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Paediatric radiology seen from Africa. Part II: recognising research advantages in a developing country

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Abstract

Radiologists in developing countries cite numerous reasons for poor research output including heavier workloads, poor remuneration (resulting in “brain drain”), poor infrastructure, language barriers, lack of modern imaging equipment, and a disease spectrum that may be of little interest to journals and readers in the developed world. On the other hand, large populations of patients suffering from distinctive diseases, cost-effective healthcare systems, and a set-up with highly centralised tertiary referral hospitals, may be seen as advantages to those willing to tap into this as a data source for research. The lack of resources may even stimulate cost-effective innovations relevant to the needs of poor communities. This paper challenges preconceived ideas and identifies advantages for radiologists in developing countries to producing good research and publications. It also cautions against “annexation of sites” by stakeholders from developed countries, and suggests simple solutions to maximise research output without a significant financial cost.

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References

  1. Alderson PO, Bresolin LB, Becker GJ et al (2003) Enhancing research in radiology departments. Acad Radiol 11:951–955

    Google Scholar 

  2. Dixon AK (2008) Current thoughts about academic radiology. Clin Radiol 63:115–117

    Article  PubMed  Google Scholar 

  3. Strife JL, Ball WS (1998) Research in pediatric radiology: preparing for our future. Pediatr Radiol 28:563–568

    Article  PubMed  CAS  Google Scholar 

  4. Provenzale JM (2004) Enhancing research: time for a new game plan? AJR Am J Roentgenol 183:265

    Google Scholar 

  5. Bhutta Z (2003) Practising just medicine in an unjust world. BMJ 327:1000–1011

    Article  PubMed  Google Scholar 

  6. Costello A, Zumla A (2000) Moving to research partnerships in developing countries. BMJ 321:827–829

    Article  PubMed  CAS  Google Scholar 

  7. Taylor GA (2010) Academic pediatric radiology in 2010: challenges and opportunities. Pediatr Radiol 40:478–480

    Article  PubMed  Google Scholar 

  8. Abdool Karim SS, Abdool Karim Q, Gouws E et al (2007) Global epidemiology of HIV-AIDS. Infect Dis Clin North Am 21:1–17

    Article  PubMed  Google Scholar 

  9. Fourie B (2006) The burden of tuberculosis in South Africa: MRC National Tuberculosis Research Programme, South Africa. www.sahealthinfo.org/tb/tbburden.htm (accessed 10 August 2010)

  10. Marais BJ, Hesseling AC, Gie RP et al (2006) The burden of childhood tuberculosis and the accuracy of community-based surveillance data. Int J Tuberc Lung Dis 10:259–263

    PubMed  CAS  Google Scholar 

  11. Andronikou S, Cooke ML, Donen A et al (2001) Violence against children in the Western Cape—a study by children for the benefit of children. S Afr Med J 91:1033–1035

    PubMed  CAS  Google Scholar 

  12. Andronikou S, Kilborn T, Patel M et al (2003) Skull fracture as a herald of intracranial abnormality in children with mild head injury: is there a role for skull radiographs? Australas Radiol 47:381–385

    Article  PubMed  Google Scholar 

  13. Isaacs AN, Varghese N, Phillips CA et al (2008) Outcome of referrals from a primary health institution in rural Karnataka. Pak J Med Sci 24:157–160

    Google Scholar 

  14. Bosch-Marcet J, Serres-Créixams X, Zuasnabar-Cotro A et al (2004) Comparison of ultrasound with plain radiography and CT for the detection of mediastinal lymphadenopathy in children with tuberculosis. Pediatr Radiol 34:895–900

    Article  PubMed  Google Scholar 

  15. Bosch-Marcet J, Serres-Créixams X, Borrás-Pérez V et al (2007) Value of sonography for follow-up of mediastinal lymphadenopathy in children with tuberculosis. J Clin Ultrasound 35:118–124

    Article  PubMed  Google Scholar 

  16. De Villiers RV, Andronikou S, Van de Westhuizen S (2004) Specificity and sensitivity of chest radiographs in the diagnosis of paediatric pulmonary tuberculosis and the value of additional high-kilovolt radiographs. Australas Radiol 48:148–153

    Article  PubMed  Google Scholar 

  17. Brandt A, Andronikou S, Wieselthaler N et al (2007) Accuracy of radiographer reporting of paediatric brain CT. Pediatr Radiol 37:291–296

    Article  PubMed  Google Scholar 

  18. Andronikou S, Vanhoenacker FM, De Backer AI (2009) Advances in imaging chest tuberculosis: blurring of differences between children and adults. Clin Chest Med 30:717–744

    Article  PubMed  Google Scholar 

  19. Szot A, Jacobson FL, Munn S et al (2004) Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology. Int J Med Inform 73:65–73

    Article  PubMed  Google Scholar 

  20. Corr P, Couper I, Beningfield SJ et al (2000) A simple telemedicine system using a digital camera. J Telemed Telecare 6:233–236

    Article  PubMed  CAS  Google Scholar 

  21. Maydell AT, Andronikou S, Ackermann C et al (2009) Comparison of paper print and soft copy reading in plain paediatric radiographs. J Med Imaging Radiat Oncol 53:459–466

    Article  PubMed  CAS  Google Scholar 

  22. Strauss KJ, Kaste SC (2006) The ALARA (as low as reasonably achievable) concept in pediatric interventional and fluoroscopic imaging: striving to keep radiation doses as low as possible during fluoroscopy of pediatric patients—a white paper summary. Pediatr Radiol 36(Suppl 2):110–112

    Article  PubMed  Google Scholar 

  23. Donnely LF (2005) Reducing radiation dose associated with pediatric CT by decreasing unnecessary examinations. AJR Am J Roentgenol 184:655–657

    Google Scholar 

  24. Brody AS, Donnelly L (2009) Building a culture of research among clinical pediatric radiologists: a multifaceted, programmatic approach. Pediatr Radiol 39:367–370

    Article  PubMed  Google Scholar 

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Correspondence to Savvas Andronikou.

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Andronikou, S., Mngomezulu, V. Paediatric radiology seen from Africa. Part II: recognising research advantages in a developing country. Pediatr Radiol 41, 826–831 (2011). https://doi.org/10.1007/s00247-011-2080-9

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  • DOI: https://doi.org/10.1007/s00247-011-2080-9

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