Hexaxim rtm dr. gaurav gupta 04 aug 2017Gaurav Gupta
Hexaxim, Sanofi Pasteur hexavalent vaccine with DPT + IPV + Hib + hep B for Indian children.
DTaP versus DTwP, components of DPT, latest studies from 2016 and 2017 regarding DTaP vaccines.
The new kid on the block - hexavalent vaccinesGaurav Gupta
This document summarizes a presentation on hexavalent vaccines given by Dr. Gaurav Gupta. It discusses the efficacy, safety, and immunogenicity data from clinical trials of hexavalent vaccines compared to whole-cell and other combination vaccines. Indian data is presented from a clinical trial of a hexavalent vaccine administered at 6, 10, and 14 weeks of age showing high rates of seroprotection and a favorable safety profile. Schedules using hexavalent vaccines that include vaccination at birth allow for a simplified 0, 3, +/-1 year immunization schedule for hepatitis B.
Officials are pushing to include the pentavalent vaccine in India's universal immunization program despite concerns about its safety. The vaccine protects against five diseases but was linked to child deaths in Sri Lanka and Bhutan. Health activists have challenged the move, arguing that a WHO report clearing the vaccine was misleading and manipulated. The next court hearing on the issue is scheduled for July 30th.
The document provides guidelines on the introduction of pentavalent vaccine in India. It discusses the diseases prevented by the vaccine - diphtheria, pertussis, tetanus, hepatitis B and Hib. Hib is an important cause of pneumonia and meningitis in children under 5. The pentavalent vaccine will replace the separate DPT, hepatitis B and Hib vaccines currently in use. It recommends storage of the pentavalent vaccine between 2-8 degrees Celsius and describes the revised immunization schedule and operational guidelines for its introduction including vaccine stock management and training of healthcare workers.
PCVs have important indirect effects on reducing vaccine-type carriage and invasive pneumococcal disease. A 2+1 dosing schedule of PCVs provides both direct and indirect protection across populations by inducing sustained functional antibody responses after boosting. More evidence comparing the direct and indirect protective effects of 3+0 and 2+1 PCV schedules is forthcoming.
This document provides information on a pentavalent vaccine for active immunization against diphtheria, tetanus, whooping cough, Haemophilus influenzae type b, and hepatitis B in infants. It describes the components of the vaccine, administration schedule, efficacy and safety profile based on clinical trials. The vaccine demonstrated high immunogenicity against all five diseases. Common adverse reactions were mild and included pain, redness, fever.
Zyvac tcv noida aug 2018 - Completely indigenous Typhoid Vaccine - with a QuizGaurav Gupta
Zyvac tcv noida aug 2018 - Completely indigenous Typhoid Vaccine - with a Quiz, presentation in NOIDA.
Lively discussion about the Clinical studies of various Typhoid vaccines
Hexaxim rtm dr. gaurav gupta 04 aug 2017Gaurav Gupta
Hexaxim, Sanofi Pasteur hexavalent vaccine with DPT + IPV + Hib + hep B for Indian children.
DTaP versus DTwP, components of DPT, latest studies from 2016 and 2017 regarding DTaP vaccines.
The new kid on the block - hexavalent vaccinesGaurav Gupta
This document summarizes a presentation on hexavalent vaccines given by Dr. Gaurav Gupta. It discusses the efficacy, safety, and immunogenicity data from clinical trials of hexavalent vaccines compared to whole-cell and other combination vaccines. Indian data is presented from a clinical trial of a hexavalent vaccine administered at 6, 10, and 14 weeks of age showing high rates of seroprotection and a favorable safety profile. Schedules using hexavalent vaccines that include vaccination at birth allow for a simplified 0, 3, +/-1 year immunization schedule for hepatitis B.
Officials are pushing to include the pentavalent vaccine in India's universal immunization program despite concerns about its safety. The vaccine protects against five diseases but was linked to child deaths in Sri Lanka and Bhutan. Health activists have challenged the move, arguing that a WHO report clearing the vaccine was misleading and manipulated. The next court hearing on the issue is scheduled for July 30th.
The document provides guidelines on the introduction of pentavalent vaccine in India. It discusses the diseases prevented by the vaccine - diphtheria, pertussis, tetanus, hepatitis B and Hib. Hib is an important cause of pneumonia and meningitis in children under 5. The pentavalent vaccine will replace the separate DPT, hepatitis B and Hib vaccines currently in use. It recommends storage of the pentavalent vaccine between 2-8 degrees Celsius and describes the revised immunization schedule and operational guidelines for its introduction including vaccine stock management and training of healthcare workers.
PCVs have important indirect effects on reducing vaccine-type carriage and invasive pneumococcal disease. A 2+1 dosing schedule of PCVs provides both direct and indirect protection across populations by inducing sustained functional antibody responses after boosting. More evidence comparing the direct and indirect protective effects of 3+0 and 2+1 PCV schedules is forthcoming.
This document provides information on a pentavalent vaccine for active immunization against diphtheria, tetanus, whooping cough, Haemophilus influenzae type b, and hepatitis B in infants. It describes the components of the vaccine, administration schedule, efficacy and safety profile based on clinical trials. The vaccine demonstrated high immunogenicity against all five diseases. Common adverse reactions were mild and included pain, redness, fever.
Zyvac tcv noida aug 2018 - Completely indigenous Typhoid Vaccine - with a QuizGaurav Gupta
Zyvac tcv noida aug 2018 - Completely indigenous Typhoid Vaccine - with a Quiz, presentation in NOIDA.
