New England Journal of Medicine




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Privacy and Security — Protecting Patients’ Health Information

Sharona Hoffman, J.D., L.L.M., S.J.D.

doi : 10.1056/NEJMp2201676

Vol. 387 No. 21

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Protecting Care for All — Gender-Affirming Care in Section 1557 and Beyond

Megan Lane, M.D., Anna R. Kirkland, J.D., Ph.D., and Daphna Stroumsa, M.D., M.P.H.

doi : 10.1056/NEJMp2212586

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Protecting Transgender Health and Challenging Science Denialism in Policy

Meredithe McNamara, M.D., Christina Lepore, B.A., and Anne Alstott, J.D.

doi : 10.1056/NEJMp2213085

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Triglyceride Lowering with Pemafibrate to Reduce Cardiovascular Risk

Aruna Das Pradhan, M.D., M.P.H., Robert J. Glynn, Sc.D., Jean-Charles Fruchart, Ph.D., Jean G. MacFadyen, B.A., Elaine S. Zaharris, B.A., Brendan M. Everett, M.D., M.P.H., Stuart E. Campbell, B.A., Ryu Oshima, M.S., R.Ph., Pierre Amarenco, M.D., Dirk J. Blom, M.D., Ph.D., Eliot A. Brinton, M.D., Robert H. Eckel, M.D.,

doi : 10.1056/NEJMoa2210645

High triglyceride levels are associated with increased cardiovascular risk, but whether reductions in these levels would lower the incidence of cardiovascular events is uncertain. Pemafibrate, a selective peroxisome proliferator–activated receptor α modulator, reduces triglyceride levels and improves other lipid levels.

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Lifting Universal Masking in Schools — Covid-19 Incidence among Students and Staff

Tori L. Cowger, Ph.D., M.P.H., Eleanor J. Murray, Sc.D., M.P.H., Jaylen Clarke, M.Sc., Mary T. Bassett, M.D., M.P.H., Bisola O. Ojikutu, M.D., M.P.H., Sarimer M. Sánchez, M.D., M.P.H., Natalia Linos, Sc.D., and Kathryn T. Hall, Ph.D., M.P.H.

doi : 10.1056/NEJMoa2211029

In February 2022, Massachusetts rescinded a statewide universal masking policy in public schools, and many Massachusetts school districts lifted masking requirements during the subsequent weeks.

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Defibrillation Strategies for Refractory Ventricular Fibrillation

Sheldon Cheskes, M.D., P. Richard Verbeek, M.D., Ian R. Drennan, A.C.P., Ph.D., Shelley L. McLeod, Ph.D., Linda Turner, Ph.D., Ruxandra Pinto, Ph.D., Michael Feldman, M.D., Ph.D., Matthew Davis, M.D., Christian Vaillancourt, M.D., Laurie J. Morrison, M.D., Paul Dorian, M.D., and Damon C. Scales, M.D., Ph.D.

doi : 10.1056/NEJMoa2207304

Despite advances in defibrillation technology, shock-refractory ventricular fibrillation remains common during out-of-hospital cardiac arrest. Double sequential external defibrillation (DSED; rapid sequential shocks from two defibrillators) and vector-change (VC) defibrillation (switching defibrillation pads to an anterior–posterior position) have been proposed as defibrillation strategies to improve outcomes in patients with refractory ventricular fibrillation.

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Efficacy and Safety of Bepirovirsen in Chronic Hepatitis B Infection

Man-Fung Yuen, M.D., Ph.D., D.Sc., Seng-Gee Lim, M.B., B.S., M.D., Robert Plesniak, M.D., Ph.D., Keiji Tsuji, M.D., Ph.D., Harry L.A. Janssen, M.D., Ph.D., Cristina Pojoga, M.D., Ph.D., Adrian Gadano, M.D., Ph.D., Corneliu P. Popescu, M.D., Ph.D., Tatyana Stepanova, M.Sc., Tarik Asselah, M.D., Ph.D., Gheorghe Diaconescu, M.D., Ph.D., Hyung Joon Yim, M.D., Ph.D.,

doi : 10.1056/NEJMoa2210027

Bepirovirsen is an antisense oligonucleotide that targets all hepatitis B virus (HBV) messenger RNAs and acts to decrease levels of viral proteins.

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Climate Change and Vectorborne Diseases

Madeleine C. Thomson, Ph.D., and Lawrence R. Stanberry, M.D., Ph.D.

doi : 10.1056/NEJMra2200092

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Focused Cardiac Ultrasonography for Right Ventricular Size and Systolic Function

Gabriel Prada, M.D., Aliaksei Pustavoitau, M.D., M.H.S., Seth Koenig, M.D., Carol Mitchell, Ph.D., Raymond F. Stainback, M.D., and José L. Díaz-Gómez, M.D.

doi : 10.1056/NEJMvcm2004089

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Pyogenic Granuloma

David Komakech, M.B., Ch.B., and Brian Ssenkumba, M.B., Ch.B.

doi : 10.1056/NEJMicm2204602

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Aural Myiasis

Catarina Rato, M.D., and Gustavo Lopes, M.D.

doi : 10.1056/NEJMicm2005407

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Case 36-2022: A 30-Year-Old Woman with Decreased Vision and Headache

Michael Levy, M.D., Ph.D., Bart K. Chwalisz, M.D., Benjamin M. Kozak, M.D., Michael K. Yoon, M.D., Helen A. Shih, M.D., and Anna M. Stagner, M.D.

doi : 10.1056/NEJMcpc2211355

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The Fibrates Story — A Tepid End to a PROMINENT Drug

Salim S. Virani, M.D., Ph.D.

doi : 10.1056/NEJMe2213208

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Universal Masking Policies in Schools and Mitigating the Inequitable Costs of Covid-19

Julia Raifman, Sc.D., and Tiffany Green, Ph.D.

doi : 10.1056/NEJMe2213556

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Defibrillation after Cardiac Arrest — Is It Time to Change Practice?

Comilla Sasson, M.D., Ph.D., and Jason Haukoos, M.D.

doi : 10.1056/NEJMe2213562

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A Modern Therapy for an Ancient Disease

Jay H. Hoofnagle, M.D.

doi : 10.1056/NEJMe2213449

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Audio Interview: Making Choices about Covid-19

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

doi : 10.1056/NEJMe2215241

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IARC Perspective on Oral Cancer Prevention

Véronique Bouvard, Ph.D., Suzanne T. Nethan, M.D.S., Deependra Singh, Ph.D., Saman Warnakulasuriya, Ph.D., Ravi Mehrotra, M.D., Ph.D., Anil K. Chaturvedi, M.P.H., Ph.D., Tony Hsiu-Hsi Chen, Ph.D., Olalekan A. Ayo-Yusuf, M.P.H., Ph.D., Prakash C. Gupta, Ph.D., Alexander R. Kerr, D.D.S., Wanninayake M. Tilakaratne, Ph.D., Devasena Anantharaman, Ph.D.,

doi : 10.1056/NEJMsr2210097

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Open-Source Automated Insulin Delivery in Type 1 Diabetes

doi : 10.1056/NEJMc2213228

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Stress Testing in High-Risk Patients after PCI

doi : 10.1056/NEJMc2213111

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Mucosal IgA against SARS-CoV-2 Omicron Infection

doi : 10.1056/NEJMc2213153

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Self-Contained Neuromusculoskeletal Arm Prostheses

doi : 10.1056/NEJMx220013

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