For at least 1500 years, temple design, construction and worship have followed the canon of the ?gama-s. Shouldn’t temple management also follow the ?gama-s? Steeped in a history of more than two millennia, the real bequest of India’s ancient temples is that they are still living sacred spaces. The gods that were invoked in these temples more than a thousand years ago, continue to reside in the sanctums and gaze benevolently upon their devotees. The bells ring for morning service as they did a thousand years ago. The ?c?rya waves the ?rati just as another ?c?rya did a thousand years ago. No other organization in the world can boast of such amazing continuity. The secret to this longevity lies in the ?gama-s. ?gama-s are the traditional canon believed to be as old as the Vedas, with detailed manuals on temple-building, consecration and ritual worship. While the world outside the temples – a world of kings and kingdoms – has changed, temples continue to follow the ?gama-s in letter and spirit in their everyday religious function, notwithstanding the many changes in administrative formats. By studying the activities of the temple, material and manpower required, qualifications and roles prescribed for the temple professionals, this thesis attempts to reconstruct an ?gamic temple management framework, using the K?mik?gama as primary text with other ?gama-s, secondary literature and inscriptional evidence as required.

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This book provides a comprehensive overview of the multidisciplinary management of meningiomas, followed by evaluation and management considerations along a spectrum of benign to more malignant behavior. It outlines the management of presumed Grade 1 tumors and how to identify features of tumors radiographically and clinically that may support a benign course rather than aggressive and vice versa. Following a stepwise progression from simple to complex, chapters introduce and tackle more aggressive meningiomas and tumor recurrence (of all Grades), with paradigms for evaluation and treatment. Tumor biology and genomics are fundamental and largely focused in the book. More recent findings which have directed personalized medicine and clinical trials are also addressed. Meningiomas: Comprehensive Strategies for Management addresses all aspects of the evaluation and care of patients with all WHO grades of meningiomas. It is highly informative and provides clarity for a wide audience of neurosurgeons, reconstructive surgeons, oncologists, neurologists, radiation oncologists, pathologists, radiologists, residents and students who treat these patients and those who are training for a career in managing patients with these potentially challenging tumors.

This volume of Progress in Clinical Neurosciences emphasizes on topics of common interest such as trauma and evidence-based neuro-oncology. Chapters on advances in MRI, newer radiation modalities such as CyberKnife and the search for new chemotherapeutics for brain tumours provide in-depth knowledge of the current trends. The chapters on an evidence-based approach to neurological examination, legal quantification of disability, myelopathies, CSF circulation disorders and painful ophthalmoplegias will be of interest to postgraduates as well as clinicians. Chapters on cervical disc disease and MCA aneurysm throw light on emerging debates.

Today, over 500,000 patients have been treated world wide in 250 Gamma Knife Centres in 37 countries each one treating between 150 and 700 patients a year. The current book serves as a textbook, training manual and reference book for those involved in Gamma Knife practice covering the theoretical background, the practical aspects of treatment, the social side of the method and necessary information not only for users but for those who refer to the Gamma Knife. It also covers some aspects of the hospital and social administration required for optimal use of the technology, also looking at the effect of the internet on specialist medical practice. It also presents the completely new Gamma Knife (Perfexion), a new technology which extends the range of the Gamma Knife and will be the treatment standard for the future.

The early explorers up through those of the early part of the last century were the supreme users of management practices that have been formalized today. Their expeditions had all the characteristics of a business project: goal setting, strategizing, applying finite resources, risk-taking, keeping people, dealing with competitors, and many others. During actual expeditions, the leaders faced many risks, issues, and conflicts that challenge the best leaders today, from small to large enterprises. Like all projects and business ventures, the expeditions met their goal, either partially or entirely, and in some cases even exceeded it or failed it completely. Management Lessons from the Great Explorers selects the most famous, and in some cases infamous, explorers to discuss and analyze the good and bad management practices—even though these explorers may have never called them management practices—they used before, during, and even after their expeditions. Each chapter provides historical background about one explorer and the details about their explorations. The chapters then discuss the challenges the explorers faced when planning and executing their expeditions and examine their successes and failures from a management perspective. The book will help managers to Manage unexpected and potentially catastrophic risks Set goals that open up new horizons Communicate effectively with team members Lead teams through hardships and difficulties The final chapter gives lessons learned that managers may take from the book and apply to their own business undertakings. These lessons include Learning from experience Having a strong sponsor and team Relying on data and information Applying risk management and adapting to changing circumstances Implementing unity of command and defining roles and responsibilities Identifying and understanding stakeholders Being decisive Being willing to say no

Intractable epilepsy still remains the main issue despite new advances in medical and surgical treatment of epilepsy. Acute seizure management in a timely manner is crucial to prevent irreversible brain damage. Benzodiazepines still remain the first initial treatment to abort the seizure activity. The approval phenytoin, fosphenytoin, intravenous valproate, and rectal diazepam provided additional options. The approval of intravenous levetiracetam gave another option to physicians if and when the above treatment fails to control the seizure activity. In this Ebook, we have included chapters from renowned researchers in the field of neurology and epilepsy who have covered the various aspects of these agents in detail including the properties, mechanism of action, pharmacology, neurobehavioral effects, and the roles of these agents in special populations including traumatic brain injury and brain tumor related epilepsy. These data further show that intravenous levetiracetam can be used in acute seizure management and in special circumstances.

Neuro-Oncology-a new title in the Blue Books of Practical Neurology series-is a concise and clinically applicable guide to this dynamic subspecialty. Jeremy Rees, PhD, MRCP and Patrick Y. Wen, MD present the most current information on the treatment and management of primary CNS tumors, secondary brain tumors, and the neurological complications of other cancers and their therapies in a format and scope appealing to both the general neurologist and the subspecialist. Access comprehensive coverage of treatment for adult and pediatric conditions-including tumors of the spinal cord as well as the brain. Find coverage of recent advances easily thanks to the emphasis on the latest clinical and laboratory findings and their implications for clinical management and treatment. Apply the possibilities and outcomes of neuro-oncologic surgery within the context of neurologic practice. Address the neurologic complications of cancer and its treatment as well as of primary and secondary tumors. Tap into the global perspectives of experts from all around the world for a multi-disciplinary approach to practice.

This book provides the reader with a detailed update on the use of stereotactic radiosurgery (SRS) in patients with lesions of the brain and other parts of the body. The aim is not simply to explain the application of SRS and document its value with reference to the author's own clinical experiences and other published evidence, but also to contextualize the technology within a new strategic concept of cancer care. When embedded within an appropriate conceptual framework, technology becomes pivotal in changing therapeutic strategies. A new paradigm that is increasingly impacting on clinical practice is the oligometastatic state, on the basis that long-term survival might be achieved in patients with a low volume and number of metastatic lesions. This book accordingly addresses the value of SRS in patients with oligometastases of solid tumors to the brain, lung, spine, and liver. In addition, it examines the use of SRS in patients with diverse brain lesions, early-stage stage lung cancer, liver cancer, and early-stage prostate cancer. Readers will be persuaded that SRS, using cutting-edge imaging technologies to deliver precisely targeted radiation therapy, represents an exciting non-invasive procedure that holds great promise for the present and the future of cancer care.