Lively discussion about the Clinical studies of various Typhoid vaccines
Indian academy of pediatrics (iap) recommended immunizationmandar haval
The document summarizes the revised recommendations of the Indian Academy of Pediatrics Advisory Committee on Vaccines and Immunization Practices (IAP ACVIP) for the 2014 immunization schedule for children aged 0 through 18 years in India. Some of the major changes in the 2014 schedule include: recommending two doses of MMR vaccine at 9 and 15 months of age; a single dose of live attenuated hepatitis A vaccine; inclusion of typhoid conjugate vaccine for primary immunization from 9-12 months; and recommending two doses of HPV vaccines with a minimum interval of 6 months for adolescent/preadolescent girls aged 9-14 years. The revisions were made following an IAP ACVIP meeting to review recent evidence on
Preterm immunisation 2018 - Dr Karthik Nageshkarthiknagesh
This document discusses vaccination in preterm infants. It notes that preterm infants are at higher risk of morbidity and mortality from vaccine-preventable diseases. However, vaccination of preterms is often delayed. The document summarizes evidence that preterm infants can mount protective immune responses when vaccinated according to their chronological age, regardless of gestational age or birth weight. It addresses specific concerns about the safety and efficacy of various vaccines in preterm populations such as BCG, polio, hepatitis B, pertussis and others. Overall, the document advocates for vaccinating medically stable preterm infants according to routine schedules in order to provide them protection from serious diseases.
Dr. Richard Ford wrote this article to help fellow practitioners to "maintain a level of vaccine awareness" without the interference of different marketing brochures.
The article includes the current recommendation for the vaccination of dogs and it also addresses various controversial questions about vaccine titers.
Immune Responses: Whole Cell and Acellular Pertussis Vaccines - Slide set by ...WAidid
Many antigens for Bordetella pertussis.
Prof. Edwards analyzes the response to Acellular and Whole Cell Pertussis vaccines, with a special focus on maternal vaccination.
To learn more, visit: www.waidid.org
Dr Marie-Pierre Preziosi's presentation at Meningitis Research Foundation's 2013 conference, Meningitis & Septicaemia in Children & Adults http://www.meningitis.org/conference2013
This document discusses special situations and adverse events following immunization. It provides guidance on vaccinating preterm/low birth weight infants, those receiving corticosteroids or immunosuppressive therapy, children with malignancies, congenital immunodeficiencies, chronic diseases, allergies, bleeding disorders, or acute illness. It recommends that most vaccines can be administered according to chronological age for preterm/low birth weight infants. It also provides specific guidance on contraindications and precautions for different groups.
Choosing a pneumococcal vaccine - wisely.. Prevenar in Indian contextGaurav Gupta
Choosing a pneumococcal vaccine - wisely.. Prevenar in Indian context latest studies as of July 2018,
Which vaccine is the best in India as of 2018, latest studies and scientific data
The document discusses optimizing pneumococcal conjugate vaccine (PCV) schedules. It provides an overview of PCV introduction and schedule changes in the UK from 1990-2015. Results are presented from a randomized controlled trial comparing immunogenicity of a 2+1 versus 1+1 PCV schedule in UK infants. The global landscape of PCV introduction is reviewed, noting opportunities to optimize schedules. Ongoing studies in multiple countries are exploring alternate PCV schedules to potentially simplify regimens while maintaining protection.
This document discusses issues in evaluating the impact of a new meningococcal B vaccine. It provides background on the challenges of developing a vaccine for meningococcal B due to its polysaccharide composition. The vaccine Bexsero contains 4 antigens including recombinant proteins and outer membrane vesicles. Clinical trials showed it was safe and immunogenic. Evaluating its strain coverage requires the Meningococcal Antigen Typing System since coverage depends on antigen expression levels and variants. Post-licensure studies will descriptively analyze meningococcal epidemiology by vaccination status and evaluate Bexsero's effectiveness prospectively using methods like the screening method.
Meningococcal vaccination needed in india july 2016Gaurav Gupta
Menactra Meningococcal Conjugate Vaccine in India, is it really needed?
July 2016 Sanofi Pasteur Talk for Pediatricians, Child Specialist Doctors related to Vaccination, Immunization etc.
What next for prevention of pneumococcal disease in light of serotype replacement? Is there a pathway to licensure for novel pneumococcal vaccines?
https://www.meningitis.org/mrf-conference-2017
This document provides a summary of a presentation on prospects for developing a Group B Streptococcus (GBS) vaccine for pregnant women globally. It notes that GBS is a leading cause of neonatal infections and discusses the limitations of the current prevention strategy using intrapartum antibiotics. Developing a maternal GBS vaccine could have a higher impact by preventing more outcomes and providing more equitable coverage. Ongoing work includes further vaccine development and clinical trials, establishing a global disease burden, developing standardized assays to assess vaccine protection, and guidance for vaccine policy and implementation. The goal is to develop a safe and effective maternal GBS vaccine to reduce infant mortality from this disease worldwide.
This document discusses the effectiveness data from 19 years of surveillance on the SP HEXAVALENT DTaP-IPV-HB-Hib vaccine. It notes that the best way to compare pertussis vaccines is based on effectiveness data rather than immunological markers. It references a 2008 Swedish surveillance study that is commonly used to evaluate the effectiveness of pertussis vaccines. The study found that after the introduction of the acellular pertussis vaccine, there was a decrease in reported pertussis cases in Sweden.
