1.
Impact Analysis Of Quality Control Practices In Selected Microbiology Based Veterinary Diagnostic Labs Operational In District Lahore
by Faiza Marrium (2009-VA-239) | Prof. Dr. Masood Rabbani | Dr. Ali Ahmed Sheikh | Dr. Yasin Tipu.
Material type: ; Literary form:
not fiction
Publisher: 2015Dissertation note: Veterinary diagnostic labs are the powerful ally for the diagnosis, prevention and monitoring of animal diseases in any country. Labs are ordered for test for many reasons. Errors could be present in these tests. So to avoid detrimental effects of these errors a quality control system is required. This system is maintained by following the standards given by recognized international organizations like ISO, OIE, WHO, FAO and CDC etc. These authorities make the standards which should be followed by the VDLs to improve their quality of tests and management to give precise and accurate results which will help them in being well reputed lab which give internationally accepted quality of results.
In this study 4 private and 4 public sectors Veterinary diagnostic Labs was selected and it was assured to labs that their information will remain confidential as data was used only for the research purposes. Labs were identified by the codes given to them for study purpose. Information required for this study was gained through a questionnaire. Information regarding identity of lab, contact numbers, location and type of testing/diagnosis was gathered. Information about the parameters of quality control like building design, power backup, sections of lab, operating equipments, development of log books, availability of certificate of analysis for chemicals, availability of material safety data sheet was gathered. Quality assurance issues were also addressed by gathering information about internal quality assurance program, proficiency testing etc. Then this data was analyzed by using SPSS to interpret the results.
The data was analyzed statistically through frequency distribution by using Statistical Package for Social Sciences (SPSS) version 18.0 for development of Graphs and Tables.
Summary
53
requirements about personnel and equipments were 80% and 87.5% while minimum values were 40% and 25% respectively. Maximum value about quality control measures and waste management were 89.47% and 70% and minimum percentages were 36.40% and 40% respectively. Results have shown that 100% requirements of environmental monitoring and customer care were fulfilled by some labs while some labs only fulfill 20% of these parameters.
Conclusion
This study shows that in Lahore district veterinary diagnostic labs are not giving proper attention to quality of their system and there is no significant difference between setups of private and public sector laboratories. Availability: Items available for loan: UVAS Library [Call number: 2277-T] (1).
2.
Impact Analysis Of Quality Control Practices In Medical Diagnostic Labs Operational In District Lahore
by Tahira Naz Saif (2009-VA-204) | Dr. Ali Ahmed Sheikh | Dr. Ali Ahmed Sheikh | Dr. Muhammad Yasin Tipu.
Material type: ; Literary form:
not fiction
Publisher: 2015Dissertation note: Medical laboratory services are essential to patient care as laboratory results influence 70% of diagnosis. When tests are performed, there is always some level of inaccuracy. The challenge is to reduce the level of inaccuracy as much as possible. In orders to reduce these errors throughout the lab testing cycle, it is very important to maintain the quality of diagnostic lab. For this purpose standards should be set in the laboratory. These standards have the general requirement for effective management and competent testing.
In this study 5 public and 4 private sector medical diagnostic labs in district Lahore were selected. Permission from the competent authorities was taken and information was gathered through questionnaire including parameters such as lab building design, human resource of the lab, equipment and consumables, quality control measures adopted in the labs, environmental monitoring, waste management and customer care covering factors like recruitment policy of staff, Job descriptions of the staff, trainings conducted in the lab, SOPs, quality control and quality assurance program, feedback system, corrective and preventive action implemented in lab, result reporting etc.
The data was analyzed statistically through frequency distribution by using Statistical Package for Social Sciences (SPSS) version 18.0 for development of Graphs and Tables.
This study was conducted to help to evaluate the quality system of medical diagnostic labs and to identify the critical points which affect the quality of the testing and diagnosis and are being ignored. Information regarding different parameters was summarized in tabulated form by calculating percentage values. Two types of comparison were done. Firstly percentage value for each lab is calculated to check which labs fulfill maximum requirements of the parameters described. Second comparison was done to find out the percentage of the labs out of total selected labs, which fulfill different factors of the parameters described. After statistical analysis using chi square results showed that there is no significant difference between private sector labs and public sector labs.
