A career in professional services: accident, serendipity or something more?

Just Sinus Bradycardia or Something More Serious?

An asymptomatic 5-year-old girl presented with bradycardia during a routine well-child visit. Further evaluation revealed profound sinus bradycardia, exercise-induced bidirectional ventricular tachycardia, and supraventricular tachycardia. An echocardiogram showed heavy trabeculations in the left ventricular myocardium. This patient's presentation suggested catecholaminergic polymorphic ventric...

A Massive Posterior Neck Mass: Lipoma or Something More Sinister?

Lipomas are slow-growing benign soft-tissue tumors which are typically asymptomatic and occur in approximately 1% of the population. A lipoma is considered to be of excessive size when it is greater than 10 cm in length (in any dimension) or weighs over 1000 g (Kransdorf (1995)). We describe a case of a man presenting with a giant posterior neck mass which greatly reduced the sagittal range of ...

Cystatin C: a marker of renal function or something more?

Over the past decade, we have come to appreciate that individuals with even moderately reduced renal function are at increased risk for cardiovascular morbidity and mortality. There is no consensus, however, on how renal function should be measured. The most precise and accurate methods (such as inulin clearance) are impractical in the clinical setting and for larger research studies. Serum cre...

On block of something less than a bundle branch, or of something more.

Professional Associations: Promoting Leadership in a Career

LEADERSHIP COMMVNITY is vitally important in the wake of WITHIN THE L I B R ~ Y continual technological developments, recurrent budgetary shortfalls, and the fluidity of the job market for library professionals. Libraries must identi9 and foster the inherent personal characteristics and skills considered most relevant for leadership in the field of information management. Professional library a...