New England Journal of Medicine




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The Future of SARS-CoV-2 Vaccination — Lessons from Influenza

Arnold S. Monto, M.D.

doi : 10.1056/NEJMp2113403

N Engl J Med 2021; 385:1825-1827

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When Women and Children Made the Policy Agenda — The Sheppard–Towner Act, 100 Years Later

Jeffrey P. Baker, M.D., Ph.D.

doi : 10.1056/NEJMp2031669

N Engl J Med 2021; 385:1827-1829

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The Billboard

Rachel H. Kowalsky, M.D., M.P.H.

doi : 10.1056/NEJMp2112010

N Engl J Med 2021; 385:1829-1831

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A Randomized Trial of Intravenous Alteplase before Endovascular Treatment for Stroke

Natalie E. LeCouffe, M.D., Manon Kappelhof, M.D., Kilian M. Treurniet, M.D., Ph.D., Leon A. Rinkel, M.D., Agnetha E. Bruggeman, M.D., Olvert A. Berkhemer, M.D., Ph.D., Lennard Wolff, M.D., Henk van Voorst, M.D., Manon L. Tolhuisen, M.Sc., Diederik W.J. Dippel, M.D., Ph.D., Aad van der Lugt, M.D., Ph.D., Adriaan C.G.M. van Es, M.D., Ph.D., Jelis Boiten, M.D., Ph.D., Geert J. Lycklama à Nijeholt, M.D., Ph.D., Koos Keizer, M.D., Ph.D., Rob A.R. Gons, M.D., Ph.D., Lonneke S.F. Yo, M.D., Robert J. van Oostenbrugge, M.D., Ph.D., Wim H. van Zwam, M.D., Ph.D., Bob Roozenbeek, M.D., Ph.D., H. Bart van der Worp, M.D., Ph.D., Rob T.H. Lo, M.D., Ph.D., Ido R. van den Wijngaard, M.D., Ph.D., Inger R. de Ridder, M.D., Ph.D., Vincent Costalat, M.D., Ph.D., Caroline Arquizan, M.D., Robin Lemmens, M.D., Ph.D., Jelle Demeestere, M.D., Jeannette Hofmeijer, M.D., Ph.D., Jasper M. Martens, M.D., Wouter J. Schonewille, M.D., Ph.D., Jan-Albert Vos, M.D., Ph.D., Maarten Uyttenboogaart, M.D., Ph.D., Reinoud P.H. Bokkers, M.D., Ph.D., Julia H. van Tuijl, M.D., Ph.D., Hans Kortman, M.D., Floris H.B.M. Schreuder, M.D., Ph.D., Hieronymus D. Boogaarts, M.D., Ph.D., Karlijn F. de Laat, M.D., Ph.D., Lukas C. van Dijk, M.D., Ph.D., Heleen M. den Hertog, M.D., Ph.D., Boudewijn A.A.M. van Hasselt, M.D., Paul J.A.M. Brouwers, M.D., Ph.D., Tomas Bulut, M.D., Michel J.M. Remmers, M.D., Anouk van Norden, M.D., Farshad Imani, M.D., Anouk D. Rozeman, M.D., Ph.D., Otto E.H. Elgersma, M.D., Ph.D., Philippe Desfontaines, M.D., Denis Brisbois, M.D., Yves Samson, M.D., Frédéric Clarençon, M.D., Ph.D., G. Menno Krietemeijer, M.D., Alida A. Postma, M.D., Ph.D., Pieter-Jan van Doormaal, M.D., René van den Berg, M.D., Ph.D., Anouk van der Hoorn, M.D., Ph.D., Ludo F.M. Beenen, M.D., Ph.D., Daan Nieboer, M.Sc., Hester F. Lingsma, Ph.D., Bart J. Emmer, M.D., Ph.D., Jonathan M. Coutinho, M.D., Ph.D., Charles B.L.M. Majoie, M.D., Ph.D., and Yvo B.W.E.M. Roos, M.D., Ph.D. for the MR CLEAN–NO IV Investigators*

doi : 10.1056/NEJMoa2107727

N Engl J Med 2021; 385:1833-1844

The value of administering intravenous alteplase before endovascular treatment (EVT) for acute ischemic stroke has not been studied extensively, particularly in non-Asian populations.

