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Question #: 286

Question: WE'RE GLAD THAT CDC HAS MADE A UNIVERSAL INFLUENZA VACCINATION RECOMMENDATION TO VACCINATE EVERYONE 6 MONTHS AND OLDER. WOULD YOU TELL US HOW THIS CAME ABOUT?

Current Solution

Prior to the 2010-11 vaccination season, only children ages 6 months through 18 years and adults age 50 years and older were universally recommended for vaccination; recommendations for adults ages 19 through 49 years were targeted to people with specific risk factors, although other adults could be vaccinated if they wanted protection. Collectively, these targeted risk groups made up 85% of the U.S. population. During the 2009 H1N1 outbreak, additional risk groups were identified, such as obese individuals. The recommendation made by ACIP in February 2010 for universal vaccination simplifies previous recommendations, making it easier for healthcare providers to determine whom to vaccinate. The universal recommendation also makes it easier for patients to remember to get vaccinated every year.

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Other Possible Solutions to this Question

  • WE HAVE NOTICED THAT CDC RECOMMENDS BEGIN VACCINATING WITH SEASONAL INFLUENZA VACCINE AS EARLY SEPTEMBER OR EVEN EARLIER. DOES PROTECTION FROM DECLINE WANE WITHIN 3 4 MONTHS OF VACCINATION? SHOULD I WAIT UNTIL OCTOBER NOVEMBER TO VACCINATE MY ELDERLY MEDICALLY FRAIL PATIENTS?

    CDC recommends that seasonal influenza vaccine be administered to all age groups as soon as it becomes available. Antibody to seasonal inactivated influenza vaccine declines in the months following vaccination. However, antibody level at a point several months after vaccination does not necessarily correlate with clinical vaccine effectiveness. There are no studies that compare vaccine effectiveness according to the month when the vaccination was given. The authors of a review on antibody declines among the elderly after vaccination reported, "In conclusion, we found no compelling evidence for more rapid decline of the influenza vaccine-induced antibody response in the elderly, compared with young adults, or evidence that seroprotection is lost at 4 months if it has been initially achieved after immunization." (See Skowronski, et al., Rapid Decline of Influenza Vaccine-Induced Antibody in the Elderly: Is it Real, or Is It Relevant? Journal of Infectious Diseases 2008;197:490-502).In addition, there is a lack of evidence for late-season outbreaks among vaccinated persons that can be attributed to waning immunity.

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    WE HAVE NOTICED THAT CDC RECOMMENDS BEGIN VACCINATING WITH SEASONAL INFLUENZA VACCINE AS EARLY SEPTEMBER OR EVEN EARLIER. DOES PROTECTION FROM DECLINE WANE WITHIN 3 4 MONTHS OF VACCINATION? SHOULD I WAIT UNTIL OCTOBER NOVEMBER TO VACCINATE MY ELDERLY MEDICALLY FRAIL PATIENTS?

  • WE'VE HEARD THAT ACIP HAS LIMITED THE USE OF ONE INFLUENZA VACCINE PRODUCTS FOR CHILDREN BEGINNING WITH 2010-11 VACCINATION SEASON. TRUE?

    Yes. You are referring to Afluria, which is manufactured in Australia by CSL Laboratories for the U.S. market. CSL's 2010 Southern Hemisphere influenza vaccine (Fluvax and Fluvax Junior) has been associated with increased post-marketing reports of fever and febrile seizures in children predominantly younger than age 5 years as compared to previous years. For this reason, on August 5, 2010, ACIP recommended that Afluria, 0.5 mL, licensed for use in people age 36 months and older, not be used in children younger than age 9 years. ACIP further recommended that Afluria could be administered to children ages 5 through 8 years who are at high risk for influenza complications if there is no other age-appropriate TIV available, after risks and benefits of using this vaccine in this age group have been discussed with the parent or guardian. The vaccine should not be given to children younger than age 5 years. For detailed information, go to www.cdc.gov/media/pressrel/2010/s100806.htm.

    Click the link to add information to this solution:
    WE'VE HEARD THAT ACIP HAS LIMITED THE USE OF ONE INFLUENZA VACCINE PRODUCTS FOR CHILDREN BEGINNING WITH 2010-11 VACCINATION SEASON. TRUE?

