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history, bimanual examination, and Pap smear. A TSH may also be ordered as thyroid disease can affect bleeding patterns. In each scenario, what additional tests should be done and why An ovulatory woman Transvaginal ultrasound, sonohysterogram, or D&C with hysteroscopy (gold standard) should be done to rule out anatomic causes of abnormal bleeding -hCG: pregnancy CBC: infection Coagulation profile: blood dyscrasia Endocrine tests (FSH, LH, TSH, prolactin): premature ovarian failure, polycystic ovarian syndrome (PCOS), prolactinoma, hypothyroidism All postmenopausal women What are the risks of unrecognized DUB What is the goal of treatment for DUB Endometrial biopsy: endometrial carcinoma Hemorrhage, endometrial hyperplasia, and/or cancer To convert the proliferative endometrium into secretory endometrium Anovulatory DUB is treated with OCPs or cyclic progesterone therapy (such as medroxyprogesterone daily for 10 days of each month) DUB associated with heavy bleeding is treated with high-dose estrogen or progestins. Endometrial ablation can also be used for treatment if patient is refractory to oral and IV estrogen therapy. A D&C can be done if patient is hemodynamically unstable How is ovulatory DUB treated Ovulatory DUB is treated primarily with OCPs

The goal is capturing data digitally at the highest possible quality given the current capabilities of technology. Translating these image format sizes and frame rates to continuous data streams requires advanced degrees in mathematics or an association with some extremely knowledgeable and quick partners. In our case, we have a couple of authors who can rattle off data rate computations on request (see Table 2.1).

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This type of jitter is not critical. During disc replication, a laser beam is used to cut the pattern of pits in the glass master. Any jitter in the clock or physical vibration in the mechanism used to drive the laser will be transmitted to the master and thus to every disc that is molded from it. Variations in the physical replication process also can contribute to pits being longer or shorter than they should be. These variations are usually never large enough to cause data errors, and each disc is tested for data integrity at the end of the production line. Media jitter can be worse with recorded discs because they are subject to surface contamination, dust, and vibration during recording. Strange as it may seem, however, recorded media usually have cleaner and more accurate pit geometry than pressed media. However, with both pressed and recorded discs, the minor effects of jitter have no effect on the actual data. This type of jitter has little or no effect on the final signal. As the disc spins, phase-locked circuits monitor the modulations of the laser beam to maintain proper tracking, focus, and disc velocity. As these parameters are adjusted, the timing of the incoming signal fluctuates. Media jitter adds additional perturbations. Despite readout jitter, error correction circuitry verifies that the data is read correctly. Actual data errors are extremely rare. The data is buffered into RAM, where it is clocked out by an internal crystal. In theory, the rest of the system should be unaffected by readout jitter because an entirely new clock is used to regenerate the signal.

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Ill 20-1

In order to gather information* related to the learner s coaching goals, these questions need to be addressed:

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