Publications by authors named "Cheng Chia Lin"

Article Synopsis
  • A study was conducted to evaluate early continence outcomes after a specific surgical technique (three-layer vesicourethral reconstruction) during robot-assisted radical prostatectomy (RARP) in 170 prostate cancer patients.
  • Results showed that patients who underwent the three-layer reconstruction had significantly better continence rates at various postoperative intervals compared to those who had a one-layer reconstruction, with a 42% lower risk of incontinence.
  • Postoperative cystography results indicated that the three-layer group experienced less leakage and better bladder neck positioning, which contributed to overall improved continence outcomes.
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Few studies have examined the biochemical differences between cultured and wild coral after undergoing low-temperature preservation. The present study aimed to explore the differences in the biochemical characteristics of cultured and wild coral cells and oocytes (Echinopora gemmacea and Oxypora lacera) in cryopreservation conditions. Wild and cultured coral cells were extracted and subjected to freezing experiments involving multiple types and concentrations of cryoprotectant, and the oocytes from the cultured and wild corals were subjected to chilling experiments.

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Objective: Valproic acid (VPA) is used for the treatment of epilepsy and bipolar disorder (BD). The aims of this study was to examine that long-term VPA use affects mortality in BD patients.

Methods: Association analysis was conducted using the National Health Insurance Research Database (NHIRD) of Taiwan.

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Continuous-wave (CW) room-temperature (RT) laser operation with low energy consumption is an ultimate goal for electrically driven lasers. A monolithically integrated perovskite laser in a chip-level fiber scheme is ideal. However, because of the well-recognized air and thermal instabilities of perovskites, laser action in a perovskite has mostly been limited to either pulsed or cryogenic-temperature operations.

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Article Synopsis
  • The study aimed to assess the risk of major adverse cardiovascular events (MACE) in metastatic castration-resistant prostate cancer patients undergoing second-line hormonal therapies, specifically enzalutamide and abiraterone acetate.
  • Utilizing a large dataset from 2014 to 2017, researchers compared MACE rates between patients on second-line therapy and those receiving first-line androgen-deprivation therapy, revealing higher event rates in the second-line group.
  • Results indicated that second-line hormonal therapy significantly increased the risk of MACE, including acute coronary syndrome and heart failure, while the risk for ischemic stroke was similar between both treatment groups.
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We evaluated the efficacy of second-line hormonal therapy for treatment of metastatic castration-resistant prostate cancer (mCRPC) in a real-world retrospective study. We conducted a population-based real-world cohort study of 258 mCRPC patients between 2014 and 2018 using the Chang Gung Research Database (CGRD) of Taiwan. The second-line hormonal therapy included abiraterone acetate and enzalutamide.

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Aim: The chromosomal aberrations induced by radiation appear about nonrandomly distributed across the whole genome. Previous studies have shown that chromosomes with high DNA content are less frequently involved in the formation of symmetrical translocations and dicentric chromosomes than expected, whereas smaller chromosomes are more frequently involved. We hypothesized that these translocation regions are linked to radiation sensitivity.

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Background: To describe a novel operative technique resulting in extended durability and improved ease of use of current flexible ureteroscopes (FURS). A surgical method employing a modified technique of using an Olympus digital flexible URF-V ureteroscope was developed.

Methods: We retrospectively studied 546 patients who underwent retrograde intrarenal surgery (RIRS) using this modified approach performed by a single surgeon at our hospital, and investigated the outcome and durability of the ureteroscope.

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Article Synopsis
  • Epigenetic factors are significant in the development of cancers, and a study was conducted to assess the impact of valproic acid (VPA), used for bipolar disorder, on cancer risk.
  • The study analyzed data from the National Health Insurance Research Database in Taiwan, comparing patients treated with VPA and lithium against those treated with other anticonvulsants, using statistical methods to assess cancer incidence.
  • Findings indicated no overall increase in cancer risk for patients on VPA compared to lithium or other anticonvulsants, but a notable increased risk for genitourinary cancer in those treated with VPA for less than a year.
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Hormone-resistant (HR) prostate cancers are highly aggressive and respond poorly to treatment. A better understanding of the molecular mechanisms involved in HR should lead to more rational approaches to therapy. The role of IL-6/STAT3 signaling in the transition of HR with aggressive tumor behavior and its possible link with myeloid-derived suppressor cells (MDSCs) were identified.

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Background: The identification of potential tumor markers will help improve therapeutic planning and patient management. Therefore, the aim of this study was to highlight the role of DNA methyltransferase 1 (DNMT1) in bladder cancer.

Methods: A total of 50 samples of nonmalignant urothelium, 65 of muscle-invasive bladder cancers, 15 of distant metastasis, and 50 of nonmuscle-invasive bladder cancers were selected for immunohistochemical staining analysis.

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Diabetic nephropathy is the leading cause of end-stage renal disease in the world. The cause of diabetic nephropathy seems to be multifactorial, and about one-third of patients with diabetes eventually develop this complication. The gene encoding ectonucleotide pyrophosphatase/phosphodiesterase 1 (ENPP1) is a candidate susceptibility gene for obesity and type 2 diabetes.

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The objective of this study was to elucidate the role of fat distribution in predicting insulin resistance in peri- or post-menopausal women. The results demonstrated that insulin resistance increases with waist circumference and subscapular skinfold thickness but decreases with higher thigh circumflex in the peri- and post-menopausal women.

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We report a rare case of right primary testicular actinomycosis presenting as multiple testicular lesions mimicking a metastatic tumor in a 71-year-old patient with gastric adenocarcinoma. Preoperative diagnosis is difficult. The enlarged and inflamed testis was removed by orchiectomy and testicular actinomycosis was diagnosed after pathological examination.

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Background: This randomized trial was conducted to compare the efficacy and side effects of intravesical mitoxantrone instillation with those of doxorubicin in superficial bladder cancer following transurethral resection.

Methods: Sixty-three patients were randomized into mitoxantrone and doxorubicin groups. Most of the patients enrolled were elderly people (mean age, 71 years).

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