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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
74IMPACT SIGNAL
Clinical Medicine

Genome-scale analysis of Mycobacteroides abscessus clinical isolates from a university hospital

Journal of King Saud University - Science

Thailand-affiliated authors
Auttawit Sirichoat · Chutinthorn Oungbamnet · Yothin Hinwan · Nut Nithimongkolchai · Vorthon Sawaswong · Suwalak Chitcharoen · Kiatichai Faksri
Institutions
Khon Kaen University · Mahidol University
74IMPACT SIGNAL
Clinical Medicine

Suspected Paramalignant Pleural Effusion as the Primary Presentation of Disseminated Cholangiocarcinoma in a Cat

Veterinary Sciences

Thailand-affiliated authors
Kanoklada Koomgun · Wuttikij Ruangpoonga · Piraya Jaiyangyeun · Nattawipa Suwannasaeng · Chaiyan Kasorndorkbua · Naris Thengchaisri · Panpicha Sattasathuchana
Institutions
Kasetsart University
74IMPACT SIGNAL
Clinical Medicine

Behavioral and Clinical Correlates of Frequent Self-Reported Sleep Bruxism Among Thai Participants: A Cross-Sectional Study

American Journal of Physical Education and Health Science

Thailand-affiliated authors
Kanyawee Teepun · Nichakan Polpetch · Teetat Srikaue · Patraporn Ekvitayavetchanukul
Institutions
Ministry of Science and Technology Thailand · Satriwitthaya 2 School · Sakon Nakhon Rajabhat University · Khon Kaen University
74IMPACT SIGNAL
Multidisciplinary

Perceptions, Attitudes, and Expectations Toward Primary Health Care Service Provision and Their Association with Service Utilization in Subdistrict Health Promoting Hospitals in Northeastern Thailand: A Cross-Sectional Study

Healthcare

Thailand-affiliated authors
Kanokporn Somporn · Niwat Songsin · Sarayut Chusuton · Sittichai Singsu · Adithep Phranphithak
Institutions
Suan Sunandha Rajabhat University · Pathumthani University · Ministry of Public Health
74IMPACT SIGNAL
Clinical Medicine

Bronchoalveolar Lavage Fluid Lipoarabinomannan as a Rapid Rule-Out Tool for Smear-Negative Pulmonary Tuberculosis in a Non-HIV-Predominant, High-Burden Setting: A Prospective Study

Open Forum Infectious Diseases

Thailand-affiliated authors
WARUNYA YOUBUREE · Tananchai Petnak · Chavachol Setthaudom · Porpon Rotjanapan
Institutions
Mahidol University · Ramathibodi Hospital
74IMPACT SIGNAL
Clinical Medicine

Reliability of Perceptual Assessment According to Speech Stimuli in Thai Patients with Cleft Lip and/or Palate

Archives of Plastic Surgery

Thailand-affiliated authors
Kalyanee Makarabhirom · Atchaphan Ruangsuk · Supaporn Chinchai · Natwipa Wanicharoen · Piyawan Jareontonyakorn · Pimpakan Hanpa · Saran Worasakwutiphong · Natthasart Unasri · Palita Yaemsuan
Institutions
Chiang Mai University · Naresuan University · Khon Kaen University
74IMPACT SIGNAL
Global Public Health

In Vitro Digestion Influences Bioactive Compound Profiles, Antioxidant Activity, and Free Amino Acid Release in Plant-Based Milk Alternatives

Foods

Thailand-affiliated authors
Nonthiwat Taesuk · Theeraphan Chumroenphat · Nidthaya Seephua · Manmanut Srikaew · Sirithon Siriamornpun · Apichaya Bunyatratchata
Institutions
Mahasarakham University · Ubon Ratchathani Rajabhat University · Ubon Ratchathani University
74IMPACT SIGNAL
Clinical Medicine

Rising incidence of central precocious puberty in Thailand: a nationwide population-based study before, during, and after the COVID-19 pandemic (2018–2024)

