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
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Clinical Medicine
Clinical Characteristics, Antimicrobial Susceptibility, Treatment, and Outcomes of Achromobacter Bacteremia: A 20-Year Retrospective Cohort Study
Khon Kaen University · National Science and Technology Development Agency · National Center for Genetic Engineering and Biotechnology
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Clinical Medicine
Soluble C-type lectin LvLectin1 mediates recognition and agglutination of Ecytonucleospora hepatopenaei spores in Pacific white shrimp Litopenaeus vannamei
Navamindradhiraj University · Vajira Hospital · Srinakharinwirot University · Ministry of Public Health
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Clinical Medicine
Effects of Ramadan Fasting on Intradialytic Hypoglycemia and Clinical Outcomes in Patients with Diabetes on Maintenance Hemodialysis: A Multicenter Prospective Cohort Study in Southern Thailand
Gelatin Hydrolysate from Bigeye Snapper (Priacanthus tayenus) Skin Attenuates the Progression of Diabetic Nephropathy in Rats by Modulating Oxidative Stress, Inflammatory Responses, and Endoplasmic Reticulum Stress Signaling Pathways
Chiang Mai University · Kasetsart University · University of Phayao
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Energy and Materials
Unlocking High-Valent Chalcogen Redox with Halide-Rich Electrolytes for High-Energy Lithium Batteries
Nature Communications
Thailand-affiliated authors
Jiaqian Qin
Institutions
Chulalongkorn University
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Clinical Medicine
Prediction model for survival outcome in patients with acute myeloid leukemia: a multicenter prospective cohort study from Thai Acute Leukemia Working Group
Prince of Songkla University · Chiang Mai University · Siriraj Hospital · Chulalongkorn University · King Chulalongkorn Memorial Hospital · Thammasat University · Phramongkutklao Hospital · Ramathibodi Hospital · Rajavithi Hospital · Khon Kaen University
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Clinical Medicine
Immune response and durability of human papillomavirus antibodies in vaccinated adolescents after hematopoietic stem cell transplantation: a pilot study
Culturable mycota from Karst caves in Yunnan Province, China
IMA Fungus
Thailand-affiliated authors
Xiang-Fu Liu · K. W. Thilini Chethana · Lu Li · Kevin D. Hyde · Wenhua Lu · Rui-Fang Xu · Xue-Mei Chen · Xian Zhang · Xing-Juan Xiao · Tian‐Ye Du · Nakarin Suwannarach · Jaturong Kumla
Institutions
Mae Fah Luang University · Chiang Mai University
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Clinical Medicine
Association of Vitamin D Intake, VDR Levels, and Relevant Gene Polymorphisms in Early-Stage Thai Colorectal Cancer Patients Following Vitamin D3 Supplementation