Rights of the Child in Guatemala.

ERIC Educational Resources Information Center

Bagozzi, Daniela

This report to the United Nations Committee on the Rights of the Child contains observations of the World Organisation Against Torture (OMCT) concerning the application of the Convention on the Rights of the Child by the Republic of Guatemala. The report's introductory summary asserts that although Guatemala has begun to undertake institutional…

Protecting indigenous rights. Guatemala.

PubMed

1996-01-01

Guatemala's recent ratification of the International Labor Organization (ILO) Convention regarding indigenous and tribal peoples (1989, No. 169) represents a commitment to guarantee the rights of the country's majority Mayan population. Ratifying governments are obligated to respect the traditional values and land rights of tribal and indigenous peoples and to consult with them on any decisions affecting their economic or social development. Ratification of this Convention was a key element in an eight-part UN-sponsored negotiation aimed at ending the civil war in Guatemala. Efforts are underway to promote dialogue between organized civil society and government. Negotiations in May 1996, conducted with ILO assistance, resulted in a socioeconomic agreement under which Guatemala will increase social investment in education, undertake agrarian reform, and institute tripartite consultation on all major social and economic issues. However, two key issues in the peace negotiations--the role of the army in civil society and constitutional reform--remain unresolved. The final global peace accord is expected to be signed in September 1996. UN organizations are already working to mobilize international support for transforming these agreements into political and social realities for the Guatemalan people.

Ethnicity, Education, and Earnings in Bolivia and Guatemala.

ERIC Educational Resources Information Center

Psacharopoulos, George

1993-01-01

In Guatemala and Bolivia, countries with high proportions of ethnic (Native) population, indigenous workers had lower educational attainment and earned less at every educational level, relative to nonindigenous workers. The differences between ethnic groups were greater in Guatemala than Bolivia. (SV)

Availability, Price, and Packaging of Electronic Cigarettes and E-Liquids in Guatemala City Retailers.

PubMed

Chacon, Violeta; Arriaza, Astrid; Cavazos-Rehg, Patricia; Barnoya, Joaquin

2018-01-05

Electronic cigarettes (e-cigarettes) have the potential to normalize smoking and undermine tobacco control efforts. However, if well regulated, they also have a potential as smoking cessation aids. This study sought to determine the availability and types of e-cigarettes and e-liquids in Guatemala. We also assessed packaging characteristics and price. We surveyed a convenient sample of 39 Guatemala City retailers and purchased all e-cigarettes and e-liquids available. Duplicate samples (same brand, e-liquid type, flavor, nicotine content, or packaging) were purchased when prices were different between each other. Country of manufacture, flavor, expiration date, nicotine concentration, and price were recorded. We also documented package marketing strategies and warning labels. We purchased 64 e-cigarettes (53 unique and 11 duplicates) and 57 e-liquids (52 unique and 5 duplicates), mostly found on mall retailers. Most e-cigarettes (42, 66%) were first generation, followed by second (18, 28%) and third generations (4, 6%). Price of e-cigarettes differed significantly by generation. Most e-cigarettes (31, 58%) and 24 (46%) e-liquids did not include warning labels. Nicotine content was reported in 21 (39%) e-cigarettes that included e-liquids and 41 (79%) e-liquids' packages. E-cigarettes and e-liquids are available among a variety of retailers in Guatemala City and the industry is taking advantage of the fact that they are not regulated (eg, health claims, minimum sales age, and taxation). Our findings support the need for further research on e-cigarettes and e-liquids in Guatemala. To the best of our knowledge, this is the first study describing e-cigarettes and e-liquids available in retailers in a low/middle-income country like Guatemala. E-cigarettes and e-liquids were found in a variety of types, flavors, and nicotine concentrations in Guatemalan retailers. Our findings support the need for further research on e-cigarettes and e-liquids in Guatemala. © The Author

Smoking cessation medications and cigarettes in Guatemala pharmacies.

PubMed

Viteri, Ernesto; Barnoya, Joaquin; Hudmon, Karen Suchanek; Solorzano, Pedro J

2012-09-01

Guatemala, a party to the Framework Convention on Tobacco Control (FCTC), is obliged to promote the wider availability of smoking cessation treatment and to restrict tobacco advertising. Pharmacies are fundamental in providing smoking cessation medications but also might increase the availability of cigarettes. To assess availability of cessation medications and cigarettes and their corresponding advertising in Guatemala pharmacies. In Guatemala City a representative sample was selected from a list of registered pharmacies classified by type (non-profit, chain, independent). In addition, all pharmacies in the neighbouring town of Antigua were included for comparison. Trained surveyors used a checklist to characterise each pharmacy with respect to availability and advertising of cessation medications and cigarettes. A total of 505 pharmacies were evaluated. Cessation medications were available in 115 (22.8%), while cigarettes were available in 29 (5.7%) pharmacies. When available, medications were advertised in 1.7% (2) and cigarettes in 72.4% (21) of pharmacies. Chain pharmacies were significantly more likely to sell cessation medications and cigarettes, and to advertise cigarettes than were non-profit and independent pharmacies. Most pharmacies in Guatemala do not stock cessation medications or cigarettes. Cigarette advertising was more prevalent than advertising for cessation medications. FCTC provisions have not been implemented in Guatemala pharmacies.

Social marketing program sales.

PubMed

1987-01-01

This table presents data on social marketing program sales for projects that provide more than 5000 couple-years of protection. Cited are social marketing programs in Bangladesh, Costa Rica, Egypt, El Salvador, Guatemala, Honduras, India, Indonesia, Jamaica, Nepal, Pakistan, Peru, and Sri Lanka. Included in the table are data on program funding, product sales (generally condoms, pills, and foaming tablets), and couple-years of protection provided. Among the social marketing programs reporting particularly high couple-years of protection levels are the Bangladesh Family Planning Social Marketing Program (1,165,100), the Egyptian Family Planning Association's Family for the Future Program (732,200), India's Nirodh Marketing Program (2,225,000), and Pakistan's Social Marketing Contraceptive Program (280,000).

Civil-Military Relations and Democratization in Guatemala.

DTIC Science & Technology

1998-06-01

by El Salvador and Honduras and to the south by the Pacific Ocean. Even though Spanish is the official language , at least half of the population...September 1821, after more than three centuries of Spanish domination. Guatemala’s territory encompasses over 100,000 square kilometers and is the...state and also protected the societal structure left by the Spanish colonizers, which was highly oligarchic and feudal. Despite the fact that Guatemala

A Curriculum Unit on Human Rights of the Mayas of Guatemala. Fulbright-Hays Summer Seminars Abroad Program, 2000 (Mexico and Guatemala).

ERIC Educational Resources Information Center

Shilha, Marianne M.

This curriculum unit is intended for upper-level high school students. The unit aims for students to gain a basic understanding of the history of Mayan human rights in Guatemala and of the present situation in Guatemala. The unit uses a variety of media and teaching techniques. It lists 30 questions which are to be completed after reading the…

Guatemala's ministry of health rapid response team manuals.

PubMed

Hernandez, Luis; Hanson, Kimberly M; Martel, Lise D

2014-01-01

The function of public health rapid response teams (RRTs) is to quickly identify, investigate, and control an outbreak before it can spread. The Central America Regional Office in Guatemala provided assistance to the Guatemalan Ministry of Health and Social Assistance (MSPAS) to develop RRT manuals at the district and regional levels. The manuals are divided into 4 sections: background, activity lists, standard operating procedures, and annexes. The manuals outline Guatemala's RRT members' responsibilities and will be tested in the near future through tabletop exercises. The development of the manuals is a concrete and significant step toward the attainment of Guatemala's IHR goals and should be integrated into a larger emergency management system to promote "a world safe and secure from global health threats posed by infectious diseases."

Medicinal Mushrooms in Guatemala.

PubMed

Sommerkamp, Yvonne; Paz, Ana Margarita; Guzmán, Gastón

2016-01-01

Guatemala, located in Central America, has a long and rich history in the traditional use of edible, medicinal, and hallucinogenic mushrooms. This article describes the use of these mushrooms and presents studies on the scientific validation of native and foreign species.

Chronic kidney disease among children in Guatemala.

PubMed

Cerón, Alejandro; Fort, Meredith P; Morine, Chris M; Lou-Meda, Randall

2014-12-01

To describe the distribution of pediatric chronic kidney disease (CKD) in Guatemala, estimate incidence and prevalence of pediatric end-stage renal disease (ESRD), and estimate time to progress to ESRD. This study analyzed the registry of the only pediatric nephrology center in Guatemala, from 2004-2013. Incidence and prevalence were calculated for annual periods. Moran's index for spatial autocorrelation was used to determine significance of geographic distribution of incidence. Time to progress to ESRD and associated risk factors were calculated with multivariate Cox regression. Of 1 545 patients from birth to less than 20 years of age, 432 had chronic renal failure (CRF). Prevalence and incidence of ESRD were 4.9 and 4.6 per million age-related population, respectively. Incidence was higher for the Pacific coast and Guatemala City. The cause of CRF was undetermined in 43% of patients. Average time to progress to ESRD was 21.9 months; factors associated with progression were: older age, diagnosis of glomerulopathies, and advanced-stage CKD at consultation. Prevalence and incidence of ESRD in Guatemala are lower than in other countries. This may reflect poor access to diagnosis. Areas with higher incidence and large proportion of CKD of undetermined cause are compatible with other studies from the geographic subregion. Findings on progression to ESRD may reflect delayed referral.

Availability and costs of single cigarettes in Guatemala.

PubMed

de Ojeda, Ana; Barnoya, Joaquin; Thrasher, James F

2013-01-01

Single-cigarette sales have been associated with increased cigarette accessibility to less educated, lower-income populations, and minors; lower immediate cost, and increased smoking cues. Since 1997, Guatemalan Law bans the sale of single cigarettes and packs with fewer than 20 cigarettes. In 2005, Guatemala ratified the World Health Organization Framework Convention on Tobacco Control (WHO FCTC); it is therefore obliged to "prohibit sale of cigarettes individually or in small packets." Blocks were numbered and randomly selected in Guatemala City and 3 neighboring towns. All stores in each block were surveyed. Single-cigarette and fewer than 20-cigarette pack sales were assessed by observation and purchase attempts. Cigarette brands and manufacturers (Philip Morris, PM or British American Tobacco, BAT) were also recorded. Percentages and means were used to describe data. Analyses were done using STATA 11.0. Of 398 stores and street vendors surveyed, 75.6% (301) sold cigarettes. Of these, 91% (275) sold single cigarettes and none sold fewer than 20-cigarette packs. Only informal economic sectors sold singles. There was no difference on sales between Guatemala City and neighboring towns and by store type. Buying 20 single cigarettes was US$ 0.83 more expensive than buying a 20-cigarette pack. The most prevalent brands were Rubios (PM), Marlboro (PM), Payasos (BAT), and After Hours (BAT). Single-cigarettes sales are highly prevalent among informal economic sectors in Guatemala City and its neighboring towns. Our data should prove useful to advocate for FCTC Article 16 enforcement in Guatemala.

Guatemala.

PubMed

1992-04-01

Guatemala's area comprises 108,780 square km or 42,000 square miles. The population numbered 9 million in 1990. Ethnic groups include mixed Spanish-Indian races. Spanish and 23 Indian languages are used. Literacy is 52%, the infant mortality rate is 73/1000, and life expectancy is 60 years but only 44 years for Indians. The government is constitutional democratic republic. The total gross domestic product (GDP) was estimated at $10 billion in 1990. US economic assistance amounted to $118 million in FY 1990. Protestantism and traditional Indian religions make up 30% of practiced religion. Since the defeat of the flourishing Mayan civilization by the Spanish in 1523-24 the country's history has been turbulent with a series of dictatorships after independence in 1821. In its recent history Vinicio Cerezo won the 1985 election overwhelmingly, but renewed violence, a failing economy, strikes, corruption, and an inability to deal with infant mortality, illiteracy, and the low quality of health care marked its final years. In 1990 Jorge Serrano was elected in the 1st democratic transition. Negotiations were started with the Guatemalan National Revolutionary Unit to end the violence and respect human rights. An agreement on dialogue was signed in Oslo with the hope of ending one of the oldest insurgencies in the world. The economy started to improve after 1986, and far-reaching reforms could induce rapid growth in coming years especially in agricultural exports. The private sector generates 90% of the GDP. Foreign development assistance has increased: the US has contributed $800 million since 1986. Impediments to faster economic growth are posed by illiteracy and low levels of education, insufficient capital market, and limitations of the infrastructure.

Social inequality and children's growth in Guatemala.

PubMed

Pebley, A R; Goldman, N

1995-04-01

This paper is an investigation of the effects of social inequality in Guatemala on children's health and nutritional status as measured by attained height. Guatemala remains a highly stratified and poor society. We examine the association of land distribution, land tenure, occupation, and other aspects of family social and economic status with children's height between the ages of three months and 36 months, using data from a cross-sectional survey. An important consequence of the poverty and poor living conditions of the majority of the Guatemalan population is substantial deficits in children's growth. Our results suggest that children's growth is affected by ethnicity, their father's occupation, land distribution in the area where they live, and maternal education. Substantial growth deficits are observed among children living at altitudes above 1500 metres; we hypothesize that this is because, in Guatemala, higher altitude is associated with land scarcity, poorer agricultural conditions, and greater remoteness from transport networks and other public services.

Effects of licensed characters on children's taste and snack preferences in Guatemala, a low/middle income country.

PubMed

Letona, P; Chacon, V; Roberto, C; Barnoya, J

2014-11-01

Marketing of high-energy, low-nutrient foods is one of the contributing factors to the obesity-promoting environment. Licensed characters are typically used to market these foods to children because they increase brand recognition and sales, and data suggest that they affect the taste and snack preferences of children in high-income countries, but it has not yet been explored in low/middle income countries (LMICs). We sought to examine how licensed characters on food packaging influence children's taste and snack preferences in Guatemala, a LMIC. One hundred twenty-one children (mean ± s.d. age, 7.4 ± 1.9 years) from four (two preschool and two elementary) public schools in Guatemala tasted three food types: potato chips, crackers and carrots. Each was presented in two identical packages, except that one had a licensed character and the other did not. Children tasted the foods (six total) in each package and answered whether they tasted the same or one tasted better. Snack preference was also evaluated. Children were significantly (P<0.001) more likely to prefer the taste of the foods inside the package with the licensed character compared with the one with no character (mean ± s.d., 0.24 ± 0.54). Most (66%) chose the food in the package with the character for a snack. Younger children (P < 0.001) were more likely to prefer the taste of the food inside the package with the character. Licensed characters on food packaging influence Guatemalan children's taste and snack preferences. Given that these characters are typically used to promote high-energy, low-nutrient foods, their influence could contribute toward overconsumption of these foods and consequently increased risk of obesity in Guatemalan children. Therefore, public health advocates, in Guatemala and elsewhere, might explore restricting the use of licensed characters on food packaging as a public health strategy.

Witnesses to Political Violence in Guatemala. Facts for Action #5.

ERIC Educational Resources Information Center

Marchant, Fred; Wunder, Haleh

The sources of political violence against Guatemala's rural poor are traced in this document for high school global education classes. The paper summarizes "Witness to Political Violence in Guatemala: The Suppression of a Rural Development Movement" (Oxfam America's Impact Audit No. 2). The study was based on 115 respondents, both…

Burden of serious fungal infections in Guatemala.

PubMed

Medina, N; Samayoa, B; Lau-Bonilla, D; Denning, D W; Herrera, R; Mercado, D; Guzmán, B; Pérez, J C; Arathoon, E

2017-06-01

Guatemala is a developing country in Central America with a high burden of HIV and endemic fungal infections; we attempted to estimate the burden of serious fungal infections for the country. A full literature search was done to identify epidemiology papers reporting fungal infections from Guatemala. We used specific populations at risk and fungal infection frequencies in the population to estimate national rates. The population of Guatemala in 2013 was 15.4 million; 40% were younger than 15 and 6.2% older than 60. There are an estimated 53,000 adults with HIV infection, in 2015, most presenting late. The estimated cases of opportunistic fungal infections were: 705 cases of disseminated histoplasmosis, 408 cases of cryptococcal meningitis, 816 cases of Pneumocystis pneumonia, 16,695 cases of oral candidiasis, and 4,505 cases of esophageal candidiasis. In the general population, an estimated 5,568 adult asthmatics have allergic bronchopulmonary aspergillosis (ABPA) based on a 2.42% prevalence of asthma and a 2.5% ABPA proportion. Amongst 2,452 pulmonary tuberculosis patients, we estimated a prevalence of 495 for chronic pulmonary aspergillosis in this group, and 1,484 for all conditions. An estimated 232,357 cases of recurrent vulvovaginal candidiasis is likely. Overall, 1.7% of the population are affected by these conditions. The true fungal infection burden in Guatemala is unknown. Tools and training for improved diagnosis are needed. Additional research on prevalence is needed to employ public health measures towards treatment and improving the reported data of fungal diseases.

More Alike than Different: Early Childhood Professional Development in Guatemala

ERIC Educational Resources Information Center

Hardin, Belinda J.; Vardell, Rosemarie; de Castaneda, Albertina

2008-01-01

This article describes an early childhood professional development project that took place in the summer of 2005 in Guatemala City. Located in Central America, Guatemala has a population of approximately 12.3 million people, including more than two million children under the age of 5 (UNESCO Institute for Statistics, 2007; UNICEF, 2004). Events…

New directions in Guatemala.

PubMed

1997-02-01

This news brief relates some new directions, since its inception in 1988, which the Family Welfare Association of Guatemala (APROFAM) will be undertaking during 1996-97. In December 1997, APROFAM restructured its program to include reproductive health services with family planning services. The program will target rural Mayan communities. The program will be working toward service sustainability, due to reduced external support. In October 1996 a new board was established that will focus on marketing, IEC, finance and administration, rural development, and clinical services. Meetings between the new board of directors of APROFAM and JOICFP focused on the use of integrated programs as a model for widespread programming among the rural Mayan population. The integrated program that was implemented by JOICFP was successful in reaching Mayan communities of Solola. This population was difficult to reach with conventional family planning approaches. The integrated program was successful in establishing trust with and participation of the rural Mayans. Activities such as parasite control, skills training, and income generation for women were useful in establishing trust and promoting self-reliance. Integrated programs will refocus on family planning and developing self-reliance. The UNFPA will be conducting an annual internal evaluation as a means of sharing information and deepening understanding of project implementation.

Prevalence and patterns of HIV transmitted drug resistance in Guatemala.

PubMed

Avila-Ríos, Santiago; Mejía-Villatoro, Carlos R; García-Morales, Claudia; Soto-Nava, Maribel; Escobar, Ingrid; Mendizabal, Ricardo; Girón, Amalia; García, Leticia; Reyes-Terán, Gustavo

2011-12-01

To assess human immunodeficiency virus (HIV) diversity and the prevalence of transmitted drug resistance (TDR) in Guatemala. One hundred forty-five antiretroviral treatment-naïve patients referred to the Roosevelt Hospital in Guatemala City were enrolled from October 2010 to March 2011. Plasma HIV pol sequences were obtained and TDR was assessed with the Stanford algorithm and the World Health Organization (WHO) TDR surveillance mutation list. HIV subtype B was highly prevalent in Guatemala (96.6%, 140/145), and a 2.8% (4/145) prevalence of BF1 recombinants and 0.7% (1/145) prevalence of subtype C viruses were found. TDR prevalence for the study period was 8.3% (12/145) with the Stanford database algorithm (score > 15) and the WHO TDR surveillance mutation list. Most TDR cases were associated with non-nucleoside reverse transcriptase inhibitors (NNRTIs) (83.3%, 10/12); a low prevalence of nucleoside reverse transcriptase inhibitors and protease inhibitors was observed in the cohort (< 1% for both families). Low selection of antiretroviral drug resistance mutations was found, except for NNRTI-associated mutations. Major NNRTI mutations such as K101E, K103N, and E138K showed higher frequencies than expected in ART-naïve populations. Higher literacy was associated with a greater risk of TDR (odds ratio 4.14, P = 0.0264). This study represents one of the first efforts to describe HIV diversity and TDR prevalence and trends in Guatemala. TDR prevalence in Guatemala was at the intermediate level. Most TDR cases were associated with NNRTIs. Further and continuous TDR surveillance is necessary to gain more indepth knowledge about TDR spread and trends in Guatemala and to optimize treatment outcomes in the country.

Successful Interruption of Transmission of Onchocerca volvulus in the Escuintla-Guatemala Focus, Guatemala

PubMed Central

Gonzalez, Rodrigo J.; Cruz-Ortiz, Nancy; Rizzo, Nidia; Richards, Jane; Zea-Flores, Guillermo; Domínguez, Alfredo; Sauerbrey, Mauricio; Catú, Eduardo; Oliva, Orlando; Richards, Frank O.; Lindblade, Kim A.

2009-01-01

Background Elimination of onchocerciasis (river blindness) through mass administration of ivermectin in the six countries in Latin America where it is endemic is considered feasible due to the relatively small size and geographic isolation of endemic foci. We evaluated whether transmission of onchocerciasis has been interrupted in the endemic focus of Escuintla-Guatemala in Guatemala, based on World Health Organization criteria for the certification of elimination of onchocerciasis. Methodology/Principal Findings We conducted evaluations of ocular morbidity and past exposure to Onchocerca volvulus in the human population, while potential vectors (Simulium ochraceum) were captured and tested for O. volvulus DNA; all of the evaluations were carried out in potentially endemic communities (PEC; those with a history of actual or suspected transmission or those currently under semiannual mass treatment with ivermectin) within the focus. The prevalence of microfilariae in the anterior segment of the eye in 329 individuals (≥7 years old, resident in the PEC for at least 5 years) was 0% (one-sided 95% confidence interval [CI] 0–0.9%). The prevalence of antibodies to a recombinant O. volvulus antigen (Ov-16) in 6,432 school children (aged 6 to 12 years old) was 0% (one-sided 95% IC 0–0.05%). Out of a total of 14,099 S. ochraceum tested for O. volvulus DNA, none was positive (95% CI 0–0.01%). The seasonal transmission potential was, therefore, 0 infective stage larvae per person per season. Conclusions/Significance Based on these evaluations, transmission of onchocerciasis in the Escuintla-Guatemala focus has been successfully interrupted. Although this is the second onchocerciasis focus in Latin America to have demonstrated interruption of transmission, it is the first focus with a well-documented history of intense transmission to have eliminated O. volvulus. PMID:19333366

Health Literacy among Youth in Guatemala City.

PubMed

Hoffman, Steven; Marsiglia, Flavio F; Nevarez, Lucinda; Porta, Maria

2017-01-02

Health literacy (HL) is recognized as an important health construct that is correlated with various health-related outcomes, but outside of the United States there is limited HL research available, particularly among youth. This study looked at the HL and harmful health behavior (i.e., substance use) of 210 youth across 10 schools in Guatemala City. Based on results from the Newest Vital Sign (NVS) HL assessment, fewer than one third of youth sampled had adequate HL. Training/education to improve adolescent HL is needed in Guatemala City, and the unique skillset of social workers could be an idea method of reaching at-risk youth.

"Something of an adventure": postwar NIH research ethos and the Guatemala STD experiments.

PubMed

Spector-Bagdady, Kayte; Lombardo, Paul A

2013-01-01

The STD experiments in Guatemala from 1946-1948 have earned a place of infamy in the history of medical ethics. But if the Guatemala STD experiments were so "ethically impossible," how did the U.S. government approve their funding? Although much of the literature has targeted the failings of Dr. John Cutler, we focus on the institutional context and research ethos that shaped the outcome of the research. After the end of WWII, Dr. Cassius Van Slyke reconstructed the federal research contracts process into a grant program. The inaugural NIH study section recommended approval of the Guatemala STD experiments at its first meeting. The funding and oversight process of the Guatemala research was marked with serious conflicts of interest and a lack of oversight, and it was this structure, as opposed to merely a maleficent individual, that allowed the Guatemala STD experiments to proceed. We conclude that while current research regulations are designed to prevent the abuses perpetrated on the subjects of the Guatemala STD experiments, it takes a comprehensive understanding of research ethics through professional education to achieve the longstanding ideal of the responsible investigator, and ensure ethical research under any regulatory scheme. © 2013 American Society of Law, Medicine & Ethics, Inc.

75 FR 51869 - CAFTA-DR Consultation Request Regarding Guatemala's Apparent Failure to Effectively Enforce its...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-23

... Request Regarding Guatemala's Apparent Failure to Effectively Enforce its Labor Laws AGENCY: Office of the... (CAFTA-DR), the United States requested consultations with the Government of Guatemala to discuss Guatemala's apparent failure to meet its obligation under Article 16.2.1(a) to effectively enforce its labor...

Practices related to postpartum uterine involution in the Western Highlands of Guatemala.

PubMed

Radoff, K A; Thompson, Lisa M; Bly, K C; Romero, Carolina

2013-03-01

Guatemala has the third highest level of maternal mortality in Latin America. Postpartum haemorrhage is the main cause of maternal mortality. In rural Guatemala, most women rely on Traditional Birth Attendants (TBAs) during labour, delivery, and the postpartum period. Little is known about current postpartum practices that may contribute to uterine involution provided by Mam- and Spanish-speaking TBAs in the Western Highlands of Guatemala. a qualitative study was conducted with 39 women who participated in five focus groups in the San Marcos Department of Guatemala. Questions regarding postpartum practices were discussed during four focus groups of TBAs and one group of auxiliary nurses. three postpartum practices believed to aid postpartum uterine involution were identified: use of the chuj (Mam) (Spanish, temazcal), a traditional wood-fired sauna-bath used by Mam-speaking women; herbal baths and teas; and administration of biomedicines. TBAs provide the majority of care to women during childbirth and the postpartum period and have developed a set of practices to prevent and treat postpartum haemorrhage. Integration of these practices may prove an effective method to reduce maternal morbidity and mortality in the Western Highlands of Guatemala. Copyright © 2011 Elsevier Ltd. All rights reserved.

Practices related to postpartum uterine involution in the Western Highlands of Guatemala

PubMed Central

Radoff, K.A.; Thompson, Lisa M.; Bly, KC; Romero, Carolina

2013-01-01

Background Guatemala has the third highest level of maternal mortality in Latin America. Postpartum haemorrhage is the main cause of maternal mortality. In rural Guatemala, most women rely on Traditional Birth Attendants (TBAs) during labour, delivery, and the postpartum period. Little is known about current postpartum practices that may contribute to uterine involution provided by Mam- and Spanish-speaking TBAs in the Western Highlands of Guatemala. Methods a qualitative study was conducted with 39 women who participated in five focus groups in the San Marcos Department of Guatemala. Questions regarding postpartum practices were discussed during four focus groups of TBAs and one group of auxiliary nurses. Results three postpartum practices believed to aid postpartum uterine involution were identified: use of the chuj (Mam) (Spanish, temazcal), a traditional wood-fired sauna-bath used by Mam-speaking women; herbal baths and teas; and administration of biomedicines. Conclusions TBAs provide the majority of care to women during childbirth and the postpartum period and have developed a set of practices to prevent and treat postpartum haemorrhage. Integration of these practices may prove an effective method to reduce maternal morbidity and mortality in the Western Highlands of Guatemala. PMID:22762787

Rural Income and Forest Reliance in Highland Guatemala

NASA Astrophysics Data System (ADS)

Prado Córdova, José Pablo; Wunder, Sven; Smith-Hall, Carsten; Börner, Jan

2013-05-01

This paper estimates rural household-level forest reliance in the western highlands of Guatemala using quantitative methods. Data were generated by the way of an in-depth household income survey, repeated quarterly between November 2005 and November 2006, in 11 villages ( n = 149 randomly selected households). The main sources of income proved to be small-scale agriculture (53 % of total household income), wages (19 %) and environmental resources (14 %). The latter came primarily from forests (11 % on average). In the poorest quintile the forest income share was as high as 28 %. All households harvest and consume environmental products. In absolute terms, environmental income in the top quintile was 24 times higher than in the lowest. Timber and poles, seeds, firewood and leaf litter were the most important forest products. Households can be described as `regular subsistence users': the share of subsistence income is high, with correspondingly weak integration into regional markets. Agricultural systems furthermore use important inputs from surrounding forests, although forests and agricultural uses compete in household specialization strategies. We find the main household determinants of forest income to be household size, education and asset values, as well as closeness to markets and agricultural productivity. Understanding these common but spatially differentiated patterns of environmental reliance may inform policies aimed at improving livelihoods and conserving forests.

Guatemala accelerates efforts to attract foreign E and D capital

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

The Guatemalan government, headed by recently elected President Alvaro Arzu, has embarked on an ambitious program of petroleum exploration and development with the goal of producing 40,000 b/d by 2000. Production averaged 16,000 b/d last fall and was to be raised to 25,000 b/d by year end 1996. Oil and gas exploration began in Guatemala in the 1920s, but production is currently limited to two regions in the Peten basin in northeastern Guatemala. Officials at the Ministry of Energy and Mines aim to encourage comprehensive evaluation of the Peten basin as well as exploration of the Amatique basin in southeasternmore » Guatemala and the Pacific basin on the country`s Pacific coast. The paper describes the Peten basin, the Amatique basin, the Pacific basin, bidding, and contract rules.« less

Dimensions of child punishment in two Central American countries: Guatemala and El Salvador.

PubMed

Speizer, Ilene S; Goodwin, Mary M; Samandari, Ghazaleh; Kim, Shin Y; Clyde, Maureen

2008-04-01

Severe physical punishment of children is an important issue in international child health and welfare. This study examines such punishment in Guatemala and El Salvador. Data came from nationally representative surveys of women aged 15-49 and men aged 15-59 residing in Guatemala (2002) and El Salvador (2002-2003). The surveys included questions about punishment experienced during childhood, with response options ranging from verbal scolding to beating. In Guatemala, parents were asked how they disciplined their children; questions allowed them to compare how they were punished in their childhood with how they punished their own children. Bivariate and multivariate analyses are presented. In Guatemala, 35% of women and 46% of men reported being beaten as punishment in childhood; in El Salvador, the figures were 42% and 62%, respectively. In both countries, older participants were relatively more likely than younger participants to have been beaten as children. Witnessing familial violence was associated with an increased risk of being beaten in childhood. In Guatemala, having experienced physical punishment as a child increased the chance that parents would use physical punishment on their own children. Multivariate analyses revealed that women who were beaten in childhood were significantly more likely in both countries to be in a violent relationship. The use of beating to physically punish children is a common problem in Guatemala and El Salvador, with generational and intergenerational effects. Its negative and lingering effects necessitate the introduction of policies and programs to decrease this behavior.

Bartonella spp. in Bats, Guatemala

PubMed Central

Kosoy, Michael; Recuenco, Sergio; Alvarez, Danilo; Moran, David; Turmelle, Amy; Ellison, James; Garcia, Daniel L.; Estevez, Alejandra; Lindblade, Kim; Rupprecht, Charles

2011-01-01

To better understand the role of bats as reservoirs of Bartonella spp., we estimated Bartonella spp. prevalence and genetic diversity in bats in Guatemala during 2009. We found prevalence of 33% and identified 21 genetic variants of 13 phylogroups. Vampire bat–associated Bartonella spp. may cause undiagnosed illnesses in humans. PMID:21762584

Apoyo a Estudios Geodinamicos con GPS en Guatemala

NASA Astrophysics Data System (ADS)

Robles, V. R.

2013-05-01

El Instituto Geografico Nacional de Guatemala implemento 17 estaciones GNSS en el año 2009, como un proyecto de credito mixto de donacion de equipamiento del Gobierno de Suiza, el cual, este equipamiento de estaciones CORS GNSS es un sistema de recepción y transmisión de datos crudos GPS RInex que utiliza la tecnologia Spider Web de Leica, asi mismo este sistema esta sirviendo para el espablecimiento de un marco geodesico nacional de coordenadas geodesicas oficiales, el cual se calculan u obtienen las velocidades en tiempos temporales programados de las 17 Estaciones CORS. La infraestructura del marco geodesico de Guatemala esta sirviendo de base para las aplicaciones de estudios geodinamicos como el monitoreo de del desplazamiento de las placas tectonicas por medio de un estudio que se inicio en el año de 1999, llamado medicion con GPS el sistema de Fallas de los rios Polochic Motagua de Guatemala, tambien para un estudio que se implemento para deformación de corteza terrestre local en un Volcan Activo de Guatemala llamado Pacaya. Para el estudio de medicion con GPS en el sistema de falla de los Rios del polochic Motagua se implementaron 16 puntos para medir con GPS de dos frecuencias en el año de 1999, el cual, tres puntos son estaciones geodesicas CORS IGS llamados GUAT, ELEN y HUEH, despues en el año de 2003 se hizo otra medicion en un total de 20 puntos, que permitió calcular las velocidades de desplazamieinto de los puntos en mención, usando como referencia el modelo NUVEL 1A de DeMets de la placa de Norteamerica. Este estudio fue en cooperación internacional por la universidad de Nice de Francia y el IGNde Francia. Para el estudio del monitoreo con GPS del volcan activo de Guatemala, se implementaron cuatro puntos al rededor del volcan, el cual, se realizan cuatro mediciones al año, que permiten determinar axialmente la distancias entre los puntos, y rebisar estadisticamente cual es el comportamiento de las distancias en funcion del tiempo, si

Women caught in a culture of violence in Guatemala.

PubMed

Halvorsen, Randee

2014-01-01

Violence against women is prevalent around the world. In Guatemala it is pervasive. Living in a culture of violence oppresses women, children, the economy and society as a whole. It destroys families and can effect women emotionally and spiritually, as well as physically. Nurses have the power to intervene and influence change on a global level by taking action against abuse and oppression of women. By examining the pervasive nature of intimate partner violence and femicide in Guatemala, nurses can identify actions and interventions to combat violence on a global basis. © 2014 AWHONN.

Sustainable construction in rural Guatemala.

PubMed

Temple, Ericka K; Rose, Elizabeth

2011-11-01

Waste management is a significant problem in Guatemala, as elsewhere in the developing world. The inappropriate disposal of solid waste produces pollution and places the environment and human health at risk. Environmental risk factors, including inadequate disposal of solid waste, are implicated in 25-30% of disease worldwide with children bearing a disproportionate burden of those diseases. Therefore, economic development which reduces inappropriate disposal of waste and affords economic opportunities may help reduce the global burden of disease on children. In the indigenous highlands of central Guatemala, a community supported non-profit organisation called Long Way Home (http://www.longwayhomeinc.org) is employing alternative construction techniques to build a vocational school complex. The construction of the school from waste materials demonstrates the use and principles of re-purposing materials, helps clean the environment and affords further educational and vocational opportunities. This article will outline the health problems inherent in an indigenous area of a developing country and will offer an alternative solution to reverse environmental risk factors associated with solid waste pollution and also actively improve child health.

Rickettsia felis in Ctenocephalides felis from Guatemala and Costa Rica

PubMed Central

Troyo, Adriana; Álvarez, Danilo; Taylor, Lizeth; Abdalla, Gabriela; Calderón-Arguedas, Ólger; Zambrano, Maria L.; Dasch, Gregory A.; Lindblade, Kim; Hun, Laya; Eremeeva, Marina E.; Estévez, Alejandra

2012-01-01

Rickettsia felis is an emerging human pathogen associated primarily with the cat flea Ctenocephalides felis. In this study, we investigated the presence of Rickettsia felis in C. felis from Guatemala and Costa Rica. Ctenocephalides felis were collected directly from dogs and cats, and analyzed by polymerase chain reaction for Rickettsia-specific fragments of 17-kDa protein, OmpA, and citrate synthase genes. Rickettsia DNA was detected in 64% (55 of 86) and 58% (47 of 81) of flea pools in Guatemala and Costa Rica, respectively. Sequencing of gltA fragments identified R. felis genotype URRWXCal2 in samples from both countries, and genotype Rf2125 in Costa Rica. This is the first report of R. felis in Guatemala and of genotype Rf2125 in Costa Rica. The extensive presence of this pathogen in countries of Central America stresses the need for increased awareness and diagnosis. PMID:22665618

Rickettsia felis in Ctenocephalides felis from Guatemala and Costa Rica.

PubMed

Troyo, Adriana; Álvarez, Danilo; Taylor, Lizeth; Abdalla, Gabriela; Calderón-Arguedas, Ólger; Zambrano, Maria L; Dasch, Gregory A; Lindblade, Kim; Hun, Laya; Eremeeva, Marina E; Estévez, Alejandra

2012-06-01

Rickettsia felis is an emerging human pathogen associated primarily with the cat flea Ctenocephalides felis. In this study, we investigated the presence of Rickettsia felis in C. felis from Guatemala and Costa Rica. Ctenocephalides felis were collected directly from dogs and cats, and analyzed by polymerase chain reaction for Rickettsia-specific fragments of 17-kDa protein, OmpA, and citrate synthase genes. Rickettsia DNA was detected in 64% (55 of 86) and 58% (47 of 81) of flea pools in Guatemala and Costa Rica, respectively. Sequencing of gltA fragments identified R. felis genotype URRWXCal(2) in samples from both countries, and genotype Rf2125 in Costa Rica. This is the first report of R. felis in Guatemala and of genotype Rf2125 in Costa Rica. The extensive presence of this pathogen in countries of Central America stresses the need for increased awareness and diagnosis.

From the parents' perspective: a user-satisfaction survey of immunization services in Guatemala.

PubMed

Barrera, Lissette; Trumbo, Silas Pierson; Bravo-Alcántara, Pamela; Velandia-González, Martha; Danovaro-Holliday, M Carolina

2014-03-06

Immunization coverage levels in Guatemala have increased over the last two decades, but national targets of ≥95% have yet to be reached. To determine factors related to undervaccination, Guatemala's National Immunization Program conducted a user-satisfaction survey of parents and guardians of children aged 0-5 years. Variables evaluated included parental immunization attitudes, preferences, and practices; the impact of immunization campaigns and marketing strategies; and factors inhibiting immunization. Based on administrative coverage levels and socio-demographic indicators in Guatemala's 22 geographical departments, five were designated as low-coverage and five as high-coverage areas. Overall, 1194 parents and guardians of children aged 0-5 years were interviewed in these 10 departments. We compared indicators between low- and high-coverage areas and identified risk factors associated with undervaccination. Of the 1593 children studied, 29 (1.8%) were determined to be unvaccinated, 458 (28.8%) undervaccinated, and 1106 (69.4%) fully vaccinated. In low-coverage areas, children of less educated (no education: RR=1.49, p=0.01; primary or less: 1.39, p=0.009), older (aged>39 years: RR=1.31, p=0.05), and single (RR=1.32, p=0.03) parents were more likely to have incomplete vaccination schedules. Similarly, factors associated with undervaccination in high-coverage areas included the caregiver's lack of education (none: RR=1.72, p=0.0007; primary or less: RR=1.30, p=0.05) and single marital status (RR=1.36, p=0.03), as well as the child's birth order (second: RR=1.68, p=0.003). Although users generally approved of immunization services, problems in service quality were identified. According to participants, topics such as the risk of adverse events (47.4%) and next vaccination appointments (32.3%) were inconsistently communicated to parents. Additionally, 179 (15.0%) participants reported the inability to vaccinate their child on at least one occasion. Compared to high

Rural income and forest reliance in highland Guatemala.

PubMed

Prado Córdova, José Pablo; Wunder, Sven; Smith-Hall, Carsten; Börner, Jan

2013-05-01

This paper estimates rural household-level forest reliance in the western highlands of Guatemala using quantitative methods. Data were generated by the way of an in-depth household income survey, repeated quarterly between November 2005 and November 2006, in 11 villages (n = 149 randomly selected households). The main sources of income proved to be small-scale agriculture (53 % of total household income), wages (19 %) and environmental resources (14 %). The latter came primarily from forests (11 % on average). In the poorest quintile the forest income share was as high as 28 %. All households harvest and consume environmental products. In absolute terms, environmental income in the top quintile was 24 times higher than in the lowest. Timber and poles, seeds, firewood and leaf litter were the most important forest products. Households can be described as 'regular subsistence users': the share of subsistence income is high, with correspondingly weak integration into regional markets. Agricultural systems furthermore use important inputs from surrounding forests, although forests and agricultural uses compete in household specialization strategies. We find the main household determinants of forest income to be household size, education and asset values, as well as closeness to markets and agricultural productivity. Understanding these common but spatially differentiated patterns of environmental reliance may inform policies aimed at improving livelihoods and conserving forests.

Landslides from the February 4, 1976, Guatemala earthquake

USGS Publications Warehouse

Harp, Edwin L.; Wilson, Raymond C.; Wieczorek, Gerald F.

1981-01-01

The M (Richter magnitude) = 7.5 Guatemala earthquake of February 4, 1976, generated more than 10,000 landslides throughout an area of approximately 16,000 km2. These landslides caused hundreds of fatalities as well as extensive property damage. Landslides disrupted both highways and the railroad system and thus severely hindered early rescue efforts. In Guatemala City, extensive property damage and loss of life were due to ground failure beneath dwellings built too close to the edges of steeply incised canyons. We have recorded the distribution of landslides from this earthquake by mapping individual slides at a scale of 1:50,000 for most of the landslide-affected area, using high-altitude aerial photography. The highest density of landslides was in the highlands west of Guatemala City. The predominant types of earthquake-triggered landslides were rock falls and debris slides of less than 15,000 m3 volume; in addition to these smaller landslides, 11 large landslides had volumes of more than 100,000 m3. Several of these large landslides posed special hazards to people and property from lakes impounded by the landslide debris and from the ensuing floods that occurred upon breaching and rapid erosion of the debris. The regional landslide distribution was observed to depend on five major factors: (1) seismic intensity; (2) lithology: 90 percent of all landslides were within Pleistocene pumice deposits; (3) slope steepness; (4) topographic amplification of seismic ground motion; and (5) regional fractures. The presence of preearthquake landslides had no apparent effect on the landslide distribution, and landslide concentration in the Guatemala City area does not correlate with local seismic-intensity data. The landslide concentration, examined at this scale, appears to be governed mainly by lithologic differences within the pumice deposits, preexisting fractures, and amplification of ground motion by topography-all factors related to site conditions.

The Rotifer fauna of Guatemala and Belize: survey and biogeographical affinities.

PubMed

García-Morales, Alma Estrella; Elías-Gutiérrez, Manuel

2007-06-01

Rotifer samples were obtained from 29 localities in northern Guatemala and central-southern Belize during March 2000 and June 2001. A total of 119 species were identified. Ten selected taxa are illustrated and commented: Euchlanis semicarinata, Lepadella apsicora, L. cryphaea, Lecane curvicornis f. lofuana, L. whitfordi, Monommata maculata, Scaridium bostjani, Trichocerca elongata f. braziliensis, and Z. hollaerti. The species Lepadella rhomboidula is a first record for the American Continent. The species are 71% cosmopolitan, 6 % tropicopolitan, and 4.2 % restricted to the subtropics. The Guatemala species number range was Petén-Itza lake (53 taxa), and Raxruja pool (three). La Democracia pool (49 taxa), and the Blue Hole sink-hole (six species) were the extremes in Belize. In total, 68 of the recorded taxa are new for Guatemala and 91 for Belize. Additionally, 47 species are registered by the first time in Central America. A comparison between these two countries and Mexico revealed that the south part of the latter conform a cluster with them, emphasizing the transitional character of this region between the Nearctics and the Neotropics. Furthermore, Guatemala and Belize have differences in species assemblages, as a response to the nature of their particular environments and topographical accidents.

Pathways to adolescent childbearing among Kaqchikel women in Guatemala.

PubMed

Lemon, Emily; Hennink, Monique; Can Saquic, Nely Amparo

2017-10-01

One-in-five children in Guatemala is born to a mother aged 15-19 years, which poses social, economic and health risks to both mother and child. In Guatemala, adolescent childbearing is directly associated with education, ethnicity and poverty, which increases vulnerability among Indigenous young women living in poverty. This study examines the context and experiences of adolescent childbearing from the perspectives of young mothers in the Kaqchikel Indigenous ethnic group of Sololá, Guatemala. Data were collected in 19 qualitative in-depth interviews with women who had given birth to one or more children when aged 15 to 19 years. Grounded theory and narrative analysis were used to develop a conceptual framework of the process and influences on childbearing. Four distinct pathways were identified, which were influenced by gender expectations, limited communication about sex and stigma around sex. The study identifies key sociocultural influences that lead to adolescent childbearing and reveals variability within these. Identifying distinct pathways to early childbearing and their influences enables a clearer understanding of potential opportunities to interrupt these pathways with culturally relevant policies and programmes, in particular those that promote gender equality and intergenerational communication about sex.

From in vivo to in vitro: How the Guatemala STD Experiments Transformed Bodies Into Biospecimens.

PubMed

Spector-Bagdady, Kayte; Lombardo, Paul A

2018-06-01

Policy Points: While most scholarship regarding the US Public Health Service's STD experiments in Guatemala during the 1940s has focused on the intentional exposure experiments, secondary research was also conducted on biospecimens collected from these subjects. These biospecimen experiments continued after the Guatemala grant ended, and the specimens were used in conjunction with those from the Tuskegee syphilis experiments for ongoing research. We argue there should be a public accounting of whether there are still biospecimens from the Guatemala and Tuskegee experiments held in US government biorepositories today. If such specimens exist, they should be retired from US government research archives because they were collected unethically as understood at the time. The US Public Health Service's Guatemala STD experiments (1946-1948) included intentional exposure to pathogens and testing of postexposure prophylaxis methods for syphilis, gonorrhea, and chancroid in over 1,300 soldiers, commercial sex workers, prison inmates, and psychiatric patients. Though the experiments had officially ended, the biospecimens collected from these subjects continued to be used for research at least into the 1950s. We analyzed historical documents-including clinical and laboratory records, correspondence, final reports, and medical records-for information relevant to these biospecimen experiments from the US National Archives. In addition, we researched material from past governmental investigations into the Guatemala STD experiments, including those of the US Presidential Commission for the Study of Bioethical Issues and the Guatemalan Comisión Presidencial para el Esclarecimiento de los Experimentos Practicados con Humanos en Guatemala. Identified spinal fluid, blood specimens, and tissue collected during the Guatemala diagnostic methodology and intentional exposure experiments were subsequently distributed to laboratories throughout the United States for use in ongoing research

Snack food advertising in stores around public schools in Guatemala

PubMed Central

Chacon, Violeta; Letona, Paola; Villamor, Eduardo; Barnoya, Joaquin

2014-01-01

Obesity in school-age children is emerging as a public heath concern. Food marketing influences preferences and increases children's requests for food. This study sought to describe the type of snack foods advertised to children in stores in and around public schools and assess if there is an association between child-oriented snack food advertising and proximity to schools. All food stores located inside and within a 200 square meter radius from two preschools and two primary schools were surveyed. We assessed store type, number and type of snack food advertisements including those child-oriented inside and outside stores. We surveyed 55 stores and found 321 snack food advertisements. Most were on sweetened beverages (37%) and soft drinks (30%). Ninety-two (29%) were child-oriented. Atoles (100.0%), cereals (94.1%), and ice cream and frozen desserts (71.4%) had the greatest proportion of child-oriented advertising. We found more child-oriented advertisements in stores that were closer (<170 m) to schools compared to those farther away. In conclusion, the food industry is flooding the market, taking advantage of the lack of strict regulation in Guatemala. Child-oriented advertisements are available in almost all stores within a short walking distance from schools, exposing children to an obesogenic environment. PMID:25821350

Snack food advertising in stores around public schools in Guatemala.

PubMed

Chacon, Violeta; Letona, Paola; Villamor, Eduardo; Barnoya, Joaquin

Obesity in school-age children is emerging as a public heath concern. Food marketing influences preferences and increases children's requests for food. This study sought to describe the type of snack foods advertised to children in stores in and around public schools and assess if there is an association between child-oriented snack food advertising and proximity to schools. All food stores located inside and within a 200 square meter radius from two preschools and two primary schools were surveyed. We assessed store type, number and type of snack food advertisements including those child-oriented inside and outside stores. We surveyed 55 stores and found 321 snack food advertisements. Most were on sweetened beverages (37%) and soft drinks (30%). Ninety-two (29%) were child-oriented. Atoles (100.0%), cereals (94.1%), and ice cream and frozen desserts (71.4%) had the greatest proportion of child-oriented advertising. We found more child-oriented advertisements in stores that were closer (<170 m) to schools compared to those farther away. In conclusion, the food industry is flooding the market, taking advantage of the lack of strict regulation in Guatemala. Child-oriented advertisements are available in almost all stores within a short walking distance from schools, exposing children to an obesogenic environment.

Children at Risk of Neglect: Challenges Faced by Child Protection Practitioners in Guatemala City

ERIC Educational Resources Information Center

Coope, Caroline M.; Theobald, Sally

2006-01-01

Objectives: The objectives were to (1) delineate the definition, common forms, and perceived risk factors contributing to child neglect in Guatemala from the perspective of different stakeholders and (2) identify the challenges faced by child protection practitioners in identifying children at risk of neglect within the context of Guatemala.…

Deforestation Along the Maya Mountain Massif Belize-Guatemala Border

NASA Astrophysics Data System (ADS)

Chicas, S. D.; Omine, K.; Arevalo, B.; Ford, J. B.; Sugimura, K.

2016-06-01

In recent years trans-boundary incursions from Petén, Guatemala into Belize's Maya Mountain Massif (MMM) have increased. The incursions are rapidly degrading cultural and natural resources in Belize's protected areas. Given the local, regional and global importance of the MMM and the scarcity of deforestation data, our research team conducted a time series analysis 81 km by 12 km along the Belize-Guatemalan border adjacent to the protected areas of the MMM. Analysis drew on Landsat imagery from 1991 to 2014 to determine historic deforestation rates. The results indicate that the highest deforestation rates in the study area were -1.04% and -6.78% loss of forested area per year in 2012-2014 and 1995-1999 respectively. From 1991 to 2014, forested area decreased from 96.9 % to 85.72 % in Belize and 83.15 % to 31.52 % in Guatemala. During the study period, it was clear that deforestation rates fluctuated in Belize's MMM from one time-period to the next. This seems linked to either a decline in deforestation rates in Guatemala, the vertical expansion of deforestation in Guatemalan forested areas and monitoring. The results of this study urge action to reduce incursions and secure protected areas and remaining forest along the Belize-Guatemalan border.

Lepidoptera associated with avocado fruit in Guatemala

USDA-ARS?s Scientific Manuscript database

A total of about 1,098 specimens representing 10 moth species from four families were reared from harvested avocado fruit in Guatemala. Two species were reared from small immature avocados and grown to maturity on unopened avocado flower clusters after small fruit desiccated: (1) Argyrotaenia urbana...

"Alla en Guatemala": Transnationalism, Language, and Identity of a Pentecostal Guatemalan-American Young Woman

ERIC Educational Resources Information Center

Ek, Lucila D.

2009-01-01

This article examines the transnationalism of a Pentecostal Guatemalan-American young woman who is a second-generation immigrant. Amalia traveled to Guatemala from when she was six months old until her sophomore year in college. These visits to Guatemala have helped her maintain her Guatemalan language, culture, and identity in the larger Southern…

Can the Metamorphic Basement of Northwestern Guatemala be Correlated with the Chuacús Complex?

NASA Astrophysics Data System (ADS)

Cacao, N.; Martens, U.

2007-05-01

The Chuacús complex constitutes a northward concave metamorphic belt that stretches ca. 150 km south of the Cuilco-Chixoy-Polochic (CCP) fault system in central and central-eastern Guatemala. It represents the basement of the southern edge of the Maya block, being well exposed in the sierra de Chuacús and the sierra de Las Minas. It is composed of high-Al metapelites, amphibolites, quartzofeldspathic gneisses, and migmatites. In central Guatemala the Chuacús complex contains ubiquitous epidote-amphibolite mineral associations, and local relics of eclogite reveal a previous high-pressure metamorphic event. North of the CCP, in the Sierra de Los Cuchumatanes area of western Guatemala, metamorphic rocks have been considered the equivalent of the Chuacús complex and hence been given the name Western Chuacús group, These rocks, which were intruded by granitic rocks and later mylonitized, include chloritic schist and gneiss, biotite-garnet schist, migmatites, and amphibolites. No eclogitic relics have been found within metamorphic rocks in northwestern Guatemala. Petrographic analyses of garnet-biotite schist reveal abundant retrogression and the formation of abundant zeolite-bearing veins associated with intrusion. Although metamorphic conditions in the greenschist and amphibolite facies are similar to those in the sierra de Chuacús, the association with deformed intrusive granites is unique for western Guatemala. Hence a correlation with metasediments intruded by the Rabinal granite in the San Gabriel area of Baja Verapaz seems more feasible than a correlation with the Chuacús complex. This idea is supported by reintegration of the Cenozoic left-lateral displacement along the CCP, which would place the metamorphic basement of western Guatemala north of Baja Verapaz, adjacent to metasediments intruded by granites in the San Gabriel-Rabinal area.

[Maximization of economic yield, minimum cost optimal diets and cultivation diversification for small scale farmers of the highland region of Guatemala].

PubMed

Alarcón, J A; Immink, M D; Méndez, L F

1989-12-01

The present study was conducted as part of an evaluation of the economic and nutritional effects of a crop diversification program for small-scale farmers in the Western highlands of Guatemala. Linear programming models are employed in order to obtain optimal combinations of traditional and non-traditional food crops under different ecological conditions that: a) provide minimum cost diets for auto-consumption, and b) maximize net income and market availability of dietary energy. Data used were generated by means of an agroeconomic survey conducted in 1983 among 726 farming households. Food prices were obtained from the Institute of Agrarian Marketing; data on production costs, from the National Bank of Agricultural Development in Guatemala. The gestation periods for each crop were obtained from three different sources, and then averaged. The results indicated that the optimal cropping pattern for the minimum-cost diets for auto consumption include traditional foods (corn, beans, broad bean, wheat, potato), non-traditional foods (carrots, broccoli, beets) and foods of animal origin (milk, eggs). A significant number of farmers included in the sample did not have sufficient land availability to produce all foods included in the minimum-cost diet. Cropping patterns which maximize net incomes include only non-traditional foods: onions, carrots, broccoli and beets for farmers in the low highland areas, and raddish, broccoli, cauliflower and carrots for farmers in the higher parts. Optimal cropping patterns which maximize market availability of dietary energy include traditional and non-traditional foods; for farmers in the lower areas: wheat, corn, beets, carrots and onions; for farmers in the higher areas: potato, wheat, raddish, carrots and cabbage.

Improving Girls' Education in Guatemala. Impact Evaluation.

ERIC Educational Resources Information Center

Agency for International Development (IDCA), Washington, DC. Center for Development Information and Evaluation.

In Guatemala, many girls attend no school. A project by the United States Agency for International Development (USAID), Basic Education Strengthening (BEST), demonstrated that improving educational quality is the best approach to enhancing girls' participation. BEST included a Girls Education Program (GEP) activity. Under the BEST/GEP umbrella,…

Maya Traditional Knowledge: Preserving Forests in Guatemala.

ERIC Educational Resources Information Center

Bernstein, Jacob

1996-01-01

In the mountains of western Guatemala, Maya K'iche communities draw on extensive indigenous knowledge of the local ecosystem to manage sections of forest allocated as community responsibility for generations. Supported by spiritual beliefs, community elders seek to guide the use and preservation of the forest despite illegal loggers, corrupt…

Prevalence of cleft lip and cleft palate in rural north-central guatemala.

PubMed

Matute, Jorge; Lydick, Elaine A; Torres, Olga R; Owen, Karen K; Jacobsen, Kathryn H

2015-05-01

To estimate the number of new cases of cleft lip and cleft palate in the department (state) of Alta Verapaz, Guatemala, in 2012. Cross-sectional survey of midwives from communities identified through a two-stage cluster-sampling process. Midwives were asked how many babies they had delivered in the past year and how many of those newborns had various types of birth defects, as illustrated in pictures. Indigenous Mayan communities in rural north-central Guatemala. Midwives (n = 129) who had delivered babies in the previous year. Reports of babies born with cleft lip and cleft palate. A 1-year prevalence rate of 18.9 per 10,000 for cleft lip and 4.7 per 10,000 for cleft palate was estimated for Alta Verapaz. None of the cases of cleft lip also had cleft palate. The indigenous communities in north-central Guatemala might have a relatively high cleft lip prevalence rate compared with the global average.

Surviving utopia: Energy, social capital, and international migration in Ixcan, Guatemala

NASA Astrophysics Data System (ADS)

Taylor, Matthew John

Mounting peasant impoverishment in Guatemala comes face to face with growing ecological impoverishment. Abysmal living standards for Guatemala's majority results from highly skewed land distribution, rapid population growth, and a brutal civil war, which lasted almost four decades and laid waste to many rural communities and fields. In the face of such adversity, Guatemalans migrate to remaining forested frontiers and make longer journeys to North America in search of work. In an attempt to understand and improve natural resource use, especially firewood, I uncover how networks of social relations (social capital) and international migration influence livelihoods in agricultural communities along a forested frontier. I used both qualitative and quantitative methods to gather information about the lives of residents in four agricultural villages in Ixcan, Guatemala. The results from extended fieldwork illustrate how high levels of social capital can benefit the lives of rural residents. I argue that development programs can take advantage of existing high levels of social capital and take measures to create social capital where it is lacking to ensure the successful implementation of development programs. I also discuss firewood management in each community and demonstrate the disjuncture between local firewood use and national energy plans. Finally, I show how migrants and the money they send home from North America radically alter land use and land distribution in this part of rural Guatemala. My study reveals the need to examine the linkages between large-scale international migration, social capital, and the environment in communities that rely on the land for survival.

Army Killings in Indian Village Shock Guatemala.

ERIC Educational Resources Information Center

Simons, Marlise

1978-01-01

Detailing accounts of what the State Department officials have said privately (that Guatemala has one of the worst human rights records in this hemisphere): mass murders of men, women, and children ("Panzos Massacre" in a Nekchi Indian village) with the wealthy landowners exploiting the natural resources at the expense of 6.3 million…

Circular Migration and Young Child Malnutrition in Guatemala.

ERIC Educational Resources Information Center

Teller, Charles H.; Butz, William P.

This paper examined the relationship between temporary migration and childhood malnutrition in Guatemala and questioned whether migration patterns or low socioeconomic status produced a special risk group. The study emphasized policy implications of high priorities placed on population redistribution in Latin American governments and the…

Surgical approach to gallbladder disease in rural Guatemala.

PubMed

Imran, Jonathan B; Ochoa-Hernandez, Annie; Herrejon, Juan; Madni, Tarik D; Clark, Audra T; Huerta, Sergio

2017-10-01

In this article, we report the current surgical approach to gallbladder disease at a major referral hospital in rural Guatemala. Complications in a cohort of patients undergoing open versus laparoscopic cholecystectomy were catalogued. We reviewed cholecystectomies performed by surgeons at the Hospital Nacional de San Benito in El Peten, Guatemala, after the adoption of the laparoscopic approach. Laparoscopic cholecystectomies (LCs) between 2014 and 2015 (n = 42) were reviewed and matched by 58 randomly selected open cholecystectomies (OCs) during the same period. Patient demographics were similar in the LC and OC groups. Of the 63 patients who had elective surgery, 43 (68%) underwent OC. Conversion rate, hospital length of stay, and readmission rate were 4%, 4.8 days, and 5%, respectively. Complications were similar between groups. Despite the low number of LCs, their complications were not different from that of OCs. During the study period, a large number of cholecystectomies continued to be open, even in the elective setting. Published by Elsevier Inc.

Guatemala Volcanic Eruption Captured in NASA Spacecraft Image

NASA Image and Video Library

2015-02-19

Guatemala's Fuego volcano continued its frequent moderate eruptions in early February 2015. Pyroclastic flows from the eruptions descended multiple drainages, and the eruptions sent ash plumes spewing over Guatemala City 22 miles (35 kilometers) away, and forced closure of the international airport. The Advanced Spaceborne Thermal Emission and Reflection Radiometer (ASTER) instrument onboard NASA's Terra spacecraft captured a new image of the region on February 17. Fuego is on the left side of the image. The thermal infrared inset image shows the summit crater activity (white equals hot), and remnant heat in the flows on the flank. Other active volcanoes shown in the image are Acatenango close by to the north, Volcano de Agua in the middle of the image, and Pacaya volcano to the east. The image covers an area of 19 by 31 miles (30 by 49.5 kilometers), and is located at 14.5 degrees north, 90.9 degrees west. http://photojournal.jpl.nasa.gov/catalog/PIA19297

Human papillomavirus in tonsillar squamous cell carcinomas from Guatemala and Brazil.

PubMed

Piña, Alicia Rumayor; Jimenez, Laísa Simakawa; Mariano, Fernanda Viviane; de Andrade, Bruno Augusto Benevenuto; Carlos, Román; Altemani, Albina; de Almeida, Oslei Paes

2016-04-01

A subgroup of tonsillar squamous cell carcinoma (SCC) is associated with human papillomavirus (HPV). Nevertheless, the prevalence of HPV seems to be variable in different regions and ethnic groups. There are no reports of HPV in tonsillar carcinomas in Guatemala, and data from Brazil are scarce. The aim of this study is to analyze and compare HPV presence in samples of tonsillar SCC from these countries. This study describes the histologic features, expression of p16 by immunohistochemistry (IHC), and HPV by in situ hybridization (ISH) in 13 Guatemalan and 13 Brazilian patients. All cases of tonsillar SCC from Guatemala were positive for p16, 92% expressed HPV by ISH, and 75% corresponded to the high-risk genotype 16/18. From the Brazilian patients, only four expressed p16, and all were negative for HPV. Cases from Guatemala, which were mostly nonkeratinizing SCC and originated from the crypt/reticular epithelium of the tonsil, had high-risk integrated HPV, whereas in Brazilian cases, which were mostly keratinizing SCC that originated from the surface epithelium, there was no association with HPV. Copyright © 2016 Elsevier Inc. All rights reserved.

A taxonomic monograph of the leaf-litter inhabiting weevil genus Plumolepilius new genus (Coleoptera: Curculionidae: Molytinae: Conotrachelini) from Mexico, Guatemala, and El Salvador.

PubMed

Barrios-Izás, Manuel A; Anderson, Robert S; Morrone, Juan J

2016-09-14

We describe the Mesoamerican leaf litter weevil genus Plumolepilius Barrios-Izás & Anderson, new genus (Coleoptera: Curculionidae: Molytinae: Conotrachelini) (type species P. trifiniensis Barrios-Izás & Anderson, new species), species of which inhabit mountain ecosystems from the state of Chiapas in southeastern Mexico to northern Panama. In this paper we describe nine new species from Mexico, Guatemala, and El Salvador: P. trifiniensis Barrios-Izás & Anderson, new species (El Salvador and Guatemala); P. branstetteri Barrios-Izás & Anderson, new species (Guatemala and Mexico); P. longinoi Barrios-Izás & Anderson, new species (Guatemala and Mexico); P. cortezi Barrios-Izás & Anderson, new species (Guatemala and Mexico); P. canoi Barrios-Izás & Anderson, new species (Guatemala); P. schusteri Barrios-Izás & Anderson, new species (Guatemala and Mexico); P. daryi Barrios-Izás & Anderson, new species (Guatemala); P. yolnabajensis Barrios-Izás & Anderson, new species (Guatemala); and P. macalajauensis Barrios-Izás & Anderson, new species (Guatemala).        The genus and the species are named and described, information on their geographical distributions is given and images of the habitus of both sexes and the aedeagus are presented. A key to the species of Plumolepilius based on males is included.        The monophyly of Plumolepilius was confirmed by a parsimony analysis of external and male aedeagus morphology and the genus is best characterized by the presence of plumose scales lining the prosternal channel. Phylogenetic analysis supports that Lepilius Champion 1905 is the sister genus of Plumolepilius.

School Quality and Learning Gains in Rural Guatemala

ERIC Educational Resources Information Center

Marshall, Jeffery H.

2009-01-01

I use unusually detailed data on schools, teachers and classrooms to explain student achievement growth in rural Guatemala. Several variables that have received little attention in previous studies--including the number of school days, teacher content knowledge and pedagogical methods--are robust predictors of achievement. A series of…

School Quality Signals and Attendance in Rural Guatemala

ERIC Educational Resources Information Center

Marshall, Jeffery H.

2011-01-01

This study analyzes school dropout in rural Guatemala using event history data and unusually detailed data on schools and teachers. Significant results for language of instruction, teacher education and fighting between students demonstrate the importance of accounting for school context influences on an outcome that has, historically, been…

A training programme to build cancer research capacity in low- and middle-income countries: findings from Guatemala.

PubMed

Arnold, Lauren D; Barnoya, Joaquin; Gharzouzi, Eduardo N; Benson, Peter; Colditz, Graham A

2014-04-01

Guatemala is experiencing an increasing burden of cancer but lacks capacity for cancer prevention, control and research. In partnership with a medical school in the United States of America, a multidisciplinary Cancer Control Research Training Institute was developed at the Instituto de Cancerología (INCAN) in Guatemala City. This institute provided a year-long training programme for clinicians that focused on research methods in population health and sociocultural anthropology. The programme included didactic experiences in Guatemala and the United States as well as applied training in which participants developed research protocols responsive to Guatemala's cancer needs. Although INCAN is the point of referral and service for Guatemala's cancer patients, the institute's administration is also interested in increasing cancer research - with a focus on population health. INCAN is thus a resource for capacity building within the context of cancer prevention and control. Trainees increased their self-efficacy for the design and conduct of research. Value-added benefits included establishment of an annual cancer seminar and workshops in cancer pathology and qualitative analysis. INCAN has recently incorporated some of the programme's components into its residency training and established a research department. A training programme for clinicians can build cancer research capacity in low- and middle-income countries. Training in population-based research methods will enable countries such as Guatemala to gather country-specific data. Once collected, such data can be used to assess the burden of cancer-related disease, guide policy for reducing it and identify priority areas for cancer prevention and treatment.

Agricultural and Social Resiliency of Small-Scale Agriculture to Economic and Climatic Shocks: A Comparison of Subsistence versus Market-Based Agricultural Approaches in Rural Guatemala

NASA Astrophysics Data System (ADS)

Malard, J. J.; Melgar-Quiñonez, H.; Pineda, P.; Gálvez, J.; Adamowski, J. F.

2014-12-01

Agricultural production is heavily dependent not only on climate but also on markets as well as on the social and community systems managing the agroecosystem. In addition, the ultimate goal of agricultural production, human food security, is also affected not only by net agricultural production but also by similar economic and social factors. These complex feedbacks assume a particular importance in the case of smallholder farms in the tropics, where alternative rural development policies have led to different and contrasting agricultural management systems. Current approaches at comparing such systems generally study their environmental, economic or social components in isolation, potentially missing important interconnections. This research uses a participatory systems dynamics modelling (SDM) framework to compare two small-scale agricultural approaches in rural Guatemala which differ in their social, economic and ecosystem management decisions. The first case study community, in Quiché, has adopted a subsistence-based system that aims to use low levels of outside inputs to produce food for their own consumption, while the second, in Sololá, has opted for market-based agriculture that uses high input levels to obtain marketable crops in order to assure income for the purchase of food and other necessities. Each of these systems has its respective vulnerabilities; while the Sololá community suffers from more environmental degradation issues (soils and pests), the Quiché community, given lower monetary incomes, is more vulnerable to events whose responses require a significant monetary expenditure. Through the SDM approach, we incorporate local stakeholder knowledge of the respective systems, including biophysical and socioeconomic variables, into a joint biophysical and socioeconomic model for each community. These models then allow for the comparison of the resilience of both types of socio-agroecosystems in the face of climatic, economic and biological

Microfinance and Violence Against Women in Rural Guatemala.

PubMed

Cepeda, Isabel; Lacalle-Calderon, Maricruz; Torralba, Miguel

2017-11-01

Violence against Women (VaW) has come to be recognized as a serious human rights abuse with important consequences not only for women but for whole societies. Since VaW has several manifestations, it is possible to differentiate among different types of violence. In this article, a broad theoretical framework with different dimensions of gender violence was adapted to a Latin American social and cultural context to measure three out of the five main types of violence: economic violence, emotional psychological violence, and coercive control. The goal of this article is to provide empirical evidence to determine whether access to microfinance services plays a role in reducing VaW. To this end, we designed and performed a cross-sectional study with a treatment and a control group in rural Guatemala. A sample of 883 rural women in the "Altiplano" area of Guatemala (448 women with microfinance services and 435 without) was surveyed from May to November 2012. The results of the bivariate logistic regression showed evidence of association between access to microfinance services and reduction of VaW. After adjusting for covariates, global, economic, and emotional psychological violence maintained a negative and statistically significant association with microfinance, while only coercive control showed no statistical association with microfinance services. Access to microcredits showed a very clear relationship to reducing economic and emotional violence but not coercive control, a factor that may be determined by social and cultural norms. In contrast to Status Inconsistency Theory, which has been tested primarily in Asia, our study of Guatemala showed that increased status and economic independence of women due to their participation in microfinance services reduced VaW.

Re-evaluation of the 1976 Guatemala earthquake taking into account the environmental effects

NASA Astrophysics Data System (ADS)

Porfido, Sabina; Esposito, Eliana; Spiga, Efisio; Sacchi, Marco; Molisso, Flavia; Mazzola, Salvatore

2014-05-01

Guatemala is one of the most seismically active countries in Central America.The largest earthquakes are produced by along the subduction zone of the Cocos and Caribbean plates in the Middle America Trench in the Pacific Ocean. Large earthquakes are also triggered along the boundary between the North American and the Caribbean plates, defined by a zone of large left lateral strike-slip faults that run through Guatemala from the Swan Fracture Zone in the Caribbean Sea. The earthquakes generated along these transcurrent faults, although less frequent, have a great importance to seismic hazard in Central America, more than the subduction-related earthquakes, because of their shallow ipocenters and the proximity of many cities and villages to these active structures. The most destructive event in this region was the earthquake occurred on 4, February 1976 in Guatemala, associated with the Motagua fault, causing 23 000 deaths, and 77 200 injuries. This study attempts at reconstructing the coseismic effects on the environment, to better assess the intensities according to the ESI scale 2007. For the Guatemala 1976 earthquake (M=7,5), the original scientific seismic, geological and macroseismic reports have been reviewed in order to highlight effects on natural environment. The maximum estimated intensity was IX MM in Gualan, in the Mixco area and in the centre of Guatemala City. Intensities value were underestimated despite there was a high level of damages, in fact several towns and villages were totally destroyed and although the earthquake triggered very large and spectacular primary and secondary ground effects. On the basis of all the gathered information has been possible to detect and to localize coseismic environmental effects, and classify them into six main types: surface faulting, slope movements, ground cracks, ground settlements, hydrological changes and tsunami. Primary effects was identified in the Motagua Valley and the mountainous area W of the valley, a

Use of maternal-child health services and contraception in Guatemala and Panama.

