natgillin/translations-raw huggingface dataset:
- the body of evidence on infectious or inflammatory diseases considered in the evaluation of this wellestablished use dossier is a careful selection of the studies according to the criteria of the Points to Consider (PtC) on the Evaluation of Diagnostic Products (CPMP/EWP/1119/98) and limited to the best documented clinical settings 
- dokazi o okužbah in vnetnih boleznih, ki so obravnavani pri vrednotenju te dokumentacije za dobro uveljavljeno uporabo, predstavljajo natančno izbrane študije po kriterijih dokumenta „Vidiki, ki jih je treba upoštevati“ pri vrednotenju diagnostičnih zdravil (CPMP/EWP/1119/98) ter le najbolje opisane klinične okoliščine
There is no impact on the SmPC at the moment since it has not been demonstrated that any of the settings of this indication significantly benefit from PET/CT fusion as compared to PET alone. 
Trenutno ni vpliva na povzetek glavnih značilnosti zdravila, saj ni bilo dokazano, da je v kateri koli od teh indikacij kombinacija PET/CT bistveno koristnejša od preiskave samo s PET.
- the technical performance has been documented in articles, and is applicable to all the proposed infectious or inflammatory diseases 
- tehnična zmogljivost je opisana v virih in se nanaša na vse predlagane okužbe ali vnetne bolezni
Although it is argued that the effective dose of irradiation from 99mTc labelled compounds is similar to that of FDG, the easiest to use 99mTc labelled comparator, immunoscintigraphy, is contraindicated in children for a well documented reason; that the occurrence of antibodies will impede further use. 
Čeprav je sporno, da je učinkoviti odmerek sevanja iz spojin, označenih s 99mTc, podoben kot pri FDG, je najenostavnejša uporaba primerjalnega zdravila, označenega s 99mTc, tj. imunoscintigrafija, kontraindicirana pri otrocih zaradi dobro dokumentiranega vzroka, tj. pojava protiteles, ki preprečijo kasnejšo uporabo.
The total effective dose of FDG PET/CT with a low dose CT is less than that of a full contrast enhanced diagnostic CT of the same area. 
V istem področju je skupni učinkoviti odmerek preiskave PET/CT s FDG in nizkoodmernim CT manjši od polnokontrastne izboljšane diagnostične preiskave CT.
The three indications oncology, cardiology and neurology are established in the core SmPC for this active substance. 
Tri indikacije (onkologija, kardiologija in nevrologija) so določene v temeljnem povzetku glavnih značilnosti zdravila za to zdravilno učinkovino.
The use of FDG PET-CT has been reported in all of the 10 proposed indications in ‘Infectious or inflammatory diseases', except for the detection of infection of hip prostheses, at this point in time. 
Uporaba PET-CT s FDG je bila do danes opisana za vseh 10 predlaganih indikacij „okužb ali vnetnih bolezni“, razen za odkrivanje okužb umetnih kolkov.
It was concluded that: that the intrinsic resolution of a PET scanner is twice as good as that of a gamma-camera with a low energy collimator used for technetium-99m and more than twice with a medium energy collimator used for gallium-67 or indium-111, that the waiting time for the patient (1h between injection and image acquisition) is the shortest of all registered radiopharmaceuticals in this field, that the other inconveniences/risks for the patient are less than those of gallium-67 (cumbersome patient preparation) or of labelled white blood cells (WBC) which requires withdrawal of a large quantity of blood and encompasses risk of errors in re-injection; that the dosimetry of FDG PET is similar to that of technetium-99m labelled products and more favourable than that of gallium-67 or indium-111 radiopharmaceuticals. 
Ugotovljeno je bilo, da: je lastna ločljivost tomografa z emisijo pozitronov dvakrat boljša od kamere gama z nizkoenergijskim kolimatorjem za tehnecij-99m in več kot dvakrat boljša od srednjeenergijskega kolimatorja za galij-67 ali indij-111, je čakalna doba za bolnika (1 ura od injiciranja do zajema slike) najkrajša med vsemi registriranimi radiofarmaki, ki se uporabljajo na tem področju, so druge neprijetnosti/tveganja za bolnika manj pomembna kot pri galiju-67 (neudobna priprava bolnika) ali označenih levkocitih, kjer je potreben odvzem velike količine krvi in se možna tveganja napake pri ponovnem injiciranju, je dozimetrija preiskave PET s FDG podobna kot pri zdravilih, označenih s tehnecijem-99m, ter boljša kot pri radiofarmakih z galijem-67 ali indijem-111.
