991 resultados para 4-Aryl-3


Relevância:

80.00% 80.00%

Publicador:

Resumo:

Between January 1996 and July 2003, 93 consecutive patients operated on with a diagnosis of olecranon fractures were identified from our trauma unit files. Fourteen transolecranon fracture-dislocations were found after a retrospective X-radiographic evaluation. Eight patients were women and six were men, with a mean age of 54 years. There were 4 noncomminuted olecranon fractures, treated with K-wires and single tension-band wiring. The remaining 10 fractures were complex fractures, treated in 3 cases with multiple K-wires and single tension-band wiring, in 2 by use of one-third tubular plates, in 1 with a 3.5-mm dynamic compression plate, and in the remaining 4 with 3.5-mm reconstruction plates. Ligament repair was not performed in any case. Three patients needed reoperation because of early failure of primary fixation. Patients were reviewed at a mean follow-up of 3.6 years. Two reported difficulties in daily activities, none with any symptoms of elbow instability. According to the Broberg and Morrey score, 4 patients had excellent results, 6 had good results, 2 had fair results, and 2 had poor results. Four patients showed signs of degenerative arthritis on the radiographs obtained at follow-up. We conclude that transolecranon fracture-dislocation is an underreported and misdiagnosed injury. Various fixation techniques can restore the anatomic relationships and contour of the trochlear notch; the imperative goal is to obtain a good stable primary fixation and allow early active mobilization.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

OBJECTIVE: To compare the management of invasive candidiasis between infectious disease and critical care specialists. DESIGN AND SETTING: Clinical case scenarios of invasive candidiasis were presented during interactive sessions at national specialty meetings. Participants responded to questions using an anonymous electronic voting system. PATIENTS AND PARTICIPANTS: Sixty-five infectious disease and 51 critical care physicians in Switzerland. RESULTS: Critical care specialists were more likely to ask advice from a colleague with expertise in the field of fungal infections to treat Candida glabrata (19.5% vs. 3.5%) and C. krusei (36.4% vs. 3.3%) candidemia. Most participants reported that they would change or remove a central venous catheter in the presence of candidemia, but 77.1% of critical care specialists would start concomitant antifungal treatment, compared to only 50% of infectious disease specialists. Similarly, more critical care specialists would start antifungal prophylaxis when Candida spp. are isolated from the peritoneal fluid at time of surgery for peritonitis resulting from bowel perforation (22.2% vs. 7.2%). The two groups equally considered Candida spp. as pathogens in tertiary peritonitis, but critical care specialists would more frequently use amphotericin B than fluconazole, caspofungin, or voriconazole. In mechanically ventilated patients the isolation of 10(4) Candida spp. from a bronchoalveolar lavage was considered a colonizing organism by 94.9% of infectious disease, compared to 46.8% of critical care specialists, with a marked difference in the use of antifungal agents (5.1% vs. 51%). CONCLUSIONS: These data highlight differences between management approaches for candidiasis in two groups of specialists, particularly in the reported use of antifungals.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

