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3665 Articles
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Neutralization against BA.2.75.2, BQ.1.1, and XBB from mRNA Bivalent Booster
Davis-Gardner ME, Lai L, Wali B, Samaha H, Solis D, Lee M, Porter-Morrison A, He...
bivalent booster, omicron subvariants, BA.2.75.2, BQ.1.1, XBB, SARS-CoV-2, neutralization efficiency, FRNT50 titers, vaccine-escape mutation, R346T, antibody response, booster comparison, Emory cohort

This serologic study evaluates live-virus neutralization of emergent SARS-CoV-2 omicron subvariants (BA.2.75.2, BQ.1.1, and XBB) in serum samples from participants who received either one monovalent b... 6 months ago

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Neonatal Herpes Simplex Virus Infection
Mantecón L, Solís G
neonatal HSV-1, vesicular rash, intrauterine infection, herpes simplex virus, premature delivery, maternal transmission, acyclovir treatment, developmental outcome, Images in Clinical Medicine

This clinical vignette describes a premature infant born at 32 weeks gestation who presented with vesicular lesions immediately after delivery. The neonate had no evidence of disseminated infection, a... 6 months ago

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MPXV Transmission at a Tattoo Parlor
Viedma-Martinez M, Dominguez-Tosso FR, Jimenez-Gallo D, Garcia-Palacios J, Riera...
monkeypox virus, mpox, tattoo parlor outbreak, direct inoculation, piercing-related transmission, non-sexual transmission, public health investigation, lymphadenopathy, cutaneous necrosis, Spain outbreak

This letter to the editor describes a cluster of 21 mpox (MPXV) cases traced to piercing or tattooing procedures at a parlor in Cadiz, Spain between July 6–19, 2022. Patients, many of whom were fema... 6 months ago

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Malaria — Epidemiology, Treatment, and Prevention
Surgo Ventures, New York
malaria, public health storytelling, rural health, vector control, vaccine development, drug pipeline, health communication, Perspective article, Double Take video, community engagement

This multimedia Perspective includes a short narrative titled Venkamma's Dowry and an accompanying “Double Take” documentary video. The written piece offers a brief, evocative anecdote capturing m... 6 months ago

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Investing in National HIV PrEP Preparedness
Jeremiah Johnson, Amy Killelea, Kenyon Farrow
PrEP, HIV prevention, health equity, public health infrastructure, uninsured access, generic TDF-FTC, lab pricing, telehealth, hub-and-spoke model, Black health disparities, national HIV strategy, marginalized populations

This Perspective article argues that the U.S. has failed to develop public health infrastructure capable of equitably reaching vulnerable communities during crises. Despite progress in HIV prevention,... 6 months ago

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Intravenous Doxycycline, Azithromycin, or Both for Severe Scrub Typhus
G.M. Varghese, D. Dayanand, K. Gunasekaran, D. Kundu, M. Wyawahare, N. Sharma, D...
scrub typhus, intravenous antibiotics, doxycycline, azithromycin, combination therapy, randomized trial, organ involvement, fever defervescence, PCR negativity, Orientia tsutsugamushi, India, INTREST trial

   This multicenter, double-blind, randomized trial (INTREST) compared intravenous doxycycline, azithromycin, and combination therapy for severe scrub typhus across 794 patients aged ≥15 y... 6 months ago

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Influenza Vaccine in Pediatric Recipients of Hematopoietic-Cell Transplants
Jennifer E. Schuster, Lubna Hamdan, Daniel E. Dulek, Carrie L. Kitko, Einas Bata...
high-dose influenza vaccine, HD-TIV, quadrivalent influenza vaccine, SD-QIV, pediatric HCT, hemagglutination-inhibition titers, immunogenicity, vaccine safety, injection-site reactions, influenza A antigens

This Perspective article argues that the U.S. has failed to develop public health infrastructure capable of equitably reaching vulnerable communities during crises. Despite progress in HIV prevention,... 6 months ago

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Immunologic Effect of Bivalent mRNA Booster in Patients Undergoing Hemodialysis
Luca Huth, Luise Schäfer, Giovanni Almanzar, Gaia Lupoli, Marie Bischof, Paul R...
bivalent mRNA booster, hemodialysis, anti-spike IgG, BA.4, BA.5, antibody avidity, breakthrough infection, booster immunogenicity, neutralization activity, hybrid immunity

