This document discusses gender reassignment treatments for male to female transsexuals. It describes hormone therapy which causes physiological changes like breast growth. Electrolysis is discussed as a vital treatment to permanently remove facial and body hair. Other treatments mentioned include psychotherapy, speech therapy, and surgery like breast implants and gender reassignment surgery. The document provides details on techniques for treating transsexual clients, including considerations for pain management and aftercare.
BURN REHABILITATION
It include definition, purposes, stages, skin graft, rehabilitation, role and responsibility
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BURN REHABILITATION
It include definition, purposes, stages, skin graft, rehabilitation, role and responsibility
for more details follow
www.vipinpatidar.wordpress.com
a simple ppt on management of fever for nursing student.
these ppt are mostly require for the assignment in hospital for presentation. i hope its is useful for all.
Endoscopy is a nonsurgical procedure used to examine a person's digestive tract.
Using an endoscope, a flexible tube with a light and camera attached to it, your doctor can view pictures of your digestive tract on a color TV monitor.
Unlike many other medical imaging technique, endoscopes are inserted directly into the organ.
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
the ot nursing is an essential concept that every student nurse must have an adequate knowledge in order to counteract the issues related to OT nursing.
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
a simple ppt on management of fever for nursing student.
these ppt are mostly require for the assignment in hospital for presentation. i hope its is useful for all.
Endoscopy is a nonsurgical procedure used to examine a person's digestive tract.
Using an endoscope, a flexible tube with a light and camera attached to it, your doctor can view pictures of your digestive tract on a color TV monitor.
Unlike many other medical imaging technique, endoscopes are inserted directly into the organ.
medical surgical nursing , nursing management of burn patients, it includes definition, classification of burn injury, clinical manifestaion, assessment of burn injury , management of patient with burn, care given to the patient.
the ot nursing is an essential concept that every student nurse must have an adequate knowledge in order to counteract the issues related to OT nursing.
Therapeutic environment can be defined as the total of all external conditions and influences affecting an individual in the illness situation.Infection prevention in the operating room is achieved through prudent use of aseptic techniques in order to prevent contamination of the open wound.
Isolate the operating site from the surrounding unsterile physical environment.
Create and maintain a sterile field in which surgery can be performed safely.
The effects from hair loss can be devastating to some people. Hair is often a big part of a person’s identity. Coping with hair loss can be very hard on some people. Often at times hair loss can lead to depression or stress. Sometimes this contributes further to the condition.
Everything you need to know about laser hair removalMusk Clinic
Want to Remove unwanted hair? Get the best Laser hair removal treatment in Ahmedabad at Musk Clinic, the best clinic of Laser Hair Removal in Ahmedabad
Argan Oil is frequently called liquid gold of Morrocco, is an oil produced from the kernels of the argan tree, endemic to Morocco, that is valued for its nutritive, cosmetic and numerous medicinal properties. The argan tree grows only in the south west of Morocco. The argan oil has been used for the remedy and cosmetics since the ancient ages. The argan oil is %100 natural, pure and unique. The argan tree is under the protection of UNESCO against extinction. The scientific studies have shown that there isn't any product equivalent to Argan oil.
HOW TO GROW HAIR FASTER
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- Pure argan oil is absorbed by hair fastly and it nourishes and moistures hair and gives shine to hair.
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- Argan oil is suitable for both men and women.
Natural argan oil is known for its revitalizing action of the hair, especially at its root (radical action). Argan oil prolongs the life of the hair and promotes growth both in men than women, because it stimulates the production of keratin , an essential constituent of hair. Our luscious ARGANRain products are formulated expertly using organic argan oil and plant based ingredients to make your hair grow faster, stop hair loss and full of life.ArganRain can be a fast way to help stop thinning hair, can help stop baldness, and help promote hair growth. Creating a healthy environment on the scalp is key to having thick, full hair growth.
