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EDITOR'S SIGNALRotating editor's selection
Stepped-Wedge Cluster Randomized Trial

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)
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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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Clinical Medicine89IMPACT SIGNAL
Global potential

Restoring Culturally Essential Floor-Sitting in Transfemoral Prosthesis Users: A Six-Week Pilot Randomized Within-Subject Trial

A pilot randomised within-subject trial in 14 unilateral transfemoral prosthesis users compared a low-profile, femoral-adducted Asian Transfemoral Socket with each participant's usual socket after six weeks of ATS use. Twelve participants attained cross-legged sitting and six additional participants attained side-sitting with ATS, alongside comfort and quality-of-life signals. Six-minute walking distance, four-square-step balance and daily steps did not differ significantly; the small sample could not exclude clinically important harm.

Thai researchersNatthawan Sutthison · Nang Myat Myat Moe · Yasmin Nutchamlong · Marisa Amattayakul · Mathurin Rairat · Woratee Dacharux · Kazuhiko Sasaki
Clinical Medicine89IMPACT SIGNAL
Global potential

Effects of a Home-Based Fall Prevention Program in Older Lower Limb Prosthesis Users: A Randomized Controlled Trial

A randomised controlled trial assigned 44 older lower-limb prosthesis users to usual care or education plus 16 home exercises three times weekly for eight weeks; 41 completed follow-up. Change in Timed Up and Go did not differ between groups, nor did static balance or balance confidence. No falls were reported during the study, but the sample and follow-up were too small to establish fall prevention or definitive lack of benefit. The null finding applies to this relatively high-mobility study population.

Thai researchersPrawina Sakulkosol · Pieter U Dijkstra · Kazuhiko Sasaki · Jutamanee Poonsiri
Genomic Public Health and Thalassaemia88IMPACT SIGNAL
Regional policy evidence synthesis

Thalassaemia prevention in Asia: progress, challenges, and future directions

This Series paper reviews thalassaemia prevention across 14 Asian countries with high carrier frequencies, heterogeneous mutations, and unequal health-system capacity. Singapore, Malaysia, the Maldives, and Thailand had the most structured approaches, combining public awareness, carrier screening, genetic counselling, and prenatal diagnosis. Measurable success was clearest in Singapore and to a more limited extent Thailand. Many countries still face fragmented services, weak national coordination, workforce shortages, insufficient epidemiological data, and financial, technological, cultural, and social barriers. This is a regional health-system synthesis, not a comparative policy trial.

Thai researchersSuthat Fucharoen · Kittiphong Paiboonsukwong
Vaccination Behaviour and Public Health89IMPACT SIGNAL
Observational cross-sectional evidence

Hepatitis B Vaccination Intention and Influencing Factors among College Students in Huanggang, Hubei, China: A Protection Motivation Theory-Based Cross-Sectional Study

This Protection Motivation Theory cross-sectional study surveyed 1,130 students aged 18–26 at three universities in Huanggang, Hubei, China, during April–May 2025. The authors dichotomized a 1–10 intention item into low scores of 1–6 and high scores of 7–10; 58.9% were in the high-intention group. In adjusted analysis, hepatitis B knowledge, vaccine knowledge, preventive behaviour, perceived severity, self-efficacy, and response efficacy were associated with higher odds of high intention, while perceived response cost was associated with lower odds. The findings identify intervention targets but do not show that changing them raises actual vaccination uptake.

Thai researchersCong Zhang · Phatcha Hirunwatthanakul · Nachalida Yukalang
Thalassaemia Epidemiology and Public Health Systems88IMPACT SIGNAL
Regional epidemiological synthesis

The Epidemiology of Thalassaemia Syndromes in Southeast Asia

This Series paper synthesizes thalassaemia epidemiology across 10 countries in WHO's South-East Asia Region by combining local expertise with a rapid literature review. Alpha- and beta-globin disorders and haemoglobin E are frequent and produce phenotypes ranging from asymptomatic carriage to lifelong transfusion dependence. Although a small set of mutations often dominates within each country, the regional spectrum is complex and population data remain incomplete. The paper highlights blood shortages, consanguinity in some settings, gender inequities, migration, and low awareness, and recommends national registries, premarital or prenatal screening, coordinated blood systems, and culturally sensitive education.

