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Objective: We describe and discuss the various medical, social and financial aspects of setting up, and optimizing, working conditions of a tertiary Nuclear Medicine Department. This department was established in a North Indian state which comprises 93% of hilly area. During the first three years after establishment we have developed infrastructure, cooperation with other departments, improved radiation safety and cost effectiveness of our work and designed future perspectives. The facility was established in a cancer center of a tertiary care hospital where a medical college infrastructure was developed. National guidelines formulated by the Atomic Energy Regulatory Board (AERB) were followed. Our department served a population area of 10.08 million inhabitants. Over the first three years 2,400 patients underwent diagnostic scans and 106 patients underwent low dose radioiodine treatment for thyrotoxicosis. To optimize resources and at the same time, enhance their effectivity, we procured our (99)Mo/ (99m)Tc generator every other week and arranged our daily programme accordingly. Fractionation of cold kits allowed us to perform low cost in-vivo procedures on a daily basis and to save the department's running costs by 30%-50%. We run continuing education nuclear medicine programmes for referring physicians, medical students and paramedical workers which were included in routine practice which led to a consistent growth in patients referral. The need for a positron emission tomography/computed tomography (PET/CT) scan and high dose treatment department for thyroid cancer was strongly felt.; Conclusion: Our nuclear medicine department in a peripheral region of a developing country applied better logistics by procuring new generator every fortnight, fractionating the cold kits and by organizing complete teaching programmes.;
BACKGROUND:Relaxation techniques like meditation have been found to be beneficial in reducing stress.
AIM:
The aim was to find out the effect of the Integrated Amrita Meditation (IAM) technique on the response to life changes.
MATERIALS AND METHODS:
The IAM technique, progressive muscle relaxation (PMR) technique, and the Life Changes Questionnaire (LCQ) were used. LCQ was culturally adapted to the Indian population. One hundred and fifty subjects were randomized into IAM, PMR, and Control groups. LCQ scores were documented in all groups at 0 h, 48 h, 2 months, and 8 months after the training.
STATISTICS ANALYSIS:
Within groups, comparison was done by the paired t-test and between groups by ANCOVA.
RESULTS:
The new LCQ was analyzed using split-half reliability and was found to be having a correlation coefficient 0.96. On within group analysis, the IAM group showed a significant decrease in LCQ scores (P = 0.004) in the second visit which was maintained in the third (P = 0.003) and fourth visits (P = 0.001). Within the PMR group, there was a significant decrease (P = 0.006) in the third visit and fourth visits (P = 0.001). No significant change was seen within the control group in any of the visits. The decrease in LCQ scores in the IAM group was significant at the end of 8 months when compared to the Control group (P < 0.05) whereas the decrease in the PMR group was not significant in comparison with the control group.
CONCLUSION:
The IAM technique is an efficient tool in reducing stress as measured by LCQ.
In Soil Not Oil, Vandana Shiva explains that a world beyond dependence on fossil fuels and globalization is both possible and necessary. Condemning industrial agriculture as a recipe for ecological and economic disaster, Shiva champions the small, independent farm: their greater productivity, their greater potential for social justice as they put more resources into the hands of the poor, and the biodiversity that is inherent to the traditional farming practiced in small-scale agriculture. What we need most in a time of changing climates and millions who are hungry, she argues, is sustainable, biologically diverse farms that are more resistant to disease, drought, and flood. “The solution to climate change,” she observes, “and the solution to poverty are the same.” Soil Not Oil proposes a solution based on self-organization, sustainability, and community rather than corporate power and profits.
Inspired by women’s struggles for the protection of nature as a condition for human survival, award-winning environmentalist Vandana Shiva shows how ecological destruction and the marginalization of women are not inevitable, economically or scientifically. She argues that “maldevelopment”—the violation of the integrity of organic, interconnected, and interdependent systems that sets in motion a process of exploitation, inequality, and injustice—is dragging the world down a path of self-destruction, threatening survival itself. Shiva articulates how rural Indian women experience and perceive ecological destruction and its causes, and how they have conceived and initiated processes to arrest the destruction of nature and begin its regeneration. Focusing on science and development as patriarchal projects, Staying Alive is a powerfully relevant book that positions women not solely as survivors of the crisis, but as the source of crucial insights and visions to guide our struggle.