Transportation in an Aging Society a Decade of Experience
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Shifting and Seizing: a Call to Reform Ohio's Outdated Restrictions on Drivers with Epilepsy
SHIFTING AND SEIZING: A CALL TO REFORM OHIO’S OUTDATED RESTRICTIONS ON DRIVERS WITH EPILEPSY KATHRYN KRAMER I. INTRODUCTION .................................................................... 343 II. THE MEDICAL BACKGROUND .............................................. 347 III. DISABILITIES AND STIGMA OF EPILEPSY .............................. 351 IV. THE OHIO LICENSING STATUTES ......................................... 355 V. SEISURE -RELATED ACCIDENT CASE LAW ............................ 357 VI. PROBLEMS WITH THE APPLICATION .................................... 359 A. Basic Intent of the Statues Has Failed......................... 359 B. Unnecessary Imposition of Negligence upon Clearing Physicians............................................ 361 C. Abuse of Police Power................................................. 363 1. Over-Inclusive...................................................... 363 2. Under-Inclusive.................................................... 365 3. Undue Burden....................................................... 366 VII. CHANGES IN APPLICATION ................................................... 368 A. Three-Month Mandated Suspension of Driving Privileges........................................................ 368 B. Physician Immunity for Good-Faith Certifications............................................................... 369 C. Negligence Standard for Drivers with Epilepsy.......... 370 D. Subjective Approach.................................................... 371 VIII. CONCLUSION ....................................................................... -
TCRP Report 82 – Improving Public Transit Options for Older Persons
TRANSIT COOPERATIVE RESEARCH TCRP PROGRAM REPORT 82 Sponsored by the Federal Transit Administration Improving Public Transit Options for Older Persons Volume 2: Final Report TCRP OVERSIGHT AND PROJECT TRANSPORTATION RESEARCH BOARD EXECUTIVE COMMITTEE 2002 (Membership as of November 2002) SELECTION COMMITTEE (as of October 2002) OFFICERS CHAIR Chair: E. Dean Carlson, Secretary of Transportation, Kansas DOT J. BARRY BARKER Vice Chair: Genevieve Giuliano, Professor, School of Policy, Planning, and Development, USC, Los Angeles Transit Authority of River City Executive Director: Robert E. Skinner, Jr., Transportation Research Board MEMBERS MEMBERS DANNY ALVAREZ Miami-Dade Transit Agency WILLIAM D. ANKNER, Director, Rhode Island DOT KAREN ANTION THOMAS F. BARRY, JR., Secretary of Transportation, Florida DOT Karen Antion Consulting MICHAEL W. BEHRENS, Executive Director, Texas DOT GORDON AOYAGI JACK E. BUFFINGTON, Associate Director and Research Professor, Mack-Blackwell National Rural Montgomery County Government Transportation Study Center, University of Arkansas JEAN PAUL BAILLY SARAH C. CAMPBELL, President, TransManagement, Inc., Washington, DC Union Internationale des Transports Publics JOANNE F. CASEY, President, Intermodal Association of North America RONALD L. BARNES JAMES C. CODELL III, Secretary, Kentucky Transportation Cabinet Central Ohio Transit Authority JOHN L. CRAIG, Director, Nebraska Department of Roads LINDA J. BOHLINGER ROBERT A. FROSCH, Sr. Research Fellow, John F. Kennedy School of Government, Harvard University HNTB Corp. SUSAN HANSON, Landry University Prof. of Geography, Graduate School of Geography, Clark University ANDREW BONDS, JR. LESTER A. HOEL, L. A. Lacy Distinguished Professor, Depart. of Civil Engineering, University of Virginia Parsons Transportation Group, Inc. RONALD F. KIRBY, Director of Transportation Planning, Metropolitan Washington Council of Governments JENNIFER L. -
Epilepsy and Employment
