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2022

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Effects Of Chitosan Oligosaccharide And Probiotics On Chronic Kidney Disease Rats, Weerapat Anegkamol Jan 2022

Effects Of Chitosan Oligosaccharide And Probiotics On Chronic Kidney Disease Rats, Weerapat Anegkamol

Chulalongkorn University Theses and Dissertations (Chula ETD)

Chronic kidney disease (CKD) patients suffer from the accumulation of toxic substances in their blood due to the loss of kidney function, which results in hyperphosphatemia. This condition contributes to hyperparathyroidism, leading to the development of chronic kidney disease-related mineral bone disorder (CKD-MBD). Additionally, CKD patients experience changes in their gut microbiota, disrupting epithelial tight junctions and allowing excessive absorption of dietary phosphate. In this study, we aimed to investigate the effects of various oligosaccharides and probiotics on the gut microbiota, intestinal barrier, hyperphosphatemia, and hyperparathyroidism in CKD rats. We isolated Lactobacillus and Bifidobacterium strains from healthy participants and tested …

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Effects Of Different Serum Supplements On Piggybac Cd19 Chimeric Antigen Receptor T Cells, Mulita Sanyanusin Jan 2022

Effects Of Different Serum Supplements On Piggybac Cd19 Chimeric Antigen Receptor T Cells, Mulita Sanyanusin

Chulalongkorn University Theses and Dissertations (Chula ETD)

Chimeric Antigen Receptor (CAR) T cell is a novel therapy for relapse and refractory hematologic malignancy. Characteristics of CAR T cells is associated with clinical efficacy and toxicity. Type of serum supplements used during cultivation affect the immunophenotype and function of viral-based CAR T cells. This study explores the effect of serum supplements on non-viral piggyBac transposon CAR T cell production. PiggyBac CD19 CAR T cells were expanded in cultured conditions containing either fetal bovine serum, human AB serum, human platelet lysate or xeno-free serum replacement. Then, the effect of different serum supplements on cell expansion, transfection efficiency, immunophenotypes and …

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The Effect Of Histone Methylation In Trained Innate Immunity Of Cord Blood Monocytes In Newborn Infants Of Chronic Hbv-Infected Mothers, Pennapa Plypongsa Jan 2022

The Effect Of Histone Methylation In Trained Innate Immunity Of Cord Blood Monocytes In Newborn Infants Of Chronic Hbv-Infected Mothers, Pennapa Plypongsa

Chulalongkorn University Theses and Dissertations (Chula ETD)

Newborns contract Hepatitis B virus (HBV) through exposure in utero from mothers who are infected with HBV. In newborn infant from chronic HBV-infected mothers, the immune system displays innate immune cell maturation and enhances immune response upon restimulation with unrelated pathogens such as bacteria. This pattern is called “trained immunity” or “innate immune memory”. Trained immunity is regulated by epigenetic programming, especially histone modification. To date, there is not report on the epigenetics to regulate trained immunity in HBV. Therefore, this study investigated the cytokines levels and expression levels of histone modification enzyme genes in HBV-exposed cord blood monocytes. Moreover, …

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Study Of Thermodynamic Binding Between Ader And Ades In Two-Component Antibiotic Sensor Of Antibiotic Resistant Strains Of Acinetobacter Baumannii, Konrawee Thananon Jan 2022

Study Of Thermodynamic Binding Between Ader And Ades In Two-Component Antibiotic Sensor Of Antibiotic Resistant Strains Of Acinetobacter Baumannii, Konrawee Thananon

Chulalongkorn University Theses and Dissertations (Chula ETD)

The proteins AdeR (response regulator) and AdeS (histidine kinase sensor) play a crucial role in regulating the efflux pump, which is responsible for removing antibiotics from bacterial cells. This regulation occurs through a two-component regulatory system (TCS) involving autophosphorylation. Upon receiving external signals, AdeS undergoes autophosphorylation, leading to the activation of AdeR, which in turn initiates the expression of target genes related to the efflux pump. In this study, both enzymes from the reference strain of Acinetobacter baumannii (ATCC19606) and antibiotic resistant strains (H1074 and G560) were cloned and expressed in E. coli. The enzymes were purified using an immobilized …

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Macrophage Depletion Enhances Gut Dysbiosis And Severity In Sepsis Mouse Model, Pratsanee Hiengrach Jan 2022

