vaidyakeey rahivashanchya kamache taas

vaidyakeey nivasi kamache taas mhanje vaidyakeey prashikshanarthi aanee rahivashanni tyanchya vaidyakeey nivasadarmyan kelelya (anekada lamb) paalee.
united states auph amerikemadhil graduate medical educationsathi manyata parishadechya niyamannusar, rahivashanna 4 aathvadyanchya kalavadhit sarasari aathvadyatun jastit jaast 80 taas kaam karanyachi parvanagi aahe. rahivasi visheshatemadhye vishesh aanee ferbadlinusar aathvadyatun 40-80 taas kaam karatat, rahivasi adhunmadhun aathvadyatun 136 (168 paiki) taas nondavtat. kahee abhyas asey darshavtat qee yapaiki sumare 40 takke kaam thet rugna seva navhe, tarr kagadpatransarkhi sahayyak seva aahe. prashikshanarthi doctoranna anekada tasala navhe tarr nishchit pagaravar vetan dile jaate; kahee thikani, tyanna atirikt vel aarakshit karnyasathi paise dile jaatat. kamachya tasanchya maryadanmule chukichi mahitee dilee gelee aahe, jithe rahivasi tyanchya nondinpeksha jaast taas kaam karato.
rahivasi aanee tyanche rugna yaa doghanvarhi zopechya kamataratechya sambhavya nakaratmak parinamanmule vaidyakeey rahivashanchya kamache taas haah charchecha eka charchecha vishay banala aahe. 4, 510 prasooti-strirog tadnya rahivashanchya abhyasanusar, 71.3% neey ratri coll kartana 3 tasanpeksha qamee zopalyache nondavale.
3604 pahilya aanee pahilya varshachya rahivashanchya sarvekshanat, 20 takke lokanni prati ratra sarasari 5 taas kinwa tyapeksha qamee zopalyache nondavale, aanee 66 takke lokanni prati ratra sarasari 6 taas kinwa tyapeksha qamee zopalyache nondavale.
meey 2021 madhye prakashit jhalelya alikadil mahattvachya abhyasat, jaagtik aarogya sanghatana aanee aantarrashtriy kamgar sanghatnene andaj vartavala aahe qee 2016 madhye jaagtik staravar, 745,000 hoon adhik vyakti dirgh taas kaam kelyamule (yethe darr aathvadyala 55 kinwa tyahoon adhik taas mhanoon paribhashit) hrudayavikarachya ghatanemule kinwa strokemule maran pavale, jyamule dirgh kamache tasanchya samparkat yene haah sarvat motha rogacha bhaar asalela vyavsayik jokhim ghatak banala.
uchch kamacha bhaar asanyachi karane.
vaidyakeey nivassthananmadhye sahasa prashikshanarthinna dirgh tasanchi aavashyakta asate. prashikshanarthinna paramparikpane tharavik palisathi upasthit rahane aavashyak asate, palichi shevatchi vel tatpuratya paristhitivar avalambun asate. yaa pranalichi lavchikta tyacha gairavapar karane sope karate.
kanishth doctorankade anekada saudebaji karanyachi shakti nasate aanee tyanna niyokta badalanyat adchan yete. yamule tyanchya kamkajachya paristhitibaddal tyanna farse kahee sangave lagat nahee. dirgh nivas tasanche tikakar nondavtat qee americetil nivasi doctorankade tyanchya sthitishi jyane sthitila paryay nahee, mhanje rahivashanni kamachya serve atty swikarlya pahijet, jyat khoop dirgh kamache taas samavisht aahet aanee anek prakarananmadhye tyanna kharab dekharekhicha samna karava lagato. yaa prakriyemule rugnalayanvaril spardhatmak dabav qamee hoto, parinami qamee pagar aanee kamache lamb, asurakshit taas yetat, assa tyancha dawa aahe. rashtriy nivasi julani karyakramavar dekhil upalabdh nivasi padanna jaanunbujun maryadit kelyacha aarop karnyat aala aahe, tyamule aanakhi anek rahivashanna kaam upalabdh asoonahi rahivashanchi magani qamee hote.
