Dual Supply Research Articles

Income taxation and dual job labour supply among male workers in the UK*

Income taxation and dual job labour supply among male workers in the UK*

Enhancing fatigue performance of AA6063-T6 fasteners through novel electromagnetic cold expansion using a double-frequency discharge

Non-contact electromagnetic cold expansion process (EMCE) represents a highly promising way to enhance the fatigue performance of fasteners. However, within the current technological framework, the necessity for dual power supplies and an accurate discharge control system has constrained the development and application of this technique. To address this, a novel EMCE process utilizing a double-frequency discharge is proposed. This process is accompanied by the development of an electromagnetic system with only one set of power supply to generate a current composed of a gradual-ascending and rapid-descending stage. This current induces a significant radially outward Lorentz force, facilitating hole expansion and introducing residual compressive stress around the hole, thus increasing the fatigue life of the fasteners. The experimental results demonstrate a remarkable enhancement in fatigue life for samples treated with the EMCE process when compared to untreated ones, showing an impressive 6.8-fold, 4.9-fold, and 1.6-fold increase at stress loads of 120 MPa, 130 MPa, and 150 MPa, respectively. Microstructural analysis reveals that the processed components exhibit favorable surface integrity, and there is no significant grain refinement near the hole. Moreover, it is found that there existed optimal current waveform to maximize fatigue life. These findings hold significance in understanding the EMCE process and advancing its practical applicability.

Preparation and Preclinical Characterization of a Simple Ester for Dual Exogenous Supply of Lactate and Beta-hydroxybutyrate.

Elevation of the plasma levels of (S)-lactate (Lac) and/or (R)-beta-hydroxybutyrate (BHB) occurs naturally in response to strenuous exercise and prolonged fasting, respectively, resulting in millimolar concentrations of these two metabolites. It is increasingly appreciated that Lac and BHB have wide-ranging beneficial physiological effects, suggesting that novel nutritional solutions, compatible with high-level and/or sustained consumption, which allow direct control of plasma levels of Lac and BHB, are of strong interest. In this study, we present a molecular hybrid between (S)-lactate and the BHB-precursor (R)-1,3-butanediol in the form of a simple ester referred to as LaKe. We show that LaKe can be readily prepared on the kilogram scale and undergoes rapid hydrolytic conversion under a variety of physiological conditions to release its two constituents. Oral ingestion of LaKe, in rats, resulted in dose-dependent elevation of plasma levels of Lac and BHB triggering expected physiological responses such as reduced lipolysis and elevation of the appetite-suppressing compound N-L-lactoyl-phenylalanine (Lac-Phe).

Transplant Immunology in Liver Transplant, Rejection, and Tolerance

Liver transplantation is the most effective treatment for end-stage liver disease. Despite improvements in surgical techniques, transplant rejection remains a significant concern. The liver is considered an immune-privileged organ due to its unique microenvironment and complex interactions among various cell types. Alloimmune responses mediated by T cells and antigen-presenting cells (APCs) play crucial roles in transplant rejection. The liver’s dual blood supply and unique composition of its sinusoidal endothelial cells (LSECs), Kupffer cells (KCs), hepatocytes, and hepatic stellate cells (HSCs) contribute to its immune privilege. Alloantigen recognition by T cells occurs through direct, indirect, and semidirect pathways, leading to acute cellular rejection (ACR) and chronic rejection. ACR is a T cell-mediated process that typically occurs within the first few weeks to months after transplantation. Chronic rejection, on the other hand, is a gradual process characterized by progressive fibrosis and graft dysfunction, often leading to graft loss. Acute antibody-mediated rejection (AMR) is less common following surgery compared to other solid organ transplants due to the liver’s unique anatomy and immune privilege. However, when it does occur, AMR can be aggressive and lead to rapid graft dysfunction. Despite improvements in immunosuppression, rejection remains a challenge, particularly chronic rejection. Understanding the mechanisms of rejection and immune tolerance, including the roles of regulatory T cells (Tregs) and hepatic dendritic cells (DCs), is crucial for improving transplant outcomes. Strategies to induce immune tolerance, such as modulating DC function or promoting Treg activity, hold promise for reducing rejection and improving long-term graft survival. This review focuses on the liver’s unique predisposition to rejection and tolerance, highlighting the roles of individual cell types in these processes. Continued research into the mechanisms of alloimmune responses and immune tolerance in liver transplantation is essential for developing more effective therapies and improving long-term outcomes for patients with end-stage liver disease.