Macrophage Depletion Enhances Gut Dysbiosis And Severity In Sepsis Mouse Model, Pratsanee Hiengrach

Chulalongkorn University Theses and Dissertations (Chula ETD)

Macrophage is vital players in the responsiveness of the innate immune system against injury or infection. Although macrophage depletion is well-known for some emerging therapies, such as osteoporosis, osteopenia, and decreasing tumor-associated macrophages in melanoma, dysfunction of macrophages leads to an inability of an appropriate immune response and implicated in various disease processes, especially intestinal macrophages that play a key role in the gut immune system and the regulation of gastrointestinal physiology. To obtain an understanding of the role of sepsis-associated macrophages, clodronate was used for the dysfunction of mouse macrophages with and without cecal ligation and puncture (CLP) sepsis. …

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Epigenetic Regulation In Trained And Tolerized Macrophages, Salisa Benjaskulluecha Jan 2022

Epigenetic Regulation In Trained And Tolerized Macrophages, Salisa Benjaskulluecha

Chulalongkorn University Theses and Dissertations (Chula ETD)

Innate immune memory is the phenomenon that can either enhance (trained) or suppress (tolerized) immune response by innate immune cells during the second encounter of the stimuli such as pathogens. Previous studies reported that epigenetic regulations critically regulate both types of innate immune memory. However, a complete understanding of the underlying mechanisms is still lacking. In this study, we performed a screening of an epigenetics compound library to identify inhibitors that affect ß-glucan (BG)-trained or LPS-tolerized macrophages. Among 181 compounds tested, various inhibitors targeting Aurora kinase, histone methyltransferase PRMT and EZH2, histone demethylase LSD1 and JMJD2, histone deacetylase 6 and …

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In Vivo Dosimetry Of 3d Gynecological Brachytherapy Using The Glass Dosimeter: A Phantom Study, Itsaraporn Konlak Jan 2022

In Vivo Dosimetry Of 3d Gynecological Brachytherapy Using The Glass Dosimeter: A Phantom Study, Itsaraporn Konlak

Chulalongkorn University Theses and Dissertations (Chula ETD)

Brachytherapy can deliver high doses to the target while sparing healthy tissues due to its steep dose gradient property. However, treatment was only performed according to the dose calculated by a treatment planning system without verification of the dose due to the characteristics. Therefore, the aim of this study was to design the in-house phantom to evaluate the dosimetric differences of gynecological brachytherapy under clinical conditions between calculation by the treatment planning system and measurement by the RPLGDs. An in-house phantom consisting of the glass dosimeter holder and the holder of the applicator was created. This holder was designed to …

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Effect Of Inter-Observer Delineation Variability On Radiomics Features In Nasopharyngeal Cancer, Pongpitch Panyura Jan 2022

Effect Of Inter-Observer Delineation Variability On Radiomics Features In Nasopharyngeal Cancer, Pongpitch Panyura

Chulalongkorn University Theses and Dissertations (Chula ETD)

Nasopharyngeal cancer (NPC) is a type of head and neck cancer that is prevalent in China and Southeast Asia. The standard treatment for NPC is radiation therapy (RT), which requires accurate target volume delineation (TVD) to ensure an effective radiation dose while minimizing damage to surrounding healthy tissues. However, TVD is subject to intra- and inter-observer variability, which can affect the accuracy of RT and lead to unstable results in radiomics analysis. Radiomics is a technique that extracts quantitative data from medical images, but it is currently limited by the manual process of tumor delineation. This study aims to investigate …

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Dosimetric Differences Between Scheduled And Adapted Plans Generated From Ethos Adaptive Radiotherapy For Patients With Prostate Cancer, Sarita Suvira Jan 2022

Dosimetric Differences Between Scheduled And Adapted Plans Generated From Ethos Adaptive Radiotherapy For Patients With Prostate Cancer, Sarita Suvira

Chulalongkorn University Theses and Dissertations (Chula ETD)

Prostate is one of the organs that can easily move or change during the treatment fractions. Adaptive radiotherapy can help to reduce the uncertainty of interfraction and decrease the side effects produced from the radiation given to the patients. The objective of this study was to provide evidence of the efficiency of adaptive radiotherapy for prostate cancer patients by investigating the dosimetric differences between the scheduled and adapted plans generated from Ethos. The treatment data of 100 fractions of prostate cancer patients who had previously been treated on Ethos daily adaptive radiotherapy were collected. The treatment data in each fraction …

