Bibliographies thématiques / Neighborhood Centers Day Care Association

Littérature scientifique sur le sujet « Neighborhood Centers Day Care Association »

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Publié le 25 juillet 2024

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Articles de revues sur le sujet "Neighborhood Centers Day Care Association"

Diaz, Adrian, Stacy Tessler Lindau, Samilia Obeng-Gyasi, Justin B. Dimick, John W. Scott et Andrew M. Ibrahim. « Association of Hospital Quality and Neighborhood Deprivation With Mortality After Inpatient Surgery Among Medicare Beneficiaries ». JAMA Network Open 6, n^o 1 (30 janvier 2023) : e2253620. http://dx.doi.org/10.1001/jamanetworkopen.2022.53620.

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ImportanceAlthough the hospital at which a patient is treated is a known source of variation in mortality after inpatient surgery, far less is known about how the neighborhoods from which patients come may also contribute.ObjectiveTo compare postoperative mortality among Medicare beneficiaries based on the level of neighborhood deprivation where they live and hospital quality where they received care.Design, Setting, and ParticipantsThis cross-sectional study examined outcomes among Medicare beneficiaries undergoing 1 of 5 common surgical procedures (colon resection, coronary artery bypass, cholecystectomy, appendectomy, or incisional hernia repair) between 2014 and 2018. Hospital quality was assigned using the Centers for Medicare &amp; Medicaid Services Star Rating. Each beneficiary’s neighborhood was identified at the census tract level and sorted in quintiles based on its Area Deprivation Index score, a composite measure of neighborhood quality, including education, employment, and housing quality. A risk matrix across hospital quality and neighborhood deprivation was created to determine the relative contribution of each to mortality after surgery. Data were analyzed from June 1 to December 31, 2021.ExposuresHospital quality and neighborhood deprivation.Main Outcomes and MeasuresThe main outcome was risk-adjusted 30-day mortality after surgery using a multivariable logistic regression model taking into account patient factors and procedure type.ResultsA total of 1 898 829 Medicare beneficiaries (mean [SD] age, 74.8 [7.0] years; 961 216 [50.6%] male beneficiaries; 28 432 [1.5%] Asian, 145 160 [77%] Black, and 1 622 304 [86.5%] White beneficiaries) were included in analyses. Patients from all neighborhood deprivation group quintiles sought care at hospitals across hospital quality levels. For example, 9.1% of patients from the highest deprivation neighborhoods went to a hospital in the highest star rating of quality and 4.2% of patients from the lowest deprivation neighborhoods went to a hospital in the lowest star rating of quality. Thirty-day risk-adjusted mortality varied across high- and low-quality hospitals (4.3% vs 7.2%; adjusted odds ratio [aOR], 1.78; 95% CI, 1.66-1.92) and across the least and most deprived neighborhoods (4.5% vs 6.8%; aOR, 1.58; 95% CI, 1.53-1.64). When combined, comparing patients from the least deprived neighborhoods going to high-quality hospitals vs patients from the most deprived neighborhoods going to low-quality hospitals, the variation increased further (3.8% vs 8.1%; aOR, 2.20; 95% CI, 1.96-2.46).Conclusions and RelevanceThese findings suggest that characteristics of a patient’s neighborhood and the hospital where they received treatment were both associated with risk of death after commonly performed inpatient surgical procedures. The associations of these factors on mortality may be additive. Efforts and investments to address variation in postoperative mortality should include both hospital quality improvement as well as addressing drivers of neighborhood deprivation.

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Cornell, Portia, Christopher Halladay, Gina Chmelka, Caitlin Celardo, Robert Burke, Jennifer Silva, James Rudolph et Kali Thomas. « SOCIAL DETERMINANTS OF HOSPITAL READMISSION FOR OLDER VETERANS ». Innovation in Aging 6, Supplement_1 (1 novembre 2022) : 181. http://dx.doi.org/10.1093/geroni/igac059.723.

