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Accurate population data is crucial for assessing exposure in disaster risk assessments. In recent years, there has been a significant increase in the development of spatially gridded population datasets. Despite these datasets often using similar input data to derive population figures, notable differences arise when comparing them with direct ground-level observations. This study evaluates the precision and accuracy of flood exposure assessments using both known and generated gridded population datasets in Sweden. Specifically focusing on WorldPop and GHSPop, we compare these datasets against official national statistics at a 100 m grid cell resolution to assess their reliability in flood exposure analyses. Our objectives include quantifying the reliability of these datasets and examining the impact of data aggregation on estimated flood exposure across different administrative levels. The analysis reveals significant discrepancies in flood exposure estimates, underscoring the challenges associated with relying on generated gridded population data for precise flood risk assessments. Our findings emphasize the importance of careful dataset selection and highlight the potential for overestimation in flood risk analysis. This emphasises the critical need for validations against ground population data to ensure accurate flood risk management strategies. [ABSTRACT FROM AUTHOR]

Fuel injection systems significantly impact the combustion process and play a key role in reducing harmful exhaust emissions in internal combustion engines. For dual-fuel (DF) engines operating in gas mode, ignition of the main fuel is typically controlled by directly injected liquid pilot fuel. Liquid pilot fuel's initial penetration and total mass considerably impact exhaust emissions and combustion stability. We investigated the spray morphology of a multi-hole diesel fuel injector within a constant-volume spray chamber using high-speed shadowgraphy and Mie-scattering measurements. Two methodologies were employed. The first one utilized a nozzle equipped with a thimble structure to isolate a single plume. The second methodology known as plume-blocking, involved sealing the orifices of the multi-hole nozzle to generate a single-spray plume. Our findings revealed that the plume-blocking approach demonstrated greater penetration than the thimble-equipped nozzle. The rapid penetration of this method may restrict its applicability to single-spray studies. Sprays generated from this partially sealed nozzle exhibited noticeable disparities compared to an unblocked nozzle, whereas a nozzle equipped with a thimble produced similar outcomes to the standard nozzle. The orifices when sealed, modify the flow distribution within the sac volume, which consequently affects the spray characteristics. In summary, this research provides insights into the impacts of various plume isolation methods on spray morphology, thereby enhancing the understanding of spray behaviour in transient conditions by comparing plume variations and disturbances under various fuel pressure and ambient conditions. [ABSTRACT FROM AUTHOR]

Pancreatic intraepithelial neoplasias (PanINs) are the most common precursors of pancreatic cancer, but their small size and inaccessibility in humans make them challenging to study1. Critically, the number, dimensions and connectivity of human PanINs remain largely unknown, precluding important insights into early cancer development. Here, we provide a microanatomical survey of human PanINs by analysing 46 large samples of grossly normal human pancreas with a machine-learning pipeline for quantitative 3D histological reconstruction at single-cell resolution. To elucidate genetic relationships between and within PanINs, we developed a workflow in which 3D modelling guides multi-region microdissection and targeted and whole-exome sequencing. From these samples, we calculated a mean burden of 13 PanINs per cm3 and extrapolated that the normal intact adult pancreas harbours hundreds of PanINs, almost all with oncogenic KRAS hotspot mutations. We found that most PanINs originate as independent clones with distinct somatic mutation profiles. Some spatially continuous PanINs were found to contain multiple KRAS mutations; computational and in situ analyses demonstrated that different KRAS mutations localize to distinct cell subpopulations within these neoplasms, indicating their polyclonal origins. The extensive multifocality and genetic heterogeneity of PanINs raises important questions about mechanisms that drive precancer initiation and confer differential progression risk in the human pancreas. This detailed 3D genomic mapping of molecular alterations in human PanINs provides an empirical foundation for early detection and rational interception of pancreatic cancer.Quantitative multimodal 3D reconstruction of human pancreatic tissue at single-cell resolution reveals a high burden of multifocal, genetically heterogeneous pancreatic intraepithelial neoplasias in the normal adult pancreas. [ABSTRACT FROM AUTHOR]

Music training is associated with better beat processing in the auditory modality. However, it is unknown how rhythmic training that emphasizes visual rhythms, such as dance training, might affect beat processing, nor whether training effects in general are modality specific. Here we examined how music and dance training interacted with modality during audiovisual integration and synchronization to auditory and visual isochronous sequences. In two experiments, musicians, dancers, and controls completed an audiovisual integration task and an audiovisual target-distractor synchronization task using dynamic visual stimuli (a bouncing figure). The groups performed similarly on the audiovisual integration tasks (Experiments 1 and 2). However, in the finger-tapping synchronization task (Experiment 1), musicians were more influenced by auditory distractors when synchronizing to visual sequences, while dancers were more influenced by visual distractors when synchronizing to auditory sequences. When participants synchronized with whole-body movements instead of finger-tapping (Experiment 2), all groups were more influenced by the visual distractor than the auditory distractor. Taken together, this study highlights how training is associated with audiovisual processing, and how different types of visual rhythmic stimuli and different movements alter beat perception and production outcome measures. Implications for the modality appropriateness hypothesis are discussed. [ABSTRACT FROM AUTHOR]

This paper provides initial evidence on executive pay in small private limited liability firms in Germany. More than 80% of the firms report fewer than 50 employees. We find that executive pay increases with firm size and variable pay. We also find weak evidence that executive pay is lower in the presence of female executives, and increases with profitability. Surprisingly, variable pay is related in an inverted U-shape to total salary. Significant executive ownership (> 25%) is associated with higher compensation. Executive pay varies widely by region. Some, but not all results are in line with efficient contracting theory. In sum, we provide novel evidence on executive pay in small private firms outside the U.S. [ABSTRACT FROM AUTHOR]