Fludeoxyglucose (18F) passes the blood-brain barrier, and epileptogenic foci exhibit a reduced glucose metabolism in the seizure free phases. 
Fludeoksiglukoza (18F) prehaja možgansko-krvno bariero, epileptogena žarišča pa kažejo zmanjšano presnovo glukoze v fazah brez napadov.
The issue was referred to the CMD(h) and an assessment was carried out by the RMS. 
Vprašanje je bilo posredovano usklajevalni skupini za postopek medsebojnega priznavanja in decentralizirani postopek v humani medicini CMD(h) in referenčna država članica je izvedla vrednotenje.
- a high impact on patient management has been reported for the overall indication and for every infectious or inflammatory diseases 
- poročajo o visokem vplivu na obravnavo bolnika za skupno indikacijo in za vse posamezne okužbe ali vnetne bolezni
In conclusion the CHMP considers that the benefit-risk profile is favourable for Gluscan (FDG) in the indication ‘infectious or inflammatory diseases' addressed above. 
V zaključku CHMP meni, da je razmerje med koristmi in tveganjem ob uporabi zdravila Gluscan (FDG) za zgoraj obravnavano indikacijo „okužbe in vnetne bolezni“ ugodno.
Fludeoxyglucose (18F) is also accumulated by the myocardium, especially during and after a reversible myocardial ischemia when an increased glucose uptake occurs into the myocardial cell. 
Fludeoksiglukoza (18F) se kopiči tudi v miokardu, zlasti med reverzibilno miokardno ishemijo in po njej, saj se takrat poveča privzem glukoze v celice tega tkiva.
The impact on management was as obvious as in adults (FUO, IBD) and even more striking in the case of granulomatosis (Güngör 2001). 
Vpliv na obravnavo bolnika je bil jasen kot pri odraslih (zvišana telesna temperatura neznanega vzroka, aktivna vnetna bolezen črevesja) ter še izrazitejši pri granulomatozi (Güngör 2001).
For patients under specific concomitant medications such as antibiotics and anti-inflammatory drugs, common sense indicates that in the corresponding claimed settings in long lasting or chronic illness (fever of unknown origin (FUO), chronic infection of bone, suspicion of infected hip prosthesis, active inflammatory bowel disease (IBD) …), they were not effective since the patient was referred to FDG PET. 
Pri bolnikih s specifičnimi sočasno uporabljenimi zdravili, kot so antibiotiki in protivnetna zdravila, je jasno, da v ustreznih okoliščinah, ki so obravnavane v vlogi, z dolgotrajno ali kronično boleznijo (zvišana telesna temperatura neznanega vzroka, kronična okužba kosti, sum okužbe umetnega kolka, aktivna vnetna bolezen črevesja ...) niso bila učinkovita, saj so bolnike napotili na PET s FDG.
There is no reason to anticipate a lower efficacy in children as compared to adults for a diagnostic examination that is useful in a large spectrum of causes, which are both found in children and adults, without any metabolic specificity in children. 
Pri diagnostični preiskavi, ki je uporabna za širok razpon vzrokov, ki jih odkrivamo pri otrocih in odraslih brez vsake presnovne specifičnosti za otroke, ni razloga za pričakovanje manjše učinkovitosti pri otrocih v primerjavi z odraslimi.
Furthermore for all the requested infectious and inflammatory diseases, the diagnostic performance has been determined and found to be at least equal to that of the comparator, when the studies of the same disease have been pooled together. 
Poleg tega so bile za vse zadevne okužbe in vnetne bolezni določene diagnostične zmogljivosti, ob združenju študij enakih bolezni, pa je bilo ugotovljeno tudi, da so te zmogljivosti enakovredne najmanj primerjalnemu zdravilu.
Although PPV was favourable, and impact on management was available, according to the PtC, it was agreed during previous discussions with the RMS, CMS and Applicant, that this important information would remain in section 4.4 of the SmPC as its inclusion would be of value for the prescription and interpretation of FDG-PET in this indication. 
