1. The document describes the quality assurance system for sputum smear microscopy in India's Revised National Tuberculosis Control Programme (RNTCP).
2. It establishes a three level laboratory network of National Reference Laboratories, Intermediate Reference Laboratories at the state level, and Designated Microscopy Centers.
3. Quality assurance activities include internal quality control, external quality assessment including on-site evaluations, panel testing of lab staff, and random blinded rechecking of slides to evaluate performance at each level of the network.
Verbal Autospsy -
Death registration
It is a mandatory document issued by registrar that declares time, date and location of death and is entered in an official register of deaths
Reported by any personnel with the concerned local authorities, by filling up the forms prescribed by the Registrar.
Part 1 of the Epidemiology Exercises for the Practical Exam in the subject of Social and Preventive Medicine at Shadan Institute of Medical Sciences
Covering Questions 1 to 10 along with their detailed answers
Verbal Autospsy -
Death registration
It is a mandatory document issued by registrar that declares time, date and location of death and is entered in an official register of deaths
Reported by any personnel with the concerned local authorities, by filling up the forms prescribed by the Registrar.
Part 1 of the Epidemiology Exercises for the Practical Exam in the subject of Social and Preventive Medicine at Shadan Institute of Medical Sciences
Covering Questions 1 to 10 along with their detailed answers
Although there is very less material in web ,I try to make the topic lucid . I also stuck in sampling part but i feel it helpful for readers .
Commends are welcome
This exhaustive and vibrant PowerPoint has around 90 slides and explains in detail all the must know concepts of Management in Healthcare. These slides have enough information to use it for 3 hour seminar (2 sessions) on Modern Management Techniques and its application in Healthcare. The session can be further extended if the concepts are explained with appropriate examples.
After the successful NSP 2017-2025,Goi is lauching NSP 2017-2025 for elimination of TB on 24th march( World TB day ) 2017. Module is on MOHFW site but i have try to keep it brief,hope its ll be useful specially for academic and administrative purposes.
Past and future of eradication and elimination of different diseases. How to plan for elimination and eradication. What are the diseases can be eliminated? OPV to IPV shift!
NACP IV critical analysis , where we have given a brief idea about the burden of HIV/AIDs globally , National and statewise. Evolution of NACO and NACP under different phases. Current achievements and the indicator to monitor the progress
Although there is very less material in web ,I try to make the topic lucid . I also stuck in sampling part but i feel it helpful for readers .
Commends are welcome
This exhaustive and vibrant PowerPoint has around 90 slides and explains in detail all the must know concepts of Management in Healthcare. These slides have enough information to use it for 3 hour seminar (2 sessions) on Modern Management Techniques and its application in Healthcare. The session can be further extended if the concepts are explained with appropriate examples.
After the successful NSP 2017-2025,Goi is lauching NSP 2017-2025 for elimination of TB on 24th march( World TB day ) 2017. Module is on MOHFW site but i have try to keep it brief,hope its ll be useful specially for academic and administrative purposes.
Past and future of eradication and elimination of different diseases. How to plan for elimination and eradication. What are the diseases can be eliminated? OPV to IPV shift!
NACP IV critical analysis , where we have given a brief idea about the burden of HIV/AIDs globally , National and statewise. Evolution of NACO and NACP under different phases. Current achievements and the indicator to monitor the progress
Are we using the correct quality goals?Ola Elgaddar
Setting quality goals / specifications is a debatable issue since 1999. I am trying here to show the options and the continuos trials from several professional bodies to reach a consensus in this matter.
This was an oral presentation in the first international conference of the Chemical Pathology Department, Medical Research Institute, Alexandria University - February 2016
Designing an appropriate QC procedure for your laboratoryRandox
Improving Laboratory Performance Through Quality Control - Five Simple Steps for QC Success.
It is easy to get caught up in an abundance of QC statistics and forget the fundamental reason why
QC exists in the first instance. QC is about detecting errors and ensuring that the results you
produce are accurate and reliable. All QC procedures should focus on reducing the risk of harm
to the patient. We are not examining statistics; we are examining real patients, real results and real
lives. Around 70% of all medical decisions are based on laboratory results, which is why it is of
utmost importance that each and every laboratory, has a well-designed QC procedure in place.
Improving Laboratory Performance Through Quality Control - The role of EQA in...Randox
Randox Quality Control's five simple steps to QC success. The second education guide from Randox QC for clinical laboratory staff. The guide will examine how EQA works, benefits of EQA and what a laboratory should look for when choosing an EQA scheme.
Monitoring External Quality Assessment / Proficiency Testing Performance - Investigating the source of the problem.
In order to identify the source of the problem it is useful to be aware of the most common causes of poor EQA performance. Errors can occur at any
stage of the testing process however EQA is most concerned with detecting analytical errors i.e. errors that occur during the analysis of the sample.
