№ lp_1_2_34833
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This document provides medical certification guidelines for commercial motor vehicle drivers diagnosed with Obstructive Sleep Apnea.
Year:
2017
Region / City:
United States
Topic:
Obstructive Sleep Apnea, Commercial Motor Vehicle Drivers, Medical Certification
Document Type:
Medical Examination Recommendation
Organization:
Federal Motor Carrier Safety Administration (FMCSA)
Author:
FMCSA
Target Audience:
Medical professionals, commercial motor vehicle drivers
Effective Period:
2017 and ongoing
Approval Date:
2017
Revision Date:
None
Price: 8 / 10 USD
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Year:
2017–2021
Medical field:
Sleep medicine
Condition:
Moderate to severe obstructive sleep apnea
Intervention:
Hypoglossal nerve stimulation
Procedure codes:
64582, 64583, 64584
Type of document:
Evidence review and policy summary
Reviewing bodies:
NICE; VbBS; HERC
Last review date:
November 2021
Study types included:
Systematic review; randomized controlled trial; prospective and retrospective case series
Number of studies:
7
Total patients:
326
Geographic context:
United Kingdom; United States
Regulatory context:
Clinical governance and payer policy assessment
Year:
[Year]
Region / City:
[City]
Theme:
Medical Opinion
Document Type:
Independent Medical Opinion
Organization / Institution:
[Medical Facility Name]
Author:
Dr. Grant Thomas
Target Audience:
Healthcare providers, VA personnel
Period of validity:
N/A
Approval Date:
N/A
Date of Changes:
N/A
Note:
Date
Topic:
Medical Opinion
Document Type:
Independent Medical Opinion
Author:
[Physician’s Name]
Target Audience:
Veterans Affairs (VA) Review Boards, Healthcare Providers
Note:
Year
Theme:
Obstructive sleep apnea, Pediatric otolaryngology
Document Type:
Research study
Context:
A research study on physical examination techniques for evaluating tonsil, adenoid, and pharyngeal grading in children with obstructive sleep apnea.
Authors:
David J. Stevens; Sarah L. Appleton; Andrew D. Vincent; Yohannes A. Melaku; Sean A. Martin; Tiffany K. Gill; Catherine L. Hill; Andrew Vakulin; Gary A. Wittert; Robert J. Adams
Document Type:
Supplementary material to a research article
Subject:
Obstructive sleep apnea, nocturnal hypoxemia, grip strength, muscle mass, fat mass
Population:
Community-dwelling middle-aged and older men
Study Design:
Observational study with linear regression analyses
Data Collection Methods:
In-home polysomnography; questionnaires; blood analysis; dual-energy X-ray absorptiometry
Variables Examined:
Age; income; alcohol consumption; smoking; dietary patterns; physical activity; diabetes; hypertension; arthritis; cancer history; cardiovascular disease; depression; muscle mass; fat mass; testosterone; inflammation
Statistical Methods:
Univariate and adjusted linear regression models
Sleep Assessment Device:
Embletta X100 (Embla Systems, Colorado)
Outcome Measures:
Dominant and non-dominant hand grip strength; lean mass; fat mass
Supplement Sections:
Supplementary S1 (regression adjustments and univariate associations); Supplementary S2 (non-respiratory sleep metrics and body composition associations)
Year:
2008–2014
Region / Institution:
HERC, Regence BCBS, SIGN
Subject:
Obstructive Sleep Apnea, Tongue Base Surgery
Document Type:
Clinical Guidelines and Evidence Review
Procedure Codes:
CPT 41512, Excluded Services Guidelines E1–E2
Techniques:
Tongue Base Suspension, Submucosal Ablation
Evidence Sources:
Kezirian 06, Farrar 08, TEC Review 07, Regence BCBS 08
Patient Indications:
Adults with OSA intolerant to CPAP or oral appliances
Outcome Measures:
AHI improvement, Epworth Sleepiness Scale, Functional Outcomes of Sleep Questionnaire
Policy Status:
Experimental, Non-Coverage Recommendations, Medically Necessary under certain criteria
Related Guidelines:
Guideline Notes 172–173, Excluded Services Guidelines 1–2
Surgical Risks:
Not specified in document
Year:
2026
Region / City:
Not specified
Subject:
Obstructive Sleep Apnea Treatment
Document Type:
Clinical Correspondence
Institution:
Dental Sleep Medicine Clinic
Author:
Treating Dentist / Sleep Medicine Specialist
Intended Audience:
Referring Physician
Patient Age / DOB:
As indicated in document
Therapy Initiated:
Oral Appliance Therapy (OAT)
Additional Recommendations:
Weight management, positional therapy, nasal patency improvement
Standards Followed:
American Academy of Dental Sleep Medicine guidelines
Year:
2026
Region / city:
Global
Theme:
Sleep apnea, Dry eye disease, Meta-analysis
Document type:
Systematic review, Meta-analysis
Organization:
Not specified
Author:
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al.
