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Tuesday 4th January 2005, 9.00-9.30pm
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CASE NOTES 4. - Respiratory Diseases
Hello. Today's programme is about respiratory diseases - the third biggest killer in Britain after heart disease and cancer, and the Cinderella of the NHS according to a new report out this week by The British Thoracic Society. One of a number of groups lobbying the government for more funds following publication of the latest international league tables that show a greater proportion of Britons die from lung disease than almost any other nationality in the world. Death rates from respiratory disease here are twice the European average, and only beaten globally by a handful of former Soviet Union states. But why?
Tuberculosis, TB, was originally spread to the rest of the world by pioneering Europeans. Two hundred years later, a third of the world's population now carries the disease - at least two million of whom will die over the next 12 months. TB now poses a relatively small risk here in the UK but the situation is getting worse - the number of new cases has risen nearly 50% in the last 20 years, and in some inner city areas, infection rates are 10 times the national average. I'll be finding out why TB is making an unwelcome comeback, and what's being done to combat it.
I'll also be discovering how a simple exercise programme can improve the quality of life for the million or so people in the UK left breathless as a result of chronic obstructive pulmonary disease (COPD) - better known to many as chronic bronchitis or emphysema.
This is my last week and there's a vast improvement from week one. In distance you can say I could walk 20 yards and then stop, after this 30-40 easy.
And lastly, asthma. As many as one in three children experience some degree of cough and wheeze as a result of the condition - I'll be finding out about a novel approach to helping them keep their symptoms under control.
My studio guest today is Dr John Moore Gillan, a respiratory physician at St. Barts and the Royal London Hospitals and president of the British Lung Foundation.
John, why do we fare so badly in the UK? We've got relatively clean air, smoking rates are falling and not that bad compared to continental Europe and one would hope a modern free healthcare system?
It's partly history. In the past we've not looked after our lungs properly, we have had very bad air pollution and air pollution is still pretty bad, although it's a different sort of air pollution from the problems that we had in the 1930s up until about the 1950s or so. Part of what we're seeing of course is a complication - a consequence of past smoking rates and not just what's going on with smoking now.
Because we're looking at people presumably who are in their - people who are developing these problems are in their 60s and 70s many of them.
Yes, yes that's absolutely right and we do have very high rates of asthma and the reason for the rise in asthma in by no means certain and probably a number of different factors. There is also the question of resource - I think it does, I'm afraid, rather get treated like the Cinderella of the National Health Service and we only have half the number of lung specialists in this country that the European average has. And I think that must be having some impact upon the sort of burden of lung disease that we've got.
Well let's start with TB. Probably best known as a type of chest infection, of course you cover East London, which is one of the - if not the worst area in the country. TB can actually affect other parts of the body as well can't it.
That's absolutely right. You almost always catch tuberculosis via the lungs, you catch TB by breathing in TB germs which have been coughed up by someone else with the disease. What usually then happens is that nothing happens - the germs just go dormant and you don't even become ill. But either at that time or later in the course of the illness the disease can spread to other organs in the body and the bits that we see most commonly affected are lymph glands - that's swelling in the neck usually - also the bones, the kidneys and sometimes tragically the brain.
How infectious is it? If somebody has TB, perhaps in your office, if you're working with someone who has TB and they're coughing and spluttering away, what are the likelihood - what are the chances that you'd catch it?
Well TB is not very infectious, it is nothing like catching the flu for instance, where if someone sneezes and coughs over you a couple of times you've got quite a high chance of catching it. The people most at risk of TB are those who are living with someone else who's got active lung tuberculosis. The risks from casual contact are really very small. But if you have contact which is roughly equivalent to living with someone, for instance you're sitting across a desk from them and they've got active TB and they're coughing for weeks or months, well then there is a significant chance that you would actually catch the disease.
Telltale signs in the early stages?
When you first ...
Let's assume it's pulmonary TB.
Indeed yeah, when you first get infected by tuberculosis there can be no signs at all and that's the odd thing about TB that you can catch the infection and fight it off and just feel a bit Monday morning-ish for a few days and never anything more than that. But you can then become ill with it later on - months, years, even decades later. But if you are progressing to get active tuberculosis shortly after catching it the commonest symptoms and signs are a cough which just won't go away, fever and sweating, particularly at night. Sometimes coughing up blood as well and in particular just feeling rotten - losing weight, feeling off colour. Now we all get coughs and colds from time to time and I think that if everyone came to see you immediately they had a cough then general practice surgeries would be completely and utterly bombed out, even more than they are at the moment. But if you have got symptoms like that which are going on for a matter of weeks, particularly associated with feeling rotten, then it should just ring alarm bells that tuberculosis has not completely gone away in this country.
Why is it such a problem in parts of London, I mean rates are rising - as I said in the introduction there - rates are rising in the UK but mainly it's a problem in particular parts of the country where they're going through the roof?
Yeah well absolutely anybody can get tuberculosis but right through recorded history it's been people who've been towards the bottom of the socioeconomic pile who've been most at risk. First of all, if you breathe in TB germs and you're fit and well and well nourished you'll probably fight off the infection. If you're poorly nourished and you've got other infections, you're ill in other ways, then you're less likely to fight it off and you're more likely to become ill with TB. Secondly, if you're living in overcrowded surroundings you're more likely to catch it from someone. And if you then seek medical help as quickly than you might do if you're in a more prosperous area you're more likely to pass it on to someone else. And so this vicious circle gets tighter and tightly and more tightly wound and rates go up in poorer areas.
Now treatment involves quite a complex regime of basically antibiotics - antimicrobials - they have to be taken for quite a long time don't they.
They do. The TB bacterium because it grows pretty slowly it's quite difficult to attack. It's also got a remarkable ability to become resistant to antibiotics that we're using for them. So not only do we have to use special antibacterials - special antibiotics - you have to use them in combination, have to use them for a long time. And the standard treatment is to give four different antibiotics for a two month period and then two different antibiotics, although often combined in a single tablet, for a further four months. Some forms of drug resistant tuberculosis we're treating for a couple of years.
Well I'm going to stop you there John because when you get lots of pills together that you have to take for a long time one of the big problems of course is compliance - getting - not getting the patients but asking the patients to conform to the treatment, take the drugs as prescribed. Kerry McSparon is the lead nurse at the East London TB Network - an organisation formed four years ago to coordinate and improve TB services across East London. One of the group's prime targets was to improve compliance.
Our completion rates for 2003 were 96%, which our treatment outcomes should be defined as 90%, so we're well above that and we have been at least in the last five years and that's down to the nurses' dedication in working in partnership with the patients to complete their therapy. We will initiate discussions about their diagnosis, implications on their health, on their family's health, talk about their treatment. In that initial conversation the patients may take in half of what you say at most. So it's a continuous process of building that relationship with the patient where you can discuss openly about treatment, if they've forgotten to take any tablets, and even making arrangements for them to come into the clinic and have their treatment directly observed if that facilitates them completing their therapy.
But there's more to the team's work than simply ensuring that people take their pills properly - good TB management often requires a more holistic approach.
We've actually tried to address several social issues regarding tuberculosis, such as housing and funding for transport to come to clinic. So working in conjunction with social services, who actually come to our clinic every Monday, we will identify those who need priority for housing and they get fast-tracked to either get a new house or go to another house that's less overcrowded because that just helps facilitate spread of disease and we want to try and avoid that as much as possible. So commitment from local authority and the council has been really fantastic in addressing those issues.
Kerry McSparon. You're listening to Case Notes, I'm Dr Mark Porter, and I am discussing respiratory diseases with my guest, chest specialist, Dr John Moore Gillan.
John, is compliance a problem in your clinic?
I think it's a problem for everybody and I'm doctor and I ought to know better but on the occasions that I've been prescribed a week's antibiotics I get to about day four and it's hard work remembering to get through to the rest of the seven days and from your expression perhaps you're not completely blameless in this regard either. If you're taking anti-TB drugs it's a complicated regime and if you're feeling absolutely fine two or three months in the temptation to stop is very high indeed and we really do need to make sure if we're going to avoid drug resistance that the whole course gets taken.
What about the risk to foreign travellers briefly?
It's not really very high. But if you're going for a prolonged holiday or a prolonged stay in a country where there are very high rates of tuberculosis - South East Asia, Indian sub-continent - then it is worth just keep tuberculosis in mind, making sure you're protected so far as you can by BCG vaccination. And crucially if you then become unwell realising that TB is a possibility because that's the important thing - making the diagnosis early - then it's easy to treat.
John, let's move on to asthma, another huge problem in the UK. What are the latest theories on why it's become so common?
Well the theories are there's no one theory - that's the important thing. And we know it's not going to be just one simple answer. One of the problems may be our genes and there are certainly some populations who are more at risk from asthma than are other populations. It may be changes in diet, it may air pollution and there's, I think, a very interesting theory which is that maybe we're getting too clean these days and in times gone by children were exposed to more dirt and germs in early life and their immune system just had to get used to dealing with it. But now that we're so much more hygiene conscious when we do get exposed to substances which we might become allergic our immune system overreacts and we then get asthma.
And we're quite a lot better at picking it up as well aren't we. We used to have a lot of people, I remember as a young doctor in general practice, and we used to put people on antibiotics for their sort of wheezy bronchitis, which was probably poorly treated asthma.
Oh yes absolutely right. We are better at picking it up and I think that's been one of the great success stories of general practice in the last 10 years, has been better identification of asthma. But we mustn't let that blind ourselves to the fact that there has been a genuine increase, it's not simply that we're better at seeing it.
Well a school in Lancashire has come up with a novel approach to dealing with the problem, we sent Lesley Hilton to investigate.
The blue inhaler that you use, what is another name for the blue inhaler?
Reliever - good. And why is it called a reliever?
Because it relieves your asthma if you're coughing.
Okay, your symptoms, that's good. Right Vanessa, what's the brown inhaler? ...
Mayfield Primary School on the outskirts of Oldham is in one of the most deprived areas of the country. Death rates for respiratory disease are 36% higher here than in the rest of the UK. And more children are admitted to hospital with asthma than in more affluent areas. These children lose a lot of time off school and their asthma can restrict their social lives. Eight-year-old Hannah Coomes and nine-year-old Lewis Galbraith both have severe asthma.
I have like wheezing and a lot of bad coughs and it makes me poorly a lot, makes me sick and I get chest infections and stuff.
I don't really like asthma because most of the time I can't really join in with the games that me and my friends play cos I start to cough a lot when I start running around.
Their school is part of a Bronchial Boogie. An after school club for asthmatic children is held every week, where they're given health checks and advice on their medication. Janie Travis is a school health advisor.
We teach them about their asthma. They understand what asthma is. We don't go into great depths obviously because they're children, but we teach them about why it's happening, how their lungs work, how the inhalers work to relieve the symptoms and prevent the symptoms. We do quizzes and things where they don't realise but they're learning about asthma whilst they're doing it.
Get your flutes ready please and we'll warm up with a B note, so get your fingers in the right place. And we'll do B for two and then rest for two. One, two, ready go.
What makes the Bronchial Boogie sessions special is that as well as health advice the children are given a half hour music lesson on either the flute, clarinet or cornet. Playing a wind instrument shows them how to control their breathing, which in turn helps to control their asthma. Most children having music lessons want to learn to play a particular instrument, but these children had no idea of what was involved. Lisa Tott, their flute teacher, admits it was tough at the beginning, so how did she get them interested?
Well I motivated them by playing lots of flute music to start with to show them how versatile the flute could be. Half of them didn't know what the flute sounded like or what it looked like so I played tunes that they would recognise just to get them initially interested. And then as the weeks progressed and they found that they could do more and more that in turn motivated them to practise themselves.
Wendy Andrew from Oldham Music Services is one of the founders of the project. As a child she had asthma herself and found that learning a wind instrument and singing helped improve her breathing. Her own experiences shaped the after school club.
Initially the emphasis is on the compliance with the medication because asthma is a killer still and children need to take the medication. Parents need to be aware of the correct medication. Sometimes we found that children were not using their inhalers correctly because they didn't have the techniques so that's looked at. And then the music - the instrumental side, playing against the resistance of the instrument, learning how to breathe properly, and enjoying making music. Enjoying making music on it's own is a wonderful thing for any child.
Arms by your side, feet slightly apart, relax your shoulders, breathe in through your nose. And out through your mouth.
The project has been incredibly successful. Before the Bronchial Boogie 45% of these children couldn't take part in school sport. Now that's down to just 15%. Wendy Andrew says that's made a huge difference to their confidence.
A lot of the children were very concerned about not being able to take part in sport or not doing well, but now they feel quite confident. The boys in particular all want to play football. And we started out with the children doing drawings for us about what life was like for them and we could see it was a big issue - the fact that they weren't able to take part very well in the sport, in the football. And then we asked for drawings at the end and we saw lots of them where we had a child holding a flute in one hand and kicking a football in the other, which we felt was quite significant!
At the moment the project involves just a few primary schools. Its future funding is uncertain. Wendy Andrew would like to extend it and certainly based on the improvement in Hannah and Lewis that would benefit a lot more asthmatic children.
I can do like more running around without having to use my inhaler as much. And I haven't been wheezing as much and coughing as much. I think it's really good because it's helping you to get better and you're like having fun at the same time.
It's really helped my asthma because I've learnt how to use my inhalers properly, how to control my asthma and what to do if I'm having an asthma attack or something. It's really fun and your asthma's getting better, as well as having fun at the same time.
Hannah and Lewis from Mayfield primary school in Oldham.
John, it's tempting to use that as a justification for the dreaded recorder, not my favourite instrument, but it's probably as much to do with support and education isn't it - if you look after people with things like asthma and show them how to use their inhalers they tend to get better.
I mean that's true of asthma par excellence but as well as many other diseases as well. I come across people who can't use their inhalers who've had asthma for 20 years, including one or two doctors have been using inhalers wrongly for many years. Getting it right is crucial to good control.
Let's move on to COPD - a much more common problem than TB but one that rarely receives the publicity it deserves - probably not least because of the name? What does COPD actually stand for?
Chronic obstructive pulmonary disease. Chronic means long term, it doesn't mean severe necessarily. Obstructive - blockage, that's easy. Pulmonary - lungs. Disease - disease. So this is restriction or blockage to airflow in and out of the lungs.
Well perhaps some of our older listeners might have heard referred to as emphysema and chronic bronchitis because that's what we used to call them.
Indeed, that's absolutely right.
Breathlessness usually and in the majority of people a cough as well. Wheezing sometimes, which can sometimes be worse at different times of the day and the night. But people who've got wheezing particularly bad at night and first thing in the morning often have a rather more asthmatic component to their problems than simply the fixed and irreversible blockage, which is fundamentally what COPD is.
Now this is principally a disease of smokers in the UK, what's actually happening to their lungs?
It's principally but not exclusively a disease of smokers in the UK and old fashioned air pollution did play its part as well. What happens is that the bronchial tubes are getting inflamed, they're getting scarred and they get narrowed. And in some people who've got a big component of emphysema there is damage to the spongy gas exchanging bits of the lung as well. So the lungs, instead of looking like a nice sponge, look rather like a gruyere cheese with holes in it.
And how much damage do you have to do to your lungs before it becomes obvious?
Well the problem is that most of us are born with a lot of spare capacity in our lungs and if we don't want to be marathon runners or sprinters we can do a lot of damage to our lungs without actually noticing it. There's no such thing as just a smokers' cough, if a smoker has a cough that's telling you that things are going wrong and that's the time to start getting medical attention for it, to seek advice.
Because this is an irreversible condition, there's lots that we can do to improve the symptoms but once the disease has progressed, is a fairly advanced stage particularly we can't turn the clock back, we can't give you normal lungs again.
No that's right I'm afraid we can't repair all the damage but it's absolutely vital therefore to identify it before too much damage is done and then stop anymore damage being done and put right those small bits of inflammation which can actually be put right.
Stopping smoking if you're a smoker.
Stopping smoking if you're a smoker is absolutely the most vital thing that can be done.
Will the disease progress after that if you do stop?
Interestingly if you stop smoking then however bad you've got not only will you in the short term probably improve a bit but the rate of decline of your lung function will revert to pretty much what it is most people. I'm afraid our lungs are all getting worse in all of us from about the age of 22 or 23 onwards.
Like all the other bits.
All the other bits yeah. In smokers they get worse more quickly, if you stop being a smoker you tend to revert to the normal rate of decline.
And what about treatment - how does it differ from asthma briefly?
A lot of it is quite similar but there are some inhaled drugs which are more effective in asthma and less effective in COPD and of course vice versa. One really important thing is that if you've never been a smoker and you've got a diagnosis of COPD the possibility is that you may just have very long term under-treated asthma, so it's very important to get the right diagnosis made and to get on to the right sort of treatment.
Thank you for now John. While stopping smoking may be the most important self help step for most people with COPD but it's not the only one. A relatively simple two month support and exercise programme - known as COPD rehab - can make a significant difference too, as I found out when I visited Glenfield Hospital in Leicester. Dr Mike Morgan is head of the Respiratory Medicine Department.
One of the difficulties with COPD, with regard to developing disability, is that as you become more breathless you tend not to do the activities which make you breathless and as a result you lose your fitness and your peripheral muscles become deconditioned. Now if you can avoid that by continued activity, by pushing yourself to become breathless, it won't do you any harm if you have COPD and it will preserve your function. Unfortunately most people give in to breathlessness and become unfit and deconditioned. Our programme is six or seven weeks long and during that period they'll receive intensive exercise training and also education about their condition and how to manage it. At the end of that period most people will have benefited in terms of improving their exercise performance to the sort of level that would enable them to have a change equivalent of say being able to get out of the house, where they were unable to do so previously, perhaps going back to work, if they were close to doing that in the first place, or simply just improving the way that they can perform their daily activities.
David's just about to start here doing his sitting and standing, which is one of the favourite exercises in pulmonary rehab. It's quite hard work. They're using two free weights here, they're using all of the momentum to get up from the chair using just the primary muscles in the top of the leg, their quads.
David, how far into the course are you now?
This is my last week and there's a vast improvement from week one. In distance you can say I could walk 20 yards and then stop ...
On the flat.
On the flat. After this 30-40 easy.
How do you find managing things like stairs?
Again it's helped me get back up the stairs, prior to that I couldn't get up, I used to sleep downstairs.
Because presumably before you started on this programme if you got - because exercise made you breathless you avoided it altogether.
Exactly, that was what it is and now this programme converts you to think otherwise.
Dr Sarah Deacon is a specialist registrar at the hospital, and currently researching the benefits of an enhanced rehab. programme that includes training with weights.
We've added in this study some strength training, actually doing weight lifting with handheld weights and also on multi-gym equipment to see if we can have more of an impact on this muscle weakness that they've developed.
I'm sitting here on the leg press, you can probably hear it in the background, and before I got on it a woman I would imagine probably in her 70s got off it and I must say it's quite an impressive weight.
And what extra benefit do you think using a machine like this will have over the conventional rehabilitation programme?
Well the aim is to, as I said, improve on the muscle weakness that they've developed and this can be important in everyday tasks that they carry out which the aim of rehabilitation is to improve their quality of life.
One of the beauties about the conventional rehabilitation programme, of course a lot of things like getting up and down from a chair and those sorts of exercises that can be done at home, but people won't have weights or multi-gyms in their house, so what happens when they finish the programme?
When they finish the course of seven weeks we actually give them a programme to do at home, based on their walking, because that's the background of the rehabilitation is on the aerobic exercise. But we also have a system where they can fill milk bottles with water and carry on weight lifting at home.
Sylvia Wynn has been through the seven week programme
If I made the bed I had to do it in sections, if you know what I mean, I couldn't - I used to be out of breath just taking the sheets off the bed and things like that.
But it must have been difficult when you were that breathless, I mean how did you manage things like shopping?
Well with my daughter you see. I used to have a scooter in the shops.
Now since then you've been here, you've been on the programme.
Yes and I walk round the shops now.
And how do you feel in yourself?
A new woman - marvellous. I've got self-confidence in meself and everything you know so, yes.
Okay so how long does it take you to make a bed now?
Oh no time at all. I just don't give it a second thought, I just go and do it.
Pulmonary rehabilitation accepts that the damage to the lung can probably not be reversed but the damage to the peripheral musculature, in terms of deconditioning, can quite easily be reversed by physical training and other measures to improve task performance. Now rehabilitation therefore is quite a consuming process, in terms of patient time and staff time but it can have significant benefits. Unfortunately the facilities for rehabilitation in the UK particularly are very poor and we estimate that we can only offer rehabilitation to something less than 1% of people who are disabled by COPD.
Dr Mike Morgan speaking to me at Glenfield Hospital in Leicester.
John, two themes have emerged for me, firstly that self-help, educating and supporting patients is important.
It's vital and the British Lung Foundation has a network of breath easy groups, helping to support people living with long term lung disease and a fantastic selection of literature which helps people with these sort of problems.
Secondly, resources are tight in your field aren't they.
They really are and that last item I think really highlights it. People with lung disease, particularly COPD, it's a real postcode lottery. There's really no reason why this treatment which works, this management programme which really works for people's COPD, should not be offered. It's expensive, it's intensive but it's no more expensive than a coronary artery by-pass graft and people seem to have no difficulty getting facilities for management of heart disease.
If I had a heart attack I would go on a cardiac rehabilitation programme wouldn't I - everyone goes on that.
Everyone gets one and if you have your hips replaced then you get the physiotherapy afterwards and so on. People with COPD are not getting something which can make a real difference to them.
How can you push your area up the health agenda?
Do you know I think that has to come from people living with the problems, I think people are being too quiet about it. People living with long term lung diseases like COPD, with asthma and a whole vast range of other lung diseases need to say I shouldn't be having to put up with this, I should get the sort of resources and attention to my problems which people suffering from other disease groups are getting.
That's all we have time for. Dr John Moore Gillan thank you very much.
Next week's programme is all about the therapeutic power of light - from light therapy to get rid of acne, to new uses for lasers in the treatment of cancer.
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V.19 No.11 | 3/18/2010
From the Foxhole
Uncle Sam Doesn't Need You
By Alex E. Limkin
Don't worry, Middle America. In the effort to thwart the threat to national security posed by Islamic extremism (the greatest threat to our way of life since communism swept like a hot summer breeze into Indochina), no draft will be forthcoming. All fighting will be conducted by the indentured underclass that has nothing better to do than grind out multiple tours in the warm, inviting climes of Iraq and Afghanistan for the sake of indifferent countrymen.
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Meaning of "blowout" - Learner's Dictionary
(Definition of "blowout" from the Cambridge Learner's Dictionary © Cambridge University Press)
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Create and share your own word lists and quizzes for free!
Word of the Day
the soft, thick hair that grows on the bodies of sheep and some other animals
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Quran and Me
By HB Holdings, Corp.
Open iTunes to buy and download apps.
Do you seek guidance and answers from the Quran? If yes, then look no further.
"Quran and Me" is a convenient tool which empowers you with the ability to obtain instant guidance and answers to life's inevitable problems and questions. With its simple layout, "Quran and Me" will allow you to search for or browse through over 100 common questions related to various categories. These categories include: Business, Material Issues, Prophethood, and Rules of Prayer, just to name a few. Plus, more questions will continuously be added and distributed through free app updates!
With "Quran and Me", you will always be connected with the deep rooted knowledge of the Quran. Let this knowledge help you in your journey.
For more information, please visit www.andmeapps.com and www.quranandme.com
What's New in Version 1.2.0
Updated to link with the "And Me Apps" app (coming soon!)
iPhone Screenshots
- Category: Education
- Updated: 03 December 2012
- Version: 1.2.0
- Size: 1.0 MB
- Language: English
- Developer: HB Holdings, Corp.
- © 2012 HB Holdings, Corp.
Compatibility: Requires iOS 3.0 or later. Compatible with iPhone, iPad, and iPod touch.


