text:
Recently on the Facebook CTF page, someone mentioned a new dairy-free cheese on the market that melts and strings like real cheese. Since I’ve been working on developing a variety of pizza crusts, I decided to look into it. [Read more…] about Review- Daiya Dairy-Free Cheese
Note: I am neither a dietitian nor a doctor. I do not dispense medical advice nor do I offer any information on treatments nor cures for any medical condition. Always consult a physician before proceeding with any treatment. Our full disclaimer is at the bottom of this page.
In June and July on the blog, we’re going to discuss gut health. Gut health is a hot topic in the traditional foods world because so many people are not healing despite a traditional foods diet. I became seriously ill and healed my gut before the currently fashionable diets came out. This is my story.
A very wise man in my life often tells me, “A problem well stated is half solved.” Five years ago, we knew all of the problems, but had none of the answers.
I was born 7 weeks early to an undernourished mother who was 95 pounds when I was conceived. My childhood was rather uneventful health wise, other than huge tonsils and repeat ear infections. I grew normally and had none of the digestive problems associated with celiac disease.
I was diagnosed with PCOS in 2001 and was told I’d never had kids. I changed my diet to traditional foods after seeing my cat, Blue, have an ‘incurable’ and life-shortening health problem healed by a species-appropriate diet. I was told he wouldn’t live long and would require expensive, difficult medication until his death.
It had worked for him why can’t it work for me?
Each family has their own special Thanksgiving recipes. This recipe, included in the Thanksgiving Menu Mailer, is my crustless version of our family favorite Pumpkin Pie.
If you’d like to consider a low-carb pumpkin pie that has a crust, I would urge you to consider the recipe using coconut flour in Brice Fife’s book, Cooking with Coconut Flour (and at half.com). His recipe includes the recipe for the filling as well.
From the Menu Mailer Volume 4 Week 18
If you’re carb- or grain-conscious, this pie is quick to throw together and really fits the bill. This is our Thanksgiving choice this year since both my mom and husband are low-carbing to deal with health issues.
1 (15-ounce) can or 1½ cups homemade pumpkin puree*
1 tsp cinnamon
½ tsp ginger
¼ cup honey/agave or ½ cup rapadura
¾ cup unsweetened coconut, rice, almond or dairy milk
Preheat oven to 425 degrees. Grease a 9” pie plate and set aside.
In a bowl, whisk all of the ingredients together, mixing thoroughly to make sure the spices are disbursed throughout the batter (if using roasted, chopped pumpkin, combine all ingredients in a blender until smooth). Pour into the pie plate. Bake for 15 minutes. Reduce the oven temperature to 350 degrees and bake another 30 minutes or until a knife inserted comes out clean.
*To roast your own pumpkin, cut it in half, scoop out the seeds (save for another use, feed to your chickens, roast with oil and spices or discard them) and place face down on a rimmed pan. Bake at 350 degrees for an hour or until completely soft when pierced with a knife. Cut away the skin and run through a food processor until finely chopped. Pie pumpkins have the best flavor. If you can not find a pumpkin, a butternut squash can also be used.
Disclaimer: As a resident of North Carolina, I am not allowed to have a referral account with Amazon. I do not profit from you clicking the above link.
I’ve had a lot of questions come in based off of the beginnings of the Good, Better, Best series. Lots of people are asking how I apply what I am writing, and how I make my own choices, since I haven’t been very explicit in telling you where my own lines are. So I decided to give a quick write-up on where our lines are, and then pick back up on the series. Here’s what I do for my household. They are in order of importance
Animal fats are critical to buy organic, pastured and grass-fed, as fats are where toxins are stored. Animals raised without chemicals and on their natural diet will have the lowest levels of toxins. For vegetable based fats, like olive and coconut oil, I decide based on price. I buy [Read more…] about Good, Better, Best: When and How to Choose Organic on a Budget
Welcome to the third installment in our Good, Better, Best series. I fully recognize that some of you have very tight budgets or only have access to mega-marts due to your locations. Others will have the funds and availability to choose the best of the best. Either way, this post isn’t to condemn someone who can’t pick the best of every option, it is to help you make the best decision you can with what you have, where you are.
This week’s installment is on choosing dairy products. This post is to help you decide what is the best option for your budget. We will not get into dairy vs dairy-free, whether or not you should consume dairy, and the like. If you are currently buying dairy, this is to help you decide what is the best option for your budget. This posting is my opinion, and after research, you might reach a different conclusion. If you do, please comment and share what you found and your reasoning. I’m always open to changing my opinion and updating this post if new or different information comes along.
Best– raw and unhomogenized, 100% pastured, organic or ‘not-certified but organic practice’ [Read more…] about Good, Better, Best- Dairy
I’ve had folks e-mail and post on the forum, asking questions about the specifics of my food storage. I’d like to take a chance to answer those questions before the next installment of the Real Food Storage series comes out on Monday morning and my radio interview on Thursday night with The 21st Century Homekeeper.
These questions came up because we actually LIVED on our food storage while my husband was unemployed for 11 months. We had one year of food stored and when he found a new job, we had two weeks of food left. So my year’s worth of storage made for 11.5 months of food, it would have gone longer had our garden not drowned that summer. So I’d say we hit our mark pretty well. [Read more…] about Real Food Storage Q&A


