The authors report a rare variation of the vasculature in the upper limbs of an 84-year-old male cadaver. A high bifurcation of the brachial artery occurred bilaterally at the proximal one-third of each arm. The radial arteries were larger than the ulnar arteries and gave origin to the common interosseous arteries. At the cubital fossa, the ulnar arteries traversed medial to the median nerves, continuing superficial to all forearm muscles except the palmaris longus tendon, characteristic of superficial brachioulnar arteries. The aforementioned variations have rarely been reported in previous literature and demonstrate important clinical significance in relation to accidental intra-arterial injections, errors in blood pressure readings, as well as orthopedic, plastic, and vascular surgeries of the upper limbs.

Results: Of the 87,502 patients who met the inclusion criteria, 43,859 had paralytic ileus. There were no differences in age or race between the two groups, but those with paralytic ileus had an increased length of stay, higher total charges, more patients on Medicaid or Medicare, and mortality compared to the control group (p, 0.001). The data was also significant (p, 0.001) for an increased odds ratio for post-ERCP pancreatitis (OR 5.6), perforation (OR 14.6), cholangitis (OR 15.3), cholecystitis (OR 7.4), infection (OR 10.4), hemorrhage (OR 15.2), and mortality (OR 2.1). Conclusion: Paralytic ileus is commonly seen in hospitalized patients with up to 6% mortality. Ileus is usually caused by dysregulation of sympathetic and parasympathetic control affecting the gut. This condition usually occurs secondary to medications, metabolic derangements, and surgical interventions. Their clinical status puts them at higher risks for multiple post-procedural compilations. Therefore, patients with paralytic ileus should be medically optimized before undergoing ERCP. (Table) Table 1. Clinical Outcomes in Patients With and Without Paralytic Ileus who Underwent Endoscopic Retrograde Cholangiopancreatography (ERCP) Odds Ratio (95% CI) P-Value

Simple compound microscopy is widely used across the globe. However, contrast and resolution fascinate students and are difficult to learn due to their limited practical experience. Although the laws of physics have been derived thoroughly, their real implementation in the human body is uncertain. This study quantifies contrast and resolution through human perception and technological tools and assesses the degree of overlap between physics and physiology. Thus, an opaque repository for a compound microscope with a mobile holder is devised to capture the images of Leishman-stained smears and USAF targets. Another receptacle is fabricated to hold coloured filters against a light bulb, which projects on the microscope mirror through a connecting pipe. The images with a different sequence of filters are subjected to analysis by volunteers and using digital image processing techniques. The perception of contrast and resolution through the human eye and digital processing shows an overlap of 82.57% for contrast and 76.40% for resolution. Also, participants opt for contrast (81.66%) against the resolution (75.51%). The preferred sequence of light for contrast and resolution is white > green > blue > red and white > blue > green > red, respectively. Green > blue > red is preceded by white when both contrast and resolution are examined concurrently. Thus, the integrated role of the two disciplines in learning contrast and resolution has been studied and evaluated practically beyond the limits of the textbook on a hands-on basis. Simultaneously, the subjective selection of resolution or contrast using low-cost colour filters is an affordable approach to upgrade a microscope. Graphical abstract

Objective- Attenuating post lockdown vehicular speed by employing visual reaction time as a tool to prime the citizens for creating decorum of driving and checking the road traffic fatalities.Background- It is indispensable to curb the driving speed post lockdown to avoid accidents. Even though, the impact of inactivity on RT has been well established, an insight into the new method can deal with the gross issue of road traffic casualty worldwide. Method- Using a web-based platform (http://physicsiology.com), quantification of post lockdown speed was achieved for 643 participants under average speed before lockdown and RT measurement. Results- Compared to pre lockdown vehicular speed, reduced post lockdown speed was well calculated and suggested. Also, there was a correlation between RT, age, and days of lockdown.Conclusions- Containment of speed can be achieved to prime people through RT. Additionally, RT can determine the rate of change of frequency (ROCOF) for detecting the swiftness of action (i.e., the brain's ability to deal with the transition between reaction times of different events) required for averting road traffic collisions. Compelling to suggest a need for a humanoid simulator that can garner real-time data.Application- Suggesting a fresh outlook for designing a contraption for a better appraisal of the fleet in driving skills, thus beaconing the course towards restraining road traffic fatalities