Document M46aLNKyEkyLKEg1LyrRqmdDL

FILE NAME: Maryland Casualty Company (MCC) DATE: 1956 Sept DOC#: MCC014 DOCUMENT DESCRIPTION: The Insurance Index [Book Review - Causal Factors In Cancer of the Lung] Quote: Coin'd Jront age 1 Age ol' tension . . . " We a re living in a period of tension. While our eco nomy as a whole, during the past two decades, has experienced p e r haps its greatest expansion in history, at the same time there has been constantly present either the fact or the fear of war; and today our whole world is divided by tw o basically opposed idealogies. In this situation the individual cannot help but feel the imminent threat of personal in security. The most natural human reaction to such a situ atio n is th a t which we have all observed--the d e mand, and the search, for every pos sible means of protection against all the hazards ol lilo. in m a n y p arts of the w orld this public dem and has resulted in varying forms of g o v e rn mental action intended, or ostensibly intended, to provide protection to the cilizenrv. The amount of success attending these social m ovem ents in other lands has varied according to the effectiveness of the different a d ministrative bodies, and the relative standards and customs of the peoples. In our country the traditional A m eri can free enterprise system has shown its effectiveness in resp o n d in g to the demands of our people for security plans of various kinds. The very fact that well over one hundred million A] nericans arc n o w p r o t e c te d , in some measure, against loss from ac cident and sickness gives good evidence of the vitality of our vol untary method. The figures on cover ages for all forms of health insur ance continue year by y ear to be more and more impressive. But. these favorable factors should not give a n y of us th e feeling th a t w e can afford to relax. The challenges that conl'rnnl us are formidable " Robert Neal, general manager. Health Insurance Association of America. Publisbei J A M E S 10. D U N N E Asset. i.tl v P u b i islict VERNON D BLANK ( enei ,ii M uti,m o ARLIK W BAKER -H MniKij'itQ' Kflilni Inorm LITTLEFIELD Ediloi Insuum ce M edicine FREDERIC R STEARNS. M D Associale Editm s THOMAS I, ROBBINS MANUEL STEVENS B us ness- M;ui.u;ei R LEON SCHELL ('11 eul.-il io n M . m . u i e r BILLIE JORDAN T e c h ni e; I! A (1 v i s o rs* THOMAS UHA1IAM Invrsl inenlx HENRY J STITKS THE INSURANCE INDEX P jexidrnf CHARLES D DUNNE Executive Vico P iesid cn t ARI JE W BAKER Vice P iesid rn t ;ind S ecretary JAMES K DUNNE II ' Vice Ptesidonl ,ind Asst Secy IDA L DUNNE Vice Piosklenl FRED T FERGUSON Vice Piesident VERNON D BLANK Vice P iesidrnl F. \V B E C K Vice Ptesidenl HARRY L BARTON T T c . i M i i ('I* THOMAS GRAHAM A s s 's l . m l S e n d a i v - T r e ; i s m e r THOMAS if HAYDEN, JR Assisi.mt S c o r i,ir\ LILLIAN FERGUSON 2 SEPTEMHER, 1 9 5 6 I N D E X Thv Itimtrnnro tn th 'l.n r, Itl'.V P A U C t MfD/CINf SEPTEMHEll, 195 Vol. X V I I I , No. 10 25c p e r copj' E s ta b l is h e d 1870 Quotes: I ('inn incuts of noted min nni'r figures Of Many Things -1 1nsnianee news highlights Man with a Million Dollar Debit 22 independent L ift's picsident, C. C. Snead September . . the summer's j'.one ami Amei trims evoryw h e ie will tu rn liom hold ing. swimmmR, baseball and w eek-end trips to the scashoic to another year of hard work. Likewise. however, S eptem ber also lepioscnts, as depicted hero by phologmpher Mike Robeits. Beikeley, California, the month of peace and seienily when thoughts turn into dreams of vacations just past and plans for n ex t year's sum mertime activities. Insurance Medicine E d it o ria l 8f> M ed ic a l D ig e s t 88 C u r r e n t L i t e r a t u r e 91 Ladies First! 42 20 million unm an winking in U. S. Life Seel ion 45 iVfir.v in the field of U fa Fire and Casualty Section 54 /'entwine ronijiani/ aetiritie\ Accident and Health Section 01 Air 11 erents- in h n c f Accent on $clliii(' 72 sales I'HE IN SU R A N C E IN D E X In c l u d i n g I n s u r a n c e M edicine Is p u b lis h e d m o n t h l y by TH E IN SU R A N C E P U B L I S H I N G CO. E d i to r ia l, A d v e r t i s i n g a n d Business d e p a r t m e n t s , 915 E. K e n t u c k y St. L ouisv il le K v. P O. B ox 1738 E n t e r e d ns s ec o n d m a ss m a t t e r S e p t e m b e r 27. 