NEW JOBS.

COMPANY NAME -NORTH CENTRAL RAILWAY.

POST NAME -SPORTS QUOTA POST 

TOTAL POST - 21

 QUALIFICATION -12th/GRADUATE/ITI OR OTHER RECOGNISED QUALIFICATIONS FROM ANY RECOGNISED UNIVERSITY.

LAST DATE - 20 JANUARY 2020.

CONTACT ADDRESS -https://ncr.indianrailways.gov.in/

COMPANY NAME -IRRIGATION DEPARTMENT ASSAM
  POST NAME - JUNIOR ASSISTANT AND OTHER.

 TOTAL POST -643

 QUALIFICATION -12th/GRADUATE FROM ANY RECOGNISED UNIVERSITY.

 LAST DATE -8 JANUARY 2020
 CONTACT ADDRESS -https://irrigation.assam.gov.in/

  COMPANY NAME -UPPSC
  POST NAME - ASSISTANT ENGINEER AND OTHER POST.
TOTAL POST - 712
QUALIFICATION - 12th/GRADUATE FROM ANY RECOGNISED UNIVERSITY.
LAST DATE -27 JANUARY 2020.
CONTACT ADDRESS -http://uppsc.up.nic.in/

COMPANY NAME -STATE HEALTH SOCIETY BIHAR.
 POST NAME -LAB TECHNICIAN, PHIYOTHERIPIST AND OTHER.
TOTAL POST -838
 QUALIFICATION -GRADUATE/POSTGRADUATE/DIPLOMA OR OTHER  QUALIFICATION FROM ANY RECOGNISED UNIVERSITY.
 LAST DATE -20 JANUARY 2020.
 CONTACT ADDRESS -http://statehealthsocietybihar.org/

BOOK ON CLINICAL GUIDELINES ON OPIOID SUBSTITUTION THERAPY ( O S T )

OST is a process in which opioid-dependent injecting drug users are provided with long-acting opioid agonist medications for a long period of time under medical supervision along with psycho-social interventions.

A pdf book available to provide all information on OST from

 National AIDS Control Programme (NACO).

BOOK NAME - 

 Opioid Substitution Therapy

 Under National AIDS Control Programme
Clinical Practice Guidelines for Treatment with Buprenorphine

FREE DOWNLOAD LINK

CLINICAL GUIDELINES ON OPIOID SUBSTITUTION THERAPY ( OST )

NACO WEBSITE

NOW IN HINDI ALSO.अब हिन्दी में भी ।

सभी यूज़र्स को जानकारी दी जाती है की एडिक्ट पोस्ट पर जानकारी अब  हिन्दी में भी  उपलब्ध होगी । यूज़र्स अपनी जानकारी  " SEND POST " के जरिये  ENGLISH में भी  भेज सकते है । 

PRINCIPLES OF DRUG DEPENDENCE TREATMENT. part 2

PRINCIPLE 2: SCREENING, ASSESSMENT, DIAGNOSIS AND TREATMENT PLANNING

Description and Justification

Patients affected by drug use disorders often have multiple treatment needs across a range of personal, social and economic areas that cannot be addressed when taking into consideration only their addictive symptoms in a standardized way. As for any other health care problems, diagnostic and comprehensive assessment processes are the basis for a personalized and effective approach to treatment planning and engaging the client into treatment.

Components

•  Screening is a useful assessment procedure to identify individuals with hazardous or harmful drug use, or drug dependence, as well as associated risk behaviors (viral transmission via needle sharing and/or unprotected sexual activity, potentially violent behavior, suicide risk). There are standardized tools to assess drug use and its severity in an individual that help to consider the degree of help required. These tools can be applied in different environments (primary health care system, school health and counseling services, and employee assistance programmes at workplaces).

•  Assessment and diagnosis are core requirements for treatment initiation. Diagnostic criteria commonly used in the mental health field are the references to reach a diagnosis of a drug use disorder. Diagnosis of comorbid psychiatric disorders is ideally made and followed-up by a psychiatrist, while with adequate training, other health care professionals can successfully identify and manage drug use disorders and associated psychiatric co-morbidity.

•  A comprehensive assessment takes into account the stage and severity of the disease, somatic and mental health status, individual temperament and personality traits, vocational and employment status, family and social integration, and legal situation. It further considers environmental and developmental factors, including childhood and adolescent history, family history and relationships, social and cultural circumstances, and previous treatment attendance. An adequate assessment process creates the environment for the development of a therapeutic alliance to engage the patient into treatment.

