Annals of Life Insurance Medicine: 1964 Volume II by H. Jecklin (auth.)

By H. Jecklin (auth.)

One thousand unselected sufferers with asthma were up for an ordinary interval of eleven years, with extremes of 33 years and 3 years. the common interval from the 1st indicators to the date of follow-up used to be 20.6 years within the 562 men and 22.3 years within the 438 adult females, with extremes of seventy two years and 3 years. on the grounds that in the course of the research no adjustments have been came upon among the sexes, they've been grouped jointly. phrases used, corresponding to bronchial asthma, power bronchitis, youth bronchitis, age of onset, etc., were rigorously outlined, as have the descriptions of intermittent and non-stop bronchial asthma. the current country of the sufferers has been categorized as A (good), B (fair), C (poor), and D (dead). Early age of onset (before sixteen) and intermittent bronchial asthma have been linked and had a extra beneficial diagnosis, whereas the formative years bronchitic had a greater outlook than the grownup bronchitic. Intermittent and non-stop bronchial asthma were in comparison. The prevalence of bronchitis at the beginning was once better within the non-stop staff, and the tendency to improve bronchitis through the years (present in all asthmatics) was once additionally better within the non-stop workforce. people with bronchitis have been in a lot poorer health and wellbeing on follow-up than these without.

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Annals of Life Insurance Medicine: 1964 Volume II

1000 unselected sufferers with asthma were up for a standard interval of eleven years, with extremes of 33 years and 3 years. the common interval from the 1st indicators to the date of follow-up used to be 20. 6 years within the 562 men and 22. three years within the 438 adult females, with extremes of seventy two years and 3 years.

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In general the higher reading in either arm is the correct reading. 3. Abnormal arm circumference. 2 may overstate the true pressure; in the case of an unusually small arm circumference, the systolic reading may understate the true systolic pressure. In the absence of specific comment by the examiner or by an attending physician, the underwriter ordinarily is not aware of these circumstances. However, when such a situation is brought to his attention, the case should be referred to the Medical Director for evaluation of the reasonableness of the report and for determination of the appropriate underwriting action.

B) Reduction in blood pressure Material reductions (30 mm or more systolic, 10 mm or more diastolic) in ratable blood pressure over short periods (at most six months) may give rise to a suspicion that serious disease is present, or that medical treatment has been instituted. 14). (c) Malignant hypertension As stated in (a) above, malignant hypertension should be declined. 9). 11. Pulse pressure abnormalities (a) Wide pulse pressure A pulse pressure of 60 mm or over suggests the need for a more careful investigation as it may be a sign of aortic valve insufficiency, arteriosclerosis or hyperthyroidism.

The salient feature of this table is the great difference between successes with children and with adults, and we believe this is indeed largely due to the fact that most of the children had lipoid-nephrosis whereas the adults had nephritis with nephrotic complications. Table II. , 1962) Short-term therapy No. of patients A. Complete remission . B. Incomplete remission C. Partial effect (only loss of edema) . D. No effect Long-term therapy I Total 508 Total 597 Children 333 Adnlts 120 13% 10% 43% 22% 54% 20% 19% 23% 48% 23% 16% 17% 9% 13% 29% 29% If we compare these findings with our own figures in 44 cases with nephrotic syndromes over a survey period of 6 years, we find that our cases show somewhat better results as regards cures and improvements than do ADAMS' findings for adults.

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