Comparison of Two Digital Stethoscopes with the Traditional Stethoscope Used on International Space Station

A traditional stethoscope is currently flown on the International Space Station (ISS). The background noise on the ISS is much higher than a normal exam room, and the literature shows that traditional stethoscopes are unable to function effectively in high noise environments. Digital stethoscopes provide amplification which improves the audibility in a quiet environment. This study is designed to determine if digital stethoscopes offer any advantage over traditional stethoscopes in being able to identify normal and abnormal sounds in the ISS noise environment. Methods: An ISS noise simulation facility was created to reproduce ISS noise profiles by modifying pink noise with a software-based graphic equalizer. The files were played in a continuous loop on a computer, amplified through a high-end stereo system and adjusted using a sound level meter. Nine caregiver analogues were given the same auscultation lesson received by astronauts. They began testing by becoming familiar with normal and abnormal sounds on a Student Auscultation Manikin . They then used two digital stethoscopes and a traditional stethoscope identical to the one flown on the ISS to auscultate the manikin sounds in the noise facility. They identified the sounds on a questionnaire and picked which of the three stethoscopes they preferred. Results: Evaluators displayed equivalent accuracy in sound identification when using either the 3M model 4000 digital stethoscope or traditional stethoscope. However, the 3M was preferred 2 to 1 by the evaluators, primarily because of additional amplification of the sounds. Discussion: Although our results show that the current ISS stethoscope and the "best-of-breed" digital stethoscope provide essentially the same auscultation utility, the latter has the advantage of recording and transmitting sounds to a remote physician. Since the astronaut caregivers are non-physiCians, this capability may be worth the additional expense and effort needed to certify the digital stethoscope for flight

Boron, carbon, and oxygen isotopic composition of brachiopod shells: Intra-shell variability, controls, and potential as a paleo-pH recorder

The boron isotopic composition of biogenic carbonates has been used to reconstruct seawater pH and atmospheric pCO2 on Pleistocene and Cenozoic timescales. Because of their excellent preservation and extensive fossil record throughout the Phanerozoic, brachiopods are a promising candidate for extending the boron isotope record as far back as the Cambrian. Here we present stable carbon, oxygen, and boron isotopic measurements of modern Terebratulid brachiopod calcite in comparison with environmental pH estimates calculated from oceanographic data. Geochemical transects along the length and depth of single shells confirm previously published trends in carbon and oxygen isotopic composition. In the outer surface (primary and outermost secondary layers), δ11B covaries with δ13C and δ18O, with more negative values in the outer and more positive values in the middle of the shell. However, δ11B deviates from δ13C and δ18O in the inner part of the secondary layer, where the δ13C and δ18O values are more positive and near equilibrium, whereas δ11B returns to more negative values. A comparison of different specimens of the species Terebratalia transversa (Sowerby, 1846) and Laqueus californianus (Küster, 1844) microsampled from the middle part of the fibrous secondary layer demonstrates a clear correlation to ambient pH with a sensitivity similar to other empirical calibration curves for cultured planktic foraminifers, corals, and inorganic calcite. The relationship in other species is less clear and significantly offset, necessitating the use of a single species or a cross-calibration method with other species in paleo-pH reconstructions

NASA Human Research Wiki - An Online Collaboration Tool

In preparation for exploration-class missions, the Exploration Medical Capability (ExMC) element of NASA's Human Research Program (HRP) has compiled a large evidence base, which previously was available only to persons within the NASA community. The evidence base is comprised of several types of data, for example: information on more than 80 medical conditions which could occur during space flight, derived from several sources (including data on incidence and potential outcomes of these medical conditions, as captured in the Integrated Medical Model's Clinical Finding Forms). In addition, approximately 35 gap reports are included in the evidence base, identifying current understanding of the medical challenges for exploration, as well as any gaps in knowledge and/or technology that would need to be addressed in order to provide adequate medical support for these novel missions. In an effort to make the ExMC information available to the general public and increase collaboration with subject matter experts within and outside of NASA, ExMC has developed an online collaboration tool, very similar to a wiki, titled the NASA Human Research Wiki. The platform chosen for this data sharing, and the potential collaboration it could generate, is a MediaWiki-based application that would house the evidence, allow "read only" access to all visitors to the website, and editorial access to credentialed subject matter experts who have been approved by the Wiki's editorial board. Although traditional wikis allow users to edit information in real time, the NASA Human Research Wiki includes a peer review process to ensure quality and validity of information. The wiki is also intended to be a pathfinder project for other HRP elements that may want to use this type of web-based tool. The wiki website will be released with a subset of the data described and will continue to be populated throughout the year

