Search

The effectiveness of national policies for air pollution control has been demonstrated, but the relative effectiveness of short-term emission reduction measures in comparison with national policies has not. Here we show that short-term abatement measures during important international events substantially reduced PM2.5 concentrations, but air quality rebounded to pre-event levels after the measures ceased. Long-term adherence to strict emission reduction policies led to successful decreases of 54% in PM2.5 concentrations in Beijing, and 23% in atmospheric nitrogen deposition in China from 2012 to 2020. Incentivized by "blue skies" type campaigns, economic development and reactive nitrogen pollution are quickly decoupled, showing that a combination of inspiring but aggressive short-term measures and effective but durable long-term policies delivers sustainable air quality improvement. However, increased ammonia concentrations, transboundary pollutant flows, and the complexity to achieving reduction targets under climate change scenarios, underscore the need for the synergistic control of multiple pollutants and inter-regional action. In response to the rebound of air pollution during large events in China, the authors propose that a combination of ambitious short-term measures and enduring long-term pollution control policies is a sustainable solution for improving air quality. [ABSTRACT FROM AUTHOR]

Background: Relapsing polychondritis (RP) with cardiac involvement may present with acute cardiovascular events, and may be associated with a negative prognosis. Herein, we analyzed the clinical characteristics of RP patients with cardiac involvement. Method: RP patients, hospitalized from December 2005 to December 2021 at Peking Union Medical College Hospital (PUMCH), were screened. Univariate and multivariate logistic regression analyses were used to statistically analyze the clinical characteristics of these patients. Results: The incidence of cardiac involvement in inpatients with RP was 24.1%. Univariate logistic regression analysis revealed age, central nervous system (CNS) involvement, neutrophil-to-lymphocyte ratio (NLR) > 6.41, and disease duration > 4 years as risk factors for cardiac involvement in RP. Conversely, the incidence of tracheobronchial and chest wall involvement was significantly lower in the group with cardiac involvement. Multivariate logistic regression confirmed that age, CNS involvement, NLR > 6.41, and disease duration > 4 years were independent factors for cardiac involvement. Subsequently, we identified five well-defined clinical patterns of RP, based on the involvement of different organs in our patients, and found that the heart-brain model was significantly mutually exclusive with the airway model. Conclusion: Occurrence of cardiac involvement in RP is associated with age, CNS involvement, NLR, and disease duration. It is mutually exclusive with airwayrelated involvement. Regular echocardiography and electrocardiography are necessary for patients with RP. [ABSTRACT FROM AUTHOR]

Objectives: Non-invasive prenatal testing (NIPT) has been widely used in recent years. According to clinical experience from all hospitals providing prenatal screening services in Beijing, we explored the feasibility of using NIPT for the analysis of common foetal aneuploidies among pregnancies. Methods: In total, 68,763 maternal blood samples were collected from January 2020 to December 2020 at the Beijing prenatal diagnosis agency. Cases with positive screening results by NIPT detection were validated using prenatal diagnosis. Results: In total, 920 cases had a high-risk NIPT result, and 755 cases were shown to be truly positive by a chromosome karyotyping analysis; the prenatal diagnosis rate was 82.07% (755/920). Of the920 cases, there were 164 cases of T21, 70 cases of T18, 38 cases of T13, 360 cases of SCAs and 288 cases of other chromosomal abnormalities. The positive rates of T21, T18, T13, and SCAs were 0.24% (164/68,763), 0.10% (70/68,763), 0.06% (38/68,763) and 0.52% (360/68,763), respectively. The sensitivity and specificity were 98.17% and 99.92% for T21, 96.15% and 99.93% for T18, and 100% and 99.95% for T13, respectively. The PPVs of T21,T18,T13 and SCAs were65.24% (107/164), 35.71% (25/70), 18.42% (7/38) and 31.39% (113/360), respectively. For all indications, there were more higher T21/18/13 in the high-risk group than in the low-risk group (comprising only cases of voluntary request), with a positive rate of 0.46% vs. 0.27% (p < 0.001), sensitivity of 99.16% vs. 91.30% (p = 0.02) and PPV of 56.73%vs.32.81% (p = 0.001), but there was no significant difference in specificity between the groups (p = 0.71). The detection indication with the highest PPV (100%) by NIPT was ultrasound structural abnormalities and ultrasound soft marker abnormalities for T21 and ultrasound structural abnormalities and NT thickening for T18 and T13. The PPVs of different clinical indications of T21 (p = 0.002), T13 (p = 0.04) and SACs (p = 0.02) were statistically significant. Conclusion: The high specificity, efficiency and safety (non-invasiveness) of NIPT can effectively improve the detection rate of common chromosomal aneuploidy, thereby reducing the occurrence of birth defects. We should encourage pregnant women with NIPT-high-risk results to undergo a prenatal diagnosis to determine whether the foetus has chromosomal abnormalities. More importantly, the screening efficiency of NIPT in the lowrisk group was significantly lower than that in the high-risk group. Therefore, the use of NIPT in low-risk groups should be fully promoted, and socioeconomic benefits should be considered. [ABSTRACT FROM AUTHOR]

