The Gram staining method differentiates bacteria into Gram-positive and Gram-negative groups based on differences in their cell wall structure. Gram-positive bacteria retain the primary purple stain due to their thick peptidoglycan layer, while Gram-negative bacteria are decolorized and take up the pink counterstain due to their thinner peptidoglycan layer and outer membrane. The procedure involves staining with crystal violet, iodine mordant, decolorization with alcohol, and counterstaining with safranin.
This presentation deals tissue processing in histopathology, the detailed of presentation given blow:
Histology, study the organization of tissues at all levels, from the whole organ down to the molecular components of cells that are found in most multicellular plants and animals.
Animal tissues are classified as epithelium, with closely spaced cells and very little intercellular space; connective tissue, with large amounts of intercellular material; muscle, specialized for contraction; and nerve, specialized for conduction of electrical impulses. Blood is also sometimes considered a separate tissue type.
Plants are composed of relatively undifferentiated tissue known as meristematic tissue; storage tissue or parenchyma; vascular tissue; photosynthetic tissue or chlorenchyma and support tissue or sclerenchyma and collenchyma.
This presentation deals tissue processing in histopathology, the detailed of presentation given blow:
Histology, study the organization of tissues at all levels, from the whole organ down to the molecular components of cells that are found in most multicellular plants and animals.
Animal tissues are classified as epithelium, with closely spaced cells and very little intercellular space; connective tissue, with large amounts of intercellular material; muscle, specialized for contraction; and nerve, specialized for conduction of electrical impulses. Blood is also sometimes considered a separate tissue type.
Plants are composed of relatively undifferentiated tissue known as meristematic tissue; storage tissue or parenchyma; vascular tissue; photosynthetic tissue or chlorenchyma and support tissue or sclerenchyma and collenchyma.
DOI: 10.21276/ijlssr.2016.2.3.15
ABSTRACT- Abnormal cervical cytology includes lesions of the cervix caused due to various infections, hormonal
disturbances, premalignant and malignant conditions. Screening of all the symptomatic women complaining of vaginal
discharge, irregular menstrual bleeding, dyspareunia, post-coital bleeding or post-menopausal bleeding is necessary for
detection and also to pick up any aberration in cervix epithelium i.e. dysplasia or early cervical cancer.
Key-words- Negative for Intraepithelial Lesion or Malignancy, Atypical Squamous Cell of Undetermined Significance,
Low grade Squamous Intraepithelial Lesion, High grade Squamous Intraepithelial Lesion, Squamous Cell Carcinoma
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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
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.
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
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- 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
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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 lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
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.
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
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. DEFINATIONS
EXAMPLES OF COUNTERSTAIN
USES OF COUNTERSTAIN
H&E STAIN
VERHOEFF’S HAEMATOXYLIN
ORANGE G
GRAM’S STAIN
ZIEHL-NEELSEN STAIN
GIMENEZ STAIN
NEUTRAL RED
IHC COUNTERSTAIN
3. STAINS :
Are substances used to impart color to tissues or
cells, to facilitate microscopic study &
identification.
4. STAINING :
It is the artificial coloration of a substance to
facilitate examination of tissues ,microorganisms,
or other cells under the microscope.
6. 1) EOSIN counterstain to haemotoxyllin in H&E stain.
2) Malachite green counterstain to the fuschine stain in
Gimenez staining technique.
3) In Gram’s staining- safranin counterstain is applied
which stains all cells even following the
identification of gram –ve bacteria as well.
4) PAS- Orange G
8. Used to differentiate one component or cellular
structure from another or to differentiate an entity
from another in a specimen.
It does so by coloring a portion of a specimen that
remained uncolored following the 1st staining using a
dye of different color.
9. Most widely used stain.
It clearly demonstrates an enormous number of
different tissue structures
Haematoxylin :
Stains cell nuclei blue – black
Good intra nuclear detail
Eosin :
Stains cell cytoplasm & most connective tissue fibers.
10. HAEMATOXYLIN
Extracted from : Heartwood (logwood) of the tree
Haematoxylon campechianum that originated in the
Mexican State of Campeche.
11. It is extracted from logwood with hot water & then
precipitated out from the aqueous solution using urea.
Haematoxylin itself is not a stain
Its major oxidation product is hematein- natural dye
responsible for the color properties.
Hematein is produced in two ways
a)Natural oxidation- exposure to light & air.
slow process- 3-4 months.
E.g- Ehrlich’s and Delafield’s hematoxylin.
oxidation
12. b)Chemical oxidation- using sodium nitrate (Mayer’s
hematoxylin) or mercuric oxide (Harris heatoxyllin).
ready for use immediately after preparation
shorter life than natural oxidation one.
Mordents used- salts of aluminum, iron and tungsten.
