Publications by authors named "Cheng-Yu Tsai"

: Obstructive sleep apnea (OSA) is one of the most prevalent yet underdiagnosed sleep disorders. We evaluated the diagnostic accuracy of radar-based systems and ranked frequency bands for the non-contact detection of OSA. : A systematic search of six databases was conducted from inception to May 23, 2025.

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Objectives: Assessing the bidirectional impacts of heart function impairment and sleep-disordered breathing remains underexplored. Thus, this study analyzed respiratory patterns from a wireless radar framework to explore their associations with echocardiographic (2D-echo) measurements.

Methods: Background details, 2D-echo parameters, and biochemical data were collected from patients in a cardiology ward in northern Taiwan.

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Objectives: Timely intervention in shock is vital, as delays over one hour greatly increase mortality. This study aims to develop an enhanced machine learning model that improves predictive performance by utilizing self-controlled data and applying feature engineering informed by medical knowledge to physiological waveforms, enabling the prediction of shock one hour in advance without relying on blood tests.

Methods: Patient data and physiological waveforms were obtained from the Medical Information Mart for Intensive Care III (MIMIC-3) database.

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Waardenburg syndrome (WS) is a rare genetic disorder that affects both hearing and pigmentation. The wide divergence of WS poses significant diagnostic and management challenges. This study investigated type 4 WS within an underrepresented Mongolian population.

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This study prepared epoxy-clay nanocomposites (ECNs) by incorporating organophilic clays modified with either non-redox cetyltrimethylammonium bromide (CTAB) or redox-active aniline pentamer (AP), then compared their anticorrosion performance on metal substrates in saline environments. The test solution contained 2 wt% alkaline copper quaternary (ACQ) wood preservatives. Cold-rolled steel (CRS) panels coated with the ECNs were evaluated via electrochemical impedance spectroscopy (EIS) in saline media both with and without ACQ.

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We present a disease transmission model that considers both explicit and non-explicit factors. This approach is crucial for accurate prediction and control of infectious disease spread. In this paper, we extend the spread model from our previous works (Ban et al.

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Recessive variants of are a common cause of hereditary hearing impairment and are responsible for non-syndromic enlarged vestibular aqueducts and Pendred syndrome. Patients with bi-allelic variants often suffer from fluctuating hearing loss and recurrent vertigo, ultimately leading to severe to profound hearing impairment. However, there are currently no satisfactory prevention or treatment options for this condition.

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Slow-wave sleep (SWS) plays a crucial role in memory consolidation, yet its disruption in obstructive sleep apnea (OSA) remains poorly understood. This study investigates the relationship between SWS characteristics, nocturnal oxygen desaturation, and memory performance in individuals with sleep disturbances. This cross-sectional study included 49 participants with memory complaints and sleep disturbances who underwent overnight polysomnography (PSG) and cognitive assessments to determine the presence and severity of OSA.

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Glioblastoma multiforme (GBM) is the most aggressive and treatment-resistant primary brain tumor with acquired resistance to temozolomide (TMZ) posing a major clinical challenge. This study investigates the therapeutic potential of 6-gingerol, a bioactive compound from ginger, in overcoming TMZ resistance in GBM and delineates its molecular mechanisms. TMZ-resistant GBM cell lines (U87-TR and A172-TR) were established which exhibited enhanced migratory capacity and pronounced epithelial-mesenchymal transition (EMT) features.

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Chronic obstructive pulmonary disease (COPD) remains a leading cause of death worldwide, with emphysema progression providing valuable insights into disease development. Clinical assessment approaches, including pulmonary function tests and high-resolution computed tomography, are limited by accessibility constraints and radiation exposure. This study, therefore, proposed an alternative approach by integrating the novel biomarker long non-coding interleukin-7 receptor α-subunit gene (), along with other easily accessible clinical and biochemical metrics, into machine learning (ML) models.