text:
High Society Tea
Gold Cutlery | ~LadyLuxury~
lovely china
Royal Albert Rose Confetti Cup and Saucer - Fine China - Dining & Entertaining - Macy's
Love this purple flower set. Clearly Susan can hand paint this for you or any design that you like. http://goo.gl/JPWTLZ
Jardin Des Plantes Pedestal Bowl
Jardin Des Plantes Tea Set
Jardin Des Plantes Tea Set
Teas for ailments
History of tea cups
Tea cup and saucer
Tea facts
white tea kettles
Pink and Gold Tea Pot
TEA SETS: English, Chinese, Japanese, and Indian Tea Sets
100 years of Royal Doulton Teacups. Got a set of these for a wedding present - one design for each decade 1950-1990.
Simply swanky bridal tea ideas. Captured By: Roots of Life Photography #weddingchicks http://www.weddingchicks.com/2014/09/22/simply-swanky-bridal-tea/
We used to sit one of these on our wood-stove. I loved it to hear it whistle
Turquois and pink rose antique china cup...beautiful
Rare Royal Albert Avon Shape Vintage Tea Cup by VintageTeacupShop
Wallace Royal English Tea Set
OMG! Two of your very favorite things rolled into one pretty pretty package. Vintage Delphine Bone China tea set - shabby chic - duck egg blue / aqua


