TY - JOUR A1 - Jablonowski, L A1 - Gardemann, J A1 - Smollich, M A1 - Kuczius, T T1 - Meinungsbild von Pädiatern zum Impfstatus von geflüchteten Kindern – Herausforderungen einer medizinischen Anbindung an das ambulante Regelversorgungssystem JF - Gesundheitswesen N2 - it is possible to identify fields of action for the prevention of vaccination gaps among refugees as well as for their systematic integration into the regular outpatient care system. The sphere standards as international standards should be incorporated more consciously KW - Flüchtlinge KW - Impfstatus KW - Impfverhalten KW - Infektionsschutz KW - Sphere-Standards Y1 - 2021 U6 - http://dx.doi.org/10.1055/a-1585-1679 VL - 2021 IS - 11 ER - TY - JOUR A1 - Baumeister, Anna A1 - Gardemann, Joachim A1 - Fobker, Manfred A1 - Spiegler, Verena A1 - Fischer, Tobias T1 - Short-Term Influence of Caffeine and Medium-Chain Triglycerides on Ketogenesis: A Controlled Double-Blind Intervention Study JF - Hindawi Journal of Nutrition and Metabolism N2 - 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. KW - Ketogenesis KW - Caffeine Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-138069 VL - Volume 2021, Article ID 1861567 SP - 1 EP - 9 ER - TY - JOUR A1 - Skau, Jutta K. H. A1 - Touch, Bunthang A1 - Chhoun, Chamnan A1 - Chea, Mary A1 - Unni, Uma S. A1 - Makurat, Jan A1 - Filteau, Suzanne A1 - Wieringa, Frank T. A1 - Dijkhuizen, Marjoleine A. A1 - Ritz, Christian A1 - Wells, Jonathan C. A1 - Berger, Jacques A1 - Friis, Henrik A1 - Michaelsen, Kim F. A1 - Roos, Nanna T1 - Effects of animal source food and micronutrient fortification in complementary food products on body composition, iron status, and linear growth: a randomized trial in Cambodia JF - The American journal of clinical nutrition N2 - BACKGROUND Poor nutritional quality of complementary foods often limits growth. Animal source foods, such as milk or meat, are often unaffordable. Local affordable alternatives are needed. OBJECTIVE We evaluate the efficacy of 2 newly developed, rice-based complementary food products: WinFood (WF) with small fish and edible spiders and WinFood-Lite (WF-L) fortified with small fish, against 2 existing fortified corn-soy blend products, CSB+ (purely plant based) and CSB++ (8% dried skimmed milk). DESIGN In total, 419 infants aged 6 mo were enrolled in this randomized, single-blinded study for 9 mo, designed primarily to assess increments in fat-free mass by a deuterium dilution technique and change in plasma ferritin and soluble transferrin receptor. Secondary endpoints were changes in anthropometric variables, including knee-heel length. Data were analyzed by the intention-to-treat approach. RESULTS There was no difference in fat-free mass increment in WF or WF-L compared with CSB+ [WF: +0.04 kg (95% CI: -0.20, 0.28 kg); WF-L: +0.14 kg (95% CI: -0.10, 0.38 kg)] or CSB++ [WF: -0.03 kg (95% CI: -0.27, 0.21 kg); WF-L: +0.07 kg (95% CI: -0.18, 0.31 kg)] and no effect on iron status. The 1.7-mm (95% CI: -0.1, 3.5 mm) greater increase in knee-heel length in WF-L than in CSB+ was not significant. CONCLUSIONS No difference was found between the locally produced products (WF and WF-L) and the CSBs. Micronutrient fortification may be necessary, and small fish may be an affordable alternative to milk to improve complementary foods. The dietary role of edible spiders needs to be further explored. This trial was registered at controlled-trials.com as ISRCTN19918531. Y1 - 2015 U6 - http://dx.doi.org/10.3945/ajcn.114.084889 VL - 101 SP - 742 EP - 751 ER - TY - JOUR A1 - Makurat, Jan A1 - Pillai, Aarati A1 - Wieringa, Frank T. A1 - Chamnan, Chhoun A1 - Krawinkel, Michael B. T1 - Estimated Nutritive Value of Low-Price Model Lunch Sets Provided to Garment Workers in Cambodia JF - Nutrients N2 - BACKGROUND The establishment of staff canteens is expected to improve the nutritional situation of Cambodian garment workers. The objective of this study is to assess the nutritive value of low-price model lunch sets provided at a garment factory in Phnom Penh, Cambodia. METHODS Exemplary lunch sets were served to female workers through a temporary canteen at a garment factory in Phnom Penh. Dish samples were collected repeatedly to examine mean serving sizes of individual ingredients. Food composition tables and NutriSurvey software were used to assess mean amounts and contributions to recommended dietary allowances (RDAs) or adequate intake