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Angiotensin Receptor–Neprilysin Inhibition in Acute Myocardial Infarction

Marc A. Pfeffer, M.D., Ph.D., Brian Claggett, Ph.D., Eldrin F. Lewis, M.D., M.P.H., Christopher B. Granger, M.D., Lars Køber, M.D., Aldo P. Maggioni, M.D., Douglas L. Mann, M.D., John J.V. McMurray, M.D., Jean-Lucien Rouleau, M.D., Scott D. Solomon, M.D., Philippe G. Steg, M.D., Otavio Berwanger, M.D., Ph.D., Maja Cikes, M.D., Ph.D., Carmine G. De Pasquale, B.M., B.S., Ph.D., Cara East, M.D., Alberto Fernandez, M.D., Karola Jering, M.D., Ulf Landmesser, M.D., Roxana Mehran, M.D., Béla Merkely, M.D., Ph.D., Freny Vaghaiwalla Mody, M.D., Mark C. Petrie, M.D., Ivo Petrov, M.D., Ph.D., Morten Schou, M.D., Ph.D., Michele Senni, M.D., David Sim, M.B., B.S., M.Med., Peter van der Meer, M.D., Ph.D., Martin Lefkowitz, M.D., Yinong Zhou, M.D., Jianjian Gong, Ph.D., and Eugene Braunwald, M.D. for the PARADISE-MI Investigators and Committees*

doi : 10.1056/NEJMoa2104508

N Engl J Med 2021; 385:1845-1855

In patients with symptomatic heart failure, sacubitril–valsartan has been found to reduce the risk of hospitalization and death from cardiovascular causes more effectively than an angiotensin-converting–enzyme inhibitor. Trials comparing the effects of these drugs in patients with acute myocardial infarction have been lacking.

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Pembrolizumab for Persistent, Recurrent, or Metastatic Cervical Cancer

Nicoletta Colombo, M.D., Ph.D., Coraline Dubot, M.D., Domenica Lorusso, M.D., Ph.D., M. Valeria Caceres, M.D., Ph.D., Kosei Hasegawa, M.D., Ph.D., Ronnie Shapira-Frommer, M.D., Krishnansu S. Tewari, M.D., Pamela Salman, M.D., Edwin Hoyos Usta, M.D., Eduardo Yañez, M.D., Mahmut Gümü?, M.D., Mivael Olivera Hurtado de Mendoza, M.D., Vanessa Samouëlian, M.D., Ph.D., Vincent Castonguay, M.D., Alexander Arkhipov, M.D., Ph.D., Sarper Toker, M.D., M.B.A., Kan Li, Ph.D., Stephen M. Keefe, M.D., and Bradley J. Monk, M.D. for the KEYNOTE-826 Investigators*

doi : 10.1056/NEJMoa2112435

N Engl J Med 2021; 385:1856-1867

Pembrolizumab has efficacy in programmed death ligand 1 (PD-L1)–positive metastatic or unresectable cervical cancer that has progressed during chemotherapy. We assessed the relative benefit of adding pembrolizumab to chemotherapy with or without bevacizumab.

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100,000 Genomes Pilot on Rare-Disease Diagnosis in Health Care — Preliminary Report

The 100,000 Genomes Project Pilot Investigators

doi : 10.1056/NEJMoa2035790

N Engl J Med 2021; 385:1868-1880

The U.K. 100,000 Genomes Project is in the process of investigating the role of genome sequencing in patients with undiagnosed rare diseases after usual care and the alignment of this research with health care implementation in the U.K. National Health Service. Other parts of this project focus on patients with cancer and infection.