• The treatment plan, developed with the patient, establishes goals based on the patient’s identified needs and sets interventions to meet those goals. A care or treatment plan is a written description of the treatment to be provided and its anticipated course. Care plans set the specific needs of the individual patient and how they are going to be met by the service. The plan is then monitored and revised periodically as required to respond to the patient’s changing situation. While current research results do not support matching patient profiles to specific treatment approaches, there is evidence that matching responses and interventions to client needs following a serious diagnostic process and extensive assessment improves the treatment outcomes.

Actions to promote this principle

Ensure that:

1. primary health care staff, as well as employee assistance programmes and health/counseling staff in social services, at schools and in the criminal justice system are aware of the benefits of screening, early identification of drug use and brief interventions and are trained to administer such screening tools and associated interventions packages.

2. patient risk behaviors associated with drug use disorders are assessed at all relevant venues (primary health care, outreach services, emergency services, social services, etc) and responses planned in consequence.

3. accurate diagnosis of drug dependence and other co-morbid conditions is established before initiating drug dependence treatment, in particular, pharmacological treatment.

4. clinical protocols specify requirements for comprehensive patient assessment and the treatment plan development, patient progress monitoring and revision of written care plans, and the relevant staff is trained to fulfill these tasks.

5. documentation and standardization of all treatment steps are required from all staff involved in the treatment plan in order to ensure quality treatment for all patients

PRINCIPLES OF DRUG DEPENDENCE TREATMENT.

This paper outlines nine key principles for the development of services for the treatment of drug use disorders. It is recognized that in some circumstances resources will be rather limited and priorities in resource allocation need to be set. It is important that in such situations, a response to drug use disorders is developed as “building blocks” on which more diverse and sophisticated interventions can be developed and incorporated in the treatment system as further resources become available. Depending on human and financial resources available and the quality level of the existing health system in each country, the actions suggested by the present document may be progressively and gradually implemented, taking into account the outlined components for each principle as a general framework.

PRINCIPLE 1: AVAILABILITY AND ACCESSIBILITY OF DRUG DEPENDENCE TREATMENT.

Description and Justification

Drug dependence and it's associated social and health problems can be treated effectively in the majority of cases if people have access to a continuum of available and affordable treatment and rehabilitation services in a timely manner. To this end, all barriers limiting accessibility to treatment services need to be minimized for people to have access to the treatment that best fits their needs.

Components

Many factors contribute to treatment accessibility:

1. Geographical accessibility, distribution, and linkages.

• Health care system and public health networks, in cooperation with social services and the broader community, can provide essential prevention and treatment services and support for people with drug use disorders in their communities. Social services and other institutions (e.g. schools, civil society organizations, and self-help groups) can serve as points of the first contact for potential patients and help them access treatment.
• In a comprehensive treatment system a large scale, distributed network of treatment facilities that can respond to various needs of individuals seeking treatment permits an adequate response in each community.
• The basic prevention and treatment services for drug use disorders need to be within the reach of people with different levels of income.
• Within a continuum of care, people with drug dependence should have access to treatment services through multiple entry points.
• Outreach services, as part of a continuum of care, are needed to reach the ‘hidden’ populations most affected by drug use, often non-motivated to treatment or relapsing after a treatment program. Outreach services are particularly important to attract problematic drug users early and to establish contact with the population of people with severe disorders who may not seek treatment because of stigma and marginalization.

2.Timeliness and flexibility of opening hours. Same-day admission or short waiting time for structured services, as well as a provision of immediate intermediate services, including patient information. A wide range of opening hours will facilitate access to services for individuals with employment or family responsibilities.

3.Legal framework. Requirements to register drug addicts in official records, if associated with the risk of sanctions, may discourage patients from attending treatment programmes, thus reducing accessibility.

4.Availability of low threshold services. Flexibility in the organization of treatment services will improve access by a larger range of individuals in need. This includes the availability of services with a low threshold for patient admission and the removal of unnecessarily selective criteria.

5.Affordability. Payment for treatment and rehabilitation services may constitute a significant barrier for patients in many cases without sources of income. Insurance coverage or inclusion of drug dependence care in the public health care system is therefore key to promote access for those most in need.

6.Cultural relevance and user-friendliness. Current knowledge indicates that a treatment climate that is culturally sensitive, preferably multi-professional, team orientated, and that encourages patient participation and involvement in treatment facilitates patient access and retention in treatment, and ultimately improved treatment outcomes.

7.Responsiveness to multiple needs and diversification of settings. The availability of specialized services and residential settings to care for the more complex cases, e.g., patients with drug dependence and associated somatic or psychiatric disorders is essential to increase accessibility.

