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Meet the researcher shining a light on the “white lens” of medical AI in skin cancer prevention

How we can create equity for all communities?

skin cancer, health equity, acs
All images provided by Adewole Adamson

It begins with more inclusive conversations at a patient level

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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.

melanoma, melanoma for dark skin 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?”

american cancer society, skin cacner treatment"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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Woman's rare antique turned away from 'Antique Roadshow' for heart-wrenching reason

"I just love you for bringing it in and thank you so much for making me so sad."

Photos by Murat Rahim Caglak and Antoni Shkraba via Canva

Woman's antique turned away from 'Antique Roadshow'

People come by things in all sorts of ways. Sometimes you find something while at a garage sale and sometimes it's because a family member passed away and it was left to them. After coming into possession of the item, the owner may be tempted to see how much it's worth so it can be documented for insurance purposes or sold.

On a recent episode of BBC One's Antique Roadshow, a woman brought an ivory bracelet to be appraised. Interestingly enough, the expert didn't meet this rare find with excitement, but appeared somber. The antique expert, Ronnie Archer-Morgan carefully explains the purpose of the bracelet in what appears to be a tense emotional exchange.

There would be no appraisal of this antique ivory bracelet adorned with beautiful script around the circumference. Archer-Morgan gives a brief disclaimer that he and the Antique Roadshow disapprove of the trade of ivory, though that was not his reason for refusing the ivory bangle.

"This ivory bangle here is not about trading in ivory, it’s about trading in human life, and it’s probably one of the most difficult things that I’ve ever had to talk about. But talk about it we must," Archer-Morgan says.

Ronnie Archer-Morgan, Antiques Roadshow, BBC, antiques, ivoryRonnie Archer-Morgan on an episode of the BBC's Antiques RoadshowImage via Antqiues Roadshow


Turns out the woman had no idea what she had in her possession as she purchased it from an estate sale over 30 years before. One of the elderly residents she cared for passed away and the woman found the ivory bracelet among the things being sold. Finding the bangle particularly intriguing with the fancy inscription around it, she decided to purchase the unique piece of jewelry.

After explaining that his great-grandmother was once enslaved in Nova Scotia, Canada before being returned to Sierra Leone, Archer-Morgan concluded he could not price the item.

Antiques Roadshow, BBC, Ronnie Archer MorganRonnie Archer-Morgan holds the ivory bracelet he refused to valueImage via Antiques Roadshow/BBC

"I just don’t want to value it. I do not want to put a price on something that signifies such an awful business. But the value is in the lessons that this can tell people," he tells the woman.

In the end the woman leaves without knowing the monetary value of the item but with a wealth of knowledge she didn't have before visiting. Now she can continue to share the significance of the antique with others. Watch the full explanation below:


- YouTubewww.youtube.com

This article originally appeared last year.

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Culture

Young female artist has sold $7 million worth of paintings before she was even 14-years-old

You can see her talent in her very first painting.

Autumn de Forest

Autumn de Forest stands before a sign with her name on it

When Autumn de Forest was 5, she picked up a paintbrush for the first time. It wasn't long before she was ready to show the world what she could do.

After a year of practice, the then-6-year-old asked her father if he could get her a booth at a local art-in-the-park program. "People would come up to the booth, and they would talk to my father, and they'd say, 'This is great!'" she said. "Apparently they thought it was Take Your Daughter to Work Day."

Almost everyone thought the artwork was her father's. And when they found out that tiny Autumn was the artist, people couldn't believe their eyes.


art, kids, art genius, kid genius Autumn created this piece when she was just 5 years old. Autumn de Forest

Soon, Autumn rose to national fame.

When Autumn was 8, she was featured on the Discovery Health Channel. There was a slew of media attention in the years that followed. There was Disney. There was The Today Show. There was Wendy Williams. She was called a child genius, a prodigy, and an expert painter.


autumn deforest, art, kids, paintingSoon, Autumn rose to national fame.Autumn Deforest


Suddenly, Autumn de Forest was everywhere.

But not everyone was so accepting of the young artist and her work. Some people in the art world had ... questions. Sure, she was good for a kid. But was her art actually good? Others wondered if the whole thing might be an elaborate hoax.

Autumn decided not to listen.

By 14 she developed a startlingly organized daily routine that went far beyond a 9 to 5.