text:
Biloxi PD working murder case between two homeless men
Published 10:01 am Friday, February 11, 2022
On Thursday, February 10, 2022, at approximately 7:57 p.m., Biloxi Police Officers responded to a wooded area near the intersection of Popps Ferry Road and Cedar Lake Road to conduct a welfare check on the occupant of a homeless camp. Upon arrival, officers located a 52-year-old deceased white male who appeared to be the victim of an assault. The preliminary investigation identified the suspect as 63-year-old David Thomas Jordan, who is also homeless. Jordan was located in the immediate area and arrested without incident. Jordan was charged with 1st-degree murder and Harrison County Justice Court Judge Albert Fountain set a $1,000,000.00 bond. Jordan has been transported to the Harrison County Adult Detention Center awaiting an initial appearance. The identity of the victim is being withheld pending notification of family. The motive for the attack is still under investigation.

domain: news


text:
Guests will enjoy wild, hilarious flying lessons beginning July 1 at Goofy’s Sky School, one of several new attractions and restaurants opening in Paradise Pier at Disney California Adventure park. Along with the debut of The Little Mermaid ~ Ariel’s Undersea Adventure, these new experiences will complete the transformation of Paradise Pier, a section of the park reminiscent of a seaside amusement park of the 1930s.
The Disneyland Resort has announced that ‘Goofy’s Sky School’ (nee ‘Mulholland Madness’) at Disney California Adventure will join ‘Star Tours: The Adventures Continue’ and ‘The Little Mermaid: Ariel’s Undersea Adventure’ by marking its grand opening on June 3, 2011.
Joining the fun along Paradise Pier beginning June 3, this coaster attraction is inspired by the classic Goofy ‘How-to’ shorts of the 1940s and 1950s as well as the cartoon short Goofy’s Glider. The theme is a flying academy with your pal Goofy as the wacky instructor. Guests will enjoy all the dips, twists and thrills as Goofy tries to teach a group of novice pilots how to soar through the sky.
While construction continues at Disney California Adventure, the park will be offering alternative entertainment to the ‘Pixar Play!’ parade which went on hiatus late last year. Using elements from the parade, parkgoers will have the opportunity instead to watch mini-shows. Initially titled ‘Pixar Pop-Ups,’ the Disneyland Resort has announced that the first mini-show will be titled ‘The Incredibles: Heroes in Training’ and will begin performances on January 14.
A week later, on January 21, the Disneyland park will begin its in-park celebration of the 2011 campaign, ‘Let the Memories Begin,’ by projecting Disney PhotoPass photos of the day’s guests on the ‘it’s a small world’ facade on a nightly basis in an entertainment offering titled ‘Magic, Memories and You.’
The Disney Parks official blog has posted concept art and a brief description of the goings-on at the ‘ElecTRONica’ nighttime entertainment spectacle at Disney California adventure as first revealed here on Stitch Kingdom.
Set to take place Friday – Sunday nights beginning October 8, the spectacular transforms the Hollywood Backlot area to TRON city (with a touch of the parallel real world). The event will also take place nightly during Thanksgiving and Christmas weeks.
According to the article:
On Sunday, September 19, Annual Passholders at the Disneyland Resort and their guests will have the opportunity to be among the first to hear about Duffy, his origins and his journey from Tokyo DisneySea to Disney California Adventure as well as the magical date that he will become available to meet and greet guests at the Disneyland Resort this fall.
There will be two sessions available, approximately 45 minutes long, with one at 11:30 am PT and one at 2 pm PT. The presentations will be held at Stage 17 at Disney California Adventure. Any type of recording device is explicitly prohibited from entering the venue. Cellphones will be allowed but they must be turned off and stored away.
Neil Patrick Harris and his partner David Burtka were spotted earlier today at Disney California Adventure at the Disneyland Resort in Anaheim, California. The couple were celebrating recently found-out news that they will be expecting twins through a surrogate mother.
Photo by Paul Hiffmeyer, courtesy of Disney.
Disney’s California Food & Wine Festival will celebrate its sixth anniversary in 2011 with six weeks of culinary experiences for guests of all ages, April 29-June 12 at Disney California Adventure park and select locations across the Disneyland Resort.
Chefs, winemakers and guest speakers will focus on cultures, tastes and traditions with hundreds of tantalizing demonstrations, along with outstanding wine and spirits seminars. Guests will also feast on delicious food, wine and beer available throughout Disney California Adventure park.
After a recent update, the Blue Sky Cellar at Disney California Adventure re-opened today and we got a first look before the park opened at some of the new and exciting attractions coming to the Disneyland Resort within the next couple of years and here’s what we have learned of the upcoming additions:
Ariel’s Undersea Adventure – This attraction, which is slated to open in 2011 is also coming to the Magic Kingdom in 2012. Boarding what looks at first to be a clammobile from the Nemo & Friends attraction at Epcot (the vehicles here are simply called clamshells), guests actually enter the doorless vehicles from the sides (as the vehicle will be perpendicular to the guest at loading). A vehicle identified as Triton’s Chariot will be able to directly support a wheelchair. In the loading area will be a mural telling the story of The Little Mermaid and measuring in at an amazing 86 foot length and 12 foot height.
On display is a layout of the attraction at 1:96 scale and maps out all of the defined areas of the attraction. After boarding the vehicle (Scene 1): the guest will travel to see Scuttle and Sebastion (Scene 2); descend (Scene 3) into Ariel’s Grotto (Scene 4) where the guest will encounter an audio animatronic of Ariel holding a chest in her lap and a figure of a dancing couple as she sings ‘Part of Your World.’ According to the plans on display, Ariel will be capable of almost 30 separate functions including full control of her pupils (as well as blinking) and full mouth movement. Guests will then continue on to journey under the sea which includes new effects to enhance the sensation (Scene 5); Travel to Ursula’s Lair (Scene 6); ascend (Scene 7) to the ‘Kiss the Girl’ scene (Scene 8); journey on to Love’s First Kiss (Scene 9); and finally live Happily Ever After (Scene 10) before unloading (Scene 11).
Interestingly enough, the attraction’s ride system and vehicles are being constructed in Japan.
Goofy’s Sky School – A redo of Mulholland Madness and also expected to open in 2011, Goofy’s Sky School is based on the classic ‘how to’ cartoons featuring every one’s favorite talking dog. Although it looks like the billboards will remain (but re-themed), the facades will all be lowered to ground level, opening the attraction up. Guests will enter the queue through a ‘control tower’ designed to fit in with the early seaside attraction theming of Paradise Pier. The vehicles will also remain the same but will receive a paint and decal makeover as well as a hood ornament of sorts.
Red Car Trolley – Probably one of the more highly anticipated new attractions of the park makeover is the addition of the Red Car vehicle system for moving around the park. At a height of 10’4″ and approximate length of 26′, the ‘butterfly-wing’ grilled cars are reminiscent of their inspiration from the 1920s and 30s. They are battery powered despite the presence of overhead wires which exist only for show. As they are shown, the cars will seat 20 guests as well as one guest with a wheelchair/ECV in addition to the vehicle operator. There are four stops connecting Buena Vista Street with Hollywood (where tracks have already been embedded into the streets). A map shows proposed wig wag locations for the system: Buena Vista, Carthay Circle and Tower/Bugs. As a sidebar, concept art reveals that the vehicles (or perhaps specially designed ones) can serve as entertainment vehicles as the Omnibus has at Magic Kingdom for example.
In an event fitting only for a spectacle such as the new World of Color at Disney California Adventure, Disneyland pulled out all the stops, inviting celebrities, media and lucky members of the viewing public to dine at a visual feast. On the scene to report for us was Kelly Noble, a first-time contributor for Stitch Kingdom.
A-Listers such as Mickey Mouse, Minnie Mouse, Donald Duck and Goofy came out to show their support along with their contemporaries which included comedic actor Jason Segel (who write and starred in Forgetting Sarah Marshall and is currently doing the same for The Greatest Muppet Movie Ever),Twilight star Peter Facinelli, Vanessa Hudgens, the kids from ABC’s Modern Family (along with Rico’s sister, actress Raini Rodriguez), Jamie Lee Curtis, John Stamos, Wayne Brady, Jodi Benson (known for being the voice of Ariel in The Little Mermaid and Barbie in Toy Story 2 and Toy Story 3), Geena Davis and Teri Hatcher, just to name but a few. Even former Bachelor Jake Pavelka walked the blue carpet with Vienna Girardi in tow.
Disney legends and celebrities strolled the great blue way too. On hand to celebrate was prolific composer and Disney legend Richard Sherman, Disney CEO and President Robert Iger and Disney Parks and Resorts President Tom Staggs.
After the jump is our extensive photo gallery of the preparation of the event as well as the blue carpet experience. We do recommend you use the PicLens link to view it as a complete slideshow, but feel free to browse the photos individually
The limited release pin is available only at select retail locations within the Disney California Adventure park including P.T. Flea Market and retails for $7.95. Annual Pass must be presented during time of purchase.