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Abstract The objective of this study was to estimate the effect of social risk on the likelihood of hospital readmission. Our study sample included 156,690 hospitalizations from 2016 - 2019 at one of 36 VA medical centers that participated in a national social-work staffing program. Using information from outpatient screenings, social workers’ assessments, and diagnosis codes, We identified Veterans’ social risks categorized into nine specific categories: intimate partner violence, financial need, housing instability, legal problems, social isolation, mental health, transportation, food insecurity, and functional need; and two general categories: nonspecific psychosocial and neighborhood deprivation. We estimated linear probability models of unplanned hospital readmission to a VA or a community hospital within 30 days of discharge, adjusted for demographics, clinical characteristics known to predict readmission (length of stay, primary diagnosis, admission from emergency department, chronic comorbidities, previous hospitalizations), and year and hospital fixed effects. 15.3 percent of hospital stays were followed by an unplanned readmission within 30 days. The prevalence of specific social risks ranged from 1.2% (food insecurity) to 13.9% (financial need). Social risk factors are important predictors of unplanned hospital readmission among Veterans after adjusting for medical risk. The risk categories with the strongest adjusted association with 30-day readmission were legal need, risk difference .033 (p=.015); interpersonal violence (r.d.=.022, p<.001); mental health (r.d.=.022, p=.002); social isolation (r.d.=.010, p<.001); and nonspecific psychosocial (r.d.=.017, p<.001). These social risk indicators could be used to target care-transition intervention and follow-up by a social worker to address social needs and avert unplanned hospital readmission.

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Amano, Takashi, Yung Chun, Sojung Park et Yi Wang. « Geographic distribution of availability of adult day services in Missouri ». Innovation in Aging 5, Supplement_1 (1 décembre 2021) : 620. http://dx.doi.org/10.1093/geroni/igab046.2367.

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Abstract Adult day service (ADS) is an important component of long-term supportive services. Geographic availability of ADS is an essential factor for aging in place especially for people with assistance needs. This study aims to examine the geographic distribution of availability of ADS and its relationship with the disadvantaged characteristics of neighborhoods. Data from the Missouri Department of Health and Senior Services and the American Community Survey were utilized. Geographic availability of ADS was measured as capacity (number of clients served) of ADS centers per week divided by the number of people who were 65 or older and under poverty at the census tract level. To examine neighborhood disadvantaged characteristics, principal component analysis was applied to construct a socioeconomic deprivation index (SDI). Using geographic information systems, we mapped ADS centers, geographic availability of ADS, and SDI scores. Pearson correlation coefficient was calculated between geographic availability of ADS and SDI scores. In 92.3% of the census tracts in Missouri, ADS centers are not available. Further, ADS centers are less likely to locate in rural areas or census tracts with higher numbers of residents 65 or older and poor. Also, lower availability of ADS was associated with higher levels of neighborhood disadvantage at a marginal level (r = - 0.163). Our findings suggested that strategies should be identified to provide ADS in rural areas, especially in the areas with higher levels of neighborhood disadvantage. Further investigation on the geographic distribution of ADS accessibility and its association with neighborhood characteristics is warranted.

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Iecovich, Esther, et Aya Biderman. « Attendance in adult day care centers and its relation to loneliness among frail older adults ». International Psychogeriatrics 24, n^o 3 (14 octobre 2011) : 439–48. http://dx.doi.org/10.1017/s1041610211001840.

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ABSTRACTBackground: Loneliness is widespread among older adults, in particular among those who are chronically ill and functionally limited. The aims of the paper are: (i) to examine the extent to which users of day care centers experience loneliness compared to their peers who are non-users; and (ii) to explore the relationships between length of use and frequency of weekly attendance at day care centers and loneliness among users of day care centers.Methods: A case-control study was used with a sample of 817 respondents of whom 417 were users of 13 day care centers and 400 were non-users, matched by age, gender, and family physician in the southern region of Israel. Data collection included face-to-face interviews using a structured questionnaire.Results: The vast majority in both groups (79.3% and 76.3%, respectively) reported moderate to severe levels of loneliness. Perceived economic status and self-rated health were the most significant variables in explaining loneliness. No significant differences were found between users and non-users of day care centers in the level of loneliness. Attendance at day care centers, as well as length and frequency of use, had no significant association with loneliness.Conclusion: More research, which will include quasi-experimental and longitudinal research designs, is necessary to examine the causal relationships between attendance at day care centers and loneliness. This can provide information on the effectiveness of day care centers in reducing loneliness among frail older adults.

