Background: Developmental disabilities (DD) encompass a wide range of medical conditions and disorders that affect a child’s physical, learning, or behavior functioning. The home environment is closely associated with child behavior problems; however, which aspect of the home environment is most important to specific domains of behavior problems remains under-investigated.
Objective:This study aimed to examine and compare the association between different domains of the home environment and behavior problems of preschool children with DD.
Study design:Cross-sectional study design.Methods:Data were collected from 191 parents of children diagnosed with DD from four specialized rehabilitation institutions in two cities (Jinan and Hangzhou) between August 2021 and August 2022. The home environment was assessed using the 3-6 Years Child Home Nurture Environment Scale. Behavior problems were measured using the Aberrant Behavior Checklist. Linear regression analyses were performed to assess the associations between total and domain scores of the home environment and those of behavior problems. Relative weights analyses were further used to determine the relative contribution of each home environment domain to the explained variance in total and domain-specific behavior problems.
Results:Linear regression model analysis showed that a better home environment was associated with lower irritability, lethargy/social withdrawal, stereotypic behavior, hyperactivity, inappropriate speech, and overall behavior problems (B values range from −0.109 to −0.346, all P < 0.05). Relative weights analyses revealed that the association between the home environment and behavior problems was domain-specific among preschoolers with DD. More specifically, the neglect/interference/punishment domain of the home environment made the largest contribution to the explained variance in relation to behavior problems compared to other domains (28.78 %).
Conclusions:The findings highlight the domain-specific associations between the home environment and behavior problems of preschool children with DD and suggest the need for targeted interventions within the home setting to effectively manage behavior issues in this vulnerable population.

Alongside conventional treatment, out-of-hospital management is pivotal for patients with heart failure, demonstrating improvements in clinical outcomes and health-related quality of life, while decreasing medical care utilization and costs. This review examines the necessity and current application of mobile medical technology in out-of-hospital management for patients with heart failure, aiming to provide guidance for patients to effectively implement multidimensional strategies in managing their chronic condition in daily life.

Background:Culturally appropriate instruments to assess subjective happiness among middle-aged women in China are lacking.
Objective:To translate and culturally adapt the Happiness Scale for Middle-Aged Women (HAS-MW) to Chinese and evaluate its psychometric properties.Study design:This was a cross-sectional psychometric validation study.
Methods:The Korean version of the HAS-MW was forward translated into Chinese. Following Brislin’s translation model, it was then back-translated and adapted culturally. The Chinese version of the HAS-MW was administered to 310 participants using convenience sampling. The psychometric properties of the scale were evaluated based on content validity, test-retest reliability, internal consistency, criterion validity, and construct validity.
Results:The Chinese version of the HAS-MW consisted of 24 items loaded onto four factors (Self-value, Positive thought, Self-management, Family relations), explaining 65.8 % of the total variance. The factor loadings ranged from 0.56 to 0.84. Cronbach’s α was 0.92. The scale showed good fit indices in the confirmatory factor analysis (CFA) and was strongly correlated with the General Well-Being Schedule (r = 0.88, P < 0.001).
Conclusions:The culturally adapted Chinese version of the HAS-MW demonstrated good reliability and validity and was suitable for measuring subjective happiness in middle-aged Chinese women.

Background:Subtle eye movements offer a valuable yet underexplored window into how individuals encode and retrieve emotional memories, particularly in the context of psychological trauma.
Objective:To offer a perspective on the interrelationship among eye movements, nonconscious mental representations formed during emotionally intense or traumatic experiences (Emotional Memory Images [EMIs]), and adult health sequelae associated with childhood adversity.
Study design:A synthesis of clinical and theoretical insights, along with interdisciplinary literature, to advance conceptual understanding.
Method:A selective and interpretive study of peer-reviewed literature was conducted, drawing on sources from psychology, neuroscience, and trauma studies. The authors employed contextual analysis and integrative synthesis to develop a conceptual framework linking EMIs, eye movements, and stress-related adult health outcomes, stemming from childhood adversity.Results:This article identified a theoretical link between EMIs and stress response, mediated by the amygdala and observable subtle ocular cues. These cues may serve as indicators of unresolved trauma and potential targets for therapeutic intervention. The Split-Second Unlearning (SSU) framework is proposed as a novel approach for identifying trauma-related health outcomes in adults with a history of childhood adversity, offering a potential and novel targeted therapeutic means for disrupting the automatic stress responses associated with EMIs.
Conclusion:This article advances the understanding of EMIs by highlighting the role of eye movements in stress-related neural processes. It proposes that decoding subtle oculomotor cues may enhance trauma-informed interventions, particularly in adults with a history of childhood adversity.

