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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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Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Impact of biofilm formation on mortality in Candida tropicalis candidaemia: A retrospective study of ICU and Non-ICU patients

A retrospective Thai referral-center study of 146 C. tropicalis candidemia episodes in 145 patients found high biofilm formation in 33.6% and 30-day mortality of 74.0%. Overall mortality did not differ by biofilm category; lower survival only in non-ICU patients is a subgroup finding requiring confirmation, not a stand-alone prognostic marker.

Thai researchersTeera Leepattarakit · Orawan Tulyaprawat · Anusara Mongkudkarn · Popchai Ngamskulrungroj
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Characteristic flow of different right ventricular outflow tract morphology in repaired tetralogy of fallot patients studied by 4D-flow cardiac magnetic resonance images

A retrospective study of 120 repaired tetralogy-of-Fallot patients found similar conventional CMR, pulmonary regurgitation, and clinical outcomes across tubular and pyramidal RVOT shapes, while 4D-flow CMR detected local differences in velocity, wall shear stress, and energy loss. This shows imaging sensitivity, not yet prognostic or transcatheter-valve selection utility.

Thai researchersAuttapol Srivichean · Paweena Chungsomprasong · Yonthakan Sanwong · Thanyarat Phoprom · Chodchanok Vijarnsorn · Karnkawin Patharateeranart · Watcharachai Kangvanskol · Prakul Chanthong · Thita Pacharapakornpong · Ploy Thammasate · Kritvikrom Durongpisitkul · Jarupim Soongswang
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Eight-week high-intensity inspiratory muscle training improves cardiac autonomic function in COPD: a randomized controlled trial

A randomized trial in 39 stable COPD patients found that eight weeks of 30 inspiratory breaths twice daily at the highest tolerable intensity shifted heart-rate variability toward greater parasympathetic activity and improved six-minute walk distance and health scores versus control. The trial was small, lacked sham training, and did not measure long-term cardiac events or exacerbations.

Thai researchersPairoj Suraprapapich · Wattana B. Watanapa · Sauwaluk Dacha · Wilawan Ketpan · Somruthai Yeunyong · Kanokwan Rattanasaengloet · Nontanat Sathaporn · Benjamas Chuaychoo
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Prevalence and prognostic impact of unrecognized myocardial infarction detected by cardiac magnetic resonance in Thai patients with obesity

Among 1,053 Thai patients with BMI at least 25 kg/m2 who underwent cardiac magnetic resonance, 9.9% had scars consistent with previously unrecognized myocardial infarction. This group had more major cardiovascular events over a median 9.2 years, but most participants were selected for CMR because coronary disease was suspected, so this is not population prevalence among people with obesity.

Thai researchersPunyanuch Chayanopparat · Piyachai Siriphiphatcharoen · Issarayus Laohabut · Thanawat Ruengchaisiwawaith · Yodying Kaolawanich
Basic Science74IMPACT SIGNAL
Evidence of global relevance

Aggregatibacter actinomycetemcomitans NadN Contributes to Neutrophil Extracellular Trap Degradation

Cell-based experiments found that Aggregatibacter actinomycetemcomitans, a bacterium associated with periodontitis, can degrade neutrophil extracellular traps after capture and identified membrane-associated NadN as an important mediator. Expressing NadN in Lactococcus lactis conferred NET-degrading activity, but patient or animal evidence of disease impact is not yet available.

Thai researchersYaowapa Puanglai · Anongnard Kasorn · Oranart Matangkasombut · Dujduan Waraho‐Zhmayev · Soraya Chaturongakul · Fabien Loison
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Measurement of Plasma Free Hemoglobin Using the Hemolysis Index of the Mindray BS-800

A Siriraj team validated the Mindray BS-800 hemolysis index for plasma free hemoglobin against the Harboe method, reporting high precision and correlation across the evaluated range and a 2 mg/dL detection limit. High bilirubin caused up to 15% negative bias, and analytical validation does not establish clinical-outcome benefit.

Thai researchersPunchisa Viruttanachai · Nuttiruetai Chanpo · Anchalee Thedsawad · Janejira Kittivorapart · Theera Ruchutrakool · Chattree Hantaweepant
Public Health74IMPACT SIGNAL
Evidence of global relevance

Phylogenomic structure and resistance profiles of clinical Proteus mirabilis from a Thai hospital

Whole-genome analysis of 17 clinical Proteus mirabilis isolates from hospitals in Narathiwat found genetic diversity and multiple resistance genes despite broad phenotypic susceptibility. qnrD1 appeared on similar Col3M-associated contigs in two isolates, suggesting possible mobile elements, but the small study did not demonstrate transmission.