Live hepatitis a vaccine - Indian Perspective chennai sep 2018Gaurav Gupta
Biovac A, Live hepaptis A vaccination, talk in IAP Chennai Vaccine meet, Sept 2018. Long term data, single dose data, Indian studies and need for Hep A vaccine, also comparison with inactivated Hep A vaccines
Indian academy of pediatrics (iap) recommended immunizationmandar haval
The document summarizes the revised recommendations of the Indian Academy of Pediatrics Advisory Committee on Vaccines and Immunization Practices (IAP ACVIP) for the 2014 immunization schedule for children aged 0 through 18 years in India. Some of the major changes in the 2014 schedule include: recommending two doses of MMR vaccine at 9 and 15 months of age; a single dose of live attenuated hepatitis A vaccine; inclusion of typhoid conjugate vaccine for primary immunization from 9-12 months; and recommending two doses of HPV vaccines with a minimum interval of 6 months for adolescent/preadolescent girls aged 9-14 years. The revisions were made following an IAP ACVIP meeting to review recent evidence on
Preterm immunisation 2018 - Dr Karthik Nageshkarthiknagesh
This document discusses vaccination in preterm infants. It notes that preterm infants are at higher risk of morbidity and mortality from vaccine-preventable diseases. However, vaccination of preterms is often delayed. The document summarizes evidence that preterm infants can mount protective immune responses when vaccinated according to their chronological age, regardless of gestational age or birth weight. It addresses specific concerns about the safety and efficacy of various vaccines in preterm populations such as BCG, polio, hepatitis B, pertussis and others. Overall, the document advocates for vaccinating medically stable preterm infants according to routine schedules in order to provide them protection from serious diseases.
Dr. Richard Ford wrote this article to help fellow practitioners to "maintain a level of vaccine awareness" without the interference of different marketing brochures.
The article includes the current recommendation for the vaccination of dogs and it also addresses various controversial questions about vaccine titers.
Immune Responses: Whole Cell and Acellular Pertussis Vaccines - Slide set by ...WAidid
Many antigens for Bordetella pertussis.
Prof. Edwards analyzes the response to Acellular and Whole Cell Pertussis vaccines, with a special focus on maternal vaccination.
To learn more, visit: www.waidid.org
Dr Marie-Pierre Preziosi's presentation at Meningitis Research Foundation's 2013 conference, Meningitis & Septicaemia in Children & Adults http://www.meningitis.org/conference2013
This document discusses special situations and adverse events following immunization. It provides guidance on vaccinating preterm/low birth weight infants, those receiving corticosteroids or immunosuppressive therapy, children with malignancies, congenital immunodeficiencies, chronic diseases, allergies, bleeding disorders, or acute illness. It recommends that most vaccines can be administered according to chronological age for preterm/low birth weight infants. It also provides specific guidance on contraindications and precautions for different groups.
Choosing a pneumococcal vaccine - wisely.. Prevenar in Indian contextGaurav Gupta
Choosing a pneumococcal vaccine - wisely.. Prevenar in Indian context latest studies as of July 2018,
Which vaccine is the best in India as of 2018, latest studies and scientific data
The document discusses optimizing pneumococcal conjugate vaccine (PCV) schedules. It provides an overview of PCV introduction and schedule changes in the UK from 1990-2015. Results are presented from a randomized controlled trial comparing immunogenicity of a 2+1 versus 1+1 PCV schedule in UK infants. The global landscape of PCV introduction is reviewed, noting opportunities to optimize schedules. Ongoing studies in multiple countries are exploring alternate PCV schedules to potentially simplify regimens while maintaining protection.
This document discusses issues in evaluating the impact of a new meningococcal B vaccine. It provides background on the challenges of developing a vaccine for meningococcal B due to its polysaccharide composition. The vaccine Bexsero contains 4 antigens including recombinant proteins and outer membrane vesicles. Clinical trials showed it was safe and immunogenic. Evaluating its strain coverage requires the Meningococcal Antigen Typing System since coverage depends on antigen expression levels and variants. Post-licensure studies will descriptively analyze meningococcal epidemiology by vaccination status and evaluate Bexsero's effectiveness prospectively using methods like the screening method.
Meningococcal vaccination needed in india july 2016Gaurav Gupta
Menactra Meningococcal Conjugate Vaccine in India, is it really needed?
July 2016 Sanofi Pasteur Talk for Pediatricians, Child Specialist Doctors related to Vaccination, Immunization etc.
What next for prevention of pneumococcal disease in light of serotype replacement? Is there a pathway to licensure for novel pneumococcal vaccines?
https://www.meningitis.org/mrf-conference-2017
This document provides a summary of a presentation on prospects for developing a Group B Streptococcus (GBS) vaccine for pregnant women globally. It notes that GBS is a leading cause of neonatal infections and discusses the limitations of the current prevention strategy using intrapartum antibiotics. Developing a maternal GBS vaccine could have a higher impact by preventing more outcomes and providing more equitable coverage. Ongoing work includes further vaccine development and clinical trials, establishing a global disease burden, developing standardized assays to assess vaccine protection, and guidance for vaccine policy and implementation. The goal is to develop a safe and effective maternal GBS vaccine to reduce infant mortality from this disease worldwide.
This document discusses the effectiveness data from 19 years of surveillance on the SP HEXAVALENT DTaP-IPV-HB-Hib vaccine. It notes that the best way to compare pertussis vaccines is based on effectiveness data rather than immunological markers. It references a 2008 Swedish surveillance study that is commonly used to evaluate the effectiveness of pertussis vaccines. The study found that after the introduction of the acellular pertussis vaccine, there was a decrease in reported pertussis cases in Sweden.
