Monthly Archives: September 2020

Chadwick Bosemans Wakanda: Afro-Futurism Is in the Present – Common Dreams

Posted: September 4, 2020 at 3:08 pm

Chadwick Bosemans tragic death at the all too young age of 43 from colorectal cancer has been weighing on me the past couple of days. I am a fan. But I also am battling cancer, and I think I understand his incredible productivity in his last years, as he knew he was fighting for his life. He was also fighting for a legacy, something to bequeath those he would leave behind. Having played Thurgood Marshall, Jackie Robinson, James Brown and King TChalla among others, he produced a string of pearls, of multi-dimensional performances. At a time when young Black men need hope and role models, he stepped up.

I thought I would say something about the Afro-Futurism that was much discussed with regard to the Wakanda whose ruler he played in the Marvel Cinematic Universe. At the end of The Black Panther, TChalla announces that Wakanda would begin sharing its technology with the world. Someone in the audience asks what a largely agricultural country had to offer, and Boseman just smiles.

Of all the world regions, Africa and the Middle East most suffer from stereotypes in the US media. Elliot Ross at Africaasacountry wrote in 2014 about historian Steven Simons observation that publishers seemed to like putting acacia trees on the covers of novels set in Africa, and, indeed, on books about Africa in general.

I lived about a tenth of my life on the African continent, and can attest that acacias or plane trees just arent common everywhere there.

What has been obscured by Americans stereotypes of Africa as one big wild animal reservation is its own spheres of hyper-modernity.

The complaints of white American conservatives that Wakanda is not a country are peculiarly tone deaf and betray an inability to understand genres of literature. It has been observed that George Orwells 1984 was not about the future. Eric Blair writing as Orwell was describing in the present the worst excesses of fascist and Stalinist societies (and as an anarcho-syndicalist was not above indicting British capitalism either).

Science Fiction and comic books often appeal to hyperbole and exaggeration as their central figure of speech, just as literary fiction likes irony. Wakanda is not the opposite of reality, but an exaggeration of an existing reality, a piling up of realities in one place that are instead scattered.

We dont often see Africa skylines like that of Nairobi in our media:

As for science, there is a lot of it being done on the continent, especially in South Africa, as Cheryl Kahla wrote at The South African.

She points out that Sandile Ngcobo and some physicist colleagues at the University of KwaZuluNatal developed the first digital laser, which can be controlled by computer and does not have to be reset each time it is used.

Some of the inventions come out of Africas special challenges. These obstacles can spur innovation.

SCROLL TO CONTINUE WITH CONTENT

Get our best delivered to your inbox.

For instance, Africa mostly did not have a network of physical telephone wires, so when cell phone technology came along, Africans adopted it even more widely than other global populations. By 2013 there were 650 million cell phones in Africa, more than in the United States or Europe. We all remember how North African youth wielded this technology to unseat a string of dictators.

Thus, in a BBC report on technological innovations in Africa for 2017 we find that Ugandan engineer Brian Turyabagye has designed a biomedical smart jacket to quickly and accurately diagnose pneumonia in children. In that population it is hard to distinguish it from malaria, but Turyabagye linked a stethoscope in a vest to a mobile phone app that records the audio of the patients chest. Analysis of that audio can detect lung crackles and can lead to preliminary diagnoses.

As for Wakandas new-found vocation of philanthropy, Kenya, Nigeria, South Africa and Uganda are highly rated for charitable giving. Even Liberia, despite its legacy of civil war, is more generous in world rankings than Belgium.

The Black Panthers own Orientalism can get in the way of its futurism. It makes Wakanda a monarchy when Africa is almost entirely made up of republics. Ghana and Senegal have made strides in democracy (and Killmonger could not so easily have taken over a democracy). It garbles Pharaonic religion with Hinduism and displaces both to the south of the subcontinent, whereas the vast majority of Africans are Muslims and Christians, and they have innovated in those traditions. Sufi Murids in Senegal contributed to a powerful strain of Muslim pacifism. If anything the film does not make Africa futuristic enough.

Of course, Africa can sometimes offer a low-tech critique of an overly industrialized, scientistic way of life.

Ironically, if Boseman had actually been, say, a South African, he would have been much less likely to die of that form of cancer. A 2018 paper in the American Journal of Pathology says that:

Incidence rates of CRC are vastly different for African Americans (60 per 100,000 per year) and South African blacks (5 per 100,000 per year). Of the many differences that characterize the environment for these different individuals, diet can play an outsize role in the incidence rates for CRC. The diet for rural South African blacks is highly enriched in fiber and low in meat and fat, whereas the Western diet is low in fiber and high in meat and fat.

Americans would do well to adopt this low tech but life-saving way of life from Africans, cutting down on red meat and fat in favor of nutritious fruits and vegetables. Since red meat is also a high carbon food, reducing its consumption would also help the environment. Africas carbon dioxide and methane emissions are tiny compared to those of supposedly technologically more sophisticated countries.

In one of his many achievements, Boseman (along with the MCU creative team) deployed the tropes of science fiction to create new images of Africa, but African scientific and technological advance is in the present. If it does not get the big international awards, I suspect, it is because it is oriented to practical problem-solving for populations that were set back by a history of European colonialism and exploitation.

These thoughts came to me as I rewatched The Black Panther for the nth time.

I am just one of millions of grieving fans trying to find a way to say goodbye to someone whose spirit I had expected to inspire and guide me for many years to come, and who was cut down in his prime. I am grateful for his life even as I mourn his death.

The rest is here:
Chadwick Bosemans Wakanda: Afro-Futurism Is in the Present - Common Dreams

Posted in Futurist | Comments Off on Chadwick Bosemans Wakanda: Afro-Futurism Is in the Present – Common Dreams

Scientists Are Running Out of Primates to Test Vaccines On – Futurism

Posted: at 3:08 pm

Right now, anyone in the U.S. trying to develop a vaccine for COVID-19 will likely run into a crucial roadblock: There simply arent enough primate research subjects to go around.

American labs have run into a critical shortage of monkeys, The Atlantic reports. And without them, scientists have no hope of completing the animal testing phases of clinical tests before they can move on to trials with human volunteers. The bottleneck is a bad sign for future attempts to develop a treatment, as scientists who might develop a working vaccine have no way to actually test it out.

Koen Van Rompay is an infectious disease expert at the California National Primate Research Center. He told The Atlantic that due to the shortage, he gets significantly more requests from companies that want to run studies at the facility than he can handle.

I have to tell them, Im sorry, we are not allowed to start your research,' Van Rompay told The Atlantic.

There are numerous problems at play, The Atlantic reports. Theres more demand for monkeys to use in clinical research due to the coronavirus pandemic, but there are fewer monkeys available than ever. China had been supplying 60 percent of monkeys used in American research, but closed down exports due to the pandemic. On top of that, monkeys were already a hot commodity in short supply.