PubMed

Warren, C W; Monteith, R S; Johnson, J T; Santiso, R; Guerra, F; Oberle, M W

1987-04-01

This paper presents data from 2 recent maternal-child health (MCH) and family planning surveys in Guatemala and Panama and examines the extent to which the use of contraception is influenced by the use of MCH services as compared with the influence of an increase in parity. Fieldwork was initiated in July 1984 but not completed until April 1985. A total of 8240 women aged 15-49 years, of all marital statuses, completed interviews, representing 91% of households with eligible respondents. The findings suggest that utilization of MCH services and parity independently are associated with a woman's decision to use contraception. The study also found 2 groups that appear to be particularly in need of both MCH and family planning services: high parity women and Indians. Nonuse of MCH and family planning services may be due in part to their strong cultural beliefs. In both Guatemala and Panama, improved health care services for these 2 groups should be a priority. Contraceptive use in Panama was over twice as high as in Guatemala. However, method choice and residence-ethnicity patterns of use were similar in each country. In both countries and in all residence-ethnicity groups, female sterilization was the most prevalent method in use, followed by oral contraceptives, except for Panama rural Indians. In Panama, contraceptive use increases up to ages 30-34 and then declines, with a sharp decline for women 40-44. In Guatemala, contraceptive use is generally low for ages 15-24, then increases to a fairly constant level for ages 25-39.

Establishing a surgical outreach program in the developing world: pediatric strabismus surgery in Guatemala City, Guatemala.

PubMed

Ditta, Lauren C; Pereiras, Lilia Ana; Graves, Emily T; Devould, Chantel; Murchison, Ebony; Figueroa, Ligia; Kerr, Natalie C

2015-12-01

To report our experince in establishing a sustainable pediatric surgical outreach mission to an underserved population in Guatemala for treatment of strabismic disorders. A pediatric ophthalmic surgical outreach mission was established. Children were evaluated for surgical intervention by 3 pediatric ophthalmologists and 2 orthoptists. Surgical care was provided at the Moore Pediatric Surgery Center, Guatemala City, over 4 days. Postoperative care was facilitated by Guatemalan physicians during the second year. In year 1, patients 1-17 years of age were referred by local healthcare providers. In year 2, more than 60% of patients were prescreened by a local pediatric ophthalmologist. We screened 47% more patients in year 2 (132 vs 90). Diagnoses included congenital and acquired esotropia, consecutive and acquired exotropia, congenital nystagmus, Duane syndrome, Brown syndrome, cranial nerve palsy, dissociated vertical deviation, and oblique muscle dysfunction. Overall, 42% of the patients who were screened underwent surgery. We performed 21 more surgeries in our second year (58 vs 37), a 57% increase. There were no significant intra- or postoperative complications. Surgical outreach programs for children with strabismic disorders in the developing world can be established through international cooperation, a multidisciplinary team of healthcare providers, and medical equipment allocations. Coordinating care with local pediatric ophthalmologists and medical directors facilitates best practice management for sustainability. Copyright © 2015 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.

Supply-Side Interventions and Student Learning in Guatemala

ERIC Educational Resources Information Center

Vasquez, William F.

2012-01-01

This paper presents estimates of production functions of reading and mathematics test scores to assess the effects of supply-side interventions, such as the provision of a community-based school management programme, bilingual education and multigrade teaching, on student learning in Guatemala. The efficiency and consistency of the estimates is…

Educational Policy Formation in Loosely Coupled Systems: Some Salient Features of Guatemala's Public and Private School Sectors.

ERIC Educational Resources Information Center

Ruano, Carlos R.

2003-01-01

Analyzed the formulation and implementation of educational policy processes in relation to private schools in Guatemala, focusing on bilingual education in a sample of six private schools. Findings document many characteristics of private schools in Guatemala, including inadequate teacher and administrator training and a lack of cooperation…

Draw-and-Write Technique Elicits Children's Perceptions of Health in the USA and Guatemala

ERIC Educational Resources Information Center

Renslow, Jillian; Maupin, Jonathan

2018-01-01

Objective: Using the draw-and-write methodology, this study examined cross-cultural similarities and differences in children's perceptions of health. Design: Cross-sectional design. Setting: One public elementary school in the USA and in Guatemala. Method: The total sample included 161 children 9-10 years of age, 80 in the USA and 81 in Guatemala.…

Perceptions and utilization of generic medicines in Guatemala: a mixed-methods study with physicians and pharmacy staff.

PubMed

Flood, David; Mathieu, Irène; Chary, Anita; García, Pablo; Rohloff, Peter

2017-01-13

Access to low-cost essential generic medicines is a critical health policy goal in low-and-middle income countries (LMICs). Guatemala is an LMIC where there is both limited availability and affordability of these medications. However, attitudes of physicians and pharmacy staff regarding low-cost generics, especially generics for non-communicable diseases (NCDs), have not been fully explored in Guatemala. Semi-structured interviews with 30 pharmacy staff and 12 physicians in several highland towns in Guatemala were conducted. Interview questions related to perceptions of low-cost generic medicines, prescription and dispensing practices of generics in the treatment of two NCDs, diabetes and hypertension, and opinions about the roles of pharmacy staff and physicians in selecting medicines for patients. Pharmacy staff were recruited from a random sample of pharmacies and physicians were recruited from a convenience sample. Interview data were analyzed using a thematic approach for qualitative data as well as basic quantitative statistics. Pharmacy staff and physicians expressed doubt as to the safety and efficacy of low-cost generic medicines in Guatemala. The low cost of generic medicines was often perceived as proof of their inferior quality. In the case of diabetes and hypertension, the decision to utilize a generic medicine was based on multiple factors including the patient's financial situation, consumer preference, and, to a large extent, physician recommendations. Interventions to improve generic medication utilization in Guatemala must address the negative perceptions of physicians and pharmacy staff toward low-cost generics. Strengthening state capacity and transparency in the regulation and monitoring of the drug supply is a key goal of access-to-medicines advocacy in Guatemala.

Whole genome sequencing identifies circulating Beijing-lineage Mycobacterium tuberculosis strains in Guatemala and an associated urban outbreak

PubMed Central

Saelens, Joseph W.; Lau-Bonilla, Dalia; Moller, Anneliese; Medina, Narda; Guzmán, Brenda; Calderón, Maylena; Herrera, Raúl; Sisk, Dana M.; Xet-Mull, Ana M.; Stout, Jason E.; Arathoon, Eduardo; Samayoa, Blanca; Tobin, David M.

2015-01-01

Summary Limited data are available regarding the molecular epidemiology of Mycobacterium tuberculosis (Mtb) strains circulating in Guatemala. Beijing-lineage Mtb strains have gained prevalence worldwide and are associated with increased virulence and drug resistance, but there have been only a few cases reported in Central America. Here we report the first whole genome sequencing of Central American Beijing-lineage strains of Mtb. We find that multiple Beijing-lineage strains, derived from independent founding events, are currently circulating in Guatemala, but overall still represent a relatively small proportion of disease burden. Finally, we identify a specific Beijing-lineage outbreak centered on a poor neighborhood in Guatemala City. PMID:26542222

Instituto Nacional de Electrification, Guatemala Load Dispatch Center and Global Communications Center. Feasibility report (Instituto Nacional de Electrificacion, Guatemala Centro Nacional de Despacho de Carga y Sistema Global de Comunicaciones). Export trade information

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

1985-07-01

The report presents the results of a feasibility study for the National Load Dispatch Center and Global Communications System Project in Guatemala. The project consists of a communication system which will provide Institute Nacional de Electrificacion (INDE) operations personnel direct voice access to all major power system facilities. In addition, a modern computer based load dispatch center has been configured on a secure and reliable basis to provide automatic generation control of all major interconnected generating plants within Guatemala.

Menopause in highland Guatemala Mayan women.

PubMed

Stewart, Donna E

2003-04-25

To explore any feelings and symptoms surrounding menopause among Mayan women in three ethnolinguistic groups in highland Guatemala and compare these with previous reports from Mexico. This was a qualitative exploratory study of the experiences around menopause of eight middle aged women and one local key informant in each of three villages in western highland Guatemala (n=27). Individual interviews were conducted in women with irregular menses or whose menses has ceased in the last 3 years. Field notes were kept and then an analysis undertaken by the author. Twenty-four Mayan women, aged 38-55, and three Mayan key informants (all women over age 50) were interviewed. Most women reported some symptoms, including hot flashes, night sweats, changes in libido, irritability, moodiness, abdominal cramps and menstrual clots occurring at some stage during the last 3 years. Although women reported symptoms, they mostly accepted them with equanimity; and rejoiced at the cessation of their periods. Highland Guatemalan Mayan women reported symptoms that were not reported in Mayan women in Yucatan, Mexico in the years surrounding menopause. The reasons for this disparity are unclear but may reflect differences in body weight and diet. Despite these symptoms, Mayan women looked forward to menopause and their newfound freedom and status. Symptoms in women in the years around menopause must be interpreted in geographical, nutritional, biological, psychological and cultural context.

Malaria elimination challenges in Mesoamerica: evidence of submicroscopic malaria reservoirs in Guatemala.

PubMed

Lennon, Shirley Evelyn; Miranda, Adolfo; Henao, Juliana; Vallejo, Andres F; Perez, Julianh; Alvarez, Alvaro; Arévalo-Herrera, Myriam; Herrera, Sócrates

2016-08-30

Even though malaria incidence has decreased substantially in Guatemala since 2000, Guatemala remains one of the countries with the highest malaria transmission in Mesoamerica. Guatemala is committed to eliminating malaria as part of the initiative 'Elimination of Malaria in Mesoamerica and the Island of Hispaniola' (EMMIE); however, it is still in the control phase. During the past decade, the government strengthened malaria control activities including mass distribution of long-lasting insecticide-impregnated bed nets, early diagnosis and prompt treatment. This study aimed to determine the prevalence of malaria, including gametocytes, in three areas of Guatemala using active case detection (ACD) and quantitative polymerase chain reaction (qPCR). Cross-sectional surveys were conducted in three departments with varying transmission intensities: Escuintla, Alta Verapaz and Zacapa. Blood samples from 706 volunteers were screened for malaria using microscopy and qPCR which was also used to determine the prevalence of gametocytes among infected individuals. Results were collected and analysed using REDCap and R Project, respectively. Malaria was diagnosed by microscopy in only 2.8 % (4/141) of the volunteers from Escuintla. By contrast, qPCR detected a prevalence of 7.1 % (10/141) in the same volunteers, 8.4 % (36/429) in Alta Verapaz, and 5.9 % (8/136) in Zacapa. Overall, 7.6 % (54/706) of the screened individuals were positive, with an average parasitaemia level of 40.2 parasites/μL (range 1-1133 parasites/μL) and 27.8 % carried mature gametocytes. Fifty-seven percent (31/54) of qPCR positive volunteers were asymptomatic and out of the 42.6 % of symptomatic individuals, only one had a positive microscopy result. This study found a considerable number of asymptomatic P. vivax infections that were mostly submicroscopic, of which, approximately one-quarter harboured mature gametocytes. This pattern is likely to contribute to maintaining transmission across the

A Mayan founder mutation is a common cause of deafness in Guatemala.

PubMed

Carranza, C; Menendez, I; Herrera, M; Castellanos, P; Amado, C; Maldonado, F; Rosales, L; Escobar, N; Guerra, M; Alvarez, D; Foster, J; Guo, S; Blanton, S H; Bademci, G; Tekin, M

2015-09-08

Over 5% of the world's population has varying degrees of hearing loss. Mutations in GJB2 are the most common cause of autosomal recessive non-syndromic hearing loss (ARNHL) in many populations. The frequency and type of mutations are influenced by ethnicity. Guatemala is a multi-ethnic country with four major populations: Maya, Ladino, Xinca, and Garifuna. To determine the mutation profile of GJB2 in a ARNHL population from Guatemala, we sequenced both exons of GJB2 in 133 unrelated families. A total of six pathogenic variants were detected. The most frequent pathogenic variant is c.131G>A (p.Trp44*) detected in 21 of 266 alleles. We show that c.131G>A is associated with a conserved haplotype in Guatemala suggesting a single founder. The majority of Mayan population lives in the west region of the country from where all c.131G>A carriers originated. Further analysis of genome-wide variation of individuals carrying the c.131G>A mutation compared with those of Native American, European, and African populations shows a close match with the Mayan population. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

A MAYAN FOUNDER MUTATION IS A COMMON CAUSE OF DEAFNESS IN GUATEMALA

PubMed Central

Carranza, Claudia; Menendez, Ibis; Herrera, Mariana; Castellanos, Patricia; Amado, Carlos; Maldonado, Fabiola; Rosales, Luisa; Escobar, Nancy; Guerra, Mariela; Alvarez, Darwin; Foster, Joseph; Guo, Shengru; Blanton, Susan H.; Bademci, Guney; Tekin, Mustafa

2017-01-01

SUMMARY Over 5% of the world population have varying degrees of hearing loss. Mutations in GJB2 are the most common cause of autosomal recessive non-syndromic hearing loss (NSHL) in many populations. The frequency and type of mutations are influenced by ethnicity. Guatemala is a multi-ethnic country with four major populations: Maya, Ladino, Xinca, and Garifuna. To determine the mutation profile of GJB2 in a NSHL population from Guatemala, we sequenced both exons of GJB2 in 133 unrelated families. A total of six pathogenic variants were detected. The most frequent pathogenic variant is c.131G>A (p.Trp44*) detected in 21 of 266 alleles. We show that c.131G>A is associated with a conserved haplotype in Guatemala suggesting a single founder. The majority of Mayan population lives in the west region of the country from where all c.131G>A carriers originated. Further analysis of genome-wide variation of individuals carrying the c.131G>A mutation compared to those of Native American, European, and African populations shows a close match with the Mayan population. PMID:26346709

Situation Reports--Bahamas, Brasil, Guatemala, Netherlands Antilles (Curacao), Uruguay.

ERIC Educational Resources Information Center

International Planned Parenthood Federation, London (England).

Data relating to population and family planning in four foreign countries are presented in these situation reports. Countries included are Bahamas, Guatemala, Netherlands Antilles (Curacao), and Uruguay. Information is provided under two topics, general background and family planning situation, where appropriate and if it is available. General…

A New Species of Vespula, and First Record of Vespa crabro L. (Hymenoptera:Vespidae) from Guatemala, Central America

USDA-ARS?s Scientific Manuscript database

Vespula akrei Landolt sp. nov. (Hymenoptera:Vespidae; Vespinae) is described from Guatemala. The first record of Vespa crabro L. (Hymenoptera:Vespidae:Vespinae) in Guatemala is given, and Vespula Inexspectata Eck (1994) from Mexico is re-described. We place Vespula akrei sp. nov. in the Vespula vulg...

Whole genome sequencing identifies circulating Beijing-lineage Mycobacterium tuberculosis strains in Guatemala and an associated urban outbreak.

PubMed

Saelens, Joseph W; Lau-Bonilla, Dalia; Moller, Anneliese; Medina, Narda; Guzmán, Brenda; Calderón, Maylena; Herrera, Raúl; Sisk, Dana M; Xet-Mull, Ana M; Stout, Jason E; Arathoon, Eduardo; Samayoa, Blanca; Tobin, David M

2015-12-01

Limited data are available regarding the molecular epidemiology of Mycobacterium tuberculosis (Mtb) strains circulating in Guatemala. Beijing-lineage Mtb strains have gained prevalence worldwide and are associated with increased virulence and drug resistance, but there have been only a few cases reported in Central America. Here we report the first whole genome sequencing of Central American Beijing-lineage strains of Mtb. We find that multiple Beijing-lineage strains, derived from independent founding events, are currently circulating in Guatemala, but overall still represent a relatively small proportion of disease burden. Finally, we identify a specific Beijing-lineage outbreak centered on a poor neighborhood in Guatemala City. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Wild tomato introgressions that confer resistance to begomoviruses in Guatemala

USDA-ARS?s Scientific Manuscript database

Begomoviruses, whitefly-transmitted geminiviruses, are one of the major diseases of tomatoes in subtropical and tropical regions. In Guatemala, several bipartite begomoviruses and the monopartite geminivirus, Tomato yellow leaf curl virus, are present. Three experiments were conducted to evaluate th...

Co-infections with Chikungunya and Dengue Viruses, Guatemala, 2015.

PubMed

Edwards, Thomas; Signor, Leticia Del Carmen Castillo; Williams, Christopher; Donis, Evelin; Cuevas, Luis E; Adams, Emily R

2016-11-01

We screened serum samples referred to the national reference laboratory in Guatemala that were positive for chikungunya or dengue viruses in June 2015. Co-infection with both viruses was detected by reverse transcription PCR in 46 (32%) of 144 samples. Specimens should be tested for both arboviruses to detect co-infections.

Area Handbook Series Guatemala, A Country Study,

DTIC Science & Technology

1983-05-01

o’independencee, the cp tanc general of’ Guatemsala consisted of the present-day republics of’ C;entral Amierica-Guatemnala, El Salvador, (Ionduras, Nicar- agua ...countries that maintained significant political relationships with Guatemala were Chile and Argentina. Both had active military relationships with...1 d somiething tobreak (downi time, coliiitr\\s grossl\\yneItial 204 lburisf maZUrke’t San Anitoni o .Aguasv Cali’n tc. Resvidenats in San Antonio Aguas

Two new species of shrews (Soricidae) from the western highlands of Guatemala

USGS Publications Warehouse

Woodman, Neal

2010-01-01

The broad-clawed shrews (Soricomorpha: Soricidae: Cryptotis) encompass a clade of 5 species—Cryptotis alticolus (Merriam), C. goldmani (Merriam), C. goodwini Jackson, C. griseoventris Jackson, and C. peregrinus (Merriam)—that is known collectively as the Cryptotis goldmani group and is characterized by broadened forefeet, elongated and broadened fore claws, and broadened humeri. These shrews are distributed in highland regions from central Mexico to Honduras. Two broad-clawed shrews, C. goodwini and C. griseoventris, occur in southern Mexico and Guatemala and are presumed sister species whose primary distinguishing feature is the larger size of C. goodwini. In an investigation of variation within and between these 2 species, I studied characteristics of the postcranial skeleton. Statistical analyses of a variety of character suites indicate that the forelimb morphology in this group exhibits less intraspecific variation and greater interspecific variation than cranio-mandibular morphology, although most skull characters support groupings based on forelimb characters. Together, these characters define 4 distinct groups among the specimens examined. C. griseoventris is restricted to the northern highlands of Chiapas, Mexico, and C. goodwini occurs in the southern highlands of Chiapas and Guatemala. Herein, I describe 2 new species of broad-clawed shrews from the Sierra de los Cuchumatanes, Guatemala.

Are Physician Assistants Needed in Guatemala? A Survey of Potential Urban and Rural Users.

PubMed

Luna-Asturias, Claudia; Apple, Jennifer; Bolaños, Guillermo A; Bowser, Jonathan M; Asturias, Edwin J

2017-09-01

The shortage of trained health care personnel has been increasing worldwide. With the physician assistant (PA) profession, created in the United States in the 1960s, expanding globally, this study sought to ascertain whether PAs can be an innovative solution to this crisis. We conducted a convenience sample survey to assess the need for and acceptability of future PA professionals in Guatemala. Eighty-nine doctors, nurses, and community members from rural and urban areas of Guatemala participated in the survey. More urban (70%) than rural (58%) respondents found it difficult to access a doctor, with cost being the major reason (34%). Access in rural areas was reportedly limited by lack of doctors and inaccessible office hours. Most survey respondents considered PAs to be suitable and potentially helpful providers for Guatemala, with a preference for competencies in the diagnosis of serious illnesses, drug prescription, labor and delivery attendance, and care for injuries and fractures, especially in rural locations. Belonging to the community was deemed very important for a PA who would practice in the country.

Two new species of Neocorynura from Guatemala (Hymenoptera: Halictidae: Augochlorini) with a key to the species known from the country.

PubMed

Smith-Pardo, Allan H

2016-09-05

This paper describes two new species of bees of the genus Neocorynura Schrottky from Guatemala. A taxonomic key to all five known species of the genus in Guatemala is provided and the male of N. centroamericana is described for the first time.

Characterisation of genetic structure of the Mayan population in Guatemala by autosomal STR analysis.

PubMed

Martinez-Gonzalez, L J; Alvarez-Cubero, M J; Saiz, M; Alvarez, J C; Martinez-Labarga, C; Lorente, J A

2016-09-01

Currently, the Guatemalan population comprises genetically isolated groups due to geographic, linguistic and cultural factors. For example, Mayan groups within the Guatemala population have preserved their own language, culture and religion. These practices have limited genetic admixture and have maintained the genetic identity of Mayan populations. This study is designed to define the genetic structure of the Mayan-Guatemalan groups Kaqchiquel, K'iche', Mam and Q'eqchi' through autosomal short tandem repeat (STR) polymorphisms and to analyse the genetic relationships between them and with other Mayan groups. Fifteen STR polymorphisms were analysed in 200 unrelated donors belonging to the Kaqchiquel (n = 50), K'iche' (n = 50), Mam (n = 50) and Q'eqchi' (n = 50) groups living in Guatemala. Genetic distance, non-metric MDS and AMOVA were used to analyse the genetic relationships between population groups. Within the Mayan population, the STRs D18S51 and FGA were the most informative markers and TH01 was the least informative. AMOVA and genetic distance analyses showed that the Guatemalan-Native American populations are highly similar to Mayan populations living in Mexico. The Mayan populations from Guatemala and other Native American groups display high genetic homogeneity. Genetic relationships between these groups are more affected by cultural and linguistic factors than geographical and local flow. This study represents one of the first steps in understanding Mayan-Guatemalan populations, the associations between their sub-populations and differences in gene diversity with other populations. This article also demonstrates that the Mestizo population shares most of its ancestral genetic components with the Guatemala Mayan populations.

Increasing chronic disease research capacity in Guatemala through a mentoring program.

PubMed

Barnoya, Joaquin; Monzon, Jose C; Colditz, Graham A

2013-09-12

The Chronic Disease Research Fellowship Program (RFP) aims to build the research capacity of recent medical graduates to support the development of chronic disease control strategies. Guatemala is undergoing an epidemiologic transition. However, given the way universities and the health care system are structured, it lacks an environment that fosters research careers and generates the required knowledge to implement sound public health policies and clinical strategies. The RFP was implemented at the Cardiovascular Unit of Guatemala. This 4-year Program recruited two one-year fellows and provided funding to define a research topic, write a protocol and implement the research. Strong emphasis is placed on developing skills in knowledge translation and exchange to bridge the "know-do" gap. Close mentoring relationships between the Principal Investigator and former and current fellows are fostered through the Program. The mentoring Program has generated strategic data to support the implementation of sound chronic disease control strategies, mainly related to tobacco control. Results have been presented nationally and internationally. Research training has included principles of biostatistics and epidemiology, and a journal club. The Program is increasingly generating interest among medical graduates to pursue further research training abroad and is building local research capacity. Fellows and research assistants have created a research network in Guatemala and abroad. The main obstacle the Program faces is ensuring long-term sustainability. A mentoring program can lead to an increase in research interest and capacity in a low-income country with little research infrastructure.

DNA Profiling Success Rates from Degraded Skeletal Remains in Guatemala.

PubMed

Johnston, Emma; Stephenson, Mishel

2016-07-01

No data are available regarding the success of DNA Short Tandem Repeat (STR) profiling from degraded skeletal remains in Guatemala. Therefore, DNA profiling success rates relating to 2595 skeletons from eleven cases at the Forensic Anthropology Foundation of Guatemala (FAFG) are presented. The typical postmortem interval was 30 years. DNA was extracted from bone powder and amplified using Identifiler and Minifler. DNA profiling success rates differed between cases, ranging from 50.8% to 7.0%, the overall success rate for samples was 36.3%. The best DNA profiling success rates were obtained from femur (36.2%) and tooth (33.7%) samples. DNA profiles were significantly better from lower body bones than upper body bones (p = <0.0001). Bone samples from males gave significantly better profiles than samples from females (p = <0.0001). These results are believed to be related to bone density. The findings are important for designing forensic DNA sampling strategies in future victim recovery investigations. © 2016 American Academy of Forensic Sciences.

[The health system of Guatemala].

PubMed

Becerril-Montekio, Víctor; López-Dávila, Luis

2011-01-01

This paper describes the health conditions in Guatemala and, in more detail, the characteristics of the Guatemalan health system, including its structure en coverage, its financial sources, the stewardship functions developed by the Ministry of Health, as well as the generation of health information and the development of research activities. It also discusses the recent efforts to extend coverage of essential health services, mostly to poor rural areas.The most recent innovations also discussed in this paper include the Program for the Expansion of Coverage of Essential Services, the Program to Expand Access to Essential Drugs and the agreements between the Ministry of Health and several non-governmental organizations to provide essential services in rural settings.

An Examination of the Historical, Social, Economic, and Political Factors of the Marxist Insurgency in Guatemala.

DTIC Science & Technology

1985-09-16

Lima gave up their hope of instigating another coup and moved to the countryside. There they formed the Revolutionary Movement Alejandro de Leon...Mexico and then the Maya of southern Mexico. In 1524 Cortes’s lieutenant, Pedro de Alvarado, fought his way into what is now Guatemala, and by 1527 had...8217 ~ ~-. .- -• 17 Notes Norman Hammond, "Unearthing the Oldest Known Maya," National Geographic, July 1982, p. 128. Louis de la Haba, "Guatemala, Maya and Modern

Patterns and predictors of current cigarette smoking in women and men of reproductive age-Ecuador, El Salvador, Guatemala, and Honduras.

PubMed

Tong, Van T; Turcios-Ruiz, Reina M; Dietz, Patricia M; England, Lucinda J

2011-09-01

To estimate smoking prevalence by gender, describe patterns of cigarette use, and identify predictors of current smoking in reproductive-age adults in four Latin American countries. Self-reported smoking was examined using data from Reproductive Health Surveys of women aged 15-49 years in Ecuador (2004), El Salvador (2002-2003), Guatemala (2002), and Honduras (2001), and of men aged 15-59 years in El Salvador, Guatemala, and Honduras for the same years. Current smoking was assessed by demographic characteristics, and independent associations were examined using logistic regression. Data were weighted to be nationally representative of households with reproductive-age women and men. Current smoking prevalence ranged from 2.6% (Guatemala) to 13.1% (Ecuador) for women and from 23.1% (Guatemala) to 34.9% (El Salvador) for men. In Ecuador, 67.6% of female smokers were non-daily users; in other countries, daily use was more prevalent than non-daily use for both men and women. In daily users, the median number of cigarettes smoked per day ranged from 1.9 (Ecuador, Honduras) to 2.3 (Guatemala) for women and from 2.1 (Guatemala) to 3.6 (Honduras) for men. In bivariate analysis, smoking prevalence in all countries was highest in women who lived in urban areas, were previously married, and/or had high socioeconomic status. Risk factors for smoking varied by country and gender. National tobacco control programs in these countries should aggressively target high-risk populations (reproductive-age men) and maintain low prevalence in low-risk populations (reproductive-age women). More research is needed to understand addiction patterns in non-daily smokers.

Size, dimorphism, and related characteristics of Ciccaba owls from Guatemala

Treesearch

Richard P. Gerhardt; Dawn McAnnis Gerhardt

1997-01-01

Tropical owls, being poorly studied, have been excluded from discussions of reversed size dimorphism. As part of a breeding and food habits study, we weighed and measured 20 Mottled Owls (Ciccaba virgata) and a mated pair of Black-and-white Owls (C. nigrolineata) in northern Guatemala. Mottled Owls exhibited pronounced dimorphism...

Virulence diversity of Uromyces Appendiculatus in the Highlands of Guatemala

USDA-ARS?s Scientific Manuscript database

The common bean is planted throughout Guatemala, especially in the highlands of the South East, North East, and South West regions. In these regions, temperatures fluctuate between 16 y 20 °C and the average rain precipitation is about 1000 mm. These conditions are optimum for the rust disease and b...

An mHealth Monitoring System for Traditional Birth Attendant-led Antenatal Risk Assessment in Rural Guatemala

PubMed Central

Stroux, Lisa; Martinez, Boris; Ixen, Enma Coyote; King, Nora; Hall-Clifford, Rachel; Rohloff, Peter; Clifford, Gari D.

2016-01-01

Limited funding for medical technology, low levels of education and poor infrastructure for delivering and maintaining technology severely limit medical decision support in low- and middle-income countries. Perinatal and maternal mortality is of particular concern with millions dying every year from potentially treatable conditions. Guatemala has one of the worst maternal mortality ratios, the highest incidence of intrauterine growth restriction (IUGR), and one of the lowest gross national incomes per capita within Latin America. To address the lack of decision support in rural Guatemala, a smartphone-based system is proposed including peripheral sensors, such as a handheld Doppler for the identification of fetal compromise. Designed for use by illiterate birth attendants, the system uses pictograms, audio guidance, local and cloud processing, SMS alerts and voice calling. The initial prototype was evaluated on 22 women in highland Guatemala. Results were fed back into the refinement of the system, currently undergoing RCT evaluation. PMID:27696915

An mHealth monitoring system for traditional birth attendant-led antenatal risk assessment in rural Guatemala.

PubMed

Stroux, Lisa; Martinez, Boris; Coyote Ixen, Enma; King, Nora; Hall-Clifford, Rachel; Rohloff, Peter; Clifford, Gari D

Limited funding for medical technology, low levels of education and poor infrastructure for delivering and maintaining technology severely limit medical decision support in low- and middle-income countries. Perinatal and maternal mortality is of particular concern with millions dying every year from potentially treatable conditions. Guatemala has one of the worst maternal mortality ratios, the highest incidence of intra-uterine growth restriction (IUGR), and one of the lowest gross national incomes per capita within Latin America. To address the lack of decision support in rural Guatemala, a smartphone-based system is proposed including peripheral sensors, such as a handheld Doppler for the identification of foetal compromise. Designed for use by illiterate birth attendants, the system uses pictograms, audio guidance, local and cloud processing, SMS alerts and voice calling. The initial prototype was evaluated on 22 women in highland Guatemala. Results were fed back into the refinement of the system, currently undergoing RCT evaluation.

Description of a new species and subspecies of Idalus Walker from Costa Rica, Honduras and Guatemala (Lepidoptera, Erebidae, Arctiinae, Arctiini)

PubMed Central

Espinoza, Bernardo A.; Janzen, Daniel H.; Winnie Hallwachs;  J. Bolling Sullivan

2013-01-01

Abstract A new species and subspecies of Idalus Walker are described from Costa Rica, Honduras and Guatemala. Images of males and females and their genitalia are provided. Locality information and distribution maps for Costa Rica and for Guatemala are included. The biology and phylogeny of Idalus are discussed. PMID:23730178

Pediatric Invasive Pneumococcal Disease in Guatemala City: Importance of Serotype 2.

PubMed

Gaensbauer, James T; Asturias, Edwin J; Soto, Monica; Holt, Elizabeth; Olson, Daniel; Halsey, Neal A

2016-05-01

To inform estimations of the potential impact of recently introduced pneumococcal conjugate vaccine (PCV), we report results of 11 years of pre-PCV surveillance for invasive pneumococcal disease (IPD) among children in Guatemala City. Cases of IPD in children younger than 5 years were identified by active surveillance at 3 referral hospitals in Guatemala City from October 1996 through 2007. Clinical and demographic data were obtained, and isolates of Streptococcus pneumoniae from normally sterile sites were serotyped using latex agglutination and confirmed by Quellung reaction. Four hundred fifty-two cases of IPD were identified with a case fatality rate of 21%. Meningitis was the most common cause of death (77% of all deaths) and occurred more often in infancy (median age 5 months) than other clinical syndromes. Of the 137 isolates serotyped, type 1 (26 cases, 17%), type 2 (25 cases, 16%) and type 5 (18 cases, 12%) were the most common. Serotype 2 was associated with a higher case fatality rate (28%), higher rate of meningitis (68%) and occurred in younger infants (median age, 3.5 months) than other common serotypes. Recently introduced PCV13 includes 73% of observed serotypes in the study. Infants with IPD presented at a young age. Serotype 2, rarely reported as a significant cause of IPD and not included in available PCVs, was a common cause of disease in this population. PCV13 introduction in Guatemala, begun in 2013, may not have as great an impact in disease reduction as has been observed in other countries.

Cost effectiveness of a short-term pediatric neurosurgical brigade to Guatemala.

PubMed

Davis, Matthew C; Than, Khoi D; Garton, Hugh J

2014-12-01

With subspecialty surgical care often unavailable to poor patients in developing countries, short-term brigades have filled a portion of the gap. We prospectively assessed the cost effectiveness of a pediatric neurosurgical brigade to Guatemala City, Guatemala. Data were collected on a weeklong annual pediatric neurosurgical brigade to Guatemala. Disability adjusted life-years (DALYs) averted were the metric of surgical effectiveness. Cost data included brigade expenses, as well as all costs incurred by the local health care system and patient families. During the mission, 17 pediatric neurosurgical interventions were performed. Conditions these patients suffered would result in 382 total DALYs. Using conservative values of surgical effectiveness, procedures performed averted 138.1 DALYs. Although all operative and postoperative costs were covered by the visiting surgical team, patients spent an average of $226 in U.S. dollars for preoperative workup, travel, food/lodging, and lost wages (range, $36-$538). The local health care system absorbed a total cost of $12,910. Complete mission costs were $53,152, for a cost effectiveness of $385 per DALY averted. To our knowledge, this is the first study evaluating cost effectiveness of a short-term neurosurgical brigade. Although surgical intervention is acknowledged as playing a crucial role in global health, subspecialty surgical care is still broadly perceived as a luxury. Although providing care through local surgeons is undeniably more efficient than bringing in foreign medical teams, such care is not universally available. This study argues that volunteer neurosurgical teams can provide high complexity care with a competitive cost-effective profile. Copyright © 2014 Elsevier Inc. All rights reserved.

Comparing antibiotic self-medication in two socio-economic groups in Guatemala City: a descriptive cross-sectional study.

PubMed

Ramay, Brooke M; Lambour, Paola; Cerón, Alejandro

2015-04-27

Self-medication with antibiotics may result in antimicrobial resistance and its high prevalence is of particular concern in Low to Middle Income Countries (LMIC) like Guatemala. A better understanding of self-medication with antibiotics may represent an opportunity to develop interventions guiding the rational use of antibiotics. We aimed to compare the magnitude of antibiotic self-medication and the characteristics of those who self-medicate in two pharmacies serving disparate socio-economic communities in Guatemala City. We conducted a descriptive, cross-sectional study in one Suburban pharmacy and one City Center pharmacy in Guatemala City. We used a questionnaire to gather information about frequency of self-medication, income and education of those who self-medicate. We compared proportions between the two pharmacies, using two-sample z-test as appropriate. Four hundred and eighteen respondents completed the survey (221 in the Suburban pharmacy and 197 in the City Center pharmacy). Most respondents in both pharmacies were female (70%). The reported monthly income in the suburban pharmacy was between $1,250.00-$2,500.00, the city-center pharmacy reported a monthly income between $125.00- $625.00 (p < 0.01). Twenty three percent of Suburban pharmacy respondents and 3% in the City Center pharmacy completed high school (p < 0.01). Proportion of self-medication was 79% in the Suburban pharmacy and 77% in City Center pharmacy. In both settings, amoxicillin was reported as the antibiotic most commonly used. High proportions of self-medication with antibiotics were reported in two pharmacies serving disparate socio-economic groups in Guatemala City. Additionally, self-medicating respondents were most often women and most commonly self-medicated with amoxicillin. Our findings support future public health interventions centered on the regulation of antibiotic sales and on the potential role of the pharmacist in guiding prescription with antibiotics in Guatemala.

A new species of rainfrog of the Eleutherodactylus milesi species group (Anura: Leptodactylidae) from Guatemala.

PubMed

Savage, J M

2000-12-01

A new rainfrog of the Eleutherodactylus milesi group is described from the Sierra de Xucaneb, Guatemala. It is compared to the other 11 upland species from southern Mexico, Guatemala and Honduras referred to the group. Within the milesi group the new species differs from the other five forms which also have toe fringes in size of the finger disks, the snout shape in profile and the amount of toe webbing and dorsal tuberculation. Difficulties in distinguishing among the character states for the tympanum (distinct, indistinct and hidden) and between toe ridges and fringes indicate that very subtle differences separate recognized species.

Population-Based Study of Trachoma in Guatemala.

PubMed

Silva, Juan Carlos; Diaz, Marco Antonio; Maul, Eugenio; Munoz, Beatriz E; West, Sheila K

2015-01-01

A prevalence survey for active trachoma in children aged under 10 years and trichiasis in women aged 40 years and older was carried out in four districts in the Sololá region in Guatemala, which is suspected of still having a trachoma problem. Population-based surveys were undertaken in three districts, within 15 randomly selected communities in each district. In addition, in a fourth district that borders the third district chosen, we surveyed the small northern sub-district, by randomly selecting three communities in each community, 100 children aged under 10 years were randomly selected, and all females over 40 years. Five survey teams were trained and standardized. Trachoma was graded using the World Health Organization simplified grading scheme and ocular swabs were taken in cases of clinical follicular or inflammatory trachoma. Prevalence estimates were calculated at district and sub-district level. Trachoma rates at district level varied from 0-5.1%. There were only two sub-districts where active trachoma approached 10% (Nahualá Costa, 8.1%, and Santa Catarina Costa, 7.3%). Trichiasis rates in females aged 40 years and older varied from 0-3%. Trachoma was likely a problem in the past. Trachoma is disappearing in the Sololá region in Guatemala. Health leadership may consider further mapping of villages around the areas with an especially high rate of trachoma and infection, and instituting trichiasis surgery and active trachoma intervention where needed.

Rural Primary Education: Agreement Between the United States of America and Guatemala (Signed at Guatemala November 3, 1975). Treaties and Other International Acts Series 8450.

ERIC Educational Resources Information Center

Agency for International Development (Dept. of State), Washington, DC.

Written in both Spanish and English, this document details each of the nine Articles of the Loan Agreement for Rural Primary Education made between the U.S. and Guatemala through the Agency for International Development (AID) in 1975. The Articles address the following: the loan; terms of repayment, interest, and payment procedures; conditions…

Prevalence of chronic kidney disease of non-traditional causes in patients on hemodialysis in southwest Guatemala.

PubMed

Laux, Timothy S; Barnoya, Joaquin; Cipriano, Ever; Herrera, Erick; Lopez, Noemi; Polo, Vicente Sanchez; Rothstein, Marcos

2016-04-01

Objective To document the prevalence of patients on hemodialysis in southwestern Guatemala who have chronic kidney disease (CKD) of non-traditional causes (CKDnt). Methods This cross-sectional descriptive study interviewed patients on hemodialysis at the Instituto Guatemalteco de Seguridad Social on their health and occupational history. Laboratory serum, urine and vital sign data at the initiation of hemodialysis were obtained from chart reviews. Patients were classified according to whether they had hypertension or obesity or neither. The proportion of patients with and without these traditional CKD risk factors was recorded and the association between demographic and occupational factors and a lack of traditional CKD risk factors analyzed using multivariate logistic regression. Results Of 242 total patients (including 171 non-diabetics) enrolled in hemodialysis in southwestern Guatemala, 45 (18.6% of total patients and 26.3% of non-diabetics) lacked traditional CKD risk factors. While agricultural work history was common, only travel time greater than 30 minutes and age less than 50 years old were significantly associated with CKD in the absence of traditional risk factors. Individuals without such risk factors lived throughout southwestern Guatemala's five departments. Conclusions The prevalence of CKDnT appears to be much lower in this sample of patients receiving hemodialysis in Southwestern Guatemala than in hospitalized patients in El Salvador. It has yet to be determined whether the prevalence is higher in the general population and in patients on peritoneal dialysis.

Professional midwifery in Guatemala: A qualitative exploration of perceptions, attitudes and expectations among stakeholders.

PubMed

Summer, Anna; Guendelman, Sylvia; Kestler, Edgar; Walker, Dilys

2017-07-01

Despite recommendations that women give birth with a skilled birth attendant (SBA), 70% of births in Guatemala occur outside health facilities with informally trained traditional birth attendants (TBAs). To increase SBA in rural, indigenous communities, a professional midwifery school accredited by the government is scheduled to open in 2017. Drawing from Filby's model on barriers to the successful integration of professional midwifery into health systems, this paper aims to identify threats - and facilitators-toward professional midwifery's re-introduction in Guatemala. To elucidate perceptions, attitudes and expectations towards professional midwifery, qualitative, in-depth interviews were conducted with 32 physicians, nurses, and TBAs in six health centers and with key decision makers and professional midwives (PMs) in Guatemala City. We conducted open and axial coding in Atlas.ti and performed normative comparisons of participants' attitudes, perceptions, and expectations with the National Vision for professional midwifery and relative comparisons within and across disciplinary subgroups. Unprompted, physicians, nurses and TBAs were unable to correctly define professional midwifery. Yet, when professional midwifery was defined for them, they expressed willingness to work with PMs, seeing them as a needed human resource, instrumental in providing intercultural care and strengthening facility relationships with TBAs. Some stakeholders anticipated resistance toward PMs due to provider turf issues. Notable differences in expectations among all groups included ideas for supervision of and by the PMs and the PM's role in monitoring women and conducting births in communities alongside TBAs. Facilitators to professional midwifery's success include national political will, stakeholders' uniformity of vision, and the potential for improved intercultural care. Barriers are mostly professional in nature, including impediments to autonomous practice by PMs, hierarchical

Prevalence of musculoskeletal diseases in Guatemala, Central America: the COPCORD study of 2 populations.

PubMed

Obregón-Ponce, Ariel; Iraheta, Isa; García-Ferrer, Helga; Mejia, Bayardo; García-Kutzbach, Abraham

2012-06-01

Guatemala is a multiethnic, multilingual, and multicultural country. We have evaluated 2 different ethnic groups from (1) San Juan Sacatepéquez County (SJSC), a rural population (30% illiterate), with 65% from Kaqchiquel ethnic group; and (2) Zone 5 of Guatemala City (Z5GC), an urban population (6.6% illiterate), with 95.5% mestizos. This study aimed to measure simultaneously the prevalence of rheumatic diseases in these 2 Guatemalan populations, both located in the State of Guatemala. A convenience sample of 4000 inhabitants 15 years and older was selected in each group. The Core Community Oriented Program for Control of Rheumatic Diseases Questionnaire was used in this survey. Phase 1 was for screening (identification of study subjects), phase 2 was for obtaining information from subjects with musculoskeletal complaints, and phase 3 was for rheumatologic diagnostic purposes. Phases 1 and 2 were performed by 6 interviewers. Phase 3 was completed by 4 rheumatologists. In phase I, 8000 subjects were identified in both groups. In phase II, 949 subjects reported musculoskeletal complaints: 371 (39%) in Z5GC and 578 (61%) in SJSC. In phase III, 419 patients were clinically evaluated: 141 (34%) in Z5GC and 278 (66%) in SJSC. The most prevalent musculoskeletal diseases were (1) osteoarthritis, (2) soft tissue rheumatism, (3) rheumatoid arthritis, (4) low back pain, and (5) arthralgias of unknown etiology. Osteoarthritis and soft tissue rheumatism were significantly more common in the rural population. The most prevalent musculoskeletal diseases in Guatemala seem to be similar to those in most previous Community Oriented Program for Control of Rheumatic Diseases studies. Most subjects were still working. Further studies examining medical care received and impact on function can now be of interest.

Community-Based Education in San Juan La Laguna, Solola, Guatemala

ERIC Educational Resources Information Center

Abreo, Christina

2010-01-01

Indigenous education in Guatemala is currently undergoing a massive overhaul in the depth and breadth of its reach in Maya areas. Although much can be said about the re-evaluation and incorporation of indigenous culture, language and worldview into the schools' curricula, it is still failing to reach the country's adult population. As a result of…

Costs and Benefits of Bilingual Education in Guatemala: A Partial Analysis

ERIC Educational Resources Information Center

Patrinos, Harry Anthony; Velez, Eduardo

2009-01-01

The benefits of bilingual education for a disadvantaged indigenous population as an investment in human capital are significant. Students of bilingual schools in Guatemala have higher attendance and promotion rates, and lower repetition and dropout rates. Bilingual students receive higher scores on all subject matters, including mastery of…

[Burden of salmonellosis and shigellosis in four departments of Guatemala, 2010].

PubMed

Díaz, Sheilee L; Jarquin, Claudia; Morales, Ana Judith; Morales, Melissa; Valenzuela, Claudia

2015-10-01

Estimate the burden of disease from Salmonella spp. and Shigella spp. in four departments of Guatemala in 2010. Burden of disease study based on document analysis of published population surveys, laboratory files, and surveillance data from the Health Management Information System (SIGSA) in four departments of Guatemala: Huehuetenango, Jutiapa, Quetzaltenango, and Santa Rosa, in 2010. Information was supplemented by a laboratory survey. Burden of disease was estimated using methodology adapted by the World Health Organization from the United States Centers for Disease Control and Prevention. Surveillance data yielded 72 salmonellosis and 172 shigellosis cases. According to population surveys, the percentage of the population that consults health services for diarrhea is 64.7% (95% CI: 60.6%-68.7%) in Quetzaltenango and 61.0% (95% CI: 56.0%-66.0%) in Santa Rosa. In the 115 laboratories that answered the survey (72.8% response rate), 6 051 suspected samples were collected for stool culture and 3 290 for hemoculture; 39.4% and 100.0% of them were processed, respectively. In all, 85 Salmonella spp. and 113 Shigella spp. strains were isolated. For each reported case of salmonellosis and shigellosis, it was estimated that 40 cases are not reported in Quetzaltenango, 55 in Huehuetenango, 345 in Santa Rosa, and 466 in Jutiapa. Estimated burden of disease ranged from 5 to 2 230 cases per 100 000 population for salmonellosis and from 60 to 1 195 cases per 100 000 population for shigellosis. Salmonellosis and shigellosis are a major public health problem in the departments studied and in Guatemala. Burden of disease from these pathogens is higher than that reported by SIGSA.

Dialysis enrollment patterns in Guatemala: evidence of the chronic kidney disease of non-traditional causes epidemic in Mesoamerica.

PubMed

Laux, Timothy S; Barnoya, Joaquin; Guerrero, Douglas R; Rothstein, Marcos

2015-04-14

In western Nicaragua and El Salvador, chronic kidney disease (CKD) is highly prevalent and generally affects young, male, agricultural (usually sugar cane) workers without the established CKD risk factors. It is yet unknown if the prevalence of this CKD of Non-Traditional causes (CKDnT) extends to the northernmost Central American country, Guatemala. Therefore, we sought to compare dialysis enrollment rates by region, municipality, sex, daily temperature, and agricultural production in Guatemala and assess if there is a similar CKDnT distribution pattern as in Nicaragua and El Salvador. The National Center for Chronic Kidney Disease Treatment (Unidad Nacional de Atención al Enfermo Renal Crónico) is the largest provider of dialysis in Guatemala. We used population, Human Development Index, literacy, and agricultural databases to assess the geographic, economic, and educational correlations with the National Center for Chronic Kidney Disease Treatment's hemodialysis and peritoneal dialysis enrollment database. Enrollment rates (per 100 000) inhabitants were compared by region and mapped for comparison to regional agricultural and daytime temperature data. The distribution of men and women enrolled in dialysis were compared by region using Fisher's exact tests. Spearman's rank correlation coefficients were calculated. Dialysis enrollment is higher in the Southwest compared to the rest of the country where enrollees are more likely (p < 0.01) to be male (57.8%) compared to the rest of the country (49.3%). Dialysis enrollment positively correlates with Human Development Index and literacy rates. These correlations are weaker in the agricultural regions (predominantly sugar cane) of Southwest Guatemala. In Guatemala, CKDnT incidence may have a similar geographic distribution as Nicaragua and El Salvador (higher in the high temperature and sugar cane growing regions). Therefore, it is likely that the CKNnT epidemic extends throughout the Mesoamerican region.

Language and Ethnicity: Multiple Literacies in Context, Language Education in Guatemala

ERIC Educational Resources Information Center

Helmberger, Janet L.

2006-01-01

This study focuses on the research literature available in the United States on the evolution of language policy and planning issues involved in bilingual education programs in Mayan communities in Guatemala. I begin with general comments regarding language policy and planning for bilingual programs for ethnic groups within the borders of…

Lepidoptera and associated parasitoids attacking Hass and non-Hass avocados in Guatemala.

PubMed

Hoddle, Mark S; Hoddle, Christina D

2008-08-01

A 5-mo survey for fruit feeding Lepidoptera attacking Hass and non-Hass avocados (Persea americana Miller [Lauraceae]) was conducted in Guatemala from 1 November 2006 to 1 April 2007. In total, 6,740 fruit were collected from 22 different areas in Guatemala. Eight species of Lepidoptera, of which at least two are species new to science, were reared from avocado fruit. Reared Lepidoptera were Amorbia santamaria Phillips and Powell, Cryptaspasma sp. nr. lugubris, Euxoa sorella Schaus, Histura n. sp., Holcocera n. sp., Micrathetis triplex Walker, Netechma pyrrhodelta (Meyrick), and Stenoma catenifer Walsingham. Hymenopteran parasitoids were reared from larvae of C. sp. nr. lugubris and S. catenifer. One species of parasitoid, Pseudophanerotoma sp., was reared from field collected C. sp. nr. lugubris larvae. The dominant parasitoid reared from S. catenifer was a gregarious Apanteles sp. Other parasitoid species reared from S. catenifer larvae were Brachycyrtus sp., Macrocentrus sp., and Pristomerus sp. The oviposition preference of C. sp. nr. lugubris for avocado fruit hanging in trees, dropped fruit on the ground, or exposed avocado seeds was investigated by studying the oviposition preferences of adult female moths and determining egg hatch times in the laboratory, and by investigating the longevity of avocado fruit on the ground under prevailing field conditions. Together, data from these studies suggested that C. sp. nr. lugubris may be an unrecognized pest of avocados that causes hanging fruit to drop to the ground prematurely. The influence of season and altitude on the phenology and distribution of avocado feeding Lepidoptera in Guatemala is discussed.

Learning Disabilities in Guatemala and Spain: A Cross-National Study of the Prevalence and Cognitive Processes Associated with Reading and Spelling Disabilities

ERIC Educational Resources Information Center

Jimenez, Juan E.; de la Cadena, Claudia Garcia

2007-01-01

The main purposes of this research were twofold. We examined the samenesses about learning disabilities (LD) in Guatemala and Spain, two countries with the same language but cultural, political, and educational differences, first analyzing data about the prevalence of reading and spelling disabilities in Guatemala City and the Spanish region of…

New Technologies and Literacy Learning in a Mayan School in Guatemala

ERIC Educational Resources Information Center

Madden, Midge; Sullivan, Jane

2007-01-01

Faculty, staff and alumni from Rowan University recently traveled to Antigua, Guatemala to conduct a technology assessment, so that a three to four times yearly teacher training program can be expanded to a year round online professional development program. Since 2002, Rowan Reading Professor Midge Madden and Professor Emeritus Jane Sullivan have…

Training Teachers at a School for the Handicapped in Quezaltenango, Guatemala.

ERIC Educational Resources Information Center

Lasky, Beth

A 5 day course was developed to train teachers at the Instituto Neurologico (Guatemala), a day school for about 50 children (aged 3 to 16) considered to be learning handicapped and educationally or trainably retarded. The course addressed five topics (one each day): special education, class routines and schedules, classroom management, evaluating…

Astronomy Outreach Adventures in Rural Guatemala

NASA Astrophysics Data System (ADS)

Strubbe, L.

2015-03-01

Astronomy can be an inspirational gateway to learning science and analytical reasoning, and to careers in STEM fields-particularly important in developing countries where educational opportunities can be scarce. Following this idea and my interest in learning about other cultures, I decided to spend 6 weeks in late 2011 (between Ph.D. and postdoc) doing astronomy public outreach in Guatemala. I volunteered through a Spanish language school embedded in a poor rural community (typical earning ~ $3/day), working mostly with children. My teaching goals were primarily attitudinal: to encourage people to observe and ask questions about the world around them, and to show them that phenomena have explanations that we can understand.

The MANGUA Project: A Population-Based HIV Cohort in Guatemala

PubMed Central

García, Juan Ignacio; Samayoa, Blanca; Sabidó, Meritxell; Prieto, Luis Alberto; Nikiforov, Mikhail; Pinzón, Rodolfo; Santa Marina de León, Luis Roberto; Ortiz, José Fernando; Ponce, Ernesto; Mejía, Carlos Rodolfo; Arathoon, Eduardo; Casabona, Jordi; Study Group, The Mangua Cohort

2015-01-01

Introduction. The MANGUA cohort is an ongoing multicenter, observational study of people living with HIV/AIDS in Guatemala. The cohort is based on the MANGUA application which is an electronic database to capture essential data from the medical records of HIV patients in care. Methods. The cohort enrolls HIV-positive adults ≥16 years of age. A predefined set of sociodemographic, behavioral, clinical, and laboratory data are registered at entry to the cohort study. Results. As of October 1st, 2012, 21 697 patients had been included in the MANGUA cohort (median age: 33 years, 40.3% female). At enrollment 74.1% had signs of advanced HIV infection and only 56.3% had baseline CD4 cell counts. In the first 12 months after starting antiretroviral treatment 26.9% (n = 3938) of the patients were lost to the program. Conclusions. The implementation of a cohort of HIV-positive patients in care in Guatemala is feasible and has provided national HIV indicators to monitor and evaluate the HIV epidemic. The identified percentages of late presenters and high rates of LTFU will help the Ministry to target their current efforts in improving access to diagnosis and care. PMID:26425365

The MANGUA Project: A Population-Based HIV Cohort in Guatemala.

PubMed

García, Juan Ignacio; Samayoa, Blanca; Sabidó, Meritxell; Prieto, Luis Alberto; Nikiforov, Mikhail; Pinzón, Rodolfo; Santa Marina de León, Luis Roberto; Ortiz, José Fernando; Ponce, Ernesto; Mejía, Carlos Rodolfo; Arathoon, Eduardo; Casabona, Jordi; Study Group, The Mangua Cohort

2015-01-01

Introduction. The MANGUA cohort is an ongoing multicenter, observational study of people living with HIV/AIDS in Guatemala. The cohort is based on the MANGUA application which is an electronic database to capture essential data from the medical records of HIV patients in care. Methods. The cohort enrolls HIV-positive adults ≥16 years of age. A predefined set of sociodemographic, behavioral, clinical, and laboratory data are registered at entry to the cohort study. Results. As of October 1st, 2012, 21 697 patients had been included in the MANGUA cohort (median age: 33 years, 40.3% female). At enrollment 74.1% had signs of advanced HIV infection and only 56.3% had baseline CD4 cell counts. In the first 12 months after starting antiretroviral treatment 26.9% (n = 3938) of the patients were lost to the program. Conclusions. The implementation of a cohort of HIV-positive patients in care in Guatemala is feasible and has provided national HIV indicators to monitor and evaluate the HIV epidemic. The identified percentages of late presenters and high rates of LTFU will help the Ministry to target their current efforts in improving access to diagnosis and care.

Obstetric characteristics of two Mayan populations in the highlands of Guatemala.

PubMed

Burket, Brent A

2017-10-01

The purpose of this study was to (1) describe and compare two obstetric Mayan populations in Guatemala, the Tz'utujil and the Kachiquel and (2) evaluate possible associations of demographics, wood fuel use, and obesity with pregnancy/newborn outcomes. This cross-sectional study interviewed participants at the time of routine obstetric ultrasounds at three institutions in Santiago Atitlán and one institution in San Lucas Tolimán. Data were collected from January 2010 to May 2013. Data entry and statistical analysis were performed using EPI Info TM 7.1.2.0 (CDC). The two populations were similar in maternal age, BMI, ownership of a phone, gravidity (number of times a women has been pregnant), history of spontaneous abortions, history of term pregnancies, newborn birth weights, cesarean section rate, and percentage of low-birth-weight newborns (LBW < 2500 g). Obesity was present in 22% of the combined surveyed populations. Low-birth-weight newborns and newborn macrosomia (newborn birth weight greater than 4000 g) were present in 5.5% and 3.7%, respectively. The newborn gender ratio (male to female) was equal to 0.92. The two populations differed in ownership of gas stoves and percentage of newborn macrosomia. Significant associations included: (1) female newborn gender and low birth weight, (2) obesity and newborn macrosomia, and (3) obesity and male gender. The two Mayan populations were similar in many of the obstetric variables. The percentage of low-birth-weight infants (5.5%) is considerably lower than reported prevalence data for Guatemala. The obstetric characteristics, differences, and similarities between these two Mayan populations should help in policy planning for obstetric care for these two populations and possibly other indigenous populations in Guatemala.

Patterns of morphological variation amongst semifossorial shrews in the highlands of Guatemala, with the description of a new species (Mammalia, Soricomorpha, Soricidae)

USGS Publications Warehouse

Woodman, Neal

2011-01-01

Members of the Cryptotis goldmani group of small-eared shrews (Mammalia, Soricomorpha, Soricidae) represent a clade within the genus that is characterized by modifications of the forelimb that include broadened forefeet, elongated and broadened foreclaws, and massive humeri with enlarged processes. These modifications are consistent with greater adaptation to their semifossorial habits than other members of the genus. The species in this group occur discontinuously in temperate highlands from southern Tamaulipas, Mexico, to Honduras. In Guatemala, there are three species: the relatively widespread Cryptotis goodwini and two species (Cryptotis lacertosus, Cryptotis mam) endemic to highland forests in the Sierra de los Cuchumatanes of western Guatemala. Ongoing studies focusing on the relationships of variation in cranial and postcranial skeletal morphology have revealed a fourth species from remnant cloud forest in the Sierra de Yalijux, central Guatemala. In this paper, I describe this new species and characterize its morphology relative to other species in the C. goldmani group and to other species of Cryptotis in Guatemala. In addition, I summarize available details of its habitat and ecology.

A new species of Oileus Kaup (Coleoptera, Passalidae) from Guatemala, with a key to the species of the genus

PubMed Central

Cano, Enio B.; Schuster, Jack C.

2012-01-01

Abstract Oileus gasparilomi sp. n. is described from nine specimens from the mountains of Quiché in Guatemala, from cloud forest at 1795 m elevation. This represents the second species of the genus for Guatemala, differing from the closely related Mexican species Oileus rimator (Truqui) in having a straight anterior clypeal border, the postocular sulcus divided by a keel and the pronotum almost straight (not clearly bilobed). A key to the species of Oileus is given. PMID:22679385

Tectonic aspects of the guatemala earthquake of 4 february 1976.

PubMed

Plafker, G

1976-09-24

The locations of surface ruptures and the main shock epicenter indicate that the disastrous Guatemala earthquake of 4 February 1976 was tectonic in origin and generated mainly by slip on the Motagua fault, which has an arcuate roughly east-west trend across central Guatemala. Fault breakage was observed for 230 km. Displacement is predominantly horizontal and sinistral with a maximum measured offset of 340 cm and an average of about 100 cm. Secondary fault breaks trending roughly north-northeast to south-southwest have been found in a zone about 20 km long and 8 km wide extending from the western suburbs of Guatemala City to near Mixco, and similar faults with more subtle surface expression probably occur elsewhere in the Guatemalan Highlands. Displacements on the secondary faults are predominantly extensional and dip-slip, with as much as 15 cm vertical offset on a single fracture. The primary fault that broke during the earthquake involved roughly 10 percent of the length of the great transform fault system that defines the boundary between the Caribbean and North American plates. The observed sinistral displacement is striking confirmation of deductions regarding the late Cenozoic relative motion between these two crustal plates that were based largely on indirect geologic and geophysical evidence. The earthquake-related secondary faulting, together with the complex pattern of geologically young normal faults that occur in the Guatemalan Highlands and elsewhere in western Central America, suggest that the eastern wedge-shaped part of the Caribbean plate, roughly between the Motagua fault system and the volcanic arc, is being pulled apart in tension and left behind as the main mass of the plate moves relatively eastward. Because of their proximity to areas of high population density, shallow-focus earthquakes that originate on the Motagua fault system, on the system of predominantly extensional faults within the western part of the Caribbean plate, and in

Cyclospora cayetanensis in Three Populations at Risk in Guatemala

PubMed Central

Pratdesaba, Rafael A.; González, Mario; Piedrasanta, Evelyn; Mérida, Claudia; Contreras, Karen; Vela, Carlos; Culajay, Francisco; Flores, Luis; Torres, Olga

2001-01-01

In 1996 and 1997, outbreaks of Cyclospora cayetanensis in North America were linked to Guatemalan raspberries. From April 1999 to April 2000, we undertook a survey for C. cayetanensis in raspberry farm workers, malnourished children, and human immunodeficiency virus and AIDS patients in Guatemala. Stool samples were analyzed using ethylacetate-formalin concentration, wet preparation, modified acid-fast staining method, and epifluorescence. Oocysts were found in 1.5% of the subjects, none of whom were raspberry farm workers. PMID:11474019

Lahar hazards at Agua volcano, Guatemala

USGS Publications Warehouse

Schilling, S.P.; Vallance, J.W.; Matías, O.; Howell, M.M.

2001-01-01

At 3760 m, Agua volcano towers more than 3500 m above the Pacific coastal plain to the south and 2000 m above the Guatemalan highlands to the north. The volcano is within 5 to 10 kilometers (km) of Antigua, Guatemala and several other large towns situated on its northern apron. These towns have a combined population of nearly 100,000. It is within about 20 km of Escuintla (population, ca. 100,000) to the south. Though the volcano has not been active in historical time, or about the last 500 years, it has the potential to produce debris flows (watery flows of mud, rock, and debris—also known as lahars when they occur on a volcano) that could inundate these nearby populated areas.

A Mental Models Approach to Assessing Public Understanding of Zika Virus, Guatemala.

PubMed

Southwell, Brian G; Ray, Sarah E; Vazquez, Natasha N; Ligorria, Tere; Kelly, Bridget J

2018-05-01

Mental models are cognitive representations of phenomena that can constrain efforts to reduce infectious disease. In a study of Zika virus awareness in Guatemala, many participants referred to experiences with other mosquitoborne diseases during discussions of Zika virus. These results highlight the importance of past experiences for Zika virus understanding.

Prevalence and Genetic Diversity of Norovirus Among Patients With Acute Diarrhea in Guatemala

PubMed Central

Estévez, Alejandra; Arvelo, Wences; Hall, Aron J.; López, María R.; López, Beatriz; Reyes, Lissette; Moir, Juan Carlos; Gregoricus, Nicole; Vinjé, Jan; Parashar, Umesh D.; Lindblade, Kim A.

2015-01-01

Noroviruses (NoVs) are a leading cause of acute gastroenteritis outbreaks and sporadic cases of diarrhea in industrialized countries. To study the prevalence and genetic diversity of NoVs in Guatemala, stool specimens were collected from hospitalized and ambulatory patients presenting with diarrhea (≥3 loose or liquid stools in a 24-hr period) who were enrolled in a prospective surveillance system in the Departments of Santa Rosa (October 2007 to August 2010) and Quetzaltenango (August 2009 to August 2010), Guatemala. Specimens were tested for rotavirus, enteric bacteria, and parasites by routine methods and for genogroups I and II NoV by real-time reverse transcription-PCR. A total of 2,403 stool specimens were collected from hospitalized (n = 528) and ambulatory patients (n = 1,875). Overall, 341 (14%) samples tested positive for NoVs including 114 (22%) hospitalized and 227 (12%) ambulatory patients. NoVs disease peaked during the winter (November–January) months. Among the 341 NoVs-positive patients, 32 (9%) were also positive for rotavirus, 32 (9%) for bacteria, and 9 (3%) for protozoa. Nucleotide sequences were obtained from 84 samples collected from hospitalized children aged <5 years of age, which could be grouped into nine GII and three GI genotypes with GII.4 (74%) and GI.8 (10%) being the most common. This is the first study on the prevalence of NoVs among hospitalized and ambulatory patients with diarrhea in Guatemala. The findings highlight the need to implement laboratory diagnostics for NoVs to improve appropriate clinical management of diarrheal diseases and guide vaccine development. PMID:23595770

Human Conservation in Central America, Summary of a Conference (Guatemala, Central America).

ERIC Educational Resources Information Center

Conservation Foundation, Washington, DC.

This booklet is a resume consisting chiefly of extracts from papers that were presented at a conference on Human Conservation in Central America, held in Guatemala in 1965, as well as from discussions that took place during the conferences. With cooperation of numerous organizations and guidance from the Conservation Foundation, a discussion of…

The relationship between pay day and violent death in Guatemala: a time series analysis

PubMed Central

Ramírez, Dorian E; Branas, Charles C; Richmond, Therese S; Bream, Kent; Xie, Dawei; Velásquez-Tohom, Magda; Wiebe, Douglas J

2016-01-01

Objective To assess if violent deaths were associated with pay days in Guatemala. Design Interrupted time series analysis. Setting Guatemalan national autopsy databases. Participants Daily violence-related autopsy data for 22 418 decedents from 2009 to 2012. Data were provided by the Guatemalan National Institute of Forensic Sciences. Multiple pay-day lags and other important days such as holidays were tested. Outcome measures Absolute and relative estimates of excess violent deaths on pay days and holidays. Results The occurrence of violent deaths was not associated with pay days. However, a significant association was observed for national holidays, and this association was more pronounced when national holidays and pay days occurred simultaneously. This effect was observed mainly in males, who constituted the vast majority of violent deaths in Guatemala. An estimated 112 (coefficient=3.12; 95% CI 2.15 to 4.08; p<0.01) more male violent deaths occurred on holidays than were expected. An estimated 121 (coefficient=4.64; 95% CI 3.41 to 5.88; p<0.01) more male violent deaths than expected occurred on holidays that coincided with the first 2 days following a pay day. Conclusions Men in Guatemala experience violent deaths at an elevated rate when pay days coincide with national holidays. Efforts to be better prepared for violence during national holidays and to prevent violent deaths by rescheduling pay days when these days co-occur with national holidays should be considered. PMID:27697828

Assessment of undiscovered, conventional oil and gas resources of Mexico, Guatemala, and Belize, 2012

USGS Publications Warehouse

Schenk, Christopher J.; Brownfield, Michael E.; Charpentier, Ronald R.; Cook, Troy A.; Klett, Timothy R.; Pitman, Janet K.; Pollastro, Richard M.; Weaver, Jean N.

2012-01-01

Using a geology-based assessment methodology, the U.S. Geological Survey estimated means of 19 billion barrels of oil and 83 trillion cubic feet of undiscovered natural gas resources in 10 geologic provinces of Mexico, Guatemala, and Belize.

"That's enough patients for everyone!": Local stakeholders' views on attracting patients into Barbados and Guatemala's emerging medical tourism sectors.

PubMed

Snyder, Jeremy; Crooks, Valorie A; Johnston, Rory; Cerón, Alejandro; Labonte, Ronald

2016-10-07

Medical tourism has attracted considerable interest within the Latin American and Caribbean (LAC) region. Governments in the region tout the economic potential of treating foreign patients while several new private hospitals primarily target international patients. This analysis explores the perspectives of a range of medical tourism sector stakeholders in two LAC countries, Guatemala and Barbados, which are beginning to develop their medical tourism sectors. These perspectives provide insights into how beliefs about international patients are shaping the expanding regional interest in medical tourism. Structured around the comparative case study methodology, semi-structured interviews were conducted with 50 medical tourism stakeholders in each of Guatemala and Barbados (n = 100). To capture a comprehensive range of perspectives, stakeholders were recruited to represent civil society (n = 5/country), health human resources (n = 15/country), public health care and tourism sectors (n = 15/country), and private health care and tourism sectors (n = 15/country). Interviews were transcribed verbatim, coded using a collaborative process of scheme development, and analyzed thematically following an iterative process of data review. Many Guatemalan stakeholders identified the Guatemalan-American diaspora as a significant source of existing international patients. Similarly, Barbadian participants identified their large recreational tourism sector as creating a ready source of foreign patients with existing ties to the country. While both Barbadian and Guatemalan medical tourism proponents share a common understanding that intra-regional patients are an existing supply of international patients that should be further developed, the dominant perception driving interest in medical tourism is the proximity of the American health care market. In the short term, this supplies a vision of a large number of Americans lacking adequate health insurance willing to

A qualitative study of conceptions and attitudes regarding maternal mortality among traditional birth attendants in rural Guatemala.

PubMed

Rööst, Mattias; Johnsdotter, Sara; Liljestrand, Jerker; Essén, Birgitta

2004-12-01

To explore conceptions of obstetric emergency care among traditional birth attendants in rural Guatemala, elucidating social and cultural factors. design Qualitative in-depth interview study. Rural Guatemala. Thirteen traditional birth attendants from 11 villages around San Miguel Ixtahuacán, Guatemala. Interviews with semi-structured, thematic, open-ended questions. Interview topics were: traditional birth attendants' experiences and conceptions as to the causes of complications, attitudes towards hospital care and referral of obstetric complications. Conceptions of obstetric complications, hospital referrals and maternal mortality among traditional birth attendants. Pregnant women rather than traditional birth attendants appear to make the decision on how to handle a complication, based on moralistically and fatalistically influenced thoughts about the nature of complications, in combination with a fear of caesarean section, maltreatment and discrimination at a hospital level. There is a discrepancy between what traditional birth attendants consider appropriate in cases of complications, and the actions they implement to handle them. Parameters in the referral system, such as logistics and socio-economic factors, are sometimes subordinated to cultural values by the target group. To have an impact on maternal mortality, bilateral culture-sensitive education should be included in maternal health programs.

Effect of tourism and trade on intestinal parasitic infections in Guatemala.

