The evolution of intermediate-mass stars at very low metallicity during their final thermal pulse asymptotic giant branch (AGB) phase is studied in detail. As representative examples, models with initial masses of 4 and 5 M☉ and with a metallicity of Z = 0.0001 ([Fe/H] ~ -2.3) are discussed. The one-dimensional stellar structure and evolution model includes time- and depth-dependent overshooting motivated by hydrodynamic simulations, as well as a full nuclear network and time-dependent mixing. Particular attention is given to high time and space resolution to avoid numerical artifacts related to third dredge-up and hot bottom burning predictions. The model calculations predict very efficient third dredge-up that mixes the envelope with the entire intershell layer or a large fraction thereof and in some cases penetrates into the C/O core below the He shell. In all cases primary oxygen is mixed into the envelope. The models predict efficient envelope burning during the interpulse phase. Depending on the envelope-burning temperature, oxygen is destroyed to varying degrees. The combined effect of dredge-up and envelope burning does not lead to any significant oxygen depletion in any of the cases considered in this study. The large dredge-up efficiency in our model is closely related to the particular properties of the H shell during the dredge-up phase in low-metallicity very metal-poor stars, which is followed here over many thermal pulses. During the dredge-up phase, the temperature just below the convective boundary is large enough for protons to burn vigorously when they are brought into the C-rich environment below the convection boundary by the time- and depth-dependent overshooting. H-burning luminosities of 105 to ~2 × 106 L☉ are generated. C, and to lesser degree O, is transformed into N in this dredge-up overshooting layer and enters the envelope. The global effect on the CNO abundance is similar to that of hot bottom burning. If the overshoot efficiency is larger, then dredge-up H burning causes a further increase in the dredge-up efficiency. After some thermal pulses, the dredge-up proceeds through the He shell and into the CO core beneath. Then neutrons may not be released from 13C in radiative conditions during the interpulse phase because of the scarcity of α-particles for the 13C(α,n)16O reactions. Conditions for the s-process are discussed qualitatively. The abundance evolution of H, He, C, N, O, and Na is described. Finally, the model predictions for sodium and oxygen are compared with observed abundances. The notion that massive AGB stars are the origin of the O-Na abundance anticorrelation in globular cluster giants is not consistent with the model predictions of this study. The abundance of the C-rich extremely metal-poor binaries LP 625-44, CS 29497-030, and HE 0024-2523 is discussed.
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