And because hindsight can be cruel, the National Institutes of Health actually discussed creating a strategic monkey reserve back in 2018, but never acted on it. If they had, scientists might still be able to do their important work.

Read more from the original source:
Scientists Are Running Out of Primates to Test Vaccines On - Futurism

Posted in Futurist | Comments Off on Scientists Are Running Out of Primates to Test Vaccines On – Futurism

What Goes Right and Wrong When We Predict a High-Tech Future – Walter Bradley Center for Natural and Artificial Intelligence

Posted: at 3:08 pm

An article in Ladies Home Journal predicted 2001 a century earlier. Heres a video version:

Futurism is a hit and miss business: Fast food is predicted (3:40) but so is the extinction of the horse (3:20). Apparently, the futurist, John Elfreth Watkins, Jr., did not foresee a future for horses in recreation and sports except for the rich.

He predicted the internet and wireless communications in principle (5:57, 13:29): A husband sitting in the middle of the Atlantic will be able to converse with his wife sitting in her boudoir in Chicago. But, surprisingly, he did not see much of a commercial future for the airplane but rather favored dirigibles and electrified ships (8:20ff).

He predicted high-speed trains but also electric sleighs for kids (17:16) Hmm. Did he not pause to think about concussion? No surprise, that idea never took off.

When predicting the future, we all may tend to either underestimate the advances:

The average American will live fifty years, as opposed to thirty-five

US life expectancy was about 78.6 years in 2017, principally due to clean water, healthier living conditions, and emergency medicine.

Or else we overestimate them:

The trip to suburban home to office will require only a few minutes a penny will pay the fare Dreamin

Commenters at YouTube offer some thoughts about what the 1901 futurist got right and wrong:

giant guns will fire 25 miles or more Paris gun 13 years later could fire 81 miles.

The whole well get rid of all the annoying flying bugs- thing showed that we clearly hadnt quite figured out the whole everything is connected aspect of the biosphere.

and

He predicted spy satellites in space before man had sent anything into space, granted he said theyd be balloons with cameras attached but they describe satellites

2010 looks back on a 1909 prediction, in this case by Nicola Tesla (18561943) in Popular Mechanics:

He wrote in the magazine that, one day it would be possible to transmit wireless messages all over the world.

Tesla, who spent most of his adult life in America before his death in New York in 1943, imagined such a hand-held device would be simple to use and that, one day, everyone in the world would communicate to friends using it.

This, he added, would usher in a new era of technology.

Imagine. A handheld device

2014 looks back on (roughly) 1914s predictions via French vintage postcards popular during the 1900 Worlds Fair and following:

One thing you see in the cards is a tendency to assume some things wont change, even though they undoubtedly will. In one image, a couple flags down an aerotaxi. Thats futuristic enough, but the man is wearing spats and carrying a cane, while she has a parasol and an enormous hat with a feather. Did they really think transportation would undergo a revolution while fashion stayed frozen in time? In every one of these you see a mix of a futuristic concept with stuff that looks to us to be very old fashioned, [collector Ed] Fries said.

At the same time, theres virtually no hint in the postcards of the truly transformative technologies of the last centurynamely personal computers and the internet.

Heres one card (public domain) depicting an aerocab station as seen from 1900:

Some of the jealously guarded cards are shown in this YouTube video.

and

2018 looks back on 1918s predictions:

On January 6, 1918, the headline of an article in The Washington Times announced that the Automobile of Tomorrow Will Be Constructed Like a Moving Drawing Room. The author was writing about a prediction in Scientific American that described the car of the future. It would be water-tight and weather-proof, with sides made entirely of glass, and seats that could be moved anywhere in the vehicle. It would be decked out with power steering, brakes, heating, and a small control board for navigation. A finger lever would replace the steering wheel. Other designs imagined that cars would roll around on just three wheels, or on air-filled spheres to remove the need for shocks.

So much is right; again, the parts that the futurist gets wrong likely stem from not envisioning practical issues like the increased hazard from smashed glass during a minor collision.

The big disadvantage of making predictions for a century hence is that we probably wont get to find out if they come true.

If you enjoyed this piece, you may also want to look at:

Truth is not only stranger than fiction, it sometimes grows out of it. A senior editor at Wired told us a while back that science fiction writer H. G. Wellss 1914 tale, The World Set Free, formed part of the inspiration for the atomic bomb, exploded over Hiroshima in 1945.

and

Brilliant vision from a century ago foretells todays internet. In E. M. Forsters dystopia, people interact only through the Machine.

Original post:
What Goes Right and Wrong When We Predict a High-Tech Future - Walter Bradley Center for Natural and Artificial Intelligence

Posted in Futurist | Comments Off on What Goes Right and Wrong When We Predict a High-Tech Future – Walter Bradley Center for Natural and Artificial Intelligence

The Honorable Dr. Dale Layman, Founder of Robowatch, LLC, is Recognized as the 2020 Humanitarian of the Year by Top 100 Registry, Inc. – IT News…

Posted: at 3:07 pm

PR.com2020-09-03

Joliet, IL, September 03, 2020 --(PR.com)-- The Honorable Dr. Dale Pierre Layman, A.S., B.S., M.S., Ed.S., Ph.D. #1, Ph.D. #2, Grand Ph.D. in Medicine, MOIF, FABI, DG, DDG, LPIBA, IOM, AdVMed, AGE, is the Founder and President of Robowatch, L.L.C. (www.robowatch.info.) Robowatch is an international non-profit group aiming to keep a watchful human eye on the fast-moving developments occurring in the fields of robotics, computing, and Artificial Intelligence (A.I.) industries. As the first person in his family to attend college in 1968, he earned an Associate of Science (A.S.) in Life Science from Lake Michigan College. The same year, he won a Michigan Public Junior College Transfer Scholarship to the University of Michigan in Ann Arbor. In 1971, he received an Interdepartmental B.S. with Distinction, in Anthropology - Zoology, from the University of Michigan. From 1971 to 1972, Dr. Layman served as a Histological Technician in the Department of Neuropathology at the University of Michigan Medical School. From 1972 to 1974, he attended the U of M Medical School, Physiology department, and was a Teaching Fellow of Human Physiology. He completed his M.S. in Physiology from the University of Michigan in 1974.

From 1974 to 1975, Dr. Layman served as an Instructor in the Biology Department at Lake Superior State College. In 1975, he became a full-time, permanent Instructor in the Natural Science Department of Joliet Junior College (J.J.C.) and taught Human Anatomy, Physiology, and Medical Terminology to Nursing & Allied Health students. Appointed to the Governing Board of Text & Academic Authors, he authored several textbooks, including but not limited to the Terminology of Anatomy & Physiology and Anatomy Demystified. In 2003, Dr. Layman wrote the Foreword to the Concise Encyclopedia of Robotics, Stan Gibilisco.