A compactação altera, negativamente, várias propriedades do solo, como a capacidade de penetração das raízes e a disponibilidade de água e nutrientes às plantas, restringindo a taxa fotossintética, o crescimento da parte aérea e, por conseguinte, o rendimento da cultura. Nesse sentido, quando a compactação do solo torna-se limitante ao desenvolvimento das culturas, faz-se necessária a adoção de medidas mitigatórias. Nesse contexto, este trabalho objetivou avaliar o efeito residual de intervenções mecânicas mediante aração e escarificação do solo, associadas à semeadora com sulcadores tipo discos e discos + haste, como prática mitigadora da compactação de solo manejado sob sistema plantio direto (SPD), sobre os parâmetros de resistência do solo à penetração e o rendimento da cultura da soja. Para isso, foi realizado um estudo no município de Coxilha, na região norte do Rio Grande do Sul, em um Latossolo Vermelho, em experimento instalado no ano de 2001 em área com histórico de manejo sob SPD. Nessa área, a cada ano um tratamento foi submetido à descompactação mecânica do solo sob SPD mediante uma aração e outro mediante uma escarificação do solo, anterior à implantação da cultura de verão, retornando-se o manejo sob SPD após essa intervenção. O delineamento experimental foi de blocos ao acaso com parcelas subdivididas, com três repetições. Os tratamentos foram compostos pela combinação de 13 sistemas de manejo do solo, alocados na parcela principal, e dois dispositivos sulcadores da semeadora, alocados na subparcela. Assim, os sistemas de manejo avaliados foram constituídos pela testemunha, representada pela manutenção ininterrupta do SPD por 16 anos; seis períodos de tempo de manejo sob SPD (7,5; 6,5; 5,5; 4,5; 3,5 e 2,5 anos) após uma intervenção mecânica com arado de discos + grade de discos (A); e os mesmos seis períodos após uma intervenção mecânica com escarificador (E). Os níveis alocados na subparcela foram constituídos pela ação de uma semeadora de plantio direto equipada com discos duplos defasados atuando até 7 cm de profundidade e de uma semeadora equipada com discos duplos + haste atuando até 13 cm de profundidade. Os resultados obtidos indicaram que a intervenção mecânica em solo manejado sob SPD consolidado, mediante a prática de escarificação ou aração do solo, apresenta potencial efêmero para mitigar a compactação e promover a melhoria da estrutura do solo, com efeito residual de até dois anos e meio para a resistência do solo à penetração. A utilização de semeadora de plantio direto equipada com sulcador tipo haste + disco apresentou potencial para mitigação da compactação do solo, promovendo a redução da resistência mecânica do solo à penetração na camada de 7 - 15 cm de profundidade. Contudo, o efeito residual da intervenção mecânica para descompactação do solo e a adoção dos diferentes dispositivos de aplicação do adubo no sulco de semeadura não foram eficientes em alterar o rendimento de grãos da cultura da soja na safra agrícola 2008/2009.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

ABSTRACT: Pharmacogenetic tests and therapeutic drug monitoring may considerably improve the pharmacotherapy of depression. The aim of this study was to evaluate the relationship between the efficacy of mirtazapine (MIR) and the steady-state plasma concentrations of its enantiomers and metabolites in moderately to severely depressed patients, taking their pharmacogenetic status into account. Inpatients and outpatients (n = 45; mean age, 51 years; range, 19-79 years) with major depressive episode received MIR for 8 weeks (30 mg/d on days 1-14 and 30-45 mg/d on days 15-56). Mirtazapine treatment resulted in a significant improvement in mean Hamilton Depression Rating Scale total score at the end of the study (P < 0.0001). There was no evidence for a significant plasma concentration-clinical effectiveness relationship regarding any pharmacokinetic parameter. The enantiomers of MIR and its hydroxylated (OH-MIR) and demethylated (DMIR) metabolites in plasma samples on days 14 and 56 were influenced by sex and age. Nonsmokers (n = 28) had higher mean MIR plasma levels than smokers (n = 17): S(+)-enantiomer of MIR, 9.4 (SD, 3.9) versus 6.2 (SD, 5.5) ng/mL (P = 0.005); R(-)-enantiomer of MIR, 24.4 (SD, 6.5) versus 18.5 (SD, 4.1) ng/mL (P = 0.003). Only in nonsmokers, plasma levels of S(+)-enantiomer of MIR and metabolites depended on the CYP2D6 genotype. Therefore, high CYP1A2 activity seen in smokers seems to mask the influence of the CYP2D6 genotype. In patients presenting the CYP2B6 *6/*6 genotype (n = 8), S-OH-MIR concentrations were higher those in the other patients (n = 37). Although it is not known if S-OH-MIR is associated with the therapeutic effect of MIR, the reduction of the Hamilton scores was significantly (P = 0.016) more pronounced in the CYP2B6 *6/*6-genotyped patients at the end of the study. The role of CYP2B6 in the metabolism and effectiveness of MIR should be further investigated.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

