18 research outputs found
No longer 'kings': learning to be a Mongolian person in the middle Gobi
This doctoral dissertation examines the inter-subjective processes through which young children are shaped and shape others into persons (hün), as they learn to
interact through the Mongolian mode of hierarchical relations. Based on twenty
months of ethnographic fieldwork in the middle Gobi, the research focuses on the
period when children (between two and eight years of age) lose their status as
indulged and protected babies and learn to assume the role of older brother/sister
(ah/egj) and younger sibling (düü). To investigate how children become
competent at interacting through the Mongolian mode of hierarchical relations, the
study considers three questions: how do children learn to enact etiquette (yos)?
How do children develop relations within and outside of their family (ger bül) and
family network (ah düü)? How do children learn to work and to become helpful?
The research reveals that Mongolian social hierarchy is structurally produced by,
and is the product of, an irreconcilable moral tension. On the one hand, children
learn to form relations of interdependence and to actively take part in the
production of asymmetrical but mutual obligations. On the other hand, children
learn to use etiquette to establish relations at the safe distance of respect, and to
develop social and emotional skills to protect themselves from the potential
dangers of relatedness. By documenting the processes through which children
learn to form relations as ah/egj and düü, this study uncovers the social
mechanisms which sustain the re-production of Mongolian social hierarchy and
the individual skills necessary to be a socially and morally competent Mongolian
person. More generally, the dissertation contributes to the anthropological study
of personhood by rethinking ‘the cultural construction of the person’ as an ongoing process of learning
Magnetic resonance arthrography is insufficiently accurate to diagnose biceps lesions prior to rotator cuff repair
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Natural History of Benign Nonimmediate Allergy to Beta-Lactams in Children: A Prospective Study in Retreated Patients After a Positive and a Negative Provocation Test
The drug provocation test (DPT) is considered as the gold standard to diagnose drug allergy and is particularly important in the diagnosis of nonimmediate beta-lactam (BL) allergy in children. The natural history of BL allergy remains unknown
Tenodesis renders better results than tenotomy in repairs of isolated supraspinatus tears with pathologic biceps
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Risk of biochemical recurrence based on extent and location of positive surgical margins after robot-assisted laparoscopic radical prostatectomy
Abstract Background There are no published studies on the simultaneous effect of extent and location of positive surgical margins (PSMs) on biochemical recurrence (BCR) after robot-assisted laparoscopic prostatectomy (RALP). The aim was to report the incidence, extent, and location of PSMs over the inclusion period as well as the rates of BCR and cancer-related mortality, and determine if BCR is associated with PSM extent and/or location. Methods Retrospective review of 530 consecutive patients who underwent RALP between 2003 and 2012. Kaplan-Meier (KM) survival analyses and Cox regressions were performed to determine variables associated with BCR. Results For the 530 operated patients, evaluated at a median of 92 months (IQR, 87–99), PSMs were observed in 156 (29%), of which 24% were focal. Out of 172 PSMs, 126 (73%) were focal and 46 (27%) were extensive. The KM survival using BCR as endpoint was 0.81 (CI, 0.78–0.85) at 5 years and was 0.67 (CI, 0.61–0.72) at 10 years; and using cancer-related mortality as endpoint was 0.99 (CI, 0.99–1.00) at 5 years and 0.95 (CI, 0.92–0.98) at 10 years. Multi-variable analysis revealed the strongest predictors of BCR to be Gleason score ≥ 8 (HR = 7.97; CI, 4.38–14.51) and 4 + 3 (HR = 3.88; CI, 2.12–7.07), lymph nodes invasion (HR = 3.42; CI, 1.70–6.91), pT stage 3b or 4 (HR = 3.07; CI, 1.93–4.90), and extensive apical PSMs (HR = 2.62; CI, 1.40–4.90) but not focal apical PSMs (HR = 0.86; CI, 0.49–1.50; p = 0.586). Conclusion Extensive apical PSMs significantly increased the risk of BCR, independently from pT stage, Gleason score and lymph nodes invasion, while focal apical PSMs had no significant effect on BCR
Correction to: Risk of biochemical recurrence based on extent and location of positive surgical margins after robot-assisted laparoscopic radical prostatectomy
Following publication of the original article [1], we have been notified that the authors’ last names have been incorrectly tagged as first names and vice-versa. The original publication has been corrected
Personal recovery of young adults with severe anorexia nervosa during adolescence: a case series
International audiencePurpose: Despite the emergence of a growing qualitative literature about the personal recovery process in mental disorders, this topic remains little understood in anorexia nervosa (AN), especially severe AN during adolescence. This cases series is a first step that aims to understand recovery after severe AN among adolescents in France, from a first-person perspective. Methods: This cases series applied the interpretative phenomenological analysis (IPA) method to data collected in semi-structured face-to-face interviews about the recovery process of five young women who had been hospitalized with severe AN 10 years earlier during adolescence. Results: A model of recovery in four stages (corseted, vulnerable, plastic, and playful) crossing seven dimensions (struggle and path of initiation; work on oneself; self-determination and help; body; family; connectedness; and timeline) emerged from the analysis. New features of the AN personal recovery process were characterized: bodily well-being and pleasure of body; stigmatization; the role of the group; relation to time; and importance of narratives. We suggest a new shape to model the AN recovery process, one that suggests several tipping points. Recruitment must now be widened to different AN contexts. Conclusions: The personal recovery paradigm may provide a new approach to care, complementary to medical paradigm. Registration of clinical trial: No. NCT03712384. Our study was purely observational, without assignment of medical intervention. As a consequence, this clinical trial was registered retrospectively. Level of evidence: Level V, descriptive study