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Argument Mini-Unit Brenda Cole / Carroll County Middle & Jean Wolph / Louisville Writing Project Based on materials created by the National Writing Project

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Argument Mini-UnitBrenda Cole / Carroll County Middle& Jean Wolph / Louisville Writing Project Based on materials created by the National Writing Project i3 College Ready Writers Program, funded by the Department of Education.What Should We Do About the Organ Shortage?2

Writing Reading

Argument MINI-UNITEmphasis

# of LessonsARGUMENT SKILLS

PRODUCT

ELEMENTS OF ARGUMENT

CLOSE READING STRATEGIES

RESPONSE TO READINGS

TOPICS

Draft, Feedback, Revise, Reflect

Close reading strategiesWriting & talking to develop knowledge on topic or issue

Making a strong claim

5 Lessons

Entering Skills:

Foundational Skills: Writing a claim that is debatable, defensible, and compelling. Use specific evidence from a text to support it, providing attribution. Making a comment about evidence.

Digging Deeper:Developing the context (introductory material to provide background to the reader)

Product: Multi-paragraph guided draft

Kernel EssayRevision

ClaimEvidence

Studying models to improve our writing

Highlighting key words and definitions

Highlighting sources of information

Writing in response to texts

Turn and Talk

It Says/I Say notes

WHAT SHOULD WE DO ABOUT ARTIFICIAL ORGANS?

4 shared texts(chart, video , 2 articles)

Mini-Unit OverviewWriting Standards Emphasized in the Mini-Unit Write arguments to support claims with clear reasons and relevant evidence, using valid reasoning.

Conduct short research projects to answer a question, drawing on several sources .

Gather relevant information from multiple print and digital sourcesand quote or paraphrase the data and conclusions of others while avoiding plagiarism .

Draw evidence from informational texts .

Write routinely over longer andshorter time frames (a single sitting or a day or two) for a range of discipline-specific tasks, purposes, and audiences.

Day 1 Day 2Days 3-4Days 5-6Day 7Study chart .Turn and Talk.Write Explain what the chart saysTell what you think about it

Review student model.

Revise to lift the quality of our responses.

Add to our writing.

EvidenceAttribution

Note: This portion later becomes the OVERVIEW OF THE PROBLEM.Take notes from a video text.

I Say/ They Say

Review possible notes. Add to lift the quality of our notes.

Write from I Say/ They Say chart

Use sentence stems to attribute information to the source. Comment on evidence.

Peer Feedback

Revision

Read articles twice.Mark key wordsNote information that is important or that you have a reaction toAdd to writing

Reread writings and notes.

Write what you are thinking now.

Make a claim.

Write a kernel essay.

Revise to increase sense of authority and credibilityMini-Unit Sequence In this unit, we will read about an issue, examine the facts, and make a claim.Claim: A statement of opinion that others can either agree with or disagree withWriters Notebook (Day 1): What does the U.S. Department of Health and Human Services Organ Procurement and Transplantation Network (OPTN) say about organ donation? What do you think about these facts and statistics?

Turn and talk.

Then stop and write.

http://optn.transplant.hrsa.gov/

Sample Response According to the U.S. Department of Health and Human Services, the number of deaths from patients waiting for organ replacement has risen over 10 years from around 40,000 to around 120,000. In that same period of time, the amount of organs transplanted has stayed around 20,000. I think more people need organs available and we need to look into making these organs for people to use.

Where do you see the writer explaining what the chart shows?Where do you see the writer telling what he thinks about this information?

Did you do both of these moves as a writer? If not, try again!Add to or revise your entry by using the words For example, . . . and then refer to the chart for specific information. Try to show the difference between supply and demand. Add a line that shows where this information came from.[insert chart again]

U.S. Department of Health and Human Services Organ Procurement and Transplantation Network (2013)OPTN: Organ Procurement and Transplantation Network

The OPTN is operated under contract with the U.S. Department of Health and Human Services by the United Network for Organ Sharing (UNOS). The Web site provides up-to-the-minute organ transplant numerical data and features information about organ donation, transplantation and the matching process.