   This correspondence reports on a case series of 55 hemodialysis patients who had received four prior SARS-CoV-2 vaccinations and were monitored before and after a fifth dose of a bivalent... 6 months ago

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Immunogenicity of a Fourth Homologous Dose of NVX-CoV2373
Katia Alves, Joyce S. Plested, Shirley Galbiati, Gordon Chau, Shane Cloney-Clark...
NVX-CoV2373, Novavax, fourth dose, booster, recombinant spike protein, IgG titers, neutralization titers, antigenic cartography, Matrix-M adjuvant, cross-reactive immunity, Omicron variants, BA.1, BA.5

This correspondence presents results from an extension of a phase 2 randomized trial evaluating the immunogenicity of a fourth homologous dose of the NVX-CoV2373 (Novavax) recombinant spike protein va... 6 months ago

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Health Care in U.S. Correctional Facilities — A Limited and Threatened Constitutional Right
Marcella Alsan, Crystal S. Yang, James R. Jolin, Lucy Tu, Josiah D. Rich
correctional health care, Estelle v. Gamble, Prison Litigation Reform Act, constitutional rights, deliberate indifference, Eighth Amendment, Americans with Disabilities Act, health disparities, Medicaid exclusion, federal oversight

This Perspective explores the precarious legal and operational status of health care in U.S. correctional facilities. Although the Supreme Court’s 1976 Estelle v. Gamble decision affirmed incarcerat... 6 months ago

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Hard to Swallow
Daniel Jacobs, Dora Schreiber
CMS, Universal Foundation, quality measurement, care transformation, health equity, interagency collaboration, outcome alignment, patient-centered metrics, public health strategy, diagnostic vigilance

This Perspective from CMS leaders discusses the alignment of quality measures across federal programs through the newly introduced Universal Foundation. With coverage affecting over 150 million Americ... 6 months ago

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Gastrointestinal Kaposi’s Sarcoma
Deniz E. Tekcan Sanli, Safak Kiziltas
Kaposi’s sarcoma, HIV, gastrointestinal lesions, endoscopy, biopsy, CD4 count, viral load, CMV colitis, COVID-19 pneumonia, immunosuppression

A previously healthy 54-year-old man presented with bloody diarrhea and cutaneous lesions. Examination revealed signs of advanced immunosuppression, confirmed by HIV diagnosis with a CD4 count of 45 a... 6 months ago

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Facing the New Covid-19 Reality
Wafaa M. El-Sadr, Ashwin Vasan, Ayman El-Mohandes
Covid-19 transition, public health strategy, vaccine equity, health disparities, sentinel surveillance, pandemic fatigue, SARS-CoV-2 variants, tailored guidance, community trust, health communication

This Perspective reflects on the evolving impact of Covid-19 and advocates for nuanced public health strategies beyond the emergency phase. While many perceive the pandemic as over, SARS-CoV-2 continu... 6 months ago

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Evaluation of BNT162b2 Covid-19 Vaccine in Children Younger than 5 Years of Age
Flor M. Muñoz, Lawrence D. Sher, Charu Sabharwal, Alejandra Gurtman, Xia Xu, Ni...
BNT162b2, Covid-19 vaccine, children under 5, pediatric vaccination, immunobridging, vaccine efficacy, safety profile, neutralizing titers, Omicron, SARS-CoV-2, placebo-controlled trial, MIS-C, FDA authorization

This clinical study assesses the safety, immunogenicity, and efficacy of a three-dose 3-µg BNT162b2 vaccine regimen in children aged 6 months to 4 years. Initial phase 1 dose-finding confirmed tolera... 6 months ago

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End of a Declared Public Health Emergency — Implications for U.S. Emergency Use Authorizations
Peter W. Marks, Hilary D. Marston, Lindsey R. Baden
Public Health Emergency, EUA, Covid-19, FDA, Section 319, Section 564, emergency use, regulatory approval, chloroquine, hydroxychloroquine, vaccines, therapeutics, clinical trials