PubMed

Jensen, L A; Marlin, J W; Dyck, D D; Laubach, H E

2009-04-01

A survey was performed to determine if infection with gastrointestinal parasites differs between the rural and urban poor inhabitants of Guatemala. A total of 317 stool samples from children in two towns, one rural and one urban, were examined using the formalin-ether concentration method. The overall prevalence of parasites in infected children was 67%, 20%, 30%, and 22%, respectively for Ascaris lumbricoides, Trichuris trichiura, Giardia duodenalis and Entamoeba histolytica in the rural town of La Mano de Leon and 49%, 14%, 15%, and 21%, respectively in the urban town of Santa Maria de Jesus. Two sub-studies were carried out to determine the effects of (1) gender and (2) age on the rate of parasitic infections. Female children in the 1-to 6-year-olds age group in Santa Maria de Jesus had more infections with A. lumbricoides and T. trichiura when compared to La Mano de Leon. A. lumbricoides was most prevalent in Santa Maria de Jesus. These results propose that accessibility to tourism and trade decreases the risk for the establishment of parasitic diseases in children of Guatemala possibly due to improvements in basic nutrition and availability of health care.

AGRO-ECOLOGICAL DRIVERS OF RURAL OUT-MIGRATION TO THE MAYA BIOSPHERE RESERVE, GUATEMALA.

PubMed

López-Carr, David

2012-01-01

Migration necessarily precedes environmental change in the form of deforestation and soil degradation in tropical agricultural frontiers. But what environmental factors may contribute to these migration streams in the first place? Identifying environmental characteristics related to this process is crucial for understanding how environmental change and migration may form recurrent feedback loops. Further understanding this process could be useful for developing policies to reduce both environmentally induced migration from origin areas and also to palliate significant environmental change unleashed by settler deforestation in destination areas. Evidently, apprehending this holistic process cannot be approached only from the destination since this ignores environmental and other antecedents to rural out-migration. This paper presents data from surveys conducted in areas of high out-migration to the agricultural frontier in northern Guatemala. Results suggest that land scarcity and degradation in origin communities are linked to out-migration in general and to the forest frontier of northern Guatemala in particular.

Small mammals from the Chelemhá Cloud Forest Reserve, Alta Verapaz, Guatemala

USGS Publications Warehouse

Matson, Jason O.; Ordóñez-Garza, Nicté; Woodman, Neal; Bulmer, Walter; Eckerlin, Ralph P.; Hanson, J. Delton

2014-01-01

We surveyed the small mammals of remnant mixed hardwood-coniferous cloud forest at elevations ranging from 2,100–2,300 m in the Chelemhá Cloud Forest Reserve, Alta Verapaz, Guatemala. Removal-trapping using a combination of live traps, snap traps, and pitfall traps for 6 days in January 2007 resulted in 175 captures of 15 species of marsupials, shrews, and rodents. This diversity of small mammals is the highest that we have recorded from a single locality of the 10 visited during eight field seasons in the highlands of Guatemala. Based on captures, the most abundant species in the community of small mammals is Peromyscus grandis (n = 50), followed by Handleyomys rhabdops (n = 27), Heteromys desmarestianus(n = 18), Reithrodontomys mexicanus (n = 17), Handleyomys saturatior (n = 16), Sorex veraepacis (n = 15), and Scotinomys teguina (n = 13). The remaining eight species were represented by one to five individuals.

Ethnobotanical survey of the medicinal flora used by the Caribs of Guatemala.

PubMed

Girón, L M; Freire, V; Alonzo, A; Cáceres, A

1991-09-01

An ethnobotanical survey was conducted among the Carib population of Guatemala in 1988-1989. In general terms, the sample surveyed possessed a relatively good standard of living. Results indicated that health services were utilized by the population, and that domestic medicine, mainly plants (96.9%) was used by 15% of the population. One hundred and nineteen plants used for medicinal purposes were collected, of which 102 (85.7%) could be identified; a list of these together with the information provided for each plant is presented. The most frequently reported plants used as medicine are: Acalypha arvensis, Cassia alata, Cymbopogon citratus, Melampodium divaricatum. Momordica charantia, Neurolaena lobata, Ocimum basilicum, Petiveria alliacea and Solanum nigrescens. Most of these plants are found in the region, but some are brought from the Highlands or outside of the country, such as Malva parviflora, Matricaria chamomilla, Peumus boldus, Pimpinella anisum, Rosmarinus officinalis and Tagetes lucida. This survey demonstrated that the Carib population of Guatemala has survived in a transcultural environment of African and native Amerindian beliefs.

Educational Access Is Educational Quality: Indigenous Parents' Perceptions of Schooling in Rural Guatemala

ERIC Educational Resources Information Center

Ishihara-Brito, Reiko

2013-01-01

This paper presents the findings and implications of a qualitative study conducted in Guatemala, which focused on rural, indigenous parents' perceptions of their children's schooling and educational quality. For these parents, the simple fact that their children had improved access to school signifies a satisfactory educational accomplishment;…

The Risks We Are Willing to Take: Youth Civic Development in "Postwar" Guatemala

ERIC Educational Resources Information Center

Bellino, Michelle J.

2015-01-01

In this article, Michelle J. Bellino explores contrasting approaches to civic education in two rural schools serving indigenous Maya youth in post-civil war Guatemala. Through comparative ethnography, she examines how youth civic pathways intersect with legacies of authoritarianism while young people shape their identity as members of historically…

The Role of Temperature and Humidity on Seasonal Influenza in Tropical Areas: Guatemala, El Salvador and Panama, 2008-2013

NASA Technical Reports Server (NTRS)

Soebiyanto, Radina P.; Clara, Wilfrido; Jara, Jorge; Castillo, Leticia; Sorto, Oscar Rene; Marinero, Sidia; Antinori, Maria E. Barnett de; McCracken, John P.; Widdowson, Marc-Alain; Azziz-Baumgartner, Eduardo;

The role of temperature and humidity on seasonal influenza in tropical areas: Guatemala, El Salvador and Panama, 2008-2013.

PubMed

Soebiyanto, Radina P; Clara, Wilfrido; Jara, Jorge; Castillo, Leticia; Sorto, Oscar Rene; Marinero, Sidia; de Antinori, María E Barnett; McCracken, John P; Widdowson, Marc-Alain; Azziz-Baumgartner, Eduardo; Kiang, Richard K

2014-01-01

The role of meteorological factors on influenza transmission in the tropics is less defined than in the temperate regions. We assessed the association between influenza activity and temperature, specific humidity and rainfall in 6 study areas that included 11 departments or provinces within 3 tropical Central American countries: Guatemala, El Salvador and Panama. Logistic regression was used to model the weekly proportion of laboratory-confirmed influenza positive samples during 2008 to 2013 (excluding pandemic year 2009). Meteorological data was obtained from the Tropical Rainfall Measuring Mission satellite and the Global Land Data Assimilation System. We found that specific humidity was positively associated with influenza activity in El Salvador (Odds Ratio (OR) and 95% Confidence Interval of 1.18 (1.07-1.31) and 1.32 (1.08-1.63)) and Panama (OR = 1.44 (1.08-1.93) and 1.97 (1.34-2.93)), but negatively associated with influenza activity in Guatemala (OR = 0.72 (0.6-0.86) and 0.79 (0.69-0.91)). Temperature was negatively associated with influenza in El Salvador's west-central departments (OR = 0.80 (0.7-0.91)) whilst rainfall was positively associated with influenza in Guatemala's central departments (OR = 1.05 (1.01-1.09)) and Panama province (OR = 1.10 (1.05-1.14)). In 4 out of the 6 locations, specific humidity had the highest contribution to the model as compared to temperature and rainfall. The model performed best in estimating 2013 influenza activity in Panama and west-central El Salvador departments (correlation coefficients: 0.5-0.9). The findings highlighted the association between influenza activity and specific humidity in these 3 tropical countries. Positive association with humidity was found in El Salvador and Panama. Negative association was found in the more subtropical Guatemala, similar to temperate regions. Of all the study locations, Guatemala had annual mean temperature and specific humidity that were lower than the

Institutional Delivery and Satisfaction among Indigenous and Poor Women in Guatemala, Mexico, and Panama.

PubMed

Colombara, Danny V; Hernández, Bernardo; Schaefer, Alexandra; Zyznieuski, Nicholas; Bryant, Miranda F; Desai, Sima S; Gagnier, Marielle C; Johanns, Casey K; McNellan, Claire R; Palmisano, Erin B; Ríos-Zertuche, Diego; Zúñiga-Brenes, Paola; Iriarte, Emma; Mokdad, Ali H

2016-01-01

Indigenous women in Mesoamerica experience disproportionately high maternal mortality rates and are less likely to have institutional deliveries. Identifying correlates of institutional delivery, and satisfaction with institutional deliveries, may help improve facility utilization and health outcomes in this population. We used baseline surveys from the Salud Mesoamérica Initiative to analyze data from 10,895 indigenous and non-indigenous women in Guatemala and Mexico (Chiapas State) and indigenous women in Panama. We created multivariable Poisson regression models for indigenous (Guatemala, Mexico, Panama) and non-indigenous (Guatemala, Mexico) women to identify correlates of institutional delivery and satisfaction. Compared to their non-indigenous peers, indigenous women were substantially less likely to have an institutional delivery (15.2% vs. 41.5% in Guatemala (P<0.001), 29.1% vs. 73.9% in Mexico (P<0.001), and 70.3% among indigenous Panamanian women). Indigenous women who had at least one antenatal care visit were more than 90% more likely to have an institutional delivery (adjusted risk ratio (aRR) = 1.94, 95% confidence interval (CI): 1.44-2.61), compared to those who had no visits. Indigenous women who were advised to give birth in a health facility (aRR = 1.46, 95% CI: 1.18-1.81), primiparous (aRR = 1.44, 95% CI: 1.24-1.68), informed that she should have a Caesarean section (aRR = 1.41, 95% CI: 1.21-1.63), and had a secondary or higher level of education (aRR = 1.36, 95% CI: 1.04-1.79) also had substantially higher likelihoods of institutional delivery. Satisfaction among indigenous women was associated with being able to be accompanied by a community health worker (aRR = 1.15, 95% CI: 1.05-1.26) and facility staff speaking an indigenous language (aRR = 1.10, 95% CI: 1.02-1.19). Additional effort should be exerted to increase utilization of birthing facilities by indigenous and poor women in the region. Improving access to antenatal care and

Prevalence and genetic diversity of norovirus among patients with acute diarrhea in Guatemala.

PubMed

Estévez, Alejandra; Arvelo, Wences; Hall, Aron J; López, María R; López, Beatriz; Reyes, Lissette; Moir, Juan Carlos; Gregoricus, Nicole; Vinjé, Jan; Parashar, Umesh D; Lindblade, Kim A

2013-07-01

Noroviruses (NoVs) are a leading cause of acute gastroenteritis outbreaks and sporadic cases of diarrhea in industrialized countries. To study the prevalence and genetic diversity of NoVs in Guatemala, stool specimens were collected from hospitalized and ambulatory patients presenting with diarrhea (≥3 loose or liquid stools in a 24-hr period) who were enrolled in a prospective surveillance system in the Departments of Santa Rosa (October 2007 to August 2010) and Quetzaltenango (August 2009 to August 2010), Guatemala. Specimens were tested for rotavirus, enteric bacteria, and parasites by routine methods and for genogroups I and II NoV by real-time reverse transcription-PCR. A total of 2,403 stool specimens were collected from hospitalized (n = 528) and ambulatory patients (n = 1,875). Overall, 341 (14%) samples tested positive for NoVs including 114 (22%) hospitalized and 227 (12%) ambulatory patients. NoVs disease peaked during the winter (November-January) months. Among the 341 NoVs-positive patients, 32 (9%) were also positive for rotavirus, 32 (9%) for bacteria, and 9 (3%) for protozoa. Nucleotide sequences were obtained from 84 samples collected from hospitalized children aged <5 years of age, which could be grouped into nine GII and three GI genotypes with GII.4 (74%) and GI.8 (10%) being the most common. This is the first study on the prevalence of NoVs among hospitalized and ambulatory patients with diarrhea in Guatemala. The findings highlight the need to implement laboratory diagnostics for NoVs to improve appropriate clinical management of diarrheal diseases and guide vaccine development. Copyright © 2013 Wiley Periodicals, Inc.

Prevalence of hypertension and associated anthropometric risk factors in indigenous adults of Guatemala.

PubMed

Orellana-Barrios, Menfil A; Nuggent, Kenneth M; Sanchez-Barrientos, Herman; Lopez-Gutierrez, Jose R

2015-01-01

Hypertension (HT) epidemiological studies in developing regions of the world like rural Guatemala are lacking. A sample size of 1104 subjects (552 females, all 18 years or older) was obtained through quota and geographical clustering in the entire Department of Sololá, Guatemala. Descriptive statistics and logistic regression were used. Average systolic, diastolic, and mean arterial pressures were significantly higher in men compared with women (116.24 vs 113.80 mm Hg, 75.24 vs 72.69 mm Hg, and 88.91 vs 86.39 mm Hg, respectively; all with P < .05). The crude prevalence of HT was 12.5% with no gender differences. Women had a significantly higher mean body mass index (BMI) than men (26.25 vs 24.71 kg/m(2), P < .001). An abnormally high waist circumference (WC) was found in 12.7% of men and in 50.7% of women. Significant associations were found between the presence of HT, age ≥55 years, and an elevated WC. The single most important isolated risk factor for HT was age in women (OR 6.76, 95% CI 3.59-12.72) and WC in men (OR 3.23, 95% CI 1.52-6.87). Increased BMIs (≥25-30 or ≥30 kg/m(2)) were not associated with HT in this study. Residing in Sololá's capital was a protective factor in women (OR 0.33, 95% CI 0.13-0.83). Hypertension and associated anthropometric risk factors are present in rural regions of Guatemala. Significant associations are found between gender, age ≥55 years, and increased WC but not with an increased BMI in this population. © The Author(s) 2014.

Guatemala -- strength is NGO cooperation.

PubMed

1999-04-01

In early 1999, representations of the UN Population Fund, JOICFP, and APROFAM met in Guatemala to monitor progress of an integrated program promoting reproductive health (RH) and family planning (FP) among Mayans in the Department of Solola. The team observed field activities, such as training, and assessed information, education, and communication (IEC) promotion; service delivery; institutional coordination; and adolescent health programs. The program is training traditional birth attendants (TBAs) to provide RH/FP and general medical services. At one site, a TBA acquires counseling for her clients from a physician via the telephone. This activity will be facilitated with the addition of radio receivers. Resources have been maximized by increasing collaboration among the project, the government, and local nongovernmental organizations. Referrals are being facilitated with improved communication tools and provision of a boat and ambulance for transporting clients. Cooperative efforts are also being made to promote community health and development, health education, and adolescent health.

A focus on the consumer: social marketing for change.

PubMed

Lucaire, L E

1985-01-01

Social marketing is the application of commercial marketing principles to advance a social cause, issue, behavior, product, or service. Social marketing has added a framework to social efforts that heretofore lacked organization and has inspired projects that otherwise might never have been initiated. In the US, social marketing techniques have been particularly successful in the health field. Although advertising and other communications are central to social marketing, the discipline also depends upon other elements of what is termed the marketing mix: product, price, place, and promotion. Social marketing is a cyclical process involving 6 steps: analysis; planning; development, testing, and refining elements of the plan; implementation; assessment of in-market effectiveness; and feedback. In developing countries, health has similarly been the greatest beneficiary to date of applied social marketing techniques. Family planning programs and oral rehydration therapy (ORT) projects have used social marketing techniques effectively in numerous developing countries. Social marketing has been even more widely applied in the sale of contraceptives in developing countries. Contraceptive social marketing (CSM) programs are well established in Bangladesh, Sri Lanka, India, Thailand, Nepal, Colombia, El Salvador, Jamaica, Mexico, and Egypt. More recently programs have been established in Honduras, Guatemala, Barbados, St. Vincent, and St. Lucia. SOMARC (Social Marketing for Change) is a project funded by the US Agency for International Development (AID) and is working with existing CSM programs and helping to launch new CSM programs. CSM programs are successfully functioning as legitimate marketing organizations in developing countries and are using local private sector resources in the process. Program results are encouraging. Social marketing requires both experience and sensitivity to local conditions. Many developing countries now have their own marketing resources

Guatemala's green revolution: synthetic fertilizer, public health, and economic autonomy in the Mayan highland.

PubMed

Carey, David

2009-01-01

Despite extensive literature both supporting and critiquing the Green Revolution, surprisingly little attention has been paid to synthetic fertilizers' health and environmental effects or indigenous farmers' perspectives. The introduction of agrochemicals in the mid-twentieth century was a watershed event for many Mayan farmers in Guatemala. While some Maya hailed synthetic fertilizers' immediate effectiveness as a relief from famines and migrant labor, other lamented the long-term deterioration of their public health, soil quality, and economic autonomy. Since the rising cost of agrochemicals compelled Maya to return to plantation labor in the 1970s, synthetic fertilizers simply shifted, rather than alleviated, Mayan dependency on the cash economy. By highlighting Mayan farmers' historical narratives and delineating the relationship between agricultural science and postwar geopolitics, the constraints on agriculturists' agency become clear. In the end, politics, more than technology or agricultural performance, influenced guatemala's shift toward the Green Revolution.

Indigenous Legal Translators: Challenges of a University Program for the Maya of Guatemala.

ERIC Educational Resources Information Center

Herrera Pena, Guillermina; Raymundo, Jorge Manuel

1998-01-01

Guatemala is overhauling its justice system to be more congruent with its indigenous reality. A Rafael Landivar University program trains indigenous legal translators not only in legal and linguistic aspects, but also in strengthening indigenous identity and student commitment to the community. Challenges and future plans are described. A former…

Lessons Learned from the USAID Girls' Education Activity in Guatemala, Morocco, and Peru.

ERIC Educational Resources Information Center

Rugh, Andrea; Brush, Lorelei

The Girls' Education Activity (GEA) is a project of the United States Agency for International Development's (USAID's) Office of Women in Development (WID) in the Bureau for Economic Growth, Agriculture and Trade. This report summarizes the experiences and lessons learned from 12 project initiatives in the 3 participating countries (Guatemala,…

The relationship between pay day and violent death in Guatemala: a time series analysis.

PubMed

Ramírez, Dorian E; Branas, Charles C; Richmond, Therese S; Bream, Kent; Xie, Dawei; Velásquez-Tohom, Magda; Wiebe, Douglas J

2017-04-01

To assess if violent deaths were associated with pay days in Guatemala. Interrupted time series analysis. Guatemalan national autopsy databases. Daily violence-related autopsy data for 22 418 decedents from 2009 to 2012. Data were provided by the Guatemalan National Institute of Forensic Sciences. Multiple pay-day lags and other important days such as holidays were tested. Absolute and relative estimates of excess violent deaths on pay days and holidays. The occurrence of violent deaths was not associated with pay days. However, a significant association was observed for national holidays, and this association was more pronounced when national holidays and pay days occurred simultaneously. This effect was observed mainly in males, who constituted the vast majority of violent deaths in Guatemala. An estimated 112 (coefficient=3.12; 95% CI 2.15 to 4.08; p<0.01) more male violent deaths occurred on holidays than were expected. An estimated 121 (coefficient=4.64; 95% CI 3.41 to 5.88; p<0.01) more male violent deaths than expected occurred on holidays that coincided with the first 2 days following a pay day. Men in Guatemala experience violent deaths at an elevated rate when pay days coincide with national holidays. Efforts to be better prepared for violence during national holidays and to prevent violent deaths by rescheduling pay days when these days co-occur with national holidays should be considered. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Violence and social capital in post-conflict Guatemala.

PubMed

Dinesen, Cecilie; Ronsbo, Henrik; Juárez, Carla; González, Mariano; Estrada Méndez, Miguel Ángel; Modvig, Jens

2013-09-01

Violence in post-conflict Guatemala has serious public health consequences for the population. The objective of this study was to assess the relationship between violence and social capital. Data from a cross-sectional victimization survey conducted in 2008 - 2010 in Guatemala were analyzed. Two-stage proportionate sampling was used in the survey. Households (n = 1 300) were randomly sampled within a random sample of communities (n = 118) in five administrative departments. The survey collected information on the six-month violence exposure of 6 335 individuals. Social capital was measured at the household level using the short version of the Adapted Social Capital Tool (SASCAT). The odds ratio for household violence exposure was estimated using multiple logistic regression. Community-level data from the latest national census were included as explanatory factors at the community level. Income, ethnicity, and social capital were included at the household level. Data were analyzed using SPSS 18.0. In total, 2.7% of individuals and 11.7% of households had been exposed to violence within the past six months. The multivariate analysis showed that 1) structural social capital (in this case, the level of participation in social networks and civil society) was a risk factor for violence and 2) cognitive social capital (measured as trust, norms, and sense of belonging) was a protective factor for violence. The opposite direction of the association between violence and structural and cognitive social capital challenges the use of social capital as a unified concept. If this finding is corroborated by other studies, structural and cognitive social capital will have to be treated as two distinctly different concepts.

A Community Health Worker Intervention for Diabetes Self-Management Among the Tz'utujil Maya of Guatemala.

PubMed

Micikas, Mary; Foster, Jennifer; Weis, Allison; Lopez-Salm, Alyse; Lungelow, Danielle; Mendez, Pedro; Micikas, Ashley

2015-07-01

Despite the high prevalence of diabetes in rural Guatemala, there is little education in diabetes self-management, particularly among the indigenous population. To address this need, a culturally relevant education intervention for diabetic patients was developed and implemented in two rural communities in Guatemala. An evaluative research project was designed to investigate if the structured, community-led diabetes self-management intervention improved selected health outcomes for participants. A one-group, pretest-posttest design was used to evaluate the effectiveness of the educational intervention by comparing measures of health, knowledge, and behavior in patients pre- and postintervention. A survey instrument assessed health beliefs and practices and hemoglobin A1c (HgA1c) measured blood glucose levels at baseline and 4 months post initiation of intervention (n = 52). There was a significant decrease (1.2%) in the main outcome measure, mean HgA1c from baseline (10.1%) and follow-up (8.9%; p = .001). Other survey findings were not statistically significant. This study illustrates that a culturally specific, diabetes self-management program led by community health workers may reduce HgA1c levels in rural populations of Guatemala. However, as a random sample was not feasible for this study, this finding should be interpreted with caution. Limitations unique to the setting and patient population are discussed in this article. © 2014 Society for Public Health Education.

Use of rapid needs assessment as a tool to identify vaccination delays in Guatemala and Peru.

PubMed

D'Ardenne, Katie K; Darrow, Juliana; Furniss, Anna; Chavez, Catia; Hernandez, Herminio; Berman, Stephen; Asturias, Edwin J

2016-03-29

To explore the use of rapid needs assessment (RNA) surveys to determine the prevalence and factors contributing to delays in vaccination of children in two low middle-income countries (LMIC). Data from two RNA surveys performed as part of program improvement evaluations in Guatemala and Peru were used for this analysis. The primary endpoint was the timeliness of immunization with delay defined as administration of vaccines beyond 28 days from recommended age for DTwP-HepB-Hib (Penta) and measles-mumps-rubella (MMR) vaccines, as well as past age-restrictions for rotavirus vaccine. Independent risk factors analyzed included child's gender, birth year, number of children in household, maternal age, maternal education, and food insecurity. Vaccine information was available from 811 children from 838 households surveyed. High rate of immunization delays was observed, with 75.6% of children in Guatemala and 57.8% of children in Peru being delayed for the third dose of Penta primary series. Factors associated with delayed vaccination in Guatemala included advanced maternal age and increased number of children in household. In Peru, significant associations were birth year before 2009, lower maternal education level, and increased number of children in household. RNA is a fast and effective method to identify timely vaccine coverage and derive a hypothesis of factors possibly associated with vaccination delay. Copyright © 2016 Elsevier Ltd. All rights reserved.

Population‐based surveillance for 2009 pandemic influenza A (H1N1) virus in Guatemala, 2009

PubMed Central

Reyes, Lissette; Arvelo, Wences; Estevez, Alejandra; Gray, Jennifer; Moir, Juan C.; Gordillo, Betty; Frenkel, Gal; Ardón, Francisco; Moscoso, Fabiola; Olsen, Sonja J.; Fry, Alicia M.; Lindstrom, Steve; Lindblade, Kim A.

2010-01-01

Please cite this paper as: Reyes et al. (2010) Population‐based surveillance for 2009 pandemic influenza A (H1N1) virus in Guatemala, 2009. Influenza and Other Respiratory Viruses 4(3), 129–140. Background  In April 2009, 2009 pandemic influenza A H1N1 (2009 H1N1) was first identified in Mexico but did not cause widespread transmission in neighboring Guatemala until several weeks later. Methodology and principle findings  Using a population‐based surveillance system for hospitalized pneumonia and influenza‐like illness ongoing before the 2009 H1N1 pandemic began, we tracked the onset of 2009 H1N1 infection in Guatemala. We identified 239 individuals infected with influenza A (2009 H1N1) between May and December 2009, of whom 76 were hospitalized with pneumonia and 11 died (case fatality proportion: 4·6%, 95% confidence interval [CI] 2·3–8·1%). The median age of patients infected with 2009 H1N1 was 8·8 years, the median age of those hospitalized with pneumonia was 4·2 years, and five (45·5%) deaths occurred in children <5 years old. Crude rates of hospitalization between May and December 2009 were highest for children <5 years old. Twenty‐one (27·6%) of the patients hospitalized with 2009 H1N1 were admitted to the intensive care unit and eight (10·5%) required mechanical ventilation. Underlying chronic conditions were noted in 14 (18·4%) of patients with pneumonia hospitalized with 2009 H1N1 infection. Conclusions and significance  Chronic illnesses may be underdiagnosed in Guatemala, making it difficult to identify this risk group for vaccination. Children 6 months to 5 years old should be among priority groups for vaccination to prevent serious consequences because of 2009 H1N1 infection. PMID:20409209

Biological Control of Olive Fruit Fly in California with a Parasitoid Imported from Guatemala

USDA-ARS?s Scientific Manuscript database

The parasitoid, Psyttalia cf. concolor (Szépligeti), was imported into California from the USDA-APHIS-PPQ, Moscamed, San Miguel Petapa, Guatemala for biological control of olive fruit fly, Bactrocera oleae (Gmelin), in olives, Olea europaea L. The parasitoid did not develop in the seedhead fly, Cha...

Ancient Maya astronomical tables from Xultun, Guatemala.

PubMed

Saturno, William A; Stuart, David; Aveni, Anthony F; Rossi, Franco

2012-05-11

Maya astronomical tables are recognized in bark-paper books from the Late Postclassic period (1300 to 1521 C.E.), but Classic period (200 to 900 C.E.) precursors have not been found. In 2011, a small painted room was excavated at the extensive ancient Maya ruins of Xultun, Guatemala, dating to the early 9th century C.E. The walls and ceiling of the room are painted with several human figures. Two walls also display a large number of delicate black, red, and incised hieroglyphs. Many of these hieroglyphs are calendrical in nature and relate astronomical computations, including at least two tables concerning the movement of the Moon, and perhaps Mars and Venus. These apparently represent early astronomical tables and may shed light on the later books.

Vegetation monitoring for Guatemala: a comparison between simulated VIIRS and MODIS satellite data

USGS Publications Warehouse

Boken, Vijendra K.; Easson, Gregory L.; Rowland, James

2010-01-01

The advanced very high resolution radiometer (AVHRR) and moderate resolution imaging spectroradiometer (MODIS) data are being widely used for vegetation monitoring across the globe. However, sensors will discontinue collecting these data in the near future. National Aeronautics and Space Administration is planning to launch a new sensor, visible infrared imaging radiometer suite (VIIRS), to continue to provide satellite data for vegetation monitoring. This article presents a case study of Guatemala and compares the simulated VIIRS-Normalized Difference Vegetation Index (NDVI) with MODIS-NDVI for four different dates each in 2003 and 2005. The dissimilarity between VIIRS-NDVI and MODIS-NDVI was examined on the basis of the percent difference, the two-tailed student's t-test, and the coefficient of determination, R 2. The per cent difference was found to be within 3%, the p-value ranged between 0.52 and 0.99, and R 2 exceeded 0.88 for all major types of vegetation (basic grains, rubber, sugarcane, coffee and forests) found in Guatemala. It was therefore concluded that VIIRS will be almost equally capable of vegetation monitoring as MODIS.

Petroleum geology and resources of southeastern Mexico, northern Guatemala, and Belize

USGS Publications Warehouse

Peterson, James A.

1983-01-01

Petroleum deposits in southeastern Mexico and Guatemala occur in two main basinal provinces, the Gulf Coast Tertiary basin area, which includes the Reforma and offshore Campeche Mesozoic fields, and the Peten basin of eastern Chiapas State (Mexico) and Guatemala. Gas production is mainly from Tertiary sandstone reservoirs of Miocene age. Major oil production, in order of importance, is from Cretaceous, Paleocene, and Jurassic carbonate reservoirs in the Reforma and offshore Campeche areas. Several small oil fields have been discovered in Cretaceous carbonate reservoirs in west-central Guatemala, and one major discovery has been reported in northwestern Guatemala. Small- to medium-sized oil accumulations also occur in Miocene sandstone reservoirs on salt structures in the Isthmus Saline basin of western Tabasco State, Mexico. Almost all important production is in salt structure traps or on domes and anticlines that may be related to deep-seated salt structures. Some minor oil production has occurred in Cretaceous carbonate reservoirs in a buried overthrust belt along the west flank of the Veracruz basin. The sedimentary cover of Paleozoic through Tertiary rocks ranges in thickness from about 6,000 m (20,000 ft) to as much as 12,000 m (40,000 ft) or more in most of the region. Paleozoic marine carbonate and clastic rocks 1,000 to 2,000 m (3,300 to 6,500 ft) thick overlie the metamorphic and igneous basement in part of the region; Triassic through Middle Jurassic red beds and evaporite deposits, including halite, apparently are present throughout the region, deposited in part in a Triassic graben system. Upper Jurassic (Oxfordian) through Cretaceous rocks make up the bulk of the Mesozoic regional carbonate bank complex, which dominates most of the area. Tertiary marine and continental clastic rocks, some of deep water origin, 3,000 to 10,000 m (10,000 to 35,000 ft) thick, are present in the coastal plain Tertiary basins. These beds grade eastward into a carbonate

Bottom-up responses to environmental and social impact assessments: A case study from Guatemala

DOE Office of Scientific and Technical Information (OSTI.GOV)

Aguilar-Støen, Mariel, E-mail: mariel.stoen@sum.uio.no; Hirsch, Cecilie; Department of International Environment and Development, Norwegian University of Life Sciences

In this article we take a closer look at resistance to the practice of Environmental Impact Assessment (EIA) in mining and energy projects in Guatemala. Collectivities resisting mining and hydropower projects in Guatemala are increasingly using the evaluations of EIAs conducted by international independent professionals. Reaching out to international experts is facilitated by local communities' engagements in transnational networks bringing together activists, NGOs, scientists, journalists and others. We argue that resistance movements resort to international professionals to challenge the limits imposed on them by the national legislation and institutional arrangements as well as by the way in which EIAs aremore » performed in the country. Further, the engagements in networks that facilitate access to knowledge contribute to strengthen the legitimacy of communities' claims. Challenges to and complaints about EIAs are ways in which affected communities try to reclaim their right to participate in decision-making related to their local environment and the development of their communities. Both complaints about EIAs and the use of transnational networks to attain better participation in decision making processes at local levels, illustrated in this study for Guatemala, are common responses to the advancement of extractive industries and hydropower development across Latin America. The widespread of initiatives to challenge EIAs involving international experts in the region show that EIAs have become a sort of a transnational battleground. - Highlights: • Communities’ opposition to extractive projects is rooted in lack of participation in decision-making, including EIAs • Experts’ evaluations of approved EIAs confirm communities’ claims of poor practices in the public sector • Research presented here shows that local communities linked to transnational networks are able to scale up their demands.« less

The Process of Developing a New Curriculum for Lower Secondary Education in Guatemala

ERIC Educational Resources Information Center

Asturias de Barrios, Linda; Arellano, Veronica Merida

2007-01-01

The intention of this article is to present the way in which a proposal was put forward for a national basic curriculum for the lower level of secondary education in Guatemala, within a general curricular reform of the education system. In this process, the International Bureau of Education and UNESCO's national office in the country provided…

ESBL-Producing Salmonella enterica Serovar Typhi in Traveler Returning from Guatemala to Spain

PubMed Central

Piedra-Carrasco, Nuria; Salvador, Fernando; Rodríguez, Virginia; Sánchez-Montalvá, Adrián; Planes, Anna M.; Molina, Israel; Larrosa, M. Nieves

2014-01-01

We report a case of typhoid fever in a traveler returning to Spain from Guatemala that was caused by Salmonella enterica serovar Typhi which produced an extended-spectrum β-lactamase (ESBL). This finding demonstrates the presence of ESBL-producing S. enterica ser. Typhi strains in the Americas. Enhanced surveillance is necessary to prevent further spread. PMID:25340972

Leveraging Field Trips in Higher Education for Local Engagement and Impact: An Example from Guatemala

NASA Astrophysics Data System (ADS)

Riker, J.; Watson, M.; Liu, E. J.; Chigna, G.; Purvis, M.; Naismith, A.

2016-12-01

For over ten years, the University of Bristol (U.K.) has run a field trip for masters students in Natural Hazards in the volcanically active areas of southern Guatemala, home to more than 13 million people. This trip has obvious benefits to its participants - it serves as an immersive and formative experience for students studying volcanic hazard, as well as a springboard for the work of the researchers who lead it. Over the years, it has helped to build strong collaborative ties between academic researchers at Bristol and Guatemala's geologic survey (INSIVUMEH) and emergency management agency (CONRED), facilitating the sharing of data, expertise, and monitoring equipment. The students' regular presence has also enabled infrastructure improvements at Fuego Volcano Observatory, which is itself hosted and partly staffed by the residents of Panimache, a small village just a few miles from the volcano's summit. This field trip does raise challenges, however - an influx of foreign students can draw questions from community members for whom the benefits are indirect (i.e., local job creation or infrastructure improvement) or intangible (i.e., incremental contributions to the body of knowledge regarding volcanic hazard). In this presentation, we'll share stories of our experiences of effective community collaboration in Guatemala. In the spirit of discussion, we would also like to explore the opportunities that exist to better utilise this trip, along with the energy and expertise of its participants, to maximise the positive impact on (and resilience of) local communities, particularly those in the small and largely indigenous villages that populate Fuego Volcano's flanks.

So That We Do Not Fall Again: History Education and Citizenship in "Postwar" Guatemala

ERIC Educational Resources Information Center

Bellino, Michelle J.

2016-01-01

This vertical case study applies a transitional justice approach to analyzing curricular reform, as intended, enacted, and experienced in the aftermath of Guatemala's civil war. Drawing on ethnographic data, I juxtapose the teaching and learning of historical injustice in one urban and one rural classroom, examining how particular depictions of…

Secondhand smoke exposure in bars and restaurants in Guatemala City: before and after smoking ban evaluation.

PubMed

Barnoya, Joaquin; Arvizu, Mariel; Jones, Miranda R; Hernandez, Juan C; Breysse, Patrick N; Navas-Acien, Ana

2011-01-01

In February 2009, Guatemala implemented a comprehensive smoking ban. We assessed air nicotine levels in bars and restaurants 6 months after the ban (post-ban) and compared them with levels found in 2006 (pre-ban). Exposure was estimated by passive sampling of vapor-phase nicotine using samplers (n=50) placed for 7 working days in 10 bars and 11 restaurants in Guatemala City. Air nicotine was measured by gas chromatography, and the time-weighted average concentration in μg/m(3) was estimated. Employees answered a survey about smoke-free workplaces (n = 32) and compared with pre-ban (n = 37) results. Nicotine was detectable in all bars pre- and post-ban. In restaurants, it was detectable in all pre- and 73% post-ban. Median nicotine concentrations in bars significantly decreased from 4.58 μg/m(3) (IQR, 1.71, 6.45) pre-ban to 0.28 μg/m(3) (IQR 0.17, 0.66) post-ban (87% decrease). In restaurants, concentrations significantly decreased from 0.58 μg/m(3) (IQR, 0.44, 0.71) to 0.04 μg/m(3) (IQR 0.01, 0.11) (95% decrease). Employees' support for a smoke-free workplace increased in the post-ban survey (from 32 to 81%, p < 0.001). Six months after the implementation of a smoke-free law in Guatemala, nicotine levels were significantly decreased in bars and restaurants and workers' support for the law substantially increased.

Burden of laboratory-confirmed Campylobacter infections in Guatemala 2008-2012: results from a facility-based surveillance system.

PubMed

Benoit, Stephen R; Lopez, Beatriz; Arvelo, Wences; Henao, Olga; Parsons, Michele B; Reyes, Lissette; Moir, Juan Carlos; Lindblade, Kim

2014-03-01

Campylobacteriosis is one of the leading causes of gastroenteritis worldwide. This study describes the epidemiology of laboratory-confirmed Campylobacter diarrheal infections in two facility-based surveillance sites in Guatemala. Clinical, epidemiologic, and laboratory data were collected on patients presenting with acute diarrhea from select healthcare facilities in the departments of Santa Rosa and Quetzaltenango, Guatemala, from January 2008 through August 2012. Stool specimens were cultured for Campylobacter and antimicrobial susceptibility testing was performed on a subset of isolates. Multidrug resistance (MDR) was defined as resistance to ≥3 antimicrobial classes. Campylobacter was isolated from 306 (6.0%) of 5137 stool specimens collected. For children <5 years of age, annual incidence was as high as 1288.8 per 100,000 children in Santa Rosa and 185.5 per 100,000 children in Quetzaltenango. Among 224 ambulatory care patients with Campylobacter, 169 (75.5%) received metronidazole or trimethoprim-sulfamethoxazole, and 152 (66.7%) received or were prescribed oral rehydration therapy. Antimicrobial susceptibilities were tested in 96 isolates; 57 (59.4%) were resistant to ciprofloxacin and 12 (12.5%) were MDR. Campylobacter was a major cause of diarrhea in children in two departments in Guatemala; antimicrobial resistance was high, and treatment regimens in the ambulatory setting which included metronidazole and trimethoprim-sulfamethoxazole and lacked oral rehydration were sub-optimal. Published by Elsevier Ltd.

Triatoma dimidiata Infestation in Chagas Disease Endemic Regions of Guatemala: Comparison of Random and Targeted Cross-Sectional Surveys

PubMed Central

King, Raymond J.; Cordon-Rosales, Celia; Cox, Jonathan; Kitron, Uriel D.

2011-01-01

Background Guatemala is presently engaged in the Central America Initiative to interrupt Chagas disease transmission by reducing intradomiciliary prevalence of Triatoma dimidiata, using targeted cross-sectional surveys to direct control measures to villages exceeding the 5% control threshold. The use of targeted surveys to guide disease control programs has not been evaluated. Here, we compare the findings from the targeted surveys to concurrent random cross-sectional surveys in two primary foci of Chagas disease transmission in central and southeastern Guatemala. Methodology/Principal Findings Survey prevalences of T. dimidiata intradomiciliary infestation by village and region were compared. Univariate logistic regression was used to assess the use of risk factors to target surveys and to evaluate indicators associated with village level intradomiciliary prevalences >5% by survey and region. Multivariate logistic regression models were developed to assess the ability of random and targeted surveys to target villages with intradomiciliary prevalence exceeding the control threshold within each region. Regional prevalences did not vary by survey; however, village prevalences were significantly greater in random surveys in central (13.0% versus 8.7%) and southeastern (22.7% versus 6.9%) Guatemala. The number of significant risk factors detected did not vary by survey in central Guatemala but differed considerably in the southeast with a greater number of significant risk factors in the random survey (e.g. land surface temperature, relative humidity, cropland, grassland, tile flooring, and stick and mud and palm and straw walls). Differences in the direction of risk factor associations were observed between regions in both survey types. The overall discriminative capacity was significantly greater in the random surveys in central and southeastern Guatemala, with an area under the receiver-operator curve (AUC) of 0.84 in the random surveys and approximately 0.64 in the

Late Holocene volcanic activity and environmental change in Highland Guatemala

NASA Astrophysics Data System (ADS)

Lohse, Jon C.; Hamilton, W. Derek; Brenner, Mark; Curtis, Jason; Inomata, Takeshi; Morgan, Molly; Cardona, Karla; Aoyama, Kazuo; Yonenobu, Hitoshi

2018-07-01

We present a record of late Holocene volcanic eruptions with elemental data for a sequence of sampled tephras from Lake Amatitlan in Highland Guatemala. Our tephrochronology is anchored by a Bayesian P_Sequence age-depth model based on multiple AMS radiocarbon dates. We compare our record against a previously published study from the same area to understand the record of volcanism and environmental changes. This work has implications for understanding the effects of climate and other environmental changes that may be related to the emission of volcanic aerosols at local, regional and global scales.

Bat Rabies in Guatemala

PubMed Central

Ellison, James A.; Gilbert, Amy T.; Recuenco, Sergio; Moran, David; Alvarez, Danilo A.; Kuzmina, Natalia; Garcia, Daniel L.; Peruski, Leonard F.; Mendonça, Mary T.; Lindblade, Kim A.; Rupprecht, Charles E.

2014-01-01

Rabies in bats is considered enzootic throughout the New World, but few comparative data are available for most countries in the region. As part of a larger pathogen detection program, enhanced bat rabies surveillance was conducted in Guatemala, between 2009 and 2011. A total of 672 bats of 31 species were sampled and tested for rabies. The prevalence of rabies virus (RABV) detection among all collected bats was low (0.3%). Viral antigens were detected and infectious virus was isolated from the brains of two common vampire bats (Desmodus rotundus). RABV was also isolated from oral swabs, lungs and kidneys of both bats, whereas viral RNA was detected in all of the tissues examined by hemi-nested RT-PCR except for the liver of one bat. Sequencing of the nucleoprotein gene showed that both viruses were 100% identical, whereas sequencing of the glycoprotein gene revealed one non-synonymous substitution (302T,S). The two vampire bat RABV isolates in this study were phylogenetically related to viruses associated with vampire bats in the eastern states of Mexico and El Salvador. Additionally, 7% of sera collected from 398 bats demonstrated RABV neutralizing antibody. The proportion of seropositive bats varied significantly across trophic guilds, suggestive of complex intraspecific compartmentalization of RABV perpetuation. PMID:25080103

Incidence of Hospitalized Pneumococcal Pneumonia among Adults in Guatemala, 2008-2012.

PubMed

Contreras, Carmen Lucía; Verani, Jennifer R; Lopez, María Renee; Paredes, Antonio; Bernart, Chris; Moscoso, Fabiola; Roldan, Aleida; Arvelo, Wences; Lindblade, Kim A; McCracken, John P

2015-01-01

Streptococcus pneumoniae is a leading cause of pneumonia worldwide. However, the burden of pneumococcal pneumonia among adults in low- and middle-income countries is not well described. Data from 2008-2012 was analyzed from two surveillance sites in Guatemala to describe the incidence of pneumococcal pneumonia in adults. A case of hospitalized pneumococcal pneumonia was defined as a positive pneumococcal urinary antigen test or blood culture in persons aged ≥ 18 years hospitalized with an acute respiratory infection (ARI). Among 1595 adults admitted with ARI, 1363 (82%) had either urine testing (n = 1286) or blood culture (n = 338) performed. Of these, 188 (14%) had pneumococcal pneumonia, including 173 detected by urine only, 8 by blood culture only, and 7 by both methods. Incidence rates increased with age, with the lowest rate among 18-24 year-olds (2.75/100,000) and the highest among ≥65 year-olds (31.3/100,000). The adjusted incidence of hospitalized pneumococcal pneumonia was 18.6/100,000 overall, with in-hospital mortality of 5%. An important burden of hospitalized pneumococcal pneumonia in adults was described, particularly for the elderly. However, even adjusted rates likely underestimate the true burden of pneumococcal pneumonia in the community. These data provide a baseline against which to measure the indirect effects of the 2013 introduction of the pneumococcal conjugate vaccine in children in Guatemala.

Using adolescents' drawings to reveal stereotypes about ethnic groups in Guatemala.

PubMed

Ashdown, Brien K; Gibbons, Judith L; de Baessa, Yetilú; Brown, Carrie M

2017-01-01

It is important to identify stereotypes about indigenous people because those stereotypes influence prejudice and discrimination, both obstacles to social justice and universal human rights. The purpose of the current study was to document the stereotypes, as held by Guatemalan adolescents, of indigenous Maya people (e.g., Maya) and nonindigenous Ladinos in Guatemala (the 2 main ethnic groups in Guatemala). Guatemalan adolescents (N = 465; 38.3% female; Mage = 14.51 years; SDage = 1.81 years) provided drawings and written characteristics about indigenous Maya and nonindigenous Ladino people, which were then coded for patterns in the data. These patterns included negative stereotypes, such as the Maya being lazy and Ladina women being weak; and positive stereotypes, such as the Maya being caring and warm and Ladino men being successful. There were also interactions between the participants' own gender and ethnicity and how they depicted the target they were assigned. For example, male participants were unlikely to depict male targets of either ethnicity engaging in homemaking activities. Finally, there was evidence of in-group bias based both on gender and ethnicity. These findings suggest that perhaps because indigenous groups around the world share some common negative stereotypes, an understanding of these stereotypes will aid in decreasing prejudice and discrimination against indigenous people, could reduce intergroup conflict, and increase access to basic human rights. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Safety and Quality Assessment of Smallholder Farmers' Maize in the Western Highlands of Guatemala.

PubMed

Mendoza, José Rodrigo; Rodas, Ana; Oliva, Ana; Sabillón, Luis; Colmenares, Ana; Clarke, Jennifer; Hallen-Adams, Heather E; Campabadal, Carlos; Bianchini, Andréia

2018-05-01

Maize ( Zea mays) is a staple in many developing countries but is known to be prone to pest (insects, birds, and rodents) and fungal infestation. In Guatemala, mycotoxin contamination of cultivated products may occur owing to such factors as environmental conditions and the use of traditional agriculture operations. To assess the current maize conditions in Guatemala, a small-scale study was performed. Mold and insect counts and mycotoxin (aflatoxin and fumonisin) concentrations were determined on 25 farms in two townships (Chiantla and Todos Santos) of the Huehuetenango Department. Total fungal counts were 3.6 to 6.83 log CFU/g with no significant differences ( P > 0.05) across farms at different altitudes. Farms where maize was not produced but was purchased were at higher risk of fumonisin contamination, whereas local producers were mostly affected by aflatoxins. Aflatoxin was present in maize from 100% of farms at 1.0 to 85.3 ppb, and fumonisin was detected on 52% of farms at 0.4 to 31.0 ppm. Average mycotoxin consumption amounts were above the recommended maximum intake for aflatoxin in both produced and purchased maize and above the provisional maximum tolerable daily intake for fumonisin in purchased maize. Estimated daily intake was 0.01 to 0.85 μg/kg of body weight per day for aflatoxin and 2.9 to 310.0 μg/kg of body weight per day for fumonisin. An entomological analysis revealed overall 32% prevalence of Ephestia kuehniella (flour moth), 16% prevalence of Sitophilus zeamais (maize weevil), and 8% prevalence of Tribolium sp. (flour beetle) on the analyzed farms. This study highlighted poor agricultural practices used in the highlands of Guatemala. Current practices should be revised for the production of maize that is safe for consumption by the population in this region.

Volcanic ash in ancient Maya ceramics of the limestone lowlands: implications for prehistoric volcanic activity in the Guatemala highlands

NASA Astrophysics Data System (ADS)

Ford, Anabel; Rose, William I.

1995-07-01

In the spirit of collaborative research, Glicken and Ford embarked on the problem of identifying the source of volcanic ash used as temper in prehistoric Maya ceramics. Verification of the presence of glass shards and associated volcanic mineralogy in thin sections of Maya ceramics was straightforward and pointed to the Guatemala Highland volcanic chain. Considering seasonal wind rose patterns, target volcanoes include those from the area west of and including Guatemala City. Joint field research conducted in 1983 by Glicken and Ford in the limestone lowlands of Belize and neighboring Guatemala, 300 km north of the volcanic zone and 150 km from the nearest identified ash deposits, was unsuccessful in discovering local volcanic ash deposits. The abundance of the ash in common Maya ceramic vessels coupled with the difficulties of long-distance procurement without draft animals lead Glicken to suggest that ashfall into the lowlands would most parsimoniously explain prehistoric procurement; it literally dropped into their hands. A major archaeological problem with this explanation is that the use of volcanic ash occurring over several centuries of the Late Classic Period (ca. 600-900 AD). To accept the ashfall hypothesis for ancient Maya volcanic ash procurement, one would have to demonstrate a long span of consistent volcanic activity in the Guatemala Highlands for the last half of the first millennium AD. Should this be documented through careful petrographic, microprobe and tephrachronological studies, a number of related archaeological phenomena would be explained. In addition, the proposed model of volcanic activity has implications for understanding volcanism and potential volcanic hazards in Central America over a significantly longer time span than the historic period. These avenues are explored and a call for further collaborative research of this interdisciplinary problem is extended in this paper.

Migrant songbirds, habitat change, and conservation prospects in northern Peten, Guatemala: some initial results

Treesearch

David F. Whitacre; Julio Madrid M.; Ciriaco Marroquín; Mark Schulze; Laurin Jones; Jason Sutter; Aaron J. Baker

1993-01-01

A recently-created complex of reserves spanning the Guatemala, Mexico, Belize borders in the southern Yucatan Peninsula constitutes 5.5 million acres of contiguous, protected lowland forest. Information is needed on compatibility of various land-uses and biodiversity protection in multiple-use zones of these reserves. To address these and other needs related to...

Rural Health Care Delivery and Nutrition Program Implementation: A Case Study from Highland Guatemala.

ERIC Educational Resources Information Center

Rodeheaver, Daniel G.; Rodeheaver, Denise P.

Between 1978 and 1980, qualitative and numerical data were collected in a health post facility located in Patzite, a rural village in highland Guatemala, in order to determine the effectiveness of rural health service delivery, including nutrition programs. Data were collected by: (1) interviews as to purposes and goals of general health care; (2)…

Geodetic slip solutions for the Mw=7.4 Champerico (Guatemala) subduction earthquake of November 7 2012

NASA Astrophysics Data System (ADS)

Ellis, Andria; DeMets, Charles; Briole, Pierre; Molina, Enrique; Flores, Omar; Rivera, Jeffrey; Lasserre, Cécile; Lyon-Caen, Hélène; Lord, Neal

2014-05-01

As the first large subduction thrust earthquake off the coast of western Guatemala in the past 50 years, the 7 November 2012 Mw=7.4 earthquake offers the first opportunity for a geodetic study of coseismic and postseismic behavior for a segment of the Middle America trench where frictional coupling makes a transition from weak coupling off the coast of El Salvador to strong coupling in southern Mexico. Processing of continuous GPS measurements at 19 stations in Guatemala, El Salvador, and southern Mexico, and at 7 campaign points in Guatemala defines a highly consistent pattern of coseismic offsets during the earthquake, ranging from 47±5 mm of SW movement just inland from the earthquake epicenter to a few mm at sites located in northern Guatemala. Inversions of these offsets to find their best-fitting fault-slip solution in an elastic half space give a geodetic earthquake moment ranging between 0.75 and 1.1 x 1020 Nm, slightly smaller than the seismic estimates that range between 1.2 and 1.45 x 1020 Nm. Slip inversion using a constant slip model, assuming 293° and 29° for the fault azimuth and dip angle, indicates a nearly reverse slip of 2.8 m (rake 78°) on a fault plane 42 km-long and 20 km-wide, centered at 26 km depth. A variable slip inversion indicates that slip concentrated above depths of 40 km may have extended updip to the trench and reached a maximum of only 0.8 m, less than one-sixth the maximum slip indicated by a recent slip solution (5.3 m) obtained from waveform inversion of seismological data. Detailed model comparisons will be discussed. Transient postseismic displacements have been recorded at the nearby continuous GPS sites with amplitudes reaching 20-25 mm at some stations. The duration of the phenomenon is short: using an exponential-decay model, the estimated decay time is 90 ± 10 days. This postseismic signal is consistent with afterslip along a significantly broader area (+50%) of the subduction interface than ruptured coseismically

A new species of Histura Razowski (Lepidoptera: Tortricidae: Polyorthini) from Guatemala attacking avocados (Persea americana) Lauraceae

USDA-ARS?s Scientific Manuscript database

Histura perseavora Brown, new species, is described and illustrated from Guatemala. It is compared with Histura curvata (Meyrick) (from Brazil) and Histurodes costaricana Razowski (from Costa Rica). All specimens of H. perseavora were reared from either fruit, fruit pedicels, or young green branches...

The growth and erosion of cinder cones in Guatemala and El Salvador: Models and statistics

NASA Astrophysics Data System (ADS)

Bemis, Karen; Walker, Jim; Borgia, Andrea; Turrin, Brent; Neri, Marco; Swisher, Carl, III

2011-04-01

Morphologic data for 147 cinder cones in southern Guatemala and western El Salvador are compared with data from the San Francisco volcanic field, Arizona (USA), Cima volcanic field, California (USA), Michoácan-Guanajuato volcanic field, Mexico, and the Lamongan volcanic field, East Java. The Guatemala cones have an average height of 110 +/- 50 m, an average basal diameter of 660 +/- 230 m and an average top diameter of 180 +/- 150 m. The general morphology of these cones can be described by their average cone angle of slope (24 +/- 7), average height-to-radius ratio (0.33 +/- 0.09) and their flatness (0.24 +/- 0.18). Although the mean values for the Guatemalan cones are similar to those for other volcanic fields (e.g., San Francisco volcanic field, Arizona; Cima volcanic field, California; Michoácan-Guanajuato volcanic field, Mexico; and Lamongan volcanic field, East Java), the range of morphologies encompasses almost all of those observed worldwide for cinder cones. Three new 40Ar/ 39Ar age dates are combined with 19 previously published dates for cones in Guatemala and El Salvador. There is no indication that the morphologies of these cones have changed over the last 500-1000 ka. Furthermore, a re-analysis of published data for other volcanic fields suggests that only in the Cima volcanic field (of those studied) is there clear evidence of degradation with age. Preliminary results of a numerical model of cinder cone growth are used to show that the range of morphologies observed in the Guatemalan cinder cones could all be primary, that is, due to processes occurring at the time of eruption.

The role of social participation in municipal-level health systems: the case of Palencia, Guatemala

PubMed Central

Ruano, Ana Lorena

2013-01-01

Background Social participation has been recognized as an important public health policy since the declaration of Alma-Ata presented it as one of the pillars of primary health care in 1978. Since then, there have been many adaptations to the original policy but participation in health is still seen as a means to make the health system more responsive to local health needs and as a way to bring the health sector and the community closer together. Objective To explore the role that social participation has in a municipal-level health system in Guatemala in order to inform future policies and programs. Design Documentary analysis was used to study the context of participation in Guatemala. To do this, written records and accounts of Guatemalan history during the 20th century were reviewed. The fieldwork was carried out over 8 months and three field visits were conducted between early January of 2009 and late March of 2010. A total of 38 in-depth interviews with regional health authorities, district health authorities, community representatives, and community health workers (CHWs) were conducted. Data were analyzed using thematic analysis. Results Guatemala's armed civil struggle was framed in the cold war and the fight against communism. Locally, the war was fed by the growing social, political, and ethnic inequalities that existed in the country. The process of reconstructing the country's social fabric started with the signing of the peace agreements of 1996, and continued with the passing of the 2002 legal framework designed to promote decentralization through social participation. Today, Guatemala is a post-war society that is trying to foster participation in a context full of challenges for the population and for the institutions that promote it. In the municipality of Palencia, there are three different spaces for participation in health: the municipal-level health commission, in community-level social development councils, and in the CHW program. Each of these

The role of social participation in municipal-level health systems: the case of Palencia, Guatemala.

PubMed

Ruano, Ana Lorena

2013-09-10

Social participation has been recognized as an important public health policy since the declaration of Alma-Ata presented it as one of the pillars of primary health care in 1978. Since then, there have been many adaptations to the original policy but participation in health is still seen as a means to make the health system more responsive to local health needs and as a way to bring the health sector and the community closer together. To explore the role that social participation has in a municipal-level health system in Guatemala in order to inform future policies and programs. Documentary analysis was used to study the context of participation in Guatemala. To do this, written records and accounts of Guatemalan history during the 20th century were reviewed. The fieldwork was carried out over 8 months and three field visits were conducted between early January of 2009 and late March of 2010. A total of 38 in-depth interviews with regional health authorities, district health authorities, community representatives, and community health workers (CHWs) were conducted. Data were analyzed using thematic analysis. Guatemala's armed civil struggle was framed in the cold war and the fight against communism. Locally, the war was fed by the growing social, political, and ethnic inequalities that existed in the country. The process of reconstructing the country's social fabric started with the signing of the peace agreements of 1996, and continued with the passing of the 2002 legal framework designed to promote decentralization through social participation. Today, Guatemala is a post-war society that is trying to foster participation in a context full of challenges for the population and for the institutions that promote it. In the municipality of Palencia, there are three different spaces for participation in health: the municipal-level health commission, in community-level social development councils, and in the CHW program. Each of these spaces has participants with

Can extractive reserves save the rain forest: A ecological and socioeconomic comparison of non-timber forest product extraction systems in Peten, Guatemala, and West Kalimantan, Indonesia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Salafsky, N.; Dugelby, B.L.; Terborgh, J.W.

1992-04-01

Extractive reserves in tropical rain forests, in which only non-timber products are harvested, have been heralded by some conservationists as a means of maintaining biodiversity while providing income for local people. The study of extraction systems in Peten, Guatemala, and in West Kalimantan, Indonesia, leads to a more tempered conclusion, for while the Peten program was quite successful, the Kalimantan program was not. The study finds the success of an extractive reserve to be contingent on: (1) ecological conditions, and (2) socioeconomic and political factors. Although the study focuses on market-oriented extractive reserves, many of the issues discussed apply asmore » well to other land uses such as the collection of non-timber forest products for household consumption or small-scale timber extraction.« less

Burden of laboratory-confirmed Campylobacter infections in Guatemala 2008–2012: Results from a facility-based surveillance system

PubMed Central

Benoit, Stephen R.; Lopez, Beatriz; Arvelo, Wences; Henao, Olga; Parsons, Michele B.; Reyes, Lissette; Moir, Juan Carlos; Lindblade, Kim

2015-01-01

Introduction Campylobacteriosis is one of the leading causes of gastroenteritis worldwide. This study describes the epidemiology of laboratory-confirmed Campylobacter diarrheal infections in two facility-based surveillance sites in Guatemala. Methods Clinical, epidemiologic, and laboratory data were collected on patients presenting with acute diarrhea from select healthcare facilities in the departments of Santa Rosa and Quetzaltenango, Guatemala, from January 2008 through August 2012. Stool specimens were cultured for Campylobacter and antimicrobial susceptibility testing was performed on a subset of isolates. Multidrug resistance (MDR) was defined as resistance to ≥3 antimicrobial classes. Results Campylobacter was isolated from 306 (6.0%) of 5137 stool specimens collected. For children <5 years of age, annual incidence was as high as 1288.8 per 100,000 children in Santa Rosa and 185.5 per 100,000 children in Quetzaltenango. Among 224 ambulatory care patients with Campylobacter, 169 (75.5%) received metronidazole or trimethoprim-sulfamethoxazole, and 152 (66.7%) received or were prescribed oral rehydration therapy. Antimicrobial susceptibilities were tested in 96 isolates; 57 (59.4%) were resistant to ciprofloxacin and 12 (12.5%) were MDR. Conclusion Campylobacter was a major cause of diarrhea in children in two departments in Guatemala; antimicrobial resistance was high, and treatment regimens in the ambulatory setting which included metronidazole and trimethoprim-sulfamethoxazole and lacked oral rehydration were sub-optimal. PMID:24534336

A Qualitative Inquiry on Teachers' Concerns about Decentralization and Privatization in One School in Guatemala

ERIC Educational Resources Information Center

Hayes, Michael T.; Hudson, Roxanne

2012-01-01

In this paper we describe a qualitative research project conducted at a public elementary school in a rural community in Guatemala. From analysis of interviews with teachers and the school administrator, we found that a key concern of participants was how they viewed the increasingly problematic relationship between their local educational…

Evidence of Intercontinental Spread and Uncommon Variants of Low-Pathogenicity Avian Influenza Viruses in Ducks Overwintering in Guatemala.

PubMed

Gonzalez-Reiche, Ana S; Nelson, Martha I; Angel, Mathew; Müller, Maria L; Ortiz, Lucia; Dutta, Jayeeta; van Bakel, Harm; Cordon-Rosales, Celia; Perez, Daniel R

2017-01-01

Over a hundred species of aquatic birds overwinter in Central America's wetlands, providing opportunities for the transmission of influenza A viruses (IAVs). To date, limited IAV surveillance in Central America hinders our understanding of the evolution and ecology of IAVs in migratory hosts within the Western Hemisphere. To address this gap, we sequenced the genomes of 68 virus isolates obtained from ducks overwintering along Guatemala's Pacific Coast during 2010 to 2013. High genetic diversity was observed, including 9 hemagglutinin (HA) subtypes, 7 neuraminidase (NA) subtypes, and multiple avian IAV lineages that have been detected at low levels (<1%) in North America. An unusually large number of viruses with the rare H14 subtype were identified ( n = 14) over two consecutive seasons, the highest number of H14 viruses ever reported in a single location, providing evidence for a possible H14 source population located outside routinely sampled regions of North America. Viruses from Guatemala were positioned within minor clades divergent from the main North American lineage on phylogenies inferred for the H3, H4, N2, N8, PA, NP, and NS segments. A time-scaled phylogeny indicates that a Eurasian virus PA segment introduced into the Americas in the early 2000s disseminated to Guatemala during ~2007.1 to 2010.4 (95% highest posterior density [HPD]). Overall, the diversity detected in Guatemala in overwintering ducks highlights the potential role of Central America in the evolution of diverse IAV lineages in the Americas, including divergent variants rarely detected in the United States, and the importance of increasing IAV surveillance throughout Central America. IMPORTANCE Recent outbreaks of highly pathogenic H7N3, H5Nx, and H7N8 avian influenza viruses in North America were introduced by migratory birds, underscoring the importance of understanding how wild birds contribute to the dissemination and evolution of IAVs in nature. At least four of the main IAV duck

Perceptions of short-term medical volunteer work: a qualitative study in Guatemala

PubMed Central

Green, Tyler; Green, Heidi; Scandlyn, Jean; Kestler, Andrew

2009-01-01

Background Each year medical providers from wealthy countries participate in short-term medical volunteer work in resource-poor countries. Various authors have raised concern that such work has the potential to be harmful to recipient communities; however, the social science and medical literature contains little research into the perceptions of short-term medical volunteer work from the perspective of members of recipient communities. This exploratory study examines the perception of short-term medical volunteer work in Guatemala among groups of actors affected by or participating in these programs. Methods The researchers conducted in-depth, semi-structured interviews with 72 individuals, including Guatemalan healthcare providers and health authorities, foreign medical providers, non-medical personnel working on health projects, and Guatemalan parents of children treated by a short-term volunteer group. Detailed notes and summaries of these interviews were uploaded, coded and annotated using Atlas.ti (Scientific Software Development GmbH, Berlin) to identify recurrent themes from the interviews. Results Informants commonly identified a need for increased access to medical services in Guatemala, and many believed that short-term medical volunteers are in a position to offer improved access to medical care in the communities where they serve. Informants most frequently cited appropriate patient selection and attention to payment systems as the best means to avoid creating dependence on foreign aid. The most frequent suggestion to improve short-term medical volunteer work was coordination with and respect for local Guatemalan healthcare providers and their communities, as insufficient understanding of the country's existing healthcare resources and needs may result in perceived harm to the recipient community. Conclusion The perceived impact of short-term medical volunteer projects in Guatemala is highly variable and dependent upon the individual project. In this

Fractionation, ascent, and extrusion of magma at the Santiaguito volcanic dome, Guatemala

NASA Astrophysics Data System (ADS)

Scott, J.; Mather, T. A.; Pyle, D. M.

2011-12-01

The silicic dome complex of Santiaguito, Guatemala has exhibited continuous low-level activity for nearly 90 years[1]. Despite its longevity, remarkably little is known about the magmatic plumbing system beneath Santiaguito. We present preliminary constraints on this system, based on petrological analyses of lava samples. Amphibole thermobarometry suggests magma evolves during slow ascent through a phenocryst fractionation zone - a complex of dikes and sills, extending from at least ~24 km to at most ~12 km beneath Santiaguito. Discontinuous plagioclase size distributions suggest this slow fractionation ends at depth, and degassing-induced crystallization of microlites begins. The texture and geochemistry of microlites is consistent with uninterrupted final ascent; there is no evidence of shallow magma storage beneath Santiaguito. The normative composition of matrix glass, and the morphology and volume of plagioclase microlites suggests ascending magma crosses the rigidification threshold within <1 km of the surface. The term "rigidification" refers to the point at which crystallization ends, vesicles are preserved, and ductile behaviour is replaced by dominantly brittle behaviour, previously referred to as "final melt quench". We suggest rigidification slows the ascent of magma and may create the conduit plug previously observed at Santiaguito[2]. This rigid mass of magma may begin to fracture almost immediately to form a semi-permeable plug, before extruding onto the surface as blocky lava. The extrusion rate may be reflected in the extent of matrix glass decomposition to crystalline silica and alkali feldspar. This preliminary picture of the plumbing system beneath Santiaguito may lead to a greater understanding of the behaviour of this enigmatic volcano, and of the danger it poses to the region. However, our findings raise many further questions about the dynamics within silicic dome-forming systems that need to be addressed if we are to work towards a broad

Compliance to the smoke-free law in Guatemala 5-years after implementation.

PubMed

Barnoya, Joaquín; Monzon, Jose C; Briz, Paulina; Navas-Acien, Ana

2016-04-12

Smoke-free environments decrease smoking prevalence and consequently the incidence of heart disease and lung cancer. Due to issues related to poor enforcement, scant data is currently available from low/middle income countries on the long-term compliance to smoke-free laws. In 2006, high levels of secondhand smoke (SHS) were found in bars and restaurants in Guatemala City. Six months after a smoking ban was implemented in 2009, levels significantly decreased. However, in 2010, poor law compliance was observed. Therefore, we sought to assess long-term compliance to the ban using SHS measurements. In 2014 we assessed SHS exposure using airborne nicotine monitors in bars (n = 9) and restaurants (n = 12) for 7 days using the same protocol as in 2006 and in 2009. Nicotine was measured using gas-chromatography (μg/m(3)) and compared to levels pre- (2006) and post-ban (2009). Employees responded to a survey about SHS exposure, perceived economic impact of the ban and customers' electronic cigarette use. In addition, we estimated the fines that could have been collected for each law infringement. Most (71 %) venues still have a smoking section, violating the law. The percentage of samples with detectable nicotine concentrations was 100, 85 and 43 % in 2006, 2009 and 2014, respectively. In bars, median (25(th) and 75(th) percentiles) nicotine concentrations were 4.58 μg/m(3) (1.71, 6.45) in 2006, 0.28 (0.17, 0.66) in 2009, and 0.59 (0.01, 1.45) in 2014. In restaurants, the corresponding medians were 0.58 μg/m(3) (0.44, 0.71), 0.04 (0.01, 0.11), and 0.01 (0.01, 0.09). Support for the law continues to be high (88 %) among bar and restaurant employees. Most employees report no economic impact of the law and that a high proportion of customers (78 %) use e-cigarettes. A total of US$50,012 could have been collected in fines. Long-term compliance to the smoking ban in Guatemala is decreasing. Additional research that evaluates the determinants of non

Groundwater arsenic in Chimaltenango, Guatemala.

PubMed

Lotter, Jason T; Lacey, Steven E; Lopez, Ramon; Socoy Set, Genaro; Khodadoust, Amid P; Erdal, Serap

2014-09-01

In the Municipality of Chimaltenango, Guatemala, we sampled groundwater for total inorganic arsenic. In total, 42 samples were collected from 27 (43.5%) of the 62 wells in the municipality, with sites chosen to achieve spatial representation throughout the municipality. Samples were collected from household faucets used for drinking water, and sent to the USA for analysis. The only site found to have a concentration above the 10 μg/L World Health Organization provisional guideline for arsenic in drinking water was Cerro Alto, where the average concentration was 47.5 μg/L. A health risk assessment based on the arsenic levels found in Cerro Alto showed an increase in noncarcinogenic and carcinogenic risks for residents as a result of consuming groundwater as their primary drinking water source. Using data from the US Geological Survey and our global positioning system data of the sample locations, we found Cerro Alto to be the only site sampled within the tertiary volcanic rock layer, a known source of naturally occurring arsenic. Recommendations were made to reduce the levels of arsenic found in the community's drinking water so that the health risks can be managed.

Situation Report--Antigua, Dominican Republic, Grenada, Guatemala, Honduras, Philippines, Ryukyu Islands, St. Lucia, and St. Vincent.

ERIC Educational Resources Information Center

International Planned Parenthood Federation, London (England).

Data relating to population and family planning in nine foreign countries are presented in these situation reports. Countries included are: Antigua, Dominican Republic, Grenada, Guatemala, Honduras, Philippines, Ryukyu Islands (Okinawa), St. Lucia, and St. Vincent. Information is provided under two topics, general background and family planning…

Perspectivas para mejorar la salud sexual de las minorías sexuales y de identidad de género en Guatemala

PubMed Central

Alonzo, Jorge; Mann, Lilli; Simán, Florence; Sun, Christina J.; Andrade, Mario; Villatoro, Guillermo; Rhodes, Scott D.

2016-01-01

Resumen Las minorías sexuales y de identidad de género en Guatemala son afectadas de manera desproporcionada por el VIH y otras infecciones transmitidas sexualmente (ITS). Sin embargo, poco se sabe de los factores que contribuyen al riesgo de infección en estas minorías. Investigadores de Estados Unidos y Guatemala quisimos informarnos sobre las necesidades de salud sexual e identificar características de programas de prevención de VIH/ITS para estas minorías. Llevamos a cabo 8 grupos focales con hombres gay, bisexuales y personas transgénero y entrevistas en profundidad con líderes comunitarios. Utilizamos el Método Comparativo Constante para analizar las transcripciones. Identificamos 24 factores que influyen en la salud sexual y 16 características de programas para reducir el riesgo de VIH/ITS en estas poblaciones. La identificación de factores de conductas sexuales de riesgo y de características de programas potencialmente efectivos ofrece gran potencial para desarrollar intervenciones que contribuyan a reducir el riesgo de infección por VIH/ITS en estas minorías en Guatemala. PMID:27494000

Incidence of Hospitalized Pneumococcal Pneumonia among Adults in Guatemala, 2008-2012

PubMed Central

Contreras, Carmen Lucía; Verani, Jennifer R.; Lopez, María Renee; Paredes, Antonio; Bernart, Chris; Moscoso, Fabiola; Roldan, Aleida; Arvelo, Wences; Lindblade, Kim A.; McCracken, John P.

