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Institution

Mount Sinai Hospital

HealthcareNew York, New York, United States
About: Mount Sinai Hospital is a healthcare organization based out in New York, New York, United States. It is known for research contribution in the topics: Population & Transplantation. The organization has 18819 authors who have published 23168 publications receiving 907963 citations.


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Journal ArticleDOI
TL;DR: The technique of disc electrophoresis has been presented, including a discussion of the technical variables with special reference to the separation of protein fractions of normal human serum.
Abstract: Summary The technique of disc electrophoresis has been presented, including a discussion of the technical variables with special reference to the separation of protein fractions of normal human serum.

17,771 citations

Journal ArticleDOI
TL;DR: Ipilimumab, with or without a gp100 peptide vaccine, as compared with gp100 alone, improved overall survival in patients with previously treated metastatic melanoma.
Abstract: Background An improvement in overall survival among patients with metastatic melanoma has been an elusive goal. In this phase 3 study, ipilimumab — which blocks cytotoxic T-lymphocyte–associated antigen 4 to potentiate an antitumor T-cell response — administered with or without a glycoprotein 100 (gp100) peptide vaccine was compared with gp100 alone in patients with previously treated metastatic melanoma. Methods A total of 676 HLA-A*0201–positive patients with unresectable stage III or IV melanoma, whose disease had progressed while they were receiving therapy for metastatic disease, were randomly assigned, in a 3:1:1 ratio, to receive ipilimumab plus gp100 (403 patients), ipilimumab alone (137), or gp100 alone (136). Ipilimumab, at a dose of 3 mg per kilogram of body weight, was administered with or without gp100 every 3 weeks for up to four treatments (induction). Eligible patients could receive reinduction therapy. The primary end point was overall survival. Results The median overall survival was 10.0 months among patients receiving ipilimumab plus gp100, as compared with 6.4 months among patients receiving gp100 alone (hazard ratio for death, 0.68; P<0.001). The median overall survival with ipilimumab alone was 10.1 months (hazard ratio for death in the comparison with gp100 alone, 0.66; P = 0.003). No difference in overall survival was detected between the ipilimumab groups (hazard ratio with ipilimumab plus gp100, 1.04; P = 0.76). Grade 3 or 4 immune-related adverse events occurred in 10 to 15% of patients treated with ipilimumab and in 3% treated with gp100 alone. There were 14 deaths related to the study drugs (2.1%), and 7 were associated with immune-related adverse events. Conclusions Ipilimumab, with or without a gp100 peptide vaccine, as compared with gp100 alone, improved overall survival in patients with previously treated metastatic melanoma. Adverse events can be severe, long-lasting, or both, but most are reversible with appropriate treatment. (Funded by Medarex and Bristol-Myers Squibb; ClinicalTrials.gov number, NCT00094653.)

13,081 citations

Journal ArticleDOI
TL;DR: In this article, the authors used ultrafast computed tomography (UCT) to detect and quantify coronary artery calcium levels in 584 subjects (mean age 48 +/- 10 years) with and without clinical coronary artery disease.

6,545 citations

Journal ArticleDOI
TL;DR: Although a significant number of aspects of care have relatively weak support, evidence-based recommendations regarding the acute management of sepsis and septic shock are the foundation of improved outcomes for these critically ill patients with high mortality.
Abstract: To provide an update to “Surviving Sepsis Campaign Guidelines for Management of Sepsis and Septic Shock: 2012”. A consensus committee of 55 international experts representing 25 international organizations was convened. Nominal groups were assembled at key international meetings (for those committee members attending the conference). A formal conflict-of-interest (COI) policy was developed at the onset of the process and enforced throughout. A stand-alone meeting was held for all panel members in December 2015. Teleconferences and electronic-based discussion among subgroups and among the entire committee served as an integral part of the development. The panel consisted of five sections: hemodynamics, infection, adjunctive therapies, metabolic, and ventilation. Population, intervention, comparison, and outcomes (PICO) questions were reviewed and updated as needed, and evidence profiles were generated. Each subgroup generated a list of questions, searched for best available evidence, and then followed the principles of the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) system to assess the quality of evidence from high to very low, and to formulate recommendations as strong or weak, or best practice statement when applicable. The Surviving Sepsis Guideline panel provided 93 statements on early management and resuscitation of patients with sepsis or septic shock. Overall, 32 were strong recommendations, 39 were weak recommendations, and 18 were best-practice statements. No recommendation was provided for four questions. Substantial agreement exists among a large cohort of international experts regarding many strong recommendations for the best care of patients with sepsis. Although a significant number of aspects of care have relatively weak support, evidence-based recommendations regarding the acute management of sepsis and septic shock are the foundation of improved outcomes for these critically ill patients with high mortality.

4,303 citations

Journal ArticleDOI
TL;DR: Some mechanisms that provide a rationale for the resolution afforded by zone electrophoresis in many gels will be detailed; the theory of some new modifications of zone electophoresis that have been designed to take maximum advantage of these mechanisms will be developed.
Abstract: Although electrophoresis is one of the most effective methods for the separation of ionic components of a mixture, the resolving power of different electrophoretic methods is quite variable. To separate two component ions, it is necessary to permit migration to continue until one of the kinds of ions has traveled at least one thickness of the volumes that it initially occupied (the starting zone) further than the other. However, the sharpness, and therefore the resolution, of the zones occupied by each ion diminishes with time because of the spreading of the zones as a result of diffusion. Remarkable resolution has been achieved when advantage is taken of the frictional properties of gels to aid separation by seiving at the molecular level (see Smithies’). A new method, disc electrophoresis, t has been designed that takes advantage of the adjustability of the pore size of a synthetic gel and that automatically produces starting zones of the order of 10 microns thickness from initial volumes with thicknesses of the order of centimeters. High resolution is thus achieved in very brief runs. With this technique, over 20 serum proteins are routinely separated from a sample of whole human serum as small as one microliter in a 20-minute run (see FIGURE 1) . Direct analysis of even very dilute samples becomes routine because the various ions are automatically concentrated to fixed high values at the beginning of the run just prior to separation. Preliminary laboratory studies and theoretic considerations provide evidence of the applicability of this technique to a wide range of ionic species for both analytic and large-scale preparative purposes. Theory has also provided the basis for a simple application of disc electrophoresis to the simultaneous determination of both the free mobility and the aqueous diffusion constant of a protein. This report will detail some mechanisms that provide a rationale for the resolution afforded by zone electrophoresis in many gels; will develop the theory of some new modifications of zone electrophoresis that have been designed to take maximum advantage of these mechanisms; and will provide some examples of the results that disc electrophoresis has produced.

4,255 citations


Authors

Showing all 18860 results

NameH-indexPapersCitations
Dennis S. Charney179802122408
Valentin Fuster1791462185164
Zena Werb168473122629
Napoleone Ferrara167494140647
Marc A. Pfeffer166765133043
Bruce L. Miller1631153115975
David H. Adams1551613117783
Lance A. Liotta153832102335
Tony Pawson15042585196
Paolo Boffetta148145593876
Hugh A. Sampson14781676492
Jean-Frederic Colombel147112598944
Andrew S. Levey144600156845
Ruth J. F. Loos14264792485
Daniel S. Berman141136386136
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
202315
202258
20211,236
20201,225
2019915
2018821