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Shifting and Seizing: a Call to Reform Ohio's Outdated Restrictions on Drivers with Epilepsy
SHIFTING AND SEIZING: A CALL TO REFORM OHIO’S OUTDATED RESTRICTIONS ON DRIVERS WITH EPILEPSY KATHRYN KRAMER I. INTRODUCTION .................................................................... 343 II.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 ....................................................................... -
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%). -
Ricability Is a Charity That Researches and Publishes Information on Products and Services for Older and Disabled People
rica bili ty Choos ing a car A guide for older and disabled people 2011 The information contained in this guide is correct at the time of going to print (June 2011). It will be reviewed every two years. See our website for any changes since printing. Ricability is a charity that researches and publishes information on products and services for older and disabled people Unit G03 The Wenlock 50–52 Wharf Road London N1 7EU Tel: 020 7427 2460 Fax: 020 7427 2468 Textphone: 020 7427 2469 Email: [email protected] www.ricability.org.uk Choosing a c ar A guide for older and disabled people Choosing a car can be a complicated Contents decision. Manufacturers’ brochures and test reports in magazines will Setting off 4 help you weigh up and compare such things as performance, What to look for 7 running costs and reliability. Wheelchair users 18 However, if you are having Checklist 21 difficulty getting in and out or Finance 24 driving a car, there are other things you may need to consider. Many Suppliers 27 cars have features that will make The legal side 28 your life easier, and there are simple Useful organisations 30 gadgets and more complex adaptations that can help with Find a car – Car measurement database almost any driving problem. Visit our website to search for the easiest Here you will find what to look cars to get in and out of. There are out for. The guide also describes factsheets like this one on over 700 cars. some of the simpler equipment that can make driving the car easier. -
National Towing Working Group Safety Framework
National Towing Working Group Safety Framework April 2019 1. Introduction ...................................................................................................................... 5 2. Together for a Safer Future: NTWG ................................................................................. 6 3. Safe Systems Approach .................................................................................................. 7 4. The Challenge ................................................................................................................. 8 4.1. Collision and casualty data ....................................................................................... 8 4.1.1. Contributory factors ......................................................................................... 10 4.1.2. Towing type ...................................................................................................... 11 4.1.3. Manoeuvre and junction details ........................................................................ 11 4.1.4. Towing and journey purpose ........................................................................... 12 4.2. Strategic road network incident data ...................................................................... 13 4.3. Compliance and engagement event data ............................................................... 14 4.4. Towing Survey 2017 ............................................................................................... 15 5. Towing for Business ...................................................................................................... -
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.