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Primary biliary cirrhosis (PBC) is a chronic cholestatic autoimmune liver disease of unknown etiology characterized by small bile-duct destruction, which may eventually progress to hepatic fibrosis, biliary cirrhosis, and liver failure.1
Ursodeoxycholic acid (UDCA) is a safe medical therapy widely used in the treatment of PBC. Although it has been shown to improve biochemical markers in PBC,2, 3 two recent metaanalyses4, 5 and a Cochrane review6 showed controversial results concerning its effect on liver histology and patient survival. The latest combined analysis of 4 placebo-controlled UDCA studies showed histological benefit in stages I to II, but the rate of progression was not significantly lower in the UDCA group in stages I to III.7 A recent 12-year prospective randomized study of UDCA was unable to show any demonstrable effect on long-term outcome of PBC.8 Combination of prednisolone with UDCA has improved liver histology but at the cost of serious glucocorticoid-dependent side effects.9 For the moment, UDCA has remained the only approved medical therapy for PBC.
Budesonide is a nonhalogenated glucocorticoid absorbed in the small intestine. Of an oral dose, 90% is metabolized during the first liver pass in healthy individuals. After hepatic uptake, budesonide is metabolized to two major metabolites: 16α-hydroxy-prednisolone and 6β-hydroxy-budesonide. Glucocorticoid activity of these metabolites is only 1% to 10%.10 Compared with prednisolone, glucocorticoid receptor binding activity of budesonide is 15 to 20 times higher, so its effect on liver inflammation may be greater. In patients with inflammatory bowel disease, oral budesonide has been shown to exert fewer systemic side effects than do conventional corticosteroids.11 The pharmacodynamic action of budesonide in healthy volunteers and patients with early-stage PBC seems equal,12–14 but its effects on patients with cirrhosis with PBC are unfavorable.14
The combination of budesonide with UDCA has been evaluated in patients with PBC in two studies, with encouraging results for liver histology and biochemistry. Budesonide 9 mg + UDCA 10-15 mg/kg/d has improved liver histology and biochemistry compared with the effects of UDCA alone in a 2-year trial with very few glucocorticoid-related side effects.15
Budesonide 9 mg combined with UDCA in patients with suboptimal response to UDCA has had a significant positive effect on bilirubin and alkaline phosphatase (ALP) levels.16 The fact that patients with cirrhosis were also included may explain the increase in Mayo Risk Score, worsening of osteoporosis, and hyperglycemia.
In this 3-year prospective randomized controlled study, we compared the effect of a lower dose of budesonide combined with UDCA with that of UDCA alone on liver histology and liver function tests in patients at the noncirrhotic stage of PBC.


