| 1. |
- Mendoza, J. A., et al.
(författare)
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Assessment of groundwater vulnerability in the Rio Artiguas basin, Nicaragua
- 2006
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Ingår i: Environmental Geology. - : Springer Science and Business Media LLC. - 0943-0105 .- 1432-0495. ; 50:4, s. 569-580
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Tidskriftsartikel (refereegranskat)abstract
- The Rio Artiguas basin in central Nicaragua shows a distinctive case of environmental deterioration due to anthropogenic activities. Heavy metals used in gold mining and other wastes are continuously released into the rivers, representing a threat to the water quality. This article aims to evaluate the groundwater intrinsic vulnerability in the Rio Artiguas basin and to provide information for sustainable use of water resources. The DRASTIC and GOD methods were used to analyse the relative pollution potential within the basin. DRASTIC was modified to include the degree of influence that geological structures have on the vulnerability. Moderate vulnerability areas cover most of the basin along stream valleys and lowlands, increasing downstream in the basin. The resulting vulnerability maps show that the limited groundwater resources are susceptible to surface water pollution as high vulnerability areas converge along the river valleys.
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| 2. |
- Espinoza, F., et al.
(författare)
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Shifts of rotavirus G and P types in Nicaragua - 2001-2003
- 2006
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Ingår i: The Pediatric Infectious Disease Journal. - : Ovid Technologies (Wolters Kluwer Health). - 0891-3668 .- 1532-0987. ; 25:11, s. 1078-1080
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Tidskriftsartikel (refereegranskat)abstract
- The present study reports the diversity of rotavirus strains circulating in León, Nicaragua during three years. There was a shift of G and P genotypes with increment of one specific genotype during the second most important peak of diarrhea occurring in the beginning of every year. © 2006 Lippincott Williams & Wilkins, Inc.
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| 3. |
- Mendoza, J. A., et al.
(författare)
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Hydrogeological and hydrochemical features of an area polluted by heavy metals in central Nicaragua
- 2006
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Ingår i: Hydrogeology Journal. - : Springer Science and Business Media LLC. - 1431-2174 .- 1435-0157. ; 14:5, s. 777-784
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Tidskriftsartikel (refereegranskat)abstract
- Geophysical and hydrochemical surveys were used to investigate the hydrogeological conditions in one of the Rio Sucio microbasins, in central Nicaragua. Zones of vertical structures (i.e. fractures and quartz veins) and weathering were mapped using Continuous Vertical Electrical Soundings (CVES), as such zones are of major importance for groundwater transport. Water from the springs was analysed to determine concentrations of major ions and heavy metals. Low ion concentrations and 180 analyses indicate that the springs occur close to their recharge areas and there is a relatively rapid groundwater circulation. Mercury (Hg) content in the springs was low, while comparatively high amounts of lead (Pb) were found. The results presented here demonstrate the important function of weathering and tectonics in the occurrence of groundwater systems in the basin. Hg and Pb found in the springs' water reveal the existence of an increase in pollution sources disseminating in the area. More than 100 years of using mercury in the gold-mining industry and releasing wastes into rivers has affected water quality and ecosystems. Further investigations are needed in this area to determine the groundwater vulnerability to this pollution as this resource may be needed in the future.
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| 4. |
- Herrera Rodríguez, Andrés, 1966-
(författare)
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Heaven can wait : studies on suicidal behaviour among young people in Nicaragua
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In developed countries, suicidal behaviour is recognised as a significant public health problem among young people, but there are few studies from developing countries on this subject. The present thesis aims at estimating the extent of the problem and at exploring factors related to suicidal behaviour among young people in a developing country, Nicaragua, using a combined quantitative and qualitative approach. Three studies were conducted between 1999 and 2006. In the first study, all hospital admitted suicide attempt cases in the area of León were assessed over a three year period. Secondly, a qualitative study using individual in-depth interviews was conducted with eight girls aged between 12 and 19 admitted to hospital after attempting suicide. Thirdly, a study using the Attitudes Towards Suicides (ATTS) questionnaire was conducted in a community based sample of 278 young people aged 15-24 years to assess own suicidal behaviours, attitudes towards suicide as well as exposure to suicidal behaviour among significant others. The hospital surveillance showed that suicide attempt rates were highest among females in the age group 15-19 years with a female rate three times that of males (302.9 versus 98.9 per 100,000 inhabits per year). Drug intoxication and pesticides were the most commonly used methods for the attempts. A consistent seasonal variation with peaks in May-June and September-October was found in each of the three years, possibly related to exam periods in schools. Findings in the qualitative approach led to a tentative model for pathways to suicidal behaviour based on four main categories: Structuring conditions, triggering events, emotions and action taken. Dysfunctional families, lack of confidential and trustworthy contacts and interpersonal conflicts followed by emotions of shame and anger were some important components in the model. The community studies showed that suicidal expressions (life-weariness, death wishes, suicidal ideation, suicide plans and suicide attempts) were common among young people where more than 44.8% of males and 47.4% of females reported some kind of suicidal expression. Gender differences were small. Exposure to suicidal behaviour among others was associated with higher levels of self-reported suicidal behaviour. The attitude study showed that boys had less pro-preventive attitudes than girls, possibly indicating their higher risk for completed suicide. Exposure to suicidal behaviour and own suicidal behaviour showed an association with specific patterns of attitudes. The findings should be taken into consideration when planning for prevention of suicidal behaviour among young people in a developing country like Nicaragua.
