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Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Spiriva. Active substance : tiotropium. Therapeutic class : bronchodilator. Spiriva is used in the long term treatment of chronic obstructive pulmonary disease (COPC).

Long-term exposure of a Ferris wheel behind the statue of Karl Marx and Friedrich Engels, Berlin, Germany, Europe

Long-term exposure of a Ferris wheel behind the statue of Karl Marx and Friedrich Engels, Berlin, Germany, Europe

Traffic jam on the A40 motorway or Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, bus lane with a guided bus on the central lane, North Rhine-Westphalia, Germany, Europe

Workers prepare transuranic nuclear waste from America's nuclear weapons program for long-term storage at the Waste Isolation Pilot Plant, here a fork lift moves a TRUPACT shipping container used to transport nuclear waste by truck from distant places.; t

Workers prepare transuranic nuclear waste from America's nuclear weapons program for long-term storage at the Waste Isolation Pilot Plant, here a worker checks radiation levels on the outside of storage containers because they are stored in rooms carved o

Lignite-fired power plant, Schkopau am See power plant at sunrise, long-term exposure, Saxony-Anhalt, Germany, Europe

Waterfall flows over rocky outcrop, long term exposure, River Cold Spring Creek, Tamanawas Falls, Oregon, USA, North America

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Waterfall, long-term image, McArthur-Burney Falls Memorial State Park, California, USA, North America

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe

Long, dense traffic jam on the highway A40, so-called Ruhrschnellweg, in front of a long-term construction site between Essen and Gelsenkirchen, Ruhrgebiet region, North Rhine-Westphalia, Germany, Europe