New England Journal of Medicine




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From Vaccine Nationalism to Vaccine Equity — Finding a Path Forward

Ingrid T. Katz, M.D., M.H.S., Rebecca Weintraub, M.D., Linda-Gail Bekker, M.D., Ph.D., and Allan M. Brandt, Ph.D.

doi : 10.1056/NEJMp2103614

N Engl J Med 2021; 384:1281-1283

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Vancomycin Infusion Reaction — Moving beyond “Red Man Syndrome”

Santiago Alvarez-Arango, M.D., S. Michelle Ogunwole, M.D., Thomas D. Sequist, M.D., M.P.H., Caitlin M. Burk, M.D., and Kimberly G. Blumenthal, M.D.

doi : 10.1056/NEJMp2031891

N Engl J Med 2021; 384:1283-1286

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Beyond the Rubble of Lake Street — Minds in Crisis in a City in Crisis

Rebecca Grossman-Kahn, M.D.

doi : 10.1056/NEJMp2034060

N Engl J Med 2021; 384:1286-1287

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Lenvatinib plus Pembrolizumab or Everolimus for Advanced Renal Cell Carcinoma

Robert Motzer, M.D., Boris Alekseev, M.D., Sun-Young Rha, M.D., Camillo Porta, M.D., Masatoshi Eto, M.D., Thomas Powles, M.D., Viktor Grünwald, M.D., Thomas E. Hutson, M.D., Evgeny Kopyltsov, M.D., Mar?a J. Méndez-Vidal, M.D., Vadim Kozlov, M.D., Anna Alyasova, M.D., Sung-Hoo Hong, M.D., Anil Kapoor, M.D., Teresa Alonso Gordoa, M.D., Jaime R. Merchan, M.D., Eric Winquist, M.D., Pablo Maroto, M.D., Jeffrey C. Goh, M.D., Miso Kim, M.D., Howard Gurney, M.B., B.S., Vijay Patel, M.D., Avivit Peer, M.D., Giuseppe Procopio, M.D., Toshio Takagi, M.D., Bohuslav Melichar, M.D., Frederic Rolland, M.D., Ugo De Giorgi, M.D., Shirley Wong, M.D., Jens Bedke, M.D., Manuela Schmidinger, M.D., Corina E. Dutcus, M.D., Alan D. Smith, M.D., Lea Dutta, M.D., Kalgi Mody, M.D., Rodolfo F. Perini, M.D., Dongyuan Xing, Ph.D., and Toni K. Choueiri, M.D. for the CLEAR Trial Investigators*

doi : 10.1056/NEJMoa2035716

N Engl J Med 2021; 384:1289-1300

Lenvatinib in combination with pembrolizumab or everolimus has activity against advanced renal cell carcinoma. The efficacy of these regimens as compared with that of sunitinib is unclear.

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Lower or Higher Oxygenation Targets for Acute Hypoxemic Respiratory Failure

Olav L. Schj?rring, M.D., Ph.D., Thomas L. Klitgaard, M.D., Anders Perner, M.D., Ph.D., J?rn Wetterslev, M.D., Ph.D., Theis Lange, Ph.D., Martin Siegemund, M.D., Minna B?cklund, M.D., Ph.D., Frederik Keus, M.D., Jon H. Laake, M.D., Ph.D., Matthew Morgan, M.D., Ph.D., Katrin M. Thormar, M.D., Ph.D., S?ren A. Rosborg, M.D., Ph.D., Jannie Bisgaard, M.D., Ph.D., Annette E.S. Erntgaard, M.D., Anne-Sofie H. Lynnerup, M.D., Rasmus L. Pedersen, M.D., Elena Crescioli, M.D., Theis C. Gielstrup, M.D., Meike T. Behzadi, M.D., Lone M. Poulsen, M.D., Stine Estrup, M.D., Ph.D., Jens P. Laigaard, M.S., Cheme Andersen, M.D., Camilla B. Mortensen, R.N., Bj?rn A. Brand, M.D., Jonathan White, M.D., Ph.D., Inge-Lise Jarnvig, M.D., Ph.D., Morten H. M?ller, M.D., Ph.D., Lars Quist, M.D., Ph.D., Morten H. Bestle, M.D., Ph.D., Martin Sch?nemann-Lund, M.D., Maj K. Kamper, M.D., Mathias Hindborg, M.D., Alexa Hollinger, M.D., Caroline E. Gebhard, M.D., N?ria Zellweger, M.Sc., Christian S. Meyhoff, M.D., Ph.D., Mathias Hjort, M.D., Laura K. Bech, M.Sc., Thorbj?rn Gr?fte, M.D., Ph.D., Helle Bundgaard, M.D., Ph.D., Lars H.M. ?stergaard, M.D., Maria A. Thy?, M.D., Thomas Hildebrandt, M.D., Bülent Uslu, M.D., Christoffer G. S?lling, M.D., Ph.D., Nette M?ller-Nielsen, M.D., Anne C. Br?chner, M.D., Ph.D., Morten Borup, M.D., Ph.D., Marjatta Okkonen, M.D., Ph.D., Willem Dieperink, Ph.D., Ulf G. Pedersen, M.D., Anne S. Andreasen, M.D., Ph.D., Lone Buus, M.D., Tayyba N. Aslam, M.D., Robert R. Winding, M.D., Joerg C. Schefold, M.D., Stine B. Thorup, M.D., Susanne A. Iversen, M.D., Janus Engstr?m, B.Sc., Maj-Brit N. Kj?r, R.N., and Bodil S. Rasmussen, M.D., Ph.D. for the HOT-ICU Investigators*

doi : 10.1056/NEJMoa2032510

N Engl J Med 2021; 384:1301-1311

Patients with acute hypoxemic respiratory failure in the intensive care unit (ICU) are treated with supplemental oxygen, but the benefits and harms of different oxygenation targets are unclear. We hypothesized that using a lower target for partial pressure of arterial oxygen (Pao2) would result in lower mortality than using a higher target.