1939,"at Post o r i i c e a t Lotiisvllle, K y ,, u n d e r tile A ct of M a t c h 3, 1879 A n n u a l s u b s c r i p tion r a t e s : one y e a r . S2.00 S u b s c r i p t i o n s p a y a b l e in a d v a n c e : in t h e U n i t e d S ta le s a n d Possessions, Cuba. Mexico, Central A m erica (except British Honduras I and South America i e x c e p t th e G u i a n a s i S2 00: in C a n a d a S2 50: e l s e w h e r e S3 00 Notice of c h a n g e o f a d d re s s must he received one month before c h an g e is to take place; both old a n d n ew addresses -.i,<iiiIff lie given I HE IN S U R A N C E IND EX 3 cortex. Us clinical lec o g n itio ii is d i f ficult. Since its first description (J. W. Conn. J. Lab. & Clin. M ed 4ij.fi, 1955) at least 50 casse h a v e been recognized clinically. To date the a u t h o r is a w a r e of 10 p a t i e n t s w h o have had the typical clinical findings and in whom an adrenal co rtex t u mor has been demonstrated. The major clinical manifestations consist of periodic severe m uscular w e a k ness, interm ittent tetany, and p ares thesia, polyuria, polydipsia, and h y pertension. T h ere is no e d e m a ; n o r is there any evidence of Cushing's syn d r o m e In (he blood is fo u n d hvp k a le m ia , h y p e r n a t r e m i a a n d nlks lo.sis IUoasxays for u r i n a r y alike terone give extrem ely high valti' P atients exhibiting the clinical arr1 b io c h e m ic a l a b n o r m a l i t i e s of pr: m a r y a l d o s te r o n i s m s h o u l d bo sub jocted to ad ren al su rg ery . It is likely t h a t th e g r e a t m a j o r i t y of such pa ti e n t s h a r b o r an a d r e n a l corti-v t u m o r p ro d u c in g e x c e s s iv e amoun*of aldosterone (aldosteronoma: T h e r e is re a s o n to b e li e v e th at in some patients a tu m o r will not L found at operation. B ook Reviews Climates in Miniature, by T Bedford F r a n k lin. Philoso phic al L i b ia r y , N e w Y o rk . 1955. 157 pages. Cloth. $5 75. This sm all volum e is in te re s tin g as it confines the study of e n v iro n mental climates to the im m ediate surroundings on which man, plants and animals depend. Considering the importance of the climatic conditions on th e in tern al hom eostasis, this is a book worthwhile reading for the physician Causal Factors lit Cancer of the Lung. By C a r l V. Wellct C har le s C. T h o m a s , P u b li she r, Spi inufield, H I , 1950, 115 p a ^es . This small volume presents a wealth of statistical and historical information for the insurance p h y sician. The first part deals in g en eral with the incidence and etiologic factors in bronchogenic cancers. Tire second part describes historically and statistically the lung cancer as found in Schneebcrg and Joachim sthal in the Erzgebirge and broaches the causative roles of silicosis, co balt, nickel, bismuth, arsenic and ionizing radiations. The third part, again historically and statistically, points out various etiological groups such as infective pneumonitis, fo u n dry workers and metal grinders, chromate workers and asbest w ork ers. I t f u r t h e r m o r e d e a ls w ith g,iw orkers, benzpyrene, and atmos p h e r i c p o llu tio n . T h e t h i r d p a r t prosenfs th e r e l a ti o n s h ip o f to bacco am! bronchogenic cancer; here, ihe sta tistical evaluation is particularly c ritic a l a n d ju dicious. As his con elusion, the author quotes a sentence from tire L o u v a in S y m p o s iu m on tin K ndem iology of C an cer of the lung (J. H. Maisin and J. Clemmesen, eds.) w h e re in analogy w ith Perciv a ll P o t t 's e x p o s i ti o n of c h im n e y s w e e p 's c a n c e r it w a s stre s s e s : " May w e s h o w th e s a m e p r a c t i c a l sen s e >v o u r f o r e f a t h e r s , a n d n o t lo o k for direct proofs w hich arc out of reach b e f o r e w e t r a n s m i t e x p e r i e n c e into practical measures." C ancer Cells, by E. V. Cowrliy. W. B. Saimdeis Company. Philadelphia and London 1355. G77 pa ges. Cloth. This excellent book contains much more th an the title