Health Information Center (NWHIC), womenshealth.gov, <italic> Lung Disease</italic>, March 2006,</reference_biblio>
			<link url="http://www.4woman.gov/faq/lung_disease.htm" type="internet" description="accessed May 23, 2006.">http://www.4woman.gov/faq/lung_disease.htm</link>
		</reference>
		<reference>
			<reference_biblio>U.S. National Cancer Institute's Surveillance, Epidemiology and End Results (SEER) Program, Training Website, Bronchi, Bronchial Tree, and Lungs, &quot;Bronchi and Bronchial Tree,"</reference_biblio>
			<link url="http://training.seer.cancer.gov/module_anatomy/unit9_4_resp_passages4_bronchi.html" type="internet" description="accessed May 23, 2006.">http://training.seer.cancer.gov/module_anatomy/unit9_4_resp_passages4_bronchi.html</link>
		</reference>
		<reference>
			<reference_biblio>Wikipedia, The Free Encyclopedia, Wikipedia,com, <italic> Respiratory system</italic>,</reference_biblio>
			<link url="http://en.wikipedia.org/wiki/Respiratory_System" type="internet" description="accessed May 23, 2006.">http://en.wikipedia.org/wiki/Respiratory_System</link>
		</reference>
	</references>
	<owner name="Integrated Teaching and Learning Program" organization="College of Engineering, University of Colorado at Boulder"/>
	<contributors>
		<contributor name="Teresa Ellis"/>
		<contributor name="Denali Lander"/>
		<contributor name="Malinda Schaefer Zarske"/>
		<contributor name="Janet Yowel"/>
	</contributors>
	<copyright owner="Regents of the University of Colorado" year="2006" desc="The contents of this digital library curriculum were developed under a grant from the Fund for the Improvement of Postsecondary Education (FIPSE), U.S. Department of Education and National Science Foundation GK-12 grant no. 0226322. However, these contents do not necessarily represent the policies of the Department of Education or National Science Foundation, and you should not assume endorsement by the federal government."/>
</lesson>

