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PA Ways to Work - Transportation Loan Program A Community Partnership Program for. This program is made possible through funding by Ways to Work, Inc., United Way of Allegheny County, United Way of Washington County, United Way of Westmoreland County and local foundations. The statewide New Choices Career Development program provides. PA Women Work people across. When I found PA Women Work’s New Choices program in 2013, I found a new. Ticket to Work is a free and voluntary program that can help Social Security beneficiaries go to work, get a good job that may lead to a career. The phone call you received was from Social Security's Ticket to Work program. Work Release Currently selected; Court Programs. PA 17101-1295 Contact Dauphin. Social Security's Ticket to Work Program is a free and voluntary program available to people ages 18 through 64 who are blind or have a disability and who receive Social Security Disability Insurance (SSDI) or Supplemental.Pennsylvania Women Work is a statewide 501(c). Our program GROW is gaining ground and reaching young parents across the state! Just select PA Women Work as your designated charitable organization. I keep getting this massage when I try playing a song, windows media player has stopped working, a problem caused the program to stop working correctly. I had forgotten that you are running Windows 8/8.1. As a future reference. To get to System Configuration you need to go to Search and type msconfig. Windows 8. 1 Media Player Has Stopped Working. When I try to play mp. I get the message; 'Windows Media Player Has Stopped Working'. Windows Media Player 12 stopped working. Comprehensive support for Windows Media Player 12 issues. Error: Windows Explorer has stopped working Email. Windows Explorer has stopped working. To resolve this issue you need to determine what is causing Windows Explorer to stop working. I recently upgraded from Windows 8 to 8.1. After the update Windows Media Player doesn't recognize any. Windows Media Player not working after 8.1. The Windows 8 Forums is an independent web site and has not been. Since updating to windows 8.1 windows media player has stopped working CuBeZ asked on. Method 1: Run the Windows Media Player Settings and Library troubleshooters and check whether the issue is. Media Player suddenly stopped working in Windows 8 Hey. Netflix just stopped working in windows 8 Media Center. The Windows 8 Forums is an independent web site and has not been authorized. Win 8 Media Player suddenly stopped working. Netflix just stopped working in windows 8 Media Center. The Windows 8 Forums is an independent web site and has not been authorized. Vlc stopped working and issue a windows error message: 'VLC media player has encountered a problem and needs to close'. Joined: Wed Jun 15, 2005 8:58 am Location: Orlando, Florida, USA. When I try to play mp3 fies, or burn them to disk, I get the message; 'Windows Media Player Has Stopped Working'. It then says it will it's looking for a solution, but it obviously doesn't find one, and so the only option I'm.Residency Program - University of Illinois College of Medic.. Tsoukas, M. D. Program Coordinator: Pamela M. Czerwinski, BS (3. Accreditation: Fully Accredited by ACGMELength of Training: Three (3) years. Board Eligibility: All residents that satisfactorily complete this three- year residency program will be eligible to take the certifying examination offered by the American Board of Dermatology. Training Facilities: Currently our program has three major training facilities: 1). The UIC Medical Center 2). Jesse Brown VA Medical Center and 3). Lovell Federal Health Care Center (FHCC)Application Process: All applications should be submitted to ERAS (Electronic Residency Application Service) by November 1st. Responsibilities of the Residency Program Director According to the ACGME Institutional. The program director must. Welcome to the home of USC's Internal Medicine Residency Program at the Keck School of Medicine of USC. USC Internal Medicine. Title: Director, USC Dermatology Residency Program: Title: Director, Medical Student Dermatology Advisory Program.
Welcome to the Dermatology faculty page at the University of Massachusetts Medical School Department of Medicine. Dermatology Residency Program Director. OUR MISSION STATEMENT. The UC Irvine Dermatology Program is. The USC Department of Surgery has a long tradition of. Another unique feature of the USC surgical residency program is its unwavering commitment to surgical. Excelsior College Updates. Excelsior College BSN Nursing Theory Examination Change - Updated September 2. Effective January 1, 2. Community- Focused Nursing and Research in Nursing theory examinations are being replaced with online courses. The last date to register for the examinations will be December 3. Students who are registered by December 3. Former nursing students sue Excelsior College over 'deceptive or misleading.View student reviews, rankings, reputation for the online Bachelor of Science in Nursing (RN to BSN) from Excelsior College - School of Health Science-Undergraduate. Excelsior College celebrated the completion of its first year of a three-year grant from. Student Success Blog Excelsior Life. 8 Tips For 8-Week Courses. Some states reject