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Tinea Versicolor
Tinea versicolor is caused by
the Malassezia furfur. It seems to be increasingly common, especially in people
who habitually lie on sandy beaches in the Caribbean. It usually affects the
upper trunk and produces a variegated hyper-or hypopigmentation. Selenium
sulfide shampoo, using 2% selenium sulfide two or three time a week and leaving
it on overnight, is very helpful; and if the areas are localized, Whitfield's
ointment, 3% sulfur-sal and Whitfield's"ointment" in an alcoholic
solution are effective preparations. Twenty percent or a saturated solution of
sodium hyposulfite (or sodium thiosulfate) is a classical remedy, but has an
unpleasant odor. When people perspire in hot communities, it is unpleasant for
their friends.
Ketoconazole 200 mg per day for
two days in an adult is effective. Efficacy should be improved by ingestion
with a carbonated beverage, followed by engaging in a sweat producing activity
without an ensuing shower. This approach will leave a residue in the sweat.
Caution should be taken as ketoconazole has a potent inhibitory effect on
microsomal P-450 hydroxylation, thereby producing derangements in the
metabolism of lipophilic drugs and endogenous molecules. The short duration of
treatment makes the fatal hepatic necrosis occasionally seen with this drug of
little or no consequence.
The problem of cure is largely
due to the fact that the small fungus can get down into the hair follicles, and
when a clinical cure appears to have been achieved, the infection may still be
present in the depths of the hair follicles. Then, when the patient perspires
excessively, the organism comes back up onto the surface again and reinfects,
and the clinical infection is obvious. The patient therefore may need to
continue to treat himself intermittently for years with anti-dandruff shampoos
containing mild antimycotic agents such as selenium sulfide
Erythrasma is caused by a
gram-positive bacteria, Corynebacterium minutissimum, occurring in humid
climates. It fluoresces with a coral red color and responds to systemic
antibiotics, especially erythromycin, tetracycline and chloromycetin;
and occasionally in widespread cases, this is the only way you can cure them. Penicillin
and griseofulvin do not help, and generally keratolytic ointments are
sufficient to clear them.
3.9. Candidiasis
Candida infections caused by
yeast-like fungi Candida albicans commonly occur in moist, flexural sites. It
is more common at the extremes of age and during pregnancy. Predisposing
factors include diabetes mellitus, pregnancy, broad-spectrum antibiotics,
obesity, Cushing disease, uraemia, malignant disease and immunodeficiency. It
can present as 10 clinical patterns, depending on the site of involvement. They
are the oral thrush, angular cheilitis, genital candidiasis (vulvovaginitis),
candida balanitis, candida intertrigo, chronic paronychia, chronic onychia,
pruritus ani, erosio interdigitalis and candida granuloma. The diagnosis is
arrived clinically and confirmed by fungal culture.
1) Topical treatment
Nystatin, imidazole cream, amphotericin
lozenges (in oral candidiasis)
2) Systemic treatment
Oral fluconazole, itraconazole,
3.1. Pityriasis Versicolor
It is caused by yeasts
(Pityrosporum orbiculare and P. ovale) providing widespread fine scaly macules
on the upper trunk and back. The colour of the lesions varies. The lesions are
pale in dark skin and darker in fair skin. Recurrent attacks are common. The
diagnosis is established clinically and can be supported by the faint yellow
fluorescence under Wood's light in the
affected areas.
1) Topical treatment
a) Imidazoles cream e.g.
clotrimazole, miconazole, isoconazole
b) Ketoconazole shampoo
c) 2.5% selenium sulphide
d) 3% salicylic (a.得自水楊酸的;水楊酸的) acid in spirit
e) 20% sodium thiosulphate in
2) Systemic treatment
a) Oral ketoconazole 200 mg
daily for 5 days
b) Oral itraconazole 100 mg
daily for 5 days
is a superficial bacterial skin infection due to Corynebacterium minutissimum.
The lesions are reddish-brown, scaly and finely wrinkled macular (a.有斑點的;有污點的)
patches, usually involve the intertriginuous areas. Axillary (a.腋窩的;葉腋的;腋生的 n.腋窩的羽翼)
and genitocrural areas are commonly involved. The diagnosis is supported by the
characteristic "coral-red" fluorescence under wood's light.
1) Oral
erythromycin 250 mg QID for 1 week. The lesions usually clear within
several weeks.
Topical therapy includes aqueous clindamycin solution, whitfield's ointment or miconazole
fungal infection of the skin
and how it appears help determine therapy
J. Zuber, MD; Kavitha Baddam, MD
learning objectives
become familiar with the various presentations of superficial cutaneous fungal
recognize the many nonfungal infections that make up differential diagnosis
understand the most effective treatment approaches to superficial fungal
authors disclose no financial interests in this article.
page is best viewed with a browser that supports tables.
What people gain in warmth and protection from use of occlusive clothing and
shoes they may pay for in the form of cutaneous fungal infections. Warm, moist
conditions can promote growth of numerous organisms or allow fungal infection
to develop over another disorder of the skin or nails. In this article, the
authors describe the usual appearance of tinea pedis, tinea corporis, tinea
cruris, tinea versicolor, tinea capitis, tinea faciei, tinea manuum, cutaneous
candidiasis, and onychomycosis. They also summarize differential diagnosis of
similar-appearing lesions and discuss management options for each of the fungal
TJ, Baddam K. Superficial fungal infection of the skin: where and how it
appears help determine therapy. Postgrad Med 2001;109(1):117-132
fungal infections of the skin are some of the most common dermatologic
conditions seen in clinical practice, so recognition is important for primary
care physicians. How- ever, making the correct diagnosis can be difficult,
because these infections can have an atypical presentation or be confused with
similar-appearing conditions.
fungal infections can be divided into three broad categories: dermatophytic
infections, tinea versicolor, and cutaneous candidiasis (1). Up to 20% of the
US population is believed to be infected with dermatophytes alone (2). Dividing
infections into the body region most often affected can help in identification
of the problem.
pedis is the most common dermatophytosis and may affect up to 70% of adults
worldwide (2). Also referred to as athlete's foot or ringworm of the foot, it
involves the plantar surface and interdigital spaces of the foot and can
include inflammatory and noninflammatory lesions. Tinea pedis appears to be a
disease of civilized humans, having evolved in the late 19th and early 20th
centuries (3). It occurs throughout the United States but is most prevalent in
warm, humid climates.
rubrum accounts for most dermatophytic foot infections. Epidermophyton floccosum
and Trichophyton mentagrophytes have also been reported to be causative agents
(4). In addition, fungi (eg, Scytalidium hyalinum), yeasts (eg, Candida
albicans), and bacteria (eg, Corynebacterium minutissimum) may be isolated in
tinea pedis infections (4). The three most common clinical forms of tinea pedis
are interdigital (figure 1: not shown), moccasin type (figure 2: not shown),
and vesiculobullous (figure 3: not shown) (3,4).
infection often presents as white, macerated skin between the fourth and fifth
toes (3), but it may appear in any web space. This type of tinea pedis often
develops in persons with hyperhidrosis, and it typically produces itching and a
foul smell from bacterial superinfection with diphtheroids or Pseudomonas species
or hyperkeratotic, tinea pedis usually presents as silvery white scales on a
red, thickened base (3). Distribution is over the sole, heel, and sides of the
foot, or what would be covered by a moccasin. Occasionally, a single hand may
also be involved: the so-called two-foot, one-hand presentation (3).
Onychomycosis often is present and may be asymptomatic. Typically,
moccasin-type tinea pedis is a chronic condition (3).
tinea pedis usually presents as vesicles or pustules on the sole (3). With each
flare of infection, the sole becomes thicker, and maceration, itching, or
secondary infection can develop. Cellulitis or lymphangitis is a potential
complication of vesiculobullous tinea pedis (3).
interdigital infection can mimic psoriasis (4). Moccasin-type tinea pedis may
appear similar to long-standing contact dermatitis of the foot. Vesiculobullous
infection can mimic pompholyx (dyshidrotic eczema), pustular psoriasis, contact
dermatitis, or nummular eczema (4). Differential diagnosis of tinea pedis is
summarized in table 1.
1. Differential diagnosis of tinea pedis
cases of tinea pedis respond to topical agents, such as econazole nitrate
(Spectazole), ketoconazole (Nizoral), and terbinafine hydrochloride (Lamisil).
Recurrence is common, especially if untreated onychomycosis serves as a
reservoir for reinfection.
corporis is dermatophytosis of the glabrous skin of the trunk and extremities
(2). Commonly referred to as ringworm of the body, this infection consists of a
round, scaly patch that has a prominent, enlarging border and a relatively
clear central portion (figure 4: not shown) (5). The prominent edge often
contains pustules or follicular papules, and multiple lesions can be present.
Itching is variable and not diagnostic. T rubrum is the most common cause of
tinea corporis.
A deep
form of tinea corporis known as Majocchi's (or trichophytic) granuloma can
develop when the fungus is driven down into the hair follicles (5). It
typically develops after inappropriate topical corticosteroid therapy (5).
the diagnosis of tinea corporis is being considered, the annular scaling margin
with follicular prominence that suggests a dermatophyte infection should be
sought. Conditions that may appear similar to the infection include nummular
eczema, plaque psoriasis, contact dermatitis, granuloma annulare, and erythema
corporis usually responds to topical therapy.
cruris is dermatophytosis of the proximal medial thigh and buttock (2). It
often is characterized by invasion of the hair follicles and can be confused
with candidal infection at the same site (2). Also known as jock itch, the
infection is most commonly caused by T rubrum or E floccosum. It is more common
in summer months and in persons who wear tight-fitting clothing.
cruris is found primarily in young men (5). The lesion on the leading edge of
the thigh is prominent, with follicular papules and pustules (5,6). A ringed
lesion typically extends from the crural fold over the adjacent upper inner
thigh. Lesions can be superinfected with bacteria or Candida.
diagnosis includes mechanical intertrigo (chafing), which often has sharp
demarcation from the normal skin and no scaling in the center of the lesion
(6). Candidiasis can be differentiated from tinea cruris by its irregular
border with satellite lesions and scrotal involvement (which often appears
bright red and shiny).
cruris often responds to topical therapy.
versicolor (figure 5: not shown) is common, primarily in young and middle-aged
adults. The condition is caused by the lipophilic yeasts Pityrosporum
orbiculare and Pityrosporum ovale (7,8). In the mycelial phase, P orbiculare is
known as Malassezia furfur, (8) which many experts consider to be the preferred
nomenclature (9). Tinea versicolor is also referred to as pityriasis versicolor
(9,10). Predisposing factors are listed in table 2.
2. Factors predisposing to development of tinea versicolor
of oils
ambient temperature
relative humidity
(eg, by clothing)
steroid treatment
versicolor is typically found in regions of the body that have sebaceous
glands, such as the upper trunk, neck, and arms (8,9). The characteristic
finding is skin depigmentation, but lesions can range from red to hypopigmented
to hyperpigmented (9). Hyperpigmentation is often found in dark-skinned
patients (9). The depigmentation of tinea versicolor is believed to be due to
the inhibitory effect of the organism on pigmentation and tanning (7).
tinea versicolor does not clear spontaneously and may persist for many years
(7). "Spotty body" often presents in adolescence (7) and is
associated with itching in up to one third of patients. Unfortunately, tinea
versicolor has a high rate of recurrence (80% after 2 years), and periodic
retreatment may be needed (10).
diagnosis includes vitiligo (figure 6: not shown), tinea corporis, pityriasis
rosea, pityriasis alba, and secondary syphilis (9). A condition that is
uncommon but often confused with tinea versicolor is confluent and reticulate
papillomatosis (8), which is characterized by grayish-brown pigmented papules,
most often found in the interscapular and inframammary areas in postpubertal
versicolor responds to topical therapies, such as terbinafine, econazole,
ketoconazole, and selenium sulfide lotion or shampoo (Exsel, Head &
Shoulders, Selsun). Recurrences may be less frequent if a short course of oral
therapy with itraconazole (Sporanox) or ketoconazole is instituted.
capitis (figure 7: not shown) is a dermatophytic infection of the head and
scalp, usually found in infants, children, and young adolescents (11-14). Most
infections occur in preschool-aged children in African-American or Hispanic
minority populations (11,12). Infection can be spread from child to child or
from animals to humans (13).
1960, most tinea capitis infections in the United States were caused by
Microsporum audouinii (13). Today, the great majority of infections are caused
by Trichophyton tonsurans (13). Up to 30% of children may be asymptomatic
carriers of T tonsurans (12,13).
capitis can have a wide range of clinical presentations (11-14). Initially, the
condition may be asymptomatic and have a subtle appearance. As the inflammatory
response to infection increases, inflammatory alopecia may develop. Breakage of
hairs at the roots may result in "black-dot" alopecia (figure 8: not
shown) (13). Scaling that resembles seborrheic dermatitis may occur on the
scalp (11). With an increase in cell-mediated immune response, nodular, boggy
swellings known as kerions may develop (figure 9: not shown) (14). An unusual
scaling reaction known as favus may give the scalp a waxy or doughy appearance
capitis should be considered in any prepubertal child over the age of 6 months
who has scalp scaling (14). Cervical lymphadenopathy is common in symptomatic
children, and examination for nodes should be performed whenever the diagnosis
is considered (13). Because T tonsurans does not produce fluorescence on Wood's
lamp examination, this test is not positive in most tinea capitis infections,
so laboratory evaluation for fungi should be performed (13). Laboratory testing
usually can differentiate tinea capitis from other conditions.
diagnosis of tinea capitis includes seborrheic dermatitis, dandruff, scalp
psoriasis (figure 10: not shown), atopic dermatitis, bacterial furunculosis,
trichotillomania, and alopecia areata (13). The finding of large areas of
alopecia that have early pustule formation favors a diagnosis of tinea capitis
over alopecia areata (14).
treatment of the condition in children almost always requires use of an oral
agent, such as griseofulvin. Other oral antifungal agents have been used
successfully but as yet do not have approval by the US Food and Drug
Administration. Ketoconazole cream and shampoo can be added as adjunctive
therapy to reduce fungal shedding.
faciei (figure 11: not shown), also known as tinea incognito because of its
subtle appearance, is dermatophytosis of the nonbearded areas of the face (2).
The condition may present as itchy, red skin without a discernible border, or
it may have a raised border as seen with tinea corporis (15). Common causative
organisms are T rubrum and T mentagrophytes (15).
faciei should be considered in all erythematous eruptions of the face (16).
Differential diagnosis of tinea faciei includes discoid lupus erythematosus,
lymphocytic infiltration, seborrheic dermatitis, rosacea, and contact
dermatitis (16).
infection often responds to topical therapy.
manuum is an unusual dermatophytic infection of the interdigital and palmar
surfaces (2), usually of one hand but sometimes of both (17). It may coexist