As a renowned scholar and book author, Dr. Layman proposed The Faculty Ranking Initiative in the State of Illinois to increase the credibility of faculty members in the States two-year colleges, which will help with research grants or publications. In 1994, the State of Illinois accepted this proposal. J.J.C. adapted the change in 2000, and Dr. Layman taught full-time from 1975 until his retirement in 2007. He returned and taught part-time from 2008 to 2010. Dr. Layman received an Ed.S. (Educational Specialist) in Physiology and Health Science from Ball State University in 1979. Then, in 1986, Dr. Layman received his first Ph.D. from the University of Illinois, in Health and Safety Studies. In 2003, Dr. Layman received a second Ph.D. and a Grand Ph.D. in Medicine, from the Academie Europeenne D Informatisation (A.E.I.) and the World Information Distributed University (WIDU). He is the first American to receive the Grand Doctor of Philosophy in Medicine.

In 1999, Dr. Layman delivered a groundbreaking speech at the National Convention of Text and Academic Authors, Park City, Utah. Here, he first publicly explained his unique concept: Compu-Think, a contraction for computer-like modes or ways of human thinking. This reflects the dire need for humans to develop more computer-like modes or ways of Natural Human thinking. This concept has important practical applications to Human Health and Well-being. In 2000, Dr. Layman gave several major talks and received top-level awards. In May of 2000, he participated in a two-week faculty exchange program with Professor Harrie van Liebergen of the Health Care Division of Koning Willem I College, Netherlands.

In 2001, after attending an open lecture on neural implants at the University of Reading, England, Dr. Layman created Robowatch. The London Diplomatic Academy published several articles about his work, such as Robowatch (2001) and Robowatch 2002: Mankind at the Brink (2002). The article Half-human and half-computer, Andrej Kikelj (2003) discussed the far-flung implications of Dr. Laymans work. Using the base of half-human, half-computer, Dr. Layman coined the name of a new disease, Psychosomatic Technophilic, which translates as an abnormal love or attraction for technology [that replaces] the body and mind. Notably, Dr. Layman was cited several times in the article Transhumanism, (Wikipedia, 2009). Further in 2009, several debates about Transhumanism were published in Wikipedia, and they identified Dr. Layman as an anti-transhumanist who first coined the phrase, Terminator argument.

In 2018, Dr. Layman was featured in the cover of Pro-Files Magazine, 8th Edition, by Marquis Whos Who. He was the Executive Spotlight in Robotics, Computers and Artificial Intelligence, in the 2018 Edition of the Top 101 Industry Experts, by Worldwide Publishing. He also appeared on the cover of the July 2018 issue of T.I.P. (Top Industry Professionals) magazine, the International Association of Top Professionals. Dr. Layman was also the recipient of the prestigious Albert Nelson Marquis Lifetime Achievement Award (2017-2018). Ever a Lifelong Student and taking classes for the past few years at J.J.C., Dr. Layman was recently inducted (2019) to his second formal induction into the worlds largest honor society for community college students, Phi Theta Kappa.

Contact Information:

Top 100 Registry Inc.

David Lerner

855-785-2514

Contact via Email

http://www.top100registry.com

Read the full story here: https://www.pr.com/press-release/820338

Press Release Distributed by PR.com

Visit link:
The Honorable Dr. Dale Layman, Founder of Robowatch, LLC, is Recognized as the 2020 Humanitarian of the Year by Top 100 Registry, Inc. - IT News...

Posted in Transhumanist | Comments Off on The Honorable Dr. Dale Layman, Founder of Robowatch, LLC, is Recognized as the 2020 Humanitarian of the Year by Top 100 Registry, Inc. – IT News…

The promise and perils of synthetic biology take center stage in a fast-paced new Netflix series – Science Magazine

Posted: at 3:07 pm

Christian DitterNetflix6 episodes

The first season of the Netflix series Biohackers, consisting of six episodes released on the streaming platform on 20 August, tells a fictional tale centered around the sociotechnological movement known as do-it-yourself (DIY) biology, in which amateurs, professionals, anarchists, and civic-minded citizens push the boundaries of mainstream biology. The shows main characters include a wealthy biopharmaceutical executive, a group of medical students, a number of stereotypical biohackers making animals glow and plants play music, and a community of transhumanists intent on modifying their bodies for seemingly impractical endeavors.

Whereas biological experimentation was once the sole domain of trained professionals in well-stocked and well-funded institutional labs, the field has been democratized by the emergence of the open-source movement, plummeting sequencing costs, greater access to reagents and devices, the proliferation of online resources, and the emergence of tools and methodologies that enable nonexperts to genetically engineer organisms without years of professional training. [Valid concerns regarding some of the activities associated with the DIY bio community have been voiced by the Presidential Commission for the Study of Bioethical Issues (1).]

Medical student Mia Akerlund (right) meets biohackers pushing the boundaries of mainstream biology.

The show follows Mia Akerlund (played by Luna Wedler), a first-year medical student vying for a position at a prestigious biopharmaceutical firm headed by celebrated professor Tanja Lorenz (Jessica Schwarz). Akerlund and Lorenz clearly have some shared history, as well as their own secrets, although viewers are not privy to the details of either at the start of the series. For much of the first episodes, the relationship between these two enigmatic characters is revealed slowly through both flash-forwards and flashbacks. But we know that a big reveal is coming; the programs official description teases a secret so big it could change the fate of humanity.

Throughout the seasons six fast-paced episodes, the viewer is exposed to technologies and techniques that would be familiar to many professional scientists. And while the time frames of the various experiments conducted are often compressed for dramatic effect, Christian Ditterthe shows creator, writer, director, and showrunnergoes out of his way to present complex science as accurately as possible. In one montage, for example, we watch various biohackers, some with better aseptic technique than others, add reagents to microcentrifuge tubes, load polymerase chain reaction machines, and examine gels to assess whether they have accurately created a desired genomic sequence. In another scene, a student suffering from a degenerative disease seeks to develop his own cure in a secret lab, where he can work without burdensome oversight. The student injects himself with an unknown liquid, his purported cure. Here, the shows dialogue surrounding the cure and its antidote (to be administered if things go wrong) offers insight into how RNA interference therapies work.

But the show also serves as a pedagogical vehicle to raise many timely and interesting ethical, legal, and social concerns. From bioluminescent mammals to the collection of genetic material for clinical trials, the series storyline highlights how cavalierly we sometimes approach genomic data and genetic engineering. Later episodes depict even more egregious examples of biohacking, including organisms modified to transmit viruses as efficiently as possible. At one point, a character suggests that the ends of her research justify the experimental means, even when her methods demonstrate a gross disregard for test subjects who may suffer as a result.

The show also offers insight into some of the motivations that drive DIY biology efforts. For example, in one scene, a confidant of Akerlund expresses dismay that Lorenz is willing to sell a cheaply acquired drug to desperate patients for inflated prices. Such frustrations are what drive many citizens operating outside traditional institutions to develop their own pharmaceutical solutions.