Somehow, as the focus on her age begins to wear off, Autumn's work ethic and art only grow stronger. She said that most days, she'd wake up in her parents' Las Vegas home at 7:30 a.m. After breakfast, she'd break out her supplies for a one- or two-hour painting session. From there, she dove into her school work. Most brick-and-mortar schools can't accommodate her travel schedule, so she did the majority of her schooling online.

Before dinner, it's back into the studio.

"That session can last much longer, that can be three or four hours when I really get into it," she said. "Then I probably have dinner and go to bed."

kids, painting, artistic genius, paintings, kid artists Autumn de Forest paints Autumn de Forest


The results? They speak for themselves.

Autumn de Forest, painting, art, kids, prodigy An Autumn de Forest painting Autumn de Forest

Her work has been displayed in galleries and exhibitions all over the world.

Autumn held a public demonstration before a showing at The Butler Institute of American Art.

Autumn de Forest, painting, kids, artAn Autumn de Forest painting Autumn de Forest

In 2015, Autumn received the International Giuseppe Sciacca Award in Painting and Art.

The award took her to the Vatican for a private showing of her artwork with the pope.


She's also worked with the President's Committee on the Arts and the Humanities, headed up by former First Lady Michelle Obama.

Autumn de Forest, the Pope, Pope Francis, painting, artAutumn de Forest stands with the Pope who looks at one of her paintings Autumn de Forest

As part of the program, de Forest traveled to underprivileged schools around the country and led painting workshops. Oh, and if you're looking for some hard numbers to attach to Autumn's talent, she's got those, too.

Her paintings raked in over $7 million at auctions by the time she was a teenager — fetching as much as $25,000 each — much of which has gone directly to charities and disaster relief funds.


At 23-years-old now, what's Autumn de Forest up to lately?

Autumn de Forest, painting, art, kidsAutumn de Forest works with other young painters Autumn de Forest

A lot!

The transition from child prodigy to respected artist has kept her busy.

In 2017, the Monthaven Arts and Cultural Center in Hendersonville, Tennessee hosted a major solo exhibition for de Forest titled "Her White Room: The Art of Autumn de Forest."

That same year, de Forest was listed as one of Teen Vogue's "21 Under 21." In her profile she was praised for her talent as well as her commitment to art education.

"In dis­advantaged schools, they consider the arts an extracur­ricular activity," she told Teen Vogue. "It's devastating, as there could be child prodigies in these schools, but they don't know that they have this God-­given gift because they're not given the opportunity because there's nearly no art programs in schools."

In 2018, de Forest was featured in the music video for the song "Youth" by best-selling recording artists Shawn Mendes and Khalid. The video highlights exceptional young people working to change the world, including de Forest, Emma González, and Elias and Zion Phoenix.

The video has over 17 million plays on YouTube.

And of course, Autumn continues to share her absolutely incredible artwork on Instagram and in shows and exhibitions around the globe.

The Autumn de Forest Foundation, helps her keep track of the kids she's met throughout the years and to continue to help them with their art careers.

A portion of the foundation's money goes to a 529 account set up for the students while 10% goes to them directly.

"A lot of these kids that I work with, they're not very old, they're in second grade, third grade, fourth grade. Maybe in 10 years, they may only have four or five thousand dollars but that could be the difference between them going to college or not," Autumn told Teen Vogue.

Autumn's incredible rise in the art world is an astonishing feat for someone who's still in her teens. But that accomplishment is easily matched by her generosity and commitment to helping develop tomorrow's prodigies as well.

For more information, visit the Autumn de Forest Foundation.


This article originally appeared nine years ago.

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Heroes

Instacart delivery driver trusted her gut instinct and ended up saving a customer's life

"You're supposed to take a picture and leave, and I could not just leave."

@JessicaHiggs3/TikTok

Jessica Higgs had a sense that something wasn't right at a customer's house and her action saved his life.

One the more mysterious aspects of being human is our sense of intuition. This "sixth sense" isn't something we can see or measure, but many people have experienced it in some form or fashion. Maybe it comes as a strong feeling that something isn't right, or that we or someone else should or shouldn't do something. It can be hard to read—not every feeling we get is truly our intuition—but there are plenty of examples of people trusting their instincts and being glad they did.

One such story has gone viral on TikTok. Jessica Higgs, a mom who works as an Instacart grocery delivery person, shared a story in an emotional video that illustrates the importance of listening to that inner voice when it prompts you to make sure someone is OK.

"I just want to start this off by saying if you see something, say something," Higgs said.

