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OBJECTIVE： To provide reference for improving the purchase management policy of priority reviewed drugs in China. METHODS： Based on the purchase management policy of priority reviewed drugs in China， priority reviewed drugs approved for market by the end of 2017 were sorted out； the priority reviewed drugs that had been purchased in a clear way were selected and classified according to the reasons for their inclusion in the priority review. The procurement methods of different categories of priority reviewed drugs in different provinces were compared in order to find out the shortcomings of priority reviewed drug procurement management and put forward related suggestions. RESULTS & CONCLUSIONS： By the end of 2017， 56 priority reviewed drugs achieved marketing authorization， 16 of which were purchased through provincial drug procurement platforms. Among the 16 drugs mentioned above， there were 13 priority reviewed drugs of which purchase methods were specific， including direct online purchase， price-limited online purchase， bidding purchase， price-negotiated purchase， bidding purchase and record purchase. And the direct online purchase was used the most frequently. According to the reasons included in the priority review， above 13 drugs with specific purchase methods were divided into 5 categories such as new drugs with obvious clinical value， urgent medical needed drugs， pediatric drugs， first generic drugs， the drugs which had passed investigational new drug application. China’s purchase management policy of priority reviewed drugs still had shortcomings through three aspects， including the system design， purchase method and management procedure. There is no sufficient connection between the registration review policy and the procurement policy. In addition to the clinical badly-needed priority reviewed drugs， the procurement methods of priority reviewed drugs in the remaining categories was not uniform， and the regional difference was large. And the utilization degree of pharmacoeconomic evaluation during the drug purchasing process needed to be improved. It is suggested to make the category of drug purchase more detailed combining with the classification of drug registration， unify the method of drug purchase to make the purchase way of each kind of priority reviewed drugs explicit， standardize the management of drug purchase and improve the attention and utilization of pharmacoeconomic evaluation， so as to improve the accessibility of priority reviewed drugs in China.
ABSTRACT
Este trabalho teve como objetivo avaliar a morfogênese da grama-tapete (Axonopus affinis) adubada durante dois anos com dejeto líquido de suínos (DLS). Na média de dois anos, foram aplicados 0, 51, 102, 153, 204 e 255m³ de DLS ha-1, calculados para prover 0, 100, 200, 300, 400 e 500kg de N/ha/ano, respetivamente. A morfogênese foi avaliada na primavera e verão de 2008-2009 e 2009-2010, considerando-se como temperatura basal 10°C para cálculo da soma térmica no intervalo entre as amostragens. Houve aumento linear no número de perfilhos, taxa de alongamento de perfilhos, taxa de expansão foliar e índice de área foliar em função das doses de DLS. Não houve efeito da adubação na taxa de alongamento de pseudocolmo (0,004cm GD-1), taxa de aparecimento foliar (0,004 folha perfilho-1 GD-1) e filocrono (274GD).
This study aimed to evaluate the morphogenesis of carpet grass fertilized for two years with pig slurry (PS). On the average of two years were applied 0, 51, 102, 153, 204 and 255m³ of PS ha-1, calculated to provide 0, 100, 200, 300, 400 and 500kg of N ha-1 year-1, respectively. The morphogenesis was evaluated in the spring and summer of 2008-2009 and 2009-2010, considering 10°C as threshold temperature to evaluate the thermal sum in degree-days (DD) between the samplings. The fertilization linearly increased the tiller number, tiller elongation rate, leaf elongation rate and leaf area index. There was no effect of the fertilization on pseudoculm elongation rate (0.004cm DD-1), leaf appearance rate (0.004 leaf tiller-1 DD-1) and phyllochron (274DD).
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Objective To evaluate the value of Bolus chase technology for angiography of lower extremity. Methods 12 cases with diabetes foot or leg pain were examined with Bolus chase technology. Results Low extremity artery thrombosis was found in 12 cases. Conclusion Bolus chase technology is better than standard DSA in the display of lower extremity vessel.
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Objective To evaluate the value of DSA image mosaic in arteriography in lower extremities. Methods 22 suspected cases were examined by bolus chase, and then the images were mosaiced to a full picture after processing by Paste to judge the image effects of vessels. Results This method could display the whole image by one injection of contrast media. Vary lesions were found in the 22 cases. Conclusion This method can display the lower extremities lesions directly, which is better than traditional DSA.
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Micro-and ultrastructure of the photoreceptors and first visual ganglion in the different regions of the compound eye of the wild male and female housefly, and the projections of the photoreceptor cells within the subsequent visual centers have been studied. The morphology of the retina and lamina ganglia in the front dorsal and the equatorial regions of the male compound eye and the front ventral region of the female one, and the projections of the retina within the lamina show the sexspecific characteristics underlying the function of chasing behavior in the housefly.