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EDITOR'S SIGNALRotating editor's selection
Evidence of global relevance

Characteristics, management, and outcomes of segmental and subsegmental pulmonary embolism in ICU patients: A retrospective cohort study

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%.

Nuanprae Kitisin · Nattaya Raykateeraroj · Sikarin UpalaSiriraj Hospital · Mahidol University
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IMPACT92/100
EDITORIAL DEEP DIVES

In-depth research analyses

Source-verified editorial analyses, ordered by latest publication date

1,037 analyses
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Patient-Reported Outcome Measurement86IMPACT SIGNAL
Qualitative evidence from patient experience

Measuring what matters: Evaluating quality of life instruments through the eyes of people with Parkinson's disease

Researchers asked 31 people living with Parkinson's disease to complete eight quality-of-life instruments and then used semi-structured interviews to explore what helped or hindered meaningful reporting. Participants favored broad response options, attention to personal, emotional, and practical effects, clear and specific language, and a balance of positive and negative questions. The study centers lived experience in instrument refinement but does not establish which questionnaire has the best validity, reliability, or responsiveness.

Thai researchersOnanong Phokaewvarangkul
Business, Marketing and Consumer Behaviour86IMPACT SIGNAL
Survey and configurational-model evidence

Balancing continuity and relevance: Innovation-nostalgia configurations in time-honored brand revitalization

Revitalizing a time-honored brand requires continuity of identity alongside present-day relevance. The study analyzed 404 firm-side respondents from 76 enterprises and 536 consumers in Southwestern China using PLS-SEM and fsQCA. Innovation and nostalgia interacted positively only in the firm model; both were positively associated on the consumer side, where nostalgia was stronger. Set-theoretic analysis identified overlapping configurations and three balancing logics, framing revitalization as a multi-actor process rather than a universal formula.

Thai researchersXiangyu Li · Danaikrit Inthurit · Surachai Kungwon · Nirote Sinnarong
Sustainable Tourism and Climate Risk85IMPACT SIGNAL
Cross-sectional structural and configurational evidence

Revisit Intention Under Climate Risk in Island Tourism: Structural and Configurational Evidence from PLS-SEM and fsQCA

The study examines how perceived island-climate risk, destination climate resilience, tourism climate-service usefulness, and destination trust combine in relation to intention to revisit Phuket. An on-site survey of 480 Chinese tourists was analyzed using both PLS-SEM and fsQCA. The structural model explained 74.6% of variance in revisit intention: perceived climate risk was negatively associated, the other three constructs were positively associated, and trust had the strongest direct association. The configurational analysis identified multiple routes to high and low intention. All results concern cross-sectional self-reported intention, not proof that an intervention causes actual return travel.

Thai researchersXinda Yang · Sirichai Preudhikulpradab · Lalida Arphawatthanasakul
Health Professions Education and Research Equity85IMPACT SIGNAL
Global bibliometric and network analysis

Moving towards decolonizing health professions education research: an analysis of global network patterns and equity implications

An all-Thai team analyzed co-authorship structures in five leading Q1 health-professions-education journals from 2015 through 2024, covering 13,187 publications, 45,366 authors, and affiliations in 162 countries. Annual output grew 2.7-fold and distinct authors 3.7-fold. High-income-country-only publications fell from 86% to 63%, while non-high-income-only publications rose from 6% to 26%. The network became broader and more connected, yet the United States, United Kingdom, and Canada remained central, and low-income-country collaboration was more often routed through high-income partners than through regionally led networks.

Thai researchersPeerasit Sitthirat · Seksan Yoadsanit · Phuphinyo Limchantra · Kanjaree Suppawittaya · Suttithan Suwannoppakun · Piwat Suppawittaya · Phanuwich Kaewkamjornchai · Somsak Chunharas
Healthcare Operations and Decision Support85IMPACT SIGNAL
Computational simulation evidence

An Integrated Intelligent Decision Support System Combining Stochastic Programming and Queuing Theory for Dynamic Triage of Surgical Critical Care Patients to Prevent Postoperative Complications in Healthcare Business Operation

The authors developed SQDSS, combining two-stage stochastic programming with multi-class priority queueing to triage surgical critical-care patients under uncertain arrivals, changing acuity, and deterioration while waiting. Across 48 synthetic datasets, comparisons with first-come-first-served and a fixed-severity rule showed about 22.8% shorter high-acuity waits, 16% greater bed utilization, roughly 28% less queue overflow, and roughly 18% fewer simulated complications. Benefits were greatest under surge and trauma-dominant conditions. No real-patient data or implementation trial were used, so these results demonstrate modeled feasibility rather than clinical effectiveness.