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Accuracy In Classification Of Liver Lesion Ultrasound Using Artificial Intelligence, Sutthirak Tangruangkiat Jan 2022

Accuracy In Classification Of Liver Lesion Ultrasound Using Artificial Intelligence, Sutthirak Tangruangkiat

Chulalongkorn University Theses and Dissertations (Chula ETD)

B-mode ultrasound imaging is the standard method for hepatocellular carcinoma (HCC) screening. If a lesion has a unique appearance, a conventional detector can be applied. However, if the lesion shares its appearance with other lesion, a large training dataset is required, which may be unavailable. Therefore, a two-stage method is proposed. In the first stage, lesions are detected but not differentiated into any particular class. The detected lesions are then classified in the second stage using a conventional convolutional neural network (CNN). The aims of the dissertation are to design an artificial intelligent system model and to investigate the most …

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Accuracy Of Small-Field High Energy Photon Using Plastic Scintillation Detector In Heterogenous Media Compared With Model-Based Algorithm Calculation, Thanat Kaewsuksri Jan 2022

Accuracy Of Small-Field High Energy Photon Using Plastic Scintillation Detector In Heterogenous Media Compared With Model-Based Algorithm Calculation, Thanat Kaewsuksri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Some radiotherapy techniques such as stereotactic body radiotherapy (SBRT) has the challenges in small field dosimetry in heterogenous media. This study aims at evaluating the accuracy of W2 plastic scintillation detector (PSD) compared with the calculation from algorithms for small-field high energy photon in heterogenous media. The characteristics of W2-PSD were studied. The percentage depth dose (PDD) of 6 FFF and 10 FFF with various field sizes ranging from 1x1 to 4x4 cm2 were measured in solid water phantom with low-density inhomogeneities slabs of air (Styrofoam) and lung (cork) and high-density inhomogeneity slab of aluminum. The characteristics of W2 plastic …

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Regulatory T Cell In Drug-Induced Severe Cutaneous Adverse Reactions (Scars) During Acute And Recovery Phase, Suparada Khanaruksombat Jan 2022

Regulatory T Cell In Drug-Induced Severe Cutaneous Adverse Reactions (Scars) During Acute And Recovery Phase, Suparada Khanaruksombat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Drug reaction with eosinophilia and systemic symptoms (DRESS) is a type of SCARs induced by various drugs. The autoimmune consequences were observed throughout the recovery phase ranging between 10 – 20 % of DRESS patients. The dynamics of regulatory T cells (Tregs) are thought to be responsible for the many symptoms of DRESS. They may be a key player in developing autoimmune sequelae in this syndrome. This study concentrated on the number and function of CD4+CD25+CD127-FoxP3+ Tregs in autoimmune development in DRESS patients. CD4+CD25+CD127-FoxP3+ Tregs and their immunophenotyping were characterized using peripheral blood mononuclear cells (PBMCs) from patients by Flow …

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Analysis Of Vocs From Exhaled Breath For The Diagnosis Of Hepatocellular Carcinoma, Thanikarn Suk-Aram Jan 2022

Analysis Of Vocs From Exhaled Breath For The Diagnosis Of Hepatocellular Carcinoma, Thanikarn Suk-Aram

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Volatile organic compounds (VOCs) were shown as promising biomarkers for hepatocellular carcinoma (HCC) diagnosis. We aimed to investigate the performance of VOCs for diagnosing early-stage HCC in patients at-risk for HCC. Methods: VOCs were identified in exhaled breath samples collected from 90 early-stage HCC patients, 90 cirrhotic patients, 91 HBV-infected patients, and 95 healthy volunteers using thermal desorption-gas chromatography/field-asymmetric ion mobility spectrometry. The VOC levels were compared between the four groups. An association between VOCs and HCC was determined using logistic regression analysis. Diagnostic performance of VOCs was estimated using the AUROC and compared to serum alpha-fetoprotein (AFP). Results: …

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The Association Of Genetic Variations In Pnpla3, Tm6sf2 And Hsd17b13 Genes In Non-Alcoholic Fatty Liver Disease Patients With And Without Hiv Infection., Varis Ruamviboonsuk Jan 2022

The Association Of Genetic Variations In Pnpla3, Tm6sf2 And Hsd17b13 Genes In Non-Alcoholic Fatty Liver Disease Patients With And Without Hiv Infection., Varis Ruamviboonsuk

