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Although plastic surgeons routinely perform cosmetic procedures, unique ethical and legal concerns arise when an adult female patient asks a surgeon to spare her the tribal elder's knife and alter her genitalia according to tradition and custom. Misinformation and confusion about this issue exist. This article explores the ethical and legal issues relevant to this situation and explains how the thoughtful surgeon should proceed. A total of 16 patients were prenatally exposed to androgens, of whom 15 had congenital adrenal hyperplasia and 1 was virilized due to maternal tumor. Eight patients had 46,XY karyotype, of whom 5 had partial and 3 had complete androgen insensitivity syndrome. However, patients with 46,XY karyotype demonstrated a somewhat more conflicted gender identity, although the overall differences were relatively small. As to gender role orientation, patients with complete androgen insensitivity syndrome had high scores on the femininity and masculinity scales of the Bem Sex Role Inventory, which made them the most androgynous group. Our findings, although clinically not clear cut, suggest that patients with disorders of sex development are a heterogeneous group regarding gender identity and gender role outcomes, and that this issue should be discussed with the family when treatment plans are made. For this study, 18 male nursing students enrolled in master's and bachelor's programs in Hong Kong were recruited. They were asked to make records in a diary and draw pictures of their therapeutic relationship with female patients from their clinical experiences and then participate in a focus group interview. Content analysis was carried out on the collected data. The essential factors influencing the development of a therapeutic relationship were found to be gender, symbolic meanings, and career features.

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Damn, these fucking idiots not believing in ghosts and demons and unicorns, I can't even comprehend their stupidity, kill yourselves people. I'm not stuck to my ideas, anything can happen in this universe, but you didn't bring any evidence, your personal story means nothing, I can write a story about the flying spaghetti monster too. You really think if ghosts really existed there wouldn't be lots of articles about it. Governments would be the first to analyze them properly, then it would leak into the public, maybe even reach the news, it's a major global phenomenon, after all. Scientists everywhere would try to explain it, not a bunch of kids with some boards saying idiotic things like you have to use wood or it would not work cause ghosts have their standards after all. People aren't reporting the flying spaghetti monster. Search ghosts, demons and Ouija board hauntings and you have a phenomenon stirring. The Holy Bible mentions three types of heaves or planes. A place no man has the ability to see by telescope. But I suppose since i'm a Christian i'm just crazy. ). Just simple biology tells us that we're an animal formed by cells.

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On 180 gram vinyl. White Light, aka Gene Clark, is the second solo album by Gene Clark, former member of The Byrds. It received universal critical acclaim upon its release, but only achieved commercial success in the Netherlands, where rock critics also voted it album of the year. Clark's backing band on the album included bassist Chris Ethridge of the Flying Burrito Brothers, pianist Ben Sidran of the Steve Miller Band, organist Mike Utley, and drummer Gary Mallaber, also of the Steve Miller Band. On 180 gram vinyl. On the first solo album by an ex-Byrd, Gene Clark doesn't stray too far from the nest. Cut in 1966 upon Clark's departure from the iconic L. . combo, with current Byrds Chris Hillman and Michael Clarke forming the rhythm section, and spotlighting brothers Vern and Rex Gosdin, a pair of former bluegrass pals of Hillman's who chime in with sweet harmony vocals, Gene Clark with the Gosdin Brothers stands as one of Clark's supreme achievements. Add session guitarists Glen Campbell and Jerry Cole and future Byrd Clarence White and beautiful orchestration by Leon Russell to Clark's melancholy melodies and weatherbeaten voice and the result is a classic country-rock primer that sounded like nothing else in '67 and continues to astound and inspire today. Three previously unheard bonus tracks from the sessions only sweeten the deal of this eye-opening work. The album was recorded in 1968, shortly after Gene Clark departed The Byrds for the second time, and Doug Dillard left The Dillards.

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Traditionally, this is done with invisible triggers in the environment: once the player crosses a certain threshold, the audio changes. This is the math that insures players of comparable skill end up in the same online games. Matchmaking is a huge, ongoing challenge for competitive multiplayer games, and Rayner believes that here too they will push the standard. Most importantly, AAA game developers are always investing in the technology that will allow them to keep making games in the future. How do you keep making bigger and bigger games with increasingly complex assets without growing the development team to an unsustainable size. An emerging solution of the past few years has been outsourcing. Rather than create every 3D model and art asset in-house, game developers will contract outside companies (often located in Asia). The Coalition will give these companies specific style guides and pay them for, say, 10 different burnt-out car models, which is faster and cheaper than building them internally. Any technology that facilitates this workflow will make it easier to make bigger games in the future. The amazing tower collapse from the E3 demo, for example, was created by an outside visual effects company, then plugged into the game and replayed in real-time on the Xbox One. By tapping into the technology and talent of blockbuster movies, The Coalition was able to make that scene way more impressive. Other AAA developers use similar methods, but the unique way The Coalition takes advantage of the Xbox One's hardware allows it to create larger scale set-piece destruction moments without slowing down the frame rate.

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