Purpose: To map current literature and provide an overview of upcoming future diagnostic and prognostic methods for upper tract urothelial carcinoma (UTUC), including translational medical science. Methods: A scoping review approach was applied to search the literature. Based on the published literature, and the experts own experience and opinions consensus was reached through discussions at the meeting Consultation on UTUC II in Stockholm, September 2022. Results: The gene mutational profile of UTUC correlates with stage, grade, prognosis, and response to different therapeutic strategies. Analysis of pathway proteins downstream of known pathogenic mutations might be an alternative approach. Liquid biopsies of cell-free DNA may detect UTUC with a higher sensitivity and specificity than urinary cytology. Extracellular vesicles from tumour cells can be detected in urine and may be used to identify the location of the urothelial carcinoma in the urinary tract. 3D microscopy of UTUC samples may add information in the analysis of tumour stage. Chemokines and chemokine receptors were linked to overall survival and responsiveness to neoadjuvant chemotherapy in muscle-invasive bladder cancer, which is potentially also of interest in UTUC. Conclusion: Current diagnostic methods for UTUC have shortcomings, especially concerning prognostication, which is important for personalized treatment decisions. There are several upcoming methods that may be of interest for UTUC. Most have been studied for urothelial carcinoma of the bladder, and it is important to keep in mind that UTUC is a different entity and not all methods are adaptable or applicable to UTUC. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to assess the association between dietary intake of preformed vitamin A (VA) and pro-VA carotenoids and serum retinol and carotenoid concentrations among 36–59-month-old children in a rural area in Burkina Faso. Methods: Two community-based cross-sectional studies were conducted in a rural area of Burkina Faso and included 115 children aged 36–59 months. Dietary intake of preformed VA and pro-VA was assessed directly by 24-h dietary recall. Serum retinol and carotenoid (α- and β-carotene, and β-cryptoxanthin) concentrations were measured. The associations between serum retinol and carotenoid concentrations and their respective dietary intake were assessed by multiple linear regression. Results: Geometric mean [95% CI] adjusted serum retinol concentration in children was 0.86 [0.81; 0.92] µmol/L. The prevalence of low adjusted serum retinol concentration (< 0.7 µmol/L) was 26.8%. Geometric mean [95% CI] serum carotenoid concentrations were: α-carotene (0.03 [0.02; 0.03] µmol/L), β-carotene (0.14 [0.12; 0.16] µmol/L), and β-cryptoxanthin (0.17 [0.15; 0.21] µmol/L). Dietary intakes of α- and β-carotene and adjusted serum retinol and α-carotene concentrations were significantly higher during the rainy season. In multiple linear regressions, no associations were found between dietary intakes of preformed VA and pro-VA carotenoids and serum retinol and carotenoid concentrations in children aged 36–59 months in Burkina Faso. There was no effect of season on the associations between preformed VA and pro-VA carotenoids intake and serum retinol and carotenoid concentrations. Conclusions: This study shows that dietary intakes of preformed VA and pro-VA carotenoids based on 24-h dietary recall method cannot be used as proxy of serum retinol and carotenoid concentrations in this population. Trial registration: The study was registered retrospectively (22 March 2018) as a clinical trial with the Pan African Clinical Trials Registry (Cochrane South Africa; PACTR201803002999356). [ABSTRACT FROM AUTHOR]

The electromagnetic transition probabilities of the yrast 2 + states in the midshell Te isotopes, two protons above the closed shell at Sn, are of great importance for the understanding of nuclear collectivity in these isotopes and the role played by the neutron-proton interactions and cross-shell excitations. However, the large uncertainty of the experimental data for the midshell nucleus 118Te and the missing data for 116Te make it difficult to pin down the general trend of the evolution of transition probabilities as a function of the neutron number. In this work, the lifetime of the yrast 2 + state in 118Te was measured, with the aim of reducing the uncertainty of the previous measurement. The result is τ 2 + = 7.46 (19) ps. In addition, the lifetime of the 4 + state was measured to be τ 4 + = 4.25 (23) ps. The experimental transition rates are extracted from the measured lifetimes and compared with systematic large-scale shell-model calculations. The trend of the B (E2 ; 0 + → 2 +) values in the midshell area is in good agreement with the calculations and the calculated B 4 / 2 ratio provide evidence for 118Te as a near perfect harmonic vibrator. [ABSTRACT FROM AUTHOR]

First-mile last-mile (FMLM) mobility services that connect riders to public transit can lead to improved transit accessibility and network efficiency if such services are convenient and reliable. However, many current FMLM services are inefficient and costly because they are inflexible (e.g., fixed supply of shuttles) and do not leverage collected data for optimized decision making. At the same time, new forms of shared mobility can provide added flexibility and real-time analytics to FMLM systems when carefully integrated. This study evaluates performance and cost implications of public/private coordination between transit shuttles and transportation network companies (TNC) in the FMLM context. A real-time operations model was developed to simulate daily operations for an existing FMLM system using real-world demand data. Three supply strategies were tested with varying levels of flexibility: (1) Status Quo (two 23-passenger on-demand shuttles), (2) Hybrid (one 23-passenger on-demand shuttle + TNC), and (3) TNC Only (exclusively use TNC services). Results indicated that the added flexibility of the Hybrid service design (using shuttles and TNCs) improved service performance (a 7.7% improvement), reduced daily operating costs (− 6.0%), and improved service reliability (95th percentile travel times decreased by up to 40% during peak periods). In addition, the Hybrid service design was more robust to variations in demand. The Hybrid service was significantly cheaper to operate (− 31.6%) at reduced demand levels (50% of normal), and improved service performance (a 10.2% improvement) when demand levels were increased (150% of normal). These findings emphasize the importance of flexibility in FMLM service designs, especially when demand is sparse and variable. [ABSTRACT FROM AUTHOR]

The reaction of CO2 with H2O to form bicarbonate (HCO3−) and H+ controls sperm motility and fertilization via HCO3−-stimulated cAMP synthesis. A complex network of signaling proteins participates in this reaction. Here, we identify key players that regulate intracellular pH (pHi) and HCO3− in human sperm by quantitative mass spectrometry (MS) and kinetic patch-clamp fluorometry. The resting pHi is set by amiloride-sensitive Na+/H+ exchange. The sperm-specific putative Na+/H+ exchanger SLC9C1, unlike its sea urchin homologue, is not gated by voltage or cAMP. Transporters and channels implied in HCO3− transport are not detected, and may be present at copy numbers < 10 molecules/sperm cell. Instead, HCO3− is produced by diffusion of CO2 into cells and readjustment of the CO2/HCO3−/H+ equilibrium. The proton channel Hv1 may serve as a unidirectional valve that blunts the acidification ensuing from HCO3− synthesis. This work provides a new framework for the study of male infertility. Bicarbonate (HCO3−) is critical in sperm for stimulation of cAMP synthesis during fertilization, though there is dispute over how HCO3− is transported into sperm. Here the authors use limit-of-detection LC/MS to characterize sperm protein expression and show that HCO3− is produced from CO2 diffusion into sperm rather than active transport. [ABSTRACT FROM AUTHOR]

