Changing risk of spring frost damage in grapevines due to climate change? A case study in the Swiss Rhone Valley.

Late spring frost is a severe risk during early plant development. It may cause important economic damage to grapevine production. In a warming climate, late frost risk either could decline due to the reduction in frost days and an advancement of the last day of frost or increase due to a more pronounced shift forward of the start of the active growing period of the plants. These possibilities were analyzed in a case study for two locations in the lower Swiss Rhone Valley (Sion, Aigle) where viticulture is an important part of agriculture. Twelve phenology models were calibrated for the developmental stage BBCH09 (bud burst) using measured or reconstructed temperature data for two vineyards in Changins (1958 to 2012) and Leytron (1977 to 2014) together with observed phenological data. The day of year (DOY) for BBCH09 was then modelled for the years 1951 to 2050 using the best performing phenology model in combination with ten downscaled and bias-corrected climate scenarios. A 100-day period starting with BBCH09 was defined, during which daily mean and minimum temperatures were used to calculate three frost risk indices in each year. These indices were compared between the periods 1961-1990 (reference) and 2021-2050 (climate change scenario). Based on the average of the ensemble of climate model chains, BBCH09 advanced by 9 (range 7-11) (Aigle) and 7 (range 5-8) (Sion) days between the two time periods, similar to the shift in the last day of frost. The separate results of the different model chains suggest that, in the near future, late spring frost risk may increase or decrease, depending on location and climate change projections. While for the reference, the risk is larger at the warmer site (Sion) compared to that at the cooler site (Aigle), for the period 2021-2050, small shifts in both phenology and occurrence of frost (i.e., days with daily minimum temperature below 0 °C) lead to a small decrease in frost risk at the warmer but an increase at the cooler site. However, considerable uncertainties remain that are mostly related to climate model chains. Consequently, shifts in frost risk remain uncertain for the time period considered and the two study locations.

Leadless Dual-Chamber Pacing: A Novel Communication Method for Wireless Pacemaker Synchronization.

Contemporary leadless pacemakers only feature single-chamber pacing capability. This study presents a prototype of a leadless dual-chamber pacemaker. Highly energy-efficient intrabody communication was implemented for wireless pacemaker synchronization. Optimal communication parameters were obtained by in vivo and ex vivo measurements in the heart and blood. The prototype successfully performed dual-chamber pacing in vivo. The presented wireless communication method may in the future also enable leadless cardiac resynchronization therapy.

Current and future ozone risks to global terrestrial biodiversity and ecosystem processes.

Risks associated with exposure of individual plant species to ozone (O3) are well documented, but implications for terrestrial biodiversity and ecosystem processes have received insufficient attention. This is an important gap because feedbacks to the atmosphere may change as future O3 levels increase or decrease, depending on air quality and climate policies. Global simulation of O3 using the Community Earth System Model (CESM) revealed that in 2000, about 40% of the Global 200 terrestrial ecoregions (ER) were exposed to O3 above thresholds for ecological risks, with highest exposures in North America and Southern Europe, where there is field evidence of adverse effects of O3, and in central Asia. Experimental studies show that O3 can adversely affect the growth and flowering of plants and alter species composition and richness, although some communities can be resilient. Additional effects include changes in water flux regulation, pollination efficiency, and plant pathogen development. Recent research is unraveling a range of effects belowground, including changes in soil invertebrates, plant litter quantity and quality, decomposition, and nutrient cycling and carbon pools. Changes are likely slow and may take decades to become detectable. CESM simulations for 2050 show that O3 exposure under emission scenario RCP8.5 increases in all major biomes and that policies represented in scenario RCP4.5 do not lead to a general reduction in O3 risks; rather, 50% of ERs still show an increase in exposure. Although a conceptual model is lacking to extrapolate documented effects to ERs with limited or no local information, and there is uncertainty about interactions with nitrogen input and climate change, the analysis suggests that in many ERs, O3 risks will persist for biodiversity at different trophic levels, and for a range of ecosystem processes and feedbacks, which deserves more attention when assessing ecological implications of future atmospheric pollution and climate change.

[Future cardiac pacemakers ­ technical visions]. / Der Herzschrittmacher der Zukunft - technische Visionen.

