PubMed · 4650945
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D Scholz. 1972. [Retarded school beginners].. https://pubmed.ncbi.nlm.nih.gov/4650945/
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In 1889, a chance observation made by Maximilian Mehl, an officer of the Berlin police force, lead him to develop a new method of treating Lupus Vulgaris with concentrated sunlight. Although first therapies proved the efficacy of this method, scientific medicine showed little interest. But Mehl found recognition among supporters of natural healing methods who saw their principles confirmed by his discovery. Mehl's tentative therapy was superseded by technological methods of sunlight treatment, as developed by the Danish doctor Niels Ryberg Finsen. In 1903 Finsen was awarded the Nobel Prize for his work while Mehl's discovery remained practically unknown. This episode in the history of medicine demonstrates how the recognition of a new method not only depends on criteria of its efficacy, but equally so on the degree of its conformity with preconceived notions and accepted standards.
Eighteen pre-extracted samples derived from a subaquatic riverine sediment core taken from the Teltow Canal, Berlin (Germany), were treated by off-line TMAH-thermochemolysis and subsequently analyzed by GC-MS to investigate release and thermodegradation of non-extractable anthropogenic organic compounds (bound residues). Furthermore, six selected samples from the lower core section were additionally treated by off-line pyrolysis. Due to former investigations of the extractable fraction of Teltow Canal sediments, high amounts of compounds structurally related to the pesticide DDT (1,1,1-trichloro-2,2-bis(4-chlorophenyl)ethane) were anticipated within the nonextractable fraction. It has been shown that DDT-related bound residues can be gathered by pyrolysis and TMAH-thermochemolysis. Among other compounds, the experiments revealed two DDT-related degradation products (DDPU (3,3-bis(4-chlorphenyl)-1-propene) and DDPS (1,1-bis(4-chlorophenyl)propane)) which were detected for the first time in the environment. The latter compounds may represent formerly unknown metabolites or hints for the existence of carbon-carbon incorporated DDT-metabolites. Both methods tend to produce artifacts which complicate the interpretation of the results. With more knowledge on mechanisms occurring during application of pyrolysis and thermochemolysis, both methods can serve as valuable tools for analyzing bound residues in sediments.
OBJECTIVE: To compare the risk of perinatal death after previous caesarean versus previous vaginal delivery, and pre-labour repeat caesarean versus trial of labour after previous caesarean. STUDY DESIGN: Using the data of the Berlin Perinatal Registry from 1993 to 1999, 7556 second parous women with a previous caesarean delivery were compared with 55142 second parous women with a previous vaginal delivery, and those 1435 women with pre-labour repeat caesarean were compared with 6121 women with a trial of labour after previous caesarean delivery. The rates of perinatal death, stillbirth and intrapartum/neonatal death were analysed using multivariable logistic regression to adjust for confounding variables and obstetric history. RESULTS: A previous caesarean delivery was associated with a 40% excess risk of perinatal death and a 52% excess risk of stillbirth (p<0.05); the risk of intrapartum/neonatal death was not significantly increased. There were no significantly higher rates of intrapartum/neonatal death and of stillbirth in women trying a vaginal birth versus pre-labour repeat caesarean. But in most cases of antepartum death, labour was induced for that reason. CONCLUSION: Consulting women about caesarean delivery for maternal request, the increased risk of perinatal death in further pregnancies should be discussed. After a previous caesarean delivery, a careful screening for several risk factors is necessary before recommending a trial of labour.