Document LKkegEqmg6ZNmMDbbQ8E6YqE5

FILE NAME: Maryland Casualty Company (MCC) DATE: 1955 Nov DOC#: MCC012 DOCUMENT DESCRIPTION: The Insurance Index [Reference in Insurance Literature to Lung Cancer among Non-Smokers] tarn rnsma&smmsm bin (myoglobin) in ihe urin. Myoglo binuria is know n to occur under the following conditions: muscle injury, violent exercise and Haff disease. These pathologic conditions are sim ilar to the spontaneous or idiopathic form but are secondary to some known exogenous factor. In all types there is a release of m yoglo bin from th e m uscle, -which produces myoglobinemia, a resultant myoglo binuria, and in som e cases perm anent kidney lesions." (O f the spontaneous form only 15 cases h av e been as yet reported in the literatu re, ed.) me aurering age grouping, and the diagnostic facilities. F, U ckint. Lung Cancer among Nonsm okers. M uenchen. m ed W chnschr., 47:130. 1954. The great increase of the disease in males m ay be due to enviro n m ental factors. A proof for the to bacco etiology is th e fact, th at in Germany smoking among women has become fre q u e n t only for 10 to 15 years so th a t in fem ales the in cidence of lung cancer has hardly increased as yet. Aside of tobacco there are oth er noxious agents, e.g. asbestos dust, chrom ates, arsenic, and radioactive substances which may be responsible in the causation of cancer of the lung. Lung cancer occurs among nonsm okers yet, the num ber is very sm all as compared with the enormous increase of bron chial carcinom a among men in recent y ears which prim arily is due to cigarette smoking. Filters afford no protection as the noxious substances pass the filter. R. D oll and A. B. H ill. T he M ortality of P h ysician s in relation to their Smokmft H19a5b4.its. D t. M ed. W chnesch r. 48: 1808. In October 1951 about 40,000 phy sicians, listed in the B ritish Medical Register, answered a short ques tionnaire about their sm oking habits, pgistrar of the U nited Kingjtablished the cause of death of-these physicians who died ;he following 29 m onths. The 1 investigation is lim ited to aysicians who, w hen answerquestionnaire, w ere at least of age. Of the 789 deaths, e cause was cancer of the le death rate due to this as zero among nonsmokers, % in smokers. In smokers aily consum ption of 1 Gm. 'one cigarette equals 1 Gm. the death rate was 0.48%, . _ :onsumption of 15-25 Gm., 0.67%, and w ith a consum ption of m ore than 25 Gm., 1,1%. In a sim ilar m anner it was possible to establish a relationship of tobacco consump tion and death due to coronary sclerosis. O ther causes of death did not show a relation w ith smoking consumption of physicians. G. E. Ward and It. G. C ham bers. M anage m e n t oC Intraoral C a n cer. A m erican S u rgeon . 20: 1297. D e ce m b er 1954. Intraoral cancer may be grouped according to location in: tongue and floor of mouth; buccal mucosa and lower gingiva; palate and upper gingiva. The lesions in each group have sim ilar development, treatment and prognosis. Statistically, the death ra te from in traoral cancer is about 1.4 per 100,000 population .25% of 92 NOVEMBER, 1955 cancers of the tongue and the floor of the m outh coming in w ithout palpable nodes will sooner or later develop neck metastases. Since in ception of hemiglossectomy with radical neck dissection, there was an operative m o rtality of 11 patients among 53 operated on. 11 of the su r viving patients had recurrences; 9 of these have died. Carcinomas of the cheeks com prise about 9.5% of all intraoral tum ors. It is usually re ported th a t 50 to 60% of buccal mucosa tum ors do not m etastasize if the p rim ary lesion is adequately treated. In the few complete series of cases th a t have been reported, the 5-year su rv iv al rate ranged from 9% to 40%. R. R e lfc r. W e a th e r and M o rta lity R ate. D t. m e d . W c h n sch r., 29:1113. 1954- The a u th o r evalu ated 52,238 deaths in 1950 according to sexes and urban and ru ra l population in relation to w eather disturbances. He concluded th at there is a significant connection betw een w eather distur bances and frequency of deaths. The increase of th e death ra te in days w ith w eath er disturbances was 11% to 13%. E specially in days w ith cold fronts and after chromospheric erup tion of the sun, an increase in death frequency was observed which was correlated with infrared-wave dis turbances. The death rates showed a m axim um in March and a m ini m um in September. M. B. Ferlm an. N ew er Concepts of Experi m ental O besity. A rch. Ini. Med., 6:794, J u n e 1955. "A distinction should be made be tween obesity, a severe, often ir reversible disease, and simple over weight, reversible and based on a high ratio of caloric intake to activity or the rate of growth. The extrinsic cases of obesity include excessive caloric intake, and perhaps nutri tional deficiencies as well; relative inactivity; toxic effects, and possibly stress situations. The extrinsic factors may bring certain of the intrinsic causes of obesity into operation. The intrinsic causes include the consti tutional, the diencephalohypothalamic, th e endocrine metabolic, and the enzymatic. All of these may be interrelated and interactive. Results indicate, that endocrine glands, the adipose tissue, and enzyme systems play at least a part-role." Book Review Practical M anagem ent of D isorders of the L iver, Pancreas, and B iliary Tract. By John HusaeU T w iss. M .D. and EUtot O p p en h e im . M . D ., L ea Sc F eb la er, P h il adelph ia, 1955, 653 pagea. C loth, $15. The authors have done a splendid work in classifying and describing a group of related disorders. Diag nosis, prognosis and treatm ent are well delineated. The integration of the various subjects has been ju trations as well as the literature references, are selected with dis crimination. A few quotations: "In reported series of operations for cholecystitis, 2.5 to 11 per cent have been acute cholecystitis. The average ages reported were from fifty-two to sixty-one years. Women have out num bered men in most reported series from 2 to 1 to 4 to 1." "C ar diciously stressed in spite of the fact that the various organs and their diseases had to be set forth separ ately. Statistical evaluations are manifold and will assist the 'insur ance physician to use this w ork w ith benefit in his daily w ork. The illus- cinoma of the gallbladder constitutes 2 to 6 per cent of all malignancies and is found in ' to 1 per cen t of all patients coming to autopsy. The disease predom inates in females by a ratio of 4 to 1. Carcinom a of th e gall bladder occurs most commonly over TH E IN SU RA N C E IN D E X 93