@article{LorekSpangenberg2014, author = {Lorek, Sylvia and Spangenberg, Joachim}, title = {Sustainable Consumption within a sustainable economy - beyond green growth and green economies}, series = {Journal of Cleaner Production}, volume = {63}, journal = {Journal of Cleaner Production}, doi = {10.25974/fhms-6154}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-61544}, pages = {33 -- 44}, year = {2014}, language = {en} } @article{LorekFuchs2013, author = {Lorek, Sylvia and Fuchs, Doris}, title = {Strong Sustainable Consumption Governance - Precondition For A Degrowth Path?}, series = {Journal of Cleaner Production}, volume = {38}, journal = {Journal of Cleaner Production}, doi = {10.25974/fhms-6155}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-61558}, pages = {36 -- 43}, year = {2013}, language = {en} } @article{TrottaSpangenbergLorek2018, author = {Trotta, Gianluca and Spangenberg, Joachim and Lorek, Sylvia}, title = {Energy efficiency in the residential sector: identification of promising policy instruments and private initiatives among selected European countries}, series = {Energy Efficiency}, volume = {December 2018, vol. 11}, journal = {Energy Efficiency}, number = {8}, doi = {10.1007/s12053-018-9739-0}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-104617}, pages = {2111 -- 2135}, year = {2018}, abstract = {Improving residential energy efficiency is widely recognized as one of the best strategies for reducing energy demand, combating climate change and increasing security of energy supply. However, progress has been slow to date due to a number of market and behavioural barriers that have not been adequately addressed by energy efficiency policies and programmes. This study is based on updated findings of the European Futures for Energy Efficiency Project that responds to the EU Horizon 2020 Work Programme 2014-15 theme 'Secure, clean and efficient energy'. This article draws on five case studies from selected European countries - Finland, Italy, Hungary, Spain, and the UK - and evaluates recent energy efficiency developments in terms of indicators, private initiatives, and policy measures in the residential sector. Our analysis shows that the UK government has implemented a better range of policies, coupled with initiatives from the private sector, aimed at improving energy efficiency. However, its existing conditions appear to be more problematic than the other countries. On the other hand, the lack of effective and targeted policies in Finland resulted in increased energy consumption, while in Hungary, Spain and Italy some interesting initiatives, especially in terms of financial and fiscal incentives, have been found.}, language = {en} } @article{LorekSpangenberg2019, author = {Lorek, Sylvia and Spangenberg, Joachim}, title = {Energy sufficiency through social innovation in housing}, series = {Energy Policy}, volume = {126, March 2019}, journal = {Energy Policy}, doi = {10.1016/j.enpol.2018.11.026}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-104638}, pages = {287 -- 294}, year = {2019}, abstract = {Experience shows that energy savings through energy efficiency measures are partly compensated by income growth, and partly by rebound effects. Therefore to be effective, efficiency measures have to be embedded in a concept of sufficiency which strives for limits and absolute reduction of energy consumption. While the sufficiency concept is not new, it only recently gained attention in the field of housing. This paper provides a basis for broader and more informed debates in policy and research on the potential of sufficiency considerations to contribute to the overall reduction of energy consumption in the residential sector. It recommends shifting the attention from energy consumption of buildings towards a concept of sustainable homes in which e.g. the size of the living area plays a crucial role. A further important aspect is the possibility to fulfil other basic needs like the provision with food, recreation and social contacts in the nearby environment. The paper describes first examples of housing projects guided by sufficiency criteria, depicts the potential roles of different actor groups and points towards some general policy recommendations.}, language = {en} } @article{SpangenbergLorek2019, author = {Spangenberg, Joachim and Lorek, Sylvia}, title = {Sufficiency and consumer behaviour: from theory to policy}, series = {Energy Policy}, volume = {129, June 2019}, journal = {Energy Policy}, doi = {10.1016/j.enpol.2019.03.013}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-104648}, pages = {1070 -- 1079}, year = {2019}, abstract = {It is increasingly obvious that for safeguarding environmental sustainability, eco-efficiency measures will need to be complemented by sufficiency, in particular by strong sustainable consumption. The Theory of Planned Behaviour TPB and Social Practice Theory SPT offer different views on consumer behaviour, and on ways to change it. This paper briefly describes the challenges, discusses the applicability of both theories and their meaningfulness for policy recommendations. We suggest an approach combining results of both bodies of theory, complemented by ideas from political economy, to substantiate the Prism of Sustainable Consumption we introduce as a heuristic sufficiency policy tool. It is useful to identify affordability criteria for change in each dimension, as the basis for deriving suggestions for effective policy interventions. We conclude that (i) effective interventions are possible, (ii) they have to address several dimensions of affordability simultaneously, and (iii) the sufficiency policy space prism can be a useful tool in structuring planned interventions.}, language = {en} } @article{ReischEberleLorek2013, author = {Reisch, Lucia and Eberle, Ulrike and Lorek, Sylvia}, title = {Sustainable food consumption: an overview of contemporary issues and policies}, series = {Sustainability: Science, Practice \& Policy}, journal = {Sustainability: Science, Practice \& Policy}, doi = {10.1080/15487733.2013.11908111}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106335}, pages = {7 -- 25}, year = {2013}, abstract = {Contemporary food production and consumption cannot be regarded as sustainable and raises problems with its wide scope involving diverse actors. Moreover, in the face of demographic change and a growing global population, sus-tainability problems arising from food systems will likely become more serious in the future. For example, agricultural production must deal with the impacts of climate change, increasingly challenging land-use conflicts, and rising health and social costs on both individual and societal levels. The unsustainability of current arrangements arises from the industrialization and globalization of agriculture and food processing, the shift of consumption patterns toward more dietary animal protein, the emergence of modern food styles that entail heavily processed products, the growing gap on a global scale between rich and poor, and the paradoxical lack of food security amid an abundance of food. These factors are attributable to national and international policies and regulations, as well as to prevalent business prac-tices and, in particular, consumers' values and habits. The most effective ways for affluent societies to reduce the environmental impact of their diets are to reduce consumption of meat and dairy products (especially beef), to favor organic fruits and vegetables, and to avoid goods that have been transported by air on both individual and institu-tional levels (e.g., public procurement, public catering). In examining the unsustainability of the current food system this article reviews the pertinent literature to derive a working definition of sustainable food consumption, outlines the major issues and impacts of current food-consumption practices, and discusses various policy interventions, including information-based instruments, market-based initiatives, direct regulations, and "nudges." It concludes with a call for integrative, cross-sectoral, and population-wide policies that address the full range of drivers of unsustainable food production and consumption.}, language = {en} } @article{FuchsLorek2005, author = {Fuchs, Doris and Lorek, Sylvia}, title = {Sustainable Consumption Governance - A History of Promises and Failures}, series = {Journal of Consumer Policy}, journal = {Journal of Consumer Policy}, doi = {10.1007/s10603-005-8490-z}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106377}, pages = {261 -- 288}, year = {2005}, abstract = {What are the implications of the current international political, and economic settings for consumer policy, and, in particular, those regarding sustainable consumption? In terms of improvements in the efficiency of consumption, the settings have induced efforts to this effect and show potential for further progress. In terms of necessary changes in consumption levels and patterns, however, little progress has been made since the Rio Summit nor is there likely to be any in the near future. These two dimensions of sustainable consumption need to be differentiated, as there is a substantial amount of controversy regarding our ability to achieve sustainable consumption on the basis of improvements in efficiency alone. The paper traces these differences with respect to the work of the major international governmental organizations (IGOs) engaged in developing sustainable consumption governance. It argues that the lack of commitment to strong sustainable consumption among IGOs can be explained by their ''weakness'' as actors in global governance and the existence of strong opposing interests among consumers and business actors.}, language = {en} } @article{TukkerCohendeZoysaetal.2008, author = {Tukker, Arnold and Cohen, Maurie and de Zoysa, Uchita and Hertwich, Edgar and Hofstetter, Patrick and Inaba, Atsushi and Lorek, Sylvia and Sto, Eivind}, title = {The Oslo Declaration on Sustainable Consumption}, series = {Journal of Industrial Policy}, volume = {10}, journal = {Journal of Industrial Policy}, number = {1-2}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106389}, pages = {9 -- 14}, year = {2008}, abstract = {Actual initiatives to cultivate more sustainable modes of consumption have not materialized and there are indications that an implementation gap is becoming manifest. Research must begin to systemically integrate initiatives to promote improvements in quality of life, to distinguish long-term structural consumption trends, and to identify the social mechanisms and cultural aspects of consumer behavior and household decision making.