Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Bachelors of Sciences in Medical Laboratory Technology B.Sc. MLT SCOPE AND OBJECTIVE Masters of Sciences in Medical Laboratory Technology (M.Sc. MLT) is offered by Sri Guru Ram Das University of Health Sciences, Amritsar. This program is designed to produce workforce having efficient and balanced training in laboratory medicine. The students enrolled under this program receive a stimulating, challenging and yet supportive academic exposure. This course is designed as a comprehensive and practical oriented program with the main objective to train the technical assistants working in laboratory, hospitals as well as with private practice. It provides the opportunity for enhancing specialization in the workforce. CAREER OPPORTUNITIES Given the focus on the healthcare and the demand for allied health professionals, career opportunities for clinical lab professionals is expected to grow faster than the average of all other occupations. These individuals are expected to work in the following jobs: Specialized technologist in Biochemistry or supervisors of clinical laboratories in hospitals. Laboratory scientists in Biomedical and research institutes. Teachers in training institutes of Medical Laboratory Technology. Utilize or apply the concepts, theories and principles of laboratory science. Demonstrate the ability to plan an effect the change in laboratory practice and health care delivery system. Establish collaborative relationship with members of other disciplines. Demonstrate interest in continued learning and research for personal and professional advancement. DURATION OF COURSE The duration of the Master's Degree in Medical Laboratory technology including submission of project work (6 months) on the topic registered shall be for a period of two years from the commencement of the academic term on full time basis. This is a regular theory and practical oriented program. 1 ADMISSION CRITERIA AND QUALIFICATIONS The students who have passed B.Sc. MLT Course from Sri Guru Ram Das University of Health Sciences, Amritsar with a minimum of 50% marks are eligible for this course. Students who have passed B.Sc. MLT course with a minimum of 50% marks from other Universities considered equivalent by Sri Guru Ram Das University of Health Sciences, Amritsar are eligible for this course. Candidates passing B.Sc MLT through Correspondence course shall not be eligible MEDIUM AND MODE OF INSTRUCTION The medium of instruction during the course and examination shall be English. The mode of teaching will be in form of regular classrooms, lectures/demonstrations supplemented by handouts, brochures, checklists, performance with supervised clinical practice. EXAMINATION SCHEDULE 1. The examination shall be held twice in a year in the months of May/June and November/December or on such other dates as may be decided by the Board of Management on the recommendation of Faculty of Sri Guru Ram Das University of Health Sciences, Amritsar. 2. Normally, the University shall conduct not more than two examinations in a year, for any subject, with an interval of not less than four and not more than six months between the two examinations. 3. The last date by which admission forms and fees must reach the Registrar shall be as follows Examinations Without late fee M.Sc. (MLT) With late fee With late fee With late fee of Rs. 200/- of Rs. 500/- of Rs. 1500/- May/June March 1 March 15 March 31 April 15 Nov/Dec Sept. 15 Sept. 30 Oct. 15 Oct. 31 Vice-chancellor may permit acceptance of admission form and fee ten days before the commencement of examination with a late fee of Rs. 2000/-. ATTENDANCE Every candidate should have attended at least 75 % of the total number of classes conducted in an academic year from the date of commencement of the term to the last working day as notified by university in each of the subjects prescribed for that year separately in theory and practical. Only such candidates are eligible to appear for the university examinations in their 2 first attempt. Special classes conducted for any purpose shall not be considered for the calculation of percentage of attendance for eligibility. A candidate lacking in prescribed percentage of attendance in any subjects either in theory or practical in the first appearance will not be eligible to appear for the University Examination in that subject. ASSESSMENTS There shall be an internal as well as external assessment both in theory as well as practical examinations. Formative Assessment Theory: 20 marks Practical: 50 marks [Laboratory work: 20 marks and Record: 30 marks] Summative Assessment Theory: 100 marks Practical: 130 marks [Practical: 100 marks and viva voce: 30 marks] There shall be a minimum of two periodical tests preferably one in each term in theory and practical of each subject in an academic year. The average marks of the two tests will be calculated and reduced to 20. The University shall have access to the records of such periodical tests. -------------- 3 SUBJECT AND HOURS OF TEACHING FOR THEORY AND PRACTICALS The number of hours of teaching theory and practical, subject wise in first and second years are shown in Table-I and Table-II. Table I: Distribution of Teaching Hours in First year S. No. Subject Theory Practical Clinical Total No. of No. of Hours No. of Hours Posting Hours 1 Biochemistry 200 200 500 900 2 Clinical Pathology, 200 200 500 900 200 200 500 900 600 600 1500 2700 Haematology and Immunopathology 3 General Microbiology, Immunology and Immunological Techniques Total The classes in main and subsidiary subjects are to be held from Monday to Thursday. On Fridays and Saturdays students shall work in hospitals in the respective specialty or department chosen by them. Table II: Distribution of Teaching Hours in Second Year S. No. Subject Theory Practical Clinical Total No. of No. of No. of Hours Posting Hours Hours 1 Biochemistry 200 200 500 900 2 Clinical Pathology & Haematology General Microbiology and Immunology Total 200 200 500 900 200 200 500 900 600 600 1500 2700 3 4 EXAMINATION SCHEDULE First Year M.Sc. (MLT) Examination The first year M.Sc. (MLT) examination shall be open to a person who a) has been enrolled for one academic year preceding the examination in Sri Guru Ram Das University of Health Sciences, Amritsar. b) has his/her name submitted to the Registrar by the Principal of the college with the following certificates: i) of having attended separately in theory and practical/clinical not less than 75 % of the lectures delivered and practicals conducted in each of the subjects prescribed for the examination provided and practicals conducted may be condoned by the principal to the extent of 10 % of the lectures delivered ii) of having secured at least 35 % marks of the total marks fixed for internal assessment in each subject, separately. iii) of good moral character. Note: The re-appear/fail students will be re-assessed every time for the purpose of improvement of internal assessment. If a candidate fulfils the condition laid down for one or more subjects, he/she may be allowed to take the examination in such subjects in which he/she fulfils the requirements. The first year M.Sc. (MLT) annual examination shall be held in May/June and the supplementary examination in Nov/Dec. The first year M.Sc. MLT annual examination shall be in the following subjects and candidates shall be required to pass all the subjects: Total Assessment Formative Total Marks Practical Viva Subject Assessment No. Formative S. Marks Theory Grand Total Table IV: Distribution of Marks in First Year Examination 100 20 30 150 100 50 150 300 100 20 30 150 100 50 150 300 Biochemistry 1 Clinical Pathology, 2 Haematology and Immunopathology 5 General Microbiology, 3 Immunology and 100 20 30 150 100 50 150 300 Immunological Techniques Each theory paper shall be of three hours duration. The minimum number of marks to pass the examination shall be 50 % in theory including internal assessment and viva and 50 % in practical including internal assessment in each subject separately. A candidate who passes in one or more subjects shall be exempted from appearing in these subjects at a subsequent examination, but the candidate must pass the examination in a maximum of four attempts, failing which he/she shall have to appear in all the subjects of the examination. A candidate who fails in one or more subjects in his/her 1st attempt, shall be permitted to attend classes in second year M.Sc. MLT course. However, he/she will be allowed to appear in second year M.Sc. MLT examination only after passing all the subjects of first year M.Sc. MLT. A candidate securing 75 % or above marks in any of the subjects shall be declared to have passed with distinction in that subject, provided he/she has passed the examination in first attempt. The grace marks up to a maximum of five marks may be awarded at the discretion of the university to the best advantage of failed student in theory papers only. 6 Second Year M.Sc. (MLT) Examination The second year M.Sc. (MLT) examination shall be open to a person who a) has been enrolled for one academic