标签： 西安桑拿论坛

The high incidence of colorectal cancer is not only related to the improvement of life expectancy and medical diagnosis and treatment level in Shanghai, but also to the change of people’s lifestyle. Gao Jianping’s surging information

In the past 50 years, the incidence of colorectal cancer in Shanghai has increased more than five times, reaching 55-56/100,000 in 2013. There are as many as 8000 new cases of intestinal cancer in Shanghai’s permanent population every year.

Experts pointed out that in the past, the high incidence of colon cancer in Chinese was different from that in the west, and the common high incidence was rectal cancer and sigmoid colon cancer, but now the incidence of colon cancer has increased significantly. This is mainly related to the westernization of people’s life and diet structure.

On August 20th, reporter The Paper (www.thepaper.cn) learned from Shanghai International Medical Center that a multi-disciplinary (MDT) consultation platform across hospitals appeared in Shanghai, and the first disease that experts focused on was colorectal cancer, which was also the first comprehensive consultation platform project across multiple hospitals and disciplines in China.

Screening: 1.78 million retired people have a high risk of 340,000

Cai Sanjun, director of colorectal surgery at Fudan University Cancer Hospital and chief expert of multidisciplinary treatment group for colorectal cancer, revealed that epidemiological investigation found that the incidence of colorectal cancer in Shanghai increased more than five times in the past 50 years, from 87/100,000 in 1962 to 55-56/100,000 in 2013. Since 2003, colorectal cancer has jumped to the second place in the incidence of malignant tumors.

"At present, there are 8,000 new cases of colorectal cancer in Shanghai’s permanent population every year, and the incidence of colorectal cancer will rise in the future." Cai Sanjun said that the high incidence of colorectal cancer is not only related to the improvement of life expectancy and the level of medical diagnosis and treatment in Shanghainese, but also an important reason is the change of people’s lifestyle.

Zhang Jun, deputy director of the oncology department of Ruijin Hospital, also agreed. He revealed that in the past, the high incidence of colon cancer in Chinese was different from that in the west, and the common high incidence was rectal cancer and sigmoid colon cancer, but now the incidence of colon cancer has increased significantly. This is mainly related to the westernization of people’s life and diet structure.

An epidemiological report on cancer in Shanghai shows that the incidence of colon cancer has surpassed that of rectal cancer since 1991, and the gap is gradually widening. In 2011, the incidence of colon cancer accounted for 59.6% of colorectal cancer. The data shows that there are more than 10,000 patients with intestinal cancer in Shanghai municipal hospitals every year, including 3,000-4,000 patients from other places. It is estimated that the annual operation volume of intestinal cancer in Shanghai, including secondary hospitals, is between 12,000 and 13,000. "

According to Cai Sanjun, a project of "colorectal cancer screening for community residents" is being carried out in Shanghai, covering the permanent population who have reached retirement age and participated in various basic medical insurance and basic medical security in Shanghai. The plan is to complete the screening of 4 million people, but only 1.78 million people have been completed so far, mainly because the awareness of community residents’ participation is not strong. However, among the 1.78 million retired people who have been screened, there are 340,000 high-risk groups.

"It is reasonable that these 340,000 people should go for further examination of colonoscopy, but only 94,000 people have done it." Cai Sanjun said that among 94,000 people, 2,100 were diagnosed with intestinal cancer, 40% of them were still in the early stage, and after treatment, the 5-year survival rate could reach over 95%, while 18,000 people were found to have colorectal polyps, 60% to 70% of which may become cancerous when they grow up.

"I can imagine how many patients with early intestinal cancer will not be found in time in the rest of the population." Cai Sanjun appealed to the public to actively participate in and cooperate with this screening work.

Consultation platform: more than 30 top three experts participated.

Previously, the treatment of colorectal cancer was mainly focused on surgery, and no other disciplines were involved.

After 1990s, radiotherapy and chemotherapy proved their value in colorectal cancer. Liver metastasis and lung metastasis of colorectal cancer need the active participation of liver surgery and lung surgery. At the same time, in the field of medical diagnosis, imaging, endoscopy and other disciplines can provide the location, size and staging of tumors more accurately. This makes the determination of the correct diagnosis and treatment plan for colorectal cancer involve more and more departments. It is also on this basis that multidisciplinary diagnosis and treatment came into being.