}, language = {en} } @article{ChurchLorek2007, author = {Church, Chris and Lorek, Sylvia}, title = {Linking policy and practice in sustainable production and consumption: an assessment of the role of NGOs}, series = {Int. J. Innovation and Sustainable Development}, volume = {2}, journal = {Int. J. Innovation and Sustainable Development}, number = {2}, issn = {240}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106402}, pages = {230 -- 240}, year = {2007}, abstract = {The paper looks at NGOs activities in Sustainable Production and Consumption and obstacles being faced. It identifies lessons for policymakers seeking to engage civil society and makes recommendations on how academics can co-operate more effectively with civil society. Insights are drawn from recent studies on stakeholder involvement in the international political process and a series of surveys and semi-structured interviews. The authors identify four challenges. Effort should (1) be planned more strategically, (2) link sustainable consumption to current priorities, (3) ensure better links between global and local and (4) NGOs have to better link to other interest groups.}, language = {en} } @article{Lorek2014, author = {Lorek, Sylvia}, title = {Veblen's contribution to the analysis of (un-) sustainable consumption - Overvalued and underestimated}, series = {European Journal of Economic and Social Systems}, volume = {26}, journal = {European Journal of Economic and Social Systems}, number = {1-2}, doi = {10.3166/EJESS.26.149-172}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106424}, pages = {149 -- 172}, year = {2014}, abstract = {Veblen's concept of conspicuous consumption is often cited to explain why consumption habits in our consumer societies tend to be unsustainable and ever increasing. However, much more than blaming individual consumption habits Veblen sharply analyzed quite some of the societal and economic forces which drive the framework conditions for un-sustainable consumption: the vested interests and the absentee ownership. The paper follows the path Veblen's thoughts have taken trough economic and social literature over the last centuryand highlights how the actual sustainable consumption debate could make better use of Veblen's insights e.g. in requesting the constitutive institutions for property. Opportunities for Strong Sustainable Consumption obviously presuppose radical changes, social innovations and thinking out of the box.}, language = {en} } @article{FuchsDiGiulioGlaabetal.2016, author = {Fuchs, Doris and Di Giulio, Antonietta and Glaab, Katharina and Lorek, Sylvia and Maniates, Michael and Princen, Thomas and Ropke, Inge}, title = {Power: the missing element in sustainable consumption and absolute reductions research and action}, series = {Journal of Cleaner Production}, volume = {132}, journal = {Journal of Cleaner Production}, doi = {10.1016/j.jclepro.2015.02.006}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106438}, pages = {298 -- 307}, year = {2016}, abstract = {In this essay, we aim to demonstrate the value of a power lens on consumption and absolute reductions. Specifically, we illuminate what we perceive to be a troublesome pattern of neglect of questions of power in research and action on sustainable consumption and absolute reductions. In pursuit of our objectives, we delineate how many of the informal and implicit "theories of social change" of scholars and activists in sustainable consumption and sustainable development fail to address power in a sufficiently explicit, comprehensive and differentiated manner and how that failure translates into insufficient understandings of the drivers of consumption and the potential for and barriers to absolute reductions. Second, we develop the contours of a power lens on sustainable consumption. Third, we illustrate the value of such a power lens, with a particular focus on the case of meat consumption.}, language = {en} } @article{AlfredssonBentssonSzejnwaldBrownetal.2018, author = {Alfredsson, Eva and Bentsson, Magnus and Szejnwald Brown, Halina and Eisenhour, Cindy and Lorek, Sylvia and Stevis, Dimitris and Vergragt, Philip}, title = {Why achieving the Paris Agreement requires reduced overall consumption and production}, series = {Sustainability: Science, Practice and Policy}, volume = {14}, journal = {Sustainability: Science, Practice and Policy}, number = {1}, issn = {1548-7733}, doi = {10.1080/15487733.2018.1458815}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106448}, pages = {1 -- 5}, year = {2018}, abstract = {Technological solutions to the challenge of dangerous climate change are urgent and necessary but to be effective they need to be accompanied by reductions in the total level of consumption and production of goods and services. This is for three reasons. First, private consumption and its associated production are among the key drivers of greenhouse-gas (GHG) emissions, especially among highly emitting industrialized economies. There is no evidence that decoupling of the economy from GHG emissions is possible at the scale and speed needed. Second, investments in more sustainable infrastructure, including renewable energy, needed in coming decades will require extensive amounts of energy, largely from fossil sources, which will use up a significant share of the two-degree carbon budget. Third, improving the standard of living of the world's poor will consume a major portion of the available carbon allowance. The scholarly community has a responsibility to put the issue of consumption and the associated production on the research and policy agenda.}, language = {en} } @article{BengtssonAlfredssonCohenetal.2018, author = {Bengtsson, Magnus and Alfredsson, Eva and Cohen, Maurie and Lorek, Sylvia and Schroeder, Patrick}, title = {Transforming systems of consumption and production for achieving the sustainable development goals: moving beyond efficiency}, series = {Sustainability Science}, volume = {13}, journal = {Sustainability Science}, number = {6}, doi = {10.1007/s11625-018-0582-1}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106615}, pages = {1533 -- 1547}, year = {2018}, abstract = {The United Nations formulated the sustainable development goals (SDGs) in 2015 as a comprehensive global policy framework for addressing the most pressing social and environmental challenges currently facing humanity. In this paper, we analyse SDG 12, which aims to ''ensure sustainable consumption and production patterns.'' Despite long-standing political recognition of this objective, and ample scientific evidence both on its importance and on the efficacy of various ways of promoting it, the SDGs do not provide clear goals or effective guidance on how to accomplish this urgently needed transformation. Drawing from the growing body of research on sustainable consumption and production (SCP), the paper identifies two dominant vantage points—one focused on promoting more efficient production methods and products (mainly through technological improvement and informed consumer choice) and the other stressing the need to consider also overall volumes of consumption, distributional issues, and related social and institutional changes. We label these two approaches efficiency and systemic. Research shows that while the efficiency approach contains essential elements of a transition to sustainability, it is by itself highly unlikely to bring about sustainable outcomes. Concomitantly, research also finds that volumes of consumption and production are closely associated with environmental impacts, indicating a need to curtail these volumes in ways that safeguard social sustainability, which is unlikely to be possible without a restructuring of existing socioeconomic arrangements. Analysing how these two perspectives are reflected in the SDGs framework, we find that in its current conception, it mainly relies on the efficiency approach. On the basis of this assessment, we conclude that the SDGs represent a partial and inadequate conceptualisation of SCP which will hamper implementation. Based on this determination, this paper provides some suggestions on how governments and other actors involved in SDGs operationalisation could more effectively pursue SCP from a systemic standpoint and use the transformation of systems of consumption and production as a lever for achieving multiple sustainability objectives.}, language = {en} } @article{LaamanenWahlenLorek2018, author = {Laamanen, Mikko and Wahlen, Stefan and Lorek, Sylvia}, title = {A moral householding perspective on the sharing economy}, series = {Journal of Cleaner Production}, volume = {202}, journal = {Journal of Cleaner Production}, doi = {10.1016/j.jclepro.2018.08.224}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-106917}, pages = {1220 -- 1227}, year = {2018}, abstract = {In this paper, we scrutinise the sharing economy from a moral householding perspective and evaluate the moral justifications for a sustainable form of the sharing economy. We consider the emergence of normative moral justifications through householding practices that rest on local mobilisation of people in defence of communities and commitments against the adverse impacts of neoliberal market capitalism. Our perspective draws on Karl Polanyi's conceptualisation of householding, that is, autarchic, communistic provision in a closed community. Using timebanking as an example, we illustrate how a moral sharing economy can be mobilised in collective battles against the current neoliberal system of economic crisis. We contribute to the amassing sharing economy literature emphasising a central, yet missing element of the current discourse: householding as practices creating self-sufficiency and autonomy as well as combining both kin and stranger.