Pharmacological and non-pharmacological interventions to prevent delirium after cardiac surgery: a protocol for a systematic review and meta-analysis

INTRODUCTION

Delirium is a syndrome characterised by a disturbance in attention, awareness and cognition as a result of another physical condition. It occurs in up to 50% of patients after cardiac surgery and is associated with increased mortality, prolonged intensive care and hospital stay and long-term cognitive dysfunction. Identifying effective preventive interventions is important. We will therefore conduct a systematic review to identify all randomised controlled studies that have tested a pharmacological or non-pharmacological intervention to prevent delirium.

METHODS AND ANALYSIS

We will search electronic databases (CDSR (Reviews), CENTRAL (Trials), MEDLINE Ovid, Embase Ovid, PsycINFO Ovid) as well as trial registers (clinicaltrials.gov and ISCRTN) for randomised controlled trials of both pharmacological and non-pharmacological interventions designed to prevent delirium after cardiac surgery in adults. Screening of search results and data extraction from included articles will be performed by two independent reviewers using Rayyan. The primary outcome will be the incidence of delirium. Secondary outcomes include: duration of postoperative delirium, all-cause mortality, length of postoperative hospital and intensive care stay, postoperative neurological complications other than delirium, health-related quality of life and intervention-specific adverse events. Studies will be assessed for risk of bias using the Cochrane RoB2 tool. A narrative synthesis of all included studies will be presented and meta-analysis (if appropriate network meta-analysis) will be undertaken where there are sufficient studies (three or more) for pooling results. Results will be reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement.

ETHICS AND DISSEMINATION

No ethical approval is required. This review will be disseminated via peer-reviewed manuscript and conferences.

PROSPERO REGISTRATION NUMBER

CRD42022369068.

Protocol for a systematic review and meta-analysis of tobacco-cessation interventions delivered perioperatively

INTRODUCTION

Tobacco smoking is associated with a substantially increased risk of perioperative complications. The perioperative period is an opportunity to introduce tobacco-cessation strategies. A previous systematic review provided evidence that perioperative interventions increase short-term abstinence and may reduce postoperative complications. The evidence base has since expanded, with the subsequent publication of numerous randomised studies. This protocol outlines a systematic review examining the impact of perioperative tobacco-cessation interventions on successful abstinence from tobacco smoking, and on the incidence of perioperative complications.

METHODS AND ANALYSIS

A systematic search of the literature will be run across EMBASE (Ovid), MEDLINE (Ovid), CINAHL (Ebsco) and PsycInfo (ProQuest), from inception to present, using text words and subject headings. Randomised controlled trials published in English, examining adults in the perioperative period and reporting the outcomes from tobacco-cessation interventions will be included.Abstract screening and data extraction will be performed by five reviewers. Each abstract will be screened by two blinded reviewers, with discrepancies resolved by group consensus. The primary outcome will be point prevalence abstinence from tobacco-use at the time of surgery. Secondary outcomes are prolonged abstinence from tobacco use at 6 months and 12 months, and postoperative complications. Any other reported outcomes will be documented in the descriptive analysis. The review will also describe details of the investigated perioperative tobacco-cessation interventions. If sufficient studies report relevant data, meta-analysis of the primary and secondary outcomes will be undertaken. Results will be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement.

ETHICS AND DISSEMINATION

No ethical approval is required. Results will be disseminated by open-access, peer-reviewed journal publication and conference presentations. Results will underpin future work to modify perioperative tobacco-cessation interventions to enhance engagement and accessibility, and to develop trials aiming to facilitate abstinence from tobacco-use in patients presenting for surgery.

Comprehensive geriatric assessment (CGA) in perioperative care: a systematic review of a complex intervention

OBJECTIVES

Comprehensive geriatric assessment (CGA) is a complex intervention applied to older people with evidence of benefit in medical populations. The aim of this systematic review was to describe how CGA is applied to surgical populations in randomised controlled trials. This will provide a basis for design of future studies focused on optimising CGA as a complex intervention.

SETTING

A systematic review of randomised controlled trials.

PARTICIPANTS

A systematic search was performed for studies of CGA in the perioperative period across Ovid MEDLINE, Ovid EMBASE, CINAHL and Cochrane CENTRAL, from inception to March 2021.

INTERVENTIONS

Any randomised controlled trials of perioperative CGA versus 'standard care' were included.

OUTCOME MEASURES

Qualitative description of CGA.

RESULTS

12 121 titles and abstracts were screened, 68 full-text articles were assessed for eligibility and 22 articles included, reporting on 13 trials. 10 trials focused on inpatients with hip fracture, with 7 of these delivering CGA on a geriatric medicine ward, 3 on a surgical ward. The remaining three trials were in elective general surgery all delivering CGA on a surgical ward. CGA components, duration of intervention and personnel delivering the intervention were highly variable across the different studies. Trials favoured postoperative delivery of CGA (11/13). Only four trials reported data on adherence to the CGA intervention.

