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.

Maternal metal(loid)s exposure has been related to preterm birth (PTB), but the results are still inconclusive. Previous studies have mainly discussed the harmful metal(loid)s, neglecting beneficial ones. We examined the association of maternal metal(loid)s with PTB and gestational age (GA) in a birth cohort from the Tibetan Plateau. We measured 29 metal(loid)s in urine samples from 1081 pregnant women in the third trimester. Information regarding demographics, socioeconomic status, diet, medication, and lifestyle was collected through standardized interviews. The associations of single metal(loid)s with PTB or GA were evaluated using a generalized linear mixed-effects model or linear mixed-effects model. Elastic net and Bayesian kernel machine regressions were used to explore the joint associations. Magnesium (Mg), Copper (Cu), and Tin (Sn) were the main \"harmful\" metal(loid)s positively and negatively associated with PTB or GA, respectively. Mg was the dominant \"harmful\" metal(loid)s associated with PTB in a J-shape. A one-fold increase in Mg was associated with a 38% increased risk of PTB [OR (95% CI) = 1.38 (1.15, 1.65), PFDR＜0.05] and 0.17 weeks shortening of GA [β (95% CI) = -0.25 (-0.35, -0.14), PFDR＜0.05]. Cesium (Cs), rubidium (Rb), and Molybdenum (Mo) were the main \"beneficial\" metals. Cs dominated the \"beneficial\" associations and was negatively associated with PTB in a linear manner. A one-fold increase in Cs was associated with a 67% decreased risk of PTB [OR (95% CI) = 0.43 (0.27, 0.67), PFDR＜0.05] and 0.24 weeks of prolonged GA [β (95% CI) = 0.35 (0.13, 0.56), PFDR＜0.05]. Ethnicity and living altitude modified the association of Mg and Cu with PTB or GA. In conclusion, Maternal urinary metal(loid)s were bi-directionally associated with PTB in a population in the Tibetan Plateau. Mg and Cs were the dominant \"harmful\" and \"beneficial\" metal(loid)s, respectively.

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.

This study aimed to assess the relationship of serum uric acid with metabolic syndrome and its components in Tibetan adults on the Tibetan plateau.
A total of 307 participants were enrolled in this study and biochemical parameters including serum uric acid, fasting plasma glucose, white blood cell, lymphocyte count, mononuclear cells, alanine aminotransferase, aspartate aminotransferase, creatinine, and lipid profile were analyzed using standard methods. The IDF criteria were applied to define metabolic syndrome. The association of serum uric acid with metabolic syndrome and its components was evaluated by multivariable logistic regression models.
The overall prevalence of metabolic syndrome was 17.3% (53/307) with 19.6% (31/158) in females and 14.8% (22/149) in male participants. The prevalence of hyperuricemia was 40.7% (125/307) with significant differences between the male (53.7%,80/149) and female (28.5%,45/158) groups. In regression analysis, we observed that the risk of MetS was higher in participants in the hyperuricemia group (adjusted OR, 4.01; 95% CI, 2.02~7.99) compared with those in the normouricemia group. After adjusting for all confounding factors, a 9% higher risk of MetS could be shown in participants with SUA increased per 10umol/L (adjusted OR, 1.09; 95% CI, 1.04~1.14). These relationships were not affected by sex or age (p >0.05). After adjusting for the confounding factors, hyperuricemia is positively associated with abdominal obesity (adjusted OR, 2.53; 95% CI, 1.41~4.53), elevated blood pressure (adjusted OR, 2.61; 95% CI, 1.37~4.97), and elevated triglycerides(adjusted OR, 2.47; 95% CI, 1.09~5.57).
In our study, hyperuricemia is significantly associated with the prevalence of metabolic syndrome and part of its components, and these relationships are not affected by sex or age. Given the high prevalence of MetS and hyperuricemia among Tibetan adults, more studies are required to explore the role of SUA in the pathogenesis of MetS.

The yak is the largest meat-producing mammal around the Tibetan Plateau, and it plays an important role in the economic development and maintenance of the ecological environment throughout much of the Asian highlands. Understanding the genetic components of body weight is key for future improvement in yak breeding; therefore, genome-wide association studies (GWAS) were performed, and the results were used to mine plant and animal genetic resources. We conducted whole genome sequencing on 406 Maiwa yaks at 10 × coverage. Using a multiple loci mixed linear model (MLMM), fixed and random model circulating probability unification (FarmCPU), and Bayesian-information and linkage-disequilibrium iteratively nested keyway (BLINK), we found that a total of 25,000 single-nucleotide polymorphisms (SNPs) were distributed across chromosomes, and seven markers were identified as significantly (p-values < 3.91 × 10−7) associated with the body weight trait,. Several candidate genes, including MFSD4, LRRC37B, and NCAM2, were identified. This research will help us achieve a better understanding of the genotype−phenotype relationship for body weight.

