Friday, October 26, 2012

Boomer women hit hard in recession's wake

Marc Piscotty / for NBC News

Despite a resume that includes three decades as a payroll processor, Patti Di Pino, 56, has been looking for work for three years since her divorce from her husband of 30 years,

By John W. Schoen, NBC News

?

Meet Patti Di Pino, 56. She's single, she's unemployed and?she lives in an RV.?She's one of the many women voters being courted by President Barack Obama and former Gov. Mitt Romney in the waning days of the presidential election campaign.

If she's being courted, she's wondering: Where?are the flowers and chocolates?

"I listened to the speeches by the candidates for president and I hear them talking about college kids, finding jobs for them and helping them with their student loans and such," Di Pino told NBC News in a recent interview. "I hear them talking about helping vets get jobs. Not once have I heard about helping baby boomers getting jobs."

A generation of women who flooded the paid labor force in the 1970s has spent the past four decades overcoming a host of obstacles to win its fair share of the American economic pie.

Down the Ladder:An occasional series on Americans struggling to hold onto a middle-class life. Connect with us on Facebook, follow us on Twitter or send us email.

But for many women now approaching what was to have been the end of their careers, the Great Recession has turned out to be the biggest obstacle of their lives.

Di Pino has been looking for steady work for three years since her divorce from her husband of 30 years. In 2009, her employer of 15 years, a construction company, closed its doors and laid her off.

Despite a resume that includes three decades in office administration, potential employers continue to pass her over because she has been out of the work force for so long, she says. Relying on a small savings account, she lives in an RV in Aurora, Colo., trolling the Internet for job leads and working odd jobs to pay the bills.

Di Pino is one of millions of boomer women?whose finances and economic well-being have been shredded by the Great Recession. Since 2007, some 3.5 million women over the age of 18 have fallen below the poverty level, bringing the total to nearly 18 million and raising the poverty rate for women from 12.5 percent to 14.6 percent.

Many left the work force in better economic times to raise families, expecting to return later in life to resume careers that have been upended by the recession. Now after long stretches of unemployment they face a bleak future with little retirement savings and meager Social Security benefits diminished by fewer years of payroll tax credits into the system.

Candidates offering to help older women voters have provided only vague promises, they say.?

Marc Piscotty / for NBC News

Patti Di Pino, 56, lives in an RV near Denver, working odd jobs to make ends meet.

Romney has promised "better access to higher education, and better retraining programs? but hasn?t said how he would provide them or who would be eligible.?Obama?cites gains of more than 5 million new jobs since he took office and his signature of the Lilly Ledbetter Fair Pay Act to help women fight back against pay discrimination.

?For some of these workers, I don?t think there's much hope in the way of recovery,? said Sara Rix, a public policy analyst at AARP. ?Their jobs are gone and they don?t have the skills for emerging jobs. We haven?t been willing to invest what we need to invest in training.?

The future looked brighter when boomer women first entered the work force?in the 1970s, buoyed by the equal rights movement, and began to advance their careers in the economic boom of the 1980s. In doing so, they left behind the postwar American ideal, promoted heavily by Hollywood and Madison Avenue, that men were breadwinners and women were housewives.

?You go to college and find a nice man who will do well,? said Carroll Metzger, 65. ?That?s the culture I came from.?

One of the lucky few
Metzger considers herself one of the lucky ones. In 1976, divorced at 28, with two small kids, she experienced single motherhood at a relatively early age. It wasn?t easy. But it brought home the reality of raising a family while having to generate an income. After returning to school, she earned her registered nursing degree and, two years later, embarked on a lifelong nursing career.?

Her generation of women was determined to have both career and family ? by leaving work temporarily to raise their children and then picking up those careers when the children were grown. But it didn't always work out as planned.

?That was the great deception for women of our generation,? said Metzger. ?That I can leave the work force for a number of years to stay home and raise my kids and rely on the husband's income. What happened is that not every man does?well. And not all marriages work.?

Women are also more likely to outlive their husbands. Metzger, who eventually remarried, retired in 2009 from a paid nursing job to care for her ailing husband, who died in 2010. Today she?s rebuilding her life, shoring up her retirement investments and finding part-time work in nursing.

?I?ve been very fortunate that I ended up in this point in my life not having to work full time,? she said.