aapatkalin paristhitit aanee dirghkalinpane qamee vaidyakeey aarogya vyavasthemadhye, kanishth doctorance serve karmchari atiashramat asoo shakatat. kahee prakarananmadhye, atiadhik kaam heey kanishth doctoranna asamanatene dile jaau shakate.
atiabhavi kaam maaf kanishth doctoransathi aarthik protsahan aahe. qamee anubhavi anubhavi sahasa qamee pagar deela jaato, tyamule tyanna pagarane atirikt vel dene swast asate. asha prakare kanishth doctoransathi janivpurvak qamee karmchari aanee sashulk kinwa vinavetan atirikt vel vaidyakeey suvidhancha kharch qamee karnyasathi vaparla jaato, jaree yamule kaljicha darja dekhil qamee houu shakato, joou mahag asoo shakato.
vaidyakeey sanskratila dekhil dosh denyat aala aahe. "generation-bashing', jithe jyeshth doctor kanishth doctorankade tuchchapane pahatat jeey tyanchyapeksha qamee nivasi taas kaam karatat, teey kanishth doctoranna ativyavasayakade dhakalu shakatat. padonnatisarkhya aupcharik manyatechi ichcha dekhil mahattvachi asoo shakate. kahee rahivashanna jaloon khaq karnyasathi kamachi paristhiti itaki kharab asalyane, uchch "pravesh adthala" sakriyapane apekshit asoo shakato.
ashihi eka shraddha aahe qee lamb taas prashikshan sudharu shakatat kinwa karoo shakatat. pudhil 30 kinwa 40 tasanparyant rugnachya praveshapasun pathpurava karnyachya kshamateche mahatva anek rugnanna qamee kalavadhisathi nirikshan karnyapeksha jaast asoo shakate.
rugnachi kalji ghene suru thevanyachi ichcha doctoranna varanvar parvangipeksha jaast kaal kaam karnyas pravrutt karate.
aarogyavar parinam.
zopechya kamatarateche rahivashanvar honare parinam.
jeey lock zopepasoon vanchit aahet kinwa aniyamit taas kaam karatat tyanna haanee pohochavanyacha purava majboot aahe.
manak nasalele kamache taas aanee zopechya kamatartevar europe aanee united statesmadhil sanshodhanat asey aadhalun aale aahe qee usheera-taas kaam maaf kamgaranna jatharantra vikar, hriday v raktavahinyasambandhi rog, stanacha karkarog, garbhpat, akali janm aanee tyanchya navjat balkanche qamee vajanache janm honyacha dhoka jaast asato. heey dekhil disun aale aahe qee mand-lahari zope divasa tayar tayar vishari padarthanna baher kadhanyat madat karate. parinami, mand-lahari zopechya vyatyayamule amyloid-beetachi patali vadhate, jeey samanyatah alzheimermadhye aadhalanare prathinanche ektrikaran aahe, jeey pahilya divashi sakali cerebrospinal dravpadarthat asate. dirghakalin zopecha abhav aanee parinami honara thakwa aanee tanav nokarichya utpadaktevar aanee kamachya thikani apghatanchya ghatananvar parinam karoo shakato. tyache samajik parinamahi aahet. ghatasfotala tond denyasathi divas kaam maaf tyanchya samakakshanpeksha united statesmadhil vivahit vadil jeey ratrichi paalee nishchit karatat, teey 6 putt jaast asatat; vivahit matansathi, nishchit ratri 3 chya ghatakane shakyata vadhavtat.
rahivashanchya zopechya kamatarateche rugnanvar honare parinam.
