Conclusion

Point-of-care testing is a fact of life in nearly every healthcare institution in the Western world. Point-of-care testing is definitely not a replacement for conventional laboratory service but a supplement. It seems realistic that some parts of diagnostics will inevitably leave the central clinical laboratory to be performed instead at the bedside, in the doctor's office, or even at the patient's home. Miniaturization of in vitro diagnostics and NABT will play a significant role in this scenario. Many clinical disciplines deal with a wide spectrum of nucleic acid-based diagnostic assays, including tests for infectious diseases, neoplasias, and inherited diseases, which have the potential to be used at the point-of-care setting. Examples are pathology,[28,29] hematology,1-39-1 oncology,[40] urology,1-41-1 dermatology,[42] obstetrics and gynecology,[43,44] pediatrics,[45] and STD specialty.[46] With the development of prenatal and preimplantation diagnostics, ''obstetrics has been claimed to have assumed a natural leadership position in molecular diagnostics, not only in terms of applied technology, but also in the social, clinical, economical, and political ramifications of these technologies.''[47] The integration of POCT in the healthcare system, particularly the implementation of NABT in the point-of-care setting, and finally patient care, will profit more from an inter- and multidisciplinary management approach between equals than by the ''natural leadership position'' of an individual discipline. It remains to be seen what the health-care system will look like when all the critical issues of POCT and NABT have been resolved, and what impact these changes will have on medical practice in general, laboratory medicine, and on the individual patient in particular.

Getting Started With Dumbbells

Getting Started With Dumbbells

The use of dumbbells gives you a much more comprehensive strengthening effect because the workout engages your stabilizer muscles, in addition to the muscle you may be pin-pointing. Without all of the belts and artificial stabilizers of a machine, you also engage your core muscles, which are your body's natural stabilizers.

Get My Free Ebook


Post a comment