New England Journal of Medicine




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سفارش

End of a Declared Public Health Emergency — Implications for U.S. Emergency Use Authorizations

Peter W. Marks, M.D., Ph.D., Hilary D. Marston, M.D., M.P.H., and Lindsey R. Baden, M.D.

doi : 10.1056/NEJMp2300392

Vol. 388 No. 13

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Medication-Associated Diethylene Glycol Mass Poisoning — A Preventable Cause of Illness and Death

Joshua Schier, M.D., M.P.H., Arthur Chang, M.D., and Vikas Kapil, D.O., M.P.H.

doi : 10.1056/NEJMp2215840

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Digital Minimalism — An Rx for Clinician Burnout

Nina Singh, B.S., Katharine Lawrence, M.D., M.P.H., Christine Sinsky, M.D., and Devin M. Mann, M.D.

doi : 10.1056/NEJMp2215297

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Azithromycin to Prevent Sepsis or Death in Women Planning a Vaginal Birth

Alan T.N. Tita, M.D., Ph.D., Waldemar A. Carlo, M.D., Elizabeth M. McClure, Ph.D., Musaku Mwenechanya, M.D., Elwyn Chomba, M.B., Ch.B., Jennifer J. Hemingway-Foday, M.P.H., Avinash Kavi, M.D., Mrityunjay C. Metgud, M.D., Shivaprasad S. Goudar, M.D., Richard Derman, M.D., M.P.H., Adrien Lokangaka, M.D., M.P.H., Antoinette Tshefu, M.D., Ph.D., M.P.H., Melissa Bauserman, M.D., M.P.H., Carl Bose, M.D., Poonam Shivkumar, M.D., Manju Waikar, M.D., Archana Patel, M.D., Ph.D., Patricia L. Hibberd, M.D., Ph.D., Paul Nyongesa, M.D., Fabian Esamai, M.B., Ch.B., M.P.H., Ph.D., Osayame A. Ekhaguere, M.B., B.S., M.P.H., Sherri Bucher, Ph.D., Saleem Jessani, M.B., B.S., Shiyam S. Tikmani, M.B., B.S., Sarah Saleem, M.B., B.S., Robert L. Goldenberg, M.D., Sk M. Billah, M.P.H., Ruth Lennox, M.B., Ch.B., Rashidul Haque, M.D., William Petri, M.D., Lester Figueroa, M.D., Manolo Mazariegos, M.D., M.P.H., Nancy F. Krebs, M.D., Janet L. Moore, M.S., Tracy L. Nolen, D.Ph., and Marion Koso-Thomas, M.D., M.P.H. for the A-PLUS Trial Group*

doi : 10.1056/NEJMoa2212111

The use of azithromycin reduces maternal infection in women during unplanned cesarean delivery, but its effect on those with planned vaginal delivery is unknown. Data are needed on whether an intrapartum oral dose of azithromycin would reduce maternal and offspring sepsis or death.

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Transcatheter Arterialization of Deep Veins in Chronic Limb-Threatening Ischemia

Mehdi H. Shishehbor, D.O., M.P.H., Ph.D., Richard J. Powell, M.D., Miguel F. Montero-Baker, M.D., Anahita Dua, M.D., Jorge L. Martínez-Trabal, M.D., Matthew C. Bunte, M.D., Arthur C. Lee, M.D., Andrew S. Mugglin, Ph.D., Joseph L. Mills, M.D., Alik Farber, M.D., and Daniel G. Clair, M.D. for the PROMISE II Investigators*

doi : 10.1056/NEJMoa2212754

Approximately 20% of patients with chronic limb-threatening ischemia have no revascularization options, leading to above-ankle amputation. Transcatheter arterialization of the deep veins is a percutaneous approach that creates an artery-to-vein connection for delivery of oxygenated blood by means of the venous system to the ischemic foot to prevent amputation.

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Helicobacter pylori, Homologous-Recombination Genes, and Gastric Cancer

Yoshiaki Usui, M.D., Ph.D., Yukari Taniyama, Ph.D., Mikiko Endo, B.Sc., Yuriko N. Koyanagi, M.D., Ph.D., Yumiko Kasugai, M.M.Sc., Isao Oze, M.D., Ph.D., Hidemi Ito, M.D., Ph.D., M.P.H., Issei Imoto, M.D., Ph.D., Tsutomu Tanaka, M.D., Ph.D., Masahiro Tajika, M.D., Ph.D., Yasumasa Niwa, M.D., Ph.D., Yusuke Iwasaki, M.E., Tomomi Aoi, B.Sc., Nozomi Hakozaki, Sadaaki Takata, B.Sc., Kunihiko Suzuki, Chikashi Terao, M.D., Ph.D., Masanori Hatakeyama, M.D., Ph.D., Makoto Hirata, M.D., Ph.D., Kokichi Sugano, M.D., Ph.D., Teruhiko Yoshida, M.D., Ph.D., Yoichiro Kamatani, M.D., Ph.D., Hidewaki Nakagawa, M.D., Ph.D., Koichi Matsuda, M.D., Ph.D., Yoshinori Murakami, M.D., Ph.D., Amanda B. Spurdle, Ph.D., Keitaro Matsuo, M.D., Ph.D., and Yukihide Momozawa, D.V.M., Ph.D.

