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