Indian Journal of Health and Wellbeing

Pages: 1084-1086
Varun Arora, Pardeep Khanna, Ramesh Verma (Department of Community Medicine, Pt. B.D. Sharma PGIMS, Rohtak)
S L Arora (Department of Mechanical Drawing, Aravali College of Engineering & Management, Faridabad)
Ramesh Verma (Medical Officer, CHC Chiri, Haryana Civil Medical Services)
Sat Pal (Department of Physiology, Pt. B.D. Sharma PGIMS, Rohtak)

Over the past two decades, health care waste has been identified as one of the major problems that have negative impact on both human health and environment.. Information on generation rate provides a basis for the design of an operation, control programs, recycling and processing plants, wastes disposal projects and the choice of most effective disposal alternative. The objective of the study was to study Generation, Quantification and Composition of Biomedical Waste generated in hospitals in Faridabad Dist. of Haryana. The study was conducted from Feb 2006 to Jan 2007.There were more than 234 clinics/ hospitals (Registered with Faridabad Pollution Board) and having more than 2400 beds in Faridabad hospitals. Data of various healthcare units was collected from an authorized private company collected waste generated at hospitals daily & from Haryana Pollution Control Board Faridabad (HPCBF). Field observation and surveys were conducted to analyze segregation of waste. Waste generated by different hospitals at Faridabad is different, varying from 1.17 kg/bed/day to 2.20 kg/bed/day. Infectious waste is 14 % to 23.3 % of the total hospital waste. Non-infectious waste increases almost linear with infectious waste, and there is strong correlation between these two types of waste, with coefficient of correlation as 0.79. The generation rate of hospital waste varies with the bed occupancy rate. Private hospitals produce more hospital waste as compared to Govt. hospitals. Waste generation depends on various factors such as type of health care establishment, hospital specialties, proportion of reusable and disposal items, implementation of national and hospital waste management policy. Biomedical waste management regulations need to be implemented strictly so that appropriate and uniform disposal of Hospital waste is ensured.

Pages: 1090-1091
Easht Preet Kaur (Department of Psychology, Sai Nath University, Ranchi, Jharkhand)
Dalbir Singh Saini (District Social Welfare Officer, Hisar, Haryana)

School rivalry is increasing day by day in India and is of growing concern for parents, teachers and social thinkers. It is estimated that up to three-quarters of young adolescents experience some types of bullying (such as rumors, public ridicule, etc.) and up to one third report more extreme experiences of coercion or inappropriate touching (Juvonen, Nishina, & Graham, 2000). It can be both direct (e.g. slapping, hitting, etc.) and indirect (spreading rumors, insult, social exclusion). Common bullying activities that adolescents involved are name calling, teasing, taunting, ridiculing, obscene gestures, prejudice, threatening, hitting, kicking, rejection, etc. Being a victim or perpetrator of bullying has adverse psychological correlates. Bullying victimization is associated with many psychological problems, for example, depression, social anxiety, low self-esteem, insecurity, loneliness, low academic achievement, eating disorders, interpersonal problems, anger, hostility aggression, substance abuse, in severe cases suicidal ideation, post-traumatic stress disorder (PTSD), adolescent pregnancy, HIV risk, and criminality at adulthood. The current articles common factors affecting school bullying among adolescents.

Pages: 1095-1098
Dalbir Singh Saini (District Social Welfare Officer, Hisar, Haryana)

Researchers are working on numerous and varied approaches to improving the accessibility, quality, effectiveness, and cost effectiveness of treatment for alcohol use disorders (AUDs). This overview article summarizes the approaches reviewed in this issue, including potential future developments for alcoholism treatment, such as medications development, behavioral therapy, advances in technology that are being used to improve treatment, integrated care of patients with AUDs and co-occurring disorders, the role of 12step programs in the broader realm of treatment, treating patients with recurring and chronic alcohol dependence, strategies to close the gap between treatment need and treatment utilization, and how changes in the health care system may affect the delivery of treatment. This research will not only reveal new medications and behavioral therapies but also will contribute to new ways of approaching current treatment problems.

Pages:1799-1801
Arti and Poonam Gupta (Department of Psychiatry, PGIMS, Rohtak, Haryana)

Narrative or story provides the dominant frame for live experience, for the organization and patterning of lived experience. The term narratives may used to conceptualize the set of processes, activities or strategies in which clients and therapist engage during psychotherapy sessions in order to amplify and understand important issues, events and experiences. Narrative therapy is a form of psychotherapy using narrative. It is a method of therapy that attempts to separate the person from the problem. A problem is something that a person has, not something that a person is. It utilizes the power of people's personal stories to discover the life purpose of the narrator. Clients are encouraged, through a respectful and cooperative relationship, to address the problems in their lives. It also works in two phases of deconstruction and reconstruction, with benefits of sifting the person through the past to uncover things that had previously remained hidden. It can be used as a mean of psychosocial intervention for many psychosocial problems, i.e., Post Traumatic Stress Disorder, Alexithymia, Couple or Family problems, Anger problems in people with learning disability, Alcohol dependence, to avoid Stress and burnout in lowered performance people. Therapeutic narrative is clearly any kind of written or spoken narrative/story which promotes physical or mental healing.

Pages: 1812-1814
Vasant Namdeo Borkar (Department of Psychology, Nowrosjee Wadia College, Pune, Maharashtra)

Well-being is a positive outcome that is meaningful for people and for many sectors of society, because it tells us that people perceive that their lives are going well. Good living conditions (e.g., housing, employment) are fundamental to well-being (Diener, 2009). Tracking these conditions is important for public policy. However, many indicators that measure living conditions fail to measure what people think and feel about their lives, such as the quality of their relationships, their positive emotions and resilience, the realization of their potential, or their overall satisfaction with lifei.e., their “well-being.” Well-being generally includes global judgments of life satisfaction and feelings ranging from depression to joy. Community-based research in public health focuses on social, structural, and physical environmental inequities through active involvement of community members, organizational representatives, and researchers in all aspects of the research process. Partners contribute their expertise to enhance understanding of a given phenomenon and to integrate the knowledge gained with action to benefit the community involved. This review provides a synthesis of key principles of community-based research, examines its place within the context of different scientific paradigms, discusses rationales for its use, and explores major challenges and facilitating factors and their implications for conducting effective community-based research aimed at improving the public's health.