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EDITOR'S SIGNALRotating editor's selection
Global potential

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
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IMPACT92/100
EDITORIAL DEEP DIVES

In-depth research analyses

Source-verified editorial analyses, ordered by latest publication date

1,027 analyses
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HIV, Ageing and Metabolic Health89IMPACT SIGNAL
Longitudinal observational cohort evidence

Metabolic Dysfunction‐Associated Steatohepatitis and the Progression of Cognitive Decline in Older Thai People With HIV

This prospective HIV-NAT cohort in Bangkok followed 291 people with HIV aged at least 50 years from 2015–2024; 60 participants, or 20.6%, met non-invasive criteria for MASH at baseline. Over a median 5.9 years, baseline MASH was associated with steeper decline in Thai-validated MoCA scores after adjustment for multiple metabolic, social, and HIV-related factors, whereas MASLD without the MASH signal was not associated with decline. The findings support integrated liver and cognitive surveillance but do not show that treating MASH prevents cognitive deterioration.

Thai researchersKatekarn Porkaew · Akarin Hiransuthikul · Win Min Han · Tanakorn Apornpong · Sasiwimol Ubolyam · Stephen John Kerr · Anchalee Avihingsanon
Sports Science and Youth Development88IMPACT SIGNAL
Exploratory cross-sectional evidence

Early neuromuscular and cognitive signatures in high-performance young male Muay Thai athletes

Researchers assessed 215 high-performance male Muay Thai athletes aged 8–18 over five days and compared four age groups. Anthropometry, biological maturation, maximal strength, and several cognitive measures improved with age, while limb asymmetry, fatigue indices, Nordic hamstring performance, lower-limb dynamic strength index, and upper-limb push-up force did not differ by age. PCA suggested age-specific multidimensional profiles, but cross-sectional data do not prove an effect of age or training and do not constitute a validated talent-selection model.

Thai researchersPhornpot Chainok · Naruepon Vongjaturapat · Nattasit Suwannawat · Atcharat Yongtawee
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
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.

2,955records
2,955 records
85IMPACT SIGNAL
Multidisciplinary

Food-based multisensory stimulation as a potential innovative approach for brain health and disease

Trends in Food Science & Technology

Thailand-affiliated authors
Truc Ngoc Hoang Dang · Jirayu Lainampetch
Institutions
Mahidol University
83IMPACT SIGNAL
Multidisciplinary

A critical review of cross-cultural adaptation and psychometric validation studies of the principal instructional management rating scale (PIMRS)

Journal of Educational Administration

Thailand-affiliated authors
Philip Hallinger
Institutions
Mahidol University
83IMPACT SIGNAL
Multidisciplinary

Community Participation in a Protected Area Amid Human—Wildlife Coexistence Challenges: The Case of Kaeng Krung National Park, Thailand

Sustainability

Thailand-affiliated authors
Onanong Cheablam
Institutions
Walailak University
83IMPACT SIGNAL
Multidisciplinary

‘You should never make a noise’: patriarchal confinement of displaced women from Myanmar in Thailand’s refugee-migrant labour regime

Journal of Ethnic and Migration Studies

Thailand-affiliated authors
Htu Sam
Institutions
Mahidol University
83IMPACT SIGNAL
Multidisciplinary

Digital health capacity building across health workforce and education sector in the WHO European region

npj Digital Medicine

Thailand-affiliated authors
Wiriya Mahikul
Institutions
Chulabhorn Royal Academy
83IMPACT SIGNAL
Multidisciplinary

Gender-specific differences in factors influencing attitude towards end-of-life care: a cross-sectional study among primary healthcare nurses

Kontakt

Thailand-affiliated authors
Yuwadee Wittayapun
Institutions
Walailak University
83IMPACT SIGNAL
Multidisciplinary

INCLUSIVE HERITAGE TRAILS: ACCESSIBILITY CHALLENGES FOR VULNERABLE USERS IN KUALA LUMPUR'S URBAN CONSERVATION AREAS

PLANNING MALAYSIA

Thailand-affiliated authors
Runda Aduldejcharas
Institutions
Chulalongkorn University
83IMPACT SIGNAL
Multidisciplinary

Comparative Study of Garuda (Khrut) Mythical Creature Visual Representation in Indonesian and Thai Architecture

