Oecotrophologie · Facility Management (OEF)
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Unsustainable consumption patterns of the North (or rather of the global affluent consumers class) have been identified by Agenda 21 as one of the key driving forces behind the unsustainable development. However, neither accounting based on the system of national accounts SNA nor household economics provide the proper instruments to assess the environmental impact of household decision making. Eco-efficiency assessments as familiar in the business sector provide no appropriate tool for households. As an alternative an environmental space based assessment scheme is suggested covering the major pressures on the environment caused by household decisions. The methodology is used twice: once to analyse the environmental relevance of the main activity clusters of household consumption and once to identify the dominant acts of consumption within each cluster. The latter provide the basis for deriving environmental performance indicators. A rough analysis of household influence potentials permits to identify housing, eating and mobility as the three priority fields for action for minimising the environmental impact of households. Extending the influence analysis actor matrixes are derived allocating influence and thus responsibility for environmental pressures to different groups of economic agents.
The objective of this paper is to identify those areas of consumption, in which private households can make significant contributions to environmental sustainability, and to present a transparent and comprehensive set of indicators for them. The analysis of the environmental impacts of households focuses on consumption clusters that permit to depict different life spheres of private households. Two criteria guided the investigation of the relevance of these clusters: · The significance of the consumption cluster, and · The potential influence of households. Resource consumption was chosen as simplified, but reliable representation of environmental pressure dynamics. Growing resource consumption goes together with growing environmental pressures and vice versa, although not necessarily proportionally. The key resources analysed are energy and material consumption, and land use. Based on this analysis, three priority fields for action by households were identified: construction and housing, food/nutrition and transport (in this order). All other consumption clusters can be considered environmentally marginal, providing combined saving potentials of less than 10% of the total resource consumption. Finally, from description of the respective roles of actors based on anecdotal evidence a semi-quantitative "actor matrix" is presented indicating the relative influence of different actors per consumption cluster.
The influence of globalization on the sustainability of consumption is a frequent topic in academic and political debates. Despite this, the scientific understanding of this influence and, even more so, of the consequences for governance strategies in pursuit of sustainable consumption are still weak. In this paper, we therefore inquire into the specific channels of the influence of globalization on the sustainability of consumption. Based on our analysis, we develop guidelines for sustainable consumption governance.
Abstract This study extends previous research evaluating the association between the CHIP intervention, change in body weight, and change in psychological health. A randomized controlled health intervention study lasting 4 wk. was used with 348 participants from metropolitan Rockford, Illinois; ages ranged from 24 to 81 yr. Participants were assessed at baseline, 6 wk., and 6 mo. The Beck Depression Inventory (BDI) and three selected psychosocial measures from the SF-36 Health Survey were used. Significantly greater decreases in Body Mass Index (BMI) occurred after 6 wk. and 6 mo. follow-up for the intervention group compared with the control group, with greater decreases for participants in the overweight and obese categories. Significantly greater improvements were observed in BDI scores, role-emotional and social functioning, and mental health throughout follow-up for the intervention group. The greater the decrease in BMI through 6 wk., the better the chance of improved BDI score, role-emotional score, social functioning score, and mental health score, with odds ratios of 1.3 to 1.9. Similar results occurred through 6 mo., except the mental health variable became nonsignificant. These results indicate that the CHIP intervention significantly improved psychological health for at least six months afterwards, in part through its influence on lowering BMI.