Korean Journal of Pediatrics

Thailand-affiliated authors
Pattara Wiromrat · Preamrudee Poomthavorn · Ratikorn Chaisiwamongkol · Chaiyawat Suppasilp · Ouyporn Panamonta · Ratchaneewan Sinitkul
Institutions
Khon Kaen University
74IMPACT SIGNAL
Clinical Medicine

Accuracy of Bispectral Index™ monitoring in an alternative nasal position in pediatric patients under general anesthesia: a prospective observational study

Canadian Journal of Anesthesia/Journal canadien d anesthésie

Thailand-affiliated authors
Taniga Kiatchai · Pakjira Sombatthaveekul · Niracha Wongchompoo · Pichaya Waitayawinyu · Sujin Suwanna · Jirapat Aiamsophon · Naiyana Aroonpruksakul · Nophanan Chaikittisilpa
Institutions
Siriraj Hospital · Mahidol University
74IMPACT SIGNAL
Clinical Medicine

Influenza Vaccine Effectiveness Against Pneumonia and COPD Exacerbations Among Patients with Chronic Obstructive Pulmonary Disease in Thailand: A National Test-Negative Design Study, 2013–2024

Vaccines

Thailand-affiliated authors
Sutthinan Chawalchitiporn · Pichaya Tantiyavarong · Jiraphut Kittiwatanachod · Suriya Naosri · Kriengkrai Prasert · Prabda Praphasiri
Institutions
Thammasat University · Nakhon Phanom University · Kasetsart University · Sakon Nakhon Rajabhat University
74IMPACT SIGNAL
Clinical Medicine

The extracellular vesicles derived from TNF-α primed umbilical cord mesenchymal stromal cells enhance the maturation of natural killer cells through CCL2/CCR2 pathway

Stem Cell Research & Therapy

Thailand-affiliated authors
Nuttapoom Vongthaiwan · Witchayapon Kamprom · Sakaorat Sittipol · Chayani Phothichan · Pakpoom Taychakawanitkul · Aungkura Supokawej
Institutions
Mahidol University · Police General Hospital
74IMPACT SIGNAL
Clinical Medicine

Time-Dependent Changes in the Mechanical Properties of Directly Printed Tera Harz TC-85 DAC (Direct Aligner Clear) After Manufacturing

Oral Sciences Reports

Thailand-affiliated authors
Boontida Changkhaokham · Kanokporn Somma · Thanpitcha Kovjiriyapan · Parida Chitchak · Jiratchya Leerattanapetch · Santisuk Sombun · Pornpat Theerasopon · Suttichai Krisanaprakornkit · Jirawan Chartpitak
Institutions
Mae Fah Luang University · Mae Fah Luang University Hospital · Naresuan University · University of Phayao
74IMPACT SIGNAL
Multidisciplinary

Effect of Lactobacillus-Bifidobacterium Probiotic Yogurt on Oral Candida Levels in Older Adults

Oral Sciences Reports

Thailand-affiliated authors
Pinyo Kerdpolwattana · Thararat Chitov · Chatsri Kuansuwan · Surawut Pongsiriwet · Kanyarat Korwanich · Jitjiroj Ittichaicharoen
Institutions
Chiang Mai University
74IMPACT SIGNAL
Clinical Medicine

Utilizing Laser Technology for Debonding of Orthodontic Ceramic Brackets: A Literature Review

Oral Sciences Reports

Thailand-affiliated authors
Todsaphon Inprakhon · Natapat Tarapun · Napat Srisooksombat · Praesai Khattipan · Vilasinee Vichitrananda · Pornpat Theerasopon
Institutions
University of Phayao
74IMPACT SIGNAL
Fundamental Science

Long-duration oscillation of a tsunami in the west Japan region following the 21 December 2010 Mw 7.4 Bonin Outer-rise earthquake

Ocean Engineering

Thailand-affiliated authors
Anawat Suppasri
Institutions
Chulalongkorn University
74IMPACT SIGNAL
Engineering

