Podcasts about bexsero

Bloomberg: Meloni feltételként szabná, hogy Orbán adja fel Ukrajna-ellenes pozícióját, ha be akar lépni az euroszkeptikus pártcsaládba Telex     2024-01-10 23:36:41     Külföld Ukrajna Orbán Viktor Fidesz Orbán Viktor az elmúlt hónapban többször is említette, hogy folynak a tárgyalások arról, hogy a Fidesz belép az Európai Konzervatívok és Reformerekhez (ECR). Iványi: Személyre szabott vallásüldözés folyik 24.hu     2024-01-11 06:43:19     Belföld Vallás Sakk A lelkész szerint a kormány más vallásokat a túltámogatással tart sakkban, őket az elvonásokkal próbálja ellehetetleníteni. Világcsúcs Németországban: 72 hősugárzóval fűtöttek fel több tízezer embert vg.hu     2024-01-11 00:06:03     Sport Németország Energia Az ökológiai lábnyom igencsak nagy volt, pedig az ország korábban még az energiaválság miatt aggódott. Az algafehérje ígéretes új proteinforrás lehet Prove     2024-01-11 06:27:05     Egészség A University of Exeter kutatói azt vizsgálták, milyen hatékony az algafehérje (spirulina és chlorella) az izomépítésben. Eredményeik alapján elmondható, hogy az algából kinyert fehérje hatékonyságban azonos, ám lényegesen fenntarthatóbb alternatívái lehetnek az állati fehérjéknek. A jövőben az algák komoly szerepet tölthetnek be a világ élelmezéséb Ötven üvegház zárt be Magyar Mezőgazdaság     2024-01-11 04:31:29     Mezőgazdaság Hollandia A holland statisztikai hivatal előzetes adatai szerint tavaly 50 üvegházi zöldségtermesztő vállalkozás szűnt meg Hollandiában. Erős nyilatkozat a Távol-Keletről: Ukrajna csak a tesztpálya lehet egy országnak Portfolio     2024-01-11 06:51:00     Külföld Ukrajna háború ENSZ Dél-Korea Észak-Korea Az ENSZ küldöttei január 10-én tartott ülésén felszólaltak az ellen, hogy Oroszország – számos hírforrás szerint – észak-koreai ballisztikus rakétákat vetett be Ukrajnában. A dél-koreaiak szerint ez aggasztó fejlemény lehet, Phenjan tesztelésre használja a kelet-európai háborút – írja a Kyiv Independent. Hiánycikk lett az agyhártyagyulladás B variánsa elleni oltás 444.hu     2024-01-11 06:47:07     Egészség Gyógyszer Védőoltás ÁNTSZ Agyhártyagyulladás A Nemzeti Népegészségügyi és Gyógyszerészeti Központ azt ígéri, még a héten kiszállítják a gyógyszertárakba a Bexsero elnevezésű vakcinát. Még meg sem halt Alain Delon, de a gyerekei már civakodnak az örökségen Magyar Hírlap     2024-01-11 05:39:00     Bulvár Svájc Alain Delon két fia is nekiment a színész lányának, többek között azzal vádolják, hogy Svájcba akarja vinni az apjukat. Spot Bitcoin ETF: Minden, amit idáig tudni lehet BitcoinBázis     2024-01-11 06:11:28     Modern Gazdaság USA Tőzsde Kriptovaluta Befektető Virtuális pénz Bitcoin Számos befektető reménykedik abban, hogy a január 10-én kiadja az amerikai tőzsdefelügyelet (Sec) a spot Bitcoin ETF engedélyét. Ennek hatására Lovas rendőrök járják a kietlen tájakat Nógrádban Sokszínű vidék     2024-01-11 05:05:41     Utazás Rendőrség Vármegye Nógrád A Nógrád Vármegyei Rendőr-főkapitányság lovas rendőrei az erdőben, erdőmenti földutakon, kiskertes övezetekben járőröznek. Fenntartható megoldásokat mutat be a Bosch autopro     2024-01-11 04:16:00     Gazdaság CES Bosch A 2024-es CES-en a mobilitás, az épületek és az otthonok számára is megoldásokkal készül a vállalat. Fazekas Gergő az Európa-bajnokságról: Édesapám azt mondta, élvezzem ki minden egyes percét videóval Sportal     2024-01-11 07:00:00     Sport Kézilabda Csehország Montenegró A szerdán rajtoló, a magyar válogottnak a Montenegró elleni péntek esti mérkőzéssel induló férfi kézilabda Európa-bajnokság előtt Fazekas Gergő, a Wisla Plock játékosa elárulta, mit mondott neki a cseh válogatott szövetségi kapitánya, valamint mit tanácsolt neki édesapja az Eb előtt. Ez az oka, hogy végig fújolták a Real játékosát Rangadó     2024-01-11 07:03:16     Foci Szaúd-Arábia Toni Kroosnak mindig is karcos véleménye volt a szaúdi ligáról, a helyiek a jelent szerint nem felejtették el mindezt. Továbbra is maradnak az éjszakai fagyok Kiderül     2024-01-11 05:09:48     Időjárás A következő napokban napközben kicsivel már fagypont felett alakul a hőmérséklet, az éjszakák azonban továbbra is csípősek lesznek. A további adásainkat keresd a podcast.hirstart.hu oldalunkon.

