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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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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
CSR and Brand Communication85IMPACT SIGNAL
Cross-sectional structural model

Can a “Sinful” Brand Be Loved? Examining Corporate Evaluations and CSR Domain Perceptions as Drivers of Brand Love and Purchase Intention in Controversial Industries

A survey of 436 Thai beer consumers used covariance-based structural equation modelling to examine links among corporate evaluations, perceptions of four CSR domains, brand love and purchase intention. Favourable corporate evaluations were positively associated with perceptions of consumer-, society-, community- and environment-focused CSR. Only consumer- and society-focused CSR perceptions were positively associated with brand love; community and environmental perceptions were not. Brand love statistically mediated links from the first two domains to purchase intention. The study supports treating CSR as multidimensional, but does not establish causality or actual purchases and should not be used to minimise alcohol-related health risks.

Thai researchersPapaporn Chaihanchanchai · Saravudh Anantachart · Sakulkarn Waleeittipat
Islamic Tourism and Bibliometrics85IMPACT SIGNAL
Bibliometric review with qualitative content analysis

Bibliometric Analysis of Islamic Tourism in Malaysia and Thailand: Thematic Evolution and Emerging Trends (1995–2025)

This review assembled 420 publications on Islamic tourism in Malaysia and Thailand from 1995–2025 after screening and cleaning. It described a foundational phase in 1995–2009 focused on definitions and Muslim travelers' needs, an expansion phase in 2010–2019 centered on management, halal certification, service quality, and destinations, and an integration phase in 2020–2025 adding sustainability, digital innovation, halal gastronomy, and post-pandemic adaptation. Tourism management represented 45.2% of publications, halal certification 23.8%, and destination studies 18.7%. Malaysian literature emphasized halal governance and Shariah compliance, whereas Thai work emphasized cultural sensitivity, Muslim-minority participation, and cross-cultural service.

Thai researchersArifeen Yama · Srawut Aree
Museums, Tourism and Immersive Technology85IMPACT SIGNAL
Cross-sectional PLS-SEM evidence; early access

From AR and VR Experience Quality to Revisit Intention: Cultural Pathways at the National Museum of China

A survey of 520 Chinese adult visitors who had experienced both AR and VR at the National Museum of China distinguished the quality of the two technologies and tested a culturally ordered path model. AR and VR experience quality were positively associated with perceived value, which was associated with satisfaction and place attachment. Place attachment was associated with Chinese cultural identity and historical nostalgia, and both were associated with revisit intention. Four sequential indirect associations differed statistically from zero but were small, while cultural involvement modestly strengthened the place-attachment–Chinese-identity association.

Thai researchersZhiguo Gou · Songyu Jiang · Jirawan Deeprasert
Cancer Biology and Natural Products85IMPACT SIGNAL
Early cell-based evidence

Yoom Noon Rice Extracts Inhibit Colorectal Cancer Cells In Vitro, Not Yet a Treatment

Researchers from the universities of Phayao, Mahidol, and Walailak tested polished and unpolished Yoom Noon rice extracts in HCT116 and HT29 colorectal cancer cells. They observed reduced viability, apoptosis, cell-cycle arrest, and lower migration/invasion in vitro, plus genotoxicity and anti-genotoxicity signals in V79 cells. These crude-extract, cell-based results cannot support dietary or cancer-treatment recommendations.

Thai researchersRatsada Praphasawat · Witchuda Payuhakrit · Chatsuda Surachaijarin · Buntueng Yana · Sarawoot Palipoch
Battery Materials and Energy Storage85IMPACT SIGNAL
Mechanistic computational evidence

Vacancy-Engineered Blue Phosphorene May Trap Polyselenides, but Evidence Is Computational

KMITL-affiliated researchers used density functional theory to evaluate single-vacancy blue phosphorene as a host for sodium polyselenides in Na–Se batteries. The model predicted stronger binding, greater charge transfer and orbital hybridization, retained metallic character, and a more favorable conversion pathway. It proposes a host-material candidate but does not demonstrate synthesis or battery performance.