nurses from NY online school. Excelsior College’s RN program is accredited by the NLN. I am currently enrolled in the BSN program. Courses required for Excelsior College's ASN & BSN. What CLEP, DSST, and ECE exams can I use for the ASN (RN) or BSN program for Excelsior College? Issue 6 of N21: Nursing in the 21st Century, edited by Maureen Boshier and published by Hudson Whitman/ Excelsior College Press, is now live. The theme is The New Maturity: Rethinking Ageism, and the issue offers a look new. 7 reviews of Excelsior College 'For those who don't know, EC is know as one of the 'Big 3' (Thomas Edison State College & Charter Oak State College being the other two). These 3 regionally accredited (RA)institutions of higher. Private; No Waiting List No; Offers Online Program No; Contact Information. Website https://www.excelsior.edu/Excelsior. Customers who have not registered for the examinations by December 3. NUR 4. 30 Research in Nursing and NUR 4. Community Health Nursing online with Excelsior College. As a reminder, in order to complete the nursing theory examinations, customers are required to complete the written English, information literacy, and ethics requirement and enroll into Excelsior College. Customers must also have the statistics requirement completed prior to completing the Research in Nursing examination. If you need assistance or have any questions regarding this announcement, please do not hesitate to contact us at 1- 8. Excelsior College. If you have already completed this examination and/or have already completed your program, you may disregard this announcement. Congratulations on your achievement! If you need assistance or have any questions regarding this announcement, please do not hesitate to contact us at 1- 8. Excelsior College. Please note that the content in the Comprehensive Learning Modules. TM has not changed. We are currently working to update the titles in our materials and in the Resource Center. In the meantime, you can continue to study the current title, but you will complete the examination with the new title. The title changes are: Transition to the Registered Professional Nurse Role is now Transition to the Professional Nurse Role. Essentials of Nursing Care: Chronicity is now Foundations in Nursing Practice. Essentials of Nursing Care: Reproductive Health is now Reproductive Health. If you have already completed these exams and/or have already completed your program, you may disregard this announcement. Congratulations on your achievement! If you need assistance or have any questions regarding this announcement, please do not hesitate to contact us at 1- 8. Credit from these sources, with the exception of military training, CLEP. In addition, a maximum of fifteen semester hours of general education courses can be completed through TCN exams. Please note: Those who enroll with Excelsior College. You must remain enrolled with Excelsior College. For admission and enrollment information, please visit http: //www. You may also contact the Excelsior College. We advise you to start the admission and enrollment process no later than mid- August to ensure you are admitted and enrolled by the deadline. If you will NOT be ready to enroll with Excelsior College. If you need any further assistance or have any questions, please contact Academic Support at (8. Excelsior College BSN Management in Nursing Examination Change. Effective September 1, 2. Management in Nursing theory examination is being replaced with an online course, NUR 4. Nursing Leadership and Management. The last date to take the exam will be August 3. After that date, students who have not completed the exam will be required to take the online course. As a reminder, in order to complete the Management in Nursing theory examination, students are required to complete the written English, information literacy, and ethics requirement and enroll into Excelsior College. If you need assistance or have any questions regarding this announcement, please do not hesitate to contact us at 1. Excelsior College ADN Exam Acceptance Limitation Policy Change - Updated May 2. The College Network. Credit from these sources, with the exception of military training, CLEP. In addition, a maximum of six semester hours of general education courses can be completed through TCN exams. Please note: Those who enroll with Excelsior College. You must remain enrolled with Excelsior College. For admission and enrollment information, please visit http: //www. You may also contact the Excelsior College. We advise you to start the admission and enrollment process no later than mid- August to ensure you are admitted and enrolled by the deadline. If you will NOT be ready to enroll with Excelsior College. If you need any further assistance or have any questions, please contact Academic Support at (8. Excelsior College ADN Anatomy and Physiology and Microbiology Requirement (New Five- Year Rule)The College Network. Please note: Those that enroll in Excelsior College. For admission and enrollment information, please visit http: //www. You may also contact the Excelsior College. We advise you to start the admission and enrollment process no later than mid- August to ensure you are admitted and enrolled by the deadline. If you will NOT be ready to enroll with Excelsior College. Excelsior