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Mcvitie & Price Uncle Tom British Biscuit Tin C1896 Black Americana Slavery
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Mcvitie & Price Uncle Tom British Biscuit Tin C1896 Black Americana Slavery:
This RARE embossed British biscuit tin was produced for "McvVitie & Price" in 1896 and is titled "Uncle Tom".
Fabulous highly detailed illustrations and it is nearly 120 years old!
Black Americana.......slavery!!!Size in inches: about 6 tall.
Condition: Good, the pictures tell the full story. Fabulous condition, except a couple of treated rust spots see pic 11.
The buyer pays the shipping and insurance costs: insurance extra.
All our items can be combined to reduce the shipping costs.
To Western Europe and Australia, $20 sent uninsured.
If you are an overseas buyer please inquire about shipping costs before offerding.
If you have any questions relating to this tin or the many others that I currently have in stock at the moment, please email me or contact me through my huxtins website. I specialize in all forms of antique advertising.
Don't forget to look at my other listings. Good luck!
Mcvitie & Price Uncle Tom British Biscuit Tin C1896 Black Americana Slavery:
Early 1900's Racist French Javal Sdc Soap Ad/label
Refrigerator Fridge Magnets Black Americana Baby + Watermelon Woman & Cornbread
Danbury Mint 50th Anniversary- Martin Luther King Jr. Doll
Rare Hollywood Sewing Pattern 1940s Black Americana Colored Mammy Costume
Rosa Parks Memorial Bronze 1 1/2" Medal W/case


