scholarly journals Sleep and the Fitness to Drive: A Swiss Perspective

2021 ◽  
Author(s):  
Stefan Lakämper ◽  
Kristina Keller
Keyword(s):  
Traffic Safety ◽  
Legal Medicine ◽  
Behavioral Patterns ◽  
Medical Conditions ◽  
Fitness To Drive ◽  
Medical Assessment ◽  
Safe Driving ◽  
Traffic Medicine ◽  
Swiss Law ◽  
Tiered System

Medical conditions and behavioral patterns affecting sleep are a largely underestimated threat to traffic safety. Unsupervised or even illegal self-treatment of sleep issues by, for example, anti-histamines, cannabis products, or stimulants, questions safe driving and the fitness to drive as well as low compliance/adherence to treatments (CPAP, medication, etc.) of medical conditions, such as OSAS, or narcolepsy. In such cases, Swiss law calls for a medical assessment of the fitness to drive by experts in traffic medicine. With increasing complexity, this medical assessment is escalated in a four-tiered system of qualified experts, ranging from a qualified practitioner to experts in traffic medicine, at, for example, an Institute for Legal Medicine. The following overview provides insight in the Swiss framework of traffic medicine assessments that – with all caveats and potential drawbacks – helps mitigating the risk of sleep-related accidents. For this, we first introduce Swiss traffic medicine and then argue for consistent terms and measurements to assess sleepy driving. A concise summary of those sleep related conditions most relevant in traffic medicine is followed by an overview over potential issues of sleep-medication.

scholarly journals Inclusion of medical fitness to drive in medical postgraduate training curricula

2020 ◽  
Author(s):  
Laith Al Azawi ◽  
Aisling O’Byrne ◽  
Lily Roche ◽  
Desmond O’Neill ◽  
Margaret Ryan
Keyword(s):  
Medical Condition ◽  
Well Being ◽  
List Type ◽  
Medical Conditions ◽  
Specialist Training ◽  
Fitness To Drive ◽  
Safe Driving ◽  
Training Schemes ◽  
The Uk ◽  
Medical Fitness

AbstractBackgroundTransport mobility, and access to driving, is an important factor in social inclusion and well-being. Doctors have an important role to play in supporting safe mobility through applying the knowledge developed in the field of traffic medicine and incorporating state of the art national and international medical fitness to drive (MFTD) guidelines. Little is known about the profile of MFTD in postgraduate curricula for core and higher specialist training.AimsWe profiled the inclusion of MFTD in the curricula of postgraduate core, higher and streamlined medical and surgical specialties in the Republic of Ireland and the UK. Methods: All publicly available syllabi of basic and higher/ streamlined specialist training in postgraduate medical and surgical colleges in both jurisdictions were analysed (N = 122).ResultsIn Ireland, 25% of basic training schemes included MFTD in the curriculum. Two-thirds of curricula of higher specialty and streamlined training schemes also included MFTD. For the UK, 44% of core and 36% of higher training schemes curricula included MFTD. Just under one-quarter of all curricula reviewed included MFTD for more than one medical condition or treatment. Common topics in both Irish and UK curricula included seizures/epilepsy, syncope and visual disturbances.ConclusionThere are notable deficits in MFTD training for specialists in Ireland and the UK. Common conditions which can significantly impair MFTD such as stroke, diabetes and alcohol use disorders are severely underrepresented and curricula should be revisited to include relevant training and guidance for MFTD for trainees.Main MessagesDoctors have an important role in supporting safe driving among patients with a range of medical conditionsBasic and higher specialist training curricula in a range of specialities in the British Isles are deficient in content relating to medical fitness to driveCurricular development for specialist training should include provision of concise and speciality-relevant guidance on medical fitness to driveResearch QuestionsWhat barriers exist currently to the inclusion of medical fitness to drive and how could these be mitigated?What are the specialty-relevant prioritizations of medical conditions related to medical fitness to drive for inclusion in each curriculum?What resources and evidence are available to specialist training programmes to support the guidance for medical fitness to drive in their curricula?