of energy, macronutrients, dietary fiber, vitamin C (VitC), iron, vitamin A (VitA), folate and vitamin B12 (VitB12). RESULTS On average, lunch sets provided roughly one third of RDA or adequate intake of energy, carbohydrates, fat and dietary fiber. Contribution to RDA of protein was high (46% RDA). The sets contained a high mean share of VitC (159% RDA), VitA (66% RDA), and folate (44% RDA), but were low in VitB12 (29% RDA) and iron (20% RDA). CONCLUSIONS Overall, lunches satisfied recommendations of caloric content and macronutrient composition. Sets on average contained a beneficial amount of VitC, VitA and folate. Adjustments are needed for a higher iron content. Alternative iron-rich foods are expected to be better suited, compared to increasing portions of costly meat/fish components. Lunch provision at Cambodian garment factories holds the potential to improve food security of workers, approximately at costs of <1 USD/person/day at large scale. Data on quantitative total dietary intake as well as physical activity among workers are needed to further optimize the concept of staff canteens. Y1 - 2017 U6 - http://dx.doi.org/10.3390/nu9070782 VL - 9 ER - TY - JOUR A1 - Makurat, Jan A1 - Kretz, Eleonore C. A1 - Wieringa, Frank T. A1 - Chamnan, Chhoun A1 - Krawinkel, Michael B. T1 - Dietary Diversity in Cambodian Garment Workers: The Role of Free Lunch Provision JF - Nutrients N2 - The objective of this paper is to compare food consumption by Cambodian garment workers with and without access to a free model lunch provision through a factory-based canteen. Data from an exploratory randomised controlled trial were analysed. In total, 223 female Cambodian garment workers were allocated to an intervention arm (six-month lunch provision) or a control arm. Dietary intake on workdays was assessed by qualitative 24-h recalls at baseline and twice at follow-ups during the period of lunch provision using the Food and Agricultural Organization (FAO) guideline on assessing women's dietary diversity. In total, 158 participants provided complete data on the dietary intake over workdays at all interviews. Lunch provision resulted in a more frequent consumption of dark green leafy vegetables (DGLV), vitamin A-rich fruits, other fruits, and oils and fats during lunch breaks. In contrast, flesh meats, legumes, nuts and seeds, as well as sweets, were eaten at a lower frequency. Except for a higher consumption rate of vitamin A-rich fruits and a lower intake frequency of sweets, lunch provision had a less clear impact on total 24-h intake from different food groups and was not associated with a higher women's dietary diversity score (WDDS). A more gap-oriented design of the lunch sets taking into account underutilised foods and the nutritional status of the workers is recommended. Y1 - 2018 U6 - http://dx.doi.org/10.3390/nu10081010 VL - 10 ER - TY - JOUR A1 - Makurat, Jan A1 - Friedrich, Hanna A1 - Kuong, Khov A1 - Wieringa, Frank T. A1 - Chamnan, Chhoun A1 - Krawinkel, Michael B. T1 - Nutritional and Micronutrient Status of Female Workers in a Garment Factory in Cambodia JF - Nutrients N2 - BACKGROUND Concerns about the nutritional status of Cambodian garment workers were raised years ago but data are still scarce. The objectives of this study are to examine the nutritional, hemoglobin and micronutrient status of female workers in a garment factory in Phnom Penh, Cambodia, and to assess if body mass index is associated with hemoglobin and/or micronutrient status. METHODS A cross-sectional survey was conducted among 223 female workers (nulliparous, non-pregnant) at a garment factory in Phnom Penh. Anthropometric measurements were performed and blood samples were taken to obtain results on hemoglobin, iron, vitamin A, vitamin B12 and inflammation status (hemoglobinopathies not determined). Bivariate correlations were used to assess associations. RESULTS Overall, 31.4% of workers were underweight, 26.9% showed anemia, 22.1% showed iron deficiency, while 46.5% had marginal iron stores. No evidence of vitamin A or vitamin B12 deficiency was found. Body mass index was associated with serum ferritin (negative) and serum retinol-binding protein (positive) concentrations, but not strongly. A comparison between underweight and not underweight workers resulted in distinctions for iron deficiency and iron deficiency anemia, with a higher prevalence among not underweight. CONCLUSIONS The