Sample Response: OVERVIEW OF THE ISSUE Tens of thousands of people in the U.S. are dying from failing organs. For example, according to the U.S. Department of Health and Human Services (2013), the number of deaths from patients waiting for organ replacement has risen over 10 years from around 40,000 to around 120,000. In that same period of time, the amount of organs transplanted has stayed around 20,000. I think more people need organs available and we need to look into making these organs for people to use.

Where do you see the writer using words like For example, . . . to introduce specific information?Where do you see the writer showing us where this information came from?

Did you do each of these moves in your writing? If not, try again!Sample Response, cont. / Heres what I am thinking about this issue:Tens of thousands of people in the U.S. are dying from failing organs. For example, according to the U.S. Department of Health and Human Services, the number of deaths from patients waiting for organ replacement has risen over 10 years from around 40,000 to around 120,000. In that same period of time, the amount of organs transplanted has stayed around 20,000. I think more people need organs available and we need to look into making these organs for people to use. A question some people raise is, should we make artificial organs to use in people?

Add a line like this:

A question some people raise is __________.

Fill in your own question. Example: what should be done about the lack of available organs?Day 2: A text with an answer to our questionA professor creates an artificial circulatory system prototype and tests it using a dummy.

Dr. Alex SeifalianUniversity College London Watch the video. Jot down facts you hear in Column 1. Afterward, well take time to add our reactions in Column 2. https://www.youtube.com/watch?v=crGa0XDbSBQWatch it twice.Source: Using Artificial Organs to Make a Working Circulatory System (Smithsonian Channel, Published on Apr 25, 2014)It Says I Say

What did you record?Some Key Points You Might Have CapturedIt says: Professor Alex Seifalian is combining artificial organs to create an entire circulatory system.Consists of heart, lungs, kidneys, pancreas, and spleenArtificial kidneys remove toxins using silicon membrane and living kidney cells.Artificial pancreas regulates blood sugar (needed for energy)Artificial spleen removes impurities from blood using magnetic particles.Hope is to solve worldwide shortage of donor organs.Prototype is part bionic, part organic.Created implantable trachea as well

What do YOU say?I say:

Make a comment about each idea you recorded from the video.

Share Out!Some call Dr. Sefalian a modern Dr. Frankenstein. What do you think?Add to your notebook entry . . .use your They Say / I Say chart to add a paragraph or more to your writing about the issue of artificial organs. Use sentence starters like these: As Dr. Alex Sefalian of University College London says, ___________.The video Using Artificial Organs to Make a Working Circulatory System (Smithsonian Channel, Published on Apr 25, 2014) explains that _______________.According to the Smithsonian Channel, ____________.Supporting my example, ____________.Just as Dr. Sefalian says in the Smithsonian Channel report, ____.Although Using Artificial Organs to Make a Working Circulatory System says _____________.While Dr. Sefalian explains ___________.

Sample ResponseTens of thousands of people in the U.S. are dying from failing organs. For example, according to the U.S. Department of Health and Human Services Organ Procurement and Transplantation Network (2013), the number of deaths from patients waiting for organ replacement has risen over 10 years from around 40,000 to around 120,000. In that same period of time, the amount of organs transplanted has stayed around 20,000. Prof. Seifalian has created prototypes of working artificial heart, lungs, pancreas, kidneys, and spleen. The kidneys are the worlds first implantable kidneys. I think more people need organs available and we need to look into making these organs for people to use. A question some people raise is, should we make artificial organs to use in people?Peer Feedback:Review your partners new paragraph(s). Did he/she use sentence starters that show where the evidence came from? Did he/she make a comment about the evidence? As [experts name] says, The video [title] explains

1. Underline the starters you find. 2. Make a * anywhere you see an opportunity for your partner to add one of these phrases.3. Circle the comments your partner wrote about the evidence (the facts).4. Draw an arrow to show where your partner COULD make comments about the facts.5. Switch papers and talk about your suggestions.6. REVISE your own writing based on these suggestions.