domain: entertainment


small projector price For a better audio experience, it is recommended to connect external speakers or a soundbar Sony uses proprietary technology to provide high-quality audio and can be controlled through a smartphone app or remote control. lcos projector,360-degree projectors are becoming increasingly popular as a tool for immersive entertainment and virtual reality experiences These projectors can be adjusted remotely, allowing users to create the perfect image without the need for manual adjustments.
epson epiqvision ultra ls500,Choose the Right Projector If the projector is making strange noises, such as buzzing or clicking, there may be a problem with the fan or the color wheel. jimtab m18, Here are some of the features and specifications of the GooDee projector:Design and Features: These projectors are ideal for use in movie theaters, theme parks, and museums.
nebula solar projector Short-throw projectors with auto focus can be used to display a wide range of content, from movies and TV shows to educational videos and presentations Whether you're looking for a laser projector for large venues, a 3D projector for immersive entertainment, a smart projector for easy streaming, an ultra-short throw projector for small spaces, or a portable projector for on-the-go use, there is a projector out there that will meet your needs. kodak luma 350 portable smart projector,The HOMPOW projector performs well for its size and price range Resolution is the number of pixels that make up an image and impacts the clarity of the image.
christmas laser light, These early projectors used a light source to project an image onto a screen or wall For a better audio experience, it is recommended to connect external speakers or a soundbar. lcos projector Check the lamp and replace it if necessaryPoor Image Quality Another advantage is their versatility.
lg portable projector Here are some of the key features and specifications to consider when choosing a movie projector:Design and Features: One of the most significant advantages of HDR projectors is the immersive experience they provide. magic lantern projector,The built-in speaker provides decent sound quality, but it may not be loud enough for larger outdoor spaces Throw ratio refers to the distance between the projector and the screen or wall These projectors are ideal for use in applications that require high levels of detail, such as scientific research and medical imaging.
With the right projector, you can enjoy an immersive viewing experience no matter where you are, LED projectors use much less energy than traditional lamp-based projectors, making them more environmentally friendly 7 x 5. The Best 4K Projector Under 2000 For 2022 - Projector Leader optoma cinemax p1, Gain is a measure of the amount of light that is reflected back from the screen.
It also has a 2000:1 contrast ratio, which helps to produce a clear and detailed image moviemate, How to Use a Projector for Outdoor MoviesUsing a projector for outdoor movies is a great way to enjoy movies with friends and family in the comfort of your own backyard. nebula solar projector Portable LED Projectors, The first step in mounting a projector on a ceiling is to choose the right location.
optoma projector screen, For larger rooms or outdoor events, consider a projector with 5,000 lumens or more Resolution. short projector, Interactive ultra-short throw projectors allow users to interact with the projected image using touch or motion sensors, creating a more engaging and interactive experience The Best Projector Stands of 2022 - Projector Leader.
anker nebula capsule ii 3d projector 4k tiny projector However, it's important to note that the quality and stability of the WiFi connection can affect the performance of the projector Movie projectors typically have a higher brightness rating than portable projectors, with brightness ratings ranging from 2000 to 10,000 lumens or more. atmosfx hollusion projection material, Factors such as room size, shape, and materials can affect the way that sound waves travel and bounce off surfaces, resulting in echoes, reflections, and other distortions that can affect the sound quality Another advantage is their ease of use https://www.projectorleader.com/8k-projector/.
Avoid using any abrasive materials as they can scratch the surfaceIf the exterior is particularly dirty, you can use a mild detergent and warm water,1 surround sound, and 7 It's also important to ensure that the equipment is properly installed and protected from the elements to ensure longevity and safety. 4k portable projector,Throw ratio refers to the distance between the projector and the screen or wall Consider the frequency of use and the cost of replacement lamps when choosing a projector with the right lamp life for your business.
samsung short throw projector, The brightness rating is sufficient for indoor use or for use in dimly lit areas, but it may not be as bright as some higher-end projectors They are known for their bright and vibrant colors, making them ideal for presentations and classrooms. best projector for iphone, ANSI lumens measure the amount of light output by a projector in a specific area, using standardized testing methods to ensure consistent and accurate results It allows users to watch movies, TV shows, and original content on demand, either through a web browser or through a variety of devices, such as smartphones, tablets, smart TVs, and streaming devices.
4k 3d projector 8K projectors can display images with incredible detail and clarity, making them ideal for use in applications that require high levels of detail You'll also want to consider the distance between the projector and the screen - this will vary depending on the projector, so consult the manufacturer's instructions for the recommended distance When choosing an outdoor projector, it's important to consider factors such as resolution, brightness, contrast ratio, lamp life, and connectivity options. opaque projector, It is expressed as a ratio of the luminance of the brightest color to that of the darkest color, typically written as "X:1," where X is the ratio These projectors are small enough to be carried with you wherever you go, allowing you to enjoy your content on the go.
HDR (High Dynamic Range) projection is becoming increasingly popular as a tool for entertainment and business,projector for mapping Kircher's projector used a candle or oil lamp to project an image onto a wall or screen. xgimi halo Clean the Air Filter Performance:.
Another advantage is their versatility,https://www.projectorleader.com/3d-projectors/ Ultra-short-throw projectors are ideal for use in homes, classrooms, and offices. nebula solar projector ConclusionOverall, the NexiGo PJ40 Movie Projector is a great option for those on a budget who are looking for a reliable and easy-to-use projector for home entertainment It measures 4.
cinemood portable movie theater, Another advantage is their versatility Wireless Projection. bomaker gc355 Be sure to dry the surface completely after cleaningReplacing the Lamp, These projectors can be easily carried around, making them perfect for on-the-go presentations or impromptu movie nights.
Entertainment lighting: LED lights are commonly used for entertainment lighting, including stage lighting, special effects lighting, and accent lighting, It comes with a built-in speaker and a variety of connectivity options, including HDMI, USB, VGA, and AV, making it easy to connect to a range of devices As a result, it's important to consider all of these factors when choosing a projector and to ensure that the brightness rating is appropriate for the intended use. oled projector Netflix offers a wide range of content, including original programming, movies, and TV shows from various studios and networks, In this article, we'll explore the advantages of using a projector in your business presentations.
hd29hst, Another advantage is their color accuracy, which is much higher than traditional lamp-based projectors 8K projectors can display images with incredible detail and clarity, making them ideal for use in applications that require high levels of detail. nebula smart projector 5 inches in size, Here are the steps to follow:Choose the right speakers: Choose speakers that are compatible with your audio source and provide the sound quality you desireConnect the speakers: Connect the speakers to your audio source using the appropriate cablesAdjust the volume: Adjust the volume on the speakers and on the audio source until you achieve the desired sound levelConclusionIn conclusion, setting up a projector for a home theater involves choosing the right projector, setting up the screen and location, setting up the projector, and setting up the audio lcos projector, Another advantage is their image quality.


