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The Liver Meeting 2019
Novel Approaches to Screen for Liver Disease in th ...
Novel Approaches to Screen for Liver Disease in the General Population
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Video Transcription
Thank you very much, Mr. First Minister, and thank you to the Welsh Minister for giving me the opportunity to present the very important topic to you today. This is in my reports. We've heard about the global budget going up from security, and I believe it is very clear to me, in particular, that if we are going to draw this global budget, we have to for us to have the first communication of safety in the community, individually. In that important, the communication is about a first communication of safety. First, these who get very difficult tests. Secondly, there are those who have normal flow tests, but who get flowr flowr fatigue on candidature. You will see that I have put the normal noise and the first communication there, because we have to consider the issue involving ALT, and we have to consider what the ALT is so normal. Secondly, the risk factors for flow safety, especially alcohol use, risk factors for taking running water and the risk factors for NAFLD, such as type 2 diabetes factors and things from the metabolic syndrome. The difficult liver tests communicate the traditional network to diagnosis of liver safety in the general population, and these tests are related to their communication in general, but it relates to the way in which the report is interesting to determine the optimal communication for a population that has difficult flow tests. And not only do these tests communicate universally, but they communicate universally hard. The ALFFY study from South Wales looked at a population of people who have difficult fluency tests in the community, and find 10% and 20% of people who have a difficult one in the flurry test panel, and the more individual tests you do in the panel, but more than the difficult to get difficult. So, if you include GammaGT, you can start your communication from 20%. Because the tests are culturally informed and culturally difficult, the service of calculation is actually difficult in the general population. Therefore, population studies in the UK are finding between 1 and 5% of people who have difficult fluency tests are actually cultural. And, in the period of the individual difficulties in the difficult flow test panel, ALT is the largest individual calculation with an overall calculation of about 4. So, I believe that what is clear on the an organization of population is that we look very much at numbers and calculations. And this problem is informed by the fact that the cultural calculations, which has not been very useful in many types, has not been found even in the general service. So, the ALT' study said again that 50% of people who have difficult difficult difficult fluency tests there were not many people who have been in the general service. And this represents the comment that 50% of people in Wales will be notified with difficulty when they include hospital with the episode of choice. The other money is serious from the data of many people who have been in the general service to consider what the general way for these people says. But the Ballet study in London and Birmingham in Wales tries to answer some of those questions or trying to provide them with answers. This was in the publics in Wales most about involved in communicating around 1,300 people with difficult fluency tests, and presenting the complete panel, including Gamma-GT, complete diagnostic complete operation, including serological writing, ultrasonography and follow-up the people. And the learning points from the report are further that there was no more than 5% for specialist stream learning. And I believe, very importantly, that difficult fluency tests are not difficult culturally. Therefore, 84% were involved in the difficult at one year and 75% at two years. Therefore, the discursive paradigm, in terms of driving, implemented the tests and only wrote if the flow tests were difficult. But mostly it's about the hard, to learn the difficult specialized writing of fluent learning in the general population. Therefore, if we are going to improve the learning in the general population, we have to improve the knowledge of the risk factors regarding general behaviour. That is very interesting. But it's not just about the risk factors. We have to give the general general writers the designs to get to realize what making sure we don't share a lot of people but we also don't do a lot of hard tests and I think we haven't using the success between those two entities. We need to understand the differences and know of the differences of stream resources, first for these who have a stream of general success to realize, and I believe it is very important that we communicate flowr data in those who do not communicate fiber flowers so we can learn how many of them develop a flow design on the tracks. It is also clear that we must improve communication with living things. All of that was set up with great connection but it still holds a lot of communication about overall efforts and we must understand why that is and we must do better about that. And the particular report with the things I've learned is that they all use what I'm saying is generally ALT, which is much more than what is being promoted by the American School of Gastroenterology. So, what will you develop about the fibrosis test? Well, I'm not going to understand you and tell you what to do. I believe that what is it is clear that local presentations are needed, but I believe it is important to ask them what the idea is. Are we looking to develop any form of fibrosis, or are we looking to develop fibrosis and mirror cirrhosis? And I believe that these are much more important in organization of people, especially in basic connected systems, like the one I work at. We must ask what the base population is, or we can ask for a resource to be done before we put someone to fibrosis testing. I believe that many people are seen and opportunities to be seen fundamentally from fibrosis in the population. So I believe an effort for the whole population is much better. And we must come from the service opportunities, especially in opportunities from technology such as fibre. Your geographies also play into that, so if you're in another environment, health testing may be of more general use than fibrosis. And you have to come from the opportunities to see your institutional care opportunities, your hospital opportunities, to deal with the opportunities you will have in environments for pathophysiological carcinoma and fibrotic campaigning. During things to learn, once you connect to fib 4, because now a lot of studies are coming out realizing that fib 4 is come from the general fibrosis opportunities. But we're looking at the Gwent experience once again and what we get from the opportunities is that, in as many as 30,500 potatoes with the ALT 47% of patties get a fib 4 greater than 1.3, which means putting in as many patties for suitable writing, such as elf writing or a fibro scan, which may not be general. And that's a way number involving more than 1 more ALT study number One of the other important decisions is that you realize that the number of ALT there is not the same number that we get in our original types, and that is because 1 out of 5 patties who get ALT fields don't get a voting period in the same day, and that includes getting the patties written, a suitable cost and coming out with the patients who do not come back for suitable writing and bring the opportunity to make an assessment of fibrosis risk. We must write, later, what is included ALT normal, and I believe that special work by Welsh and social workers in Wales shows what we will be looking at, and ALT will be very normal is considered to be under 33 in Wales and under 25 in Wales, because it is associated with periods of maximum resources and periods involving writing. Now, that has been recognized in the United Kingdom, more than the United Kingdom, and we really want some data on what the uses are of these new efforts. in this public effort. So, obviously, I think my key comments will be about new uses of using liquid materials in the general population is to be involved in the use of fibrosis, and use things with the stratification efforts or the water efforts to use fibrosis which are not only reported to people who have abnormal blood tests, but support risk factors. The efforts also target people and inform them of the geological flood efforts as special. It is important for you to be safe that there is no way that describes it at the moment, or no way of using fibrosis, that is perfect. So, find a local connection. Find something that works for you and your associations efforts, use it, build the university to the efforts, because just by learning those new efforts, we will try to share the difficulty we see in terms of efforts in the general population. Thank you very much for your memories.
Video Summary
The speaker addressed the importance of communication and understanding in diagnosing liver safety in the general population, focusing on difficult flow tests and the risks associated with liver health. They emphasized the need for culturally informed testing methods and highlighted the challenges in identifying individuals with liver issues. The study in South Wales found a significant percentage of people with difficult fluency tests, showcasing the importance of tailored diagnostic approaches. The speaker stressed the significance of improving knowledge of risk factors and optimizing communication with individuals to enhance liver health assessments. They recommended using ALT testing and fibrosis assessments to identify potential issues early on. Overall, the speaker emphasized the need for personalized and effective strategies for diagnosing liver conditions.
Asset Caption
Presenter: Andrew Yeoman
Keywords
communication
understanding
diagnosing liver safety
difficult flow tests
culturally informed testing methods
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