简介：China'sFreeARTProgramwasinitiatedin2002asanemergencyresponsetosaveandimprovethelivesofAIDSpatientslivingmainlyinimpoverishedruralregionsofcentralChina.WithlittleexperienceinHIV/AIDStreatmentandcareandresourcelimitations,China'seffortstoprovidewidespreadaccesstofreeantiretroviraltherapyhasbeenaprocessfraughtwithdifficulty.However,theFreeARTProgramisprogressingfromanemergencyresponsetoastandardizedtreatmentandcaresystem.Thedevelopmentofnationalguidelines,trainingprograms,alaboratorysupportnetwork,anationalpatientdatabase,programsforspecialpopulationssuchaschildrenandpatientslivingwithcoinfections,andoperationalresearchhasimprovedthescopeandqualityofthefreetreatmentprogram.AsofJune30,2005,atotalof19,456patientsin28provinces,autonomousregions,andspecialmunicipalitieshadreceivedfreeART.ChallengesstemmingfromthenatureofChina'shealthsystemandpatientpopulationpersist,butwithstronggovernmentsupportandadiversesetofresources,Chinahasthecapacitytoovercomethesechallengesandtoprovidenationwideaccesstohighqualitytreatmentandcare.

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简介：ChinahasrecognizedthethreatofHIVtoitspopulationandrespondedwithanationalantiretroviraltreatment(ART)program.However,highARTfailureratesandthespreadofresistancewithinpopulationsareimportantrealitiestoconsiderwhendevelopingandmanagingARTprogramsinChinaandworldwide.Conceptswhichwilldefinetreatmentsuccessandlocalandnationalprogrammaticgoalsare1)accesstoART,2)durabilityofARTatthepatientlevel,3)scalabilityoftreatmentmodalities,andthe4)sustainabilityoftheprogramatthecommunityornationallevel.Inthefaceoflimitedresources,ChinamustalsoconsiderwhentostartARVtherapy,whichagentstouse,whentoswitchthem,andhowtotreathighlyexperiencedpatientswithdrugresistance.TheoptimalARVregimentostartwithischangingfrequentlywiththeintroductionofnewagentsandthepresentationofnewdata.Currently,aregimenincludingtenofovir,emtricitabineorlamivudineandanonnucleosidereversetranscriptaseinhibitorappearstohaveoptimalcharacteristicstotreatHIV/AIDSinChina.However,criticaltoallofthesechoicesistheevaluationofprogramsimplementedtoinsurewidescalesuccess.Chinahaswiselybegunthisprocessofevaluatingtheperformanceoflocalprogramsthroughsystematicmonitoringandevaluationoftreatmentoutcomes.Thiswillallowregimensandprogramsthatworktobeexpanded,andprogramswithhighfailureratestobeeliminated.Intheend,evidencebaseddatasupportingtreatmentstrategieswillallowChinatosuccessfullyconfrontitsAIDSepidemicearlyandpreventitstragicconsequences

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简介：ThisarticleisageneralreviewoftheevolvementofHIV/AIDS-relatedpublicpoliciesinChinasince1980's.Ittrackstheimportantlaws,regulationsandothergovernmentaldocumentsinregardtoHIV/AIDSpreventionmainlyatcentrallevel.

