Gac Med Mex
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With the advancement of knowledge in relation to the physiopathogenesis of atopic dermatitis (AD), several new therapeutic forms have been developed. There are also new guidelines for self-care. On the other hand, there is still an underdiagnosis of AD in Mexico. ⋯ The Atopic Dermatitis Guidelines for Mexico (GUIDAMEX) was developed with the ADAPTE methodology, with the endorsement and participation of ten national medical societies, from physicians in Primary Healthcare to allergists and dermatologists. Throughout the manuscript, key clinical questions are answered that lead to recommendations and suggestions for the diagnosis of AD (including differential diagnosis with immunodeficiency syndromes), the recognition of comorbidities and complications, non-pharmacological treatment including therapeutic education, treatment of flares and maintenance therapy. The latter encompasses general measures to avoid triggering factors, first-line treatment focussed on repair of the skin barrier, second-line treatment (topical proactive therapy), and third-line phototherapy or systemic treatment, including dupilumab and JAK inhibitors.
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Academic track record analysis is essential for evaluating the training of students and the structure of higher education study programs, which allows diagnosing and preventing educational lag and school dropout. ⋯ Nursing, medicine and psychology undergraduate students at Zaragoza and Iztacala campuses, with modular programs, achieved the highest graduation percentages and the lowest dropout and lag rates.
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In 1944, the call for the construction of "La Raza" Hospital in Mexico City was launched. The project included the proposal to create two murals, and the artists who were invited to participate were Diego Rivera and David Alfaro Siqueiros, who, with their work, bore testimony to the advent of modern medicine and the construction of the social security model in force in Mexico. ⋯ Mural art is intertwined with medicine because it bears witness to the advent of the construction of the social security model currently in force in Mexico, since hospitals became social achievements of the State and were to be known as symbols of welfare and modernity in Mexico.