This document describes the MPN (Most Probable Number) method for analyzing drinking water bacteriologically. The MPN method involves inoculating water samples in multiple dilutions into lactose broths to detect coliform bacteria presence. Positive samples are then cultured on EMB agar to isolate and identify E. coli. Confirmed E. coli colonies produce acid and gas when cultured in lactose broth at 44.5°C. The number of positive samples at each dilution level is used with statistical tables to estimate the MPN of coliform bacteria per 100ml of water. This provides a statistical analysis of bacteria levels in drinking water samples.
Most probable number or multiple tube fermentation techniqueSamsuDeen12
multiple tube fermentation or most probable number is a microbiological technique used to check the portability of water. microbial analysis of water is determined, and distinguished between faecal and non faecal contaminated water.
Microbiological analysis of food products is the use of biological, biochemical, molecular or chemical methods for the detection, identification or enumeration of microorganisms in a material. Here some of the common methods have been described.
This presentation is made for S.Y.Bsc. Students.
The presentation includes Drinking water microbiology. The presentation includes information about coliform, indicator organisms as well as purification methods of drinking water.
Most probable number or multiple tube fermentation techniqueSamsuDeen12
multiple tube fermentation or most probable number is a microbiological technique used to check the portability of water. microbial analysis of water is determined, and distinguished between faecal and non faecal contaminated water.
Microbiological analysis of food products is the use of biological, biochemical, molecular or chemical methods for the detection, identification or enumeration of microorganisms in a material. Here some of the common methods have been described.
This presentation is made for S.Y.Bsc. Students.
The presentation includes Drinking water microbiology. The presentation includes information about coliform, indicator organisms as well as purification methods of drinking water.
Methods to detect potability of water samplevimala rodhe
Water is precious and it is the base for living, Several disease causing pathogens are transmitted through water. There are various methods to detect the presence of pathogens in drinking water samples.Some of the methods to detect microbiological quality of water are discussed.
Secondary screening of industrial important microbes DhruviSuvagiya
Detection and isolation of a microorganism from a natural environment like soil containing large number of microbial population is called as screening. It is very time consuming and expensive process.
Detection and Enumeration of Coliforms in Ganga WaterTuhin Samanta
MPN is most generally applied for quality testing of water i.e to guarantee whether the water is protected or not as far as microorganisms present in it. A gathering of microscopic organisms normally alluded as fecal coliforms go about as a pointer for fecal pollution of water. The nearness of not many fecal coliform microbes would show that a water presumably contains no disease‑causing living beings, while the nearness of huge quantities of fecal coliform microscopic organisms would demonstrate an extremely high likelihood that the water could contain disease‑producing life forms making the water hazardous for utilization.
Methods to detect potability of water samplevimala rodhe
Water is precious and it is the base for living, Several disease causing pathogens are transmitted through water. There are various methods to detect the presence of pathogens in drinking water samples.Some of the methods to detect microbiological quality of water are discussed.
Secondary screening of industrial important microbes DhruviSuvagiya
Detection and isolation of a microorganism from a natural environment like soil containing large number of microbial population is called as screening. It is very time consuming and expensive process.
Detection and Enumeration of Coliforms in Ganga WaterTuhin Samanta
MPN is most generally applied for quality testing of water i.e to guarantee whether the water is protected or not as far as microorganisms present in it. A gathering of microscopic organisms normally alluded as fecal coliforms go about as a pointer for fecal pollution of water. The nearness of not many fecal coliform microbes would show that a water presumably contains no disease‑causing living beings, while the nearness of huge quantities of fecal coliform microscopic organisms would demonstrate an extremely high likelihood that the water could contain disease‑producing life forms making the water hazardous for utilization.
MPN is most commonly applied for quality testing of water, i.e., to ensure whether the water is safe or not in terms of the bacteria present in it. The presence of very few faecal coliform bacteria indicates that the water is likely free of disease-causing organisms.
video link: https://youtu.be/vOB9AQo54vU
Water quality describes the condition of the water, including chemical, physical, and biological characteristics, usually concerning its suitability for a particular purpose such as drinking.