Thai researchersJarun Bootdachi · Parichat Wonggom · Wiphawadee Potisopha
Adolescent Mental Health and Measurement85IMPACT SIGNAL
Psychometric validation

Psychometric Properties of the Revised Thai Rosenberg Self-Esteem Scale (r-TRSES) in Adolescents: Confirmatory Factor Analysis and Rasch Modeling

The study evaluates a culturally reworded Thai Rosenberg Self-Esteem Scale in 443 boarding-school students. Confirmatory factor analysis supported a bifactor structure with a dominant general self-esteem factor and residual wording-related variance. Rasch analysis supported essential unidimensionality, acceptable item fit, strong reliability, and ordered response thresholds. No item exceeded the prespecified threshold for sex differential item functioning. Scores correlated positively with resilience (r=0.589) and negatively with depressive symptoms (r=-0.601), but precision declined among adolescents with higher self-esteem and broader replication remains necessary.

Thai researchersJustin DeMaranville · Peerapat Naprung · Supisara Prompila · Nahathai Wongpakaran · Tinakon Wongpakaran
Clinical-Trial Systems and Research Capacity88IMPACT SIGNAL
Expert-workshop open letter; version 1 awaiting peer review

Strengthening Sustainable Clinical Trial Models for Greater Health Impact: Expert Discussion from the Annual Wellcome Major International Programme Regional Meeting 2024

This open letter synthesizes the 2024 Wellcome Major International Programmes meeting, which brought together research-institution representatives from Africa, Asia, and the United Kingdom. Participants identified limited clinical-trial literacy, unstable funding, workforce recruitment and retention, inequitable partnerships, ethics and regulatory bottlenecks, operational inefficiencies, and barriers in remote settings. Proposed responses included locally led agendas, diversified funding, workforce development, stronger community and regulator engagement, platform, adaptive and decentralized trials, shared monitoring, and interoperable data systems. The meeting agreed to explore a formal MIPs alliance, but the paper does not show that the alliance has yet delivered operational or health outcomes.

Thai researchersNicholas P J Day · Nicholas J White
Generative AI and Higher Education85IMPACT SIGNAL
Cross-sectional PLS-SEM evidence

Extending UTAUT with Metacognition and Self-Regulation: Evidence on Generative AI Use among University Students

A survey of 451 students at seven Thai Rajabhat universities extended UTAUT by positioning metacognitive awareness and self-regulated learning between technology-acceptance determinants and GenAI-use intention, with intention predicting self-reported use of GenAI as a cognitive partner. Facilitating conditions had the strongest associations with metacognition and self-regulation but no significant direct association with intention; the significant indirect path ran through metacognition. Social influence was the strongest direct predictor of intention, followed by metacognition, while effort expectancy and self-regulated learning did not predict intention in this model.

Thai researchersNatthawan Phoonson · Thada Jantakoon · Rukthin Laoha
Geriatric and Transitional Care85IMPACT SIGNAL
Prospective observational evidence

Nearly Two-Thirds of Frail Older Adults Had an Unplanned Hospital Return Within Six Months

An interim prospective secondary analysis from a parent trial at one university hospital followed 170 frail older adults after medical-ward discharge. A broad composite of emergency visits, unplanned outpatient visits, and readmissions rose from 34.7% at one month to 64.7% at six months. Better nutritional status was associated with lower return odds, and returners had higher direct medical costs. The observational analysis does not show that nutritional intervention prevents return.

Thai researchersPatumporn Suraarunsumrit · Maytinee Srisubin · Sutisa Pitiyarn · Ponnapa Petchthai · Dariya Tantiameorn · Chaloemphon Thedpun · Sunit Jarungjitaree · Kotchamon Sukyoyot · Unchana Sura-amonrattana · Varalak Srinonprasert · Titima Wongviriyawong
HIV Prevention and Health Equity92IMPACT SIGNAL
Cross-national cross-sectional evidence

PrEP Use and Willingness Cascades Among Transgender Women in 11 Asian Countries: Findings From the PrEP APPEAL Cross-Sectional Online Survey

The 2022 PrEP APPEAL online survey included 1,178 transgender women in 11 Asian countries. Awareness was 80.0%; among those aware, 62.6% had ever used PrEP, and 78.1% of ever-users were current users. Among higher-risk PrEP-naïve respondents, 60.0% were willing to use it, but only 34.0% of those willing would pay. Healthcare discrimination was associated with lower lifetime use; causality cannot be inferred.

