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The biologic effect of a spinal cord injury (SCI) on women s sexuality depends on the level of the lesion and its severity In women with complete upper motoneuron injuries affecting the sacral segments, the ability for re ex, but not psychogenic, lubrication, may be maintained [17 20] In women with incomplete upper motoneuron injuries affecting the sacral segment, the ability for both re ex and re exogenic lubrication is maintained [20] Women with higher ability to perceive a combination of light touch and pinprick sensation in the T11 L2 dermatomes seem also to have a greater likelihood of experiencing psychogenic lubrication [17] (see 24)

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The receivable is not subject to subordination to new loans on the property, except subordi-

Not asking about and listening to a patient s report or complaint concerning her sexuality is the rst maintenance factor of FSD The belief that FSD is substantially psychogenic or context-dependent may induce the diagnostic omission of their potential biologic etiology This thinking dichotomy maintaining that male sexual disorders are mainly biologically rooted,

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is reasonably predictable and that 90 percent of the contracts in force six months after sales are recorded will be collected in full A down payment of at least 20 percent shall be an acceptable indication of collectibility To predict collection results of current sales, there must be satisfactory experience on prior sales of the type of land being currently sold in the project In addition, the collection period must be suf ciently long to allow reasonable estimates of the percentage of sales that will be fully collected In a new project, the developers experience on prior projects may be used if they have demonstrated an ability to successfully develop other projects with the same characteristics (environment, clientele, contract terms, sales methods) as the new project Collection and cancellation experience within a project may differ with varying sales methods (such as telephone, broker, and site visitation sales) Accordingly, historical data should be maintained with respect to each type of sales method used Unless all conditions for use of the accrual method are met for the entire project, the installment method of accounting should be applied to all recorded sales of the project (iii) Accrual Method follows: Revenues and costs should be accounted for under the accrual method as

The contract price should be recorded as gross sales Receivables should be discounted to re ect an appropriate interest rate using the criteria

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expected to cancel (iv) Percentage of Completion Method Frequently, the conditions for use of the accrual method are met, except the seller has not yet completed the improvements, amenities, or other facilities required by the sales contract In this situation the percentage of completion method should be applied provided both of the following conditions are met:

There is a reasonable expectation that the land can be developed for the purposes represented The project s improvements have progressed beyond preliminary stages, and there are indi-

The psychologic impact of SCI may contribute to sexual disorders through depression, reduced selfesteem and self-con dence, and body image concerns Physical and emotional/motivational factors may contribute to impair SCI women s sexuality, with a spectrum of outcomes further modulated by personal and context-dependent factors (age at trauma, pre-existent satisfying couple relationship, quality of partner s and family s support, access to quali ed rehabilitative care) [17] Peer-reviewed literature has reported that women s motivation and desire for sexual activities seems to decrease after SCI [17 20] However, in a qualitative study of women with complete spinal cord injury, Whipple et al demonstrated a trajectory from cognitive genital dissociation, to sexual disenfranchisement, to sexual recovery Higher percentages of women with SCI complained of generalized hypoactive sexual desire disorder, with a parallel decrease in self-masturbation, in comparison to controls The reported preferred sexual activities are touching, kissing, and hugging [17,18] The erotic expression seems therefore more focused on tender intimacy than on explicit sexual activity The ability to experience orgasm is less likely (17%) if women have a complete lower motoneuron injury affecting the sacral segments than if they have any other level of injury Overall, data suggest that only 55% of SCI women are able to experience orgasm after injury, a percentage signi cantly lower in comparison to controls (p < 0001) [18] New data concerning orgasm in women with SCI is reported in 24

cations that the work will be completed according to plan Indications that the project has progressed beyond the preliminary stage include the following: Funds for the proposed improvements have been expended Work on the improvements has been initiated Engineering plans and work commitments exist relating to the lots sold Access roads and amenities such as golf courses, clubhouses, and swimming pools have been completed In addition, there shall be no indication of signi cant delaying factors such as the inability to obtain permits, contractors, personnel, or equipment, and estimates of costs to complete and extent of progress toward completion shall be reasonably dependable The following general procedures should be used to account for revenues and costs under the percentage of completion method of accounting:

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