According to Although the video [title] says

Day 3: ResearchingREAD the title: Diabetes Researchers Report New Steps Towards the First Artificial Pancreas by Popsci/2011

A headline gives the GIST (main idea) of the news article.

What is the benefit of an artificial pancreas ?

What do we think the main idea of this article will be? Mark the Text READ Diabetes Researchers Report New Steps Towards the First Artificial Pancreas by Popsci.com/2011First reading: Highlight important terms, definitions, and sources:

artificial pancreasinsulin injectionsendocrinologistsMayo ClinicdiabetesdiabeticsYogish Kudvaglucoseglucose monitor

This will help us later when we quote the text! We want to use technical terms and names of sources.Diabetes Researchers Report New Steps Towards the First Artificial PancreasBy Rebecca BoylePosted June 27, 2011 (Used with permission and adapted for classroom use, 9.9)

Medical researchers are making progress toward developing an artificial pancreas. It would take the place of insulin injections and finger pricks for patients with diabetes. It would mimic the functions of a healthy pancreas. In other words, it would deliver insulin and monitor blood sugar using computer technology. Endocrinologists [doctors who study and treat the endocrine system, which produces hormones] have presented Insulin Pump (cogdogblog via Flickr) their findings to the American Diabetes Association. Mayo Clinic researchers are making an artificial pancreas that can adjust the amount of hormones it delivers. This device can respond to minor physical activities. Why is that important? Physical activity can affect blood sugar levels. Their system includes a glucose monitor, automatic insulin pump, activity monitors that attach to the body, and a central computer. The computer uses an insulin-delivery algorithm [a set of rules for solving a problem] to determine how much of the hormone to release. A team led by Yogish Kudva at Mayo attached the devices to diabetics [people who have diabetes]. They tracked their blood sugars while they moved around after eating. They found that even small movements

Diabetes Researchers Report New Steps Towards the First Artificial Pancreas, continued

had a big effect on blood sugar levels. These movements brought their sugar levels almost to normal. But insulin pumps and glucose monitors don't account for those changes. The new process could help diabetics better manage their insulin intake, the Mayo researchers said.

In another study, researchers at Yale University tested an artificial pancreas that measures and regulates glucose throughout the night. They found it worked better than a traditional insulin pump. The monitor sent signals to a laptop. The computer calculated how much insulin to release. The system is simple enough that it could eventually be added to a wearable device, according to the researchers.

The device is already approved in Europe.-------------------------------------

Copyright 2015 Popular Science. A Bonnier Corporation Company. All rights reserved. Used with permission.

Second ReadingRE-READ Diabetes Researchers Report New Steps Towards the First Artificial Pancreas by Popsci.com/2011On sticky notes, capture a few key facts and data that seem important or that youd like to comment on (you have a reaction to share). Researchers at the Mayo Clinic are developing an artificial pancreas that can adjust to small movements that impact blood sugar levels. The research could help diabetics better manage their insulin intake, the Mayo researchers said.Researchers are working on an artificial pancreas that measures and regulates glucose throughout the night via computer. It works better than a traditional insulin pump. The device is already approved in Europe.FACTSAdd your sticky notes to the notebook writing you have completed so farTry to a find place that this information fits and stick your notes there.ORAdd it to the end of your notebook writing, if your sticky note is something you havent talked about yet.

Look back at your article highlighting. Add a line that tells where the information came from.Day 4: Researching, continuedREAD the title: Pros and Cons of Artificial Organs Ryerson University/Adapted from http://group1ryerson.weebly.com/pros-and-cons.html

A headline gives the GIST (main idea) of the news article.