text:
How to Make It
Bring a medium saucepan of water to a boil and fill a bowl with ice water. Add the edamame to the boiling water and cook until tender, about 5 minutes. Using a slotted spoon, transfer the edamame to a plate and pat dry.
Cook the pearl onions in the saucepan of boiling water for 3 minutes. Drain the onions and transfer them to the bowl of ice water to cool completely. Using a paring knife, trim off the root ends and peel the onions and pat dry.
Melt the 1/2 tablespoon of butter in a medium deep skillet. Add the peeled onions and the sugar and cook over moderately low heat, stirring, until lightly browned, about 15 minutes. Add the heavy cream and thyme and simmer until slightly reduced, about 5 minutes. Add the edamame and Turkey Stock and bring to a boil. Season with salt and pepper. Stir the cornstarch slurry, then add it to the cream sauce and cook, stirring, until thickened, about 2 minutes.
Preheat the broiler and set a rack 6 to 8 inches from the heat. Pour the edamame mixture into a 2-quart shallow baking dish. In a small bowl, mix the 1 tablespoon of melted butter with the panko. Sprinkle the crumbs over the edamame and broil for about 3 minutes, or until golden and bubbling; serve hot.

domain: food


text:
More details emerge about the Democrats’ proposed billionaires tax. Who would it affect and how much they would be taxed?
McDonald’s making a healthy recovery out of the pandemic, especially compared to rivals. What’s behind its stronger-than-expected sales?
General Motors is also beating expectations despite major challenges. But experts say there are more disruptions to come.


