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Original Article
Chlorthalidone in Cardiovascular Events
A. Ishani and Others
Patients 65 or older with hypertension who switched from chlorthalidone to hydrochlorothiazide did not have fewer major cardiovascular events or non–cancer-related deaths than those who continued receiving hydrochlorothiazide.
Dec 14Editorial Thiazide-like versus Thiazide Diuretics — Finally, an Answer?
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Editorial
Covid-19 Update for December 9
Applying New Studies of Mpox and Ebola to Covid-19
E.J. Rubin, L.R. Baden, and S. Morrissey
In this audio interview conducted on December 9, the editors discuss new data on mpox and Ebola and how what we’ve learned can be applied to the Covid-19 pandemic.
Dec 15 -
Editorial
Science behind the Study
Topical Gene Therapy for Skin Disorder
A.S. Payne
A new trial of gene therapy for dystrophic epidermolysis bullosa is notable for its context: the treatment of a skin disorder through topical application. This article describes the science behind the study.
Dec 15Original Article Trial of Beremagene Geperpavec (B-VEC) for Dystrophic Epidermolysis Bullosa
Editorial The Coming of Age of Topical Gene Therapy for Dystrophic Epidermolysis Bullosa
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Editorial
Covid-19 Update for December 9
Applying New Studies of Mpox and Ebola to Covid-19
E.J. Rubin, L.R. Baden, and S. Morrissey
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Sounding Board
FOSSIL-FUEL POLLUTION AND CLIMATE CHANGE
Reporting of Emissions to Achieve Net-Zero Health Care
H. Singh and Others
Health care is responsible for approximately 8.5% of U.S. greenhouse-gas emissions. The authors note the need to measure and report emissions from health care organizations and propose ways to facilitate this.
Dec 14 -
Special Report
Implications of the 2022 Election for Health Policy
R.J. Blendon and J.M. Benson
This report of multiple U.S. opinion polls examines the importance of health policy issues in the 2022 election and the implications of the election results for future congressional action.
Dec 14 -
Perspective
A Covid-19 Milestone Attained
P.B. Gilbert and Others
The rapid identification of a correlate of protection for Covid-19 vaccines — on the basis of several harmonized randomized phase 3 trials using common validated assays — constitutes an important success in vaccinology.
Dec 15
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Sounding Board
FOSSIL-FUEL POLLUTION AND CLIMATE CHANGE
Reporting of Emissions to Achieve Net-Zero Health Care
H. Singh and Others
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Perspective
Double Take
Weight and Health — Pathophysiology and Therapies
L.J. Aronne and Others
This Double Take video discusses the pathophysiology of weight and explores surgical and medical options for treating obesity, including the new, effective antiobesity medications tirzepatide and semaglutide.
Dec 15Original Article Once-Weekly Semaglutide in Adults with Overweight or Obesity
Original Article Tirzepatide Once Weekly for the Treatment of Obesity -
Perspective
A Step toward Interoperability of Health IT
D. Blumenthal
The federal government recently adopted a rule that could promote effective exchange of patient health information. The rule has the potential to improve quality of care, but some concerns persist.
Dec 15 -
Correspondence
MPXV Transmission at a Tattoo Parlor
M. Viedma-Martinez and Others
As mpox spreads, different potential modes of MPXV transmission are possible. In this report, spread from a tattoo parlor was identified.
Dec 14
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Perspective
Double Take
Weight and Health — Pathophysiology and Therapies
L.J. Aronne and Others
Original Research
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Original Article
Gene Therapy for Dystrophic Epidermolysis Bullosa
S.V. Guide and Others
This genetic blistering disease is the result of mutations in COL7A1, which encodes type VII collagen. Topical HSV-1 gene therapy delivering COL7A1 resulted in greater wound healing at 6 months than placebo.
Dec 15Editorial The Coming of Age of Topical Gene Therapy for Dystrophic Epidermolysis Bullosa
Editorial Topical Gene Therapy for Epidermolysis Bullosa
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Original Article
Vaccines for Zaire Ebola Virus Disease
PREVAC Study Team
In two randomized trials of Zaire Ebola vaccines, safety and immune responses in adults and children were assessed for three regimens with two different vaccines. All three induced immune responses lasting at least 1 year.
