সোমবার, ৭ ডিসেম্বর, ২০১৫

Need 11 Medical Technologist( Lab,Radiotherapy,Physiotherapy) in Shahid Tajuddin Ahmed Medical College Hospital, Gajipur.

Need 11 medical technologist in Gajipur..
canndidate have to complete 3/4 years diploma from any govt supported medical technology institute..

Serum Lipid Profile Test

Total Cholesterol (TC) Directly linked to risk of heart and blood vessel disease. Goal values:75-169 mg/dL for those age 20 and younger100-199 mg/dL for those over age 21Preparation:This test may be measured any time of the day without fasting. However, if the test is drawn as part of a total lipid profile, it requires a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check cholesterol levels. Cholesterol is a type of fat, found in your blood. It is produced by your body and also comes from the foods you eat (animal products). Cholesterol is needed by your body to maintain the health of your cells. Too much cholesterol leads to coronary artery disease. Your blood cholesterol level is related to the foods you eat or to genetic conditions (passed down from other generations of family members).High Density Lipoprotein (HDL) “Good cholesterol”High levels linked to a reduced risk of heart and blood vessel disease. The higher your HDL level, the better.Goal value:Greater than 40 mg/dL Preparation:This test may be measured any time of the day without fasting. However, if the test is drawn as part of a total lipid profile, it requires a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check HDL levels. HDL is a lipoprotein (a combination of fat and protein) found in the blood. It is called "good" cholesterol because it removes excess cholesterol from the blood and takes it to the liver. A highHDL level is related to lower risk of heart and blood vessel disease. Low Density Lipoprotein (LDL) “Bad cholesterol”High levels are linked to an increased risk of heart and blood vessel disease, including coronary artery disease, heart attack and death. Reducing LDL levels is a major treatment target for cholesterol-lowering medications. Goal values:Less than 70 mg/dL for those with heart or blood vessel disease and for other patients at very high risk of heart disease (those with metabolic syndrome)Less than 100 mg/dL for high risk patients (e.g., some patients who have multiple heart disease risk factors)Less than 130 mg/dL for individuals who are at low risk for coronary artery disease Preparation:Blood should be collected after a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check LDL levels. LDL is a lipoprotein (a combination of fat and protein) found in the blood. It is called "bad" cholesterol because it picks up cholesterol from the blood and takes it to the cells. A high LDL level is related to a higher risk of heart and blood vessel disease. Triglycerides (TG)Elevated in obese or diabetic patients. Level increases from eating simple sugars or drinking alcohol. Associated with heart and blood vessel disease. Goal value:Less than 150 mg/dl Preparation:Blood should be collected after a 12-hour fast (no food or drink, except water). For the most accurate results, wait at least two months after a heart attack, surgery, infection, injury or pregnancy to check triglyceride levels. Triglycerides are a type of fat found in the blood. The blood level of this type of fat is most affected by the foods you eat (such as sugar, fat or alcohol) but can also be high due to being overweight, having thyroid or liver disease and genetic conditions. High levels of triglycerides are related to a higher risk of heart and blood vessel disease.

