उत्तराखंड में बिना पंजीकरण प्रैक्टिस कर रहे डॉक्टरों पर लगेगी लगाम, स्वास्थ्य सचिव ने जारी किया सख्त आदेश

उत्तराखंड में बिना पंजीकरण प्रैक्टिस कर रहे डॉक्टरों पर लगेगी लगाम, स्वास्थ्य सचिव ने जारी किया सख्त आदेश

देहरादून: उत्तराखंड सरकार ने राज्य में चिकित्सा सेवा की गुणवत्ता को बेहतर बनाने और आम जनता की स्वास्थ्य सुरक्षा सुनिश्चित करने के लिए एक बड़ा और ऐतिहासिक कदम उठाया है। अब प्रदेश के किसी भी चिकित्सक, चाहे वह सरकारी सेवा में हो या निजी क्षेत्र में कार्यरत बिना पंजीकरण या नवीनीकरण के प्रैक्टिस नहीं कर सकेगा।

चिकित्सा स्वास्थ्य एवं चिकित्सा शिक्षा विभाग ने इस संबंध में एक सख्त आदेश जारी किया है। सभी जनपदों के मुख्य चिकित्सा अधिकारियों (CMO) को निर्देश दिए गए हैं कि वे अपने-अपने जिलों में कार्यरत सभी डॉक्टरों की सूची तैयार करें और यह सुनिश्चित करें कि कोई भी बिना पंजीकरण प्रैक्टिस न कर रहा हो। जिन डॉक्टरों ने अब तक नवीनीकरण नहीं कराया है उनके विरुद्ध कार्रवाई की जाएगी।

नेशनल मेडिकल कमीशन एक्ट 2019
स्वास्थ्य सचिव डॉ. आर. राजेश कुमार द्वारा हस्ताक्षरित आदेश में स्पष्ट किया गया है कि यह कदम नेशनल मेडिकल कमीशन एक्ट 2019 {पूर्ववर्ती इंडियन मेडिकल काउंसिल एक्ट 1956} के प्रावधानों के अंतर्गत उठाया गया है। यह अधिनियम देशभर में चिकित्सा सेवा को नियंत्रित करता है और इसके तहत केवल वैध रूप से पंजीकृत चिकित्सक ही प्रैक्टिस कर सकते हैं।

स्वास्थ्य सचिव डॉ. आर. राजेश कुमार ने बताया सरकार स्वास्थ्य सेवाओं में पारदर्शिता और जवाबदेही सुनिश्चित करने को लेकर गंभीर है। उन्होंने कहा कि कई चिकित्सक वर्षों से बिना पंजीकरण प्रैक्टिस कर रहे हैं, जिससे सेवाओं की गुणवत्ता पर प्रश्नचिह्न लग रहे थे। साफ कर दिया है कि किसी भी स्थिति में बिना वैध पंजीकरण प्रैक्टिस नहीं चलने दी जाएगी।

जनता के विश्वास को भी मज़बूत करेगा
स्वास्थ्य सचिव डॉ. आर. राजेश कुमार ने बताया राज्य में ऐसी कई शिकायतें मिली थीं कि कुछ लोग डॉक्टर के नाम पर सेवा दे रहे हैं, जबकि उनके पास वैध डिग्री या पंजीकरण नहीं है। यह आदेश न केवल ऐसे लोगों पर रोक लगाएगा बल्कि जनता के विश्वास को भी मज़बूत करेगा।

पंजीकरण प्रक्रिया होगी सरल और तेज़
राज्य में बिना पंजीकरण प्रैक्टिस कर रहे हैं डॉक्टर या नवीनीकरण नहीं कराया है। अब सभी को कार्रवाई के दायरे में लाया जाएगा। चिकित्सा परिषद को डॉक्टरों की अद्यतन सूची जनपदों को भेजने और बिना पंजीकरण प्रैक्टिस करने वालों की सूची सार्वजनिक करने के निर्देश दिए गए हैं। रजिस्ट्रेशन प्रक्रिया को भी सरल और ऑनलाइन बनाया जा रहा है।