scholarly journals The Impact of Advanced Age on Driving Safety in Adults with Medical Conditions

Gerontology ◽  
2018 ◽  
Vol 64 (3) ◽  
pp. 291-299 ◽  
Author(s):  
Sanghee Moon ◽  
Maud Ranchet ◽  
Abiodun Emmanuel Akinwuntan ◽  
Mark Tant ◽  
David Brian Carr ◽  
...  
Keyword(s):  
Motor Vehicle ◽  
Oldest Old ◽  
Advanced Age ◽  
Driving Safety ◽  
Medical Conditions ◽  
Fitness To Drive ◽  
Middle Aged ◽  
Safe Driving ◽  
History Of ◽  
The Impact

Background: Adults aged 85 and older, often referred to as the oldest-old, are the fastest-growing segment of the population. The rapidly increasing number of older adults with chronic and multiple medical conditions poses challenges regarding their driving safety. Objective: To investigate the effect of advanced age on driving safety in drivers with medical conditions. Methods: We categorized 3,425 drivers with preexisting medical conditions into four age groups: middle-aged (55–64 years, n = 1,386), young-old (65–74 years, n = 1,013), old-old (75–84 years, n = 803), or oldest-old (85 years and older, n = 223). All underwent a formal driving evaluation. The outcome measures included fitness to drive recommendation by the referring physician, comprehensive fitness to drive decision from an official driving evaluation center, history of motor vehicle crashes (MVCs), and history of traffic violations. Results: The oldest-old reported more cardiopulmonary and visual conditions, but less neurological conditions than the old-old. Compared to the middle-aged, the oldest-old were more likely to be considered unfit to drive by the referring physicians (odds ratio [OR] = 4.47, 95% confidence interval [CI] 2.20–9.10) and by the official driving evaluation center (OR = 2.74, 95% CI 1.87–4.03). The oldest-old reported more MVCs (OR = 2.79, 95% CI 1.88–4.12) compared to the middle-aged. Conclusion: Advanced age adversely affected driving safety outcomes. The oldest-old are a unique age group with medical conditions known to interfere with safe driving. Driving safety strategies should particularly target the oldest-old since they are the fastest-growing group and their increased frailty is associated with severe or fatal injuries due to MVCs.

scholarly journals The Development and Validation of Pre-Driving Assessment: Attitude towards safe driving scale

2020 ◽  
Vol 5 (13) ◽  
pp. 337-342
Author(s):  
Mohamad Ghazali Masuri ◽  
Akehsan Dahlan ◽  
Khairil Anuar Md Isa ◽  
Rugayah Hashim
Keyword(s):  
Human Factors ◽  
Traffic Safety ◽  
Publishing House ◽  
Validity And Reliability ◽  
Occupational Science ◽  
Safe Driving ◽  
Functional Activities ◽  
International Publishing ◽  
Development And Validation ◽  
Open Access Article

An occupational therapist who involved with driving rehabilitation should use a proper evaluation in identifying safe driving behaviour during the pre-driving assessment. Many reports have stated that human factors contributed up to 97% of collision. This study aims to develop a psychological evaluation that measures human factors in traffic safety during the pre-driving assessment. This study was involved sequential mix methodology approach. The factor analysis was carried out to determine the validity and reliability of the evaluation (Cronbach alpha .887). This assessment found to be adequate in providing the standard means of risky driving attitude based on the cut off value established.Keywords: Occupational science; Pre-driving assessment; Functional activities; Driving rehabilitationeISSN: 2398-4287 © 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v5i13.2060

scholarly journals Pengetahuan dan Perilaku Safety Riding Siswa SMA

2021 ◽  
Vol 14 (4) ◽  
pp. 564-572
Author(s):  
Indri Wahyuningsih ◽  
Syahra Ramdana
Keyword(s):  
High School ◽  
High School Students ◽  
Traffic Safety ◽  
Rank Correlation ◽  
P Value ◽  
Spearman Rank Correlation ◽  
School Students ◽  
Cross Sectional ◽  
Safe Driving ◽  
Spearman Rank

