natgillin/translations-raw huggingface dataset:
submit without delay to the licensing authority a signed, or electronically authenticated, report containing the detailed results of the aero-medical examination and assessment for the medical certificate and a copy of the application form, the examination form and the medical certificate; and
ponavljajoče se vazovagalne sinkope;
inform the applicant of their responsibility in the case of decrease in medical fitness as specified in ATCO.MED.A.020.
tromboza arterij ali ven;
AeMCs and AMEs shall maintain records with details of aero-medical examinations and assessments performed in accordance with this Part and their results for a minimum period of 10 years, or for a period as determined by national legislation if this is longer.
pljučna embolija;
AeMCs and AMEs shall submit to the medical assessor of the competent authority, upon request, all aero-medical records and reports, and any other relevant information when required for:
kardiovaskularna bolezen, ki zahteva sistemsko antikoagulantno zdravljenje.
medical certification;
Krvni tlak
oversight functions.
Krvni tlak se izmeri pri vsakem pregledu.
Requirements for medical certificates
Krvni tlak kandidata je v okviru normalnih vrednosti.
Medical certificates
Kandidati se ocenijo kot nesposobni, kadar:
Applicants for and holders of an air traffic controller licence, or student air traffic controller licence, shall hold a class 3 medical certificate.
imajo simptomatsko hipotenzijo ali
A licence holder shall not at any time hold more than one medical certificate issued in accordance with this Part.
njihov sistolični krvni tlak na pregledu redno presega 160 mmHg in/ali diastolični 95 mmHg, če se zdravijo ali ne.
Application for a medical certificate
Kandidat, ki začne jemati zdravila za obvladovanje krvnega tlaka, se oceni kot začasno nesposoben, dokler se ne ugotovi, da zdravila nimajo resnejših stranskih učinkov.
Applications for a medical certificate shall be made in a format established by the competent authority.
Bolezni koronarnih arterij
Applicants for a medical certificate shall provide the AeMC or AME with:
simptomatska bolezen koronarnih arterij;
proof of their identity;
simptomi bolezni koronarnih arterij, ki se obvladujejo z zdravili.
a signed declaration:
Kandidati, ki imajo katero koli od navedenih bolezenskih stanj, se napotijo k licenčnemu organu in opravijo kardiološko oceno, da se izključi miokardna ishemija, preden se lahko ocenijo kot sposobni:
of medical facts concerning their medical history;
sum na miokardno ishemijo;
as to whether they have previously applied for a medical certificate or have undergone an aero-medical examination for a medical certificate and, if so, by whom and with what result;
asimptomatska blažja oblika bolezni koronarne arterije, ki ne zahteva zdravljenja z zdravili proti angini pektoris.
as to whether they have ever been assessed as unfit or had a medical certificate suspended or revoked.
Kandidati s potrjeno anamnezo ali diagnozo katerega koli od naslednjih bolezenskih stanj se napotijo k licenčnemu organu in opravijo kardiološko oceno, preden se lahko ocenijo kot sposobni:
When applying for a revalidation or renewal of the medical certificate, applicants shall present the most recent medical certificate to the AeMC or AME prior to the relevant aero-medical examinations.
miokardna ishemija;
Issue, revalidation and renewal of medical certificates
srčni infarkt;
A medical certificate shall only be issued, revalidated or renewed once the required aero-medical examinations and assessments have been completed and the applicant has been assessed as fit.
revaskularizacija in razširitev zaradi bolezni koronarnih arterij.
Initial issue:
Motnje srčnega ritma in prevajanja
Initial class 3 medical certificates shall be issued by an AeMC.
Kandidati za zdravniško spričevalo razreda 3, ki imajo resnejše motnje srčnega prevajanja ali ritma, občasno ali potrjeno, se napotijo k licenčnemu organu in opravijo kardiološko oceno z zadovoljivimi rezultati, preden se lahko ocenijo kot sposobni.
