text:
Lung cancer, which is most frequently caused by cigarette smoking, is the second leading cancer in the U.S. and the leading cause of cancer-related deaths among men and women. Lung cancer kills more people than cancers of the breast, prostate, colon, and pancreas combined. Incidence of lung cancer increases with age. Although cigarette smoking is the major risk factor for lung cancer, other risk factors include family history, chronic obstructive pulmonary disease, idiopathic pulmonary fibrosis, environmental radon exposure, passive smoking, asbestos exposure, and certain occupational exposures. Lung cancer has a poor prognosis, with average five year survival rates for all lung cancers of less than 15%, despite advances in therapy.
Given the poor prognosis of lung cancer, there has been a growing interest in the development of screening techniques for those at high risk, who may be cured if the disease is diagnosed at an earlier stage. Previous studies of serial sputum cytology (three to five consecutive daily deep cough secretions) and/or chest radiograph(s) (chest X-ray[s], CXR[s]) failed to demonstrate an improvement in health outcomes and reduced mortality from lung cancer with screening techniques.
More recently, there has been interest in low-dose CT as a screening technique, particularly using electron beam (also referred to as ultrafast), helical (spiral) computed tomography (CT) scanners. Methodologic issues related to low dose chest CT scans include consideration of the tube current, slice thickness and pitch. Compared to conventional CT scans, these scans allow for the continuous acquisition of images, thus shortening the scan time and radiation exposure. A low tube current below 100 mAs is utilized, typically between 30-100mAs. This compares with the usual chest CT tube current of around 100-200mAs. A complete high-speed CT scan can be obtained within 10-25 seconds, or during one large breath hold, in the majority of patients. The computer software constructs axial images from raw data, which can be rendered in three-dimensional data sets when necessary. The radiation exposure is greater than a CXR, but much less than a conventional CT.
There are also growing applications of computer aided detection or diagnosis (CAD) technologies that may have an impact on the use of CXRs or CT scanning for lung cancer screening. With computer assisted detection, a computer program is applied to identify abnormal findings, which might otherwise be overlooked. Computer assisted diagnosis uses a computer algorithm to analyze features of a lesion, for the purpose of distinguishing benign and malignant disease, thereby enhancing the reader's diagnostic interpretation. Both of these technologies may be expected to offer more benefit when used by relatively inexperienced readers and may help standardize diagnostic performance.
In March 2001, the U.S. Food and Drug Administration (FDA) approved the RapidScreen RS-2000TM system as a CAD system intended to identify and mark regions of interest on digitized chest X-rays. In February 2004, the FDA approved the R2 Technology ImageChecker® CT system as a technique to assist in the detection of lung nodules on MDCT scans of the chest. The R2 Technology ImageChecker also received FDA clearance for the Temporal Comparison software module in June 2004 and for the ImageChecker CT-LN 1000 in July 2004. The Temporal Comparison software module provides the ability to automatically track lung nodule progression or regression over time. The ImageChecker CT-LN 1000 is used for the detection of solid nodules in the lungs. Other newer systems that have been developed include, but are not limited to, the following iCAD's Second Look CT Lung and Siemen's Syngo LungCARE CT.
Each benefit plan, summary plan description or contract defines which services are covered, which services are excluded, and which services are subject to dollar caps or other limitations, conditions or exclusions. Members and their providers have the responsibility for consulting the member's benefit plan, summary plan description or contract to determine if there are any exclusions or other benefit limitations applicable to this service or supply. If there is a discrepancy between a Medical Policy and a member's benefit plan, summary plan description or contract, the benefit plan, summary plan description or contract will govern.
Medically Necessary
Blue Cross and Blue Shield of Montana (BCBSMT) may consider low-dose computed tomography (CT) scanning, used no more frequently than annually for three consecutive years, medically necessary as a screening technique for lung cancer in individuals who meet ALL of the following criteria:
* patient selection criteria are based on the National Lung Screening Trial (NLST)
BCBSMT considers low-dose CT scanning experimental, investigational and unproven as a screening technique for lung cancer in all other situations.
The following techniques, as a screening method for lung cancer, are considered experimental, investigational and unproven:
The use of computer-aided detection or diagnosis (CAD) for interpretation of low-dose computed tomography or chest radiographs is considered experimental, investigational and unproven.
CXR – Effective January 1, 2007, there are two Category III CPT codes to specifically denote when CAD is performed, either at the time of the reading of the CXR or at some other time.
Code 0174T is performed with the primary procedure, and should be listed separately in addition to the code for the primary procedure (i.e., 0174T could be reported in conjunction with 71010, 71020, 71021, 71022, and 71030).
Code 0175T is performed remotely from primary interpretation (i.e., 0175T should not be reported in conjunction with 71010, 71020, 71021, 71022, and 71030).
CT Scan of Lung – Although there is a HCPCS code for electron beam CT (S8092), the only CPT code available is 71250, describing CT of thorax, which might be used. Therefore, the distinction between medical necessity CT scans of thorax and high-speed CT scans for screening tests cannot be based on the CPT code alone. Careful review of the diagnosis should be done when CPT code 71250 is used for a diagnostic test, rather than a screening test for lung cancer.
This policy was originally created in 2007; this section of the current policy has been substantially revised, and has been updated with peer reviewed literature searches of the MedLine database through August 2011. The following is a summary of the key literature to date.
High-quality, randomized trials that examine the effect of screening on lung cancer morbidity and mortality are necessary to determine the true impact of this technology on health outcomes. While survival from time of screening is commonly reported in screening trials, the apparent increase in survival may be confounded by one or more biases associated with screening:
Low-Dose Spiral Computed Tomography
Findings from a large randomized controlled trial (RCT) in the United States that evaluated the impact of screening with low-dose CT on lung cancer morbidity and mortality, the National Lung Screening Trial (NLST), were published in 2011. In addition, several smaller European RCTs are ongoing. Following are descriptions of the major randomized trials.
National Lung Screening Trial: The NLST sponsored by the National Institutes of Health (NIH) was launched in 2002 (NEJM, 2011). By April 2004, a total of 53,454 current or former smokers from 33 sites in the U.S. had been randomly assigned to screening in three consecutive years with either a chest radiograph (CXR) or low-dose spiral CT. Study eligibility included age between 55 and 74 years, a history of cigarette smoking of at least 30 pack years and, for former smokers, quitting within the past 15 years. Individuals with a previous diagnosis of lung cancer or who had signs and/or symptoms suggestive of lung cancer were excluded. There was no study-wide diagnostic follow-up algorithm; individuals who had positive test findings were managed according to protocols at their local center. A total of 95% of participants in the low-dose CT group and 93% in the CXT group adhered to the screening protocol.
In October 2010, the independent safety and monitoring board determined that sufficient data were available to conclude that there was a statistically significant reduction in the primary outcome, lung cancer mortality. Consequently, the trial was terminated, and study results that occurred through December 31, 2009 were analyzed and reported. During a median 6.5 year follow-up, a total of 356 of 26,722 (1.33%) participants in the low-dose CT group and 443 of 26,732 (1.66%) participants in the CXR group died of lung cancer, representing a relative risk reduction of 20% (95% CI [confidence interval]: 6.8% to 26.7%, p=0.004). Using intention-to-treat analysis (ITT), the absolute risk reduction was 0.33% and the number needed to screen (NNS) for three years with a low-dose CT to prevent one death from lung cancer was 303. Aberle et al. reported an NNS of 320 based on per-protocol data from participants who underwent at least one screen. Overall mortality, a secondary outcome, was also significantly reduced in the low-dose CT screening group. There were a total of 1,877 deaths (7.0%) in the low-dose CT group and 2,000 deaths (7.5%) in the CXR group—relative risk reduction 6.7% (95% CI: 1.2% to 13.6%, p=0.02); absolute risk reduction of 0.46% and the NNS of 219 (95% CI: 111 to 5,556).