text:
- Northeast Ohio 216.444.7000
- Appointments & Locations
- Request an Appointment
- Contact Us
What is portal hypertension?
Portal hypertension is elevated blood pressure in your portal vein and the smaller veins that branch off from it — your portal venous system. The portal venous system drains blood from your stomach, intestines, pancreas and spleen into your liver through the portal vein. Your liver filters the blood and then sends it back to your heart and into general circulation in your body.
When something blocks or slows the blood flow through your portal vein, it causes increased pressure throughout your portal venous system. Your body attempts to compensate for this pressure by diverting the blood flow into other veins. The extra blood flow makes these veins expand and makes their walls stretch and weaken. They may leak fluids into your abdomen, and they can also break and bleed.
Who gets portal hypertension?
In Western nations, portal hypertension is most commonly caused by cirrhosis of the liver. That’s when long-term liver disease causes scarring of your liver tissues. Scar tissue obstructs the flow of blood through the portal vein running through your liver. In other areas of the world, a parasite infection called schistosomiasis is the more common cause. Over 230 million people worldwide have this infection.
How serious is portal hypertension?
The complications of portal hypertension can be life-threatening, especially internal bleeding. Not everyone will have these complications, but the risk increases as portal hypertension increases. The greater the pressure, the more enlarged your veins become and the more likely they are to rupture. Portal hypertension is the most common cause of hospitalization and death in people with cirrhosis.
Symptoms and Causes
What are the 5 main symptoms of portal hypertension?
You may not have any symptoms until complications develop. Up to 90% of people with cirrhosis already have portal hypertension before they have symptoms. Up to 40% already have large varices (enlarged veins). The first noticeable symptoms of portal hypertension are usually related to new, enlarged, leaky and bleeding veins, such as:
- Blood in vomit.
- Blood in poop.
- Bloated stomach with rapid weight gain (from fluid).
- Swelling in your legs and feet (edema).
- Mental confusion or disorientation.
What are the potential complications of portal hypertension?
- Ascites. When fluid from your enlarged veins leaks into your abdomen, it builds up inside your peritoneal cavity. This causes uncomfortable swelling in your abdomen and can affect your appetite and digestion. In severe cases, it may extend into your chest cavity and interfere with your breathing. It’s also a risk factor for infection in your peritoneal cavity (peritonitis).
- Gastrointestinal bleeding. Enlarged veins in your gastrointestinal tract may rupture and bleed. These are most commonly esophageal varices, which are closest to the surface and have the thinnest walls. Veins in your stomach lining can also become swollen (called portal hypertensive gastropathy) and can bleed in severe cases. Bleeding may lead to anemia.
- Hypersplenism. Reduced blood flow through your spleen causes it to swell with excess blood and to create new blood vessels to accommodate the blood flow. An enlarged spleen can become overactive, removing too many blood cells from circulation. This can lead to reduced blood clotting (low platelet count) and compromised immunity (low white blood cell count).
- Low blood oxygen. In some people, portal hypertension causes blood vessels in their lungs to dilate. This interferes with their lungs’ ability to transfer oxygen to their blood. The result is hypoxemia (low blood oxygen levels). This is known as hepatopulmonary syndrome.
- Kidney failure. Dilated blood vessels resulting from portal hypertension can cause other blood vessels in your body to narrow. If this happens in your kidneys, it can cause kidney failure by restricting your blood supply. This rare complication is known as hepatorenal syndrome.
- Mild cognitive impairment. Your body adapts to portal hypertension by creating new blood vessels that bypass your liver. But when blood bypasses your liver, it doesn’t get filtered as it was supposed to. Toxins accumulate in your blood and eventually affect your mental function. You may have temporary bouts of confusion or disorientation, called hepatic encephalopathy.
What are the causes of portal hypertension?
- Cirrhosis of the liver. This is generally the end stage of chronic liver disease, most commonly viral hepatitis C, alcohol-induced hepatitis and nonalcoholic fatty liver disease.
- Granulomas of the liver. Granulomas are collections of inflammatory cells that accompany various infections and inflammatory diseases (such as schistosomiasis). They can obstruct the portal venous system as benign tumors and they often precede fibrosis (scarring) to come later.
- Blood clots. Thrombosis in the portal venous system can obstruct blood flow into the liver, through the liver or out of the liver. Many things can cause this, including inherited diseases.
Diagnosis and Tests
How is portal hypertension diagnosed?
The most direct way to diagnose portal hypertension is to measure the pressure in your liver veins, which involves inserting a tiny catheter into a vein. But this is a difficult procedure and not usually necessary. Healthcare providers can recognize portal hypertension by its clinical signs and symptoms. Imaging tests and blood tests can help confirm their suspicions.
What are the clinical signs of portal hypertension?
Your healthcare provider will suspect portal hypertension if you have:
- Enlarged varices.
- Enlarged spleen.
- Gastrointestinal bleeding.
- Ascites (fluid in your abdomen).
- Signs of mild cognitive impairment.
- Low blood cell counts.
- Easy bleeding and bruising.
What tests will be done to diagnose this condition?
- Blood tests can reveal a lot about what’s going on in your organs. A comprehensive metabolic panel can show signs of kidney and liver dysfunction. A complete blood count can show if your spleen has become overactive in removing white blood cells or platelets. It can also show certain blood disorders that might cause portal hypertension or blood loss from internal bleeding.
