New England Journal of Medicine




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Bringing Harm Reduction into Health Policy — Combating the Overdose Crisis

Kimberly L. Sue, M.D., Ph.D., and David A. Fiellin, M.D.

doi : 10.1056/NEJMp2103274

N Engl J Med 2021; 384:1781-1783

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The Number Needed to Prescribe — What Would It Take to Expand Access to Buprenorphine?

Elisabeth Poorman, M.D., M.P.H.

doi : 10.1056/NEJMp2101298

N Engl J Med 2021; 384:1783-1784

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Detained

Merlys Rodriguez-Hernandez, M.D., Tara C. Pilato, B.A., Kayleigh A. Yerdon, B.S., Ian M. Kysel, J.D., L.L.M., Faten Taki, Ph.D., Stephen Yale-Loehr, J.D., Gunisha Kaur, M.D., illustrated by Alison E. Burke, M.A., and Natalie Koscal, M.A.

doi : 10.1056/NEJMp2032690

N Engl J Med 2021; 384:1785-1787

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Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media

Alejandro Hoberman, M.D., Diego Preciado, M.D., Ph.D., Jack L. Paradise, M.D., David H. Chi, M.D., MaryAnn Haralam, M.S.N., C.R.N.P., Stan L. Block, M.D., Diana H. Kearney, R.N., C.C.R.C., Sonika Bhatnagar, M.D., M.P.H., Gysella B. Mu?iz Pujalt, M.D., Timothy R. Shope, M.D., M.P.H., Judith M. Martin, M.D., Daniel E. Felten, M.D., Marcia Kurs-Lasky, M.S., Hui Liu, M.S., Kristin Yahner, M.S., Jong-Hyeon Jeong, Ph.D., Norman L. Cohen, M.D., Brian Czervionke, M.D., Jennifer P. Nagg, R.N., Joseph E. Dohar, M.D., and Nader Shaikh, M.D., M.P.H.

doi : 10.1056/NEJMoa2027278

N Engl J Med 2021; 384:1789-1799

Official recommendations differ regarding tympanostomy-tube placement for children with recurrent acute otitis media.

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Tezepelumab in Adults and Adolescents with Severe, Uncontrolled Asthma

Andrew Menzies-Gow, M.D., Jonathan Corren, M.D., Arnaud Bourdin, M.D., Geoffrey Chupp, M.D., Elliot Israel, M.D., Michael E. Wechsler, M.D., Christopher E. Brightling, F.Med.Sci., Janet M. Griffiths, Ph.D., ?sa Hellqvist, M.Sc., Karin Bowen, M.Sc., Primal Kaur, M.D., Gun Almqvist, M.Sc., Sandhia Ponnarambil, M.D., and Gene Colice, M.D.

doi : 10.1056/NEJMoa2034975

N Engl J Med 2021; 384:1800-1809

Tezepelumab is a human monoclonal antibody that blocks thymic stromal lymphopoietin, an epithelial-cell–derived cytokine implicated in the pathogenesis of asthma. The efficacy and safety of tezepelumab in patients with severe, uncontrolled asthma require further assessment.

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Vemurafenib plus Rituximab in Refractory or Relapsed Hairy-Cell Leukemia

Enrico Tiacci, M.D., Luca De Carolis, M.D., Edoardo Simonetti, M.D., Monia Capponi, M.D., Achille Ambrosetti, M.D., Eugenio Lucia, M.D., Agostino Antolino, M.D., Alessandro Pulsoni, M.D., Samantha Ferrari, M.D., Pier L. Zinzani, M.D., Stefano Ascani, M.D., Vincenzo M. Perriello, M.D., Luigi Rigacci, M.D., Gianluca Gaidano, M.D., Roberta Della Seta, M.D., Natalia Frattarelli, M.D., Paolo Falcucci, M.D., Robin Foà, M.D., Giuseppe Visani, M.D., Francesco Zaja, M.D., and Brunangelo Falini, M.D.

doi : 10.1056/NEJMoa2031298

N Engl J Med 2021; 384:1810-1823

Hairy-cell leukemia (HCL) is a CD20+ indolent B-cell cancer in which a BRAF V600E kinase–activating mutation plays a pathogenetic role. In clinical trials involving patients with refractory or relapsed HCL, the targeting of BRAF V600E with the oral BRAF inhibitor vemurafenib led to a response in 91% of the patients; 35% of the patients had a complete response. However, the median relapse-free survival was only 9 months after treatment was stopped.

