reforms that would improve service delivery, such as the establishment of preparatory departments.

The sector lacks basic information, such as the number of facilities under its control and confirmation of their ownership.

Management of judicial infrastructure is ineffective. Data are only partially available and the
system lacks basic information, such as the number of facilities
under its control and confirmation of their ownership.
Responsibilities were split between the MOJ for facilities, and the
HJC and the SPC for operating costs. This is now consolidated with
the MOJ. The MOJ’s Investment Department, which is currently in
charge, has insufficient capacity in terms of staff, skills and funding to perform its functions. At the same time, the Councils lack staff dedicated to this task and do not yet have a plan for how to build their capacity fordenervation and chronic reinervation, confirmed clinically definite ALS, according to the El Escorial criteria \[[@B12]\]. Treatment with riluzole was started, but with little effect on disease evolution. Because of increased dysphagia and malnutrition, a percutaneous endoscopic gastrostomy (PEG) was performed six weeks later. The patient deceased two months later from terminal bronchopneumonia.

Case 2
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A 49-year-old woman, without comorbidities, was referred for cognitive and behavioral changes. Two years prior, her husband had noticed personality changes accompanied by difficulties in complex task solving (cooking, grooming). Her mood was slightly depressive and apathetic; polydipsia had also been noticed by the family (6 liters a day), but no metabolic or endocrine abnormalities were found. There was a history of dementia in the family involving a grandmother, who died at the age of 92.

Six