The Chinese Spring Festival is one of the most important traditional festivals in China. The peak transport in the Spring Festival season (spring travel rush) provides a unique opportunity for investigating the impact of human activity on air quality in the Chinese megacities. Emission sources are varied and fluctuate greatly before, during and after the Festival. Increased vehicular emissions during the "spring travel rush" before the 2009 Festival resulted in high level pollutants of NO_x (270 μg m⁻³), CO (2572 μg m⁻³), black carbon (BC) (8.5 μg m⁻³) and extremely low single scattering albedo of 0.76 in Shanghai, indicating strong, fresh combustion. Organics contributed most to PM_2.5, followed by NO₃^&minus;, NH₄⁺, and SO₄^2&minus;. During the Chinese Lunar New Year's Eve and Day, widespread usage of fireworks caused heavy pollution of extremely high aerosol concentration, scattering coefficient, SO₂, and NO_x. Due to the "spring travel rush" after the festival, anthropogenic emissions gradually climbed and mirrored corresponding increases in the aerosol components and gaseous pollutants. Secondary inorganic aerosol (SO₄^2&minus;, NO₃^&minus;, and NH₄⁺) accounted for a dominant fraction of 74% in PM_2.5 due to an increase in human activity. There was a greater demand for energy as vast numbers of people using public transportation or driving their own vehicles returned home after the Festival. Factories and constructions sites were operating again. <br><br> The potential source contribution function (PSCF) analysis illustrated the possible source areas for air pollutants of Shanghai. The effects of regional and long-range transport were both revealed. Five major sources, i.e. natural sources, vehicular emissions, burning of fireworks, industrial and metallurgical emissions, and coal burning were identified using the principle component analysis. The average visibility during the whole study period was less than 6 km. It had been estimated that 50% of the total light extinction was due to the high water vapor in the atmosphere. This study demonstrates that organic aerosol was the largest contributor to aerosol extinction at 47%, followed by sulfate ammonium, nitrate ammonium, and EC at 22%, 14%, and 12%, respectively. Our results indicated the dominant role of traffic-related aerosol species (i.e. organic aerosol, nitrate and EC) on the formation of air pollution, and suggested the importance of controlling vehicle numbers and emissions in mega-cities of China as its population and economy continue to grow

We report the serological evidence of low-pathogenic avian influenza (LPAI) H9N2 infection in an occupational poultry-exposed population and a general population. A serological survey of an occupational poultry-exposed population and a general population was conducted using a haemagglutinin-inhibiting (HI) assay in Shanghai, China, from January 2008 to December 2010. Evidence of higher anti-H9 antibodies was found in serum samples collected from poultry workers. During this period, 239 H9N2 avian influenza viruses (AIVs) were isolated from 9297 tracheal and cloacal paired specimens collected from the poultry in live poultry markets. In addition, a total of 733 influenza viruses were isolated from 1569 nasal and throat swabs collected from patients with influenza-like symptoms in a sentinel hospital, which include H3N2, H1N1, pandemic H1N1 and B, but no H9N2 virus was detected. These findings highlight the need for long-term surveillance of avian influenza viruses in occupational poultry-exposed workers.

The recent genome-wide association study identified a link between vitiligo and genetic variants in the ribonuclease T2 (RNASET2) gene; however, the functional roles of RNASET2 in vitiligo pathogenesis or in melanocyte apoptosis have yet to be determined. The current study was designed to investigate the vitiligo-related expression pattern of RNASET2 and its molecular function involving apoptosis-related signaling proteins and pathways. The results showed overexpression of RNASET2 in epidermis specimens from 40 vitiligo patients compared with that from matched healthy controls. In addition, in vitro analyses indicated that overexpression of RNASET2 was inducible in cultured primary human melanocytes and keratinocytes by stress conditions, that is, exposure to UV irradiation, hydrogen peroxide, and inflammatory factors, respectively, and led to increased cell apoptosis via the tumor necrosis factor receptor-associated factor 2 (TRAF2)–caspases pathway through the physical interaction of RNASET2 with TRAF2. Thus, RNASET2 may contribute to vitiligo pathogenesis by inhibiting TRAF2 expression and, as such, RNASET2 may represent a potential therapeutic target of vitiligo.

Summary Esophageal cancer has a high incidence among malignancies in China, but a comprehensive picture of the status of its surgical management in China has hitherto not been available. A nationwide database has recently been established to address this issue. Method: A National Database was setup through a network platform, and data was collected from 70 high-volume centers (&gt;100 esophagectomies/per year) across China. Data was entered between January 2009 and December 2014, and was analyzed in June 2015 after a minimal follow-up of 6 months for all patients. 8181 patients with complete data who received surgery for primary esophageal cancer on the Database were included in the analysis. Result: In this series, there were 6052 males and 2129 females, with a mean age of 60.5 years (range: 22–90 years). The pathology in 95.5% of patients was squamous cell carcinoma. The pathological stage distribution was 1.2% in stage 0, 2.5% in Ia, 11.5% in Ib, 14.8% in IIa, 36.1% in IIb, 19.3% in IIIa, 8.3% in IIIb, 6.2% in IIIc. 1800 patients (22.0%) with locally advanced disease received preoperative neoadjuvant therapy and 3592 patients (43.9%) underwent postoperative adjuvant chemotherapy and/or radiotherapy. The esophagectomies were performed through left thoracotomy approach in 5870 cases (72.6%), through right chest approach in 2215 cases (27.4%) including right thoracotomy (21.3%) and VATS (6.1%). The 30-day postoperative mortality rate was 0.6% (43 patients), and the overall postoperative complication rate was 11.6% (951 patients). The 1-, 3-, and 5-year overall survival rates were 82.6%, 61.6%, and 52.9%, respectively. Conclusion: This National Registry Database from high-volume centers provides a comprehensive picture of surgical management for esophageal cancer in China for the first time. Squamous cell carcinoma predominates, but there is heterogeneity with respect to the surgical approach and perioperative oncologic management. Overall, surgical mortality and morbidity rates are low, and good survival rates have been achieved due to improvement of surgical treatment technology in recent years.