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The Making of a Health Profession:How Chinese Medicine became a Nationally Registered Allied Health Profession in Australia

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Chinese Medicine and Culture 2024年第1期7卷 51-62页

作者： John L McDonald judy b james School of Chinese Medicine Endeavour College of Natural HealthSouthport 4215Australia Acupuncture Now Australia Brisbane 4120Australia

In 2012, traditional Chinese medicine(TCM) practitioners in Australia became nationally-registered allied health professionals in three categories: acupuncturist, Chinese herbal medicine practitioner, and Chinese herbal medicine dispenser. Australia was the first Western country to introduce national registration for Chinese medicine, followed by Portugal and, recently, New Zealand. The practice of TCM in Australia can be traced back to the beginning of Chinese immigration to Australia during the Victorian Gold Rush which began in the 1850s. The process which led to national registration commenced in the early 1970s with the establishment of the first acupuncture courses. Decades of gradual development of courses from unaccredited part-time diplomas to accredited bachelor degrees, and the development, by the profession, of national consensus on educational standards were essential elements in the process which led to registration. Professional associations, such as the Australian Acupuncture and Chinese Medicine Association Ltd.(AACMA), also developed a framework of professional selfregulation, including Codes of Ethics, Codes of Conduct, ongoing professional development requirements and Infection Control Guidelines, and provided leadership in the development of the profession. After decades of tribalism and division within the TCM profession, the National Academic Standards Committee brought almost all stakeholders together to reach a consensus on the Australian Guidelines for Traditional Chinese Medicine Education which were published by AACMA in 2001. Professional associations also collaborated on joint submissions to the government in support of registration, which was introduced first in the state of Victoria in 2000, and subsequently became national in 2012. Despite national registration, some barriers still remain, and professional associations continue to lobby the federal government for inclusion in Medicare, chronic disease management scheme, and Veterans

关键词： Acupuncture Chinese medicine Registration Regulation Education Standards Australia TCM

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What diameter?What height?Influence of measures of average tree size on area-based allometric volume relationships

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Forest Ecosystems 2024年第1期11卷 100-109页

作者： Yilin Wang John A.Kershaw Mark J.Ducey Yuan Sun james b.McCarter Integrated Forest Mensuration and Systems Analysis Laboratory Faculty of Forestry and Environmental ManagementUniversity of New BrunswickFrederictonNBCanada Department of Natural Resources and the Environment University of New HampshireDurhamNHUSA College of Forestry Nanjing Forestry UniversityNanjing210037China Scientific Programmer RayonierYuleeFLUSA

Volume is an important attribute used in many forest management *** from 83 fixed-area plots located in central New brunswick,Canada,are used to examine how different measures of stand-level diameter and height influence volume prediction using a stand-level variant of Honer's(1967)volume *** density was included in the models(Volume=f(Diameter,Height,Density))choice of diameter measure was more important than choice of height *** density was not included(Volume=f(Diameter,Height)),the opposite was *** models with density included,moment-based estimators of stand diameter and height performed better than all other *** models without density,largest tree estimators of stand diameter and height performed better than other *** overall best equation used quadratic mean diameter,Lorey's height,and density(root mean square error=5.26 m^3·ha^(-1);1.9%relative error).The best equation without density used mean diameter of the largest trees needed to calculate a stand density index of 400 and the mean height of the tallest 400 trees per ha(root mean square error=32.08 m^(3)·ha^(-1);11.8%relative error).The results of this study have some important implications for height subsampling and LiDAR-derived forest inventory analyses.

