Check out this webcast on TechNet Spotlight where Mark Russinovich explains some very advanced concepts of Windows troubleshooting with Process Monitor : http://www.microsoft.com/emea/spotlight/Mark_Russinovich_Advanced_Windows_Troubleshooting_with_Sysinternals_Process_Monitor
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Read the complete post at http://blogs.technet.com/beitpro/archive/2007/10/14/technet-spotlight-advanced-windows-troubleshooting-with-sysinternals-process-monitor.aspx