The demand for individualized products drives modern manufacturing systems towards greater adaptability and flexibility. This increases the focus on data-driven digital twins enabling swift adaptations. Within the framework of cyber-physical systems, the digital twin is a digital model that is fully connected to the physical and digital assets. A digital model must follow a standardization for interoperable data exchange. Established ontologies and meta-models offer a basis in the definition of a schema, which is the first phase of creating a digital twin. The next phase is the standardized and structured modeling with static use-case specific data. The final phase is the deployment of digital twins into operation with a full connection of the digital model with the remaining cyber-physical system. In this deployment phase communication standards and protocols provide a standardized data exchange. A survey on the state-of-the-art of these three digital twin phases reveals the lack of a consistent workflow from ontology-driven definition to standardized modeling. Therefore, one goal of this paper is the design of an end-to-end digital twin pipeline to lower the threshold of creating and deploying digital twins. As the task of establishing a communication connection is highly repetitive, an automation concept by providing structured protocol data is the second goal. The planning and control of a line-less assembly system with manual stations and a mobile robot as resources and an industrial dog as the product serve as exemplary digital twin applications. Along this use-case the digital twin pipeline is transparently explained. [ABSTRACT FROM AUTHOR]

Background: Beyond guideline-directed treatments aimed at improving cardiac function and prognosis in heart failure (HF), patient-reported outcomes have gained attention. Purpose: Using a cross-sectional approach, we assessed symptom burden, psychosocial distress, and potential palliative care (PC) needs in patients with advanced stages of HF. Methods: At a large tertiary care center, we enrolled HF patients in an exploratory pilot study. Symptom burden and psychosocial distress were assessed using the MIDOS (Minimal Documentation System for Patients in PC) questionnaire and the Distress Thermometer (DT), respectively. The 4-item Patient Health Questionnaire (PHQ-4) was used to screen for anxiety and depression. To assess PC needs, physicians used the "Palliative Care Screening Tool for HF Patients". Results: We included 259 patients, of whom 137 (53%) were enrolled at the Heart Failure Unit (HFU), and 122 (47%) at the outpatient clinic (OC). Mean age was 63 years, 72% were male. New York Heart Association class III or IV symptoms were present in 56%. With a mean 5-year survival 64% (HFU) vs. 69% (OC) calculated by the Seattle Heart Failure Model, estimated prognosis was comparatively good. Symptom burden (MIDOS score 8.0 vs. 5.4, max. 30 points, p < 0.001) and level of distress (DT score 6.0 vs. 4.8, max. 10 points, p < 0.001) were higher in hospitalised patients. Clinically relevant distress was detected in the majority of patients (HFU 76% vs. OC 57%, p = 0.001), and more than one third exhibited at least mild symptoms of depression or anxiety. Screening for PC needs revealed 82% of in- and 52% of outpatients fulfil criteria for specialized palliative support. Conclusion: Despite a good prognosis, we found multiple undetected and unaddressed needs in an advanced HF cohort. This study's tools and screening results may help to early explore these needs, to further improve integrated HF care. [ABSTRACT FROM AUTHOR]

The quantum tunneling and emission of a single constituent nucleon provide a beautifully simple and unique window into the complex properties of atomic nuclei at the extreme edge of nuclear existence. In particular, for odd-odd proton emitting nuclides, the associated decay energy and partial half-life can be used to probe the correlations between the valence neutrons and protons which have been theoretically predicted to favour a new type of nuclear superfluidity, isoscalar neutron-proton pairing, for which the experimental "smoking gun" remains elusive. In the present work, proton emission from the lanthanum isotope 57 116 La59, 23 neutrons away from the only stable isotope 57 139 La82, is reported. 116La nuclei were synthesised in the fusion-evaporation reaction 58Ni(64Zn, p5n)116La and identified via their proton radioactivity using the mass spectrometer MARA (Mass Analysing Recoil Apparatus) and the silicon detectors placed at its focal plane. Comparisons of the measured proton energy (Ep = 718 ± 9 keV) and half-life (T1/2 = 50 ± 22 ms) with values calculated using the Universal Decay Law approach indicate that the proton is emitted with an orbital angular momentum l = 2 and that its emission probability is enhanced relative to its closest, less exotic, odd-even lanthanum isotope ( 57 117 La60) while the proton-emission Q-value is lower. We propose this to be a possible signature for the presence of strong neutron-proton pair correlations in this exotic, neutron deficient system. The observations of γ decays from isomeric states in 116La and 117La are also reported. Neutron-proton pairing is a topic of continuous interest in nuclear physics and open questions remain. The authors experimentally observe direct proton decay from the ground state of odd-odd 116La, providing support for the presence of strong neutron-proton pair correlations in this exotic, neutron deficient system. [ABSTRACT FROM AUTHOR]

Introduction: Interprofessional training wards (ITWs) are implemented to provide medical students with a holistic and authentic health care experience to improve their clinical competencies. Controlled outcome studies assessing students' competencies after ITW-training are uncommon. In this case-control study, we assessed final-year medical students who received ITW-training regarding entrustable professional activities (EPAs) and communicative as well as social competencies. Methods: In March 2021, 32 final-year students, 16 with (ITW group) and 16 without (control group) a previous four-week placement on an ITW participated in a training simulating the first day of residency. The simulated patients assessed students' communication and interpersonal skills for history taking with the ComCare index after every consultation. Twelve prospective EPAs were assessed by three senior physicians after watching videos of the students' case presentations. Results: While baseline characteristics and ComCare index ratings were not significantly different between the two groups, the overall mean entrustment level for the 12 EPAs was significantly higher (p < 0.001) in the ITW group compared to the control group (median = 3.15 versus 2.22). The interrater reliability for all EPAs was high and entrustment in students from the ITW group was significantly higher in 10 out of 12 EPAs. Discussion: ITW training seems to prepare medical students well to practice competencies which are relevant for prospective entrustment decisions and can be deduced by senior physicians from case presentations. Further studies with larger student cohorts are needed to corroborate this finding and observable EPAs could also be defined to assess students' competencies after ITW training. [ABSTRACT FROM AUTHOR]

