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Question #: 298

Question: WHAT THE RECOMMENDED INTERVAL FOR RECEIVING INFLUENZA VACCINE AFTER AN ALLERGY INJECTION?

Current Solution

Vaccines can be administered at any time before or after administration of an "allergy injection."

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Other Possible Solutions to this Question

  • 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?

  • A VACCINE INFORMATION STATEMENT (VIS) MANDATORY OR IT ONLY RECOMMENDED WHEN ADMINISTERING INFLUENZA VACCINE?

    As of January 1, 2006, the use of a VIS for influenza vaccine given to a child or an adult became mandatory under the National Vaccine Injury Compensation Program. Two VISs are published annually, one for LAIV and one for TIV. Each can be found at www.immunize.org/vis along with many translations.

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    A VACCINE INFORMATION STATEMENT (VIS) MANDATORY OR IT ONLY RECOMMENDED WHEN ADMINISTERING INFLUENZA VACCINE?

  • INFLUENZA VACCINE RECOMMENDED FOR PREGNANT WOMEN?

    Yes. It is especially important to vaccinate pregnant women because of their increased risk for influenza-related complications. An increased risk of severe influenza infection was also observed in postpartum women (those delivered within the previous 2 weeks) during the 2009–2010 H1N1 pandemic. Vaccination can occur in any trimester, including the first. Only inactivated (injectable or TIV) vaccine should be given to pregnant women.

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    INFLUENZA VACCINE RECOMMENDED FOR PREGNANT WOMEN?

  • A FIVE-YEAR-OLD CHILD RECEIVED HER SECOND MMR WEEK AGO. HOW LONG SHOULD SHE WAIT BEFORE RECEIVING LIVE ATTENUATED INFLUENZA VACCINE (LAIV)?

    LAIV can be administered simultaneously with another live vaccine (e.g., MMR, varicella), but if not given at the same time, ACIP recommends waiting four weeks before administering the second live vaccine.

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    A FIVE-YEAR-OLD CHILD RECEIVED HER SECOND MMR WEEK AGO. HOW LONG SHOULD SHE WAIT BEFORE RECEIVING LIVE ATTENUATED INFLUENZA VACCINE (LAIV)?

  • While motor tuning what are the recommended steps per inch, velocity, and acceleration for the GreenBull CNC?

    In the customer service live, just enter "motor tuning" and it will give you a list of all the recommended or default settings for our machines. However the acceleration and velocity for the greenBull(other machines) will be an actual determination on your trials. You will want the highest possible acceleration and velocity without the motors stalling, so you can do increments of ten to be on the safe side, if it is too slow try increments of 25.

    The steps per inch is dependent on the microstepping:
    Steps/Inch for the x and y
    Steps = 200 motor steps per revolution x 16 microsteps = 3200 steps
    Inches = sprocket number of teeth x pitch of the sprocket = 14 x .25" = 3.5 inches
    steps/inch = 3200 / 3.5 = 914.28
    This is really a starting point. You will then need to use the mach3 calibration function to get the perfect steps/inch value. Use as long a measurement as possible when calibrating.

    Velocity:
    Start with a value of 1000 ipm. Increase this value with a relatively low acceleration at about 10. You will notice at a particular velocity that it will stall. This is your stall velocity. I would take the stall velocity and reduce it by about 30% to 50% which should give you a good final safe velocity.

    Acceleration:
    Once the velocity is found, raise the acceleration until it start to stall at a low velocity. Reduce the acceleration by about the same percentage to stick with a safe acceleration.

    The acceleration is mostly dependent on torque (current) and the top speed is dependent on the amount of voltage.

    Give some tests with all of the axes running at the same time. If you notice and stalling, reduce velocities and acceleration depending on when the stall happens (top end, or acceleration curve).


    X-axis
    “CW8060 (6.0A) Driver”
    Set to 5.43A, 1/16 Microstep
    Dipswitches: 01100110 (“0”=down, “1”=up)
    Mach3 Motor Tuning: 914.29 steps/in
    Y-axis
    “CW8060 (6.0A) Driver”
    Set to 5.43A, 1/16 Microstep
    Dipswitches: 01100110
    Mach3 Motor Tuning: 914.29 steps/in
    Z-axis
    “CW8060 (6.0A) Driver”
    Set to 5.43A, 1/4 Microstep
    Dipswitches: 01100100
    Mach3 Motor Tuning: 1600 steps/in

    Additional Information:


    Additional Information:


    Additional Information:
    4th axis


    Additional Information:

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    While motor tuning what are the recommended steps per inch, velocity, and acceleration for the GreenBull CNC?

