Publications by authors named "Chou-Ching Lin"

Epilepsy is a globally distributed chronic neurological disorder that may pose a threat to life without warning. Therefore, the use of wearable devices for real-time detection and treatment of epilepsy is crucial. Additionally, personalizing disease detection algorithms for individual users is also a challenge in clinical applications.

View Article and Find Full Text PDF

Noninvasive brain stimulation (NIBS) techniques, including transcranial direct current stimulation (tDCS) and transcranial random noise stimulation (tRNS), are emerging as promising tools for enhancing cognitive functions by modulating brain activity and enhancing cognitive functions. Despite their potential, the specific and combined effects of tDCS and tRNS on brain functions, especially regarding functional connectivity, cortical inhibition, and memory performance, are not well-understood. This study aims to explore the distinct and combined impacts of tDCS and tRNS on these neural and cognitive parameters.

View Article and Find Full Text PDF

This study proposes a charge-mode neural stimulator for electrical stimulation systems that utilizes a capacitor-reuse technique with a residual charge detector and achieves active charge balancing simultaneously. The design is mainly used for epilepsy suppression systems to achieve real-time symptom relief during seizures. A charge-mode stimulator is adopted in consideration of the complexity of circuit design, the high voltage tolerance of transistors, and system integration requirements in the future.

View Article and Find Full Text PDF

Mg-Sn alloy thin films have garnered significant attention for their outstanding thermoelectric (TE) properties and cost-effective elemental composition, making them potential candidates for wearable energy harvesting devices. While previous studies have explored the properties of these thin films, limited research has been conducted to identify physical factors that can further enhance their performance. In this study, we present a novel approach utilizing a convenient electron beam coevaporation technique to fabricate Mg-Sn alloy thin films.

View Article and Find Full Text PDF

Background: Although conventional electrophysiological parameters have been proposed as clinical indicators for monitoring lead neuropathies, their correlations with blood lead level are weak. In this study, we investigated the applicability of nerve excitability tests (NETs) to evaluate lead intoxication.

Methods: Fourteen workers who were exposed to lead with an elevated blood level ranging from 17.

View Article and Find Full Text PDF

The formation of customized neural networks as the basis of brain functions such as receptive field selectivity, learning or memory depends heavily on the long-term plasticity of synaptic connections. However, the current mean-field population models commonly used to simulate large-scale neural network dynamics lack explicit links to the underlying cellular mechanisms of long-term plasticity. In this study, we developed a new mean-field population model, the plastic density-based neural mass model (pdNMM), by incorporating a newly developed rate-based plasticity model based on the calcium control hypothesis into an existing density-based neural mass model.

View Article and Find Full Text PDF

Various infarct sizes induced by middle cerebral artery occlusion (MCAO) generate inconsistent outcomes for stroke preclinical study. Monitoring cerebral hemodynamics may help to verify the outcome of MCAO. The aim of this study was to investigate the changes in brain tissue optical properties by frequency-domain near-infrared spectroscopy (FD-NIRS), and establish the relationship between cerebral hemodynamics and infarct variation in MCAO model.

View Article and Find Full Text PDF

(1) Background: Quantification of severity of epileptic activities, especially during electrical stimulation, is an unmet need for seizure control and evaluation of therapeutic efficacy. In this study, a parameter ratio derived from constrained square-root cubature Kalman filter (CSCKF) was formulated to quantify the excitability of local neural network and compared with three commonly used indicators, namely, band power, Teager energy operator, and sample entropy, to objectively determine their effectiveness in quantifying the severity of epileptiform discharges in mice. (2) Methods: A set of one normal and four types of epileptic EEGs was generated by a mathematical model.

View Article and Find Full Text PDF
Article Synopsis
  • Understanding functional interhemispheric asymmetry is essential for effective post-stroke rehabilitation programs, as it influences recovery outcomes in stroke patients.
  • This study involved 23 acute stroke patients, using multichannel near-infrared spectroscopy (NIRS) to assess changes in brain activity and oxygen levels during resting and finger-tapping tasks at different recovery stages.
  • Results indicated that severe-stroke patients showed significantly lower interhemispheric synchronization and cortical activation compared to minor-stroke patients, though some recovery was observed by week three for specific brain regions in the affected hemisphere.
View Article and Find Full Text PDF

Background: Various forms of theta-burst stimulation (TBS) such as intermittent TBS (iTBS) and continuous TBS (cTBS) have been introduced as novel facilitation/suppression schemes during repetitive transcranial magnetic stimulation (rTMS), demonstrating a better efficacy than conventional paradigms. Herein, we extended the rTMS-TBS schemes to electrical stimulation of high-definition montage (HD-TBS) and investigated its neural effects on the human brain.

Methods: In a within-subject design, fifteen right-handed healthy adults randomly participated in 10 min and 2 mA HD-TBS sessions: unilateral (Uni)-iTBS, bilateral (Bi)-cTBS/iTBS, and sham stimulation over primary motor cortex regions.

View Article and Find Full Text PDF

Background: Survival analyses are heavily used to analyze data in which the time to event is of interest. The purpose of this paper is to introduce some fundamental concepts for survival analyses in medical studies.

Methods: We comprehensively review current survival methodologies, such as the nonparametric Kaplan-Meier method used to estimate survival probability, the log-rank test, one of the most popular tests for comparing survival curves, and the Cox proportional hazard model, which is used for building the relationship between survival time and specific risk factors.

View Article and Find Full Text PDF

Venous needle dislodgement (VND) is a major healthcare safety concern in patients undergoing hemodialysis. Although VND is uncommon, it can be life-threatening. The main objective of this study was to implement a real-time multi-bed monitoring system for VND by combining a novel leakage-detection device and IoMT (Internet of Medical Things) technology.

