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These patients were seronegative for acetylcholine receptor antibodies but demonstrated decremental responses on repetitive nerve stimulation! The maneuver described is Hawkins' impingement test? Forskolin (a powerful inhibitor of human platelet aggregation)! The substrate, a reactive alkene (6B) or alkyne (6D), and triethylamine are then added and the mixture is heated for several hours, before being cooled to room temperature. At present, most antimicrobial interventions for patients are with systemic antibiotics!