prevalence of underweight, anemia and poor iron status was high. Young and nulliparous female garment workers in Cambodia might constitute a group with elevated risk for nutritional deficiencies. Strategies need to be developed for improving their nutritional, micronutrient and health status. The poor iron status seems to contribute to the overall prevalence of anemia. Low hemoglobin and iron deficiency affected both underweight and those not underweight. Despite the fact that body mass index was negatively associated with iron stores, true differences in iron status between underweight and not underweight participants cannot be confirmed. Y1 - 2016 U6 - http://dx.doi.org/10.3390/nu8110694 VL - 8 ER - TY - JOUR A1 - Makurat, Jan A1 - Becker, Natalie A1 - Wieringa, Frank T. A1 - Chamnan, Chhoun A1 - Krawinkel, Michael B. T1 - Impact of lunch provision on anthropometry, hemoglobin, and micronutrient status of female Cambodian garment workers: exploratory randomized controlled trial JF - BMC nutrition N2 - Background Lunch provision is expected to improve the nutritional status of Cambodian garment workers. The objective of this study is to evaluate the effects of a model lunch provision through a canteen on anthropometry, hemoglobin, and micronutrient status in female garment workers in Cambodia. Methods This exploratory randomized controlled trial was implemented at a garment factory in Phnom Penh, Cambodia. Female workers (nulliparous, non-pregnant) were recruited and randomly allocated into an intervention arm (workday's lunch provision) and a control arm. Served lunch sets (̃ 700 kcal on average) included diverse local dishes. Anthropometry (body mass index, weight, triceps skinfold thickness, and mid-upper arm muscle circumference), as well as hemoglobin, serum ferritin and soluble transferrin receptor, serum retinol binding protein, and serum folate concentrations were assessed at baseline and after 5 months of lunch provision. A general linear model with adjustments for baseline values was used to estimate intervention effects for each outcome variable. Results Two hundred twenty-three women were recruited (n = 112 control and n = 111 intervention). 172 (n = 86 in each arm) completed the study. Baseline prevalence of underweight, anemia, depleted iron stores, and marginal iron stores, were 31, 24, 21, and 50%, respectively. Subjects were not affected by frank vitamin A or folate deficiency, whereas 30% showed a marginal folate status. Overall, mean changes in anthropometric variables, hemoglobin, and retinol binding protein were marginal and not significant among intervention subjects. Mean folate concentration increased insignificantly by + 1.1 ng/mL (- 0.02, 2.2) (p = 0.054). On the other hand, mean ferritin decreased by - 6.6 μg/L (- 11.9, - 1.3) (p = 0.015). Subgroup analysis prompts that effects are differently pronounced according to the baseline status of workers. Conclusions Findings indicate that model lunch sets provided a beneficial amount of dietary folate, but need to be revisited for iron content and/or iron bioavailability. It is believed that distinct positive effects on anthropometry, hemoglobin, and micronutrient status can solely be expected in malnourished individuals. The authors suggest that similar larger trials, which include sets adapted to the concrete needs of workers affected by underweight, anemia and/or definite micronutrient deficiencies, should be performed. Trial registration The trial was registered at the German Clinical Trials Register (9 January 2015, Identifier: DRKS00007666). Y1 - 2019 U6 - http://dx.doi.org/10.1186/s40795-019-0297-4 VL - 5 SP - 36 ER - TY - JOUR A1 - Keuter, Carina A1 - Gardemann, Joachim T1 - Das Refeeding-Syndrom: Eine unterschätzte Komplikation bei mangelernährten Patienten JF - Rettungsdienst N2 - Das Refeeding-Syndrom als Komplikation einer Realimentation mit Kohlenhydraten ist aus der internationalen Nothilfe bestens bekannt und gefürchtet. Auch für den hiesigen Rettungsdienst stellt das Refeeding-Syndrom bei der Erstversorgung extrem mangelernährter Patienten eine Herausforderung dar, die jedoch als drohende Komplikation leicht erkannt und dann gefahrlos vermieden werden kann. KW - Refeeding KW - Realimentation Y1 - 2020 SN - 0178-2525 VL - 43/2020 IS - 11 SP - 86 EP - 91 ER - TY - JOUR A1 - Gardemann, Joachim T1 - Mars-"Kanäle" JF - Spektrum der Wissenschaft N2 - visuelle Beobachtung des Planeten