13. TYPES OF HEMATOXYLIN:
Alum hematoxylins
Iron hematoxylins
Tungsten hematoxylins
Molybdenum hematoxylins
Lead hematoxylins
Hematoxylin without mordant
14. Counter stain
EOSIN-
Most suitable stain to combine with an alum
hematoxylin.
It is a xanthene dye
Variants:
a) Eosin B- (eosin bluish, erythrosin B) dibromodinitro
derivative of flurorescein
b) Eosin Y- (eosin yellowish, eosin water- soluble)
tetrabromo derivative of fluorescein.
c) Ethyl Eosin- (Eosin S, eosin alcohol soluble)
15. • Eosin Y is most widely used, satisfactorily soluble
in alcohol- “water and alcohol soluble”.
• As a counterstain- 0.5 - 1% aqueous solution water
– soluble solution eosin is generally preferred.
• Differentiation of eosin staining occurs in the
subsequent tap water wash, and a little
differentiation occurs during the dehydration
through the alcohol.
• Ethyl eosin and eosin B are rarely used. E.g.- Harris
stain for negri bodies.
16. USES OF EOSIN:
Its ability with proper differentiation, to distinguish
between the cytoplasm of different types of cell, and
between the different types of connective tissue fibers
and matrices, by staining them differing shades of red
and pink.
Counterstain to haemotoxylin in H&E staining-
cytoplasm stains pink-orange & nuclei stained darkly
blue-purple.
Stains RBC intensely red.
17. Method :
1) Remove paraffin wax with xylene, 5 minutes.
2) Treat with absolute alcohol, two changes, 1 minute
each.
3) Wash in water.
4) Stain in haematoxylin, 10 minutes.
18. 5) Wash in water.
6) If regressive stain is used, differentiate in acid /
alcohol until only nuclei remain blue.
7) Wash in water.
8) Blue in running water - 10 minutes.
19. 9) Rinse in water.
10) Stain in 1 % aqueous eosin for 10-15 seconds.
11) Wash in running water for 30 seconds.
12) Dehydrate in 3changes absolute alcohol for 1 minute.
13)Clear in 2changes xylene.
14)Mount in suitable synthetic resin.
22. Useful stain to demonstrate elastic fibers.
PURPOSE:
This stain is useful in demonstrating atrophy of
elastic tissue in cases of emphysema, and the
thinning and loss of elastic fibers in
arteriosclerosis, and other vascular diseases.
With increasing age, changes such as splitting and
fragmentation occur, these changes are most
obvious in the skin which becomes wrinkled and
rather 'loose-fitting'
23. PRINCIPLE:
The tissue is stained with a regressive hematoxylin,
consisting of ferric chloride and iodine.
The differentiating is accomplished by using excess
mordant (ferric chloride) to break the tissue-mordant dye
complex.
The dye will be attracted to the larger amount of mordant
in the differentiating solution and will be removed from
the tissue.
The elastic tissue has the strongest affinity of the iron
hematoxylin complex and will retain the dye longer than
the other tissue elements.
24. CONTROL: Artery or skin.
Reagent :
5 % haematoxylin in absolute alcohol : 20 ml
10% ferric chloride : 8 ml
Verhoeff’s iodine : 8 ml
25. Method :
1) Bring sections to water.
2) Stain in Verhoeff’s iron haematoxylin for 15-30 mins
until sections are jet-black.
3) Differentiate in 2% ferric chloride.
4) Wash in water, then in 95% alcohol to remove iodine
coloration.
26. 5) Wash in water for 5 mins
6) counterstain in Van Gieson’s stain for 3 mins.
7) Dehydrate rapidly, clear and mount in synthetic
resin.
Results :
Elastic fibers : Black
Collagen : Red
Muscle : Yellow
Nuclei : Black
28. The universal stain for cytological preparation is the
Papanicolaou stain.
Pap staining is used to differentiate cells in smear
preparations of various bodily secretions.
REAGENTS:
Harris’s hematoxylin
Orange G6 Counterstain (OG5 OG8)
EA 50(Eosin Azure) Counterstain
29. ORANGE G:
The main use of Orange G is in the OG-
6 Papanicolaou stain, to stain keratin
It is also a major component of the Alexander test for
pollen staining.
It is often combined with other yellow dyes and used to
stain erythrocytes in the trichrome methods.
30.
31. EOSIN AZURE:
EA (Eosin Azure) counterstain, comprising three
dyes; the number denotes the proportion of the
dyes, e.g. EA-36, EA-50, EA-65.
a) Eosin Y
b) Light Green SF
c) Bismarck brown Y.
32. The Gram staining method is named
after the Danish bacteriologist Hans
Christian Gram (1853 –1938) who
originally devised it in 1882.
It is a differential staining method of
differentiating bacterial species into
two large groups (Gram-positive and
Gram-negative) based on the chemical
and physical properties of their cell
walls.