Bloomberg: Meloni feltételként szabná, hogy Orbán adja fel Ukrajna-ellenes pozícióját, ha be akar lépni az euroszkeptikus pártcsaládba Telex     2024-01-10 23:36:41     Külföld Ukrajna Orbán Viktor Fidesz Orbán Viktor az elmúlt hónapban többször is említette, hogy folynak a tárgyalások arról, hogy a Fidesz belép az Európai Konzervatívok és Reformerekhez (ECR). Iványi: Személyre szabott vallásüldözés folyik 24.hu     2024-01-11 06:43:19     Belföld Vallás Sakk A lelkész szerint a kormány más vallásokat a túltámogatással tart sakkban, őket az elvonásokkal próbálja ellehetetleníteni. Világcsúcs Németországban: 72 hősugárzóval fűtöttek fel több tízezer embert vg.hu     2024-01-11 00:06:03     Sport Németország Energia Az ökológiai lábnyom igencsak nagy volt, pedig az ország korábban még az energiaválság miatt aggódott. Az algafehérje ígéretes új proteinforrás lehet Prove     2024-01-11 06:27:05     Egészség A University of Exeter kutatói azt vizsgálták, milyen hatékony az algafehérje (spirulina és chlorella) az izomépítésben. Eredményeik alapján elmondható, hogy az algából kinyert fehérje hatékonyságban azonos, ám lényegesen fenntarthatóbb alternatívái lehetnek az állati fehérjéknek. A jövőben az algák komoly szerepet tölthetnek be a világ élelmezéséb Ötven üvegház zárt be Magyar Mezőgazdaság     2024-01-11 04:31:29     Mezőgazdaság Hollandia A holland statisztikai hivatal előzetes adatai szerint tavaly 50 üvegházi zöldségtermesztő vállalkozás szűnt meg Hollandiában. Erős nyilatkozat a Távol-Keletről: Ukrajna csak a tesztpálya lehet egy országnak Portfolio     2024-01-11 06:51:00     Külföld Ukrajna háború ENSZ Dél-Korea Észak-Korea Az ENSZ küldöttei január 10-én tartott ülésén felszólaltak az ellen, hogy Oroszország – számos hírforrás szerint – észak-koreai ballisztikus rakétákat vetett be Ukrajnában. A dél-koreaiak szerint ez aggasztó fejlemény lehet, Phenjan tesztelésre használja a kelet-európai háborút – írja a Kyiv Independent. Hiánycikk lett az agyhártyagyulladás B variánsa elleni oltás 444.hu     2024-01-11 06:47:07     Egészség Gyógyszer Védőoltás ÁNTSZ Agyhártyagyulladás A Nemzeti Népegészségügyi és Gyógyszerészeti Központ azt ígéri, még a héten kiszállítják a gyógyszertárakba a Bexsero elnevezésű vakcinát. Még meg sem halt Alain Delon, de a gyerekei már civakodnak az örökségen Magyar Hírlap     2024-01-11 05:39:00     Bulvár Svájc Alain Delon két fia is nekiment a színész lányának, többek között azzal vádolják, hogy Svájcba akarja vinni az apjukat. Spot Bitcoin ETF: Minden, amit idáig tudni lehet BitcoinBázis     2024-01-11 06:11:28     Modern Gazdaság USA Tőzsde Kriptovaluta Befektető Virtuális pénz Bitcoin Számos befektető reménykedik abban, hogy a január 10-én kiadja az amerikai tőzsdefelügyelet (Sec) a spot Bitcoin ETF engedélyét. Ennek hatására Lovas rendőrök járják a kietlen tájakat Nógrádban Sokszínű vidék     2024-01-11 05:05:41     Utazás Rendőrség Vármegye Nógrád A Nógrád Vármegyei Rendőr-főkapitányság lovas rendőrei az erdőben, erdőmenti földutakon, kiskertes övezetekben járőröznek. Fenntartható megoldásokat mutat be a Bosch autopro     2024-01-11 04:16:00     Gazdaság CES Bosch A 2024-es CES-en a mobilitás, az épületek és az otthonok számára is megoldásokkal készül a vállalat. Fazekas Gergő az Európa-bajnokságról: Édesapám azt mondta, élvezzem ki minden egyes percét videóval Sportal     2024-01-11 07:00:00     Sport Kézilabda Csehország Montenegró A szerdán rajtoló, a magyar válogottnak a Montenegró elleni péntek esti mérkőzéssel induló férfi kézilabda Európa-bajnokság előtt Fazekas Gergő, a Wisla Plock játékosa elárulta, mit mondott neki a cseh válogatott szövetségi kapitánya, valamint mit tanácsolt neki édesapja az Eb előtt. Ez az oka, hogy végig fújolták a Real játékosát Rangadó     2024-01-11 07:03:16     Foci Szaúd-Arábia Toni Kroosnak mindig is karcos véleménye volt a szaúdi ligáról, a helyiek a jelent szerint nem felejtették el mindezt. Továbbra is maradnak az éjszakai fagyok Kiderül     2024-01-11 05:09:48     Időjárás A következő napokban napközben kicsivel már fagypont felett alakul a hőmérséklet, az éjszakák azonban továbbra is csípősek lesznek. A további adásainkat keresd a podcast.hirstart.hu oldalunkon.

