Professional Documents
Culture Documents
TECHNICAL REPORT
ON
BY
IPI/22/ND/SL/PEC/008
FACULTY OF SCIENCE
AT
FEBRUARY, 2024
2
CERTIFICATION
I hereby certify that this report of Student Industrial Work Experience
Scheme (SIWES) was prepared and compiled by AJAYI DEBORAH FEYISAYO
(Matric Number: IPI/22/ND/SLT/PEC/008) from the Department of Science
Laboratory Technology, Faculty of Science, Kanmi Alo Interlink Polytechnic,
Ijebu Ijesha, Osun State, for the successful completion of my four (4) months
Industrial Training undertaken at Comprehensive Health Centre, Behind
Panapana, Ore, Ondo State (Lab Unit).
DECLARATION
I hereby declare that this comprehensive report was compiled by me AJAYI
DEBORAH FEYISAYO and entails precisely what I have done during my SIWES
Industrial Training at Comprehensive Health Centre, Behind Panapana, Ore,
Ondo State (Lab Unit). I withal declare that this report and its content has not
been submitted to this or any other institution of learning for the purpose of
consummating the requisites for the award of any degree. All the citations, sources
of information and research are pellucidly acknowledged by the references
incorporated.
4
DEDICATION
This industrial training report is copiously dedicated to God Almighty for
his unquantifiable, immeasurable mercies and protection upon my life especially
during the period of my industrial training experience and also to my parents, Mr.
and Mrs. Ajayi, you are forever in my heart.
5
ACKNOWLEDGEMENT
My immense gratitude again goes to the Almighty and everlasting God, the
beginning and the end, who is the ultimate source of my strength, for His
continuous encouragement and inspiration right from day one.
TABLE OF CONTENTS
CERTIFICATION.............................................................................................................1
DECLARATION...............................................................................................................3
DEDICATION..................................................................................................................4
ACKNOWLEDGEMENT.................................................................................................5
ABSTRACT......................................................................................................................7
CHAPTER ONE................................................................................................................8
INTRODUCTION.............................................................................................................8
1.0 Background of Study..............................................................................................8
1.1.0 Brief history of SIWES.......................................................................................8
1.2 Aim of SIWES........................................................................................................9
1.3 Objectives of SIWES..............................................................................................9
1.3 Importance of SIWES to my Course of Study.....................................................10
CHAPTER TWO.............................................................................................................11
COMPANY PROFILE....................................................................................................11
2.0 Brief history of the Establishment........................................................................11
CHAPTER THREE.........................................................................................................14
SERVICES RENDERED................................................................................................14
3.1 HAEMATOLOGY DEPARTMENT...................................................................14
3.1.1 Malaria Parasite Test....................................................................................14
3.1.2 Blood Grouping and Rhesus Typing (ABO Blood System)........................16
3.1.3 Genotype Test (HB Hemoglobin)................................................................17
3.2 CHEMICAL PATHOLOGY DEPARTMENT....................................................18
3.2.1 Blood Glucose Tests.....................................................................................19
3.2.2 Urinalysis......................................................................................................21
3.3 SEROLOGY DEPARTMENT.............................................................................22
3.3.5 Beta Human Chorionic Gonadotropin (β-hCG)...........................................25
CHAPTER FOUR...........................................................................................................26
EXPERIENCE GAINED AND RELEVANCE TO COURSE OF STUDY..................26
CHAPTER FIVE.............................................................................................................28
CONCLUSION AND RECOMMENDATION..............................................................28
REFERENCES................................................................................................................31
7
ABSTRACT
This report is a summary of the experience I acquired during my six months
Students’ Industrial Work Experience Scheme (SIWES) in Comprehensive Health
Centre, Behind Panapana, Ore, Ondo State (Lab Unit). with highlights majorly
on laboratory services like packed cell volume (PCV), malaria parasite (MP), etc.,
testing different body fluid in the diagnosis of different diseases like malaria,
typhoid, kidney failure etc.
8
CHAPTER ONE
INTRODUCTION
1.0 Background of Study
Students industrial work experience scheme (SIWES) is a skill training program
designed to prepare and expose students of higher institution of hearing to the
industrial set-up they are likely to meet after graduation. The need for the
establishment of this scheme duke the growing concern among industrialist and
employers that graduates of higher institution lacked adequate practical
background required for employment in industries.
