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How to assess fitness to drive in patients with cardiac rhythm disturbances through an applicable decision support system.
Forensic Sci Int
December 2024
Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Via Amendola 2, Reggio Emilia 42122, Italy. Electronic address:
Disturbances in cardiac rhythm affect a significant fraction of the population; they can have an ample range of repercussions on one person's quality of life, from negligible to lethal. As an implication, arrhythmias concern many private, commercial and public-passenger-vehicle driving licence holders. In their practice, medical professionals can be asked to assess an arrhythmia patient's fitness to drive effectively.
View Article and Find Full Text PDFWork at high altitude and non-fatal cardiovascular disease associated with unfitness to work: Prospective cohort observation.
PLoS One
July 2024
Medical Department, Kumtor Gold Company, Bishkek, Kyrgyzstan.
Introduction: Mining at high altitude exposes workers to hypoxic environment and cold climate in addition to conventional hazards in mining, but very little is known on how to define fitness to work in prospective candidates with pre-existing conditions. The aim of the current study was to define the incidence of cardiovascular diseases leading to unfitness to work as well as their predictors in a prospective observation.
Methods: A total of 569 prospective employees (median age 34 (interquartile range (IQR) 28;40) years, 95% men 85% mid-altitude residents) for a high-altitude gold mine in Kyrgyzstan operating at 3800-4500 meters above sea level were screened at pre-employment in 2009-2012 and followed by January 2022.
[The otolaryngologist's role in evaluating diving fitness].
HNO
November 2024
Klinik und Poliklinik für Hals‑, Nasen‑, Ohrenheilkunde, Universität Ulm, Ulm, Deutschland.
Scuba diving and other modes of device-supported diving are popular activities that can be especially demanding and hazardous for people with preexisting physical conditions. Due to the high ambient pressure, the temperature differences, and potential unpredictable events, which have manifold effects on the organism, diving carries a high risk of life-threatening disease. A special risk is present if the body does not readily equalize air pressure changes.
View Article and Find Full Text PDFAssessment of fitness for open repair in patients with infrarenal abdominal aortic aneurysms.
J Vasc Surg
August 2024
Division of Vascular and Endovascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA.
Objective: Endovascular aortic repair (EVAR) was originally designed as a treatment modality for patients with abdominal aortic aneurysms (AAAs) deemed unfit for open repair. However, the definition of "unfit for open repair" is largely subjective and heterogenous. The purpose of this study was to compare patients deemed unfit for open repair who underwent EVAR to a matched cohort who underwent open repair for infrarenal AAAs.
View Article and Find Full Text PDFNeuropsychological domains and fitness to drive in mild cognitive impairment or Alzheimer's disease.
Accid Anal Prev
October 2023
Hospital of the University of Brasilia (HUB), Medical Center for the Aged, Brasília, DF, Brazil; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CR-IUGM), Montreal, QC, Canada. Electronic address:
Cognitive deficits associated with mild cognitive impairment (MCI) or Alzheimer's disease (AD) can impact driving. This integrative review investigated which cognitive domains were associated with poor driving performance or unfitness to drive in studies with outcomes measured in simulator or on-road driving in patients with MCI or AD. The review was conducted by searching for articles published between 2001 and 2020 in the MEDLINE (via PubMed), EMBASE, and SCOPUS databases.
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