Thai researchersSuthat Fucharoen · Kittiphong Paiboonsukwong
Sustainable Livestock and Agriculture89IMPACT SIGNAL
Animal-trial evidence with modeled environmental outcomes

Crude-Glycerin Leucaena Pellets Improve Goat Feed Efficiency, but Methane Reduction Is Modeled

Thai researchers tested Leucaena leucocephala pellets containing 0–15% crude glycerin in 32 male Boer × Thai native goats for 90 days. Intake fell slightly, but gain-to-feed ratio, fermentation indicators, and modeled economics improved. Methane and greenhouse-gas reductions were estimated from a stoichiometric model rather than direct emissions measurements.

Thai researchersNirandorn Nakdaeng · Sirirat Buaphan · Kanok Chaovapasee
Electric Mobility and Energy Infrastructure85IMPACT SIGNAL
Techno-economic case-study scenario analysis

Techno-Economic Assessment of EV Charging Infrastructure in Residential Buildings in Nonthaburi, Thailand

This Nonthaburi residential-building case study compared two 60-kW DC chargers, one 60-kW DC plus two 22-kW AC chargers, and four 22-kW AC chargers. Assumptions included a seven-year project, 5.5% discount rate, mean selling price of THB7.25/kWh, service time of 4, 6, or 8 hours per day, and electricity costs of THB4.50, 4.73, or 4.95/kWh, giving 27 scenarios. All three portfolios were financially feasible under the specified conditions. Two DC chargers gave the strongest return at eight hours per day and THB4.50/kWh, while four AC chargers better fit long parking durations and lower capital and maintenance costs.

Thai researchersChatchaphon Ketviriyakit · Pasura Aungkulanon · Lakkana Ruekkasaem
Clinical Medicine89IMPACT SIGNAL
Global potential

Visual Impairment Was Associated With Nearly Threefold Higher Odds of Frailty Progression in Thai Older Adults

This retrospective cohort from the Siriraj Primary Care Unit followed 400 community-dwelling older adults, with a median age of 70 years and 76% women. Visual impairment was defined as visual acuity worse than 6/12 in the better-seeing eye, and frailty was assessed with the Thai FRAIL scale. Ordinal logistic regression found an association with transition to a worse frailty state: adjusted odds ratio 2.98 (95% CI 1.97–4.52; p

Thai researchersChutimon Thongkhao-On · Harisd Phannarus · Aliyah Famitynond · Pornchita Thanakorn · Thitiya Jenjirojpipat · Thiwarut Kraikaitsakul · Varalak Srinonprasert
Fundamental Cancer Biology89IMPACT SIGNAL
Global potential

NECTIN2 Depletion Cut Migration and Invasion by About Half, but Only in One Triple-Negative Breast Cancer Cell Line

This study asked whether the cell-surface adhesion molecule NECTIN2 contributes to motility and invasion in triple-negative breast cancer. The team combined public-dataset analyses with stable NECTIN2 depletion in MDA-MB-231 and MDA-MB-468 cells. The major phenotype was confined to MDA-MB-231: migration and invasion fell by about 50%, accompanied by lower LIMK1 and cytoskeletal changes, while LIMK1 re-expression partially restored migration. The findings support a context-dependent mechanism, not a clinically validated drug target or proof that NECTIN2 inhibition prevents metastasis in patients.

Thai researchersPhatchanat Klaihmon · Pattaratorn Muangtate · Sudarat Thongphayong · Puretat Saetan · Supasorn Chanthateyanonth · Chanitra Thuwajit · Surapol Issargrisil · Phatchariya Phannasil
Antimicrobial Stewardship92IMPACT SIGNAL
Stepped-Wedge Cluster Randomized Trial

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.

Thai researchersSue J. Lee · Mavuto Mukaka · Nicholas P. J. Day · Paul N. Newton
Digital Health and Nutrition92IMPACT SIGNAL
Model-development and benchmark evidence

Two-Stage Model Classifies 46 Produce and Vegetable-Dish Categories at 92.43% Top-1 Accuracy, but Lacks On-Device Validation

The study developed a two-stage ThaiSook pipeline: a binary model first rejects non-produce images, after which a multiclass model identifies 43 fruit and vegetable types and three vegetable-heavy dishes. The 40,595-image dataset contained 11,210 labelled and 29,385 unlabelled user images. With label smoothing and temperature scaling, the pipeline reached 92.43% top-1, 94.56% top-3, and 94.91% top-5 accuracy; Noisy Student raised top-1 accuracy to 92.59%. However, results rely on one train–test split, without real on-device testing or evidence that classification improves dietary measurement or health outcomes.