Seat to beat: Novel capacitive ECG integration for in-car cardiovascular measurement

Cardiovascular diseases (CVD) are a leading cause of global mortality, responsible for approximately one in five deaths. In response to these concerning statistics, there is a growing need for innovative solutions enabling cardiac monitoring beyond medical facilities. This paper demonstrates the fabrication and development of a novel system designed to be integrated into passenger car seats, facilitating continuous monitoring of passengers’ cardiac activity. The system comprises a capacitive electrode prototype, a custom-designed analog signal processing circuit, and a computing unit. Two ultrathin capacitive electrodes were fabricated with a diameter of 56.42 mm protected by a guard layer to reduce noise. The amplification circuitry was comprised of operational amplifiers tasked with filtering and conditioning the electrocardiogram (ECG) signal. Heart rates calculated from our measurements were comparable with clinical ECG. The experimental setup underwent testing on human subjects while they were in a state of tranquil sitting within passenger cars and also in laboratory conditions. The proposed system offers the flexibility for single and dual power supplies in full capacitive or hybrid mode. Our experimental results confirm the system’s feasibility and its capability to record high-quality signals from weak biopotentials, highlighting its potential for real-world applications.

HYDATID CYST IN CAUDATE LOBE OF LIVER- A THERAPEUTIC CHALLENGE

Background: Treatment of Echinococcal disease depends on the type, size, and location of the cyst, presence of complications, and the experience of the team. Treatment options include percutaneous treatments, surgery, anti-parasitic drugs, and follow-up without intervention. Objectives: To report a case of hydatid cyst located in caudate lobe of liver. Materials and Methods: A 32-year-female, presented with c/o of Pain in abdomen since 1 week localized to right hypochondrium. USG (A+P) was suggestive of hydatid cyst in caudate lobe of liver. MRI was suggestive of hydatid cyst of liver with abutment of left portal vein and IVC. Patient was first started on medical treatment for 6 weeks and then planned for laparoscopic hydatid cyst excision. Cyst was approached laproscopically and fluid aspirated followed by injection of 10% betadine solution (scolicidal) and then reaspirated. Endocyst was removed. The resultant cavity was plugged with omentum. Results: Patient was discharged on POD-3 on T. Albendazole 400 mg BD for 3 months and T. Praziquantal 600 mg once a week for 3 months. After 6 months, patient is symptomatically well and has no complaints or signs of recurrence at present. Conclusion: Minimally invasive laproscopic sugery has more or less replaced the conventional open surgical approach for cystic hydatidosis. Our case is unique due to its location in the caudate lobe of liver alongwith abutment and mild compression of IVC and portal vein which poses a therapeutic challenge to the surgeon. The caudate lobe of the liver is an anatomically complex liver segment. Its unique and intimate location with the hepatic hilum and inferior vena cava (IVC) coupled with its dual supply from both portal pedicles and direct venous drainage into the IVC make vascular control a particular challenge. Technically challenging cyst excision can be performed laparoscopically with its benefits of improved perioperative outcomes.

Characteristics of Oil and Gas Distribution and Controlling Factors of Hydrocarbon Accumulations in the Eocene Pinghu Formation of the Xihu Depression, East China Sea

The Xihu Depression at the shelf of the East China Sea is a petroliferous basin with excellent exploration potential. The Eocene Pinghu Formation has become a recent oil and gas exploration target and as the critical hydrocarbon-bearing stratigraphic layer in the basin. However, studies specifically examining the characteristics of hydrocarbon distribution and the controlling factors of reservoirs in the Kongqueting area remain limited. The lack of in-depth hydrocarbon accumulation model research restricts subsequent exploration. In this paper, based on data from drilling, 3D seismic, well test, and geochemical analysis, we found that coal bed-related hydrocarbon source rocks were widely occurred in the Pinghu Formation in the Kongqueting area. The source rocks provide good hydrocarbon supply of near-source and distant-source to reservoir. The river sands were connected laterally and stacked vertically, forming a pattern characterized by ‘lateral succession and vertical superposition’ indicative of good quality of reservoir. During the deposition period of the Pinghu Formation, two large sets of regional cap rock (P3 and P7) were excellent sealing rock. The sand reservoir was interbedded with shale layers, forming a Mille-feuille type of reservoir-seal pair. Faults formed at the early stage of the formation of basin serve as conduits for hydrocarbon migration, governing both the spatial distribution of hydrocarbon-bearing strata and the types of hydrocarbon accumulations. These faults were instrumental in facilitating the formation of extensive oil and gas accumulations. This paper establishes a hydrocarbon accumulation model in the Kongqueting area, characterized as ‘dual hydrocarbon supply from source, upper oil, and lower gas, good reservoir-seal pair, hydrocarbon migration through fault conduit’.

