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

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 ladies, with extremes of seventy two years and 3 years. considering that during the research no variations have been came across among the sexes, they've been grouped jointly. phrases used, resembling bronchial asthma, persistent bronchitis, early life bronchitis, age of onset, etc., were conscientiously outlined, as have the descriptions of intermittent and non-stop bronchial asthma. the current nation of the sufferers has been categorised 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 prevalence of bronchitis first and foremost used to be greater within the non-stop workforce, and the tendency to advance bronchitis through the years (present in all asthmatics) was once additionally larger within the non-stop workforce. people with bronchitis have been in a lot poorer future health on follow-up than these without.

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

Sample text

In the case of applications for large amounts of insurance and also in those cases where hypertension is suspected, other tests may be required, at the discretion of the Medical Director. 9) and certain laboratory tests. 2. 1. Evaluation of blood pressure for rating purposes. For the reasons explained in the foregoing paragraphs it is unwise to base the final rating on only one blood pressure reading. Where more than one reading is available, a "rating average" should be computed on the following lines: (a) Usually ignore all blood pressure readings taken more than five years prior to the date of the current medical examination.

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.

If the primary condition is curable and effective treatment is instituted, the blood pressure may be lowered to normotensive, or near normotensive, levels. In such cases, unless the blood pressure had reached, for a sufficiently prolonged period of time, such levels as to produce irreversible vascular changes, the prognosis is favorable. In females the prognosis of secondary hypertension is for some unknown reason more favorable than in males. 3. The underwriting problem The foregoing paragraphs illustrate that the term hypertension encompasses a wide range of vascular impairment.

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