Remote region is normally considered a receptor of long-range transported pollutants. Monitoring stations are important platforms for investigating the atmospheric environment of remote regions. However, the potential contribution of very local sources around these stations may produce important influences on its atmospheric environment, which is still barely studied. In this study, major ions of precipitation were investigated simultaneously at a typical remote station (Nam Co station) and other sites nearby on the Tibetan Plateau (TP) - the so-called \"The Third Pole\" in the world. The results showed that despite low values compared to those of other remote regions, the concentrations of major ions in precipitation of Nam Co station (e.g., Ca2+: 32.71 μeq/L; [Formula: see text]: 1.73 μeq/L) were significantly higher than those at a site around 2.2 Km away (Ca2+: 11.47 μeq/L; [Formula: see text]: 0.64 μeq/L). This provides direct evidence that atmospheric environment at Nam Co station is significantly influenced by mineral dust and pollutants emitted from surface soil and anthropogenic pollutants of the station itself. Therefore, numbers of other related data reported on the station are influenced. For example, the aerosol concentration and some anthropogenic pollutants reported on Nam Co station should be overestimated. Meanwhile, it is suggested that it is cautious in selecting sites for monitoring the atmospheric environment at the remote station to reduce the potential influence from local sources.

Two major structural isomers in commercial dechlorane plus (DP) mixtures, anti-DP and syn-DP, generally displayed varied desorption and partitioning efficiencies in soils, which may be linked to their different aging rates. However, the molecular parameters that govern the degree of aging and its associated effects on the occurrence of DP isomers have not been comprehensively investigated. In this study, the relative abundance of rapid desorption concentration (Rrapid) was measured for anti-DP, syn-DP, anti-Cl11-DP, anti-Cl10-DP, Dechlorane-604 (Dec-604), and Dechlorane-602 (Dec-602) at a geographically isolated landfill area in the Tibetan Plateau. The Rrapid values were used as an indicator of aging degree, exhibiting a close correlation with the three-dimension conformation of the molecules for the dechlorane series compounds. This observation suggested that planar molecules may have a greater tendency to accumulate in the condensed phase of organic matter and undergo more rapid aging. The fractional abundances and dechlorinated products of anti-DP were found to be predominantly controlled by the aging degree of DP isomers. The multiple nonlinear regression model indicated that differences in aging between anti-CP and syn-DP were primarily driven by the total desorption concentration and soil organic matter content. Aging plays a significant role in both the transport processes and metabolism of DP isomers and should be taken into account to refine the assessment of their environmental behaviors.

BACKGROUND: Posterior reversible encephalopathy syndrome (PRES) is a disorder of reversible vasogenic brain oedema with acute neurologic symptoms. It is a rare but serious disease that affects the central nervous system. PRES is a rare complication of acute post-streptococcal glomerulonephritis (APSGN). High altitude can accelerate vasogenic brain oedema by increasing cerebral blood flow (CBF), impairing cerebral autoregulation and promoting vascular inflammation. We report a case of PRES induced by acute post-streptococcal glomerulonephritis in a high-altitude environment.
METHODS: A fourteen-year-old Tibetan girl presented with progressive headache with haematuria, facial swelling, dizziness and vomiting for 2 weeks as well as multiple episodes of tonic-clonic seizures for 14 h. She was diagnosed with APSGN based on laboratory tests and clinical symptoms. Brain magnetic resonance imaging (MRI) and computed tomography (CT) revealed bilateral frontal, parietal and occipital lesions that were compatible with the radiological diagnosis of PRES. The treatments included an antibiotic (penicillin), an antiepileptic drug, and hyperbaric oxygen (HBO) therapy. Follow-up MRI obtained 1 week after admission and CT obtained 4 weeks and 6 weeks after admission demonstrated complete resolution of the brain lesions.
CONCLUSIONS: The case illustrates a rare occurrence of PRES following APSGN in a 14-year-old child in the Tibetan Plateau. The hypoxic conditions of a high-altitude setting might lower the cerebral autoregulation threshold and amplify the endothelial inflammatory reaction, thus inducing PRES in patients with APSGN. It is important to recognize the clinical and radiologic features of PRES, and adjuvant HBO therapy can promote rapid recovery from this condition in high-altitude areas.