BACKGROUND: Little is known on the prevalence of multimorbidity (MM) in the general population. We aimed to assess the prevalence of MM using measured or self-reported data in the Swiss population. METHODS: Cross-sectional, population-based study conducted between 2003 and 2006 in the city of Lausanne, Switzerland, and including 3714 participants (1967 women) aged 35 to 75 years. Clinical evaluation was conducted by thoroughly trained nurses or medical assistants and the psychiatric evaluation by psychologists or psychiatrists. For psychiatric conditions, two definitions were used: either based on the participant's statements, or on psychiatric evaluation. MM was defined as presenting ≥2 morbidities out of a list of 27 (self-reported - definition A, or measured - definition B) or as the Functional Comorbidity Index (FCI) using measured data - definition C. RESULTS: The overall prevalence and (95% confidence interval) of MM was 34.8% (33.3%-36.4%), 56.3% (54.6%-57.9%) and 22.7% (21.4%-24.1%) for definitions A, B and C, respectively. Prevalence of MM was higher in women (40.2%, 61.7% and 27.1% for definitions A, B and C, respectively, vs. 28.7%, 50.1% and 17.9% in men, p < 0.001); Swiss nationals (37.1%, 58.8% and 24.8% for definitions A, B and C, respectively, vs. 31.4%, 52.3% and 19.7% in foreigners, all p < 0.001); elderly (>65 years: 67.0%, 70.0% and 36.7% for definitions A, B and C, respectively, vs. 23.6%, 50.2% and 13.8% for participants <45 years, p < 0.001); participants with lower educational level; former smokers and obese participants. Multivariate analysis confirmed most of these associations: odds ratio (95% Confidence interval) 0.55 (0.47-0.64), 0.61 (0.53-0.71) and 0.51 (0.42-0.61) for men relative to women for definitions A, B and C, respectively; 1.27 (1.09-1.49), 1.29 (1.11-1.49) and 1.41 (1.17-1.71) for Swiss nationals relative to foreigners, for definitions A, B and C, respectively. Conversely, no difference was found for educational level for definitions A and B and abdominally obese participants for all definitions. CONCLUSIONS: Prevalence of MM is high in the Lausanne population, and varies according to the definition or the data collection method.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

PURPOSE: To describe methods and outcomes of excisional revision of a filtering bleb (bleb revision) using free conjunctival autologous graft either for bleb repair or for bleb reduction after trabeculectomy and deep sclerectomy with an implant. METHODS: Retrospective medical records were reviewed for a consecutive non-comparative case series comprising patients who underwent excisional revision of a filtering bleb between May 1998-January 2001. Excisional revision using free conjunctival autologous graft (bleb revision) was performed either for bleb repair, to treat early and late leaks and hypotony with maculopathy, or for bleb reduction, to improve ocular pain, discomfort, burning, foreign body sensation, tearing, and fluctuations of visual acuity. The revision consisted of bleb excision and free conjunctival autologous graft. The bleb histopathology was analyzed in patients who underwent bleb repair. RESULTS: Sixteen patients were included in the study, consisting of nine patients who had a trabeculectomy and seven patients who had a deep sclerectomy with an implant. Bleb revision was necessary in 14 patients due to leaking filtering bleb (bleb repair), and in 2 patients due to bleb dysesthesia (bleb reduction). After a follow-up of 15.1 +/- 8.4 months, the mean intraocular pressure (IOP) rose from 7.8 +/- 6.3 mm Hg to 14.3 +/- 6.5 mm Hg, and the visual acuity from 0.4 +/- 0.3 to 0.7 +/- 0.3, with a P value of 0.008 and 0.03, respectively. The complete success rate at 32 months, according to the Kaplan-Meier survival curve, was 38.3%, and the qualified success rate was 83.3%. Four patients (25%) required additional suturing for persistent bleb leak. To control IOP, antiglaucoma medical therapy was needed for six patients (37.5%) and repeated glaucoma surgery was needed for one patient. CONCLUSION: Free conjunctival autologous graft is a safe and successful procedure for bleb repair and bleb reduction. However, patients should be aware of the postoperative possibility of requiring medical or surgical intervention for IOP control after revision.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