UNASSIGNED: Although video-assisted thoracoscopic surgery (VATS) plays an increasingly significant part in treating thoracic disease, the role of thoracotomy is not replaced in cystic echinococcosis. The aim of this study was to demonstrate the application of VATS and traditional thoracotomy in the treatment of pulmonary hydatid disease in Shigatse of the Tibet Plateau and to compare the clinical safety and efficacy of these two surgical approaches.
UNASSIGNED: A total of 53 patients with pulmonary hydatid who received thoracoscopic cystectomy with needle aspiration from January 2015 to December 2020 were enrolled in the study, and 126 patients who received thoracotomy during the same period were matched as the control group. The clinical characteristics, operative time, incidence of perioperative complications, length of stay, and hospitalization cost of the VATS and thoracotomy groups were analyzed to compare the safety and efficacy. Patients were followed up through telephone and outpatient service. In order to balance potential confounding baseline factors, propensity-score matching (PSM) was applied to establish a 1:1 VATS to thoracotomy group ratio.
UNASSIGNED: There were statistically significant differences between the VATS group and the thoracotomy group in operative time, blood loss, drainage volume, and postoperative hospital stay (P<0.05), with the VATS group being superior to the thoracotomy group. There were no significant differences in postoperative complications, adverse imaging outcomes, or recurrence rates between the 2 groups. In terms of complications, there was no significant difference in the incidence of postoperative air leakage, atelectasis, or other common complications between the 2 groups, while the frequency of postoperative fever and incision infection in the thoracotomy group was significantly higher than that in the VATS group (P<0.05). Moreover, the postoperative recurrence rate between the 2 groups showed no significant difference after a 3-year follow-up.
UNASSIGNED: Compared to traditional thoracotomy, VATS had acceptable efficacy and safety and it could further accelerate postoperative recovery and reduce the cost in the treatment of pulmonary hydatid disease in the Tibetan Plateau. Thus, VATS should be promoted more widely to other Tibetan regions.

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.

The decomposition of plant litter is a key link in global C budgets and provides strong feedback to changes in climate and biogeochemical cycles. However, the combined effects of global warming and plant litter quality on the rate of plant litter decomposition and nutrient dynamics in alpine ecosystems are still poorly understood. We conducted a warming experiment to investigate the effects of litter quality and temperature on decomposition rates and variations in nutrients of four common herbaceous plants (low-quality litter species Stipa purpurea and Carex moorcroftii and high-quality litter species Astragalus confertus and Leontopodium nanum) during 2011-2016. During the initial stages of decomposition, warming had no significant effect on the mass loss of plant litter for low-quality litter species, but in the later stages of decomposition, it had a negative effect on the mass loss across all species (P < 0.05). Litter quality was the best predictor of N and P release/immobilisation during the decomposition of aboveground plant litter. Low-quality litter had the highest immobilisation of N at about 80% of the initial remaining mass; nutrients were then released in the following stages of decomposition. However, the fraction of initial P decreased with the mass remaining during the initial and later phases of decomposition, but a short period of P immobilisation occurred in the middle phase of decomposition. For high-quality litter, the fraction of initial N and P decreased with the mass remaining during the whole decomposition process. Warming had a marginal influence on the N and P dynamics throughout the decomposition process. Our study showed that the decay of plant litter was strongly suppressed by warming climate and that the N and P dynamics on the investigated Tibetan grassland were mainly regulated by litter quality, providing valuable insights into the biogeochemical cycles of nutrients in alpine ecosystems.

Research on the environmental fate and behavior of short- and medium-chain chlorinated paraffins (SCCPs and MCCPs, respectively), especially in high-altitude remote mountain areas, has rarely been conducted. In this study, the distribution and profiles of SCCPs and MCCPs in soils, barks, needles, lichens, and mosses in the Tibetan Plateau area were investigated during the period from 2010 to 2016. The total CP concentrations in soils, barks, needles, lichens, and mosses increased with increasing altitude from 1983 to 5147 m a.s.l. (above sea level), covering a range of 1843.5 km × 370.6 km. Generally, the mean SCCP levels were higher than mean MCCP levels in different environmental matrices. Moreover, as-obtained linear relationships between CP concentrations in different environmental matrices and altitudes (p < 0.05) indicated that the mountain cold-trapping could affect the presence and congener patterns of both SCCPs and MCCPs in the Tibetan Plateau environment. C10-11 and C14 congener groups were found to be the dominant groups in SCCPs and MCCPs in the environmental samples, respectively. Finally, the back-trajectory model was employed to reveal the differences of the potential sources in different regions of the Tibetan Plateau.

Five traditional medicinal food from the Tibetan plateau including Nitraria tangutorum Bobrov (NT), Hippophae rhamnoides L. (HR), Lycium ruthenicum Murray (LR), Lycium barbarum L. (LB) and Rubus corchorifolius L.f. (RC) are rich in phenolic compounds. However, the detailed studies about the phenolic compounds remain scarce. Therefore, we established a rapid method for the simultaneous identification and quantification of the phenolic compounds from berries via Ultra Performance Liquid Chromatography-Quadruple-Orbitrap MS system (UPLC-Q-Orbitrap MS). This method was verified from many aspects including detection limit, quantification limit, precision, repeatability, stability, average recovery rate and recovery range, and then was used to analyze the phenolic compounds in these five species of berries. Finally, a total of 21 phenolic compounds were directly identified by comparing the retention time and exact mass, of which 14 compounds were identified by us for the first time in berries from the Tibetan plateau, including one flavonoid aglycone (myricetin), 11 phenolic acids (gallic acid, protocatechuate, chlorogenic acid, vanillic acid, caffeic acid, syringic acid, p-coumaric acid, ferulic acid, 2-hydroxybenzeneacetic acid and ellagic acid), one flavanol (catechin) and one dihydrochalcone flavonoid (phloretin). Quantitative results showed that rutin, myricetin, quercetin and kaempferol were the main flavonoids. Moreover, a variety of phenolic acid compounds were also detected in most of the berries from the Tibetan plateau. Among these compounds, the contents of protocatechuate and chlorogenic acid were high, and high levels of catechin and phloretin were also detected in these plateau berries.