Revalidation and renewal:
Te motnje so lahko:
Class 3 medical certificates shall be revalidated or renewed by an AeMC or an AME.
motnje supraventrikularnega ritma, vključno z občasno ali potrjeno sinuatrijsko nepravilnostjo, atrijsko fibrilacijo in/ali migetanjem ter asimptomatskimi sinusnimi premori;
The AeMC or AME shall only issue, revalidate or renew a medical certificate if:
popolni levokračni blok;
the applicant has provided them with a complete medical history and, if required by the AeMC or AME, results of aero-medical examinations and tests conducted by the applicant's physician or any medical specialists; and
atrioventrikularni blok tipa Mobitz 2;
the AeMC or AME has conducted the aero-medical assessment based on the aero-medical examinations and tests as required to verify that the applicant complies with all the relevant requirements of this Part.
tahikardija s širokimi in/ali ozkimi kompleksi;
The AME, AeMC or, in the case of referral, the licensing authority may require the applicant to undergo additional medical examinations and investigations when clinically indicated before the medical certificate is issued, revalidated or renewed.
prekatna preekscitacija;
The licensing authority may issue or reissue a medical certificate, as applicable, if:
asimptomatsko podaljšanje intervala QT;
a case is referred;
EKG z Brugadovim sindromom.
it has identified that corrections to the information on the certificate are necessary, in which case the incorrect medical certificate shall be revoked.
Kandidati, ki imajo katero koli od bolezenskih stanj, navedenih v točkah (i) do (viii), se lahko ocenijo kot sposobni, če nimajo drugih anomalij in po opravljeni kardiološki oceni z zadovoljivimi rezultati:
Validity, revalidation and renewal of medical certificates
nepopolni kračni blok;
Validity:
popolni desnokračni blok;
Class 3 medical certificates shall be valid for a period of 24 months.
stabilna deviacija leve osi;
The period of validity of class 3 medical certificates shall be reduced to 12 months for licence holders who have reached the age of 40.
asimptomatska sinusna bradikardija;
A medical certificate issued prior to reaching the age of 40 shall cease to be valid when the licence holder reaches the age of 41.
asimptomatska sinusna tahikardija;
The validity period of a medical certificate, including any associated examination or special investigation, shall be:
asimptomatska izolirana supraventrikularna ali ventrikularna ektopična aktivnost;
determined by the age of the applicant at the date when the aero-medical examination takes place; and
atrioventrikularni blok prve stopnje;
calculated from the date of the aero-medical examination in the case of initial issue and renewal, and from the expiry date of the previous medical certificate in the case of revalidation.
atrioventrikularni blok tipa Mobitz 1.
Revalidation:
zdravljenje s kirurško odstranitvijo;
Aero-medical examinations and assessments for the revalidation of a medical certificate may be undertaken up to 45 days prior to the expiry date of the medical certificate.
vstavitev srčnega spodbujevalnika.
Renewal:
simptomatska sinoatrijska bolezen;
If the holder of a medical certificate does not comply with point (b), a renewal aero-medical examination and assessment shall be required.
popolni atrioventrikularni blok;
If the medical certificate has expired for:
simptomatsko podaljšanje intervala QT;
less than 2 years, a routine revalidation aero-medical examination shall be performed;
vstavljen avtomatski defibrilator;
more than 2 years, the AeMC or AME shall only conduct the renewal aero-medical examination after assessment of the aero-medical records of the applicant;
spodbujevalnik v primeru ventrikularne tahikardije.
more than 5 years, the aero-medical examination requirements for initial issue shall apply and the assessment shall be based on the revalidation requirements.
Dihalni sistem
Suspension or revocation of a medical certificate
Kandidati z znatno zmanjšano pljučno funkcijo se napotijo k licenčnemu organu, kjer opravijo zdravniško oceno letalskega osebja.
Upon suspension of the medical certificate, the holder shall return the medical certificate to the licensing authority on request of the authority.
Zahteva se preizkus pljučne funkcije pri pregledu za prvo izdajo in če obstajajo klinične indikacije.
Referral
Kandidati, ki imajo anamnezo ali potrjeno diagnozo astme, ki jo je treba zdraviti z zdravili, morajo opraviti respiratorno oceno z zadovoljivim rezultatom.
