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2023

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Identification And Characterization Of Genes Involved In Antioxidant Traits In Local Thai Rice (Oryza Sativa L.), Putut Rakhmad Purnama Jan 2023

Identification And Characterization Of Genes Involved In Antioxidant Traits In Local Thai Rice (Oryza Sativa L.), Putut Rakhmad Purnama

Chulalongkorn University Theses and Dissertations (Chula ETD)

Developing rice (Oryza sativa L) cultivars with high antioxidant activities have become increasingly important since they have nutritional advantages for human health. Hence, the researchers must precisely elucidate the genetic bases controlling antioxidant-related traits in rice grains. In this study, we aimed to identify the genes involved in antioxidant traits in local Thai rice. The first strategy was conducting a genome-wide association analysis (GWAS) using 233 accessions of local Thai rice. A total of 119,541 single nucleotide polymorphic (SNP) markers was used as genotype data. In contrast, the five antioxidant assays, ABTS, DPPH, FRAP, TFC, and TFC, were used as …

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Metabolomic Analysis Of Lungs From Breast Cancer Metastatic Mice Models Treated With Thai Traditional Medical Formulary, Kotchanipa Rukruam Jan 2023

Metabolomic Analysis Of Lungs From Breast Cancer Metastatic Mice Models Treated With Thai Traditional Medical Formulary, Kotchanipa Rukruam

Chulalongkorn University Theses and Dissertations (Chula ETD)

Triple-negative breast cancer (TNBC) is a highly invasive subtype, leading to lung metastasis in 40% of patients with TNBC metastasis. Lung metastases significantly reduce median survival compared to other breast cancer types. Hence, there are efforts to investigate TNBC treatments, including modern and alternative therapies. The Thai traditional medical formulary (TTMF) is broadly used as an alternative treatment for Thai cancer patients. However, there are no studies on metabolic changes after treatment in advanced TNBC. Additionally, obtaining metabolites from biological samples is challenging due to the lack of a universal protocol for metabolite extraction. Consequently, this thesis aimed to first …

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Contamination Of Antimicrobial-Resistant Escherichia Coli, Salmonella Spp., Enterococcus Faecalis, And Enterococcus Faecium In Commercial Raw Meat-Based Diets For Cats And Dogs, Rusmin Indra Jan 2023

Contamination Of Antimicrobial-Resistant Escherichia Coli, Salmonella Spp., Enterococcus Faecalis, And Enterococcus Faecium In Commercial Raw Meat-Based Diets For Cats And Dogs, Rusmin Indra

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to investigate the contamination of third-generation cephalosporin (3GC)-resistant Escherichia coli, Salmonella spp., Enterococcus faecalis, and E. faecium in commercial raw meat-based diets (RMBDs) for cats and dogs in Thailand. Fifty RMBD products from ten brands were included for total plate count and bacterial isolation. Antimicrobial susceptibility testing was conducted for the targeted bacteria. Extended-spectrum β-lactamase (ESBL) production and the presence of blaCTX-M and mcr genes were detected. Additionally, E. coli phylogroups and Salmonella serovars were identified. The RMBD samples were contaminated by 3GC-resistant E. coli (80.0%), Salmonella spp. (70.0%), E. faecalis (100%), and E. faecium (84.0%). All …

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National Survey Of Human Epigenetic Study In Healthy Aged Population In Four Different Regions Of Thailand, Siwaporn Nilyai Jan 2023

National Survey Of Human Epigenetic Study In Healthy Aged Population In Four Different Regions Of Thailand, Siwaporn Nilyai

Chulalongkorn University Theses and Dissertations (Chula ETD)

Healthy ageing has become a goal to help older people maintain good-quality longevity. Researchers have found that epigenetic, environmental, and behavioural lifestyle factors influence the variation of lifespan and healthspan. This study aims to evaluate the age-associated epigenetic biomarkers among older people living in four major regions of Thailand, along with their association with lifestyle and sociodemographic characteristics. 214 participants passed the criteria and enrolled from the southern, northeastern, central, and northern areas of Thailand. Sociodemographic characteristics were recorded through interviews, and blood samples were collected to evaluate blood chemistry and epigenetic markers. SIRT1 and HMGB1 proteins in plasma were …

