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Institution

McMaster University

EducationHamilton, Ontario, Canada
About: McMaster University is a education organization based out in Hamilton, Ontario, Canada. It is known for research contribution in the topics: Population & Health care. The organization has 41361 authors who have published 101269 publications receiving 4251422 citations.


Papers
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Journal ArticleDOI
TL;DR: Anidulafungin was shown to be noninferior to fluconazole in the treatment of invasive candidiasis, and the statistical analyses failed to show a "center effect".
Abstract: Eighty-nine percent of the 245 patients in the primary analysis had candidemia only. Candida albicans was isolated in 62% of the 245 patients. In vitro fluconazole resistance was infrequent. Most of the patients (97%) did not have neutropenia. At the end of intravenous therapy, treatment was successful in 75.6% of patients treated with anidulafungin, as compared with 60.2% of those treated with fluconazole (difference, 15.4 percentage points; 95% confidence interval [CI], 3.9 to 27.0). The results were similar for other efficacy end points. The statistical analyses failed to show a “center effect”; when data from the site enrolling the largest number of patients were removed, success rates at the end of intravenous therapy were 73.2% in the anidulafungin group and 61.1% in the fluconazole group (difference, 12.1 percentage points; 95% CI, −1.1 to 25.3). The frequency and types of adverse events were similar in the two groups. The rate of death from all causes was 31% in the fluconazole group and 23% in the anidulafungin group (P = 0.13). CONCLUSIONS Anidulafungin was shown to be noninferior to fluconazole in the treatment of invasive candidiasis. (ClinicalTrials.gov number, NCT00056368).

762 citations

Journal ArticleDOI
TL;DR: The immunological principles that need to be taken into consideration in the development of COVID-19 vaccine strategies are discussed and their strengths and potential shortfalls are examined, and inferences about their chances of success are made.
Abstract: The coronavirus disease 2019 (COVID-19) pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is the most formidable challenge to humanity in a century. It is widely believed that prepandemic normalcy will never return until a safe and effective vaccine strategy becomes available and a global vaccination programme is implemented successfully. Here, we discuss the immunological principles that need to be taken into consideration in the development of COVID-19 vaccine strategies. On the basis of these principles, we examine the current COVID-19 vaccine candidates, their strengths and potential shortfalls, and make inferences about their chances of success. Finally, we discuss the scientific and practical challenges that will be faced in the process of developing a successful vaccine and the ways in which COVID-19 vaccine strategies may evolve over the next few years.

761 citations

Journal ArticleDOI
TL;DR: More detailed diagnostic methods based on interrogating the underlying PCA /PLS models are developed, which show those process variables which are the main contributors to any deviations that have occurred, thereby allowing one to diagnose the cause of the event more easily.
Abstract: Schemes for monitoring the operating performance of large continuous processes using multivariate statistical projection methods such as principal component analysis (PCA ) and projection to latent structures (PLS) are extended to situations where the processes can be naturally blocked into subsections. The multiblock projection methods allow one to establish monitoring charts for the individual process subsections as well as for the entire process. When a special event or fault occurs in a subsection of the process, these multiblock methods can generally detect the event earlier and reveal the subsection within which the event has occurred. More detailed diagnostic methods based on interrogating the underlying PCA /PLS models are also developed. These methods show those process variables which are the main contributors to any deviations that have occurred, thereby allowing one to diagnose the cause of the event more easily. These ideas are demonstrated using detailed simulation studies on a multisection tubular reactor for the production of lowdensity polyethylene.

760 citations

Journal ArticleDOI
24 Apr 2009
TL;DR: The objectives of this paper are to present tutorial exposition of the MTM, which is expandable to perform space-time processing and time-frequency analysis, and cyclostationarity, viewed from the Loeve and Fourier perspectives.
Abstract: Spectrum sensing is the very task upon which the entire operation of cognitive radio rests. For cognitive radio to fulfill the potential it offers to solve the spectrum underutilization problem and do so in a reliable and computationally feasible manner, we require a spectrum sensor that detects spectrum holes (i.e., underutilized subbands of the radio spectrum), provides high spectral-resolution capability, estimates the average power in each subband of the spectrum, and identifies the unknown directions of interfering signals. Cyclostationarity is another desirable property that could be used for signal detection and classification. The multitaper method (MTM) for nonparametric spectral estimation accomplishes these tasks accurately, effectively, robustly, and in a computationally feasible manner. The objectives of this paper are to present: 1) tutorial exposition of the MTM, which is expandable to perform space-time processing and time-frequency analysis; 2) cyclostationarity, viewed from the Loeve and Fourier perspectives; and 3) experimental results, using Advanced Television Systems Committee digital television and generic land mobile radio signals, followed by a discussion of the effects of Rayleigh fading.

759 citations

Journal ArticleDOI
TL;DR: This review will present the current status of knowledge of these aspects of antibiotic resistance and discuss how a thorough understanding of resistance enzyme molecular mechanism, three-dimensional structure, and evolution can be leveraged in combating resistance.

757 citations


Authors

Showing all 41721 results

NameH-indexPapersCitations
Salim Yusuf2311439252912
Gordon H. Guyatt2311620228631
Simon D. M. White189795231645
George Efstathiou187637156228
Stuart H. Orkin186715112182
Terrie E. Moffitt182594150609
John J.V. McMurray1781389184502
Jasvinder A. Singh1762382223370
Deborah J. Cook173907148928
Andrew P. McMahon16241590650
Jack Hirsh14673486332
Holger J. Schünemann141810113169
John A. Peacock140565125416
David Price138168793535
Graeme J. Hankey137844143373
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
2023168
2022521
20216,352
20205,747
20195,093
20184,604