This Perspective outlines how the termination of a declared Public Health Emergency (PHE) in the U.S. affects Emergency Use Authorizations (EUAs) for medical products. It explains the legal basis unde... 6 months ago

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Efficacy of Antiviral Agents against Omicron Subvariants BQ.1.1 and XBB
Masaki Imai, Mutsumi Ito, Maki Kiso, Seiya Yamayoshi, Ryuta Uraki, Shuetsu Fukus...
Omicron subvariants, BQ.1.1, XBB, monoclonal antibodies, immune evasion, antiviral efficacy, remdesivir, molnupiravir, nirmatrelvir, FRNT₅₀, IC₅₀

This correspondence assesses the effectiveness of monoclonal antibodies and antiviral drugs against SARS-CoV-2 Omicron subvariants BQ.1.1 and XBB. Researchers found that all tested monoclonal antibodi... 6 months ago

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Efficacy and Safety of an Ad26.RSV.preF–RSV preF Protein Vaccine in Older Adults
Ann R. Falsey, Kristi Williams, Efi Gymnopoulou, Stephan Bart, John Ervin, Arang...
Ad26.RSV.preF, RSV preF protein, respiratory syncytial virus, older adults, vaccine efficacy, T-cell response, neutralizing antibodies, phase 2b trial, CYPRESS, RSV-mediated respiratory disease

This phase 2b, randomized, double-blind, placebo-controlled trial (CYPRESS) evaluated the efficacy, immunogenicity, and safety of a single-dose Ad26.RSV.preF-RSV preF protein vaccine in adults aged 65... 6 months ago

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Effectiveness of a Meningococcal Group B Vaccine (4CMenB) in Children
J. Castilla, M. García Cenoz, R. Abad, L. Sánchez-Cambronero, N. Lorusso, C. I...
meningococcal serogroup B, 4CMenB, Bexsero, vaccine effectiveness, invasive meningococcal disease, matched case-control study, pediatric immunization, genetic MATS typing, serogroup coverage, public health surveillance

This nationwide matched case-control study evaluated the effectiveness of the four-component meningococcal group B vaccine (4CMenB) in children under 60 months of age in Spain. Among 306 lab-confirmed... 6 months ago

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Early Treatment with Pegylated Interferon Lambda for Covid-19
Gilmar Reis, Eduardo A.S. Moreira Silva, Daniela C. Medeiros Silva, Lehana Thaba...
pegylated interferon lambda, Covid-19, SARS-CoV-2, adaptive platform trial, outpatient treatment, antiviral therapy, vaccination status, hospitalization reduction, viral load, phase 3 trial

This phase 3, randomized, placebo-controlled trial evaluates the efficacy of a single dose of pegylated interferon lambda for treating outpatients with symptomatic Covid-19. Conducted in Brazil and Ca... 6 months ago

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Drug Sensitivity of Currently Circulating Mpox Viruses
Denisa Bojkova, Marco Bechtel, Tamara Rothenburger, Katja Steinhorst, Nadja Zöl...
mpox virus, antiviral drug sensitivity, tecovirimat, cidofovir, brincidofovir, IC50, DNA polymerase mutation, viral replication, cytopathic effects, human cell cultures

This correspondence letter evaluates the drug sensitivity of currently circulating mpox virus isolates from 12 unrelated patients during the global outbreak. The authors tested tecovirimat, cidofovir,... 6 months ago

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Discharging Patients against Medical Advice
Clement D. Lee, Owen Bradfield, Michelle M. Mello, Mary Catherine Beach
discharge against medical advice, endocarditis, patient autonomy, stigma, medical ethics, legal documentation, clinical decisions

This Clinical Decisions article presents an interactive case discussion involving a 35-year-old man with intravenous heroin use disorder, presenting with fever, body aches, and a suspected diagnosis o... 6 months ago

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Covid-19 Vaccines and New Viral Variants
Eric J. Rubin, Lindsey R. Baden, Stephen Morrissey
Covid-19, SARS-CoV-2 variants, vaccine effectiveness, public health policy, editorial, NEJM, scientific communication

This Editorial accompanies an audio interview with NEJM editors Eric J. Rubin, Lindsey R. Baden, and Stephen Morrissey on the ongoing threat of Covid-19, particularly the emergence of new viral varian... 6 months ago