Dust aerosol, one of the important light-absorbing impurities in snow and ice sheets in the Tibet Plateau (TP), can significantly affect the magnitude and timing of snow melting and glacier recession by altering the surface albedo. It is thus of great importance to understand the potential source and transport mechanism of the dust aerosol over the TP. A typical dust storm case, erupted from the Thar Desert (ThD) in South Asia on 1 to 4 May 2018, was selected to understand synoptic causes and a transport mechanism to the TP using the latest Second Modern-Era Retrospective analysis for Research and Applications (MERRA-2) reanalysis data. Comparing with active/passive satellite-based and AERONET-based observations, the MERRA-2 data provide both the spatio-temporal distribution and evolution process of the dust aerosol more accurately. This study also found that the entire Indian-Gangetic Plain (IGP), Southern India, the Bay of Bengal, and even the TP were influenced by the dust event. The synoptic analysis showed that the dust storm was caused jointly by an upper-level jet stream (ULJS), an upper trough and the subtropical high. A typical south-north secondary circulation adjacent its exit zone, mainly triggered by the ULJS, promoted much stronger and higher vertical uplift of the dust aerosols over the ThD. Consequently, those uplifted dust particles were easily transported to the TP across the majestic Himalayas by the southerly airflows in front of the low-pressure trough over Afghanistan and the southern branch trough over the Bengal Bay. These results indicate that dust aerosol and anthropogenic pollutions constrained and driven by the typical atmospheric circulation condition from South Asia are likely to be transported to the TP. Therefore, it is necessary to further pay attention to the influence of dust aerosols from South Asia on the weather and climate in the TP and its downstream areas.

Attracting fish at fishway entrances is vital for ensuring fish passage efficiency, which requires consideration of the swimming characteristics of fish. The objective of this case study was to propose optimized flow conditions downstream of a dam on the Tibetan Plateau to attract fish into fishways. Six local endemic species of Cyprinidae: Schizothoracinae were considered as protection targets. However, the swimming abilities of most endemic fishes on the plateau remain unclear, and no previous projects in this area could serve as a reference. Thus, the swimming performances of the target species were first tested based on three indexes, induction velocity, critical swimming speed and bursting swimming speed, and six behavior zones were classified by different flow velocity thresholds based on the test results. A verified 3D hydrodynamic model was then adopted to simulate the flow field downstream of the dam under four typical reservoir operation scenarios. By matching the simulated flow fields to the different behavior zones, all scenarios were assessed for the passability of the target fishes, and the results showed that there would be different potential migration routes under each scenario. For the most common scenario during the fish passage season, symmetrical use of turbines T1 and T6 was recommended so that the flow would be lower velocity and the turbulence would be less intense near the fishway entrances than the current regime. Moreover, the addition of a new entrance was suggested on the migration routes with high potential use to increase the chance that fish would enter. Beyond providing a solution for this specific case, this study enriches knowledge about the swimming features of endemic fishes on the Tibetan Plateau. Furthermore, this research provides a possible technical methodology that combines fish behavioral characteristics and hydraulic indexes when determining attraction flows in similar fish passage projects.

A 54 years old male patient with chronic leg ulcers was admitted in our hospital in November 2017. He was diagnosed as pyoderma gangrenosum by the pathological examination. Then the wound was treated with simple vacuum sealing drainage combined with irrigation of oxygen loaded fluid. This therapy overcame the shortage of hypoxia in the Tibetan Plateau on wound healing, resulting in a better wound healing. The patient was eventually cured and discharged from hospital.
笔者单位于2017年11月收治1例54岁男性下肢慢性溃疡患者，入院经病理检查确诊为坏疽性脓皮病。采用简易负压封闭引流联合含氧液冲洗治疗创面，克服高原低气压缺氧对创面愈合带来的不利影响，促进创面愈合，患者最终痊愈出院。.

Gravity data gaps in mountainous areas are nowadays often filled in with the data from airborne gravity surveys. Because of the errors caused by the airborne gravimeter sensors, and because of rough flight conditions, such errors cannot be completely eliminated. The precision of the gravity disturbances generated by the airborne gravimetry is around 3-5 mgal. A major obstacle in using airborne gravimetry are the errors caused by the downward continuation. In order to improve the results the external high-accuracy gravity information e.g., from the surface data can be used for high frequency correction, while satellite information can be applying for low frequency correction. Surface data may be used to reduce the systematic errors, while regularization methods can reduce the random errors in downward continuation. Airborne gravity surveys are sometimes conducted in mountainous areas and the most extreme area of the world for this type of survey is the Tibetan Plateau. Since there are no high-accuracy surface gravity data available for this area, the above error minimization method involving the external gravity data cannot be used. We propose a semi-parametric downward continuation method in combination with regularization to suppress the systematic error effect and the random error effect in the Tibetan Plateau; i.e., without the use of the external high-accuracy gravity data. We use a Louisiana airborne gravity dataset from the USA National Oceanic and Atmospheric Administration (NOAA) to demonstrate that the new method works effectively. Furthermore, and for the Tibetan Plateau we show that the numerical experiment is also successfully conducted using the synthetic Earth Gravitational Model 2008 (EGM08)-derived gravity data contaminated with the synthetic errors. The estimated systematic errors generated by the method are close to the simulated values. In addition, we study the relationship between the downward continuation altitudes and the error effect. The analysis results show that the proposed semi-parametric method combined with regularization is efficient to address such modelling problems.