Introduction: Blood grouping is conventionally done with invasive method by taking blood samples. The objective of this study is to determine blood group with uninvasive procedure by taking fingerprints of the participants and know the associations between their fingerprints and blood groups. Methods: Seven hundred participants of both genders with no any age limitation from Manipal Teaching Hospital and Manipal College of Medical Sciences were randomly selected. The blood grouping was done by cross reacting blood sample with the antibodies. The fingerprints were taken with the help of stamp pad imprinting the finger ridges over A4 size white papers. The loop, whorl and arch patterns were studied. Results: O+ve blood group 224 (32%) was most prevalent among 700 participants. The loop pattern was highly distributed 3708 (53%) in all blood groups except in A-ve blood group with highest distribution of whorl 20 (40%). The mean comparisons of specific fingerprint in total and also in individual fingers with different ABO and ABO-Rh blood groups showed no any statistical association with P>0.05. However, the loop distribution in individual finger was highest in right middle finger (M) of B-ve blood group 5 (10%). The whorl distribution in individual finger was highest in right index (I), left thumb (T) and left ring (R) fingers of AB+ve blood group 20 (5.5% each). Similarly, the arch distribution was highest in right index fingers of A-ve blood group 3 (6%). Conclusions: The mean comparison of different fingerprints with ABO and Rh blood groups showed no significant statistical association concluding fingerprints cannot be used for blood grouping. Keywords: arch; blood group; fingerprints; loop; whorl.
Background: The Body Mass Index, Waist Circumference and Waist by Hip ratio have linear relation with increase in blood pressure. This study will correlate blood pressure with these anthropometric measures in normal subjects to find out the subtle increase in which of these measure would linearly increase blood pressure. The aim is to find the better anthropometric measure to relate with blood pressure changes.Methods: One hundred and seventy five healthy medical students were enrolled for the study in Manipal College of Medical Sciences, Pokhara after getting ethical clearance. The mean reading of right brachial arterial blood pressure with mercury manometer in sitting position was taken. For anthropometric measures, body weight was measured in weighing scale and height and circumferences of waist and hip were taken with non elastic measuring tape. The data were used to derive required variables. Results: Out of 175 participants, 59% were male and remaining female. The non obese participants were 46.3% followed by obese (22.9%) as per Asia Pacific Guidelines for The Body Mass Index. The positive correlation of increase in Systolic and Diastolic components of blood pressure was statistically highly significant [P=0.00] in female with normal Waist Circumference and Waist by Hip ratio. However in general, SBP was positively correlated with Waist by Hip ratio [r=0.44] and DBP was positively correlated with Waist Circumference [r=0.43] and were statistically highly significant [P=0.00].Conclusions: The Waist Circumference and Waist by Hip Ratio have stronger correlation with blood pressure components than Body Mass Index even in normal subjects.Keywords: Blood pressure; body mass index; hip ratio; waist: waist circumference.
Introduction: The cardiovascular system undergoes physiological changes during pregnancy. Electrocardiograms thereby play important role in understanding these physiological changes with the pathological one. The study has been carried out to study the electrocardiographic changes in pregnant women of third trimester and compare it with the non-pregnant women of same age group.Methods: Sixty third trimester pregnant women and sixty non-pregnant women of same age group attending Manipal Teaching Hospital were included. The 12 lead electrocardiograms of the participants were taken in supine position. The electrocardiograms were studied for various parameters like waves, intervals, segments and mean ventricular depolarization axis.Result: The result showed increase in heart rate in pregnant women when compared to control group. The decrease in PR interval associated with pregnancy was highly significant. The abnormalities in T wave associated with pregnancy, mostly in lead V1, V2, V3, V4, III and aVF were also highly significant. There was also increase occurrence of Q waves in pregnant women mostly in the bipolar leads. The QRS frontal axis compared to control showed increased tendency to shift towards left with advancing pregnancy. There was also significant increase in QT and QTc interval in third trimester pregnant women. The amplitude of various waves seemed to be decreased with pregnancy as well.Conclusion: This study shows that changes in electrocardiograms in third trimester pregnant women do occur. Therefore interpretation and evaluation of electrocardiograms in pregnancy should be done with caution.
Introduction: The upper and lower lip consists of the numerous amounts of fine grooves. This pattern of grooves will be definite throughout the lifetime. The groove of the lip shows variations and play important role in forensic medicine and crime investigation. The objective of this study is to find out the prevalence of type I lip print in at least one lip quadrant among first- and second- year medical and dental students of a medical college. Methods: The study was conducted on 240 students of a medical college between November 2020- January 2021 after getting the ethical clearance from the Institutional Review Committee (reference no. KMC-IRC 0311202006). The convenient sampling was done. The patterns of the grooves of the lip were studied. The data was analysed with Statistical Package for the Social Sciences 20 version. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 240 students, type I lip pattern was seen in at least one quadrant in 190 (79.6%) (73.38-84.94 at 95% CI) students. One hundred and fifty-nine (66.3%) had type I pattern in the right upper quadrant, 160 (66.7%) in left upper quadrant, 181 (75.4%) in right lower quadrant, and 177 (73.8%) in left lower quadrant. Type Ia was maximum found in 115 (47.9%) and type Ib in 66 (27.5%) in lower left quadrant of lip. Conclusions: Our findings showed a higher prevalence of type I lip pattern than those reported by other national studies done among medical students.
Introduction: Inter-arm difference (IAD) in blood pressure is the difference in the systolic and the diastolic blood pressure between arms of an individual. Studies regarding IAD among elderly, pregnant women, patients with cardiovascular disease and diabetes have been conducted but there are very limited studies carried out among young healthy adults. Thus, this study aimed to investigate the inter-arm blood pressure difference and its association with age, sex, BMI and family history of hypertension among Nepalese healthy young adults. Materials and methods: A cross-sectional study was carried out among 230 students of Kantipur Dental College, Kathmandu, Nepal. Blood pressure was measured using a mercurial sphygmomanometer. Statistical analysis was done using paired t test, chi-square and Pearson’s correlation test using SPSS 16. Results: The absolute mean IAD for SBP was 5.03±3.88 mm Hg and for DBP was 3.84±3.77 mm Hg. There is significant inter-arm difference for SBP (t=4.882, p<0.001) but not for DBP. Inter-arm SBP difference was significantly associated with family history of hypertension (χ2 = 6.41, p=0.01) and positive but weakly correlated with age (r = +0.135, p=0.04). There is no significant association of inter-arm SBP difference with sex and BMI. Meanwhile, there is no statistically significant association of sex, family history of hypertension, age and BMI with inter-arm DBP. Conclusions: There is a significant inter-arm systolic blood pressure difference among the healthy young Nepalese adults and it is associated with the positive family history of hypertension and age.
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