Practical implementation of automated insulin delivery systems in 2025: A French position statement update.

The advent of automated insulin delivery (AID) systems in 2020 marked a disruptive event in managing type 1 diabetes, benefiting children and adults alike. By 2024, advances in real-world data and research motivated an update to the French consensus on AID systems to expand accessibility, refine guidelines, and optimize patient follow-up. AID systems have consistently improved glycemic control by reducing HbA1c, increasing time-in-range (TIR), and minimizing hypoglycemia, with significant benefits even for specific populations such as individuals with poor glycemic control, brittle diabetes, children, very young children, pregnant women, those with insulin resistance or gastroparesis, or after bariatric surgery.

The Chimeric Antero-Lateral Thigh Flap and Vastus Lateralis Muscle Flap for the Infratemporal Fossa Reconstruction in Oral Cancer Defects.

Objectives: To evaluate the effectiveness of the chimeric Free Anterolateral Thigh (FALT) and vastus lateralis muscle (VLM) flap for reconstructing extensive defects in advanced oral squamous cell carcinoma (OSCC), particularly those involving the infratemporal fossa (ITF) and masticator space.

Methods: A retrospective study was conducted at Sri Shankara Cancer Hospital, Bangalore, from January 2023 to June 2024. It included 22 patients with T4a and T4b OSCC who underwent curative ablative surgery, ITF clearance, and reconstruction using the chimeric FALT-VLM flap.

Assessment of acoustic characteristics of speech in patients with bilateral abductor vocal cord paralysis following trans oral carbon dioxide LASER posterior cordotomy.

Aims: The study aimed to assess voice quality in patients with bilateral abductor vocal cord paralysis (BAVCP) following transoral carbon dioxide (CO2) LASER posterior cordotomy with acoustic parameters.

Materials And Methods: Twenty-five participants were recruited over a three-year duration. Voice analysis was done twice, pre-operatively and three months post-operatively in decannulated patients, with the help of Praat software (Version 6.

Time series analysis of Sentinel 1 A SAR data to retrieve annual rice area maps and long-term dynamics of start of season.

Rice is a vital staple crop globally, and accurate estimation of rice area was crucial for effective agricultural management and food security. Synthetic Aperture Radar (SAR) data has emerged as a valuable remote sensing tool for rice area estimation due to its ability to penetrate cloud cover and capture backscattered signals from rice fields. The backscatter signature of rice showed a minimum dB value at agronomic flooding indicating the Start of Season (SoS).

Siddha COVID Care Centers in Tamil Nadu, India: Coverage, Workload, and Knowledge Gaps.

Introduction The COVID-19 pandemic has significantly impacted India since March 2020. The Siddha system of medicine is one of the oldest medical systems and originated in Tamil Nadu. It is popular among countries where Tamil-speaking populations live.

Case Report: Management of recurrent UTI with tigecycline in a kidney transplant recipient.

This case report describes a 37-year-old man who underwent renal transplantation and subsequently developed complicated recurrent urinary tract infections (UTIs) caused by multidrug-resistant (MDR) . Despite initial treatment with fosfomycin and meropenem, the patient experienced persistent UTIs, leading to multiple hospitalizations. The management of these recurrent infections eventually required the use of tigecycline.

Efficient Kidney Tumor Classification and Segmentation with U-Net.

A novel approach to kidney tumor identification is introduced, which integrates kidney tumor classification and segmentation algorithms. The multi-faceted approach commences with the classification of kidney images, adaptly discerning between normal and tumor instances. For individuals identified as tumor-positive, a sophisticated UNet-based architecture is intricately employed to achieve precise segmentation, capturing nuanced details of both kidney and tumor regions.

Toward Decision Support System for Lower Limb Endovascular Revascularization.

Vascular surgeons take decisions on the revascularization technics when surgery is needed for patients with Lower Extremities Arterial Disease (LEAD). This decision requires experience, good knowledge of official recommandations and new technics and an exhaustive description of the patient status. The Case Based Reasoning (CBR) is a good candidate to clinical decision support.

Advanced Wheelchair Rehabilitation: Surface EMG-augmented 9-DoF System for Upper and Lower Limb.

The rehabilitation is a most important phase in recovery of motor movements in the body. Using advanced robotic systems in the field of rehabilitation brings effective therapy in recuperation treatment. In this paper we propose a novel Electromyography (EMG) signal augmented, upper and lower limb integrated, Internet of Things (IoT) enabled, wheel chair based exoskeleton system called XoRehab.

Spine Vision - X-Ray Image based GUI Planning of Pedicle Screws Using Enhanced YOLOv5 for Vertebrae Segmentation.

In this paper, we propose an innovative Graphical User Interface (GUI) aimed at improving preoperative planning and intra-operative guidance for precise spinal screw placement through vertebrae segmentation. The methodology encompasses both front-end and back-end computations. The front end comprises a GUI that allows surgeons to precisely adjust the placement of screws on X-Ray images, thereby improving the simulation of surgical screw insertion in the patient's spine.

Embryonic Quality Assessment using Advanced Deep Learning Architectures utilizing Microscopic Images of Blastocysts.

The accurate evaluation of embryonic quality which is a key aspect in Assisted Reproductive Technology (ART) and it is crucial to ensure the success of in vitro fertilization (IVF), especially at critical developmental phases like day 3 and day 5. To increase the success rate of implantation, morphological feature-based scoring techniques are currently the mainstay of embryo evaluation. Addressing the need for enhanced accuracy and latency, our work uses advanced algorithms based on deep learning to assess microscopic images of embryos at these critical junctures.