dirgh taas heey pratikool parinamkarak asoo shakatat heey janata aanee vaidyakeey shikshan aasthapan manya karate, kaaran zopechya abhavamule vaidyakeey trutinche praman vadhate aanee laksh aanee kamkajachya smaranshaktivar parinam hoto. dirghkalapasun zopepasoon vanchit asalele lock dekhil tyanchya ashaktpanachya pramanala jordarpane qamee lekhatat. eka abhyasat asey aadhalun aale aahe qee 24 taas satat jaage rahilyanantar, haat-dolhyancha samanvay andaje 0.10% chya raktatil alcoholchya sandratemadhye aadhalalelya kamgirichya samaan patalivar qamee jhaala. 959 doctoranchya meta-vishleshanat, satat 24 teey 30 taas jaage rahilyane doctoranchya ekoon kamgirimadhye sumare 1 manak vichalan aanee vaidyakeey kamgirimadhye 1.5 peksha jaast manak vichalananni ghat jhaali.
kamachya tasanchi sankhya, satat kamache taas, zopechi niyamitata aanee pudhchya palisathi hastantaranachi varanvarta aanee veg yamule kshamatevar parinam hoto. "divas aanee ratrichya palidarmyan achanak badal jhalyamule circadian chukichya sanrekhanamule 'nite float' chey visheshtah white parinam hott asalyache disate, parantu kartavya taas nirbandhanshi julavun ghenyachi hii sarvat samanya paddhat aahe.
anek abhyasanmadhye zope naan yenyamule vaidyakeey rahivashanmadhye kamgirimadhye bighad jhalyache aadhalun aale aahe. divasachya palipeksha ratrichya palimadhye kaam maaf tyach aapatkalin vibhagachya rahivashansathi zopecha sarasari vel qamee hota aanee tyanna modelmadhye intubate karnyas jaast vel lagla aanee ratrichya palimadhye kaam kartana divasachya palipeksha triage simulationmadhye adhik chuka kelya. pahilya varshi vaidyakeey rahivashanna eae. keey. jee. erythmia-shodhanyache kaam dile gele, parantu zope naan aalyane tyanni changli vishranti ghenyapeksha lakshaniyaritya white kamgiri kelee. vaidyakeey rahivashanna dekhil colver eka ratrinantar laparoscopic prakriyevar adhik vel lagane aanee adhik chuka karane aadhalun aale.
2004 chya eka mahattvachya abhyasat asey aadhalun aale qee zopecha abhav qamee kelyane atidakshata vibhaganmadhil truti lakshaniyaritya qamee jhalya. zopecha abhav, circadian vyatyay aanee hastantaranachya samasyanche parinam qamee karnyasathi abhyasane pahilya varshachya kanishth doctoranchya velapatrakachi punarrachana kelee, jethe teen paalee hotya tethe chaar paalee niyukt kelya aanee palichya shevati hastantaranasathi eka taas overlap karanyachi parvanagi dilee. donhi velapatrakannusar pratyek kanishth doctorche barkaine nirikshan kele gele. truti nondavalya gelya (aanee durust kelya gelya); nantar jyaa upcharankhali truti jhalya hotya tyaa itar doctoranni andhatva darshavalyane tyanna tivrateche moolyankan kele. doctor aanee nirikshakanna apariharyapane maheet hote qee teey abhyasacha bhag aahet.
2015 madhye, sumare 190 rugnalaye aanee nivasi prashikshan karyakramancha samavesh asalelya, aii. see. jee. emm. eae.-anivarya kamal shiftchya parinamache done niyantrit abhyas suru jhaale. abhyasanni yadruchchikpane vaidyakeey rahivashanna aii. see. jee. emm. eae. niyamandware nirdisht kelelya velepeksha jaast kaal shift karnyasathi niyukt kele. pensylvania vidyapithachya netrutvakhalil 2019 madhye madhye abhyasat 32 vaidyakeey prashikshan karyakramanmadhil rahivashanna 30 tasanparyantchya palisathi niyukt kele aahe. tyane niyantran gut mhanoon itar 31 karyakram vaparale. lamb paalee asoonahi, itar ekoon niyamanche palan kele jaat hote. vayavya vidyapithachya netrutvakhali 2015 madhye sampalelya pahilya abhyasachya rachnemadhye samya hote. donhihi krutee samitichya manyatesah aayojit karnyat aale hote. donhi abhyasanmadhye rahivasi navhate aanee rugnanna teey manvi vishayanchya prayogcha bhag asalyache sangitale gele aanee mahitipurn sanmatichi aavashyakta navhati, jyamule kahee vaad nirman jhaala.
