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The aim of this article is to present the idea that the tobacco epidemic, included in the World Health Organization's (WHO) documents, may have contributed to the success of the Framework Convention on Tobacco Control (FCTC). The tobacco epidemic as a construct was present in internal and official WHO documentation as well as in scientific publications of the tobacco control‐oriented scientists who constituted the anti‐tobacco epistemic community. Using a qualitative approach, I analyzed three sets of texts to describe the features of the tobacco epidemic and how it may have contributed to the success of the FCTC. The methodology of the analysis was based on the sociological concept of medicalization. I argue that by virtue of medicalized framing in the case of the FCTC, the WHO was able to influence the debate on tobacco control. Related Articles: Luján José, Luis. 2023. "Evidence‐Based Policies: Lessons from Regulatory Science." Politics & Policy 51(4): 524–37. https://doi.org/10.1111/polp.12543. Newman, Joshua. 2019. "The Role of Uncertainty in Regulating E‐Cigarettes: The Emergence of a Regulatory Regime, 2005‐15." Politics & Policy 47(2): 407–29. https://doi.org/10.1111/polp.12294. Roberts, Alex N. 2023. "The Scientization of Public Policy and Politics: A New Approach to Conceptualizing and Identifying the Phenomenon." Politics & Policy 51(5): 726–54. https://doi.org/10.1111/polp.12548. [ABSTRACT FROM AUTHOR]

High-voltage electrocution-induced neurological complications are often associated with dire consequences. The low-resistance neural pathway provides an easy gateway for the current propagation and subsequent injuries. We present a case of electrocution-induced high-cervical myelopathy resulting in quadriparesis with sensorimotor and autonomic involvement with a slow recovery course along with the subsequent imaging and electrophysiological finding suggestive of long-term degeneration of the central corticospinal tracts. On review of prior works of literature, few similar cases are seen with varied postulations of the pathophysiology of the injury. More frequent reporting of such cases, which often go undetected, should be done to increase awareness.

En Nayarit, México, se configura un Sistema Integrado de Producción de Tabaco (SIPT) que opera principalmente con participación de familias campesinas aunque para algunas labores preparatorias y garantizar la cosecha de la hoja, se contrata temporalmente a jornaleros locales y familias indígenas migrantes originarias de las zonas serranas de Nayarit, Jalisco, Durango y Zacatecas, principalmente, quienes durante la zafra de cosecha viven por algunos meses en condiciones precarias en casas y patios de las viviendas de los productores y en las parcelas agrícolas. A partir del Convenio Marco y de la Ley General para el Control del Tabaco respectivamente, las empresas que controlan el SIPT adoptaron nuevas narrativas y estrategias para la gestión y continuidad de sus negocios, destacándose principalmente la llamada Responsabilidad Social Empresarial (RSE). El objetivo de este artículo es analizar las acciones de RSE de las compañías tabacaleras desde un enfoque de la Acumulación por Despojo, entendiendo la RSE como una herramienta capitalista para la extracción de plusvalía. Con apoyo de una metodología cualitativa, basada en la revisión bibliográfica y hemerográfica, observación directa, diarios de campo y entrevistas se han documentado acciones empresariales comprendidas entre 2018 a 2023. El análisis denota que la British American Tobacco y Tabacos del Pacífico Norte han “patrocinado” la operación de los centros Florece y del programa Sustenta en los campos de tabaco de Nayarit, aunque en la realidad tabacalera, la operación de dichos programas y sus costos son asumidos y absorbidos por los productores, mientras que las empresas difunden una imagen de gestión empresarial sustentable.

Abstract Background TMS is being used to aid in the diagnosis of central nervous system (CNS) illnesses. It is useful in planning rehabilitation programs and setting appropriate goals for patients. We used a parabolic coil with biphasic pulse stimulation to find normal values for diagnostic TMS parameters. Objectives 1. To determine the normal motor threshold (MT), motor evoked potentials (MEP), central motor conduction time (CMCT), intracortical facilitation (ICF), short-interval intracortical inhibition (SICI), and silent period (SP) values. 2. To measure the MEP latencies of abductor pollicis brevis (APB) and extensor digitorum brevis (EDB) at various ages, heights, and arm and leg lengths. Study design Descriptive Study. Setting Department of Rehabilitation Medicine, Chiang Mai University, Thailand. Subjects Forty-eight healthy participants volunteered for the study. Methods All participants received a single diagnostic TMS using a parabolic coil with biphasic pulse stimulation on the left primary motor cortex (M1). All parameters: MT, MEP, CMCT, ICF, SICI, and SP were recorded through surface EMGs at the right APB and EDB. Outcome parameters were reported by the mean and standard deviation (SD) or median and interquartile range (IQR), according to data distribution. MEP latencies of APB and EDB were also measured at various ages, heights, and arm and leg lengths. Results APB-MEP latencies at 120% and 140% MT were 21.77 ± 1.47 and 21.17 ± 1.44 ms. APB-CMCT at 120% and 140% MT were 7.81 ± 1.32 and 7.19 ± 1.21 ms. APB-MEP amplitudes at 120% and 140% MT were 1.04 (0.80–1.68) and 2.24 (1.47–3.52) mV. EDB-MEP latencies at 120% and 140% MT were 37.14 ± 2.85 and 36.46 ± 2.53 ms. EDB-CMCT at 120% and 140% MT were 14.33 ± 2.50 and 13.63 ± 2.57 ms. EDB-MEP amplitudes at 120% and 140% MT were 0.60 (0.38–0.98) and 0.95 (0.69–1.55) mV. ICF amplitudes of APB and EDB were 2.26 (1.61–3.49) and 1.26 (0.88–1.98) mV. SICI amplitudes of APB and EDB were 0.21 (0.13–0.51) and 0.18 (0.09–0.29) mV. MEP latencies of APB at 120% and 140% MT were different between heights

