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96
Active Healed B. C.
Increase. endomyo-carditis. endomyo-carditis.
Under 10 78 84 68 81
Over 10 22 16 32 19
About 30 per cent of the children showed no increase at all in the pulse rate on
standing
The effect of exercise on pulse rate (percentage of cases examined)
Active Healed
endomyo-carditis. endomyo-carditis. B. C.
Increase in pulse rate,under 30 53 28 56 78
Increase in pulse rate, over 30 47 72 44 22
Return to standing pulse rate
in 60 sees 51 71 55 77
Return to standing pulse rate
in 60-120 sees 28 18 30 17
Pulse rate raised after 120 sees. 21 11 15 6
These figures are only of a preliminary nature, and further research is being made.
Several lectures have been given during the year to practitioners and care committee
workers and the method of working the clinic demonstrated. In conclusion, it is a
pleasure to thank my two assistants, Dr. Doris Baker and Dr. Warwick Preston,
for their great help and loyal co-operation, without which this work could not proceed,
and to the Council's organiser, Miss Kilvert, for her unfailing efficiency and tact in
dealing with the social side."
Notes on
rheumatism
in two
selected
schools.
Dr. Mabel
Russell.
Dr. Mabel Russell, studying rheumatism as it can be explored by the medical
inspector in the schools alone, reports :—
" Although one is fully aware of the insidious onset of rheumatism following
on a history of vague pains with a diagnosis of definite valvular lesion, at the same
time there appears to be a tendency loosely to classify as subacute rheumatism
every pain occurring in limbs, and one knows there are many and various conditions
that give rise to " aching limbs " other than the specific rheumatic toxin, therefore
in continuing the enquiry of last year special note has been taken as to the presence
of any definite clinical sign or symptom of rheumatism, in those children who had
complained of what they term " growing pains."
" The two schools selected were :—(a) Marlborough (girls') and (b) Ashburnham
(girls'). These two schools are situated at opposite ends of Chelsea—the latter
being near the river.
" The definitely rheumatic children are nearly all well known and are kept under
observation, and of the other children (i.e., those with " growing pains "), the majority
of them had been examined at least twice. Comparison of the two schools showed
very little difference in the incidence of rheumatism.
Marlborough. Ashburnham.
Children present on day of enquiry 319 313
Cases diagnosed as rheumatism by treating doctor 13 15
Children with " growing pains " 61 71
Number of definite cases available for examination 11 13
Various degrees of myocardial debility 7 3
Early signs of valvular disease 2 —
Slight and compensated valvular disease — 2
Past history of enlarged tonsils 4 10
Past history of rickets in infancy 4 5
Number with '' growing pains " available for examination 54 61
Myocardial debility 3 8
Anaemia 14 10
Past history of enlarged tonsils 12 28
Past history of rickets 6 —
" It should be noted that the rheumatic cases recorded here refer to those
children who have escaped a severe heart lesion and have been able to return to the