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Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Inducing Post-Traumatic Epilepsy in a Mouse Model of Repetitive Diffuse Traumatic Brain Injury
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Medical interventions for traumatic hyphema.

Almutez Gharaibeh1, Howard I Savage, Roberta W Scherer

  • 1Department of Special Surgery-Ophthalmology, Faculty of Medicine, The University of Jordan, P.O. Box 13046, Amman, Jordan.

The Cochrane Database of Systematic Reviews
|January 15, 2019
PubMed
Summary
This summary is machine-generated.

This review found no evidence that medical interventions improve visual acuity in traumatic hyphema. Antifibrinolytic agents like aminocaproic acid and tranexamic acid may reduce secondary hemorrhaging but do not improve vision.

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Area of Science:

  • Ophthalmology
  • Trauma Care
  • Clinical Trials

Background:

  • Traumatic hyphema, blood in the anterior eye chamber from injury, can lead to vision loss.
  • Complications like glaucoma and optic atrophy may cause permanent visual impairment.
  • Individuals with sickle cell trait/disease are at higher risk for intraocular pressure increases.

Purpose of the Study:

  • To evaluate the effectiveness of various medical treatments for traumatic hyphema.
  • To assess interventions aimed at preventing vision loss and complications from eye trauma.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched multiple databases including Cochrane, MEDLINE, Embase, PubMed, and clinical trial registries.
  • Included studies compared medical interventions against control groups for traumatic hyphema management.

Main Results:

  • No intervention demonstrated a significant effect on visual acuity in the short or long term.
  • Systemic aminocaproic acid and systemic tranexamic acid showed potential in reducing secondary hemorrhage rates.
  • Aminocaproic acid use was associated with increased adverse events like nausea and vomiting.

Conclusions:

  • Current evidence does not support the use of most medical interventions for improving visual acuity in traumatic hyphema.
  • Antifibrinolytic agents may be beneficial for reducing rebleeding risk, but evidence is limited and certainty is low.
  • Further research is needed to assess the combined effects of various interventions in managing traumatic hyphema.