OBJECTIVE:To evaluate the impact of a clinical pharmacy program on health outcomes in patients with type 2 diabetes undergoing insulin therapy at a teaching hospital in Brazil.METHOD:A randomized controlled trial with a 6-month follow-up period was performed in 70 adults, aged 45 years or older, with type 2 diabetes who were taking insulin and who had an HbA1c level ≥8%. Patients in the control group (CG) (n = 36) received standard care, patients in the intervention group (IG) (n = 34) received an individualized pharmacotherapeutic care plan and diabetes education. The primary outcome measure was change in HbA1c. Secondary outcomes included diabetes and medication knowledge, adherence to medication, insulin injection and home blood glucose monitoring techniques and diabetes-related quality of life. Outcomes were evaluated at baseline and 6 months using questionnaires.RESULTS:Diabetes knowledge, medication knowledge, adherence to medication and correct insulin injection and home blood glucose monitoring techniques significantly improved in the intervention group but remained unchanged in the control group. At the end of the study, mean HbA1c values in the control group remained unchanged but were significantly reduced in the intervention group. Diabetes-related quality of life significantly improved in the intervention group but worsened significantly in the control group.CONCLUSION:The program improved health outcomes and resulted in better glycemic control in patients with type 2 diabetes undergoing insulin therapy.

Objetivo: avaliar a prevalência de glaucoma entre os portadores de patologias tireoidianas, acompanhados

A fundoscopia é fundamental no diagnóstico de doenças oculares e sistêmicas,porém, pouco priorizada na educação médica. Os dispositivos móveis estão cada vez mais inseridos no contexto da educação médica, sendo portanto, essencial a sua utilização com finalidades educacionais. Esse estudo objetivou: desenvolver um aplicativo para dispositivos móveis para facilitar o processo de ensino-aprendizagem em fundoscopia e retinopatia diabética (RD) destinado a estudantes de medicina; avaliar a sua usabilidade e utilidade no ensino em fundo de olho e RD, além de criar um adaptador portátil para captura de imagem do fundo de olho através desse mesmo aplicativo. Os resultados indicaram um bom nível de usabilidade do aplicativo, que foi ainda considerado uma ferramenta útil para o aprendizado dos estudantes. O adaptador portátil desenvolvido permitiu a fácil obtenção de imagens digitais da retina.

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