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Selective achievers are intrinsically motivated individuals whose performance matches ability only in specific areas that satisfy their interests and personal goal orientations. Through a qualitative research design, this study investigated the phenomenon of selective achievement by examining the experiences of 2 gifted university males. The findings indicated that strong intrinsic motivation, combined with independence and resistance to conformity, played important roles in shaping who these young men were as gifted selective achievers. These gifted males demanded serious intellectual challenges associated with acquiring practical knowledge that could assist them in reaching their personal goals. In addition, the young men identified educators' personalities and teaching styles as critical in determining whether or not they would put forth effort. Implications of the findings are presented along with recommendations for educators, counselors, and parents struggling to understand gifted young people who are selective in their approach to academic achievement.

Through a qualitative research design, this study examined the experiences of seven gifted university students in an undergraduate honors program. The findings indicated the students as adolescents experienced a sense of isolation resulting from the differences between their abilities, interests, life goals, religious value systems, and the communities in which they lived. At the university, the participants discovered within the honors program an intellectual and social network with other gifted individuals like them. Together they recognized their strong desire for self-actualization. In advanced-level courses, they found intellectual stimulation and academic challenge. Through several components of the honors program they developed significant psychosocial growth. Throughout their experiences, the honors program director became a mentor and played an important role in facilitating experiences designed to address the diverse needs of these gifted young adults. Implications of the findings are presented along with suggestions for designing appropriate honors program experiences for gifted university students.

Gifted students in regular classrooms have fewer opportunities to develop activities that are based on their characteristics as learners and address their needs; however, many of them spend most of their school time in these classrooms. The results presented here were part of a 2-year qualitative project that analyzed 12 Chilean gifted students’ lived experiences in regular classrooms by exploring the factors that foster and hinder their learning through the use of photos, focus groups, and interviews. The results showed students’ discontent with the national curriculum and teaching practices related to rigidity, lack of meaning, and unchallenging assessments. Nevertheless, positive experiences were reported related to teaching strategies, especially when they add novelty and move away from traditional approaches. Waiting experiences were common, but were often seen by students as opportunities for creative production. Methods for engaging gifted students in their learning are highlighted.

Background This study aimed to assess the interest in robot-assisted laparoscopy for deep infiltrating endometriosis and to investigate the perioperative results. Methods From November 2008 to April 2012, 164 women with stage 4 endometriosis who underwent robot-assisted laparoscopy (da Vinci Intuitive Surgical System) were included by to eight international participating clinical centers. This study evaluated the procedures performed, the duration of the intervention, the complications, the recurrence, and the impact on fertility. Results The average operative time was 180 min. The main complications were laparotomy ( n  = 1, 0.6 %), sutured bowel injury ( n  = 2, 1.2 %), transfusion for a 2,300-ml bleed ( n  = 1), prolonged urinary catheterization ( n  = 1, 0.6 %), ureter-bladder anastomotic leak ( n  = 1, 0.6 %), and ureteral fistula after ureterolysis ( n  = 2, 1.2 %). The reoperation rate was 1.8 % ( n  = 3). The mean follow-up period was 10.2 months. A full recovery was experienced by 86.7 % (98/113) of the patients. After surgery, 41.2 % (42/102) of the patients had a desire for pregnancy, and 28.2 % (11/39) of them became pregnant. Conclusion This study analyzed the largest series of robot-assisted laparoscopies for deep infiltrating endometriosis published in the literature. No increase in surgical time, blood loss, or intra- or postoperative complications was observed. The interest in robot-assisted laparoscopy for deep infiltrating endometriosis seems to be promising.

The challenges facing contemporary boys are complex, highlighting the importance of positive paternal influence for young men to achieve success. This study examines the father-son relationships of 10 prominent gifted men of achievement to identify factors influencing talent development. Through biographical analysis, 6 significant themes were identified: unconditional belief in son, strong work ethic, encouragement and guidance, maintaining high expectations and fostering determination, pride in son's accomplishments, and mutual admiration and respect. Implications for parents and educators of high-achieving gifted males are discussed.