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Inhibition Of Chondrocyte Apoptosis Via Fas/Fasl System In Knee Osteoarthritis Patients, Ousakorn Kamenkit Jan 2023

Inhibition Of Chondrocyte Apoptosis Via Fas/Fasl System In Knee Osteoarthritis Patients, Ousakorn Kamenkit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Osteoarthritis (OA) is a degenerative rheumatic disease characterized by articular cartilage degeneration. This articular cartilage degradation is positively correlated with chondrocyte apoptosis. The Fas/Fas ligand (FasL) system is part of the extrinsic apoptosis pathway that regulates cell death through the binding of Fas on target cells to FasL on effector cells. Although Fas+ chondrocytes have been identified and the Fas/FasL system has been implicated in this apoptotic process, the apoptosis through chondrocyte-to-FasL+ cell interaction remains unclear. Therefore, this study aims to investigate Fas/FasL-mediated chondrocyte apoptosis focusing on cell-to-cell interactions. In our study, we conducted ex vivo experiments using flow cytometry …

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Genome Characterization And Significant Gene Annotation Of Mycobacteria Based On Data From High-Throughput Dna Sequencing Technology, Ajala Prommi Jan 2023

Genome Characterization And Significant Gene Annotation Of Mycobacteria Based On Data From High-Throughput Dna Sequencing Technology, Ajala Prommi

Chulalongkorn University Theses and Dissertations (Chula ETD)

Mycobacteria encompass a variety of species, including pathogenic strains such as Mycobacterium tuberculosis complex (MTBC) and nontuberculous mycobacteria (NTM). These organisms are responsible for significant health challenges globally and in Thailand, particularly due to tuberculosis (TB) and its drug-resistant forms. This dissertation aims to characterize the whole genome of various Mycobacterium species and annotate significant genes utilizing high-throughput DNA sequencing technology. Key objectives include investigating the mutations in Mycobacterium tuberculosis responsible for resistance to primary anti-TB drugs, specifically isoniazid, and analyzing the resistome of Mycobacterium abscessus, a rapidly growing NTM, isolated from patients in Thailand. The study also seeks to …

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Analytical Performance Of Progesterone Testing Using Surface Plasmon Field-Enhanced Fluorescence Spectroscopy Technology In Dogs, Pimuk Sungprasit Jan 2023

Analytical Performance Of Progesterone Testing Using Surface Plasmon Field-Enhanced Fluorescence Spectroscopy Technology In Dogs, Pimuk Sungprasit

Chulalongkorn University Theses and Dissertations (Chula ETD)

A new clinical chemistry analyzer using surface plasmon field-enhanced fluorescence spectroscopy (SPFS) has been introduced into veterinary diagnostic laboratories as a point-of-care unit, enabling rapid turnaround times for both diagnosis and follow-up. Consequently, the test results must be accurate, precise, and reliable. This research aims to evaluate the method performance of the analyzer. The evaluation was conducted according to Clinical Laboratory Improvement Amendments (CLIA) guidelines using method validation. The performance evaluation included studies on imprecision (within-day and between-day), method comparison, recovery tests, and linearity for determining progesterone concentration. The method validation results showed good and acceptable precision. Serum spiking concentrations …

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Metagenomic Analysis Using Oxford Nanopore For Fungal Identification In Hemoculture Sample, Nattapong Langsiri Jan 2023

Metagenomic Analysis Using Oxford Nanopore For Fungal Identification In Hemoculture Sample, Nattapong Langsiri

Chulalongkorn University Theses and Dissertations (Chula ETD)

Currently, with advancements in medical technology, the mortality rate from fungal infections has also increased, particularly since the late 20th century. The incidence of invasive fungal infections, especially bloodstream fungal infections, is rising. However, laboratory diagnosis of fungi from clinical specimens still faces significant limitations. Diagnosing fungi based on morphological characteristics to identify species level can take weeks, which is not aligned with the severity of the disease. Current molecular biology techniques also have limitations, such as PCR success rates and mixed infections. With significant advancements in sequencing technology leading to third-generation sequencing, there are notable benefits. Third-generation sequencing, or …

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Molecular Investigation And Genetic Characterization Of Canine Astrovirus And Canine Kobuvirus With Associated Pathology In Domestic Dogs In Vietnam And Thailand, Tin Van Nguyen Jan 2023