Long-Term Outcomes and Survival in Patients Undergoing Multiple vs. Single Renal Artery Transplants: A Retrospective Cohort Study.

Introduction The incidence of end-stage renal disease (ESRD) is increasing, and strategies are needed to expand the available kidney donor pool. Urologists have not preferred multiple renal artery (MRA) grafts due to concerns about higher complication rates. This study aimed to compare graft and patient survival post-transplant, complications, and the time taken to reach the nadir creatinine levels.

Urinary Lipoarabinomannan (LAM) in HIV sero-negative miliary tuberculosis patients.

Background: Tuberculosis (TB) is the leading cause of death from infectious diseases worldwide next to COVID. Miliary presentation is a form of TB that can cause 100% mortality without treatment. Due to lack of a gold standard test, a systematic approach of high index of clinical suspicion and efforts at demonstrating Mycobacterium tuberculosis is imperative to early treatment initiation and mortality reduction.

A novel skin cancer detection architecture using tangent rat swarm optimization algorithm enabled DenseNet.

This paper proposes a Tangent Rat Swarm Optimization (TRSO)-DenseNet for the detection of skin cancer to reduce the severity rate of cancer. Initially, the input image is pre-processed by employing a linear smoothing filter. The pre-processed image is transferred to skin lesion segmentation, where Mask-RCNN is utilized for segmenting the skin lesion.

Enhancing light harvesting in bilayered dye-sensitized solar cells by tailoring light scattering with electrospun TiO nanofibers.

Dye-sensitised solar cells (DSCs) possess promising features such as high performance under low-light conditions, cost-effectiveness, and adaptability in contrast to conventional silicon-based solar cells. Introducing a scattering layer has been reported to be one of the most effective and economical solutions for improving the efficiency of DSCs. In this regard, various one-dimensional nanostructures have been applied to DSCs to enhance its light scattering property and improve electron transport, thereby achieving a better lifetime.

A station-based 0.1-degree daily gridded ensemble precipitation dataset for India.

Gridded precipitation products are inherently uncertain and predominantly deterministic, which limits their applicability in data assimilation systems and hydrologic modeling. This limitation is significant in developing countries such as India, where the observation network is sparse and non-uniform, topography is complex, and hydrometeorological extremes are frequent. The current official 0.

A Simple Working Classification for Effective Surgical Management of Prominent Ears.

Prominent ear or prominauris is the most common congenital deformity of the ear. Children may get bullied in school because of this, and patients usually seek treatment for prominent ears because of psychosocial concerns even though functionally there are no issues. Numerous surgical procedures are described for correction of prominauris but there is no single procedure that gives consistent and satisfying outcomes.

Virtual Screening and Identification of Novel Oxindole Derivatives as Potential Antimicrobial Agents.

Introduction: Antimicrobial resistance (AMR), according to the World Health Organi-zation, is one of the most serious risks to global public health and development. It is a serious health hazard, with over 10 million deaths expected by 2050. New treatment materials and ways to remove AMR pathogens are in great demand to combat illnesses caused by such bacteria.

Acceptance and Commitment Therapy and Psychological Well-Being: A Narrative Review.

Acceptance and commitment therapy (ACT) is an innovative psychological intervention emphasizing psychological flexibility and values-driven actions to enhance overall well-being. Unlike traditional cognitive-behavioral therapies (CBT), which often focus on altering maladaptive thoughts and behaviors, ACT encourages the acceptance of negative thoughts and emotions while fostering a commitment to personal values. This review explores ACT's effectiveness in promoting psychological well-being (PWB) by encompassing emotional, psychological, and social dimensions.

Allometric scaling and carbon sequestration in agroforestry species of the Western Himalayas: a model-based approach.

Agroforestry offers a huge potential for carbon sequestration, contributing to climate change mitigation and carbon trading. This study focuses on Bauhinia variegata and Celtis australis, two important agroforestry tree species in the Western Himalayas aiming to develop allometric models and biomass prediction ratios using empirical data collected through selective sampling and minimally destructive methods. Biomass components were categorized and weighed, and allometric equations were developed using diameter at breast height and height as independent variables.

Self-Efficacy Among Adolescents With Sickle Cell Disease in a Central Indian Tertiary Care Hospital.

Aim: Sickle cell disease (SCD) is a major public health concern. Self-efficacy is a person's particular set of beliefs in their ability to accomplish daily life activities with symptom management. The aim of the present study was to explore the level of self-efficacy among adolescents with SCD.

Arrested Puberty in a Young Adult With a Macroprolactinoma: Case Report and Literature Review.

Prolactinoma is the most common pituitary tumor, with clinical presentations varying according to sex, age of onset, tumor size, and prolactin (PRL) levels. These tumors are rare in the pediatric and adolescent populations. Hyperprolactinemia leads to hypogonadotropic hypogonadism, resulting in reproductive, metabolic, sexual, and skeletal consequences that can affect puberty development.

Gingivitis and periodontitis among Indian patients diagnosed using trefoil factor 3.

Recently there has been an increased interest on the identifying and preventing the disease with profuse biomarkers. There are very few studies done in understanding the relationship of TFF3 levels in the diseased condition. Therefore, it is of interest to determine effect of non-surgical periodontal therapy on trefoil factor levels in patients with gingivitis and periodontitis.