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all right so were going to look at how we determine cut points so we talked a lot about cut points in health what cut points are not just limited to health they are also limited to other things like for example how did they determine that cut points to get into West Point its a its a point based system and there must be some kind of science behind how they actually develop those cut points and by the way theres a beautiful rand study about admissions data and success in the military which is pretty interesting if you want to pick that one out but the example Im gonna pick is blood pressure and type 2 diabetes so if I wanted to use blood pressure having high blood pressure is not a disease blood pressure is a screen for other diseases and its a screen for other diseases because taking blood pressure is easy determining whether you have type 2 diabetes requires a blood draw so what is blood pressure it actually consists of two numbers systolic blood pressure and diastolic blood pr