Objective To study the effect of hearing loss on language function and the mediating effect of de-pression on hearing loss and language function,to provide a reference for the intervention of language function im-pairment in the elderly.Methods Data of 6 002 older adults ≥65 years old from the Hubei Aging and Memory Co-hort Study(HAMCS)were collected from 2018 to 2022.A multivariate logistic regression model was used to ana-lyze the effect of hearing loss on language function,and a Bootstrap method was used to analyze the mediating effect of depression score on hearing loss on language function.Results Among 6 002 older adults ≥65 years old,1 137(18.94％)had mild hearing loss,264(4.40％)had moderate and severe hearing loss,and 2 611(43.50％)had language function impairment.After controlling for related factors such as age,years of education,marital status,place of residence,physical exercise,intellectual activity,hypertension,coronary heart disease and cerebrovascular disease,multivariate logistic regression analysis showed that the risk of speech function impairment in the elderly with mild hearing loss and moderate to severe hearing loss was 1.33 times(95％CI:1.13～1.56,P=0.001)and 1.77 times(95％CI:1.29～2.42,P＜0.001)respectively.The mediating effect showed that depression played a partial mediating role between hearing loss and language function,and the mediating effect was-0.021(95％CI:-0.027～-0.015,P＜0.001),accounting for 12.96％of the total effects.Conclusion Hearing loss increases the risk of language impairment,and depression playing a partial mediating role between hearing loss and language func-tion in the elderly.

This paper reviews the origin, content and framework, evaluation tools, and application status of Snyder hope theory in clinical nursing practice both domestically and internationally, and explores the application prospects of Snyder hope theory, aiming to provide a basis for promoting its development in nursing.

The Eph protein family,consisting of Eph receptors and their corresponding membrane-anchored protein ligands-Ephrin,is no doubt the largest receptor protein tyrosine kinases family till now.Interactions between Eph receptors and Ephrin ligands based on their special structure might make the Eph protein family one of new targets of disease′s treatment and consequently studies related to Eph proteins and their receptors have draw more and more attention.This overview will focus on recent progresses in the classification,gene expression,protein structure,function and protein-receptor interactions of the Eph protein family and their receptors.Much of the focus of this overview is on their physiological and pathophysiological role in nervous system and their therapeutic perspective from several aspects.

The fasting blood chromium and its area of 83 noninsulindependent diabetics and 24 normal subjects were determined. The results showed that both the fastng blood chromium concentrations (39.9?17.4ppb) and its area (128.8?48.5 ppb/h) of diabetics were significantly lower than that of normal subjects (80.9?28.5 ppb, 270.6?88.4 ppb/h) (P