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Hurwitz, Eugene S., Carmen C. Deseda, Craig N. Shapiro, David R. Nalin, M. Jayne Freitg-Koontz et Jun Hayashi. « Hepatitis Infections in the Day-Care Setting ». Pediatrics 94, n^o 6 (1 décembre 1994) : 1023–24. http://dx.doi.org/10.1542/peds.94.6.1023.

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The hepatitis session reviewed current knowledge of the epidemiology and public health importance of hepatitis A (HAV) and hepatitis B virus (HBV) in day care centers (DCCs), current recommendations and prevention measures, areas that need additional research, and the potential for new preventive measures. HEPATITIS A The clinical characteristics, modes of transmission, risk factors for day-care-related outbreaks, and characteristics of hepatitis A virus outbreaks have been well described previously.1 Within the day-care setting, HAV is transmitted via the fecal-oral route, either person to person (between children and staff); via contaminated food (often in association with individuals who prepare food and care for diapered children); or possibly via fomites on contaminated surfaces or toys. In young children, in contrast to adults, hepatitis A may be difficult to recognize, as clinical illness is frequently nonspecific and mild, consisting primarily of malaise, nausea, fever, and diarrhea. Fewer than 5% of children under 3 years of age and only about 10% of those 4 to 6 years of age develop jaundice and are thus easily recognized as having hepatitis. Consequently, recognition of hepatitis A outbreaks in the day-care setting is often dependent upon recognizing hepatitis A in adults (parents or staff) who have had contact with day-care centers (DCCs). The initial recognition of DCCs as important sources of hepatitis A virus transmission both within the centers and in the communities they serve occurred in the mid-1970s.2,3 Early studies focused on describing the characteristics of DCCs in which hepatitis A outbreaks occurred, including DCCs with large numbers (≥50) of children in diapers and centers that are open more than 15 hours per day.2

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Rokstad, Anne Marie Mork, Knut Engedal, Øyvind Kirkevold, Jūratė Šaltytė Benth, Maria Lage Barca et Geir Selbæk. « The association between attending specialized day care centers and the quality of life of people with dementia ». International Psychogeriatrics 29, n^o 4 (17 novembre 2016) : 627–36. http://dx.doi.org/10.1017/s1041610216002015.

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ABSTRACTBackground:Day care that is designed for people with dementia aims to increase the users’ quality of life (QoL). The objective of the study was to compare the QoL of people with dementia attending day care with those not attending day care.Methods:The study is based on baseline data from a project using a quasi-experimental design, including a group of day care users (n = 183) and a comparison group not receiving day care (n = 78). Quality of Life-Alzheimer's Disease (QoL-AD) was used as the primary outcome, to collect both self-reported and proxy-based information from family carers on the users’ QoL. A linear mixed model was used to examine the differences between groups.Results:Attending day care was significantly associated with higher mean scores of self-reported QoL. There was no difference between the groups in proxy-reported QoL. Analyses of the interaction between group belonging and awareness of memory loss revealed that the participants with shallow or no awareness who attended day care had significant higher mean scores of QoL-AD compared to those not attending day care.Conclusions:Higher self-reported QoL was found among people attending day care designed for people with dementia compared to the comparison group. The difference in QoL ratings was found in the group of day care users with shallow or no awareness of their memory loss. Hence, day care designed for people with dementia might have the potential to increase QoL as it is experienced by the users.

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Victora, Cesar G., Sandra C. Fuchs, José Antonio C. Flores, Walter Fonseca et Betty Kirkwood. « Risk Factors for Pneumonia Among Children in a Brazilian Metropolitan Area ». Pediatrics 93, n^o 6 (1 juin 1994) : 977–85. http://dx.doi.org/10.1542/peds.93.6.977.

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Objective. To investigate risk factors for pneumonia for infants <2 years of age. Design. Hospital-based, case-control study with neighborhood control subjects. Setting. Urban area in southern Brazil. Subjects. Five hundred ten infants with radiologically confirmed pneumonia who were admitted to a pediatric hospital. One age-matched neighborhood control subject was selected for each case. Results. Multiple conditional regression modeling was used to control for confounding, taking into account the hierarchical relationships between risk factors. The incidence of radiologically confirmed pneumonia was associated with low paternal education, the number of persons in the household, young maternal age, attendance at day-care centers, low birth weight and weight-for-age, lack of breast-feeding and of non-milk supplements, and a history of previous pneumonia or wheezing. Day-care center attendance showed the highest risk, with an adjusted odds ratio of 11.75. Conclusions. In addition to continued efforts toward appropriate case management, actions directed against the above risk factors may help prevent the major cause of deaths of children younger than 5 years.

