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Uzbekistan expands advanced pediatric care, reducing overseas referrals and costs

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Uzbekistan has significantly expanded the use of advanced medical procedures across its healthcare system in 2025, health authorities reported, boosting domestic treatment capacity for children and lowering the need for costly overseas referrals. The move has raised questions about training, funding, and the long-term sustainability of such high-tech care as demand continues to grow.

By November, artificial intelligence (AI) was deployed in 43 types of medical procedures, while 179 new diagnostic methods and 199 treatment techniques were introduced in specialised centres nationwide. Regional hospitals reported performing 379 types of rare and complex surgical operations.

The National Children’s Medical Centre, led by Bakhtiyorjon Umarov, was established to centralise advanced pediatric services. The facility employs not only doctors and nurses but also technical specialists to operate and maintain complex medical equipment. It has received international accreditation from a United States-based body, meeting around 1,200 clinical and operational standards, and is the first standalone pediatric hospital worldwide to achieve this recognition.

The centre has conducted high-level procedures including bone marrow and liver transplants, laparoscopic kidney transplants, and stem cell isolation from peripheral blood. Multidisciplinary teams of surgeons, anesthesiologists, intensive care specialists, nurses, and laboratory staff completed training in Russia, Belarus, Türkiye, China, and South Korea before the introduction of these treatments.

In pediatric liver transplantation, Uzbekistan performed its first operation on a seven-month-old infant using a living donor. Two liver segments were transplanted from the child’s mother, with both recovering steadily. Previously, children with congenital liver disorders were referred abroad, where similar treatments often exceeded $50,000. Bone marrow transplants for children with haematological and oncological conditions have also been introduced, with approximately 40 procedures completed at the National Children’s Medical Centre. Haploidentical stem cell transplantation has been applied when related donors were incompatible, replacing procedures abroad costing between $100,000 and $250,000. All high-technology pediatric care is funded by the state for children under 18.

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Neurosurgery has advanced with robot-assisted and navigation-guided systems for operations on deep brain tumors and drug-resistant epilepsy. In one case, a six-month-old infant with intractable seizures underwent robotic surgery to remove the epileptogenic focus, successfully stopping the seizures.

Neonatal care has also seen remarkable achievements. Conjoined twins born prematurely at 33–34 weeks were separated during an emergency nine-hour surgery at the Tashkent regional branch of the Republican Specialised Mother and Child Health Centre in Chirchik. The twins shared parts of the intestine and urinary bladder, making the procedure extremely complex. Professor Bakhtiyor Ergashev, Head of the Neonatal Surgery Centre, noted that high precision was required due to tissue rupture and fluid leakage following birth.

The expansion of advanced pediatric care in Uzbekistan has reduced reliance on foreign hospitals, lowered treatment costs for families, and strengthened local expertise. Health authorities note that sustaining these capabilities will require ongoing investment in training, infrastructure, and staffing as demand for high-tech procedures continues to rise.

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Sugar Drops Can Reduce Pain for Babies During Needle Procedures, Study Finds

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A simple dose of sugar placed in a baby’s mouth before a needle procedure can significantly reduce pain, according to a new scientific review. The findings, published by researchers from the University of Toronto and the University of Ottawa, suggest that sucrose may offer an effective, low-cost way to comfort newborns and infants undergoing routine medical procedures.

Infants, particularly those in neonatal and pediatric intensive care units, frequently undergo procedures such as vaccinations, blood tests, or intravenous line insertions. Because their pain regulation systems are still developing, babies can experience pain more intensely than adults, making effective pain relief crucial.

The review, conducted by the Cochrane Collaboration, analyzed 29 trials involving 2,764 babies worldwide. In each study, infants were randomly assigned to receive either sugar solution, other pain relief methods such as pacifiers, breastfeeding, skin-to-skin contact, or no intervention. Researchers found that sugar reduced pain both during and immediately after needle procedures. In comparison, sugar appeared to provide more immediate relief than pacifiers alone.

“Parents may be surprised to learn that something as simple as a few drops of sugar solution can make a real difference to their baby’s comfort during blood tests,” said Ligyana Candido, co-author of the study from the University of Ottawa.

The study highlighted that while sugar is effective in the short term, its benefits compared with breastfeeding or skin-to-skin care remain less clear, due to limited evidence. Still, sugar offers a practical alternative, especially in situations where other comforting methods are unavailable.

Hospitalized newborns, including premature babies or those receiving treatment for specific conditions, are often exposed to repeated needle procedures. The review noted that untreated pain during these early stages of life can negatively affect growth and development. “Newborn babies undergo frequent needle procedures in hospital without any pain relief or comforting measures, even though older children and adults rarely have these procedures done without pain care,” said lead author Mariana Bueno from the University of Toronto.

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Researchers emphasized that sugar works quickly, usually within minutes, and can be easily administered at a low cost. However, they cautioned that the long-term effects of repeated sucrose use in infants require further study.

“The message from our findings is ultimately that infants need and should receive pain management before a procedure such as venepuncture,” Bueno added.