Hair Transplant Articles and Documents | Dr Tyng Tan | Hair and Laser ClinicThe Hair and Laser Clinic
Collection of hair transplantation articles and documents shared to you by Dr Tyng Tan of Hair and Laser Clinic (http://www.hairandlaserclinic.com/). A Singapore-based clinic specializing in FUE hair transplant and medical aesthetics.
Hair Transplantation techniques have been evolving and becoming more effective. Among the various cosmetic surgeries, hair restoration has become very innovative. If you undertake this cosmetic surgery then the results would look more natural. It has become a very aesthetic and exciting surgery today. The way it uses hair follicles to restore hair is a unique invention of science. Latest methods like hair cloning are also researched on. This will help in hair multiplication and will also cure baldness with increased hair growth.
Methods and Material:
The two methods included in hair transplant surgery are: Follicular Unit Transplant and Follicular Unit Extraction. Each method has its own unique pros and cons. These methods are based on the doctrine of donor dominance. Some of the tests that are done include: serum chemistries and coagulation studies. Screening technology is also enabled to take follicular measurements.
Results:
Care after Operation:
Just like one should take precaution after any operation, similarly, after undergoing a hair transplant, you must take a number of precautions. Direct exposure to sunlight must be avoided. You must not fiddle with your hair for the first two days; however, shampoo can be done. You must be careful that post operation, scabs must not be formed around the hair shaft. There is also a phase called “shock-loss”. In this phase, newly planted hairs usually fall out. Nevertheless, new hair re-grows within 2 or 3 months. The growth process continues and thickens with time.
Discussions:
A patient takes up hair transplant only when he or she wants to get rid of baldness and hair thinning problems permanently. Nevertheless, it has been reported that hair thinning is also seen post this cosmetic surgery. It is also called “shock-loss”. This is an important side-effect seen after hair transplant surgery. Another common sight is the appearance of bald patches. An estimated amount of 50 hairs are usually lost each day. The temple and the scalp do often get swollen. Itching and Scratching must be refrained from as that can lead to scab formation.
Conclusion:
According to a recent study, papilla cells and stem cells have been found in the hair follicles. It can be used in correcting baldness with the help of hair multiplication. This method is also called hair cloning. Therefore, it can be concluded that the hair surgical technique has a long way to go. Those who want to opt for this surgery can browse through the internet to gain an in-depth knowledge about hair transplantation. Results have proved that pain is negligible and the recovery time also doesn’t protract. You do not need to be hospitalized nor is any bed rest required. Hair Transplant indeed is a viable choice and is rewarding.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
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A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
2. Clare Hargreaves-Norris
Introduction
A person with gender dysphoria experiences anxiety,
uncertainty or persistently uncomfortable feelings
about their birth gender from a very young age
(often as early as 4 years old). They feel that they
have a gender identity that is different from their
anatomical sex. This may lead to a fear of
expressing their feelings and a fear of rejection,
which may lead to deep anxiety, chronic depression
and possibly attempted suicide.
3. Clare Hargreaves-Norris
Transsexuals
Sometimes a person, with
gender dysphoria,
undergoes hormone and
surgical treatment to
physically change their sex
and this is called
transsexualism. This
condition can affect male
and females; however as an
electrologist you are more
likely to treat a male to
female transsexual.
4. What treatment is required for
a male to female transsexual?
Clare Hargreaves-Norris
5. Clare Hargreaves-Norris
Hormone Therapy
Hormone therapy - The introduction of the
hormones oestrogen and progesterone, and
normally three months later anti-androgens, will
cause physiological changes to occur which
include:
Development of small breasts
Increase and redistribution of body fat
Improved condition of scalp hair
Improvement in skin tone
Softening of the beard and hair growth
Decrease in the size of the testes may occur
6. Clare Hargreaves-Norris
Treatments
Electrolysis - Obviously, this is a vital part of transition.
The permanent removal of facial hair is essential and it is
better if it can be treated before the operation. Body hair;
on the other hand can be controlled by waxing or shaving.
