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EDITOR'S SIGNALEditor's selection
There is evidence of global impact.

WHO estimates of the global, regional, and national burden of 42 foodborne infectious and chemical hazards, 2000-21: an updated data synthesis

The WHO's updated data synthesis assessed the burden of 42 foodborne pathogens and chemicals, covering 194 countries, and involved researchers from Khon Kaen University on an international panel.

Banchob SripaKhon Kaen University
Read the full feature →
IMPACT95/100
EDITORIAL DEEP DIVES

In-depth research analyses

Source-verified editorial analyses, ordered by latest publication date

972 analyses
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Clinical Medicine89IMPACT SIGNAL
Global potential

Visual Impairment Was Associated With Nearly Threefold Higher Odds of Frailty Progression in Thai Older Adults

This retrospective cohort from the Siriraj Primary Care Unit followed 400 community-dwelling older adults, with a median age of 70 years and 76% women. Visual impairment was defined as visual acuity worse than 6/12 in the better-seeing eye, and frailty was assessed with the Thai FRAIL scale. Ordinal logistic regression found an association with transition to a worse frailty state: adjusted odds ratio 2.98 (95% CI 1.97–4.52; p

Thai researchersChutimon Thongkhao-On · Harisd Phannarus · Aliyah Famitynond · Pornchita Thanakorn · Thitiya Jenjirojpipat · Thiwarut Kraikaitsakul · Varalak Srinonprasert
Fundamental Cancer Biology89IMPACT SIGNAL
Global potential

NECTIN2 Depletion Cut Migration and Invasion by About Half, but Only in One Triple-Negative Breast Cancer Cell Line

This study asked whether the cell-surface adhesion molecule NECTIN2 contributes to motility and invasion in triple-negative breast cancer. The team combined public-dataset analyses with stable NECTIN2 depletion in MDA-MB-231 and MDA-MB-468 cells. The major phenotype was confined to MDA-MB-231: migration and invasion fell by about 50%, accompanied by lower LIMK1 and cytoskeletal changes, while LIMK1 re-expression partially restored migration. The findings support a context-dependent mechanism, not a clinically validated drug target or proof that NECTIN2 inhibition prevents metastasis in patients.

Thai researchersPhatchanat Klaihmon · Pattaratorn Muangtate · Sudarat Thongphayong · Puretat Saetan · Supasorn Chanthateyanonth · Chanitra Thuwajit · Surapol Issargrisil · Phatchariya Phannasil
Antimicrobial Stewardship92IMPACT SIGNAL
Stepped-Wedge Cluster Randomized Trial

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.

Thai researchersSue J. Lee · Mavuto Mukaka · Nicholas P. J. Day · Paul N. Newton
Digital Health and Nutrition92IMPACT SIGNAL
Model-development and benchmark evidence

Two-Stage Model Classifies 46 Produce and Vegetable-Dish Categories at 92.43% Top-1 Accuracy, but Lacks On-Device Validation

The study developed a two-stage ThaiSook pipeline: a binary model first rejects non-produce images, after which a multiclass model identifies 43 fruit and vegetable types and three vegetable-heavy dishes. The 40,595-image dataset contained 11,210 labelled and 29,385 unlabelled user images. With label smoothing and temperature scaling, the pipeline reached 92.43% top-1, 94.56% top-3, and 94.91% top-5 accuracy; Noisy Student raised top-1 accuracy to 92.59%. However, results rely on one train–test split, without real on-device testing or evidence that classification improves dietary measurement or health outcomes.

Thai researchersDecho Surangsrirat · Panyawut Sri-iesaranusorn · Polathep Vichitkunakorn
Health Policy and Cancer-Medicine Access88IMPACT SIGNAL
Global potential

Lower-Income Asia-Pacific Settings Reported Full Out-of-Pocket Cost for 95.2% of High-Benefit Medicine–Country Pairs

This predefined regional analysis of ESMO's 2023 global survey covered 20 Asia-Pacific countries and compared WHO essential cancer medicines with high-benefit medicines under ESMO-MCBS. The findings show that marketing availability does not equal reliable access: reimbursement and patient out-of-pocket burden remain major bottlenecks. Access was generally stronger in high-income economies, while middle- and lower-income groups faced large gaps, particularly for high-benefit medicines. The evidence is expert-reported and cross-sectional, and income-group aggregates must not be presented as Thailand-specific estimates.