The scheme is funded by the by the federal government of Nigeria and jointly
coordinated by the national universities commission (NUC) and the Industrial
Training Fund (ITF).
Before the introduction of ITF, graduates of Nigerian universities were noted for
the theoretical excellence. This was widely indicated by the ability of some
9
industries to employ these fresh graduates without some sort of training. The
Federal Government sensing that this may be the beginning of the death if
employable graduates established the Industrial Training Fund (ITF) in 1971.
Since its establishment, it has worked consistently and painstakingly within the
context of its enabling law i.e. Decree 47 of 1971.
CHAPTER TWO
COMPANY PROFILE
2.0 Brief history of the Establishment
Self reliance economy advancement program health care center is a primary
health centre care system located at Comprehensive health Centre Panapana,
Ore, Ondo State (Lab Unit). It is a primary health institution because it's health
care services are provided by health professionals who generally have first
contact with the patients.
About the ministry.
Director
various types of centrifuge depending on the size and the sample capacity. Like
all other centrifuges, laboratory centrifuges work by the sedimentation
principle where the centripetal acceleration is used to separate substances of
greater and lesser density. It is usually used to separate serum or plasma from
red cells in a blood sample etc.
Electrophoresis Machine: This is one of the most important equipment used
by molecular biologists. It migrate a charged molecule through a restrictive
matrix, or gel, drawn by an electrical force. To
mention but a few applications, deoxyribonucleic
acid (DNA) electrophoresis is used to map the order
of restriction fragments within chromosomes to
analyze DNA variation within a population by
restriction fragment length polymorphisms and to
determine the nucleotide-sequence of a piece of
DNA. Figure 2.3: An electrophoresis machine with tank
Laboratory Refrigerator:
Laboratory refrigerators are used to cool samples or specimens for
preservation. They include refrigerator units for storing blood plasma and
other blood products, as well as reagents,
vaccines and other medical and pharmaceutical
supplies. They differ from standard
refrigerators used in homes and restaurants
because they need to be totally hygienic and
completely reliable. Laboratory refrigerators
need to maintain a consistent temperature in
order to minimize the risk of bacterial Figure 2.4: A laboratory refrigerator
contamination and explosions of volatile materials.
14
CHAPTER THREE
SERVICES RENDERED
3.1 HAEMATOLOGY DEPARTMENT
Hematology is the branch of medicine concerned with the study of the
morphology and physiology of blood. It is concerned with the study, diagnosis,
treatment and prevention of diseases related to blood. It includes the study of
etiology. It involves treating diseases that affect the production of blood and its
components such as blood cells, hemoglobin, bone marrow, blood proteins,
platelets, blood vessels, spleen, and the mechanism of coagulation. Such diseases
might include hemophilia, blood clot, other bleeding disorders and blood cancer
such as leukemia, myeloma, and lymphoma.
The laboratory work that goes into the study of blood is frequently performed by a
medical technologist or medical laboratory scientist. These laboratory works
includes viewing blood films and bone marrow slides under the microscope,
interpreting various hematological tests results and blood clotting test results.
Various tests carried out in the hematology laboratory includes;
i. Malaria Parasite Test
ii. Blood grouping and Rhesus typing (ABO Blood system)
iii. Genotype Test (HB Hemoglobin)
3.1.1 Malaria Parasite Test
Malaria is a mosquito-borne infectious disease of humans and other animals
caused by eukaryotic protists of the genus plasmodium. The disease results from
the multiplication of plasmodium parasites within red blood cells, causing
symptoms that typically include fever and headache, in severe cases progressing to
coma and death. It is widespread in the tropical and subtropical regions, including
much of sub-Saharan Africa, Asia and America. Five species of plasmodium can
infect and be transmitted by humans. Severe disease is largely caused by
Plasmodium falciparum while the disease caused by Plasmodium vivax, Plasmodium
ovale, and Plasmodium malariae is generally a milder disease that is rarely fatal.
Plasmodium knowlesi is a zoonosis that causes malaria in macaques but can also
infect humans.
