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Entrapment neuropathies of the peripheral nervous system are frequently encountered due to anatomical variations. Median nerve is the most vulnerable nerve to undergo entrapment neuropathies. The clinical complications are mostly manifested by median nerve impingement in forearm and wrist areas. Median nerve entrapment could also occur at the arm, due to the presence of ligament of Struthers. Here we report a rare case of proximal entrapment of median nerve and brachial artery in the arm by an abnormally formed musculo-fascial tunnel. The tunnel was formed by the muscle fibers of brachialis and medial intermuscular septum in the lower part of arm. Due to this, the median nerve coursed deep, below the tunnel and continued distally into the forearm, underneath the pronator teres muscle and hence did not appear as a content of cubital fossa. The present entrapment of neurovascular structures in the tunnel might lead to pronator syndromes or other neurovascular compression syndromes.

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Gallbladder shows frequent variations in position, shape, interior, and its duct system. These variations may go unnoticed lifelong; however, they may predispose it for cholecystitis and cholelithiasis. We observed a double pouched gallbladder in an adult male cadaver. The gallbladder was folded to have a sigmoid shape. It had two broad pouches: anterior and posterior and a narrow isthmus in between. Its anterior pouch was covered by peritoneum, whereas the posterior pouch was covered by extrahepatic connective tissue. We discuss the clinical and radiological importance of the case.

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Multicolor electrochromic systems based on heat cross-linkable arylamine-substituted fluorene derivatives, FD and FDOMe, are reported. These derivatives with pendant vinyl groups have been synthesized by the Buchwald-Hartwig amination reaction and were well-characterized using various analytical and spectroscopic techniques such as NMR, ESI-MS, and single-crystal X-ray diffraction analysis. FD and FDOMe exhibited thermally activated cross-linking above their melting temperatures, which was confirmed through absorption, differential scanning calorimetry (DSC), FT-IR, and wide-angle X-ray diffraction (WAXD) techniques. Cross-linked FD films (FD-X) on ITO showed two reversible redox peaks at 0.74 and 0.91 V (versus Ag/AgCl) that correspond to the formation of radical cations and dications, respectively. The corresponding redox peaks were observed at 0.6 and 0.8 V for cross-linked FDOMe films (FDOMe-X). Spectroelectrochemical studies of the electrochromic films on ITO revealed multicolor electrochromism of FD-X (colorless-yellow-dark cyan) and FDOMe-X (colorless-brick red-blue) with a color contrast of ∼44% at 485 nm for FD-X and ∼63% at 500 nm for FDOMe-X and good switching stability between the neutral and oxidized states (>300 cycles) with low switching voltages (<0.9 V for the first oxidation and <1.3 V for the second oxidation). Furthermore, fabrication of electrochromic devices using FD-X and FDOMe-X on FTO substrate with PMMA-based solid electrolyte was demonstrated, where the devices exhibited reasonably low switching time between the redox states (<30 s) with good optical contrast.

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AIMS: To study the prevalence, and clinical profile of autosomal dominant (AD) inherited forms of type 2 diabetes mellitus (T2DM). METHODS: Detailed pedigree charts were drawn on 510 consecutive T2DM subjects attending a tertiary care diabetes centre in South India. Clinical and biochemical features of T2DM subjects with and without AD inheritance were compared. RESULTS: Overall, 36.1% of T2DM had one parent with diabetes, in 10.6%, both parents had diabetes and 10.2% had features of AD. Age at diagnosis of diabetes was the lowest among AD group compared to other groups (p for trend <0.001). Only 22.6% of T2DM with AD inheritance had age at diagnosis of diabetes below 25 years and in 26.4%, it was diagnosed above 45 years. There were no significant differences in the clinical features, including prevalence of diabetic complications, between T2DM with and without AD inheritance. CONCLUSIONS: In this clinic-based study, 10.2% of T2DM subjects had evidence of AD inheritance. While the AD cases occurred at younger age, older age at diagnosis was not uncommon. Clinical features, including complications, did not differ between the T2DM patients with or without AD.

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