Kljub ugodni pozitivni napovedni vrednosti in jasnemu vplivu na obravnavo bolnika v dokumentu „Vidiki, ki jih je treba upoštevati“, so se referenčna država članica, zadevne države članice in predlagatelj v prejšnjih razpravah dogovorili, da ta pomemben podatek ostane v poglavju 4.4 povzetka glavnih značilnosti zdravila, saj bi njegova vključitev lahko pomagala pri predpisovanju in interpretaciji PET s FDG za to indikacijo.
Overall 6125 patients worldwide have to date been reported in published series (excluding cases reports) who benefited from FDG PET indicated for inflammation/and infection (excluding incidental findings of infection/inflammation in patients referred for another indication). 
V objavljenih nizih (brez poročil o primerih) je navedeno skupno 6 125 bolnikov s celega sveta, ki so do danes opravili pozitronsko emisijsko tomografijo (PET) s FDG, indicirano zaradi vnetja in okužbe (brez naključnih odkritij okužbe/vnetja pri bolnikih, ki so bili napoteni zaradi druge indikacije).
This has been demonstrated for some settings in oncology and is reported in the Core SmPC, but is not currently the case in infection/inflammation. 
To je bilo dokazano za nekatere okoliščine v onkologiji (kar je opisano v temeljnem povzetku glavnih značilnosti zdravila) ne pa pri okužbah/vnetjih.
As with the other indications in the core SmPC, the indication in infectious or inflammatory diseases is also based on a biological process: glucose uptake in tissue or structures with an abnormal content of activated white blood cells. 
Tudi indikacija okužb oz. vnetnih bolezni kot pri drugih indikacijah v temeljnem povzetku glavnih značilnosti zdravila temelji na biološkem procesu: privzemu glukoze v tkivu ali strukturi z nenormalno vsebnostjo aktiviranih levkocitov.
The medical records of the 248 patients with multiple myeloma whose FDG-PET was reported as showing increased radiotracer uptake at extramedullary sites and/or bone and joint lesions (that would be atypical for multiple myeloma) were reviewed, to identify cases associated with infection. 
Pregledali so kartoteke 248 bolnikov z multiplim mielomom, pri katerih je preiskava PET s FDG odkrila povečan privzem radioaktivnega označevalca izven kostnega mozga in/ali lezij v kosteh in sklepih (ki so atipične za multipli mielom), in odkrili primere okužb.
at calibration time, Water for injection - 1.00g, Sodium citrate - 0.62% (v/v), Sodium chloride - 0.41% (v/v), Hydrochloric acid 0.39% (v/v), Ethanol 0.31% (v/v) Sodium hydroxide 0.24% (v/v) 
Za 1 mL zdravila: fludeoksiglukoza (18 F) - 500 MBq v času kalibracije, voda za injiciranje - 1,00 g, natrijev citrat - 0,62 % (v/v), natrijev klorid - 0,41 % (v/v), klorovodikova kislina - 0,39 % (v/v), etanol 0,31 % (v/v), natrijev hidroksid - 0,24 % (v/v),
As mentioned above, it would be against the optimisation principle of the Euratom Directive (implemented in the law of all EU Member States) to exclude children from the benefit of FDG PET in infectious/inflammatory diseases, since the other scintigraphic options are actually more irradiating for the child (gallium-67 scintigraphy, indium-111 WBC scintigraphy) or for the personnel (in vitro labelling with technetium-99m HMPAO), without any benefit in efficacy. 
Kot je navedeno, bi bilo prikrajšanje otrok z okužbami/vnetji za koristne učinke PET s FDG v nasprotju z načelom optimizacije direktive Euratom (uveljavljenje v zakonodaji vseh držav članic EU), saj so pri nekaterih drugih scintigrafskih možnostih otroci (scintigrafija z galijem-67, scintigrafija z levkociti, označenimi z indijem-111) ali osebje (označevanje s tehnecijem-99m HMPAO in vitro) bolj izpostavljeni sevanju, ne da bi se učinkovitost povečala.
It is also true that a careful weighting of the indication is requested in the SmPC for any paediatric use. 