Molecular Investigation And Genetic Characterization Of Canine Astrovirus And Canine Kobuvirus With Associated Pathology In Domestic Dogs In Vietnam And Thailand, Tin Van Nguyen

Chulalongkorn University Theses and Dissertations (Chula ETD)

Canine astrovirus (CaAstV) and canine kobuvirus (CaKoV) are recently recognized pathogens associated with canine gastrointestinal disease (GID), though their exact role remains poorly understood. In both Vietnam and Thailand, these viruses were detected in dogs with and without diarrhea, particularly high frequency in puppies under 6 months old. Co-infection between CaAstV and CaKoV, as well as with other common canine enteric viruses (canine parvovirus, canine enteric coronavirus, canine distemper virus), were also confirmed. Complete coding sequences (CDS) of 7 CaAstV strains and 9 CaKoV strains from Vietnam, and 2 CaAstV strains and 4 CaKoV strains from Thailand were successfully identified. …

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Innovation Of Alpha-Mangostin Encapsulated With Nanostructured-Lipid Carrier As Non-Surgical Castration In Cats And Survey Attitude Towards Surgical Sterilization In Thailand, Shanaporn Leelakajornkit Jan 2023

Innovation Of Alpha-Mangostin Encapsulated With Nanostructured-Lipid Carrier As Non-Surgical Castration In Cats And Survey Attitude Towards Surgical Sterilization In Thailand, Shanaporn Leelakajornkit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Overpopulation of companion animals, particularly dogs and cats, is a global concern, necessitating effective population control policies. This research investigates the attitudes of veterinarians and pet owners in Thailand regarding dog and cat surgical sterilization and the use of progestins as non-surgical contraception. The study also assesses the effects of intratesticular administration of alpha-mangostin encapsulated in nanostructured lipid carriers (AM-NLC) in male cats, and adverse effects. Furthermore, a novel formulation of AM-NLC for intratesticular administration is also developed. Surveys reveal that decisions on sterilization are influenced by species, sex, COVID-19 impacts, and demographic factors. And anesthesia risks remain a primary …

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Value-Added Natural Fiber As A Biocompatible Substrate For Chemical Sensor Applications, Wisarttra Phamonpon Jan 2023

Value-Added Natural Fiber As A Biocompatible Substrate For Chemical Sensor Applications, Wisarttra Phamonpon

Chulalongkorn University Theses and Dissertations (Chula ETD)

This dissertation focuses on the improvement and value added of natural fiber extracted from the UHT milk carton waste, and raw silk cocoon to fabricate the biocompatible substrate for chemical sensors, principally in colorimetric and electrochemical sensors, which is allocated in 3 main parts. Initially, the background studying of the surface modification and the function of natural fiber based chemical sensor for food quality control and clinical diagnosis will be explained in a review article. Subsequently, the development of recycled cellulose from UHT milk carton waste as a novel substrate of dual lactate sensor for milk spoilage indication will be …

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A Comprehensive Study Of African Horse Sickness Outbreak In The Northeastern Region Of Thailand: Outbreak Investigation, Genetic Characterization, And Longitudinal Serological Monitoring, Napawan Bunpapong Jan 2023

A Comprehensive Study Of African Horse Sickness Outbreak In The Northeastern Region Of Thailand: Outbreak Investigation, Genetic Characterization, And Longitudinal Serological Monitoring, Napawan Bunpapong

Chulalongkorn University Theses and Dissertations (Chula ETD)

African horse sickness (AHS) results from infection with the African horse sickness virus (AHSV). The AHSV is a non-contagious and belongs to genus Orbivirus, family Reoviridae and primarily by Culicoides midges. AHS caused the devastating infection in equine population, including horses, ponies, European donkeys, and mules. AHS maintains its occurrence in southern African countries, it may possess threatening impact to the naïve regions such as Asia or Southeast Asia. The objectives of this study are 1) To investigate the emerging AHS outbreak in the Northeastern region of Thailand, 2) To characterize emerged AHSV in Thailand and 3) To monitor serological …

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Effects Of Self-Adhesive Resin Cements On Human Gingival Fibroblasts, Kittipat Termteerapornpimol Jan 2023

