This volume is in the press and contains citable articles.
Three-dimensional (3D) printing is revolutionizing medical education, particularly in surgical training, by transforming digital images into tangible models. These models, derived from patient radiological data, allow for enhanced anatomical understanding and hands-on learning. Studies have shown that 3D-printed models significantly improve medical students’ comprehension of complex anatomical structures and foster interest in specialized fields such as cardiology. Additionally, 3D printing offers cost-effective solutions for creating both normal and pathological models, which is particularly beneficial in resource-limited settings. While challenges remain, including material limitations and ethical considerations, 3D printing holds tremendous potential in advancing medical education globally.
Nearly 1.7 billion people are exposed to tuberculosis (TB) globally, and low- and middle-income countries (LMICs) are the major contributors to the burden of TB. Malnutrition affects the severity of illness, the effectiveness of treatment regimen, and the recovery process. Moreover, TB is often referred to as a disease of a poor population. Therefore, this descriptive cross-sectional study was conducted at DHQ Hospital in Bhakkar District and tehsil headquarters (THQ) hospitals in Mankera and Kaloor Kot to assess the nutritional status of TB patients. Data were collected from 329 adult TB patients via a purposive sampling technique with a semistructured questionnaire. Patients’ nutritional status was assessed via BMI and malnutrition indicators adopted from Mini Nutritional Assessment (MNA®). The associations between sociodemographic factors and BMI with malnutrition were analyzed via chi-square tests, with the significance level set at p < 0.05. Among the 329 respondents, 55.6% were at high risk of malnutrition, and 36.5% were malnourished. A BMI of less than 19 was observed in 5.5% of patients, with a statistically significant association between BMI and malnutrition (p = 0.001). However, no significant associations were found between sex or marital status and malnutrition, with p values of 0.194 and 0.339, respectively. The study concluded that malnutrition is prevalent among TB patients, with 36.7% malnourished and 50.46% at risk of malnourishment. The findings revealed no significant associations between malnutrition and sex or marital status, but a significant relationship was observed between malnutrition and BMI, indicating the importance of addressing malnutrition as a critical component of TB management.
Corrosive ingestion can cause severe complications, including perforation, stricture, and fistula, which often require surgical intervention to prevent further damage. This retrospective observational study analyzed surgical outcomes and gender differences in ingestion types (accidental vs. suicidal) and causative substances (acid, alkali, ammonia, detergent, or mixed) among 99 patients at a tertiary care hospital in Rawalpindi from January 2002 to January 2024. The average age of the patients was 30.36 ± 10.18 years, with 61.62% female patients and 38.38% male patients. Accidental ingestion was more common in males (94.74%), whereas suicidal ingestion was more common in females (21.31%, p = 0.026). Mixed substances were the most common substances ingested, particularly among females (60.66%, p = 0.048). All patients underwent upper gastrointestinal endoscopy, and diagnostic laparoscopy or feeding jejunostomy was the most common surgical procedure (57.58%). The esophagus (68.69%) was the most affected site. Surgical site infections (16.16%) and strictures (11.11%) were the most frequent complications, with a mortality rate of 4.04%. Our study concluded that timely surgical management could reduce the risk of complications and enhance patient outcomes. Corrosive ingestion often affects multiple areas of the gastrointestinal tract that require several surgical interventions. In certain cases, complex procedures, such as colon interposition and total laryngopharyngoesophagectomy (TLPO), which require skilled surgeons as well as advanced management centers, are performed to manage corrosive injuries. Therefore, improving these patients’ outcomes via interventions focused on training in complex surgical procedures is crucial. However, more research is needed to identify the most effective approaches for the surgical management of corrosive ingestion.