Objective To explore the mediating role of activities of daily living (ADL) in pain and depressive symptoms in the elderly in China. Methods Utilizing the data from 2020 China Health and Retirement Longitudinal Study, 4403 Chinese elderly individuals aged ≥ 60 years old were selected as the research subjects. Depression Scale (CES-D 10) of the Center for Epidemiological Survey and ADL scale were used in the study. The PROCESS4.1 macro was used to test the mediating effect of daily living activities between pain and depressive symptoms, and the Bootstrap method was applied for verification of the mediating variables. Results A total of 2368 cases of depressive symptoms were detected in the elderly in China, with a detection rate of 53.78%. Pain was positively correlated with depressive symptoms (r=0.27, P<0.01), and activities of daily living were negatively correlated with pain and depressive symptoms (r=-0.27, -0.337, P<0.01). The results showed that the total effect value of pain on depressive symptoms was 0.33, the direct effect value was 0.24, and the mediating effect value of daily living activities was 0.09, accounting for 27.27%. Conclusion Pain and activities of daily living are important factors influencing depressive symptoms in the elderly, and activities of daily living play a partial mediating role in the relationship between pain and depressive symptoms in the elderly.

Objective To analyze the epidemiological characteristics of patients with decompensated hepatitis C cirrhosis in hospital from 2012 to 2019. Methods Data of 496 patients with decompensated liver cirrhosis who were treated in the inpatient department of the hospital from 2012 to 2019 were collected. The age and gender distribution, basic information, the first complications during follow-up and the cause of death were analyzed. Results Patients with decompensated liver cirrhosis were mainly male and ≥ 60 years old. The proportion of males was significantly higher than that of females (P<0.05). There were significant differences in gender, age, region, years of hepatitis C infection, family history of liver disease, diabetes mellitus, hypertension, antiviral treatment and child Pugh classification of liver function (P<0.05). The first complication of patients with decompensated liver cirrhosis from highest to lowest rate were ascites, spontaneous peritonitis, upper gastrointestinal bleeding, esophagogastric varices and hepatic encephalopathy. During the follow-up period, 97 patients died, with an annual mortality rate of 4.89%. The causes of death ranked from high to low were primary liver cancer, hemorrhagic shock, hepatic encephalopathy, hepatorenal syndrome, multiple organ function failure, and septic shock. Conclusion Age, gender, region, years of hepatitis C infection, family history of liver disease, diabetes, hypertension, antiviral treatment and liver function were important influencing factors for the occurrence of decompensated liver cirrhosis in the hospital from 2012 to 2019. Health education should be strengthened and corresponding intervention measures should be formulated to reduce the incidence of decompensated liver cirrhosis.

Toxic anterior segment syndrome(TASS)is a kind of acute and non-infective anterior segment inflammatory reaction. It&#39;s relatively rare for clinic, but recently, TASS is in increasing tendency with the development of anterior segment surgery. During surgery, various non-infective maters entering the anterior chamber all could result the appearance of TASS. After timely and effective treatment, most patients have favorable prognosis, however, a few patients may have remained permanent intraocular tissues damage to the extent of influencing eyesight. Now, this thesis summarizes the pathology, diagnosis, differential diagnosis, pathogenesis, prevention, treatment, prognosis etc. of TASS.

ObjectiveTo observe the effect of language rehabilitation training on stroke patients with complete aphasia.Methods10 stroke patients with complete aphasia were treated with language rehabilitation training.ResultsAfter training, scores of hearing, naming, reciting, reading, and writing of patients were significant higher than that before training (P<0.05—0.01).Conclusion Language rehabilitation training plays an active role in rehabilitation of stroke patients with complete aphasia.