Humphrey custom program for driver's license verification to evaluate visual field of unilateral visual impaired applicants / 国际眼科杂志(Guoji Yanke Zazhi)

@#AIM: To evaluate visual field of the unilateral visually impaired applicants by a custom program test of Humphrey perimeter, which was indispensable for car driving.<p>METHODS: A retrospective study was performed. The process of a custom defined Humphrey ‘1 EYE Screening' program was set covers field region from temporal 90° to nasal 60°, and over 30° vertically away from the horizontal line. The candidates were qualified eligibility by range of visual field and reliability of the results. This study conducted statistics on the applicants who fulfilled the test from July 1st, 2016 to June 30th, 2017, and compared the impact factors of the pass rate.<p>RESULTS: After excluding repeated measurement reports, this study included 618 subjects, the most common causes of these eyes impaired were ocular trauma(49.7%)and unhealed amblyopia(29.3%). A total of 497 candidates(80.4%)passed the test. 85 of the 121 failure cases(70.2%)were due to a limitation of the nasal visual field(less than 60°), and 12 cases were failed by fixation loss because of nystagmus or poor cooperation. Compared with the test failure group, the subjects in the passing group are older, the average correct response points is more, and the average test time is shorter, all with statistically significant differences(<i>P</i><0.05). In the passing group, the proportion of subjects with equivalent spherical mirror <0.5D was 77.5%, which was significantly higher than 62.8% in the failure group(χ2=7.264, <i>P</i>=0.007).<p>CONCLUSION: The custom program ‘1 EYE Screening' of Humphrey perimetry can be used to qualify eligibility of driving for unilateral visual impaired applicants. In order to prevent peripheral interfering from eye frames, corneal contact lenses were recommended for applicants with refractive errors.

Humphrey custom program for driver's license verification to evaluate visual field of unilateral visual impaired applicants / 国际眼科杂志(Guoji Yanke Zazhi)

@#AIM: To evaluate visual field of the unilateral visually impaired applicants by a custom program test of Humphrey perimeter, which was indispensable for car driving.<p>METHODS: A retrospective study was performed. The process of a custom defined Humphrey ‘1 EYE Screening' program was set covers field region from temporal 90° to nasal 60°, and over 30° vertically away from the horizontal line. The candidates were qualified eligibility by range of visual field and reliability of the results. This study conducted statistics on the applicants who fulfilled the test from July 1st, 2016 to June 30th, 2017, and compared the impact factors of the pass rate.<p>RESULTS: After excluding repeated measurement reports, this study included 618 subjects, the most common causes of these eyes impaired were ocular trauma(49.7%)and unhealed amblyopia(29.3%). A total of 497 candidates(80.4%)passed the test. 85 of the 121 failure cases(70.2%)were due to a limitation of the nasal visual field(less than 60°), and 12 cases were failed by fixation loss because of nystagmus or poor cooperation. Compared with the test failure group, the subjects in the passing group are older, the average correct response points is more, and the average test time is shorter, all with statistically significant differences(<i>P</i><0.05). In the passing group, the proportion of subjects with equivalent spherical mirror <0.5D was 77.5%, which was significantly higher than 62.8% in the failure group(χ2=7.264, <i>P</i>=0.007).<p>CONCLUSION: The custom program ‘1 EYE Screening' of Humphrey perimetry can be used to qualify eligibility of driving for unilateral visual impaired applicants. In order to prevent peripheral interfering from eye frames, corneal contact lenses were recommended for applicants with refractive errors.

Relação entre fragilidade física e fatores sociodemográficos e clínicos dos idosos que realizam teste para habilitação veicular / Relationship between physical fragility and socio-demographical and clinical factors of elderly performing driving license testing

Objetivo: Investigar a associação entre a condição da fragilidade física e características sociodemográficas e clínicas de idosos que se submetem ao teste de habilitação veicular. Métodos: Estudo quantitativo transversal, realizado nas clínicas de medicina de tráfego. Critérios de inclusão do idoso: ter idade igual ou superior a 60 anos; estar agendado para os testes de habilitação e apresentar capacidade cognitiva e física para a realização dos testes. A amostra foi constituída por 172 idosos no período amostral de janeiro a julho de 2015. Foram aplicados testes para avaliação da fragilidade física e questionário sociodemográfico e clínico. Resultados: 56,4% dos candidatos são pré-frágeis e houve associação significativa entre fragilidade física e estado civil (p = 0,0327) e uso de bebidas alcóolicas (p = 0,0417). Conclusão: A prevalência de pré-fragilidade evidencia a necessidade de sua gestão, com o objetivo de atenuar o declínio funcional e consequentemente contribuir para uma direção veicular mais segura.

Objetivo: Investigar la asociación entre la fragilidad física y las características sociodemográficas y clínicas de ancianos sometidos a la prueba para obtención de la licencia vehicular. Métodos: Estudio cuantitativo transversal, realizado en clínicas de medicina de tránsito. Criterios de inclusión del anciano: tener edad igual o superior a 60 años; estar programado para los exámenes y presentar capacidad cognitiva y física para la realización de las pruebas. Participaron 172 ancianos entre enero y julio de 2015. Fueron aplicadas pruebas para evaluación de la fragilidad física y cuestionario sociodemográfico y clínico. Resultados: El 56,4% de los candidatos son pre-frágiles y hubo asociación significativa entre fragilidad física y estado civil (p = 0,0327) y uso de bebidas alcohólicas (p = 0,0417). Conclusión: La prevalencia de pre-fragilidad evidencia la necesidad de una gestión, con el objetivo de atenuar el déficit funcional y, consecuentemente, contribuir para una conducción más segura del auto.