Tool Wear Analysis During Turning with Single and Dual Supply of LN2

In the presented research work, LN2 supplied directly at rake face and in another localised machining condition, LN2 supplied at rake and flank face simultaneously. The DoE of performance of experiments was in accordance with Taguchi S/N ratio L18. It was found that flank wear length and crater wear width at LN2 supply at rake & flank face simultaneously declined by 23-38% and 20-30% respectively as compared to LN2 supply at rake face only. ANOVA gave the highest effect of contribution in the percentage to LN2 supply at rake & flank face simultaneously as 76.06% and 77.67%, next in decreasing order followed by speed, feed and depth of cut. SEM images depicted that flank wear length and crater wear width in both machining conditions. Tool wear was low during turning LN2 supply at rake and flank face. Optimized values of each response was confirmed by repeating the experiments.

Enhancing ultra low temperature district heating systems with neighborhood-scale heat pump and triple-pipe distribution: A techno-economic analysis

Ultra-Low Temperature District Heating (ULTDH) systems are advanced District Heating (DH) systems enabling the efficient utilization of low-temperature heat sources for heating systems. A significant challenge in ULTDH systems is the economic inefficiency associated with use of booster Heat Pump (HP) in buildings to achieve the desired Domestic Hot Water (DHW) temperature. To address this issue, this study proposes an innovative ULTDH system incorporating neighborhood-scale water-source booster HPs and distribution triple-pipes. Triple pipe's dual supply line capabilities facilitate the neighborhood-scale water-source booster HPs to be brought out at the neighborhood scale, demonstrating an intelligent approach. This approach reduces the capital investment and enhances the Coefficient of Performance (COP) by utilizing supply line of DH system as the heat source. A comprehensive case study is conducted to demonstrate the superior techno-economic performance of the proposed ULTDH system compared to Low Temperature District Heating (LTDH) as the benchmark solution. All components of both systems are sized by determining the DHW and Space Heating (SH) demands for each neighborhood. Thermodynamic analysis is conducted at a 1-min time resolution for an entire year. Six different heat production scenarios are developed to determine the Levelized Cost of Heat (LCOH). The results indicate that while the energy performance of the ULTDH surpasses LTDH, the rise in electricity prices favors the ULTDH system.

Ultra-high solar steam generation based on regulated water management strategy in 3D biomass hydrogels inspired by the “binding effect” of cell walls

Facing the global challenge of water scarcity, solar-driven seawater desalination has been emerged as a green, non-polluting and sustainable technology, but the practical application of existing solar evaporators was hindered by their low evaporation efficiency and poor mechanical property. Inspired by the binding effect of cell walls, a novel and high-efficiency three-dimensional (3D) evaporator (CDs/CF/CS-LF) was constructed, in which loofah (LF) served as a natural 3D skeleton to support the hydrogel evaporator, resisted deformation, and created an efficient dual water supply mode with the chitosan (CS) hydrogel ensuring that the evaporator maintains high evaporation rate even under high salt environment. Additionally, the cellulose nanofibers (CF) filler enhanced the mechanical property of the hydrogel, ensuring shape stability under pressure impact, and carbon dots (CDs) facilitated the aggregation and cross-linking of chitosan chains through hydrogen bonds, further improving the mechanical property of the evaporator, while also enhancing the photothermal conversion capability of the 3D-CDs/CF/CS-LF evaporator as a photothermal material. The experimental results indicated that the 3D-CDs/CF/CS-LF evaporator could achieve an ultra-high solar vapor production rate of 8.08 kg m−2 h−1 under 1 sunlight intensity in 3.5 wt% NaCl solution. Outdoor seawater desalination experiments demonstrated the utility of 3D-CDs/CF/CS-LF evaporator for practical applications. This work provided a new approach for the improvement of CS-based evaporators and demonstrated their potential application in seawater desalination and purification.

