Course description BIOLOGICAL ANALYSIS AND LABORATORY DIAGNOSIS - FACULTY OF PHARMACY

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Course description
BIOLOGICAL ANALYSIS AND LABORATORY DIAGNOSIS
3RD YEAR, 2ND SEMESTER
DEGREE: PHARMACY
MODALIDAD: ON CAMPUS
ACADEMIC YEAR: 2019/2020
FACULTY OF PHARMACY
Guía Docente / Curso 2019-2020

                      1. COURSE/SUBJECT IDENTIFICATION
1.- COURSE/SUBJECT:

Name: BIOLOGICAL ANALYSIS AND LABORATORY DIAGNOSTICS

Code: a311

                                                 Semester (s) when the course is taught: 1st
Year (s) course is taught: 3rd
                                                 Semester

Type: Compulsory subject                         ECTS: 6                  Hours/ ECTS: 30

Language: English                                Modality: on campus

Degree (s) in which the course is taught: Pharmacy

School which the course is taught: Pharmacy

2.- ORGANIZATION OF THE COURSE:

Department: Química y Bioquímica (Coordinación de la asignatura) y Ciencias Farmacéuticas y de la
Salud.

Area of knowledge: Microbiology, Biochemistry and Molecular Biology. Parasitology and
Immunology.

                   2. LECTURERS OF THE COURSE/SUBJECT
1.- IDENTIFICACIÓN DEL PROFESORADO:

Responsible of the Course            CONTACT
Name:                                Dra. Maria José Pozuelo
Phone (ext):                         4714
Email:                               marpoz@ceu.es
Office:                              216 edificio C

Profesor                             CONTACT
Name:                                Dr. Estanislao Nistal Villán
Phone (ext):                         4714
Email:                               estanislao.nistalvillan@ceu.es
Office:                              216 edificio C

Profesor                             CONTACT
Name:                                Dra. Carmen de Mendoza Fernández
Phone (ext):
Email:                               carmen.fernandez5@ceu.es
Office:

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Profesor       CONTACT
Name:          Dña Andrea Valderrey Barreal
Phone (ext):   4843
Email:         andreadiana.valderreybarreal@ceu.es
Office:        Tercera planta edifico C Farmacia

Profesor       CONTACT
Name:          Dra. Carmen del Águila de la Puente
Phone (ext):   913724770 (4770)
Email:         cagupue@ceu.es
Office:        A101

Profesor       CONTACT
Name:          Dra. Soledad Fenoy Rodríguez
Phone (ext):   913724721 (4721)
Email:         sfenrod@ceu.es
Office:        C219

Profesor       CONTACT
Name:          Dra. Ángela Magnet Dávila
Phone (ext):   913724721 (4721)
Email:         angela.magnetdavila@ceu.es
Office:        C219

Profesor       CONTACT
Name:          Dra. Dolores Ollero Baceiredo
Phone (ext):   913724779 (4779)
Email:         mariadolores.ollerobaceiredo@ceu.es
Office:        C108

Profesor       CONTACT
Name:          Dra. María Gracia Sánchez Alonso
Phone (ext):   913724792 (4792)
Email:         msancheza@ceu.es
Office:        C208

Profesor       CONTACT
Name:          Dr. Julio Sevillano Fernández
Phone (ext):   913726411 (4824)

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Email:                                  jsevilla@ceu.es
Office:                                 Relaciones internacionales planta 0 edificio C

2.- TUTORIAL ACTIONS:
For any queries students can contact lecturers by e-mail, phone or visiting their office during the
teacher’s tutorial times published on the students’ Virtual Campus.

                                3. COURSE DESCRIPTION

Theoretical-practical subject that aims to teach students the diagnostic criteria and the methodology
used in the laboratory for the diagnosis of infections caused by bacteria, viruses, fungi and parasites,
as well as hematological diseases. This subject is the basis of one of the specialties via FIR.