Em regiões de clima tropical ocorre rápida decomposição do material vegetal depositado sobre o solo, sendo a capacidade de reciclar nutrientes pela decomposição da palhada um dos aspectos mais importantes das plantas de cobertura. Objetivou-se avaliar a produtividade e a liberação de nutrientes de forrageiras consorciadas com milho para ensilagem, sucedido pela cultura da soja. Em área da Universidade Estadual Paulista, campus de Ilha Solteira, o experimento consistiu do consórcio de milho com quatro forrageiras: Urochloa brizantha cv. Marandu, Urochloa ruziziensis, Panicum maximum cv. Tanzânia e Panicum maximum cv. Áries, semeadas de três formas: na linha de semeadura do milho, misturada ao adubo; a lanço no mesmo dia da semeadura do milho; e a lanço no estádio V4 do milho, em delineamento de blocos casualizados com esquema fatorial 4 × 3 e quatro repetições. A avaliação da liberação de nutrientes foi realizada durante o cultivo da soja em sucessão aos consórcios pelo método do litter bag, aos 30, 60, 90 e 120 após a semeadura da soja. Panicum maximum cv. Tanzânia apresentou maior produtividade de matéria seca quando semeada a lanço por ocasião da semeadura do milho. A semeadura das forrageiras na linha do milho e a lanço simultaneamente ao milho proporcionaram maior produtividade de matéria seca para formação de palhada. O consórcio da cultura do milho com forrageiras no outono é alternativa para elevar a quantidade de palhada e ciclagem de macronutrientes em sistema plantio direto. O K foi o nutriente que apresentou maior acúmulo na palhada das forrageiras (até 150 kg ha-1), com 100 % de liberação aos 90 dias após a semeadura da soja, sendo excelente alternativa de ciclagem desse nutriente. Panicum maximum cv. Tanzânia semeada a lanço simultaneamente ao milho se destacou na ciclagem de P (13 kg ha-1). Panicum maximum cv. Tanzânia distribuída a lanço no estádio V4 do milho é a opção com menor potencial para produção de palhada e ciclagem de nutrientes, enquanto as demais opções (forrageiras e modalidades de semeadura) têm maior potencial de utilização, ficando a critério da disponibilidade dos maquinários para implantação do consórcio com a cultura do milho.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

BACKGROUND: Mantle cell lymphoma accounts for 6% of all B-cell lymphomas and is generally incurable. It is characterized by the translocation t(11;14) leading to cyclin D1 over-expression. Cyclin D1 is downstream of the mammalian target of rapamycin threonine kinase and can be effectively blocked by mammalian target of rapamycin inhibitors. We set out to examine the single agent activity of the orally available mammalian target of rapamycin inhibitor everolimus in a prospective, multicenter trial in patients with relapsed or refractory mantle cell lymphoma (NCT00516412). DESIGN AND METHODS: Eligible patients who had received a maximum of three prior lines of chemotherapy were given everolimus 10 mg for 28 days (one cycle) for a total of six cycles or until disease progression. The primary endpoint was the best objective response. Adverse reactions, progression-free survival and molecular response were secondary endpoints. RESULTS: Thirty-six patients (35 evaluable) were enrolled and treatment was generally well tolerated with Common Terminology Criteria grade ≥ 3 adverse events (>5%) including anemia (11%), thrombocytopenia (11%) and neutropenia (8%). The overall response rate was 20% (95% CI: 8-37%) with two complete remissions and five partial responses; 49% of the patients had stable disease. At a median follow-up of 6 months, the median progression-free survival was 5.5 months (95% CI: 2.8-8.2) overall and 17.0 (6.4-23.3) months for 18 patients who received six or more cycles of treatment. Three patients achieved a lasting complete molecular response, as assessed by polymerase chain reaction analysis of peripheral blood. CONCLUSIONS: Everolimus as a single agent is well tolerated and has anti-lymphoma activity in relapsed or refractory mantle cell lymphoma. Further studies of everolimus in combination with chemotherapy or as a single agent for maintenance treatment are warranted.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

