Frequent occurrences of extreme heat are causing severe ozone pollution over China.This study examined the driving factors of urban ozone pollution in China during the extremely hot summer of 2022 and the impact of em...Frequent occurrences of extreme heat are causing severe ozone pollution over China.This study examined the driving factors of urban ozone pollution in China during the extremely hot summer of 2022 and the impact of emission control strategies using surface measurements and the GEOS-Chem model.The results show that ozone pollution was extremely severe in summer 2022,with a significant rebound by 12-15 ppbv in the North China Plain(NCP),Yangtze River Delta(YRD),and Sichuan basin(SCB),compared to 2021.Especially over the NCP,the MDA8(maximum daily 8-hourly average)ozone exceeded 160 ppbv,and the number of ozone exceedances was over 42 days.Based on an IPR(integrated process rate)analysis,the authors found that the net chemical production was the dominant factor contributing to the strong ozone increase in summer 2022.For example,in June over the NCP,the net chemical production resulted in an increase by 3.08 Gg d^(−1)(∼270%)in ozone mass change.Sensitivity simulations showed that both NO_(x)(nitrogen oxides)and VOC(volatile organic compound)reductions were important over the NCP,and NO_(x)reductions were more important than VOCs over southern China.To keep the ozone of 2022 at the same level as 2021,a joint reduction of NO_(x)and VOCs by at least 50%-60%would have been required.This study highlights the urgency to develop effective ozone management since extreme heat will become more frequent.展开更多
Locking of the metacarpophalangeal （MCP） joint is commonly caused by hyperextension of the thumb or moderate flexion of the index or middle finger. We report a rare case of vertical locking of the MCP joint of the l...Locking of the metacarpophalangeal （MCP） joint is commonly caused by hyperextension of the thumb or moderate flexion of the index or middle finger. We report a rare case of vertical locking of the MCP joint of the little finger in a 16-year old female after blunt trauma to the little finger. The MCP joint was locked when positioned at approximately 90-degree-flexion and could not extend actively or passively. A manual reduction was easily achieved and no immobilization was applied. Vertical locking of the MCP joint can be easily reduced, and immobilization is unnecessary after reduction. Correct diagnosis prior to reduction and differentiation from other types of locking are essential to prevent overtreatment.展开更多
基金supported by the National Key Research and Development Program of China[grant number 2022YFE0136100]the National Natural Science Foundation of China[grant number 42205114].
文摘Frequent occurrences of extreme heat are causing severe ozone pollution over China.This study examined the driving factors of urban ozone pollution in China during the extremely hot summer of 2022 and the impact of emission control strategies using surface measurements and the GEOS-Chem model.The results show that ozone pollution was extremely severe in summer 2022,with a significant rebound by 12-15 ppbv in the North China Plain(NCP),Yangtze River Delta(YRD),and Sichuan basin(SCB),compared to 2021.Especially over the NCP,the MDA8(maximum daily 8-hourly average)ozone exceeded 160 ppbv,and the number of ozone exceedances was over 42 days.Based on an IPR(integrated process rate)analysis,the authors found that the net chemical production was the dominant factor contributing to the strong ozone increase in summer 2022.For example,in June over the NCP,the net chemical production resulted in an increase by 3.08 Gg d^(−1)(∼270%)in ozone mass change.Sensitivity simulations showed that both NO_(x)(nitrogen oxides)and VOC(volatile organic compound)reductions were important over the NCP,and NO_(x)reductions were more important than VOCs over southern China.To keep the ozone of 2022 at the same level as 2021,a joint reduction of NO_(x)and VOCs by at least 50%-60%would have been required.This study highlights the urgency to develop effective ozone management since extreme heat will become more frequent.
文摘Locking of the metacarpophalangeal （MCP） joint is commonly caused by hyperextension of the thumb or moderate flexion of the index or middle finger. We report a rare case of vertical locking of the MCP joint of the little finger in a 16-year old female after blunt trauma to the little finger. The MCP joint was locked when positioned at approximately 90-degree-flexion and could not extend actively or passively. A manual reduction was easily achieved and no immobilization was applied. Vertical locking of the MCP joint can be easily reduced, and immobilization is unnecessary after reduction. Correct diagnosis prior to reduction and differentiation from other types of locking are essential to prevent overtreatment.