2015-01-01

Background Streptococcus pneumoniae is a leading cause of pneumonia worldwide. However, the burden of pneumococcal pneumonia among adults in low- and middle-income countries is not well described. Methods Data from 2008–2012 was analyzed from two surveillance sites in Guatemala to describe the incidence of pneumococcal pneumonia in adults. A case of hospitalized pneumococcal pneumonia was defined as a positive pneumococcal urinary antigen test or blood culture in persons aged ≥ 18 years hospitalized with an acute respiratory infection (ARI). Results Among 1595 adults admitted with ARI, 1363 (82%) had either urine testing (n = 1286) or blood culture (n = 338) performed. Of these, 188 (14%) had pneumococcal pneumonia, including 173 detected by urine only, 8 by blood culture only, and 7 by both methods. Incidence rates increased with age, with the lowest rate among 18–24 year-olds (2.75/100,000) and the highest among ≥65 year-olds (31.3/100,000). The adjusted incidence of hospitalized pneumococcal pneumonia was 18.6/100,000 overall, with in-hospital mortality of 5%. Conclusions An important burden of hospitalized pneumococcal pneumonia in adults was described, particularly for the elderly. However, even adjusted rates likely underestimate the true burden of pneumococcal pneumonia in the community. These data provide a baseline against which to measure the indirect effects of the 2013 introduction of the pneumococcal conjugate vaccine in children in Guatemala. PMID:26488871

Effectiveness of Monovalent and Pentavalent Rotavirus Vaccines in Guatemala.

PubMed

Gastañaduy, Paul A; Contreras-Roldán, Ingrid; Bernart, Chris; López, Beatriz; Benoit, Stephen R; Xuya, Marvin; Muñoz, Fredy; Desai, Rishi; Quaye, Osbourne; Tam, Ka Ian; Evans-Bowen, Diana K; Parashar, Umesh D; Patel, Manish; McCracken, John P

2016-05-01

Concerns remain about lower effectiveness and waning immunity of rotavirus vaccines in resource-poor populations. We assessed vaccine effectiveness against rotavirus in Guatemala, where both the monovalent (RV1; 2-dose series) and pentavalent (RV5; 3-dose series) vaccines were introduced in 2010. A case-control evaluation was conducted in 4 hospitals from January 2012 to August 2013. Vaccine status was compared between case patients (children with laboratory-confirmed rotavirus diarrhea) and 2 sets of controls: nondiarrhea "hospital" controls (matched by birth date and site) and nonrotavirus "test-negative" diarrhea controls (adjusted for age, birth month/year, and site). Vaccine effectiveness ([1 - odds ratio of vaccination] × 100%) was computed using logistic regression models. We evaluated 213 case patients, 657 hospital controls, and 334 test-negative controls. Effectiveness of 2-3 doses of a rotavirus vaccine against rotavirus requiring emergency department visit or hospitalization was 74% (95% confidence interval [CI], 58%-84%) with hospital controls, and 52% (95% CI, 26%-69%) with test-negative controls. Using hospital controls, no significant difference in effectiveness was observed between infants 6-11 months (74% [95% CI, 18%-92%]) and children ≥12 months of age (71% [95% CI, 44%-85%]) (P= .85), nor between complete courses of RV1 (63% [95% CI, 23%-82%]) and RV5 (69% [95% CI, 29%-87%]) (P= .96). An uncommon G12P[8] strain, partially heterotypic to strains in both vaccines, was identified in 89% of cases. RV1 and RV5 were similarly effective against severe rotavirus diarrhea caused by a heterotypic strain in Guatemala. This supports broader implementation of rotavirus vaccination in low-income countries where >90% global deaths from rotavirus occur. Published by Oxford University Press for the Infectious Diseases Society of America 2016. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Tectonic lineaments in the cenozoic volcanics of southern Guatemala: Evidence for a broad continental plate boundary zone

NASA Technical Reports Server (NTRS)

Baltuck, M.; Dixon, T. H.

1984-01-01

The northern Caribbean plate boundary has been undergoing left lateral strike slip motion since middle Tertiary time. The western part of the boundary occurs in a complex tectonic zone in the continental crust of Guatemala and southernmost Mexico, along the Chixoy-Polochic, Motogua and possibly Jocotan-Chamelecon faults. Prominent lineaments visible in radar imagery in the Neogene volcanic belt of southern Guatemala and western El Salvador were mapped and interpreted to suggest southwest extensions of this already broad plate boundary zone. Because these extensions can be traced beneath Quaternary volcanic cover, it is thought that this newly mapped fault zone is active and is accommodating some of the strain related to motion between the North American and Caribbean plates. Onshore exposures of the Motoqua-Polochic fault systems are characterized by abundant, tectonically emplaced ultramafic rocks. A similar mode of emplacement for these off shore ultramafics, is suggested.

The changing role of indigenous lay midwives in Guatemala: new frameworks for analysis.

PubMed

Chary, Anita; Díaz, Anne Kraemer; Henderson, Brent; Rohloff, Peter

2013-08-01

to examine the present-day knowledge formation and practice of indigenous Kaqchikel-speaking midwives, with special attention to their interactions with the Guatemalan medical community, training models, and allopathic knowledge in general. a qualitative study consisting of participant-observation in lay midwife training programs; in-depth interviews with 44 practicing indigenous midwives; and three focus groups with midwives of a local non-governmental organization. Kaqchikel Maya-speaking communities in the Guatemalan highlands. the cumulative undermining effects of marginalization, cultural and linguistic barriers, and poorly designed training programs contribute to the failure of lay midwife-focused initiatives in Guatemala to improve maternal-child health outcomes. Furthermore, in contrast to prevailing assumptions, Kaqchikel Maya midwives integrate allopathic obstetrical knowledge into their practice at a high level. as indigenous midwives in Guatemala will continue to provide a large fraction of the obstetrical services among rural populations for many years to come, maternal-child policy initiatives must take into account that: (1)Guatemalan midwife training programs can be significantly improved when instruction occurs in local languages, such as Kaqchikel, and (2)indigenous midwives' increasing allopathic repertoire may serve as a productive ground for synergistic collaborations between lay midwives and the allopathic medical community. Copyright © 2012 Elsevier Ltd. All rights reserved.

Student Learning in Guatemala: An Untenured Faculty Perspective on International Service Learning and Public Good

ERIC Educational Resources Information Center

Taylor, Matthew J.

2009-01-01

In this article I explain how I combined service learning, public-good work, and research in Guatemala. This path has not been easy. Indeed, it has been risky because the time invested in public-good work and teaching field classes could have detracted from research productivity. Taking a risk under the current and traditional academic model at…

Teaching guatemala midwives about postpartum hemorrhage.

PubMed

Garcia, Kimberly; Morrison, Fellow Barbara; Savrin, Carol

2012-01-01

To evaluate the effect of a culturally sensitive teaching unit on traditional midwives' knowledge of nursing interventions to prevent and treat postpartum hemorrhage (PPH). Sixteen midwives participated in a 1-day training program at a Refuge International Health Clinic in the remote town of Sarstun, Guatemala. The quasi experimental study used a one-group, pretest-posttest design. Researchers used a PPH Behavioral Checklist from the American College of Nurse Midwives (ACNM) to assess and compare knowledge of PPH interventions before and after the PPH teaching. The final analysis included 13 traditional midwives as the subjects. The culturally sensitive teaching improved traditional midwives' knowledge and skills about nursing interventions to manage PPH (pretest M = 1.385/8, posttest M = 4.846/8). Results of this pilot project suggest a culturally sensitive oral teaching in the primary language of the participants positively affects traditional midwives' knowledge and skills to manage PPH. Future training should be presented in a similar format to meet the needs of illiterate audiences in resource-poor settings.

Food prices and poverty negatively affect micronutrient intakes in Guatemala.

PubMed

Iannotti, Lora L; Robles, Miguel; Pachón, Helena; Chiarella, Cristina

2012-08-01

Limited empirical evidence exists for how economic conditions affect micronutrient nutrition. We hypothesized that increasing poverty and rising food prices would reduce consumption of high-quality "luxury" foods, leading to an increased probability of inadequacy for several nutrients. The 2006 Guatemala National Living Conditions Survey was analyzed. First, energy and nutrient intakes and adequacy levels were calculated. Second, the income-nutrient relationships were investigated by assessing disparities in intakes, determining income-nutrient elasticities, and modeling nutrient intakes by reductions in income. Third, the food price-nutrient relationships were explored through determination of price-nutrient elasticities and modeling 2 price scenarios: an increase in food prices similar in magnitude to the food price crisis of 2007-2008 and a standardized 10% increase across all food groups. Disparities in nutrient intakes were greatest for vitamin B-12 (0.38 concentration index) and vitamin A (0.30 concentration index); these nutrients were highly and positively correlated with income (r = 0.22-0.54; P < 0.05). Although the baseline probability of inadequacy was highest for vitamin B-12 (83%), zinc showed the greatest increase in probability of inadequacy as income was reduced, followed by folate and vitamin A. With rising food prices, zinc intake was most acutely affected under both scenarios (P < 0.05) and folate intake in the poorest quintile (+7 percentage points) under the 10% scenario. Price-nutrient elasticities were highest for vitamin B-12 and the meat, poultry, and fish group (-0.503) and for folate and the legumes group (-0.343). The economic factors of food prices and income differentially influenced micronutrient intakes in Guatemala, notably zinc and folate intakes.

Description and Analysis of the USAID Girls' Education Activity in Guatemala, Morocco, and Peru. Qualitative Report.

ERIC Educational Resources Information Center

Brush, Lorelei; Heyman, Cory; Provasnik, Stephan; Fanning, Marina; Lent, Drew; De Wilde, Johan

This qualitative report of the United States Agency for International Development (USAID) Girls' Education Activity (GEA) focuses on the results of project activities in Guatemala, Morocco, and Peru. Section 1 outlines the overall purpose and goals of the GEA; contrasts the major tactics of the program in each country; and describes the…

Increased risk of miscarriage among women experiencing physical or sexual intimate partner violence during pregnancy in Guatemala City, Guatemala: cross-sectional study

PubMed Central

2011-01-01

Background Violence against women by their male intimate partners (IPV) during pregnancy may lead to negative pregnancy outcomes. We examined the role of IPV as a potential risk factor for miscarriage in Guatemala. Our objectives were: (1) To describe the magnitude and pattern of verbal, physical and sexual violence by male intimate partners in the last 12 months (IPV) in a sample of pregnant Guatemalans; (2) To evaluate the influence of physical or sexual IPV on miscarriage as a pregnancy outcome. Methods All pregnant women reporting to the maternity of a major tertiary care public hospital in Guatemala City from June 1st to September 30th, 2006 were invited to participate in this cross-sectional study. The admitting physician assessed occurrence of miscarriage, defined as involuntary pregnancy loss up to and including 28 weeks gestation. Data on IPV, social and demographic characteristics, risk behaviours, and medical history were collected by interviewer-administered questionnaire. Laboratory testing was performed for HIV and syphilis. The relationship between IPV and miscarriage was assessed through multivariable logistic regression. Results IPV affected 18% of the 1897 pregnant Guatemalan women aged 15-47 in this sample. Verbal IPV was most common (16%), followed by physical (10%) and sexual (3%) victimisation. Different forms of IPV were often co-prevalent. Miscarriage was experienced by 10% of the sample (n = 190). After adjustment for potentially confounding factors, physical or sexual victimisation by a male intimate partner in the last 12 months was significantly associated with miscarriage (ORadj 1.1 to 2.8). Results were robust under a range of analytic assumptions. Conclusions Physical and sexual IPV is associated with miscarriage in this Guatemalan facility-based sample. Results cohere well with findings from population-based surveys. IPV should be recognised as a potential cause of miscarriage. Reproductive health services should be used to screen

Crime, Violence, and the Crisis in Guatemala: A Case Study in the Erosion of the State

DTIC Science & Technology

2010-05-01

information to drug traffickers. The head of the PNC, Porfirio Pérez Pani- agua , was recently dismissed on suspicion that he and more than a dozen...2008, Santiago, Chile : Corporación Latinobarómetro, 2008, p. 51; Marc Lacey, “Drug Gangs Use Violence to Sway Guatemala Vote,” New York Times, August

Unit on Mexican and Guatemalan Archaeology. Fulbright-Hays Summer Seminars Abroad Program, 2000 (Mexico and Guatemala).

ERIC Educational Resources Information Center

Brown, Kathryn

This curriculum unit on Mexican and Guatemalan archaeology is designed for students at a college preparatory high school who have taken a course in ancient and medieval history. The unit lists history and archaeology texts and teacher resources and is divided into the following sections: (1) geography assignment on Mexico and Guatemala; (2)…

Genetic Evidence of Importation of Drug-Resistant Plasmodium falciparum to Guatemala from the Democratic Republic of the Congo.

PubMed

Patel, Jaymin C; Taylor, Steve M; Juliao, Patricia C; Parobek, Christian M; Janko, Mark; Gonzalez, Luis Demetrio; Ortiz, Lucia; Padilla, Norma; Tshefu, Antoinette K; Emch, Michael; Udhayakumar, Venkatachalam; Lindblade, Kim; Meshnick, Steven R

2014-06-01

Imported malaria threatens control and elimination efforts in countries that have low rates of transmission. In 2010, an outbreak of Plasmodium falciparum malaria was reported among United Nations peacekeeping soldiers from Guatemala who had recently returned from the Democratic Republic of the Congo (DRC). Epidemiologic evidence suggested that the soldiers were infected in the DRC, but local transmission could not be ruled out in all cases. We used population genetic analyses of neutral microsatellites to determine the outbreak source. Genetic relatedness was compared among parasites found in samples from the soldiers and parasite populations collected in the DRC and Guatemala; parasites identified in the soldiers were more closely related to those from the DRC. A phylogenetic clustering analysis confirms this identification with >99.9% confidence. Thus, results support the hypothesis that the soldiers likely imported malaria from the DRC. This study demonstrates the utility of molecular genotyping in outbreak investigations.

HIV-1 drug resistance surveillance in antiretroviral treatment-naive individuals from a reference hospital in Guatemala, 2010-2013.

PubMed

Avila-Ríos, Santiago; García-Morales, Claudia; Garrido-Rodríguez, Daniela; Tapia-Trejo, Daniela; Girón-Callejas, Amalia Carolina; Mendizábal-Burastero, Ricardo; Escobar-Urias, Ingrid Yessenia; García-González, Blanca Leticia; Navas-Castillo, Sabrina; Pinzón-Meza, Rodolfo; Mejía-Villatoro, Carlos Rodolfo; Reyes-Terán, Gustavo

2015-04-01

The recent expansion of antiretroviral treatment (ART) coverage in middle/low-income countries has been associated with increasing prevalence of HIV pre-ART drug resistance (PDR). We assessed PDR prevalence, patterns, and trends in Guatemala. Blood samples from 1,084 ART-naive individuals, enrolled from October 2010 to December 2013 at the Roosevelt Hospital in Guatemala City, were obtained. PDR was evaluated using the WHO mutation list for transmitted drug resistance (TDR) surveillance. An overall PDR prevalence of 7.3% (95% CI 5.8-9.0%) was observed for the whole study period. TDR to nonnucleoside reverse transcriptase inhibitors (NNRTI) was the highest (4.9%, p<0.001), followed by nucleoside RT inhibitors (1.8%) and protease inhibitors (1.0%). No significant trends in PDR prevalence were observed during the study period. However, higher NNRTI PDR levels were found in individuals with >500 and 350-500 CD4(+) T cells/μl (7.4% and 8.7%, respectively) compared to individuals with <350 CD4(+) T cells/μl (3.7%; p=0.039 and p=0.007, respectively), as well as a tendency of higher levels of NNRTI transmitted drug resistance (DR) in individuals with recent infection determined by HIV incidence tests (9.7%), suggesting increasing trends in time. Clusters of viruses with NNRTI PDR suggesting complex transmission networks were observed. No associations between PDR and demographic variables were found. PDR in Guatemala remains at an intermediate level. Nevertheless, we have shown evidence suggesting increasing trends in NNRTI PDR, which need to be taken into account in national HIV management policies.

Last menstrual period provides the best estimate of gestation length for women in rural Guatemala.

PubMed

Neufeld, Lynnette M; Haas, Jere D; Grajéda, Ruben; Martorell, Reynaldo

2006-07-01

The accurate estimation of gestational age in field studies in rural areas of developing countries continues to present difficulties for researchers. Our objective was to determine the best method for gestational age estimation in rural Guatemala. Women of childbearing age from four communities in rural Guatemala were invited to participate in a longitudinal study. Gestational age at birth was determined by an early second trimester measure of biparietal diameter, last menstrual period (LMP), the Capurro neonatal examination and symphysis-fundus height (SFH) for 171 women-infant pairs. Regression modelling was used to determine which method provided the best estimate of gestational age using ultrasound as the reference. Gestational age estimated by LMP was within +/-14 days of the ultrasound estimate for 94% of the sample. LMP-estimated gestational age explained 46% of the variance in gestational age estimated by ultrasound whereas the neonatal examination explained only 20%. The results of this study suggest that, when trained field personnel assist women to recall their date of LMP, this date provides the best estimate of gestational age. SFH measured during the second trimester may provide a reasonable alternative when LMP is unavailable.

The Relationship of Socioeconomic Status and Sex to Body Size, Skeletal Maturation, and Cognitive Status of Guatemala City Schoolchildren.

ERIC Educational Resources Information Center

Bogin, Barry; MacVean, Robert B.

1983-01-01

Longitudinal data from a study of child development in Guatemala City were used to describe the influence of socioeconomic status and sex on physical and cognitive growth status. The correlation between growth status variables was also analyzed. (Author/RH)

Ethnicity and HIV risk behaviour, testing and knowledge in Guatemala

PubMed Central

Taylor, Tory M.; Hembling, John; Bertrand, Jane T.

2015-01-01

Objectives. To describe levels of risky sexual behaviour, HIV testing and HIV knowledge among men and women in Guatemala by ethnic group and to identify adjusted associations between ethnicity and these outcomes. Design. Data on 16,205 women aged 15–49 and 6822 men aged 15–59 from the 2008–2009 Encuesta Nacional de Salud Materno Infantil were used to describe ethnic group differences in sexual behaviour, HIV knowledge and testing. We then controlled for age, education, wealth and other socio-demographic factors in a multivariate logistic regression model to examine the effects of ethnicity on outcomes related to age at sexual debut, number of lifetime sex partners, comprehensive HIV knowledge, HIV testing and lifetime sex worker patronage (men only). Results. The data show low levels of risky sexual behaviour and low levels of HIV knowledge among indigenous women and men, compared to other respondents. Controlling for demographic factors, indigenous women were more likely than other women never to have been tested for HIV and to lack comprehensive HIV knowledge. They were less likely to report early sexual debut and three or more lifetime sexual partners. Indigenous men were more likely than other men to lack comprehensive HIV knowledge and demonstrated lower odds of early sexual debut, 10 or more lifetime sexual partners and sex worker patronage. Conclusions. The Mayan indigenous population in Guatemala, while broadly socially vulnerable, does not appear to be at elevated risk for HIV based on this analysis of selected risk factors. Nonetheless, low rates of HIV knowledge and testing may be cause for concern. Programmes working in indigenous communities should focus on HIV education and reducing barriers to testing. Further research into the factors that underlie ethnic self-identity and perceived ethnicity could help clarify the relative significance of these measures for HIV risk and other health outcomes. PMID:24834462

Ethnicity and HIV risk behaviour, testing and knowledge in Guatemala.

PubMed

Taylor, Tory M; Hembling, John; Bertrand, Jane T

2015-01-01

To describe levels of risky sexual behaviour, HIV testing and HIV knowledge among men and women in Guatemala by ethnic group and to identify adjusted associations between ethnicity and these outcomes. Data on 16,205 women aged 15-49 and 6822 men aged 15-59 from the 2008-2009 Encuesta Nacional de Salud Materno Infantil were used to describe ethnic group differences in sexual behaviour, HIV knowledge and testing. We then controlled for age, education, wealth and other socio-demographic factors in a multivariate logistic regression model to examine the effects of ethnicity on outcomes related to age at sexual debut, number of lifetime sex partners, comprehensive HIV knowledge, HIV testing and lifetime sex worker patronage (men only). The data show low levels of risky sexual behaviour and low levels of HIV knowledge among indigenous women and men, compared to other respondents. Controlling for demographic factors, indigenous women were more likely than other women never to have been tested for HIV and to lack comprehensive HIV knowledge. They were less likely to report early sexual debut and three or more lifetime sexual partners. Indigenous men were more likely than other men to lack comprehensive HIV knowledge and demonstrated lower odds of early sexual debut, 10 or more lifetime sexual partners and sex worker patronage. The Mayan indigenous population in Guatemala, while broadly socially vulnerable, does not appear to be at elevated risk for HIV based on this analysis of selected risk factors. Nonetheless, low rates of HIV knowledge and testing may be cause for concern. Programmes working in indigenous communities should focus on HIV education and reducing barriers to testing. Further research into the factors that underlie ethnic self-identity and perceived ethnicity could help clarify the relative significance of these measures for HIV risk and other health outcomes.

Governmental Forest Policy for Sustainable Forest Management in Costa Rica, Guatemala, and Nicaragua: Regulation, Implementation, and Impact

Treesearch

Kathleen A. McGinley; Frederick W. Cubbage

2012-01-01

We evaluated how governmental forest regulation in Costa Rica, Guatemala, and Nicaragua has succeeded or failed in fostering changes in forest owner and user behavior that enhance the sustainability of tropical forest management. As expected, sufficient resources and capacity for forest policy implementation are crucial for attaining governmental forest policy...

The politics and semiotics of sounds--Mayan linguistics and nation-building in Guatemala.

PubMed

French, Brigittine M

2004-01-01

This paper discusses the development Mayan linguistics as an authoritative field of knowledge in Guatemala. In particular, it links missionary linguists' and Maya linguists' activities with shifting nationalist agendas from the 1920s in to the late 1980s. It is argued that during the historical and intellectual moment that linguistics becomes an authoritative epistemology, phonetic analysis functions as a creative index that constitutes "expert" knowledge for particular semiotic and ideological reasons tied to competing versions of the Guatemalan imagined community.

The stunted child with an overweight mother as a growing public health concern in resource-poor environments: a case study from Guatemala.

PubMed

Doak, Colleen M; Campos Ponce, Maiza; Vossenaar, Marieke; Solomons, Noel W

2016-01-01

Overweight and obesity are emerging at alarming rates in low income women in many countries. Guatemala has the additional burden of a high prevalence of chronic under-nutrition (stunting) in children. The purpose of this paper is to explore the dual burden of infant and child (5-23 months) under-nutrition and maternal over-weight and obesity in the Western Highlands of Guatemala. Anthropometric measures were collected in 446 mother-infant dyads in a metropolitan population of mixed indigenous (Maya) and non-indigenous descent in the Western Highlands of Guatemala. Children were identified as stunted based on a height for age <-2 below the WHO reference median and maternal overweight/obesity defined as a BMI ≥25. Stunted children with an overweight/obese mother were compared to other children who were not stunted and/or who did not have an overweight/obese mother. The prevalences of stunting (38%) and maternal overweight/obesity (45%) were high, but just 17% of the mother and child pairs were dual burden. The socio-demographic characteristics of stunted children were not influenced by maternal overweight or obesity. Policies are needed to address under-nutrition as well as preventing obesity and obesity-related chronic disease risks of stunted children and their mothers.

The Jocotán Ophiolite: A new ophiolite along the Jocotán fault, eastern Guatemala

NASA Astrophysics Data System (ADS)

Harlow, G. E.; Flores-Reyes, K.; Sisson, V. B.; Nelson, C.; Cacao, A.

2011-12-01

The North American - Caribbean plate boundary traverses central Guatemala and northern Honduras, dispersed along three left lateral faults systems, which from north to south are the Chixoy-Polochic, the Motagua, and the Jocotán-Camelecón faults, with the Motagua as the present active strand. The Motagua Suture Zone (MSZ), which encompasses this area, consists of multiple paleo-convergent boundaries. It includes slices of ultramafic-mafic complexes including both antigorite (Atg) serpentinite mélanges containing high-pressure / low-temperature (HP/LT) blocks, and lizardite-chrysotile (Lzd-Ctl) serpentinites with associated pillow lavas, radiolarian chert, and marine sediments, typically labeled as ophiolites. Guatemala Suture Zone would be a preferable term to MSZ because the area extends over all three faults, not just the Motagua. The MSZ includes the Sierra de Santa Cruz ophiolite north of the east end of the Polochic fault, the Baja Verapaz ultramafic complex (considered an ophiolite in most of the literature) lies just south of the western portion of the Polochic fault and a series of Atg-serpentinite-dominant mélanges (with HP/LT blocks) that decorate both sides of the Motagua fault. In addition, there is the El Tambor Formation, south of the Motagua fault (but west of the known limit of the Jocotán fault), which contains mafic & sedimentary units and has been called an ophiolite. However, no mafic-ultramafic bodies appear on maps that cover the Jocotán fault in eastern Guatemala. Geologic mapping by one of the co-authors located a small suite of ultramafic rocks sandwiched between the Jocotán and Camotán faults in eastern Guatemala, a short distance from the town of Camotán. Outcrops exposed for 3 km along a road and in a small river consist of sheared Lzd-Ctl serpentinite, metagabbro, overturned altered pillow lavas, listwaenite and rodingite dikes, cherts and pelagic metasediments. These units represent fault slivers subparallel to the steeply

Is decentralization good for logistics systems? Evidence on essential medicine logistics in Ghana and Guatemala.

PubMed

Bossert, Thomas J; Bowser, Diana M; Amenyah, Johnnie K

2007-03-01

Efficient logistics systems move essential medicines down the supply chain to the service delivery point, and then to the end user. Experts on logistics systems tend to see the supply chain as requiring centralized control to be most effective. However, many health reforms have involved decentralization, which experts fear has disrupted the supply chain and made systems less effective. There is no consensus on an appropriate methodology for assessing the effectiveness of decentralization in general, and only a few studies have attempted to address decentralization of logistics systems. This paper sets out a framework and methodology of a pioneering exploratory study that examines the experiences of decentralization in two countries, Guatemala and Ghana, and presents suggestive results of how decentralization affected the performance of their logistics systems. The analytical approach assessed decentralization using the principal author's 'decision space' approach, which defines decentralization as the degree of choice that local officials have over different health system functions. In this case the approach focused on 15 different logistics functions and measured the relationship between the degree of choice and indicators of performance for each of the functions. The results of both studies indicate that less choice (i.e. more centralized) was associated with better performance for two key functions (inventory control and information systems), while more choice (i.e. more decentralized) over planning and budgeting was associated with better performance. With different systems of procurement in Ghana and Guatemala, we found that a system with some elements of procurement that are centralized (selection of firms and prices fixed by national tender) was positively related in Guatemala but negatively related in Ghana, where a system of 'cash and carry' cost recovery allowed more local choice. The authors conclude that logistics systems can be effectively

Geodetic Slip Solution for the Mw=7.4 Champerico (Guatemala) Earthquake of 07 November 2012

NASA Astrophysics Data System (ADS)

Ellis, A. P.; DeMets, C.; Briole, P.; Molina, E.; Flores, O.; Rivera, J.; Lasserre, C.; Lyon-Caen, H.; Lord, N. E.

2014-12-01

As the first large subduction thrust earthquake off the coast of western Guatemala in the past several decades, the 07 November 2012 Mw=7.4 earthquake offers the first opportunity for a geodetic study of coseismic and postseismic behavior for a segment of the Middle America trench where frictional coupling makes a transition from weak coupling off the coast of El Salvador to strong coupling in southern Mexico. We use measurements at 19 continuous GPS sites in Guatemala, El Salvador, and Mexico to estimate the coseismic slip and post-seismic deformation of the November 2012 Champerico (Guatemala) earthquake. Coseismic offsets range from ~47 mm near the epicenter to <1 mm at far-field sites in El Salvador. An inversion of the geodetic data indicate that that up to ~2 m of coseismic slip occurred on a ~30 km by 30 km rupture area between ~10 and 30 km depth, encouragingly close to the global CMT epicenter. The geodetic moment of 13 x 1019 N·m and corresponding magnitude of 7.4 both agree well with independent seismological estimates. An inversion for the postseismic fault afterslip shows that the transient postseismic motions recorded at 11 GPS sites are well fit with a logarithmically decaying function. More than 70 per cent of the postseismic slip occurred at the same depth or directly downdip from the main shock epicenter. At the upper limit, afterslip that occurred within 6 months of the earthquake released energy equivalent to only ~20 per cent of the coseismic moment. The seismologically derived slip solution from Ye et al. (2012), which features more highly concentrated slip than our own, fits our GPS offsets reasonably well provided that we translate their slip centroid ~51 km to the west to a position close to our own slip centroid. The geodetic and seismologic slip solutions thus suggest bounds of 2-5 m for the peak slip along a region of the interface no larger than 30 x 30 km and possibly much smaller.

Genetic Evidence of Importation of Drug-Resistant Plasmodium falciparum to Guatemala from the Democratic Republic of the Congo

PubMed Central

Taylor, Steve M.; Juliao, Patricia C.; Parobek, Christian M.; Janko, Mark; Gonzalez, Luis Demetrio; Ortiz, Lucia; Padilla, Norma; Tshefu, Antoinette K.; Emch, Michael; Udhayakumar, Venkatachalam; Lindblade, Kim; Meshnick, Steven R.

2014-01-01

Imported malaria threatens control and elimination efforts in countries that have low rates of transmission. In 2010, an outbreak of Plasmodium falciparum malaria was reported among United Nations peacekeeping soldiers from Guatemala who had recently returned from the Democratic Republic of the Congo (DRC). Epidemiologic evidence suggested that the soldiers were infected in the DRC, but local transmission could not be ruled out in all cases. We used population genetic analyses of neutral microsatellites to determine the outbreak source. Genetic relatedness was compared among parasites found in samples from the soldiers and parasite populations collected in the DRC and Guatemala; parasites identified in the soldiers were more closely related to those from the DRC. A phylogenetic clustering analysis confirms this identification with >99.9% confidence. Thus, results support the hypothesis that the soldiers likely imported malaria from the DRC. This study demonstrates the utility of molecular genotyping in outbreak investigations. PMID:24856348

Awareness and attitudes of pre-exposure prophylaxis for HIV prevention among physicians in Guatemala: Implications for country-wide implementation.

PubMed

Ross, Ian; Mejia, Carlos; Melendez, Johanna; Chan, Philip A; Nunn, Amy C; Powderly, William; Goodenberger, Katherine; Liu, Jingxia; Mayer, Kenneth H; Patel, Rupa R

2017-01-01

HIV continues to be a major health concern with approximately 2.1 million new infections occurring worldwide in 2015. In Central America, Guatemala had the highest incident number of HIV infections (3,700) in 2015. Antiretroviral pre-exposure prophylaxis (PrEP) was recently recommended by the World Health Organization (WHO) as an efficacious intervention to prevent HIV transmission. PrEP implementation efforts are underway in Guatemala and success will require providers that are knowledgeable and willing to prescribe PrEP. We sought to explore current PrEP awareness and prescribing attitudes among Guatemalan physicians in order to inform future PrEP implementation efforts. We conducted a cross-sectional survey of adult internal medicine physicians at the main teaching hospital in Guatemala City in March 2015. The survey included demographics, medical specialty, years of HIV patient care, PrEP awareness, willingness to prescribe PrEP, previous experience with post-exposure prophylaxis, and concerns about PrEP. The primary outcome was willingness to prescribe PrEP, which was assessed using a 5-point Likert scale for different at-risk population scenarios. Univariate and multivariate logistic regression was performed to identify predictors for willingness to prescribe PrEP. Eighty-seven physicians completed the survey; 66% were male, 64% were internal medicine residency trainees, and 10% were infectious disease (ID) specialists. Sixty-nine percent of physicians were PrEP aware, of which 9% had previously prescribed PrEP. Most (87%) of respondents were willing to prescribe PrEP to men who have sex with men (MSM), sex workers, injection drug users, or HIV-uninfected persons having known HIV-positive sexual partners. Concerns regarding PrEP included development of resistance (92%), risk compensation (90%), and cost (64%). Univariate logistic regression showed that younger age, being a resident trainee, and being a non-ID specialist were significant predictors for

Using information communication technology to identify deficits in rural health care: a mixed-methods evaluation from Guatemala

PubMed Central

Wahedi, Katharina; Flores, Walter; Beiersmann, Claudia; Bozorgmehr, Kayvan; Jahn, Albrecht

2018-01-01

ABSTRACT Background: In August 2014, the Centre for the Studies of Equity and Governance in Health Systems (CEGSS) in Guatemala launched an online platform, which facilitates complaints about health services via text messages. The aim is to collect, systemise and forward such complaints to relevant institutions, and to create a data pool on perceived deficits of health care in rural Guatemala. Objective: To evaluate if the online platform is an accepted, user-friendly and efficient medium to engage citizens in the reporting of health care deficiencies in Guatemala. Methods: The general study design of this research was a mixed-method approach including a quantitative analysis of complaints received and a qualitative exploration of the attitude of community leaders towards the platform. Results: User statistics showed that a total of N = 228 messages were sent to the platform in the period August 2014–March 2015. The majority of complaints (n = 162, 71%) fell under the ‘lack of drugs, equipment or supplies’ category. The community leaders welcomed the platform, describing it as modern and progressive. Despite feedback mechanisms and methods to respond to complaints not yet being fully developed, many users showed a high intrinsic motivation to use the new tool. Others, however, were restrained by fear of personal consequences and distrust of the state’s judicial system. Access to mobile phones, reception, and phone credit or battery life did not pose major obstacles, but the producing and sending of correctly formatted messages was observed to be difficult. Conclusion: The online platform paired with SMS technology appears to be a viable approach to collect citizens’ complaints in health care and connect citizens with relevant institutions. Further studies should be conducted to quantify follow-up activities and the impact on local health care provision. PMID:29661072

Scale-up, retention and HIV/STI prevalence trends among female sex workers attending VICITS clinics in Guatemala.

PubMed

Morales-Miranda, Sonia; Jacobson, Jerry O; Loya-Montiel, Itzel; Mendizabal-Burastero, Ricardo; Galindo-Arandi, César; Flores, Carlos; Chen, Sanny Y

2014-01-01

Since 2007, Guatemala integrated STI clinical service with an HIV prevention model into four existing public health clinics to prevent HIV infection, known as the VICITS strategy. We present the first assessment of VICITS scale-up, retention, HIV and STI prevalence trends, and risk factors associated with HIV infection among Female Sex Workers (FSW) attending VICITS clinics in Guatemala. Demographic, behavioral and clinical data were collected using a standardized form. Data was analyzed by year and health center. HIV and STI prevalence were estimated from routine visits. Retention was estimated as the percent of new users attending VICITS clinics who returned for at least one follow-up visit to any VICITS clinic within 12 months. Separate multivariate logistic regression models were conducted to investigate factors associated with HIV infection and program retention. During 2007-2011 5,682 FSW visited a VICITS clinic for the first-time. HIV prevalence varied from 0.4% to 5.8%, and chlamydia prevalence from 0% to 14.3%, across sites. Attending the Puerto Barrios clinic, having a current syphilis infection, working primarily on the street, and using the telephone or internet to contact clients were associated with HIV infection. The number of FSW accessing VICITS annually increased from 556 to 2,557 (361%) during the period. In 2011 retention varied across locations from 7.7% to 42.7%. Factors negatively impacting retention included current HIV diagnosis, having practiced sex work in another country, being born in Honduras, and attending Marco Antonio Foundation or Quetzaltenango clinic sites. Systematic time trends did not emerge, however 2008 and 2010 were characterized by reduced retention. Our data show local differences in HIV prevalence and clinic attendance that can be used to prioritize prevention activities targeting FSW in Guatemala. VICITS achieved rapid scale-up; however, a better understanding of the causes of low return rates is urgently needed.

Using information communication technology to identify deficits in rural health care: a mixed-methods evaluation from Guatemala.

PubMed

Wahedi, Katharina; Flores, Walter; Beiersmann, Claudia; Bozorgmehr, Kayvan; Jahn, Albrecht

2018-01-01

In August 2014, the Centre for the Studies of Equity and Governance in Health Systems (CEGSS) in Guatemala launched an online platform, which facilitates complaints about health services via text messages. The aim is to collect, systemise and forward such complaints to relevant institutions, and to create a data pool on perceived deficits of health care in rural Guatemala. To evaluate if the online platform is an accepted, user-friendly and efficient medium to engage citizens in the reporting of health care deficiencies in Guatemala. The general study design of this research was a mixed-method approach including a quantitative analysis of complaints received and a qualitative exploration of the attitude of community leaders towards the platform. User statistics showed that a total of N = 228 messages were sent to the platform in the period August 2014-March 2015. The majority of complaints (n = 162, 71%) fell under the 'lack of drugs, equipment or supplies' category. The community leaders welcomed the platform, describing it as modern and progressive. Despite feedback mechanisms and methods to respond to complaints not yet being fully developed, many users showed a high intrinsic motivation to use the new tool. Others, however, were restrained by fear of personal consequences and distrust of the state's judicial system. Access to mobile phones, reception, and phone credit or battery life did not pose major obstacles, but the producing and sending of correctly formatted messages was observed to be difficult. The online platform paired with SMS technology appears to be a viable approach to collect citizens' complaints in health care and connect citizens with relevant institutions. Further studies should be conducted to quantify follow-up activities and the impact on local health care provision.

Genomic insights on the ethno-history of the Maya and the 'Ladinos' from Guatemala.

PubMed

Söchtig, Jens; Álvarez-Iglesias, Vanesa; Mosquera-Miguel, Ana; Gelabert-Besada, Miguel; Gómez-Carballa, Alberto; Salas, Antonio

2015-02-25

Guatemala is a multiethnic and multilingual country located in Central America. The main population groups separate 'Ladinos' (mixed Native American-African-Spanish), and Native indigenous people of Maya descent. Among the present-day Guatemalan Maya, there are more than 20 different ethnic groups separated by different languages and cultures. Genetic variation of these communities still remains largely unexplored. The principal aim of this study is to explore the genetic variability of the Maya and 'Ladinos' from Guatemala by means of uniparental and ancestry informative markers (AIMs). Analyses of uniparental genetic markers indicate that Maya have a dominant Native American ancestry (mitochondrial DNA [mtDNA]: 100%; Y-chromosome: 94%). 'Ladino', however, show a clear gender-bias as indicated by the large European ancestry observed in the Y-chromosome (75%) compared to the mtDNA (0%). Autosomal polymorphisms (AIMS) also mirror this marked gender-bias: (i) Native American ancestry: 92% for the Maya vs. 55% for the 'Ladino', and (ii) European ancestry: 8% for the Maya vs. 41% for the 'Ladino'. In addition, the impact of the Trans-Atlantic slave trade on the present-day Guatemalan population is very low (and only occurs in the 'Ladino'; mtDNA: 9%; 4%), in part mirroring the fact that Guatemala has a predominant orientation to the Pacific Ocean instead of a Caribbean one. Sequencing of entire Guatemalan mitogenomes has led to improved Native American phylogeny via the addition of new haplogroups that are mainly observed in Mesoamerica and/or the North of South America. The data reveal the existence of a fluid gene flow in the Mesoamerican area and a predominant unidirectional flow towards South America, most likely occurring during the Pre-Classic (1800 BC-200 AD) and the Classic (200-1000 AD) Eras of the Mesoamerican chronology, coinciding with development of the most distinctive and advanced Mesoamerican civilization, the Maya. Phylogenetic features of mtDNA data

Paleoecological Calibration In Central Guatemala: Modern Pollen Rain From Bryophyte Polsters And Surface Sediments

NASA Astrophysics Data System (ADS)

Finkelstein, S. A.; Avendano, C. E.; Cowling, S. A.

2009-05-01

Paleoecology requires understanding the correspondences between modern pollen rain and local-regional vegetation, in order to develop accurate paleovegetation reconstructions. Paleoecology in Guatemala has been developed largely over decades in the northern lowlands in close relationship with Classic Maya archaeology, where paleoenvironmental reconstructions have been made mainly through the use of fossil pollen. Scarcity of calibration studies in the Mesoamerican region however remains evident; nevertheless, they are necessary to produce reliable reconstructions. We present calibration pollen data from two locations in Central Guatemala: Lachua Lowlands and Purulha Highlands. Pollen spectra were analyzed from surface sediments samples (SS) from a lake and a small pond in Lachua, a river floodplain and a lake shore in Purulha. Bryophyte polsters samples (BP) were collected from the interior of minimally disturbed forests in both Lachua (rain forest) and Purulha (cloud forest). Pollen spectra between SS and BP differed in both locations. Analysis per location indicates that SS were more similar for Purulha, as compared to Lachua. Combined analysis of locations indicates that SS from both locations were related to anemophilous taxa - great production of pollen quantities that has high dispersion capacities-. This provides evidence that the pollen signal from SS is probably more regional than local. BP from Lachua and Purulha differed notably in their pollen signal, each location containing local taxa, tropical and temperate respectively. Some temperate anemophilous taxa were better represented in Lachua than in Purulha. Purulha SS were similar, and contained more taxa related to disturbance and anemophilous taxa. The arboreal pollen (AP) to non-arboreal (NAP) ratio (AP/NAP) of both SS and BP corresponded with the tree- prevalent landscape in Lachua. The SS AP/NAP ratio represented the deforested landscape of the river floodplain and lake environments in Purulha

Screening for chronic kidney disease in a community-based diabetes cohort in rural Guatemala: a cross-sectional study

PubMed Central

Flood, David; Garcia, Pablo; Douglas, Kate; Hawkins, Jessica

2018-01-01

Objective Screening is a key strategy to address the rising burden of chronic kidney disease (CKD) in low-income and middle-income countries. However, there are few reports regarding the implementation of screening programmes in resource-limited settings. The objectives of this study are to (1) to share programmatic experiences implementing CKD screening in a rural, resource-limited setting and (2) to assess the burden of renal disease in a community-based diabetes programme in rural Guatemala. Design Cross-sectional assessment of glomerular filtration rate (GFR) and urine albumin. Setting Central Highlands of Guatemala. Participants We enrolled 144 adults with type 2 diabetes in a community-based CKD screening activity carried out by the sponsoring institution. Outcome measures Prevalence of renal disease and risk of CKD progression using Kidney Disease: Improving Global Outcomes definitions and classifications. Results We found that 57% of the sample met GFR and/or albuminuria criteria suggestive of CKD. Over half of the sample had moderate or greater increased risk for CKD progression, including nearly 20% who were classified as high or very high risk. Hypertension was common in the sample (42%), and glycaemic control was suboptimal (mean haemoglobin A1c 9.4%±2.5% at programme enrolment and 8.6%±2.3% at time of CKD screening). Conclusions The high burden of renal disease in our patient sample suggests an imperative to better understand the burden and risk factors of CKD in Guatemala. The implementation details we share reveal the tension between evidence-based CKD screening versus screening that can feasibly be delivered in resource-limited global settings. PMID:29358450

Stratigraphy of Late Pleistocene-Holocene pyroclastic deposits of Tacana Volcano, Mexico-Guatemala

NASA Astrophysics Data System (ADS)

Macias, J. L.; Arce, J. L.; Garcia-Palomo, A.; Mora, J. C.; Saucedo, R.; Hughes, S.; Scolamacchia, T.

2005-12-01

Tacana volcano (4,060 masl), the highest peak of the Tacana Volcanic Complex, is an acitve volcano located on the Mexico-Guatemala border. Tacana resumed phreatic activity in 1950 and again in 1986. After this last event, the volcano became the locus of attention of authorities and local scientists began to study the complex. Tacana's stratigraphic record has been studied using radiocarbon dating and these indicate that the volcano has been very active in the past producing at least 12 explosive eruptions during the last 40 ka years as follow: a) Four partial dome destruction events with the generation of block-and-ash flow deposits at 40, 28, <26, and 16 ka. b) Four small-volume phreatomagmatic events that emplaced dilute density currents at 10.6, 7.5, 6, and 2.5 ka. c) Four eruptions that emplaced pumice-rich fall deposits, three of them widely dispersed towards the NE flank of the volcano in Guatemala and dated at ~32, <24 and <14 ka, and finally a 0.8 ka fall deposit restricted to the crater vicinity that might represent the youngest magmatic eruption of the volcano. Although refining of these stratigraphic sequence is still underway, the eruptive chronology of Tacana volcano cleary indicates that explosive eruptions producing plinian fall and pyroclastic density currents have taken place every 1 to 8 ka years. This record constrasts with the small phreatic eruptions that occur 1-2 per century. So, this indicates that Tacana volcano is more active than previously considered and these results must be considered for future researches on hazards maps and mitigation.

Epidemiologic Studies of Cyclospora cayetanensis in Guatemala

PubMed Central

Hernandez, Beatriz; Lopez, Maria Beatriz; Arrowood, Michael J.; Alvarez de Mejia, Maricruz; Maria de Merida, Ana; Hightower, Allen W.; Venczel, Linda; Herwaldt, Barbara L.; Klein, Robert E.

1999-01-01

In 1996 and 1997, cyclosporiasis outbreaks in North America were linked to eating Guatemalan raspberries. We conducted a study in health-care facilities and among raspberry farm workers, as well as a case-control study, to assess risk factors for the disease in Guatemala. From April 6, 1997, to March 19, 1998, 126 (2.3%) of 5,552 surveillance specimens tested positive for Cyclospora; prevalence peaked in June (6.7%). Infection was most common among children 1.5 to 9 years old and among persons with gastroenteritis. Among 182 raspberry farm workers and family members monitored from April 6 to May 29, six had Cyclospora infection. In the case-control analysis, 62 (91%) of 68 persons with Cyclospora infection reported drinking untreated water in the 2 weeks before illness, compared with 88 (73%) of 120 controls (odds ratio [OR] 3.8, 95% confidence interval [CI] 1.4, 10.8 by univariate analysis). Other risk factors included water source, type of sewage drainage, ownership of chickens or other fowl, and contact with soil (among children younger than 2 years). PMID:10603209

Dimensions of Child Sexual Abuse before Age 15 in Three Central American Countries: Honduras, El Salvador, and Guatemala

ERIC Educational Resources Information Center

Speizer, Ilene S.; Goodwin, Mary; Whittle, Lisa; Clyde, Maureen; Rogers, Jennifer

2008-01-01

Objective: The prevalence of sexual abuse during childhood or adolescence varies depending on the definitions and age categories used. This study examines the first national, population-based data available on child sexual abuse that occurs before age 15 in three countries: El Salvador, Guatemala, and Honduras. This study uses comparable…

Urinary fumonisin B1 and estimated fumonisin intake in women from high and low exposure communities in Guatemala

USDA-ARS?s Scientific Manuscript database

Scope: Fumonisin (FB) intake can be high when maize is a dietary staple. We determined 1) urinary FB (UFB) in women consuming maize in high and low exposure communities in Guatemala, 2) the FB levels in maize, 3) the stoichiometric relationship between UFB and FB intake, and 4) the relative excreti...

Biological and Cultural Control of Olive Fruit Fly in California---Utilization of Parasitoids from USDA-APHIS-PPQ, Guatemala

USDA-ARS?s Scientific Manuscript database

The parasitoid Psytallia cf. concolor (Szépligeti) was reared on sterile Mediterranean fruit fly larvae at the USDA-APHIS-PPQ, Petapa Quarantine Laboratory in Guatemala and shipped to the USDA-ARS, Parlier, for wide-spread release and biological control of olive fruit fly in California. As many as 3...

Plasticity, political economy, and physical growth status of Guatemala Maya children living in the United States.

PubMed

Bogin, B; Loucky, J

1997-01-01

Migration of Maya refugees to the United States since the late 1970s affords the opportunity to study the consequences of life in a new environment on the growth of Maya children. The children of this study live in Indiantown, Florida, and Los Angeles, California. Maya children between 4 and 14 years old (n = 240) were measured for height, weight, fatness, and muscularity. Overall, compared with reference data for the United States, the Maya children are, on average, healthy and well nourished. They are taller and heavier and carry more fat and muscle mass than Maya children living in a village in Guatemala. However, they are shorter, on average, than children of black, Mexican-American, and white ethnicity living in Indiantown. Children of Maya immigrants born in the United States tend to be taller than immigrant children born in Guatemala or Mexico. Families that invest economic and social resources in their children have taller children. More economic successful families have taller children. Migration theory and political economy theory from the social sciences are combined with plasticity theory and life history theory (parental investment) from biology to interpret these data.

Cultural scripts surrounding young people's sexual and romantic relationships in the Western Highlands of Guatemala.

PubMed

Singleton, Robyn; Schroffel, Heidi; Findlay, Trinity; Winskell, Kate

2016-09-01

Guatemala has one of the world's highest teenage pregnancy rates and 92% of young people report not using contraception for first sex. We conducted narrative-based thematic analysis of a sample of narratives (n = 40; 15 male-authored, 25 female-authored) on HIV and sexuality, submitted to a 2013 scriptwriting competition by young people aged 15-19 years from Guatemala's Western Highlands. Our objective was to identify dominant cultural scripts and narratives that deviated positively from that norm with a view to informing the development of educational curricula and communication materials promoting youth sexual and reproductive health. The narratives are characterised by romantic themes and melodramatic plotlines: three in four had tragic endings. Rigid gender norms and ideologies of enduring love make female characters blind to the potential consequences of unprotected sex and vulnerable to betrayal and abandonment. Unprotected sex is the norm, with contraception and sexually transmitted infection protection mentioned rarely. In the four positively deviant narratives, female and male characters' interaction is based on mutual respect, dialogue and genuine affection. The narratives reveal opportunities for action to increase sexual health knowledge and access to services and to challenge harmful cultural scripts, potentially by leveraging the positive value attached to romantic love by authors of both sexes.

Weight-related stigma is a significant psychosocial stressor in developing countries: Evidence from Guatemala.

PubMed

Hackman, Joseph; Maupin, Jonathan; Brewis, Alexandra A

2016-07-01

Weight-related stigma is established as a major psychosocial stressor and correlate of depression among people living with obesity in high-income countries. Anti-fat beliefs are rapidly globalizing. The goal of the study is to (1) examine how weight-related stigma, enacted as teasing, is evident among women from a lower-income country and (2) test if such weight-related stigma contributes to depressive symptoms. Modeling data for 12,074 reproductive-age women collected in the 2008-2009 Guatemala National Maternal-Infant Health Survey, we demonstrate that weight-related teasing is (1) experienced by those both underweight and overweight, and (2) a significant psychosocial stressor. Effects are comparable to other factors known to influence women's depressive risk in lower-income countries, such as living in poverty, experiencing food insecurity, or suffering sexual/domestic violence. That women's failure to meet local body norms-whether they are overweight or underweight-serves as such a strong source of psychological distress is particularly concerning in settings like Guatemala where high levels of over- and under-nutrition intersect at the household and community level. Current obesity-centric models of weight-related stigma, developed from studies in high-income countries, fail to recognize that being underweight may create similar forms of psychosocial distress in low-income countries. Copyright © 2016 Elsevier Ltd. All rights reserved.

El Salvador and Guatemala: Security Sector Reform and Political Party System Effects on Organized Crime

DTIC Science & Technology

2009-06-01

violence_injury_prevention/violence/national_activities/gtm/ en /index.html (accessed December 03, 2008). 2 Overseas Security Advisory Council, "San Salvador, El Salvador... deportation as key causes of crime in both countries. 11 It is commonly noted that, “Guatemala and El Salvador are internationally among the most...activity in both countries provide evidence that U.S. deportation policy may indeed be a major contributor to the increase in gang activity in both El

Exploring Historical Coffee and Climate Relations in Southern Guatemala: An Integration of Tree Ring Analysis and Remote Sensing Data =

NASA Astrophysics Data System (ADS)

Pons, Diego

This dissertation makes use of a physical geography perspective to examine the relationship between agriculture and climate in Guatemala using dendrochronology. I examined the potential of high-resolution climate proxy data from dendrochronology to help fill in the gaps of past climate information to better understand the natural and anthropogenic variability of precipitation which, in turn, can inform Guatemala's agriculture sector. This research has demonstrated successful cross-dating and climate sensitivity of Abies guatemalensis in the Pacific slope of Guatemala. Based on this, I have produced a 124-year record of mean precipitation from June-July-August. The mean precipitation from June-July-August at this site seems to receive an important influence from the sea surface temperature (SST) in the Pacific Ocean in the form of El Nino-Southern Oscillation (ENSO) in the region 3.4. The analysis on the frequency of the precipitation records suggests that single year droughts dominate the record yet, periods of 9 years below-average rainfall can persist. Likewise, single year pluvial events also dominate the evaluated period. The long-term reconstruction of precipitation allowed to describe past relationships between coffee plantations and pests. For instance, the frequency analysis suggests that 4 or more consecutive periods of above-average precipitation are associated with several coffee pests and subsequently great economical losses due to crop failures, including the last coffee leaf rust crisis. This study also presents a streamflow reconstruction of the Upper Samala River watershed using a tree ring-width chronology derived from the Guatemalan fir (Abies guatemalensis) to reconstruct mean August-September-October streamflow volumes for the period 1889-2013. Our analysis shows that strong statistical correlations are present between tree-ring width measurements and monthly natural streamflow series. The mean August-September-October streamflow variability is

Increased incidence and disparity of diagnosis of retinoblastoma patients in Guatemala

PubMed Central

Bendfeldt, Giovana; Lou, Hong; Giron, Veronica; Garrido, Claudia; Valverde, Patricia; Barnoya, Margarita; Castellanos, Mauricio

2014-01-01

Analysis of 327 consecutive cases at a pediatric referral hospital of Guatemala reveals that retinoblastoma accounts for 9.4% of all cancers and the estimated incidence is 7.0 cases/million children, higher than the United States or Europe. The number of familial cases is low, and there is a striking disparity in indigenous children due to late diagnosis, advanced disease, rapid progression and elevated mortality. Nine germline mutations in 18 patients were found; two known and five new mutations. Hypermethylation of RB1 was identified in 13% of the tumors. An early diagnosis program could identify cases at an earlier age and improve outcome of retinoblastoma in this diverse population. PMID:24814393

Search for Tikal: Lost City of the Maya. Fulbright-Hays Summer Seminars Abroad Program, 2000 (Mexico and Guatemala).

ERIC Educational Resources Information Center

Karem, Kenny

This curriculum unit takes the form of historical fiction, an original story for middle school students which revolves around the 16th-century Spanish conquest of Guatemala and the Mayan people. Incorporated into the story are many of the Mayan sites, ruins, geography, culture, legends, historical characters, and cities. The climax is set at the…

Origin, distribution, and potential risk factors associated with influenza A virus in swine in two production systems in Guatemala.

PubMed

Gonzalez-Reiche, Ana S; Ramírez, Ana L; Müller, María L; Orellana, David; Sosa, Silvia M; Ola, Pablo; Paniagua, Jorge; Ortíz, Lucía; Hernandez, Jorge; Cordón-Rosales, Celia; Perez, Daniel R

2017-03-01

Guatemala is the country with the largest swine production in Central America; however, evidence of influenza A virus (IAV) in pigs has not been clearly delineated. In this study, we analyzed the presence and spatial distribution of IAV in commercial and backyard swine populations. Samples from two nationwide surveys conducted in 2010 and 2011 were tested using virological (rRT-PCR and virus isolation) and serological (ELISA and hemagglutination inhibition) assays to detect IAV. Influenza A virus was detected in 15.7% of the sampled pigs (30.6% of herds) in 2010 and in 11.7% (24.2% of herds) in 2011. The percentage of seropositive pigs was 10.6% (16.1% of herds) and 1.4% (3.1% of herds) for each year, respectively. Three pandemic H1N1 and one seasonal human-like H3N2 viruses were isolated. Antibodies against viruses from different genetic clusters were detected. No reassortant strains with swine viruses were detected. The H3N2 virus was closely related to human viruses that circulated in Central America in 2010, distinct to the most recent human seasonal vaccine lineages. Spatial clusters of rRT-PCR positive herds were detected each year by scan statistics. Our results demonstrate circulation of IAV throughout Guatemala and identify commercial farms, animal health status, and age as potential risk factors associated with IAV infection and exposure. Detection of human-origin viruses in pigs suggests a role for humans in the molecular epidemiology of IAV in swine in Guatemala and evidences gaps in local animal and human surveillance. © 2016 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

Barriers to accessing and using contraception in highland Guatemala: the development of a family planning self-efficacy scale

PubMed Central

Richardson, Emma; Allison, Kenneth R; Gesink, Dionne; Berry, Albert

2016-01-01

Understanding the persistent inequalities in the prevalence rates of family planning and unmet need for family planning between indigenous and nonindigenous women in Guatemala requires localized explorations of the specific barriers faced by indigenous women. Based on social cognitive theory, elicitation interviews were carried out with a purposive sample of 16 young women, aged 20–24 years, married or in union, from the rural districts of Patzún, Chimaltenango, Guatemala. Content analysis was carried out using the constant-comparison method to identify the major themes. Based on this qualitative study, the following barriers are incorporated into the development of a self-efficacy scale: lack of knowledge about and availability of methods, fear of side effects and infertility, husbands being against family planning (and related fears of marital problems and abandonment), pressure from in-laws and the community, and the belief that using contraception is a sin. This is the first evidence-informed self-efficacy scale developed with young adult, indigenous women that addresses the issue of family planning in Latin America. PMID:29386939

Incidence and consequences of varicella in children treated for cancer in Guatemala.

PubMed

Brown, Amy E Caruso; Asturias, Edwin J; Melgar, Mario; Antillon-Klussmann, Federico A; Mettler, Pamela; Levin, Myron J

2016-08-01

Varicella-zoster virus infection is associated with significant morbidity and mortality in immune-compromised children, despite treatment with antiviral agents. Universal varicella vaccine programs have significantly decreased this risk in many highincome countries, but in most low-income and middleincome countries, the burden of varicella in children treated for malignancy is poorly defined. We retrospectively reviewed records of children at the National Unit of Pediatric Oncology (UNOP) in Guatemala diagnosed with varicella between January 2009 and March 2013 in order to calculate incidence of varicella and evaluate morbidity, mortality, treatment interruption, and cost. Fifty-nine cases of varicella were identified. Incidence was 23.4 cases per 1000 person-years (p-y). 66.1% of cases occurred in children with leukemia (median age 5.2 years; interquantile range 3.4-7 years) and 41.0% of these occurred during maintenance therapy. Source of exposure was identified for 14/59 (23.7%) children. Most were hospitalized (71.2%) and given intravenous acyclovir (64.4%). Eight (13.6%) children required critical care, and two (3.4%) died from disseminated varicella with multiorgan failure. Chemotherapy was delayed or omitted due to varicella in 50%. No significant differences in outcomes based on nutritional and immunologic status were detected. The minimum average cost of treatment per episode was 598.75 USD. Varicella is a significant problem in children treated for cancer in Guatemala, where effective post-exposure prophylaxis is limited. In the absence of universal varicella vaccination, strategies to improve recognition of exposure and the future use of novel inactivated vaccines currently under investigation in clinical trials could mitigate this burden.

A Home-Based Type 2 Diabetes Self-Management Intervention in Rural Guatemala.

PubMed

Flood, David; Hawkins, Jessica; Rohloff, Peter

2017-08-10

Diabetes self-management education (DSME) is a fundamental element of type 2 diabetes care. Although 75% of adults with diabetes worldwide live in low-income and middle-income countries (LMICs), limited DSME research has been conducted in LMICs. The objective of this study was to evaluate a home-based DSME intervention in rural Guatemala. We conducted a prospective study of a DSME intervention using a quasi-experimental, single-group pretest-posttest design. We enrolled 90 participants in the intervention, which consisted of 6 home visits (May 2014-July 2016) conducted by a diabetes educator using a curriculum culturally and linguistically tailored to rural Mayan populations. Primary outcomes were changes in mean hemoglobin A1c (HbA1c) and mean systolic and diastolic blood pressure at baseline and at 12 months. Secondary outcomes were diabetes knowledge and self-care activities at baseline and intervention completion. HbA1c decreased significantly from baseline to 12 months (absolute mean change, -1.5%; 95% confidence interval [CI], -1.9% to -1.0%; P < .001). Systolic blood pressure also improved significantly at 12 months (-6.2 mm Hg; 95% CI, -10.1 to -2.2 mm Hg; P = .002); changes in diastolic blood pressure were not significant (-1.6 mm Hg; 95% CI, -3.9 to -0.7 mm Hg; P = .17). We also found significant improvements in diabetes knowledge and self-care activities from baseline to intervention completion. DSME interventions can be successfully delivered in a setting with an underresourced health system, high poverty rate, and unique cultural characteristics like Mayan Guatemala. Our findings point to the need for more DSME research in resource-limited settings globally.

Implementation of the national tuberculosis guidelines on culture and drug sensitivity testing in Guatemala, 2013.

PubMed

Samayoa-Peláez, Maritza; Ayala, Nancy; Yadon, Zaida E; Heldal, Einar

2016-01-01

Objective To assess whether the National Tuberculosis Program (NTP) guidelines for culture and drug sensitivity testing (DST) in Guatemala were successfully implemented, particularly in cases of smear-negative pulmonary tuberculosis (TB) or previously treated TB, by documenting notification rates by department (geographic area), disease type and category, and culture and DST results. Methods This was a cross-sectional, operational research study that merged and linked all patients registered by the NTP and the National Reference Laboratory in 2013, eliminating duplicates. The proportions with culture (for new smear negative pulmonary cases) and culture combined with DST (for previously treated patients) were estimated and analyzed by department. Data were analyzed using EpiData Analysis version 2.2. Results There were 3 074 patients registered with TB (all forms), for a case notification rate of 20/100 000 population. Of these, 2 842 had new TB, of which 2 167 (76%) were smear-positive pulmonary TB (PTB), 385 (14%) were smear-negative PTB, and 290 (10%) were extrapulmonary TB. There were 232 (8%) previously treated cases. Case notification rates (all forms) varied by department from 2-68 per 100 000 population, with the highest rates seen in the southwest and northeast part of Guatemala. Of new TB patients, 136 had a culture performed and 55 had DST of which the results were 33 fully sensitive, 9 monoresistant, 3 polyresistant, and 10 multidrug resistant TB (MDR-TB). Only 21 (5%) of new smear-negative PTB patients had cultures. Of 232 previously treated patients, 54 (23%) had a culture and 47 (20%) had DST, of which 29 were fully sensitive, 7 monoresistant, 2 polyresistant, and 9 MDR-TB. Of 22 departments (including the capital), culture and DST was performed in new smear-negative PTB in 7 departments (32%) and in previously treated TB in 13 departments (59%). Conclusions Despite national guidelines, only 5% of smear-negative PTB cases had a culture and only 20% of

Role of Temperature, Humidity and Rainfall on Influenza Transmission in Guatemala, El Salvador and Panama

NASA Technical Reports Server (NTRS)

Soebiyanto, Radina P.; Bonilla, Luis; Jara, Jorge; McCracken, John; Azziz?-Baumgartner, Eduardo; Widdowson, Marc-Alain; Kiang, Richard

2012-01-01

Worldwide, seasonal influenza causes about 500,000 deaths and 5 million severe illnesses per year. The environmental drivers of influenza transmission are poorly understood especially in the tropics. We aimed to identify meteorological factors for influenza transmission in tropical Central America. We gathered laboratory-confirmed influenza case-counts by week from Guatemala City, San Salvador Department (El Salvador) and Panama Province from 2006 to 2010. The average total cases per year were: 390 (Guatemala), 99 (San Salvador) and 129 (Panama). Meteorological factors including daily air temperature, rainfall, relative and absolute humidity (RH, AH) were obtained from ground stations, NASA satellites and land models. For these factors, we computed weekly averages and their deviation from the 5-yr means. We assessed the relationship between the number of influenza case-counts and the meteorological factors, including effects lagged by 1 to 4 weeks, using Poisson regression for each site. Our results showed influenza in San Salvador would increase by 1 case within a week of every 1 day with RH>75% (Relative Risk (RR)= 1.32, p=.001) and every 1C increase in minimum temperature (RR=1.29, p=.007) but it would decrease by 1 case for every 1mm-above mean weekly rainfall (RR=0.93,p<.001) (model pseudo-R2=0.55). Within 2 weeks, influenza in Panama was increased by 1 case for every 1% increase in RH (RR=1.04, p=.003), and it was increased by 2 cases for every 1C increase of minimum temperature (RR=2.01, p<.001) (model pseudo-R2=0.4). Influenza counts in Guatemala had 1 case increase for every 1C increase in minimum temperature in the previous week (RR=1.21, p<.001), and for every 1mm/day-above normal increase of rainfall rate (RR=1.03, p=.03) (model pseudo-R2=0.54). Our findings that cases increase with temperature and humidity differ from some temperate-zone studies. But they indicate that climate parameters such as humidity and temperature could be predictive of influenza

The Effectiveness of Special Corps of Military Reserve for Citizen Security Squadrons (CERSC) in the Department of Guatemala

DTIC Science & Technology

2017-05-23

47 Ibid., 1-16 - 1-18. 48 Department of the Army, ADRP 6-22 (FM 6-22), Army Leadership (Washington, DC: Government Printing Office, 2012), 1-1 – 1-6...Publication (ADRP) 6-22 (FM 6-22), Army Leadership . Washington, DC: Government Printing Office, 2012. Ejército de Guatemala. Manual de Doctrina del Ejército

The prehomosexual male child in three societies: the United States, Guatemala, Brazil.

PubMed

Whitam, F L

1980-04-01

The question raised by this article is: do the several behavioral indicators of male homosexuality, which emerge in childhood, appear cross-culturally, or are they limited to American society? These indicators are interest in toys of the opposite sex, cross-dressing, preference for girls' games and activities, preference for the company of women, being regarded as a sissy, and preference for boys in childhood sex play. Data on indicators were obtained from male homosexuals in three societies--the United States, Guatemala, and Brazil--and compared with responses of heterosexuals. It is concluded that the behavioral indicators do occur in these three societies and occur at about the same rate.

New species of Gymnocarena Hering (Diptera: Tephritidae) from Eastern North America and Guatemala, and the redescription of G. mississippiensis Norrbom

USDA-ARS?s Scientific Manuscript database

We describe three new species of fruit flies (Tephritidae: Tephritinae), Gymnocarena defoei sp. n. and G. norrbomi sp. n., from eastern North America and G. monzoni sp. n. from Guatemala, and redescribe G. mississippiensis Norrbom. Gymnocarena monzoni is the first species to be recorded from Guatema...

Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala

PubMed Central

Flood, David; Mux, Sandy; Martinez, Boris; García, Pablo; Douglas, Kate; Goldberg, Vera; Lopez, Waleska

2016-01-01

Background The burden of chronic, non-communicable diseases such as diabetes is growing rapidly in low- and middle-income countries. Implementing management programs for diabetes and other chronic diseases for underserved populations is thus a critical global health priority. However, there is a notable dearth of shared programmatic and outcomes data from diabetes treatment programs in these settings. Program Description We describe our experiences as a non-governmental organization designing and implementing a type 2 diabetes program serving Maya indigenous people in rural Guatemala. We detail the practical challenges and solutions we have developed to build and sustain diabetes programming in this setting. Methods We conduct a retrospective chart review from our electronic medical record to evaluate our program’s performance. We generate a cohort profile, assess cross-sectional indicators using a framework adapted from the literature, and report on clinical longitudinal outcomes. Results A total of 142 patients were identified for the chart review. The cohort showed a decrease in hemoglobin A1C from a mean of 9.2% to 8.1% over an average of 2.1 years of follow-up (p <0.001). The proportions of patients meeting glycemic targets were 53% for hemoglobin A1C < 8% and 32% for the stricter target of hemoglobin A1C < 7%. Conclusion We first offer programmatic experiences to address a gap in resources relating to the practical issues of designing and implementing global diabetes management interventions. We then present clinical data suggesting that favorable diabetes outcomes can be attained in poor areas of rural Guatemala. PMID:27583362

Implementation and Outcomes of a Comprehensive Type 2 Diabetes Program in Rural Guatemala.

PubMed

Flood, David; Mux, Sandy; Martinez, Boris; García, Pablo; Douglas, Kate; Goldberg, Vera; Lopez, Waleska; Rohloff, Peter

2016-01-01

The burden of chronic, non-communicable diseases such as diabetes is growing rapidly in low- and middle-income countries. Implementing management programs for diabetes and other chronic diseases for underserved populations is thus a critical global health priority. However, there is a notable dearth of shared programmatic and outcomes data from diabetes treatment programs in these settings. We describe our experiences as a non-governmental organization designing and implementing a type 2 diabetes program serving Maya indigenous people in rural Guatemala. We detail the practical challenges and solutions we have developed to build and sustain diabetes programming in this setting. We conduct a retrospective chart review from our electronic medical record to evaluate our program's performance. We generate a cohort profile, assess cross-sectional indicators using a framework adapted from the literature, and report on clinical longitudinal outcomes. A total of 142 patients were identified for the chart review. The cohort showed a decrease in hemoglobin A1C from a mean of 9.2% to 8.1% over an average of 2.1 years of follow-up (p <0.001). The proportions of patients meeting glycemic targets were 53% for hemoglobin A1C < 8% and 32% for the stricter target of hemoglobin A1C < 7%. We first offer programmatic experiences to address a gap in resources relating to the practical issues of designing and implementing global diabetes management interventions. We then present clinical data suggesting that favorable diabetes outcomes can be attained in poor areas of rural Guatemala.

Understanding Social and Sexual Networks of Sexual Minority Men and Transgender Women in Guatemala City to Improve HIV Prevention Efforts

PubMed Central

Tucker, C.; Arandi, C. Galindo; Bolaños, J. Herbert; Paz-Bailey, G.; Barrington, C.