What do we think the main idea of this article will be? Mark the Text Pros and Cons of Artificial Organs from Ryerson UniversityAdapted from http://group1ryerson.weebly.com/pros-and-cons.html

First reading: Highlight important terms, definitions, and sources, such as these:

transplantsLVAD (left ventrical assist device)Keen, 2000Rizzieri, Verheijde, Rady, & McGregor, 2008Nuremberg CodeDialysisECMO (Extracorporeal Membrane Oxygenation)Zwishenberger & Alpard, 2002Go & Macchiarini, 2008This will help us later when we quote the text! We want to use technical terms and names of sources.Pros and Cons of Artificial Organs Ryerson UniversityAdapted from http://group1ryerson.weebly.com/pros-and-cons.html (9.8)The need for transplant organs outnumbers the supply. Transplants are needed for many reasons, such as chronic diseases and injuries. There is no reliable continuous supply of organs. We must look elsewhere to meet the need. As with any procedure, there are pros and cons to artificial organs.

Artificial heart: Heart failure is the leading cause of death in much of the developed world (Keen, 2000). Keen (2000) describes how cardiac [heart] transplantation can only meet the needs of a relatively small number of patients. Even if the number of donor hearts increases, the supply cant keep up with the growing rate of end-stage heart failure. The patients natural heart may be failing. The patient may be on a heart-lung machine and unable to live without it. The artificial heart is always available, but donor hearts often are not. Many candidates have only a few months to live. Some of them are not eligible for donor hearts. The left ventricular assist device (LVAD) is one option. The LVAD strengthens existing heart function, increases energy, prolongs life, and improves quality of life (Rizzieri, Verheijde, Rady, & McGregor, 2008). It allows the patient to recuperate at home until a donor heart is available. Without this device, up to 40% of patients on the transplant list will die while waiting (Keen, 2000). The LVAD adds 1-2 years to the lives of the patient (Rizzieri, Verheijde, Rady, & McGregor, 2008).While there are many benefits of the artificial heart, there are disadvantages. Some feel that the patient is in no position to make a decision as the only other option is death. Yet death or disabling injury can result from the transplant of the artificial heart. Opponents refer to the Nuremberg Code, which was designed to protect human subjects during experimental research trials (Simmons, Fall and Winter 2001, p. 402).Pros and Cons of Artificial Organs, cont. Among other issues is caregiver burden. The emotional, financial and social strain is huge. The caregiver must be on call at all times, trained to respond to emergencies, and know when to seek help. Rizzieri, 2008 also notes that caregivers experience severe depression, anxiety, and posttraumatic stress disorders lasting as long as 12 months (Rizzieri, Verheijde, Rady, & McGregor, 2008). There is also a financial burden. There are hospital visits, travel and lost wages for both patient and caregiver (Rizzieri, Verheijde, Rady, & McGregor, 2008). Added to this are physical complications with the artificial heart. Patients are prone to infections. During the post-op period the mortality rate is 14 27%. Over time the device may malfunction (Rizzieri, Verheijde, Rady, & McGregor, 2008). Patients have increased risk of stroke, cognitive impairment or brain damage.

