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EDITOR'S SIGNALRotating editor's selection
Global potential

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
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IMPACT92/100
EDITORIAL DEEP DIVES

In-depth research analyses

Source-verified editorial analyses, ordered by latest publication date

1,027 analyses
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Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Impact of biofilm formation on mortality in Candida tropicalis candidaemia: A retrospective study of ICU and Non-ICU patients

A retrospective Thai referral-center study of 146 C. tropicalis candidemia episodes in 145 patients found high biofilm formation in 33.6% and 30-day mortality of 74.0%. Overall mortality did not differ by biofilm category; lower survival only in non-ICU patients is a subgroup finding requiring confirmation, not a stand-alone prognostic marker.

Thai researchersTeera Leepattarakit · Orawan Tulyaprawat · Anusara Mongkudkarn · Popchai Ngamskulrungroj
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Characteristic flow of different right ventricular outflow tract morphology in repaired tetralogy of fallot patients studied by 4D-flow cardiac magnetic resonance images

A retrospective study of 120 repaired tetralogy-of-Fallot patients found similar conventional CMR, pulmonary regurgitation, and clinical outcomes across tubular and pyramidal RVOT shapes, while 4D-flow CMR detected local differences in velocity, wall shear stress, and energy loss. This shows imaging sensitivity, not yet prognostic or transcatheter-valve selection utility.

Thai researchersAuttapol Srivichean · Paweena Chungsomprasong · Yonthakan Sanwong · Thanyarat Phoprom · Chodchanok Vijarnsorn · Karnkawin Patharateeranart · Watcharachai Kangvanskol · Prakul Chanthong · Thita Pacharapakornpong · Ploy Thammasate · Kritvikrom Durongpisitkul · Jarupim Soongswang
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Eight-week high-intensity inspiratory muscle training improves cardiac autonomic function in COPD: a randomized controlled trial

A randomized trial in 39 stable COPD patients found that eight weeks of 30 inspiratory breaths twice daily at the highest tolerable intensity shifted heart-rate variability toward greater parasympathetic activity and improved six-minute walk distance and health scores versus control. The trial was small, lacked sham training, and did not measure long-term cardiac events or exacerbations.

Thai researchersPairoj Suraprapapich · Wattana B. Watanapa · Sauwaluk Dacha · Wilawan Ketpan · Somruthai Yeunyong · Kanokwan Rattanasaengloet · Nontanat Sathaporn · Benjamas Chuaychoo
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Prevalence and prognostic impact of unrecognized myocardial infarction detected by cardiac magnetic resonance in Thai patients with obesity

Among 1,053 Thai patients with BMI at least 25 kg/m2 who underwent cardiac magnetic resonance, 9.9% had scars consistent with previously unrecognized myocardial infarction. This group had more major cardiovascular events over a median 9.2 years, but most participants were selected for CMR because coronary disease was suspected, so this is not population prevalence among people with obesity.

Thai researchersPunyanuch Chayanopparat · Piyachai Siriphiphatcharoen · Issarayus Laohabut · Thanawat Ruengchaisiwawaith · Yodying Kaolawanich
Basic Science74IMPACT SIGNAL
Evidence of global relevance

Aggregatibacter actinomycetemcomitans NadN Contributes to Neutrophil Extracellular Trap Degradation

Cell-based experiments found that Aggregatibacter actinomycetemcomitans, a bacterium associated with periodontitis, can degrade neutrophil extracellular traps after capture and identified membrane-associated NadN as an important mediator. Expressing NadN in Lactococcus lactis conferred NET-degrading activity, but patient or animal evidence of disease impact is not yet available.

Thai researchersYaowapa Puanglai · Anongnard Kasorn · Oranart Matangkasombut · Dujduan Waraho‐Zhmayev · Soraya Chaturongakul · Fabien Loison
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Measurement of Plasma Free Hemoglobin Using the Hemolysis Index of the Mindray BS-800

A Siriraj team validated the Mindray BS-800 hemolysis index for plasma free hemoglobin against the Harboe method, reporting high precision and correlation across the evaluated range and a 2 mg/dL detection limit. High bilirubin caused up to 15% negative bias, and analytical validation does not establish clinical-outcome benefit.

Thai researchersPunchisa Viruttanachai · Nuttiruetai Chanpo · Anchalee Thedsawad · Janejira Kittivorapart · Theera Ruchutrakool · Chattree Hantaweepant
Public Health74IMPACT SIGNAL
Evidence of global relevance

Phylogenomic structure and resistance profiles of clinical Proteus mirabilis from a Thai hospital

Whole-genome analysis of 17 clinical Proteus mirabilis isolates from hospitals in Narathiwat found genetic diversity and multiple resistance genes despite broad phenotypic susceptibility. qnrD1 appeared on similar Col3M-associated contigs in two isolates, suggesting possible mobile elements, but the small study did not demonstrate transmission.

