Document daRqXm3NvvwdzRp2a5qk5w629

FILE NAME: Maryland Casualty Company (MCC) DATE: 1956 May DOC#: MCC013 DOCUMENT DESCRIPTION: The Insurance Index [Article - Carcinomas of the Lung] Q u o te : C o u l d /inIII p i/ g r 1. i since m an ag e m en ts a v e ia g c s u n PubllstuM u su a lly high, b u t )1 m a y be well to remind ourselves from time to time that the interests of all insurance companies demand the preservation j JAMES K DUNNE i Assotinto Pub)i.slier V ER N O N D. B LA N K j General M.uuiger A R L IK \V. B A K E R of th e s e high s t a n d a r d s . " Hay 1). Murphy, chairman of the board. Equitable Life Assurance Society. No g r e a t e r s e c u r ity . . . "T h e re is an altei native a p p io ae h to overeom ing the complexities of m odern life, and th a t is to lnciease flic p re d ic ta bility or the predeterm ination of the individual. There are tew jobs in modern society w here so much `p o w e r to d e c id e ' re s ts w ith th e i n dividual, as in the ease of the life underwriter. This individual can set his own goals, Ins own pace, actually decide his own income and retire ment plans . . . or. indeed, w hether to retire at all. Such high predicta bility o v er his ow n destin y is w h a t gives th e life u n d e r w r i t e r `s e c u r ity w ith f r e e d o m " ' S. O. Hale. M u t u a l of New York. Age of change . . . "Nothing will kill y our business like belter methods in the h an d s of a com petitor. T oday it is both s m a ll and fashionable to change. Even the traditional family stability is being a fleeted as one out of every five people move a n nually from one place to another. Major changes have taken place d u r ing the past few years in the tech n iq u es used to .sell a n d se rv ic e life insurance. The early do-it-yourself agent is now becom ing a skilled specialist with elaborate scientifi cally p re p a r e d .sales aids More and mere we are em phasizing living insurance. We have slopped guessing and started testing This is a day of r e s e a rc h ." L. 1, Hnecher, e . re c u h r e nice president. Home Siatc Life j I Editor HERB LITTLEFIELD Kclilni In M tirm e c M e d i c i n e FR ED ERIC R. STEARNS, Associate Editors T H O M A S L. ROBBINS MANUEL STEVENS Business M anager ROBERT L SCHELL Cn cul;d ion Ma linger BILLIE JORDAN 'i'e c b u i c a t A d v i s o r s THOMAS GRAHAM Invest ments HENRY J STTTRS Legal M.D. TIIK INSURANCE INDEX iVOSldoilt CHARLES D DUNNE Exrcuhvo Vier President ARME W. BAKER Vice Pi evident a n d Socrolnry J A M E S E. D U N N E XI Vico President a n d Asst. Secy. IDA L. D O N N E Vice Picsidenl FRED T FERGUSON Vice President VERNON D. BLANK Vice Piesident F W. B E C K Vice President HARRY L. BARTON T j riisui ei THOMAS CRABAM Assistant Secietu> -Trensurer TH O M A S II* H A Y D EN , JR. Assistant Reeiot;u*v LILLIAN FERGUSON j 2 M A Y , 11)5(5 INDEX Tl' fiiHiiriiirtro ,,Ivd.rij JNJUMNCf *<fDlCN[ MAY, 195 Vol. XVIII, No. 5 25c per copy Established 1870 Quote: I A', l l i t 'n s u i t i il ()i Maity Tliings 4 liisw diicr iiru s /ii/i/i"/ii,s The "N ew " Old Line 24 H o m e a) et; h o u s e u i i i i i i i u e Add National Sccurity 30 /nibiiniipii/is .scoit'.s (lottili Late in actuality all ovei Ilio c o n a tiy . a few su b sla n hi s ig n s of spi i nR s h o w Fund Celebrates Great Fire 3(i A look Ixiek lo WWi up at least on the Index s May cover The season, in almost evtoy leBion hliRhted I low To Save An Hour 38 by u n tim ely h o s ts and u n b e lie v ab le sn o w s, is here Sli/i/i/ in eimsrit;ttli on p ro p e l l.y ire nici! by t h e c a r n ei a of M ik e R o b eiis , I t e l k eley. California. Absolulely everythin! bine, stales Roti Ilow About A TV Insurance Qui/,? 