Publications by authors named "William Po"
Importance: Spontaneous renal rupture is a rare pregnancy complication, which requires a high index of suspicion for a timely diagnosis to prevent a poor maternal or fetal outcome.
Objective: This review highlights risk factors, pathophysiology, symptoms, diagnosis, management, and complications of spontaneous renal rupture in pregnancy.
Evidence Acquisition: A literature search was carried out by research librarians using the PubMed and Web of Science search engines at 2 universities.
Article Synopsis
- This study investigates the presence of "spin," or biased reporting of findings, in the abstracts of systematic reviews related to breast cancer, highlighting its prevalence and potential effects on clinical decision-making.
- Out of 11,717 articles screened, 581 consisted of studies meeting inclusion criteria, and 21% of those exhibited at least one type of spin, particularly in pharmacological and surgical interventions.
- The findings indicate that systematic reviews on breast cancer could mislead readers due to distorted presentations of research outcomes, underscoring a need for improved reporting standards in this area.
Clinical Question: Does Medical Evidence Support Routine Oronasopharyngeal Suction at Delivery?
J Okla State Med Assoc
July 2016
Oronasopharyngeal suction (ONPS) is regularly performed in neonates at delivery in many hospitals across the country today. Although ONPS is a technique that has essentially become habitual for most obstetricians, its theorized usefulness to help promote expeditious lung aeration after delivery by removal of amniotic fluid, meconium, mucus and blood that may otherwise be aspirated by the newborn, is currently not recommended. ONPS can cause vagal stimulation-induced bradycardia and thus hypercapnea, iatrogenic infection due to mucous membrane injury, and development of subsequent neonatal brain injury due to changes in cerebral blood flow regulation, particularly in premature infants.
View Article and Find Full Text PDFObjective: To examine the impact of maternal prepregnancy body mass index (BMI) on rates of recurrent preterm delivery (PTD) in women receiving 17alpha-hydroxyprogesterone caproate (17P) prophylaxis.
Study Design: The study population was identified from a large perinatal database containing prospectively collected information from women at high risk for PTD. We included patients with a current singleton pregnancy and a history of PTD who received weekly nursing visits and 17P 250 mg intramuscular injections beginning at 16.