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Glycemic Index, Glycemic Load, and Cardiovascular Disease and Mortality

David J.A. Jenkins, M.D., Ph.D., Mahshid Dehghan, Ph.D., Andrew Mente, Ph.D., Shrikant I. Bangdiwala, Ph.D., Sumathy Rangarajan, M.Sc., Kristie Srichaikul, M.D., Viswanathan Mohan, D.Sc., Alvaro Avezum, M.D., Rafael D?az, M.D., Annika Rosengren, M.D., Fernando Lanas, M.D., Patricio Lopez-Jaramillo, M.D., Wei Li, Ph.D., Aytekin Oguz, M.D., Rasha Khatib, Ph.D., Paul Poirier, M.D., Ph.D., Noushin Mohammadifard, Ph.D., Andrea Pepe, M.Sc., Khalid F. Alhabib, M.B., B.S., Jephat Chifamba, D.Phil., Afzal Hussein Yusufali, M.D., Romaina Iqbal, Ph.D., Karen Yeates, M.D., Khalid Yusoff, M.D., Noorhassim Ismail, M.D., Koon Teo, M.B., B.Ch., Sumathi Swaminathan, Ph.D., Xiaoyun Liu, Ph.D., Katarzyna Zato?ska, M.D., Rita Yusuf, Ph.D., and Salim Yusuf, D.Phil. for the PURE Study Investigators*

doi : 10.1056/NEJMoa2007123

N Engl J Med 2021; 384:1312-1322

Most data regarding the association between the glycemic index and cardiovascular disease come from high-income Western populations, with little information from non-Western countries with low or middle incomes. To fill this gap, data are needed from a large, geographically diverse population.

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Sutimlimab in Cold Agglutinin Disease

Alexander R?th, M.D., Wilma Barcellini, M.D., Shirley D’Sa, M.D., Yoshitaka Miyakawa, M.D., Ph.D., Catherine M. Broome, M.D., Marc Michel, M.D., David J. Kuter, M.D., D.Phil., Bernd Jilma, M.D., Tor H.A. Tvedt, M.D., Ph.D., Joachim Fruebis, Ph.D., Xiaoyu Jiang, Ph.D., Stella Lin, Ph.D., Caroline Reuter, M.D., M.S.C.I., Jaime Morales-Arias, M.D., William Hobbs, M.D., Ph.D., and Sigbj?rn Berentsen, M.D., Ph.D.

doi : 10.1056/NEJMoa2027760

N Engl J Med 2021; 384:1323-1334

Cold agglutinin disease is a rare autoimmune hemolytic anemia characterized by hemolysis that is caused by activation of the classic complement pathway. Sutimlimab, a humanized monoclonal antibody, selectively targets the C1s protein, a C1 complex serine protease responsible for activating this pathway.

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Vestibular Schwannomas

Matthew L. Carlson, M.D., and Michael J. Link, M.D.

doi : 10.1056/NEJMra2020394

N Engl J Med 2021; 384:1335-1348

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Ulceroglandular Tularemia

Michael Buettcher, M.D., and Chiara Imbimbo, B.M.

doi : 10.1056/NEJMicm2031676

N Engl J Med 2021; 384:1349

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Sunken Nose

Reza Zonozi, M.D., and John L. Niles, M.D.

doi : 10.1056/NEJMicm2031387

N Engl J Med 2021; 384:e52

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Case 10-2021: A 70-Year-Old Man with Depressed Mood, Unsteady Gait, and Urinary Incontinence

Feyza Marouf, M.D., McKinley Glover, M.D., Bryce Wininger, M.D., and William T. Curry, M.D.

doi : 10.1056/NEJMcpc2027090

N Engl J Med 2021; 384:1350-1358

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A Step Ahead in Metastatic Renal Cell Carcinoma

Alain Ravaud, M.D., Ph.D.

doi : 10.1056/NEJMe2101777

N Engl J Med 2021; 384:1360-1361

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Effect of Oxygen Therapy on Mortality in the ICU

Paul J. Young, M.D., Ph.D.

doi : 10.1056/NEJMe2101538

N Engl J Med 2021; 384:1361-1363

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Audio Interview: Antibody Responses to Natural Infection and Vaccination

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

doi : 10.1056/NEJMe2105969

N Engl J Med 2021; 384:e65

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Base Editing in Progeria

Jin-Soo Kim, Ph.D., and Maria Eriksson, Ph.D.

doi : 10.1056/NEJMcibr2100661

N Engl J Med 2021; 384:1364-1366

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Escaping Catch-22 — Overcoming Covid Vaccine Hesitancy

Lisa Rosenbaum, M.D.

doi : 10.1056/NEJMms2101220

N Engl J Med 2021; 384:1367-1371

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Antibody Responses in Seropositive Persons after a Single Dose of SARS-CoV-2 mRNA Vaccine

doi : 10.1056/NEJMc2101667

N Engl J Med 2021; 384:1372-1374

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Sitagliptin for Prophylaxis of Acute Graft-versus-Host Disease

doi : 10.1056/NEJMc2101975

N Engl J Med 2021; 384:1374-1376

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Pathophysiology of Inflammatory Bowel Diseases

doi : 10.1056/NEJMc2101562

N Engl J Med 2021; 384:1376-1378

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The Rapid Rise in Cutaneous Melanoma Diagnoses

doi : 10.1056/NEJMc2101980

N Engl J Med 2021; 384:e54

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