Effects of the Plane Strain Ratio and Wall Relative Stiffness on Deep Excavation Behavior in Clay Deposits

International Journal of Geomechanics

Thailand-affiliated authors
Raksiri Sukkarak · Panich Voottipruex · Suraparb Keawsawasvong · Suched Likitlersuang
Institutions
King Mongkut's University of Technology North Bangkok · Thammasat University · Chulalongkorn University
74IMPACT SIGNAL
Global Public Health

Upcycling Jackfruit Seeds as a Sustainable Malt Substitute for Beer Fermentation: Impacts on Physicochemical Quality and Volatile Profile

Fermentation

Thailand-affiliated authors
Nyan Minn Paing · Witsaponr Jorsungnoen · Sumittra Thaingoea · Shankar Neupane · Do Quyen Nguyen · Nattaya Konsue
Institutions
Mae Fah Luang University
74IMPACT SIGNAL
Clinical Medicine

Response predictors for lumbar epidural steroid injection outcomes for radiculopathy: a retrospective study

PAIN Reports

Thailand-affiliated authors
Suratsawadee Wangnamthip · Natinee Benjangkhaprasert · Nantthasorn Zinboonyahgoon · Pramote Euasobhon · Raviwon Atisook · Chanon Ngamsombat · Ruth F. Lopez · Skaorat Panchoowong
Institutions
Siriraj Hospital · Mahidol University · Ramathibodi Hospital
74IMPACT SIGNAL
Energy and Materials

Illuminating innovations: leveraging the optoelectronic capabilities of carbon dots for advanced displays, sensors, and renewable energy solutions

Frontiers in Chemistry

Thailand-affiliated authors
Mazloom Shah
Institutions
Asian University
74IMPACT SIGNAL
Energy and Materials

Decoupling Bulk Energetics and Interfacial Passivation in Low‐Temperature TiO 2 for High‐Performance Carbon Electrode‐Based Perovskite Solar Cells

Solar RRL

Thailand-affiliated authors
Warunee Khampa · Woraprom Passatorntaschakorn · Wongsathon Musikpan · Chukwuebuka Emmanuel Usulor · Sukhanidhan Singh · Isaac Chinaza Ogbuagu · Athipong Ngamjarurojana · Ratchadaporn Supruangnet · Hideki Nakajima · Pongsakorn Kanjanaboos · Anusit Kaewprajak · Pisist Kumnorkaew · Pipat Ruankham · Duangmanee Wongratanaphisan
Institutions
Chiang Mai University · Synchrotron Light Research Institute · Mahidol University · National Science and Technology Development Agency · National Nanotechnology Center · Thailand Center of Excellence in Physics
74IMPACT SIGNAL
Environmental Engineering

Revisiting theMechanism of Fluoroacetate Dehalogenase-CatalyzedDegradation of Fluorocarboxylic Acid via Cluster Models

The Journal of Physical Chemistry B

Thailand-affiliated authors
Manussada Ratanasak · Thanyada Rungrotmongkol · Yasuteru Shigeta
Institutions
Chulalongkorn University
74IMPACT SIGNAL
Clinical Medicine

Robotic Ureteroenteric Stricture Repair: A Decade of Surgical Experience and Technique Evolution

Journal of Endourology

Thailand-affiliated authors
Wattanachai Ratanapornsompong · Sutthirat Sarawong
Institutions
Ramathibodi Hospital · Police General Hospital
74IMPACT SIGNAL
Clinical Medicine

The Impact of Plant-Derived Foods and Medicines on the Lung–Gut Axis and Microbiota Cross-Talk

Molecules

Thailand-affiliated authors
Sarocha Vivatvakin · Duangporn Werawatganon
Institutions
Chulalongkorn University
74IMPACT SIGNAL
Environmental Engineering

A study on electrokinetic stabilization of soft Bangkok clay using a physical model

Springer Link (Chiba Institute of Technology)

Thailand-affiliated authors
Petchnual Wisarut · Srinil Chortham · Choosanguan Apiwat
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