CONCLUSIONS

CGA as an intervention is variably described and delivered in randomised controlled trials in the perioperative setting. The reporting of both the intervention and standard care is often poor with little focus on adherence. Future research should focus on clearly defining and standardising the intervention as well as measuring adherence within trials.

PROSPERO REGISTRATION NUMBER

CRD42020221797.

Next-generation sequencing as a screening tool for foodborne pathogens in fresh produce

Next generation sequencing (NGS) approaches are increasingly applied to tracing microbial contaminants entering the food chain due to NGS' untargeted nature and ability to investigate non-culturable (and/or difficult to culture) organisms while yielding genomic information about the microbiota. So far, a plethora of microbes has been shown to be associated with fresh produce, but few studies have utilised NGS to identify contamination with human pathogens. This study aims to establish the limit of detection (LoD) for Salmonella and phage MS2 (a Norovirus surrogate) contamination of fresh produce employing NGS approaches on the Illumina MiSeq: 16S amplicon-sequencing, and RNA-seq, using ScriptSeq (Illumina) and NEBNext (New England BioLabs) kits. ScriptSeq proved the most sensitive approach; delivering an LoD of 10⁴ CFU reaction^-1 (Colony Forming Units) for Salmonella and 10⁵ PFU reaction^-1 (Plaque Forming Units) for phage MS2. Use of the NEBNext kit resulted in detection of Salmonella at 10⁶ CFU reaction^-1 and phage MS2 at 10⁷ PFU reaction^-1. 16S amplicon-sequencing yielded a similar LoD of 10⁵ CFU reaction^-1 for Salmonella but could not detect MS2. The tested NGS methodologies, in combination with bioinformatics approaches applied, proved less sensitive than conventional microbial detection approaches.

Thresholds of physical activity associated with obesity by level of sedentary behaviour in children

BACKGROUND

It is unknown whether moderate-to-vigorous physical activity (MVPA) thresholds for obesity should be adapted depending on level of sedentary behaviour in children.

OBJECTIVE

The objective of the study is to determine the MVPA thresholds that best discriminate between obese and non-obese children, by level of screen time and total sedentary time in 12 countries.

METHODS

This multinational, cross-sectional study included 6522 children 9-11 years of age. MVPA and sedentary time were assessed using waist-worn accelerometry, while screen time was self-reported. Obesity was defined according to the World Health Organization reference data.

RESULTS

Receiver operating characteristic curve analyses showed that the best thresholds of MVPA to predict obesity ranged from 53.8 to 73.9 min d^-1 in boys and from 41.7 to 58.7 min d^-1 in girls, depending on the level of screen time. The MVPA cut-offs to predict obesity ranged from 37.9 to 75.9 min d^-1 in boys and from 32.5 to 62.7 min d^-1 in girls, depending on the level of sedentary behaviour. The areas under the curve ranged from 0.57 to 0.73 ('fail' to 'fair' accuracy), and most sensitivity and specificity values were below 85%, similar to MVPA alone. Country-specific analyses provided similar findings.

CONCLUSIONS

The addition of sedentary behaviour levels to MVPA did not result in a better predictive ability to classify children as obese/non-obese compared with MVPA alone.

Mid-upper arm circumference as a screening tool for identifying children with obesity: a 12-country study

BACKGROUND

No studies have examined if mid-upper arm circumference (MUAC) can be an alternative screening tool for obesity in an international sample of children differing widely in levels of human development.

OBJECTIVE

Our aim is to determine whether MUAC could be used to identify obesity in children from 12 countries in five major geographic regions of the world.

METHODS

This observational, multinational cross-sectional study included 7337 children aged 9-11 years. Anthropometric measurements were objectively assessed, and obesity was defined according to the World Health Organization reference data.

RESULTS

In the total sample, MUAC was strongly correlated with adiposity indicators in both boys and girls (r > 0.86, p < 0.001). The accuracy level of MUAC for identifying obesity was high in both sexes and across study sites (overall area under the curve of 0.97, sensitivity of 95% and specificity of 90%). The MUAC cut-off value to identify obesity was ~25 cm for both boys and girls. In country-specific analyses, the cut-off value to identify obesity ranged from 23.2 cm (boys in South Africa) to 26.2 cm (girls in the UK).

CONCLUSIONS

Results from this 12-country study suggest that MUAC is a simple and accurate measurement that may be used to identify obesity in children aged 9-11 years. MUAC may be a promising screening tool for obesity in resource-limited settings.