Biochemical tests for bacterial identificationSuprakash Das
Basic biochemical tests for identification of most common bacteria along with their principles and methods to perform and quality control for UG & PG Students.
Microbial analysis of water system and endotoxin estimationashapatel676
In Pharmaceutical different grades of waters are used and they all must be tested firest before using it for manufacturing any products. Products sometimes get contaminated because of presence of endotoxins so they mus be checked by performing BET test
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. OBJECTIVES :
To enumerate the number of bacteria present in
the drinking water by MPN method.
To identify the bacteria present in the drinking
water sample.
3. INTRODUCTION
Most probable number (MPN) analysis is a
statistical method based on the random
dispersion of microorganisms per volume in a
given sample.
In this method, measured volumes of water is
added to a series of tube containing a liquid
indicator growth medium.
The media receiving one or more indicator
bacteria show growth and a characteristic color
change.
Color change is absent in those receiving an
inoculums of water without indicator bacteria.
4. From the number and distribution of positive and
negative reactions, the MPN of indicator
organisms in the sample may be estimated by
reference to statistical tables.
MPN test is completed in three steps :
---- Presumptive test
---- Confirmed test
---- Completed test
5. PRESUMPTIVE TEST
It is used for detection and estimation of coliform
in water sample. For estimation of coliforms,
lactose containing broth medium is used.
Commonly used medium is MacConkey broth
that contains the indicator bromocresol purple.
An inverted Durham’s tube is placed.
The color of media changes into yellow and on
collection of gas in Durham's tube, bacteria are
assumed to be coliform.
Number of positive tubes are counted and
referred to the standard chart to find MPN of
total 100 ml water sample.
6. CONFIRMED TEST
Some spore forming bacteria give false positive
test in presumptive test.
Confirmed test is done to determine that the
coliforms are of fecal origin or not. And they are
E. coli or not.
For this positive presumptive test are inoculated
in selective media like Eosine Methylene Blue
(EMB) agar and incubated at 44.5°Cand 37°C.
Presence of typical colonies at 37°C confirms
positive coliform test and those at 44.5°C
confirms the presence of E. coli.
7. COMPLETED TEST
Subculture typical colonies in lactose containing
medium and incubated at 37° C and 44.5 °C.
Presence of E. coli is confirmed by the production
of gas at 44.5 °C.
8. REQUIREMENTS :
Petridishes
Test tubes
Sampling bottle ( sterile)
MacConkey or Lactose broth
EMB agar, Nurtient agar
Durham’s tube
Test tube stand
Water sample
9. PROCEDURES :
FOR PRESUMPTIVE TEST
Prepare MacConkey purple media of single and
double strength in test tubes with Durham’s tube and
autoclave it.
Take three sets of test tubes containing five tubes in
each set ;one set with 10 ml of double strength (DS)
other two containing 10 ml of single strength (SS) .
Using sterile pipettes , transfer 10 ml of water to each
of DS broth tubes . Transfer 1 ml of water sample to
each of 5 tubes of one set of SS broth and transfer 0.1
ml water to five tubes of remaining last set of SS
broth tubes.
10. Incubate the tubes at 37°C for 24 hours.
After incubation , observe the gas production in
Durham’s tube and color change of the media.
Record the number of positive results from each
set and compare with standard chart to give
presumptive coliform count per 100 ml water
sample.
11. FOR CONFIRMED TEST
Take the positive tube from the presumptive test
and using EMB in duplicate.
Incubate one plate at 37°C for 24 hours and
another at 44.5°C for 24 hours.
Look for typical colonies in the media ; blue black
with green metallic sheen colonies are of E. coli
in EMB agar.
12. COMPLETED TEST
Inoculate the colony in a tube of Lactose broth with
Durham’s tube .
Subculture the colony on Nutrient agar plate. This
subculture is considered optional.
Incubate the broth cultures at 37°C and 44.5°C and
Nutrient agar at 37°C.
Examine for acid and gas production in Lactose broth
. The nutrient agar is used for Gram staining and for
IMViC test.