Pharmac is consulting on widening access to the Meningococcal B vaccine Bexsero and put it on the childhood immunisation schedule. The drug buying agency also wants to run a catch-up programme for children up to 5 and young people aged 13-to-25 years old who are in close-living situations such as hostels or dorms. The Meningitis Foundation welcomes the news but says the vaccine which would protect against disability and death should be made available free of charge universally. A Trustee of the Meningitis Foundation Pete Rowlands spoke to Māni Dunlop.

In this podcast, Dr. Laura Mohling, a pediatrician with Lakeview Clinic, talks about pathogens that infect children, childhood immunizations, current guidelines regarding vaccine scheduling, and vaccine hesitancy. Enjoy the podcast! Objectives:   Upon completion of this podcast, participants should be able to: Name at least 3 pathogens mentioned in the podcast children/adolescents were/are susceptible to. Distinguish between the two different meningococcal vaccines available. Summarize Human Papilloma Virus (HPV) recommendations for adolescents. CME credit is only offered to Ridgeview Providers & Allied Health Staff for this podcast activity. Complete and submit the online evaluation form, after viewing the activity.  Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at  rmccredentialing@ridgeviewmedical.org. To receive continuing education credit for this activity - click the link below, to complete the activity's evaluation. CME Evaluation (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.)  DISCLOSURE ANNOUNCEMENT  The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition; and are property/rights of Ridgeview Medical Center & Clinics.  Any re-reproduction of any of the materials presented would be infringement of copyright laws.  It is Ridgeview's intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker's outside interest may reflect a possible bias, either the exposition or the conclusions presented. Ridgeview's CME planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. Thank-you for listening to the podcast. SHOW NOTES:  *See the attachment for the full chapter summaries.  Vaccines - Biggest impact on public health- Vaccine safety continues to improve.- No causation of autism from MMR or other vaccines. (Andrew Wakefield debunking, Thimerosal-free). - ACIP Schedule for Childhood Immunization Meningococcus - Causation - Neisseria meningitidis - Incidence declining - Case fatality approximately 15%, with 10-20% survivor have serious sequelae. - Serogroups       - Serogroup B and C - most frequent cause of disease in U.S.      - Meningitis type B accounts for about 1/3 of cases in adolescents.      - Serogroup A is rare in U.S. - Meningococcal Vaccine      - Meningococcal B vaccines (Trumenba and Bexsero) developed in 2014.      - Vaccine short duration of protection (1-2 years) based on antibody response      - Trumenba (2 doses 6 mos apart) Bexero (2 doses at least 1 mo apart)     - MenACWY vaccine in 2005 primary dose at age 11, booster at age 16. HPV - HPV vaccine is the cancer prevention vaccine!- Statistics - Vaccine - Gardasil 9      - ACIP recommendation of vaccine at age 11 or 12      - dosing schedule of HPV vaccine COVID-19 (SARS-CoV2)- Approved vaccine for age 12 and above. (Pfizer-BioNTech) - RNA vaccines - Antigentic target  - how the vaccine works - Co-administering with other vaccines - ACIP, UpToDate, FDA statements regarding vaccine in adolescents *For links to reference materials please see the full show notes.