with other fungal infections, such as tinea pedis (17). The palmar surface
often has diffuse areas of dry, hyperkeratotic skin (figure 12: not shown)
(17). Involvement on the dorsum of the hand can appear similar to tinea
diagnosis should include pompholyx, eczema, secondary syphilis, and callus
formation. Infection with nondermatophytic fungi, such as S hyalinum or
Scytalidium dimidiatum, can also resemble tinea manuum (2).
condition often responds to topical therapy, although it may recur if untreated
onychomycosis is present.
candidiasis is skin infection caused by C albicans and other species (18).
Other conditions encompassed in this general term include angular cheilitis
(perlèche), erosio interdigitalis blastomycetica, and
candidal intertrigo, balanitis, vaginitis, and paronychia (1). Involvement of
the skinfolds and mucous membranes is most common (18), but any area of the
skin with increased moisture is susceptible.
C albicans is a ubiquitous organism, and about 18% of healthy people
carry the yeast in their oral flora (18). Host factors (eg, wearing of
occlusive clothing, obesity) or disorders affecting the immune system (eg,
diabetes, AIDS, Cushing's syndrome, Addison's disease) may increase
susceptibility to candidal infection (18).
Candidal skin infection often presents with erythema, cracking, or
maceration (18). When maceration develops in the web spaces of the fingers, the
skin can become soft and white. Important clues to the presence of candidal
skin infection are irregular (serrated) edges, tissue erythema, and the
presence of satellite lesions. Differential diagnosis includes dermatophytosis,
seborrheic dermatitis, bacterial intertrigo, and flexural psoriasis (18).
Superinfection with Candida can accompany any of these conditions.
In patients with normal immunity, candidiasis is most often treated with
topical therapy. Commonly used topical agents include nystatin (Mycostatin,
Nilstat, Nystex), ketoconazole, miconazole nitrate, and clotrimazole. When
clinically indicated, systemic therapy with oral fluconazole (Diflucan) is
highly effective.
Onychomycosis is fungal infection of the nail unit, including the nail
plate and nail bed. There are four types of onychomycosis: proximal subungual,
distal subungual (figure 13: not shown), superficial white (figure 14: not
shown), and candidal (19). Dermatophytes usually cause the first three types,
although Candida can be present in all types (1,18,19). Patients with
onychomycosis often have concomitant fungal infections at other sites (1).
The incidence of onychomycosis has been increasing worldwide, and at
present it accounts for almost half of all nail disorders (19). The increase is
believed to be due to many factors, including the aging population, the growing
number of immunocompromised patients, and the widespread use of occlusive
clothing and shoes (19).
Fungal nail infections can cause a wide variety of clinical
presentations. The nail may become hyperkeratotic and markedly dystrophic (in
proximal subungual onychomycosis) or exhibit white crumbling of the surface (in
superficial white onychomycosis). Differential diagnosis includes almost all
conditions that affect the nails, including psoriasis (figure 15: not shown),
lichen planus, alopecia areata, subungual tumors and warts, and bacterial
infection. A sample of infected cellular debris should be collected from
beneath the nail and sent for confirmatory laboratory examination (19).
Topical therapies penetrate poorly to the nail bed and in general are
believed to be successful in less than 20% of patients. Oral agents that are
commonly used to treat onychomycosis are terbinafine, itraconazole, and
Treatment approaches
As noted, treatment of cutaneous fungal infections may consist of
topical or systemic agents, used singly or in combination. Usually, treatment
is not started until the diagnosis has been confirmed.
Topical agents
Topical treatment alone may be sufficient for noninflammatory tinea
corporis, tinea cruris, tinea faciei, tinea manuum, and tinea pedis. Topical
agents can be divided into three major categories: imidazoles, allylamines, and
Imidazoles: Imidazole derivatives act by binding to the cytochrome P-450
system and blocking synthesis of ergosterol, a vital component of cell
membranes (17). At higher concentrations, imidazoles can have bactericidal as
well as fungicidal action. The following are four of the most commonly used
topical imidazoles:
Econazole 1% is indicated for treatment of tinea pedis, tinea cruris,
and tinea corporis caused by T rubrum, T mentagrophytes, T tonsurans,
Microsporum canis, Microsporum gypseum, M audouinii, and E floccosum as well as
for treatment of cutaneous candidiasis and tinea versicolor (4,20). In addition
to its antimycotic properties, econazole has been found to have useful effects
in treatment of severe interdigital bacterial infections complicated by
dermatophyte colonization (4).
Miconazole 2% is indicated for treatment of tinea pedis, tinea cruris,
and tinea corporis caused by T rubrum, T mentagrophytes, and E floccosum and
also cutaneous candidiasis and tinea versicolor (20). Like econazole,
miconazole is also effective against certain gram-positive cocci and bacilli.
It is available in cream, ointment, powder, and spray formulations (4).
Ketoconazole 2% is indicated for treatment of tinea corporis, tinea
cruris, and tinea pedis caused by T rubrum, T mentagrophytes, and E floccosum.
It also is effective for tinea versicolor, cutaneous candidiasis, and
seborrheic dermatitis (20).
Clotrimazole is used mainly to treat vaginal candidiasis (20).
Historically, it has been used against cutaneous mycoses (20), but now it is
often replaced by other agents with broader coverage.
Allylamines: The mechanism of action of the allylamines is inhibition of
squalene epoxidase synthesis (20). These agents are effective in treatment of
dermatophytes and Candida, (4) but they have no known antibacterial properties.
The following are three of the most commonly used topical allylamines:
Terbinafine 1% is approved for treatment of tinea pedis, tinea cruris,
and tinea corporis caused by T rubrum, T mentagrophytes, and E floccosum (4).
Terbinafine seems to be more potent than naftifine hydrochloride (Naftin) in
eliminating dermatophytosis (20).
Butenafine hydrochloride (Mentax) has demonstrated fungicidal activity
against T rubrum, T mentagrophytes, M canis, and Candida parapsilosis (5,21).
Naftifine 1% has fungicidal activity against T rubrum, T tonsurans, T
mentagrophytes, E floccosum, M canis, M audouinii, and M gypseum. It is also
effective against Candida species (4).
Polyenes: These agents act by binding to the fungal cell membrane
sterols, causing changes in permeability, leakage of contents and, finally,
death of the cell. Polyenes are useful in topical treatment of candidiasis
(18), but they have no efficacy against dermatophytes (20).
Amphotericin B (Fungizone) is an older polyene that is currently used
infrequently in superficial fungal infections (18).
Nystatin powder (eg, Pedi-Dri) provides drying as well as antifungal
action against candidiasis in intertriginous areas (eg, perineum, under
breasts) (18). The efficacy of nystatin is similar to that of clotrimazole.
Additional topical agents: The following antifungal medications have
various classifications and actions and may be of value in certain clinical
Ciclopirox olamine (Loprox) interferes with synthesis of cell membrane
proteins, thus disrupting formation of fungal cell membranes (4,17). It is
effective against cutaneous candidiasis, tinea versicolor, tinea pedis, and
tinea cruris (20).
Tolnaftate is a thiocarbamide, used principally in tinea pedis (17),
although it appears to be less effective than miconazole for this condition. It
is active against T rubrum, T mentagrophytes, T tonsurans, E floccosum, and
Pityrosporum species (17) but has no activity against Candida.
Haloprogin (Halotex) is a halogenated phenol and is used for tinea
pedis, tinea corporis, tinea cruris, tinea manuum, and tinea versicolor
(17,20). Results of comparative clinical studies suggest that it is superior to
tolnaftate in efficacy.
Undecylenic acid is used primarily for dermatophyte infections, most
commonly tinea pedis (17).
Corticosteroid and antifungal combinations: In certain clinical
situations, topical corticosteroids have been used in combination with topical
antifungal agents to add an anti-inflammatory effect (2,20). Although
corticosteroids can produce initial symptomatic relief, they also reduce the
body's natural immunologic response and defenses. Corticosteroid therapy
requires restrictions on duration of use, location of application, and age of
patient (with children usually eliminated from consideration) (2). Because of
potential side effects of corticosteroid therapy (figure 16: not shown), use of
combination therapy is typically discouraged.
Systemic agents
In general, systemic therapy is indicated for treatment of tinea
capitis, onychomycoses, and recalcitrant cutaneous mycoses (20,21). Systemic
therapy often is needed in treatment of moccasin-type tinea pedis (4).
Griseofulvin: This agent acts at the cellular level by inhibiting fungal
cell-wall synthesis, cellular microtubules, DNA synthesis, and RNA binding (5).
Its bioavailability is increased in microcrystalline formulations (1). It is
active against Trichophyton, Epidermophyton, and Microsporum species but
ineffective against yeasts and nondermatophytes (4). Griseofulvin is considered
first-line therapy for tinea capitis (13). A dosage of 15 to 25 mg/kg daily of
the liquid microsized formula (Grifulvin V) is recommended (13).
Some of the commonly seen side effects associated with griseofulvin
therapy are rash, hives, headache, nausea, vomiting, arthralgia, peripheral
neuritis, confusion, insomnia, and memory lapse (4,5,17).
Ketoconazole: This agent acts by binding to the heme moiety of the
cytochrome P-450 system and interferes with certain mixed oxidase functions
(8). It is effective against dermatophytes, yeasts, and some systemic mycoses
(4,5). A dosage of 200 mg once daily for 2 to 4 weeks is often effective for
tinea cruris, tinea capitis, and tinea pedis. In addition, oral ketoconazole
therapy for 1 week may eradicate tinea versicolor (8).
Use of oral ketoconazole is limited by the potential for hepatotoxicity
(5,17). Other potential side effects include nausea, vomiting, abdominal pain,
diarrhea, headache, pruritus, insomnia, leukopenia, hemolytic anemia, decreased
libido, and impotence (4,5,17).
Itraconazole: Of all the oral antifungal agents, itraconazole has the
broadest spectrum of activity. It is effective against dermatophytes, Candida
species, some molds, and P ovale (5,8,18). It is effective in treatment of
tinea corporis, tinea cruris, tinea pedis, tinea manuum, and onychomycoses
(5,21). Because of the lipophilic tendencies of itraconazole, concentration of
the drug in keratinous tissues remains high for months after cessation of
therapy (5).
Possible side effects of itraconazole therapy include diarrhea,
headache, rhinitis, dyspepsia, nausea, dry skin, rash, weakness, pruritus,
dizziness, hypertension, and loss of libido (4,5). Itraconazole also has
numerous interactions with medications metabolized by the cytochrome P-450 system,
such as terbinafine, astemizole (Hismanal), triazolam (Halcion), and midazolam
hydrochloride (Versed) (5).
Terbinafine: This agent acts by inhibiting squalene epoxidase, an
essential step in fungal ergosterol synthesis. Oral terbinafine has shown efficacy
in treatment of tinea pedis, tinea cruris, tinea corporis, and onychomycoses
(4,5,11,13,21). A dosage of 250 mg daily for 6 weeks for fingernail
onychomycosis and 12 weeks for toenail onychomycosis is highly effective (5).
Terbinafine is not effective for cutaneous candidiasis or tinea versicolor (8).
The most common side effects of terbinafine therapy include diarrhea,
pruritus, dyspepsia, rash, taste disturbance, abdominal pain, and toxic effects
on the liver (5,21).
Fluconazole: This agent is effective treatment for oral and esophageal
candidiasis (4), and it is also beneficial in selected superficial cutaneous
fungal infections (5) at a dosage of 50 to 200 mg daily for 1 to 4 weeks
(18,21). It also has been used for treatment of onychomycoses caused by
dermatophytes but has not been approved for this indication.
Fluconazole has been noted to have significant drug interactions with
terbinafine, astemizole, oral hypoglycemic agents, coumarin derivatives,
phenytoin sodium (Dilantin), cyclosporine (Neoral, Sandimmune, SangCya),
theophylline, and cisapride (Propulsid) (21). Side effects to its use are more
common among HIV-positive patients and include nausea, headache, rash,
vomiting, diarrhea, and toxic effects on the liver (21).
Superficial fungal infections of the skin are a common presentation in
clinical practice. Any skin surface, the mucous membranes, nail plates, and
nail beds can be affected. Tinea pedis is the most common fungal infection and
may affect up to 70% of the adult population worldwide. Ubiquitous candidal
organisms are found in the oral flora of many healthy persons and result in
infection in the presence of certain host factors or immunodeficiency
disorders. Onychomycosis has had an increasing incidence worldwide, and it now
accounts for almost half of all nail disorders. These and many other infections
can have varying presentations as well as features that resemble nonfungal
disorders. Therefore, it is important that primary care physicians are familiar
with the many cutaneous fungal infections and their differential diagnosis to
ensure that appropriate therapy is selected.
Swiggum SM, Adam JE. Cutaneous fungal diseases in the elderly. Geriatr
Consultant 1993;10:22-9
Drake LA, Dinehart SM, Farmer ER, et al. Guidelines of care for
superficial mycotic infections of the skin: tinea corporis, tinea cruris, tinea
faciei, tinea manuum, and tinea pedis. J Am Acad Dermatol 1996;34(2 pt 1):282-6
Masri-Fridling GD. Dermatophytosis of the feet. Dermatol Clin 1996;14(1):33-40
Brooks KE, Bender JF. Tinea pedis: diagnosis and treatment. Clin Podiatr
Med Surg 1996;13(1):31-46
Rosen T. Dermatophytosis: diagnostic pointers and therapeutic pitfalls.
Consultant 1997 June:1545-7
Webster SB. How I manage jock itch. Phys Sportsmed 1984;12(5):109-13
Savin R. Diagnosis and treatment of tinea versicolor. J Fam Pract
Silva-Lizama E. Tinea versicolor. Int J Dermatol 1995;34(9):611-7
Assaf RR, Weil ML. The superficial mycoses. Dermatol Clin
Faergemann J. Pityrosporum infections. J Am Acad Dermatol 1994;31(3 Pt
Schwartz RA, Janniger CK. Tinea capitis. Cutis 1995;55(1):29-33
Howard R, Frieden IJ. Tinea capitis: new perspectives on an old disease.
Semin Dermatol 1995;14(1):2-8
Elewski B. Tinea capitis. Dermatol Clin 1996;14(1):23-31
Elewski BE, Hay RJ. International summit on cutaneous antifungal
therapy, focus on tinea capitis, Boston, Massachusetts, November 11-13, 1994.
Pediatr Dermatol 1996;13(1):69-77
Emanuel D, McNeely MC. Tinea faciei. Hosp Med 1996 Aug:12
Cirillo-Hyland V, Humphreys T, Elenitsas R. Tinea faciei. J Am Acad
Dermatol 1993;29(1):119-20
Bergus GR, Johnson JS. Superficial tinea infections. Am Fam Physician
Hay RJ. Yeast infections. Dermatol Clin 1996;14(1):113-24
Andre J, Berger T, De Doncker P, et al. The second international
symposium on onychomycosis: an update on the issues. Med Monitor 1996;2(1):1-8
Smith EB. Topical antifungal drugs in the treatment of tinea pedis,
tinea cruris, and tinea corporis. J Am Acad Dermatol 1993;28(5 Pt 1):S24-8
Noble SL, Forbes RC, Stamm PL. Diagnosis and management of common tinea
infections. Am Fam Physician 1998;58(1):163-78
Dr Zuber is program director, department of family practice, Saginaw
Cooperative Hospitals, and director of the dermatology clinic, Aleda E. Lutz
Veterans Affairs Medical Center, Saginaw, Michigan, and associate professor,
Michigan State University, East Lansing. Dr Baddam is a member of the
department of family practice, Saginaw Cooperative Hospitals, and clinical
instructor, Michigan State University. Correspondence: Thomas J. Zuber, MD,
Department of Family Practice, Saginaw Cooperative Hospitals, 1000 Houghton
Ave, Saginaw, MI 48602. E-mail: firstname.lastname@example.com.
Match ALLMatch ANY


