Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

El presente texto, dividido en seis apartados, analiza críticamente la noción de “constituyente permanente” en el constitucionalismo mexicano, particularmente a la luz del pensamiento del jurista Felipe Tena Ramírez, cuya recepción acrítica ha llevado a abusar del reformismo constitucional en la vida institucional reciente. El autor argumenta que dicha expresión no tiene sustento textual en la Constitución y que el órgano de reforma, aunque con eficacia jurídica, es un poder constituido, no originario. De este modo, se busca reevaluar el sistema de reforma constitucional vigente en México, considerando la tradición constitucionalista y los retos políticos vigentes. Finalmente, se reivindica la necesidad de límites normativos al poder de reforma como garantía de estabilidad constitucional.

Lineamientos editoriales de la Revista de la Facultad de Derecho que contienen, entre otras cosas, los normas para autores y la presentación de originales.

Relación de esquelas de las profesoras y profesores de la Facultad de Derecho de la Universidad Nacional Autónoma de México.

Texto introductorio que da cuenta de los contenidos de la revista 291, enero-abril del 2025, considerando las secciones Doctrina, Análisis de legislación y Reseñas.

Refractory cutaneous dermatomyositis is an autoimmune inflammatory myopathy with cutaneous and musculoskeletal manifestations (1). Although much of its pathogenesis and pathophysiology remains unclear, the disease affects patients’ appearance, functional capacity, and quality of life (1–3). Corticosteroids, immunomodulators, and even antimalarial drugs have been proposed as treatment options (1). However, their efficacy is often limited by patient characteristics and comorbidities, and they are ineffective in severe, refractory phenotypes (1,2).

Cardiovascular diseases remain the leading cause of morbidity, mortality, and disease burden worldwide. Heart failure is one of the most prevalent cardiovascular disease phenotypes, with over 60 million cases globally. Specifically, thiazide diuretics represent an important and commonly used pharmacological group for managing volume overload in heart failure, as well as in arterial hypertension. However, recent evidence has revealed a novel and significant adverse event associated with the use of thiazide diuretics in the treatment of heart failure, particularly in its decompensated form. The objective of this review is to analyze the evolution of evidence regarding the safety and efficacy of thiazide diuretics in the management of heart failure. A literature search was conducted using the search engines and databases PubMed, ScienceDirect, Embase, EBSCO, and MEDLINE through 2024. It was identified that, although the evidence is scarce and limited, there is a trend suggesting the efficacy of thiazides in reducing fluid overload—primarily measured by short-term weight loss—compared to loop diuretics used as monotherapy. Nevertheless, despite the fact that metabolic and electrolyte disturbances are the most commonly reported and feared adverse effects, impairment of renal function appears to be the most significant event associated with thiazide use.

Rhinoscleroma is a chronic granulomatous disease rare in our country but endemic in various parts of the world, covering regions of North Africa, Middle East, Central America, is caused in most cases by Klebsiella rhinoscleromatis affecting mainly the nasal cavity and nasopharynx, the presentation is more common in upper respiratory tract. Symptoms occur months after infection and depend on the stage of infection, these can be: fetid rhinorrhea, nasal obstruction, nasal deformity, destruction of nasal cartilage. The diagnosis is anatomopathological where Mikulicz cells are evidenced. The treatment of rhinoscleroma is with antibiotics for a prolonged period (2-3 months), in cases of airway obstruction surgical intervention should be performed. We present the case of a 60-year-old woman with a history of diabetes mellitus type 2 and arterial hypertension, who arrives at the hospital with a pathological anatomy report showing thin and septate hyphae, suggestive of infection by Mucor. Subsequent hospital biopsy ruled out mucormycosis and confirmed the diagnosis of rhinoscleroma.

Introducción: La equinococosis es una enfermedad zoonótica causada por el cestodo Echinococcus granulosus, tiene un impacto significativo en la salud de la población rural altoandina, así como en la de su ganado y mascotas. Objetivos: Determinar la seroprevalencia de la enfermedad por equinococosis quística infantil y equinococosis canina, como factores de riesgo de enfermedad asociados a escolares y comuneros del distrito de Ascensión, Huancavelica, Perú. Materiales y métodos: Se realizó un estudio descriptivo de tipo transversal. Las muestras se recolectaron durante 2019. Los escolares (n = 783) fueron evaluados para equinococosis quística mediante técnicas de ELISA e Immunoblot. Los perros (n = 543) fueron evaluados para equinococosis canina mediante técnicas de Copro-PCR y Copro-ELISA. Los factores de riesgo asociados a la enfermedad se evaluaron mediante la aplicación de encuestas epidemiológicas. Resultados: Se determinó una seroprevalencia del 5,18% para la equinococosis quística infantil mediante la prueba ELISA y del 1,60% mediante la prueba Immunoblot. La prevalencia de equinococosis canina entre los perros miembros de la comunidad fue del 9,02% con Copro-PCR y del 7,18% con Copro-ELISA. Algunos factores de riesgo asociados a la equinococosis quística infantil fueron la alimentación con despojos contaminados a los perros (OR=5,60) y la desparasitación regular de perros (OR=1,55). Para la equinococosis canina, los factores de riesgo incluyeron la edad del perro (OR=4,00) y el sueño del perro fuera de casa (OR=82,00). Conclusiones: Se concluye que E. granulosus está presente en escolares y perros del distrito de Ascensión, encontrando una seroprevalencia que confirma que es un área endémica de esta zoonosis helmíntica.

Introduction: In Peru, tuberculosis (TB) is highly prevalent and lethal, and one-third of patients discontinue treatment. Objective: To evaluate the association between depressive symptoms and abandonment of anti-tuberculosis treatment in adults treated in Áncash between 2017 and 2023. Methods: An analytical cross-sectional study was conducted at the Centro de Salud Santa (primary care level). A total of 155 patients with confirmed TB diagnosis (January 2017–December 2023) were included. Depressive symptoms were screened using the Patient Health Questionnaire-9 (PHQ-9). The outcome was treatment abandonment, defined as absence from treatment for more than 30 days. Covariates included age, sex, marital status, and education. Adjusted prevalence ratios (aPR) by marital status and 95% confidence intervals (95% CI) were reported. Results: The median age was 43 years, and 57.42% were male. Treatment abandonment occurred in 14.84% of patients. Compared to no depression, moderate depression was associated with higher prevalence of abandonment (aPR = 10.80; 95% CI: 3.32–35.2; p = 0.001), as was moderately severe depression (aPR = 21.9; 95% CI: 6.61–72.8; p < 0.001). Mild depression showed no statistically significant association (aPR = 0.75; 95% CI: 0.16–3.57; p = 0.726). PHQ-9 scores were consistently higher among those who abandoned treatment; this difference was more pronounced in multidrug-resistant TB (MDR-TB) than in drug-sensitive TB. No cases of severe depression were recorded. Conclusion: There is an independent positive association between depressive symptoms and anti-tuberculosis treatment abandonment, and prevalence increases with the severity of depression.

Cleft lip, alveolus, and palate (CLAP) defects pose a significant challenge to the growth and nutritional development of newborns in early life, as they limit the ability to generate effective suction during breastfeeding. Nasoalveolar molding (NAM) has emerged as an effective presurgical treatment for nasal and palatal reshaping; however, its benefits on the nutritional status of breastfed infants remain underexplored. This case report describes a male neonate, 30 minutes after birth, diagnosed with a complete unilateral left-sided cleft lip-alveolus-palate and presenting feeding difficulties during direct breastfeeding. The use of a nasoalveolar molding device led to notable improvements in overall health, significant weight gain, and enhanced comfort during feeding with breast milk.