However, in the multidisciplinary diagnosis and treatment carried out by traditional medical institutions, patients with incurable diseases often have to move from department to department, waiting in line repeatedly, and being exhausted. Complex diseases often merge with other problems, and doctors in each department can only give patients advice from their own fields. "Various departments are often’ railway police, each in charge of a section’ and’ treating the headache and treating the foot pain’, and the final treatment effect of patients is often greatly reduced." Zhang Wei, director of anorectal surgery at Changhai Hospital, said.

With the launch of the Multidisciplinary (MDT) consultation platform of Shanghai International Medical Center, it is a reality for patients with difficult colorectal cancer to get comprehensive consultation from experts in major hospitals in one stop.

"After the establishment of a cross-hospital multidisciplinary diagnosis and treatment platform, it is no longer the patients who are transferred between hospitals and departments, but our doctors. Therefore, on this diagnosis and treatment platform, everything starts from the diagnosis and treatment of patients and diseases." Yu Zhiqing, Dean of Shanghai International Medical Center, said that at present, this project platform has attracted more than 30 industry experts from Shanghai Cancer Hospital, Changhai Hospital, Ruijin Hospital, Renji Hospital and Longhua Hospital.

"These medical experts are well-known experts in the field of colorectal cancer diagnosis and treatment, and everyone is highly specialized in their own fields. Experts participate in this comprehensive consultation platform. On the one hand, they hope to work out the optimal treatment plan for patients with intractable diseases through cross-hospital cooperation. On the other hand, I also hope that in the interdisciplinary collision, experts can reach a better understanding and development. " Yu Zhiqing said.

According to the Shanghai International Medical Center, the MDT team of colorectal cancer in the medical center will give free consultation to 20 patients on August 21st, and select 5 difficult cases from them, and invite experts from all over the city for joint consultation. The first joint consultation of experts in the city is a public welfare project, with a quota of 5 people and no registration fee.

Zhang Jun said that at present, the UK law mandates that cancer diseases must be discussed through multiple disciplines. Comparative data abroad show that multidisciplinary diagnosis and treatment has obvious advantages compared with traditional diagnosis and treatment. "However, due to the large number of patients in China, it is unrealistic for all patients to undergo multidisciplinary comprehensive diagnosis and treatment. Therefore, at this stage, multidisciplinary comprehensive diagnosis and treatment is mainly for patients with incurable diseases and willing patients. At the same time, in order to ensure the actual effect of multidisciplinary comprehensive diagnosis and treatment, the number of patients open every week should not be too much. "

Special feature of 1905 film network On April 23rd, the finalists of the Beijing International Film Festival main competition ushered in the world premiere, and at the same time appeared at the launching ceremony of the College Student Film Festival as a specially recommended film.

This film is the first feature film of the new director, starring with a partner. It won the Excellent Project Award of WIP Unit of Beijing International Film Festival Venture Capital in 2021. This time, it will compete with 14 Chinese and foreign new films for the major awards of the Beijing International Film Festival Tiantan Award.

The film is adapted from Douban’s novel "200 Days of Dog Husband", which tells the story of Zhang Qianying, a retired bridge engineer, and Chen Zhiyong, problem of juvenile, who met each other because of a cross-provincial driving trip.

What is the quality of the film? How did Kara Wai and Hu Xianxu do? As the first audience, 1905 Movie Network brings you first-hand viewing evaluation without specific spoilers.

"Look at a Bridge" is a typical road movie. The overall narrative track of the two protagonists from strangeness and conflict to mutual change of attitude and familiarity is very clear.

Although there are smiles and tears, it doesn’t make people laugh like crazy, nor does it make people cry at the end of the journey, but it is between relaxed humor and warm and healing emotional atmosphere.

The film has adapted the role setting and story text of the original work to a certain extent. Chen Zhiyong in the novel is a 30-year-old unemployed and confused young man, and the film changes him into a 20-year-old rebellious boy.

