1,721,071 research outputs found
Normative europee su eccessiva sonnolenza diurna e sicurezza stradale
No full textLa disciplina della Comunità Europea sull’idoneità alla guida è contenuta nell’Allegato III alla Direttiva del Consiglio 91/439/CEE del 29 luglio 1991 sulle patenti di guida, che dispone a quali accertamenti e limitazioni i guidatori debbano essere sottoposti in caso siano affetti da malattie o condizioni invalidanti che compromettono l’idoneità alla guida. Fra queste non risultano annoverate la Sindrome delle apnee ostruttive del sonno (OSAS), la Narcolessia o altre malattie associate ad eccessiva sonnolenza diurna (ESD). Molti Paesi della Comunità Europea, ma non l’Italia, hanno implementato la Direttiva 91/439/CEE con disposizioni nazionali che prevedono restrizioni al rilascio della patente di guida in caso di OSAS e/o Narcolessia. Il capitolo analizza tali disposizioni, prospettando anche alcune strategie per ovviare alla mancanza di una normativa italiana in materia
L'analisi dell'accordo fra osservatori e delle fonti di variabilità come strumento per il miglioramento della qualità in medicina legale
No full textInjurious REM sleep behaviour disorder in narcolepsy with cataplexy contributing to criminal proceedings and divorce.
No full textInterrater reliability as quantitative end-point for legal medicine in work ability assessment: a lesson from an epidemiological study applied to a neurological disease
No full textMedico-Legal Aspects of Disability in Narcolepsy
No full textNarcolepsy is a severe, chronic, disabling disease affecting almost all personal and social activities. The detrimental effect of narcolepsy on patients’ working lives may be severe and long-lasting, but the impairment due to narcolepsy varies widely. Disability assessment is complex because of the lack of objective measures to assess and quantify excessive daytime sleepiness, which is considered to be the main disabling symptom of narcolepsy.
This chapter considers the medical aspects of work disability in narcolepsy, and the essential issues clinicians and researchers have to address in providing medical information to assist determination of disability in people with narcolepsy. In conclusion, a work disability classification of narcolepsy is proposed
Linee guida per l’accertamento dell’idoneità alla guida in soggetti affetti da Sindrome delle apnee ostruttive del sonno (OSAS) e Narcolessia. [Guidelines for the fitness to drive assessment in people with obstructive sleep apnoea syndrome (OSAS) and narcolepsy]
No full textGiven the prevalence of sleep disorders and sleep deprivation in modern societies, and the correlation between sleepiness and work and driving accidents, the excessive daytime sleepiness is an important issue. Although many studies showed that patients with untreated Obstructive sleep apnoea syndrome (OSAS) and narcolepsy have an higher risk for driving accidents, neither the European Community regulation nor the Italian law of the driving licence mention restrictions for these disorders. In 2010 the scientific association COMLAS (Association of legal medicine professionals of the Italian National Health Service) published the Guidelines for the examination by the Local Medical Commissions. The author presented the guidelines to assess the fitness to drive of people with OSAS or narcolepsy. The proposed criteria, set up in collaboration with the Commission "Sleepiness, Safety and Transportation" of the Italian Association of Sleep Medicine (AIMS), can be considered among the most advanced internationall
Guidelines for the fitness to drive assessment in people with obstructive sleep apnoea syndrome (OSAS) and narcolepsy].
No full textGiven the prevalence of sleep disorders and sleep deprivation in modern societies, and the correlation between sleepiness and work and driving accidents, the excessive daytime sleepiness is an important issue. Although many studies showed that patients with untreated Obstructive sleep apnoea syndrome (OSAS) and narcolepsy have an higher risk for driving accidents, neither the European Community regulation nor the Italian law of the driving licence mention restrictions for these disorders. In 2010 the scientific association COMLAS (Association of legal medicine professionals of the Italian National Health Service) published the Guidelines for the examination by the Local Medical Commissions. The author presented the guidelines to assess the fitness to drive of people with OSAS or narcolepsy. The proposed criteria, set up in collaboration with the Commission "Sleepiness, Safety and Transportation" of the Italian Association of Sleep Medicine (AIMS), can be considered among the most advanced internationall
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