  • IF A CHILD RECEIVES INFLUENZA VACCINE AT AGE 34 OR 35 MONTHS FOR THE FIRST TIME (0.25 ML DOSE) AND THEN RETURNS SECOND DOSE 37 MONTHS, SHOULD WE GIVE ANOTHER 0.25 0.5 THAT INDICATED AGES 3 OLDER?

    The child should always receive the dose appropriate for his or her age at the time of the clinic visit; at age 37 months that would be 0.5 mL.

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    IF A CHILD RECEIVES INFLUENZA VACCINE AT AGE 34 OR 35 MONTHS FOR THE FIRST TIME (0.25 ML DOSE) AND THEN RETURNS SECOND DOSE 37 MONTHS, SHOULD WE GIVE ANOTHER 0.25 0.5 THAT INDICATED AGES 3 OLDER?

  • I have your mach3 USB BoB, do you guys sell a torch control relay I can wire up to turn my plasma torch on and off and how I would wife that too this BoB?
  • I HAVE YOUR MACH3 USB BOB, DO YOU GUYS SELL A TORCH CONTROL RELAY CAN WIRE UP TO TURN MY PLASMA ON AND OFF HOW WOULD WIFE THAT TOO THIS BOB?

    We do have a relay board that words like a standard relay.

    Here is the URL of the relay board that we offer:

    https://www.buildyourcnc.com/item/electronicsAndMotors-breakout-Relays-relay-board-250V-12A-5V

    Click the link to add information to this solution:
    I HAVE YOUR MACH3 USB BOB, DO YOU GUYS SELL A TORCH CONTROL RELAY CAN WIRE UP TO TURN MY PLASMA ON AND OFF HOW WOULD WIFE THAT TOO THIS BOB?

  • SOME OF MY PATIENTS REFUSE INFLUENZA VACCINATION BECAUSE THEY INSIST "GOT THE FLU" AFTER RECEIVING INJECTABLE VACCINE IN PAST. WHAT CAN I TELL THEM?

    There are several reasons why this misconception persists: (1) Less than 1% of people who are vaccinated with the injectable vaccine develop flu-like symptoms, such as mild fever and muscle aches, after vaccination. These side effects are not the same as having influenza, but people confuse the symptoms. (2) Protective immunity doesn't develop until 1–2 weeks after vaccination. Some people who get vaccinated later in the season (December or later) may get influenza shortly afterward. These late vaccinees develop influenza because they were exposed to someone with the virus before they became immune. It is not the result of the vaccination. (3) To many people "the flu" is any illness with fever and cold symptoms. If they get any viral illness, they may blame it on the flu shot or think they got "the flu" despite being vaccinated. Influenza vaccine only protects against certain influenza viruses, not all viruses. (4) The influenza vaccine is not 100% effective, especially in older persons. For more information on this topic, go to: www.cdc.gov/flu/professionals/vaccination/effectivenessqa.htm

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    SOME OF MY PATIENTS REFUSE INFLUENZA VACCINATION BECAUSE THEY INSIST "GOT THE FLU" AFTER RECEIVING INJECTABLE VACCINE IN PAST. WHAT CAN I TELL THEM?

  • LIMIT SWITCHES FOR AXIS. THE PRINT SHOWS THAT YOU CAN WIRE LIMITS EITHER N.O. OR N.C. SO IF THIS IS CORRECT I WOULD NEED TO TELL BOARD IN SOFTWARE HOW LOOK AT THESE LIMITS, I'M GOING GET AN INPUT LOOSE DEPEND ON IT.

    BYCNC Response:
    This is correct. You will need to use a method appropriate for the software you are using. Also remember that NC switches are typically wired in series, while NO switches are normally wired in parallel.

    User Response:
    I am using the cnc planet software for your USB board. Are the limit configurations in this software?

    BYCNC Response:
    Yes, Planet CNC software is compatible with the use of limit switches. Configuration information will depend on your specific application. You can view Planet CNC's information here: http://www.planet-cnc.com/files/CNCUSBController.pdf

    Click the link to add information to this solution:
    LIMIT SWITCHES FOR AXIS. THE PRINT SHOWS THAT YOU CAN WIRE LIMITS EITHER N.O. OR N.C. SO IF THIS IS CORRECT I WOULD NEED TO TELL BOARD IN SOFTWARE HOW LOOK AT THESE LIMITS, I'M GOING GET AN INPUT LOOSE DEPEND ON IT.