Cardiac pacemakers are routinely used for the treatment of bradyarrhythmias. Contemporary pacemakers are reliable and allow for a patient specific programming. However, pacemaker replacements due to battery depletion are common (~25 % of all implantation procedures) and bear the risk of complications. Batteryless pacemakers may allow overcoming this limitation. To power a batteryless pacemaker, a mechanism for intracorporeal energy harvesting is required. Such a generator may consist out of subcutaneously implanted solar cells, transforming the small amount of transcutaneously available light into electrical energy. Alternatively, intravascular turbines may harvest energy from the blood flow. Energy may also be harvested from the ventricular wall motion by a dedicated mechanical clockwork converting motion into electrical energy. All these approaches have successfully been tested in vivo. Pacemaker leads constitute another Achilles heel of contemporary pacemakers. Thus, leadless devices are desired. Miniaturized pacemaker circuits and suitable energy harvesting mechanisms (incorporated in a single device) may allow catheter-based implantation of the pacemaker in the heart. Such miniaturized battery- and leadless pacemakers would combine the advantages of both approaches and overcome major limitations of today's systems.

Elevated ozone and nitrogen deposition affect nitrogen pools of subalpine grassland.

In a free-air fumigation experiment with subalpine grassland, we studied long-term effects of elevated ozone (O3) and nitrogen (N) deposition on ecosystem N pools and on the fate of anthropogenic N. At three times during the seventh year of exposure, N pools and recovery of a stable isotope tracer ((15)N) were determined in above- and belowground plant parts, and in the soil. Plants were much better competitors for (15)N than soil microorganisms. Plant N pools increased by 30-40% after N addition, while soil pools remained unaffected, suggesting that most of the extra N was taken up and stored in plant biomass, thus preventing the ecosystem from acquiring characteristics of eutrophication. Elevated O3 caused an increase of N in microbial biomass and in stabilized soil N, probably resulting from increased litter input and lower litter quality. Different from individual effects, the interaction between the pollutants remained partly unexplained.

High tolerance of subalpine grassland to long-term ozone exposure is independent of N input and climatic drivers.

In a seven-year study, we tested effects of increased N and O3 deposition and climatic conditions on biomass of subalpine grassland. Ozone risk was assessed as exposure (AOT40) and as stomatal flux (POD0,1). We hypothesized that productivity is higher under N- and lower under O3 deposition, with interactions with climatic conditions. Aboveground biomass was best correlated with growing-degree days for May (GDDMay). Nitrogen deposition increased biomass up to 60% in the highest treatment, and 30% in the lowest addition. Also belowground biomass showed a positive N-response. Ozone enrichment had no effect on biomass, and no interaction between O3 and N was observed. Growth response to N deposition was not correlated to GDDMay or precipitation, but indicated a cumulative effect over time. Productivity of subalpine grassland is tolerant to increasing ozone exposure, independent of N input and climatic drivers. N deposition rates at current critical loads, strongly increase the grassland yield.

Prevalence of asymptomatic and electrically undetectable intracardiac inside-out abrasion in silicon-coated Riata® and Riata® ST implantable cardioverter-defibrillator leads.

BACKGROUND: Recently, several cases of symptomatic and/or electrically detectable intracardiac inside-out abrasions in silicon-coated Riata® and Riata® ST leads have been described. However, the prevalence in asymptomatic patients with unremarkable implantable cardioverter defibrillator (ICD) interrogation is unknown. The aim of this study was to determine the prevalence of asymptomatic and electrically undetectable intracardiac inside-out abrasion in silicon-coated Riata® and Riata® ST leads. METHODS: All 52 patients with an active silicone-coated Riata® and Riata® ST lead followed up in our outpatient clinic were scheduled for a premature ICD interrogation and a biplane chest radiograph. When an intracardiac inside-out abrasion was suspected, this finding was confirmed by fluoroscopy. RESULTS: Mean time since implantation was 71 ± 18 months. An intracardiac inside-out abrasion was confirmed by fluoroscopy in 6 patients (11.5%). Mean time from lead implantation to detection of intracardiac inside-out abrasion was 79 ± 14 months. In all patients with an intracardiac inside-out abrasion, ICD interrogation showed normal and stable electrical parameters. Retrospectively, in 4 of these 6 patients, a coronary angiography performed 25 ± 18 months before diagnosis of intracardiac inside-out abrasion already showed the defect. Despite undetected intracardiac inside-out abrasion, 2 of these 4 patients experienced adequate antitachycardia pacing and ICD-shocks. ICD leads were replaced in all 6 patients. CONCLUSIONS: The prevalence of asymptomatic intracardiac inside-out abrasion in silicon-coated Riata® and Riata® ST leads is higher than 10% when assessed by fluoroscopy, and most intracardiac inside-out abrasions are not detectable by ICD interrogation.