kartavya taas nirbandh.
kartavya taas nirbandhanche parinam.
niyamak shulk taas nirbandhanni, siddhantatah, kaam kelelya kartavya tasanchi sankhya qamee kelee pahije. vyavharat, nirbandhanche nehmich palan kele jaat nahee mhanoon teey kadachit nastil. rugnachya parinamanvar kartavya taas nirbandhanchya parinamanche moolyankan karnyasathi kelele abhyas kahise sammishra aahet.
anek abhyas swa-nondavalele taas, swa-nondavalelya chuka aanee swa-nondavalelya zopechya abhavavar avalambun asatat, jyat purvgrahasathi mothya sandhee asatat. magova ghene, aakalnaksham chachanya aanee raktatil samprerakanchi patali yasarkhya adhik vastunishtha upayancha samanyatah vapar keela jaat nahee. rugnache mrutyu aanee haniche mojmap anekada pratisad badal mhanoon vaparale jaate. yaa vishayavar kelele anek abhyas vishisht aahet aanee tyamule serve vaidyakeey nivas karyakramansathi tyanche samanyikaran kele jaau shakat nahee.
aamchyatil aii. see. jee. emm. eae. nirbandhanvaril nirikshane.
2003 saalee aii. see. jee. emm. eae. neey americet ladalelya kamachya tasanchya nirbandhanmule sudharananpurvi aanee nantar rugnanchya parinamanchi tulana maaf anek abhyasanna anumati midali. teey samanyatah qamee parinam darshavtat. heey vaidyakeey vaidyakeey prabhavanshi sambandhit aahe.
1980 teey 2013 yaa kalavadhit jhalelya 135 abhyasanchya 2014 chya paddhatshir punaravalokanat rugnachya surakshitatet konatihi sudharana disun aalee nahee, parantu tarihi asey soochit kele aahe qee kartavya taas nirbandhanmule kahee prakarananmadhye rugnatva vadhale aahe.
2015 madhye kelelya 27 abhyasanchya aanakhi eka paddhatshir punaravalokanat samaan parinam aadhalale aanee 2007 madhye vaidyakeey seva labharthyanchya 80 lakhanhun adhik rugnalayat dakhal jhalelya abhyasat, jyat aii. see. jee. emm. eae. manakanchya amalbajavanipurvi aanee nantarchya mrutyudarachi tulana kelee gelee, tyat mrutyudarat konatahi farak disun aala nahee.
2003 chee sudharana.
majee majee prashasanat kelelya 318,636 rugnanchya eka abhyasat asey disun aale aahe qee kamachya tasanchya nirbandhanmule nidananchya samaan sanchasathi mrutyudarat lakshaniy ghat jhaali.
aanakhi eka abhyasat asey aadhalun aale aahe qee 2003 madheel aii. see. jee. emm. eae. sudharana nirbandh heey rugnalayanchya rashtriy sarvekshanatun ghetalelya <aay. dii. 1> shastrakriyevina asalelya rugnanmadhil mrutyuchya sapeksh jokhamimadhye thodya pramanat ghat karnyashi sambandhit hote.