8. Criminal justice system responses play a significant role in improving access for individuals affected by drug dependence to treatment services: law enforcement officials, courts and prisons may closely collaborate with the health system to encourage drug-dependent individuals to enter treatment.

9.Gender-sensitiveness of services. Services tailored to gender-specific treatment needs can improve accessibility by responding to differential stigmatization, child care needs, and issues in pregnancy.

Actions to promote this principle

Ensure that:
1. the system of services permeates both urban and rural areas and builds upon the primary health care system. Key components include proactive outreach, low-threshold, early identification and brief intervention in primary health and social care services, basic drug dependence treatment services, and referral to treatment services from the criminal justice system.
2. legal frameworks guarantee protection from potential sanctions for those seeking treatment.
3. there are a functional referral and counter-referral mechanisms between different services in the system as well as to and from other agencies, facilitating a continuum of care.
4. the number of people on waiting lists and waiting times are minimized, and that intermediate responses are available.
5. staff attitudes are welcoming and non-judgmental.
6. services take into account and respect cultural norms.
7. patients’ perspectives are taken into account in service design and development.
8. eventual service costs to patients are affordable and waved if necessary.
9. services for women in primary health care and facilities for children of parents with drug dependence are built in close relationship with drug dependence treatment programs.

GOVERNMENT DRUG DE-ADDICTION CENTER IN HARYANA.

TOTEL GOVERNMENT DRUG DE-ADDICTION CENTER IN HARYANA.

DRUG DE-ADDICTION CENTER IN GOVERNMENT PUBLIC HOSPITALS.

1.DISTRICT PUNCHKULA

2.DISTRICT KURUKSHETRA

3.DISTRICT KAITHEL

4.DISTRICT FATEHABAD

5.DISTRICT SIRSA

6.DISTRICT HISAR

7.DISTRICT PANIPAT

8.DISTRICT GRUGRAM

9.DISTRICT NARNAUL

10.DISTRICT AMBALA

OPENING SHORTELY IN -

FARIDABAD, PALWAL, NUH, YAMUNANAGAR AND REWARI.

SAVEN STATES MAKE WAR ROOM AGAINST DRUGS

On initiative of Haryana saven states join hands against drugs. To brake drugs smuggling Haryana , Punjab , Uttrakhand, Himachel pardesh , Delhi , Rajasthan and Chandigerh will creat joint war room. It is called Secretariat.
In the host of Haryana Chief ministers meeting heald in Chandigarh . Discussion heald on the drugs abuse , problems and new strategy . Haryana Chief minister Manoher lal , Punjab Chief minister Captain Amrinder singh and Uttrakhand Chief minister Trivender singh rawat join meeting with officers team . Himachel Chief minister Jai ram takhur join with video conferencing.
From Delhi , Rajesthan and Chandigerh Home Secretary and Director General of Police lavel Officers join meeting.
In Secretariat every state will appoint a nodel officer.

WHAT IS OST ?

Various terminologies have been used to describe the clinical practice of maintaining opioid-dependent drug users on opioid medicines over a long period of time.

These include–oral substitution treatment, opioid substitution treatment, oral substitution–buprenorphine, medication-assisted treatment, buprenorphine maintenance treatment, methadone maintenance treatment, etc. All these terminologies describe the same practice.

Under the National AIDS Control Programme, the term ‘Opioid Substitution Therapy’ (OST) is currently in use.

OST is a process in which opioid-dependent injecting drug users are provided with long-acting opioid agonist medications for a long period of time under medical supervision along with psycho-social interventions.

Short term treatment of opioid dependence lasting for a couple of weeks called ‘detoxification’ which involves management of acute withdrawals alone, is associated with very high rates of relapse.

Long term treatment is hence necessary for opioid dependence.

OST is one such long-term treatment option.

The lives of IDUs revolve around illicit opioid use.

Most of their day is spent in procuring the drugs, using them and/or recovering from the effects of the drugs.

As a result, they are not able to concentrate on other aspects of their life, including their work, family and social roles/responsibilities.

They are also forced to indulge in illicit activities to finance their drug use. 

OST addresses a number of such issues faced by the

IDU clients:

1. The opioid medicines used for OST relieve drug-related withdrawals and craving and do not lead (when used in appropriate doses) to acute intoxication (which is seen with the use of illicit opioids). Thus, the client is maintained in a state which produces neither intoxication nor withdrawals, nor craving. Due to this, the client does not need to use opioids to produce relief of withdrawals or craving.