Live hepatitis a vaccine - Indian Perspective chennai sep 2018Gaurav Gupta
Biovac A, Live hepaptis A vaccination, talk in IAP Chennai Vaccine meet, Sept 2018. Long term data, single dose data, Indian studies and need for Hep A vaccine, also comparison with inactivated Hep A vaccines
This document outlines the goals and objectives of Myanmar's National Immunization Program, including reducing under-5 mortality from vaccine-preventable diseases and reaching routine immunization coverage targets. It discusses strategies to strengthen routine immunization through the RED approach, which focuses on re-establishing outreach services, supportive supervision, community linkages, monitoring data use, and resource planning and management at the township level. Proper vaccine and equipment supply management, cold chain maintenance, and adverse event monitoring are also covered to help ensure vaccine quality and safety.
A cost-effectiveness analysis was conducted on a potential group B Streptococcus (GBS) vaccine for the UK. The analysis found that a GBS vaccine is likely to be a cost-effective intervention based on recent UK data on disease burden and healthcare costs. A GBS vaccine covering 5 major serotypes could prevent hundreds of cases of neonatal and maternal GBS disease annually in the UK and gain thousands of quality-adjusted life years at a reasonable cost. Global analyses also indicate GBS vaccination could significantly reduce disease burden worldwide and be very cost-effective in many countries according to WHO guidelines. More research is still needed to define cost-effectiveness in lower-income settings.
This document discusses the introduction of two new meningococcal immunization programs in England, including vaccination against meningococcal group B disease. It provides data on trends in meningococcal disease cases over time, outlines the age distribution of invasive meningococcal disease, and discusses the role of serogroup B vaccines in the UK. It summarizes evidence from clinical trials demonstrating the immunogenicity and tolerability of the MenB vaccine Bexsero, and reviews data showing that prophylactic paracetamol can reduce fever following vaccination without impacting the vaccine's immunogenicity.
Current challenges in pertussis prevention gaurav gupta - sept 2016Gaurav Gupta
Pentaxim, Hexaxim, India, pertussis, whooping cough, vaccine, 2 component, 5 component.
Talk for Chandigarh, India about whole cell pertussis versus acellular pertussis vaccine -
Dr. Gaurav Gupta RV 5 Patiala CME 18 feb 2018Gaurav Gupta
Comparing the 4 available Rotavirus vaccines in the Indian context, Rotateq (RV5), Rotavac/ Rotasure (116E), Rotarix (RV1), and Rotasiil (BRV-PV), with special reference to Rotateq.
This document discusses vaccination recommendations for adolescents, preconception, and during pregnancy. It provides guidance on routine vaccinations such as Tdap, HPV, influenza, and meningococcal vaccines for adolescents. It also discusses catch-up vaccinations for hepatitis B, MMR, varicella, hepatitis A, and typhoid. The effectiveness and schedules for 2-dose HPV vaccination in adolescents is reviewed. Preconception vaccination guidance emphasizes determining immune status for rubella, varicella and hepatitis B and vaccinating susceptible women.
A comparative study of the preventive use of tilmicosin phosphate (pulmotil p...Pig Farm Solution
A comparative study of the preventive use of tilmicosin phosphate (pulmotil premix) and mycoplasma hyopneumoniae vaccination in a pig herd with chronic respiratory disease
Rotavirus vaccine - Rotateq- Does Valency Matter North Zone Pedicon oct 2018Gaurav Gupta
Rotavirus vaccine - Rotateq- Does Valency Matter North Zone Pedicon oct 2018 - talk taken in the holy city of amritsar as a part of the First NZ pedicon for IAP. Discussed the differences and benefits of Rotavirus vaccines that are available in India including Rotateq, Rotarix, Rotavac Rotasure and Rotasiil
The document discusses the time interval for booster vaccination following re-exposure to rabies in previously vaccinated individuals. It reviews 19 studies involving over 3300 vaccinees to examine antibody response over time. The results showed that 0.07-0.14% of individuals had an inadequate antibody response at 1-3 months after initial vaccination. Therefore, the document concludes that a booster dose is recommended 3 months after the primary vaccination course for individuals re-exposed to rabies. This time interval is proposed to the WHO expert group for consideration in updating guidelines.
1) Hepatitis B vaccination faces several challenges, including ensuring safety, demonstrating efficacy of recombinant vaccines, determining duration of protection, addressing cost and non-responders.
2) Studies showed plasma-derived and recombinant vaccines provided protection for decades, though antibody levels declined over time. Cellular immune responses persisted despite low antibody levels.
3) Global elimination of Hepatitis B is possible by 2090 through high coverage birth dose vaccination, treatment of high-risk groups, and developing a cure for chronic infection. However, this will require significant ongoing financial investment.
This document summarizes a new drug called Umeclidinium (trade name Incruse Ellipta), which is a long-acting anticholinergic agent approved for the maintenance treatment of chronic obstructive pulmonary disease (COPD). Key details include that it works by blocking acetylcholine receptors, is dosed once daily at 62.5mcg via an elliptical inhaler, and was found in clinical trials to significantly improve lung function for up to 28 hours compared to placebo. The drug was generally well tolerated with the most common side effect being headaches.
Bacterial vaccines have helped eliminate or reduce several infectious diseases. Common bacterial vaccines protect against diphtheria, tetanus, pertussis, pneumococcal disease, Hib, meningococcal meningitis, typhoid, cholera and more. Vaccines work through active immunization by vaccination or passive immunization using antibodies. Ongoing research continues to develop new vaccines and improve vaccine effectiveness.
