Publications by authors named "Lin Hung-Ching"

Purpose: To evaluate monosyllable word recognition in noise under different conditions in bilateral sequential cochlear implants (CIs). Second, to assess subjective hearing benefits among bilateral sequential CIs, bimodal hearing, and CI-only groups. Lastly, to analyze the prognostic factors affecting CI outcomes in children with bilateral sequential CIs.

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Objective: To evaluate the effects of related factors on long-term speech perception and quality-of-life (QoL) outcomes in postlingual deaf Mandarin-speaking adult cochlear implant (CI) recipients and to assess any differences between tone language and other intonation language CI adult users.

Study Design: Retrospective cases review.

Setting: Tertiary referral center.

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This study aimed to investigate the role of hearing aid (HA) usage in language outcomes among preschool children aged 3-5 years with mild bilateral hearing loss (MBHL). The data were retrieved from a total of 52 children with MBHL and 30 children with normal hearing (NH). The association between demographical, audiological factors and language outcomes was examined.

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Background: Mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes (MELAS) is a maternally inherited mitochondrial disease that affects various systems in the body, particularly the brain, nervous system, and muscles. Among these systems, sensorineural hearing loss is a common additional symptom.

Methods: A 42-year-old female patient with MELAS who experienced bilateral profound deafness and underwent bilateral sequential cochlear implantation (CIs).

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Background: With advances in cochlear implant (CI) technology, prelingual deaf adults may experience improved speech perception and quality of life (QoL). It is still a challenge for Mandarin-speaking CI user with tone recognition due to CI technology focused on intonation language.

Objectives: To evaluate the long-term post-CI auditory performance and social-emotional benefits in prelingual deaf Mandarin-speaking adults and the difference between them and post-lingual deaf adults.

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Purpose: Although previous studies have shown the efficacy of cochlear implants (CIs) in older adults, no study written in English has focused on Mandarin-speaking older recipients. Mandarin is a tonal language, it is hard to lip-read and tone recognition for CI users. This study aimed to evaluate the long-term post-CI outcomes in Mandarin-speaking older adults and the difference between them and younger recipients.

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The value of kinematic data for skill assessment is being investigated. This is the first virtual reality simulator developed for liver surgery. This simulator was coded in C++ using PhysX and FleX with a novel cutting algorithm and used a patient data-derived model and two instruments functioning as ultrasonic shears.

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Objective: This investigation was to ascertain the performance of the UNHS in Taiwan.

Methods: The predefined questionnaire was delivered on the phone in 2016. The descriptive analysis was applied to the research data.

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Article Synopsis
  • Recessive variants in the MYO15A gene are a significant cause of sensorineural hearing impairment (SNHI), and this study focused on understanding the specific hearing features and outcomes related to these variants.
  • The research involved 40 patients with biallelic MYO15A variants, comparing their audiological data and cochlear implantation results based on the presence of N-terminal domain variants.
  • Findings showed that most patients had severe to profound SNHI, with those having N variants showing better hearing levels, and a majority of cochlear implant recipients experienced positive auditory and speech outcomes, highlighting the need for regular hearing assessments.
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Article Synopsis
  • The study compared three cochlear implant (CI) sound coding strategies—BioAid, envelope enhancement (EE), and fundamental frequency modulation (F0mod)—with the advanced combination encoder (ACE) to evaluate speech intelligibility using vocoded Mandarin sentences.
  • The researchers assessed speech understanding through objective and subjective tests, finding that the EE strategy outperformed ACE at certain signal-to-noise ratios, especially when combined with BioAid.
  • The results indicate that while the combination of strategies improved scores, the benefits of BioAid, F0mod, and other combinations were not evident in CI simulations, suggesting implications for future CI coding strategy development, particularly for Mandarin.
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Umbilical cord-derived mesenchymal stromal cells (UCMSCs) have potential applications in regenerative medicine. UCMSCs have been demonstrated to repair tissue damage in many inflammatory and degenerative diseases. We have previously shown that UCMSC exosomes reduce nerve injury-induced pain in rats.

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Cochlear implantation is a reliable and safe tool to rehabilitate patients with severe-to-profound sensorineural hearing loss, who get limited benefits from traditional hearing aids. Electrode misplacement is a rare but significant problem that fails to provide benefits and may cause injury to the nearby structures. We present a case that underwent mastoidectomy first to remove cholesteatoma, followed by cochlear implantation with electrode misplacement into the petrous area, with sustained hearing benefits and without any injury to the surrounding structures.

