Four Countries Have Antimicrobial-Stewardship Policies, but 16 Hospitals Average 72% Implementation and Training Lags
This study linked national policy, hospital systems, and provider behaviour in Indonesia, Nepal, Thailand, and Viet Nam during 2022–2023. It included 486 participants across 16 hospitals. All countries had antimicrobial-stewardship policies, but financing, enforcement, training, microbiology-data use, and inter-programme coordination were uneven. Hospitals averaged 72% on G-ASET, with tracking and reporting highest at 75% and training lowest at 66%. The two Thai hospitals scored 81.3% and 80.6% overall, yet both scored only 50% for training. These results identify actionable system gaps; they do not experimentally show that any intervention reduced antibiotic use, resistance, or mortality.
Direk Limmathurotsakul · Anucha ApisarnthanarakMahidol University · Mahidol Oxford Tropical Medicine Research Unit · Thammasat University Hospital
This conceptual paper critiques transport decarbonization strategies that over-rely on coordination, optimization and prediction. Drawing on wu-wei, qi and yin-yang, it proposes governance as attunement to mobility systems that are emergent, contested and continually changing.
The article systematises a 40-instrument Isan orchestra without Western instruments, covering folk-melody motifs, counterpoint, polyphony, voice-leading, orchestration grids and seating for acoustic balance.
Survey and financial data from 179 Thai SMEs in 2021–2023 were modeled with XGBoost to distinguish internationally integrated from domestic-oriented firms. Internationalized SMEs showed configurations of financial agility, profitability, disciplined leverage, resource efficiency, international experience, team readiness, market knowledge and institutional connectivity.
The study assembled 1,097 chest radiographs from five institutions and 3,117 interpretations by six NIOSH-certified B readers. Participants were at least 15 years old, while people with HIV or opportunistic infection were excluded. Readings were compared with sputum smear, culture or molecular reference tests. Sixty-nine per cent of interpretations were abnormal; 87% of these were TB cases, while 83% of unremarkable readings were non-TB.
In 75 infants deliberately selected as G6PD deficient, intermediate or normal (25 each), the quantitative STANDARD G6PD test agreed closely with spectrophotometry and supported capillary testing through the first week using cord-blood thresholds. Enzyme activity declined at one and four months, and intermediate female infants may require age-specific interpretation.
Thai researchersGornpan Gornsawun · Eh Moo · Klay Htoo · Supalak Chalermvisutkul · Mary Ellen Gilder · Phaw Khu Moo · Laypaw Archusuksan · Taco Jan Prins · Borimas Hanboonkunupakarn · Rose McGready · Francois Nosten · Germana Bancone
Survey data from 279 Thai listed firms were analysed with PLS-SEM to test links among regulatory pressure, ESG integration capability, internationalisation orientation, sustainability innovation, perceived authenticity and financial sustainability performance.
Researchers extracted cellulose nanofibers from rice-husk pulp and chitin nanofibers from shrimp-shell pulp as coatings for cucumbers and papayas. Under normal-atmosphere storage, coated cucumbers reportedly remained fresh for up to four weeks and papayas for three weeks, versus 5–14 days uncoated, with less weight loss and new microbial growth. Safety, sensory quality, cost and real supply-chain replication remain to be established.
PASS, SwissADME, ProTox and docking predicted favourable properties for luteolin and apigenin, with calculated NS2B-NS3 allosteric binding of -7.74 and -7.67 kcal/mol and interactions with host C-type lectin receptors. All findings are computational; no enzyme, infected-cell, animal or patient antiviral activity was demonstrated.
A biomass stove and steam generator for the U-Tapao basin improved thermal efficiency and reduced boiling time versus traditional methods. Field trials in two steam-room configurations sustained about 40°C for 30-35 minutes.
Panel data from 281 Chinese cities in 2007-2022 and multi-period difference-in-differences associated Broadband China, IP demonstration and dual pilots with stronger urban economic resilience. The dual policy was largest, and broadband-before-IP outperformed the reverse sequence.
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%.
Among 114 adults with GCS 13-15, intracranial haemorrhage, conservative management and repeat CT, 26 (22.8%) progressed to admission or neurosurgical intervention. Midline shift, systolic blood pressure ≥160, multiple haemorrhages and GCS 13-14 were independently associated. These are triage signals, not an externally validated rule.
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
72IMPACT SIGNAL
Environmental Engineering
Vertical decoupling of radiation absorption and thermal mass controls the sub-daily timing of canopy heat storage in a tropical dipterocarp forest
Climate change worry and psychological distress among Chinese college students: a three-wave longitudinal moderated mediation study
BMC Psychology
Thailand-affiliated authors
Tao Pu
Institutions
Shinawatra University
72IMPACT SIGNAL
Engineering
Rapid stabilization of agricultural organic waste by mechanical agitation and P.D.1 bioinoculation in a community-scale passive-aeration composting reactor
University of Phayao · Rajamangala University of Technology · King Mongkut's University of Technology North Bangkok
72IMPACT SIGNAL
Clinical Medicine
Genetic diversity of Plasmodium vivax apical membrane antigen 1 (PvAMA1) and erythrocyte binding protein (PvEBP) from malaria endemic areas of Pakistan
Scientific Reports
Thailand-affiliated authors
Irfanullah Khan · Jiraporn Kuesap
Institutions
Thammasat University
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Engineering
Toward a sustainable green campus: Short-term co-composting of cafeteria food waste and cow manure with an algae bio-scrubber
Kasetsart University · Thailand Institute of Scientific and Technological Research · Burapha University
72IMPACT SIGNAL
Multidisciplinary
Termite sanitary behaviour and their associated bacteria protect against latent Xylaria and entomopathogenic Metarhizium
IMA Fungus
Thailand-affiliated authors
Er-Fu Yang · Milan C. Samarakoon · Itthayakorn Promputtha · Qian-Qian Tao · Chun‐I Chiu · Nakarin Suwannarach
Institutions
Chiang Mai University
72IMPACT SIGNAL
Environmental Engineering
Separating Runtime Acceptance from Offline Contract Alignment in LLM-Orchestrated Flood GIS Workflows: A Dual-Case Evaluation
ISPRS International Journal of Geo-Information
Thailand-affiliated authors
Hongyun Zhang · Fang Wang · Yahong Zhao
Institutions
Department of Disaster Prevention and Mitigation
72IMPACT SIGNAL
Global Public Health
Oil palm fiber extract as a fermentable functional ingredient: in vitro gastrointestinal carbohydrate hydrolysis, feline fecal fermentation, and microbiota-associated metabolite production
Prince of Songkla University · Suratthani Rajabhat University · Hatyai University · Thaksin University · Nakhon Si Thammarat Rajabhat University · Silpakorn University
72IMPACT SIGNAL
Environmental Engineering
Synergizing IoT Precision Irrigation and Community Capacity Building for Enhanced Mangosteen Quality
Prince of Songkla University · Nakhon Si Thammarat Rajabhat University · National Science and Technology Development Agency · Thailand National Metal and Materials Technology Center · Walailak University · Center of Excellence on Hazardous Substance Management
72IMPACT SIGNAL
Environmental Engineering
Eco-sustainable remediation and detoxification of paclobutrazol-contaminated water using upcycled waste-derived biochar-immobilized microbial system