Over all three screenings, the frequency of positive tests was 24.2% in the low-dose CT group and 6.9% in the CXR group. Of these, 17,497 of 18,146 (96.4%) in the low-dose CT group and 4,764 of 5,043 (94.5%) in the radiography group were false positives. The remaining 649 tests (3.6% of total positive tests) in the low-dose CT scan group and 279 (5.5% of total positive tests) in the CXR group were confirmed lung cancers. During the screening phase, a total of 39.1% of participants in the low-dose CT group and 16.0% of those in the CXR group had at least one positive screening test.
During follow-up, 1,060 lung cancers were identified in the low-dose CT group and 941 lung cancers were identified in the CXR group. The difference in the cancer rates between groups was statistically significant, with a rate ratio of 1.13 (95% CI: 6.8 to 26.7, p=0.004). In addition to the screen-detected cancers, 44 cancers in the low-dose CT group and 137 in the radiography group were diagnosed after a negative screen. Three hundred sixty-seven cancers in the low-dose CT group and 525 cancers in the CXR group were diagnosed among participants who either missed screening or who had completed their three screenings.
Selected data from Table 3 of the August 2011 publication from Aberle (2011), on rates of follow-up diagnostic procedures after a positive screening result are shown below. Data represent all three screening rounds and include only cases for which diagnostic information is complete (over 97% of cases).
Low-dose CT
n (% of total sample)
Imaging exam
10,246 (57.9)
3,884 (78.4)
2,547 (14.4)
1,613 (32.6)
8,807 (49.8)
3,003 (60.6)
1,471 (8.3)
397 (8.0)
Percutaneous cytologic exam or biopsy
322 (1.8)
172 (3.5)
671 (3.8)
225 (4.5)
Surgical procedure
713 (4.0)
239 (4.8)
117 (0.7)
55 (1.1)
234 (1.3)
53 (1.1)
509 (2.9)
184 (3.7)
* (FDG) fluorodeoxyglucose (PET) Positron emission tomography
Selected data from Table 4 of the August 2011 publication from Aberle et al., on complication rates after the most invasive screening-related diagnostic procedures are shown below. The data are from all three screening rounds and include only cases for which diagnostic information is complete (over 97% of cases). The frequencies of each major complication were not reported; rather the article included the total number of patients with any major complication. (Percent of total sample was calculated).
Low-dose CT
n (% of total sample)
Chest Radiography
n (% of total sample)
Lung cancer confirmed
649 (3.7)
279 (5.2)
At least one complication
184 (1.0)
65 (1.3)
At least one major complication
75 (0.4)
24 (0.5)
Death within 60 days after invasive diagnostic procedure
10 (0.1)
10 (0.2)
Lung cancer not confirmed
17,053 (96.3)
4,674 (94.4)
At least one complication
61 (0.3)
16 (0.3)
At least one major complication
12 (0.1)
4 (0.1)
Death within 60 days after invasive diagnostic procedure*
6 (<0.1)
0 (0)
*This does not include deaths among individuals who had follow-up diagnostic procedures but no invasive procedures: a total of n=5 in the low-dose CT group and n=4 in the radiography group.
Chest Radiography
Lung cancer confirmed
649 (3.7)
279 (5.2)
184 (1.0)
65 (1.3)
75 (0.4)
24 (0.5)
10 (0.1)
10 (0.2)
Lung cancer not confirmed
17,053 (96.3)
4,674 (94.4)
61 (0.3)
16 (0.3)
12 (0.1)
4 (0.1)
6 (<0.1)
0 (0)
*This does not include deaths among individuals who had follow-up diagnostic procedures but no invasive procedures: a total of n=5 in the low-dose CT group and n=4 in the radiography group.
NOTE: Major complications were defined as the following: acute respiratory failure, anaphylaxis, bronchopulmonary fistula, cardiac arrest, cerebral vascular accident or stroke, congestive heart failure, death, hemothorax requiring tube placement, myocardial infarction, respiratory arrest, wound dehiscence, bronchial stump leak requiring tube thoracostomy or other drainage for more than four days, empyema, injury to vital organ or vessel, prolonged mechanical ventilation over 48 hours postoperatively, thromboembolic complications requiring intervention, chylous fistula, brachial plexopathy, lung collapse, and infarcted sigmoid colon.
Cancer stage was reported for cancers with a known stage; 1,040 in the low-dose CT group and 929 in the CXR group. Of the 1,040 confirmed lung cancers in the low-dose CT group, 416 (40%) were stage 1A and 104 (10%) were stage 1B. Over half of the confirmed lung cancers identified by a positive screen (329 of 635, 52%) were stage 1A. In the CXR group, 90 of 275 confirmed cancers identified by a positive screen (32.7%) were stage 1A.
In summary, the NLST was a large well-conducted trial. It found a statistically significantly lower rate of lung cancer mortality with three annual CT screens compared to CXRs; the number needed to screen (NNS) to prevent one lung cancer death was 320 (95% CI: 193 to 934). The study also found a statistically significant but modestly lower overall mortality in low-dose CT group. There was a high rate of follow-up imaging tests but relatively low rates of invasive tests. There were few major complications reported after invasive testing, although major complications that did occur were not well-characterized. The rates of other potential complications, in particular radiation-induced cancers, are not yet known. Findings of the trial cannot be generalized to other populations, e.g., younger individuals or lighter smokers. The NLST evaluated the utility of a series of three annual CT screens; the efficacy of other screening regimens is not known.
Potential risks also are associated with use of CT scanning for screening. In 2004, Brenner assessed the radiation risks associated with low-dose CT screening (Brenner, 2004). The estimated doses from low-dose CT screening were 5.2 mGy + 0.9 to the lung, based on the protocol used in the NLST. (This would be equivalent to at least 250 standard chest x-rays.) Brenner concluded that the radiation-related lung cancer risks for a single examination at age 55 ranges from approximately 1 per 10,000 to approximately 5 per 10,000, depending on gender and whether the person is a current or former smoker. The study estimated that there would be a 1.8% increase (95% CI: 0.5% to 5.5%) in the number of lung cancers associated with radiation from screening if 50% of all current and former smokers in the U.S. aged 50–75 years received annual CT screening. The risks of screening could be reduced by scanning less frequently or beginning screening at a later age.
Several smaller European trials that evaluate spiral CT screening are ongoing. Findings may ultimately be pooled with those from other RCTs in Europe and the U.S. Each study includes a somewhat different screening population and screening regimen:
A total of 1.466 participants in the NELSON trial participated in a related quality-life-study; 733 were randomized to the screening arm and 733 to the control arm reported by van den Bergh (2011). They were given questionnaires before randomization, two months after the first screening round, and two years after baseline (six months after the second screening round). The questionnaire response rate was 1,288 (88%) at baseline and 931 (79%) two years later. No statistically significant differences between the screened and control groups were found in scores on any quality-of-life measures at two years. The authors interpreted this finding as suggesting that lung cancer screening did not negatively impact quality of life.