If an applicant for a class 3 medical certificate is referred to the licensing authority in accordance with ATCO MED.B.001, the AeMC or AME shall transfer the relevant medical documentation to the licensing authority.
Kot sposobni se lahko ocenijo, če ne kažejo nobenih simptomov in če zdravljenje ne vpliva na varnost.
REQUIREMENTS FOR AIR TRAFFIC CONTROLLER MEDICAL CERTIFICATES
Kandidati s potrjeno anamnezo ali diagnozo katerega koli od naslednjih bolezenskih stanj se napotijo k licenčnemu organu in opravijo respiratorno oceno z zadovoljivimi rezultati, preden se lahko ocenijo kot sposobni:
ATCO.MED.B.001
aktivno vnetje dihal;
Limitations to medical certificates
aktivna sarkoidoza;
Limitations to class 3 medical certificates:
pnevmotoraks;
If the applicant does not fully comply with the requirements for a class 3 medical certificate but is considered to be not likely to jeopardise the safe exercise of the privileges of the licence, the AeMC or AME shall:
sindrom spalne apneje;
refer the decision on fitness of the applicant to the licensing authority as indicated in this Subpart; or
večja operacija prsnega koša;
in cases where a referral to the licensing authority is not indicated in this Subpart, evaluate whether the applicant is able to perform their duties safely when complying with one or more limitations endorsed on the medical certificate, and issue the medical certificate with limitation(s) as necessary.
kronična obstruktivna pljučna bolezen;
The AeMC or AME may revalidate or renew a medical certificate with the same limitation without referring the applicant to the licensing authority.
presaditev pljuč.
When assessing whether a limitation is necessary, particular consideration shall be given to:
Prebavni sistem
whether accredited medical conclusion indicates that in special circumstances the applicant's failure to meet any requirement, whether numerical or otherwise, is such that exercise of the privileges of the licence is not likely to jeopardise the safe exercise of the privileges of the licence;
Kandidati, ki imajo posledice zaradi bolezni ali kirurškega posega na katerem koli delu prebavnega trakta ali njegovih adneksov, ki bi jih lahko onesposobile, zlasti zapore zaradi zožitve ali kompresije, se ocenijo kot nesposobni.
the applicant's experience relevant to the operation to be performed.
Kandidati nimajo hernije, ki bi lahko sprožila simptome, zaradi katerih ne bi bili sposobni opravljati svojega dela.
Operational limitations
Kandidati z boleznimi gastrointestinalnega sistema, vključno s tistimi, ki so navedene v točkah 1 do 5, se lahko ocenijo kot sposobni, če opravijo gastroenterološko oceno z zadovoljivimi rezultati po uspešnem zdravljenju ali popolnem okrevanju po operaciji:
Appropriate operational limitations shall only be placed on the medical certificate by the licensing authority.
vnetje trebušne slinavke;
Any other limitation may be imposed on the holder of a medical certificate if required to ensure the safe exercise of the privileges of the licence.
simptomatski žolčni kamni;
Any limitation imposed on the holder of a medical certificate shall be specified therein.
potrjena diagnoza ali anamneza kronične vnetne črevesne bolezni;
Medical requirements for class 3 medical certificates
po operaciji prebavnega trakta ali njegovih adneksov, vključno z delno ali popolno kirurško odstranitvijo ali obvodom katerega koli od teh organov.
ATCO.MED.B.005
Metabolični in endokrini sistem
abnormality, congenital or acquired;
Sladkorna bolezen
active, latent, acute or chronic disease or disability;
Kandidati s sladkorno boleznijo, ki se morajo zdraviti z inzulinom, se ocenijo kot nesposobni.
wound, injury or sequelae from operation;
Kandidati s sladkorno boleznijo, ki za obvladovanje krvnega sladkorja potrebujejo druga zdravila in ne insulin, se napotijo k licenčnemu organu.
effect or side effect of any prescribed or non-prescribed therapeutic, diagnostic or preventive medication taken.
Kot sposobni se lahko ocenijo, če lahko dokažejo, da imajo sladkor v krvi pod nadzorom in da je ta stabilen.
