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Barriers to Screening High-Prevalence Populations for Celiac Disease

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Joseph Murray, M.D., a gastroenterologist and celiac disease expert at Mayo Clinic, discusses a recently published article in BMC Gastroenterology about ...

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Mayo Clinic (Organization) Health Care (Issue) Healthcare Science (Field Of Study) celiac disease Joseph Murray barriers screening high-prevalence populations BMC Gastroenterology barricade blockade boundary fence hurdle impediment limit obstacle railing roadblock wall bar bound confines curtain ditch enclosure fortification gully moat pale palisade rampart stop trench blank wall assistance help opening open restriction stumbling block handicap restraint drawback difficulty hindrance limitation encumbrance check preventive benefit freedom aid advantage shield adumbrate blind bulwark bury cache camouflage cloak close conceal cover defend disguise ensconce fend guard mask obscure obstruct safeguard seclude secrete secure separate shade shadow shelter shroud shutter stash umbrage veil block out cover up shut off shut out wall off abandon disregard endanger expose forget harm hurt ignore injure join lay bare loose open reveal show surrender tell uncover unmask lay open filter evaluate cull select scan riddle sort grade winnow process sift gauge eliminate sieve extract pick out put in hiding covering going underground masking out of sight screening suppressing obvious network arrangement artery chain checkerboard circuitry complex convolution crisscross fabric fiber grid grill grillwork hookup jungle labyrinth maze mesh net netting nexus organization patchwork plexus reticulation reticule structure system tessellation wattle weave web wiring disorganization networks Screening big great huge immense large lofty long soaring steep tremendous aerial elevated flying giant grand alpine altitudinous colossal eminent formidable gigantic high rise high-reaching hovering sky-high sky-scraping towering uplifted humble insignificant little miniature minute short small teeny tiny unimportant ground depressed dishonorable down dwarfed inferior low lowly mean sober soft stunted upset weak worthless excessive stiff unusual rich sharp strong expensive dear special costly exorbitant extraordinary extravagant high-priced lavish luxurious precious intensified common cheap mild tasteless bland normal calm reasonable moderate poor inexpensive indistinct stupid ignorant serious significant superior necessary noble leading chief ruling capital arch essential grave extreme consequential crucial distinguished exalted influential powerful prominent secondary nonessential subordinate unnecessary inessential trivial minor boisterous cheerful elated excited exhilarated exuberant joyful lighthearted merry psyched pumped bouncy drunk delirious inebriated stoned tipsy doped potted spaced out euphoric freaked out on a trip tanked treble acute piping high-pitched rank soprano loud malodorous penetrating piercing putrid rancid smelly strident reeking Panglossian assured bright buoyant cheering confident encouraged expectant happy high hopeful hoping idealistic keeping the faith on cloud nine on top of world positive promising ray of sunshine rose-colored roseate rosy sanguine sunny trusting upbeat utopian above aloft atop beyond on high on top of over overhead raised upon less fewer deficient under below in the clouds montane mountainous rangy snowcapped assertive audacious bold brazen certain cocksure collected complacent composed cool gung ho gutsy imperturbable overconfident poised puffed up pumped up pushy secure self-assured self-confident self-possessed sure unflappable unhesitating fearful dismayed confused doubted shy modest unconfident dubious doubtful nervous hesitant doubting distrustful feared agitated meek timid unsure uncertain worried bulky awkward beefy cumbersome cumbrous enormous gross heavy hefty hulking mammoth massive ponderous substantial unhandy unmanageable unwieldy voluminous weighty thin light airy insubstantial animated blithe bucked cheery chipper chirpy contented effervescent enlivening enthusiastic full of pep gay glad gladsome good-humored good-natured hearty hilarious in good spirits in high spirits jaunty jocund jolly lively optimistic peppy perky pleasant snappy sparkling sprightly sunny side up vivacious winsome zappy zingy zippy lifeless sad unenthusiastic unhappy gloomy dull melancholy cheerless heavy-hearted sorrowful pessimistic hopeless pale depressing cloudy lethargic inactive apathetic HiGH Big Mad High pervasiveness popularity currency preponderance ubiquity vogue advantage aid ascendancy asset assistance authority avail blessing boon break choice comfort convenience dominance edge eminence expediency favor gain good gratification help hold improvement influence interest lead leeway leg-up leverage luck mastery odds position power pre-eminence precedence preference prestige prevalence profit protection recognition resources return sanction starting superiority support supremacy upper hand utility wealth handicap bad fortune stop waste subservience block impotence restriction obstacle drawback misfortune bad luck obstruction hindrance blockage disadvantage disfavor injury hurt harm disapproval loss weakness inferiority incapacity advantages ascendancies ascendency command control dominion jump leg up mastery power predominance prepotence reign rule sovereignty sway whip hand powerlessness subordination on top preeminence decline ascendencies elevation glory leadership paramountcy success failure community culture people populace public society state citizenry dwellers folk natives residents as long as because being considering inasmuch as now since whereas after concerning during notwithstanding pro supposing toward beneficial to conducive to for the sake of in contemplation of in exchange for in favor of in furtherance of in order to in order to get in place of in pursuance of in spite of in the direction of