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Medical Journal of Peking Union Medical College Hospital

2010  (1,  1)  to  Present  ISSN: 1674-9081

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Journey and Significance of Quality Control in Medical Safety for China's Plastic Surgery and Aesthetic Medicine Professions

Jiaojie ZHENG ; Mingzi ZHANG ; Loubin SI ; Jie CHEN ; Xiaojun WANG ; Xiao LONG ; Wei XIONG

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1233-1237. doi:10.12290/xhyxzz.024-0487

Medical quality and safety are essential safeguards for the harmonious society in China, directly affecting people's sense of security and happiness. Continuously improving medical quality and ensuring medical safety are fundamental and essential to implementing the strategies of the Party Central Committee and the State Council, and promoting the construction of a healthy China. In recent years, with the rapid development of China's economy and the people's increasing emphasis on their own health and safety, China's plastic surgery industry has achieved significant progress and yielded outstanding results. However, along with the rapid growth of the industry, medical quality issues and safety accidents have occurred frequently, attracting widespread attention from all sectors of society. This article briefly outlines the history of quality management and quality control for medical quality and safety in China's plastic surgery specialty. It explores the development of quality management from its origin to medical quality management, as well as the responsibilities and contributions of the National Plastic Surgery Quality Control Center in improving industry standards and ensuring patient safety. It aims to provide support for the standardized management of the plastic surgery industry in the future, so as to promote its healthy and sustainable development.


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Moving Forward the Defense Line and Wasting No Time: The Era of Active Prevention and Control of Hypertension in China Has Come

Ying LOU ; Jun CAI

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1238-1241. doi:10.12290/xhyxzz.2024-0774

To comprehensively improve the level of standardized screening, diagnosis and treatment of hypertension, the Clinical practice guidelines for the management of hypertension in China has been jointly initiated by Chinese Society of Cardiology, Chinese Medical Association, Hypertension Committee of Cross-Straits Medicine Exchange Association, Cardiovascular Disease Prevention and Rehabilitation Committee, and Chinese Association of Rehabilitation Medicine. This guideline addresses several important clinical problems in the field of screening, diagnosis evaluation and treatment of hypertension, fully assesses the latest high-quality clinical research evidences available, and gives clear recommendations. It also advocates the new concepts and perspectives, such as moving forward the diagnosis and treatment of hypertension, promoting the target of blood pressure reduction, simplifying the risk stratification of cardiovascular diseases, and paying attention to the screening of secondary hypertension, which will help promote the prevention and treatment of hypertension in China.


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Evolution of Facial Measurement Technology and Its Prospects with the Development of Artificial Intelligence

Runzhu LIU ; Xiao LONG

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1242-1252. doi:10.12290/xhyxzz.2024-0585

Facial anthropometry has profound importance in clinical diagnosis and the recognition of abnormal facial features. With the development of anthropometry, facial anthropometry has emerged as an independent research field and is widely applied in disciplines such as plastic surgery and cranio-maxillofacial surgery. This paper reviews the evolution of facial anthropometry and discusses its future trends in the context of artificial intelligence (AI). Currently, 3D facial imaging technology can accurately capture and reconstruct the three-dimensional morphology of facial soft tissues, and enhance the precision and objectivity of measurements, thus becoming the new "gold standard" for facial anthropometry. It not only provides reference for disease diagnosis and surgical planning but also plays a crucial role in evaluating cosmetic outcomes and aging research. In recent years, AI technology has developed rapidly, enabling direct recognition of abnormal facial features. Although facial recognition systems based on two-dimensional images are relatively mature, they have to struggle to fully capture facial features as they are limited by the dimensionality of information. While three-dimensional image-based recognition boasts high accuracy, it faces challenges in the recognition and classification of abnormal facial features due to limitations in the number of training samples. The integration of AI and facial anthropometry has effectively promoted automatic recognition technology for facial landmarks, thus providing more precise and interpretable methods for assessing disease-related facial features. Future research should focus on building reliable three-dimensional facial databases to further improve the accuracy of facial recognition. Additionally, developing facial recognition systems based on small sample sizes is necessary to provide robust support for the recognition of facial features associated with rare and special diseases.


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Prognosis and Treatment Strategies of FIGO 2018 Stage ⅢC Cervical Cancer

Xing MA ; Chang LIU

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1253-1260. doi:10.12290/xhyxzz.2024-0097

Tumor stage and lymph node involvement are the most important prognostic factors for patients with locally advanced cervical cancer. For cervical cancer, gynecologic oncologists generally apply the criteria of the International Federation of Gynecology and Obstetrics(FIGO). However, in the current FIGO 2018 staging system, stage ⅢC is based only on the anatomical location of metastatic lymph nodes, without considering local tumor factors and other lymphatic status parameters, which limits its prognostic significance to a certain extent. The aim of this article is to summarize the influence of local tumor factors and different lymphatic status parameters on prognosis and treatment options for stage ⅢC cervical cancer.


