Clathrin Heavy Chain subunits coordinate endo- and exocytic traffic and affect stomatal movement

The current model for vesicular traffic to and from the plasma membrane is accepted but the molecular requirements for this coordination are not well defined. We have identified the has1 mutant, which has a stomatal function defect, as a clathrin heavy chain 1 (CHC1) mutant allele and show that it has a decreased rate of endocytosis and growth defects that are shared with other chc1 mutant alleles. We used chc1 alleles and the related chc2 mutant as tools to investigate the effects clathrin defects have on secretion pathways and plant growth. We show that secretion and endocytosis at the plasma membrane is sensitive to CHC1 and CHC2 function in seedling roots, and that chc mutants have physiological defects in stomatal function and plant growth that have not been previously described. These findings suggest that clathrin supports specific functions of multiple cell types. Stomata movement and gas exchange is altered in chc mutants, indicating clathrin is important for stomatal regulation. The aberrant function of chc mutant stomata is consistent with the growth phenotypes observed under different water and light conditions, which are also similar to those of the secretory SNARE mutant, syp121. The syp121 and chc mutants have impaired endo- and exocytosis compared to wild type, indicating a link between SYP121-dependent secretion and clathrin-dependent endocytosis at the plasma membrane. Our findings provide evidence that clathrin and SYP121 functions are important for the coordination of endo- and exocytosis, and have an impact on stomatal function, gas exchange, and vegetative growth in Arabidopsis

Exposure-response relationship for noise annoyance and sleep disturbance. An analysis of national data

Blootstelling-responsrelaties voor verkeersgeluid en hinder lijken schaalspecifiek te zijn: relaties opgesteld op internationaal niveau wijken soms af van relaties op nationaal niveau die op hun buurt weer afwijken van relaties op regionaal niveau. Voor beleid betekent dit dat bij toepassing van (inter-)nationale blootstelling-responsrelaties op lokale situaties terdege rekening dient te worden gehouden met de beperkingen en 'vertaalbaarheid' van de relatie naar de lokale situatie. Daarnaast blijkt dat ondanks het gebruik van standaardvragen voor hinder en slaapverstoring, vastgelegd in een ISO-norm, de wijze van operationaliseren van hinder en slaapverstoring van invloed is op de blootstelling-responsrelatie. Dit zijn de belangrijkste bevindingen uit een onderzoek naar de relatie tussen geluid van wegverkeer en hinder en slaapverstoring op basis van gegevens uit het EMPARA-geluidsmodel en de Hinderinventarisatie 2003. In Nederland en binnen de Europese Unie is de verstoring van de leefomgeving door geluid een belangrijk aandachtspunt van beleid, omdat blootstelling aan hoge geluidsniveaus kan leiden tot negatieve effecten op welbevinden en gezondheid, waaronder hinder en slaapverstoring. In het rapport is onderzocht of het mogelijk is om met bestaande Nederlandse onderzoeksgegevens relaties vast te stellen tussen blootstelling aan verkeersgeluid en het optreden van hinder en slaapverstoring. De resultaten zijn vergeleken met de voorstellen voor relaties die in Europees verband zijn gedaan en de uitkomsten van de Gezondheidskundige Evaluatie Schiphol. Hierbij traden belangrijke verschillen aan het licht. Een belangrijke kanttekening bij de resultaten is dat slechts een beperkt aantal deelnemers aan het onderzoek is blootgesteld aan hogere geluidbelastingniveaus waardoor de betrouwbaarheidsintervallen voor hoge blootstellingen groot zijn. Dit is het gevolg van de scheve (min of meer log-normale) verdeling van geluidblootstelling in de Nederlandse bevolking.Exposure-response relations for traffic sound and annoyance appear to be scale-specific: relationships established at international levels sometimes deviate from national relationships; in turn these relations can deviate from regional ones. For policy, this means that due consideration should be given to the limitations and transferability of (inter-) national exposure-response relationships used in local situations. The definition and operationalisation of the terms 'annoyance' and 'sleep disturbance' can have a profound impact on the results. Although survey questions on annoyance conform to the ISO standard, the different interpretations of annoyance found in the literature can result in differences between exposure-response relationships. These are the main findings from a study investigating the relation between traffic sound and annoyance and sleep disturbance on the basis of the EMPARA noise model and a periodic national Annoyance survey (2003). Disturbance of the living environment through noise exposure is of concern, both in the Netherlands and the European Union. Exposure to high levels of noise can have adverse effects (annoyance and sleep disturbance) on health and well-being. The study described used existing Dutch data for determining the relationship between exposure to transport noise, and annoyance and sleep disturbance. The results from the Annoyance survey and EMPARA were compared with the proposals of the EU Noise Expert Network and the outcome of the monitoring programme, Health Impact Assessment - Schiphol Airport. The comparison revealed significant differences. In the Annoyance survey only few respondents experienced relatively high exposure levels. This resulted in large confidence intervals at high exposures.MN

