a b s t r a c tMaternal hypotension is a common complication after spinal anesthesia for cesarean delivery. Prevention and treatment of post-spinal hypotension (PSH) in cesarean delivery has been frequently investigated.Fluid loading is superior to no-fluid regimen; however, the incidence of PSH is still high with all fluid loading protocols; thus, the use of fluid loading as a sole method for prophylaxis might be not satisfactory for many anesthetists. Phenylephrine is the preferred vasopressor for prevention and management of PSH in most cases. Ephedrine may be more beneficial in patients with bradycardia, patients with uteroplacental insufficiency and pre-eclamptic patients. Norepinephrine infusion was recently investigated as an alternative for prophylaxis of PSH with minimal cardiac side effects.The high incidence of PSH with most of the pharmacological and non-pharmacological methods suggests the need for multimodal protocols for prevention and management of this problem. PSH in cesarean delivery is a common daily situation facing all anesthetists; thus, future research should focus on simple and rapid protocols that can be easily applied by anesthetists with moderate and low experience with minimal need to complex devices or costly drugs.

Soils in the coastal region of Syria (CRoS) are one of the most fragile components of natural ecosystems. However, they are adversely affected by water erosion processes after extreme land cover modifications such as wildfires or intensive agricultural activities. The main goal of this research was to clarify the dynamic interaction between erosion processes and different ecosystem components (inclination, land cover/land use, and rainy storms) along with the vulnerable territory of the CRoS. Experiments were carried out in five different locations using a total of 15 erosion plots. Soil loss and runoff were quantified in each experimental plot, considering different inclinations and land uses (agricultural land (AG), burnt forest (BF), forest/control plot (F)). Observed runoff and soil loss varied greatly according to both inclination and land cover after 750 mm of rainfall (26 events). In the cultivated areas, the average soil water erosion ranged between 0.14 ± 0.07 and 0.74 ± 0.33 kg/m2; in the BF plots, mean soil erosion ranged between 0.03 ± 0.01 and 0.24 ± 0.10 kg/m2. The lowest amount of erosion was recorded in the F plots where the erosion ranged between 0.1 ± 0.001 and 0.07 ± 0.03 kg/m2. Interestingly, the General Linear Model revealed that all factors (i.e., inclination, rainfall and land use) had a significant (p < 0.001) effect on the soil loss. We concluded that human activities greatly influenced soil erosion rates, being higher in the AG lands, followed by BF and F. Therefore, the current study could be very useful to policymakers and planners for proposing immediate conservation or restoration plans in a less studied area which has been shown to be vulnerable to soil erosion processes.