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# คำถาม คำตอบ ถูก / ผิด สาเหตุ/ขยายความ ทฤษฎีหลักคิด/อ้างอิงในการตอบ คะแนนเต็ม ให้คะแนน
1


What is hybrid micellar liquid chromatography primarily used for in the study?

To increase pesticide production.

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2


Which pesticide was found most commonly in the vegetable samples?

Chlorpyrifos

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3


What percentage of the vegetable samples tested were found to contain no detectable pesticides?

16%

pesticides liquids, granules or pellets are commonly applied on green leafy vegetables. Pesticides most commonly used by the vegetable growers are Calcron (PFF 50% EC), Dhanvan 20 (CPS 20% EC), Polytril P440 (PFF 40% + CP 4% EC), Nuvan (DCV 76% EC), Confidor 17.8 (ICP 17.80% SC). Apart from common pesticides, some of the other pesticides used by vegetable growers are indoxacarb, dimethoate, dichlorvos, and emamectin benzoate representing around 15% of the total pesticides used 7

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4


Which of the following is NOT a reason for the use of hybrid micellar liquid chromatography (HMLC)?

It is easy to handle.

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5


What was the primary methodological change in the HMLC technique used in the study?

Use of a micellar mobile phase with reduced solvent usage.

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6


According to the study, why might vegetable growers prefer other pesticides over Imidacloprid (ICP)?

ICP is more expensive.

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7


What is the major benefit of using ICP as a pesticide, according to the study?

It is less toxic compared to many others.

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8


What aspect of the pesticide detection method was focused on during the method validation phase?

Verifying its ability to handle very large vegetable samples.

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9


Considering the environmental impacts discussed, why is the HMLC method considered 'green'?

It is funded by environmental organizations.

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10


What is the importance of the photodiode array detector in the HMLC technique used in the study?

It detects the presence of pesticides across a spectrum of wavelengths.

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11


What is hyperthermia commonly used to treat?

Cancer

Hyperthermia to treat cancer is not widely available. But at some centers it is used, along with other treatments such as radiation therapy and chemotherapy, for advanced cancers. It has been used to treat these types of advanced cancers: Hyperthermia can be used to treat small areas of the body, large areas, or the entire body. In local hyperthermia, doctors apply heat to a small area. The type of local hyperthermia used depends on where the tumor is located. External hyperthermia is used to treat tumors that are on or just below the skin. For this type of hyperthermia, doctors place devices that create heat around or near the treatment area. Intraluminal or endocavitary hyperthermia is used to treat tumors within or near body cavities, such as the esophagus or rectum. In this type of hyperthermia, doctors place probes that create heat inside the cavity and insert them into the tumor. Interstitial hyperthermia is used to treat tumors deep within the body, such as in the brain. This type of hyperthermia allows the tumor to be heated to higher temperatures than external techniques. The doctor will insert probes or needles into your tumor while you are under anesthesia. Imaging techniques, such as ultrasound, may be used to help make sure the probe is in the right place. The heat source is then inserted into the probe. Radiofrequency ablation is a type of interstitial hyperthermia that uses radio waves to heat and kill cancer cells. 7

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12


Which method is used to apply heat directly to a tumor in local hyperthermia?

Infrared radiation

By reviewing the literature, we analyzed how hyperthermia influences tumor immunology and improves the efficacy of ICI. Hyperthermia can trigger a series of multifactorial molecular cascade reactions between tumors and immunization and can significantly induce cytological modifications within the tumor microenvironment (TME). The pharmacological potency of ICIs can be enhanced greatly through the immunomodulatory amelioration of immunosuppression, and the activation of immunostimulation. Emerging clinical trials outcome regarding HIT have verified and enriched the theoretical foundation of synergistic sensitization Conclusion: HIT research is now starting to transition from preclinical studies to clinical investigations. Several HIT sensitization mechanisms have been reflected and demonstrated as significant survival benefits for patients through pioneering clinical trials. Further studies into the theoretical basis and practical standards of HIT, combined with larger-scale clinical studies involving more cancer types, will be necessary for the future. Keywords: hyperthermia; immune checkpoint inhibitor; synergistic sensitization; tumor immunosuppression. 7

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13


What is the primary benefit of using hyperthermia in cancer treatment?

It kills cancer cells with minimal damage to normal cells.

The major advantage of regional and whole-body hyperthermia is that they seem to make other forms of cancer treatment work better. Heating cancer cells to temperatures above normal makes them easier to destroy using radiation and certain chemotherapy drugs 7

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14


Hyperthermia is often used in combination with which of the following treatments?