Thai researchersNaiyarat Prasongsook · Lucksamon Thamlikitkul
Geospatial Agriculture and Environment89IMPACT SIGNAL
Regional model-validation evidence

GEDI–Sentinel Model Maps Northeast Thai Rubber at 82.63% Accuracy but Struggles With Young Plantations

This study mapped 2024 rubber distribution and age structure across Northeast Thailand using Random Forest in Google Earth Engine, combining Sentinel-1, Sentinel-2, vegetation indices, and a GEDI-trained canopy-height model. Three-class rubber mapping reached 82.63% overall accuracy and about 0.84 F1; three-group age classification reached 83.39%. Plantations older than seven years dominated and were classified more reliably than young stands. The output is a regional monitoring baseline, not an error-free parcel-level decision map.

Thai researchersSavittri Ratanopad Suwanlee · Muhammad Hanif · Surasak Keawsomsee · Kemin Kasa · Narissara Nuthammachot · Sarawut Ninsawat · Jantima Polpinij · Jaturong Som-Ard
Medical Education and Serious-Illness Care89IMPACT SIGNAL
Longitudinal training evidence

Advance-Care-Planning Training Raised Residents’ Knowledge From 7.74 to 8.65, but Had No Control Group

This mixed-methods evaluation tested an Advance Care Planning programme combining role-play, personal-value reflection, and two Circle of Learning sessions with an entire cohort of 50 first-year internal-medicine residents. Longitudinal analysis used 34 complete cases through 15 months, and 10 residents were interviewed. Knowledge rose from 7.74 to 8.65 out of 9, alongside several attitude and confidence improvements. Interviewees said role-play bridged theory and practice but identified a need for ongoing workplace support. The evidence concerns learner readiness, not observed conversation quality or patient outcomes.

Thai researchersThagoon Kanjanopas · Smuch Siramongkholkarn · Wanna Jarusomboon · Ekkapop Sittiwantana · Arisa Phochaisarn · Saipin Hathirat · Saran Thanapluetiwong
Public Health and Migrant Health92IMPACT SIGNAL
Evidence of global relevance

Migrant TB Patients Chose Months-Long Sanatorium Care to Pursue Cure Amid Cost, Transport, and Documentation Barriers

This multi-perspective qualitative study at the SMRU tuberculosis sanatorium in Mae Ramat, Tak Province, examined why migrants choose long residential treatment. It included 37 unique patients—33 who chose the sanatorium and four who chose community DOTS—plus five health workers. Three themes organized the findings: desire for cure, barriers to diagnosis and treatment, and community and organizational support.

Thai researchersJindaporn Wirachonphaophong · Hai Ti Ti · Nay Kaw Htoo · Kanjana Winyoorat · Cha Ba · San Soe · Suphak Nosten · Htet Ko Ko Aung · Sein Sein Thi · Francois Nosten
Public Health and Health Systems92IMPACT SIGNAL
Qualitative evidence for service design

Patients in South Ethiopia Know How to Manage Diabetes, but Drug Shortages and Costs Undercut Self-Care

This qualitative study examined diabetes self-care in three South Ethiopian hospital clinics. Its 21 participants comprised 12 adults with type 2 diabetes and nine healthcare providers. Patients described medication, diet, physical activity, foot care, and glucose monitoring as daily work negotiated against financial pressure, drug shortages, beliefs, food costs, limited support, and health-system constraints. Patients tended to foreground structural barriers, whereas providers placed more emphasis on knowledge and forgetting advice. Continued counselling, reliable medicines, and peer support emerged as priorities, but these are interview-derived design directions rather than tested interventions.

Thai researchersTemesgen Anjulo Ageru · Cua Ngoc Le · Apichai Wattanapisit · Charuai Suwanbamrung
International Journal of Qualitative Studies on Health and Well-beingRead analysis →
Forest Policy and Bioeconomy92IMPACT SIGNAL
Evidence of global relevance

Perspectives on the forest bioeconomy: insights of stakeholders from cases in Central Europe and the Mekong region

This comparative study examines how 336 purposively recruited respondents in Czechia, Slovakia, Thailand, Laos and Vietnam understand and assess the forest bioeconomy. Respondents generally reported stronger familiarity with sustainable forest management and the circular economy than with the bioeconomy itself. Perceptions also varied across country cases, particularly within the Mekong region. A binary logistic regression identified associations between high perceived implementation and country, age, education, understanding of policy aims, support for implementation and positive assessments of forest-industry implementation. These findings describe perceptions within the recruited sample rather than national populations, and the reported associations should not be interpreted as causal effects.