}, language = {en} } @misc{Gardemann2019, author = {Gardemann, Joachim}, title = {Kinder- und Jugendmedizin}, doi = {10.25974/fhms-11550}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-115500}, pages = {31}, year = {2019}, abstract = {Zusammenstellung essentieller Grundlagen der Kinder- und Jugendmedizin f{\"u}r die Oecotrophologie}, language = {de} } @inproceedings{KoederHahnEnglert2021, author = {Koeder, Christian and Hahn, Andreas and Englert, Heike}, title = {A plant-based diet and healthy lifestyle lower C-reactive protein levels}, series = {Complement Med Res}, booktitle = {Complement Med Res}, doi = {10.1159/000514476}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-131847}, pages = {6 -- 7}, year = {2021}, abstract = {Introduction: Many disease processes are accompanied and promoted by increased inflammation in the body. Increased concentrations of high-sensitivity C-reactive protein (hs-CRP) in the blood are an indicator of subclinical inflammation, increased disease risk, and an increased risk of early death. A healthy plant-based diet and increased physical activity have been shown to reduce hs-CRP concentrations. Objectives: Our objective was to test if a healthy lifestyle intervention program can improve hs-CRP levels and other risk factors. Methodology: We are conducting a non-randomized, controlled intervention study with 6 times of measurement (baseline, after 2.5, 6, 12, 18 and 24 months). Participants in the intervention group (n = 104) took part in a 2.5-month intensive lifestyle program focusing on a plant-based diet (PBD), physical activity, stress management and group support. Currently they are in the less intensive phase (monthly seminars) which will be completed after 24 months. The control group (n = 62) did not take part in any program. In both groups hs-CRP was assessed, and participants with an infection/common cold at any of the times of measurement were excluded from the analyses. Results: In the intervention group (n = 97) we observed a reduction in hsCRP from baseline to 2.5 months (p < 0.001). In the control group (n = 46) hs-CRP levels increased non-significantly. The changes from baseline to 2.5 months were significantly different between intervention and control (p < 0.01). Conclusion: Our program led to a clinically relevant reduction in hs-CRP. Continued follow-up will show if this improvement can be maintained in the intervention group. Our study confirms that a PBD and healthier lifestyle choices can lower hs-CRP.}, language = {en} } @techreport{RoeckinghausenCleverKoeffer2021, type = {Working Paper}, author = {R{\"o}ckinghausen, Simon and Clever, Nico and K{\"o}ffer, Sebastian}, title = {Coworking Spaces im M{\"u}nsterland}, doi = {10.25974/fhms-13322}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-133220}, pages = {15}, year = {2021}, abstract = {Coworking Spaces sind mittlerweile fester Bestandteil der digitalen Arbeitslandschaft in Großst{\"a}dten. Nach und nach halten sie auch im l{\"a}ndlichen Raum Einzug. Studien und Modellprojekte haben bewiesen, dass sie sowohl gesellschaftlich als auch wirtschaftlich eine positive Wirkung auf strukturschw{\"a}chere Regionen haben k{\"o}nnen. Sie bieten ein attraktives Umfeld f{\"u}r Kreative und Gr{\"u}nder und erm{\"o}glichen den Austausch mit lokalen Unternehmen. Außerdem k{\"o}nnen sie daf{\"u}r sorgen, dass Pendler* innen zum Arbeiten vor Ort bleiben. In weniger dicht besiedelten Regionen, wie dem M{\"u}nsterland, ist der profitable Betrieb von Coworking Spaces bisweilen schwierig. Da naturgem{\"a}ß die Standortwahl eines Coworking Space ein entscheidendes Kriterium f{\"u}r seine sp{\"a}tere Wirtschaftlichkeit ist, wird diese in der vorliegenden Studie untersucht. Dazu werden auf Coworking Spaces zugeschnittene und von Experten gewichtete Standortfaktoren aufgestellt und die 65 Orte des M{\"u}nsterlands anhand dieser Faktoren bewertet. So entsteht ein Ranking, welches aufzeigt, wo die besten Voraussetzungen f{\"u}r Coworking Spaces herrschen. In einigen St{\"a}dten im M{\"u}nsterland gibt es bereits Coworking Spaces. Einem Großteil dieser Orte wird durch diese Studie eine gute Eignung best{\"a}tigt. Beispielsweise schneiden Rheine und Bocholt aufgrund ihrer hohen Einwohnerzahl am besten ab. Es wird jedoch deutlich, dass auch andere Faktoren ausschlaggebend sein k{\"o}nnen. So bewerten Expert*innen die digitale Infrastruktur und Erreichbarkeit als sehr wichtig. F{\"u}r diese Faktoren stellen vergleichsweise kleine Orte die Bestwerte, die bislang noch keine Coworking Spaces vorweisen k{\"o}nnen. Die Ergebnisse informieren Betreiber*innen von Coworking Spaces und solche, die es werden wollen, sowie politische Entscheidungstr{\"a}ger*innen {\"u}ber m{\"o}gliche Potenziale in den jeweiligen Orten. Sie zeigen auf, an welchen Stellschrauben gedreht werden kann, um gute Voraussetzungen zu schaffen. Dar{\"u}ber hinaus wird empfohlen, das entstehende Angebot aufeinander abzustimmen und gemeinschaftlich vorzugehen - so, wie es der Begriff Coworking bereits verdeutlicht.}, language = {de} } @article{BaumeisterGardemannFobkeretal.2021, author = {Baumeister, Anna and Gardemann, Joachim and Fobker, Manfred and Spiegler, Verena and Fischer, Tobias}, title = {Short-Term Influence of Caffeine and Medium-Chain Triglycerides on Ketogenesis: A Controlled Double-Blind Intervention Study}, series = {Hindawi Journal of Nutrition and Metabolism}, volume = {Volume 2021, Article ID 1861567}, journal = {Hindawi Journal of Nutrition and Metabolism}, doi = {10.25974/fhms-13806}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-138069}, pages = {1 -- 9}, year = {2021}, abstract = {Background. Ketone bodies are a highly relevant topic in nutrition and medicine. -e influence of medium-chain triglycerides (MCT) on ketogenesis is well known and has been successfully used in ketogenic diets for many years. Nevertheless, the effects of MCTs and coconut oil on the production of ketone bodies have only partially been investigated. Furthermore, the increased mobilisation of free fatty acids and release of catabolic hormones by caffeine suggest an influence of caffeine on ketogenesis. Methods. In a controlled, double-blind intervention study, seven young healthy subjects received 10mL of tricaprylin (C8), tricaprin (C10), C8/C10 (50\% C8, 50\% C10), or coconut oil with or without 150 mg of caffeine, in 250mL of decaffeinated coffee, over ten interventions. At baseline and after every 40 minutes, for 4 h, ßHB and glucose in capillary blood as well as caffeine in saliva were measured. Furthermore, questionnaires were used to survey sensory properties, side effects, and awareness of hunger and satiety. Results. -e interventions with caffeine caused an increase in ßHB levels—in particular, the interventions with C8 highly impacted ketogenesis. -e effect decreased with increased chain lengths. All interventions showed a continuous increase in hunger and diminishing satiety. Mild side effects (total � 12) occurred during the interventions. Conclusions. -e present study demonstrated an influence of caffeine and MCTon ketogenesis. -eaddition of caffeine showed an additive effect on the ketogenic potential of MCT and coconut oil. C8 showed the highest ketogenicity.}, language = {en} } @techreport{Gardemann2021, type = {Working Paper}, author = {Gardemann, Joachim}, title = {Skript zum Modul Humanbiologie}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-13827}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-138271}, pages = {86}, year = {2021}, abstract = {Kurze Darstellung der Anatomie, Physiologie und Ern{\"a}hrungsmedizin f{\"u}r Studierende der Oecotrophologie}, language = {de} } @article{KreyenschmidtRoeslerRitter2021, author = {Kreyenschmidt, Judith and R{\"o}sler, Florian and Ritter, Guido}, title = {Recommendation of Good Practice in the Food-Processing Industry for Preventing and Handling Food Loss and Waste}, series = {Sustainability}, volume = {13}, journal = {Sustainability}, publisher = {MDPI}, doi = {10.25974/fhms-13969}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-139699}, pages = {9569 -- 9599}, year = {2021}, abstract = {Food-processing companies are controlled by societal influences and economic interests, but their efforts with regard to reducing food loss and waste are very different. This qualitative study aims to identify basic recommendations of good practice for the food-processing industry in order to prevent and handle food loss and waste. For this purpose, a comprehensive literature review was conducted in the field of food waste prevention and data was collected from thirteen German companies. The findings summarize the recommendations of good practice, which cover the entire supply chain from supplier to consumer and beyond. The analysis showed that the participating companies are already partially aware of operational measures, even if they are applied or mentioned without a systematic approach. Furthermore, the analysis revealed that most activities relate to internal matters, like processing, employees and utilization. However, the responsibility of foodprocessing companies does not end with internal processes to reduce food waste. The results show that some companies are already aware of their responsibility to be involved along the entire supply chain. Finally, the results show that the needs of consumers and suppliers must also be considered in order to reduce food waste, in addition to direct reduction measures. This paper highlights nine important stages and 53 basic recommendations for companies to address food loss and waste in order to improve their practices.}, language = {en} } @inproceedings{KoederHusainKranzetal.2021, author = {Koeder, Christian and Husain, Sarah and Kranz, Ragna-Marie and Hahn, Andreas and Englert, Heike}, title = {How to achieve sustainable eating in the general population?}, series = {The 9th World Sustainability Forum Program and Abstract Book}, booktitle = {The 9th World Sustainability Forum Program and Abstract Book}, publisher = {MDPI}, doi = {10.25974/fhms-14045}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-140455}, pages = {57 -- 57}, year = {2021}, abstract = {Introduction: Moving towards a more plant-based dietary pattern would likely be beneficial in terms of a variety of sustainability dimensions. Methodology: We conducted a 2-year intervention study with six measurement time points (baseline, 10 weeks, 6 months, 1 year, 1½ years, 2 years) in rural northwest Germany. The intervention consisted of a lifestyle programme, and dietary recommendations were to move towards a healthy, plant-based diet. The control group received no intervention. Diet quality was assessed with the healthful plant-based diet index (hPDI). Results: In the intervention group (n = 67), the 2-year trajectory of hPDI was significantly higher compared to control (n = 39; p 0.001; between-group difference: 5.7 (95\% CI 4.0, 7.3) food portions/day; adjusted for baseline). The 2-year trajectory of meat intake was significantly lower in the intervention group (n = 79) compared to control (n = 40; p 0.001; between-group difference: -0.7 (95\% CI -0.9, -0.5) portions/day; adjusted for baseline). Conclusion: Our study confirms that plant-based nutrition education in the general population is likely to result in at least modest dietary improvements in terms of general healthfulness and meat reduction.}, language = {en} } @techreport{RitterReichardtHielscher2021, author = {Ritter, Prof. Dr. Guido and Reichardt, Kirsten and Hielscher, Janina}, title = {NRW isst besser!}, publisher = {FH M{\"u}nster}, isbn = {978-3-947263-30-1}, doi = {10.25974/fhms-14279}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-142796}, pages = {160}, year = {2021}, abstract = {Wegweiser zu einem nachhaltigeren Ern{\"a}hrungssystem in NRW}, language = {de} } @article{Martinetal.2021, author = {Martin, Maria and ..., ... and ..., ... and Lorek, Sylvia and ..., ...