Normal Value of Pulsatility Index of Umbilical Artery in Second and Third Trimester of Pregnancy.

Normal value of pulsatility index of umbilical artery in second and third trimester of pregnancy.

Bangladesh Med Res Counc Bull. 2013 Apr; 39(1): 42-4
Ferdousi MA, Sharif MM, Mohiuddin AS, Shegufta F

This cross sectional study was carried out on 60 pregnant Bangladeshi women in the department of Radiology and Imaging, BIRDEM for measurement of Pulsatility Index (PI) of umbilical artery of their fetuses by duplex colour Doppler sonography during 2nd and 3rd trimester of pregnancies. Considering total 2nd and 3rd trimesters the mean PI value of umbilical artery was 1.24 (SD +/- 0.27). While considering the gestational in separate trimesters, study showed that the value of PI in 2nd trimester was 1.33 (SD +/- 0.29) and in 3rd trimester PI was 1.18 (SD +/- 0.25). Paired t test shows there was a highly significant (t = 35.79, df = 59, Level of significance = 0.001) difference between mean values of PI in different gestational ages. It was observed that there was gradual decrease of PI value with increase of gestational age (r = -0.207) but this decrease of PI was not statistically significant (p = 0.113). Regression analysis between dependent PI value and independent gestational age showed linear negative relationship but this was not statistically significant (p = 0.11). This study revealed that the Pulsatility index of umbilical artery was decreased with increase of gestational age from 2nd to 3rd trimester. HubMed – rehab

Improving recovery with critical care rehabilitation.

Nurs Times. 2013 Jul 3-9; 109(26): 23-5
Rooney A

It is well documented that, following a period of critical illness, patients can suffer complex physical and non-physical complications. This has considerable effects on patients and their families in all aspects of life. This article discusses a service improvement project that led to the development of a critical care rehabilitation pathway, its implementation at Gateshead Healthcare Foundation Trust, and how it is being use to improve patient care, experiences and quality of life. Implementation of the pathway has resulted in 52% reduction in length of hospital stay during ward care. HubMed – rehab

Vestibular rehabilitation: rehabilitation options for patients with dizziness and imbalance.

Nurs J India. 2013 Jan-Feb; 104(1): 18-20
Merlingolda V

HubMed – rehab

Medicare program; inpatient rehabilitation facility prospective payment system for federal fiscal year 2014. Final rule.

Fed Regist. 2013 Aug 6; 78(151): 47859-934

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward an IRF’s “60 percent rule” compliance calculation to determine “presumptive compliance,” update the IRF facility-level adjustment factors using an enhanced estimation methodology, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program. HubMed – rehab