Through qualitative interviews, the authors examined the experiences of six gifted high-achieving university students to understand the factors that allowed the students to continue on their paths to success. The participants in this study revealed a number of issues that were central to their motivation upon arriving at the university. These issues included independence from family, fitting into a social network, the desire to overcome challenges in their lives, internal will, and a need to earn recognition. Our findings should help direct the development of special programs by university educators who are dedicated to meeting the needs of gifted college students.

Many gifted Asian American adolescent males face cultural issues that may impact their success. This article presents important cultural dilemmas faced by 2 gifted Asian American young men. Through a qualitative approach, the acculturation experiences of John and Matt, gifted Taiwanese, second generation immigrants, are described. Intergenerational cultural conflict in the families of the young men is examined. Implications for supporting Asian parents in nurturing their sons' social, emotional, and intellectual development are discussed.

Background This study was a secondary analysis of the ROBOGYN-1004 trial conducted between 2010 and 2015. The study aimed to identify factors that affect postoperative morbidity after either robot-assisted laparoscopy (RL) or conventional laparoscopy (CL) in gynecologic oncology. Methods The study used two-level logistic regression analyses to evaluate the prognostic and predictive value of patient, surgery, and center characteristics in predicting severe postoperative morbidity 6 months after surgery. Results This analysis included 368 patients. Severe morbidity occurred in 49 (28 %) of 176 patients who underwent RL versus 41 (21 %) of 192 patients who underwent CL ( p = 0.15). In the multivariate analysis, after adjustment for the treatment group (RL vs CL), the risk of severe morbidity increased significantly for patients who had poorer performance status, with an odds ratio (OR) of 1.62 for the 1-point difference in the WHO performance score (95 % CI 1.06–2.47; p = 0.027) and according to the type of surgery ( p < 0.001). A focus on complex surgical acts showed significant more morbidity in the RL group than in the CL group at the less experienced centers (OR, 3.31; 95 % CI 1.0–11; p = 0.05) compared with no impact at the experienced centers (OR, 0.87; 95 % CI 0.38–1.99; p = 0.75). Conclusion The findings suggest that the center’s experience may have an impact on the risk of morbidity for patients undergoing complex robot-assisted surgical procedures.

This article addresses the limited research on high-achieving African American students by examining the experiences of 5 gifted Black males in a predominantly White university setting. Through case study research methodology, this study revealed significant factors that influenced the achievement of the gifted university males. Themes uncovered in the data included influential mothers, recognition of giftedness, and support from significant teachers and mentors. These factors interacted to shape a belief in self and internal motivation within the gifted Black males. Additional themes in the data included the multiple talents of the gifted males nurtured through involvement in extracurricular activities and their positive experiences with an integrated peer group. The final theme in the data accentuated the participants' ability to ignore racist experiences within the university environment and remain focused on their goals. Implications of the findings designed for university educators dedicated to meeting the needs of gifted African American college students are presented.

Introduction Laparoscopic surgery (LS) may lead to musculoskeletal disorders (MSDs) and an increase in physical and mental workloads to the surgeon. Robot-assisted surgery (RAS) should improve the ergonomy of the surgeon. This study assesses the experience influence in surgical ergonomics between LS and RAS. Methods LS and RAS lasting more than 60 min of effective operative time were compared. During the surgical procedure, the physical discomfort was evaluated using the Borg scale. At the end, the mental workload was evaluated using the NASA-TLX index. After global analysis, the experienced and young surgeons were assessed. Results 88 RAS and 82 LS were evaluated. During LS, the physical discomfort was significantly higher in all segments, and the pain increased significantly during the procedure in all segments compared to that evaluated in the RAS ( p  < 0.05). Forearms and the back were the most painful. The young surgeons did not display any improvement in the physical ergonomics of the RAS compared to the LS. Concerning the mental ergonomics, the overall workload and performance were significantly greater during the LS compared to the RAS ( p  < 0.05). For the young surgeons, the overall workload, the effort, the mental and the physical demands were greater during LS ( p  < 0.05). For the experienced surgeons, the physical demand was lower during the RAS compared to the LS ( p  < 0.05). However, the experienced surgeons expressed a feeling of greater performance after the LS ( p  < 0.01). RAS significantly reduces the onset of MSDs compared to LS, especially for the experienced surgeons. Conclusion RAS significantly reduces the onset of MSDs compared to LS, especially for the experienced surgeons.