}, title = {Ten new insights in climate science 2021: a horizon scan}, series = {Global Sustainability}, journal = {Global Sustainability}, publisher = {Cambridge University Press}, doi = {10.25974/fhms-16066}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-160666}, year = {2021}, abstract = {A synthesis is made of 10 topics within climate research, where there have been significant advances since January 2020. The insights are based on input from an international open call with broad disciplinary scope. Findings include: (1) the options to still keep global warming below 1.5 °C; (2) the impact of non-CO2 factors in global warming; (3) a new dimension of fire extremes forced by climate change; (4) the increasing pressure on interconnected climate tipping elements; (5) the dimensions of climate justice; (6) political challenges impeding the effectiveness of carbon pricing; (7) demand-side solutions as vehicles of climate mitigation; (8) the potentials and caveats of nature-based solutions; (9) how building resilience of marine ecosystems is possible; and (10) that the costs of climate change mitigation policies can be more than justified by the benefits to the health of humans and nature.}, language = {en} } @article{SpangenbergLorek2022, author = {Spangenberg, Joachim H. and Lorek, Sylvia}, title = {Who cares (for whom)}, series = {Frontiers in Sustainability}, journal = {Frontiers in Sustainability}, publisher = {Frontiers Media}, doi = {10.25974/fhms-16067}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-160675}, year = {2022}, language = {en} } @book{FuchsSahakianGumpertetal.2021, author = {Fuchs, Doris and Sahakian, Marlyne and Gumpert, Tobias and Gumpert, Antonietta and Maniates, Michael and Lorek, Sylvia and Graf, Antonia}, title = {Consumption Corridors - Living a Good Life within Sustainable Limits}, publisher = {Routledge}, address = {London}, isbn = {9780367748722}, doi = {10.25974/fhms-16057}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-160579}, publisher = {FH M{\"u}nster - University of Applied Sciences}, pages = {110}, year = {2021}, abstract = {Consumption Corridors: Living a Good Life within Sustainable Limits explores how to enhance peoples' chances to live a good life in a world of ecological and social limits. Rejecting familiar recitations of problems of ecological decline and planetary boundaries, this compact book instead offers a spirited explication of what everyone desires: a good life. Fundamental concepts of the good life are explained and explored, as are forces that threaten the good life for all. The remedy, says the book's seven international authors, lies with the concept of consumption corridors, enabled by mechanisms of citizen engagement and deliberative democracy. Across fve concise chapters, readers are invited into conversation about how wellbeing can be enriched by social change that joins "needs satisfaction" with consumerist restraint, social justice, and environmental sustainability. In this endeavour, lower limits of consumption that ensure minimal needs satisfaction for all are important, and enjoy ample precedent. But upper limits to consumption, argue the authors, are equally essential, and attainable, especially in those domains where limits enhance rather than undermine essential freedoms.}, language = {en} } @article{SahakianFuchsLoreketal.2021, author = {Sahakian, Marlyne and Fuchs, Doris and Lorek, Sylvia and DiGiulio, Antonietta}, title = {Advancing the concept of consumption corridors and exploring its implications}, series = {Sustainability: Science, Practice and Policy}, journal = {Sustainability: Science, Practice and Policy}, doi = {10.25974/fhms-16064}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-160646}, year = {2021}, abstract = {As a salutogenic concept, "consumption corridors" aims to support what is necessary for sustainable wellbeing to be achieved in relation to the Earth system, with a deep consideration for justice and equity. Living in consumption corridors is a representation of everyday life whereby people live within limits, so that all people - now and in the future - can access what is needed to live a good life. In this special issue, a series of scholars and practitioners have come together to further develop the concept, engage with its ethodological implications, and relate it to consumption domains and policy implications. We begin by introducing how the concept emerged, in relation to the complexity of grappling with the societal transformations required for achieving more sustainable forms of consumption. We then present the different contributions, which demonstrate the importance of considering both maximum and minimum consumption standards, the relevance of human-need theories, as well as the difference between achieving wellbeing and the means necessary for doing so. We conclude by opening up to areas that merit further deliberation: how to relate consumption corridors to everyday-life dynamics, but also to the critical question of power relations at play in implementing consumption corridors.}, language = {en} } @article{Lorek2021, author = {Lorek, Sylvia}, title = {Equity within ecological limits - Grand Challenge for Sustainable Consumption}, series = {Frontiers in Sustainability}, journal = {Frontiers in Sustainability}, publisher = {Frontiers Media}, doi = {10.25974/fhms-16065}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-160657}, year = {2021}, language = {de} } @misc{HusainHillmannHengstetal.2023, author = {Husain, Sarah and Hillmann, Katharina and Hengst, Karin and Englert, Heike}, title = {Effects of a lifestyle intervention on the biomarkers of oxidative stress in non-communicable diseases: A systematic review}, series = {Frontiers in Aging}, journal = {Frontiers in Aging}, publisher = {Frontiers Journal}, address = {Germany}, doi = {10.25974/fhms-16082}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-160827}, year = {2023}, abstract = {Oxidative stress plays a critical role in the pathogenesis of chronic diseases. Therefore, improvement of oxidative stress status through lifestyle intervention can play a vital role in preventing and treating chronic diseases. This systematic review aims to provide an overview of articles published in the last decade examining the association between lifestyle intervention and oxidative stress biomarkers in the context of non-communicable diseases. The electronic databases PubMed and Web of Science were searched for relevant studies, following the PRISMA (Preferred Reporting of Systematic Reviews and Meta-Analyses) guidelines. This systematic review focused on the four important oxidative stress biomarkers; glutathione (GSH), superoxide dismutase (SOD), catalase, and malondialdehyde. 671 articles were identified, of which nine met the inclusion criteria. A trend emerged, showing that lifestyle modifications that focus on diet and physical health can improve oxidative stress in the form of an increase in superoxide dismutase and CAT levels and a decrease in Malondialdehyde levels in participants with non-communicable diseases (NCDs), GSH levels were not affected. However, the results are difficult to compare because of the heterogeneity of the methods of the biomarkers studied. Our review indicates that oxidative stress can be influenced by lifestyle modifications and may be an effective tool for the prevention and management of non-communicable diseases. This review also elucidated the importance of analyzing multiple oxidative stress biomarkers to evaluate oxidative stress, it further highlights the need to conduct long-term lifestyle intervention studies on oxidative stress biomarkers to understand the connection between oxidative stress biomarkers, NCDs and Lifestyle intervention.}, language = {en} } @article{KranzKettlerAnandetal.2023, author = {Kranz, Ragna-Marie and Kettler, Carmen and Anand, Corinna and Koeder, Christian and Husain, Sarah and Schoch, Nora and Buyken, Anette and Englert, Heike}, title = {Effect of a controlled lifestyle intervention on medication use and costs: The Healthy Lifestyle Community Program (cohort 2)}, series = {Nutrition and Health}, journal = {Nutrition and Health}, publisher = {Sage Publications}, issn = {2047-945X}, doi = {10.25974/fhms-16217}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-162176}, year = {2023}, abstract = {Background: Establishing a healthy lifestyle has a great potential to reduce the prevalence of non-communicable diseases (NCDs) and their risk factors. NCDs contribute immensely to the economic costs of the health care system arising from therapy, medication use, and productivity loss. Aim: The aim of this study was to evaluate the effect of the Healthy Lifestyle Community Program (cohort 2; HLCP-2) on medication use and consequently on medication costs for selected NCDs (diabetes, hypertension, and dyslipidemia). Methods: Data stem from a 24-month non-randomised, controlled intervention trial aiming to improve risk factors for NCDs. Participants completed questionnaires at six measurement time points assessing medication use, from which costs were calculated. The following medication groups were included in the analysis as NCD medication: glucose-lowering medications (GLM), antihypertensive drugs (AHD) and lipid-lowering drugs (LLD). Statistical tests for inter- and intra-group comparison and multiple regression analysis were performed. Results: In total, 118 participants (intervention group [IG]: n = 79; control group [CG]: n = 39) were considered. Compared to baseline medication use decreased slightly in the IG and increased in the CG. Costs for NCD medication were significantly lower in the IG than in the CG after 6 (p = 0.004), 12 (p = 0.040), 18 (p = 0.003) and 24 months (p = 0.008). After multiple regression analysis and adjusting for confounders, change of costs differed significantly between the groups in all final models. Conclusion: The HLCP-2 was able to moderately prevent an increase of medication use and thus reduce costs for medication to treat NCDs with the greatest impact on AHD.