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
70IMPACT SIGNAL
Global Public Health
Seasonal air pollution dynamics, source apportionment, and health risk in industrial zones of southern Vietnam: A five-year integrated assessment
Environmental Research Communications
Thailand-affiliated authors
Khang Luu Tang Phuc
Institutions
Chiang Mai University
70IMPACT SIGNAL
Clinical Medicine
Early neurologic response predicts outcomes after anakinra for immune effector cell–associated neurotoxicity syndrome
Blood Advances
Thailand-affiliated authors
Smith Kungwankiattichai
Institutions
Siriraj Hospital
70IMPACT SIGNAL
Clinical Medicine
Protective immunity against Shigella sonnei in vaccinated and challenged adult Thai volunteers
mSphere
Thailand-affiliated authors
Siriphan Gonwong · Nattaya Ruamsap · Samandra T. Demons
Institutions
Armed Forces Research Institute of Medical Science
70IMPACT SIGNAL
Clinical Medicine
MULTI-LEVEL DETERMINANTS OF MEASLES AND YELLOW FEVER IMMUNISATION UPTAKE IN NORTH-CENTRAL NIGERIA: A CROSS-SECTIONAL ANALYSIS OF HEALTH SYSTEM DRIVERS
INTERNATIONAL JOURNAL OF PUBLIC HEALTH RESEARCH AND DEVELOPMENT
Thailand-affiliated authors
Olutoyin Coker
Institutions
Department of Disease Control
70IMPACT SIGNAL
Clinical Medicine
Fungal Safari on Palm Trees: New Discoveries from East Asia and Global Records from 1990–2025
Fungal Diversity
Thailand-affiliated authors
Kevin D. Hyde
Institutions
Mae Fah Luang University
70IMPACT SIGNAL
Clinical Medicine
Subcellular Regulation of Ferroptosis: Roles of Individual Intracellular Organelles and Crosstalk
American Journal of Physiology-Cell Physiology
Thailand-affiliated authors
Chanon Piamsiri
Institutions
Chiang Mai University
70IMPACT SIGNAL
Multidisciplinary
From potential to pause – missed opportunities in harm reduction: lessons learned and perspectives from a discontinued implementation study among young men who have sex with men in Thailand
HIV Netherlands Australia Thailand Research Collaboration · Chulalongkorn University
70IMPACT SIGNAL
Global Public Health
The Eye of Sauron in SN 2025ngs: A Short-plateau Cousin of SN 1998S with Evidence for a Ring-like Circumstellar Medium
The Astrophysical Journal
Thailand-affiliated authors
Samaporn Tinyanont
Institutions
National Astronomical Research Institute of Thailand
70IMPACT SIGNAL
Multidisciplinary
Optical and Photoluminescence Properties of Eu3+ ion doped Gadolinium Silica-phosphate Glasses
SPEKTRA Jurnal Fisika dan Aplikasinya
Thailand-affiliated authors
chayani sarumaha · Jakrapong Kaewkhao
Institutions
Muban Chombueng Rajabhat University · Nakhon Pathom Rajabhat University
70IMPACT SIGNAL
Clinical Medicine
Strengthening Community Health Workers’ Capacity for Non-Communicable Disease Prevention and Control in Rural Settings: A Participatory Action Research Protocol
Jurnal Keperawatan Soedirman
Thailand-affiliated authors
Pairin Yodsuban
Institutions
Mahidol University
70IMPACT SIGNAL
Multidisciplinary
Line Balancing and Workload Redistribution to Reduce Overtime in a Mixed-Model Production System at CV XYZ
Heuristic
Thailand-affiliated authors
Jirayut Nakhowong · Pariwat Jantarangsee
Institutions
Kasetsart University
70IMPACT SIGNAL
Energy and Materials
Heterojunction for Boosting Photo‐Oxidation of Organic Contaminants
ChemistrySelect
Thailand-affiliated authors
Werayut Srituravanich · Mohammad Ashfaq
Institutions
Chulalongkorn University
70IMPACT SIGNAL
Multidisciplinary
Near-Infrared Hyperspectral Imaging for Non-Destructive Detection of Old Rice in Freshly Milled Rice
Udon Thani Rajabhat University · King Mongkut's Institute of Technology Ladkrabang · Khon Kaen University
70IMPACT SIGNAL
Global Public Health
Spatiotemporal Characteristics of Atmospheric NO2 Concentration in Southeast Asia using Satellite Observations
International Journal of Geoinformatics
Thailand-affiliated authors
P. Piromthong
Institutions
Chulalongkorn University
70IMPACT SIGNAL
Global Public Health
From Insect Behavior to Transferable Robot Locomotion: Inferring Embodied Locomotor Principles from Limited Data via Adversarial Inverse Reinforcement Learning
Bioinspiration & Biomimetics
Thailand-affiliated authors
Thirawat Chuthong · Poramate Manoonpong
Institutions
Vidyasirimedhi Institute of Science and Technology
70IMPACT SIGNAL
Multidisciplinary
Adlay (Coix lacryma-jobi L.) Extracts for Protecting Oxidative Stress and Enhancing Collagen Synthesis in Skin Fibroblast Cells (HFF-1)