Episode 32: VertigoThe sun rises over the San Joaquin Valley, California, today is October 20, 2020.It’s time to talk about vaccines again. The ACIP (Advisory Committee on Immunization Practices) posted new recommendations for meningococcal vaccinations on September 25, 2020. There are two kinds of meningococcal vaccines in the US: 1. Meningococcal conjugate or MenACWY vaccines (Menactra®, Menveo®, and MenQuadfi®)2. Serogroup B meningococcal or MenB vaccines (Bexsero® and Trumenba®). Let’s discuss how they are given.MenACWY: Menactra (MenACWY-D), Menveo (MenACWY-CRW), and MenQuadfi (MenACWY-TT) MenACWY routine: The meningococcal conjugate vaccine should be given to ALL PATIENTS at 11 to 12 years old, with a booster dose at age 16. Remember, it’s a two-dose series, the booster dose at age 16 is important to provide protection during the ages of highest risk of infection. So, that was easy. The hardest part is for patients younger than 10 years old because only patients who are at risk receive routine meningococcal conjugate vaccines before age 11. MenACWY in special groups: This vaccine is given to patients older than 2 months old only if they are at increased risk for meningitis (i.e., persistent complement component deficiencies; persons receiving a complement inhibitor such as eculizumab [Soliris] or ravulizumab [Ultomiris]); persons who have anatomic or functional asplenia; persons with HIV infection; microbiologists routinely exposed to Neisseria meningitidis; persons at increased risk in an outbreak; persons who travel to or live in hyperendemic or epidemic areas; unvaccinated or incompletely vaccinated first-year college students living in residence halls; and military recruits.) I invite you to consult ACIP recommendations regarding vaccination in special groups. MenB: Trumenba (MenB-FHbp), Bexsero (MenB-4C)  MenB shared decision: MenB vaccination is not routinely recommended for all adolescents. It may be given to adolescents and young adults (16 through 23 years old, preferred age is 16-18 years old) on the basis of shared clinical decision. Those who decide to receive MenB vaccine, receive two doses 1-6 months apart depending on the brand name you use. MenB vaccines are not recommended before age 10 in any case. Adults older than 24 and older don’t need MenB unless they are at increased risk.MenB in special groups:Patients with certain medical conditions (persons with persistent complement component deficiencies; receiving a complement inhibitor; with anatomic or functional asplenia; microbiologists exposed to isolates of N. meningitidis; and persons at risk in outbreaks) should receive MenB vaccine. These recommendations will be included in the updated 2021 immunization schedules, and the AAFP will review changes to the schedules once they are available (1).This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program, from Bakersfield, California. Sponsored by Clinica Sierra Vista, Providing compassionate and affordable care since 1971.____________________________“A man is who he thinks about all day long” –Waldo Emerson.If you think you are not good enough, you may not reach your goals. So, think positive about yourself all day long, and you will become that person you think you are and will reach your goals.Hi, this is Dr Carranza, I’m a PGY3, and today I will interview a special guest.Question Number 1: Who are you? Hello, I’m Jagdeep Sandhu. I’m a 4th year medical student from Ross University, currently doing a sub-internship in family medicine. I’m originally from Seattle, Washington. I have an Indian ancestry, so I enjoy meditating and cooking Indian dishes.Question number 2: What did you learn this week? Lightheadedness vs VertigoThis week we learned about dizziness and its differentials. It is important to differentiate dizziness vs lightheaded because a lot of patients will say they are dizzy when they are truly lightheaded. To be honest dizziness (at least for me) is one of the toughest complaints to get from a patient as it is hard to pinpoint its etiology.Important questions to ask the patient are:Do you feel like you’re going to pass out? Do you experience a sense of darkness in front of your eyes? (points to syncope)Is the room spinning? Are you having nausea or vomiting? Ringing in your ears? (points to vertigo)  Peripheral VertigoPeripheral refers to vertigo originated from the ear structures, whereas central from the brainstem. Differentials of peripheral vertigo include:Benign paroxysmal positional vertigo: Transient episodes of vertigo caused by stimulation of vestibular sense organs, this is most commonly due to calcium debris within the posterior semicircular canal, known as canalithiasis. It affects middle-age and older patients; and twice as many women than men. Classically, patients describe a brief spinning sensation brought on when turning in bed or tilting the head backward to look up. The dizziness is quite brief, usually seconds, rarely minutes.The way to Evaluate/diagnose BPPV is with Dix-Hallpike maneuver (turn the patient’s head 45 degrees to one side, then you help you lie back quickly so their head hangs slightly over the edge of the table. If horizontal or rotation nystagmus is noted, the patient has BPPV) and can be cured with Epley’s maneuver.Vestibular neuritis: This is inflammation of the vestibular nerve, which is usually caused by a viral infection. It’s characterized by rapid onset of severe, persistent vertigo, nausea, vomiting, and gait instability. Hearing is preserved but if there is hearing loss(unilateral), then it is diagnosed as labrynthitis.  You can Evaluate/diagnose with a positive head impulse (or head thrust) test and gait instability but know that the patient is still able to ambulate. (lasts a few days and resolves spontaneously) Herpes zoster oticus: It is also known as Ramsay Hunt syndrome when it causes facial paralysis; it occurs due to latent VZV virus in the geniculate ganglion.  