A pharmaceutical care program (PCP) was developed by services concerning pharmacotherapy follow-up (PF) and sanitary education (SE). This work evaluated the impact of the PCP on the metabolic control of diabetic patients in rural population in the Mexican state of Yucatán. The so-called Dáder methodology was applied for PF and the SE was devised in group modality, with the involvement of 41 diabetics patients. At the end of PCP statistically significant improvement was observed in the intervention group compared to the levels of fasting glucose, glycosylated hemoglobin, total cholesterol, LDL and HDL, the PF and the SE increased the pharmacological adherence in a 19.52 % and reduced medication negative results. The implementation of PCP resulted in better outcomes of metabolic control in T2D patients in the rural population.

Se desarrollo un programa de Atención Farmacéutica (PAF) mediante los servicios de seguimiento farmacoterapéutico (SFT) y educación sanitaria (ES). El presente trabajo evaluó el impacto del PAF en el control metabólico en pacientes diabéticos de población rural del estado de Yucatán. Se empleó la metodología Dadér de SFT y la ES se brindo en modalidad grupal, participaron 41 pacientes diabéticos. Al final del PAF se observó mejoría estadísticamente significativa en el grupo de intervención respecto a los niveles de glucosa en ayuno, hemoglobina glicosilada, colesterol total, colesterol LDL y HDL; el SFT y la ES aumentaron la adherencia farmacológica en un 19.52 % y disminuyeron los resultados negativos a la medicación. La implementación del PAF permitió mejora en el control metabólico en pacientes con DM2 en población rural.

Giardia duodenalis is one of the most prevalent enteroparasites in children. This parasite produces several clinical manifestations. The aim of this study was to determine the prevalence of genotypes of G. duodenalis causing infection in a region of southeastern Mexico. G. duodenalis cysts were isolated (33/429) from stool samples of children and molecular genotyping was performed by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) analysis, targeting the triosephosphate isomerase ( tpi ) and glutamate dehydrogenase ( gdh ) genes. The tpi gene was amplified in all of the cyst samples, either for assemblage A (27 samples) or assemblage B (6 samples). RFLP analysis classified the 27 tpi -A amplicons in assemblage A, subgenotype I. Samples classified as assemblage B were further analysed using PCR-RFLP of the gdh gene and identified as assemblage B, subgenotype III. To our knowledge, this is the first report of assemblage B of G. duodenalis in human clinical samples from Mexico.