In the first parameter, lab building design lab 1 and lab 9 got 100% quality points and lab 6 and lab 8 got minimum scores of 20%. In second parameter, human resource of lab 1, 2 and 3 got 100% quality points. Lab 6 and 8 got minimum quality points of 33%. When third parameter equipment and consumables was investigated it was found that lab 7 and lab 9 100% fulfill this parameter and lab 6 and lab 8 fulfill this parameter only 16.6%. In fourth parameter, quality control practices implemented in labs; lab 2 got 86% scores and lab 1 got 82% while lab 8 got minimum quality points of 22%. In fifth parameter, waste management of the lab; lab 4 got maximum quality points of 83% and all other labs got the same score of 66.6% in this parameter. When sixth parameter, environmental monitoring was investigated. It was found that lab 2 and lab 9 monitor the environment of the lab only 66.6% and in lab 8 environmental monitoring is not done. In seventh parameter, customer care lab 9 got 100% scores and labs 3, 4, 5 and 6 got 50% scores.
Conclusion:
Results show that there is no significant difference between government and private sector labs. Labs do not pay attention to the quality control measures and use same approaches of quality control in their system.
Availability: Items available for loan: UVAS Library [Call number: 2317-T] (1).
3.
Sero-Diagnosis And Associated Exposure Factors Of Brucelosis Among Trade Animals And Abbatoir Workers
by Madiha Ashraf (2008-VA-43) | Dr. Muhammad Avais | Prof. Dr. Aneela Zameer Durrani | Dr. Ali Ahmed Sheikh.
Material type: ; Literary form:
not fiction
Publisher: 2015Dissertation note: Brucellosis mainly infects food animals such as cattle, buffaloes. Brucella abortus is the principal cause of brucellosis in cattle and is shed from the infected animal at or around the time of calving or abortion. Brucellosis is zoonotic disease transmitted to humans both through Brucella abortus and melletensis.
The present study was conducted on 200 animals privately owned and publically owned abattoir. An epidemiological questionnaire focusing on trade animals as well as husbandry and sanitary practices that could be associated with the risk of Brucellosis infection was completed. Serum samples were collected and analyzed using Rose Bengal Plate Test. The serum samples positive for Brucellosis through RBPT further subjected to enzyme linked Immunosorbent assay. The samples of cattle collected from publically owned abattoir are subjected to the RBPT and the result was 18% and privately owned abattoir have an RBPT result of 10% and samples of the buffaloes are subjected to the test of RBPT as an screening test which was respectively 20% and 8%. The samples are further subjected to the iELISA and the results was shown that through ELISA the result was respectively 12% and 4%. While results for the cattle declared the prevelance of brucella infection through indirect ELISA was 8% and 2% at public and private abattoir respectively. The abattoir workers had a high risk to the exposure to the transmission of the disease as it is world widely more zoonotic the workers found positive for the brucellosis at public abattoir through RBPT shown no positive results. While in private abattoir through RBPT there is 6.66% animals were positive. However we concluded the results through indirect ELISA the results found were 66.66% and 15.62% for the butchers and meat sellers respectively at public abattoir.so the butchers are prone to the infection of the brucella antibodies.in comparison with the private abattoir 33.33% was detected in the abattoir cleaner. Through indirect ELISA.
Summary
50
The data originating from this study was tested thorough Chi square test while Odd ratio was calculated for risk factors. Statistical analysis was done using “SPSS version 20” and probability level <0.05 was considered significantly different. Availability: Items available for loan: UVAS Library [Call number: 2387-T] (1).
4.
Etiopathology Of Tuberculosis Complex In Antelopes And Its Cytokine Profile
by Maryam Saddiqa (2009-VA-366) | Dr. Raheela Akhtar | Dr. Muhammad Yasin Tipu | Dr. Ali Ahmed Sheikh.
