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while female sexual disorders are psychogenically driven is partly responsible for the two-speed progress in sexual disorders research and approval of effective drugs Biologic neglect is also responsible for the lack of recognition of the pathophysiology of many FSDs This deprives women of the appropriate diagnosis and treatment of their complaint Sometimes the medical or surgical intervention is credited to be fully responsible for the FSD complaint, while it simply increased the woman s or couple awareness of a pre-existing problem FSD can be caused or precipitated by medical malpractice, due to negligence, inexperience, or carelessness The reader is referred to the speci c texts of legal medicine

(m) FUNDING AND INCOME TAX ACCOUNTING SFAS No 87 does not address funding considerations, other than to recognize that there may be differences between reported net periodic pension cost and funding The IRS regulations recognize the projected unit credit method as one of several acceptable funding methods However, when employing the projected unit credit method and the same explicit assumptions used to calculate net periodic pension cost, the range between the permissible maximum and minimum funding amount may not bracket the net periodic pension cost This can be caused by the difference in amortization periods for unrecognized pension costs and limitation imposed by the tax law on contributions to relatively well-funded plans In general, the objective of matching expensing and funding of net periodic pension cost may no longer be appropriate due to tax, legal, and cash ow considerations In this regard companies must continue to provide deferred taxes, where appropriate, for these differences The method of accounting for income taxes particularly the way deferred taxes are calculated was changed by SFAS No 109, Accounting for Income Taxes Its focus is on an asset and liability approach, as opposed to an income statement approach On a simpli ed basis, deferred taxes are calculated by applying the tax rates enacted for future years to differences between the nancial statement carrying amounts and the tax bases of assets and liabilities These differences are known as temporary differences Temporary differences frequently will arise as a result of differences between the tax basis of pension assets and liabilities and the amounts recognized under SFAS No 87 For example, assuming that a company funds the pension cost to the extent deductible for tax purposes, a pension asset (prepaid pension cost) will be recognized when the amount funded is in excess of pension cost determined under SFAS No 87 A pension liability (accrued pension cost) will be recognized when the amount funded is less than the pension cost determined under SFAS No 87 In addition, settlement gains and losses recognized under SFAS No 88 will create temporary differences because the transactions generally are not taxable or deductible at the date recognized for nancial reporting purposes Because of the complexities of accounting for pensions, numerous other situations will result in temporary differences.

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(CP 18)

The practical recommendation to increase the positive curing and caring impact factor of the clinician and to avoid unpleasant and costly legal actions is always to ask about sexuality and potential FSD, and report the information in the medical record, before any medical prescription or surgical intervention

(a) OVERVIEW An integral concept of pension accounting is that certain pension obligations should be recognized over time rather than immediately They include gains and losses from experience different from that assumed, the effects of changes in actuarial assumptions on the pension obligations, the cost of retroactive plan amendments, and any unrecognized net obligation or asset at transition established when the plan rst complied with SFAS No 87 The premise of this delayed recognition is that plan amendments are made in anticipation of economic bene ts that the employer may derive over the future service periods of its employees, and that gains or losses already incurred may be reversed in the future When events happen that fundamentally alter or eliminate the premise for delayed recognition, immediate recognition of previously unrecognized amounts may be required Examples of such special events include business combinations, addressed in paragraph 74 of SFAS No 87; and settlements, curtailments, and termination bene ts, the subjects of SFAS No 88, which is effective simultaneously with SFAS No 87 Thus an employer generally may not, for instance, follow the SFAS No 88 accounting for a settlement unless SFAS No 87 has been adopted Relevant paragraphs of APB Opinion Nos 8 and 16 are superseded by these new statements, as is SFAS No 74 in its entirety Although prior accounting opinions and statements, such as APB Opinion No 8, did require immediate recognition of gains or losses in certain situations, they did not de ne the methodology by which the special pension recognition should be carried out As a result, widely divergent practices evolved, with differing effects on the affected employers subsequent pension costs In contrast, the new accounting provisions for nonrecurring events are based on standardized measurement methods that are applied within the general framework of SFAS No 87 As with that.

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Traumas may affect FSD through multiple mechanisms For the sake of conciseness the analysis will be limited to spinal cord injury and female genital mutilation

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