BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6952.490 (Published 13 August 1994) Cite this as: BMJ 1994;309:490

A 29 year old woman found to have an ectopic pregnancy had the embryo removed by salpingotomy and reimplanted in the uterus: 33 weeks later she gave birth to a healthy baby weighing 2700 g (British Journal of Obstetrics and Gynaecology 1994;101:716-7). The pioneering operation at St George's Hospital, London, may, says the journal (101:651-3), pave the way for this procedure to become standard practice now that ectopic pregnancy can be diagnosed reliably at an early stage.

Cardiac pacing devices offer a wide choice to clinicians, but the simplest technique, fixed rate ventricular/atrial pacing, is still used for over 70% of patients in Britain. A review in the “British Heart Journal” (1994;72:102- 3) suggests that this may be because it is the cheapest choice at (pound sterling)1350, as opposed to (pounds sterling)3000 for rate responsive dual chamber pacing. Purchasers who are opting to keep things cheap may be condemning elderly patients to treatment that is less than optimum.

Many people believe that the best time to commit something to memory is just before going to sleep, and some research workers in Israel (Science 1994;265:603-4) have provided evidence to support this view. They showed that during sleep people improved at skills learnt …

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