Effects Of Self-Adhesive Resin Cements On Human Gingival Fibroblasts, Kittipat Termteerapornpimol

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objectives: To investigate the response of primary human gingival fibroblasts (HGFs) to self-adhesive resin cement (SARC) extracts. Methods: Two types of SARCs, RelyXTM U200 (RX) and Maxcem EliteTM Chroma (MC), were polymerized using various curing methods (light-cured, light-cured through 1- or 2-mm zirconia, and self-cured) (n=9/group). HGFs were exposed to cement extracts at different concentrations. Treated HGFs were assessed for cell viability, vitality, wound healing, and gene expression at different time points. Results: Dual-cured MC left self-cured and MC cured through 2 mm zirconia at high concentration significantly decreased the viability of HGFs. Delayed wound healing was observed in MC …

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Efficacy Of Nanogel From Grafted Hyaluronic Acid Saliva Substitutes In The Treatment Of Dry Mouth, Nongnapat Eakpunyakul Jan 2023

Efficacy Of Nanogel From Grafted Hyaluronic Acid Saliva Substitutes In The Treatment Of Dry Mouth, Nongnapat Eakpunyakul

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this study was to evaluate the efficacy of HA-pNIPAM spray or Hy-N spray in treating dry mouth and to evaluate patient satisfaction with Hy-N spray. This study was a randomized double-blind crossover study conducted on patients with dry mouth. They were given three saliva substitutes: Hy-N, placebo, and Biotène spray, which were randomly allocated in a different order. Each spray was used for 1 week, followed by a 3-day wash-out period. The instruction was to use the sprays four times a day. A total of twenty-nine patients completed the study. A significant increase in unstimulated whole saliva …

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Comparing Medium To Long-Term Esthetic, Clinical And Patient-Reported Outcomes Between Freehand And Computer-Assisted Dental Implant Placement, Sun Heng Jan 2023

Comparing Medium To Long-Term Esthetic, Clinical And Patient-Reported Outcomes Between Freehand And Computer-Assisted Dental Implant Placement, Sun Heng

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: The aim of the study was to compare medium to long-term clinical and patient reported outcomes between implants placed with Computer-assisted Implant Surgery (CAIS) and freehand protocols. Materials and Methods: Thirty dental implants in the anterior maxillary region with an average of 4 years after loading were assessed by means of Pink Esthetic Scores (PES), Marginal Bone Level (MBL), clinical and patient reported outcomes. Results: CAIS significantly outperformed freehand placement with regards to PES scores (p=0.011). Likewise, implants placed with CAIS showed significantly higher marginal bone levels (p<0.001). Bleeding on Probing, Probing depth and prevalence of mucositis did not differ between the groups, while no peri-implantitis was diagnosed. Conclusions: The use of CAIS lead to superior outcomes in terms of esthetics and marginal bone levels for implants placed in the aesthetic zone as observed in medium to long-term follow-up. No difference was however observed with regards to peri-implant mucosa inflammation.

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Analysis Of Gene Expression And Histology Of Bone Regeneration Using Mrna Encoding Bone Morphogenetic Protein-2 In Rat Femur, Duangporn Yongyosrungrueng Jan 2023

Analysis Of Gene Expression And Histology Of Bone Regeneration Using Mrna Encoding Bone Morphogenetic Protein-2 In Rat Femur, Duangporn Yongyosrungrueng

Chulalongkorn University Theses and Dissertations (Chula ETD)

The quality of bone healing is an important factor in dental implant treatment. Currently, there is only limited research on using mRNA encoding BMP-2 to improve the quality and quantity of bone. This study aimed to evaluate the effectiveness of bone healing in rat femur defect after delivery of dPBS, rhBMP-2 and mRNA-encoding BMP-2 (BMP-2 mRNA-LNP). Histology approach was used to measure the quantity of newly formed bone. RT-qPCR was used to study gene expression levels of BMP-2, OCN, BSP and TNF-α. Subsequently, RNA-Seq analysis was performed at six weeks post-operation. Histological study revealed that BMP-2 mRNA-LNP group had significantly …

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The Effect Of Different Self-Adhesive Resin Cements On Shear Bond Strength Of Hybrid Ceramic And Dentin, Rattawich Hoonsuwan Jan 2023

