Comparison of the Development of CDMO at Home and Abroad and Its Enlightment to China

Objective To analyze the development status of contract development manufacturing organization(CDMO)at home and abroad,and to make some suggestions for the development of CDMO in China.Methods The relevant literature was searched and reviewed,and the development status of CDMOs in the United States,France,Japan and China was compared from the aspects of market scale,development process,development focus,advantages and disadvantages,and policy support.Then,some suggestions for the development of CDMO enterprises in China were summarized.Results and Conclusion Through the comparison of CDMO development at home and abroad,it can be seen that China started CDMO late,there were many technical barriers and its globalization layout were not sufficient.However,the development trend was good and it focused on the field of chemical drugs and biological drugs to constantly develop innovative drugs.China needs to continuously improve its own technical capabilities to carry out innovative research.Therefore,cost reduction and efficiency increase will be the key elements for the development of CDMOs,and they are expected to have a rapid and comprehensive development in the future.

Comparison of the City Water Consumption Short-Term Forecasting Methods

There are a lot of methods in city water consumption short-term forecasting both inside and outside the country. But among these methods there exist many advantages and shortcomings in model establishing, solving and predicting accuracy, speed, applicability. This article draws lessons from other realm mature methods after many years′ study. It′s systematically studied and compared to predict the water consumption in accuracy, speed, effect and applicability among the time series triangle function method, artificial neural network method, gray system theories method, wavelet analytical method.

Economic Competitiveness of China and the US:Comparison,Dynamic Change and Global Position

Research of competitiveness of China and the United States is of great significance to enhancing China＇s economic competitiveness and achieving the objective of national rejuvenation. By creating a competitiveness framework and a system of heterogeneous indicators, this paper investigates the competitiveness of China and the US in terms of current status, historic change and global environment. Our research led to the following findings： core factors determine the level of competitiveness for China and the US; the national competitiveness of both countries is evolving towards structural homogeneity; and China and the US lead most countries in many common areas. China has the potential to overtake the US in competitiveness in the future. We suggest that China increase its competitiveness by promoting its advantages, addressing its weaknesses and focusing on core areas.

On the Comparison Theorems for the Volume of Tubes in Kahlerian Manifolds

In this note we give some comparison theorems for the volume of tubes around a complex submanifold in a Kahlerian monifold.

The Contrast and Comparison of the three Heroines In Middlemarch

In Middlemarch, George Eliot creates the three heroines who have different characters and lots. The study of Eliot's feminism view is based on feminist literary criticism. By the contrast and comparison of the three female images in Middlemarch, Eliot expresses the both radical and conservative attitude towards feminism.

A Comparison between American Individualism and Chinese Collectivism-From the View of Cherishing Life in War

There is a large discrepancy in the value concept of life.We know that the ways of cherishing life are different in war to the soldiers from different cultures.We may perceive that people's concept has been much influenced by the different cultural background and social environment.And similar cultural background and social environment may make people's value trend introject.

The Comparison and Contrast of Skopostheorie and Baker's Equivalence Translation Approach

Equivalence can be said to be the central issue in translation although its different approaches have caused heated controversy.However,as early as the 1970s,the Skopostheorie emerged in Germany,and it seemed to challenge the equivalence theories.Although Nida and some linguistics raised some negative problems of this theory,it still rapidly became famous around the world,This article will mainly compare and analyse Skopostheorie and Baker's translation equivalence approach.First,it will give a simple overview of these two approaches.Second,it will discuss the relevant strengths and weaknesses of these two approaches in relation to their usage.Finally,it will discuss combining these two approaches in the same translation.