Knowledge and Safety Riding Behavior Among High School StudentsBackground: Young people are the most involved in traffic accidents in Indonesia, because of the risky driving style. High school students belong to one of the young age groups with an average age of 15-18 years. To ensure traffic safety, a safety riding program was established which includes disciplinary behavior in driving rules and procedures. Own behavior is influenced by factors, one of which is knowledge. Knowledge as a stimulus or stimulus and becomes the basis for action.Purpose: To find the relationship between knowledge and safety riding behavior among high school students.Method: This study used an analytical observational method with a cross sectional approach, and a simple radom sampling technique. The sample was obtained as many as 164 respondents. Then the data were analyzed using spearman rank correlation with a significance level of 5%.Results: Most of the respondents have good knowledge (67.1%), as well as behavior, the majority of respondents have safe driving behavior (82.9%). The results of the spearman rank correlation analysis showed a p-value of 0.120 or greater than a significance of 5% (p> 0.05).Conclusion: There is no significant relationship between knowledge and safety riding behavior.Keywords: Knowledge; Safety riding behavior; High school studentsPendahuluan: Kalangan usia muda merupakan yang paling banyak terlibat kasus kecelakaan lalu lintas di Indonesia, diakibatkan gaya berkendara yang beresiko. Siswa SMA termasuk salah satu kelompok usia muda dengan usia rata-rata 15-18 tahun. Untuk menjamin keselamatan lalu lintas, dibentuk program safety riding yang mencakup perilaku disiplin dalam aturan dan tatacara berkendara. Perilaku sendiri dipengaruhi faktor pembentuk salah satunya pengetahuan. Pengetahuan sebagai ransangan atau stimulus dan menjadi dasar dalam bertindak. Tujuan: penelitian ini ingin mencari hubungan pengetahuan dengan perilaku safety riding pada siswa SMA.Metode: Penelitian ini menggunakan metode observasional analitik dengan pendekatan cross sectional, dan teknik sampling simple radom sampling. Sampel diperoleh sebanyak 164 responden. Kemudian data dianalisis menggunakan korelasi spearman rank dengan tingkat kemaknaan 5%.Hasil: Sebagian besar responden memiliki pengetahuan dengan kategori baik (67,1%), begitupun dengan perilaku, mayoritas responden memiliki perilaku berkendara  aman (82,9%). Hasil analisis korelasi spearman rank didapatkan p-value 0,120 atau lebih besar dari kemaknaan 5% (p>0,05).Simpulan: Tidak terdapat hubungan signifikan antara pengetahuan dengan perilaku safety riding. 

Assessing fitness to drive in the elderly and those with medical conditions: guidelines should specify methods and evidence

2014 ◽  
Vol 20 (3) ◽  
pp. 210-212 ◽  
Author(s):  
L Rachid Salmi ◽  
Sandy Leproust ◽  
Catherine Helmer ◽  
Emmanuel Lagarde
Keyword(s):  
The Elderly ◽  
Medical Conditions ◽  
Fitness To Drive

scholarly journals The influence of cognitive and psychomotoric functioning on road traffic safety found on simulation-based research

2018 ◽  
Vol 231 ◽  
pp. 04008
Author(s):  
Ewa Odachowska ◽  
Monika Ucińska ◽  
Kamila Gąsiorek
Keyword(s):  
Information Processing ◽  
Traffic Safety ◽  
Road Traffic ◽  
The Other ◽  
Safe Driving ◽  
Road Traffic Safety ◽  
Simulation Based ◽  
The Senses ◽  
Reaction Processes ◽  
Memory Structures

Perceptual and attention processes involved in information processing are engaged during every single activity taken by an individual, including driving a vehicle. They are considered to be one of the most important driver characteristics. It is assumed that safe driving consists of quick and accurate spotting and isolating events important for road traffic safety. The other crucial factor is the reduction of the information excess coming to human in one certain moment. Thanks to that, only an important part of stimuli reaching the senses is perceived in a way enabling the use of certain information from memory structures and the launch of further reaction processes.

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