  • IF AN UNVACCINATED PATIENT HAS JUST RECOVERED FROM A DIAGNOSED CASE OF INFLUENZA COMES INTO OUR CLINIC, SHOULD WE VACCINATE HIM?

    Yes. Influenza vaccine commonly contains three influenza vaccine virus strains; two for A viruses and one for a B virus which are prepared based on circulating viruses from the previous influenza season. Infection from one virus type does not confer immunity to other types and it would not be unusual to have exposure to more than one type during a typical influenza season. By all means, vaccinate this person!

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    IF AN UNVACCINATED PATIENT HAS JUST RECOVERED FROM A DIAGNOSED CASE OF INFLUENZA COMES INTO OUR CLINIC, SHOULD WE VACCINATE HIM?

  • What would be your recommendation for "power supply 2 (24vdc)" connecting to USB motion card? Are there any videos explaining it's connection to the relay coil? (not quite sure what relay coil is)

    A 24V connection to the USB motion card is only needed if you are using limit switches (inputs), powering the spindle/VFD speed and direction, and for the outputs, for powering other devices (mist, coolant, etc.).

    If you are using a VFD (Variable Frequency Drive, also called Inverter) for a spindle, they typically have a 24V out terminal that can be used with our USB motion card. If you are not using a spindle/VFD (we highly recommend one), then you will need to purchase a 24v power supply to power that side of the board.

    The outputs mentioned above are to connect to external devices and will require a relay (a mechanical switch that is controlled by a digital signal). This mechanical switch can turn on a device like coolant and mist, or even a router, if you are using one. A relay is required to turn on these devices because the devices are typically higher voltage, like mains (110v or 220v). So, a relay can turn on or off a high voltage device with a lower voltage (24v) signal.

    Click the link to add information to this solution:
    What would be your recommendation for "power supply 2 (24vdc)" connecting to USB motion card? Are there any videos explaining it's connection to the relay coil? (not quite sure what relay coil is)

  • WE ARE ALWAYS CONCERNED THAT THERE WON'T BE ENOUGH VACCINE TO VACCINATE OUR PATIENTS IN THE FALL. WHAT CAN DO ASSURED WE'VE DONE ALL POSSIBLY AVOID THIS TYPE OF SITUATION?

    It is never too early to begin planning for the coming fall's influenza vaccination program. The most important thing you can do initially is to place your order for vaccine from your usual source. Some manufacturers often stop taking pre-orders in mid-May. Be sure to include vaccine for pediatric patients needing two doses and also for your facility's healthcare workers as part of your overall campaign.

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    WE ARE ALWAYS CONCERNED THAT THERE WON'T BE ENOUGH VACCINE TO VACCINATE OUR PATIENTS IN THE FALL. WHAT CAN DO ASSURED WE'VE DONE ALL POSSIBLY AVOID THIS TYPE OF SITUATION?

  • [596] I am new to CNCs, curious to know what I need to look for in a pendant that would be compatible with this board and Mach4?

    I recommend using a wireless pendant rather than one that is wired to the controller.

    Here is a link to one on Amazon.com: https://amzn.to/3r3AfTm

    This is an affiliate link.

    Click the link to add information to this solution:
    [596] I am new to CNCs, curious to know what I need to look for in a pendant that would be compatible with this board and Mach4?

  • I'VE BUFFERED A PWM SIGNAL TO 0-10V ANALOG AND I WOULD LIKE USE THAT RUN YOUR 110V 2.2KW SPINDLE VFD. COULD YOU PLEASE DETAIL THE CORRECT WIRING VFD SETTINGS GET WORKING?

    This will depend on the VFD you have to identify the correct terminal. The terminal on the VFD will be labeled AI1 typically (Analog Input #1). You will also need to make sure to complete the PWM circuit using the GND terminal on the VFD.

    Additional Information:
    I have wired my 0-10V signal to the AI1 and GND terminals as suggested. I have also set the PD-01 and PD-02 settings to 1. Still nothing. Is there something else that I am missing?

    Additional Information:
    Thanks for the information. Can you let me know the model of the VFD that you have?

    Additional Information:
    VFD Model # YL600-2S-2K20

    Additional Information:
    Thanks. I will check our resources and documentation to see if there is another programming setting that needs to be changed.

