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An expedition to the Kavachi submarine volcano (Solomon Islands) in January 2015 was serendipitously timed with a rare lull in volcanic activity that permitted access to the inside of Kavachi's active crater and its flanks. The isolated location of Kavachi and its explosive behavior normally restrict scientific access to the volcano's summit, limiting previous observational efforts to surface imagery and peripheral water-column data. This article presents medium-resolution bathymetry of the main peak along with benthic imagery, biological observations of multiple trophic levels living inside the active crater, petrological and geochemical analysis of samples from the crater rim, measurements of water temperature and gas flux over the summit, and descriptions of the hydrothermal plume structure. A second peak was identified to the southwest of the main summit and displayed evidence of diffuse-flow venting. Microbial samples collected from the summit indicate chemosynthetic populations dominated by sulfur-reducing ε-proteobacteria. Populations of gelatinous animals, small fish, and sharks were observed inside the active crater, raising new questions about the ecology of active submarine volcanoes and the extreme environments in which large marine animals can exist.

The Galileo mission to Jupiter revealed that Europa is an ocean world. The Galileo magnetometer experiment in particular provided strong evidence for a salty subsurface ocean beneath the ice shell, likely in contact with the rocky core. Within the ice shell and ocean, a number of tectonic and geodynamic processes may operate today or have operated at some point in the past, including solid ice convection, diapirism, subsumption, and interstitial lake formation. The science objectives of the Europa Clipper mission include the characterization of Europa’s interior; confirmation of the presence of a subsurface ocean; identification of constraints on the depth to this ocean, and on its salinity and thickness; and determination of processes of material exchange between the surface, ice shell, and ocean. Three broad categories of investigation are planned to interrogate different aspects of the subsurface structure and properties of the ice shell and ocean: magnetic induction, subsurface radar sounding, and tidal deformation. These investigations are supplemented by several auxiliary measurements. Alone, each of these investigations will reveal unique information. Together, the synergy between these investigations will expose the secrets of the Europan interior in unprecedented detail, an essential step in evaluating the habitability of this ocean world.

Background: Resistance training (RT) is widely recommended for adolescent athletes to enhance performance and reduce injury risk. However, sex differences in RT participation and beliefs during adolescence remain underexplored. Methods: This exploratory cross-sectional survey included 108 adolescent athletes (62 females, 46 males; ages 13–18 years) recruited from sports medicine and physical therapy clinics. Participants completed a 29-item questionnaire assessing demographics, sport involvement, and RT participation and beliefs. Items included RT frequency, duration, equipment use, age of initiation, and enjoyment. Statistical comparisons between sexes were conducted using chi-square tests for categorical variables and independent-samples t-tests for continuous variables, with significance set at p < 0.05. Results: Overall, 71% reported regular RT participation. Participation was higher in males than females but did not reach statistical significance t) (80% vs. 65%, p = 0.07). Females reported beginning RT at a younger age than males (12.1 vs. 13.4 years, p = 0.01). No significant sex differences were found in RT frequency (3.1 vs. 3.5 sessions/week, p = 0.33) or session duration (56.3 vs. 68.8 min, p = 0.17). Males reported greater use of barbells (70% vs. 43%; p = 0.02) and weight machines (87% vs. 57.5%; p < 0.01). Females reported significantly lower enjoyment of RT compared to males (48% vs. 70%, p = 0.02). Conclusions: This study describes sex-based differences in RT participation and beliefs among a convenience sample of adolescent athletes recruited from sports medicine and physical therapy clinics. Future research should prioritize developing and validating questionnaires to more accurately assess RT participation and beliefs and to guide efforts aimed at fostering positive, equitable training opportunities. Recruiting from a population outside of a clinic environment will enhance the generalizability of these findings.

