The EC-COMPASS: Long-term, multi-centre surveillance of Enterobacter cloacae complex - a clinical perspective.

BACKGROUND: Enterobacter cloacae complex (ECCO) comprises closely related Enterobacterales, causing a variety of infections ranging from mild urinary tract infections to severe bloodstream infections. ECCO has emerged as a significant cause of healthcare-associated infections, particularly in neonatal and adult intensive care. AIM: The Enterobacter Cloacae COMplex PASsive Surveillance (EC-COMPASS) aims to provide a detailed multi-centre overview of ECCO epidemiology and resistance patterns detected in routine microbiological diagnostics in four German tertiary-care hospitals. METHODS: In a sentinel cluster of four German tertiary-care hospitals, all culture-positive ECCO results between 1st January 2020 and 31st December 2022, were analysed based on Hybase® laboratory data. FINDINGS: Analysis of 31,193 ECCO datasets from 14,311 patients revealed a higher incidence in male patients (P<0.05), although no significant differences were observed in ECCO infection phenotypes. The most common sources of ECCO were swabs (42.7%), urine (17.5%), respiratory secretions (16.1%), blood cultures (8.9%) and tissue samples (5.6%). The annual bacteraemia rate remained steady at approximately 33 cases per hospital. Invasive ECCO infections were predominantly found in oncology and intensive care units. Incidences of nosocomial outbreaks were infrequent and limited in scope. Notably, resistance to carbapenems was consistently low. CONCLUSION: EC-COMPASS offers a profound clinical perspective on ECCO infections in German tertiary-healthcare settings, highlighting elderly men in oncology and intensive care units as especially vulnerable to ECCO infections. Early detection strategies targeting at-risk patients could improve ECCO infection management.

Ultra-low-dose CTKUB: the new standard of follow-up of ureteric calculi not visible on plain radiograph?

PURPOSE: With sensitivities over 95%, non-contrast computer tomography of kidney, ureter and bladder (CTKUB) is the investigation of choice in renal colic to diagnose or exclude ureteric calculi. CTKUB delivers an average effective radiation dose of 5.4 millisievert (mSv) and is used to follow-up calculi not visible on plain X-ray, whereas plain radiography has a radiation exposure of 0.7 mSv and is used to follow-up radio-opaque calculi. We assessed the effectiveness of using ultra-low-dose CTKUB (ULDCTKUB) for the follow-up of ureteric calculi not visible on plain radiograph of the kidneys, ureter and bladder (KUB), as an emerging option to reduce radiation exposure compared to standard dose CTKUB. METHODS: Between 2013 and 2016 we retrospectively analysed 86 patients who underwent ULDCTKUB for CTKUB-confirmed ureteric calculi that were not visible on plain radiography. Patients were identified from our Radiology Management System with additional information from electronic patient records. RESULTS: 98% of ULDCTKUBs were of diagnostic quality; two patients required further cross-sectional imaging. 67% of patients had passed their calculi after the initial diagnostic CTKUB. In the remaining 33% who had persistent calculi on ULDCTKUB, 20% required surgical intervention and 13% required no intervention. The mean ULDCTKUB effective radiation dose was six times lower than conventional CTKUB (0.8 vs 5.4 mSv). 67% of patients had a radiation dose equivalent to X-ray KUB (< 1 mSv). CONCLUSION: ULDCTKUB is a reliable and safe follow-up investigation of ureteric calculi and has absorbed radiation doses similar to plain radiography and lower than annual background radiation. We advocate ULDCTKUB as the primary imaging modality in the follow-up of ureteric calculi not visible on plain radiograph.

Relationships between nitrogen cycling microbial community abundance and composition reveal the indirect effect of soil pH on oak decline.

Tree decline is a global concern and the primary cause is often unknown. Complex interactions between fluctuations in nitrogen (N) and acidifying compounds have been proposed as factors causing nutrient imbalances and decreasing stress tolerance of oak trees. Microorganisms are crucial in regulating soil N available to plants, yet little is known about the relationships between soil N-cycling and tree health. Here, we combined high-throughput sequencing and qPCR analysis of key nitrification and denitrification genes with soil chemical analyses to characterise ammonia-oxidising bacteria (AOB), archaea (AOA) and denitrifying communities in soils associated with symptomatic (declining) and asymptomatic (apparently healthy) oak trees (Quercus robur and Q. petraea) in the United Kingdom. Asymptomatic trees were associated with a higher abundance of AOB that is driven positively by soil pH. No relationship was found between AOA abundance and tree health. However, AOA abundance was driven by lower concentrations of NH4+, further supporting the idea of AOA favouring lower soil NH4+ concentrations. Denitrifier abundance was influenced primarily by soil C:N ratio, and correlations with AOB regardless of tree health. These findings indicate that amelioration of soil acidification by balancing C:N may affect AOB abundance driving N transformations, reducing stress on declining oak trees.

