The All India Institute of Medical Sciences (AIIMS) is iconic in the landscape of Indian healthcare. Established in the early years of independence, this enormous public teaching hospital rapidly gained fame for the high-quality treatment it offered at a nominal cost; at present, an average of ten thousand patients pass through the outpatient department each day. With its notorious medical program acceptance rate of less than 0.01%, AIIMS also sits at the apex of Indian medical education. To be trained as a doctor here is to be considered the best.
In what way does this enduring reputation of excellence shape the institution's ethos? How does elite medical education sustain India's social hierarchies and the health inequalities entrenched within? In the first-ever ethnography of AIIMS, Anna Ruddock considers prestige as a byproduct of norms attached to ambition, aspiration, caste, and class in modern India, and illustrates how the institution's reputation affects its students' present experiences and future career choices. Ruddock untangles the threads of intellectual exceptionalism, social and power stratification, and health inequality that are woven into the health care taught and provided at AIIMS, asking what is lost when medicine is used not as a social equalizer but as a means to cultivate and maintain prestige.
Permaculture is a movement that is coming into its own, and the concept of creating plant guilds in permaculture is at the forefront of every farmer's and gardener's practice. One of the essential practices of permaculture is to develop perennial agricultural systems that thrive over several decades without expensive and harmful inputs: perennial plant guilds, food forests, agroforestry, and mixed animal and woody species polycultures.
The massive degradation of conventional agriculture and the environmental havoc it creates has never been as all pervasive in terms of scale, so it has become a global necessity to further the understanding of a comprehensive design and planning system such as permaculture that works with nature, not against it. The guild concept often used is one of a "functional relationship" between plants-beneficial groupings of plants that share functions in order to bring health and stability to a plant regime and create an abundant yield for our utilization. In other words, it is the integration of species that creates a balanced, healthy, and thriving ecosystem. But it goes beyond integration. A guild is a metaphor for all walks of life, most importantly a group of people working together to craft works of balance, beauty, and utility.
This book is the first, and most comprehensive, guide about plant guilds ever written, and covers in detail both what guilds are and how to design and construct them, complete with extensive color photography and design illustrations. Included is information on:
- What we can observe about natural plant guilds in the wild and the importance of observation; - Detailed research on the structure of plant guilds, and a portrait of an oak tree (a guild unto itself); - Animal interactions with plant guilds; - Steps to guild design, construction, and dynamics: from assessment to design to implementation; - Fifteen detailed plant guilds, five each from the three authors based on their unique perspectives; - Guild project management: budgets, implementation, management, and maintenance.
Readers of any scale will benefit from this book, from permaculture designers and professional growers, to backyard growers new to the concept of permaculture. Books on permaculture cover this topic, but never in enough depth to be replicable in a serious way. Finally, it's here
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