The East Side Clinic is a 64,000 ft2 (5946 m2) three-story outpatient medical center in Pueblo CO. Pueblo Community Health Centers (PCHC) is a nonprofit Federally Qualified Health Center providing a full range of medical services (family, dental, lab, pharmacy and behavioral health) since 2022. Using a multidisciplinary approach (window and insulation upgrades, photovoltaic [PV] array, ground source heat pumps [GSHPs], exhaust energy recovery, etc.), the building reached net-zero energy use over the course of a year. It is the first New Buildings Institute-certified net-zero medical facility (inpatient or outpatient) in the country. The net-zero improvements cost only about a 6% premium above a regular building for the same use. The return on investment without escalation compared to the clinic it replaced is approximately seven years.

The goal of NASA’s Europa Clipper mission is to assess the habitability of Jupiter’s moon Europa. After entering Jupiter orbit in 2030, the flight system will collect science data while flying past Europa 49 times at typical closest approach distances of 25–100 km. The mission’s objectives are to investigate Europa’s interior (ice shell and ocean), composition, and geology; the mission will also search for and characterize any current activity including possible plumes. The science objectives will be accomplished with a payload consisting of remote sensing and in-situ instruments. Remote sensing investigations cover the ultraviolet, visible, near infrared, and thermal infrared wavelength ranges of the electromagnetic spectrum, as well as an ice-penetrating radar. In-situ investigations measure the magnetic field, dust grains, neutral gas, and plasma surrounding Europa. Gravity science will be achieved using the telecommunication system, and a radiation monitoring engineering subsystem will provide complementary science data. The flight system is designed to enable all science instruments to operate and gather data simultaneously. Mission planning and operations are guided by scientific requirements and observation strategies, while appropriate updates to the plan will be made tactically as the instruments and Europa are characterized and discoveries emerge. Following collection and validation, all science data will be archived in NASA’s Planetary Data System. Communication, data sharing, and publication policies promote visibility, collaboration, and mutual interdependence across the full Europa Clipper science team, to best achieve the interdisciplinary science necessary to understand Europa.

To test whether 1) concussed athletes demonstrate slower tandem gait times compared to controls and 2) concussed female athletes display greater post-injury deficits than males. Prospective longitudinal Fifty concussed collegiate student-athletes (32% female, age=20.18±1.27 years) completed tandem gait tests during pre-season (Time 1) and acutely (<72hours) post-concussion (Time 2), and twenty-five controls (52% female, age=21.08±2.22 years) completed tandem gait at two time points, 1.96±0.46 days apart. Participants completed four single-task (ST) and dual-task (DT) trials. During DT trials, they simultaneously completed a cognitive assessment. The best ST and DT times were recorded, along with cognitive accuracy, and the change score between the two assessments was calculated. A positive change in tandem gait time was indicative of worsening performance. A 2×2 (group*sex) ANOVA was used to examine change between pre-injury and post-injury tests for ST/DT tandem gait time and DT cognitive accuracy. The change in tandem gait time from Time 1 to Time 2 was significantly higher for the concussion group relative to controls during both ST (Concussion: 1.36±2.6 seconds, Controls: -1.16±0.8 seconds, p<0.001) and DT (Concussion: 1.70±3.8 seconds, Controls: -0.94±1.7 seconds, p=0.002) tandem gait. There were no interactions or main effects of sex for tandem gait time or cognitive accuracy. There were no sex-specific differences in the change in tandem gait performance among concussed collegiate athletes or controls. However, all concussed participants, regardless of sex, performed significantly worse on tandem gait than male and female controls, who both improved between testing time points.

