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Voice feminization In a study of self-perceptions of trans females, it was found that the strongest contributor to communication satisfaction was voice. Pitch Pitch may be perceived as the most important factor for voice and subsequently gender identification. A pitch range that is considered gender neutral generally falls between 155-185Hz. In one study, there were no significant differences in overall intonation patterns observed between genders. Transgender participants who were identified as female had a larger number of upward intonation patterns and larger semi-tone range within utterances than other groups. Transgender women who were misidentified as male had fewer upward and more downward intonation patterns than females and transgender females who were correctly identified. Behavioral Intervention the components of voice production are primarily addressed through behavioral voice therapy. It is thought that the total number of voice therapy sessions, in addition to living full time as female might be predictive of response to behavioral intervention. Flow phonation targets balanced exhalation of airflow during voice production to achieve vocal efficiency and may aid in altering breathiness and intensity. Resonant voice therapy focuses on achieving easy phonation while experiencing the energy or vibration of sound in the oral cavity therefore altering resonance. Studies indicate that trans women attain improvement in voice following voice therapy and most are satisfied with the outcome. Pitch change alone has been shown to be insufficient for listeners to accurately identify gender [7,14] and should not be considered the initial or only treatment for voice feminization. Effects of hormone therapy on voice Hormone therapy in trans women, while resulting in reduction of testosterone levels and increases in levels of progesterone and estrogen, has not been perceived to have a significant effect on voice or the perception of feminine voice. During male puberty, exposure to testosterone results in hypertrophy of the laryngeal muscles, cartilage and mucosa. While withdrawing testosterone result in a modest degree of mucosal and muscle thinning, this effect takes years and cannot reverse the significant hypertrophy caused by the previous exposure. Thus pitch, which is related to vocal fold mass and size remains lowered, and the overall effect on voice from withdrawal of androgens is minimal once these changes have occurred. This is consistent with what is seen in females who have been exposed to androgens for the treatment of medical conditions. Once the exposure has occurred and the vocal pitch is lowered, the withdrawal of androgens is not generally associated with a significant re-elevation of pitch.

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Jackson A R W, Jackson J M (2008) The examination of body fuids, in: purposes using Raman spectroscopy combined with advanced statistical Jackson A R W, Jackson J M, Forensic Science, Pearson Prentice Hall, analysis. Li R (2012) Forensic serology, in: Kobilinsky L, Forensic Chemistry and animal blood traces via Raman spectroscopy. Stoilovic M (1991) Detection of semen and blood stains using polilight as Forensic Sci Int 181: e1-5. Vandenberg N, van Oorschot R A H (2006) The use of polilight in the its potential application to forensic body fuid identifcation. Anal Bioanal detection of seminal fuid, saliva, and bloodstains and comparison with Chem 396: 525-534. Santucci K A, Nelson D G, McQuillen K K, Dufy S J, Linakis J G (2002) Raman spectroscopic signature of saliva. Seidl S, Hausmann R, Betz P (2008) Comparison of laser and mercury Raman spectroscopic signature of sweat and its potential application to arc lamp for the detection of body fuids on diferent substrates. Sensors of Semen (Human and Boar) and Saliva on Fabrics by a Very High (Basel) 10: 2869-2884. Powers L S, Lloyd C R (2007) Method and apparatus for detecting and Raman spectroscopic signatures as a tool for forensic identifcation of imaging the presence of biological materials. Jobin R M, De Goufe M (2003) The persistence of seminal constituents and Near-Infrared spectrometers. How this loss effects arousal, orgasm, and fertility depends on your level of injury and whether your injury is complete or incomplete. You may not have a strong desire for sex when first injured, but your desire will likely increase over time as you learn to manage self-care and understand your body after injury. However, loss of movement or sensation does not change the fact that you are a desirable sexual being. You are more likely to feel desirable and want to fully express your sexuality if you understand your body and feel comfortable with yourself and your personal identity. The contents of this fact sheet are based on research evidence and/or Here are a few ways dating may be different. Be ready editorial team of experts from the to respond in a way that is comfortable for you. If so, you may Living, and Rehabilitation Research need to talk with them about setting up guidelines for bringing a date home, privacy, and (See. This includes an increase in heart rate, blood pressure, and breathing rate, and can include an increase in blood flow to the genitals to ready your body for sex. Sexual arousal after injury One or both of your pathways for arousal may be blocked.

