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EDITOR'S SIGNALRotating editor's selection
Evidence of global relevance

Characteristics, management, and outcomes of segmental and subsegmental pulmonary embolism in ICU patients: A retrospective cohort study

Researchers reviewed 896 CT pulmonary angiograms from 804 ICU patients between January 2019 and June 2025. Pulmonary embolism was identified in 164 examinations, while 104 patients had segmental or subsegmental embolism without a more proximal clot. Anticoagulation was given to 96% of this group and 86% of treated patients received therapeutic dosing. At 90 days, bleeding occurred in 15%, major bleeding in 12%, recurrent venous thromboembolism in 7.8% and mortality in 24%.

Nuanprae Kitisin · Nattaya Raykateeraroj · Sikarin UpalaSiriraj Hospital · Mahidol University
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IMPACT92/100
EDITORIAL DEEP DIVES

In-depth research analyses

Source-verified editorial analyses, ordered by latest publication date

1,037 analyses
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Patient-Reported Outcome Measurement86IMPACT SIGNAL
Qualitative evidence from patient experience

Measuring what matters: Evaluating quality of life instruments through the eyes of people with Parkinson's disease

Researchers asked 31 people living with Parkinson's disease to complete eight quality-of-life instruments and then used semi-structured interviews to explore what helped or hindered meaningful reporting. Participants favored broad response options, attention to personal, emotional, and practical effects, clear and specific language, and a balance of positive and negative questions. The study centers lived experience in instrument refinement but does not establish which questionnaire has the best validity, reliability, or responsiveness.

Thai researchersOnanong Phokaewvarangkul
Business, Marketing and Consumer Behaviour86IMPACT SIGNAL
Survey and configurational-model evidence

Balancing continuity and relevance: Innovation-nostalgia configurations in time-honored brand revitalization

Revitalizing a time-honored brand requires continuity of identity alongside present-day relevance. The study analyzed 404 firm-side respondents from 76 enterprises and 536 consumers in Southwestern China using PLS-SEM and fsQCA. Innovation and nostalgia interacted positively only in the firm model; both were positively associated on the consumer side, where nostalgia was stronger. Set-theoretic analysis identified overlapping configurations and three balancing logics, framing revitalization as a multi-actor process rather than a universal formula.

Thai researchersXiangyu Li · Danaikrit Inthurit · Surachai Kungwon · Nirote Sinnarong
Sustainable Tourism and Climate Risk85IMPACT SIGNAL
Cross-sectional structural and configurational evidence

Revisit Intention Under Climate Risk in Island Tourism: Structural and Configurational Evidence from PLS-SEM and fsQCA

The study examines how perceived island-climate risk, destination climate resilience, tourism climate-service usefulness, and destination trust combine in relation to intention to revisit Phuket. An on-site survey of 480 Chinese tourists was analyzed using both PLS-SEM and fsQCA. The structural model explained 74.6% of variance in revisit intention: perceived climate risk was negatively associated, the other three constructs were positively associated, and trust had the strongest direct association. The configurational analysis identified multiple routes to high and low intention. All results concern cross-sectional self-reported intention, not proof that an intervention causes actual return travel.

Thai researchersXinda Yang · Sirichai Preudhikulpradab · Lalida Arphawatthanasakul
Health Professions Education and Research Equity85IMPACT SIGNAL
Global bibliometric and network analysis

Moving towards decolonizing health professions education research: an analysis of global network patterns and equity implications

An all-Thai team analyzed co-authorship structures in five leading Q1 health-professions-education journals from 2015 through 2024, covering 13,187 publications, 45,366 authors, and affiliations in 162 countries. Annual output grew 2.7-fold and distinct authors 3.7-fold. High-income-country-only publications fell from 86% to 63%, while non-high-income-only publications rose from 6% to 26%. The network became broader and more connected, yet the United States, United Kingdom, and Canada remained central, and low-income-country collaboration was more often routed through high-income partners than through regionally led networks.