Genetic Test Helps Some Women with Breast Cancer Avoid Chemotherapy

A 21-genetest is accurate in predicting which women diagnosedwith certain types of breast cancer will do well with hormone therapy alone and can forego chemotherapy, according to a recent study in theNew England Journal of Medicine. The ongoing study, called the Trial Assigning IndividuaLized Options for Treatment (Rx), or TAILORx, provides new evidence on the test called Oncotype DX.The test, already on the market in the United States and other countries, examines the activity of 21 genes in tumor samples taken from women during breast cancer surgery. The results are used to calculate a score between 0 and 100. The lower the score, the lower the chance the cancer will spread if only hormone therapy is prescribed, such as the drug tamoxifen.The clinical trial was conducted at multiple medical centers and enrolled over 10,000 women. The women all had a type of breast cancer that would likely respond to hormone therapy (ER/ PR positive, HER2/neu negatives) and their cancer had not spread to the lymph nodes. (Cancer spread to lymph nodes is usually a reason to have chemotherapy.) However, the women's tumors had other features (large size, intermediate or high grade) that indicated that chemotherapy might be needed in addition to hormone therapy.Women in the trial whose tumors scored 10 or lower on the Oncotype DX test received standard hormone therapy but did not undergo chemotherapy. Almost 16% of the women in the study had a score of 10 or lower. They were monitored closely for five years. At that point, the researchers determined that overall survival rate was 98% for this group and the risk that the cancer would return was 6% at five years."This should provide a lot of reassurance to women and their physicians," says the study's senior author, Kathy S. Albain M.D., Professor of Medicine at the Loyola University School of Medicine. "In women whose breast cancer scored low on the multigene test, there was outstanding survival with endocrine (hormone) therapy alone. The test provides us with greater certainty of who can safely avoid chemotherapy," said Albain.A question was raised about difference in the "low-risk" cutoff value used in the study and the standard one used in clinical practices currently. In an editorial that appeared in the same issue ofNew England Journal of Medicine, Clifford Hudis, MD, head of the Breast Cancer Service at Memorial Sloan Kettering Cancer Center wrote, "For patients in this new 'lower risk' group, it is clearly helpful, if broadly anticipated. However, for the many physicians already using the test, the gap between this cutoff point of 10 and the higher 'standard' cutoff point of 18 may be a concern."Hudis adds that while more tests, and less expensive tests, for this use are likely to be developed, "For now, however, this assay is the most rigorously tested option and provides proof of the principle that we can develop reproducible predictive tests to select patients who should not receive chemotherapy. In that regard, it is one more step toward precision, there are more steps ahead."An additional 68% of women in the study had a mid-range score of 11 to 25. This second set of women were randomly assigned to receive either hormone therapy plus chemotherapy or hormone therapy alone. These women are still being followed and results are not yet available.
"collected "

মঙ্গলবার, ৪ আগস্ট, ২০১৫

Nedd Medical Technologist At Gastroliver Hospital & Research Ltd.

Medical Technologist, Transfusion Medicine (Blood Bank)


No. of  Vacancies
    04 
Job Location
    Dhaka
Salary Range
    Negotiable
Other Benefits
    As per company Policy
Interested candidates who fulfill the above requirements are requested to send their application with updated CVs to gastroliverbd@gmail.com or to the Head of Human resources, Gastro Liver Hospital & Research Institute Ltd. (GLHRIL), 77/A, East Rajabazar, West Panthapath, Dhaka - 1215, Bangladesh on or before August 20, 2015.
Please mention the title of the position in the subject line or on the top of the envelope.
Only short-listed candidates will be called for interview.
Applicant must enclose his/her Photograph with CV.

Application Deadline : Aug 20, 2015
Company Information
Gastro Liver Hospital & Research Institute Ltd.
Address : 77/A, West Panthapath, East Rajabazar, Dhaka - 1215
Web : www.brbcable.com
Business : Hospital  

     

বুধবার, ১ জুলাই, ২০১৫

Need A Medical Lab Technologist (Male/Female)


Welcare Group

No. of  Vacancies
    01
Job Description / Responsibility
  • Reportable to Diagnostic In charge.
  • Position Location At clinic/ diagnostic level
  • Capable of good pathological test.
  • Prepare customers for clinical/ diagnostic services.
  • Job location: Staff Quarter, Demra, Dhaka.
Job Nature
    Full-time
Educational Requirements
    Diploma In Pathology
Experience Requirements
    1 to 2 year(s)
Additional Job Requirements
  • Age 22 to 35 year(s)
  • Smart, Presentable, Energetic & Hard Working.
  • Computer proficiency in Ms Word, Excel & better typing speed.
Job Location
    Dhaka
Salary Range
    Negotiable


Published On:
 Jun 25, 2015
No. of  Vacancies :
01
Job Nature :
Full-time
Experience:
1 to 2 year(s)
Age :
22 to 35 year(s)
Job Location :
Dhaka
Salary Range:
Negotiable
Application Deadline :
Jul 25, 2015

শনিবার, ২০ জুন, ২০১৫

ANA



    ANA: Anti nuclear antibodies (ANA) is single stand. Important for the differential diagnosis rheumatic diseases.

