Responses of photosynthetic characteristics of Phragmites australis to simulated warming in salt marshes of the Yellow Sea and Bohai Sea, China.

Coastal wetlands are highly efficient in blue carbon sequestration. The impacts of climate warming on photosynthetic rates and light response characteristics of wetland plants would change the magnitude of carbon sequestration in coastal wetlands. We constructed warming observation stations in Phragmites australis (Phragmites) wetlands located in the Yellow River Delta in Dongying with dry climate, and in Yancheng by the Yellow Sea with wet climate. By using a Li-6800 photosynthesis system, we investigated the responses of simulated warming on photosynthetic characteristics of Phragmites in both wetlands, and compared the difference between months (June and August) in Dongying wetland. The results showed the photosynthetic rates of Phragmites were higher in June than in August. Warming increased net photosynthetic rate (Pn), transpiration rate (Tr), stomatal conductance (gs) and intercellular carbon dioxide concentration (Ci) in the two months, but the variability of Pn to warming was lower in August. The Pn and water use efficiency (WUE) of Phragmites in the Yancheng wetland were higher than Dongying wetland, and the maximum net photosynthetic rate (Pn max), light saturation point (LSP), apparent quantum efficiency (AQY), and dark respiration rate (Rd) of the former responded more positively to warming. The values of AQY, LSP and Pn max of Phragmites in the Yancheng wetlands were increased by 16.7%, 53.6% and 30.3%, respectively, in the warming plots. Our results suggested that warming could improve the utilization efficiency of weak light, the adaptability to strong light and photosynthetic potential of Phragmites under rainy and humid conditions. This study is of importance for accurately quantifying carbon sequestration of coastal wetlands at the regional and seasonal scales in the context of climate warming.

Effect of active and passive warming on preventing hypothermia and shivering during cesarean delivery: a systematic review and meta-analysis of randomized controlled trials.

BACKGROUND: Perioperative hypothermia and shivering commonly occur in pregnant women undergoing cesarean section. The warming method is usually used to prevent hypothermia and shivering. However, the effect of active warming (AW) prior to passive warming (PW) on the perioperative outcomes of pregnant women and their offspring remains controversial. METHODS: This study aimed to investigate the effects of AW and PW on maternal and newborn perioperative outcomes during cesarean delivery. According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, PubMed, Embase, Scopus, and the Cochrane Library were used to search for randomized controlled trials (RCTs) up to August 7, 2022. The Cochrane risk of bias assessment tool was used to assess articles selected for the systematic review. Continuous data were analyzed using weighted mean differences (WMDs) with 95% confidence intervals (CIs), and categorical data were analyzed by the random-effects model. RESULTS: A total of 1241 participants from twelve RCTs were selected for the final meta-analysis. AW was associated with a lower risk of maternal hypothermia (RR: 0.77, 95% CI: 0.63-0.93, P = 0.007) and shivering (RR: 0.56, 95% CI: 0.37-0.85; P = 0.007). AW was associated with high maternal temperature (WMD: 0.27, 95%CI: 0.14 to 0.40, P < 0.001). No significant difference was observed between AW and PW in terms of hypothermia (RR: 0.60, 95% CI: 0.24-1.51, P = 0.278), temperature (WMD: 0.31, 95% CI: - 0.00 to 0.62; P = 0.050), and umbilical vein PH in newborns (WMD: -0.00; 95% CI: - 0.02 to 0.02, P = 0.710). CONCLUSIONS: These findings suggested that AW can better prevent maternal hypothermia and shivering than PW. In contrast, no significant effect was observed in newborns. Overall, the quality of the included studies is high due to RCTs, low risk of bias, consistency, and precision. We identified the quality of the overall evidence from the survey to be GRADE I.

Snow melt timing acts independently and in conjunction with temperature accumulation to drive subalpine plant phenology.