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Reviewed Jul. 28, 2015 by Armin
Industry / Government
Since May, we've been following the story of the new Tennessee state logo that ignited the ire of Chris Butler, a reporter with watchdog.org, who was appalled at the $46,000 price tag and the result, which he argued could be designed better by a child. All this time all we've been able to see is a blurry image of the logo and had no comment or official release of the logo from either the state's office or the design firm involved, Nashville-based GS&F. Someone has lifted the embargo on talking about this and GS&F posted a brief case study on Medium that sheds some light on the new identity for the Tennessee State Government.
What the Governor's Office asked us to do was to help create efficiency across all agencies by creating the first consistent identity system for the state. This system had to include comprehensive brand guidelines and sub-logos for all departments and take into account how to design for new agencies or departments that could be created in the future. This system also had to take into account the myriad of applications, including everything from signage and brochures to computers and mobile devices.
GS&F post on Medium
Along with the need for us to create something that was simple and clear, we were also tasked with creating something that was completely ownable — something that wouldn't be confused with other state iconography. This was a key reason for avoiding the state's beloved Tri-Star — which has been used in thousands of applications from sports and healthcare to waste management and more. Ultimately, we developed a mark that takes visual cues from the state flag and works in harmony with the state seal and the Tri-Star.
GS&F post on Medium
The biggest thing to consider here is the cacophony of individual logos created over the years for official state agencies that all looked different and as official as the car service shop down the road. Most of them used, in one way or another, the state flag's "Tri-Star" graphic, which if you go to Tennessee can be seen everywhere. It's so widely used that it's lost any kind of official attribution. This is not a terrible thing or a mistake by the government, it's great that they have such a beloved icon, but it can no longer be exclusive to government business. Not using the Tri-Star was a smart move and going with a master brand to rule everything was as well. The problem is that the selected alternative is not that exciting.
I like the concept of the square graphic to be a rotated version of the state flag. It's a subtle nod to an existing element. The "TN" typography is not… bad, but it's also not… great. In principle, I want to like it and defend it more from media people like Chris Butler but there is not much there to passionately argue in its favor. It's competent and it looks official but it's quite lackluster, even for a government logo. And I like DIN as much as any other German-standards-loving person but here it's not the right choice — at least Interstate, which is based on this country's highway font would have been more convincing.
In application, things look kind of like what you would expect state materials to look like: Conservative. The only real problem I see is in the stationery where they start stretching the red field in the logo — that can devolve into some ugly and confusing applications very quickly. Overall, yes, this is all worth at least $46,000, regardless of the resulting logo — simply taking on the exercise of unifying dozens of agencies and working with a government body should cost that — unfortunately, the logo won't win many fans or supporters solely on its own charisma, or lack thereof.