Artificial Kidney: The artificial kidney is dialysis. A membrane cleanses the blood of waste products. The artificial kidney adds years of life. Van Noordwijk, 2001, estimates half a million people worldwide are living on long-term dialysis. Patients can often get this care close to home. It enables the patient to have a life outside of a hospital (The Kidney Foundation of Canada 2009).The artificial kidney has some drawbacks. Dialysis takes from 4 8 hours, three times a week. During this time the patient is hooked up to a machine. All other activities revolve around the dialysis schedule. Patients must follow a strict regimen of medications, dietary changes and fluid restrictions. Otherwise the treatments dont work. Though there are many centers for dialysis, some patients must travel for treatment in all kinds of weather (The Kidney Foundation of Canada, 2009). Another con is the ethical dilemma [problem]. How do we decide whether to stop or continue treatment? Stopping dialysis results in death. Do we stop treatment when other health conditions arise? Do we resuscitate these patients in event of cardiac or respiratory arrest (Hermsen & van der Donk, 2009)?Pros and Cons of Artificial Organs, cont. Artificial Lung: While weve had success with artificial hearts and kidneys, the artificial lung has not done as well (Go & Macchiarini, 2008). ECMO is one artificial lung option. [ECMO stands for Extracorporeal Membrane Oxygenation. Extracorporeal means outside of the body. A membrane oxygenator is a piece of equipment which acts as a lung, providing oxygen to the blood.] The need for artificial lungs has increased steadily during the last decade (Sato MD, et al., 2007). The only current treatment for chronic irreversible pulmonary failure is lung transplantation (Zwishenberger & Alpard, 2002, p. 253). One con is that it is risky. Patients with artificial lungs must take medicine to prevent blood clots (Zwishenberger & Alpard, 2002). They need multiple blood transfusions and intensive therapy. There is also a risk of infection (Go & Macchiarini, 2008). The low success rate and complications make artificial lungs a less popular option. Japan developed percutanous cardiopulmonary support (PCPS). Unfortunately, it lasts just days or weeks. These problems have kept the artificial lung from becoming a bridge to lung transplant (Nogawa, 2002).The thoracic artificial lung (TAL) has shown more promise (Sato MD, et al., 2007). These successes have been limited to short term use of the ECMO for up to 3 weeks. This has given doctors time to reverse the lung problem so that the patient can use his own lungs again (Zwishenberger & Alpard, 2002).

Advances in the field of artificial organs are saving many lives. There are pros and cons with each organ to consider prior to treatment. Ethical issues arise as patients needing organs usually have end-stage disease or are critically ill, limiting their options. This is a complex issue that will continue to evolve as new treatment options are developed.

Day 4, cont.: Second ReadingRe-READ Pros and Cons of Artificial Organs from Ryerson UniversityAdapted from http://group1ryerson.weebly.com/pros-and-cons.htmlOn sticky notes, capture facts and data that seem important or that youd like to comment on (you have a reaction to share). ECMO stands for Extracorporeal Membrane Oxygenation. Extracorporeal means outside of the body. A membrane oxygenator is a piece of equipment which acts as a lung, providing oxygen to the blood.There are disadvantages. Death or disabling injury can result from the transplant of the artificial heart. The Nuremberg Code protects human subjects during experimental research trials (Simmons, Fall and Winter 2001, p. 402).Caregiver burden (emotional, financial and social strain) and financial burden should be considered (Rizzieri, Verheijde, Rady, & McGregor, 2008).

FACTSAdd your sticky notes to the notebook writing you have completed so farTry to a find place that this information fits and stick your notes there.ORAdd it to the end of your notebook writing, if your sticky note is something you havent talked about yet.

Look back at your article highlighting. Add a line that tells where the information came from.Day 5: Forming a claim

Re-read what you have written so far.

Then write what you are now thinking. These questions may help:

Are artificial organs a good idea or not?Is the organ shortage a problem or not? Is organ replacement important or not? Explain your thinking.Whats your answer to the problem? What should we do HERE? Bring it home!

WRITE A CLAIM!Well brainstorm claims about this issue (next slide). But first

Good claims

Are debatable: There is more than one side; its not just your opinion. I like artificial organs isnt a good claim because even though it shows your preference or opinion, theres no argument to be made. Are defensible: There is text-based evidence available to support the claim.Are compelling: Others will care about debating the issue. Artificial organs are important in our lives is not a good claim. We would say, So what? Everybody knows that.Show the writers position on the issueWe should or we should not It would be better to . Are focused--so well try to narrow the topic. We could focus on increasing awareness of donating organs or the increasing funding for artificial organ research, for example. Possible Claims:

[WHO] should (or should not) do [WHAT] because [WHY].Examples:

The U.S. should increase research to develop artificial organs because __________________.

While we need more organs for people with chronic diseases, we should increase organ donation rather than focus on developing artificial organs.

What Other Claims Could We Make?What claim could you support with evidence (facts)?Is this a good claim?