doi : 10.1056/NEJMoa2211807

Helicobacter pylori infection is a well-known risk factor for gastric cancer. However, the contribution of germline pathogenic variants in cancer-predisposing genes and their effect, when combined with H. pylori infection, on the risk of gastric cancer has not been widely evaluated.

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Vedolizumab for the Treatment of Chronic Pouchitis

Simon Travis, D.Phil., Mark S. Silverberg, M.D., Ph.D., Silvio Danese, M.D., Ph.D., Paolo Gionchetti, M.D., Mark Löwenberg, M.D., Ph.D., Vipul Jairath, M.B., Ch.B., D.Phil., Brian G. Feagan, M.D., Brian Bressler, M.D., Marc Ferrante, M.D., Ph.D., Ailsa Hart, M.D., Dirk Lindner, M.Sc., Armella Escher, Ph.D., Stephen Jones, M.B., Ch.B., and Bo Shen, M.D. for the EARNEST Study Group*

doi : 10.1056/NEJMoa2208450

Approximately half the patients with ulcerative colitis who undergo restorative proctocolectomy with ileal pouch–anal anastomosis (IPAA) will subsequently have pouchitis, and among those patients, one fifth will have chronic pouchitis.

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Artificial Intelligence and Machine Learning in Clinical Medicine, 2023

Charlotte J. Haug, M.D., Ph.D., and Jeffrey M. Drazen, M.D.

doi : 10.1056/NEJMra2302038

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Neonatal Herpes Simplex Virus Infection

Laura Mantecón, M.D., Ph.D., and Gonzalo Solís, M.D., Ph.D.

doi : 10.1056/NEJMicm2035394

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Gastrointestinal Kaposi’s Sarcoma

Deniz E. Tekcan Sanli, M.D., and Safak Kiziltas, M.D.

doi : 10.1056/NEJMicm2102502

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Case 10-2023: A 27-Year-Old Man with Convulsions

David L. Perez, M.D., Daniel B. Hoch, M.D., and Jonah N. Cohen, Ph.D.

doi : 10.1056/NEJMcpc2211365

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Artificial Intelligence in Medicine

Andrew L. Beam, Ph.D., Jeffrey M. Drazen, M.D., Isaac S. Kohane, M.D., Ph.D., Tze-Yun Leong, Ph.D., Arjun K. Manrai, Ph.D., and Eric J. Rubin, M.D., Ph.D.

doi : 10.1056/NEJMe2206291

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Prophylactic Antibiotics for Vaginal Delivery — Benefits and Possible Harms

Jeanne S. Sheffield, M.D.

doi : 10.1056/NEJMe2300479

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Arterial Gerrymandering — Converting Veins to Arteries to Save Ischemic Limbs

Douglas E. Drachman, M.D.

doi : 10.1056/NEJMe2216380

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A Double Whammy on Gastric Cancer Risk

Anne Müller, Ph.D., and Jiazhuo He, M.D.

doi : 10.1056/NEJMe2215503

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Audio Interview: Ending the Covid-19 Public Health Emergency

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

doi : 10.1056/NEJMe2303745

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Discharging Patients against Medical Advice

Clement D. Lee, M.D., Owen Bradfield, M.B., B.S., B.Med.Sc., L.L.B., M.B.A., Michelle M. Mello, J.D., Ph.D., and Mary Catherine Beach, M.D., M.P.H.

doi : 10.1056/NEJMclde2210118

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Benefits, Limits, and Risks of GPT-4 as an AI Chatbot for Medicine

Peter Lee, Ph.D., Sebastien Bubeck, Ph.D., and Joseph Petro, M.S., M.Eng.

doi : 10.1056/NEJMsr2214184

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Dark-Alley Ethics — How to Interpret Medical Exceptions to Bans on Abortion Provision

Katie Watson, J.D.

doi : 10.1056/NEJMms2216234

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Trial of an Intervention to Improve Acute Heart Failure Outcomes

doi : 10.1056/NEJMc2301251

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