2011 chee sudharana.
kartavya taas nirbandhambaddal sarvekshan kelyavar, vaidyakeey aanee shastrakriyetil rahivasi tasech nivasi shikshakanna asey samajate qee rugnachi suraksha badalaleli nahee kinwa parinami nuksan jhaale aahe. yavyatirikt, anek rahivashanni swayam-nondavalelya chukanmadhye vaadh nondavali aahe.
yaa parinamansathi anek sambhavya spashtikaran aahet. kartavya taas nirbandhanmadhil samasya pahaa.
kartavya taas nirbandhansah samasya.
pratyaksh kartavya tasanmadhye (nondavalelya kartavya tasanchya viruddha) lakshaniy badal jhalela nahee asey mothya pramanat jaanavale aaheh kamachya tasanchya niyamanchya amalbajavanipurvi, rahivasi aadhich darr aathvadyala sarasari 82 taas kaam karat hote. anek abhyas swayam-nondavalelya tasanvar avalambun asatat, parantu kahee mahattvachya karananmule qamee-nond kelelya shulk tasambaddal lakshaniy purvagrah astitvat aaheh eka mhanje jeey rahivasi kamachya tasanche ullanghan karatat tyanna kayade visalbloer sanrakshn puravat naheet. dusare mhanje, kamachya velechya ullanghanasathi dand mhanje manyata gamavane, jyamule vaidyakeey rahivashanvar viparit parinam hoil aanee tyanna mandal pramanit honyapasoon rokhale jaeel. shevati, kahee rahivashanvar tyanchya nivasi karyakramanmule taas qamee nondavanyasathi dabav aanala jaau shakato kinwa tyanni tase naan kelyas tyanna shiksha dekhil houu shakate.
shivay, heey abhyas-visheshtah jyanna anukool parinam midatat-electronic vaidyakeey nondicha vyapak avalamb, sangh-aadharit kaljikade valane aanee sarvottam paddhatinchi amalbajavani yasah parinamanvar sakaratmak parinam maaf gondhalalelya goshtincha hishob karnyat ayashasvi houu shakatat.
kartvyavel niyam vaidyakeey chukanchi mool karane sodavu shakat naheet aanee nakalat naveen samasya nirman karoo shakatat jyaa rugnachya parinamanvar parinam karatat. kartavya-taas manakanche palan karnyasathi, rahivashanni tyanche rugna adhik varanvar itar rahivashanna sopavale pahijet, jyamule gairsanvad houu shakato, kaljicha satatya vyatyay yeu shakato aanee truti vadhu shakatat. tasech, bahutansh abhyas asey darshavtat qee qamee vel asoonahi, rahivashanna aata adhik rugna disatat, jyamule adhik prashasakeey kaam hote aanee thet rugna seva aanee shikshanasathi qamee vel midato. eka paddhatshir punaravalokanat asey aadhalun aale aahe qee nivasi shikshanavar kartvyavel niyamancha pratikool parinam jhaala aahe aanee vaidyakeey shikshanamule dnyan aanee kshamatevar parinam hoto, tyamule nirnay ghenyat aanee vaidyakeey chukanmadhye bighad houu shakato.
kamacha boja qamee karnyachya prastavit paddhati.
kamache taas niyantrit karane hii sarvat samanya prastavit paddhat aahe, parantu niyamankade durlaksh kelyas heey aprabhavi tharate. kamachya velechya niyamanche ullanghan kelyabaddal takrar maaf rahivashanna tyanche nivassthan gamavanyapasun aanee asha prakare vyavsayik manyata midvanyacha marg gamavanyapasun sanrakshn denare visalbloer sanrakshn kayade prastavit karnyat aale aahet.