Cardiovascular system
Če je potrebno, pregled krvi določi AME ali AeMC ob upoštevanju zdravstvene anamneze in po opravljenem kliničnem pregledu.
Examination:
Kandidati s krvnimi boleznimi, kot so:
A standard 12-lead resting electrocardiogram (ECG) and report shall be completed at the examination for the initial issue of a medical certificate and then:
motnje pri strjevanju krvi ali nagnjenost h krvavitvam ali tromboza;
every 4 years until the age of 30;
kronična levkemija;
at all revalidation or renewal examinations thereafter; and
nenormalen hemoglobin, vključno med drugim z anemijo, eritrocitozo ali hemoglobinopatijo;
when clinically indicated.
znatno povečane limfne žleze;
An extended cardiovascular assessment shall be completed:
povečana vranica,
at the first revalidation or renewal examination after the age of 65;
se napotijo k licenčnemu organu.
every 4 years thereafter; and
Kot sposobni se lahko ocenijo, če zadovoljivo opravijo zdravniško oceno letalskega osebja.
Estimation of serum lipids, including cholesterol, shall be required at the examination for the initial issue of a medical certificate, at the first examination after having reached the age of 40, and when clinically indicated.
Kandidati z akutno levkemijo se ocenijo kot nesposobni.
Cardiovascular system — General:
Urogenitalen sistem
Applicants with any of the following conditions shall be assessed as unfit:
Analiza urina je sestavni del vsakega zdravniškega pregleda letalske medicine.
aneurysm of the thoracic or supra-renal abdominal aorta before surgery;
V urinu ne sme biti neobičajnih patološko pomembnih elementov.
significant functional or symptomatic abnormality of any of the heart valves;
Kandidati, ki imajo posledice zaradi bolezni ali kirurškega posega v urogenitalnem sistemu ali njegovih adneksih, ki bi jih lahko onesposobile, zlasti zapore zaradi zožitve ali kompresije, se ocenijo kot nesposobni.
heart or heart/lung transplantation.
Kandidati z urogenitalno boleznijo, kot so:
Applicants with an established history or diagnosis of any of the following conditions shall be referred to the licensing authority before a fit assessment may be considered:
bolezen ledvic;
peripheral arterial disease before or after surgery;
eden ali več sečnih kamnov,
aneurysm of the thoracic or supra-renal abdominal aorta after surgery;
se lahko ocenijo kot sposobni, če zadovoljivo opravijo nefrološko/urološko oceno.
aneurysm of the infra-renal abdominal aorta before or after surgery;
Kandidati, ki so imeli:
functionally insignificant cardiac valvular abnormalities;
večji kirurški poseg v urogenitalnem sistemu ali njegovih adneksih, ki je vključeval popolni ali delni izrez katerega koli izmed njegovih organov, ali
after cardiac valve surgery;
večjo urološko operacijo,
abnormality of the pericardium, myocardium or endocardium;
se napotijo k licenčnemu organu in opravijo zdravniško oceno letalskega osebja, preden se lahko ocenijo kot sposobni.
congenital abnormality of the heart, before or after corrective surgery;
Nalezljiva bolezen
recurrent vasovagal syncope;
Kandidati, ki so HIV pozitivni, se napotijo k licenčnemu organu in se lahko ocenijo kot sposobni, če zadovoljivo opravijo specialistično oceno in če ima licenčni organ dovolj dokazov, ki potrjujejo, da terapija ne ogroža varnega izvajanja privilegijev iz licence.
arterial or venous thrombosis;
Kandidati z diagnozo ali simptomi nalezljive bolezni, kot so:
pulmonary embolism;
akutni sifilis;
cardiovascular condition requiring systemic anticoagulant therapy.
aktivna tuberkuloza;
Blood pressure:
nalezljivi hepatitis;
Blood pressure shall be recorded at each examination.
tropske bolezni,
The applicant's blood pressure shall be within normal limits.
se napotijo k licenčnemu organu, da bi opravili zdravniško oceno letalskega osebja.