Target audience:
Researchers, Medical professionals
Period of validity:
Not specified
Approval date:
Not specified
Date of amendments:
Not specified
Year:
2026
Location:
Hotel Nikko, San Francisco, CA, USA
Topic:
Sleep Apnea, Snoring, Sleep Disorders
Document Type:
Educational Conference Program
Organizing Institutions:
University of California, San Francisco Department of Otolaryngology-Head and Neck Surgery; Penn Center for Sleep Disorders, University of Pennsylvania
Authors / Faculty:
Andrew N Goldberg, MD; Eric J Kezirian, MD; Richard J Schwab, MD; Jolie L Chang, MD; David M Claman, MD; plus additional UCSF and external faculty
Intended Audience:
Healthcare professionals including physicians, nurses, and physician assistants
Accreditation:
AMA PRA Category 1 Credits™, ANCC Contact Hours, AAPA Category 1 CME Credits, Interprofessional Continuing Education (IPCE)
Educational Objectives:
Review new developments in diagnosis, management, and treatment of sleep apnea and snoring; evaluate medical and surgical interventions; assess patient outcomes and technology impact
Commercial Support:
Eli Lilly, Neurocare, Inc, Reflux Gourmet, Sleep Res Inc
Exhibitors:
Aerin Medical, Apnimed, Avadel, Axsome Therapeutics, Cadwell, Clevemed, Cryosa, DayBreak, Eli Lilly, Ensodata, Fisher & Paykel, Harmony Bioscience, Inspire, Jazz Pharma, Livanova, Moona Health, Neilmed, Nox Medical, Nyxoah, Onera, Philips, Ron Andrews Medical Company, Serene Sleep, Sleep Res, Vertex Pharmaceuticals, Zoll Itamar
Course Chairs:
Andrew N. Goldberg, MD; Jolie L. Chang, MD; David M. Claman, MD; Eric J. Kezirian, MD; Richard J. Schwab, MD
Year:
2025
Region / City:
N/A
Topic:
Project Management, Operator Qualification
Document Type:
Checklist
Organization / Institution:
Kinder Morgan
Author:
N/A
Target Audience:
Project Managers, Contractors
Period of Validity:
N/A
Approval Date:
08/07/2025
Modification Date:
N/A
Document type:
Service Level Agreement
Product name:
Strategy Dot Zero (SDZ)
Service provider:
Gravity Consulting Services Pty Ltd
Service provider address:
Level 2, Building 4, 70 Kent Street, Deakin 2600
Primary contact:
Steven Hayes
Contact email:
[email protected]
Contact phone:
0419 296 984
Support phone:
1800 688 187
Support system:
JIRA Service Desk
Service hours:
9:00 A.M. to 5:30 P.M. Canberra Time, Monday–Friday
Geographic reference:
Canberra, Australia
Revision number:
7.3
Latest revision date:
02/Feb/2019
Authors:
Vasumathi Thyagarajan; Chandush Dutt Kalluri; Chandush
Approvers:
Chethan Vijayadeva; Kailash Krishnamurthy; Stephen Hayes
Covered services:
Telephone support; service desk ticket monitoring; product upgrades and patches; onsite assistance; database backup and recovery
Severity levels:
Critical; High; Medium; Low
Agreement start date:
dd/mm/yyyy
Agreement validity:
Until end of contract
Review frequency:
Annual or by mutual agreement
Note:
Year
Subject:
Fleet Safety, Commercial Drivers, DOT Compliance
Document Type:
Template
Organization / Institution:
EMC Insurance Companies
Target Audience:
Organizations with commercial vehicle fleets
Note:
Year
Topic:
Disadvantaged Business Enterprise (DBE) Program
Document Type:
Directory
Organization / Institution:
State Department of Transportation (DOT)
Contextual Description:
A directory of Disadvantaged Business Enterprise (DBE) resources across various State Departments of Transportation (DOT) in the United States.