Thai researchersAnan Udomkijmongkol · Komsilp Kotmool
Language Learning Technology85IMPACT SIGNAL
Cross-sectional learner-survey evidence

Ease, Usefulness, and Enjoyment Track Continued Kahoot! Intention, Not Learning Gains

Researchers surveyed 519 Bangkok high-school students with prior Kahoot! experience in Chinese-as-a-foreign-language classes and analyzed an extended expectation–confirmation model incorporating usefulness, ease, enjoyment, and interactivity. Several perceptions were associated with satisfaction and continued-use intention, but this was not a randomized trial, did not measure language achievement, and cannot show that Kahoot! improved learning.

Thai researchersYan Ye · Qizhen Gu
Public Health and Child Screening89IMPACT SIGNAL
Screening-instrument validation evidence

Development and validation of the digital eye strain scale for children (DESS-C) aged 2–8 years: a Rasch Analysis

This study developed DESS-C, a caregiver-reported screening scale for digital eye-strain symptoms in children aged 2–8 years, using 533 caregiver–child dyads from Thai schools. Classical item analysis and Rasch modelling reduced a 30-item field version to 27 items. Test–retest reliability and correlation with a reference questionnaire were strong; ROC AUC was 0.91 with a candidate cutoff of 7 or above. DESS-C is a caregiver screening instrument, not an ophthalmic diagnosis or evidence that screen use caused the symptoms.

Thai researchersSukritta Jaichomcheun · Wachira Suriyawong · Piripat Techakanta
Mental Health and Cross-Cultural Adaptation86IMPACT SIGNAL
Two-round international Delphi consensus

Cross-cultural de-centring of Recovery College tools: a 20-country Delphi study

At least 264 Recovery Colleges have been identified in 31 countries, yet the RECOLLECT tools used to define and assess the model originated in a high-income Anglophone context. A two-round Delphi used cross-cultural de-centring: 54 panellists from 20 countries rated importance and cultural difficulty, with free text examined through corpus-informed linguistic analysis. Core principles were endorsed, but terms including co-production, recovery, professionals, and shifting the balance of power were interpreted inconsistently. After revision, 41 panellists from 15 countries reached consensus on all 11 items for understandability and cultural appropriateness.

Thai researchersPeanchanan Leah
Transport, Tourism and Travel Demand89IMPACT SIGNAL
Cross-sectional structural-equation evidence

Air Travel Demand Under Intermodal Competition: A Structural Analysis of Air–Rail Choice in Lao People’s Democratic Republic

This survey of 343 Lao and international passengers at Wattay International, Luang Prabang, and Oudomxay airports examined air demand in the context of competition with the Laos–China railway; 85.4% of respondents had used that railway. A WLSMV structural-equation model linked perceived air-travel effectiveness with the air-travel decision, the decision with satisfaction, and satisfaction with reuse or recommendation intention. Effectiveness had no significant direct association with satisfaction. The results support a multi-stage process among air passengers but do not measure actual ticket purchases or revealed mode choice among rail passengers.

Thai researchersSakkarin Nonthapot · Angwara Nasoontorn · Sukanya Sirimat
Energy-System Optimisation85IMPACT SIGNAL
Optimisation case-study evidence

Efficiencies of Single-Objective Linear Programing and Multi-Objective Optimization: A Case of Electricity Generation in Thailand

A King Mongkut's University of Technology Thonburi team compared single-objective linear programming with genetic-algorithm multi-objective optimisation using Thailand's 2024 generation data across 12 source/technology categories and three objectives: unit cost, greenhouse-gas emissions and employment. Three separate LP runs totalled about 0.6 seconds, versus about 4 seconds for MOO, with both using roughly 3,500–3,800 MB. LP produced each objective's extreme optimum, including THB 2,684.14/MWh and 373.00 kgCO2e/MWh, while MOO generated a simultaneous compromise. Potential savings of THB 69,538.44 million, 14.782 MtCO2e and about 638 additional jobs are model scenarios, not realised system outcomes.

