Quality Issues

Point-of-care testing has many advantages and disadvantages, and numerous arguments have been raised in support of and against it.[4-6] A discussion of this topic is out of the scope of this contribution, but data indicate that POCT has (may have) a positive benefit on morbidity and mortality.[7-9] The cost of POCT is usually greater than traditional laboratory testing, but the increased cost may be offset by improvements in the management of patient care, improvements in patient outcomes, and decreased utilization of the health-care system.[7,9] An underestimated aspect of POCT is the importance of established quality-management procedures. These procedures have to ensure that POCT results are accurate, reliable, and performed by competent personnel, and that regulatory compliance is achieved.[10,11] Concerns over the quality of POCT have resulted in a hierarchy of laboratory regulations, and POCT guidelines are appearing in a number of countries worldwide.[12,13] In the United States, all laboratories are required to be CLIA (Clinical Laboratory Improvement Amendments) certified (http:// www.cms.gov/clia), and several physician's office laboratories have been forced to close their doors in response to regulatory restrictions.1-14-1 The continuing integration of nucleic acid-based POCT in the health-care system is considerably affected by quality-regulations matters, and these measures serve as an excellent controlling instrument.

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.

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