The chlorine isotope composition of the moon and implications for an anhydrous mantle

Arguably, the most striking geochemical distinction between Earth and the Moon has been the virtual lack of water (hydrogen) in the latter. This conclusion was recently challenged on the basis of geochemical data from lunar materials that suggest that the Moon's water content might be far higher than previously believed. We measured the chlorine isotope composition of Apollo basalts and glasses and found that the range of isotopic values [from -1 to +24 per mil (per thousand) versus standard mean ocean chloride] is 25 times the range for Earth. The huge isotopic spread is explained by volatilization of metal halides during basalt eruption--a process that could only occur if the Moon had hydrogen concentrations lower than those of Earth by a factor of approximately 10(4) to 10(5), implying that the lunar interior is essentially anhydrous.

Chlorine isotope homogeneity of the mantle, crust and carbonaceous chondrites

Chlorine in the Earth is highly depleted relative to carbonaceous chondrites and solar abundances. Knowledge of the Cl concentrations and distribution on Earth is essential for understanding the origin of these depletions. Large differences in the stable chlorine isotope ratios of meteoritic, mantle and crustal materials have been used as evidence for distinct reservoirs in the solar nebula and to calculate the relative proportions of Cl in the mantle and crust. Here we report that large isotopic differences do not exist, and that carbonaceous chondrites, mantle and crust all have the same 37Cl/35Cl ratios. We have further analysed crustal sediments from the early Archaean era to the Recent epoch and find no systematic isotopic variations with age, demonstrating that the mantle and crust have always had the same delta37Cl value. The similarity of mantle, crust and carbonaceous chondrites establishes that there were no nebular reservoirs with distinct isotopic compositions, no isotopic fractionation during differentiation of the Earth and no late (post-core formation) Cl-bearing volatile additions to the crustal veneer with a unique isotopic composition.

Dissecting a wheat QTL for yield present in a range of environments: from the QTL to candidate genes

Previous studies with 95 bread wheat doubled haploid lines (DHLs) from the cross Chinese Spring (CS)xSQ1 trialled over 24 yearxtreatmentxlocations identified major yield quantitative trait loci (QTLs) in homoeologous locations on 7AL and 7BL, expressed mainly under stressed and non-stressed conditions, respectively. SQ1 and CS contributed alleles increasing yield on 7AL and 7BL, respectively. The yield component most strongly associated with these QTLs was grains per ear. Additional results which focus on the 7AL yield QTL are presented here. Trials monitoring agronomic, morphological, physiological, and anatomical traits revealed that the 7AL yield QTL was not associated with differences in flowering time or plant height, but with significant differences in biomass at maturity and anthesis, biomass per tiller, and biomass during tillering. In some trials, flag leaf chlorophyll content and leaf width at tillering were also associated with the QTL. Thus, it is likely that the yield gene(s) on 7AL affects plant productivity. Near-isogenic lines (NILs) for the 7AL yield QTL with CS or SQ1 alleles in an SQ1 background showed the SQ1 allele to be associated with >20% higher yield per ear, significantly higher flag leaf chlorophyll content, and wider flag leaves. Epidermal cell width and distance between leaf vascular bundles did not differ significantly between NILs, so the yield-associated gene may influence the number of cell files across the leaf through effects on cell division. Interestingly, comparative mapping with rice identified AINTEGUMENTA and G-protein subunit genes affecting lateral cell division at locations homologous to the wheat 7AL yield QTL.

Nuclear BAG-1 expression inhibits apoptosis in colorectal adenoma-derived epithelial cells

BAG-1 is an anti-apoptotic protein that is frequently deregulated in a variety of malignancies including colorectal cancer. There are three isoforms: BAG-1L is located in the nucleus, BAG-1M and BAG-1S are located both in the nucleus and the cytoplasm. In colon cancer, the expression of nuclear BAG-1 is associated with poorer prognosis and is potentially a useful predictive factor for distant metastasis. However, the function of BAG-1 in colonic epithelial cells has not been studied. Having previously shown a predominant nuclear localisation of BAG-1 in adenoma-derived cell lines, we wanted to determine the function of nuclear BAG-1 in these non-tumourigenic cells, to identify whether nuclear BAG-1 was implicated in tumour progression in the colon. In the current report we established that nuclear BAG-1 inhibits apoptosis in a colorectal adenoma-derived cell line. We demonstrate that apoptosis induced by gamma-radiation or the vitamin D analogue EB1089 in the non-tumourigenic human colorectal adenoma-derived S/RG/C2 cell line, was preceded by a decrease in nuclear and an increase in cytoplasmic BAG-1 expression. This change in subcellular localisation of BAG-1 was due to the redistribution of the BAG-1M isoform. In addition, we have shown that the maintenance of high nuclear BAG-1 through enforced expression of the nuclear localised BAG-1L isoform enhanced cellular survival after gamma-radiation or exposure to EB1089. Furthermore the expression of cytoplasmic BAG-1S isoform fused with a nuclear localisation signal protected against gamma-radiation induced apoptosis. This demonstrates that nuclear localisation of the BAG-1 protein confers a survival advantage in colorectal adenoma-derived cells and that nuclear BAG-1 could potentially be an important survival factor in colorectal carcinogenesis.