BackgroundWe previously demonstrated a high prevalence of transpulmonary bubble transit (TPBT) using transcranial Doppler (TCD) in patients with COVID-19 pneumonia, but these observations require confirmation.MethodsPatients at two academic medical centres, hospitalised with COVID-19 pneumonia and requiring any form of respiratory support, were studied. The first TCD study was performed at the time of enrolment and repeated approximately 7 and 14 days later if participants remained hospitalised.Results91 participants were enrolled. At the first TCD, 14 participants (15%) were receiving oxygen by nasal cannula, 41 participants (45%) were receiving oxygen by high flow nasal cannula, 8 participants (9%) were receiving non-invasive positive pressure, 28 participants (31%) were receiving mechanical ventilation and 2 participants (2%) were receiving extracorporeal membrane oxygenation. 33 participants (36%) demonstrated TPBT at the first TCD. There was evidence that the presence of TPBT and increased heart rate together was associated with in-hospital death (p=0.02). For every one-unit increase in heart rate, the odds of death increased 11% (OR 1.11, 95% CI 1.02 to 1.20, p=0.01) for those with TPBT; however, there was no evidence of this increase for those without TPBT (OR 1.01, 95% CI 0.97 to 1.05, p=0.76). For participants with subsequent TCD assessments, 55% demonstrated TPBT during the second TCD assessment, and 85% demonstrated TPBT at the third TCD assessment.ConclusionsThe prevalence of TPBT in hospitalised patients with COVID-19 pneumonia is higher than expected and the presence of TPBT increases over time in those that remained alive and hospitalised. In patients with TPBT, increased heart rate, a marker of hyperdynamic circulation, is associated with increased mortality.

IntroductionWhether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be detected in semen and transmitted sexually is a vital question that has, thus far, been inconclusive. Prior studies, with limited numbers, have included men in various stages of infection with most in the recovery phase of the illness. The timing of test results and severity of illness has made recruiting study participants a significant challenge. Our pilot study will examine semen from men with a recent diagnosis of COVID-19 as well as those in the convalescent phase to determine if SARS-CoV-2 can be detected and its relationship, if any, with the severity of the disease.MethodsEighteen men with a median age of 32 (range, 24-57) who tested positive for COVID-19 by rt-PCR analysis were enrolled and provided a semen sample. The study group demonstrated symptoms of COVID-19 ranging from asymptomatic to moderate and none required hospitalization. Samples were subjected to viral RNA extraction and then processed by real-time RT-PCR using the US Centers for Disease Control and Prevention (CDC, USA) panel of 2019-Novel Coronavirus (2019-nCoV) primers and probes to detect the presence of SARS-CoV-2 RNA.ResultsLength of time from diagnosis to providing a specimen ranged from 1 to 28 days (median, 6 days). Fifteen participants were symptomatic and three were asymptomatic, including recovering men, at the time of semen collection. No SARS-CoV-2 was detected in any of the semen samples.ConclusionBased on these preliminary results and consistent with prior findings, we suggest SARS-CoV-2 is not present in semen during the acute or convalescent phase of COVID-19.

ObjectiveWe sought to determine whether male collision sport athletes perform worse on computerised neurocognitive assessments and report higher symptom burdens than athletes in contact (but not collision) sports and athletes in non-contact sports.MethodsThis cross-sectional study used data collected by the Massachusetts Concussion Management Coalition on high school boys who underwent computerised neurocognitive testing between 2009 and 2018. We divided sports participation in three different sport types: (1) collision, (2) contact, non-collision and (3) non-contact. Our outcomes included the four computerised neurocognitive composite scores (verbal memory, visual memory, visual motor speed and reaction time) and the total symptom score. The independent variable was sport type (collision, contact, non-contact), adjusted for age, concussion history and comorbidities.ResultsOf the 92 979 athletes (age: 15.59±2.08 years) included in our study, collision sport athletes performed minimally but significantly worse than other athletes on neurocognitive composite scores (verbal memory: β=−1.64, 95% CI −1.85 to –1.44; visual memory: β=−1.87, 95% CI −2.14 to –1.60; visual motor speed: β=−2.12, 95% CI −2.26 to –1.97; reaction time: β=0.02, 95% CI 0.02 to 0.02). Collision and contact sport athletes also had slightly but significantly lower total symptom scores (collision: 3.99±7.17; contact: 3.78±6.81; non-contact: 4.32±7.51, p<0.001, η2=0.001) than non-contact sport athletes.ConclusionThere are minimal observed differences in performance on neurocognitive assessments between collision sport, contact sport and non-contact sport athletes. The repetitive subconcussive head impacts associated with collision sport participation do not appear to negatively affect self-reported symptoms or neurocognitive functioning in current youth athletes.