    Additional Information:
    Does your VFD have a VI terminal?

    Additional Information:
    No, it does not. The terminals for this VFD are as follows (seperated by dashes "-").

    10V-AI1-AO2-PLC-DI5-DI3-DI1-COM
    AI2-GND-AO1-DI6-DI4-DI2-FM-24V

    Additional Information:
    Do you have a PD070 parameter?

    PD070 is the main Analog Input parameter.

    The options for that parameter is:
    0: 0-10V
    1: 0-5V
    2: 0-20mA
    3: 4-20mA
    4: 0-10V (4-20mA Stacked)
    5: XIA
    6: (VI+XIA)/2
    7: (3VA+XIA)/4
    8: (XIA_XIB)/2
    9: Max (XIA, XIB)
    10: Min (XIA, XIB)


    Additional Information:
    There is a PD-00 thru PD-09. PD-07 is currently set to 0.

    Additional Information:
    It appears that the manual I’m using “Titled YL600” is not the same as your unit. I will check our manuals and find the one that has only PD-00 to PD-09.

    Additional Information:
    For that VFD, the parameters are P0. The 0 may look like a D on the display.

    The parameters that need to be changed for the AI1 to work (Brackets [] around the correct selection):

    P0-01: First Motor Control Mode
    - 0: Sensorless Vector Control
    - 1: Flux Vector Control (FVC)
    - [2]: V/F Control

    P0-02: Options of Command Source
    - 0: Operation Panel Command Channel (LED will be off)
    - [1]: Terminal Command Channel (LED will be on)
    - 2: Communication Command Channel (LED will flicker)

    P0-03: Options of Principle Frequency Source X
    - 0: Digital Setting (Preset Frequency P0-08, UP/DOWN modifiable, no power-down memory)
    - 1: Digital Setting (Preset Frequency P0-08, UP/DOWN modifiable, with power-down memory)
    - [2]: AI1
    - 3: AI2
    - 4: AI3
    - 5: Pulse Setting (DI5)
    - 6: Multi Speed Instruction
    - 7: Simple PLC
    - 8: PID (Proportional Integral Derivative Control)
    - 9: Communication Given

    P0-11: Upper Limit Frequency Source
    - 0: P0-12 (Make sure the P0-12 parameter has the correct max frequency if used)
    - [1]: AI1
    - 2: AI2
    - 3: AI3
    - 4: Pulse Setting
    - 5: Communication Given

    P0-27: Command Source Bundle with Frequency Sources
    Single Digit: Options of Operation Panel Command Bundle with Frequency Sources
    - 0: No Bundling
    - 1: Digital Setting Frequency
    - [2]: AI1
    - 3: AI2
    - 4: AI3
    - 5: Pulse Setting (DI5)
    - 6: Multi Speed Instruction
    - 7: Simple PLC
    - 8: PID
    - 9: Communication Given
    Double Digit: Options of Terminal Command Bundle with Frequency Sources
    Hundred Place: Options of Communication Command Bundle with Frequency Sources
    Kilobit: Options of Automatic Operation Bundle with Frequency Sources

    P2-09: Upper Limit Source of Lower Torque Under Speed Control Mode
    - 0: Function Code P2-10 Setting
    - [1]: AI1
    - 2: AI2
    - 3: AI3
    - 4: Pulse Setting
    - 5: Communication Given
    - 6: MIN (Al1, Al2)
    - 7: MAX (Al1, Al2)
    - Maximum range for options 1-7, accords with P2-10

    If you elect to use a different AI#, then configure the parameters (P0-03, P0-11, P0-27 and P2-09) accordingly.

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    I'VE BUFFERED A PWM SIGNAL TO 0-10V ANALOG AND I WOULD LIKE USE THAT RUN YOUR 110V 2.2KW SPINDLE VFD. COULD YOU PLEASE DETAIL THE CORRECT WIRING VFD SETTINGS GET WORKING?

  • What would be your recommendation for "power supply 2 (24vdc)" connecting to USB motion card?

    A 24V connection to the USB motion card is only needed if you are using limit switches (inputs), powering the spindle/VFD speed and direction, and for the outputs, for powering other devices (mist, coolant, etc.).