Is 7-day event triggered ECG recording equivalent to 7-day Holter ECG recording for atrial fibrillation screening?

OBJECTIVE: Prolonged ECG monitoring is standard for atrial fibrillation (AF) screening. This study investigated whether 7-day event triggered (tECG) ECG recording is equivalent to 7-day continuous Holter (cECG) ECG recording for AF screening. DESIGN: Both a cECG (Lifecard CF) and a tECG (R.Test Evolution 3) were simultaneously worn for 7 days by patients with known or suspected paroxysmal AF. RESULTS: In 100 corresponding recordings, median effective duration of monitoring was 165 h (range 10-170 h) for cECG and 137 h (0-169 h) for tECG (p<0.001). Median number and total duration of arrhythmias (AF, atrial flutter or atrial tachycardia) of ≥30 s duration recorded by cECG were 10 (1-428) and 1030 min (≤1-10,020), respectively. An arrhythmia was recorded in 42 cECGs (42%) versus 37 tECGs (37%, p=0.56). Triggered ECG failed to record an arrhythmia in cECG positive cases because of interrupted monitoring in four cases and because of recording failure in one case. Sensitivity, specificity, and positive and negative predictive values of tECG therefore were 88%, 100%, 100%, and 92%, respectively. Quantitative cECG analysis required a median of 20 min (3-205 min) and qualitative tECG analysis 4 min (1-20 min; p<0.001). Skin irritation was a frequent side effect (42%) resulting in premature removal of devices in 16% of patients. CONCLUSION: Sensitivity of tECG for AF screening as compared to cECG is lower, mainly because of shorter effective monitoring duration. Qualitative tECG analysis is less time consuming than quantitative cECG analysis. Skin irritation is a frequent side effect and reason for premature device removal.

Catheter ablation of atrial fibrillation as first-line therapy--a single-centre experience.

AIMS: The aims of the study were (i) to assess the characteristics of patients selected for atrial fibrillation (AF) ablation as first-line therapy, (ii) to identify current clinical criteria for such a strategy, and (iii) to analyse the outcome compared with patients who had failure of antiarrhythmic drug (AAD) therapy prior to ablation. METHODS AND RESULTS: Consecutive patients undergoing ablation of AF were included in a prospective registry. Serial long-term electrocardiogram monitoring and clinical follow-up were performed after 3, 6, and 12 months. Out of 434 patients, 17% underwent AF catheter ablation as first-line therapy (AAD-), and 83% had undergone at least one AAD trial (AAD+). In AAD- patients, the reasons for this strategy were: (i) patient preference, n= 51 (71%); (ii) contra-indication to AAD, n= 21 (29%). Atrial fibrillation duration prior to ablation was shorter (52 ± 54 vs. 78 ± 81 months, P= 0.005), and the percentage of patients hospitalized for AF (32% vs. 48%, P= 0.01) was lower in AAD- patients. Long-term multiple procedure success rate (78% vs. 64%, P= 0.03) was higher in the AAD- group, and there were less repeat ablations in this group (21% vs. 38%, P= 0.01). CONCLUSION: Catheter ablation was first-line therapy of AF in a significant number of patients, according either to patient preference or to medical factors, and this had important implications. Ablative therapy was performed at an earlier stage of the disease, and was associated with a significantly higher success rate and with a decreased need for repeat procedures.

Organic farming and soil carbon sequestration: what do we really know about the benefits?

