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  • Open Access

    REVIEW

    Polymeric Nanofiber Scaffolds for Diabetic Wound Healing: A Review

    Rafl M. Kamil1, Shaik Nyamathulla1,*, Syed Mahmood1,2,3,4,*

    Journal of Polymer Materials, Vol.42, No.4, pp. 959-992, 2025, DOI:10.32604/jpm.2025.072005 - 26 December 2025

    Abstract With the global diabetes epidemic, diabetic foot ulcers (DFUs) have become a major health burden, affecting approximately 18 million people worldwide each year, and account for about 80% of diabetes-related amputations. Five-year mortality among DFU patients approaches 30%, which is comparable to that of many malignancies. Yet despite standard wound care, only about 30%–40% of chronic DFUs achieve complete healing within 12 weeks. This persistent failure shows that conventional dressings remain passive supports. They do not counteract underlying pathologies such as ischemia, prolonged inflammation, and infection. Recent advances in polymeric nanofiber scaffolds, particularly electrospun matrices,… More > Graphic Abstract

    Polymeric Nanofiber Scaffolds for Diabetic Wound Healing: A Review

  • Open Access

    ARTICLE

    Enhancement of Medical Imaging Technique for Diabetic Retinopathy: Realistic Synthetic Image Generation Using GenAI

    Damodharan Palaniappan1, Tan Kuan Tak2, K. Vijayan3, Balajee Maram4, Pravin R Kshirsagar5, Naim Ahmad6,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.145, No.3, pp. 4107-4127, 2025, DOI:10.32604/cmes.2025.073387 - 23 December 2025

    Abstract A phase-aware cross-modal framework is presented that synthesizes UWF_FA from non-invasive UWF_RI for diabetic retinopathy (DR) stratification. A curated cohort of 1198 patients (2915 UWF_RI and 17,854 UWF_FA images) with strict registration quality supports training across three angiographic phases (initial, mid, final). The generator is based on a modified pix2pixHD with an added Gradient Variance Loss to better preserve microvasculature, and is evaluated using MAE, PSNR, SSIM, and MS-SSIM on held-out pairs. Quantitatively, the mid phase achieves the lowest MAE (98.76 ± 42.67), while SSIM remains high across phases. Expert review shows substantial agreement (Cohen’s More >

  • Open Access

    REVIEW

    Malignant Transformation of Diabetic Foot Ulcer: Pathophysiology, Molecular Mechanisms, and Clinical Implications

    Sophia Strukel1, Vikrant Rai1,2,*

    BIOCELL, Vol.49, No.10, pp. 1887-1911, 2025, DOI:10.32604/biocell.2025.067207 - 22 October 2025

    Abstract Diabetic foot ulcers (DFUs) are a serious complication of diabetes mellitus and are associated with high morbidity, risk of amputation, and increased mortality. Although DFUs typically remain a chronic, non-healing wound, a small portion of DFUs may undergo malignant transformation. The subsequent malignancies are skin cancers such as squamous cell carcinoma (SCC), basal cell carcinoma, or melanoma. Understanding the pathophysiology of DFUs and the molecular and clinical determinants that contribute to their potential malignant transformation if crucial for clinical management. Chronic inflammation, dysregulation of cytokine signaling, faulty immune surveillance, and impaired wound healing all play… More >

  • Open Access

    ARTICLE

    Rhein Inhibits Podocyte Ferroptosis and Epithelial-Mesenchymal Transition in Diabetic Nephropathy by Activating the SIRT1/p53/SLC7A11 Pathway

    Wei Hu1, Dan Xiong2,*

    BIOCELL, Vol.49, No.9, pp. 1711-1731, 2025, DOI:10.32604/biocell.2025.067670 - 25 September 2025

    Abstract Objectives: Podocytes undergo epithelial-mesenchymal transition (EMT) and ferroptosis in response to hyperglycemic stimulation. This is considered an important early event in the development and progression of diabetic nephropathy (DN). Rhein is the main active anthraquinone derivative in several common traditional herbal medicines. This study aimed to investigate the protective effects of Rhein on podocyte ferroptosis and EMT. Methods: The mouse glomerular podocyte cell line MPC5 was stimulated with high glucose (HG), Rhein, and the ferroptosis inhibitor ferrostatin-1 (Fer-1). Mechanistic investigations employed plasmids to overexpress and knockdown Sirtuin-1 (SIRT1), solute carrier family 7 member 11 (SLC7A11),… More >

  • Open Access

    CORRECTION

    Correction: Scheme Based on Multi-Level Patch Attention and Lesion Localization for Diabetic Retinopathy Grading

    Zhuoqun Xia1, Hangyu Hu1, Wenjing Li2,3, Qisheng Jiang1, Lan Pu1, Yicong Shu1, Arun Kumar Sangaiah4,5,*

    CMES-Computer Modeling in Engineering & Sciences, Vol.144, No.2, pp. 2683-2683, 2025, DOI:10.32604/cmes.2025.069871 - 31 August 2025

    Abstract This article has no abstract. More >

  • Open Access

    ARTICLE

    Efficient Wound Classification Using YOLO11n: A Lightweight Deep Learning Approach

