Health, education, and social care provision after diagnosis of childhood visual disability

Aim: To investigate the health, education, and social care provision for children newly diagnosed with visual disability.Method: This was a national prospective study, the British Childhood Visual Impairment and Blindness Study 2 (BCVIS2), ascertaining new diagnoses of visual impairment or severe visual impairment and blindness (SVIBL), or equivalent vi-sion. Data collection was performed by managing clinicians up to 1-year follow-up, and included health and developmental needs, and health, education, and social care provision.Results: BCVIS2 identified 784 children newly diagnosed with visual impairment/SVIBL (313 with visual impairment, 471 with SVIBL). Most children had associated systemic disorders (559 [71%], 167 [54%] with visual impairment, and 392 [84%] with SVIBL). Care from multidisciplinary teams was provided for 549 children (70%). Two-thirds (515) had not received an Education, Health, and Care Plan (EHCP). Fewer children with visual impairment had seen a specialist teacher (SVIBL 35%, visual impairment 28%, χ2p < 0.001), or had an EHCP (11% vs 7%, χ2p < 0 . 01).Interpretation: Families need additional support from managing clinicians to access recommended complex interventions such as the use of multidisciplinary teams and educational support. This need is pressing, as the population of children with visual impairment/SVIBL is expected to grow in size and complexity.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited

A systematic survey of RUM process parameter optimization and their influence on part characteristics of nickel 718

Abstract This research is focused on the drilling of Nickel based super alloy with diamond metal core drill and identified the significant parameters of rotary ultrasonic machining that optimise the machining rate (MR) and surface quality. Four general parameters: workpiece material, workpiece thickness, tool material, and tool size; and four RUM parameters: tool rotational, feed rate, ultrasonic power rating, and abrasive grit size of the tool were tested against and surface quality of the cut. The results indicated that the maximum value of MR of 0.8931mm3/sec is acquired at higher level of tool rotation, feed rate, ultrasonic power and moderate level of abrasive grit size of diamond. The minimum surface roughness (R a ) 0.554 µm is observed at higher level of rotational rotation, Moderate value of feed rate, ultrasonic power and diamond abrasive grit size. In addition, for single-objective and multi-objective functions, the particle swarm optimization (PSO) approach is used to find the optimum values for process parameters. Furthermore, a scanning electron microscope is also utilized to check the machined surface after RUM. It is concluded that microcracks are observed on the machined surface

Metastasis from Penile Squamous Cell Carcinoma to Brain: A Case Report and Review of Literature

AbstractWe report a very rare case of a 63-year-old man with penile carcinoma who developed brain metastasis. Brain metastasis from penile carcinoma is very rare, and only six cases have been reported so far as per our literature review. In view of controlled primary tumor and absence of systemic disease, tumor was excised and the patient remained clinically controlled till 3 months after follow-up.</jats:p

A systematic survey of RUM process parameter optimization and their influence on part characteristics of nickel 718

AbstractThis research is focused on the drilling of Nickel based super alloy with diamond metal core drill and identified the significant parameters of rotary ultrasonic machining that optimise the machining rate (MR) and surface quality. Four general parameters: workpiece material, workpiece thickness, tool material, and tool size; and four RUM parameters: tool rotational, feed rate, ultrasonic power rating, and abrasive grit size of the tool were tested against and surface quality of the cut. The results indicated that the maximum value of MR of 0.8931mm3/sec is acquired at higher level of tool rotation, feed rate, ultrasonic power and moderate level of abrasive grit size of diamond. The minimum surface roughness (Ra) 0.554 µm is observed at higher level of rotational rotation, Moderate value of feed rate, ultrasonic power and diamond abrasive grit size. In addition, for single-objective and multi-objective functions, the particle swarm optimization (PSO) approach is used to find the optimum values for process parameters. Furthermore, a scanning electron microscope is also utilized to check the machined surface after RUM. It is concluded that microcracks are observed on the machined surface.</jats:p

Health, education, and social care provision after diagnosis of childhood visual disability

Aim: To investigate the health, education, and social care provision for children newly diagnosed with visual disability. Method: This was a national prospective study, the British Childhood Visual Impairment and Blindness Study 2 (BCVIS2), ascertaining new diagnoses of visual impairment or severe visual impairment and blindness (SVIBL), or equivalent vision. Data collection was performed by managing clinicians up to 1-year follow-up, and included health and developmental needs, and health, education, and social care provision. Results: BCVIS2 identified 784 children newly diagnosed with visual impairment/SVIBL (313 with visual impairment, 471 with SVIBL). Most children had associated systemic disorders (559 [71%], 167 [54%] with visual impairment, and 392 [84%] with SVIBL). Care from multidisciplinary teams was provided for 549 children (70%). Two-thirds (515) had not received an Education, Health, and Care Plan (EHCP). Fewer children with visual impairment had seen a specialist teacher (SVIBL 35%, visual impairment 28%, χ2 p &lt; 0.001), or had an EHCP (11% vs 7%, χ2 p &lt; 0.01). Interpretation: Families need additional support from managing clinicians to access recommended complex interventions such as the use of multidisciplinary teams and educational support. This need is pressing, as the population of children with visual impairment/SVIBL is expected to grow in size and complexity. What this paper adds: One year after visual disability diagnosis, one in three children had not received the recommended care from a multidisciplinary team. Two-thirds had not yet received the recommended Education, Health, and Care Plan. There is an under-provision of recommended care, despite significant and complex need.</p