जनस्वास्थ्य और गुणवत्ता पर विशेष ध्यान
स्वास्थ्य सचिव ने कहा कि यह निर्णय औपचारिकता नहीं, बल्कि जनस्वास्थ्य की सुरक्षा और सेवा की गुणवत्ता सुनिश्चित करने का प्रयास है। शासन की मंशा है कि कोई भी मरीज बिना पंजीकरण प्रैक्टिस करने वाले डॉक्टर से इलाज न कराए।

निर्देशों का पालन न करने पर होगी कार्रवाई
सीएमओ को स्पष्ट निर्देश दिए गए हैं कि वे डॉक्टरों की प्रमाणपत्रों की जांच कर सुनिश्चित करें कि कोई भी बिना पंजीकरण प्रैक्टिस न कर रहा हो। निर्देशों की अवहेलना पर संबंधित डॉक्टरों को सेवा से पृथक करने या नोटिस जारी करने को कहा गया है। जनपदवार प्रगति रिपोर्ट साप्ताहिक रूप से शासन को भेजी जाएगी।

स्वास्थ्य सचिव ने कहा राज्य में मरीजों को केवल पंजीकृत और प्रमाणित चिकित्सकों से इलाज मिलेगा। चिकित्सा परिषद की भूमिका और डॉक्टरों की जिम्मेदारी दोनों ही अब और अहम होंगी।

53 thoughts on “उत्तराखंड में बिना पंजीकरण प्रैक्टिस कर रहे डॉक्टरों पर लगेगी लगाम, स्वास्थ्य सचिव ने जारी किया सख्त आदेश

  1. Aber wir können auch jederzeit die geleisteten Stunden wieder abbauen.
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  2. For occasion, they may reduce your body’s sensitivity
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    KPV is a naturally occurring tripeptide consisting of the
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    KPV is a naturally occurring tripeptide derived
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    This scientific breakthrough exemplifies the precision of recent peptide
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    Unlike KPV, which primarily modulates immune responses and irritation (Kannengiesser & Maaser), TB-500 works by increasing actin polymerization, a key process in cell movement and tissue regeneration (Maar et al.).
    This ability to boost cellular migration makes TB-500 especially relevant in injury restoration and regenerative analysis.

    This makes them invaluable for maintaining general
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    The gut is a complex system that handles digestion, nutrient absorption, and immune regulation.
    KPV helped reduce injury, sped up restoration, and didn’t trigger pigmentation or irritation. Working as an anti-inflammatory, KPV exerts its anti-inflammatory perform
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    Alfa-Melanocyte Stimulative hormone is the unique natural molecule, with KPV as
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    By calming this pathway, KPV reduces the cascade of inflammatory cytokines
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    From intestine health to skin restore to chronic ache,
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    Nonetheless, it’s meant strictly for research use and not for human consumption. This makes it helpful for conditions like IBD, ulcers, and leaky intestine syndrome.
    It works gently and effectively, making it a wise selection for anyone looking for
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    That’s the place KPV stands out—it offers comparable anti-inflammatory results without the dangers of steroids.
    KPV doesn’t need to work through hormone receptors like other comparable
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  3. First Testosterone Cycle for Newbies / Beginners’ Check CycleIf you’re a beginner
    for testosterone cycles, use testosterone enanthate or cypionate ataround 500mg per
    week for 10 to 12 weeks. It’s a sensible choice for these who are consideringsteroids for the first time.
    TurinabolTurinabol is an oral steroid that leads to onerous muscle positive aspects with fewer unwanted facet effects, and itdoesn’t aromatize, which minimizes
    fears of hormonal imbalances. Users can expertise notable fats loss
    in one cycle of clenbuterol, which usually lasts from 2 to 4
    weeks.
    Anavar is a novel anabolic steroid in terms of fats loss, because it has been shown to burn both subcutaneous
    and visceral fats in analysis (2). Both steroids will burn fat and
    build muscle, with out raising estrogen ranges. However, this isn’t to say that Anavar won’t
    ever trigger unwanted effects. In research, Anavar does have the power to suppress natural
    testosterone ranges; although this modest reduction will later reverse, with ranges recovering post-cycle.
    For more detailed insights on Anavar outcomes, you probably can take a glance at sources like
    Inside Bodybuilding and Soul of New Orleans.