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Hamadi, Hanadi, Darren Brownlee, Graham Howard, Jarrell Mahusay et Aaron Spaulding. « COPD Readmissions and Hospital Primary Care Physicians ». Physician Leadership Journal 9, n^o 1 (8 janvier 2022) : 30–36. http://dx.doi.org/10.55834/plj.2161231247.

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The Centers for Medicare & Medicaid Services (CMS) collects data on hospital 30-day Chronic Obstructive Pulmonary Disease (COPD) readmission rates to reduce preventable readmissions and prevent wasteful use of Medicare dollars. Hospitals have begun exploring different strategies to reduce their COPD-related 30-day readmissions. One key strategy has been the use of primary care providers (PCPs). This study examined the association between the percentage of PCPs at the hospital and Medicare COPD 30-day readmissions from 2014 to 2019. Results demonstrate a slight positive association between PCP percentage and COPD 30-day readmission. Further, hospitals in rural areas and those in less competitive environments are also associated with increased COPD readmission rates; yet, hospitals that are part of a system, provide medical education, or are larger, tend to have lower readmission rates.

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Herr, Raphael M., Katharina Diehl, Sven Schneider, Nina Osenbruegge, Nicole Memmer, Steffi Sachse, Stephanie Hoffmann et al. « Which Meso-Level Characteristics of Early Childhood Education and Care Centers Are Associated with Health, Health Behavior, and Well-Being of Young Children ? Findings of a Scoping Review ». International Journal of Environmental Research and Public Health 18, n^o 9 (7 mai 2021) : 4973. http://dx.doi.org/10.3390/ijerph18094973.

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Characteristics of early childhood education and care (ECEC) centers might be relevant for children’s health. This scoping review aims to provide an overview of the association between meso-level characteristics (MLCs) of ECEC centers with children’s health, health behavior, and wellbeing. Five databases were searched for quantitative and qualitative research articles published in English or German since 1 January 2000 on health, health behavior, and wellbeing of children aged 0 to 6 years considering MLCs of ECEC centers. Two authors screened 10,396 potentially eligible manuscripts and identified 117 papers, including 3077 examinations of the association between MLCs and children’s health indicators (Kappas > 0.91). Five categories of MLCs were identified: (1) structural characteristics, (2) equipment/furnishings, (3) location, (4) facilities/environment, (5) culture/activities/policies/practices, and 6) staff. Only very few studies found an association of MLCs with body weight/obesity, and general health and wellbeing. Especially physical activity and mental health were related to MLCs. In general, the location (rural vs. urban, neighborhood status) seemed to be a relevant health aspect. MLCs of ECEC centers appeared relevant for child health indicators to different degrees. Future research should focus on these associations, in detail, to identify concrete ECEC indicators that can support health promotion in early childhood.

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Loberiza, Fausto R., Mei-Jie Zhang, Stephanie J. Lee, John P. Klein, Charles F. LeMaistre, Derek S. Serna, Mary Eapen, Christopher N. Bredeson, Mary M. Horowitz et J. Douglas Rizzo. « Association of transplant center and physician factors on mortality after hematopoietic stem cell transplantation in the United States ». Blood 105, n^o 7 (1 avril 2005) : 2979–87. http://dx.doi.org/10.1182/blood-2004-10-3863.

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AbstractThe effect of the organization and delivery of health care at medical centers, referred to as “center effects,” with clinical outcomes after hematopoietic stem cell transplantation (HSCT) is not clear. We examined the association between center and treatment provider factors and mortality after HSCT. We surveyed 163 (87% response rate) United States transplantation centers that performed HLA-identical sibling HSCT for leukemia or autologous HSCT for lymphoma between 1998 and 2000 among patients at least 18 years old. One hundred thirteen (69%) centers performed HLA-identical sibling transplantations, whereas 162 (99%) performed autologous transplantations. Factors associated with decreased 100-day mortality in the allogeneic setting include a higher patient-per-physician ratio (P = .003) and centers where physicians answer calls after office hours (P = .03). Medical school affiliation was not associated with increased 100-day mortality except in centers where students/residents are present without fellows (P = .02). Center effects were weaker in autologous HSCT at 1 year. Differences in 100-day mortality in patients receiving transplants in centers with favorable versus unfavorable factors were greater in allogeneic than autologous HSCT. Greater physician involvement in patient care is important in producing favorable outcomes after HSCT. To more clearly establish the role of the factors we identified, further studies are recommended.