Thai researchersAthikom Bangviwat · Orathai Chaisinboon · Apinya Puapattanakul
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
77IMPACT SIGNAL
Clinical Medicine

Efficacy and safety of tocilizumab for refractory postsurgical cystoid macular edema

Journal of Ophthalmic Inflammation and Infection

Thailand-affiliated authors
Prapatsorn Ongpalakorn
Institutions
Nopparat Rajathanee Hospital
77IMPACT SIGNAL
Multidisciplinary

A Hierarchical Computer Vision Framework for Continuous Dairy Cow Behavior Monitoring in an Obstructed Free-Stall Barns

Smart Agricultural Technology

Thailand-affiliated authors
Aqeel Raza · Kumail Abbas · H. Hogeveen · Chaidate Inchaisri
Institutions
Chulalongkorn University
77IMPACT SIGNAL
Clinical Medicine

Metabolomic and lipidomic analyses reveal phosphatidylcholine–lysophosphatidylcholine axis alterations in sorafenib-persistent hepatocellular carcinoma

Biomedicine & Pharmacotherapy

Thailand-affiliated authors
Meng Chieh Yang · Nichawadee Sandech · Sucheewin Krobthong · Likit Rangsirattanakul · Wisuit Pradidarcheep · Arnatchai Maiuthed
Institutions
Srinakharinwirot University · Mahidol University
77IMPACT SIGNAL
Clinical Medicine

Patient safety events and outcomes in brain tumor surgery : A retrospective cohort study

Journal of Neurosciences in Rural Practice

Thailand-affiliated authors
Kanisorn Sungkaro · Pannawit Chumchue · Thara Tunthanathip · Supaporn Sainamsai
Institutions
Prince of Songkla University
77IMPACT SIGNAL
Clinical Medicine

Development and evaluation of a drug–herb interaction alert system integrated into a hospital electronic health record

Pharmacia

Thailand-affiliated authors
Thanatcha Songmuang · Ananya Songmuang · Chonladda Pitchayajittipong · Teeraporn Sadira Supapaan
Institutions
Warin Chamrap Hospital · Ubon Ratchathani University
77IMPACT SIGNAL
Clinical Medicine

Association of adipocyte hypertrophy and ultrasound severity score in lymphedematous limb: a cross-sectional study

Scientific Reports

Thailand-affiliated authors
Parkpoom Piyaman · Panitta Sitthinamsuwan · Sirin Apichonbancha · Nutcha Yodrabum
Institutions
Siriraj Hospital · Mahidol University
77IMPACT SIGNAL
Clinical Medicine

Phosphoprotein-enriched proteomics identifies heat shock cognate 71 protein as a host factor supporting chikungunya virus replication in macrophages

Scientific Reports

Thailand-affiliated authors
Nattaya Kamchompoo · Songkran Thongon · Artittaya Athipanyasilp · Tipparat Thiangtrongjit · Kawin Chantima · Onrapak Reamtong · Kobporn Boonnak
Institutions
Siriraj Hospital · Mahidol University · Mahidol Oxford Tropical Medicine Research Unit
77IMPACT SIGNAL
Clinical Medicine

Multidisciplinary providers’ perspectives on timely predialysis arteriovenous access preparation: An exploratory mixed-methods study in upper Northern Thailand

PLoS ONE

Thailand-affiliated authors
Amaraporn Rerkasem · Kochaphan Phirom · Pak Thaichana · Prit Kusirisin · Puntapong Taruangsri · Suwinai Saengyo · Sasinat Pongtam · Wanicha Pungchompoo · Kittipan Rerkasem
Institutions
Chiang Mai University · Nakornping Hospital · Maharaj Nakorn Chiang Mai Hospital
77IMPACT SIGNAL
Clinical Medicine

Lung Function-Based Assessment of Small Airway Dysfunction in Chronic Respiratory Diseases

Biology

Thailand-affiliated authors
Chalerm Liwsrisakun · Athavudh Deesomchok · Chaicharn Pothirat · Warawut Chaiwong
Institutions
Chiang Mai University
77IMPACT SIGNAL
Clinical Medicine

Baseline characteristics and practice patterns in geriatric vs. non-geriatric hemodialysis patients: initial results from a Thai nationwide multicenter prospective cohort (Thai-HDcohort)