Psychotherapy - Counselling or psychotherapy is an
essential element of the treatment for most people, to be
able to deal with their emotions and anxieties.
Speech therapy - Some people are satisfied with a self-modified
voice, but if they wish to live successfully as a
woman, it is vital that their voice is modified quite
dramatically. Only supervised speech therapy and lots of
practise can achieve this.
7. Clare Hargreaves-Norris
Other treatments
Deportment - Despite their feelings, some people have
great difficulty producing believable female body language
and therefore deportment sessions will be required.
Real life test - This is essential prior to surgery and
entails the person living in their chosen gender role for a
period of time. (Frequently 2 years under the NHS or more
likely 1 year if treatment is private). The person has to
prove that they can function in their new role, hold down a
job (paid or voluntary work) and have a ‘normal’ social life.
The idea is to identify anyone who just can’t cope with the
stresses.
8. Clare Hargreaves-Norris
Surgery
Facial reconstruction - The main area requiring surgical
treatment is the Adams Apple although other surgery such
as nose and chin reshaping are common.
Breast implants - The use of female hormones promotes
breast growth, but in some cases this is very minimal. For
some individuals breast implants are important.
Final stages of gender reassignment surgery - Under
general anaesthetic, the testicles, and erectile tissue of the
penis are removed. An artificial vagina is created and lined
with the skin of the penis, where the nerves and blood
vessels remain largely intact. Tissues from the scrotum are
used to create the labia, and the urethra is shortened and
repositioned appropriately.
9. Treating a gender dysphoria client
The presence of the beard poses the greatest
concern for most male to female transsexuals.
It is psychologically better to have the beard
treated before the final operation takes place.
It will be a long and slow process and timings will
vary depending on the density and strength of the
growth, sensitivity of the skin, client’s pain tolerance
etc.
The treatment usually takes a minimum of 2-3 years
when treating for two-four hours per week, and may
take a further 4 years after surgery.
Clare Hargreaves-Norris
10. Treating a gender dysphoria client
continued
When treating a gender dysphoria client you will need to be
very sympathetic, sensitive and reassuring in your approach.
It has often taken many years to get to the stage where the
individual can proceed with the electrical epilation treatment.
Transsexual clients who start electrolysis prior to hormones
should be advised that progress may be slow until hormones
(preferably with anti-androgens) are started.
Re-growth rate generally diminishes further once the testes
Clare Hargreaves-Norris
are removed.
It may be necessary to liaise with the client’s consultant to
decide on the best way to proceed with treatment.
11. Which method of electrical epilation
is best?
The consensus of opinion is that in general,
diathermy produces a quicker result; even taking
into account that diathermy may give a higher re-growth
rate. However most clients find diathermy
more painful than blend, and generally it provokes a
greater skin reaction. Treatment using short wave
diathermy tends to result in pigmentation problems
due to the high levels of oestrogen being
prescribed.
Clare Hargreaves-Norris
12. Clare Hargreaves-Norris
Factors to consider
Another factor to consider is the presence of badly distorted
follicles. Most transsexuals will have used more drastic
techniques such as plucking, which may well cause distorted
follicles.
Severely distorted follicles are not agreeable to treatment
by diathermy. Blend can be used for affected areas of the
face, as the lye produced in this method is able to reach the
dermal papilla even if the needle has not.
It is often advisable to use cataphoresis at the end of each
session to neutralise the effect of the sodium hydroxide
produced during the blend method.
13. Clare Hargreaves-Norris
Check-list
A suggested check-list for deciding on the
method to use is as follows:
For any distorted follicles, choose blend.
Otherwise, choose diathermy to begin with.
If the client experiences an unacceptable level of
pain or skin reaction, switch to blend for the
affected areas.
If the re-growth is abnormally high, it may be
worth trying blend instead of diathermy; choose
whichever method works best.
14. Clare Hargreaves-Norris
Technique used for treating
transsexual facial hair
Higher current intensity required - care must be taken to avoid
skin damage.