33. Principle:
Gram staining is a differential staining technique that
differentiates bacteria into two groups: gram-positives and
gram-negatives.
The procedure is based on the ability of microorganisms to
retain color of the stains used during the gram stain
reaction.
Gram-negative bacteria are decolorized by the
alcohol, losing the color of the primary stain, purple.
Gram-positive bacteria are not decolorized by alcohol and
will remain as purple.
After decolorization step, a counterstain is used to impart a
pink color to the decolorized gram-negative organisms.
34. Gram-positive bacteria have a thick mesh-like cell wall
which is made up of peptidoglycan (50-90% of cell wall),
which stains purple.
Peptidoglycan is mainly a polysaccharide composed of
two subunits called N-acetyl glucosamine and N-acetyl
muramic acid.
As adjacent layers of peptidoglycan are formed, they are
cross linked by short chains of peptides by means of a
transpeptidase enzyme, resulting in the shape and rigidity
of the cell wall.
The thick peptidoglycan layer of Gram-positive organisms
allows these organisms to retain the crystal violet-iodine
complex and stains the cells as purple.
Lipoteichoic acid (LTA) is another major constituent of the
cell wall of Gram-positive bacteria which is embedded in
the peptidoglycan layer. It acts as regulator of autolytic
wall enzymes.
35.
36. Gram-negative bacteria have a thinner layer of
peptidoglycan (10% of the cell wall) and lose the
crystal violet-iodine complex during decolorization
with the alcohol rinse, but retain the counter stain
Safranin, thus appearing reddish or pink.
They also have an additional outer membrane which
contains lipids, which is separated from the cell wall
by means of periplasmic space.
37.
38. Gram staining consists of four components:
Primary stain (Crystal violet, methyl violet or Gentian
violet)
Mordant (Gram's Iodine)
Decolourizer (ethyl alcohol, acetone or 1:1 ethanol-
acetone mixture)
Counterstain (Dilute carbol fuchsin, safranin or
neutral red)
39. Procedure:
1)The smear on a glass slide is covered with few drops of
one of the primary stains. Gentian violet is a mixture
of methyl violet and crystal violet. The primary stain
renders all the bacteria uniformly violet.
2) After a minute of exposure to the staining solution,
the slide is washed in water.
3)The smear is treated with few drop of Gram's Iodine
and allowed to act for a minute. Gram's iodine serves
as a mordant.
40. 4) The slide is again washed in water
5) decolorized in absolute ethyl alcohol or acetone. A
mixture of ecetone-ethyl alcohol (1:1) can also be
used for decolorization.
6) After the smear is decolorized, it is washed in water
without any delay.
41. 7) The smear is finally treated with few drops of
counterstain such as dilute carbol fuchsin, neutral red
or safranin.
8)The slide is washed in water; excess water is removed
using a blotting paper, dried in air and heat
fixed before observing under microscope.
44. Safranin (also Safranin O or basic red 2)
a biological stain used in histology and cytology
Use:
a) as a counterstain in some staining protocols,
colouring all cell nuclei red.
b) This is the classic counterstain in both Gram stains,
and endospore staining.
c) It can also be used for the detection
of cartilage, mucin and mast cell granules
45. Carbol fuchsin:
Mixture of phenol and basic fuchsin.
USES:
in bacterial staining procedures.
Component of Ziehi- Neelson Stain.
Used as a dye to detect acid fast bacteria because it is
more soluble in the cell wall lipids than in the acid
alcohol.
Topical antiseptic.
46. The Ziehl–Neelsen stain, also known as the acid-fast
stain
PURPOSE:
Used in the demonstration of acid-fast bacteria
belonging to the genus 'mycobacterium', which
include the causative agent for tuberculosis.
47. PRINCIPLE:
The lipoid capsule of the acid-fast organism takes up
carbol fuchsin and resists decolorization with a dilute
acid rinse. The lipoid capsule of the mycobacteria is of
such high molecular weight that it is waxy at room
temperature and successful penetration by the
aqueous based staining solutions (such as Gram's) is
prevented.
49. Reagents
Carbol fuschin (basic dye)
Mordant (heat)
20% sulphuric acid (decolorizer)
Methylene blue (counter stain) or Malachite green
50. Procedure
Fix the smear of the specimen over the glass slide,
either by heating or alcohol fixation.
Pour carbol fuschin over smear and heat gently until
fumes appear. Do not overheat and allow it to stand for
5 minutes, then wash it off with water.
Pour 20% sulphuric acid, wait for one minute and keep
on repeating this step until the slide appears light pink
in color. Wash off with water.
51. Pour methylene blue, wait for two minutes, again wash
with water
Allow it to air dry and examine under oil immersion
lens.
Result
Acid fast bacilli - pink, straight or slightly curved rods,
at times having beaded appearance.