Objective: Ambient particle matter is a risk factor for cardiovascular disease (CVD). However, little is known about associations between particles in occupational settings and risk of CVD. We investigated associations between occupational dust exposure and biomarkers of CVD, and potential recovery effects after vacation. Methods: Personal dust exposure measurements (respirable silica, respirable dust < 4 µm, and particles of 0.1–10 µm (PM 0.1–10) were conducted once, and biological sampling were performed twice on non-smoking, male construction workers in Stockholm county, Sweden; during work and immediately after summer vacation. Linear regressions with adjustments for confounders and covariates were performed evaluating associations between occupational dust exposure and biomarkers. Paired t tests were performed evaluating changes before and after vacation. Results: Sixty-five workers participated. Homocysteine concentrations were significantly higher with increasing concentrations (mg/m3) of respirable silica, respirable dust, and PM 0.1–10, and pulse rate with higher levels of respirable dust and dust of PM 0.1–10. Homocysteine levels were also positively correlated to number of years of dust exposure, as were low-density lipoprotein (LDL) levels. A clear recovery effect was present for LDL after vacation, but not for homocysteine. Conclusions: Occupational dust exposure was associated with some CVD risk markers, even at mean exposure concentrations below the Swedish occupational exposure limits for respirable silica and respirable dust, respectively. Vacation resulted in recovery for some risk markers. However, the change of the homocysteine and LDL levels suggest a long-term effect. Reduction of occupational exposure to dust may decrease the risk of CVD among exposed workers. [ABSTRACT FROM AUTHOR]

Across the physics disciplines, the 186Pb nucleus is the only known system, where the two first excited states, together with the ground state, form a triplet of zero-spin states assigned with prolate, oblate and spherical shapes. Here we report on a precision measurement where the properties of collective transitions in 186Pb were determined in a simultaneous in-beam γ-ray and electron spectroscopy experiment employing the recoil-decay tagging technique. The feeding of the 0 2 + state and the interband 2 2 + → 2 1 + transition have been observed. We also present direct measurement of the energies of the electric monopole transitions from the excited 0+ states to the 0+ ground state. In contrast to the earlier understanding, the obtained reduced transition probability B (E 2 ; 2 1 + → 0 2 + ) value of 190(80) W.u., the transitional quadrupole moment ∣ Q t ( 2 1 + → 0 2 + ) ∣ = 7.7 (33) eb and intensity balance arguments provide evidence to reassign the 0 2 + and 0 3 + states with predominantly prolate and oblate shape, respectively. Our work demonstrates a step-up in experimental sensitivity and paves the way for systematic studies of electric monopole transitions in this region. These electric monopole transitions probe the nuclear volume in a unique manner and provide unexploited input for development of the next-generation energy density functional models. The authors study an interesting phenomena of shape coexistence in 186Pb. In an elegant and well-documented experiment, they confirm the coexistence of the three 0+ states in the 186Pb nucleus and reassign the shapes associated with the excited 0+ states. [ABSTRACT FROM AUTHOR]

Data has become an integral part of our society in the past years, arriving faster and in larger quantities than before. Traditional clustering algorithms rely on the availability of entire datasets to model them correctly and efficiently. Such requirements are not possible in the data stream clustering scenario, where data arrives and needs to be analyzed continuously. This paper proposes a novel evolutionary clustering algorithm, entitled EvolveCluster, capable of modeling evolving data streams. We compare EvolveCluster against two other evolutionary clustering algorithms, PivotBiCluster and Split-Merge Evolutionary Clustering, by conducting experiments on three different datasets. Furthermore, we perform additional experiments on EvolveCluster to further evaluate its capabilities on clustering evolving data streams. Our results show that EvolveCluster manages to capture evolving data stream behaviors and adapts accordingly. [ABSTRACT FROM AUTHOR]

Background and aim: Physical activity levels in older people often decrease and may mean impaired physical functioning leading to an increased fall risk. The aim of this study was to investigate self-reported change in physical activity dose and deterioration in balance performance, gait speed, and self-rated health (SRH) in older women between two time points in a follow-up study. Methods: A cohort of community-living women, aged 69–79 years (n = 351) were evaluated by questionnaire and clinical tests on balance, gait speed, and SRH at baseline. One hundred and eighty-six women were followed-up by these tests 8.5 years after inclusion. The non-parametric Wilcoxon signed-rank test and Mann–Whitney U test were used for the analysis. Results: The greatest changes were seen in one-leg standing time (OLST) with eyes closed (− 60%) and eyes open (− 42%). The population was divided into high exercise (HE, n = 49) and low exercise (LE, n = 51) groups. At baseline the HE group had an OLST of 19 s with eyes open and 3 s with eyes closed. In the LE group, these values were 7.3 s and 2 s. At follow-up, differences between HE and LE concerning tandem walk forwards (steps) (HE = 8.5; LE = 2.5) and backwards (HE = 11; LE = 3.5) emerged. The HE group estimated SRH (VAS-scale) 30 mm higher at baseline and 17 mm higher at follow-up than the LE group. Conclusion: Greater physical activity seems to be an important predictor for maintaining physical function and SRH in older women. [ABSTRACT FROM AUTHOR]

Two rotational bands are identified in 119 Cs, one of which having very similar pattern to that of the strongly-coupled π g 9 / 2 [ 404 ] 9 / 2 + band. The properties of the bands with similar patterns extracted from the experimental data are in agreement with a chiral interpretation. Tilted axis cranking covariant density functional theory with pairing correlations and particle-number conserving cranked shell model calculations are employed to determine the deformation and to investigate the band configurations, respectively. It results that the backbending is induced by the rotational alignment of two h 11 / 2 protons, whose angular momenta reorient from the short to the intermediate axis, in a plane orthogonal to the angular momentum of the strongly-coupled g 9 / 2 proton which keeps aligned along the long axis. The total spin points in 3D, inducing the breaking of the chiral symmetry. This is the first observation of candidate chiral bands built on a configuration with three protons, one in the strongly coupled [ 404 ] 9 / 2 + orbital which does not change orientation with increasing rotational frequency, and two in the h 11 / 2 orbital which reorients to the rotation axis. The bands are observed in the transient backbending regime, showing that the chirality in nuclei is a general phenomenon, being robust and present not only in nuclei with nearly maximal triaxiality and pure configurations, but also in nuclei with moderate triaxiality and mixed configurations which gradually evolve from one to three-quasiparticle configurations, like in the backbending region. [ABSTRACT FROM AUTHOR]