Thai researchersPeerasit Sitthirat · Seksan Yoadsanit · Phuphinyo Limchantra · Kanjaree Suppawittaya · Suttithan Suwannoppakun · Piwat Suppawittaya · Phanuwich Kaewkamjornchai · Somsak Chunharas
Healthcare Operations and Decision Support85IMPACT SIGNAL
Computational simulation evidence

An Integrated Intelligent Decision Support System Combining Stochastic Programming and Queuing Theory for Dynamic Triage of Surgical Critical Care Patients to Prevent Postoperative Complications in Healthcare Business Operation

The authors developed SQDSS, combining two-stage stochastic programming with multi-class priority queueing to triage surgical critical-care patients under uncertain arrivals, changing acuity, and deterioration while waiting. Across 48 synthetic datasets, comparisons with first-come-first-served and a fixed-severity rule showed about 22.8% shorter high-acuity waits, 16% greater bed utilization, roughly 28% less queue overflow, and roughly 18% fewer simulated complications. Benefits were greatest under surge and trauma-dominant conditions. No real-patient data or implementation trial were used, so these results demonstrate modeled feasibility rather than clinical effectiveness.

Thai researchersJarun Bootdachi · Parichat Wonggom · Wiphawadee Potisopha
Adolescent Mental Health and Measurement85IMPACT SIGNAL
Psychometric validation

Psychometric Properties of the Revised Thai Rosenberg Self-Esteem Scale (r-TRSES) in Adolescents: Confirmatory Factor Analysis and Rasch Modeling

The study evaluates a culturally reworded Thai Rosenberg Self-Esteem Scale in 443 boarding-school students. Confirmatory factor analysis supported a bifactor structure with a dominant general self-esteem factor and residual wording-related variance. Rasch analysis supported essential unidimensionality, acceptable item fit, strong reliability, and ordered response thresholds. No item exceeded the prespecified threshold for sex differential item functioning. Scores correlated positively with resilience (r=0.589) and negatively with depressive symptoms (r=-0.601), but precision declined among adolescents with higher self-esteem and broader replication remains necessary.

Thai researchersJustin DeMaranville · Peerapat Naprung · Supisara Prompila · Nahathai Wongpakaran · Tinakon Wongpakaran
Clinical-Trial Systems and Research Capacity88IMPACT SIGNAL
Expert-workshop open letter; version 1 awaiting peer review

Strengthening Sustainable Clinical Trial Models for Greater Health Impact: Expert Discussion from the Annual Wellcome Major International Programme Regional Meeting 2024

This open letter synthesizes the 2024 Wellcome Major International Programmes meeting, which brought together research-institution representatives from Africa, Asia, and the United Kingdom. Participants identified limited clinical-trial literacy, unstable funding, workforce recruitment and retention, inequitable partnerships, ethics and regulatory bottlenecks, operational inefficiencies, and barriers in remote settings. Proposed responses included locally led agendas, diversified funding, workforce development, stronger community and regulator engagement, platform, adaptive and decentralized trials, shared monitoring, and interoperable data systems. The meeting agreed to explore a formal MIPs alliance, but the paper does not show that the alliance has yet delivered operational or health outcomes.

Thai researchersNicholas P J Day · Nicholas J White
Generative AI and Higher Education85IMPACT SIGNAL
Cross-sectional PLS-SEM evidence

Extending UTAUT with Metacognition and Self-Regulation: Evidence on Generative AI Use among University Students

A survey of 451 students at seven Thai Rajabhat universities extended UTAUT by positioning metacognitive awareness and self-regulated learning between technology-acceptance determinants and GenAI-use intention, with intention predicting self-reported use of GenAI as a cognitive partner. Facilitating conditions had the strongest associations with metacognition and self-regulation but no significant direct association with intention; the significant indirect path ran through metacognition. Social influence was the strongest direct predictor of intention, followed by metacognition, while effort expectancy and self-regulated learning did not predict intention in this model.