The Indian Academy of Pediatrics Advisory Committee on Vaccines and Immunization Practices (IAP ACVIP) met in August 2013 to revise the 2013 IAP Immunization Timetable and issue recommendations on newly licensed vaccines. Major changes included recommending whole-cell pertussis vaccines over acellular pertussis vaccines for the primary infant series due to evidence of faster waning of immunity from acellular vaccines. The committee also recommended immunizing pregnant women with the Tdap vaccine during the third trimester. The administration schedule for the rotavirus vaccine RV1 was revised from 6 and 10 weeks to 10 and 14 weeks based on evidence that this schedule results in a stronger immune response.
Progress is being made on developing a combined MenABCWY vaccine. Studies are underway evaluating the immunogenicity and safety of combining different meningococcal vaccines that target serogroups A, C, W, Y. Combining the vaccines could simplify immunization schedules, reduce costs by needing fewer doses, and increase vaccination uptake by reducing the number of required injections. However, a combined vaccine may also increase reactogenicity and interfere with the immune response to other concomitant vaccines. Ongoing studies are evaluating different potential MenABCWY vaccine combinations to determine the optimal formulation.
Antimicrobial Use Bundle is an approach to improve antibiotic use and reduce resistance through standardized practices. It involves collecting data on antibiotic initiation and follow up to ensure: 1) clinical rationale and appropriate testing is documented; 2) antibiotics are selected according to guidelines; and 3) treatment is reviewed on day 3 for de-escalation or switch to oral antibiotics. Studies show bundles improve compliance with best practices and lead to reduced costs, length of stay, and mortality when compared to usual care. Regular monitoring and feedback to clinicians is important for sustained implementation of antimicrobial stewardship bundles.
Similar to The new kid on the block hexavalent vaccines patiala may 2017 (20)
Impact of Social Media on Mental Health.pptxGaurav Gupta
## Social Media: The Ups and Downs for Young Minds
**Uncover the impact of social media on children's mental health.**
This presentation explores the complex relationship between social media and the developing minds of children. We'll delve into:
* **The positive connections:** How social media fosters friendships, self-expression, and access to information.
* **The potential pitfalls:** Increased anxiety, depression, body image issues, and cyberbullying.
* **Strategies for healthy use:** Explore practical tips for parents and educators to promote safe and balanced social media habits in children.
**Equip yourself with the knowledge to guide young people in navigating the social media landscape.**
Good evening everyone, and thank you for joining me today. Today we’ll be exploring the impact of social media on the mental health of children and adolescents. Social media is an undeniable part of our lives, and pediatricians are in a unique position to guide parents and children in navigating this digital landscape.
How AI will transform Pediatric Practice - Feb 2024Gaurav Gupta
Creating a concise and compelling summary for a SlideShare presentation on "How AI Will Transform Pediatric Practice" involves highlighting key points that emphasize AI's potential benefits, challenges, and future implications in pediatric healthcare. Here's a structured summary that could be effectively used in your SlideShare:
---
**Title: Transforming Pediatric Practice: The Role of AI**
**Introduction:**
- Briefly introduce the current state of pediatric practice, emphasizing the importance of accurate diagnosis, personalized treatment, and efficient healthcare delivery.
- Introduce Artificial Intelligence (AI) as a transformative tool in medicine, with a focus on pediatrics.
**AI's Impact on Diagnostics:**
- Highlight how AI algorithms enhance diagnostic accuracy in pediatric care, enabling early detection of diseases through pattern recognition in imaging, genomics, and clinical data.
- Discuss case studies where AI has successfully identified pediatric conditions earlier and more accurately than traditional methods.
**Personalized Treatment Plans:**
- Explain how AI contributes to the development of personalized medicine in pediatrics, considering the unique genetic, environmental, and lifestyle factors of each child.
- Provide examples of AI systems recommending customized treatment protocols and monitoring disease progression in real-time.
**Operational Efficiency and Patient Care:**
- Illustrate AI's role in streamlining administrative tasks, scheduling, and patient flow, allowing healthcare professionals to focus more on patient care.
- Discuss AI-powered virtual health assistants and chatbots that provide 24/7 support and guidance to caregivers, answering questions and offering advice based on medical guidelines.
**Challenges and Ethical Considerations:**
- Address the challenges of integrating AI into pediatric practice, including data privacy, ethical considerations, and the need for robust training data.
- Discuss the importance of balancing AI tools with human oversight to ensure compassionate and empathetic patient care.
**The Future of AI in Pediatrics:**
- Envision a future where AI not only supports clinical decision-making but also predicts health outcomes, identifies potential public health crises, and contributes to global pediatric health research.
- Highlight the importance of interdisciplinary collaboration in developing AI tools that are ethical, equitable, and truly beneficial for child health.
**Conclusion:**
- Summarize the transformative potential of AI in pediatric practice, emphasizing its role in enhancing healthcare delivery, improving patient outcomes, and paving the way for innovative treatment approaches.
- Call to action for healthcare professionals, researchers, and technologists to collaborate in harnessing the power of AI for the betterment of pediatric healthcare.
Latest GINA guidelines for Asthma & COVIDGaurav Gupta
What are the changes from 2019 onwards till 2022, in the GINA guidelines for developing countries like India.
Includes COVID guidelines and also a FUN QUIZ !
Talk about why these guidelines have changed - use of ICS - formoterol combination for treating even intermittent asthma
Dr Naveen Kini, Pediatrician from Bengaluru talks about WHAT is podcasting, HOW we can listen to podcasts, WHY doctors should create podcasts and much more. Co-hosted with Dr Gaurav Gupta. In arrangement with dIAP and CMIC. This is PART 1 - we discuss how to create a simple free & easy podcast in part 2 - check the presentation on slideshare under my account
Podcast creation for doctors (Pediatricians)Gaurav Gupta
To create a doctor podcast, one must first develop a clear concept focused on a specific medical area of interest. Then, choose an attention-grabbing name related to the topic and register the podcast on major platforms like Apple Podcasts and Spotify to reach a wide audience. Basic recording equipment like a computer and quality microphone are sufficient to produce clear audio. Promoting the podcast through one's website, social media, and practice's blog is key to growing the listener base.