Background：The number of older adult migrants in China continues to grow. As a unique population characterized by both “mobility” and “aging,” they face heightened risks during public emergencies.
Objective:This study investigated the current acceptance rate among these older adult migrants with respect to education for self-help in a public emergency (ESHPE) and analyzed influencing factors.
Study design：A cross-sectional study.
Methods:This study’s data were derived from the 2018 National Migrant Population Dynamic Monitoring Survey, conducted by the National Health Commission of China; overall, 5840 migrants were included in this study. SPSS 25.0 and RStudio 4.3.2 were utilized to analyze the selected sample, while Chi-square tests were conducted to perform univariate analysis on the acceptance rate of ESHPE among older adult migrants. A combination of the Random Forest model and binary logistic regression analysis was employed to assess the importance of statistically significant variables.
Results:Overall, 1162 older adult migrants received ESHPE, representing an acceptance rate of 19.90 %. The acceptance rate was lower among those aged over 75 (Odds Ratio [OR] : 0.637, 95 % Confidence Interval [CI] : 0.454-0.893); residing in rural villages (OR : 0.757, 95 % CI : 0.616-0.931); with a migration duration of 11-15 years (OR : 0.679, 95 % CI : 0.540-0.853), 16-20 years (OR : 0.725, 95 % CI : 0.547-0.961), or over 20 years (OR : 0.708, 95 % CI : 0.531-0.943); who had migrated for family (OR : 0.646, 95 % CI : 0.544-0.768), social (OR : 0.559, 95 % CI : 0.434-0.718), or other reasons (OR : 0.364, 95 % CI : 0.191-0.691); and who had not established resident health records (OR : 0.693, 95 % CI : 0.582-0.825) or were unaware of or unclear about such records (OR : 0.494, 95 % CI : 0.388-0.630).
Conclusions:The acceptance rate of ESHPE in this cohort remains relatively low. Therefore, targeted intervention measures tailored to their specific needs must be developed, and more focused educational resources for public emergencies must be created. Online interactive platforms should be established to enhance the self-help education content and strategies. Such measures should help improve the acceptance rate of ESHPE among older adult migrants.

Background:Electroencephalography (EEG) signals can be used to measure neuronal activity in different regions of the brain through electrodes.
Objective:To enhance the decoding of motor imagery (MI) EEG signals in spinal cord injury (SCI) patients, this study proposes a feature fusion graph convolutional neural network (F-GCN) model that integrates wavelet-based time-frequency features and functional topological relationships among EEG electrodes, aiming to improve classification accuracy and provide guidance for rehabilitation.
Study design:This study included 10 patients with spinal cord injuries as the experimental group, and 10 healthy individuals as the control group. After the experiment began, the subjects underwent 2-min recordings of their EEG signals in resting states with eyes open or closed, with records for each state repeated twice. The participants were then asked to imagine the movements of their left hand, and right hand. The entire process of MI consists of four task stages, with each stage containing three tasks. Each task randomly appears 10 times.
Methods:Time-frequency features of MI-EEG signals were extracted using a continuous wavelet transform to enhance the effectiveness of decoding raw EEG signals. Functional and statistical analyses of brain regions during MI were conducted based on the extracted time-frequency features. Based on this, the motor intentions of patients with SCI were decoded using a GCN that integrates the functional topological relationships of the electrodes.
Results:The proposed network achieved a classification accuracy of 92.44 % for MI task recognition. Furthermore, the fusion of wavelet features demonstrated superior performance in classification and recognition.
Conclusions:The results of this study confirm the efficacy of wavelet fusion in advancing MI feature decoding, enhancing the understanding of neurological conditions, such as SCI, and offering promising prospects for improving rehabilitation methods.

Background:Structured triglyceride (STG) is an emulsion synthesized from long and medium-chain triglycerides. It is a widely accepted lipid component of clinical parenteral nutrition treatment. However, conflict evidence observed for its safety and efficacy with the abdominal surgery patients.
Objective:We conducted a systematic review and network meta-analysis to systematically summarize the evidence for STG emulsions compared with physically mixed medium-chain/long-chain triglycerides (MCT/LCT) or long-chain triglycerides (LCT) in short-term abdominal surgery parenteral nutrition treatment.
Methods:We conducted a systematic search of PubMed, Cochrane Library, Web of Science, EMBASE and China National Knowledge Infrastructure (CNKI) to identify qualified studies published in English or Chinese. The search period ranged from the inception of each database to Oct 21, 2024. Eligible studies included trials of hospitalized patients aged 18 or older required parenteral nutrition therapy during short-term hospitalization following abdominal surgery, comparing STG with physically mixed MCT/LCT or LCT. Two independent reviewers extracted data via standardized methods and assessed the risk of bias using the Jadad score. Publication bias was evaluated via funnel plots and Egger's test.
Results:A total of 34 randomized controlled trials and controlled clinical trials involving 2154 participants were included. These studies showed high level of accountability, as demonstrated by a Jadad score of 3.29 out of 3.5. Significant heterogeneity was detected in studies reporting aspartate aminotransferase (AST), alanine aminotransferase, and triglyceride (TG) levels. The meta-analysis revealed better performance of STG in higher prealbumin (PA) levels weighted mean difference [WMD]: 1.49; 95 % confidence interval [CI]: 0.56 to 2.43), lower AST (WMD: − 12.49; 95 % CI: − 22.58 to − 2.40) and TG (WMD: − 0.30; 95 % CI: − 0.42 to − 0.18) levels compared to physically mixed MCT/LCT or LCT, but no significant difference for other factors.
Conclusion:This analysis demonstrated that STG has more positive effects for the patient nutritional level and lower level of liver harm, whereas MCT/LCT outperformed LCT in reducing AST levels as well. These findings suggest that STG is at least as safe and effective for hospitalized patients undergoing abdominal surgery, especially patients with hepatic insufficiency, as other lipids. However, further research is needed to confirm its advantages for each subgroup.