}, language = {de} } @article{WosBorghoffHorvatetal.2022, author = {Wos, Karolina and Borghoff, Lisa Marie and Horvat, Andrijana and Paoletti, Flavio and Saggia Civitelli, Eleonora and Rembiałkowska, Ewa}, title = {Preliminary Analysis of Voluntary Information on Organic Milk Labels in Four European Union Countries}, series = {Sustainability}, journal = {Sustainability}, editor = {Bacenetti, Jacopo}, publisher = {MDPI}, doi = {10.25974/fhms-15698}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-156981}, pages = {1 -- 18}, year = {2022}, abstract = {The concern for the environment among European consumers is growing and in the future the need for sustainable shopping is expected to increase. Through transparent on-packaging communication with consumers, organic producers have the opportunity to show attributes of organic production system and build a strong market position. The aim of the study was to analyse voluntary packaging information on organic milk from four European markets in the context of organic food quality, i.e., Germany, the Netherlands, Italy and Poland. More specifically, the textual content of 106 organic milk packages was analysed and voluntary information on each package was categorized according to process- and product-related organic milk attributes. The assortment and content of voluntary packaging information varied across the four countries. The largest number of products was found on the German market (37) and the smallest on the Polish market (14). Dutch milk had the greatest amount of voluntary information on animal welfare, product locality, environmental protection, quality confirmation, naturalness and nutritional value. German milk had the most information on enjoyment and conditions of processing, while the Italian milk on the social perspective. The products available on the Polish market had the least voluntary information. Pasteurized organic milk had noticeably more information about organic quality attributes than micro filtrated and UHT milk.}, language = {en} } @article{BorghoffStrassnerHerzig2023, author = {Borghoff, Lisa Marie and Strassner, Carola and Herzig, Christian}, title = {Organic Juice Processing Quality from the Processors' Perspective: A Qualitative Study}, series = {foods}, journal = {foods}, publisher = {MDPI}, doi = {10.25974/fhms-15699}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-156994}, pages = {1 -- 18}, year = {2023}, abstract = {Organic food quality is based on processing. While the EU organic production regulation focuses on agricultural production, private standards provide more detailed information about further processing. For the development of organic processing, practitioner perspectives can provide valuable input. To get insight into practitioner perspectives, we conducted semi-structured expert interviews with nine employees of seven partly organic juice processing companies from Germany and Austria. Interview topics were (i) quality of organic juice processing in general, (ii) assessment of specific processing techniques, (iii) product quality of organic juice and (iv) flow of information between producer and consumer. We conducted a thematic analysis. We found that the experts' understanding of process quality mostly includes more aspects than the EU organic production regulation. It covers the whole food chain plus aspects of social and environmental sustainability. The experts prefer directly bottled juice of local raw materials but chiefly accept juice made from concentrate of exotic raw materials because of environmental concerns. Organic juice is preferred when it is cloudy and natural fluctuations are interpreted as an indicator of natural quality. The experts report that consumer information is challenging because of low food literacy. Raising this might help reduce the number of processed juices on the market.}, language = {en} } @article{BorghoffStrassnerHerzig2023, author = {Borghoff, Lisa Marie and Strassner, Carola and Herzig, Christian}, title = {Processors' understanding of process quality: a qualitative interview study with employees of organic dairies in Germany and Switzerland}, series = {British Food Journal}, journal = {British Food Journal}, publisher = {Emerald Publishing}, issn = {0007-070X}, doi = {10.25974/fhms-15701}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-157019}, pages = {1 -- 32}, year = {2023}, abstract = {Purpose: Organic food processing must include organic principles to be authentic. This qualitative study aims to understand the processors' understanding of organic food processing quality. Design/methodology/approach: This study is based on semi-structured expert interviews with eight employees of six purely or partly organic dairies from Germany and Switzerland. Interview themes are (1) quality of organic milk processing in general, (2) assessment of specific processing techniques, (3) product quality of organic milk and (4) flow of information between producer and consumer. The interviews have been audio-recorded, transcribed verbatim and thematically analysed. Findings: (1) Experts prefer minimal processing; some prefer artisanal processing, whilst others stress the advantages of mechanisation. (2) High temperature short time (HTST) pasteurisation and mechanical processing techniques are accepted; ultra-high-temperature (UHT) milk processing is partly rejected. (3) Traditional taste and valuable ingredients should be present in the final product. Natural variances are judged positively. (4) Consumers' low level of food technology literacy is challenging for communication. Research limitations/implications: The results cannot be generalised due to the qualitative study design. Further studies, e.g. qualitative case analyses and studies with a quantitative design, are necessary to deepen the results. Practical implications: The paper shows which processing technologies experts consider suitable or unsuitable for organic milk. The paper also identifies opportunities to bridge the perceived gap between processors' and consumers' demands. Originality/value: The study shows the challenges of processors in expressing the processors' understanding of process quality.}, language = {en} } @techreport{BuxelBalsing2009, author = {Buxel, Holger and Balsing, Alexandra}, title = {Nutzung von Bio-Produkten in der Gemeinschaftsverpflegung: Ergebnisse einer Befragung}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-78}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-782}, year = {2009}, abstract = {Der Berichtsband gibt einen {\"U}berblick {\"u}ber ausgew{\"a}hlte Ergebnisse einer Befragung zum Thema Bio-Nutzung in der Gemeinschaftsverpflegung (2009).}, subject = {Bio}, language = {de} } @techreport{BuxelSander2009, author = {Buxel, Holger and Sander, Thorsten}, title = {Status quo des Innovationsmanagements und Marketings in der Lebensmittelbranche: Ergebnisse einer Unternehmensbefragung}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-79}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-796}, year = {2009}, abstract = {Der Berichtsband gibt einen {\"U}berblick {\"u}ber Ergebnisse einer Befragung von 186 Unternehmen der Lebensmittelwirtschaft/-industrie zum Thema Innovationsmanagement und Marketing (2009).}, subject = {Lebensmittelwirtschaft}, language = {de} } @techreport{Buxel2009, author = {Buxel, Holger}, title = {Motivation, Arbeitsplatzzufriedenheit und Jobwahlverhalten von Assistenz{\"a}rztinnen und -{\"a}rzten sowie Studierenden der Humanmedizin: Ergebnisse zweier empirischer Untersuchungen und Implikationen f{\"u}r das Personalmanagement und -marketing von Krankenh{\"a}usern}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-80}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-803}, year = {2009}, abstract = {Vor dem Hintergrund des {\"A}rztemangels wurde im Winter 2008/2009 eine großangelegte Befragung bei Assistenz{\"a}rztinnen und -{\"a}rzten sowie eine zweite Befragung bei Humanmedizin-Studierenden durchgef{\"u}hrt, um Einblicke in die arbeitsplatzbezogenen Bed{\"u}rfnisse, Zufriedenheit mit der Arbeitssituation und das Jobwahlverhalten dieser Zielgruppen zu gewinnen. Die Ergebnisse geben Anhaltspunkte f{\"u}r eine Optimierung des Personalmanagaments und -marketings von Krankenh{\"a}usern.}, subject = {Krankenhaus}, language = {de} } @techreport{WeidlichBuxel2010, author = {Weidlich, Tina and Buxel, Holger}, title = {Werben mit dem guten Zweck - Akzeptanz karitativer Marketingkonzepte: Ergebnisse einer empirischen Untersuchung am Beispiel Krombacher Regenwaldprojekt und der Aktion Gesundheit f{\"u}r Kinder in Afrika von Actimel/Danone}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-81}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-810}, year = {2010}, abstract = {Mit der steigenden Wichtigkeit von Nachhaltigkeitsaspekten f{\"u}r die Konsumenten gewinnen in j{\"u}ngster Zeit zunehmend Marketingkonzepte an Bedeutung, die an den Produktverkauf die Unterst{\"u}tzung karitativer Projekte koppeln. Krombacher zeigt Engagement f{\"u}r den Regenwald, Danone/Actimel f{\"u}r die Kinder in Afrika, Procter\&Gamble/Wick f{\"u}r den Lebensraum der Eisb{\"a}ren. Projekte mit karitativem Hintergrund und werben mit dem guten Zweck sind im Trend. Doch wie werden solche Projekte und Marketingkampagnen von Seiten der Konsumenten bewertet? Wie glaubw{\"u}rdig sind diese und haben sie ein positives Kampagnenprofil? Und existiert ein Wunsch von Seiten der Konsumenten nach mehr solcher karitativen Marketingkonzepten? Um diese Fragen zu beantworten, wurde im Sommer/Herbst 2009 eine Befragung von 482 Konsumenten durchgef{\"u}hrt.}, subject = {Marketing}, language = {de} } @techreport{BuxelGrossmann2010, author = {Buxel, Holger and Grossmann, Andreas}, title = {Akzeptanz und Nutzung von N{\"a}hwertkennzeichnung auf Lebensmitteln durch Konsumenten: Ergebnisse einer empirischen Untersuchung unter Ber{\"u}cksichtigung der GDA- und Ampel-N{\"a}hrwertkennzeichnung}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-82}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-829}, year = {2010}, abstract = {Mit dem wachsenden Gesundheitsbewusstsein beim Lebensmittelkauf und -konsum gewinnen in j{\"u}ngster Zeit zunehmend eine Fokussierung auf "g{\"u}nstige" N{\"a}hrwerte sowie deren Ausweis im Rahmen der N{\"a}hrwertkenn-zeichnung (NWK) an Bedeutung f{\"u}r den Markterfolg im Lebensmittelmarkt. Neben der optimalen Umsetzung einer NWK unter Marketing- und Kommunikationsgesichtspunkten befinden sich mit der GDA- und Ampel-NWK derzeit zwei unterschiedliche NWK-Typen in der gesundheits- und verbraucherpolitischen Diskussion um deren relative Vorteilhaftigkeit. F{\"u}r eine optimale Ausgestaltung von NWKs und die Kommunikation von N{\"a}hrwertvorteilen werden Informationen ben{\"o}tigt, wie eigentlich bisherige NWKs von Verbraucherseite genutzt werden und welche Einstellungen Verbraucher diesen gegen{\"u}ber haben. Um diese Fragen zu beantworten, wurde im Winter 2009/2010 eine Befragung durchgef{\"u}hrt. Ziel war es, neben der Gewinnung tieferer Einblicke in die Akzeptanz und Nutzung von NWK durch Konsumenten im Allgemeinen auch Einblicke in die wahrgenommenen Vor- und Nachteile der GDA- und Ampel-NWK aus Verbrauchersicht zu gewinnen. Der vorliegende Berichtsband gibt einen {\"U}berblick {\"u}ber die Ergebnisse der Studie.