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Mesenchymal stem cells (MSCs) can be isolated from different tissue origins, such as the bone marrow, the placenta, the umbilical cord, adipose tissues, and skin tissues. MSCs can secrete anti-inflammatory molecules and growth factors for tissue repair and remodeling. However, the ability of skin-derived MSCs (SMSCs) to repair cochlear damage and ameliorate hearing loss remains unclear.

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Hearing loss, the most common sensory abnormality, is caused by the death of or damage to inner ear hair cells. Genetic mutations are the main cause of hearing loss. We used nex-generation sequencing data released by the Taiwan Biobank to investigate the GJB2 mutation spectrum in 1517 patients.

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Many studies have focused on the suppressive effects of cochlear implants (CIs) on loudness of tinnitus. This study aimed to examine the effects of CIs and their activation on changes in loudness and tinnitus and explore other factors associated with this effect. We recruited 26 CI recipients according to specific criteria.

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Hearing loss is the most common disorder in the sensory system. Mutations in GJB2 have been reported to be very common in sensorineural hearing loss patients. In this report, we generated an induced pluripotent stem cell (iPSC) line, MMCi001-A, from the peripheral blood mononuclear cells of a 4-year-old male hearing loss patient carrying GJB2 pV37I mutation by using the Sendai virus delivery system.

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Degeneration or loss of inner ear hair cells (HCs) is irreversible and results in sensorineural hearing loss (SHL). Human-induced pluripotent stem cells (hiPSCs) have been employed in disease modelling and cell therapy. Here, we propose a transcription factor (TF)-driven approach using ATOH1 and regulatory factor of x-box (RFX) genes to generate HC-like cells from hiPSCs.

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Sensorineural hearing loss (SNHL) is a prevalent form of deafness commonly arising from damage to the cochlear sensory hair cells and degeneration of the spiral ganglion neurons. In this study, Sendai virus was used to generate an induced pluripotent stem cell (iPSC) line from a 39-year-old female patient diagnosed with severe-to-profound, non-syndromic SNHL. The patient also carries a A1555G mutation in the mitochondrial 12S ribosome RNA gene (MTRNR1).

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Article Synopsis
  • A study aimed to determine if hearing thresholds assessed via auditory brainstem response (ABR) in infants can predict behavioral pure-tone audiometry (PTA) thresholds in children, using data from a newborn hearing screening program in Taiwan.
  • The research included 104 newborns, focusing on their ABR thresholds and subsequent PTA thresholds, analyzed through correlation and regression methods.
  • Results showed a strong correlation (0.76) between ABR and PTA thresholds, suggesting that while ABR can provide a reliable estimate for behavioral PTA in many cases, it is recommended to combine different ABR methods for precise hearing aid fittings and rehabilitation.
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Age-related hearing loss (ARHL) is postulated to affect dementia. Our study aims to investigate the relationship between ARHL and the prevalence, and 10-year incidence of dementia in the Taiwan National Health Insurance Research Database (NHIRD). We selected patients diagnosed with ARHL from the NHIRD.

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Background/purpose: To evaluate the complexity of vestibular-ocular reflex (VOR) in patients with acute unilateral vestibular loss (AUVL) via entropy analysis of head impulses.

Methods: Horizontal head impulse test (HIT) with high-velocity alternating directions was used to evaluate 12 participants with AUVL and 16 healthy volunteers. Wireless electro-oculography and electronic gyrometry were used to acquire eye positional signals and head velocity signals.

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Article Synopsis
  • The study aimed to evaluate newborn hearing screening in well-baby and neonatal intensive care units by measuring the effectiveness of screening, referral, and diagnostic follow-up rates, comparing the average diagnosis age, and determining the prevalence of hearing loss.
  • Out of 15,624 newborns screened, the results showed high screening rates, but NICU patients had a lower referral rate and a longer average age for diagnosis compared to well-baby nursery patients.
  • Despite equivalent screening and follow-up rates, the prevalence of congenital bilateral hearing loss was significantly higher in the NICU group, suggesting a need for tailored screening approaches in these vulnerable infants.
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Aim: To identify the predictors of primary caregivers' stress in caring for in-home oxygen-dependent children by examining the association between their levels of stress, caregiver needs and social support.

Background: Increasing numbers of primary caregivers of oxygen-dependent children experience caregiving stress that warrants investigation.

Design: The study used a cross-sectional design with three psychometric scales - Modified-Parenting Stress Index, Caregiver Needs Scale and Social Support Index.

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