New England Journal of Medicine




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The Complementarity of Public Health and Medicine — Achieving “the Highest Attainable Standard of Health”

David J. Hunter, M.B., B.S., Sc.D.

doi : 10.1056/nejmp2102550

N Engl J Med 2021; 385:481-484

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Contact Tracing for Covid-19 — A Digital Inoculation against Future Pandemics

James O’Connell, M.B., B.Ch., B.A.O., and Derek T. O’Keeffe, M.B., B.Ch., M.D., Ph.D.

doi : 10.1056/nejmp2102256

N Engl J Med 2021; 385:484-487

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Keeping Our Promise — Supporting Trainees from Groups That Are Underrepresented in Medicine

Monica B. Vela, M.D., Marshall H. Chin, M.D., M.P.H., and Monica E. Peek, M.D., M.P.H.

doi : 10.1056/nejmp2105270

N Engl J Med 2021; 385:487-489

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Establishing Medical Civil Rights

Leonore A. Dluhy, B.A., Brendan Abel, J.D., and Robert G. Dluhy, M.D.

doi : 10.1056/nejmp2104468

N Engl J Med 2021; 385:490-491

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CRISPR-Cas9 In Vivo Gene Editing for Transthyretin Amyloidosis

Julian D. Gillmore, M.D., Ph.D., Ed Gane, M.B., Ch.B., Jorg Taubel, M.D., Justin Kao, M.B., Ch.B., Marianna Fontana, M.D., Ph.D., Michael L. Maitland, M.D., Ph.D., Jessica Seitzer, B.S., Daniel O’Connell, Ph.D., Kathryn R. Walsh, Ph.D., Kristy Wood, Ph.D., Jonathan Phillips, Ph.D., Yuanxin Xu, M.D., Ph.D., Adam Amaral, B.A., Adam P. Boyd, Ph.D., Jeffrey E. Cehelsky, M.B.A., Mark D. McKee, M.D., Andrew Schiermeier, Ph.D., Olivier Harari, M.B., B.Chir., Ph.D., Andrew Murphy, Ph.D., Christos A. Kyratsous, Ph.D., Brian Zambrowicz, Ph.D., Randy Soltys, Ph.D., David E. Gutstein, M.D., John Leonard, M.D., Laura Sepp-Lorenzino, Ph.D., and David Lebwohl, M.D.

doi : 10.1056/nejmoa2107454

N Engl J Med 2021; 385:493-502

Transthyretin amyloidosis, also called ATTR amyloidosis, is a life-threatening disease characterized by progressive accumulation of misfolded transthyretin (TTR) protein in tissues, predominantly the nerves and heart. NTLA-2001 is an in vivo gene-editing therapeutic agent that is designed to treat ATTR amyloidosis by reducing the concentration of TTR in serum. It is based on the clustered regularly interspaced short palindromic repeats and associated Cas9 endonuclease (CRISPR-Cas9) system and comprises a lipid nanoparticle encapsulating messenger RNA for Cas9 protein and a single guide RNA targeting TTR.

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Tirzepatide versus Semaglutide Once Weekly in Patients with Type 2 Diabetes

Juan P. Fr?as, M.D., Melanie J. Davies, M.D., Julio Rosenstock, M.D., Federico C. Pérez Manghi, M.D., Laura Fern?ndez Land?, M.D., Brandon K. Bergman, Pharm.D., Bing Liu, Ph.D., Xuewei Cui, Ph.D., and Katelyn Brown, Pharm.D. for the SURPASS-2 Investigators*

doi : 10.1056/nejmoa2107519

N Engl J Med 2021; 385:503-515

Tirzepatide is a dual glucose-dependent insulinotropic polypeptide and glucagon-like peptide-1 (GLP-1) receptor agonist that is under development for the treatment of type 2 diabetes. The efficacy and safety of once-weekly tirzepatide as compared with semaglutide, a selective GLP-1 receptor agonist, are unknown.

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Milrinone as Compared with Dobutamine in the Treatment of Cardiogenic Shock

Rebecca Mathew, M.D., Pietro Di Santo, M.D., Richard G. Jung, Ph.D., Jeffrey A. Marbach, M.B., B.S., Jordan Hutson, M.D., Trevor Simard, M.D., F. Daniel Ramirez, M.D., David T. Harnett, M.D., Anas Merdad, M.B., B.S., Aws Almufleh, M.B., B.S., Willy Weng, M.D., Omar Abdel-Razek, M.D., Shannon M. Fernando, M.D., Kwadwo Kyeremanteng, M.D., M.H.A., Jordan Bernick, M.Sc., George A. Wells, Ph.D., Vincent Chan, M.D., Michael Froeschl, M.D., C.M., Marino Labinaz, M.D., Michel R. Le May, M.D., Juan J. Russo, M.D., and Benjamin Hibbert, M.D., Ph.D.

doi : 10.1056/nejmoa2026845

N Engl J Med 2021; 385:516-525

Cardiogenic shock is associated with substantial morbidity and mortality. Although inotropic support is a mainstay of medical therapy for cardiogenic shock, little evidence exists to guide the selection of inotropic agents in clinical practice.