The role of the retinoblastoma protein (Rb) in the nuclear localization of BAG-1: implications for colorectal tumour cell survival

Although the retinoblastoma susceptibility gene RB1 is inactivated in a wide variety of human cancers, the retinoblastoma protein (Rb) has been shown to be overexpressed in colon cancers, which is linked to the anti-apoptotic function of the protein. However, the mechanisms by which Rb regulates apoptosis are yet to be fully elucidated. We have established that Rb interacts with the anti-apoptotic BAG-1 (Bcl-2 associated athanogene-1) protein, and that a decrease in nuclear localization of BAG-1 is detectable when the interaction between Rb and BAG-1 is disrupted by expression of the E7 viral oncoprotein. Interestingly, although reported as deregulated in colorectal cancers, we have found that BAG-1 expression is also altered in small adenomas, where its localization was found to be predominantly nuclear. In addition, we have established that maintenance of high nuclear BAG-1 in vitro increases the resistance of adenoma-derived cells to γ-radiation-induced apoptosis. Our work suggests a novel function for Rb, involving modulation of the subcellular localization of BAG-1. We have found predominant nuclear BAG-1 localization in small adenomas, and suggest that BAG-1 may promote colorectal tumour cell survival by making colonic epithelial cells less sensitive to DNA damage.

Limitations to CO2 assimilation in ozone-exposed leaves of Plantago major

•  The potential limitations on net leaf carbon assimilation imposed by stomatal conductance, carboxylation velocity, capacity for ribulose 1,5-bisphosphate regeneration and triose phosphate ultilization rate were derived from steady-state gas exchange measurements made over the life-span of two leaves on plants of an 'O₃ -sensitive' population of Plantago major grown at contrasting atmospheric O₃ concentrations. •  Parallel measurements of chlorophyll fluorescence were used to monitor changes in the quantum efficiency of PSII photochemistry, and in vitro measurements of Rubisco activity were made to corroborate modelled gas exchange data. •  Data indicated that a loss of Rubisco was predominantly responsible for the decline in CO₂ assimilation observed in O₃ -treated leaves. The quantum efficiency of PSII was unchanged by O₃ exposure. •  Stomatal aperture declined in parallel with CO₂ assimilation in O₃ -treated plants, but this did not account for the observed decline in photosynthesis. Findings suggested that O₃ -induced shifts in stomatal conductance result from 'direct' effects on the stomatal complex as well as 'indirect effects' mediated through changes in intercellular CO₂ concentration. Leaves on the same plant exposed to equivalent levels of O₃ showed striking differences in their response to the pollutant.

Phenological weighting of ozone exposures in the calculation of critical levels for wheat, bean and plantain

This paper presents phenological weighting factors to be applied to AOT40 (accumulated ozone exposure above a threshold of 40 nl l(-1)) ozone exposure-response relationships for crops at different growth stages. The quantification of such factors represents a step-forward in the derivation of Level II critical levels for ozone. The weighting factors presented are derived from published literature on the sensitivity of wheat (Triticum aestivum), bean (Phaseolus vulgaris) and plantain (Plantago major) to ozone at different growth stages. Weighting functions were calculated using either multiple linear regression or the reciprocal residual mean square (RMS(-1)). The resulting weights were transformed into multiplication factors to be applied to the monthly AOT40 during the 3-month assessment period of critical level exceedance. Interspecific differences were too large to allow for the development of a unified weighting function for the three species considered. For wheat grain yield, the derived multiplication factors varied by almost four-fold (0.40, 1.06, 1.54), while those for bean pod yield varied by only about 25% (0.85, 1.01, 1.14). The available data for plantain were restricted to short-term studies conducted under controlled conditions. These data were not suitable for the derivation of weighting factors comparable to those derived for bean and wheat. Based on known differences in wheat development and phenology across Europe, the need for a geographic differentiation of the time period for the calculation of the critical level exceedances is also discussed and examples provided of the adoption of the derived weightings in the mapping of critical level exceedances. Differences between critical level exceedance maps using weighted and unweighted AOT40 calculations are discussed.

Ozone levels in Chongqing: a potential threat to crop plants commonly grown in the region?

