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Biomedical subjects

M A Muñoz

Publications and source records attributed to M A Muñoz.

At least 19 recordsLinked to original sources
PubMed2007

Sitosterol xanthomatosis.

BACKGROUND: Sitosterolaemia is a lipid disorder in which plasma plant sterol levels are extremely elevated. Sitosterolaemia is clinically characterized by tuberous and tendon xanthomas, premature vascular disease and arthritis. OBJECTIVE: To report a case of sitosterolaemia diagnosed by cutaneous manifestations and to review this rare disease. METHODS: We report the case of a 60-year-old woman who presented with cutaneous xanthomas, arterial hypertension and polyarthralgias. The patient had had hypercholesterolaemia for many years without reduction of serum cholesterol, despite treatment with fenofibrate. RESULTS: Ezetimibe therapy was started, decreasing sitosterol plasmatic levels and tuberous xanthomas after 3 months of treatment. CONCLUSION: It is important to detect levels of sitosterol in plasma in patients with premature vascular disease, presence of xanthomas, and uncontrolled hypercholesterolaemia. Ezetimibe therapy is effective.

Azetidines↗
PubMed2004

Effects of static and dynamic disorder on the performance of neural automata.

We report on both analytical and numerical results concerning stochastic Hopfield-like neural automata exhibiting the following (biologically inspired) features: (1) Neurons and synapses evolve in time as in contact with respective baths at different temperatures; (2) the connectivity between neurons may be tuned from full connection to high random dilution, or to the case of networks with the small-world property and/or scale-free architecture; and (3) there is synaptic kinetics simulating repeated scanning of the stored patterns. Although these features may apparently result in additional disorder, the model exhibits, for a wide range of parameter values, an extraordinary computational performance, and some of the qualitative behaviors observed in natural systems. In particular, we illustrate here very efficient and robust associative memory, and jumping between pattern attractors.

Models, Neurological↗
PubMed2004

Therapeutic immunization with an inactivated HIV-1 Immunogen plus antiretrovirals versus antiretroviral therapy alone in asymptomatic HIV-infected subjects.

To determine whether the addition of an inactivated-gp120-depleted HIV-1 Immunogen to antiretrovirals (ARTs) conferred a beneficial effect on delaying time to virologic failure relative to that obtained by ARTs alone, a phase II clinical trial was performed in 243 asymptomatic, ART naïve, HIV-1 seropositive adults. The Cox model showed that HIV-1 Immunogen treatment was associated with a 34% decrease in the risk of virologic failure (P = 0.056). When the analysis incorporated baseline HIV-RNA stratification the risk of virologic failure in the HIV-1 Immunogen Arm was significantly reduced a 37% compared to the IFA placebo Arm (P = 0.034). The data suggest that therapeutic immunization plus ARTs could influence virologic control.

AIDS Vaccines↗
PubMed2004

Hydrogen bonding interactions between indole and benzenoid-pi-bases.

The NH-pi interactions of indole with benzene, naphthalene, phenanthrene, toluene, m-xylene, and mesitilene, in carbon tetrachloride solutions, have been studied by Fourier transform infrared spectroscopy. The experiments, carried out on the NH stretching band of indole, prove the formation of 1:1 complexes in which the NH bond of indole is engaged. The NH frequency shifts are independent of the number of rings in the base, but they progressively increase as the electron density is enhanced by methylation. The association constants increase with the increase of both, the number of rings and the methyl groups on the base. At higher base concentrations, further shifts on the free NH and associated bands indicate the formation of 1:2 complexes, which suggest hybride NH-pi and van der Waals interactions between one indole ring and two benzene acceptor molecules.

Benzene↗
PubMed2003

Nonequilibrium wetting transitions with short range forces.

We analyze within mean-field theory as well as numerically a Kardar-Parisi-Zhang equation that describes nonequilibrium wetting. Both complete and critical wettitng transitions were found and characterized in detail. For one-dimensional substrates the critical weting temperature is depressed by fluctuations. In addition, we have investigated a region in the space of parameters (temperature and chemical potential) where the wet and nonwet phases coexist. Finite-size scaling analysis of the interfacial detaching times indicates that the finite coexistence region survives in the thermodynamic limit. Within this region we have observed (stable or very long lived) structures related to spatiotemporal intermittency in other systems. In the interfacial representation these structures exhibit perfect triangular (pyramidal) patterns in one dimension (two dimensions), which are characterized by their slope and size distribution.

Journal Article↗
PubMed2003

Results of kidney transplantation in recipients over 70 years of age: experience at a single center.

We performed 41 kidney transplants in patients >70 years (35 single and 6 dual), with a mean recipient age of 72+/-2 years, from January 1990 to December 2001. Mean age of the donors was 69+/-12 years. Immunosuppression used triple therapy with steroids, mycophenolate mofetil, and cyclosporine or tacrolimus. Cold ischemia time was 23+/-3 hours. The incidence of primary nonfunction was 4.8%, and delayed graft function 58.5%. Acute rejection incidence was 12%. The actuarial patient survival rates at 12, 24, and 36 months were 82.5%, 82.5%, and 75%, respectively. Actuarial survival rates of the grafts censuring for death of the recipient with a functioning graft were 89.5%, 86%, and 68%, respectively. Nine of the 18 graft losses were due to recipient death. Overall, renal transplant recipients >70 years showed good results. The principal cause of graft loss was recipient death.

Aged↗
PubMed2002

Scale-free networks from varying vertex intrinsic fitness.