The NASA Human Research Wiki - An Online Collaboration Tool

The Exploration Medical Capability (ExMC) element is one of six elements of the Human Research Program (HRP). ExMC is charged with decreasing the risk of: "Inability to adequately recognize or treat an ill or injured crew member" for exploration-class missions In preparation for exploration-class missions, ExMC has compiled a large evidence base, previously available only to persons within the NASA community. ExMC has developed the "NASA Human Research Wiki" in an effort to make the ExMC information available to the general public and increase collaboration within and outside of NASA. The ExMC evidence base is comprised of several types of data, including: (1)Information on more than 80 medical conditions which could occur during space flight (a)Derived from several sources (b)Including data on incidence and potential outcomes, as captured in the Integrated Medical Model s (IMM) Clinical Finding Forms (CliFFs). (2)Approximately 25 gap reports (a)Identify any "gaps" in knowledge and/or technology that would need to be addressed in order to provide adequate medical support for these novel missions

Zircon U-Pb Geochronology Links the End-Triassic Extinction with the Central Atlantic Magmatic Province

The end-Triassic extinction is characterized by major losses in both terrestrial and marine diversity, setting the stage for dinosaurs to dominate Earth for the next 136 million years. Despite the approximate coincidence between this extinction and flood basalt volcanism, existing geochronologic dates have insufficient resolution to confirm eruptive rates required to induce major climate perturbations. Here, we present new zircon uranium-lead (U-Pb) geochronologic constraints on the age and duration of flood basalt volcanism within the Central Atlantic Magmatic Province. This chronology demonstrates synchroneity between the earliest volcanism and extinction, tests and corroborates the existing astrochronologic time scale, and shows that the release of magma and associated atmospheric flux occurred in four pulses over about 600,000 years, indicating expansive volcanism even as the biologic recovery was under way

Late Pleistocene prey mobility in southwestern France and its implications for reconstructing Neandertal ranging behaviors

We thank Sarah Barakat for consultation. We also thank Jenni Henecke, Jen Everhart, Carol Lee, Charisse Carver, and Hope Williams for assistance with 87Sr/86Sr sample preparation. Access to the Metal Geochemistry Center at Yale University was kindly granted by Noah Planavsky, and Dan Asael assisted with 87Sr/86Sr measurement there. Jiuyuan Wang provided important advice on 87Sr/86Sr data correction, and Alice Knaf shared insights into sample elution. We would also like to thank Curtis Marean, Kim Hill, David Strait, Caley Orr, and Ben Schoville for advice and comments on the manuscript. Two anonymous reviewers provided helpful comments that improved the quality of the manuscript. Finally, we thank the late Harold Dibble for access to the Roc de Marsal collections. CRediT authorship contribution statement Jamie Hodgkins: Conceptualization, Data curation, Formal analysis, Funding acquisition, Investigation, Methodology, Project administration, Writing – original draft, Writing – review & editing. Alex Bertacchi: Formal analysis, Methodology, Visualization, Writing – review & editing. Kelly J. Knudson: Conceptualization, Methodology, Writing – review & editing. Troy Rasbury: Conceptualization, Methodology, Writing – review & editing. Julia I. Giblin: Methodology, Resources. Gwyneth Gordon: Conceptualization, Methodology, Writing – review & editing. Ariel Anbar: Resources. Alain Turq: Resources. Dennis Sandgathe: Resources, Writing – review & editing. Hannah M. Keller: Visualization, Writing – review & editing. Kate Britton: Conceptualization, Methodology, Writing – review & editing. Shannon P. McPherron: Conceptualization, Methodology, Writing – review & editing.Peer reviewe

An assessment of sanidine from the Fire Clay tonstein as a Carboniferous 40Ar/39Ar monitor standard and for inter-method comparison to U-Pb zircon geochronology