College ADN Prerequisite to Enrollment. Effective October 1, 2. Excelsior College. Students will still be able to take the Transition to the Registered Professional Nurse Role examination prior to enrolling with Excelsior College. In addition, Anatomy and Physiology and the Microbiology requirements must be completed prior to registering for the nursing theory examinations, with the exception of the Transition to the Registered Professional Nurse Role examination. BSN Program Updates - Updated January 2. Effective October 1, 2. English, information literacy, and ethics requirements and enroll into Excelsior College. In addition, Excelsior College has removed the depth requirement from the program. ADN Curriculum Changes - Updated July 2. Anyone enrolling into an Excelsior College. For admission and enrollment information, please visit http: // www. You may also contact the Excelsior College Admissions Office at (8. If you are not ready to enroll into Excelsior College by October 1, 2. Academic Support department to discuss how this change may allow for the exchange of one of your current Comprehensive Learning Modules. If you have not taken the NCLEX- PN within the last five years, we encourage you to enroll into Excelsior College before January 1, 2. ADN Curriculum Changes – Updated October 2. If you did not enroll in Excelsior College. According to the information posted on Excelsior College's. In addition, a new three- part clinical competency assessment, Focused Clinical Competencies Assessment (FCCASM), has been introduced. All students will still be required to complete the Clinical Performance in Nursing Examination (CPNE. The Essentials of Nursing Care: Health Safety replaced the Nursing Concepts 1 module and is available. However, if you plan on studying any other Nursing Concepts modules, please contact The College Network's Academic Support department before starting. Statistics Learning Module – Updated October 2. Effective December 3. Excelsior College. If you cannot take the Excelsior College. We will send you the DSST. Customers who plan on taking the current version of the exam must do so prior to September 3. Those who plan on completing the exam after September 3. Community- Focused Nursing exam. The content outline for the new exam will not be available until July 2. NOTE: The College Network. Excelsior College RN To Bsn. Excelsior College New agreement signed, 1. RN plus Ethics, Stats and 1. Contact: Mary Beth Hanner – (8. By agreement with excelsior College (formerly regents College) in new york, the b. Sn degree program was transitioned to an online 2. Sn/MSn nurse educator degree program in 2. Required to take a DSST. This is a two- ISU- BSN- 7. High school students in a college preparatory program who wish to enter the ADN or in some cases all, of the required course work for these BSN programs can be taken at GCC. College advisors will be happy to assist you in planning your course of study. JOAN GRAHAM, BSN, RN program and a registered nurse program are different. The practical nurse program must evaluate the clinical hours of the student. Of continuing education to maintain nursing competence by 6. BSN program within a year of graduation as ONLY 1 ATTEMPT allowed for the Excelsior Exam. Students with professional certification in a specialty practice area may also receive college credit. Offering RN to BSN Degrees – May 1, 2. All partners are accredited regionally and with the Commission on Collegiate Nursing Education (CCNE). Chamberlain University: http: //info. Drexel University: www. Excelsior College: http: //palmettohealth RN TO BSN PREREQUISTES & SEQUENCE OF COURSES Author: obrienni Created Date: 1. PM The University of Texas at El Paso School of Nursing and Professional & Public Programs RN to BSN Online Program. More Summer Programs: Theater . With the lure of high salaries and strong job prospects, a lot of students enter. 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Students will experience how national and international leaders put theory into practice through guest speakers, site visits, and an introduction to the institutions of Washington that turn ideas into action. Taking a college course helps prepare students for the expectations of higher education and will add value to their college applications and resumes. Top Summer Pre-college Programs. Check out these summer programs for high school students at some of the country's most selective colleges and. Harvard University Summer School; Johns Hopkins University Engineering. MAKE THE MOST OF YOUR SUMMER! Engineering Summer Academy at Penn (ESAP) The School of Engineering at the University of Pennsylvania offers a unique opportunity for a. Information about college programs for high school students during Summer Sessions at American University in Washington, DC. Summer Programs; Online Programs; Honors & Learning Communities. For more information email communityofscholars@american. 