Photodynamic therapy vs radiofrequency ablation for Barrett's dysplasia: Efficacy,safety and cost-comparison

AIM:To compare effectiveness,safety,and cost of photodynamic therapy(PDT)and radiofrequency ablation(RFA)in treatment of Barrett’s dysplasia(BD).METHODS:Consecutive case series of patients undergoing either PDT or RFA treatment at single center by a single investigator were compared.Thirty-three patients with high-grade dysplasia(HGD)had treatment with porfimer sodium photosensitzer and 630 nm laser(130 J/cm),with maximum of 3 treatment sessions.Fifty-three patients with BD(47 with low-grade dysplasia-LGD,6 with HGD)had step-wise circumferential and focal ablation using the HALO system with maximum of 4 treatment sessions.Both groups received proton pump inhibitors twice daily.Endoscopic biopsies were acquired at 2 and 12 mo after enrollment,with 4-quadrant biopsies every 1 cm of the original BE extent.A complete histological resolution response of BD(CR-D)was defined as all biopsies at the last endoscopy session negative for BD.Fisher’s exact test was used to assess differences between the two study groups for primary outcomes.For all outcomes,a two-sided P value of less than 0.05 was considered to indicate statistical significance.RESULTS:Thirty(91%)PDT patients and 39(74%)RFA were men(P=0.05).The mean age was 70.7±12.2 and 65.4±12.7(P=0.10)year and mean length of BE was 5.4±3.2 cm and 5.7±3.2 cm(P=0.53)for PDT and RFA patients,respectively.The CR-D was(18/33)54.5%with PDT vs(47/53)88.7%with RFA(P=0.001).One patient with PDT had an esophageal perforation and was managed with non-surgical measures and no perforation was seen with RFA.PDT was five times more costly than RFA at our institution.The two groups were not randomized and had different BD grading are the limitations of the study.CONCLUSION:In our experience,RFA had higher rate of CR-D without any serious adverse events and was less costly than PDT for endoscopic treatment of BD.

Comparison of CO_(2) Effluxes and Their Driving Factors Between Two Temperate Steppes in Inner Mongolia, China

Soil respiration is a key component of the global terrestrial ecosystem carbon cycle. The static opaque chamber method was used to measure the CO2 effiuxes from soil of a semiarid Aneurolepidium chinense steppe and a Stipa krylovii steppe in the Xilin River Basin of Inner Mongolia, China from March 2002 to December 2004. The results indicated that the soil respiration rates of the semiarid Aneurolepidium chinense steppe and the Stipa krylovii steppe were both relatively high from mid-May to mid-September of each year and remained low during the rest of the year. The minimum value of soil respiration occurred in December or January and negative effiuxes of CO2 appeared for several days during the non-growing season of individual years at the two sampling sites. A high annual variation was found in the two steppes with the coefficients of variance （CV） being over 94%, even high to 131%. The annual sums of soil CO2 effiux of the Aneurolepidium chinense steppe varied between 356.4 gC m^-2 yr^-1 and 408.8 gC m^-2 yr^-1, while those of the Stipa krylovii steppe in the three years were in the range of 110.6 gC m^-2 yr^-1 to 148.6 g Cm^-2 yr^-1. The mean respiration rates of the Aneurolepidium chinense steppe were significantly higher than those of the Stipa krylovii steppe in different statistical periods with the exception of the non-growing season. About 59.9% and 80.6% of the soil respiration variations in both steppes for the whole sampling period were caused by the changes of temperature and soil water content. In the Aneurolepidium chinense steppe, the soil respiration rate has significant or extremely significant positive correlation （r = 0.58 - 0.85, p 〈 0.05 or p 〈 0.01） with air temperature and ground temperature of the topsoil except in 2002; the unique contributions of temperature change to the soil respiration variation of the three years were 53.3%, 81.0% and 58.6%, respectively. But, for the Stipa krylovii steppe in the same time interval, the soil water content （especially that of the 10-20 cm layer） has a greater effect on the change of soil respiration, and the unique contributions of the change of the 10-20 cm soil water content to the variations of soil respiration in 2002 and 2003 were 60.0% and 54.3%, respectively. In 2004, in spite of the higher contribution of temperature than soil water content, the contribution of ground temperature at a depth of 10 cm was only 46.2%, much weaker than that of any single year in the Aneurolepidium chinense steppe.

