Bridging clinical needs and economic barriers: a national survey of antidepressant prescribing across 25 hospitals in Thailand
The multicentre survey analysed 604 patients from 25 Thai hospitals between December 2023 and March 2024. SSRIs accounted for 70.2% of prescriptions, followed by TCAs at 13.9% and trazodone at 12.7%. The most common diagnoses were depressive disorders (55.0%), substance use disorders (15.2%) and psychotic disorders (13.7%). Clinicians cited limited availability (21.9%), reimbursement arrangements (36.3%) and patient finances (33.9%) as prescribing constraints.
Pornjira Pariwatcharakul · Krittisak Anuroj · Nopporn Tantirangsee · Keerati Pattanaseri · Chonnakarn Jatchavala · Nitchawan Kerdcharoen · Papan Thaipisuttikul · Kanthee Anantapong · Lampu Kosulwit · Nuth Graipaspong · Pavarud Puangsri · Poom Chompoosri · Tiyarat Kayankit · Pavita Chongsuksiri · Sirina Satthapisit · Songpon Lodthanong · Veevarin Charoenporn · Saratcha Tiensuntisook · Kamolvisa Techapoonpon · Warut Aunjitsakul · Kantanut Yutrirak · Kritta Supanimitamorn · Tidarat Puranachaikere · Apichat Saengsin · Maneekwan Rujirojsuwan · Orapa Khemtong · Panklow Siriarchawatana · Pawaris Asawalertsaeng · Pawitra Mongkolnaowarat · Ploypan Wangrotjanarat · Tattaporn Suksintaranon · Warith Mongkolnaowarat · Warot Lamyai · Wattanapong Pansawat · Witchuda Chantarat · Pavat Aroonpet · Nutthaporn Jaisamut Sakunphaet · Naratip Sa-nguanpanich · Lakkana Thongchot · Dutsadee Juengsiragulwit · Burin Suraaroonsamrit · Woraphat Ratta‐aphaSiriraj Hospital · Mahidol University · Srinakharinwirot University · Ministry of Public Health · Songklanagarind Hospital · Prince of Songkla University · Navamindradhiraj University · Vajira Hospital · Ramathibodi Hospital · Thammasat University · Rajamangala Institute of kidney disease · Walailak University · Mae Fah Luang University · Buddhachinaraj Hospital · Khon Kaen University · Ubon Ratchathani Rajabhat University · Manarom Hospital · Phitsanulok University · Maharat Nakhon Ratchasima Hospital · Nakhon Phanom University · Sappasithiprasong Hospital · Suratthani Rajabhat University · Udon Thani Hospital
Paired samples from treatment-naïve gastric-cancer patients and controls showed substantially higher richness and diversity with mucosal brushing than biopsy. Brushing detected lower diversity and altered composition in cancer, whereas biopsy did not. Sampling method shapes microbiome signals, but causation and diagnostic utility are unproven.
Gizzard lesions in Thai chickens contained intranuclear inclusions, in-situ hybridization signal and PCR-confirmed fowl adenovirus. Hexon and fibre sequencing identified FAdV-8a strain FAdV8a_NPT_KU001_25, closer to a gizzard-tropic than an inclusion-body-hepatitis strain. Association is supported, but causation remains unproven.
A two-clinic Chiang Mai study of 150 MSM and transgender women found clinically significant depression in 5.3% of PrEP users and 13.3% of non-users. Mean depression was lower among PrEP users, while suicidal ideation occurred in 5.3% with no group difference.
An exploratory case-control study of 37 Thai adults with confirmed beta-lactam hypersensitivity identified HLA-DQA1*01:04 and HLA-DQA1*05:05 candidate signals after Bonferroni correction, with the latter stronger for immediate reactions. Small size, population controls and sensitivity-instability mean the findings are not ready for screening or drug avoidance.
Twenty male esports players were randomised to cup stacking three days weekly for four weeks or usual training. Post-intervention salivary alpha-amylase fell within the experimental group and differed significantly from controls.
Giant freshwater prawns received control diets or 10% and 20% fishmeal replacement with L. plantarum TISTR1284-fermented Leucaena for two weeks. Fermented diets increased immune markers and reduced post-A. hydrophila mortality by 26.14%, with normal intestinal morphology.
The systematic review identified 17 reports representing 15 randomised trials with 6,256 participants; 2,216 contributed to overweight subgroup analyses. The meta-analysis included 12 studies and 1,728 pregnant women with overweight. Interventions combined diet and physical activity, often with goal setting, self-monitoring and digital or remote follow-up.
