New England Journal of Medicine




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Toward a New Era for the Indian Health System

Jessica Leston, M.P.H., and Brigg Reilley, M.P.H.

doi : 10.1056/NEJMp2108894

N Engl J Med 2021; 385:1249-1251

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Marking the 40th Anniversary of the AIDS Epidemic — American Physicians Look Back

Ronald Bayer, Ph.D., Gerald M. Oppenheimer, Ph.D., M.P.H., and Valentina Parisi, M.P.H.

doi : 10.1056/NEJMp2106933

N Engl J Med 2021; 385:1251-1253

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Cool Water

Benjamin W. Frush, M.D.

doi : 10.1056/NEJMp2104545

N Engl J Med 2021; 385:1254-1255

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Maintenance or Discontinuation of Antidepressants in Primary Care

Gemma Lewis, Ph.D., Louise Marston, Ph.D., Larisa Duffy, B.Sc., Nick Freemantle, Ph.D., Simon Gilbody, Ph.D., Rachael Hunter, M.Sc., Tony Kendrick, M.D., David Kessler, M.D., Dee Mangin, F.R.N.Z.C.G.P., Michael King, Ph.D., Paul Lanham, B.A., Michael Moore, F.R.C.G.P., Irwin Nazareth, Ph.D., Nicola Wiles, Ph.D., Faye Bacon, B.Sc., Molly Bird, M.Sc., Sally Brabyn, M.Sc., Alison Burns, B.Sc., Caroline S. Clarke, Ph.D., Anna Hunt, M.Sc., Jodi Pervin, B.Sc., and Glyn Lewis, Ph.D.

doi : 10.1056/NEJMoa2106356

N Engl J Med 2021; 385:1257-1267

Patients with depression who are treated in primary care practices may receive antidepressants for prolonged periods. Data are limited on the effects of maintaining or discontinuing antidepressant therapy in this setting.

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Trial of Intensive Blood-Pressure Control in Older Patients with Hypertension

Weili Zhang, M.D., Ph.D., Shuyuan Zhang, Ph.D., Yue Deng, Ph.D., Shouling Wu, M.D., Jie Ren, M.D., Gang Sun, M.D., Jinfeng Yang, M.D., Yinong Jiang, M.D., Xinjuan Xu, M.D., Tzung-Dau Wang, M.D., Ph.D., Youren Chen, M.D., Yufeng Li, M.D., Lianchen Yao, M.D., Dianfang Li, M.D., Lixin Wang, M.D., Xiaomei Shen, M.D., Xinhua Yin, M.D., Wei Liu, M.D., Xiaoyang Zhou, M.D., Bingpo Zhu, M.D., Zihong Guo, M.D., Hualing Liu, M.D., Xiaoping Chen, M.D., Yingqing Feng, M.D., Gang Tian, M.D., Xiuyin Gao, B.Sc., Kazuomi Kario, M.D., Ph.D., and Jun Cai, M.D., Ph.D. for the STEP Study Group*

doi : 10.1056/NEJMoa2111437

N Engl J Med 2021; 385:1268-1279

The appropriate target for systolic blood pressure to reduce cardiovascular risk in older patients with hypertension remains unclear.

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Ozanimod as Induction and Maintenance Therapy for Ulcerative Colitis

William J. Sandborn, M.D., Brian G. Feagan, M.D., Geert D’Haens, M.D., Douglas C. Wolf, M.D., Igor Jovanovic, M.D., Stephen B. Hanauer, M.D., Subrata Ghosh, M.D., AnnKatrin Petersen, M.D., Steven Y. Hua, Ph.D., Ji Hwan Lee, M.S., Lorna Charles, M.D., Denesh Chitkara, M.D., Keith Usiskin, M.D., Jean-Frederic Colombel, M.D., Loren Laine, M.D., and Silvio Danese, M.D. for the True North Study Group*

doi : 10.1056/NEJMoa2033617

N Engl J Med 2021; 385:1280-1291

Ozanimod, a selective sphingosine-1-phosphate receptor modulator, is under investigation for the treatment of inflammatory bowel disease.

