New England Journal of Medicine




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Advancing President Biden’s Equity Agenda — Lessons from Disparities Work

Neil K. Aggarwal, M.D.

doi : 10.1056/NEJMp2101439

N Engl J Med 2021; 384:1481-1483

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An Uncertain Public — Encouraging Acceptance of Covid-19 Vaccines

Gillian K. SteelFisher, Ph.D., Robert J. Blendon, Sc.D., and Hannah Caporello, B.A.

doi : 10.1056/NEJMp2100351

N Engl J Med 2021; 384:1483-1487

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Nanima

Manisha Juthani-Mehta, M.D.

doi : 10.1056/NEJMp2028693

N Engl J Med 2021; 384:1488-1489

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Interleukin-6 Receptor Antagonists in Critically Ill Patients with Covid-19

The REMAP-CAP Investigators*

doi : 10.1056/NEJMoa2100433

N Engl J Med 2021; 384:1491-1502

The efficacy of interleukin-6 receptor antagonists in critically ill patients with coronavirus disease 2019 (Covid-19) is unclear.

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Tocilizumab in Hospitalized Patients with Severe Covid-19 Pneumonia

Ivan O. Rosas, M.D., Norbert Br?u, M.D., Michael Waters, M.D., Ronaldo C. Go, M.D., Bradley D. Hunter, M.D., Sanjay Bhagani, M.D., Daniel Skiest, M.D., Mariam S. Aziz, M.D., Nichola Cooper, M.D., Ivor S. Douglas, M.D., Sinisa Savic, Ph.D., Taryn Youngstein, M.D., Lorenzo Del Sorbo, M.D., Antonio Cubillo Gracian, M.D., David J. De La Zerda, M.D., Andrew Ustianowski, Ph.D., Min Bao, M.D., Sophie Dimonaco, M.Sc., Emily Graham, Ph.D., Balpreet Matharu, M.D., Helen Spotswood, Ph.D., Larry Tsai, M.D., and Atul Malhotra, M.D.

doi : 10.1056/NEJMoa2028700

N Engl J Med 2021; 384:1503-1516

Coronavirus disease 2019 (Covid-19) is associated with immune dysregulation and hyperinflammation, including elevated interleukin-6 levels. The use of tocilizumab, a monoclonal antibody against the interleukin-6 receptor, has resulted in better outcomes in patients with severe Covid-19 pneumonia in case reports and retrospective observational cohort studies. Data are needed from randomized, placebo-controlled trials.

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A Microbiota-Directed Food Intervention for Undernourished Children

Robert Y. Chen, B.S., Ishita Mostafa, B.D.S., M.P.H., Matthew C. Hibberd, Ph.D., Subhasish Das, M.B., B.S., M.P.H., Mustafa Mahfuz, M.B., B.S., M.P.H., Nurun N. Naila, M.B., B.S., M.P.H., M. Munirul Islam, M.B., B.S., Ph.D., Sayeeda Huq, M.B., B.S., M.P.H., M. Ashraful Alam, M.P.H., Mahabub U. Zaman, M.P.H., Arjun S. Raman, M.D., Ph.D., Daniel Webber, M.D., Ph.D., Cyrus Zhou, B.S., Vinaik Sundaresan, B.S., Kazi Ahsan, M.B., B.S., M.P.H., Martin F. Meier, B.S., Michael J. Barratt, Ph.D., Tahmeed Ahmed, M.B., B.S., Ph.D., and Jeffrey I. Gordon, M.D.

doi : 10.1056/NEJMoa2023294

N Engl J Med 2021; 384:1517-1528

More than 30 million children worldwide have moderate acute malnutrition. Current treatments have limited effectiveness, and much remains unknown about the pathogenesis of this condition. Children with moderate acute malnutrition have perturbed development of their gut microbiota.

