the reason is
1. nature of business.
2. kind and level of knowledge and skills
3.size of the business
4. capital versus labor intensity
The Douglas Macmillan Hospice was established in 1972 as a 28 bed hospice serving the North Staffordshire area. Over the years a Day Hospice, a Community Nurse Specialist Team (PCNS), a Hospice at Home service and Education Centre have been added. These are all supported by a full range of clinical support services which include Physiotherapy, Occupational Therapy, Lymphoedema, Chaplaincy, Bereavement Support, Social Work, Psychology and Diversional Therapies.
septimin doesnt have any penisilin Quite a few. Just for example, Sulfa-based antibiotics can be used, as well as the group of "cyclines" that started with tetracycline many years ago. On the new side, Oxazolidone class antibiotics are now approved for consumption as are the very new lipopeptide antibiotics like daptomycin. It depends alot on the infection. Probably the most common substitutes include erythromycin, clindamycin, or a cephalosporin (while related, has less than 15% cross reactivity with PCNs for first generation cephalosporins - even less for higher generations). If the reaction is not a severe one (respiratory distress, throat swelling, etc), cephalosporins are probably the best choice. Again, it depends alot on the type of infection and where it was acquired.