Impacto de un programa educativo sobre epilepsia en los conocimientos generales de la comunidad: Experiencia de la Liga Chilena contra la Epilepsia (LICHE) entre los años 2018 y 2019 / Impact of an Epilepsy Educational Program on the General Knowledge of the Community: Experience of the Chilean League Against Epilepsy (LICHE) between 2018 and 2019

La epilepsia es una enfermedad neurológica crónica, no transmisible, que afecta en la actualidad a cerca de 50 millones de personas en el mundo. Un aspecto particular de esta patología se refiere al impacto psicosocial negativo que la acompaña, específicamente lo que se refiere a estigma y discriminación. Pese a los grandes avances en el conocimiento científico de esta patología dicho impacto psicosocial negativo se mantiene; estudios realizados en diferentes grupos y poblaciones así lo confirman. El objetivo del presente estudio es determinar si los programas educativos realizados por la Liga Chilena contra la Epilepsia que ha desarrollado desde hace varias décadas para toda la comunidad, con diferentes estrategias metodológicas, de manera de contribuir en la labor de mejorar la calidad de vida de las personas con epilepsia, sus familiares y cuidadores, aumentan los conocimientos sobre las Epilepsias en la población que participa. La capacitación mejoró significativamente los conocimientos en todos los ítems. El mayor impacto se produjo en las preguntas sobre las cuales había desconocimiento.

Epilepsy is a chronic, non-communicable neurological disease that currently affects nearly 50 million people worldwide. A particular aspect of this pathology refers to the negative psychosocial impact that accompanies it, specifically regarding stigma and discrimination. Despite great advances in scientific knowledge of this pathology this negative psychosocial impact remains; studies in different groups and populations confirm this. The objective of this study is to determine whether the educational programs carried out by the Chilean League against Epilepsy which it has developed for several decades for the whole community, with different methodological strategies, in order to contribute to the work of improving the quality of life of people with epilepsy, their families and caregivers, increase knowledge about epilepsy in the people that participate in them. The training significantly improved the knowledge in all items. The greatest impact occurred on questions about which there was no prior knowledge.

[Guidelines for the Management of Community Acquired Pneumonia in Children and Adolescents (Pediatric Community Acquired Pneumonia, pCAP) - Issued under the Responsibility of the German Society for Pediatric Infectious Diseases (DGPI) and the German Society for Pediatric Pulmonology (GPP)]. / S2k-Leitlinie Management der ambulant erworbenen Pneumonie bei Kindern und Jugendlichen (pädiatrische ambulant erworbene Pneumonie, pCAP).

The present guideline aims to improve the evidence-based management of children and adolescents with pediatric community-acquired pneumonia (pCAP). Despite a prevalence of approx. 300 cases per 100 000 children per year in Central Europe, mortality is very low. Prevention includes infection control measures and comprehensive immunization. The diagnosis can and should be established clinically by history, physical examination and pulse oximetry, with fever and tachypnea as cardinal features. Additional signs or symptoms such as severely compromised general condition, poor feeding, dehydration, altered consciousness or seizures discriminate subjects with severe pCAP from those with non-severe pCAP. Within an age-dependent spectrum of infectious agents, bacterial etiology cannot be reliably differentiated from viral or mixed infections by currently available biomarkers. Most children and adolescents with non-severe pCAP and oxygen saturation > 92 % can be managed as outpatients without laboratory/microbiology workup or imaging. Anti-infective agents are not generally indicated and can be safely withheld especially in children of young age, with wheeze or other indices suggesting a viral origin. For calculated antibiotic therapy, aminopenicillins are the preferred drug class with comparable efficacy of oral (amoxicillin) and intravenous administration (ampicillin). Follow-up evaluation after 48 - 72 hours is mandatory for the assessment of clinical course, treatment success and potential complications such as parapneumonic pleural effusion or empyema, which may necessitate alternative or add-on therapy.

Coherent Excitation of Heterosymmetric Spin Waves with Ultrashort Wavelengths.

