New England Journal of Medicine




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From Crime to Care — On the Front Lines of Decarceration

Nathaniel P. Morris, M.D.

doi : 10.1056/NEJMp2107013

N Engl J Med 2021; 385:385-387

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Health Care Budgets for Rural Providers — Opportunities for Payment Reform

Joseph T. Kannarkat, M.P.P., and Eric T. Roberts, Ph.D.

doi : 10.1056/NEJMp2103431

N Engl J Med 2021; 385:387-389

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Identifying and Tracking SARS-CoV-2 Variants — A Challenge and an Opportunity

Scott J. Becker, M.S., Jill Taylor, Ph.D., and Joshua M. Sharfstein, M.D.

doi : 10.1056/NEJMp2103859

N Engl J Med 2021; 385:389-391

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A Child’s Loss

Dana Guyer, M.D.

doi : 10.1056/NEJMp2103938

N Engl J Med 2021; 385:391-393

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Duration of Adjuvant Aromatase-Inhibitor Therapy in Postmenopausal Breast Cancer

Michael Gnant, M.D., Florian Fitzal, M.D., Gabriel Rinnerthaler, M.D., Guenther G. Steger, M.D., Sigrun Greil-Ressler, M.D., Marija Balic, M.D., Dietmar Heck, M.D., Raimund Jakesz, M.D., Josef Thaler, M.D., Daniel Egle, M.D., Diether Manfreda, M.D., Vesna Bjelic-Radisic, M.D., Ursula Wieder, M.D., Christian F. Singer, M.D., Elisabeth Melbinger-Zeinitzer, M.D., Ferdinand Haslbauer, M.D., Paul Sevelda, M.D., Harald Trapl, M.D., Viktor Wette, M.D., Kerstin Wimmer, M.D., Simon P. Gampenrieder, M.D., Rupert Bartsch, M.D., Stephanie Kacerovsky-Strobl, M.D., Christoph Suppan, M.D., Christine Brunner, M.D., Christine Deutschmann, M.D., Lidija Soelkner, M.Sc., Christian Fesl, Ph.D., and Richard Greil, M.D. for the Austrian Breast and Colorectal Cancer Study Group*

doi : 10.1056/NEJMoa2104162

N Engl J Med 2021; 385:395-405

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Tofacitinib in Patients Hospitalized with Covid-19 Pneumonia

Patr?cia O. Guimar?es, M.D., Ph.D., Daniel Quirk, M.D., M.P.H., Remo H. Furtado, M.D., Ph.D., Lilia N. Maia, M.D., Ph.D., José F. Saraiva, M.D., Ph.D., Murillo O. Antunes, M.D., Ph.D., Roberto Kalil Filho, M.D., Ph.D., Vagner M. Junior, M.D., Alexandre M. Soeiro, M.D., Alexandre P. Tognon, M.D., Ph.D., Viviane C. Veiga, M.D., Ph.D., Priscilla A. Martins, M.D., et al., for the STOP-COVID Trial Investigators*

doi : 10.1056/NEJMoa2101643

N Engl J Med 2021; 385:406-415

The efficacy and safety of tofacitinib, a Janus kinase inhibitor, in patients who are hospitalized with coronavirus disease 2019 (Covid-19) pneumonia are unclear.

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Long-Term Complications in Youth-Onset Type 2 Diabetes

TODAY Study Group

doi : 10.1056/NEJMoa2100165

N Engl J Med 2021; 385:416-426

The prevalence of type 2 diabetes in youth is increasing, but little is known regarding the occurrence of related complications as these youths transition to adulthood.

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Risdiplam-Treated Infants with Type 1 Spinal Muscular Atrophy versus Historical Controls

Basil T. Darras, M.D., Riccardo Masson, M.D., Maria Mazurkiewicz-Be?dzi?ska, M.D., Kristy Rose, Ph.D., Hui Xiong, M.D., Edmar Zanoteli, M.D., Giovanni Baranello, M.D., Ph.D., Claudio Bruno, M.D., Ph.D., Dmitry Vlodavets, M.D., Yi Wang, M.D., Ph.D., Muna El-Khairi, Ph.D., Marianne Gerber, Ph.D., et al., for the FIREFISH Working Group*

doi : 10.1056/NEJMoa2102047

N Engl J Med 2021; 385:427-435

Type 1 spinal muscular atrophy (SMA) is a progressive neuromuscular disease characterized by an onset at 6 months of age or younger, an inability to sit without support, and deficient levels of survival of motor neuron (SMN) protein. Risdiplam is an orally administered small molecule that modifies SMN2 pre–messenger RNA splicing and increases levels of functional SMN protein in blood.

