26 research outputs found

    Pro-Environmental Strategies for Small Businesses: Factors Affecting Consumer Trust and Responsibility

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    Consumer reactions to environmental protection policies adopted by small and large retailers were compared and analyzed for differences. Trust in the retailer and expectations of the policy successfully affecting change in the environment were significant predictors of customer loyalty, regardless of retailer size. However, consumers had higher levels of trust and expected to be more loyal to small retailers adopting these policies, even though consumers predicted the larger firms would be in a position to achieve greater results for the environment

    Metabolic syndrome: diagnosis and treatment

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    A sĂ­ndrome metabĂłlica Ă© definida com um grupo de fatores de risco que diretamente contribuem para o desenvolvimento de doença cardiovascular e/ou diabetes do tipo 2. A obesidade abdominal e a resistĂȘncia Ă  insulina parecem ter um papel fundamental na gĂȘnese desta sĂ­ndrome. Seu tratamento deve ter como objetivo estimular mudanças no estilo de vida, que promovam a perda de peso.The metabolic syndrome is defined as a group of risk factors that contribute to the development of cardiovascular disease and type 2 diabetes. Central obesity and insulin resistance may play a role in the genesis of this syndrome. The main objective of the treatmentis to lose weight by promoting lifestyle changes

    Summary of lake-bottom changes along the Chicago lakeshore north of Lincoln Park between 1872 and 1990

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    Contract/Grant Report, Illinois Division of Water Resources WRO 8840.1-.2Ope

    FrequĂȘncia das doenças subclĂ­nicas da tireĂłide e de fatores de risco para doença cardiovascular em mulheres em um local de trabalho

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    CONTEXT AND OBJECTIVE: Subclinical thyroid dysfunction is very common in clinical practice and there is some evidence that it may be associated with cardiovascular disease. The aim here was to evaluate the frequencies of subclinical thyroid disease and risk factors for cardiovascular disease among women at a workplace, and to evaluate the association between subclinical thyroid disease and cardiovascular risk factors among them. DESIGN AND SETTING: Cross-sectional study on 314 women aged 40 years or over who were working at Universidade de SĂŁo Paulo (USP). METHODS: All the women answered a questionnaire on sociodemographic characteristics and risk factors for cardiovascular disease and the Rose angina questionnaire. Anthropometric variables were measured and blood samples were analyzed for blood glucose, total cholesterol and fractions, high-sensitivity C-reactive protein, thyroid-stimulating hormone (TSH), free thyroxine (free-T4) and anti-thyroperoxidase antibodies (anti-TPO). RESULTS: The frequencies of subclinical hypothyroidism and hyperthyroidism were, respectively, 7.3% and 5.1%. Women with subclinical thyroid disease presented higher levels of anti-TPO than did women with normal thyroid function (P = 0.01). There were no differences in sociodemographic factors and cardiovascular risk factors according to thyroid function status, except for greater sedentarism among the women with subclinical hypothyroidism. Restricting the comparison to women with subclinical hypothyroidism (TSH > 10 mIU/l) did not change the results. CONCLUSION: In this sample of women, there was no association between poor profile of cardiovascular risk factors and presence of subclinical thyroid disease that would justify screening at the workplace.CONTEXTO E OBJETIVO: A doença tireoidiana subclĂ­nica Ă© muito frequente na prĂĄtica clĂ­nica e hĂĄ evidĂȘncias que sugerem associação com doença cardiovascular. O objetivo foi estabelecer a frequĂȘncia das doenças subclĂ­nicas da tireĂłide e de fatores de risco para doença cardiovascular em mulheres no local de trabalho, bem como avaliar a associação da doença tireoidiana subclĂ­nica com fatores de risco para doença cardiovascular nessas mulheres. TIPO DE ESTUDO E LOCAL: Estudo transversal em 314 mulheres com 40 ou mais anos de idade que trabalham na Universidade de SĂŁo Paulo. MÉTODOS: Todas as mulheres responderam a questionĂĄrio sobre caracterĂ­sticas sĂłcio-demogrĂĄficas, fatores de risco para doença cardiovascular, questionĂĄrio de angina de Rose, e foram realizadas medidas antropomĂ©tricas e colhido sangue para dosagem de glicemia, colesterol total e fraçÔes, proteĂ­na C ultra-sensĂ­vel, hormĂŽnio tireotrĂłpico (TSH), tiroxina-livre (TS-livre) e anticorpos anti-tireoperoxidase. RESULTADOS: As frequĂȘncias de hipotireoidismo subclĂ­nico e de hipertireoidismo subclĂ­nico foram respectivamente de 7,3% e 5,1%. Os nĂ­veis de anticorpos antiperoxidase foram mais elevados nas mulheres com doença subclĂ­nica da tireoide comparadas Ă s mulheres com função tireoidiana normal (P = 0,01). NĂŁo houve nenhuma diferença estatisticamente significativa entre os fatores sociodemogrĂĄficos e de risco para doença cardiovascular entre os grupos exceto pela maior presença de sedentarismo entre as mulheres com hipotireoidismo subclĂ­nico. Restringir a comparação somente Ă s mulheres com hipotireoidismo subclĂ­nico (TSH > 10 mIU/l) nĂŁo mudou os resultados. CONCLUSÃO: Nesta amostra de mulheres, nĂŁo houve nenhuma associação entre um perfil inadequado dos fatores de risco para doença cardiovascular e a presença de doença subclĂ­nica da tireĂłide que justificasse o rastreamento no local de trabalho.Fundação de Amparo Ă  Pesquisa do Estado de SĂŁo Paulo (FAPESP)Conselho Nacional de Pesquisa (CNPq
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