Volume 1 Issue 1 (2023)

Research Article

  • Evaluation of fungi contamination of fruits and vegetables

  • Uka-Okali Angela Juliet, Ozims Stanley James, Eberendu I F, Uka Kalu Okali, Kalu Joy,

    OPEN ACCESS | Published on : 31-Dec-2023 | Doi :10.37446/jmedsurg/rsa/1.1.2023.1-7 | Pages : 1-7

    Background: The study investigated fruit and vegetable contamination by fungi in Abia State's three senatorial zones. That was being studied experimentally.  

    Methods: Based on the appearance, structure, and features of the colonies, the microbial content of 360 sample sizes of fruits and vegetables were gathered from various markets throughout the state.

    Results: Five different fungal isolates showed different levels of prevalence.: Aspergillus niger, Aspergillus flavus, Fusarium Solani, Rhizopus stolonifer and Penicillium citrinum. Aspergillus niger and Fusarium Solani had the broadest distribution as they were isolated from the three zones and in five markets except Ekeamiyi Market: Aspergillus niger was the most prevalent among the samples analysed. Aspergillus flavus was the highest occurring in Abia South (38%), Aspergillus niger was most prevalent in Abia central ( 35%) and North (28%) occurrence rates. Fusarium Solani was the second most prevalent in Abia central and South (24%) and (25%) occurrence in samples analysed. Penicillium citrinum was the second highest prevalent isolate in Abia North (23%) but was the last in the zone (8%) in South. Rhizopus stolonifer was highest in South (19%) and least in South (12%).

    Conclusion: There was no significant statistical difference in occurrence of fungal isolates in the three Senatorial zones of Abia State.

  • Assessing perception of medical teachers on the implementation of elective module in an Indian medical college

  • Jitendra Patel, Pratik Akhani,

    OPEN ACCESS | Published on : 31-Dec-2023 | Doi :10.37446/jmedsurg/rsa/1.1.2023.8-14 | Pages : 8-14

    Background: As per recent recommendations of the National Medical Commission (NMC) of India, our medical college introduced an elective module for the MBBS admission batch of 2019. Being the inaugural implementation of its kind within our institution and across the nation, our study was designed to gauge the faculty's perception of the elective module. A survey with a cross-sectional design was carried out among the faculty members supervising the implementation.

    Methods: A pre-validated questionnaire, formulated by members of the Medical Education Unit (MEU) at our college, was utilized for data collection. The questionnaire was distributed to faculty members through online platforms such as WhatsApp groups and email, using a Google Form. The data analysis considered responses from a cohort of faculty members actively engaged in the elective module implementation.

    Results: The faculty consensus indicated that the elective module’s objectives were effectively achieved. The faculty were praised for their supportive and accommodating demeanor, with active involvement in facilitating the electives. The majority of faculty members acknowledged the elective module as a valuable academic activity, citing an appropriate time duration that allowed for the demonstration of creativity and encouraged teamwork. Faculty members expressed apprehension regarding the process of students obtaining signatures in the logbooks.

    Conclusion: The study's findings indicate a positive reception of the elective module among faculty. This positive perception underscores the value of electives as learning experiences, offering learners the opportunity to immerse themselves in a chosen career stream, discipline, or research project.

Review Article

  • A comprehensive review on haptic feedback for minimally invasive surgery

  • Jitendra Patel,

    OPEN ACCESS | Published on : 31-Dec-2023 | Doi :10.37446/jmedsurg/ra/1.1.2023.1-12 | Pages : 1-12

    The objective of this article is to provide a thorough examination of the current state of haptic information feedback in minimally invasive surgery (MIS), including research conducted between 1985 and the present. Despite the fact that haptic information input in MIS is currently scarce, the comprehensive analysis emphasises that it represents a potential option. Surgeons might potentially get substantial benefits from receiving more input about force information, which would therefore enhance their surgical accuracy and control. The extant literature highlights a significant knowledge deficit regarding the intricate ramifications of haptic feedback, specifically with regard to the sense of slip and gripping forces. It is crucial to investigate the possible advantages of incorporating supplementary haptic information in order to protect against tissue damage when performing manipulation treatments. It is of the utmost importance to fill this void, since doing so might revolutionise the field of MIS via the mitigation of unintended tissue injury and the improvement of surgical results. By capitalising on technology progress to provide more extensive haptic feedback, surgeons have the ability to enhance their tactile perception, optimise the application of force, and reduce the likelihood of tissue injuries when performing complex surgical procedures.