year preceding the examination in Sri Guru Ram Das University of Health Sciences. b) has previously passed the first year M.Sc. (MLT) examination of this University or an examination of any other University/Institution in India considering equivalent for the purpose by the University. c) has his/her name submitted to the Registrar by the Principal of the college with the following certificates: i) of having attended separately in theory and practical/clinical not less than 75 per cent of lectures delivered and practicals conducted in each of the subjects prescribed for the examination provided that deficiency in the number of lectures delivered and practicals conducted may be condoned by the Principal to the extent of 10 % of the lectures delivered. ii) of having secured at least 35 % marks of the total marks fixed for internal assessment in each subject, separately. iii) of good moral character. Note: The re-appear/fail students will be re-assessed every time for the purpose of improvement of internal assessment. If a candidate fulfils the condition laid down for one or more subjects, he/she may be allowed to take the examination in such subjects in which he/she fulfils the requirements. The second year M.Sc. (MLT) annual examination shall be held in May/June and the supplementary examination in Nov/Dec. The second year M.Sc. MLT annual examination shall be in the following subjects and candidates shall be required to pass all the subjects: Total Assessment Formative Total Marks Practical Viva Assessment Subject Formative S. No. Marks Theory Grand Total Table IV: Distribution of Marks in Second Year Examination 100 20 30 150 100 50 150 300 100 20 30 150 100 50 150 300 Biochemistry 1 2 Clinical Pathology & Haematology 7 3 General Microbiology and Immunology 100 20 30 150 100 50 150 300 Each theory paper shall be of three hours duration. The minimum number of marks to pass the examination shall be 50 % in theory including internal assessment and viva and 50 % in practical including internal assessment in each subject separately. A candidate who passes in one or more subjects shall be exempted from appearing in these subjects at a subsequent examination, but the candidate must pass the examination in a maximum of four attempts, failing which he/she shall have to appear in all the subjects of the examination. A candidate securing 75 % or above marks in any of the subjects shall be declared to have passed with distinction in that subject, provided he/she has passed the examination in first attempt. The grace marks up to a maximum of five marks may be awarded at the discretion of the university to the best advantage of failed student in theory papers only. --------------- 8 APPOINTMENT OF EXAMINERS The examiners shall be appointed by the University on the recommendation of the Board of Studies in Medical Sciences (Post graduate)/Faculty of Medical Sciences. Examiners shall be from Medical Faculty with postgraduate degree in the concerned subject, with minimum rank of Associate Professor and having minimum three year teaching experience in medical institution. The teachers possessing M.Sc. and Ph.D. degree from any non-medical institution/University shall not be appointed Examiner as they are not eligible to be appointed as Teachers in Medical Institution. PAPER SETTING AND MODERATION OF QUESTION PAPERS The University may get each paper set from External Examiner only. The moderation of question papers may be got done under the direction of the Vice-Chancellor, if necessary. EVALUATION OF ANSWER BOOKS The answer books shall be got evaluated by putting fictitious roll numbers theron or spot evaluation (table marking) or any other method under the direction of the Vice-Chancellor. DECLARATION OF RESULT The Registrar/Controller of Examinations shall publish the result after the examination. The candidate shall be issue Detailed Marks Certificate through their Principals. INTERNSHIP After successfully passing third year B.Sc. (MLT) examination, the students shall undergo six months compulsory rotatory internship as follows: S. No. Department Period of Internship 1 Biochemistry Two months 2 Microbiology Two months 3 Pathology Two months AWARD OF DEGREE On successful completion of six months compulsory rotator internship, duly certified by the Principal of the College, the students shall be awarded the Degree of Bachelor of Sciences (Medical Laboratory Technology)- M.Sc. (MLT). 