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简介：Comparedwithhighinfectionareasoftheworld,thetotalHIVinfectionrateinChinaisrelativelylow.Nonetheless,becauseofChina'svastterritoryandlargepopulation,thepotentialinfectionriskmustbetakenseriously.Inthenextfewyears,needlesharingamonginjectiondruguserswillremainthemostcommonrouteoftransmissionfortheHIV/AIDSepidemicinChina.Unprotectedsexisgraduallybecomingamajorrouteoftransmission.ChinabegantoimplementHAARTin1999accordingtointernationalstandards.Priorto2003,therewereonlyabout150HIV/AIDSpatientsweretreatedwithHAARTinsomeclinicaltrialsandabout100HIV/AIDSpatientsweretreatedbyprivatesources.ResultsofthosetreatmentsarethescientificbasisfordevelopmentofthetherapeuticstrategiesinChina.InMarchof2003,theChinesegovernmentinitiatedChinaCARESprogram.InNovemberof2003,theChineseMinistryofHealthannouncedanationalpolicyoffreeARVtreatmenttoallHIV+ChinesecitizenswhowereinpovertyandrequiredARVtherapy.Therearetotalof19,456HIV/AIDSpatientsreceivedfreeARVdrugstodatein159regionsand441towns.Currentchallengesarehowtofollow-upandevaluatethosepatientsintheclinicalsettings.Thelongerthetherapyispostponed,themoresideeffectsandthehigherprobabilityofdrugresistancearegoingtooccur.Itremainsunclear,therefore,whenHAARTregimenshouldbestartedintheHIV/AIDSpopulationinChina.

简介：Inthelasttwoyears,wehaveseenaremarkableintensificationintheresponsetoAIDSinChina.AnumberoforganizationshavejoinedandcontributedtotheeffortsoftheChinesegovernmentinrespondingtheAIDSepidemicinChina.ThisarticlespecificallydescribestheroleoftheUnitedNationsinsupportingandstrengtheningthoseresponses.AchievementsoftheUnitedNations(UN)highlightedinthearticleinclude:strengthenedleadershipandpoliticalcommitmenttorespondtoAIDS;improvedHIV/AIDSsurveillanceandinformation;expandedpreventionefforts;improvedtreatment,careandsupporttopeoplelivingwithHIVandincreasedresourcesforAIDSprograms.Additionalrolesofe.,onenationalplanonAIDS;onenationalcoordinatingauthorityforAIDS;andonemonitoringandevaluationsystemforAIDS.Inaddition,theUNsystemisexpectedtostrengthenalignmentandharmonizationofactivitiesofallinternationalorganizationsandimprovedaccountabilityandoversight.RemainingchallengesidentifiedincludeincreasingawarenessofAIDSandreducingstigmaanddiscrimination;reducingvulnerabilityandriskbehaviouramongspecificgroups;providingimprovedtreatment,careandsupportforpeoplelivingwithHIV;promotingstrongerengagementbycivilsociety,and;addressingthegenderdimensionsofAIDS.

简介：Internationalnon-governmentalorganizationswereamongthefirstinternationalactorsthatrespondedtotheemergenceofAIDScrisisinChina.Since1994,thenumberofinternationalnon-governmentalorganizationsandcharitablefoundationsworkinginAIDSrelatedissueareasinChinahasgrownsteadilyandsubstantially.Despitetheirorganizationaldifferences,mostofthesenon-governmentalactorspresentthecharacteristicsofindependentmission,localizedpracticeanddiverseworkingfocus.Eventhoughtheyareconstrainedbyfinancialandotherfactorscomparedwithmultilateralandbilateralofficialassistanceagencies,theyhavestillplayedauniqueroleinfightingagainstAIDSinChinaastechnicalexperts,publiceducators,andcivilsocietysupporters.

简介：Polyamines在在植物，而是他们的准确角色调整各种各样的发展过程被含有并且他们怎么管理这些过程尚待逃犯。我们这里报导浓密的Arabidopsis和矮子异种，bud2，哪个从编码S-adenosylmethioninedecarboxylases(SAMDC)的小基因家庭的一个成员的完全的删除的结果为在polyamine简历的不可缺少的中介的形成必要合成小径。bud2植物在开花期，根，和叶柄扩大了脉管的系统，并且polyamines的改变的动态平衡。bud2和samdc1的双异种，另一个SAMDC成员的击倒的异种，是胚胎致命，证明SAMDC为植物胚胎开始是必要的。我们的结果建议polyamines为更高的植物的正常生长和发展被要求。

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