It is ironic that Biohackers is set in Germany, one of the few places where genetic engineering experimentation outside of licensed facilities is illegal and can result in a fine or even imprisonment (2). Yet, given all that transpires in the show, one is left with the sense that such measures maybe justified.

References and Notes:1. Presidential Commission for the Study of Bioethical Issues, New directions: The ethics of synthetic biology and emerging technologies (2010).2. Sections 8 and 39 of the German Genetic Engineering Act [Gentechnikgesetz (GenTG)].

The reviewer is at Zvi Meitar Institute for Legal Implications of Emerging Technologies, Herzliya, Israel, and the Department of Molecular Biophysics and Biochemistry, Yale University, New Haven, CT, USA.

Read more:
The promise and perils of synthetic biology take center stage in a fast-paced new Netflix series - Science Magazine

Posted in Transhumanist | Comments Off on The promise and perils of synthetic biology take center stage in a fast-paced new Netflix series – Science Magazine

Carrion game/level designer Krzysztof Chomicki on managing amorphousness, gravity and screams – Game World Observer

Posted: at 3:07 pm

Carrion is a reverse horror game in which you play as an amorphous creature of unknown origins.The game received universal acclaim from players and critics for its clever power-fantasy premise, as well as satisfying traversal and combat mechanics, which allow for gameplay that can be both strategic and chaotic.

The team behind the game is Polish developer called Phobia Game Studio, whose members previously shipped 2D platformer Butcher.

We caught up withKrzysztof Chomicki, game and level designer on Carrion, to discuss what it took to create the ultimate monster simulation experience of 2020. What follows below is the text version of the video interview that took place on August 13.

Krzysztof Chomicki, game and level designer onCarrion

Oleg Nesterenko, managing editor at GWO: Krzysztof, a couple of words about yourself and the studio, please.

Im the game and level designer at Phobia Game Studio. Were a very small development team based in Poland. We all work remotely. Im based in Krakow, Sebastian Krokiewicz, who is the brains behind the whole studio and our project, lives in Warsaw. Our sound designer, Maciej Niedzielski, is based in Zielona Gra, which is next to the German border. And on Carrion, video game and film composer Cris Velasco joined our team, hes from LA. He did the music for the game.

Carrion team.From left to right:project leadSebastian Krokiewicz,game/level designerKrzysztof Chomicki, composerCris Velasco,sound designerMaciej Niedzielski

How did you first meet with Sebastian and decide to form a studio?

We both got hired a couple of years ago by Transhuman Design. Its a company set up by Michal Marcinkowski. His studio is behind Soldat and Soldat 2, King Arthurs Gold, and Trench Run. He hired Sebastian for a particular project, which eventually got scrapped, but at the time Sebastian was working on his own game called Butcher, and Michal liked it enough to decide to produce it as Transhuman Design and publish it.

Eventually, they decided to expand the team behind Butcher. They were looking for a level designer, and thats how I got on board. At some point, Maciej joined the team as a composer. We liked working with each other so much that we decided to form our own studio, and thats how Phobia and the core team behind Carrion came to be.

Its been three weeks since you unleashed Carrion onto the world. Whats going on at the studio right now?

Weve just published a major patch, which is live on Steam and Xbox already. It should be live on Switch fairly soon. We are also thinking about some updates, like workshop support for the Steam version.

But mostly, we just want to get the post-release support done and maybe the PlayStation port and then to take some time off.

The last couple of weeks was pretty intense. Especially since it was a multi-platform release, which we didnt have previous experience with because Butcher was ported to consoles not by us, but by Crunching Koalas.

Just like Carrion, Butcher also had players kill people as an antagonistic entity, and it was a relative success. Does it mean that Carrion was a relatively low-risk project and you were confident that theres a demand for this formula?

Its not like we knew that a game about an amorphous meat blob would sell. When Sebastian started prototyping the monsters movement and eating mechanics, he shared some gifs on Twitter. They clicked incredibly well, especially compared to what we had with Butcher. Soon after this, publishers started approaching us and asking about the game. Yes, its still too early, they said. But once you have a vertical slice and some proper prototype demo, come back to us and well see what we can do.

Thats when we knew that theres definitely a potential in this project.

You said before that early in development, you used real-time feedback on Twitter to help shape Carrion. How did it work?

At first, we werent sure what kind of game we wanted to make, other than it being loosely inspired by The Thing (1982). We were just exploring the controls for this amorphous creature. We also had the general idea for the eating mechanic, which is that you grow larger and more powerful as you eat more people. And that was pretty much the only thing set in stone from the very beginning.

Everything else we experimented with, posting some gifs on Twitter, and whatever resonated best with people clued us in on which direction we should follow.

Does the player control just one monster? Should there be more monsters? Should we make it an RTS game, with you commanding multiple creatures?

Interestingly enough, we didnt implement any of the mechanics we were testing on Twitter. So, the core of the game has not changed since the very beginning. Twitter comments just validated our intuition, which led us to this kind of metroidvania-based exploration / puzzle platformer without platforming.

Carrions engine is built on the MonoGame framework. Would you please explain your choice of the tech behind the game?

Actually, Butcher, our previous game, was done in Unity. At the time we shipped Butcher and started looking into Carrion, Unity had its both advantages and disadvantages. The advantage was that you could get something up and running very quickly. However, optimizing it, finding bugs and general quirks of the engine wasnt that easy. I dont know if its still the case with the latest version.

For Butcher, Sebastian even developed his own 2D lighting system instead of using what Unity had built in. And it gave us a massive performance boost.

So Sebastian figured out that for the game to feel good on low-spec hardware, while having at least 60 FPS, with no frame drops, it would be easier for him to write something from scratch. He was doing it anyway. The engine was just giving us some unnecessary overhead.

Sebastian looked into MonoGame, liked it enough to decide to go with it, and we are pretty proud of how the game works on relatively crappy computers.

And there is also no fee for using MonoGame, which is always a bonus. I wouldnt, however, recommend building your own engine for everything. It requires a particular set of skills. Sebastian being a very talented programmer, it worked out pretty well in our case. But Im definitely not surprised that many teams are sticking with Unity, Unreal or GameMaker.

Unity and Unreal make most sense if you want realistic graphics. If you could have afforded it for Carrion, I wonder if you would have gone for the same level of gore and violence that you now have in the game?

To be honest, I dont think it would have worked with extremely realistic graphics. It wouldve lost a lot of its charm and even comedy. Carrion is one of those games that might act as if they are dead serious, but they arent. With all the screams and everything being so over the top, it works very well in the pixel art style.

And Im not sure it would be a good idea to do it either in high-def 2D or 3D. It would probably turn into an actual horror game, and we didnt want our game to be scary to the player. You are the one whos making NPCs scared, but you yourself should feel exhilarated running around as the monster. So I think this level of abstraction that pixel art gives us is very beneficial in this case.

Physics simulation creates all sorts of fun incidents, but it also takes away from the precision of controls. Like you try to gently close the door, but instead you rip it off! Or you occasionally expose one of your blobs. Did you struggle with that when designing the game?

