SnakeMap: four years of experience with a national small animal snake envenomation registry.

SnakeMap is a national cloud-based, veterinary snakebite registry. It was designed to prospectively collect data of the clinical circumstances and temporospatial information on cases of snake envenomation in dogs and cats. We herein introduce the project and summarise the data from the first 4 years of SnakeMap. The registry is a veterinary community-based online database allowing case entry from veterinary hospitals across Australia. Registry data comprise hospital characteristics, patient characteristics, envenoming snake type, treatment and outcome variables, including time and geolocation of the snake bite. We present summative information on select key variables from the SnakeMap registry (1 July 2015 to 30 June 2019). Twenty-eight hospitals from 6 states/territories entered 624 cases into the registry, including 419 dogs (67%) and 205 cats (33%). Bite time was available in 216 animals of which 90 (42%) were reported to be bitten in the 3 hours between 03:00 pm and 05:59 pm; median bite to presentation interval was 60 (interquartile range [IQR] 30, 211) minutes in dogs and 95 (IQR 41, 238) minutes in cats. Bites occurred in the owner's yard in 356 dogs (85%) and 53 cats (26%). A snake venom detection kit was used in 172 cases (28%) and antivenom was administered in 523 cases (85%). Most animals (n = 534, 88%) survived to discharge (median hospitalisation of 25 [IQR 16, 62] hours). SnakeMap effectively collects relevant clinical data from dogs and cats with presumed snake bite and provides locally specific information on the epidemiology of snake envenomation in small animals.

Amorphous and crystalline ices studied by dielectric spectroscopy.

This work reports on frequency dependent ambient-pressure dielectric measurements of hyperquenched glassy water, ice IV, ice VI, as well as a CO2-filled clathrate hydrate, the latter featuring a chiral water network. The dipolar time scales and the spectral shapes of the loss spectra of these specimens are mapped out and compared with literature data on low-density and high-density amorphous ices as well as on amorphous solid water. There is a trend that the responses of the more highly dense amorphous ices are slightly more dynamically heterogeneous than those of the lower-density amorphous ices. Furthermore, practically all of the amorphous ices, for which broadband dielectric spectra are available, display a curved high-frequency wing. Conversely, the high-frequency flanks of the nominally pure ice crystals including ice V and ice XII can be characterized by an approximate power-law behavior. While the spectral shapes of the nominally pure ices thus yield some hints regarding their amorphicity or crystallinity, a comparison of their time scale appears less distinctive in this respect. In the accessible temperature range, the relaxation times of the crystalline ices are between those of low-density and high-density amorphous ice. Hence, with reference also to previous work, the application of suitable doping currently seems to be the best dielectric spectroscopy approach to distinguish amorphous from crystalline ices.

Neural correlates of decision making on whole body yaw rotation: An fNIRS study.

Prominent accounts of decision making state that decisions are made on the basis of an accumulation of sensory evidence, orchestrated by networks of prefrontal and parietal neural populations. Here we assess whether these findings generalize to decisions on self-motion. Participants were presented with whole body yaw rotations of different durations in a 2-Interval-Forced-Choice paradigm, and tasked to discriminate motions on the basis of their amplitude. The cortical hemodynamic response was recorded using functional near-infrared spectroscopy (fNIRS) while participants were performing the task. The imaging data was used to predict the specific response on individual experimental trials, and to predict whether the comparison stimulus would be judged larger than the reference. Classifier performance on the former variable was negligible. However, considerable performance was achieved for the latter variable, specifically using parietal imaging data. The findings provide support for the notion that activity in the parietal cortex reflects modality independent decision variables that represent the strength of the neural evidence in favor of a decision. The results are encouraging for the use of fNIRS as a method to perform neuroimaging in moving individuals.

[Evaluation of the "Obeldicks Light Training" Programme for Overweight Children and Adolescents]. / Evaluation des Programms Obeldicks light für übergewichtige Kinder und Jugendliche.