Intercomparison of the Summertime Subtropical High from the ERA-40 and over East Eurasia and the western North Pacific

An intercomparison of summertime （JJA）subtropical geopotential heights from the ERA-40 and NCEP/NCAR reanalysis is specifically conducted over East Eurasia and the western North Pacific. The NCEP/NCAR is obviously lower than the ERA-40 in the mid-to-lower troposphere in most regions of East Eurasia before the mid-1970s, but becomes higher than the ERA-40 after the mid-1970s and thus demonstrates stronger increased trends during the period of 1958-2001. Both reanalyses are lower than the observations in most regions of China. The NCEP/NCAR especially shows tremendously systematic lower values before the mid-1960s and displays abrupt changes before the 1970s. Several indices of the western North Pacific subtropical high （WNPSH）, calculated from both reanalyzed summer geopotential heights, also reveal that the variation trend of the NCEP/NCAR is stronger than that of the ERA-40 in the mid-to-lower troposphere from 1958 to 2001. Through singular value decomposition （SVD） analysis, the summer geopotential heights at 500 hPa from the ERA-40 are better than the NCEP/NCAR counterparts at interacting with the precipitation over the East Asian monsoon region. The results indicate that the NCEP/NCAR in the mid-and-lower troposphere may overestimate interdecadal changes and should be used cautiously to study the relationship between the WNPSH and precipitation ove ther East Asia Monsoon region before the mid-1970s.

Comparison of pore characteristics in the coal and shale reservoirs of Taiyuan Formation, Qinshui Basin, China

Coal and shale are both unconventional gas reservoirs. Comparison of pore characteristics in shale and coal would help understand organic pore structure in shale and investigate co-exploration of shale gas and coalbed methane in coal bearing strata. In this study, five shale samples and three coal samples of Taiyuan Formation were collected from Qinshui Basin, China. High pressure mercury injection, scanning electronic microscopy, and fractal theory have been used to compare pore characteristics in shale and coal. The results show that pore volumes in coal are much larger than that in shale, especially pores 3-100 nm. In coal, there are many semi-closed pores in micro pores （〈10 nm） and transition pores （10-100 nm）. On the contrary, micro pores and transition pores are mainly with open pores in shale. The fractal curves show that pores larger than 65 nm in coal and shale reservoir both have obvious self-similarity and the fractal dimension values in shale and coal are similar. But the fractal characteristics of pores smaller than 65 nm in shale reservoir are quite different from that in coal.

Comparison of wind data from ERA-Interim and buoys in the Yellow and East China Seas

We compared data of sea surface wind from the European Centre for Medium-Range Weather Forecasts Interim Reanalysis(ERA-Interim) with that collected from eight buoys deployed in the Yellow and East China seas.The buoy data covered a period from 2010 to 2011,during which the longest time series without missing data extended for 329 days.Results show that the ERA-Interim wind data agree well with the buoy data.The regression coefficients between the ERA-Interim and observed wind speed and direction are greater than 0.7 and 0.79,respectively.However,the ERA-Interim wind data overestimate wind speed at most of the buoy stations,for which the largest bias is 1.8 m/s.Moreover,it is found from scatter plots of wind direction that about 13%of the ERA-Interim wind data can be classified as bad for wind speeds below6 m/s.Overall,the ERA-Interim data forecast both the wind speed and direction well,although they are not very representative of our observations,especially those where the wind speed is below 6 m/s.

A Comparison of Cultures between China and the West——Taking Chinese Clothing and British Clothing as an Example

This paper attempts to do study on the comparison of differences between Chinese and western cultures by taking the Chinese and British clothing as an example. This comparison is made form two aspects about clothing culture. One is the separate characteristics of the Chinese and British clothing. The other is the common features of the Chinese and British clothing.The paper aims at making the Chinese confidently promote the clothing culture of China to make efforts to realize the great rejuvenation of China and enrich the culture of all mankind.

