The purpose of this study was to compare the Utah maternal questionnaire and birth certificate as they relate to the identification of hearing impairment in infants. Comparative data relating to rate of return, number of high risk infants, number of at risk infants, number of hearing impaired infants, false positive rates, and item analysis were obtained for both screening instruments. Tabulation of the results showed the birth certificate to be a better neonatal screening device of hearing impairment than the maternal questionnaire. The birth certificate maintained a low false positive rate and a high rate of identification of hearing impairment in infants.

No description available.

Introdução: O Sistema de Informação sobre Nascidos Vivos (SINASC) é um instrumento importante para o monitoramento de defeitos congênitos (DC) ao nascer, porém há falhas de preenchimento dessa informação e possivelmente são registrados nas Declarações de Nascido Vivo (DN) os DC mais aparentes, o que pode subestimar a prevalência dos mesmos. A linkage de bancos de dados do SINASC e do SIM (Sistema de Informação de Mortalidade) permite recuperar as informações sobre DC registrados no SIM complementando os dados e fornecendo uma estimativa mais real da prevalência dos DC. Objetivo: Estimar a prevalência de DC em uma coorte de nascidos vivos (NV) vinculando-se os bancos de dados do SIM e do SINASC. Método: Estudo descritivo para avaliar as DN como fonte de informação sobre DC. A população de estudo são os NV hospitalares do 1º semestre de 2006 de mães residentes e ocorridos no Município de São Paulo no período de 01/01/2006 a 30/06/2006 e óbitos neonatais provenientes da coorte. As diferenças entre portadores e não portadores de DC foram testadas através do risco relativo, valor de p e IC 95%. Resultados: Os defeitos congênitos mais prevalentes segundo o SINASC foram: malformações congênitas e deformidades do aparelho osteomuscular (44,7%), malformação congênita do sistema nervoso (10,0%) e anomalias cromossômicas não classificadas em outra parte (8,6%). Através da linkage, houve uma recuperação de 48 casos (80,0%) de DC do aparelho circulatório, 11 casos (73,3%) de DC do aparelho respiratório e 5 casos (62,5%) de outros DC do aparelho digestivo. O SINASC fez 55,2% das notificações de DC e o SIM notificou 44,8%, mostrando-se importante para a recuperação dos dados de DC presentes na Declaração de Óbito (DO). A taxa de prevalência para os DC da coorte segundo o SINASC foi de 75,4/10.000 NV; com os dados corrigidos pelo SIM, essa taxa passou para 86,2/10.000 NV. As variáveis idade da mãe, idade gestacional, tipo de parto, Apgar, sexo e peso ao nascer mostraram-se associadas à presença de DC (p<0,001). Não foi encontrada associação entre anos de estudo, estado marital, paridade, filhos mortos anteriores, pré-natal, tipo de gravidez, raça/cor e a presença de DC. Conclusão: A complementação dos dados pelo SIM fornece um perfil diferente da prevalência de DC do que aquele que seria registrado apenas pelo SINASC, mostrando a importância do uso conjunto das duas fontes de dados. / Introduction: Live Birth Information System (SINASC) is an important instrument to monitor birth defects (BD) at the birth, however it has fulfilling imperfections of this information and they are probably registered in the Birth Certificates (BC) the BD more apparent, what can under estimate the prevalence of the some ones. The linkage of the data of SINASC and of SIM (Mortality Information System) allows the recovery of information about BD registered in SIM complementing the data and supplying a more real estimate of the prevalence of BD. Objective: Come with the prevalence of BD in a cohort of live birth (LB) associating the data base of SIM and the SINASC. Methods: Descriptive study to evaluate BD as source of information about BD. The population of study is the LB hospital of 1° semester of 2006 of resident mothers and that had happened in São Paulo city in the period from 01/01/2006 to 06/30/2006 and neonatal deaths from the cohort. The differences of carriers and not carrying of BD had been tested through the relative risk, p value and CI 95%. Results: According to SINASC the most prevalent birth defects were: birth defects and osteomuscular system deformity (44,7%), birth defects of nervous system (10,0%) and cromossomics anomalies not classified in another part (8,6%). Through linkage, it had a recovery of 48 cases (80,0%) of BD of circulatory system, 11 cases (73,3%) of BD of respiratory system and 5 cases (62,5%) of other BD of digestive system. SINASC made 55,2% of the notifications of BD and SIM notified 44,8%, showing its importance to recovery data of BD presents in Death Certificate (DC). The tax of prevalence for the BD of cohort according to SINASC was 75,4/10.000 LB; with all the data corrected by SIM, this tax changed for 86,2/10.000 LB. The variable age of mother, pregnancy age, birth type, Apgar, sex and weight at birth are associated to the presence of BD (p<0,001). Association between the years of study, marital status, parity, previous dead children, prenatal, pregnancy type, race and the presence of BD were not found. Conclusion: Data complementing by SIM supplies a different profile of prevalence of BD from those ones that would be registered only by SINASC showing the importance of the usage of two data sources.