The patient will complain of ear pain and vertigo. On exam, you will find vesicles in the auditory canal and auricle along with ipsilateral facial palsy. You can treat with Acyclovir or Corticosteroids. Meniere disease: Itoccursdue to excess endolymphatic fluid pressure, which causes episodic inner ear dysfunctionresulting in the classic triad of vertigo lasting for minutes to hours, usually associated with unilateral tinnitus and hearing loss. Unfortunately, the hearing loss can sometimes be permanent. It usually affects one ear and although it can occur at any age, most cases start between young adults and middle age adults. Evaluate and diagnose clinical features, get an audiogram for hearing loss. Patients go into remission spontaneously but it can reoccur. Other causes of peripheral vertigo: Labyrinthine concussion (traumatic peripheral vestibular injury)Perilymphatic fistula (complication of head injury, barotrauma, or heavy lifting in which a fistula develops at the otic capsule)Aminoglycoside toxicityVestibular schwannoma (unilateral hearing loss associated with neurofibromatosis type 2) Central VertigoVestibular migraine: The mechanism is unknown, so you have to rely on the patient's history of vertigo associated with migraine headache and classic migraine symptoms such as visual aura, photophobia, or phonophobia.Brainstem ischemia: which is due to embolic, atherosclerotic occlusions of the vertebra-basilar arterial system. A few things fall under this category such as TIA, Wallenberg syndrome (lateral medullary infarction), Labyrinthine infarction (Anterior Inferior cerebellar artery) etc. Evaluate and diagnose with Imaging of the head and treat according to diagnosis.  Question number 3: Why is that knowledge important for you and your patients? It is important for when we are working at both the clinic and at the hospital as recognizing serious vertigo can help us plan for intervention. For example, if a patient presents with vertigo and on exam you find vesicles on their ear and facial paralysis then you can immediately begin therapy with a combination of Valacyclovir and Prednisone but if it is a severe case then the patient might need IV treatment.Also, if the patient has vascular risk factors then it is important to keep ischemia as part of your differential when your patient presents with acute sustained vertigo. Remember that for any stroke time of onset is KEY! CT should be done if MRI is not available but MRI is more sensitive for cerebellar infarctions.Question number 4: How did you get that knowledge? (learning habits)I did an ENT rotation in my 3rd yeard of medical school and learned from Dr Trang. I recommend that rotation to all medical students. I also searched in UpToDate, FP notebook app, AAFP and my attendings. See details below.____________________________Speaking Medical: Otolith by Gina Cha, MDStones are located in many unsuspected places in the body. Such is the case of otoliths. An otolith is a calcium carbonate structure in the saccule or utricle of the inner ear, specifically in the vestibular system of vertebrates. The saccule and utricle, in turn, together make the otolith organs. An otolith can cause great trouble if it’s out of its regular place. When otoliths are dislodged from their usual position within the utricle, and migrate into one of the semicircular canals (most commonly the posterior canal), moving the head causes movement of the heavier otolith debris in the affected canal causing abnormal endolymph fluid displacement and a resultant sensation of vertigo.____________________________Espanish Por Favor: Serenoby Claudia Carranza, MD, and Hector Arreaza, MDHi! This is Dr Carranza with our section “Espanish Por Favor”. The word of the week is SERENO (maybe we can have beach waves crushing in the background). SERENO is a state of mind, a peaceful feeling. To be SERENO means to be calm, peaceful, untroubled, tranquil. Sometimes when people are frustrated or too excited you can say: “Sereno, no te preocupes,” which you can loosely translate as “chill, don’t worry.”Sometimes you might ask someone how they are doing and they can say: “Sereno, sin preocupaciones,” which means “calm, without worries.” Nowadays not many people might actually feel that way but you can always remind them to lay back, relax, and take a deep breath “SERENO!”Another meanings of the word sereno includes “humidity on the atmosphere at night.” In some Latin American countries, sereno can make you sick if you, for example, shower and go outside at night, or you can get worse if you are sick and go outside. The sereno can also be used in folk medicine to “macerate” some herbal teas or remedies giving it a special property to cure illnesses. This may not be used in all countries but at least I know it’s true in Mexico and Venezuela.____________________________For your Sanity: Supermanby Tana Parker, MD Friend 1: Do you want to hear a really good Batman impression?Friend 2: Sure, go on. Friend 1: NOT THE KRYPTONITE!Friend 2: That’s Superman.Friend 1: Thanks, man, I've been practicing. “eBay is so useless. I tried to look up lighters and all they had was 13,749 matches.”“I just saw my wife trip and fall while carrying a laundry basket full of ironed clothes. I watched it all unfold.”I made a playlist for hiking. It has music from Peanuts , the Cranberries, and Eminem. I call it my trail mix._________________________Conclusion: Now we conclude our episode number 32 “Vertigo.” Dr Carranza and Jagdeep had an entertaining conversation about the differential diagnosis of peripheral and central vertigo. Don’t forget to practice the Dix-Hallpike and Epley’s maneuvers for BPPV. Otolith is a tiny stone located in the inner ear that can cause vertigo when it gets stuck in the semicircular canals. The word sereno (pronounced (say-RAY-noe) as an adjective is pretty much the same as the English serene, however, Dr Arreaza explained that sereno as a noun refers to the humidity on the air thought to be the “cause” of many ailments in some Latin cultures. Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Arianna Lundquist, Claudia Carranza, Jagdeep Sandhu, Gina Cha, and Tana Parker. Audio edition: Suraj Amrutia. See you next week!     _____________________References:Meningococcal vaccine updates: https://www.aafp.org/news/health-of-the-public/20201007meningococcalvacc.html. Review full article at: https://www.cdc.gov/mmwr/volumes/69/rr/rr6909a1.htm?s_cid=rr6909a1_w Labuguen, Ronald H., M.D., University of Southern California, Los Angeles, California, Initial Evaluation of Vertigo, Am Fam Physician. 2006 Jan 15;73(2):244-251. https://www.aafp.org/afp/2006/0115/p244.html Furman, Joseph M, MD, PhD, and Jason JS Barton, MD, PhD, FRCPC, Evaluation of the patient with vertigo, UptoDate, last updated: Feb 11, 2020. https://www.uptodate.com/contents/causes-of-vertigo?search=vertigo§ionRank=1&usage_type=default&anchor=H5&source=machineLearning&selectedTitle=3~150&display_rank=3#H20 

