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Biomedical subjects

C Graham

Publications and source records attributed to C Graham.

23 records · Page 2Linked to original sources

Rehabilitation of a paraplegic prisoner: conflicts for patient and nurses.

The most frequent outcome of a physical rehabilitation program is discharge to an independent or assisted-living environment in the community. When a patient remains incarcerated throughout a rehabilitation stay and is returned to a prison at discharge, both patient and nurse can experience conflicts caused by differences in the two settings. This article presents a case study in which conflicts that occurred and strategies for their resolution are discussed.

Adult

Pulmonary artery dissection: MR findings.

We report a case of pulmonary artery dissection imaged by MR. Dissection of a markedly dilated pulmonary artery is a rare and usually fatal complication of chronic pulmonary arterial hypertension. The diagnosis is made at autopsy, with only two cases having previously been documented (by Doppler echocardiography) during life. The hallmark of an arterial dissection is the finding of an intimal flap and a false lumen. In our case, spin echo MR imaging failed to show either the intimal flap or any intraluminal signal defects. The dissection was presumably obscured by nonhomogeneous intraluminal signal caused by the slow blood flow associated with severe pulmonary arterial hypertension. Cine MR imaging, however, demonstrated different signal intensity within the true and false lumens of the dissection, thereby outlining the intimal flap between the two channels.

Adult

Exercise options for persons with diabetic complications.

Exercise is a cornerstone in the management of diabetes, yet many persons with diabetes fail to participate in basic physical activity due to secondary diabetic complications. This inactivity can lead to disuse syndrome--a deterioration of functional capacity. Disuse syndrome, coupled with diabetes, can produce significant physiological problems and further disability. This review provides the health educator with information about the pathology and role of exercise for persons with diabetic complications. Examples of exercise to minimize disuse syndrome are given for individuals with peripheral vascular disease, retinopathy, neuropathies, and nephropathy.

Diabetes Complications

Exercise and aging: implications for persons with diabetes.

Physiological systems decline with age. Such declines may be the result of aging itself or physical deconditioning. Evidence suggests that the degree to which decrements occur with aging may be modifiable with physical activity. The elderly adapt to exercise programs at a generally reduced rate. Thus reduced activity, coupled with diabetes, may present unique clinical needs. In the design of exercise programs for the elderly person with diabetes, special attention needs to be given to medical screenings, potential risks, exercise goals, and implementation.

Aged