Baseline findings from the intervention group of randomized trials suggest a high false-positive rate with spiral CT scanning. In addition, the Mayo CT Screening Study, published in 2002 by Swenson (2002), performed spiral CT scanning on 1,520 smokers and found lung nodules in 66% of patients. The authors estimated that 98% of these nodules were benign, and if patients continued to be screened on a yearly basis, almost all patients would have at least one false-positive examination finding after a few years of screening. All of these patients may require further follow-up examinations, creating concern that surgery for benign nodules could dramatically increase if spiral CT scanning becomes widespread as a screening technique. More recently, false-positive findings from the Lung Screening Study, a feasibility study for the National Lung Screening Trial, were published in 2010. A total of 3,318 current or former smokers were randomly assigned to screening with either low dose CT scans or CXRs. Participants received baseline screening, and if they were not initially diagnosed with lung cancer, also received a second screen after one year. False-positive findings were defined as a positive screen with a subsequent negative workup or at least 12 months of follow-up with no lung cancer diagnosis. A total of 506 (31%) participants who received CT scans and 216 (14%) who received CXRs received at least one false-positive result. Using Kaplan-Meier analysis, the investigators calculated that the probability of a false-positive CT examination was 21% after one screening and 33% after two screenings. Estimated rates for chest radiography were 9% and 15%, respectively.
In addition to the RCTs described above, a large observational study that has received attention is the Early Lung Cancer Action Project (ELCAP) (Henschke, 2006). A 2006 publication from Henschke et al. reported results from 31,657 patients who underwent a baseline and then annual CT scan for detection of lung cancer. The study included smokers and former smokers; approximately 10% of the population included individuals with occupational or secondhand exposure to smoke. Of the 31,567 participants who had a baseline examination, 4,186 (13%) had a positive result that required further workup. A diagnosis of lung cancer was found in 484 patients (1.53%); 412 of 2,834 (85%) were stage-1 cancer. The majority of lung cancers (405 of 484) were found during the baseline evaluation. A total of 535 patients underwent biopsies during the study. Of the biopsies from patients with clinical stage I cancer, 14% were squamous cell and 71% were adenocarcinoma. The ten year survival rates were estimated, although approximately 20% of participants had follow-up completed beyond five years. The estimated ten year survival rate of individuals diagnosed with lung cancer was 88% (95% CI: 84% to 91%). While these results are encouraging for the number of cases identified with stage I disease, they do not indicate that CT screening improves health outcomes due to lack of a comparison group and potential biases such as lead time, length time, and overdiagnosis. Moreover, there was a high rate of false positives, approximately 11.5% of the screened population.
There is insufficient evidence to determine whether CAD technology, which is discussed below, may improve the accuracy of CT scanning interpretation (Goo, 2003).
Chest Radiographs or X-rays (CXRs)
Several randomized trials of CXRs as a screening technique were published in the 1980s reported by Patz et al. The studies found that, although patients undergoing screening with CXRs had a higher incidence of earlier stage lung cancers, more resectable lung cancer, and improved five year survival rate compared with the control group, there were no statistically significant differences in mortality attributable to lung cancer between the two groups (Patz, 2000).
Findings from an additional RCT that evaluated the effectiveness of screening with CXRs, the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening trial, have been recently published. This trial was initiated by the National Cancer Institute (NCI) in 1992 and enrollment was completed in 2001 (NCI, 2011). Approximately 155,000 individuals were randomly assigned to receive selected screening interventions, including CXRs, or usual care. Smokers received CXRs at baseline and annually for three years; never-smokers were screened at entry and annually for two years. Results of subsequent screenings were published in 2010 (Hocking, 2010). Positivity rates were 7.1%, 6.6%, and 7.0%, respectively, for the first, second, and third yearly follow-up CXRs. Over the entire screening period, 18.5% of screened individuals had at least one positive screen. In 2011, the investigators published the main outcome data related to lung cancer screening (Oken, 2011). The rate of lung cancer mortality did not differ significantly in the two groups. Over 13 years of follow-up, there were a total of 1,213 lung cancer deaths in the intervention group and 1,230 lung cancer deaths in the usual care group. Cumulative lung cancer mortality rates (per 10,000 person-years of observation) were 14.0 in the intervention group and 14.2 in the control group (rate ratio [RR]: 0.99, 95% confidence interval [CI]: 0.87-1.22). There was also no benefit of screening with CXRs when the analysis was limited to individuals who met criteria for the NLST, discussed earlier. In this subset of study participants (n=30,321), there were 316 lung cancer deaths in the intervention group and 334 lung cancer deaths in the usual care group (RR: 0.94, 95% CI: 0.81 to 1.10). The authors concluded that annual screening with chest radiographs did not reduce lung cancer mortality compared with usual care.
Computer-aided detection (CAD) or technology may increase the sensitivity of CXRs. Early published literature regarding CAD for CXRs consists primarily of technical capabilities of CAD systems as reported by Freedman (2002 and 2004) and Kadeda (2004). More recently, a retrospective study identified x-rays with missed cancerous nodules and evaluated them with a CAD system (OnGuard 3.0, Riverain Medical). CAD correctly marked overlooked nodules in 46 of 89 (52%) patients, and there was a mean of 3.9 false-positive results per image (White, 2009). The study only included radiographs of lung cancer patients; CAD was not evaluated for screening. Another retrospective study, conducted in Europe by de Hoop (2010), evaluated CXRs from 46 individuals who had histologically proven lung cancer and 65 control patients who had no nodules larger than five mm in diameter identified at a CT screening that occurred within six weeks of the x-ray. Each radiograph was evaluated without and then with CAD findings; the OnGuard CAD system was used. CAD was not found to improve observer performance. The average sensitivity of the reviewers (two radiologists and four residents) was similar without (49%) and with (51%) use of the CAD system. Observers correctly identified 27 lesions without CAD, and with CAD assistance, three additional malignancies were identified.
Serial Sputum Cytology
Many studies have combined the use of CXRs and sputum cytology, done serially or not, to screen asymptomatic patients. When serial sputum cytology is done alone, the data was suggestive of a modest benefit in early detection of lung cancer. Two RCTs of lung cancer was initiated in the 1970's, the Johns Hopkins Lung Project and Memorial Sloan-Kettering Lung Study. The results were revisited in 2009 by Doria-Rose et al. The original studies compared one arm receiving an annual CXR and four monthly sputum cytology studies (a dual-screen) to a second arm of CXRs alone. Prior outcome studies revealed incomplete follow-up data, yet the published literature reported similar lung cancer mortality between the two groups. The recent review authors estimated the efficacy of lung cancer screening with sputum cytology in an intention-to-screen analysis of lung cancer mortality, using combined data from those trials (n=20,426). After nine years of follow-up, lung cancer mortality was slightly lower in the dual screen than in the CXR only arm. Reductions were seen for squamous cell cancer deaths and in the heaviest smokers. There were also fewer deaths from large cell carcinoma in the dual screen group; although, the reason for this result was unclear. However, there is no evidence of utility as a general screening modality.
During an 18 month recruitment period, 181 individuals at high-risk for lung cancer were followed-up at a Chinese Chest Clinic and were invited to submit sputum sample for cytology (Lam, 2009). Those with sputum atypia underwent a bronchoscopy and CT of thorax. After a mean follow-up of 39 months, 13 were diagnosed with primary lung cancer. Of those 13, 46.2% were diagnosed with early stages. Bronchoscopy was performed in 85, and seven were confirmed to have lung cancer (six were in early stages). Eighty-one had CT done and 92.6% had abnormal findings, though three lung cancers (all stage 0) were missed by CT. Five more primary lung cancers were diagnosed during the follow-up period – one in sputum atypia group and the other four in the normal sputum group. The overall sensitivity of sputum cytology in detecting lung cancer was 71.4% for all histology and 100% for squamous cell lung cancer. While the study focused on a follow-up bronchoscopy after the sputum collection to screen for early stage lung cancer in the central airway, the outcome revealed the potential of sputum cytology as a diagnostic modality for smokers smoking more than 20 packs per year, greater than 40 years.
