Multiple myeloma survival in New South Wales, Australia, by treatment era to 2020

Objective: Australia has relatively high multiple myeloma(MM) incidence and mortality rates. Advancements in MM treatment over recent decades have driven improvements in MM survival in high-income countries;however, reporting in Australia is limited. We investigated temporal trends in population-wide MM survival across 3 periods of treatment advancements in New South Wales(NSW), Australia.Methods: Individuals with an MM diagnosis in the NSW Cancer Registry between 1985 and 2015 with vital follow-up to 2020, were categorized into 3 previously defined treatment eras according to their diagnosis date(1985±1995, chemotherapy only;1996±2007, autologous stem cell transplantation;and 2008±2015, novel agents including proteasome inhibitors and immunomodulatory drugs). Both relative survival and cause-specific survival according to Fine and Gray's competing risks cumulative incidence function were calculated by treatment era and age at diagnosis.Results: Overall, 11,591 individuals were included in the study, with a median age of 70 years at diagnosis. Five-year relative survival improved over the 36-year(1985±2020) study period(31.0% in 1985±1995;41.9% in 1996±2007;and 56.1% in 2008±2015). For individuals diagnosed before 70 years of age, the 5-year relative survival nearly doubled, from 36.5% in 1985±1995 to 68.5% in 2008±2015. Improvements for those > 70 years of age were less pronounced between 1985±1995 and 1996±2007;however, significant improvements were observed for those diagnosed in 2008±2015. Similar overall and age-specific patterns were observed for causespecific survival. After adjustment for gender and age at diagnosis, treatment era was strongly associated with both relative and cause-specific survival(P < 0.0001).Conclusions: Survival of individuals with MM is improving in Australia with treatment advances. However, older age groups continue to experience poor survival outcomes with only modest improvements over time. Given the increasing prevalence of MM in Australia, the effects of MM treatment on quality of life, particularly in older age, warrant further attention.

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

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 Affairs.

The quality of older adults'involvement in clinical communication with general practitioners:evidence from rural towns in Australia

Objective:A study was conducted about the putative links of older rural Australians'health knowledge and preparation with their quality of involvement in patient-general practitioner(GP)communication during health intake visits.Methods:It was a cross-sectional study between January 2021 and April 2022.The 32-item quality of involvement in communication scale was designed and incorporated into the SurveyGizmo software.This online survey was administered by sending an email request to the Renmark Rotary Club,which actively promoted this study across five rural towns in South Australia.121 participants completed the surveys.Mean-sum scores were calculated based on the questionnaire responses to evaluate outcomes,specifically initiation of information,active participation,and emotional expression.We employed different methods including t-tests,ANOVA,and leaner regressions to analyse data.Results:The demographic profile of participants characterised by a female predominance(58.7%,71/121),a majority falling within the 65-<70 age bracket(47.1%,57/121),and a high level of educational attainment(58.7%had completed high school or higher,71/121).Additionally,35%of the participants predominantly spoke a language other than English at home.Regarding the initiation of information with GPs,the mean sum-score was(20.5+3.7),indicating a marginally above-average level of engagement.Contrarily,the active participation was suboptimal,as suggested by a mean sum score of(35.9±6.3).Furthermore,the emotional expression was relatively low,with a mean score of(13.9±1.8).Substantial variations were discerned in the quality of patient-GP communication,contingent upon factors such as educational background,language spoken at home,health literacy,and preparatory measures for clinical visits.Participants who predominantly spoke a language other than English at home demonstrated significantly lower levels of information initiation with their GPs(P<0.o01).Higher educational attainment was positively correlated with increased active participation(P<0.001).Enhanced health literacy and thorough visit preparation were significantly associated with increased levels of active participation(P<0.001).Conclusion:Meaningful engagement through recognition,empowerment,and support(health literacy programs)for older rural adults is suggested for improving their quality of involvement in communication with GPs.