Animated GIFGiphy

She explained how she had done an Instacart order the previous day for a daughter who was ordering for her older dad who couldn't shop for himself. She said she was going the extra mile like she always does for her customers, and that the daughter told her to just drop the groceries on the porch and he'd get them. That's what Higgs would usually do.

"I get there and something was telling me no, you gotta help this man out," she said. "He came out, and I was like OK let me help you, and I got the groceries. You're not supposed to go into someone's house, but I used my judgment and I brought the groceries inside and put them down wherever he wanted me to put them down. You're not supposed to, but I did. And you're supposed to just take a picture and leave, and I could not just leave."



@jessicahiggs3

@Instacart #28DaysOfEucerin #fyp



Higgs noticed that the man looked really sick and she was really concerned. A voice in her head said, "You gotta say something. You gotta say something, Jess." Rather than mark the order as complete, she messaged the man's daughter and told her that it was really unprofessional to say something like this, but she felt like her dad wasn't doing well. "There's a propane tank in there," she told the woman. "I was in there maybe five feet and I got dizzy. There's got to be a leak. He might not be doing good because of this leak."

The woman said she would send her son over to check it out and Higgs left. The woman changed her tip from $14 to $100, which Higgs appreciated, but the message she sent her the next morning was a much greater reward for her going the extra mile.

"Thank you so much, once my son went to check on my dad it turned out it was definitely leaking," she wrote. "You definitely saved my dad and my younger son's life!!!"

Through tears, Higgs said, "I'm just an Instacart worker, but if you see something, say something. I did and I'm so happy I did."

Higgs' TikTok has been viewed more than 15 million times and has been shared widely on social media. It has also attracted the attention of big companies.

Royal Caribbean Cruises shared a TikTok video of its own praising Higgs for her heroic act and offering her and her family a seven-day cruise anywhere in the world. "Cause even heroes need a vacation," the company wrote.



@royalcaribbean

Stitch with @jessicahiggs3 - cause even heroes need a vacation. Thanks @captaincruiseguy



Old Navy connected with her and arranged a shopping spree where she got to model several new outfits. People Magazine commented, "You’re literally a HERO! Good job trusting your instincts. 💕" Even TikTok itself wrote, "You are amazing ❤️thank you for sharing this with all of us."

Lots of commenters also pointed out that she's not "just an Instacart worker." Her work is important, she's providing a needed service and any job done in a spirit of helping others should not be minimized. If she hadn't been there doing her job well, that man may not be here. Never underestimate the difference each of us can make by the simple act of looking out for one another, friend and stranger alike.

Higgs' heartfelt story touched millions, and she's being rightly rewarded for listening to her heart and going out of her way to help someone. Gotta love seeing good things come to people doing good. Well done, Jessica Higgs.

This article originally appeared three years ago.

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Culture

A family's clever cake cutting hack could completely change how you do birthdays forever

There's a simple reason it's been watched more than 1.8 million times.

Image via Canva

Representative image of a person cutting a cake

There are a few types of people who always show up around the dining room table when the birthday cake arrives. There's the dutiful person who is nice enough to volunteer to cut and serve the cake for everyone. There's the person who begs for the piece with the most frosting. Then there's the person who wants as little frosting as possible.

There's also the party-goer who asks for the little sliver of cake and the guy who has no problem taking a slice as big as his head. Let's not forget the cake pusher whose job it is to make sure you take some extra slices home. "Please take some home so I don't eat it," they beg, patting their tummy.

Making everyone happy during the ceremonial cake cutting is no easy task.

birthdays, birthday cake, life hacks, hacks, how to cut a birthday cakeA group gathers around a birthday cakeImage via Canva

But now, a game-changing video on TikTok has completely changed the cake-cutting conversation. It eliminates the cake server, long knife, serving plates, spatula, and replaces it with joyous anarchy.

A TikTok video with over 460,000 likes shows a family celebrating a woman's 20th birthday, and after she blows out the candles, each person takes out a wine glass and scoops up a mound of cake.

It's an easy, streamlined way to make sure everyone gets what they want without having to bother anyone to cut and distribute the pieces. Everyone gets to grab the slice they like and in the amount they desire, without having to negotiate.

It's also a fun way to do things as a group. It would be savage to have a bunch of people scooping up cake with spoons, but with wine glasses, it's fancy.

The only drawback is that this technique really favors the pro-frosting constituency.

