New England Journal of Medicine




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سفارش

On the Shoulders of Giants — From Jenner’s Cowpox to mRNA Covid Vaccines

Angela Desmond, M.D., Ph.D., and Paul A. Offit, M.D.

doi : 10.1056/NEJMp2034334

N Engl J Med 2021; 384:1081-1083

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Addressing Workforce Diversity — A Quality-Improvement Framework

Lisa S. Rotenstein, M.D., M.B.A., Joan Y. Reede, M.D., M.P.H., M.B.A., and Anupam B. Jena, M.D., Ph.D.

doi : 10.1056/NEJMp2032224

N Engl J Med 2021; 384:1083-1086

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The Good Fit — Why Medical Applicants’ Personal Statements Are Anything but Personal

Michelle H. Silver, M.D.

doi : 10.1056/NEJMp2032383

N Engl J Med 2021; 384:1086-1087

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Medicare’s New Device-Coverage Pathway — Breakthrough or Breakdown?

Vinay K. Rathi, M.D., M.B.A., James L. Johnston, B.S., Joseph S. Ross, M.D., M.H.S., and Sanket S. Dhruva, M.D., M.H.S.

doi : 10.1056/NEJMp2101874

N Engl J Med 2021; 384:e43

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Vaccine Efficacy of ALVAC-HIV and Bivalent Subtype C gp120–MF59 in Adults

Glenda E. Gray, M.B., B.Ch., Linda-Gail Bekker, M.B., Ch.B., Ph.D., Fatima Laher, M.B., B.Ch., Mookho Malahleha, M.B., Ch.B., M.P.H., Mary Allen, B.S.N., M.S., Zoe Moodie, Ph.D., Nicole Grunenberg, M.D., Yunda Huang, Ph.D., Doug Grove, M.S., Brittany Prigmore, M.S., Jia J. Kee, M.S., David Benkeser, Ph.D., John Hural, Ph.D., Craig Innes, M.B., Ch.B., Erica Lazarus, M.B., Ch.B., Graeme Meintjes, M.B., Ch.B., M.P.H., Ph.D., Nivashnee Naicker, M.B., Ch.B., M.P.H., Dishiki Kalonji, M.B., B.Ch., Maphoshane Nchabeleng, M.B., Ch.B., Modulakgotla Sebe, M.B., Ch.B., Nishanta Singh, M.B., Ch.B., Philip Kotze, M.B., Ch.B., Sheetal Kassim, M.B., Ch.B., Thozama Dubula, M.Med., Vimla Naicker, M.B., Ch.B., William Brumskine, M.B., Ch.B., Cleon N. Ncayiya, B.Sc., Amy M. Ward, M.B., B.Ch., Nigel Garrett, M.B., B.S., Ph.D., Girisha Kistnasami, B.Sc., Zakir Gaffoor, M.Sc., Pearl Selepe, M.B., Ch.B., Philisiwe B. Makhoba, M.B., Ch.B., Matsontso P. Mathebula, M.B., Ch.B., M.P.H., Pamela Mda, M.B., Ch.B., M.Med., Tania Adonis, B.Psych., Katlego S. Mapetla, B.Tech., Bontle Modibedi, R.N., Tricia Philip, M.B., Ch.B., Gladys Kobane, R.N., Carter Bentley, Ph.D., Shelly Ramirez, M.A., Simbarashe Takuva, M.B., Ch.B., Megan Jones, B.S.N., M.P.H., Mpho Sikhosana, M.B., B.Ch., M.P.H., Millicent Atujuna, Ph.D., Michele Andrasik, Ph.D., Nima S. Hejazi, M.A., Adrian Puren, M.B., B.Ch., Ph.D., Lubbe Wiesner, Ph.D., Sanjay Phogat, Ph.D., Carlos Diaz Granados, M.D., Marguerite Koutsoukos, M.Sc., Olivier Van Der Meeren, M.D., Susan W. Barnett, Ph.D., Niranjan Kanesa-Thasan, M.D., James G. Kublin, M.D., M.P.H., M. Juliana McElrath, M.D., Ph.D., Peter B. Gilbert, Ph.D., Holly Janes, Ph.D., and Lawrence Corey, M.D. for the HVTN 702 Study Team*