Renal Failure

Thailand-affiliated authors
Wanjak Pongsittisak · Jeerath Phannajit · Wonngarm Kittanamongkolchai · Theerasak Tangwonglert · Thawee Chanchairujira · Kraiwiporn Kiattisunthorn · Kornchanok Vareesangthip · Bongkod Surattichaiyakul · Arkom Nongnuch · Surachet Vongsanim · Pantipa Tonsawan · Pornpen Sangthawan · Siribha Changsirikulchai · Phanupong Phutrakool · Peerapat Thanapongsatorn · Pichaya Tantiyavarong · Talerngsak Kanjanabuch · Khajohn Tiranathanagul · Suchai Sritippayawan · Suree Yoowannakul · Vuddhidej Ophascharoensuk · Paweena Susantitaphong
Institutions
Navamindradhiraj University · Chulalongkorn University · King Chulalongkorn Memorial Hospital · Phramongkutklao Hospital · Siriraj Hospital · Rajamangala Institute of kidney disease · Mahidol University · Ramathibodi Hospital · Chiang Mai University · Khon Kaen University · Prince of Songkla University · Srinakharinwirot University · Thammasat University · Bhumibol Adulyadej Hospital
77IMPACT SIGNAL
Clinical Medicine

Elevated Lipoprotein(a) in Asian Populations and its Implications for Cardiovascular Disease

JACC Asia

Thailand-affiliated authors
Rungroj Krittayaphong
Institutions
Siriraj Hospital · Mahidol University
77IMPACT SIGNAL
Multidisciplinary

Multiobjective V H H discovery through integrated high-throughput screening and AlphaFold3-guided structural prioritization

Science Advances

Thailand-affiliated authors
Suthimon Thumtecho
Institutions
King Chulalongkorn Memorial Hospital
77IMPACT SIGNAL
Environmental Engineering

Growth, Antioxidant, and Physiological Responses Associated with Tuber Yield in Cassava Under Irrigation and Late-Season Drought Conditions in a Tropical Savanna Climate

Plants

Thailand-affiliated authors
Supranee Santanoo · Passamon Ittipong · Nimitr Vorasoot · Sanun Jogloy · Kochaphan Vongcharoen · Piyada Theerakulpisut · Poramate Banterng
Institutions
Khon Kaen University · Kalasin University
77IMPACT SIGNAL
Clinical Medicine

Reduced Plasma Cardiac Myosin-Binding Protein-C Concentrations in Cats with Hypertrophic Cardiomyopathy: Evidence from Chronic, Treated Disease

Animals

Thailand-affiliated authors
Nutcha Tanakwang · Natcha Sakunasing · Sarawut Kumphune · Raktham Mektrirat · Kannika Na Lampang · Chavalit Boonyapakorn · Wanpitak Pongkan
Institutions
Chiang Mai University
77IMPACT SIGNAL
Clinical Medicine

Computational Investigation of S781F Mutation-Induced Remodeling of the Staphylococcal Nuclease Domain-Containing Protein 1–Argonaute 2 Interface

International Journal of Molecular Sciences

Thailand-affiliated authors
Jittasak Khowsathit · Manu Deeudom · Warinda Prommachote · Bishant Pokharel · Pimpisid Koonyosying · Somdet Srichairatanakool
Institutions
Chiang Mai University · Walailak University
77IMPACT SIGNAL
Clinical Medicine

Parental Experiences of Anesthesia Consent for Children with Retinoblastoma Undergoing Ophthalmologic Examinations under Anesthesia: A Qualitative Interview Study

Journal of Health Science and Medical Research

Thailand-affiliated authors
Sutida Boonkamjad · Kholid Karunan · Darunee Sripadungkul · Kotchakron Palachewa · Laksanawadee Chairatana
Institutions
Khon Kaen University · Boromarajonani College of Nursing
77IMPACT SIGNAL
Clinical Medicine

Revisiting Asymptomatic Pulmonary Tuberculosis with Cavitary Lesion Detected During Routine Chest Radiography in a Healthcare Worker: A Case in Point