A systems perspective on national prioritisation of sustainable development goals:Insights from Australia

Achieving the Sustainable Development Goals(SDGs)requires effective national initiatives and resource allo-cation.Yet,the simultaneous attainment of all goals is hindered by constraints such as limited budgets and resources,varied national priorities,and the intricate nature of the goals.As we approach 2030 and beyond,an urgent need for an effective,data-driven prioritisation system exists to optimise what can be accomplished.A considerable knowledge gap persists in identifying the priority areas that demand concentrated attention and how their improvement would propel overall sustainability goals.To bridge this gap,our study presents a priori-tisation approach that identifies significant SDG indicators based on urgency and impact,utilising Benchmarking,Bivariate,and Network analysis.Furthermore,we introduce an innovative Impact Index(IMIN)to assess an indi-cator’s extensive effect on the SDG network.This system carries significant international relevance by establishing a robust framework to identify key,potent,and interconnected indicators.It supports decision-makers worldwide in comprehending their nation’s SDG performance and promotes efficient resource allocation.In the specific con-text of Australia,our analysis spotlights several impactful,yet underperforming SDG indicators.These include the protection of Freshwater,Terrestrial,and Mountain Key Biodiversity Areas(KBAs),the share of renewable energy and energy intensity level of primary energy,targeted research and development,gender equality in national parliaments,and carbon-efficient manufacturing,amongst others.

Exploring the Recent Anti-China Backlash in Australia and Its Impact

The year 2017 marked not only the 45th anniversary of the establishment of China-Australia diplomatic relations,but also significant turbulence in the relationship.While bilateral economic and trade relations,as well as people-to-people communication and cooperation continue to grow,a series of dramatic and negative events unfolded in Australia,advocating the so-called"China threat",and instigated by anti-China sentiments.The recent anti-China backlash in Australia was caused by a combination of deep structural change in the current international system,and instability in Australia’s domestic politics.It is also the outcome of Australia’s dependence on the US-Australia alliance,while balancing between its own economic and security interests.It is worth noting that in comparison to the past,the current anti-China movement in Australia has been more profound and more focused,demonstrating new characteristics.This includes Australia collaborating with certain Western nations against China’s influence,as well as strategic warnings with more political and policy implications.Although Australia’s anti-China backlash will not have a fundamental impact on China-Australia relations,Australia’s anti-China stance and behavior is characteristic of an increasingly prevalent trend among the Western nations of concern about China’s rising influence,and new defense strategies against this.China must proceed with caution when dealing with the negative repercussions of this.

Exploring Themes in the Movie Australia on Culture Identity Theories

Gathering the history and emotions of the nation of Australia,the movie Australia not only reflects Australians’exertion to construct an equal harmonious diversified new Australia but also incarnates Australian people’s nisus to pursue the sense of belonging internally and seek international recognition externally.In order to expand the perspective of researching this movie and give enlightenment on constructing an equal harmonious diversified international community,based on culture identity theories,this paper tries exploring the themes of this movie.

Analysis of Reference Evapotranspiration Change and Its Impact Factors in Australia

[ Objective] To discuss regional response of reference evapotranspiration （ ETo ） to global climate change and its influencing factors. [Method] Penman-Monteith equation was adopted to calculate ET0 in Australia from 1998 to 2007. Spatiotemporal change characteristics were analyzed by using GIS spatial analysis tools and relationships between ETo and main climate factors were also analyzed. [ Resultsl The results showed that multi-year average ET0 increased from the east and south part to the northwest part and inland, and its distribution was consistent with climate zones. Multi-year average ETo of the whole region was 1 750 mm, obtaining minimum and maximum values in 2000 and 2002 respectively. Regional ETo decreased in the order of summer, spring, autumn and winter; January and December got the highest monthly ET0, while June got the lowest value 79.55 mm. ETo positively correlated with mean temperature and solar radiation, R2 for each were 0.83 and 0.94, while the relationship between ETo and average relative humidity was negative, and precipitation had no significant relationship with ET0. [ Conclusion] This research could provide important reference for crop water requirement study and making irrigation method for Australia.

Comparison and Analysis on Animal and Plant Quarantine of Entry Mails among China, Australia and New Zealand

With the significant increase of the number of entry mails in China, mail inspection has become more and more challenge. Australia and New Zealand are the two countries recognized as the ones with the most stringent inspection and quarantine measures in the world. The mail inspection work in China, Australia and New Zealand was compared on the aspects of mail quarantine system, inspection, quarantine treatment and punishment, based on which something worth learning and referring could be found and some suggestions were put forward, with the aim to provide theoretical basis for the animal and plant quarantine of entry mails.

A Representative of “the Other”Image:Analysis on the Character Nullah in the Movie Australia

Addressed as Australian version Gone with the Wind,with a successful"Other"image,named Nullah,the movie Australia presents Australians' attitude towards culture impact brought by globalization,to absorb positive ingredients of adventive cultures and uphold one's own uniqueness in culture will be a reasonable way to integrate into globalization.