Decorrente dos sistemas de manejo empregados no solo, como o sistema de preparo convencional (SPC) versus o sistema de plantio direto de hortaliças (SPDH), modificações nos atributos edáficos ocorrem; por exemplo, nos índices de agregação do solo e seu teor de carbono orgânico total (COT). Objetivaram-se quantificar os teores de COT e avaliar os índices de agregação do solo e a distribuição dos agregados por classes de diâmetro sob cultivo de cebola em SPDH e SPC, comparados a uma área de mata adjacente em Ituporanga, SC. Os tratamentos constituíram-se da semeadura de plantas de cobertura, solteiras e consorciadas, em SPDH: vegetação espontânea (VE); 100 % aveia; 100 % centeio; 100 % nabo-forrageiro; consórcio de nabo-forrageiro (14 %) e centeio (86 %); e consórcio de nabo-forrageiro (14 %) e aveia (86 %). Adicionalmente, foram avaliadas uma área de cultivo de cebola em SPC por ±37 anos e uma área de mata (floresta secundária; ±30 anos), ambas adjacentes ao experimento. Em setembro de 2013, cinco anos após a implantação dos tratamentos com plantas de cobertura, foram coletadas amostras indeformadas do solo nas camadas de 0-5, 5-10 e 10-20 cm e separados os agregados para avaliar a estabilidade via úmida. Nos agregados, foi quantificado o COT; após a separação em classes de diâmetro (8,00 mm>Ø≥0,105 mm), calcularam-se o diâmetro médio ponderado (DMP) e o geométrico (DMG) dos agregados; a distribuição deles em macroagregados (Ø≥2,0 mm), mesoagregados (2,0>Ø≥0,25 mm) e microagregados (Ø<0,25 mm); e o seu índice de sensibilidade (IS). Os dados foram submetidos à análise de variância e de componentes principais (ACP). Os maiores teores de COT foram encontrados na área de mata (52,83; 37,77; e 26,70 g kg-1, respectivamente para 0-5, 5-10 e 10-20 cm); e os menores, no SPC (18,23 g kg-1, 0-5 cm). Os tratamentos com plantas de cobertura, solteiras ou consorciadas, não apresentaram diferenças entre si (p≤0,05) para o COT, nem em relação à área testemunha (VE). O SPC apresentou os menores índices de DMP (3,425; 3,573; e 3,401 mm), DMG (2,438; 2,682; e 2,541 mm) e IS (0,77; 0,79; e 0,81), nas três camadas avaliadas. Para o DMP e DMG, não foram verificadas diferenças (p≤0,05) entre tratamentos no SPDH; porém, esses índices foram superiores aos do SPC; os de DMP, iguais aos da área de mata; e os de DMG, maiores na camada de 0-5 e 5-10 cm. Na camada de 10-20 cm, no SPDH, o tratamento com nabo-forrageiro apresentou maiores valores de DMP (4,520 mm), DMG (4,284 mm) e IS (1,07). Em relação à distribuição dos agregados por classes de diâmetro, o SPC evidenciou, respectivamente, os menores (14,22; 14,75; e 13,86 g) e maiores (4,94; 3,44; e 3,52 g/3,0; 3,0; e 3,76 g) valores para macro e meso/microagregados, enquanto o SPDH demonstrou maiores valores de macroagregados (médias de 19,90; 20,48; e 18,56 g) em comparação à mata (16,0; 16,31; e 15,47 g) e ao SPC (14,22; 14,75; e 13,86 g) nas três camadas avaliadas. O uso de plantas de cobertura, solteiras ou consorciadas, em SPD de cebola foi eficiente para recuperar e aumentar os teores de COT e os índices de DMP, DMG e IS em relação ao SPC; e, em comparação à área de mata, aumentou o DMG (0-5 e 5-10 cm). O nabo-forrageiro aumentou a agregação do solo (DMG e IS) na camada de 10-20 cm em relação aos demais tratamentos com plantas de cobertura. A ACP evidenciou a perda de COT e o aumento dos meso e microagregados no SPC, assim como a substituição do SPC por SPDH com plantas de cobertura elevou a formação de macroagregados estáveis em água, com posterior aumento do DMP, DMG e IS.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

Taphrina deformans is a fungus responsible for peach leaf curl, an important plant disease. It is phylogenetically assigned to the Taphrinomycotina subphylum, which includes the fission yeast and the mammalian pathogens of the genus Pneumocystis. We describe here the genome of T. deformans in the light of its dual plant-saprophytic/plant-parasitic lifestyle. The 13.3-Mb genome contains few identifiable repeated elements (ca. 1.5%) and a relatively high GC content (49.5%). A total of 5,735 protein-coding genes were identified, among which 83% share similarities with other fungi. Adaptation to the plant host seems reflected in the genome, since the genome carries genes involved in plant cell wall degradation (e.g., cellulases and cutinases), secondary metabolism, the hallmark glyoxylate cycle, detoxification, and sterol biosynthesis, as well as genes involved in the biosynthesis of plant hormones. Genes involved in lipid metabolism may play a role in its virulence. Several locus candidates for putative MAT cassettes and sex-related genes akin to those of Schizosaccharomyces pombe were identified. A mating-type-switching mechanism similar to that found in ascomycetous yeasts could be in effect. Taken together, the findings are consistent with the alternate saprophytic and parasitic-pathogenic lifestyles of T. deformans. IMPORTANCE: Peach leaf curl is an important plant disease which causes significant losses of fruit production. We report here the genome sequence of the causative agent of the disease, the fungus Taphrina deformans. The genome carries characteristic genes that are important for the plant infection process. These include (i) proteases that allow degradation of the plant tissues; (ii) secondary metabolites which are products favoring interaction of the fungus with the environment, including the host; (iii) hormones that are responsible for the symptom of severely distorted leaves on the host; and (iv) drug detoxification enzymes that confer resistance to fungicides. The availability of the genome allows the design of new drug targets as well as the elaboration of specific management strategies to fight the disease.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