90 or 95% of the monster is physics-based and procedurally generated. Theres a couple of sprites, like the mouths or the eyes. Obviously, it did pose some problems in terms of responsiveness. We did our best to give the players as much control over the creature as possible, given its nature. But its always a tradeoff.

There were also some quirks in level design. Especially with the monster in its largest form, we had to be very careful. For example, if you pull this switch and some door closes, it can cut you in half because some of your blobs just happened to be there, half a screen away. Things like that dont happen in other games with regular-sized characters, which only fit two tiles. It was pretty tough for us.

As for somewhat loose controls, I think it actually works pretty well onthe narrative level, because even if you want to remove a soldier or a scientist from a group and you just end up killing everybody, well, what can you do it? Just one of the disadvantages of being a monster, I suppose.

Yeah. Narratively and thematically, it fits, so its not a major problem. No ludo-narrative dissonance. Controls dont need to be uber-precise since the monster is kind of messy.

You could do a crossover between Butcher and Carrion. Combine two very different types of gameplay with the cyborg from Butcher being very precise and the monster being sloppy and messy.

That would not be impossible to doButImnot confirming any crossovers!A good point, though, about Butchers controls being very precise. In Butcher, we had pixel-perfect precision when it comes to movement. And all the arenas and the platforms were designed with extremely smooth and precise movement in mind. Carrion is the opposite because the monster isnt that precise and it doesnt even require any platforms because it can just go anywhere it wants.

Technology versus nature. Anyway, I also like how many of Carrions systems are interconnected. The roar button, for example, lets you roar, which is fun in itself. At the same time, it allows you to locate a savepoint. But it also alerts NPCs on the level, which you can tactically use. Did you specifically design stuff like that to serve multiple purposes? Or did it just organically come together as the game evolved?

I think its a bit of both, depending on which system we are talking about. Some things were planned and some just came naturally as the game was evolving.

We knew quite early on that wed lock particular skills into particular sizes of the monster. We call it the mass-based class system. This system allowed us to come up with more creative puzzles than in most metroidvanias, in which solving puzzles is just a matter of obtaining the right skill.

The mass-based class system also added more variety to combat because there isnt one single winning strategy for all encounters. Puzzles force you into changing your size so you have to constantly adjust your tactic.

Thats something we knew pretty much from the get-go and something that was entirely planned. Other things kind of evolved along the way, like the echolocation. Initially, it was just a roar button and it didnt have the echolocation functionality. Thats something that was added later on.

In general, we are big fans of things that serve multiple purposes and add some depth without adding unnecessary complexity. The fewer buttons to remember, the better.

What does it mean to create levels for a monster to navigate as opposed to those designed for humanoid characters?

Its just a nightmare in many ways. One thing you dont really think about is how important gravity is in most games, especially in action adventure platformers. Its pretty much the most common obstacle other than having to fight enemies or open doors. You have to get somewhere high or avoid falling down. Gravity is something you take for granted, and once you take it away from the game, suddenly you have to figure out a completely new way of setting up challenges, obstacles and puzzles for the monster.

Asthe monster, when you see some place, you can just go there by pointing your mouse or analogue stick. It really flipped everything on its head. We couldnt have actual outdoor segments because the monster could just go everywhere. So theres always a ceiling, even in the most outdoor-ish chambers. Obviously, its a lot of work.

And also the sheer speed at which the monster moves is a major problem for level design. In most games, half of the time you just walk from point A to point B. In Carrion, though, its a matter of seconds to go from the beginning of the map to the end, if there are no obstacles, no enemies. So we had to get very creative.

You may have noticed that in flashback sequences, when youre controlling the scientists, their movement is totally different, despite utilizing the same environments. A chamber that would take a second or two to traverse as the monster takes you half a minute to get through. So it amplifies the sense of what the monster is capable of and how frightening it is to the humans who move so slowly and are very limited in their traversal abilities.

So the metroidvania-like design was born out of your ambition to step up the challenge for the monster?

It wasnt so much about upping the difficulty. We just wanted to give the game more depth, boost its exploration aspect. As soon as we figured that throughout the game the monster would be learning new skills that it could use to unlock new areas, to solve puzzles, it was just our natural instinct to go for a more or less metroidvania-like approach. Although its not really your ordinary metroidvania with everything respawning everywhereand every puzzle being extremely simple. We didnt want to respawn every single object in the environment. We wanted to maintain this feeling of the horror that the monster is bringing on humans, so you need to see your havoc. Everything that you broke, everyone you killed and everybody you spared stays there for the whole game.

So despite Carrion having those core principles of metroidvania (not being able to go there yet, first needing to acquire the new skill), we kind of streamlined it. You dont have to do an awful lot of backtracking in our game. Which is why, once you enter a new area, its locked off, and you are restricted to this contained area you have to work through. It lessens the confusion because it helps avoid situations in which someone would approach a puzzle and start wondering whether they can solve that puzzle or not yet. Because sometimes you backtrack to the very beginning even though you were actually able to solve this or that puzzle. It was just a matter of coming up with the right solution.

I did get lost a couple of times exploring the dungeons. And apparently, other people did. I saw folks posting their maps of the facility on Reddit to help their fellow players. In retrospect, do you feel like an in-game map might have been a good idea?

Im fairly confident that some reviewers would have given us higher scores, if there was an in-game map. I still think it would really detract from the experience. It would make the game genuinely worse. Its like with Demons Souls and Dark Souls, those games being vastly misunderstood at first by the majority of reviewers. Especially Demons Souls didnt review all that well because the game didnt explicitly tell you what to do. Those games didnt have any maps. But eventually a few people figured out what those games were about. They were just hearkening back to times when games respected the player a bit more and didnt do any kind of handholding.

In fact, you still have this conversation going on 10 years later, like should Sekiro have an easy mode? No, it shouldnt.

And I think its kind of similar with Carrion. Games nowadays make people expect a map to guide you everywhere, even if its not really necessary. Players are so used to having a map that they stop paying attention to environmental clues or directions that the game gives them.

The original Metroid didnt have a map and it was totally fine and nobody complained. Back in the day, even games that did have maps still required you to pay attention to the environment. In Morrowind, for example, the quest log only gave you the general directions, like go North, find this rock, and then turn right and hope for the best. Its something that Oblivion totally ruined for me. It just points you in the right direction or you can simply fast-travel, theres barely any sense of exploration and discovery in post-Oblivion RPGs. If more developers decided to focus on just environmental clues, people would stop expecting to have the map available at all times.

Im very happy, though, that people are making their own maps to help each other, it strengthens the community.

Both Butcher and Carrion allow users to integrate their own custom levels. Is it a feature that you consciously put in your games?