Analysis on the Emotions in Australia

Analyzing familial affection between Sarah and Nullah across race, love between Sarah and Drover across caste, friendship between Sarah and King George across caste and race, this paper attempts to help audience comprehend the theme of the movie Austrlia and construct a new equal harmonious diversified Australia.

Australian tertiary care outcomes of entecavir monotherapy in treatment naive patients with chronic hepatitis B

AIM:To evaluate the long-term treatment outcomes of entecavir monotherapy in treatment naive patients in an Australian tertiary care setting. METHODS:A retrospective analysis of treatment naive patients receiving entecavir monotherapy through Westmead Hospital was performed.Patients were excluded if they had received previous treatment with another nucleoside or nucleotide analogue,were pregnant or less than 18 years old. RESULTS:Out of 336 patients,163 patients fulfilled the selection criteria.Range of follow up was 3-46 mo (mean 26 mo).134 patients(82.2%)had pre-treatment biopsies,with 26 patients(16.0%)demonstrating F3-4 fibrosis.In total,153 patients(93.9%)achieved at least Partial Virological Suppression(PVS),with 134 patients (82.2%)achieving complete virological suppression. The cumulative CVS and PVS rates at 36 mo were 82.1%and 96.4%,respectively.3 patients(1.8%)failed to achieve PVS,while 5 patients(3.0%)developed virological rebound.128 patients(78.5%)maintained CVS throughout follow up.Predictors of CVS included lower baseline DNA level(P=0.001),hepatitis B virus e antigen negative status(P=0.001)and increasing age at treatment(log rank 0.001).No significant adverse effects were reported necessitating cessation of entecavir. CONCLUSION:Entecavir monotherapy is efficacious and safe in an Australian tertiary care setting.Resistance and rebound rates are very low.This is similar to data from controlled and uncontrolled trials around the world.

Efficacy and safety of tenofovir in chronic hepatitis B: Australian real world experience

AIMTo evaluate the long-term treatment outcomes of tenofovir therapy in patients in a real world Australian tertiary care setting. METHODSWe performed a retrospective analysis of treatment outcomes among treatment-na&iuml;ve and treatment-experienced patients receiving a minimum 3 mo tenofovir therapy through St Vincent&rsquo;s Hospital Melbourne, Australia. We included patients receiving tenofovir [tenofovir disoproxil fumarate (TDF)] monotherapy, as well as patients treated with TDF in combination with a second antiviral agent. Patients were excluded if they demonstrated human immune-deficiency virus/hepatitis C virus/hepatitis delta virus coinfection or were less than 18 years of age. We considered virological and biochemical response, as well as safety outcomes. Virological response was determined by measurement of hepatitis B virus (HBV) DNA using sensitive assays; biochemical response was determined via serum liver function tests; histological response was determined from liver biopsy and fibroscan; safety analysis focused on glomerular renal function and bone mineral density. The primary efficacy endpoint was complete virological suppression over time, defined by HBV DNA RESULTSNinety-two patients were identified who fulfilled the enrolment criteria. Median follow-up was 26 mo (range 3-114). Mean age was 46 (24-78) years, 64 (70%) were male and 77 (84%) were of Asian origin. 55 (60%) patients were treatment-na&iuml;ve and 62 patients (67%) were HBeAg-negative. Complete virological suppression was achieved by 45/65 (71%) patients at 12 mo, 37/46 (80%) at 24 mo and 25/28 (89%) at 36 mo. Partial virological response (HBV DNA 20-2000 IU/mL) was achieved by 89/92 (96.7%) of patients. Multivariate analysis showed a significant relationship between virological suppression at end of follow-up and baseline HBV DNA level (OR = 0.897, 95%CI: 0.833-0.967, P = 0.0046) and HBeAg positive status (OR = 0.373, 95%CI: 0.183-0.762, P = 0.0069). There was no difference in response comparing treatment-na&iuml;ve and treatment-experienced patients. Three episodes of virological breakthrough occurred in the setting of non-compliance. Tenofovir therapy was well tolerated. CONCLUSIONTenofovir is an efficacious, safe and well-tolerated treatment in an Australian real-world tertiary care setting. Our data are similar to the reported experience from registration trials.

