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
A Mahasarakham University-linked study shows that PLLA and PDLA molecular-weight pairing controls stereocomplex crystallization, improving heat resistance but potentially causing brittleness. Experiments and finite-element analysis map a design space rather than optimizing a single property.
INTRODUCTION: Chronic gastroduodenal disorders remain challenging to manage, and new diagnostic approaches are needed to better delineate underlying causes and guide therapeutic decisions. Body Surface Gastric Mapping (BSGM) technologies combine high-resolution gastric myoelectrical activity measurements with symptom and psychological profiling to provide mechanistic insights into gastric motor and sensory dysfunction. An International Working Group convened to derive the first consensus classification of BSGM phenotypes (the "Auckland Classification"). METHODS: A Technical Group conducted a systematic literature and clinical database review to identify objective test biomarkers and candidate disease mechanisms. Evidence was synthesized across 50 studies (primarily in gastroparesis, chronic nausea and vomiting, and functional dyspepsia), and BSGM phenotypes were mapped to existing treatment guidelines. Subsequently, iterative review and development of consensus was performed by a Consensus Group composed of international clinical experts familiar with BSGM. Eleven statements underlying the classification were then derived and circulated as a final survey to establish agreement. RESULTS: Six BSGM phenotypes were endorsed: three defined by myoelectrical abnormalities (Dysrhythmic, High Frequency, and Low Meal Response) and three by characteristic symptom associations (Sensorimotor, Continuous, and Delayed Onset Symptoms). Published studies plausibly linked these phenotypes to mechanisms including interstitial cell of Cajal depletion, vagal impairment, hypomotility, visceral hypersensitivity, gut-brain dysregulation, and small bowel dysfunction. Phenotypes were also mapped to existing mechanism-based treatment guidelines. Ten out of the eleven statements had > 80%…
OBJECTIVE: This study developed and validated monolingual and bilingual sentence-bidirectional encoder representations from transformers (SBERT) models for detecting cancer recurrence within Thai-English electronic medical records (EMRs) from Thai cancer hospitals. METHOD: A multicentre dataset of 32 436 documents from 1250 patients was used for model development. External validation involved an independent dataset of 9244 documents from 384 patients across two Thai cancer hospitals. Performance was benchmarked against a fine-tuned PubMedBERT (MetBERT). RESULTS: The development dataset included breast (43.9%), colorectal (12.1%), cervical (28.0%) and head and neck (16.0%) cancers. MetBERT achieved the highest area under the precision-recall curve (AUPRC) for locoregional versus no recurrence (11.1%) and locoregional versus distant recurrence (91.7%), while monolingual-SBERT excelled at distant versus no recurrence (32.0%). External validation demonstrated MetBERT superiority for locoregional versus no recurrence (9.30%-21.50%). For distant versus no recurrence, bilingual-SBERT performed best with AUPRC 17.55%-24.39%. While MetBERT led in distinguishing locoregional versus distant recurrence (88.30%-94.70%), bilingual-SBERT demonstrated robust external validation performance (AUPRC 85.25%-91.80%). DISCUSSION: Low AUPRC values (9%-32%) reflect the extreme class imbalance in real-world data (~1% recurrence prevalence). Despite this, fine-tuned MetBERT achieved highest performance, while bilingual-SBERT demonstrated superior robustness during external validation. This validates sentence embedding models for handling mixed Thai-English medical records in multilingual clinical environments. CONCLUSION: Sentence embedding frameworks provide a practical, generalisable solution…
The European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment, and follow-up of patients with hepatocellular carcinoma (HCC) were published in May 2025 and were adapted in August 2025, according to previously established standard methodology, to produce the Pan-Asian adapted ESMO consensus guidelines for the management of Asian patients with HCC. The adapted guidelines presented in this manuscript are the consensus opinions reached by a panel of Asian experts in the treatment of patients with HCC representing the oncological societies of China (Chinese Society of Clinical Oncology), Indonesia (Indonesian Society of Hematology and Medical Oncology), India (Indian Society of Medical and Paediatric Oncology), Japan (Japanese Society of Medical Oncology), Korea (Korean Society of Medical Oncology), Malaysia [Malaysian Oncological Society (MOS)], the Philippines (Philippine Society of Medical Oncology), Singapore (Singapore Society of Oncology), Taiwan (Taiwan Oncology Society), and Thailand (Thai Society of Clinical Oncology) and coordinated by ESMO and the MOS. The voting was based on scientific evidence and was independent of current treatment practices, drug access restrictions, and reimbursement decisions in the different regions of Asia. The latter are discussed separately in the manuscript. The aim is to provide guidance for the optimisation and harmonisation of the management of patients with HCC across the different countries of Asia, drawing on the evidence provided by both Western and Asian trials. Attention is drawn to the disparity in the drug approvals and reimbursement strategies between the different regions.
