Sending high-quality medical experience to the westernmost part of our country: 9 hospitals and 4 districts deepen the "Shanghai Kashgar" group style targeted assistance and health | medical and health | experience

Release time:Apr 14, 2024 15:35 PM

Today, news came from the deepening of the "14th Five Year Plan" mid to late stage medical and health support agreement ceremony held at the Second People's Hospital in Kashgar region: Ruijin Hospital, Renji Hospital, Zhongshan Hospital, Huashan Hospital, Xinhua Hospital, Ninth People's Hospital, Sixth People's Hospital, Tumor Hospital, Shanghai Children's Medical Center, and Xinjiang Kashgar Second Hospital signed a deepening "hospital package department" group style assistance agreement in the mid to late stage of the "14th Five Year Plan". At the same time, the Health Commission of Pudong New Area, Minhang District, Baoshan District, and Jing'an District respectively signed a "14th Five Year Plan" mid to late stage medical and health support agreement with the Health Commission of Shache County, Zepu County, Yecheng County, and Bachu County in Kashgar region. Assistance agreement, Kashgar Second Hospital and four corresponding counties have also signed a deepening close medical consortium agreement.

In 2012, the Shanghai Municipal Government held a special work conference on aid to Xinjiang, and determined the goal of building Kashgar Second Hospital in Xinjiang into a medical highland in southern Xinjiang and carrying out "three reductions and one improvement" medical and health aid to Xinjiang in Shache, Zepu, Yecheng, and Bachu counties in Shanghai. Afterwards, the Shanghai health system integrated the city's medical and health resources in accordance with the principle of combining central requirements, local needs, and Shanghai's capabilities. A total of 228 aid projects to Xinjiang have been implemented, with a total investment of 742 million yuan. 368 medical and health cadres and talents have been selected to work in Xinjiang.

According to the agreement, a new round of Shanghai Ka Clinical Medical Center will be constructed, and the "hospital package department" will be continuously deepened. Specifically, the anesthesia department of Ruijin Hospital will lead the Shanghai Ka Anesthesia and Surgery Center, the gastroenterology department of Renji Hospital will lead the Shanghai Ka Digestive Disease Diagnosis and Treatment Center, the cardiology department of Zhongshan Hospital will lead the Shanghai Ka Cardiovascular Disease Diagnosis and Treatment Center, the neurology department of Huashan Hospital will lead the Shanghai Ka Neurological Disease Diagnosis and Treatment Center, the cardiology department of Xinhua Hospital will lead the Shanghai Ka Cardiac Surgery Disease Diagnosis and Treatment Center, the stomatology department of the Ninth People's Hospital will lead the Shanghai Ka Oral Diagnosis and Treatment Center, the orthopedics department of the Sixth People's Hospital will lead the Shanghai Ka Emergency Trauma Center, and the radiotherapy department of the Cancer Hospital will lead the Shanghai KaThe Cancer Disease Diagnosis and Treatment Center and the Pediatric Intensive Care Medicine Department of Shanghai Children's Medical Center are leading the Shanghai Kashgar Critical Neonatal Disease Diagnosis and Treatment Center. Shanghai Hospital selects one medical staff member with deputy high qualification or above to work at Kashgar Second Hospital, serving as the administrative director of relevant departments for 1.5 years. In addition, an expert team is dispatched every year to Kashgar for special lectures, teaching rounds, and diagnosis and treatment of difficult cases.

Taking Zhongshan Hospital as an example, the focus of the new round of aid construction is to improve the standardization, effectiveness, and safety of cardiovascular disease diagnosis and treatment, and to create sub specialties including coronary intervention, pacing electrophysiology, structural heart disease, heart failure, and cardiac rehabilitation; Ruijin Hospital will assist in the initial construction of a modern anesthesia surgery center, improve anesthesia management for critically ill patients, and actively promote comfortable anesthesia medical care; Renji Hospital aims to improve the standardized diagnosis and treatment capabilities for key diseases, especially inflammatory bowel disease, gastrointestinal bleeding, acute pancreatitis, liver cirrhosis, gastrointestinal polyps, etc. At the same time, it aims to enhance the diagnosis and treatment capabilities of early gastrointestinal cancer, with a focus on developing endoscopic retrograde cholangiopancreatography and endoscopic ultrasound technology.