Plant conservation in Australia:Current directions and future challenges

Australia is a large, old and flat island continent that became isolated following the breakup of the Gondwanan super continent. After more than 40-50 M years of independent evolution, approx. 600,000-700,000 species now call Australia home. More than 21,000 of these species are plants, with at least84% of these being endemic. Plant taxa are protected, conserved and managed under a range of legislation at the State-and Territory-level as well as Federally for matters of national significance. This can create issues of misalignment among threatened species lists but generally there is co-operation among conservation agencies to reduce misalignments and to manage species irrespective of jurisdictional borders. Despite significant investment in programs designed to assist the recovery of Australian biodiversity, threatened plants in particular appear to be continuing to decline. This can be attributed to a range of factors including major threatening processes associated with habitat loss and invasive species,lack of public awareness of the cultural and socio-economic value of plant conservation, and our relatively poor understanding of basic species taxonomy and biology, especially for those species that have specific interactions with pollinators, symbionts and herbivores. A recent shift in Federally-based conservation programs has been to identify 30 key plant species for recovery through the setting of measurable targets, improving the support provided to recovery teams and encouraging industry,business and philanthropy to support conservation actions.

Tracking the Cretaceous transcontinental Ceduna River through Australia:The hafnium isotope record of detrital zircons from offshore southern Australia

The middle-upper Cretaceous Ceduna River system traversed continental Australia from the NE coast to the centre of the southern coast. At its mouth, it formed a vast delta system that is similar in scale to the Niger delta of West Africa. The delta system is composed of two main lobes that represent different phases of delta construction. A recent hypothesis has challenged the traditional idea that both lobes of the delta were derived from a transcontinental river system by suggesting that the upper lobe （Santonian -Maastrichtian） is instead derived from a restricted catchment within southern Australia. Hf isotopic data presented here fingerprint the original source of the upper delta lobe zircons to NE Australia, with data comparing well with similar U-Pb and Lu-Hf isotopic data from the Lachlan Orogen, the New England Orogen, the eastern Musgraves Province and the northern Flinders Ranges. These data do not preclude a model where the lobe is derived from recycled Eromanga Basin sediments during a phase of late Cretaceous inland Australian uplift, but when coupled with reconnaissance low-temperature thermochronometry from the region of the Ceduna River course indicating widespread Triassic-Jurassic exhumation, and comparisons with detrital zircon data from the Winton Formation upstream of any proposed uplift, we suggest that both lobes of the Ceduna Delta are likely to be derived from a transcontinental Ceduna River.

Update of Meat Standards Australia and the cuts based grading scheme for beef and sheepmeat

Changing markets and evolving consumer demand present new challenges for the beef and sheep industries. In response, the industry has been investing in innovations to deliver new products and management systems to consumers. One such innovation is the Meat Standards Australia（MSA） system. This system is a Total Quality Management System, aimed at delivering an eating quality guarantee to consumers, and through this adding value to the entire supply chain. At present, it is well developed for beef and still evolving for sheepmeat. MSA has identified Critical Control Points（CCPs） in the production, pre-slaughter, processing and value-adding aspects of the supply chain that impact on consumer palatability through the large-scale taste testing of meat by untrained consumers. These CCPs are used as either（1） mandatory criteria determining eligibility for grading, and（2） inputs in a model predicting the palatability of individual combinations of muscle and different cooking methods. Through the prediction of palatability, MSA increases consumer satisfaction and is used to provide assurance for branded products and new marketing innovations in Australia and internationally. This has added significant value to the Australian beef industry, with several retail examples demonstrating consumer willingness to pay more for premium quality beef and sheepmeat products based on the MSA grading scores. This price differential at retail allows the value of the carcass to be calculated based on the eating quality as well as the volume produced, thereby delivering a financial reward for farmers producing high quality carcasses. The continuous quality scale of MSA allows producers to realise the financial gain of incremental improvements in quality, as well as the precise economic weights associated with traits such as marbling, ossification score, or breed. The use of MSA in this fashion has underpinned a new and innovative supply chain where the pricing is transparent and allows producers to make informed decisions to modify both quality and yield traits. To date, the MSA system for beef has proved to be effective in predicting beef palatability not only in Australia but also in many other countries（France, Poland, Ireland, Northern Ireland, Japan, South Korea, New-Zealand, the USA and South Africa）. In Europe, results of the Pro Safe Beef and Pro Opti Beef projects as well as other national projects demonstrate the potential to develop an MSA-like international grading system for the supply chain in the EU, despite thediverse cultures and complex beef production systems within the member states. International testing in lamb has only just begun and preliminary results are discussed here.