subset: commoncrawl


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Poetry: Latif Harris
About the Author:
Latif Harris has been a part of the S.F. Beat/Renaissance since 1959. He edited and published the Beatitude Golden Anniversary 1959-2009, including the 111 page City Lights 1960 compilation of the first poems, in the original mimeographed sheets. He was the editor and publisher of ANTE, a letterpress quarterly 1963. He lives in S.F. with his wife Alpha in the Lower Haight. His recent book "Bodhisattva's Busted Truth" has gone to a second edition in 2011.


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A young girl takes a walk through the forest and town, meeting the changes of the season. She talks to every flower and creature and gust of wind and says good-bye to summer and welcomes autumn. Sweet pictures and illustrations that show the changes of the seasons.
Cut & paste the pictures under the correct season


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The national portal for geodata in teaching and research was launched recently. It offers easy access to licensed national and cantonal geodata for the academic community. SWITCH is hosting the web services for the HSR Hochschule für Technik Rapperswil.
Geographical data, or geodata for short, are gaining importance in teaching and research. The range of potential applications is huge: cartography, spatial planning, physical geography and geology, human geography, plant and animal biology, marketing, financial services, medicine and more. Many different sciences – social and economic as well as natural – are thus taking an interest in these data. Geoinformation systems (GISs) are seen as one of the key technologies of the 21st century, raising the question of how best to make national and cantonal data requiring a licence available to the community. Each university has organised its own access to the various data pools up to now, but their growing relevance has given rise to a need for improved distribution and infrastructure.
A joint project uniting the library of the Federal Institute of Technology (ETH) in Zurich, the ETH Institute of Cartography and Geoinformation and the Competence Centre for Geoinformation at the HSR Hochschule für Technik Rapperswil recently led to the launch of geodata4edu.ch. Based on existing products, it describes itself as the national portal for geodata in teaching and research. Its two-year development was part-funded by swissuniversities under the "Scientific information" programme. The follow-up project running from April 2017 to December 2018 will aim to establish the service at Swiss universities and build up a customer base allowing it to become self-financing from 2019.
The web services offered by the HSR as sub-services of geodata4edu.ch and the search engine run entirely on SWITCH's IT infrastructure. The SWITCHengines package includes redundant, scalable storage and computing power in combination with identity management (SWITCHaai), security (SWITCH-CERT) and the network (SWITCHlan). Dirk Engelke, Professor of Spatial Development at the HSR, is very satisfied with this technology partnership: "In this project, we're serving the community's national interest. SWITCH's all-inclusive offering makes things less complex for us. In technical terms, we have the peace of mind that comes with knowing that our web services deliver high availability as well as the desired level of performance. This means that geodata4edu.ch acts like a public service for the community's researchers and students."
The project partners are convinced that the new service will add considerable value for the community. Thanks to geodata4edu.ch, researchers and students alike can search the available geodata, view them directly in the browser and use the web services either to feed them into a GIS program or to download them for further processing. The service is only available to users at universities that have signed up to geodata4edu.ch who can authenticate themselves with a SWITCHaai login. The aim is to provide the community with the broadest possible range of geodata from the federal agencies and cantons. Talks with data owners for this purpose are ongoing. Roman Walt, head of the geodata4edu.ch management, is confident that they will have a positive outcome.
The advantage for the universities involved is that maintenance of the geodata infrastructure is centralised, so they no longer need to worry about it. Centralised licence management also makes life much easier for them.


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author = {Hartono, Eddy. and Budipramana, Edwin. and Abdullah, Nusratuddin. and Tessy, Telly.},
title = {{Ovarian cystectomy: Stitching or cauterizing – A comparison study of anti-mullerian hormone level pre- and postoperatively}},
journal ={Gynecology and Minimally Invasive Therapy},
volume ={8},
number ={3},
pages = {101-105},
doi = {10.4103/GMIT.GMIT_58_18},
year = {2019},
abstract ={
Objective: This study aimed to analyze the influence of laparoscopic management in an ovarian cyst as measured by serum anti-Mullerian hormone (AMH) levels, by comparing cautery and suturing techniques.
Subjects and Methods: This prospective cohort study was conducted in the Department of Obstetrics and Gynecology, Faculty of Medicine Hasanuddin University/Dr. Wahidin Sudirohusodo Hospital, and several private hospitals in Makassar, Indonesia, from January 1, 2016, to January 31, 2018. A total sample of 90 subjects diagnosed with ovarian cysts underwent cystectomy by laparoscopy. Serum AMH level was examined in all participants both preoperatively and 1-month postoperatively. Participants were divided into two groups based on cautery and suturing techniques used in the surgery. Serum AMH levels obtained were statistically analyzed and compared between cautery and suturing groups. P < 0.05 was considered statistically significant.
Results: The research result indicated a significant decrease of AMH level in each sample groups using cautery and suturing techniques; however, it was not significantly different if both methods were statistically compared (mean AMH: 1.13 ± 0.34 and 1.02 ± 0.15, with P> 0.05). Both the groups showed a greater decrease with a significant result in endometriotic cyst type and when adhesion was present during laparoscopy (P < 0.05). Other parameters such as unilateral/bilateral cyst and variety of cyst size were not showing significant differences (P > 0.05).
Conclusions: This study showed that serum AMH levels clearly decreased after operative laparoscopy for different types of ovarian cysts in female patients; however, there is no significant difference regardless of surgical procedures.
URL ={http://www.e-gmit.com/article.asp?issn=2213-3070;year=2019;volume=8;issue=3;spage=101;epage=105;aulast=Hartono;t=6},
eprint ={http://www.e-gmit.com/article.asp?issn=2213-3070;year=2019;volume=8;issue=3;spage=101;epage=105;aulast=Hartono;t=6}


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Land Rover's recent track record when it comes to moving concept vehicles into production is quite consistent. The Range Stormer became the Range Rover Sport, technologies from the Land Rover Land_e concept are in use on current production models, the Land Rover LRX lost its hybrid powertrain when it became the Range Rover Evoque but otherwise transitioned mostly intact, and the current Defender Concept 100 will replace the short-wheelbase Defender in 2015. In the first part of this article, we're taking a brief look at the Land Rover DC100 and the LRX. In Part 2, we'll look at the Land_e and the Range Stormer.
Over the past few months we have written extensively about the DC100 and DC100 Sport concepts. The concepts are slated to replace the current short-wheelbase Land Rover Defender in 2015. The concepts were released as a pair at the Frankfurt Auto Show and have since made appearances at the 2011 LA Auto Show, the Dubai International Auto Show, and at Auto Expo 2012 in India.
Over the four months since their unveiling in Germany, opinions on the DC100 and DC100 Sport have been deeply divided. Land Rover's DC100 Facebook gallery has drawn over 800 comments; most of them less than enthusiastic about the new look (to say it diplomatically). For our part, the hardtop DC100 has grown on us, while the DC100 Sport roadster… not so much.
Since the Defender Concept 100 is indeed a concept vehicle, it's loaded with technologies that may or may not make it into the production version. Some of the technologies include roof-mounted solar panels; a portable all-in-one touchscreen instrument panel, navigation system, audio system, and climate control center; automatic Terrain Response; on-demand spiked tires; Intelligent Terrain Mapping; and the Wade Aid sonar system that aids with water crossings.
Speaking of production, Land Rover confirmed in mid-November that the Defender Concept 100 will go into production and the company will "actively explore" bringing the new Defender to the U.S. market. You can read much more about the Land Rover DC100 here.
Introduced in January of 2008, the Land Rover LRX was the genesis of the Range Rover Evoque. Unlike many concept vehicles in an industry that loves to wow car buyers with amazing concepts that get watered down into banal transportation appliances, the Land Rover LRX made the transition from concept to production vehicle remarkably intact. It also happened to be the first Land Rover developed under Gerry McGovern, Land Rover's current design director.
Under the skin, the LRX featured a 2.0-liter turbodiesel-hybrid powertrain that was bio-diesel ready. This hybrid powertrain was estimated to deliver 60 miles per gallon while reducing CO2 emissions to 120 g/km. Unfortunately, this powertrain did not make it into the production Evoque, which in the U.S. uses a 2.0-liter turbocharged gasoline engine. Land Rover's first production hybrid will be the Range Rover Sport derived Range_e.
You can click here to read more about the Land Rover LRX and its evolution into the Range Rover Evoque. You will also be able to view a larger gallery of LRX images on that page.
Part 2: Land Rover Land_e and Range Stormer
There is about 10 minutes worth of official video that covers the Discovery Vision Concept reveal, the partnership with Virgin Galactic, building the concept (always fun videos), the interior, the Remote Control Drive system, and more.Read Story
The interior of the Land Rover Discovery Vision Concept looks a lot like the bridge of the J.J. Abrams' USS Enterprise NCC-1701 reboot. This can be either a good or a bad thing, depending on how much of a Star Trek geek you happen to be.Read Story


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The Mayor's Thames Festival – London 11th &12th September
My first weekend in the UK after the longest summer break in years and that's how London welcomes me: decent weather and a vibrant programme of events celebrating the river Thames.
The 14th Mayor's Thames Festival spraeds on bridges and by the river's edge, from Westminster to London Bridge and beyond: gigs, Fairy Tales, exhibitions, the festival market showcasing the very best of independent designers, food stalls, arts&craft traders, refreshments and the explosive finale of the Night Carnival and Fireworks.
My favourites? The Feast on the Bridge – Southwark bridge transformed into an endless table and the Balkan brass Bregovic-like sound of the Trans-Siberian March Band!