关键词： Allometric relationships Stand structure Volume estimation Stand-level attributes

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Colorful facial markings are associated with foraging rates and affiliative relationships in a wild group-living cichlid fish

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Current Zoology 2024年第1期70卷 70-78页

作者： brett M.Culbert james b.barnett Isaac Y.Ligocki Matthew G.Salena Marian Y.L.Wong Ian M.Hamilton Sigal balshine Department of Integrative biology University of GuelphGuelphOntarioCanada Department of Psychology Neuroscience&BehaviourMcMaster UniversityHamiltonOntarioCanada Department of Evolution Ecologyand Organismal BiologyThe Ohio State UniversityColumbusOHUSA Department of biology Millersville UniversityMillersvillePAUSA School of Earth Atmospheric and Life SciencesUniversity of WollongongWollongongNew South WalesAustralia Department of Mathematics The Ohio State UniversityColumbusOHUSA

Many animals use color to signal their quality and/or behavioral *** signals have been well studied in the contexts of competi-tion and mate choice;however,the role of these signals in nonsexual,affiliative relationships is not as well ***,we used wild social groups of the cichlid fish Neolamprologus pulcher to investigate whether the size of a brightly colored facial patch was related to 1)individual quality,2)social dominance,and/or 3)affiliative *** with larger patches spent more time foraging and tended to perform more aggressive acts against conspecific territory *** did not find any evidence that the size of these yellow patches was related to social rank or body size,but dominant males tended to have larger patches than dominant ***,patch size had a rank-specific relationship with the number of affiliative interactions that individuals engaged *** males with large patches received fewer affiliative acts from their groupmates compared to dominant males with small ***,subordinates with large patches tended to receive more affiliative acts from their groupmates while performing fewer affiliative acts *** together,our results suggest that patch size reflects interindividual variation in foraging effort in this cichlid fish and offer some of the first evidence that colorful signals may shape affiliative relationships withinwildsocialgroups.

关键词： affiliation foraging Lake Tanganyika Neolamprologus pulcher visual signals

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Zircon Zr isotope fractionation during crustal anatexis

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Science China Earth Sciences 2024年第8期67卷 2495-2506页

作者： Erlin ZHU Qiongxia XIA Zhaoya LI Renxu CHEN james VAN ORMAN School of Earth and Space Sciences University of Science and Technology of ChinaHefei 230026China State Key Laboratory of Lithospheric and Environmental Coevolution Hefei 230026China Frontiers Science Center for Planetary Exploration and Emerging Technologies University of Science and Technology of ChinaHefei 230026China Department of Earth Environmental and Planetary SciencesCase Western Reserve UniversityCleveland OH 44106USA

Zirconium is one of high field strength elements but its isotope behavior during geochemical processes is still uncertain because of the limited *** Zr isotopes in magmatic rocks are often used to trace the evolution of magmas through fractional crystallization,it is intriguing how highly heterogeneous Zr isotopes were produced by the growth of zircon during crustal *** address this issue by in-situ zircon Zr isotope analyses of migmatites from two high-temperature metamorphic terranes in the South Lhasa zone and the North Dabie zone,respectively,in *** results show highly variable δ^(94)Zr values from-0.30‰ to +0.81‰ and from-0.58‰ to +0.49‰,*** addition to the relict zircon of magmatic origin,two types of newly-grown zircons were identified in terms of their occurrences,trace elements and δ^(94)Zr *** peritectic zircon,mainly occurring in the in-situ leucosomes,exhibits the highest Nb-Ta-Hf-U contents and variably higher δ^(94)Zr values than those of the relict *** anatectic zircon,mainly occurring in the leucocratic veins,shows higher Nb-Ta-Hf-U contents than and similar δ^(94)Zr values to those of the relict *** calculations demonstrate that the variable Zr isotope compositions of newly-grown zircons would result from decoupled release of Zr from zircon and non-zircon *** Zr supply of the peritectic zircon is mainly derived from the decomposition of Zr-bearing minerals in the in-situ anatectic melt(the non-zircon effect),whereas the Zr supply of the anatectic zircon is mainly from the dissolution of pre-existing zircons in the evolved melt(the zircon effect).The significant Zr isotope variations in the migmatites well illustrate the generation,migration and accumulation of the anatectic melts during the partial ***,Zr isotopes can be used as a powerful means for distinguishing between the peritectic and anatectic zircons during crustal anatexis.