Therapeutic effect of regulating autophagy in spinal cord injury: a network meta-analysis of direct and indirect comparisons

Objective:An increasing number of studies indicate that autophagy plays an important role in the pathogenesis of spinal cord injury,and that regulating autophagy can enhance recovery from spinal cord injury.However,the effect of regulating autophagy and whether autophagy is detrimental or beneficial after spinal cord injury remain unclear.Therefore,in this study we evaluated the effects of autophagy regulation on spinal cord injury in rats by direct and indirect comparison,in an effort to provide a basis for further research.Data source:Relevant literature published from inception to February 1,2018 were included by searching Wanfang,CNKI,Web of Science,MEDLINE(OvidSP),PubMed and Google Scholar in English and Chinese.The keywords included"autophagy","spinal cord injury",and"rat".Data selection:The literature included in vivo experimental studies on autophagy regulation in the treatment of spinal cord injury(including intervention pre-and post-spinal cord injury).Meta-analyses were conducted at different time points to compare the therapeutic effects of promoting or inhibiting autophagy,and subgroup analyses were also conducted.Outcome measure:Basso,Beattie,and Bresnahan scores.Results:Of the 622 studies,33 studies of median quality were included in the analyses.Basso,Beattie,and Bresnahan scores were higher at 1 day(MD=1.80,95%CI:0.81-2.79,P=0.0004),3 days(MD=0.92,95%CI:0.72-1.13,P<0.00001),1 week(MD=2.39,95%CI:1.85-2.92,P<0.00001),2 weeks(MD=3.26,95%CI:2.40-4.13,P<0.00001),3 weeks(MD=3.13,95%CI:2.51-3.75,P<0.00001)and 4 weeks(MD=3.18,95%CI:2.43-3.92,P<0.00001)after spinal cord injury with upregulation of autophagy compared with the control group(drug solvent control,such as saline group).Basso,Beattie,and Bresnahan scores were higher at 1 day(MD=6.48,95%CI:5.83-7.13,P<0.00001),2 weeks(MD=2.43,95%CI:0.79-4.07,P=0.004),3 weeks(MD=2.96,95%CI:0.09-5.84,P=0.04)and 4 weeks(MD=4.41,95%CI:1.08-7.75,P=0.01)after spinal cord injury with downregulation of autophagy compared with the control group.Indirect comparison of upregulation and downregulation of autophagy showed no differences in Basso,Beattie,and Bresnahan scores at 1 day(MD=-4.68,95%CI:-5.840 to-3.496,P=0.94644),3 days(MD=-0.28,95%CI:-2.231-1.671,P=0.99448),1 week(MD=1.83,95%CI:0.0076-3.584,P=0.94588),2 weeks(MD=0.81,95%CI:-0.850-2.470,P=0.93055),3 weeks(MD=0.17,95%Cl:-2.771-3.111,P=0.99546)or 4 weeks(MD=-1.23,95%Cl:-4.647-2.187,P=0.98264)compared with the control group.Conclusion:Regulation of autophagy improves neurological function,whether it is upregulated or downregulated.There was no difference between upregulation and downregulation of autophagy in the treatment of spinal cord injury.The variability in results among the studies may be associated with differences in research methods,the lack of clearly defined autophagy characteristics after spinal cord injury,and the limited autophagy monitoring techniques.Thus,methods should be standardized,and the dynamic regulation of autophagy should be examined in future studies.

Expanding the Wilson Cycle Based on Worldwide Comparison of Continental Structures Revealed by Lithospheric Geophysical Investigations

Worldwide comparison of lithospheric investigation results achieved from projects of COCORP, BIRPS, DEKORP, LITHOPROBE, ICDP, ECORS and SINOPROBE enables us to expand the classical Wilson cycle, which mainly describes evolution of ocean plates, into a complete and detailed cycle that describes generation, development and evolution of both ocean and continent plates. The expanded Wilson cycle presented in this paper introduces the evolution sequences of continental lithospheric processes by adding into the classical Wilson cycle with ocean-continent transition, continental collision and accretion, as well as continental rifting and splitting in details. These mentioned continental lithospheric processes have been presented by the author in a series of recent review papers in detail, and their summary and further deduction is presented in this paper.