Applicants shall be assessed as unfit when:
Kot sposobni se lahko ocenijo po popolni ozdravitvi in specialistični oceni pod pogojem, da ima licenčni organ dovolj dokazov, ki potrjujejo, da terapija ne ogroža varnega izvajanja privilegijev iz licence.
they have symptomatic hypotension; or
Porodništvo in ginekologija
when their blood pressure at examination consistently exceeds 160 mmHg systolic and/or 95 mmHg diastolic, with or without treatment.
Kandidatke, ki so imele večji ginekološki kirurški poseg, se ocenijo kot nesposobne, dokler popolnoma ne okrevajo.
The initiation of medication for the control of blood pressure shall require a period of temporary unfit assessment to establish the absence of significant side effects.
Nosečnost
Coronary artery disease:
Če AeMC ali AME v primeru nosečnosti meni, da je imetnica licence sposobna izvajati svoje privilegije, ji omeji obdobje veljavnosti zdravniškega spričevala do konca 34. tedna nosečnosti.
symptomatic coronary artery disease;
Imetnica licence opravi zdravniški pregled letalske medicine in zdravniško oceno za podaljšanje veljavnosti licence, ko po nosečnosti popolnoma okreva.
symptoms of coronary artery disease controlled by medication.
Mišično-kostni sistem
Applicants with any of the following conditions shall be referred to the licensing authority and undergo cardiological evaluation to exclude myocardial ischaemia before a fit assessment may be considered:
Kandidati morajo zadovoljivo uporabljati mišično-skeletni sistem, kar jim omogoča varno izvajanje privilegijev iz licence.
suspected myocardial ischaemia;
Kandidati s statično ali progresivno boleznijo mišično-kostnega sistema ali revmatološko boleznijo, ki bi lahko vplivala na varno izvajanje privilegijev iz licence, se napotijo k licenčnemu organu.
asymptomatic minor coronary artery disease requiring no anti-anginal treatment.
Kot sposobni se lahko ocenijo, če zadovoljivo opravijo specialistično oceno.
Applicants with a history or diagnosis of any of the following conditions shall be referred to the licensing authority and undergo a cardiological evaluation before a fit assessment may be considered:
Psihiatrija
myocardial ischaemia;
Kandidati z duševnimi ali vedenjskimi motnjami zaradi alkohola ali uporabe ali zlo rabe drugih psihotropnih snovi, vključno z občasnim jemanjem snovi z ali brez odvisnosti, se ocenijo kot nesposobni, dokler se ne dokaže njihova streznitev ali da teh snovi več ne uporabljajo oziroma zlorabljajo in dokler ne prejmejo pozitivne ocene psihiatra po uspešnem zdravljenju.
myocardial infarction;
Kandidati se napotijo k licenčnemu organu.
revascularisation and stenting for coronary artery disease.
Kandidati z duševnimi motnjami, kot so:
Rhythm/Conduction disturbances:
motnje v razpoloženju;
Applicants for a class 3 medical certificate with any significant disturbance of cardiac conduction or rhythm, intermittent or established shall be referred to the licensing authority and undergo cardiological evaluation with satisfactory results before a fit assessment may be considered.
nevrotične motnje;
These disturbances shall include any of the following:
osebnostne motnje;
disturbance of supraventricular rhythm, including intermittent or established sinoatrial dysfunction, atrial fibrillation and/or flutter and asymptomatic sinus pauses;
duševne ali vedenjske motnje,
complete left bundle branch block;
zadovoljivo opravijo psihiatrično oceno, preden se lahko ocenijo kot sposobni.
Mobitz type 2 atrioventricular block;
Kandidati se napotijo k licenčnemu organu, da bi opravili oceno zdravstvene sposobnosti.
broad and/or narrow complex tachycardia;
Kandidati, ki so se v preteklosti enkrat ali večkrat namerno samopoškodovali, se ocenijo kot nesposobni.
ventricular pre-excitation;
Kandidati se napotijo k licenčnemu organu in morajo zadovoljivo opraviti psihiatrično oceno, preden se lahko ocenijo kot sposobni.
asymptomatic QT prolongation;
Kandidati s potrjeno anamnezo ali klinično diagnozo shizofrenije, shizoidno ali blodnjavo motnjo ali manijo se ocenijo kot nesposobni.