In this episode of Nursing Australia, hosted by Nurse Robbie, we hear:-        The latest Nursing Australia News (02:08)A nurse practitioner earns the right to prescribe HIV medicines, nurses speak up for primary health care reform, infection control checks still lacking in aged care and remembering nurses killed by COVID-19.  -        COVID vaccine: Immunising the nation (06:41)When a COVID vaccine arrives in Australia, primary health care nurses will play a key role in immunising the Australian population. Learn about what nurses need to do to prepare for the mass-vaccination and the logistics of getting the vaccines into your clinic or facility.  -        Vaccines: Recommended vs funded (12:29)Nurses know the NIP funded vaccines inside-out, but how often do you speak to your patients about the recommended vaccines, but not funded ones? We discuss how to raise this sometimes-tricky conversation and share the reasoning behind recommended vs funded vaccines. For health care professionals, there is an in-depth discussion available centered around the meningococcal vaccines. Find that here: https://apna.asn.au/hub/bexsero-gsk  -        Jane's story: Helping the homeless (21:23)Driving into the gym carpark in Launceston one morning, Nurse Practitioner Jane Laidlaw was surprised to see a person rough sleeping in a car. She felt compelled to do something to help and the result is a thriving nurse-led clinic that has helped hundreds of homeless people.  -        Financial wellness for nurses (32:03)When we think of wellness, physical and mental health often come to mind. But financial wellness is just as important. In this segment, tailored for nurses, hear some tips and tricks to maximise your potential tax refund. 

