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the reversion As noted in Subsection 323(c), the termination/reestablishment of a de ned bene t plan does not constitute a curtailment, but it may nevertheless require a settlement recognition Withdrawal from a multiemployer plan may result in additional cost to the employer The effect of the withdrawal should be recognized when it becomes probable or reasonably possible (f) TERMINATION BENEFITS In 1983, SFAS No 74, Accounting for Special Termination Bene ts Paid to Employees, was issued ostensibly to address window retirement programs and shutdown bene ts Although it required recognition of the effects of any changes on the previously accrued expenses for those bene ts, no recognition method was de ned and compliance with the Statement was not widespread SFAS No 88 superseded SFAS No 74, and as with that Statement, it deals with both pension and nonpension bene ts such as severance payments, supplemental unemployment bene ts, and life and health insurance bene ts, regardless of whether they are paid by a plan or directly by the employer The amount to be recognized is the amount of any immediate payments plus the present value of any expected future payments The cost of special termination bene ts that are offered only for a short period of time should be recognized when the employees accept the offer and the amount can be reasonably estimated In contrast, contractual termination bene ts, which are required by the terms of a plan only if a speci ed event (such as a plant closing) occurs, should be recognized when it is probable that employees will be entitled to bene ts and the amount can be reasonably estimated Keep in mind that a situation involving termination bene ts often also involves a curtailment The curtailment recognition is rst determined using the bene t obligation without the termination bene ts The effect of the termination bene ts is then the difference between the bene t obligations determined with and without the termination bene ts It is not unusual, in the measurement of the PBO and the pension cost of a plan, to assume some probability for events that may give rise to termination bene ts In such a situation, the amount of termination bene ts to be recognized under SFAS No 88 is the difference between the PBO including the termination bene ts and that measured without any termination bene t For example, a plan may permit early retirement after age 55 with a reduced pension but provide an unreduced pension regardless of age in the event of a change in control of the employer When a change in control occurs, the amount of termination bene t to be recognized for an employee who is age 40 is the difference in the value of his unreduced pension commencing immediately and his reduced pension commencing when he will reach age 55 Furthermore, if the situation constitutes a curtailment, the PBO adjustment is the difference between the value of his reduced pension commencing at age 55 and his PBO determined using the regular actuarial assumptions including, if applicable, an allowance for some probability that change-in-control bene ts may be invoked It would not be reasonable to treat the entire change in PBO as a gain or loss or to handle the situation solely as a curtailment, merely because the assumptions used to determine the PBO prior to the change of control included some allowance for change-in-control bene ts (g) BUSINESS COMBINATIONS SFAS No 141, issued in June 2001, supersedes APB Opinion No 16 and precludes the use of the pooling-of-interest method for business combinations Under the Statement, all business combinations must be accounted for under the purchase method Using the purchase method, the purchaser should record a liability (accrued pension cost) equal to the excess of the acquired PBO over the acquired plan assets, or an asset (prepaid pension cost) equal to the excess of the acquired plan assets over the acquired PBO Simultaneous with the recording of such purchase accounting liability (asset), goodwill is increased (decreased) by an equal amount Once these adjustments have been made, any previously existing unrecognized prior service cost, net obligation, or asset at transition and net gain or loss are eliminated and no further amortization of them will be needed If the acquired company continues to issue its own separate nancial statement, after the purchase date, its pension cost may be determined without the purchase accounting adjustment and may therefore be different from the pension cost reported by the parent company on its behalf.

Iatrogenic and Post-traumatic Female Sexual Disorder Late-appearing scars include inclusions, vulvar cysts and abscesses, and colloid formation The impact of FGM on women s sexuality encompasses a spectrum of outcomes Women who suffered from early and/or late complications are more likely to report a negative impact on their sexuality; the more invasive the FMG, the higher the probability of serious consequences A research study with 250 Egyptian women who underwent type 3 FGM showed statisticially signi cant complaints of dysmenorrhea (805%), vaginal dryness during intercourse (485%), lack of sexual desire (45%), less frequency of sexual desire per week (28%), less initiative during sex (11%), being less pleased by sex (49%), being less orgasmic (39%), less frequency of orgasm (25%), and having dif culty experiencing orgasm (605%), compared with uncircumcised women [50] However, other psychosexual problems, such as loss of interest in sex-play and dyspareunia, did not reach statistical signi cance The study suggests that circumcision has a negative impact on a woman s psychosexual life [50] Other studies report that dyspareunia is the most frequently reported FSD It affects from 35% to 45% of women who underwent FGM; the wider the excision (type 3), the higher the probability of adverse outcomes However, research on women who did not complain of early or late adverse events reported higher sexual desire, arousal, coital orgasm, and satisfaction than uncut controls Meaning of the procedure, the perception of a higher personal value and of a better body image because of it, and the sense of a stronger social approval may modulate the psychosexual impact of the genital cutting (see the excellent review by Obermeyer [21]) Further research is needed to de ne the subset of women who may need sexual help after FGM The proposal of alternative rites to FMG, aimed at maintaining the ritual social meaning while avoiding any physical cutting, is one of the current most credited approaches to prevent this high-risk and invasive practice.

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quantify the extent of this causality, the role of confounders, the preventive measures that should be encouraged to reduce iatrogenic FSD, and the legal implications of a claim of damaged sexuality Clinicians should be encouraged to train in sexual medicine and include at least the basics of sexual history taking in their clinical practice, to reduce the iatrogenic contributors of FSD Referral to a specialist in this area is also important

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