Thai researchersRena Janamnuaysook · Hua Boonyapisomparn · Nittaya Phanuphak
Emergency Care, Workforce and Technology Implementation89IMPACT SIGNAL
Retrospective implementation evidence

Barriers and Facilitators to Point-of-Care Ultrasound Utilization Among Emergency Medicine Residents and Emergency Nurse Practitioners Following Institutional Training

At Srinagarind Hospital's emergency department, Khon Kaen University, this study included 16 emergency-medicine residents and 60 emergency nurse practitioners who completed institutional POCUS training during 2024–2025, plus 2,097 electronically archived examinations over a standardized one-month observation per provider. Residents had higher mean competency scores. Both groups identified workload and time, limited equipment, and interpretive confidence as major barriers, while nurse practitioners reported greater concern about institutional support and medicolegal risk. Competency and provider type were associated with more recorded examinations, while patient volume was associated with fewer. The study did not assess image quality, diagnostic accuracy, treatment decisions, or patient outcomes.

Thai researchersKamonwon Ienghong · Sukanya Khemtong · Apisara Jaimongkolsiri · Chatkhane Pearkao · Korakot Apiratwarakul
Health Economics and Orthopaedics85IMPACT SIGNAL
Short-term retrospective economic evidence

Cost-effectiveness Analysis of Intra-articular Injection of Plasma Rich in Growth Factors for Knee Osteoarthritis in the Aging Population Who Failed Conservative Treatment

This retrospective economic evaluation followed 197 Thai Buddhist monks aged at least 55 years with Kellgren–Lawrence grade II–IV knee osteoarthritis after failed conservative care and a PRGF injection. WOMAC scores were mapped to utility with the Barton algorithm. Mean utility rose from 0.5957 at baseline to 0.7252 at month 6, then declined to 0.6660 at month 12. PRGF cost THB 6,000 versus literature-derived estimates of THB 3,762.64 for NSAIDs and THB 7,719.78 for celecoxib. The six-month ICER was THB 41,059.01 per utility gain versus NSAIDs and −THB 36,212.45 versus celecoxib. The drug groups were not contemporaneous controls and the outcome was not a QALY, so Thailand's willingness-to-pay threshold cannot be applied.

Thai researchersPramook Vanasbodeekul · Pason Phonphok · Pamok Saengsirinavin · Thana Turajane
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.

3,510records
3,510 records
72IMPACT SIGNAL
Clinical Medicine

Deep learning assessment of visualization in rotator cuff repair: a secondary analysis of a randomized controlled trial comparing epinephrine irrigation and intravenous tranexamic acid

Clinics in Shoulder and Elbow

Thailand-affiliated authors
Quang Son Tran · Minh Cong Bui · Thanathep Tanpowpong · Danaithep Limskul · Thanathep Tanpowpong · Napatpong Thamrongskulsiri
Institutions
Chulalongkorn University
72IMPACT SIGNAL
Environmental Engineering

Seasonal Multivariate and Spatial Assessment of Heavy Metal Contamination and Associated Ecotoxicological and Human Health Risks in Urban Park Soils: A Case Study From Ho Chi Minh City, Vietnam

Risk Analysis

Thailand-affiliated authors
Lưu Tăng Phúc Khang
Institutions
Chiang Mai University
72IMPACT SIGNAL
Digital Health

Smart and sustainable logistics for perishable goods: Integrating deep learning, blockchain, and TOPSIS in coffee supply chains

Sustainable Futures

Thailand-affiliated authors
Surajet Khonjun · Rapeepan Pitakaso · Prem Enkvetchakul · Ganokgarn Jirasirilerd · Natthapong Nanthasamroeng · Chawis Boonmee
Institutions
Ratchathani University · Ubon Ratchathani University · Buriram Rajabhat University · Sisaket Rajabhat University · Ubon Ratchathani Rajabhat University · Chiang Mai University
72IMPACT SIGNAL
Clinical Medicine

Characterization of an electromagnetic impact-driven needle-free injector with enhanced pulsed control in a low-jet-power regime

