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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)
Read the full feature →
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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Geospatial Agriculture and Environment89IMPACT SIGNAL
Regional model-validation evidence

GEDI–Sentinel Model Maps Northeast Thai Rubber at 82.63% Accuracy but Struggles With Young Plantations

This study mapped 2024 rubber distribution and age structure across Northeast Thailand using Random Forest in Google Earth Engine, combining Sentinel-1, Sentinel-2, vegetation indices, and a GEDI-trained canopy-height model. Three-class rubber mapping reached 82.63% overall accuracy and about 0.84 F1; three-group age classification reached 83.39%. Plantations older than seven years dominated and were classified more reliably than young stands. The output is a regional monitoring baseline, not an error-free parcel-level decision map.

Thai researchersSavittri Ratanopad Suwanlee · Muhammad Hanif · Surasak Keawsomsee · Kemin Kasa · Narissara Nuthammachot · Sarawut Ninsawat · Jantima Polpinij · Jaturong Som-Ard
Medical Education and Serious-Illness Care89IMPACT SIGNAL
Longitudinal training evidence

Advance-Care-Planning Training Raised Residents’ Knowledge From 7.74 to 8.65, but Had No Control Group

This mixed-methods evaluation tested an Advance Care Planning programme combining role-play, personal-value reflection, and two Circle of Learning sessions with an entire cohort of 50 first-year internal-medicine residents. Longitudinal analysis used 34 complete cases through 15 months, and 10 residents were interviewed. Knowledge rose from 7.74 to 8.65 out of 9, alongside several attitude and confidence improvements. Interviewees said role-play bridged theory and practice but identified a need for ongoing workplace support. The evidence concerns learner readiness, not observed conversation quality or patient outcomes.

Thai researchersThagoon Kanjanopas · Smuch Siramongkholkarn · Wanna Jarusomboon · Ekkapop Sittiwantana · Arisa Phochaisarn · Saipin Hathirat · Saran Thanapluetiwong
Public Health and Migrant Health92IMPACT SIGNAL
Evidence of global relevance

Migrant TB Patients Chose Months-Long Sanatorium Care to Pursue Cure Amid Cost, Transport, and Documentation Barriers

This multi-perspective qualitative study at the SMRU tuberculosis sanatorium in Mae Ramat, Tak Province, examined why migrants choose long residential treatment. It included 37 unique patients—33 who chose the sanatorium and four who chose community DOTS—plus five health workers. Three themes organized the findings: desire for cure, barriers to diagnosis and treatment, and community and organizational support.

Thai researchersJindaporn Wirachonphaophong · Hai Ti Ti · Nay Kaw Htoo · Kanjana Winyoorat · Cha Ba · San Soe · Suphak Nosten · Htet Ko Ko Aung · Sein Sein Thi · Francois Nosten
Public Health and Health Systems92IMPACT SIGNAL
Qualitative evidence for service design

Patients in South Ethiopia Know How to Manage Diabetes, but Drug Shortages and Costs Undercut Self-Care

This qualitative study examined diabetes self-care in three South Ethiopian hospital clinics. Its 21 participants comprised 12 adults with type 2 diabetes and nine healthcare providers. Patients described medication, diet, physical activity, foot care, and glucose monitoring as daily work negotiated against financial pressure, drug shortages, beliefs, food costs, limited support, and health-system constraints. Patients tended to foreground structural barriers, whereas providers placed more emphasis on knowledge and forgetting advice. Continued counselling, reliable medicines, and peer support emerged as priorities, but these are interview-derived design directions rather than tested interventions.

Thai researchersTemesgen Anjulo Ageru · Cua Ngoc Le · Apichai Wattanapisit · Charuai Suwanbamrung
International Journal of Qualitative Studies on Health and Well-beingRead analysis →
Forest Policy and Bioeconomy92IMPACT SIGNAL
Evidence of global relevance

Perspectives on the forest bioeconomy: insights of stakeholders from cases in Central Europe and the Mekong region

This comparative study examines how 336 purposively recruited respondents in Czechia, Slovakia, Thailand, Laos and Vietnam understand and assess the forest bioeconomy. Respondents generally reported stronger familiarity with sustainable forest management and the circular economy than with the bioeconomy itself. Perceptions also varied across country cases, particularly within the Mekong region. A binary logistic regression identified associations between high perceived implementation and country, age, education, understanding of policy aims, support for implementation and positive assessments of forest-industry implementation. These findings describe perceptions within the recruited sample rather than national populations, and the reported associations should not be interpreted as causal effects.