The Effect Of Different Self-Adhesive Resin Cements On Shear Bond Strength Of Hybrid Ceramic And Dentin, Rattawich Hoonsuwan

Chulalongkorn University Theses and Dissertations (Chula ETD)

ActivaTM bioactive is the first developed of dual cured, self-adhesive resin cement. For this in vitro study was to compare and evaluate the three differentsshear bond strength among ActivaTM bioactive, Maxcem EliteTM and RelyXTMU200 cement, when used as adhesive between CAD-CAM hybrid ceramic; Vita EnamicTM and dentin surface. The Vita EnamicTM block was designed and fabricated into forty-two discs shaped with CAD software. Forty-two extracted third maxillary molars was also collected. The all teeth were free of dental caries, restoration and cracked line were mounted vertically in the epoxy resin with exposedthe occlusal surface. Dentin surfaces were flatted surface by …

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Micro-Computed Tomography And Mechanical Test Of Bone Regeneration Using Mrna Encoding Bone Morphogenetic Protein-2 With Implant Placement In Rat Femur, Kanoksiri Jriyasetapong Jan 2023

Micro-Computed Tomography And Mechanical Test Of Bone Regeneration Using Mrna Encoding Bone Morphogenetic Protein-2 With Implant Placement In Rat Femur, Kanoksiri Jriyasetapong

Chulalongkorn University Theses and Dissertations (Chula ETD)

This research evaluates the effectiveness of a modified mRNA encoding bone morphogenetic protein-2 (m1Ψ-BMP-2 mRNA) with N1-methylpseudouridine modifications on bone regeneration and integration after implantation into rat femur defects. In the study, twelve femurs from six Sprague-Dawley rats underwent titanium wire insertation. These femur defects were then filled with either 5 μg of m1Ψ-BMP-2 mRNA, 15 μg of m1Ψ-BMP-2 mRNA, or Dulbecco's phosphate-buffered saline (dPBS) in a randomized manner (N=4 each group) Six weeks post-implantation, the rats were euthanized for evaluation using micro-computed tomography and a mechanical push-out test. The Micro-CT analysis focused on several parameters including total bone volume, …

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Effect Of Different Implant Angulations And Insertion-Removal Cycles On The Retentive Force Of Locator And Locator R-Tx Attachments, Jidapha Tangtrongmit Jan 2023

Effect Of Different Implant Angulations And Insertion-Removal Cycles On The Retentive Force Of Locator And Locator R-Tx Attachments, Jidapha Tangtrongmit

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aims to assess the implant of varying angulations and insertion-removal cycles on the retentive force of 2 denture attachments. The blocks were produced via 3D printing and divided into 2 groups: the LOCATOR attachment with orange retentive inserts and the LOCATOR R-Tx attachment with pink retentive inserts. Each group was divided into 3 subgroups based on implant angulation at 0-, 15-, and 30-degree implant angulation. The insertion-removal cycles were performed in 37 ±1°C deionized water using an INSTRON E1000 machine. Retentive force tests were conducted using a universal testing machine at baseline, after 270, 540, 810, 1080, 2160, …

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The Effect Of Water Sorption And Solubility On Surface Properties Of Cad/Cam Materials, Chatchalanya Wansudon Jan 2023

The Effect Of Water Sorption And Solubility On Surface Properties Of Cad/Cam Materials, Chatchalanya Wansudon

Chulalongkorn University Theses and Dissertations (Chula ETD)

The objective of this research was to examine sorption, solubility, and surface properties of three widely used CAD/CAM materials: resin composite (Cerasmart; CS), polymer-infiltrated ceramic network (Vita Enamic; VE) and lithium disilicate glass ceramic (IPS e.max CAD; LS). 45 rectangular-shaped specimens were prepared and immersed in deionized water for varying durations. These specimens were then subjected to evaluate their water sorption, solubility, surface roughness, and surface hardness. The results showed that immersion time significantly impacted water sorption of the tested materials (P.05). The 2-way ANCOVA revealed that water immersions had significant effects on surface hardness among tested CAD/CAM blocks (P.05). …

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The Effect Of Universal Adhesives On Repairability Of Four Cad/Cam Blocks, Tanyaporn Treyasorasai Jan 2023

