Biomedical subjects
K Hannibal
Publications and source records attributed to K Hannibal.
Immigrating unaccompanied minors--a neglected minority?
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Preoperative wound infiltration with bupivacaine reduces early and late opioid requirement after hysterectomy.
We conducted a randomized, double-blind trial to evaluate the early and late analgesic effect of preoperative wound infiltration with bupivacaine 0.25% (40 mL) compared to placebo (NaCl 0.9%, 40 mL) in patients undergoing major surgery. Forty-one patients scheduled for elective hysterectomy during general anesthesia were included. The pain management focused on pain prevention, including preoperative administration of nonsteroidal antiinflammatory drugs (NSAIDs), and peroperative administration of opioids. Postoperatively patients received buprenorphine and/or acetaminophen on demand. A significant difference between treatments was evident in the 3-day postoperative trial period. With identical pain scores in the two groups, the requested total amount of buprenorphine was greater in the placebo group (2.0 [0-5.1] mg) (median and [range]) than in the bupivacaine group (0.8 [0-2.8] mg) (P < 0.05). The demand for analgesics occurred earlier in those who received placebo (225 min) than in those who received bupivacaine (345 min), but did not reach the level of significance. In conclusion, preoperative wound infiltration with bupivacaine improved immediate and late postoperative pain management after hysterectomy compared to placebo.
The Health Professional as Human Rights Promoter: Ten Years of Physicians for Human Rights (USA).
The founding of Physicians for Human Rights (PHR) arose out of concern within the scientific and medical community about the human rights violations affecting their colleagues and the severe health effects of human rights violations on the general population. PHR, as a membership organization, has pioneered the field of the activist health professional in human rights, through its many missions documenting violations both of human rights and of humanitarian law; its advocacy efforts; and its educational programs. It identifies new challenges and effective strategies to protest abuses, engage governments and professional colleagues in dialogue, and support likeminded health professionals who work in situations in which their obligations to their patients are often overridden by their obligations to States that want to hide human rights violations.
Health professionals held as political prisoners in Syria.
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Last-minute ban on medical visit to South Africa.
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Visas not approved for medical delegation to South Africa.
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Apartheid medicine. Health and human rights in South Africa.
Human rights and health care under apartheid in South Africa were studied. Human rights violations, such as detention without charge or trial, assault and torture in police custody, and restriction orders, have had devastating effects on the health of persons experiencing them. These violations have occurred in the context of a deliberate policy of discriminatory health care favoring the white minority over the black majority. South Africa's medical societies have had mixed responses to the health problems raised by human rights violations and inequities in the health care system. The amelioration of health care for all and prevention of human rights violations depend on ending apartheid and discrimination and greater government attention to these problems.