Year:
2023
Date:
March 21, 2023
Location:
Galesburg, MI
Company:
TecNiq Inc.
Contact:
Don Kennedy, Marketing Specialist
Document Type:
Press Release
Product Name:
T67 6” Oval Light
Product Category:
LED Vehicle Lighting
Compliance Standards:
FMVSS 108; SAE J595; IP68
Warranty:
Lifetime Warranty
Mounting Type:
Grommet Mounted with AMP Connector
Lens Options:
Clear Lens
LED Configurations:
Amber Flasher with Diffused Reverse; Stop with Diffused Taillight; Stop/Tail/Turn with Diffused Reverse; Reverse with Additional Diffused Reverse
Intended Applications:
Dump Trucks; Refuse Trucks; Bucket Trucks; Trailers; Fleet Vehicles; Construction Equipment; Boats
Year:
2025
Region / City:
United States
Topic:
Drug and Alcohol Testing, Ministerial Exception, Labor Law
Document Type:
Regulatory Proposal, Legal Update
Organization / Institution:
U.S. Department of Transportation (DOT), U.S. Senate, U.S. Equal Employment Opportunity Commission (EEOC)
Author:
SESCO
Target Audience:
Employers, Legal Professionals, HR Professionals, Transportation Industry
Effective Period:
Ongoing
Approval Date:
2025
Date of Last Update:
N/A
Year:
2026
Agency:
U.S. Department of Transportation, Office of Drug & Alcohol Policy & Compliance
Regulations:
49 CFR Part 40; FMCSA 49 CFR Part 382
Document Type:
Guidance / Fact Sheet
Audience:
Employers covered under DOT drug & alcohol testing regulations
Record Retention:
1–5 years depending on record type, some indefinitely
Data Included:
Test results, testing process administration, return-to-duty process, employee and supervisor training, annual MIS reports
Access Requirements:
Secure storage, controlled access, optional third-party record keeping
Employee Rights:
Access to personal test records and records from Medical Review Officer
Year:
2026
Region / City:
Wisconsin, Michigan
Topic:
Asphalt paving, National Awards
Document Type:
Press Release
Organization / Institution:
National Asphalt Pavement Association (NAPA)
Author:
Bill Rowan
Target Audience:
Industry professionals, asphalt paving contractors, transportation authorities
Period of validity:
Not specified
Approval Date:
February 4, 2026
Modification Date:
Not specified
Contact Information:
Bill Rowan, 240-825-4444, [email protected]
Context:
Press release about the 2025 Sheldon G. Hayes Award for asphalt paving excellence
Year:
2015
Region / city:
Dornbirn
Theme:
Design, Lighting
Document Type:
Press Release
Organization:
Zumtobel
Author:
Sophie Moser
Target Audience:
Design professionals, media, business, and politics
Period of validity:
June 2015
Approval Date:
June 2015
Modification Date:
Not specified
Year:
2024
Region / City:
Metropolitan Washington, D.C. area, USA
Subject:
Electric Vehicle Charging Infrastructure Deployment
Document Type:
Request for Proposal Support Letter
Organization:
[ORGANIZATION]
Target Audience:
Federal Highway Administration, DOT
Commitment:
20 percent matching funds
Partnership:
Metropolitan Washington Council of Governments (COG)
Project Scope:
Installation of publicly accessible EV charging stations in urban and rural communities, including underserved areas
Date:
July X, 2024
Context:
Official correspondence supporting a grant application for the development and deployment of electric vehicle charging infrastructure under a federal discretionary program.
Year:
2026
Region / City:
Wisconsin, USA
Document Type:
Transportation Management Plan (TMP)
Project Type:
TMP Type 1–4
Agency / Organization:
Wisconsin Department of Transportation (WisDOT)
Author / Preparer:
TMP Project Preparer
Target Audience:
Project managers, regional traffic engineers, federal oversight authorities
Project Duration:
Varies per project
Highway Classification:
National Highway System (if applicable)
Traffic Management Measures:
Lane closures, detours, pedestrian/bicycle accommodations, temporary signals, signage, public information campaigns
Federal Oversight:
Yes / No
Attachments Included:
Yes / No
Approval Stages:
60% review, 90% review, final concurrence