Dec 14 -
Original Article
Repeat Expansion in Late-Onset Cerebellar Ataxia
D. Pellerin and Others
In this study, a large repeat expansion in a noncoding part of FGF14 was found to cause late-onset cerebellar ataxia, which underscores the importance of noncoding regions in the search for causes of disease.
Dec 14
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Original Article
Vaccines for Zaire Ebola Virus Disease
PREVAC Study Team
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Original Article
Glofitamab in Refractory Diffuse Large B-Cell Lymphoma
M.J. Dickinson and Others
Glofitamab, a bifunctional antibody, was given to 154 patients with relapsed or refractory DLBCL. Complete response occurred in 39%; most of these responses were ongoing at 12 months. Cytokine release syndrome was common.
Dec 15Editorial Bispecific Antibodies in Lymphoma — Another Win for T Cells
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Original Article
Once-Weekly Semaglutide in Adolescents with Obesity
D. Weghuber and Others
In this trial, adolescents with obesity assigned to weekly subcutaneous semaglutide plus lifestyle intervention had a greater reduction in BMI than those who received lifestyle intervention alone.
Dec 15
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Original Article
Glofitamab in Refractory Diffuse Large B-Cell Lymphoma
M.J. Dickinson and Others
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Original Article
Talquetamab for Multiple Myeloma
A. Chari and Others
Talquetamab, a bifunctional antibody, directs activated T cells to tumor. In this study, up to 70% of the patients with relapsed or refractory myeloma had a response to this agent.
Dec 15Editorial The Expanding Clinical Role of Bifunctional Antibodies
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Editorial
Science behind the Study
Bispecific Antibodies — What, Why, How?
D.L. Longo
This editorial explains how monoclonal antibodies and bispecific monoclonal antibodies are made and their application in oncology.
Dec 15
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Original Article
Talquetamab for Multiple Myeloma
A. Chari and Others
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Explore Recently Published Research from NEJM Evidence
Discover recently published original research articles — from important first-in-human studies to confirmatory trials — that validate or challenge prior clinical findings.
Clinical Practice and Review
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Case Records of the Massachusetts General Hospital
A Woman with Fatigue and Weight Gain
A. Kimball and Others
A 21-year-old woman presented with fatigue, weight gain, abdominal pain, and an adrenal mass. After the administration of dexamethasone, the cortisol level was 9.1 μg per deciliter (reference value, <1.8). Management decisions were made.
Dec 15 -
Perspective
The Josephine Way
R.E. Leiter
Even the most deferential patients bristle at the disruption dialysis brings with it. For Josephine, with her fierce independence, the restrictions were like a straitjacket.
Dec 15 -
Review Article
Hemochromatosis
J.K. Olynyk and G.A. Ramm
Hemochromatosis is a group of inherited disorders that cause iron overload due to failed regulation of hepcidin. The authors review the literature on hemochromatosis and provide an integrated approach to management.
Dec 08
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Case Records of the Massachusetts General Hospital
A Woman with Fatigue and Weight Gain
A. Kimball and Others
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Review Article
Risk of Infection in Xenotransplantation
J.A. Fishman
Xenotransplantation is a potential solution to the shortage of transplantable human organs. The author discusses the benefits and infectious risks of xenotransplantation and possible protocols for future use.
Dec 15 -
Case Records of the Massachusetts General Hospital
A Man with Fatigue, Weight Loss, and Pulmonary Nodules
M.B. Roberts and Others
A 55-year-old man with a history of sarcoidosis was admitted 7 months after kidney transplantation for nephrocalcinosis because of fatigue, weight loss, and new pulmonary nodules. What is the diagnosis?
Dec 08This article includes the answer to our latest Case Challenge.
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Featured Multimedia
Commentary
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U.S. Health Insurance Coverage and Financing
S. Corlette and C.H. Monahan -
Revaluing Primary Care
E.P. Griffiths -
The Coming of Age of Topical Gene Therapy for Dystrophic Epidermolysis Bullosa
D.V. Schaffer -
Topical Gene Therapy for Skin Disorder
A.S. Payne -
Bispecific Antibodies in Lymphoma — Another Win for T Cells
N.L. Bartlett -
Bispecific Antibodies — What, Why, How?
D.L. Longo