Improving feed efficiency while maintaining gut stability is a key nutritional objective during the post-weaning period in piglets. This study investigated the effects of dietary supplementation with a microbial bioactive complex (MBC), composed of Pediococcus pentosaceus CACC616, Lactobacillus reuteri CACC607, L. dextrinicus CACC889, L. pentosus CACC891, and Saccharomyces cerevisiae CACC699, on feed efficiency and gut microbial fermentation in weaned piglets. The complex was produced via solid-state fermentation (SSF), enabling the co-delivery of viable microorganisms and fermentation-derived metabolites. A total of 34 piglets were randomly assigned to either a basal diet (control) or the same diet supplemented with MBC for 33 days. The MBC contained approximately 2.4 × 10 9 CFU/g of lactic acid bacteria and 5.17 × 10 6 CFU/g of yeast and was included in the diet at 0.5%. MBC supplementation significantly improved feed conversion ratio ( p < 0.05) and reduced average daily feed intake, indicating enhanced feed utilization efficiency without adverse effects on health-related blood parameters. The constituent strains exhibited desirable probiotic and safety characteristics, including tolerance to acidic and bile salt conditions, adhesion to porcine intestinal epithelial cells (IPEC-J2), absence of hemolytic activity, and low biogenic amine production. Microbial analysis revealed that taxa enriched in the MBC-treated group, including Succinivibrio and Succinivibrionaceae UCG-001 , are associated with carbohydrate fermentation and succinate-producing pathways. Collectively, these findings indicate that dietary supplementation with MBC is associated with improved feed conversion and changes in fermentation-related gut microbial taxa in weaned piglets, supporting its…
Underage alcohol use and bullying are major adolescent health concerns in the Philippines. We estimated the prevalence of current alcohol use and its association with bullying victimization. We analyzed data from the 2019 Philippine Global School-Based Student Health Survey (GSHS). Current alcohol use was ≥1 drinking day in the past 30 days. Bullying exposures included school-based, outside-school, and cyberbullying in the past 12 months. Weighted chi-square tests and multivariable logistic regression were used to identify predictors. The current alcohol use prevalence was 20.4%. Alcohol use was more likely among males (aOR = 1.77; 95% CI: 1.58–1.98). Adolescents < 15 years had lower odds than those ≥15 years (aOR = 0.55; 95% CI: 0.49–0.61). Bullying victimization was independently associated with drinking, strongest for cyberbullying (aOR = 2.36; 95% CI: 2.08–2.68), with additional associations for school-based (aOR = 1.39) and outside-school bullying (aOR = 1.51). Underage drinking is closely linked to bullying, particularly cyberbullying, supporting integrated school-based prevention combining psychosocial support, digital literacy, and gender-responsive strategies.