Technology Assessments, Guidelines, or Position Statements Addressing CT, CXRs, or Serial Sputum Cytology
The evidence on CT screening for lung cancer includes numerous RCTs that report on yield and stage of screening and one RCT that reports on clinical outcomes. The largest RCT, the NLST was a multicenter trial published in 2011. This was a high-quality trial that reported a decrease in both lung cancer mortality and overall mortality in a high-risk population screened with three annual low-dose CT scans compared to CXRs. Thus, screening for lung cancer with low-dose CT may be considered medically necessary for high-risk patients who meet the major eligibility criteria of the NLST and experimental, investigational and unproven otherwise.
Although findings from RCTs conducted in the 1970s and 1980s suggest that CXRs are ineffective as a method of lung cancer screening, an additional large RCT, the PLCO, was published in 2011. The study found that three annual screens with CXRs did not reduce lung cancer mortality compared to usual care. Therefore, screening for lung cancer with CXRs, with or without CAD, is considered experimental, investigational and unproven.
In a search of peer reviewed literature through February 2012, no new peer reviewed literature for serial sputum cytology was identified that would change the coverage position of this medical policy. Therefore screening for lung cancer with serial sputum cytology is considered experimental, investigational and unproven.
Disclaimer for coding information on Medical Policies
Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive.
The presence or absence of procedure, service, supply, device or diagnosis codes in a Medical Policy document has no relevance for determination of benefit coverage for members or reimbursement for providers. Only the written coverage position in a medical policy should be used for such determinations.
Benefit coverage determinations based on written Medical Policy coverage positions must include review of the member's benefit contract or Summary Plan Description (SPD) for defined coverage vs. non-coverage, benefit exclusions, and benefit limitations such as dollar or duration caps.


text:
Filipina indie actress topbills Singaporean film
More News from Bayani San Diego Jr.
Theater and indie film actress Angeli Bayani recalled that her audition for Singaporean filmmaker Anthony Chen happened on a "crazy" day.
She showed up exhausted, because she had just wrapped up work on the musical play "Noli" (where she portrayed Sisa). Her mind wasn't totally on the screen test, but as she was singing "Twinkle, Twinkle Little Star," she felt a single teardrop running down her cheek.
"The director got worried and asked if I were okay," she recounted. "I explained that I was just tired."
As luck would have it, she soon received an e-mail informing her of the good news: She had bagged the plum role of a Filipino nanny in the international film, "Iloilo."
Chen, whose short films have competed in Berlin and Cannes, told Bayani that he was inspired by his own childhood in making his feature film debut.
"It's his tribute to the Filipino nanny who raised him," she said. "It's about the conflict between two cultures… how Singaporeans are coming to terms with the idea that their children are being cared for by Filipinos."
It was a much-coveted role among the current crop of local indie actresses. "On Facebook, my friends, who also tried out for the same part, congratulated me," she recalled.X
Then it hit her: These colleagues are not only award-winning; they are among the most talented in her batch as well.
"I felt so lucky," she said. "Instead of focusing on its significance, career-wise, I thought of my child. It came at the right time… because my 4-year-old son Marek has started going to school."
A much-delayed reward
Previously, she appeared in French (Joel Farges' "Slaves of the Sea") and US productions (Ron Morales' "Graceland"). This latest international project, however, is a much-delayed reward for Bayani who has been slaving away onscreen and onstage for years.
She played a deranged mother ("Noli"), a gay countess ("Lulu") and a fag hag ("Care Divas") in plays; and a mermaid ("Kalayaan"), hired killer ("Detektib") and political prisoner ("Ka Oryang") in indie films.
For "Ka Oryang," she scored a best supporting actress nomination from the critics' Urian Awards.
Still, "Iloilo" felt like sweet vindication for the underrated actress.
Making teachers proud
She looks at the international exposure as a chance to make her teachers proud. "I trained in theater… starting with Tanghalang Pilipino. I owe all this to my mentors, Irma Adlawan and Anna Valdes-Lim," she pointed out. "In every performance, I want to honor my teachers… so that when they watch my work, they won't be embarrassed to say that I was their student."
She regarded her Singaporean stint as an opportunity to push herself as an artist: "I am furthering my education."
The only Filipino in the cast of "Iloilo," she flew to Singapore in May and finished shooting last month.
Although the shoot was challenging, it taught her to fight for her beliefs and trust her instincts.
It also validated her local training as an actress. "I've always been open and approachable. I believe in making connections with your co-workers wherever you are. I learned a lot from the local crew – both the veterans and the interns."
A single mom's dilemma
She understood her character's dilemma (of being separated from her family) because she was away from her son during the filming.
"I'm a single mom. I didn't want to miss my son's first day in school. But my friends from the Theater Actors Guild looked after him. They volunteered to bring my son to school while I was away," she said.
Bayani takes consolation in the fact that her small sacrifices are ultimately for her child.
"I'm thankful for the job. It'll ensure a brighter future for my son," she quipped.
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subset: commoncrawl


text:
Tuesday, 01 Dec 2009 08:01 AM
By Vito J. Fossella
Every year the New York Police and Fire Departments face off in a football game. The good-natured but intense contest has been a New York City tradition since 1973.
In 2004, members of both squads visited the Oval Office to present President George W. Bush with a token of appreciation for his response following the attacks of Sept. 11, 2001.
The meeting had special meaning since among the many casualties of 9/11 were 22 members of the New York City Fire Department Football Club. (See bravestfootball.com and nypdfootball.com.) Originally, President Bush was asked to attend the annual game to receive the players' thanks, but he was unable to do so, so I arranged the visit to the White House for the players.
The meeting was scheduled to last about 10 minutes. At the president's insistence, it lasted longer, in part so he could show the players another recent gift — something he was obviously proud to share with them. You see, that morning, the warriors who captured Saddam Hussein visited the president and gave him a glass-enclosed gun, the gun Hussein had on him when they dragged him from his rat hole.
The president picked up the box with the gun and showed it to the players. He then turned the box over and showed the signatures of the soldiers who were involved in the capture, saying what a great group they were. Clearly, he was proud that our American GIs had captured a brutal tyrant, who took the lives of many.
Our brave troops captured a terrorist, and our commander in chief honored their valor and service. Now, less than six years later, let's look at what has changed.
Just a few days ago, the big news was an inane circus starring two people who crashed a White House state dinner. The stories, the photos, the calls for investigations, more funding, firings, in other words, the typical madness will all follow. Of course, few will thank publicly the men and women of the Secret Service, who keep so many so safe for so long.
While most of the major news outlets seemed totally taken with the gate crashers, few Americans were made aware of a mockery of justice that became public that same week, namely the prosecution of three brave Navy SEALs who face ruin for, among all things, capturing a terrorist who brutally killed, maimed, defiled, and hanged four American citizens in Fallujah, Iraq in 2004.
Those SEALs — Matthew McCabe, Jonathan Keefe, and Julio Huertas — are among the best-trained men in the world. Recently, these dedicated sailors captured Ahmed Hashim Abed, who masterminded and, according to reports, was responsible for the brutal Fallujah murders. Like the soldiers who captured Hussein, you would think they would be honored for their valor and service.
You would think a grateful nation would recognize their achievement with a proclamation or commendation — maybe even an invite to the oval office. Instead, they are facing a court-martial.
Their offense? According to published reports, one of the SEALs allegedly punched the suspected terrorist in the gut.
Our government now trips over itself to apologize, to ignore history, to coddle tyrants and terrorists, to provide propaganda platforms to wretched individuals, who are our enemies. The government wants to punish brave men and women in our military who deserve praise, not prosecution.
We move to court-martial three United States Navy SEALs, while we insult the memory of the victims of 9/11 with a show trial for Khalid Sheikh Mohammed and his mosaic of maniacs just blocks from the most vicious attack on American soil.
