Stuck in the closet: a reply to Ahmed

Morgenbesser cases matter, as Ahmed (2011) puts it, because they appear to refute the attractively simple suppositional theory of counterfactuals. 1 In my 2007, I defended the suppositional theory by endorsing Slote's suggestion that our intuitions in Morgenbesser cases are 'vestiges of a deterministic mindset' (Slote 1978; the phrase is from Schaffer 2004: 305). I then argued that, if we divest ourselves of that mindset, and reject Morgenbesser counterfactuals (e.g. (3) and (4) below; I follow Ahmed's numbering throughout), the crucial role of counterfactuals in empirical reasoning is not impugned. In his stimulating reply, Ahmed disputes both claims. Independent intuitions? Doyle is playing Texas Hold'em. He folds the three and five of clubs. The next three cards ('the flop') are then dealt by a random card generator on a truly indeterministic basis, and entirely independently of Doyle's decision to fold. Seeing the ace, two and four of clubs dealt, Doyle kicks himself, thinking (3) and, as Ahmed sees it, implicitly, (4). In the deterministic case this is appropriate, given the causal independence of decision and flop. The orthodox view, which Ahmed endorses, takes it that these thoughts are also correct in the indeterministic case. I demur. To think (3) or (4) is, implicitly, to think of the outcome of the flop as revealing some hidden fact about an earlier situation, a fact that would have been the same even if Doyle had bet. However, if the process is truly indeterministic, the outcome reveals no such thing. In a different (e.g. betting) situation, the outcome might well have been different. To think otherwise is to be locked in a deterministic mindset. Ahmed disagrees. The intuition behin

Characterization of a 3D matrix bioreactor for scaled production of human mesenchymal stem cells

Human Mesenchymal Stem Cells (hMSCs) are multipotent, immune-privileged, and possess the capacity to proliferate ex-vivo, making them a good candidate for stem cell therapy. However, a reliable scalable production system for hMSCs is needed to fuel the growing field of regenerative medicine. Current growth of hMSCs is achieved through adherent 2D methods using tissue culture flasks or cell factory systems. These processes are labor intensive and can lead to low purity and poor yield of hMSCs due to the limited control of culture conditions inherent in these systems. In this work, we are investigating a novel 3D honeycomb matrix culture system for controlled high density hMSC production. We have assessed compatibility of the hMSCs on the honeycomb matrix and developed a scale down model bioreactor for development and characterization. Computational Fluid Dynamic (CFD) modeling is used in parallel with the described in-vitro experimentation to characterize shear profiles and oxygen transport for optimization of the conditions to support high cell density hMSC cultures. These techniques will potentially allow for higher yield and purity of hMSCs to meet the large quantities of cells needed for emerging whole cell therapies

The Use of Stereoscopy in a Neurosurgery Training Virtual Environment

Published in Presence: Teleoperators and Virtual EnvironmentsWe have previously investigated the effectiveness of a custom built virtual environment in assisting training of a ventriculostomy procedure, which is a commonly performed procedure by a neurosurgeon and a core task for trainee surgeons. The training tool (called VCath) was initially developed as a low fidelity app for a tablet platform to provide easy access and availability to trainees. Subsequently we have developed a high fidelity version of VCath that uses a stereoscopic display to immerse the trainee in the virtual environment. This paper reports on two studies that have been carried out to compare the low and high fidelity versions of VCath, particularly to assess the value of stereoscopy. Study 1 was conducted at the second annual boot camp organized for all year one trainees in neurosurgery in the UK. Study 2 was performed on lay people, with no surgical experience. Our hypothesis was that using stereoscopy in the training task would be beneficial. Results from Study 1 demonstrated that performance improved for both the control group and the group trained with the tablet version of VCath. The group trained on the high fidelity version of VCath with a stereoscopic display showed no performance improvement. The indication is that our hypothesis is false. In Study 2, six different conditions were investigated that covered the use of training with VCath on a tablet, a mono display at two different sizes, a stereo display at two different sizes, and a control group who received no training. Results from this study with lay people show that stereoscopy can make a significant improvement to the accuracy of needle placement. The possible reasons for these results and the apparent contradiction between the two studies are discussed

Randomized phase II study of stereotactic body radiotherapy and interleukin-2 versus interleukin-2 in patients with metastatic melanoma.

