Molecular analysis involves studying biomolecules (DNA/RNA, proteins, nucleic acids).
Goals include diagnostics and investigations, especially in crime and unidentified causes.
Molecular testing requires a request from a physician for diagnosis, treatment, and prognosis.
Key aims:
Select appropriate tests for diagnosis and treatment.
Generate accurate, clinically relevant results to improve patient care.
Involves activities before specimen analysis, such as:
Patient identification and preparation.
Sample types include:
Solid tissue (best for analysis)
Blood
Body fluids (saliva, cerebrospinal fluid, stool, urine)
General Policies for Specimen Collection:
All requests must include:
Relevant patient ID
Type of specimen
Ordered test
Date/time of collection
Reason for testing
Contact info of physician
Specimens must be received in acceptable conditions, i.e., not tampered, hemolyzed, or degraded.
Caused by issues in specimen handling:
Examples include mislabeling, sample collection errors, or improper transportation.
Avoid errors through proper sampling and handling, e.g., fresh freezing methods like snap freezing.
Care for different sample preparations:
Paraffin embedded produces lower quality of nucleic acids compared to fresh samples.
White blood cells (WBCs) should be isolated for nucleic acid extraction, as red blood cells (RBCs) lack nuclei.
Definition: Dividing a larger sample into smaller portions for analysis.
Purpose:
Avoid unnecessary handling of samples.
Preserve original sample integrity.
Create back-up samples.
Use of appropriate collection tubes is vital, including the correct labeling of specimens.
Additional details may include:
Forensic documentation (Chain of Custody)
Parentage testing requirements:
Consent forms, ethnicity consideration, ID verification.
Documentation for specimen handling.
Accession Records:
Tracking all specimens, documenting date of receipt, identifier, and patient information.
Sample Unacceptability:
Outlined conditions leading to unacceptable specimens and how they are recorded.
Biological Hazards:
Includes samples with pathogens or genetic materials leading to potential infections.
Precautions to avoid exposure include:
Avoid mouth pipetting and consuming food in labs.
Safe handling and storage of chemicals required, with emphasis on:
Labeling, avoiding reactions, and adhering to safety protocols.
Proper use of decontaminated agents is crucial for maintaining a safe work environment.
Stages include:
Extraction of nucleic acids from biological samples.
Quantification to assess concentration and contamination presence.
Sensitivity: Ability to correctly identify true positives.
Specificity: Ability to identify true negatives.
Calibration and Quality Assurance: Essential to ensure accurate results.
Regular assessments must meet standards established by regulatory bodies like the FDA.
Four potential outcomes for test results:
True Positive (TP), True Negative (TN), False Positive (FP), False Negative (FN).
Ensuring high accuracy/proficiency levels after testing.
Activities include:
Documentation of results and standard operating procedures (SOPs).
Regular training and assessments of laboratory personnel.
Maintenance and calibration of laboratory instruments.
Must include:
Patient ID, test performance details, possibility of false results, and responsible individual's contact information.
Microscopy is used to view objects that are too small for the naked eye.
Historical timeline notes: First microscope by Zachariah Janssen (1590) and developments by Robert Hooke (1665) and Antonie van Leeuwenhoek (1676).
Brightfield, Darkfield, Phase Contrast, Inverted, Fluorescence, Confocal, Polarized, Electron.
Each type serves different functions (e.g., visualization methods, magnification levels).
Proper radiation and care during use are outlined, including:
Secure slides and start with lower magnifications.
Impression, Smear, and Covered Slides.
Techniques vary based on specimen type.
Main methods include Spectrophotometry, Fluorometry, Turbidimetry, and Nephelometry.
Adheres to the Beer-Lambert Law for concentration determination.
Light Source, Monochromators, Cuvettes, Photodetectors.
Ensure accurate and continuous light paths for readings.
Light sources and filters play critical roles in excitation and emission processes.
Fluorophore properties assessed.
Single and double beam systems allow for varied approaches in measuring concentrations effectively.
Methods like Chemiluminescence and Bioluminescence are addressed for their applications in molecular biology.
Detection methods in biomolecules and environmental assays.
Flame Tests, Atomic Absorption, and Laser Spectrometry.
Each possesses unique principles for analyzing specific compounds.
Collection methods for various measurements include ion-selective and pH electrodes, emphasizing their significance in quantitative testing.