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Diagnostic Efficiacy of Immunochromatography Technique for Detection of Viral Hepatitisinfection in Suspected Serum Specimens

Thesis Info

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Author

Nosheen Shoukat

Institute

Virtual University of Pakistan

Institute Type

Public

City

Lahore

Province

Punjab

Country

Pakistan

Thesis Completing Year

2019

Thesis Completion Status

Completed

Subject

Software Engineering

Language

English

Link

http://vspace.vu.edu.pk/detail.aspx?id=385

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676721039480

Similar


A prospective study was conducted in order to evaluate the diagnostic efficacy of immunochromatography assays for qualitative detection of hepatitis B surface antigen and hepatitis C virus antibodies, using commercially available rapid test devices. Rural population of district Chakwal visiting primary care hospitals for screening of hepatitis B and hepatitis C virus infections was selected as study population. Coagulated blood specimens were collected from a total of 500 individuals; serum was separated and stored at -20 C till analysis. Necessary demographic information with previous exposure and screening history of each individual was also recorded in pre designed performa. The stored serum specimens were analyzed for detection of hepatitis B surface antigen and hepatitis C virus antibodies through immunochromatography technique (ICT) and enzyme linked immunosorbant assay (ELISA) using commercially available ICT rapid test devices and ELISA kits. Out of total 500 specimens analyzed through ICT for HBs Ag detection, 15 exhibited positive outcome for the infection whereas analysis of the same specimens through standard ELIS test revealed 16 true positives. One of the ICT tested specimens was therefore recorded as false negative. The sensitivity of rapid test device for HBs Ag detection was therefore 93.75% with 100% specificity, 100% positive predictive value and 99.8% diagnostic accuracy. Similarly 34 of the 500 ICT tested specimens exhibited positive outcome for hepatitis C virus infection whereas 37 true positives were recorded when same specimens were analyzed through standard ELISA test. The sensitivity of ICT rapid test device for HCV Ab detection was therefore 91.89% with 99.57% specificity, 94.44% positive predictive value, 99.35% negative predictive value and 99% diagnostic accuracy. The findings indicate that the rapid diagnostic immunoassays, in spite of requiring minimum time and equipment, are not comparable with standard ELISA for screening of hepatitis B and hepatitis C virus infections.
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مولانا سید ابوالاعلیٰ مودودی

آہ!مولانا سید ابوالاعلیٰ مودودی
موت وحیات قانون فطرت ہے، جو اس دنیا میں آیاہے اسے ایک دم جانا ضرور ہے، لیکن بعض شخصیتیں ایسی ہوتی ہیں کہ جب وہ اس جہان آب وگل سے رخصت ہوکرعالم آخرت کی طرف پرواز کرتی ہیں توایسا محسوس ہوتاہے کہ قلب و دماغ کی دنیا میں ایک زلزلہ ساآگیاہے اورخرمن ہوش وحواس پربجلی گرپڑتی ہے، اس زلزلہ اورصاعقہ فگنی کااحساس مقید اور محدود نہیں ہوتا بلکہ عالمگیر ہوتاہے اور اس کی شدت اورکرب مشرق ومغرب اورشمال وجنوب میں یکساں محسوس ہوتا ہے، یہی وہ شخصیتیں ہوتی ہیں جن کی وفات پرنطق ربانی کے لفظوں میں زمین وآسمان روتے ہیں اوران کی موت عربی کے اس شعر کامصداق ہوتی ہے:
وماکان قیس ھلکہ ھلک واحد
ولکنہ بنیان قوم تھدما
اس میں کوئی شبہ نہیں ہوسکتا کہ مولانا سید ابوالاعلیٰ مودودی کی وفات ایسی ہی ایک شخصیت کی وفات ہے۔
اب سے ساٹھ اکسٹھ برس پہلے کون کہہ سکتا تھا کہ جس سبزہ آغاز نوجوان نے اپنے والد ماجد کی ناگہانی وفات کے باعث معاشی ضرورت سے مجبور ہوکر اور اپنی تعلیم کوادھورا چھوڑ کر تاج(جبل پور)اورمسلم والجمعیت(دہلی)کی ایڈیٹری کو قبول کیا تھا، وہ ایک روزعالم اسلام کے افق پر آفتاب بن کرچمکنے اور ملت بیضا کی ایک نامور و عظیم تر شخصیت بننے والاہے لیکن موخرٔ الذکر اخبار کی ایڈیٹری (از۱۹۲۵ء تا۱۹۲۸ء)کے زمانہ میں ہی بعض مضامین اور خصوصاً ’’الجہاد فی الاسلام‘‘جواس نوجوان ایڈیٹر کے قلم سے نکلے وہ زبان و بیان اورحقائق و مطالب کے اعتبار سے اس درجہ موثر اورجاذب توجہ تھے کہ غیر منقسم ہندوستان کے ارباب فکر ونظر کی زبان بیساختہ نواسنج تحسین وآفریں ہوگئی اور دوراندیش نگاہوں نے تاڑ لیا کہ جرنلزم کے آسمان پرجو آج ہلال نوبن کر نمودار ہواہے وہ کل علم وتحقیق کے افق پرماہ کامل کی صورت میں جلوہ گر ہوگا۔
جیسا کہ...