The Effect Of Universal Adhesives On Repairability Of Four Cad/Cam Blocks, Tanyaporn Treyasorasai

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to assess the repairability among four CAD/CAM blocks repaired with different universal adhesives after aging. The CAD/CAM blocks evaluated were polymer infiltrated ceramic network (VE), zirconium-reinforced lithium silicate ceramic (VS), feldspathic ceramic (VM), and lithium disilicate ceramic (IE). Each original block was prepared to create 120 specimens. After 10,000 cycles of thermocycling, surface pretreatment of each specimen was carried out by grinding and etching with a 9% hydrofluoric acid. Subsequently, specimens were divided into three groups: Clearfil™ TRI-S BOND (CUB), Scotchbond Universal Plus® (SUP), and Monobond N® (MN). Resin composite was then applied. All samples underwent another …

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Gene Expression Of Soft Tissue Covering Bone Grafted With Xenograft In Human, Atithan Termworasin Jan 2023

Gene Expression Of Soft Tissue Covering Bone Grafted With Xenograft In Human, Atithan Termworasin

Chulalongkorn University Theses and Dissertations (Chula ETD)

Soft tissue is one of many factors that influence the esthetic success of dental implants. This study explores soft tissue reaction between soft tissue covering bone grafted with xenograft and soft tissue in normal healing by analyzing the levels of inflammatory cytokine including TNF-α, IL-6, IL-8 and NF-kB1. Soft tissues are collected after 4 to 6 months of healing and analyzed by reverse transcription quantitative polymerase chain reaction (RT-qPCR). The result shows that the relative gene expression of TNF-α, IL-6, IL-8, and NF-kB1 are not significantly different in soft tissue covering xenograft compared to the ones in soft tissue covering …

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The Effect Of Surface Treatment And Types Of Translucent Monolithic Zirconia On The Shear Bond Strength Of Porcelain Repaired To Zirconia, Karnkanith Hansomwong Jan 2023

The Effect Of Surface Treatment And Types Of Translucent Monolithic Zirconia On The Shear Bond Strength Of Porcelain Repaired To Zirconia, Karnkanith Hansomwong

Chulalongkorn University Theses and Dissertations (Chula ETD)

In the event of proximal contact loss in a zirconia crown on an implant, the zirconia crown can be modified by adding porcelain to recreate the proximal contact. This study investigated the shear bond strength between translucent zirconia (4Y-PSZ) and veneering porcelain compared to conventional zirconia (3Y-TZP). Zirconia substructures were treated with airborne-particle abrasion with Al2O3. The results of the shear bond strength test were analyzed by One-way ANOVA and post-hoc comparisons with Tukey’s honest significant difference (HSD) test. The shear bond strengthranged from 21.87 and 27.79 MPa. The failure mode was mixed failure in all groups. From the results, …

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A Comparison Of Fracture Load After Mechanical Cyclic Loading Between 3 Different Materials And 2 Designs On Implant-Supported Crown : An In Vitro Study, Thanus Liwwattanakorn Jan 2023

A Comparison Of Fracture Load After Mechanical Cyclic Loading Between 3 Different Materials And 2 Designs On Implant-Supported Crown : An In Vitro Study, Thanus Liwwattanakorn

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: To compare the fracture resistance among ultra-translucent zirconia, lithium disilicate, and composite resin implant-supported maxillary premolar crowns with cement-retained or combined cement- and screw-retained designs after cyclic loading simulation. Materials and Methods: Forty-eight maxillary first premolar crowns and their abutments were attached on dental implants (ø4.0 x 10 mm) embedded in epoxy resin blocks. All specimens were equally divided into 6 groups (n=8) based on monolithic crown material (ultra-translucent zirconia (Z), lithium disilicate (L), and composite resin (C)) and restoration design (cement-retained and combined cement- and screw-retained). Each specimen was subjected to 500,000 cycles of cyclic loading. Subsequently, a …

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Impact Of Contrast Agent Administration On Water Equivalent Diameter For Ssde Calculation In Chest Ct Angiography Examination, Nuttanit Kaewsan Jan 2023

Impact Of Contrast Agent Administration On Water Equivalent Diameter For Ssde Calculation In Chest Ct Angiography Examination, Nuttanit Kaewsan

Chulalongkorn University Theses and Dissertations (Chula ETD)

