New England Journal of Medicine




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Sharing Pathogen Genomic Sequence Data — Toward Effective Pandemic Prevention, Preparedness, and Response

Sam Halabi, J.D., M.Phil., Richard Wilder, J.D., Lawrence O. Gostin, J.D., and Maria Luisa Hurtado, L.L.B.

doi : 10.1056/NEJMp2304214

Vol. 388 No. 26

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Hydrofluorocarbons, Climate, and Health — Moving the Montreal Protocol beyond Ozone-Layer Recovery

Ashley Woodcock, M.D.

doi : 10.1056/NEJMp2302197

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Patient-Assistance Programs, Kickbacks, and the Courts

Jacob T. Elberg, J.D., Eli Y. Adashi, M.D., and I. Glenn Cohen, J.D.

doi : 10.1056/NEJMp2303535

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Early versus Later Anticoagulation for Stroke with Atrial Fibrillation

Urs Fischer, M.D., Masatoshi Koga, M.D., Ph.D., Daniel Strbian, Ph.D., Mattia Branca, Ph.D., Stefanie Abend, B.Sc., Sven Trelle, M.D., Maurizio Paciaroni, M.D., Götz Thomalla, M.D., Patrik Michel, M.D., Krassen Nedeltchev, M.D., Leo H. Bonati, M.D., George Ntaios, M.D., Thomas Gattringer, Ph.D., Else-Charlotte Sandset, Ph.D., Peter Kelly, M.D., Robin Lemmens, Ph.D., P.N. Sylaja, M.D., Diana Aguiar de Sousa, Ph.D., Natan M. Bornstein, M.D., Zuzana Gdovinova, M.D., Ph.D., Takeshi Yoshimoto, M.D., Ph.D., Marjaana Tiainen, M.D., Ph.D., Helen Thomas, R.N., Manju Krishnan, M.B., B.S., Gek C. Shim, M.B., B.Ch., Christoph Gumbinger, M.D., Jochen Vehoff, M.D., Liqun Zhang, M.D., Ph.D., Kosuke Matsuzono, M.D., Ph.D., Espen Kristoffersen, M.D., Ph.D., Philippe Desfontaines, M.D., Peter Vanacker, M.D., Ph.D., Angelika Alonso, M.D., Yusuke Yakushiji, M.D., Ph.D., Caterina Kulyk, M.D., Dimitri Hemelsoet, M.D., Sven Poli, M.D., Ana Paiva Nunes, M.D., Nicoletta Caracciolo, M.D., Peter Slade, M.B., B.Ch., Jelle Demeestere, M.D., Ph.D., Alexander Salerno, M.D., Markus Kneihsl, M.D., Ph.D., Timo Kahles, M.D., Daria Giudici, M.D., Kanta Tanaka, M.D., Ph.D., Silja Räty, M.D., Ph.D., Rea Hidalgo, R.N., David J. Werring, F.R.C.P., Ph.D., Martina Göldlin, M.D., Marcel Arnold, M.D., Cecilia Ferrari, M.B.A.-I.H.M., Seraina Beyeler, Ph.D., Christian Fung, M.D., Bruno J. Weder, M.D., Turgut Tatlisumak, M.D., Ph.D., Sabine Fenzl, M.D., Beata Rezny-Kasprzak, M.D., Arsany Hakim, M.D., Georgia Salanti, Ph.D., Claudio Bassetti, M.D., Jan Gralla, M.D., David J. Seiffge, M.D., Thomas Horvath, M.D., and Jesse Dawson, M.D. for the ELAN Investigators*

doi : 10.1056/NEJMoa2303048

The effect of early as compared with later initiation of direct oral anticoagulants (DOACs) in persons with atrial fibrillation who have had an acute ischemic stroke is unclear.

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Familial Clonal Hematopoiesis in a Long Telomere Syndrome

Emily A. DeBoy, B.S., Michael G. Tassia, Ph.D., Kristen E. Schratz, M.D., Stephanie M. Yan, B.A., Zoe L. Cosner, M.D., Emily J. McNally, B.S., Dustin L. Gable, M.D., Ph.D., Zhimin Xiang, M.B., B.S., David B. Lombard, M.D., Ph.D., Emmanuel S. Antonarakis, M.D., Christopher D. Gocke, M.D., Rajiv C. McCoy, Ph.D., and Mary Armanios, M.D.

doi : 10.1056/NEJMoa2300503

Telomere shortening is a well-characterized cellular aging mechanism, and short telomere syndromes cause age-related disease. However, whether long telomere length is advantageous is poorly understood.