Here, we report the effect of newly regenerated axons via scaffolds on reorganization of spinal circuitry and restoration of motor functions with epidural electrical stimulation (EES). Motor recovery was evaluated for 7 weeks after spinal transection and following implantation with scaffolds seeded with neurotrophin producing Schwann cell and with rapamycin microspheres. Combined treatment with scaffolds and EES-enabled stepping led to functional improvement compared to groups with scaffold or EES, although, the number of axons across scaffolds was not different between groups. Re-transection through the scaffold at week 6 reduced EES-enabled stepping, still demonstrating better performance compared to the other groups. Greater synaptic reorganization in the presence of regenerated axons was found in group with combined therapy. These findings suggest that newly regenerated axons through cell-containing scaffolds with EES-enabled motor training reorganize the sub-lesional circuitry improving motor recovery, demonstrating that neuroregenerative and neuromodulatory therapies cumulatively enhancing motor function after complete SCI. [ABSTRACT FROM AUTHOR]

Decay spectroscopy of the odd-proton nuclei 249 Md and 251 Md has been performed. High-K isomeric states were identified for the first time in these two nuclei through the measurement of their electromagnetic decay. An isomeric state with a half-life of 2.8(5) ms and an excitation energy ≥ 910 keV was found in 249 Md. In 251 Md, an isomeric state with a half-life of 1.4(3) s and an excitation energy ≥ 844 keV was found. Similarly to the neighbouring 255 Lr, these two isomeric states are interpreted as 3 quasi-particle high-K states and compared to new theoretical calculations. Excited nuclear configurations were calculated within two scenarios: via blocking nuclear states located in proximity to the Fermi surface or/and using the quasiparticle Bardeen–Cooper–Schrieffer method. Relevant states were selected on the basis of the microscopic-macroscopic model with a deformed Woods–Saxon potential. The most probable candidates for the configurations of K-isomeric states in Md nuclei are proposed. [ABSTRACT FROM AUTHOR]

Rhythmic auditory stimulation (RAS) is a gait intervention in which gait-disordered patients synchronise footsteps to music or metronome cues. Musical 'groove', the tendency of music to induce movement, has previously been shown to be associated with faster gait, however, why groove affects gait remains unclear. One mechanism by which groove may affect gait is that of beat salience: music that is higher in groove has more salient musical beats, and higher beat salience might reduce the cognitive demands of perceiving the beat and synchronizing footsteps to it. If groove's effects on gait are driven primarily by the impact of beat salience on cognitive demands, then groove's effects might only be present in contexts in which it is relevant to reduce cognitive demands. Such contexts could include task parameters that increase cognitive demands (such as the requirement to synchronise to the beat), or individual differences that may make synchronisation more cognitively demanding. Here, we examined whether high beat salience can account for the effects of high-groove music on gait. First, we increased the beat salience of low-groove music to be similar to that of high-groove music by embedding metronome beats in low and high-groove music. We examined whether low-groove music with high beat salience elicited similar effects on gait as high-groove music. Second, we examined the effect of removing the requirement to synchronise footsteps to the beat (i.e., allowing participants to walk freely with the music), which is thought to remove the cognitive demand of synchronizing movements to the beat. We tested two populations thought to be sensitive to the cognitive demands of synchronisation, weak beat-perceivers and older adults. We found that increasing the beat salience of low-groove music increased stride velocity, but strides were still slower than with high-groove music. Similarly, removing the requirement to synchronise elicited faster, less variable gait, and reduced bias for stability, but high-groove music still elicited faster strides than low-groove music. These findings suggest that beat salience contributes to groove's effect on gait, but it does not fully account for it. Despite reducing task difficulty by equalizing beat salience and removing the requirement to synchronise, high-groove music still elicited faster, less variable gait. Therefore, other properties of groove also appear to play a role in groove's effect on gait. [ABSTRACT FROM AUTHOR]

An analysis of a data set consisting of 3 years of high time resolution radioxenon stack measurements from the three nuclear reactors at the Forsmark nuclear power plant in Sweden, as well as measurements of atmospheric radioxenon in Stockholm air, 110 km away, is presented. The main causes for the stack releases, such as the function of the xenon mitigation systems, presence of leaking fuel elements, and reactor operations such as shutdown and startup, are discussed in relation to the stack data. The relation between radioxenon releases and reactor operation is clearly illustrated by the correlation between the stack measurements and thermal reactor power. In general, the isotopic ratios of the Stockholm measurements, which are shown to mainly originate from Forsmark releases, agree well with stack measurements, and with a modeled reactor operational sequence. Results from a forward atmospheric dispersion calculation agree very well with observed plume arrival times and widths, and with some exceptions, also with absolute activity concentrations. The results illustrates the importance of detailed knowledge of radioxenon emissions from nuclear power plants when interpreting radioxenon measurements for nuclear test ban verification, and provide new input to this kind of analysis. Furthermore, it demonstrates the possibility to use sensitive radioxenon detection systems to remotely detect and verify reactor operation. [ABSTRACT FROM AUTHOR]

Transportation network companies (TNC) provide mobility services that are influencing travel behavior in unknown ways due to limited TNC trip-level data. How they interact with other modes of transportation can have direct societal impacts, prompting appropriate policy intervention. This paper outlines a method to inform such policies through a data-driven approach that specifically analyzes the interaction between TNCs and bus services in Pittsburgh, PA. Uber surge multiplier data is used over a 6-month time period to approximate TNC usage (i.e., demand over supply ratio) for ten predefined points of interest throughout the city. Bus boarding data near each point of interest is used to relate TNC usage. Data from multiple sources (weather, traffic speed data, bus levels of service) are used to control for conditions that influence bus ridership. We find significant changes in bus boardings during periods of unusually high TNC usage at four locations during the evening hours. The remaining six locations observe no significant change in bus boardings. We find that the presence of a dedicated bus way transit station or a nearby university (or dense commercial zones in general) both influence ad-hoc substitutional behavior between TNCs and public transit. We also find that this behavior varies by location and time of day. This finding is significant and important for targeted policies that improve transportation network efficiency. [ABSTRACT FROM AUTHOR]