At the beginning of the film, I first follow Chen Zhiyong, played by Hu Xianxu, into his daily life: working in a car repair shop and living in a broken family of origin. He evaded the college entrance examination, was clever, lacked maternal love, and always quarreled with his father. Just as Hu Xianxu shared his understanding of the role after the screening, "He is ignorant, has no respect for his elders, loves to steal things, wants to succeed but doesn’t know the normal way, and always wants to take shortcuts. Give him a few more years and he will grow into an asshole. "

Because of a driving business trip, Chen Zhiyong met Zhang Qianying, a customer. The old lady is alone, suffering from Az Harmo’s disease, and her personality is arrogant and withdrawn. These two are completely from different worlds, with extreme personalities and huge age differences, so they have enough space to collide with the sparks of contradiction and the warm light of reconciliation.

In this journey like On the Road, at first, through their relationship with each other, they created many bickering comedy situations, created a playful and humorous interactive atmosphere, and brought comfortable visual experience with the beautiful scenery along the way.

The film changes the route from Fujian to Inner Mongolia prairie in the novel to from Guangdong to Guizhou, and there are also ingenious ideas behind the change of space.

Guizhou is known as the "Bridge Museum", and nearly half of the top 100 Gao Qiao in the world are located in Guizhou. Kara Wai said that one of the main reasons why she took on this film was that her role was set as a bridge engineer, which highlighted the leading position of Chinese bridges in the world.

The film shooting has brought into play the rich and diverse advantages of bridge landscape in Guizhou, which not only integrates the visual elements of the bridge into the type characteristics of highway films, but also titles the film "Look at a Bridge". It is also regarded as a symbolic image that connects two lonely hearts to form a friendship landscape.

The noteworthy detail is that the foreign language title of the film is "Ciao" in Italian, which means "hello" and "goodbye". The visual motif of "bridge" and the emotional relationship between the two protagonists echo together.

With the continuous progress of the road, the tonality of the film has also deepened into a relatively serious and heavy topic, and she has gradually replaced Chen Zhiyong’s lost position as a mother and replaced his responsibility of educating him.

In the process of constant understanding, the two men uncovered their hidden secrets, formed a friendship of mutual companionship and inseparable, and ended up with a very romantic fairy tale, reaching the two-way expression of death and growth in life issues.

The story frame and theme of the whole film are very clear, but there are still some deficiencies in the internal details.

For example, relying on some contingency and coincidence to promote the plot; The turning point of the relationship between Chen Zhiyong and Zhang Qianying and the transformation of Chen Zhiyong lack clear main events and turning power; The plot trend and structure of the second half are somewhat scattered. ……

In terms of performance, this is not the first time that Kara Wai has played a role with Az Harmo’s disease.

She once interpreted patients with Alzheimer’s disease in the film, and won the Best Actress in the Hong Kong Film Awards. Because this characterization is in the early stage of Harmo’s disease, her portrayal of symptoms is not particularly exaggerated and sensational, which is different from the past.

Kara Wai’s acting skills are still sophisticated and steady, showing the solid skill of the acting school. Regrettably, the breakthrough and surprise are not enough.

Hu Xianxu used the advantage of his sense of youth to interpret the rebellious personality of the role naturally, injecting vitality and conviction. Because of the growth of the characters, the previous unruly and later friendly and kind changes, the acting methods are also different. In the film, he secretly sees his mother, and while eating beef powder, he weeps, which is quite expressive.

We can see that Hu Xianxu’s performance is still a little green, and we can also see that he is making progress, and he is moving towards the direction of being a good actor.

Driven by Kara Wai, the two men played opposite each other, which also inspired some bright spots. For example, in his quarrel with Kara Wai, he improvised a few nonstandard Cantonese words, which created a sense of contrast with his character’s status as a native of Guizhou, causing a joke and making the characters look vivid.

Through Look at a Bridge, the new director Song Xinqi showed his ability to master popular genres and tell warm stories, and he didn’t be vulgar and funny, and he didn’t incite emotions too much. Some plot designs also had brilliant treatment different from traditional methods. Even if it is awkward, there is still room for improvement in the mastery of audio-visual language. As the first feature film, it is still worth encouraging.

Don’t stop in Beijing International Film Festival, I look forward to the official release of "Look at a Bridge" in the future, so that more viewers can "look at it".