Mars, optische Täuschung in Form gerader Linien. KW - Astronomie Y1 - 2020 UR - https://www.spektrum.de/alias/wunder-des-weltalls/mars-kanaele/1780830 VL - 2020 SP - 1 EP - 3 ER - TY - JOUR A1 - Bimberg, Larissa A1 - Buschmann, Annika A1 - Gardemann, Joachim T1 - Notwendigkeit, Eignung und Anleitung zur Herstellung: Infektionsschutzhauben bei Kontakt mit SARS-CoV-2 JF - Im Einsatz N2 - Nach dem Vorbild der Schutzkleidung während der Ebola-Epidemie 2014 wurden Infektionsschutzhauben (hoods)zur Selbstherstellung für den Pflege- und Rettungsdienst entworfen. KW - Covid-19 KW - Infektionsschutz KW - Schutzausrüstung Y1 - 2020 SN - 1617-4283 VL - 27 IS - Juni 2020 SP - 136 EP - 137 ER - TY - JOUR A1 - von Streit, F A1 - Bartels, C A1 - Kuczius, T A1 - Cassier, C A1 - Gardemann, J A1 - Schaumburg, F T1 - Prevalence of latent tuberculosis in homeless persons: A single-centre cross-sectional study, Germany JF - PLoS ONE KW - Tuberkulose Y1 - 2019 U6 - http://dx.doi.org/10.1371/journal.pone.0214556 SP - e0214556 EP - e0214556 ER - TY - JOUR A1 - Gardemann, Joachim ED - Rüller, Horst T1 - Das immunologische System zur Identifizierung und Abwehr eingedrungener Fremdorganismen JF - Unterricht Pflege KW - Immunsystem Y1 - 2018 SN - 1615-1046 VL - 2018 IS - 5 SP - 30 EP - 32 ER - TY - JOUR A1 - Gardemann, Joachim T1 - Gesundheitsversorgung fuer Fluechtlinge gewaehrleisten T1 - health care for refugees in Germany JF - Aktion Deutschland hilft, Gastkommentar 28-09-2015 N2 - Angesichts der vielen Fluechtlinge, die in den Erstaufnahmeeinrichtungen und Fluechtlingsunterkuenften in Deutschland untergebracht werden, ist eine lueckenlose primaere Gesundheitsversorgung unter Wahrung der Standards der internationalen Fluechtlingshilfe unabdingbar. N2 - In Germany's recent refugee crisis the international standards of humanitarian assistance like sphere have to be followed as well as national regulations. KW - Humanitaere Hilfe KW - Fluechtling KW - Medizinische Versorgung KW - Asylsuchende KW - Sphere KW - refugees KW - sphere Y1 - 2015 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-8271 UR - https://www.aktion-deutschland-hilft.de/de/hilfseinsaetze/hilfe-fuer-fluechtlinge/prof-dr-med-joachim-gardemann-gesundheitsversorgung-fuer-fluechtlinge-gewaehrleisten/ PB - FH Münster ER - TY - JOUR A1 - Gardemann, Joachim T1 - Freiheit, Gesundheit, Healthismus; Gesundheit als vorrangiges Lebensziel? T1 - Freedom, health, healthism; health being the prominent scope for life? JF - Blickpunkt öffentliche Gesundheit N2 - Gesundheit in ihrer zeitgemäßen Definition beinhaltet den Begriff der Autonomie und muss damit auch ein abweichendes Gesundheitserleben zulassen. Die Fachleute in unserem Gesundheitssystem haben zwar die Verpflichtung, die Bevölkerung über ihre wissenschaftlich fundierten Erkenntnisse zur Gesundheitsförderung und Krankheitsprävention zu informieren, dem Individuum ist andererseits aber keine Verpflichtung zur Befolgung dieser Gesundheitsratschläge abzuverlangen. Eine explizite Pflicht, gesund zu sein, findet sich historisch überwiegend nur in diktatorischen Systemen. Eine Gesundheitspflicht als gesellschaftlich mehrheitsfähiges Konstrukt mit implizitem Zwangscharakter im Sinne des Healthismus ist allerdings schon seit längerer Zeit weit verbreitet. KW - Gesundheit KW - Gesundheitspolitik KW - Gesundheitsverhalten KW - Healthismus KW - healthism Y1 - 2012 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-3183 VL - 2012 IS - 3 SP - 1 EP - 2 PB - Akademie für Öffentliches Gesundheitswesen in Düsseldorf ER - TY - JOUR A1 - Gardemann, Joachim T1 - Interdisziplinäre Zusammenarbeit im Rahmen internationaler Soforthilfe T1 - multidisciplinary cooperation in international humanitarian assistance JF - IPP-Info N2 - Aktuelle Überlegungen zu pflegespezifischen Weiterbildungen für Krisen- und Katastrophensituationen werden im Lichte der Praxis großer Internationaler Organisationen der Nothilfe und ihres eher themenorientierten Ansatzes diskutiert. N2 - Concepts of disaster nursing are discussed in the light of multiprofessional and problem-oriented approach of major relief organisations. KW - Humanitäre Hilfe KW - Pflegestudium KW - Interdisziplinarität KW - disaster nursing KW - multiprofessionality Y1 - 2012 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-5584 VL - 7 IS - 10 SP - 3 EP - 4 PB - Institut für Public Health und Pflegeforschung Universität Bremen CY - Bremen ER -