The Early Offender Project: A Community-Based Program for High Risk Youth

Oakland County, Michigan, directly north of Detroit, has a population of approximately one million. It is largely suburban with rural outskirts. Oakland County has a tradition of creative and varied youth services.     

Book reviews

E. Glyn Lewis, Multilingualistn in the Soviet Union: aspects of language policy and its implementation. The Hague and Paris: Mouton, 1971. xx+332pp. Dfl 62.

L. G. Churchward, The Soviet Intelligentsia. An essay on the social structure and roles of Soviet intellectuals during the 196os. London and Boston: Routledge & Kegan Paul, 1973. xiii + 204 pp. £3.25.

Galia Golan, Reform Rule in Czechoslovakia. The Dubcek Era 1968–1969. Cambridge: at the University Press, 1973. Vii + 327 pp. £5.80. $18.50.

Otto Ul?, The Judge in a Communist State. A View from Within. Athens, Ohio: Ohio UP, 1972. xiv + 307 pp. $8.75.

Robert M. Slusser, The Berlin Crisis of 1961: Soviet‐American relations and the struggle for power in the Kremlin, June‐November 1961. Baltimore and London: The Johns Hopkins UP, 1973. xvi + 509 pp. $17.50. £7.90.

Edward Taborsky, Communist Penetration of the Third World. New York: Robert Speller & Sons, 1973. iii + 500 pp. $12.50.

Philip R. Pryde, Conservation in the Soviet Union. London: Cambridge UP, 1972. xv + 301 pp. £5.00.

Marshall I. Goldman, The Spoils of Progress: Environmental Pollution in the Soviet Union. Cambridge, Mass, and London: The M.I.T. Press, 1972. xi + 372 pp. $7.95. £3.60.

Robert H. McNeal, Bride of the Revolution. Krupskaya and Lenin. London: Victor Gollancz, 1973. 326 pp. £3.60.

George Katkov et al. (eds.), Russia Enters the Twentieth Century 1894–1917. London: Methuen, 1973. 352 pp. £1.50 (paperback).

Paul Craig Roberts and M. Stephenson, Marx's Theory of Exchange, Alienation and Crisis. Stanford, Calif.: Hoover Institution Press, 1973. 127 pp. $5.50.

W. H. Parker, The Russians: How They Live and Work. Newton Abbot: David & Charles, 1973. 179 pp. £2.50.

Wright Miller, Who are the Russians? A History of the Russian People. London: Faber & Faber, 1973. 240 pp. £3.95.     

Iatrogenically-related, fatal methotrexate intoxication: a series of four cases

Since the early eighties, the folic antagonist methotrexate (MTX) has been used in long-term treatment of rheumatoid arthritis. Because of the high toxic potential clinical and laboratory controls at regular intervals and patient education in order to avoid misadventure is of overriding importance. We present four cases of fatal MTX intoxication due to medical malpractice from the Tübingen Institute of Forensic Medicine autopsy material, which show the severe consequences of MTX overdose. It becomes evident that among non-rheumatologists there still is need for information about toxicity and dose limitation in MTX low-dose treatment.