SYSTEM NAVIGATION Epilepsy and Employment Can I be fired because of my epilepsy? • Installing a safety shield around a piece of Both federal and provincial human rights codes machinery. prevent employers from firing someone because they • Installing a piece of carpet to cover a concrete have a diagnosis of epilepsy. However, employers floor in the employee’s work area. sometimes use other reasons to mask a discriminatory termination. • Putting work instructions in writing (rather than just giving them orally) if memory What are my rights if I am fired because of a difficulties/deficits are a side effect of the seizure seizure? disorder or anti-seizure medication. If you think you’ve lost your job because of your • Scheduling consistent work shifts if seizure epilepsy, whether or not your employer admits to it, activity is made worse by inconsistent sleep you have the right to use the Human Rights complaint patterns. process. Contact your community epilepsy agency for • Allowing an employee who experiences fatigue as guidance or the Office of the Ontario Human Rights a side effect of medication the place and Commission. opportunity to take frequent rest breaks. • Allowing an employee to take time off to recover What kind of accommodations should my after a seizure. employer make? Some people with epilepsy don’t require any For help with accommodation, contact your accommodations at work, while others may require community epilepsy agency at 1-866-EPILEPSY (1-866- accommodations to help them avoid triggers, ensure 374-5377). There are extensive resources for they can remain safe if they have a seizure while on employers about accommodations at the job, or help them adapt to seizure or medication www.epilepsyatwork.com. -
The Firs' of A
. _ BTainin , Paul it.; k Others St%idy, on Dri v ng by S '1 Popu ns. Al Report, Volume 'Conduct .of' the-_ .ect,and State ,=of the Art. Tm_sTippTior. DunlapaniA'ssociates, nc.,Darieff, Conn;. SP.ONS AGENCY Bureau of Educationfor the Handicapped (DH.E.W/:0E)*. Washington,(Lit'. Na jo al Highyay Tra ffic safety Administration (DOT) , Waghington, FEPORT SO DOT-.-HS7802 329 PUB DATE . Apr77, CONTRACT__ DOTT.HS-..701206` 10T? 167p..:. Frpr relatedinfor AVAILABLE F Nat-ion e.1 TechnicalInform- EDPS PPICE MFO 1/PC07' Plus- Pogta-g-a. DESCRIPTORS .Aurally'Handicapped:Cerebral Pal ..1-1 -0i7seas4.5: *Driver rcillcation; Emotionally Disturbed; FP1.1e.PsY; EgUiPment; Evaluaton Method-s;-*Handicapped; mental Tliness;' MPn4:ally t,feurologicallf - Handicappedt Physically Handicapped;.,'Special. Health Problems:- *State L'egislationts 'State iiicensitiq Boards; . - o *Traffic Safety. ., The firs' ofA -volumereporton,m.otol: veh driving by handicapped :parsons focuses, on driving behavior. f -cat 19. types of handicapping conditions. Information is deta&led,,Feg drivereducation an& assesslent materials', present ste* regarding licenSing,-relevantmedical opinion regarding licensing and .axamination, com-plicating factors (such as theuseof therapeutic4 drugs) ,and private-and commercialdriving behavior for specific -. conditions, including the following: mental retardation, mental illness, neurologic and carebrovascular handicaps, epilepsy, - diabetes., musculoskeletal handicaps,. hearingAisoriers,thyro diseasei renal disorders, cancer, and obesity. Automotive. adaptive equipmer# 'is briefly coneidered monq 12 recommeldations. made. are. for a more comprehensive analysis' of the drliving task for, normal Itivars4 'a large scalp epidemiological studyto measure the acoidan,+. .and:7:Lolation sates of sc:),cifio,haUdicapped groups, and validat-d Asse,sSnient and evaluation oroc,edurs. -
Self-Regulatory Driving Behaviour, Perceived Abilities and Comfort Level of Older Drivers with Parkinson’S Disease Compared to Age-Matched Controls
Self-Regulatory Driving Behaviour, Perceived Abilities and Comfort Level of Older Drivers with Parkinson’s disease compared to Age-Matched Controls by Alexander Michael Crizzle A thesis presented to the University of Waterloo in fulfillment of the thesis requirement for the degree of Doctor of Philosophy in Health Studies and Gerontology - Aging, Health and Well-Being Waterloo, Ontario, Canada, 2011 © Alexander Michael Crizzle 2011 Declaration I hereby declare that I am the sole author of this thesis. This is a true copy of the thesis, including any required final revisions, as accepted by my examiners. I understand that my thesis may be made electronically available to the public. ii Abstract Introduction: Multiple studies have shown the symptoms of Parkinson‟s disease (PD) can impair driving performance. Studies have also found elevated crash rates in drivers with PD, however, none have controlled for exposure or amount of driving. Although a few studies have suggested that drivers with PD may self-regulate (e.g., by