Why do tuberculosis patients look for urgency and emergency unities for diagnosis: a study on social representation.

Objective: To understand the social representations of patients and professionals working in the field of tuberculosis, on the reasons for seeking diagnosis and treatment in the emergency room and not in the primary health care units called Unidades Básicas de Saúde (UBS) or in the health program Programa de Saúde da Família near their residence.

Methods: The survey was conducted in the health services in the municipalities of São Paulo and Guarulhos, Brazil, in hospitals and UBS. We interviewed 20 patients and 20 employees of these units, using the Collective Subject Discourse methodology to analyze their statements.

Social representations of obstetricians and neonatologists about fetal and early neonatal death certificate in the city of São Paulo.

Introduction: The insatisfactory completeness of the variables in the Death Certificate (DC) makes it difficult to obtain specific perinatal mortality indicators.

Objective: To assess the social representation of physicians about the perinatal DC.

Methods: Twenty-five physicians were interviewed in 15 hospitals in the city of São Paulo, in 2009.

[SIM and SINASC: social representation of nurses and professional in administrative sectors who work in hospitals in the city of São Paulo].

Few studies have analyzed the SINASC (Live Birth Information System) and MIS (Mortality Information System) applying qualitative methodology seeking to understand data production processes and contexts. This article aims to study the social representation of health professionals about Live Birth Certificates (LBC) and perinatal Death Certificates (DC). A total of 24 interviews were conducted with nurses and other professionals of 16 Unified Health System (SUS) and non-SUS hospitals of the city of São Paulo in 2009.

Quality of information registered on fetal deaths certificates in São Paulo, Southeastern Brazil.

Objective: To evaluate the quality of information registered on fetal death certificates.

Methods: Records were reviewed from 710 fetal deaths registered in the consolidated database of deaths from the State System for Data Analysis and the São Paulo State Secretary of Health, for deaths in São Paulo municipality (Southeastern Brazil) during the first semester of 2008. Completeness was analyzed for variables on fetal death certificates issued by hospitals and autopsy service.

[Survival and risk factors for neonatal mortality in a cohort of very low birth weight infants in the southern region of São Paulo city, Brazil].

Population studies can help identify the complex set of risk factors for neonatal mortality among very low birth weight infants. A cohort (2000-2001) of 213 live newborns with birth weight < 1,500g in the southern region of São Paulo city, Brazil, was studied (112 neonatal deaths and 101 survivors). Data were obtained from home interviews and hospital records.

[Early neonatal mortality according to level of hospital complexity in Greater Metropolitan São Paulo, Brazil].

The aim of this study was to analyze the profile of newborns, mothers, and early neonatal mortality according to the hospital's complexity and affiliation (or lack thereof) with the Unified National Health System (SUS) in Greater Metropolitan São Paulo, Brazil. The study was based on data for live births, deaths, and hospital registries. Factor and cluster analysis were used to obtain the typology of hospital complexity and user profile.

[Maternal and neonatal characteristics and early neonatal mortality in greater metropolitan São Paulo, Brazil].

The objective was to describe maternal and neonatal characteristics and early neonatal mortality rate according to place of delivery in Greater Metropolitan São Paulo, Brazil. The study linked the databases on live births and early neonatal deaths with the national hospital registry. Place of delivery was identified through certificates of live birth.

[Risk factors for early neonatal mortality].

Objective: To assess risk factors for early neonatal mortality.

Methods: A population-based case-control study was carried out with 146 early neonatal deaths and a sample of 313 controls obtained among survivals of the neonate period in the south region of the city of São Paulo, in the period of 8/1/2000 to 1/31/2001. Information was obtained through home interviews and hospital charts.

Risk-factors for antepartum fetal deaths in the city of São Paulo, Brazil.

Objective: To assess risk factors for antepartum fetal deaths.

Methods: A population-based case-control study was carried out in the city of São Paulo from August 2000 to January 2001. Subjects were selected from a birth cohort from a linked birth and death certificate database.

[Validation of birth certificates based on data from a case-control study].

The information recorded on birth certificates was validated with data from a perinatal mortality case-control study, obtained from home interviews of mothers and hospital records for cases (early neonatal deaths) and controls. Sensitivity, specificity, and concordance were calculated for all variables and their estimated and real prevalence. The completeness of birth certificates was lowest for mother's parity and presence of congenital anomalies (records without information range from 23% to 31% for cases and controls).

[Accidental home deliveries in southern São Paulo, Brazil].

Objective: To identify the frequency, risks of fetal and early neonatal mortality and the determinants of accidental home deliveries.

Methods: A population-based case control study of fetal and early neonatal deaths was carried out in the southern area of São Paulo, Brazil. Data were collected through home interviews and hospital record reviews.