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This Business is not BBB Accredited
Harold Waters Jewelry
(903) 234-0008100 Tall Pines Ave STE 7, Longview, TX 75605-4634 Send email to Harold Waters Jewelry
BBB Business Reviews may not be reproduced for sales or promotional purposes.
BBB Accreditation
Harold Waters Jewelry is not BBB Accredited.
Businesses are under no obligation to seek BBB accreditation, and some businesses are not accredited because they have not sought BBB accreditation.
To be accredited by BBB, a business must apply for accreditation and BBB must determine that the business meets BBB accreditation standards, which include a commitment to make a good faith effort to resolve any consumer complaints. BBB Accredited Businesses must pay a fee for accreditation review/monitoring and for support of BBB services to the public.
Reason for Rating
BBB rating is based on 13 factors. Get the details about the factors considered.
Factors that raised Harold Waters Jewelry's rating include:
- Length of time business has been operating.
- No complaints filed with BBB.
Customer Complaints Summary
|Complaint Type
|Total Closed Complaints
|Advertising / Sales Issues
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|Total Closed Complaints
Customer Reviews Summary Read customer reviews
0 Customer Reviews Customer Reviews on Harold Waters Jewelry
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Read Customer Reviews | Submit a Customer Review | See Trends in Customer Reviews on Harold Waters Jewelry
Additional Informationtop
BBB develops a report on a firm based on inquiry or complaint activity. BBB has not received a sufficient volume of requests for information, nor has BBB received any complaints on this firm to warrant the development of a report. The information provided, however limited, is presented to assist you in your purchasing decisions or for any other purpose you deem relevant.
BBB suggests you read and understand company promotional materials and contracts and check company references and licensing, where applicable.BBB file opened: 06/20/2008Business started: 01/01/1996
Contact InformationPrincipal: Mr. Harold Waters (Owner)
Business Category
Jewelers - Retail


text: Newspaper Co Buys Blog for Big BucksPareene7/11/08 12:10pmFiled to: print is deadNewspaperspaidcontentJason CalacanisInternetMoneyDeals6EditInvite manuallyPromoteDismissUndismissHideShare to KinjaToggle Conversation toolsGo to permalink This... is odd. UK newspaper company Guardian Media Group just bought a blog! For more than $30 million! (To be fair, that's like 10 million quid now probably, but still.) The blog is paidContent; it covers dry internet media news and chronicles lots of important business-y stuff involving "digital media." It's a very nice site, but $30 million? While media stocks tank? For a site whose revenue comes from, like, bankers making money off media deals? Ok, Guardian! It's your money! But there's more good news: this deal will annoy Jason Calacanis!paidContent was founded (in a STUDIO APARTMENT) by Rafat Ali, who still publishes and edits the site. Ali used to work for former Blog Mogul Jason Calacanis! Calacanis sold his Weblogs Inc (encompassing like 100 separate blogs [admittedly only a third of which were actually regularly updated]) to AOL back in the day for (A MEASLY) $25 million. Now Ali sells his four sites for even more money! Internet success story!Reply6 repliesLeave a reply


text:
Doll House Ghost
I read Garfield obsessively as a kid, and drew my own Garfield comics in the faint hope that Jim Davis croaked and they needed a replacement. So I thought this was easy.
Except apparently I have no idea anymore what Garfield looks like.
Decided to try garfield (old style) and nancy... ehhh not perfect but it's close enough
TOTAL WRECK - crazy-eyed hound is covered in cobwebs, has a vespiary on back, graffiti on side and savage thirst for boat fuel. Frankly, I'm in over my head. He's in room 115 at Motel 6, yours free. 555-2851
Yes, it's the perfect form for surviving a car crash. But it's also the perfect form for so much more, like surviving the trauma of reading any news headline in 2016.
Thirty games and a novel piece of hardware for sixty dollars? This is an insult to my honor.
Selling objects to the past, lighters, weed, etc. Pretty intriguing stuff.
Title of this one pretty much says it all. If it's what you're looking for, then uh, look no further
The Comedy Goldmine examines the funniest and most creative threads from the Something Awful Forums. Although the Comedy Goldmine has changed authors many times over the years, its focus on the Something Awful Forums is still the same. Includes hilarious Photoshops, amusing work stories, parodies, and other types of oddball humor.
Copyright ©2016 Rich "Lowtax" Kyanka & Something Awful LLC.


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Cheryl Weyhrauch on Jul 11, 2016
This pattern is amazing! So easy to follow!
coppi2003 on Jun 16, 2016
Great pattern! I love the bag. Thanks!
alyscloset on May 18, 2016
Quick download. transaction fine in every way. 5 stars
Joy Housler on May 16, 2016
Danyell Graham on Apr 4, 2016
My boys love them and they are easy to make
Mary Shooshan on Mar 16, 2016
Sweet little pattern via easy download. I look forward to making it. Many thanks.
Tori on Mar 14, 2016
Great pattern, just rather baggy, so I took in all the side seams.
Lara Norman-Kehe on Mar 13, 2016
Very cute design! I found the pattern a bit frustrating to construct though. Maybe I missed it in the instructions, but it would be helpful if there was a more obvious way to match up printed pieces to form the pattern. I spent a lot of time on that part of the process. The dress turned out very cute though!
Little Dudes and Divas on Feb 24, 2016
My son loved his new undies!
Theresa Haire on Feb 18, 2016


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Last of the Fundraising Initiatives Group agencies files for liquidation
27 Jul 2016
Premier Contact, the last of the Fundraising Initiatives Group agencies that was still operating, has...
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The Department for Education has issued an invitation to tender for delivery of the National Citizen Service programme in 2013 and 2014.
Initially the two-year contracts for 2013 and 2014 will be worth up to £200m, though there is potential to extend the deals into 2015 subject to performance.
This year, up to 30,000 will have the opportunity to participate in the programme and by 2014 as many as 90,000 places will be available.
Nineteen contracts will be available, centred on geographical regions, and each contract will provide at least 1,500 places. The government expects charities to form regional consortia to bid for the contracts.
Tenders must be received by the Department for Education by noon on 29 June. The tender document can be obtained by emailing firstname.lastname@example.com.
There is also a website where interested organisations can register their interest in forming partnerships to get involved in delivering the programme.
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National Citizen Service is value for money, early figures show
National Citizen Service 'more costly than youth services'
Serco wins big in National Citizen Service contracts
Challenge Network main provider for National Citizen Service this summer
27 Jul 2016
Premier Contact, the last of the Fundraising Initiatives Group agencies that was still operating, has...
26 Jul 2016
Macmillan Cancer Support has come top of the mid-year rankings for YouGov's charity brand index, which...
26 Jul 2016
A date for the PFRA's Extraordinary General Meeting at which members will vote on the organisation's...
27 Jul 2016
The Royal National Institute of Blind People has appointed Sally Harvey as acting chief executive officer...
26 Jul 2016
The Charity Commission has opened a statutory inquiry into a young people's charity over concerns about...
25 Jul 2016
A Kurdish charity has been removed from the register of charities and its board disqualified from trusteeship...
21 Jul 2016
Blockchain technology could eventually be used to carry out many of the functions of a traditional regulator,...
14 Jul 2016
Macmillan Cancer Support, Cancer Research UK and Brooke are among the charities to encourage fundraising...
4 Jul 2016
Charities should stop looking for a "big bang" moment in digital transformation and instead focus...
29 Sep 2016
5 Oct 2016
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6 Mar 2017