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Our Tasting Room
Welcome to C.C. Jentsch Cellars on Hwy 97 between Oliver and Osoyoos.
We offer a selection of wines for tasting.
We also offer a picnic area, a small patio and RV parking for our guests.
Tasting Room and Wine Shop Hours
Monday - Friday 10am - 5pm
In our tasting room we offer, with every purchase of 12 bottles,
a complimentary bottle of wine"or" free shipping to your home as token
of our appreciation for your business.
No membership required, just our way of saying thanks!


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Meet Our Team
Dr. Donna Lewis, DVM: Veterinarian
Dr. Lewis received her B.S. in Animal Science from the University of Idaho in 1987 and graduated from Washington State University College of Veterinary Medicine in 1993. She has been a veterinarian for 24 years although her college career began as a music major in vocal education. Dr. Lewis still loves to sing and is a member of the Bitterroot Valley Chorus and Stevensville Methodist Church Choir. Prior to vet school, she worked as a veterinary assistant and later as a technician for two years in a private practice in Washington. Dr. Lewis and her family love living in the Bitterroot Valley, which is her birthplace. The hiking, horseback riding, fishing, and camping opportunities in MT are favorite activities of Dr. Lewis, her husband Ron, and their daughters Kalyn and Meggie. Dr. Lewis says it's been an awesome journey to come back to Western Montana. The Bitterroot and Sapphire Mountains have called her home! Reconnecting with the area, people, and pets of Ravalli County is a sheer joy. She loves what she does every day!
Janna Lukomski-Wells: Veterinary Technician
Janna earned a B.S. in Wildlife Science with a minor in Biology at Virginia Tech in 1997. Although Janna's plan was to work with wildlife, she started as a veterinary assistant/technician one week after graduation and was hooked in the veterinary industry. She loved the job and the people, and has since worked as a technician in VA, CA, and MT. With 20 years of experience in the field, she still loves what she does and looks forward to learning something new every day. When not working, Janna loves to travel. She has been to all 50 states and has a good story about each one! Janna's free time is also spent with her two Anatolian Shepherds, one Red Heeler/Pit cross, one Pug, three cats, and one Beta fish.
Allison Hale: Veterinary Technician
Allison earned a B.S. in Animal and Veterinary Sciences from the University of Idaho in 2016 and is currently attending Washington State University College of Veterinary Medicine with an expected graduation date of May 2020. A Corvallis, MT native, she was actively involved in the Bitterroot Saddlebusters 4-H Club and has volunteered or worked at veterinary clinics around the Bitterroot Valley for the past 8 years. Upon graduation with her DVM, she would like to work in a mixed animal veterinary practice in rural Montana. Although she admits that veterinary school is challenging, she loves what she's learning and the wonderful students and faculty she can interact with. In whatever spare time she can find, Allison enjoys riding her 12-year old Quarter Horse mare, Shancy, or playing sports like rugby and soccer.
Sarah Murray: Veterinary Technician
Sarah grew up in Hamilton, Montana. She was apart of Pony Club and 4-H horse project. Even though she loves horses, she loves working with all animals. She graduated Animal Behavior College in 2015 with a certification for Veterinary Assistant. Sarah worked at a vet clinic in North Dakota for 3 years before moving back to the valley with her daughter and husband. She is currently attending Ashworth College for Veterinary Technician. Sarah has two Labrador retrievers and a kitty. She loves family, work and enjoys hiking in the mountains.
Rachel Agosto: Veterinary Assistant
Rachel graduated from the University of Montana with an AA degree in Digital Art. Her two furry friends are a Himalayan Siamese cat named Tinkerbell, better known as Bean, and a Bull Terrier dog named Vera, whom everyone here calls Bootie Foots. She has always had a passion for art and loves to paint and draw. She even has published an adult coloring book on Amazon. She loves animals and thinks working at a veterinary clinic is just the bees knees because she meets new furry friends every day. She also loves to travel and go camping and hiking.
Meggie Lewis: Receptionist
Meggie will be a senior at Hamilton High School. She is currently on the HHS soccer team, and is in the Guys and Dolls elite choir. During her free time, Meggie likes to go backpacking, paddle boarding, and hiking with her sister Kalyn, brother-in-law Jamie, boyfriend Garrick, and dog Steel.
Meggie plans on attending the University of Idaho after high school, and hopes to work in the animal field just like her mom (Dr. Donna Lewis). This is her first summer working at Willow Mountain Veterinary Clinic, and she loves it. Meggie really enjoys the people she works with, and especially loves her boss.
Nita Vandegrift: Receptionist
Nita originally came from Great Falls where she worked for the USAF, Malmstrom AFB as the Unit Program Coordinator for the 10th Missile Squadron until she retired and moved to Missoula. Five years later she bought a house in Hamilton and moved to the beautiful Bitterroot Valley. She has two children, Zac and Hauli and four grandchildren who live in Missoula and Hamilton. She began working at the Willow Mountain Veterinary Clinic in August 2018 as Receptionist, where she loves answering the phones, greeting the customers and helping take care of their pets. Nita enjoys taking walks with her grandchildren, camping and fishing at Seeley Lake and living in the Bitterroot.
Contact Form
Contact Info
1039 Main St
Corvallis, MT 59828
Phone: 406-961-3077
Coverage Area
Serving the Bitterroot Valley including Corvallis, Hamilton, Victor, Stevensville, Florence, Darby, Lolo, Connor, and Sula, Montana


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Very good article about statistics and their limitations. Should be required reading for medical students and health journalists. Contains my new favorite example (attributed to mathematician Ian Stewart) of the ecological fallacy:
The average person has one breast and one testicle.
In the era of Big Data, we've come to believe that, with enough information, human behavior is predictable. But number crunching can lead us perilously wrong.
Source: What Statistics Can and Can't Tell Us About Ourselves | The New Yorker


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Question about Sony VAIO PCV-RZ44 (PCV-RZ44G) PC Desktop
SONY VAIO PCV-RZ44G Pentium 4 2.8ghz
My original ATA HDD crashed and I am attempting to install PCI SATA card and 500GB seagate SATA.
PCI card seems to boot but HDD won't recognize. SInce I was able to use DiskWizard to partition the new SATA drive on an old IBM k2 333mhz 6GB with XP installed thot I was golden. But on install attemp in Sony, the Recovery disks say "no drive" and fresh XP Pro install says partitions are not XP compatible, even tho XP install said the same thing when I also made a partition with XP install during an earlier install attempt. Seems like it's a conflict of some kind???? MOBO is apparently Asus P45D VX. Orignial Desk Top came as MCE2004
Any ideas?????
Posted by YMii on
Thanks for such a quick answer.
Have done that and PCI card loads and lists hard drive id in it's bios, it's when I get past that point HD shows up in XP install as "unknown" or "no drive' with recovery disks install attempt.
COULD NOT FIX WITHOUT ERASING AND FORMATTING BOTH DISKS. nOW SONY OP SYS DISK WILL NOT RUN OR INSTALL, CAN NOT INTALL WINDOWS OP SYS. DISK EITHER, DRVS NOT RECOGNIZED BY WIN XP INSTALL DISK SCREEN SHOWS FOUR SECTONS ON SCREEN BUT XP DISK SAYS IT CAN NOT INSTAL ON OR RECOGNIZE THE DISK. nOTHING WILL WORK THE DISKS MAY BE CLEAN NOW OF VIRUS BUT NTHIING WILL INSTALL ON THEM.(I DIDUSE OTHER SOFTWRE TO CLEAN DISKS )wHAT CAN I DO? DO I HAVE TO BUY NEW HDD TO INSTALL NEW XP OP SYS? I CAN SEE NO ALTERNATIVE!
You need to load the SATA Controller driver for the XP install to access the HDD.
The driver will need to be downloaded and extracted to a floppy diskette, then loaded during the XP install.
If your system doesn't have a floppy drive, you'll either need a USB floppy drive or create a slipstreamed XP CD with the driver added to the CD.
Posted on Aug 12, 2008
That is exacly the situation I described.
The drive is seen in BIOS, but is not seen by the XP installation because the driver for the controller is NOT NATIVE to Windows XP. If you watch during the XP install, there is a prompt to press F6 for a controller driver. This was orignally designed for SCSI hard drive controllers, but now is used for SATA controllers or any other HDD controller whose driver is not native to XP
Many computer manufacturers add controller drivers to their XP CD's (a process known as slipstreaming) to avoid the need for a floppy drive and loading the driver manually. Since you are ADDING a PCI card, then you'll need to load a driver.
In XP loading a Controller driver is a legacy process. By design this can only be done for a CD NON-NATIVE driver from a floppy diak drive as noted in my last replay.
In Vista, any data source can be used, but XP it is either the installation CD or a Floppy The files have to be in the root of the floppy, not in a folder). You can even have the drivers on the floppy and have the diskette in A: BEFORE YOU BOOT to the CD. If you do that, XP will look to the flopy without the F6 prompt, making the install a bit easier.
Tips for a great answer:
Jan 07, 2013 | Sony VAIO PCV-RZ44 (PCV-RZ44G) PC Desktop
Sep 27, 2012 | Sony VAIO PCV-W600G PC Desktop
Yes,Specs says that it has SATA controller:
Product Description: Sony VAIO PCV-RS602 - P4 3.2 GHz
If I could be of further assistance, let me know. If this helps or solves the issue, please rate it and give a testimonial for my response
Thanks, Joe
I'm happy to assist further over the phone at https://www.6ya.com/expert/joe_8b8c2cd6ce148309
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Dear friends, we are happy to invite you to the fully updated
Toy Defense Fantasy!
Toy Defense Fantasy 2.0 will please fans of tower defence genre with excellent graphics, user-friendly interface and exciting fights!
Defend the castle from dragons and trolls in this fun tower defense strategy game! Assemble an army of defenders and fight off monster hordes from destroying your medieval fantasy kingdom! Clash with the enemy and make sure that your fortress will hold the line in battle against waves of orcs and goblins.
Show your courage and cunning in defense! Recruit hero commanders, build warrior armies, crush enemy monsters and be better than your friends! Download Toy Defense Fantasy now and enjoy the best among war strategy games, with knights and dragons. This game will leave you speechless!
Toy Defense Fantasy Features:
Medieval Fantasy Atmosphere!
- Kingdoms & Castles - Immerse yourself in a fantasy world where your kingdom depends on you to defend the castle!
- Epic War! - Then rush into over 96 exciting tower defense levels of fun strategic warfare!
Defensive Strategies!
- Tactics - Make your own TD battle plans and fight off both ground and air attacks in the game!
- Build & Defend - Create turrets and build your army to crush your enemies at war!
- Tactical Upgrades - Improve, fix and heal your defenses right on the battlefield zone! Make sure that your military is always prepared, upgrade your warriors!
Fantasy Armies!
- Knights & Elves - Train your medieval kingdom's army of warriors, wizards and healers! Wars don't win themselves!
- Turret Defenses - Build and command all manner of archery, ballista and Wildfire turret towers!
- Brave Heroes - Recruit hero commanders such as the Elite Archer, Mercenary Goblin and Fire Wizard.
Monster Enemies!
- Trolls & Goblins - Destroy over 9 types of ugly, mischievous monsters!
- Dragons & Mercenaries - Fight legendary dragons and dangerous mercenaries in battles
- Boss Battles - Battle evil generals at the end of every final wave! Prove that they are no match for you in tactics!
Powerful Spells & Skills!
- Magic Skills - Cast mighty spells such as sending lethal meteorites to ensure your enemies' doom! Don't give any goblin in your zone of fire a chance!
- Strategic Abilities - Activate powerful shields and protect your fortress from siege! Use magic as well as tactics to your advantage!


