Publications by authors named "Chengyu Tsai"

As time progresses, the transmission pattern of a disease may change. To more precisely determine the spread behaviors of the disease, we develop non-autonomous topological and random spread models. In this article, we validate the survival characteristics of these spread models and elucidate their connection with mixing properties using the associated ξ-matrices or spread mean matrices.

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Introduction: TWe investigated impacts of particulate matter with an aerodynamic diameter of less than 2.5 μm (PM), relative humidity (RH), and temperature on sleep stages and arousal.

Materials And Methods: A cross-sectional analysis involving 8,611 participants was conducted at a sleep center in Taipei.

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The Jun dimerization protein (Jdp2) gene is active in mouse cerebellar granule cells and its protein product plays a crucial role in the formation of the cerebellum lobes through programmed cell death. However, the role of Jdp2 in cellular differentiation and pluripotency in the cerebellum, and the effect of the antioxidation reaction on cell plasticity, remain unknown. N-acetyl-L-cysteine (NAC) induced the early commitment of the differentiation of granule cell precursors (GCPs) to neurons, especially Purkinje cells, via the γ-aminobutyric acid type A receptor α6 subunit (Gabra6) axis; moreover, Jdp2 depletion enhanced this differentiation program of GCPs.

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: Coronavirus disease 2019 (COVID-19) can cause intubation and ventilatory support due to respiratory failure, and extubation failure increases mortality risk. This study, therefore, aimed to explore the feasibility of using specific biochemical and ventilator parameters to predict survival status among COVID-19 patients by using machine learning. : This study included COVID-19 patients from Taipei Medical University-affiliated hospitals from May 2021 to May 2022.

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  • Obstructive sleep apnea (OSA) might lead to changes in slow-wave sleep activity, which could increase the risk of developing Alzheimer's disease; this study aimed to explore the relationship between OSA symptoms and neurochemical biomarkers related to Alzheimer's.
  • The study involved 42 individuals undergoing polysomnography to assess their sleep patterns and blood tests to measure levels of total tau (T-Tau) and amyloid beta-peptide 42 (Aβ), categorizing participants into low and high Alzheimer's risk groups.
  • Results indicated that high-risk individuals had worse sleep metrics and unusual slow-wave sleep patterns, suggesting that OSA symptoms could indirectly raise levels of neurochemical markers linked to Alzheimer's, but further research is needed to establish direct causal links.
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  • The study explored the genetic variants linked to sensorineural hearing impairment (SNHI) in Mongolian patients, who show different mutation patterns compared to other populations.
  • Using next-generation sequencing on 99 patients, researchers found pathogenic variants in 54% of them, with a specific gene mutation being the most common.
  • This research not only enhances knowledge of SNHI genetics in Mongolia but also emphasizes the need for tailored genetic testing and counseling based on population differences.
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  • * The study identified various radiological findings, with brain edema and acute subdural hematoma being the most common, and categorized surgical outcomes into poor (e.g., brain edema, acute subdural hematoma) and good (e.g., epidural hematoma, skull fractures) groups based on recovery metrics.
  • * Decompressive craniectomy was found to be an effective surgical option, and the research highlighted that timely cranioplasty could minimize the risk of post-traumatic hydroce
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Introduction: Sensorineural hearing impairment (SNHI), a common childhood disorder with heterogeneous genetic causes, can lead to delayed language development and psychosocial problems. Next-generation sequencing (NGS) offers high-throughput screening and high-sensitivity detection of genetic etiologies of SNHI, enabling clinicians to make informed medical decisions, provide tailored treatments, and improve prognostic outcomes.

Areas Covered: This review covers the diverse etiologies of HHI and the utility of different NGS modalities (targeted sequencing and whole exome/genome sequencing), and includes HHI-related studies on newborn screening, genetic counseling, prognostic prediction, and personalized treatment.

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We have achieved a significant breakthrough in the preparation and development of two-dimensional nanocomposites with P-N heterojunction interfaces as efficient cathode catalysts for electrochemical hydrogen evolution reaction (HER) and iodide oxidation reaction (IOR). P-type acid-doped polyaniline (PANI) and N-type exfoliated molybdenum disulfide (MoS) nanosheets can form structurally stable composites due to formation of P-N heterojunction structures at their interfaces. These P-N heterojunctions facilitate charge transfer from PANI to MoS structures and thus significantly enhance the catalytic efficiency of MoS in the HER and IOR.

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Background: Recessive GJB2 variants, the most common genetic cause of hearing loss, may contribute to progressive sensorineural hearing loss (SNHL). The aim of this study is to build a realistic predictive model for GJB2-related SNHL using machine learning to enable personalized medical planning for timely intervention.

Method: Patients with SNHL with confirmed biallelic GJB2 variants in a nationwide cohort between 2005 and 2022 were included.

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Study Objectives: The gold standard for diagnosing obstructive sleep apnea (OSA) is polysomnography (PSG). However, PSG is a time-consuming method with clinical limitations. This study aimed to create a wireless radar framework to screen the likelihood of 2 levels of OSA severity (ie, moderate-to-severe and severe OSA) in accordance with clinical practice standards.

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Variants in the gap junction beta-2 () gene are the most common cause of hereditary hearing impairment. However, how variants lead to local physicochemical and structural changes in the hexameric ion channels of connexin 26 (Cx26), resulting in hearing impairment, remains elusive. In this study, using molecular dynamics (MD) simulations, we showed that detached inner-wall N-terminal "plugs" aggregated to reduce the channel ion flow in a highly prevalent V37I variant in humans.