    Fathe Jeribi1,2, Ayesha Siddiqa3,*, Hareem Kibriya4, Ali Tahir1, Nadim Rana1

    CMC-Computers, Materials & Continua, Vol.85, No.1, pp. 955-982, 2025, DOI:10.32604/cmc.2025.065853 - 29 August 2025

    Abstract Wound classification is a critical task in healthcare, requiring accurate and efficient diagnostic tools to support clinicians. In this paper, we investigated the effectiveness of the YOLO11n model in classifying different types of wound images. This study presents the training and evaluation of a lightweight YOLO11n model for automated wound classification using the AZH dataset, which includes six wound classes: Background (BG), Normal Skin (N), Diabetic (D), Pressure (P), Surgical (S), and Venous (V). The model’s architecture, optimized through experiments with varying batch sizes and epochs, ensures efficient deployment in resource-constrained environments. The model’s architecture… More >

  • Open Access

    ARTICLE

    Explainable Diabetic Retinopathy Detection Using a Distributed CNN and LightGBM Framework

    Pooja Bidwai1,2, Shilpa Gite1,3, Biswajeet Pradhan4,*, Abdullah Almari5

    CMC-Computers, Materials & Continua, Vol.84, No.2, pp. 2645-2676, 2025, DOI:10.32604/cmc.2025.061018 - 03 July 2025

    Abstract Diabetic Retinopathy (DR) is a critical disorder that affects the retina due to the constant rise in diabetics and remains the major cause of blindness across the world. Early detection and timely treatment are essential to mitigate the effects of DR, such as retinal damage and vision impairment. Several conventional approaches have been proposed to detect DR early and accurately, but they are limited by data imbalance, interpretability, overfitting, convergence time, and other issues. To address these drawbacks and improve DR detection accurately, a distributed Explainable Convolutional Neural network-enabled Light Gradient Boosting Machine (DE-ExLNN) is… More >

  • Open Access

    ARTICLE

    Predictive Analytics for Diabetic Patient Care: Leveraging AI to Forecast Readmission and Hospital Stays

    Saleh Albahli*

    CMES-Computer Modeling in Engineering & Sciences, Vol.143, No.1, pp. 1095-1128, 2025, DOI:10.32604/cmes.2025.058821 - 11 April 2025

    Abstract Predicting hospital readmission and length of stay (LOS) for diabetic patients is critical for improving healthcare quality, optimizing resource utilization, and reducing costs. This study leverages machine learning algorithms to predict 30-day readmission rates and LOS using a robust dataset comprising over 100,000 patient encounters from 130 hospitals collected over a decade. A comprehensive preprocessing pipeline, including feature selection, data transformation, and class balancing, was implemented to ensure data quality and enhance model performance. Exploratory analysis revealed key patterns, such as the influence of age and the number of diagnoses on readmission rates, guiding the More >

  • Open Access

    ARTICLE

    MVLA-Net: A Multi-View Lesion Attention Network for Advanced Diagnosis and Grading of Diabetic Retinopathy

    Tariq Mahmood1,2, Tanzila Saba1, Faten S. Alamri3,*, Alishba Tahir4, Noor Ayesha5

    CMC-Computers, Materials & Continua, Vol.83, No.1, pp. 1173-1193, 2025, DOI:10.32604/cmc.2025.061150 - 26 March 2025

    Abstract Innovation in learning algorithms has made retinal vessel segmentation and automatic grading techniques crucial for clinical diagnosis and prevention of diabetic retinopathy. The traditional methods struggle with accuracy and reliability due to multi-scale variations in retinal blood vessels and the complex pathological relationship in fundus images associated with diabetic retinopathy. While the single-modal diabetic retinopathy grading network addresses class imbalance challenges and lesion representation in fundus image data, dual-modal diabetic retinopathy grading methods offer superior performance. However, the scarcity of dual-modal data and the lack of effective feature fusion methods limit their potential due to… More >

  • Open Access

    ARTICLE

    AMSFuse: Adaptive Multi-Scale Feature Fusion Network for Diabetic Retinopathy Classification

    Chengzhang Zhu1,2, Ahmed Alasri1, Tao Xu3, Yalong Xiao1,2,*, Abdulrahman Noman1, Raeed Alsabri1, Xuanchu Duan4, Monir Abdullah5

    CMC-Computers, Materials & Continua, Vol.82, No.3, pp. 5153-5167, 2025, DOI:10.32604/cmc.2024.058647 - 06 March 2025

    Abstract Globally, diabetic retinopathy (DR) is the primary cause of blindness, affecting millions of people worldwide. This widespread impact underscores the critical need for reliable and precise diagnostic techniques to ensure prompt diagnosis and effective treatment. Deep learning-based automated diagnosis for diabetic retinopathy can facilitate early detection and treatment. However, traditional deep learning models that focus on local views often learn feature representations that are less discriminative at the semantic level. On the other hand, models that focus on global semantic-level information might overlook critical, subtle local pathological features. To address this issue, we propose an… More >

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