In the case of Butcher, we used our own in-game level editor while making the game. It was relatively easy to adapt it to the general public. We just figured, why not? Anyway, it wasnt very popular with fans, even though some people did make maps. And in the case of Carrion, its actually the total opposite. This time, we used a third party tool called Tiled, which is a map editor used in various games. Once we posted the alpha sneak peek demo back in October last year, someone asked what we were using for editing levels. When I told them it was Tiled, people started coming up with their own maps, using the demo assets. We didnt lock any functionalities away from people. People are still making maps. The most dedicated modder in our community has already made a custom campaign, which should take around two hours to beat or so, and its very cool. So its something we want to capitalize on, which is why were looking into the workshop support, as I mentioned.

We definitely want to make creating and downloading custom maps easier. Its not so hard right now, you need to download a level file and the script file and put them in the corresponding folders. But nowadays its expectedthateverything should be just a single click away, so were looking into our options in making the whole experience smoother.

A couple of words about music and sound design. How did it feel for you guys to work with Cris Velasco?

It was great. Cris did music for Overwatch, Mass Effect, Borderlands, God of War, Resident Evil 7, and Bloodborne. What he brought to the table is the sheer knowledge of working on those AAA titles. In fact, we wanted to orchestrate the whole soundtrack. We pretty much had everything set up for an actual orchestra recording. But the pandemic messed up our plans and we ended up recording soloists only a violinist and a cellist.

Funnily enough, it was Cris who approached us after seeing some of our gifs on Twitter. He found Sebastian on FB and said he would like to write the soundtrack for Carrion. After seeing his portfolio, we obviously decided to let him!

When the credit rolled, I counted 16 voice actors in the game without a line of dialogue. How come?

Its all screams. We told our sound designer Maciej that theres a limit on every sound. Theres only this many sounds for door breaking, wood cracking or the monster roaring. But there was one sound that didnt have a limit on the quantity and variety of it. It was screaming. We wanted to have as many screams as possible. When we revealed the game at an E3, we didnt have all those recorded yet, and people actually complained about having to listen to the same samples over and over again. Its something we went all in on.

Finally, any words of wisdom to your fellow devs?

Never make games in which the character is amorphous and you never know how large and how long it gets. Stick to your fixed-sized character. Its for your own sanity.

***

You mignt wantto check out the extended video version of the interview with Krzysztof:

Read more:
Carrion game/level designer Krzysztof Chomicki on managing amorphousness, gravity and screams - Game World Observer

Posted in Transhumanist | Comments Off on Carrion game/level designer Krzysztof Chomicki on managing amorphousness, gravity and screams – Game World Observer

Rethinking Our Concepts of Disability to Meet Our Changing Social Worlds – James Moore

Posted: at 3:07 pm

A paper published recently in the Journal of Medical Ethics explores the relationship between disability and enhancement, and the importance of social context and environment in how they get defined. According to the group of authors, led by Nicholas Greig Evans, a Professor of Philosophy at the University of Massachusetts Lowell, the most popular ways of thinking about disability and impairment often either discount certain types of disability or patronize the person with the impairment.

Going further, the authors explain how popular accounts tend to ignore how social stereotypes about disability can impact even those who do not identify as disabled or impaired themselves:

the tendency to focus on specific and often paradigmatic cases of disability and elide discussion of enhancement has a serious downside: it has the potential, among other things, to keep us from understanding cases of disability and impairment that are less apparent and well recognized. Aside from limiting our knowledge and understanding, it also keeps us from making interventions or undertaking further research that might concretely assist those populations . . .

There have been many different models of disability proposed over time, ranging from models based on social factors and human rights to those that link disability to technology. Recent events, like the Covid-19 pandemic and the associated economic and climate disasters, moreover, serve as ongoing reminders of how our abilities to act freely as individuals are always shaped by the broader socioeconomic dimensions of our lives. This insight echoes what critical psychologists have been saying for decades.

According to Evans and the other authors, most people thinking seriously about these issues agree that disability is a widely heterogeneous set of phenomena, so much so, they note that some have argued it to be a meaningless category in the abstract. For them, most existing models dont account for the way assumptions about disability are intertwined with assumptions about enhancement, insofar as both are shaped by which skills happen to be considered most valuable in a given social setting.

How we define either disability or enhancement, they propose, depends on how we compare the behaviors of a specific individual with a statistically relevant cohort group. Cohort group studies track changes in behavior and expressed capacities over time across individuals who live under similar conditions.

With this in mind, the authors suggest it could be useful to think about human abilities in general in terms of the concept of capacity space, which they define as the dynamic relationship between an individual person and their social and environmental milieu. From this perspective, phenomena we tend to call disability are inherently dynamic because they change over time, and they are relational because they are constituted through interactions between persons and the social tools (e.g., digital technology) they have available.

The concept of capacity space, the authors propose, provides a useful starting point for understanding the full variability and breadth of disability as a ubiquitous characteristic of the human species. To help illustrate this, they present a series of case studies that depict experiences of disability and enhancement that are often overlooked in the literature.

For example, they point to certain dysgenic effects in soldiers after WWI, where a high number of casualties left young men who were previously considered physically unfit among the only individuals available for military service.

In this instance, individuals who had been considered disabled relative to other soldiers before the war could have become normal, or even enhanced, simply because the cohort group against which they were judged had changed. This, the authors explain, is an example of how ones capacity space can be transformed even when ones individual abilities remain relatively consistent.

Another example they discuss is the many different variations of chronic pain. This is true both within the same individual as well as across different individuals. Some days are, of course, better than others, with factors ranging from diet, climate, and social contact, possibly having some effect on how chronic pain is experienced and managed at any given time.

Symptoms related to a diagnosis of Ehlers-Danlos syndrome (EDS), a hypermobility condition, for instance, might be relatively mild when compared to other individuals who are diagnosed with the same condition:

At times, the person is simply more flexible and mobile than their cohort, making them a better spokesperson. At other times, their joints dislocate unexpectedly, and they are incapacitated in significant ways. Is this person enhanced, disabled, or both, relative to their cohort?

Thinking about disability as something that any human can experience under the right set of conditions, and in entirely personal ways, represents a clear departure from approaches like welfarism, which posits a clearly defined line between disability and ability.

The authors define welfarist approaches to disability as those that posit a stable physiological or psychological property of a subject S that leads to a significant reduction of Ss level of well-being in some circumstance. From this perspective, disability is defined not according to how an individual can perform socially, but according to how the individuals sense of well-being is impacted by one of their personal traits.

Enhancement, by contrast, would be defined under welfarism by any stable property of a person that leads to a significant increase in that persons well-being. By focusing on psychological well-being, rather than social structures or medical status, the authors suggest, welfarist approaches to disability and enhancement account for something important that other models tend to ignore.

And yet, by framing disability as something intrinsic to each individual person, and defining welfare solely in terms of well-being, welfarist accounts risk marginalizing the consequences of prejudice and institutional discrimination for those who do not conform to conventional social expectations. They also fail to adequately account for the ways disabilities have different social implications across time and space, beyond individual well-being.

