外部力量和趋势可能迅速地崛起，从而导致无法预料的后果。

External forces and trends can rise quickly and have unforeseen ramifications.

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它所面临的挑战之一是设计一套规则，来应对全球化和全球变暖的趋势，并管控伴随新的世界力量兴起而带来的风险。

One of its challenges will be to devise rules to cope with the dynamics of globalization and global warming and to manage the rise of a set of new world powers.

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而医药领域的就业机会是这个趋势的一大驱动力量——近年来针对医疗助理、医疗账单和编码员资格的教学课程都有所增长。

And, the medical field is a big driver of this trend - programs for certification as a medical assistant or a medical billing and coding specialist have seen growth in recent years.

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