Abstract In sub-Sahara Africa, micronutrient deficiency, especially of antioxidant micronutrients including vitamins A, C, and E, beta-carotene, selenium, zinc, and polyphenols is very common in HIV-positive patients. Amongst adults, women are the most vulnerable. Antioxidants are known to play a vital role in the immune system, reducing oxidative stress. Oxidative stress is induced by excess production of reactive oxygen species (ROS), due to the HIV infection. Such damage may be prevented or moderated through adequate oral intake of antioxidants, scavenging ROS, as well as protecting cells and tissues against oxidative stress. Antioxidants can be provided to the body through locally available antioxidant rich-diets such as fruit-and-vegetable-based diets and/or dietary supplements. Provision of antioxidants through local diets or dietary supplements exercise beneficial effects on biological markers of the immune system (CD4 and viral load). However, while dietary supplements represent a costly and short-term strategy to limiting antioxidant deficiency, local diets, combined with adequate nutritional education, can provide a low-cost and long-term strategy to reduce oxidative stress, prevent micronutrient deficiency, and slow down HIV disease progression. The former can be applicable in countries around the West, Central, and South coast of Africa, which are rich in natural food resources. In contrast with significant evidence that dietary supplements confer benefits in HIV patients, fewer data are available relating to the benefits of local diets. Thus the need to do more research in this area arises. This review compares available data on effects of antioxidants on CD4 and viral load in HIV-positive women noneligible for antiretroviral therapy. Intake of antioxidants though dietary supplements and local diet, associated with nutritional education, is compared. Studies conducted in sub-Sahara Africa are considered.
The Effects of Lifestyle Modification on Glycemic Levels and Medication Intake:The Rockford CHIP
(2012)
Introduction: The high prevalence of cardiovascular disease (CVD) in the past 50 years has led to intense research, resulting in many improvements in treatment. At the same time, type 2 diabetes, with its concomitant increase in vascular complications, has become a serious, exploding and costly public health concern . Diabetes now affects 285 million adults worldwide and 344 million with pre-diabetes. Of these, 25.8 million diabetics and 79 million pre-diabetics are found in the United States alone.The current cost of diabetes in the US is likely to exceed the $174 billion estimate, which includes 2/3 for direct medical costs and 1/3 for indirect costs, such as disability, work loss, and premature death, but omits the social cost of intangibles (e.g. pain, suffering, lower quality of life). The diabetes epidemic has been accompanied by a similarly drastic increase in obesity. Although the relationship between the two developments is a matter of debate, both are presumably caused by changes in dietary habits and an increasingly sedentary modern lifestyle . Compelling evidence has shown that lifestyle changes can effectively prevent or delay the occurrence of type 2 diabetes. Because individuals at risk for this disease can usually be identified during the pre-diabetic phase of impaired glucose tolerance, early intervention and lifestyle change offer a logical approach to preventing this disease and its devastating vascular complications. Additionally, community-based lifestyle interventions for high risk groups and for the general population are a cost-effective way of curbing the growing burden of the disease. Solidifying the scientific basis for the prevention, treatment and control of this disease and its implementation on a national level, however, remains a difficult challenge. Moreresearch is needed to provide comprehensive and more effective strategies for weight-loss,especially over time. Therefore, the objectives of this study were to identify diabetics and those at risk (prediabetics) out of the total cohort of 1,517 who selected themselves into an intensive community-based lifestyle intervention program, and to assess its clinical efficacy ineffecting medication status as determined and managed by their personal physicians.
The Tigray and Afar Water Initiative (TAWI) is a collaboration between the Mekelle University (Ethiopia), the Muenster University of Applied Sciences (Germany) and the Westfalian Wilhelms-University Muenster (Germany). This special initiative is concerned with the rural water supply for the particularly water-scarce regional states of Tigray and Afar in the semi-arid north of Ethiopia. This paper describes a pilot project near the village of Koraro, Hawzen county in the Tigray region and deals with river reaches or creeks which carry water for short periods and only after the longer of two rainy seasons. When these waters run dry, water is still often to be found under the dry beds and is used casually by local people for agricultural purposes. An impermeable wall constructed as a subsurface dam to retain water in the ensuing subsurface micro-reservoir under the bed of such rivers could enable this usage to be intensified and hence enhance the water supply of small local user-groups, while at the same time positively influencing the landscape water balance. Here, the word micro refers to the fact that only the pores of the granular soil of an alluvial river bed are used to store water. Furthermore, storing water underground also avoids the danger of increasing the incidence of diseases such as malaria, a consequence of open water ponds.
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 Münster (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.
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.