Thai researchersDecho Surangsrirat · Panyawut Sri-iesaranusorn · Polathep Vichitkunakorn
Health Policy and Cancer-Medicine Access88IMPACT SIGNAL
Global potential

Lower-Income Asia-Pacific Settings Reported Full Out-of-Pocket Cost for 95.2% of High-Benefit Medicine–Country Pairs

This predefined regional analysis of ESMO's 2023 global survey covered 20 Asia-Pacific countries and compared WHO essential cancer medicines with high-benefit medicines under ESMO-MCBS. The findings show that marketing availability does not equal reliable access: reimbursement and patient out-of-pocket burden remain major bottlenecks. Access was generally stronger in high-income economies, while middle- and lower-income groups faced large gaps, particularly for high-benefit medicines. The evidence is expert-reported and cross-sectional, and income-group aggregates must not be presented as Thailand-specific estimates.

Thai researchersNaiyarat Prasongsook · Lucksamon Thamlikitkul
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
86IMPACT SIGNAL
Multidisciplinary

Learning Behavior Components as Predictors of Third-Grade Achievement in Banten

Jurnal Pendidikan Progresif

Thailand-affiliated authors
Supaphorn Akkapin
Institutions
Rajamangala University of Technology Isan
86IMPACT SIGNAL
Multidisciplinary

Multi-agent Legal Text De-identification Using TRPO and Transformer-based Language Models

International Journal of Computational Intelligence Systems

Thailand-affiliated authors
Roohallah Alizadehsani
Institutions
Chulalongkorn University
86IMPACT SIGNAL
Multidisciplinary

Exploring supportive HR practices: evidence from LGBTQ+ employees in the private financial institutions

International Journal of Organization Theory and Behavior

Thailand-affiliated authors
Parinphat Viboonsoonthornchoti · Oranuch Pruetipibultham · Suthinee Rurkkhum
Institutions
National Institute of Development Administration · Thammasat University
86IMPACT SIGNAL
Multidisciplinary

Closing the Corridor: Women's Advancement into Business Leadership Across the Philippines, Thailand, and Vietnam (2007–2023)

Journal of Enterprise Strategy and Management Innovation

Thailand-affiliated authors
Ramon George O. Atento
Institutions
Asian Institute of Technology
86IMPACT SIGNAL
Multidisciplinary

Artificial Intelligence and the Strategic Reconfiguration of Work: A Conceptual Analysis of Substitution, Augmentation, and Organizational Redesign in Manufacturing and Marketing

Journal of Enterprise Strategy and Management Innovation

Thailand-affiliated authors
Gay Marie Teodosio
Institutions
Asian Institute of Technology
86IMPACT SIGNAL
Multidisciplinary

Digital Financial Inclusion and Supply Chain Resilience in Manufacturing: A Comparative Analysis Across the Digital Access Divide

Journal of Enterprise Strategy and Management Innovation

Thailand-affiliated authors
Ramon George O. Atento
Institutions
Asian Institute of Technology
86IMPACT SIGNAL
Multidisciplinary

Effectiveness of home-based exercise interventions in the management of Sarcopenia in older adults: a systematic review of randomized controlled trials

BMC Geriatrics

Thailand-affiliated authors
John Tilock Sarkar
Institutions
Police General Hospital
86IMPACT SIGNAL
Multidisciplinary

Influence operations 2.0: the evolution of social media manipulation in Southeast Asia

Information Communication & Society

Thailand-affiliated authors
Janjira Sombatpoonsiri
Institutions
Chulalongkorn University
86IMPACT SIGNAL
Multidisciplinary

Does increased staging complexity influence expert agreement in dental age estimation?

International Journal of Legal Medicine

Thailand-affiliated authors
Pisha Pittayapat
Institutions
Chulalongkorn University
86IMPACT SIGNAL
Multidisciplinary

Beyond Economic Benefit: How Justice, Empowerment, and Political Trust Shape Residents’ Support for Space Tourism

Journal of Travel Research

Thailand-affiliated authors
Myung Ja Kim
Institutions
Prince of Songkla University
86IMPACT SIGNAL
Multidisciplinary

Artemisinin resistance and Nigeria’s malaria burden: urgent policy imperatives from the WHO World Malaria Report 2025!