It consists of 3 modules: microbiology, parasitology and hematology. The evaluation of each module
will be done separately, being necessary to pass each of the modules to pass the subject.

It is strongly recommended that the students who enroll in this subject have taken the subjects of
Anatomy and Histology (1st year), Microbiology (3rd year) and Parasitology (3rd year).

                                      4. COMPETENCIES
1.- COMPETENCIES:

Code      Basic and General Competencies
CB1       Students show to possess and understand knowledge in an area of study that is based on
          general secondary education at a level that, although it is supported by advanced
          textbooks, includes some issues of the forefront of knowledge of that field of study.
CB2       Students apply their knowledge to their work or vocation in a professional manner, and
          have competencies that can be demonstrated through devising and defending arguments
          or solving problems within their field of study.
CB3       That students have the ability to gather and interpret relevant data (usually within their area
          of study) to make judgments that include a reflection on relevant social, scientific or ethical
          issues.
CB4       That students can transmit information, ideas, problems and solutions to a specialized and
          non-specialized public.

Code      General Competencies
CG10      That students have the ability to gather and interpret relevant data (usually within their area
          of study) to make judgments that include a reflection on relevant social, scientific or ethical
          issues.
CG12      Design, apply and evaluate reagents, methods and clinical analytical techniques, knowing
          the basic fundamentals of clinical analysis and the characteristics and contents of
          laboratory diagnosis reports.
CG13      Develop hygienic-sanitary analyzes, especially those related to food and the environment.

Code      Specific Competencies
CE36      To know and understand the basic fundamentals of clinical analysis and the characteristics
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           and contents of the laboratory diagnosis reports.
CE37       To develop hygienic-sanitary analysis (biochemical, microbiological and parasitological
           bromatological), related to health in general and with food and the environment in
           particular.
CE49       To know the analytical techniques related to laboratory diagnosis, toxic, food and
           environment.

2.- LEARNING OUTCOMES:

Code       Learning outcomes
RA102      Description of the main techniques useful for the diagnosis and monitoring of infectious and
           hematological diseases.
RA103      Demonstration of the management of the methods of analysis in the diagnosis of the main
           bacterial, parasitic and blood disorders infections.
RA104      Evaluation of the results obtained after cultivation / analysis of the biological samples,
           distinguishing commensal microorganisms from pathogenic microorganisms.
RA105      Assessment of health and disease states after analysis of blood samples.
RA107      Apply biochemical, microbiological, parasitological and hematological methods in the
           evaluation of useful magnitudes for the diagnosis of the main human pathologies
           (metrology)
RA109      Interpret the clinical significance of the values obtained (semiology).

                                   5. LEARNING ACTIVITIES
1.- DISTRIBUTION OF STUDENTS` ASSIGNMENT:

Total hours of the course                                                                        180

Code       Name                                                                            On-campus
                                                                                           hours
AF2        Seminars                                                                               1
AF4        Practice. Laboratory practice.                                                         90
AF9        Tutorials                                                                              2
AF6        Evaluation Activities                                                                  2
Total      Presence hours                                                                         95

Code       Name                                                                               Not on-
                                                                                           campus hours
AF0        Student independent work                                                               85

2.- DESCRIPTION OF LEARNING ACTIVITIES:

Activity                  Definition

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AF2 Seminars           Learning activity that is developed in the classroom-seminar, that under
                       the guidance of the professor, encourages the cooperative learning among
                       students and that is directed to the evaluation of cases and allows the
                       study in detail.
AF4 Laboratory         Learning activity that is developed in suitable facilities outside the
Práctices              classroom, under the guidance of the class professor, encourages
                       independent and / or cooperative learning of the student and, by
                       appropriate design is aimed at the execution of a theoretical research or
                       technical, practical or artistic work.
AF9 Tutorials          Training activity developed by the teacher attending a student to answer
                       questions or guide the learning process. The objectives of teacher tutoring
                       are: solving doubts, proposing practical cases, analyzing results obtained,
                       reviewing exercises, projects, work, practices, teaching guidance on
                       problems raised and how many others contribute to the student's progress in
                       their learning process.
AF6 Evaluation         Activities that the student must develop in person, such as attendance to
activities             lectures and seminars integrating the subject.