关键词： Zr isotopes Zircon effect Non-zircon effect Migmatite Crustal anatexis

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boosting Adversarial Training with Learnable Distribution

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Computers, Materials & Continua 2024年第3期78卷 3247-3265页

作者： Kai Chen Jinwei Wang james Msughter Adeke Guangjie Liu Yuewei Dai School of Electronics and Information Engineering Nanjing University of Information Science and TechnologyNanjing210044China Key Laboratory of Intelligent Support Technology for Complex Environments Ministry of EducationNanjing210044China School of Computer and Software Nanjing University of Information Science and TechnologyNanjing210044China Nanjing Center for Applied Mathematics Nanjing211135China

In recent years,various adversarial defense methods have been proposed to improve the robustness of deep neural *** training is one of the most potent methods to defend against adversarial ***,the difference in the feature space between natural and adversarial examples hinders the accuracy and robustness of the model in adversarial *** paper proposes a learnable distribution adversarial training method,aiming to construct the same distribution for training data utilizing the Gaussian mixture *** distribution centroid is built to classify samples and constrain the distribution of the sample *** natural and adversarial examples are pushed to the same distribution centroid to improve the accuracy and robustness of the *** proposed method generates adversarial examples to close the distribution gap between the natural and adversarial examples through an attack algorithm explicitly designed for adversarial *** algorithm gradually increases the accuracy and robustness of the model by scaling ***,the proposed method outputs the predicted labels and the distance between the sample and the distribution *** distribution characteristics of the samples can be utilized to detect adversarial cases that can potentially evade the model *** effectiveness of the proposed method is demonstrated through comprehensive experiments.

关键词： Adversarial training feature space learnable distribution distribution centroid

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Evaluating reservoir suitability for large-scale hydrogen storage:A preliminary assessment considering reservoir properties

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Energy Geoscience 2024年第4期5卷 198-211页

作者： Chinedu J.Okere james J.Sheng Chinedu Ejike bob L.Herd Department of Petroleum Engineering Texas Tech UniversityLubbockTX79409United States Mewbourne School of Petroleum and Geological Engineering University of OklahomaOK73019United States

With rising demand for clean energy,global focus turns to finding ideal sites for large-scale underground hydrogen storage(UHS)in depleted petroleum reservoirs.A thorough preliminary reservoir evaluation before hydrogen(H_(2))injection is crucial for UHS success and *** criteria for UHS often emphasize economics and chemistry,neglecting key reservoir *** study introduces a comprehensive framework for the reservoir-scale preliminary assessment,specifically tailored for long-term H_(2) storage within depleted gas *** evaluation criteria encompass critical components,including reservoir geometry,petrophysical properties,tectonics,and formation *** illustrate the practical application of this approach,we assess the barnett shale play reservoir *** assessment unfolds through three key stages:(1)A systematic evaluation of the reservoir's properties against our comprehensive screening criteria determines its suitability for H_(2) storage.(2)Using both homogeneous and multilayered gas reservoir models,we explore the feasibility and efficiency of H_(2) *** phase involves an in-depth examination of reservoir behavior during the injection stage.(3)To enhance understanding of UHS performance,sensitivity analyses investigate the impact of varying reservoir dimensions and injection/production *** findings reveal the following:(a)Despite potential challenges associated with reservoir compaction and aquifer support,the reservoir exhibits substantial promise as an H_(2) storage site.(b)Notably,a pronounced increase in reservoir pressure manifests during the injection stage,particularly in homogeneous reservoirs.(c)Furthermore,optimizing injection-extraction cycle efficiency can be achieved by augmenting reservoir dimensions while maintaining a consistent *** ensure a smooth transition to implementation,further comprehensive investigations are advised,including experimental and numerical studies to address

关键词： Site selection Underground hydrogen storage Preliminary evaluation Depleted petroleum reservoirs Reservoir assessment

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Routine utilization of machine perfusion in liver transplantation:Ready for prime time?