reducing exposure or avoiding challenging situations), findings were based on self-report data. Studies with healthy older drivers have shown that objective driving data is more accurate than self-estimates. Purposes: The primary objectives of this study were to examine whether drivers with PD restrict their driving (exposure and patterns) relative to an age-matched control group and explore possible reasons for such restrictions: trip purposes, perceptions of driving comfort and abilities, as well as depression, disease severity and symptoms associated with PD. Methods: A convenience sample of 27 drivers with PD (mean 71.6±6.6, range 57 to 82, 78% men) and 20 age-matched control drivers from the same region (70.6±7.9, range 57 to 84, 80% men) were assessed between October 2009 and August 2010. -
Volume 1 Ex-Post Evaluation of the Rsap
FINAL REPORT - VOLUME 1 EX-POST EVALUATION OF THE RSAP SPECIFIC CONTRACT DG TREN A2/143-2007 Lot 2 Impact Assessments and Evaluations in the field of transport The preparation of the European Road Safety Action Program 2011-2020 Authors: Simone Bosetti (TRT) Caterina Corrias (TRT) Rosario Scatamacchia (TRT) Alessio Sitran (TRT) With contributions of Eef Delhaye (TML) January 10th 2010 TRANSPORT & MOBILITY LEUVEN VITAL DECOSTERSTRAAT 67A BUS 0001 3000 LEUVEN BELGIË TEL +32 (16) 31.77.30 FAX +32 (16) 31.77.39 http://www.tmleuven.be Index INDEX .......................................................................................................................................................................1 FIGURES ......................................................................................................................................................................3 TABLES .......................................................................................................................................................................4 BOXES .......................................................................................................................................................................5 PREFACE .....................................................................................................................................................................6 ACKNOWLEDGEMENT .........................................................................................................................................................................7 -
Assessing Fitness to Drive for Commercial and Private Vehicle Drivers
Assessing fitness to drive for commercial and private vehicle drivers 2021 edition (draft for consultation purposes released 3 May, 2021) Assessing fitness to drive 2021 (draft) Contents PART A: General information .......................................................................................... 5 1. About this publication ............................................................................................... 6 Purpose ............................................................................................................ 6 Target audience ................................................................................................ 7 Scope................................................................................................................ 7 Content ............................................................................................................. 8 Development and evidence base ...................................................................... 9 2. Principles of assessing fitness to drive .................................................................. 11 The driving task ................................................................................................ 11 Medical conditions and driving ......................................................................... 13 Assessing and supporting functional driver capacity ........................................ 25 3. Roles and responsibilities ...................................................................................... -
EPILEPSY in the WORKPLACE a TUC Guide CONTENTS