Such dimensions, the authors claim, are essential to experiences of disability. With their concept of capacity space, they underscore how time and space are not abstract categories; like disability itself, they are complex social realities that shape what individuals consider possible for themselves and others.

The authors are also cautious not to discount sociohistorical accounts of disability. Instead, they describe their project as complementary to such accounts. And yet, the importance of economics and social factors related to race and gender are given relatively little attention in their article.

It is hard to imagine how a cohort, or any other social group, for that matter, could be considered relevant to a persons lived-experience without accounting for the way self-image and self-performance are assigned value today largely in terms of capital.

Under current conditions of global capitalism, social networks are unavoidably shaped by the technologies, information, and capital that its members have access to. Indeed, enhancement and technology are so obviously linked in todays hyperconnected world that it would make little sense to propose a concept of one that cannot account for the other.

While statisticians have the luxury of selecting cohort groups based on analytic convenience, this is not true for those whose embodied natures fail to align with the skills deemed most valuable in todays information-based markets. These are issues that movements like transhumanism and posthumanism have been engaging with for decades, but they are, unfortunately, not given much attention by the authors of this paper.

****

Evans, N. G., Reynolds, J. M., & Johnson, K. R. (2020). Moving through capacity space: Mapping disability and enhancement. Journal of Medical Ethics. (Link)

Read more here:
Rethinking Our Concepts of Disability to Meet Our Changing Social Worlds - James Moore

Posted in Transhumanist | Comments Off on Rethinking Our Concepts of Disability to Meet Our Changing Social Worlds – James Moore

Savara to Discontinue Exploratory ENCORE Study Evaluating Molgradex for the Treatment of NTM Lung Infection in People Living With Cystic Fibrosis (CF)…

Posted: at 3:06 pm

DetailsCategory: Proteins and PeptidesPublished on Friday, 04 September 2020 10:27Hits: 134

Study Stopped Enrolling in March 2020 Due to Limitations Caused by COVID-19

AUSTIN, TX, USA I September 03, 2020 I Savara Inc. (Nasdaq: SVRA), an orphan lung disease company, today announced the decision to discontinue ENCORE, a 48-week, open-label, non-controlled Phase 2a exploratory clinical study of Molgradex for the treatment of nontuberculous mycobacterial (NTM) lung infection in people living with cystic fibrosis (CF). Molgradex, an inhaled formulation of recombinant human granulocyte-macrophage colony-stimulating factor (GM-CSF), was also evaluated for the treatment of NTM in non-CF patients in the Phase 2a OPTIMA study that completed in March 2020.

The decision to discontinue ENCORE was based on confounding factors that compromised the ability of the study to achieve its primary purpose of investigating the efficacy of Molgradex on NTM sputum culture conversion to negative. Such factors included the impact of COVID-19 on patient recruitment and continued participation in the study as well as the availability of the new triple-combination CFTR modulator, approved during the treatment period of ENCORE, that has become a preferred treatment option for many CF patients. Study recruitment was terminated at the end of March with 14 patients enrolled out of a total target of 30. Additionally, nine out of 14 patients were on the triple-combination CFTR modulator. Eight patients started it during the study and one patient was on the triple-combination modulator from baseline. The decision to discontinue the study was not based on safety concerns.

Due to the early discontinuation of the study, not all patients have completed the planned 48-week treatment period. Based on preliminary data as of September 2020i from 12 patients who progressed at least beyond 20 weeks of treatment, five patients on the triple-combination CFTR modulator achieved a sputum culture conversion, defined as at least three consecutive sputum samples without growth of NTM. All of those patients had started the triple-combination modulator during the study prior to culture conversion. Sputum culture conversions were not observed in patients who were on Molgradex without the triple-combination modulator.

Discontinuing the exploratory ENCORE study is very disappointing and I extend our sincere gratitude to the patients who participated, especially during the trying times of this pandemic, said Badrul Chowdhury, Chief Medical Officer, Savara. Many factors contributed to this decision, most notably the effects of COVID-19, which resulted in small patient numbers and operational disruptions at clinical sites. The approval of the triple-combination CFTR modulator, which transformed the standard-of-care for this patient population, further confounded our ability to evaluate the potential effect of Molgradex in this study as we are unable to differentiate which drug was primarily responsible for the observed culture conversions. While the results of ENCORE are interesting, additional controlled studies would be required to accurately understand the therapeutic potential of Molgradex in combination with the triple-combination modulator treatment.

Based on the results of the exploratory ENCORE and OPTIMA studies, the Company will continue to focus development efforts of Molgradex on its lead indication, autoimmune pulmonary alveolar proteinosis, and does not plan to conduct further development activities related to Molgradex in NTM.

About Savara

Savara is an orphan lung disease company with a pipeline comprised of three investigational compounds, all of which use an inhaled delivery route. Our lead program, Molgradex (molgramostim nebulizer solution), is an inhaled granulocyte-macrophage colony-stimulating factor (GM-CSF) in Phase 3 development for autoimmune pulmonary alveolar proteinosis (aPAP). Apulmiq is an inhaled liposomal ciprofloxacin in Phase 3 development for non-cystic fibrosis bronchiectasis (NCFB). AeroVanc is an inhaled vancomycin in Phase 3 development for persistent methicillin-resistant Staphylococcus aureus (MRSA) lung infection in people living with cystic fibrosis. Savaras strategy involves broadening its pipeline through indication expansion, strategic development partnerships and product acquisitions, with the goal of becoming a leading company in its field. Our management team has significant experience in orphan drug development and pulmonary medicine, identifying unmet needs, developing and acquiring new product candidates, and effectively advancing them to approval and commercialization. More information can be found at http://www.savarapharma.com. (Twitter: @SavaraPharma, LinkedIn: http://www.linkedin.com/company/savara-pharmaceuticals/).

SOURCE: Savara

The rest is here:

Savara to Discontinue Exploratory ENCORE Study Evaluating Molgradex for the Treatment of NTM Lung Infection in People Living With Cystic Fibrosis (CF)...

Posted in Cf | Comments Off on Savara to Discontinue Exploratory ENCORE Study Evaluating Molgradex for the Treatment of NTM Lung Infection in People Living With Cystic Fibrosis (CF)…

What’s next for Atlanta United and Inter Miami CF? | Andrew Wiebe – MLSsoccer.com

Posted: at 3:06 pm

Lets all agree not to waste a single synapse remembering the first-ever match between Atlanta United and Inter Miami CF. Tyler Wolff, Ill grant you the lone exception, MLS debut and all. For everybody else, purge every last second of those 90 minutes.

This particular scoreless draw will be remembered solely for the news that broke before the ball was even kicked: a year and a half after becoming MLSs record incoming transfer, Pity Martinez is headed to Saudi Arabia for a reported $18 million. Atlanta United are mashing the reset button. Vaarwel, Frank de Boer. Adios, Pity. Tu siguiente, Ezequiel?

