|teoria||5||II semestre||Daniela Cecconi|
|laboratorio||1||II semestre||Daniela Cecconi|
The course aims to provide students with the basic principles for the interpretation of analytical data and the reliability of analytical measurements (errors, preanalytical and analytical variability, precision, accuracy, sensitivity and specificity, prediction).
The most important analytical techniques for clinical chemistry will be described (such as techniques for the enzymatic determination of analyte concentration, immunochemical techniques, radiochemical and electrochemical techniques, immunoelectrophoresis).
Upon completing the course, students will have the knowledge necessary to recognize the strengthens and weakness of the different techniques and their applicability to different biological samples.
The student will acquire laboratory skills through a series of exercises concerning the determination of enzymes and analytes in biological matrices such as serum and plasma.
Lessons include the use of slides, as well as presentation of scientific articles and group discussion, in order to provide students the required theoretical knowledge of the most recent applications in clinical chemistry of the different techniques described during the course.
• Collection of biological materials.
• The components of the variability in clinical chemistry (pre-analytical, biological, analytical). Experimental errors.
• Precision, accuracy, sensitivity and specificity of analytical measurements.
• Predictability of an analytical test. Quality control of the results.
• Comparison of analytical methods (regression analysis, Bland-Altman plot).
• Techniques for the detection of enzyme activity. Enzymatic determination of analyte concentration.
• Immunochemical techniques. Heterogeneous (competitive / non-competitive), homogeneous (competitive / non-competitive).
• Immunoenzymatic assays (Enzyme Linked Immunosorbent Assay; Microparticle enzyme immunoassay; Enzyme Multiplied immunoassay; Cloned enzyme donor immunoassay).
• Immunofluorescent techniques (Immunofluorescence Assay, Fluorescence Polarization immunoassay; Dissociation-Enhanced Lanthanide Fluorescent immunoassay; IF Microscopy and FACS).
• Chemiluminescence (Lumino immunoassay; Chemiluminescent Magnetic immunoassay; ElectroChemiLuminiscence; Bioluminescence enzyme immunoassay; Immunoassays with avidin-biotin)
• Radioimmunoassay (Radio immunoassay; Immuno Radiometric Assay).
• Agglutination test. Complement fixation test.
• Immunodiffusion; Immunoelectrophoresis; Counter current electrophoresis.
Immunonephelometry and Immunoturbidimetry.
• Electrolytes and electrochemical techniques in diagnostics.
The student will participate to practical experiences concerning the typical analyses of a clinical chemistry laboratory, for example glucose determination by GOD-POD enzymatic colorimetric method; determination of alkaline phosphatase by kinetic method DEA optimized; alanine aminotransferase determination by kinetic UV method IFCC optimized. The laboratory also include practical experiences concerning assays to determine transferrin, complement factor C3c and fibrinogen by radial immunodiffusion as well as analysis of immunodetection by enhanced chemiluminescence.
REQUIREMENT OF ACCESS TO EXAM:
To present themselves to the final written exam, the students must have been done the exposition in classroom of a scientific paper related to one of the techniques described during the course.
The NON-attending students wishing to take the exam must contact the coordinator of the course within the first two weeks to be included in the schedule of presentations and to have the scientific paper assigned. It is suggested to attend at least 30% of lessons.
It is mandatory the participation to the entire lesson in which the student exposes the article. It is mandatory (except for non-attending students) also the participation to the lessons in which the colleagues discuss their paper.
FEATURES OF THE EXAM
The objective of the exam consists in verifying the level of achievement of the previously indicated training objectives.
The exam consists of an oral exam (ZOOM) that will cover all the topics of the program. The student will have to answer a series of questions, demonstrating that they understand and are able to use the basic concepts of each topic.
Understanding of practical experiences will be verified through questions included in the test of the theoretical course.
The final vote is obtained from the following formula: Vote = Vote_exam + max of 2 points per paper presentation.
|teoria||Ciaccio M, Lippi G||Biochimica Clinica e Medicina di Laboratorio (Edizione 2017)||EdiSES Edizioni Scientifiche ed Universitarie||2017||9788879599580|
|teoria||Italo Antonozzi e Elio Gulletta||Medicina di Laboratorio (Edizione 3)||Piccin||2019||978-88-299-2973-3|
|teoria||Spandrio L.||Principi e tecniche di chimica clinica.||Piccin||2001||978-88-299-1569-9|