This study aimed to determine the impact of intravenous contrast enhancement on the calculation of water equivalent diameter (Dw) for size-specific dose estimate (SSDE) in chest CT angiography (CTA) using different calculation methods in non-contrast and arterial phase images. A cohort of 231 adult patients who underwent chest CT angiography at King Chulalongkorn Memorial Hospital (KCMH) were included. The 3D Slicer image computing software was used to automatically draw the ROI in each axial CT image to measure area and mean CT number. The Dw values were calculated following the American Association of Physicists in Medicine (AAPM) Report No.220 utilizing …

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Molecular Survey Of Enterocytozoon Bieneusi In Bat Feces Collected From Various Areas Of Thailand, Chatuthanai Savigamin Jan 2023

Molecular Survey Of Enterocytozoon Bieneusi In Bat Feces Collected From Various Areas Of Thailand, Chatuthanai Savigamin

Chulalongkorn University Theses and Dissertations (Chula ETD)

Enterocytozoon bieneusi is a microsporidian pathogen that can cause gastrointestinal diseases such as chronic diarrhea, abdominal pain, and nausea in humans, particularly in immunocompromised individuals. This pathogen has been found in the feces of various animals, from wildlife to domestic animals, but there have been no reports of its detection in bats in Thailand. Given that bat feces are widely used as fertilizers in agriculture and that bat-infested caves are tourist destinations where people may encounter bat feces, there is a need to study the presence of Enterocytozoon bieneusi in bat feces in these areas. In this study, 16 out …

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Hospital-Prepared: Autologous Platelet Rich Fibrin (Prf) Membrane For Corneal Epithelial Defect, Sarisa Tangkhunchaisaeng Jan 2023

Hospital-Prepared: Autologous Platelet Rich Fibrin (Prf) Membrane For Corneal Epithelial Defect, Sarisa Tangkhunchaisaeng

Chulalongkorn University Theses and Dissertations (Chula ETD)

An autologous platelet rich fibrin (PRF) membrane, a new generation of platelet concentrate known to have an effect on enhancing corneal epithelial wound healing by supersaturating the wound with epitheliotropic growth factors and being a scaffold for cellular proliferation and migration. However, there is no standard protocol for ophthalmologic use. This study aims to compare the characteristics of hospital prepared PRF membrane in four different protocols. We propose the super low centrifugation technic to yield the higher platelet cells and epitheliotropic growth factors. Blood samples were collected in 3 healthy volunteers with 4 different centrifugation protocols (100 g/5min, 200g force/5 …

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ความหลากหลายทางพันธุกรรมของโรคไขมันพอกตับที่สัมพันธ์กับการติดเชื้อเอชไอวีและโรคมะเร็งตับ, กมลชนก มูลลิสาร Jan 2023

ความหลากหลายทางพันธุกรรมของโรคไขมันพอกตับที่สัมพันธ์กับการติดเชื้อเอชไอวีและโรคมะเร็งตับ, กมลชนก มูลลิสาร

Chulalongkorn University Theses and Dissertations (Chula ETD)