In the emerging field of magnonics, spin waves are foreseen as signal carriers for future spintronic information processing and communication devices, owing to both the very low power losses and a high device miniaturization potential predicted for short-wavelength spin waves. Yet, the efficient excitation and controlled propagation of nanoscale spin waves remains a severe challenge. Here, we report the observation of high-amplitude, ultrashort dipole-exchange spin waves (down to 80 nm wavelength at 10 GHz frequency) in a ferromagnetic single layer system, coherently excited by the driven dynamics of a spin vortex core. We used time-resolved x-ray microscopy to directly image such propagating spin waves and their excitation over a wide range of frequencies. By further analysis, we found that these waves exhibit a heterosymmetric mode profile, involving regions with anti-Larmor precession sense and purely linear magnetic oscillation. In particular, this mode profile consists of dynamic vortices with laterally alternating helicity, leading to a partial magnetic flux closure over the film thickness, which is explained by a strong and unexpected mode hybridization. This spin-wave phenomenon observed is a general effect inherent to the dynamics of sufficiently thick ferromagnetic single layer films, independent of the specific excitation method employed.

Trends in surface water chemistry in afforested Welsh catchments recovering from acidification, 1991-2012.

A key criterion of the UK Government's policy on sustainable forest management is safeguarding the quality and quantity of water. Forests and forestry management practices can have profound effects on the freshwater environment. Poor forest planning or management can severely damage water resources at great cost to other water users; in contrast good management that restores and maintains the natural functions of woodland can benefit the whole aquatic ecosystem. Forests and forest management practices can affect surface water acidification. Monitoring of water chemistry in ten forest and two moorland acid-sensitive catchments in upland Wales commenced in 1991. The streams were selected to supplement the United Kingdom Upland Waters Monitoring Network (UWMN) with additional examples of afforested catchments. Analysis of 22 years of water chemistry data revealed trends indicative of recovery from acidification. Excess sulphate exhibited a significant coherent decline, accompanied by increases in pH and "charge-balance based" acid neutralising capacity (CB-ANC). Alkalinity and "alkalinity-based" acid neutralising capacity (AB-ANC) exhibited fewer trends, possibily due to the variable responses of the organic - carbonate species to increasing pH in these low alkalinity streams. Whilst total anthropogenic acidity declined, dissolved organic carbon and Nitrate-Nitrogen (NNO3) concentrations have risen, and the contribution of NNO3 to acidification has increased. Between-stream variability was analysed using Principal Component Analysis of the trend slopes. Hierarchical clustering of the changes in stream water chemistry indicated three distinct clusters with no absolute distinction between moorland and forest streams. Redundancy analysis was used to test for significant site-specific variables that explained differences in the trend slopes, with rainfall, crop age, base cation concentration and forest cover being significant explanatory variables.

Evolution of the IgE and IgG repertoire to a comprehensive array of allergen molecules in the first decade of life.

BACKGROUND: In early childhood, the allergen-specific IgG repertoire is mainly directed to animal and vegetable food molecules and infrequently to airborne molecules. It is unknown whether this early pattern is maintained throughout childhood. OBJECTIVE: To investigate the evolution of IgG and IgE responses to a broad panel of allergenic molecules from birth to age 10 years. METHODS: We examined the sera collected between birth and age 10 years from participants in the German Multicentre Allergy Study, a birth cohort born in 1990. The IgE (cutoff ≥0.30 ISU) and IgG (cutoff ≥0.10 ISU) responses to 35 genuine allergenic molecules were measured with a multiplex microarray approach (ImmunoCAP ISAC™). RESULTS: IgE responses were mostly directed against a restricted group of airborne molecules, with a sequence and prevalence hierarchy (Phl p 1> Bet v 1> Fel d 1> Phl p 5> Der p 2> Der p 1) largely maintained over time. Conversely, the IgG repertoire was much broader, starting with animal foodborne, then spreading to vegetable foodborne and finally to airborne molecules. A strong and persistent IgG response to a given airborne molecule almost invariably preceded or accompanied an IgE response to that molecule. CONCLUSIONS: The evolution of IgG and IgE responses throughout childhood differs widely at population level. IgG responses are mostly directed to animal food allergens, while IgE responses are dominated by airborne allergens. However, a strong IgG response almost invariably precedes or accompanies the appearance of IgE to the same molecule in specifically sensitized subjects.