42 /Ven r a s i m i o f $l> I t / i m l i o n ci ts. includili! Hie w in s o m e young lady also in full bloom, is C alifornia-Blow n. Products S Insurance M edicine A c ri/ this in i/iiiii iifiee? E d i t o r i a l 8G M ed ical D ig est 88 C u r r e n t L i t e r a t u r e 92 Accent on id lin g T2 {hioli's /mm soles stieeesses T1IE INSURANCE IN D E X Including Insurance Medicine Is published m o n th ly by THE INSURANCE PUBLISHING CO. Ediloiial, Advertising and B usiness departm ents, 915 E K e n t u c k y St., L o u i s v i l l e 4, K y . P. O. B o x 1738. E n t e r e d as s e c o n d cla ss m a t t e r S e p t e m b e r 27, 1939. a t P o s t O ff i c e a t L o u i s v ille , K y ,, u n d e r th e A ct o f M a r c h 3, 1879. A n n u a l s u b s c r i p tion rates: one year, $2.00 Subscriptions payable in advance: in th e United States and Possessions. Cuba, Mexico, Central America (except British Honduras) and South America te x c e p t tire G u i a n a s i $2 00: In C a n a d a $2 50; e ls e w h e r e S3 Of). N o ti c e ol c h a n g e of a d d re s s m ust be received one m o n th before change is to take place; both old an d n e w addresses should tre given rill', i n s u h a n c e i n d e x 3 egg tw in s. !(i%.. . A s t h m a . G e n e tic situation is contused. . . iiis k for child (o n e p a r e n t a s t h m a t i c ) 13 p e r cent ot developing asthma, 7 per cent of developing hay fever . . M ental deficiency. Incidence 1 in 200 to 1 in 100 . . . e m p i r i c a l r a t e s for siblings of m e n ta l d e fe c tiv e s a re ap p ro x im ately , up to 90 per c en t w h e n b o th p a re n ts a r e d e fec tiv e , 40 per cent w hen one p a r e n t is defec- live . . . Patent ductus arteriosus R isk (or s ib lin g s a b o u t 3 p e r cent of having some congenital h e a rt defect . . . P so riasis. E m p iric a l r is k fm siblings of affected-parents normal. 2 to 7 per cent; one parent affected, 9 to 20 per cent. Risk for ch ild ien o f a ff e c te d p a r e n t s 15 p e r cent " T h ese e x am p les m ay suffice to display the extent and the signifi cance of the contents of this book. Meclical Digest Prognosis of the Suicidal Patient " To determine the factors influenc ing the prognosis of the seriously suicidal patient, an analysis of the case h i s t o n e s of 50 su ch p a t i e n t s treated at the New York Hospital-- Westchester Division was u n d e r taken. In all cases, there w as no doubt of the intensity of the suicidal drive. Of the 50 p a tien ts included, 35% w ere in the m an ic -d e p re ssiv e category; 25% w ere psychoneurotic; 22% w ere schizophrenic; 10% had involutional phyehoses, and the re mainder had either a psychosis with psychopathic personality or psycho pathic personality without psychosis. A p p r o x im a te l y G0%, w e r e c o n s i d e r e d psychotic on admission. A characteristic reactivation of suicidal tendencies was found in 90% of all patients. This occurred w hen the patient was markedly improved and came into contact once more with the environm ent in which the illness began. The suicidal drive had, therefore, not completely subsided, even when the patient was relatively free from tension and was considered convalescent. Suicidal gestures, in cluding successful attem pts, took place in the m ajority ol reactiva- +L. INI. Moss Fionuosis of the* SuickIaI Pal lent New Yoik Academy of Med. Sect of Newiol and Psvchi.il .nul Now Y>i k Ncuiol. Society Joint Meeting which was held on May 10, 1055 (ions. M a n a g e m e n t of th is p h a s e is the most crucial aspect of therapy and the chief prognostic factor for the present illness. Recovery re quired a m ajor change in the life situation. Only three recovered eases returned to the same environment in which the illness arose w ithout fu n d am en tal changes in m a rita l r e lationships, employment, or psycho- sexual orientation. The follow-up period averaged six and one-half years for recovered cases and 4 years for all eases. A t the time of th e last f o l lo w - u p 50%. w e r e r e c o v e r e d a n d 20%. m u c h im p ro v e d . 