Liver disease how new yogurt in vag for yeast infection intelligent testing could save thousands of lives

Since the 1970s, liver disease in the UK has increased by more than yogurt in vag for yeast infection 400%, particularly in people under 65 – in marked contrast to all other major causes of death yogurt in vag for yeast infection which have been decreasing in younger age groups. This epidemic has been driven by alcohol, obesity and hepatitis C.

The liver is the factory of the body, making vital proteins and breaking down waste products or excreting yogurt in vag for yeast infection them. Liver disease is usually a silent disease in its early yogurt in vag for yeast infection stages. Liver function tests (lfts) are routinely available blood tests associated with liver damage, so should be able to detect liver problems early on. Millions of these tests are performed each year in the yogurt in vag for yeast infection UK by doctors and nurses for a multitude of symptoms yogurt in vag for yeast infection and problems ranging from feelings of tiredness, to yellowing of skin (in white people) or the whites of the eyes, due to jaundice.

But it is complex to sort out what to do yogurt in vag for yeast infection about them – many people with abnormal lfts are not investigated because of yogurt in vag for yeast infection the complex pattern of investigation. In those who are, current care is geared to find an explanation via a yogurt in vag for yeast infection lengthy process of investigation and ruling things out, with costs to patients and the NHS in terms of yogurt in vag for yeast infection money and time – many people drop out along the way.

This misses an opportunity to diagnose and treat liver disease yogurt in vag for yeast infection at an early stage. With the dramatic rise in the rate of testing and yogurt in vag for yeast infection the number of resulting abnormalities, this is not sustainable. So how do we investigate the abnormal lfts to maximise yogurt in vag for yeast infection health gain and minimise health costs? Rules, clinical facts and algorithms

We use a smarter application of existing knowledge and technology. To solve the problem, we developed a set of rules for the diagnosis of yogurt in vag for yeast infection many liver diseases using only blood results – for both the cause of the liver damage as well yogurt in vag for yeast infection the severity of it – combined with simple clinical facts, such as alcohol intake and body mass index.

In effect, we reduced what a liver specialist does when they see yogurt in vag for yeast infection a patient to a set of rules that could be yogurt in vag for yeast infection used to create algorithms that would give a specific diagnosis yogurt in vag for yeast infection to many patients, and a helpful management plan to the rest who may yogurt in vag for yeast infection need to manage lifestyle factors. We went on and tested this set of rules to yogurt in vag for yeast infection show that they did work as well as actually consulting yogurt in vag for yeast infection a liver specialist.

So we created “intelligent liver function testing” or “ilft”. In the new system the gps who suspected liver disease yogurt in vag for yeast infection in a patient selected the intelligent LFT pathway in the yogurt in vag for yeast infection lab test requesting system and entered clinical details – BMI, alcohol intake and presence of high blood pressure, high cholesterol or diabetes. The algorithm was integrated with the lab’s information management system, allowing appropriate biochemistry, haematology, virology and immunology tests to cascade if the initial lfts yogurt in vag for yeast infection were abnormal.

The ilft algorithm then combined the clinical information, test results and fibrosis (the extent to which tissue is damaged) scores to generate a diagnosis and/or management plan available as a web link for quick yogurt in vag for yeast infection access on the gps computer. The system generates 32 outcomes, varying from a clear cut diagnosis to a description of yogurt in vag for yeast infection what has been found and suggestions for further investigation. This maximises the diagnosis of early liver disease. ILFT uses a synthesis of existing evidence combined with new yogurt in vag for yeast infection algorithms that can be integrated into current lab biochemical analysers yogurt in vag for yeast infection and technology to produce a diagnosis in many patients.

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