2015-01-01

Sexual minority men and transgender women are disproportionately affected by HIV in Guatemala. Innovative prevention strategies are urgently needed to address these disparities. While social network approaches are frequently used to reach sexual minorities, little is known about the unique network characteristics among sub-groups. We conducted in-depth qualitative interviews with 13 gay-identifying men, eight non-gay-identifying men who have sex with men (MSM) and eight transgender women in Guatemala City. Using narrative and thematic coding procedures, we identified distinct patterns in the size, composition, and overlap between social and sexual networks across groups. Gay-identifying men had the largest, most supportive social networks, predominantly comprising family. For both non-gay-identifying MSM and transgender women, friends and sex clients provided more support. Transgender women reported the smallest social networks, least social support, and the most discrimination. HIV prevention efforts should be tailored to the specific sexual minority population and engage with strong ties. PMID:25418236

Understanding social and sexual networks of sexual minority men and transgender women in Guatemala city to improve HIV prevention efforts.

PubMed

Tucker, C; Arandi, C Galindo; Bolaños, J Herbert; Paz-Bailey, G; Barrington, C

2014-11-01

Sexual minority men and transgender women are disproportionately affected by HIV in Guatemala. Innovative prevention strategies are urgently needed to address these disparities. While social network approaches are frequently used to reach sexual minorities, little is known about the unique network characteristics among sub-groups. We conducted in-depth qualitative interviews with 13 gay-identifying men, eight non-gay-identifying men who have sex with men (MSM) and eight transgender women in Guatemala City. Using narrative and thematic coding procedures, we identified distinct patterns in the size, composition, and overlap between social and sexual networks across groups. Gay-identifying men had the largest, most supportive social networks, predominantly comprising family. For both non-gay-identifying MSM and transgender women, friends and sex clients provided more support. Transgender women reported the smallest social networks, least social support, and the most discrimination. HIV prevention efforts should be tailored to the specific sexual minority population and engage with strong ties.

HIV Diagnosis, Linkage to Care, and Retention among Men Who Have Sex with Men and Transgender Women in Guatemala City

PubMed Central

Barrington, Clare; Knudston, Kelly; Bailey, Olga Alicia Paz; Aguilar, Jose Manuel; Loya-Montiel, Marilu Itzel; Morales-Miranda, Sonia

2017-01-01

Men who have sex with men (MSM) and transgender women are disproportionately affected by HIV in Guatemala, yet little is known about their experiences with diagnosis, linkage to care, and retention. We conducted qualitative interviews with 26 MSM and transgender women living with HIV in Guatemala City. HIV diagnosis experiences changed over time with increasing asymptomatic testing at non-governmental organizations. Fear of the physical and social impacts of HIV delayed testing, acceptance of diagnosis, and linkage to HIV care. These fears were driven by layered stigma and discrimination due to non-normative gender expressions and/or sexual orientation. Retention-specific determinants included HIV clinic dynamics and limited employment opportunities. There is an urgent need to improve support systems for early testing and linkage to care and to expand employment opportunities. Stigma and discrimination must be addressed at the family, clinic and contextual levels to reduce fear of diagnosis and improve access to care. PMID:27818436

Vector Blood Meals Are an Early Indicator of the Effectiveness of the Ecohealth Approach in Halting Chagas Transmission in Guatemala

PubMed Central

Pellecer, Mariele J.; Dorn, Patricia L.; Bustamante, Dulce M.; Rodas, Antonieta; Monroy, M. Carlota

2013-01-01

A novel method using vector blood meal sources to assess the impact of control efforts on the risk of transmission of Chagas disease was tested in the village of El Tule, Jutiapa, Guatemala. Control used Ecohealth interventions, where villagers ameliorated the factors identified as most important for transmission. First, after an initial insecticide application, house walls were plastered. Later, bedroom floors were improved and domestic animals were moved outdoors. Only vector blood meal sources revealed the success of the first interventions: human blood meals declined from 38% to 3% after insecticide application and wall plastering. Following all interventions both vector blood meal sources and entomological indices revealed the reduction in transmission risk. These results indicate that vector blood meals may reveal effects of control efforts early on, effects that may not be apparent using traditional entomological indices, and provide further support for the Ecohealth approach to Chagas control in Guatemala. PMID:23382165

Volcano hazards at Fuego and Acatenango, Guatemala

USGS Publications Warehouse

Vallance, J.W.; Schilling, S.P.; Matías, O.; Rose, William I.; Howell, M.M.

2001-01-01

The Fuego-Acatenango massif comprises a string of five or more volcanic vents along a north-south trend that is perpendicular to that of the Central American arc in Guatemala. From north to south known centers of volcanism are Ancient Acatenango, Yepocapa, Pico Mayor de Acatenango, Meseta, and Fuego. Volcanism along the trend stretches back more than 200,000 years. Although many of the centers have been active contemporaneously, there is a general sequence of younger volcanism, from north to south along the trend. This massive volcano complex towers more than 3500 meters (m) above the Pacific coastal plain to the south and 2000 m above the Guatemalan Highlands to the north. The volcano complex comprises remnants of multiple eruptive centers, which periodically have collapsed to form huge debris avalanches. The largest of these avalanches extended more than 50 kilometers (km) from its source and covered more than 300 square km. The volcano has potential to produce huge debris avalanches that could inundate large areas of the Pacific coastal plain. In areas around the volcanoes and downslope toward the coastal plain, more than 100,000 people are potentially at risk from these and other flowage phenomena.

Evidence of Intercontinental Spread and Uncommon Variants of Low-Pathogenicity Avian Influenza Viruses in Ducks Overwintering in Guatemala

PubMed Central

Gonzalez-Reiche, Ana S.; Nelson, Martha I.; Angel, Mathew; Müller, Maria L.; Ortiz, Lucia; Dutta, Jayeeta; van Bakel, Harm

2017-01-01

ABSTRACT Over a hundred species of aquatic birds overwinter in Central America’s wetlands, providing opportunities for the transmission of influenza A viruses (IAVs). To date, limited IAV surveillance in Central America hinders our understanding of the evolution and ecology of IAVs in migratory hosts within the Western Hemisphere. To address this gap, we sequenced the genomes of 68 virus isolates obtained from ducks overwintering along Guatemala’s Pacific Coast during 2010 to 2013. High genetic diversity was observed, including 9 hemagglutinin (HA) subtypes, 7 neuraminidase (NA) subtypes, and multiple avian IAV lineages that have been detected at low levels (<1%) in North America. An unusually large number of viruses with the rare H14 subtype were identified (n = 14) over two consecutive seasons, the highest number of H14 viruses ever reported in a single location, providing evidence for a possible H14 source population located outside routinely sampled regions of North America. Viruses from Guatemala were positioned within minor clades divergent from the main North American lineage on phylogenies inferred for the H3, H4, N2, N8, PA, NP, and NS segments. A time-scaled phylogeny indicates that a Eurasian virus PA segment introduced into the Americas in the early 2000s disseminated to Guatemala during ~2007.1 to 2010.4 (95% highest posterior density [HPD]). Overall, the diversity detected in Guatemala in overwintering ducks highlights the potential role of Central America in the evolution of diverse IAV lineages in the Americas, including divergent variants rarely detected in the United States, and the importance of increasing IAV surveillance throughout Central America. IMPORTANCE Recent outbreaks of highly pathogenic H7N3, H5Nx, and H7N8 avian influenza viruses in North America were introduced by migratory birds, underscoring the importance of understanding how wild birds contribute to the dissemination and evolution of IAVs in nature. At least four of the main

Scale-Up, Retention and HIV/STI Prevalence Trends among Female Sex Workers Attending VICITS Clinics in Guatemala

PubMed Central

Morales-Miranda, Sonia; Jacobson, Jerry O.; Loya-Montiel, Itzel; Mendizabal-Burastero, Ricardo; Galindo-Arandi, César; Flores, Carlos; Chen, Sanny Y.

2014-01-01

Background Since 2007, Guatemala integrated STI clinical service with an HIV prevention model into four existing public health clinics to prevent HIV infection, known as the VICITS strategy. We present the first assessment of VICITS scale-up, retention, HIV and STI prevalence trends, and risk factors associated with HIV infection among Female Sex Workers (FSW) attending VICITS clinics in Guatemala. Methods Demographic, behavioral and clinical data were collected using a standardized form. Data was analyzed by year and health center. HIV and STI prevalence were estimated from routine visits. Retention was estimated as the percent of new users attending VICITS clinics who returned for at least one follow-up visit to any VICITS clinic within 12 months. Separate multivariate logistic regression models were conducted to investigate factors associated with HIV infection and program retention. Results During 2007–2011 5,682 FSW visited a VICITS clinic for the first-time. HIV prevalence varied from 0.4% to 5.8%, and chlamydia prevalence from 0% to 14.3%, across sites. Attending the Puerto Barrios clinic, having a current syphilis infection, working primarily on the street, and using the telephone or internet to contact clients were associated with HIV infection. The number of FSW accessing VICITS annually increased from 556 to 2,557 (361%) during the period. In 2011 retention varied across locations from 7.7% to 42.7%. Factors negatively impacting retention included current HIV diagnosis, having practiced sex work in another country, being born in Honduras, and attending Marco Antonio Foundation or Quetzaltenango clinic sites. Systematic time trends did not emerge, however 2008 and 2010 were characterized by reduced retention. Conclusions Our data show local differences in HIV prevalence and clinic attendance that can be used to prioritize prevention activities targeting FSW in Guatemala. VICITS achieved rapid scale-up; however, a better understanding of the causes of

Persistent institutional difficulties in surgery for transposition of the great arteries in guatemala: analysis with the aristotle basic and comprehensive scores.

PubMed

Leon-Wyss, Juan; Lo Rito, Mauro; Barnoya, Joaquin; Castañeda, Aldo R

2011-07-01

Background. Neonates with complex congenital cardiac lesions are largely inadequately managed in Guatemala. Methods. Between 1997 and 2009, 79 patients who underwent operations for transposition of the great arteries were identified; 51 (63.3%) had an arterial switch operation (ASO) and 28 (36%) an atrial switch operation (ATSO). The Aristotle Basic Complexity score (ABC score) and the Aristotle Comprehensive Complexity score (ACC score) have been used to aid in the evaluation of quality of care associated with pediatric cardiac surgery by adjusting for operative complexity. Results. In-hospital mortality was 47% for the ASO and 25% for the ATSO group; 36.7% were beyond 1 month of age and many exhibited increased preoperative risk factors. The mean ABC score was 9.75 ± 0.89 and the ACC score was 12.12 ± 2.7, with a mean 2.36-point increase (P < .05). Comparing survivors and nonsurvivors with both scores, significant differences were identified (ABC: P < .04 and ACC: P < .02). Conclusion. During this 13-year period, a low volume of surgery for transposition of the great arteries (TGA) was performed at our institution with a relatively high surgical mortality. Many patients with TGA in Guatemala are either never referred for surgery or referred late. Strategies to improve outcomes for neonates with TGA in Guatemala must include increases in early diagnosis countrywide and prompt referral to our unit. Based on the larger number of neonates with TGA that would be referred to our center, we anticipate that this strategy should substantially improve surgical outcomes and favor overall team-related skills.

Effectiveness of the Ty-3 Introgression for Conferring Resistance in Recombinant Inbred Lines of Tomato to Bipartite Begomoviruses in Guatemala

USDA-ARS?s Scientific Manuscript database

Management of begomovirus-incited diseases on tomatoes in Guatemala continues to be a challenge and there continues to be a need to better understand the genetics of resistance to begomoviruses. In this study, the resistant line, Gh13, was crossed with the susceptible line, HUJ-VF, that lacked the ...

The influence of Mayan education on middle school students in Guatemala.

PubMed

Falbo, Toni; de Baessa, Yetilú

2006-10-01

The purpose of this study was to examine the influence of Mayan education on the academic achievement of Indian and Ladino middle school students (N = 353) in Guatemala. This study also examined changes in ethnic identity achievement and the effects of changes in ethnic identity achievement on gains in self-esteem and other-group attitudes. Superior gains in academic skills for both Ladino and Indian students attending Mayan schools were found. The results also suggested that those students who increased their ethnic identity scores during their first year of middle school also increased their other-group attitudes. These results are discussed in terms of the benefits of Mayan education and ethnic identity achievement for both Indian and Ladino students. (c) 2006 APA, all rights reserved.

A Home-Based Type 2 Diabetes Self-Management Intervention in Rural Guatemala

PubMed Central

Flood, David; Hawkins, Jessica

2017-01-01

Introduction Diabetes self-management education (DSME) is a fundamental element of type 2 diabetes care. Although 75% of adults with diabetes worldwide live in low-income and middle-income countries (LMICs), limited DSME research has been conducted in LMICs. The objective of this study was to evaluate a home-based DSME intervention in rural Guatemala. Methods We conducted a prospective study of a DSME intervention using a quasi-experimental, single-group pretest–posttest design. We enrolled 90 participants in the intervention, which consisted of 6 home visits (May 2014–July 2016) conducted by a diabetes educator using a curriculum culturally and linguistically tailored to rural Mayan populations. Primary outcomes were changes in mean hemoglobin A1c (HbA1c) and mean systolic and diastolic blood pressure at baseline and at 12 months. Secondary outcomes were diabetes knowledge and self-care activities at baseline and intervention completion. Results HbA1c decreased significantly from baseline to 12 months (absolute mean change, −1.5%; 95% confidence interval [CI], −1.9% to −1.0%; P < .001). Systolic blood pressure also improved significantly at 12 months (−6.2 mm Hg; 95% CI, −10.1 to −2.2 mm Hg; P = .002); changes in diastolic blood pressure were not significant (−1.6 mm Hg; 95% CI, −3.9 to −0.7 mm Hg; P = .17). We also found significant improvements in diabetes knowledge and self-care activities from baseline to intervention completion. Conclusion DSME interventions can be successfully delivered in a setting with an underresourced health system, high poverty rate, and unique cultural characteristics like Mayan Guatemala. Our findings point to the need for more DSME research in resource-limited settings globally. PMID:28796597

Learning the Colonial Past in a Colonial Present: Students and Teachers Confront the Spanish Conquest in Post-Conflict Guatemala

ERIC Educational Resources Information Center

Dougherty, Deirdre M.; Rubin, Beth C.

2016-01-01

In Guatemala, three centuries after Spanish conquest and in the wake of more than three decades of internal conflict, the framers of the 1996 Accord for a Firm and Lasting Peace placed educational reform at the center of efforts to make peace with this contentious past. This article, based on a multisite qualitative study, describes how Guatemalan…

First, do no harm: the US sexually transmitted disease experiments in Guatemala.

PubMed

Rodriguez, Michael A; García, Robert

2013-12-01

Beginning in 1946, the United States government immorally and unethically-and, arguably, illegally-engaged in research experiments in which more than 5000 uninformed and unconsenting Guatemalan people were intentionally infected with bacteria that cause sexually transmitted diseases. Many have been left untreated to the present day. Although US President Barack Obama apologized in 2010, and although the US Presidential Commission for the Study of Bioethical Issues found the Guatemalan experiments morally wrong, little if anything has been done to compensate the victims and their families. We explore the backdrop for this unethical medical research and violation of human rights and call for steps the United States should take to provide relief and compensation to Guatemala and its people.

[Women of Guatemala City: facilitating AIDS prevention in a vulnerable group].

PubMed

Hirschmann, A; Arathoon, E; Lundgren, R; Bezmalinovic, B

1992-01-01

Despite the mistaken belief in Central America that AIDS is primarily a disease of male homosexuals, some 21% of reported cases in Guatemala have been women 15-44 years old. Many Guatemalan women are at risk of AIDS and other sexually transmitted diseases (STDs) because of their lack of sexual bargaining power and negotiating skills, the widespread acceptance of male infidelity in marriage, tolerance of bisexual relations and frequenting of prostitutes, and ignorance of women about sexuality. Condom use is infrequent in Guatemala. Most men and women lack knowledge of AIDS and other STDs and have no perception of their own vulnerability. Male alcohol use and violence against women diminishes the ability of women to protect themselves. Sex education and information about STDs should be provided for both men and women to slow the spread of AIDS. AIDS educators should direct their messages to women toward promoting condom use, increasing knowledge of AIDS and STDs, providing basic sex education, questioning stereotypes of AIDS patients as persons with disordered lifestyles, encouraging realistic assessment of risks, and assisting women to increase their negotiating ability in sexual relations. Three crucial ways of helping women protect themselves are by making them aware of the influence of gender roles in their reproductive lives, teaching them communication and negotiating skills, and providing strategies for them to confront alcohol abuse and gender violence. Survey results indicate that Guatemalan women were extremely motivated to protect their children and secondarily to maintain their homes and be good wives. Motivational messages for AIDS prevention should be related to children and the family. Men were found to be concerned about their families as well and to fear the stigma of HIV infection. Educational techniques for AIDS prevention should be accessible to the illiterate and should focus on life stories or similar methods that make AIDS seem less abstract to

The process of social participation in primary health care: the case of Palencia, Guatemala

PubMed Central

Ruano, Ana L.; Sebastián, Miguel S.; Hurtig, Anna‐Karin

2014-01-01

Abstract Background  In 2008, the World Health Organization issued a callback to the principles of primary health care, which renewed interests in social participation in health. In Guatemala, social participation has been the main policy for the decentralization process since the late 1990s and the social development council scheme has been the main means for participation for the country’s population since 2002. Aim  The aim of this study was to explore the process of social participation at a municipal‐level health commission in the municipality of Palencia, Guatemala. Methods  Analysis of legal and policy documents and in‐depth interviews with institutional and community‐level stakeholders of the commission. Results  The lack of clear guidelines and regulations means that the stakeholders own motivations, agendas and power resources play an important part in defining the roles of the participants. Institutional stakeholders have the human and financial power to make policies. The community‐level stakeholders are token participants with little power resources. Their main role is to identify the needs of their communities and seek help from the authorities. Satisfaction and the perceived benefits that the stakeholders obtain from the process play an important part in maintaining the commission’s dynamic, which is unlikely to change unless the stakeholders perceive that the benefit they obtain does not outweigh the effort their role entails. Conclusion  Without more uniformed mechanisms and incentives for municipalities to work towards the national goal of equitable involvement in the development process, the achievements will be fragmented and will depend on the individual stakeholder’s good will. PMID:21902774

Biological and Cultural Control of Olive Fruit Fly in California---Utilization of Parasitoids from USDA-APHIS-PPQ, Guatemala and Cultural Control Methods

USDA-ARS?s Scientific Manuscript database

The parasitoid Psytallia humilis = P. cf. concolor (Szépligeti) was reared on sterile Mediterranean fruit fly, Ceratitis capitata (Wiedemann), larvae at the USDA, APHIS, PPQ, Moscamed biological control laboratory in San Miguel Petapa, Guatemala and shipped to the USDA, ARS, Parlier, for biological ...

Prevalence and Diversity of Low Pathogenicity Avian Influenza Viruses in Wild Birds in Guatemala, 2010-2013.

PubMed

Gonzalez-Reiche, Ana S; Müller, Maria L; Ortiz, Lucía; Cordón-Rosales, Celia; Perez, Daniel R

2016-05-01

Waterfowl species are known to harbor the greatest diversity of low pathogenicity influenza A virus (LPAIV) subtypes and are recognized as their main natural reservoir. In Guatemala there is evidence of circulation of LPAIV in wild ducks; however, the bird species contributing to viral diversity during the winter migration in Central America are unknown. In this study, samples obtained from 1250 hunter-killed birds from 22 different species were collected on the Pacific coast of Guatemala during three winter migration seasons between 2010 and 2013. Prevalence of LPAIV detected by real-time reverse-transcriptase polymerase chain reaction was 38.2%, 23.5%, and 24.7% in the 2010-11, 2011-12, and 2012-13 seasons, respectively. The highest virus prevalence was detected in the northern shoveler (Anas clypeata), followed by the blue-winged teal (Anas discors). The majority of positive samples and viral isolates were obtained from the blue-winged teal. Analysis of LPAIV prevalence over time in this species indicated a decreasing trend in monthly prevalence within a migration season. Sixty-eight viruses were isolated, and nine HA and seven NA subtypes were identified in 19 subtype combinations. In 2012-13 the most prevalent subtype was H14, a subtype identified for the first time in the Western Hemisphere in 2010. The results from this study represent the most detailed description available to date of LPAIV circulation in Central America.

Improving access to services and interactions with clients in Guatemala: the value of distance learning.

PubMed

Brambila, Carlos; Lopez, Felipe; Garcia-Colindres, Julio; Donis, Marco Vinicio

2005-04-01

To develop and test a distance-learning programme to improve the quality and efficiency of family planning services in Guatemala. The setting was rural family planning services in Guatemala. The study design was quasi-experimental with one intervention and one control group and with pre- and post-intervention measures. Two staff members from each of 20 randomly selected health districts were trained as leaders of the training programme. In turn, the 40 trainers trained a total of 240 service providers, under the supervision of four health area facilitators. The results were compared with 20 randomly selected control health districts. The intervention was a distance-learning programme including 40 in-class hours followed by 120 inservice practice hours spread over a 4-month period. Distinctively, the programme used a cascade approach to training, intensive supervision, and close monitoring and evaluation. Patient flow analysis was used to determine number of contacts, waiting times, and the interaction time between service providers and clients. Consultation observations were used to assess the quality and completeness of reproductive health information and services received by clients. The intervention showed a positive impact on reducing the number of contacts before the consultation and client waiting times. More complete services and better quality services were provided at intervention clinics. Some, but not all, of the study objectives were attained. The long-term impact of the intervention is as yet unknown. Distance-learning programmes are an effective methodology for training health professionals in rural areas.

Impact of Teachers' Practices on Students' Reading Comprehension Growth in Guatemala.

PubMed

Rubio, Fernando; de Véliz, Leslie Rosales; Mosquera, María Cristina Perdomo; López, Ventura Salanic

2017-03-01

This article discusses an educational intervention, with a strong emphasis on reading development in a bilingual context, in the Western Highlands of Guatemala (WH), a highly disadvantaged region, where the majority of the population is of Mayan origin and primary education is poor. The majority of the students in the Western Highlands speak a Mayan language as their mother tongue, yet they are generally taught in Spanish. We assisted in the development and implementation of a bilingual/intercultural education model including teacher training at the university level and bilingual materials development. Implementation included education for administrators and teacher coaching. For this intervention, aimed at improving reading outcomes, we report data for the first 3 years of implementation, and offer insights for system-wide interventions in low-resource areas. © 2017 Wiley Periodicals, Inc.

Microbiological effectiveness of disinfecting water by boiling in rural Guatemala.

PubMed

Rosa, Ghislaine; Miller, Laura; Clasen, Thomas

2010-03-01

Boiling is the most common means of treating water in the home and the benchmark against which alternative point-of-use water treatment options must be compared. In a 5-week study in rural Guatemala among 45 households who claimed they always or almost always boiled their drinking water, boiling was associated with a 86.2% reduction in geometric mean thermotolerant coliforms (TTC) (N = 206, P < 0.0001). Despite consistent levels of fecal contamination in source water, 71.2% of stored water samples from self-reported boilers met the World Health Organization guidelines for safe drinking water (0 TTC/100 mL), and 10.7% fell within the commonly accepted low-risk category of (1-10 TTC/100 mL). As actually practiced in the study community, boiling significantly improved the microbiological quality of drinking water, though boiled and stored drinking water is not always free of fecal contaminations.

A cross-sectional study of risk factors for HIV among pregnant women in Guatemala City, Guatemala: lessons for prevention.

PubMed

Johri, M; Morales, R E; Hoch, J S; Samayoa, B E; Sommen, C; Grazioso, C F; Boivin, J-F; Barrios Matta, I J; Baide Diaz, E L; Arathoon, E G

2010-12-01

Although the Central American HIV epidemic is concentrated in high-risk groups, HIV incidence is increasing in young women. From 2005 to 2007, we conducted a cross-sectional study of pregnant women in a large public hospital and an HIV clinic in Guatemala City to describe risk factors for HIV infection and inform prevention strategies. For 4629 consenting patients, HIV status was laboratory-confirmed and participant characteristics were assessed by interviewer-administered questionnaires. Lifetime number of sexual partners ranged from 1 to 99, with a median (interquartile range) of 1 (1, 2). 2.6% (120) reported exchanging sex for benefits; 0.1% (3) were sex workers, 2.3% (106) had used illegal drugs, 31.1% (1421) planned their pregnancy and 31.8% (1455) experienced abuse. In logistic regression analyses, HIV status was predicted by one variable describing women's behaviour (lifetime sexual partners) and three variables describing partner risks (partner HIV+, migrant worker or suspected unfaithful). Women in our sample exhibited few behavioural risks for HIV but significant vulnerability via partner behaviours. To stem feminization of the epidemic, health authorities should complement existing prevention interventions in high-risk populations with directed efforts towards bridging populations such as migrant workers. We identify four locally adapted HIV prevention strategies.

First, Do No Harm: The US Sexually Transmitted Disease Experiments in Guatemala

PubMed Central

García, Robert

2013-01-01

Beginning in 1946, the United States government immorally and unethically—and, arguably, illegally—engaged in research experiments in which more than 5000 uninformed and unconsenting Guatemalan people were intentionally infected with bacteria that cause sexually transmitted diseases. Many have been left untreated to the present day. Although US President Barack Obama apologized in 2010, and although the US Presidential Commission for the Study of Bioethical Issues found the Guatemalan experiments morally wrong, little if anything has been done to compensate the victims and their families. We explore the backdrop for this unethical medical research and violation of human rights and call for steps the United States should take to provide relief and compensation to Guatemala and its people. PMID:24134370

Governmental regulation and nongovernmental certification of forests in the tropics: policy, execution, uptake, and overlap in Costa Rica, Guatemala, and Nicaragua

Treesearch

Kathleen McGinley; F.W. Cubbage

2011-01-01

We analyzed how and why governmental forest regulation and nongovernmental forest certification in Costa Rica, Guatemala, and Nicaragua and their execution lead to, or fail to produce desired changes in forest owner and user behavior toward the enhanced sustainability of tropical forests. The findings confirmed not only that sufficient resources and capacity for...

Tectonic Structure of the Middle America Pacific Margin and Incoming Cocos Plate From Costa Rica to Guatemala

NASA Astrophysics Data System (ADS)

Ranero, C. R.; Weinrebe, W.; Grevemeyer, I.; Phipps Morgan, J.; Vannucchi, P.; von Huene, R.

2003-12-01

A new multibeam bathymetry and magnetic survey with R/V SONNE in summer 2003 has mapped the continental margin and incoming plate of NW Nicaragua, El Salvador and Guatemala, extending existing coverage from offshore Costa Rica and part of Nicaragua to a full coverage map of about 1200 km long by 100 km wide area along the plate boundary. The incoming plate along Nicaragua, El Salvador and Guatemala is of similar age and was formed at superfast spreading rates; however, its morphology changes drastically along strike. The seafloor-spreading inherited morphology is very smooth along Nicaragua, but with ridges up to 800 m high in Guatemala, with a transition across El Salvador. The development and dimensions of the dominant inherited fabric seems to be related to discontinuities at the paleospreading center. A series of troughs oblique to the main fabric may indicate the location of pseudofaults and correspond to areas where the seafloor fabric is most prominent. Bending of the oceanic plate into the trench reactivates the inherited fabric forming a well pervasive faulting system along the oceanic trench slope. The continental slope displays three morphotectonic units that roughly correspond to the upper, middle and lower slope, although the across slope width of each unit is fairly variable. Small canyons and gullies that form at the sudden dip change across the shelf break carve the upper slope. The canyons coalesce and become shallower as the dip decreases downslope. Locally some large canyons continue into the slope toe. The middle slope is a rough terrain variable in width and dip sculptured by pervasive normal faulting and locally by mass wasting processes. The lower slope is formed by en echelon terraces striking similar to the rough terrain of the incoming plate and mimicking the half graben morphology of the underthusting plate. The three morphotectonic slope domains represent differences in tectonic activity, with more stable upper slope, a middle slope

Determining gestational age and preterm birth in rural Guatemala: A comparison of methods.

PubMed

Weinstein, John R; Thompson, Lisa M; Díaz Artiga, Anaité; Bryan, Joe P; Arriaga, William E; Omer, Saad B; McCracken, John P

2018-01-01

Preterm birth is the leading cause of death among children <5 years of age. Accurate determination of prematurity is necessary to provide appropriate neonatal care and guide preventive measures. To estimate the most accurate method to identify infants at risk for adverse outcomes, we assessed the validity of two widely available methods-last menstrual period (LMP) and the New Ballard (NB) neonatal assessment-against ultrasound in determining gestational age and preterm birth in highland Guatemala. Pregnant women (n = 188) were recruited with a gestational age <20 weeks and followed until delivery. Ultrasound was performed by trained physicians and LMP was collected during recruitment. NB was performed on infants within 96 hours of birth by trained study nurses. LMP and NB accuracy at determining gestational age and identifying prematurity was assessed by comparing them to ultrasound. By ultrasound, infant mean gestational age at birth was 38.3 weeks (SD = 1.6) with 16% born at less than 37 gestation. LMP was more accurate than NB (mean difference of +0.13 weeks for LMP and +0.61 weeks for NB). However, LMP and NB estimates had low agreement with ultrasound-determined gestational age (Lin's concordance<0.48 for both methods) and preterm birth (κ<0.29 for both methods). By LMP, 18% were judged premature compared with 6% by NB. LMP underestimated gestational age among women presenting later to prenatal care (0.18 weeks for each additional week). Gestational age for preterm infants was overestimated by nearly one week using LMP and nearly two weeks using NB. New Ballard neuromuscular measurements were more predictive of preterm birth than those measuring physical criteria. In an indigenous population in highland Guatemala, LMP overestimated prematurity by 2% and NB underestimated prematurity by 10% compared with ultrasound estimates. New, simple and accurate methods are needed to identify preterm birth in resource-limited settings worldwide.

Geodetic slip solutions for the Mw = 7.4 Champerico (Guatemala) earthquake of 2012 November 7 and its postseismic deformation

NASA Astrophysics Data System (ADS)

Ellis, Andria P.; DeMets, Charles; Briole, Pierre; Molina, Enrique; Flores, Omar; Rivera, Jeffrey; Lasserre, Cécile; Lyon-Caen, Hélène; Lord, Neal

2015-05-01

As the first large subduction thrust earthquake off the coast of western Guatemala in the past several decades, the 2012 November 7 Mw = 7.4 earthquake offers the first opportunity to study coseismic and postseismic behaviour along a segment of the Middle America trench where frictional coupling makes a transition from weak coupling off the coast of El Salvador to strong coupling in southern Mexico. We use measurements at 19 continuous GPS sites in Guatemala, El Salvador and Mexico to estimate the coseismic slip and postseismic deformation of the November 2012 Champerico (Guatemala) earthquake. An inversion of the coseismic offsets, which range up to ˜47 mm at the surface near the epicentre, indicates that up to ˜2 m of coseismic slip occurred on a ˜30 × 30 km rupture area between ˜10 and 30 km depth, which is near the global CMT centroid. The geodetic moment of 13 × 1019 N m and corresponding magnitude of 7.4 both agree well with independent seismological estimates. Transient postseismic deformation that was recorded at 11 GPS sites is attributable to a combination of fault afterslip and viscoelastic flow in the lower crust and/or mantle. Modelling of the viscoelastic deformation suggests that it constituted no more than ˜30 per cent of the short-term postseismic deformation. GPS observations that extend six months after the earthquake are well fit by a model in which most afterslip occurred at the same depth or directly downdip from the rupture zone and released energy equivalent to no more than ˜20 per cent of the coseismic moment. An independent seismological slip solution that features more highly concentrated coseismic slip than our own fits the GPS offsets well if its slip centroid is translated ˜50 km to the west to a position close to our slip centroid. The geodetic and seismologic slip solutions thus suggest bounds of 2-7 m for the peak slip along a region of the interface no larger than 30 × 30 km.

Unraveling the history of complex zoned garnets from the North Motagua Mélange (Guatemala)

NASA Astrophysics Data System (ADS)

Barickman, M. H.; Martin, C.; Flores, K. E.; Harlow, G. E.; Bonnet, G.

2016-12-01

The Guatemala Suture Zone (GSZ) is situated in central Guatemala, between the North American and Caribbean plates. Two serpentinite mélanges straddle the Motagua Fault system: the North Motagua Mélange (NMM) and the South Motagua Mélange (SMM). In this study, chemically zoned garnet grains from four eclogite blocks from the NMM were analyzed by EMPA for major elements and LA-ICP-MS for trace elements to unravel the geological history of the eclogites. These eclogites typically consist of euhedral to subhedral garnets, partly retrogressed omphacite grains, and accessory minerals such as phengite and epidote as inclusions in garnet. EBSD was employed to examine apparent garnet inclusions in garnet. The garnet grains in NMM eclogites display complex chemical zonations: all grains roughly show a spessartine-rich core, an almandine-rich core and/or intermediate zone, and a pyrope and grossular-rich rim. Additionally, crystal resorption can be observed between the different zones, and the pyrope-grossular rim can display oscillatory zoning. Finally, grossular-rich zones (crystallographically syntactic) within garnet are present in all studied samples. REE and spider diagrams do not show any significant difference in the patterns of the different zones within the garnet, or indicating that the chemical environment from which each garnet zone grew was broadly the same. The lack of significant variation in LILE content indicates that a fluid influx during garnet growth is unlikely. Consequently, we interpret that garnet grains grew in a largely closed system; however, the presence of the grossular-rich zones, argues for occasional excursions into conditions when either two garnets crystallized or Ca-rich overgrowths that were largely resorbed prior to subsequent continued garnet growth.

Guatemala switch to crude saves over $1 million a month

DOE Office of Scientific and Technical Information (OSTI.GOV)

de Biasi, V.

1980-03-01

In a two-step program designed to reduce fuel costs and improve operating efficiency, Empresa Electrica de Guatemala has modified two General Electric PG 5341 gas turbines at Laguna to run on crude oil and installed heat recovery equipment for repowering two existing steam turbines. The gas turbines, nominally rated at around 19,000 kW for base load operation at 70/sup 0/F average ambient temperature and 4000 feet altitude, were installed in 1977-78 as a base load backup to hydro power during the dry season. Original plan was to put them into immediate service as simple cycle units and then convert tomore » combined cycle operation. Priorities were shifted to switch over from distillate to crude oil firing before going ahead with the combined cycle istallation. Their economic evaluation showed the initial investment would be paid off in a few months by the savings in fuel costs.« less

Microbiological Effectiveness of Disinfecting Water by Boiling in Rural Guatemala

PubMed Central

Rosa, Ghislaine; Miller, Laura; Clasen, Thomas

2010-01-01

Boiling is the most common means of treating water in the home and the benchmark against which alternative point-of-use water treatment options must be compared. In a 5-week study in rural Guatemala among 45 households who claimed they always or almost always boiled their drinking water, boiling was associated with a 86.2% reduction in geometric mean thermotolerant coliforms (TTC) (N = 206, P < 0.0001). Despite consistent levels of fecal contamination in source water, 71.2% of stored water samples from self-reported boilers met the World Health Organization guidelines for safe drinking water (0 TTC/100 mL), and 10.7% fell within the commonly accepted low-risk category of (1–10 TTC/100 mL). As actually practiced in the study community, boiling significantly improved the microbiological quality of drinking water, though boiled and stored drinking water is not always free of fecal contaminations. PMID:20207876

Delays in diagnosis and treatment of extrapulmonary tuberculosis in Guatemala.

PubMed

Shah, Pooja Ajay; Coj, Merida; Rohloff, Peter

2017-10-09

A 23-year-old indigenous Guatemalan man presented in 2016 to our clinic in Sololá, Guatemala, with 10 months of recurrent neck swelling, fevers, night sweats and weight loss. Previously, he had sought care in three different medical settings, including a private physician-run clinic, a tertiary private cancer treatment centre and, finally, a rural government health post. With assistance from our institution's accompaniment staff, the patient was admitted to a public tertiary care hospital for work-up. Rifampin-susceptible tuberculosis was diagnosed, and appropriate treatment was begun. The case illustrates how low tuberculosis recognition among community health workers and health system segmentation creates obstacles to appropriate care, especially for patients with limited means. As a result, significant diagnostic and treatment delays can occur, increasing the public health burden of tuberculosis. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Role of banding in forest conservation strategy in eastern Guatemala

USGS Publications Warehouse

Robbins, C.S.; Dowell, B.A.; Arias, I.; Cerezo B., A.

1999-01-01

In response to a request from FUNDAECO, a Guatemalan non-government organization, we worked with them to develop a conservation strategy for the Cerro San Gil Protected Area and surrounding private lands. Volunteer banders from a dozen states and Canadian provinces assisted in long-term monitoring of populations of resident and migratory species through banding and point counts. Guatemalan students were trained to continue the research and initiate other conservation projects. Banding data helped demonstrate habitat and elevational affiliations, effects of habitat fragmentation, site fidelity, survival rates, local movements, and presence of rare species not otherwise detected. Banding was also an excellent teaching tool and provided videos for conservation programs on Guatemala national television. Roadside and off-road Breeding Bird Survey transects were used to map distribution of breeding species on habitat maps derived from satellite imagery, and point count surveys on private lands were used to identify prime habitats that warrant protection through conservation easements--a new concept for Central America.

Patient-centered boundary mechanisms to foster intercultural partnerships in health care: a case study in Guatemala.

PubMed

Hitziger, Martin; Berger Gonzalez, Mónica; Gharzouzi, Eduardo; Ochaíta Santizo, Daniela; Solis Miranda, Regina; Aguilar Ferro, Andrea Isabel; Vides-Porras, Ana; Heinrich, Michael; Edwards, Peter; Krütli, Pius

2017-08-08

Up to one half of the population in Africa, Asia and Latin America has little access to high-quality biomedical services and relies on traditional health systems. Medical pluralism is thus in many developing countries the rule rather than the exception, which is why the World Health Organization is calling for intercultural partnerships to improve health care in these regions. They are, however, challenging due to disparate knowledge systems and lack of trust that hamper understanding and collaboration. We developed a collaborative, patient-centered boundary mechanism to overcome these challenges and to foster intercultural partnerships in health care. To assess its impact on the quality of intercultural patient care in a medically pluralistic developing country, we conducted and evaluated a case study. The case study took place in Guatemala, since previous efforts to initiate intercultural medical partnerships in this country were hampered by intense historical and societal conflicts. It was designed by a team from ETH Zurich's Transdisciplinarity Lab, the National Cancer Institute of Guatemala, two traditional Councils of Elders and 25 Mayan healers from the Kaqchikel and Q'eqchi' linguistic groups. It was implemented from January 2014 to July 2015. Scientists and traditional political authorities collaborated to facilitate workshops, comparative diagnoses and patient referrals, which were conducted jointly by biomedical and traditional practitioners. The traditional medical practices were thoroughly documented, as were the health-seeking pathways of patients, and the overall impact was evaluated. The boundary mechanism was successful in discerning barriers of access for indigenous patients in the biomedical health system, and in building trust between doctors and healers. Learning outcomes included a reduction of stereotypical attitudes towards traditional healers, improved biomedical procedures due to enhanced self-reflection of doctors, and improved

Not just beneficiaries: fostering participation and local management capacity in the Tojquia fog-collection project, Guatemala

NASA Astrophysics Data System (ADS)

Rosato, M.; Rojas, F.; Schemenauer, R. S.

2010-07-01

The largest fog collection project in the world at this time is the FogQuest project in Tojquia, in the Western Highlands of Guatemala. While much attention in the past has been devoted to developing the fog collection technology and finding and evaluating appropriate sites, there is also an opportunity in Guatemala to focus on implementation factors for long-term success in community fog-collection projects. Drawing from the themes of appropriate technology, integrated water-resource management and demand-responsive approaches, this paper details the participatory and management strategies undertaken by FogQuest in the ongoing fog collection project in Tojquia. Through a collaborative effort with the community association Mam Ma Qosquix, 30 large fog collectors are in place providing a daily average of 6000 liters of water to over 130 individuals. The current critical development, it is argued, is a discussion on the successes and ongoing challenges in gender mainstreaming, to ensure women’s participation, and capacity building, to ensure operation and maintenance capacity is built for the long term. Lessons learned include the importance of fostering trust as a precursor to collaborative effort and recognizing that an engagement will be for the long-term. True sustainability will be reached when the beneficiaries are themselves managers of a fog water collection system. By sharing our experiences we hope to encourage reflection on these important issues, which are relevant throughout the entire planning process, especially when establishing new initiatives.

Prevalence and diversity of low pathogenicity avian influenza viruses in wild birds in Guatemala, 2010-2013

PubMed Central

Gonzalez-Reiche, Ana S.; Müller, Maria L.; Ortiz, Lucía; Cordón-Rosales, Celia; Perez, Daniel R.

2016-01-01

Summary Waterfowl species are known to harbor the greatest diversity of low pathogenicity influenza A virus (LPAIV) subtypes and are recognized as their main natural reservoir. In Guatemala there is evidence of circulation of LPAIV in wild ducks, however the bird species contributing to viral diversity during the winter migration in Central America are unknown. In this study, samples obtained from 1,250 hunter-killed birds from 22 different species were collected on the Pacific coast of Guatemala during three winter migration seasons between 2010 and 2013. Prevalence of LPAIV detected by real-time reverse-transcriptase polymerase chain reaction was 38.2%, 23.5% and 24.7% in the 2010-11, 2011-12, and 2012-13 seasons respectively. The highest virus prevalence was detected in the northern shoveler (Anas clypeata), followed by the blue-winged teal (Anas discors). The majority of positive samples and viral isolates were obtained from the blue-winged teal. Analysis of LPAIV prevalence over time in this species indicated a decreasing trend in monthly prevalence within a migration season. Sixty-eight viruses were isolated and 9 HA and 7 NA subtypes were identified in 19 subtype combinations. In 2012-13, the most prevalent subtype was H14, a subtype identified for the first time in the western hemisphere in 2010. The results from this study represent the most detailed description available to date of LPAIV circulation in Central America. PMID:27309080

How a Training Program Is Transforming the Role of Traditional Birth Attendants from Cultural Practitioners to Unique Health-care Providers: A Community Case Study in Rural Guatemala.

PubMed

Hernandez, Sasha; Oliveira, Jessica Bastos; Shirazian, Taraneh

2017-01-01

In low- and middle-income countries (LMICs), where the rates of maternal mortality continue to be inappropriately high, there has been recognition of the importance of training traditional birth attendants (TBAs) to help improve outcomes during pregnancy and childbirth. In Guatemala, there is no national comprehensive training program in place despite the fact that the majority of women rely on TBAs during pregnancy and childbirth. This community case study presents a unique education program led by TBAs for TBAs in rural Guatemala. Discussion of this training program focuses on programming implementation, curriculum development, sustainable methodology, and how an educational partnership with the current national health-care system can increase access to health care for women in LMICs. Recent modifications to this training model are also discussed including how a change in the clinical curriculum is further integrating TBAs into the national health infrastructure. The training program has demonstrated that Guatemalan TBAs are able to improve their basic obstetrical knowledge, are capable of identifying and referring early complications of pregnancy and labor, and can deliver basic prenatal care that would otherwise not be provided. This training model is helping transform the role of the TBA from a sole cultural practitioner to a validated health-care provider within the health-care infrastructure of Guatemala and has the potential to do the same in other LMICs.

The Value of Satellite Early Warning Systems in Kenya and Guatemala: Results and Lessons Learned from Contingent Valuation and Loss Avoidance Approaches

NASA Astrophysics Data System (ADS)

Morrison, I.; Berenter, J. S.

2017-12-01

SERVIR, the joint USAID and NASA initiative, conducted two studies to assess the value of two distinctly different Early Warning Systems (EWS) in Guatemala and Kenya. Each study applied a unique method to asses EWS value. The evaluation team conducted a Contingent Valuation (CV) choice experiment to measure the value of a near-real time VIIRS and MODIS-based hot-spot mapping tool for forest management professionals targeting seasonal forest fires in Northern Guatemala. The team also conducted a survey-based Damage and Loss Avoidance (DaLA) exercise to calculate the monetary benefits of a MODIS-derived frost forecasting system for farmers in the tea-growing highlands of Kenya. This presentation compares and contrasts the use and utility of these two valuation approaches to assess EWS value. Although interest in these methods is growing, few empirical studies have applied them to benefit and value assessment for EWS. Furthermore, the application of CV and DaLA methods is much less common outside of the developed world. Empirical findings from these two studies indicated significant value for two substantially different beneficiary groups: natural resource management specialists and smallholder tea farmers. Additionally, the valuation processes generated secondary information that can help improve the format and delivery of both types of EWS outputs for user and beneficiary communities in Kenya and Guatemala. Based on lessons learned from the two studies, this presentation will also compare and contrast the methodological and logistical advantages, challenges, and limitations in applying the CV and DaLA methods in developing countries. By reviewing these two valuation methods alongside each other, the authors will outline conditions where they can be applied - individually or jointly - to other early warning systems and delivery contexts.

Ethnomedical research and review of Q'eqchi Maya women's reproductive health in the Lake Izabal region of Guatemala: Past, present and future prospects.

PubMed

Michel, Joanna L; Caceres, Armando; Mahady, Gail B

2016-02-03

In Central America, most Maya women use ethnomedicines for all aspects of their reproductive cycle including menstruation, pregnancy and menopause. However, very few of these plants have been documented, collected and tested in appropriate pharmacological assays to determine possible safety and efficacy. The aim of this work was to provide an overview of information on the ethnomedical uses, ethnopharmacology, chemistry and pharmacological research for medicinal plants used for women's reproductive health in Guatemala, with a special emphasis on the Q'eqchi Maya of the Lake Izabal region, to demonstrate therapeutic potential and support future research in the field. Reviews of the ethnobotanical, ethnomedical and ethnopharmacological literature were performed for 30 plants collected in the Lake Izabal region of Guatemala and used by the Q'eqchi Maya for treatment of reproductive health issues were performed up to and including July 2015 using multiple databases, library searches for abstracts, books, dissertations, and websites. Review of the published research confirms that many of the plants used by Q'eqchi Maya women for the management of reproductive health issues have pharmacological activities, including analgesic, anti-inflammatory, estrogenic, progestagenic and/or serotonergic effects, that support the use of these plants and provide plausible mechanisms of action for their traditional uses. Furthermore, a new serotonin agonist, 9, 10-methylenedioxy-5, 6-Z-fadyenolide was isolated, thereby demonstrating an untapped potential for drug discovery. However, to date much of the pharmacological assays have been in vitro only, and few in vivo studies have been performed. Considering the large percentage of the Maya population in Guatemala that use traditional medicines, there remains a significant lack of pharmacological and toxicological data for these plants. Future research should focus on the safety and efficacy of medicinal plants using in vivo preclinical

Risk Behaviors and Perceptions Among Self-identified Men Who Have Sex with Men (MSM), Bisexuals, Transvestites, and Transgender Women in Western Guatemala.

PubMed

Ikeda, Janet M; Racancoj, Oliver; Welty, Susie; Page, Kimberly; Hearst, Norman; McFarland, Willi

2018-06-15

Guatemala has a concentrated HIV epidemic disproportionately affecting men who have sex with men (MSM) and transgender women. We recruited 205 self-identified MSM, bisexuals, transvestites, and transgender women in western Guatemala using long-chain peer referral, wherein "seed" participants were asked to invite as many as three acquaintances to participate in the study. Self-reported sexual or gender identity was MSM, 46%; bisexual, 28%; transvestite, 21%, and transgender woman, 5%. Median age of the participants was 23 years, and 36% self-identified as being indigenous. Indigenous persons were more likely to self-identity as transvestite (32.9% vs 13.8%, P = 0.04), strongly perceive themselves at risk for HIV (87.7% vs 51.5%, P = 0.001), have had an HIV test in the last 12 months and know the result (97.3% vs 85.4%, P = 0.008), and experience barriers to testing and treatment (86.3% vs 67.7%, P = 0.004). HIV prevention services for indigenous MSM should especially target transvestites and how to overcome stigmatization and barriers to care.

Cyclosporiasis: a point source outbreak acquired in Guatemala.

PubMed

Puente, Sabino; Morente, Adolfo; García-Benayas, Teresa; Subirats, Mercedes; Gascón, Joaquín; González-Lahoz, Juan M

2006-01-01

Cyclosporiasis is a disease due to Cyclospora cayetanensis, an emerging coccidian parasite first described in 1979. It is an orally transmitted disease that is more frequent in tropical and subtropical areas. Cyclospora cayetanensis has been mainly described as a cause of travelers' diarrhea. This pathogen has given rise to a number of epidemic outbreaks attributable to ingestion of imported foods, particularly from tropical areas. Descriptive study of clinical and epidemiological data of a small epidemic outbreak of C cayetanensis-induced gastroenteritis. Seven confirmed cases of C cayetanensis among Spanish nationals who had traveled to Antigua Guatemala are described. The incubation period was 6 days. Diarrhea, asthenia, anorexia, borborygmi, flatulence, and abdominal distension were present in all cases. Fever and heart burn in 85.7%. Weight loss in 71.4%. Abdominal pain, rectal tenesmus, and nausea in 42.8%. Vomiting and eructation in 14.2%. Heart burn was a frequent symptom, a finding not often previously described. The infection was probably acquired from raspberry juice. All cases improved with trimethoprim/sulphametoxazol. Cyclosporiasis is a cause of travelers' diarrhea. Parasitology laboratories must be advised of clinical suspicion of cyclosporiasis so that they can conduct a suitable targeted study; otherwise, false negative results may arise.

Ceramic pot filters lifetime study in coastal Guatemala.

PubMed

Salvinelli, C; Elmore, A C; García Hernandez, B R; Drake, K D

2017-02-01

Ceramic pot filters (CPFs) are an effective means of household water treatment, but the characterization of CPF lifetimes is ongoing. This paper describes a lifetime field study in Guatemala which was made possible by a collaboration between researchers, CPF-using households, and local non-governmental organizations (NGOs). Disinfection data were collected periodically for two years using field coliform enumeration kits as were flow rate data with the assistance of NGO staff. Consumer acceptance was characterized by surveying householders in the four subject villages at the beginning and end of the study. Flow rate data showed that average CPF flow rates decreased below the recommended minimum of 1 L h -1 after 10 months of use; however, the survey results indicated that the consumers were tolerant of the lower flow rates, and it is reasonable to assume that the daily volume of treated water can be readily increased by refilling the CPFs more frequently. Of greater concern was the finding that disinfection efficacy decreased below the recommended bacterial reduction after 14 months of use because it would not be obvious to users that effectiveness had declined. Finally, the follow-up visits by the researchers and the NGO staff appeared to increase consumer acceptance of the CPFs.

What causes childhood stunting among children of San Vicente, Guatemala: Employing complimentary, system-analysis approaches.

PubMed

Voth-Gaeddert, Lee E; Stoker, Matthew; Cornell, Devin; Oerther, Daniel B

2018-04-01

Guatemala has the sixth worst stunting rate with 48% of children under five years of age classified as stunted according to World Health Organization standards. This study utilizes two different yet complimentary system-analysis approaches to analyze correlations among environmental and demographic variables, environmental enteric dysfunction (EED), and child height-for-age (stunting metric) in Guatemala. Two descriptive models constructed around applicable environmental and demographic factors on child height-for-age and EED were analyzed using Network Analysis (NA) and Structural Equation Modeling (SEM). Data from two populations of children between the age of three months and five years were used. The first population (n = 2103) was drawn from the Food for Peace Baseline Survey conducted by the US Agency for International Development (USAID) in 2012, and the second population (n = 372) was drawn from an independent survey conducted by the San Vicente Health Center in 2016. The results from the NA of the height-for-age model confirmed pathogen exposure, nutrition, and prenatal health as important, and the results from the NA of the EED model confirmed water source, water treatment, and type of sanitation as important. The results from the SEM of the height-for-age model confirmed a statistically significant correlation among child height-for-age and child-mother interaction (-0.092, p = 0.076) while the SEM of the EED model confirmed the statistically significant correlation among EED and type of water treatment (-0.115, p = 0.013). Our approach supports important efforts to understand the complex set of factors associated with child stunting among communities sharing similarities with San Vicente. Copyright © 2018 Elsevier GmbH. All rights reserved.

From guidelines to local realities: evaluation of oral rehydration therapy and zinc supplementation in Guatemala.

PubMed

Hall-Clifford, Rachel; Amerson, Roxanne

2017-04-20

Diarrhea remains a leading cause of morbidity and mortality for children in low- and middle-income countries throughout the Americas. The World Health Organization (WHO) has developed guidelines on incorporating zinc supplementation (ZS) with traditional oral rehydration therapy (ORT) in order to shorten the duration of diarrheal episodes and to reduce poor health outcomes. Guatemala adopted these guidelines in 2011, but they have not yet been fully implemented at the community level. The objectives of this study were: (1) to co-design an ORT/ZS training program for community members with local health promoters that is appropriate to the local context and (2) to understand how attitudes and behaviors of community members changed after receiving training from the study promoters. In an observational study, community health promoters in rural Guatemala were trained according to WHO guidelines, and they worked collaboratively with the study team to develop a training curriculum to implement in their community. Community-based surveys, interviews, and focus group discussions were used to assess acceptability, accessibility, and availability of oral rehydration therapy and zinc supplementation. Use of ORT increased from 63% to 95% among community members following training by local health promoters. Satisfaction with the service offered by health promoters increased from 63% to 90% amongst community members trained by the study promoters. However, knowledge and use of zinc supplementation remained low, which was attributable to unavailability of zinc in the study community. Use of trained community health promoters is an effective way to translate WHO guidelines to local contexts and overcome sociocultural barriers to care. However, the health system's structure must support availability of essential medicines in order to effectively implement those guidelines.

Aflatoxin and viral hepatitis exposures in Guatemala: Molecular biomarkers reveal a unique profile of risk factors in a region of high liver cancer incidence.

PubMed

Smith, Joshua W; Kroker-Lobos, Maria F; Lazo, Mariana; Rivera-Andrade, Alvaro; Egner, Patricia A; Wedemeyer, Heiner; Torres, Olga; Freedman, Neal D; McGlynn, Katherine A; Guallar, Eliseo; Groopman, John D; Ramirez-Zea, Manuel

2017-01-01

Liver cancer is an emerging global health issue, with rising incidence in both the United States and the economically developing world. Although Guatemala experiences the highest rates of this disease in the Western hemisphere and a unique 1:1 distribution in men and women, few studies have focused on this population. Thus, we determined the prevalence and correlates of aflatoxin B1 (AFB1) exposure and hepatitis virus infection in Guatemalan adults. Healthy men and women aged ≥40 years (n = 461), residing in five departments of Guatemala, were enrolled in a cross-sectional study from May-October of 2016. Serum AFB1-albumin adducts were quantified using isotope dilution mass spectrometry. Multivariate linear regression was used to assess relationships between AFB1-albumin adduct levels and demographic factors. Biomarkers of hepatitis B virus and hepatitis C virus infection were assessed by immunoassay and analyzed by Fisher's exact test. AFB1-albumin adducts were detected in 100% of participants, with a median of 8.4 pg/mg albumin (range, 0.2-814.8). Exposure was significantly higher (p<0.05) in male, rural, low-income, and less-educated participants than in female, urban, and higher socioeconomic status participants. Hepatitis B and C seropositivity was low (0.9% and 0.5%, respectively). Substantial AFB1 exposure exists in Guatemalan adults, concurrent with low prevalence of hepatitis virus seropositivity. Quantitatively, AFB1 exposures are similar to those previously found to increase risk for liver cancer in Asia and Africa. Mitigation of AFB1 exposure may reduce liver cancer incidence and mortality in Guatemala, warranting further investigation.

Using spatial metrics and surveys for the assessment of trans-boundary deforestation in protected areas of the Maya Mountain Massif: Belize-Guatemala border.

PubMed

Chicas, S D; Omine, K; Ford, J B; Sugimura, K; Yoshida, K

2017-02-01

Understanding the trans-boundary deforestation history and patterns in protected areas along the Belize-Guatemala border is of regional and global importance. To assess deforestation history and patterns in our study area along a section of the Belize-Guatemala border, we incorporated multi-temporal deforestation rate analysis and spatial metrics with survey results. This multi-faceted approach provides spatial analysis with relevant insights from local stakeholders to better understand historic deforestation dynamics, spatial characteristics and human perspectives regarding the underlying causes thereof. During the study period 1991-2014, forest cover declined in Belize's protected areas: Vaca Forest Reserve 97.88%-87.62%, Chiquibul National Park 99.36%-92.12%, Caracol Archeological Reserve 99.47%-78.10% and Colombia River Forest Reserve 89.22%-78.38% respectively. A comparison of deforestation rates and spatial metrics indices indicated that between time periods 1991-1995 and 2012-2014 deforestation and fragmentation increased in protected areas. The major underlying causes, drivers, impacts, and barriers to bi-national collaboration and solutions of deforestation along the Belize-Guatemala border were identified by community leaders and stakeholders. The Mann-Whitney U test identified significant differences between leaders and stakeholders regarding the ranking of challenges faced by management organizations in the Maya Mountain Massif, except for the lack of assessment and quantification of deforestation (LD, SH: 18.67, 23.25, U = 148, p > 0.05). The survey results indicated that failure to integrate buffer communities, coordinate among managing organizations and establish strong bi-national collaboration has resulted in continued ecological and environmental degradation. The information provided by this research should aid managing organizations in their continued aim to implement effective deforestation mitigation strategies. Copyright © 2016 Elsevier

Influence of peer support on HIV/STI prevention and safety amongst international migrant sex workers: A qualitative study at the Mexico-Guatemala border.

PubMed

Febres-Cordero, Belen; Brouwer, Kimberly C; Rocha-Jimenez, Teresita; Fernandez-Casanueva, Carmen; Morales-Miranda, Sonia; Goldenberg, Shira M

2018-01-01

Migrant women engaged in precarious employment, such as sex work, frequently face pronounced social isolation alongside other barriers to health and human rights. Although peer support has been identified as a critical HIV and violence prevention intervention for sex workers, little is known about access to peer support or its role in shaping health and social outcomes for migrant sex workers. This article analyses the role of peer support in shaping vulnerability and resilience related to HIV/STI prevention and violence among international migrant sex workers at the Mexico-Guatemala border. This qualitative study is based on 31 semi-structured interviews conducted with international migrant sex workers in the Mexico-Guatemala border communities of Tapachula, Mexico and Tecún Umán and Quetzaltenango, Guatemala. Peer support was found to be critical for reducing social isolation; improving access to HIV/STI knowledge, prevention and resources; and mitigating workplace violence, particularly at the initial stages of migration and sex work. Peer support was especially critical for countering social isolation, and peers represented a valuable source of HIV/STI prevention knowledge and resources (e.g., condoms), as well as essential safety supports in the workplace. However, challenges to accessing peer support were noted, including difficulties establishing long-lasting relationships and other forms of social participation due to frequent mobility, as well as tensions among peers within some work environments. Variations in access to peer support related to country of work, work environment, sex work and migration stage, and sex work experience were also identified. Results indicate that peer-led and community empowerment interventions represent a promising strategy for promoting the health, safety and human rights of migrant sex workers. Tailored community empowerment interventions addressing the unique migration-related contexts and challenges faced by migrant sex

Myxoedema in a patient with achondroplasia in rural area of Guatemala.

PubMed

Juarez, Michel; Rohloff, Peter

2017-03-09

A 43-year-old indigenous Guatemalan woman with achondroplasia presented to our clinic with chronic fatigue and generalised oedema. She had limited contact with the formal healthcare system. However, 1 year prior, she had sought medical evaluation from a private physician. Her symptoms had been attributed to a combination of heart failure and physical disability due to the musculoskeletal complications of her achondroplasia. She was lost to follow-up due to inability to pay for further testing or treatment. On initial laboratory evaluation in our clinic, she was found to have a thyrotropin level greater than assay. With initiation of oral levothyroxine supplementation, her dyspnoea and oedema completely resolved. The case illustrates how indigenous patients in rural Guatemala experience many barriers to accessing high-quality medical care. As a result, presentations of common illnesses are often very advanced and definitive diagnoses and treatments are frequently delayed. 2017 BMJ Publishing Group Ltd.

Disaster risk reduction capacity assessment for precarious settlements in Guatemala City.

PubMed

Miles, Scott B; Green, Rebekah A; Svekla, Walter

2012-07-01

This study presents findings of an institutional capacity analysis of urban disaster risk reduction for informal settlements in the Guatemala Metropolitan Region. It uses a resource access perspective of vulnerability, actor-network theory, and qualitative data collection. The analysis reveals that there is interest in disaster risk reduction for the informal settlements; however, there is little in the way of direct financial or oversight relationships between informal settlement residents and all other actors. Respondents observed that informal settlements would probably remain inhabited; thus, there is a need for disaster risk reduction within these settlements. Disaster risk reduction capacity for informal settlements exists and can be further leveraged, as long as steps are taken to ensure appropriate access to and control of resources and oversight. Further, the nascent institutional arrangements should be strengthened through increased communication and coordination between actors, a decentralization of oversight and financial relationships, and mediation of identified resource conflicts. © 2012 The Author(s). Journal compilation © Overseas Development Institute, 2012.

Eliciting health care priorities in developing countries: experimental evidence from Guatemala.

PubMed

Font, Joan Costa; Forns, Joan Rovira; Sato, Azusa

2016-02-01

Although some methods for eliciting preferences to assist participatory priority setting in health care in developed countries are available, the same is not true for poor communities in developing countries whose preferences are neglected in health policy making. Existing methods grounded on self-interested, monetary valuations that may be inappropriate for developing country settings where community care is provided through 'social allocation' mechanisms. This paper proposes and examines an alternative methodology for eliciting preferences for health care programmes specifically catered for rural and less literate populations but which is still applicable in urban communities. Specifically, the method simulates a realistic collective budget allocation experiment, to be implemented in both rural and urban communities in Guatemala. We report evidence revealing that participatory budget-like experiments are incentive compatible mechanisms suitable for revealing collective preferences, while simultaneously having the advantage of involving communities in health care reform processes. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Water system unreliability and diarrhea incidence among children in Guatemala.

PubMed

Trudeau, Jennifer; Aksan, Anna-Maria; Vásquez, William F

2018-03-01

This article examines the effect of water system unreliability on diarrhea incidence among children aged 0-5 in Guatemala. We use secondary data from a nationally representative sample of 7579 children to estimate the effects of uninterrupted and interrupted water services on diarrhea incidence. The national scope of this study imposes some methodological challenges due to unobserved geographical heterogeneity. To address this issue, we estimate mixed-effects logit models that control for unobserved heterogeneity by estimating random effects of selected covariates that can vary across geographical areas (i.e. water system reliability). Compared to children without access to piped water, children with uninterrupted water services have a lower probability of diarrhea incidence by approximately 33 percentage points. Conversely, there is no differential effect between children without access and those with at least one day of service interruptions in the previous month. Results also confirm negative effects of age, female gender, spanish language, and garbage disposal on diarrhea incidence. Public health benefits of piped water are realized through uninterrupted provision of service, not merely access. Policy implications are discussed.

Numerical modeling of magma-tectonic interactions at Pacaya Volcano, Guatemala

NASA Astrophysics Data System (ADS)

Wauthier, C.

2017-12-01

Pacaya Volcano is composed of several volcanic cones located along the southern rim of the Amatitlan caldera, approximately 25 km south of Guatemala City. It is a basaltic volcano located in the Central American Volcanic Arc. The shallow magma plumbing system at Pacaya likely includes at least three magma reservoirs: a very shallow ( 0.2-0.4 km depth) reservoir located below and possibly within the MacKenney cone, a 4 km deep reservoir located northwest of the summit, and a shallow dike-like conduit below the summit which fed the recent flank eruptions. Pacaya's western flank is slipping in a stick-slip fashion, and the instability seems associated with larger volume eruptions. Flank instability phases indeed occurred in 2010 and 2014 in coincidence with major intrusive and eruptive phases, suggesting a positive feedback between the flank motion and major intrusions. Simple analytical models are insufficient to fit the geodetic observations and model the flank processes and their mechanical interactions with the magmatic system. Here, numerical modeling approaches are used to characterize the 2014 flank deformation episode and magma-tectonic interactions.

Determining gestational age and preterm birth in rural Guatemala: A comparison of methods

PubMed Central

Thompson, Lisa M.; Díaz Artiga, Anaité; Bryan, Joe P.; Arriaga, William E.; Omer, Saad B.; McCracken, John P.

2018-01-01

Background Preterm birth is the leading cause of death among children <5 years of age. Accurate determination of prematurity is necessary to provide appropriate neonatal care and guide preventive measures. To estimate the most accurate method to identify infants at risk for adverse outcomes, we assessed the validity of two widely available methods—last menstrual period (LMP) and the New Ballard (NB) neonatal assessment—against ultrasound in determining gestational age and preterm birth in highland Guatemala. Methods Pregnant women (n = 188) were recruited with a gestational age <20 weeks and followed until delivery. Ultrasound was performed by trained physicians and LMP was collected during recruitment. NB was performed on infants within 96 hours of birth by trained study nurses. LMP and NB accuracy at determining gestational age and identifying prematurity was assessed by comparing them to ultrasound. Results By ultrasound, infant mean gestational age at birth was 38.3 weeks (SD = 1.6) with 16% born at less than 37 gestation. LMP was more accurate than NB (mean difference of +0.13 weeks for LMP and +0.61 weeks for NB). However, LMP and NB estimates had low agreement with ultrasound-determined gestational age (Lin’s concordance<0.48 for both methods) and preterm birth (κ<0.29 for both methods). By LMP, 18% were judged premature compared with 6% by NB. LMP underestimated gestational age among women presenting later to prenatal care (0.18 weeks for each additional week). Gestational age for preterm infants was overestimated by nearly one week using LMP and nearly two weeks using NB. New Ballard neuromuscular measurements were more predictive of preterm birth than those measuring physical criteria. Conclusion In an indigenous population in highland Guatemala, LMP overestimated prematurity by 2% and NB underestimated prematurity by 10% compared with ultrasound estimates. New, simple and accurate methods are needed to identify preterm birth in resource

Comparative epidemiology of human metapneumovirus- and respiratory syncytial virus-associated hospitalizations in Guatemala

PubMed Central

McCracken, John P; Arvelo, Wences; Ortíz, José; Reyes, Lissette; Gray, Jennifer; Estevez, Alejandra; Castañeda, Oscar; Langley, Gayle; Lindblade, Kim A

2014-01-01

Background Human metapneumovirus (HMPV) is an important cause of acute respiratory infections (ARI), but little is known about how it compares with respiratory syncytial virus (RSV) in Central America. Objectives In this study, we describe hospitalized cases of HMPV- and RSV-ARI in Guatemala. Methods We conducted surveillance at three hospitals (November 2007–December 2012) and tested nasopharyngeal and oropharyngeal swab specimens for HMPV and RSV using real-time reverse transcription-polymerase chain reaction. We calculated incidence rates, and compared the epidemiology and outcomes of HMPV-positive versus RSV-positive and RSV-HMPV-negative cases. Results We enrolled and tested specimens from 6288 ARI cases; 596 (9%) were HMPV-positive and 1485 (24%) were RSV-positive. We observed a seasonal pattern of RSV but not HMPV. The proportion HMPV-positive was low (3%) and RSV-positive high (41%) for age <1 month, whereas these proportions were similar (∼20%) by age 2 years. The annual incidence of hospitalized HMPV-ARI was 102/100 000 children aged <5 years [95% confidence interval (CI): 75–178], 2·6/100 000 persons aged 5–17 years (95%CI: 1·2–5·0), and 2·6/100 000 persons aged ≥18 years (95%CI: 1·5–4·9). Among children aged <5 years, HMPV-positive cases were less severe than HMPV-RSV-negative cases after adjustment for confounders [odds ratio (OR) for intensive care = 0·63, 95% CI 0·47–0·84]; OR for death = 0·46, 95% CI 0·23–0·92). Conclusions Human metapneumovirus is a substantial contributor to ARI hospitalization in Guatemala, but HMPV hospitalizations are less frequent than RSV and, in young children, less severe than other etiologies. Preventive interventions should take into account the wide variation in incidence by age and unpredictable timing of incidence peaks. PMID:24761765

Ethnic conflict and the psychology of liberation in Guatemala, Peru, and Puerto Rico.

PubMed

Comas-Di-az, L; Lykes, M B; Alarco-n, R D

1998-07-01

Ethnic identity and conflict in Guatemala, Peru, and Puerto Rico are complexly embedded within dynamic systems of class- and race-based geopolitics. Whereas overt violence and terror have permeated both Guatemalan and Peruvian societies, overt conflict has undermined Puerto Rican nationhood. Despite similarities among these 3 countries of Hispano-America, there are important particularities that inform psychological theory and practice. This article explores selected contributions of a psychology of liberation informed by indigenous psychologies and reflexive praxis. The challenges these conflicts and their consequences pose to psychologists seeking to work with populations most deeply affected by these social inequalities are analyzed. It concludes with suggestions of how psychology can move toward the development of community-based responses to psychosocial oppression that foster enhanced individual and collective development in a context of social change.

Antigonorrhoeal activity of plants used in Guatemala for the treatment of sexually transmitted diseases.

PubMed

Cáceres, A; Menéndez, H; Méndez, E; Cohobón, E; Samayoa, B E; Jauregui, E; Peralta, E; Carrillo, G

1995-10-01

Plants popularly used in Guatemala for the treatment of gonorrhoea were macerated in 50% alcohol and the tincture tested for in vitro activity against Neisseria gonorrhoeae using strains isolated from symptomatic patients and confirmed by standard bacteriological procedures. From 46 plants investigated, 13 (28.3%) showed evident inhibition zones (> 9 mm), seven (15.2%) showed small activity (6.1-8.9 mm) and 26 (56.5%) showed no activity; nine of these plants inhibited five strains of N. gonorrhoea freshly isolated. The most active plants of American origin were: bark of Bixa orellana fruits of Parmentiera edulis, leaf of Diphysa robinioides, Eupatorium odoratum, Gliricidia sepium, Physalis angulata, Piper aduncum and Prosopis juliflora, root of Casimiroa edulis, and whole Clematis dioica.

Higher agrobiodiversity is associated with improved dietary diversity, but not child anthropometric status, of Mayan Achí people of Guatemala.