                          6. ASSESMENT OF LEARNING

1.- CLASS ATTENDANCE:

   •   100% attendance at practical classes is mandatory. In the case that for justified reasons
       the student cannot attend classes, he / she must recover the practice in another group with
       the approval of the teacher. The student will be examined when he has completed 100% of
       the subject..

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2.- SYSTEMS AND EVALUATION CRITERIA IN ORDINARY AND EXTRAORDINARY CALL

ORDINARY CALL (Continuos evaluation) 1
Code      Name                                                        Minimum score 2 Percentage
SE1       Questions type exam and / or test.                          5 in each module        25,5%
                                                                        of the subject
SE1       Questions type exam and / or test. (ordinary call)                  4                10%
SE3       On-site evaluation of various training activities           5 in each module         21%
          (practical exam).                                             of the subject
SE3       On-site evaluation of diverse training activities                                    12%
          (performance in the laboratory).
SE5       Practical or clinical cases.                                5 in each module        22,5%
                                                                        of the subject
SE7       Practice notebook                                                                     9%

   (2) Minimum score to be able to apply to the indicated percentages.

3.- DESCRIPTION OF ASSESSMENT CRITERIA:

Assessment criteria                          Definition

Questions exam and / or test                 There will be a written theoretical exam at the end of
                                             each module of the subject (microbiology, parasitology
                                             and hematology), and at the end of the course on the
                                             date of the ordinary call. This exam will be inclusive of
                                             the subject, so it will include questions from the three
                                             modules studied. In the exams of each module it will be
                                             necessary to have a grade of 5 to pass the module and
                                             in the integrative exam a minimum grade of 4 will be
                                             necessary for the percentages to be applied.
On-site evaluation of several training       It will be carried out at the end of each module of the
activities                                   subject (microbiology, parasitology and hematology) to
                                             know if the student has acquired the practical skills
                                             necessary to carry out the laboratory diagnosis.
                                             It will be necessary to have a grade of 5 in the exam of
                                             each module to pass the module and the subject.
                                             Likewise, the student's performance will be evaluated
                                             independently during the internship days in each
                                             laboratory.
Practical or clinical cases.                 The resolutive capacity of clinical cases related to the
                                             subject taught will be assessed through a written
                                             examination.
                                             It will be necessary to have a grade of 5 in the exam of
                                             each module to pass the module and the subject.
Practice notebook                            It will include the laboratory work of the student during
                                             the practices. This notebook will not be corrected
                                             independently of the grade obtained by the student in
                                             the exam.

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                                 7. COURSE PROGRAMME
1.- COURSE PROGRAMME:

THEORETICAL-PRACTICAL PROGRAM:

-Introduction to the subject: A general seminar will be held on the objectives of the subject and its
contents. The competences that are intended to be developed with the subject will be explained and the
doubts that arise among the students will be solved.

MICROBIOLOGY

1.- Urine microbiological analysis:

- Quantitative urine cultures:

- Urine culture evaluation. Isolation and identification of pathogens of the urinary tract using
automatic methods. Study of the antibiotic sensitivity of pathogenic microorganisms by disc diffusion
techniques and automatic techniques.

- Evaluation of urinary infection by Gram stain of the urine.

2.- Microbiological analysis of respiratory samples:

- Study of pharyngeal exudate: Study of the pharyngeal microbiota (Streptoccoccus viridans,
Staphylococcus aureus) and pathogenic (Streptococcus pyogenes and Streptococcus B hemolytic
groups C and G of R.Lancefield). Detection and identification by various techniques: agglutination
with antibodies, antibiotic sensitivity, metabolic tests, etc. Study of the antibiotic sensitivity of
pathogenic microorganisms.