Thai researchersNopparat Kaakkurivaara · Alice Sharp · Prasit Wangpakapattanawong
One Health and Zoonotic-Disease Prevention92IMPACT SIGNAL
Formative evidence for One Health intervention design

Zoonotic Risk in Rural Nan Is Not Just Behavioural: Water Scarcity, Forest Change, and Food Systems Connect Five Interfaces

Researchers examined everyday practices and conditions that could enable cross-species transmission in four rural villages in Nan Province, organising findings into five interfaces: human–animal, human–environment, human-human, animal–animal, and animal–environment. The picture is not simply one of deficient knowledge. Animal contact, butchering and food preparation, water scarcity and contamination, waste, forest change, intensified agriculture, mixed-species proximity, and multilingual communication operate as a system. Community leaders and village health volunteers were viewed as trusted messengers. The study therefore recommends education that combines knowledge, skills, practical tools, and recognition of structural limits, but it neither completed nor evaluated the final intervention.

Thai researchersMonchai Phongsiri · Simaphon Tomklang · Theerayuth Labooth · Thanapat Chaibut · Pongsakon Jaruton · Kotthamon Chanprathad · Sarutaya Suphawatthanaphan · Hans Overgaard · Patcharin Lapanun
Circular Bioeconomy and Seafood Technology92IMPACT SIGNAL
Comprehensive narrative-review evidence

Crustacean By-Products Hold High-Value Compounds, but ‘Green’ Extraction Still Lacks LCA and Industrial Proof

This review compares conventional acid–alkali and solvent extraction with supercritical fluids, enzymatic hydrolysis, pulsed electric fields, ultrasound, cold plasma, microwave, high-pressure processing, and deep eutectic solvents for recovering bioactives from crustacean by-products. No technology is universally optimal: conventional methods retain advantages in simplicity and maturity, while emerging methods may reduce chemicals or better preserve product quality but face equipment, cost, energy, reproducibility, and pilot-scale constraints. The paper is therefore a map of options and evidence gaps, not proof that one technology is the ‘most sustainable.’

Thai researchersAkanksha R. Gautam · Soottawat Benjakul · Rattikarn Boonchoosri · Nilesh Nirmal · Avtar Singh
Public Health and Viral Hepatitis92IMPACT SIGNAL
Province-scale real-world programme evidence

Phetchabun Screens 97.3% for HCV; 96.4% of SVR12-Evaluable Patients Are Cured, but Transmission Elimination Is Unproven

Phetchabun’s micro-elimination programme linked fingerstick anti-HCV testing, HCV-RNA confirmation, and 12-week sofosbuvir/velpatasvir treatment through primary-care and district-hospital services across all 11 districts under universal health coverage. From 2020 to April 2026, 389,547 of 400,567 targeted people were screened (97.25%); 14,845 of 18,340 anti-HCV-reactive participants received RNA confirmation (80.94%), identifying 10,996 active infections. Of 8,961 treatment-eligible patients, 8,842 received therapy (98.67%); among 6,719 evaluated at SVR12, 6,474 were cured (96.35%). The programme demonstrates province-scale test-to-treat feasibility, but not yet the incidence or mortality reductions required for elimination.

Thai researchersWijitra Phaengkha · Pornjarim Nilyanimit · Nungruthai Suntronwong · Jiratchaya Puenpa · Duong Hoang Huy Le · Saranya Ngamnimit · Pattama Janpathip · Lapasrada Kamput · Kawin Thongnoi · Wanalee Toomta · Phatcha Wohanklong · Jarunlak Saokeaw · Niphapornt Thammajit · Suwannee Rerngleum · Ananyalak Yoisara · Nitiya Srisuk · Jidapa Suwannachat · Anchalee Karagate · Rujipat Wasitthankasem · Yong Poovorawan
Health Systems and Antimicrobial Stewardship92IMPACT SIGNAL
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.

Thai researchersDirek Limmathurotsakul · Anucha Apisarnthanarak
Zoonotic Neglected Tropical Diseases and Surveillance92IMPACT SIGNAL
Global potential

Twenty-Year Review Finds Zoonotic NTDs Remain Hidden in Laos and Cambodia as Diagnostics and Surveillance Stay Fragmented

The article synthesises publications and long-running surveillance at the animal–human interface in Laos and Cambodia, covering Taenia solium, Trichinella, Streptococcus suis, rickettsiae, melioidosis, hepatitis E, and Japanese encephalitis. Its recurring message is diagnostic invisibility caused by limited laboratories and fragmented human–animal–environment systems, with risks embedded in smallholder livestock, informal slaughter, raw-meat consumption, wet markets, and animal-contact occupations. It proposes scaling abattoir, animal-sentinel, market, and environmental surveillance alongside livelihood-aware risk communication. This is a narrative synthesis, not a systematic review or one national survey, so it maps patterns and gaps rather than estimating current national burden.