PubMed

Luna-González, Diana V; Sørensen, Marten

2018-04-03

Child undernutrition remains one of the greatest challenges for public health nutrition in rural areas in developing countries. Interventions aiming to increase and conserve agrobiodiversity seem to be promising alternatives to improve child nutrition. However, the existing literature on these interventions is not conclusive about their effectiveness in combating child undernutrition. We tested the hypothesis that 'higher agrobiodiversity is associated with greater dietary diversity and better anthropometric status' in rural Guatemala.Design/Setting/SubjectsIn the summer of 2016, we conducted a cross-sectional study with a sample of 154 children (6-60 months). We conducted dietary recalls and structured interviews, measured children's weight and height, and visited food production systems (Milpas, home gardens, coffee plantations). Crop species richness, nutritional functional diversity, dietary diversity scores and anthropometric status were calculated. Higher food self-sufficiency, nutritional functional diversity and dietary diversity scores were positively correlated with higher crop and animal species richness. Contrarily, remoteness to the local market was negatively correlated with dietary diversity scores. However, higher dietary diversity scores were not correlated with better child anthropometric status. Better child anthropometric status was positively correlated with improved sanitary conditions and maternal education; and negatively correlated with large household size and frequent child morbidity. Agricultural diversification could diversify diets, increase nutrient availability and improve child anthropometry. However, these interventions need to be accompanied by sanitation improvements, family planning, nutritional education and women's empowerment to strengthen their positive effect on diet and nutrition.

Ecohealth Interventions Limit Triatomine Reinfestation following Insecticide Spraying in La Brea, Guatemala

PubMed Central

Lucero, David E.; Morrissey, Leslie A.; Rizzo, Donna M.; Rodas, Antonieta; Garnica, Roberto; Stevens, Lori; Bustamante, Dulce M.; Monroy, Maria Carlota

2013-01-01

In this study, we evaluate the effect of participatory Ecohealth interventions on domestic reinfestation of the Chagas disease vector Triatoma dimidiata after village-wide suppression of the vector population using a residual insecticide. The study was conducted in the rural community of La Brea, Guatemala between 2002 and 2009 where vector infestation was analyzed within a spatial data framework based on entomological and socio-economic surveys of homesteads within the village. Participatory interventions focused on community awareness and low-cost home improvements using local materials to limit areas of refuge and alternative blood meals for the vector within the home, and potential shelter for the vector outside the home. As a result, domestic infestation was maintained at ≤ 3% and peridomestic infestation at ≤ 2% for 5 years beyond the last insecticide spraying, in sharp contrast to the rapid reinfestation experienced in earlier insecticide only interventions. PMID:23382173

Geochemical evaluation of the geothermal resources in the San Marcos region, Guatemala

USGS Publications Warehouse

Fournier, R.O.; Hanshaw, B.B.

1986-01-01

The chemical and isotopic compositions of hot springs in the San Marcos region of Guatemala are internally consistent with a hydrologic model in which a deep 240??C reservoir and one or more shallow 195-200??C reservoirs are present. Variations in hot-spring water compositions results from a combination of boiling, mixing with cold, dilute water, and chemical re-equilibration with decreasing temperature. The recharge water for the deep 240??C reservoir is isotopically heavier than the local meteoric water and probably comes from many kilometers to the west or southwest. The water in the shallow reservoir is a mixture of the 240??C water with about 20 ?? 5% of cold, locally derived meteoric water. After mixing, the water in the shallow reservoir re-equilibrates with reservoir rock at 195-200??C. In some places additional mixing with cold water occurs after water leaves the shallow reservoir. ?? 1986.

International Collaboration on Building Local Technical Capacities for Monitoring Volcanic Activity at Pacaya Volcano, Guatemala.

NASA Astrophysics Data System (ADS)

Escobar-Wolf, R. P.; Chigna, G.; Morales, H.; Waite, G. P.; Oommen, T.; Lechner, H. N.

2015-12-01

Pacaya volcano is a frequently active and potentially dangerous volcano situated in the Guatemalan volcanic arc. It is also a National Park and a major touristic attraction, constituting an important economic resource for local municipality and the nearby communities. Recent eruptions have caused fatalities and extensive damage to nearby communities, highlighting the need for risk management and loss reduction from the volcanic activity. Volcanic monitoring at Pacaya is done by the Instituto Nacional de Sismologia, Vulcanologia, Meteorologia e Hidrologia (INSIVUMEH), instrumentally through one short period seismic station, and visually by the Parque Nacional Volcan de Pacaya y Laguna de Calderas (PNVPLC) personnel. We carry out a project to increase the local technical capacities for monitoring volcanic activity at Pacaya. Funding for the project comes from the Society of Exploration Geophysicists through the Geoscientists Without Borders program. Three seismic and continuous GPS stations will be installed at locations within 5 km from the main vent at Pacaya, and one webcam will aid in the visual monitoring tasks. Local educational and outreach components of the project include technical workshops on data monitoring use, and short thesis projects with the San Carlos University in Guatemala. A small permanent exhibit at the PNVPLC museum or visitor center, focusing on the volcano's history, hazards and resources, will also be established as part of the project. The strategy to involve a diverse group of local collaborators in Guatemala aims to increase the chances for long term sustainability of the project, and relies not only on transferring technology but also the "know-how" to make that technology useful. Although not a primary research project, it builds on a relationship of years of joint research projects at Pacaya between the participants, and could be a model of how to increase the broader impacts of such long term collaboration partnerships.

Abuse and discrimination towards indigenous people in public health care facilities: experiences from rural Guatemala.

PubMed

Cerón, Alejandro; Ruano, Ana Lorena; Sánchez, Silvia; Chew, Aiken S; Díaz, Diego; Hernández, Alison; Flores, Walter

2016-05-13

Health inequalities disproportionally affect indigenous people in Guatemala. Previous studies have noted that the disadvantageous situation of indigenous people is the result of complex and structural elements such as social exclusion, racism and discrimination. These elements need to be addressed in order to tackle the social determinants of health. This research was part of a larger participatory collaboration between Centro de Estudios para la Equidad y Gobernanza en los Servicios de Salud (CEGSS) and community based organizations aiming to implement social accountability in rural indigenous municipalities of Guatemala. Discrimination while seeking health care services in public facilities was ranked among the top three problems by communities and that should be addressed in the social accountability intervention. This study aimed to understand and categorize the episodes of discrimination as reported by indigenous communities. A participatory approach was used, involving CEGSS's researchers and field staff and community leaders. One focus group in one rural village of 13 different municipalities was implemented. Focus groups were aimed at identifying instances of mistreatment in health care services and documenting the account of those who were affected or who witnessed them. All of the 132 obtained episodes were transcribed and scrutinized using a thematic analysis. Episodes described by participants ranged from indifference to violence (psychological, symbolic, and physical), including coercion, mockery, deception and racism. Different expressions of discrimination and mistreatment associated to poverty, language barriers, gender, ethnicity and social class were narrated by participants. Addressing mistreatment in public health settings will involve tackling the prevalent forms of discrimination, including racism. This will likely require profound, complex and sustained interventions at the programmatic and policy levels beyond the strict realm of public

Environmental and Archaeological Research in the Peten, Guatemala

NASA Technical Reports Server (NTRS)

Sever, Thomas L.

1999-01-01

The Peten, Northern Guatemala, was once inhabited by a population of several million Maya before their collapse in the 9th century A.D.. The seventh and eight centuries were a time of crowning glory four millions of Maya; by 930 A.D. only a few scattered houses remained, testifying to the greatest disaster in human history. What is known is that at the time of their collapse the Maya had cut down most of their trees. After centuries of regeneration the Peten now represent the largest remaining tropical forest in Central America but is experiencing rapid deforestation in the wake of an invasion of settlers. The successful adaptive techniques of the indigenous population are being abandoned in favor of the destructive techniques of monoculture and cattle raising. Remote sensing and Geographic Information System (GIS) analysis are being used to address issues in Maya archeology as well as monitor the effects of increasing deforestation in the area today. One thousand years ago the forests of the Peten were nearly destroyed by the ancient Maya who after centuries of successful adaptation finally overused their resources. Current inhabitants are threatening to do the same thing today in a shorter time period with a lesser population. Through the use of remote sensing/GIS analysis we are attempting to answer questions about the past in order to protect the resources of the future.

Association of the Familial Coexistence of Child Stunting and Maternal Overweight with Indigenous Women in Guatemala.

PubMed

Lee, J; Houser, R; Must, A; Palma, P; Bermudez, O

2017-11-01

Objectives This study investigated the association of the familial coexistence of child stunting and maternal overweight with indigenous women in Guatemala. Methods We selected 2388 child-mother pairs from the data set of the Living Standards Measurement Study conducted in Guatemala in 2000. This study examined the association between maternal and household characteristics and the nutritional status of children aged 6-60 months and mothers aged 18-49 years by using multivariable logistic regression models. Results Compared with non-indigenous households, a significantly higher percentage of indigenous households exhibited stunted child and overweight mother (SCOM) pairs (15.9 vs. 22.2%). Compared with normal-weight mothers, overweight mothers were less likely to have stunted children [adjusted odds ratio (AOR) 0.66, 95% confidence interval (CI) 0.50-0.88]. However, compared with mothers who were not short and overweight, short and overweight mothers were significantly more likely to have stunted children (AOR 1.80, 95% CI 1.19-2.73) and were more likely to be indigenous women living in urban areas (AOR 3.01, 95% CI 1.19-7.60) or rural areas (AOR 3.02, 95% CI 1.28-7.14). The order of observed prevalence of SCOM pairs in different types of households was as follows: urban indigenous (25.0%), rural indigenous (21.2%), rural non-indigenous (19.8%), and urban non-indigenous households (10.7%). Conclusions for Practice Urban indigenous households were more likely to have SCOM pairs. This study provided useful information for identifying the most vulnerable groups and areas with a high prevalence of the familial coexistence of child stunting and maternal overweight.

Stunting at birth: recognition of early-life linear growth failure in the western highlands of Guatemala.

PubMed

Solomons, Noel W; Vossenaar, Marieke; Chomat, Anne-Marie; Doak, Colleen M; Koski, Kristine G; Scott, Marilyn E

2015-07-01

Measurements of length at birth, or in the neonatal period, are challenging to obtain and often discounted for lack of validity. Hence, classical 'under-5' stunting rates have been derived from surveys on children from 6 to 59 months of age. Guatemala has a high prevalence of stunting (49.8%), but the age of onset of growth failure is not clearly defined. The objective of the study was to assess length-for-age within the first 1.5 months of life among Guatemalan infants. As part of a cross-sectional observational study, supine length was measured in young infants. Mothers' height was measured. Length-for-age Z-scores (HAZ) were generated and stunting was defined as HAZ <-2 using WHO growth standards. Eight rural, indigenous Mam-Mayan villages (n 200, 100% of Mayan indigenous origin) and an urban clinic of Quetzaltenango (n 106, 27% of Mayan indigenous origin), Guatemala. Three hundred and six newborns with a median age of 19 d. The median rural HAZ was -1.56 and prevalence of stunting was 38%; the respective urban values were -1.41 and 25%. Linear regression revealed no relationship between infant age and HAZ (r = 0.101, r(2) = 0.010, P = 0.077). Maternal height explained 3% of the variability in HAZ (r = 0.171, r(2) = 0.029, P = 0.003). Stunting must be carried over from in utero growth retardation in short-stature Guatemalan mothers. As linear growth failure in this setting begins in utero, its prevention must be linked to maternal care strategies during gestation, or even before. A focus on maternal nutrition and health in an intergenerational dimension is needed to reduce its prevalence.

Estimation of the National Disease Burden of Influenza-Associated Severe Acute Respiratory Illness in Kenya and Guatemala: A Novel Methodology

PubMed Central

Katz, Mark A.; Lindblade, Kim A.; Njuguna, Henry; Arvelo, Wences; Khagayi, Sammy; Emukule, Gideon; Linares-Perez, Nivaldo; McCracken, John; Nokes, D. James; Ngama, Mwanajuma; Kazungu, Sidi; Mott, Joshua A.; Olsen, Sonja J.; Widdowson, Marc-Alain; Feikin, Daniel R.

2013-01-01

Background Knowing the national disease burden of severe influenza in low-income countries can inform policy decisions around influenza treatment and prevention. We present a novel methodology using locally generated data for estimating this burden. Methods and Findings This method begins with calculating the hospitalized severe acute respiratory illness (SARI) incidence for children <5 years old and persons ≥5 years old from population-based surveillance in one province. This base rate of SARI is then adjusted for each province based on the prevalence of risk factors and healthcare-seeking behavior. The percentage of SARI with influenza virus detected is determined from provincial-level sentinel surveillance and applied to the adjusted provincial rates of hospitalized SARI. Healthcare-seeking data from healthcare utilization surveys is used to estimate non-hospitalized influenza-associated SARI. Rates of hospitalized and non-hospitalized influenza-associated SARI are applied to census data to calculate the national number of cases. The method was field-tested in Kenya, and validated in Guatemala, using data from August 2009–July 2011. In Kenya (2009 population 38.6 million persons), the annual number of hospitalized influenza-associated SARI cases ranged from 17,129–27,659 for children <5 years old (2.9–4.7 per 1,000 persons) and 6,882–7,836 for persons ≥5 years old (0.21–0.24 per 1,000 persons), depending on year and base rate used. In Guatemala (2011 population 14.7 million persons), the annual number of hospitalized cases of influenza-associated pneumonia ranged from 1,065–2,259 (0.5–1.0 per 1,000 persons) among children <5 years old and 779–2,252 cases (0.1–0.2 per 1,000 persons) for persons ≥5 years old, depending on year and base rate used. In both countries, the number of non-hospitalized influenza-associated cases was several-fold higher than the hospitalized cases. Conclusions Influenza virus was associated with a substantial

Evidence of increased STI/HIV-related risk behavior among male perpetrators of intimate partner violence in Guatemala: results from a national survey.

PubMed

Hembling, John; Andrinopoulos, Katherine

2014-01-01

Intimate partner violence (IPV) is a significant public health problem with a demonstrated link to increased sexually transmitted infection (STI)/HIV-related risk and vulnerability. While IPV is an important issue in Central America, the link to STI/HIV risk has not been explored in this region. In this study, the relationship between emotional and physical/sexual IPV and the STI/HIV-related risk behaviors of sex worker patronage and infidelity is assessed among male IPV perpetrators using data from a national survey conducted in 2009 in Guatemala (n = 4773 married/partnered men). Bivariate associations between background characteristics and emotional and physical IPV perpetration were explored. Logistic regression models were run to test associations between IPV for each sexual risk behavior. Perpetration of emotional and physical/sexual IPV was more common among married/partnered men who were older than 24, had more education, lived in urban areas, or were in common law versus married unions. Reports of past-year emotional IPV perpetration increased as wealth quintile increased. After adjusting for demographics and other characteristics, physical/sexual IPV perpetration was associated with past-year infidelity (AOR 1.9, 95% CI: 1.1-3.6). Lifetime emotional IPV (AOR 1.4, 95% CI: 1.1-1.7) and physical/sexual IPV 1.6 (95% CI 1.2-2.0) were positively associated with a history of sex worker patronage. Endorsement of traditional gender role norms showed a marginally positive association with past-year infidelity in the adjusted model (AOR 1.3, 95% CI 1.0-1.8). The study findings from Guatemala reinforce the growing evidence globally that male IPV perpetrators are more likely to engage in risky sexual behavior, including sex worker patronage and main partner infidelity. The concurrency of violence and increased STI/HIV risk may compound the health risks for female victims of IPV who also face injury and psychological trauma. Integration of prevention and screening of

Failure to CAPTCHA Attention: Null Results from an Honesty Priming Experiment in Guatemala

PubMed Central

Kettle, Stewart; Hernandez, Marco; Sanders, Michael; Hauser, Oliver; Ruda, Simon

2017-01-01

We report results from a large online randomised tax experiment in Guatemala. The trial involves short messages and choices presented to taxpayers as part of a CAPTCHA pop-up window immediately before they file a tax return, with the aim of priming honest declarations. In total our sample includes 627,242 taxpayers and 3,232,430 tax declarations made over four months. Treatments include: honesty declaration; information about public goods; information about penalties for dishonesty, questions allowing a taxpayer to choose which public good they think tax money should be spent on; or questions allowing a taxpayer to state a view on the penalty for not declaring honestly. We find no impact of any of these treatments on the average amount of tax declared. We discuss potential causes for this null effect and implications for ‘online nudges’ around honesty priming. PMID:28452941

Failure to CAPTCHA Attention: Null Results from an Honesty Priming Experiment in Guatemala.

PubMed

Kettle, Stewart; Hernandez, Marco; Sanders, Michael; Hauser, Oliver; Ruda, Simon

2017-04-28

We report results from a large online randomised tax experiment in Guatemala. The trial involves short messages and choices presented to taxpayers as part of a CAPTCHA pop-up window immediately before they file a tax return, with the aim of priming honest declarations. In total our sample includes 627,242 taxpayers and 3,232,430 tax declarations made over four months. Treatments include: honesty declaration; information about public goods; information about penalties for dishonesty, questions allowing a taxpayer to choose which public good they think tax money should be spent on; or questions allowing a taxpayer to state a view on the penalty for not declaring honestly. We find no impact of any of these treatments on the average amount of tax declared. We discuss potential causes for this null effect and implications for 'online nudges' around honesty priming.

The costs of adolescent childbearing: evidence from Chile, Barbados, Guatemala, and Mexico.

PubMed

Buvinic, M

1998-06-01

Findings from Chile, Barbados, Guatemala, and Mexico are reviewed in this article to shed light on the consequences of adolescent childbearing for mothers' economic and social opportunities and the well-being of their first-born children. The studies include retrospective information and a comparison group of adult childbearers to account for the effects of background factors (poverty) and the timing of observations. The findings show that early childbearing is associated with negative economic rather than social effects, occurring for poor rather than for all mothers. Among the poor, adolescent childbearing is associated with lower monthly earnings for mothers and lower child nutritional status. Also, among this group of women only, improvements in the child's well-being are associated with mother's education and her contribution to household income. These findings suggest that social policy that expands the educational and income-earning opportunities of poor women could help to contain the intergenerational poverty associated with early childbearing among the poor.

Treatment of end-stage renal disease with continuous ambulatory peritoneal dialysis in rural Guatemala

PubMed Central

Moore, Jillian; Garcia, Pablo; Flood, David

2018-01-01

A 42-year-old indigenous Maya man presented to a non-profit clinic in rural Guatemala with signs, symptoms and laboratory values consistent with uncontrolled diabetes. Despite appropriate treatment, approximately 18 months after presentation, he was found to have irreversible end-stage renal disease (ESRD) of uncertain aetiology. He was referred to the national public nephrology clinic and subsequently initiated home-based continuous ambulatory peritoneal dialysis. With primary care provided by the non-profit clinic, his clinical status improved on dialysis, but socioeconomic and psychological challenges persisted for the patient and his family. This case shows how care for people with ESRD in low- and middle-income countries requires scaling up renal replacement therapy and ensuring access to primary care, mental healthcare and social work services. PMID:29705734

Influence of peer support on HIV/STI prevention and safety amongst international migrant sex workers: A qualitative study at the Mexico-Guatemala border

PubMed Central

Brouwer, Kimberly C.; Rocha-Jimenez, Teresita; Fernandez-Casanueva, Carmen; Morales-Miranda, Sonia; Goldenberg, Shira M.

2018-01-01

Background Migrant women engaged in precarious employment, such as sex work, frequently face pronounced social isolation alongside other barriers to health and human rights. Although peer support has been identified as a critical HIV and violence prevention intervention for sex workers, little is known about access to peer support or its role in shaping health and social outcomes for migrant sex workers. This article analyses the role of peer support in shaping vulnerability and resilience related to HIV/STI prevention and violence among international migrant sex workers at the Mexico-Guatemala border. Methods This qualitative study is based on 31 semi-structured interviews conducted with international migrant sex workers in the Mexico-Guatemala border communities of Tapachula, Mexico and Tecún Umán and Quetzaltenango, Guatemala. Results Peer support was found to be critical for reducing social isolation; improving access to HIV/STI knowledge, prevention and resources; and mitigating workplace violence, particularly at the initial stages of migration and sex work. Peer support was especially critical for countering social isolation, and peers represented a valuable source of HIV/STI prevention knowledge and resources (e.g., condoms), as well as essential safety supports in the workplace. However, challenges to accessing peer support were noted, including difficulties establishing long-lasting relationships and other forms of social participation due to frequent mobility, as well as tensions among peers within some work environments. Variations in access to peer support related to country of work, work environment, sex work and migration stage, and sex work experience were also identified. Conclusions Results indicate that peer-led and community empowerment interventions represent a promising strategy for promoting the health, safety and human rights of migrant sex workers. Tailored community empowerment interventions addressing the unique migration

Folate and Vitamin B12 Deficiency Among Non-pregnant Women of Childbearing-Age in Guatemala 2009-2010: Prevalence and Identification of Vulnerable Populations.

PubMed

Rosenthal, Jorge; Lopez-Pazos, Eunice; Dowling, Nicole F; Pfeiffer, Christine M; Mulinare, Joe; Vellozzi, Claudia; Zhang, Mindy; Lavoie, Donna J; Molina, Roberto; Ramirez, Nicte; Reeve, Mary-Elizabeth

2015-10-01

Information on folate and vitamin B12 deficiency rates in Guatemala is essential to evaluate the current fortification program. The objectives of this study were to describe the prevalence of folate and vitamin B12 deficiencies among women of childbearing age (WCBA) in Guatemala and to identify vulnerable populations at greater risk for nutrient deficiency. A multistage cluster probability study was designed with national and regional representation of nonpregnant WCBA (15-49 years of age). Primary data collection was carried out in 2009-2010. Demographic and health information was collected through face-to-face interviews. Blood samples were collected from 1473 WCBA for serum and red blood cell (RBC) folate and serum vitamin B12. Biochemical concentrations were normalized using geometric means. Prevalence rate ratios were estimated to assess relative differences among different socioeconomic and cultural groups including ethnicity, age, education level, wealth index and rural versus urban locality. National prevalence estimates for deficient serum [<10 nmol per liter (nmol/L)] and RBC folate (<340 nmol/L) concentrations were 5.1 % (95 % CI 3.8, 6.4) and 8.9 % (95 % CI 6.7, 11.7), respectively; for vitamin B12 deficiency (<148 pmol/L) 18.5 % (95 % CI 15.6, 21.3). Serum and RBC folate deficiency prevalences were higher for rural areas than for urban areas (8.0 vs. 2.0 % and 13.5 vs. 3.9 %, respectively). The prevalence of RBC folate deficiency showed wide variation by geographic region (3.2-24.9 %) and by wealth index (4.1-15.1 %). The prevalence of vitamin B12 deficiency also varied among regions (12.3-26.1 %). In Guatemala, folate deficiency was more prevalent among indigenous rural and urban poor populations. Vitamin B12 deficiency was widespread among WCBA. Our results suggest the ongoing need to monitor existing fortification programs, in particular regarding its reach to vulnerable populations.

Folate and Vitamin B12 Deficiency Among Nonpregnant Women of Childbearing Age in Guatemala 2009–2010: Prevalence and Identification of Vulnerable Populations

PubMed Central

Rosenthal, Jorge; Lopez-Pazos, Eunice; Dowling, Nicole F.; Pfeiffer, Christine M.; Mulinare, Joe; Vellozzi, Claudia; Zhang, Mindy; Lavoie, Donna J; Molina, Roberto; Ramirez, Nicte; Reeve, Mary-Elizabeth

2015-01-01

Introduction Information on folate and vitamin B12 deficiency rates in Guatemala is essential to evaluate the current fortification program. The objectives of this study were to describe the prevalence of folate and vitamin B12 deficiencies among women of childbearing age (WCBA) in Guatemala and to identify vulnerable populations at greater risk for nutrient deficiency. Methods A multistage cluster probability study was designed with national and regional representation of nonpregnant WCBA (15–49 years of age). Primary data collection was carried out in 2009–2010. Demographic and health information was collected through face-to-face interviews. Blood samples were collected from 1,473 WCBA for serum and red blood cell (RBC) folate and serum vitamin B12. Biochemical concentrations were normalized using geometric means. Prevalence rate ratios were estimated to assess relative differences among different socioeconomic and cultural groups including ethnicity, age, education level, wealth index and rural versus urban locality. Results National prevalence estimates for deficient serum (<10 nanomoles per liter [nmol/L]) and RBC folate (<340 nmol/L) concentrations were 5.1% (95% CI 3.8, 6.4) and 8.9% (95% CI 6.7, 11.7), respectively; for vitamin B12 deficiency (<148 pmol/L) 18.5% (95% CI 15.6, 21.3). Serum and RBC folate deficiency prevalences were higher for rural areas than for urban areas (8.0% vs. 2.0% and 13.5% vs. 3.9%, respectively). The prevalence of RBC folate deficiency showed wide variation by geographic region (3.2%–24.9%) and by wealth index (4.1%–15.1%). The prevalence of vitamin B12 deficiency also varied among regions (12.3% –26.1%). Conclusions In Guatemala, folate deficiency was more prevalent among indigenous rural and urban poor populations. Vitamin B12 deficiency was widespread among WCBA. Our results suggest the ongoing need to monitor existing fortification programs, in particular regarding its reach to vulnerable populations. PMID:26002178

Low usage of government healthcare facilities for acute respiratory infections in guatemala: implications for influenza surveillance.

PubMed

Lindblade, Kim A; Johnson, April J; Arvelo, Wences; Zhang, Xingyou; Jordan, Hannah T; Reyes, Lissette; Fry, Alicia M; Padilla, Norma

2011-11-24

Sentinel surveillance for severe acute respiratory infections in hospitals and influenza-like illness in ambulatory clinics is recommended to assist in global pandemic influenza preparedness. Healthcare utilization patterns will affect the generalizability of data from sentinel sites and the potential to use them to estimate burden of disease. The objective of this study was to measure healthcare utilization patterns in Guatemala to inform the establishment of a sentinel surveillance system for influenza and other respiratory infections, and allow estimation of disease burden. We used a stratified, two-stage cluster survey sample to select 1200 households from the Department of Santa Rosa. Trained interviewers screened household residents for self-reported pneumonia in the last year and influenza-like illness (ILI) in the last month and asked about healthcare utilization for each illness episode. We surveyed 1131 (94%) households and 5449 residents between October and December 2006 and identified 323 (6%) cases of pneumonia and 628 (13%) cases of ILI. Treatment for pneumonia outside the home was sought by 92% of the children <5 years old and 73% of the persons aged five years and older. For both children <5 years old (53%) and persons aged five years and older (31%) who reported pneumonia, private clinics were the most frequently reported source of care. For ILI, treatment was sought outside the home by 81% of children <5 years old and 65% of persons aged five years and older. Government ambulatory clinics were the most frequently sought source of care for ILI both for children <5 years old (41%) and persons aged five years and older (36%). Sentinel surveillance for influenza and other respiratory infections based in government health facilities in Guatemala will significantly underestimate the burden of disease. Adjustment for healthcare utilization practices will permit more accurate estimation of the incidence of influenza and other respiratory pathogens in the

The Guatemala-Penn Partners: An Innovative Inter-Institutional Model for Scientific Capacity-Building, Healthcare Education, and Public Health.

PubMed

Paniagua-Avila, Maria Alejandra; Messenger, Elizabeth; Nelson, Caroline A; Calgua, Erwin; Barg, Frances K; Bream, Kent W; Compher, Charlene; Dean, Anthony J; Martinez-Siekavizza, Sergio; Puac-Polanco, Victor; Richmond, Therese S; Roth, Rudolf R; Branas, Charles C

2017-01-01

Population health outcomes are directly related to robust public health programs, access to basic health services, and a well-trained health-care workforce. Effective health services need to systematically identify solutions, scientifically test these solutions, and share generated knowledge. The World Health Organization (WHO)'s Global Healthcare Workforce Alliance states that the capacity to perform research is an essential factor for well-functioning public health systems. Low- and middle-income countries have greater health-care worker shortages and lower research capacity than higher-income countries. International global health partnerships between higher-income countries and low-middle-income countries aim to directly address such inequalities through capacity building, a process by which human and institutional resources are strengthened and developed, allowing them to perform high-level functions, solve complex problems, and achieve important objectives. The Guatemala-Penn Partners (GPP) is a collaboration among academic centers in Guatemala and the University of Pennsylvania (Penn), in Philadelphia, Pennsylvania that echoes the vision of the WHO's Global Healthcare Workforce Alliance. This article describes the historical development and present organization of the GPP according to its three guiding principles: university-to-university connections, dual autonomies with locally led capacity building, and mutually beneficial exchanges. It describes the GPP activities within the domains of science, health-care education, and public health, emphasizing implementation factors, such as sustainability and scalability, in relation to the guiding principles. Successes and limitations of this innovative model are also analyzed in the hope that the lessons learned may be applied to similar partnerships across the globe.

Coupled socioeconomic-crop modelling for the participatory local analysis of climate change impacts on smallholder farmers in Guatemala

NASA Astrophysics Data System (ADS)

Malard, J. J.; Adamowski, J. F.; Wang, L. Y.; Rojas, M.; Carrera, J.; Gálvez, J.; Tuy, H. A.; Melgar-Quiñonez, H.

2015-12-01

The modelling of the impacts of climate change on agriculture requires the inclusion of socio-economic factors. However, while cropping models and economic models of agricultural systems are common, dynamically coupled socio-economic-biophysical models have not received as much success. A promising methodology for modelling the socioeconomic aspects of coupled natural-human systems is participatory system dynamics modelling, in which stakeholders develop mental maps of the socio-economic system that are then turned into quantified simulation models. This methodology has been successful in the water resources management field. However, while the stocks and flows of water resources have also been represented within the system dynamics modelling framework and thus coupled to the socioeconomic portion of the model, cropping models are ill-suited for such reformulation. In addition, most of these system dynamics models were developed without stakeholder input, limiting the scope for the adoption and implementation of their results. We therefore propose a new methodology for the analysis of climate change variability on agroecosystems which uses dynamically coupled system dynamics (socio-economic) and biophysical (cropping) models to represent both physical and socioeconomic aspects of the agricultural system, using two case studies (intensive market-based agricultural development versus subsistence crop-based development) from rural Guatemala. The system dynamics model component is developed with relevant governmental and NGO stakeholders from rural and agricultural development in the case study regions and includes such processes as education, poverty and food security. Common variables with the cropping models (yield and agricultural management choices) are then used to dynamically couple the two models together, allowing for the analysis of the agroeconomic system's response to and resilience against various climatic and socioeconomic shocks.

One Hundred Years After Its Discovery in Guatemala by Rodolfo Robles, Onchocerca volvulus Transmission Has Been Eliminated from the Central Endemic Zone.

PubMed

Richards, Frank; Rizzo, Nidia; Diaz Espinoza, Carlos Enrique; Monroy, Zoraida Morales; Crovella Valdez, Carol Guillermina; de Cabrera, Renata Mendizabal; de Leon, Oscar; Zea-Flores, Guillermo; Sauerbrey, Mauricio; Morales, Alba Lucia; Rios, Dalila; Unnasch, Thomas R; Hassan, Hassan K; Klein, Robert; Eberhard, Mark; Cupp, Ed; Domínguez, Alfredo

2015-12-01

We report the elimination of Onchocerca volvulus transmission from the Central Endemic Zone (CEZ) of onchocerciasis in Guatemala, the largest focus of this disease in the Americas and the first to be discovered in this hemisphere by Rodolfo Robles Valverde in 1915. Mass drug administration (MDA) with ivermectin was launched in 1988, with semiannual MDA coverage reaching at least 85% of the eligible population in > 95% of treatment rounds during the 12-year period, 2000-2011. Serial parasitological testing to monitor MDA impact in sentinel villages showed a decrease in microfilaria skin prevalence from 70% to 0%, and polymerase chain reaction (PCR)-based entomological assessments of the principal vector Simulium ochraceum s.l. showed transmission interruption by 2007. These assessments, together with a 2010 serological survey in children 9-69 months of age that showed Ov16 IgG4 antibody prevalence to be < 0.1%, meeting World Health Organization (WHO) guidelines for stopping MDA, and treatment was halted after 2011. After 3 years an entomological assessment showed no evidence of vector infection or recrudescence of transmission. In 2015, 100 years after the discovery of its presence, the Ministry of Health of Guatemala declared onchocerciasis transmission as having been eliminated from the CEZ. © The American Society of Tropical Medicine and Hygiene.

One Hundred Years After Its Discovery in Guatemala by Rodolfo Robles, Onchocerca volvulus Transmission Has Been Eliminated from the Central Endemic Zone

PubMed Central

Richards, Frank; Rizzo, Nidia; Espinoza, Carlos Enrique Diaz; Monroy, Zoraida Morales; Valdez, Carol Guillermina Crovella; de Cabrera, Renata Mendizabal; de Leon, Oscar; Zea-Flores, Guillermo; Sauerbrey, Mauricio; Morales, Alba Lucia; Rios, Dalila; Unnasch, Thomas R.; Hassan, Hassan K.; Klein, Robert; Eberhard, Mark; Cupp, Ed; Domínguez, Alfredo

2015-01-01

We report the elimination of Onchocerca volvulus transmission from the Central Endemic Zone (CEZ) of onchocerciasis in Guatemala, the largest focus of this disease in the Americas and the first to be discovered in this hemisphere by Rodolfo Robles Valverde in 1915. Mass drug administration (MDA) with ivermectin was launched in 1988, with semiannual MDA coverage reaching at least 85% of the eligible population in > 95% of treatment rounds during the 12-year period, 2000–2011. Serial parasitological testing to monitor MDA impact in sentinel villages showed a decrease in microfilaria skin prevalence from 70% to 0%, and polymerase chain reaction (PCR)-based entomological assessments of the principal vector Simulium ochraceum s.l. showed transmission interruption by 2007. These assessments, together with a 2010 serological survey in children 9–69 months of age that showed Ov16 IgG4 antibody prevalence to be < 0.1%, meeting World Health Organization (WHO) guidelines for stopping MDA, and treatment was halted after 2011. After 3 years an entomological assessment showed no evidence of vector infection or recrudescence of transmission. In 2015, 100 years after the discovery of its presence, the Ministry of Health of Guatemala declared onchocerciasis transmission as having been eliminated from the CEZ. PMID:26503275

Disentangling fathers’ absences from household remittances in international migration: The case of educational attainment in Guatemala

PubMed Central

Davis, Jason; Brazil, Noli

2016-01-01

Estimating the effects of international migration on left-behind children’s educational attainment is complicated by the potential offsetting effects of fathers’ absences and household remittances. Most research has not separated these aspects of international migration on children’s human capital outcomes. We address this deficiency by using instrumental variables to isolate the effects of fathers’ international migration absences from international household remittances on student enrollment and grade progression in Guatemala. Results indicate that fathers’ absences and household international remittances are negatively related to enrollment, providing evidence for a culture of migration effect. For students who remain in school, household international remittances neutralize the harmful influence of fathers’ absences on grade progression. PMID:27293309

Maya phytomedicine in Guatemala - Can cooperative research change ethnopharmacological paradigms?

PubMed

Hitziger, Martin; Heinrich, Michael; Edwards, Peter; Pöll, Elfriede; Lopez, Marissa; Krütli, Pius

2016-06-20

This paper presents one of the first large-scale collaborative research projects in ethnopharmacology, to bring together indigenous stakeholders and scientists both in project design and execution. This approach has often been recommended but rarely put into practice. The study was carried out in two key indigenous areas of Guatemala, for which very little ethnopharmacological fieldwork has been published. To document and characterize the ethno-pharmacopoeias of the Kaqchikel (highlands) and Q'eqchi' (lowlands) Maya in a transdisciplinary collaboration with the two groups Councils of Elders. The project is embedded in a larger collaboration with five Councils of Elders representing important indigenous groups in Guatemala, two of which participated in this study. These suggested healing experts reputed for their phytotherapeutic knowledge and skills. Ethnobotanical fieldwork was carried out over 20 months, accompanied by a joint steering process and validation workshops. The field data were complemented by literature research and were aggregated using a modified version of the International Classification of Diseases (ICD-10) and Trotter & Logan's consensus index. Similar numbers of species were collected in the two areas, with a combined total of 530 species. This total does not represent all of the species used for medicinal purposes. Remedies for the digestive system, the central nervous system & behavioral syndromes, and general tissue problems & infections were most frequent in both areas. Furthermore, remedies for the blood, immune & endocrine system are frequent in the Kaqchikel area, and remedies for the reproductive system are frequent in the Q'eqchi' area. Consensus factors are however low. The Kaqchikel, in contrast to the Q'eqchi', report more remedies for non-communicable illnesses. They also rely heavily on introduced species. The transdisciplinary research design facilitated scientifically rigorous and societally relevant large-scale fieldwork, which

Imprints of an "Arc" Signature onto Subduction Zone Eclogites from Central Guatemala

NASA Astrophysics Data System (ADS)

Simons, K. K.; Sorensen, S. S.; Harlow, G. E.; Brueckner, H. K.; Goldstein, S. L.; Hemming, N. G.; Langmuir, C. H.

2007-12-01

High-pressure, low-temperature (HP-LT) rocks associated with the Motagua fault zone in central Guatemala occur as tectonic blocks in serpentinite mélange. Dismembered jadeitite and albitite veins within the melange are crystallization products of subduction fluids at <400° C and 0.4-1.4 GPa. Lawsonite eclogites represent the deepest, coldest rocks, with peak metamorphic conditions of approx. 2.6 GPa and 480°C. They contain a subduction fluid overprint acquired during retrogression to blue- and green-schist-facies conditions, seen mostly as hydrous phases (e.g. phengite, glaucophane) in veins and overgrowths. The low temperatures recorded in these rocks indicate they have only seen an aqueous fluid, not a melt, and therefore, could provide a window into the acquisition of an arc signature at a cold margin. Trace-element patterns for both eclogite and jadeitite resemble arc lavas, with large enrichments in the most fluid mobile elements (e.g. Cs, Tl, Ba, Pb), moderate enrichments in U, Th, Be and LREE and generally little to no enrichment in HFSE and HREE, although enriched Nb in jadeitite indicates some HFSE mobility. Trace-element patterns also have similarities to average subducting sediment (GLOSS), with enrichments in Th, Be, Ba and Li that suggest a sediment contribution. Nd versus Sr isotopes lie to the right of the mantle array, indicating a hydrous fluid contribution from altered ocean crust or sediment. Overall, Guatemalan eclogites resemble counterparts from the Franciscan Complex (CA) and the Dominican Republic. Guatemalan and Franciscan eclogites are interpreted to have had a MORB protolith despite the arc trace element signature because of: 1) similarities in major elements to MORB; 2) HREE and HFSE abundances similar to MORB; and 3) high 143Nd/144Nd that overlap MORB values. The modifications that transformed these eclogites from a MORB trace element pattern to an arc one can be attributed to an aqueous subduction fluid at moderate depths (<75km

Integrated, multi-parameter, investigation of eruptive dynamics at Santiaguito lava dome, Guatemala

NASA Astrophysics Data System (ADS)

Lavallée, Yan; De Angelis, Silvio; Rietbrock, Andreas; Lamb, Oliver; Hornby, Adrian; Lamur, Anthony; Kendrick, Jackie E.; von Aulock, Felix W.; Chigna, Gustavo

2016-04-01

Understanding the nature of the signals generated at volcanoes is central to hazard mitigation efforts. Systematic identification and understanding of the processes responsible for the signals associated with volcanic activity are only possible when high-resolution data are available over relatively long periods of time. For this reason, in November 2014, the Liverpool Earth Observatory (LEO), UK, in collaboration with colleagues of the Instituto Nacional de Sismologia, Meteorologia e Hidrologia (INSIVUMEH), Guatemala, installed a large multi-parameter geophysical monitoring network at Santiaguito - the most active volcano in Guatemala. The network, which is to date the largest temporary deployment on Santiaguito, includes nine three-component broadband seismometers, three tiltmeters, and five infrasound microphones. Further, during the initial installation campaign we conducted visual and thermal infrared measurements of surface explosive activity and collected numerous rock samples for geochemical, geophysical and rheological characterisation. Activity at Santiaguito began in 1922, with the extrusion of a series of lava domes. In recent years, persistent dome extrusion has yielded spectacularly episodic piston-like motion displayed by characteristic tilt/seismic patterns (Johnson et al, 2014). This cyclicity episodically concludes with gas emissions or gas-and-ash explosions, observed to progress along a complex fault system in the dome. The explosive activity is associated with distinct geophysical signals characterised by the presence of very-long period earthquakes as well as more rapid inflation/deflation cycles; the erupted ash further evidences partial melting and thermal vesiculation resulting from fault processes (Lavallée et al., 2015). One year of data demonstrates the regularity of the periodicity and intensity of the explosions; analysis of infrasound data suggests that each explosion expulses on the order of 10,000-100,000 kg of gas and ash. We

Four new leaf-mining Acalyptris species from Guatemala and Belize, with new data on bionomics of Stigmella pruinosa (Lepidoptera: Nepticulidae).

PubMed

Stonis, Jonas R; Diškus, Arūnas; Remeikis, Andrius; Noreika, Remigijus; Schuster, Jack

2013-11-19

This paper describes four new species: Acalyptris basicornis Remeikis & Stonis, sp. nov., A. peteni Diškus & Stonis, sp. nov., A. caribbicus Diškus & Stonis, sp. nov. (host-plant: Lantana involucrata L., Verbenaceae), and A. statuarius Diškus & Stonis, sp. nov. Another species, Stigmella pruinosa Puplesis & Robinson, is re-described, with new distribution records in Guatemala and with the first documentation of leaf-mines on Guazuma ulmifolia Lam. (Malvaceae). All five species are illustrated with photographs of the leaf-mines, adults, and genitalia.

Tecuamburro Volcano, Guatemala: exploration geothermal gradient drilling and results

USGS Publications Warehouse

Goff, S.J.; Goff, F.; Janik, C.J.

1992-01-01

Results of geological, volcanological, hydrogeochemical, and geophysical field studies conducted in 1988 and 1989 at the Tecuamburro geothermal site, Guatemala, indicate that there is a substantial shallow heat source beneath the area of youngest volcanism. Gases from acid-sulfate springs near Laguna Ixpaco consistently yield maximum estimated subsurface temperatures of 300??C. To obtain information on subsurface temperatures and temperature gradients, stratigraphy, fracturing, hydrothermal alteration, and hydrothermal fluids, a geothermal gradient core hole (TCB-1) was drilled to 808 m low on the northern flank of the Tecuamburro Volcano complex. The hole is located 300 m south of a 300m-diameter phreatic crater. Laguna Ixpaco, dated at 2910 years. TCB-1 temperature logs do not indicate isothermal conditions at depth and the calculated thermal gradient from 500-800 m is 230??C/km. Bottom hole temperature is close to 240??C. Calculated heat flow values are around 350-400 mW/m2. Fluid-inclusion and secondary-alteration studies indicate that veins and secondary minerals were formed at temperatures equal to or slightly less than present temperatures; thus, the Tecuamburro geothermal system may still be heating up. The integration of results from the TCB-1 gradient core hole with results from field studies provides strong evidence that the Tecuamburro area holds great promise for geothermal resource development. ?? 1992.

Preliminary results from an integrated, multi-parameter, experiment at the Santiaguito lava dome complex, Guatemala

NASA Astrophysics Data System (ADS)

De Angelis, S.; Rietbrock, A.; Lavallée, Y.; Lamb, O. D.; Lamur, A.; Kendrick, J. E.; Hornby, A. J.; von Aulock, F. W.; Chigna, G.

2016-12-01

Understanding the complex processes that drive volcanic unrest is crucial to effective risk mitigation. Characterization of these processes, and the mechanisms of volcanic eruptions, is only possible when high-resolution geophysical and geological observations are available over comparatively long periods of time. In November 2014, the Liverpool Earth Observatory, UK, in collaboration with the Instituto Nacional de Sismologia, Meteorologia e Hidrologia (INSIVUMEH), Guatemala, established a multi-parameter geophysical network at Santiaguito, one of the most active volcanoes in Guatemala. Activity at Santiaguito throughout the past decade, until the summer of 2015, was characterized by nearly continuous lava dome extrusion accompanied by frequent and regular small-to-moderate gas or gas-and-ash explosions. Over the past two years our network collected a wealth of seismic, acoustic and deformation data, complemented by campaign visual and thermal infrared measurements, and rock and ash samples. Here we present preliminary results from the analysis of this unique dataset. Using acoustic and thermal data collected during 2014-2015 we were able to assess volume fractions of ash and gas in the eruptive plumes. The small proportion of ash inferred in the plumes confirms estimates from previous, independent, studies, and suggests that these events did not involve significant magma fragmentation in the conduit. The results also agree with the suggestion that sacrificial fragmentation along fault zones in the conduit region, due to shear-induced thermal vesiculation, may be at the origin of such events. Finally, starting in the summer of 2015, our experiment captured the transition to a new phase of activity characterized by vigorous vulcanian-style explosions producing large, ash-rich, plumes and frequent hazardous pyroclastic flows, as well as the formation a large summit crater. We present evidence of this transition in the geophysical and geological data, and discuss its

Disentangling nutritional factors and household characteristics related to child stunting and maternal overweight in Guatemala.

PubMed

Lee, Jounghee; Houser, Robert F; Must, Aviva; de Fulladolsa, Patricia Palma; Bermudez, Odilia I

2010-07-01

The aim of this study was to identify nutritional factors and households characteristics associated with child stunting, maternal overweight and the familial coexistence of both types of malnutrition. In Guatemala, 2000, with nationally representative data, we selected 2261 households with at least one child aged 12-60 months and his/her mother. Nutritional status was assessed in children (e.g., stunting as height-for-age Z-score<-2) and mothers (e.g., overweight as body mass index > or =25 kg/m(2)) and identified the presence of both, child stunting and maternal overweight in the same household (SCOM). With logistic regression models we assessed the association of the malnutrition indicators with individual and household socio-economic and health characteristics. SCOM was identified in 18% of households. Socio-economic status (SES) of SCOM households was significantly lower than SES of households with non-stunted children. SCOM households, compared to those with normal-stature children and normal weight mothers, were more likely to have mothers of short stature (adjusted odds ratio-OR+/-95% CI=3.1 (2.1-4.7)), higher parity (1.2 (1.1-1.3)), currently working (1.7 (1.1-2.6), and self-identified as indigenous (2.0 (1.3-3.1)). Factors associated with stunting in children such as poverty, maternal short stature and indigenousness, were predictors of SCOM. These findings support the notion that SCOM is an extension of the malnutrition spectrum in the most disadvantaged population groups in countries that are in the middle of their nutrition transitions such as Guatemala. At the same time it revealed that these populations are already in the stage of chronic, nutrition related diseases associated with less physical activity and more access to highly processed foods of low cost, high dietary energy and low nutrient density in important population groups. The challenge for the decision makers and service deliverers is to guide SCOM households to deal equally with both

Space versus Place in Complex Human-Natural Systems: Spatial and Multi-level Models of Tropical Land Use and Cover Change (LUCC) in Guatemala

PubMed Central

López-Carr, David; Davis, Jason; Jankowska, Marta; Grant, Laura; López-Carr, Anna Carla; Clark, Matthew

2013-01-01

The relative role of space and place has long been debated in geography. Yet modeling efforts applied to coupled human-natural systems seemingly favor models assuming continuous spatial relationships. We examine the relative importance of placebased hierarchical versus spatial clustering influences in tropical land use/cover change (LUCC). Guatemala was chosen as our study site given its high rural population growth and deforestation in recent decades. We test predictors of 2009 forest cover and forest cover change from 2001-2009 across Guatemala's 331 municipalities and 22 departments using spatial and multi-level statistical models. Our results indicate the emergence of several socio-economic predictors of LUCC regardless of model choice. Hierarchical model results suggest that significant differences exist at the municipal and departmental levels but largely maintain the magnitude and direction of single-level model coefficient estimates. They are also intervention-relevant since policies tend to be applicable to distinct political units rather than to continuous space. Spatial models complement hierarchical approaches by indicating where and to what magnitude significant negative and positive clustering associations emerge. Appreciating the comparative advantages and limitations of spatial and nested models enhances a holistic approach to geographical analysis of tropical LUCC and human-environment interactions. PMID:24013908

A low-cost repellent for malaria vectors in the Americas: results of two field trials in Guatemala and Peru

PubMed Central

Moore, Sarah J; Darling, Samuel T; Sihuincha, Moisés; Padilla, Norma; Devine, Gregor J

2007-01-01

Background The cost of mosquito repellents in Latin America has discouraged their wider use among the poor. To address this problem, a low-cost repellent was developed that reduces the level of expensive repellent actives by combining them with inexpensive fixatives that appear to slow repellent evaporation. The chosen actives were a mixture of para-menthane-diol (PMD) and lemongrass oil (LG). Methods To test the efficacy of the repellent, field trials were staged in Guatemala and Peru. Repellent efficacy was determined by human-landing catches on volunteers who wore the experimental repellents, control, or 15% DEET. The studies were conducted using a balanced Latin Square design with volunteers, treatments, and locations rotated each night. Results In Guatemala, collections were performed for two hours, commencing three hours after repellent application. The repellent provided >98% protection for five hours after application, with a biting pressure of >100 landings per person/hour. The 15% DEET control provided lower protection at 92% (p < 0.0001). In Peru, collections were performed for four hours, commencing two hours after repellent application. The PMD/LG repellent provided 95% protection for six hours after application with a biting pressure of >46 landings per person/hour. The 20% DEET control provided significantly lower protection at 64% (p < 0.0001). Conclusion In both locations, the PMD/LG repellent provided excellent protection up to six hours after application against a wide range of disease vectors including Anopheles darlingi. The addition of fixatives to the repellent extended its longevity while enhancing efficacy and significantly reducing its cost to malaria-endemic communities. PMID:17678537

Building a safety culture in global health: lessons from Guatemala.

PubMed

Rice, Henry E; Lou-Meda, Randall; Saxton, Anthony T; Johnston, Bria E; Ramirez, Carla C; Mendez, Sindy; Rice, Eli N; Aidar, Bernardo; Taicher, Brad; Baumgartner, Joy Noel; Milne, Judy; Frankel, Allan S; Sexton, J Bryan

2018-01-01

Programmes to modify the safety culture have led to lasting improvements in patient safety and quality of care in high-income settings around the world, although their use in low-income and middle-income countries (LMICs) has been limited. This analysis explores (1) how to measure the safety culture using a health culture survey in an LMIC and (2) how to use survey data to develop targeted safety initiatives using a paediatric nephrology unit in Guatemala as a field test case. We used the Safety, Communication, Operational Reliability, and Engagement survey to assess staff views towards 13 health climate and engagement domains. Domains with low scores included personal burnout, local leadership, teamwork and work-life balance. We held a series of debriefings to implement interventions targeted towards areas of need as defined by the survey. Programmes included the use of morning briefings, expansion of staff break resources and use of teamwork tools. Implementation challenges included the need for education of leadership, limited resources and hierarchical work relationships. This report can serve as an operational guide for providers in LMICs for use of a health culture survey to promote a strong safety culture and to guide their quality improvement and safety programmes.

Building a safety culture in global health: lessons from Guatemala

PubMed Central

Rice, Henry E; Lou-Meda, Randall; Saxton, Anthony T; Johnston, Bria E; Ramirez, Carla C; Mendez, Sindy; Rice, Eli N; Aidar, Bernardo; Taicher, Brad; Baumgartner, Joy Noel; Milne, Judy; Frankel, Allan S; Sexton, J Bryan

2018-01-01

Programmes to modify the safety culture have led to lasting improvements in patient safety and quality of care in high-income settings around the world, although their use in low-income and middle-income countries (LMICs) has been limited. This analysis explores (1) how to measure the safety culture using a health culture survey in an LMIC and (2) how to use survey data to develop targeted safety initiatives using a paediatric nephrology unit in Guatemala as a field test case. We used the Safety, Communication, Operational Reliability, and Engagement survey to assess staff views towards 13 health climate and engagement domains. Domains with low scores included personal burnout, local leadership, teamwork and work–life balance. We held a series of debriefings to implement interventions targeted towards areas of need as defined by the survey. Programmes included the use of morning briefings, expansion of staff break resources and use of teamwork tools. Implementation challenges included the need for education of leadership, limited resources and hierarchical work relationships. This report can serve as an operational guide for providers in LMICs for use of a health culture survey to promote a strong safety culture and to guide their quality improvement and safety programmes. PMID:29607099

Host Selection of Potential West Nile Virus Vectors in Puerto Barrios, Guatemala, 2007

PubMed Central

Kading, Rebekah C.; Reiche, Ana Silvia Gonzalez; Morales-Betoulle, Maria Eugenia; Komar, Nicholas

2013-01-01

The selection of vertebrate hosts by Culex mosquitoes relative to West Nile virus (WNV) transmission in neotropical countries such as Guatemala is not described. This study determined the feeding patterns of Cx. quinquefasciatus and Cx. nigripalpus and estimated the relative contribution of two common and frequently infected wild bird species, Turdus grayi and Quiscalus mexicanus, to WNV transmission. Engorged mosquitoes were collected from rural and urban habitats after the dry and wet seasons in the Department of Izabal in 2007. Host selection by Cx. nigripalpus varied significantly between urban and rural habitats. Both Cx. quinquefasciatus and Cx. nigripalpus fed predominantly on chickens and other domestic animals. Blood meals from wild birds were rare, accounting for 1.1% of blood meals identified from Cx. quinquefasciatus and 6.5% of blood meals from Cx. nigripalpus. Transmission of WNV by these two mosquito species may be dampened by extensive feeding on reservoir-incompetent hosts. PMID:23208881

Use of a portable system with ultrasound and blood tests to improve prenatal controls in rural Guatemala.

PubMed

Crispín Milart, Patricia Hanna; Diaz Molina, César Augusto; Prieto-Egido, Ignacio; Martínez-Fernández, Andrés

2016-09-13

Maternal and neonatal mortality figures remain unacceptably high worldwide and new approaches are required to address this problem. This paper evaluates the impact on maternal and neonatal mortality of a pregnancy care package for rural areas of developing countries with portable ultrasound and blood/urine tests. An observational study was conducted, with intervention and control groups not randomly assigned. Rural areas of the districts of Senahu, Campur and Carcha, in Alta Verapaz Department (Guatemala). The control group is composed by 747 pregnant women attended by the community facilitator, which is the common practice in rural Guatemala. The intervention group is composed by 762 pregnant women attended under the innovative Healthy Pregnancy project. That project strengthens the local prenatal care program, providing local nurses training, portable ultrasound equipment and blood and urine tests. The information of each pregnancy is registered in a medical exchange tool, and is later reviewed by a gynecology specialist to ensure a correct diagnosis and improve nurses training. No maternal deaths were reported within the intervention group, versus five cases in the control group. Regarding neonatal deaths, official data revealed a 64 % reduction for neonatal mortality. A 37 % prevalence of anemia was detected. Non-urgent referral was recommended to 70 pregnancies, being fetal malpresentation the main reported cause. Impact data on maternal mortality (reduction to zero) and neonatal mortality (NMR was reduced to 36 %) are encouraging, although we are aware of the limitations of the study related to possible biasing and the small sample size. The major reduction of maternal and neonatal mortality provides promising prospects for these low-cost diagnostic procedures, which allow to provide high quality prenatal care in isolated rural communities of developing countries. This research was not registered because it is an observational study where the assignment of

Pathways of the association between maternal employment and weight status among women and children: Qualitative findings from Guatemala.

PubMed

Oddo, Vanessa M; Surkan, Pamela J; Hurley, Kristen M; Lowery, Caitlin; de Ponce, Silvia; Jones-Smith, Jessica C

2018-01-01

The double burden of malnutrition, defined by the coexistence of undernutrition and overweight, is well documented in low- and middle-income countries. However, the mechanisms by which employment may be related to maternal and child weight status in low- and middle-income countries are not well understood. We conducted in-depth interviews among 20 mothers who participated in Project MIEL, a contemporary trial which evaluated the effects of an integrated micronutrient supplement and parenting intervention in rural Guatemala. We utilized semi-structured interviews to explore the pathways by which maternal employment might influence bodyweight. Interviews were structured to explore the factors that mothers considered when deciding whether or not to participate in the labor force and how mothers perceived the influence of employment on determinants of their own bodyweight and that of their children. Themes were used to develop a conceptual framework. Mothers described four pathways through which employment could lead to changes in weight status: changes in food purchasing; improved household well-being; changes in time allocation; and psychological effects. Mothers described purchasing increased quantities and more varied types of food, as well as the purchase of energy-dense foods. Less time to devote to food preparation resulted in mothers preparing quicker meals and relying on substitute childcare. Mothers also expressed feelings of worry and neglect in relation to being employed, and perceived that these feelings would affect weight. A better understanding of these mechanisms is important for developing policies and programs to support women in the workplace and also reducing maternal and child overweight in Guatemala. © 2017 John Wiley & Sons Ltd.

Exploring the links between water, sanitation and hygiene and disability; Results from a case-control study in Guatemala.

PubMed

Kuper, Hannah; Mactaggart, Islay; White, Sian; Dionicio, Carlos; Cañas, Rafael; Naber, Jonathan; Polack, Sarah; Biran, Adam

2018-01-01

To assess the Water, Sanitation and Hygiene (WASH) access and appropriateness of people with disabilities compared to those without, in Guatemala. A case-control study was conducted, nested within a national survey. The study included 707 people with disabilities, and 465 age- and sex-matched controls without disabilities. Participants reported on WASH access at the household and individual level. A sub-set of 121 cases and 104 controls completed a newly designed, in-depth WASH questionnaire. Households including people with disabilities were more likely to use an improved sanitation facility compared to control households (age-sex-adjusted OR: 1.7, 95% CI 1.3-2.5), but otherwise there were no differences in WASH access at the household level. At the individual level, people with disabilities reported greater difficulties in relation to sanitation (mean score 26.2, SD 26.5) and hygiene access and quality (mean 30.7, SD 24.2) compared to those without disabilities (15.5, 21.7, p<0.001; 22.4, 19.1, p<0.01). There were no differences in different aspects of water collection between people with and without disabilities in this context where over 85% of participants had water piped into their dwelling. Among people with disabilities, older adults were more likely to experience difficulties in hygiene and sanitation than younger people with disabilities. People with disabilities in Guatemala experience greater difficulties in accessing sanitation facilities and practicing hygienic behaviours than their peers without disabilities. More data collection is needed using detailed tools to detect these differences, highlight which interventions are needed, and to allow assessment of their effectiveness.

Determination of malathion and diazinon resistance by sequencing the Md alpha E7 gene from Guatemala, Colombia, Manhattan, and Thailand housefly (Musca domestica L.) strains.

PubMed

Taşkin, Vatan; Kence, Meral; Göçmen, Belgin

2004-04-01

Organophosphate (OP) insecticides (parathion/diazinon) resistance in housefly (Musca domestica L.) is associated with the change in carboxylesterase activity. The product of alpha E7 gene, which is a member of alpha-esterase gene cluster, is probably playing a role in detoxification of the xenobiotic esters. In parathion/diazinon resistant M. domestica species Gly137 to Asp substitution was found in the active center of the product of alpha E7 gene. In malathion (an OP) resistant M. domestica strains Trp251 to Ser substitution was identified in the active center of the Md alpha E7. In our research, to understand the allelic diversity of the Md alpha E7, the gene was partially sequenced from four different housefly strains from different localities (Guatemala, Manhattan (USA), Colombia (USA) and Thailand). It was found out that; in Thailand strain one allele has Cys residue at the position of 251, the other allele contains a Trp for the same site. In Colombia strain, one allele has Asp137, the other allele contains a Gly residue at this point. The Manhattan and Guatemala strains have Asp137 and Trp251 residues on their both alleles at these two different positions.

Modeling the October 2005 lahars at Panabaj (Guatemala)

NASA Astrophysics Data System (ADS)

Charbonnier, S. J.; Connor, C. B.; Connor, L. J.; Sheridan, M. F.; Oliva Hernández, J. P.; Richardson, J. A.

2018-01-01

An extreme rainfall event in October of 2005 triggered two deadly lahars on the flanks of Tolimán volcano (Guatemala) that caused many fatalities in the village of Panabaj. We mapped the deposits of these lahars, then developed computer simulations of the lahars using the geologic data and compared simulated area inundated by the flows to mapped area inundated. Computer simulation of the two lahars was dramatically improved after calibration with geological data. Specifically, detailed field measurements of flow inundation area, flow thickness, flow direction, and velocity estimates, collected after lahar emplacement, were used to calibrate the rheological input parameters for the models, including deposit volume, yield strength, sediment and water concentrations, and Manning roughness coefficients. Simulations of the two lahars, with volumes of 240,200 ± 55,400 and 126,000 ± 29,000 m3, using the FLO-2D computer program produced models of lahar runout within 3% of measured runouts and produced reasonable estimates of flow thickness and velocity along the lengths of the simulated flows. We compare areas inundated using the Jaccard fit, model sensitivity, and model precision metrics, all related to Bayes' theorem. These metrics show that false negatives (areas inundated by the observed lahar where not simulated) and false positives (areas not inundated by the observed lahar where inundation was simulated) are reduced using a model calibrated by rheology. The metrics offer a procedure for tuning model performance that will enhance model accuracy and make numerical models a more robust tool for natural hazard reduction.

Analysis of 16 autosomal STRs and 17 Y-STRs in an indigenous Maya population from Guatemala.

PubMed

Cardoso, Sergio; Sevillano, Rubén; Illescas, María J; de Pancorbo, Marian Martínez

2016-03-01

The aim of this study was to contribute new data on autosomal STR and Y-STR markers of the Mayas from Guatemala in order to improve available databases of forensic interest. We analyzed 16 autosomal STR markers in a population sample of 155 indigenous Maya and 17 Y-chromosomal STR markers in the 100 males of the sample. Deviations from Hardy-Weinberg equilibrium and linkage disequilibrium between autosomal STR markers were not observed at any loci. The combined power of exclusion was estimated as 99.9991% and the combined power of discrimination was >99.999999999999%. Haplotype diversity of Y-STRs was calculated as 0.9984 ± 0.0018 and analysis of pairwise genetic distances (Rst) supported the Native American background of the population.

Plants used in Guatemala for the treatment of gastrointestinal disorders. 3. Confirmation of activity against enterobacteria of 16 plants.

PubMed

Cáceres, A; Fletes, L; Aguilar, L; Ramirez, O; Figueroa, L; Taracena, A M; Samayoa, B

1993-01-01

Ethnobotanical surveys and literature review identified 408 plants used in Guatemala for the treatment of gastrointestinal disorders. The screening of 84 showed that 34 inhibit one or more enterobacteria; 16 of these were selected for further investigation. Extracts were obtained with three solvents of different polarity (n-hexane, acetone and alcohol) and the in vitro activity was demonstrated against enteropathogenic Escherichia coli, Salmonella enteritidis and Shigella flexneri. The activity of nine ethanolic extracts against enterobacteria, particularly Acalypha guatemalensis, Diphysa robinioides, Lippia dulcis, Psidium guajava and Spondias purpurea was confirmed. The plants with antibacterial activity are discussed.

The role of ethnic and rural discrimination in the relationship between income inequality and health in Guatemala.

PubMed

Poder, Thomas G; He, Jie

2015-01-01

This article seeks to understand in the ways in which income inequality can affect children's health (z-score of stunting) in Guatemala. We postulate that there are several transmission channels through which income inequality can affect health and that the children's ethnic and rural origins influence the size and direction of this effect. The methodology employed is systems of simultaneous equations (three-stage least squares and generalized method of moments). Our results highlight the importance of rural and indigenous characteristics in the relationship between income inequality and child health and indicate that the most important transmission channels are household income levels and maternal education. © The Author(s) 2015 Reprints and permissions:]br]sagepub.co.uk/journalsPermissions.nav.

Structural and Interpersonal Benefits and Risks of Participation in HIV Research: Perspectives of Female Sex Workers in Guatemala

PubMed Central

Goldenberg, Shira M.; Mindt, Monica Rivera; Jimenez, Teresita Rocha; Brouwer, Kimberly C.; Miranda, Sonia Morales; Fisher., Celia B.

2016-01-01

This study explored perceived benefits and risks of participation in HIV research among 33 female sex workers in Tecun Uman, Guatemala. Stigma associated with sex work and HIV was a critical barrier to research participation. Key benefits of participation included access to HIV/STI prevention and testing, as well as positive and trusting relationships between sex workers and research teams. Control exerted by managers had mixed influences on perceived research risks and benefits. Results underscore the critical need for HIV investigators to develop population-tailored procedures to reduce stigma, engage managers, and reinforce trusting, reciprocal relationships between sex work communities and researchers. PMID:27840564

Palaeolimnological evidence of late-Holocene settlement and abandonment in the Mirador Basin, Peten, Guatemala

USGS Publications Warehouse

Wahl, D.; Byrne, R.; Schreiner, T.; Hansen, R.

2007-01-01

Pollen, loss on ignition and magnetic susceptibility analyses provide a high-resolution palaeoenvironmental record from Lago Puerto Arturo, Peten, Guatemala. The presence of Zea pollen -2650 BC provides a latest date for the arrival of maize agriculture to the region. The following 3600 years are marked by significant opening of the forest and episodic pulses of erosion. During the early Preclassic, around 1450 BC, all proxies indicate an abrupt increase in human activity, coincident with archaeological evidence of early settlement. Three discrete periods of decreased human activity are indicated by cessations of landscape disturbance. Such decreased human activity likely reflects periodic local population decline. These events coincide with times of cultural transition in the Maya lowlands and correspond to the terminal phases of the middle Preclassic, late Preclassic and late Classic periods. There is no evidence for human activity in the area following the late Classic abandonment. ?? 2007 SAGE Publications.

Acceptance and Impact of Point-of-Use Water Filtration Systems in Rural Guatemala.

PubMed

Larson, Kim L; Hansen, Corrie; Ritz, Michala; Carreño, Diego

2017-01-01

Infants and children in developing countries bear the burden of diarrheal disease. Diarrheal disease is linked to unsafe drinking water and can result in serious long-term consequences, such as impaired immune function and brain growth. There is evidence that point-of-use water filtration systems reduce the prevalence of diarrhea in developing countries. In the summer of 2014, following community forums and interactive workshops, water filters were distributed to 71 households in a rural Maya community in Guatemala. The purpose of this study was to evaluate the uptake of tabletop water filtration systems to reduce diarrheal diseases. A descriptive correlational study was used that employed community partnership and empowerment strategies. One year postintervention, in the summer of 2015, a bilingual, interdisciplinary research team conducted a house-to-house survey with families who received water filters. Survey data were gathered from the head of household on family demographics, current family health, water filter usage, and type of flooring in the home. Interviews were conducted in Spanish and in partnership with a village leader. Each family received a food package of household staples for their participation. Descriptive statistics were calculated for all responses. Fisher's exact test and odds ratios were used to determine relationships between variables. Seventy-nine percent (n = 56) of the 71 households that received a water filter in 2014 participated in the study. The majority of families (71.4%; n = 40) were using the water filters and 16 families (28.6%) had broken water filters. Of the families with working water filters, 15% reported diarrhea, while 31% of families with a broken water filter reported diarrhea. Only 55.4% of the homes had concrete flooring. More households with dirt flooring and broken water filters reported a current case of diarrhea. A record review of attendees at an outreach clinic in this village noted a decrease in intestinal

Telehealth to Expand Community Health Nurse Education in Rural Guatemala: A Pilot Feasibility and Acceptability Evaluation.

PubMed

McConnell, Kelly A; Krisher, Lyndsay K; Lenssen, Maureen; Bunik, Maya; Bunge Montes, Saskia; Domek, Gretchen J

2017-01-01

Telehealth education has the potential to serve as an important, low-cost method of expanding healthcare worker education and support, especially in rural settings of low- and middle-income countries. We describe an innovative educational strategy to strengthen a long-term health professional capacity building partnership between Guatemalan and US-based partners. In this pilot evaluation, community health nurses in rural Guatemala received customized, interactive education via telehealth from faculty at the supporting US-based institution. Program evaluation of this 10 lecture series demonstrated high levels of satisfaction among learners and instructors as well as knowledge gain by learners. An average of 5.5 learners and 2 instructors attended the 10 lectures and completed surveys using a Likert scale to rate statements regarding lecture content, technology, and personal connection. Positive statements about lecture content and the applicability to daily work had 98% or greater agreement as did statements regarding ease of technology and convenience. The learners agreed with feeling connected to the instructors 100% of the time, while instructors had 86.4% agreement with connection related statements. Instructors, joining at their respective work locations, rated convenience statements at 100% agreement. This evaluation also demonstrated effectiveness with an average 10.7% increase in pre- to posttest knowledge scores by learners. As the global health community considers efficiency in time, money, and our environment, telehealth education is a critical method to consider and develop for health worker education. Our pilot program evaluation shows that telehealth may be an effective method of delivering education to frontline health workers in rural Guatemala. While larger studies are needed to quantify the duration and benefits of specific knowledge gains and to perform a cost-effectiveness analysis of the program, our initial pilot results are encouraging and

SMS text message reminders to improve infant vaccination coverage in Guatemala: A pilot randomized controlled trial.