doi : 10.1056/NEJMoa2031499

N Engl J Med 2021; 384:1089-1100

A safe, effective vaccine is essential to eradicating human immunodeficiency virus (HIV) infection. A canarypox–protein HIV vaccine regimen (ALVAC-HIV plus AIDSVAX B/E) showed modest efficacy in reducing infection in Thailand. An analogous regimen using HIV-1 subtype C virus showed potent humoral and cellular responses in a phase 1–2a trial in South Africa. Efficacy data and additional safety data were needed for this regimen in a larger population in South Africa.

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Abrocitinib versus Placebo or Dupilumab for Atopic Dermatitis

Thomas Bieber, M.D., Ph.D., Eric L. Simpson, M.D., Jonathan I. Silverberg, M.D., Ph.D., M.P.H., Diamant Thaçi, M.D., Carle Paul, M.D., Ph.D., Andrew E. Pink, Ph.D., Yoko Kataoka, M.D., Chia-Yu Chu, M.D., Ph.D., Marco DiBonaventura, Ph.D., Ricardo Rojo, M.D., Jeremias Antinew, M.D., Ileana Ionita, Ph.D., Rodney Sinclair, M.D., Seth Forman, M.D., Jacek Zdybski, M.D., Pinaki Biswas, Ph.D., Bimal Malhotra, Ph.D., Fan Zhang, Ph.D., and Hernan Valdez, M.D. for the JADE COMPARE Investigators*

doi : 10.1056/NEJMoa2019380

N Engl J Med 2021; 384:1101-1112

The oral Janus kinase 1 (JAK1) inhibitor abrocitinib, which reduces interleukin-4 and interleukin-13 signaling, is being investigated for the treatment of atopic dermatitis. Data from trials comparing JAK1 inhibitors with monoclonal antibodies, such as dupilumab, that block interleukin-4 receptors are limited.

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A Placebo-Controlled Trial of Subcutaneous Semaglutide in Nonalcoholic Steatohepatitis

Philip N. Newsome, M.B., Ch.B., Ph.D., Kristine Buchholtz, M.D., Ph.D., Kenneth Cusi, M.D., Martin Linder, M.Sc., Takeshi Okanoue, M.D., Ph.D., Vlad Ratziu, M.D., Ph.D., Arun J. Sanyal, M.D., Anne-Sophie Sejling, M.D., Ph.D., and Stephen A. Harrison, M.D. for the NN9931-4296 Investigators*

doi : 10.1056/NEJMoa2028395

N Engl J Med 2021; 384:1113-1124

Nonalcoholic steatohepatitis (NASH) is a common disease that is associated with increased morbidity and mortality, but treatment options are limited. The efficacy and safety of the glucagon-like peptide-1 receptor agonist semaglutide in patients with NASH is not known.

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Enfortumab Vedotin in Previously Treated Advanced Urothelial Carcinoma

Thomas Powles, M.D., Jonathan E. Rosenberg, M.D., Guru P. Sonpavde, M.D., Yohann Loriot, M.D., Ph.D., Ignacio Dur?n, M.D., Ph.D., Jae-Lyun Lee, M.D., Ph.D., Nobuaki Matsubara, M.D., Christof Vulsteke, M.D., Ph.D., Daniel Castellano, M.D., Chunzhang Wu, Ph.D., Mary Campbell, M.D., Maria Matsangou, M.B., Ch.B., M.D., and Daniel P. Petrylak, M.D.

doi : 10.1056/NEJMoa2035807

N Engl J Med 2021; 384:1125-1135

Patients with advanced urothelial carcinoma have poor overall survival after platinum-containing chemotherapy and programmed cell death protein 1 (PD-1) or programmed death ligand 1 (PD-L1) inhibitor treatment.

