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the new england journal of medicine: research & review articles on disease & clinical practice logo-32 logo-40 logo-60 new england journal of medicine nejm group follow us facebook twitter instagram youtube linkedin blog sign in create account subscribe sign in create account renew subscription subscribe stay connected to what's important in medical research and clinical practice create account subscribe to the most trusted and influential source of medical knowledge subscribe already a subscriber? renew or sign in subscribe or renew search site keyword new england journal of medicine search home specialties specialties selected specialties view all specialties allergy/ immunology cardiology dermatology emergency medicine endocrinology gastroenterology genetics geriatrics/ aging hematology/ oncology infectious disease nephrology neurology/ neurosurgery obstetrics/ gynecology pediatrics primary care/ hospitalist psychiatry pulmonary/ critical care rheumatology surgery view all specialties -- cardiology -- hematology/oncology -- infectious disease topics topics selected topics view all topics health policy medicine and society data sharing pain management frontiers in medicine epidemics zika virus ebola virus view all topics -- health policy -- epidemics -- pain management -- ebola virus multimedia multimedia selected multimedia view all multimedia audio clinical practice audio interviews interactive medical cases image challenge images in clinical medicine videos in clinical medicine quick takes view all multimedia managing pregnancy beyond 39 weeks whistling cough a lump in the neck rethinking marijuana policy current issue current issue current issue current issue august 9, 2018 vol. 379 no. 6 recent issues august 2, 2018 vol. 379 no. 5 july 26, 2018 vol. 379 no. 4 july 19, 2018 vol. 379 no. 3 browse full issue index browse recently published browse full issue index recently published articles mitigating the risks of medicaid work requirements j.z. ayanian et al. will courts allow states to regulate drug prices? c. robertson a new threat to immigrants’ health — the public-charge rule k.m. perreira et al. tickborne diseases — confronting a growing threat c.i. paules et al. the republican war on obamacare — what has it achieved? j. oberlander crossing borders m. martin browse recently published learning/cme learning/cme view all learning/cme cme acute viral encephalitis labor induction versus expectant management in low-risk nulliparous women vitamin d supplementation in pregnancy and lactation and infant growth challenge yourself interactive medical cases image challenge videos in clinical medicine view all learning/cme other nejm group learning clinical examination of the shoulder essential information students and residents need to approach residency with confidence: practical training information, career guidance, insightful discussions. effective, adaptive learning that helps you prepare for certification, maintain competency, and sharpen clinical decision-making while earning cme and moc. author center subscribe or renew keyword advanced search medicine and society active-shooter response at a health care facility k. inaba and others the “run, hide, fight” response to an active-shooter event may work in many places, but health care facilities should consider a different approach: “secure” the location, “preserve” the life of the patient and oneself, and “fight” only if necessary. aug 09 case records of the massachusetts general hospital a man with acute renal failure and hematuria r.j. falk and others a 71-year-old man presented with acute renal failure and hematuria. examination of the urinary sediment revealed numerous nondysmorphic red cells, a few granular casts, and no cellular casts. blood cultures grew gram-negative rods. what is the diagnosis? aug 09 original article cardiac screening of adolescent soccer players a. malhotra and others a cohort of 11,168 adolescent soccer players in the united kingdom underwent cardiac screening. diseases associated with sudden cardiac death were identified in 42 (0.38%). the incidence of sudden cardiac death was 1 per 14,800 person-years, or 6.8 per 100,000 athletes. aug 09 perspective behind schedule r.l. haffajee, r.j. maccoun, and m.m. mello as the marijuana-policy terrain in the united states shifts, it’s important to consider the potential public health benefits of closing the divide between federal policies and those of individual states, which are increasingly legalizing at least medical marijuana use. aug 09 perspective opioid