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| 5. |
- Herrera Rodríguez, Andrés, et al.
(författare)
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Pathways to suicidal behaviour among adolescent girls in Nicaragua
- 2006
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Ingår i: Social Science and Medicine. - : Elsevier BV. - 0277-9536 .- 1873-5347. ; 62:4, s. 805-814
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Tidskriftsartikel (refereegranskat)abstract
- Adolescent girls are the most frequent suicide attempters worldwide. However, there is little knowledge about pathways leading to suicidal behaviour among young people, in particular in low-income countries. This study explores the motives and processes related to suicidal behaviour among young girls in Nicaragua. Individual in-depth interviews were conducted with eight girls aged between 12 and 19 admitted to hospital after attempting suicide. The audio-taped interviews lasted 2–4 h and were transcribed, translated into English and coded for content. Grounded theory and content analysis were used to construct a theory of the mechanisms behind their suicidal behaviour. A tentative model exploring pathways to suicidal behaviour is described with four main categories: structuring conditions, triggering events, emotions and actions taken. The model illustrates the dialectic interplay between structure and actions taken. Actions taken were categorized as problem solving or various forms of escape where failure with either of these strategies resulted in a suicide attempt. Dysfunctional families, absent fathers and lack of integration into society were some of the structuring conditions that lead to emotional distress. Abuse, deaths in the family, break-up with boyfriends or suicide among friends acted as triggering events. A striking finding was the obvious narrative competence of the girls. Our findings indicate that suicide prevention programmes for young people must offer support from professionals, independent of their family and social networks. Institutions in the community in contact with young people with suicidal behaviour must develop communicative skills to offer a trusting environment mobilising the resources that young people have.
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| 6. |
- Mendoza, Alfredo
(författare)
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Groundwater occurrence and risk of pollution in a mountain watershed of Nicaragua
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Hydrogeological and geophysical methods were applied in the Río Artiguas watershed, a mountain basin located in central Nicaragua. This area is under environmental stress from anthropogenic activities like gold mining using mercury and waste disposal into the streams. The aim of this work was to characterise the hydrogeological conditions in the basin with emphasis on understanding the possible connections between streams and groundwater. It was also important to evaluate the vulnerability and risk of groundwater pollution. Hydrogeological mapping, resistivity imaging, hydrological measurements and hydrochemical surveys were combined to meet the aims of the work. The hydrogeological characterisation permitted identification of a) recharge areas, b) geological units that contribute to the formation of the groundwater system and c) a mechanism of discharge through springs and streams. The geophysical surveys allowed mapping the extension of weathering and tectonic features with hydrogeological significance, e.g. faults, dykes and fractures. A total of 99 perennial springs were documented and classified according to their mechanism of formation. Isotopic data indicate that the recharge occurs very close to the sites where the springs are formed. This is also supported by the relatively low ion concentrations found in the water of the springs. The weathering layers together with fractures and dykes form shallow aquifers that commonly discharge in a spring or along the streams. The high precipitation regime is an immediate source of water to the system, and in conjunction with the geology and steep topography it generates a constant and rapid circulation of water from recharge areas to discharge zones. The natural implication of this hydrogeological framework is that the formation of large or regional flows is not evident at the current state of knowledge. The same factors that influence groundwater occurrence are to some extent responsible for the degree of groundwater vulnerability to pollution. The vulnerable areas are situated along the steep valleys of the basin, where the interactions between subsurface and surface water can facilitate the spreading of pollutants. Since the pollution sources are located near the streams the risk of groundwater pollution is concentrated there. The pollutants disposed into the streams are rapidly removed by the river flow, which has a high contribution from precipitation. The pollutants are then transported far away from the sources. The urgent need to end the pollution of Río Artiguas is obvious. The tools to prevent further deterioration are not only to be found in the hydro geosciences and mining technology sphere, but they are also located in the socio?political arena. In this respect, the research presented in this thesis will gain importance as it reaches and informs local decision makers about the vulnerability and risks of pollution that the current anthropogenic activities represent for the groundwater resources.
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| 7. |
- Tercero, F, et al.