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Atopic Dermatitis

Sonja St?nder, M.D.

doi : 10.1056/NEJMra2023911

N Engl J Med 2021; 384:1136-1143

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Intranasal Naloxone Administration

Rafael Ortega, M.D., Ala Nozari, M.D., Ph.D., William Baker, M.D., Sannoor Surani, M.D., and Melinda Edwards, M.D.

doi : 10.1056/NEJMvcm2020745

N Engl J Med 2021; 384:e44

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Strawberry Tongue in Streptococcal Pharyngitis

Monalisa Sahu, M.B., B.S., M.D., D.M., and Pradipt R. Sahoo, M.B., B.S.

doi : 10.1056/NEJMicm2026930

N Engl J Med 2021; 384:1144

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Kartagener’s Syndrome

Kenneth Zurcher, M.D., and Akira Kawashima, M.D., Ph.D.

doi : 10.1056/NEJMicm2028152

N Engl J Med 2021; 384:e45

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Case 9-2021: A 16-Year-Old Boy with Headache, Abdominal Pain, and Hypertension

Kristian R. Olson, M.D., M.P.H., Katherine Nimkin, M.D., Ryan W. Carroll, M.D., M.P.H., Nikolas Stathatos, M.D., and Zehra Ordulu, M.D.

doi : 10.1056/NEJMcpc2027094

N Engl J Med 2021; 384:1145-1155

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Audio Interview: What Earlier Epidemics Teach Us about Covid-19

Eric J. Rubin, M.D., Ph.D., Lindsey R. Baden, M.D., Allan M. Brandt, Ph.D., and Stephen Morrissey, Ph.D.

doi : 10.1056/NEJMe2105030

N Engl J Med 2021; 384:e55

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Doctor, How Long Should I Isolate?

Siri R. Kadire, M.D., Valeria Fabre, M.D., and Richard P. Wenzel, M.D.

doi : 10.1056/NEJMclde2100910

N Engl J Med 2021; 384:e47

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Obesity, Immunity, and Cancer

Jeffrey C. Rathmell, Ph.D.

doi : 10.1056/NEJMcibr2035081

N Engl J Med 2021; 384:1160-1162

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Embracing Genetic Diversity to Improve Black Health

Akinyemi Oni-Orisan, Pharm.D., Ph.D., Yusuph Mavura, M.S., Yambazi Banda, Ph.D., Timothy A. Thornton, Ph.D., and Ronnie Sebro, M.D., Ph.D.

doi : 10.1056/NEJMms2031080

N Engl J Med 2021; 384:1163-1167

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The Spectrum of Benefit from Checkpoint Blockade in Hypermutated Tumors

doi : 10.1056/NEJMc2031965

N Engl J Med 2021; 384:1168-1170

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Monoclonal Antibody for Patients with Covid-19

doi : 10.1056/NEJMc2100221

N Engl J Med 2021; 384:1170-1171

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Drug-Coated Balloons for Dysfunctional Dialysis Arteriovenous Fistulas

doi : 10.1056/NEJMc2031782

N Engl J Med 2021; 384:1171-1174

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Olaparib in Metastatic Castration-Resistant Prostate Cancer

doi : 10.1056/NEJMc2100225

N Engl J Med 2021; 384:1174-1176

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Systemic Therapy for Estrogen Receptor–Positive, HER2-Negative Breast Cancer

doi : 10.1056/NEJMc2101282

N Engl J Med 2021; 384:1176-1177

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Correcting “Stolen Breaths”

doi : 10.1056/NEJMc2101293

N Engl J Med 2021; 384:1177-1178

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Uhambo — Twists and Turns on the Journey to an Efficacious HIV-1 Vaccine

Mark B. Feinberg, M.D., Ph.D.

doi : 10.1056/NEJMe2102358

N Engl J Med 2021; 384:1157-1159

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