Chongqing, a city with a population of >2.5 million, constitutes the biggest industrial and commercial centre in southwest China. Recent industrialization has led to an increasing air pollutant problem which is exacerbated by the topography and prevailing climate of the region. To date, interest has remained firmly focused on the levels of traditional air pollutants (sulphur dioxide [SO2], oxides of nitrogen [NOx], smoke and suspended particulate matter [SPM]), with little attention paid to photochemical oxidants such as ozone (O3). This paper reports the first assessment of ambient O3 levels in southwest China. Measurements were made in and around Chongqing using a combination of UV-absorption (at a site located in the northern sector of the city) and passive samplers (at 20 sites located in and around the city) between 1993 and 1996. The 7-h daily mean O3 concentrations ranged between 2 and 16 ppb (x10(9)) during the winter months, increasing to 18-41 ppb during the summer (June-August), when peak hourly mean O3 concentrations of 93 ppb were attained. Ozone exposures across the region commonly approached (or exceeded) UN-ECE and WHO short-term guidelines for the protection of crops. In addition, controlled chamber studies, in which 11 cultivars of Chinese crops commonly grown in the Chongqing region were screened for relative O3 sensitivity, indicated the potential for subtle effects on the growth of a number of crop plants, if ambient O3 levels continue to rise in the region. Employing ozone exposures somewhat higher than those experienced in the field, several cultivars of commonly grown Chinese cereal, vegetable and salad crops were found to be sensitive to O3 in terms of growth, but this was not always associated with the appearance of visible symptoms of injury and, in contrast to what was generally expected, only three species showed significant O3-induced reductions in root:shoot partitioning. There is a clear and urgent need for a comprehensive study of ambient air quality and its impact on crops and natural vegetation in this, as in other, rapidly developing regions of China.

Embryonic expression of Lim-1, the mouse homolog of Xenopus Xlim-1, suggests a role in lateral mesoderm differentiation and neurogenesis

cDNAs encoded by the mouse homolog (Lim-1) of the Xenopus LIM-class homeobox gene Xlim-1 have been isolated from an 8.5-day mouse embryo cDNA library. Nucleotide and deduced amino acid sequences show a high degree of identity with Xlim-1 in the LIM and homeodomains, and 85% identity over the whole protein. An interspecific back-cross has been used to show close linkage of Lim-1 to the endogenous proviral marker Mpmv-4 on mouse chromosome 11. Whole mount in situ hybridization studies have been carried out on mouse embryos between 6.5 and 10.5 days. In mid- to late-streak stage embryos, Lim-1 is expressed in a restricted region of mesoderm in the primitive streak, with the highest level of signal at the anterior. At 7.5 days, transcripts can be seen in a horseshoe-shaped pattern in the periphery of the node, as well as along both sides of the immediately adjacent notochord. In addition, transcripts are present in presumptive lateral and intermediate mesoderm. Later, expression becomes progressively restricted to intermediate mesoderm, the nephrogenic cords, and eventually mesonephric ducts and tubules. By 10.5 days Lim-1 transcripts also appear in restricted regions of the central nervous system (CNS) that are associated with sensory function. The lateral diencephalon, hindbrain, and presumed commissural neurons in the dorsal spinal cord all show Lim-1 expression. In the adult, Lim-1 is expressed in the cerebellum/medulla and kidney, and at very low levels in the cerebrum. These data suggest that in the mouse embryo Lim-1 plays a role in early mesoderm formation and later specification of a differentiated phenotype in subsets of cells of the mesonephros and sensory neurons of the CNS.

Physiological effects of ozone on cultivars of watermelon (Citrullus lanatus) and muskmelon (Cucumis melo) widely grown in Spain

Two cultivars of watermelon (Citrullus lanatus) and muskmelon (Cucumis melo), which are widely grown in Spain, were exposed to ozone (70 nl litre(-1), 6 h d(-1)) for 21 days. Ozone sensitivity was assessed by recording the extent of visible injury, changes in fast-fluorescence kinetics, the relative-growth rate (R) of root (RR) and shoot (RS), and effects on the number of flowers produced per plant. Leaf gas exchange was measured in order to provide some indication of the factors underlying differential response to ozone. After 9-10 days of fumigation, all the cultivars developed typical visible symptoms of zone injury on the older leaves. However, significant (P < 0.05) changes in fast-fluorescence kinetics were detected prior to the development of visible foliar injury, indicating that detectable effects of ozone on primary photochemical processes supersede the appearance of visible symptoms. In both muskmelon and watermelon, there was a marked reduction in the rate of CO(2) assimilation as a result of exposure to ozone, and this was accompanied by a parallel decrease in stomatal conductance. Mean plant-relative-growth rate (R) was markedly (P < 0.01) suppressed by ozone in the two cultivars of watermelon, but there were no significant effects on R in muskmelon. Ozone reduced root growth relative to the shoot in three out of four cultivars-an effect that may be of considerable ecological significance. Moreover, exposure to ozone reduced flower production in both muskmelon and watermelon, which indicated effects on yield. There was no correlation between a variety of methods used to assess ozone sensitivity and visible injury, and reasons for this are discussed. This observation draws clear attention to the dangers in ranking plants for ozone sensitivity purely on the basis of visible symptoms. It is concluded from this study that ozone-insensitive genotypes should be identified and considered for planting in the major areas of melon production concentrated on the Mediterranean coast of Spain.