Organic farming is believed to improve soil fertility by enhancing soil organic matter (SOM) contents. An important co-benefit would be the sequestration of carbon from atmospheric CO2. Such a positive effect has been suggested based on data from field experiments though many studies were not designed to address the issue of carbon sequestration. The aim of our study was to examine published data in order to identify possible flaws such as missing a proper baseline, carbon mass measurements, or lack of a clear distinction between conventional and organic farming practices, thereby attributing effects of specific practices to organic farming, which are not uniquely organic. A total of 68 data sets were analyzed from 32 peer-reviewed publications aiming to compare conventional with organic farming. The analysis revealed that after conversion, soil C content (SOC) in organic systems increased annually by 2.2% on average, whereas in conventional systems SOC did not change significantly. The majority of publications reported SOC concentrations rather than amounts thus neglecting possible changes in soil bulk density. 34 out of 68 data sets missed a true control with well-defined starting conditions. In 37 out of 50 cases, the amount of organic fertilizer in the organic system exceeded that applied in the compared conventional system, and in half of the cases crop rotations differed between systems. In the few studies where crop rotation and organic fertilization were comparable in both systems no consistent difference in SOC was found. From this data analysis, we conclude that the claim for beneficial effects of organic farming on SOC is premature and that reported advantages of organic farming for SOC are largely determined by higher and often disproportionate application of organic fertilizer compared to conventional farming.

Spatial heterogeneity confounded ozone-exposure experiment in semi-natural grassland.

Interpretation of observations from manipulative experiments is often complicated by a multitude of uncontrolled processes operating at various spatial and temporal scales. As such processes may differ among experimental plots there is a risk that effects of experimental treatments are confounded. Here we report on a free-air ozone-exposure experiment in permanent semi-natural grassland that suggested strong ozone effects on community productivity after 5 years. We tested ozone effects and investigated the potential of confounding due to changes in nutrient management. Repeated-measure ANOVA revealed mainly negative temporal trends for frequency of abundant productive plant species. Constrained ordination additionally showed converging trajectories of species compositions for ozone and control treatments with time. Yields sampled prior to the start of the experiment and soil nitrogen concentrations revealed that spatial heterogeneity in the soil nutrient status was not accounted for by the random allocation of treatments to plots with a bias towards less productive patches in the elevated-ozone plots. Re-analysis of yield data using repeated-measure ANOVA with a covariable to account for productivity prior to the start of fumigation revealed effects on the temporal changes in total yield and yield of legumes that cannot be separated between ozone and pre-treatment nutrient status. Changes in species composition favour an ecological interpretation with spatial heterogeneity as the major cause of different yield declines. Although elevated ozone may cause subtle physiological changes with longer term implications, our new results suggest that species-rich mature grassland such as the one studied at Le Mouret may be less sensitive to elevated ozone than previously assumed. In this experiment a confounded design was hidden at the start by transitory effects of a prior change in nutrient treatments.

Effects of combined ozone and nitrogen deposition on the in situ properties of eleven key plant species of a subalpine pasture.

Tropospheric O(3) and deposition of reactive N threaten the composition and function of natural and semi-natural vegetation even in remote regions. However, little is known about effects of these pollutants individually or in combination on plant species in alpine habitats. We analyzed 11 frequent plant species of a subalpine Geo-Montani-Nardetum pasture exposed at 2,000 m a.s.l. in the Swiss Alps during 3 years using a factorial free-air exposure system with three concentrations of O(3) and five rates of N application. The aim was to detect subtle effects on leaf chlorophyll and N concentrations, leaf weight, specific leaf area (SLA), and delta(18)O and delta(13)C as proxies for gas exchange. We expected that the species' responsiveness to O(3) and N would be related to their functional traits and that N-induced changes in these traits would modify the species' response to O(3) via increased growth and higher leaf conductance (g (s)). Most species reacted to N supply with the accumulation of N and chlorophyll, but with no change in SLA, g (s), and growth, except Carex sempervirens which showed increased water use efficiency and leaf weight. Elevated O(3) reduced g ( s ) in most species, but this was not related to a reduction in leaf weight, which was recorded in half of the species. Contrary to our expectation, the magnitude of the response to both O(3) and N was not related to species-specific traits such as SLA or g (s). No pronounced O(3) x N interactions were observed. In conclusion, since for most species neither N nor gas exchange limited growth, their short-term response to O(3) and N and to their combination was small. O(3) x N interactive effects are expected to be more pronounced in habitats where species are more responsive to N due to favorable growth conditions in terms of nutrient availability and temperature.