Comparison of three mathematical prediction models in patients with a solitary pulmonary nodule

Background： Effective methods for managing patients with solitary pulmonary nodules（SPNs） depend critically on the predictive probability of malignancy.Methods： Between July 2009 and June 2011, data on gender, age, cancer history, tumor familial history, smoking status, tumor location, nodule size, spiculation, calcification, the tumor border, and the final pathological diagnosis were collected retrospectively from 154 surgical patients with an SPN measuring 3-30 mm. Each final diagnosis was compared with the probability calculated by three predicted models—the Mayo, VA, and Peking University（PU） models. The accuracy of each model was assessed using area under the receiver operating characteristics（ROC） and calibration curves.Results： The area under the ROC curve of the PU model [0.800; 95% confidence interval（CI）： 0.708-0.891] was higher than that of the Mayo model（0.753; 95% CI： 0.650-0.857） or VA model（0.728; 95% CI： 0.623-0.833）; however, this finding was not statistically significant. To varying degrees, calibration curves showed that all three models overestimated malignancy.Conclusions： The three predicted models have similar accuracy for prediction of SPN malignancy, although the accuracy is not sufficient. For Chinese patients, the PU model may has greater predictive power.Background： Here, we introduced our short experience on the application of a new CUSA Excel ultrasonic aspiration system, which was provided by Integra Lifesciences corporation, in skull base meningiomas resection.Methods： Ten patients with anterior, middle skull base and sphenoid ridge meningioma were operated using the CUSA Excel ultrasonic aspiration system at the Neurosurgery Department of Shanghai Huashan Hospital from August 2014 to October 2014. There were six male and four female patients, aged from 38 to 61 years old（the mean age was 48.5 years old）. Five cases with tumor located at anterior skull base, three cases with tumor on middle skull base, and two cases with tumor on sphenoid ridge.Results： All the patents received total resection of meningiomas with the help of this new tool, and the critical brain vessels and nerves were preserved during operations. All the patients recovered well after operation.Conclusions： This new CUSA Excel ultrasonic aspiration system has the advantage of preserving vital brain arteries and cranial nerves during skull base meningioma resection, which is very important for skull base tumor operations. This key step would ensure a well prognosis for patients. We hope the neurosurgeons would benefit from this kind of technique.Background： The purposes of this study were to explore the effects of high mobility group protein box 1（HMGB1） gene on the growth, proliferation, apoptosis, invasion, and metastasis of glioma cells, with an attempt to provide potential therapeutic targets for the treatment of glioma. Methods： The expressions of HMGB1 in glioma cells（U251, U-87 MG and LN-18） and one control cell line（SVG p12） were detected by real time PCR and Western blotting, respectively. Then, the effects of HMGB1 on the biological behaviors of glioma cells were detected： the expression of HMGB1 in human glioma cell lines U251 and U-87 MG were suppressed using RNAi technique, then the influences of HMGB1 on the viability, cycle, apoptosis, and invasion abilities of U251 and U-87 MG cells were analyzed using in a Transwell invasion chamber. Also, the effects of HMGB1 on the expressions of cyclin D1, Bax, Bcl-2, and MMP 9 were detected. Results： As shown by real-time PCR and Western blotting, the expression of HMGB1 significantly increased in glioma cells（U251, U-87 MG, and LN-18） in comparison with the control cell line（SVG p12）; the vitality, proliferation and invasive capabilities of U251 and U-87 MG cells in the HMGB1 siR NA-transfected group were significantly lower than those in the blank control group and negative control（NC） siR NA group（P〈0.05） but showed no significant difference between the blank control group and NC siR NA group. The percentage of apoptotic U251 and U-87 MG cells was significantly higher in the HMGB1 siR NA-transfected group than in the blank control group and NC siR NA group（P〈0.05） but was similar between the latter two groups. The HMGB1 siR NA-transfected group had significantly lower expression levels of Cyclin D1, Bcl-2, and MMP-9 protein in U251 and U-87 MG cells and significantly higher expression of Bax protein than in the blank control group and NC siR NA group（P〈0.05）; the expression profiles of cyclin D1, Bax, Bcl-2, and MMP 9 showed no significant change in both blank control group and NC siR NA group. Conclusions： HMGB1 gene may promote the proliferation and migration of glioma cells and suppress its effects of apoptosis. Inhibition of the expression of HMGB1 gene can suppress the proliferation and migration of glioma cells and promote their apoptosis. Our observations provided a new target for intervention and treatment of glioma.