Material type: ; Format:
print
; Literary form:
not fiction
Publisher: 2016Dissertation note: Bovine tuberculosis is a contagious disease of domestic and wild animals with serious zoonotic effects in humans. The economic importance and public health concern of bovine tuberculosis enlist it in the world top priority disease to be eliminated by WHO (World Health Organization). Tuberculosis in antelopes is caused by Mycobacterium bovis, Mycobacterium tuberculosis & Mycobacterium avium. This disease in antelopes causes tremendous economic losses. Unfortunately in Pakistan no such study has been conducted on wildlife tuberculosis except one (Zeeshan 2007) his work was on the identification of one specie i.e. M.bovis in deer while this study was on the identification of three different types of species (Mycobacterium bovis, Mycobacterium tuberculosis and Mycobacterium avium). A total of 50 blood samples from tuberculosis suspected antelopes were collected. These samples were subjected to multiplex polymerase chain reaction (multiplex PCR) and cytokine ELISA to determine the etiopathology of Mycobacterium tuberculosis complex.
The results indicated that 10% and 4% of antelopes were positive for M.bovis, M.tuberculosis infection with multiplex PCR and cytokine ELISA respectively. From these results it is evident that polymerase chain reaction (PCR) is more sensitive than cytokine ELISA for the diagnosis Mycobacterium Tuberculosis complex (MTC) and it shows much higher percentage of positive cases.
This study provided valuable information about the presence of M.bovis, M.tuberculosis and M.avium in different types of antelopes (Urial, Mouflon sheep, Black buck, Goral and Hog deer). The cytokine profile could be used as a diagnostic marker in future. Availability: Items available for loan: UVAS Library [Call number: 2549-T] (1).
5.
Development Of Dna Based Diagnosis Of Theileriosis In Cattle And Its Specificity With Blood Smear Microscopy
by Uzma Sarwar (2014-VA-777) | Dr. Wasim Shehzad | Dr. M. Yasir Zahoor | Dr. Ali Ahmed Sheikh.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Theileria annulata and Theileria parva are intra-erythrocytic parasites which are responsible for
causing tropical theileriosis and East Coast fever in cattle respectively. This parasite is
transmitted by ticks to vertebrate host i.e. cattle. Currently used diagnostic methods for diagnosis
of bovine theileriosis are clinical symptoms, peripheral blood smear microscopy and serological
tests (IFAT and ELISA).
Current study was conducted to compare the specificity and sensitivity of blood smear
microscopy and PCR techniques to diagnose bovine theileriosis. This study is comparative as
well as developmental in nature. Although peripheral blood smears microscopy is cost effective
and quick method of diagnosis in case of high or moderate parasitaemia in blood. But the
limitations associated with microscopy include false negative diagnosis in case of low
parasitaemia in chronic and asymptomatic infection, morphological similarity of Theileria with
other species of Plasmodium and Babesia. These limitations may lead to misdiagnose the
infection due to which disease may remain unnoticed. PCR based method, developed in this
study, and is found to be more specific and sensitive than conventional microscopy. Fifty blood
samples were collected from September, 2015 to November, 2015. These samples were screened
microscopically as well as with PCR for presence of Theileria. Nine samples were found to be
positive microscopically but 18 samples were found positive by PCR. The results obtained from
the study clearly show that PCR is more reliable, precise and sensitive assay for diagnosis of
bovine theileriosis then microscopy. It is hoped that proposed method to diagnose Theileria will
help to nullify the problems associated with microscopy. This will ultimately facilitate in the
formulation of effective treatment control and vaccine development strategies. Availability: Items available for loan: UVAS Library [Call number: 2547-T] (1).
6.
Amelioration Of Pathological Changes Due To Infectious Bursal Disease By The Administration Of Mentofin And Asi-Mirus In Broiler Chicken
by Muhammad Umair Shah (2011-VA-15) | Prof. Dr. Asim Aslam | Dr. Ghulam Mustafa | Dr. Ali Ahmed Sheikh.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Poultry industry is the second largest industry in Pakistan but despite of its rapid growth rate it is facing huge economic losses due to many infectious diseases. Infectious Bursal Disease is one of them. Huge economic losses in case of infectious bursal disease are due to immunosuppression and high mortality.
