Searching for health: the topography of the first page

Members of the lay public are turning increasingly to the internet to answer health-related questions. Some authors suggest that the widespread availability of online health information has dislodged medical knowledge from its traditional institutional base and enabled a growing role for alternative or previously unrecognized health perspectives and ‘lay health expertise’. Others have argued, however, that the organization of information retrieved from influential search engines, particularly Google, has merely intensified mainstream perspectives because of the growing consolidation of the internet with traditional, commercial media sources. In this paper we describe an analysis of ‘first page’ results retrieved through Google searches about several common health concerns, each of which has been the subject of controversy as a result of uncertain aetiology, diagnoses, outcomes and/or contested approaches to treatment. Our findings suggest that the online search tactics used by most lay health information seekers produce sources of information that, for the most part, reflect mainstream biomedical discourses, often linked to commercial interests, rather than a plurality of voices that offer a variety of perspectives and resources. We discuss the implications for health-interested internet searchers who fail to look beyond the ‘first page’.     

Using video-stimulated recall to investigate teacher awareness of explicit and implicit gendered thoughts on classroom interactions

Teachers believe they don’t interact any differently with boys than with girls. However, an examination of the evidence base on gendered student–teacher interactions shows – at times contradicting – unequal interaction patterns for boys and girls. In this study, the videotaped lessons of 13 secondary school teachers in three schools are analysed by both the teachers themselves and the researchers. Video-stimulated recall is used to bring to the surface the thoughts, images and emotions that evoke teachers’ (re)actions in the classroom. Content analysis and thematic analysis of teachers’ recall reveal three things: (1) when recalling specific situations, gender imbalances in the thoughts and images that accompany teachers’ (re)actions come to the surface; (2) "video-stimulated recall" interviewing is a promising method to raise teacher awareness of these gendered thoughts and images; and (3) with a view to practitioners’ professional learning process, it is important for researchers to allow practitioners to co-investigate their practice.     

Analysis of 175 newborn babies who died in an orphan age

175 newborns who were admitted to an orphanage in the year 1975–1976 and subsequently died are analysed. Illegitimacy was the major cause for abandoning the babies. 46% of the babies were born in hospitals. 5 babies had congenital anomalies and 11 babies had marks of external injury. 58.8% of the babies abandoned were girls, 82.7% of the babies weighed less than 2.5 kgs. and had some degree of intrauterine growth retardation. The major cause of death was infections which accounted for 79.3% of deaths, of which gastroenteritis (43.4%) was the main killer. Septicemia and bronchopneumonia were the two other major infections that contributed to the deaths. Infections were more common in the low weight babies. Gastroenteritis was probably acquired after introduction of top feeds, due to poor hygiene and occured in all age groups. Majority of babies died of septicemia within 7 days of admission suggesting antenatal and natal infections. Chances of survival increased with increasing weight of the baby.     

Isolation of Gardnerella vaginalis in the diagnosis of sexual abuse in children

INTRODUCTION: The study of sexual transmitted diseases is more and more frequent in patient with suspicion of sexual abuse, and this help to the final medical diagnosis. Organisms like Neisseria gonorrhoeae and Treponema indicate a sure sexual contact. However the role of the rest of organisms in the sexual abuse is more difficult of specifying. OBJECTIVE: To know the role of the Gardnerella vaginalis in the diagnosis of sexual abuse in patient with this possible diagnosis. METHODS: Retrospective study of 135 girls with suspicion of abuse, visited from May of 1997 to February of 1998. Vaginal swabs were taken from 45 of 135 girls evaluated. RESULTS: In five patients the vaginal culture were positive to Gardnerella. The characteristics of these five patients are described (age, aggressor, type and duration of the abuse, physical exploration and final diagnosis). All our patients were the pubertal or prepubertal girls. In these patients the final diagnosis settled with the clinical history and the physical exploration, without keeping in mind the result of the culture. CONCLUSION: It is necessary to discard sexual abuse in all prepubertal girl with a positive culture with Gardnerella vaginalis, being difficult to specify the value of the Gardnerella in the adolescent patients.     

The well‐being of teachers in Flanders: the importance of a supportive school culture

Research on the well‐being of teachers was conducted at the request of the Department of Education in Flanders, Belgium. The goals were: (1) to construct an instrument for the Education Inspectorate; and (2) to conduct a survey in order to identify school‐related conditions relevant for teachers’ professional well‐being. Based on literature and panel discussions with teachers and principals, a questionnaire was constructed, tested and subdivided in subscales following a factor analysis. The questionnaire was administered to a representative sample of elementary (covering both nursery and primary schools, children aged 3–12) and secondary school teachers. A multilevel analysis reveals how differences in scores can be explained at school level.