Diabetes mellitus among tuberculosis patients: a cross sectional study from Pakistan

Background: The co-occurrence of diabetes mellitus (DM) and tuberculosis (TB) is largely associated with high frequency of morbidity. Objective: To determine the prevalence of DM among TB patients and describe the socio-demographic and behavioral factors associated with TB-DM co-occurrence . Methods: We enrolled 500 TB patients from September, 2014 to August 2015 at four major public sector hospitals of Lahore, Pakistan. A questionnaire was used to collect information regarding associated socio-demographic and behavioral factors of the patients. We monitored the fasting blood sugar of each patient by using a semi automated clinical chemistry analyzer followed by an HbA1c level check of all hyperglycemic patients. Results: The prevalence of TB-DM co-occurrence was 14.8%. The prevalence of TB-DM was higher (62.2%) among males. The >57 year age group had the highest proportion of patients (35.1%), with co-existent TB-DM. Most were illiterate (73.0%) and unemployed (48%). Moreover, among the 74 patients positive for TB-DM had a history of smoking. Age and education level were significantly associated with DM-TB while gender, occupation and smoking were not associated. Conclusion: The study revealed a 14.8% prevalence of DM among TB patients. This was associated with several socio-demographic factors, including age, unemployment, literacy and polluted environment. Thus, poor and unhealthy lifestyles were the factors associated with DM among immunologically compromised individuals due to TB.

Late-stage disease at presentation to an HIV clinic in eastern Tanzania: A retrospective cross-sectional study

Background Late presentation and delayed treatment initiation is associated with poor outcomes in patients with HIV. Little is known about the stage at which HIV patients present at HIV clinics in Tanzania. Aim This study aimed at determining the proportion of HIV patients presenting with WHO clinical stages 3 and 4 disease, and the level of immunity at the time of enrollment at the care and treatment center. Methods A retrospective cross-sectional study was conducted among 366 HIVinfected adults attending HIV clinic at Mwananyamala Hospital in Dar es Salaam, Tanzania. Data were obtained from the care and treatment clinic database. Results Late stage disease at the time of presentation was found in 276 (75.4%) of the patients; out of whom 153 (41.8%) presented with CD4 count <200 cells/ul and 229 (62.6%) presented with WHO clinical stage 3 or 4 at the time of clinic enrollment. Strategies to improve early diagnosis and treatment initiation should be improved.

Paisagens pós-industriais, uma nova oportunidade de sucesso. Fábrica da Fiação de Tomar

Mestrado em Arquitetura Paisagista - Instituto Superior de Agronomia

Biodiesel production from Jathropha curcas l. oil using chemical or enzymatic catalysts

Doutoramento em Engenharia dos Biossistemas - Instituto Superior de Agronomia - UL

Development of combined acidification and separation of slurry: effect on slurry fractions composition and gaseous emission

Doutoramento em Engenharia do Ambiente - Instituto Superior de Agronomia - UL

Técnicas multivariadas de redução de dados: comparação, aplicabilidade e convergência de resultados

Doutoramento em Matemática e Estatística - Instituto Superior de Agronomia - UL

Integrated pest management and the (un)sustainable use of pesticides

Doutoramento em Engenharia Agronómica - Instituto Superior de Agronomia - UL

Innovation dynamics in rural areas: contributions to capture and measure innovation, valuing territorial specificities

Doutoramento em Gestão Interdisciplinar da Paisagem - Instituto Superior de Agronomia / Universidade dos Açores / Universidade de Évora

The role of forest certification for the conservation of biodiversity and sustainability of cork oak woodlands

Doutoramento em Engenharia Florestal e dos Recursos Naturais - Instituto Superior de Agronomia - UL

Global interactions between fire and vegetation, human activities and climate

Doutoramento em Engenharia Florestal - Instituto Superior de Agronomia - UL

O pensamento ecossistémico no projeto de paisagem: uma reflexão sobre a integração de conceitos ecológicos na prática projetual da arquitetura paisagista contemporânea

Doutoramento em Arquitetura Paisagista - Instituto Superior de Agronomia - UL

Entre o silêncio e a paisagem. Lógica e imaginação na construção de um pensamento devir paisagem

Doutoramento em Arquitetura Paisagista - Instituto Superior de Agronomia - UL

Ecological infrastructures in sustainable olive growing: studies about Prays oleae (Bernard) and its natural enemies

Doutoramento em Engenharia Agronómica - Instituto Superior de Agronomia - UL

Cork structural characteristics and their influence on the oxygen ingress through wine stoppers

Doutoramento em Engenharia Florestal e dos Recursos Naturais - Instituto Superior de Agronomia - UL