Objective: To investigate the association between the condition of the physical fragility and the socio-demographic and clinical characteristics of elders performing driving license testing. Methods: This is a transversal quantitative study, performed in traffic medicine clinics. Criteria of inclusion of elders: age equal or higher to 60 years old; scheduled to driving license testing, and suitable cognitive and physical capacity to perform the tests. The sample was composed by 172 seniors from January to July 2015. Tests were used to evaluate the physical fragility, together with a socio-demographic and clinical questionnaire. Results: 56.4% of the candidates are considered pre-fragile, and there was a significant association between fragility and marital status (p = 0.0327) and use of alcohol (p = 0.0417). Conclusion: The prevalence of pre-fragility demonstrates a necessity to manage this public, aiming to attenuate functional decay, and as a consequence, to contribute to safer driving conditions.

Examen oftálmico para trámite de la licencia de conducción en Santiago de Cuba / Ophthalmic test for the procedure to obtain a driving licence in Santiago de Cuba

Se evaluó la experiencia acumulada durante los años 2003-2009 por la Comisión Municipal de Chequeo Oftalmológico de Santiago de Cuba; grupo de trabajo evaluador de los aspirantes a obtener la licencia de conducción, que radica en el Policlínico Docente Frank País García. En tal sentido, el examen ocular a los presuntos futuros conductores reviste suma importancia, de modo que constituye una gran responsabilidad, tanto para el médico como para los interesados, que esa revisión de la agudeza visual se realice con la calidad requerida y periódicamente para brindar una mayor seguridad en la vía pública. En el municipio de Santiago de Cuba, donde se dispone de vastos conocimientos prácticos al respecto y capital humano capacitado, se han logrado buenos resultados hasta el 2010; éxito en esta esfera que se ha extendido a las restantes comisiones de la provincia y contribuido a alcanzar la excelencia en los servicios.

The experience gathered during the years 2003-2009 from the Municipal Committee of Ophthalmic Examination in Santiago de Cuba was assessed; this work group is settled in the Teaching General Hospital Frank País Garcia and evaluates the candidates for obtaining a driving license. In this way, the ophthalmic test to the presumptive future drivers involves great significance, so it constitutes a great responsibility for both, the doctor and the interested person, to carry out this ophthalmic examination with the required quality and periodically, to provide a major safety in the public highway. In the municipality of Santiago de Cuba, where wide practical knowledge on the topic and qualified human staff is stipulated. Good results have been achieved up to 2010 in Santiago de Cuba municipality where wide practical knowledge and qualified human staff exist; and this success was broaden to the other committees of the province, which has contributed to reach excellence on the services.

Factors associated with the employment situation and driving license of patients with epilepsy / Fatores associados a situação laboral e licença para dirigir em pacientes com epilepsia

INTRODUCTION: It is estimated that approximately 50 percent of patients with epilepsy have difficulty finding employment. OBJECTIVE: Evaluate the employment situation and driving license of patients with symptomatic or probably symptomatic focal epilepsy and correlate it with clinical and socio-demographic aspects. METHODS: Ninety-two patients were classified into 3 groups: "employed", "unemployed" and "retired/on leave". The relationship between employment and socio-demographic aspects and those of epilepsy was studied, and also whether the patients were holders of national driving licenses. RESULTS: Thirty-one (33.7 percent) of the patients were employed, 19 (20.7 percent) unemployed and 33 (35.9 percent) retired/on leave. Patients with formal education of less than 9 years predominated (p<0.05) in the "retired/on leave" group and non-white patients were more frequently unemployed. Of 58 patients who lost their jobs, 27 (46.6 percent) reported that epilepsy was the main reason (p<0.05). There was a significant relationship between the occurrence of ES at work and unemployment and "leave/retirement" (p<0.05). There was no relationship between clinical aspects and the employment situation. Nineteen (33.9 percent) of the 56 surveyed reported being holders of driving licenses. DISCUSSION: There was a high index of unemployment and retired/on leave individuals. There was a relationship between unemployment and the occurrence of ES at work and with a low scholastic level. CONCLUSION: The low scholastic level/professional qualifications and the stigma aggravated the employment perspectives of these individuals, contributing to their social exclusion.

INTRODUÇÃO: Estima-se que aproximadamente 50 por cento dos pacientes com epilepsia têm problemas para encontrar emprego. OBJETIVO: O objetivo desta pesquisa foi avaliar a situação laboral e a licença para dirigir de 92 pacientes com epilepsia focal sintomática ou provavelmente sintomática e, correlaciona-la a aspectos clínicos e sociodemográficos. RESULTADOS: 31 (33,7 por cento) pacientes estavam empregados, 19 (20,7 por cento) desempregados, 33 (35,9 por cento) afastados/aposentados. Os pacientes com maior escolaridade formal, da cor branca, e do gênero masculino estavam mais empregados (ANOVA; p<0,05). 30 (46,1 por cento) pacientes referiram que a epilepsia motivou a demissão. Houve relação significativa entre ocorrência de CE no trabalho com desemprego e afastamento/aposentadoria (χ2; p=0,03). Não houve relação entre aspectos clínicos da epilepsia e situação ocupacional. DISCUSSÃO: Foram observados índices elevados de desemprego e afastamentos/aposentadoria. Houve relação entre desemprego e ocorrência de CE no trabalho, e baixa escolaridade e qualificação profissional. CONCLUSÃO: A baixa escolaridade/qualificação profissional e o estigma agravaram a perspectiva de empregabilidade dos indivíduos, contribuindo para a exclusão social.