Chulalongkorn University Theses and Dissertations (Chula ETD)

Non-alcoholic liver disease (NAFLD) has multiple risk factors, including genetic risk factors. Patients with certain genetic variants are more susceptible to the disease. People living with HIV (PLWH) have higher prevalence of NAFLD compared to those without HIV infection. But, the evidence on genetic factors in PLWH with NAFLD is limited. We aim to investigate whether carriers of PNPLA3 rs738409, TM6SF2 rs58542926, and HSD17B13 rs6834314 had association with the risk of NAFLD, and whether PLWH with NAFLD also had similar genetic risk factors as those with NAFLD alone. These SNPs were determined by using allelic discrimination in blood samples of …

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Comparing The Success Rate Of Pleurodesis With Thoracoscopic Talc Poudrage Combined With Indwelling Pleural Catheter Versus Thoracoscopic Talc Poudrage In Patient With Malignant Pleural Effusion, A Randomized, Non-Inferiority Clinical Trial, Jitanong Sootlek Jan 2022

Comparing The Success Rate Of Pleurodesis With Thoracoscopic Talc Poudrage Combined With Indwelling Pleural Catheter Versus Thoracoscopic Talc Poudrage In Patient With Malignant Pleural Effusion, A Randomized, Non-Inferiority Clinical Trial, Jitanong Sootlek

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Malignant pleural effusion (MPE) can cause dyspnea symptoms that greatly impact a patient's quality of life. Talc pleurodesis or indwelling pleural catheter (IPC) insertion are two treatment options that can prevent recurrent MPE, alleviate dyspnea, and improve quality of life. However, talc pleurodesis requires a lengthy hospital stay, while IPC insertion is associated with lower pleurodesis success rates. Due to limited hospital bed capacity, we have devised a practical approach to managing MPE by combining TTP and IPC. Objective: This study aims to evaluate the efficacy of combined Thoracoscopic talc poudrage (TTP) and IPC compared to TTP alone in …

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A Randomized Controlled Trial Comparing The Diagnostic Yield Of Using Rapid On-Site Cytology Evaluation (Rose) And Without Using Rose In Radial Probe Endobronchial Ultrasound (R-Ebus) Guided Sheath Transbronchial Lung Biopsy With Bronchial Brushing In Peripheral Pulmonary Lesions, Kulchamai Silathapanasakul Jan 2022

A Randomized Controlled Trial Comparing The Diagnostic Yield Of Using Rapid On-Site Cytology Evaluation (Rose) And Without Using Rose In Radial Probe Endobronchial Ultrasound (R-Ebus) Guided Sheath Transbronchial Lung Biopsy With Bronchial Brushing In Peripheral Pulmonary Lesions, Kulchamai Silathapanasakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

BACKGROUND: Radial Probe Endobronchial Ultrasonography (RP-EBUS) guided transbronchial biopsy with bronchial brushing is an effective way of tissue assessment for evaluating peripheral lung lesion combined with Rapid on-site Evaluation (ROSE). Our study aimed to evaluate the efficacy of ROSE add on RP-EBUS guided sheath transbronchial lung biopsy to improve the overall diagnostic yield. OBJECTIVES: The purpose of this study was to compare the diagnosis yield of peripheral lung lesions or nodules from the ROSE add on Radial Probe Endobronchial Ultrasonography (RP-EBUS) guided sheath transbronchial biopsy with bronchial brushing compared to the control group. METHODS: In this prospective randomized controlled trial …

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Comparison Of Extubation Success Between Prophylactic Helmet Niv And Facemask Niv In High Risk Postextubation Patients;A Randomized Controlled Trial, Napat Jirawat Jan 2022

Comparison Of Extubation Success Between Prophylactic Helmet Niv And Facemask Niv In High Risk Postextubation Patients;A Randomized Controlled Trial, Napat Jirawat

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: Post-extubation respiratory failure is a common complication in planned extubated patients, which increases mortality, particularly in high-risk patients. Noninvasive ventilation (NIV) with a facemask effectively prevents post-extubation respiratory failure, but helmet NIV use immediately after extubation is still unproven. Objective: To compare the success rates of extubation with prophylactic helmet NIV and facemask NIV in the first 48 hours in patients at high risk of developing post-extubation respiratory failure. Methods: The study was a single-center randomized controlled trial. The data were analyzed for 114 patients at high risk of extubation failure between June 2022 and June 2023. Patients were …

