Objective:To evaluate whether Ding Kun Dan(DKD)can improve the vitro fertilization/intracytoplasmic sperm injection and embryo transfer(IVF/ICSI-ET)outcomes in patients with predicted poor ovarian response(POR)safely ...Objective:To evaluate whether Ding Kun Dan(DKD)can improve the vitro fertilization/intracytoplasmic sperm injection and embryo transfer(IVF/ICSI-ET)outcomes in patients with predicted poor ovarian response(POR)safely and effectively.Methods:Prospective,multicenter,randomized controlled trial;A total of 278 POR patients were randomized in DKD group or immediate treatment group.Both groups received IVF or ICSI as a standard treatment while in the DKD group,DKD was administrated for 3 months before the IVF/ICSI cycle.The primary outcome was the ongoing pregnancy rate.The secondary outcomes include clinical pregnancy rate,biochemical pregnancy rate,total gonadotropin(Gn)dosage and duration,estradiol(E2)and progesterone(P)levels on human chorionic gonadotropin(hCG)trigger day,cycle cancellation rate,number of oocytes retrieved,high-quality embryo rate and any adverse events.Results:Compared to the immediate IVF treatment group,oral administration of DKD for 3 months before IVF led to a significant increase in ongoing pregnancy rate(30.0%v.s.17.6%,P<0.05),biochemical pregnancy rate(39.2%vs.25.2%,P<0.05),clinical pregnancy rate(36.7%vs.22.7%,P<0.05)and high-quality embryo rate(40.8%vs.32.4%,P<0.05),and a significant decrease in Gn duration(P<0.05).However,no significant differences were found in total dosage of Gn,number of retrieved oocytes,cycle cancellation rate,E2 level and P level on hCG trigger days(P>0.05).No serious adverse events occurred during the intervention period in either group.Conclusion:DKD is a safe and effective intervention to improve the IVF/ICSI-ET outcomes in patients with POR.展开更多
This paper discusses and critically reviews the causes and consequences of global standardization and local adaptation of marketing strategies.The scope of the literature review is in the fields of international marke...This paper discusses and critically reviews the causes and consequences of global standardization and local adaptation of marketing strategies.The scope of the literature review is in the fields of international marketing,international trade,and corporate strategic management.It also aims to emphasize finding gaps after reading the literature.Even though the studies’scope is extensive,this paper limits the reach:firstly,it introduces the standardization and local adaptation,discusses the advantages and disadvantages of both by researchers.At the same time,untangle the relationship between international marketing strategy and marketing mix.Secondly,it is divided into macro and micro to collate and analyze the leading factors affecting international strategy,so that the cross-market fit of global marketing tactic can be realised.Finally,focus on the KPI.The indicators of financial return were selected as the review from the factors representing the intuitive development level of the company.The goal was to concentrate on the mutual feedback and adjustment between the standardization/adaptation and performance of multinational companies.Among them,the diversities between developed and emerging markets are interspersed in each link.As this difference is a trend that scholars have begun to notice in recent years.Although many existed bibliographies are revolved around particular multinational companies or regions to assessment,this paper will focus on the impact of practical research article review and evaluation.It would not involve specific corporate and country.展开更多
基金This study was supported by the National Natural Science Foundation of China Nos.81774351the Tianjin Health&Family Planning Commission(Tianjin scientific research project of priority area of traditional Chinese medicine,Nos.2018008)Shanxi Guangyuyuan TCM Co.,Ltd.
文摘Objective:To evaluate whether Ding Kun Dan(DKD)can improve the vitro fertilization/intracytoplasmic sperm injection and embryo transfer(IVF/ICSI-ET)outcomes in patients with predicted poor ovarian response(POR)safely and effectively.Methods:Prospective,multicenter,randomized controlled trial;A total of 278 POR patients were randomized in DKD group or immediate treatment group.Both groups received IVF or ICSI as a standard treatment while in the DKD group,DKD was administrated for 3 months before the IVF/ICSI cycle.The primary outcome was the ongoing pregnancy rate.The secondary outcomes include clinical pregnancy rate,biochemical pregnancy rate,total gonadotropin(Gn)dosage and duration,estradiol(E2)and progesterone(P)levels on human chorionic gonadotropin(hCG)trigger day,cycle cancellation rate,number of oocytes retrieved,high-quality embryo rate and any adverse events.Results:Compared to the immediate IVF treatment group,oral administration of DKD for 3 months before IVF led to a significant increase in ongoing pregnancy rate(30.0%v.s.17.6%,P<0.05),biochemical pregnancy rate(39.2%vs.25.2%,P<0.05),clinical pregnancy rate(36.7%vs.22.7%,P<0.05)and high-quality embryo rate(40.8%vs.32.4%,P<0.05),and a significant decrease in Gn duration(P<0.05).However,no significant differences were found in total dosage of Gn,number of retrieved oocytes,cycle cancellation rate,E2 level and P level on hCG trigger days(P>0.05).No serious adverse events occurred during the intervention period in either group.Conclusion:DKD is a safe and effective intervention to improve the IVF/ICSI-ET outcomes in patients with POR.
文摘This paper discusses and critically reviews the causes and consequences of global standardization and local adaptation of marketing strategies.The scope of the literature review is in the fields of international marketing,international trade,and corporate strategic management.It also aims to emphasize finding gaps after reading the literature.Even though the studies’scope is extensive,this paper limits the reach:firstly,it introduces the standardization and local adaptation,discusses the advantages and disadvantages of both by researchers.At the same time,untangle the relationship between international marketing strategy and marketing mix.Secondly,it is divided into macro and micro to collate and analyze the leading factors affecting international strategy,so that the cross-market fit of global marketing tactic can be realised.Finally,focus on the KPI.The indicators of financial return were selected as the review from the factors representing the intuitive development level of the company.The goal was to concentrate on the mutual feedback and adjustment between the standardization/adaptation and performance of multinational companies.Among them,the diversities between developed and emerging markets are interspersed in each link.As this difference is a trend that scholars have begun to notice in recent years.Although many existed bibliographies are revolved around particular multinational companies or regions to assessment,this paper will focus on the impact of practical research article review and evaluation.It would not involve specific corporate and country.