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Another potential bias is illustrated by the erroneous fngerprint iden tifcation of Brandon Mayfeld as someone involved with the Madrid train bombing in 2004. One commonly recognized bias is the tendency to avoid cognitive dissonance, such as persuading oneself through rational argu ment that a purchase was a good value once the transaction is complete. A scientist encounters this unconscious bias if he/she becomes too wedded to a preliminary conclusion, so that it becomes diffcult to accept new infor 12 Ibid. A report on the erroneous fngerprint individualization in the Madrid train bombing case. Often, the piece of information that is weighted disproportionately is one of the very frst ones encountered. Another common cognitive bias is the tendency to see patterns that do not actually exist. This bias is related to our tendency to underestimate the amount of complexity that can really exist in nature. Both tendencies can lead one to formulate overly simple models of reality and thus to read too much signifcance into coincidences and surprises. More generally, human intuition is not a good substitute for careful reasoning when probabilities are concerned. As an example, consider a problem commonly posed in beginning statistics classes: How many people must be in a room before there is a 50 percent probability that at least two will share a common birthday Intuition might suggest a large number, perhaps over 100, but the actual answer is 23. This is not diffcult to prove through careful logic, but intuition is likely to be misleading. All of these sources of bias are well known in science, and a large amount of effort has been devoted to understanding and mitigating them. The goal is to make scientifc investigations as objective as possible so the results do not depend on the investigator. Certain felds of science (most notably, biopharmaceutical clinical trials of treatment protocols and drugs) have developed practices such as double-blind tests and independent (blind) verifcation to minimize the impact of biases.

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Clinically with a non-granulomatous macrophage nuclear fragments, as virtually all of the unsuspected phacoanaphylaxis after extracapsular cataract 14 extraction with intraocular lens implantation. The etiopathology of phacoantigenic uveitis and been found with vascular and perfusion the optic disc is characteristically seen. Retained lens fragments: nucleus fragments are associated with worse prog and hypotension have been implicated riorly and inferiorly on the optic disc; it nosis than cortex or epinucleus fragments. Late-onset lens particle glaucoma patients may complain of poor peripheral widespread diffuse atrophy. In early as a consequence of posterior capsule rupture after pars plana vision and missing things in their visual disease, the neuroretinal rim may appear vitrectomy. Diagnosis of phaco anaphylactic endophthalmitis by fine needle aspiration biopsy. Complications of retained nuclear 11-13 fragments in the anterior chamber after phacoemulsifica level. Therefore, it is better said that show abnormalities in the visual field cor tion with posterior chamber lens implant. Sudden corneal edema due to the pressure value is elevated beyond what may consist of paracentral defects, nasal retained lens nuclear fragment presenting 8. Thus, the tolerability of intra instances, thinning within the macular gauge pars plana vitrectomy for retained lens fragments after cataract surgery. Timing of dislo individuals; it can be quite high in persons 24-2 automated perimetry. Eur J to normal pressure disease with visual eyes may manifest characteristic optic disc Ophthalmol. Mechanical compression of the nerve head occurs early enough to be considered a primary pathogenetic event in glauco matous damage. This scenario leads there will be patients who may not show Apoptosis is triggered by oxidative to an overall stiffening of the inner wall progression for a considerable amount of stress via mitochondrial damage, inflam region modulated by transforming growth time, even without treatment. As thin corneas have sistently falls within a statistically normal it is a direct participant or an epiphenom been shown to be a risk factor for disease range. The frequency of repeat the compensatory drainage through the immunity to stress, excitotoxicity, oxida testing is typically contingent upon disease trabecular meshwork and uveoscleral tive stress, chronic ischemia, structural severity. Unfortunately, there is no way these medications enhance uveoscleral complications.

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