Nakhara Journal of Environmental Design and Planning

Thailand-affiliated authors
Pipat Saksirikasemkul
Institutions
Suan Sunandha Rajabhat University
83IMPACT SIGNAL
Multidisciplinary

Father involvement and self-concept among adolescents in Indonesia: the moderating role of sex

International Journal of Adolescent Medicine and Health

Thailand-affiliated authors
Parichat Arayajaru
Institutions
Boromarajonani College of Nursing
83IMPACT SIGNAL
Multidisciplinary

Exploring pre-service teachers’ STEM readiness in Indonesia, Malaysia, and Thailand: Comparative insights from teacher education programs

European Journal of STEM Education

Thailand-affiliated authors
Chatree Faikhamta
Institutions
Kasetsart University
83IMPACT SIGNAL
Multidisciplinary

AI-contextualized self-efficacy and exercise engagement among vocational college students in China: a cross-sectional serial mediation analysis of exercise self-efficacy and exercise outcome expectations

Frontiers in Psychology

Thailand-affiliated authors
Guoliang Hou
Institutions
Pathumthani University
83IMPACT SIGNAL
Multidisciplinary

Reimagining Hadith Studies: Embodied Islamic Knowledge and the Integration of Religion and Science in Southeast Asia Islamic University

Dirasah International Journal of Islamic Studies

Thailand-affiliated authors
Mahamadaree Waeno
Institutions
Fatoni University
83IMPACT SIGNAL
Multidisciplinary

Integrated assessment of flood susceptibility and population exposure using machine learning: a case study of Wajima, Japan

Geomatics Natural Hazards and Risk

Thailand-affiliated authors
Suwanno Piyapong
Institutions
Rajamangala University of Technology Isan · Rajamangala University of Technology Lanna
83IMPACT SIGNAL
Multidisciplinary

Enhancing Training Effectiveness Through Graphic Recording: Mitigating Information Overload in Human Resource Development

International Journal of Training and Development

Thailand-affiliated authors
I-Chun Chen
Institutions
Chulalongkorn University
83IMPACT SIGNAL
Multidisciplinary

Beyond Digital Government: Examining Indonesia's Readiness for Artificial Intelligence-Driven Public Sector Transformation

Journal of Local Government Issues

Thailand-affiliated authors
Somnuek Worawiset
Institutions
Khon Kaen University
83IMPACT SIGNAL
Multidisciplinary

Fear over Facts: The Political and Social Consequences of Health Misinformation

International Journal of Research on Multidisciplinary Studies

Thailand-affiliated authors
Shamir Yasin Jakaria
Institutions
Suan Sunandha Rajabhat University
83IMPACT SIGNAL
Multidisciplinary

Intentions to abstain from alcohol during the Buddhist Lent campaign in Thailand: AUDIT-C risk profiles and independent sociodemographic correlates

BMC Public Health

Thailand-affiliated authors
Udomsak Saengow
Institutions
Walailak University
83IMPACT SIGNAL
Multidisciplinary

Survei Tingkat Pemahaman Kognitif Peserta Didik Kelas V Terhadap Gerak Dasar Permainan Bola Tangan Di Sd Negeri Tegalrejo 2 Yogyakarta Tahun Ajaran 2025/2026

Jurnal Pendidikan Dasar dan Aktifitas Jasmani

Thailand-affiliated authors
Kanphatson Kerdkaew
Institutions
Walailak University
83IMPACT SIGNAL
Multidisciplinary

Operational status of Nepal’s national medicines policy: a convergent mixed-methods assessment

BMC Health Services Research

Thailand-affiliated authors
Pramote Tragulpiankit
Institutions
Mahidol University
83IMPACT SIGNAL
Multidisciplinary

Unmet Dental Treatment Needs and Service Utilization in M yanmar: Evidence From the First National Oral Health Survey

Journal of Public Health Dentistry

Thailand-affiliated authors
Prathip Phantumvanit
Institutions
Thammasat University
83IMPACT SIGNAL
Multidisciplinary

Prospective associations between perceived school climate and psychological distress among Chinese adolescents: a three-wave longitudinal study of school belonging, social avoidance, and psychological resilience

BMC Public Health

Thailand-affiliated authors
Chao Wang
Institutions
Shinawatra 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