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World Journal of Gastroenterology 2024年第11期30卷 1488-1493页

作者： Alessandro Parente Keyue Sun Philipp Dutkowski AM james Shapiro Andrea Schlegel Department of Surgery Division of TransplantationUniversity of Alberta HospitalEdmonton T6G 2B7Canada Immunity and Inflammation Lerner Research InstituteClevelandOH 44195United States Swiss Hepato-Pancreato-biliary Center Department of Visceral and Transplantation SurgeryUniversity Hospital ZurichZurich 8091Switzerland Immunity and Inflammation Digestive Disease and Surgery InstituteClevelandOH 44195United States

The last decade has been notable for increasing high-quality research and dramatic improvement in outcomes with dynamic liver *** evidence from numerous randomized controlled trials has been pooled by meta-analyses,providing the highest available evidence on the protective effect of machine perfusion(MP)over static cold storage in liver transplantation(LT).based on a protective effect with less complications and improved graft survival,the field has seen a paradigm shift in organ *** editorial focuses on the role of MP in LT and how it could become the new“gold standard”.Strong collaborative efforts are needed to explore its effects on long-term outcomes.

关键词： Liver transplantation Machine perfusion Viability assessment Hypothermic oxygenated perfusion Normothermic machine perfusion

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Estimating geographic variation of infection fatality ratios during epidemics

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Infectious Disease Modelling 2024年第2期9卷 634-643页

作者： Joshua Ladau Eoin L.brodie Nicola Falco Ishan bansal Elijah b.Hoffman Marcin P.Joachimiak Ana M.Mora Angelica M.Walker Haruko M.Wainwright Yulun Wu Mirko Pavicic Daniel Jacobson Matthias Hess james b.brown Katrina Abuabara Departments of Computational Precision Health and Dermatology University of CaliforniaSan FranciscoCA94115USA Arva Intelligence Inc.Salt Lake CityUT84101USA Computational biosciences Group Lawrence Berkeley National LaboratoryBerkeleyCA94720USA Earth and Environmental Sciences Area Lawrence Berkeley National LaboratoryBerkeleyCA94720USA Graduate Group in biostatistics University of CaliforniaBerkeleyCA94720USA biosystems Data Science Environmental Genomics and Systems BiologyLawrence Berkeley National LaboratoryBerkeleyCA94720USA Center for Environmental Research and Community Health(CERCH) School of Public HealthUniversity of CaliforniaBerkeleyCA94720USA bredesen Center for Interdisciplinary Research and Graduate Education University of TennesseeKnoxvilleTN37996USA Department of Nuclear Science and Engineering Massachusetts Institute of TechnologyBostonMA02139USA biosciences Oak Ridge National LaboratoryOak RidgeTN37830USA University of California DavisCA95616USA Statistics Department University of CaliforniaBerkeleyCA94720USA Division of Epidemiology and biostatistics University of California Berkeley School of Public Health2121 Berkeley WayBerkeleyCA94720USA

Objectives We aim to estimate geographic variability in total numbers of infections and infection fatality ratios(IFR;the number of deaths caused by an infection per 1,000 infected people)when the availability and quality of data on disease burden are limited during an *** We develop a noncentral hypergeometric framework that accounts for differential probabilities of positive tests and reflects the fact that symptomatic people are more likely to seek *** demonstrate the robustness,accuracy,and precision of this framework,and apply it to the United States(U.S.)COVID-19 pandemic to estimate county-level SARS-CoV-2 *** The estimators for the numbers of infections and IFRs showed high accuracy and precision;for instance,when applied to simulated validation data sets,across counties,Pearson correlation coefficients between estimator means and true values were 0.996 and 0.928,respectively,and they showed strong robustness to model *** the county-level estimators to the real,unsimulated COVID-19 data spanning April 1,2020 to September 30,2020 from across the U.S.,we found that IFRs varied from 0 to 44.69,with a standard deviation of 3.55 and a median of *** The proposed estimation framework can be used to identify geographic variation in IFRs across settings.