Lifetime measurements in 178 Pt with excited states de-exciting through γ -ray transitions and internal electron conversions have been performed. Ionic charges were selected by the in-flight mass separator MARA and measured at the focal plane in coincidence with the 4 1 + → 2 1 + 257 keV γ -ray transition detected using the JUROGAM 3 spectrometer. The resulting charge-state distributions were analysed using the differential decay curve method (DDCM) framework to obtain a lifetime value of 430(20) ps for the 2 1 + state. This work builds on a method that combines the charge plunger technique with the DDCM analysis. As an alternative analysis, ions were selected in coincidence with the 178 Pt alpha decay ( E alpha = 5.458 (5) MeV) at the focal plane. Lifetime information was obtained by fitting a two-state Bateman equation to the decay curve with the lifetime of individual states defined by a single quadrupole moment. This yielded a lifetime value of 430(50) ps for the 2 1 + state, and 54(6) ps for the 4 1 + state. An analysis method based around the Bateman equation will become especially important when using the charge plunger method for the cases where utilising coincidences between prompt γ rays and recoils is not feasible. [ABSTRACT FROM AUTHOR]

Varicella-zoster virus (VZV) is one of the most common agents causing viral infections of the central nervous system (CNS). VZV encephalitis is associated with severe neurological sequelae, despite antiviral treatment. Cognitive impairment has been reported and VZV has been associated with dementia. Our aim was to investigate the cognitive impairment and cerebrospinal fluid biomarkers in a follow-up study of patients with VZV encephalitis. Thirteen patients with VZV encephalitis, diagnosed by detection of VZV DNA in cerebrospinal fluid (CSF) by PCR and concomitant symptoms of encephalitis, were included. Neuropsychological assessment in parallel with a lumbar puncture to obtain CSF was performed 1.5–7 years after acute disease. The CSF biomarkers neurofilament light chain (NFL), S100B, glial fibrillary acidic protein (GFAP), amyloid-β (Aβ) 40 and Aβ42, total tau (t-tau) and phosphorylated tau (p-tau) were analysed and compared to controls (n = 24). Cognitive impairment was shown in the domains of executive functions and speed/attention and to a minor degree in the domains of learning/memory and language, indicated by a significantly poorer performance on seven neuropsychological test variables. No convincing evidence of alterations in concentrations of biomarkers in the CSF were shown. Our results indicate that patients with VZV encephalitis suffer from cognitive impairment long time after acute disease. Importantly, these impairments do not seem to be accompanied by biomarker evidence of ongoing neuronal or astrocytic injury/activation or induction of dementia-related brain pathologies by the infection. [ABSTRACT FROM AUTHOR]

The widespread adoption of smartphones followed by an emergence of transportation network companies (TNC) have influenced the way individuals travel. The authors use the 2017 National Household Travel Survey to explore socioeconomic, frequency of use, and spatial characteristics associated with TNC users. The results indicate that TNC riders tend to be younger, earn higher incomes, have higher levels of education, and are more likely to reside in urban areas compared to the aggregate United States population. Of the TNC users, 60% hailed a ride three times or less in the previous month, indicating that TNC services are primarily used for special occasions. TNC users use public transit at higher rates and own fewer vehicles compared to the aggregate United States population. In fact, the TNC user population reported similar frequencies of use for both TNC services and public transit during the previous month. Approximately 40% of TNC users reside in regions with population densities greater than 10, 000 persons per square mile compared to only 15% for non-TNC users. Lastly, reported use of public transit for TNC users living in large cities (> 1 million) with access to heavy rail was almost three times greater when compared to similar sized cities without heavy rail. The average monthly frequency of TNC use was also elevated when heavy rail was present. [ABSTRACT FROM AUTHOR]

This paper introduces a new image-based handwritten historical digit dataset named Arkiv Digital Sweden (ARDIS). The images in ARDIS dataset are extracted from 15,000 Swedish church records which were written by different priests with various handwriting styles in the nineteenth and twentieth centuries. The constructed dataset consists of three single-digit datasets and one-digit string dataset. The digit string dataset includes 10,000 samples in red–green–blue color space, whereas the other datasets contain 7600 single-digit images in different color spaces. An extensive analysis of machine learning methods on several digit datasets is carried out. Additionally, correlation between ARDIS and existing digit datasets Modified National Institute of Standards and Technology (MNIST) and US Postal Service (USPS) is investigated. Experimental results show that machine learning algorithms, including deep learning methods, provide low recognition accuracy as they face difficulties when trained on existing datasets and tested on ARDIS dataset. Accordingly, convolutional neural network trained on MNIST and USPS and tested on ARDIS provide the highest accuracies 58.80 % and 35.44 % , respectively. Consequently, the results reveal that machine learning methods trained on existing datasets can have difficulties to recognize digits effectively on our dataset which proves that ARDIS dataset has unique characteristics. This dataset is publicly available for the research community to further advance handwritten digit recognition algorithms. [ABSTRACT FROM AUTHOR]

Varicella-zoster virus (VZV) is a common cause of viral central nervous system (CNS) infection, and patients may suffer from severe neurological sequelae. The biomarker neurofilament light chain (NFL) is used for assessment of neuronal damage and is normally measured in cerebrospinal fluid (CSF). Novel methods have given the possibility to measure NFL in serum instead, which could be a convenient tool to estimate severity of disease and prognosis in VZV CNS infections. Here, we investigate the correlation of serum and CSF NFL in patients with VZV CNS infection and the association of NFL levels in serum and CSF with different VZV CNS entities. NFL in serum and CSF was measured in 61 patients who were retrospectively identified with neurological symptoms and VZV DNA in CSF detected by PCR. Thirty-three herpes zoster patients and 40 healthy blood donors served as control groups. NFL levels in serum and CSF correlated strongly in the patients with VZV CNS infection. Encephalitis was associated with significantly higher levels of NFL in both serum and CSF compared with meningitis and Ramsay Hunt syndrome. Surprisingly, herpes zoster controls had very high serum NFL levels, comparable with those shown in encephalitis patients. We show that analysis of serum NFL can be used instead of CSF NFL for estimation of neuronal injury in patients with VZV CNS infection. However, high levels of serum NFL also in patients with herpes zoster, without signs of CNS involvement, may complicate the interpretation. [ABSTRACT FROM AUTHOR]

High-spin states of the odd–odd 194 Bi nucleus have been studied by means of nuclear spectroscopy for the first time. Two low-lying rotational bands were observed. The positive-parity band built on a short-lived isomeric state 633 keV above the α and β decaying long-lived (10 - ) state is assigned a π i 13 / 2 ⊗ ν i 13 / 2 - 1 configuration, while the other band is attributed to the π h 9 / 2 ⊗ ν i 13 / 2 - 1 configuration. Both of these bands are assumed to have oblate shape. Three band-like structures composed predominantly of Δ I = 1 transitions were also found. One of the shears band candidates is firmly linked to the lower lying level structures whereas for the other two links to lower-lying structures remain missing. [ABSTRACT FROM AUTHOR]