In a randomised controlled study (n=34 intervention group, n = 32 control group) the effects of a 6-month outpatient training for overweight but not obese children and adolescents (BMI > 90(th) ≤ 97(th) percentile) were assessed up to 12 months after the end of intervention. BMI-SDS reduction was the main outcome. The results show that the lifestyle intervention "Obeldicks light" is effective to reduce overweight, as well as blood pressure and several other risk parameters in overweight children. Effects are stable over a 12 months period.

Integration of visual and inertial cues in the perception of angular self-motion.

The brain is able to determine angular self-motion from visual, vestibular, and kinesthetic information. There is compelling evidence that both humans and non-human primates integrate visual and inertial (i.e., vestibular and kinesthetic) information in a statistically optimal fashion when discriminating heading direction. In the present study, we investigated whether the brain also integrates information about angular self-motion in a similar manner. Eight participants performed a 2IFC task in which they discriminated yaw-rotations (2-s sinusoidal acceleration) on peak velocity. Just-noticeable differences (JNDs) were determined as a measure of precision in unimodal inertial-only and visual-only trials, as well as in bimodal visual-inertial trials. The visual stimulus was a moving stripe pattern, synchronized with the inertial motion. Peak velocity of comparison stimuli was varied relative to the standard stimulus. Individual analyses showed that data of three participants showed an increase in bimodal precision, consistent with the optimal integration model; while data from the other participants did not conform to maximum-likelihood integration schemes. We suggest that either the sensory cues were not perceived as congruent, that integration might be achieved with fixed weights, or that estimates of visual precision obtained from non-moving observers do not accurately reflect visual precision during self-motion.

The time constant of the somatogravic illusion.

Without visual feedback, humans perceive tilt when experiencing a sustained linear acceleration. This tilt illusion is commonly referred to as the somatogravic illusion. Although the physiological basis of the illusion seems to be well understood, the dynamic behavior is still subject to discussion. In this study, the dynamic behavior of the illusion was measured experimentally for three motion profiles with different frequency content. Subjects were exposed to pure centripetal accelerations in the lateral direction and were asked to indicate their tilt percept by means of a joystick. Variable-radius centrifugation during constant angular rotation was used to generate these motion profiles. Two self-motion perception models were fitted to the experimental data and were used to obtain the time constant of the somatogravic illusion. Results showed that the time constant of the somatogravic illusion was on the order of two seconds, in contrast to the higher time constant found in fixed-radius centrifugation studies. Furthermore, the time constant was significantly affected by the frequency content of the motion profiles. Motion profiles with higher frequency content revealed shorter time constants which cannot be explained by self-motion perception models that assume a fixed time constant. Therefore, these models need to be improved with a mechanism that deals with this variable time constant. Apart from the fundamental importance, these results also have practical consequences for the simulation of sustained accelerations in motion simulators.

[The Obeldicks concept. An example for a successful outpatient lifestyle intervention for overweight or obese children and adolescents]. / Das Obeldicks-Konzept. Beispiel eines erfolgreichen ambulanten Therapieprogramms für Kinder und Jugendliche mit Übergewicht oder Adipositas.

The outpatient lifestyle interventions Obeldicks (for 8- to 16-year-old obese children; 1-year intervention), Obeldicks Light (for 8- to 16-year-old overweight children; 6-month intervention), and Obeldicks Mini (for 4- to 7-year-old obese children; 1-year intervention) are based on nutrition education, physical activity, behavior therapy, and individual psychological care. Only 17% dropped out of the intervention, and 79% of the more than 1,000 participants reduced their degree of overweight. The mean SDS-BMI reduction was 0.4 (~1.5-2 kg/m(2) BMI reduction) and was associated with a significant improvement of hypertension, dyslipidemia, and disturbed glucose metabolism in the participants compared to an untreated control group. This efficiency was also proven by a multicenter randomized controlled trial. Furthermore, the quality of life of the participants improved significantly. Even 4 years after the end of intervention, the achieved weight loss was sustained. Training manuals and training seminars for professionals assist in the implementation of these lifestyle interventions at further locations.