- Imaging tests can help identify cirrhosis, ascites, enlarged organs and enlarged or new veins in your portal venous system. In particular, a Doppler ultrasound can produce images of blood moving through your veins. It can identify obstructions and abnormal widening or narrowing.
- Endoscopy. If you have signs of gastrointestinal bleeding, your healthcare provider will need to investigate with endoscopy. An upper endoscopy is a procedure in which a physician examines your esophagus, stomach and duodenum by inserting an endoscope, which is a long tube with a camera at the end. They’ll be looking for varices as well as signs of active or recent bleeding. If they find bleeding, they can usually stop it using tools inserted through the endoscope.
Management and Treatment
What are the treatment options for portal hypertension?
Portal hypertension itself may or may not be reversible, depending on its cause. If there’s an infection or a blood clot that your healthcare provider can treat with medication, portal hypertension can improve and sometimes resolve over time. However, significant scar tissue, such as in the case of cirrhosis, usually won’t reverse and leads to persistent portal hypertension. Most treatment is aimed at managing the complications of portal hypertension. Your healthcare provider will address emergencies first, then move on to longer-term solutions.
First-line treatments to stop gastrointestinal bleeding include:
- Endoscopy. Your healthcare provider will treat acute bleeding with endoscopic therapy. Endoscopic methods include sclerotherapy and banding. Sclerotherapy means injecting a solution into the bleeding varices to control the bleeding. Banding means tying off bleeding varices with tiny rubber bands.
- Medication. Your healthcare provider may prescribe medications in combination with endoscopic therapy to reduce the pressure in your varices and reduce the risk of recurrent bleeding. Beta-blockers can reduce portal pressure, while vasoconstrictors can help reduce dilated blood vessels.
Other first-line treatments for complicated portal hypertension may include:
- Oxygen therapy for hepatopulmonary syndrome.
- Dialysis for hepatorenal syndrome.
- Medication to treat hepatic encephalopathy.
- Paracentesis to remove excess fluid from ascites and test it for peritonitis.
When bleeding or other complications persist, healthcare providers may move on to second-line treatments.
Two different shunt procedures are sometimes performed to help redirect blood flow through your portal venous system and relieve pressure.
- Transjugular intrahepatic portosystemic shunt (TIPS): In this nonsurgical procedure, a physician called an interventional radiologist uses X-ray imaging to guide the placement of a stent in your liver. They use a needle to tunnel through your liver and connect the portal vein with one of your hepatic veins, diverting blood flow and relieving pressure. They place a stent to keep the tunnel open. This procedure can be highly effective, but over time there’s a small risk of the stent malfunctioning, requiring a repeat procedure to fix it.
- Distal splenorenal shunt (DSRS): This surgical procedure may be a better alternative for some people. Although you have to be in good enough health to safely undergo the surgery and recovery, it may be more effective in the long term for controlling your disease. The procedure disconnects your splenic vein from your liver and diverts it to your left kidney vein instead, selectively reducing blood flow and pressure through both your liver and your spleen.
Finally, some people with advanced liver disease may be candidates for a liver transplant.
What kind of follow-up care will I need?
All of these treatments require extensive follow-up care to keep an eye on your condition. You’ll see your healthcare provider frequently in the first year after treatment to make sure the treatment is still working and that no new complications have developed. After that, you’ll continue to see them at least twice a year for imaging tests to look at your liver and blood tests to check your liver function.
How can I prevent portal hypertension?
The best way to prevent portal hypertension is to try and stop the progress of chronic liver disease when you can. Not all causes are in your control, but some of the most common ones are — if you discover them soon enough. Liver disease caused by alcohol use or by metabolic disease can often be improved by dietary and lifestyle changes. Hepatitis C can be cured with antivirals. Make sure to get screened at least once.
Outlook / Prognosis
What can I expect if I have this condition?
Your outlook depends on how severe your portal hypertension is and whether you have bleeding varices or other complications. The risk of death from your first episode of bleeding may be as high as 40%. If bleeding recurs after treatment, the risk of death from your next episode is close to 30%. Your risk is higher if you have more advanced cirrhosis. It’s lower if your liver disease is still early enough to control.
How do I take care of myself while living with portal hypertension?
Keep in touch with your healthcare team. Make sure to make all of your checkup appointments and take your medications as directed. Check with your provider before taking new medications, and reduce or eliminate alcohol. You may need to maintain a low-sodium diet, or a more personalized diet plan. You may also have other related conditions that you can help control with diet and lifestyle changes.
A note from Cleveland Clinic
Portal hypertension affects so many different organs that treating it can feel like putting out multiple fires. It may come as an unpleasant surprise to learn that liver disease can affect veins in your stomach, esophagus, lungs and kidneys. This is especially true if you’ve had no symptoms or signs of liver disease until now. But catching it earlier will give you the advantage in controlling portal hypertension.
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
- Northeast Ohio 216.444.7000
- Appointments & Locations
- Request an Appointment
- Contact Us