    We have skilled success with males taking a post-cycle protocol of either Nolvadex or Clomid.
    In clenbuterol’s case, because it does not
    have an result on the hypothalamic-pituitary-testicular axis (HPTA) but instead the central
    nervous system, girls typically take an analogous dose to males.
    Nonetheless, if women are merely attempting to enhance
    their body composition, Winstrol may be deemed pointless.

    As the androgenic energy is fairly weak, Anavar could be very
    enticing for ladies. Feminine customers of this steroid are unlikely to develop masculine characteristics, such as body hair growth, lack of breasts, or
    clitoris swelling—typical side effects of stronger synthetics.
    Correct dosage suggestions are very important in relation to utilizing Anavar, considering
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    These unwanted effects are more frequent in people who’re genetically predisposed or
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    However, Anavar can provide you that additional nudge to push past plateaus and embark on new growth adventures.

    One primary use of anavar ends in bodybuilding is during a chopping part.
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    It may help repair muscle injury after a player
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    make-sure you go for regular verify ups to further cautious.
    Elevated levels of testosterone always ends in more energy,
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    Anavar (oxandrolone) is an oral treatment and one of many least
    poisonous anabolic steroids we have seen, alongside testosterone.
    The above cycle is tailor-made for intermediate
    steroid customers utilizing average dosages. As A Substitute, a novice might want to run a 6–7 week cycle with decrease dosages,
    being 350 mg/week for testosterone and 15 mg/day of anavar womens results before and after for the
    first three weeks, followed by 20 mg/day for the last three weeks.
    Nevertheless, our patients typically make the most of post-cycle therapy (PCT) to
    shorten this time, which also benefits them psychologically, improving their well-being.

    With very cautious doses (5 mg), it might be potential to avoid
    virilizing side effects; however, each girl could reply differently.

    Andriol is the brand name for oral testosterone, also called testosterone undecanoate.
    The disadvantage to oral testosterone is that it is notably
    dearer than injectable testosterone. With Anavar
    also being a expensive compound, this cycle can value lots of of
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  4. Critical unwanted facet effects, similar to water retention or
    joint pain, are rare. The main difference is the half-life;
    CJC-1295 has an extended half-life, providing
    sustained development hormone launch, while Sermorelin has a shorter
    half-life and requires extra frequent dosing.
    This enhancement in muscle growth and recovery can result in increased energy,
    endurance, and the attainment of a leaner, more muscular
    physique. The progress hormone-releasing hormone receptors (GHRHr) are situated within the anterior pituitary
    gland. Sermorelin binds with these receptors to set off the elevated manufacturing
    and secretion of development hormone (GH) by somatotroph
    cells.
    Consultants also found that lack of sleep reduces your impulse management and how you process information. Sermorelin releases orexin,
    which helps to improve restful sleep and enhance immunity.
    You can consider Sermorelin as extending the HGH ranges in the body.

    It helps steadiness the highs and lows all through the day, creating
    a more natural ebb and flow.
    As we age, GH ranges decline, resulting in symptoms
    such as muscle loss, weight achieve, fatigue,
    and lowered recovery after exercise. When selecting between CJC-1295 and Sermorelin for development hormone stimulation, it’s necessary to suppose about your individual health goals, lifestyle,
    and response to remedy. CJC-1295 is usually most well-liked by individuals in search of a extra
    sustained and constant increase in development hormone levels.
    Its lengthy half-life permits for less frequent dosing, making it a handy choice for
    many who favor fewer injections. CJC-1295 can additionally be generally utilized
    in mixture with Ipamorelin, offering a strong enhance to development hormone production for
    individuals focused on optimizing physique composition and athletic performance.
    CJC-1295 is a synthetic peptide that acts as a growth hormone-releasing hormone
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    Its side effects are sometimes mild and transient, including injection site
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    It binds to specific receptors on the pituitary gland,
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    Of Sermorelin has a shorter half-life, it doesn’t linger in the
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    note the early results of aging, like sluggish mornings or disrupted sleep.