Organisms use environmental cues to align their phenology-the timing of life events-with sets of abiotic and biotic conditions that favor the successful completion of their life cycle. Climate change has altered the environmental cues organisms use to track climate, leading to shifts in phenology with the potential to affect a variety of ecological processes. Understanding the drivers of phenological shifts is critical to predicting future responses, but disentangling the effects of temperature from precipitation on phenology is often challenging because they tend to covary. We addressed this knowledge gap in a high-elevation environment where phenological shifts are associated with both the timing of spring snow melt and temperature. We factorially crossed early snow melt and passive warming treatments to (1) disentangle the effects of snow melt timing and warming on the phenology of flowering and fruiting and reproductive success in three subalpine plant species (Delphinium nuttallianum, Valeriana edulis, and Potentilla pulcherrima); and (2) assess whether snow melt acts via temperature accumulation or some other aspect of the environment (e.g., soil moisture) to affect phenological events. Both the timing and duration of flowering and fruiting responded to the climate treatments, but the effect of snow melt timing and warming varied among species and phenological stages. The combined effects of the treatments on phenology were always additive, and the snow melt treatment often affected phenology even when the warming treatment did not. Despite marked responses of phenology to climate manipulations, the species showed little change in reproductive success, with only one species producing fewer seeds in response to warming (Delphinium, -56%). We also found that snow melt timing can act both through temperature accumulation and as a distinct cue for phenology, and these effects are not mutually exclusive. Our results show that one environmental cue, here snow melt timing, may act through multiple mechanisms to shift phenology.

Mangrove growth response to experimental warming is greatest near the range limit in northeast Florida.

Shrubs are invading into grasslands around the world, but we don't yet know how these shrubs will fare in a warmer future. In ecotonal coastal wetland ecosystems, woody mangroves are encroaching into herbaceous salt marshes owing to changes in temperature, precipitation, and sediment dynamics. Increasing mangrove biomass in wetlands often increases carbon storage, which is high in these productive ecosystems, but little is known about how mangrove growth will change in response to warming. To address this knowledge gap, we deployed warming experiments at three coastal wetland sites along a latitudinal gradient in northeast Florida where Avicennia germinans, black mangroves, are encroaching into salt marshes. We achieved air temperature warming (+1.6°C during the day) at all three sites and measured stem elongation, canopy height and area changes, and leaf and node number. After 2 yr of warming, we found that mangrove growth rate in height increased due to warming. Warming increased stem elongation by 130% over unwarmed control plots after 1 yr at the northern site. Mangrove growth in canopy area did not respond to warming. Site differences in growth rate were pronounced, and mangrove growth in both height and area were lowest at the northern site, despite greater impacts of warming at that site. We also found that area-based relative growth rate was five times higher across all treatments than height-based relative growth rate, indicating that mangroves are growing wider rather than taller in these ecotonal environments. Our findings indicate that the growth effect of experimental warming depends on site characteristics and growth parameter measured. We also propose that differential mangrove growth across the three sites may be driven by biotic factors such as the identity of the salt marsh species into which mangroves are encroaching. Our results suggest that, as seen in other ecosystems, wetland plants may respond most strongly to warming at their poleward range edge.

Benefits of Passive Warming on Surgical Patients Undergoing Regional Anesthetic Procedures.

PURPOSE: The purpose of this quality improvement project was to determine if application of preoperative passive warming methods would maintain body temperature in patients receiving regional anesthetic procedures (RAPs). DESIGN: A nonrandomized quasi-experimental design was used. METHODS: A passive warming trial using a convenience sample of 53 RAP patients warmed with passive measures was compared with data collected from 67 retrospective chart reviews of RAP patients warmed per standard unit policy-typically active forced warm air. Passive measures included a thermal reflective surgical cap and an activated chemical warmer. FINDINGS: Passive warming methods maintained temperatures throughout the perioperative process. No significant variations in mean temperatures were noted. As age increased, the difference in temperature from admit to transfer to operating room also increased (P = .0182). CONCLUSIONS: Passive warming is a suitable cost-effective alternative when forced-air warming is not feasible. Additional inquiry into the use of passive warming is warranted.

Back to Basics: Unplanned Patient Hypothermia: 1.3 www.aornjournal.org/content/cme.

Unplanned perioperative hypothermia is a common occurrence and can negatively affect a patient's postoperative course. Perioperative nurses are responsible for identifying patients at risk for hypothermia and working with the entire surgical team to prevent this complication from occurring. Multiple interventions can be implemented to address hypothermia, including active or passive warming and warm IV and irrigation fluids. This Back to Basics article addresses patient assessment concerns, identifies a variety of evidence-based interventions that can prevent or mitigate perioperative patient temperature changes, and provides basic steps for perioperative RNs to follow to help prevent perioperative hypothermia in their patients.

Maintaining intraoperative normothermia reduces blood loss in patients undergoing major operations: a pilot randomized controlled clinical trial.