[pt] Esta tese nasceu da minha inserção profissional como assistente social em uma unidade de saúde de emergência do Estado do Rio de Janeiro - Hospital Estadual Carlos Chagas - HECC, onde encontrei várias crianças que não possuíam sua certidão de nascimento. O estranhamento que me causou este fato tornou-se maior ao perceber recorrências significativas desta situação e suas reverberações. Verifiquei que essas crianças eram chamadas pelos profissionais do HECC como Filho de acrescido do nome da mãe. Aos poucos compreendi que a ausência de certidão de nascimento se constitui em um fenômeno oficialmente denominado sub-registro de nascimento, a respeito do qual há pouca produção teórica, como pude verificar ao longo do processo de investigação. Tal problemática veio a ser a minha questão de pesquisa. Meu objetivo nesta tese foi entender porque algumas crianças atendidas no HECC, no período compreendido entre os anos de 1999 a 2007, não foram registradas. Buscando uma abordagem etnográfica, procurei desvendar as razões deste fato. Para tanto investiguei os significados da certidão de nascimento com mães e pais e suas implicações nas interações com as instituições escolares. Já que algumas crianças não foram registradas porque suas mães também não o foram, incorporei no processo de investigação adultos igualmente sem certidão de nascimento. Tal problemática me sugere uma questão instigante para o debate sobre o registro civil que envolve a reprodução social dos setores pobres da sociedade. Com este estudo, pretendo contribuir para a compreensão da história da infância e da família pobre brasileira, na expectativa de que esta investigação seja um alerta para os setores responsáveis pelo sistema de registro civil no Brasil. Ademais, pretendo contribuir para a elaboração de políticas públicas educacionais. Como instrumentos de trabalho, utilizei um questionário, entrevistas abertas, conversas com mães e pais, observações, documentos e material institucional do HECC. Meu diálogo central se deu com Roberto DaMatta (1997a; 1997; 2000), Ana Liési Thurler (2004); Cynthia Sarti (1996;2004) e Cláudia Fonseca (2005;no prelo). / [en] This paper is a consequence of my professional insertion as a social assistant in an emergency room unity of Rio de Janeiro State - Hospital Estadual Carlos Chagas - HECC, where I met several children who did not have a birth certificate. This fact surprised me even more when I realized the situation was significantly recurrent, as well as its reverberations. I noticed that these children were referenced by HECC staff as Child of, plus the name of their mothers. Slowly I understood that the birth certificate absence constitutes a phenomenon officially called birth under-registration, about what there is a few theoric production, as I could verify during the investigation process. This issue is my researchs subject. My goal with this paper was to understand why some children treated in HECC during the period between 1999 and 2007 were not registered. Seeking for an ethnographic approach, my objective was to find out the reasons for that fact. In order to do that, I have investigated the meanings of birth certificates with mothers and fathers, and their implication on interactions with educational institutions. Since some children were not registered because their mothers were not registered neither, I have incorporated the adults with no birth certificate in the investigation process. This issue suggests me an intriguing question for the debate about civil register which involves a social reproduction of society poor sectors. With this paper, I intend to contribute for the understanding of childhood background and Brazilian`s poor families, expecting that this investigation is an alert for the sectors which are responsible for the civil register system in Brazil. In addition, I intend to contribute for the elaboration of educational public policies. As working tools, I used a questionnaire, open interviews, conversations with mothers and fathers, documents and institutional material from HECC. My central dialogue occurred with Roberto DaMatta (1997a; 1997; 2000), Ana Liési Thurler (2004); and Cynthia Sarti (1996;2004) e Cláudia Fonseca (2005; in edition).