    As individuals age, the pure manufacturing of HGH decreases,
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    This peptide consists of 29 amino acids and is a
    modified model of growth hormone-releasing
    hormone (GHRH) 2. Its main perform is to prompt the pituitary gland
    to release extra HGH, which plays a significant
    function in varied physiological processes.
    Keep studying to study more about sermorelin, its advantages and risks,
    and when to think about using or avoiding sermorelin injections.
    Most sufferers notice changes in energy, sleep, or recovery inside a
    number of weeks, with extra vital results building over
    time. When used together underneath medical supervision, these peptides
    can complement each other’s benefits for general wellness.
    Advantages could embrace faster restoration, decreased pain, and attainable gastrointestinal
    protection. Beyond this threshold, it turns into impossible to find out
    which compounds present benefits versus unwanted facet effects,
    making changes nearly unimaginable. Recovery peptides
    like BPC-157/TB-500 can run 6-8 weeks, while progress hormone
    peptides should cycle 12 weeks maximum to stop receptor desensitization. You’ll walk away with newbie stacks,
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    right method.
    Healthy-volunteer PK/PD work maps GH responses however
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    or metabolic well being with chronic outpatient
    ipamorelin. If a clinician uses ipamorelin acetate sermorelin in a
    research context, the dose should be individualized, conservative, and
    regularly reassessed against objective markers and goals.
    In concept, stacking permits synergistic pathways (e.g. progress hormone launch + tissue repair + metabolic enhancement) to work together.
    But as a outcome of many makes use of are off-label
    or experimental, understanding the way to stack safely and effectively is critical.
    This guide will stroll you through what peptides are,
    how stacking works, sensible examples, security concerns, and how to build a customized
    stack. Advantages may embody elevated muscle progress,
    burn fat, improved skin quality, enhanced restoration, improved psychological, together with focus, and a stronger immune system.

    Sermorelin, an acetate salt, is an artificial peptide
    containing 29 Amino acids. This artificial peptide (GRF 1-29 NH2) mimics the action of naturally occurring development hormone-releasing hormone (GHRH) composed of 44 Amino acid residues.
    Enter Sermorelin and CJC 1295, two artificial peptides which have emerged as
    contenders in the realm of anti-aging and
    efficiency enhancement.

  5. These peptides interact with particular receptors on muscle
    cells to boost protein synthesis and support total well-being.

    Ipamorelin functions by selectively stimulating the pituitary
    gland to release growth hormone in a pulsatile method, which
    closely mimics the body’s natural secretion rhythm.
    On the other hand, Sermorelin works by immediately selling the manufacturing and launch of growth hormone-releasing
    hormone (GHRH) from the hypothalamus.
    The efficacy of CJC 1295 in elevating progress hormone ranges renders it a well-liked choice amongst those seeking to optimize their bodily
    performance and overall state of well-being. Growth hormone plays an important function in varied bodily capabilities corresponding to cell
    regeneration, development, and maintenance of wholesome tissues.
    Sermorelin interacts with the same receptors as GHRH, enhancing this process by rising the
    signaling for development hormone release.
    Sermorelin and tesamorelin vs sermorelin vs ipamorelin belong to the class of peptide hormones
    that stimulate the production and release of growth hormone in the physique.
    While Sermorelin works by rising the natural manufacturing of growth hormone within the pituitary gland, Tesamorelin acts instantly on the hypothalamus to boost GH secretion. Sermorelin is usually reported to
    enhance sleep within the first 1–2 weeks of use. Sermorelin stimulates the
    natural launch of growth hormones (GH), improving sleep structure.
    Tesamorelin is not primarily a sleep-inducing peptide, and its impact on sleep
    has not been extensively studied. The Peptide Report () is a complete useful resource selling evidence-based healthcare practices.
    While the data supplied on this web site is intended
    for educational and analysis purposes, you will
    need to understand the limitations and appropriate use of the content material.