Dual channel closed-loop supply chain coordination with exchange policy, sales efforts and green innovation under uncertain market

ABSTRACT This paper explores a dual-channel supply chain within an uncertain environment where a manufacturer produces a green product and a retailer makes sales efforts to attract a higher customer base. Moreover, we incorporate a reverse supply chain model in which the manufacturer retrieves end-of-used products from customers through a collection initiative. Simultaneously, the retailer gathers end-of-used products from customers by implementing an exchange policy facilitated through a coupon applied to the product’s selling price. Then, we explore centralized, manufacturer Stackelberg, option contracts and cost-sharing contracts strategies to maximize supply chain profits under various circumstances. Subsequently, a numerical example is undertaken to showcase the utility of the models and explore sensitivity that examines how different parameters impact the supply chain’s profit. Findings suggest that the supply chain members will be profitable if they engage in the option contract model under a suitable value of the option price and exercise price.

Conventional and Contrast-enhanced US of the Lung: From Performance to Diagnosis.

In recent years, lung US has evolved from a marginal tool to an integral component of diagnostic chest imaging. Contrast-enhanced US (CEUS) can improve routine gray-scale imaging of the lung and chest, particularly in diagnosis of peripheral lung diseases (PLDs). Although an underused tool in many centers, and despite inherent limitations in evaluation of central lung disease caused by high acoustic impedance between air and soft tissues, lung CEUS has emerged as a valuable tool in diagnosis of PLDs. Owing to the dual arterial supply to the lungs via pulmonary and bronchial (systemic) arteries, different enhancement patterns can be observed at lung CEUS, thereby enabling accurate differential diagnoses in various PLDs. Lung CEUS also assists in identifying patients who may benefit from complementary diagnostic tests, including image-guided percutaneous biopsy. Moreover, lung CEUS-guided percutaneous biopsy has shown feasibility in accessible subpleural lesions, enabling higher histopathologic performance without significantly increasing either imaging time or expenses compared with conventional US. The authors discuss the technique of and basic normal and pathologic findings at conventional lung US, followed by a more detailed discussion of lung CEUS applications, emphasizing specific aspects of pulmonary physiology, basic concepts in lung US enhancement, and the most commonly encountered enhancement patterns of different PLDs. Finally, they discuss the benefits of lung CEUS in planning and guidance of US-guided lung biopsy. ©RSNA, 2024 Supplemental material is available for this article.

Hepatic infarction occurred after 125I particle stent treatment for hepatocellular carcinoma with portal vein tumor thrombus: A case report

BackgroundHepatic infarction is a rare liver condition. The purpose of this study is to report a case of hepatic infarction caused by thrombus formation following portal vein stent implantation in a patient with hepatocellular carcinoma and portal vein tumor thrombus, and to explore the underlying causes.Case reportThe patient in this study was a 52-year-old male admitted with diffuse hepatocellular carcinoma involving the right lobe and portal vein tumor thrombus. After undergoing portal vein stent implantation and 125I particle strand implantation treatment, the portal vein was patent, and the pressure decreased. However, multiple instances of hepatic artery chemoembolization combined with targeted immunotherapy resulted in gradual reduction in the diameter of the hepatic artery and affecting hepatic arterial blood flow. Two months post-stent implantation, thrombus formation within the stent was noted, and the patient’s condition did not improve with anticoagulant therapy, as evidenced by follow-up CT scans showing an increase in thrombi. Six months later, the patient suffered from gastrointestinal bleeding and, despite emergency esophagogastric variceal ligation and hemostatic treatment, developed hepatic parenchymal infarction and liver function failure.ConclusionsWe reveal the underlying cause is that (1) thrombus formation within the portal vein stent, leading to portal vein embolism and obstructed blood flow due to exacerbate portal hypertension after various treatments; and (2) the effect of hepatic artery chemoembolization, immunotherapy, and targeted therapy on tumor angiogenesis, causing reduced hepatic artery diameter and impaired arterial blood flow. These factors disrupt the liver’s dual blood supply system, ultimately contributing to hepatic infarction. To our knowledge, this is the first report of hepatic infarction as a complication following portal vein stent implantation for hepatocellular carcinoma with portal vein tumor thrombus, and it holds significant reference value for guiding the treatment of hepatocellular carcinoma with concurrent portal vein tumor thrombus in a clinical setting.

