First think of Grapevine, TX, you probably think of outlet malls. But the city is a prime area for many kinds of commercial real estate. When we were approached with the opportunity to draw up plans for renovating and adding on to a large building on Main Street, we couldn’t pass up the chance to work with such an interesting project. On the surface, this building might not seem unique or interesting. What made it so intriguing for us was the challenges represented on the inside of the building. We will share a more detailed description about some of the structural and foundational issues of this building in a second post, but we will give a brief overview here. One of the things that made this building interesting right away was the fact that it was two structures joined together with two sets of doors. Research by the godfather of travel medicine, Professor Robert Steffen, states that of Europeans travelling to a resource-poor destination and staying for a month, more than half will develop some kind of illness. Many of these illnesses will be trivial but travellers will often shop locally for soothers, cures or treatments. Here are some points to consider when buying medicines overseas. Before setting out on any trip, think about what has made you ill in the past. Are you susceptible to chest infections or cystitis? Does a particular antibiotic cause you spectacular diarrhoea? Do you know how to identify these treatments when away? Most prescribed antibiotics will be labelled with their trade name, which will be completely different to the UK name, even in another English-speaking country. You need to know the longer generic name of any medicine you might need to take. 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At least one in three medical prescriptions in Turkey includes antibiotics, Prof. Önder Ergönül, a board member at the Turkish Clinical Microbiology and Epidemic Diseases Association (KLİMİK), has said, warning that immune systems are increasingly adapting to higher doses of antibiotics. “Turkey is the top consumer of antibiotics among OECD countries,” Ergönül stated, adding that new infections immune to all types of antibiotics are emerging. “For example, we cannot prescribe oral tablets to almost one third of patients with urinal tract infections. This is similar to what we face with lower and upper respiratory infections and skin infections,” he added, underlining that the situation is particularly severe for patients with infections who are at hospitals. KLİMİK held a two-day workshop in Istanbul in association with the European Clinical Microbiology and Epidemic Diseases Association (ESCMID), during which antimicrobial immunity was discussed. High antibiotics consumption has become an increasingly prominent issue globally in recent years, and Turkey’s prescription rate is almost double the OECD average. “In preventing unnecessary antibiotics use, it is important that they are not sold over the counter,” Ergönül said. Özlem Kurt Azap, a member of the KLİMİK Antibiotics Study Group, said that if consumption continues as it is then up to 10 million people could die for having developed immunity to antibiotics, according to a recent report published by medical professionals in the U. The same report claims that the immunity to antibiotics could be a leading cause of death by 2050, with 10 million people dying of this cause every year, or one every three seconds. 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