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With the rapid growth of urbanisation and associated vehicle numbers in China, urban transportation has become responsible for a large increase in the country's energy consumption and, consequently, its air pollution levels. Beijing has been making significant efforts to reduce transportation sector energy consumption and pollution. However, owing to the existence of a large number of private cars, the implementation of effective energy consumption and emission reduction measures has been difficult to achieve. This paper reviews the policies and regulations that have so far been developed to tackle Beijing's transportation sector issues. Perspective and analysis are given on the specific policies and regulations that have been employed, focusing on the overarching regulation mechanism, public transportation infrastructure, vehicle technology-related measures, vehicle activity-related measures and eco-driving -related measures, relevant experiences and lessons are summarised. A key finding concludes that the implementation of driving restriction policy can restrain pollutants emissions significantly, it shows energy consumption and emission reduction should not only be applied to public transportation, but the effective control of emissions from private cars should also attract more attention. To better control energy consumption of urban transport, various measures and solutions are proposed and discussed, including the further popularizing of eco-driving and the widespread application of e-mobility. Specific proposals for developing urban transportation policy are also discussed. [ABSTRACT FROM AUTHOR]

Abstract: Objective: To describe the spectrum of central nervous system (CNS) disorders and the contribution of neurological immune reconstitution inflammatory syndrome (IRIS) in hospitalized HIV/AIDS patients in You'an Hospital, Beijing China. Study design & methods: A retrospective observational study conducted over a 24-month period in You'an Hospial, a public sector referral hospital in Beijing, China. This study enrolled HIV seropositive patients who were admitted for developing new or recurrent neurological and (or) psychiatric symptoms from September 2009 to August 2011. Medical records were reviewed, demographic and clinical data were collected. Patients with peripheral neuropathy and those in delirium were excluded from this study. Results: Of the total 620 HIV/AIDS hospital admissions from September 2009 to August 2011, 60 patients (9.7%) were hospitalized for CNS complications. The diagnosis of HIV infection was made after hospital admission in 16 of the 60 patients (26.7%), and 34 of them (56.7%) were already on antiretroviral therapy (ART) at the point of admission. The median CD4 cell count in these subjects was 39 (21–133) cells/mm3, and 93.3% (56/60) of these patients belonged to stage IV HIV disease according to World Health Organization (WHO) classification. The most frequent diagnosis in these subjects included cryptococcal meningitis (CM, n=13, 22%), cerebral toxoplasmosis (n=10, 17%), and CNS tuberculosis (n=7, 11.7%). The overall mortality was 13% (8/60) and the case-fatality rates were: cryptococcal meningitis 7.7% (1/13), cerebral toxoplasmosis 20% (2/10) and tuberculous meningitis 28.6% (2/7). Of the 34 patients who were on ART, paradoxical neurological IRIS (the conditions of their existing CNS disorders get paradoxically worse after ART because of an exuberant inflammatory response directed towards opportunistic pathogens) was diagnosed in 4 patients (11.8%), 2 of whom related to TB infection (out of 5TB patients, 40%), and the other 2 related to CM (out of 8 patients, 25%). Conclusion: Opportunistic infections, such as cryptococcal meningitis, cerebral toxoplasmosis and CNS tuberculosis were the most frequent diagnosis of CNS disease in hospitalized HIV/AIDS patients in You'an Hospital, Beijing, China. About 10% patients on ART were diagnosed as neurological IRIS in such a group of patients. [Copyright &y& Elsevier]