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Covid-19 Surveillance Testing and Resident Outcomes in Nursing Homes
Brian E. McGarry, Ashvin D. Gandhi, Michael L. Barnett
Covid-19, nursing homes, surveillance testing, staff screening, SARS-CoV-2, mortality reduction, outbreak control, test turnaround, vaccine era, infection prevention

This Original Article reports a retrospective cohort study on the effects of surveillance Covid-19 testing among staff in 13,424 U.S. skilled nursing facilities from 2020 to 2022. Researchers evaluate... 6 months ago

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Covid-19 Vaccines and New Viral Variants
Eric J. Rubin, Lindsey R. Baden, Stephen Morrissey
Covid-19, SARS-CoV-2 variants, vaccine effectiveness, public health policy, editorial, NEJM, scientific communication

This Editorial accompanies an audio interview with NEJM editors Eric J. Rubin, Lindsey R. Baden, and Stephen Morrissey on the ongoing threat of Covid-19, particularly the emergence of new viral varian... 6 months ago

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Condylomata Lata
Biao Tang, Xiaoli Chang
condylomata lata, secondary syphilis, Treponema pallidum, genital lesions, RPR titer, penicillin G benzathine, STI counseling

This Images in Clinical Medicine case describes a 17-year-old girl from China diagnosed with condylomata lata, a manifestation of secondary syphilis. She presented with a 1-month history of itchy geni... 6 months ago

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Choosing the Right Path toward Polio Eradication
Konstantin Chumakov, Christian Brechot, Robert C. Gallo, Stanley Plotkin
polio eradication, oral polio vaccine, vaccine-derived poliovirus, IPV, mucosal immunity, novel OPV, population immunity

This Perspective article explores the complexities and missteps in global polio eradication efforts, particularly in light of vaccine-derived poliovirus (cVDPV) outbreaks. Authored by leading virologi... 6 months ago

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Cerebral Cystic Echinococcosis
Sumit Thakar, Akhil Sunil
cystic echinococcosis, hydatid cyst, Echinococcus granulosus, cerebral infection, albendazole, papilledema, MRI, craniotomy, protoscolices

This Images in Clinical Medicine report documents a case of cerebral cystic echinococcosis in a 14-year-old boy from rural India. The patient presented with episodic headaches and vomiting, and was fo... 6 months ago

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Cerebral Alveolar Echinococcosis
Hu Ju, Chuanchuan Liu
cerebral echinococcosis, Echinococcus multilocularis, parasitic infection, albendazole, brain lesions, ring enhancement, histopathology

This Images in Clinical Medicine report describes a rare case of primary cerebral alveolar echinococcosis in a 17-year-old boy from China. The patient presented with neurological symptoms including di... 6 months ago

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Bivalent Covid-19 Vaccines — A Cautionary Tale
Paul A. Offit
Covid-19, bivalent vaccine, Omicron, BA.4, BA.5, immune imprinting, vaccination policy

This perspective by Paul A. Offit critically examines the development and deployment of bivalent mRNA Covid-19 vaccines designed to target Omicron variants BA.4 and BA.5. It recounts the timeline of v... 6 months ago

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Behind-the-Scenes Investment for Equity in Global Health Research
Jessica E. Haberer, Yap Boum II
Global health research, inequity, NIH funding, indirect cost rates, DS-I Africa, institutional capacity

This perspective article explores systemic inequities in global health research, emphasizing the underrepresentation of researchers and institutions from the Global South. It argues that current fundi... 6 months ago

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Antivenom for Severe Scorpion Envenomation in Arizona
Stephen A. Klotz, Sarah Yates, Shannon L. Smith, Steven Dudley, Jr., Justin O. S...
Scorpion envenomation, antivenom, neurotoxicity, pediatric emergency care, Centruroides sculpturatus, Arizona

This correspondence reports the emergency department use of F(ab')₂ antivenom for scorpion envenomation in Arizona over a 5-year period (2017–2021). The authors describe 252 patients treated acros... 6 months ago