BACKGROUND: Inadvertent intraoperative hypothermia (core temperature < 36 °C) is a common but preventable adverse event. This study aimed to determine whether active intraoperative warming reduced bleeding in patients undergoing major operations: open thoracic surgery and hip replacement surgery. METHODS/DESIGN: The study was a pilot, prospective, parallel two-arm randomized controlled trial. Eligible patients were randomly allocated to two groups: passive warming (PW), with application of a cotton blanket (thermal insulation), or active warming (AW), with a forced-air warming system. The primary endpoint was intraoperative blood loss, and secondary endpoints were surgical-site infection, cardiovascular events, and length of stay in the post-anesthesia care unit, intensive care unit, and hospital. RESULTS: Sixty-two patients were enrolled. Forced-air active warming maintained intraoperative normothermia in all AW subjects, whereas intraoperative hypothermia occurred in 21/32 (71.8%) of PW patients (p = 0.000). The volume of blood loss was more in the PW group (682 ± 426 ml) than in the AW group (464 ± 324 ml) (p < 0.021), and the perioperative hemoglobin value declined more in the PW group (28.6 ± 17.5 g/L) than in the AW group (21.0 ± 9.9 g/L) (p = 0.045). However, there were no difference in other clinical outcomes between two groups. CONCLUSION: Intraoperative active warming is associated with less blood loss than passive warming in open thoracic and hip replacement operations in this pilot study. TRIAL REGISTRATION: This trial was registered with Clinicaltrials.gov (Identifier: NCT02214524 ) on 27 August 2014.

Effect of "An Innovative Technology" Active Warming and Passive Warming on Unplanned Hypothermia During Perioperative Period: A Clinical Trial.

Patients are at risk for unplanned hypothermia during the perioperative period due to many reasons, including anesthesia, low room temperature, cold intravenous fluid, and blood transfusion. This study was conducted to examine the effect of active and passive warming methods applied in patients during the perioperative period on unplanned hypothermia. This study is a case-control type study. The population of this study is composed of the patients hospitalized in surgical clinic and undergone abdominal region-related operations. Ninety patients were accidentally included in the study. The first group of patients were actively warmed during the perioperative period (carbon fiber resistive system - W-500D + 190 × 50 cm), the second group was passively warmed at least for 20 minutes during preoperative period (with blanket, socks etc.), and the third group was followed up as the control group. It was established that body temperature average of the active warming group has significantly increased during perioperative period (p < 0.001), and this temperature was significantly higher than the other groups until the third hour. It was found that the body temperature average of all groups was equal to 36.2 ± 0.26, 35.4 ± 0.49, and 35.2 ± 0.47, respectively, at the end of operation, and the difference among them was statistically significant (p ≤ 0.001). The active warming method applied with carbon fiber resistive system during the perioperative period is an effective method.

Four years of experimental warming do not modify the interaction between subalpine shrub species.

Climate warming can lead to changes in alpine plant species interactions through modifications in environmental conditions, which may ultimately cause drastic changes in plant communities. We explored the effects of 4 years of experimental warming with open-top chambers (OTC) on Vaccinium myrtillus performance and its interaction with neighbouring shrubs at the Pyrenean treeline ecotone. We examined the effects of warming on height, above-ground (AG) and below-ground (BG) biomass and the C and N concentration and isotope composition of V. myrtillus growing in pure stands or in stands mixed with Vaccinium uliginosum or Rhododendron ferrugineum. We also analysed variations in soil N concentrations, rhizosphere C/N ratios and the functional diversity of the microbial community, and evaluated whether warming altered the biomass, C and N concentration and isotope composition of V. uliginosum in mixed plots. Our results showed that warming induced positive changes in the AG growth of V. myrtillus but not BG, while V. uliginosum did not respond to warming. Vaccinium myrtillus performance did not differ between stand types under increased temperatures, suggesting that warming did not induce shifts in the interaction between V. myrtillus and its neighbouring species. These findings contrast with previous studies in which species interactions changed when temperature was modified. Our results show that species interactions can be less responsive to warming in natural plant communities than in removal experiments, highlighting the need for studies involving the natural assembly of plant species and communities when exploring the effect of environmental changes on plant-plant interactions.

Basking hamsters reduce resting metabolism, body temperature and energy costs during rewarming from torpor.