Radioisotopic geochronology applied to the high-resolution calibration of Earth history requires a set of syn- thetic and natural reference materials for both 40Ar/39Ar and U-Pb techniques that permit both inter-laboratory and inter-technique comparisons. The sanidine- and zircon-bearing Carboniferous Fire Clay tonstein provides a potential natural Paleozoic reference for these two widely used radioisotopic systems. Here we report results for both radioisotopic systems, examining the suitability of this tonstein as a geochronologic reference. Sanidine crystals from the Fire Clay and co-irradiated monitors from eight irradiation positions were divided into eleven 40Ar/39Ar experiments. Single-grain sanidine 40Ar/39Ar analyses (n = 263) of the simplest 9 experiments have internal 2σ uncertainties at the ± 1 Myr level ( ± 0.3%), with a range of dates between ~315 and ~317 Ma (~1% precision), similar to the observed dispersion in the Fish Canyon sanidine monitor dates. Forty-one U-Pb analyses by the CA-ID-TIMS method on carefully selected single Fire Clay tonstein zircons have produced 206Pb/238U dates with an average 2σ precision of ± 0.23 Myr (0.14%). Our Fire Clay preferred mean 40Ar/39Ar date of 315.36 ± 0.10 Ma ( ± 1.10 Ma: fully propagated 2σ uncertainty, relative to a Fish Canyon age of 28.201 Ma) is consistent with our weighted mean 206Pb/238U zircon date of 314.629 ± 0.039 Ma ( ± 0.35 Ma: fully propagated 2σ uncertainty; n = 27). The good single-crystal reproducibility of the sanidine data and the overall consistency between the two chronometers suggest that the tonstein holds promise as a Paleozoic age reference material

Neodymium Isotope Geochemistry of a Subterranean Estuary

Rare earth elements (REE) and Nd isotope compositions of surface and groundwaters from the Indian River Lagoon in Florida were measured to investigate the influence of submarine groundwater discharge (SGD) on these parameters in coastal waters. The Nd flux of the terrestrial component of SGD is around 0.7 ± 0.03 μmol Nd/day per m of shoreline across the nearshore seepage face of the subterranean estuary. This translates to a terrestrial SGD Nd flux of 4 ± 0.2 mmol/day for the entire 5,880 m long shoreline of the studied portion of the lagoon. The Nd flux from bioirrigation across the nearshore seepage face is 1 ± 0.05 μmol Nd/day per m of shoreline, or 6 ± 0.3 mmol/day for the entire shoreline. The combination of these two SGD fluxes is the same as the local, effective river water flux of Nd to the lagoon of 12.7 ± 5.3 mmol/day. Using a similar approach, the marine-sourced SGD flux of Nd is 31.4 ± 1.6 μmol Nd/day per m of shoreline, or 184 ± 9.2 mmol/day for the investigated portion of the lagoon, which is 45 times higher than the terrestrial SGD Nd flux. Terrestrial-sourced SGD has an εNd(0) value of -5 ± 0.42, which is similar to carbonate rocks (i.e., Ocala Limestone) from the Upper Floridan Aquifer (-5.6), but more radiogenic than the recirculated marine SGD, for which εNd(0) is -7 ± 0.24. Marine SGD has a Nd isotope composition that is identical to the εNd(0) of Fe(III) oxide/oxyhydroxide coated sands of the surficial aquifer (-7.15 ± 0.24 and -6.98 ± 0.36). These secondary Fe(III) oxides/oxyhydroxides formed during subaerial weathering when sea level was substantially lower during the last glacial maximum. Subsequent flooding of these surficial sands by rising sea level followed by reductive dissolution of the Fe(III) oxide/oxyhydroxide coatings can explain the Nd isotope composition of the marine SGD component. Surficial waters of the Indian River Lagoon have an εNd(0) of -6.47 ± 0.32, and are a mixture of terrestrial and marine SGD components, as well as the local rivers (-8.63 and -8.14). Nonetheless, the chief Nd source is marine SGD that has reacted with Fe(III) oxide/oxyhydroxide coatings on the surficial aquifer sands of the subterranean estuary