Climate change poses new challenges to the conservation of species, which at present requires data-hungry models to meaningfully anticipate future threats. Now a study suggests that species traits may offer a simpler way to help predict future extinction risks.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

The long-chain acyl-coenzyme A synthetase (ACS) gene gives rise to three transcripts containing different first exons preceded by specific regulatory regions A, B, and C. Exon-specific oligonucleotide hybridization indicated that only A-ACS mRNA is expressed in rat liver. Fibrate administration induced liver C-ACS strongly and A-ACS mRNA to a lesser extent. B-ACS mRNA remained undetectable. In primary rat hepatocytes and Fa-32 hepatoma cells C-ACS mRNA increased after treatment with fenofibric acid, alpha-bromopalmitate, tetradecylthioacetic acid, or alpha-linolenic acid. Nuclear run-on experiments indicated that fenofibric acid and alpha-bromopalmitate act at the transcriptional level. Transient transfections showed a 3.4-, 2.3-, and 2.2-fold induction of C-ACS promoter activity after fenofibric acid, alpha-bromopalmitate, and tetradecylthioacetic acid, respectively. Unilateral deletion and site-directed mutagenesis identified a peroxisome proliferator activator receptor (PPAR)-responsive element (PPRE) mediating the responsiveness to fibrates and fatty acids. This ACS PPRE contains three imperfect half sites spaced by 1 and 3 oligonucleotides and binds PPAR.retinoid X receptor heterodimers in gel retardation assays. In conclusion, the regulation of C-ACS mRNA expression by fibrates and fatty acids is mediated by PPAR.retinoid X receptor heterodimers interacting through a PPRE in the C-ACS promoters. PPAR therefore occupies a key position in the transcriptional control of a pivotal enzyme controlling the channeling of fatty acids into various metabolic pathways.

Relevância:

80.00% 80.00%

Publicador:

Resumo:

Background: Mortality among patients who complete tuberculosis (TB) treatment is still high among vulnerable populations. The objective of the study was to identify the probability of death and its predictive factors in a cohort of successfully treated TB patients. Methods: A population-based retrospective longitudinal study was performed in Barcelona, Spain. All patients who successfully completed TB treatment with culture-confirmation and available drug susceptibility testing between 1995 1997 were retrospectively followed-up until December 31, 2005 by the Barcelona TB Control Program. Socio-demographic, clinical, microbiological and treatment variables were examined. Mortality, TB Program and AIDS registries were reviewed. Kaplan-Meier and a Cox regression methods with time-dependent covariates were used for the survival analysis, calculating the hazard ratio (HR) with 95% confidence intervals (CI). Results: Among the 762 included patients, the median age was 36 years, 520 (68.2%) were male, 178 (23.4%) HIV-infected, and 208 (27.3%) were alcohol abusers. Of the 134 (17.6%) injecting drug users (IDU), 123 (91.8%) were HIV-infected. A total of 30 (3.9%) recurrences and 173 deaths (22.7%) occurred (mortality rate: 3.4/100 person-years of follow-up). The predictors of death were: age between 4160 years old (HR: 3.5; CI:2.15.7), age greater than 60 years (HR: 14.6; CI:8.924), alcohol abuse (HR: 1.7; CI:1.22.4) and HIV-infected IDU (HR: 7.9; CI:4.713.3). Conclusions: The mortality rate among TB patients who completed treatment is associated with vulnerable populations such as the elderly, alcohol abusers, and HIV-infected IDU. We therefore need to fight against poverty, and promote and develop interventions and social policies directed towards these populations to improve their survival.