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Compatibility: I strongly recommend checking the Fallout Interoperability Program (FOIP) page for compatibility patches that allow WMK to work more smoothly alongside other popular mods. You can try this (third- party) one: RH. If you see this happen, it means you've installed another mod that affects vanilla weapons, and it's conflicting with WMK. Most commonly, this is FWE, and you'll need to install the WMK- FWE patch available from the FOIP page (link above). If you're using WMK, FWE and RH. I am not the author of the WMK- FWE patch, for the record. Q) I've uninstalled WMK- FWE and now I can't access the weapon modification menu at workbenches anymore. What's going on, and how can I fix it? Play Instructions: Install the game - Full Installation. Apply the official Operation Flashpoint v1.30 Beta Patch. Replace the original OPERATIONFLASHPOINT.EXE file with the one from the File Archive (129 directory).General Links: Important Serial Info; Game Fixes: Operation Flashpoint: Red River - Valley of Death v20150913 Oops sorry, wrong show :p Everyone say 'Thank you!' to Jerry Hopper who, besides his many other activities for the Community, is now also hosting our download server! Cervo and the OFPr.info team Comments. Browse Operation Flashpoint: Dragon Rising files to download full releases, installer, sdk, patches, mods, demos, and media. A) When installed, WMK- FWE makes some changes to WMK that it doesn't revert when it's uninstalled; resulting in this problem. Entering these commands into the console should fix it: startquest WMKAdd. Hidden. Perks. On. Start. Queststartquest WMKAdd. Hidden. Perks. On. Start. 2Quest. Installation/Uninstallation. Frequently Asked Questions (FAQ)6. Conflicts/Known Issues. Modder's Resource Info. Contact and Information. Legal Stuff/Disclaimer. Version History===============1. DESCRIPTION===============Weapon Modification Kits - or 'Weapon Mod Kits' - allow you to use standard Workbenches to modify your favourite firearms with a range of handy attachments: - Auto- Fire Mechanism (AF): Adds full- auto firing capability to most guns that do not have it otherwise (also increases weapon spread by around 5. VATS).- Extended Magazine/Clip (EC): Doubles magazine/clip capacity.- Laser Sight (LS): Increases accuracy (reduces weapon spread by around 3. VATS by 2. 5%).- Scope (SC): Can use scope to sight targets, increases range by 3. Silencer (SI): Makes weapon silent, reduces damage and projectile speed (by around 1. In addition, the loving attention bestowed upon your weapon during modification results in durability improvements. Each successive mod applied to a weapon increases its durability by 2. Here is a list of weapons that can be modified; and which Mod Kits can be applied to them. Unique variants of these weapons can be modified in the same fashion as the standard variants. Pistol- Silencer. Chinese Pistol- Auto- Fire Mechanism- Extended Magazine- Laser Sight- Silencer. Pistol- Auto- Fire Mechanism- Extended Magazine- Laser Sight- Silencer. Magnum Revolver- Laser Sight- Scope- Silencer. Submachine Gun- Extended Magazine- Laser Sight- Scope- Silencer. Combat Shotgun- Auto- Fire Mechanism- Extended Magazine. Assault Rifle- Extended Magazine- Laser Sight- Scope- Silencer. Chinese Assault Rifle- Extended Magazine- Laser Sight- Scope- Silencer. Hunting Rifle- Extended Magazine- Scope- Silencer. Lever Rifle- Laser Sight- Scope- Silencer. Sniper Rifle- Extended Magazine- Laser Sight- Silencer. Alien Blaster- Auto- Fire Mechanism- Extended Magazine- Laser Sight- Scope. Laser Pistol- Auto- Fire Mechanism (not usable on 'Col. Autumn's Laser Pistol')- Extended Magazine- Laser Sight- Scope. Plasma Pistol- Auto- Fire Mechanism- Extended Magazine- Laser Sight. Laser Rifle- Auto- Fire Mechanism- Extended Magazine- Laser Sight- Scope. Plasma Rifle- Auto- Fire Mechanism- Extended Magazine- Laser Sight- Scope. Flamer- Extended Magazine. Gatling Laser- Laser Sight. Minigun- Laser Sight. In April 2012, Dean Hall released DayZ, an open world survival horror modification for ARMA 2 which also required the Operation Arrowhead standalone expansion pack to work. DayZ received much critical acclaim in the video. Note: The cheats and tricks listed above may not necessarily work with your copy of the game. This is due to the fact that they generally work with a specific version of the game and after updating it or choosing another. Welcome to the Requiem 1.9.4 Patch Central! Here you can find a bunch of compatibility patches for Requiem 1.9.4. What has been patched? Hearthfire DLC 83Willows 101BugsHD Butterfly Dragonfly Luna-Moth Torchbug* Alternate. Operation Flashpoint: Cold War Crisis ist die erste vollwertige Milti Operation Flashpoint: Dragon Rising Guide - Walkthrough Mission Six: Hip Shot. Summary: This is a very tough stealth level that culminates in a smash and grab assault on a fuel depot. As it is a sneaky stealth level, we are. Missile Launcher- Extended Magazine- Laser Sight (not usable on 'Miss Launcher')To modify a weapon, take it - plus one or more applicable Weapon Mod Kits - to a standard Workbench. Activate the Workbench and select 'Weapon Modification' from the menu. You can then either add modifications to - or remove modifications from - your CURRENTLY EQUIPPED weapon. Successfully adding a modification only requires that you are carrying an appropriate Mod Kit. There is a chance when removing a modification, however, that recovering the Mod Kit will fail and the Mod Kit will be destroyed. The higher your Repair skill, the more likely you are to successfully recover Mod Kits. For example, a 1. Pistol with a laser sight and silencer attached will be listed as '1. Pistol (LS, SI)'.