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Interim Results of a Phase 1–2a Trial of Ad26.COV2.S Covid-19 Vaccine

Jerald Sadoff, M.D., Mathieu Le Gars, Ph.D., Georgi Shukarev, M.D., Dirk Heerwegh, Ph.D., Carla Truyers, Ph.D., Anne M. de Groot, Ph.D., Jeroen Stoop, Ph.D., Sarah Tete, Ph.D., Wim Van Damme, M.D., Isabel Leroux-Roels, M.D., Pieter-Jan Berghmans, M.D., Murray Kimmel, D.O., Pierre Van Damme, M.D., Jan de Hoon, M.D., William Smith, M.D., Kathryn E. Stephenson, M.D., Stephen C. De Rosa, M.D., Kristen W. Cohen, Ph.D., M. Juliana McElrath, M.D., Emmanuel Cormier, Ph.D., Gert Scheper, Ph.D., Dan H. Barouch, M.D., Jenny Hendriks, Ph.D., Frank Struyf, M.D., Macaya Douoguih, M.D., Johan Van Hoof, M.D., and Hanneke Schuitemaker, Ph.D.

doi : 10.1056/NEJMoa2034201

N Engl J Med 2021; 384:1824-1835

Efficacious vaccines are urgently needed to contain the ongoing coronavirus disease 2019 (Covid-19) pandemic of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). A candidate vaccine, Ad26.COV2.S, is a recombinant, replication-incompetent adenovirus serotype 26 (Ad26) vector encoding a full-length and stabilized SARS-CoV-2 spike protein.

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Management of the Difficult Airway

Thomas Heidegger, M.D.

doi : 10.1056/NEJMra1916801

N Engl J Med 2021; 384:1836-1847

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Herpes-Associated Erythema Multiforme

Mario Puerta-Pena, M.D., and Virginia Velasco-Tamariz, M.D.

doi : 10.1056/NEJMicm2033090

N Engl J Med 2021; 384:1848

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Thyrotoxic Periodic Paralysis

Michael Fralick, M.D., Ph.D., and Shohinee Sarma, M.D., M.P.H.

doi : 10.1056/NEJMicm2030770

N Engl J Med 2021; 384:e71

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Case 14-2021: A 64-Year-Old Woman with Fever and Pancytopenia

Michael D. Gibbons, M.D., Dexter P. Mendoza, M.D., Anem Waheed, M.D., M.P.H., Miriam B. Barshak, M.D., and Julian A. Villalba, M.D.

doi : 10.1056/NEJMcpc2100275

N Engl J Med 2021; 384:1849-1857

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Management of Recurrent Acute Otitis Media

Ellen R. Wald, M.D.

doi : 10.1056/NEJMe2104952

N Engl J Med 2021; 384:1859-1860

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Audio Interview: Vaccination and Variants in the U.S. and South Africa

Eric J. Rubin, M.D., Ph.D., Lindsey R. Baden, M.D., Glenda E. Gray, M.B., B.Ch., and Stephen Morrissey, Ph.D.

doi : 10.1056/NEJMe2108162

N Engl J Med 2021; 384:e85

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Deconstructing Inequities — Transparent Values in Measurement and Analytic Choices

Marjory L. Givens, Ph.D., Keith P. Gennuso, Ph.D., Elizabeth A. Pollock, Ph.D., and Sheri L. Johnson, Ph.D.

doi : 10.1056/NEJMms2035717

N Engl J Med 2021; 384:1861-1865

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New SARS-CoV-2 Variants — Clinical, Public Health, and Vaccine Implications

doi : 10.1056/NEJMc2100362

N Engl J Med 2021; 384:1866-1868

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Inhaled Treprostinil in Group 3 Pulmonary Hypertension

doi : 10.1056/NEJMc2103465

N Engl J Med 2021; 384:1869-1872

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Antithrombotic Therapy after Acute Coronary Syndromes

doi : 10.1056/NEJMc2103789

N Engl J Med 2021; 384:1872-1874

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Emergency Intubation in Covid-19

doi : 10.1056/NEJMc2104670

N Engl J Med 2021; 384:e74

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I Can’t Breathe during Interviews — The Incomplete Penetrance of Antiracism

Shakkaura Kemet, M.P.H.

doi : 10.1056/NEJMpv2104827

N Engl J Med 2021; 384:e72

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