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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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