Bridging clinical needs and economic barriers: a national survey of antidepressant prescribing across 25 hospitals in Thailand
The multicentre survey analysed 604 patients from 25 Thai hospitals between December 2023 and March 2024. SSRIs accounted for 70.2% of prescriptions, followed by TCAs at 13.9% and trazodone at 12.7%. The most common diagnoses were depressive disorders (55.0%), substance use disorders (15.2%) and psychotic disorders (13.7%). Clinicians cited limited availability (21.9%), reimbursement arrangements (36.3%) and patient finances (33.9%) as prescribing constraints.
Pornjira Pariwatcharakul · Krittisak Anuroj · Nopporn Tantirangsee · Keerati Pattanaseri · Chonnakarn Jatchavala · Nitchawan Kerdcharoen · Papan Thaipisuttikul · Kanthee Anantapong · Lampu Kosulwit · Nuth Graipaspong · Pavarud Puangsri · Poom Chompoosri · Tiyarat Kayankit · Pavita Chongsuksiri · Sirina Satthapisit · Songpon Lodthanong · Veevarin Charoenporn · Saratcha Tiensuntisook · Kamolvisa Techapoonpon · Warut Aunjitsakul · Kantanut Yutrirak · Kritta Supanimitamorn · Tidarat Puranachaikere · Apichat Saengsin · Maneekwan Rujirojsuwan · Orapa Khemtong · Panklow Siriarchawatana · Pawaris Asawalertsaeng · Pawitra Mongkolnaowarat · Ploypan Wangrotjanarat · Tattaporn Suksintaranon · Warith Mongkolnaowarat · Warot Lamyai · Wattanapong Pansawat · Witchuda Chantarat · Pavat Aroonpet · Nutthaporn Jaisamut Sakunphaet · Naratip Sa-nguanpanich · Lakkana Thongchot · Dutsadee Juengsiragulwit · Burin Suraaroonsamrit · Woraphat Ratta‐aphaSiriraj Hospital · Mahidol University · Srinakharinwirot University · Ministry of Public Health · Songklanagarind Hospital · Prince of Songkla University · Navamindradhiraj University · Vajira Hospital · Ramathibodi Hospital · Thammasat University · Rajamangala Institute of kidney disease · Walailak University · Mae Fah Luang University · Buddhachinaraj Hospital · Khon Kaen University · Ubon Ratchathani Rajabhat University · Manarom Hospital · Phitsanulok University · Maharat Nakhon Ratchasima Hospital · Nakhon Phanom University · Sappasithiprasong Hospital · Suratthani Rajabhat University · Udon Thani Hospital
Paired samples from treatment-naïve gastric-cancer patients and controls showed substantially higher richness and diversity with mucosal brushing than biopsy. Brushing detected lower diversity and altered composition in cancer, whereas biopsy did not. Sampling method shapes microbiome signals, but causation and diagnostic utility are unproven.
Gizzard lesions in Thai chickens contained intranuclear inclusions, in-situ hybridization signal and PCR-confirmed fowl adenovirus. Hexon and fibre sequencing identified FAdV-8a strain FAdV8a_NPT_KU001_25, closer to a gizzard-tropic than an inclusion-body-hepatitis strain. Association is supported, but causation remains unproven.
A two-clinic Chiang Mai study of 150 MSM and transgender women found clinically significant depression in 5.3% of PrEP users and 13.3% of non-users. Mean depression was lower among PrEP users, while suicidal ideation occurred in 5.3% with no group difference.
An exploratory case-control study of 37 Thai adults with confirmed beta-lactam hypersensitivity identified HLA-DQA1*01:04 and HLA-DQA1*05:05 candidate signals after Bonferroni correction, with the latter stronger for immediate reactions. Small size, population controls and sensitivity-instability mean the findings are not ready for screening or drug avoidance.
Twenty male esports players were randomised to cup stacking three days weekly for four weeks or usual training. Post-intervention salivary alpha-amylase fell within the experimental group and differed significantly from controls.
Giant freshwater prawns received control diets or 10% and 20% fishmeal replacement with L. plantarum TISTR1284-fermented Leucaena for two weeks. Fermented diets increased immune markers and reduced post-A. hydrophila mortality by 26.14%, with normal intestinal morphology.