  • What is the recommended unit or brand of CPU cooling system for the 2.2 kw spindle on the Fabricator Pro machine

    There really isn't any specific brand. We purchase the components in a disparate fashion from China. I will product a video today that shows all of the components that we use and also offer the components on the website.

    From the upcoming video, you will be able to identify the parts is you feel you want to search for these components yourself.

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    What is the recommended unit or brand of CPU cooling system for the 2.2 kw spindle on the Fabricator Pro machine

  • 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?

  • RECOMMENDED TO GET VACCINATED AGAINST INFLUENZA (THE FLU)?

    Beginning with the 2010-11 vaccination season, ACIP recommends annual vaccination for all people ages 6 months and older who do not have a contraindication to the vaccine.

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    RECOMMENDED TO GET VACCINATED AGAINST INFLUENZA (THE FLU)?

  • Motor tuning. While motor tuning what are the recommended steps per inch, velocity, and acceleration for the BlackFoot CNC?

    These are the recommend values(default) for our blackFoot CNC machine, the acceleration and velocity can be adjusted as high as the motor can rotate without stalling! Suggested increment's will be by 10's.

    blackFoot:
    X-axis
    “CW8060 (6.0A) Driver”
    Set to 1/16 Microstep, 5.43A
    Dipswitches: 01100110 (“0”=down, “1”=up)
    Mach3 Motor Tuning: 914.29 steps/in, Velocity 400.02, Acceleration 4
    Y-axis
    “CW230 (3.0A) Driver”
    Set to 1/16 Microstep, 2.7A
    Dipswitches: 11001100
    Mach3 Motor Tuning: 1422.22 steps/in, Velocity 400.02, Acceleration 4
    Z-axis
    “CW230 (3.0A) Driver”
    Set to 1/4 Microstep, 2.7A
    Dipswitches: 10101100
    Mach3 Motor Tuning: 1600 steps/in, Velocity 79.98, Acceleration 5

    Additional Information:
    how can we tuning the CNC motor

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    Motor tuning. While motor tuning what are the recommended steps per inch, velocity, and acceleration for the BlackFoot CNC?

  • 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?

  • 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?

  • 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?

  • WHAT ARE CURRENT RECOMMENDED IEEE EMF OCCUPATIONAL EXPOSURE LEVELS AND GUIDELINES FOR RADIO BASE STATION ANTENNAS?

    The following answer assumes "radio Base Station Antennas" refers to base stations used for personal wireless communications services such as cellular telephone, Personnel Communications Services (PCS), and Enhanced Specialized Mobile radio (ESMR). In the United States, the frequency band allocated for base stations used for personal wireless communications is 869-894 MHz for cellular service, 851-866 MHz for ESMR, and 1930-1990 MHz for PCS. The IEEE exposure limits (maximum permissible exposure—MPE) for occupational exposure (controlled environments where exposures may be incurred by persons who are aware of the potential for exposure) are frequency dependent and are expressed in terms of incident power density. The appropriate value to compare with the MPE is the incident power density averaged over the vertical cross-section of the human body. The occupational exposure limits are also time-averaged over any six-minute interval. The IEEE C95.1-1991 MPE values are shown in the table below:
    IEEE C95.1-1991 Maximum Permissible Exposure (MPE) Values
    Frequency Band Power Density
    General mw/cm2 W/cm2
    851-866 MHz f/300 mW/cm2 2.84-2.88 28.4-28.8
    869-894 MHz f/300 mW/cm2 2.90-2.98 29.0-29.8
    1930-1990 MHz f/300 mW/cm2 6.43-6.63 64.3-66.3
    NOTE: f is in MHz
    As indicated above, these values are for continuous exposure (t > 6 minutes) and are to be compared with the spatial average of the incident power density. all base stations used for personal wireless telecommunications services in the United States are required to comply with the FCC limits (as mandated by the Telecommunications Act of 1996). The FCC limits are based on a hybrid of the IEEE limits and the 1986 recommendations of the National Council on Radiation Protection and Measurements. The FCC MPEs are the same as the IEEE values for frequencies below 1500 MHz but are capped at 5 mW/cm2 (50 W/cm2) for frequencies greater than 1500 MHz.

