Factors influencing the electronic capture of patient-reported contact lens performance data.

PURPOSE: Electronic data capture is becoming increasingly common for collecting real-time patient responses. The purpose of this study was to investigate compliance with a daily electronic questionnaire regarding night-time contact lens visual performance. METHOD: Forty-eight subjects (34 females) were fit and dispensed two contralateral pairs of soft contact lenses (SCLs) for one week each. Subjects were sent a nightly e-mail at 8PM containing a secure, individualized link to an electronic questionnaire asking 30 questions of varying response styles (e.g., multiple choice, short answer, etc.) about SCL visual performance. Subjects were instructed to complete the questionnaire before going to bed. RESULTS: The overall completion rate based on 676 electronic questionnaires was 95.1%. Of these, only 3.6% were completed late (<24h). The percentage of subjects completing all questionnaires was significantly higher on weekdays (96.5%; Sunday through Thursday) than on weekends (91.1%; Friday and Saturday). Fisher exact tests indicated no significant association with gender for either weekday (p=0.25) or weekend (p=0.73). Although odds ratio estimates suggested that participants 23 and older were more likely to complete the questionnaire (weekday: OR=4.39, p=0.10; weekend: OR=2.93, p=0.19), these associations did not reach statistical significance. CONCLUSIONS: E-mail based questionnaires provide an effective method for acquiring time specific responses, making them a viable clinical and research tool. The day(s) of the week on which assessments occur need to be strongly considered, as on-time compliance may be affected on weekend evenings, or possibly situations in which a typical schedule may not be followed.

Interactions of Thellungiella salsuginea dehydrins TsDHN-1 and TsDHN-2 with membranes at cold and ambient temperatures-surface morphology and single-molecule force measurements show phase separation, and reveal tertiary and quaternary associations.

Dehydrins (group 2 late embryogenesis abundant proteins) are intrinsically-disordered proteins that are expressed in plants experiencing extreme environmental conditions such as drought or low temperature. Their roles include stabilizing cellular proteins and membranes, and sequestering metal ions. Here, we investigate the membrane interactions of the acidic dehydrin TsDHN-1 and the basic dehydrin TsDHN-2 derived from the crucifer Thellungiella salsuginea that thrives in the Canadian sub-Arctic. We show using compression studies with a Langmuir-Blodgett trough that both dehydrins can stabilize lipid monolayers with a lipid composition mimicking the composition of the plant outer mitochondrial membrane, which had previously been shown to induce ordered secondary structures (disorder-to-order transitions) in the proteins. Ellipsometry of the monolayers during compression showed an increase in monolayer thickness upon introducing TsDHN-1 (acidic) at 4°C and TsDHN-2 (basic) at room temperature. Atomic force microscopy of supported lipid bilayers showed temperature-dependent phase transitions and domain formation induced by the proteins. These results support the conjecture that acidic dehydrins interact with and potentially stabilize plant outer mitochondrial membranes in conditions of cold stress. Single-molecule force spectroscopy of both proteins pulled from supported lipid bilayers indicated the induced formation of tertiary conformations in both proteins, and potentially a dimeric association for TsDHN-2.