Objective To discuss the application value of new non-invasive dynamic monopole radiofrequency (RF) system in body shaping.Methods 26 patients were included in this study,all female,aged 31 to 56 years.Application of new type of dynamic monopole radio frequency therapeutic apparatus (UK BTL Exilis therapeutic apparatus) was used to treat abdominal fat,proud flesh between the waist,back,hips,thighs and legs,upper arm area shape and the skin four times,with each time interval of 7～10 days.The patients filled in the subjective preliminary assessment questionnaire of satisfaction.Results All the patients had varying degrees of improvement in relaxation and partial fat reduction,with 76.9％ of satisfactory rate.No adverse reactions and no skin burns occured.Conclusions The new non-invasive dynamic monopole RF system can be used to improve the degree of relaxation and local fat reduction in the body molding,with high satisfaction.

Follicular dendritic cell (FDC) sarcoma is rare and is classified either as conventional type or inflammatory pseudotumor (IPT)-like variant. Extranodal presentation is uncommon and nearly all gastrointestinal FDC tumors are of the conventional type. IPT-like variant tumors occur almost exclusively in the liver and spleen and are consistently associated with Epstein-Barr virus (EBV). Here we report the case of a 78-year-old woman with an IPT-like FDC sarcoma presenting as a pedunculated colonic polyp. Histologically, scanty atypical ovoid to spindle cells were mixed with a background of florid lymphoplasmacytic infiltrate, which led to an initial misdiagnosis of pseudolymphoma. These atypical cells expressed CD21, CD23, CD35, and D2-40, and were positive for EBV by in situ hybridization, confirming the diagnosis. The patient was free of disease five months after polypectomy without adjuvant therapy. Although extremely rare, the differential diagnosis for colonic polyp should include FDC sarcoma to avoid an erroneous diagnosis. A review of the 24 cases of IPT-like FDC sarcoma reported in the literature reveal that this tumor occurs predominantly in females with a predilection for liver and spleen, and has a strong association with EBV.
Aged ; Colonic Polyps* ; Dendritic Cell Sarcoma, Follicular* ; Dendritic Cells, Follicular ; Diagnosis ; Diagnosis, Differential ; Diagnostic Errors ; Female ; Granuloma, Plasma Cell ; Herpesvirus 4, Human ; Humans ; In Situ Hybridization ; Liver ; Pseudolymphoma ; Sarcoma ; Spleen ; Taiwan

Objective:To understand the current situation of aggression and violence management attitudes of pediatric nurses in Class Ⅲ Grade A hospitals, and analyze its influencing factors.Methods:This research was a survey research. From September to December 2019, convenience sampling was used to select 110 pediatric nurses from three ClassⅢ Grade A hospitals in Wenzhou for investigation with the Management of Aggression and Violence Attitude Scale (MAVAS) and the Self -Transcendence Scale (STS) . A total of 110 questionnaires were distributed and 104 valid questionnaires were collected, with the effective recovery rate of 96.36%. Results:Among 104 pediatric nurses, the total scores of STS and MAVAS were (40.47±9.83) and (57.67±8.24) respectively. Univariate analysis showed that there were statistically significant differences in the MAVAS total score of pediatric nurses with different years of nursing work, whether they participated in relevant training, and whether they experienced violence ( P<0.05) . Regression analysis showed that years of nursing work, whether they experienced violence, and the level of self -transcendence were the influencing factors of pediatric nurses' aggression and violence management attitudes ( P<0.05) . Conclusions:The aggression and violence management attitudes of pediatric nurses in Class Ⅲ Grade A hospitals need to be improved. Years of nursing work, whether they experienced violence and the level of self-transcendence were the main influencing factors. Nursing managers can pay more attention to junior nurses who have not experienced violence so as to improve their aggression and violence management attitudes by improving the self -transcendence of this group.

Objective:To summarize the best evidence of intracavitary electroencephalogram positioning in peripherally inserted central catheter (PICC) catheterization, and investigate the clinical application of the best evidence.Methods:The literature on the intracavitary electroencephalogram positioning technology in the head end positioning of PICC catheterization was searched through computers on websites or data bases such as Cochrane Library, Infusion Nursing Society, PubMed, ScienceDirect, China National Knowledge Infrastructure, WanFang Data, and VIP. The search period was from the establishment of the database to June 30, 2022. The literature evaluation standards and evidence grading system of the Joanna Briggs Institute Evidence-Based Health Care Center Database were used for literature quality evaluation and evidence grading, summarizing the best evidence. Based on the summary of evidence, the best evidence for intracavitary electrocardiogram positioning guided PICC catheterization was applied to the survey questionnaire. From November to December 2022, a snowball sampling method was used to select 119 PICC nurses for a questionnaire survey.Results:A total of 31 articles were included, consisting of 24 randomized controlled trials, two systematic reviews, four Meta-analysis, and one group standard. We summarized 20 pieces of evidence from 7 aspects, including preoperative evaluation and preparation, catheter delivery process, guidewire connection, guided intracavitary electroencephalogram, timing of catheter withdrawal, optimal position judgment, and effect evaluation. The survey results showed that more than half of the nurses were consistent with the evidence in terms of evaluation and preparation, catheter delivery process, guided intracavitary electroencephalogram, guidewire connection, and timing of catheter withdrawal. The selection of the optimal location judgment was relatively scattered and needed further research.Conclusions:This study provides evidence-based basis for the PICC catheterization positioning using intracavitary electroencephalogram. Based on clinical practice, specialized nurses select the best evidence and develop a management plan that suits individual circumstances, which can ensure maximum patient benefits and continuously improve nursing quality.