the fatty liver epidemic that escapes routine analysis and that science seeks to stop

For decades we have relied on annual tests to know if our liver was healthy, since there are several values ​​that tell us if there is any damage that we are not ‘feeling’. The problem is that science advances, and the last major liver study has put on the table that the liver can become ill without symptoms for years, and the main culprit is not alcohol consumption or hepatitis viruses, but a major metabolic disorder. A silent epidemic. Right now, fatty liver disease associated with metabolic dysfunction, known as MASLDhas become one of the main threats to public health globally. And it is no wonder, since its danger lies in its invisibility, since the initial phase and progression towards liver fibrosis can be completely asymptomatic. Although it may seem silly, fibrosis must be taken seriously. In this case, fibrosis occurs when the liver suffers injuries that it cannot repair properly and, instead of generating new tissue, it ends up with different scars that alter its functioning. But it is not that the liver functions at a lower percentage than normal, but rather that this fibrosis can progress to cirrhosis or liver cancer associated with high mortality. The data. Science suggests that we are not facing an isolated problem that should be ignored, since a macro study published this year in Lacent With a total of 7,764 studied, it indicates that the prevalence of this disease is 38.9%. Something that, adjusted to the world population, leaves us with a fibrosis rate of 2.4% globally. In the context of Spain and Europe, the figures are no less alarming. During the recent congress of the Spanish Association for the Study of the Liver (AEEH) in 2026, was alerted that the prevalence of significant fibrosis in our country is around 3.6%. The most worrying thing is that these are people who live their normal lives, without pain or apparent symptoms, while the liver suffers from these scars. A lethal cocktail. Although you may think that alcohol is the only enemy of the liver, the reality is that the lifestyle we have influences it much more than we thought. In this case, type 2 obesity, hypertension and dyslipidemia are the main risk factors for this disease. The problem is that alcohol consumption in people who have obesity or diabetes causes the damage not only to add up, but multiplymaking the progression towards fibrosis, cirrhosis or even liver cancer more rapid. Medical checkups. Traditionally, liver health has been assessed by transaminase levels in a simple blood test. But the scientific literature suggests that normal blood tests should not make us breathe easy, since the vast majority of cases of fibrosis are not seen in a routine analysis. This means that a patient with severe fibrosis has perfect transaminases in some cases. What can be done. With all this data, changes must be made in the strategy and some voices point to the need to implement population screening programs directly in primary care centers. To this end, it is proposed to monitor those patients with more risk factors using two very simple tools: The index IBF-4: a simple mathematical formula that uses the patient’s age and three basic parameters from a blood test to identify the risk of fibrosis. Perform an elastography: Ultrasound techniques are here to stay because of how easy they are to do and also because they are accessible, since you can have an ultrasound machine almost in your pocket. All this means that the strategy of an ultrasound per consultation can be a very appropriate strategy. What is clear is that you cannot sit around waiting for the liver to hurt or fail, which is why, given this increase in cases, early diagnostic tools must be implemented to be able to better control a disease that can have devastating consequences. Images |julos stefamerpik In Xataka | Fatty liver advances silently, but science has found unexpected allies: coffee and green tea

The Spanish rail giant escapes millionaire contracts, including the Barcelona Metro. The reason: his link with Israel

Basque Caf’s rail manufacturer is in a committed situation after Its inclusion in the United Nations list which points to companies with operations in Palestinian territories occupied by Israel. This circumstance could close the doors of important public contracts, such as The Millionaire Barcelona Metro Contest. In the blacklist. Transports Metropolitans de Barcelona (TMB) has a tender open to acquire 39 new trains worth 321 million euros. The specifications includes a clause that prohibits the participation of companies that appear in the Registry of the United Nations High Commissioner for Human Rights (UNHCR). CAF, current TMB provider, now appears in that list for its participation in The tram of Jerusalem thisa project awarded in 2019 with the Israeli construction company Shapir. The CAF position. The company based in Beasain defends the legality of your contract and denies any violation of human rights. As communicated to the National Securities Market Commission, it has reports from independent experts that support its position and ensures that the project “generates positive impacts on the population” by also providing service to the Arab community with a “inclusive and non -discriminatory” hiring policy. The Alstom turn. The French multinational Alstom, which has a factory in Santa Perpètua de Mogoda, appealed in August before the Catalan Court of Public Sector Contracts against this restrictive clause. However, the recent update of the UN list has retired to Alstom from the registrationwhich now allows you to present to the contest. This exit makes CAF the main affected, since the resolution of the resource will determine whether or not to participate in the tender, whose term remains open until December. More Spanish companies indicated. CAF It is not the only company Spanish in the Black List of the UN, which includes about 160 signatures. Florentino Pérez’s construction company, its SEMI subsidiary and the Ineco public company, under the Ministry of Transportation, also include. CAF is charged with equipment and materials that “facilitate” Israeli settlements, in addition to providing support services and using natural resources, which makes it the Spanish with the greatest reproach by the international organism. A political and social debate. Inclusion in this list does not imply direct sanctions, but yes it has practical consequences. The United Nations urges States to adopt “appropriate measures” to prevent human rights abuse, and administrations such as the Barcelona City Council have incorporated this exclusion in their responsible hiring policies. The debate has also reached the Basque political terrain, where part of the CAF staff starred in concentrations demanding the cessation of the contract with Israel, while the lehendakari Imanol Pradales He has asked that you have “care with the accusations” and has urged the company to make “an ethical reflection”. Implications. Beyond the Barcelona contest, appearing in this registry can affect the reputation of companies, rating rating agencies and access to other public tenders if similar clauses appear in the tender. Public hiring represented 11.55% of Spanish GDP in 2023which turns these vetoes into a relevant economic issue for the companies indicated. Cover image | TMB In Xataka | The longest bus in the world is called Daf Super Citytrain: more than 30 meters long and capacity for 350 people