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Lot 048 - Minerva goddess mascot
|Lot Number
|£550 - £650
A wonderful Dutch art-deco style Minerva goddess motor car mascot. These large mascots were fitted to the late 1920s luxury AL series vehicles and are now very hard to find. This mascot has an excellent used original plated finish and has 'P. de Soete' to the side. It is fitted to the original Minerva radiator cap with its distinctive MM markings.
Previous lotLot 047 - Jaguar leaping cat mascot
Next lotLot 049 - Bentley 'B' mascot
Interested parties should satisfy themselves as to the description and condition of each lot prior to the sale. Buyers are advised to inspect the car in person or use a professional to carry out this service.


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Spinach Salad with Dijon-Bacon Vinaigrette
Yield: 4 servings
1/2 pound spinach, washed, dried and torn into bite size pieces
6 ounces thick-cut bacon, cut crosswise into 1/4 inch thick strips
2 tablespoons finely chopped shallot
3 tablespoons red wine vinegar
1 tablespoon Dijon mustard
1 tablespoon brown sugar
Kosher salt and freshly ground black pepper
In a large skillet on medium heat, add bacon and cook until crispy and the fat is rendered, about 6 to 8 minutes. Turn off heat and transfer bacon to a paper-towel lined plate to drain. Reserve bacon fat in pan and return to medium heat. Add shallot and cook until soft, 1 to 2 minutes. Add red wine vinegar, increase heat to medium-high, and boil for 5 seconds, remove from heat and whisk in Dijon. Immediately pour hot dressing over spinach and toss well. Taste and adjust seasoning with salt and pepper.


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Steps Toward Easier Antimicrobial Decisions
Learn about how to make your bovine respiratory disease antimicrobial decisions a little easier in this video.
Finding the right antimicrobial to treat bovine respiratory disease is crucial, but it can be difficult. With help from these six simple steps, you can make easier decisions on a solution that is the right fit for your operation and more likely to bring you success the first time.


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The following approach " What Should a Sustainability Strategy Look Like? "
is due to Mike Pitts, Lead Specialist-Sustainability at ESKTN, UK.
" 'Climate change is like the internet: it gets bigger each year and is hard to make money out of'. These words of wisdom were from Paul Dickinson of the Carbon Disclosure Project (at the Sustainability Leaders Forum 2012) who went on the say that once you do work out how to make money from it, there's a lot to be had. This principle underpins our view of sustainability: big economic, environmental and social trends that radically shift markets and provide considerable opportunities for innovative solutions for those prepared to grapple with them. After a week of meetings on the topic of sustainability, and meeting a lot of those doing pioneering work, I will share some useful lessons and examples.
Sustainability drives innovation
According to a new report from Edie and Temple almost seven in 10 businesses (69%) consider sustainability to be a priority business driver for success in 2012, and 45% of manufacturing businesses are now seeing sustainability as an important part of value creation. "
Even More on Sustainability by Matt


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The sun and the dress must be getting to her. Norrington: "Yes, I'm a bit nervous myself." In slight embarrassment, he turns away. But right at the wrong moment. She faints and starts falling down into the sea. Norrington turns back to where she was standing, puzzled by the silence. But things only get even more puzzling when she's no longer there. Norrington: "Elizabeth?" Then he sees the splash in the water so very far below and starts to panic: "Elizabeth!" He's about to jump down after her, but some of the other soldiers hear him and come to see whats going on. Soldier: "The rocks! Sir, it's a miracle she missed them!" So he runs down to get help. Mean while, Jack is hanging out on the interceptor telling Murtog and Mullroy all about his many adventures and fooling them quite a bit.
This is Elizabeth's lucky day because she randomly decided to out on the pirate medallion. Well this little piece of gold makes a huge scene when it hits the water dramatically. The wind changes and things get a little creepy. Jack saves the day by jumping into the water and saving her from the bottom of the sea. They reach the surface, Elizabeth still unconscious. Jack can't keep both of them afloat so he rips off her new fancy dress and lets it sink to the bottom. He finally brings her back onto the Interceptor, cuts off her corset, and she begins to breathe. The only problem is that the Royal Navy has arrived by this time lead by the new Commodore James Norrington. But once they find out Jack is a pirate, they arrest him at once. Elizabeth: "Commodore, I really must protest!"( She seems quite used to calling him Commodore even though it's only his first day on the job. ) Norrington pretty much ignores her.
Elizabeth: "Pirate or not, this man saved my life." Norrington: "One good deed does not redeem a man of a life time of wickedness." Norrington, like Will, like Beckett, seems to loathe pirates. Jack, of course, comes up with something witty: "It's enough to condemn him." Norrington: "Indeed." When they finish putting the handcuffs on him, Jack acts quickly: "Finally." He flings his handcuffs around Elizabeth's neck and hold her tightly so she can't get away. Governor Swann has his usually petty fit about his poor little girl. Governor: "No! No! Don't shoot!" Jack: "I knew you'd warm up to me. Commodore Norrington, my effects, please. And my hat." You really can't forget his hat. All the soldiers look very nervous and aren't sure what to do, even Norrington. Jack becomes impatient. Jack: "Commodore!" Grudgingly, Norrington gives Jack back all his supplies (even though he talked about how crappy they were).
Jack creepily tries to start a conversation with his captive. Jack: "Elizabeth . . . It is Elizabeth?" Elizabeth: "It's Miss Swann." Jack: "Miss Swann, if you'd be so kind. Come, come, dear. We don't have all day." Since Jack's hands are cupped, she has to take his stuff and put them away for him. He keeps his gun out, pointed at her head to make sure she cooperates (which she hardly ever does). Jack: "If you'll be very kind." So she angrily puts his hat on his head and slips his back around his back, causing her to reach her arm around him. This of course makes Jack very happy and he gives a little "haha" look to Norrington who is jealously watching. He just rolls his eyes. Jack: "Easy on the goods, darling." Elizabeth: "You're despicable." It's so funny to see her hate Jack so much when you know how she feels about him later. Jack: "Sticks and stones, love. I saved your life, you saved mine. We're square." He has a point. She was trying to save his life before. He shoves her back around and does his usually announcement: "Gentlemen, my lady, you will always remember this as the day you almost caught Captain Jack Sparrow." With that she shoves Elizabeth free and blasts himself into the air.
The governor doesn't exactly approve of this behavior and they all start to shoot at him missing of course. And this is the first of many of Jack Sparrow's brilliantly improvised escapes. Probably not the best day for Norrington though, since Elizabeth never gets back to him about the proposal until much later. His very first day on the job he has to deal with the best pirate ever not to mention deffend the love of his life! If only he wasn't turning his back on her when she fell. Poor guy, you'd think some young man as good looking as he is would get a little luck. But then again, he's up against Captain Jack Sparrow. Does anyone really stand a chance?


