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Longest running ground handler in Maun, the Gateway to the Okavango… Travel wild Botswana was established in, when Maun was little more than a one horse town at the end of a very long and bumpy dirt road. In the days of no satellite communications and limited phone connections, Travel wild was one of the very few links to the outside world, albeit via the telex machine! As local communications improved and with ever changing technology, our focus at Travel Wild shifted from inter- camp communications to doing what we know best: Providing professional safari advice and booking holidays, to the finest wildlife destinations in Botswana. By, the Travel Wild Botswana office had become a fully-fledged dedicated booking office and Ground Handler, making us the longest running Tour Operator in Maun. All our consultants at Travel Wild Botswana live and work in the country we sell. All of our itineraries are backed by our first- hand knowledge and our experience in selling safaris for many years.

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Podiatrists are already exempt from certain requirements of the Medicines Act. These exemptions allow them to administer or supply certain specified medicines listed in Chapter affected by provisions for PGDs. The list of medicines available to podiatrists was extended in November extended prescribing and supplementary prescribing are relatively new and because PGD usage is now integral to practice in many organizations, confusion has arisen about the difference between them and which is the most appropriate in which circumstances. While the definition of a PGD is straightforward, local interpretation has allowed them to be used creatively in a wide range of circumstances. It is important that all podiatrists and their employers, understand the scope and limitations of PGDs as well as the wider context into which they fit when designing safe, effective services for their patients. In summary, PGDs are most suitable when the use of medicines follows a predictable pattern and is not tailored for individuals with complicated conditions.

Viral pneumonia is uncommon and not usually serious unless it occurs in the very young, the very old, those with chronic lung disease or the immunocompromized. Treatment may simply be rest and increased intake of fluids, but there are antiviral drugs available for serious viral pneumonia, for example amantadine, oseltamivir or zanamivir. Side effects of amantadine and oseltamivir are gastrointestinal disturbances, insomnia and dizziness. Zanamivir should be used with caution in asthma and COPD because of the risk of bronchospasm. Antiviral drugs are considered in Chapter Fungal pneumonia is most likely in the immunocompromized as an opportunistic infection with aspergillus or histoplasma and can be treated with amphotericin, itraconazole or voriconazole. Amphotericin has to be cheap cialis generic online intravenously and is toxic to the kidneys; itraconazole is given orally or by intravenous infusion and can produce liver toxicity and heart failure; voriconazole is given orally or by intravenous infusion and can be toxic to both liver and kidneys.

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