A new mechanism leading to scale-free networks is proposed in this Letter. It is shown that, in many cases of interest, the connectivity power-law behavior is neither related to dynamical properties nor to preferential attachment. Assigning a quenched fitness value x(i) to every vertex, and drawing links among vertices with a probability depending on the fitnesses of the two involved sites, gives rise to what we call a good-get-richer mechanism, in which sites with larger fitness are more likely to become hubs (i.e., to be highly connected).

Algorithms↗
PubMed2001

Is the particle current a relevant feature in driven lattice gases?

By performing extensive Monte Carlo simulations we show that the infinitely fast driven lattice gas (IDLG) shares its critical properties with the randomly driven lattice gas (RDLG). All the measured exponents, scaling functions, and amplitudes are the same in both cases. This strongly supports the idea that the main relevant nonequilibrium effect in driven lattice gases is the anisotropy (present in both IDLG and RDLG) and not the particle current (present only in the IDLG). This result, at odds with the predictions from the standard theory for the IDLG, supports a recently proposed alternative theory. The case of finite driving fields is also briefly discussed.

Journal Article↗
PubMed2001

Critical behavior of a one-dimensional fixed-energy stochastic sandpile.

We study a one-dimensional fixed-energy version (that is, with no input or loss of particles) of Manna's stochastic sandpile model. The system has a continuous transition to an absorbing state at a critical value of the particle density, and exhibits the hallmarks of an absorbing-state phase transition, including finite-size scaling. Critical exponents are obtained from extensive simulations, which treat stationary and transient properties, and an associated interface representation. These exponents characterize the universality class of an absorbing-state phase transition with a static conserved density in one dimension; they differ from those expected at a linear-interface depinning transition in a medium with point disorder, and from those of directed percolation.

Journal Article↗
PubMed2001

Field theory of self-organized fractal etching.

We propose a phenomenological field theoretical approach to the chemical etching of a disordered solid. The theory is based on a recently proposed dynamical etching model. Through the introduction of a set of Langevin equations for the model evolution, we are able to map the problem into a field theory related to isotropic percolation. To the best of the author's knowledge, this constitutes the first application of field theory to a problem of chemical dynamics. By using this mapping, many of the etching process critical properties are seen to be describable in terms of the percolation renormalization group fixed point. The emerging field theory has the peculiarity of being self-organized in the sense that without any parameter fine tuning the system develops fractal properties up to a certain scale controlled solely by the volume V of the etching solution. In the limit V-->infinity the upper cutoff goes to infinity and the system becomes scale invariant. We present also a finite size scaling analysis and discuss the relation of this particular etching mechanism to gradient percolation. Finally, the possibility of considering this mechanism as a generic path to self-organized criticality is analyzed, with the characteristics of being closely related to a real physical system and therefore more directly accessible to experiments.

Journal Article↗
PubMed2001

Numerical study of persistence in models with absorbing states.

Extensive Monte Carlo simulations are performed in order to evaluate both the local (straight theta(l)) and global (straight theta(g)) persistence exponents in the Ziff-Gulari-Barshad (ZGB) [Phys. Rev. Lett. 56, 2553 (1986)] irreversible reaction model. At the second-order irreversible phase transition (IPT) we find that both the local and the global persistence exhibit power-law behavior with a crossover between two different time regimes. On the other hand, at the ZGB first-order IPT, active sites are short lived and the persistence decays more abruptly; it is not clear whether it shows power-law behavior or not. In order to analyze universality issues, we have also studied another model with absorbing states, the contact process, and evaluated the local persistence exponent in dimensions from 1 to 4. A striking apparent superuniversality is reported: the local persistence exponent seems to coincide in both one- and two-dimensional systems. Some other aspects of persistence in systems with absorbing states are also analyzed.

Journal Article↗
PubMed2001

Hydrogen bonding NH/pi interactions between betacarboline and methyl benzene derivatives.

In the presence of benzene, toluene, m-xylene, mesitylene and durene, the pyrrolic NH stretching band of betacarboline, 9H-pyrido[3,4-b]indole, and its 1-methyl derivative, harmane, in tetrachloroethane diminishes in intensity while a new red-shifted band grows up. The shifts of the associated bands increase linearly with the pi-electron density of the substrates. These spectral changes are attributed to the formation of 1:1 molecular association complexes between the betacarbolines and the benzenoid substrates. The complexes are stabilized by the hydrogen-bonding interaction between the pyrrolic NH group of betacarboline and the pi-delocalized electrons of the benzene derivatives. The influence of these NH/pi hydrogen-bonding interactions in the fluorescence spectra of betacarboline is discussed.

Benzene↗
PubMed2001

Fibrosing cholestatic hepatitis-like syndrome in hepatitis B virus-negative and hepatitis C virus-negative renal transplant recipients.

Cholestatic hepatitis and diffuse liver fibrosis have been described in immunosuppressed patients with hepatitis B virus or hepatitis C virus infection as fibrosing cholestatic hepatitis (FCH). FCH is characterized by cholestasis, with only a modest increase in aminotransferase levels. The pathologic picture typically shows periportal and perisinusoidal fibrosis, scarce mixed infiltrates, hepatocellular ballooning, and histologic cholestasis. We report two patients with diffuse fibrosis and cholestasis quite similar to the histologic picture of FCH, but in whom neither hepatitis B virus nor hepatitis C virus infection could be shown, highlighting the potential contribution of cytomegalovirus infection and azathioprine toxicity in the development of this severe complication of solid-organ transplantation.

Adult↗