BACKGROUND: A pilot study of stereotactic body radiation therapy (SBRT) followed by high-dose interleukin-2 (IL-2) showed a higher than anticipated objective response rate (ORR) among patients with metastatic melanoma (MM). We performed a prospective randomized study to determine if the ORR of SBRT + IL-2 was greater than IL-2 monotherapy in patients with advanced melanoma. METHODS: Patients with MM who had adequate physiological reserve for IL-2 and at least one site suitable for SBRT were eligible. There was a 1:1 randomization to SBRT + IL-2 or IL-2 monotherapy. Patients received one or two doses of SBRT (20 Gy per fraction) with the last dose administered 3 days before starting the first cycle of IL-2. IL-2 (600,000 IU per kg via intravenous bolus infusion) was given every 8 hours for a maximum of 14 doses with a second cycle after a 2-week rest. Responding patients received up to six IL-2 cycles. Patients assigned to IL-2 monotherapy who exhibited progression of melanoma after cycle 2 were allowed to crossover and receive SBRT and additional IL-2. Response Evaluation Criteria in Solid Tumors 1.1 criteria were applied to non-irradiated lesions for response assessment. RESULTS: 44 patients were included in the analysis. The ORR in the SBRT + IL-2 group was 54%: 21% complete response (CR), 33% partial response (PR), 21% stable disease (SD) and 25% progressive disease (PD). The ORR in patients receiving IL-2 monotherapy was 35%: 15% CR, 20% PR, 25% SD and 40% PD. Seven patients assigned to IL-2 subsequently received SBRT + IL-2. One CR and two PRs were observed in the crossover group. There was no difference in progression-free or overall survival (OS). At 5 years the OS was 26% in the SBRT + IL-2 group and 25% in the IL-2 monotherapy group. The disease control rate (DCR) was higher in the SBRT + IL-2 group (75% vs 60%, p=0.34). CONCLUSIONS: SBRT + IL-2 induced more objective responses with a higher DCR compared to IL-2 monotherapy in MM. IL-2 monotherapy resulted in a significantly higher ORR than anticipated. Some patients in the crossover group also achieved objective responses. TRIAL REGISTRATION NUMBER: NCT01416831

Directional wetting in anisotropic inverse opals

Porous materials display interesting transport phenomena due to the restricted motion of fluids within the nano- to micro-scale voids. Here, we investigate how liquid wetting in highly ordered inverse opals is affected by anisotropy in pore geometry. We compare samples with different degrees of pore asphericity and find different wetting patterns depending on the pore shape. Highly anisotropic structures are infiltrated more easily than their isotropic counterparts. Further, the wetting of anisotropic inverse opals is directional, with liquids filling from the side more easily. This effect is supported by percolation simulations as well as direct observations of wetting using time-resolved optical microscopy

Directional Wetting in Anisotropic Inverse Opals

Porous materials display interesting transport phenomena due to the restricted motion of fluids within the nano- to micro-scale voids. Here, we investigate how liquid wetting in highly ordered inverse opals is affected by anisotropy in pore geometry. We compare samples with different degrees of pore asphericity and find different wetting patterns depending on the pore shape. Highly anisotropic structures are infiltrated more easily than their isotropic counterparts. Further, the wetting of anisotropic inverse opals is directional, with liquids filling from the side more easily. This effect is supported by percolation simulations as well as direct observations of wetting using time-resolved optical microscopy.Chemistry and Chemical Biolog

The unusual occurrence of green algal balls of <i>Chaetomorpha linum</i> on a beach in Sydney, Australia.

In spring 2014, thousands of green algal balls were washed up at Dee Why Beach, Sydney, New South Wales, Australia. Reports of algal balls are uncommon in marine systems, and mass strandings on beaches are even more rare, sparking both public and scientific interest. We identified the algal masses as Chaetomorpha linum by using light microscopy and DNA sequencing. We characterize the size and composition of the balls from Dee Why Beach and compare them to previous records of marine algal balls. We describe the environmental conditions that could explain their appearance, given the ecophysiology of C. linum