    If you are using a VFD (Variable Frequency Drive, also called Inverter) for a spindle, they typically have a 24V out terminal that can be used with our USB motion card. If you are not using a spindle/VFD (we highly recommend one), then you will need to purchase a 24v power supply to power that side of the board.

    The outputs mentioned above are to connect to external devices and will require a relay (a mechanical switch that is controlled by a digital signal). This mechanical switch can turn on a device like coolant and mist, or even a router, if you are using one. A relay is required to turn on these devices because the devices are typically higher voltage, like mains (110v or 220v). So, a relay can turn on or off a high voltage device with a lower voltage (24v) signal.

    Click the link to add information to this solution:
    What would be your recommendation for "power supply 2 (24vdc)" connecting to USB motion card?

  • WHICH OF OUR PEDIATRIC PATIENTS WILL NEED 2 DOSES INFLUENZA VACCINE FOR THE 2011–12 VACCINATION SEASON?

    ACIP's influenza recommendations for children age 6 months through 8 years have changed for the 2011–12 season. According to the new algorithm, certain children need 2 doses of influenza vaccine this influenza season, separated by at least 4 weeks. Here is a summary:

    • Children age 6 months through 8 years who did not receive AT LEAST 1 dose of the 2010–11 vaccine should receive 2 doses, separated by at least 4 weeks, REGARDLESS of their previous influenza vaccination history.
    • Children age 6 months through 8 years whose influenza vaccination status from the previous season is not known should also receive 2 doses at least 4 weeks apart.
    • Children age 6 months through 8 years who received 1 dose of seasonal influenza vaccine during the 2010–11 season need ONLY 1 dose this season. This is because the vaccine strains are the same this season as last season.

    You may find this Immunization Action Coalition handout helpful: www.immunize.org/catg.d/p3093.pdf.

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    WHICH OF OUR PEDIATRIC PATIENTS WILL NEED 2 DOSES INFLUENZA VACCINE FOR THE 2011–12 VACCINATION SEASON?

  • HOW LATE IN THE SEASON CAN I VACCINATE MY PATIENTS WITH INFLUENZA VACCINE?

    Peak influenza activity does not generally occur until February. Providers are encouraged to continue vaccinating patients throughout the influenza season, including into the spring months (e.g., through May), as long as they have vaccine in the refrigerator and unvaccinated patients in their office.

    Because influenza occurs in many areas of the world during April through September, vaccine should be given to travelers who missed vaccination in the preceding fall and winter. Another late season use of vaccine is for children younger than age 9 years who were vaccinated for the first time in the current vaccination season but failed to get their second dose. For each of these situations, vaccine can be given through the month of June since injectable influenza vaccine customarily has a June 30 expiration date.

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    HOW LATE IN THE SEASON CAN I VACCINATE MY PATIENTS WITH INFLUENZA VACCINE?

  • The relay doesn't have a A+ B - it has signal in god. 5v. / 0 S P. This has to go to my USB motion card wiring shows v+ goes to top of coil no number and comes out the bottom to #2 the relay I got from you is not that simple

    The relay is only used for devices like routers, spindles, coolant, mist, etc. The relay works like an automatic switch and will allow current to pass when the relay is engaged.

    Click the link to add information to this solution:
    The relay doesn't have a A+ B - it has signal in god. 5v. / 0 S P. This has to go to my USB motion card wiring shows v+ goes to top of coil no number and comes out the bottom to #2 the relay I got from you is not that simple

  • I LIVE IN ITALY AND WISH TO KNOW MORE ABOUT RADIATIONS CAUSED FROM MOBILE TELEPHONES. TELECOM WOULD LIKE PLACE A WIRE-ANTENNA THE HEARTH OF MY TOWN, I'M AFRAID IT. WHICH KIND RISK HEALTH COULD IT CAUSE? THANK YOU IF WILL SEND ME SOME INFORMATION SCIENTIFIC ARTICLES THIS PROBLEM!