text:
Herrmannova, Drahomira and Knoth, Petr
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To date, many studies of scientific citation, collaboration and coauthorship networks have focused on the concept of cross-community ties. In this article we explore how Semantometrics can help to characterise the types of research collaboration in scholarly publication networks and the nature of the cross-community ties, and how this information can be utilised in aiding research evaluation. In contrast to the existing research evaluation metrics such as Bibliometrics, Altmetrics or Webometrics, which are based on measuring the number of interactions in the scholarly network, Semantometrics build on the premise that fulltext is needed to understand the value of publications. Using the CORE dataset as a case study, this paper looks at the relation between the semantic distance of authors and their research endogamy value. We identify four potential types of collaboration in a coauthorship network. The results suggest similar measures can be used to provide meaningful information about the nature of collaboration in scholarly publication networks.
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|Research Evaluation; Semantic Similarity; Research Endogamy; Research Publication Datasets; semantometrics
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Faculty of Science, Technology, Engineering and Mathematics (STEM)
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A weekly web column by Roger A. Baylor.
There's a lot to say this week, so why not have more than one column?
In the Courier-Journal, reporter Lexy Gross has profiled the incumbent. Let's skip his numbingly predictable self-hagiography and move straight to the fun parts.
(Jeff) Gahan sees housing and infrastructure problems that still need to be addressed.
We know all too well how Gahan "sees" these problems: Demolish what you can, toss a few kickback bones to Coffey and otherwise ignore all pertinent ordinance enforcement details, all the while insisting that he's making "fundamental" changes to benefit demographic groups he can't even spell, much less define coherently.
But it's Halloween, and the mayor's "not finished yet," so pop open an ice-cold Bud Light -- because there's even more inanity in store.
One issue residents and his opponents have discussed with fervor is whether or not New Albany's street grid should change to accommodate traffic from the untolled Sherman Minton Bridge, once the Ohio River Project bridges are tolled.
Unable to avoid the topic of two-way streets, as he has done regularly for months on end, Gahan instead sent the Fact-O-Meter straight to "TILT," though at least gifting us with the precise reason why Shirley Baird and Greg Phipps now have taken to subserviently qualifying any stray utterance involving "two-way streets" with a spanking new, hitherto unknown phrase.
"Where feasible."
Coincidentally, in the spirit of this glittering Orwellian age, I decided to make their logic my own, and after staring at my ballot, it simply proved not feasible for me to cast a vote for either one.
But I digress.
Not coincidentally, there's a reason why I've used the following graphic as often as possible for the past year and a half.
It's because we knew all along, didn't we?
Even when the mayor confided in us – even when he looked us in the eye and said he really understood, and he'd be out their battling for two-way streets – we knew it wasn't going to happen.
Didn't we?
As he started applying those "TIF and spend and sprawl" suburban solutions to every urban problem, it became even more obvious.
He really didn't get it, did he?
At best, he'd hide for years, then half-ass two-way streets, probably just after jetting off to run for State Senate, and we'd be better off not changing the streets at all than doing the job so utterly wrong.
Something about it reminds me of that poor kid with the coke bottle glasses out in right field, standing there solely because the usual starter missed his ride, and with the final out of the game drifting his way in the form of a lazy fly ball that's a real can of corn, I'm filled with despair and melancholy, because we know those Hollywood endings never happen in real life.
We know he's not going to catch the ball, and as the runners circle the bases, it's going to land thirty feet behind him, destined to roll unmolested all the way to the fence, only to be flattened (the baseball, not the fielder) by a passing Tiger Truck on the one-way street beyond.
But there's a crucial difference.
We actually feel sorry for the kid.
So, Lexy Gross asked Jeff Gahan about two-way streets, and the mayor responded by making vapid excuses, all of which have been contradicted by either documented history or his own team ... at his behest.
The city has 75 years of infrastructure supporting one-way streets, (Gahan) said, from signage to curbs and overhead signals. It's one of many issues he hopes to take a closer look at if re-elected.
Safety as slave to re-election? Say it ain't so, Jeff.
Except we already know it is so -- don't we?
Of course, Main Street had existed as a two-way street since the city's founding, as had all the rest of the streets, but when Gahan altered Main Street after 200 years to "calm traffic and install medians" (more below), he did so in accordance with beautification principles, not contemporary "complete street" design principles – principles that would have cost far less and made sense in terms of an integrated downtown street grid plan.
Apparently it's proper to alter a street after two centuries so as to plant flowers and carve house numbers, but not acceptable to revert nearby one-way streets to two ways after a mere 50-odd years (not 75, which would place one-way conversions to the year before Pearl Harbor).
As for signage, only recently Team Gahan's minions were publicly bragging about their awesome program to inventory all the signage in town, and install gleaming new ones, which in an election year was manifested not by swapping the many faded STOP signs, but by immediately changing as many street signs as possible, better to display the cute new city logo which Team Gahan insists is not a logo – no, it's just branding emblem/marketing device, albeit it one to be affixed to permanent signs, and one that nonetheless has not yet been approved by a single elected official in any process approximating a vote.
I'm not finished yet. Those overhead signals?
John "Conflict of Interest" Rosenbarger has been assuring folks that (a) recent upgrades on traffic lights have rendered them readily adaptable for use on two-way with little added expense, and (b) we have $2 million or so in federal money waiting on an 80/20 grant to facilitate the two-way reconversion.
Hmm, look over yonder.
Jeff Gahan says he must take a closer look at all this, but curiously, there it already is, on the INDOT letting board for 2017. Someone in city government had to put it there, right? It might even be someone who works for Gahan. Wait – you don't think it has something to do with the federal money Rosenbarger referenced?
What an unexpectedly profound coincidence, but if it's there, why hasn't Gahan mentioned this fact publicly?
To the reporter when asked?
Of course, the sum total of Gahan's down-low, prevaricating concerns, as outlined to the C-J reporter, have already been exhaustively answered and minutely explained by Jeff Speck, the nation's reigning expert on such matters, whose company was hired by Jeff Gahan himself, and paid by the City of New Albany.
Speck's job was to prepare the conceptual blueprint for these same two-way street plans that Gahan – who signed Speck's check – now professes to require even more time to ponder than the four years having already elapsed since his first (and Jeeebus willing) only term as mayor, and the two terms as council person before that.
Consequently, had Gahan actually read, grasped and embraced the plan he himself commissioned, he'd already know that his "$2.4 million project … launched last year to calm traffic and install medians on Main Street" was too much money spent on beautifying one street prior to paying the nation's leading expert to explain how it might have been done correctly … and was not.
Concurrently, anyone who has spent any amount of time using our one-way streets while on foot or riding a bike would stare in open-mouthed amazement at this statement of Gahan's.
(Gahan) said there probably are too many one-way streets in New Albany, and traffic moves too fast through the city. But "it's a balance between restricting speed … and not slowing down commerce," he said.
Safety? Shrug. It can wait. Let's translate this into fervid Gahanese.
Yeah, I suppose speed kills and all that, but hey, we can't slow down commerce, you know – I mean, that's why the Scribners built those one-way streets in the first place, because how else could we get those steamboats (it's a really cool anchor on that non-logo) get up and down Spring Street without Padgett cranes, and … it's a quality of life issue for our truckers. It's a ripple effect. We're where they ought to be.
To reiterate, all of it has been addressed in Speck's study, this being the same one the mayor himself commissioned, and the one he apparently saw fit to ignore when making comments to the Courier's new reporter, regarding readers as rubes who wouldn't know they were being conned.
If Gahan views it as feasible for humongous trucking vessels of "commerce" to have an intrinsic right to pass through densely populated urban areas at high speeds, even when they're not the entities contributing to his engorged re-election war chest, then he has abdicated his responsibility for public safety, and he might as well take the final logical step and advocate for the construction of toxic waste dumps adjacent to schools – or, as a friend put it, we can build the schools on top of the toxic waste dumps and save even more space.
Sounds Gahan-feasible, so long as the toxic waste dump operators tithe according to prevailing contract versus campaign financing guidelines.
After all, he's not finished yet.
But ye Gods -- hasn't the man done enough so far?
Recent columns:
October 22: ON THE AVENUES: My career as a double naught capitalist.
October 19: ON THE AVENUES REWOUND: Courtesy bicycle to the Hotel Silly (2010, 2013).
October 15: ON THE AVENUES: To the New Albanians, each and every one.
October 8: ON THE AVENUES: There's an indie twist to this curmudgeon's annual Harvest Homecoming column.
October 1: ON THE AVENUES: No more fear, Jeff.
September 24: ON THE AVENUES: Almost two years later, Mr. Gahan has yet to plug in this clock, and so it's time for him to clock out.
September 17: ON THE AVENUES: Dear Neighbor: If you're tired of the same old story, turn some pages.
September 10: ON THE AVENUES: Lanesville Heritage Weekend comes around again.
September 3: ON THE AVENUES: When even Mitt Romney can run to the left of New Albany's Democrats, it's a very big problem.


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The Palestinian ambassador has said that if we will not stand for the Al- Aqsa mosque today, the great mosque of Mecca will also be locked tomorrow.
Speaking at a function held in Islamabad, Palestinian Ambassador, Walid Abu Ali said: The Zionist regime has crossed the limit of violating the rules. The mosque of Al-Aqsa has been locked and broadcasting Azan has been banned there. Electronic gates are being installed so that children, women and elderly can be searched.
The Palestinian ambassador said that today if the Muslims of the world do not unite and stand against this issue, it is definitely possible that tomorrow the grand mosque of Mecca will be locked under the pretext of some conspiracy.
Regretting the silence of Pakistani officials over the locked al Aqsa mosque, Walid Abu Ali said: Pakistani officials are engaged in plucking each other and their eyes are closed on the global issues.
He emphasized that the Islamic Summit should be organized as soon as possible to take a stand on the issue of lockdown of the mosque of al-Aqsa.


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Google is already the most powerful search engine in the US and it is therefore an essential advertising forum for anyone wanting to increase their client base in the US, but now it looks as though Google dominates the Mobile Search Network, too.
Google AdWords Pay Per Click Marketing is a must for all US Advertisers and the recent figures show that all advertisers need to start taking the Google AdWords Mobile Network into consideration too alongside the advertising they are already investing in via PCs, laptops and MACs.
What are the figures that prove that Google dominates the Mobile Search Network?
Roughly 5% of paid search advertising in the US is now cornered by the mobile network and Google AdWords Advertisers are a major part of this action. Google dominates the Mobile Search Network because it is controlling about 97% of mobile paid search at present, which means that US businesses are more likely to generate an increase in custom when advertising via the Google AdWords Pay Per Click Mobile Network than with any other network in operation at present.


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Shariah Compliance is ideal for those Asset Managers who are looking to attract Capital from a Global Community who believes in long-term growth
The Islamic community has been largely considering investing in financial products that comply with the Shariah law and has been on the lookout for Asset Managers that can put together ideal financial tools that would permit them to invest in long-term growth.
Equity play has been a favorable investment strategy for ages while ensuring that most investment opportunities followed a thorough process to fully comply with the Islamic standards, especially when it comes to Gold investing. This is thanks to the ruling by the Accounting and Auditing Organization for Islamic Financial Institutions (AAOIFI) in November of 2016 alongside the World Gold Council.
Shariah compliance also aims to increase the level of transparency in investments. This new standard is set to act as the international standard in terms of an allocated Gold Savings plan. In that sense, it's a strategic allocation of funds to accumulate Gold long-term. This law may also be used for Gold certificate investing, physically gold-backed ETFs, certain gold mining future, and of course, in Gold Mining equities. You can read more here.
Looking at the current markets, Islamic finance is a small $2 trillion marketplace and is expected to grow to about $5 trillion by 2020 as stated by TrueWealth publishing.
How does this impact Asset Managers?
Understanding the context of which the Shariah Financial System is based on may help in identifying strategic allocations and may result in creating a compliant fund that focuses on servicing this growing community.
Another thing to note is the fact that there is very little guidance for Islamic investors who are looking for fail-safe and reliable investment arms that have the potential of long-term gain. The core of it all implies that Asset Managers can now focus on creating funds or investment products that may resemble equities which are compliant with certain rules and regulations which are set out on the Islamic Investing Laws.
Since the concept on the ruling of the new laws that set out standards in Gold investing, the most impact will be directed towards the mining sectors and the gold stocks. Wealth and Asset Managers need to keep that in mind while building strategic and tactical portfolios for these types of investors.
Moreover, a strong focus needs to be put towards identifying fully compliant distinct opportunities in the private sector. Since in most cases – some of the funds in the past have become questionable due to their lack of transparency.
The opportunity for Gold Backed Ventures
Gold Backed Bonds, LLC has been putting together vehicles and structures for companies who are looking to raise anywhere between $50 to $250 million for expanding or acquiring businesses. While this may be the ideal model for the proposed Islamic community, it still greatly considers aligning with the debt servicing business, which in turn, makes it non-compliant.
To address this issue, Gold Backed Bonds has put together a Shariah Compliant vehicle by which Islamic institutional and high-net-worth investors may participate through equity in the Gold Ventures for mining. The important distinction in this model is that the GBB team identifies the right types of mining assets and engages in leasing out the collateral to create asset-backed bonds in order to help companies who are technically in the middle market range, raise substantial capital.
While there may be a debt servicing component, the Shariah Compliant side of the business ensures that the limits of the investment activity are only tailored around mining the gold. This model proposes the best of both worlds in terms of participation and for assisting businesses leverage Gold assets for flexible financing.