Most analytical errors can be easily divided into three main areas; clerical errors, systematic errors and random errors. Systematic errors result in
inaccurate results that consistently show a positive or negative bias. Random errors on the other hand affect precision and result in fluctuations in
either direction.
Troubleshooting Poor EQA/QC Performance in the Laboratory Randox
Step by step guide for clinical laboratories wishing to troubleshoot poor QC or EQA performance. Tips on how to distinguish between random error and systematic error. Suggested corrective actions are also provided.
RIQAS External Quality Assessment for Medical Laboratories Randox
RIQAS (Randox International Quality Assessment Scheme) is the world's largest global EQA provider serving over 24,000 laboratory participants in more than 105 countries. Our comprehensive programme offering covers a wide range of routine and esoteric analytes enabling laboratories to significantly reduce the number of programmes they participate in while helping to reduce costs at the same time.
More than 24,000 laboratory participants
Present in over 105 countries
22 flexible EQA programmes
Cost effective options to suit all labs
Accredited to ISO/IEC17043:2010
Frequent analysis with rapid feedback
User friendly yet comprehesive reports
End-of-cycle reports provided
Submit results and view reports online via RIQAS.net
Register up to five analysers per programme at no extra cost
Countries’ presentation on internal quality control: China 1ExternalEvents
The second lab managers’ meeting of the South-East Asia Laboratory NETwork (SEALNET) took place on 19 - 23 November 2018 in ICAR-IISS (Indian Institute of Soil Science), Bhopal, India.
Ms. Liping Yang , China National Center for Quality Supervision and Test of Chemical Fertilizers, Beijing, 2nd Day
A Novel approach for quantitative real-time particle analysis of lentiviral v...Myriade
Lentiviral vectors are efficient vehicles for stable gene transfer in dividing and non-dividing cells. They tend to be increasingly used as a powerful tool to introduce genes into cells ex vivo, for instance in CAR-T cell therapies.
During manufacturing and production of lentiviral vectors, relevant quality control is necessary to allow batch release (1). Among standard quality control methods that can be used, quantification of lentiviral vector particles – or physical titer – is one of the most important. Up to now, this characterization can be achieved either indirectly with p24 protein quantification or with physical methods like Tunable Resistive Pulse Sensing (TRPS) for example, both methods implying prior preparation of samples (lysis, dilution or filtration). These two methods thus show important limitations as they cannot accurately reflect the true nature of the product, in addition to being relatively time-consuming (2).
Myriade, a French company created in 2017, is developing Videodrop, a new optical technique performing real-time, user-friendly, and label-free measurement of lentiviral vector physical titer. This method, based on full-field interferometry (3), was tested on various lentiviral vector samples: in a context of Drug Product (DP) release as well as in-process controls.
We compared three lentiviral physical titration methods on aratinga.bio productions: p24 ELISA, qNano and Videodrop – Myriade instrument. The correlation between Videodrop analysis and the other two methods appeared to be robust, with high R² values. These results suggest that Myriade technology is relevant for DP release as well as in-process controls, offering the ability to be a tool for continuous improvement. It is an easy-touse and fast alternative to the standard more complex and time-consuming physical titration methods.
Application of online data analytics to a continuous process polybutene unitEmerson Exchange
Continuous data analytics may be used to provide an on-line prediction of quality parameters and enable on-line detection of fault conditions. In this workshop, we present the results achieved in extending Lubrizol’s past work with on-line batch analytics to a continuous polybutene process. Information will be presented on how data analytics may be used to improve multiple quality and operational variables. The presentation will include a demonstration of the web interface used in the field trial and a summary of the operational benefits gained during the trial.
Adam Weinglass and Mary Jo Wildey from Merck & Co. share their winning presentation from SLAS2017 in Washington, DC. Join the conversation in the SLAS Screen Design and Assay Technology Special Interest Group LinkedIn group at https://www.linkedin.com/groups/3867725.
Vietnam, Central Analytical Laboratory, Soils and Fertilizers research Instit...ExternalEvents
First lab managers’ meeting of the South-East Asia Laboratory NETwork (SEALNET 2.0) - Quality improvement in Asian soil laboratories: towards standardization and harmonization of soil analyses and their interpretation, Bogor, Indonesia, 20 - 24 November 2017.
Autogenous Diabetic Retinopathy Censor for Ophthalmologists - AKSHIAsiri Wijesinghe
Full-fledged autogenous censor for classifying severity level of Diabetic Retinopathy (based on retinal lesions) and detecting retinal vascular network to assessment of vessel tortuousness to identify abnormal vessels in human retina.
The analyst is required to analyze a number of QC samples throughout the run where there are decisions to be made based on a window of acceptance for each QC sample analyzed.
