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Numerous guides to the examination of the nervous system are available (see the references at the end of this chapter) For a full account of the methods, the reader is referred to the monographs of DeMyer, Ross, Mancall, Bickerstaff and Spillane, Glick, Haerer, and of the staff members of the Mayo Clinic, each of which approaches the subject from a somewhat different point of view An inordinately large number of tests of neurologic function have been devised, and it is not proposed to review all of them here Some are described in subsequent chapters dealing with disorders of mentation, cranial nerves, and motor, sensory, and autonomic functions Many tests are of doubtful value or are repetitions of simpler tests and should therefore not be taught to students of neurology Merely to perform all of them on one patient would require several hours and probably, in most instances, would not make the examiner any the wiser The danger with all clinical tests is to regard them as indisputable indicators of disease rather than as ways of uncovering disordered functioning of the nervous system The fol-

The function of the cranial nerves must be investigated more fully in patients who have neurologic symptoms than in those who do not If one suspects a lesion in the anterior fossa, the sense of smell should be tested in each nostril; then it should be determined whether odors can be discriminated Visual elds should be outlined by confrontation testing, in some cases by testing each eye separately; if any abnormality is suspected, it should be checked on a perimeter and scotomas sought on the tangent screen or, more accurately, by computed perimetry Pupil size and reactivity to light and accommodation during convergence, the position of the eyelids, and the range of ocular movements should next be observed Details of these test procedures and their interpretation are given in Chaps 12, 13, and 14 Sensation over the face is tested with a pin and wisp of cotton; also, the presence or absence of the corneal re exes may be determined Facial movements should be observed as the patient speaks

Figure 4-3 Schematic illustration of major efferent and afferent connections of the basal ganglia (see text for details; also Fig 4-2) (Reproduced with permission from Kandel ER, Schwartz JH, Jessell TM: Principles of Neural Science, 4th ed New York: McGraw-Hill, 2000)

LIFFE CONNECT 1:00-21:00 8:00-22:00 8:00-22:00 8:00-22:00 8:00-22:00 LIFFE CONNECT 7:00-18:00 LIFFE CONNECT 7:00-18:00 7:20-14:00; Globex 17:00-16:00 LIFFE CONNECT 7:00-21:00 Electronic 7:45-19:00; MOS 21:20-4:00 electronic 18:00-16:00 LIFFE CONNECT 7:30-18:00 7:20-14:00; Globex 17:00-16:00; MOS 21:20-4:00 8:45-11:30; 12:3015:30; 15:30-20:00

As you might know, the 3x version of the Web reports did have a WAD library but the 70 version of the WAD doesn t have a library What it does have is a component called Reusable Web Items, and that is where the library objects are migrated to during this process They are very similar in functionality and usability So we would be migrating from the library to the Reusable Items We will see that each component in the WAD has its very own approach to migration and its own toolset that is used to migrate In this case, we will use an ABAP program to execute the migration Using the program RSZW_ITEM_ MIGRATION_3X_TO_70, we can move the library items to the Reusable Items list The following illustration shows the program component after we use transaction code SE38 and insert this program into the execution field

time was the central role of the ventrolateral and ventroanterior nuclei of the thalamus Together, they form a vital link in an ascending ber system, not only from the basal ganglia but also from the cerebellum to the motor and premotor cortex Thus both basal ganglionic and cerebellar in uences are brought to bear, via thalamocortical bers, on the corticospinal system and on other descending pathways from the cortex Direct descending pathways from the basal ganglia to the spinal cord are relatively insigni cant The foregoing view of basal ganglionic organization has been broadened considerably, the result of new anatomic, physiologic, and pharmacologic data (see in particular the reviews of Gombart, of Crutcher, of DeLong, and of Penney and Young) Whereas earlier concepts emphasized the serial connectivity of the basal

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