9 CURRICULUM AND SYLLABUS M.Sc. MLT The candidate registered for M.Sc. Medical Laboratory Technology will be given basic training in theoretical and practical aspects in the field of histopathology, cytopathology, clinical pathology, haematology, blood banking, immunopathology and maintaining of museum specimens. The students will also obtain basic knowledge of morbid anatomy, physiology, histology and laboratory investigations/tests in relation to various diseases. The principles of different techniques used for such investigations will also be imparted. The student will also be given training in Laboratory management, safety measures, quality control aspects and automatic technology. The training in the subject is aimed at making the student work independently in various advanced pathology laboratories of any hospital or medical institution. SYLLABUS FOR FIRST YEAR BIOCHEMISTRY General Biochemistry and Chemistry of Biomolecules THEORY Chemistry of living things: Structure of cell. Plant, animal, bacteria and virus. Nucleus, organelle, cell- membrane. Structure and functions. Water-a medium for living things. Universal solvent, hydrogen bonds, colligative properties. Preparation of high quality water. Physical chemistry: Viscosity, surface tension, osmosis, Donnan membrane equilibrium, dialysis, diffusion, adsorption, partition coefficient- Principles and biochemical applications.. Methodology: Photometry, spectrophotometry ,fluorimetry, flamephotometry, Atomic absorption spectrophotometry, osmometry nephelometry. Chromatography, electrophoresis, electrochemistry, Biosensors, chemiluminesence, Flow cytometry. Homogenization, cell disruption, sonication, centrifugation and ultra centrifugation fractional distillation,solvent extraction , liophilization. General concepts regarding laboratory wares and its standardization. Quantities and units: SI units- their advantages and disadvantages Specimen collection, preservation and preparation for analysis, constituent stability, documentation and specimen flow system, interferences in the collection process. Anticoagulants and preservatives. Regulations and precautions regarding transport of biological specimens. Biomedical waste disposal. Electrolytes, pH and buffers- pH meter, pH measurement, buffers, biological buffers. 10 Radioactivity: radioisotopes, ionizing radiations, measurement of radioactivity, applications of radioisotopes in clinical biochemistry and research, Storage and disposal of radioactive materials. Biomolecules: Characteristics and properties. Proteins: Classification, properties and chemistry of amino acids and proteins, structure of proteins aminoacid sequencing of proteins. Carbohydrates: Classification, Chemistry and properties. Lipids : Classification, Chemistry and properties. Bio-membranes: Chemistry, structure, Transport process across bio-membranes. Nucleic acids: chemistry and properties – purines, pyrimidines, nucleosides, nucleotides, nucleic acids, nucleoproteins, genes and Chromosomes. Biological Fluids Ceribro spinal fluid analysis Amniotic fluid – Bilirubin, Creatinine,alpha feto protein, Lecitin / Spigomyelin ratio, Palmitate and other tests of foetal lung maturity. Screening for Down syndrome. Urine Analysis – Normal and abnormal urine composition including abnormal pigments. Biochemical analysis of Peritonial fluid, Pleural fluid, Synovial fluid, Semen etc. PRACTICALS Laboratory safety: Fire, chemical, radiation, handling of biological specimens, waste disposal regulations, workplace hazardous. Specimen collection, identification, transport, delivery and preservation. Patient preparation for tests. Anticoagulats and preservatives Regulations and precautions regarding transport of biological specimens Preparation of high quality water pH determination Preparation of buffers and determination of pH Measurement of radioactivity Practicals related to solvent extraction, Partition coefficient, Dialysis, Concentration, desalting and Ultracentrifugation. Calibration of equipments and laboratory wares. Familiarization and usage of Colorimetry, specterophotometry, fluorimetry, flame photometry, atomic absorption spectroscopy, nephelometry, osmometry, chemiluminesence ,ion selective electrodes, flow cytometry. 