(författare)
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The epidemiology of moderate and severe injuries in a Nicaraguan community : a household-based survey
- 2006
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Ingår i: Public Health. - London : Saunders Elsevier. - 0033-3506 .- 1476-5616. ; 120:2, s. 106-114
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Tidskriftsartikel (refereegranskat)abstract
- Although injuries constitute a major public health problem worldwide, the magnitude and nature of this problem is difficult to establish in low-income settings due to the lack of valid and representative data. In Nicaragua, several parallel studies have been carried out attempting to assess levels and patterns of injury using various sources of information. The objective of this study was to describe the magnitude and profile of moderate and severe injuries in a well-defined community in Nicaragua. The study was conducted using a household-based survey design. Randomized cluster sampling provided information from 10,797 households (63,886 inhabitants). The outcomes included fatal and non-fatal injuries registered during a recall period of 6 weeks. Seven percent of all. injuries were classified as moderate or severe. The estimated annual incidence rate of moderate/severe injuries was 27.6 per 1000 [95% confidence intervals (CI): 26.4-29.2], white the mortality and impairment rates were 108.9 (95% CI: 83.5-134.4) and 95.3 (95% CI: 71.4-119.2) per 100,000 inhabitants, respectively. Home and traffic areas were the main environments associated with injury occurrence. The most affected groups were the elderly, children and mates. No differences were found between urban and rural areas. Only 9% of all cases, including minor injuries, sought hospital treatment. The main causes of non-fatal injuries were falls, traffic and cuts, whereas fatalities were largely associated with intentional injuries. For every death due to injury, there was one permanent disability, 25 moderate/severe injuries and 354 minor injuries. This study provides a broad description of injury magnitudes and patterns in a defined Nicaraguan community, and demonstrates the aggregate injury pyramid of the same community. It also identifies the issue of severity and concludes with a recommendation to apply different criteria of severity. Our results support the call for a careful evaluation of injury data sources and severity scores when planning injury prevention programmes.
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| 8. |
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| 9. |
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| 10. |
- Téllez Sierra, Aleyda
(författare)
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Giardiasis in Leon, Nicaragua : prevalence and protection
- 2006
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Giardia intestinalis is endemic in Nicaragua and affects children early in their lives. Infected individuals may be asymptomatic or suffer from acute or chronic diarrhea, malabsorption and weight loss. The prevalence of Giardia intestinalis infection in the population of León-Nicaragua was investigated. The presence of Giardia specific secretory antibodies was correlated with protection against disease. Parasite proteins as powerful immunogens were evaluated. By microscopic examination of stool samples, we found G. intestinalis cysts in 15.9 % of the tested material. Giardia was most prevalent in the youngest age group, close to 30 % in children less than 5 years old. The presence of the parasite could be correlated to poor socioeconomic conditions. In a subsequent study a prevalence of 15.6 % of anti-Giardia antibodies in milk was detected in lactating women. The protective effect of milk anti-Giardia antibodies against G. intestinalis infection was studied in 307 children aged 1 week to 2 years. Giardia cysts were found in stools of 36.1 % of infants. Among infected children, 24 (21.6 %) acquired the infection before the age of 6 months. Sixty-five children (58.8 %) presented multiples episodes of giardiasis during the first two years of life. Of 24 children infected early in life, 23 (96 %) were born to mothers lacking specific antibodies in milk. These children also developed more severe diarrhea. There was a significant difference between children born to mothers with and without antibodies with respect to the age at which the first Giardia infection was acquired (p=0.036). Milk and saliva samples from a group of 100 lactating women living in the same area were tested for the presence of Giardia specific antibodies. Anti-Giardia antibodies were seen in 59 % of milk samples and 52 % of saliva samples. Milk antibodies gave stronger reactions than saliva and most of them reacted with surface and flagella components. Secretory anti-Giardia antibodies recognized up to 16 different proteins in the molecular weight region between 20 and 165 kDa. Differences among samples were mostly quantitative. Selected anti-Giardia positive milk samples were tested with recombinant Giardia proteins alpha-1 giardin, alpha-enolase, arginine deiminase (ADI) ornithine carbamoyl transferase (OCT), and VSP4EX. All tested milk samples reacted with the recombinant antigens. Specific reactivity of milk antibodies with the ventral flagellae of the parasite was observed. Milk antibodies showed a similar reactivity to a reference anti-tubulin antibody previously generated and shown to recognize Giardia ventral flagella. The 50 kDa target tubulin immunogen has also the mobility of Giardia beta tubulin in polyacrylamide gel electrophoresis and isoclectric focusing of cytoskeleton parasite preparations. In conclusion, Giardia intestinalis is frequent among the population of León-Nicaragua and children born to immune mothers are at lower risk of getting giardiasis. Milk and saliva anti-Giardia antibodies found in Nicaragua women recognized Giardia immunogens such as VSPs, alpha-giardins as well as OCT, ADI and enolase. These antigens can be important in the development of immunodiagnostic tools and vaccines. During Giardia infection antitubulin secretory antibodies are also produced recognizing the ventral flagella of the parasite.
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