15
NB: All dry smears like TB examination, malaria parasite are viewed using ×100
resolution power of the microscope while wet preparations like stool microscopy,
HVS microscopy uses ×10 and ×40.
16
Observation:
Table 3.1: Observable results from the blood grouping and rhesus typing
(ABO Blood System)
17
(+) Agglutination
+ - + - ‘A’ Rh. ‘D’ negative
which is placed in an Electrophoresis tray with the inoculated hemolysate near the
cathode(-).
Materials: Clean grease free tile, pasteur pipette, dry cotton wool, applicator stick,
lysate, tissue paper, blood sample, cellulose acetate paper, tris buffer,
electrophoresis machine with tank.
Procedure:
A cellulose acetate paper soaked in genotype buffer is slightly dried by
closing two dry cotton wool on it.
A drop of anticoagulated blood was applied on a clean grease free tile.
A drop of lysate was added into the anticoagulated blood and was gently
mixed together.
With the aid of an applicator stick, the mixed anticoagulant blood was
applied on a cellulose acetate paper on 3 different places with the AS and AC
control on the first, second and the end on the cellulose acetate paper.
Place the cellulose acetate paper into the electrophoresis machine with tank
and allow for 15 minutes.
Result:
After migration of INS, separation follows. The reference sample (AS) disperses
into two, one towards the positive pole and the other towards the negative pole
and if the test sample does the same, it implies AS. The other reference sample
(AC) disperses into two, one towards the positive pole and the other farther apart
towards the negative pole and if the test sample also does the same, it implies AC.
If the test sample does not disperse and moves towards the positive pole, it implies
AA, if the test sample does not disperse and moves towards the negative pole, it
implies SS and if the test sample does not disperse and moves farther apart
towards the negative pole, it implies CC.
All biochemical tests come under chemical pathology. These are performed on any
kind of body fluid, but mostly on serum or plasma. Tests carried out in this
department include;
i. Blood Glucose Tests
ii. Urinalysis
3.2.1 Blood Glucose Tests
This is a laboratory test used in the estimation of blood sugar level at a
given period of time in order to obtain the average level to see how fast the body
will utilize glucose. In a normal person, blood level is controlled within a narrow
range. In the early morning, after overnight fasting, the blood sugar level is low.
Between the first and second hour after meal (random) blood sugar level rises to
between 3.9-6.1mmol/L. The blood sugar level is brought back to normal at the
end of the second hour after meal. In normal persons, the blood sugar is well
maintained in spite of lack of dietary sources. The blood sugar regulating
mechanism is operated through liver and muscle by the influence of pancreatic
hormones which are insulin and glucagon.
Types of blood glucose tests:
1. Fasting blood sugar (FBS) measures blood glucose after fasting for at least 8
hours. It often is the first test done to check for diabetes.
2. 2-hour postprandial blood sugar (2-hour PP) measures blood glucose
exactly 2 hours after eating a meal.
3. Random blood sugar (RBS) measures blood glucose regardless of when the
person last ate. Several random measurements may be taken throughout the
day. Random testing is useful because glucose levels in healthy people do not
vary widely throughout the day. Blood glucose levels that vary widely may
indicate a problem. This test is also called a casual blood glucose test.
4. Oral glucose tolerance test (OGTT) measures the body's ability to use
glucose. It is used mainly to diagnose prediabetes and diabetes. An oral glucose
tolerance test is a series of blood glucose measurements taken after you drink a
sweet liquid that contains glucose. This test is commonly used to diagnose
diabetes that occurs during pregnancy (gestational diabetes). This test is not
commonly used to diagnose diabetes in a person.
20
Calculation:
Absorbance of Test × Concentration of Standard (5.55mmol/L)
Absorbance of Standard
21
Result:
There are different ranges of standard values for the glucose test but however
depending on the type of glucose test carried out which includes;
Fasting blood sugar test: The patient is expected to be on fasting for a period of
10-12hours before test, preferably over the night. It has a standard value which
range between 3.5-6.1mmol/L.
Random blood sugar test: This is carried from the patient the first and second
hour after meal. It has a standard value that ranges between 3.9-8.0mmol/L. it can
also be referred to as post-prandial blood sugar test.