Many single boomer women aren?t as lucky. When they do find work, it will pay less, on average, than a similar job performed by a male colleague. That ?wage gap," which begins as early as graduation,?increases as women get older, according to a study on pay equity released in April by the American Association of University Women.

Some 50 years after President John F. Kennedy signed the Equal Pay Act of 1963 into law, the researchers found that a woman aged 20 to 24 can expect to bring home 94 cents for every dollar earned by a man her age. By 55, the pay gap for women widens to 75 cents for every dollar earned by men.

Incomes for single boomer women have lagged even further behind other households. Since 1970, median incomes for married couples with both spouses in the paid work force have risen steadily ? up more than 40 percent to nearly $86,000 (as of 2009). One-income couples and households headed by single men saw little improvement, with median incomes rising to less than $50,000. For single women, the median income, after rising slowly since 1970, barely hit $29,000 in 2009.

Adrienne Esposito, a 53-year-old widowed mother of three, never imagined she?d have to fend for herself 14 years ago when, after 20 years of marriage, her husband died. Her children were 8, 10 and 19.

?I really counted on things that I probably shouldn?t have,? she said. "I know what I was doing was better for the children. I knew it was a sacrifice, and I would have to do something to make up for what I lost by not working. In that case, I thought that with an education I would be able to re-enter the work force in a better position to advance myself.?

With her husband survivors? benefits, and $35,000 in student loans, Esposito completed a master?s degree in family therapy in 2007 and found a job with a social services agency for $33,000 a year. After three years, she was laid off when the agency was hit with funding cuts. Ten months later, she went to work for a Texas state agency for $27,000 a year. After nine months, that job ended?earlier this year.

Despite her recent training and work experience, Esposito believes her job prospects are narrowing. She said one recent interviewer explained, in stark terms, why.

?I was basically told, in the nicest way, that I?m too old for the job,? she said. ?Because they want someone who -- and this is how they put it? -- ?We need someone who can give presentations to the public.?? They did not want a 53-year-old doing that. It?s not a bonus being an older woman in the workplace.?

'What do you do about food?'
Age discrimination, often less overt, has left many boomer women with few alternatives beyond minimum wage work. Di Pino figures that if she took a full-time job at minimum wage, she'd still have to draw on her savings to make ends meet.?

?It?s going to net me $320 (a week), which means I might get $250 after Social Security, state and federal taxes, and unemployment,"?said Di Pino. "That?s $1,000 a month. (In the Denver area), even a one-bedroom apartment is $650 ? minimum. That leaves you $300 for gas, electric, Internet and gas in the truck. And food? What do you do for food??

Retirement savings? That's?something to dream about.

Years of lost paychecks while working at home raising children left many boomer women with a large hole in the retirement safety net their male counterparts generated through 401(k)?contributions?and payments into the Social Security system.?Boomer women also face late-in-life events like divorce and widowhood that ?can have devastating effects on (their) income and asset levels,? according to a?GAO report issued in July.

For those who have saved, or acquired savings in divorce settlements, the financial collapse of 2008 tore a large hole in many retirement accounts. For those in and out of work since, any remaining savings have been farther depleted to pay expenses.

?I haven?t put into Social Security, so I?m not entitled to benefits,? said Esposito. ?I have zero retirement savings.?

It?s no surprise that a recent AARP survey found older women much more worried about retirement than their male counterparts. They have reason to be concerned, said Rix.

?It?s going to be extremely difficult for people to catch up to where they were before the recession,? she said. ?They're going to have to make do on a lot less. And they?re going to find it very difficult to make up the savings?they've?exhausted.?

The outlook for boomer women depends heavily on whether the job market continues to improve. But even once employers begin hiring again, many of the economic obstacles older women face?likely will remain.

Few employers, for example, have shown a willingness to pay the cost of retraining older workers of either gender. With Congress under intense political pressure to cut federal spending, further government assistance will be a tough sell.

Still, the longer the job market remains bleak, the further boomer women's?meager savings will be depleted.

?I cannot believe that many policymakers are going to relish the sight of huge numbers of impoverished constituents sitting on the steps of their state houses,? said Rix.

Sandra Fluke joins MSNBC's Thomas Roberts to talk about the candidates' stances on women's issues and how President Barack Obama can convince undecided women voters to choose him.