}, language = {de} } @masterthesis{Buchholz2011, type = {Bachelor Thesis}, author = {Buchholz, Anna Lena}, title = {Gewichtsentwicklung bei Patienten mit Typ-1-Diabetes mellitus unter unterschiedlichen Insulintherapien (CT, ICT, CSII): Stand der internationalen wissenschaftlichen Literatur und Befragung klinischer Experten}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-492}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4928}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2011}, abstract = {Ziel dieser Arbeit war es zu untersuchen, wie sich das Gewicht von Patienten mit Typ-1- Diabetes unter den verschiedenen Therapieformen CSII, ICT und CT entwickelt. Dabei wurde vermutet, dass Patienten, die mit ICT oder Insulinpumpe behandelt werden, ein h{\"o}heres Gewicht aufweisen und wie die stoffwechselgesunde Bev{\"o}lkerung mehr zu {\"U}bergewicht neigen, da mit diesen Therapieformen ein flexibleres und damit normalgesellschaftliches Essverhalten m{\"o}glich wird. Methodik: Es wurde zun{\"a}chst eine Recherche in der internationalen wissenschaftlichen Literatur durchgef{\"u}hrt. Die Ergebnisse wurden um Experteninterviews mit einer Diabetesberaterin, einem Diabetologen und einem P{\"a}diater erg{\"a}nzt. Ergebnisse und Interpretation: CT-Patienten weisen einen niedrigeren BMI auf und neigen weniger zu {\"U}bergewicht. Das Gewicht von ICT- und Insulinpumpenpatienten gleicht der stoffwechselgesunden Bev{\"o}lkerung, so dass das flexiblere Essverhalten, welches durch diese beiden Therapieform m{\"o}glich ist, in der Diskussion als Hauptfaktor ausgemacht wird. Dennoch gibt es noch andere diabetesspezifische Einfl{\"u}sse auf das Gewicht. Diese k{\"o}nnen in therapieabh{\"a}ngige, wie Anzahl der Hypoglyk{\"a}mien und Qualit{\"a}t der Stoffwechseleinstellung, und therapieunabh{\"a}ngige Faktoren unterschieden werden. Besonders gef{\"a}hrdet sind M{\"a}dchen in der Pubert{\"a}t mit einer l{\"a}ngeren Diabetesdauer. Auch die Substitution des Insulins hat einen Einfluss auf das Gewicht. Wie es im Einzelnen eine Gewichtszunahme bewirkt, bleibt unklar. Als anaboles Hormon hat es auch auf den Fettstoffwechsel eine aufbauende Wirkung. Zudem besteht in der Insulintherapie die Gefahr der {\"U}berinsulinierung. Schlussfolgerung: Da {\"U}bergewicht und Adipositas unter Typ-1-Diabetikern immer h{\"a}ufiger wird, was f{\"u}r die Patienten mit einer erheblichen Risikosteigerung f{\"u}r kardiovaskul{\"a}re Erkrankungen und die diabetesspezifischen Folgesch{\"a}den einhergeht, wird empfohlen, diesem vorzubeugen. Dabei sind besonders prim{\"a}rpr{\"a}ventive Maßnahmen gefragt. Dies beinhaltet als wichtigstes Element eine Aufkl{\"a}rung des Patienten, damit von Anfang an ein verantwortungsbewusster Umgang mit der Ern{\"a}hrung gefunden werden kann.}, subject = {Diabetes mellitus}, language = {de} } @masterthesis{Alt2011, type = {Bachelor Thesis}, author = {Alt, Mandy}, title = {Lethargie bei Hungernden; {\"U}berlebensstrategie oder klinische Depression? Kognitive und psychovegetative Depressionssymptome im Hungerstoffwechsel unter besonderer Ber{\"u}cksichtigung der Anorexia Nervosa}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-508}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-5088}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2011}, abstract = {Hunger und andere Formen der Mangelern{\"a}hrung k{\"o}nnen verschiedene Konsequenzen f{\"u}r den Organismus nach sich ziehen, wie zum Beispiel eine Herzinsuffizienz, eine Fettleber, Formen der Protein-Energie-Malnutrition wie Kwashiorkor und Marasmus und schlimmstenfalls den Tod. Bisher weniger gr{\"u}ndlich untersucht sind die Folgen extremer Unterern{\"a}hrung f{\"u}r die Psyche. Menschen, die unter Hunger leiden, wirken antriebs- und kraftlos und lethargisch. Man k{\"o}nnte vermuten, dass sie depressiv sind. Aber erf{\"u}llen sie wirklich die Diagnosekriterien einer klinischen Depression? Die Beantwortung dieser Frage k{\"o}nnte wichtige Hinweise darauf bergen, welche langfristigen Konsequenzen etwa auf eine Hungersnot oder ein weiteres Ansteigen der Pr{\"a}valenz der Anorexia Nervosa folgen k{\"o}nnten. Dies k{\"o}nnte sowohl relevant f{\"u}r die Arbeit von {\"A}rzten, Oecotrophologen, Psychologen und anderen therapeutischen Berufsgruppen sein als auch, auf einer globalen Ebene, bedeutsame Informationen f{\"u}r die {\"o}konomischen Folgen beinhalten, die auf eine von Mangelern{\"a}hrung betroffene Gesellschaft zukommen. So k{\"o}nnte eine durch Hunger induzierte erh{\"o}hte Depressionspr{\"a}valenz weitere Kosten f{\"u}r das wahrscheinlich ohnehin gebeutelte Gesundheitssystem eines betroffenen Staats nach sich ziehen. Zudem ist es f{\"u}r Menschen, die zus{\"a}tzlich zu den k{\"o}rperlichen Entbehrungen des Hungers unter Symptomen der Antriebslosigkeit, Hoffnungslosigkeit, Interesse- und Freudlosigkeit leiden, um einiges schwerer, Kraft und Motivation f{\"u}r den Wiederaufbau eines Landes zu finden. Die vorliegende Arbeit besch{\"a}ftigt sich daher damit, ob Mangelern{\"a}hrung zum Entstehen einer Depression f{\"u}hrt und welcher Art die gefundenen Symptome sind. Mangelern{\"a}hrung ist ein weltweit verbreitetes Ph{\"a}nomen, das verschiedene Ursachen haben kann. W{\"a}hrend Hunger ein großes Problem in {\"a}rmeren L{\"a}ndern darstellt, entwickeln vor allem in den industrialisierten L{\"a}ndern immer mehr Menschen Essst{\"o}rungen. Die in dieser Arbeit formulierten Hypothesen wurden anhand einer Zusammenfassung der Literatur und der wichtigsten Studien {\"u}berpr{\"u}ft. Es wurde gefunden, dass Mangelern{\"a}hrung nicht zu einer klinisch diagnostizierbaren Depression, aber dennoch zu ausgepr{\"a}gten depressiven Symptomen f{\"u}hrt, die sich nach einer Normalisierung der Nahrungsaufnahme zur{\"u}ckbilden. Diese Auswirkungen beschr{\"a}nken sich nicht auf einen somatischen Symptombereich, sondern finden sich ebenso in psychischen und kognitiven Gebieten. Weitere insbesondere experimentelle Forschungsarbeiten zur Kontrolle dieser Ergebnisse w{\"a}ren wertvoll f{\"u}r die Weiterentwicklung des Verst{\"a}ndnisses der Interaktion von Mangelern{\"a}hrung und Symptomen psychischer Erkrankungen.}, subject = {Anorexia nervosa}, language = {de} } @misc{Drunat2010, type = {Master Thesis}, author = {Drunat, Carolin}, title = {Modifizierung international gebr{\"a}uchlicher anthropometrischer Messinstrumente f{\"u}r die zweiseitige Ermittlung sowohl des Unter-, als auch des {\"U}bergewichts im Kindesalter \&\#65533; Produktentwicklung und Erprobung an Kindern im Vorschulalter in M{\"u}nster}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-509}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-5096}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2010}, abstract = {Diese Diplomarbeit behandelt in ihrer Thematik die Entwicklung und das Wachstum von Kindern und die fr{\"u}hzeitige Ermittlung kindlichen {\"U}bergewichtes. Daraus abgeleitet ist die Idee entstanden, mit dem einfachen Mittel der Wall-Chart der Weltgesundheitsorganisation f{\"u}r Hungergebiete den BMI der Kinder in den am Wachstum orientierten Perzentilen auch im Bereich des {\"U}bergewichtes darzustellen. Diese erweiterte Wall-Chart ist in unterschiedliche Farbbereiche gegliedert: Der rote Bereich f{\"u}r extremes {\"U}bergewicht, der gr{\"u}ne Bereich f{\"u}r das Normalgewicht und der pinkfarbige Bereich f{\"u}r extremes Untergewicht. Die neuentwickelte Wall-Chart bildet die Perzentilen in Gr{\"o}ße (cm) zu Gewicht (kg) ab. Zus{\"a}tzlich ist die y-Achse (Gr{\"o}ße) in den spezifischen Farben der Codierung der Schulm{\"o}bel eingef{\"a}rbt. So lassen sich bei einer Messung zwei Werte feststellen. Der BMI anhand der Perzentilen, gekennzeichnet in den Ampelfarben und die f{\"u}r Schulkinder richtige, ihrer K{\"o}rpergr{\"o}ße entsprechenden Sitz- und Tischm{\"o}bel. Es sind in einer exemplarischen Machbarkeitsstudie 72 Kinder im Vorschulalter in der Stadt M{\"u}nster untersucht worden. Kontakt zu den Kinderg{\"a}rten ist {\"u}ber das Gesundheitsamt der Stadt Munster gekn{\"u}pft worden, da es zu diesem Zeitpunkt die schul{\"a}rztliche Untersuchung f{\"u}r das kommende Schuljahr durchfuhrt hat. Das Untersuchungsziel dieser Diplomarbeit, die Anwendbarkeit der Wall-Chart festzustellen, wurde erreicht. Zudem sind die Ergebnisse mit denen aus KiGGS entsprechend der hier untersuchten Geburtsjahrg{\"a}nge 2003 und 2004, verglichen worden. Das mittlere Gewicht der Kinder aus dem Geburtsjahrgang 2003 hat eine h{\"o}here Abweichung zum dem Wert aus KiGGS als der Wert des Geburtsjahrgangs 2004. Insgesamt betrachtet sind 38\% der Kinder im Normalbereich, 34\% haben eine Tendenz zu {\"U}bergewicht, 24\% haben eine Tendenz zu Untergewicht, 3\% der Kinder sind adip{\"o}s und 1\% untergewichtig. Insgesamt hat sich gezeigt, dass eine modifizierte Wall-Chart auch zur orientierenden Feststellung von {\"U}bergewicht und Adipositas im Kindesalter geeignet ist.}, subject = {{\"U}bergewicht}, language = {de} } @incollection{DiewergeGardemannSchleidenSchmidt2009, author = {Diewerge, Christine and Gardemann, Joachim and Schleiden-Schmidt, Ilse}, title = {Pharmazie in der Internationalen Hilfe und Entwicklungszusammenarbeit; weltweite Hilfe bei Katastrophen und Notsituationen im Gesundheitswesen}, series = {Pharmazeutisches Notfallmanagement}, booktitle = {Pharmazeutisches Notfallmanagement}, publisher = {Bundesamt f{\"u}r Bev{\"o}lkerungsschutz und Katastrophenhilfe}, address = {Bonn}, organization = {Bundesamt f{\"u}r Bev{\"o}lkerungsschutz und Katastrophenhilfe, Deutsche Gesellschaft f{\"u}r Katastrophenmedizin e.V}, doi = {10.25974/fhms-461}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4613}, publisher = {FH M{\"u}nster - University of Applied Sciences}, pages = {175 -- 193}, year = {2009}, abstract = {Katastrophen sind außergew{\"o}hnliche Schadenereignisse mit Dimensionen, die das Leben und die Sicherheit von zahlreichen Menschen und Tieren gef{\"a}hrden und eine Vernichtung von zahlreichen materiellen G{\"u}tern bewirken. Die Auswirkungen von Katastrophen sind mit dem lokal oder regional vorhandenen Potenzial an Rettungskr{\"a}ften, Material und Ger{\"a}t sowie mit den vorhandenen Versorgungsstrukturen nicht mehr beherrschbar. Zur Bew{\"a}ltigung bedarf es daher massiver Hilfe von außerhalb der Schadensregion und ungew{\"o}hnlicher Maßnahmen. Das betrifft in besonderer Weise L{\"a}nder mit unterentwickelten Strukturen der Notfallvorsorge und des Gesundheitswesens; hier ist die Hilfe der internationalen Gemeinschaft gefordert. Nach Ansicht der Kommission f{\"u}r Internationale Zusammenarbeit (KIZ) der Deutschen Gesellschaft f{\"u}r Public Health (DGPH) ist es priorit{\"a}re Aufgabe, den fließenden {\"U}bergang zwischen Nothilfe und Entwicklungszusammenarbeit verst{\"a}rkt wahrzunehmen und zu untersuchen. Zur Pr{\"a}vention unerw{\"u}nschter pharmakologischer und volkswirtschaftlicher Langzeiteffekte in diesem Zusammenhang ist ein verantwortungsvoller und mit den lokalen Behandlungsrichtlinien und Aufsichtsbeh{\"o}rden abgestimmter Umgang mit Arzneimittelimporten anl{\"a}sslich internationaler Nothilfeprogramme von besonderer Bedeutung.