Biomedical Physics & Engineering Express

Thailand-affiliated authors
Prachya Mukda · Pichet Ninduangdee · Kulachate Pianthong · Wirapan Seehanam
Institutions
Phetchaburi Rajabhat University · Ubon Ratchathani University
72IMPACT SIGNAL
Clinical Medicine

Tibiocalcaneal Arthrodesis for Ankle Arthropathy Using Patient-Matched Modular 3D-Printed Porous Titanium Implants and Locked Intramedullary Fixation

Journal of Southeast Asian Orthopaedics

Thailand-affiliated authors
Patcharapit Promoppatum
Institutions
King Mongkut's University of Technology Thonburi
72IMPACT SIGNAL
Multidisciplinary

Salivary Cortisol as a Biomarker of Sleep Quality: A Scoping Review

Clocks & Sleep

Thailand-affiliated authors
Poompat Thititanakul · Krittapak Kwanmongkolpong · Nicharat Sriratanasak · Chanchai Boonla · Chidsanu Changsiripun · Nattida Chotechuang
Institutions
Chulalongkorn University
72IMPACT SIGNAL
Environmental Engineering

Synergistic Analysis of Moisture Flux and Convective Asymmetry in Tropical Cyclone Senyar

JPG (Jurnal Penelitian Geografi)

Thailand-affiliated authors
Eriska Febriati
Institutions
Prince of Songkla University
72IMPACT SIGNAL
Global Public Health

GIS–AHP-based assessment of urban waterlogging susceptibility in Delhi using multi-source geospatial data

Sustainable and Resilient Infrastructure

Thailand-affiliated authors
Punyawi Jamjareegulgarn
Institutions
King Mongkut's Institute of Technology Ladkrabang
72IMPACT SIGNAL
Multidisciplinary

Sericin supplementation preserves sperm functions and fertility during chilled storage of Thai native rooster semen

Veterinary and Animal Science

Thailand-affiliated authors
Melada Chaithongsri · Wuttigrai Boonkum · Panisara Kunkitti · Vibuntita Chankitisakul
Institutions
Khon Kaen University
72IMPACT SIGNAL
Energy and Materials

Structural and Energetic Characterization of the TmGpx1–CK2β Complex Using Molecular Dynamics Simulations

eMicrobe

Thailand-affiliated authors
Yin Htet Htet Oo · Tanaporn Wangsanut · Narin Lawan · Monsicha Pongpom
Institutions
Chiang Mai University
72IMPACT SIGNAL
Multidisciplinary

Encapsulation-Driven Modulation of Fluorescence and Förster Resonance Energy Transfer of Cationic Dyes Confined in Zeolite KLTL Nanochannels

Asian Health, Science and Technology Reports

Thailand-affiliated authors
Wilaiporn Insuwan · Suriya Duangmanee
Institutions
Rajamangala University of Technology Isan, Surin Campus · Suranaree University of Technology
72IMPACT SIGNAL
Multidisciplinary

Sparking Nanometal Oxides for Modifying Surface Properties of Thermoplastic Starch/Carboxymethyl Cellulose Blends

Polymers

Thailand-affiliated authors
Araya Kodsangma · Itchaya Thinnakorn · Pornchai Rachtanapun · Winita Punyodom · Pensak Jantrawut · Patnarin Worajittiphon · Nuttapol Tanadchangsaeng · Kittisak Jantanasakulwong
Institutions
Chiang Mai University · Rangsit University
72IMPACT SIGNAL
Energy and Materials

Self‐Supported Cu Electrode as the Cathode for Hybrid Zn‐Air/Cu Batteries Achieving Long‐Term Operation Under Oxygen‐Free Condition

Small

Thailand-affiliated authors
Krongthong Kamonsuangkasem
Institutions
Synchrotron Light Research Institute
72IMPACT SIGNAL
Engineering

Changes in Flexion and Extension Gaps After Tibial Tubercle Osteotomy and Quadriceps Snip During Total Knee Arthroplasty: A Sequential Cadaveric Study

Journal of Southeast Asian Orthopaedics

Thailand-affiliated authors
Chavanont Sumanasrethakul · Kullathon Hopradermanusorn · Kanik Suksapha · Pasit Wangsuekul · Piyabuth Kittithamvongs · Puthi Tantikosol
Institutions
Lerdsin Hospital · Rangsit University
72IMPACT SIGNAL
Clinical Medicine

