Hygiene bei verzögerter Wundheilung

Ultraschall-assistierte Wundbehandlung - Trotz der Therapie der Ursache einer Wunde und phasengerechter Wundbehandlung heilen Wunden nicht immer ad?quat. Dann besteht die M?glichkeit, alternative Therapietechniken, wie die Ultraschall-assistierte Wundbehandlung, anzuwenden. Worauf muss dabei geachtet werden?     

Tracheotomie bei Kindern

Indikationen, Durchführung, Komplikationen - Dank des medizinischen Fortschritts überleben immer mehr p?diatrische Patienten die intensivmedizinische Behandlung. Ein Teil von ihnen bleibt jedoch danach chronisch krank und bedarf medizinischer Ma?nahmen. So kann anhaltende respiratorische Insuffizienz die Anlage eines Tracheostomas erforderlich machen. Etwa 3% aller intensivpflichtigen Kinder erhalten eine Tracheotomie.     

The development of delinquency during adolescence: a comparison of missing data techniques

Conclusions on the development of delinquent behaviour during the life-course can only be made with longitudinal data, which is regularly gained by repeated interviews of the same respondents. Missing data are a problem for the analysis of delinquent behaviour during the life-course shown with data from an adolescents’ four-wave panel. In this article two alternative techniques to cope with missing data are used: full information maximum likelihood estimation and multiple imputation. Both methods allow one to consider all available data (including adolescents with missing information on some variables) in order to estimate the development of delinquency. We demonstrate that self-reported delinquency is systematically underestimated with listwise deletion (LD) of missing data. Further, LD results in false conclusions on gender and school specific differences of the age–crime relationship. In the final discussion some hints are given for further methods to deal with bias in panel data affected by the missing process.     

The dynamics of transitions in socio-technical systems: A multi-level analysis of the transition pathway from horse-drawn carriages to automobiles (1860–1930)

This article investigates transitions at the level of societal functions (e.g. transport, communication, housing). Societal functions are fulfilled by socio-technical systems, which consist of a cluster of aligned elements, e.g. artefacts, knowledge, user practices and markets, regulation, cultural meaning, infrastructure, maintenance networks and supply networks. To understand how transitions from one socio-technical system to another come about, the article describes a conceptual multi-level perspective. The perspective is illustrated with a historical case study: the transition from horse-drawn carriages to automobiles in the USA (1860–1930). The case study shows that technological substitution approaches to this transition are too simple, because they neglect the electric tram and bicycle, which acted as important stepping stones. The case study also corrects another mistake, namely that the gasoline car won by chance from steam and electric automobiles. It will be shown that particular niches played a crucial role in this competition, as well as the wider socio-technical context. The case study deviates on three points from the multi-level perspective. These deviations are used to conceptualize a particular transition pathway, called ‘de-alignment and re-alignment’.