===============2. Requirements===============- Fallout 3- Fallout 3 Script Extender (FOSE) version 1 or above. Get it from here: http: //fose. Different versions of FOSE have different official Fallout 3 patch requirements. Check the FOSE documentation for details.========================3. INSTALLATION/UNINSTALLATION========================Installation: - If you have not done so already, you will need to install Fallout 3 Script Extender (FOSE) version 1 or above. Get it from here: http: //fose. Using 7- Zip (http: //www. ALL files and folders) of the Weapon. Mod. Kits. 7z archive file to your Fallout 3. Data directory. If asked if you want to overwrite files and folders, click 'Yes to all'.- In the Data Files section of the Fallout 3 Launcher - or using a tool like Fallout 3 Mod Manager - place a tick in the box next to Weapon. Mod. Kits. esp.- If you have not done this already (this is needed for a wide range of mods), go to your My Documents. My Games. Fallout. Fallout. 3. ini file there, and then: - Open the Fallout. This should be done after you have installed and activated all the mods you wish to play the game with (and have configured your load order using a tool like Fallout Mod Manager (FOMM)). This is how to do it: - Run FO3. Edit, and a list of all the plugins in your Fallout 3. Data directory will come up, listed as per your load order. By default, the plugins you have activated in the Fallout 3 Launcher or in FOMM will have ticks next to them. This is what you want, so just click 'OK'.- Once FO3. Edit has finished loading, right- click somewhere in the panel on the left that lists your activated plugins, and select 'Create Merged Patch' from the context menu.- Enter a name for the patch into the window that pops up (any name you like), and click on 'OK'.- Once FO3. Edit has finished generating the patch (it creates a new . FO3. Edit. Click 'OK' on the window that pops up to save the Merged Patch that was generated.- Finally, make sure the Merged Patch esp is loading after all your other plugins (which it should already be, by default), and activate it using the Fallout 3 Launcher or FOMM.- If you ever uninstall plugins - or install new ones - deactivate and delete the Merged Patch, and then follow these instructions again to create a new one. Upgrading from version 1. If you have not done so already, you will need to install Fallout 3 Script Extender (FOSE) version 1 or above. Get it from here: http: //fose. Optional) If you wish to save a small bit of hard drive space, you can delete the mesh and texture files you installed when installing WMK v. Specifically, delete the Fallout 3. Datameshesweapons. WMKweapons folder and contents, and the Fallout 3. Data. Texturesweapons. WMKweapons folder and contents.- Using 7- Zip (http: //www. ALL files and folders) of the Weapon. Mod. Kits. 7z archive file to your Fallout 3. Data directory. If asked if you want to overwrite files and folders, click 'Yes to all'.- Follow the 'Automatic Merged Patch Creation' instructions above.- Load a previous save- game (or start a new game) and continue playing; no other actions are needed. Upgrading from an earlier version (generally): - Simply follow the installation instructions above, overwriting the files from the earlier version.- Follow the 'Automatic Merged Patch Creation' instructions above. In the console, enter: startquest WMKUninstall (if you have FOSE running) or: startquest XX0. FE0 (if you don't have FOSE running, where XX is the position of Weapon. Mod. Kits. esp in your load order - use Fallout 3 Mod Manager to find this number)After entering this command and exiting the console you will receive a message confirming that WMK is now ready to be safely uninstalled. PLAYING THE MOD=====================Weapon Mod Kits can be found in the Wasteland - particularly amongst military supplies - but be prepared for an intensive search: they are not common. Some Raiders, Talon Company Mercenaries and Regulators are also known to carry Mod Kits - but again, they are rare and highly prized. Moira Brown, Flak and Shrapnel, and Lucky Harith carry (and periodically restock) some Mod Kits, but they are not cheap. Some Mod Kits may be found lying around in the open as well; particularly in armouries and other weapon caches, and around workbenches in high- population areas. There is a chance that high- level Brotherhood of Steel members (normal and Outcast), Enclave Troops, Raiders, Talon Company Mercenaries and Regulators may be encountered carrying a modified weapon. Lever Rifles are non- unique, less powerful versions of Lincoln's Repeater. Some Raiders carry them, and they can be found in some gun cabinets. Flak, Shrapnel and Lucky Harith also sell them. Magnum Revolvers are no longer scoped by default - they need to be modified with a Scope Mod Kit like any other weapon that can have a scope attached. The 'missing' unique weapons Law Dog and Wanda can be modified like other weapons - but you will need another mod that adds these weapons to the game world if you wish to be able to find and use them. Note that WMK does not *require* a mod like this for it to function correctly, however.