The jurogam 3 spectrometer has been constructed for in-beam γ -ray spectroscopy experiments in the Accelerator Laboratory of the University of Jyväskylä, Finland. jurogam 3 consists of germanium-detector modules in a compact geometry surrounding a target to measure γ rays emitted from radioactive nuclei. jurogam 3 can be employed in conjunction with one of two recoil separators, the mara vacuum-mode separator or the ritu gas-filled separator, and other ancillary devices. [ABSTRACT FROM AUTHOR]

Chediak-Higashi Syndrome (CHS) is a well-characterized, autosomal recessively inherited lysosomal disease caused by mutations in lysosomal trafficking regulator (LYST). The feline model for CHS was originally maintained for ~20 years. However, the colonies were disbanded and the CHS cat model was lost to the research community before the causative mutation was identified. To resurrect the cat model, semen was collected and cryopreserved from a lone, fertile, CHS carrier male. Using cryopreserved semen, laparoscopic oviductal artificial insemination was performed on three queens, two queens produced 11 viable kittens. To identify the causative mutation, a fibroblast cell line, derived from an affected cat from the original colony, was whole genome sequenced. Visual inspection of the sequence data identified a candidate causal variant as a ~20 kb tandem duplication within LYST, spanning exons 30 through to 38 (NM_001290242.1:c.8347-2422_9548 + 1749dup). PCR genotyping of the produced offspring demonstrated three individuals inherited the mutant allele from the CHS carrier male. This study demonstrated the successful use of cryopreservation and assisted reproduction to maintain and resurrect biomedical models and has defined the variant causing Chediak-Higashi syndrome in the domestic cat. [ABSTRACT FROM AUTHOR]

Purpose: To investigate whether volumetric imaging of tumor vasculature can be used to phenotypically characterize advanced upper tract urothelial carcinoma, and if this technique can distinguish aggressive invasive tumors from non-aggressive superficial ones. Methods: In a pilot study, two TaG1 and two T3G3 formalin-fixed paraffin-embedded (FFPE) tumor samples were examined using the DIPCO pipeline (Tanaka et al. in Nature Biomed Eng 1(10):796–806. 10.1038/s41551-017-0139-0, 2017). Briefly, punch biopsies of FFPE tumors were deparaffinized, cleared, immunolabeled with the vessel marker CD34 and imaged with a light-sheet microscope. Thereafter, the three-dimensional (3D) vasculature of the tumors was analyzed and characterized using a specialized image processing software. Results: We found that T3G3 tumors had increased CD34 density kurtosis and skewness compared to TaG1 tumors. This suggests that analysis of the 3D vasculature can distinguish between high-grade invasive and low-grade superficial tumors. Conclusions: Volumetric imaging of tumor samples may represent novel methodology that can complement conventional histopathology. Volumetric imaging enabled us to differentiate between invasive and non-invasive upper tract urothelial carcinoma. The method is of particular interest in diagnostic work-up of patients with upper tract urothelial carcinoma as previous findings indicate that volumetric imaging of vascular patterns could be used to differentiate superficial and invasive urothelial carcinoma, irrespective of if the tumor sample was deep or superficial. However, further and more extensive studies are required before this method can be applied clinically. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this prospective study was to identify the tumour characteristics that are associated with invasiveness and those that are relevant for disease-specific survival (DSS) in upper tract urothelial carcinoma, UTUC. Methods: From a prospective consecutive cohort of patients with suspicion of UTUC, those who were diagnosed with UTUC using URS prior to rNU between 2005 and 2012 were included. Tumour characteristics were analysed for prediction of invasiveness and association with DSS. Stages were categorised as superficial (pTa-1 and CIS only) or invasive (≥ pT2). Tumours were graded according to WHO 1999 classification. DSS was analysed regarding possible association with stage, grade, size, multifocality, location, ploidy and rate of proliferation. Associations were tested using Fisher's exact test, Pearson Chi-square or Cox's regression. Kaplan–Meier survival curves were constructed. Results: Forty-five consecutive patients were included, and 43 of them were included in the final analyses because their rNU specimens were available for reassessment. The only tumour characteristics that were significantly associated with stage were tumour grade (P < 0.001), DNA ploidy (P = 0.045) and rate of proliferation (P = 0.004). No association with stage was noted for size, multifocality or location. Grade, stage and rate of proliferation were associated with DSS. Conclusions: Grade, DNA ploidy and S-phase fraction were the only tumour characteristics associated with stage in our study. However, DNA ploidy was not associated with DSS. The prognostic factors that we identified were tumour grade, stage, and S-phase fraction. [ABSTRACT FROM AUTHOR]

Whole-integer ratios in musical rhythm are culturally universal. The reliable periodicity of rhythm inspired us to determine whether time perception, which is foundational to and inherently less structured than rhythm, is subject to similar biases. We created a random-interval generation task that exploits the nonrandom tendencies in perception and action in order to uncover the structural biases underlying temporal duration perception. Participants listened to and watched an audiovisual suprasecond temporal cue and were asked to subdivide it as randomly as possible in a prescribed number of responses. The results showed that the subdivision probability distributions were distinctly nonrandom, and closely resembled multimodal distributions with a number of equally spaced, symmetrical peaks equal to the number of subdivisions required. These patterns were thus highly periodic and isochronous, despite explicit instructions to act as randomly as possible. We interpreted this bias as an organizing heuristic that divides perceived time into smaller, equal-duration chunks in order to facilitate representation. [ABSTRACT FROM AUTHOR]

