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 was once 20.6 years within the 562 men and 22.3 years within the 438 ladies, with extremes of seventy two years and 3 years. considering through the research no variations have been came upon among the sexes, they've been grouped jointly. phrases used, corresponding to bronchial asthma, power bronchitis, adolescence bronchitis, age of onset, etc., were rigorously outlined, as have the descriptions of intermittent and non-stop bronchial asthma. the current nation 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 analysis, whereas the formative years 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 was once greater within the non-stop team, and the tendency to strengthen bronchitis through the years (present in all asthmatics) used to be additionally better within the non-stop staff. people with bronchitis have been in a lot poorer well-being on follow-up than these without.
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Extra resources for Annals of Life Insurance Medicine: 1964 Volume II
No. of cases Years 21 i~ 12 ~ ; I,. 82% cured 18 % cured }8%cured What is the life expectation for cases of chronic nephritis? In order to assess cases it must be appreciated that chronic nephritis can take two forms: 1. vascular development, 2. nephritis with nephrotic complications. The vascular development is characterised by increasing blood pressure over the years, with little albumen in the urine and possibly the appearance of microhaematuria. Renal insufficiency only occurs in the final stages.
The condition may continue, without complications, for many years. These cases have a more favorable prognosis. On the other hand, essential hypertension may, and often does, lead to arterial degeneration and adversely affect various organs, especially kidneys, heart and brain. 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.
Advanced stage. Stage 4: (1) Advanced arteriolar constriction (silver wire appearance), lumen partially obliterated. (2) Marked papilledema. (3) Ischemic retinal edema. (4) Spasm of the veins. The Underwriting of Blood Pressure Abnormalities 43 Director is always necessary. In the most favorable cases the Rating Tables may be used, with the reservation that a minimum rating of + 50 be applied. (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.
Annals of Life Insurance Medicine: 1964 Volume II by H. Jecklin (auth.)