points to. While the first part of this presentation deals w ith cancer cells and tissues in a s o b e r a n d c ritic a l e v a l u a t i o n of the research results, the second part sets forth our knowledge of cancer etiology (physical, chemical agents liuum a, viruses), the third section deals w ith hereditary factors and 94 s e p t u m h e r , 195fi 'iNcoptibilily, a fourth part broaches niitulional influence, a fifth the geographical frequency, a sixth, canmt prevention, a seventh expounds diagnosis and treatm ent of cancer, and a last chapter deals with cancer !e se a ie h . A w e a l t h of in f o rm a tio n is presented in a clear and stim ulating fashion. T h e bib lio g rap h y is p a rtic u larly com prehensive. Joint Ligament Relaxation Treated by KibroOsscotts ProlileraUoii, by George S tuart Hackett. C h arles C. Thom as. Published. Sp u n g fieU L lit 1956. 93 pages. C loth. $4.75. Ligament relaxation resulting fiom sprains and tearing of the fibers is a fre q u e n t disability of many joints. T h e diagnosis is m ade by a p p li c a ti o n of p r e s s u r e w ith th e thumb a t the trig g er point of pain. T reatm ent by injection of a prohferant (S.ylnasol) within the liga ment, elim in ated the disability in Hl'r! of p a t i e n t s o v e r a p e r i o d of Hi years w ith no unfavorable reaction. Iin pm Hal Mc.lioni T e s t i m o n y . A R e p o r t I!y A Special Com m ittee of the Association of the Bar of the City of New York on The Medical Expei t Testimony Project. New York, T h e M a c m i l l a h C o m p a n y . I95G. 188 pa ges . C lo th . $9 95 It has had to be emphasized that insurance physicians in both life and health insurance will be interested in th e p r o j e c t as o u tlin e d in this book. As 80% of the cases in trial courts in the United States arc per sonal in ju ry cases, m ost of them involving insurance institutions, the presentation of m edical evidence is a crucial m atter affecting the two pro fessions not less than the implicated insurance institutions. The Medical Expert Testimony Project estab lished panels of neutral authorities in the v a rio u s m edical specialists to do the exam inations in cases of p er sonal injuries and to testify in cases in w hich m edical findings w ould be decisive in the trial. This method has been devised to counteract the fre quently observed 'battle of experts' which may mure confuse than en lighten judge and jury. This method m ay also accelerate the judicial pro cedures and thus diminish the court congestion. Ptistm al lb u k Pub, by Milton C. Cobcy. C h arle s C. T h o m a s . P ublishe r, S pringfield. Ill 1956 78 p a g e s . Cloth. $3. Back Pain has remained a major issue in insurance, particularly health insurance. The author pre sents a brief, lucid outline of back pain due to p ostural defects. Yet, the scope of the book is w ider than th at as it includes causative conditions which may be combined with pos tural abnormalities. The author dis cusses the scalenus anticus syndrome as a postural disease, he broaches a rth ritis of th e cervical spine and its relationship to congenital abnorm ali ties of the neck, he points to child hood epiphysitis as a cause of poor posture in childhood, ju st to nam e a few of the subjects treated in this book. The second part deals with treatm ent and prevention of postural back pain, p articularly in th e child. There arc many statistical evalua tions scattered through the book. A glossary is added. The bibliography is com prehensive. S tanding Hoorn Only. The Challenge of Overpopulation, by Kail Sax The Beacon Press, B osto n. M assachusetts, 1955. 206 pages, Cloth. S3. The problem of the rapidly in creasing world population has harassed m any sociologists and phy sicians. The M althus hypothesis has proved to be a fallacy because food supply could be increased far beyond M althus' expectation. The problem, how ever, still exists due to two facts: the ever increasing birth rate and the prolongation of life expectancy in all age groups. The a u th o r sees the solution in a consistently and prudently applied birth control, lie contends that totalitarian govern- TMK I N S U R A N C E I N D E X !)!)