PubMed

Domek, Gretchen J; Contreras-Roldan, Ingrid L; O'Leary, Sean T; Bull, Sheana; Furniss, Anna; Kempe, Allison; Asturias, Edwin J

2016-05-05

Patient reminder systems are an evidence-based way to improve childhood vaccination rates but are difficult to implement in low- and middle-income countries (LMICs). Short Message Service (SMS) texts may offer a potential low-cost solution, especially in LMICs where mobile phones are becoming more ubiquitous. To determine if an SMS-based vaccination reminder system aimed at improving completion of the infant primary immunization series is feasible and acceptable in Guatemala. A pilot randomized controlled trial was conducted at two public health clinics in Guatemala City. Infants aged 8-14 weeks presenting for the first dose of the primary immunization series were enrolled in March-April 2013. Participants randomized into the intervention received three SMS reminders one week before the second and third dose. A follow-up acceptability survey was administered to both groups. The participation rate was 86.8% (321/370); 8 did not own a cell phone and 12 could not use SMS. 96.9% of intervention parents were sent at least one SMS reminder prior to visit 2 and 96.3% prior to visit 3. Both intervention and usual care participants had high rates of vaccine and visit completion, with a non-statistically significant higher percentage of children in the intervention completing both visit 2 (95.0% vs. 90.1%, p=.12) and visit 3 (84.4% vs. 80.7%, p=.69). More intervention vs. usual care parents agreed that SMS reminders would be helpful for remembering appointments (p<.0001), agreed to being interested in receiving future SMS reminders (p<.0001), and said that they would be willing to pay for future SMS reminders (p=.01). This proof of concept evaluation showed that a new application of SMS technology is feasible to implement in a LMIC with high user satisfaction. Larger studies with modifications in the SMS system are needed to determine effectiveness (Clinical Trial Registry NCT01663636). Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

Low usage of government healthcare facilities for acute respiratory infections in guatemala: implications for influenza surveillance

PubMed Central

2011-01-01

Background Sentinel surveillance for severe acute respiratory infections in hospitals and influenza-like illness in ambulatory clinics is recommended to assist in global pandemic influenza preparedness. Healthcare utilization patterns will affect the generalizability of data from sentinel sites and the potential to use them to estimate burden of disease. The objective of this study was to measure healthcare utilization patterns in Guatemala to inform the establishment of a sentinel surveillance system for influenza and other respiratory infections, and allow estimation of disease burden. Methods We used a stratified, two-stage cluster survey sample to select 1200 households from the Department of Santa Rosa. Trained interviewers screened household residents for self-reported pneumonia in the last year and influenza-like illness (ILI) in the last month and asked about healthcare utilization for each illness episode. Results We surveyed 1131 (94%) households and 5449 residents between October and December 2006 and identified 323 (6%) cases of pneumonia and 628 (13%) cases of ILI. Treatment for pneumonia outside the home was sought by 92% of the children <5 years old and 73% of the persons aged five years and older. For both children <5 years old (53%) and persons aged five years and older (31%) who reported pneumonia, private clinics were the most frequently reported source of care. For ILI, treatment was sought outside the home by 81% of children <5 years old and 65% of persons aged five years and older. Government ambulatory clinics were the most frequently sought source of care for ILI both for children <5 years old (41%) and persons aged five years and older (36%). Conclusions Sentinel surveillance for influenza and other respiratory infections based in government health facilities in Guatemala will significantly underestimate the burden of disease. Adjustment for healthcare utilization practices will permit more accurate estimation of the incidence of influenza

Telehealth to Expand Community Health Nurse Education in Rural Guatemala: A Pilot Feasibility and Acceptability Evaluation

PubMed Central

McConnell, Kelly A.; Krisher, Lyndsay K.; Lenssen, Maureen; Bunik, Maya; Bunge Montes, Saskia; Domek, Gretchen J.

2017-01-01

Telehealth education has the potential to serve as an important, low-cost method of expanding healthcare worker education and support, especially in rural settings of low- and middle-income countries. We describe an innovative educational strategy to strengthen a long-term health professional capacity building partnership between Guatemalan and US-based partners. In this pilot evaluation, community health nurses in rural Guatemala received customized, interactive education via telehealth from faculty at the supporting US-based institution. Program evaluation of this 10 lecture series demonstrated high levels of satisfaction among learners and instructors as well as knowledge gain by learners. An average of 5.5 learners and 2 instructors attended the 10 lectures and completed surveys using a Likert scale to rate statements regarding lecture content, technology, and personal connection. Positive statements about lecture content and the applicability to daily work had 98% or greater agreement as did statements regarding ease of technology and convenience. The learners agreed with feeling connected to the instructors 100% of the time, while instructors had 86.4% agreement with connection related statements. Instructors, joining at their respective work locations, rated convenience statements at 100% agreement. This evaluation also demonstrated effectiveness with an average 10.7% increase in pre- to posttest knowledge scores by learners. As the global health community considers efficiency in time, money, and our environment, telehealth education is a critical method to consider and develop for health worker education. Our pilot program evaluation shows that telehealth may be an effective method of delivering education to frontline health workers in rural Guatemala. While larger studies are needed to quantify the duration and benefits of specific knowledge gains and to perform a cost-effectiveness analysis of the program, our initial pilot results are encouraging and

Triatoma ryckmani (Hemiptera: Reduviidae) in the epiphyte Tillandsia xerographica (Bromeliaceae) in the semiarid region of Guatemala.

PubMed

Marroquín, Ricardo; Monroy, Carlota; Jaenson, Thomas G T

2004-05-01

For the first time, the reduviid bug Triatoma ryckmani Zeledón and Ponce (Hemiptera; Reduviidae) was recorded to inhabit the epiphyte Tillandsia xerographica Rohweder (Bromeliaceae) in the semiarid region of Guatemala. These bromeliads grow mainly in drought-resistant trees with rough bark such as Pereskia lychnidiflora (Cactaceae). In our study site, we investigated 30 T. xerographica, and 53 specimens of T. ryckmani were found. Most T. ryckmani (68.5%) were unfed. Ants (Formicidae) were the predominant (92.2%) insect taxon in T. xerographica. Other insects such as Blattidae (3.0%), Reduviidae (T. ryckmani: 2.5%), Blaberidae (2.2%), Gryllidae (0.1%), and Acrididae (0.1%) were recorded in the bromeliads. T. xerographica is illegally commercialized without previous inspection. This may cause accidental introduction of T. ryckmani to houses and to other countries.

Migration to the Maya Biosphere Reserve, Guatemala: Why place matters.

PubMed

Carr, David L

2008-01-01

Virtually all migration research examines international migration or urbanization. Yet understudied rural migrants are of critical concern for environmental conservation and rural sustainable development. Despite the fact that a relatively small number of all migrants settle remote rural frontiers, these are the agents responsible for perhaps most of the tropical deforestation on the planet. Further, rural migrants are among the most destitute people worldwide in terms of economic and human development. While a host of research has investigated deforestation resulting from frontier migration, and a modest literature has emerged on frontier development, this article explores the necessary antecedent to tropical deforestation and poverty along agricultural frontiers: out-migration from origin areas. The data come from a 2000 survey with community leaders and key informants in 16 municipios of migrant origin to the Maya Biosphere Reserve (MBR), Petén, Guatemala. A common denominator among communities of migration origin to the Petén frontier was unequal resource access, usually land. Nevertheless, the factors driving resource scarcity were widely variable. Land degradation, land consolidation, and population growth prevailed in some communities but not in others. Despite similar exposure to community and regional level push factors, most people in the sampled communities did not out-migrate, suggesting that any one or combination of factors is not necessarily sufficient for out-migration.

Migration to the Maya Biosphere Reserve, Guatemala: Why place matters

PubMed Central

Carr, David L.

2009-01-01

Virtually all migration research examines international migration or urbanization. Yet understudied rural migrants are of critical concern for environmental conservation and rural sustainable development. Despite the fact that a relatively small number of all migrants settle remote rural frontiers, these are the agents responsible for perhaps most of the tropical deforestation on the planet. Further, rural migrants are among the most destitute people worldwide in terms of economic and human development. While a host of research has investigated deforestation resulting from frontier migration, and a modest literature has emerged on frontier development, this article explores the necessary antecedent to tropical deforestation and poverty along agricultural frontiers: out-migration from origin areas. The data come from a 2000 survey with community leaders and key informants in 16 municipios of migrant origin to the Maya Biosphere Reserve (MBR), Petén, Guatemala. A common denominator among communities of migration origin to the Petén frontier was unequal resource access, usually land. Nevertheless, the factors driving resource scarcity were widely variable. Land degradation, land consolidation, and population growth prevailed in some communities but not in others. Despite similar exposure to community and regional level push factors, most people in the sampled communities did not out-migrate, suggesting that any one or combination of factors is not necessarily sufficient for out-migration. PMID:19657470

Ungoverned Spaces in Guatemala and U.S. National Security

DTIC Science & Technology

2009-05-04

Schools, 3624 Market Street, Philadelphia, PA 19104, (215) 662-5606. The Commission on Higher Education is an institutional accrediting agency recognized...Army War College is accredited by the Commission on Higher Education of the Middle States Association of Colleges and Schools, 3624 Market Street...blind passes) dot the border. The town of Tecun Uman is the archetypical smuggler’s warren. Black market commercial goods flow freely across the

Serologic survey of domestic felids in the Petén region of Guatemala.

PubMed

Lickey, Adrienne L A; Kennedy, Melissa; Patton, Sharon; Ramsay, Edward C

2005-03-01

Blood samples were analyzed from 30 domestic cats (Felis domesticus) from the Petén region of Guatemala to determine the seroprevalence of common pathogens that may pose a potential risk to native wild felids. Eight of the cats had been vaccinated previously; however, owners were unable to fully describe the type of vaccine and date of administration. In addition, blood samples were obtained from two captive margays (Leopardus wiedii). Samples were tested for antibodies to feline immunodeficiency virus, Dirofilaria immitis, feline panleukopenia virus, feline herpesvirus, feline coronavirus, canine distemper virus, and Toxoplasma gondii and for feline leukemia virus (FeLV) antigen. Fifty percent or more of the cats sampled were seropositive for feline herpesvirus (22 of 30), feline panleukopenia (15 of 30), and T. gondii (16 of 30). Five cats were positive for FeLV antigen. Both margays were seropositive for feline coronavirus and one was strongly seropositive to T. gondii. All animals were seronegative for D. immitis. This survey provides preliminary information about feline diseases endemic to the Petén region.

Seismic evidence for hydration of the Central American slab: Guatemala through Costa Rica

NASA Astrophysics Data System (ADS)

Syracuse, E. M.; Thurber, C. H.

2011-12-01

The Central American subduction zone exhibits a wide variability in along-arc slab hydration as indicated by geochemical studies. These studies generally show maximum slab contributions to magma beneath Nicaragua and minimum contributions beneath Costa Rica, while intermediate slab fluid contributions are found beneath El Salvador and Guatemala. Geophysical studies suggest strong slab serpentinization and fluid release beneath Nicaragua, and little serpentinization beneath Costa Rica, but the remainder of the subduction zone is poorly characterized seismically. To obtain an integrated seismic model for the Central American subduction zone, we combine 250,000 local seismic arrivals and 1,000,000 differential arrivals for 6,500 shallow and intermediate-depth earthquakes from the International Seismic Centre, the Central American Seismic Center, and the temporary PASSCAL TUCAN array. Using this dataset, we invert for Vp, Vs, and hypocenters using a variable-mesh double-difference tomography algorithm. By observing low-Vp areas within the normally high-Vp slab, we identify portions of the slab that are likely to contain serpentinized mantle, and thus contribute to higher degrees of melting and higher volatile components observable in arc lavas.

Collaborative Monitoring and Hazard Mitigation at Fuego Volcano, Guatemala

NASA Astrophysics Data System (ADS)

Lyons, J. J.; Bluth, G. J.; Rose, W. I.; Patrick, M.; Johnson, J. B.; Stix, J.

2007-05-01

A portable, digital sensor network has been installed to closely monitor changing activity at Fuego volcano, which takes advantage of an international collaborative effort among Guatemala, U.S. and Canadian universities, and the Peace Corps. The goal of this effort is to improve the understanding shallow internal processes, and consequently to more effectively mitigate volcanic hazards. Fuego volcano has had more than 60 historical eruptions and nearly-continuous activity make it an ideal laboratory to study volcanic processes. Close monitoring is needed to identify base-line activity, and rapidly identify and disseminate changes in the activity which might threaten nearby communities. The sensor network is comprised of a miniature DOAS ultraviolet spectrometer fitted with a system for automated plume scans, a digital video camera, and two seismo-acoustic stations and portable dataloggers. These sensors are on loan from scientists who visited Fuego during short field seasons and donated use of their sensors to a resident Peace Corps Masters International student from Michigan Technological University for extended data collection. The sensor network is based around the local volcano observatory maintained by Instituto National de Sismologia, Vulcanologia, Metrologia e Hidrologia (INSIVUMEH). INSIVUMEH provides local support and historical knowledge of Fuego activity as well as a secure location for storage of scientific equipment, data processing, and charging of the batteries that power the sensors. The complete sensor network came online in mid-February 2007 and here we present preliminary results from concurrent gas, seismic, and acoustic monitoring of activity from Fuego volcano.

Knowledge and beliefs regarding agricultural pesticides in rural Guatemala

NASA Astrophysics Data System (ADS)

Popper, Roger; Andino, Karla; Bustamante, Mario; Hernandez, Beatriz; Rodas, Luis

1996-03-01

Throughout Central America, the United States Agency for International Development (USAID), and the Zamorano Pan-American Agricultural School support a Safe Pesticide Use program. In 1993, a study of results was carried out among farmers and housewives in eastern Guatemala. Aspects of the methodology included: (1) participation of extension workers in all aspects of the study; (2) small, region-focused samples (eight cells, 30 interviews per cell); (3) comparison to control groups of untrained farmers and housewives; (4) a traditional questionnaire for studying acquisition of specific knowledge; and (5) a flexible instrument for building a cognitive map of knowledge and beliefs regarding pesticides. The cognitive map is a step toward applying modern psychocultural scaling, an approach already well developed for medicine and public health, to environmental problems. Positive results detected include progress at learning the meaning of colors on containers that denote toxicity and where to store pesticides. Pesticide application problems detected were mention by farmers of highly toxic, restricted pesticides as appropriate for most pest problems and of insecticides as the correct solution to fungus problems, and the widespread belief that correct pesticide dosage depends on number of pests seen rather than on land or foliage surface. Health-related problems detected were admission by a vast majority of housewives that they apply highly toxic pesticides to combat children's head-lice; low awareness that pesticides cause health problems more serious than nausea, dizziness, and headaches; and a common belief that lemonade and coffee are effective medicines for pesticide poisoning.

Mining Input Data for Multivariate Probabilistic Modeling of Rainfall-Induced Landslide Hazard in the Lake ATITLÁN Watershed in Guatemala

NASA Astrophysics Data System (ADS)

Cobin, P. F.; Oommen, T.; Gierke, J. S.

2013-12-01

The Lake Atitlán watershed is home to approximately 200,000 people and is located in the western highlands of Guatemala. Steep slopes, highly susceptible to landslides during the rainy season, characterize the region. Typically these landslides occur during high-intensity precipitation events. Hurricane Stan hit Guatemala in October 2005; the resulting flooding and landslides devastated the region. Locations of landslide and non-landslide points were obtained from field observations and orthophotos taken following Hurricane Stan. Different datasets of landslide and non-landslide points across the watershed were used to compare model success at a small scale and regional scale. This study used data from multiple attributes: geology, geomorphology, distance to faults and streams, land use, slope, aspect, curvature, plan curvature, profile curvature and topographic wetness index. The open source software Weka was used for the data mining. Several attribute selection methods were applied to the data to predetermine the potential landslide causative influence. Different multivariate algorithms were then evaluated for their ability to predict landslide occurrence. The following statistical parameters were used to evaluate model accuracy: precision, recall, F measure and area under the receiver operating characteristic (ROC) curve. The attribute combinations of the most successful models were compared to the attribute evaluator results. The algorithm BayesNet yielded the most accurate model and was used to build a probability map of landslide initiation points for the regions selected in the watershed. The ultimate aim of this study is to share the methodology and results with municipal contacts from the author's time as a U.S. Peace Corps volunteer, to facilitate more effective future landslide hazard planning and mitigation.

Determinants of Health Service Responsiveness in Community-Based Vector Surveillance for Chagas Disease in Guatemala, El Salvador, and Honduras.

PubMed

Hashimoto, Ken; Zúniga, Concepción; Romero, Eduardo; Morales, Zoraida; Maguire, James H

2015-01-01

Central American countries face a major challenge in the control of Triatoma dimidiata, a widespread vector of Chagas disease that cannot be eliminated. The key to maintaining the risk of transmission of Trypanosoma cruzi at lowest levels is to sustain surveillance throughout endemic areas. Guatemala, El Salvador, and Honduras integrated community-based vector surveillance into local health systems. Community participation was effective in detection of the vector, but some health services had difficulty sustaining their response to reports of vectors from the population. To date, no research has investigated how best to maintain and reinforce health service responsiveness, especially in resource-limited settings. We reviewed surveillance and response records of 12 health centers in Guatemala, El Salvador, and Honduras from 2008 to 2012 and analyzed the data in relation to the volume of reports of vector infestation, local geography, demography, human resources, managerial approach, and results of interviews with health workers. Health service responsiveness was defined as the percentage of households that reported vector infestation for which the local health service provided indoor residual spraying of insecticide or educational advice. Eight potential determinants of responsiveness were evaluated by linear and mixed-effects multi-linear regression. Health service responsiveness (overall 77.4%) was significantly associated with quarterly monitoring by departmental health offices. Other potential determinants of responsiveness were not found to be significant, partly because of short- and long-term strategies, such as temporary adjustments in manpower and redistribution of tasks among local participants in the effort. Consistent monitoring within the local health system contributes to sustainability of health service responsiveness in community-based vector surveillance of Chagas disease. Even with limited resources, countries can improve health service

Determinants of Health Service Responsiveness in Community-Based Vector Surveillance for Chagas Disease in Guatemala, El Salvador, and Honduras

PubMed Central

Hashimoto, Ken; Zúniga, Concepción; Romero, Eduardo; Morales, Zoraida; Maguire, James H.

2015-01-01

Background Central American countries face a major challenge in the control of Triatoma dimidiata, a widespread vector of Chagas disease that cannot be eliminated. The key to maintaining the risk of transmission of Trypanosoma cruzi at lowest levels is to sustain surveillance throughout endemic areas. Guatemala, El Salvador, and Honduras integrated community-based vector surveillance into local health systems. Community participation was effective in detection of the vector, but some health services had difficulty sustaining their response to reports of vectors from the population. To date, no research has investigated how best to maintain and reinforce health service responsiveness, especially in resource-limited settings. Methodology/Principal Findings We reviewed surveillance and response records of 12 health centers in Guatemala, El Salvador, and Honduras from 2008 to 2012 and analyzed the data in relation to the volume of reports of vector infestation, local geography, demography, human resources, managerial approach, and results of interviews with health workers. Health service responsiveness was defined as the percentage of households that reported vector infestation for which the local health service provided indoor residual spraying of insecticide or educational advice. Eight potential determinants of responsiveness were evaluated by linear and mixed-effects multi-linear regression. Health service responsiveness (overall 77.4%) was significantly associated with quarterly monitoring by departmental health offices. Other potential determinants of responsiveness were not found to be significant, partly because of short- and long-term strategies, such as temporary adjustments in manpower and redistribution of tasks among local participants in the effort. Conclusions/Significance Consistent monitoring within the local health system contributes to sustainability of health service responsiveness in community-based vector surveillance of Chagas disease. Even with

Amnesty Programs and the Labor Market Outcomes of Undocumented Workers

ERIC Educational Resources Information Center

Kaushal, Neeraj

2006-01-01

I investigate the effect of the 1997 Nicaraguan Adjustment and Central American Relief Act (NACARA) on employment and earnings of undocumented foreign-born men from Nicaragua, Cuba, Guatemala, and El Salvador who were eligible for amnesty under the Act. I find that NACARA had a modest effect on the employment of these men; raised their real wage…

Geology and geothermal potential of the tecuamburro volcano area, Guatemala

USGS Publications Warehouse

Duffield, W.A.; Heiken, G.H.; Wohletz, K.H.; Maassen, L.W.; Dengo, G.; McKee, E.H.; Castaneda, O.

1992-01-01

Tecuamburro, an andesitic stratovolcano in southeastern Guatemala, is within the chain of active volcanoes of Central America. Though Tecuamburro has no record of historic eruptions, radiocarbon ages indicate that eruption of this and three other adjacent volcanoes occurred within the past 38,300 years. The youngest eruption produced a dacite dome. Moreover, powerful steam explosions formed a 250 m wide crater about 2900 years ago near the base of this dome. The phreatic crater contains a pH-3 thermal lake. Fumaroles are common along the lake shore, and several other fumaroles are located nearby. Neutral-chloride hot springs are at lower elevations a few kilometers away. All thermal manifestations are within an area of about 400 km2 roughly centered on Tecuamburro Volcano. Thermal implications of the volume, age, and composition of the post-38.3 ka volcanic rocks suggest that magma, or recently solidified hot plutons, or both are in the crust beneath these lavas. Chemical geothermometry carried out by other workers suggests that a hydrothermal-convection system is centered over this crustal heat source. Maximum temperatures of about 300??C are calculated for samples collected in the area of youngest volcanism, whereas samples from outlying thermal manifestations yield calculated temperatures <- 165??C. An 808 m deep drill hole completed in 1990 to partly test the geothermal model developed from surface studies attained a maximum temperature of almost 240??C. Thus, the possibility of a commercial-grade hydrothermal resource in the area seems high. ?? 1992.

Clinical Assessment of Self-Reported Acute Flaccid Paralysis in a Population-Based Setting in Guatemala

PubMed Central

Sejvar, James J.; Lindblade, Kim A.; Arvelo, Wences; Padilla, Norma; Pringle, Kimberly; Zielinski-Gutierrez, Emily; Farnon, Eileen; Schonberger, Lawrence B.; Dueger, Erica

2010-01-01

Historically, poliovirus infection has been an important cause of acute flaccid paralysis (AFP) worldwide; however, successful elimination of wild-type poliovirus in much of the world has highlighted the importance of other causes of AFP. Despite the evolving etiology, AFP surveillance in most developing countries still focuses on poliovirus detection and fails to detect many AFP cases, particularly among adults. We assessed 41 subjects self-reporting symptoms suggestive of AFP during a population-based health survey in the Department of Santa Rosa, Guatemala. Thirty-five (85%) of the suspected cases were not hospitalized. Most subjects (37) did not have features consistent with AFP or had other diagnoses explaining weakness. We identified two adults who had not received medical attention for a clinical illness consistent with Guillain-Barré syndrome, the most important cause of non-poliovirus AFP. Usual surveillance methods for AFP, particularly in developing countries, may underestimate the true burden of non-poliovirus AFP. PMID:20348524

Applying a Total Market Lens: Increased IUD Service Delivery Through Complementary Public- and Private-Sector Interventions in 4 Countries

PubMed Central

White, Julia N; Corker, Jamaica

2016-01-01

ABSTRACT Increasing access to the intrauterine device (IUD), as part of a comprehensive method mix, is a key strategy for reducing unintended pregnancy and maternal mortality in low-income countries. To expand access to IUDs within the framework of informed choice, Population Services International (PSI) has historically supported increased IUD service delivery through private providers. In applying a total market lens to better understand the family planning market and address major market gaps, PSI identified a lack of high-quality public provision of IUDs. In 2013, PSI started a pilot in 4 countries (Guatemala, Laos, Mali, and Uganda) to grow public-provider IUD service delivery through increased public-sector engagement while maintaining its ongoing focus on private providers. In collaboration with country governments, PSI affiliates carried out family planning market analyses in the 4 pilot countries to identify gaps in IUD service delivery and create sustainable strategies for scaling up IUD services in the public sector. Country-specific interventions to increase service delivery were implemented across all levels of the public health system, including targeted advocacy at the national level to promote government ownership and program sustainability. Mechanisms to ensure government ownership were built into the program design, including a proof-of-concept approach to convince governments of the feasibility and value of taking over and scaling up interventions. In the first 2 years of the pilot (2013–2014), 102,055 IUD services were provided to women at 417 targeted public-sector facilities. These preliminary results suggest that there is untapped demand for IUD service delivery in the public sector that can be met in part through greater participation of the public sector in family planning and IUD provision. PMID:27540122

Applying a Total Market Lens: Increased IUD Service Delivery Through Complementary Public- and Private-Sector Interventions in 4 Countries.

PubMed

White, Julia N; Corker, Jamaica

2016-08-11

Increasing access to the intrauterine device (IUD), as part of a comprehensive method mix, is a key strategy for reducing unintended pregnancy and maternal mortality in low-income countries. To expand access to IUDs within the framework of informed choice, Population Services International (PSI) has historically supported increased IUD service delivery through private providers. In applying a total market lens to better understand the family planning market and address major market gaps, PSI identified a lack of high-quality public provision of IUDs. In 2013, PSI started a pilot in 4 countries (Guatemala, Laos, Mali, and Uganda) to grow public-provider IUD service delivery through increased public-sector engagement while maintaining its ongoing focus on private providers. In collaboration with country governments, PSI affiliates carried out family planning market analyses in the 4 pilot countries to identify gaps in IUD service delivery and create sustainable strategies for scaling up IUD services in the public sector. Country-specific interventions to increase service delivery were implemented across all levels of the public health system, including targeted advocacy at the national level to promote government ownership and program sustainability. Mechanisms to ensure government ownership were built into the program design, including a proof-of-concept approach to convince governments of the feasibility and value of taking over and scaling up interventions. In the first 2 years of the pilot (2013-2014), 102,055 IUD services were provided to women at 417 targeted public-sector facilities. These preliminary results suggest that there is untapped demand for IUD service delivery in the public sector that can be met in part through greater participation of the public sector in family planning and IUD provision. © White et al.

Elimination of Onchocerca volvulus Transmission in the Huehuetenango Focus of Guatemala

PubMed Central

Cruz-Ortiz, Nancy; Gonzalez, Rodrigo J.; Lindblade, Kim A.; Richards, Frank O.; Sauerbrey, Mauricio; Zea-Flores, Guillermo; Dominguez, Alfredo; Oliva, Orlando; Catú, Eduardo; Rizzo, Nidia

2012-01-01

In Latin America, onchocerciasis is targeted for elimination by 2012 through twice-yearly mass treatment of the eligible population with ivermectin. In Guatemala, two of the four historical endemic foci have demonstrated elimination of transmission, following World Health Organization guidelines. Using established guidelines ophthalmological, serological, and entomological evaluations were conducted in 2007-8 to determine the transmission status of onchocerciasis in the Huehuetenango focus. The prevalence of Onchocerca volvulus microfilariae in the anterior segment of the eye in 365 residents was 0% (95% confidence interval [CI] 0–0.8%), the prevalence of infection of O. volvulus in Simulium ochraceum among 8252 flies collected between November 2007 and April 2008 was 0% (95% CI 0–0.02%), and the prevalence of antibodies to a recombinant O. volvulus antigen in 3118 school age children was 0% (95% CI 0–0.1%). These results showed transmission interruption; thus, in 2009 mass treatment was halted and posttreatment surveillance began. To verify for potential recrudescence an entomological evaluation (from December 2010 to April 2011) was conducted during the 2nd and 3rd year of posttreatment surveillance. A total of 4587 S. ochraceum were collected, and the prevalence of infection of O. volvulus was 0% (95% CI 0–0.04%). Transmission of onchocerciasis in the Huehuetenango focus has been eliminated. PMID:22970346

[A method of education at a distance for nurses' aides in the community area of Guatemala].

PubMed

García Pastor de Domínguez, E; Robles de Sandoval, A; Martínez Chopen, O

1988-01-01

The authors describe in detail a self-tutorial system that has been used for some ten years in Guatemala to train auxiliary nursing personnel. This model addressed both training and service objectives, and it proved to be consistent with a health policy of integrating teaching and service which the country was implementing at the time. The system involved a national effort to develop self-tutorial units and materials on basic subjects such as nursing procedures, mother and child health, first aid, management, guided therapy, community development and health education. Materials were divided into three categories: for self-tutorial instruction, for recording, supervision and evaluation, and for coordination and feedback within the system. Lastly, greater detail is given on the functions and tasks performed at the different levels of staff involved in managing the system, and the mechanisms which were implemented in the country's health areas are described.

A decade after Guatemala's agreement on identity and rights of indigenous peoples: Mayan-Tz'utujil women's views on health, healing, and disease.

PubMed

Giralt, Alicia

2012-01-01

Mayan women have been called "guardians of life and ancestral culture." As such, one of their main responsibilities is the health of those in their care. Mothers are the ones who, as soon as a child, husband, or older relative falls sick, assess the symptoms and decide how to proceed. Although Mayan-Tz'utujil healing practices have been the subject of study on numerous occasions, the literature lacks women's views on health, healing, and disease. In this study I present those views within the framework of postcolonial studies, reflecting on the changes in Guatemala's national health policy.

Childhood asthma and indoor woodsmoke from cooking in Guatemala.

PubMed

Schei, Morten A; Hessen, Jens O; Smith, Kirk R; Bruce, Nigel; McCracken, John; Lopez, Victorina

2004-01-01

We estimated the prevalence and severity of asthma, and the association with cooking on open wood fires, as preparation for a large-scale randomized field trial on effects of indoor air pollution and child health. This is one of the first systematic studies of asthma and indoor wood-smoke pollution and to our knowledge the first asthma study in a purely indigeneous population in Latin America. The mothers of 1058 children aged 4-6 years were interviewed, using the standardized ISAAC (International Study of Asthma and Allergies in Childhood) procedures and questionnaire. The study population is a Mam-speaking (Maya), indigenous group living at relatively high altitude (2000 m) in Western Guatemalan Highlands. We found that asthma prevalence is low among indigenous children in Guatemala, compared to other populations in Latin America. Only 3.3% of the children reported wheezing symptoms in the last 12 months, and 72% wheezing symptoms ever. The majority of the current wheezers had at least one of the criteria for severe asthma. The prevalence of all the symptoms of asthma was higher in children from households that used open fires compared to improved stoves with chimneys. In a logistic regression model, use of open fire for cooking was a significant risk factor for a number of asthma symptoms, with odds ratios varying from 2.0 to 3.5. Among the different cooking technologies (1-improved stove with chimney, 2-mixture of gas and open fire, 3-open fire) trends of higher prevalence with more pollution was found for some of the symptoms. Hence use of open fire for cooking, may be an important risk factor for asthma symptoms and severity.

Viral Diversity, Prey Preference, and Bartonella Prevalence in Desmodus rotundus in Guatemala

PubMed Central

Wray, Amy K.; Olival, Kevin J.; Morán, David; Lopez, Maria Renee; Alvarez, Danilo; Navarrete-Macias, Isamara; Liang, Eliza; Simmons, Nancy B.; Lipkin, W. Ian; Daszak, Peter; Anthony, Simon J.

2016-01-01

Certain bat species serve as natural reservoirs for pathogens in several key viral families including henipa-, lyssa-, corona-, and filoviruses, which may pose serious threats to human health. The Common Vampire Bat (Desmodus rotundus), due to its abundance, sanguivorous feeding habit involving humans and domestic animals, and highly social behavioral ecology, may have an unusually high potential for interspecies disease transmission. Previous studies have investigated rabies dynamics in D. rotundus, yet the diversity of other viruses, bacteria, and other microbes that these bats may carry remains largely unknown. We screened 396 blood, urine, saliva, and fecal samples from D. rotundus captured in Guatemala for 13 viral families and genera. Positive results were found for rhabdovirus, adenovirus, and herpesvirus assays. We also screened these samples for Bartonella spp. and found that 38% of individuals tested positive. To characterize potential for interspecies transmission associated with feeding behavior, we also analyzed cytochrome B sequences from fecal samples to identify prey species and found that domestic cattle (Bos taurus) made up the majority of blood meals. Our findings suggest that the risk of pathogen spillover from Desmodus rotundus, including between domestic animal species, is possible and warrants further investigation to characterize this microbial diversity and expand our understanding of foraging ecology in their populations. PMID:27660213

77 FR 37804 - Rules for Investigations Relating to Global and Bilateral Safeguard Actions, Market Disruption...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-25

..., Bahrain, Business and industry, Canada, Chile, Colombia, Costa Rica, Dominican Republic, El Salvador..., Bahrain, Chile, Colombia, the Dominican Republic and five Central American countries (Costa Rica, El Salvador, Guatemala, Honduras, and Nicaragua), Jordan, Korea, Morocco, Oman, Panama, Peru, and Singapore...

On the use of UAVs at active volcanoes: a case study from Volcan de Fuego, Guatemala

NASA Astrophysics Data System (ADS)

Watson, M.; Chigna, G.; Wood, K.; Richardson, T.; Liu, E.; Schellenberg, B.; Thomas, H.; Naismith, A.

2017-12-01

Volcan de Fuego, Guatemala, is one of Central America's most active systems. More than one hundred thousand people live within ten kilometres of the summit, many of them in profound poverty. Both the summit region and the volcano's steep sided valleys present significant access challenges, mostly associated with unacceptably high risk. Unmanned aerial vehicles (UAVs) offer the opportunity to observe, map and quantify emissions of tephra, gas, lava and heat flux and, using structure from motion algorithms, model dynamic topography. During recent campaigns, the team have completed observations of changes in the summit morphology immediately prior a paroxysmal eruption, mapped the key drainage systems after the fifth of May 2017 eruption and sampled the plume for tephra and gases using a range of onboard instruments. I will present the group's findings within a broader context of hazard mitigation and physical volcanology, and discuss the future of UAVs in volcano monitoring and research.

Ethnopharmacological field study of the plants used to treat type 2 diabetes among the Cakchiquels in Guatemala.

PubMed

Cruz, Elda Carola; Andrade-Cetto, Adolfo

2015-01-15

Type 2 diabetes is characterized by tissue resistance to the action of insulin, combined with a relative deficiency in insulin secretion. In Guatemala, type 2 diabetes results in significant mortality rates. The low incomes of the indigenous population results in the use of alternative therapies such as medicinal plants to treat the illness. We could not find any previous study related to the use of medicinal plants to treat diabetes in Guatemala. The aim of this work is to determine the most effective plant species used in traditional medicine to treat type 2 diabetes. We performed an ethnopharmacological field study among the Cakchiquels of Chimaltenango to select the most prominent plants used to treat the disease. Type 2 diabetic patients from their community health centers were interviewed using structured questionnaires. Two mathematical tools were used to identify potential plant species: the Disease Consensus Index and the Use Value. International databases, including SCOPUS, PubMed, and Google Scholar, were used to identify whether the plants with the highest scores were known to elicit hypoglycemic effects. After analyzing the data, we can propose the following plants as the most prominent among the Cakchiquels of Chimaltenango to treat type 2 diabetes: Hamelia patens Jacq., Neurolaena lobata (L.) R.Br.ex Cass., Solanum americanum Mill., Croton guatemalensis Lotsy, and Quercus peduncularis Née. The Cakchiquel patients interviewed did not understand type 2 diabetes; however, they associated the onset of their disease with a negative emotion, such as shock, sadness or anger. Despite changes in lifestyle, influences of advertising, the availability of innovative treatments and the use of oral hypoglycemic treatments provided by health facilities serving indigenous communities, the Cakchiquel continue to use medicinal plants as adjunctive treatment. While they are unaware whether the plants can cause additional harm, they consider their consumption

Multispectral Observations of Explosive Gas Emissions from Santiaguito, Guatemala

NASA Astrophysics Data System (ADS)

Carn, S. A.; Watson, M.; Thomas, H.; Rodriguez, L. A.; Campion, R.; Prata, F. J.

2016-12-01

Santiaguito volcano, Guatemala, has been persistently active for decades, producing frequent explosions from its actively growing lava dome. Repeated release of volcanic gases contains information about conduit processes during the cyclical explosions at Santiaguito, but the composition of the gas phase and the amount of volatiles released in each explosion remains poorly constrained. In addition to its persistent activity, Santiaguito offers an exceptional opportunity to investigate lava dome degassing processes since the upper surface of the active lava dome can be viewed from the summit of neighboring Santa Maria. In January 2016 we conducted multi-spectral observations of Santiaguito's explosive eruption plumes and passive degassing from multiple perspectives as part of the first NSF-sponsored `Workshop on Volcanoes' instrument deployment. Gas measurements included open-path Fourier-Transform infrared (OP-FTIR) spectroscopy from the Santa Maria summit, coincident with ultraviolet (UV) and infrared (IR) camera and UV Differential Optical Absorption Spectroscopy (DOAS) from the El Mirador site below Santiaguito's active Caliente lava dome. Using the OP-FTIR in passive mode with the Caliente lava dome as the source of IR radiation, we were able to collect IR spectra at high temporal resolution prior to and during two explosions of Santiaguito on 7-8 January, with volcanic SO2 and H2O emissions detected. UV and IR camera data provide constraints on the total SO2 burden in the emissions (and potentially the volcanic ash burden), which coupled with the FTIR gas ratios provides new constraints on the mass and composition of volatiles driving explosions at Santiaguito. All gas measurements indicate significant volatile release during explosions with limited degassing during repose periods. In this presentation we will present ongoing analysis of the unique Santiaguito gas dataset including estimation of the total volatile mass released in explosions and an

Social participation within a context of political violence: implications for the promotion and exercise of the right to health in Guatemala.

PubMed

Flores, Walter; Ruano, Ana Lorena; Funchal, Denise Phe

2009-01-01

Social participation has been understood in many different ways, and there are even typologies classifying participation by the degree of a population's control in decision making. Participation can vary from a symbolic act, which does not involve decision making, to processes in which it constitutes the principal tool for redistributing power within a population. This article argues that analyzing social participation from a perspective of power relations requires knowledge of the historical, social, and economic processes that have characterized the social relations in a specific context. Applying such an analysis to Guatemala reveals asymmetrical power relations characterized by a long history of repression and political violence. The armed conflict during the second half of the 20th century had devastating consequences for a large portion of the population as well as the country's social leadership. The ongoing violence resulted in negative psychosocial effects among the population, including mistrust toward institutions and low levels of social and political participation. Although Guatemala made progress in creating spaces for social participation in public policy after signing the Peace Accords in 1996, the country still faces after-effects of the conflict. One important task for the organizations that work in the field of health and the right to health is to help regenerate the social fabric and to rebuild trust between the state and its citizens. Such regeneration involves helping the population gain the skills, knowledge, and information needed in order to participate in and affect formal political processes that are decided and promoted by various public entities, such as the legislative and executive branches, municipal governments, and political parties. This process also applies to other groups that build citizenship through participation, such as neighborhood organizations and school and health committees.

Nomenclatural notes and identification of small-eared shrews (Mammalia: genus Cryptotis) from Cobán, Guatemala, in The Natural History Museum, London

USGS Publications Warehouse

Woodman, Neal

2011-01-01

A small series of shrews collected in Guatemala and registered in the British Museum between 1843 and 1907 includes parts of type series for three species: Corsira tropicalis Gray (1843), Sorex micrurus Tomes (1862), and Blarina tropicalis Merriam (1895). These three names are now considered equivalent, but my recent review of the specimens comprising the series indicates that they include three distinct species: Cryptotis merriami Choate (1970), Cryptotis oreoryctes Woodman (2011), and Cryptotis tropicalis (Merriam 1895). I review the taxonomic history of these specimens, provide current identifications tied directly to museum register numbers, describe how to distinguish the three species, and provide revised synonymies for these species.

Birds of a high-altitude cloud forest in Alta Verapaz, Guatemala.

PubMed

Eisermann, Knut; Schulz, Ulrich

2005-01-01

The Northern Central American Highlands have been recognized as endemic bird area, but little is known about bird communities in Guatemalan cloud forests. From 1997 to 2001 a total of 142 bird species were recorded between 2000 and 2400 masl in cloud forest and agricultural clearings on Montaña Caquipec (Alta Verapaz, Guatemala). The bird community is described based on line transect counts within the forest. Pooling census data from undisturbed and disturbed forest, the Gray-breasted Wood-Wren (Henicorhina leucophrys) was found to be the most abundant species, followed in descending order by the Common Bush-Tanager (Chlorospingus ophthalmicus), the Paltry Tyrannulet (Zimmerius vilissimus), the Yellowish Flycatcher (Empidonax flavescens), the Ruddy-capped Nightingale-Thrush (Catharus frantzi), and the Amethyst-throated Hummingbird (Lampornis amethystinus). Bird communities in undisturbed and disturbed forest were found to be similar (Serensen similarity index 0.85), indicating low human impact. Of all recorded species, approximately 27% were Nearctic-Neotropical migratory birds. The most abundant one was the Wilson's Warbler (Wilsonia pusilla). The Montaña Caquipec is an important area for bird conservation, which is indicated by the presence of four species listed in the IUCN Red List (Highland Guan Penelopina nigra, Resplendent Quetzal Pharomachrus mocinno, Pink-headed Warbler Ergaticus versicolor, Golden-cheeked Warbler Dendroica chrysoparia), and 42 Mesoamerican endemics, of which 14 species are endemic to the Central American Highlands. The results presented here will be useful as baseline data for a long-term monitoring.

[Dietetic Determinants of Zinc Consumption in Stunted Children Under Five in Maya Communities From Guatemala].

PubMed

Monroy-Valle, Michele; Coyoy, Wendy; León, Jorge De; Flórez, Iván D

2017-01-01

The objective of the study was to identify the elements from feeding patterns that influence the intake and bioavailability of zinc in stunted children (SC) 1-5 years from Maya communities living in Huehuetenango, Guatemala. This descriptive, cross-sectional study was performed in 138 stunted children aged 1-5 years. It was applied: an inventory of zinc food sources availability, a Food Frequency Questionnaire, a questionnaire about living conditions. anthropometrics measurements and information on food intake habits, and information about disease prevalence. Twenty-eight food sources of zinc were available for consumption (54% low and 7% high zinc bioavailability). The consumption of foods with high bioavailability was low, while the antagonistic foods were high. On average the daily zinc consumption in diet 3 mg (95% CI: 2.65-3.35). Only 14.5% of the children met the zinc requirements, and 2.9% reached the daily recommendation. Episodes of diarrhea and respiratory infections were observed 15 days before the visit, in 29.71% and 45.6% of children, respectively. Most of children have a diet that does not cover the daily requirement.

Obsidian trade routes in the mayan area.

PubMed

Hammond, N

1972-12-08

Obsidian from two sources in highland Guatemala has been found at 23 sites of the Classic Mayan civilization, mainly in the nonvolcanic lowlands to the north. The distribution, together with trade routes suggested by topography and documentary sources, suggests efficient waterborne transport and competition between sources for the lowland market.

Earliest isotopic evidence in the Maya region for animal management and long-distance trade at the site of Ceibal, Guatemala

PubMed Central

Emery, Kitty F.; Inomata, Takeshi; Triadan, Daniela; Kamenov, George D.; Krigbaum, John

2018-01-01

This study uses a multiisotope (carbon, nitrogen, oxygen, and strontium) approach to examine early animal management in the Maya region. An analysis of faunal specimens across almost 2,000 years (1000 BC to AD 950) at the site of Ceibal, Guatemala, reveals the earliest evidence for live-traded dogs and possible captive-reared taxa in the Americas. These animals may have been procured for ceremonial functions based on their location in the monumental site core, suggesting that animal management and trade began in the Maya area to promote special events, activities that were critical in the development of state society. Isotopic evidence for animal captivity at Ceibal reveals that animal management played a greater role in Maya communities than previously believed. PMID:29555750

The psychosocial effects of "La Violencia" on widows of El Quiche, Guatemala.

PubMed

Zur, J

1993-06-01

In Guatemala, government-sponsored terrorism directed at Mayan villagers resulted in at least 122,000 deaths and 18,000 "disappearances" during the period 1975-85. Even today, "low intensity warfare" in the form of random acts of terrorism continue. Thus, in the past 20 years, 120,000 women have been widowed, 11,000 in the province of El Quiche alone. This violence extended to threats of death directed toward women who joined a human rights organization, to the rape of women by their husbands' murderers and the further murder or kidnapping of their relatives. Groups of women were split between widows and married women, and women had to recreate their roles in society. The resulting reformation of family life led to an irretrievably altered relationship with the past. Survivors had to cope with pervasive fear, with a new understanding of their vulnerability, and with an inability to fulfill their obligations towards the dead who were buried in clandestine graves. The women who coped the best were those who learned to comprehend the violence in political terms through participation in human rights and women's groups and those who lived in villages where the dead were exhumed and properly buried. The psychological pain suffered by the women often manifested itself in physical ways and added to the suffering they realized from overwork and poor nutrition.

77 FR 69706 - Additional Designations, Foreign Narcotics Kingpin Designation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-20

..., Zacapa, Guatemala; DOB 18 Jun 1976; POB Guatemala; nationality Guatemala; citizen Guatemala; Cedula No. R19 5468 (Guatemala); NIT 7142099 (Guatemala) (individual) [SDNTK]. 2. LORENZANA CORDON, Ovaldino, La Reforma, Zacapa, Guatemala; DOB 06 Aug 1968; POB Guatemala; nationality Guatemala; citizen Guatemala...

Plasmodium vivax congenital malaria in an area of very low endemicity in Guatemala: implications for clinical and epidemiological surveillance in a malaria elimination context

PubMed Central

2012-01-01

This is a report of the first Plasmodium vivax congenital malaria case in Guatemala and the first case in Latin America with genotypical, histological and clinical characterization. The findings show that maternal P. vivax infection still occurs in areas that are in the pathway towards malaria elimination, and can be associated with detrimental health effects for the neonate. It also highlights the need in very low transmission areas of not only maintaining, but increasing awareness of the problem and developing surveillance strategies, based on population risk, to detect the infection especially in this vulnerable group of the population. PMID:23217209

Phlebotomine sand flies (Diptera: Psychodidae) of Chiapas collected near the Guatemala border, with additions to the fauna of Mexico and a new subgenus name.

PubMed

Ibáñez-Bernal, Sergio; Muñoz, José; Rebollar-Téllez, Eduardo A; Pech-May, Agelica; Marina, Carlos F

2015-07-31

Collections from four localities, two of the High Plateau and two of the Eastern Mountains Municipality of Chiapas, near the border with Guatemala, included 26 species with four new species records for Mexico: Lutzomyia (Helcocyrtomyia) hartmanni (Fairchild & Hertig, 1957), Dampfomyia (Coromyia) disneyi (Williams, 1987), Psychodopygus bispinosus (Fairchild & Hertig, 1951), and Psychodopygus corossoniensis (LePont & Pajot, 1978). These records represent an updated total of 50 species in Mexico, 48 of which are extant species and the remaining two fossils. The name Xiphopsathyromyia n. n. is proposed in substitution of Xiphomyia Artemiev, 1991, a homonym of Xiphomyia Townsend, 1917, a genus of Tachinidae (Diptera).

Chagas Disease Infection among Migrants at the Mexico/Guatemala Border.

PubMed

Conners, Erin E; Ordoñez, Teresa López; Cordon-Rosales, Celia; Casanueva, Carmen Fernández; Miranda, Sonia Morales; Brouwer, Kimberly C

2017-10-01

Chagas disease results in the largest burden, in terms of disability-adjusted-life-years, of any parasitic disease in the Americas. Monitoring Chagas disease among migrants is critical to controlling its spread and to serving the needs of the migrant community. Therefore, we determined the prevalence and correlates of Chagas disease in regional and international migrant populations at the Mexico/Guatemala border. Data were collected as part of a larger study of human immunodeficiency virus (HIV) and migration. Participants were a sample of recent regional and international migrants who used an illicit substance or had recent problem drinking. Trypanosoma cruzi infection was classified as testing positive on two different enzyme-linked immunosorbent assays (ELISAs). Interviewer-administered surveys captured sociodemographics, migration history, Chagas disease knowledge, and access to care. We enrolled 389 recent migrants, and the prevalence of Chagas disease was 3.1%. Only 19% of the participants reported having ever heard of the disease and less than 1% had been previously tested. Trypanosoma cruzi -positive participants were more likely to have been born in a rural area or town than a city (92% yes versus 59% no, P = 0.02) and have recently lived in a house with a makeshift roof (33% yes versus 8% no, P < 0.01), walls (42% yes versus 13% no, P < 0.01), or floor (50% yes versus 21% no, P < 0.02), or cinderblock walls (92% yes versus 63% no, P = 0.04). With migration rapidly changing the distribution of Chagas disease, more work needs to be done to create targeted surveillance programs and provide access to affordable treatment among Latin American migrants.

Determination of discretionary salt intake in rural Guatemala and Benin to determine the iodine fortification of salt required to control iodine deficiency disorders: studies using lithium-labeled salt.

PubMed

Melse-Boonstra, A; Rozendaal, M; Rexwinkel, H; Gerichhausen, M J; van den Briel, T; Bulux, J; Solomons, N W; West, C E

1998-09-01

The use of discretionary salt, which is salt added during cooking and at the table, as a suitable vehicle for iodine intake was assessed by measuring salt consumption using the lithium-marker technique in rural areas of Guatemala and Benin. In both countries, we studied boys aged 6-12 y and their mothers. Subjects used lithium-labeled salt after all unlabeled salt was removed from their households. In Guatemala, 24-h urine samples for 9 mother-son pairs were collected at baseline and on days 7, 8, and 9 during the use of lithium-labeled salt. Total maternal salt intake averaged 5.2 +/- 1.7 g/d (mean +/- SD), of which 77 +/- 24% came from discretionary sources, whereas Guatemalan boys consumed 1.8 +/- 0.6 g salt/d, of which 72 +/- 12% came from discretionary sources. In Benin, urine collection from 13 mother-son pairs took place at baseline and on days 5 and 7. Beninese mothers had a total salt intake of 9.0 +/- 2.9 g/d and their sons had an intake of 5.7 +/- 2.8 g/d; discretionary salt contributed 52 +/- 14% and 50 +/- 13%, respectively, of total salt consumed. Therefore, fortification of household salt appears to be an appropriate method of controlling iodine deficiency in both countries, although fortification of other salt sources could be considered in Benin.

Emissions markets, power markets and market power: A study of the interactions between contemporary emissions markets and deregulated electricity markets

NASA Astrophysics Data System (ADS)

Dormady, Noah Christopher

Chapter 1: A Monte Carlo Approach. The use of auctions to distribute tradeable property rights to firms in already heavily concentrated markets may further exacerbate the problems of market power that exist within those markets. This chapter provides a model of a two-stage emissions market modeled after a contemporary regional permit trading market in the United States, the Regional Greenhouse Gas Initiative, Inc. (RGGI). It then introduces Oligopsony 1.0, a C# software package constructed in the .NET environment that simulates uniform-price auctions using stochastic Monte Carlo simulation for modeling market power in tradeable property rights auctions. Monte Carlo methods add a probabilistic element to standard auction theoretic equilibria. The results of these simulations indicate that there can be significant non-linearities between profit and market power as exercised through strategic demand reduction. This analysis finds the optimum point of strategic demand reduction that enables the firm to exploit these non-linearities, and it determines the probability distributions of these optima using kernel density analysis. Chapter 2: An Experimental Approach. How will emerging auction-based emissions markets function within the context of today's deregulated auction-based electricity markets? This chapter provides an experimental analysis of a joint energy-emissions market. The impact of market power and collusion among dominant firms is evaluated to determine the extent to which an auction-based tradeable permit market influences performance in an adjacent electricity market. The experimental treatment design controls for a variety of real-world institutional features, including variable demand, permit banking, inter-temporal (multi-round) dynamics, a tightening cap, and resale. Results suggest that the exercise of market power significantly increases electricity auction clearing prices, without significantly increasing emissions

Feasibility and cost of a medical student proxy-based mobile teledermatology consult service with Kisoro, Uganda, and Lake Atitlán, Guatemala.

PubMed

Greisman, Laura; Nguyen, Tan M; Mann, Ranon E; Baganizi, Michael; Jacobson, Mark; Paccione, Gerald A; Friedman, Adam J; Lipoff, Jules B

2015-06-01

The expansion of mobile technology and coverage has unveiled new means for delivering medical care to isolated and resource-poor communities. Teledermatology, or dermatology consultation from a distance using technology, is gaining greater acceptance among physicians and patients. To evaluate feasibility and cost of a smartphone-based teledermatology consult service utilizing a designated medical student proxy to facilitate all consults on site, and to evaluate the service's effect upon diagnosis and management. An IRB-approved smartphone-based teledermatology consult service was established to serve two rural communities in the developing world: Kisoro, Uganda, and Lake Atitlán, Guatemala. Fourth-year medical students were recruited as proxies for each site, responding to consults by local doctors and transmitting photographs and clinical information via a smartphone application to a dermatology resident and attending in the USA over an encrypted website. At the Ugandan site, when indicated, the medical student performed skin biopsies under supervision, and rotating Montefiore residents transported specimens back to the USA. From October 2011 to August 2012, 93 cases were evaluated by the consult service (57 from Uganda and 36 from Guatemala). Initial diagnoses changed completely in 55.9% (52 of 93) of cases, and management changes were recommended in 89.2% (83 of 93) of cases. The estimated total cost of supplies and technology was 42.01 USD per consult and 64.24 USD per biopsy (including processing). Given fixed upfront costs, the cost per consult decreased with each additional case. Smartphone-based systems for teledermatology consultation using a medical student proxy are feasible for delivery of care in the developing world at relatively little cost. Optimization and sustainability of this system requires and deserves further investigation in larger studies. © 2014 The International Society of Dermatology.

Chemical composition and evaluation of antinociceptive activity of the essential oil of Stevia serrata Cav. from Guatemala.

PubMed

Reis Simas, Daniel Luiz; Mérida-Reyes, Max Samuel; Muñoz-Wug, Manuel Alejandro; Cordeiro, Millena Santos; Giorno, Thais Biondino Sardella; Taracena, Edwin Adolfo; Oliva-Hernández, Bessie Evelyn; Martínez-Arévalo, José Vicente; Fernandes, Patricia Dias; Pérez-Sabino, Juan Francisco; Jorge Ribeiro da Silva, Antonio

2017-11-13

The composition and the antinociceptive activity of the essential oil of Stevia serrata Cav. from a population located in the west highlands of Guatemala were evaluated. A yield of 0.2% (w/w) of essential oil was obtained by hydrodistillation of the dried aerial parts of the plant. The essential oil analysed by GC-FID and GC-MS showed a high content of sesquiterpenoids, with chamazulene (60.1%) as the major component and 91.5% of the essential oil composition was identified. To evaluate antinociceptive activity in mice, the essential oil of S. serrata Cav. was administered as gavage, using three different doses. In the formalin test, the animals were pre-treated with oral doses of the essential oil before the administration of formalin. Oral administration of S. serrata Cav. essential oil produced a marked antinociceptive activity. Therefore, the plant could be domesticated as a source of essential oil rich in chamazulene for developing medicinal products.

Gold mining on Mayan-Mam territory: social unravelling, discord and distress in the Western highlands of Guatemala.

PubMed

Caxaj, C Susana; Berman, Helene; Varcoe, Colleen; Ray, Susan L; Restoulec, Jean-Paul

2014-06-01

This article examines the influence of a large-scale mining operation on the health of the community of San Miguel Ixtahuacán, Guatemala. An anti-colonial narrative approach informed by participatory action research principles was employed. Data collection included focus groups and one-on-one interviews from August to November of 2011. Over this period, we interviewed 15 Mam Mayan men and 41 women (n = 56) between the ages of 18 and 64 including health care workers, educators, spiritual leaders, agricultural workers and previous mine employees from 13 villages within the municipality. Participants' accounts pointed to community health experiences of social unravelling characterized by overlapping narratives of a climate of fear and discord and embodied expressions of distress. These findings reveal the interconnected mechanisms by which local mining operations influenced the health of the community, specifically, by introducing new threats to the safety and mental wellbeing of local residents. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Integrating science and education during an international, multi-parametric investigation of volcanic activity at Santiaguito volcano, Guatemala

NASA Astrophysics Data System (ADS)

Lavallée, Yan; Johnson, Jeffrey; Andrews, Benjamin; Wolf, Rudiger; Rose, William; Chigna, Gustavo; Pineda, Armand

2016-04-01

In January 2016, we held the first scientific/educational Workshops on Volcanoes (WoV). The workshop took place at Santiaguito volcano - the most active volcano in Guatemala. 69 international scientists of all ages participated in this intensive, multi-parametric investigation of the volcanic activity, which included the deployment of seismometers, tiltmeters, infrasound microphones and mini-DOAS as well as optical, thermographic, UV and FTIR cameras around the active vent. These instruments recorded volcanic activity in concert over a period of 3 to 9 days. Here we review the research activities and present some of the spectacular observations made through this interdisciplinary efforts. Observations range from high-resolution drone and IR footage of explosions, monitoring of rock falls and quantification of the erupted mass of different gases and ash, as well as morphological changes in the dome caused by recurring explosions (amongst many other volcanic processes). We will discuss the success of such integrative ventures in furthering science frontiers and developing the next generation of geoscientists.

Unraveling the polymetamorphic history of garnet-bearing metabasites: Insights from the North Motagua Mélange (Guatemala Suture Zone)

NASA Astrophysics Data System (ADS)

Bonnet, G.; Flores, K. E.; Martin, C.; Harlow, G. E.

2014-12-01

The Guatemala Suture Zone is the fault-bound region in central Guatemala that contains the present North American-Caribbean plate boundary. This major composite geotectonic unit contains a variety of ophiolites, serpentinite mélanges, and metavolcano-sedimentary sequences along with high-grade schists, gneisses, low-grade metasediments and metagranites thrusted north and south of the active Motagua fault system (MFS). The North Motagua Mélange (NMM) outcrops north of the MFS and testifies the emplacement of exhumed subduction assemblages along a collisional tectonic setting. The NMM is composed of a serpentinite-matrix mélange that contains blocks of metabasites (subgreenschist facies metabasalt, grt-blueschist, eclogite, grt-amphibolite), vein-related rocks (jadeitite, omphacitite, albitite, mica-rock), and metatrondhjemites. Our new detailed petrographic and thermobarometric study on the garnet-bearing metabasites reveals a complex polymetamorphic history with multiple tectonic events. Eclogites show a classical clockwise PT path composed of (a) prograde blueschist/eclogite facies within garnet cores, (b) eclogite facies metamorphic peak at ~1.7 GPa and 620°C, (c) post-peak blueschist facies, (d) amphibolite facies overprint, and (e) late stage greenschist facies. Two types of garnet amphibolite blocks can be found, the first consist of (a) a relict eclogite facies peak at ~1.3 GPa and 550°C only preserved within anhedral garnet cores, and (b) surrounded by a post-peak amphibolite facies. In contrast, the second type displays a prograde amphibolite facies at 0.6-1.1 GPa and 400-650°C. The eclogites metamorphic peak suggests formation in a normal subduction zone at ~60 km depth, a subsequent exhumation to the middle section of the subduction channel (~35 km), and a later metamorphic reworking at lower P and higher T before its final exhumation. The first type of garnet amphibolite shows a similar trajectory as the eclogites but at warmer conditions. In

Three-dimensional displacements of a large volcano flank movement during the May 2010 eruptions at Pacaya Volcano, Guatemala

NASA Astrophysics Data System (ADS)

Schaefer, L. N.; Wang, T.; Escobar-Wolf, R.; Oommen, T.; Lu, Z.; Kim, J.; Lundgren, P. R.; Waite, G. P.

2017-01-01

Although massive flank failure is fairly common in the evolution of volcanoes, measurements of flank movement indicative of instability are rare. Here 3-D displacements from airborne radar amplitude images derived using an amplitude image pixel offset tracking technique show that the west and southwest flanks of Pacaya Volcano in Guatemala experienced large ( 4 m), discrete landsliding that was ultimately aborted. Pixel offset tracking improved measurement recovery by nearly 50% over classic interferometric synthetic aperture radar techniques, providing unique measurements at the event. The 3-D displacement field shows that the flank moved coherently downslope along a complex failure surface involving both rotational and along-slope movement. Notably, the lack of continuous movement of the slide in the years leading up to the event emphasizes that active movement should not always be expected at volcanoes for which triggering factors (e.g., magmatic intrusions and eruptions) could precipitate sudden major flank instability.

Earliest isotopic evidence in the Maya region for animal management and long-distance trade at the site of Ceibal, Guatemala.

PubMed

Sharpe, Ashley E; Emery, Kitty F; Inomata, Takeshi; Triadan, Daniela; Kamenov, George D; Krigbaum, John

2018-04-03

This study uses a multiisotope (carbon, nitrogen, oxygen, and strontium) approach to examine early animal management in the Maya region. An analysis of faunal specimens across almost 2,000 years (1000 BC to AD 950) at the site of Ceibal, Guatemala, reveals the earliest evidence for live-traded dogs and possible captive-reared taxa in the Americas. These animals may have been procured for ceremonial functions based on their location in the monumental site core, suggesting that animal management and trade began in the Maya area to promote special events, activities that were critical in the development of state society. Isotopic evidence for animal captivity at Ceibal reveals that animal management played a greater role in Maya communities than previously believed. Copyright © 2018 the Author(s). Published by PNAS.

Coexistence of Bartonella henselae and B. clarridgeiae in populations of cats and their fleas in Guatemala.

PubMed

Bai, Ying; Rizzo, Maria Fernanda; Alvarez, Danilo; Moran, David; Peruski, Leonard F; Kosoy, Michael

2015-12-01

Cats and their fleas collected in Guatemala were investigated for the presence of Bartonella infections. Bartonella bacteria were cultured from 8.2% (13/159) of cats, and all cultures were identified as B. henselae. Molecular analysis allowed detection of Bartonella DNA in 33.8% (48/142) of cats and in 22.4% (34/152) of cat fleas using gltA, nuoG, and 16S-23S internal transcribed spacer targets. Two Bartonella species, B. henselae and B. clarridgeiae, were identified in cats and cat fleas by molecular analysis, with B. henselae being more common than B. clarridgeiae in the cats (68.1%; 32/47 vs 31.9%; 15/47). The nuoG was found to be less sensitive for detecting B. clarridgeiae compared with other molecular targets and could detect only two of the 15 B. clarridgeiae-infected cats. No significant differences were observed for prevalence between male and female cats and between different age groups. No evident association was observed between the presence of Bartonella species in cats and in their fleas. © 2015 The Society for Vector Ecology.

Seismicity and eruptive activity at Fuego Volcano, Guatemala: February 1975 -January 1977

USGS Publications Warehouse

Yuan, A.T.E.; McNutt, S.R.; Harlow, D.H.

1984-01-01

We examine seismic and eruptive activity at Fuego Volcano (14??29???N, 90?? 53???W), a 3800-m-high stratovolcano located in the active volcanic arc of Guatemala. Eruptions at Fuego are typically short-lived vulcanian eruptions producing ash falls and ash flows of high-alumina basalt. From February 1975 to December 1976, five weak ash eruptions occurred, accompanied by small earthquake swarms. Between 0 and 140 (average ??? 10) A-type or high-frequency seismic events per day with M > 0.5 were recorded during this period. Estimated thermal energies for each eruption are greater by a factor of 106 than cumulative seismic energies, a larger ratio than that reported for other volcanoes. Over 4000 A-type events were recorded January 3-7, 1977 (cumulative seismic energy ??? 109 joules), yet no eruption occurred. Five 2-hour-long pulses of intense seismicity separated by 6-hour intervals of quiescence accounted for the majority of events. Maximum likelihood estimates of b-values range from 0.7 ?? 0.2 to 2.1 ?? 0.4 with systematically lower values corresponding to the five intense pulses. The low values suggest higher stress conditions. During the 1977 swarm, a tiltmeter located 6 km southeast of Fuego recorded a 14 ?? 3 microradian tilt event (down to SW). This value is too large to represent a simple change in the elastic strain field due to the earthquake swarm. We speculate that the earthquake swarm and tilt are indicative of subsurface magma movement. ?? 1984.

Market efficiency in foreign exchange markets

NASA Astrophysics Data System (ADS)

Oh, Gabjin; Kim, Seunghwan; Eom, Cheoljun

2007-08-01

We investigate the relative market efficiency in financial market data, using the approximate entropy(ApEn) method for a quantification of randomness in time series. We used the global foreign exchange market indices for 17 countries during two periods from 1984 to 1998 and from 1999 to 2004 in order to study the efficiency of various foreign exchange markets around the market crisis. We found that on average, the ApEn values for European and North American foreign exchange markets are larger than those for African and Asian ones except Japan. We also found that the ApEn for Asian markets increased significantly after the Asian currency crisis. Our results suggest that the markets with a larger liquidity such as European and North American foreign exchange markets have a higher market efficiency than those with a smaller liquidity such as the African and Asian markets except Japan.

Colors, humors and evil eye: indigenous classification and treatment of childhood diarrhea in highland Guatemala.

PubMed

Burleigh, E; Dardano, C; Cruz, J R

1990-11-01

Focal group interviews on indigenous perceptions and reported management of childhood diarrhea were conducted in 1987-88 in Guatemala as a part of a prospective epidemiological field study of chronic diarrhea. Six cognitive schemata were identified, each with specific causes, a linked progression of concepts, symptoms, signs, and diagnostic characteristics. Nearly all were related to the humoral theory of disease, including the concept of evil eye. Diarrheal disease was conceptualized in the village as a set of processes which could be either "hot" or "cold" rather than as an unchanging single-symptom entity occupying only one spot on the humoral continuum. Clarification of the temporal relationship between concepts was found to be essential to the understanding of these indigenously-defined schemata. Stool color reflecting humoral theory was the primary concept used in household-level diagnosis. Reported behavior associated with these cognitive schemata (traditional treatments, pharmaceutical and dietary management) showed remarkable constancy, and adhered for the most part to the humoral concept of equilibrium. These included the use of oral rehydration solutions (ORS) and liquids. The applied importance of humoral theory to home-based use of ORS is discussed briefly as is the indigenous definition of dehydration.

Changes in farmers' knowledge of maize diversity in highland Guatemala, 1927/37-2004

PubMed Central

van Etten, Jacob

2006-01-01

Small-scale studies on long-term change in agricultural knowledge might uncover insights with broader, regional implications. This article evaluates change in farmer knowledge about crop genetic resources in highland Guatemala between 1927/37 and 2004. It concentrates on maize (Zea mays ssp. mays L.) in one Guatemalan township, Jacaltenango, an area with much ecological and maize diversity. It relies on a particular type of baseline information: lists of farmer-defined cultivars drawn up by ethnographers in the first half of the twentieth century. A questionnaire format based on two independent lists of local farmer cultivars dating from 1927 and 1937 was used to assess changes in maize diversity. Comparisons between attributes given to each cultivar in the past and in 2004 were used as a partial test of the stability of cultivar identity. In farmers' perceptions, cultivar loss was low and limited to certain cultivars adapted to the warmer environments. Crop production problems were mentioned as the main motives for change. No evidence for a loss of cultivars due to the political violence of the 1980s was found. In the lower areas many newly introduced cultivars were found, which reportedly provide solutions for the production problems the older cultivars have. The article contrasts these findings with those of an earlier study which suggested much cultivar loss due to political violence, and draws conclusions about the methodological implications. PMID:16507113

Archaeological and Environmental Research of the Peten, Guatemala, Using Remote Sensing/GIS Research

NASA Technical Reports Server (NTRS)

Sever, Thomas L.

2000-01-01

The Peten, northern Guatemala, was once inhabited by a population of several million Maya before their collapse in the 9th century AD. Although the seventh and eight centuries were a time of crowning glory for millions of Maya; by 930 A.D. only a few scattered houses remained. What is known, is that at the time of their collapse, the Maya had cut down most of their trees. After centuries of regeneration the Peten now represent the largest remaining tropical forest in Central America but is experiencing rapid deforestation in the wake of an invasion of settlers. The successful adaptive techniques of the indigenous population are being abandoned in favor of the destructive techniques of monoculture and cattle raising. These techniques also contribute to the destruction and looting of unrecorded archeological sites. Remote sensing and GIS analysis are being used to address issues in Maya archeology as well as monitor the effects of increasing deforestation in the area today. One thousand years ago the forests of the Peten were nearly destroyed by the ancient Maya, who, after centuries of successful adaptation, finally overused their resources. Current inhabitants are threatening to do the same thing today in a shorter time period with a lesser population. Through the use of remote sensing/GIS analysis we are attempting to answer questions about the past in order to protect the resources of the future.

A new method for monitoring global volcanic activity. [Alaska, Hawaii, Washington, California, Iceland, Guatemala, El Salvador, and Nicaragua

NASA Technical Reports Server (NTRS)

Ward, P. L.; Endo, E.; Harlow, D. H.; Allen, R.; Eaton, J. P.

1974-01-01

The ERTS Data Collection System makes it feasible for the first time to monitor the level of activity at widely separated volcanoes and to relay these data rapidly to one central office for analysis. While prediction of specific eruptions is still an evasive goal, early warning of a reawakening of quiescent volcanoes is now a distinct possibility. A prototypical global volcano surveillance system was established under the ERTS program. Instruments were installed in cooperation with local scientists on 15 volcanoes in Alaska, Hawaii, Washington, California, Iceland, Guatemala, El Salvador and Nicaragua. The sensors include 19 seismic event counters that count four different sizes of earthquakes and six biaxial borehole tiltmeters that measure ground tilt with a resolution of 1 microradian. Only seismic and tilt data are collected because these have been shown in the past to indicate most reliably the level of volcano activity at many different volcanoes. Furthermore, these parameters can be measured relatively easily with new instrumentation.

HIV Risk Behaviors and Correlates of Inconsistent Condom Use Among Substance Using Migrants at the Mexico/Guatemala Border.

PubMed

Conners, Erin E; Swanson, Kate; Morales-Miranda, Sonia; Fernández Casanueva, Carmen; Mercer, Valerie J; Brouwer, Kimberly C

2017-07-01

This study assessed correlates of inconsistent condom use with casual partners and the prevalence of sexual risk behaviors and STIs in the Mexico/Guatemala border region using a sample of 392 migrants (303 men, 85 women) who reported current substance use or problem drinking. We ran separate univariate logistic regression models for men and women, and multivariate logistic regression models for men only. Prevalence of syphilis was 1.2% among women and 2.3% among men; HIV prevalence was 2.4% among women and 1.3% among men. Inconsistent condom use with casual partners was higher in women with greater education and lower among women who sold sex. In men, less access to free condoms, drug use with sexual partners, and drug use before sex were independently associated with inconsistent condom use with casual partners. Sexual and substance use risk behaviors were common, and HIV/STI prevention efforts should target both genders and expand beyond most-at risk populations.

7 CFR 1218.11 - Market or marketing.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Market or marketing. (a) Marketing means the sale or other disposition of blueberries in any channel of... 7 Agriculture 10 2010-01-01 2010-01-01 false Market or marketing. 1218.11 Section 1218.11 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING...

7 CFR 1218.11 - Market or marketing.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Market or marketing. 1218.11 Section 1218.11 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... Market or marketing. (a) Marketing means the sale or other disposition of blueberries in any channel of...

7 CFR 1218.11 - Market or marketing.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Market or marketing. 1218.11 Section 1218.11 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... Market or marketing. (a) Marketing means the sale or other disposition of blueberries in any channel of...

7 CFR 1208.12 - Market or marketing.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Market or marketing. 1208.12 Section 1208.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... § 1208.12 Market or marketing. (a) Marketing means the sale or other disposition of processed raspberries...

Plants used in Guatemala for the treatment of respiratory diseases. 1. Screening of 68 plants against gram-positive bacteria.