in the interest of in the name of on the part of on the side of to counterbalance to go to to the amount of to the extent of under the authority of with a view to with regard to with respect cause for for the reason that seeing that as a result of as things go by cause of by reason of by virtue of due to in as much as in behalf of in that in view of now that on the grounds that over owing to seeing thanks to through behind backing in agreement supporting all in all all things considered everything being equal forasmuch as in consideration of in light of insomuch as pending taking into account favor accept advocate appreciate approbate approve back be in favor of buck for champion choose commend cotton to countenance encourage endorse esteem eulogize fancy flash on go for hold with honor incline lean toward look up to opt for patronize pick praise prize regard highly root for sanction single out support take a liking to take a shine to take to think well of tilt toward value disfavor hurt disrespect disagree discourage criticize neglect oppose thwart hinder deny hate dislike censure disallow dissuade protest disapprove reject refuse favoring Big Mad FOR For alimentary duodenal gut inner inside interior internal inward rectal stomachic ventral visceral intestinal\u002Fintestine abdominal stuffing spaghetti intestinal stomach enteric gastrocolic stomachical gastric celiac more intestinal more intestine most intestinal Celiac cancer bug condition contamination defect disorder epidemic fever flu illness infection inflammation malady plague sickness stroke syndrome virus ache affection attack blight breakdown canker collapse complaint contagion debility decrepitude distemper endemic feebleness fit hemorrhage indisposition infirmity misery seizure spell temperature unhealthiness unsoundness upset visitation ill health pathosis sickliness advantage good health health ability blessing boon happiness soundness strength affliction adversity anguish calamity cross crux depression difficulty disease distress grief hardship misfortune ordeal pain plight scourge sorrow suffering torment trial tribulation trouble woe help peace good fortune benefit pleasure cheer comfort well-being relief consolation aid encouragement contentment calm good luck delight profit joy ailment dose ailments access bout convulsion failure paroxysm relapse spasm throe support retreat flight defense submission reprisal sustenance surrender shield shelter resistance protection attacks bacillus germ microbe Big Mad Disease DISEASE mayo Big Mad Mayo hospital dispensary infirmary sick bay surgery center faculties academics advisers body clinic college corps department employees institute literati mentors organization personnel professorate profs researchers scholars society staff university workers students need ineptness lack incompetence inability faculty hospice asylum emergency room health service institution nursing home rest home sanatorium sanitarium shelter surgery ward hospitals academy association business company conservatory establishment fixture foundation guild orphanage school seminar seminary system think tank Big Mad Clinic energy fitness strength well-being bloom complexion constitution euphoria fettle form haleness hardihood hardiness healthfulness healthiness lustiness pink prime robustness salubriousness salubrity shape soundness stamina state tone tonicity verdure vigor wholeness clean bill eupepsia fine feather good condition top form lethargy weakness disease illness infirmity sickness condition appearance aspect build health kilter mint order phase repair status trim bliss dreamland ecstasy elation exaltation exhilaration exultation frenzy glee high spirits intoxication joy joyousness jubilation madness rapture relaxation transport misery depression discouragement unhappiness woe despair dislike sorrow sadness good health poor health unsuitability inappropriateness enervation anatomy being figure frame object outline person phenomenon physique silhouette thing torso disorganization disarrangement forms luck advantage big break blessing break fluke fortunateness godsend good luck happiness in the cards karma kismet luckiness lucky break occasion opportunity profit prosperity run of luck serendipity smile streak of luck stroke success triumph victory weal wealth win windfall bad fortune failure misfortune disadvantage bad luck poverty loss forfeit Health HEALTH responsibility affliction aggravation alarm anguish annoyance anxiety apprehension bother burden chagrin charge consternation discomposure dismay disquiet distress disturbance encumbrance exasperation fear foreboding fretfulness handicap hardship hindrance impediment incubus load misgiving nuisance onus oppression perplexity pressure solicitude sorrow stew strain stress sweat tribulation trouble uneasiness unhappiness vexation woe worry advantage aid assistance assurance benefit blessing calm calmness comfort composure confidence contentment delight ease encouragement happiness health help joy joyfulness peace peacefulness pleasure relief tranquility carelessness disregard ignorance inattention neglect negligence omission oversight thoughtlessness management effort wariness fastidiousness caution concentration watchfulness particularity concern circumspection meticulousness discrimination nicety scrupulousness interest vigilance exactness alertness exertion direction diligence regard prudence forethought conscientiousness enthusiasm consideration thought heed precaution pains disinterest disrespect lethargy laziness apathy indifference indiscretion imprudence heedlessness control trust protection supervision safekeeping administration keeping superintendence aegis ward auspices tutelage guardianship ministration wardship watch tend protect consider attend sit treasure mind foster minister mother nurse nurture ride herd on wait on pay attention to baby sit keep an eye on keep tabs on look after mind the store provide for take pains watch over forget hurt hate dislike injure ignore enjoy love want cherish desire respect like prize be crazy about be fond of