Animal models for investigating post‐stroke cognitive impairment: A neurovascular trafficking perspective

Animal Models and Experimental Medicine

Thailand-affiliated authors
Pratchaya Kaewkaen
Institutions
Burapha University
72IMPACT SIGNAL
Clinical Medicine

Coumarin–Ferulic Acid Hybrid Mediates HT-29-Selective Growth Inhibition and Proteomic Profiling

Molecules

Thailand-affiliated authors
Sucheewin Krobthong · Meng Chieh Yang · Pattarawit Rukthong · Satsawat Visansirikul · Kittisak Sripha · Arnatchai Maiuthed
Institutions
Mahidol University · Srinakharinwirot University
72IMPACT SIGNAL
Environmental Engineering

Learning-Driven Adaptive Genetic Algorithm for Real-World Dynamic Energy Systems

ECTI Transactions on Computer and Information Technology (ECTI-CIT)

Thailand-affiliated authors
Anurak Choeichum · Chaiyaporn Khemapatapan
Institutions
Dhurakij Pundit University
72IMPACT SIGNAL
Global Public Health

Integrating phytometabolomics, Drosophila proteomics, and network pharmacology to evaluate the metabolic effects of Citrus maxima peel extract following bisphenol a and benzyl butyl phthalate exposure

Journal of Functional Foods

Thailand-affiliated authors
Woorawee Inthachat · Pornsiri Pitchakarn · Sataporn Phochantachinda · Tanongsak Laowanitwattana · Pensiri Buacheen · Jaruwan Chimasangkanan · Varongsiri Kemsawasd · Suwapat Kittibunchakul · Uthaiwan Suttisansanee · Boonrat Chantong · Piya Temviriyanukul
Institutions
Mahidol University · Chiang Mai University
72IMPACT SIGNAL
Clinical Medicine

Preparation and Characterization of Liquisolid Systems of Citrus Bioflavonoid Extract for Enhancing Hesperidin Release

Scientia Pharmaceutica

Thailand-affiliated authors
Napaphak Jaipakdee · Peera Tabboon · Sarunya Tuntiyasawasdikul · Duangkamon Sakloetsakun · Thaned Pongjanyakul · Ekapol Limpongsa
Institutions
Khon Kaen University · Rangsit University
72IMPACT SIGNAL
Clinical Medicine

Short-term outcomes of low-dose versus moderate-dose prednisolone in ocular myasthenia gravis: a retrospective cohort study

BMC Ophthalmology

Thailand-affiliated authors
Thippamas Pobsuk · Korawit Wangsirikul · Witoon Jantararotai · Nath Pasutharnchat · Tharathorn Durongbhandhu
Institutions
Chonburi Hospital · Kamphaeng Phet Rajabhat University · Chulalongkorn University
72IMPACT SIGNAL
Digital Health

AI-Driven Next-Generation DDoS Mitigation in IoT: A Comprehensive Survey of Deep Learning and Large Language Models

Journal of Web Engineering

Thailand-affiliated authors
Mosiur Rahaman
Institutions
King Mongkut's University of Technology Thonburi
72IMPACT SIGNAL
Clinical Medicine

Effects of Task-Specific Balance and Gait Training with External Feedback on Motor Function, Balance, and the Activities of Daily Living in Subacute Stroke Survivors: a Quasi-Experimental Study

Journal of Health Science and Medical Research

Thailand-affiliated authors
Patchariya Khunjan · Tum Boonrod · Vallop Ditsuwan · Chamnan Chinnasee · Lalita Khuna
Institutions
Thaksin University · Mahasarakham University · Prince of Songkla University
72IMPACT SIGNAL
Environmental Engineering

Landsat Thermal Calibration for River Temperature Monitoring: A 25-Year Case Study of the Vistula River

Water

Thailand-affiliated authors
Teerachai Amnuaylojaroen
Institutions
University of Phayao
72IMPACT SIGNAL
Global Public Health

Global phylogenomic structure and accessory resistance dynamics of Acinetobacter baumannii ST2

Infection Genetics and Evolution

Thailand-affiliated authors
Thunchanok Yaikhan · Thitaporn Dechathai · Sarunyou Chusri · Sirikan Suwannasin · Kamonnut Singkhamanan · Monwadee Wonglapsuwan · Komwit Surachat
Institutions
Prince of Songkla 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