More business news:

Follow NBCNews.com business on Twitter and Facebook

Source: http://economywatch.nbcnews.com/_news/2012/10/23/14650419-boomer-women-struggle-in-recessions-wake?lite

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Thursday, October 25, 2012

Marriage, Civil Partnership and Cohabitation | Law & Religion UK

Prior to the debate on the Arbitration and Mediation Services (Equality) Bill reported here, the House of Lords gave a second reading to another Private Member?s Bill, the Inheritance (Cohabitants) Bill of Lord Lester of Herne Hill.? The object of this Bill is to ?to make provision about the property of deceased persons who are survived by a cohabitant?, and whilst the substance of the proposed provision is beyond the scope of this web log, the issues leading to its introduction and the related considerations concerning long-term relationships are pertinent to the current debate surrounding equal civil marriage, and beyond.

In comparison to married couples and those within civil partnerships, cohabitants have fewer rights and responsibilities, reviewed here in a recent House of Commons Library Standard Note.? However, their numbers are significant.? The 41st edition of the ONS publication Social Trends (14 April 2011) indicates that together with lone parent families, they accounted for 7.5 million people, i.e. ~15 per cent of all those living in families in the UK.? For comparison, in the same year there were ~45,000 civil partnership families and ~ 51,000 same sex cohabiting families.

In 2007, the Law Commission published Cohabitation: the financial consequences of relationship breakdown which recommended the introduction of a new scheme of financial remedies for cohabitants on separation, although it did not consider that cohabitants should be given the same rights as married couples and civil partners in the event of their separation.? The report has been considered by both the previous and the present government, here and here, and has been the subject of Lord Lester?s earlier private Member?s bill in December 2008, here, and in March 2009 by Mary Creagh under the Ten Minute Rule, here.

Although the current Bill focused on issues of inheritance, it was suggested in the debate that the broader concerns of cohabitation might be considered?in a further Bill ?to give effect to the Law Commission?s proposals on that wider issue of cohabitation rights? as part of the wider debate on the institution of marriage, proposals for ?equal civil marriage? and the position of civil partnership.

Nevertheless, Government support during the present parliamentary term seems unlikely.

Comment

Marriage, civil partnership?and cohabitation?

In terms of the tranche of law concerning couples in long-term relationships, that associated with cohabitation is in need of reform on account of: the acknowledged difficulties with the existing provisions; and the significant numbers of couples involved.? Nevertheless, whilst cohabitation is becoming increasingly acceptable, a recent YouGov Poll suggested that public opinion favours legislation which promotes marriage in preference to other kinds of family structure, and giving cohabitants similar legal rights as the married would undermine marriage and make people less likely to wed, here.

The importance of the institution of marriage was highlighted by a number of speakers in the debate, and the Bishop of Manchester outlined the dilemma facing the Church,

?Our starting point was, and is, that marriage is central to the stability and health of human society, in particular, the faithful, committed, loving, permanent and legally sanctioned relationship between a man and a woman which marriage affords and which continues to provide the best context for the raising of children ? Nevertheless, as the General Synod affirmed in 2004, the Church of England recognises that there are some issues of hardship and vulnerability for people whose relationships are not based on marriage and that they need to be addressed by the creation of new legal rights.? [col. 1665].

Whilst welcoming the guiding principles behind the Bill, the Bishop questioned addressing intestacy in isolation, and also the rationale of introducing a legislative construct whereby

?[t]he partners would in effect acquire a de facto legal status simply on the basis of things that they had done ? living together, becoming parents ? but without having made any particular formal commitment to one another and without voluntarily taking a particular status upon themselves.? [col. 1667].

The potential complexity of granting legal rights to cohabitants in relation to inheritance was highlighted by Baroness Deech?who said:

?if these proposals [within the Inheritance (Cohabitants) Bill] were to go ahead, we would have a society containing separate regimes for heterosexual and, maybe in future, same-sex marriage, civil partnerships and cohabitation, and family members living together, all with different rights and duties.