Quality Control of RNA Samples - For Gene-Expression Results you Can Rely onQIAGEN
By their very nature RNA molecules, especially mRNA and regulator RNA, are labile and can be highly unstable and sensitive to heat, UV and RNase contamination. The quality, relevance and scientific impact of gene expression results directly depends on the ability to extract RNA without losing any fraction of interest, while preserving the integrity of the biological information it carries. RNA quality control is thus critical to ensure high-quality results and for turning these results into actionable insights with confidence.
In this webinar, we will introduce you to the main parameters influencing RNA-based assays and their respective impact on downstream applications, discuss how to monitor them and cover the advantages of automation for quality control along complex workflows.
The importance of data curation on QSAR Modeling: PHYSPROP open data as a cas...Kamel Mansouri
This presentation highlighted how data curation impacts the reliability of QSAR models. We examined key datasets related to environmental endpoints to validate across chemical structure representations (e.g., mol file and SMILES) and identifiers (chemical names and registry numbers), and approaches to standardize data into QSAR-ready formats prior to modeling procedures. This allowed us to quantify and segregate data into quality categories. This improved our ability to evaluate the resulting models that can be developed from these data slices, and to quantify to what extent efforts developing high-quality datasets have the expected pay-off in terms of predicting performance. The most accurate models that we build will be accessible via our public-facing platform and will be used for screening and prioritizing chemicals for further testing.
In this slide contains definition and details of Qualification Of HPLC
Presented by: KHALID KUWAITY (Department of pharmaceutical analysis).RIPER, anantapur
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.
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TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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
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
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
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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2. 1. Introduction
2. Lab network
3. Role of different level lab in Quality Assurance
QA in RNTCP 12/30/2011 2
3. Role of sputum smear microscopy in RNTCP
Poor quality diagnosis results in failure to detect
persons with infectious TB, who will continue to
spread infection in the community, or unnecessary
treatment of “non-TB cases.”
An effective quality assurance (QA) system of
RNTCP sputum smear microscopy network is crucial
for reliability of data generated under RNTCP.
QA is a total system consisting of internal quality
control (QC), external quality assessment (EQA),
and continuous quality improvement (QI).
QA in RNTCP 12/30/2011 3
4. Quality Control:
› It includes all means by which lab personnel performing TB
smear microscopy control the process, including checking
of instrument, new lots of staining solutions, smear
preparation, grading, etc.
External Quality Assessment:
› A process to assess lab performance
› It includes on site evaluation of lab, panel testing and
random blinded rechecking of slides
Quality Improvement:
› It involves continued monitoring, identifying defects,
followed by remedial actions including retraining when
needed, to prevent recurrence of problems.
QA in RNTCP 12/30/2011 4
5. A nation wide network of RNTCP quality
assured designated sputum smear
microscopy laboratory has been set up.
These laboratories carry out sputum
microscopy with External Quality Assessment.
The laboratory network is organized
according to three levels under the RNTCP
namely:
› National level
› State level
› TB Unit level
QA in RNTCP 12/30/2011 5
6. The lab network for RNTCP in India consists of four
designated National referenced Laboratories
(NRLs):
› Tuberculosis Research Centre, Chennai;
› National Tuberculosis Institute, Bangalore;
› LRS Institute of tuberculosis and Allied science, New Delhi;
› JALMA Institute, Agra.
RNTCP has 24 Intermediate Reference Laboratories
(IRLs) at the state level and more than 12,750
Designated Microscopic Centres (DMCs).
QA in RNTCP 12/30/2011 6
7. The State TB Training and Demonstration Centres
will be designated as IRLs, if they have a well
functioning lab.
Otherwise, the state is to identify a Public Health
Lab or Medical College lab and designate that as
IRL after the lab is assessed by visit from the NRL.
A DMC is established for approx. 1 Lac
population (50,000 in tribal and hilly areas).
QA in RNTCP 12/30/2011 7
8. The network for QA at each level is assessed under
three External Quality Assessment (EQA) activities
to evaluate lab performance.
› On site evaluation
› Panel Testing
› Random Blinded Rechecking
QA in RNTCP 12/30/2011 8
9. NRL
By NRL team- at least once a year
IRL
By IRL team- at least once a year
District
By DTO at least once in every month
By IRL team during annual district
visit
TU
By DTO and MO - TU at least once a
By STLS at least once in every month
quarter
DMC
QA in RNTCP 12/30/2011 9
10. › A NRL team headed by a Microbiologist and at least
one LT will visit the IRL for about 3 days
› IRL team will consist of IRL microbiologist, MO, Lab
supervisor or LT and the visit to DTC will be for
minimum of 2 days
› OSE includes comprehensive assessment of
Lab safety
Condition of binocular microscope
Adequacy of supplies and technical component of
sputum smear microscopy including preparation,
staining and reading of smears
› On site evaluation also includes examining few
stained positive and negative smears to observe the
quality of smearing and condition of microscope
QA in RNTCP 12/30/2011 10
11. Checklists have been developed for collection
and analysis of data.