THE BANGKOK MEDICAL JOURNAL

Thailand-affiliated authors
Charnarong Khajornsuwan · Narongpon Dumavibhat · Supakorn Chansaengpetch · Wipaporn Homchan · Nisa Muangman · Krittachat Butnian · Benjawan Inkham · Tirathat Virojskulchai · Thirajit Boonsaen · Pennapa Kaweewongprasert · Sitthiphon Bunman · Sichon Luerithiphong
Institutions
Chulalongkorn University · Siriraj Hospital · Mahidol University · Thammasat University
77IMPACT SIGNAL
Clinical Medicine

Effect of derotation boot versus skin traction on pain in patients with intertrochanteric fractures a randomized controlled trial

Scientific Reports

Thailand-affiliated authors
Sanzhar Artykbay · Saran Tantavisut · Chavarin Amarase · Pariwat Taweekitikul · Techit Leelasestaporn · Supacheep Viriyakorkitkul
Institutions
Chulalongkorn University · Queen Savang Vadhana Memorial Hospital · King Mongkut Memorial Hospital
77IMPACT SIGNAL
Environmental Engineering

Extraction and Reuse of Disperse Dyes from Polyethylene Terephthalate (PET) Fabric in a Subsequent Dyeing Process

Textiles

Thailand-affiliated authors
Jantip Setthayanond · Potjanart Suwanruji · Piyaporn Kampeerapappun · Thitinun Monhaphol Karpkird · Porntip Tooptompong
Institutions
Kasetsart University · Rajamangala University of Technology Krungthep
77IMPACT SIGNAL
Energy and Materials

Fe-Doped TiO2/Hard Carbon-Coated PLA 3D-Printed Structures for Synergistic Adsorption–Photocatalytic Removal of Methylene Blue and Tetracycline in Water

Catalysts

Thailand-affiliated authors
Oratai Jongprateep · Pohnpairin Saengkla · Chanakan Permmit · Tyme Hetrakul · Parichart CHAUM · Benjaporn Inseemeesak · Angsuthorn Ngamprasit · Kulanit Lanamkham · Natthaphong Thanawatchaimongkol · Jittikorn Sakul-ala · Jirayu Kongtip · Ratchatee Techapiesancharoenkij · Gasidit Panomsuwan
Institutions
Kasetsart University · Bangkok University
77IMPACT SIGNAL
Clinical Medicine

Adjunctive Cold Atmospheric Plasma Therapy for Tracheostomy Wound Healing in Critically Ill Patients: A Pilot Randomised Controlled Trial

International Wound Journal

Thailand-affiliated authors
Lalita Jaingim · Kanlayanee Sittiwat · Kotchawan Nongyam · Konlawij Trongtrakul
Institutions
Chiang Mai University · Maharaj Nakorn Chiang Mai Hospital
77IMPACT SIGNAL
Clinical Medicine

Evaluating the diagnostic value of shear wave elastography in early systemic sclerosis: a case-control study

Scientific Reports

Thailand-affiliated authors
Punthip Thammaroj · Sudarat Hongchokthavee · Chawiporn Muktabhant · Chingching Foocharoen · Wiraphong Sucharit
Institutions
Khon Kaen University
77IMPACT SIGNAL
Clinical Medicine

PAH genotypes and their impact on sapropterin responsiveness in Thai patients with phenylalanine hydroxylase deficiency

˜The œItalian Journal of Pediatrics/Italian journal of pediatrics

Thailand-affiliated authors
Dhachdanai Dhachpramuk · N. Densupsoontorn · Napat Sittanomai · Khunton Wichajarn · Thipwimol Tim‐Aroon · Duangrurdee Wattanasirichaigoon · Lukana Ngiwsara · Somporn Liammongkolkul · Hathaichanok Rukprayoon · Sudarat Sirisakpanit · Souwaluck Ratanamalaya · Nithiwat Vatanavicharn
Institutions
Siriraj Hospital · Mahidol University · Khon Kaen University · Ramathibodi Hospital · Chulabhorn Research Institute

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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