Importance of Evidence of DNA in Perspective of Islamic Jurisprudence

DNA or Genetic fingerprinting technology is the topic of the day. It has revolutionized the forensic science. Islamic Jurisprudence has its own procedure and priorities of evidences, which mainly depend upon eyewitness, personal evidence and testimony. It was introduced in 1984. It is used in the identification of parentage, forensic sciences, treatment and diagnosis of diseases. The sequence of base pairs varies from person to person and the relativity of persons is identified by identifying the matching of base pairs. The Contemporary International Institutions of Collective Ijtih฀d have launched heavy discussions on this new evidence and reviewed relevant serious law making efforts based on it, which results in very valuable Fat฀w฀ and resolutions, regarding the use of DNA techniques, as evidence in criminal cases and its limitations and scope in Islamic Jurisprudence. This article discusses and concludes that the genetic fingerprinting technique should be used for the attestation of the cases related to it, along with the traditional way to acquire evidences, even though, it does not have self-sustaining priority, but depends upon other evidences for making a judicial verdict. Like other forensic evidences, it has also errors and intervening factors that limit its accuracy. Therefore, the decisions of crimes liable to ฀ud฀d, Qi฀฀฀ and Diyyat should not depend only upon DNA fingerprinting. Thus, we can say that in the absence of stipulated evidences, rebuking punishment may be sentenced on the basis the evidence of DNA.

Evaluation of Pharmacological Potentials and Biological Activities of Periploca Aphylla Decne. and Fagonia Olivieri Dc.