Radiotherapy and chemotherapy

Although hyperthermia alone is damaging to tumors, it's most effective when used in conjunction with radiation therapy and, to a more limited extent, with chemotherapy. When used in combination with radiation therapy, hyperthermia makes it more difficult for tumor cells to repair radiation-induced damage. 7

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15


What is the main challenge of using hyperthermia in cancer treatment?

Reaching and maintaining the required temperature in the target area.

Hyperthermia is the condition in which the internal core temperature exceeds the normal range. Hyperthermia can be caused by infections, brain lesions, environmental conditions or heavy exercise. When caused by an infection, the responsible microorganisms release toxins called pyrogens into the bloodstream; on reaching the temperature control centers of the brain, they raise the thermal setpoint. This state, known as fever, is actually beneficial and is part of the immune system's response. Higher core temperatures adversely affect the invading microorganisms’ ability to replicate. This generally limits the extent of the infection and leads to its suppression. In the older adult, the fever response is often diminished or absent, which may explain the increased morbidity and mortality rates associated with infections in the elderly (McCance & Huether 2001). When the ambient temperature rises above 30°C (86°F), progressive vasodilation of the cutaneous vasculature commences and is followed by sweating and evaporation (Gonzalez et al 2001). Factors such as high humidity and physical activity magnify the effects of ambient temperature, taxing the thermoregulatory mechanisms. This is an especially important factor in home healthcare when treating debilitated patients. Unlike fever, nonfebrile rises in body temperature are not beneficial and threaten homeostasis. If normal thermal regulation is impaired in any way, these increases can reach dangerous levels. At core temperatures above 40.7°C (106°F), heat stroke and irreversible brain damage become imminent (see Fig. 10.1). 7

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16


Which type of hyperthermia involves heating a larger region or the whole body?

Whole-body hyperthermia

Whole-body hyperthermia therapy Whole-body hyperthermia therapy is used when cancer has metastasized (spread) throughout the body. Various methods can heat the entire body, including: Heated blankets Incubators Warm water baths Some patients may undergo fever-range, whole-body hyperthermia, which involves a short, controlled fever to trigger the immune system to fight cancer cells. Reasons for undergoing the procedure The following conditions may benefit from hyperthermia therapy: Deep tumors that cannot be treated surgically. Medical issues that keep you from undergoing surgery. Tiny tumors close to the skin’s surface. Internal body cavity tumors. 7

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17


What type of hyperthermia uses applicators inserted into or near a body cavity to deliver heat?

Regional hyperthermia

therapy Regional hyperthermia therapy targets larger areas of the body, often in conjunction with chemotherapy. This treatment is used for tumors within body cavities, organs, or limbs and can take several forms: Deep tissue therapy: High-energy waves are directed at organs in a cavity, such as the bladder or cervix. Regional perfusion: Involves filling an entire cavity or limb with heat. This can include: Removing blood, heating it, and then returning it to the body. Filling a body part with heated chemotherapy. This method treats cancers like melanomas (skin cancers) or sarcomas (cancers that start in the bones or soft tissues). 7

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18


What is a significant potential side effect of whole-body hyperthermia?

Immediate tumor shrinkage

Heat-related illnesses happen when your body’s usual mechanisms for managing heat get overwhelmed. This can occur due to hot and humid weather, metabolic heat (heat your body makes) or both. As a result, your body can’t get rid of heat efficiently enough to keep your temperature at a normal level. Sometimes, your temperature stays normal but you develop other, uncomfortable symptoms — like a rash or muscle cramping. Hyperthermia symptoms vary according to the specific condition you have. The infographic below lists the signs and symptoms of the four main types of heat illness. Heat stroke, unlike other heat illnesses, affects your brain function. Besides physical symptoms, it causes changes to your thinking and behavior. Often, bystanders are the ones who notice heat stroke symptoms in a person and call for medical help. If you have heat stroke, you may be confused, delirious or unconscious and have difficulty seeking help for yourself. 7

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19


Considering the physics of heat transfer, why is controlling hyperthermia challenging during treatment?

Heat naturally rises, making it difficult to target lower body tumors.

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20


Why is hyperthermia considered a beneficial adjunct to radiotherapy and chemotherapy?

It makes cancer cells more susceptible to other treatments.

Susceptibility testing may be used to determine which antibiotic or antibiotic combinations will be most effective in treating all the different types of bacteria causing the infection 7

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ผลคะแนน 33.65 เต็ม 140

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