Basking can substantially reduce thermoregulatory energy expenditure of mammals. We tested the hypothesis that the largely white winter fur of hamsters (Phodopus sungorus), originating from Asian steppes, may be related to camouflage to permit sun basking on or near snow. Winter-acclimated hamsters in our study were largely white and had a high proclivity to bask when resting and torpid. Resting hamsters reduced metabolic rate (MR) significantly (>30%) when basking at ambient temperatures (Ta) of ∼15 and 0°C. Interestingly, body temperature (Tb) also was significantly reduced from 34.7±0.6°C (Ta 15°C, not basking) to 30.4±2.0°C (Ta 0°C, basking), which resulted in an extremely low (<50% of predicted) apparent thermal conductance. Induced torpor (food withheld) during respirometry at Ta 15°C occurred on 83.3±36.0% of days and the minimum torpor MR was 36% of basal MR at an average Tb of 22.0±2.6°C; movement to the basking lamp occurred at Tb<20.0°C. Energy expenditure for rewarming was significantly reduced (by >50%) during radiant heat-assisted rewarming; however, radiant heat per se without an endogenous contribution by animals did not strongly affect metabolism and Tb during torpor. Our data show that basking substantially modifies thermal energetics in hamsters, with a drop of resting Tb and MR not previously observed and a reduction of rewarming costs. The energy savings afforded by basking in hamsters suggest that this behaviour is of energetic significance not only for mammals living in deserts, where basking is common, but also for P. sungorus and probably other cold-climate mammals.

Comparing new-technology passive warming versus traditional passive warming methods for optimizing perioperative body core temperature.

Hypothermia puts surgical patients at risk for adverse outcomes. Traditional passive warming methods are mostly ineffective in reducing hypothermia. New-technology passive warming holds promise as an effective method for promoting and sustaining normothermia throughout surgery. The purpose of this retrospective cohort study was to compare the effectiveness of new-technology passive warming with traditional methods. We measured core body temperature at anesthesia induction and at the end of surgery for patients undergoing robotic-assisted prostatectomy/hysterectomy in the lithotomy position who received either new-technology passive warming (n = 30) or traditional linens and gel pads (n = 35). The traditionally warmed cohort had no change in temperature (35.9° C ± 0.6° C presurgery vs 35.9° C ± 0.7° C postsurgery; t = 0.47; P = .66). The intervention cohort showed a significant increase in temperature (35.75° C ± 0.52° C presurgery vs 36.30° C ± 0.53° C postsurgery; t = 4.64; P < .001). A repeated-measure analysis of variance adjusting for surgery duration and fluid administration confirmed the significance (F = 17.254; P < .001), suggesting that new-technology passive warming may effectively complement active warming to reduce perioperative hypothermia.

A systematic review of the effectiveness of warming interventions for women undergoing cesarean section.

BACKGROUND: Women undergoing cesarean section are vulnerable to adverse effects associated with inadvertent perioperative hypothermia, but there has been a lack of synthesized evidence for temperature management in this population. This systematic review aimed to synthesize the best available evidence in relation to preventing hypothermia in mothers undergoing cesarean section surgery. METHODS: Randomized controlled trials meeting the inclusion criteria (adult patients of any ethnic background, with or without comorbidities, undergoing any mode of anesthesia for any type of cesarean section) were eligible for consideration. Active or passive warming interventions versus usual care or placebo, aiming to limit or manage core heat loss in women undergoing cesarean section were considered. The primary outcome was maternal core temperature. A comprehensive search with no language restrictions was undertaken of multiple databases from their inception until May 2012. Two independent reviewers using the standardized critical appraisal instrument for randomized controlled trials from the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instruments (JBI-MASTARI) assessed retrieved papers for methodological quality and conducted data collection. Where possible, results were combined in a fixed effects meta-analysis using the Cochrane Collaboration Review Manager software. Due to heterogeneity for one outcome, random effects meta-analysis was also used. RESULTS: A combined total of 719 participants from 12 studies were included. Intravenous fluid warming was found to be effective at maintaining maternal temperature and preventing shivering. Warming devices, including forced air warming and under-body carbon polymer mattresses, were effective at preventing hypothermia. However, effectiveness increased if the devices were applied preoperatively. Preoperative warming devices reduced shivering and improved neonatal temperatures at birth. Intravenous fluid warming did not improve neonatal temperature, and the effectiveness of warming interventions on umbilical pH remains unclear. LINKING EVIDENCE TO ACTION: Intravenous fluid warming by any method improves maternal temperature and reduces shivering during and after cesarean section, as does preoperative body warming. Preoperative warming strategies should be utilized where possible. Preoperative or intraoperative warmed IV fluids should be standard practice. Warming strategies are less effective when intrathecal opioids are administered. Further research is needed to investigate interventions in emergency cesarean section surgery. Larger scale studies using standardized, clinically meaningful temperature measurement time points are required.