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Sacituzumab Govitecan in Metastatic Triple-Negative Breast Cancer

Aditya Bardia, M.D., Sara A. Hurvitz, M.D., Sara M. Tolaney, M.D., M.P.H., Delphine Loirat, M.D., Ph.D., Kevin Punie, M.D., Mafalda Oliveira, M.D., Ph.D., Adam Brufsky, M.D., Ph.D., Sagar D. Sardesai, M.D., Kevin Kalinsky, M.D., Amelia B. Zelnak, M.D., Robert Weaver, M.D., Tiffany Traina, M.D., Florence Dalenc, M.D., Philippe Aftimos, M.D., Filipa Lynce, M.D., Sami Diab, M.D., Javier Cortés, M.D., Ph.D., Joyce O’Shaughnessy, M.D., Véronique Diéras, M.D., Cristiano Ferrario, M.D., Peter Schmid, M.D., Ph.D., Lisa A. Carey, M.D., Luca Gianni, M.D., Martine J. Piccart, M.D., Ph.D., Sibylle Loibl, M.D., Ph.D., David M. Goldenberg, Sc.D., M.D., Quan Hong, Ph.D., Martin S. Olivo, M.D., Loretta M. Itri, M.D., and Hope S. Rugo, M.D. for the ASCENT Clinical Trial Investigators*

doi : 10.1056/NEJMoa2028485

N Engl J Med 2021; 384:1529-1541

Patients with metastatic triple-negative breast cancer have a poor prognosis. Sacituzumab govitecan is an antibody–drug conjugate composed of an antibody targeting the human trophoblast cell-surface antigen 2 (Trop-2), which is expressed in the majority of breast cancers, coupled to SN-38 (topoisomerase I inhibitor) through a proprietary hydrolyzable linker.

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Adrenal Incidentaloma

Electron Kebebew, M.D.

doi : 10.1056/NEJMcp2031112

N Engl J Med 2021; 384:1542-1551

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Orf

Cecil S. Qiu, M.D., and Arianna F. Yanes, M.D.

doi : 10.1056/NEJMicm2029641

N Engl J Med 2021; 384:1552

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Striae and an Adrenal Mass

Jennifer H. Yo, M.B., B.S., and Shital Gandhi, M.D.

doi : 10.1056/NEJMicm2024730

N Engl J Med 2021; 384:e57

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Case 12-2021: A 78-Year-Old Man with a Rash on the Scalp and Face

Michael K. Yoon, M.D., Hillary R. Kelly, M.D., Suzanne K. Freitag, M.D., Alexander G. Marneros, M.D., Ph.D., Miriam B. Barshak, M.D., and Diane G. Brackett, M.D.

doi : 10.1056/NEJMcpc2100276

N Engl J Med 2021; 384:1553-1562

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Interleukin-6 Receptor Inhibition in Covid-19 — Cooling the Inflammatory Soup

Eric J. Rubin, M.D., Ph.D., Dan L. Longo, M.D., and Lindsey R. Baden, M.D.

doi : 10.1056/NEJMe2103108

N Engl J Med 2021; 384:1564-1565

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Microbial Nourishment for Undernutrition

Wendy S. Garrett, M.D., Ph.D.

doi : 10.1056/NEJMe2104212

N Engl J Med 2021; 384:1566-1567

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Audio Interview: Covid-19 Vaccines and Pregnancy — A Conversation with CDC Director Rochelle Walensky

Eric J. Rubin, M.D., Ph.D., Lindsey R. Baden, M.D., Rochelle P. Walensky, M.D., M.P.H., and Stephen Morrissey, Ph.D.

doi : 10.1056/NEJMe2106836

N Engl J Med 2021; 384:e73

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Preparing for the Future — Nanobodies for Covid-19?

Ram Sasisekharan, Ph.D.

doi : 10.1056/NEJMcibr2101205

N Engl J Med 2021; 384:1568-1571

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Platform Trials — Beware the Noncomparable Control Group

doi : 10.1056/NEJMc2102446

N Engl J Med 2021; 384:1572-1573

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Disposable E-Cigarette Use among U.S. Youth — An Emerging Public Health Challenge

doi : 10.1056/NEJMc2033943

N Engl J Med 2021; 384:1573-1576

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Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine

doi : 10.1056/NEJMc2036242

N Engl J Med 2021; 384:1576-1578

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Antenatal Dexamethasone for Early Preterm Birth in Low-Resource Countries

doi : 10.1056/NEJMc2102042

N Engl J Med 2021; 384:e58

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Cytokine Storm

doi : 10.1056/NEJMc2036236

N Engl J Med 2021; 384:e59

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