Thai researchersNatthawan Phoonson · Thada Jantakoon · Rukthin Laoha
Geriatric and Transitional Care85IMPACT SIGNAL
Prospective observational evidence

Nearly Two-Thirds of Frail Older Adults Had an Unplanned Hospital Return Within Six Months

An interim prospective secondary analysis from a parent trial at one university hospital followed 170 frail older adults after medical-ward discharge. A broad composite of emergency visits, unplanned outpatient visits, and readmissions rose from 34.7% at one month to 64.7% at six months. Better nutritional status was associated with lower return odds, and returners had higher direct medical costs. The observational analysis does not show that nutritional intervention prevents return.

Thai researchersPatumporn Suraarunsumrit · Maytinee Srisubin · Sutisa Pitiyarn · Ponnapa Petchthai · Dariya Tantiameorn · Chaloemphon Thedpun · Sunit Jarungjitaree · Kotchamon Sukyoyot · Unchana Sura-amonrattana · Varalak Srinonprasert · Titima Wongviriyawong
HIV Prevention and Health Equity92IMPACT SIGNAL
Cross-national cross-sectional evidence

PrEP Use and Willingness Cascades Among Transgender Women in 11 Asian Countries: Findings From the PrEP APPEAL Cross-Sectional Online Survey

The 2022 PrEP APPEAL online survey included 1,178 transgender women in 11 Asian countries. Awareness was 80.0%; among those aware, 62.6% had ever used PrEP, and 78.1% of ever-users were current users. Among higher-risk PrEP-naïve respondents, 60.0% were willing to use it, but only 34.0% of those willing would pay. Healthcare discrimination was associated with lower lifetime use; causality cannot be inferred.

Thai researchersRena Janamnuaysook · Hua Boonyapisomparn · Nittaya Phanuphak
Emergency Care, Workforce and Technology Implementation89IMPACT SIGNAL
Retrospective implementation evidence

Barriers and Facilitators to Point-of-Care Ultrasound Utilization Among Emergency Medicine Residents and Emergency Nurse Practitioners Following Institutional Training

At Srinagarind Hospital's emergency department, Khon Kaen University, this study included 16 emergency-medicine residents and 60 emergency nurse practitioners who completed institutional POCUS training during 2024–2025, plus 2,097 electronically archived examinations over a standardized one-month observation per provider. Residents had higher mean competency scores. Both groups identified workload and time, limited equipment, and interpretive confidence as major barriers, while nurse practitioners reported greater concern about institutional support and medicolegal risk. Competency and provider type were associated with more recorded examinations, while patient volume was associated with fewer. The study did not assess image quality, diagnostic accuracy, treatment decisions, or patient outcomes.

Thai researchersKamonwon Ienghong · Sukanya Khemtong · Apisara Jaimongkolsiri · Chatkhane Pearkao · Korakot Apiratwarakul
Health Economics and Orthopaedics85IMPACT SIGNAL
Short-term retrospective economic evidence

Cost-effectiveness Analysis of Intra-articular Injection of Plasma Rich in Growth Factors for Knee Osteoarthritis in the Aging Population Who Failed Conservative Treatment

This retrospective economic evaluation followed 197 Thai Buddhist monks aged at least 55 years with Kellgren–Lawrence grade II–IV knee osteoarthritis after failed conservative care and a PRGF injection. WOMAC scores were mapped to utility with the Barton algorithm. Mean utility rose from 0.5957 at baseline to 0.7252 at month 6, then declined to 0.6660 at month 12. PRGF cost THB 6,000 versus literature-derived estimates of THB 3,762.64 for NSAIDs and THB 7,719.78 for celecoxib. The six-month ICER was THB 41,059.01 per utility gain versus NSAIDs and −THB 36,212.45 versus celecoxib. The drug groups were not contemporaneous controls and the outcome was not a QALY, so Thailand's willingness-to-pay threshold cannot be applied.