Satisfaction and annoyance of residents in neighbourhoods situated near industrial activity. Analysis of telephone survey data on the residential environment

In many of the Dutch national policy plans, environmental quality is a strong guiding principle. From an environmental science and policy perspective, environmental quality at the local level is affected by sound, odour and air pollution, as well as external safety risks. This study examines the relationship between people's perception of sound and odour (noise and odour annoyance) and the perceived environmental quality, represented as residential satisfaction (RS). Data from 19 telephone surveys (TLO) were compiled in a large TLO database. In the present study data from 17 TLOs performed in 86 locations, covering 18,000 respondents were analysed. Typically, TLOs are used for policy or maintenance purposes to assess the RS of people living in the vicinity of industrial plants or factories. Data on (individual) exposure levels were not available for these analyses. A remarkeble finding is the observed dispersion of correlations between annoyance and satisfaction per location (n=84, correlations for sound and satisfaction: -0,57 en 0,07; for odour and satisfaction between: -0,57 en 0,37). For this reason a multi-level analysis (MLA) was performed. This finding indicates location specific differences, probably due to differences in exposure levels. Furthermore, tenure and type of dwelling appeared to be relatively strong predictors of residential satisfaction. Homeowners appeared to be more satisfied than tenants. People in flats were more dissatisfied than people living in (semi-)detached houses. Annoyance from noise and (offensive) odours was another, relatively strong, predictor of RS. In general, residents reporting more annoyance were less satisfied with their residential situation. Other predictors of RS were age, gender, and the number of facilities in the dwelling. Older people and women were more satisfied with their residential situation than younger people and men, respectively. The more facilities present in the dwelling, the more satisfied residents appeared to be. Residential satisfaction is determined by a combination of subjective (e.g. annoyance), objective (e.g. number of facilities) and personal factors (e.g. age, gender). Annoyance appears to be a relatively important factor of residential satisfaction but tenure and dwelling type appear to be, relatively, more important. It is strongly recommended to add sound and odour exposure data to the TLO-database.Het begrip 'kwaliteit' speelt in steeds meer beleidsvoornemens van de (rijks)overheid een krachtig sturende rol. Voor de lokale omgeving, de leefomgeving, is de algemene beleidsdoelstelling van VROM het verbeteren en in stand houden van de woonkwaliteit. Belangrijke determinanten van de ervaren kwaliteit van de leefomgeving zijn (hinder van) geluid, geur, luchtverontreiniging en externe veiligheid. In dit onderzoek wordt de invloed van hinder van geluid en geur op de ervaren kwaliteit (tevredenheid) van de leefomgeving onderzocht. De belangrijkste vragen waren a) wat is de invloed van hinder op de woontevredenheid en b) welke persoons- en/of woonkenmerken zijn van invloed op de woontevredenheid? De gegevens zijn verzameld met behulp van Telefonische Leefsituatie Onderzoeken (TLO's) bij mensen die in de buurt van (industriele) bedrijvigheid wonen. Verschillende TLO's (n=19) zijn in een groot TLO-bestand samengevoegd. In deze analyse is gebruik gemaakt van 17 TLO's met daarin in totaal 86 onderzoekslocaties en ongeveer 18.000 respondenten. Vanwege de gelaagde structuur van de gegevens is uitgevoerd. Gegevens over (individuele) blootstellingniveaus waren voor deze analyses niet beschikbaar. Een opmerkelijk bevinding is de grote spreiding in de (cor)relatie tussen woontevredenheid en hinder per locatie (n=84, correlaties voor geluid tussen: -0,57 en 0,07; voor geur tussen -0,57 en 0,37). Dit is de reden waarom in afwijking van eerder onderzoek een multi-level analyse (MLA) is uitgevoerd. Deze bevinding duidt op locatie-specifieke verschillen die van invloed kunnen zijn op de relatie woontevredenheid en hinder. Verschillen in blootstellingsnivo's zouden hieraan ten grondslag kunnen liggen. De andere bevindingen zijn in overeenstemming met resultaten van soortgelijk onderzoek. De bezitsvorm van de woning (eigenaar-huurder) en het type woning blijken relatief belangrijke voorspellers van tevredenheid met de leefomgeving. In het algemeen zijn huurders minder tevreden dan eigenaren. Flatbewoners zijn minder tevreden dan mensen in (half)vrijstaande huizen. Daarnaast blijkt hinder (van lawaai en stank) een relatief belangrijke voorspeller van woontevredenheid te zijn. Naarmate respondenten meer hinder ondervinden zijn ze minder tevreden met hun leefomgeving. De leeftijd, het geslacht, en het aantal voorzieningen in de woning van de respondent zijn eveneens voorspellers van woontevredenheid, zij het in mindere mate. Vrouwen en oudere mensen zijn meer tevreden met hun leefomgeving dan mannen respectievelijk jongere mensen. Naarmate in een woning meer voorzieningen aanwezig zijn tonen de bewoners zich meer tevreden. De tevredenheid met de leefomgeving in woongebieden nabij industriele activiteit wordt bepaald door een mix van persoons-, belevings- en omgevingsgebonden kenmerken. De mate van hinder is een relatief belangrijke determinant van woontevredenheid maar is niet de belangrijkste. Bezitsvorm van de woning en type woning zijn, relatief gezien, belangrijker. Het is aan te bevelen de, mede op basis van de variatie in de relatie tussen hinder en woontevredenheid de TLO-data uit te breiden met (vergelijkbare) blootstellingsgegevens