Time, events and sometimes, elections, serve to highlight the distinctions between significance and insignificance, praise and prosecution, political power and political correctness, and pandering and patriotism.
So here we are, transfixed on a couple stealing some punch and taking photos at the White House, while three families, the McCabes, Keefes, and Huertases must be asking themselves, "What did we do to deserve this?
Vito J. Fossella served in the U.S. House of Representatives representing Staten Island and Brooklyn.
© 2015 Newsmax. All rights reserved.
Wednesday, 27 May 2015 21:44 PM
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Next, the research team compared Medicare claims data with census data for a complete national sample of more than 7 million men throughout the United States and arrived at similar results (for technical reasons, the study was unable to evaluate results for women who outnumbered men at sexual maturity).
Much attention has been paid to the deleterious social effects of gender imbalances in countries such as China and India, where selective abortion, internal migration and other factors have in some areas resulted in men outnumbering women by up to twenty percent. Such an environment, already associated with a marked increase in violence and human trafficking, appears to shorten life as well.
The researchers have not investigated mechanisms that might account for this phenomenon, but Christakis suspects that it arises from a combination of social and biological factors. After all, finding a mate can be stressful, and stress as a contributor to health disorders has been well documented.
Says Christakis, "We literally come to embody the social world around us, and what could be more social than the dynamics of sexual competition?"
|Contact: David Cameron
Harvard Medical School


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WHAT'S ALL THE FUSS ABOUT MOULD LATELY? (extracted from a longer article) Authors: Dr. Peter Kemp 1 & Dr. Heike Neumeister-Kemp2 1: Mycologia Australia Pty Ltd, 11 Jagoe Crt, Marmion, WA 6020, email: firstname.lastname@example.com 2: Murdoch University, South St, Murdoch, WA 6150, email: email@example.com Mould can degrade buildings and cause adverse health effects. We have apparently little or no adverse health effects from breathing mould spores outdoors or eating and drinking them in bread, cheese, beer and wine (in moderation, of course). Problems with mould start when one or several species become established indoors. The difficulty in dealing with mould lies in a lack of basic scientific information on indoor mould ecology, due to the vast complexity of indoor mould ecology. This makes it very difficult to compare one situation with another. Even so, there are some patterns of mould growth, exposure and damage that allow some generalisations. The Great Mould Rush of the 1990s Overseas, several high-profile mould cases have ended with multi-million dollar payouts. Fortunately for Australia, we don't seem to have a legal system that awards exorbitant punitive damages on mould claims. Several major home insurance companies overseas either re-worded their policies to exclude certain types of mould damage or no longer offer home insurance in some areas. In some countries there is now a mandatory requirement to perform pre-purchase mould testing on real estate transactions. In Australia, it appears that mould damage by and large is not covered as a defined event in insurance policies. To date, mould remediation has only been considered by insurance companies if mould contamination is the resultant damage of an escape of water or water intrusion that was covered under the terms of the policy. Mould resulting from poor building design or rising damp is generally excluded from cover. Insurance companies, building consultants & restoration firms have all benefited from correct mould sampling and analysis, establishing the perimeters of remediation works by pin pointing the causes and sources of the originating moisture damage, to target key areas. Dangerous Mould Myths - Stacky and Other Scary Stuff Unfortunately, not everyone deals with mould in a sensible manner. One of the myths involves a fungus called Stachybotrys, now nicknamed "Stacky". Several species of Stachybotrys are highly toxic and cause severe health effects from exposure. Unfortunately, this toxic aspect of "Stacky" has been used in a type of scare campaign, and surprise-surprise, it is now found everywhere in some countries. The sudden increase is surprising. This fungus can be difficult to capture on samples because it has sticky surface bound spores, and these do not grow well on nutrient agars. It is considered difficult to identify, even by experienced mycologists. The rush to be "mould certified" has led to some overseas mould inspectors believing they can identify "Stacky" just by looking at the colour of a mouldy surface. This is generally not possible. If a mould inspector tells you they can see "Stacky" then you have a right to be sceptical. Get it analysed using suitable methods (see below). Mycological giggles coming out of the Mould Rush include danger headlines that have changed from simply the dangers of "Mould" to "Toxic Mould" to "Black Mould" to "Black Toxic Mould" and even "Mould Monsters". Yes, there is mould that c an cause adverse health effects, there is mould that can damage your house, and there can be real dangers to people's health from mould exposure. Unfortunately, most of this recent scare-hype is built on unproven myths that need to be dispelled with scientific evidence. The State of Mould Play in Australia Two fungi becoming prevalent, where construction timbers become wet, are Trichoderma viride and T. harzianum. These can affect our health and are destructive. They can use wood as a nutrient source, which is not what you want. Newly constructed houses are developing widespread problems from Trichoderma sp, which is known to produce some toxic metabolites, including Gliotoxin, Emodin and Thrichodermin. Some mould-damaged houses require a high level of personal protective equipment (PPE) for remediators to avoid health effects. A contributing factor seems to be treated structural timbers that are being wrapped in plastic at the factory and sweating during storage. Many believe that "treated" means anti-fungal. But chemicals used to treat timber (AS1604-1997) are not anti-fungal. Furthermore, structures often experience rain damage during construction and are not allowed to dry out properly. "Dry to touch" may mean the core material remains wet. Once enclosed in a building envelope, any moisture damage indoors can trigger an eruption of hidden mould growth. Another fungal species, occurring as black spots in virtually every bathroom around Australia, is the much maligned Aspergillus. This fungus is being blamed for an awful lot of health symptoms. But many other fungi are being overlooked. A. niger is found in only a few percent of airborne samples. Its reputation as a source of fungal exposure does not appear justified. New Mould Analysis Equipment - Caveat Emptor Coming out of the Mould Rush is an array of spectacular equipment that promises to make inspection and diagnosis very simple. Wrong! Much of this equipment is relatively expensive, largely unproven and should not be relied upon in critical situations. One of the latest claims is for thermal imaging. Thermal imaging has been a very useful technology for detecting cold bridges in cold climates, because that's where condensation will occur to feed mould growth. Current understanding is that these cameras are not sensitive enough to see metabolic heat given off from mould activity. They may not be of much use in detecting Xerophilic (dry) mould. Old Mould Methods The only reliable means to identify mould species is traditional mycological differentiation on nutrient agar. This requires years of training and practice to get to a point of comfortably identifying environmental mould species. Some mycologists spend an entire lifetime trying to understand just one genus like Penicillium. Fortunately, traditional mould analysis normally costs the same or less than other standard types of indoor air measurements. Research at Murdoch University is currently looking into standardisation of PCR analysis for species identification for environmental mould (a type of DNA finger- printing). However, the number of species in the DNA database is still limited and the whole process is equipment- and labour-intensive. Standard methods for sampling mould are to use an impact sampler for viable airborne spores (e.g. Andersen N6), a spore trap for total spores (e.g. STVS trap, Murdoch University), RODAC agar plates for smooth surfaces, and swabs and adhesive tape lift-off samples on all other surfaces. Material samples can also be taken and plated onto agar plates. Vacuum cleaners can also be used to collect dust samples from carpets and textiles. If you need to take samples, the most sensible solution is to use a properly trained technician or laboratory, or to get yourself trained. If you decide to undergo training, then this should include learning about indoor mould ecology as well as use of sampling equipment and methods. This combination is critical in taking effective samples. The only lab that should be used will have a qualified Mycologist on-board. They should also have a minimum 2 years experience with mould sampling and analysis and regularly participate in a recognised certification process. Mould Remediators We all know how to get rid of mould, right? Just pour bleach on it and it goes away, until next time. This is unfortunate, because most chemicals have been proven ineffective against mould in the long run. The proven way to deal with mould is to find the source of moisture feeding it, fix it, dry it out, physically remove mould, then apply chemicals, but only in the right dilutions or they won't work. The most effective chemical solution that we have so far is-vinegar. This is claimed to be most effective because it actually kills mould, but doesn't introduce a new chemical pollutant into indoor air. Note that only white fermented vinegar seems to work, as synthetic acetic acid does not appear effective. The Australian Mould Solution To bust "mould myths" and address the problems being generated by the Great Mould Rush overseas, Mycologia Australia has developed an Australian Mould course tailored to Australian Conditions. The information presented is based on hard scientific evidence and 25 combined years of experience. The trainers are both experienced adult educators and have formal qualifications in the field of environmental mycology with Ph.D.s in the area of Environmental Mycology and Mould in Indoor Air. A full version of this article and details for this course are available by contacting the authors or on the internet at: www.mould.net.au . This mould course is an export quality Australian Made and Owned product and is setting the standards for mould remediation in Australia.
