Objective To retrieve and obtain the relevant evidence of standardized pulmonary rehabilitation strategies for patients with severe idiopathic scoliosis，and to summarize the best evidence. Methods We searched relevant guideline networks，PubMed，Embase，Web of Science，CNKI，Wanfang databases to collect relevant guidelines，expert consensuses，best practices，recommended practices and systematic evaluations related to pulmonary rehabilitation management in severe idiopathic scoliosis from the establishment of the database to January 30，2023. There were 2 researchers who independently evaluated the literature quality and extracted data. Results A total of 14 articles were included，including 2 best practices，3 guidelines，5 expert consensuses，4 systematic reviews，and 25 pieces of best evidence were summarized from 7 dimensions，namely clear objective of pulmonary rehabilitation，multidisciplinary team management，optimal timing of pulmonary rehabilitation，preoperative pulmonary rehabilitation strategy，intraoperative pulmonary protection strategy，postoperative pulmonary rehabilitation strategy，and compre-hensive intervention. Conclusion This study summarized the best evidence of pulmonary rehabilitation management for patients with severe idiopathic scoliosis，and it has a certain scientific and comprehensive nature，which can provide evidence-based bases for the formulating of pulmonary rehabilitation evaluation and management programs and practice standards for patients with severe idiopathic scoliosis.

Objective To compare the clinical effects of midline’s tip at different position. Methods From September 2020 to January 2021,a multi-center randomized controlled study was used to select 384 inpatients as the research subjects from 6 tertiary A general hospitals in Zhejiang province,Fujian province,Jiangsu province,and Liaoning province. They were randomly divided into 3 groups according to random numbers generated by Excel. The midline’s tips were located in the subclavian vein in the experimental group 1,in the axillary vein of the chest in the experimental group 2,and at the distal of the axillary vein in the control group. The incidences of catheter-related complications（including phlebitis,catheter-related thrombosis,catheter-related infections,catheter occlusion,catheter dislodgment,bleeding,oozing） were compared in 3 groups,as well as unplanned removal rate due to complications,catheter indwelling time,and the incidence of abnormal intima after midline removal. Results A total of 384 patients were included. The total incidence of catheter-related complications in experimental group 1,experimental group 2,and control group were 9.93%,14.63%,and 34.17%. Unplanned removal rate due to complications were 2.13%,4.07%,and 13.33% in 3 groups. Catheter indwelling time were 12.00（8.00,19.75） d,12.00（8.00,21.00） d,and 10.00（6.00,17.75） d. After the removal,the incidence of abnormal intima were 0.75%,1.69%,and 6.36%. The differences of 3 groups were statistically significant（P<0.05）. Among them,the differences in the total incidence of catheter-related complications and unplanned removal rate between the experimental group 1 and the control group,the experimental group 2 and the control group were statistically significant（P<0.017）;the difference between the experimental group 1 and the experimental group 2 was not statistically significant（P>0.017）. In terms of the catheter indwelling time,the difference was statistically significant between the experimental group 1 and the control group（P<0.017）. Conclusion When the tip of midline catheter is located in the axillary vein of the chest or subclavian vein,the incidence of catheter-related complications is lower,with longer indwelling time and better clinical outcome.

To summarize the nursing experience of a rectal cancer patient with secondary to multiple necrotizing soft tissue infection of abdominal wall. Nursing points include the close monitoring of the changes of the condition,the early identification and effective control of the septic shock and necrotizing soft tissue infection,and the control of the recurrence of systemic infection through multidisciplinary cooperation;cutting and draining the necrotizing soft tissue infection as early as possible to remove the necrotic tissue;using multiple negative pressure combined with continuous drip irrigation and drainage technology to nurse the wound;implementing the individualized analgesia mode and nutrition support program dynamically by stages;carrying out the whole process psychological intervention. After 122 days of careful nursing care,all 8 wounds healed and the patient recovered well.

Objective This article summarized the experience in the prevention and control of coronavirus disease 2019（COVID-19） epidemic in non-isolated areas in a general hospital,in order to provide references to implement prevention and control methods of nosocomial infection in non-isolated areas for other general hospitals. Methods Based on refined management theory,we professionally developed the standards for prevention and control of COVID-19 in non-isolated areas,systematically implemented various prevention and control measures,performed gridding audit,effectively communicated among teams and between doctors and patients assisted by information techniques,and reported results by data for quality improvement. Results There was no secondary COVID-19 infections among staff in the hospital. The rate of mask wearing,the screening rate of epidemiological history and the rate of medical supplies disinfection were all 100% in the hospital. The accuracy rate of mask wearing of patients and their families was 73.79% and the compliance of their hand hygiene was 40.78%. Conclusion Refined management strategies for the prevention and control of COVID-19 infection in non-isolated areas of the general hospital are effective. The accuracy rate of mask wearing and hand hygiene compliance of patients and their families need to be further improved.