On the ecophysiology of the Clusiaceae in Trinidad: expression of CAM in Clusia minor L. during the transition from wet to dry season and characterization of three endemic species

A study was made of photosynthesis and expression of crassulacean acid metabolism (CAM) in naturally exposed and shaded populations of Clusia minor L. during the transition from wet to dry season in Trinidad (mid-February to mid-April, 1990). At the start of the dry season, plants from exposed and shaded habitats showed a capacity for CAM either through the fixation of external or internal (respiratory) CO₂ . Exposed plants showed continuous uptake of CO₂ over 24 h although dark fixation accounted for only a small proportion of CO₂ fixed over the day. The expression of CAM was considerably enhanced as the dry season progressed with substantial increases in the overnight accumulation of titratable acidity, particularly in leaves of exposed plants. This was accompanied by a reduction in day-time photosynthesis and an increase in dark fixation, with shaded plants showing only night-time fixation of CO₂ . The magnitude of CAM in C. minor was substantial with a maximum ΔH⁺ of 1410 mol m^-3 measured in leaves from exposed branches. Both malic and citric acids were accumulated overnight. The highest citric:malic acid ratios were found in young leaves from exposed plants with 250 mol m^-3 malic and 125 mol m^-3 citric acid accumulated near the time of maximum CAM activity. Photosynthetic efficiency, measured as light responses of O₂ evolution, also varied on a daily basis dependent on the incident photosynthetic photon flux density (PPFD). Apparent quantum yield and photosynthetic capacity showed marked reductions depending on the degree of exposure, suggesting that photoinhibitory responses are important under natural conditions. An analysis of three members of the Clusiaceae endemic to Trinidad showed that each had the capacity to induce CAM activity, despite being found in a narrow range of habitats which have higher rainfall than those of C. minor. However, despite the variable expression of CAM activity, carbon isotope composition suggested that when integrated throughout the year, carbon accumulation is predominantly mediated via the C₃ pathway in all the species studied.

The influence of CO2 and O3 , singly and in combination, on gas exchange, growth and nutrient status of radish (Raphanus sativus L.)

Five days after emergence radish (Raphanus sativus L. ev. Cherry Belle) plants were transferred to a phytotron at the GSF München, where they were exposed in four large controlled climate chambers to two atmospheric concentrations of CO₂ , ('ambient', daily means of ∼ 385 μmol^-1 ; elevated, daily means of ∼ 765 μmol mol^-1 ) and two O₃ regimes ('non-polluted' air, 24 h mean of 20 nmol mol^-1 ; polluted air, 24 h mean of 73 nmol mol^-1 ). Leaf gas-exchange measurements were made at intervals, and visible O₃ damage, effects on growth, dry matter partitioning and mineral composition were assessed at a final whole-plant harvest after 27 d. In 'non-polluted air' CO₂ enrichment resulted in a progressive stimulation in A_sat , whilst there was a decline in g which decreased E (i.e. improved WUE_i ). The extra carbon fixed in elevated CO₂ stimulated growth of the root (+ hypocotyl) by 43 %, but there was no significant effect on shoot growth or leaf area. Moreover, a decline in SLA and LAR in CO₂ -enriched plants suggested that less dry matter was invested in leaf area expansion. Tissue concentrations of N, S, P, Mg and Ca were lower (particularly in the root + hypocotyl) in elevated CO₂ , indicating that total uptake of these nutrients was not affected by CO₂ , and there was an increase in the C:N ratio in root (+ hypocotyl) tissue. In contrast, O₃ depressed A_sat , (∼ 26%) and induced slight stomatal closure, with the result that WUE, declined. All plants exposed to 'polluted' air developed typical visible symptoms of O₃ injury, and effects on carbon assimilation were reflected in reduced growth, with shoot growth maintained at the expense of the root. In addition, O₃ increased the P and K concentration in shoot and root (+ hypocotyl) tissue, indicating enhanced uptake of these nutrients from the growth medium. However, there was no affect of O₃ on tissue concentrations of N, S, Mg and Ca. Interactions between the gases were complex, and often subtle. In general, elevated CO₂ counteracted (at least in part) the detrimental effects of phytotoxic concentrations of O₃ , whilst conversely, O₃ reduced the impact of elevated CO₂ . Moreover, there were indications that cumulative changes in source: sink relations in O₃ -exposed plants may limit plant response to CO₂ -enrichment to an even greater extent in the long-term. The future ecological significance of interactions between CO₂ and O₃ are discussed.

The influence of ozone and acid mist on the amount and wettability of the surface waxes in Norway spruce [Picea abies (L.) Karst.]

Three-year old Norway spruce [Picea abies (L.) Karst.] trees from two clones (4076 and 4102) of a medium altitude southern German provenance were transplanted in May 1986 into an acid brown earth soil. During the summers of 1987 and 1988 the trees were exposed in large-scale fumigation chambers (solardomes) to ozone at 100 or 20 nl 1^-1 (control). Acid (pH 3.6) or control mist (pH 5.5) was applied daily to trees. The wettability of current and 1-year-old needles was assessed in November 1988 by measuring the contact angle of water droplets placed on needles, and the amount of surface wax was determined. The contact angle of water droplets on current and 1-year-old needles was significantly reduced by 100 nl 1^-1 PPB ozone and/or acid mist, indicating that the wettability had increased, but the combined effect of ozone and acid mist was no more than additive. Exposure to the pollutants resulted in a slight decrease in the quantity of surface wax, but the effect was not significant. Ozone and acid mist treatment also increased the projected area of needles relative to their dry weight. The possible involvement of such effects in forest decline are discussed.

