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The use of a patient-triggered and automatic event recorder is documented in a 17-month-old girl presenting with paroxysmal episodes of loss of consciousness. After pacemaker implantation, the paroxysmal attacks disappeared. Conclusion: we recommend a more frequent use of the event recorder in the investigation of syncope, especially in small children. [ABSTRACT FROM AUTHOR]

E-content revolution, technological advances, and ever-shrinking budgets oblige libraries to efficiently allocate their limited resources between collection and services. Unfortunately, resource allocation is a complex process due to the diversity of data sources and formats required to be analyzed prior to decision making, as well as the lack of efficient methods of integration. The contribution of this article is twofold. We first propose an evaluation framework to holistically assess academic libraries. To do so, a four-pronged theoretical framework is used in which the library system and collection are analyzed from the perspective of users and internal stakeholders. Second, we present a data warehouse architecture that integrates, processes, and stores the holistically based collected data. By proposing this holistic approach, we aim to provide an integrated solution that assists library managers to make economic decisions based on a perspective of the library situation that is as realistic as possible. [ABSTRACT FROM AUTHOR]

Assesses the feasibility and physiologic responses of stress echocardiography at low doses of dobutamine in normal children and adults. Sensitivity in detecting cardiac dysfunction; Absence of complications; Difference between normal subjects and post-anthracycline patients.

With the rapid increase in the demand for new digital services, the high cost of information, and the dramatic economic slowdown, libraries have been pressured to improve their services at lower costs. To cope with these conditions, library managers must improve their knowledge and understanding of cost behavior, as well as be aware of the different costs involved in the library. Time-Driven Activity-Based Costing ðTDABCÞ is a cost management technique that allows for developing accurate cost information on a wide range of activities. Few case studies have been implemented in libraries regarding very specific processes such as interlibrary loan and acquisition processes. More research is still needed to determine whether TDABC is useful and feasible to implement for a more extensive set of library activities. Through an analysis performed at an academic library in Belgium, this document introduces TDABC as a useful method for supporting lending and returning processes. [ABSTRACT FROM AUTHOR]

We studied stroke volume during exercise in 12 male asymptomatic patients in sinus rhythm after intraatrial repair for d-transposition of the great arteries. Data indicate that during exercise, stroke volume did not increase in the patient group, while in control subjects stroke volume increased. [ABSTRACT FROM AUTHOR]

This is the third in a series of articles exploring international trends in health science librarianship in the first decade of the 21st century. The invited authors were asked to reflect on developments in their country - viz. Austria, Belgium, France and the Netherlands. Future issues will track trends in the Nordic countries, Southern Europe and Latin America. JM [ABSTRACT FROM AUTHOR]

Background: Curriculum reforms in medical schools require cultural and conceptual changes from the faculty. Aims and Methods: We assessed attitudes towards curriculum reforms in different academic, economic, and social environments among 776 teachers from 2 Western European medical schools (Belgium and Denmark) and 7 medical schools in 3 countries in post-communist transition (Croatia, Slovenia, Bosnia and Herzegovina). The survey included a 5-point Likert-type scale on attitudes towards reforms in general and towards reforms of medical curriculum (10 items each). Results: Teaching staff from medical schools in Bosnia and Herzegovina had a more positive attitude towards reforms of medical curriculum (mean score 36.8 out of maximum 50 [95% CI 36.1 to 37.3]) than those from medical schools in Croatia or Slovenia (30.7 [29.8 to 31.6]) or Western Europe (27.7 [27.1 to 28.3]) (P < 0.001, ANOVA). Significant predictors of positive attitudes towards medical curriculum reform in post-communist transition countries, but not in Western European schools, was younger age, as well as female gender in Bosnia and Herzegovina. Conclusions: Factors influencing faculty attitudes may not be easy to identify and may be specific for different settings. Their identification and management is necessary for producing sustainable curriculum reform. [ABSTRACT FROM AUTHOR]