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Question #: 291

Question: 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?

Current Solution

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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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?

  • 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?

  • How thick can the Greenbull cut and what kind of material? Wood, plastic, steel? I was also wondering if there is one anywhere in Nevada, Idaho or Utah that I could possibly see in action. Thanks

    The greenBull CNC machine kit can cut as thick as a material as you desire depending on the reach of the end mill that you provide the machine, if it is a straight vertical. The reason for this is that each pass is incremental (multiple passes at a certain depth per pass). For instance, if you need to cut a 2 inch thick piece of wood, you can make, say 3/4" passes until the target depth of 2 inches is met.

    The depth per pass, feedrate and RPM will be determined by the material: wood, plastic, metal and will also be determined by the end mill that is used for that material. Selecting the appropriate end mill is very important. Feedrate and RPM is important to make sure the end mill is as cool as it can be during the cutting process.

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    How thick can the Greenbull cut and what kind of material? Wood, plastic, steel? I was also wondering if there is one anywhere in Nevada, Idaho or Utah that I could possibly see in action. Thanks

  • Re: From Sketchup ... There are always software version problems with different computer setups. Please, what is the specific hardware and software used to make this system?

    I need more information to properly answer this question. Are you referring to computer hardware to make SketchUp work, or how to setup a CNC machine to work with SketchUp?

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    Re: From Sketchup ... There are always software version problems with different computer setups. Please, what is the specific hardware and software used to make this system?

  • I have a "Based on planet-cnc's diy cnc usb controller", I activated the output signal (mist, coolant or spindle) in the planetcnc software but at the output there is no voltage, what can I do to turn on this elements?

    On the Planet-CNC board, the Mist, Spindle and Coolant outputs will require a relay to switch on those devices. Test one of those terminals with a multi-meter (Mist, Coolant, or Spindle). Each of these terminals have a GND next to the terminal for the device.

    Test the voltage across the GND to the terminal with the arrow that you want to test. Go to the software and click on the device you want to test (mist, coolant or spindle) and note the voltage. If no voltage is output then check under the board to where the terminals are soldered. Re-test the terminals across the solder joints rather than the terminal block wire inputs. If you get a voltage, then there is a problem with the terminal block. If you don't get a voltage, then the board is not functioning properly.

    Additional Information:
    I activated the output signal.. I did the tests indicated and I did not get voltage. I heated the welds of the three outputs and now works coolant but no mist or spindle, what should I do?

    Additional Information:
    There are probably cold joints on the board at the chip or the resistors on the traces for those terminals. You can send the board back to us and we will repair and test the board.

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    I have a "Based on planet-cnc's diy cnc usb controller", I activated the output signal (mist, coolant or spindle) in the planetcnc software but at the output there is no voltage, what can I do to turn on this elements?

  • I have a "Based on planet-cnc's diy cnc usb controller", I activated the output signal (mist, coolant or spindle) in the planetcnc software but at the output there is no voltage, what can I do to turn on this elements?

    On the Planet-CNC board, the Mist, Spindle and Coolant outputs will require a relay to switch on those devices. Test one of those terminals with a multi-meter (Mist, Coolant, or Spindle). Each of these terminals have a GND next to the terminal for the device.

    Test the voltage across the GND to the terminal with the arrow that you want to test. Go to the software and click on the device you want to test (mist, coolant or spindle) and note the voltage. If no voltage is output then check under the board to where the terminals are soldered. Re-test the terminals across the solder joints rather than the terminal block wire inputs. If you get a voltage, then there is a problem with the terminal block. If you don't get a voltage, then the board is not functioning properly.

    Additional Information:
    I activated the output signal.. I did the tests indicated and I did not get voltage. I heated the welds of the three outputs and now works coolant but no mist or spindle, what should I do?

    Additional Information:
    There are probably cold joints on the board at the chip or the resistors on the traces for those terminals. You can send the board back to us and we will repair and test the board.

    Additional Information:
    If you want to troubleshoot this yourself, take a very close look at the traces from the terminal and follow them to the tiny resistors, then to the legs of the chip. If you see any bad or bridged solder joints, then those will need to be re-touched. It will take a somewhat experienced soldering individual to accomplish this task and will require flux to make sure the solder joints are fully joined.