A cluster-randomized controlled trial, WorkUp, was conducted for working-aged patients at risk of sick leave or on short-term sick leave due to acute/subacute neck and/or back pain in Sweden. The purpose of WorkUp was to facilitate participants to stay at work or in case of sick leave, return-to-work. The aim of this study was to study whether the WorkUp trial was cost-effective. Patients in the intervention and reference group received structured evidence-based physiotherapy, while patients in the intervention group also received a work place dialogue with the employer as an add-on. The participants, 352 in total, were recruited from 20 physiotherapeutic units in primary healthcare in southern Sweden. The economic evaluation was performed both from a healthcare and a societal perspective with a 12-month time frame with extensive univariate sensitivity analyses. Results were presented as incremental cost-effectiveness ratios (ICER) with outcomes measured as quality-adjusted life-years (QALY) and proportion working for at least 4 weeks in a row without reported sick leave at 12-month follow-up. From the healthcare perspective, the ICER was €23,606 (2013 price year) per QALY gain. From the societal perspective the intervention was dominating, i.e.. less costly and more effective than reference care. Bootstrap analysis showed that the probability of the intervention to be cost-effective at €50,000 willingness-to-pay per QALY was 85% from the societal perspective. Structured evidence-based physiotherapeutic care together with workplace dialogue is a cost-effective alternative from both a societal and a healthcare perspective for acute/subacute neck and/or back pain patients.Trial registration ClinicalTrials.gov: NCT02609750. [ABSTRACT FROM AUTHOR]

Annual growth, fibre and wood properties of Norway spruce are all under strong influence from genetics, age and weather. They change dynamically, particularly at young ages. Most genetic research and tree improvement programs are based on data from this most dynamic phase of the life of trees, affected by differences in weather among sites and years. In the work presented, influences of age and weather were investigated and modelled at the detail of annual rings and at the sub-tree ring level of earlywood, transitionwood and latewood. The data used were analysed from increment cores sampled at age 21 years from almost 6000 Norway spruce trees of known genetic origin, grown on two sites in southern Sweden. The traits under investigation were radial growth, cell widths, cell numbers, cell wall thickness and coarseness as a measure of biomass allocation at cell level. General additive mixed models (GAMMs) were fitted to model the influences of age, local temperature and precipitation. The best models were obtained for number of tracheids formed per year, ring width, average radial tracheid width in earlywood, and ring averages for tangential tracheid width and coarseness. Considering the many sources behind the huge variation, the explained part of the variability was high. For all traits, models were developed using both total tree age and cambial age (ring number) to express age. Comparisons indicate that the number of cell divisions and ring width are under stronger control of tree age, but the other traits under stronger control of cambial age. The models provide a basis to refine data prior to genetic evaluations by compensating for estimated differences between sites and years related to age and weather rather than genetics. Other expected applications are to predict performance of genotypes in relation to site or climate and simulation of climate change scenarios. [ABSTRACT FROM AUTHOR]

In this work, high-silica MFI zeolite adsorbent was evaluated for selective recovery of butanol from a real ABE (acetone, butanol, and ethanol) fermentation broth by batch adsorption measurements. The fermentation broth was produced using a hydrolyzate originating from Kraft black liquor, an internal stream in pulp mills, i.e., a low-cost substrate. The adsorbent was very selective towards butanol and butyric acid and became nearly saturated with a mixture of butanol and butyric acid with relative amounts of butanol and butyric acid depending on the pH. The presence of phenolic compounds in significant amounts in the fermentation broths, originating from the black liquor hydrolyzate, did not affect the adsorption of butanol and butyric acid. [ABSTRACT FROM AUTHOR]

Voltage-sensing (VSD) and cyclic nucleotide-binding domains (CNBD) gate ion channels for rapid electrical signaling. By contrast, solute carriers (SLCs) that passively redistribute substrates are gated by their substrates themselves. Here, we study the orphan sperm-specific solute carriers SLC9C1 that feature a unique tripartite structure: an exchanger domain, a VSD, and a CNBD. Voltage-clamp fluorimetry shows that SLC9C1 is a genuine Na+/H+ exchanger gated by voltage. The cellular messenger cAMP shifts the voltage range of activation. Mutations in the transport domain, the VSD, or the CNBD strongly affect Na+/H+ exchange, voltage gating, or cAMP sensitivity, respectively. Our results establish SLC9C1 as a phylogenetic chimaera that combines the ion-exchange mechanism of solute carriers with the gating mechanism of ion channels. Classic SLCs slowly readjust changes in the intra- and extracellular milieu, whereas voltage gating endows the Na+/H+ exchanger with the ability to produce a rapid pH response that enables downstream signaling events. [ABSTRACT FROM AUTHOR]

In the context of historical document analysis, image binarization is a first important step, which separates foreground from background, despite common image degradations, such as faded ink, stains, or bleed-through. Fast binarization has great significance when analyzing vast archives of document images, since even small inefficiencies can quickly accumulate to years of wasted execution time. Therefore, efficient binarization is especially relevant to companies and government institutions, who want to analyze their large collections of document images. The main challenge with this is to speed up the execution performance without affecting the binarization performance. We modify a state-of-the-art binarization algorithm and achieve on average a 3.5 times faster execution performance by correctly mapping this algorithm to a heterogeneous platform, consisting of a CPU and a GPU. Our proposed parameter tuning algorithm additionally improves the execution time for parameter tuning by a factor of 1.7, compared to previous parameter tuning algorithms. We see that for the chosen algorithm, machine learning-based parameter tuning improves the execution performance more than heterogeneous computing, when comparing absolute execution times. [ABSTRACT FROM AUTHOR]

Anecdotal accounts suggest that individuals spontaneously synchronize their movements to the ‘beat’ of background music, often without intending to, and perhaps even without attending to the music at all. However, the question of whether intention and attention are necessary to synchronize to the beat remains unclear. Here, we compared whether footsteps during overground walking were synchronized to the beat when young healthy adults were explicitly instructed to synchronize (intention to synchronize), and were not instructed to synchronize (no intention) (Experiment 1: intention). We also examined whether reducing participants’ attention to the music affected synchronization, again when participants were explicitly instructed to synchronize, and when they were not (Experiment 2: attention/intention). Synchronization was much less frequent when no instructions to synchronize were given. Without explicit instructions to synchronize, there was no evidence of synchronization in 60% of the trials in Experiment 1, and 43% of the trials in Experiment 2. When instructed to synchronize, only 26% of trials in Experiment 1, and 14% of trials in Experiment 2 showed no evidence of synchronization. Because walking to music alters gait, we also examined how gait kinematics changed with or without instructions to synchronize, and attention to the music was required for synchronization to occur. Instructions to synchronize elicited slower, shorter, and more variable strides than walking in silence. Reducing attention to the music did not significantly affect synchronization of footsteps to the beat, but did elicit slower gait. Thus, during walking, intention, but not attention, appears to be necessary to synchronize footsteps to the beat, and synchronization elicits slower, shorter, and more variable strides, at least in young healthy adults. [ABSTRACT FROM AUTHOR]