tyanantar teey sarvottam prashikshan karyakram nivadatil yaa yuktivadavar rahivashanchi saudebaji karanyachi shakti vadhavanyacha prastav thevanyat aala aahe. 2002 'jung wii. association auph american medical collegechya anty-trust kesane vaidyakeey rahivashanna kamachya paristhitibabat vataghati karnyasathi adhik swatantrya magitale. doctor mhanoon manyata midvanyasathi, american vaidyakeey rahivashanna tyanna niyukt kelele konatehi nivasi padd swikaranyasathi karar karane aavashyak aahe; nantar tyanna aii. aii. emm. see. dware nokarishi julavun ghetale jaate aanee kamachya paristhiti aanee pagar kaay aahet heey sangitale jaate. firyadi assa aarop karatat qee hii eka spardhatmak virodhi pratha aahe aanee prativadi upalabdh asalelya nivasi padanchi sankhya krutrimpane maryadit karatat. yaa davyala suruvatilach kahee pramanat yash midale hote, parantu yuu. yuu. asatana too ayashasvi jhaala.ess. congressne 2004 madhye nivruttivetan nidhi sambhag kayada lagoo keela, jyane jyane karyakramanna federal avishvas kayadyanpasun suut dilee.
jethe doctoranchi kamatarata aahe, tethe prastavit upayanmadhye vaidyakeey prashikshanacha kharch qamee karane aanee paricharikansathi adhik vyapak prashikshan samavisht aahe, jeey nantar purvi doctorandware kelee jaanari kartavye swikartat. doctoranchya kamkajachya sthiteet sudharana kelyane bharati vadhu shakate aanee thakwa qamee houu shakato jyamule qamee doctor aushadh sodatat.
niyam.
european unionche niyaman.
european unionmadhil kanishth doctor european kamkajachya velechya nirdeshankhali yetat, jeey nirdisht karateh
tathapi, kanishth doctor aathvadyatun 48 tasanpeksha jaast kaam karane nivadu shakatat kinwa niyoktyashi mafivar swakshari karoon eae. doubleu. tii. dii. madhoon purnapane baher padoo shakatat. nirdeshit tasanpeksha jaast kaam naan kelyabaddal tyanna shiksha houu shakat nahee. tarihi anek prashikshanarthi jaast taas kaam karnyas bandhil aahet asey manatat. vishrantichi vel anivarya aahe, parantu jarr tee niyojit velenusar ghetali jaau shakat nasel tarr tee pahilya velee ghetali jaau shakate.
american niyam.
haah muddah americet rajkiyadrushtya vadgrast aahe, jithe federal niyamanni padvidhar vaidyakeey vidyarthyachya vaidyakeey nivasadarmyan niyukt kelya jaau karoo tasanchi sankhya maryadit keleli nahee. 2003 pasoon, 2011 madheel sudharanansah, padvidhar vaidyakeey shikshanasathi manyata parishadechya niyamanni kamache aathvadyache 80 taas maryadit kele. 2018 paryant, palichi maryada (maryadit apvadansah) jastit jaast salag 24 taas thet rugna sevesah atirikt 4 taas kaljichya sankramanasathi (sine out karane, nondi purn karane ii.) aahe.) pahilya, pahilya aanee aanee varshachya rahivashansathi.
manyataprapt vaidyakeey shikshan mandalane (aii. see. jee. emm. eae.) kamache taas aathvadyatun 80 taas, ratri colchi varanvarta teenpaiki ekapeksha jaast nasane, 30 tasanchi kamal thet paalee aanee palidarmyan kiman 10 tasanchi sutty ashee maryada ghatali aahe. yaa maryada aichchhik asalya taree, manyata midvanyasathi tyanche palan karane anivarya karnyat aale aahe.