In Pakistan, commercially available vaccines are abruptly used to control different viral diseases but unfortunately failure of these products occur from time to time. Hence, current study was designed to determine the immunostimulatory effect of two commercially available products (Mentofin and ASI-MIRUS) against IBD vaccine.
A total 300 broiler chicks were taken, divided into six groups each having 50 birds and were replicated under controlled conditions. A, B and D groups were vaccinated with the IBD live virus vaccine. B and C groups were treated with Mentofin. D and E groups were treated with ASI-MIRUS while F group served negative control. To detect antibody titer against IBDV at every week (0-42 days of age), a commercial ELISA kit, IDEXX Flock Chek standard (IDEXX Corporation, Westbrook, ME, USA) was used. In order to analyze gross and microscopic changes in bursa, postmortem examination and histopathology of bursa was done.
The volatile oils in Mentofin and ASI-MIRUS have effective immunomodulatory effects on humoral immune response in broiler chicks. Eucalyptus and peppermint oils increase bursa to body weight (B/BW) ratio as compared to untreated birds. Results of present study indicated the highest antibody titer in group D supplemented with ASI-MIRUS and vaccinated as compared to group B supplemented with Mentofin and vaccinated. Significantly high bursa to body weight ratio also observed in vaccinated group D (ASI-MIRUS treated) comparing with other
CHAPTER 6
SUMMARY
Summary
35
vaccinated groups A and B. In Group B (Mentofin treated), bursal samples showed necrosis at medullary region of bursal follicle. Group D (ASI-MIRUS treated) showed the active follicle consist of lymphoid cells and shown no obvious histopathological lesion. So present study showed that ASI-MIRUS is reduced the severity of IBDV which has more beneficial effect on immune response against IBD vaccinated Broiler Chicken as compared to Mentofin. Availability: Items available for loan: UVAS Library [Call number: 2557-T] (1).
7.
Molecular Characterization Of Canine Babesiosis In Ticks And Dogs
by Tahira Sarwar (2014-VA-523) | Dr. Wasim Shehzad | Dr. M. Yasir Zahoor | Dr. Ali Ahmed Sheikh.
Material type: ; Literary form:
not fiction
Publisher: 2016Dissertation note: Babesia canis is an intra-erythrocytic parasite which cause canine babesiosis in both animals and humans. Currently, there are three sub-species of Babesia canis has been identified i.e Babesia canis canis , Babesia canis vogeli and Babesia canis rossi. Currently used diagnostic methods are clinical symptoms, peripheral blood smear microscopy and serological tests (IFAT and ELISA).Current study was conducted to compare the specificity and sensitivity of blood smear microscopy and PCR techniques to diagnose canine babesiosis. This study is comparative as well as developmental in nature. Although peripheral blood smear microscopy is cost effective and quick method of diagnosis in case of high or moderate parasitaemia in blood. But the limitations associated with microscopy include false negative diagnosis in case of low parasitaemia in chronic and asymptomatic infection,morphological similarity of Babesia with other species of Plasmodium and Theileria these limitations may lead to misdiagnose the infection due to which disease may remain unnoticed.Total 50 samples comprising of 25 blood samples and 25 ticks were collected randomly from infected dogs from June, 2015 to November, 2015. These samples were screened microscopically as well as with PCR. Out of 50 samples of dogs and ticks, 18 samples found to be positive for the Babesia canis. 11 samples are Babesia canis vogeli and 07 samples are Babesia canis canis were to be identified in positive samples of dogs and ticks.The results obtained from the study clearly show that PCR is more reliable, precise and sensitive assay for diagnosis of canine babesiosis then microscopy. It is hoped that proposed method to diagnose babesiosis will help to nullify the problems associated with microscopy. This will ultimately facilitate in the formulation of effective treatment control and vaccine development strategies which may eradicate babesiosis. Availability: Items available for loan: UVAS Library [Call number: 2642-T] (1).
8.
Prevalance And Distribution Of Soil-Borne Escherichia Coli O157:H7 In District Lahore Of Punjab Province, Pakistan
by Hiba Tabassum (2011-VA-421) | Prof. Dr. Masood Rabbani | Dr. Ali Ahmed Sheikh | Dr. Sehrish Faryal.
