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    When the UNHCR evaluated some GBV programs in Tanzania in January of 2000, it discovered that the NGOs and UN agencies collecting GBV data in the area were all using different terminology as well as classifying and counting procedures. They found that “programme strategies and activities were guided by subjective impressions and not by analysis of data and evaluation of intended outcomes. None of the NGOs had a system for compiling data which was useful and effective for analyzing incident rates, types, risk factors, contributing/causative factors, survivor details, perpetrator details, or case outcomes. […] Monthly [Implementer Partner] reports to UNHCR contained inconsistent information and it was not possible to glean an understanding of problems and successes across a region [of Tanzania].” It soon became apparent that this was not only a problem in Tanzania, but in many locations. Over the course of the next five years, the UNHCR, RHRC and the Inter-Agency Standing Committee all produced documents in an attempt to improve GBV programming, monitoring and evaluation, and information management. While helpful, these documents failed to produce sustained results. In 20 WHO and UNFPA hosted a consultation and a symposium which called for a standardized system for GBV information management. The page you requested was not found, and we have a fine guess why.- If you typed the URL directly, please make sure the spelling is correct.- If you clicked on a link to get here, the link is outdated.

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    [email protected] of newly detected actions of Group A streptococci may offer clues as to why penicillin and amoxicillin often fail to eradicate streptococcal pharyngitis in children and adults, and why cephalosporins or macrolides may be better treatment options. Casey and I have published a series of articles over the years documenting this phenomenon, as have other researchers worldwide. Casey and I conducted two separate meta-analyses demonstrating the clear superiority of cephalosporins—mainly azithromycin and clarithromycin—over penicillin in treating strep throat, both in children (Pediatrics 2004;16–82) and adults (Clin. Some people have theorized that the inadvertent inclusion of strep carriers in many of the studies explains the eradication failure with penicillin, but that has never made sense to me. Penicillin failure in eradicating strep throat has been increasingly documented beginning in the 1980s, rising from just 5% in the 1950s to approximately 35% today. Why would such inclusion have increased since the 1950s? In fact, there is absolutely no in vitro resistance of group A streptococci (GAS) to penicillin or amoxicillin (or cephalosporins). Traditional antibiotic resistance does not appear to be the reason. In fact, the opposite has happened: Efforts have been made in more recent studies to exclude carriers. Our meta-analyses showed that the failure rate remained pretty much rocksolid at 35%, even when we looked at only the 12 most recent studies that did a fantastic job of excluding carriers. I think the answer lies in considering mechanisms of “resistance” beyond those involving a particular bacterium resisting a particular drug in a test tube. A second mechanism of in vivo resistance, known as “coaggregation,” was first described in 2004 by Dr. La Fontaine and his associates at the University of Toledo (Ohio). Subsequent to that paper, my laboratory group completed a study in which we confirmed Dr. While these two organisms have long been known to become pathogenic in certain settings, we are now realizing that they also may serve to enhance the attachment of GAS to throat cells. Strep Throat Symptoms, Causes, Diagnosis, and Treatment Strep throat - Diagnosis and treatment - Mayo Clinic Strep Throat Treatment Antibiotics, Contagious Period, Recovery
     
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