Acid Sulfate Soils in Australia: Characteristics,Problemsand Management

Acid soils(ASS) are widely distributed in Australia. This has only been recognized recentlywhen intensive research on ASS has been done in this country. This paper reviews aspects concerning a)the distribution and acid potential, b) controls on acidic status, and c) problems and management of ASSin Australia It is believed that the Australian experience may be useful for other countries where potentialproblems from ASS exist but insrfficient attention was paid to them.

Recovering limonite from Australia iron ores by flocculation-high intensity magnetic separation

Successful recovery of limonite from iron fines was achieved by using flocculation-high intensity magnetic separation （FIMS） and adding hydrolyzed and causticized flocculants according to the characteristic of iron fines. The separation results of the three iron samples are as follows： iron grade 66.77%- 67.98% and the recovery of iron 69.26%-70.70% by the FIMS process with flocculants. The comparative results show that under the same separation conditions the F1MS process can effectively increase the recovery of iron by 10. 97%- 15.73%. The flowsheet results confirm the reliability of the process in a SHP high intensity magnetic separator. The concentrate product can he used as raw materials for direct reduction iron-smelting. The hydrolyzed and causticized flocculants can selectively flocculate fine feebly-magnetic iron mineral particles to increase their apparent separation sizes. The larger the separation size, the stronger the magnetic force. By comparing the separation results of the three samples it is found that among the three samples the higher the limonite content, the better the separation result. This means that the separation result relates closely to the flocculation process and the adding pattern of the flocculant.

Towards a Large-Scale Hydrogen Industry for Australia

1.Introduction As nations around the world seek to reduce carbon dioxide emissions in order to mitigate climate change risks,there has been a resurgence of interest in the use of hydrogen as a zero-emissions energy carrier.Hydrogen can be produced from diverse feedstocks via a range of low-emissions pathways and has broad potential in the process of decarbonization across the energy,transport,and industrial sectors.With an abundance of both renewable and fossil fuel energy resources,a comparatively low national energy demand and excellent existing regional resource trading links,Australia is well positioned to pursue industrial-scale hydrogen production for both domestic and export purposes[1,2].In this paper,we present an overview of the progress at the government,industry,and research levels currently undertaken to enable a large-scale hydrogen industry for Australia.

Development and Validation of an Australian Database for Estimating the Seafood Content of Canned Products

Canned fish products are of increasing popularity in Australia;however current Australian nutrient databases do not include data on the percentage fish in these products. The objective of this study was to develop and validate a database of the percentage fish and seafood contained in common canned fish and seafood products, for use in clinical trials. Six major supermarkets in the Illawarra region, NSW were audited for canned seafood products, and a database of reported percentage fish and seafood was developed. Mean + SD of each type of product was then determined. To validate the database, a representative sample of canned tuna products were weighed according to Codex Alimentarius methods. The weighed percentage fish was compared to reported percentage via independent sample t-test and Mann-Whitney test. Percentage fish data was collected for n = 214 canned fish products. The mean percentage fish in tuna products was 60.4% + 11.3% (n = 144), 72.0% + 14.7% in salmon products (n = 31) and 70.9% + 9.3% in sardine products (n = 23). There was no significant difference between the reported and weighed percentage fish. This database highlighted the substantial proportion of additional ingredients found in canned fish products. Given the popularity of such products, future studies measuring fish consumption should use a similar database to accurately measure fish intake.

Population structure of Haliotis rubra from South Australia inferred from nuclear and mtDNA analyses

Microsatellite loci and mtDNA-RFLPs were surveyed in four spatially separated populations of Haliotis rubra and two populations of putative Haliotis conicorpora from South Australia. A high level of microsatellite genetic diversity was observed in all populations although several loci were characterized by homozygote excesses, probably due to null alleles. MtDNA variation was also moderate with an average of 80% haplotype variation across the six populations. Despite the high levels of genetic variation, significant pair-wise spatial differentiation is not detected among the populations. Hierarchical AMOVA analysis revealed very low levels of genetic partitioning on either a spatial or putative species level. Both molecular techniques revealed little genetic differentiation across the six populations, suggesting a panmictic population model for these South Australian abalone populations. Furthermore, no molecular evidence suggests that the putative H. conicorpora individuals sampled from South Australia belong to a separate species.