Case study of a performance-active changing trans* male singing voice

A professional classical singer of more than 25 years (AZ) in his early 50s requested this voice researcher’s consultation and assistance in early 2014. He was about to start living full time as a trans* man. Despite his intention to be included in the low start/gradual increase testosterone option of the Trans* Male (previously, “FTM”) Singing Voice Program, the request contained a rather unconventional aspect: AZ would continue to sing while his voice was changing. The above request was integral with his singing history. After the introduction of safeguards and his informed consent, AZ was accepted onto the Program. Due to the highly individual circumstances, his participation was recorded as a case study. The study has aimed to replicate the particulars of the slow hormonal changes and continuing singing ability found in certain cisgender male adolescent voices. Despite dealing with an adult trans* male individual, the progress has been comparable. This has been achieved by carefully monitoring AZ’s low start/gradual increase testosterone administration in communication with the medical practitioner. The participant’s vocal health remained safeguarded and promoted by carefully individualized vocal tuition. This article will discuss the collective results of the case study, including the recordings and the data analysis

Call for emergency action to limit global temperature increases, restore biodiversity, and protect health Wealthy nations must do much more, much faster

The UN General Assembly in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis. They will meet again at the biodiversity summit in Kunming, China, and the climate conference (COP26) in Glasgow, UK. Ahead of these pivotal meetings, we—the editors of health journals worldwide—call for urgent action to keep average global temperature increases below 1.5 °C, halt the destruction of nature, and protect health

Sources of new nitrogen in the Indian Ocean

Quantifying the different sources of nitrogen (N) within the N cycle is crucial to gain insights in oceanic phytoplankton production. To understand the controls of primary productivity and the associated capture of CO2 through photosynthesis in the southeastern Indian Ocean, we compiled the physical and biogeochemical data from four voyages conducted in 2010, 2011, 2012, and 2013. Overall, higher NH4 assimilation rates (~530 μmolm-2 h-1) relative to NO3 assimilation rates (~375 μmolm!2 h!1) suggest that the assimilation dynamics of C are primarily regulated by microbial regeneration in our region. N2 fixation rates did not decline when other source of dissolved inorganic nitrogen were available, although the assimilation of N2 is a highly energetic process. Our data showed that the diazotrophic community assimilated ~2 nmol N L!1 h!1 at relative elevated NH4 assimilation rates ~12 nmol L-1 h-1 and NO3 assimilation rates ~6 nmol L!1 h!1. The small diffusive deep water NO3 fluxes could not support the measured NO3 assimilation rates and consequently point toward another source of dissolved inorganic NO3. Highest NO2! values coincided consistently with shallow lower dissolved O2 layers (100–200 m; 100–180 μmol L-1). These results suggest that nitrification above the pycnocline could be a significant component of the N cycle in the eastern Indian Ocean. In our analysis we provide a conceptual understanding of how NO3 in the photic zone could be derived from new N through N2 fixation. We conclude with the hypothesis that N injected through N2 fixation can be recycled within the photic zone as NH4 and sequentially oxidized to NO2 and NO3 in shallow lower dissolved oxygen layers

Pathways in gut-brain communication: Evidence for distinct gut-to-brain and brain-to-gut syndromes

Objective: The rich interconnectedness between gut and brain is increasingly being identified. This article reviews the evidence for brain-gut and gut-brain syndromes, particularly recent epidemiological evidence, and animal studies demonstrating bi-directionality at the formative stage of development. Method: Narrative literature review with selection for relevance and quality. Results: Population surveys show a strong correlation between anxiety, depression, and functional gastrointestinal disorders, contradicting early suspicions that the high prevalence of anxiety and depression in the clinic was mainly due to neurotic health seeking behaviour. Five and 12 year follow-up shows that psychological distress can predict later onset of a functional gastrointestinal disorder and vice versa. Brain-gut pathways include the autonomic nervous system, hypothalamic-pituitary-adrenal axis including corticotrophin releasing factor directly acting on the gut. Gut-brain pathways include ascending pain pathways, cytokines including tumour necrosis factor alpha in response to bacterial translocation and inflammation, 5 hydroxytryptamine secretion by entero-endocrine cells and psychoactive chemicals of bacterial origin which may enter the blood stream, such as gamma-aminobutyric acid, fatty acids and 5-hydroxytryptamine precursors. The ability to control rodent temperament and HPA responsiveness with early modification of gastrointestinal flora, and the effects of early stress on the barrier function of the gastrointestinal tract and flora, suggests an ability of both systems to prime each other in early life for later problems. This hypothesis seems to be supported by a possible protective effect of a probiotic strain of bacteria in a model of early rat psychological trauma. Conclusion: Psychological treatments are known to improve functional gastrointestinal disorders, the next wave of research may involve preventative microbiological gut based treatments for primary psychological presentations, both to treat the presenting complaint and inoculate against later functional gastrointestinal disorders