Thai researchersThunchanok Yaikhan · Panupong Sukpan · Jarunee Pakhawan · Sarunyou Chusri · Thitaporn Dechathai · Sirikan Suwannasin · Kamonnut Singkhamanan · Komwit Surachat
Public Health74IMPACT SIGNAL
Evidence of global relevance

Severe Pregnancy-Associated Acute Kidney Injury and Maternal Vulnerability

Electronic records covering 4,094,111 US pregnancies showed severe pregnancy-associated acute kidney injury rising from 9.0 to 27.6 per 10,000 pregnancies between 2012-2013 and the COVID-19 era. Pre-existing cardiometabolic vulnerability was associated with risk, but observational data cannot separate infection, access, testing, and secular trends.

Thai researchersNattachai Srisawat
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Integrative hematological and transcriptomic analysis reveals monocyte alterations and molecular signatures of inflammatory-coagulation crosstalk in long COVID

A comparison of 21 people with long COVID and 24 asymptomatic controls found lower white-cell, monocyte, and platelet counts and longer APTT. Integrated with a separate public transcriptomic dataset, the findings support a proposed inflammation-coagulation model, but the small and non-identical datasets cannot establish mechanism.

Thai researchersParin Kamseng · Namngern Chantaramanee · Rittikorn Sompan · Sarayot Rareongjai
Public Health74IMPACT SIGNAL
Evidence of global relevance

Toxicological Assessment of Oligofructans Derived from Raw Sugar Fermentation by Bacillus subtilis TISTR 001 and Their Modulatory Effects on Rat Gut Microbiota

Thai researchers evaluated oligofructans produced from raw sugar using Bacillus subtilis TISTR 001. Rats showed no treatment-related mortality or toxicity at doses up to 2,000 mg/kg/day for 90 days, alongside reported shifts in gut microbial taxa. These are preclinical animal findings and do not establish human safety or benefit.

Thai researchersSirinya Taya · Boontiwa Ninchan · Sonthaya Umsumarng · Jutamat Klinsoda · Rawiwan Wongpoomchai · Charatda Punvittayagul
Environment and Engineering74IMPACT SIGNAL
Evidence of global relevance

A Multi-Frequency SAR Framework for Methane Emission Estimation in Thai Rice Paddies

A GISTDA-led framework combines Sentinel-1 and ALOS-2 radar with IPCC accounting to detect crop timing, classify water regimes, and estimate methane from irrigated rice in Thailand's central plain. Mean absolute error was 18.5 kg CH4/ha, but structural uncertainty in the IPCC Tier 1 emission factor exceeded all algorithmic errors combined.

Thai researchersNuntikorn Kitratporn · Kanjana Koedkurang · Panu Nueangjamnong · Kittiphop Simachokchai · Chompunut Chayawat
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Predictors of Early Recurrence and Survival Outcomes Following Curative Resection for Colorectal Liver Metastases and the Role of Salvage Surgery: A Retrospective Cohort Study

In a retrospective cohort of 109 patients undergoing liver resection for colorectal liver metastases, high tumor burden, major intraoperative blood loss, T3/T4 primary disease, and RAS mutation were associated with early recurrence. Selected patients undergoing salvage re-hepatectomy had favorable long-term survival, but small subgroups and strong selection bias prevent causal conclusions.

Thai researchersPipit Burasakarn · Nisanat Thongkua · Vachiraluck Chalokool · Anuparp Thienhiran · Sermsak Hongjinda · Pusit Fuengfoo
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.

2,955records
2,955 records
89IMPACT SIGNAL
Multidisciplinary

Education, Income, and the Dynamics of Formal Business Entry in the Philippines: An ARDL Analysis

Journal of Enterprise Strategy and Management Innovation

Thailand-affiliated authors
Gay Marie Teodosio · Rhinella G. Mesias · Camille Roxas · Ramon George O. Atento
Institutions
Asian Institute of Technology
89IMPACT SIGNAL
Multidisciplinary

Capital Depth and Entrepreneurial Vitality: Market Capitalization Growth and Cross-Border Investment Flows in the Philippines and ASEAN

Journal of Enterprise Strategy and Management Innovation

Thailand-affiliated authors
Ramon George O. Atento · Rey Fernan Refozar · Lalaine Manalo
Institutions
Asian Institute of Technology
89IMPACT SIGNAL
Multidisciplinary

Islamic-Integrated Personal Growth Group to Promote Self-Compassion Among Thai Social Work Students: A Pilot Mixed-Method Study