11 Chromatography : - Paper, Thin layer, Gel filteration, Ion exchange, HPLC, GLC, Separation of various sugars, amino acids, lipids, drugs toxins etc. Urine aminogram. Electrophoresis :- Paper, Agarose gel, Cellulose acetate, PAGE, SDS-PAGE. Separation of serum proteins, lipoproteins, haemoglobin, globin chain and isoenzymes Tissue homogenization and cell disruption Cell fractionation methods Extraction of glycogen and its estimation Extraction of protein and its estimation Extraction of lipids and estimation of total lipids, glycolipid, phospholipids and cholesterol. Determination of saponification number and iodine number from oils Estimation of lacticacid and pyruvic acid Qualitative analysis of carbohydrate Detection of unknown sugars Qualitative analysis of proteins Isolation of DNA and RNA Estimation of DNA and RNA Agarose gel electrophoresis of DNA Estimation of porphyrins and porphobilinogen in urine. Urine qualitative and quantitative analysis. Biochemical analysis of CSF, Amniotic fluid, Peritoneal fluid, Pericardial fluid, Pleural fluid, Synovial fluid, Semen etc. ------------ 12 SYLLABUS FOR SECOND YEAR BIOCHEMISTRY Enzymology, Metabolism and Inborn Errors of Metabolism THEORY Enzymes: Classification, co-enzymes, cofactors, mechanisms of enzyme action, factors affecting enzyme action, enzyme kinetics, enzyme inhibition, regulatory enzymes, enzyme immobilization, Clinical enzymology. Applications of Enzymology Metabolism: Bioenergetics, free energy, biological oxidations, electron transport, oxidative phosphorylation. Carbohydrate metabolism: glycolysis, gluconeogenesis, uronic acid pathway, TCA cycle, HMP pathway, glycogen metabolism, galactose metabolism, fructose metabolism, Regulation of blood glucose Aminoacid metabolism: Transamination, deamination, oxidative deamination, ammonia transport, urea formation Metabolism of individual amino acids. Biosynthesis of catacholamines, melanin formation, Nitrogen balance. Lipid metabolism: Fatty acid synthesis, fatty acid oxidation, ketogenesis. Metabolism of triglycerides, phospholipids, sphingolipids, and cholesterol. Lipoprotein metabolism, obesity, fatty liver, lipotropic factors and ketosis, atherosclerosis and coronary heart disease. Purine, Pyrimidine metabolism: Biosynthesis of purine and pyrimidine nucleotides. Degradation of purine and pyrimidine nucleotides. Hemoglobin metabolism: Heme synthesis, formation of hemoglobin, metabolism of bilirubin, urobilinogen, and other bile pigments. Inborn errors of metabolism: Inborn errors of carbohydrate, amino acid, lipid, purine and pyrimidine, heme and bilirubin metabolism – Defect in protein biosynthesis arising from genetic mutations. Enzyme abnormalities occurring in genetic disorders. The biochemical consequences of a primary enzyme block in a metabolic pathway and the ways in which clinical and pathological signs may be produced . Methods of detecting metabolic disorders. Methods of treatment. PRACTICAL Study of factors influencing enzyme reaction. Type of inhibition shown by various inhibitors 13 Determination of Km and Vmax of enzyme. Determination of activity of clinically important enzymes – Alkaline phosphatase, Acid phosphatase, AST, ALT, Amylase, Lipase, LDH, CK, G^PD, Pyruvate kinase, Aldolase, 51Nucleotidase, Leucine amino peptidase, Gamma glutamyl trans peptidase, Choline esterase, Enolase, Isocitrate dehydrogenase, Catalase, various isoenzymes etc. Estimation and standardization of Glucose, Urea, Cholesterol, Triglycerides, Phopholipids, Total lipid, Uric acid, Creatine , Creatinine, Ammonia, Ketone bodies, Glycosilated haemoglobin, Bilirubin,, Plasma haemoglobin , Myoglobin Investigations of Alkaptoneuria, Cystineuria, Pentoseuria, Glycogen storage diseases, Galactosemia. ------------ 14 REFERENCE BOOKS Biochemistry 1. Biochemistry by Geoffrey L Zubay, Fourth Edition, 1998 2. Fundamentals of Biochemistry by Donald Voet, Judith Voet and Pratt, second edition, 1995 3. Biochemistry – Lubert Stryer 4. Harper’s Biochemistry by Murray etal. Appleton and Lange Publishers, 27h edition, 2006 5. Principles of Biochemistry by Lehninger, Nelson and Cox, fourth edition, W H Freeman and Company, New York, USA, 2005 6. Textbook of Biochemistry by West and Todd, Fourth Edition, 1966 7. Text book of clinical chemistry - Teitz 8. Varley’s Practical Clinical Biochemistry by Alan H Gowenlock, published by CBS Publishers and distributors, India Sixth Edition 9. Practical Biochemistry – Wilson & Walker 10. Clinical chemistry – Marshal 11. Clinical Biochemistry Principle and Practice – Praful B Godkar 12. Lecture notes on Clinical chemistry – L.G.Whitby 13. Clinical Chemistry – Kaplan 14. Clinical chemistry in diagnosis and treatment – Philip D Mayne 15. Clinical Chemistry – Michael L Bishop 16. NMS Biochemistry 17. Immunology: Janis Kuby fourth edition, W H Freeman Company, USA (2000) 18. Essential Immunology : Ivan Roitt (Blackwell Science Publishers, UK, 1997) 19. A Hand Book of Practical Immunology:GP Talwar (Vikas Publishing House, 1983) 15