Well see.

Same two words define the Inter Miami experience right now. What is this teams identity? Well see. Who will be the much-discussed third Designated Player? Well see. Will they every wear a primarily pink jersey? Well see. Can they capture the hearts of South Floridians without a gameday experience or wins? Well see.

One team is rebuilding, the other just building. Either way, there are lots of short-, medium- and long-term questions to be answered. Here are three.

Remember when I Baeranteed Barco would drop a double-double in goals and assists in 2019 on Extratime? Me neither. Never happened.

This definitely happened on Wednesday night after an ineffectual 62 minutes from the Argentine earned him an early hook.

Hmmmmm, where have I seen that before?

No word on whether Barco kicked any seats upon arrival to the bench, but theres no doubt that his production for the Five Stripes hasnt matched the hype, price tag or international pedigree. Its hard to imagine thats going to suddenly change in the midst of a pandemic, with an interim head coach and without the Martinez duo (Pity and Josef) that was supposed to make him look like a $30 million player.

So now what? Will Barco be part of the house-cleaning? Is there a taker out there, at a number that makes sense for Atlanta? And if not, can Darren Eales and Carlos Bocanegra coax a manager to the club who can revitalize the young mans career? Do you wait for the Olympics and hope for a value/form bump? Is that bump ever coming? Well see.

What does it say that neither Pity nor Barco settled with Tata Martino out the door?

Enter The Athletics Felipe Cardenas

Sounds like the answer to that question then is the player, as Eales also confirmed the club will be looking to add a player in this window prior to Wednesday night's match.That is unless Atlanta is conducting a high-profile coaching search with almost no leaks or peeps from South America, where theyre reportedly sniffing around. If thats indeed the way it goes down, it simply reinforces whats been pretty clear of late: the soccer decisions are made by technical director Carlos Bocanegra.

Thats his job, after all, but the seemingly unilateral nature of those decisions was clearly a point of contention for De Boer in the divorce. Maybe Atlanta already have their next manager on the down low. Maybe theyre consulting with him as they seek out their next big name. Maybe not. I dont know. What I do know is that a gap between the coach and the players blew up the locker room and the project once and thats one too many times for a club like Atlanta.

Think back to what made Miguel Almiron and Josef Martinez so special. It was, in some significant part, their relationship with Martino and the freedom, faith and responsibility that he instilled in them that led to an MLS Cup triumph, dump truck full of pounds from Newcastle and goals on goals (plus, a long-term commitment) from the Venezuelan.

That vibe and Martino may be irreplicable, but 2020 is basically a wash already. Best to make sure the big pieces all fit together. The next big spend needs to be more Miggy than Pity.

Sounds like general manager Paul McDonough thinks so.

So, after dozens of rumors, it seems the Argentine striker will be the teams third DP, along with Rodolfo Pizarro and 20-year-old winger Matias Pellegrini. Should it come to pass, the 32-year-old Higuain would join 33-year-old Blaise Matuidi in making free moves from Juventus. At the very least, in a pandemic with no gate revenue, that seems like smart business. Why pay transfer fees when the immediate future is so uncertain?

Best-case scenario? The Argentine is a South Florida Robbie Keane. Miami need goals. They need some guile when it comes to chance creation. Theres some disagreement about what sort of DP would best facilitate those things, but its hard to argue that Higuain wouldnt be a huge help in those departments, especially once Matuidi adds some dynamism to the midfield. They need to set a culture, too. A couple World Cup finalists (one winner) with trophy hauls Inter can only dream about ought to help there.

Still, I cant help but think a pair of over-30 players on free transfers wasnt exactly what Inter Miami was billed to be. You can measure MLSs growth via your reaction to this move. In 2010, it would have been the only news that mattered. In 2020, were sort of like, Yeah, that seems like it could work, but its kind meh, too.

Short- and medium-term, I think itd work out. It wont be easy to be like Keane, who joined a Supporters Shield and MLS Cup winning team with an established culture, but Higuain seems genuinely excited about the opportunity to play and compete in MLS. Hed arrive with eyes wide open thanks to the counsel of his older brother, Federico. He still finds the back of the net, even if those 30-plus goal seasons at Napoli and Juve are a couple years in the past.

And hey, maybe its another hold-on-how-did-that-happen TAM signing! Almost certainly not, but those parachute payments are no joke in Turin. Good money if you can get it.

Follow this link:

What's next for Atlanta United and Inter Miami CF? | Andrew Wiebe - MLSsoccer.com

Posted in Cf | Comments Off on What’s next for Atlanta United and Inter Miami CF? | Andrew Wiebe – MLSsoccer.com

Cystic Fibrosis Outcomes With Concomitant Azithromycin and Tobramycin Use – Pulmonology Advisor

Posted: at 3:05 pm

Patients with cystic fibrosis (CF) who had pulmonary exacerbations treated with concomitant azithromycin and tobramycin had worse outcomes than those treated with tobramycin alone, according study results published in the Annals of the American Thoracic Society.

Researchers screened medical records in the CF Foundation Patient Registry-Pediatric Health Information System for patients aged 6 to 21 years with CF who were hospitalized for pulmonary exacerbations and treated with tobramycin. These records were retrospectively reviewed to determine if differences in outcomes existed between patients treated with concomitant azithromycin and tobramycin or tobramycin alone.

Of the 10,660 patients included in the dataset, there were 2294 (totaling 5022 pulmonary exacerbations) who were treated with tobramycin. Of those 5022 exacerbations, 2247 were treated with concomitant azithromycin and tobramycin.

When azithromycin was used to treat patients, there was a significantly lower absolute improvement in percent predicted forced expiratory volume in 1 second (ppFEV1). Additionally, those patients had lower odds of returning to 90% of baseline ppFEV1, (odds ratio, 0.79; 95% CI, 0.68-0.93; P =.003) and a shorter time to next pulmonary exacerbations requiring intravenous antibiotics (hazard ratio, 1.22; 95% CI, 1.14-1.31; P <.001) compared to tobramycin without concomitant azithromycin.

Concomitant [azithromycin] and [intravenous] tobramycin use for in-hospital pulmonary exacerbation treatment was associated with poorer clinical outcomes than treatment with [intravenous] tobramycin without [azithromycin], the study authors wrote. These results support the hypothesis that an antagonistic relationship between these two medications might exist.

Reference

Cogen JD, Faino AV, Onchiri F, et al. Effect of concomitant azithromycin and tobramycin use on cystic fibrosis pulmonary exacerbation treatment. Ann Am Thorac Soc. Published online August 18, 2020. doi:10.1513/AnnalsATS.202002-176OC

Go here to see the original:

Cystic Fibrosis Outcomes With Concomitant Azithromycin and Tobramycin Use - Pulmonology Advisor

Posted in Cf | Comments Off on Cystic Fibrosis Outcomes With Concomitant Azithromycin and Tobramycin Use – Pulmonology Advisor