Ozone risk for crops and pastures in present and future climates.

Ozone is the most important regional-scale air pollutant causing risks for vegetation and human health in many parts of the world. Ozone impacts on yield and quality of crops and pastures depend on precursor emissions, atmospheric transport and leaf uptake and on the plant's biochemical defence capacity, all of which are influenced by changing climatic conditions, increasing atmospheric CO(2) and altered emission patterns. In this article, recent findings about ozone effects under current conditions and trends in regional ozone levels and in climatic factors affecting the plant's sensitivity to ozone are reviewed in order to assess implications of these developments for future regional ozone risks. Based on pessimistic IPCC emission scenarios for many cropland regions elevated mean ozone levels in surface air are projected for 2050 and beyond as a result of both increasing emissions and positive effects of climate change on ozone formation and higher cumulative ozone exposure during an extended growing season resulting from increasing length and frequency of ozone episodes. At the same time, crop sensitivity may decline in areas where warming is accompanied by drying, such as southern and central Europe, in contrast to areas at higher latitudes where rapid warming is projected to occur in the absence of declining air and soil moisture. In regions with rapid industrialisation and population growth and with little regulatory action, ozone risks are projected to increase most dramatically, thus causing negative impacts major staple crops such as rice and wheat and, consequently, on food security. Crop improvement may be a way to increase crop cross-tolerance to co-occurring stresses from heat, drought and ozone. However, the review reveals that besides uncertainties in climate projections, parameters in models for ozone risk assessment are also uncertain and model improvements are necessary to better define specific targets for crop improvements, to identify regions most at risk from ozone in a future climate and to set robust effect-based ozone standards.

Transseptal puncture for catheter ablation of atrial fibrillation after device closure of patent foramen ovale.

The technique of transseptal puncture for catheter ablation of atrial fibrillation after percutaneous closure of a foramen ovale with the Amplatzer Occluder is demonstrated based on 2 representative cases.

Elevated ozone affects the genetic composition of Plantago lanceolata L. populations.

The genetic composition and diversity of Plantago lanceolata L. populations were analysed using amplified fragment length polymorphism (AFLP) as well as simple sequence repeat (SSR) markers to test for differences in an old semi-natural grassland after five years of treatment with ambient or elevated ozone (O3) using a free-air fumigation system. Genetic diversity in populations exposed to elevated O3 was slightly higher than in populations sampled from control plots. This effect was significant for AFLP-based measures of diversity and for SSR markers based on observed heterozygosity. Also, a small but significant difference in genetic composition between O3 treatments was detected by analysis of molecular variance and redundancy analysis. The results show that micro-evolutionary processes could take place in response to long-term elevated O3 exposure in highly diverse populations of outbreeding plant species.

Nitrogen deposition but not ozone affects productivity and community composition of subalpine grassland after 3 yr of treatment.

A field experiment was established at 2000 m above sea level (asl) in the central Swiss Alps with the aim of investigating the effects of elevated ozone (O(3)) and nitrogen deposition (N), and of their combination, on above-ground productivity and species composition of subalpine grassland. One hundred and eighty monoliths were extracted from a species-rich Geo-Montani-Nardetum pasture and exposed in a free-air O(3)-fumigation system to one of three concentrations of O(3) (ambient, 1.2 x ambient, 1.6 x ambient) and five concentrations of additional N. Above-ground biomass, proportion of functional groups and normalized difference vegetation index (NDVI) were measured annually. After 3 yr of treatment, the vegetation responded to the N input with an increase in above-ground productivity and altered species composition, but without changes resulting from elevated O(3). N input > 10 kg N ha(-1) yr(-1) was sufficient to affect the composition of functional groups, with sedges benefiting over-proportionally. No interaction of O(3) x N was observed, except for NDVI; positive effects of N addition on canopy greenness were counteracted by accelerated leaf senescence in the highest O(3) treatment. The results suggest that effects of elevated O(3) on the productivity and floristic composition of subalpine grassland may develop slowly, regardless of the sensitive response to increasing N.