Checklist includes following:
› General information
› Infrastructure
› Inquiry regarding stock and supply
› Condition of binocular microscope
› Training status
When poor performance is identified through any
of the above-mentioned activities, additional visits
by trained laboratory personnel from the higher
level laboratory is mandatory.
QA in RNTCP 12/30/2011 11
12. NRL
Under supervision of NRL team
during annual visit
IRL (Microbiologist and all LTs )
Under supervision of IRL team
during annual visit
District (All STLS)
No panel testing as routine
DMC
QA in RNTCP 12/30/2011 12
13. It is used to determine whether a LT can
adequately perform AFB smear microscopy.
This method evaluates individual performance in
staining and reading.
It is considered to be less effective than random
blinded re-checking of routine slides because it
does not monitor routine performance.
A panel consists of a batch of unstained smears for
processing, reading, and reporting of results.
QA in RNTCP 12/30/2011 13
14. The test panel includes slides with different grades
in order to evaluate ability of LT to properly grade
positive slides.
An approximate time of 25 to 35 minutes for 5 slides
is given.
Standardized forms for recording and reporting
results are provided.
Poor performance always results in investigation to
identify the reason.
Investigation includes evaluating overall
performance by all participating labs to determine
if the problem was poor slide preparation at NRL.
QA in RNTCP 12/30/2011 14
15. Classification of errors:
Result of controller
Result of
technician Negative 1-9 1+ 2+ 3+
AFB/100
fields
Negative Correct LFN HFN HFN HFN
1-9 AFB/100 LFP Correct Correct QE QE
fields
1+ HFP Correct Correct Correct QE
2+ HFP QE Correct Correct Correct
3+ HFP QE QE Correct Correct
QA in RNTCP 12/30/2011 15
16. NRL
No random blinded cross
checking at IRL
IRL
Review of random blinded cross
checking by IRL team during
annual visit
District
Blinded cross checking at district
level by the STLS of randomly
sampled slides collected from DMCs
TU
Monthly random collection of
routine slides from the DMCs. Slides
transported to district
DMC
QA in RNTCP 12/30/2011 16
17. It is a process of rereading a sample of slides from a
laboratory to assess whether that laboratory has an
acceptable level of performance.
Random blinded rechecking involves selection of a
small sample of slides, which is representative of all
slides of a DMC (both positive and negative).
The results of the slides are blinded and read by a
STLS not belonging to the same TU to prevent bias.
The discrepant results are resolved by reading of the
slides by another STLS (umpire reader).
A timely feedback is provided every month to LTs and
MOs of DMCs for improvement in the quality of
microscopy.
QA in RNTCP 12/30/2011 17
18. Recommended annual sample size:
No. of Slide positivity rate (SPR%)
negative
slides in the
DMC in a 2.5-4.9 5.0-7.49 7.5-9.9 10.0-14.9 >= 15
year
301-500 243 (21) 154 (13) 114 (10) 89 (8) 62 (6)
501-1000 318 (27) 180 (15) 128 (11) 96 (8) 66 (6)
>1000 456 (38) 216 (18) 144 (12) 104 (9) 69 (6)
QA in RNTCP 12/30/2011 18
19. 1. The activities of NRL:
a. On-site evaluation of STDC/ IRL Labs
b. Manufacture of Panel testing slides and
panel testing of STDC/ IRL Lab staff
c. Training of STDC supervisory staff in:
i. On site evaluation of STLS
ii. Manufacture of panel slides
iii. Assessment of blinded re-checking of DMC
slides at DTC
iv. Facilitating the training of STLS for External
Quality Assessment (EQA)
d. Re-training of STDC/ IRL supervisory staff, if
required.
e. Prompt reporting the results of activities to
STO/ DDG TB.
20. 2. The activities of STDC/ IRL:
a. Training of STLS, DTO, MO-TC for EQA.
b. On-site evaluation of DTC Labs.
c. Manufacture of Panel testing slides and panel
testing of DTC Lab supervisors including all STLS
of the district.
d. Assessment of blinded re-checking of DMC
slides at DTC.
e. Re-training of DTC LT/ STLS, if required.
f. Prompt reporting the results of activities by
Director STDC/ IRL to STO, CTD & NRL.
21. 3. The activities of DTC/ TU:
a. On-site evaluation of DMC Labs
b. Unblinded re-checking of DMC slides at DMC
c. Blinded re-checking of DMC slides at DTC
d. Prompt reporting of the results of activities to LT
and MO of DMC as well as STDC/ IRL.