    See the question on our "Ask the Expert" question-and-answer list on cellular towers under nonionizing radiation for a discussion of RF safety issues associated with cellular radios. The technology underlying cellular radios and base station antennas is similar around the world, but there are differences in systems design and RF safety limits in different countries. For a summary of cellular radio RF safety issues with attention to international differences see the excellent Web page, Cellular Phone Antennas (Base Stations) and Human Health, by John E. Molder, Ph.D., from the Medical College of Wisconsin. Gary H. Zeman Sc.D., CHP

    Click the link to add information to this solution:
    I LIVE IN ITALY AND WISH TO KNOW MORE ABOUT RADIATIONS CAUSED FROM MOBILE TELEPHONES. TELECOM WOULD LIKE PLACE A WIRE-ANTENNA THE HEARTH OF MY TOWN, I'M AFRAID IT. WHICH KIND RISK HEALTH COULD IT CAUSE? THANK YOU IF WILL SEND ME SOME INFORMATION SCIENTIFIC ARTICLES THIS PROBLEM!

  • I have a BlueChick that came with the 5-Axis Bread-Out Board V5 (parallel port), it has 3xCW230, how to configure it on LinuxCNC?

    Strictly to the point. Assuming:
    -You have a working linuxcnc install with a compatible parallel port
    -You have wired Bread-Out Board V5 to the motor drivers so you know which pins are for which signals(watch video tutorials for that on this site)
    -You have wired motors to motor drivers (watch video tutorials for that on this site)

    a)We need to know the base parallel port addres, for that you need to input on a linux terminal the command:

    #lspci -v

    You can scroll up and down the result with page up and page down. Look for a "Parallel Port..." line, the value you are looking for is the "I/O Ports at.." Write them down

    To get the Base Period Maximun Jitter, go to
    applications - cnc - Latency Test

    Now you should let that window running for a while, so it calculates an accurate jitter, go watch the tutorial videos for the connections between the Bread-Out Board and the motor controllers.

    After its been running for half an hour or so with the machine in use, write down the calculated jitter values, mine was Servo Thread - 39000

    Now close the Latency test dialog

    b)Go to applications - cnc - stepconfwizard
    "START" - Create a new config
    Check - Create Desktop Shortcut to config files
    Check - Create Desktop Shortcut to start linuxcnc with this config
    FORWARD

    c)"BASE INFORMATION"
    Fill in a Machine Name that suits you
    Bluechick is XYZ on inches
    Fill in the Base Period Maximun Jitter with the value obtained in "a)"

    FORWARD

    d)If you watched the tutorials on a) and b) you know the pin numbers for your signals.
    Parport Base Address you need to put the value obtained in a), mine was cf00
    Output pinout presets I used Sherline

    FORWARD
    FORWARD

    e)Axis X (chain and sprocket axis)
    Data for bluechick from build yourcnc
    Motor Steps per revolution 200
    Microstepping 64 (that if you followed tutorials, change if you have different)
    Pulley teeth 1 ; 1
    Leadscrew Pitch 0.444444 (that value comes from 1rev / (.25 in * 9 teeth))
    Maximun Velocity 10
    Maximun Acceleration 0.5
    Home location 0.0
    Table travel 0.0 to 34.0 (maybe you want to change this later)

    Now, you can do "Test this axis" and jog it (move it!) Try to position everything in the middle (you will be doing it axis by axis) and select
    "+ 0.5 in" Hit run, I used a pencil held at the gantry and paper to draw a line, then confirmed that the measurement was 0.5 in. Also tried with "+/- 0.5 in" and confirmed 1" measurement

    FORWARD when happy with your Axis X

    Repeat for Axix Y but the table travel is 0.0 to 12.0

    f)AXIS Z
    With data from buildyourcnc.com
    Motor Steps per rev 200
    Driver Microstepping 16 (as recommended for lead screw)
    Pulley teeth 1 ; 1
    Leadscrew Pitch 2
    Max Vel 2.5
    Max Accel 0.5

    Table travel 0.0 to 3.5

    Test, and FORWARD when happy

    g)After configured you can go to
    Applications - cnc - LinuxCNC, and there you go...




    Additional Information:
    ... Still think that there should be a tutorial for this part.

    Additional Information:
    oh¡ Forgot to tell, the config shortcut will be available on our Desktop, launch linuxCNC from there

    Click the link to add information to this solution:
    I have a BlueChick that came with the 5-Axis Bread-Out Board V5 (parallel port), it has 3xCW230, how to configure it on LinuxCNC?

  • I recently purchase the BlackToe v2.1 (4x8) at a local school auction. The table is complete, however, it is missing the spindle and came in 4 (four) separate pieces. Are there plans for this machine that I would be able to use to reconstruct and determine if anything else is missing.
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