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Antiretroviral Therapy and Adverse Pregnancy Outcomes in People Living with HIV
Ahizechukwu C. Eke, Mark Mirochnick, Shahin Lockman
HIV, antiretroviral therapy, pregnancy outcomes, vertical transmission, preterm birth, congenital anomalies

This comprehensive review summarizes current evidence on the use of antiretroviral therapy (ART) during pregnancy and its association with adverse maternal and fetal outcomes. It highlights that while... 6 months ago

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Antibody Response to Omicron BA.4–BA.5 Bivalent Booster
Ai-ris Y. Collier, Dan H. Barouch, Qian Wang, Anthony Bowen, Riccardo Valdez, Ca...
Bivalent booster, SARS-CoV-2, neutralizing antibodies, Omicron, immune imprinting, mRNA vaccine

This correspondence reports findings from a study assessing neutralizing antibody and T-cell responses following administration of bivalent mRNA Covid-19 boosters targeting the BA.4–BA.5 variants. C... 6 months ago

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An mRNA Influenza Vaccine — Could It Deliver?
Kathleen M. Neuzil
mRNA vaccine, influenza, hemagglutinin, pandemic preparedness, immunogenicity, vaccine equity

The article explores the feasibility and promise of a multivalent mRNA influenza vaccine, building on the technological advancements seen during the Covid-19 pandemic. It discusses the use of nucleosi... 6 months ago

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A Rocky Resurgence
John W. Ostrominski, Thomas E. Clancy, Lynn Bry, Bruce D. Levy, Joseph Loscalzo
Brucellosis, hepatic abscess, granulomatous infection, 16S rRNA sequencing, endemic disease, molecular diagnosis

A 70-year-old woman presented with persistent right upper quadrant abdominal pain and systemic symptoms including fever, sweating, fatigue, and weight loss. Imaging and biopsy revealed a hepatic absce... 6 months ago

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A Breathtaking Discovery
Jonathan Coraor Fried, John J. Ross, Zoe F. Weiss, Bruce D. Levy, Joseph Loscalz...
Babesiosis, dyspnea, anemia, tickborne disease, diagnostic bias, Babesia microti

A 76-year-old man presented with exertional dyspnea and fatigue, progressing over one month. Despite normal cardiopulmonary findings, his condition revealed anemia, thrombocytopenia, elevated liver en... 6 months ago

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A 70-Year-Old Man with Covid-19, Respiratory Failure, and Rashes
Michael K. Mansour, Joseph D. King, Steven T. Chen, Jay A. Fishman, Rosalynn M. ...
Covid-19, mucormycosis, immunosuppression, vasculitis, kidney transplant, cutaneous infection, angioinvasion

A 70-year-old kidney transplant recipient with a complex medical history including ANCA-associated vasculitis, coronary artery disease, diabetes, and recent immunosuppressive therapy was admitted with... 6 months ago

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A 67-Year-Old Man with Interstitial Lung Disease, Fever, and Myalgias
Hemal N. Sampat, Amita Sharma, E. Zachary Nussbaum
Interstitial lung disease, anaplasmosis, tickborne illness, immunosuppression, pancytopenia, fever

A 67-year-old man with a history of interstitial lung disease, previously diagnosed Covid-19 pneumonia, and immunosuppressive therapy was admitted with fever, myalgias, and vomiting. Despite prior tre... 6 months ago

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Smart Home and Appliances: State of the Art – Energy, Communications, Protocols, Standards
Tiago Serrenho, Paolo Bertoldi
Smart Home, Smart Appliances, Energy Policy, Communication Protocols, Standards, Demand Response, Internet of Things

This technical report by the European Commission’s Joint Research Centre (JRC) presents a comprehensive overview of the smart home ecosystem, emphasizing its energy implications across Europe. It co... 6 months ago

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Benefits and Barriers Associated with the Use of Smart Home Health Technologies in the Care of Older Persons: A Systematic Review
Yi Jiao (Angelina) Tian, Nadine Andrea Felber, Félix Pageau, Delphine Roulet Sc...
Older People, Independent Living, Smart Home Health Technologies, Caregiving, Home

   This systematic review examines the benefits and barriers of smart home health technologies (SHHTs) in caregiving for older adults, based on 163 empirical studies published between 2000 a... 6 months ago

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