-Sputum study: microscopic evaluation of different samples with pathogenic microorganisms:
Streptococcus pneumoniae, Haemophilus influenzae, and Mycobacterium tuberculosis.

3.- Microbiological analysis of samples of the female genital tract (vaginal exudate):

- Isolation and identification of Candida albicans and Streptococcus agalactiae. Antibiotic sensitivity
study.

- Microscopic study of normal and pathological vaginal samples.

4.- Microbiological stool analysis:

- Coproculture. Study of the microbiota and identification of possible pathogens such as Salmonella
and Shigella. Study of the antibiotic sensitivity of pathogenic microorganisms.

5- Microbiological analysis of cerebrospinal fluid (CSF):

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- Microscopic study of normal and pathological CSF. Visualization of preparations with pure cultures
of the main etiological agents of meningitis: Neisseria meningitidis, Haemophilus influenzae and
Streptococcus pneumoniae.

6- Study of viral infections using immunochemical and molecular techniques.

Parasitology

1.- Macroscopic Analysis. Isolation, mounting, and conservation of parasites. Mounting of
Nematodes, Cestodes, and Arthropods. Observation of permanent preparations.

2.- Coprological Diagnosis I. Direct observation.

3.- Coprological diagnosis II. Concentration methods.

4- Coprological diagnosis III. Realization of permanent preparations. Kinyoun and Trichromic stains.

5.- Special techniques in coprology. Graham test (tape test). Agar plate method, Stoll, Kato-Katz for
the diagnosis of hookworm and Strongyloides

6.- Techniques for the detection of blood parasites. Direct examination, staining: thin extensions and
thick drop. Giemsa and Wright. Specific identification of Plasmodium species. Morphological
differentiation by staining. QBC-hematocrit, immunochromatography and other methods.

7.- Techniques for the diagnosis of genito-urinary parasitism. Thawing and culture of vaginal
trichomonads, counting, and staining.

8.- Techniques for the diagnosis of tissue parasitism. Digestion of Trichinella spiralis.

9.- Methods of immunological diagnosis and molecular biology in clinical parasitology applied to
parasites I. Diagnosis of Leishmania spp.

10.- Immunological diagnostic methods applied to parasites II. Diagnosis of Toxoplasma gondii.

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HEMATOLOGY

   1. Peripheral blood test. Red blood cell count and reticulocytes. White blood cell count.
      Preparation and staining of extensions.

   2. Hematimetric analysis: determination of hemoglobin and hematocrit. Corpuscular indices:
      alterations in the size and chromia of erythrocytes

   3. Diagnosis of alterations of the red series. Erythrocytosis and erythrocytopenia. Regenerative
      and non-regenerative anemia.

   4. Diagnosis of alterations of the white series. Differential count of white blood cells.
      Leukocytosis and leukopenia.
   5. Oncohematology: diagnosis of acute leukemia; myeloproliferative syndromes;
      lymphoproliferative syndromes; myelodysplastic syndromes.

   6. Diagnosis of alterations of the thrombocytic series. Thrombocytosis and thrombocytopenia.

   7.   Laboratory tests for the analysis of hemostasis. Prothrombin time. Activated partial
        thromboplastin time.

                      8. BIBLIOGRAPHY OF THE SUBJECT
1.- BASIC BIBLIOGRAPHY:

MICROBIOLOGy
   •    MURRAY PR, ROSENTHAL KS, PFALLER MA. (2016). Medical Microbiology. 8ª Edición.
        Editorial Elsevier Saunders.

PARASITOLOGy
   •    GARCÍA, L. S. (2015). Diagnostic Medical Parasitology. 6ª Edición. ASM Press.

HEMATOLOGy
     RODAK, FRITSMA, KEOHANE (2014). Hematología Fundamentos y Aplicaciones Clínicas.
     4ª Edición. Editorial Médica Panamericana.