Islamic Guidance and Counseling Journal

Thailand-affiliated authors
Preenapa Choorat · Sarinda Puti · Bunrome Suwanphahu
Institutions
Prince of Songkla University
89IMPACT SIGNAL
Multidisciplinary

Comparative gut microbiota and predicted functions associated with antibiotic resistance in Thai indigenous Pradu Hang Dam and commercial chickens

Scientific Reports

Thailand-affiliated authors
Songphon Buddhasiri · Pakpoom Tadee · Nattinee Kittiwan · Ben Pascoe · Prapas Patchanee
Institutions
Chiang Mai University · Lampang Hospital
89IMPACT SIGNAL
Multidisciplinary

How Governance Contexts Drive Divergent Feedback in Local Co-Creation: Evidence from Wind Power Development in China and Denmark

Energies

Thailand-affiliated authors
Wei Ye · Hamad Khan · Leilong Ma
Institutions
Chiang Mai University
89IMPACT SIGNAL
Multidisciplinary

Determinants of Drought Adaptation Under Climate Change Among Rice-Farming Households in the Northernmost Region of Thailand

Climate

Thailand-affiliated authors
Pussadee Laor · Wanvisa Saisanan Na Ayudhaya · Sirinthip Rakjun · Pannipha Dokmaingam · Vivat Keawdounglek · Anuttara Hongtong · Weerayuth Siriratruengsuk · Krailak Fakkaew · Thitipong Sukdee
Institutions
Mae Fah Luang University · Walailak University · Suratthani Rajabhat University · Burapha University
89IMPACT SIGNAL
Multidisciplinary

From stress to resource: embodied cognitive pathways linking dance competence and psychological resilience

Frontiers in Psychology

Thailand-affiliated authors
Ziyu Zheng · Ekasak Hengsuko · Wiradee Eakronnarongchai · Onsuda Wiangthongsarat
Institutions
Udon Thani Rajabhat University
89IMPACT SIGNAL
Multidisciplinary

Escaping Reality, Creating Meaning: How Heritage Tourists Become Emotion Value Co-Creators in the Age of Generative AI

Tourism and Hospitality

Thailand-affiliated authors
Wenjing Liu · Chai Ching Tan · Ce Wang
Institutions
National Institute of Development Administration
89IMPACT SIGNAL
Multidisciplinary

Fossil fuel lock‐in vs clean power: pathways for the developing Asian region by 2050-2060

Environmental Research Letters

Thailand-affiliated authors
Firuz Ahamed Nahid · Pooja Sankhyayan · Abhishek Das · Joyashree Roy
Institutions
Asian Institute of Technology
89IMPACT SIGNAL
Multidisciplinary

[2026-08-19] Factors Associated With Locomotive Syndrome Severity Among Community-Dwelling Older Adults With Type 2 Diabetes: A Cross-Sectional Analytical Study

Research Medical Journal

Thailand-affiliated authors
Chakrit Sattayarom · Sineeporn Yuenyong · Aekkachai Fatai · Umakorn Jaiyungyuen · Supaporn Voraroon · Trakulwong Luecha · Phenrung Wandee
Institutions
Boromarajonani College of Nursing · Chulabhorn Hospital · Burapha University
89IMPACT SIGNAL
Multidisciplinary

Geometry-controlled enhancement of convective heat transfer and moisture diffusion during passive solar drying

International Communications in Heat and Mass Transfer

Thailand-affiliated authors
Sopa Cansee · Sarawut Saenkham · Teerasad Kanasri
Institutions
Mahasarakham University · Roi et Rajabhat University
89IMPACT SIGNAL
Multidisciplinary

Immersive language learning: Students’ perceptions of a virtual reality-embedded station rotation model for Chinese as a foreign language

Contemporary Educational Technology

Thailand-affiliated authors
Xiaochen Zhang · Sirirat Petsangsri · Jirarat Sitthiworachart
Institutions
King Mongkut's Institute of Technology Ladkrabang
89IMPACT SIGNAL
Multidisciplinary

Reliability and validity of the Thai version of the Rapid Mood Screener (RMS-T)

PLoS ONE

Thailand-affiliated authors
Chayanis Som-On · Chawisa Suradom · Sirijit Suttajit · Suttipong Kawilapat · Sutrak Pilakanta · Manit Srisurapanont
Institutions
Chiang Mai University
89IMPACT SIGNAL
Multidisciplinary

Community-based development for sustainable local economies: comparative governance lessons from urban, semi-urban, and rural communities in Thailand

Frontiers in Political Science

Thailand-affiliated authors
Mahdee Champeephan · Nantida Jansiri · Sureeporn Sukawonlli · Arpaporn Sookhom · Kittachet Krivart
Institutions
Walailak University · Payap University
89IMPACT SIGNAL
Multidisciplinary