Thai researchersThunchanok Yaikhan · Panupong Sukpan · Jarunee Pakhawan · Sarunyou Chusri · Thitaporn Dechathai · Sirikan Suwannasin · Kamonnut Singkhamanan · Komwit Surachat
Public Health74IMPACT SIGNAL
Evidence of global relevance

Severe Pregnancy-Associated Acute Kidney Injury and Maternal Vulnerability

Electronic records covering 4,094,111 US pregnancies showed severe pregnancy-associated acute kidney injury rising from 9.0 to 27.6 per 10,000 pregnancies between 2012-2013 and the COVID-19 era. Pre-existing cardiometabolic vulnerability was associated with risk, but observational data cannot separate infection, access, testing, and secular trends.

Thai researchersNattachai Srisawat
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Integrative hematological and transcriptomic analysis reveals monocyte alterations and molecular signatures of inflammatory-coagulation crosstalk in long COVID

A comparison of 21 people with long COVID and 24 asymptomatic controls found lower white-cell, monocyte, and platelet counts and longer APTT. Integrated with a separate public transcriptomic dataset, the findings support a proposed inflammation-coagulation model, but the small and non-identical datasets cannot establish mechanism.

Thai researchersParin Kamseng · Namngern Chantaramanee · Rittikorn Sompan · Sarayot Rareongjai
Public Health74IMPACT SIGNAL
Evidence of global relevance

Toxicological Assessment of Oligofructans Derived from Raw Sugar Fermentation by Bacillus subtilis TISTR 001 and Their Modulatory Effects on Rat Gut Microbiota

Thai researchers evaluated oligofructans produced from raw sugar using Bacillus subtilis TISTR 001. Rats showed no treatment-related mortality or toxicity at doses up to 2,000 mg/kg/day for 90 days, alongside reported shifts in gut microbial taxa. These are preclinical animal findings and do not establish human safety or benefit.

Thai researchersSirinya Taya · Boontiwa Ninchan · Sonthaya Umsumarng · Jutamat Klinsoda · Rawiwan Wongpoomchai · Charatda Punvittayagul
Environment and Engineering74IMPACT SIGNAL
Evidence of global relevance

A Multi-Frequency SAR Framework for Methane Emission Estimation in Thai Rice Paddies

A GISTDA-led framework combines Sentinel-1 and ALOS-2 radar with IPCC accounting to detect crop timing, classify water regimes, and estimate methane from irrigated rice in Thailand's central plain. Mean absolute error was 18.5 kg CH4/ha, but structural uncertainty in the IPCC Tier 1 emission factor exceeded all algorithmic errors combined.

Thai researchersNuntikorn Kitratporn · Kanjana Koedkurang · Panu Nueangjamnong · Kittiphop Simachokchai · Chompunut Chayawat
Clinical Medicine74IMPACT SIGNAL
Evidence of global relevance

Predictors of Early Recurrence and Survival Outcomes Following Curative Resection for Colorectal Liver Metastases and the Role of Salvage Surgery: A Retrospective Cohort Study

In a retrospective cohort of 109 patients undergoing liver resection for colorectal liver metastases, high tumor burden, major intraoperative blood loss, T3/T4 primary disease, and RAS mutation were associated with early recurrence. Selected patients undergoing salvage re-hepatectomy had favorable long-term survival, but small subgroups and strong selection bias prevent causal conclusions.

Thai researchersPipit Burasakarn · Nisanat Thongkua · Vachiraluck Chalokool · Anuparp Thienhiran · Sermsak Hongjinda · Pusit Fuengfoo
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
74IMPACT SIGNAL
Clinical Medicine

ECDD-S16 exhibits broad-spectrum antiviral activity and inhibits an early, pH-dependent step of influenza virus entry

Biochemical Pharmacology

Thailand-affiliated authors
Rattatammanoon Saengfak · Suwimon Manopwisedjaroen · Bumrung Munyoo · Napason Chabang · Suparerk Borwornpinyo · Suradej Hongeng · Sitthivut Charoensutthivarakul · Arunee Thitithanyanont
Institutions
Mahidol University · Ramathibodi Hospital
74IMPACT SIGNAL
Clinical Medicine

Beyond IgE : Expanding Perspectives on Multiclass Immunoglobulin Responses in Anisakis Allergy

Clinical Case Reports

Thailand-affiliated authors
Patpicha Arunsan · Nathkapach Kaewpitoon Rattanapitoon · Phornphitcha Pechdee · Schawanya Kaewpitoon Rattanapitoon
Institutions
Vongchavalitkul University · Maharat Nakhon Ratchasima Hospital · Sirindhorn College of Public Health
74IMPACT SIGNAL
Clinical Medicine