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Melbourne, Eastern Suburbs, Full Time
22 Jul, 2016
Join a global iconic company & use your Trade Marketing skills to deliver commercial results in the hardware/tooling industry.
Job Category: Marketing
Melbourne, CBD & Inner Suburbs, Contract
18 Jul, 2016
Trade Marketing Manager job | Contract role | Media/Advertising


text:
Aeros rally in shootout to down Bulldogs
Jean-Michel Daoust, Chad Rau and Colton Gillies scored in the final three rounds as Houston rallied from a 2-0 deficit in the shootout to pull out a 4-3 victory over Hamilton at the Toyota Center on Tuesday night.
The Bulldogs scored on their first two attempts but Wade Dubielewicz held his ground and helped the Aeros run their winning streak to three games.
Despite the shootout loss, Hamilton (6-0-1-2) remains the only team in the AHL without a regulation loss this season.
The game was tied at 1-1 past the midway point of the third period before the teams combined for four goals in a span of five minutes and 28 seconds.
Tom Pyatt's shot from the left-wing circle with 9:06 left in regulation beat Dubielewicz and gave the Bulldogs a short-lived lead. Just 47 seconds later, Robbie Earl banked the puck off the back of the leg of Cedrick Desjardins from below the goal line to pull Houston back even.
Hamilton's Ryan White popped home a loose puck with 5:39 to go, but Jon DiSalvatore tied the score again with 3:38 remaining, burying a shot just moments after Desjardins robbed an attempt by Rau.
Houston's Nathan Smith and Hamilton's Yannick Weber traded goals in the first period.
The Bulldogs return home to face Abbotsford on Friday night. The Aeros hit the road to face Grand Rapids on Thursday and Friday.
- Sydor, Tkaczuk join Wolves coaching staff
- Columbus signs Broadhurst, Tynan, Harrington
- DeFazio heading to Texas
- Lightning re-sign Yanni Gourde
- A record rookie season
- Helmer named Hershey's VP of Hockey Operations
- Doug Soetaert named GM of Roadrunners
- T.J. Hensick signs with Ontario


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Digital Nirvana is featuring its Monitor IQ broadcast monitoring system (BMS) at Broadcast Asia 2012, which wraps up today in Singapore.
The company is highlighting loudness monitoring and audio logging capability, including OEM software licensed from Minnetonka Audio Software as part of Monitor IQ.
Minnetonka Audio's AudioTools Loudness Measurement module enables Monitor IQ users to measure audio levels, perform quality control monitoring, record and log broadcast signals.
There are several international standards for loudness that require strict monitoring and compliance. These include: the international ITU BS.1770 standards; ATSC A/85; EBU R 128; AGCOM (Italy); and others. Monitor IQ incorporates Minnetonka Audio's proprietary software within a broader feature set for loudness monitoring and logging of virtually all audio standards.
AT&T Files For Title II Re-Hearing
Sinclair Pays $9 Million-Plus to Settle FCC Retrans Investigation
NAB: FCC Maintaining Crossownership Ban Is Inexplicable
Comcast's First HDR Box in Employee Trials
TVBAwards 2016 nominations open
Massive Interactive launch Halo
Twitter pens Premier League highlights deal with Sky
Filmmaker Steven Caple Jr. Shows the Many Sides of Cleveland with Debut Film 'The Land'
Watch Ed Morris's Unsettling Music Video for Massive Attack
Girls Sing About What They "Really, Really Want" In Empowering UN Video


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LOT #4231 |Sold for: Sign-in or Join (free & quick)
1854 $5 -- Scratch -- PCGS Genuine. Unc Details....Click the image to load the highest resolution version.
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Description1854 $5 -- Scratch -- PCGS Genuine. Unc Details. Upon first glance, this lustrous, nicely struck, and original caramel-gold No Motto half eagle appears to be merit a grade as high as MS64, but magnification reveals a wispy pinscratch from star 5 to the back of the neck.(Registry values: P5) (NGC ID# 25UG, PCGS# 8256)
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Lol, so why is it when a white person says something about black person its racist? But when a blue gum says anythin about white person. it socialy accepted. Sounds like its a double standard and not enough white people with balls to say something. these little fake ass gangstas out here, tough on a internet sight and a joke in the streets.<quoted text>
his racist ass aint dating one. please. not a single black woman would put up with this hate attitude. little jelous ass probably last one on line picked to play a team. or just one of those hacky sac loosers. fake ass
MARSHALL fans YOUR team IS a MAJOR joke FOR real
Posted in the Huntington Forum
Since: Nov 13
#115 Nov 12, 2013
#116 Nov 13, 2013
USA today has Marshall ranked 50th ,wvu ranked 64th woo hoo what about them mountainqueers
2 posts removed
#119 Nov 13, 2013
Is strength of schedule ever taken into consideration on this crap?
United States
#120 Nov 14, 2013
Yes, we know we are a joke.
#121 Nov 14, 2013
You mean impostors? LOL
#122 Nov 15, 2013
I'm off my meds lol. Anyone as disappointed in Marshall last night as me? Phew.
#123 Nov 15, 2013
Whats midol have to do with football? LOL
#124 Nov 15, 2013
We barely won.
#125 Nov 15, 2013
A win against a team with a losing record might as well be chalked up as a loss.
Since: Nov 13
Location hidden
#126 Nov 15, 2013
You can just call me a JOKE cause I love MARSHALL!
#127 Nov 16, 2013
I love appy state.
2 posts removed
#130 Nov 16, 2013
And WVU getting their ass kicked by the worst team in big 12 just a bad day? You eers are welcome to come and sit with us herd fans at the bowl game. But your jealous nature would probably have you changing seats and rooting for our next victim.
Bet y'all mountain hicks are missing ole Bill Stewert about now.All you rabid fans should write a letter to Oliver Luck and tell him whats goes around comes around.This is his just dessert for treating him like shyt. But then again you probably still think you got a helluva coach....and team. LOL
1 post removed
United States
#132 Nov 17, 2013
Obviously you are not too smart - like most WVU fans.
The team had a game in Tulsa as mandated by the league and Fox TV. The team members that did not travel attended the ceremony and laid roses at the fountain as the crash victims names were read.
They also streamed the ceremony to the teams hotel in Tulsa.
WVU fans are the most stupid out there. They are well known as the most ignorant and bad fans in college football. Beating pregnant women after the LSU game, burning couches and cars, starting fires, starting fights in the stands. Stay classy losers. Go over to the Morganhole board and spew your venom. We don't need your tripe.
1 post removed
#134 Nov 18, 2013
Whoever said Marshall beat WVU in a game are just dreaming, the last time I checked, we raped you a new asshole everytime you played us. Marshall has NEVER won against WVU and never will. Even we were bowl eligible and went against Marshall in a bowl game, we would embarrass them just like we always have. You guys are just just bitter about us because we beat you repeatedly and sent you back to huntington with your tail between your legs.
#135 Nov 18, 2013
Ugh typos, I meant to write "even if we were bowl eligible", too early in the morning for this crap, lol!
#136 Nov 18, 2013
Actually, you didn't "Rip us a new asshole" each time we played. Also, no one is "Bitter" about WVU because we lost to them. MU fans, along with thousands of others across the nation, can't stand WVU because their fans are complete douche bags. Which is why your fans were ranked one of the worst in the nation. No one can stand an as*hole.
#137 Nov 18, 2013
Then you terd fans must be full of self loathing.
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June 12, 2014 10:16:36 AM
HERNANDO -- A DeSoto County jury Wednesday found former Southaven Mayor Greg Davis guilty in an embezzlement case.
The Commercial Appeal reports the verdict was reached after about two hours of deliberations.
Prosecutors said Davis defrauded the city of Southaven when he bought a city-leased SUV without aldermen approval in 2009. He got the $25,000 vehicle for $11,000, and bought the SUV before the city had the option to purchase it. He also was charged with embezzling more than $4,000 worth of gas from city fuel pumps used by police and firefighters when he was also getting monthly mileage checks to cover travel and gas for his vehicle.
"I am very pleased with the verdict and am glad DeSoto County jurors held him accountable for his actions," said District Attorney John Champion in a statement late Wednesday.
Davis, 48, had testified earlier Wednesday that he was saving the city money when he bought the vehicle. And, he said when he filled it with gas from the city pumps he did so because he was on city business as leader of the state's third largest municipality.
Davis was charged with making false representations to defraud government and embezzlement. He served 16 years as mayor, from 1997 until last year when he lost his re-election bid to current Mayor Darren Musselwhite.
He was indicted on the fraud and embezzlement charges in 2012.
"This has been a long investigation and process but I am pleased with today's ruling and hope it will bring some closure to the citizens of Southaven," Auditor Stacey Pickering said.
After the verdict, Davis remained stoic as he was surrounded by cameras as he left the county court in Hernando.
Davis' defense attorney, Steve Farese, said he plans to appeal.
On the fraud charge, Davis faces a maximum of five years in prison. On the embezzlement charge, he faces a maximum of 20 years.
Davis will be sentenced July 10.
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2. The accidental entrepreneurs STARKVILLE & OKTIBBEHA COUNTY
3. Two arrested in Motel 6 robbery COLUMBUS & LOWNDES COUNTY
4. Dak Prescott acquitted of DUI, speeding STARKVILLE & OKTIBBEHA COUNTY
5. Starkville man arrested for statutory rape COLUMBUS & LOWNDES COUNTY