    Both the FCC and IEEE MPEs for exposure of the public (uncontrolled environments) are one-fifth of the above values. As above, the value to compare with the MPE is the incident power density averaged over the vertical cross-section of the human body. The averaging time for the general public is 30 minutes. Thus, for transient exposures lasting six minutes or less, the MPEs for occupational exposure and exposure of the general public MPEs are the same. For cases of simultaneous exposure from antennas operating in different frequency bands, the ratio of the spatially averaged incident power density in each frequency band to the corresponding MPE for that band is determined and the sum of all such ratios must be less than unity in order to comply.

    R. C. Petersen
    Manager, Wireless and Optical
    Technologies Safety Department

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    WHAT ARE CURRENT RECOMMENDED IEEE EMF OCCUPATIONAL EXPOSURE LEVELS AND GUIDELINES FOR RADIO BASE STATION ANTENNAS?

  • Whats the maximum recommended speed to lase (engraving not cutting) a shape (say triangle) using the greenBull hybrid?

    The feedrate at which to engrave using a CO2 laser will depend on the material, depth of engraving and intensity of the laser output. For instance, if engraving plastic, you can run the machine at a very high feedrate (i.e. 100-500 ipm) and a very low intensity. In converse, anodized aluminum will require high intensity and moderate feedrate. Engraving woods will require fast or slow feedrate and high or low laser intensity depending on the result desired.

    With the greenBull, be careful with changes in direction at high feedrates as there is a very high amount of inertia with all of the components on the gantry. It is good to test raster vs. vector for some engraving patterns.

    Additional Information:
    I should have specified my exact question better. Sorry. Where you say "be careful with changes in direction at high feedrates as there is a very high amount of inertia", what is the maximum allowed acceleration (conversely deceleration) you recommend using.

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    Whats the maximum recommended speed to lase (engraving not cutting) a shape (say triangle) using the greenBull hybrid?

  • Is there a recommended cooling system for purchase that can be used with your 2.2 kW water cooled spindles?

    A standard water pump like this one will work: https://www.buildyourcnc.com/item/pneumatic-hydraulic-water-pump-370-Gallons-Per-Hour-220v-110v

    You will also need silicone tubing at 1/4" ID and 3/8" OD to connect from the pump to the spindle: https://www.buildyourcnc.com/Item/pneumatic-hydraulic-silicone-tubing

    And a bucket to hold the water.

    You may also consider CPU cooling systems which can actually be fastened to the back of the gantry. We do this for the Fabricator Pro machine. The CPU cooling I would recommend is a small pump and cylinder with a heat sink, or a small radiator.

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    Is there a recommended cooling system for purchase that can be used with your 2.2 kW water cooled spindles?

  • what is the recommended firmware for the awc708c laser controller? I see this download on the Sinjoe site: AWC708 Lite Update Firmware 160901L1

    We have not had any issues with stock firmware on the AWC708lite. Upgrading the firmware will be at your own risk. We can contact our supplier and see if they can provide a suggestion for updating firmware. Contact customerservice@buildyourcnc.com to inquire with a person who can help.

    Additional Information:
    Working area setting

    Additional Information:
    Working area setting

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    what is the recommended firmware for the awc708c laser controller? I see this download on the Sinjoe site: AWC708 Lite Update Firmware 160901L1

  • 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?

  • WHEN A CHILD NEEDS 2 DOSES OF INFLUENZA VACCINE, CAN I GIVE 1 DOSE EACH TYPE (INJECTABLE AND NASAL SPRAY)?

    Yes. As long as a child is eligible to receive nasal spray vaccine (i.e., is in the proper age range and health status), it is acceptable to give 1 dose of each type of influenza vaccine. The doses should be spaced at least 4 weeks apart.

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    WHEN A CHILD NEEDS 2 DOSES OF INFLUENZA VACCINE, CAN I GIVE 1 DOSE EACH TYPE (INJECTABLE AND NASAL SPRAY)?

  • ARE WE SUPPOSED TO GIVE INFANTS PRESERVATIVE-FREE INFLUENZA VACCINE?

    No. CDC and ACIP express no preference for preservative-free vaccine for infants or any other group of vaccine recipients. See page 22 of the 2010–11 ACIP influenza recommendations: www.cdc.gov/mmwr/pdf/rr/rr5908.pdf.

    No scientific evidence exists that thimerosal in vaccines, including influenza vaccines, is a cause of adverse events, unless the patient has a systemic allergy to thimerosal. However, some states have enacted legislation that restricts the use of thimerosal-containing vaccines. Check with your state immunization manager to see if your state is one of them (www.immunize.org/coordinators).

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    ARE WE SUPPOSED TO GIVE INFANTS PRESERVATIVE-FREE INFLUENZA VACCINE?

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