International Journal for Equity in Health

Thailand-affiliated authors
Shuaibu Saidu Musa
Institutions
Chulalongkorn University
86IMPACT SIGNAL
Multidisciplinary

Sport and recreation for Indigenous peoples with neurodevelopmental disabilities in Canada: an empty scoping review and call to action

Frontiers in Rehabilitation Sciences

Thailand-affiliated authors
Tierney Littlechild
Institutions
Nation University
86IMPACT SIGNAL
Multidisciplinary

Terminology for describing the 24-h cycle of physical activity, sedentary behaviour, and sleep: a scoping review

International Journal of Behavioral Nutrition and Physical Activity

Thailand-affiliated authors
Nucharapon Liangruenrom
Institutions
Mahidol University
86IMPACT SIGNAL
Multidisciplinary

An agonist of the cannabinoid-sensing G-protein coupled receptor 55 promotes wound healing and protects against UVB-induced keratinocyte damage

Tissue Barriers

Thailand-affiliated authors
Pimngeon Chatkul · Apiwan Arinno · Lapasrada Panpoca · Mathusorn Wongsawat · Pichayapa Sukmak · Phachara Lamlertthon · Nannaphat Suwannakul · Nichakorn Thampathomwong · Pitsinee Supapol · Wanapas Wachiradejkul · Tadhi Sucharitakul · Dollapak Sakulpanich · Switta Kiattikhunphan · Wilasinee Satianrapapong · Thivaratana Sinthuwiwat · Wares Chancharoen · Thiansin Liamsuwan · Pawin Pongkorpsakol
Institutions
Chulabhorn Hospital · Mahidol University
86IMPACT SIGNAL
Multidisciplinary

Translation, cultural adaptation, and psychometric validation of the WHO-5 well-being index for Arabic-speaking university students

Frontiers in Education

Thailand-affiliated authors
Moyad Shahwan
Institutions
Chulalongkorn University
86IMPACT SIGNAL
Multidisciplinary

Satellite-derived air quality data can effectively support health needs when use cases, Earth observing capabilities, and capacities align

Journal of the Air & Waste Management Association

Thailand-affiliated authors
Aekkapol Aekakkararungroj
Institutions
Asian Disaster Preparedness Center
86IMPACT SIGNAL
Multidisciplinary

AI Training and Science Student Teachers’ TPACK in Campus-Based and Distance Education: A Comparative Study

Computers and Education Open

Thailand-affiliated authors
Prasart Nuangchalerm
Institutions
Mahasarakham University
86IMPACT SIGNAL
Multidisciplinary

Zirconium dioxide (ZrO2) for active food packaging: physicochemical traits, multifunctional mechanisms, comparative advantages, safety, and prospects

Food systems

Thailand-affiliated authors
Bima Putra Pratama
Institutions
National Science and Technology Development Agency
86IMPACT SIGNAL
Multidisciplinary

Headache-attributed burden among children and adolescents in Nepal: a national schools-based cross-sectional study

The Journal of Headache and Pain

Thailand-affiliated authors
Anushka Adhikari
Institutions
Lampang Hospital
86IMPACT SIGNAL
Multidisciplinary

A tale of two countries: assessing disaster resilience in Thailand and Pakistan

Sustainable and Resilient Infrastructure

Thailand-affiliated authors
Syed Ainuddin · Chamawong Suriyachan · Ariya Aruninta · Jayant K. Routray
Institutions
Chulalongkorn University · Asian Institute of Technology
86IMPACT SIGNAL
Multidisciplinary

A Comparison of Test Anxiety Related to Physics Exams Among Students at Religious High Schools and Public High Schools: Rasch Analysis and Differential Item Functioning (DIF)

Edusainstika Jurnal Pembelajaran MIPA

Thailand-affiliated authors
Suritno Fayanto
Institutions
Mahidol University
86IMPACT SIGNAL
Multidisciplinary

Mapping the Global Research Landscape of Problem-Based Learning in Digital Learning Environments: A Bibliometric Analysis Toward Achieving SDG 4

Journal of Law and Bibliometrics Studies

Thailand-affiliated authors
Noer Risky Ramadhani
Institutions
Mae Fah Luang University Hospital

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Khon Kaen UniversityChulalongkorn UniversityMahidol UniversityChiang Mai UniversityPrince of Songkla UniversityKasetsart UniversityThammasat UniversityKing Mongkut's University of Technology ThonburiSuranaree University of TechnologyNaresuan University
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