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India has deeply strengthened its surveillance and response system of outbreaks and epidemic-prone diseases. Conclusions Despite its enormous improvements made in the anticipation of such threats, still more efforts are needed in sensitization of populations as well as hospital management in the context to EIDs, as addressed in the review. Furthermore, there is still a need for more research and development activities to efficiently control EIDs.Purpose Evaluating medical students' attitudes toward sexual and gender minority (SGM) people is important to identify negative attitudes early in education and to design curriculum to mitigate biases. The purpose of this study was to investigate medical students' attitudes toward SGM people as a whole as well as specific populations within the SGM community. We sought to determine whether attitudes toward SGM people differed between students' demographics and training. Methods We conducted an online survey-based study among 1007 medical students at 12 U.S. medical schools. Participants completed the Attitudes Toward LGBT People Scale and were randomized to complete another scale specific to one group within the SGM community. We evaluated the association between student demographics and medical training and attitudes toward SGM people overall and toward specific SGM populations. This study was conducted between January and June 2020. Results Overall, we found that medical students had positive attitudes toward SGM people and specific SGM groups. The most important factor affecting medical students' attitudes on all scales was religiosity, as very religious students held less positive attitudes toward SGM people. In addition, cisgender female students held more positive attitudes toward SGM people overall and toward specific SGM populations. Conclusion Medical education must ensure that future physicians receive comprehensive and culturally competent training to prepare them to care for SGM patients. Based on our findings, this training should include specific content to help medical students identify potential biases toward SGM people, as well as strategies to acknowledge and confront these biases.

Douros A, Lix LM, Fralick M, et al.

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Douros A, Lix LM, Fralick M, et al. Sodium-glucose cotransporter-2 inhibitors and the risk for diabetic ketoacidosis a multicenter cohort study. Ann Intern Med. 2020;173417-25. 32716707.

Hopewell JC, Offer A, Haynes R, et al.

Eur Heart J. 2020;413336-42. 32702748.

Hopewell JC, Offer A, Haynes R, et al. Independent risk factors for simvastatin-related myopathy and relevance to different types of muscle symptom. Eur Heart J. 2020;413336-42. 32702748.

Johnston SC, Amarenco P, Denison H, et al.

N Engl J Med. 2020;383207-17. 32668111.

Johnston SC, Amarenco P, Denison H, et al. Ticagrelor and aspirin or aspirin alone in acute ischemic stroke or TIA. N Engl J Med. 2020;383207-17. 32668111.

Haykal T, Zayed Y, Deliwala S, et al.

Thromb Res. 2020;19457-65. Vismodegib Wnt inhibitor 32788122.

Haykal T, Zayed Y, Deliwala S, et al. Direct oral anticoagulant versus low-molecular-weight heparin for treatment of venous thromboembolism in cancer patients an updated meta-analysis of randomized controlled trials. Thromb Res. 2020;19457-65. 32788122.

Busse JW, Sadeghirad B, Oparin Y, et al.

Ann Intern Med. 2020;173730-8. 32805127.

Busse JW, Sadeghirad B, Oparin Y, et al. Management of acute pain from non-low back, musculoskeletal injuries a systematic review and network meta-analysis of randomized trials. Ann Intern Med. 2020;173730-8. 32805127.

O'Donoghue ML, Murphy SA, Sabatine MS.

Circulation. 2020;142538-45. 32551860.

O'Donoghue ML, Murphy SA, Sabatine MS. The safety and efficacy of aspirin discontinuation on a background of a P2Y12 inhibitor in patients after percutaneous coronary intervention a systematic review and meta-analysis. Circulation. 2020;142538-45. 32551860.

Hodkinson A, Bower P, Grigoroglou C, et al.

BMJ. 2020;370m2521. 32816816.

Hodkinson A, Bower P, Grigoroglou C, et al. Self-management interventions to reduce healthcare use and improve quality of life among patients with asthma systematic review and network meta-analysis. BMJ. 2020;370m2521. 32816816.

Jones P, Lamdin R, Dalziel SR.

Cochrane Database Syst Rev. 2020;8CD007789. 32797734.

Jones P, Lamdin R, Dalziel SR. Oral non-steroidal anti-inflammatory drugs versus other oral analgesic agents for acute soft tissue injury. Cochrane Database Syst Rev. 2020;8CD007789. 32797734.

Dinnes J, Deeks JJ, Adriano A, et al.

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Dinnes J, Deeks JJ, Adriano A, et al. Rapid, point-of-care antigen and molecular-based tests for diagnosis of SARS-CoV-2 infection. Cochrane Database Syst Rev. 2020;8CD013705. 32845525.

Schulze-Hagen M, Hübel C, Meier-Schroers M, et al.

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Schulze-Hagen M, Hübel C, Meier-Schroers M, et al. Low-dose chest CT for the diagnosis of COVID-19. Dtsch Arztebl Int. 2020;117389-95. 32762834.Purpose Children with complex medical needs often require extensive hospitalizations in the first years of life. Many of these children also experience complex communication needs and use augmentative and alternative communication (AAC) strategies to interact with health care staff. Unfortunately, suboptimal communication experiences have been reported among these children, their families, and hospital staff; however, no studies have described the patterns of interactions beyond measures of self-report. The purpose of this study was to describe child-parent-provider interaction patterns that occurred in an inpatient unit. Method Observational techniques were used to systematically describe the interactions of a 28-month-old child with complex communication needs, her parents, and 26 health care providers on an inpatient rehabilitation unit over 10 days. Results Results indicated that substantial variability in the child's routine occurred across days and providers. Interactions were generally short and occurred for only a small proportion of the child's waking hours. The child and her mother actively communicated to varying degrees across sessions, yet health care providers often dominated interactions. The child used multiple modes of communication in each interaction; however, no aided AAC systems were used despite availability. Conclusions Training is urgently required to equip health care providers to (a) incorporate the use of aided AAC strategies during inpatient interactions and (b) increase the active participation of both children with complex communication needs and their parents during these interactions. Supplemental Material https//doi.org/10.23641/asha.13345187.

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