Thai researchersNopparat Kaakkurivaara · Alice Sharp · Prasit Wangpakapattanawong
One Health and Zoonotic-Disease Prevention92IMPACT SIGNAL
Formative evidence for One Health intervention design

Zoonotic Risk in Rural Nan Is Not Just Behavioural: Water Scarcity, Forest Change, and Food Systems Connect Five Interfaces

Researchers examined everyday practices and conditions that could enable cross-species transmission in four rural villages in Nan Province, organising findings into five interfaces: human–animal, human–environment, human-human, animal–animal, and animal–environment. The picture is not simply one of deficient knowledge. Animal contact, butchering and food preparation, water scarcity and contamination, waste, forest change, intensified agriculture, mixed-species proximity, and multilingual communication operate as a system. Community leaders and village health volunteers were viewed as trusted messengers. The study therefore recommends education that combines knowledge, skills, practical tools, and recognition of structural limits, but it neither completed nor evaluated the final intervention.

Thai researchersMonchai Phongsiri · Simaphon Tomklang · Theerayuth Labooth · Thanapat Chaibut · Pongsakon Jaruton · Kotthamon Chanprathad · Sarutaya Suphawatthanaphan · Hans Overgaard · Patcharin Lapanun
Circular Bioeconomy and Seafood Technology92IMPACT SIGNAL
Comprehensive narrative-review evidence

Crustacean By-Products Hold High-Value Compounds, but ‘Green’ Extraction Still Lacks LCA and Industrial Proof

This review compares conventional acid–alkali and solvent extraction with supercritical fluids, enzymatic hydrolysis, pulsed electric fields, ultrasound, cold plasma, microwave, high-pressure processing, and deep eutectic solvents for recovering bioactives from crustacean by-products. No technology is universally optimal: conventional methods retain advantages in simplicity and maturity, while emerging methods may reduce chemicals or better preserve product quality but face equipment, cost, energy, reproducibility, and pilot-scale constraints. The paper is therefore a map of options and evidence gaps, not proof that one technology is the ‘most sustainable.’

Thai researchersAkanksha R. Gautam · Soottawat Benjakul · Rattikarn Boonchoosri · Nilesh Nirmal · Avtar Singh
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.

1,808records
1,808 records
77IMPACT SIGNAL
Clinical Medicine

Whole-Genome Sequencing Reveals Virulence and Antimicrobial Resistance Determinants of Lactococcus garvieae Causing Lactococcosis in Cage-Cultured Nile Tilapia (Oreochromis niloticus) in Thailand

International Journal of Molecular Sciences

Thailand-affiliated authors
Putita Chokmangmeepisarn · Yosapon Adisornprasert · Pakapon Meachasompop · Benchawan Kumwan · Pimrawee Chaemlek · Prapansak Srisapoome · Kednapat Sriphairoj · Sittichai Hatachote · Niyada Umputhorn · Chonthicha Choppradit · Pichasit Sangmek · Channarong Rodkhum · Anurak Uchuwittayakul
Institutions
Kasetsart University · Sakon Nakhon Rajabhat University · Chulalongkorn University
77IMPACT SIGNAL
Clinical Medicine

Novel prediabetes subtypes and genetic variants predict differential risk of progression to type 2 diabetes: a data-driven cohort analysis

BMC Endocrine Disorders

Thailand-affiliated authors
Apinya Surawit · Phongthana Pasookhush · Sureeporn Pumeiam · Pichanun Mongkolsucharitkul · Sophida Suta · Bonggochpass Pinsawas · Suphawan Ophakas · Nutchavadee Vorasan · Parit Voharnsuchon · Korapat Mayurasakorn
Institutions
Siriraj Hospital
77IMPACT SIGNAL
Clinical Medicine

Left ventricular stroke volume index predicts outcomes in asymptomatic chronic severe primary mitral regurgitation

Journal of Cardiovascular Imaging

Thailand-affiliated authors
Porntera Sethalao · Nithima Ratanasit · Decho Jakrapanichakul · Sasima Tongsai · Sirichai Jamnongprasatporn
Institutions
Siriraj Hospital · Mahidol University
77IMPACT SIGNAL
Clinical Medicine

Prevalence, risk factors and outcomes of sepsis-associated acute kidney injury in pediatric patients

BMC Nephrology

Thailand-affiliated authors
Watcharaporn Lertbunyarit · Rattapon Uppala · Pasita Puttiteerachot · Jarin Vaewpanich · Nattachai Anantasit
Institutions
Mahidol University · Ramathibodi Hospital · Khon Kaen University
77IMPACT SIGNAL
Clinical Medicine