Indication:
1.      SLE (systemic lupus erythematosus)

Principle: serum sample diluted 1:101 are incubated in the microplates coated with the specific antigen. Patient’s antibodies, if present in the specimen, bind to the antigen. The unbound fraction is washed off in the following step. Afterwards anti-human immunoglobulins conjugated to horseradish peroxides (conjugate) are incubated and react with the antigen-antibody complex of the samples in the microplates.Unbound conjugate is washed off in following step. Addition of MTB substrate generates an enzymatic colorimetric (blue) reaction. Which is stopped by diluted acid (color changes to yellow).the rate of color for mation from the chromogen is function of the amount of conjugate bound to the antigen-antibody complex and this is proportional to the initial concentration of the respective antibodies in the patient sample.

Sample dilute:
1.      Serum 10 ul
2.      Sample buffer 1000 ul
   
   Wash buffer:
1.      dilute wash buffer 20 ml
2.      distiled water           980 ml




Test procedure:

1.      100 ul patients dilute serum in to the designated microwells.
2.      100 ul cut-off calibrator and negative and positive controls in to the designated wells.
3.      Incubate for 30 minutes at 20-32 degree C
4.      Wash 3 times with washing buffer.
5.      100 ul conjugate in to well.
6.      Incubate for 30 minutes at 20-32 C
7.      Wash 3 times with washing buffer
8.      100 ul TMB substrate in to each well.
9.      100 ul stop solution in to each well.
10.  Incubate 5 minutes
11.  Read absorbance at 450 nm within 30 minutes. 

Normal range:

1.      Negative     : 1-12 u/ml
2.      Equivocal   : 12-18 u/ml
3.       Positive     : >18 u/ml

         




সোমবার, ১৫ জুন, ২০১৫

Tanvir's Important Reagent Preparation of All Department

Reagent Preparation in Lab
01.     20 % Sulphosalicylic acid:         For Urine protein
                  
 Sulphosalicylic acid ---------20 gm
Distilled water ---------------100 ml

02.     3% Glacial acetic acid:  For Urine protein
                            
          Glacial acetic acid----------- 03 ml
Distilled water-------------- 100 ml

03..    Barium chloride (10% W/V):   For Urine bile pigment
                            
Barium chloride ------------ 10 gm
                             Distilled water---------------100 ml

04.     Fouchets reagent:   For urine Bile pigment
                            
                             Trichloroacetic acid--------- 25 gm
                             10% Ferric chloride--------- 10 ml
                             Distilled water ------------- 100 ml

05.     Ehrlich reagent: For Urine Urobilinogen test

                             4-dimethylaminobenzaldehyde-- 04 gm
                             Concentrated HCl--------------   40 gm
                             Distilled water----------------- 160 ml

 06.    3% Sulphosalycylic acid: For Urine Myoglobin

                             Sulphosalycylic acid-------03 gm
                             Distilled water------------100 ml


07.     Sodium nitroprusside reagent: For Urine ketonebodies

Ammonium sulphate-----------------100gm
Sodium carbonates anhydrous ------50 gm
Sodium nitroprusside--------------3.0 gm

Note:
Grind the crystals to a powder and use strong glass or plastic tube.

08.     20 % Potassium chromate: For Urine Chloride

                             Potassium chromate-------20 gm
                             Distilled water----------- 100 ml

09.        2.9 % Silver nitrate:   For Urine Chloride
                          Silver nitrate -------------- 29 gm
                          Distilled water------------ 1000 ml


10.     Benzideine reagent: For Detection of blood (Urine, stool)

Glacial acetic acid -------1.0 ml
Benzidine powder------ knife point
Hydrogen peroxide----- 1.0 ml

Note:
First acid mixed with benzidine powder then equal volume H202

11.     3.5% Formal Saline: For Semen dilution

Sodium bicarbonate------- 05 gm
35% Formalin------------ 01 ml
Distilled water up to ---- 100 ml