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A Trial of Hyperimmune Globulin to Prevent Congenital Cytomegalovirus Infection

Brenna L. Hughes, M.D., Rebecca G. Clifton, Ph.D., Dwight J. Rouse, M.D., George R. Saade, M.D., Mara J. Dinsmoor, M.D., M.P.H., Uma M. Reddy, M.D., Robert Pass, M.D., Donna Allard, R.N., Gail Mallett, R.N., Lida M. Fette, M.S., Cynthia Gyamfi-Bannerman, M.D., Michael W. Varner, M.D., William H. Goodnight, M.D., Alan T.N. Tita, M.D., Ph.D., Maged M. Costantine, M.D., Geeta K. Swamy, M.D., Ronald S. Gibbs, M.D., Edward K. Chien, M.D., Suneet P. Chauhan, M.D., Yasser Y. El-Sayed, M.D., Brian M. Casey, M.D., Samuel Parry, M.D., Hyagriv N. Simhan, M.D., Peter G. Napolitano, M.D., and George A. Macones, M.D. for the Eunice Kennedy Shriver National Institute of Child Health and Human Development Maternal–Fetal Medicine Units Network*

doi : 10.1056/NEJMoa1913569

N Engl J Med 2021; 385:436-444

Primary cytomegalovirus (CMV) infection during pregnancy carries a risk of congenital infection and possible severe sequelae. There is no established intervention for preventing congenital CMV infection.

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Depression in Adolescents

Leslie Miller, M.D., and John V. Campo, M.D.

doi : 10.1056/NEJMra2033475

N Engl J Med 2021; 385:445-449

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Axillary Mass after Delivery

Cristiana Marinho-Soares, M.D., and Maria Pulido-Valente, M.D.

doi : 10.1056/NEJMicm2033023

N Engl J Med 2021; 385:450

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An Icteric Tongue

David Avelar Rodriguez, M.D., and Julia Orkin, M.D.

doi : 10.1056/NEJMicm2034755

N Engl J Med 2021; 385:e16

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Case 23-2021: A 41-Year-Old Woman with Bloody Stools and Thrombocytopenia

Olivia C. Smibert, M.B., B.S., Onofrio A. Catalano, M.D., Katayoon Goodarzi, M.D., and Matthew B. Roberts, M.B., B.S.

doi : 10.1056/NEJMcpc2103461

N Engl J Med 2021; 385:451-460

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Extended Aromatase Inhibitors in Hormone-Receptor–Positive Breast Cancer

Pamela J. Goodwin, M.D.

doi : 10.1056/NEJMe2109356

N Engl J Med 2021; 385:462-463

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JAK Inhibitors — More Than Just Glucocorticoids

Justin Stebbing, M.D., Ph.D., and Volker M. Lauschke, Ph.D.

doi : 10.1056/NEJMe2108667

N Engl J Med 2021; 385:463-465

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Audio Interview: Looking Back and Looking Forward — Part 1

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

doi : 10.1056/NEJMe2112684

N Engl J Med 2021; 385:e24

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Anticoagulation after Ablation for Atrial Fibrillation

Siri R. Kadire, M.D., Sana M. Al-Khatib, M.D., M.H.S., and Hugh Calkins, M.D.

doi : 10.1056/NEJMclde2103770

N Engl J Med 2021; 385:466-468

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To Scar or Not to Scar

Richard A.F. Clark, M.D.

doi : 10.1056/NEJMcibr2107204

N Engl J Med 2021; 385:469-471

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BNT162b2-Elicited Neutralization against New SARS-CoV-2 Spike Variants

doi : 10.1056/NEJMc2106083

N Engl J Med 2021; 385:472-474

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Incident SARS-CoV-2 Infection among mRNA-Vaccinated and Unvaccinated Nursing Home Residents

doi : 10.1056/NEJMc2104849

N Engl J Med 2021; 385:474-476

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Postpartum Hemorrhage

doi : 10.1056/NEJMc2108881

N Engl J Med 2021; 385:476-477

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Insights into Glomerular Filtration and Albuminuria

doi : 10.1056/NEJMc2108129

N Engl J Med 2021; 385:477-478

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Diversity of the National Medical Student Body

doi : 10.1056/NEJMc2109411

N Engl J Med 2021; 385:479-480

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

doi : 10.1056/NEJMx210008

N Engl J Med 2021; 385:480

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STEP 1 for Effective Weight Control — Another First Step?

doi : 10.1056/NEJMx210009

N Engl J Med 2021; 385:480

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