Rotavirus vaccines in India - Whats new in 2021 Gaurav Gupta
This document provides information on Rotavirus gastroenteritis (RVGE) and rotavirus vaccines in India, with a focus on vaccine 116E. It discusses how RVGE is a major cause of childhood diarrhea and mortality in India. It summarizes clinical trial results showing the 116E vaccine is effective at preventing severe RVGE, has a good safety profile with no increased risk of intussusception compared to other vaccines, and provides broad protection against circulating rotavirus strains in India. Phase 3 and 4 trials demonstrated 116E is well-tolerated and effective in preventing severe RVGE in Indian children when administered in a 3-dose schedule.
Hep a Live & Inactivated vaccines in IndiaGaurav Gupta
dIAP presentation for GSK - Havrix and comparison of Live and inactivated Hepatitis A vaccines in Dec 2020.. Online discussion about the various Hep A vaccines available and their pros and cons
Prevention of influenza in relation to COVID 19 - the TWINDEMICGaurav Gupta
What is the concern about the TWINDEMIC of COVID 19 & Influenza?
My talk on the digital IAP platform in Dec 2020 for the pediatricians across the country
Top 10 practical questions about Flu Vaccine in India!Gaurav Gupta
What does a practising paediatrician want to to know about the Flu vaccination? Talk for Abbott Vaccines (Influvac Tetra) in Oct 2020 about common queries that doctors have about the flu vaccine in India, including how it may help in COVID-19?
Helping doctors avoid COVID in their Office PracticeGaurav Gupta
Tips for doctors and their patients to avoid Coronavirus during OPD practice in India. From a Pediatrician's perspective. How can we take supplements prophylactic medicines like Vit D, Vit C, Zinc, etc. and medicines like HCQ or Ivermectin to prevent COVID during seeing patients in our practice.
Digital eye strain - Computer vision syndrome for students during Online clas...Gaurav Gupta
Dr. Poonam Gupta, Eye Specialist from Charak Clinics, Mohali, talks with Aakash Institute about Computer vision syndrome, Digital Vision Syndrome, Eye fatigue in students doing online classes during the lockdown. How to prevent it and treat with with simple steps including the 20-20-20 rule etc.
Prevenar e cme june 2020 & FAQs & COVID Clinic QuestionsGaurav Gupta
Lockdown E-CME & Webinars - this one is on Pfizer vaccine - Prevenar,
We have also discussed the common questions on Pneumonia & how to run clinical practice during COVID shutdown
Digital waste management pedicon 2020 Indore, preconference workshopGaurav Gupta
What is important and relevant about Digital waste management pedicon 2020 Indore, preconference workshop. How to dispose of your printers, computers, mobile phones, relevant to India
How to Advertise yourself with simple office tools PEDICON 2020 Indore workshop 8 jan, 2020. How to use whatsapp, blogs, youtube facebook to advertise yourself online
Zyvac TCV - The Indian Typhoid Conjugate VaccineGaurav Gupta
The document discusses a new typhoid conjugate vaccine called Zyvac-TCV developed by Zydus Vaccines. It provides details of a phase II/III clinical trial conducted to evaluate the immunogenicity and safety of Zyvac-TCV compared to another licensed typhoid conjugate vaccine. The results showed that Zyvac-TCV was non-inferior in inducing seroconversion and had a comparable safety profile. No serious adverse events were reported for either vaccine. The document concludes that Zyvac-TCV met the immunogenicity and safety endpoints for efficacy.
Dr. Gaurav Gupta - Should you be buying an E-bike this Diwali?
Dr RP Bansal- Feeding difficulties in the newborn
Dr Nivedita- Tips on how to Continue Breast Feeding
Dr Ridhi- Teething tips
Dr Arushi - First afebrile seizure
Dr Amit - Mesentric lymphadenopathy
Dr Gunjan - Acute events following immunization plus update on BCG adenitis
Dr Sandip Jain- Tips for examining children
Dr Diljot - Mefenemic acid as an antipyretic
Dr Jaskaran- colicky infant : knowledge , attitude and practices
Dr Shailesh - School se chutti kitne din karayein ?
Dr Gaurav- Is it oral Herpes? Visual Quiz
At the four front of flu vaccination - Quadrivalent Flu Vaccination in India ...Gaurav Gupta
Is flu vaccination needed in India? Is there any benefits of Quadrivalent Flu vaccination over Trivalent Flu vaccination? Any safety & efficacy data about Vaxiflu 4 by Zydus Vaccines. All discussed in a Presentation in Panchkula, in September 2019
Meningococcal disease sep 2019 National Epidemiology & Indian recommendationsGaurav Gupta
This document discusses meningococcal disease in India, including past outbreaks, current epidemiology and surveillance data, and recommendations for vaccination. It notes that while India has a poor surveillance system and diagnostic challenges, meningococcal disease is present and the country has seen outbreaks every 6-8 years. Surveillance data from 2012-2016 shows several states regularly report over 100 cases annually. Current recommendations from the Indian Academy of Pediatrics advise vaccination for high-risk groups, international travelers, and Hajj/African meningitis belt pilgrims. While antibiotics can treat the disease, vaccination is an effective prevention strategy given unknowns around antibiotic resistance and underdiagnosis.