12.     Selivanoffs Reagent: For Semen Fructose

Resorcinol powder --------0.5 gm
HCL------------------------- 33 ml
Distilled water up to ---- 100 ml
13. WBC Diluting fluid:  For WBC’s count

Crystal violet ------------- 0.2 gm
Glacial acetic acid -------- 40 ml
Distilled water   ---------- 200 ml

14. CSF Diluting fluid:  For CSF cell count

Crystal violet ------------ 0.2 gm
Glacial acetic acid ------- 10 ml
Distilled water   ---------- 90 ml

15.     Pandys reagent:  For CSF Globulin

                             Phenol crystal-------------10 gm
                             Distilled water----------- 100 ml

16.     3% Trichloroacetic acid: For CSF Protein
                            
                             Trichloroacetic acid----- 03 ml
                             Distilled water---------- 100 ml

17.     5% Potassium chromate: For CSF Chloride
                            
                             Potassium chromate-----05 gm
                             Distilled Water---------- 100 ml

18.     0.5814% Silver nitrate: For CSF Chloride
                            
                             Silver ritrate---------- 5.814 gm
                             Distilled water-------- 1000 ml
19.     Carbol Fuchsine stain: For Z N stain
                             Basic fuchsine-----------10 gm
                             Ethanol or methanol absolute--100 ml
                             Phenol-------------------50 gm
                             Distilled water----------1000 ml  

Here Basic Fushsin + Alconol and Phenol+ Distelled water. Then mixed all .

20.     20 % Sulfuric acid: For Z N Stain
                            
Sulfuric acid -----------20 ml
Distilled water-------- 100 ml

Note:
First Distilled Water in container then sulfuric acid mixed slowly and cool water flow out of the container as possible.

21.     Methylene blue: For Z N Stain
                            
                             Ethanol ----------------- 200 ml
                             M blue ------------------ 12 gm
                                    Distilled water ---------1000 ml

Here, 200 ml + 12 gm mixed, then add 1/Ltre (1000 ML) Distilled water.


22.     Crystal Violet: For Gram stain
                            
                             Crystal violet--------------20 gm
                             Ammonium oxalate------09 gm
                             Ethanol or Methanol, absolute ----95 ml
                             Distilled water----------- 1000 ml


23.     Lugols iodine:   For Grams stain
         
                             Potassium iodide---------20 gm
                             Iodine---------------------10 gm
                             Distilled water -------- 1000 ml   

Here First Potassium iodide D/water: Then iodine mixed. 





24.     Iodine Solu: For Faecal preparation

                             Potassium iodide-------20 gm
                             Iodine--------------------10 gm
                             Distilled water ------ 1000 ml

Here, First potassium iodide + Distilled water Then Idine mixed Keep it brown buttle.
                                                                  


25.     Methyl red solution:
                                     
                             Methyl red--------0.5 gm
                             Ethanol absolute---28 ml
                             Distilled water ---- 22 ml

Here Methyl red+ Ethanol add D/Water. Keep it dark place.

26.     Neissers stain (Solution-A)

                   For corynebacterium diptherae (KLB)

Methylene blue ---------01 gm
Absolute alcohol-------- 50 ml
Glacial acetic acid ------ 50 ml
Distilled water --------- 1000 ml

27.     Neisser’s stain (Solution – B): For KLB

Crystal violet --------01 gm
Absolute alcohol --------10 ml
Distilled water --------- 300 ml






28.     Neisser s solution: For Working

                             Solution A -------02 Parts
                             Solution B -------01 Part

Note:  Mixed well and then use Filter with Filter paper should be done before use.