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Development Of An Artificial Intelligence Model For Prediction Of Dry Weight In Chronic Hemodialysis Patients And Assessment Of Its Accuracy Compared To Standard Bioelectrical Impedance Analysis, Nataphut Boonvisuth Jan 2022

Development Of An Artificial Intelligence Model For Prediction Of Dry Weight In Chronic Hemodialysis Patients And Assessment Of Its Accuracy Compared To Standard Bioelectrical Impedance Analysis, Nataphut Boonvisuth

Chulalongkorn University Theses and Dissertations (Chula ETD)

Proper determination of dry weight (DW) is crucial for achieving positive outcomes in hemodialysis (HD) patients. However, the traditional clinical assessment of DW (C-DW) is often inaccurate. Recently, bioimpedance spectroscopy (BIS) analysis using a Body Composition Monitor (BCM) device has emerged as a gold standard method for determining DW (BCM-DW). Despite its accuracy, the high cost of the BCM device limits its accessibility. To overcome this challenge, the current study proposes a machine learning (ML) model, which is a part of artificial intelligence (AI), to assess DW using available clinical and laboratory parameters. Objective: To develop an ML model for …

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Evaluation Of Tissue Adequacy In Patients With Malignant Intrathoracic Lymphadenopathy Undergoing Combined Endobronchial Ultrasound-Guided Miniforceps Biopsy (Ebus-Mfb) And Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (Ebus-Tbna) Compared To Ebus-Tbna Alone, Pipu Tavornshevin Jan 2022

Evaluation Of Tissue Adequacy In Patients With Malignant Intrathoracic Lymphadenopathy Undergoing Combined Endobronchial Ultrasound-Guided Miniforceps Biopsy (Ebus-Mfb) And Endobronchial Ultrasound-Guided Transbronchial Needle Aspiration (Ebus-Tbna) Compared To Ebus-Tbna Alone, Pipu Tavornshevin

Chulalongkorn University Theses and Dissertations (Chula ETD)

RATIONALE: EBUS-TBNA has become an effective way of tissue assessment for evaluating mediastinal lymph nodes. Identifying molecular mutations is a key to personalized management in malignant disease. The success of molecular analysis depends on adequate tissue specimens consisting of an absolute number of tumor cell counts and the neoplastic cell percentage (NCP) estimation. This study aimed to evaluate the efficacy of EBUS-MFB added on EBUS-TBNA to improve the tissue adequacy and the overall diagnostic yield. In this prospective study, patients with enlarged intrathoracic lymph nodes underwent EBUS-TBNA followed by EBUS-MFB. The tissue adequacy for molecular analysis required that the tissue …

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Genetic Analysis Of Focal Segmental Glomerulosclerosis In Thailand, Suramath Isaranuwatchai Jan 2022

Genetic Analysis Of Focal Segmental Glomerulosclerosis In Thailand, Suramath Isaranuwatchai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: The genetic variants spectra of focal segmental glomerulosclerosis (FSGS) vary among different populations. Here we described the clinical and genetic characteristics of biopsy-proven FSGS patients in Thailand. We also used special staining in renal biopsy tissue to describe protein expression related to the variants found by whole-exome sequencing (WES). Also, a functional study in cells was studied to investigate the etiologic evidence of the variants found by WES. Methods: Fifty-three unrelated FSGS patients without secondary causes were included in our study. Whole-exome sequencing (WES) was subsequently performed. Immunohistochemistry (IHC) staining method was used to characterize the morphology of renal …

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Anxiety And Social Experience Stressors Of Lgbt In Thailand, Bunatta Aritatpokin Jan 2022

Anxiety And Social Experience Stressors Of Lgbt In Thailand, Bunatta Aritatpokin

Chulalongkorn University Theses and Dissertations (Chula ETD)

The enhancement of the quality of life, according to the Sustainable Development Goals set by the United Nations (UN-SDG), places importance in equality for all groups of people, in all aspects. In this regard, although the Thailand sphere has been praised for its efforts to demonstrate its progressiveness regarding equality for groups who are more vulnerable to stressors, in practice, it is still quite lacking which could cause issues with mental health, such as anxiety and other stressors. This descriptive cross sectional quantitative research study explores the anxiety and social experience stressors of once such group - those of different …