domain: medical


Vatic Note: It seems to me all this hot news is covering up the fact that Black Water Mercenaries were in the Ekraine and were the snipers killing both protestors and police to start the resulting violence and end result of possibly starting WW III. The powers that be ABSOLUTELY MUST HAVE THIS WAR. And the USA "MUST" lose it, if they are going to achieve their goal. Only time will tell, if they get rid of Obama, then he has served his purpose. A bit embarrassing for the Noble peace prize committee, though, wouldn't you say? I wonder if they will ever recover. They have lost all credibility.
Chilling: President Obama Threatened Several Governors This Week
By Sara Noble
Governor Rick Perry
Texas Governor Rick Perry presented a chilling summary of Obama’s meeting with a group of governors at the White House on Monday.
Perry says Obama made it clear that he doesn’t trust governors to make decisions about their respective states on a variety of issues.
Perry said, “I don’t mind telling you I was a bit troubled today by the tone of the president. When you have governors, and we all compete against each other – we are the laboratories of innovation – and for the President of the United States to look Democrat and Republican governors in the eye and say, ‘I do not trust you to make decisions in your state about issues of education, about transportation infrastructure,’…that is really troubling.”
It’s really not surprising because he is after all, the Imperial President.
Obama threatened any Governor who spoke out against the out-of-control government spending according to Perry: ”As a matter of fact, I heard him (Obama) say in that meeting, ‘If I hear any of you pushing back, making statements about Washington spends too much money, you’ll hear from me.’ If I’m a Democrat governor, if I’m a Republican governor, I’m highly offended by that.”
The article is reproduced in accordance with Section 107 of title 17 of the Copyright Law of the United States relating to fair-use and is for the purposes of criticism, comment, news reporting, teaching, scholarship, and research.


text:
Now in its 22nd year, the SAN DIEGO INTERNATIONAL FILM FESTIVAL is dedicated to “‘Celebrating the Power of Film’ with curated screenings that inform, inspire and entertain.” For six years, it has been identified as the area’s “Best Film Festival,” sharing “the very best in cinematic storytelling from around the globe.”
We’re honored that EACH LOVELY THING, a short written and directed by Paloma Nozicka, will be screening at this year’s festivities. (You’ll find it as part of the “Evocative Storytelling” block, which is scheduled for this Friday, October 20, 2023, at 4 PM, at AMC UTC 14 (4425 La Jolla Village Drive, San Diego)).
In this piece, as a celebration is underway, a woman repeatedly attempts to stop her sister from making an irreversible decision.
To learn more, visit: https://sdfilmfest.com/film-festival-2023/#calendar-8495214a-23a5-4860-89ba-c49780ed3fd6-event-lm0zhz8f
Special thanks to everyone at SDIFF, and a special shout-out to our cast and crew for yet another amazing accomplishment.
@elainerivkin @13inspanish @xmarksthespt @bywoahboy @kiaylaryann @deliabaseman @ramonehulet @juanempanadavilla @lori1ton
produced in association with @lucasaferrara
writer + director: @palomiiiiiiita
creative producer: @vanceasmith
EPs: @juanempanadavilla @lori1ton
1 AD: @_jjuanpablo
1 AC: @justinlinstagram
sound mix: @spagettit
prod design: @beccamu
sound design: @_jjuanpablo
swings: @sassyseamonster @elicooperfilm
post audio: @_jjuanpablo
hair + mu: @laurennverret.mua @andreavaldezmua
BTS stills: @katherinebournetaylor
It would be a lovely thing to see you all there ….
To view a list of some of Lucas's other projects, click here: https://www.imdb.com/name/nm11739610/
#lucasaferrara #righttodie #death #dying #disease #cancer #terminalillness #terminallyill #tumor #film #films #movie #movies #directing #director #writer #actor #actors #shortfilm #actress #femalewriter #screenplay #directors #moviemaking #movemaker #filmmaker #filmmaking #moviemakers

