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The record-breaking 2019-2020 Australian wildfires have been primarily linked to climate change and its internal variability. However, the meteorological feedback mechanisms affecting smoke dispersion and wildfire emissions on a synoptic scale remain unclear. This study focused on the largest wildfires occurring between December 25, 2019 and January 10, 2020, under the enhanced subtropical high, when the double peak in wildfire evolution was favored by sustained low humidity and two synchronous increases in temperature and wind. Based on the coupled atmospheric chemical transport model, we revealed an abnormal downdraft and a lowered planetary boundary layer over southeastern Australia, caused by the radiative cooling effects (exceeding -100 W m -2 at surface) of carbonaceous aerosols (CAs) from wildfires. These changes hindered the smoke dispersion and increased the PM 2.5 concentration by ∼27.8%. By contrast, the low-level anomalous cyclonic circulation induced by CAs brought more water vapor toward the fire zone. This, combined with surface cooling and low wind speeds, suppressed wildfire emissions, thereby reducing PM 2.5 concentration by ∼11.6%. These findings highlight the critical role of aerosol-radiation interaction in wildfire behavior.

Objective To systematically analyze the current status of outcomes reporting in clinical trials on treating stasis acute mastitis with Traditional Chinese Medicine breast massage.Methods We searched CNKI, Wanfang, VIP, SinoMed, PubMed, Web of Science, Embase, Cochrane library, JBI, CINAHL, PsycINFO, Clinical Trials Registry Platform portal, Clinical Trials Registry, Australian New Zealand Clinical Trials Registry, Center Watch Registry from inception to May 15, 2022 to find randomized controlled trials, non-randomized controlled trials, case series and cohort studies which reported the outcomes of stasis acute mastitis managed with Traditional Chinese Medicine breast massage, with search terms of mastitis, acute mastitis, lactation mastitis, puerperal mastitis, breast problem, breast engorgement, milk stasis, blocked ducked, breast pain, breast massage, and acupoint massage. Outcomes and the measurement schemes (measurement methods, timing of assessing outcome, frequency of assessing outcome, measurers) were extracted from the included studies. We used the Management of Otitis Media with Effusion in Children with Cleft Palate (MOMENT) to assess the quality of each study, then categorized outcomes derived from the included studies into different domains according to the Outcome Measures in Rheumatology Arthritis Clinic Trials (OMERACT) Filter 2.1 framework.Results We identified 85 clinical trials, in which 54 different outcomes were reported. A total of 81.2% (69/85) of studies were assessed as medium quality with a mean score of 2.6, and 18.8% (16/85) as low quality with a mean score of 0.9. These outcomes were organized in three core areas. Lump size (89.4%, 76/85) was the most frequently reported outcome, followed by breast pain (69.4%, 59/85) and milk excretion (68.2%, 58/85). Five methods were used to assess lump size and four methods to assess breast pain.Conclusions The outcomes reported in clinical trials regarding stasis acute mastitis treated by Traditional Chinese Medicine breast massage are heterogeneous. Developing a core outcome set to achieve consistent standards for reporting outcomes and modalities for validation of the outcomes is clearly warranted.