We present a data structure representing a dynamic set S of w-bit integers on a w-bit word RAM. With |S|=n and w > log n and space O(n), we support the following standard operations in O(log n / log w) time: - insert(x) sets S = S + {x}. - delete(x) sets S = S - {x}. - predecessor(x) returns max{y in S | y< x}. - successor(x) returns min{y in S | y >= x}. - rank(x) returns #{y in S | y< x}. - select(i) returns y in S with rank(y)=i, if any. Our O(log n/log w) bound is optimal for dynamic rank and select, matching a lower bound of Fredman and Saks [STOC'89]. When the word length is large, our time bound is also optimal for dynamic predecessor, matching a static lower bound of Beame and Fich [STOC'99] whenever log n/log w=O(log w/loglog w). Technically, the most interesting aspect of our data structure is that it supports all the above operations in constant time for sets of size n=w^{O(1)}. This resolves a main open problem of Ajtai, Komlos, and Fredman [FOCS'83]. Ajtai et al. presented such a data structure in Yao's abstract cell-probe model with w-bit cells/words, but pointed out that the functions used could not be implemented. As a partial solution to the problem, Fredman and Willard [STOC'90] introduced a fusion node that could handle queries in constant time, but used polynomial time on the updates. We call our small set data structure a dynamic fusion node as it does both queries and updates in constant time.