Context Although once widespread, tuangi (cockle, Austrovenus stutchburyi), a taonga (sacred) species for local Māori people, have undergone significant declines in Ōhiwa Harbour, prompting local-led aspirations for their restoration. Aims This study demonstrates how balancing mātauranga Māori with ecological modelling can improve understanding of species and habitat relationships and support estuarine management. Methods We combine contextual historical mapping with a predictive Species Distribution Model (SDM) to identify suitable habitats for assessing and monitoring areas for a co-managed and co-implemented shellfish surveying and monitoring program in Ōhiwa Harbour, Aotearoa New Zealand. Species distribution and relative abundance were modelled using a SDM parameterised with Indigenous Knowledge and empirically derived environmental data informed by Iwi (tribal)-identified traditional harvesting areas. Results Model outputs indicated that large areas of Ōhiwa Harbour remain suitable for tuangi, with the higher predicted abundances in shallow sub-tidal and intertidal areas (
Pristaulacus leleji Turrisi & Nobile, 2016 Fig. 9 Material examined. Thailand: Holotype • ♀, Central Siam 150 m, Kanchanaburi Province, Khwae Noi River Expedition Niki, 23. IV – 5. V, J. K. Jonkers, 1946 (RMNH). Diagnosis. Large species, body length around 16.0 mm, excluding ovipositor; color mostly black, head and mesosoma blackish; antennae reddish orange; mid and hind femora dark reddish orange, mid and hind tibiae and tarsi reddish orange; fore wing hyaline, with basal half extensively infuscate and a wide dark brown substigmal spot; metasomal segments 1 + 2 entirely reddish orange with apex of T 2 darker; brownish; golden on clypeus and mandible; head, from above, 1.2 × wider than long, dull, vertex with fine, deep and dense punctures; gena well developed, subparallel, regularly rounded posteriorly; occipital margin slightly concave medially; occipital carina narrow, rim-like; mesosoma coarsely sculptured, mostly areolate-rugose; lateroventral margin of pronotum with one anterior and one posterior stout tooth-like process, the former larger than latter; anterior margin of mesonotum, in lateral view, squared, slightly overhanging pronotum; hind coxa stout, 2.0 × longer than wide, transverse carinate-foveolate on dorsal surface, mostly polished-punctate on ventral surface; tarsal claw pectinate with six tooth-like processes; metasoma pyriform, moderately compressed laterally; petiole moderately elongate, moderately slender, 2.0 × longer than wide; ovipositor length 1.3 × fore wing length. Distribution. Thailand (Kanchanaburi province) (Turrisi and Nobile 2016; Turrisi and Smith 2020; Pham et al. 2024). Host. Unknown. Remark. The species belongs to the Pristaulacus comptipennis species-group (Turrisi and Nobile 2016).
Pristaulacus exuberans Turrisi & Smith, 2020 Fig. 5 Material examined. Thailand: Holotype • ♀, Loei, Phu Kradueng National Park, Dry evergreen, Pong Neep forest unit, 16°56.599'N, 101°42.079'E, 273 m, Malaise trap, 12 19.iv.2008, Thonghuay Phatai leg., T 5110 (QSBG). Paratypes: • 2 ♀, Thailand, Sakon Nakhon, Phu Phan, Car Park at Nam Hom Waterfall, 17°7.4119'N, 104°1.0169'E, 347 m, Malaise trap, 25–31.iii.2007, SailomTongboonchai leg., T 2376 (QSBG, USNM); • 1 ♀, Thailand, Loei, Phu Kradueng National Park, Mixed deciduous / office, 16°56.519'N, 101°41.669'E, 274 m, Malaise trap, 26.iv–3.v.2008, Thonghuay Phatai leg., T 5125 (QSBG); • 1 ♀, Thailand, Loei, Phu Kradueng National Park, Nampong / Pong Neep forest unit, 16°56.599'N, 101°41.619'E, 273 m, Malaise trap, 12–19.iv.2008, Thonghuay Phatai leg., T 5128 (QSBG); • 1 ♀, Thailand, Mae Hong Son, Namtok Mae Surin National Park, 19°20.8579'N, 97°59.1239'E, 274 m, 1–8.vi.2008, Kaewmanee J. leg., T 3527 (QSBG). Diagnosis. Moderately large species, body length slightly more than 13.0 mm, excluding ovipositor; color mostly light orange, except most of antenna, lower part of