<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1665-1146</journal-id>
<journal-title><![CDATA[Boletín médico del Hospital Infantil de México]]></journal-title>
<abbrev-journal-title><![CDATA[Bol. Med. Hosp. Infant. Mex.]]></abbrev-journal-title>
<issn>1665-1146</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Salud, Hospital Infantil de México Federico Gómez]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1665-11462023000300165</article-id>
<article-id pub-id-type="doi">10.24875/bmhim.23000042</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Evolución y enfermedad]]></article-title>
<article-title xml:lang="en"><![CDATA[Evolution and disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Viniegra-Velázquez]]></surname>
<given-names><![CDATA[Leonardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Infantil de México Federico Gómez Unidad de Investigación en Medicina Basada en Evidencias Departamento de Investigación Educativa]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>80</volume>
<numero>3</numero>
<fpage>165</fpage>
<lpage>176</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1665-11462023000300165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1665-11462023000300165&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1665-11462023000300165&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Este ensayo cuestiona a la medicina evolutiva o darwiniana por su adhesión acrítica a la teoría evolucionista para explicar las enfermedades, que deja de lado el propio proceso vital que transformó un planeta "inerte" en uno "viviente", donde el orden biológico naciente subordinó al fisicoquímico imperante para prevalecer. El orden biológico es equiparable a un "concierto armónico infinitamente diverso", que ha creado y recreado, por eones, los ambientes propicios para su propia permanencia y evolución. El arribo del homo sapiens significó el surgimiento del orden cultural que suplantó progresivamente en sus efectos, al orden biológico, al provocar cambios drásticos y vertiginosos en el ecosistema planetario que silenciaron el proceso evolutivo "sin tiempo para manifestarse". La adaptación como aptitud para sobreponerse a situaciones adversas, es un contrasentido en el "concierto armónico"; en cambio, es característica del orden cultural que impone a los humanos ambientes inhóspitos y estresantes como exigencias adaptativas ineludibles. La cualidad vital propia del orden biológico es la anticipación secuencial de las situaciones de interacción con los objetos significativos del ambiente, que posibilita la consumación de las actividades vitales básicas, emblema del estado de madurez de los seres vivos. Pensar que la evolución explica las enfermedades crónicas no solo es ilusorio, sino contraproducente, porque encubre la raíz de nuestros problemas: una humanidad en constante disarmonía entre etnocentrismos belicosos, perpetradora de la devastación planetaria, cuyo valor supremo es el lucro sin límites.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract This essay questions evolutionary or Darwinian medicine for its uncritical adherence to evolutionary theory to explain diseases, which leaves aside the very vital process that transformed an "inert planet" into a "living one" where the nascent biological order subordinated the physicochemical one to prevail. The biological order is comparable to an "infinitely diverse harmonic concert", which has created and recreated, for eons, the environments conducive to its own permanence and evolution. The arrival of homo sapiens meant the cultural order emergence, which progressively supplanted, in its effects, the biological order by causing drastic and vertiginous changes in the planetary ecosystem that silenced the evolutionary process "without time to manifest". Adaptation as an ability to overcome adverse situations is a non-sense in the "harmonic concert"; instead, it is characteristic of the cultural order that imposes inhospitable and stressful environments on humans as inescapable adaptive demands. The vital quality of the biological order is the sequential anticipation of situations of interaction with significant objects in the environment, which enables the consummation of basic vital activities, emblematic of the state of maturity of living beings. To think that evolution explains chronic diseases is not only illusory but counterproductive because it covers up the root of our problems: a humanity in constant disharmony between bellicose ethnocentrisms, perpetrator of planetary devastation, whose supreme value is profit without limits.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Medicina evolutiva]]></kwd>
<kwd lng="es"><![CDATA[Orden biológico]]></kwd>
<kwd lng="es"><![CDATA[Orden cultural]]></kwd>
<kwd lng="es"><![CDATA[Adaptación]]></kwd>
<kwd lng="es"><![CDATA[Anticipación]]></kwd>
<kwd lng="es"><![CDATA[Actividades vitales básicas]]></kwd>
<kwd lng="en"><![CDATA[Evolutionary medicine]]></kwd>
<kwd lng="en"><![CDATA[Biological order]]></kwd>
<kwd lng="en"><![CDATA[Cultural order]]></kwd>
<kwd lng="en"><![CDATA[Adaptation]]></kwd>
<kwd lng="en"><![CDATA[Anticipation]]></kwd>
<kwd lng="en"><![CDATA[Basic vital activities]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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