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Chinese Guideline for Diagnosis and Treatment of Human Immunodeficiency Virus Infection/Acquired Immunodeficiency Syndrome (2024 Edition)

ACQUIRED IMMUNODEFICIENCY SYNDROME PROFESSIONAL GROUP OF SOCIETY OF INFECTIOUS DISEASES, CHINESE MEDICAL ASSOCIATION ; CHINESE CENTER FOR DISEASE CONTROL AND PREVENTION

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1261-1288. doi:10.12290/xhyxzz.2024-0766

In 2005, the Acquired Immunodeficiency Syndrome Professional Group of Society of Infectious Diseases, Chinese Medical Association formulated the "Guideline for Diagnosis and Treatment of AIDS" in China (hereinafter referred to as the "Guideline"). The 2024 edition of the Guideline is revised based on the 5th edition in 2021, with reference to the latest research progress at home and abroad. The new edition focuses on updates to antiviral therapy, comprehensive management, opportunistic infections, human immunodeficiency virus (HIV) infection complicated with tumors, prevention and intervention of HIV infection, and newly introduces the section on "immunological non-responder (INR) in AIDS", which for the first time proposes the concept of "vulnerable populations with AIDS", and provides recommendations for diagnosis and treatment, as well as evidence and strength of the recommendations. The new edition covers epidemiology, etiological characteristics, laboratory testing, pathogenesis, clinical manifestations and staging, diagnostic criteria, common opportunistic infections, antiviral therapy, immune reconstitution inflammatory syndrome, INR, AIDS-related tumors, prevention of mother-to-child vertical transmission of HIV and fertility in single-positive families, pre- and post-exposure prophylaxis and interruption of HIV infection, comprehensive management of HIV infection, etc. It aims to assist clinicians in making rational decisions in the diagnosis, treatment, and management of AIDS. It will also be regularly revised and updated according to research progress at home and abroad.


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Consensus of Chinese Experts on Neck Injection Aesthetics (2024 Edition)

PROFESSIONAL PANEL ON INJECTION AESTHETICS, NATIONAL QUALITY CONTROL CENTER FOR PLASTIC AND AESTHETIC SURGERY

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1289-1300. doi:10.12290/xhyxzz.2024-0617

Neck injection aesthetic, a commonly performed clinical procedure, is still lacking in comprehensive guidelines or consensus. This expert consensus is co-authored by experts from the Injection Aesthetics of the National Quality Control Center of Plastic and Aesthetic Surgery. It elaborates on formulation method of consensus, the relevant contents of neck aesthetics and anatomy, botulinum toxin injections, filler injections, collagen stimulator injections, autologous tissue components injections, and combined treatments of injections with electrophoto-therapy. The consensus incorporates relevant evidence-based medical references, as well as multiple discussions. Ultimately, a basic clinical operational expert consensus was formulated, with the aim of serving as a reference for clinical physicians in their practice.


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Expert Consensus on Standard Terminology for Hair Transplantation (2024 Edition)

Yong MIAO ; Wei WU ; Zhenyu GONG ; Wenjie JIANG ; Yufei LI ; Zhiqi HU ; Hua XIAN ; Xiang XIE ; Weiqi YANG ; Dongyi ZHANG ; Jufang ZHANG ; Jiaxian ZHANG ; Chunhua ZHANG ; HAIR TRANSPLANTATION EXPERT GROUP OF PLASTIC AND AESTHETIC NATIONAL MEDICAL QUALITY CONTROL CENTER

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1301-1310. doi:10.12290/xhyxzz.2024-0708

In order to promote the development of hair transplantation, particularly the establishment of standards, the Hair Transplantation Expert Group of Plastic and Aesthetic National Medical Quality Control Center invited experts in the field of hair transplantation across China and formed a draft of the Expert Consensus on Standard Terminology for Hair Transplantation based on the collation of relevant literature and monographs. By combining Delphi methodology and consensus meetings, the expert group conducted several rounds of consultations on issues such as follicular unit anatomy, harvesting, dissection, and implantation, ultimately presenting 54 terminologies. This consensus considers the original Chinese and English meanings as well as the professional characteristics of terms used in hair transplantation, highlights the unique features and advantages of hair transplantation, and preserves its essence while promoting innovation, with the hope of providing valuable reference for clinical researchers engaged in hair transplantation both domestically and internationally, and better facilitating the standardization and advancement of the field.