Nutritional Status, Abdominal Obesity, and Predictors of BMI Categories Among Community-Dwelling Older Adults in Southern Thailand: A Cross-Sectional Study

International Journal of Environmental Research and Public Health

Thailand-affiliated authors
Urai Jaraeprapal · Pornchanuch Chumpunuch · Arthit Boonrodchu · Uraiwan Pantong
Institutions
Walailak University
89IMPACT SIGNAL
Multidisciplinary

Evaluation of a single-plasmid PstDNV virus-like particle system for dsRNA delivery against WSSV in Litopenaeus vannamei

Aquaculture Reports

Thailand-affiliated authors
Nabhasbhichayabha Daewang · Pongsopee Attasart · Wanchai Assavalapsakul · Kitipong Angsujinda
Institutions
Chulalongkorn University · Mahidol University
89IMPACT SIGNAL
Multidisciplinary

Supporting the mental health and psychosocial support needs of out of school children and youth in Southeast Asia: a review of available evidence

Frontiers in Education

Thailand-affiliated authors
Carlo Fernando · Habibah Abdul Rahim · John Arnold Siena
Institutions
Southeast Asian Ministers of Education Organization
89IMPACT SIGNAL
Multidisciplinary

Key determinants of antiretroviral therapy adherence among Thai youth living with HIV: the mediating role of HIV self-management behaviors

BMC Infectious Diseases

Thailand-affiliated authors
Pairin Saenjun · Tassanee Prasopkittikun · Nopporn Vongsirimas · Wantana Maneesriwongul · Jutarat Mekmullica
Institutions
Siriraj Hospital · Mahidol University · Ramathibodi Hospital · Armed Forces Research Institute of Medical Science
89IMPACT SIGNAL
Multidisciplinary

Self-EmulsifyingFormulation of Huperzia carinata Extract to Improve Huperzine A Solubilityfor Therapeutic Efficacy Enhancement in Parkinsonian Mice

ACS Omega

Thailand-affiliated authors
Namfa Sermkaew · Nuttapon Songnaka · Wuttipong Masraksa · Amit Jaisi · Yosita Yongyuen · Pannatorn Buntha · Juntratip Jomrit · Phetcharat Boonruamkaew
Institutions
Walailak University · Vongchavalitkul University · Chulalongkorn University
89IMPACT SIGNAL
Multidisciplinary

Life cycle and larval feeding strategies of the mangrove firefly Pteroptyx tener (Coleoptera, Lampyridae, Luciolinae): implications for conservation of a vulnerable species

PeerJ

Thailand-affiliated authors
Parichart Laksanawimol · Rinrada Jundasri · Anchana Thancharoen
Institutions
Chandrakasem Rajabhat University · Kasetsart University
89IMPACT SIGNAL
Multidisciplinary

SLAM–UAV LiDAR Co-Registration for Individual-Tree Carbon Across a Tropical Dry-Forest Canopy Gradient

Remote Sensing

Thailand-affiliated authors
Naruemol Kaewjampa · Piyapong Tongdeenok · Renuka Klabsuk · Surachit Waengsothorn · Sitthisak Moukomla
Institutions
Kasetsart University · Thailand Institute of Scientific and Technological Research · Thammasat University
89IMPACT SIGNAL
Multidisciplinary

Sleep Quality and Its Association with Health-Related Clinical Outcomes and Biomarkers Among Rural Northern Thai Older Adults: A Cross-Sectional Study

Healthcare

Thailand-affiliated authors
Manuchet Manotham · Parichat Ong-Artborirak · Wannita Sakulwattana · Sriwan Chutithamniti · Wichida Larsomsri · Surangkana Chairinkam · Katekaew Seangpraw · Phatcharee Pimalram · Prapaporn Tulwattanakul
Institutions
University of Phayao · Navamindradhiraj University · Vajira Hospital · Thai Health Promotion Foundation
89IMPACT SIGNAL
Multidisciplinary

Digital business strategies and institutional performance in shaping graduate enrollment decisions: Insights from private universities in an emerging economy

Corporate and Business Strategy Review

Thailand-affiliated authors
Rattawut Nivornusit · Pongsakorn Limna · Yarnaphat Shaengchart · Nithima Yuenyong · Waraphorn Boonyachak
Institutions
Rangsit University · Pathumthani University
89IMPACT SIGNAL
Multidisciplinary

Integrating augmented reality game design into project-based learning to enhance students’ creativity in higher tourism education

Cogent Education

Thailand-affiliated authors
Huaxian Shi · Kanyarat Sriwisathiyakun · Sirirat Petsangsri
Institutions
King Mongkut's Institute of Technology Ladkrabang

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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