Episodio 115 del podcast Nadiecomomama, nueva pauta de bexsero. https://www.nadiecomomama.com/podcast/nueva-pauta-de-bexsero/ No te pierdas toda la información sobre bexsero que tengo que contarte hoy. Visita también mi web nadiecomomama.com para tener más información sobre este y otros temas relacionados con la maternidad.

Si tienes hijos de 0 a 18 años no te puedes perder el podcast de hoy en el que te hablo de las novedades en las vacunas. Hoy me he centrado en el Bexsero y en la vacuna tetravalente. En el podcast de hoy te cuento todo lo que debes saber, las recomendaciones de la AEP y todo lo demás sobre vacunas. No te lo puedes perder.

Bienvenidos a PADRES el podcast para papás y mamás primerizos, estresados y en apuros. Hoy vamos a dedicar el programa a todos aquellos padres que se estresan al salir de casa con los niños. Especialmente cuando quedan diez minutos para que pase el autobús del colegio y empiezan a sacar cacharros. En ese corto período de tiempo, son capaces de destrozarte la casa entera, de ponerlo todo patas arriba y en ese momento te tienes que plantar. Tienes que decidir si sales por la puerta, cierras y te olvidas de todo o te paras a recoger, te enfadas y terminas perdiendo el bus. Nosotros optamos por la primera porque mañana vuelve a amanecer. Habrás notado además, que antes, salías el tiempo para prepararte y salir de casa era de aproximadamente 30 minutos. Ahora, con los niños, no baja de hora y media. Cuánto gasta un bebé el primer año En el programa de hoy, vamos a hablar de una duda que nos surge a todos los padres cuando vas a ser padre ¿Cuánto gasta un bebé el primer año? Pues bien, lo hemos ido contabilizando y aquí te traemos el desglose: - Carrito y sillita del coche | Nosotros nos hemos enamorado del Bugaboo en color arena (edición especial) y en cuanto a la silla del coche, nos decidimos por la Cybex Sirona. Porque somos unos fieles defensores de "ACM" (A Contra Marcha) y por los numerosos estudios, análisis y comparativas que existen en el mercado. En la gran mayoría, la ponen como una de las mejores sillas que se comercializan hoy en día - Ropa de bebé directamente se la compramos a Capotinas, como no podía ser de otro modo ¿no? - Aseo | Nunca fuimos de toallitas y cremas, aún así los pañales Dodot no se los quita nadie - Mobiliario | Siempre nos quedará IKEA y láminas infantiles para bebé - Vacunas | Depende de la comunidad autónoma donde vivas, tendrás las vacunas subvencionadas por la seguridad social o no. En nuestro caso, Rotavirus y Bexsero no entraban - Guardería | Si tienes la suerte de que papi o mami puedan cuidar de los pequeños, o incluso los abuelos, te ahorrarás mucho dinero a final de mes. En otro caso, no queda otra que llevarlos a la guardería Al final, la friolera sale: - Con guardería: 6.823€ / 568€ al mes - Sin guardería: 4.106€ / 342€ al mes Por tanto, todos aquellos caprichos que querías comprarte, ya puedes ir posponiéndolos (o comprándolos ¡ya! jajajaja) Todos vuestros comentarios y feedbacks los comentaremos en el siguiente capítulo. No olvidéis suscribiros al podcast y valorarnos con 5 estrellas en iTunes, en iVoox y porfa please darle al corazoncito en Spotify, dejar vuestros comentarios, preguntarnos lo que queráis y sobre todo ¡Sed felices! --- Send in a voice message: https://anchor.fm/padres/message

Topic: “World Meningitis Day: Have Your Children Been Vaccinated for Meningitis B?” Guests: Patti Wukovits and Alicia Stillman For more information: www.MeningitisBActionProject.org We’ve heard a lot about the measles outbreak recently. This is a travesty on so many levels because measles is a highly contagious but vaccine preventable illnesses that was declared eliminated in the United States in 2000. Today, in support of World Meningitis Day, we’re going to talk about another vaccine preventable illness starting with M: meningitis. Our guests are both meningitis B advocates for the worst possible reason: they each lost a teenaged daughter to the disease, before a meningitis B vaccine was available in the US. While the meningitis conjugated vaccines have been available for 4 other strains of meningitis since 2005 (Menactra ®  and Menveo ® ), the first meningitis vaccine was available since 1978. The meningitis B vaccine, however, only became available in the US in late 2014 (Bexsero ®  and Trumenba ® ).   Patti Wukovits is a Registered Nurse and meningitis advocate who lost her 17-year-old daughter Kimberly to Meningitis B in 2012. She has since started the Kimberly Coffey Foundation to improve awareness of meningococcal disease and the vaccines available to help prevent it. Patti lives in Massapequa Park, NY, with her husband John. In addition to Kimberly, she has three other adult children.    Alicia Stillman is a meningitis advocate who lost her 19-year-old daughter Emily to Meningitis B in 2013. She has since started the Emily Stillman Foundation to improve awareness of meningococcal disease, the vaccines available to help prevent it, and to encourage organ and tissue donation. Alicia lives with her husband in West Bloomfield, Michigan, where she is the CFO of a multi-state law firm. In addition to Emily, she has two other adult children. Patti & Alicia—and their foundations, the Kimberly Coffey Foundation & the Emily Stillman Foundation—have partnered together to launch the Meningitis B Action Project.

