Denial of long-term issues with agriculture on tropical peatlands will have devastating consequences

Letter to the Editor

Denial of long-term issues with agriculture on tropical peatlands will have devastating consequences

Lette

Increasing frailty is associated with higher prevalence and reduced recognition of delirium in older hospitalised inpatients: results of a multi-centre study

Purpose: Delirium is a neuropsychiatric disorder delineated by an acute change in cognition, attention, and consciousness. It is common, particularly in older adults, but poorly recognised. Frailty is the accumulation of deficits conferring an increased risk of adverse outcomes. We set out to determine how severity of frailty, as measured using the CFS, affected delirium rates, and recognition in hospitalised older people in the United Kingdom. Methods: Adults over 65 years were included in an observational multi-centre audit across UK hospitals, two prospective rounds, and one retrospective note review. Clinical Frailty Scale (CFS), delirium status, and 30-day outcomes were recorded. Results: The overall prevalence of delirium was 16.3% (483). Patients with delirium were more frail than patients without delirium (median CFS 6 vs 4). The risk of delirium was greater with increasing frailty [OR 2.9 (1.8–4.6) in CFS 4 vs 1–3; OR 12.4 (6.2–24.5) in CFS 8 vs 1–3]. Higher CFS was associated with reduced recognition of delirium (OR of 0.7 (0.3–1.9) in CFS 4 compared to 0.2 (0.1–0.7) in CFS 8). These risks were both independent of age and dementia. Conclusion: We have demonstrated an incremental increase in risk of delirium with increasing frailty. This has important clinical implications, suggesting that frailty may provide a more nuanced measure of vulnerability to delirium and poor outcomes. However, the most frail patients are least likely to have their delirium diagnosed and there is a significant lack of research into the underlying pathophysiology of both of these common geriatric syndromes

Evaluation of intra- and extra-epithelial secretory IgA in chlamydial infections

IgA is an important mucosal antibody that can neutralize mucosal pathogens by either preventing attachment to epithelia (immune exclusion) or alternatively inhibit intraepithelial replication following transcytosis by the polymeric immunoglobulin receptor (pIgR). Chlamydia trachomatis is a major human pathogen that initially targets the endocervical or urethral epithelium in women and men, respectively. As both tissues contain abundant SIgA we assessed the protection afforded by IgA targeting different chlamydial antigens expressed during the extra and intraepithelial stages of infection. We developed an in vitro model utilizing polarizing cells expressing the murine pIgR together with antigen-specific mouse IgA, and an in vivo model utilizing pIgR-/- mice. SIgA targeting the extraepithelial chlamydial antigen, the major outer membrane protein (MOMP), significantly reduced infection in vitro by 24 % and in vivo by 44 %. Conversely, pIgR-mediated delivery of IgA targeting the intraepithelial inclusion membrane protein A (IncA) bound to the inclusion but did not reduce infection in vitro or in vivo. Similarly, intraepithelial IgA targeting the secreted protease Chlamydia protease-like activity factor (CPAF) also failed to reduce infection. Together, these data suggest the importance of pIgR-mediated delivery of IgA targeting extra but not intraepithelial chlamydial antigens for protection against a genital tract infection

Effect of Biochar on the Growth, Photosynthesis, Antioxidant System and Cadmium Content of Mentha piperita ‘Chocolate’ and Mentha spicata in Cadmium-Contaminated Soil

Cadmium (Cd) is a common heavy metal contaminant which seriously affects plant growth and environmental safety. Biochar, as an organic soil amendment, has been shown to effectively mitigate Cd damage to plants. To study the effectiveness of biochar on mitigating Cd stress, Mentha piperita ‘chocolate’ and Mentha spicata were used in a pot experiment of Cd stress with a CdCl2 solution (10 mg Kg−1), while a biochar suspension (0, 40, 80, and 160 g Kg−1) was applied to the soil. The effects of Cd on the growth, physiological and biochemical properties, and Cd content in plant tissues of both mint species were found to be significant. The application of 40 g Kg−1, 80 g Kg−1, 160 g Kg−1 biochar significantly alleviated Cd damage to both mint species, increased plant height, leaf length, leaf width, biomass, photosynthetic rate, transpiration rate, stomatal conductance, and chlorophyll content, and decreased antioxidant enzyme activities (including superoxide dismutase, catalase, peroxidase, and polyphenol oxidase) and non-enzymatic antioxidant content (including flavonoids and total phenols). Biochar effectively reduced the Cd uptake by plants and decreased the migration and transformation capacity of Cd in the soil–plant system. In addition, the available nitrogen (available N), available phosphorus (available P), available potassium (available K), and pH in the soil increased after biochar application compared to non-biochar amended soil. The addition of 160 g Kg−1 biochar was shown to have the best performance of the application rates in this experiment and may be considered as an effective way to reduce the damage caused by Cd contamination to M. piperita ‘chocolate’ and M. spicata

Simulation of Calcium Dynamics in Realistic Three-Dimensional Domains

The cytosolic concentration of free calcium ions ([Ca2+]) is an important intracellular messenger in most cell types, and the spatial distribution of [Ca2+] is often critical. In a salivary gland acinar cell, a polarised epithelial cell, whose principal function is to transport water and thus secrete saliva, [Ca2+] controls the secretion of primary saliva, but increases in [Ca2+] are localised to the apical regions of the cell. Hence, any quantitative explanation of how [Ca2+] controls saliva secretion must take into careful account the spatial distribution of the various Ca2+ sources, Ca2+ sinks, and Ca2+-sensitive ion channels. Based on optical slices, we have previously constructed anatomically accurate three-dimensional models of seven salivary gland acinar cells, and thus shown that a model in which Ca2+ responses are confined to the apical regions of the cell is sufficient to provide a quantitative and predictive explanation of primary saliva secretion. However, reconstruction of such anatomically accurate cells is extremely time consuming and inefficient. Here, we present an alternative, mostly automated method of constructing three-dimensional cells that are approximately anatomically accurate and show that the new construction preserves the quantitative accuracy of the model