Improvement of lay rescuer chest compressions with a novel audiovisual feedback device : A randomized trial.

BACKGROUND: Bystander actions and skills determine among others the outcome of out-of-hospital cardiac arrest. However, the depth and rate of chest compressions (CC) are difficult to estimate for laypeople and poor CC quality may result. Our study aimed to evaluate the impact of a new feedback device on CC performance by laypeople. The percentage of CC with both correct rate and correct depth of all CC served as primary endpoint. METHODS: Forty-eight subjects with no medical background performed 2 min of CC on a manikin with and without a novel feedback device (TrueCPR™, Physio-Control, Redmond, Wash.). The device uses a novel, non-accelerometer-based technology. Participants were randomized into two groups. Group 1 performed a 2-min CC trial first with audiovisual feedback followed by a trial with no feedback information, while group 2 performed the task in reverse order. RESULTS: The absolute percentage of CC with correct rate and depth was significantly higher with the use of the device (59 ± 34% vs. 15 ± 21%, p < 0.0001). The longest interval without correct CC was significantly decreased (76.5 s vs. 27.5 s, p < 0.0001). CONCLUSION: The quality of CC carried out by laypeople is significantly improved with the use of a new feedback device. The device may be useful for cardiopulmonary resuscitation (CPR) by laypeople and for educational purposes.

[S2k-Guideline on Meniscus Diseases: from Aetiology to Scoring]. / S2k-Leitlinie Meniskuserkrankung: Von der Ätiologie bis zum Scoring.

The number of patients with meniscal injuries is increasing constantly, but the treatment algorithms are undergoing continuous change. The effects of meniscal surgery, as well as the indications for the procedure, are currently a matter of heated debate. Various German speaking associations addressing topics related to the knee have joined forces to develop guidelines for the diagnosis, evaluation and therapy of meniscal lesions. The hope is that this first of two publications will shed light on some of the ongoing issues and offer guidance to health care professionals treating these patients.

[Enzalutamide and Abiraterone in the Treatment of Metastatic Castration-resistant Prostate Cancer after Chemotherapy]. / Enzalutamid a abirateron v lécbe metastatického kastracne refrakterního karcinomu prostaty po predchozí chemoterapii.

AIM: Enzalutamide and abiraterone represent new therapeutical options in the treatment of metastatic castration-resistant prostate cancer (mCRPC). The aim of the presented study was retrospective analysis of clinical experience and efficacy of enzalutamide or abiraterone in the postchemo indication in patients with mCRPC. PATIENTS AND METHODS: A total of 32 mCRPC patients were evaluated. All patients received one or more lines of chemotherapy. Twenty-three patients were treated by enzalutamide, nine patients were treated by abiraterone. We defined two parameters: over all survival and progression-free survival. RESULTS: The median follow-up was 6.5 months. A total of 10 patients treated by enzalutamide progressed (43.47%) and eight patients died (34.78%). A total of five patients treated by abiraterone progressed (55.56%) and one patient died (11.11%). We did not observe any statistical difference in over all survival (HR 0.2362, 95% CI 0.0295- 1.8942; p = 0.102) and in progression-free survival (HR 0.9853, 95% CI 0.2934- 3.308; p = 0.939) between enzalutamide and abirateron. CONCLUSION: Our retrospective study demonstrated similar efficacy of enzalutamide and abiraterone in mCRPC patients previously treated by chemotherapy.

Longitudinal copy number, whole exome and targeted deep sequencing of 'good risk' IGHV-mutated CLL patients with progressive disease.

The biological features of IGHV-M chronic lymphocytic leukemia responsible for disease progression are still poorly understood. We undertook a longitudinal study close to diagnosis, pre-treatment and post relapse in 13 patients presenting with cMBL or Stage A disease and good-risk biomarkers (IGHV-M genes, no del(17p) or del(11q) and low CD38 expression) who nevertheless developed progressive disease, of whom 10 have required therapy. Using cytogenetics, fluorescence in situ hybridisation, genome-wide DNA methylation and copy number analysis together with whole exome, targeted deep- and Sanger sequencing at diagnosis, we identified mutations in established chronic lymphocytic leukemia driver genes in nine patients (69%), non-coding mutations (PAX5 enhancer region) in three patients and genomic complexity in two patients. Branching evolutionary trajectories predominated (n=9/13), revealing intra-tumoural epi- and genetic heterogeneity and sub-clonal competition before therapy. Of the patients subsequently requiring treatment, two had sub-clonal TP53 mutations that would not be detected by standard methodologies, three qualified for the very-low-risk category defined by integrated mutational and cytogenetic analysis and yet had established or putative driver mutations and one patient developed progressive, therapy-refractory disease associated with the emergence of an IGHV-U clone. These data suggest that extended genomic and immunogenetic screening may have clinical utility in patients with apparent good-risk disease.