3.2.2 Urinalysis
Urinalysis is a test of the urine. It is a screening test usually used to detect and
manage a wide range of disorders such as urinary tract infections, disease of the
kidney, diabetes, metabolic abnormalities, liver disease, biliary and hepatic
obstructions and haemolytic diseases. A urinalysis involves checking the
appearance, concentration and content of urine. Abnormal urinalysis result may
point to a disease or illness.
1. Macroscopic urinalysis
2. Chemical analysis
Macroscopic Urinalysis: This is the direct visual observation of the urine noting
its colour and clarity or cloudiness.
Chemical Analysis: A urine dipstick is used in this part. Urine dipstick is a narrow
plastic strip which has several squares of different colours attached to it. Each
small square represents the component of a test used to interpret urinalysis. The
entire test strip is dipped in the urine sample and colour changes (which take place
several seconds after dipping) in each square are noted.
Each colour change on the particular square may indicate specific abnormalities in
the urine sample caused by a certain chemical reaction. The reference of the colour
changes is posted on the plastic bottle container of the urine test strips. This makes
for easy and quick interpretation of the urinalysis result by placing the strip next to
the container and comparing each colour change to the reference provided. The
squares on the dipstick represent the following components in the urine:
22
help to diagnose patients with certain immune deficiencies associated with the
lack of antibodies.
Some tests classified under serology are: widal agglutination test, retroviral
screening (RVS) test, hepatitis B surface antigen (HBsAg) test, hepatitis c virus
(HCV), pregnancy test, and syphilis test (VDRL).
NOTE: All above mentioned tests under serology have the same procedures but
different strips kit, except for widal agglutination test.
PROCEDURE FOR SEROLOGY TEST (except for Widal)
Spin the anti-coagulated blood sample in the bucket centrifuge at
12,000rpm for 5 minutes.
Apply 2-3 drops of plasma/serum on the sample pad of the test strip with
the pasteur pipette (each test has its own strip).
Read the result after 10 minutes.
RESULT
Double band (one on control and the other on test) = Positive
Single band (on the control alone) = Negative
No band = Invalid (to be repeated).
Syphilis is transmitted through vaginal, oral, or anal sex with an infected person. It
is mostly through contact with a syphilis sore (chancre), a painless sore. Symptoms
include painless sore either in the anus, mouth or genitals, rashes, fatigue, weight
loss, fever and hair loss.
Principle: Recombinant syphilis antigen is immobilized in a test line region. After
a plasma sample is added, it reacts with syphilis antigen coated particles in the
test. This mixture migrates along the length of the test strip and interacts with the
immobilized syphilis antigen.
CHAPTER FOUR
CHAPTER FIVE
5.2 Recommendation
The recommendations arising from the foregoing appraisal of the effectiveness of
SIWES in the formation of competent and productive technical manpower for the
economy are summarized as follows;
The Federal Government should make adequate provisions in the annual
budget for proper funding for SIWES in view of the potentials of the scheme
to contribute to enhancing the quality of pool of technical skills available to
the economy.
A review of the policies that guide and regulate SIWES is necessary to ensure
that the scheme complies fully.
Tertiary institutions need to comply with the standards set for proper
implementations of SIWES to enable students derive the greatest benefits
from participation in the scheme.
Quality assurance of SIWES, through adequate supervision of participants by
the relevant stakeholders (institutions, employers and ITF) would ensure
that the scheme meets its objectives vis-à -vis the principles of cooperative
education or work-integrated learning.
Students should be well prepared through meaningful orientation
programmes by institutions before embarking on SIWES. A book, such as
the “Guide to successful participation in SIWES” would be useful in
achieving the purpose if read before, during and after SIWES by
participants.
5.3 Conclusion
All these valuable experiences and knowledge that I have gained were not only
acquired through the direct involvement in task but also through other aspects of
the training such as: work observation, supervision, interaction with colleagues,
supervisors, superior and other people related to the field. It also exposed me to
some certain things about medical environment. And from what I have undergone,
I am sure that the industrial training programme has achieved its primary
objective.
