Guidelines Updated for Administration of Combination MMRV Vaccine

The updated ACIP recommendation now reads as follows: "Combination MMRV vaccine is approved for use among healthy children aged 12 months – 12 years. MMRV vaccine is indicated for simultaneous vaccination against measles, mumps, rubella, and varicella. ACIP does not express a preference for use of MMRV vaccine over separate injections of equivalent component vaccines (i.e., MMR vaccine and varicella vaccine)."

The ACIP also advocated that a work group be convened for in-depth analysis of data regarding the increased risk for febrile seizures after the first dose of MMRV vaccine. On the basis of these findings and other information that becomes available, the CDC, FDA, and ACIP will consider future policy options, communicate updates, and implement further necessary actions.

If you want to read it in details, please visit the following website at the address given below.
http://www.medscape.com/viewarticle/571507
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Dr Marwah

Computerization in CGHS

Computerization in CGHS

Kidwai Nagar CGHS dispensary was fully computerised on 10 march 2008.
Chemist is not making any entry in the indent submitted by the dispensary since 11th march 2008.
How is he supplying the indent to the dispensary? Probably he is following the old system.
He is not supplying the medicines in the morning. If  he is fined for the delay, he starts misbehaving.


CGHS / NIC server was very slow since morning today. Its very difficult to work in the dispensary.
NIC should do something about server, otherwise it will be a big failure.

NIC bosses should come and work one full day in the dispensary. Then they will realize the
problems faced by the public as well as Doctors working in the dispensary.


Dr Marwah

Computerisation In CGHS

Kidwai Nagar dispensary is computerised since 10th march 2008.
On 15th march 321 patients attended the dispensary.

Main problems are :

1. Net is very slow.
2. NIC server is slow and around 11.00 am either it is very slow or could not be contacted.
3. Chemist / MSD authority could be issued from the computer but the report can not be generated.
4. More over Chemist / MSD authority are not serial numbered.
5. Permission software for investigation and treatment from private recognised hospital is incomplete.
6. Some items are shown in the inventory but they could not be issued.
7. Previously indented items if repeated are shown without any choice of selecting as indented/ chemist authority / MSD authority.
8. Pharmacist cannot find when the patient has drawn the medicine before .
9. There should be special module for the pharmacist distributing the local purchase medicines.
10. Linux and Mozila browser are outdated and need to be updated. NIC people are not able to do it in spite of repeated request.

Solutions

• CGHS should install their own server or NIC should upgrade their server.
• MTNL connection should be 512 kb connection.
• There should be a special module for the pharmacist distributing the local purchase medicines.
• RAM may be increased to 1 GB.
• Linux and Mozila browser may be updated.
• NIC should modify the software keeping  above points in view.
• Provisions should be made so that reports in different formats  could  be generated

Dr Marwah