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Healthcare policy and reform

History in making as governments draft a legally binding Treaty for rights of older persons

A historic UN process is underway to create a global convention safeguarding older persons’ rights—addressing ageism, discrimination, and the gaps in existing human rights frameworks

Bobby Ramakant
THT
Medicine and Research

Breaking the Black Box: How Artificial Embryos and Lab-Grown Wombs Are Unlocking the Secrets of Human Life

1. CREST: The Lab-Grown Uterine Scaffold Cell-engineered Receptive Endometrial Scaffold Technology (CREST) is a sophisticated 3D model that recreates the complex layers of the human uterus, including the surface lining and the deeper structural tissue. This platform allows scientists to watch real human embryos and lab-made "blastoids" attach and burrow into the tissue just as they would in the body. By using this model, researchers discovered that a specific molecular "handshake" called PROS1-AXL is essential for the embryo to grow successfully into the uterine wall. 2. Inducible Embryo Models (iSCBEMs) Because natural human embryos are so difficult to access, scientists created iSCBEMs, which are models built entirely from stem cells. These structures are "inducible," meaning researchers can trigger them to form critical parts of an early pregnancy, such as the yolk sac and the amniotic cavity. These models provide a highly reproducible way to study the first few weeks of life without the ethical and logistical hurdles of using donated human embryos. 3. The Hidden "Forces" of Implantation Groundbreaking research has revealed that human embryos aren't just passive—they actively pull themselves into the uterus using physical traction. By sensing the stiffness of the mother's tissue, a process called mechanosensitivity, the embryo uses tiny "grips" to anchor itself and reorganize the surrounding environment. This discovery suggests that many miscarriages might happen not because of a chemical error, but because the embryo simply couldn't exert enough physical force to burrow in. 4. "Apical-Out" Organoids: Reversing the Map For years, lab-grown uterine tissues (organoids) grew "inside-out," making it impossible for embryos to touch the surface they normally stick to. New "apical-out" models flip this structure, exposing the receptive surface to the outside so that embryos can land and attach naturally. These models even grow tiny structures called pinopodes, which act like landing pads for the embryo, making the lab environment look and act like a real womb. 5. The 28-Day Rule and Research Ethics As lab-grown embryo models become more realistic, the ESHRE Ethics Committee has proposed extending the legal research limit from 14 days to 28 days. This extension would allow scientists to study the very beginning of organ development and the early heart, which are currently "black boxes" of human science. While these models are not yet considered equivalent to "real" embryos, they offer a way to solve the mysteries of birth defects and infertility while following strict moral guidelines. 6. Solving Infertility with Personalized Models Implantation failure is a major cause of infertility, responsible for nearly 60% of early pregnancy losses. Scientists are now using these artificial models to create "patient-specific" uterine linings to test why a specific person's body might be rejecting a pregnancy. This technology could lead to new, non-hormonal contraceptives or personalized treatments that significantly improve the success rates of IVF.

Dr. Asmita Pandey
Policy Blueprint for Universal Basic Life Support Competency in Nepal: A Tri-Pillar Mandate
Healthcare policy and reform

Policy Blueprint for Universal Basic Life Support Competency in Nepal: A Tri-Pillar Mandate

The health system of Nepal is actively engaged in strengthening its pre-hospital emergency medical services (EMS) through focused training of professionals, including Basic Emergency Medical Technicians (BEMTs) and community responders, often in coordination with international partners such as the W

Dr. Ram Prasad Neupane
Nipah Virus: An Evolving Global Health Threat and the Path to Preparedness
Infectious Diseases

Nipah Virus: An Evolving Global Health Threat and the Path to Preparedness

Introduction The Nipah virus (NiV) represents one of the most significant viral threats to global health secur

Sanjogta Thapa Magar

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APCAT Summit unites local governments to save lives from tobacco, TB, AMR and NCDs
Current Affair

APCAT Summit unites local governments to save lives from tobacco, TB, AMR and NCDs

Written by Shobha Shukla (Managing Editor of CNS),Summit of sub-national government leaders from over 121 cities of 12 countries in Asia and the Pacific region unitedly passed an important declaration in Jakarta, Indonesia to save lives from preventable causes of diseases and untimely deaths, like tobacco use, TB, antimicrobial resistance (AMR) and non-communicable diseases (NCDs). […]

Air Pollution in Kathmandu: Why the ‘Fluctuating’ AQI is a Silent Killer
Public Health

Air Pollution in Kathmandu: Why the ‘Fluctuating’ AQI is a Silent Killer

Air Pollution in Kathmandu has reached a critical tipping point in January 2026. While the AQI fluctuates, TheHealth Thread breaks down the medical reality of this silent emergency and why the ‘improving’ numbers are more dangerous than they seem. This fluctuation is dangerous. It tricks us into th

The Chemistry of Feeling: Why Your Mood Starts in the Gut
Nutrition

The Chemistry of Feeling: Why Your Mood Starts in the Gut

We’ve all heard the phrase “you are what you eat,” but we rarely take it literally. Usually, we think of it in terms of waistlines or heart health. However, a growing body of research suggests that our diet is actually the primary architect of our emotional world—proving that your mood starts in th

Beyond the Bottleneck: A Blueprint for Sovereign Medicine Security in Nepal
Healthcare policy and reform

Beyond the Bottleneck: A Blueprint for Sovereign Medicine Security in Nepal

Reviewed by Amrita Acharya, PhD Scholar (Pharmacy & Business Management) When a doctor in a rural health post in Karnali prescribes an antibiotic, they are acting on faith. Faith that the label matches the contents. Faith that the chemical structure hasn’t degraded in the heat. Faith that the regulatory system in Kathmandu has done its […]

Impacting positive change for those left behind
Health News

Impacting positive change for those left behind

Written by Shobha Shukla (Managing Editor of CNS),Given the medical advancements today – in an ideal world, all children should be born free of infections like HIV, syphilis or hepatitis-B; all pregnant women should be accessing full spectrum of maternal and newborn care (including services to prevent vertical transmission of HIV, syphilis or hepatitis-B); and […]

Put people first mantra to drive WHO task force to save the medicines that protect us
Health News

Put people first mantra to drive WHO task force to save the medicines that protect us

Written by Shobha Shukla (Managing Editor of CNS),The United Nations apex health agency – the World Health Organization (WHO) – had announced the establishment of its first-ever civil society Task Force on Antimicrobial Resistance (AMR) in October 2025. This marks a major shift in addressing AMR which is not only among the top 10 global […]

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From shadow to light: Supporting unhoused persons to access lifesaving TB services
Health News

From shadow to light: Supporting unhoused persons to access lifesaving TB services

Written byShobha Shukla (Managing Editor of CNS),Bobby Ramakant (CNS Health Editor)The risk of getting TB disease is among the highest in unhoused and other marginalised persons but the likelihood of them seeking public TB services is low – and finishing lifesaving TB therapy is even lower. The delay is long – very long – for […]

By Bobby Ramakant 10 min read

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