Cellular myxoma is an uncommon type of myxoid benign tumor, predominantly occurring in adult female patients aged >40 years. This report aims to document a case of cellular myxoma that occurred in the buccal mucosa. Compared to intramuscular myxomas, cellular myxoma demonstrates hypercellularity and vascularity. Its manifestation in the soft tissue of the head and neck area is exceptionally rare. Generally, cellular myxoma manifests as a firm and immovable mass covered with normal oral mucosa, with no associated clinical symptoms. Homogenous low signal intensity on T1-weighted scans and high-signal intensity on T2-weighted magnetic resonance scans reveal cellular myxoma, as most lesions show well-defined margins and heterogeneous contrast enhancement. The significant histologic features include a focal or diffuse increase in cellularity with fibroblast-like cells and vascularity with an abundant collagenous matrix. Our presented case reflects these facts examinations, based on which a final diagnosis of cellular myxoma was made. Immunohistochemistry revealed locally and diffusely positive SMA and CD34. The clinical tendency of cellular myxoma with hypercellularity may affect the production of myxoid and collagenous substrates, and if complete resection is not performed, the possibility of local recurrence in the primarily affected region remains. Hence, complete surgical excision was performed under general anesthesia, and follow-up until a year after treatment revealed no observed recurrence. To achieve precise diagnosis and complete treatment without local recurrence, several diagnostic examinations should be considered.

Purpose: This study aimed to understand the COVID-19 vaccination experience of nursing students and explore its importance. Methods: A descriptive qualitative study and content analysis was conducted. The participants were 14 nursing students who expressed their rejection of COVID-19 vaccination. Data were collected through in-depth interviews from November 24, 2021, to January 30, 2022. Results: The COVID-19 vaccination experience of nursing students included four themes: “nostalgia for everyday life before COVID-19”, “hesitancy to get vaccinated against COVID-19”, “different thoughts about COVID-19 vaccination”, and “future direction of COVID-19 vaccination”. Conclusion: The COVID-19 vaccination experience of nursing students may be due to a lack of trust in COVID-19 vaccination. Therefore, accurate information about COVID-19 vaccination should be provided to lower the vaccination hesitancy of nursing students.

The characteristics of grounds influences on the safety of stone bridge structure. Therefore, this study performs the modelling and analysis considering the formation of soft ground. Also, this study evaluates the structural performance through the design variables according to the characteristics of soft ground.