Clinical Implications of the AWGS 2025 Sarcopenia Criteria in a Large Cohort of Community-Dwelling Thai Older Adults

Annals of Geriatric Medicine and Research

Thailand-affiliated authors
Natthaphon Ubonsutvanich · Rapas Samalapa · Thanyaporn Hengpongthorn · Chawalya Angsuwatjarakorn · Aisawan Petchlorlian · Bhorn-ake Manasvanich · Sivarat Ratthanasathian · Kearkiat Kearkiat
Institutions
Chulalongkorn University · King Chulalongkorn Memorial Hospital · Thai Red Cross Society · Navamindradhiraj University · Vajira Hospital
77IMPACT SIGNAL
Clinical Medicine

Agentic AI-Driven Cultivation Advisory and Symptom-Level Diagnostic Support in a Controlled Indoor Farming System

AgriEngineering

Thailand-affiliated authors
Jutarut Chaoraingern · Akarat Pattaraanuvong · Kantapon Paraksa · Kantiporn Khunthong · Tirawat Nontiwantok · Arjin Numsomran
Institutions
King Mongkut's Institute of Technology Ladkrabang
77IMPACT SIGNAL
Clinical Medicine

Heme Oxygenase-1 in Bone Remodeling: Molecular Mechanisms and Therapeutic Implications

Biomolecules

Thailand-affiliated authors
Thanawat Pattananandecha · Sutasinee Apichai · Chalermpong Saenjum
Institutions
Chiang Mai University
77IMPACT SIGNAL
Clinical Medicine

Alterations in Nasal Function Following Total Laryngectomy and Their Clinical Correlates

World Journal of Otorhinolaryngology - Head and Neck Surgery

Thailand-affiliated authors
Kajornpan Sermwittayawong · Paraya Assanasen · Phawin Keskool · Dichapong Kanjanawasee
Institutions
Huachiew Chalermprakiet University · Siriraj Hospital · Mahidol University
77IMPACT SIGNAL
Clinical Medicine

Diagnostic accuracy of a clinical score with a rapid diagnostic test for enteric fever in Nepal, Bangladesh and Cambodia

BMC Infectious Diseases

Thailand-affiliated authors
Nicholas P.J. Day · Arjen Dondorp
Institutions
Mahidol University · Mahidol Oxford Tropical Medicine Research Unit
77IMPACT SIGNAL
Clinical Medicine

Shared and Distinct T-Cell Receptor Characteristics of CD4+ and CD8+ Drug-Specific T-Cells In Vitro Generated from Healthy Donors and Hypersensitive Patients

Chemical Research in Toxicology

Thailand-affiliated authors
Kanoot Jaruthamsophon · Jirawat Pratoomwun · Antida Sangiemchoey · Araya Yeunyongviwat · Kanitpong Phabphal · Chonlaphat Sukasem
Institutions
Prince of Songkla University · Huachiew Chalermprakiet University · Mahidol University · Ramathibodi Hospital · Burapha University
77IMPACT SIGNAL
Clinical Medicine

Localization of feline gammaherpesvirus 1 in lymphoid tissues and pulmonary fibrotic lesions of naturally infected cats

Veterinary Pathology

Thailand-affiliated authors
Chutchai Piewbang · Magdalena Novia Devina Putri · Aisyah Nikmatuz Zahro · Panitnan Punyathi · Sitthichok Lacharoje · Somporn Techangamsuwan
Institutions
Chulalongkorn University
77IMPACT SIGNAL
Clinical Medicine

Clinical features associated with autism spectrum disorder diagnosed before 30 months of age: evidence from tertiary care hospitals in Thailand

International Journal of Developmental Disabilities

Thailand-affiliated authors
Anya Laopongsit · Nontiya Homkham · Pimwarat Srikummoon · Kamonrut Koobubpha · Patrinee Traisathit
Institutions
Chiang Rai Rajabhat University · Thammasat University · Chiang Mai University
77IMPACT SIGNAL
Clinical Medicine

Rapid Gel-Based Recombinase Polymerase Amplification Assay for Detection and Sequence Confirmation of Ehrlichia canis

Animals

Thailand-affiliated authors
Peeravit Sumpavong · Kitjawan Khumtub · Krittanut Kanittakul · Sarawan Kaewmongkol · Gunn Kaewmongkol
Institutions
Kasetsart University
77IMPACT SIGNAL
Clinical Medicine

Synchronous B-lymphoblastic leukemia/lymphoma and subcutaneous panniculitis-like T-cell lymphoma in an 11-year-old pediatric patient