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Decompression with or without Fusion in Degenerative Lumbar Spondylolisthesis

Ivar M. Austevoll, M.D., Ph.D., Erland Hermansen, M.D., Ph.D., Morten W. Fagerland, Ph.D., Kjersti Storheim, P.T., Ph.D., Jens I. Brox, M.D., Ph.D., Tore Solberg, M.D., Ph.D., Frode Rekeland, M.D., Eric Franssen, M.D., Clemens Weber, M.D., Ph.D., Helena Brisby, M.D., Ph.D., Oliver Grundnes, M.D., Ph.D., Knut R.H. Algaard, M.D., Tordis B?ker, M.D., Hasan Banitalebi, M.D., Kari Indrekvam, M.D., Ph.D., and Christian Hellum, M.D., Ph.D. for the NORDSTEN-DS Investigators*

doi : 10.1056/nejmoa2100990

N Engl J Med 2021; 385:526-538

In patients with lumbar spinal stenosis and degenerative spondylolisthesis, it is uncertain whether decompression surgery alone is noninferior to decompression with instrumented fusion.

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Age-Related Macular Degeneration

Rajendra S. Apte, M.D., Ph.D.

doi : 10.1056/nejmcp2102061

N Engl J Med 2021; 385:539-547

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Pneumococcal Empyema

Stephanie S. Cabler, M.D., and David A. Rosen, M.D., Ph.D.

doi : 10.1056/nejmicm2035551

N Engl J Med 2021; 385:548

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Neutrophilic Eccrine Hidradenitis

Colleen J. Beatty, M.D., and Erica R. Ghareeb, M.D.

doi : 10.1056/nejmicm2101571

N Engl J Med 2021; 385:e19

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Turning Purple with Pain

Thomas W. Fredrick, M.D., Manuel B. Braga Neto, M.D., Ph.D., Daniel O. Johnsrud, M.D., Michael Camilleri, M.D., and Victor G. Chedid, M.D.

doi : 10.1056/nejmcps2105278

N Engl J Med 2021; 385:549-554

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Fundamentals of Public Health — A New Perspective Series

Barry R. Bloom, Ph.D., Debra Malina, Ph.D., Genevra Pittman, M.A., Stephen Morrissey, Ph.D., and Eric J. Rubin, M.D., Ph.D.

doi : 10.1056/nejme2110145

N Engl J Med 2021; 385:556-557

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Gene Editing — A Cure for Transthyretin Amyloidosis?

Mathew S. Maurer, M.D.

doi : 10.1056/nejme2110557

N Engl J Med 2021; 385:558-559

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Breaking New Ground with Incretin Therapy in Diabetes

Katherine R. Tuttle, M.D.

doi : 10.1056/nejme2109957

N Engl J Med 2021; 385:560-561

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Audio Interview: Looking Back and Looking Forward — Part 2

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

doi : 10.1056/nejme2112855

N Engl J Med 2021; 385:e25

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SARS-CoV-2 Variants in Patients with Immunosuppression

Lawrence Corey, M.D., Chris Beyrer, M.D., M.P.H., Myron S. Cohen, M.D., Nelson L. Michael, M.D., Ph.D., Trevor Bedford, Ph.D., and Morgane Rolland, Ph.D.

doi : 10.1056/nejmsb2104756

N Engl J Med 2021; 385:562-566

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CD19-Targeted CAR T Cells in Refractory Systemic Lupus Erythematosus

doi : 10.1056/nejmc2107725

N Engl J Med 2021; 385:567-569

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Thromboembolic Events in the South African Ad26.COV2.S Vaccine Study

doi : 10.1056/nejmc2107920

N Engl J Med 2021; 385:570-571

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ChAdOx1 nCoV-19 Vaccine Efficacy against the B.1.351 Variant

doi : 10.1056/nejmc2110093

N Engl J Med 2021; 385:571-572

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Healthy Weight Loss Maintenance with Exercise, Liraglutide, or Both Combined

doi : 10.1056/nejmc2109509

N Engl J Med 2021; 385:572-574

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Tranexamic Acid for the Prevention of Blood Loss after Cesarean Delivery

doi : 10.1056/nejmc2109676

N Engl J Med 2021; 385:574-575

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Gastric Emptying Abnormalities in Diabetes Mellitus

doi : 10.1056/nejmc2109448

N Engl J Med 2021; 385:575-576

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Hematuria in Adults

doi : 10.1056/nejmx210011

N Engl J Med 2021; 385:576

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