Mercedes Cáceres

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Rheumatic heart disease (RHD) results in morbidity and mortality that is disproportionate among individuals in developing countries compared to those living in economically developed countries. The global burden of disease is uncertain because most previous studies to determine the prevalence of RHD in children relied on clinical screening criteria that(More)
We estimated the incidence of watery diarrhea in the community before and after introduction of the pentavalent rotavirus vaccine in León, Nicaragua. A random sample of households was selected before and after rotavirus vaccine introduction. All children < 5 years of age in selected households were eligible for inclusion. Children were followed every 2(More)
Postinfectious IBS is defined in the industrialized world as IBS onset following a sentinel gastrointestinal infection. In developing nations, where repeated bacterial and parasitic gastrointestinal infections are common, the IBS pathophysiology may be altered. Our aim was to investigate the relationship between intestinal parasite infection and IBS in the(More)
OBJECTIVE To determine the frequency of nasal carriers of strains of methicillin-resistant Staphylococcus aureus (MRSA) and the antimicrobial resistance pattern of these strains, obtained from health workers from four hospitals in Nicaragua. METHODS A descriptive cross-sectional study was conducted between 1 June 2009 and 30 September 2010. Nasal swabs(More)
Raman spectra of methanol-water mixtures were measured over the whole composition range at room conditions. The spectra are used to quantify the strength of intermolecular interactions in terms of local internal pressures. The conclusions derived from the spectroscopic analysis are discussed within the framework of the solvation pressure model using values(More)
Antibiotic-resistant bacteria are a major concern in the healthcare of today, especially the increasing number of gram-negative bacteria producing β-lactamases such as extended-spectrum β-lactamases (ESBLs). However, little is known about the relationship of ESBL producers in humans and domestic and wild birds, especially in a low-income setting. Therefore,(More)
Raman spectra of 1,2-ethylenediamine (EDA) in aqueous solutions are used to demonstrate that EDA molecules experience an anti-gauche conformational change resulting from the interactions with water. The observed Raman shift reveals a compressive (hydrophobic) effect of water on both methylene and amino groups of EDA. Raman spectra of EDA at high pressures(More)
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