11 p a t i e n t s died by suicide. Of these, 7 w ere re moved from the hospital against ad vice. These deaths occurred w ithin 2 to 4 months after rem oval from the hospital. Four patients remained per m a n e n t ly hospitalized, Of th e 37 patients considered recovered or much improved, 3 had a recurrence of th e su icid al te n d e n c i e s a n d (i h a d subsequent psychiatric disorders. C arcinom a of the Lung'1 Cancer of the lung may be due to occupational inhalation noxa: rad iu m em anation in association with arsenic containing rock dust, generator gases, asbestos dust (m ag- N ^ s / " 1K KiimHj; T h e C'.ius.il ion ol ( '.itn n o n i.i f ol t h e L u n ^ 1- Q u e s t i o n s ,n u i A n s w c t s D e u V t s c h e meet W c h n s c U v , KV\ 7 t8 . M .iy 0. tlf! MAY. 195(1 ni'sium silicate), chrom ate dust, nickel dust. In Berlin, these causes of lung c a n c e r p lay no role. T he author a n aly z ed th e m ate ria l of 30 hospital d e p a rtm e n ts in West B erlin: 415 m e n a n d 33 w o m e n w ith b r o n chial cancer and a control group of 381 m e n a n d 131 w o m e n (s tu d y b y questionnaire). Only established cases of lung cancer w ere included. There was only a slight predomi nance of th e right lung, w ith 208 m en and 17 w o m e n , as c o m p a r e d to H)5 men a n d 10 w o m e n w i t h i n v o l v e ment of the left lung. The question naire regards tobacco consumption extended over a 20-year period. Nonsm okers c om prised 1.2% of the m ale cancer group and 5.8% of the m ale control group. A consumption of 1 to 4 cigarettes w e re rep o rted by 3.1% of the cancer group and 7.3% in the control group. 5 to 0 cigarettes in 15.7 a n d 26.0 %, re s p e c ti v e ly ; 10 to 1!) c i g a r e t t e s in 45.8% an d 43.0%, re s p e c tiv e ly ; 20 or m o r e c ig a re tte s in 34.2 a n d 17.9% respectively. T he differences are statistically signifi c a n t a t th e le v e l of 3.5 tim e s a n d 5 limes the mean error for the group of nonsm okers and heavy smokers, respectively. In the female cancelgroup, th e p e r c e n t a g e s w e re : 51.5, 3.0, 30.4, 0.1 a n d 3 0 for th e 5 g r o u p s of sm oking intensity, respectively, a n d in th e c o n tr o l g r o u p 70.3, 16.0, 9.9, 3.8 a n d 0.0, re s p e c tiv e ly . W h e n the risk of a nonsmoker to develop bronchial c an cer is used as a unit, the risk in males am ounts to 2 1 for slig ht, 2.9 fo r m o d e r a te , 5.2 for h e a v y a n d 9.4 f o r e x cess iv e sm o k e rs w ith an average of 5 1 for all smokers, and to 2 2 for sm oking women. The absolute low num ber of nonsm okers am o n g th e m ale p o p u la tio n is c o n spicuous; it am ounts to 4 to 8% of tiie total population. Gases of lung cancer among nonsmokers, particu larly women, do not conti adict the etiologic significance of tobacco in general, and the presence of other carcinogenic substances must be ad mitted. Carcinoma ami Thrombophlebitis' Many physicians who had oc casion to observe patients with carcinom a of an internal organ, no ticed the development of th ro m bophlebitis in one or m ore su p e r ficial veins. W. E. K enney (S u rg ery , 14:600, 1943) p u blished a d e ta ile d study of vascular lesions which were o b s e r v e d in 51 c a s e s of c a r c i n o m a of the pancreas. R. Elman and M. W. W h e a t (G astroenterology, 26:149, 1954) found th a t the presen ce of tire o rd in a ry type of m u ltip le th r o m bi p erm itted an early preoperative d i a g n o s i s in 22% of 157 c o ll e c te d cases of carcinoma of the pancreas. There are two types of carcinogenetic throm bophlebitis: one is in distinguishable from classical th ro m bophlebitis; the other presents the characteristic lesions of throm bo phlebitis migrans (they appear gradually, subside within two or more weeks, and within a similar period m ay recu r in the sam e or in neighboring veins. Fever and leucocytosis play a p a rt in each flare-up. Superficial veins are predominantly involved, deeper veins occasionally are implicated). The occurrence of either type, particularly in males b e y o n d th e age of 35 years, su g g e s ts the diagnosis of visceral carcinoma until proved otherwise. Prom pt recognition of c ith e r of these types m ay perm it detection of carcinoma months earlier than might be dis covered by other diagnostic methods, tlius affording more prompt use of protective anticoagulant therapy, and perhaps more successful sur gical procedures. Unsuccessful treat ment of thrombophlebitis by ordin- 'It. II. l l m l n i m . T h m i n l m p i i i H i i h s Mijji.ms a n d V i s e d ill C u t c m o m . i A u d i l o t VW-cJ H80, Suptcmbui Ifl'ri TJIK INSUKANCK INUKX fji)