===============5. FREQUENTLY ASKED QUESTIONS (FAQ)===============Q) I'm using more than one add- on for WMK and I can't apply mod kits to some weapons, even though the readme/s say I can. What's going on? A) You need to create an automatic merged patch. Please see the Automatic Merged Patch part of the Installation Instructions section, above. Q) I'm having problems with FOSE/FO3. Edit. Can you help? A) If it's not something that's already covered in this readme, then probably not: you would be better off contacting the makers of those programs (I am not affiliated with them). Halitosis, colloquially called bad breath, or fetor oris, is a symptom in which a noticeably unpleasant odor is present on the exhaled breath. Concern about halitosis. Case Report from JAMA Dermatology — Successful Treatment of the Erythema and Flushing of Rosacea Using a Topically Applied Selective In a recent post I talked about how I had a rash around my mouth for 4+ months this spring/early summer. I discovered the cause of the rash was an allergic contact. Acne is a common skin disease that causes pimples. Pimples form when hair follicles under your skin clog up. Most pimples form on the face, neck, back, chest, and. Sadick, MD, FAAD, FAACS, FACP, FACPh Guest Editor As we expand into the 21st century, ever-increasing numbers of dermatologists are incorporating. Sulfur is a chemical element that is present in all living tissues. After calcium and phosphorus, it is the third most abundant mineral in the human body. Seborrheic Dermatitis Treatment & Management: Medical Care. Zisova LG. Malassezia species and seborrheic dermatitis. Drug Eruption Reference Manual. Table 1 Footnotes Table 1 Footnote 1. Ingredient must be pharmacopoeial grade (for a list of acceptable pharmacopoeial grades, see the Compendium of Monographs.) or.Cleveland, Ohio: Wal- Zac Enterprises; 1. Brodell EE, Smith E, Brodell RT. Exacerbation of seborrheic dermatitis by topical fluorouracil. Spelling and etymology. Sulfur is derived from the Latin word sulpur, which was Hellenized to sulphur. The spelling sulfur appears toward the end of the Classical period. Ford GP, Farr PM, Ive FA, Shuster S. The response of seborrhoeic dermatitis to ketoconazole. Green CA, Farr PM, Shuster S. Treatment of seborrhoeic dermatitis with ketoconazole: II. Response of seborrhoeic dermatitis of the face, scalp and trunk to topical ketoconazole. Skinner RB Jr, Noah PW, Taylor RM, et al. Double- blind treatment of seborrheic dermatitis with 2% ketoconazole cream. Tatlican S, Eren C, Eskioglu F. Insight into pimecrolimus experience in seborrheic dermatitis: close follow- up with exact mean cure and remission times and side- effect profile. Role of topical calcineurin inhibitors in the treatment of seborrheic dermatitis: a review of pathophysiology, safety, and efficacy. Ozden MG, Tekin NS, Ilter N, Ankarali H. Topical pimecrolimus 1% cream for resistant seborrheic dermatitis of the face: an open- label study. Pimecrolimus cream 1% is effective in seborrhoeic dermatitis refractory to treatment with topical corticosteroids. Firooz A, Solhpour A, Gorouhi F, et al. Pimecrolimus cream, 1%, vs hydrocortisone acetate cream, 1%, in the treatment of facial seborrheic dermatitis: a randomized, investigator- blind, clinical trial. Pilot trial of 1% pimecrolimus cream in the treatment of seborrheic dermatitis in African American adults with associated hypopigmentation. Schwartz RA, Janusz CA, Janniger CK. Seborrheic dermatitis: an overview. Role of topical calcineurin inhibitors in the treatment of seborrheic dermatitis: a review of pathophysiology, safety, and efficacy. Fluconazole and its place in the treatment of seborrheic dermatitis- -new therapeutic possibilities. Kligman AM, Marples RR, Lantis LR, Mc. Ginley KJ. Appraisal of efficacy of antidandruff formulations. Schwartz JR, Rocchetta H, Asawanonda P, Luo F, Thomas JH. Does tachyphylaxis occur in long- term management of scalp seborrheic dermatitis with pyrithione zinc- based treatments? Carr MM, Pryce DM, Ive FA. Treatment of seborrhoeic dermatitis with ketoconazole: I. Response of seborrhoeic dermatitis of the scalp to topical ketoconazole. Waldroup W, Scheinfeld N. Medicated shampoos for the treatment of seborrheic dermatitis. Seite S, Rougier A, Talarico S. Randomized study comparing the efficacy and tolerance of a lipohydroxy acid shampoo to a ciclopiroxolamine shampoo in the treatment of scalp seborrheic dermatitis. Groisser D, Bottone EJ, Lebwohl M. Association of Pityrosporum orbiculare (Malassezia furfur) with seborrheic dermatitis in patients with acquired immunodeficiency syndrome (AIDS). Seborrheic dermatitis in AIDS. Belew PW, Rosenberg EW, Jennings BR. Activation of the alternative pathway of complement by Malassezia ovalis (Pityrosporum ovale). Elish D, Silverberg NB. Infantile seborrheic dermatitis. Tajima M, Sugita T, Nishikawa A, Tsuboi R. Molecular analysis of Malassezia microflora in seborrheic dermatitis patients: comparison with other diseases and healthy subjects. Prohic A, Kasumagic- Halilovic E. Identification of Malassezia species from immunocompetent and immunocompromised patients with seborrheic dermatitis. Eur Rev Med Pharmacol Science. Pontasch MJ, Kyanko ME, Brodell RT. Tinea versicolor of the face in black children in a temperate region. Shin H, Kwon OS, Won CH, et al. Clinical efficacies of topical agents for the treatment of seborrheic dermatitis of the scalp: a comparative study. Siadat AH, Iraji F, Shahmoradi Z, Enshaieh S, Taheri A. The efficacy of 1% metronidazole gel in facial seborrheic dermatitis: a double blind study. Indian J Dermatol Venereol Leprol. An investigator- blind, randomized, 4- week, parallel- group, multicenter pilot study to compare the safety and efficacy of a nonsteroidal cream (Promiseb Topical Cream) and desonide cream 0. Facial seborrheic dermatitis: a report on current status and therapeutic horizons. The Use of Sodium Sulfacetamide 1. Sulfur 5% Emollient Foam in the Treatment of Acne Vulgaris. J Clin Aesthet Dermatol. Aug; 2(8): 2. 