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This is one of several nevi that were being followed with digital dermoscopy to look for important changes over time. 1. Asymmetry of color and structure, the multicomponent global pattern, a very irregular pigment network, and regression in the baseline image diagnose an in situ melanoma. The lesion should have been removed at that time. 2. Asymmetry of color and structure, a reticular-homogeneous global pattern, a mildly irregular pigment network, different shades of brown color, and multifocal hypopigmentation diagnose a mildly dysplastic nevus. 3. A side-by-side comparison of the baseline image with the same lesion at 6, 12, and 18 months shows that the lesion is basically without change. 4. The lesion has been changing slowly over time with high risk criteria in the 18-month followup image. 5. Significant dermoscopic changes over time include: asymmetrical enlargement, the presence of new melanoma-specific criteria, or new colors.
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Unfactored moments: For exterior span use, MDC MDC 150 pcf (12 in 8.5 in)/144 (7.26 ft)2/10 MDW (25 5) psf (7.26 ft)2/10 0.158 kip-ft/ft Total dead moment 0.56 0.158 0.718 kip-ft/ft
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Asymmetry of color and structure Irregular dots and globules (circles) Regression/whitish gray color (white arrows) Milky-red area/pink color (box)
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Fn dx - Fn x dq c = 0 x = dx (q c ) dq c Fsh dq1 - Fshq1 dt = 0 q = dq i dt d dL - dL dx + F dx = 0 mx + kx + F = 0 n n dt dx dx d dL dL dq - Fn x dq c = 0 Iq c + ks (q c - q i ) - Fn x = 0 dt dq c dq c c d dL dL dq + Fsh = 0 ks (q i - q c ) + Fsh = 0. dt dq i dq i i (12.12) (12.13)
While simple in concept, ATM has evolved into a complex series of protocols to accommodate the needs of the many services it is designed to carry (Figure 11.2). Deployment, in both public and private network environments, therefore presents some key challenges. As demand for ATM accelerates, it is vitally important that new services be installed and commissioned as quickly as possible. It is equally important that both providers and users be highly confident that the new ATM service will operate reliably, particularly because users will be unable to tolerate disruption of mission-critical services. Transition to ATM must be as painless as possible. With the complexity and interconnection of different technologies, problems will occur. It is vital to diagnose and solve these problems quickly. This need places great emphasis on the quality of the diagnostic tools used and their ability to guide maintenance staff to the source of the fault. In addition to diagnosing faults, tools must allow network operators to optimize network performance. Competitive pressures mean that each network operator must gain optimum performance from each network to provide attractively priced service packages to customers. The complexity of ATM, along with its statistical nature, makes this task increasingly difficult as these networks grow. Again, the diagnostic tools must be sophisticated in their characterization of the network and its services.
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