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has fallen adequately within 8 weeks of evacuation, the follow-up might be safely reduced to 6 months because none of these patients has required chemotherapy.1 On the other hand, among patients whose hCG values were elevated beyond 8 weeks post-evacuation, followup might continue for up to 2 years. Any elevation of hCG values during surveillance should be thoroughly investigated for the presence of persistent or metastatic gestational trophoblastic tumors, placental site trophoblastic disease, or a new pregnancy. When a patient with previous mole or or history of treatment for GTN conceives, the new pregnancy should undergo an early ultrasound examination for evaluation of the placenta and fetus, because the risk for a second mole is 1% to 2%. Patients with a previous mole or GTN should have an hCG evaluation 6 to 10 weeks after completion of each subsequent pregnancy, because they are at risk for a disease recurrence.1

(d) WDM mux/demux. Multiplex wavelengths of different color into a single carrier, and demultiplex different signals in a single carrier into many separate fibers. This process does not need to convert the wavelengths itself. An advanced demultiplexer may first demux the signal into sets of wavelengths, called wavebands, before the wavebands are demuxed into individual wavelengths [15]. Also, not all multiplexers are compatible, since different optical bands and channel spacings may be used. (e) (Optical) multicast. The ability to duplicate an optical signal as-is. Of course, this can only be done one-way. Possible uses include visualization. (f) TDM mux/demux. The ability to extract an Ethernet signal from a SONET or SDH carrier or to insert one or more Ethernet connections in a SONET or SDH carrier. It should be noted that not all SONET/SDH multiplexers are compatible. (g) SONET (switching): The ability to combine and switch SONET or SDH circuits, without knowing the contents of the circuits. (h) Aggregate. There may be different needs for an Ethernet switch in an optical exchange. First, it allows aggregation of traffic, although this may cause congestion. (i) (Ethernet) conversion. A second use for an Ethernet switch is the conversion between different types of framing. The most useful conversion is perhaps the ability to convert between LAN-PHY and WAN-PHY. (j) vLAN encap/decap. Ethernet encapsulation. A third use for an Ethernet switch is the encapsulation of traffic in a vLAN trunk [14]. This allows the combining of different, separable datastreams on a single link. The combination of DWDM support, wavelength conversion, and cross-connects will effectively provide for an OAD) facility. Multiple services may be combined in a single device.

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46 Architectures and Standards [G.984.1] and the transmission convergence (TC) layer [G.984.3]. They correspond roughly to the OSI physical layer and data link layer of Figure 2.2, respectively. The TC layer is in turn divided into the framing sublayer and the adaptation sublayer. We discuss rst the physical-medium-dependent layer of Figure 2.7a, then the framing sublayer of Figure 2.7b, and then the adaptation sublayer of Figure 2.7b.

Figure 4.17 Domain expert designed network for the Danish Jersey cattle blood type determination example. ( ph.gr. stands for phenogroup .)

The muscle problems in polymyositis and dermatomyositis are very similar. There is a mononuclear in ammatory cell in ltration and muscle bre necrosis. In dermatomyositis, there is the additional involvement of skin, particularly in the face and hands. An erythematous rash over the nose and around the eyes, and over the knuckles of the hands, is most typical. Though all muscles may be involved, proximal limb, trunk and neck muscles are most frequently made weak by polymyositis with occasional involvement of swallowing. The condition most usually develops subacutely or chronically and is unassociated with muscle tenderness. Problems when trying to use the arms above shoulder level, and dif culty when standing up out of low chairs and the bath, are the most frequent complaints. Both conditions are autoimmune diseases involving skeletal and not cardiac muscle. Dermatomyositis, especially in older men, can be triggered by underlying malignancy. Both dermatomyositis and polymyositis respond to immunosuppressive therapy. High-dose steroids, with or without other immunosuppressants, gradually reduced to reasonable long-term maintenance levels, constitute the treatment of choice. Effective control of the disease can be established in the majority of cases.

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