december 2008 madheel 'nivasi kartavya tasah zope, paryavekshan aanee suraksha vadhavane' yaa ahavalatil aii. see. jee. emm. eae. chya shifarshinvar aadharit institute auph medicine (aay. oo. emm.) neey tayar kele. 80 tasanchya kamachya aathvadyachya aii. see. jee. emm. eae. chya shifarashi sarasari 4 aathvadyanpeksha jaast thevat asatana, aay. oo. emm. ahavalat shifaras kelee aahe qee prashikshanarthinsathi (pii. jee. aay. 1) pratyek palimadhye 16 tasanpeksha jaast kartavya taas nasavet. iomne 30 tasanparyantchya palisathi ratri 10 teey sakali 8 darmyan mokyachya zopechi shifaras kelee. 2 aanee tyahoon adhik vayachya padvyuttar vidyarthyansathi, parantu karyakramachya anupalanasathi hii aavashyakta naan naan rahivashansathi 30 tasanchya palivar ratri 10 teey sakali 8 darmyan mokyachi zope ghenyachi adhikrut shifaras aii. see. jee. emm. eae. neey kelee. rahivashanna darroj zope lagavi aanee suttichya divashi dirghkalapasun zope naan lagane bharoon kadhave yasathi rahivashanna palichya darmyan, palichi vel aanee kalavadhichya aadhare badalanare auph-duty kalavadhi dyave, asehi ahwal suchavato.
jaree aii. see. jee. emm. eae. chya niyamancha uddesh vaidyakeey rahivashanchya zopeche taas vadhavane aanee rugnanchi suraksha sudharane haah hota, taree tyanni naveen rahivashanchya shikshanat aanee kamachya thikani shikanyachya sanskratit anpekshit nakaratmak parinam dekhil nirman kele hote. 2017 madhye, 117 samanya shastrakriya nivas karyakramanmadhye julai 2014 teey juuna 2015 paryant jhalelya chachanicha hawala dett, aii. see. jee. emm. eae. neey punha ekada tyache niyam badalale. shastrakriya prashikshanarthinsathi (pratham) chachanisathichya kartavya taas aavashyaktanmadhil lavchikatemadhye, sadhyachya aii. see. jee. emm. eae. shulk-taas nirbandhanche palan karoon kinwa jastit jaast palichi lambi aanee paalee darmyanchya velevaril niyam maaf maaf adhik lavchik dhoranansah gatala yadruchchikpane karyakram niyukt kele gele. shastrakriyenantarchya mrutyuchya 30 divasanchya darache kinwa gambhir guntaguntiche prathamik parinam pahatana, qamee nirbandhatmak kartavya-taas dhorane mrutyuchya vadhiv darashi kinwa gambhir guntaguntishi sambandhit navhati. 1 julai 2017 pasoon, aii. see. jee. emm. eae. neey pahilya varshacha rahivasi kaam karoo karoo salag tasanchi kamal sankhya 16 tasanvarun 24 tasanparyant vadhavali.
dirgh kamkajachya tasanmule vaidyakeey rahivashanna satat zopecha abhav hott asala taree, alpasankhyak rahivashanna ajunahi kamachya veleche niyam ajibat nako asatat. 4510 prasooti-strirog tadnya rahivashanchya sarvekshanat, pachpaiki eka vyaktine tyanchya kamachya tasanvaril konatyahi maryades virodh keela. yaa rahivashanni 'atirikt anubhav' heey sarvat samanya kaaran (69.0%) mhanoon uddhrut kele, tyanantar 'durmil prakarane pahanyachi sandhee' (46.5%) aanee 'rugnansobat satatya' (31.8%).
80 tasanchya kamachya aathvadyachya dishene.
libby zion prakaran, jyamadhye 18 varshiy mahavidhyalayin vidyarthyacha newyorkmadheel eka thakalelya prashikshanarthi aanee rugnalayachya rahivashane upchar kelyanantar amali padarthanchya parasparsanvadamule mrutyu jhaala, tyamule 1987 madhye doctoranchya prashikshanache taas sambodhit karnyasathi bail commissionchi sthapana jhaali. jaree serotonin syndrome tyaa velee mothya pramanavar dnyat navhata (gharatil karmchari kinwa upasthit doctorandware nahee), taree bail kamishanane gruh gruh zopechya abhavasandarbhat samasya sodavane suru thewale. tyachya shifarashi 1989 madhye newyork rajyane swikarlya aanee rahivashanna rugnalayat salag 24 tasanpeksha jaast aanee aathvadyatun 80 tasanpeksha jaast maryadit thewale, jyat serve vel gharich dekhrekh karnara doctor upasthit hota.