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    I have a "Based on planet-cnc's diy cnc usb controller", I activated the output signal (mist, coolant or spindle) in the planetcnc software but at the output there is no voltage, what can I do to turn on this elements?

  • What gauge wire between the VFD and the 2.2K spindle? The spindle connection posts are very tiny, equivalent to 18 gauge, but that seems too small. What do you use?

    The type of wire that should be used between the spindle and the VFD (Variable Frequency Driver also called the inverter) should be of stranded type and we use between 18 and 16 AWG.

    The total current is divided among the three coil wires, therefor a wire gauge of 16 should be sufficient.

    Currently we use 20AWG 4 conductor.

    Additional Information:

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    What gauge wire between the VFD and the 2.2K spindle? The spindle connection posts are very tiny, equivalent to 18 gauge, but that seems too small. What do you use?

  • 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?

  • You built the first 36 inch Blue Chick for me. One of the V-Groove bearings on the X-axis froze. Is there a method of repairing this? Or do I order another and a spare. If so, what is the procedure to repair or order?

    If your bearing does not turn anymore, it is possible to repair the frozen bearing.

    You can carefully remove the shield on one side of the bearing. Use a very thin blade to remove the shield.

    Once the shield is removed, use WD-40 or kerosene to wash out and clean any debris that exists within the bearing. WD-40 is a cleaner, not a lubrication agent.

    You will then need to re-lubricate the bearing. Packing grease into the bearing will provide good protection not allowing too much metal on metal friction. There will be a layer of grease separating the ball bearings from the inner and outer races.

    If you have a production environment, you may want to purchase extra bearings so that you will not have any down time.

    If you have a rubber shield, just pry it out using any sharp object, like a utility knife. If your bearing has a metal shield, there may be a retaining ring along the outer race keeping the shield in place. Simply remove the retaining ring and the metal shield will fall out easily. If the metal shield does not have a retaining ring, that shield will not be able to be removed and a new bearing will need to be purchased to replace the frozen bearing.

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    You built the first 36 inch Blue Chick for me. One of the V-Groove bearings on the X-axis froze. Is there a method of repairing this? Or do I order another and a spare. If so, what is the procedure to repair or order?

  • The blackFoot 4'x8' CNC machine. Can Gantry be removed for festool track saw operation? A shared table situation. I am thinking that would be a no answer. But maybe a future design feature as run the gantry to far end and add a short opposite end section to allow a shared table set up.

    With our current models, that is a no. However our machines have the ability to be expanded length wise to the customer's choice. So you can design a share table if you add the required length of chain and rails and design the table accordingly to your specifications.

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    The blackFoot 4'x8' CNC machine. Can Gantry be removed for festool track saw operation? A shared table situation. I am thinking that would be a no answer. But maybe a future design feature as run the gantry to far end and add a short opposite end section to allow a shared table set up.

  • What resolution and level of repeatability can one usually expect from a kit-built cnc, and is there a significant difference between timing belt and chain drive systems?

    Repeatability is very good for these machines and can be as low as .001" depending on the way you control the machine. If you use the spindle, you can be moderately aggressive, but you will want to use a finishing pass to make sure the edges are exactly what you would expect. since this is a kit, there will be varying levels of repeatibility depending on how well the kit is assembled and maintained. Calibration, as with all machines, is a critical aspect of keeping repeatibility over time.

    Timing belts and chain are about the same when it comes to precision as long as the chain wraps most of the drive sprocket. There are differences to each of these systems as Kevlar with steel cables impregnated within the Kevlar and the steel used in roller chain have different coefficients of linear expansion (the expansion and contraction over temperature change), and roller chain may stretch over time, so it is important to maintain the machine by tensioning the chain and timing belt, and calibrating the machine over time and when the temperature changes significantly.

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    What resolution and level of repeatability can one usually expect from a kit-built cnc, and is there a significant difference between timing belt and chain drive systems?

  • I would like to know what the lowest rpm that can be acheived with the 2.2kw spindle and inverter and still have enough torque to drill

    According to the supplier of the 2.2 kW spindle, the safest operating speed for the spindle is 6000 RPM. The supplier also stated that theoretically, the spindle can operate from 0 to 24,000 RPM. I am continuing a dialog with the supplier to delve deeper into understanding the configurations and ramifications of such configurations for operations outside of the safe boundaries into the "theoretical" ranges.