Ozone air pollution effects on tree-ring growth, delta(13)C, visible foliar injury and leaf gas exchange in three ozone-sensitive woody plant species.

We assessed the effects of ambient tropospheric ozone on annual tree-ring growth, delta(13)C in the rings, leaf gas exchange and visible injury in three ozone-sensitive woody plant species in southern Switzerland. Seedlings of Populus nigra L., Viburnum lantana L. and Fraxinus excelsior L. were exposed to charcoal-filtered air (CF) and non-filtered air (NF) in open-top chambers, and to ambient air (AA) in open plots during the 2001 and 2002 growing seasons. Ambient ozone exposures in the region were sufficient to cause visible foliar injury, early leaf senescence and premature leaf loss in all species. Ozone had significant negative effects on net photosynthesis and stomatal conductance in all species in 2002 and in V. lantana and F. excelsior in 2001. Water-use efficiency decreased and intercellular CO(2) concentrations increased in all species in response to ozone in 2002 only. The width and delta(13)C of the 2001 and 2002 growth rings were measured for all species at the end of the 2002 growing season. Compared with CF seedlings, mean ring width in the AA and NF P. nigra seedlings was reduced by 52 and 46%, respectively, in 2002, whereas in V. lantana and F. excelsior, ring width showed no significant reductions in either year. Although delta(13)C was usually more negative in CF seedlings than in AA and NF seedlings, with the exception of F. excelsior in 2001, ozone effects on delta(13)C were significant only for V. lantana and P. nigra in 2001. Among species, P. nigra exhibited the greatest response to ozone for the measured parameters as well as the most severe foliar injury and was the only species to show a significant reduction in ring width in response to ozone exposure, despite significant negative ozone effects on leaf gas exchange and the development of visible foliar injury in V. lantana and F. excelsior. Thus, significant ozone-induced effects at the leaf level did not correspond to reduced tree-ring growth or increased delta(13)C in all species, indicating that the timing of ozone exposure and severity of leaf-level responses may be important in determining the sensitivity of tree productivity to ozone exposure.

High-resolution modelling of AOT40 and stomatal ozone uptake in wheat and grassland: a comparison between 2000 and the hot summer of 2003 in Switzerland.

The aim was to compare the ozone risk for agricultural crops in Switzerland during the hot and dry year 2003 with the more 'normal' situation in 2000. An improved version of the Ozone DEposition Model ODEM was used at a 2 x 2 km resolution. The distribution of the index AOT40 was compared with the accumulated stomatal ozone flux, AF(st). Averaged AOT40 at 2 m and at canopy height was much higher in 2003 than in 2000, but inter-annual differences in AF(st) for wheat and grasslands were small due to the limiting effect of low soil water contents in 2003. AOT40 suggested larger potential yield losses in wheat in 2003, while using AF(st) with a threshold of 6 nmol m(-2) s(-1) (AF(st)6) yielded similar estimates for both years. The data show that modelling of AF(st) can be used to differentiate ozone risks between regions and years at a national scale.

Predicting community sensitivity to ozone, using Ellenberg Indicator values.

This paper develops a regression-based model for predicting changes in biomass of individual species exposed to ozone (RS(p)), based on their Ellenberg Indicator values. The equation (RS(p)=1.805-0.118Light-0.135 square root Salinity) underpredicts observed sensitivity but has the advantage of widespread applicability to almost 3000 European species. The model was applied to grassland communities to develop two further predictive tools. The first tool, percentage change in biomass (ORI%) was tested on data from a field-based ozone exposure experiment and predicted a 27% decrease in biomass over 5 years compared with an observed decrease of 23%. The second tool, an index of community sensitivity to ozone (CORI), was applied to 48 grassland communities and suggests that community sensitivity to ozone is primarily species-driven. A repeat-sampling routine showed that nine species were the minimum requirement to estimate CORI within 5%.