29.     Giemsa Stain:        For Stain blood parasites

Giemsa Powder -------- 3.8 gm     or    0.75 gm
Glyerine----------------- 250 ml     or     35 ml
Methanol---------------- 250 ml     or     65 ml
Mixed well and keep it brow bottle

Note. First Giemsa grind with glycerin and incubation at 60 c for 02 hours.
Then cool it and mixed Methanol

30.     Crystal Violet: For capsule stain

Crystal violet----------01 gm
Distilled water -------100 ml

31.     Acetone alcohol decolorize:
                            
Acetone ----------------500 ml
Ethanol or methanol, absolute-----------475 ml
Distilled water------- --25 ml


32.     Ammonium hydroxide, 30% v/v

Ammonia Solution conc.--15 ml
Distilled water--------------35 ml




33.     Neutral red solution:
                            
Neutral red--------------01 gm
Distilled water----------01 litre

34.     Phenol saturated solution:

Phenol crystal---------- 02 gm
Distilled water--------- 30 ml

35.     Tri sodium citrate (3.8% w/v): For ESR, PT

Tri sodium citrate --------3.8 gm
Distilled water----------- 100 ml

36.     EDTA (Ethylene diamine tetra acetic acid): For CP

Dipotassium ethylene diamine tetra acetate--20 gm
Distilled water---------------- 200 ml

37.     Drabkins solution:  Haemoglobin estimation.

Potassium ferricyanide ----------200 mg
Potassium cyanide -----------------50 mg
Potassium dihydrogen phosphate –140 mg
Nouidet P40 (Shell chemical co) – 01 ml
Distilled water ------------------1000 ml

Note:  Keep it at room temperature in brown glass bottle.

38.     Crysodine solution:         For Neister stain

Crysodine powder---1.0 gm
Distilled water ------100 ml

Note: Dissolve by gently heating and filter and then use.



39.     Leishman’s stain-

Leishman powder------0.15 gm
Acetone free methyl alcohol-- 100 ml

40.     WBC Count fluid of blood-

Glacial acetic acid ---------1.5 ml
01% aqueous solution of Gention violet- 01 ml
Distilled water ------------------100 ml

41.     RBC Count fluid of blood-

Sodium citrate --------------3.0 gm
Formalin---------------------- 01 ml
Distilled water --------------100 ml

42.     Eosinophil fluid-

Eosin ------------------------ 0.1 gm
Acetone----------------------- 10 ml
Distilled water --------------100 ml

43.     Platelet count fluid-

Ammonium oxalate---------01 gm
Distilled water --------------100 ml

44.     0.5 % Eosin solution :      For Faccal preparation

Eosin powder--------------------0.5 gm
Distilled water -----------------100 ml

45.     60 Copper sulphate solution :    For Specific gravity (Aspiration fluid)

                   Stock Solution:
Copper sulphate-----------------159 gm
Distilled water ------------------1000 ml

Working solution

Stock Solution
Distilled Water
Specific Gravity
09ml
91ml
1010
10ml
90ml
1011
11ml
89ml
1012
12ml
88ml
1013
13ml
87ml
1014
14ml
86ml
1015
15ml
85ml
1016
16ml
84ml
1017
17ml
83ml
1018
18ml
82ml
1019
19ml
81ml
1020
20ml
80ml
1021
21ml
79ml
1022
22ml
78ml
1023
23ml
77ml
1024
24ml
76ml
1025
25ml
75ml
1026
26ml
74ml
1027
27ml
73ml
1028
28ml
72ml
1029
29ml
71ml
1030



FORMULA FOR TOTAL PROTEIN
Sp Gravity-1007  369  - 1000 = gm/dl
Ref Book : Practical Clinical Biochemistry by Harold
Varely (4 th Ed ) Page no – 242


Sp Gravity
Protein (gm/dl)
1012
1.80 gm/dl
1013
2.20 gm/dl
1014
2.55 gm/dl
1015
2.90 gm/dl
1016
3.30 gm/dl
1017
3.65 gm/dl
1018
4.00 gm/dl
1019
4.40 gm/dl
1020
4.70 gm/dl
1021
5.20 gm/dl
1022
5.50 gm/dl
1023
5.80 gm/dl
1024
6.20 gm/dl
1025
6.60 gm/dl
1026
6.90 gm/dl
1027
7.30 gm/dl
1028
7.70 gm/dl
1029
8.00 gm/dl
1030
8.40 gm/dl