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Protocol for the Development of Chinese Guideline for the Diagnosis and Management of Localized Scleroderma

Zhaojian WANG ; Xuda MA ; Jiangmiao XIE ; Kun ZOU ; Xiao LONG

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1311-1317. doi:10.12290/xhyxzz.2024-0656

Localized scleroderma (LoS) is a chronic autoimmune skin disorder characterized by fibrosis and hardening of the skin and subcutaneous tissues, potentially affecting deeper tissues and other organs. Currently, China lacks evidence-based guidelines for the diagnosis and management of LoS, which poses a challenge to disease recognition and leads to significant variation in treatment strategies across medical centers. To address this problem, we plan to establish a nationwide, multidisciplinary expert team through the Chinese Society of Plastic Surgery to initiate the development of the Chinese Guideline for the Diagnosis and Management of Localized Scleroderma. The guideline aims to standardize the diagnosis and treatment procedures for LoS, improve clinical diagnostic and therapeutic capabilities, and enhance patient outcomes through early identification and intervention. The guideline will adhere to international standards, with recommendations formed through evidence evaluation and multiple rounds of expert discussions. Although evidence-based data on LoS specific to the Chinese population is currently limited, and no unified gold standard for disease assessment exists, the clinical expertise of multidisciplinary specialists will play a pivotal role in the guideline's formulation. We anticipate that this guideline will provide LoS patients with higher-quality medical care and enhance patient awareness and engagement, which may ultimately help reduce social and healthcare burden. This proposal outlines the background, methodology, and anticipated value of the guideline, with the hope of providing guidance for its rigorous development and successful publication.


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Construction of Medical Quality Control Indicators System for Chinese Plastic and Aesthetic Major

Mingzi ZHANG ; Loubin SI ; Jiuzuo HUANG ; Nanze YU ; Jiaojie ZHENG ; Jie CHEN ; Xiaojun WANG ; Xiao LONG ; Wei XIONG

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1318-1324. doi:10.12290/xhyxzz.2024-0052

Objective

To construct a quality control indicators system for Chinese plastic and aesthetic major and lay foundation for medical quality control.

Methods

National Quality Control Center of Plastic and Aesthetic Major established a working group in February 2023. Guided by the "structure-process-outcome" theory, the working group formulated medical quality control indicators for Plastic and Aesthetic major by learning from relevant indicators of other majors, reviewing literature, discussing in meetings, and combining opinions from quality control experts. The quality control indicators system was finally established by Delphi expert consultation.

Results

Delphi survey was 100% of 2 rounds. The authorities of 2 rounds of expert consultation were 0.854 and 0.857. The harmonious coefficients were 0.387 of primary indicators and 0.425 of secondary indicators(P < 0.01). The finalized indicators system includes 3 primary indicators and 9 secondary indicators.

Conclusions

The quality control indicators system established in this study for Plastic and Aesthetic major in China has a certain degree of scientificity and rationality, which offers reference for medical quality control of Plastic and Aesthetic major in China. However, this system should be improved and ameliorated in practical application.


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Data Development Trend of Public/Private Medical Institutions in Chinese Plastic and Aesthetic Major

Mingzi ZHANG ; Loubin SI ; Jiaojie ZHENG ; Jie CHEN ; Xiaojun WANG ; Xiao LONG ; Wei XIONG

Medical Journal of Peking Union Medical College Hospital.2024;15(6):1325-1333. doi:10.12290/xhyxzz.2024-0486

Objective

To compare and understand the trends in quality control data changes in public and private medical institutions specializing in plastic and aesthetic major in China over the past three years.

Methods

The national quality control center of plastic and aesthetic major formulated quality control indicators, collected indicator data through the National Clinical Improvement System, conducted feedback verification on the data, organized and summarized the final data, and convened expert committees to analyze the data change trends.

Results

In the past three years, the number of both public and private medical institutions specializing in plastic and aesthetic major has shown an upward trend. The number of doctors increased significantly in 2022, with over 90% of doctors in public institutions (about 70% in private institutions) receiving higher education. In recent years, the proportion of doctors from other specialties engaging in plastic and aesthetic activities has increased. The proportion of inpatients seeking aesthetic treatments has also increased. Among outpatient patients, the proportion of injection procedures was relatively low. About one-third of private medical institutions have not yet adopted an electronic medical record system.