Case Report

  • Mixed infection of Plasmodium falciparum and dengue virus: a case report from Garg Nursing Home, Neemuch, Madhya Pradesh

  • Vipul Garg, Kamlesh Patel,

    OPEN ACCESS | Published on : 31-Dec-2023 | Doi :10.37446/jmedsurg/cr/1.1.2023.1-3 | Pages : 1-3

    Background: Malaria and Dengue, transmitted by the Female Anopheles and Aedes aegypti mosquitoes respectively, are significant global health concerns. Recent improvements in sanitation and mosquito control have reduced malaria cases in several parts of India. However, areas where both vectors coexist pose a risk of concurrent infections, complicating diagnosis and treatment. Falciparum malaria and Dengue are known for their severe complications, including cerebral malaria and bleeding tendencies due to reduced platelet count.

    Case presentation: A 60-year-old patient presented with high-grade fever, severe headache, body aches, and dehydration. Despite prior treatment at a village clinic, the symptoms persisted and worsened. Upon admission, the patient exhibited high fever, rapid pulse, and mild dehydration. Further examination revealed no respiratory or cardiac issues, but severe headache persisted despite fever reduction. Symptomatic management commenced while awaiting test results. Lab reports indicated a positive result for P. falciparum antigen via immunochromatography.

    Conclusion: This case underscores the necessity of testing for both malaria and Dengue in cases of acute high-grade fever to avoid missed diagnoses and untreated severe complications. Coinfection of P. falciparum and Dengue can intensify the severity and duration of both diseases, challenging accurate diagnosis and management. Vigilance in testing and reporting such cases is crucial for effective public health responses. The first documented case of malaria and Dengue coinfection dates back to 2005, highlighting the emerging nature of this phenomenon.

  • Aeromonas hydrophila bacteremia in a patient on dialysis: a case report

  • Kamlesh Patel, Jay Singh Arora, Sandeep Shrivastava, Sanjay Geed, Mallika Kawatra, Sakharam Muwel, Pawan Raisardar, Miss Priya Prajapati,

    OPEN ACCESS | Published on : 31-Dec-2023 | Doi :10.37446/jmedsurg/cr/1.1.2023.4-6 | Pages : 4-6

    Background: Aeromonas hydrophila, typically found in aquatic environments, is recognized as an infrequent yet significant etiological agent of bloodstream infections.

    Case presentation: This case report documents a 61-year-old male undergoing hemodialysis for end-stage renal disease who presented with fever, edema, and laboratory abnormalities indicative of renal dysfunction and inflammation. Blood cultures revealed Aeromonas hydrophila growth, emphasizing the importance of considering this pathogen in dialysis patients with bloodstream infections. The patient's immunocompromised state due to renal disease and diabetes, coupled with frequent medical interventions like dialysis, created a conducive environment for opportunistic infections. Laboratory findings of proteinuria, glucosuria, and electrolyte imbalances further underscored the patient's susceptibility to infection.

    Discussion: This case highlights the intricate interplay between underlying comorbidities and immune compromise in predisposing individuals to Aeromonas hydrophila bloodstream infection. Prompt recognition and appropriate antibiotic therapy are crucial for managing such cases.

    Conclusion: Healthcare practitioners should maintain vigilance for unusual pathogens in immunocompromised patients, particularly those undergoing dialysis, to ensure timely diagnosis and treatment, thus optimizing patient outcomes.