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NTLDR The lename is an abbreviation for NT Loader This le is the Master of Ceremonies, responsible for beginning the boot process and launching the other system les BOOTINI This text le lists all operating systems available to the NTLDR Double-click bootini in the Search Results window and examine the contents of the le This is an important, editable le, especially on a multiboot system where you may need to change the boot order of the operating systems NTDETECTCOM This le detects installed hardware on systems that boot Windows 2000 or XP HALDLL This le loads many of the Hardware Abstraction Layer drivers

The magnitude of the CMAP may be normal or slightly reduced, depending on the severity of the disease Afterdischarges as in AChE de ciency may occur 165 167 Following a brief voluntary contraction, this afterdischarge disappears only to return following a brief rest period A decrementing response to slow repetitive stimulation is usually observed only in clinically weak muscles Routine needle electromyographic analysis reveals MUAPs with variable amplitudes, polyphasia, and decreased durations, which may suggest a myopathic disorder Rarely, positive sharp waves, brillation potentials, and fasciculation potentials can be observed

A decremental response to slow repetitive stimulation may be demonstrated in proximal muscles and is more likely to occur following serial trains of stimuli delivered after 1 minute or more of exercise Motor unit variability may be seen on needle electromyography No abnormal spontaneous activity is expected

Dok-7

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NTOSKRNLEXE The lename is an abbreviation for the NT Operating System Kernel This le completes the loading of the Windows Registry, initiates all device drivers, and starts WINLOGONEXE to display the Windows logon screen

Figure 7-6

A decremental response to slow repetitive stimulation is seen in the majority of cases188 The anticipated ndings in familial limb-girdle MG are also essentially identical to autoimmune MG Sensory and motor nerve conductions are normal, decremental responses are common in response to slow repetitive stimulation in clinically weak muscles, small and unstable MUAPs are demonstrable on needle EMG, and increased jitter values and blocking are found on SFEMG125 128,130,131 Fibrillation potentials and positive waves have not been reported

A decremental response to slow repetitive stimulation may be demonstrated Routine nerve conduction studies are normal Facilitation at rapid rates of stimulation has not been demonstrated

Step 5 Some of the other important folders and their contents are listed here Look at each one to gain more experience using Windows Explorer Remember, the location may be slightly different across the

In both this disorder and the slow channel syndrome described below, afterdischarges may be noted, similar to, if not identical to, those seen in organophosphate poisoning, Issac s syndrome, or envenomation with potassium channel poisons (Fig 23 4)172,173,180 184 These repetitive CMAPs are separated by 6 10 millisec-

Edrophonium testing is positive in most CMS including the presynaptic disorders, AChR de ciency, and the fast channel syndromes End-plate AChE de ciency, occasional cases of the slow-channel syndrome, and Dok-7 syndromes are notable exceptions

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Median Level: 10 ms 0V Step: Dur MNC Record 01 ms 2 Single Average: Off Rectify: Female Age: 58Y 48D 720 Off #7 13:19:49

Windows family of operating systems For instance, Windows 2000 uses WINNT as the default Windows folder These are the folders you ll nd:

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Figure 23 4 Afterdischarges, ie, multiple small CMAPs resulting from a single supramaximal stimulus delivered to a motor nerve as might be seen in certain CMS syndromes, organophosphate toxicity, neuromyotonia, or envenomation with potassium channel toxins CMS, congenital myasthenic syndrome (Photo courtesy of Drs Alpa Shah and Steven Vernino, University of Texas Southwestern)

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