BMC Pediatrics

Thailand-affiliated authors
Phuphinyo Limchantra · Jirat Temsangsukmanee · Suradej Hongeng · Kran Suknuntha
Institutions
Mahidol University · Ramathibodi Hospital
77IMPACT SIGNAL
Clinical Medicine

A Decade of Croup Management: Guideline Adherence, Practice Variation, and Opportunities for Improvement

Children

Thailand-affiliated authors
Jirattikarn Jirawong · Wanaporn Anuntaseree · Kanokpan Ruangnapa · Kantara Saelim · Pharsai Prasertsan
Institutions
Prince of Songkla University
77IMPACT SIGNAL
Clinical Medicine

Cloud-Based Deep Learning for Multi-Class Dermatological Screening: An Empirical Study Using Pretrained CNNs

Sci

Thailand-affiliated authors
Theetach Rabablert · Amonnat Kaewnok · Chitnarong Sirisathitkul · Yaowarat Sirisathitkul
Institutions
Walailak University
77IMPACT SIGNAL
Clinical Medicine

Molecular Characteristics and Factors Associated with Antimicrobial Resistance in Campylobacter Isolates from Small-Scale Chicken Farms in Southern Thailand

Antibiotics

Thailand-affiliated authors
Nguyễn Thị Mỹ Nhân · Phitchayapak Wintachai · Thotsapol Thomrongsuwannakij
Institutions
Walailak University
77IMPACT SIGNAL
Clinical Medicine

PARP inhibition induces a redox-dependent dormant reservoir vulnerable to disulfiram in high-grade serous ovarian cancer

Biomedicine & Pharmacotherapy

Thailand-affiliated authors
Sutthipun Suriya · Supawan Jamnongsong · Chanettee Jamyuang · Suwanit Therasakvichya · Somponnat Sampattavanich
Institutions
Siriraj Hospital · Mahidol University
77IMPACT SIGNAL
Digital Health

Electroencephalography-Based Emotion Recognition Using Auditory Stimulation for Affective Brain–Computer Interfaces

Sensors

Thailand-affiliated authors
Charoenporn Bouyam · Nannaphat Siribunyaphat · Yunyong Punsawad
Institutions
Walailak University
77IMPACT SIGNAL
Clinical Medicine

KK12, a novel anticancer peptide, induces apoptosis in human lung cancer A549 cells

Scientific Reports

Thailand-affiliated authors
Jantana Yahuafai · Prayumat Onsrisawat · Ratasark Summart · Mariena Ketudat-Cairns · Thippawan Pimchan · Jirawat Yongsawatdigul · Natteewan Udomsil
Institutions
National Cancer Institute of Thailand · Kanchanaburi Rajabhat University · Mahidol University · Suranaree University of Technology
77IMPACT SIGNAL
Clinical Medicine

Limitations of NEWS2 for predicting 48-hour emergency department revisits: a real-world retrospective cohort study

International Journal of Emergency Medicine

Thailand-affiliated authors
Sarunpakorn Permpatdechakul · Theerapon Tangsuwanaruk · Borwon Wittayachamnankul · Pavita Laohakul · Chanon Changratanakorn · Boriboon Chenthanakij
Institutions
Chiang Mai University
77IMPACT SIGNAL
Clinical Medicine

Efficacy of mucoadhesive nanoemulsion-based immersion vaccine against Streptococcus agalactiae and Edwardsiella tarda infections in Nile tilapia (Oreochromis niloticus)

Aquaculture Reports

Thailand-affiliated authors
Benchawan Kumwan · Pakapon Meachasompop · Yosapon Adisornprasert · Jitraporn Phaksopa · Wararut Buncharoen · Patcharapong Thangsunan · Pattanapong Thangsunan · Prapansak Srisapoome · Channarong Rodkhum · Natthapong Paankhao · Anurak Uchuwittayakul
Institutions
Kasetsart University · Chiang Mai University · Chulalongkorn University
77IMPACT SIGNAL
Clinical Medicine

Dietary Application of Synergistically Degraded Low-Molecular-Weight Chitosan to Promote Health and Antioxidant Responses in Pacific White Shrimp (Litopenaeus vannamei)

Antioxidants

Thailand-affiliated authors
Natthapong Paankhao · Wararut Buncharoen · Benchawan Kumwan · Pakapon Meachasompop · Yosapon Adisornprasert · Chonlatat Rajitdumrong · Pimrawee Chaemlek · Prapansak Srisapoome · Passakorn Kingwascharapong · Anurak Uchuwittayakul
Institutions
Kasetsart University · Chiang Mai 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