vaidyakeey rahivashanchya kamache taas maryadit karnyache itar federal niyamak aanee kayadevishayak prayatna jaree pratyakshat aale asale taree, tyapaiki ekahi yashasvi jhaale naheet.
dow. american medical associationche adhyaksh richard corlin yanni nivasi prashikshan prakriyeche punarmulyankan karnyache aavahan kele aahe aanee ghoshit kele aahe qee, "tethil rahivasi qaa aahe yaa muddyavar aapan punha ekada vichar karane aavashyak aahe."
yuu.ess. vyavsayik suraksha aanee aarogya prashasanane (osha) vaidyakeey rahivashanchya kamache taas maryadit karanyachi magani karnari yachika fetalali, nivasi karyakramanche pratinidhitva aanee manyata denari khajgi vyapar sanghatana aii. see. jee. emm. eae. neey swikarlelya mankanvar avalambun rahane nivadle. 1 julai 2003 roji, 2011 madhye sudharit kelyapasoon, serve manyataprapt nivasi karyakramansathi, aii. see. jee. emm. eae. neey shulk tasanchi aavashyakta lagoo kelee.
julai 2003 madhye lagoo jhalelya aii. see. jee. emm. eae. shulk taas manakanchi aavashyakta aaheh
acgmechya prastavit shulk tasanchya niyamananantar american austeopathic association (aoa) tyache anusaran kele. american austiopathic association swikarlelya aavashyakta khalee dilya aahet.
vaidyakeey rahivashansathi kamal taas dhorane lagoo karnyashi sambandhit aanakhi eka sambandhit muddah mhanje amalbajavanicha prashna, jithe kahee amalbajavani prastavanmadhye yuu. vadhavane samavisht aahe.ess. vaidyakeey rahivashanna federal visalbloer sanrakshn, jenekarun vaidyakeey rahivashanna kahee rojgar sanrakshn milel aanee tyanche palan sunishchit karata yeil.
sadhyachya aii. see. jee. emm. eae. dhoranat ajunahi antarnihit samasya aahet. nivasi kartavya taas nirbandhanche moolyankan karane aanee tyanchi amalbajavani karane katheen aahe. tasech, kartavya taas palanyavar dekhrekh thevanyasathi shevati kona jababdar aahe heey dekhil aspasht aahe (i.eae. rajya parwana mandale, nivasi karyakram, upasthiti, rahivasi ii.). yavyatirikt, serve upayanmadhye eka-aakar-julanare upay aadarsh nastil, kaaran vishisht kamkajachya tasanchi garaj pratyek vaishishtyanusar bhinn asoo shakate.
samna karanyachi yantrana.
jaree aii. see. jee. emm. eae. neey dhoranatmak zopechi shifaras kelee asali taree, thakwa qamee karnyache tantra mhanoon zopechya parinamache moolyankan konatyahi abhyasane kelele nahee. lamb palinmadhye zopechi aavashyakta asane heey thakwa qamee karnyachya aanee sambhavya chuka qamee karnyachya dishene eka chhote paul asoo shakate. nivasi sarvekshan asey suchavatat qee shikshanavar adhik bharr dilyane, kamacha bhaar qamee jhalyas aanee adhik purak pathbal midalyas rugnache parinam adhik changle sudhartil. rugnalayatil sarvottam paddhati aanee doctoranchya protsahananvar laksh kendrit karane, jase qee nivassthanatil kamgirisathi paise dene, yapaiki kahee upayayojananchya amalbajavanimadhye madat karoo shakate.
circadian chukichya sanrekhan qamee karnyachya tantranmadhye shiftchya velet achanak honare badal talhane, adhik zope ghene, jyamule zopeche velapatrak adhik lavchik banate aanee caffeen aanee vishisht tarangalambichya sabhovatalachya prakashacha vapar karane yancha samavesh hoto.