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Thèses sur le sujet "Neighborhood Centers Day Care Association"

Chu, Wai-kin. « A comparative study of two programme designs in skills training for mentally retarded adults in day activity centre ». Click to view the E-thesis via HKUTO, 1989. http://sunzi.lib.hku.hk/hkuto/record/B43893235.

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Livres sur le sujet "Neighborhood Centers Day Care Association"

An unlikely prince. Colorado Springs : Waterbook Press, 1998.

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An unlikely prince. Waterville, Me : Thorndike Press, 2002.

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McCluggage, Collette. Director's notebook : Developing quality through NAEYC accreditation. Kansas City, KS : Heart of America Family Services, 2002.

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Madam Chair-- and the house at large : The story of the African Self Help Association. Johannesburg : ASHA, 1994.

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NAEYC accreditation as a strategy for improving child care quality : An assessment by the National Center for the Early Childhood Work Force. Washington, D.C : National Center for the Early Childhood Work Force, 1997.

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(Editor), Ron Cote, et Gregory E. Harrington (Editor), dir. Life Safety Code Handbook 2006 (Life Safety Code Handbook (National Fire Protection Association)). Not Avail, 2006.

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Aronson, Susan S., dir. Model Child Care Health Policies. American Academy of Pediatrics, 2013. http://dx.doi.org/10.1542/9781581108309.

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Significantly revised and updated, the new Model Child Care Health Policies, 5th Edition is a must-have tool to foster adoption and implemenation of best practices for health and safety in group care settings for young children. These settings include early care and education as well as before and after school child care programs. These model policies are intended to ease the burden of writing site-specific health and safety policies from scratch. They cover a wide range of aspects of operation of early education and child care programs. Child care programs of any type can use Model Child Care Health Policies by selecting relevant issues for their operation and modifying the wording to make selected policies appropriate to the specific settings. These settings include early education and child care centers, small and large family child care homes, part day-programs for ill children, facilities that serve children with special needs, school-age child care facilities, and drop-in facilities. The model policies can be adapted for public, private, Head Start, and tuition-funded facilities. All of the most commonly covered health and safety topics the National Association of Child Care Resource and Referral Agencies found in state regulations are included in this guide.

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Lindey, Sara, et Jason King. The Green Mister Rogers. University Press of Mississippi, 2022. http://dx.doi.org/10.14325/mississippi/9781496838667.001.0001.

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The Green Mister Rogers: Environmentalism in Mister Rogers' Neighborhood centers on the show's environmentalism, primarily expressed through his themed week “Caring for the Environment,” produced in 1990 in coordination with the twentieth anniversary of Earth Day. Unfolding against a trash catastrophe in the Neighborhood of Make-Believe, Rogers advances an environmentalism for children that secures children in their family homes while extending their perspective to faraway places, from the local recycling center to Florida’s coral reef. It uses imagination, art, music, puppets, field trips, toys, games, and puzzles to engage children. Rogers depicts animal wisdom and uses puppets to voice anxiety and hope and shows an interconnected world where each part of creation is valued and love is circulated in networks of care. Ultimately, Rogers cultivates a practical wisdom that provides a way for children to confront the environmental crisis through action and hope and, in doing so, develop into adults who deliver greater care for the environment and possess a capacious imagination for solving the ecological problems we face.

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Actes de conférences sur le sujet "Neighborhood Centers Day Care Association"

Martins, Pedro C., Marques Joao, Ana Luisa Papoila, Iolanda Caires, Jose Araujo-Martins, Catarina Pedro, Maria do Carmo Manilha et al. « Levels Of CO2 In Day Care Centers And Its Association With Wheezing ». Dans American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a3350.

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