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2.- ADDITIONAL BIBLIOGRAPHY:

MICROBIOLOGY
   •   PRATS G. 2005. Microbiología Clínica. Ed Panamericana
   •   PRATS, G. 2012. Microbiología y Parasitología Médicas. Ed. Panamericana.
   •   TORTORA, G.J., FUNKE, B. R., C. L. 2010. Microbiology. Ed. Médica Panamericana.

PARASITOLOGY
   •   ASH, L.A.; ORIHEL, T.C.: 1987 Parasites. A guide to laboratory procedures and
       identification. ASCP Press.
   •   BAILENGER, J. 1982. Coprologie Parasitaire et founctionelle.4ª Ed. Bordeaux.
   •   FLECK, S.L.; MOODY, A.H. 1988. Diagnostic techniques in medical parasitology. Wright
   •   GARCIA, L. 1999.Practical guide to diagnostic parasitology. ASM Press..
   •   GUILLESPIE, S.H.; HAWHEY, P.M. 1995.Medical Parasitology: A Practical Approach. RL
       Press.
   •   HALTON, D.W.; et al. 2001.Practical Exercises in Parasitology. Cambridge.
   •   OMS. 1992. Métodos Básicos de Parasitología Médica.
   •   PETERS, W., PASVOL, G.2008. Atlas de Medicina Tropical y Parasitología. Elsevier-Mosby
   •   PRICE, D.L. 1994. Procedure manual for the diagnosis of intestinal parasite. CRC Press.
   •   parasitology.dmu.ac.uk

HEMATOLOGY
   •   SAN MIGUEL, J SÁNCHEZ-GUIJO, F. (2015). Hematología. Manual básico razonado.
       Cuarta edición. Elsevier. ISBN: 9788490228265
   •   WILLIAMS, W.J. (2014): Manual Williams de Hematología. 8ª edición. Mc Graw Hill
       Interamericana. Mexico. ISBN : 9786071510006
   •   VIVES I CORRONS, J.L. (1999): Manual de técnicas de laboratorio en Hematología. Salvat.
       Barcelona.

4.- RECURSOS WEB DE UTILIDAD:

   •   Microbiology and Parasitology:
                     http://www.seimc.org/documentoscientificos.php?mn_MP=3
                     http://www.bacteriainphotos.com/bacteria%20photo%20gallery.html
                     http://www.who.int/zoonoses/diseases/en/
                     http://www.cdc.gov
                     http://www.semtsi.es
   •   Hematología: http://hematologyoutlines.com/atlas.html
                     http://imagebank.hematology.org/

                        9. ATTITUDE IN THE CLASSROOM
1.- RULES:

   Any irregular act of academic integrity (no reference to cited sources, plagiarism of work or
   inappropriate use of prohibited information during examinations) or signing the attendance
   sheet for fellow students not present in class will result in the student not being eligible for
   continuous assessment and possibly being penalized according to the University regulations.
   The students that use any non-authorized information during the exam will lose the possibility
   to pass the examination they are taking (ordinary and extraordinary).
   Cell phones will only be allowed when the professor gives explicit permission.
   It is not allowed to bring coats, bags and folders into the laboratory. The student will have
   available lockers in order to keep the material. The student will need to bring a lock.
   Los alumnos que utilicen alguna información no autorizada durante el examen (chuletas en
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papel, en bolígrafos, en la piel, en el móvil, etc.) irán a convocatoria extraordinaria con toda la
asignatura, independientemente de los bloques que hayan aprobado en convocatoria
ordinaria.
El uso de los teléfonos móviles se realizará únicamente cuando el profesor lo permita.
Está prohibida la entrada de abrigos, bolsos, carpetas al laboratorio, debiéndolos depositar
previamente en las taquillas. El alumno deberá traer su propio candado.
It is imperative that the student wear lab coat and hair collected to work in the laboratory.

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