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- Rosie Dukes — 80, died this morning at her home in Oxford. Arrangements are incomplete with Hodges-Freeman Funeral Home in Oxford.
- Joe David Gentry — 71, died Monday, Dec. 3, 2012, at his home in Water Valley. Services will be held at 2 p.m. Saturday at Waller Funeral Home in Oxford. Burial will follow in Philadelphia Cemetery.
- Robert Thompson — 76, died Thursday at the North Mississippi Medical Center in Tupelo. Arrangements are incomplete with Hodges-Freeman Funeral Home in Oxford.
- Ike "Popeye" Vaughn — 55, died Sunday, Dec. 2, 2012, at Baptist Memorial Hospital-North Mississippi in Oxford. Services will be held at 11 a.m. Saturday at Philadelphia M.B. Church of Oxford. Burial will follow in the church cemetery. Visitation will be held until 7 this evening at Serenity-Martin Funeral Home of Oxford.
- Annie Mae Young — 84, died Thursday at her daughter's residence in Abbeville. Arrangements are incomplete with Kenneth I. Roberson Funeral Home of Pontotoc.
Tuesday, May 26, 2015


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Former Everton captain Alan Stubbs is set to announce his retirement at Derby County.
The Daily Mail says Stubbs will announce his retirement today at the age of 36 after failing to recover from a serious knee problem picked up last season.
The former Everton, Celtic and Bolton defender had surgery on the injury in May but limped out of Derby's opening day defeat to Doncaster with a recurrence.
And after speaking to medical staff he has opted to quit the game after 18 years to leave Rams boss Paul Jewell without one of his most experienced squad members.
Jewell said: "It's a real shame because Alan isn't just a great pro and a terrific player but a leader and a great human being.
"He's had a magnificent career and has every reason to be immensely proud of what he's achieved in the game, especially considering some of the adversity he's had to overcome."
Stubbs, who has twice beaten testicular cancer, began his career at Bolton in 1990 and made just under 600 appearances for five clubs.


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Ramesh Susarla
GUNTUR: The Medical Council of India has recommended to the Union Ministry of Health and Family Welfare not to renew permission for admission of students into nine private medical colleges of Andhra Pradesh during 2006-07, which could result in reduction of 1,350 seats.
Detailed recommendatory MCI letters written to Secretary, Union Health Ministry, recently also stops one college from awarding MBBS degrees and beginning of academic activity in two new colleges. The recommendations were based on inspection reports submitted by the ad hoc committee appointed by the Supreme Court and the Executive Committee of the MCI.
Shocking revelation
A shocking revelation of the inspection reports of the committee includes creation of forged documents by the teaching faculty to show enough experience. The MCI has recommended to the managements of the colleges to initiate police and legal actions against such faculty members.
In Andhra Pradesh, 3,800 seats were filled last year through EAMCET in 27 Government and private medical colleges. The ad hoc team thoroughly scrutinised applications for renewal of permission to admit students into the 2nd, 4th and 5th batches of colleges where the first batch was yet to pass out and found several glaring discrepancies.
Nine medical colleges that were not recommended for intake of new students were: Mediciti Institute of Medical Sciences, Ghanpur; Bhaskar Medical College, Yenkapally ; GSL Medical College, Rajahmundy; Pinnamaneni Siddhartha Institute of Medical Sciences, Chinoutpally; Prathima Institute of Medical Sciences, Karimnagar; PES Institute of Medical Sciences, Kuppam; Konaseema Institute of Medical Sciences, Amalapuram; Maharajah's Institute of Medical Sciences, Vizianagarm ; and Shadan Institute of Medical Sciences, Peerancheru.
The MCI had recommended disapproval of establishment of new medical college at Vikarabad by Bhagwan Mahavir Memorial Trust, Hyderabad in 2006-07 and was against considering their application for three more years. It wanted the application for new college at Warangal by the Medicare Educational Trust be returned.
It has also recommended that approval should not be granted to the Sitarama Raju Academy of Medical Sciences, Eluru, to award MBBS degrees of the NTR University of Health Sciences.


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Please use this identifier to cite or link to this item: http://hdl.handle.net/10355/5335
|Framing the Israeli-Palestinian conflict: a study of frames used by three American newspapers
|Stawicki, Melanie, 1973-
|University of Missouri--Columbia
|This paper explored look how three U.S. newspapers' covered the Israeli-Palestinian conflict, following two peak incidents - Israeli leader Ariel Sharon's 2000 visit to Jerusalem's Temple Mount and 2002's Passover Massacre - by identifying and analyzing the frames used. This study examined theories of conflict resolution and peace journalism, while looking to see how the frames used may help to inflame or calm the conflict and how the ideas of peace journalism could clash with the realities of the news business. It analyzed newspapers stories from The New York Times, Christian Science Monitor and St. Louis Post Dispatch in both a quantitative and qualitative manner by examining what language was used, the sources included and the context provided. It was found that the dominant frame of the 2000 coverage overall was the Israeli government's quest for security frame, while in the 2002 coverage, the frame most used was the Israelis as military strong bullies frame. The Monitor mostly used the thematic and balanced look frames and its coverage was most in line with peace journalism concepts, the Times was mixed in its use of frames and the Post-Dispatch mainly used the episodic frame.
|Other Identifiers:
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Archive for Events with Feasta member participation
Irish Doctors' Environmental Association Public Meeting 2014
Presentation on intentional currencies and money as a commons, November 14 2014
Feasta's Graham Barnes has been asked to present and do a panel session at Open Here in Dublin, on November 14th. Open Here is "a 3-day international festival and conference where online practices such as sharing, peer-production and open source meet real world material economies." More information is available at http://openhere.data.ie/.…
A Permaculture Taster: Saturday 15 November 2014
A one day introductory workshop hosted by Davie Philip of Cultivate and Bruce Darrell of Feasta, both based at Cloughjordan Ecovillage. Using an active learning approach this workshop will give an introduction to permaculture design principles and outline how they can be applied to your own life and work.
Convergence – Reimagining Cooperatives and the Commons
Cultivate, WeCreate Workspace and the P2P Foundation are delighted to host Open Everything, a series of events that will bring together cooperative advocates, community activists, and commons animators to share perspectives and ideas on the question,"How can a commons-based collaborative economy strengthen the resilience of our communities?". From September 10th-14th in Dublin, Limerick and Cloughjordan. See http://www.openeverything.ie for full details. …
European Health Futures Forum Webinar: Perspectives on Transforming Education and Healthcare
Sean Conlan has organised a second webinar on transforming education and healthcare which is open to all by invitation. It will take place on Friday 28 February 2014. If you're interested please register here. A Youtube video of the event will be available to watch after it takes place. …
A permaculture taster: January 25 workshop
Learn how we can live more sustainably, grow food intensively and strengthen the resilience of our communities using Permaculture Design. A one day introductory workshop hosted by Davie Philip of Cultivate and Bruce Darrell of Feasta, both based at Cloughjordan Ecovillage.