An effective lifestyle intervention in overweight children: one-year follow-up after the randomized controlled trial on "Obeldicks light".

BACKGROUND & AIMS: Lifestyle interventions address primarily obese children, while interventions tailored to overweight but not obese children are scarce. The effectiveness of the lifestyle intervention "Obeldicks light" based on physical activity training, nutrition education, and behavior counseling for overweight children and their parents has been demonstrated by a randomized controlled trial. Here, we present the 12 months follow-up analysis of these children after end of intervention. METHODS: Degree of overweight (BMI and SDS-BMI), waist circumference, skinfold thickness, bioimpedance analyses (BIA), and blood pressure were determined in 76 overweight (BMI>90(th)≤97(th) percentile) children (mean age 11.8 ± 1.8years, 67% females, mean BMI 24.3 ± 1.9 kg/m(2)) participating in the evaluation study of "Obeldicks light" at onset of intervention (T0), end of 6 months intervention (T1), 6 months after end of intervention (T2) and 12 months after end of intervention (T3). Comparisons were performed on an intention-to-treat approach. RESULTS: The drop-out rate was 4% in the intervention period and additional 3% during follow-up. The children reduced significantly (p < 0.001) their SDS-BMI in the intervention period between T0 and T1 (-0.27 ± 0.23; p < 0.001). This SDS-BMI reduction remained stable at T2 (T0-T2:-0.26 ± 0.31; p < 0.001) and T3 (T0-T3:-0.26 ± 0.39; p < 0.001). SDS-BMI reductions were independent from age and gender. Body fat measured by skinfold thickness and BIA, waist circumference, and blood pressure decreased significantly in the intervention period and remained stable in the follow-up period as well. CONCLUSIONS: The lifestyle intervention "Obeldicks light" was effective in reducing degree of overweight, fat mass, waist circumference, and blood pressure both at end of intervention and in a 12 months follow-up period.

Structural study of low concentration LiCl aqueous solutions in the liquid, supercooled, and hyperquenched glassy states.

Neutron diffraction experiments on a solution of LiCl in water (R = 40) at ambient conditions and in the supercooled and hyperquenched states are reported and analyzed within the empirical potential structure refinement framework. Evidence for the modifications of the microscopic structure of the solvent in the presence of such a small amount of salt is found at all investigated thermodynamic states. On the other hand, it is evident that the structure of the hyperquenched salty sample is similar to that of pure low density amorphous water, although all the peaks of the radial distribution functions are broader in the present case. Changes upon supercooling or hyperquenching of the ion's hydration shells and contacts are of limited size and evidence for segregation phenomena at these states does not clearly show up, although the presence of water separated contacts between ion of the same sign is intriguing.

An effective lifestyle intervention in overweight children: findings from a randomized controlled trial on "Obeldicks light".

BACKGROUND & AIMS: Randomized controlled trials (RCT) have demonstrated the effectiveness of lifestyle interventions in obese children. However, the effectiveness of interventions for overweight, but no obese children has not been demonstrated yet by RCTs. METHODS: A total of 66 overweight (BMI>90th< or =97th percentile) children (mean age 11.5+/-1.6 years, 58% females, mean BMI 23.4+/-1.5kg/m(2)) were randomized into a control group (CG) (n=32; no intervention for a duration of 6 months) or intervention group (IG) (n=34; 6 months intervention "Obeldicks light" based on physical activity, nutrition education, and behaviour counselling). BMI, waist circumference, skinfold thickness, bioimpedance analyses, blood pressure, physical activity based on questionnaires, and three-day-weighed dietary records were determined at baseline (T0) and 6 months (T1) later. Degree of overweight was calculated as BMI-SDS. Comparisons were performed on an intention-to-treat approach. RESULTS: The drop-out rate was 3% in IG and 16% in CG. At T1, 94% of the children in IG decreased their BMI-SDS and 24% of them were normal weight. The changes between T0 and T1 in BMI-SDS differed significantly (p<0.001) between IG and CG (CG: +0.05+/-0.19 BMI-SDS; IG: -0.26+/-0.22 BMI-SDS). Similar findings were observed for blood pressure, waist circumference, skinfold thickness, and fat mass based on bioimpedance analyses. In the IG, energy, fat and sugar intake decreased significantly between T0 and T1, while no significant changes were observed in the CG. CONCLUSIONS: The lifestyle intervention was associated with an improvement of dietary patterns and was effective in reducing degree of overweight, fat mass, waist circumference, and blood pressure.