Persistent stimulation of CO2 assimilation and stomatal conductance by summer ozone fumigation in Norway spruce

CO(2) assimilation rate, stomatal conductance and chlorophyll content of current and previous years' needles of Norway spruce were measured in May 1988, 205 days after the cessation of ozone fumigation during the summer of 1987. Rates of assimilation were consistently higher for both needle year age classes for ozone fumigated trees in comparison to control trees, although only statistically significant for part of the day for current year's needles. A 26% and 48% stimulation, overall, in mean daily rates of assimilation for current and previous years' needles of ozone fumigated trees was observed. This was due to an enhanced apparent quantum yield and light saturated rate of assimilation of ozone fumigated trees. The temperature response regression of assimilation versus temperature was also greater, such that at any given temperature, assimilation was higher for ozone treated trees than control trees. Stomatal conductance was greater for ozone fumigated trees than the controls, but this was only marginally statistically significant. Moreover, there was a consistent increase in chlorophyll content in both year classes in ozone-treated trees. These results are discussed in relation to a possible long term effect of ozone fumigation upon the processes of conifer winter hardening and spring de-hardening.

Persistent effects of ozone on needle water loss and wettability in Norway spruce

Four-year-old, seed-grown trees of Norway spruce (Picea abies (L.) Karst.) were exposed in open-top chambers to charcoal-filtered air (8 h daily mean 54 microg O(3) m(-3)) over three consecutive summers (1986-1988). In mid-May 1988, before the third season of fumigation and more than 7 months after exposure to ozone the previous summer had terminated, daily rates of transpiration from intact shoots and water loss from excised needles were measured together with the amount of wax on the needle surface. In mid-July, 92 days after the beginning of the third year of exposure, the wettability of needles was assessed by measuring the contact angle of water droplets on the surface of needles. Exposure to 156 microg O(3) m(-3) resulted in a 16% increase in daily transpiration in current year's needles and a 28% increase in 1-year old needles. These effects were associated with slower stomatal closure in response to increasing water deficit in the needles previously exposed to 156 microg m(-3) ozone. The long-lasting nature of such ozone-induced effects could predispose trees to drought and winter desiccation. No significant effects of ozone were found on the amount of wax covering the needle surface, but a marked increase in the wettability of needles exposed to ozone was observed. The far reaching physiological consequences of these effects in the field and the possibility that similar disturbances may contribute to the decline of high-altitude forests of Norway spruce in Europe are discussed.

The influence of ozone on the winter hardiness of Norway spruce [Picea abies (L.) Karst.]

Three-year-old clonal saplings of Picea abies (L.) Karst. were exposed in chambers to 240μg O₃ m^-3 for 70 d, 6hd^-1 and then hardened for 14 d at 4°C day/night. The winter hardiness of trees was tested by subjecting excised shoots, bearing previous and current year's needles, to night temperatures of -6, -9, -12, -15 and - 18°C in a computer-controlled freezer. No visible injury was observed during the fumigation, hardening period or on the current year's needles of any of the clones. However, during post-freezing recovery in a mist spray unit four of the clones exposed to ozone developed extensive visible injury on the previous year's needles, in the form of severe, uniform necrosis. The affected needles began to fall prematurely. Induced chlorophyll fluorescence was significantly reduced by O₃ in two of the clones that showed post-freezing injury. This suggested that O₃ -induced membrane injury increased the sensitivity of needles to freezing. One clone (no. 4076), which exhibited no effect of ozone on fluorescence kinetics, showed severe ozone-induced injury of the previous year's needles, developing about 40 d after fumigation independent of temperature. Previous year's needles of O₃ -treated plants of this clone showed significantly greater rates of euticular transpiration, so the O₃ may have induced gradual desiccation of the needles. The restriction of damage to the older needles of certain clones of Norway spruce is consistent with symptoms of forest decline affecting high-altitude forests on acid soils. Results indicate that O₃ predisposes trees to freezing injury, winter desiccation and drought, and it is proposed that such interactions are important factors contributing to the decline of high-altitude forests of Norway spruce in Europe.