A birth certificate provides a child with a legal identity, nationality, is a vital action towards child protection and can help a child access social welfare. Worldwide, almost 230 million children under the age of five have not been registered. Other than the vast negative impacts on the child it creates a blind spot in population statistics. Indonesia is one of the countries where the problem is widespread - only 57 percent of the children under the age of five have a birth certificate. In December 2013 a law was ratified in Indonesia, imposing changes in the birth registration process. This paper seeks to explore how the target group of that law, i.e. parents, perceive their possibility to comply with the policy, that is, to obtain a birth certificate for their children.  Based on a field study in Nusa Tenggara Timur, Indonesia, conducting in-depth interviews with 58 parents as well as stakeholders such as policy implementers and NGOs, this thesis will propose that there is a variance in how the policy has been implemented in different regencies. The results indicate that the variance in the implementation, as well as the policy setting prior implementation in each regency, affects the parents’ perceived possibility to comply. In one of the studied regencies the implementation of the policy has affected the parents’ possibility to comply in a critically negative way, increasing the hindrances to obtain a birth certificate. Further, the regency politicians have created forced incentives to comply by making birth certificate mandatory to register for school, creating a vast risk of removing childrens’ access to education.

<p>Birth registration is a fundamental key in ensuring several essential rights of the child; including the right to a name and a nationality, the right to education and health care, and protection from abuse and exploitation among others. The United Nation’s Convention on the Right of the Child establishes that the child shall be registered immediately after birth and have the right to a name and a nationality. A total of 22 % of the Dominican children under the age of five are lacking an official proof of their existence within the Dominican society and in the world. A Minor Field study was conducted during a period of two months in 2009 with the aim of clarifying what obstacles to birth registration exist in the South-western part of the Dominican Republic. This clarification will contribute to a wider understanding of the causes to non-registration and the birth registration process in the country. Semi-structured interviews have been conducted with parents to unregistered children, civil registry officials and other relevant actors in the Dominican society. The findings of the study present a wide range of obstacles to birth registration and it is clear that the reasons behind non-registration in this region are numerous, complex and often inter-related. According to most parents, officials and other informants the main obstacle to birth registration was found to be the parents’ lack of a Dominican identification card, a <em>cédula</em>. The lack of awareness about the importance of being registered and neglect by the parents were two other significant barriers to birth registration. The Minor Field Study was conducted with the support of the child rights organisation Plan International - República Dominicana.</p> / <p>Registro de nacimiento es una de las claves más importantes para asegurar los derechos fundamentales del niño; derecho a un nombre y una nacionalidad, derecho a la educación, derecho a servicio de salud, protección contra el abuso y la explotación entre otras cosas. La Convención sobre los Derechos del Niño establece que el niño será inscripto inmediatamente después de su nacimiento y tendrá derecho a un nombre y una nacionalidad. Un total de 22 % de los niños Dominicanos menores de cinco años de edad carece de una prueba oficial de su existencia dentro de la sociedad Dominicana y en el mundo. Un estudio de campo (Minor Field Study) fue realizado durante un período de dos meses en 2009 con el objetivo de aclarar cuáles son los obstáculos para el registro de nacimiento en la parte Sur-occidental de la República Dominicana. Esta aclaración contribuirá a una mayor comprensión de las causas de la no inscripción y el proceso de inscripción de nacimientos en el país. Entrevistas semi-estructuradas fueron realizadas con padres de niños sin registrar, oficiales del Estado civil y otros actores en la sociedad Dominicana. Los resultados de este estudio presentan varios obstáculos para la inscripción de nacimiento y es evidente que las razones de la no inscripción en esta región son numerosas, complejas e interrelacionadas. Según la mayoría de los padres, oficiales del Estado civil y otros informantes el principal obstáculo para el registro de nacimientos se encontró en la falta de cédula de los padres, un problema que muchas veces pasa de una generación a otra. La falta de conciencia sobre la importancia de estar registrado y la negligencia de los padres fueron otros dos obstáculos importantes para el registro de nacimientos. El estudio fue realizado con el apoyo de la organización non gubernamental Plan International- República Dominicana.</p>