Lifestyle intervention "Obeldicks Mini" for obese children aged 4 to 7 years.

Interventions for obese preschool children are missing in Germany. However, an effective and long-lasting improvement of the health behaviour seems plausible especially in this age, since the health behaviour is impressed in this age span. Therefore, we developed the outpatient one-year lifestyle intervention "Obeldicks Mini" for obese children aged 4 to <8 years and their parents based on nutrition, education, physical activity, and behaviour therapy. This intervention addressed primarily the parents. The training program was evaluated in 84 patients. In the three months before intervention, the degree of overweight significantly increased in the participants (in mean+0.12 SDS-BMI; p=0.002). Based on an intention-to-treat approach, 69% of the participants reduced their overweight, while 24% dropped out of the intervention. The mean SDS-BMI reduction was 0.46 (p<0.001) and was associated with a significant improvement of cardiovascular risk factors such as hypertension, dyslipidemia and insulin resistance. Intima-media thickness as predictive factor for later atherosclerosis decreased significantly. Even 3 years after end of intervention, the achieved weight loss sustained.

Relaxation effects in low density amorphous ice: two distinct structural states observed by neutron diffraction.

Neutron diffraction with H/D isotopic substitution is used to investigate the structure of low density amorphous ice produced from (1) high density amorphous ice by isobaric warming and (2) very high density amorphous ice by isothermal decompression. Differences are found in the scattering patterns of the two low density amorphous ices that correlate with structural perturbations on intermediate length scales in the hydrogen bonded water network. Atomistic modeling suggests that the structural states of the two samples may relate to a competition between short range and intermediate range order and disorder. This structural difference in two low density amorphous (LDA) ices is also evident when comparing their compression behavior. In terms of the energy landscape formalism this finding implies that we have produced and characterized the structural difference of two different basins within the LDA-megabasin corresponding to identical macroscopic densities.

The differences of platelet response to snake venoms: a comparative study of children and adults.

Platelets play a vital role in the coagulation, yet the potential for differences in platelet function, between adults and children, remains underexplored. This is despite the age-related variation in haemostatic proteins, that is encompassed by the term Developmental Haemostasis. Hemotoxins found in the venoms of Australian snakes mimic human blood coagulation factors. The effects of Australian snake venoms on platelets, as well as the possible differential response in adults and children were subject of this study.

The molecular basis of cross-reactivity in the Australian Snake Venom Detection Kit (SVDK).

The Snake Venom Detection Kit (SVDK) is of major medical importance in Australia, yet it has never been rigorously characterised in terms of its sensitivity and specificity, especially when it comes to reports of false-negative and false-positive results. This study investigates reactions and cross-reactions of five venoms the SVDK is directed against and a number of purified toxins. Snakes showing the closest evolutionary relationships demonstrated the lowest level of cross-reactivity between groups. This was, instead, far more evident between snakes that are extraordinarily evolutionary separated. These snakes: Pseudechis australis, Acanthophis antarcticus and Notechis scutatus, in fact displayed more false-positive results. Examination of individual toxin groups showed that phospholipase A(2)s (PLA(2)s) tends to react strongly and display considerable cross-reactivity across groups while the three-finger toxins (3FTx) reacted poorly in all but the Acanthophis well. The hook effect was evident for all venoms, particularly Oxyuranus scutellatus. The results of this study show considerable variation in toxin detection, with implications in further development of venom detection, both in Australia and other countries.