Japanese encephalitis - Sep 2019 India epidemiology - Is vaccination needed?Gaurav Gupta
1) Japanese encephalitis (JE) is a viral disease spread by mosquitoes that is endemic in many parts of Asia and the Pacific. India reports the highest number of JE cases annually, with an estimated actual number between 15,000-20,000 cases per year.
2) JE vaccination is the most important preventive measure according to WHO and IAP guidelines. The national vaccination program in India recommends routine vaccination with two doses of JE vaccine for children up to 15 years of age in endemic areas.
3) While mosquito and pig control efforts have not proven reliable at controlling JE, vaccination is currently the single most effective public health approach for prevention in India given the disease burden.
Research in pediatrician office - my story! NORC Aug 2019 New DelhiGaurav Gupta
Presented in NORC - Aug 2019 - National Original Research convention, discussion of Flu like illnesses and the Flu vaccination and drug utilization reviews and prescription audits and various other original research presented and published by Dr. Gaurav Gupta in his years of clinical practice, including yellow fever, Complementary medicines, drug costs and prescriptions analysis
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
6. COMPONENT COMPANY EFFICACY
1C Amvax, JNIH 71 TO 78%
2C SKB 59%
2C Pasteur Merieux 85%
3C SKB (GSK) 84 %
4C LEDERLE - an european vacc .
not marketed
79 %
5C Connaught (Pasteur) 85 %
DTwP VARIOUS countries 36 TO 96 %
Summary of vaccine efficacy: Cochrane 2012 (and 14)
7. Statements of Vaccines Experts/Health Authorities regarding number of
Pertussis components in licensed vaccines:
• “There are now only 3 broadly distributed acellular pertussis vaccines: the
French 2-component, the Belgian 3-component, and the Canadian 5-
component vaccines. National surveillance data have clearly demonstrated
the ability of each vaccine to accomplish excellent control of pertussis.”
Plotkin et al.
VACCINES 6th
ed.
• The European scientific panel on childhood immunization does not discuss
the number and types of acP vaccines components, since effectiveness data
have not shown any significant differences.”
European CDC
• “Point estimate of vaccine efficacy ranged from 80% to 85% for vaccines
currently licensed in the United States. Confidence intervals for vaccine
efficacy overlap, suggesting that none of the vaccines is significantly more
effective than the other.”
CDC Pink Book
12th ed.
• “long-term large scale use of licensed 2-component aP-containing vaccines
(primarily in Sweden and Japan) and of 1-component aP vaccine in the
national Danish immunization programme, all of these aP-containing vaccines
demonstrated high levels of effectiveness in preventing pertussis irrespective
of antigen content.”
WHO Pertussis
Vaccines
Position Paper 7
10. Combination vaccines – Why not?
• Adverse effects maybe more common
• Reduced Immunogenicity
• May have lesser shelf life
• Technically difficult
• Expensive
11. Hexavalent Vaccines across the World
• Hexavac – discontinued
• Infanrix Hexa – GSK – with lyophilised Hib
• Hexaxim – Fully liquid 6 in 1 with DPT + Hep B
+ Hib + IPV
12. Hexavalent Vaccines across the World
• Hexavac – discontinued
• Infanrix Hexa – GSK – with lyophilised Hib
• Hexaxim – Fully liquid 6 in 1 with DPT + Hep B
+ Hib + IPV
14. Efficacy
• As compared to other aP vaccines
• As compared to wP vaccines, specifically
against Pertussis
15. HEXAXIM® immunogenicity assessment - Overview
● 8 primary series studies
● 3 primary schedules (6, 10 & 14 weeks; 2, 3 & 4 and 2, 4 & 6 months)
● With or without hepatitis B vaccination at birth
● versus different control vaccines:
• wP-based combination vaccines
• PENTAXIM® + standalone hepatitis B vaccine
• INFANRIX-HEXA (DTaP-IPV-HBV//Hib***)
• Concomitantly with other routine pediatric vaccines
*Tritanrix®-HepB/Hib **CombAct-HIB® *** Infanrix Hexa®
16. 0
20
40
60
80
100
D T PT FHA PV1 PV2 PV3 HBsAg Hib
Immunogenicity v/s whole cell-based vaccines
HEXAXIM® induces high immune responses similar
to those of wP-based combination vaccines
Seroprotection/seroconversion rates after the 3rd dose of HEXA or a wP-based combination
vaccine in infants vaccinated at 6,10 &14 weeks of age
(South Africa)1 (No HepB vaccine at birth, no concomitant vaccine)
Seroprotection/
Seroconversionrates(%)
D T PT FHA PV1,2,3 HBsAg Hib
0.01 IU/mL 4-fold increase
(pertussis antigens)
1/dil 8 10 mIU/mL 0.15 µg/mL
98 96 100 100
94
83
93
58
100
93
99 100 100 98 96 95 95
100
HEXAXIM® 1
n=220
DTwP//Hib* + OPV + Hep B vaccine 1
n=212
* CombAct-HIB® [1] Madhi et al. PIDJ, 2011;30(4)
17. 0
20
40
60
80
100
D T PT FHA PV1 PV2 PV3 HBsAg Hib
The immune response to all HEXAXIM® antigens is high and similar
to that of PENTAXIM® co-administered with standalone hepatitis B vaccine
Seroprotection/
Seroconversionrates(%)