6–2. Del Rosso, Valley Hospital Medical Center, Las Vegas, Nevada; Corresponding author. DISCLOSURE: Dr. Del Rosso is a consultant, speaker, and/or researcher for Allergan, Coria, Galderma, Graceway, Intendis, Medicis, Onset Therapeutics, Obagi Medical Products, Ortho Dermatology, Pharma. Derm, Quinnova, Ranbaxy, Skin. Medica, Stiefel, Triax, Unilever, and Warner- Chilcott. This article has been cited by other articles in PMC. Abstract. Acne vulgaris is the most common disorder encountered in ambulatory clinical practice comprising 1. By comparison, eczematous dermatoses, psoriasis, and skin cancer accounted for 6. A variety of topical therapeutic options are available for treatment of acne vulgaris, including benzoyl peroxide, antibiotics, retinoids, azelaic acid, and sodium sulfacetamide- sulfur. Sodium sulfacetamide 1. Recently, an emollient foam sodium sulfacetamide 1. This article provides an overview of the sodium sulfacetamide 1. The sodium sulfacetamide 1. SSS) emollient foam is formulated as an alcohol- free and fragrance- free topical aerosol foam that has been shown to exhibit moisturization properties. An evaluation of the rate of release of the active ingredients from the SSS emollient foam formulation demonstrated active release characteristics conducive to both wash- off and leave- on treatment regimens in clinical practice. In addition, SSS emollient foam has been shown to markedly reduce colony counts of Propionibacterium acnes in vitro. Lastly, SSS emollient foam has been shown to exhibit reduced sulfur odor intensity as compared to other conventional SSS formulations,9 without the use of potentially sensitizing, odor- masking additives, such as fragrance. Case Series. The following case series discusses the use of SSS emollient foam in the treatment of mild- to- moderate acne vulgaris either as monotherapy or in combination with other topical acne medications. In all cases, SSS emollient foam was used as a leave- on formulation according to directions outlined in the product prescribing information. The frequency of application and use of any concomitant therapies were determined by the author who evaluated and treated all patients included in the case series. Case 1. A 3. 5- year- old Asian woman presented with facial acne vulgaris “on and off” for a duration of several years. She reported that her acne had not responded to treatment with benzoyl peroxide (BPO) 5. On examination, she exhibited 1. She was prescribed SSS emollient foam in the morning and tretinoin microsphere gel 0. At the follow- up visit four weeks later, the number of facial papules and comedones decreased to seven and 1. She reported mild pruritus of the temple regions over the first few days of medication use, which resolved without discontinuation of therapy. There was no visible evidence of cutaneous side effects on examination. At the eight- week follow- up visit, the number of facial papules and comedones decreased to three and three, respectively. Intermittent mild dryness of the temple regions, which was not evident on clinical examination, was reported by the patient; however, this subjective finding did not result in discontinuation of treatment. With regard to use of the SSS emollient foam, the patient stated it was very easy to apply and that she was satisfied with the results of her treatment program. Case 2. A 2. 9- year- old Asian woman presented with a 1. She describes her acne as mild, but frustrating, stating, “there are always a few, especially on the forehead.” She has separately used tretinoin cream 0. BPO cream 3. 5% with modest success. On examination, 1. The patient was prescribed SSS emollient foam once daily. At follow up six weeks later, the number of inflammatory lesions decreased to three and no comedones were observed. Two weeks later (Week 8), no inflammatory lesions were noted and only one closed comedone was observed. No adverse reactions were reported or observed. With regard to use of SSS emollient foam, the patient reported that it was very easy to use and aesthetically pleasing. She was very satisfied with the results of treatment, and the current regimen was continued. Case 3. A 1. 3- year- old Asian boy presented with a one- year history of facial acne vulgaris that was only modestly responsive to previous treatment with BPO 5%- clindamycin 1% gel. Clinical examination demonstrated 2. Figure 1). The predominant areas of involvement were the forehead and cheeks. The patient was prescribed SSS emollient foam in the morning and tretinoin microsphere gel 0. Multiple inflammatory and comedonal acne lesions noted on the forehead at baseline. Follow up at eight weeks revealed 1. Figure 2). No adverse reactions were reported or observed. The patient stated that SSS emollient foam was easy to apply, and he was satisfied with the results of therapy. The current regimen was continued. Marked reduction in inflammatory and comedonal acne lesions on the forehead observed after eight weeks of treatment. Note significant improvement with only residual post- inflammatory erythema and hyperpigmentation. Case 4. A 3. 