The skin may be made more vulnerable by the effects of high
doses of feminising hormones.
Hairs may have large bulbs, which may produce friction as they
slide through the follicle, causing an illusion of traction, which
in turn can lead to accidental over-treatment.
Care must be taken to avoid over treating an area: widely
spacing the treated follicles is often advisable.
Gold-plated needles are considered significantly less painful
than stainless steel.
15. Technique used for treating
transsexual facial hair continued
There is no particular rule for treating different areas in a
particular sequence. Be guided by the client, they will have an
opinion as to which areas are most urgently in need of treatment.
Most clients find the area around the mouth to be the most
obtrusive; some also consider the neck a 'priority area' as hair
stubble or shaving rash on the neck can be very noticeable.
The 'sideburns' typical in male facial hair growth are very coarse,
and clearing this area totally gives an unnatural result as most
females have a fine amount of growth present in this area. Treat
the coarse hair growth, however not the finer growth, to produce
a more natural result. You may also need to use a lower current so
that some of the coarser hair growth turns into finer growth
therefore producing a natural result.
Clare Hargreaves-Norris
16. Clare Hargreaves-Norris
Pain control
Owing to the nature of male-type facial hair, many
transsexual clients find electrolysis an unpleasantly
painful process. Two hours of continuous treatment
repeated frequently over a period of years can be
traumatic for many clients, especially as pain
threshold has been found to decrease under
hormone treatment, whilst electrolysis without
hormone therapy is frequently ineffective. The pain
can be eased by three possible methods: topical
anesthesia, analgesics and sedatives. Generally these
are prescription-only drugs and it will be necessary
to liaise with the client's GP to have them
prescribed for the client.
17. Clare Hargreaves-Norris
Aftercare advice
Application of a normal aftercare cream, typically a witch-hazel
based product is recommended. Some clients experience severe
inflammation and have found taking a non-steroid anti-inflammatory
drug and/or an antihistamine (before commencing
treatment) reduces the inflammation. In all instances, the client
is advised to discuss choice of medications with their doctor.
The usual aftercare advice should be given, however in
particular, advise not to shave the area for at least 24 hours
and then to shave very lightly with an electric razor only (a blade
razor will tear the small pimples which often appear when coarse
hairs are epilated). Similarly, advising not to wear make-up will
probably be impractical; the client should be advised to leave the
area alone for as long as possible and then to use a waxy 'post-electrolysis'
cream under their normal concealer/foundation.
18. Clare Hargreaves-Norris
Genital electrolysis
This is always a sensitive topic with clients and electrologists
alike. Not all electrologists would feel comfortable treating such
an area, and a transsexual client will probably feel intensely
embarrassed about possessing male genitalia, let alone allowing
someone else to see them. However, genital electrolysis
contributes greatly to a satisfactory outcome of the gender
reassignment surgery.
The precise method of surgery used depends upon the surgeon;
however, potentially hair-bearing tissue from the penis/scrotum
is placed in locations where hair would be undesirable and
problematic (inside the vagina, under the clitoral hood, and
perhaps inside the labia). For this reason, clients are advised to
seek the advice of their chosen surgeon as to which parts must
be epilated, and then to obtain the necessary electrolysis well in
advance of surgery (to allow the skin to recover).
19. Genital electrolysis continued
Great experience is needed to perform genital
electrolysis; the technique is a little different from
other body areas. The hair is essentially the same
type as found in the bikini line area, although the
follicles are sometimes surprisingly shallow, and the
tissue is very soft. It is not necessary to totally
avoid marking the skin, as the skin will never be
visible after the surgery. The 'flash thermolysis'
method is highly effective as it gives a very low re-growth
rate, rapid treatment, and is often less
Clare Hargreaves-Norris
painful than slower methods.
20. Information obtained from:
Electrolysis in Transsexuals Second
Edition, November 1997
Clare Hargreaves-Norris