The review provides strong evidence supporting the use of sugar as a safe and effective method to ease procedural pain in babies, potentially improving the hospital experience for both infants and their parents.

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European Environment Agency Links Pollution to Rising Mental Health Risks

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Air pollution, environmental noise, and exposure to toxic chemicals are contributing to a growing burden of mental health problems in Europe, the European Environment Agency (EEA) warned on Thursday. The agency called for “urgent and drastic action” to reduce pollution, noting that even modest improvements could significantly benefit mental well-being.

Mental health is influenced by a combination of genetics, social and economic conditions, lifestyle factors, and environmental exposures. The EEA highlighted that long-term exposure to pollution can trigger or worsen mental health conditions, affecting people from childhood into adulthood.

Air pollution, particularly fine particulate matter (PM2.5) and nitrogen dioxide (NO2), has been linked to structural and functional changes in the brain. Systematic reviews show a consistent association between long-term exposure to poor air quality and depression. Short-term spikes in pollution have also been connected to worsening symptoms of schizophrenia. The agency emphasized that prenatal and early-life exposure to polluted air can have lasting effects on mental health.

Environmental noise is another major factor. Most research focuses on transportation noise from road traffic, railways, and aircraft. Chronic exposure can trigger stress responses, increase inflammation, and exacerbate mental health issues. The EEA noted that aircraft noise has the strongest link to depression, with studies showing a 12 percent increase in risk per 10-decibel rise. Annoyance from noise, especially in socially vulnerable populations, also contributes to depression and anxiety.

Chemical exposure presents additional risks. The EEA reviewed studies on heavy metals, pesticides, second-hand smoke, and endocrine-disrupting chemicals such as bisphenol A and PFAS. Lead and second-hand smoke have been associated with depression and schizophrenia, particularly when exposure occurs prenatally or during childhood. Pesticides have been consistently linked to depression, schizophrenia, and anxiety, while prenatal exposure to endocrine disruptors like bisphenol A has been tied to childhood depression and anxiety.

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Mental health challenges remain widespread in Europe. According to the World Health Organization, one in six Europeans lives with a mental health condition, and one in three of those affected does not receive adequate treatment. In 2023, mental health disorders accounted for more than 11 million disability-adjusted life years lost across the European Union. These figures are expected to rise, particularly among young people and vulnerable communities.

The EEA stressed that tackling pollution could not only improve physical health but also have a meaningful impact on mental well-being. By reducing air and chemical pollutants and mitigating environmental noise, policymakers could ease the growing societal and economic burden of mental health conditions in Europe.

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Study Finds Weight-Loss Drugs May Protect Heart After Attack

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Weight-loss medications commonly prescribed for diabetes and obesity may also help patients recover after a heart attack by improving blood flow and reducing the risk of complications, according to new research.

A study led by scientists at Bristol Medical School found that GLP-1 receptor agonists can help prevent further damage to heart tissue following emergency treatment. The findings were published in the journal Nature Communications.

“In nearly half of all heart attack patients, tiny blood vessels within the heart muscle remain narrowed, even after the main artery is cleared during emergency medical treatment,” said lead author Svetlana Mastitskaya. This condition, known as “no-reflow,” prevents oxygen-rich blood from reaching parts of the heart, increasing the risk of long-term damage.

The research team conducted experiments in rodents and tested their results using cultivated human heart cells. They found that GLP-1 drugs improved blood flow by activating potassium channels and relaxing pericytes, the muscle cells that surround small blood vessels in the heart. When these cells relax, constricted vessels can widen, allowing blood to circulate more effectively.

GLP-1 receptor agonists mimic a hormone produced naturally in the body that helps regulate blood sugar and appetite. They are widely used to treat type 2 diabetes and to promote weight loss by helping patients feel full for longer periods.

Previous studies have shown that people taking GLP-1 medications have a lower risk of cardiovascular diseases, including heart attacks and strokes. In 2024, the US Food and Drug Administration approved the use of Wegovy, a semaglutide-based GLP-1 drug, to reduce the risk of stroke, heart attack and other cardiovascular conditions.

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Clinical trials have indicated that the heart benefits of these medications appear to be independent of the amount of weight lost. Patients taking the drugs experienced fewer heart attacks and strokes regardless of whether they were mildly overweight or severely obese.

Researchers believe GLP-1 drugs may lower cardiovascular risk by reducing inflammation, improving blood pressure control, lowering cholesterol and other blood fats, and supporting the health of blood vessels.

Despite these promising findings, experts stress that medication alone is not enough. A recent study from Harvard University found that patients with type 2 diabetes who combined GLP-1 treatment with healthy lifestyle habits saw significantly greater heart health benefits. Those who followed eight key habits, including a balanced diet, regular exercise, adequate sleep and avoiding smoking, had a 60 percent lower risk compared with those who followed one or none.

Frank Hu, one of the study’s authors, said the results show that healthy living remains central to reducing cardiovascular risk, even with modern drug therapies.

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