With more and more people needing replacement organs, the U.S. needs to increase funding for research to develop artificial organs.

Good claims are debatable, defensible, and compelling.Does the writer take a position on the issue, pro or con? Is there evidence to support it? Will others care?Does the writer narrow the topic?Can we see what direction the writer plans to go?Create a class list of Claims. Check each one!Does the writer take a position on the issue, pro or con?Is the claim debatable, defensible, and compelling?Does the writer narrow the topic? How?Can we see what direction the writer plans to go? How?

Choose one that interests you.

Day 6:Introducing Claims: Heres What Im ThinkingTens of thousands of people in the U.S. are dying from failing organs. For example, according to the U.S. Department of Health and Human Services, the number of deaths from patients waiting for organ replacement has risen over 10 years from around 40,000 to around 120,000. In that same period of time, the amount of organs transplanted has stayed around 20,000. A question some people raise is, should we make artificial organs to use in people? Professor Seifalian has created prototypes of working artificial heart, lungs, pancreas, kidneys, and spleen. The kidneys are the worlds first implantable kidneys. There also have been gains in the fight against diabetes thanks to an artificial pancreas. According to Rebecca Boyle in a 2011 article in Popular Science, Researchers at the Mayo Clinic are developing an artificial pancreas that accounts for slight, low-intensity physical activities that can impact blood sugar levels. The researchers are developing a closed-loop system that includes a glucose monitor, automatic insulin pump, activity monitors that attach to the body and a central computer that uses an insulin-delivery algorithm to determine how much of the hormone to dispense. This is a closer reaction to how the body uses insulin compared to current pumps. The FDA is developing guidelines to determine what needs to happen for these pumps to be used in the US. With more and more people needing replacement organs, the U.S. needs to increase funding for research to develop artificial organs.

Day 6-7: Completing a Draft: The Kernel Essay (Bernabei)

Use your notes to organize a draft using these sections:Tens of thousands of people in the U.S. are dying from failing organs. For example, according to the U.S. Department of Health and Human Services, the number of deaths from patients waiting for organ replacement has risen over 10 years from around 40,000 to around 120,000. In that same period of time, the amount of organs transplanted has stayed around 20,000. A question some people raise is, should we make artificial organs to use in people? Professor Seifalian has created prototypes of working artificial heart, lungs, pancreas, kidneys, and spleen. The kidneys are the worlds first implantable kidneys. There also have been gains in the fight against diabetes thanks to an artificial pancreas. According to Rebecca Boyle in a 2011 article in Popular Science, Researchers at the Mayo Clinic are developing an artificial pancreas that accounts for slight, low-intensity physical activities that can impact blood sugar levels. The researchers are developing a closed-loop system that includes a glucose monitor, automatic insulin pump, activity monitors that attach to the body and a central computer that uses an insulin-delivery algorithm to determine how much of the hormone to dispense. This is a closer reaction to how the body uses insulin compared to current pumps. The FDA is developing guidelines to determine what needs to happen for these pumps to be used in the US. With more and more people needing replacement organs, the U.S. needs to increase funding for research to develop artificial organs.

We have written this part already!What does the opposition say?

Why do they oppose your position?Why do you disagree?

What evidence can you cite to support your claim?1. Remind your reader about any evidence that youve written about so far. Explain how it supports your claim.

2. Review the chart, notes, and articles for any other support that will help you convince your readers.

3. Use a starter to introduce each piece of evidence (fact). Explain how and why it helps you prove your claim.

What do you want your reader to do, think, or believe about this issue?Day 7, Revision.

Read what you have written so far.

What Key Words or Phrases might you want to provide definitions of for your reader? These will give your writing authority.

Who says? Go back to the highlighting of the article and add any names of people or programs that you need. These will give your writing credibility.Teacher FeedbackWriting a strong claimIdentifying the source of the evidenceAccurately representing factsSelecting facts to support the claimCommenting on the facts (explaining how they apply to or support the claim)