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A Human Pleiotropic Multiorgan Condition Caused by Deficient Wnt Secretion

Guoliang Chai, Ph.D., Emmanuelle Szenker-Ravi, Ph.D., Changuk Chung, Ph.D., Zhen Li, Ph.D., Lu Wang, Ph.D., Muznah Khatoo, B.S., Trevor Marshall, B.S., Nan Jiang, Ph.D., Xiaoxu Yang, Ph.D., Jennifer McEvoy-Venneri, B.S., Valentina Stanley, B.S., Paula Anzenberg, B.S., Nhi Lang, B.S., Vanessa Wazny, B.S., Jia Yu, Ph.D., David M. Virshup, M.D., Rie Nygaard, Ph.D., Filippo Mancia, Ph.D., Rijad Merdzanic, M.D., Maria B.P. Toralles, M.D., Paula M.L. Pitanga, M.Sc., Ratna D. Puri, M.D., Rebecca Hernan, M.Sc., Wendy K. Chung, M.D., Ph.D., Aida M. Bertoli-Avella, M.D., Ph.D., Nouriya Al-Sannaa, M.D., Maha S. Zaki, M.D., Ph.D., Karl Willert, Ph.D., Bruno Reversade, Ph.D., and Joseph G. Gleeson, M.D.

doi : 10.1056/NEJMoa2033911

N Engl J Med 2021; 385:1292-1301

Structural birth defects occur in approximately 3% of live births; most such defects lack defined genetic or environmental causes. Despite advances in surgical approaches, pharmacologic prevention remains largely out of reach.

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Newer Biologic and Small-Molecule Therapies for Inflammatory Bowel Disease

Daniel C. Baumgart, M.D., Ph.D., and Catherine Le Berre, M.D.

doi : 10.1056/NEJMra1907607

N Engl J Med 2021; 385:1302-1315

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Leukemia Cutis

Denise Barry, M.D., and Astrid Schmieder, M.D.

doi : 10.1056/NEJMicm2103771

N Engl J Med 2021; 385:1316

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Kayser–Fleischer Rings in Wilson’s Disease

Atanu Chandra, M.D., and Moni S. Bhattacharjee, M.B., B.S.

doi : 10.1056/NEJMicm2103029

N Engl J Med 2021; 385:e46

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Case 30-2021: A 47-Year-Old Man with Recurrent Unilateral Head and Neck Pain

Mark E. Lindsay, M.D., Ph.D., David M. Dudzinski, M.D., Byung C. Yoon, M.D., Ph.D., Michael R. Jaff, D.O., and Joseph V. Thakuria, M.D.

doi : 10.1056/NEJMcpc2107347

N Engl J Med 2021; 385:1317-1325

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The Pursuit and Maintenance of Happiness

Jeffrey L. Jackson, M.D., M.P.H.

doi : 10.1056/NEJMe2111447

N Engl J Med 2021; 385:1327-1328

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Moving the Goalposts for Blood Pressure — Time to Act

Mark R. Nelson, M.B., B.S., M.F.M., Ph.D.

doi : 10.1056/NEJMe2112992

N Engl J Med 2021; 385:1328-1329

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Audio Interview: Covid-19 and the Media

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

doi : 10.1056/NEJMe2115825

N Engl J Med 2021; 385:e59

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Resurgence of SARS-CoV-2 Infection in a Highly Vaccinated Health System Workforce

doi : 10.1056/NEJMc2112981

N Engl J Med 2021; 385:1330-1332

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Myocarditis after Covid-19 mRNA Vaccination

doi : 10.1056/NEJMc2109975

N Engl J Med 2021; 385:1332-1334

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No Correlation between Anti-PF4 and Anti–SARS-CoV-2 Antibodies after ChAdOx1 nCoV-19 Vaccination

doi : 10.1056/NEJMc2111305

N Engl J Med 2021; 385:1334-1336

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Effectiveness of an Inactivated SARS-CoV-2 Vaccine

doi : 10.1056/NEJMc2112423

N Engl J Med 2021; 385:1336-1339

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Physical Rehabilitation in Patients with Heart Failure

doi : 10.1056/NEJMc2113494

N Engl J Med 2021; 385:1339-1341

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Targeted Temperature Management after Cardiac Arrest

doi : 10.1056/NEJMc2112370

N Engl J Med 2021; 385:1341-1342

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BNT162b2 Covid-19 Vaccine in Adolescents

doi : 10.1056/NEJMc2113394

N Engl J Med 2021; 385:1342-1343

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HIV Infection — Screening, Diagnosis, and Treatment

doi : 10.1056/NEJMc2110946

N Engl J Med 2021; 385:1343-1344

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