@theroseperiod Happy 20th birthday to my Jules!#twenty#fyp#birthdaycake#wineglasses#tiktokmom ♬ Outro: Happy Birthday - Altered Images

Duff Goldman, "Ace of Cakes" star and executive chef of the Baltimore-based Charm City Cakes shop, told Bustle the idea is genius. "Each person can come in with their own cup and get their own serving — it's a nice communal experience where each person can interact with the cake and each other," he said.

"This is a game-changer," one person said on TikTok.

"This is blowing my mind. Why have I never thought of this?" said another woman, who called it "genius."

"A cake hack that I can get behind," another added. "I will never eat cake another way."

The cake hack is a great idea, but one has to be sure that the cake is at room temperature. This could get downright dangerous if used on an ice cream cake or one with a hard filling. Also, you probably want to avoid using super-expensive Tiffany wine glasses that could easily shatter or eating out of the glass with metal utensils.

Ok, TikTokkers that hack was brilliant, your next challenge is to figure out how to eat pie with a wine glass.

This article originally appeared three years ago.

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Kids

Adorable 5-year-old gives his mom 6 pieces of spot-on advice for handling her nerves

There's no age limit on great advice.

Photo by Annie Spratt on Unsplash, @EPrecipice/Twitter

Kids really do say the darnedest things.

Any parent knows that kids can be surprisingly astute little philosophers at the most unexpected times. One minute your child is throwing a tantrum because you sliced their sandwich wrong, and the next they are blowing you away with their deep preschool thoughts. It's enough to give you whiplash, but it's also one of the most fun things about being around kids. You never know what they're going to say and sometimes what they say is just awesome.

Case in point: This 5-year-old who gave his mom some sage advice about handling her nerves. Twitter user @Eprecipice (StressieBessie) shared the story in a tweet thread. She wrote: "When talking about our agendas for the day, I told my 5yo I was a little nervous about a meeting I have today. He said, 'Mama, I am nervous all the time. I know what to do.' So friends, here is all the advice he could fit into the drive to school:"

1. “You gotta say your affirmations in your mouth and your heart. You say, ‘I am brave of this meeting!’ , ‘I am loved!’, ‘I smell good!’ And you can say five or three or ten until you know it.”


advice, kids, parents, moms, affirmations, good adviceA person holds an affirmation cardImage via Canva

Okay, first of all, the fact that this kiddo knows what affirmations are is awesome. Some people have questioned whether this advice really came from a 5-year-old because of the vocabulary, but kids are sponges and affirmations aren't rocket science. It's become quite common for preschools and kindergartens to teach kids things like this, so it's not actually surprising to hear him talk about affirmations. It's just adorable to hear the ones he suggests.

2. “You gotta walk big. You gotta mean it. Like Dolly on a dinosaur. Because you got it.”

Okay, so this actually is sound advice. Researcher Amy Cuddy gave a whole TED Talk about how our minds respond to our own body language, and how using confident body language can actually release chemicals in our brains that make us feel more powerful and self-assured. So "walk big" like you mean it is legit.


3. "Never put a skunk on a bus."

No idea what this means, but it's definitely solid wisdom.

4. "Think about the donuts of your day! Even if you cry a little, you can think about potato chips!"

I'm genuinely not sure if this is referencing real donuts or not, which is part of what makes it delightful advice. Metaphorically, "the donuts of your day" could be the positive things that happened, and focusing on those instead of the negative is basic positive thinking. Then again, if you cry and think about potato chips, perhaps he's just referencing comfort with food. Either way, totally feeling it.


5. "You gotta take a deep breath and you gotta do it again."

Pretty much every therapist from every psychological school of thought will tell you that breathing exercises are one of the quickest ways to calm your body and mind. Simple, but seriously sound advice.

6. "Even if it's a yucky day, you can get a hug."

Even though that sounds like a pretty typical thought for a kid, it's also good well-being advice. According to The Conversation, the chemicals released when we hug can help us manage stress, reduce anxiety and manage our emotions.

Smart kid.

He added one more piece of advice for good measure as well for those of us who tend toward distraction.




Like a little Confucius, this one.

Seriously, if you ever want to hear some of the most oddly profound things you'll ever hear in your life, spend some time interviewing a 4- or 5-year-old. They really do say the darnedest things. And if you're nervous about something, just keep telling yourself you're "brave of" it. If nothing else, it'll bring a smile to your face remembering this delightful thread.

This article originally appeared three years ago.

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