D T PT FHA PV1,2,3 HBsAg Hib
0.01 IU/mL 4-fold increase
(pertussis antigens)
1/dil 8 10 mIU/mL 0.15 µg/mL
100 100 100 100
92 93 93 90
100 100 100 100 100 100 99 100
95 97
HEXAXIM®
n=260
PENTAXIM® + Hep B vaccine
n=271
[5] Tregnagui et al. PIDJ, 2011;30(6)
Seroprotection/Seroconversion rates after the 3rd dose of HEXA or PENTA
in infants vaccinated at 2, 4 & 6 months of age
(Argentina)5 (No Hep B vaccine at birth, no concomitant vaccine)
Immunogenicity Vs PENTAXIM®
18. Completion of a 3-dose primary series and a booster administration in the first 2 years of life with the investigational
DTaP-IPV-HB-Hib vaccine in toddlers induced strong Ab responses towards the antigens included in the
investigational vaccine which persisted in significant percentages of children at 3.5 years of age
20. HEXAXIM® safety assessment - Overview
Evaluated in 20 clinical trials in more than 6000 infants and toddlers
● 18,000 doses administered to > 6000 infants in 20 clinical trials
● With or without hepatitis B vaccination at birth
● versus different control vaccines:
• wP-based combination vaccines
• PENTAXIM® + standalone hepatitis B vaccine
• INFANRIX-HEXA (DTaP-IPV-HBV//Hib***)
• Concomitantly with other routine pediatric vaccines
[19] Sanofi Pasteur. Data on file
21. Solicited reactions after any dose of HEXAXIM® or DTwP-HepB//Hib*
in infants vaccinated at 2,4 & 6 months of age (Mexico & Peru)3 (No concomitant vaccine)
0
20
40
60
80
100
Pain Red Swell A Fever Vom Crying Somnol Anor Irr
The reactogenicity of HEXAXIM® is consistently lower than that of
wP-based combination vaccines
Gr3: grade 3 *Tritanrix®-HepB/Hib [3] Macias et al. PIDJ, 2012;31(8)
78 94
59 71
17 36
3 6
43 67
1 6
75 93
4 6
30 31
2 3
78 92
3 5
57 69
5 6 3 5
82 92
46 59
6 10
Reactionincidence(%)
HEXAXIM®
n=1422
DTwP-HepB//Hib*
n=711
Any Gr3 Any Gr3 Any Gr3 Any Gr3 Any Gr3 Any Gr3 Any Gr3 Any Gr3 Any Gr3
Pain Redness Swelling Fever Vomiting Crying Somnolence Anorexia Irritability
Tolerability Vs. wP-based combination vaccines
22. Safety in primary and booster series
Key points
Well tolerated under various primary schedules (6-10-14 weeks, 2-3-4
and 2-4-6 months)
Better tolerated than wP-based combination vaccines
Comparable to other licensed aP-based combination vaccines
(PENTAXIM®, Infanrix Hexa)
The safety and reactogenicity - not affected by the administration of
hepatitis B vaccine at birth
* Infanrix® Hexa
24. IMMUNOGENICITY AND SAFETY OF
DTaP-IPV-HB-PRP-T COMBINED
VACCINE GIVEN AT 6, 10 AND 14
WEEKS OF AGE IN INFANTS FROM
INDIA, WHO PREVIOUSLY RECEIVED
A DOSE OF HEP B VACCINE AT BIRTH
Presenting Author: Prof Sanjay Lalwani
Date : 23 January 2016
Venue : PEDICON – Hyderabad
WHO Universal Trial Number (UTN): U1111-1127-6936
26. Safety: Solicited reactions from D0 to D7, any
grade, after each injection (in %)
26
19%
4.60%
10.30%
13.80%
3.40% 3.40%
11.90%
0.60%
6.50%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Tenderness Erythema Swelling
Post Dose 1 Post Dose 2 Post Dose 3
7.5%
9.8%
16.1%
9.8%
6.9%
22.4%
8.6%
3.4%
9.8%
3.4% 3.4%
16.7%
7.1%
3.0%
7.7%
3.0% 3.0%
12.5%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
100.0%
Fever Vomiting Abnormal
Crying
Drowsiness Loss of
appetite
Irritability
Post Dose 1 Post Dose 2 Post Dose 3
54.6% experienced at least 1 solicited
systemic reaction.
Most frequently reported systemic
reaction was irritability (36.2%)
19.0% of subjects reported fever ; no
Grade 3 fever reported
Injection site reactions
37.9% experienced at least 1 solicited
injection site reaction, most frequent being
tenderness (30.5%).
2.9% of subjects reported Grade 3 reactions
The incidence lowered with successive
doses with no Grade 3 reaction reported
after the third dose
Systemic reactions
29. HepB immunization and use of hexavalent vaccines
The use of Hep-B containing combination vaccines in the first year
of life primary series offers below possibility:
●To adopt Hep B immunization regimen by using an hexa-only infant
primary series regimen
●Lead to a “0” (birth) + 3 +/- 1 (second year of life) regimen: “birth + 3 +
1” or “birth + 3 + 0”
32. Hepatitis B antigen: Source
Produced using the patented Hansenula
polymorpha yeast expression system:
● Consistent high quality and reliable supply
● No need for methanol as solvent (used with
other yeast expression system)5
Manufactured and controlled in Sanofi
Pasteur’s state-of-the-art facility in Argentina
● Completely dedicated to this new hepatitis B
antigen
Produced exclusively for use in HEXAXIM®
[5] Celik. Biotechnol Adv, 2012;30(5) [6] Shouval. J Hepatol, 2003;39(Suppl1)
33. Presentations
HEXAXIM® is available as FULLY LIQUID:30
● Needleless pre-filled syringes (box of 1 and 10) with two needle
lengths for optimal flexibility (16 mm 25G, 25 mm 23G)
• With double detachable labels for easy documentation
[30] Sanofi Pasteur. HEXAXIM®. Summary of Product Characteristics