mesopleuron, coxae and hind leg, and metasoma black; setae goldish; head, from above, 1.1 × wider than long, dull, vertex with coarse, deep and dense to very dense punctures; gena well developed, subparallel and rounded posteriorly; occipital margin straight; occipital carina very narrow, rim-like, very weak medially; mesosoma coarsely sculptured, mostly areolate-rugose; lateroventral margin of pronotum with one anterior stout, squared, forwarded tooth-like process; anterior margin of mesonotum, in lateral view, squared, not overhanging pronotum; hind coxa stout, 2.0 × longer than wide, transverse-carinate dorsally, polished-punctate ventrally; tarsal claw…
Pristaulacus thailandensis Turrisi & Smith, 2011 Fig. 16 Material examined. Thailand: Holotype • ♀, Ubon Ratchathani, Pha Taem National Park, Huay Pok waterfall, 15°37.321'N, 105°36.982'E, 419 m, Malaise trap, 4–11.IV.2007, Bunlu Sapsiri leg., T 2165 (QSBG). Diagnosis. Medium-sized species, body length around 12.0 mm, excluding ovipositor; color mostly black, clypeus extensively, most of mandible, A 1, fore and mid legs reddish orange to dark reddish orange; hind leg blackish, hind tarsus lighter; wings hyaline; fore wing only slightly infuscate at extreme apex, with traces of irregular brown spots at base and a moderately wide subrectangular substigmal dark brown spot; metasoma entirely blackish; setae partly goldish on mandible, whitish otherwise; head, from above, 1.2 × wider than long, shiny, vertex with fine, deep and scattered punctures; gena moderately developed, moderately convergent and moderately rounded posteriorly; occipital margin with a moderately wide and deep U-shaped medial occipital groove; occipital carina moderately broad, lamelliform; mesosoma coarsely sculptured, transverse-carinate to areolate-rugose; lateroventral margin of pronotum with one anterior well developed, acute, forwarded tooth-like process; anterior margin of mesonotum, in lateral view, rounded, not overhanging pronotum; hind coxa elongate, 2.8 × longer than wide, transverse-carinulate-punctate; tarsal claw pectinate with four tooth-like processes; metasoma pyriform strongly compressed; petiole very elongate, slender, 4.4 × longer than wide; ovipositor length 1.5 × fore wing length. Distribution. Thailand (Ubon Ratchathani province) (Turrisi and Smith 2011). Host. Unknown. Remark. The species belongs to the Pristaulacus comptipennis species-group (Turrisi and Smith 2011).
Pristaulacus iosephi Turrisi & Madl, 2013 Fig. 7 Material examined. Thailand: Holotype • ♀, North West Chiang Mai, Fang, 500 m. 12–19.iv.1958, T. C. Maa leg., No. 388 (BPBM). Diagnosis. Large species, body length around 17.0 mm, excluding ovipositor; mandible blackish with dark reddish tones on teeth; color mainly black, except maxillo-labial complex dark reddish brown; A 1 dark reddish, remaining antennomeres blackish; legs mostly dark reddish, with fore and mid tibiae and tarsi lighter; wings hyaline, with a yellowish background tint, with base of fore wing extensively brownish infuscated (cells C, B, SB, P and base SD 1) and a wide brownish substigmal spot, wider than stigma, posteriorly extended to D 2; metasoma black to blackish, segments 1–2 with dark reddish orange marks; valvula 3 of ovipositor brownish; setae whitish on head and mesosoma, partly goldish on mandible, brownish on metasoma head, from above, 1.3 × wider than long, shiny, vertex with fine to coarse, deep and dense punctures; gena well developed, slightly convergent and regularly rounded posteriorly; occipital margin with a shallow V-shaped medial groove; occipital carina narrow, rim-like; mesosoma coarsely sculptured, areolate-rugose, mesoscutum anterior to notauli transverse-carinate; lateroventral margin of pronotum with two well-developed anterior and posterior tooth-like processes; anterior margin of mesonotum, in lateral view, anterior to notauli, strongly elevated dorsally and anteriorly distinctly overhanging pronotum, strongly angulated, producing two well developed anterior lobes; hind coxa stout, 2.0 × longer than wide, transverse-carinate dorsally, mostly polished-punctate ventrally; tarsal claw pectinate with six tooth-like processes; metasoma pyriform, moderately compressed laterally…
