BMJ 1997; 315 doi: https://doi.org/10.1136/bmj.315.7102.262 (Published 26 July 1997) Cite this as: BMJ 1997;315:262

Throughout Minerva's professional lifetime the diagnostic gold standard for arterial disease has been angiography. Not for much longer (British Journal of Surgery 1997;84:912-9). Advances in Doppler ultrasonography with colour flow imaging can now produce accurate, reliable information on arterial blood flow at no risk to the patient. Staff will need to be trained in the new techniques, but the days of painful injections should soon be over.

Between 1982 and 1993 in Britain 5879 people died of AIDS and 388 had full necropsies. These showed that around one quarter of the patients had HIV encephalitis, and this condition was more common in intravenous drug users than in other risk groups. The patients with haemophilia had much the highest incidence of vascular lesions.

A longitudinal study of 1042 men and women aged over 65 (Age and Ageing 1997;26:179-84) found that 221 had insomnia and one third of these still had persistent problems sleeping four years later. Of 166 people who had been using prescription hypnotics at baseline, one third were still doing so at the second assessment, and the authors conclude that “late life insomnia shows a level of chronicity incompatible with hypnotic drug therapy as currently recommended.”

The parathyroid glands (first identified during a …

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