Thai researchersPramook Vanasbodeekul · Pason Phonphok · Pamok Saengsirinavin · Thana Turajane
BIBLIOGRAPHIC RESEARCH WATCHLIST

Bibliographic research records

Thailand-affiliated bibliographic records. These are not full analyses; they are ordered by Impact Signal and should be verified against the original source.

3,510records
3,510 records
73IMPACT SIGNAL
Clinical Medicine

Clinical characteristics, energy intake patterns, and factors associated with severity of refeeding syndrome in pediatric patients: a single-center retrospective observational study

BMC Nutrition

Thailand-affiliated authors
Suchaorn Saengnipanthkul · Ly Cong Tran
Institutions
Khon Kaen University
73IMPACT SIGNAL
Clinical Medicine

Diagnostic performance of nanopore sequencing technology for detecting thalassemia and hemoglobinopathy

Clinical Chemistry and Laboratory Medicine (CCLM)

Thailand-affiliated authors
Moe Theingi · Chedtapak Ruengdit · Manoo Punyamung · Xiaohan Wang · Pinyaphat Khamphikham · Sakorn Pornprasert
Institutions
Chiang Mai University · Chulalongkorn University
73IMPACT SIGNAL
Clinical Medicine

One stop shop VI: taxonomic update with molecular phylogeny for important phytopathogenic genera: 126–150

Fungal Diversity

Thailand-affiliated authors
Chitrabhanu S. Bhunjun · Chayanard Phukhamsakda · Kevin D. Hyde
Institutions
Mae Fah Luang University · Mae Fah Luang University Hospital
73IMPACT SIGNAL
Clinical Medicine

A randomized trial of viral vector and adjuvanted protein HBV therapeutic vaccine in people with chronic hepatitis B on nucleos(t)ide analogs

Hepatology Communications

Thailand-affiliated authors
Apinya Leerapun · Anchalee Avihingsanon
Institutions
Chiang Mai University · HIV Netherlands Australia Thailand Research Collaboration
73IMPACT SIGNAL
Digital Health

Natural rubber stretching band-assisted micro-break interventions for enhancing biomechanical performance and autonomic balance during simulated office work

Materials Today Communications

Thailand-affiliated authors
Nabil Hayeemasae · Nureeyah Jehsoh · Warangkana Radchumrong · Nifareeda Samerphob
Institutions
Prince of Songkla University
73IMPACT SIGNAL
Clinical Medicine

Mortality and associated factors of juvenile idiopathic arthritis in hospitalized Thai children: a nationwide data analysis 2015-2023

Lara D. Veeken

Thailand-affiliated authors
Dara Mairiang · Porntipa Suebsarakam · Sirapoom Niamsanit · Phanthila Sitthikarnkha · Leelawadee Techasatian · Suchaorn Saengnipanthkul · Pope Kosalaraksa · Kaewjai Thepsuthammarat · Rattapon Uppala
Institutions
Khon Kaen University
73IMPACT SIGNAL
Engineering

Humidity-Enhanced Effects of Sputtered Au Nanoparticles on the Ethanol Sensing Performance of Thermally Evaporated ZnO Nanowires

ACS Omega

Thailand-affiliated authors
Suparat Singkammo · Anurat Wisitsoraat · Chaikarn Liewhiran · Matawee Punginsang
Institutions
Synchrotron Light Research Institute · National Science and Technology Development Agency · Chiang Mai University
73IMPACT SIGNAL
Clinical Medicine

Clonostachys kasetsartana sp. nov., a novel epiphytic fungus isolated from the mangrove leaves in Thailand

INTERNATIONAL JOURNAL OF SYSTEMATIC AND EVOLUTIONARY MICROBIOLOGY

Thailand-affiliated authors
Ananya Sahathippayakul · Vassana Supapongsri · Nattakorn Kuncharoen · Nakarin Suwannarach · Piyangkun Lueangjaroenkit
Institutions
Kasetsart University · Chiang Mai University
73IMPACT SIGNAL
Clinical Medicine