Efficacy of fexuprazan compared with rebamipide in Korean patients with gastritis:A matching-adjusted indirect comparison

BACKGROUND Gastritis is one of the most frequently diagnosed diseases requiring medical treatment in South Korea.Fexuprazan,a novel potassium-competitive acid blocker,has been approved for treating gastritis and erosive esophagitis.Meanwhile,rebamipide is the most commonly used mucoprotective agent for acute and chronic gastritis in real-world settings in South Korea.However,there have been no studies comparing the efficacy of these two drugs yet.AIM To compare the efficacy of fexuprazan with that of rebamipide for acute and chronic gastritis.METHODS This was a matching-adjusted indirect comparison.Individual patient data from a phase III study of fexuprazan(10 mg BID)were compared with cumulative data from two matching studies of rebamipide(100 mg TID).Erosion improvement and healing rates were compared between two weeks of fexurapan,two weeks of rebamipide,and four weeks of rebamipide.The two main outcome variables were presented as percentages,and the risk differences(RD)and 95%confidence intervals(CI)were calculated for the relative treatment effects.RESULTS In the primary analysis,the erosion improvement and healing rates after a twoweek treatment with fexuprazan were 64.5%and 53.2%,respectively,while a twoweek treatment with rebamipide resulted in erosion improvement and healing rates of 43.6%(RD:21.0%;95%CI:9.6-32.3;P<0.01)and 35.6%(RD:17.6%;95%CI:6.1-29.2;P=0.003),respectively.In the additional analysis,the erosion improvement and healing rates for the two-week fexuprazan treatment(64.2%and 51.2%,respectively)were similar to those obtained during a four-week treatment with rebamipide(60.6%;RD:3.6%;95%CI:-9.8,17.0;P=0.600 and 53.5%;RD:-2.3%;95%CI:-16.1,11.5;P=0.744,respectively).CONCLUSION The two-week fexuprazan treatment was superior to the two-week rebamipide treatment and similar to the fourweek rebamipide treatment for patients with gastritis.

Comparison Study on the Microstructure of Nanocrystalline TiO_2 in Different Ti-Si Binary Oxides

Three different Ti-Si oxide structuares, silica supported titania, silica coated titania and intimately mixed silicatitania, containing 10%-40% SiO2, were made by sol-gel process. The variations of microstructure parameters of nanocrystalline （nc） TiO2-anatase in the three kirds of binary oxides, including in-plane spacing d, cell constants （ao, co）, cell volume V, cell axial ratio co/ao and crystal grain size, were comparatively investigated by high resolution transmission electron microscopy （HRTEM） and X-ray diffraction （XRD）. It is found that the microstructure parameters vary remarkably with increasing SiO2 content and annealing temperature. Different structured Ti-Si binary oxides lead to different variation tendencies of microstructure parameters. The more SiO2 the binary oxide contains, the more lattice defects of nc TiO2-anatase appear; diffusion or migration of Si cations could be an important influential factor in the variations of microstructure. The grain size of nc TiO2 in the three kinds of binary oxides not only depends on SiO2 content and annealing temperature but also on the degree of lattice microstrain and distortion of nc TiO2-anatase. Both grain size and phase transformation of nc TiO2-anatase are effectively inhibited with increasing SiO2 content.

Comparison of T-2 Toxin and HT-2 Toxin Distributed in the Skeletal System with That in Other Tissues of Rats by Acute Toxicity Test

Twelve healthy rats were divided into the T-2 toxin group receiving gavage of 1 mg/kg T-2 toxin and the control group receiving gavage of normal saline. Total relative concentrations of T-2 toxin and HT-2 toxin in the skeletal system（thighbone, knee joints, and costal cartilage） were significantly higher than those in the heart, liver, and kidneys（P 〈 0.05）. The relative concentrations of T-2 toxin and HT-2 toxin in the skeletal system（thighbone and costal cartilage） were also significantly higher than those in the heart, liver, and kidneys. The rats administered T-2 toxin showed rapid metabolism compared with that in rats administered HT-2 toxin, and the metabolic conversion rates in the different tissues were 68.20%-90.70%.