Background - blue due to methylene blue.
52.
53. Methylene blue
heterocyclic aromatic chemical compound
molecular formula C16H18 N3SCl
At room temperature- solid, odourless, dark green
powder that yields a blue solution when dissolved in
water.
54. USES:
redox indicator in analytical chemistry- indicates the
presence or absence of oxygen.
Intravital and supravital staining of nerve fibers
Antidote to potassium cyanide poisonong
Treatment of methemoglobinemia
placebo
55. Gimenez staining technique uses biological
stains to detect and
identify bacterial infections in tissue samples.
Basic fuchsin stain in aqueous solution
with phenol and ethanol colours many bacteria
(both gram positive and Gram negative) red, magenta,
or pink.
A malachite green counterstain gives a blue-green
background cast to the surrounding tissue.
56. Mechanism
Gimenez stain is made up of basic fuchsin,ethanol and
phenol,sodium Di-hydrogen phosphate and Di-
sodium hydrogen phosphate.
Gimenez stain has a property to stain both type of
bacteria that is Gram positive as well as Gram negative
bacteria.
Basic fuchsin stains negatively charged cytoplasm and
stains cytoplasm in red colour.
Where as when we treat smear with Malachite green
and as we know malachite green is a basic dye it has a
strong affinity towards host cell material as compared
to cytoplasm and so it stains host cell material that is
background of cell in bluish green colour.
57. METHOD
1. Sections to water.
2. Filter on carbol fuchsin solution for 1 minute.
3. Wash well in water.
4. Stain with 1% malachite green for up to 45 seconds.
5. Wash well in water.
6. Repeat step 4 until sections appear blue/green.
7. Wash, blot dry, and dry in air.
8. Mount sections in DPX
60. Malachite green:
Malachite green is an organic compound that is used
as a dyestuff
First prepared by Fischer in 1877
USES:
used as a dye
parasiticide and antibacterial.
used in endospore staining
MG has frequently been used to catch thieves
61. is a dye used for staining in histology.
It stains lysosomes red.
It is used as a general stain in histology, as
a counterstain in combination with other dyes, and for
many staining methods.
62. PRINCIPLE :
The neutral red (NR) assay procedure is a cell
survival/viability assay based on the ability of viable cells to
incorporate and bind neutral red within lysosomes.
It is generally performed on adherent cells.
NR is a weak cationic dye that readily penetrates the cell
membrane and accumulates intracellularly in lysosomes
(lysosomal pH < cytoplasmic pH), where it binds with
anionic sites to the lysosomal matrix .
It is thus possible to distinguish between viable, damaged,
or dead cells, which is the basis of the assay.
63. USES:
used as a general stain in histology, as a counterstain in
combination with other dyes, and for many staining
methods
Stains Golgi apparatus in cells and Nissl
granules in neurons.
Added to some growth media for bacterial and cell
cultures.
acts as a pH indicator, changing from red to yellow
between pH 6.8 and 8.0.
as a chloride salt
64.
65. After immunohistochemical staining the target
antigen, a second stain is often applied to provide
contast that helps the primary stain stand out.
66. Mayers Hematoxylin is one of the most common
dyes used in diagnostic histology, as well as a common
nuclear counterstain in IHC.
Nuclear fast red, also called Kernechtrot dye, is also
a nuclear stain. Differences between this dye and
hematoxylin, though, are that Nuclear fast red dyes
nucleic acids, results in red nuclear staining and only
takes 5 minutes to stain, instead of an hour with
hematoxylin.
Methyl green is also a nucleic acid dye that rapidly
stains the nuclei green.
69. From blue to pink – Although not so often used as a
counterstain, another common blue dye is toluidine
blue.
This is a strong basic dye that stains nuclei a deep blue
colour; however, it will also stain polysaccharadies a
pink/red colour.
This colour shift is called metachromasia, a term used
when a dye stains a tissue component a different colour
to the dye solution.
70. Eosin can also be used as a counterstain when an
antibody localized to the nucleus is used.
Eosin is an anionic dye and works best in acidic
conditions.
As nearly all proteins contain these two amino acids,
eosin is bound by the majority of structures in any
tissue.
71. A ‘golden standard’ for fluorescence: DAPI.
DAPI (4', 6-diamidino-2-phenylindole)
and Hoechst are common nuclear dyes used for
fluorescent IHC because they intercalate into the DNA
to give a strong blue color under UV excitation.
Propidium iodide is another nucleic acid dye that is
frequently used to dye the nucleus red.
72. References :
Culling.C.F.A ,Allison .R.T & Barr.W.T,Cellular
Pathology Technique; Butterworths; Fourth ed,
Page no.211 -312.
Bancroft.J.D & Gamble .M, Theory & practice of
histological techniques; Elsevier,China; Sixth ed,
Page no 121-183.