2. As compared to the illicit opioids that act quickly and for a short period of time, opioid medicines used for OST act slowly and for a long period of time (for at least 24 hours). As a result, the client does not have to spend time on procuring or using opioids frequently in a given day and can focus on other important activities like occupational and family responsibilities.

3. The illicit opioids used by the clients are taken by routes that are potentially harmful. Many harmful effects faced by IDUs are due to the injecting route of administration. On the other hand, opioid medicines used for OST are administrated orally or sublingually, which is a much safer route. This saves the client from incurring harmful effects of opioid use.

4. As the IDUs procure the opioids mostly through illegal channels, they are often not aware of the purity of the opioid product they inject. This is especially true for heroin and its impure form, smack. The purity of street heroin varies across different time periods as well as across the drug suppliers. This may result in life-threatening overdose situations if the heroin is purer than usual. On the other hand, the potency and purity of opioid medicines used for OST is known; this helps in averting overdose situations.

5. As the street opioid drugs are costly, IDUs often resort to illegal activities to finance their drug use. However, as the opioid medicines used for OST are available in government-supported centers/ hospitals free of cost, the client does not have to resort to illegal means. This helps in reducing legal complications faced by the clients and also reduces instances of petty crimes like thefts, etc. in the society.
6. During the illicit drug use phase, IDUs are often branded as anti-social or criminal by the families and the society.When on OST,such IDUs are seen as sufferers and ‘patients.This renewed status helps the clients to seek help for other problems as well and makes them amenable for other help that can be provided.

OST CENTER IN SONIPAT FOR DRUG ADDICTS.

At the oral substitution treatment (OST) center in civil hospital Sonipat  131001,Haryana India  -more than 150 recovering drug addicts distributed food in public (BHANDARA)  and spread awareness about the drug addiction . The programme was  started by civil surgeon Dr. Jaswant Punia and nodel officer Dr. Tarun Yadev.

OST CENTER has been established in district by the government and health department for the treatment of drug addicts especially who do drugs via injection. This OST center is on first number in Haryana and third in India. At  the  center doctors provide medication by themselves besides injection . At present more than 1000 patients are registered with the center. More than 150 drug addicts are in recovery.

Bhandara was organized by recovering addicts. Hospital’s officers and employees provided cooperation. Civil surgeon Dr. Jaswant Punia said “ Drug addiction is a dangerous habit. Drug addiction brings along TB , Cancer ,H.I.V. etc diseases. Even death might happen. The Government and health department is working to save people from drug addiction. In every district one OST center has been  opened. Best services is provided to patients. More than 150 people have started a new life. They also spread awareness in public  which is a good initiative.”. At this occasion Dr. Satyavati Sharma, staff nurse Sushila and Rajnish Tomer  were also present.

by Dainik jagran Sonipat 12/6/2018

Oral Substitution Therapy (OST) Centre Accreditation

List of OST Centres

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BRAIN WORKING.

IN CHARGE 

The cerebral cortex is the largest part of your brain. It sits like a mushroom cap on the rest of your brain and takes up about two-thirds of the total mass. This is where you think and reason. It’s where you create the kind of movements you have to think about, like playing the piano or flipping your skateboard. Parts of the cerebral cortex also control seeing, hearing, and touching.

PLAN AND REASON

The prefrontal cortex helps you plan ahead. This is where you consider the consequences of your actions. This part of your brain doesn’t finish developing until you’re 20.

MOVE

When you think about moving your body, the motor cortex tells your muscles what to do. Precise moves, like typing, or playing an instrument, use lots of brain cells.

SENSE

The posterior parietal cortex is a processing center that makes sense of what you’re feeling, smelling, and hearing, and connects those sensations to memories and ideas.

IT'S-A HABIT

The cerebellum helps with everyday tasks you do over and over. Once you’ve learned how, you don’t really have to think about how to ride a bike, dribble a basketball, or comb your hair. There’s constant messaging between the cerebellum and parts of the cerebral cortex so you can adjust your actions when conditions change.

THE BASICS 

Your brain stem is the lowest part of your brain, just above your spinal cord. This structure takes care of basic functions such as the heartbeat, breathing, and digestion.

REMEMBER

The hippocampus, which is part of the limbic system, receives and stores long-term memories. So, if you remember your teachers’ names from last year, you’re using the hippocampus.

THE FEELINGS BRIDGE 

The limbic system is like a bridge between your thinking brain—the cerebral cortex—and the parts of your brain that control your body’s physical systems. This makes it easy for strong feelings—such as pleasure, fear, or attraction to other people—to cause reactions in your stomach, muscles, and heart.

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