Medicinal plants provide rich resources of ingredients which can be used in drug development and synthesis. In Pakistan Periploca aphylla Decne. (Asclepiadoideae) is used to treat gastrointestinal, dermatological and topical diseases whereas Fagonia olivieri (Zygophyllaceae) is generally used for the cure of cancer, diabetes, asthma, fever, toothache, urinary discharges, stomach troubles and renal disorders. This study was designed to evaluate the pharmacological activities of P. aphylla and F. olivieri using in vitro and in vivo models. The fresh samples (whole plant) of P. aphylla and F. olivieri were collected and made in to a fine powder after shade drying. Methanol extract of powder was resolved with escalating polarity to get fractions; n-hexane, chloroform, ethyl acetate, n-butanol and residual aqueous fraction. The extract/fractions were subjected to phytochemical analysis which showed the existence of tannins, saponins, terpenoids, cardiac glycosides, alkaloids, phlobatannins and flavonoids. All the extracts/fractions showed potent activity against Gram-negative, Gram-positive bacteria and fungal species. However, the most active fractions of F. olivieri were ethyl acetate, n-butanol and aqueous while methanol, n-butanol and aqueous fractions of P. aphylla exhibited activity against a maximum number of strains as compared to other fractions. These fractions also exhibited good cytotoxic activity as the maximum (96.66 %) was shown by ethyl acetate fraction of the F. olivieri and methanol extract of P. aphylla at 1000 mg/ml. Total phenolic and flavonoid content of P. aphylla was found to be higher in the ethyl acetate (186±1.18 mg GAE/g of extract) and n-butanol fractions (85.1667±0.13 mg RE/g extract) respectively. The ethyl acetate fraction exhibited the lowest IC50 values for DPPH and ABTS radicals. The n-butanol fraction exhibited the radical scavenging activity for superoxide and OH radical and H2O2 scavenging. The total phenolic and flavonoid contents of the F. olivieri samples ranged from 16 ± 0.881 to 50 ± 1.764 mg GAE/g extract and 19 ± 0.529 to 106 ± 0.892 mg RTE/g extract, respectively. The antioxidant activity was measured by a number of in vitro systems. The aqueous extract showed the highest radical scavenging activity with IC50 = 55 ± 1.212 μg/ml for DPPH, followed for ABTS, H2O2, and superoxide radical. However, ethyl acetate fractions exhibited the lowest IC50 values for phosphomolybdenum and OH radical scavenging assays. xxiii Quantification of phenolic compounds was carried out using high performance liquid chromatography (HPLC) which showed the presence of rutin, catechin, myricetin and caffeic acid in the crude extract and fractions of P. aphylla and F. olivieri. Thirty compounds were identified in P. aphylla methanol extract during GC-MS analysis which revealed that hexadecanoic acid, methyl ester (13.65%) was a major component followed by 1,1,6-trimethyl-3-methylene-2-(3,6,9,13 tetramethyl-6- ethenye-10,14-dimethylene-pentadec-4-enyl)cyclohexane (9.41%), 9-Octadecenal, (Z)- (CAS) (8.00%), Pyrrolidine, 1-(6-phenyl-1-cyclohexen-1-yl)- (CAS) (7.50%) and 5 (Dimethylamino)-3-ethoxy-5-isopropyl-1-(4''-trifluoromethylphenyl)-2-[2"-(4- "''trifluoromethylphenyl) ethynyl]-1,3-cyclopentadiene (5.28%). The prevailing compounds in F. olivieri were methyl 1-(but-2''-en-1''-yl)-6,7- (dimethoxy)isoquinoline-3-carboxylAte (71.89%), ethyl hydrogen P,5''-anhydro-2'',3''- O-isopropylideneadenosine-8-phosphonate (7.64%), 2-Bromo-5-(3,5-di-tert-butyl-4 (trimethylsiloxy)phenyl)furan (3.33%) and [1]Benzothieno[2'',3''-3,4]thieno[3'''',2''''- 7,8]cycloocta[1,2-b:5,6-b'']diquinoxaline (3.25%). Piscidic acid (C11H12O7) was isolated and identified by 1H-NMR, 13C-NMR and mass spectrum studies from aqueous fraction of F. olivieri, as an antibacterial compound isolated for the first time using activity guided fractionation. Anti-inflammatory and anti-depressant activities were measured by means of carrageenan induced paw edema and forced swim test (FST) in Sprague-Dawley rats respectively. The maximum activity was shown by n-butanol and methanol fractions of P. aphylla while ethyl acetate and aqueous fractions of F. olivieri in the above assays. The anti-diabetic potential of P. aphylla and F. olivieri was measured using glucose tolerance test and streptozotocin induced diabetes. The aqueous fraction of the F. olivieri and the n-butanol fraction of P. aphylla showed anti-diabetic potential. The effect of methanol extract of P. aphylla and F. olivieri was also investigated against paracetamol, gentamicin and doxorubicin-induced toxicity in Sprague-Dawley rats. At the end of the experiments, body weight and organ (liver, kidney, heart, lungs, testes, brain) weights were measured. Serum ALT, ALP, AST, total bilirubin, total protein, urea, creatinine and lipid profiles such as cholesterol, triglycerides, HDL and LDL were assayed. The levels of cardiac biomarker enzymes viz LDH, CK, CK-MB were observed. Lipid peroxidation (indexed by TBARS) and antioxidants like glutathione, glutathione transferase, peroxidase, superoxide dismutase and catalase xxiv were assessed. Histopathology of tissues was also performed. The genetic parameters were evaluated by means of DNA fragmentation and DNA ladder assay. The lesions induced by these drugs in all the above mentioned parameters were determined to be lower particularly in the P. aphylla and F. olivieri treated groups. Moreover, extracts administered at 400 mg/kg were found to show greater protective effects than that at 200 mg/kg. Furthermore, the protective activity of these extracts was comparable to that of silymarin, an active moiety in Silybum marianum, wellknown for its hepatic regenerative activity. Thus the results show that crude methanol extracts and partitioned fractions of P. aphylla and F. olivieri possess antimicrobial, cytotoxic, anti-inflammatory, antidepresssent, anti-diabetic and antioxidant effects. The spectra of activities displayed by the extracts could be credited to the presence of these phytochemicals (flavonoids, saponins, tannins, alkaloids and terpenoids). This may validate the use of these plants in traditional medicine for the treatment of various disease conditions and signifies the potential of P. aphylla and F. olivieri as sources of therapeutic agents.