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Book your room at Rodeway Inn & Suites
Get an overview of this hotelSuburban motel with free breakfast and 24-hour front desk
Situated in the suburbs, this motel is within 6 mi (10 km) of Southern University at New Orleans, Dillard University, and University of New Orleans. Mercedes-Benz Superdome and New Orleans Jazz Park are also within 9 mi (15 km).
Property Features
This motel features coffee/tea in a common area, a 24-hour front desk, and multilingual staff. Free continental breakfast, free WiFi in public areas, and free self parking are also provided. Additionally, RV/bus/truck parking, a front-desk safe, and ATM/banking services are onsite.
Room Amenities
All 98 rooms offer free WiFi, coffee makers, and flat-screen TVs with cable channels. Free local calls, hair dryers, and ironing boards are among the other amenities that guests will find. Limited housekeeping is available.Would you like to give us feedback? Share it! Opens in a new window
Rodeway Inn & Suites8400 I 10 Service Road New Orleans LA 70127
Hotel Amenities
Hotel Amenities
A complimentary breakfast is offered each morning. Public areas are equipped with complimentary high-speed wireless Internet access. This New Orleans motel also offers multilingual staff, coffee/tea in a common area, and a safe deposit box at the front desk. Onsite self parking is complimentary.
- 24-hour front desk
- ATM/banking
- Coffee/tea in common areas
- Free breakfast
- Free self parking
- Free WiFi
- Luggage storage
- Multilingual staff
- Number of buildings/towers - 3
- Number of floors - 2
- RV, bus, truck parking
- Safe-deposit box at front desk
- Total number of rooms - 98
Available in all rooms: Free WiFi
Available in some public areas: Free WiFi
Free self parking, RV, bus, truck parking
Room Amenities
- Air conditioning
- Cable TV service
- In-room climate control (air conditioning)
- Coffee/tea maker
- Desk
- Flat-panel TV
- Free local calls
- Free WiFi
- Hair dryer
- Iron/ironing board
- Phone
- Television
Where to Eat
A complimentary continental breakfast is served each morning between 6:30 AM and 9 AM.
Start your day with a free continental breakfast, available daily from 6:30 AM to 9 AM.
Nearby Things to Do
The recreational activities listed below are available either on site or nearby; fees may apply.
- Golfing nearby
- Sailing nearby
- Water skiing nearby
- Personal motorized watercraft on site
Hotel Policies
Check-in time ends at 3 AM
Minimum check-in age is 18
Check-in time starts at 2 PM
Special check-in instructions:
Check-out time is 11 AM
Payment types
- Pets not allowed
You need to know
Extra-person charges may apply and vary depending on hotel policy.
Government-issued photo identification and a credit card or cash deposit are required at check-in for incidental charges.
Special requests are subject to availability upon check-in and may incur additional charges. Special requests cannot be guaranteed.
No rollaway/extra beds available
No cribs (infant beds) available
No elevators
Optional extras
- Cribs (infant beds) are available for an additional fee
- Rollaway beds are available for an additional fee
Hotel Name
- Quality Inn New Orleans
- Quality New Orleans
- Rodeway Inn Motel New Orleans
- Rodeway Inn New Orleans
We should mention
This property's policy is to refuse certain bookings for the purpose of group events or parties, including pre-wedding stag/bachelor and hen/bachelorette parties. Children 18 years old and younger stay free when occupying the parent or guardian's room, using existing bedding. Only registered guests are allowed in the guestrooms. Alcohol is not served at this property.


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Soon Keun Kim, Accused Madame, Among 6 Held for Alleged Prostitution Ring in Irvine
Irvine Police say they broke up a prostitution ring Wednesday afternoon, and to illustrate the bust the cop shop released booking photos of everyone who was arrested, including suspected madame Soon Keun Kim shown here.
That should read mugs were put out there of everyone busted except the lone male suspect who was cited and released for allegedly soliciting a whore.
The arrests culminated a six-month investigation that included search warrants being served at three Irvine businesses and a Los Angeles residence, according to a statement from Lt. Julia Engen, the Irvine Police spokeswoman.
In February, Irvine detectives received a tip about heavy foot traffic in and out of Dexter Co., which was licensed as a medical supply business. But further investigation revealed it was actually operating as a massage parlor, according to Engen.
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Detectives identified Kim, 60, as the madame running the illegal operation at Dexter Co. and of being tied to two additional fronts for prostitution on Skypark Circle in Irvine, Engen stated. She was arrested at the Technology Drive address on suspicion of pimping and pandering and booked into Orange County Jail in lieu of $35,000 bail.
Additional arrestees at the other locations were:
Chong Suk Yi, 61, on suspicion of supervising a house of ill repute; she was cited and released;
Mee Hwa Shin, 52, for alleged prostitution; she was cited and released;
In Sook Kim, who turns 48 Sunday (happy birthday!), on suspicion of identity theft; she was booked into Orange County Jail on a $20,000 bond;
Eun Young Park, who just turned 40 (happy birthday!) and is being held without bail for allegedly providing false identification to a peace officer.
The un-pictured male was Stephen Warner Marsden, 53, who was cited for suspected solicitation and released.
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Latest News
Iran is back open for business
12th July 2016
Over the past few years, Iran has been seen as a 'no-go' zone for global businesses. For decades, the country's nuclear program caused concern amongst…
Export Hub takes a key role at Liverpool's International Festival for Business
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Up to 30,000 visitors, including heads of state and global leaders from business and academia, will get the chance to see EMS's work in person over…
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Clint Eastwood Maez Isn't Quite Dirty Harry; Cops Say He Fatally Stabbed Man in Parking Lot
Don't let the name fool you -- Clint Eastwood Maez has just about nothing in common with the salty Hollywood actor.
In fact, we're only talking about Clint Eastwood Maez because he's accused of stabbing two men, one fatally, in the parking lot of a Phoenix apartment complex a couple of weeks ago.
Phoenix police say Maez approached the two men in a parking lot near 55th Avenue and Indian School Road on March 29 and stabbed them both after getting into an argument.
Phoenix Police Sergeant Steve Martos tells New Times that one man, 50-year-old Johnny Espindola, died from his injuries, but the other victim, his brother, was stabbed in the hand only.
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Maez wasn't around by the time police showed up, but through interviews with witnesses, police identified Maez as a suspect. Martos says the victims had never met Maez before, but Maez apparently had been visiting a friend or girlfriend at the apartment complex when he got into an argument with Espindola and his brother.
Police tracked down Maez and arrested him at a location a few miles away, and Martos says he invoked his rights, saying nothing to investigators.
Maez was booked into jail on a charge of second-degree murder, as well as an outstanding warrant.
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A freelance shepherd from the Scottish Borders will cycle the entire Scottish coast this summer to raise money for international development agency Christian Aid.
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The year that was: Fact, fiction and everything in between
From how much vegetarians weigh to whether it's cheaper for politicians to fly VIP, look back at the facts of 2013.
Source: ABC News | Duration: 2min 54sec
Whether they be Summer, Winter or Commonwealth Games, plenty have taken their turn on the disappointment merry-go-round.
It's been 50 years since Star Trek first urged us to "boldly go where no one has gone before," and now NASA has heeded the call.
The Dropbears take out the Quidditch World Cup, defeating previous champions the United States in a gripping match in Germany.
As Australia's live performance industry prepares for its night of nights, two of the hosts for the evening run through what we can expect.


