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25 Saglam EA, Usubutun A, Ayhan A, Kucukali T Mis takes prevent mistakes: experience from intraoperatie consultation with frozen section Eur J Obstet Gynecol Reprod Biol 2006;125:266 268 26 Baker P, Oliva E A practical approach to intraoperative consultation in gynecological pathology Gynecol Pathol 2008; 27:353 365 27 Zhang M, Cheung M, Shin J, et al Prognostic factors responsible for survival in sex cord stromal tumors of the ovary an analysis of 376 women Gynecol Oncol 2007;104:396 400 28 Stenwig JT, Hazekamp JT, Beecham JB Granulosa cell tumors of the ovary A clinicopathological study of 118 cases with long-term follow-up Gynecol Oncol 1979;7:136 152 29 Fox H, Agrawal K, Langley F A clinicopathologic study of 92 cases of granulose cell tumor of the ovary with special reference to the factors in uencing prognosis Cancer 1975;35:231 241 30 Evans AT, Gaffey TA, Malkasian GD, et al.

Clinicopathologic review of 118 granulosa and 82 theca cell tumors Obstet Gynecol 1980;55:231 238 31 Hirakawa M, Nigai Y, Yagi C, Nashiro T, Inamine M, Aoki Y Recurrent juvenile granulosa cell tumor of the ovary managed by palliative radiotherapy Int J Gynecol Cancer 2007 32 Young RH, Dickerson GR, Scully RE Juvenile granulosa cell tumors of the ovary: a clinicopathologic review of 125 cases Am J Surg Pathol 1984;8:575 596 33 Bridges NA, Christopher JA, Hindmarsh PC, Brook CG Sexual precocity: Sex incidence and aetiology Arch Dis Child 1994;70:116 34 Listernick R, Charrow J, Gutmann DH Intracranial gliomas in neuro bromatosis type 1 Am J Med Genet 1999;89:38 35 Ogilvy-Stuart AL, Clayton PE, Shalet SM Cranial irradiation and early puberty J Clin Endocrinol Metab 1994;78:1282 36 Pescovitz OH, Hench K, Green O, et al Central precocious puberty complicating a virilizing adrenal tumor: treatment with a long-acting LHRH analgog J Pediatr.

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1985;106:612 37 Van Wyk JJ, Grumbach MM Syndrome of precocious menstruation and galactorrhea in juvenile hypothyroidism: an example of hormonal overlap in pituitary feedback J Pediatr 1960;57:416 38 Anasti JN, Flack MR, Frohlich J, et al A potential novel mechanism for precocious puberty in juvenile hypothyroidism J Clin Endocrinol Metab 1995;80:276 39 Weinstein LS, Shenker A, Gejman PV, et al Activating mutations of the stimulatory G protein.

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The function B maps an event ID to 1 if the respective event has been detected within the time window W , and to 0 otherwise. With cmin = 0.9, the above con dence function would trigger the explosion event if the temperature event is detected along with one or both of the light and sound events. This con dence function expresses the fact that detection of the temperature event gives us higher con dence in an actual explosion happening than the detection of the light and sound events. DSWare also includes various real-time features, such as deadlines for reporting events and event validity intervals. Some architectural issues about the DSWare abstraction are discussed in section 5.4.1.4. The event detection paradigm is also used for higher-level programming model for COs, such as in Linda-like tuple space systems and databases. In tuple spaces, a node interested in an event creates a tuple pattern and reads the tuple space for this pattern (which is equivalent to subscribing to an event class, which corresponds to the pattern). An actuator node produces an event by publishing a tuple. When one or more tuples match a given tuple pattern, the corresponding thread is woken up and can process the event:

$ whereis -m cat cat: /usr/share/man/man1/cat.1.gz /usr/share/man/man1p/cat.1p.gz $ cd /tmp ; cp /usr/share/man/man1/cat.1.gz . $ gunzip cat.1.gz $ man2html cat.1 > cat.1.html $ links cat.1.html

for due to lack of consensus on diagnosis and treatment, intractable and uctuating clinical course, overlapping morphology and histology, and signi cant individual variation in treatment response. Additionally, many of these conditions often coexist, posing yet another layer of complexity in deciphering the cause of a patient s chief complaint. Given the intertwined pathophysiology, it is no wonder that the care of these patients seems more a proverbial shot in the dark than a stepwise methodical process. The diagnostic de nition of these six conditions is based on a constellation of symptoms, morphology, and histopathology. As noted in Table 1.1, the primary complaint of the rst three conditions is itching, while the primary complaints of the last three are burning, rawness, and pain with intercourse. Thus, using a symptom-based approach, the discussion of these disorders is divided into two parts: conditions with primary complaints of itching (lichen sclerosis, contact dermatitis, and lichen simplex chronicus), and those with primary complaints of burning/rawness sensation (lichen planus, plasma cell vulvitis, and desquamative in ammatory vaginitis). Vulvar intraepithelial dysplasia (VIN), which is often associated with unilateral and focal itching, will be discussed in 2.

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