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Pollution and the Heart

Sanjay Rajagopalan, M.D., and Philip J. Landrigan, M.D.

doi : 10.1056/NEJMra2030281

N Engl J Med 2021; 385:1881-1892

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Yellow Sac Spider Bite

Adam S. Cifu, M.D., and Sarah L. Stein, M.D.

doi : 10.1056/NEJMicm2108561

N Engl J Med 2021; 385:1893

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Ocular Findings in the Sturge–Weber Syndrome

Eduardo Roditi, M.D., and Elishai Assayag, M.D.

doi : 10.1056/NEJMicm2107640

N Engl J Med 2021; 385:e68

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Case 34-2021: A 38-Year-Old Man with Altered Mental Status and New Onset of Seizures

Andrew J. Cole, M.D., Jonathan E. Slutzman, M.D., Edward T. Ryan, M.D., Michael H. Lev, M.D., and George Eng, M.D., Ph.D.

doi : 10.1056/NEJMcpc2027080

N Engl J Med 2021; 385:1894-1902

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Alteplase and Thrombectomy — Not a Bridge to Dismantle

Alfonso Ciccone, M.D.

doi : 10.1056/NEJMe2112663

N Engl J Med 2021; 385:1904-1905

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Drawing Boundaries around PARADISE

Lynne W. Stevenson, M.D., and Andrew P. DeFilippis, M.D.

doi : 10.1056/NEJMe2115471

N Engl J Med 2021; 385:1906-1907

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Audio Interview: Covid-19 in Brazil and New Evidence for Vaccinating Younger Children

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

doi : 10.1056/NEJMe2117854

N Engl J Med 2021; 385:e79

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The IARC Perspective on Cervical Cancer Screening

Véronique Bouvard, Ph.D., Nicolas Wentzensen, M.D., Ph.D., Anne Mackie, M.B., B.S., Johannes Berkhof, Ph.D., Julia Brotherton, M.D., Ph.D., Paolo Giorgi-Rossi, Ph.D., Rachel Kupets, M.D., Robert Smith, Ph.D., Silvina Arrossi, Ph.D., Karima Bendahhou, M.D., M.P.H., Karen Canfell, D.Phil., F.A.H.M.S., Z. Mike Chirenje, M.D., Michael H. Chung, M.D., M.P.H., Marta del Pino, M.D., Ph.D., Silvia de Sanjosé, M.D., Ph.D., Miriam Elfström, Ph.D., Eduardo L. Franco, M.P.H., Dr.P.H., Chisato Hamashima, M.D., Dr.Med.Sc., Françoise F. Hamers, M.D., Ph.D., M.P.H., C. Simon Herrington, D.Phil., F.R.C.P., F.R.C.P.E., F.R.C.Path., Raúl Murillo, M.D., M.P.H., Suleeporn Sangrajrang, Ph.D., Rengaswamy Sankaranarayanan, M.D., Mona Saraiya, M.D., M.P.H., Mark Schiffman, M.D., M.P.H., Fanghui Zhao, M.D., Ph.D., Marc Arbyn, M.D., Ph.D., Walter Prendiville, F.R.C.O.G., Blanca I. Indave Ruiz, M.D., Ph.D., M.P.H., Isabel Mosquera-Metcalfe, Ph.D., and Béatrice Lauby-Secretan, Ph.D.

doi : 10.1056/NEJMsr2030640

N Engl J Med 2021; 385:1908-1918

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Adjuvant Pembrolizumab after Nephrectomy in Renal-Cell Carcinoma

doi : 10.1056/NEJMc2115204

N Engl J Med 2021; 385:1919-1920

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Lumasiran, an RNAi Therapeutic for Primary Hyperoxaluria Type 1

doi : 10.1056/NEJMc2107661

N Engl J Med 2021; 385:e69

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Subcutaneous REGEN-COV Antibody Combination to Prevent Covid-19

doi : 10.1056/NEJMc2113862

N Engl J Med 2021; 385:e70

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SARS-CoV-2 Infection among Nursing Home Residents

doi : 10.1056/NEJMc2114113

N Engl J Med 2021; 385:e71

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