New England Journal of Medicine




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Facing the New Covid-19 Reality

Wafaa M. El-Sadr, M.D., M.P.H., M.P.A., Ashwin Vasan, M.D., Ph.D., and Ayman El-Mohandes, M.B., B.C.H., M.D., M.P.H.

doi : 10.1056/NEJMp2213920

February 2, 2023 Vol. 388 No. 5

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Behind-the-Scenes Investment for Equity in Global Health Research

Jessica E. Haberer, M.D., and Yap Boum, II, Ph.D.

doi : 10.1056/NEJMp2213809

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Venkamma’s Dowry

Mala Gaonkar, M.B.A.

doi : 10.1056/NEJMp2208792

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Malaria — Epidemiology, Treatment, and Prevention

Lindsey Baden, M.D., Flaminia Catteruccia, Ph.D., Abdoulaye Diabaté, Ph.D., Cristina Donini, Ph.D., François Nosten, Ph.D., Scott O’Neill, Ph.D., Faith Osier, M.D., Ph.D., Aung Pyae Phyo, Ph.D., and Nicholas White, Ph.D.

doi : 10.1056/NEJMp2216703

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Phase 2 Trial of Baxdrostat for Treatment-Resistant Hypertension

Mason W. Freeman, M.D., Yuan-Di Halvorsen, Ph.D., William Marshall, M.D., Mackenzie Pater, Ph.D., Jon Isaacsohn, M.D., Catherine Pearce, D.H.Sc., Brian Murphy, M.D., M.P.H., Nicholas Alp, M.D., Ajay Srivastava, M.D., Deepak L. Bhatt, M.D., M.P.H., and Morris J. Brown, M.D. for the BrigHTN Investigators*

doi : 10.1056/NEJMoa2213169

Aldosterone synthase controls the synthesis of aldosterone and has been a pharmacologic target for the treatment of hypertension for several decades. Selective inhibition of aldosterone synthase is essential but difficult to achieve because cortisol synthesis is catalyzed by another enzyme that shares 93% sequence similarity with aldosterone synthase.

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VV116 versus Nirmatrelvir–Ritonavir for Oral Treatment of Covid-19

Zhujun Cao, M.D., Ph.D., Weiyi Gao, M.D., Ph.D., Hong Bao, M.D., Ph.D., Haiyan Feng, M.D., Shuya Mei, M.D., Ph.D., Peizhan Chen, Ph.D., Yueqiu Gao, M.D., Ph.D., Zhilei Cui, M.D., Ph.D., Qin Zhang, M.D., Ph.D., Xianmin Meng, Ph.D., Honglian Gui, M.D., Ph.D., Weijing Wang, M.D., Ph.D., Yimei Jiang, M.D., Zijia Song, M.D., Ph.D., Yiqing Shi, M.D., Jing Sun, M.D., Ph.D., Yifei Zhang, M.D., Ph.D., Qing Xie, M.D., Ph.D., Yiping Xu, Ph.D., Guang Ning, M.D., Yuan Gao, M.D., Ph.D., and Ren Zhao, M.D., Ph.D.

doi : 10.1056/NEJMoa2208822

Nirmatrelvir–ritonavir has been authorized for emergency use by many countries for the treatment of coronavirus disease 2019 (Covid-19). However, the supply falls short of the global demand, which creates a need for more options. VV116 is an oral antiviral agent with potent activity against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

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Hypothermia or Machine Perfusion in Kidney Donors

Darren Malinoski, M.D., Christina Saunders, Ph.D., Sharon Swain, M.S.N., R.N., Tahnee Groat, M.P.H., Patrick R. Wood, M.D., Jeffrey Reese, M.D., Rachel Nelson, M.S., Jennifer Prinz, M.P.H.-H.P.A., B.S.N., Kate Kishish, R.N., Craig Van De Walker, M.S., P.J. Geraghty, M.B.A., Kristine Broglio, M.S., and Claus U. Niemann, M.D.

doi : 10.1056/NEJMoa2118265

Therapeutic hypothermia in brain-dead organ donors has been shown to reduce delayed graft function in kidney recipients after transplantation. Data are needed on the effect of hypothermia as compared with machine perfusion on outcomes after kidney transplantation.