Characterization of Differentiated SH-SY5Y as Neuronal Screening Model Reveals Increased Oxidative Vulnerability.

The immortalized and proliferative cell line SH-SY5Y is one of the most commonly used cell lines in neuroscience and neuroblastoma research. However, undifferentiated SH-SY5Y cells share few properties with mature neurons. In this study, we present an optimized neuronal differentiation protocol for SH-SY5Y that requires only two work steps and 6 days. After differentiation, the cells present increased levels of ATP and plasma membrane activity but reduced expression of energetic stress response genes. Differentiation results in reduced mitochondrial membrane potential and decreased robustness toward perturbations with 6-hydroxydopamine. We are convinced that the presented differentiation method will leverage genetic and chemical high-throughput screening projects targeting pathways that are involved in the selective vulnerability of neurons with high energetic stress levels.

Thermal inactivation of foot and mouth disease virus in extruded pet food.

The risk of importing foot and mouth disease, a highly contagious viral disease of livestock, severely restricts trade and investment opportunities in many developing countries where the virus is present. This study was designed to investigate the inactivation of foot and mouth disease virus (FMDV) by heat treatments used in extruded commercial pet food manufacture. If extrusion could be shown to reliably inactivate the virus, this could potentially facilitate trade for FMDV-endemic countries. The authors found that there was no detectable virus following: i) treatment of FMDVspiked meat slurry at 68°C for 300 s; ii) treatment of FMDV-spiked slurry and meal mix at 79°C for 10 or 30 s, or iii) treatment of homogenised bovine tongue epithelium, taken from an FMDV-infected animal, at 79°C for 10 s. This corresponds to an estimated 8 log10 reduction in titre (95% credible interval: 6 log10 -13 log10). Furthermore, the authors found that the pH of the slurry and meal mix was sufficient to inactivate FMDV in the absence of heat treatment. This demonstrates that heat treatments used in commercial pet food manufacture are able to substantially reduce the titre of FMDV in infected raw materials.

En raison du risque d'introduction de la fièvre aphteuse, une maladie virale très contagieuse affectant le bétail, les échanges internationaux et les possibilités d'investissement de nombreux pays en développement sont soumis à des restrictions majeures. La présente étude vise à déterminer si les traitements thermiques appliqués lors de la fabrication industrielle d'aliments extrudés destinés aux animaux de compagnie sont efficaces pour inactiver le virus de la fièvre aphteuse dans ces produits. Si la procédure d'extrusion avait pour propriété démontrée d'inactiver le virus de manière fiable, les pays où le virus de la fièvre aphteuse est présent à l'état endémique pourraient accéder plus facilement aux échanges internationaux. Les auteurs n'ont pas trouvé de virus détectable à l'issue des opérations suivantes : i) traitement à 68 °C pendant 300 s d'une bouillie de viandes à laquelle avait été ajoutée une quantité connue de virus de la fièvre aphteuse ; ii) traitement à 79 °C pendant 10 ou 30 s d'un mélange de bouillie et de pâté auquel avait été ajoutée une quantité connue de virus de la fièvre aphteuse ; iii) traitement à 79 °C pendant 10 s d'un échantillon homogénéisé d'épithélium lingual prélevé d'un bovin atteint de fièvre aphteuse. Ces résultats correspondent à une réduction estimée du titre de 8 log10 (intervalle de confiance à 95 % : 6 log10 ­13 log10). En outre, les auteurs ont constaté que le pH du mélange de bouillie et de pâté était de nature à inactiver le virus de la fièvre aphteuse, en l'absence de traitement thermique. Ces résultats démontrent que les traitements thermiques utilisés lors de la fabrication industrielle d'aliments pour animaux de compagnie permettent de réduire de manière importante les titres du virus de la fièvre aphteuse dans les matières premières infectées.