A seven-country prospective cohort of 1,703 adults with HIV found Mycobacterium tuberculosis bloodstream infection predominantly among inpatients and associated it with higher 30-day mortality.
An evaluation of 1,838 stored sera from seven countries found that a second-generation Hcp1 antibody test had sensitivity ranging from 48% to 92%, with specificity varying by country and comparison group.
Thai researchersHasyanee Binmaeil · Thanakon Bunsong · Mary N. Burtnick · Paul J. Brett · Narisara Chantratita
Analysis of Thai national claims from 2015–2023 identified 60,916 paediatric hepatobiliary admissions. Admission rates were broadly stable and in-hospital mortality declined, while hepatic failure remained a high-risk condition.
An international expert statement spanning 22 countries reviews links among food systems, cardiometabolic health and the Sustainable Development Goals. It advocates plant-forward traditional diets rich in whole grains, legumes, vegetables, fruit, nuts and spices, with meat used sparingly.
The multicentre survey analysed 604 patients from 25 Thai hospitals between December 2023 and March 2024. SSRIs accounted for 70.2% of prescriptions, followed by TCAs at 13.9% and trazodone at 12.7%. The most common diagnoses were depressive disorders (55.0%), substance use disorders (15.2%) and psychotic disorders (13.7%). Clinicians cited limited availability (21.9%), reimbursement arrangements (36.3%) and patient finances (33.9%) as prescribing constraints.
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
75IMPACT SIGNAL
Energy and Materials
Effect of anodization voltage and heat treatment on the surface crystallinity and hydrophilicity of the Ti-6Al-4V
Rajamangala University of Technology Isan · Suranaree University of Technology · King Mongkut's University of Technology North Bangkok · Chulalongkorn University
75IMPACT SIGNAL
Global Public Health
Building sustainable workplaces: The role of organizational climate and recognition on employee task performance in Vietnamese SMEsThis research aims to study the relationships between Organizational Climate and Task Performance through Organizational Recognition in the context of small and medium-sized enterprises (SMEs) in Da Nang, Vietnam. Structural Equation Modeling (SEM) is used to examine the direct and indirect (mediated) relationships among the independent variables, the mediator, and the dependent variable. The population of this study is individual employees in SMEs; 402 respondents were obtained through a convenience and volunteer sampling method. The empirical results demonstrated an excellent model fit. The path analysis revealed that all four dimensions of Organizational Climate had significant positive direct effects on Organizational Recognition (p < 0.001), and that Organizational Recognition was significantly associated with Task Performance. Bootstrap analysis with 5000 resamples and bias-corrected 95 % confidence intervals indicated that all four indirect effects through Organizational Recognition were statistically significant. Standard of Work was fully mediated by Organizational Recognition, whereas Organizational Structure, Responsibility, and Commitment were partially mediated, retaining significant direct associations with Task Performance. These results suggest that, in the SME context of Da Nang, Organizational Recognition is an important mechanism through which a supportive climate is associated with employee performance. The study provides insights for SME management seeking to strengthen recognition practices as part of a more humane and socially sustainable work environment.
Sustainable Social Development
Thailand-affiliated authors
Tanin Tirasawasdichai · Jarita Hinthao
Institutions
Kasetsart University · Sakon Nakhon Rajabhat University
75IMPACT SIGNAL
Multidisciplinary
Interactive Virtual Reality Learning Platform for Rice Milling Process
Immediate effects of sitting position on cervical and trunk posture, perceived discomfort, and RULA-based ergonomic risk during smartphone gaming: A randomized within-subject study
Mooring Fatigue Lifetime of Point-Absorber Wave Energy Converters in Monsoon Climates: Gulf of Thailand and Andaman Sea
Sustainable Marine Structures
Thailand-affiliated authors
Kornpaphop Ruttanawijit · Noppong Sritrakul
Institutions
Rambhai Barni Rajabhat University · Silpakorn University
75IMPACT SIGNAL
Clinical Medicine
Lumefantrine quantification on pre-treated filter paper dried blood spots for clinical field trials
Malaria Journal
Thailand-affiliated authors
Daniel Blessborn · Natpapat Kaewkhao · Joel Tärning
Institutions
Mahidol Oxford Tropical Medicine Research Unit
75IMPACT SIGNAL
Global Public Health
Relationship Between Pre-Pregnancy Body Mass Index, Gestational Weight Gain, and Perinatal Outcomes Among Women Delivering at a General Hospital, Nakhon Si Thammarat Province
International Journal of Environmental Research and Public Health
Comprehensive Phenotypic Characterization of Clinical Elizabethkingia Isolates and Evaluation of the Antimicrobial and Anti-Biofilm Activity of Dialdehyde Cellulose