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D-Lactic Acid Fermentation Platform From Oil Palm Trunk Sap By Sporolactobacillus Terrae Sbt-1, Naphatsawan Sukaiem Jan 2022

D-Lactic Acid Fermentation Platform From Oil Palm Trunk Sap By Sporolactobacillus Terrae Sbt-1, Naphatsawan Sukaiem

Chulalongkorn University Theses and Dissertations (Chula ETD)

Lactic acid is an organic acid that contains two enantiomers, L- and D-lactic acid, and is considered the most potential monomer for many industrial products. Lactic acid has versatile applications in the pharmaceutical, food, textile, chemical, and leather industries moreover in poly-lactic acid (PLA) manufacturing. While L-lactic acid is well known in many commercial products and studies, only a few studies on D-lactic acid were found. Lactic acid can be produced either by microbial fermentation or chemical synthesis. Approximately 90 percent of the total lactic acid produced worldwide is via microbial fermentation which provides an optically pure L- or D-lactic …

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Phthalate Ester Biodegradation In Agricultural Soil Using Exogenous Bacterial Consortium Under Fertilizer Addition, Theodora Mega Putri Jan 2022

Phthalate Ester Biodegradation In Agricultural Soil Using Exogenous Bacterial Consortium Under Fertilizer Addition, Theodora Mega Putri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Phthalate esters (PAEs) have been classified as a priority contaminant due to their endocrine-disrupting properties and abundance in the environment. Previously, several PAE-degrading consortia were enriched from landfill soil. This study aimed to initially select a consortium with efficient degradation activity, to characterize based on degradation kinetics and community dynamics, and to evaluate bioaugmentation feasibility while maintaining activity through continuous transfer. It was obtained based on enriched consortium selection that LF-NK-DEHP could simultaneously degrade 92.9% 100 mg l-1 DBP and 63.4% 100 mg l-1 DEHP within seven days. Kinetic degradation revealed DBP degradation by LF-NK-DEHP to fit the modified Gompertz …

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High-Pressure Study Of Hybrid Organic-Inorganic Perovskites And Double Perovskites, Ardimas - Jan 2022

High-Pressure Study Of Hybrid Organic-Inorganic Perovskites And Double Perovskites, Ardimas -

Chulalongkorn University Theses and Dissertations (Chula ETD)

Hybrid and double perovskite have been of great attraction for optoelectronic devices. However, exploring a feasible method to enhance their optical abilities remains a considerable challenge. Here, the researcher reports the pressure-induced phase transition as an effective way to modify optoelectronic properties. The researcher successfully synthesized the hybrid perovskite (MAPbI3) and the double perovskite (Cs2TiBr6) by the inverse temperature crystallization (ITC) and solution method, respectively. the researcher studied the pressure dependence phase transition and photoluminescence (PL) by placing the sample into diamond anvil cells (DACs) through Raman spectroscopy. The first principles method was used to support the idea. The researcher …

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Improving Quality Of Cvd Graphene Grown On The Copper Foil By Physical Polishing Electropolishing And Thermal Annealing Pretreatment Processes, Methawut Sirisom Jan 2022

Improving Quality Of Cvd Graphene Grown On The Copper Foil By Physical Polishing Electropolishing And Thermal Annealing Pretreatment Processes, Methawut Sirisom

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study optimized the pretreatment processes (physical polishing (PP), electropolishing (EP), and thermal annealing) for high-quality graphene growth on thin copper (Cu) foils. PP using Brasso solvent was applied to smoothen the substrate surface, followed by EP with H3PO4 to reduce rolling lines and surface contamination. The EP process involved different H3PO4 concentrations (30-60%) and etching times (60-120 seconds). After thermal annealing at 860-940 ºC, graphene growth was performed using direct-liquid-injection chemical-vapor deposition with cyclohexane (C6H12) as the carbon precursor and nitrogen as the carrier gas. The optimized conditions involved PP and EP with 45% H3PO4 concentration and 90 seconds …

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Biopolymer Nanocomposites For Food And Healthcare Applications, Tatiya Siripongpreda Jan 2022

Biopolymer Nanocomposites For Food And Healthcare Applications, Tatiya Siripongpreda

Chulalongkorn University Theses and Dissertations (Chula ETD)