I am confident that my future career has already been built with what I have
already started with Comprehensive Health Centre, and concisely, the overall
importance of this program (SIWES) cannot be overstated. The period of training
enables student to gradually get composed into the working environment of their
chosen career, a very important step in creating skilled professionals.
31
REFERENCES
"Harmonisation of Reference Intervals" (PDF). Pathology Harmony (UK). Archived
from the original (PDF) on 2 August 2013. Retrieved 15 August 2013.
"Prealbumin Blood Test: MedlinePlus Medical Test". medlineplus.gov. Retrieved 25
February 2021.
"What Is a Total Serum Protein Test?". WebMD.
Agwuna, R. N. (2012) Detailed manual in SIWES guidelines and operations for
tertiary institutions. Rex Charles and Patrick limited.
Fund I. T. (2018) http//www.itf.gov.ng/about.php
Google search engine
Gronowski, Ann M. (2004). "Human Pregnancy". Handbook of Clinical Laboratory
Testing During Pregnancy. Humana Press. pp. 1–13. doi:10.1007/978-1-
59259-787-1_1.
Johnston DE (1999). "Special considerations in interpreting liver function tests". Am
Fam Physician. 59 (8): 2223–30. PMID 10221307.
Kasper, Dennis L.; Fauci, Anthony S.; Hauser, Stephen L.; Longo, Dan L.; Larry
Jameson, J.; Loscalzo, Joseph (6 February 2018). Harrison's principles of
internal medicine (Twentieth ed.). New
York. ISBN 9781259644047. OCLC 990065894.
Kwo, Paul Y.; Cohen, Stanley M.; Lim, Joseph K. (January 2017). "ACG Clinical
Guideline: Evaluation of Abnormal Liver Chemistries". American Journal of
Gastroenterology. 112 (1): 18–35. doi:10.1038/ajg.2016.517. ISSN 0002-
9270. PMID 27995906. S2CID 23788795.
Lee, Mary (10 March 2009). Basic Skills in Interpreting Laboratory Data. ASHP.
p. 259. ISBN 978-1-58528-180-0. Retrieved 5 August 2011.
Lisa B, VanWagner (3 February 2015). "Evaluating Elevated Bilirubin Levels in
Asymptomatic Adults". Journal of the American Medical Association. 313 (5):
516–517. doi:10.1001/jama.2014.12835. PMC 4424929. PMID 25647209.
McClatchey, Kenneth D. (2002). Clinical laboratory medicine. Lippincott Williams &
Wilkins. p. 288. ISBN 978-0-683-30751-1.
32
McComb, Robert B.; Bowers, George N.; Posen, Solomon (1979). "Clinical
Utilization of Alkaline Phosphatase Measurements". Alkaline Phosphatase.
Springer US. pp. 525–786. doi:10.1007/978-1-4613-2970-1_9.
Mengel, Mark B.; Schwiebert, L. Peter (2005). Family medicine: ambulatory care &
prevention. McGraw-Hill Professional. p. 268. ISBN 978-0-07-142322-9.
Mueller MN, Kappas A (October 1964). "Estrogen pharmacology. I. The influence of
estradiol and estriol on hepatic disposal of sulfobromophthalein (BSP) in
man". J Clin Invest. 43: 1905–
14. doi:10.1172/JCI105064. PMC 289635. PMID 14236214.
Sana, Ullah; Khaista, Rahman; Mehdi, Hedayati (May 2016). "Hyperbilirubinemia in
Neonates: Types, Causes, Clinical Examinations, Preventive Measures and
Treatments: A Narrative Review Article". Iranian Journal of Public
Health. 45 (5): 558–568. PMC 4935699. PMID 27398328.
Shivaraj, Gowda; Prakash, B Desai; Vinayak, V Hull; Avinash, AK Math; Sonal N,
Venekar; Shruthi S, Kulkarni (22 November 2009). "A review on laboratory
liver function tests". The Pan African Medical Journal. 3 (17):
17. PMC 2984286. PMID 21532726.
Smith, Susan H. (April 2017). "Using albumin and prealbumin to assess nutritional
status". Nursing2021. 47 (4):65&66. doi:10.1097/01.NURSE.0000511805.83
334.df. ISSN 0360-4039. PMID 28328780.