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The phenomenon of myoclonus has already been discussed in Chap. 6, where the relationship to seizures was indicated. Characterized by a brusque, brief, muscular contraction, some myoclonic jerks are so small as to involve only one muscle or part of a muscle; others are so large as to implicate a limb on one or both sides of the body or the entire trunk musculature. Many are brief, lasting 50 to 100 ms. They may occur intermittently and unpredictably or present as a single jerk or a brief salvo. As mentioned earlier, an outbreak of several small, rhythmic myoclonic jerks may appear with varying frequency as part of absence seizures and as isolated events in patients with generalized clonic-tonic-clonic or tonic-clonic seizures. As a rule, these types of myoclonus are quite benign and respond well to medication. In contrast, disseminated myoclonus (polymyoclonus), having its onset in childhood, raises the suspicion of acute viral encephalitis, the myoclonus-opsoclonus-ataxia syndrome of Kinsbourne, lithium or other drug toxicity, or, if lasting a few weeks, subacute sclerosing panencephalitis. Chronic progressive polymyoclonus with dementia characterizes the group of juvenile lipidosis, Lafora-

Question 6-8

The only problem with identifying a song in the Library by name comes when the Library contains two or more tracks with the same name. When this happens, iTunes plays the first track it finds, which may not be the one you want.

GPS Support: Supports these GPS Receivers: Garmin GPS 16/18 Sensor or the Motorola ONCORE series of GPS receivers 3 Millisecond Time Accuracy when Receiver is Locked to GPS Time 6.500 5.750 inches or 16.51 14.605 centimeters

Figures in parentheses indicate percent of 189 cases. Figures in parentheses indicate percent of 57 cases.

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Fig. 35-2

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Safe mode Safe mode with networking Safe mode with command prompt Enable VGA mode Last Known Good configuration Directory Service Restore mode Debug mode Enable Boot Logging

In some cases, Windows 9x or NT, 2000, and XP can simply fail to load the graphical user interface (GUI). This problem might occur due to a missing or corrupted display driver. To determine if this is the cause, restart the computer and boot in Safe mode. A standard VGA driver will be loaded, bypassing potentially problematic third-party, 32-bit video drivers. If the system will boot in Safe mode, use the Device Manager to locate and/or reinstall the nonfunctioning video adapter. If the display driver is not the problem, turn your attention to other potentially corrupt drivers. Devices with corrupt drivers will be indicated in the Device Manager by a warning icon. Windows NT 4 does not have a Safe mode, but one of the boot-up options is to start with the standard VGA driver loaded. In most cases, this is functionally equivalent to Safe mode in the other operating systems. Another, more serious cause of a failure to load the GUI is a missing or corrupted GUI file. That is, during startup, Windows could simply be unable to load a file responsible for producing the interface, such as GDI.EXE or the Windows kernel. If you are using Windows NT, 2000, or XP, boot into the setup program and select the

Drugs that act primarily as CNS stimulants have a relatively limited therapeutic use but assume clinical importance for other reasons Some members of this group, eg, the amphetamines, are much abused, and others are not infrequent causes of poisoning Amphetamines (Benzedrine, Adderall) These drugs and dextroamphetamine, its D-isomer, are powerful analeptics (CNS stimulants) and in addition have signi cant hypertensive, respiratorystimulant, and appetite-depressant effects They are effective in the management of narcolepsy but have been much more widely and sometimes indiscriminately used for the control of obesity, the abolition of fatigue, and the treatment of hyperactivity in children Undoubtedly, they are able to reverse fatigue, postpone the need for sleep, and elevate mood, but these effects are not entirely predictable, and the user must pay for the period of wakefulness with even greater fatigue and often with depression that may follow.

Subtract the 36 points from your initial premium outlay: 67.0 36.0 31.0

Runs automatically, can be accessed by entering SCANREG on the Windows Run line Enter REGEDIT on the Windows Run line

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