{"id":152,"date":"2007-03-19T12:49:54","date_gmt":"2007-03-19T11:49:54","guid":{"rendered":"http:\/\/resource.bmj.com\/bmj\/2007\/03\/19\/bmj-17-mar-2007-vol-334\/"},"modified":"2007-03-19T12:49:54","modified_gmt":"2007-03-19T11:49:54","slug":"bmj-17-mar-2007-vol-334","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/19\/bmj-17-mar-2007-vol-334\/","title":{"rendered":"BMJ  17 Mar 2007  Vol 334"},"content":{"rendered":"<p>Who gives a stuff about <a href=\"http:\/\/www.bmj.com\/cgi\/content\/extract\/334\/7593\/561\">impact factors<\/a>? <!--more-->They belong to the miserable, paranoid world of measurable prestige, like big German cars, Mayfair properties, Norrington tables and the like. Let those interested in such things devise a common unit, the kudo. Then when they have accumulated enough of them, they can boast of having the most kudos. For the rest of us, let\u2019s have a common unit called the shab \u2013the sum of happiness and benefit. Be shabby, be happy.<\/p>\n<p>I talked about the fashion for stenting all bodily tubes last week, yet unfortunately all bodily tubes are active structures bearing little resemblance to a metal mesh. The ureter is a horribly active little tube, with far more nerve endings than it can possibly need, as many of us will testify. Sticking a metal mesh in it is a bad idea, as this <a href=\"http:\/\/www.bmj.com\/cgi\/content\/full\/334\/7593\/572\">systematic review<\/a> shows. Ureteric stenting does more harm than good.<\/p>\n<p>A trawl of all <a href=\"http:\/\/www.bmj.com\/cgi\/content\/full\/334\/7593\/576\">twin pregnancies where one twin died<\/a> finds a much bigger risk to the second twin if delivered vaginally at term.<br \/>\nAnother useful little summary of what we know about <a href=\"http:\/\/www.bmj.com\/cgi\/content\/extract\/334\/7593\/579\">generalised anxiety disorder<\/a>, though the cited prevalence of 1-5% is much less than the 19% in the case-finding study I mentioned last week (Ann Intern Med p.317). Once again, I feel general anxiety about my inability to offer the treatment of choice \u2013 cognitive behavioural therapy.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Who gives a stuff about impact factors? [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bmj\/2007\/03\/19\/bmj-17-mar-2007-vol-334\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38363,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[111],"tags":[],"class_list":["post-152","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-lehmans-weekly-review-of-medical-journals"],"jetpack_featured_media_url":"https:\/\/stg-blogs.bmj.com\/bmj\/files\/2017\/02\/richard-lehman.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/152","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=152"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/152\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/38363"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}