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J L Sola

Publications and source records attributed to J L Sola.

6 recordsLinked to original sources
PubMed1995

Intraoperative anaphylaxis caused by a hydatid cyst.

The incidence of the hydatid disease is still high in some regions of the Mediterranean. A serious, but rare, peroperative complication is IgE-mediated anaphylaxis, as a result of passing of the highly antigenic hydatid cyst content into the bloodstream. We present here a case of anaphylactic reaction in a patient who underwent surgical treatment of hydatid cyst.

Adult↗
PubMed1995

[Psychologic morbidity in thyroidectomized patients].

To study psychological disorders and personality in a series of patients scheduled to undergo thyroidectomy under general anesthesia. We selected 33 patients who were to undergo thyroidectomy during the second half of 1993. Socio-demographic data were collected and the patients were given the following battery of psychometric tests: Cognitive Mini-Test (CMT), which explores the main cognitive areas; Goldberg's General Health Questionnaire (GHQ-28), which is a tool for screening out probable cases of mental illness (mainly involving affective disorders); and Cattell's Personality Questionnaire 16-PF. With the GHQ-28 we detected a 29.6% prevalence of mental illness before surgery; this figure increased to 33.31% after surgery with a cut-off point of 5/6. Some 3.7% of this series of patients presented general cognitive disorders when evaluated with the CMT. One in 3 patients shows signs of significant mental illness and could benefit from some type of psychological or psychopharmacological support, or even psychiatric treatment in the worst cases. We propose that the anesthetist learn to use these simple instruments for psychopathological evaluation in order to detect problems.

Adult↗
PubMed1984

Stability of expressive and instrumental traits in an adolescent female population.

A sample of adolescent females were followed longitudinally from the sophomore to the senior year in high school. The personality traits of expressivity and instrumentality as measured by the Bem Sex Role Inventory were assessed yearly in order to determine trait stability. Both expressivity and instrumentality were very stable across grades. Correlation coefficients were statistically significant (p less than .001) for both traits across grades. Subjects were further categorized as androgynous, sextyped, undifferentiated, or cross-sextyped using a median split procedure. A transition matrix was constructed in order to tabulate shifts between categories across grades. Again, trait stability was reflected, approximately half (48%) of the response patterns never shifted categories during the high school years.

Adolescent↗
PubMedDate not supplied

[Intraoperative hydatid anaphylactic shock].

Certain parts of Spain continue to have a high incidence of hydatid disease. Anaphylaxis mediated by IgE, due to the high concentration of antigens in the blood stream, is a serious but fortunately infrequent complication of surgery. We present two cases of anaphylactoid reaction in patients undergoing surgery for excision of hydatid cysts and one case of a patient scheduled for cholecystectomy with unsuspected hydatid disease. This represents three cases presenting vascular collapse accompanied by metabolic acidosis, from among a total of 53 surgical patients handled by our department between January 1992 and May 1993. Early, essentially clinical, diagnosis and immediate start of treatment with adrenaline, suspension of inhaled anesthetics, administration of 100% oxygen, and restoration of intravascular volume with colloids or crystalloids were decisive in assuring the favorable outcome for these patients. Hydatid disease must be considered as a differential diagnosis in cases of shock during surgery in areas where it is endemic. Although infrequent, the possibility of anaphylaxis must be kept in mind whenever there is sudden hemodynamic deterioration during surgery for removal of a hydatid cyst. Early diagnosis and appropriate treatment are essential for a favorable outcome.

Adult↗