Interaction between ozone and winter stress

In some countries, ozone (O3) is primarily a summer pollutant, but in much of Europe, elevated concentrations occur outside the growing season so perennials and over-wintering annuals may be subjected to the combined stresses of pollution, plus chilling, freezing, and winter desiccation. It is recognised that some air pollutants modify the response of plants to environmental stress, but little is known of interactions involving O3. This paper is part of a programme concerned with the effects of O3 on resistance to chilling, freezing, and winter desiccation. Pea (Pisum sativum L.) was used as a convenient model to confirm that O3 affects freezing resistance. The experiment also served as a further evaluation of the use of induced chlorophyll fluorescence kinetics to detect latent O3 injury. Two cultivars, 'Feltham First' and 'Conquest', were fumigated for 7 days, 7 h day(-1). Diffusive resistance and induced fluorescence were recorded daily during the period, then the plants were hardened at 4 degrees C day/2 degrees C night before exposure to 0, -2, -4, -6 and -8 degrees C. Ozone (0.075 ppm; 150 microg O3 m(-3)) caused stomatal closure in both cultivars, but the response was more rapid in 'Conquest'. There were also rapid effects on fluorescence kinetics, and it was concluded that FR, the rate of rise of induced fluorescence, is a useful parameter for indicating latent injury and for distinguishing between cultivars of different sensitivity. Exposure to O3 increased freezing injury and led to greater electrolyte leakage. The freezing resistance of 'Feltham First' was more affected than that of 'Conquest', probably because of the slower stomatal response to the pollutant leading to greater flux of O3 to the internal tissues. It is concluded that interactions involving pollutants and winter stress have implications for crop loss assessment. Perennials and over-wintering annuals should be exposed to the full range of environmental stresses.

The Formation of Curved Polymer Crystals: Polychlorotrifluoroethylene

The habits and fine structure of crystals of polychlorotrifluoroethylene (PCTFE) grown from dilute solution were studied as functions of crystallization temperature. The solvent used was a low molecular weight PCTFE oil. The simplest crystals found were monolayered chain folded lamellae formed at 110 °C. These lamellae are planar and possess an unusual texture characterized by the presence of fine channel-like voids in the interior of the crystals. These lamellae do not exhibit well-formed crystal faces but are disc-like in overall shape. At lower crystallization temperatures the crystals take the form of complex arrays of curved lamellae which are aggregated into, among others, watchglass-shaped or hollow spherical objects. The variation of the curvature of the crystals with crystallization temperature is discussed in the light of previous studies of the formation of curved crystals of poly(4-methylpentene-1) and polyoxymethylene.

The Formation of Curved Polymer Crystals: Polyoxymethylene

An optical and electron microscopical study is presented of the habits exhibited by chain-folded polyoxymethylene crystals grown from hot 0.02 percent solutions of the polymer in orthodichlorobenzene when these solutions are cooled to temperatures (T c ) between 140 and 80 °C inclusive. In contrast with the lamellar crystals formed in the T c = 140 and 120 °C preparations, which crystals were six-sectored and nearly planar, the crystals formed below T c = 120 °C exhibited multisectored dendritic habits and were all the more pronouncedly curved the lower the temperature at which they grew. The most pronouncedly curved crystals which were observed were hollow bowl shaped dendrites having a radius of curvature of ~ 2 μm which were formed in the 80 °C preparations. The possible origins of why the lamellar crystals of polyoxymethylene were all the more pronouncedly curved the lower the crystallization temperature are considered in the light of conjectures which have been previously advanced concerning the formation of curved crystals of poly(4-methylpentene-1). Among the features which are discussed is the role played by the bulkiness of the chain folds.

The Formation of Curved Polymer Crystals: Poly (4-methylpentene-1)

An optical and electron microscopical study is described of the habits exhibited by poly(4-methylpentent-1) crystals (Modification I tetragonal unit cell) grown at temperatures between 50 and 90 °C from 0.1 percent solutions of the polymer in equivolume mixtures of xylene and amyl acetate. A distinct trend in the effect of crystallization temperature (supercooling) on the habits of the crystals is illustrated and discussed. The lamellar crystals formed in that temperature range are all the more pronouncedly curved the lower the crystallization temperature. To indicate but the extremes in this trend, the crystals varied from essentially planar ones whose constitutent square shaped chain-folded lamellae (bounded laterally by {100} faces and up to 20 μm on a side) are four-sectored and only very slightly buckled as previously indicated by Bassett et al., to distinctly curved four-fold symmetrical hollow bowl shaped ones having a radius of curvature of about 2.5 μm and in which the surface of the curved multilayered wall of which they are constituted changes in orientation through 180° from the base (pole) to the periphery. In contrast with the four-sectored character of the lamellae in the aforementioned essentially planar crystals, the constituent lamellae in all the distinctly dished and bowl-like crystals formed in the temperature range 50 to 90 °C are multiseetored. their lateral development being characterized by the formation at their periphery during growth of successive arrays of {100} microfaceted sectored outgrowths. The reasons why the lamellar crystals of poly (4-methylpentene-1) are all the more pronouncedly curved the lower the crystallization temperature are explored and discussed. Conjectures concerning the origins of this phenomena are advanced in the form of a working 'model.'