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Effectiveness of a Meningococcal Group B Vaccine (4CMenB) in Children

Jesús Castilla, M.D., Ph.D., Manuel García Cenoz, M.D., Ph.D., Raquel Abad, Ph.D., Laura Sánchez-Cambronero, M.D., Nicola Lorusso, M.D., Conchita Izquierdo, Ph.D., Soledad Cañellas Llabrés, M.D., Javier Roig, M.D., Alberto Malvar, M.D., Fernando González Carril, M.Sc., An L.D. Boone, M.D., Jaime Pérez Martín, M.D., M. Jesús Rodríguez Recio, M.D., Antònia Galmés, M.D., Arturo Caballero, M.D., Amós García Rojas, M.D., Felipe Juanas, M.D., Mercedes Nieto, M.D., Luis J. Viloria Raymundo, M.D., Eva Martínez Ochoa, M.D., Ana I. Rivas, M.D., Daniel Castrillejo, Ph.D., David Moreno Pérez, M.D., Ana Martínez, Ph.D., Eva Borràs, Ph.D., Amaya Sánchez Gómez, Ph.D., Eliseo Pastor, M.D., Victoria Nartallo, M.D., José M. Arteagoitia, M.D., Blanca �lvarez-Fernández, R.N., Rocío García Pina, M.D., Socorro Fernández Arribas, M.D., Joana Vanrell, M.D., Sara García Hernández, R.N., Rita M. Mendoza, M.D., Manuel Méndez, M.D., M. Mar López-Tercero, M.D., �ngela Fernández-Rodríguez, Ph.D., �ngela Blanco, M.D., F. Javier Carrillo de Albornoz, M.D., José Ruiz Olivares, M.D., Rafael Ruiz-Montero, M.P.H., Aurora Limia, M.D., Ph.D., José A. Navarro-Alonso, M.D., Julio A. Vázquez, Ph.D., and Aurelio Barricarte, M.D., Ph.D.

doi : 10.1056/NEJMoa2206433

In September 2015, the four-component, protein-based meningococcal serogroup B vaccine (4CMenB; Bexsero) became available for private purchase in Spain.

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Humoral Innate Immunity and Acute-Phase Proteins

Alberto Mantovani, M.D., and Cecilia Garlanda, Ph.D.

doi : 10.1056/NEJMra2206346

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Cerebral Alveolar Echinococcosis

Hu Ju, M.D., and Chuanchuan Liu, M.D., Ph.D.

doi : 10.1056/NEJMicm2202196

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Cerebral Cystic Echinococcosis

Sumit Thakar, M.B., B.S., M.Ch., and Akhil Sunil, M.B., B.S., D.N.B.

doi : 10.1056/NEJMicm2208104

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A Breathtaking Discovery

Jonathan Coraor Fried, M.D., John J. Ross, M.D., Zoe F. Weiss, M.D., Bruce D. Levy, M.D., and Joseph Loscalzo, M.D., Ph.D.

doi : 10.1056/NEJMcps2209057

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Decreasing the Effects of Aldosterone in Resistant Hypertension — A Success Story

Michel Azizi, M.D., Ph.D.

doi : 10.1056/NEJMe2216143

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Aldosterone and Treatment-Resistant Hypertension

Jane A. Leopold, M.D., and Julie R. Ingelfinger, M.D.

doi : 10.1056/NEJMe2213559

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To Cool or Not to Cool — Organ-Preservation Strategies in Transplantation

Paulo N. Martins, M.D., Ph.D., and Winfred W. Williams, M.D.

doi : 10.1056/NEJMe2214715

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Audio Interview: Updating and Standardizing Covid-19 Vaccines

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

doi : 10.1056/NEJMe2301319

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The Implications of the 2022 Election Outcome for Health Policy

Robert J. Blendon, Sc.D., and John M. Benson, M.A.

doi : 10.1056/NEJMsr2214949

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Translational Challenges in Psychedelic Medicine

Robin L. Carhart-Harris, Ph.D.

doi : 10.1056/NEJMcibr2213109

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Multiple Cerebral Hemorrhages in a Patient Receiving Lecanemab and Treated with t-PA for Stroke

doi : 10.1056/NEJMc2215148

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Response to: Multiple Cerebral Hemorrhages in a Patient Receiving Lecanemab and Treated with t-PA for Stroke

doi : 10.1056/NEJMc2215907

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Racial and Ethnic Differences in Bystander CPR

doi : 10.1056/NEJMc2215238

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Antiviral Agents against Omicron Subvariant BA.4.6 In Vitro

doi : 10.1056/NEJMc2216611

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