We need a complete, unified appraisal of all such relationships and no more piecemeal tinkering with legal rights deriving from different forms of sexual relationships that attract attention at any time.? [col.1661]

Whilst such an unified approach appears to be more logical, the rationale for this separate Bill on inestacy was the Law Commission?s recognition of the controversial issues associated with cohabitation

In his summing up, Lord McNally, Minister of State, Ministry of Justice, noted the Law Commission?s observation that ?this issue has the potential to be divisive and contentious?.?An example of the implications of the current Bill as drafted would

?[put] certain cohabitants on the same footing as spouses and civil partners in relation to intestacy would significantly shift the boundaries of what the average person is deemed to be likely to want to happen with his or her estate,? [col 1678]

and

?equate the position of some [co]habitants with that of spouse and civil partners under the intestacy rules and improve their position under the 1975 Act. Certain cohabitants would therefore be promoted above blood relations on intestacy.? [col 1679].

Lord McNally?s instinctive position was to want to support their proposals, he felt that they should be addressed as ?part of a more comprehensive and considered approach to these issues.?? Although the Government did not intend to oppose the Second Reading, he re-iterated its position announced in September 2011 that,

?[it] did not intend to take forward the Law Commission recommendations for reform of cohabitation laws in this parliamentary term. Proceeding with the present Bill would separate out the law relating to the ending of a cohabiting relationship during life and on death. This is not to suggest that the law in these situations is perfectly aligned at present, but it will be considerably less so if this Bill is enacted. I am not certain that this will be a good development.? [col.1679].

Are the current intestacy rules insufficiently generous?

There is a further subsidiary issue that needs to be addressed as part of any overall package: the present rules of intestacy themselves. In December 2011 the research conducted as a background to the Law Commission?s report on Intestacy and Family Provision Claims on Death concluded that the current law of intestacy and family provision claims on death was ?outdated, confusing or places unnecessary obstacles in the way of those with a valid claim to share in a deceased person?s assets.? The Commission itself also noted that the persistence of the myth that English law recognises the relationship of ?common-law spouse?.

The Commission published a draft Inheritance and Trustees? Powers Bill that would have made an intestate?s spouse or civil partner the sole beneficiary unless there were children or other descendants. In addition, if there were children, the spouse or civil partner would ? as now ? receive a statutory legacy from the estate plus half of the residue: but that share of the residue would be inherited outright instead of as a life interest held in trust. The Commission also wanted the Inheritance (Provision for Family and Dependants) Act 1975 amended to allow a family provision claim to be brought by someone claiming to be a dependant of the deceased even if the deceased did not assume responsibility for that person?s maintenance.

One argument advanced against further relaxation has tended to be that people should be encouraged to make wills and that if the rules on intestacy are relaxed to any great extent they will have no incentive to do so. However, the Law Commission estimates that in 2010 about half of those who died in England and Wales were intestate: see Intestacy and Family Provision Claims on Death: impact assessment (para 27). Is there any reason to suppose that very many of them read the rules on intestacy and made a conscious decision not to make a will? One?s suspicion is that the more likely explanation for intestacy is a reluctance to contemplate one?s own death.

Source: http://www.lawandreligionuk.com/2012/10/25/marriage-civil-partnership-and-cohabitation/

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Buffalo Ranch Popcorn {Sarcastic Cooking} - Around My Family Table

I have been dreaming of this next recipe since the beginning of August when I decided to devote a whole month to popcorn and Stefanie told me what she planned to do. ?Yes, since August! ?I will eat anything?and I mean anything that is buffalo-flavored! ?My mouth seriously waters when I start thinking of my giant bottle of Frank?s Red Hot Sauce (ya know, the Costco sized bottle).

I first spotted Stefanie on Instagram?we followed a lot of the same people and so I popped over to check out her Instagram page! ?I felt instantly connected with her because of all her pug dog photos?.love me some pug dog kisses! ?Anyway, after I got over the pugs, I checked out Sarcastic Cooking. ?How can you not be drawn in with a tagline like ?Dishing up honest food with a dash of humor.? ?Here?s Stefanie?..

Hi all you Around My Family Table readers! I am so glad to be taking part in Wendy?s month of popcorn recipes! You can ask Wendy, but when she tweeted that she was looking for bloggers to do popcorn recipes, I think I responded in less than five seconds! My husband and I love popcorn!

He really isn?t into healthy snacking, so if I buy the simply salted or natural popcorn he is more apt to try that than, let?s say, beet chips. Lately, I have been getting bored with the usual late night popcorn snack, so I have been testing out a few variations.

I tried a chili flake and lime zest combo which was great, but you can?t get the right amount of chili and lime in each bite. It ends up either too spicy or too limey.