Theory of mind, humour processing and executive functioning in alcoholism.

AIMS: Alcoholism is associated with cognitive deficits, which have been interpreted in terms of a specific vulnerability of the frontal lobes to the toxic effects of alcohol. While executive functions in alcoholism have been investigated extensively, only little work has been carried out on social cognition. The aim of the present study was to investigate the association between executive functions, theory of mind and humour processing in alcoholism. DESIGN, SETTING, PARTICIPANTS AND MEASUREMENTS: A comprehensive neuropsychological test battery was administered to 29 alcoholic patients (Alc) and 29 healthy controls (HC). The test battery included measurements of affect, general intellectual abilities, executive functions, humour processing and theory of mind. The two groups were comparable with respect to affective variables, IQ, gender and age. FINDINGS AND CONCLUSIONS: Group comparisons revealed cognitive as well as affective humour processing deficits of alcoholics in comparison with HC. The observed impairments were related to theory of mind and executive functions. The deficits may contribute to interpersonal problems and are thus of relevance to rehabilitation.

Deuteron spin lattice relaxation in amorphous ices.

Temperature-dependent deuteron spin lattice relaxation times T(1) have been obtained from water in its three amorphous states at ambient pressure: low density amorphous (LDA), high density amorphous (HDA), and very high density amorphous (VHDA). It is found that in all of these states the magnetization recovery is essentially monoexponential and that T(1) of LDA is significantly longer than that of the higher density forms. Thus, T(1) can be used as a monitor parameter to study the kinetics of the transitions from HDA to LDA and from VHDA to LDA. During the transformation of VHDA to LDA an intermediate state is formed, which, according to its T(1) at low temperature, is clearly determined to be HDA-like. However, and most significantly, the transition from VHDA to this HDA-like state and further on to LDA occurs at temperatures significantly above the kinetic stability limit of native HDA produced at 77 K. These findings contribute to the current discussion on the nature of HDA and VHDA by strengthening the view that the annealing of VHDA at ambient pressure produces a relaxed HDA-like state.

Nature of amorphous polymorphism of water.

We report elastic and inelastic neutron scattering experiments on different amorphous ice modifications. It is shown that an amorphous structure (HDA') indiscernible from the high-density phase (HDA), obtained by compression of crystalline ice, can be formed from the very high-density phase (vHDA) as an intermediate stage of the transition of vHDA into its low-density modification (LDA'). Both HDA and HDA' exhibit comparable small-angle scattering signals characterizing them as structures heterogeneous on a length scale of a few nanometers. The homogeneous structures are the initial and final transition stages vHDA and LDA', respectively. Despite their apparent structural identity on a local scale, HDA and HDA' differ in their transition kinetics explored by in situ experiments. The activation energy of the vHDA-to-LDA' transition is at least 20 kJ/mol higher than the activation energy of the HDA-to-LDA transition.

The funnel web and common spider bites.

BACKGROUND: The funnel web spiders, encompassed within the genera Atrax and Hadronyche, are the most dangerous spiders in the world. Although the incidence of envenomation is low, funnel web spiders remain a cause of considerable public concern. However, most common spider bites produce only minor effects-requiring only symptomatic treatment. OBJECTIVE: This article describes the clinical features and treatment of the funnel web spider and that of its close relative, the mouse spiders. It also covers the question of necrotising arachnidism as well as bites from other common species of spiders. DISCUSSION: Appropriate first aid combined with the administration of specific antivenom can be life saving for funnel web spider bites. True necrotising arachnidism appears to be rare. If suspected, clinicians must first consider the very wide differential diagnoses.