Photography, care and the visual economy of Gambian transatlantic kinship relations

This article examines transnational kinship relations between Gambian parents in the United Kingdom and their children and carers in The Gambia, with a focus on the production, exchange and reception of photographs. Many Gambian migrant parents in the U.K. take their children to The Gambia to be cared for by extended family members. Mirroring the mobility of Gambian migrants and their children, as they travel between the U.K. and The Gambia, photographs document changing family structures and relations. It is argued that domestic photography provides insight into the representational politics, values and aesthetics of Gambian transatlantic kinship relations. Further, the concept of the moral economy supports a hermeneutics of Gambian family photographic practice and develops our understanding of the visual economy of transnational kinship relations in a number of ways: it draws attention to the way in which the value attributed to a photograph is rooted in shared moral and cultural codes of care within transnational relations of inequality and power; it helps us to interpret Gambian’s responses to and treatment of family photographs; and it highlights the importance attributed to portrait photography and the staging, setting and aesthetics of photographic content within a Gambian imaginary

Imagining ‘non-nationality’: Cosmopolitanism as a source of identity and belonging

Current literature tends to see cosmopolitan identity formation as an individual endeavour of developing a stance of openness, and transcending discourses of national and other cultural identities. This article challenges the essentialism inherent in this model by proposing a different framing of cosmopolitan identity formation that shifts the focus to how people collectively mobilize cosmopolitanism as a resource for cultural identity construction. The article is based on an anthropological study of transnational professionals who are part of a diverse expatriate community in Amsterdam. The analysis shows how these professionals draw on cosmopolitanism to define themselves as ‘non-nationals’. This involves downplaying national affiliations and cultural differences while also marking national identity categories and ‘cultural features’ to maintain the difference they collectively embrace. This however does not imply openness to all otherness. Boundary drawing to demarcate the cosmopolitan ‘us’ in relation to national (mono)culture is equally important. The article argues that cosmopolitan identities are socially accomplished as particular modes of collective belonging that are part of – not beyond – a global discursive sphere of identity politics

Investigating migration within a human security framework

Migration is both a quest for security, and an act that exposes one to new kinds of insecurity, especially for international migrants. We argue that a human security approach to researching migration issues can provide additional insights. It is migrant-centered and person-centered, systematically investigating the opportunities and vulnerabilities of complex persons. Human security adds an ontology that better grounds the work of explanation, evaluation and policy analysis. A literature review of the two areas (human security and migration studies) aids in revealing the issues at hand. The paper addresses gaps and weaknesses in the gender component of migration studies. A human security framework is not viewed as essential to the research, but may broach relevant, valuable and distinctive elements relating to theme of common security

Masculinities and intersectionality in migration: Transnational Wolof migrants negotiating manhood and gendered family roles

Men are seldom a topic of concern in migration research as gendered subjects who experience the implications of social justice, for instance in aspects relating to lives in their families such as fairness of representation, consequences of material redistribution, and management of emotions. Economic migrants in particular, who are seen as matching the role of breadwinners and confirming the status of dominant patriarchal men, are a particularly underrated case. Using the experiences of Wolof men who emigrate from Senegal to become the main providers for their families, this chapter questions this assumption by drawing insights from a theorization on ‘transnational families’, ‘intersectionality’ and ‘masculinity’ as developed within migration and gender studies. The chapter discusses how male gender roles become interlocked with other categories, as asymmetries (be they real or perceived) intervene between the migrant and the left-behind, and as geographic distance forces them to revisit the propriety of arrangements that enable them to enact their gendered responsibility within families. Caught between pressures deriving from their economic and moral obligations towards family and kin on the one hand, and personal aspirations of fitting the part of successful men on the other, the ethnographic research presented in this chapter shows that migrants engage in an emotional journey that may challenge, rather than confirm, their expectations of ‘hegemonic’ masculinity

Oral desensitization in egg acute food protein-induced enterocolitis syndrome

Objective: Strict avoidance of trigger food is the primary management of food protein-induced enterocolitis syndrome (FPIES). No published data are available on active induction of tolerance with oral desensitization (OD) in FPIES. Case Report: We carried out an OD in a 9 and a half years old boy with persistent acute egg FPIES. OD was performed with increasing doses of raw egg every week, starting with an initial dose of 0.2 ml. The boy presented mild and transient gastrointestinal adverse reactions when the 4 ml dose was reached. He could tolerate a whole raw egg in less than 14 months. Conclusions: Even though randomized controlled clinical trials on patients including various phenotypes of FPIES are needed, our experience is encouraging about the possible efficacy and safety of OD in this food allergy

Reply to Barni et al

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Retrospective analysis of 222 oral food challenges with a single dose in acute food protein-induced enterocolitis syndrome

Background: The method of performing oral food challenge (OFC) in acute food protein\u2013induced enterocolitis syndrome (FPIES) has not been systematically studied. Therefore, there is a certain variability in the choice of the various centers. Methods: Since 2011, we have been performing OFC for acute FPIES with a single dose of culprit food, a full serving size for age. In case of atypical FPIES (skin prick test, SPT, positive), we applied this protocol only if the description of previous adverse reactions was compatible with that of a classic acute FPIES, if other IgE-mediated food allergies were absent, and if the mean diameter of the wheal evoked by the SPT with the challenged food was 645 mm. We have retrospectively analyzed 222 OFCs from 2011 to 2020. The grading of reactions was carried out according to the International Consensus Guidelines on FPIES of 2017. Results: Forty-eight of 222 OFC (21.6%) failed. The mild reactions were 22 of 48 (45.8%), the moderate ones 22 of 48 (45.8%), and the severe ones 4 of 48 (8.4%) failed OFCs. The tested food processing (in the case of cow milk and chicken egg) did affect neither probability nor severity of the reaction. Patients with positive SPT for the tested food presented four times more severe reactions (2 of 9 failed OFC, 22.2%) than patients with negative SPT (2 of 39 failed OFC, 5.1%) (P =.316). Conclusions: The administration of a single dose in a full serving size for age appears to be a sufficiently safe method for OFC for acute FPIES, with the benefit of saving time. In patients with positive SPT for the tested food, it may be prudent to start with a smaller dose carrying on, in the absence of adverse reactions, with the administration of the full dose after a 4-hour observation

Non-allergic benign infantile proctocolitis: a neglected nosographic entity

The presence of rectal bleeding in the first months of life is very often diagnosed as food protein-induced allergic proctocolitis (FPIAP). The symptoms typically start in infancy, and most cases resolve by age 12 months. Infants with FPIAP usually present bloody stools mixed with mucus, with or without reduced stool consistency. Most affected infants are generally healthy-appearing. We used the story of an infant with rectal bleeding as a reminder that there is also the possibility of a form of benign non-allergic proctocolitis that is not usually included in the differential diagnosis. In the absence of warning signs and in case of infant well-being, it should be the first clinical entity to suspect. Therefore, we suggest we should wait at least 2 months before starting to eliminate cow milk or other foods from the diet