![]() En el ámbito de la salud, tanto la Ley General de Sanidad como la Ley de Ordenación Sanitaria de Cataluña determinan los actores en los que recae la representación de los ciudadanos. Los gobernantes tienen la obligación de rendir cuentas a la ciudadanía de cómo se utilizan los recursos, siempre escasos y que, en materia de sanidad, tienen un suplemento de complejidad y especificidad que los hacen especialmente sensibles. Como tales colaboran en su mantenimiento a través de los impuestos. Los ciudadanos son los propietarios y beneficiarios del sistema sanitario público de nuestro país. Radiologists need to be familiar with these developments and recommendations to use MRI appropriately in the diagnosis and follow-up of multiple sclerosis. Moreover, the European Commission's regulations of the use of gadolinium-based contrast agents have required that the indications for their use in clinical practice be revised and restricted. In recent years, new imaging findings for multiple sclerosis have been described, and new evidence about the role of MRI in the follow-up of this disease has accumulated. Magnetic resonance imaging (MRI) is widely considered to be the most important paraclinical technique for establishing an accurate early diagnosis of multiple sclerosis as well as for predicting its prognosis and monitoring and predicting the efficacy of different treatments for this disease. Los radiólogos debemos estar familiarizados con estas novedades y recomendaciones para de esta manera utilizar de forma adecuada la RM en los procesos de diagnóstico y seguimiento de la EM. Asimismo, la normativa establecida por la Comisión Europea en relación con el uso de medios de contraste que contienen gadolinio ha obligado a revisar y restringir la indicación de su uso en la práctica clínica. En los últimos años se han descrito nuevos hallazgos radiológicos en la EM, y han aparecido nuevas evidencias sobre el papel de la RM en el seguimiento de la enfermedad. ![]() ![]() Pharmacists can provide valuable therapeutic services and bring increased attention to the medication needs of foster care patients by assuming a more active role as a member of their care team.Įstá ampliamente aceptado que la resonancia magnética (RM) es la técnica paraclínica más relevante, no solo para establecer un diagnóstico preciso y precoz de la esclerosis múltiple (EM), sino también para predecir su pronóstico y para controlar y predecir la eficacia de los diferentes tratamientos modificadores de la enfermedad. Pharmacists’ skills in medication therapy management, medication reconciliation, patient and caregiver education, and interprofessional collaboration can and should be used to reduce overmedication in the foster care population. ![]() Despite federal mandates, foster youth medication use remains drastically higher than that of the general population. By virtue of being removed from their homes, foster youth experience trauma and are placed into a system that can be inconsistent, lead to further disruption, and create gaps in their medical care and management. To support this objective, it is important to understand (1) what foster care is, (2) the vulnerabilities of youth in foster care, (3) medication use among youth in foster care, and (4) how the foster care system complicates medication management.įoster care youth are not yet considered a vulnerable patient population from the pharmacy perspective, despite a high rate of prescriptions and medications without proper indication. The objective of this commentary is to recommend that pharmacists take a larger role in medication management for the vulnerable patient population of youth in foster care.
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