Publications by authors named "Teresa Smith"

Objective: The purpose of this study was to discover the care meanings of facilitators and barriers to detection and intervention for developmental delay among Head Start preschool-aged children, as viewed by parents, teachers, and primary care providers.

Methods: We used a qualitative focus group design and broad cultural lens to understand similarities and differences in family and professional care, as Head Start programs educate preschoolers living in poverty who are disproportionately from ethno-racial minoritized groups. We sought the perspectives of 15 Head Start parents equally representing Black, Latino(a), and White parents, 17 teachers, and 11 healthcare providers to discover facilitators and barriers to adherence with professional recommendations.

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Despite the Supreme Court's decision on race-based admissions, academic medical centers, medical societies, and accreditation bodies remain committed to recruiting a diverse workforce. Many medical schools and graduate medical education programs created initiatives to expand their census of underrepresented in medicine (UIM) as the key to addressing health care disparities. As a result, an influx of an UIM physician workforce has entered clinical learning environments, often without consideration of the inclusivity of these settings.

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Objective: Black children with autism and their families face disparities within clinical care and services, leading to inequitable health outcomes. However, there is limited research centering the voices of the Black autism community in understanding how to address these inequities. In this study, researchers explored the perspectives of caregivers of Black children with autism regarding barriers to equitable care and recommendations for improved services.

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Article Synopsis
  • The Zika virus has caused autochthonous transmission in 87 countries since 2015, posing risks like Guillain-Barré syndrome and complications in pregnancy, underscoring an urgent need for effective vaccines and enhanced understanding of immunity against ZIKV.
  • Researchers developed a new diagnostic test called blockade-of-binding (BOB) ELISA, using specific monoclonal antibodies to differentiate ZIKV from other flaviviruses, and found it performed better than traditional tests in validating ZIKV infections and assessing vaccine responses.
  • The BOB assays demonstrated high sensitivity and specificity in detecting antibodies from recent and past ZIKV infections, indicating potential for broader applications in monitoring ZIKV immunity and evaluating vaccine efficacy.
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Social determinants of medical education are the most impactful aspects of recruiting, retaining, and producing the next generation of a diverse physician workforce. We can use the same framework well known to describe social determinants of health to identify social determinants that impact medical education learners and their ability to enter the workforce and succeed to completion. Efforts aimed at recruitment and retention should not exist in isolation and must be matched with those that continuously assess and evaluate the learning environment.

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Beginning December 6, 2021, all international air passengers boarding flights to the United States were required to show either a negative result from a SARS-CoV-2 viral test taken ≤1 day before departure or proof of recovery from COVID-19 within the preceding 90 days (1). As of June 12, 2022, predeparture testing was no longer mandatory but remained recommended by CDC (2,3). Various modeling studies have estimated that predeparture testing the day before or the day of air travel reduces transmission or importation of SARS-CoV-2 by 31%-76% (4-7).

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Introduction: We sought to describe the range of emergency medicine (EM) resident physicians' perceptions and experiences of working and training during the initial coronavirus 2019 (COVID-19) pandemic surge at two, large-volume, urban training hospitals in Brooklyn, New York.

Methods: A total of 25 EM resident physicians who worked at either of two large emergency departments (ED) from March 15-April 11, 2020 participated in semi-structured interviews conducted in July and August 2020. Interviews were conducted by the authors who were also emergency medicine resident physicians working in the ED during this time.

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Article Synopsis
  • The 2022 monkeypox epidemic in non-endemic countries showed different epidemiological patterns compared to those previously reported in endemic areas, prompting a study to analyze clinical characteristics of confirmed cases.
  • Data from 226 reported monkeypox cases across 71 sites in 29 countries highlighted that a vast majority (99%) of the affected individuals were gay, bisexual, or men who have sex with men, with a median age of 37.
  • Of the patients studied, 44% were HIV positive, with many having close contact or sexual history related to their monkeypox exposure, and 13% required hospitalization, with over half experiencing severe illness.
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Objectives: To determine the incidence of severe acute respiratory coronavirus virus 2 (SARS-CoV-2) infection among healthcare personnel (HCP) and to assess occupational risks for SARS-CoV-2 infection.

Design: Prospective cohort of healthcare personnel (HCP) followed for 6 months from May through December 2020.

Setting: Large academic healthcare system including 4 hospitals and affiliated clinics in Atlanta, Georgia.

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Article Synopsis
  • A new enzyme-linked immunosorbent assay (ELISA) was developed to detect IgG antibodies against the receptor-binding domain of SARS-CoV-2, demonstrating high sensitivity and specificity for surveillance purposes.
  • The ELISA showed strong performance in testing, with results indicating that 6.5% of healthcare workers and all confirmed mild COVID-19 cases had detectable antibodies.
  • The study emphasizes the importance of using this simple assay for large-scale testing and suggests that more complex testing methods may provide better insights into individual immunity, especially in vaccinated populations.
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Introduction: There is no clear unified definition of "county programs" in emergency medicine (EM). Key residency directories are varied in designation, despite it being one of the most important match factors for applicants. The Council of Residency Directors EM County Program Community of Practice consists of residency program leadership from a unified collective of programs that identify as "county.

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Racism in medicine affects patients, trainees, and practitioners and contributes to health care inequities. An effective strategy to actively oppose the structural racism ingrained in the fabric of medicine is to intentionally and systematically address diversity, equity, and inclusion (DEI) in medical education and research. As part of ARMED MedEd, a new longitudinal cohort course in advanced research methods in medical education, sponsored by the Society for Academic Emergency Medicine, the leadership team deliberately included a nested DEI curriculum.

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The Dance Functional Outcome Survey (DFOS) is a dance-specific questionnaire developed for use with ballet and modern dancers at all training levels. To date, no study has assessed the psychometric properties of the DFOS in pediatric dancers. The purposes of this study were to determine: 1.

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Among 353 healthcare personnel in a longitudinal cohort in 4 hospitals in Atlanta, Georgia (May-June 2020), 23 (6.5%) had severe acute respiratory coronavirus virus 2 (SARS-CoV-2) antibodies. Spending >50% of a typical shift at the bedside (OR, 3.

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This study examined how lifetime stress exposure and race are associated with first-birth intendedness, and whether these associations differ based on stress exposure timing. Greater lifetime stress exposure was related to increased first-birth intendedness for black women but was unrelated or even associated with decreased first-birth intendedness for white women, depending on stress exposure timing. These effects were robust while controlling for age, partner status, household income, and education, and they differed based on the timing of participants' stress exposure.

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• Surgical training during the COVID-19 Pandemic required restructuring. • Surgical Services can meet hospital needs as an access and procedure team. • Videoconferencing platforms can be utilized for continued communication and education.

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Evaluating the availability and affordability of breastfeeding and formula-feeding supplies are critical for building food environments that support healthy infant development. This study details the development and implementation of the Infant Feeding Resource Tool (InFeed) in retail settings across Montana (n = 21). Interrater reliability was tested (n = 9), kappa 0.

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Prenatal health behaviors can strongly influence risk of poor pregnancy birth outcomes. Although stress has been implicated in structuring the likelihood that individuals will engage in various prenatal health behavior patterns, no studies to date have examined life stress exposure occurring across the entire lifespan, and few have investigated how different types of stressors are comparatively associated with these outcomes. To address these issues, we interviewed 164 women at one of two large Midwestern, urban hospitals after delivering their first infant.

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