Caring at the crossroads: Exploring end-of-life challenges for advanced heart failure patients in saudi emergency departments.

Introduction. This study highlights the importance of early speech therapist intervention in assessing infants' swallowing and feeding. However, it is difficult to identify standardized tests, and therefore, unvalidated instruments are used. Methods. An exploratory systematic review with a qualitative approach and retrospective design, under the PRISMA statement. Results. Fifteen studies were obtained for analysis, with a medium-to-high methodological assessment, including three specific instruments for parental reporting and one clinical instrument. Fiberoptic endoscopy (FE) and video swallow study (VSS) are the gold-standard objective tests for evaluating swallowing. Conclusion. The findings show the need to continue generating evidence on swallowing assessment to improve the detection and management of swallowing disorders in young children during critical periods, also considering the characteristics of each period of psychomotor development.

Integrated bio-structural slope stabilization using terracing, brushwood beams, and soil reinforcement by roots for sustainable forest road management

Evaluating solar potential and hydro-photovoltaic hybrid system prospects in a Brazilian hydropower reservoir

Visceral hypersensitivity following adult chronic social defeat stress is associated with microglial remodeling in the anterior cingulate cortex.

The effect of social skills training on loneliness among adolescent girls in Iran: a randomized controlled trial.

Early difficulties in the regulation of emotion, sleep and eating are common in early childhood and may shape developmental pathways of eating behaviours and weight. Understanding these pathways is key to identifying modifiable targets for promoting healthy eating and growth. This systematic review aimed to synthesise available evidence linking regulatory problems (RPs) of emotion, sleeping, and eating in early childhood to feeding, eating, and weight outcomes and evaluate methodological quality and level of evidence using the National Institutes of Health Quality Assessment Tool and best evidence synthesis. We searched MEDLINE, EMBASE, and PsycINFO for studies published in English from inception to September 2025. Eligible studies included children aged 3-36 months with a measure of RP and either parental feeding practice, child eating behaviour, or weight. Methodological quality was assessed, and a narrative synthesis undertaken. Thirty-eight studies were eligible for inclusion. Most were of moderate quality (n=33). According to best evidence synthesis, there was insufficient level of evidence for associations between emotion regulation and feeding, eating, and weight. There was moderate level of evidence for a cross-sectional association between sleep problems and eating behaviour, and of no association with weight. There was moderate level of evidence for an association between eating problems and feeding and weight. This review provides novel evidence that, while eating problems in early childhood are linked to feeding practices and weight, the evidence is less clear on the role of emotion and sleep regulation difficulties in shaping these trajectories. By highlighting early childhood as a critical yet underexplored period, our findings underscore the need for high-quality longitudinal research with homogeneous methodology to clarify whether early-life RPs represent modifiable intervention targets supporting healthy feeding, eating, and weight. PROSPERO REGISTRATION NUMBER: CRD42023463391.

Prenatal and early life exposure to organophosphate esters and intellectual quotient at age 3 in the SEPAGES cohort.

Alpha-terpineol induced developmental toxicity in Wistar rats: Embryotoxic, teratogenic, and targeted gene expression effects.

The role of public health interventions in modifying associations between prenatal exposures to ambient air pollution and extreme heat with child health outcomes: A systematic review.

Adequate Bacillus Calmette-Guérin maintenance therapy improves recurrence-free survival in high-risk non-muscle-invasive bladder cancer: A conditional survival study.

Although adolescence is theorized to be a critical period for identity development, little is known about how gender identity, specifically gender centrality and private regard, develops among adolescents. The current study assessed trajectories of gender centrality and private regard across five waves of data from Grade 9 through Grade 10 among cisgender adolescents from the United States (Mage = 14.1 years; N = 374; SD = 0.41, 139 boys and 235 girls). Additionally, the study explored how gender centrality, private regard, and their development were related to later psychological and social well-being. Initial levels of gender centrality and private regard did not differ by gender. However, boys showed declines in their levels of gender centrality and private regard, whereas girls remained stable. For girls, higher initial levels of gender centrality and private regard were associated with greater psychological and social well-being. Additionally, increases in positive regard were associated with increased psychological well-being one year later. Boys' gender identity was unrelated to their well-being. Findings underscore the importance of assessing gender identity as a developmental construct among middle adolescents and the implications that gender identity can have on the well-being of adolescents.

Clinical characteristics and prognostic factors of cracked teeth: A retrospective cohort study.

Determinants of nutritional status among adolescent tribal girls in Jharkhand: A grounded theory approach.

Impact of prolonged invasive mechanical ventilation in extremely preterm infants on long-term neurodevelopmental and neurosensory outcomes: A narrative review.

Gestational environmental enrichment shapes maternal motivational strategies in postpartum rats.

The making of a queen: Hormonal regulation of female caste in the social bee Bombus impatiens.

Early adversity alters neurodevelopmental milestones in male and female rat pups and motor cortex morphology and gait in juveniles.

Prolonged screen exposure in early childhood is linked to developmental challenges, particularly in executive functions (EF), which are critical for child adjustment. While infancy is recognized as a sensitive period of heightened brain plasticity and susceptibility to environmental influences, research on screen exposure during this time is limited, with most studies focusing on children over 2 years. Policymakers, recognizing the plasticity of the infant brain, have issued strict guidelines advocating for the complete avoidance of screen exposure for children under two; yet, approximately 75% of children in this age group exceed these recommendations. This underscores the need to better understand individual differences in screen-related risks to develop empirically informed, nuanced guidelines. Surprisingly, despite temperament being a key characteristic in infancy, shaping how infants respond to environmental inputs, its role in moderating the impact of screen exposure on regulatory development has not been studied. This study addresses these gaps by exploring temperamental negative emotionality (TNE) as a moderator between infant screen exposure and later EF difficulties. Eighty infants participated (57.5% males, all White, 73.3% monthly household income >3,400 U.S. dollars); TNE was assessed at 4 months, screen exposure at 10 months, and EF at 4 and 5.5 years. Results indicate that higher screen exposure in infancy predicts later EF difficulties but only for infants with average/high TNE. Our findings provide initial evidence suggesting the potential need to consider temperament-related individual differences when developing more nuanced, individualized guidelines for infant screen exposure. Such guidelines may enhance adherence and mitigate screen-related risks. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Gene expression levels of brain-derived neurotrophic factor in the olfactory system of masu salmon Oncorhynchus masou during both seaward and homeward migrations.