EPILEPSY IN THE WORKPLACE A TUC guide CONTENTS SECTION 1 The social versus the medical model 04 SECTION 2 What is epilepsy? 06 SECTION 3 Myths and facts 08 SECTION 4 Epilepsy in the workplace 09 SECTION 5 How workplaces can create difficulties for workers with epilepsy 11 SECTION 6 Making workplaces epilepsy-friendly 16 SECTION 7 Nothing about people with epilepsy without people with epilepsy 17 SECTION 8 Epilepsy and Parliament 18 SECTION 9 Using the right language 19 SECTION 10 Crime against people with epilepsy 20 SECTION 11 A guide to the law 22 SECTION 12 Epilepsy and trade unions: what the union can do 23 SECTION 13 Resources and useful websites 24 About the author Kathy Bairstow is a UNISON member and works as the senior advice and information officer at Epilepsy Action. Her work involves providing advice and information to anyone with an interest or concern about epilepsy. This includes members of the public; employment, health and other professionals; and the media. She was a patient representative on the NICE Guideline CG20 – The Epilepsies: the diagnosis and management of the epilepsies in adults and children in primary and secondary care. Kathy had epilepsy as a child, as did two of her three children. She no longer has epilepsy, but does have several long-term health conditions. Introduction by the TUC General Secretary I am delighted that the TUC has worked with Epilepsy Action to produce this new guide for trade unionists on supporting members with epilepsy. The author is a specialist and a trade unionist so this briefing will be an authoritative aid to union reps, officers and members on dealing with the issues facing members with epilepsy in the workplace. -
Driving Policy After Seizures and Unexplained Syncope: a Practice Guide for RI Physicians
CONTRIBUTION Driving Policy after Seizures and Unexplained Syncope: A Practice Guide for RI Physicians MAXWELL E. AFARI, MD; ANDREW S. BLUM, MD, PHD; STEPHEN T. MERNOFF, MD; BRIAN R. OTT, MD 40 43 EN ABSTRACT chose from six possible driving restriction durations: No Physicians in Rhode Island sometimes find it difficult restriction, 3 months, 6 months, 12 months, 18 months, to advise patients about returning to driving after they other (with explanation). The questions asked are presented present with a seizure or syncopal episode due to lack in Table 1. of statutory or professional guidance on the issue. We provide an overview of the medical literature on public policies and recommendations regarding driving after RESULTS seizures or syncope. We also present the laws in Rhode According to RINS/RINA/AAN records there are approxi- Island regarding physician notification of the medical ad- mately 60 practicing neurologists in RI, and most of them visory board of the Department of Motor Vehicles, legal were contacted to complete the survey. Thirty neurologists, obligations, and immunity from prosecution for those representing approximately 50% of practicing neurologists who report. Finally, we present the results of a survey of in Rhode Island, responded to the survey. As demonstrated current practice by Rhode Island neurologists when they in Table 2, in the setting of a first seizure with loss of con- advise patients who have had a recent seizure or unex- sciousness, more than half of the respondents recommended plained syncopal event. Based upon this information, we a 6-month driving restriction irrespective of an identified hope local practitioners are empowered in their decision seizure focus (70.0 %) or normal EEG and MRI (63.3%). -
Appendix A—Digest of Other White House Announcements
Appendix A—Digest of Other White House Announcements The following list includes the President’s public cuss relief efforts following the December 26, schedule and other items of general interest an- 2004, Indian Ocean earthquake and tsunamis. nounced by the Office of the Press Secretary In the afternoon, the President met with Sec- and not included elsewhere in this book. retary of Health and Human Services Tommy January 1 G. Thompson. He also met with Secretary of Education Roderick R. Paige. In the morning, at the Bush Ranch in Crawford, TX, the President had an intelligence January 5 briefing. In the morning, the President had a telephone January 2 conversation with King Abdullah II of Jordan In the morning, the President and Mrs. Bush to discuss the upcoming meeting of Iraq’s neigh- returned to Washington, DC, arriving in the boring countries to be held January 6 in Jordan. afternoon. He then had a telephone conversation with President Hosni Mubarak of Egypt to discuss January 3 the situation in Iraq and the upcoming Arab In the morning, the President had a telephone League ministers meeting to be held January conversation with Prime Minister Ayad Allawi 12 in Cairo. of the Iraqi Interim Government to discuss the Later in the morning, the President had a upcoming elections and the security situation in telephone conversation with President Ghazi al- Iraq. Later in the morning, he had an intel- Ujayl al-Yawr of the Iraqi Interim Government ligence briefing. to discuss the upcoming elections in Iraq. He During the day, the President and Mrs. -