prescribing limits for acute pain m. lowenstein, d. grande, and m.k. delgado although prescribing limits seem like a commonsense approach to restricting exposure to opioids, adoption of these policies is outpacing the evidence, and opioid prescribing for acute pain is not a one-size-fits-all situation. aug 09 image of the week chronic hcv and a spreading rash — this 69-year-old man with hcv presented with a pruritic rash that spread to his legs and trunk. original research original article labor induction vs. expectant management w.a. grobman and others in a randomized trial comparing induction of labor with expectant management at 39 weeks in low-risk nulliparous women, induction did not result in a significantly lower frequency of adverse perinatal outcomes, but it did result in a lower frequency of cesarean delivery. aug 09 editorial choices in managing full-term pregnancy original article closed-loop insulin delivery in noncritical care l. bally and others in this trial involving hospitalized patients with type 2 diabetes, closed-loop insulin delivery (artificial pancreas) resulted in better glucose control than standard subcutaneous insulin therapy without an increased incidence of hypoglycemia. aug 09 original article vitamin d in pregnancy and lactation and infant growth d.e. roth and others in this double-blind, randomized trial in bangladesh, maternal vitamin d supplementation from midpregnancy until birth or 6 months post partum did not improve fetal or infant growth. aug 09 clinical practice and review interactive medical case a lump in the neck m.c. honigberg and others this interactive case features a 44-year-old man with known hiv infection who presents with a large mass on the side of his neck. test your diagnostic and therapeutic skills. jul 26 clinical problem-solving a headache of a diagnosis r.m. stern and others a 24-year-old man presented to a university health center in january with a persistent headache that had begun abruptly 6 days earlier. what is the diagnosis? aug 02 clinical implications of basic research probing pain e.c. emery and j.n. wood a side effect of bortezomib (a drug used to treat multiple myeloma) is neuropathic pain, probably owing to increased sphingolipid synthesis. fingolimod, a drug used to treat multiple sclerosis, down-regulates a sphingolipid receptor and is a candidate analgesic. aug 02 review article frontiers in medicine assay of circulating cell-free dna in pregnancy d.w. bianchi and r.w.k. chiu advances in dna sequencing have facilitated a change in the method used to screen for fetal chromosome trisomies. this review describes the basis and development of the method. aug 02 review article viral encephalitis k.l. tyler encephalitis is characterized by fever, neurologic deficits, seizures, pleocytosis, and neuroimaging and eeg abnormalities. the main viral causes segregate into characteristic clinical, imaging, and regional profiles. early acyclovir treatment of herpes encephalitis is beneficial. aug 09 commentary perspective aug 08 will courts allow states to regulate drug prices? c. robertson perspective aug 08 mitigating the risks of medicaid work requirements j.z. ayanian, r. tipirneni, and s.d. goold editorial aug 09 choices in managing full-term pregnancy m.f. greene perspective aug 09 to fight burnout, organize l. eisenstein correspondence anesthesia in a patient with a mediastinal mass mri-targeted biop

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https://www.nejm.org/doi/full/10.1056/nejmc1807380?query=featured_secondary
https://www.nejm.org/action/cdfproxy?action=paybill&promo=bnflpba1&query=footer
https://www.nejm.org/rheumatology
https://www.nejm.org/medical-specialties
https://www.nejm.org/ebola-virus
https://www.nejm.org/medical-index
https://www.nejm.org/about-nejm/editors-and-publishers?query=footer
https://www.nejm.org/multimedia
https://www.nejm.org/neurology-neurosurgery
https://www.nejm.org/dermatology
https://www.nejm.org/medical-articles/perspective?query=footer
https://www.nejm.org/doi/full/10.1056/nejmc1807507?query=featured_secondary
https://www.nejm.org/doi/full/10.1056/nejmoa1714719?query=featured_home
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Domain Name: NEJM.ORG
Registry Domain ID: D1950795-LROR
Registrar WHOIS Server: whois.networksolutions.com
Registrar URL: http://www.networksolutions.com
Updated Date: 2018-07-23T19:23:15Z
Creation Date: 1994-10-08T04:00:00Z
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Name Server: NS-1559.AWSDNS-02.CO.UK
Name Server: NS-928.AWSDNS-52.NET
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