    Additional Information:
    20

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    I would like to know what the lowest rpm that can be acheived with the 2.2kw spindle and inverter and still have enough torque to drill

  • WHY DO PEOPLE RECEIVED INFLUENZA VACCINE LAST YEAR STILL NEED TO GET VACCINATED THIS WHEN THE VIRUSES HAVEN'T CHANGED?

    Although the strains may sometimes be the same as in the previous year's vaccine, you should NOT use the previous season's vaccine you might still have in your refrigerator. Influenza vaccine distributed in the northern hemisphere expires on June 30 after each season; expired vaccine should NEVER be administered. Secondly, antibody titers that persons might have achieved from the previous year's vaccination will have waned and need to be boosted with a dose of the current year's vaccine.

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    WHY DO PEOPLE RECEIVED INFLUENZA VACCINE LAST YEAR STILL NEED TO GET VACCINATED THIS WHEN THE VIRUSES HAVEN'T CHANGED?

  • Do you have a model of the Fabricator pro that can be inclined line the lean? I have seen a few other machines on the market like this. Can we use Mach4 with the fabricator pro

    Yes, you can use Mach4 wtih the Fabricator Pro CNC machine.

    We have not designed a metal machine like the Fabricator Pro to lean more in the vertical orientation. Unfortunately, we haven't gotten any requests for that style of machine, and the greenLean, although a great machine and space saver, has not been our best seller.

    If we get more interest in this type of machine, we would have no problem designing a machine like this.

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    Do you have a model of the Fabricator pro that can be inclined line the lean? I have seen a few other machines on the market like this. Can we use Mach4 with the fabricator pro

  • My Question is about the 2.2kw spindle, because the thread start is so small I have a hard time centering the collet before it binds from tighting what have others done to overcome this

    Can you see any damage to the beginning of the thread on the shaft of the spindle, or any damage to the thread on the inside of the collet nut?

    Additional Information:
    There is no damage, I cannot put a tool in without removing the nut and collet when I go to tighten it, it starts to seat the collet and if I cannot hold the tool just right it is off center

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    My Question is about the 2.2kw spindle, because the thread start is so small I have a hard time centering the collet before it binds from tighting what have others done to overcome this

  • This question has been asked before: What happened to my Mach3 Motor Tune-up in the Configure tab, it has disappeared but had been there before. The previous answers were to go to config: motor tuning

    The Mach3 USB interface board requires 24V relays externally. There are no relays on the mach3 usb board. If you use an external relay on the mach3 usb board, the relay connects to the V+ which is 24V and the output pin is the return.

    Additional Information:
    I understand what you are saying. Does your relay board work with the Mach3 USB board? If not, what relay board do you suggest to work with this usb controller?

    Additional Information:
    Our relay board works with our parallel breakout board. An off the shelf SSR (Solid State Relay) made for 24V should work fine.

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    This question has been asked before: What happened to my Mach3 Motor Tune-up in the Configure tab, it has disappeared but had been there before. The previous answers were to go to config: motor tuning

  • This question has been asked before: What happened to my Mach3 Motor Tune-up in the Configure tab, it has disappeared but had been there before. The previous answers were to go to config: motor tuning

    Motor tuning is the third option down when you click the config menu option. I have never used the motor tuning dialog from anywhere else. If you are looking for the button to calibrate the axes, then go to the settings tab and click on the button that says "Set Steps per Unit".

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    This question has been asked before: What happened to my Mach3 Motor Tune-up in the Configure tab, it has disappeared but had been there before. The previous answers were to go to config: motor tuning

  • 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.

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

  • If i can get the autocadd drawings of the building mdf peices that need to be build are the plans detailed enough for me to make my own autocadd drawings? I have access to another machine to build my own.

    Yes, the plans are detailed sufficiently enough to produce CAD drawings. If you wish to create AutoCAD drawings from the plans that we provide, we ask that the information conform to the creative commons license established on this site.

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    If i can get the autocadd drawings of the building mdf peices that need to be build are the plans detailed enough for me to make my own autocadd drawings? I have access to another machine to build my own.

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