Birth registration is a fundamental key in ensuring several essential rights of the child; including the right to a name and a nationality, the right to education and health care, and protection from abuse and exploitation among others. The United Nation’s Convention on the Right of the Child establishes that the child shall be registered immediately after birth and have the right to a name and a nationality. A total of 22 % of the Dominican children under the age of five are lacking an official proof of their existence within the Dominican society and in the world. A Minor Field study was conducted during a period of two months in 2009 with the aim of clarifying what obstacles to birth registration exist in the South-western part of the Dominican Republic. This clarification will contribute to a wider understanding of the causes to non-registration and the birth registration process in the country. Semi-structured interviews have been conducted with parents to unregistered children, civil registry officials and other relevant actors in the Dominican society. The findings of the study present a wide range of obstacles to birth registration and it is clear that the reasons behind non-registration in this region are numerous, complex and often inter-related. According to most parents, officials and other informants the main obstacle to birth registration was found to be the parents’ lack of a Dominican identification card, a cédula. The lack of awareness about the importance of being registered and neglect by the parents were two other significant barriers to birth registration. The Minor Field Study was conducted with the support of the child rights organisation Plan International - República Dominicana. / Registro de nacimiento es una de las claves más importantes para asegurar los derechos fundamentales del niño; derecho a un nombre y una nacionalidad, derecho a la educación, derecho a servicio de salud, protección contra el abuso y la explotación entre otras cosas. La Convención sobre los Derechos del Niño establece que el niño será inscripto inmediatamente después de su nacimiento y tendrá derecho a un nombre y una nacionalidad. Un total de 22 % de los niños Dominicanos menores de cinco años de edad carece de una prueba oficial de su existencia dentro de la sociedad Dominicana y en el mundo. Un estudio de campo (Minor Field Study) fue realizado durante un período de dos meses en 2009 con el objetivo de aclarar cuáles son los obstáculos para el registro de nacimiento en la parte Sur-occidental de la República Dominicana. Esta aclaración contribuirá a una mayor comprensión de las causas de la no inscripción y el proceso de inscripción de nacimientos en el país. Entrevistas semi-estructuradas fueron realizadas con padres de niños sin registrar, oficiales del Estado civil y otros actores en la sociedad Dominicana. Los resultados de este estudio presentan varios obstáculos para la inscripción de nacimiento y es evidente que las razones de la no inscripción en esta región son numerosas, complejas e interrelacionadas. Según la mayoría de los padres, oficiales del Estado civil y otros informantes el principal obstáculo para el registro de nacimientos se encontró en la falta de cédula de los padres, un problema que muchas veces pasa de una generación a otra. La falta de conciencia sobre la importancia de estar registrado y la negligencia de los padres fueron otros dos obstáculos importantes para el registro de nacimientos. El estudio fue realizado con el apoyo de la organización non gubernamental Plan International- República Dominicana.

A creative exploration of the consequences of public speech in the era of freely accessible, social media, as the author, a former elections official, records and explores the consequences of public dissent in the case of President Barack Obama’s eligibility controversy. This non-fiction narrative culminates with the author’s analysis and observations on both his personal experiences and the state of public speech and political power in contemporary America.

Made available in DSpace on 2016-12-01T19:18:32Z (GMT). No. of bitstreams: 1 dissertacao.pdf: 2687128 bytes, checksum: 4fb93200b1444d5fee78054a5381a722 (MD5) Previous issue date: 2011-06-07 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This work presents the restructuring of an essential service o ered by the extrajudicial public notaries. Nowadays, these public notaries are passing through internal changes in their processes, being this due to the necessity of incorporating new technologies to answer the demands of modern society. The restructured process being study in this work is the issuance of the birth certi_cate, which, spite ful_lling its goal, must su_er changes in order to adequate itself to the governmental proposal of diminishing the birth sub-registration rates. Therefore, primarily the theory involving the current process of birth certi_cate issuance is contextualized, afterwards, the new technological knowledge that will be incorporated in the current process is presented and discussed, and, _- nally, the restructured process is presented. The result is a modern process that meets the requisites for diminishing the birth sub-registration rates, however, future works will be needed to operationalize it / Este trabalho apresenta uma proposta de restruturação de um serviço essencial oferecido pelas serventias extrajudiciais. Atualmente estas serventias estão passando por mudanças internas em seus processos, isto se deve à necessidade de incorporar novas tecnologias para atender às demandas da sociedade moderna. O processo reestruturado neste trabalho é o da emissão da certidão de nascimento que, apesar de cumprir com seu objetivo, necessita de mudanças devido a proposta governamental de diminuir as taxas de sub-registro de nascimento. Assim, primeiramente é contextualizada toda a teoria que envolve o processo atual de emissão da certidão de nascimento, depois são apresentados novos conhecimentos tecnológicos que serão incorporados no processo atual e, por fim, é apresentando o processo restruturado. O resultado é um processo moderno que atende aos requisitos para a diminuição do sub-registro de nascimento, contudo para sua operacionalização ainda são necessários trabalhos futuros

No description available.