Ravno tako velja, da se v povzetku glavnih značilnosti zdravila za vsako uporabo pri otrocih zahteva natančen razmislek o indikaciji.
This is already reported in the Core SmPC. 
To je že navedeno v temeljnem povzetku glavnih značilnosti zdravila.
Fludeoxyglucose (18F) is accumulated in tumours with a high glucose turnover. 
Fludeoksiglukoza (18F) se kopiči v tumorjih z velikim pretvarjanjem glukoze.
PET/CT is now the state-of-the-art for FDG detection and it is clear from literature and expert opinion that it cannot deteriorate technical and diagnostic performances when compared to PET alone. 
- preiskava PET/CT omogoča trenutno najsodobnejše zaznavanje FDG in ne kaže manjše tehnične in diagnostične zmogljivosti v primerjavi s samo PET
Water for injection - 1.00g, Sodium citrate - 0.62% (v/v), Sodium chloride - 0.41% (v/v), Hydrochloric acid 0.39% (v/v), Ethanol 0.31% (v/v) 
natrijev klorid - 0,41 % (v/v), klorovodikova kislina - 0,39 % (v/v), etanol 0,31 % (v/v), natrijev hidroksid - 0,24 % (v/v),
It would seem to be detrimental and against the Euratom Directives (optimisation of irradiation) to exclude children from the benefit of FDG PET in infection and inflammation (in particular FUO or IBD), since some other scintigraphic options (gallium-67 scintigraphy, indium-111 WBC scintigraphy) are actually more irradiating and/or more demanding and would lead to the management of children in a less convenient way than adults. 
Prikrajšanje otrok z okužbo in vnetjem (zlasti zvišano telesno temperaturo neznanega vzroka, aktivno vnetno boleznijo črevesja) za koristne učinke PET s FDG se zdi škodljivo in v nasprotju z direktivami Euratom (optimizacija sevanja), saj sta pri nekaterih drugih scintigrafskih možnostih (scintigrafija z galijem-67, scintigrafija z levkociti, označenimi z indijem111) izpostavljenost sevanju in/ali zahtevnost večji, kar bi povzročilo, da je zdravljenje otrok manj primerno kot zdravljenje odraslih.
However, a number of concerns were raised by the objecting CMS which did not consider the application for Gluscan acceptable. 
Vendar nekatere zadevne države članice vloge za zdravilo Gluscan niso štele za sprejemljivo in so nasprotovale z več zadržki.
The posology (in fact the injected activity) recommended in the Core SmPC, 100-400MBq with adaptation in children, is in line with the activity used in the reported clinical studies for infection/inflammation, whatever the machine used PET, CDET or PET-CT. No adaptation is necessary according to the clinical setting, while an adaptation is necessary (within the above range) according to the body weight of the patient and the type of PET(/CT) machine used for imaging. 
Odmerjanje (tj. injiciranje), ki je priporočeno v temeljnem povzetku glavnih značilnosti zdravila (100−400 MBq s prilagoditvijo za otroke), je skladno z aktivnostmi, ki so bile uporabljene v objavljenih kliničnih študijah za okužbe/vnetja ne glede na uporabljeni aparat (PET, CDET ali PETCT).
A paragraph highlighting the effect of corticosteroids on FDG uptake in the infection and inflammation indication, and consideration of the possible temporary withdrawal of this therapy was proposed by a CMS in section 4.5 of the SmPC (Intercation with other medicinal products and other forms of interaction), and was subsequently endorsed by the CHMP. 
CHMP je zato potrdil odstavek, ki ga je predlagala zadevna država članica v poglavju 4.5 povzetka glavnih značilnosti zdravila (Medsebojno delovanje z drugimi zdravili in druge oblike interakcij), ki opozarja na učinek kortikosteroidov na privzem FDG v okviru indikacije okužbe in vnetja ter poziva k proučitvi začasne prekinitve tega zdravljenja.
- PET-CT is now the state-of-the-art for FDG detection and does not show a deterioration in technical and diagnostic performances when compared to PET alone the CHMP has recommended the granting of the Marketing Authorisations for which the Summary of Product Characteristics, labelling and package leaflet remain as per the final versions achieved during the Coordination group procedure as mentioned in Annex III for GLUSCAN 500 and associated names (see Annex I). 