Pristaulacus takakuwai Turrisi & Watanabe, 2011 Fig. 15 Material examined. Thailand: Holotype • ♀, Phetchabun province, North Thailand, Khao Kho National Park, 8–900 m, 24–27.V.2009, Takakuwa, M. leg. (MZUF). Diagnosis. Large-sized species, body length more than 14.0 mm, excluding ovipositor; color mostly black, clypeus, most of mandible, A 1–2, fore and mid legs, fore and mid legs reddish orange; hind tarsus black brown; wings hyaline, yellowish; fore wing slightly infuscate at extreme apex, with a moderately wide rounded substigmal dark brown spot, costal cell yellowish; metasoma extensively reddish brown; setae goldish throughout; head, from above, 1.2 × wider than long, shiny, vertex with fine, deep and dense punctures; gena well developed, almost straight, moderately convergent posteriorly; occipital margin weakly concave medially; occipital carina very narrow, rim-like; mesosoma coarsely sculptured, mostly areolate-rugose, only anterior part of mesoscutum transverse-carinate; lateroventral margin of pronotum with one well developed acute tooth-like process; anterior margin of mesonotum, in lateral view, squared, slightly acute, not overhanging pronotum; hind coxa elongate, 2.4 × longer than wide, transverse-carinate dorsally, polished punctate ventrally; tarsal claw pectinate with four tooth-like processes; metasoma pyriform, moderately compressed; petiole elongate, slender, 3.4 × longer than wide; ovipositor length 0.9 × fore wing length. Distribution. Thailand (Phetchabun province) (Turrisi and Watanabe 2011). Host. Unknown. Remark. The species belongs to the Pristaulacus rufipes species-group.
Thai researchers
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.
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2,955 records
85IMPACT SIGNAL
Multidisciplinary
Development and Independent Validation of an Expert-Informed Measurement Framework for Online Hotel Booking Intention
Mahidol University · Thai-Nichi Institute of Technology
85IMPACT SIGNAL
Multidisciplinary
Beyond Net Effects: Examining Configurational Pathways Associated with Cosmetic Repurchase Intention Through Online Platforms Using the Fuzzy Delphi Method, SEM, and fsQCA
Journal of theoretical and applied electronic commerce research
King Mongkut's Institute of Technology Ladkrabang · Khon Kaen University
85IMPACT SIGNAL
Multidisciplinary
The Study of Health Knowledge and Communication Needs to Develop a Communication Model to Enhance Self-Care Promotion for Young Men Who Have Sex with Men Living with HIV
How Online Reviews Shape Market Acceptance of Green Entrepreneurial Offerings: The Role of Review–Product Matching
Administrative Sciences
Thailand-affiliated authors
Xia Li · Sujinda Popaitoon · Atthaphon Mumi
Institutions
Mahasarakham University · National Institute of Development Administration
85IMPACT SIGNAL
Multidisciplinary
Factors associated with stress and depression among Thai industrial workers living in dormitories: a comparison between shift and non-shift workers in Phra Nakhon Si Ayutthaya, Thailand
Exploring learning experiences and perceived benefits of multidisciplinary case-based learning for knowledge integration and clinical readiness among preclinical dental students
Religious life, monastic support, and healthcare inequity among aged Han Buddhist monks in China: an explanatory mixed-methods study
Frontiers in Public Health
Thailand-affiliated authors
Yaoping Liu · Zhenyu Liu · Chomphu Kotirum
Institutions
Rajamangala University of Technology Krungthep
85IMPACT SIGNAL
Multidisciplinary
Health inequalities in PM₂.₅-related symptoms during Thailand’s haze season: the role of education, sociodemographic, lifestyle, protective behaviors, and environmental factors