Upgrading the Iranian national laboratory standard to conform to ISO 15189:2012

Accreditation and Quality Assurance - The Reference Health Laboratory (RHL) of Iran is the national authority responsible for making policies and plans for providing quality laboratory services...     

Interpreting the effects of temperature and solvent composition on separation of amino-acid racemates by chiral ligand-exchange chromatography

Routinely applied at both preparative and analytical scales, chiral ligand-exchange chromatography (CLEC) separates enantiomers capable of chelating a divalent transition-metal-ion through a pair of coordinating electronegative atoms. CLEC separation efficiencies are strongly dependent on column operating conditions, including temperature and mobile-phase solvent composition. Although previous empirical studies provide some useful guidelines for optimizing column operating conditions, the fundamental mechanisms underlying the unusually high sensitivity of CLEC performance to operating temperature and solvent composition remain poorly understood, limiting efforts to develop a comprehensive model for the technology. To address this problem, we report transport and chemical equilibria data for the separation of alpha-amino acids on a Nucleosil chiral-1 column presenting L-hydroxyproline as the immobilized ligand. Solute transport is found to be limited by pore diffusion at all column operating temperatures and solvent compositions, validating the existence of local equilibria throughout the column. Changes in separation performance are found to correlate with changes in chemical equilibria, emphasizing the need to carefully account for all speciation within the column when modeling CLEC and providing important fundamental data to achieve this goal. Each enantiomer participates in a large number of solution-phase complexes. As a result, the thermodynamic driving force for separation is unusually complex, allowing subtle changes in column operating conditions to mediate significant changes in speciation profiles and separation efficiency. A reaction-equilibria model accounting for all speciation within the CLEC column is proposed and used to estimate enantiomer partition coefficients and retention times.     

Assessors’ attitudes toward and experiences of national quality standards: a qualitative study in Iran

To establish a national accreditation system for medical laboratories, Iran has set national standards based on the international standard ISO 15189. Central to the accreditation process are the technical assessors. Their attitude in this regard and their experiences should be identified. This study aims to explore assessors’ attitudes toward national laboratory accreditation and their experiences of assessment process in order to identify current gaps and suggest required interventions to solve them. A qualitative study using an open-ended questionnaire was employed. A total of 150 assessors working in the General Directorate of Laboratory Affairs participated in the study. While almost all Iranian laboratory accreditation assessors were generally supportive about the necessity of laboratory accreditation and cited benefits of this process, they pointed to improvement areas including developing assessor selection and appraisal criteria, continuous training, taking into consideration the heterogeneity of laboratories throughout the country, participation of professional associations and adopting measures to increase laboratories’ involvement.     

Establishing an Iranian medical laboratory standard based on ISO 15189

To strengthen clinical laboratories’ capabilities, the Reference Health Laboratory (RHL) of the Ministry of Health decided to compile a national professional laboratory standard to be followed by all medical laboratories in the country. Providing a national laboratory standard, as approved criteria for competency assessment, is also essential for establishment of a national accreditation system for medical laboratories. ISO 15189 addresses different processes and activities in a medical laboratory, but considering the local situation and limitations in the country it was not feasible to implement all the requirements of ISO 15189 at once in laboratories in different sectors and in different provinces of the country. For this reason, the RHL decided to define and publish the national standard, as minimum quality requirements that could be mandatory for all clinical laboratories throughout the country. After conducting a countrywide situation analysis, a national standard was composed by RHL expert committees and officially announced in September 2007. The main reference of this standard was ISO 15189:2007, although some important technical details were added to it from other credible references, such as WHO documents and CLSI guidelines. In this study, the Iranian national standard is compared to ISO 15189:2007 in terms of format and content in order to show how an international standard was localized for compiling a national standard.     

A novel two-zone protein uptake model for affinity chromatography and its application to the description of elution band profiles of proteins fused to a family 9 cellulose binding module affinity tag

A novel two-zone model (TZM) is presented to describe the rate of solute uptake by the stationary phase of a sorption-type chromatography column. The TZM divides the porous stationary-phase particle into an inner protein-free core and an outer protein-containing zone where intraparticle transport is limited by pore diffusion and binding follows Langmuir theory. The TZM and the classic pore-diffusion model (PDM) of chromatography are applied to the prediction of stationary-phase uptake and elution bands within a cellulose-based affinity chromatography column designed to selectively purify proteins genetically labelled with a CBM9 (family 9 cellulose binding module) affinity tag. Under both linear and nonlinear loading conditions, the TZM closely matches rates of protein uptake within the stationary phase particles as measured by confocal laser scanning microscopy, while the PDM deviates from experiment in the linear-binding region. As a result, the TZM is shown to provide improved predictions of product breakthrough, including elution behavior from a bacterial lysate feed.