New England Journal of Medicine




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Choosing the Right Path toward Polio Eradication

Konstantin Chumakov, Ph.D., D.Sci., Christian Brechot, M.D., Ph.D., Robert C. Gallo, M.D., and Stanley Plotkin, M.D.

doi : 10.1056/NEJMp2215257

February 16, 2023 Vol. 388 No. 7

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The Journey to RSV Vaccines — Heralding an Era of Structure-Based Design

Barney S. Graham, M.D., Ph.D.

doi : 10.1056/NEJMp2216358

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Looking After Our Own

Richard M. Boulay, M.D.

doi : 10.1056/NEJMp2214345

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Hunting for a Diagnosis

Leslie Chang, M.D., Debra Malina, Ph.D., Lisa Rosenbaum, M.D., Caren Solomon, M.D., M.P.H., and Timothy Vining

doi : 10.1056/NEJMp2301054

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Breast-Conserving Surgery with or without Irradiation in Early Breast Cancer

Ian H. Kunkler, M.B., B.Chir., Linda J. Williams, Ph.D., Wilma J.L. Jack, M.B., Ch.B., David A. Cameron, M.D., and J. Michael Dixon, M.D.

doi : 10.1056/NEJMoa2207586

Limited level 1 evidence is available on the omission of radiotherapy after breast-conserving surgery in older women with hormone receptor–positive early breast cancer receiving adjuvant endocrine therapy.

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Respiratory Syncytial Virus Prefusion F Protein Vaccine in Older Adults

Alberto Papi, M.D., Michael G. Ison, M.D., Joanne M. Langley, M.D., Dong-Gun Lee, M.D., Ph.D., Isabel Leroux-Roels, M.D., Ph.D., Federico Martinon-Torres, M.D., Ph.D., Tino F. Schwarz, M.D., Ph.D., Richard N. van Zyl-Smit, M.D., Ph.D., Laura Campora, M.D., Nancy Dezutter, Ph.D., Nathalie de Schrevel, Ph.D., Laurence Fissette, M.S.,

doi : 10.1056/NEJMoa2209604

Respiratory syncytial virus (RSV) is an important cause of acute respiratory infection, lower respiratory tract disease, clinical complications, and death in older adults. There is currently no licensed vaccine against RSV infection.

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Efficacy and Safety of an Ad26.RSV.preF–RSV preF Protein Vaccine in Older Adults

Ann R. Falsey, M.D., Kristi Williams, Ph.D., Efi Gymnopoulou, Ph.D., Stephan Bart, M.D., John Ervin, M.D., Arangassery R. Bastian, Ph.D., Joris Menten, Ph.D., Els De Paepe, M.Sc., Sjouke Vandenberghe, Ph.D., Eric K.H. Chan, Ph.D., Jerald Sadoff, M.D., Macaya Douoguih, M.D.,

doi : 10.1056/NEJMoa2207566

Respiratory syncytial virus (RSV) can cause serious lower respiratory tract disease in older adults, but no licensed RSV vaccine currently exists. An adenovirus serotype 26 RSV vector encoding a prefusion F (preF) protein (Ad26.RSV.preF) in combination with RSV preF protein was previously shown to elicit humoral and cellular immunogenicity.

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Evaluation of BNT162b2 Covid-19 Vaccine in Children Younger than 5 Years of Age

Flor M. Muñoz, M.D., Lawrence D. Sher, M.D., Charu Sabharwal, M.D., M.P.H., Alejandra Gurtman, M.D., Xia Xu, Ph.D., Nicholas Kitchin, M.D., Stephen Lockhart, D.M., Robert Riesenberg, M.D., Joanna M. Sexter, M.D., Hanna Czajka, M.D., Grant C. Paulsen, M.D., Yvonne Maldonado, M.D.,

doi : 10.1056/NEJMoa2211031

Safe and effective vaccines against coronavirus disease 2019 (Covid-19) are urgently needed in young children.

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Transient Global Amnesia

Allan H. Ropper, M.D.

doi : 10.1056/NEJMra2213867

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Tuberculous Optochiasmatic Arachnoiditis

Carmen Amado, M.D., and Karlo J. Lizárraga, M.D.

doi : 10.1056/NEJMicm2205437

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Bilothorax

Yu Kurahara, M.D., and Ikue Nagayama, M.D.

doi : 10.1056/NEJMicm2206943

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Case 5-2023: A 67-Year-Old Man with Interstitial Lung Disease, Fever, and Myalgias

Hemal N. Sampat, M.D., Amita Sharma, M.D., and E. Zachary Nussbaum, M.D.

doi : 10.1056/NEJMcpc2211364

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Overcoming Resistance — Omission of Radiotherapy for Low-Risk Breast Cancer

Alice Y. Ho, M.D., and Jennifer R. Bellon, M.D.

doi : 10.1056/NEJMe2216133

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Audio Interview: What to Expect from Covid-19 Vaccines

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

doi : 10.1056/NEJMe2301645

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Oral Vancomycin as Secondary Prophylaxis for Prevention of Recurrent Clostridioides difficile Infection

Leslie L. Chang, M.D., Jessica Allegretti, M.D., M.P.H., Andrew M. Skinner, M.D., and Erik R. Dubberke, M.D., M.S.P.H.

doi : 10.1056/NEJMclde2204692

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Uncoupling Metastasis from Tumorigenesis

Karuna Ganesh, M.D., Ph.D.

doi : 10.1056/NEJMcibr2213497

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Failure of Androgen-Deprivation Therapy Due to Ectopic hCG Secretion

doi : 10.1056/NEJMc2213461

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Substantial Neutralization Escape by SARS-CoV-2 Omicron Variants BQ.1.1 and XBB.1

doi : 10.1056/NEJMc2214314

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Protection against Reinfection with the Omicron BA.2.75 Subvariant

doi : 10.1056/NEJMc2214114

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Cerebral Embolic Protection during TAVR

doi : 10.1056/NEJMc2215783

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Spontaneous-Breathing Trials with Mechanical Ventilation

doi : 10.1056/NEJMc2216379

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Reflections of a Black Program Director

Sara Whetstone, M.D., M.H.S.

doi : 10.1056/NEJMpv2214871

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Effectiveness of Covid-19 Vaccines against the B.1.617.2 (Delta) Variant

doi : 10.1056/NEJMx210015

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Adjuvant Nivolumab in Resected Esophageal or Gastroesophageal Junction Cancer

doi : 10.1056/NEJMx220014

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