[A multicenter survey of the accessibility of essential medicines for children in China].

Objective: To investigate the availability, prices and affordability of essential medicines in pediatric population across China, in the hope of improving rational use of medicines. Methods: A multicenter cross-sectional survey of medicine prices, availability and affordability was conducted in 17 provinces, municipalities and autonomous region across east, south-central part, west and north of China. Data on 42 medicines used in pediatric population, both original and generic, were collected in 55 public hospitals from May 26 to June 2, 2017. Availability was expressed as the percentage of hospitals with stock of the target medicine on the day of data collection,and median price ratio (MPR) was the ratio of price upon investigation to international reference. Based on national minimum daily wage, affordability represents the number of working days needed to earn the expense which covers a standard course using the target medicine. Statistical software SPSS 13.0 was applied for descriptive analysis of availability, MPR and affordability. Results: Mean Availability of original and generic medicine was 33% and 32%, with median MPR being 5.43 and 1.55. Among the 19 medicines with price information for both original and generic product, the median MPR was 7.73 and 2.04 respectively. Regarding the five medicines used to treat four common pediatric diseases (pneumonia,peptic ulcer, congenital hypothyroidism, refractory nephrotic syndrome), the affordability was 0.63 (0.16-6.17) d for generic medicine, and 1.03 (0.16-11.53) d for its original counterpart. Conclusions: The availability to both original and generic products of the 42 medicines used in pediatric population was low in China. The prices of generic medicines seem to be lower and affordability higher than those of original medicines. There is an urgent need to improve the availability and affordability of pediatric medicines.

The beta-tubulin-encoding gene from Microbotryum violaceum: unusual in a variety of ways.

The beta-tubulin gene of Microbotryum violaceum was sought originally for its potential use in improving the transformation of this organism. The gene was cloned and its nucleotide sequence was determined. The gene was predicted to encode a 444-residue protein with strong sequence similarity to other beta-tubulins. The coding region was 2.85 kb, much larger than the corresponding genes from other organisms. This was due to the large number of introns in this gene, as determined by comparison of the cDNA sequence with that for the genomic clone. This gene contained 14 introns, which is the most introns in a beta-tubulin-encoding gene yet reported for any organism. Intron position comparisons between the M. violaceum gene and those from beta-tubulin genes of other organisms revealed a striking result, since 10 of the 14 introns were unique. An additional feature of the gene's organization was an unusually long 5' untranslated region, predicted to be nearly 1 kb in length. The possible significance of these unusual features of genetic structure is discussed.