}, subject = {Deutsche Gesellschaft f{\"u}r Katastrophenmedizin}, language = {de} } @techreport{MenskiGardemann2008, author = {Menski, Ute and Gardemann, Joachim}, title = {Auswirkungen des Ausfalls Kritischer Infrastrukturen auf den Ern{\"a}hrungssektor am Beispiel des Stromausfalls im M{\"u}nsterland im Herbst 2005. Empirische Untersuchung im Auftrag der Bundesanstalt f{\"u}r Landwirtschaft und Ern{\"a}hrung (BLE)}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-462}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4628}, year = {2008}, abstract = {Am 25. November 2005 brachte das Tiefdruckgebiet Thorsten in weiten Teilen des M{\"u}nsterlandes ungew{\"o}hnlich ergiebige Schneef{\"a}lle mit sich. Aufgrund der Schneelasten brachen f{\"u}nfzig Hochspannungsmasten zusammen, was zu großfl{\"a}chigen Stromausf{\"a}llen f{\"u}hrte, die in einigen Ortschaften des M{\"u}nsterlandes bis zum 3. Dezember andauerten. Neben etwa 250000 Menschen in Privathaushalten waren auch Einrichtungen der Verwaltung, des Bildungs- und des Gesundheitswesens in den Kreisen Steinfurt, Coesfeld und Borken auf eine derartige Situation nicht oder nur unzureichend vorbereitet und hatten erhebliche Schwierigkeiten, ihre Grundversorgung mittels eigener Ressourcen aufrecht zu erhalten. Im Juni 2006 wurde durch Befragung seinerzeit Betroffener das Ausmaß der allgemeinen Abh{\"a}ngigkeit von der Versorgung mit Netzstrom als einer Kritischen Infrastruktur sowie das Bewusstsein betroffener Bev{\"o}lkerungskreise f{\"u}r eine Notwendigkeit privater und {\"o}ffentlicher Notfallvorsorge untersucht. Durch schriftliche Befragung von insgesamt 591 Haushalten in den Landkreisen Steinfurt und Borken wurde im Juni 2006 die Einstellung ehemals Betroffener zu Katastrophenvorsorge und Vorratshaltung untersucht. Sogar das eigene Erleben des Ausfalls kritischer Infrastrukturen hat das Vertrauen der betroffenen Bev{\"o}lkerung in die {\"o}ffentliche Gefahrenabwehr sowie das Bewusstsein einer Notwendigkeit privater Vorratshaltung nicht ver{\"a}ndert.}, subject = {Kritische Infrastruktur}, language = {de} } @techreport{MohnGardemann2010, author = {Mohn, Rainer and Gardemann, Joachim}, title = {TAWI: Die Tigray und Afar Wasser Initiative: Malaria-Kontrolle in der Wasserversorgung im Norden {\"A}thiopiens. Ein gemeinn{\"u}tziges Forschungs- und Entwicklungsprojekt der Fachhochschule M{\"u}nster}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-463}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4635}, year = {2010}, abstract = {Die Tigray and Afar Wasser Initiative (TAWI) ist ein Kooperationsprojekt der Mekelle Universit{\"a}t ({\"A}thiopien), der Fachhochschule M{\"u}nster und der Westf{\"a}lischen Wilhelms-Universit{\"a}t M{\"u}nster. Gegenstand der Initiative ist die Wasserversorgung im l{\"a}ndlichen Raum der besonders wasserarmen Regionalstaaten Tigray und Afar im semi-ariden Norden {\"A}thiopiens. Im Untergrund ist h{\"a}ufig noch Wasser zu finden, das gelegentlich auch von Menschen zu landwirtschaftlichen Zwecken extensiv genutzt wird. Dichtw{\"a}nde im Untergrund k{\"o}nnen dazu dienen, diese Nutzung zu intensivieren und zus{\"a}tzlich den Landschafts-Wasserhaushalt positiv zu beeinflussen. Die so aufgestauten unterirdischen Wasserspeicher sollen als kleine bzw. kleinste Anlagen dezentral die Versorgungslage kleiner, lokaler Bev{\"o}lkerungsgruppen verbessern. Gleichzeitig vermeidet die unterirdische Speicherung die Gefahr einer Erh{\"o}hung der Inzidenzrate f{\"u}r beispielsweise Malaria, wie sie infolge von oberirdisch angelegten Ponds nachgewiesen worden ist.}, subject = {Malaria}, language = {de} } @techreport{Gardemann2011, author = {Gardemann, Joachim}, title = {Haiti nach Erdbeben und Cholera}, series = {Monatsschr Kinderheilkd}, volume = {2011 (Suppl 3) 159}, journal = {Monatsschr Kinderheilkd}, publisher = {Springer}, doi = {10.25974/fhms-465}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4653}, pages = {163}, year = {2011}, abstract = {Die Organisationen der internationalen Soforthilfe haben in den vergangenen Jahrzehnten erhebliche Anstrengungen zur Professionalisierung, Standardisierung und Koordination aller Hilfeleistungen unternommen. Die dabei gewonnenen epidemiologischen Daten belegen auch f{\"u}r Katastrophensituationen die besondere Bedeutung pr{\"a}ventiver Maßnahmen im Bereich von Public Health, P{\"a}diatrie und kommunaler Hygiene.}, subject = {Erdbeben}, language = {de} } @techreport{TeitscheidRohn2011, author = {Teitscheid, Petra and Rohn, Holger}, title = {Resource productivity for higher education in food and nutrition}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-475}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4751}, year = {2011}, abstract = {Sustainability is a central issue in food business and food retailing since approximately 3 years (See Teitscheid 2011). Various influential factors are significant for this development. On the one hand consumers choices are changing (See GFK et al. 2009). They are looking for natural, good and healthy food; they have a longing for home and an intact world (See iSuN 2010). The image of a highly efficient, but often ruthless industrial food production in regards to mankind and nature is not appropriate here. On the other hand, raw materials are scarce and, thus, very valuable. Bad harvests, mostly interpreted as a result of climate change, worldwide increasing consumption and the production of food in favor of energy production instead of nutritional aims, lead to a re-evaluation of agricultural resources and their producers. Within this context, food industry is searching for new forms of cooperation and partnership along the value chain in order to secure their resource basis. In the light of their significant environmental impact, an increasing number of companies also start to work on the environmental assessment and optimization of their products and value chains. Therefore they need employees with valid knowledge and competencies in sustainability and resources management. Based on this demand, the master's program "Sustainable Services and Nutrition Management" started in 2009 in the University of Applied Sciences in M{\"u}nster (Germany)1. This text reports about how the topic of resource efficiency in food/nutrition industry has been integrated within the study program, which projects have been worked on and what experience could be gained from them.}, subject = {Hochschulbildung}, language = {en} } @masterthesis{DaCosta2011, type = {Bachelor Thesis}, author = {Da Costa, Rodolfo}, title = {Nachhaltige Nutzung von Europaletten als standardisierte Bauelemente zur Errichtung von mobilen Bauten in Krisen und Katastrophen}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-478}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4780}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2011}, abstract = {In der internationalen Soforthilfe haben sich standardisierte und technisch angepasste L{\"o}sungen bew{\"a}hrt. Die als Verpackungsmaterial mobiler Nothilfeeinheiten ausgelieferten Europaletten lassen sich aufgrund ihrer Standardisierung weltweit zu semipermanenten Geb{\"a}uden mit einfachsten Mitteln zusammensetzen.}, subject = {DISMA}, language = {de} } @misc{Schmitt2011, type = {Master Thesis}, author = {Schmitt, Timo}, title = {Konzeptentwicklung und Realisierung eines Angebotes f{\"u}r Kinder und Jugendliche zur Bildung eines nachhaltigen Bewusstseins f{\"u}r Ern{\"a}hrung (KIMBAmobil der Berliner Tafel e.V.)}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-479}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4799}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2011}, abstract = {Seit einem Jahr betreibt der Kinder- und Jugendbereich der Berliner Tafel nun das KIMBAmobil als fahrbares Kochstudio. Im Gegensatz zur herk{\"o}mmlichen Arbeit der Berliner Tafel geht es beim KIMBA-Projekt nicht um eine Unterst{\"u}tzung von bed{\"u}rftigen Menschen. Mit dem Angebot der mobilen Kochkurse soll ein Beitrag zur Ern{\"a}hrungsbildung f{\"u}r Kinder und Jugendliche geleistet werden. Um das Angebot auf einer fundierten wissenschaftlichen Basis aufzubauen und dahingehend zu bewerten, war es deshalb auch n{\"o}tig, sich mit den aktuellen Erkenntnissen verschiedener Disziplinen auseinanderzusetzen. Damit der Komplexit{\"a}t des Ern{\"a}hrungssystems und somit auch der Ern{\"a}hrungsbildung Rechnung getragen werden konnte, war eine interdisziplin{\"a}re Herangehensweise an das Thema erforderlich.Vordergr{\"u}ndig haben die meisten Akteure der Ern{\"a}hrungsbildung als Hauptproblem unter Heranwachsenden {\"U}bergewicht, immer h{\"a}ufiger auch in Begleitung anderer Zivilisationskrankheiten wie Diabetes, ausgemacht. Das ist sicherlich nicht falsch, allerdings sind dies lediglich Symptome, ausgel{\"o}st durch ung{\"u}nstiges Ern{\"a}hrungsverhalten. Genau da liegt aber die Wurzel des {\"U}bels. Das weitaus gr{\"o}ßte Problem ist die mangelnde Ern{\"a}hrungskompetenz von Kindern und Jugendlichen. Diese Tatsache ist es n{\"a}mlich, die letzten Endes zu Fehlern{\"a}hrung und Bewegungsmangel f{\"u}hrt, was dann wiederum in oben genannten Symptomen enden kann. Konzepte wie das des KIMBAmobil gehen an dieser Stelle den n{\"o}tigen Schritt, indem sie das theoretische Wissen, das den Kindern und Jugendlichen mitgegeben wird, aufgreifen und mit der Praxis verkn{\"u}pfen. Speziell bei der Realisierung setzt die Berliner Tafel mit ihrem Programm auf eine nachhaltige Entwicklung. Es wird auf Lebensmittel zur{\"u}ckgegriffen, die auch zug{\"a}nglich sind, und man begegnet den Heranwachsenden auf einer respektvollen und anerkennenden Ebene. Kinder und Jugendliche werden ermutigt, ihre Umwelteigenverantwortlich, selbstbewusst und -bestimmt zu erkunden. Der Schl{\"u}ssel des Erfolges liegt keineswegs alleine in dieser Herangehensweise, aber es ist ein ganz wichtiger Schritt in die richtige Richtung. Letzten Endes ist es die M{\"o}glichkeit, sich weiter zu vernetzen, die aufgegriffen werden muss, und so die einzelnen Kapazit{\"a}ten die Familien, Schulen und Kinderg{\"a}rten oder externe Bildungsangebote mit sich bringen, sinnvoll zu verbinden. Abschließend l{\"a}sst sich sagen, dass die Aktivit{\"a}t der Berliner Tafel im Kinder- und Jugendbereich durchaus ihre Berechtigung hat. Das KIMBAProjekt setzt genau dort an, wo bisher noch L{\"u}cken in der Ern{\"a}hrungsbildung bestehen und leistet somit einen wichtigen Beitrag, hin zu einer ges{\"u}nderen und bewussten Ern{\"a}hrung von Kindern und Jugendlichen. Dieses Argument konnte auch durch die Evaluation der ersten Saison untermauert werden. Die Berliner Tafel beansprucht dieses Feld nicht f{\"u}r sich alleine, sondern m{\"o}chte mit ihrem Ern{\"a}hrungsbildungsprogramm andere Einrichtungen und Familien dazu ermutigen, selbst in diese Richtung aktiv zu werden. Damit besteht auch nicht die Gefahr, dass durch Projekte wie das KIMBAmobil jemand aus der Verantwortung genommen wird. Dies w{\"a}re auch gar nicht m{\"o}glich, da die prim{\"a}ren Orte f{\"u}r Bildung zweifelsfrei zuhause sowie in Schulen und Kinderg{\"a}rten liegen. Nichtsdestotrotz gibt es auch f{\"u}r die Kinder- und Jugendabteilung der Berliner Tafel noch viel zu tun, damit durch das KIMBAProjekt weiterhin ein sinnvolles und vor allem kompetentes Angebot realisiert werden kann.