Thai researchersStuart D. Blacksell · Syseng Khounsy · Jarunee Siengsanan-Lamont · Lida Kong · Jaison B. Kolenchery · Paul N. Newton · Nicholas P. J. Day
Malaria Epidemiology and Elimination92IMPACT SIGNAL
Regional surveillance evidence

Surveillance of 13,386 Sumatra Cases Links Imported Malaria to Mobile Populations and Elimination to District Context

Using individual surveillance records from 2019–2021, this study examined both malaria case patterns and district factors associated with elimination across Sumatra. Of 13,386 reported cases, 71.8% were Plasmodium vivax; among 11,390 investigated cases, 15.3% were classified as imported. Multilevel models identified associations with mobile populations and clinical characteristics, while district elimination was associated with higher human development, lower historical burden, and fewer endemic neighbours. These are observational surveillance associations, not causal effects of a policy.

Thai researchersKarina D Lestari · Sri B Fajariyani · Pimphen Charoen · Saranath Lawpoolsri · Wirichada Pan-ngum
Health Equity and Malaria Elimination92IMPACT SIGNAL
Scoping-review evidence

Review of 52 Studies Finds Low but Hidden Malaria Burden Among Mobile Populations in Mekong Border and Forest Areas

This synthesis mapped malaria evidence among migrant and mobile populations in the Greater Mekong Subregion across epidemiology, access, prevention, and health-system challenges. Of 847 records, 52 studies met inclusion criteria. Reported burden was generally low but highly variable, with hidden reservoirs from asymptomatic or submicroscopic infection in border and forest settings. Structural barriers contributed to delayed diagnosis, inconsistent prevention, and reliance on informal or cross-border care. The review exposes intervention-evaluation gaps rather than proving which approach works best.

Thai researchersPyae Linn Aung · Ajjima Thussachan · Naing Bo Bo Min · Jetsumon Sattabongkot
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
72IMPACT SIGNAL
Global Public Health

Genetic Ancestry and Affinity of a Local Population in Southern Thailand Using Whole-Exome Sequencing

Life

Thailand-affiliated authors
Pongsakorn Choochuen · Surasak Sangkhathat · Kamonnut Singkhamanan · Monwadee Wonglapsuwan · Panupong Sukpan · Komwit Surachat
Institutions
Prince of Songkla University · Siriraj Hospital · Mahidol University · Naradhiwas Rajanagarindra Hospital
72IMPACT SIGNAL
Clinical Medicine

Whole-Genome Analysis Reveals Biosynthetic Potential and Antifungal Activity of Nakaseomyces kungkrabaensis BRKS1-2 Isolated from Boesenbergia rotunda Rhizome

The Plant Pathology Journal

Thailand-affiliated authors
Praphat Kawicha · Rungphailin Wanlanon · Rujisaya Pontri · Anitta Kongsuk · Kusavadee Sangdee · Khanitta Somtrakoon · Thanwanit Thanyasiriwat · Juthaporn Saengprajak · Aphidech Sangdee
Institutions
Kasetsart University · Mahasarakham University
72IMPACT SIGNAL
Clinical Medicine

An Arthroscopic Technique for Hybrid Double‐Row Repair Using a Cancellous Screw and Washer for Enhanced Lateral‐Row Fixation in Osteoporotic Massive Rotator Cuff Tears With Long‐Head Biceps Augmentation

Arthroscopy Techniques

Thailand-affiliated authors
Pakorn Chawanpaiboon · Bhumin Chotiwatanadilok · Mohamed Munshid · Puttinan Pingpitayakul · Phob Ganokroj
Institutions
Siriraj Hospital · Mahidol University · Golden Jubilee Medical Center
72IMPACT SIGNAL
Clinical Medicine

Molecular detection and phylogenetic characterization of Megalocytivirus pagrus 1 (ISKNV) in ornamental fish imported to the Republic of Korea

Infection Genetics and Evolution

Thailand-affiliated authors
Patharapol Piamsomboon · Jee Eun Han
Institutions
Chulalongkorn University
72IMPACT SIGNAL
Global Public Health

Static and longitudinal extrauterine growth restriction in very low birth weight infants: prevalence and associated factors

Jornal de Pediatria

Thailand-affiliated authors
Sudatip Kositamongkol · Claire Komarapaj
Institutions
Thammasat University
72IMPACT SIGNAL
Engineering

HW-DDS: A Multiplicative Holt-Winters Method with a Damped Double-Smoothed Trend Estimator