Sending high-quality medical experience to the westernmost part of our country: 9 hospitals and 4 districts deepen the "Shanghai Kashgar" group style targeted assistance and health | medical and health | experience

Kashgar, Xinjiang is located in the westernmost part of China, with a total area of 166000 square kilometers. The region is vast, and the construction of the medical and health service system at the county, township, and village levels is relatively weak. In the new round of cooperation between districts and counties, the tight paired assistance model will continue to be promoted: in Minhang District, in addition to the connection between Shanghai Fifth People's Hospital, Minhang District Central Hospital and Zepu County People's Hospital, Minhang District Maternal and Child Health Hospital and Zepu County Maternal and Child Health Station, Minhang District CDC and Zepu County CDC, as well as 13 community health service centers and 13 township health centers in Zepu County, will also cooperate.

In 2022, Baoshan District promoted the "three reductions and one improvement" and public health capacity building project in Yecheng County. Prenatal screening for pregnant women filled the gap in Yecheng District where pregnant women were unable to undergo Down's and NIPT screening during pregnancy. In the past, pregnant women needed to go to regional hospitals for this test, and some families refused the test because they could not afford it. As of now, a total of 320000 yuan has been invested, and 960 people have completed prenatal screening, reducing the risk of birth defects in the jurisdiction. In the new round of cooperation, Baoshan District will continue to consolidate the effectiveness of the "three reductions and one improvement" project, pilot the free colorectal cancer screening project, and carry out the "Yuying" plan, targeting the disease situation of children and adolescents, such as establishing refractive records for adolescents.

Wen Daxiang, director of the Municipal Health Commission, said that the work of Shanghai medical and health assistance in Xinjiang helped the Second Kashgar Hospital to successfully establish a Grade III A hospital, and continued to move towards the goal of strengthening the Grade III A hospital. The incidence rate of infectious diseases, maternal mortality and neonatal mortality in the four counties of the city fell significantly, and the per capita life expectancy continued to rise. "Today's signing event marks a new stage of development for medical exchange and cooperation between Shanghai and Kazakhstan. Through sustained efforts and long-term persistence, we will continue to do our best to meet the higher-level health needs of local people of all ethnic groups."

Why is "Cancer King" immunotherapy ineffective? Fudan Cancer Hospital Reveals New Mechanisms of Immunosuppressive Environment for pancreatic cancer CRIP1 | Tumor | pancreatic cancer

Immunotherapy has been proven to achieve significant therapeutic effects in various solid tumors. However, for pancreatic cancer, known as the "king of cancer", immunotherapy has been ineffective. On August 4, Professor Yu Xianjun, Dean of the Cancer Hospital Affiliated to Fudan University, and Shi Si, Associate Professor of Pancreatic Surgery released a research achievement, which first found the key role of cysteine rich protein 1 in shaping the immunosuppressive microenvironment of pancreatic cancer, filled the gap in the research field of immunosuppressive microenvironment of pancreatic cancer, and provided a theoretical basis for precise immunotherapy of pancreatic cancer patients. Ductal adenocarcinoma of the pancreas is the main type of pancreatic cancer, accounting for about 90% of all pancreatic cancer. Due to its high malignancy and poor treatment effectiveness, pancreatic ductal adenocarcinoma has always been one of the most malignant tumors. In recent years, the level of surgical techniques and comprehensive treatment has been achieved

A 14-year-old girl suffers from a rare eye disease and receives support from a public welfare fund. Symptoms of "I haven't looked in the mirror for a long time" | Patient | Public welfare