Evaluation of coagulation activation after Rhinovirus infection in patients with asthma and healthy control subjects: an observational study

Background Asthma exacerbations are frequently triggered by rhinovirus infections. Both asthma and respiratory tract infection can activate haemostasis. Therefore we hypothesized that experimental rhinovirus-16 infection and asthmatic airway inflammation act in synergy on the haemostatic balance. Methods 28 patients (14 patients with mild allergic asthma and 14 healthy non-allergic controls) were infected with low-dose rhinovirus type 16. Venous plasma and bronchoalveolar lavage fluid (BAL fluid) were obtained before and 6 days after infection to evaluate markers of coagulation activation, thrombin-antithrombin complexes, von Willebrand factor, plasmin-antiplasmin complexes, plasminogen activator inhibitor type-1, endogenous thrombin potential and tissue factor-exposing microparticles by fibrin generation test, in plasma and/or BAL fluid. Data were analysed by nonparametric tests (Wilcoxon, Mann Whitney and Spearman correlation). Results 13 patients with mild asthma (6 females, 19-29 y) and 11 healthy controls (10 females, 19-31 y) had a documented Rhinovirus-16 infection. Rhinovirus-16 challenge resulted in a shortening of the fibrin generation test in BAL fluid of asthma patients (t = -1: 706 s vs. t = 6: 498 s; p = 0.02), but not of controls (t = -1: 693 s vs. t = 6: 636 s; p = 0.65). The fold change in tissue factor-exposing microparticles in BAL fluid inversely correlated with the fold changes in eosinophil cationic protein and myeloperoxidase in BAL fluid after virus infection (r = -0.517 and -0.528 resp., both p = 0.01). Rhinovirus-16 challenge led to increased plasminogen activator inhibitor type-1 levels in plasma in patients with asthma (26.0 ng/mL vs. 11.5 ng/mL in healthy controls, p = 0.04). Rhinovirus-16 load in BAL showed a linear correlation with the fold change in endogenous thrombin potential, plasmin-antiplasmin complexes and plasminogen activator inhibitor type-1. Conclusions Experimental rhinovirus infection induces procoagulant changes in the airways of patients with asthma through increased activity of tissue factor-exposing microparticles. These microparticle-associated procoagulant changes are associated with both neutrophilic and eosinophilic inflammation. Systemic activation of haemostasis increases with Rhinoviral load

Assessing the quality and communicative aspects of patient decision aids for early-stage breast cancer treatment: a systematic review

Purpose: Decision aids (DAs) support patients in shared decision-making by providing balanced evidence-based treatment information and eliciting patients’ preferences. The purpose of this systematic review was to assess the quality and communicative aspects of DAs for women diagnosed with early-stage breast cancer. Methods: Twenty-one currently available patient DAs were identified through both published literature (MEDLINE, Embase, CINAHL, CENTRAL, and PsycINFO) and online sources. The DAs were reviewed for their quality by using the International Patient Decision Aid Standards (IPDAS) checklist, and subsequently assessed to what extent they paid attention to various communicative aspects, including (i) information presentation, (ii) personalization, (iii) interaction, (iv) information control, (v) accessibility, (vi) suitability, and (vii) source of information. Results: The quality of the DAs varied substantially, with many failing to comply with all components of the IPDAS criteria (mean IPDAS score = 64%, range 31–92%). Five aids (24%) did not include any probability information, 10 (48%) presented multimodal descriptions of outcome probabilities (combining words, numbers, and visual aids), and only 2 (10%) provided personalized treatment outcomes based on patients and tumor characteristics. About half (12; 57%) used interaction methods for eliciting patients’ preferences, 16 (76%) were too lengthy, and 5 (24%) were not fully accessible. Conclusions: In addition to the limited adherence to the IPDAS checklist, our findings suggest that communicative aspects receive even less attention. Future patient DA developments for breast cancer treatment should include communicative aspects that could influence the uptake of DAs in daily clinical practice