The next concoction I tried was a kind of popcorn trail mix, but I found myself picking out all the M&M?s and nuts. That defeats the purpose of a healthy snack.

A few weeks ago, a light bulb went on in my head while cooking one of our favorite dinners, Buffalo Turkey Burgers. Buffalo flavored popcorn!!!

A new favorite snack was born. Buffalo sauce with a dash of ranch dressing seasoning on a bag of simply salted microwave popcorn is a match made in heaven.

Buffalo Ranch Popcorn

9 Cups Simply Salted or Plain Popcorn, popped

2 Tablespoons Buffalo Sauce (I used Frank?s, but feel free to use your favorite!)

1 Tablespoon Hidden Valley Ranch Dressing Seasoning Mix

1 Teaspoon Fresh Parsley, chopped

1 Teaspoon Fresh Chives, chopped

Pinch of Pecorino Romano Cheese, shredded

Pop your bag of popcorn in the microwave as directed on the packaging.

Add the buffalo sauce to the bottom of a large mixing bowl. Pour in the freshly popped popcorn and season the top of the popcorn with the ranch seasonings. Cover the bowl tightly in plastic wrap. Work quickly as to prevent the bottom layer of popcorn from getting soggy.

Shake the bowl to evenly distribute all the seasoning and buffalo sauce. After about thirty seconds of shaking, transfer the popcorn to a serving bowl.

Top with parsley, chives, and cheese. Serve and eat immediately!

2.0

http://www.aroundmyfamilytable.com/2012/10/buffalo-ranch-popcorn/

Copyright AroundMyFamilyTable.com

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Source: http://www.aroundmyfamilytable.com/2012/10/buffalo-ranch-popcorn/

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Wednesday, October 24, 2012

Breast cancer awareness: Not so pretty pink

(CNN) ?

Pink is Amy Wadsworth's favorite color. But when she entered a wig store decorated pink for October -- Breast Cancer Month -- in 2010, she felt that the "awareness" display was revolting.

She was undergoing chemotherapy at the time for breast cancer and had just buzzed off her hair in anticipation of losing it all.

"It doesn't feel like a pretty pink ribbon, is what it kind of amounted to. There's nothing pretty about this," says Wadsworth, 31, of South Thomaston, Maine, remembering her cancer journey. "It's traumatizing. It leaves a little hollow place."

Now that Wadsworth is cancer-free and feeling healthy after seven rounds of chemo and a double-mastectomy, her attitude flipped. She loves the prominent appreciation for breast cancer awareness this month and hopes to one day have her own breast cancer fund to focus on holistic treatments.

Awareness is a tricky thing.

Some women who have been through breast cancer embrace the outreach activities this month, participating in races and other fundraising events. Susan G. Komen for the Cure is perhaps the most recognizable player here, using the color pink and pink ribbons to promote various ways of raising money and "awareness."

Not everyone feels part of the pinkness.

Women with metastatic cancer, which has spread beyond the breast and is more likely to be fatal, sometimes feel left out when the focus of awareness is on curable, small tumors, says Christopher Friese, an oncology nurse and assistant professor at the University of Michigan School of Nursing.

"The clear message is that breast cancer is not a single, or a simple, story," Friese said. "Depending on the stage and the involvement of the tumor, the story could be very different for women at various stages of breast cancer."

There are women such as Ann Silberman of Sacremento, Calif., who aren't necessarily on a road to recovery.

Source: http://www.wdsu.com/news/health/Breast-cancer-awareness-Not-so-pretty-pink/-/9853288/17093958/-/nn6kd1z/-/index.html?absolute=true

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Raven Banner Entertainment and Ultra 8 Pictures unleash - GAT

??Raven Banner Entertainment and Ultra 8 Pictures??are proud to announce

? MANBORG

Opens Theatrically in Toronto November 2nd
at The Royal ? 608 College St.
and other Canadian cities

Raven Banner Entertainment and Ultra 8 Pictures are set to unleash demonic dictators and a vigilante cyborg on Canada with the theatrical release of Steven Kostanksi?s Manborg. Shot as a throwback to ?80s sci-fi horror action films, Manborg tells the story of a dead soldier who finds himself reanimated as a cyborg killing machine, which Twitchfilm calls ?a creative and hilarious love letter to the VHS sub culture?.