Immunogenicity of influenza vaccination in paediatric rheumatic diseases

Vaccine X

Thailand-affiliated authors
Suppapit Usama · Butsabong Lerkvaleekul · Nopporn Apiwattanakul · Arunee Thitithanyanont · Kobporn Boonnak · Soamarat Vilaiyuk
Institutions
Mahidol University · Ramathibodi Hospital · Siriraj Hospital
74IMPACT SIGNAL
Engineering

Optimizing Large-Scale Sugarcane Transportation under Capacity and Queue Constraints Using a Hybrid Evolutionary Framework

Engineering Journal

Thailand-affiliated authors
Putis Wittayasin · Nuchsara Kriengkorakot · Preecha Kriengkorakot
Institutions
Ubon Ratchathani University
74IMPACT SIGNAL
Clinical Medicine

Portable blood glucose meters do not reliably detect hypoglycemia in ferrets (Mustela putorius furo) compared with a point-of-care chemistry analyzer

American Journal of Veterinary Research

Thailand-affiliated authors
Rollins Kimberly · Logan Kopp
Institutions
Priest Hospital
74IMPACT SIGNAL
Clinical Medicine

Exploratory Concurrent Associations between K-Kyphometer and Flexicurve-Derived Kyphosis Measures (Kyphosis Index and Kyphosis Angle): preliminary study

Journal of Health Research

Thailand-affiliated authors
Pimonpan Taweekarn · Kunavut Vannajak
Institutions
Burapha University
74IMPACT SIGNAL
Clinical Medicine

Development and diagnostic validation of a recombinant Hexon L1-based indirect enzyme-linked immunosorbent assay for detecting antibodies to fowl adenovirus serotype 8b in chickens

Poultry Science

Thailand-affiliated authors
Sittinee Kulprasertsri · Malee Thongnid · Ploypassorn Homklinkaew · Siriluk Jala · Sakuna Phatthanakunanan · Preeda Lertwatcharasarakul · Thaweesak Songserm
Institutions
Kasetsart University
74IMPACT SIGNAL
Clinical Medicine

Refeeding Syndrome: Pathophysiology, Clinical Management, and Implications for Disaster Preparedness

Journal of Health Science and Medical Research

Thailand-affiliated authors
Apichat Kaewdech · Chaitong Churuangsuk
Institutions
Prince of Songkla University
74IMPACT SIGNAL
Multidisciplinary

Lectin-based glycoproteomics reveals a novel role of O-glycan truncation in the induction of melanogenesis

Scientific Reports

Thailand-affiliated authors
Karuntarat Teeravirote · Orasa Panawan · Prasertsri Ma-In · Sukanya Luang · Patcharaporn Tippayawat · Chonlatip Pipattanaboon · Chatchai Phoomak · Worasak Kaewkong · Atit Silsirivanit
Institutions
Khon Kaen University · Chulalongkorn University · Naresuan University
74IMPACT SIGNAL
Global Public Health

Generalizing the two sources capture–recapture estimator for covariate information

Statistical Methods in Medical Research

Thailand-affiliated authors
Patarawan Sangnawakij · Rattana Lerdsuwansri · Parawan Pijitrattana
Institutions
Thammasat University
74IMPACT SIGNAL
Clinical Medicine

Epidemiological update on spatial and space–time clusters of African swine fever in the Philippines

Frontiers in Veterinary Science

Thailand-affiliated authors
Ruth Miclat-Sonaco
Institutions
Department of Livestock Development
74IMPACT SIGNAL
Clinical Medicine

Antimicrobial utilisation across intensive care units in India: a retrospective registry-based descriptive study

BMC Health Services Research

Thailand-affiliated authors
Sumaiya Arfin · Rashan Haniffa · Abi Beane
Institutions
Mahidol Oxford Tropical Medicine Research Unit
74IMPACT SIGNAL
Multidisciplinary

An α-1,3-, α-1,4- and α-1,6-linked glucan synthesized by Limosilactobacillus reuteri PFAMO29 glucansucrase for enhancing curcumin dispersion and prebiotic potential

International Journal of Biological Macromolecules

Thailand-affiliated authors
Peerapon Deetanya · Sesth Anekthanaset · Thanapon Charoenwongpaiboon · Napol Kaewkascholkul · Kittikhun Wangkanont · Pawinee Panpetch · Rath Pichyangkura · Karan Wangpaiboon
Institutions
Chulalongkorn University · Silpakorn University
74IMPACT SIGNAL
Clinical Medicine

Mandibular buccal shelf characteristics for orthodontic miniscrew placement on Class I and Class III skeletal patterns

