Health
Uzbekistan expands advanced pediatric care, reducing overseas referrals and costs
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.
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.
Health
World Cup Emotion Can Strain the Heart, Cardiologists Warn Fans at Risk
As the World Cup begins, medical experts are cautioning football fans with underlying heart conditions that the emotional intensity of matches can place unexpected strain on the cardiovascular system.
Cardiologists say that the excitement, tension, and anxiety generated during high-stakes games can trigger physical reactions similar to intense exercise, raising heart rate, blood pressure, and stress hormones.
“Intense emotions, whether positive or negative, can act as ‘precipitating risk factors’ for cardiovascular events such as heart attack,” said Paola Santalucia, a cardiologist and board member of the European Heart Network.
She explained that moments of extreme excitement, such as a decisive penalty shootout or a last-minute goal, may pose risks for people already living with heart disease. Those with additional risk factors, including hypertension, obesity, or smoking habits, are also advised to be cautious during emotionally charged matches.
Research using wearable devices has shown that during major football events, some fans experience heart rates climbing as high as 150 beats per minute. That level is comparable to sprinting and reflects how strongly the body reacts to emotional stress.
A study examining supporters during the 2025 German Cup final found that even watching from home can significantly affect physiological responses. “They still had an increase in heart rate that compares to walking, even though they didn’t walk,” said Christian Deutscher, professor of sports economics at Bielefeld University and co-author of the study.
He noted that the most intense reactions often occur not during goals themselves, but during moments of uncertainty such as VAR checks, penalty shootouts, or shots striking the post. These unpredictable situations, he said, are what drive the strongest emotional and physical responses among fans.
Deutscher also pointed out that stadium spectators may experience even greater strain due to environmental factors such as heat and alcohol consumption.
However, experts emphasize that football itself is not inherently dangerous. Instead, it is the body’s natural response to excitement that can create temporary stress.
“The adrenergic stimulation is at its max: extreme high blood pressure, high heart rate, and adrenaline, cortisol, skyrocketing,” said Dan Atar, professor of cardiology at Oslo University Hospital. In rare cases, he added, this surge can contribute to the rupture of arterial plaque in vulnerable individuals, potentially leading to a heart attack.
Atar stressed that such events can occur in everyday situations as well, including physical exertion like shoveling snow. “It is in no way dangerous to watch a football game,” he said. “All this is physiologic. It’s not dangerous to be excited.”
Still, he acknowledged that combining emotional stress with alcohol, heat, and pre-existing conditions can increase risk for some viewers.
Doctors advise those at higher risk to continue prescribed medications, limit alcohol intake, avoid smoking, and watch for warning signs such as chest pain or irregular heartbeat.
“The key message is not to avoid enjoying the match, but to do so with moderation and awareness,” Santalucia said.
Health
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Health
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