Brugada pattern on electrocardiography.
Psihologija
Applicants with any of the conditions listed in points (i) to (viii) may be assessed as fit in the absence of any other abnormality and subject to satisfactory cardiological evaluation:
Kandidati, ki kažejo simptome, povezane s stresom, ki bi lahko vplivali na njihovo sposobnost varnega izvajanja privilegijev iz licence, se napotijo k licenčnemu organu.
incomplete bundle branch block;
Kot sposobni se lahko ocenijo samo, ko psihološka oziroma psihiatrična ocena pokaže, da kandidat več ne kaže simptomov, povezanih s stresom.
complete right bundle branch block;
Psihološka ocena se lahko zahteva v okviru specialističnega psihiatričnega ali nevrološkega pregleda ali kot njegova dopolnitev.
stable left axis deviation;
Nevrologija
asymptomatic sinus tachycardia;
epilepsija, razen v primerih iz točk (b)(1) in (2);
asymptomatic isolated uniform supra-ventricular or ventricular ectopic complexes;
ponavljajoče se motnje zavesti neznanega vzroka;
first degree atrioventricular block;
bolezni z visoko nagnjenostjo k cerebralnim motnjam.
Mobitz type 1 atrioventricular block.
Kandidati s potrjeno anamnezo ali klinično diagnozo katerega koli od naslednjih bolezenskih stanj se napotijo k licenčnemu organu in opravijo dodatno oceno, preden se lahko ocenijo kot sposobni:
Applican ts with a history of any of the following conditions shall be referred to the licensing authority and undergo cardiological evaluation with satisfactory results before a fit assessment may be considered:
epilepsija, ki se ni ponovila po starosti 5 let;
ablation therapy;
epilepsija, ki se ni ponovila in se ne zdravi že več kot deset let;
pacemaker implantation.
epileptiformne anomalije EEG in fokalni počasni valovi;
complete atrioventricular block;
enkratna epizoda motnje ali izgube zavesti;
symptomatic QT prolongation;
poškodba možganov;
an automatic implantable defibrillating system;
poškodba spinalnega ali perifernega živca,
a ventricular anti-tachycardia pacemaker.
motnje živčnega sistema zaradi žilnih pomanjkljivosti, vključno s hemoragičnimi in ishemičnimi dogodki.
ATCO.MED.B.015
Vizualni sistem
Respiratory system
Obsežen očesni pregled je del pregleda za prvo izdajo in se opravlja redno, odvisno od refrakcije in funkcionalnega delovanja očesa.
Applicants with significant impairment of pulmonary function shall be referred to the licensing authority for the aero-medical assessment.
Rutinski pregled oči je sestavni del pregledov za podaljšanje veljavnosti in obnovo.
A fit assessment may be considered once pulmonary function has recovered and is satisfactory.
Kandidati opravijo tonometrijo pri prvem pregledu za podaljšanje veljavnosti po starosti 40 let, če obstajajo klinične indikacije in na podlagi družinske anamneze.
Pulmonary function tests are required at the initial examination and on clinical indication.
Kandidati predložijo AeMC ali AME poročilo o oftalmološkem pregledu, če:
Applicants with a history or established diagnosis of asthma requiring medication shall undergo a satisfactory respiratory evaluation.
se pri funkcionalnem delovanju pokažejo znatne spremembe;
A fit assessment may be considered if the applicant is asymptomatic and treatment does not affect safety.
se standardi vida na daljavo dosežejo samo s korektivnimi lečami.
Applicants with a history or established diagnosis in any of the following shall be referred to the licensing authority and undergo respiratory evaluation with a satisfactory result before a fit assessment may be considered:
Kandidati z visoko refrakcijsko napako se napotijo k licenčnemu organu.
active inflammatory disease of the respiratory system;
Ostrina vida na daljavo, z optimalno korekcijo ali brez nje, je 6/9 (0,7) ali boljša za posamezno oko in ostrina vida z obema očesoma je 6/6 (1,0) ali boljša.