This dissertation focuses on development of biopolymers by integrating nanomaterials to improve the properties of pristine polymers for enhancing the performances of chemical sensors and laser desorption/ionization mass spectroscopy (LDI-MS) applied for food quality control health monitoring and biomedical applications. The dissertation is divided into 4 parts: the first part, polylactic acid and cellulose were used for dual detection platform of biogenic amines for food spoilage indication. Highly porous PLA film is fabricated by adding nanosized calcium carbonate resulted in high sensing element entrapment. On another side of platform, pristine cellulose is modified with graphene oxide and exploited a substrate …

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Awareness Of Medical Doctor On Medication-Related Osteonecrosis Of The Jaw In Osteoporosis Patients, Nachapol Supanumpar Jan 2022

Awareness Of Medical Doctor On Medication-Related Osteonecrosis Of The Jaw In Osteoporosis Patients, Nachapol Supanumpar

Chulalongkorn University Theses and Dissertations (Chula ETD)

Antiresorptive drugs are widely used to treat osteoporosis. A serious adverse effect of these drugs is medication-related osteonecrosis of the jaw (MRONJ). By informing and educating patients about MRONJ, providing proper dental referral, and monitoring the oral health of patients who receive antiresorptive agents, physicians can reduce the risk of MRONJ. We investigated the awareness and clinical practices of physicians in Thailand with regard to MRONJ. Physicians who prescribed antiresorptive drugs for osteoporosis filled out an online self-administered questionnaire about demographic characteristics, awareness, and practices related to MRONJ. Most respondents agreed that antiresorptive drugs may cause MRONJ (92.3%), that poor …

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Factors Influencing Quality Nursing Care At Hospitals In Indonesia, I Gede Juanamasta Jan 2022

Factors Influencing Quality Nursing Care At Hospitals In Indonesia, I Gede Juanamasta

Chulalongkorn University Theses and Dissertations (Chula ETD)

The study investigated whether patient-to-nurse ratio, working hours, nurse competence, environment, nurse satisfaction, and turnover intention influence inpatient quality nursing care in Indonesian hospitals. Aiken’s model and empirical evidence were adapted to construct the framework. A cross-sectional design and multistage sampling were employed. Five hundred-fifty registered inpatient department nurses from June to October 2022. They were involved in completing the seven-part questionnaires, include a demographic questionnaire, nurse staffing measurement form, Good Nursing Care Scale, Nurse Competence Scale, Practice Environment Scale, McCloskey/Mueller Satisfaction Scale, and Anticipated Turnover Scale. All questionnaires had acceptable psychometric properties, which included content validity, construct validity, and …

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Knowledge, Attitudes, Behavior, And Expectation Of Thai Patients Toward Dental Treatment During Covid-19 Pandemic: An Online Survey, Paratcha Pingsuthiwong Jan 2022

Knowledge, Attitudes, Behavior, And Expectation Of Thai Patients Toward Dental Treatment During Covid-19 Pandemic: An Online Survey, Paratcha Pingsuthiwong

Chulalongkorn University Theses and Dissertations (Chula ETD)

Aerosol-generating procedures with contaminated saliva may pose a risk of disease transmission during the COVID-19 pandemic. COVID-19 preventive measures in dental clinics have evolved in response to the pandemic situation. This research investigated the effect of this pandemic on Thai patients' knowledge, attitudes, and behavior toward dental treatment. The online survey was distributed in June 2022. There were 978 participants in the study. The results showed that most participants had accurate knowledge about the COVID-19 transmission route in dentistry. The mean and median level of concern in the following issues were: contracting COVID-19 in daily life (3.06 and 3.03), contracting …

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Effect Of Normal Saline In Different Concentration On Soft Tissue Healing Of Extraction Wound: A Clinical Study, Walailuk Kunthikarn Jan 2022

Effect Of Normal Saline In Different Concentration On Soft Tissue Healing Of Extraction Wound: A Clinical Study, Walailuk Kunthikarn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Sodium chloride solution (NaCl) is regarded as the most suitable and recommended medical irrigation, because of the nontoxic and isotonic properties. The previous in vitro study showed that NaCl solution induced migration and extracellular matrix excretion from human gingival fibroblast. However, there is no report concerning the effect of rinsing extraction wound with NaCl solution in clinical trial study. This research study is split mouth single-blind randomized controlled clinical trial to investigate if rinsing with 0.9% and 1.8% NaCl solution on extraction wound can promote soft tissue healing. The operation was performed in 60 socket sites. The patients, who had …

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