Mimi Giri

Effectiveness of a community pharmacist intervention in diabetes care: a randomized controlled trial

What is known and Objective:  There is little evidence from well‐designed randomized controlled trials of the impact of community pharmacist intervention on the clinical management of patients with type 2 diabetes. It is also not known how sustainable any observed effects on glycaemic control are, over time. This study was initiated to address both these issues.

Multimodality SPECT imaging of multifocal spondylodiscitis.

A 76-year-old woman with diabetes mellitus type 1 was admitted to our hospital with backache and high-grade fever for more than 6 weeks. Blood examination showed increased inflammatory parameters. Both SPECT Tc-99m MDP and Tc-99m ciprofloxacin scintigraphy demonstrated increased activity at the levels of D10-11 and L5-S1 vertebral discs, and a magnetic resonance image confirmed the diagnosis of spondylodiscitis at the corresponding levels without signs of medullary compression. Blood cultures were positive for Staphylococcus aureus. Intravenous broad-spectrum antibiotic therapy resulted in both a rapid clinical improvement and resolution of inflammatory parameters in the blood.