Complexity, Systemic Risk, and the Perils of Risk Management
John Sharry to speak at Social Policy Conference
Psychologist, Irish Times columnist and Feasta member John Sharry will be speaking on the topic "Hope in the Face of Disaster – Creating a sustainable, viable, future path for civilisation" at Social Justice Ireland's Social Policy Conference on Tuesday November 29th. Other speakers will include István P. Székely of the European Commission and Anton Hemerijck of the VU University, Amsterdam. More information…


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I'm a writer who enjoys listening to good music (which, to me, is most anything by Hans Zimmer, Howard Shore, and a few other artists who create similar music). I also love playing video games, mostly keeping to single-player RPGs (Dragon Age [Origins] and Skyrim). I do however occasionally play PlanetSide 2, but that's the extent of my multiplayer experience. I'm also part of a Star Wars RPG taking place on this site, mainly because I like Star Wars and I love creating stories. If you're reading this and you like Star Wars, I recommend trying it out to see how you like it. And that's about it. Now go do better things with your time, as I'm sure there are better things to do than read up on the profile of a teen with too much time on his hands. Good day!
Blacklight's pistol is not very remarkable; it is a fairly standard, lightweight, blaster sidearm. He is agile with the weapon, but generally uses it in close-quarters, sticking to his carbine for most engagements unless it runs out of ammunition.


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Boogie Shoes
by Camden Avery
neighborhoodsUpper Haight
Did we ever tell you, the most comfortable pair of dancing shoes we've ever owned were Docs?
Well, they were.
This Friday at 1621 Haight, from 7 to 10 PM, the Dr. Marten's store is throwing a little get-together to celebrate their new collaboration with vintage-hipster-mother-goddess Pendleton.
What will it look like? How will it feel? We have no idea, but there's one sure way to find out: drift out on Friday and see what's going on. They'll have free beer, some DJs, and who all knows what else. Swing by, see what's what.
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Chile-Head Confessional
With my review of Steuben's now off the stands (read the October 5 "American Idyll" here ) and all questions of owner Josh Wolkon's American obsessions and searches for provenance and origin answered, we can get down to the truly important matter raised by his menu: namely, where is the best green chile cheeseburger?
Bear in mind, I'm looking for the best green chile cheeseburger in Denver, not the best overall. Anyone who knows anything knows that the very best are made at the Owl Bar in San Antonio, New Mexico. The burgers at Steuben's are actually a copy of those done at the Owl Cafe in Albuquerque (with the addition of a challah roll and a bigger-than-average patty). An
My late-night local fave is the Cherry Cricket's white-cheddar-and-green-chile burger washed down with two Genny Cream Ales and a Jameson's back -- though only when the house is busy, the kitchen backed up and the cooks rushed enough that my rare burger actually comes bloody and soaking through the bun.
What's your favorite? If there's some little hole-in-the-wall joint in your neighborhood doing killer chile cheeseburgers, I want to know about it. If there's some massive chain operation with a green chile burger buried on the menu, let me hear it. If you've got a place that you've been keeping under your hat, now is the time to stand up and be counted. This is a flat-out burger battle, folks. Whose side are you on? -- Jason Sheehan
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My Two Cents: Blu-ray News - Survivor, Merchants of Doubt, Sunshine Boys & more http://t.co/NeGH4IUgcn
Fest, Fiction & Fury, plus Justified: S5, Equalizer, Love & Basketball… and Robot Jox for good measure
[Editor's Note: Be sure to like TheDigitalBits.com page on Facebook for breaking news, site updates on the go, discussion with our staff and other readers, giveaways and more!]
We're kicking the new week off with more Hell Plaza Oktoberfest from Dr. Jahnke. Today's BD review from Adam is a great one: Scream Factory's The Vincent Price Collection II, which streets tomorrow. Don't miss it!
Also here at The Bits today, our own Michael Coate takes time in his new History, Legacy & Showmanship column to celebrate the 20th anniversary of Quentin Tarantino's Pulp Fiction by hosting a roundtable interview with a trio of great film historians. Can you believe it's been twenty years since the film's debut in October of 1994? Crazy. [Read on here…]
Remembering "Pulp Fiction" on its 20th Anniversary
"Written and Directed by Quentin Tarantino"
The Digital Bits is pleased to present this retrospective commemorating the 20th anniversary of Quentin Tarantino's Pulp Fiction, one of the most talked-about, written-about and influential films of the last two decades.
For the occasion, The Bits features a Q&A with a trio of journalists who offer some thoughts on Tarantino's revered film. [Read more here...]
THREE new columns, new Twilight Time BDs, a new Altman BD, White Christmas, The Jeffersons & more!
[Editor's Note: Be sure to like TheDigitalBits.com page on Facebook for great Blu-ray, DVD and film discussion with other readers and for live updates on your mobile device when new content is posted here!]
We've got a bunch of stuff for you to enjoy here at The Bits today, starting with a trio of new columns here at the site.
First, the good Dr. Jahnke has turned in his latest installment of Burnt Offerings: MOD DVD, running down the latest in small batch, hand crafted DVDs and Blu-rays. He's also added new component to the column that he's calling Wide Awake in Streamland, which details worth deep catalog film and TV titles available for streaming via Warner Archive Instant, Netflix, Hulu Plus and the like. Be sure to check it out.
Also today, our own Michael Coate unloads both barrels of his History, Legacy and Showmanship column to celebrate the 50th anniversaries of TV's Bewitched and the seminal James Bond film Goldfinger! For each column Michael conducts a roundtable discussion with film historians and experts. You definitely don't want to miss them – here's the Bewitched piece and here's Goldfinger. Enjoy! [Read on here…]
The Midas Touch: Remembering "Goldfinger" on its 50th Anniversary
"Only Sean Connery in 1964 could pull off wearing a baby-blue terrycloth onesie and still make every woman in the audience breathe a little more deeply and every man want to be him." — John Cork
The Digital Bits is pleased to present this retrospective commemorating the golden anniversary of the release of Goldfinger, the classic James Bond adventure starring Sean Connery as Agent 007 and directed by Guy Hamiton. Featuring an unforgettable villain, unforgettable sidekick, unforgettable gadgets, and a Bond Girl with an unforgettable name, Goldfinger, which premiered in London 50 years ago today, delighted audiences becoming the first Bond film to be a global phenomenon, ensuring more 007 films for decades to come. [Read more here...]
Still Casting a Spell: Remembering "Bewitched" on its 50th Anniversary
The Digital Bits is pleased to present this retrospective commemorating the golden anniversary of the premiere of Bewitched, the magical supernatural situation comedy starring Elizabeth Montgomery that ran on ABC from 1964 to 1972 and in syndication ever since. The enchanting series premiered 50 years ago this week, and for the occasion The Bits features a Q&A with a trio of Bewitched and television historians and authors, who offer their recollections and insight into the popular series. [Read more here...]
Mary Poppins 50th, plus Transformers: Age of Extinction, Squirm, new details on Cowboy Bebop & MPI Sherlock, plus more
[Editor's Note: Be sure to like TheDigitalBits.com page on Facebook for great Blu-ray, DVD and film discussion with other readers and for live updates on your mobile device when new content is posted here!]
