this case report describes an unusual spectrum of a proved anaphylactoid reaction to vancomycin during general anesthesia for release of tethered spinal cord in a 14 year old girl. bronchospasm which is the sine qua non of a classical anaphylactoid reaction was singularly absent in this particular case. our objective in this presentation is to highlight the importance of early recognition of th...

The excessive focus on water mounts a challenge to the sustainable development. Energy is another aspect that should be taken into account. Nexus approach is characterized by an equal emphasis on energy and water spheres. In arid areas, like the city of Kashan, Iran, non-conventional waters (e.g. desalinated and recycled waters) have been considered as an alternative resource of water. Nexus wa...

hydatid disease has a worldwide spreading. the most common site of the disease is the liver, lungs, kidney, bones, and brain. splenic hydatid disease has been reported to constitute 2% to 6% of patients with abdominal hydatid disease. because of the rarity of splenic hydatid disease, the probable concomitance of the liver and splenic hydatid cysts should be taken into consideration by clinician...