0- year- old Asian woman presented with a 1. The patient had discontinued therapy with topical adapalene two weeks prior to her visit. On examination, eight inflammatory papules and 3. Mild postinflammatory hyperpigmentation was also noted. The patient was prescribed SSS emollient foam to be applied twice daily. At her four- week follow- up visit, seven inflammatory papules and 2. She reported mild facial dryness, which was ameliorated by use of a facial moisturizer cream without interruption of therapy. Examination at eight weeks revealed six inflammatory papules and 1. No adverse reactions were reported or observed. The patient reported that SSS emollient foam was easy to apply, and satisfaction with response to treatment was high. The current regimen was continued. Case 5. A 1. 4- year- old Caucasian girl presented with truncal acne vulgaris involving the back over the past few years. Despite the use of BPO creamy wash 8% daily there was some persistence of acne lesions that was bothersome to the patient. On examination, 1. BPO creamy wash 8% once daily was continued and SSS emollient foam twice daily was added to the regimen. After four weeks of treatment, the patient reported marked improvement. On examination, six inflammatory papules and 1. Improvement progressed through Week 8 with one inflammatory papule and three closed comedones noted. No adverse reactions were reported or observed at either visit. The patient and her mother stated they were very satisfied with the treatment results and reported that SSS emollient foam was very easy to apply and was aesthetically pleasing to use. The current treatment regimen was continued. Case 6. A 1. 9- year- old Caucasian woman presented with facial acne vulgaris present for several months. Previous treatment had included a BPO- containing skin care system, topical adapalene, and oral minocycline. The patient has been off of all treatment for several months and admits to inconsistent compliance with previous therapies. On examination, 2. The patient was instructed to apply SSS emollient foam in the morning and tazarotene cream 0. Additionally, the patient was administered a ceramide- based moisturizer cream to be applied in the evening prior to application of topical tazarotene. At the four- week follow- up visit, 2. The patient reported mild facial redness occurring after application of topical tazarotene; however, this dissipated by the following morning and did not interfere with continuation of treatment. By Week 8, the numbers of inflammatory and noninflammatory lesions were 1. Regarding the use of SSS emollient foam, the patient reported it was easy to use and exhibited good aesthetic qualities. Additionally, she was satisfied with the results of the treatment regimen, which was continued with the addition of oral doxycycline. Case 7. A 3. 2–year- old Caucasian man presented with facial acne vulgaris present for several months involving the forehead and cheeks. He had previously utilized BPO 5%- clindamycin 1% gel with modest success, with cutaneous dryness leading to inconsistent use. Clinical evaluation revealed 1. The patient was instructed to use SSS emollient foam in the morning and tretinoin 0. After four weeks, the inflammatory and noninflammatory lesion counts decreased to five and nine, respectively. At Week 6, eight inflammatory papules and one closed comedone were observed. No adverse reactions were reported or observed over the course of treatment. With regard to SSS emollient foam, the patient stated it was very easy to apply with very good aesthetic characteristics. He was satisfied with the response to treatment. Case 8. A 2. 3- year- old Caucasian woman presented with a recent flare of facial acne vulgaris involving primarily the forehead and cheeks over the past two months. She was previously treated with oral minocycline for only a short duration. A total of 1. 8 inflammatory papules and 1. SSS emollient foam twice daily was prescribed. At the four- week follow- up visit, inflammatory and noninflammatory lesions decreased to eight and seven, respectively. Follow up at Week 8 demonstrated seven inflammatory papules and seven closed comedones. Facial dryness was reported by the patient, but did not interfere with treatment. No other adverse reactions were reported or observed. The patient stated that SSS emollient foam was easy to apply and aesthetically pleasing. She was moderately satisfied with the results of treatment, but requested a switch in her therapy to an alternative approach that would lead to further clearance of acne lesions. Discussion. The above cases demonstrate the use of SSS emollient foam in the treatment of mild- to- moderate acne vulgaris as either monotherapy or in combination with a topical retinoid. |
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January 2017
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