We report the case of a boy with dysgammaglobulinaemia who died with giant ccll pneumonia and disseminated measles seven weeks after receiving live attenuated measles vaccine.Case Report From tbe age of 6 weeks the patient had frequent infections associated with a rash on the face, scalp, and limbs. He was given three doses of triple antigen (diphtheria, pertussis, and tetanus) and oral live attenuated poliomyelitis vaccine; the third dose at the age of 8 months. Fifty-six days later live attenuated measles vaccine was given. One week later he developed a pyrexial illness with a skin rash. There was no known contact with measles. An elder brother had a similar illness when 2 days old and died at 7 months with staphylococcal bronchopneumonia, a cervical abscess, and boils on neck.

The artificial pancreas system or an automated insulin dosing system has been the 'holy grail' for patients with type 1 diabetes and their caregivers who have over the years wanted to 'close the loop' between monitoring of glucose and delivery of insulin. The launch of the Medtronic MiniMed 670G system in 2017 and the subsequent release of the Tandem t:slim with Control-IQ system, the DANA RS pump compatible-CamAPS FX app and the more recent announcement of the Medtronic Mini-Med 780G system have come as answers to their prayers. However, in the time taken to develop and launch these commercial systems, creative and ebullient parents of young patients with type 1 diabetes, along with other patients, technologists and healthcare professionals have developed mathematical models as software solutions to determine insulin delivery that in conjunction with compatible hardware have helped 'close the loop'. Under an umbrella movement #WeAreNotWaiting, they have, as a community, refined and disseminated technologies that are open source and ubiquitously available as do-it-yourself (DIY) closed-loop systems or DIY artificial pancreas systems (APS). There are presently three systems-OpenAPS, AndroidAPS and Loop. We present perspectives of two patients, parent of a patient, and their healthcare providers; the users spanning an age spectrum most likely to use this technology-a child, an adolescent in transitional care and a 31-yr old adult patient, highlighting how looping has helped them self-manage diabetes within the routine of their lives and the challenges they faced.

Many librarians do not see themselves as marketers, but marketing is an essential role for hospital librarians. Library work involves education, and there are parallels between marketing and education as described in this article. It is incumbent upon hospital librarians actively to pursue ways of reminding their customers about library services. This article reinforces the idea that marketing is an element in many of the things that librarians already do, and includes a list of suggested marketing strategies intended to remind administrators, physicians, and other customers that they have libraries in their organizations.

ABSTRACT. What has come to be known as the "Woods Hole course," Biomedical Informatics, is a week-long course sponsored by the National Library of Medicine which has been offered since 1992. Its particThis electronic prepublication version may contain typographical errors and may be missing artwork such as charts, photographs, etc. Pagination in later versions may differ from this copy; citation references to this material may be incorrect when this prepublication edition is replaced at a later date with the finalized version.Jane Bridges, ML, AHIP (BridgJa1@memorialhealth.com) is Clinical Campus Li-