Epilepsy and Driving Frederick Andermann, G.M
LE JOURNAL CANADIEN DES SCIENCES NEUROLOGIQUES SPF.riAI.RF.PORT Epilepsy and Driving Frederick Andermann, G.M. Remillard, Benjamin G. Zifkin, Antonio G. Trottier and Patrice Drouin Can. J. Neurol. Sci. 1988; 15:371-377 INTRODUCTION Even with the strictest standards and regular medical follow- (Frederick Andermann) up, traffic accidents may still be caused by illness, but studies of accidents in the general population are usually inadequate to The risk of losing consciousness while driving a motor vehi answer basic questions about the medically-impaired driver. cle and the need to drive a car in today's society are opposing They often evaluate the incidence of accidents in drivers with forces at play in determining the fitness and ability of people organic deficits or some reported chronic illness. Ideal epi with epilepsy to drive. We must remember that until some 20 demiologic studies of epilepsy and driving would have to be years ago, in Canada and in many other countries people with performed over large regions with uniform licensing laws. Such epilepsy were not allowed to drive. A movement by Canadian studies would require that the state of health of all applicants for neurologists to establish guidelines which would enable people driving permits be determined, and that medical evaluations be with controlled or remitted epilepsy to drive was headed by the performed on all accident victims, including autopsies in fatal late Dr. Francis McNaughton and by Dr. Guy Courtois. At cases. Their driving experience would also require evaluation.1 present, legislation allowing people with controlled epilepsy to 2 drive exists in every province or state of Canada and the United Raffle's study of London bus drivers meets all these criteria. -
PLANNING for CONCENTRATED IMPLEMENTATION of HIGHWAY SAFETY COUNTERMEASURES Volume 4: Report Bibliography
Report HSRI-71-117 PLANNING FOR CONCENTRATED IMPLEMENTATION OF HIGHWAY SAFETY COUNTERMEASURES Volume 4: Report Bibliography John A. Olson Joseph C. Marsh IV Highway Safety Research Institute Institute of Science and Technology The University of Michigan Ann Arbor, Michigan 481 05 August 1971 Final Report 1 July 1970 to 31 August 1971 Prepared for National Highway Traffic Safety Administration Department of Transportation Washington, D.C. 20591 Prepared for the Department of Transportation, National Highway Traffic Safety Administration, under Contract FH-11-7613. The opinion, findings, and conclusions expressed in this publication are those of the authors and not necessarily those of the National Highway Traffic Safety Administration. I Report No. 1 2. Government Accession No. 1 3. Recipient's Catalog No. I I HSRI-71-117: Vol. 4 I I 4 Title and Subt~tle 5. Report Date PLANNING FOR CONCENTRATED IMPLEMENTATION OF August 1971 HIGHWAY SAFETY COUNTERMEASURES Volume 4: Report Bibliography I 7. Author(s) 8. Performing Organization Report No. 1 John A. Olson Joseph C. Marsh IV HSRI-71-117; Vol. 4 i 9. Performing Organlzat~onName and Address 10. Work Unit No. Highway Safety Research Institute Institute of Science and Technology 11. Contract or Grant No. The University of Michigan Ann Arbor, Michigan 48105 IFH-11-7613 13. Type of Report and Period Covered 1 1 12. Sponsoring Agency Name and Address Final Report National Highway Traffic Safety ~dministration July 1 1970-Aug 31 1971 Department of rans sport at ion I Washington, D.C. 20591 14. Sponsoring Agency Code 1 --- 15 Supplemelltary Notes 16. Abstract This document contains a report bibliography defining a data base on the state of the art in highway safety counter- measure development for each of the sixteen safety standards.