Arch Iran Med
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Randomized Controlled Trial
Melatonin and intravenous midazolam administered orally in drug induced sleep electroencephalography of children: randomized clinical trial of efficacy.
Electroencephalography (EEG) is a useful diagnostic tool in the diagnosis of seizure and differentiating it from seizure-like attacks. Cooperation and immobility of the patient is crucial and in children who do not naturally sleep, pharmacological agents and procedural sedation should be used for sleep inducement. The purpose of this study was to compare efficacy and safety of melatonin and intravenous solution of midazolam administered orally in sedation induction for EEG of children. ⋯ Melatonin is a safe and an effective drug in sedation induction for EEG in children.
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Responsiveness refers to non-clinical aspects of the health system and responds to this question that whether health system is responsive to rightful expectations of people. The present study was conducted to determine the health system responsiveness about chronic heart failure patients in one of the main heart centers in Tehran during 2012 - 2013. ⋯ More attention to patient's rights, giving them opportunity to choose health care services (choice), providing fast access to emergency care (prompt attention) and considering autonomy are most important aspects of health responsiveness. From patient's view "prompt attention" was reported as the most important aspect of responsiveness.