CHMP je priporočil, da se za zdravilo, katerega povzetek glavnih značilnosti zdravila, označevanje in navodilo za uporabo ostanejo enaki zadnjim različicam, pripravljenim v postopku usklajevalne skupine (glejte Dodatek III) za zdravilo GLUSCAN 500 in povezana imena (glejte Dodatek I), odobri dovoljenje za promet.
Intravenous use For 1mL of drug product: Fludeoxyglucose (18F) - 500MBq at calibration time, 
Za 1 mL zdravila: fludeoksiglukoza (18 F) - 500 MBq v času kalibracije, voda za injiciranje - 1,00 g, natrijev citrat - 0,62 % (v/v),
Portugal 
Portugals ka
27 June 2013 
27. junij 2013
Outcome of procedures under Article 20 of Regulation (EC) No 726/2004 and Article 31 of Directive 2001/83/EC 
Izid postopkov v skladu s členom 20 Uredbe (ES) št. 726/2004 in členom 31 Direktive 2001/83/ES
The CHMP also considered available guidance from the World Health Organization. 
CHMP je preučil tudi razpoložljive smernice Svetovne zdravstvene organizacije.
However, the evidence, including the follow-up of some of the cases, was not sufficient to allow the Committee to be certain there was no association. 
Vendar dokazi, vključno s sledenjem nekaterim primerom, niso bili zadostni, da bi odbor lahko z gotovostjo sklenil, da ni nobene povezave.
(This does not apply to Zostavax, which has different strength and indications.) 
(To pa ne velja za cepivo Zostavax, ki ima drugačno jakost in indikacije.)
The product information should be updated to reflect these changes. 
Informacije o zdravilu je treba posodobiti tako, da bodo vključevale te spremembe.
Vax, Rouvax, Trivivac, Varilrix, Varivax, and associated names. 
Vax, Rouvax, Trivivac, Varilrix, Varivax in povezanimi imeni.
• In children with HIV infection, vaccination is contraindicated in those with age-specific CD4+ percentages of less than 25% below 12 months, less than 20% between 12 and 35 months, or less 15% between 36 and 59 months. 
• Pri otrocih z okužbo z virusom HIV je cepljenje kontraindicirano za tiste otroke, ki imajo določen delež CD4+ za njihovo starost manjši od 25 % pri mlajših od 12 mesecev, manjši od 20 % pri starosti od 12 do 35 mesecev ali manjši od 15 % pri starosti od 36 do 59 mesecev.
The Committee also recommended that some changes be made to the product information to clarify the risks and precautions to be taken. 
Odbor je prav tako priporočil, da se uvedejo nekatere spremembe v informacije o zdravilu, s katerimi se bodo pojasnila tveganja in previdnostni ukrepi, ki jih je treba uvesti.
They contain live attenuated (weakened) versions of the viruses responsible for these diseases. 
Vsebujejo žive, atenuirane (oslabljene) različice virusov, ki povzročajo te bolezni.
• Patients with severe weakness of their immune system must not receive these vaccines. 
• Bolniki s hudo oslabljenim imunskim sistemom ne smejo prejemati teh cepiv.
For patients with immune deficiencies, the Committee looked at evidence from clinical studies and reports from post-marketing use. 
Pri bolnikih z imunskimi pomanjkljivostmi je odbor preučil dokaze iz kliničnih študij in poročila glede uporabe v obdobju trženja.
If a woman is, or thinks she may be, pregnant she should tell her doctor or nurse before receiving any of these vaccines. 
Če je ženska noseča ali meni, da bi lahko bila noseča, naj o tem obvesti svojega zdravnika ali medicinsko sestro, preden prejme ta cepiva.
Other monovalent and multivalent vaccines against measles, mumps, rubella, and varicella have been available for many years and are authorised by national procedures in the EU Member States, under different trade names including Amunovax, Priorix, Priorix Tetra, Provarivax, R.O.R. 
Druga mono- in polivalentna cepiva proti ošpicam, mumpsu, rdečkam ter noricam so na voljo že mnogo let in so odobrena z nacionalnimi postopki v državah članicah EU pod različnimi tržnimi imeni, vključno z Amunovax, Priorix, Priorix Tetra, Provarivax, R.O.R.