Comparative Analytical Performance and Clinical Agreement of Chemiluminescence Microparticle Immunoassay and Electrochemiluminescence Immunoassay for CA19-9: A Diagnostic Accuracy Study

Diagnostics

Thailand-affiliated authors
Jongkonnee Wongpiyabovorn · Nasornthan Yutthakasaemsan · Sunida Vandelaer
Institutions
Chulalongkorn University
73IMPACT SIGNAL
Clinical Medicine

Citywide re-evaluation of the Bangkok air quality health index: classification performance, nonlinear same-day respiratory associations, and implications for precautionary health communication

BMC Public Health

Thailand-affiliated authors
Suwimon Kanchanasuta · Narongpon Dumavibhat · Nakarin Sansanayudh · Chathaya Wongrathanandha · Thammasin Ingviya · Piti Chalongviriyalert · Dittapol Muntham · Sarawuth Limprasert
Institutions
Mahidol University · Siriraj Hospital · Armed Forces Research Institute of Medical Science · Ramathibodi Hospital · Prince of Songkla University · Bangkok Metropolitan Administration · Charoenkrung Pracharak Hospital · Rajamangala University of Technology Suvarnabhumi · Phramongkutklao Hospital
73IMPACT SIGNAL
Clinical Medicine

Knowledge, attitudes, and practices (KAP) of caregivers regarding PM2.5 exposure among children in Northern Thailand: a cross-sectional study on the knowledge–practice gap

The Journal of Climate Change and Health

Thailand-affiliated authors
Suparat Phuanukoonnon · Pyae Linn Aung · Wissanupong Kliengchuay · Sarima Niampardit · Nuttapohn Kiangkoo · Rachaneekorn Mingkhwan · Paweena Aendo · Sawaeng Kawichai · Kotchakorn Khammoon · Tippawan Prapamontol · Nguyen Thi Kim Oanh · Walaiporn Phonphan · Kraichat Tantrakarnapa
Institutions
Mahidol University · Mahidol Oxford Tropical Medicine Research Unit · Chiang Mai University · Asian Institute of Technology · Suan Sunandha Rajabhat University
73IMPACT SIGNAL
Clinical Medicine

Association between Warfarin Exposure and Intracranial Arterial Calcification in 645 Patients without Trauma

Asian Journal of Neurosurgery

Thailand-affiliated authors
Chanya Chotchungchutchaval · Chaithud Kerdtubtim · Bunpot Sitthinamsuwan · Chanon Ngamsombat · Chottiwat Tansirisithikul · Sarun Nunta-aree
Institutions
Siriraj Hospital · Mahidol University
73IMPACT SIGNAL
Global Public Health

Transcriptome profiling analysis of heat-adapted and heat-sensitive breeder hen jejunal mucosal tissues in response to acute heat stress

BMC Veterinary Research

Thailand-affiliated authors
Yongcai Zhu · Satoshi Kubota · Phocharapon Pasri · Sitthipong Rakngam · Sutisa Khempaka
Institutions
Suranaree University of Technology
73IMPACT SIGNAL
Clinical Medicine

Cannabinoid therapeutics in the 21st century: from molecular mechanisms to equitable clinical integration

Exploration of Drug Science

Thailand-affiliated authors
Mohamed Mustaf Ahmed
Institutions
Chulalongkorn University
73IMPACT SIGNAL
Clinical Medicine

Impact of Copper and Melezitose Supplementation on Adalimumab Production and N-linked Glycosylation in Chinese Hamster Ovary Cell Culture

Chiang Mai Journal of Science

Thailand-affiliated authors
Montarop Yamabhai
Institutions
Suranaree University of Technology
73IMPACT SIGNAL
Clinical Medicine