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Aminoglycoside- and cisplatin-induced ototoxicity, which is a significant issue owing to the widespread use of these drugs in clinical practice, involves the entry of aminoglycosides and cisplatin into the endolymph and hair cells via specific channels or transporters, followed by reactive oxygen species (ROS) generation and hair cells apoptosis. Current strategies focalize primarily on interference with downstream ROS effects; however, recent evidence has demonstrated that inhibiting the uptake of aminoglycosides and cisplatin by hair cells is another promising strategy for tackling the upstream drug uptake pathway. With advances in structural biology, the conformations of certain aminoglycoside and cisplatin channels and transporters, such as the mechanoelectrical transduction channel and organic cation transporter-2, have been largely elucidated.

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  • Air pollution, particularly exposure to particulate matter (PM), may disrupt body water distribution and is linked to low-arousal-threshold obstructive sleep apnea (low-ArTH OSA).
  • A study involving 1,924 participants in Taiwan showed that increased PM exposure correlated with higher sleep disorder indices and altered body water ratios.
  • Findings indicate that air pollution directly contributes to sleep disorders and changes in body water distribution, which may increase the risk of low-ArTH OSA.
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Objective: Obstructive sleep apnea is a global health concern, and several tools have been developed to screen its severity. However, most tools focus on respiratory events instead of sleep arousal, which can also affect sleep efficiency. This study employed easy-to-measure parameters-namely heart rate variability, oxygen saturation, and body profiles-to predict arousal occurrence.

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Objective: There is an unmet clinical need for effective, targeted interventions to prevent post-ERCP pancreatitis (PEP). We previously demonstrated that the serine-threonine phosphatase, calcineurin (Cn) is a critical mediator of PEP and that the FDA-approved calcineurin inhibitors, tacrolimus (Tac) or cyclosporine A, prevented PEP. Our recent observations in preclinical PEP models demonstrating that Cn deletion in both pancreatic and hematopoietic compartments is required for maximal pancreas protection, highlighted the need to target both systemic and pancreas-specific Cn signaling.

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  • * A study sequenced GJB2 and other deafness-related genes in patients with extreme variations of SNHI severity to explore this phenotypic variability, identifying additional pathogenic variants in some patients with severe-to-profound hearing loss.
  • * Notably, a specific variant (CRYL1 rs14236) was found more frequently in patients with severe-to-profound SNHI compared to those with milder forms, suggesting that both additional genetic factors
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Introduction: Age-specific risk factors may delay posttraumatic functional recovery; complex interactions exist between these factors. In this study, we investigated the prediction ability of machine learning models for posttraumatic (6 months) functional recovery in middle-aged and older patients on the basis of their preexisting health conditions.

Methods: Data obtained from injured patients aged ≥45 years were divided into training-validation ( = 368) and test ( = 159) data sets.

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Background: Exposure to air pollution may be a risk factor for obstructive sleep apnea (OSA) because air pollution may alter body water distribution and aggravate OSA manifestations.

Objectives: This study aimed to investigate the mediating effects of air pollution on the exacerbation of OSA severity through body water distribution.

Methods: This retrospective study analyzed body composition and polysomnographic data collected from a sleep center in Northern Taiwan.

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Objective: This study proposed a moving average (MA) approach to dynamically process heart rate variability (HRV) and developed aberrant driving behavior (ADB) prediction models by using long short-term memory (LSTM) networks.

Background: Fatigue-associated ADBs have traffic safety implications. Numerous models to predict such acts based on physiological responses have been developed but are still in embryonic stages.

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When a symbol or a type has been "frozen" (namely, a type of which an individual only produces one individual of the same type), its spread pattern will be changed and this change will affect the long-term behavior of the whole system. However, in a frozen system, the ξ-matrix and the offspring mean matrix are no longer primitive so that the Perron-Frobenius theorem cannot be applied directly when predicting the spread rates. In this paper, our goal is to characterize these key matrices and analyze the spread rate under more general settings both in the topological and random spread models with frozen symbols.

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2-Cyano-3,12-dioxooleana-1,9(11)-dien-28-oic acid-9,11-dihydro-trifluoroethyl amide (CDDO-dhTFEA) has antioxidant and anti-inflammatory activities; however, whether CDDO-dhTFEA has anticancer effects is unclear. The objective of this research was to investigate the possibility of CDDO-dhTFEA as a potential cancer-fighting treatment in glioblastoma cells. Our experiments were performed on U87MG and GBM8401 cells, and we found that CDDO-dhTFEA was effective in reducing cell proliferation in both cell lines, in a manner that was dependent on both time and concentration.

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Obstructive sleep apnea (OSA) with a low arousal threshold (low-ArTH) phenotype can cause minor respiratory events that exacerbate sleep fragmentation. Although anthropometric features may affect the risk of low-ArTH OSA, the associations and underlying mechanisms require further investigation. This study investigated the relationships of body fat and water distribution with polysomnography parameters by using data from a sleep center database.

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GSK3β interacting protein (GSKIP) is a small A-kinase anchor protein previously reported to mediate the N-cadherin/β-catenin pool for differentiation in SH-SY5Y cells through overexpression of GSKIP to present the neuron outgrowth phenotype. To further investigate how GSKIP functions in neurons, CRISPR/Cas9 technology was utilized to knock out GSKIP (GSKIP-KO) in SH-SY5Y. Several GSKIP-KO clones resulted in an aggregation phenotype and reduced cell growth without retinoic acid (RA) treatment.

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