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Half-man, half-cyborg: Manborg. Killed while battling the forces of hell, a super-soldier is brought back from the dead in order to fight an army of Nazi vampires and demons led by the nefarious Count Draculon. There?s an Australian punker, a knife-wielding anime chick, a kung fu master (voiced with deliriously pitch-perfect stoicism by Kyle Herbert, the narrator from Dragon Ball Z), and of course the titular Manborg, a literal cinematic Frankenstein of pulp sci-fi pop culture references.

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Manborg, is directed by Steven Kostanski, the special effects prodigy of Winnipeg?s filmmaking collective Astron-6 (Father?s Day), who deftly juggles co-writing, editing and directing duties on a micro budget of below $2K with the ambitious creation of an extraordinary barrage of elaborate miniatures, iconic costumes and delirious stop-motion creatures. Most impressively, despite drawing from so many sources, Manborg?s universe remains unmistakably original, and as a director, Kostanki?s vision is unquestionably unique and his talent impossible to deny.

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Executive produced by TIFF Midnight Madness guru Colin Geddes (Ultra 8 Pictures) and Toronto After Dark?s Peter Kupowsky, Manborg celebrated its world premiere at Austin?s 2011 Fantastic Fest, and also impressed fans at the Toronto After Dark Film Festival, Fantasia, and has played more than 30 major film festivals worldwide including Whistler, Lund in Sweden, Boston Underground, U.K. Sci-Fi, and Neuchatel in Switzerland. Also playing with MANBORG is Kostanski?s brand-new short film BIO-COP, an epic emulation of 80s-era cop movie trailers, meticulously recreating the experience of watching VHS-era cheese with full-tilt gonzo gusto.

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?Manborg is an incredible achievement? says Don McKellar, and? FilmThreat.com calls the film: ?A glorious mixture of claymation, computer graphics, practical effects, make-up and a DIY ethic that?s above and beyond most science fiction movies being produced. Manborg is a total ?hoot.?
Gearing up for theatrical release of the cult hit film Manborg, Raven Banner Entertainment has just commissioned a new poster by the incredibly talented Toronto artist, Jason Edmiston, whose fondness for pop culture, especially movies and toys, often creep into his work and makes him the perfect artist to illustrate the awesome power of Manborg.

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Manborg is being screened theatrically in the following cities:

?

Oct 26 ? Nov 1 ? Winnipeg Cinematheque

Director Steve Kostanski and actors/Astron 6 members Matthew Kennedy, Adam Brooks, Conor Sweeney & Meredith Sweeney in attendance Oct 26 & 27.

Nov 2 ? 8 ? Toronto, The Royal

Director Steve Kostanski & poster artist Jason Edmiston in attendance Nov 2.

Actor/Writer Jeremy Gillespie in attendance Nov 3.

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Nov 3 ? Ottawa, Mayfair Theatre
Director Steve Kostanski in attendance.

Nov 4 ? Vancouver Rio Grand (as part of Rio Grind Film Fest)
Skype Q&A with director Steve Kostanski.

Nov 10 ? Halifax, Arclight
With an introduction by Jason Eisener (Hobo With A Shotgun)


Nov 16 ? Hamilton, The Staircase

Director Steve Kostanski in attendance.


More dates/cities to be announced!


Manborg will have an official release on DVD in 2013 by
Anchor Bay Entertainment Canada and Raven Banner Entertainment

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www.manborg.com
www.facebook.com/Manborg.the.movie

https://twitter.com/ManborgMovie

About Raven Banner

Toronto based Raven Banner Entertainment represents innovative and compelling genre driven independent feature films and filmmakers for North American distribution and the international marketplace. For more about Raven Banner please visit: http://ravenbannerentertainment.com/

About Ultra 8 Pictures

With an understanding of international festivals and markets, Ultra 8 Pictures offers consulting services in areas of acquisition, production, representation, sales and festivals for filmmakers, producers and distributers. For more information please visit: http://www.ultra8.ca

Source: http://www.gat.ca/2012/10/23/raven-banner-entertainment-and-ultra-8-pictures-unleash-manborg-a-film-by-steven-kostanksi-opens-in-toronto-nov-3-the-royal-and-other-canadian-cities/

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Tenn. doctor credited with cracking mystery of meningitis outbreak

NASHVILLE, Tennessee (Reuters) - A Tennessee doctor who ordered "extra tests" on the spinal fluid of a patient is credited by colleagues with unlocking the mystery of a devastating fungal meningitis outbreak and prompting a national alert that may have saved lives.