    Referred to because the body’s ‘master hormone,
    ’ this hormone is instrumental in triggering development during
    childhood and adolescence. When deciding between Sermorelin and Ipamorelin, it is necessary to consider your specific well being wants and consult with a healthcare
    provider. They can provide steering based mostly in your well being history, present
    situation, and private goals for therapy.
    Sermorelin vs Ipamorelin Having stated all that, Sermorelin vs Ipamorelin comparison is where they basically
    separate. Sermorelin functions upstream by promoting
    GHRH output, on the contrary, Ipamorelin acts immediately on the ghrelin receptors in the pituitary gland.
    This difference additionally ends in totally different progress hormone releasing
    patterns and potency. Sermorelin acetate is amongst the researched peptides in growth hormone remedy.
    Tesamorelin, all the way to the right, in orange, is an FDA-approved drug
    under the trade name Egrifta and was developed by a Canadian pharmaceutical firm named Theratechnologies.
    This peptide is permitted for HIV patients that use a
    cocktail of antiretroviral drugs that often includes the facet impact of
    “lipodystrophy,” which in this case is the accumulation of fats across the stomach.
    As you can see, it’s the same sequence as our personal GHRH (in purple all the
    way to the left), however with a quantity one tail having
    an attached trans-3-hexanoic acid.
    To make matters worse, recall that Tesamorelin is a 44-amino
    acid long peptide. As I mentioned earlier in this article, the Tesamorelin peptide is a
    prescription medicine given to HIV patients affected by lipodystrophy.
    “Treatment with tesamorelin was usually properly tolerated and resulted in sustained decreases in VAT and triglycerides over 52 weeks with out aggravating glucose. But because it stands now, there is not a additional interest in investigating Tesamorelin for the remedy of nerve harm. “Peripheral neuropathy,
    a results of damage to the nerves outdoors of the mind and
    spinal wire (peripheral nerves), often causes weak point, numbness and pain, usually in your arms and feet.

    Over greater than twenty years, carotid intima–media thickness has been extensively researched and explored for its medical and medical viability,
    and available in clinically since 2002. “The quantity of lesion within the frequent carotid artery (CCA) has been reported to correlate to the extent of atherosclerotic lesions elsewhere in the body.
    Ipamorelin is a 3rd generation GHRP and is regarded as the cleanest of the GHRP’s. Produced by the hypothalamus, GHRH signals the pituitary gland’s somatotrophs to launch GH. It binds to particular receptors on these cells, triggering a sequence of intracellular signaling events. Sermorelin is acknowledged for their efficiency as peptides that will doubtlessly enhance sleep. Since all these therapies are typically administered the identical method, they share the chance of unwanted facet effects related to injection. These results, together with ache, itchiness, redness, and swelling, are typically mild and subside quickly. Additionally, people who are pregnant or making an attempt to get pregnant ought to avoid these therapies, as ought to people who are breastfeeding.
    These upfront expenses can differ depending on the dosage and period of remedy prescribed by the healthcare provider. When evaluating the initial investment, it’s important to account for the value of the peptides themselves, as properly as any associated medical exams or tests that might be required earlier than commencing remedy. Figuring Out the really helpful dosage of Sermorelin and CJC-1295 must be primarily based on skilled medical recommendation to make sure secure and efficient hormone optimization and wellness.
    The addition of cGMP (0.1-1 mM), the second messenger of a number of NO actions, enhanced fetal and adenomatous GH secretion by 55-95%. Neuronal NOS (nNOS) was expressed in regular (fetal and adult) human pituitary tissues and in GH-secreting adenomas. According to a examine published within the Journal of Molecular Endocrinology, ipamoreline helps with Parkinson’s illness by growing ghrelin ranges in patients. Moreover, ipamorelin has a potent blood sugar-lowering property that can help reduce your dangers of diabetic complications and other fatal situations related to excessive blood sugar levels. The changes in cardiac measurement and form, systolic function, and exercise tolerance were partially reversed three months after development hormone was discontinued. Administration of ghrelin elevated plasma ranges of pancreatic polypeptide and ghrelin, however motilin, somatostatin, and glucagon ranges were not altered.

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