Purpose: To report visual and anatomical outcome of flap loss after LASIK surgery for correction of high myopia. Materials & Methods: Retrospective evaluation of flap loss in two eyes of two patients, a rare complication of LASIK Surgery. Case No. 1: 27 y/o woman with Ref. OD -9.75; 2.75*177 VA. CC: 20/60 KR OD: 41.86*77 39.86 * 168 & partial amblyopia due to anisometropia. Case No. 2: 38 y/o woman with Ref OD. -9.50 1.0*177 VA CC: 20/30 KR OD: 42.06*77 40.99 * 167. Results: In both patients during LASIK surgery free cap complication occurred and after Laser therapy free cap positioned over the stromal bed, but the next day after operation flaps were lost. For case NO.1only medical management performed and after 4.5 years F/U cornea has 2° central haziness. For case NO.2 another corneal flap from donor globe cut and sutured with Nylon 10/0 and after 18 months F/U cornea is clear. Conclusion: In patients with flat keratometry less than 41.0 Diopter rate of free cap are high and after laser therapy for high myopia the keratometry became more flat. If surgeon doesn't suture flap the rate of flap loss increase so for prevent of corneal haziness and corneal ectazia this evaluation suppose to perform donor corneal flap graft.      

The loss of drinking Water from Water distribution network is one of the problems of Water and Sewage Companies worldwide, which reduces a remarkable part of the company's profit. Therefore, the aims of this research are: determination of strategies and their evaluating criteria for the loss management in Water distribution network, prioritization of those strategies and criteria as well as selection of the most effective strategy. This study is a practical research and data gathering was performed via researcher-made questionnaires on snowball sampling based on the idea of 10 experts employed in Water and Sewage Company of Isfahan province. Four strategies of Water loss management of Water distribution network assessed in questionnaires were selected based on the recommendations of International Water Association, American Water Works Association and the regulations of the non-revenue Water committee by the deputy directorate and under supervision of the Water and WasteWater Company of Iran, 2020. Data gathering and analyzing were carried out using paired comparison matrix and analytic hierarchy process by the Expert-choice software. The calculated inconsistency ratio of questionnaires was determined to be 0.02, and therefore the most effective strategy of Water loss management of Isfahan Water distribution network was determined to be the pressure drop strategy with weight of 0.400. Three other strategies of active leak detection weight 0.259, network repair weight 0.175, and speed and quality of emergencies weight 0.167, were prioritized in the next ranks, respectively. Likewise, the criteria of financial supply weight 0.463 in the first rank, the criteria of technical supply weight 0.289 in the second rank, the criteria of training update weight 0.146 in the third rank, and the criteria of legal supply weight 0.102 in the fourth rank, were prioritized. By increasing the ratio of circular intubation in Water distribution network and construction of Water storage tanks in the northwestern heights of Isfahan, it is practical to develop the pressure drop strategy in flat districts of Isfahan city leading to the minimum Water loss of Isfahan distribution network.

Purpose: Report a case of iatrogenic medial rectus loss in exotropia surgery and its management with review literature.Case Report: A 14-year-old female with a history of cerebral palsy and left exotropia underwent strabismus surgery in another center when she was 7 years old. As her surgeon reported, after 8 mm medial rectus resection, it was lost and he could not retrieve it; so, to balance the forces of adduction and abduction, the surgeon disinserted left lateral rectus, but 2 months later, because of large angle exotropia and severe limitation in adduction, she was referred to this center. We explored the area and could not find the lost medial rectus; so, half tendon transposition of superior rectus and inferior rectus to the previous insertion site of medial rectus was performed and left lateral rectus was fixated to the lateral orbital periosteum. Two months after the operation, she was orthotropic and ocular movements were significantly balanced.Conclusion: Half tendon transposition of vertical recti to the site of lost medial rectus associated with periosteal fixation of lateral rectus can improve the strabismus of lost medial rectus muscle.

In this article, an attempt has been made to estimate the amount of sound transmission loss in a flat oval channel by applying the approach of statistical energy analysis. Correct estimation of sound transmission loss in an air conditioning channel is of great importance due to the harmful effects of noise pollution in the environment on human health. Simulation with the statistical energy analysis method is a powerful approach to estimate sound and vibration in problems in which we deal with complex and multi-part systems; is considered. In this method, first, a system is divided into several subsystems, and then by writing a matrix equation that includes the energy exchanges between subsystems and energy loss coefficients; It is investigated from the perspective of vibration and sound estimation.On average, the model presented in this research is able to estimate the sound transmission loss in different dimensions of the air conditioning channels according to the experimental results in the accuracy range of ± 2.5 dB. Considering that it seems that the results obtained from modeling with this method are in good agreement with the experimental data; The results of this research can be used as an efficient approach to estimate noise in oval shaped channels stretched in different lengths.

Background and Aims: Caries and bone loss are the most common diseases in oral cavity. The prevalence of these diseases will be reduced by controlling their risk factors. In this study, bitewing radiographs of patients were examined to illustrate the relationship between caries and bone loss.Materials and Methods: One-hundred and fifty bitewing radiographs of 86 patients were evaluated. In these radiographs, caries and distance between alveolar crest and CEJ were measured. In addition, confounding variables (contact type, tooth type, tooth surface) were assessed. Furthermore, patients were asked about the use of other possible risk factors of bone loss like smoking, brushing, and flossing. The data were analyzed using Regression analysis.Results: Findings of this study showed that the relationship between caries and bone loss was significant (P=0.02). Also, there were significant relationships between flossing (P=0.03), tooth type (P=0.0001) tooth surface (P=0.02) and bone loss. Finally the multivariate analyses considering confounding variables illustrate significant relationship between caries and bone loss (P=0.0001(Conclusion: Caries and bone loss have important roles as the risk factors for each other. Thus, it is necessary to prevent these risk factors and treat them as soon as possible to reduce these diseases.

DRISPAC Polymers are one of the most effective groups of additives which are being used to depreclate the Water loss dulling muds.In this work performance of the mud-free-polymer is verified at various concentrations. Furthermore, the effect of polymer DRISP AC on Water loss behavior at a Water-based mud (Bentonite) is investigated at various concentrations.The results show that the polymer may be considered as an effective additive, and its effect on modification of the mud behavior may be more considerable with respect to the Bentonite. In addition, at high concentration the effect of the polymer is reduced.