The evidence did suggest that there was no need to delay pregnancy for more than one month after vaccination. 
Dokazi so pokazali, da ni potrebe po tem, da bi zanositev odlagali za več kot en mesec po cepljenju.
MMRV contain weakened but live viruses. 
Cepiva MMRV vsebujejo oslabljene, vendar žive viruse.
MMRV may be available as individual vaccines for each infection (monovalent) or as combination vaccines (multivalent). 
MMRV je lahko na voljo v obliki posameznih cepiv za vsako okužbo (monovalentnih) ali kombiniranih cepiv (polivalentnih).
Although these are too weak to cause health problems in healthy adults, their use in pregnant women has not been authorised due to a potential risk to the unborn baby, and women have been advised not to become pregnant for three months after vaccination. 
Čeprav so ti virusi prešibki, da bi povzročili zdravstvene težave pri zdravih odraslih osebah, njihova uporaba pri nosečnicah ni odobrena zaradi morebitnega tveganja za nerojenega otroka, ženskam pa se svetuje, da še tri mesece po cepljenju ne zanosijo.
At the same time, the European Commission asked the CHMP to extend their considerations to cover the centrally authorised products, and examine if their marketing authorisations should be varied or maintained. 
Sočasno je Evropska komisija CHMP zaprosila, naj ponovno pregled razširi tako, da bo vključevala zdravila, odobrena po centraliziranem postopku, in preuči, ali naj se njihova dovoljenja za promet spremenijo ali ohranijo.
This included reports on over 3,500 women inadvertently given a rubellacontaining vaccine in early pregnancy, and over 1,800 who were given a varicella-containing vaccine during pregnancy. 
To je vključevalo poročila o več kot 3500 ženskah, ki so jim v zgodnji nosečnosti nenamerno dali cepivo, ki vsebuje virus rdečk, in o več kot 1800 ženskah, ki so jim med nosečnostjo dali cepivo, ki vsebuje virus noric.
However, since these vaccines were authorised, new data from post-marketing use and from the published literature have become available on their safety in pregnancy and in patients with immune deficiencies. 
Odkar pa so bila ta cepiva odobrena, so bili zbrani novi podatki iz uporabe v obdobju trženja cepiv in iz objavljene literature o njihovi varnosti med nosečnostjo ter pri bolnikih z imunskimi pomanjkljivostmi.
In patients with less severe immune weakness, vaccination may be considered, although it does not always give the same protection as in a person with a healthy immune system. 
Pri bolnikih z blažjo imunsko pomanjkljivostjo se cepljenje lahko uporabi, čeprav ne zagotovi vedno enake zaščite kot pri osebah z zdravim imunskim sistemom.
MMRV are also contraindicated in patients with immune deficiencies, in whom the vaccine may not work properly and who might be at risk of developing severe or widespread disease. 
Cepiva MMRV so prav tako kontraindicirana pri bolnikih z imunskimi pomanjkljivostmi, pri katerih cepivo morda ne bo delovalo pravilno in ki so lahko izpostavljeni tveganju za razvoj hude ali razširjene bolezni.
Based on the evaluation of the currently available data and the scientific discussion within the Committee, the CHMP concluded that the benefits of MMRV do not outweigh their risks in pregnancy or in severe immune deficiencies, and recommended that vaccination should continue to be contraindicated in these groups. 
Na podlagi ocene trenutno razpoložljivih podatkov ter znanstvene razprave znotraj odbora je ta sklenil, da koristi cepiv MMRV niso večje od z njimi povezanih tveganj med nosečnostjo ali pri hudih imunskih pomanjkljivostih, in priporočil, da naj bo cepljenje pri teh skupinah še naprej kontraindicirano.
On 13 December 2012, the European Medicines Agency completed a review of the use of monovalent and multivalent measles, mumps, rubella and/or varicella vaccines (MMRV) during pregnancy and in patients with immune deficiencies (weakened immune systems). 
Evropska agencija za zdravila je 13. decembra 2012 končala ponovni pregled uporabe mono- in polivalentnih cepiv proti ošpicam, mumpsu, rdečkam in/ali noricam (MMRV) med nosečnostjo in pri bolnikih z imunskimi pomanjkljivostmi (oslabljenim imunskim sistemom).