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I've posted dozens of photos from the Kennedy Library in the last few days. Most are terrific color pictures that fill in areas for that period that I didn't have good photos for already. An additional few also replace inferior versions of the same photos that I'd found in books and elsewhere.
Category Archives: Residence
Kennedy – Ike photos
I've added some new photos from the Kennedy Library of various parts of the Residence in 1960-1962. More to come.
See the What's New page (link at right).
White House solar installation in pictures
It came out a couple of weeks ago, but with few details, that the White House has gotten a set of solar panels. Now Earthtechling provides the photographic evidence.
Residence gets solar panels
A White House official confirmed to the Washington Post Thursday that installation had begun on fitting the President's residence with solar panels.
More historical photos
Added several new pics from the all the way back to 1866 to 1947.
Edit: As always, on the What's New page.
Historical Residence images
I've added several new images of the Residence from the early 19th century that I found in the Library of Congress. They seem to be slowly adding more of their collection online.
Kennedy China and Vermeil Rooms and the pre-blue Blue Room
My thanks to Patrick Phillips-Schrock for two gorgeous photos from the Kennedy renovation. We've never seen the China Room and the Vermeil Room from this period so clearly. Check them out on What's New.
Patrick has also supplied images that portray his research into the Blue Room before it was blue.


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Here's How I Get Game Consoles For Super Cheap
Start listening with a free 30-day Audible trial, one free audio book plus 2 Audible Originals. Visit or text spawnwave to 500500.
Game consoles are expensive, but for a while I would consistently get game systems for cheap in order to resell in stores. Here is how I would get current consoles for less than a brand new game.
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The Officers Club has been making it their aim since the 50s to dress the modern gent, providing them with the latest and best menswear and accessories, so we are excited to be able to add them to NHS Discount offers.
It differs from other menswear companies by providing its customers with a more distinctive style, helping their customers to set themselves apart from their peers.
So for those of you who are particularly fashion conscious and hate the idea of blending in with the crowd then Officers Club is for you.
With over 60 stores to their name, Officers Club aims to dress fashion forward young men. With an additional 10% off for students, the company goes that extra step to provide its customers with modern styles for those aged between 12 – 24 years.
They are dedicated to creating clothes of unquestionable quality and at affordable prices too, something that is particularly important for those who are active and a lot of current menswear brands can't match this quality.
It can often be quite a costly pursuit to stay on trend with fashions but Officers Club look to blend the looks from the catwalk with wearable street style and all at a price that makes inviting.
So whether you are looking for clothes, accessories or footwear, it is well worth checking out the company's range of festival clothing, denim, urban styles and their varsity collection.
Their website is the best place to visit in order to see their latest offers and discounts, they also frequently have sales of up to 70% off, making shopping the latest trends at Officers Club all the more worthwhile.
Combine these existing offers with additional discount codes and you can enjoy the Officers Club at a fraction of the retail price.
There are some truly amazing deals and offers to be had and it is well worthwhile signing up to their mailing list to stay in the loop with their offers.


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Design Mixing it up
Kim Caravella says she has a "fire in the belly."
"I'm passionate. I want to know everything, do everything," she declares. "I want my interior designs to be the best that I can make them."
We're in her office nook at the back of her recently opened boutique, Habitat Greenwich, in Cos Cob. She slides her swivel chair back and forth, forwards and backwards as she talks excitedly about her relentless pursuit for perfection. Her hands wave in the air like the wings of a sparrow fluttering at a bird feeder. She wants pieces that are beautiful, functional and so different that everyone would want them in their own home. Caravella goes far beyond choosing between Decorator's White and Dove White for the walls in your kitchen.
Take the "Gabrielle" chair in one of the shop's windows. When she couldn't find a "hostess" chair she liked, she designed her own. The chair has delicately splayed back legs on a subtle gray base, blue-on-white fabric from a textile artisan in Brooklyn, and utilitarian upholsterer's tacks in lieu of gimp. She fussed over that chair "down to an eighth of an inch," like a bride checking her appearance before walking down the aisle. You will need more than a few minutes to appreciate the chair and its unusual companions: a papier mâché table, washed blue pottery, luxurious throws, a massive pendant lamp of cloth and bamboo, and a pouf fabricated from jute.
A similar dichotomy plays out is a second window display where Tibetan leather market bags strike strong masculine notes against the femininity of a Bird of Paradise plant fabricated completely out of cloth. Caravelle's aesthetic is also evident in the powder room, which she loves to show off to visitors. A double soapstone sink that speaks of a country home comes to life beneath a posh pendant light made from open-weave black wicker that casts spider-web designs on ceiling and walls.
Working from the ground up is Caravella's style. She studied and worked with masters in the field. She did curtains and drapes for Window Treatments in Darien, and build/design with Brooks & Orrick and Mitchell Studio in Greenwich, scouring every detail of a project from sketch to inception. Today, she brings all that she learned on the job, and all that she dreams of into her showroom, to big and small projects for her clients.
Start with the layout of the floor in her office which she shares with her partner, Nicole Gannon. The end-cut oak tiles are so out-of-the-box beautiful that the design invariably draws exclamations from shoppers of "I want that." In fact, those three words seem to be the mantra of this boutique.
There's lots of aged pieces cavorting with the contemporary here: an old three-legged table from Wales, its top sporting a crater in its center probably caused by candles that burned the night away; a white lamp whose base looks like an exaggerated artichoke; a pair of decorative antlers serving no other purpose perhaps other than to jazz up sedentary bookshelves; a long open-front console to show off artwork on top while diverting the eye away the radiator it hovers over; a small bureau in purple for an updated whimsical look; and lots of gray, black-and-white pillows with occasional splashes of blue or green. There are hostess gifts galore, from books, scented soaps and candles to jewelry, framed art work and vases.
"Each item at its essence speaks to my taste, spirit and vision to impart warmth and beauty through design into the lives of others," says this petite dynamo. She wants her shop to be a fun experience, with music playing and the space scented with subtle fragrance.
"I don't like to do things that's not to perfection," she states emphatically and then she tells the story of how when she was 5 years old, she was determined to learn to ride a bike. So she climbed up on the seat and pedaled away. No going down like a pin in a bowling alley. Determination and persistence is the story line of her career. It is a trajectory that took her to that window design shop when she was just 19 where she learned about jabots and swags, how deep a hem of a curtain should be, when to use cloth-covered chain at the bottom of sheers. She was still in design school, loading on another job as a waitress. In five short years, she had saved enough money to buy a house in New Canaan. That's drive.
Habitat Greenwich sits snugly in a bank of retail shops sandwiched between the firehouse and Cos Cob School. Within that strip is her husband Randy's Wines and Spirits. Just a few steps further and you're into high-end fish, meat and cheese shops, as well as gelato and juice stations. And other interior designers who she views as colleagues.
"It's like a mini Brooklyn," exclaims a happy Kim Caravella. And then she turns serious.
"I believe in timeless design," says Caravella. "I love really clean lines mixed with organic natural textured shapes, a mix of old world and new world. I love mixing vintage pieces and natural textures with modern pieces and elements. They all come alive and dance splendidly with one another."
Habitat is at 234 E. Putnam Ave. in the Cos Cob section of Greenwich.
Rosemarie T. Anner is a frequent contributor to Sunday Arts & Style.


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originally posted by: Konduit
This is insane. Race wars have officially come to America and this is just the beginning.
Who are the racists, again? Why is this not front page news? Just imagine the outcry if a group of white people did this to a black person...
These are the fruits of the controlled liberal media working for an administration that has been stoking racial tensions in this country for years. Get used to it.
originally posted by: IgnoranceIsntBlisss
a reply to: RedDragon
The Dixiecrat's stayed. They just adapted and brought back their racist ambitions in the form of reverse-racism. When you only see people as groups this is always inevitable.
originally posted by: ketsuko
And when you decide to kneel or something else for the National Anthem to show your solidarity, this is what you are siding with.
Just think about it.
No one says you can't protest, but is this what you want to be in bed with?
Oh I know there is a double standard. I'm a liberal. I'm an ally. Some have even called me an sjw before. I got called that by a black friend lol.
originally posted by: Grambler
originally posted by: Quetzalcoatl14
originally posted by: odzeandennz
a reply to: jhn7537
i conquer.
today im ashamed of my kind.
saddens me to see their actions, saddens me to read some of the comments on here, saddens me when its not lies, saddens me all blacks are thought as the same as AA....
what a week...
No, many of us do not see all Blacks as the same, nor in a negative light, nor represented by the violence in this video. Just as, I hope that people don't stereotype all whites.
Count me in that group. I view blacks as unique as whites. Some are in blm, some are rioters, some protestors, most probably aren't associated with any of this.
But let's not pretend there isn't a double standard here. If a group of whites had attacked a black man like in this vifeo, this country would be on fire today.
The irony is that most of the people that are pushing this garbage narrative are progressive white people.
However, I'm becoming alienated by the media and identity politics folks due to the double standards. I agree they exist.
originally posted by: hopenotfeariswhatweneed
a reply to: Quetzalcoatl14
However, I'm becoming alienated by the media and identity politics folks due to the double standards. I agree they exist.
Agreed ...anyone who can see past the psyop is in danger of being labeled....
originally posted by: RedDragon
originally posted by: Konduit
a reply to: Ohanka
Lol. Democrats yesterday = Republicans today. Look at a map. Google: Southern Strategy. ATS motto is deny ignorance. Try it.
originally posted by: Mousygretchen
a reply to: Konduit
What I see in that video is human on human violence. I feel like majority conspiracy theorists are leaning to the right, and so this was intended as fodder for a false narrative. OP is just trying to provoke people here I feel.
Race wars have officially come to America and this is just the beginning.
originally posted by: Stngray
originally posted by: introvert
Quick question:
Has it been proven that BLM had anything to do with what happened in the video?
Do you want a memo from BLM corporate headquarters that says attack this specific guy?
originally posted by: iTruthSeeker
a reply to: Konduit
When people ignore what is going on, I ask them to find me just ONE video of groups of White kids doing these types of things, compared to the thousands of videos of it the other way around. Crickets.....
It is long time for the lies on "inequality" to stop. They are given preferential treatment above and beyond anyone else, yet claim they are being held down? I don't think so. The media will not be showing this video I am sure, like the thousands of others out there and counting. It is vastly one sided yet somehow our fault.