New England Journal of Medicine




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The War-Zone Mentality — Mental Health Effects of Gun Violence in U.S. Children and Adolescents

James Garbarino, Ph.D.

doi : 10.1056/NEJMp2209422

Vol. 387 No. 13

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Intradermal Vaccination for Monkeypox — Benefits for Individual and Public Health

John T. Brooks, M.D., Peter Marks, M.D., Ph.D., Robert H. Goldstein, M.D., Ph.D., and Rochelle P. Walensky, M.D., M.P.H.

doi : 10.1056/NEJMp2211311

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Product Hopping in the Drug Industry — Lessons from Albuterol

Olivier J. Wouters, Ph.D., William B. Feldman, M.D., D.Phil., M.P.H., and S. Sean Tu, J.D., Ph.D.

doi : 10.1056/NEJMp2208613

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A Hidden Crisis

Sadie T. Velasquez, M.D., James Cleveland, Ph.D., M.S.N., R.N., David O. Diaz, D.D.S., Diane Ferguson, R.N., Rebecca Moote, Pharm.D., Kathryn Parke, D.N.P., R.N., Bridgett Piernik-Yoder, Ph.D., George Folz, B.F.A.*, and Joseph A. Zorek, Pharm.D.

doi : 10.1056/NEJMp2209491

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Sickle Cell Disease and Gene Therapy — Patient and Physician Perspectives

Michael DeBaun, M.D., M.P.H., Matthew Heeney, M.D., Terry Jackson, Ph.D., Dan Longo, M.D., Melesa Love, Trinity Love, Phillip Okwo, Alexis Thompson, M.D., M.P.H., Cassandra Trimnell, and Teonna Woolford

doi : 10.1056/NEJMp2212269

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Multicenter, Randomized Trial of a Bionic Pancreas in Type 1 Diabetes

doi : 10.1056/NEJMoa2205225

Currently available semiautomated insulin-delivery systems require individualized insulin regimens for the initialization of therapy and meal doses based on carbohydrate counting for routine operation. In contrast, the bionic pancreas is initialized only on the basis of body weight, makes all dose decisions and delivers insulin autonomously, and uses meal announcements without carbohydrate counting.

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Bronchodilators in Tobacco-Exposed Persons with Symptoms and Preserved Lung Function

MeiLan K. Han, M.D., Wen Ye, Ph.D., Di Wang, M.S., Emily White, M.S., Mehrdad Arjomandi, M.D., Igor Z. Barjaktarevic, M.D., Stacey-Ann Brown, M.D., Russell G. Buhr, M.D., Alejandro P. Comellas, M.D., Christopher B. Cooper, M.D., Gerard J. Criner, M.D., Mark T. Dransfield, M.D.,

doi : 10.1056/NEJMoa2204752

Many persons with a history of smoking tobacco have clinically significant respiratory symptoms despite an absence of airflow obstruction as assessed by spirometry. They are often treated with medications for chronic obstructive pulmonary disease (COPD), but supporting evidence for this treatment is lacking.

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Acetazolamide in Acute Decompensated Heart Failure with Volume Overload

Wilfried Mullens, M.D., Ph.D., Jeroen Dauw, M.D., Pieter Martens, M.D., Ph.D., Frederik H. Verbrugge, M.D., Ph.D., Petra Nijst, M.D., Ph.D., Evelyne Meekers, M.D., Katrien Tartaglia, M.Sc., Fabien Chenot, M.D., Samer Moubayed, M.D., Riet Dierckx, M.D., Ph.D., Philippe Blouard, M.D., Pierre Troisfontaines, M.D.,

doi : 10.1056/NEJMoa2203094

Whether acetazolamide, a carbonic anhydrase inhibitor that reduces proximal tubular sodium reabsorption, can improve the efficiency of loop diuretics, potentially leading to more and faster decongestion in patients with acute decompensated heart failure with volume overload, is unclear.

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GPRC5D-Targeted CAR T Cells for Myeloma

Sham Mailankody, M.B., B.S., Sean M. Devlin, Ph.D., Jonathan Landa, D.O., Karthik Nath, M.B., B.S., Ph.D., Claudia Diamonte, B.S.N., R.N., O.C.N., Elizabeth J. Carstens, M.D., Douglas Russo, M.S., Romany Auclair, M.D., Lisa Fitzgerald, M.S.N., Briana Cadzin, B.S.N., R.N., Xiuyan Wang, Ph.D., Devanjan Sikder, Ph.D.,

doi : 10.1056/NEJMoa2209900

B-cell maturation antigen (BCMA)–directed chimeric antigen receptor (CAR) T-cell therapies have generated responses in patients with advanced myeloma, but relapses are common. G protein–coupled receptor, class C, group 5, member D (GPRC5D) has been identified as an immunotherapeutic target in multiple myeloma. Preclinical studies have shown the efficacy of GPRC5D-targeted CAR T cells, including activity in a BCMA antigen escape model.

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Gastroesophageal Reflux Disease

Ronnie Fass, M.D.

doi : 10.1056/NEJMcp2114026

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Lepromatous Leprosy

Shekhar Neema, M.D., and Santosh Battula, M.B., B.S.

doi : 10.1056/NEJMicm2202533

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Autosomal Dominant Osteopetrosis

Torcato Meira, M.D., Ph.D., and Joao P. Soares-Fernandes, M.D.

doi : 10.1056/NEJMicm2202055

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Case 30-2022: A Newborn Girl with Hypoglycemia

Sarbattama Sen, M.D., Sjirk J. Westra, M.D., Juan D. Matute, M.D., Jordan S. Sherwood, M.D., Frances A. High, M.D., Ph.D., and Melanie C. Kwan, M.D.

doi : 10.1056/NEJMcpc2201243

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Seeking Simpler Solutions with Diabetes Technology

Jennifer Sherr, M.D., Ph.D.

doi : 10.1056/NEJMe2210686

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RETHINCking COPD — Bronchodilators for Symptomatic Tobacco-Exposed Persons with Preserved Lung Function?

Don D. Sin, M.D., M.P.H.

doi : 10.1056/NEJMe2210347

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New Decongestion Strategies in an Evolving Heart Failure Landscape

G. Michael Felker, M.D.

doi : 10.1056/NEJMe2209997

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Audio Interview: Assessing Bivalent Vaccines against Covid-19

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

doi : 10.1056/NEJMe2212736

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Neutralization of SARS-CoV-2 Omicron BA.2.75 after mRNA-1273 Vaccination

doi : 10.1056/NEJMc2210648

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Efficacy of Antiviral Agents against the Omicron Subvariant BA.2.75

doi : 10.1056/NEJMc2209952

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Adagrasib in Non–Small-Cell Lung Cancer

doi : 10.1056/NEJMc2210539

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A Novel Circulating MicroRNA for the Detection of Acute Myocarditis

doi : 10.1056/NEJMc2115639

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Quality Improvement and Children’s Hospitals

doi : 10.1056/NEJMc2211270

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Gliflozins in the Management of Cardiovascular Disease

doi : 10.1056/NEJMx220008

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