A 14-year-old girl has been experiencing symptoms such as protruding pupils, incomplete eye closure, corneal injury, restricted eye movement, and overall fatigue for several years. The physical discomfort and facial abnormalities caused by eye diseases have made her increasingly reticent, and her temperament is vastly different from before. At the Ophthalmology Department of the Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, the pupil has been diagnosed with a rare thyroid ophthalmopathy combined with myasthenia gravis, which requires prompt treatment. However, considering the young age of the pupil, conventional hormone and radiation therapy cannot be used. Therefore, Zhou Huifang, Deputy Director of Ophthalmology and thyroid ophthalmology expert, has developed a targeted drug combined with surgical treatment plan for it, and targeted drug treatment will be performed first. Three months ago, I was hospitalized for one week with mydriasis and received intravenous targeted drug treatment. Afterwards, I went home for observation and followed up on time

The municipal eye disease prevention and treatment center launched the dry eye diagnosis and treatment studio, and the incidence rate of dry eye in China is about 21% to 30% of the meibomian gland | dry eye | eye disease

According to the Statistics of Chinese Dry Eye Expert Consensus, the incidence rate of dry eye in China is about 21%~30%, and it is estimated that there are at least 300 million patients nationwide. The Dry Eye Diagnosis and Treatment Studio of Shanghai Eye Disease Prevention and Treatment Center was officially launched today. In the future, the studio will continuously improve the dry eye diagnosis and treatment standards, and form standardized diagnosis and treatment concepts and service models. Suitable technologies will be promoted to the community, allowing residents to enjoy convenient dry eye diagnosis and treatment services at their doorstep. Executive Dean and Party Secretary Gao Wei stated that this is also one of the livelihood service measures recently launched by the hospital around high-quality development and meeting the needs of the people. It is reported that dry eye syndrome is a chronic ocular surface disease caused by multiple factors. The instability of the tear film or imbalance of the ocular surface microenvironment caused by abnormal quality, quantity, and dynamics of tears can be accompanied by ocular surface inflammatory reactions, tissue damage, and nerve abnormalities, resulting in various discomforts in the eyes

The Ninth Hospital has taken the lead in formulating the world's first consensus on core indicators for clinical evaluation of dental implants, which has been officially published in clinical practice

The International Dental Implant Consensus Report, jointly written by the Ninth People's Hospital affiliated with Shanghai Jiao Tong University School of Medicine and renowned universities in the field of dentistry such as Harvard University, University of Zurich, University of Gothenburg, Columbia University, and University of Frankfurt, has recently been jointly published in top journals in the field of dentistry, including Clinical Periodontology and Clinical Dental Implant Research. This consensus has for the first time established an internationally unified core set of indicators for evaluating the clinical effectiveness of dental implants, covering the five key areas of the field of dental implants. It is of milestone significance for carrying out standardized clinical diagnosis, treatment, and research on dental implants. The core evaluation indicators determined by this consensus will become an important benchmark for scholars in the field of dental implants worldwide to conduct high-quality research. The consensus is composed of 8 top international experts in the field of oral implantation

Recently, autologous hematopoietic stem cell therapy was completed in Shanghai, and British girls born in the 1990s have suffered from multiple relapses of blood diseases, including stem cells, peripheral blood, and diseases

Recently, Catherine, a British girl born in the 1990s, received autologous peripheral blood hematopoietic stem cell transfusion at the Cancer Center of Shanghai Jiahui International Hospital, and was successfully discharged from the warehouse. She is now on her way back to China after being discharged from the hospital. She is also the first patient at Shanghai Jiahui International Hospital to complete relevant treatments. In 2019, Catherine was diagnosed with Hodgkin's lymphoma in the UK, and after treatment, the disease completely improved. During her work and life in China in 2021, she went to seek medical attention due to multiple enlarged lymph nodes. Pathological biopsy confirmed a recurrence of Hodgkin's lymphoma, and through combined targeted drug treatment, her condition was temporarily under control. Last year in the second half of the year, when the disease recurred, the girl began to use immunotherapy combined with targeted drugs for treatment. Expert evaluation suggests that for young patients with hematological tumors, the risk of recurrence is high and treatment difficulty is increasing in the future. Autologous hematopoietic stem cell therapy is recommended

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