โรคไขมันพอกตับเป็นหนึ่งในสาเหตุหลักของโรคตับอักเสบเรื้อรังที่สามารถดำเนินโรคไปสู่โรคมะเร็งตับได้ ความชุกของโรคไขมันพอกตับในประเทศไทยพบประมาณร้อยละ 20-30 สาเหตุของการเกิดไขมันพอกตับที่พบบ่อยได้แก่โรคอ้วน เบาหวาน กลุ่มโรคเมตาบอลิกและปัจจัยทางพันธุกรรม การศึกษาที่ผ่านมาพบว่ามียีนหลายตำแหน่งที่มีบทบาทเกี่ยวข้องกับกลไกการเกิดโรค ที่สำคัญได้แก่ PNPLA3, TM6SF2 และ HSD17B13 งานวิจัยนี้มีจุดประสงค์เพื่อหาความสัมพันธ์ของความหลากหลายทางพันธุกรรมของยีนดังกล่าวกับการเกิดโรคไขมันพอกตับในคนไทย โดยศึกษาจีโนไทป์ของทั้งสามยีนด้วยเทคนิค TaqMan Real-time PCR จากตัวอย่างเลือด 900 ตัวอย่างของ 4 กลุ่มได้แก่ กลุ่มควบคุมที่มีสุขภาพดี ผู้ป่วยโรคไขมันพอกตับที่มีและไม่มีการติดเชื้อเอชไอวี และกลุ่มผู้ป่วยมะเร็งตับ ผลการศึกษาพบว่าจีโนไทป์ GG ของยีน PNPLA3 rs738409 เป็นปัจจัยเสี่ยงของการเกิดโรคไขมันพอกตับในทุกกลุ่มที่ศึกษาเมื่อเปรียบเทียบกับกลุ่มควบคุม ดังนี้ กลุ่มผู้ป่วยที่ไม่มีการติดเชื้อเอชไอวี [odds ratio (OR)=6.52, 95% confidence interval (CI) 2.64-16.08, P<0.001] กลุ่มผู้ป่วยที่มีการติดเชื้อเอชไอวี(OR=2.76, 95% CI 1.09-7.00, P=0.03) และกลุ่มผู้ป่วยมะเร็งตับ (OR=9.96, 95% CI 4.06-24.44, P<0.001) อย่างไรก็ตามไม่ พบความสัมพันธ์ของยีน TM6SF2 rs58542926 และ HSD17B13 rs6834314 กับการเกิดโรคของ กลุ่มตัวอย่างต่างๆ จากการวิเคราะห์หาปัจจัยเสี่ยงอิสระด้วยสมการถดถอยพบว่า ค่าดัชนีมวลกาย ที่สูง โรคเบาหวาน ระดับเอนไซม์ALT ที่สูงและการไม่ติดเชื้อเอชไอวีเป็นปัจจัยเสี่ยงในการทำให้ เกิดความรุนแรงในการสะสมไขมันในตับ โดยสรุปผลการวิจัยนี้พบว่าความหลากหลายทาง พันธุกรรมของ PNPLA3 มีความสัมพันธ์กับการเกิดโรคไขมันพอกตับและเพิ่มความเสี่ยงต่อการเกิด โรคมะเร็งตับในประชากรไทย แต่ไม่พบความสัมพันธ์ดังกล่าวสำหรับยีน TM6SF2 และ HSD17B13

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The Association Between Medication Adherence, Belief About Medicine, And Other Factors Among Patients With Gout In A Tertiary Hospital In Bangkok, Ratanapha Phuan-Udom Jan 2023

The Association Between Medication Adherence, Belief About Medicine, And Other Factors Among Patients With Gout In A Tertiary Hospital In Bangkok, Ratanapha Phuan-Udom

Chulalongkorn University Theses and Dissertations (Chula ETD)

Objective: For the effective treatment of gout, medication adherence is essential, as the primary goal is to maintain serum uric acid levels below 6 mg/dL. Various factors, including clinical, psychological, and socioeconomic factors, can influence patients' adherence to treatment and subsequently affect gout control. This study aimed to assess the relationship between medication beliefs and adherence to urate-lowering therapy in patients with gout and explore the associated factors. Materials and Methods: In this cross-sectional study, patients with gout aged 20–80 years receiving urate-lowering therapy at a tertiary hospital were enrolled. Medical adherence was assessed using the 8-item Morisky Medication Adherence …

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Predictive Factors For The Outcome Of Lumbar Epidural Steroid Injection In Low Back Pain: A Prospective Analytic Study, Pornpan Chalermkitpanit Jan 2023

Predictive Factors For The Outcome Of Lumbar Epidural Steroid Injection In Low Back Pain: A Prospective Analytic Study, Pornpan Chalermkitpanit

Chulalongkorn University Theses and Dissertations (Chula ETD)

Background: This prospective analytic study aimed to investigate predictive factors for favorable outcomes in patients with lumbosacral radicular pain following epidural steroid injection (ESI). Methods: 120 patients diagnosed with lumbosacral radiculopathy underwent blood collection at two-time points (before and after ESI). At the 2-week follow-up, a favorable response to ESI was defined as a reduction in pain of at least 50.0%. Predictive factors such as pain manifestation, magnetic resonance imaging (MRI), and inflammatory cytokines were investigated. Results: A favorable response was observed in 60.8% of patients. The mean differences in serum inflammatory cytokines post-TFESI showed no significant variation between the …

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