Future healthcare is transitioning toward a decentralization of patient care, in which personal care is increasingly moved at the patient home and surrounding areas, while hospitals concentrate primarily on procedures that cannot be performed elsewhere, such as surgeries or outpatient examinations. The healthcare system in the Liguria region (Italy) is currently developing a new Center for Computational and Technological Medicine (CMCT), which is intended to facilitate and support this transition. As a component of the strategic planning and design process, this study examines the development and organization of telemedicine services across a range of chosen Italian and European institutions that share similarities with CMCT in terms of scope and scale. We specifically focus on telemedicine services - how they are governed, their main fields of application. The analysis confirmed the growing importance of telemedicine as part of the new vision of medicine, in which the patient is at the center. [ABSTRACT FROM AUTHOR]

Background: TMS is being used to aid in the diagnosis of central nervous system (CNS) illnesses. It is useful in planning rehabilitation programs and setting appropriate goals for patients. We used a parabolic coil with biphasic pulse stimulation to find normal values for diagnostic TMS parameters. Objectives: 1. To determine the normal motor threshold (MT), motor evoked potentials (MEP), central motor conduction time (CMCT), intracortical facilitation (ICF), short-interval intracortical inhibition (SICI), and silent period (SP) values. 2. To measure the MEP latencies of abductor pollicis brevis (APB) and extensor digitorum brevis (EDB) at various ages, heights, and arm and leg lengths. Study design: Descriptive Study. Setting: Department of Rehabilitation Medicine, Chiang Mai University, Thailand. Subjects: Forty-eight healthy participants volunteered for the study. Methods: All participants received a single diagnostic TMS using a parabolic coil with biphasic pulse stimulation on the left primary motor cortex (M1). All parameters: MT, MEP, CMCT, ICF, SICI, and SP were recorded through surface EMGs at the right APB and EDB. Outcome parameters were reported by the mean and standard deviation (SD) or median and interquartile range (IQR), according to data distribution. MEP latencies of APB and EDB were also measured at various ages, heights, and arm and leg lengths. Results: APB-MEP latencies at 120% and 140% MT were 21.77 ± 1.47 and 21.17 ± 1.44 ms. APB-CMCT at 120% and 140% MT were 7.81 ± 1.32 and 7.19 ± 1.21 ms. APB-MEP amplitudes at 120% and 140% MT were 1.04 (0.80–1.68) and 2.24 (1.47–3.52) mV. EDB-MEP latencies at 120% and 140% MT were 37.14 ± 2.85 and 36.46 ± 2.53 ms. EDB-CMCT at 120% and 140% MT were 14.33 ± 2.50 and 13.63 ± 2.57 ms. EDB-MEP amplitudes at 120% and 140% MT were 0.60 (0.38–0.98) and 0.95 (0.69–1.55) mV. ICF amplitudes of APB and EDB were 2.26 (1.61–3.49) and 1.26 (0.88–1.98) mV. SICI amplitudes of APB and EDB were 0.21 (0.13–0.51) and 0.18 (0.09–0.29) mV. MEP latencies of APB at 120% and 140% MT were different between heights < 160 cm and ≥ 160 cm (p < 0.001 and p < 0.001) and different between arm lengths < 65 and ≥ 65 cm (p = 0.022 and p = 0.002). Conclusion: We established diagnostic TMS measurements using a parabolic coil with a biphasic pulse configuration. EDB has a higher MT than APB. The 140/120 MEP ratio of APB and EDB is two-fold. The optimal MEP recording for APB is 120%, whereas EDB is 140% of MT. CMCT by the F-wave is more convenient and tolerable for patients. ICF provides a twofold increase in MEP amplitude. SICI provides a ¼-fold of MEP amplitude. SP from APB and EDB are 121.58 ± 21.50 and 181.01 ± 40.99 ms, respectively. Height and MEP latencies have a modest relationship, whereas height and arm length share a strong positive correlation. [ABSTRACT FROM AUTHOR]

Introduction: Spinocerebellar ataxia type 3 (SCA3) is the most common subtype of hereditary ataxia. Few studies reported the CMCT features in SCA3, but with inconsistent findings. So far, CMCT in SCA3 remains largely unknown.Methods: This study included 86 SCA3 patients and 80 healthy controls. Motor-evoked potentials were recorded bilaterally from upper and lower limbs muscles by TMS using a double-cone coil attached to CCY-IA magnetic stimulator. CMCT was determined using F wave and paravertebral magnetic stimulation (PMS). The statistical analyses were performed using R software.Results: In our study, 36.5% of SCA3 patients had a slight prolongation of CMCT in lower limbs, but not upper limbs, uncorrelated with disease severity. Moreover, SCA3 patients with Babinski signs did not necessarily have abnormal CMCT, and vice versa. Our study demonstrated that PMS is a reliable method as F wave for detecting CMCT in SCA3. Additionally, CMCT to lower limbs was positively correlated with height, but not with age, sex, or weight in healthy controls.Conclusions: A small proportion of SCA3 patients had a slight prolongation of CMCT in lower limbs, but not upper limbs, uncorrelated with disease severity. Furthermore, CMCT measures were observed irrespective of pyramidal sign in SCA3; however, patients with abnormal CMCT had a higher incidence of the pyramidal sign. [ABSTRACT FROM AUTHOR]