Dermatology artificial intelligence (AI) models are predominantly trained on light-skinned, cancer-focused image collections, yet they are increasingly proposed for deployment in resource-constrained settings where patients differ from training populations along two confounded axes: skin tone and disease distribution. We investigate whether poor generalization is primarily caused by skin-tone underrepresentation or disease-distribution shift. We evaluate a cancer-trained baseline (ResNet-50 fine-tuned on HAM10000 and ISIC 2019), two dermatology foundation models (DermLIP and MONET), and a general-purpose vision model (DINOv3) as frozen feature extractors. Models are evaluated on a tone-stratified disease-matched dataset (Diverse Dermatology Images, DDI) and a disease-shifted tone-diverse dataset (Skin Condition Image Network, SCIN). Our results show that disease-distribution shift contributes more than skin tone in the evaluated settings. The cancer baseline decreases from 0.62 to 0.21 balanced accuracy when transferred to unfamiliar clinical conditions, while the within-disease skin-tone gap is smaller (0.10-0.18) and inconsistent. Label-free representation analysis shows that this failure reflects a representational limitation rather than only missing output labels: cancer-specialized features poorly cluster unfamiliar conditions (kNN purity lift +0.06 over chance), whereas dermatology-pretrained features retain stronger transferable structure (+0.23). Finally, we show that representation quality predicts recoverable performance under lightweight adaptation. Starting from dermatology foundation models, approximately ten labeled examples per clinical category recover most attainable performance. We release the evaluation protocol and code to support reproducible auditing of dermatology AI generalization.
Agile - denoting "the quality of being agile, readiness for motion, nimbleness, activity, dexterity in motion" - software development methods are attempting to offer an answer to the eager business community asking for lighter weight along with faster and nimbler software development processes. This is especially the case with the rapidly growing and volatile Internet software industry as well as for the emerging mobile application environment. The new agile methods have evoked substantial amount of literature and debates. However, academic research on the subject is still scarce, as most of existing publications are written by practitioners or consultants. The aim of this publication is to begin filling this gap by systematically reviewing the existing literature on agile software development methodologies. This publication has three purposes. First, it proposes a definition and a classification of agile software development approaches. Second, it analyses ten software development methods that can be characterized as being "agile" against the defined criterion. Third, it compares these methods and highlights their similarities and differences. Based on this analysis, future research needs are identified and discussed.
P. Abrahamsson, O. Salo, Jussi Ronkainen et al.· arXiv.org· 728 citations· ⚡54
Context: Software startups are newly created companies with no operating history and fast in producing cutting-edge technologies. These companies develop software under highly uncertain conditions, tackling fast-growing markets under severe lack of resources. Therefore, software startups present a unique combination of characteristics which pose several challenges to software development activities. Objective: This study aims to structure and analyze the literature on software development in startup companies, determining thereby the potential for technology transfer and identifying software development work practices reported by practitioners and researchers. Method: We conducted a systematic mapping study, developing a classification schema, ranking the selected primary studies according their rigor and relevance, and analyzing reported software development work practices in startups. Results: A total of 43 primary studies were identified and mapped, synthesizing the available evidence on software development in startups. Only 16 studies are entirely dedicated to software development in startups, of which 10 result in a weak contribution (advice and implications (6); lesson learned (3); tool (1)). Nineteen studies focus on managerial and organizational factors. Moreover, only 9 studies exhibit high scientific rigor and relevance. From the reviewed primary studies, 213 software engineering work practices were extracted, categorized and analyzed. Conclusion: This mapping study provides the first systematic exploration of the state-of-art on software startup research. The existing body of knowledge is limited to a few high quality studies. Furthermore, the results indicate that software engineering work practices are chosen opportunistically, adapted and configured to provide value under the constrains imposed by the startup context.
Nicolò Paternoster, Carmine Giardino, M. Unterkalmsteiner et al.· Information and Software Tec...· 394 citations· ⚡54
Known for his clear and elegant writing style, Bertsekas shaped fields from control and optimization to large-scale computation and artificial intelligence.