We're stating today's post here at The Bits with a new History, Legacy & Showmanship column from our very own Michael Coate, featuring a look back at the theatrical debut of Disney's Mary Poppins on the occasion of its 50th Anniversary. The TWO PAGE column features a great roundtable interview with authors/film historians Sheldon Hall, Kim Holston, Matthew Kennedy, Jeff Kurtti and Charles Solomon, and lots more release information. Enjoy! [Read on here…]
Supercalifragilisticexpialidocious: Remembering "Mary Poppins" on its 50th Anniversary
"The most wonderful, the most delightful entertainment of your life!"
The Digital Bits is pleased to present this TWO PAGE retrospective column commemorating the golden anniversary of the release of Mary Poppins, Walt Disney's popular and award-winning musical-fantasy starring Julie Andrews and Dick Van Dyke. [Read on here…]
Celebrating Apocalypse Now's 35th Anniversary, a new BD review & Vincent Price Collection II details
All right, we've got three things for you today to close out the week…
First, our own Michael Coate has turned in a fine new History, Legacy & Showmanship column, celebrating today's 35th anniversary of the theatrical debut of Francis Ford Coppola's Apocalypse Now. Included in the piece is a rundown of the initial 70 mm theatrical engagements, trivia, and a pair of interview with film historians Jon Lewis and Lee Pfeiffer. Enjoy!
Also today, Tim Salmons has turned in a review of Raro Video's The Year of the Cannibals (1970) on Blu-ray, an Italian film from director Liliana Cavani. [Read on here…]
Still Loving the Smell of Napalm in the Morning: Remembering "Apocalypse Now" on its 35th Anniversary
"The first time, it will dazzle your senses. The second time, you'll see it for the first time."
The Digital Bits is pleased to present this retrospective commemorating the 35th anniversary of the release of Apocalypse Now, Francis Ford Coppola's award-winning Vietnam War epic.
The Bits marks the occasion with this retrospective article featuring a compilation of box-office data that helps place the film's performance in context, quotes from a selection of movie critics, production and exhibition information, a list of the film's original 70-millimeter presentations, and an interview segment. [Read on here…]
Paramount finally makes the Trek Into Darkness BD right with Star Trek: The Compendium!
All right, let's get the new week started off right, shall we?
I believe I promised you a new column from our own Michael Coate, so here it is. Today being the official 25th anniversary of the original theatrical release of Tim Burton's Batman, Michael has delivered the latest installment of History, Legacy & Showmanship column: Wings of Change: Remembering Tim Burton's Batman on its 25th Anniversary. It's well worth a read, as Michael's column always are, delivering not one but two fine interviews and a wealth of detail. So be sure to check it out today.
And now for that surprise title announcement we mentioned on Friday: Paramount is finally making good on the Star Trek Into Darkness Blu-ray debacle with the 9/9 release of the 4-disc Star Trek: The Compendium Blu-ray box set (SRP $39.99)! [Read on here…]


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For many music fans, long days, hot nights and vacation time makes summer the best season for concerts. For the live-music industry, it's the ideal time to maximize ticket sales. WSJ's John Jurgensen reports. Photo: Getty


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Wigton firm eyeing success in Middle East markets
Last updated at 14:14, Friday, 23 November 2012
Lucrative markets in the Middle East are in the sights of a business that makes toys, children's furniture and educational resources.
Mike Miller Associates (MMA) owns two award-winning brands – Twoey Toys and Active Designs. It has a signed a deal with Edutech, a distributor in the United Arab Emirates, to sell the products there and in Saudi Arabia, Bahrain, Kuwait and Oman.
Jo Miller, a director of Wigton-based MMA, believes it will be an ideal market. She said: "The Gulf states are investing huge amounts in education.
"They know the oil will run out one day so they are educating their populations, starting from nursery upwards, to ensure they have a highly-skilled workforce.
"The UK is tough at the moment so we were keen to look for new opportunities. We are really excited by this."
UK Trade & Investment helped MMA through its Passport to Export scheme. Ms Miller said: "We went to an education show over there to get a feel for it.
"I will be going out again next month to do a tour of all the [Gulf] states then we will be setting targets."
Twoey Toys was founded in 1996 by Mike Miller.
It moved from Station Yard to a purpose-built factory in Syke Road, opened by Prince Andrew in 2006.
The royal connection is likely to be a strong selling point in the Gulf.
Active Designs was acquired in 2009 to complement Twoey's educational toys and furniture.
It supplies curriculum-based learning resources.
Samples in Arabic have been prepared in advance of the export drive.
Although Mr Miller remains the managing director of MMA, the firm is run on a day-to-day basis by his daughters Jo and Rachel. It employs 30 staff and has annual sales of more than £2m.
All the products are manufactured in Wigton and the business has refused to outsource to China or any other low-cost producing nation.
Ms Miller said: "We would lose control [over production]. We are British and proud of it."
First published at 14:11, Friday, 23 November 2012
Published by http://www.cumberlandnews.co.uk
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Harmonix Set to Reveal New Game at PAX East
Posted on March 29, 2012 AT 07:48am
THE BUZZ: Harmonix, developer of Rock Band, will be showing off a new title at PAX East next week.
A description of a panel (Spotted by Destructoid) set to take place at the event, between the 6-8 April, reads:
"The panel will include gameplay examples from internal prototypes, honest discussion of our design process successes and failures, insight into how we create and test our games in development, and a synopsis of the design history of a title on public display for the very first time at the Harmonix booth."
Obviously, as you can see, there are no further details about the game on offer.
EGM's TAKE: Considering that Harmonix is pretty much king of the rhythm genre, based on the success of both Dance Central and Rock Band, it's safe to have a guess at this new title being along those lines. It has previously been mentioned that the firm is working on a game for Facebook, PSN and XBLA, could this be the title mentioned? We eagerly await what Harmonix will reveal next week.
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light brown leather 'Astor' studded belt
designer's notes
Having the right accessories is everything! Complete your look with this gorgeous leather belt from Michael Kors.
color: Luggage (Light Brown) Supple grain leather strap with silvertone hardware Studding along strap Square single prong buckle with engraved logo 1�" wide stap; measures 2�'' wide at front Buckle measures 2" wide x 2" tall All measurements are approximate Leather; Imported; style# 214374500


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With the success of the Kodiak Shoulder Holster, the Kodiak Hunter was sure to follow. This is the ultimate big bore scoped handgun-hunting rig. The harness was field proven with the Kodiak and the holster does everything the competition cannot do. Designed for an abbreviated draw stroke through its open top, it allows for much faster target acquisition than a typical scabbard holster. The Kodiak Hunter comes assembled and includes holster, shoulder strap and torso strap. Made for large framed double and single action hunting revolvers, the Kodiak Hunter is available in Havana brown.
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How much weight will I lose in a week if i only take in 500 cals. per day? I usually eat about 2,200 a day.
Its not a healthy way to lose weight, you should eat about 4-6 small meals a day. Don't go under 1200-1400 calories and do soem exercise. Try a non mixing diet look up no pain feel great diet on the net and download the PDF Certain foods do not digest properly at the same time. Such as you should eat fruit separate away from other foods. Eat protein with veggies and salid, and NO CARBS. and You can and Carbs with veggies and salid but no protein. When you eat this way your body digest he food better and many lose weight. I am doing it and I am down 26 pounds so far in 9 weeks.
No one can say without knowing all the variables. Calories you burn (activity) minus calories you consume are the key. But the calories you burn are determined by exercise, current weight, and metabolism.

500 calories a day is kinda light, and your body will adjust to the reduced intake making it harder to lose weight. You might want to go with 1500 calories a day and increase your exercise. It will be easier to maintain for the long term.
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Even though your kids probably ride their bikes everyday and with friends, there's something different about loading up everyone's bike and riding along with them. Pack snacks and water so you can stop along the trails and refuel.
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