Hoy es Miércoles y toca un nuevo episodio de "Diario de una mamá cualquiera". Hoy te hablo de diarrea en bebés. Berta una seguidora de Nadie como mamá, me ha preguntado: 2 preguntas muy habituales relacionadas con la diarrea en bebés. Por un lado quería saber si yo había vacunado a mis hijas de la vacuna opcional contra el rotavirus. Por otro lado quería más información sobre si es recomendable o no suprimir la Lactosa en este tipo de procesos. Bueno en el post de hoy te contesto a ésto y a alguna cosita interesante como el añadir un probiótico para la flora intestinal y algún detalle más. Si te interesa el tema de las vacunas, puedes escuchar el podcast en el que te hablé del bexsero por ejemplo. No te pierdas el podcast de hoy sobre diarrea en bebés que estoy segura que te resultará muy útil e interesante. Feliz semana. --- Enlaces: • Vacunas http://www.nadiecomomama.com/crianza/consejos/vacunas/ • Bexsero: http://www.nadiecomomama.com/podcast/bexsero/

Hoy toca nuevo episodio de "Diario de una mamá cualquiera" y hoy quiero hablarte de un tema por el que me preguntan mucho las mamis: La vacuna de la Meningitis B llamada Bexsero. He decidido contestar en formato podcast a las preguntas más habituales relacionadas con el Bexsero. Incluso te cuento la decisión que yo tomé con respecto a la vacunación de mis hijas, aunque como te digo la decisión es única y exclusiva de cada padre. Por último te dejo el enlace a un artículo de la Asociación española de Pediatría donde te habla el motivo por el que hasta 2015 no se permitió comprar directamente en farmacias sino que era considerada de uso hospitalario y mucho más. Espero que te resulte de utilidad éste podcast y recuerda que puedes consultarme cualquier duda que tengas en el apartado de contacto del blog. --- Enlaces: - Asociación Española de Pediatría: http://www.analesdepediatria.org/es/vacunacion-frente-al-meningococo-b-/articulo/S1695403314004287/ - Contacto: http://www.nadiecomomama.com/contacto/

Today in FirstWord:

-MENINGITE, VACCINO MADE IN ITALY Dopo il via libera da parte della Commissione Europea lo scorso gennaio, è arrivata anche l'autorizzazione dell'Agenzia Italiana del Farmaco (AIFA) all'immissione in commercio di Bexsero®, il nuovo vaccino multicomponente Novartis contro il meningococco di sierogruppo B . La meningite meningococcica è un'infezione batterica e la principale causa di meningite in Europa, soprattutto tra i neonati, la fascia d'età più esposta al meningococco B (MenB). Indicato per l'immunizzazione a partire dai due mesi di età, il vaccino Novartis contro il MenB, è il risultato di oltre venti anni di ricerca d'avanguardia nello sviluppo dei vaccini presso i laboratori di Siena. -IN VACANZA CON LE MALATTIE REUMATICHE Come affrontare le prossime vacanze estive, quali medicinali portare con sé, come conservarli. In soccorso di chi soffre per le malattie reumatiche arrivano i consigli di Anmar onlus, l'associazione malati reumatici, in occasione del congresso europeo Eular a Madrid. Dieci regole, utili in molti casi anche a quanti sono alle prese con altre patologie, «per non farsi trovare impreparati davanti alle emergenze e soprattutto per godere di una piacevole vacanza- spiega Gabriella Voltan, presidente Anmar- in particolare, a chi sceglie come destinazione il mare si raccomandano non più di venti minuti di esposizione al sole, perché il calore generato dai raggi può riacutizzare i sintomi infiammatori. -EUROPA 'DECLASSA' I CELIACI L'Europa ha 'declassato' i celiaci dai gruppi di consumatori le cui esigenze nutrizionali debbano essere particolarmente tutelate e così AIC avverte: è pericoloso sottoporsi a diete di esclusione fai da te perché i veri casi di celiachia potrebbero restare senza diagnosi, esponendosi a rischi. Secondo alcuni la sensibilità al glutine sarebbe presente nel 6% della popolazione, ma non si tratta di stime realistiche perché i numeri derivano da studi condotti su pazienti di ambulatori gastroenterologici, per cui 'selezionati' e non rappresentativi della popolazione generale. -ALLERGIE RADDOPPIATE IN 10 ANNI Arrivano le prime linee guida al mondo per i pazienti con allergie a uno o più cibi, che sono 17 milioni nei Paesi europei e ben 2 milioni nella sola Italia, di cui oltre 500.000 con meno di 18 anni. Per la prima volta una società scientifica sottopone le sue Linee Guida a una consultazione pubblica sul web nel sito dell'accademia europea delle allergie EAACI, aprendosi per dieci giorni ai commenti e i consigli della comunità. 

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