Dr. April Pettit, an infectious diseases specialist at Vanderbilt University, could not figure out last month why a patient in his 50s was not responding to standard antibiotic treatments for meningitis, her colleagues at the school told Reuters.

During her research and discussions with the man's family, she discovered that he had received an epidural steroid injection at St. Thomas Outpatient Neurosurgical Center in Nashville.

She then asked the Vanderbilt laboratory to check the man's spinal fluid for a rare form of meningitis, caused by a fungus rather than bacteria or a virus, which cannot be fought with conventional medications.

A spinal tap showed the presence of Aspergillus fumigatus. The patient, who was started on the anti-fungal drug voriconazole, became the first documented case of a fungal meningitis outbreak linked to potentially tainted steroids.

More than 300 people since then have been confirmed as stricken with meningitis after receiving the injections, and 24 have died, including Pettit's patient, in what is one of the nation's worst health scares in recent history.

Pettit's discovery led to the emergency recall of the medication from New England Compounding Center and other steps to stop the outbreak. St. Thomas was later confirmed to have received more of the steroids from NECC than any other facility.

Other doctors involved in the meningitis cases have documented how quickly an infected patient can deteriorate, and even die, making early diagnosis and treatment vital for up to 14,000 people believed to have received the steroid injections.

"In my mind she's a hero," Dr. Carol Rauch, associate medical director of clinical laboratories at Vanderbilt, said of Pettit, who declined to be interviewed for this story. "Credit her with saving many lives ... She persevered and ordered the extra tests and we happened upon this fungus."

PROUD MOMENT

A Reuters reporter was given a tour of the Vanderbilt laboratory last Friday. Other details of the first diagnosed patient also were reported in the New England Journal of Medicine on Friday.

The samples from that patient were sent to Rauch's lab, where inside the biological safety cabinet, a technologist spread the spinal fluid on Petri dishes and also put it in vials. From there it went to the incubator in an adjacent room. After several days under optimal growth conditions, the fungus was harvested and mycology specialist Tonya Snyder, 59, a medical technologist, made the ultimate discovery.

"It was amazing," says Snyder, recalling her first thoughts when looking into the microscope at the ferocious foreign invader. "It was ?Oh, there's something there that shouldn't be going in spinal fluid.'"

"This set off the bells," she says. "And everyone became involved."

The discovery was first reported to the Tennessee Department of Health and after that to the U.S. Centers for Disease Control and Prevention, which launched a national alert. The company which supplied the steroid, NECC, now faces multiple investigations, and health authorities are trying to trace every product it shipped across the country in recent months.

While Rauch displays a Petri dish that has become a garden of the fuzzy offspring of that original fungus, Snyder puts a slide in the microscope, showing a tiny sample of what she saw in what was supposed to be sterile spinal fluid.

Then the slide is projected on a large screen for group viewing.

"You look at the surface of the stalk," Rauch said, pointing to the projected slide displaying the Aspergillus fungus.

"You look at the shapes, the attachments, the color," she said, pointing to the deep blue image on the screen. She also said experts must look at where the flowery parts are on the crown of the stalk and whether they are breaking free to grow more fungus.

"It's kind of like a dandelion stem. You know, when all those little pieces begin flying off? We inhale them all the time. It's not a problem until you get them in the wrong place."

The fungus she was talking about as well as two others so far believed to be linked to the outbreak - Exserohilum and Cladosporium - are commonly found in the environment. Rauch said there may be more fungi linked to the infections.

While a fungus can be a threat to people with compromised immune systems such as transplant patients, and people with HIV/AIDS, these microscopic pieces of fungal fuzz are not harmful to the healthy unless they end up in places such as spinal fluid.

Snyder said the discovery of the fungus in the spinal fluid was a proud moment for her profession.

"We so often are behind-the-scenes people. I hate that this has happened. It is a tragic situation. But it does show how important we are in the health care puzzle," she said.

(Additional reporting by Sharon Begley; Editing by Greg McCune, Michele Gershberg and Paul Simao)

Source: http://news.yahoo.com/tennessee-doctor-credited-cracking-meningitis-outbreak-mystery-191948828.html

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