Complete metabolic response in stage IV Merkel cell carcinoma after combined avelumab and radiotherapy: a case report suggestive of an abscopal effect

Frontiers in Oncology

Thailand-affiliated authors
Mariana Cecilia Macías-Flores
Institutions
Surin Hospital
73IMPACT SIGNAL
Global Public Health

Prevalence, multi-drug resistance, and public health risks of Salmonella Enterica in poultry farms and markets of Nekemte, Ethiopia: a cross-sectional study

Scientific Reports

Thailand-affiliated authors
Hunde Weyuma Balcha
Institutions
Department of Livestock Development
73IMPACT SIGNAL
Multidisciplinary

Acute and Chronic Toxicity Tests and Assessment of In Vitro and In Vivo Anti-Allergic Effects of Prabchompoothaweep Remedy

International Journal of Molecular Sciences

Thailand-affiliated authors
Sunita Makchuchit · Pattarapol Pusiripinyo · Areeratna Jai-uea · Pranporn Kuropakornpong · Seewaboon Sireeratawong · Parirat Khonsung · Arunporn Itharat
Institutions
Thammasat University · Chiang Mai University
73IMPACT SIGNAL
Multidisciplinary

Corn Stover-DerivedLewis Acid Carbon Catalyst forEfficient Hantzsch Synthesis of 1,4-Dihydropyridines

ACS Omega

Thailand-affiliated authors
Kanyaphat Torboon · Chatthai Kaewtong · Supinya Nijpanich · Nopbhasinthu Patdhanagul · Prasong Srihanam · Andrew J. Hunt · Pakin Noppawan
Institutions
Mahasarakham University · Synchrotron Light Research Institute · Kasetsart University · Khon Kaen University
73IMPACT SIGNAL
Clinical Medicine

Prediction of 1500 m freestyle performance in age-group swimmers based on synthetic data and symbolic regression

Journal of Sports Sciences

Thailand-affiliated authors
Phornpot Chainok · Radomyos Matjiur
Institutions
Burapha University
73IMPACT SIGNAL
Environmental Engineering

Heavy Metal Contamination and Water Quality Deterioration Along the River–Estuary Continuum of the Cisadane River, Indonesia

Environmental Forensics

Thailand-affiliated authors
Triyoni Purbonegoro
Institutions
Department of Marine and Coastal Resources
73IMPACT SIGNAL
Energy and Materials

Extemporaneous dual-drug-loaded contact lenses containing ceftazidime and cefazolin for perforated bacterial keratitis

Scientific Reports

Thailand-affiliated authors
Pratthana Chomchalao · Aphiradee Boonkham · Waree Tiyaboonchai · Rossukon Khotcharrat
Institutions
Ubon Ratchathani University · Rambhai Barni Rajabhat University · Naresuan University
73IMPACT SIGNAL
Energy and Materials

Growth of Single and Bimetallic Nickel and Cobalt Compounds for High Performance Supercapacitors via Fluoride-Based Structure-Directing Regulation

ACS Applied Energy Materials

Thailand-affiliated authors
Chutima Kongvarhodom
Institutions
King Mongkut's University of Technology Thonburi
73IMPACT SIGNAL
Environmental Engineering

Trimeric autotransporter adhesins driving chain-like adhesion diversify surface colonization strategies in Shiga toxin-producing Escherichia coli

Nature Communications

Thailand-affiliated authors
Yukihiro Akeda
Institutions
Chulalongkorn University

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EDITORIAL STANDARD

How we select research

We use OpenAlex, Crossref, PubMed, DOI records, and publisher pages, then verify Thai researcher participation before publication.

  1. 01Discover new researchFocus on the latest 90 days and verifiable Thai affiliations
  2. 02Assess signalsReview recency, quality, collaboration, and societal relevance
  3. 03Read with careReport findings with limitations and avoid claims beyond the evidence
  4. 04Open original sourcesEvery item includes a DOI, review date, and verification link