Reviews & Analysis

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  • Large language models can translate the archaic language of pharmacy prescriptions into plain English, but reducing medication errors for patients will require interventions that go further.

    • Johanna I. Westbrook
    • Nasir Wabe
    • Magdalena Z. Raban
    News & Views
  • A pilot study suggests that the bispecific T cell engager blinatumomab may provide a new therapy for patients with refractory rheumatoid arthritis; larger studies and deep phenotyping will be crucial to thoroughly evaluate and optimize this approach.

    • Frances Humby
    • Bruce Kirkham
    • Leonie Taams
    News & Views
  • Vision–language models can be trained to read cardiac ultrasound images with implications for improving clinical workflows, but additional development and validation will be required before such models can replace humans.

    • Rima Arnaout
    News & Views
  • A strategy that controls confounders in quantitative microbiome data challenges the validity of previously reported microbial markers in colorectal cancer and serves as a wake-up call for the microbiome research field.

    • Na Jiao
    • Lixin Zhu
    • Ruixin Zhu
    News & Views
  • Food allergy treatment is undergoing a paradigm shift with new therapies emerging, including the recent FDA approval of omalizumab — but without evidence of disease modification and with uncertain quality-of-life improvement, it may not be a panacea for all.

    • Kirsten P. Perrett
    News & Views
  • AI models for tasks such as pathology and dermatology struggle to generalize to new patient groups or hospitals that they were not trained on; learning more robust features from unlabeled data could prevent overfitting to the training distribution and thereby increase fairness.

    • Rajiv Movva
    • Pang Wei Koh
    • Emma Pierson
    News & Views
  • A small, prospective clinical study shows that ex vivo drug screening of pediatric cancer samples can identify effective therapeutic options. If validated, these findings could herald a new approach to precision medicine in this setting.

    • M. Emmy M. Dolman
    • Paul G. Ekert
    News & Views
  • A large study of older adults in China points to physical and cognitive function — not age — as key predictors of heat-related mortality, highlighting the need for climate adaptation policies to prioritize accessibility across all age groups.

    • Josiah L. Kephart
    • Safiyyah M. Okoye
    News & Views
  • After many lean years, important progress has been made in updating the anti-tuberculosis drug armamentarium; a new drug that targets bacterial protein synthesis is one of several that could help transform the treatment of this neglected and deadly disease.

    • Eric L. Nuermberger
    • Richard E. Chaisson
    News & Views
  • A new study shows the benefits of treating anxiety to prevent postnatal depression — and highlights the need for more pragmatic research to simplify treatment packages, address other comorbid symptoms, and deliver effective perinatal mental health care at scale.

    • Daisy R. Singla
    News & Views
  • A flurry of emerging treatment options is transforming the therapeutic landscape of hepatocellular carcinoma; two new studies highlight the complexities and gaps in knowledge, but also hint at a greater understanding of how to apply immunotherapy in early and advanced disease.

    • David J. Pinato
    • Claudia A. M. Fulgenzi
    • Antonio D’Alessio
    News & Views
  • A pilot trial of the WHO’s Labour Care Guide reveals important considerations for implementation and for future trials aimed at reducing the inappropriate use of cesarean section, particularly in low- and middle-income countries.

    • Cristina Fernandez-Turienzo
    • Jane Sandall
    News & Views
  • Senolytic therapy for diabetic macular edema (DME) refractory to anti-VEGF treatment appears safe, and preliminary data suggest a therapeutic effect on visual acuity and macular thickness.

    • Tomoaki Murakami
    • Thomas W. Gardner
    News & Views
  • An AI-enabled chatbot increased self-referrals to psychological therapies for common mental health disorders; but further research is needed to ensure that better access translates into high-quality treatment experiences and outcomes for everyone.

    • Jacqueline Sin
    News & Views
  • Credible evidence suggests that, under extraordinary circumstances, Alzheimer’s disease may be transmitted by a prion-like mechanism — yielding insights into both the basic biology of this neurodegenerative disorder and strategies for early prevention.

    • Mathias Jucker
    • Lary C. Walker
    News & Views
  • In military veterans with traumatic brain injury, treatment with ibogaine plus magnesium led to dramatic clinical improvements and a favorable safety profile; further studies with state-of-the art safety monitoring will be crucial to unlocking the potential benefits of this psychedelic compound.

    • David L. Brody
    • Shan H. Siddiqi
    News & Views
  • As populations age, falls are an increasing public health problem; strategies to prevent them should incorporate new technologies and insights into the sensory, perceptual and motor systems controlling balance.

    • Sarah E. Lamb
    • Genevieve Williams
    • Will Young
    News & Views