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Background: Pathogenic variants in OTOF are a major cause of auditory synaptopathy. However, challenges remain in interpreting OTOF variants, including difficulties in confirming haplotype phasing using traditional short-read sequencing (SRS) due to the large gene size, the potential incomplete penetrance of certain variants, and difficulties in assessing variants at non-canonical splice sites. This study aims to revisit the genetic landscape of OTOF variants in a Taiwanese non-syndromic auditory neuropathy spectrum disorder (ANSD) cohort using a combination of sequencing technologies, predictive tools, and experimental validations.

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Toona sinensis, a kind of phytochemicals in traditional Chinese medicine widely used in South-East Asia, has been recognized for its anticancer properties, particularly against various types of cancer. We aimed to evaluate the effectiveness of T. sinensis leaf extracts (TSL) specifically for glioblastoma multiforme (GBM).

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Objective: Current adjustments of continuous positive airway pressure (CPAP) may expose patients to risks of respiratory episodes or oxygen desaturation. Therefore, this study developed machine learning models using leading indicators, such as heart rate variability (HRV) and oximetry-related metrics, to proactively predict optimal adjustment timings.

Methods: CPAP titration data were first collected from a sleep center in northern Taiwan.

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Considering limited environmental resources, this article develops topological and random population systems, as well as positioned spread models that emphasize spatial distribution and growth. It incorporates key factors such as the birth rate and migration rate to analyze the population's spatial dynamics using tools from dynamical systems and probability theory. In addition, numerical examples and simulation results are provided to validate the theory for both topological and random models.

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Objectives: State-run newborn hearing screening (NBHS) programs have limitations in identifying children with mild or late-onset sensorineural hearing impairment (SNHI). Given that over 50% of pediatric SNHI cases are linked to genetic causes, the increasing accessibility of high-throughput, low-cost genomic sequencing may help address these shortcomings. This study investigates the feasibility of integrating a next-generation sequencing (NGS)-based genomic screening protocol into conventional NBHS and examines its potential benefits and challenges.

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Purpose: Obstructive sleep apnea (OSA) is associated with increased risk of chronic kidney disease (CKD). OSA is highly prevalent among patients with CKD, suggesting a bidirectional link between the two conditions. Recent studies reported that continuous positive airway pressure (CPAP) may benefit renal function in OSA patients; however, uncertainties regarding their effects persist.

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Objective: Acute pancreatitis is a frequent, burdensome adverse event of endoscopic retrograde cholangiography (ERCP). Rectal nonsteroidal anti-inflammatory drugs (NSAIDs) have reduced post-ERCP pancreatitis (PEP) risk by about 50 % and show greater efficacy over parenteral or oral administration, although the mechanism for its superiority remains unclear. To probe this question, we investigated in a preclinical model, the pharmacokinetics in the blood, pancreas and other tissues of the NSAID diclofenac given via the rectal, intravenous, or intragastric routes.

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Objective: Common examinations for diagnosing obstructive sleep apnea (OSA) are polysomnography (PSG) and home sleep apnea testing (HSAT). However, both PSG and HSAT require that sensors be attached to a subject, which may disturb their sleep and affect the results. Hence, in this study, we aimed to verify a wireless radar framework combined with deep learning techniques to screen for the risk of OSA in home-based environments.

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Purpose: Patients with meningiomas mostly present good outcomes and optimal prognosis, but different grades of tumors have very different symptoms and recurrence rates. Therefore, effective diagnosis is crucial for early intervention and controlling tumor development. Circadian cycle and autophagy have both been proven to be related to neoplasm formation and pathogenesis; however, there is limited exploration and discussion on the relationships between the circadian cycle and autophagy in patients with meningiomas.

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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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Article Synopsis
  • 6-gingerol, a compound from ginger, shows potential as an anticancer agent by causing cell death and blocking growth in aggressive brain tumors like glioblastoma multiforme (GBM).
  • The study reveals that 6-gingerol crosses the blood-brain barrier better than curcumin and works by disrupting energy balance in GBM cells, increasing harmful reactive oxygen species, and lowering mitochondrial function.
  • It also decreases key signaling pathways related to cell proliferation, specifically by inhibiting EGFR and RAF, which ultimately leads to cell cycle arrest, suggesting that 6-gingerol could be an effective treatment option for GBM in future clinical trials.
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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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Article Synopsis
  • 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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