Conclusions

Data feedback is the cornerstone of medical quality control in Chinese plastic and aesthetic major. Existing data indicates that the related industry is developing steadily, but there is still room for improvement in terms of some indicator data. However, due to the limited data from private medical institutions, it is still necessary to encourage them to improve their reporting enthusiasm in order to conduct a more comprehensive assessment in the future.


Country

China

Publisher

Editorial Office of Medical Journal of Peking Union Medical College Hospital

ElectronicLinks

https://xhyxzz.pumch.cn

Editor-in-chief

ZHAO Yupei

E-mail

zhao8028@263.net

Abbreviation

Med J PUMCH

Vernacular Journal Title

协和医学杂志

ISSN

1674-9081

EISSN

Year Approved

2024

Current Indexing Status

Currently Indexed

Start Year

2010

Description

Distinguished Evaluation Experts of WPRIM: Medical Journal of Peking Union Medical College Hospital (Med J PUMCH in short) , hosted by Chinese Academy of Medical Science(CAMS) and Peking Union Medical College Hospital(PUMCH), is a peer-reviewed open access journal and publishes bimonthly in Chinese.Med J PUMCH is a multidisciplinary academic journal which focuses on clinical medicine, aiming to report the cutting-edge medical researches, clinical practice standards, promote scholastic communication in medicine, and benefit patients care ultimately.The following aspects are stated objectively for your ease to do evaluation: 1.Distinctive Feature of Comprehensive Medicine Since 2018, Med J PUMCH has positioned its feature on multidisciplinary collaboration. Each issue focuses on one frontier and leading topic,and invites authoritative experts from different areas to publish reviews and previews.Artificial Intelligence and Medical Imaging,Infection and Shock, Neuroendocrine Neoplasia, and other 30 representative topics make the feature of the journal more and more distinctive. 2.Special Columns Peking Union Medical College Hospital (PUMCH in short) is a well-known international hospital with a long history and a strong cultural background. PUMCH focuses on the diagnosis and treatment of difficult rare diseases, as well as medical teaching and scientific research.Based on PUMCH, we set up Complicated and Rare Disease, History of Medicine, Teaching and Research,and other several special columns,which make the journal more special. 3.Close Attention to the Public Health Emergencies Med J PUMCH timely organized the series of Prevention and Control of COVID-19, which show the journal’s academic value and social responsibility. Besides, the journal has been included in WHO’s Global Literature on Coronavirus Disease, which provide many China’s experiences in fighting against COVID-19 for the global medical institutions. 4.Unique Hand-painted Cover Since 2019, Med J PUMCH has set up a cover hand-painted team with medical students of Peking Union Medical College as the main members.The hand-painted cover created on the frontier and leading topic not only reflect the academic connotation, but also form the unique style of the journal. 5.International Editorial Board Team ZHAO Yu-pei, Honorary President of PUMCH, and Academician of Chinese Academy of Sciences (CAS), is Med J PUMCH’s present Editor-in-Chief, with deep academic background and extensive influence, who has been spending enormous time and stamina on Med J PUMCH’s development. The editorial board team has continuously added some famous international editors, who have very high enthusiasm to the development of the journal. 6.Wide Regional Distribution of the Published Articles The regional distribution of the journal’s published articles spans across 25 different provinces, municipalities and autonomous regions in China and many overseas countries, such as America and Canada. 7.Increased international influence The journal started to be covered by the Chinese Science Citation Database (CSCD) since 2019, Scopus and DOAJ since 2021, which is greatly increasing international visibility for journals. Since 2019, Med J PUMCH signed the cooperative agreement with TrendMD, a world’s leading scholarly content discovery and distribution platform, to promote its international dissemination and visibility. In 2019 alone, more than 1700 international readers were attracted from different academic platforms, including but not limited to those of such world well-known journals as JAMA, BMJ and Blood, to read Med J PUMCH’s articles. In addition, Med J PUMCH’s Compound Impact Factor, released by CNKI annually, is 1.593 now, increased consecutively. 8.Honor and Award Med J PUMCH has won “100 Excellent Papers of Chinese Medical Association”Award for many times. The journal been honored as “Most Beautiful Journal of China”. Chinese authorities pay high attention on the development of Chinese academic journals, and put forward the general policy to cultivate the first-class scientific journals in 2018. Med J PUMCH has fully taken the good opportunity for further development and got improved quickly to high quality. We sincerely hope that Med J PUMCH could be covered by WPRIM so as to bring in high-quality, featured and professional academic content to WPRIM. Sincerely, Editorial Board of Med J PUMCH 26th December, 2023

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