Chip collection of hepatocellular carcinoma based on O2 heterogeneity from patient tissue

Hepatocellular carcinoma frequently recurs after surgery, necessitating personalized clinical approaches based on tumor avatar models. However, location-dependent oxygen concentrations resulting from the dual hepatic vascular supply drive the inherent heterogeneity of the tumor microenvironment, which presents challenges in developing an avatar model. In this study, tissue samples from 12 patients with hepatocellular carcinoma are cultured directly on a chip and separated based on preference of oxygen concentration. Establishing a dual gradient system with drug perfusion perpendicular to the oxygen gradient enables the simultaneous separation of cells and evaluation of drug responsiveness. The results are further cross-validated by implanting the chips into mice at various oxygen levels using a patient-derived xenograft model. Hepatocellular carcinoma cells exposed to hypoxia exhibit invasive and recurrent characteristics that mirror clinical outcomes. This chip provides valuable insights into treatment prognosis by identifying the dominant hepatocellular carcinoma type in each patient, potentially guiding personalized therapeutic interventions.

Dynamic accumulation of a high-grade gas hydrate system: insights from the trial production gas hydrate reservoir in the Shenhu area, northern South China Sea

The ultimate enrichment level and quantity of gas hydrate resources are influenced by the dynamic process of accumulation and preservation. High-resolution 3-D seismic data, logging while drilling (LWD), pressured coring, and in situ testing were used to characterize the dynamic accumulation and preservation of the trial production high-grade gas hydrate reservoir (HGGHR) in the Shenhu area. Through seismic variance analysis and ant-tracking, we found that newly identified mud diapir-associated faults with three development stages controlled the migration and accumulation of gas hydrate and shifted the base of the gas hydrate stability zone (BGHSZ), resulting in dynamic accumulation and dissociation of gas hydrates. The recognized double bottom simulating reflectors (BSRs) were concluded to have been formed due to the shift of the BGHSZ caused by the variational equilibrium conditions. The interval between the double BSRs was inferred to be a disequilibrium zone where gas recycling occurred, contributing to the coexistence of gas hydrates and free gas and the dynamic formation of the HGGHR. Multiple gliding faults formed within the GHSZ in the late period have altered the HGGHR and control the present thickness and distribution of the gas hydrates and free gas in the hanging wall and footwall. Under the influence of geothermal fluids and the fault system associated with the mud diapir, the HGGHR experienced dynamic accumulation with three stages, including early accumulation, medium-term adjustment, and late alteration and preservation. We conclude that four factors affected the formation, distribution, and occurrence of the HGGHR: the geothermal fluids accompanying the deep mud diapir below the reservoir, the dual supply of thermogenic gas and biogenic gas, the recycling of hydrate gas beneath the BGHSZ, and the post-gas hydrate faults developed within the GHSZ. A geological model illustrating the dynamic formation of the trial production HGGHR was proposed, providing a reference for future exploration of HGGHRs with a great production potential in deepwater settings.

Pricing strategy with quality improvement in a dual collection channel closed-loop supply chain under return uncertainty

Pricing strategy with quality improvement in a dual collection channel closed-loop supply chain under return uncertainty

Analysis of Rail Potential and Stray Current with an Unified Chain Model of Dual Traction Power Supply System

In dual traction power supply systems, the overhead catenary system operates in different power supply modes. It passes across the AC section, DC section, and a neutral part, which influences the features and properties of the feedback current and aggregates its effects on stray current and rail potential. This research paper presents an integrated model of an AC and DC traction power system (TPS), along with a unified chain equivalent circuit model, the ground wire through the AC section, and the insulation joints fixed in the AC–DC neutral section under different operating positions. To make a unified impedance and admittance matrix for traction network, a virtual conductor wire has been added in the DC section to make the balance order of the TPS. The influence of reflex system configuration on rail potential, stray current, and distribution of rail potential at AC and DC stations has also been calculated. The simulation results demonstrate that establishing the insulation joints in the AC–DC section and using ground wires in the AC part can significantly decrease the stray current and rail potential.

High-Temporal-Resolution Kinetic Modeling of Lung Tumors with Dual-Blood Input Function Using Total-Body Dynamic PET.

