Priorities and funding for global cancer surgery research

Kingham, T. Peter; Ginsburg, Ophira; Sivaram, Sudha; Ilbawi, André; Trimble, Ted

doi:10.1002/jso.24586

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…The computer-assisted system is normally a reliable and faster result for early diagnosis of skin cancer [13][14][15][16]. Implementation science can help in delays of skin cancer diagnosis and surgery thus improving the supply chain management for surgical equipment [17,18,19,35]. Moreover, so many modalities are there under development and some of them are confocal scanning laser microscopy, multispectral imaging, US imaging, optical coherence tomography, and so on.…”

Section: Introductionmentioning

confidence: 99%

Diagnosing skin cancer via C‐means segmentation with enhanced fuzzy optimization

Durgarao

Sudhavani²

2021

IET Image Processing

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The early detection of cancer decreases the death rate as well, but mostly the disorder symptoms are unpredictable. Numerous skin cancer detection techniques are available in the dice, yet the effectiveness remains unachieved. This paper aims to introduce a skin cancer detection technique that characterizes the nature of cancer: normal, benign or malignant. The proposed technique includes three stages like Segmentation, Feature Extraction, and Classification. Here, the Fuzzy C-means Clustering (FCM) is used to segment the given input image. Then, the features are mined from the segmented image using Local Vector Pattern (LVP) and Local Binary Pattern (LBP). Subsequently, the Fuzzy classifier is used to do the classification process that gets the extracted features (LVP+LBP) as the input. The classifier outputs the nature of the image. As the primary contribution of this work, the limits of membership functions in the Fuzzy classifier are optimally selected by a new improved Rider Optimization Algorithm (ROA) termed as Distance Oriented ROA (DOROA). The performance of the proposed DOROA model is compared over other conventional models in terms of accuracy, sensitivity, specificity, precision, Negative Predictive Value (NPV), F1-score and Matthews correlation coefficient (MCC), False positive rate (FPR), False Negative Rate (FNR), and False Discovery Rate (FDR).This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Introductionmentioning

confidence: 99%

Diagnosing skin cancer via C‐means segmentation with enhanced fuzzy optimization

Durgarao

Sudhavani²

2021

IET Image Processing

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“…In this study, we propose that funding opportunities and international aid patterns may influence Ugandan medical student decision making. For many years, funding priorities in global health have been placed preferentially toward infectious disease and maternal mortality, with very little aid given toward needed surgical resources [7][8][9]. The objectives of this study were to describe the factors that influence career choices for medical students, to identify the level of interest in a surgical career and to assess student perception of what specialties are supported by aid.…”

Section: Introductionmentioning

confidence: 99%

Ugandan Medical Student Career Choices Relate to Foreign Funding Priorities

Kakembo

Situma

Williamson³

et al. 2020

World j. surg.

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Introduction The surgical workforce in sub-Saharan Africa is insufficient to meet population needs. Therefore, medical students should be encouraged to pursue surgical careers and ''brain drain'' must be minimized. It is unknown to what extent foreign aid priorities influence medical student career choices in Uganda. Methods Medical students in Uganda completed an online survey examining their career choices and attitudes regarding career opportunities and funding priorities. Data were analyzed using descriptive statistics, and responses among men and women were compared using Fisher's exact tests. Results Ninety-eight students participated. Students were most influenced by inspiring role models, employment opportunities and specialty fit with personal skills. Filling an underserved specialty was near the bottom of the influence scale. Women placed higher importance on advice from mentors (p = 0.049) and specialties with lower stress burden (p = 0.027). Men placed importance on opportunities in non-governmental organizations (p = 0.033) and academia (p = 0.050). Students expressed that the most supported specialties were infectious disease (n = 65, 66%), obstetrics (n = 15, 15%) and pediatrics (n = 7, 7%). Most students (n = 91, 93%) were planning a career in infectious disease. Fifty-three students (70%) indicated plans to leave Africa for residency. Female students were more likely to have a plan to leave (p = 0.027). Conclusion Medical students in Uganda acknowledge the career opportunities for physicians in specialties prioritized by the Sustainable Development Goals. In order to avoid ''brain drain'' and encourage students to pursue careers in surgery, career opportunities including surgical residencies must be prioritized and supported in sub-Saharan Africa.

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A Review of the Current State of Global Surgical Oncology and the Role of Surgeons Who Treat Cancer: Our Profession’s Imperative to Act Upon a Worldwide Crisis in Evolution

2023

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Worldwide, the capacity of healthcare systems and physician workforce is woefully inadequate for the surgical treatment of cancer. With major projected increases in the global burden of neoplastic disease, this inadequacy is expected to worsen, and interventions to increase the workforce of surgeons who treat cancer and strengthen the necessary supporting infrastructure, equipment, staffing, financial and information systems are urgently called for to prevent this inadequacy from deepening. These efforts must also occur in the context of broader healthcare systems strengthening and cancer control plans, including prevention, screening, early detection, safe and effective treatment, surveillance, and palliation. The cost of these interventions should be considered a critical investment in healthcare systems strengthening that will contribute to improvement in the public and economic health of nations. Failure to act should be seen as a missed opportunity, at the cost of lives and delayed economic growth and development. Surgeons who treat cancer must engage with a diverse array of stakeholders in efforts to address this critical need and are indispensably positioned to participate in collaborative approaches to influence these efforts through research, advocacy, training, and initiatives for sustainable development and overall systems strengthening.

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Priorities and funding for global cancer surgery research

Cited by 3 publications

References 10 publications

Diagnosing skin cancer via C‐means segmentation with enhanced fuzzy optimization

Diagnosing skin cancer via C‐means segmentation with enhanced fuzzy optimization

Ugandan Medical Student Career Choices Relate to Foreign Funding Priorities

A Review of the Current State of Global Surgical Oncology and the Role of Surgeons Who Treat Cancer: Our Profession’s Imperative to Act Upon a Worldwide Crisis in Evolution

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