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Leopard Reference: Carbon
A set of C APIs for supporting assistive technology applications. An assistive application interacts with an application to allow persons with disabilities to use it. For example, using an assistive application, a person with a visual impairment can convert menu items and button labels into speech and then perform actions by verbal command.
A guided introduction for developers who want to make their applications accessible to all users.  
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Carbon Accessibility Reference (HTML) (PDF)
Describes the C API for making Carbon applications accessible to assistive technologies.
 2006-02-07
Speech Recognition Manager Reference (HTML) (PDF)
Describes the C interface for recognizing and accepting spoken input.
 2003-02-01
Speech Synthesis Manager Reference (HTML) (PDF)
Describes the C API for converting text into synthesized speech.
 2009-04-08