Objective: Several medications have been used for sedation in children in dentistry and intra-nasal route has been reported to be an efficient way regarding patient cooperation. The aim of the present study was to compare the changes in physiologic parameters following intra-nasal midazolam and ketamine administration.   Methods: In this randomized cross-over double-blind trial, 17 uncooperat...

An increase in the number of ships world merchant fleet, their tonnage and speed has significantly enhanced intensity navigation, accident rate. Despite fact that are equipped with latest integrated navigation power systems, improvement shore services quality crew training, rate port waters remains high. The main reason is “human factor”, which understudied. problems potential implementing mana...

background: outsourcing in healthcare is a cost-effective strategy that reduces costs and increases service quality. managers must attempt to outsource healthcare services using scientific methods. objective: this study is a strategic analysis of the outsourcing of health services in one specialty and subspecialty hospital in tehran. methods: this mixed method study (quantitative-qualitative) w...

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background: levothyroxine is commonly used in the treatment of patients with hypothyroidism. levothyroxine is often administered in the morning, on an empty stomach, to increase its absorption. however, many patients have trouble for taking levothyroxine in the morning. the aim of this study was to evaluate the effect of changing administration time of levothyroxine from before breakfast to bef...

Medication errors are commonly encountered in hospital setting. Intravenous medications pose particular risks because of their greater complexity and the multiple steps required in their preparation, administration and monitoring. We aimed to determine the rate of errors during the preparation and administration phase of intravenous medications and the correlation of these errors with the demog...