BMC Oral Health

Thailand-affiliated authors
Nilobon Manyam · Supassara Sirabanchongkran · Wikanda Khemaleelakul
Institutions
Chiang Mai University
74IMPACT SIGNAL
Environmental Engineering

Control of airborne microbial contamination in wardrobe microenvironments using a built-in smart air purification system: Performance evaluation under high-humidity and long-term residential conditions

Indoor and Built Environment

Thailand-affiliated authors
Pornpipat Yoosa · Pattarapong Choopanya · Chadchai Srisurangkul · Siwaporn Srimongkol · Sarawut Lerspalungsanti
Institutions
National Science and Technology Development Agency
74IMPACT SIGNAL
Clinical Medicine

Oral lichenoid lesion associated with nicotine pouch use: a case report

BMC Oral Health

Thailand-affiliated authors
Dulyapong Rungraungrayabkul · Ekarat Phattarataratip
Institutions
Mahidol University · Bangkok Hospital · Chulalongkorn University
74IMPACT SIGNAL
Environmental Engineering

Fermented fruit waste extract-loaded sodium alginate beads for the sustainable management of Drosophila melanogaster (Diptera: Drosophilidae)

Frontiers in Insect Science

Thailand-affiliated authors
Kannan Swathy · Perumal Vivekanandhan · Patcharin Krutmuang
Institutions
Chiang Mai University
74IMPACT SIGNAL
Energy and Materials

Environmental impact assessment of valuable metal recovery from lithium-ion battery black mass using a hydrometallurgical process

Journal of Ecological Engineering

Thailand-affiliated authors
Chaisumet Luengyotluechakul · Woraratana Pattaraprakorn · Pradabduang Kiattisaksiri
Institutions
Thammasat University
74IMPACT SIGNAL
Clinical Medicine

Biofunctional properties of a procyanidin-containing green soybean extract: phytochemical characterization, enzyme inhibition, cellular protection, and telomere preservation

Applied Food Research

Thailand-affiliated authors
Julaluk Khemacheewakul · Saritanot Kosonphong · Suwit Duangmano · Noppol Leksawasdi · Siraphat Taesuwan · Charin Techapun · Pornchai Rachtanapun
Institutions
Chiang Mai University
74IMPACT SIGNAL
Multidisciplinary

Nitrogen form regulates source-sink dynamics, flowering performance, and tuber development in container-grown Jerusalem artichoke revealed by 15N tracing

Scientia Horticulturae

Thailand-affiliated authors
Vannak Sour · Poramate Banterng · Sophon Boonlue · Soraya Ruamrungsri · Panupon Hongpakdee
Institutions
Khon Kaen University · Chiang Mai University
74IMPACT SIGNAL
Environmental Engineering

ASSOCIATION BETWEEN SATELLITE-DERIVED PM2.5 AND CONJUNCTIVITIS CONSULTATION RATES IN A HAZE-PRONE AREA OF NORTHERN THAILAND: A LONGITUDINAL SPATIAL ANALYSIS

Geographia Technica

Thailand-affiliated authors
Supachai Nakapan · Vivat Keawdounglek · Anuttara HONGTHONG
Institutions
Chiang Mai University · Mae Fah Luang University
74IMPACT SIGNAL
Clinical Medicine

NORMAL VERSUS FAST TIMED UP AND GO IN OLDER ADULTS WITH LOW PHYSICAL PERFORMANCE: ASSOCIATIONS WITH HANDGRIP STRENGTH AND MUSCLE-RELATED ANTHROPOMETRIC MARKERS

Journal of Decision Making and Healthcare

Thailand-affiliated authors
Puttipong Poncumhak · Winut Duangsanjun · SARANPRON SOMBUTMAI · SITTHINON JAPJOD · PAWEENA KHAKHAM
Institutions
University of Phayao
74IMPACT SIGNAL
Environmental Engineering

Multi-scale performance of geogrid-reinforced cemented sand as a composite base material

Geosynthetics International

Thailand-affiliated authors
N. Yoobanpot · D. T. Bergado · S. Chuenjaidee · P. Jongpradist · T. Chompoorat · P. Jamsawang
Institutions
King Mongkut's University of Technology North Bangkok · Asian Institute of Technology · King Mongkut's University of Technology Thonburi · University of Phayao
74IMPACT SIGNAL
Global Public Health

Effects of Crude Polysaccharides from Lentinula edodes Obtained by Ultrasound-Assisted Water Extraction on Metabolic and Hepatic Parameters in Obese Rats

International Journal of Molecular Sciences

Thailand-affiliated authors
Nannapat Phosarith · Thanyaporn Siriwoharn · Wachira Jirarattanarangsri
Institutions
Chiang Mai 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