Not even the world championship of stones in Scotland escapes scandals: they have brought false stones

The world championship to throw stones into the water exists and, curiously, is not in a United States in which its competitions are “worldwide.” If there is Mobile repairthat of collect trash from the street or that of Microsoft Excelof course there was going to be something like that. It is celebrated in Scotland, and hundreds of participants demonstrate their expertise every year as you expect: throwing stones into the water to see who gets more rebounds. The problem is that there are those who even cheat. And it has been a scandal. Tradition. He World Stone Skimming Championshipsby its official name in English, it is a tournament that has been held since 1983 on the island of EasdaleScotland, after two people came up with the idea … taking something in a pub. As usually happens with picturesque quotes, the event was born as a punctual celebration, but little by little the thing became serious until it was institutionalized in 1997. Since then, it has become an annual tradition and an attraction that attracts hundreds of tourists. There are rules. Traditionally, the appointment is celebrated in September in a flooded quarry that was an exploitation of slate. The island It has a population of about 60 people, but during the competition, it is multiplied by both the participants and the curious. And although it consists of throwing stones, there are rules and categories. The first thing is that it is divided by sexes and age, where they can participate to over 60 years. Each participant has three releases to make only natural slate stones that find the island. They cannot exceed three inches in diameter (just over seven and a half centimeters) and the competition is simple: the stones must throw two or three times (something that is marked at the beginning of the competition) on the water without leaving a specific area. There are few jumps because the rebounds are not measured, but the distance traveled by the stone. Seeing them throwing is a true show, especially because of the huge distance traveled between the first rebound and the next. A party. And the competitors take it seriously: they train for it and the releases are prepared well, but in the end it is a great party with an atmosphere in which there is music, food and the awards are commemorative, but not in metallic. It is an event to, above all, generate funds for the local community. 15,000 pounds last year. Remember those Activities that villages of empty Spain are taken out of the manga to value its surroundings and generate funds that allow covering expenses in the town. Cheats. That is why he has caught the attention that, in this year’s edition, some contestants cheated. And you will wonder “How can you cheat in something like that?” In an episode of ‘The Simpsons’ Of the last seasons, Homer uses stones tied to a rope that Bart drags from the other side. It is nothing so elaborate. To enforce the stone diameter limit, the organization has something baptized as the ‘ring of truth’, a tool through which the stone with which it will compete to verify that the size is correct is passed. That tool has a skinny point: it measures the diameter, but not the shape or any possible modification. During the competition, Thursday and other players They detected Something weird in some stones: they were too perfect, so they began to review more exhaustively, discovering that several had been polished to achieve more symmetrical forms and improve the physical characteristics of the rock. First of all, it’s a party Uneasiness. That has sat as a jug of cold water both among the honest competitors and between the attendees and the local community, precisely, so we commented on some lines: the atmosphere is, above all, festive, so they did not imagine that someone began to polish stones that were, they were from Easdale, but illegal. Kyle Mathews is one of the organizers and “official teacher” of stone launch and commented to The New York Times That there was something ‘honest’ in this story. When he contacted the suspects, they all immediately admitted what they had done and accepted the punishment of disqualification. He also removed iron into the matter by commenting that it was “flattering” that someone took the competition so seriously. Note for the future. And the truth is that it has not been badly resolved. Lucy Wood has the Guinness record The one that accumulates the most victories in this World Cup, also told NYT that it was surprised by how well the matter had been resolved. “You wouldn’t see something like that in many sports,” he said. And the truth is that people do take the competition seriously: only last year, 2,000 people registered online to get one of the 400 seats, which sold out in less than three minutes. This year, more than 2,000 attended to contemplate the event (imagine the life they can give to the island) and there are players who point to growing competitive pressure due to what is growing. The question of what they will do if this happens again has an easy answer: to grant pre -approved stones to the competitors. So, you know: if you have a lake nearby and discover that you are good by throwing stones, maybe next September you can find the glory in Scotland. Images | Stoneskimming In Xataka | The World Cup, paper, scissors exists. And it is a very serious thing

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