A Smartphone Antimicrobial Prescribing App Did Not Outperform Paper Guidelines Across Six Lao Hospitals
Across a stepped-wedge cluster randomized trial in six Lao hospitals, a smartphone version of national antimicrobial prescribing guidelines plus one stewardship training session did not significantly improve adherence over paper versions after adjustment for time, clustering, and confounders. Inpatient adherence was 25.6% versus 17.0% before adjustment, but the adjusted odds ratio was 1.26 (95% CI 0.8–1.9; p=0.276); outpatient results were also null. The finding argues for sustained, multifaceted stewardship rather than guideline access alone.
Sue J. Lee · Mavuto Mukaka · Nicholas P. J. Day · Paul N. NewtonMahidol University · Mahidol Oxford Tropical Medicine Research Unit (MORU)
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
71IMPACT SIGNAL
Engineering
Effects of Germinated Glutinous Rice Malt Substitution on the Properties of Non-Alcoholic Beer Fermented with Saccharomyces boulardii
Fermentation
Thailand-affiliated authors
Jetsada Khamfu · Jeeranan Situtha · Phimphisa Thammawong · Shankar Neupane · Anh Dao Trinh · Nattaya Konsue
Institutions
Mae Fah Luang University
71IMPACT SIGNAL
Clinical Medicine
Thai Traditional Polyherbal Infused Oil (T-YaSP) Accelerates Diabetic Wound Healing by Modulating Inflammation and Angiogenesis
Walailak University · Prince of Songkla University · Mae Fah Luang University
71IMPACT SIGNAL
Clinical Medicine
Vaccine Efficacy of a Newly Developed Trivalent Vaccine Against Streptococcus iniae , Vibrio vulnificus and Vibrio harveyi in Asian Seabass, Lates calcarifer
Journal of Fish Diseases
Thailand-affiliated authors
Shih‐Chu Chen
Institutions
Chulalongkorn University
71IMPACT SIGNAL
Digital Health
Deciphering the Structural Dynamics of Chicken Albumin through Molecular Dynamics Simulations and Deep Learning
An Ontology‑Guided Drug–Herb–Food Interaction Checker with Mechanism‑Based Knowledge Graph Reasoning and Condition‑Aware Interpretation
F1000Research
Thailand-affiliated authors
Nitchamon Kriengkraisuk · Natapol Pornputtapong
Institutions
Chulalongkorn University
71IMPACT SIGNAL
Clinical Medicine
Fabrication and characterisation of hydroxypropyl methylcellulose/ethyl cellulose/polyvinylpyrrolidone based composite wafers as an anti-bacterial dressing: a promising approach for curcumin delivery
Scientific Reports
Thailand-affiliated authors
Syed Mahmood
Institutions
Chulalongkorn University
71IMPACT SIGNAL
Environmental Engineering
Enhancing Growth and Bioactive Compound Contents in Brahmi (Bacopa monnieri (L.) Wettst.) Irrigated with Canteen Wastewater
Assessment of long-term flood resilience in the Chao Phraya River Basin through historical temple architecture
Frontiers in Water
Thailand-affiliated authors
Sartsin Phakdimek · Thapthai Chaithong
Institutions
Suranaree University of Technology · Kasetsart University
71IMPACT SIGNAL
Clinical Medicine
Tailoring the Morphological and Transport Properties of PES–Activated Carbon Composites Through PEG Molecular Weight Modulation
Journal of Composites Science
Thailand-affiliated authors
Thanongsak Thepsonthi
Institutions
Burapha University
71IMPACT SIGNAL
Engineering
Effect of various polishing systems on the surface roughness and Streptococcus mutans adhesion of CAD/CAM ceramic materials
BMC Oral Health
Thailand-affiliated authors
Anantaya Ekpanithanpong · Trinuch Eiampongpaiboon · Kanda Ngamwuttiwong
Institutions
Mahidol University
71IMPACT SIGNAL
Multidisciplinary
Studying the effectiveness of adjustable water valve opener for drip irrigation systems to mitigate ergonomic risk factors and musculoskeletal disorders: A case study of farmers in Thailand
Prince of Songkla University · Suratthani Rajabhat University
71IMPACT SIGNAL
Clinical Medicine
p53-associated metabolic checkpoint regulation in a tick embryo-derived cell line
Insect Biochemistry and Molecular Biology
Thailand-affiliated authors
Tomohiro Okagawa
Institutions
Department of Disease Control
71IMPACT SIGNAL
Environmental Engineering
Immobilized lipase on amine-functionalized polyphenylsulfone for pre-treatment of palm oil mill effluent and biodiesel wastewater: Characterization, optimization, reusability, and enhancement of anaerobic methane production
Transcriptomic profiling and immune gene expression analysis of canine DH82 cells (co)infected by Leishmania infantum, Leishmania tarentolae and their hybrid
Scientific Reports
Thailand-affiliated authors
Domenico Otranto
Institutions
Chulalongkorn University
70IMPACT SIGNAL
Clinical Medicine
Structure and Dynamics of Burkholderia pseudomallei OXA-57, a Distinctive Low-Efficiency Class D β-Lactamase with Carbapenem-Hydrolyzing Activity
Biochemistry
Thailand-affiliated authors
Rathanin Seng · Narisara Chantratita
Institutions
Mahidol University · The Royal College Of Anesthesiologists Of Thailand
70IMPACT SIGNAL
Multidisciplinary
Mechanical characterisation of Dendrocalamus asper bamboo and examination of idealised bamboo glulam joints in sustainable materials
Scientific Reports
Thailand-affiliated authors
Runda Aduldejcharas
Institutions
Chulalongkorn University
70IMPACT SIGNAL
Clinical Medicine
Decision tree models to guide endotracheal tube selection in dogs