}, subject = {Gesunde Ern{\"a}hrung}, language = {de} } @masterthesis{Kurek2014, type = {Bachelor Thesis}, author = {Kurek, Annika}, title = {Auswahl einer geeigneten S{\"a}uglingsnahrung f{\"u}r das reduzierte Warenangebot im Falle einer Versorgungskrise; Empfehlungen im Rahmen des BMBF-Forschungsprojektes NeuENV}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-481}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4810}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2014}, abstract = {Das Konzept der Ern{\"a}hrungsnotfallvorsorge in Deutschland soll die Sicherstellung der Lebensmittelversorgung auch bei Eintritt einer Versorgungskrise, ausgel{\"o}st durch St{\"o}rungen oder Ausfall von Sektoren Kritischer Infrastrukturen wie Transport, Kommunikation oder Energie, gew{\"a}hrleisten. Die nat{\"u}rliche Ern{\"a}hrung des S{\"a}uglings durch das Stillen ist besonders in einer Versorgungskrise, aber auch in Nicht-Krisenzeiten eine in jeder Hinsicht empfehlenswerte Methode. Bei so genannten Stillhindernissen von Seiten der Mutter oder des Kindes kann es aber dazu kommen, dass die Ern{\"a}hrung an der Brust, nicht oder nur eingeschr{\"a}nkt m{\"o}glich ist. Vor diesem Hintergrund muss auf eine industriell hergestellte S{\"a}uglingsnahrung (trinkfertig oder zum Zubereiten) ausgewichen werden. Aus diesem Grund bildet die {\"U}berpr{\"u}fung der Eignung trinkfertiger PRE-S{\"a}uglingsanfangs-Milchsorten verschiedener Hersteller f{\"u}r das reduzierte Warenangebot in einer Versorgungskrise den Forschungsgegenstand dieser Arbeit. Die Betrachtung der Produkte erfolgte anhand der sechs aufgestellten Kriterien: Mindesthaltbarkeit, Lagerbedingungen/Lagerf{\"a}higkeit, Zeitaufwand im Krisenfall, Ressourceneinsatz, Verpackung und Preis.}, language = {de} } @misc{Boost2011, type = {Master Thesis}, author = {Boost, Christian Gundolf}, title = {Ausserklinischer Realimentationsbeginn bei extrem mangelern{\"a}hrten Menschen im Zustand stabiler ketotischer Stoffwechsellage unter Verwendung leicht resorbierbarer Fette}, publisher = {FH M{\"u}nster}, doi = {10.25974/fhms-483}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4839}, school = {FH M{\"u}nster - University of Applied Sciences}, year = {2011}, abstract = {Dass Hochenergiekekse (High Energy Bisquits - HEB's) aufgrund ihres hohen Glukosegehalts und der h{\"a}ufig unkontrollierten Menge an zu sich genommener Nahrung das Refeeding-Syndrom ausl{\"o}sen k{\"o}nnen, lasst sich anhand der unzureichenden Datenlage nur schwer beweisen. Aus den Erfahrungen, die unter klinischen Bedingungen mit dem RFS gemacht wurden, lasst sich jedoch vermuten, dass HEBs bei extrem Mangelern{\"a}hrten mit hoher Wahrscheinlichkeit zur Ausl{\"o}sung eines RFS fuhren. Die medizinische Fachwelt hat sich weitgehend darauf geeinigt, diese beobachteten Symptome unter dem Begriff "Refeeding-Syndrom" zusammenzufassen. Deshalb wurde es in der Fachwelt begr{\"u}ßt, dass das National Institute for Health and Clinical Excellence (NICE) Kriterien aufgestellt hat, um RFS-Risikopatienten schneller zu erkennen und so fr{\"u}h wie m{\"o}glich prophylaktische Maßnahmen einzuleiten (2010: 3). Das World Food Programme der Vereinten Nationen f{\"u}hrt verschiedene RUFs in seinem Bestand (siehe Anhang). Laut WFP(a) sollten RUFs hauptsachlich in Notfall-Eins{\"a}tzen oder bei dem Beginn einer WFP Intervention eingesetzt werden. Das WFP verf{\"u}gt {\"u}ber umfangreiche Vorrate an Hochenergiekeksen, Erdnussbutterpaste, komprimierten Nahrungsriegeln und Vitamin- und Mineralienpulver als Fertignahrung. HEBs sollen nur in den ersten Tagen der Katastrophe, wenn keine Kochm{\"o}glichkeiten vorhanden sind, eingesetzt werden. Diese Kekse basieren auf Weizenmehl, enthalten aber verschiedene Arten von Glukosesirup, Milchpulver und wichtigen Mikron{\"a}hrstoffen. In 100 Gramm Keksen sind 10 bis 15 Gramm Protein und 15 Gramm Fett enthalten. Demzufolge ist ein Keks aus cirka 60 bis 70 Prozent Glukose, 10 bis 15 Prozent Eiweiss und 15 Prozent Fett zusammengesetzt. Von einer dauerhaften Ern{\"a}hrung ist aufgrund der Zusammensetzung abzuraten. Die NICE-Richtlinie f{\"u}r eine RFS-risikoarme Realimentation (siehe Tabelle 8), sieht eine Makronahrstoffzusammensetzung von 50 bis 60 Prozent Glukose, 30 bis 40 Prozent Fett und 15 bis 20 Prozent Eiweiß als optimal an. Aber weisen diese empfohlenen N{\"a}hrstoffverh{\"a}ltnisse doch eindeutige Unterschiede zu den N{\"a}hrstoffverh{\"a}ltnissen der HEBs auf. Ein weiteres RUF sind die Compressed Food Bars. Sie werden ebenfalls aus Weizenmehl gebacken und enthalten Pflanzen{\"o}l, Glukose und Sojaeiweißkonzentrat. Das WFP weist ausdr{\"u}cklich darauf hin, dass diese komprimierten Nahrungsriegel nicht f{\"u}r unter 6 Monate alte Kinder geeignet sind. Ebenso wenig eignen sie sich f{\"u}r die ersten zwei Wochen der Behandlung einer ernsten Unterern{\"a}hrung. Von dem Mikron{\"a}hrstoffpulver einmal abgesehen, ist die Erdnussbutterpaste das dritte Ready-to-Use Food, welches dem World Food Programme im Kampf gegen den Hunger zur Verf{\"u}gung steht. Dieses gibt es laut WFP(a) in zwei Ausf{\"u}hrungen von der franzosischen Firma Nutriset. Zum Einen gibt es Plumpy-Doz, welches aus Erdnussbutterpaste, Magermilchpulver, Pflanzen{\"o}l, Molke, Maltodextrin und Zucker besteht, zum Anderen gibt es Supplementary Plumpy, welches die gleiche Makron{\"a}hrstoffzusammensetzung hat, aber zusatzlich mit Mikronahrstoffen wie Thiamin, Kalium, Phosphat, Magnesium und vielen mehr angereichert ist. Ein Gegenargument f{\"u}r eine hohe Gabe an Fett ist die M{\"o}glichkeit der Ketoazidose. Nach Bauch, K. und Gericke, G. kann es aufgrund des geringen, durch Hunger verursachten, Insulinspiegels und der hohen Anzahl an Ketonk{\"o}rpern im Blut, bei einer erh{\"o}hten Gabe von Fett zu einem weiteren starken Anstieg an Ketonk{\"o}rpern kommen (2004: 618). Die Ketonk{\"o}rper Acetoacetat und \&\#946;-Hydroxybutters{\"a}ure sind relativ starke organische S{\"a}uren. Durch die Wechselwirkungen mit den ebenfalls hohen Konzentrationen an Fetts{\"a}uren und Milchs{\"a}ure kann der PH-Wert des Blutes fallen, was den Betreffenden in ein ketotisches Koma versetzen kann (Newsholme und Leech 1983: 285). Eine Erh{\"o}hung des Insulinspiegels w{\"u}rde nach Newsholme und Leech die hungerbedingte endogene Ketogenese stoppen und damit den Ketonk{\"o}rperspiegel langsam absenken (1983: 532). Der Anstieg des Insulinspiegels w{\"a}re bei PlumpyDoz insofern gegeben, da diese Erdnussbuttermischung auch Zucker enthalt, und dieser einen Anstieg des Insulinspiegels provoziert. Das macht diese Erdnussbutterpaste zu einem geeigneten RUF, das RFS zu vermeiden.}, subject = {Unterern{\"a}hrung}, language = {de} } @article{KriegGardemann2009, author = {Krieg, Christa Maria and Gardemann, Joachim}, title = {A record of morbidity and medical request profiles in international humanitarian aid, taking the earthquake in BAM in Iran in 2003 as an example}, series = {Nederlands Militair Geneeskundig Tijdschrift / Netherlands Military Medical Review}, volume = {62}, journal = {Nederlands Militair Geneeskundig Tijdschrift / Netherlands Military Medical Review}, publisher = {Director of Military Health Care}, address = {The Hague}, issn = {0369-4844}, doi = {10.25974/fhms-452}, url = {http://nbn-resolving.de/urn:nbn:de:hbz:836-opus-4522}, pages = {180 -- 187}, year = {2009}, abstract = {A record of morbidity and medical request profiles in international humanitarian aid, taking the earthquake in BAM in Iran in 2003 as an example Objective: With the humanitarian work of the International Red Cross after the earthquake in BAM, Iran, it should be noted that international and national cooperation is possible according to recognised standards and concepts, and therefore morbidity records can be included uniformly in the context of day to day work even in post disaster situations. The data ascertained show changes in the disease spectrum. Basic health provision according to the primary health care concept has priority in the post disaster response (> 6 days) of the earthquake compared to more surgically oriented medical acute aid from abroad. Material and methodology: In the international consensus conference at the beginning of January 2004, uniform morbidity recording was fixed to simple standardised case definitions. The recording of traumatic, infectious and non-infectious diseases was carried out during the routine work in the out-patient facilities of the emergency response units of January 3 to 31, 2004 . Examination was according to the following indicators: Proportional morbidities, sum of the proportional morbidities. Results and discussion: 16677 new cases were included in the complete examination time period. The health facility rate only gradually increased. Temporal fluctuations in the numbers treated may be caused by secondary care of the injured, by a possible lack of accessibility (transport problems) or an increased acceptance of facilities. A written specification of the case definitions was not carried out in BAM, and so a comparison is not possible for recorded morbidities at the same time, and consistency cannot be reached for some of the data. Nine diagnoses/categories cover 98.68\% of the consultations in the complete time period. Non-traumatic health problems predominate for the whole of the month. The category "others" is too high with 57.94\%. Therefore, it may be assumed that certain diagnoses were overestimated, underestimated or not recognised. Vulnerable groups (children, women, the old), were not completely included. Conclusion: Standards and guidelines for health care in humanitarian aid exist, and are of help during planning, decision finding, execution and communication. Data acquisition instruments (registering books and patient files) should be developed and standardised by national and international humanitarian groups. The recording of morbidity is a simple instrument in the context of out-patient facilities with valuable information for further work during catastrophes.}, subject = {Katastrophenmedizin}, language = {en} }