The lungs are supplied by both the pulmonary arteries carrying deoxygenated blood originating from the right ventricle and the bronchial arteries carrying oxygenated blood downstream from the left ventricle. However, this effect of dual blood supply has never been investigated using PET, partially because the temporal resolution of conventional dynamic PET scans is limited. The advent of PET scanners with a long axial field of view, such as the uEXPLORER total-body PET/CT system, permits dynamic imaging with high temporal resolution (HTR). In this work, we modeled the dual-blood input function (DBIF) and studied its impact on the kinetic quantification of normal lung tissue and lung tumors using HTR dynamic PET imaging. Methods: Thirteen healthy subjects and 6 cancer subjects with lung tumors underwent a dynamic 18F-FDG scan with the uEXPLORER for 1 h. Data were reconstructed into dynamic frames of 1 s in the early phase. Regional time-activity curves of lung tissue and tumors were analyzed using a 2-tissue compartmental model with 3 different input functions: the right ventricle input function, left ventricle input function, and proposed DBIF, all with time delay and dispersion corrections. These models were compared for time-activity curve fitting quality using the corrected Akaike information criterion and for differentiating lung tumors from lung tissue using the Mann-Whitney U test. Voxelwise multiparametric images by the DBIF model were further generated to verify the regional kinetic analysis. Results: The effect of dual blood supply was pronounced in the high-temporal-resolution time-activity curves of lung tumors. The DBIF model achieved better time-activity curve fitting than the other 2 single-input models according to the corrected Akaike information criterion. The estimated fraction of left ventricle input was low in normal lung tissue of healthy subjects but much higher in lung tumors (∼0.04 vs. ∼0.3, P < 0.0003). The DBIF model also showed better robustness in the difference in 18F-FDG net influx rate [Formula: see text] and delivery rate [Formula: see text] between lung tumors and normal lung tissue. Multiparametric imaging with the DBIF model further confirmed the differences in tracer kinetics between normal lung tissue and lung tumors. Conclusion: The effect of dual blood supply in the lungs was demonstrated using HTR dynamic imaging and compartmental modeling with the proposed DBIF model. The effect was small in lung tissue but nonnegligible in lung tumors. HTR dynamic imaging with total-body PET can offer a sensitive tool for investigating lung diseases.

Disruption Risk Analysis of Substitutable Dual Product Supply Chain: A System Dynamics Framework

Uncertain events such as earthquakes, epidemics, and wars have increased the risk of supply chain disruption. Due to the needs of carbon reduction policies and environmental protection, a large number of enterprises have started to produce both traditional and green products. Studying the issue of supply chain disruption for such enterprises has significant practical significance. We have developed a system dynamics model for a substitutable dual product supply chain with two levels of supply sources. Through simulation analysis, we found that (1) supply chain disruption can cause fluctuations in the manufacturer’s inventory, and disruptions from second tier suppliers have a higher impact on the manufacturer’s inventory than that from primary suppliers. In addition, the disruption of traditional products will cause consumers to flow to the green product market, resulting in a sudden increase in order for green products and components in a short period of time, causing a delayed impact on the inventory of suppliers and manufacturers of green products. (2) The disruption of upstream suppliers in traditional products causes the highest profit losses for all traditional product suppliers, while the disruption of downstream suppliers in green products causes the highest profit losses for the manufacturer and all green product suppliers. (3) From the perspective of the service level, compared to other components, the disruption of critical components in traditional products poses the highest risk of out of stock in the supply chain, while the risk of out-of-stock in the intermediate component of green product is the smallest. (4) Common sense may suggest that the more the suppliers disrupt, the higher the damage of the supply chain. However, due to the ripple effect, this article finds that from the perspectives of profit, inventory, and service level, multisupplier disruption is not necessarily inferior to single supplier disruption.

Prevalence of The Arterial Hand Dominance Using the Modified Allen Test and Pulse Oximetry among Plastic Surgery Patients.

The ulnar and radial arteries are the major source of blood supply in the hand, as they form the superficial and deep palmar arches. Arterial hand circulation is one of the most complicated arterial trees and connections in the body, with tremendous variations in its structure. This study aimed to evaluate whether the ulnar artery or radial artery is the dominant artery in hand circulation among plastic surgery patients at King Khalid University Hospital and to correlate the arterial hand dominance with handedness and gender. This is an analytical cross-sectional study conducted at King Khalid University Hospital in Riyadh, Saudi Arabia, on plastic surgery patients. The sampling method is purposive sampling. The calculated sample size is 28; however, 100 participants have been enlisted in the study. The data have been collected using the modified Allen test with a pulse oximeter. The collective prevalence of dual arterial dominance in our study was 69% compared with 56% and 30% for Little et al (P = 0.013) and Fuhrman et al (P < 0.001), respectively. With regard to gender, women were more likely to have a dual arterial blood supply than men, with the frequency values of 85% and 58.3% for women and men, respectively (P = 0.017). Our study found that dual arterial supply is predominant among our participants, with 69% of our participants possessing a dual arterial supply, while 18% and 13% constitute the prevalence of radial and ulnar dominance, respectively. This contrasts with what has been reported previously in the literature.