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 a typical interval of eleven years, with extremes of 33 years and 3 years. the typical interval from the 1st signs to the date of follow-up was once 20.6 years within the 562 men and 22.3 years within the 438 women, with extremes of seventy two years and 3 years. on account that through the research no adjustments have been stumbled on among the sexes, they've been grouped jointly. phrases used, comparable to bronchial asthma, persistent bronchitis, formative years bronchitis, age of onset, etc., were rigorously outlined, as have the descriptions of intermittent and non-stop bronchial asthma. the current kingdom of the sufferers has been labeled 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 analysis, whereas the early life bronchitic had a greater outlook than the grownup bronchitic. Intermittent and non-stop bronchial asthma were in comparison. The occurrence of bronchitis at the beginning used to be greater within the non-stop team, and the tendency to increase bronchitis through the years (present in all asthmatics) used to be additionally higher within the non-stop team. people with bronchitis have been in a lot poorer future health on follow-up than these without.

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Extra resources for Annals of Life Insurance Medicine: 1964 Volume II

Sample text

Some of the eyeground changes described above are visualized by the illustrations on pages 39 to 42. It should be noted that Fig. 2 (Fundus arterioscleroticus) should be viewed also with reference to the underwriting instructions on arteriosclerosis. 10. Variations in blood pressure (a) Labile hypertension Applicants whose blood pressure fluctuates over short periods from near average to comparatively high values sometimes develop permanent hypertension. In a few cases malignant hypertension may ensue, a disease which calls for rejection.

1. Table of average blood pressures. The following table of graduated average blood pressures has been extracted from the Blood Pressure Study 1959. 2. Variations resulting from differences in build. The foregoing table shows average blood pressure as a function of only two factors, age and sex. The Blood Pressure Study 1959 shows that by introducing another factor, viz. build, a slightly different scale of average blood pressures is found. As relative weight increases, a rise in both the average systolic and the average diastolic blood pressure is noted.

At this stage the prognosis rapidly deteriorates. Moreover, it may be impossible to decide whether primary or secondary hypertension is present. 2. Secondary hypertension. Secondary hypertension may arise at any age. Hypertension commencing before age 35 is almost always secondary, as is a sudden onset of hypertension at any age. The following are some of the possible causes of secondary hypertension: Diseases of the kidneys, including acute or chronic nephritis and abnormalities of the renal arteries.

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