In order to cope with heavy haze pollution in Beijing, the Air Pollution Prevention and Control Action Plan was issued in 2013. In this study, we took January observations from 2014 to 2018 as a case study to assess wintertime air quality improvement in Beijing after five years of continuous emission control measures and to investigate the causes of haze formation. SO 2 and NO 2 concentrations in January 2018 decreased by 84% and 41% from January 2014, while NH 3 concentrations remained relatively stable during these years with an average of 7.28 μg m−3. The mean concentrations of PM 2.5 and water-soluble inorganic ions declined over the study period, while compared with 2014, decreased SO 4 2− ratio and increased NO 3 − contribution in PM 2.5 were observed, highlighting the importance of reactive nitrogen (Nr) pollution control. High concentrations of NH 3 , NO 2 , as well as NH 4 + and NO 3 − in PM 2.5 at roadside monitoring sites, indicated that vehicle sources played a vital role in local urban Nr emissions. Finally, we found most NH 3 existed in the gas phase in the Beijing atmosphere, even on polluted winter days, suggesting a considerable risk for additional secondary aerosol formation. Our findings demonstrate the effectiveness of the emissions control in alleviating Beijing's air pollution. Significant reductions of precursor emissions are needed to achieve the goals set by air quality standards in the future, especially for NH 3. It is especially crucial to jointly consider and control multiple pollution sources to effectively reduce the high levels of air pollution that remain in Beijing. • Significant improvements in Beijing air quality were observed during January 2014 to 2018. • The concentrations of SO 2 , NO 2 in air and SO 4 2−, NO 3 −, NH 4 + in PM 2.5 significantly decreased. • NH 3 concentrations remained stable during these 5 years. • Vehicle sources are vital contributors to NH 3 and NO 2 emissions. • The Beijing atmosphere is NH 3 -rich. [ABSTRACT FROM AUTHOR]

Precipitation chemistry and atmospheric nitrogen (N) deposition are of great concern worldwide due to their close relationships with air quality and impacts on ecosystems. However, evaluation of the chemical composition of precipitation and N deposition flux in rural areas of Beijing has received little attention to date. This paper presents the chemical constituents, possible sources and wet deposition fluxes of water-soluble ions (NH 4 +, NO 3 −, SO 4 2−, Cl−, Na+, K+, Ca2+, Mg2+) in precipitation samples collected during 2017–2018 at a rural site located at northwest of Beijing city; meanwhile, dry deposition of reactive N species (gaseous ammonia, nitrogen dioxide, nitric acid, and particulate (p) NH 4 + and NO 3 −) were also quantified. During this 2-year period, the volume-weighted mean (VWM) pH of precipitation was 6.73, and all samples had pH values above 6.0. The VWM electric conductivity of precipitation and the mean sum of all measured ions was 43.8 μS cm−1 and 591.9 μeq L−1, respectively, indicating a significant impact of atmospheric pollution. Ca2+ and NH 4 + were the dominant neutralizing species for precipitation acidity. Positive matrix factorization analysis further confirmed five sources for water-soluble ions, including sea salt aging, secondary formation, agriculture, crust, and biomass burning. The annual mean wet N deposition was 4.6, 3.4 and 8.0 kg N ha−1 yr−1 for NH 4 +, NO 3 − and total inorganic N, respectively. The total dry N deposition was dominated by gaseous ammonia (11.5 kg N ha−1 yr−1). The total N deposition (wet plus dry) was 27.7 kg N ha−1 yr−1, where dry deposition contributed to 75% and wet deposition 25% of the total. The simulations from the GEOS-Chem model indicate that agricultural (fertilizer use and livestock) and nonagricultural sources (industry, power plant, and transportation) are both important contributors to total N deposition. These results could be useful in evaluating/developing emission control policies to protect the eco-environment in Beijing. • Precipitation chemistry and nitrogen (N) deposition were investigated in Beijing. • The pH values of precipitation samples were all above 6.0 and averaged 6.7. • Ion source was sea salt, secondary source, agriculture, crust, and biomass burning. • Total N deposition was 27.7 kg N ha−1 yr−1, of which 75% was from dry deposition. • Agricultural and nonagricultural sources contributed equally to total N deposition. [ABSTRACT FROM AUTHOR]