关键词： Infection fatality ratio Infection fatality rate Noncentral hypergeometric distribution COVID-19 SARS-CoV-2

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Updates in arteriovenous malformation management: the post-ARUbA era

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Stroke & Vascular Neurology 2020年第1期5卷 34-39页

作者： james Feghali judy Huang Department of Neurosurgery Johns Hopkins University School of MedicineBaltimoreMarylandUSA

brain arteriovenous malformations(AVMs)are complex and heterogeneous lesions that can rupture,causing significant morbidity and *** ruptured lesions are usually treated,the management of unruptured AVMs remains unclear.A Randomized trial of Unruptured brain Arteriovenous Malformations(ARUbA)was the first trial conducted to compare the effects of medical and interventional *** it concluded that medical therapy was superior in preventing stroke and death over a follow-up period of 33 months,the findings were met with intense criticism regarding several aspects of study design,progression,and analysis/***,the increased use of stand-alone embolisation relative to microsurgery in a cohort with predominantly low-grade lesions combined with a short follow-up period amplified treatment ***,several observational studies were conducted on ARUbA-eligible patients to investigate the safety and efficacy of microsurgery,radiosurgery,and endovascular embolisation over longer follow-up *** reports showed that favourable safety profiles and cure rates can be achieved with appropriate patient selection and judicious use of different treatment modalities in multidisciplinary *** large prospective randomised trials on AVMs may not be feasible,it is important to make use of practice-based data beyond the flawed ARUbA study to optimise patients’lifetime outcomes.

关键词： treatment lifetime alone

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A lunar time scale from the perspective of the Moon’s dynamic evolution

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Science China Earth Sciences 2024年第1期67卷 234-251页

作者： Dijun GUO Jianzhong LIU james WHEAD Fuqin ZHANG Zongcheng LING Shengbo CHEN Jianping CHEN Xiaozhong DING Jinzhu JI Ziyuan OUYANG State Key Laboratory of Space Weather National Space Science CenterChinese Academy of SciencesBeijing 100190China Center for Lunar and Planetary Sciences Institute of GeochemistryChinese Academy of SciencesGuiyang 550081China Department of Earth Environmental and Planetary SciencesBrown UniversityProvidence RI 02912USA Institute of Geology and Geophysics Chinese Academy of SciencesBeijing 100029China Shandong Provincial Key Laboratory of Optical Astronomy and Solar-Terrestrial Environment Institute of Space SciencesShandong UniversityWeihai 264209China College of Geoexploration Science and Technology Jilin UniversityChangchun 130026China School of Earth Sciences and Resources China University of GeosciencesBeijing 100083China Institute of Geology Chinese Academy of Geological SciencesBeijing 100037China School of Resources and Environmental Engineering Inner Mongolia University of TechnologyHohhot 010051China Center for Excellence in Comparative Planetology Chinese Academy of SciencesHefei 230026China

A geologic time scale is a chronological system that separates the geological strata of a planetary body into different units in temporal sequence and shows its progressive *** time scale of the Moon was established a half-century ago during the telescopic-early Apollo exploration era,using data with limited spatial coverage and *** past decades have seen a wide array of studies,which have significantly extended our understanding of global lunar geologic *** on a comprehensive review of lunar evolution with respect to the dynamical changes,we propose two major updates to the current lunar time scale paradigm to include the evolution of both endogenic and exogenic dynamic forces now known to have influenced early lunar ***,based on the temporal interplay of exogenic and endogenic processes in altering the Moon,we defined three Eon/Eonothem-level units to represent three dynamical evolutionary ***,the pre-Nectarian System is redefined and divided as the magma ocean-era Magma-oceanian System and the following Aitkenian System beginning with the South Pole-Aitken *** ejecta of this basin,Das Formation,was deposited on the primordial lunar crust as the oldest stratum produced from exogenic *** updated lunar time scale,facilitated by the post-Apollo exploration and research advances,provides an integrated framework to depict the evolution of the Moon and has important implications for the geologic study of other terrestrial planets.

关键词： The Moon Geologic time scale Evolution history Endogenic process Exogenic process

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