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Folklore and fairytales are filled with bizarre and terrifying creatures, from the Loch Ness Monster, or a vengeful wolf blowing down pig's houses, to the troll under the bridge from billy goats gruff. But it's rare for these creatures to transcend literature and enter the pages of what's normally the non-fiction content of newspapers. However, a sighting from a dog walker in Royal Tunbridge Wells has thrust the possibility of a 'creature' right into the focus of public view, reports the Telegraph.
Apparently, sightings of an 8ft hairy creature with burning red eyes have been going on for over decades years. An elderly couple apparently saw one on the town common during the second world war back in 1942. "They were sitting on a bench when they became aware of a shuffling noise behind them," 'Graham S.' wrote on the Tunbridge Wells People (TWP) website. "Upon turning around they saw a tall, ape-like creature with eyes that were burning red moving slowly towards them. They both fled - terrified."
Now, 70 years on, the past 6 months have been rife with new sightings of the creature. "One of the strangest stories to emerge about Tunbridge Wells this week is the claims that a British Bigfoot has been spotted in woodland near the town." TWP said. According to the Sun one witness claimed that it was covered in hair and had "long arms and stood at around 8ft tall". Local man Andy Sneider said: "I don't really believe in all this, but if there is even the remotest chance that a bigfoot is living in the woods in Tunbridge Wells Common then I'll be steering clear for the time being." In a discussion thread on TWP a user named 'Bigfoot' expressed that they wish to be left alone, it seems Mr Sneider has nothing to worry about.
The 1969 session, including the only known recording of 'Sunshine Woman' by the band, will be included on a re-issue of 'The Complete BBC Sessions'...
The 55 year old actor joined Chris Martin and co. on stage in New Jersey to perform 'Earth Angel' and 'Johnny B. Goode'.
Bjork Digital comes to London's Somerset House in September, along with a single live show at the Royal Albert Hall.
Kim Kardashian released an audio excerpt from a phone call between Kanye and Taylor Swift over the lyrics of 'Famous' - but if it was recorded...
There's very much a strength of conviction in remaining what you were, but arguably more so in becoming what you want to be.
The BBC drama starring Aidan Turner returns to BBC One on September 4th.
Guns N' Roses were detained at the Canadian border last week for gun possession but they're adamant the weapon didn't belong to them.


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By Sarah HogwoodAs Ohio veterinarians try to understand and determine what might be affecting foals in the Ohio River Valley, the number of foals and fetuses available for testing by the diagnostic lab is no greater than normal. Sheila Grimes, DVM, PhD, Pathology Section Head for the Ohio Department of Agriculture's Animal Disease Diagnostic Laboratory, recommends that horse owners submit aborted fetuses and deceased foals with the placenta for testing. In addition, she recommends that owners should submit pasture samples so that any problematic endophytes or mycotoxins can be identified. Owners and veterinarians can reach the Ohio Dept. of Agriculture, Animal Disease Diagnostic Laboratory, at 8995 E. Main St., Reynoldsburg, OH 43068; 614/728-6220.
Ohio Diagnostic Lab Requests Owners Submit Aborted Fetuses, Deceased Foals
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Pearl Django
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Concert: Pearl Django Description: The Seattle hot-club style jazz band will play following an opening act by Missoula art-folk band Stellarondo.Additional Public Info: Tickets cost $15 in advance, $17 the day of the show, $10 for seniors and students and children 14 and under get in free. Contact: Tom Webster Telephone: email@example.com
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With whole fish grilling over almond wood coals and chilled fino sherry frosting the glasses, the twin rooms have the vibe of a spot you might discover along a town square in Spain.
Patric Kuh, Los Angeles Magazine
Celebrate Los Angeles Restaurant Week.
Enjoy our four-course prix-fixe menu for $39.


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Is Cefprozil and Cefuroxime the same drug?
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My child is suffering from diarrhea after cefprozil therapy. please suggest other drug therapy?
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Saturday's hike with (fantastic) GF1 - Part I
Started Nov 15, 2011 | Discussions thread
Shop cameras & lenses ▾
Loga • Senior Member • Posts: 1,184
Re: Beautiful and instructive
In reply to mazzuccato • Nov 18, 2011
But I have to say that speculating about these gadgets even if I won't buy or use them, is part of the amusement, especially when I can't go out to take pictures.
Agreed, it is! I was just speaking about my rate.
Loga wrote:
Beyond the fantastic pictures you took, two thoughts came into my mind:
1. GF1 and the primes we have are very good.
2. GX1, very low rated by the forum members so far, seems even better.
Pictures like these always remind me how brilliant performance these gadgets can do in the right hands. Pictures like these always suggest me to think less of new equipments and more of actual photography. Thank you!-- hide signature --
Loga's gear list:Loga's gear list
Olympus PEN E-P1 Panasonic Lumix DMC-GF1 Panasonic Lumix DMC-GF2 Panasonic Lumix G 14mm F2.5 ASPH Panasonic Lumix G Vario 45-150mm F4-5.6 ASPH Mega OIS +2 more
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Grid operators and NGOs demand EU ambition on renewables
By Communications, 7 Mar 2014
- 10 stunning portraits of Argentinian birds [PHOTOS]
- The early days of Aves Argentinas
- 100 years of Aves Argentinas
- Cory's shearwater nest: livestream from the Berlengas archipelago
- Pelican hotline
- BirdLife cries the loss of conservation giant Luc Hoffmann
- Winning hearts and minds in Cape Verde
- Traditional wisdom and conservation science in Lake Victoria
- School's out(side) for Spring!
- Shea butter nourishes more than dry skin
National governments agree that greenhouse gas emissions must go down, but disagree on the policy details. In particular they disagree on the role of renewables and energy efficiency, and whether any new targets should be binding on national governments. What comes after the clear targets and policies for climate and energy up to 2020 in Europe is still unclear. Some key decisions will be taken in the next few weeks, with huge implications for nature conservation.
In 2011, BirdLife Europe joined Renewables Grid Initiative (RGI), a unique coalition of NGOs and progressive electricity transmission system operators (TSOs), to promote sustainable development of grid infrastructure.
"Climate change will drive mass extinctions if we don't switch to sustainable renewable energy" said Angelo Caserta, Regional Director BirdLife Europe. "This will require a lot of grid development but the new renewables and the power lines need to be delivered without harming nature, which is already in crisis".
The RGI has just issued a joint statement supporting a 2030 climate and energy policy framework with clear, ambitious objectives for the development of renewables. They call for the establishment of an ambitious and coherent set of binding targets for 2030 for greenhouse gas emissions reductions, energy efficiency and renewable energy.
"It's essential that European leaders take notice and back an ambitious and binding framework for the coming decade, for the sake of nature and future generations" stated Ivan Scrase, Senior Policy Officer at the RSPB (BirdLife in the UK).
Industry and civil society have come to a common understanding of what is urgently needed now in relations to renewables, energy efficiency and climate. So, it's up to the EU to make the right decisions for our energy future - it matters for wildlife. BirdLife Europe will be pressing them all the way.