El riesgo de importar fiebre aftosa, enfermedad vírica muy contagiosa que afecta al ganado vacuno, restringe sobremanera el comercio y las oportunidades de inversión en muchos países en desarrollo en los que el virus está presente. Los autores describen un estudio encaminado a analizar el método de inactivación del virus por calor que se emplea en la fabricación industrial de piensos extrusionados para animales de compañía. Si quedaba demostrado que la extrusión es un método fiable para inactivar el virus de la fiebre aftosa, ello podría abrir perspectivas comerciales a todos aquellos países donde dicho virus es endémico. Los autores observaron que no había presencia detectable de virus después de: i) mantener a 68°C durante 300 segundos una emulsión cárnica enriquecida con virus de la fiebre aftosa; ii) mantener a 79°C durante 10 o 30 segundos una emulsión y una mezcla de harinas enriquecidas con el virus; o iii) mantener a 79°C durante 10 segundos un homogenado de epitelio lingual bovino procedente de un animal infectado por el virus. Ello corresponde a una reducción estimada de la titulación de log10 8 (intervalo de confianza al 95%: log10 6 ­ log10 13). Además, los autores observaron que, en ausencia de tratamiento térmico, el pH de la emulsión y la mezcla de harinas bastaba para inactivar el virus de la fiebre aftosa, lo que demuestra que los tratamientos térmicos utilizados en la fabricación industrial de piensos pueden reducir sustancialmente el título de virus de la fiebre aftosa en materias primas infectadas.

Early liver transplantation for patients with acute alcoholic hepatitis: public views and the effects on organ donation.

Patients with severe acute alcoholic hepatitis may not survive to fulfill the standard 6 months of abstinence and counseling prior to transplantation. A prospective study demonstrated that early liver transplantation in such patients improved 2 year survival from 23% to 71% and only 3 of 26 patients returned to drinking after 1140 days; graft function was unaffected. Nonetheless, this treatment protocol may raise public concerns and affect organ donation rates. A total of 503 participants took a survey made available at an online crowdsourcing marketplace. The survey measured attitudes on liver transplantation generally and early transplantation for this patient population, in addition to measuring responses to nine vignettes describing fictional candidates. The majority of respondents (81.5%, n = 410) was at least neutral toward early transplantation for these patients; only a minority (26.3%) indicated that transplantation in any vignette would make them hesitant to donate their organs. Middle-aged patients with good social support and financial stability were viewed most favorably (p < 0.001). Age was considered the most important selection factor and financial stability the least important factor (each p < 0.001). Results indicate early transplantation for carefully selected patients with acute alcoholic hepatitis may not be as controversial to the public as previously thought.

[Emergency radiographs in injured children and adolescents]. / Notfallröntgen bei verletzten Kindern und Jugendlichen.

BACKGROUND: Adequate interpretation of radiographs of injured children and adolescents is key for appropriate treatment. For the purposes of structuring in-hospital education and training, conventional radiographs obtained in the emergency department (ED) should be analyzed. MATERIAL AND METHODS: A total of 10,232 radiographs of children and adolescents (0-17 years old) were analyzed retrospectively. Data was analyzed according to sex, age, time, radiograph, and type of insurance. RESULTS: The male to female ratio was 3:2. In all, 76% of all radiographs were processed during on-call duty hours. Radiographs of the ankle were ordered most at a rate of 11%. Radiographs of the skull, wrist, finger, and ankle stood out from the sum of all radiographs and together accounted for 40%. CONCLUSION: Radiographs of injured children are analyzed predominantly during on-call duty hours. Frequently mandated radiographs should be diagnosed accurately and standard injuries should be well known. Particular attention should be directed to the typical injury patterns of the ankle joint.

Response to best-frequency tone bursts in the ventral cochlear nucleus is governed by ordered inter-spike interval statistics.

The spike trains generated by short constant-amplitude constant-frequency tone bursts in the ventral cochlear nucleus of the anaesthetised guinea pig are examined. Spikes are grouped according to the order in which they occur following the onset of the stimulus. It is found that successive inter-spike intervals have low statistical dependence according to information-theoretic measures. This is in contrast to previous observations with long-duration tone bursts in the cat dorsal and posteroventral cochlear nuclei and lateral superior olive, where it was found that long intervals tended to be followed by shorter ones and vice versa. The interval distributions can also be reasonably modelled by a shifted Gamma distribution parameterised by the dead-time and the mean and coefficient of variation of the dead-time corrected ISI distribution. Knowledge of those three parameters for each interval is sufficient to determine the peri-stimulus time histogram and the regularity measures used to classify these neurons.