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Vaccine Effectiveness of JYNNEOS against Mpox Disease in the United States

Nicholas P. Deputy, Ph.D., Joseph Deckert, Ph.D., Anna N. Chard, Ph.D., Neil Sandberg, M.S., Danielle L. Moulia, M.P.H., Eric Barkley, B.S., Alexandra F. Dalton, Ph.D., Cory Sweet, M.S., Amanda C. Cohn, M.D., David R. Little, M.D., Adam L. Cohen, M.D., Danessa Sandmann, M.P.H., Daniel C. Payne, Ph.D., Jacqueline L. Gerhart, M.D., and Leora R. Feldstein, Ph.D.

doi : 10.1056/NEJMoa2215201

In the United States, more than 30,000 cases of mpox (formerly known as monkeypox) had occurred as of March 1, 2023, in an outbreak disproportionately affecting transgender persons and gay, bisexual, and other men who have sex with men. In 2019, the JYNNEOS vaccine was approved for subcutaneous administration (0.5 ml per dose) to prevent mpox infection. On August 9, 2022, an emergency use authorization was issued for intradermal administration (0.1 ml per dose); however, real-world effectiveness data are limited for either route.

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Mirikizumab as Induction and Maintenance Therapy for Ulcerative Colitis

Geert D’Haens, M.D., Ph.D., Marla Dubinsky, M.D., Taku Kobayashi, M.D., Ph.D., Peter M. Irving, M.D., Stefanie Howaldt, M.D., Juris Pokrotnieks, M.D., Ph.D., Kathryn Krueger, M.D., Janelle Laskowski, Ph.D., Xingyuan Li, Ph.D., Trevor Lissoos, M.D., Joe Milata, B.S.N., Nathan Morris, Ph.D., Vipin Arora, Ph.D., Catherine Milch, M.D., William Sandborn, M.D., and Bruce E. Sands, M.D. for the LUCENT Study Group*

doi : 10.1056/NEJMoa2207940

Mirikizumab, a p19-directed antibody against interleukin-23, showed efficacy in the treatment of ulcerative colitis in a phase 2 trial.

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Artificial Intelligence in Molecular Medicine

Bruna Gomes, M.D., and Euan A. Ashley, M.B., Ch.B., D.Phil.

doi : 10.1056/NEJMra2204787

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Herpes Vegetans

Ming Juan Liu, M.D., and Jun Li, M.D.

doi : 10.1056/NEJMicm2215873

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Pyemotes ventricosus Dermatitis

Jean-Michel Berenger, and Phillippe Parola, M.D., Ph.D.

doi : 10.1056/NEJMicm2213963

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Case 20-2023: A 52-Year-Old Man with a Solitary Fibrous Tumor and Hypoglycemia

Tara E. Soumerai, M.D., Gregory M. Cote, M.D., Ph.D., Reece J. Goiffon, M.D., Ph.D., Armen I. Yerevanian, M.D., and Albert L. Sy, M.D.

doi : 10.1056/NEJMcpc2300899

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Anticoagulation Conundrum in Acute Ischemic Stroke with Atrial Fibrillation

Ken Uchino, M.D.

doi : 10.1056/NEJMe2304801

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Telomere Length and Clonal Hematopoiesis

George Vassiliou, M.D., Ph.D.

doi : 10.1056/NEJMe2303022

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Autochthonous Leprosy in the United States

doi : 10.1056/NEJMc2302317

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Statin Intolerance, Bempedoic Acid, and Cardiovascular Outcomes

doi : 10.1056/NEJMc2305917

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Inaxaplin for Proteinuric Kidney Disease in Persons with Two APOL1 Variants

doi : 10.1056/NEJMc2304780

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Dersimelagon in Erythropoietic Protoporphyrias

doi : 10.1056/NEJMc2305601

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Nicotinamide for Skin-Cancer Chemoprevention in Transplantation

doi : 10.1056/NEJMc2303841

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Prospective, Multicenter, Controlled Trial of Mobile Stroke Units

doi : 10.1056/NEJMx230002

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