The systematic review identified 17 reports representing 15 randomised trials with 6,256 participants; 2,216 contributed to overweight subgroup analyses. The meta-analysis included 12 studies and 1,728 pregnant women with overweight. Interventions combined diet and physical activity, often with goal setting, self-monitoring and digital or remote follow-up.
A seven-country prospective cohort of 1,703 adults with HIV found Mycobacterium tuberculosis bloodstream infection predominantly among inpatients and associated it with higher 30-day mortality.
An evaluation of 1,838 stored sera from seven countries found that a second-generation Hcp1 antibody test had sensitivity ranging from 48% to 92%, with specificity varying by country and comparison group.
Thai researchersHasyanee Binmaeil · Thanakon Bunsong · Mary N. Burtnick · Paul J. Brett · Narisara Chantratita
Analysis of Thai national claims from 2015–2023 identified 60,916 paediatric hepatobiliary admissions. Admission rates were broadly stable and in-hospital mortality declined, while hepatic failure remained a high-risk condition.
An international expert statement spanning 22 countries reviews links among food systems, cardiometabolic health and the Sustainable Development Goals. It advocates plant-forward traditional diets rich in whole grains, legumes, vegetables, fruit, nuts and spices, with meat used sparingly.
The multicentre survey analysed 604 patients from 25 Thai hospitals between December 2023 and March 2024. SSRIs accounted for 70.2% of prescriptions, followed by TCAs at 13.9% and trazodone at 12.7%. The most common diagnoses were depressive disorders (55.0%), substance use disorders (15.2%) and psychotic disorders (13.7%). Clinicians cited limited availability (21.9%), reimbursement arrangements (36.3%) and patient finances (33.9%) as prescribing constraints.
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
Clinical Medicine
Production system-associated hepatic histomorphometric adaptations in swine: Comparative analysis of glycogen deposition, Kupffer cell abundance, and liver microarchitecture
Buddhachinaraj Hospital · Phitsanulok University · Kamphaeng Phet Rajabhat University · Naresuan University
72IMPACT SIGNAL
Clinical Medicine
Explainable Surrogate-Based Knowledge Extraction from DEM Simulations: Cross-System Algorithm Selection and SHAP Interpretability for Granular Material Handling Optimization
Machine Learning and Knowledge Extraction
Thailand-affiliated authors
Suphatchakorn Limhengha · Supattarachai Sudsawat
Institutions
Prince of Songkla University · Suratthani Rajabhat University · King Mongkut's University of Technology North Bangkok
72IMPACT SIGNAL
Clinical Medicine
The Influence of Food Superstition (Kentucky Fried Chicken, KFC) on the On-Duty Surgeon’s Workload: A Multiple-Armed Randomized Controlled Trial
Annals of Surgery Open
Thailand-affiliated authors
Sineenart HONGLERTKAWIN · Suphanat Wongsanuphat
Institutions
Thaksin University · Ministry of Public Health
72IMPACT SIGNAL
Environmental Engineering
Extreme heat: A slow onset disaster
Journal of Urban Affairs
Thailand-affiliated authors
Elizabeth Rudd
Institutions
Ministry of Agriculture and Cooperatives
72IMPACT SIGNAL
Clinical Medicine
Molecular Pharmacological Characterization of Dicentrine Isolated from Stephania venosa in Human Lymphoma Cells
Mobilising intellectual capital for sustained advantage: How transformational leadership mediates the knowledge-based views effect on firm performance in airlines
Silpakorn University · Siam University · Burapha University
72IMPACT SIGNAL
Clinical Medicine
Healthcare System Capacity, Efficiency and Obstacles Since China's 2009 Reform: An Integrated Time-Series Assessment of Regional Disparities
Asia Pacific Journal of Health Management
Thailand-affiliated authors
Daren Zhao · Seung Chun Paek
Institutions
Mahidol University
72IMPACT SIGNAL
Multidisciplinary
Exploring the α-Glucosidase Inhibitory Activity of Bioactive Compounds from Persicaria odorata (Lour.) Extracts via Integrated In Vitro and In Silico Studies
Khon Kaen University · Mahidol University · Mahasarakham University
72IMPACT SIGNAL
Environmental Engineering
Bioactive Peptide Fractions from Mung Bean Protein Hydrolysate: Antioxidant Activity, Anti-Inflammatory Effects, and Immunomodulatory Responses in RAW 264.7 Macrophages