Material type: ; Literary form:
not fiction
Publisher: 2017Dissertation note: Salmonella spp. and Campylobacter spp. (Campylobacter coli and Campylobacter jejuni) are
recognized as the leading causes of bacterial gastroenteritis, followed by Shigella spp. and
Shiga toxin-encoding Escherichia coli (STEC).(Control and Prevention 2010).Shigatoxigenic
Escherichia coli (STEC) include Escherichia coli serotypes whose genomes
contain one or more Shiga toxin genes. STEC infections in humans can range from mild selflimiting
diarrhea to more severe disease, including hemorrhagic colitis and hemolytic uremic
syndrome (HUS).
Real-time PCR allows for quantification of the target. Real-time PCR perform better
than the standard culture-based assays to detect pathogenic organisms. In summary, work
load and work flow issues may dictate which system is best for different-sized laboratories
and test volumes.PCR assays to perceive the stx1 and stx2 genes are utilized by several
public health laboratories for identification and confirmation of STEC infection. Depending
on the primers used, these assays will distinguish between stx1 and stx2 (Zaki and El-Adrosy
2007). Assays even have been developed that verify the specific O group of an organism,
detect virulence factors such as intimin and enterohemolysin, and can differentiate among the
subtypes of Shiga toxins.
So there was need to analyze soil of to check the presence of Escherichia coli
O157:H7 for avoiding fatal diseases caused by it and there was also monitored soil chemistry
and its relation with bacterial growth specifically Escherichia coli O157:H7 because
Different soil composition and different environmental risk factors promoted presence of
Escherichia coli O157:H7 in soil.
Real Time-PCR technique was opted to detect Escherichia coli O157:H7 in the soil
from distant areas of district Lahore of Punjab, Pakistan. Soil samples from 10 per cent
Summary
53
villages were collected from this district and handled for genome extraction using
commercially available soil DNA extraction kit. After genome extraction, the samples were
keep running for Real Time-PCR at optimized conditions. The reaction was improved by
variations in standard concentrations of primers, probes, DNA, Taq-polymerase and sequence
of primers.
The dissemination of soil borne Escherichia coli O157:H7 was mapped in mentioned
district of Punjab, Pakistan using geographical co-ordinates recorded by GPS beneficiary.
Relationship of Escherichia coli O157:H7 with environmental factors,soil chemistry and
source of land irrigation (Canal, tubewell and rain or in combination), was resolved. Results of
present project were analyzed through SPSS.
The purpose of the research work was the understanding of occurrence and
distribution of Escherichia coli O157:H7 in district Lahore of Punjab province .It also threw
light on role of soil as a reservoir of Escherichia coli O157:H7, and association of this
infectious agent with various risk factors.
In this study depending upon the statistical analysis data, it was depicted that
Escherichia coli o157 H7 is present in soil although it can’t persist or survive. The prevalence
rate of Escherichia coli O157 h7 is 3.1% in 129 soil samples of Lahore. In case of villages it
is present in 2 villages of of 29.that shows it is 6.8% prevalent in villages.
The presence or absence of pathogen in relation to soil chemistry and seven potential
risk factors was determined through student t distribution (T-test). By observing p value of
variables of positive and negative sites it comes to know that there is no significant
association of these factors to the survival of Escherichia coli O157:H7 in soil.
Remaining all other analytes has not significant association with soil. But it can be
seen Escherichia coli O157 H7 has significant association with organic matters, phosphorus,
Summary
54
copper, cobalt, calcium, sodium, ferrous ion, potassium and sand form of soil ranging from
(0.86-1.97), (9.7-22.5), (24.18-41.12), (0.048-0.51), (0.39-0.96), (0.08-0.16), (41.84-59.14),
(51.02-69.56), (83-86) respectively. Remaining all other analytes has not significant
association with soil.
For further investigations it is necessary that find out those factors which cause
hindrance in survival of Escherichia coli o157 h7 in soil specifically and also search out
those factors which support Escherichia coli O157 h7 persistence in soil. Availability: Items available for loan: UVAS Library [Call number: 2935-T] (1).