View Article and Find Full Text PDF

Background And Objectives: The GGC repeat expansion in the 5' untranslated region of was recently identified as the cause of neuronal intranuclear inclusion disease (NIID), which may manifest with peripheral neuropathy. The aim of this study is to investigate its contribution to inherited neuropathy.

Methods: This cohort study screened patients with molecularly undiagnosed Charcot-Marie-Tooth disease (CMT) and healthy controls for the GGC repeat expansion in using repeat-primed PCR and fragment analysis.

View Article and Find Full Text PDF

Chemotherapy-induced cognitive impairment (CICI) is an adverse side effect of cancer treatment with increasing awareness. Hippocampal damage and related neurocognitive impairment may mediate the development of CICI, in which altered neurogenesis may play a role. In addition, increased inflammation may be related to chemotherapy-induced hippocampal damage.

View Article and Find Full Text PDF

Epilepsy is a common clinical disease. Severe epilepsy can be life-threatening in certain unexpected conditions, so it is important to detect seizures instantly with a wearable device and to provide treatment within the golden window. The observation of the electroencephalography (EEG) signal is an imperative method to assist correct epilepsy diagnosis.

View Article and Find Full Text PDF

Despite its success in understanding brain rhythms, the neural mass model, as a low-dimensional mean-field network model, is phenomenological in nature, so that it cannot replicate some of rich repertoire of responses seen in real neuronal tissues. Here, using a colored-synapse population density method, we derived a novel neural mass model, termed density-based neural mass model (dNMM), as the mean-field description of network dynamics of adaptive exponential integrate-and-fire (aEIF) neurons, in which two critical neuronal features, i.e.

View Article and Find Full Text PDF

Oxaliplatin-induced peripheral neuropathy (OIPN) is a common adverse effect that causes delayed treatment and poor prognosis among colorectal cancer (CRC) patients. However, its mechanism remains elusive, and no effective treatment is available. We employed a prospective cohort study of adult patients with pathologically confirmed stage III CRC receiving adjuvant chemotherapy with an oxaliplatin-based regimen for investigating OIPN.

View Article and Find Full Text PDF

Background: The challenge of differentiating, at an early stage, Parkinson's disease from parkinsonism caused by other disorders remains unsolved. We proposed using an artificial neural network (ANN) to process images of dopamine transporter single-photon emission computed tomography (DAT-SPECT).

Methods: Abnormal DAT-SPECT images of subjects with Parkinson's disease and parkinsonism caused by other disorders were divided into training and test sets.

View Article and Find Full Text PDF

Objective: Greater occipital nerve (GON) block may provide substantial relief for headache in the occipital location. This study tested the feasibility of focused ultrasound (FUS) to induce the conduction block of GONs in rats.

Approach: For in vitro experiments, the nerve was dissected and cut from C2 to the site near the ear of the rats and preserved in Ringer's solution.

View Article and Find Full Text PDF

This work presents a fall detection system that is worn on the head, where the acceleration and posture are stable such that everyday movement can be identified without disturbing the wearer. Falling movements are recognized by comparing the acceleration and orientation of a wearer's head using prespecified thresholds. The proposed system consists of a triaxial accelerometer, gyroscope, and magnetometer; as such, a Madgwick's filter is adopted to improve the accuracy of the estimation of orientation.

View Article and Find Full Text PDF

The main aim of this study was to evaluate the biomechanical and hemodynamic responses of vasa nervorum under transverse circular compression. In situ compress-and-hold experiments were performed on the sciatic nerves of healthy and diabetic rats, and the blood flow within the vasa nervorum was observed using Doppler-optical coherence tomography. A new technique was developed to obtain the time-course of the cross sectional area and the morphology of the vasa nervorum from the tomographic images.

View Article and Find Full Text PDF

Purpose: Chemotherapy-induced peripheral neuropathy often results in a reduction in drug dose. However, the serum level of anticancer drugs varies with time after intravenous infusion, and this factor has seldom been considered in previous in vitro studies. The goals of this study were to build an automatic dosage control system and to evaluate the influence of drug infusion rate on the cells.

View Article and Find Full Text PDF
Article Synopsis
  • The study evaluated the safety and effectiveness of fingolimod in patients with relapsing-remitting multiple sclerosis (RRMS) in Taiwan using retrospective clinical data from 2012 to 2015.
  • There was a high retention rate of patients on fingolimod (86.1%), with common adverse events including bradycardia and respiratory infections, but serious side effects were relatively low (15.9%).
  • Fingolimod treatment resulted in an annualized relapse rate of 0.3, with 66.7% of patients relapse-free, indicating a manageable safety profile and effective outcomes for RRMS patients in Taiwan.
View Article and Find Full Text PDF
Article Synopsis
  • Researchers investigated if adding electrical stimulation to high-intensity focused ultrasound (HIFU) treatment could improve fat metabolism in pigs after HIFU lipolysis.
  • Male Landrace piglets were divided into groups receiving different combinations of HIFU and electrical stimulation, with measurements taken over several weeks.
  • Results showed that HIFU combined with electrical stimulation led to a significant reduction in waist circumference, while the other groups either had no change or increased in size.
View Article and Find Full Text PDF

Objective: Effective treatment methods for diabetic peripheral neuropathy are still lacking. Here, a focused ultrasound (FUS) technique was developed to improve blood flow in diabetic peripheral vessels and potentially treat diabetic peripheral neuropathy.

Research Design And Methods: Male adult Sprague-Dawley rats at 4 weeks poststreptozotocin injections were adopted as models for diabetic neuropathic rats.

View Article and Find Full Text PDF