How we can create equity for all communities?
Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.
Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.
Avery Smith (left) and Adamson (sidenote)
This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.
To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.
This process, known as supervised learning, could lead to huge benefits in preventive care.
After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”
“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”
Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).
As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.
Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.
“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”
"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/
The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.
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A much-needed reminder.
If you've ever stayed in a hotel, you know there's an additional lock you can latch as an added layer of protection. But sometimes weird things happen that make us rethink the comfort and security many of us take for granted. TikTok user TayBeepBoop had a disturbing experience when a hotel front desk person attempted to enter her room while she was inside. Some readers may find the story to be unsettling but it's a powerful reminder of exactly why situational awareness and caution are so important in today's world.
Tay, obviously frightened, uploaded clips from the event on her TikTok page, which has since garnered 6 million views. In the video, which is mostly the floor, door and bed, you can hear the man outside of her room knocking loudly asking to be let inside.
Tay asks the man repeatedly why he attempted to walk into her room using the hotel key to which the man explains there's a problem with the woman's car. There's only one problem. Tay doesn't own a car and is only in town on business where she did not rent a car to get around town, relying only on other modes of transportation. So, what the heck was the man doing at her door?
Replying to @dani klarić this was a really long and hard video to make, it was sort of traumatizing and I’m kind of freaked out about staying anywhere now and I dont leave my house much anymore tbh because I already was dealing with PTSD about my safety. I’m OKAY which is why im able to go through this footage now. I genuinely don’t want anything to do with this hotel, this is a PSA to stay safe and cautious. I don’t want people to go after this worker because I still don’t know what his intentions were and he could have just been trying to do his job
Tay was staying at the hotel alone and made sure to latch the additional lock on her hotel room door, which is the only thing that prevented this hotel staff member from getting into her room. Since the situation was so scary and went on for quite some time according to her video, she called friends on FaceTime to be a witness and help comfort her. Eventually the man leaves after repeated attempts to get the scared woman to open the door and Tay was able to get a male business partner to escort her safely to another hotel.
But the comments were filled with stories from women who have had similar experiences. Many people explained the danger of admitting you're alone upon check-in, while other commenters sympathized with the woman not thinking to call the police right away. With people traveling more as COVID-19 restrictions subside, there could be a greater chance for things like this happening so it's best to be prepared and err on the side of caution when traveling alone.
Women on the Road has several tips for hotel safety including making sure your door lock works, putting a chair under the handle of the door or buying a rubber door stop. The site also highlights the importance of locking your windows if they open and not opening the door for people you don't know.
Another site geared towards safety is Solo Female Traveler and it recommends getting a floor higher in the hotel to make it more of a hassle for someone from outside to break in. It, too, reiterates the importance of locking the additional lock in the hotel room while you're inside.
While it's statistically unlikely you'll be a victim of a hotel robbery or whatever was happening with Tay, her experience is a reminder to research hotels and practice caution when traveling. Always, always, lock the deadbolt or chain.
This goes so far beyond just banning specific titles.
Few things are more integral to a child's future successes than developing the skill and habit of reading. Study after study has shown that reading, even for pleasure, helps kids develop critical thinking skills, improve their vocabulary, increase their ability to understand others and more. Reading can even helps kids do better in math.
Because reading is such a vital learning tool, one would think caring parents would want schools to support kids reading however they can. That support might look like full, rich school libraries and classrooms full of books that kids can choose from when they have some downtime.
But a push for extreme censorship, fueled by politicians who see an opportunity to garner support through fear, has put teachers with large classroom libraries into impossible positions.
In a Facebook post that's been shared more than 19,000 times, an elementary school teacher in Texas has detailed how her state's new regulations on books in the classroom have made it virtually impossible to offer students the class library she's been building for more than a decade. Emily Clay shared a photo of several shelves filled with bins of books.
"Here is my classroom library," she wrote. "This is over 1,600 books chosen for my elementary students. This is over a decade and thousands of dollars and countless donations of collecting. This is my students’ favorite place to go in my classroom. This is where I go when I have a reluctant reader to find something just right to spark their interest.
"According to the state of Texas, this is dangerous. This is a place where children may be indoctrinated or exposed to inappropriate content. This is just one more area where teachers cannot be trusted as educational experts. This is a battleground."
Clay shared that every teacher in her district now has to go through a tedious process that starts with entering the title, author and year published for every single book in their classroom into a spreadsheet. "Then we have to go through a painstaking process to vet each and every book---even if we’ve read them, even if we grew up reading them---to make sure that 'real experts' have determined that the book content is appropriate for the age level we teach, and also enter that data," she wrote.
This summer, Clay scanned all of her classroom books into her own library system—a process that only required a barcode scan of each book. That alone took six hours, she said. There's no way she could process each book and enter the details into a spreadsheet the way the policy requires within any reasonable amount of time. Even if each book took just three minutes to process, it would take 80 hours to enter her entire 1,600-book library. No teacher has even a fraction of that amount of time. And they are supposed to have this process completed by November.
"So what am I going to do?" she wrote. "I already don’t have on-contract time to do all the things we are required to do. What I’m going to do is box up every one of these books and put them away. And these shelves will be bare. I won’t be the only one putting away all of my books. Classrooms across Texas will be bare of libraries because of this.