find congenial hold dear take to despise affection amore ardor attachment care case closeness crush devotion emotion endearment feeling friendliness friendship good will hankering heart inclination itch kindness liking passion predilection propensity puppy love sentiment shine soft spot tenderness warmth weakness yen ill will enmity animosity antipathy coldness hatred advancement advice advocacy alleviation allowance assist attention backing backup benefaction benevolence bounty charity compensation cooperation deliverance endowment favor furtherance gift giving guidance hand handout leg up lift ministry patronage promotion reinforcement rescue reward salvation service shot in the arm subsidy sustenance treatment unkindness malevolence stop taking opposition obstruction blockage silence disfavor harm stoppage injury damage penalty loss all-overs angst ants in pants botheration butterflies cold sweat creeps disquietude doubt downer drag dread flap fuss goose bumps heebie-jeebies jitters misery mistrust nail-biting needles nervousness panic pins and needles restlessness suffering suspense uncertainty unease willies worriment faith belief sureness security certainty nonchalance collectedness assiduity assiduousness attentiveness doggedness industriousness industry persistence sedulousness indolence idleness attention(s) amenity civility compliment deference gallantry mindfulness politeness Care Health care Big Mad Healthcare Health Care art discipline education information learning skill system technique branch erudition lore scholarship wisdom body of knowledge disorder disorganization ignorance culture ability accomplishment address aestheticism capacity civilization class courtesy cultivation delicacy dignity discrimination dress elegance elevation enlightenment experience fashion finish gentility good taste grace improvement kindness manners nobility perception polish politeness practice proficiency refinement savoir-faire science tact training urbanity ineptness tactlessness rudeness impoliteness inelegance roughness crudeness bad manners clumsiness hurt harm incompetence coarseness inexperience inability cultures apprenticeship background book learning brainwashing breeding catechism coaching direction drilling edification guidance inculcation indoctrination learnedness literacy nurture pedagogy preparation propagandism proselytism reading rearing schooling study teaching tuition tutelage tutoring neglect destruction bookishness brains intellectuality knowledge letters pedantry savvy scholarliness studiousness advice ammo break chapter and verse clue confidence counsel cue data dirt dope dossier earful illumination info inside story instruction intelligence leak lowdown material message network notice notification orientation propaganda report scoop score tidings tip whole story word question silence accomplishments acquaintance apprehension awareness cognition comprehension consciousness discernment doctrine dogma expertise facts familiarity goods grasp insight judgment know-how light observation philosophy picture power principles recognition substance theory misunderstanding stupidity impotence unbelief weakness inanity SCIENCE! Science celiac disease Celiac Disease alimentary duodenal gut inner inside interior internal inward rectal stomachic ventral visceral intestinal\u002Fintestine abdominal stuffing spaghetti intestinal stomach enteric gastrocolic stomachical gastric celiac more intestinal more intestine most intestinal Celiac cancer bug condition contamination defect disorder epidemic fever flu illness infection inflammation malady plague sickness stroke syndrome virus ache affection attack blight breakdown canker collapse complaint contagion debility decrepitude distemper endemic feebleness fit hemorrhage indisposition infirmity misery seizure spell temperature unhealthiness unsoundness upset visitation ill health pathosis sickliness advantage good health health ability blessing boon happiness soundness strength affliction adversity anguish calamity cross crux depression difficulty disease distress grief hardship misfortune ordeal pain plight scourge sorrow suffering torment trial tribulation trouble woe help peace good fortune benefit pleasure cheer comfort well-being relief consolation aid encouragement contentment calm good luck delight profit joy ailment dose ailments access bout convulsion failure paroxysm relapse spasm throe support retreat flight defense submission reprisal sustenance surrender shield shelter resistance protection attacks bacillus germ microbe Big Mad Disease DISEASE Joseph Big Mad Murray Big Mad MURRAY barricade blockade boundary fence hurdle impediment limit obstacle railing roadblock wall bar bound confines curtain ditch enclosure fortification gully moat pale palisade rampart stop trench blank wall assistance help opening open restriction stumbling block handicap restraint drawback difficulty hindrance limitation encumbrance check preventive benefit freedom aid advantage shield adumbrate blind bulwark bury cache camouflage cloak close conceal cover defend disguise ensconce fend guard mask obscure obstruct safeguard seclude secrete secure separate shade shadow shelter shroud shutter stash umbrage veil block out cover up shut off shut out wall off abandon disregard endanger expose forget harm hurt ignore injure join lay bare loose open reveal show surrender tell uncover unmask lay open filter evaluate cull select scan riddle sort grade winnow process sift gauge eliminate sieve extract pick out put in hiding covering going underground masking out of sight screening suppressing obvious network arrangement artery chain checkerboard circuitry complex convolution crisscross fabric fiber grid grill grillwork hookup jungle labyrinth maze mesh net netting nexus organization patchwork plexus reticulation reticule structure system tessellation wattle weave web wiring disorganization networks Screening community culture people populace public society state citizenry dwellers folk natives residents BMC Big Mad Bmc
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