domain: artistic


text:
- Alex Rodriguez is so into Jennifer Lopez - TMZ
- Angelina Jolie is not adopting another child - Gossip Cop
- Dove Cameron is spilling about Descendants 2 - Just Jared Jr
- Jesse Williams is divorcing his wife Aryn Drake-Lee - Wetpaint
- Oprah Winfrey shines in The Immortal Life of Henrietta Lacks - Lainey Gossip
- Get the scoop on Spider-Man: Homecoming - The Hollywood Reporter
Anna Paquin Gives the Look of Love to Stephen Moyer at 'True Blood' Season 7 Premiere!
About Photo #3137772: Anna Paquin and Stephen Moyer are all dressed up while attending the premiere of the seventh and final season of their hit show True Blood held at TCL Chinese Theatre… Read More Here

domain: celebrity


text:
Gulf Bank Launches New Economic Research Unit
New unit to prepare economic studies, organize panel discussions with industry experts, and issue regular reports on the local and global economy
Kuwait, 04 February 2020: Gulf Bank recently launched their Economic Research Unit, which aims to prepare detailed analytical studies and compile reports on the most important economic issues in both the region and the world. Among the new unit’s most important tasks is preparing studies that the Bank’s senior management can use to assist in their decision-making process and in setting the Bank’s strategy. The new reports will also pave the way for Gulf Bank to provide even more dedicated services to its clients, allowing customers to achieve their financial goals. As part of its commitment to raising the state of financial awareness in the region, Gulf Bank will also be making the new reports and relevant studies accessible to the general public through its various media channels, including social media.
The unit kicked off its activities in October 2019 with an economic forum on the real estate market in Kuwait. The economic forum, which was organized by Gulf Bank, was attended by a group of specialists from the public and private sectors. The Economic Research Unit also launched its first economic report, titled "Economic Insight Report," which details the current demographic makeup of Kuwait. The report is the first of a series of reports that aim to discuss various financial and economic subjects with the goal of educating readers and guiding decision-makers. The Economic Research Unit also prepares the Weekly Market Brief, which summarizes the most important financial and economic events of the week.
Keeping in line with Gulf Bank’s commitment to social responsibility and economic sustainability, the Economic Research Unit also prepares short weekly videos presented by Tareq Al-Saleh, Deputy General Manager of the Economic Research Unit at Gulf Bank. The videos aim to promote financial literacy and create a culture of financial awareness, and cover a variety of topics including Fintech, investment, saving, and general tidbits about the state of the economy. The one-minute tips are aired across Gulf Bank’s various social media channels under the hashtag #معلومة_في_دقيقة #info_in_minute
Mr. Tareq Al-Saleh, Deputy General Manager of the Economic Research Unit at Gulf Bank, said: “The establishment of the Economic Research Unit is a natural development for a bank the size of Gulf Bank. We have a large and diversified client base, and we strive to raise awareness in our society as part of our social responsibility initiatives, so it is only natural that we develop our service offering to include various reports based on sound economic data and financial research. We are delighted to have launched Gulf Bank’s weekly one-minute videos in which we provide simple tips related to personal finance and also simplify a variety of financial topics that some may think are too complex or difficult to understand. We are looking forward to offering our clients even more services and activities in the future, which will include panel discussions with industry experts, various studies and financial reports, and more financial tips on social media."


text:
I am a big fan of Robyn Rhodes eponymous jewelry line. I am loving all of her Egyptian inspired pieces, especially the ones with scarabs! They're just so cool looking.
Lorna, and one is a coiled bracelet, Neisha. Which one do you like more? The bangle or the bracelet? Both have a gold finish and both are scarab heavy. Let me know in the comments below which one gets your vote!


An introduction to Data Republic, the Senate platform, and the basic concepts of data exchange.
An overview of Data Republic's Senate platform including the available services and underlying technology.
An overview of security and data governance concepts on Data Republic's Senate platform.
An overview of the Data Republic Partner program and it's benefits.
What's new, bug fixes and performance improvement updates
A user guide to Data Republic's Senate platform.


text:
My name is Bria Brown and I am the founder of B. Brown Productions LLC. I started making videos several years ago and it has grown into a passion, hobby, and a living. I absolutely love capturing stories, moments, movements, and more. And I love that I have the tools to help other folks tell their story.
Although I am from the all over the South (born in Georgia, raised in South Carolina, schooled in Virginia) I split my time living and working between Atlanta, Georgia and Madison, Wisconsin. I spend most of my time creating videos, working at a local non-profit, and spending time with loved ones. You can always find me at the local co-op of whatever city I’m in at that moment.
I am a fast talker and a thinker of BIG ideas, so I don’t want to just provide you with a video and say “good luck making this work for you.” I want to introduce you to other creatives who will bring your vision full circle. I want to sit and talk with you about how to optimize the videos we create together for your needs. I want to provide you with a full experience.


text:
When director James Wan wants to take a break from directing Hollywood behemoths, he goes back to his first love, horror movies. His latest offering, Malignant, is a scary, gory, and entertaining horror thriller that will make viewers gasp in shock on the big reveal.
Headed by Annabelle Wallis (of Peaky Blinders), the film follows her attempts to unearth her connection to a mysterious and violent killer.
Below is a list of the most horrifying/spooky moments in the film.
Please be warned of massive SPOILERS ahead.