"I ugly-cried this morning. One of my favorite things about my job is getting emails from parents telling me how enthusiastically their child is now reading at home.
"How are kids going to learn to love to read if they can’t hold books in their hands? Putting barriers between kids and books is one of the worst things I can think of."
Roadblocking classroom reading material is especially harmful to low-income students, who may have few, if any, books at home to read.
As Clay points out in her post, kids already have access to all of the things parents are afraid they might see in a book right at their fingertips with smartphones, tablets and computers. Books aren't the enemy here.
"Sure, there are some vigilant parents who make sure their children are never exposed to anything they don’t want them to see," Clay wrote. "And while these parents could have chosen to take their kids to the public libraries themselves and choose books they deem appropriate, instead they chose to raise up their voices against teachers like me and decide that everyone’s child should be restricted; every child should have to live up to whatever standards they have chosen for their own children. They've made it clear they think we're all in this profession to tarnish and brainwash their children. This TINY minority of people are the ones who are making things like this happen. And just like with everything else in our under-funded, under-respected, over-worked, under-paid, under-staffed industry, we're probably all going to roll over and take it."
But Clay also shared that more teachers will quit because of this kind of micromanagement. She's right. People often think that teachers quit because they are underpaid, but often it's the lack of respect for teachers as professionals and the top-down decisions that make teaching effectively difficult or impossible that push teachers away from their chosen career.
But Clay's final words really get to the heart of why these hoops teachers are being asked to jump through are so problematic.
"I LOVE my students," she wrote. "I would NEVER put anything in my classroom library that I thought might expose them to something inappropriate or too mature. I know I can get parent volunteers to come in and donate their time to help me catalog my extensive collection. But what I'm really mourning is the absolute lack of trust in highly-trained educators who have poured their souls into this profession and the children of people who believe we're indoctrinating them."
This goes so far beyond raising concerns about or even banning some specific titles. What this says is: We don't trust teachers. We think you're trying to harm kids with your cute little classroom library so we're going to make it as hard as possible to even have one. If there are concerns over specific books? Fine, raise them. All reasonable people would agree that certain material is not appropriate for children at all and has no place in the classroom. Some books might fall into a subjective gray area and be up for debate, and that's fine. Those are healthy debates to have.
But parents are taking issue with books that aren't sexually explicit but simply include characters who have two same-sex parents or characters who are transgender—those books are simply reflective of the world kids live in. If parents are taking issue with books that give deference to the perspectives of people harmed by racism, that is also reflective of the world they live in. If parents are really that concerned, they can send kids to school with their own personal books to read from home and inform the teacher that they aren't allowed to use the class library. Or they can choose to homeschool.
Just stop punishing teachers for crimes they haven't committed and making their jobs far harder than they already are. They don't deserve it, and it's ultimately doing more harm than good to kids who benefit from access to classroom libraries.
The lionesses have proudly walked to victory.
Next stop for the Mayyas … Vegas, baby!
The fan-favorite all-female dance troupe from Lebanon took home the ultimate prize on the Sept. 14 episode of “America’s Got Talent,” beating out some incredibly heavy competition this season. With the win comes a $1 million cash prize as well as the opportunity to headline a show at Las Vegas' Luxor Hotel and Casino.
From first-round auditions to the riveting live finale, the Mayyas have consistently lived up to their name, which translates to “proud walk of the lioness,” with remarkable skill and fearlessness in each and every performance.
You can take a look at their entire “AGT” journey below, ending with that unforgettable finale. Prepare to be blown away.
The dance crew promised to “hypnotize” during its first-round audition, and did so with flying colors. Having previously won “Arab’s Got Talent” back in 2019, the Mayyas were well prepared to wow the crowd.
Their spellbinding performance granted the Mayyas a golden buzzer from judge Sofia Vergara, who called it the “most beautiful creative dancing” she had ever seen.
They once again left audiences with their jaws on the floor after their semifinal routine, which was even more bold and dramatic. Howie Mandel called it the “best moment in AGT history,” adding that the Mayyas should be “the poster people for female empowerment."
Simon Cowell also predicted that their performance would “change the world.”
Then came the live finale, where the proud lionesses left it all on the stage. The stunning performance had glowing orbs of light, glittery galaxies and a huge white gown made out of large feather fans. In a word, it had everything.
Yeah, it was hauntingly beautiful.Viewers have been rooting for the Mayyas from the beginning—not only for their ability to create mesmerizing illusions using clever choreography and brilliant prop manipulation, but for their mission to “prove to the world what Arab women can do, the art we can create, the fights we fight.”
As explained by Nadim Cherfan, the team’s choreographer, “Lebanon is not considered a place where you can build a career out of dancing, so it’s really hard, and harder for women.”This combined with the country’s worsening economic crisis and apparent political corruption made each advancement to the next round mean so much more than getting closer to a coveted title. As Cherfan told People, “It’s about a huge bigger message for our people to make them believe in themselves and to give hope to our country who is going into a dark time."
The Mayyas shared their well-deserved victory with their home country, posting a video to Instagram of the win along with the caption saying “Lebanon, this one’s for you.”
It’s lovely to see incredible talent. It’s even better to hear the incredible stories behind the talent. The Mayyas were dedicated to showing the world what Arab women can do, and they succeeded.