PubMed

Caceres, A; Alvarez, A V; Ovando, A E; Samayoa, B E

1991-02-01

Respiratory ailments are important causes of morbidity and mortality in developing countries. Ethnobotanical surveys and literature reviews conducted in Guatemala during 1986-88 showed that 234 plants from 75 families, most of them of American origin, have been used for the treatment of respiratory ailments. Three Gram-positive bacteria causing respiratory infections (Staphylococcus aureus, Streptococcus pneumoniae and Streptococcus pyogenes) were used to screen 68 of the most commonly used plants for activity. Twenty-eight of these (41.2%) inhibited the growth of one or more of the bacteria tested. Staphylococcus aureus was inhibited by 18 of the plant extracts, while 7 extracts were effective against Streptococcus pyogenes. Plants of American origin which exhibited antibacterial activity were: Gnaphalium viscosum, Lippia alba, Lippia dulcis, Physalis philadelphica, Satureja brownei, Solanum nigrescens and Tagetes lucida. These preliminary in vitro results provide scientific basis for the use of these plants against bacterial respiratory infections.

Como Lo Hago Yo: Anomalías del Tubo Neural en Guatemala — Mielomeningocele Unidad de Espina Bífida e Hidrocefalia

PubMed Central

Manucci, Graciela; von Quednow, Enzo

2014-01-01

En Guatemala nacen por añ 786 niños con defectos de tubo neural. Operamos 65 a 70 niños con mielomenigocele por año. Tenemos equipo multidisciplinario. Recomendamos parto por cesárea. Infección antes de la cirugía es un problema mayor. Derivación tardía es un problema. Disecamos la plaqueta con la técnica clásica. Suturamos la plaqueta para restituir la forma de la médula. Corpectomía en casos de cifósis. Hidrocefalía: Operamos el 80% de los niños. Chiari II: Operamos basados en los síntomas, primero nos aseguramos que la válvula funciona bien. Médula anclada: Operamos basados en los síntomas. PMID:24791216

Improvement in treatment abandonment in pediatric patients with cancer in Guatemala.

PubMed

Alvarez, Elysia; Seppa, Midori; Rivas, Silvia; Fuentes, Lucia; Valverde, Patricia; Antillón-Klussmann, Federico; Castellanos, Mauricio; Sweet-Cordero, E Alejandro; Messacar, Kevin; Kurap, John; Bustamante, Marisol; Howard, Scott C; Efron, Bradley; Luna-Fineman, Sandra

2017-10-01

Treatment refusal and abandonment are major causes of treatment failure for children with cancer in low- and middle-income countries (LMICs), like Guatemala. This study identified risk factors for and described the intervention that decreased abandonment. This was a retrospective study of Guatemalan children (0-18 years) with cancer treated at the Unidad Nacional de Oncología Pediátrica (UNOP), 2001-2008, using the Pediatric Oncology Network Database. Treatment refusal was a failure to begin treatment and treatment abandonment was a lapse of 4 weeks or longer in treatment. The impact of medicina integral, a multidisciplinary psychosocial intervention team at UNOP was evaluated. Cox proportional hazards analysis identified the effect of demographic and clinical factors on abandonment. Kaplan-Meier analysis estimated the survival. Of 1,789 patients, 21% refused or abandoned treatment. Abandonment decreased from 27% in 2001 to 7% in 2008 following the implementation of medicina integral. Factors associated with increased risk of refusal and abandonment: greater distance to the centre (P < 0.001), younger age (P = 0.017) and earlier year of diagnosis (P < 0.001). Indigenous race/ethnicity (P = 0.002) was associated with increased risk of abandonment alone. Abandonment correlated with decreased overall survival: 0.57 ± 0.02 (survival ± standard error) for those who completed therapy versus 0.06 ± 0.02 for those who abandoned treatment (P < 0.001) at 8.3 years. This study identified distance, age, year of diagnosis and indigenous race/ethnicity as risk factors for abandonment. A multidisciplinary intervention reduced abandonment and can be replicated in other LMICs. © 2017 Wiley Periodicals, Inc.

How Can Marketing Academics Serve Marketing Practice? The New Marketing DNA as a Model for Marketing Education

ERIC Educational Resources Information Center

Harrigan, Paul; Hulbert, Bev

2011-01-01

This article seeks to address how marketing academics can best serve marketing practice through marketing education. It is contended that, where technology is driving marketing in practice, it is afforded significantly less attention in both theory and education. Thus, the marketing graduates being produced from universities are often lacking in…

Capture of Anastrepha species (Diptera: Tephritidae) with multilure traps and biolure attractants in Guatemala

DOE Office of Scientific and Technical Information (OSTI.GOV)

Martinez, A.J.; Salinas, E.J.; Rendon, P.

Two trapping systems were compared in a study in Guatemala during the wet season, May through Dec 2001. Trap/lure combinations consisting of green or yellow-based plastic McPhail-like traps baited with a synthetic 2-component lure (putrescine and ammonium acetate) and 300 mL of propylene glycol antifreeze as a preservative were compared to the traditional glass McPhail baited with torula yeast/borax and 300 mL of water. Both systems captured several key Anastrepha species including Anastrepha ludens Loew, A. obliqua, Macquart, A. serpentina Weidemann, A. striata Schiner, A. distincta Greene, A. fraterculus Weidemann as well as Ceratitis capitata Weidemann. Additionally, 13 other Anastrephamore » spp. were captured with the synthetic lure. The plastic traps captured more key flies than the McPhail trap except for A. distincta where there were no significant differences between the yellow-based plastic trap and the McPhail trap and no significant differences between any trap and lure for trapping A. fraterculus. The synthetic lure lasted 10 weeks. The sex ratio was female-biased for almost all captured key species in both systems. Moreover, there were significant numbers of captured nontarget insects in all traps; however, the captured flies in those traps with the synthetic lure were not adversely affected by these insects. Propylene glycol-based antifreeze was a superior preservative when compared to borax/water. (author) [Spanish] En Guatemala, se compararon dos sistemas de trampeo durante la epoca lluviosa de Mayo a Deciembre, 2001. Combinaciones de trampa/atrayente que consistieron de trampas de plastico con bases verdes o amarillos y con atrayentes sinteticos (acetate de amoniaco y putrecina) fueron comparadas con el sistema de trampeo tradicional McPhail de vidrio cebada con torula y borax en agua. Los dos sistemas capturaron moscas del genero Anastrepha incluyendo Anastrepha ludens Loew, A. obliqua, Macquart, A. serpentina Weidemann, A. striata Schiner, A

Does the market maker stabilize the market?

NASA Astrophysics Data System (ADS)

Zhu, Mei; Chiarella, Carl; He, Xue-Zhong; Wang, Duo

2009-08-01

The market maker plays an important role in price formation, but his/her behavior and stabilizing impact on the market are relatively unclear, in particular in speculative markets. This paper develops a financial market model that examines the impact on market stability of the market maker, who acts as both a liquidity provider and an active investor in a market consisting of two types of boundedly rational speculative investors-the fundamentalists and trend followers. We show that the market maker does not necessarily stabilize the market when he/she actively manages the inventory to maximize profits, and that rather the market maker’s impact depends on the behavior of the speculators. Numerical simulations show that the model is able to generate outcomes for asset returns and market inventories that are consistent with empirical findings.

7 CFR 1206.12 - Market or marketing.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Market or marketing. 1206.12 Section 1206.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... INFORMATION Mango Promotion, Research, and Information Order Definitions § 1206.12 Market or marketing...

7 CFR 1206.12 - Market or marketing.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Market or marketing. 1206.12 Section 1206.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... INFORMATION Mango Promotion, Research, and Information Order Definitions § 1206.12 Market or marketing...

7 CFR 1212.14 - Market or marketing.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Market or marketing. 1212.14 Section 1212.14 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING..., Promotion, Consumer Education, and Industry Information Order Definitions § 1212.14 Market or marketing. (a...

7 CFR 1212.14 - Market or marketing.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 10 2012-01-01 2012-01-01 false Market or marketing. 1212.14 Section 1212.14 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING..., Promotion, Consumer Education, and Industry Information Order Definitions § 1212.14 Market or marketing. (a...

7 CFR 1206.12 - Market or marketing.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 10 2013-01-01 2013-01-01 false Market or marketing. 1206.12 Section 1206.12 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING... INFORMATION Mango Promotion, Research, and Information Order Definitions § 1206.12 Market or marketing...

Kaqchikel midwives, home births, and emergency obstetric referrals in Guatemala: contextualizing the choice to stay at home.

PubMed

Berry, Nicole S

2006-04-01

Maternal mortality is highest in those countries whose health budgets are restricted. Practical strategies employed in the International Safe Motherhood Initiative, therefore, must be both effective and economical. Investing in emergency obstetric care resources has been touted as one such strategy. This investment aims to insure significant improvements are made in regional health centers, and a chain of referral is put into place so that only problem cases are attended by the most skilled health workers. This article examines how this model of referral functions in Sololá, Guatemala, where most Kaqchikel Mayan women give birth at home with a traditional midwife, and no skilled biomedical attendant is available at the birth to make a referral. Ethnographic data is used to explore reasons why women do not go to the hospital at the first sign of difficulty. I argue that the problem frequently is not that Mayan midwives, their clients and families fail to understand the biomedical information about dangers in birth, but rather that this information fails to fit into an already existing social system of understanding birth and birth-related knowledge.

Use of propranolol in a remote region of rural Guatemala to treat a large facial infantile haemangioma.

PubMed

Goldberg, Vera; Martinez, Boris; Cnop, Katia; Rohloff, Peter

2017-05-16

We present a female infant with a right-sided facial and neck haemangioma, from a remote, resource-poor community in rural Guatemala. She received first-line treatment, propranolol, with marked reduction in tumour size and erythema. Treatment was stopped after 35 weeks due to recurrent diarrhoea and sustained weight loss. Propranolol can be used to safely treat infants with haemangiomas in remote, rural communities if there is adequate follow-up, education and communication. Periocular haemangiomas should be treated promptly to avoid visual impairment. Infants with large facial haemangiomas should be screened for P osterior fossa anomalies, H emangioma, A rterial anomalies, C ardiac anomalies, and E ye anomalies (PHACE) syndrome, and specialists should be involved. The case also highlights the difficulty of providing treatment for a complex illness when basic health needs, such as food security and water sanitation, are limited. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Seismic properties of lawsonite eclogites from the southern Motagua fault zone, Guatemala

NASA Astrophysics Data System (ADS)

Kim, Daeyeong; Wallis, Simon; Endo, Shunsuke; Ree, Jin-Han

2016-05-01

We present new data on the crystal preferred orientation (CPO) and seismic properties of omphacite and lawsonite in extremely fresh eclogite from the southern Motagua fault zone, Guatemala, to discuss the seismic anisotropy of subducting oceanic crust. The CPO of omphacite is characterized by (010)[001], and it shows P-wave seismic anisotropies (AVP) of 1.4%-3.2% and S-wave seismic anisotropies (AVS) of 1.4%-2.7%. Lawsonite exhibits (001) planes parallel to the foliation and [010] axes parallel to the lineation, and seismic anisotropies of 1.7%-6.6% AVP and 3.4%-14.7% AVS. The seismic anisotropy of a rock mass consisting solely of omphacite and lawsonite is 1.2%-4.1% AVP and 1.8%-6.8% AVS. For events that propagate more or less parallel to the maximum extension direction, X, the fast S-wave velocity (VS) polarization is parallel to the Z in the Y-Z section (rotated from the X-Z section), causing trench-normal seismic anisotropy for orthogonal subduction. Based on the high modal abundance and strong fabric of lawsonite, the AVS of eclogites is estimated as ~ 11.7% in the case that lawsonite makes up ~ 75% of the rock mass. On this basis, we suggest that lawsonite in both blueschist and eclogite may play important roles in the formation of complex pattern of seismic anisotropy observed in NE Japan: weak trench-parallel anisotropy in the forearc basin domains and trench-normal anisotropy in the backarc region.

Anthropogenic impact in the Mayan Lowlands of Petén, Guatemala, during the last 5500 years

USGS Publications Warehouse

Battistel, D.; Roman, Marco; Marchetti, A; Kehrwald, Natalie; Radaelli, Marta; Balliana, Eleanora; Toscano, Giuseppina; Barbante, Carlo

2018-01-01

Trace and rare earth elements from a Lake Peten Itzá (Guatemala) sediment core depict the geochemical dynamics affecting the lake from ~5500 y BP to the present. This timing encompasses the Preclassic (4000 to 1700 y BP) and Classic Periods (1700-1000 y BP) when thriving Maya societies extensively cleared land for agriculture. We demonstrate that this land use occurred during times of increased precipitation, where both processes resulted in increased erosion. Rare earth element ratios depict high precipitation rates between 3000 to 1000 y BP, correlating with an increase in allocthonous silicate input and low organic carbon in the “Maya Clay” stratigraphic section, where this layer is ascribed to intensive anthropogenic land use. Cesium anomalies provide additional evidence for runoff due to high rainfalls and amplified by anthropogenic impacts. The Peten Itzá core contains anomalous spikes of arsenic and mercury, where these peaks correspond to documented volcanic eruptions, and therefore are likely due to natural causes. The geochemical composition of sediments and palynological records indicate a re-growth of the forest after ~900 y BP. This increased forest vegetation coincides with the timing of the decline in Maya agriculture.

Guatemala jadeitites and albitites were formed by deuterium-rich serpentinizing fluids deep within a subduction zone

USGS Publications Warehouse

Johnson, C.A.; Harlow, G.E.

1999-01-01

Jadeitites and albitites from the Motagua Valley, Guatemala, are high-pressure-low-temperature metasomatic rocks that occur as tectonic inclusions in serpentinite-matrix melange. Metasomatism was driven by a fluid with a ??18OH2O value of 6???, and a ??DH2O value that is high in comparison with metamorphic fluids at other high-pressure-low-temperature localities of similar grade. We infer that the fluid was originally seawater that was entrained during subduction either as mineral-bound H2O or as free pore waters. The fluid drove serpentinization reactions in ultramafic rocks, possibly leading to deuterium enrichment of H2O, prior to forming the Jadeitites and albitites at a depth of 29 ?? 11 km. There are isotopic and fluid-inclusion similarities to rodingites, which are Ca-rich metasomatites found at other serpentinite localities. Our results suggest that the serpentinization process, whether it occurs within subduction zones or on the flanks of oceanic spreading ridges, may produce residual fluids that are H2O rich, have 1-8 wt% equivalent NaCl, and have high, perhaps sea water-like, ??D values.

Characterization of moderate ash-and-gas explosions at Santiaguito volcano, Guatemala, from infrasound waveform inversion and thermal infrared measurements

NASA Astrophysics Data System (ADS)

Angelis, S. De; Lamb, O. D.; Lamur, A.; Hornby, A. J.; von Aulock, F. W.; Chigna, G.; Lavallée, Y.; Rietbrock, A.

2016-06-01

The rapid discharge of gas and rock fragments during volcanic eruptions generates acoustic infrasound. Here we present results from the inversion of infrasound signals associated with small and moderate gas-and-ash explosions at Santiaguito volcano, Guatemala, to retrieve the time history of mass eruption rate at the vent. Acoustic waveform inversion is complemented by analyses of thermal infrared imagery to constrain the volume and rise dynamics of the eruption plume. Finally, we combine results from the two methods in order to assess the bulk density of the erupted mixture, constrain the timing of the transition from a momentum-driven jet to a buoyant plume, and to evaluate the relative volume fractions of ash and gas during the initial thrust phase. Our results demonstrate that eruptive plumes associated with small-to-moderate size explosions at Santiaguito only carry minor fractions of ash, suggesting that these events may not involve extensive magma fragmentation in the conduit.

Characterization of moderate ash-and-gas explosions at Santiaguito volcano, Guatemala, from infrasound waveform inversion and thermal infrared measurements.

PubMed

Angelis, S De; Lamb, O D; Lamur, A; Hornby, A J; von Aulock, F W; Chigna, G; Lavallée, Y; Rietbrock, A

2016-06-28

The rapid discharge of gas and rock fragments during volcanic eruptions generates acoustic infrasound. Here we present results from the inversion of infrasound signals associated with small and moderate gas-and-ash explosions at Santiaguito volcano, Guatemala, to retrieve the time history of mass eruption rate at the vent. Acoustic waveform inversion is complemented by analyses of thermal infrared imagery to constrain the volume and rise dynamics of the eruption plume. Finally, we combine results from the two methods in order to assess the bulk density of the erupted mixture, constrain the timing of the transition from a momentum-driven jet to a buoyant plume, and to evaluate the relative volume fractions of ash and gas during the initial thrust phase. Our results demonstrate that eruptive plumes associated with small-to-moderate size explosions at Santiaguito only carry minor fractions of ash, suggesting that these events may not involve extensive magma fragmentation in the conduit.

Marketing Maps: Illustrating How Marketing Works

ERIC Educational Resources Information Center

Gyure, James F.; Arnold, Susan G.

2003-01-01

Today's colleges and universities may tolerate the "idea" of marketing more easily, but marketers must continue to educate campus communities about marketing theories and practice. To promote a useful appreciation of how theories translate into initiatives, we propose incorporating "marketing maps"-user-friendly graphic representations of how…

Polyplax guatemalensis sp. n. (Phthiraptera: Anoplura), a new sucking louse from Peromyscus grandis, a montane cloud forest rodent from Guatemala.

PubMed

Durden, L A; Eckerlin, R P

2001-01-01

The adult male and female of Polyplax guatemalensis sp. n. are described from the sigmodontine murid rodent Peromyscus grandis Goodwin collected in the Reserva de Biosfera, Sierra de las Minas, Guatemala, at an elevation of 2,200 m. The new species extends the number of known native species of Polyplax in the New World to four with none of them recorded south of Panama. Polyplax guatemalensis is morphologically most closely related to Polyplax auricularis which parasitises a cluster of closely related New World sigmodontine rodents from Canada to Panama. These two species can be distinguished from all other known species of Polyplax by the presence of partially overlapping, subtriangular, anterior abdominal plates in both sexes. Polyplax guatemalensis can be separated from P. auricularis by the abundant tergal abdominal setae and longer pseudopenis in males, and by the presence of one fewer anterior abdominal, subtriangular tergite and sternite in females.

Availability, prices and affordability of the World Health Organization's essential medicines for children in Guatemala.

PubMed

Anson, Angela; Ramay, Brooke; de Esparza, Antonio Ruiz; Bero, Lisa

2012-07-02

Several World Health Organization (WHO) initiatives aim to improve the accessibility of safe and effective medicines for children. A first step in achieving this goal is to obtain a baseline measure of access to essential medicines. The objective of this project was to measure the availability, prices, and affordability of children's medicines in Guatemala. An adaption of the standardized methodology developed by the World Health Organization and Health Action International (HAI) was used to conduct a cross sectional survey to collect data on availability and final patient prices of medicines in public and private sector medicine outlets during April and May of 2010. A subset of the public sector, Programa de Accesibilidad a los Medicamentos (PROAM), had the lowest average availability (25%) compared to the private sector (35%). In the private sector, highest and lowest priced medicines were 22.7 and 10.7 times more expensive than their international reference price comparison. Treatments were generally unaffordable, costing as much as 15 days wages for a course of ceftriaxone. Analysis of the procurement, supply and distribution of specific medicines is needed to determine reasons for lack of availability. Improvements to accessibility could be made by developing an essential medicines list for children and including these medicines in national purchasing lists.

Factors associated to acceptable treatment adherence among children with chronic kidney disease in Guatemala

PubMed Central

Cerón, Alejandro; Méndez-Alburez, Luis Pablo; Lou-Meda, Randall

2017-01-01

Pediatric patients with Chronic Kidney Disease face several barriers to medication adherence that, if addressed, may improve clinical care outcomes. A cross sectional questionnaire was administered in the Foundation for Children with Kidney Disease (FUNDANIER, Guatemala City) from September of 2015 to April of 2016 to identify the predisposing factors, enabling factors and need factors related to medication adherence. Sample size was calculated using simple random sampling with a confidence level of 95%, confidence interval of 0.05 and a proportion of 87%. A total of 103 participants responded to the questionnaire (calculated sample size was 96). Independent variables were defined and described, and the bivariate relationship to dependent variables was determined using Odds Ratio. Multivariate analysis was carried out using logistic regression. The mean adherence of study population was 78% (SD 0.08, max = 96%, min = 55%). The mean adherence in transplant patients was 82% (SD 7.8, max 96%, min 63%), and the mean adherence in dialysis patients was 76% (SD 7.8 max 90%, min 55%). Adherence was positively associated to the mother’s educational level and to higher monthly household income. Together predisposing, enabling and need factors illustrate the complexities surrounding adherence in this pediatric CKD population. Public policy strategies aimed at improving access to comprehensive treatment regimens may facilitate treatment access, alleviating economic strain on caregivers and may improve adherence outcomes. PMID:29036228

Factors associated to acceptable treatment adherence among children with chronic kidney disease in Guatemala.

PubMed

Ramay, Brooke M; Cerón, Alejandro; Méndez-Alburez, Luis Pablo; Lou-Meda, Randall

2017-01-01

Pediatric patients with Chronic Kidney Disease face several barriers to medication adherence that, if addressed, may improve clinical care outcomes. A cross sectional questionnaire was administered in the Foundation for Children with Kidney Disease (FUNDANIER, Guatemala City) from September of 2015 to April of 2016 to identify the predisposing factors, enabling factors and need factors related to medication adherence. Sample size was calculated using simple random sampling with a confidence level of 95%, confidence interval of 0.05 and a proportion of 87%. A total of 103 participants responded to the questionnaire (calculated sample size was 96). Independent variables were defined and described, and the bivariate relationship to dependent variables was determined using Odds Ratio. Multivariate analysis was carried out using logistic regression. The mean adherence of study population was 78% (SD 0.08, max = 96%, min = 55%). The mean adherence in transplant patients was 82% (SD 7.8, max 96%, min 63%), and the mean adherence in dialysis patients was 76% (SD 7.8 max 90%, min 55%). Adherence was positively associated to the mother's educational level and to higher monthly household income. Together predisposing, enabling and need factors illustrate the complexities surrounding adherence in this pediatric CKD population. Public policy strategies aimed at improving access to comprehensive treatment regimens may facilitate treatment access, alleviating economic strain on caregivers and may improve adherence outcomes.

Exposure to household air pollution from wood combustion and association with respiratory symptoms and lung function in nonsmoking women: results from the RESPIRE trial, Guatemala.

PubMed

Pope, Daniel; Diaz, Esperanza; Smith-Sivertsen, Tone; Lie, Rolv T; Bakke, Per; Balmes, John R; Smith, Kirk R; Bruce, Nigel G

2015-04-01

With 40% of the world's population relying on solid fuel, household air pollution (HAP) represents a major preventable risk factor for COPD (chronic obstructive pulmonary disease). Meta-analyses have confirmed this relationship; however, constituent studies are observational, with virtually none measuring exposure directly. We estimated associations between HAP exposure and respiratory symptoms and lung function in young, nonsmoking women in rural Guatemala, using measured carbon monoxide (CO) concentrations in exhaled breath and personal air to assess exposure. The Randomized Exposure Study of Pollution Indoors and Respiratory Effects (RESPIRE) Guatemala study was a trial comparing respiratory outcomes among 504 women using improved chimney stoves versus traditional cookstoves. The present analysis included 456 women with data from postintervention surveys including interviews at 6, 12, and 18 months (respiratory symptoms) and spirometry and CO (ppm) in exhaled breath measurements. Personal CO was measured using passive diffusion tubes at variable times during the study. Associations between CO concentrations and respiratory health were estimated using random intercept regression models. Respiratory symptoms (cough, phlegm, wheeze, or chest tightness) during the previous 6 months were positively associated with breath CO measured at the same time of symptom reporting and with average personal CO concentrations during the follow-up period. CO in exhaled breath at the same time as spirometry was associated with lower lung function [average reduction in FEV1 (forced expiratory volume in 1 sec) for a 10% increase in CO was 3.33 mL (95% CI: -0.86, -5.81)]. Lung function measures were not significantly associated with average postintervention personal CO concentrations. Our results provide further support for the effects of HAP exposures on airway inflammation. Further longitudinal research modeling continuous exposure to particulate matter against lung function will

78 FR 53007 - Additional Designations, Foreign Narcotics Kingpin Designation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-27

... MORALES, Jairo Estuardo (a.k.a. ``EL PELON''), Aldea Dona Maria, Zacapa, Guatemala; DOB 28 Sep 1973; POB Zacapa, Guatemala; nationality Guatemala; citizen Guatemala; Cedula No. R-19 42080 (Guatemala); Passport 111904000420805 (Guatemala) issued 28 Aug 2008 expires 28 Aug 2013 (individual) [SDNTK]. Dated: August 20, 2013...

Effect of Worldwide Oil Price Fluctuations on Biomass Fuel Use and Child Respiratory Health: Evidence from Guatemala

PubMed Central

Fried, Brian J.

2011-01-01

Objectives. We examined the effect of worldwide oil price fluctuations on household fuel use and child respiratory health in Guatemala. Methods. We regressed measures of household fuel use and child respiratory health on the average worldwide oil price and a rich set of covariates. We leveraged variation in oil prices over the 6-month period of the survey to identify associations between fuel prices, fuel choice, and child respiratory outcomes. Results. A $1 (3.4% point) increase in worldwide fuel prices was associated with a 2.8% point decrease in liquid propane gasoline use (P < .05), a 0.75% point increase in wood use (P < .05), and a 1.5% point increase in the likelihood of the child reporting a respiratory symptom (P < .1). The association between oil prices and the fuel choice indicators was largest for households in the middle of the income distribution. Conclusions. Fluctuations in worldwide fuel prices affected household fuel use and, consequently, child health. Policies to help households tide over fuel price shocks or reduce pollution from biomass sources would confer positive health benefits. Such policies would be most effective if they targeted both poor and middle-income households. PMID:21778480

Does consumption of processed foods explain disparities in the body weight of individuals? The case of Guatemala.

PubMed

Asfaw, Abay

2011-02-01

Overweight/obesity, caused by the 'nutrition transition', is identified as one of the leading risk factors for non-communicable mortality. The nutrition transition in developing countries is associated with a major shift from the consumption of staple crops and whole grains to highly and partially processed foods. This study examines the contribution of processed foods consumption to the prevalence of overweight/obesity in Guatemala using generalized methods of moments (GMM) regression. The results show that all other things remaining constant, a 10% point increase in the share of partially processed foods from the total household food expenditure increases the BMI of family members (aged 10 years and above) by 3.95%. The impact of highly processed foods is much stronger. A 10% point increase in the share of highly processed food items increases the BMI of individuals by 4.25%, ceteris paribus. The results are robust when body weight is measured by overweight/obesity indicators. These findings suggest that increasing shares of partially and highly processed foods from the total consumption expenditure could be one of the major risk factors for the high prevalence of overweight/obesity in the country.

New species and records of the earthworm genus Ramiellona (Annelida, Oligochaeta, Acanthodrilidae) from southern Mexico and Guatemala.

PubMed

Fragoso, Carlos; Rojas, Patricia

2014-01-10

Three new species from the Mexican states of Tabasco and Chiapas are added to the acanthodrilid earthworm genus Ramiellona, R. microscolecina sp. nov., R. tojolabala sp. nov. and R. teapaensis sp. nov. They belong to a group of species with penial setae and last pair of hearts in segment 12. All are holandric and the spermathecae have either a flat circular diverticle in a segment anterior to that of the ampulla (R. microscolecina sp. nov. and R. tojolabala sp. nov.) or two ovoidal and sessile diverticles on opposite sides in the same segment of the ampulla (R. teapaensis sp. nov.). Ramiellona americana (Gates) is re-described from a single specimen from central Guatemala, and the diagnosis of Ramiellona lasiura (Graff) from El Salvador is emended after reinvestigating a paratype specimen from the Senckenberg Naturmuseum Frankfurt. On the basis of several individuals from different populations of the Mexican states of Chiapas and Tabasco, the morphological variation of Ramiellona strigosa setosa Righi is described and its relationship with the Guatemalan Ramiellona strigosa strigosa Gates and Ramiellona eiseni (Michaelsen) is discussed. Finally, the position of Ramiellona within Acanthodrilidae and its relation to genera of the doubtful Octochaetidae is discussed.

7 CFR 1212.14 - Market or marketing.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) “Marketing” means the sale or other disposition of honey or honey products in any channel of commerce. (b... 7 Agriculture 10 2010-01-01 2010-01-01 false Market or marketing. 1212.14 Section 1212.14 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING...

Evaluating food menus from daycare centers in Guatemala City: descriptive and analytical approaches.

PubMed

Doak, Colleen M; Hamelinck, Victoria; Vossenaar, Marieke; Panday, Bindiya; Soto-Méndez, María José; Campos Ponce, Maiza; Solomons, Noel W

2012-09-01

This objective of this study was a methodological analysis of the variety and diversity of dietary items and their different origins offered in institutional menus across four daycare centers serving low-income families in Guatemala City. Foods, as served in daycare centers, were used to explore and illustrate the different approaches to evaluating food quality. Foods served at daycare centers were analyzed for variety (number of different items) and diversity (using three food-classification systems). The weight and energy contributions for each meal were reported for animal, plant, mixed, or water; modern versus traditional foods; fortified versus non-fortified foods; and processed versus unprocessed foods. During 5 d of observation, three of the four daycare centers served 100% of the food groups of the current Guatemalan and international classification systems. In addition, the results showed the four daycare centers provided mainly traditional and non-fortified plant-based foods. However, although the traditional foods contributed more by weight, the modern foods contributed more energy. These findings showed that the "modern" foods served at daycare centers are energy dense compared with traditional foods. These daycare centers contributed to variety and diversity while serving mainly traditional, plant-based foods. Our analysis went beyond the simple existence (mention) of a food as consumed to weight in grams or calories to provide potentially new and useful perspectives for understanding how guidelines for healthful eating patterns can be promoted and assessed, not only in children or in institutions but across all age groups, and settings. Copyright © 2012 Elsevier Inc. All rights reserved.

Changes in long-term eruption dynamics at Santiaguito, Guatemala: Observations from seismic data

NASA Astrophysics Data System (ADS)

Lamb, O. D.; Lavallée, Y.; De Angelis, S.; Lamur, A.; Hornby, A. J.; von Aulock, F. W.; Kendrick, J. E.; Chigna, G.; Rietbrock, A.

2016-12-01

Santiaguito (Guatemala) is an ideal laboratory for the study of the eruption dynamics of long-lived silicic eruptions. Here we present seismic observations of ash-and-gas explosions recorded between November 2014 and June 2016 during a multi-disciplinary experiment by the University of Liverpool. The instruments, deployed around the active dome complex between 0.5 to 7 km from the vent, included 5 broadband and 6 short-period seismometers, as well as 5 infrasound sensors. The geophysical data is complemented by thermal images, optical images from a UAV, and geochemical measurements of erupted material. Regular, small-to-moderate sized explosions from the El Caliente dome at Santiaguito have been common since at least the early 1970s. However, in 2015, a shift in character took place in terms of the regularity and magnitude of the explosions. Explosions became larger and less regular, and often accompanied by pyroclastic density currents. The larger explosions have caused a major morphological change at the vent, as a rubble-filled vent was replaced by a crater of 150 m depth. This shift in behaviour likely represents a change in the eruptive mechanism in the upper conduit beneath the Caliente vent, possibly triggered by processes at a greater depth in the volcanic system. This experiment represents a unique opportunity to use multi-disciplinary research to help understand the long-term eruptive dynamics of lava dome eruptions. Our observations may have implications for hazard assessment not only at Santiaguito, but at many other volcanic systems worldwide.

77 FR 4400 - Additional Designations, Foreign Narcotics Kingpin Designation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-27

..., DOB 04 OCT 1972; POB Guatemala City, Guatemala; nationality Guatemala; (INDIVIDUAL) [SDNTK] 2. BORRAYO...; citizen Guatemala; (INDIVIDUAL) [SDNTK] 3. FERNANDEZ CARBAJAL, Jorge Andres, DOB 26 Feb 1958; Passport..., DOB 30 Mar 1974; POB Guatemala; Passport 008818499; Nationality Guatemalan; (INDIVIDUAL) [SDNTK...

Habitats, dispersion and invasion of sylvatic Triatoma dimidiata (Hemiptera: Reduviidae: Triatominae) in Petén, Guatemala.

PubMed

Monroy, Maria Carlota; Bustamante, Dulce Maria; Rodas, Antonieta Guadalupe; Enriquez, Maria Eunice; Rosales, Regina Guadalupe

2003-11-01

Dispersion and invasion capacity of sylvatic populations of Triatoma dimidiata (Latreille) were investigated during 14 mo by means of experimental chicken coops installed in a nature reserve within the Maya Biosphere, Petén, Guatemala. In addition, palm trees, underground archeological holes (chultunes) and piles of limestones within the forest were inspected as potential sylvatic habitats of T. dimidiata. From the three types of sylvatic habitats we inspected, all served as shelter and breeding sites for T dimidiata. The natural infection of these bugs (n = 72) with Trypanosoma cruzi (Chagas) was high (25%) and represent a risk for humans who colonize the forest. T. dimidiata quickly invaded the experimental chicken coops installed in the primary forest, albeit at very low densities. However, only one adult bug was encountered in the chicken coops installed in a secondary forest. Dispersal of adult T. dimidiata was most apparent at the end of the dry season. Overall, our results indicate a potential risk for invasion by sylvatic T. dimidiata of domestic environments in this area, with a risk of T. cruzi transmission to humans. We suggest that a system of community-based surveillance should be developed to detect new infestations and organize prompt treatment of any new cases of acute Chagas disease that may result.

Livestock Marketing.

ERIC Educational Resources Information Center

Futrell, Gene; And Others

This marketing unit focuses on the seasonal and cyclical patterns of livestock markets. Cash marketing, forward contracting, hedging in the futures markets, and the options markets are examined. Examples illustrate how each marketing tool may be useful in gaining a profit on livestock and cutting risk exposure. The unit is organized in the…

Assessing the technical efficiency of health posts in rural Guatemala: a data envelopment analysis.

PubMed

Hernández, Alison R; San Sebastián, Miguel

2014-01-01

Strengthening health service delivery to the rural poor is an important means of redressing inequities. Meso-level managers can help enhance efficiency in the utilization of existing resources through the application of practical tools to analyze routinely collected data reflecting inputs and outputs. This study aimed to assess the efficiency and change in productivity of health posts over two years in a rural department of Guatemala. Data envelopment analysis was used to measure health posts' technical efficiency and productivity change for 2008 and 2009. Input/output data were collected from the regional health office of Alta Verapaz for 34 health posts from the 19 districts comprising the health region. Technical efficiency varied widely across health posts, with mean scores of 0.78 (SD=0.24) and 0.75 (SD=0.21) in 2008 and 2009, respectively. Overall, productivity increased by 4%, though 47% of health posts experienced a decline in productivity. Results were combined on a bivariate plot to identify health posts at the high and low extremes of efficiency, which should be followed up to determine how and why their production processes are operating differently. Assessing efficiency using the data that are available at the meso-level can serve as a first step in strengthening performance. Further work is required to support managers in the routine application of efficiency analysis and putting the results to use in guiding efforts to improve service delivery and increase utilization.

Assessing the technical efficiency of health posts in rural Guatemala: a data envelopment analysis

PubMed Central

Hernández, Alison R.; Sebastián, Miguel San

2014-01-01

Introduction Strengthening health service delivery to the rural poor is an important means of redressing inequities. Meso-level managers can help enhance efficiency in the utilization of existing resources through the application of practical tools to analyze routinely collected data reflecting inputs and outputs. This study aimed to assess the efficiency and change in productivity of health posts over two years in a rural department of Guatemala. Methods Data envelopment analysis was used to measure health posts’ technical efficiency and productivity change for 2008 and 2009. Input/output data were collected from the regional health office of Alta Verapaz for 34 health posts from the 19 districts comprising the health region. Results Technical efficiency varied widely across health posts, with mean scores of 0.78 (SD=0.24) and 0.75 (SD=0.21) in 2008 and 2009, respectively. Overall, productivity increased by 4%, though 47% of health posts experienced a decline in productivity. Results were combined on a bivariate plot to identify health posts at the high and low extremes of efficiency, which should be followed up to determine how and why their production processes are operating differently. Conclusions Assessing efficiency using the data that are available at the meso-level can serve as a first step in strengthening performance. Further work is required to support managers in the routine application of efficiency analysis and putting the results to use in guiding efforts to improve service delivery and increase utilization. PMID:24461356

Effective managed care marketing strategies for evolving markets.

PubMed

Conlon, M K

1997-11-01

In a world of increased competition and changing consumer expectations, one of the keys to a fiscally sound health plan is having a dynamic marketing strategy that takes into account the shifting attitudes of consumers as managed care markets mature. The primary goal of any health plan marketing strategy should be the acquisition and retention of members. Providing cost-efficient and convenient service for enrollees, offering low or no deductibles, having convenient office locations, and minimizing paper-work are important elements of such a marketing strategy. Factors such as brand awareness and the perceived image of a health plan also are important considerations in acquiring and retaining market share. The relative importance of these consumer satisfaction criteria change as a managed care market evolves and matures. Financial and marketing managers, thus, should ascertain their market's stage of development and respond with appropriate marketing strategies.

Population Fluctuation of Ceratitis capitata (Diptera: Tephritidae) as a Function of Altitude in Eastern Guatemala.

PubMed

Flores, S; Montoya, P; Ruiz-Montoya, L; Villaseñor, A; Valle, A; Enkerlin, W; Liedo, P

2016-08-01

Population fluctuations of Ceratitis capitata (Wiedemann) were evaluated over a period of 12 mo in four altitudinal strata (400-750, 750-1,100, 1,100-1,450, and 1,450-1,800 meters above sea level, masl) in Eastern Guatemala. Within each altitudinal range, sampling plots were established in coffee plantations and adjacent areas, in which Jackson traps were set and baited with Trimedlure. Coffee berries and other host fruits were collected. Population density was lowest at the 400-750 masl stratum and highest at 1,450-1,800 masl. At every altitudinal range, the fluctuations of the pest were associated mainly with the availability of ripe coffee berries as a primary host. From 750-1,450 masl, the pest was also associated with the availability of sweet orange and mandarins in commercial and backyard orchards. The highest densities of the pest were recorded in the dry season. Citrus were the main alternate host where ripe coffee berries were not available. This knowledge on population dynamics of C. capitata will contribute to develop more effective area-wide pest management strategies including the use of sterile insects, natural enemies, and bait sprays. © The Authors 2016. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Comparison of Sellers's Awareness to Environmental Hygiene of Market Bulak, Market Klender and Market Rawamangun, East Jakarta

NASA Astrophysics Data System (ADS)

Maulidya, Hasana P.

2018-02-01

This research is motivated by the difference of market hygiene condition, where the market hygiene level is influenced by the environment around the market. In general, markets located near densely populated housing tend to be overlooked, while markets near elite housing tend to be clean. This condition is also influenced by marketers' awareness of market hygiene. If the market is near the elite neighbourhood, the level of awareness of sellers on cleanliness will be high. If the market is located in a densely populated area, sellers generally do not pay attention to cleanliness. The purpose of this research is to know the sellers's awareness of environmental cleanliness of Market Bulak, Klender Market and Rawamangun Market. Respondents in this study are sellers and buyers who make transactions in these 3 markets. This type of research is descriptive analysis with the method of observation and interview to 10 sellers in each market. Seller hygiene awareness are poor.

Measuring market performance in restructured electricity markets: An empirical analysis of the PJM energy market

NASA Astrophysics Data System (ADS)

Tucker, Russell Jay

2002-09-01

Today the electric industry in the U.S. is transitioning to competitive markets for wholesale electricity. Independent system operators (ISOs) now manage broad regional markets for electrical energy in several areas of the U.S. A recent rulemaking by the Federal Energy Regulatory Commission (FERC) encourages the development of regional transmission organizations (RTOs) and restructured competitive wholesale electricity markets nationwide. To date, the transition to competitive wholesale markets has not been easy. The increased reliance on market forces coupled with unusually high electricity demand for some periods have created conditions amenable to market power abuse in many regions throughout the U.S. In the summer of 1999, hot and humid summer conditions in Pennsylvania, New Jersey, Maryland, Delaware, and the District of Columbia pushed peak demand in the PJM Interconnection to record levels. These demand conditions coincided with the introduction of market-based pricing in the wholesale electricity market. Prices for electricity increased on average by 55 percent, and reached the $1,000/MWh range. This study examines the extent to which generator market power raised prices above competitive levels in the PJM Interconnection during the summer of 1999. It simulates hourly market-clearing prices assuming competitive market behavior and compares these prices with observed market prices in computing price markups over the April 1-August 31, 1999 period. The results of the simulation analysis are supported with an examination of actual generator bid data of incumbent generators. Price markups averaged 14.7 percent above expected marginal cost over the 5-month period for all non-transmission-constrained hours. The evidence presented suggests that the June and July monthly markups were strongly influenced by generator market power as price inelastic peak demand approached the electricity generation capacity constraint of the market. While this analysis of the

Volcanic Hazards Associated with the NE Sector of Tacaná Volcano, Guatemala.

NASA Astrophysics Data System (ADS)

Hughes, S. R.; Saucedo, R.; Macias, J.; Arce, J.; Garcia-Palomo, A.; Mora, J.; Scolamacchia, T.

2003-12-01

Tacaná volcano, with a height of 4,030 m above sea level, straddles the southern Mexico/Guatemala border. Last active in 1986, when there was a small phreatic event with a duration of a few days, this volcano presents an impending hazard to over 250,000 people. The NE sector of the volcano reveals the violent volcanic history of Tacaná that may be indicative of a serious potential risk to the area. Its earliest pyroclastic history appears to consist of fall, flow, and surge deposits, together with lavas, that have formed megablocks within a series of old debris avalanche deposits. This sector collapse event is overlain by a sequence of pumice fall and ash flow deposits, of which the youngest, less-altered pumice fall deposit shows a minimum thickness of > 4 m, with a dispersal axis trending toward the NE. A second debris avalanche deposit, separated from the above deposits by a paleosoil, is dominated by megablocks of lava and scoriaceous dome material. The current topography around the northeastern flank of the volcano is determined by a third, and most recent debris avalanche deposit, a thick (> 20 m) sequence of six block and ash flows dated at around 16,000 years BP, each separated by 1-10 cm thick ash cloud surge deposit, together with secondary lahar deposits. These are followed by a at least 4 lava flows that extend 2 km down the flank of the volcano. It appears that the most recent pyroclastic event at Tacaná is also recorded in this sector of the volcano: above the block and ash flows occurs a > 1 m thick ash flow unit that can be seen at least 5 km from the vent. Lastly, the Santa Maria Ash fall deposit, produced in 1902, has capped most of the deposits at Tacaná.

77 FR 22846 - Additional Designations, Foreign Narcotics Kingpin Designation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-17

... Walter (a.k.a. OVERDICK MEJIA, Walther; a.k.a. ``TIGRE''), KM 208, Ruta Hacia, Coban, Guatemala; DOB 31 Jul 1967; alt. DOB 31 Jul 1968; citizen Guatemala; nationality Guatemala; Identification Number 0-16 Reg 53089 (Guatemala); alt. Identification Number 0-16 89159 (Guatemala); NIT 702787-7 (individual...

Medical potential of plants used by the Q’eqchi Maya of Livingston, Guatemala for the treatment of women’s health complaints

PubMed Central

Michel, Joanna; Duarte, Reinel Eduardo; Yao, Ping; Bolton, Judy L.; Huang, Yue; Cáceres, Armando; Veliz, Mario; Soejarto, Djaja Doel; Mahady, Gail B.

2007-01-01

Investigation on the medical ethnobotany of the Q’eqchi Maya of Livingston, Izabal, Guatemala, was undertaken in order to explore Q’eqchi perceptions, attitudes, and treatment choices related to women’s health. Through participant observation and interviews a total of 48 medicinal plants used to treat conditions related to pregnancy, childbirth, menstruation, and menopause were collected and identified followed by the evaluation of 20 species in bioassays relevant to women’s health. Results of field interviews indicate that Q’eqchi cultural perceptions affect women’s health experiences while laboratory results (estrogen receptor and serotonin receptor binding assays) provide a scientific correlation between empirical medicinal plant use among the Q’eqchi and the pharmacological basis for their administration. These data can contribute to Guatemala’s national effort to promote a complementary relationship between traditional Maya medicine and public health services and can serve as a basis for further pharmacology and phytochemistry on Q’eqchi medicinal plants for the treatment of women’s health conditions. PMID:17826926

The Where and How for Reaching Transgender Women and Men Who Have Sex with Men with HIV Prevention Services in Guatemala.

PubMed

Miller, William M; Miller, William C; Barrington, Clare; Weir, Sharon S; Chen, Sanny Y; Emch, Michael E; Pettifor, Audrey E; Paz-Bailey, Gabriela

2017-12-01

This study aims to describe the transgender women and men who have sex with men (MSM) missed through venue-based sampling and illustrate how data on venues can be used to prioritize service delivery. Respondent-driven sampling (RDS) and time-location sampling (TLS) were used concurrently in 2010 for behavioral surveillance among MSM and transgender women in Guatemala City. RDS recruits who did not frequent venues (n = 106) were compared to TLS recruits (n = 609). TLS participants recruited at different types of venues were compared. RDS recruits who did not frequent venues were less educated, less likely to identify as gay, more likely to have concurrent partners and female sexual partners. Participants recruited at NGOs, saunas, hotels, streets and parks had more partners, were more likely to receive money for sex or have concurrent partners. Prevention programs for MSM and transgender women should characterize social venues and people that frequent them and improve service coverage through venues and social networks.

Marketing ethics, functions, and content: a health education/marketing survey.

PubMed

Cooper, P D; King, K K

1985-01-01

Survey data were used to evaluate the role of marketing in the nonprofit arena of health promotion. Questionnaires utilizing a Likert type scale were sent to 106 marketers and 247 health educators soliciting their opinions about health care marketing. Both groups agreed that marketing was appropriate for both profit and non-profit organizations, but were not in total agreement on specific aspects of the marketing process. Marketers were adamant that marketing is not confined to promotional, advertising and communication functions, while health educators were neutral. Marketers were strong in their disagreement that marketing is selling; health educators were still neutral but in slight disagreement. Marketers did not believe that marketing uses gimmickry heavily, while health educators agreed that it does use gimmickry. A significant finding from the survey is that the major ethical issue for health educators is their view that marketing manipulates society. Both community and school health educators agreed that using marketing techniques is a step forward manipulation of a society, while the group of marketers disagreed.

7 CFR 1218.11 - Market or marketing.

Code of Federal Regulations, 2011 CFR

2011-01-01

... AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE BLUEBERRY PROMOTION, RESEARCH, AND INFORMATION ORDER Blueberry Promotion, Research, and Information Order Definitions § 1218.11 Market or marketing. (a) Marketing means the sale or other disposition of blueberries in any channel of...

7 CFR 1218.11 - Market or marketing.

Code of Federal Regulations, 2014 CFR

2014-01-01

... AGREEMENTS AND ORDERS; MISCELLANEOUS COMMODITIES), DEPARTMENT OF AGRICULTURE BLUEBERRY PROMOTION, RESEARCH, AND INFORMATION ORDER Blueberry Promotion, Research, and Information Order Definitions § 1218.11 Market or marketing. (a) Marketing means the sale or other disposition of blueberries in any channel of...

Hydrogeochemical exploration of geothermal prospects in the Tecuamburro Volcano region, Guatemala

USGS Publications Warehouse

Janik, C.J.; Goff, F.; Fahlquist, L.; Adams, A.I.; Alfredo, Roldan M.; Chipera, S.J.; Trujillo, P.E.; Counce, D.

1992-01-01

Chemical and isotopic analyses of thermal and nonthermal waters and of gases from springs and fumaroles are used to evaluate the geothermal potential of the Tecuamburro Volcano region, Guatemala. Chemically distinct geothermal surface manifestations generally occur in separate hydrogeologic areas within this 400 km2 region: low-pressure fumaroles with temperatures near local boiling occur at 1470 m elevation in a sulfur mine near the summit of Tecuamburro Volcano; non-boiling acid-sulfate hot springs and mud pots are restricted to the Laguna Ixpaco area, about 5 km NNW of the sulfur mine and 350-400 m lower in elevation; steam-heated and thermal-meteoric waters are found on the flanks of Tecuamburro Volcano and several kilometers to the north in the andesitic highland, where the Infernitos fumarole (97??C at 1180 m) is the primary feature; neutral-chloride hot springs discharge along Rio Los Esclavos, principally near Colmenares at 490 m elevation, about 8-10 km SE of Infernitos. Maximum geothermometer temperatures calculated from Colmenares neutral-chloride spring compositions are ???180??C, whereas maximum subsurface temperatures based on Laguna Ixpaco gas compositions are ???310??C. An exploration core hole drilled to a depth of 808 m about 0.3 km south of Laguna Ixpaco had a bottom-hole temperature of 238??C but did not produce sufficient fluids to confirm or chemically characterize a geothermal reservoir. Hydrogeochemical data combined with regional geologic interpretations indicate that there are probably two hydrothermal-convection systems, which are separated by a major NW-trending structural boundary, the Ixpaco fault. One system with reservoir temperatures near 300??C lies beneath Tecuamburro Volcano and consists of a large vapor zone that feeds steam to the Laguna Ixpaco area, with underlying hot water that flows laterally to feed a small group of warm, chloriderich springs SE of Tecuamburro Volcano. The other system is located beneath the Infernitos

Marketing is everything.

PubMed

McKenna, R

1991-01-01

Technology is creating customer choice, and choice is altering the marketplace. Gone are the days of the marketer as salesperson. Gone as well is marketing that tries to trick the customer into buying whatever the company makes. There is a new paradigm for marketing, a model that depends on the marketer's knowledge, experience, and ability to integrate the customer and the company. Six principles are at the heart of the new marketing. The first, "Marketing is everything and everything is marketing," suggests that marketing is like quality. It is not a function but an all-pervasive way of doing business. The second, "The goal of marketing is to own the market, not just to sell the product," is a remedy for companies that adopt a limiting "market-share mentality." When you own a market, you lead the market. The third principle says that "marketing evolves as technology evolves." Programmable technology means that companies can promise customers "any thing, any way, any time." Now marketing is evolving to deliver on that promise. The fourth principle, "Marketing moves from monologue to dialogue," argues that advertising is obsolete. Talking at customers is no longer useful. The new marketing requires a feedback loop--a dialogue between company and customer. The fifth principle says that "marketing a product is marketing a service is marketing a product." The line between the categories is fast eroding: the best manufacturing companies provide great service, the best service companies think of themselves as offering high-quality products. The sixth principle, "Technology markets technology," points out the inevitable marriage of marketing and technology and predicts the emergence of marketing workstations, a marketing counterpart to engineers' CAD/CAM systems.

Marketing Online Services: Product, Market and Strategy.

ERIC Educational Resources Information Center

Trudell, Libby

1991-01-01

Describes characteristics of the online marketplace. Topics discussed include technology barriers; data ownership; markets for online services, including libraries and end users; marketing and promotion tactics, including exhibits and conferences, advertising, direct mail, and user groups; international marketing and service; strategic marketing…

TRICARE Marketing

DTIC Science & Technology

1999-10-21

definitive. It stated that: Marketing is much more than advertising or promotion materials. Marketing is a foundation for building a business strategy ; it...objectives, and strategies for marketing TRICARE. However, the Director provided the plan for information; none of the recipients of the plan were...overarching goal and extensively in the marketing strategies section. Specifically, the Marketing Plan states that strategies employed to accomplish

To Market, to Market

ERIC Educational Resources Information Center

Barden, Dennis M.

2006-01-01

The institution is part of a national market and its presidential options are dictated by that market, the reputation, the challenges of the position, and the relative compensation for the opportunity to lead the organization. Many in academe are uncomfortable with the idea that hiring in higher education should be governed by the laws of supply…

Marketing.

PubMed

Chambers, David W

2010-01-01

There is not enough marketing of dentistry; but there certainly is too much selling of poor quality service that is being passed off as dentistry. The marketing concept makes the patient and the patients' needs the ultimate criteria of marketing efforts. Myths and good practices for effective marketing that will promote oral health are described under the traditional four "Ps" categories of "product" (best dental care), "place" (availability), "promotion" (advertising and other forms of making patients aware of available services and how to use them), and "price" (the total cost to patients of receiving care).

An Investigation of Marketing Educators' Approach to Teaching International Marketing in the Introductory Marketing Course.

ERIC Educational Resources Information Center

Zimmer, Robert J.; And Others

1996-01-01

A survey of 122 college teachers of marketing courses investigated the extent and methods of their inclusion of international marketing into the course curriculum. Findings suggest that, among those teaching international marketing, how they acquired their international knowledge had a significant effect on how they taught international marketing.…

Strengths amidst vulnerabilities: the paradox of resistance in a mining-affected community in Guatemala.

PubMed

Caxaj, C Susana; Berman, Helene; Ray, Susan L; Restoule, Jean-Paul; Varcoe, Coleen

2014-11-01

The influence of large-scale mining on the psychosocial wellbeing and mental health of diverse Indigenous communities has attracted increased attention. In previous reports, we have discussed the influence of a gold mining operation on the health of a community in the Western highlands of Guatemala. Here, we discuss the community strengths, and acts of resistance of this community, that is, community processes that promoted mental health amidst this context. Using an anti-colonial narrative methodology that incorporated participatory action research principles, we developed a research design in collaboration with community leaders and participants. Data collection involved focus groups, individual interviews and photo-sharing with 54 men and women between the ages of 18 and 67. Data analysis was guided by iterative and ongoing conversations with participants and McCormack's narrative lenses. Study findings revealed key mechanisms and sources of resistance, including a shared cultural identity, a spiritual knowing and being, 'defending our rights, defending our territory,' and, speaking truth to power. These overlapping strengths were identified by participants as key protective factors in facing challenges and adversity. Yet ultimately, these same strengths were often the most eroded or endangered due the influence of large-scale mining operations in the region. These community strengths and acts of resistance reveal important priorities for promoting mental health and wellbeing for populations impacted by large-scale mining operations. Mental health practitioners must attend to both the strengths and parallel vulnerabilities that may be occasioned by large-scale projects of this nature.

Energy-related influences on variation in breastfeeding duration among indigenous Maya women from Guatemala.

PubMed

McKerracher, Luseadra J; Collard, Mark; Altman, Rachel M; Sellen, Daniel; Nepomnaschy, Pablo A

2017-04-01

The causes of variation in breastfeeding duration in humans are poorly understood, but life history factors related to maternal energetics drive much of the variation in lactation duration in nonhuman animals. With this in mind, we investigated whether four energy-related factors influence variation in breastfeeding duration in a non-industrial human population: (1) mortality risk during mother's development (assessed via mother's adult height), (2) reliance on nutrient-dense weaning foods, (3) access to and need for help with infant feeding and care ("allomaternal care"), and (4) maternal tradeoffs between current and future reproduction (measured via child's birth order). The data pertain to 51 Kakchiquel-speaking Maya mothers and 283 children from a village in rural Guatemala. We developed a linear mixed model to evaluate the relationships between breastfeeding duration and the energy-related factors. Duration of breastfeeding was associated with two of the energy-related factors in the ways we predicted but not with the other two. Contrary to predictions, taller mothers breastfed for shorter periods and we found no evidence that weanling diet quality impacts breastfeeding duration. As predicted, women who had more help with infants breastfed for shorter periods, and later-born infants breastfed longer than earlier-born ones. The results regarding allomaternal care suggest that help reduces mothers' lactation demands. The energy saved may be redirected to increasing fecundity or investment in other children. The birth order result suggests that children born to mothers nearing reproductive senescence receive higher levels of investment, which likely impacts children's fitness. © 2016 Wiley Periodicals, Inc.

Surface deformation induced by magmatic processes at Pacaya Volcano, Guatemala revealed by InSAR

NASA Astrophysics Data System (ADS)

Wnuk, K.; Wauthier, C.

2017-09-01

Pacaya Volcano, Guatemala is a continuously active, basaltic volcano with an unstable western flank. Despite continuous activity since 1961, a lack of high temporal resolution geodetic surveying has prevented detailed modeling of Pacaya's underlying magmatic plumbing system. A new, temporally dense dataset of Interferometric Synthetic Aperture Radar (InSAR) RADARSAT-2 images, spanning December 2012 to March 2014, show magmatic deformation before and during major eruptions in January and March 2014. Inversion of InSAR surface displacements using simple analytical forward models suggest that three magma bodies are responsible for the observed deformation: (1) a 4 km deep spherical reservoir located northwest of the summit, (2) a 0.4 km deep spherical source located directly west of the summit, and (3) a shallow dike below the summit. Periods of heightened volcanic activity are instigated by magma pulses at depth, resulting in rapid inflation of the edifice. We observe an intrusion cycle at Pacaya that consists of deflation of one or both magma reservoirs followed by dike intrusion. Intrusion volumes are proportional to reservoir volume loss and do not always result in an eruption. Periods of increased activity culminate with larger dike-fed eruptions. Large eruptions are followed by inter-eruptive periods marked by a decrease in crater explosions and a lack of detected deformation. Co-eruptive flank motion appears to have initiated a new stage of volcanic rifting at Pacaya defined by repeated NW-SE oriented dike intrusions. This creates a positive feedback relationship whereby magmatic forcing from eruptive dike intrusions induce flank motion.

Marketing Reference Services.

ERIC Educational Resources Information Center

Norman, O. Gene

1995-01-01

Relates the marketing concept to library reference services. Highlights include a review of the literature and an overview of marketing, including research, the marketing mix, strategic plan, marketing plan, and marketing audit. Marketing principles are applied to reference services through the marketing mix elements of product, price, place, and…

UK Higher Education Viewed through the Marketization and Marketing Lenses

ERIC Educational Resources Information Center

Nedbalová, Eva; Greenacre, Luke; Schulz, John

2014-01-01

This paper uses the Economic Market mechanisms and the 4P Marketing Mix as lenses to review the context of UK higher education (HE) and to explore the relationship between the market and marketing disciplines and practice. Four Economic Market mechanisms--autonomy, competition, price and information--are contrasted with the four Ps of marketing:…

Availability, prices and affordability of the World Health Organization’s essential medicines for children in Guatemala

PubMed Central

2012-01-01

Background Several World Health Organization (WHO) initiatives aim to improve the accessibility of safe and effective medicines for children. A first step in achieving this goal is to obtain a baseline measure of access to essential medicines. The objective of this project was to measure the availability, prices, and affordability of children’s medicines in Guatemala. Methods An adaption of the standardized methodology developed by the World Health Organization and Health Action International (HAI) was used to conduct a cross sectional survey to collect data on availability and final patient prices of medicines in public and private sector medicine outlets during April and May of 2010. Results A subset of the public sector, Programa de Accesibilidad a los Medicamentos (PROAM), had the lowest average availability (25%) compared to the private sector (35%). In the private sector, highest and lowest priced medicines were 22.7 and 10.7 times more expensive than their international reference price comparison. Treatments were generally unaffordable, costing as much as 15 days wages for a course of ceftriaxone. Conclusions Analysis of the procurement, supply and distribution of specific medicines is needed to determine reasons for lack of availability. Improvements to accessibility could be made by developing an essential medicines list for children and including these medicines in national purchasing lists. PMID:22747646

Bioecology of Stenoma catenifer (Lepidoptera: Elachistidae) and associated larval parasitoids reared from Hass avocados in Guatemala.

PubMed

Hoddle, Mark S; Hoddle, Christina D

2008-06-01

A 10-wk study of the avocado seed-feeding moth Stenoma catenifer Walsingham (Lepidoptera: Elachistidae), was conducted in a commercial 'Hass' avocado (Persea americana Miller [Lauraceae]) orchard in Guatemala. Up to 45% of fruit in the orchard were damaged by larval S. catenifer. Larval-to-adult survivorship for 1,881 S. catenifer larvae in Hass fruit was 37%, and adult sex ratio was 51% female. Four species of larval parasitoid were reared from field-collected S. catenifer larvae. The most common parasitoid reared was a gregarious Apanteles sp., which parasitized 53% of larvae and produced on average eight to nine cocoons per host. Apanteles sp. sex ratio was 47% female and 87% of parasitoids emerged successfully from cocoons. Apanteles sp. longevity was approximately equal to 1.5 d in the absence of food, and when provisioned with honey, parasitoids survived for 5-7 d. The mean number of cocoons produced by Apanteles sp. per host, and larval parasitism rates were not significantly affected by the number of S. catenifer larvae inhabiting seeds. Oviposition studies conducted with S. catenifer in the laboratory indicated that this moth lays significantly more eggs on the branch to which the fruit pedicel is attached than on avocado fruit. When given a choice between Hass and non-Hass avocados, S. catenifer lays up to 2.69 times more eggs on Hass.

Groundwater chemistry characterization using multi-criteria approach: The upper Samalá River basin (SW Guatemala)

NASA Astrophysics Data System (ADS)

Bucci, Arianna; Franchino, Elisa; De Luca, Domenico Antonio; Lasagna, Manuela; Malandrino, Mery; Bianco Prevot, Alessandra; Hernández Sac, Humberto Osvaldo; Coyoy, Israel Macario; Sac Escobar, Edwin Osvaldo; Hernández, Ardany

2017-10-01

Improving understanding on groundwater chemistry is a key priority for water supply from groundwater resources, especially in developing countries. A hydrochemical study was performed in an area of SW Guatemala (Samalà River basin), where water supply to population is groundwater-based and no systematic studies on its groundwater resources have been performed so far. Traditional hydrochemical analyses on major ions and some trace elements metals coupled with chemometric approach were performed, including principal component analysis and hierarchical clustering analysis. Results evidence that chemical differentiation is linked to the spatial distribution of sampled waters. The most common hydrochemical facies, bicarbonate calcium and magnesium, is linked to infiltration of meteoric waters in recharge areas represented by highlands surrounding Xela caldera, a wide plateau where most of population is concentrated. This trend undergoes chemical evolution in proximity of active volcanic complexes in the southern area, with enrichment in sulphate, chloride and magnesium. Chemical evolution also occurs towards the centre of Xela caldera due to slow circulation in aquifer and consequent sodium enrichment due to ion exchange with the porous medium. Water quality did not reveal severe concerns, even though some sources of contamination could be identified; in particular, agriculture and urban wastewater could be responsible for observed threshold exceedances in nitrate and lead. This integrated multi-approach to hydrochemical data interpretation yielded to the achievement of important information that poses the basis for future groundwater protection in an area where main water features were almost unknown.

Study on Bidding Strategy and Market Clearing Price in Electric Power Day-ahead Market using Market Simulation

NASA Astrophysics Data System (ADS)

Sasaki, Tetsuo; Kadoya, Toshihisa

In an electric power day-ahead market, market prices are not always cleared at marginal cost caused by the strategic bidding of generators. This paper presents the results of day-ahead market simulation that analyzes profits depending upon bidding strategies in an electric power day-ahead market. It is clarified that MCP (Market Clearing Price) is easily managed by only one player and does not easily decline after it has gone up once. Moreover the mutual interference among day-ahead markets, future markets, increase of generators, etc. are also discussed.

Healthy casetas: A potential strategy to improve the food environment in low-income schools to reduce obesity in children in Guatemala City.

PubMed

Pehlke, Elisa L; Letona, Paola; Ramirez-Zea, Manuel; Gittelsohn, Joel

2016-01-01

Developing countries have undergone transitions driven by globalization and development, accelerating increases in prevalence of overweight and obesity among children. Schools have been identified as effective settings for interventions that target children's dietary behaviors. In Guatemala, public schools commonly have food kiosks (Casetas) that sell products to children. From July through October 2013, observations during recess, in-depth interviews with school principals (n = 4) and caseta vendors (n = 4), and focus groups with children (n = 48) were conducted. This article explores products available to children at casetas. Factors that affect what casetas offer include regulations and enforcement, vendor investment and earnings, vendor resources, product demand, pricing, and children's preferences. These factors influence the products that are available and children's tendency to purchase them. Potential strategies for improvement include healthy food preparation, price manipulation and promotions, raffles and games to encourage healthier choices, and policy to push toward development of healthier products.

Hospital marketing.

PubMed

Carter, Tony

2003-01-01

This article looks at a prescribed academic framework for various criteria that serve as a checklist for marketing performance that can be applied to hospital marketing organizations. These guidelines are drawn from some of Dr. Noel Capon of Columbia University's book Marketing Management in the 21st Century and applied to actual practices of hospital marketing organizations. In many ways this checklist can act as a "marketing" balanced scorecard to verify performance effectiveness and develop opportunities for innovation.

Marketing fundamentals.

PubMed

Redmond, W H

2001-01-01

This chapter outlines current marketing practice from a managerial perspective. The role of marketing within an organization is discussed in relation to efficiency and adaptation to changing environments. Fundamental terms and concepts are presented in an applied context. The implementation of marketing plans is organized around the four P's of marketing: product (or service), promotion (including advertising), place of delivery, and pricing. These are the tools with which marketers seek to better serve their clients and form the basis for competing with other organizations. Basic concepts of strategic relationship management are outlined. Lastly, alternate viewpoints on the role of advertising in healthcare markets are examined.

Marketing and Market Research for Adult and Continuing Education.

ERIC Educational Resources Information Center

Buckmaster, Annette

Marketing is an essential part of conducting a continuing education program, but marketing consists of more than just promotion. According to Kotler, exchange is the central concept underlying marketing. Marketing involves understanding, planning, implementing, and controlling this exchange. The exchange situation contains all the elements of the…

7 CFR 29.9404 - Marketing area opening dates and marketing schedules.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 2 2014-01-01 2014-01-01 false Marketing area opening dates and marketing schedules... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE COMMODITY....9404 Marketing area opening dates and marketing schedules. (a) The Flue-Cured Tobacco Advisory...

7 CFR 29.9404 - Marketing area opening dates and marketing schedules.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Marketing area opening dates and marketing schedules... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE COMMODITY....9404 Marketing area opening dates and marketing schedules. (a) The Flue-Cured Tobacco Advisory...

7 CFR 29.9404 - Marketing area opening dates and marketing schedules.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Marketing area opening dates and marketing schedules... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE COMMODITY....9404 Marketing area opening dates and marketing schedules. (a) The Flue-Cured Tobacco Advisory...

7 CFR 29.9404 - Marketing area opening dates and marketing schedules.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Marketing area opening dates and marketing schedules... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE COMMODITY....9404 Marketing area opening dates and marketing schedules. (a) The Flue-Cured Tobacco Advisory...

7 CFR 29.9404 - Marketing area opening dates and marketing schedules.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 2 2013-01-01 2013-01-01 false Marketing area opening dates and marketing schedules... MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE COMMODITY....9404 Marketing area opening dates and marketing schedules. (a) The Flue-Cured Tobacco Advisory...

Nurse education in competitive markets: the case for relationship marketing.

PubMed

Roberts, P M

1998-10-01

Since the National Health Service reforms of the late 1980s, nurse education has been increasingly subject to market forces. This new competitive environment presents not only threat, but also challenge and opportunity. Providers of nurse education who recognize the need for market orientation and develop responsive marketing strategies will maximize their potential for market retention and growth. Traditional marketing strategies have considerable limitations for public sector services. The new and growing field of relationship marketing offers nurse education an opportunity to retain and develop profitable relationships with both internal and external markets. This paper reviews the marketing arena in nurse education and proposes context-based qualitative research to ascertain definitive constructs of service quality. Such constructs might then be rooted in a theoretical framework of service quality measurement, and be measured within the disconfirmation paradigm of relationship marketing.

Marketing Education's National Marketing Plan.

ERIC Educational Resources Information Center

Zwissler, Karen

1987-01-01

Discusses formation of the National Council for Marketing Education and how its Marketing Strategy Committee developed a plan to tackle the image problem. The committee chose five target audiences and developed a strategy to reach each target. The plan was introduced in October 1987 through a national videoconference. (CH)

The Marketing Plan: An Integrative Device for Teaching Marketing Management.

ERIC Educational Resources Information Center

Berdine, W. R.; Petersen, James C.

1980-01-01

The importance of the marketing plan is stressed as an integrative device for teaching marketing management, and a structure is presented to assist students in designing a marketing plan. Components of this plan include marketing objectives, targeting market and buying motives, external environment and competition, product, price, and promotion.…

Marketing health care to minorities: tapping an emerging market.

PubMed

Harris, M S

2000-01-01

A number of myths have prevented the development of a formal health care marketing strategy for the 100 million-plus racial and ethnic group members in the United States, despite their relatively greater need for health services. This market continues to grow in numbers, resources, and influence as the majority market level off. Marketers must look to minorities for new business, but traditional health care marketers have a long way to go before they are in a position to truly maximize this opportunity.

Late Holocene Hydroclimate Variability of West-Central Guatemala Driven by NAO and ENSO

NASA Astrophysics Data System (ADS)

Stansell, N.; Feller, J. R.; Steinman, B. A.; Lachniet, M. S.; Shea, C.; Avendaño, C.

2016-12-01

Finely-laminated sediments from Lake San Francisco in the Huehuetenango province of west-central Guatemala provide a sub-decadal resolution record of hydroclimate variability spanning the last 5200 years. Age control is based on 7 radiocarbon samples of charcoal and lead-210 dating of surface sediments. Modern water isotope samples indicate the lake is currently an open system, and variations of δ18O values of precipitation in the region are driven largely by the amount effect. In contrast, a strong covariance of δ18O and δ13C values combined with pollen evidence in the lower part of the record suggests the lake was a seasonally closed-basin from 5200 to 3200 BP, and was sensitive to evaporation under more arid conditions. There was an overall trend of increasingly wetter conditions during the late Holocene, and a lack of covariance between δ18O and δ13C indicates that the lake transitioned to an open-basin after 3200 BP. The Medieval Climate Anomaly was the wettest period of the late Holocene, and there was a shift to lower precipitation amounts during the Little Ice Age. Present conditions are more arid than most of the last millennium, but δ18O values in the modern sediments are intermediate compared to the full late Holocene. The Lake San Francisco record provides additional evidence that the hydroclimate of Central America is sensitive to both changes in North Atlantic Oscillation (NAO) and the El Niño Southern Oscillation (ENSO). Drier conditions at San Francisco over the length of the record were associated with more negative phases of NAO and vice versa. During the last 1500 years, drier conditions at San Francisco were also associated with warmer sea-surface temperatures (SSTs) in the Niño3 region, and it was wetter when SSTs were colder.

Marketing and Distribution: New Dimensions of Marketing Careers

ERIC Educational Resources Information Center

Harris, E. Edward

1978-01-01

Findings from research at Northern Illinois University on marketing positions were used to identify job levels and promotion criteria in food marketing, general retail merchandising, and wholesaling. Interviews with business executives in the three areas provided the marketing occupational information needed in vocational distributive education…