New England Journal of Medicine




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Access to Biomedical Innovation — Inside the Legal Labyrinth

Arti K. Rai, J.D.

doi : 10.1056/NEJMp2202098

Vol. 388 No. 17

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How the FDA Can Improve Public Health — Helping People Stop Smoking

Neal L. Benowitz, M.D., Kenneth E. Warner, Ph.D., Matthew L. Myers, J.D., Dorothy Hatsukami, Ph.D., Micah L. Berman, J.D., Donna Vallone, Ph.D., and Joanna E. Cohen, Ph.D.

doi : 10.1056/NEJMp2301700

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Racial Affinity Group Caucusing in Medical Education — A Key Supplement to Antiracism Curricula

Leanna Lewis, M.S.W., Camila Cribb Fabersunne, M.D., M.P.H., Corina L. Iacopetti, M.D., Gabby Negussie-Retta, M.S., Dannielle McBride, M.D., Paul Irving, B.A., and Jyothi Marbin, M.D.

doi : 10.1056/NEJMp2212866

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Fifteen-Year Outcomes after Monitoring, Surgery, or Radiotherapy for Prostate Cancer

Freddie C. Hamdy, F.R.C.S.(Urol.), F.Med.Sci., Jenny L. Donovan, Ph.D., F.Med.Sci., J. Athene Lane, Ph.D., Chris Metcalfe, Ph.D., Michael Davis, M.Sc., Emma L. Turner, Ph.D., Richard M. Martin, B.M., B.S., Ph.D., Grace J. Young, M.Sc., Eleanor I. Walsh, M.Sc., Richard J. Bryant, Ph.D., F.R.C.S.(Urol.), Prasad Bollina, M.B., B.S., F.R.C.S.(Urol.), Andrew Doble, F.R.C.S.(Urol.),

doi : 10.1056/NEJMoa2214122

Between 1999 and 2009 in the United Kingdom, 82,429 men between 50 and 69 years of age received a prostate-specific antigen (PSA) test. Localized prostate cancer was diagnosed in 2664 men. Of these men, 1643 were enrolled in a trial to evaluate the effectiveness of treatments, with 545 randomly assigned to receive active monitoring, 553 to undergo prostatectomy, and 545 to undergo radiotherapy.

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Genomic Diagnosis of Rare Pediatric Disease in the United Kingdom and Ireland

Caroline F. Wright, Ph.D., Patrick Campbell, M.B., B.S., Ruth Y. Eberhardt, Ph.D., Stuart Aitken, Ph.D., Daniel Perrett, M.Phil., Simon Brent, B.Sc., Petr Danecek, Ph.D., Eugene J. Gardner, Ph.D., V. Kartik Chundru, Ph.D., Sarah J. Lindsay, Ph.D., Katrina Andrews, M.B., B.Ch., Juliet Hampstead, B.Sc.,

doi : 10.1056/NEJMoa2209046

Pediatric disorders include a range of highly penetrant, genetically heterogeneous conditions amenable to genomewide diagnostic approaches. Finding a molecular diagnosis is challenging but can have profound lifelong benefits.

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Blinatumomab Added to Chemotherapy in Infant Lymphoblastic Leukemia

Inge M. van der Sluis, M.D., Ph.D., Paola de Lorenzo, Ph.D., Rishi S. Kotecha, M.B., Ch.B., Ph.D., Andishe Attarbaschi, M.D., Gabriele Escherich, M.D., Karsten Nysom, M.D., Ph.D., Jan Stary, M.D., Ph.D., Alina Ferster, M.D., Benoit Brethon, M.D., Franco Locatelli, M.D., Ph.D., Martin Schrappe, M.D., Peggy E. Scholte-van Houtem, M.Sc., Maria G. Valsecchi, Ph.D., and Rob Pieters, M.D., Ph.D.

doi : 10.1056/NEJMoa2214171

KMT2A-rearranged acute lymphoblastic leukemia (ALL) in infants is an aggressive disease with 3-year event-free survival below 40%. Most relapses occur during treatment, with two thirds occurring within 1 year and 90% within 2 years after diagnosis. Outcomes have not improved in recent decades despite intensification of chemotherapy.

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Randomized Trial of BCG Vaccine to Protect against Covid-19 in Health Care Workers

Laure F. Pittet, Ph.D., Nicole L. Messina, Ph.D., Francesca Orsini, M.Sc., Cecilia L. Moore, Ph.D., Veronica Abruzzo, M.Clin.Epi., Simone Barry, Ph.D., Rhian Bonnici, B.Sc., Marc Bonten, Ph.D., John Campbell, M.D., Julio Croda, Ph.D., Margareth Dalcolmo, Ph.D., Kaya Gardiner, M.P.H.,

doi : 10.1056/NEJMoa2212616

The bacille Calmette–Guérin (BCG) vaccine has immunomodulatory “off-target� effects that have been hypothesized to protect against coronavirus disease 2019 (Covid-19).

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Advances in Artificial Intelligence for Infectious-Disease Surveillance

John S. Brownstein, Ph.D., Benjamin Rader, M.P.H., Christina M. Astley, M.D., Sc.D., and Huaiyu Tian, Ph.D.

doi : 10.1056/NEJMra2119215

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Dissecting Cellulitis of the Scalp

Salim N. Najjar, M.D., and Alec B. Rezigh, M.D.

doi : 10.1056/NEJMicm2211456

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Isolated Ulnar Shaft Fracture

Ting-Han Tai, M.D., and Chih-Yu Chen, M.D., Ph.D.

doi : 10.1056/NEJMicm2211242

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Case 13-2023: A 25-Year-Old Woman with Abdominal Pain and Jerking Movements

Leigh H. Simmons, M.D., Mladen Nisavic, M.D., and Amy K. Dickey, M.D.

doi : 10.1056/NEJMcpc2300896

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Localized Prostate Cancer — Then and Now

Oliver Sartor, M.D.

doi : 10.1056/NEJMe2300807

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Genomics in Clinical Practice

Jennifer E. Posey, M.D., Ph.D., and James R. Lupski, M.D., Ph.D.

doi : 10.1056/NEJMe2302643

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Audio Interview: Preparing for the Next Pandemic

Eric J. Rubin, M.D., Ph.D., Lindsey R. Baden, M.D., Quarraisha Abdool Karim, Ph.D., Salim S. Abdool Karim, M.B., Ch.B., Ph.D., Richard P. Wenzel, M.D., and Stephen Morrissey, Ph.D.

doi : 10.1056/NEJMe2305010

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Dietary Sodium Restriction in Patients with Heart Failure

Leslie L. Chang, M.D., Jacqueline T. DesJardin, M.D., Michelle A. Albert, M.D., M.P.H., Justin Ezekowitz, M.B., B.Ch., and Salim Yusuf, M.D., D.Phil.

doi : 10.1056/NEJMclde2215283

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SARS-CoV-2 Variants and Multisystem Inflammatory Syndrome in Children

doi : 10.1056/NEJMc2215074

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TET2-Driver and NLRC4-Passenger Variants in Adult-Onset Autoinflammation

doi : 10.1056/NEJMc2212928

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Extent of Surgery for Stage IA Non–Small-Cell Lung Cancer

doi : 10.1056/NEJMc2302856

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Lecanemab in Early Alzheimer’s Disease

doi : 10.1056/NEJMc2301380

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