Mathematics

Thailand-affiliated authors
Kamonchat Trachoo · Inthira Chaiya · Pakorn Khwankaew · Sukanya Intarapak · Din Prathumwan
Institutions
Mahasarakham University · Srinakharinwirot University · Khon Kaen University
72IMPACT SIGNAL
Multidisciplinary

Hedkrangines A–F, drimane sesquiterpene–amino acid conjugates from a Thai cultivar of Schizophyllum commune

Phytochemistry Letters

Thailand-affiliated authors
Jedsada Maliwong · Nitirat Chimnoi · Suwicha Patnin · Pongsit Vijitphan · Arthit Makarasen · Narin Chansri · Tripetch Kanchanapoom
Institutions
Ministry of Public Health · Department of Medical Sciences · Chulabhorn Research Institute · Khon Kaen University
72IMPACT SIGNAL
Global Public Health

Beyond the frontiers: avian organoid and stem cell models for genetic rescue in bird conservation

Frontiers in Bird Science

Thailand-affiliated authors
Sittipon Intarapat
Institutions
Mahidol University
72IMPACT SIGNAL
Clinical Medicine

Association Between Participation in a School-Based Structured Physical Activity Program and Standing-Height Trajectory in Thai Schoolchildren: A Quasi-Experimental Study

Children

Thailand-affiliated authors
Apithai Bumrungpanictarworn · Chanchai Suksuwan · Oam To-aj · Santi Suksataya · Atipol Suwandee
Institutions
Mahidol University · Kasem Bundit University · Srinakharinwirot University
72IMPACT SIGNAL
Multidisciplinary

A revised early Jurassic to Albian chronology for dinosaur evolution in tropical Asia

Communications Earth & Environment

Thailand-affiliated authors
Komsorn Lauprasert · Supanut Bhuttarach · Pitaksit Ditbanjong
Institutions
Mahasarakham University · Khon Kaen University
72IMPACT SIGNAL
Multidisciplinary

Temperature-Dependent Changes in Physicochemical Properties and Selected Bioactive Compounds During Controlled Fermentation of Cocoa Beans (Theobroma cacao)

Foods

Thailand-affiliated authors
Theerapong Kammoon · Sathian Boonkum · Patcharee Pattanagul · Pratchaya Tipduangta · Supavej Maniyom
Institutions
Chiang Mai University
72IMPACT SIGNAL
Clinical Medicine

Cost-effectiveness and budget impact of Luspatercept in Thai adults with transfusion-dependent beta-thalassaemia: a multi-state Markov model based on national claims data

Journal of Pharmaceutical Policy and Practice

Thailand-affiliated authors
Khachen Kongpakwattana · Peerapon Wong · Nattiya Teawtrakul · Pimlak Charoenkwan · Nilawan Upakdee
Institutions
Chulalongkorn University · Naresuan University · Khon Kaen University · Chiang Mai University
72IMPACT SIGNAL
Multidisciplinary

Evidence-constrained probabilistic assessment of dust-explosion precursors in tapioca-starch storage and handling using an integrated FTA-Bayesian network-ETA framework

Journal of Loss Prevention in the Process Industries

Thailand-affiliated authors
Ratchanee Joomjee · Wisit Thongkum · Arroon Ketsakorn · Jindawan Wibuloutai
Institutions
Ubon Ratchathani Rajabhat University · Mahasarakham University · Thammasat University
72IMPACT SIGNAL
Clinical Medicine

Aerosol generation and mask efficacy in particle protection during removal of composite attachments by a high-speed handpiece in clear aligners

Scientific Reports

Thailand-affiliated authors
Neeranart Thirasupa · Nirada Dhanesuan · Nonglak Sombuntham · Kwanchanok Youcharoen
Institutions
Srinakharinwirot University
72IMPACT SIGNAL
Multidisciplinary

Toxicological Evaluation of Zingiber purpureum Extract and Its Effects on Gut Microbiota in Zebrafish

International Journal of Molecular Sciences

Thailand-affiliated authors
Nisamanee Charoenchon · Porntipa Korprasertthaworn · Jitima Thammavoharnkul · Nattanan Kiatsurayanon · Phannamon Prathomthong · Donruethai Chimmanee · Athisri Sitthipunya
Institutions
Mahidol University
72IMPACT SIGNAL
Multidisciplinary

Monascus-Derived Biologically Active Compounds Fermented by Khao Klong Broken Rice (Brown Rice) as Bio-Ingredient for Anti-Aging Potential: Chemical Profiles, Antioxidant, Anti-Collagenase, and Anti-Tyrosinase Activities

Applied Biosciences

Thailand-affiliated authors
Surachai Techaoei · Thisakorn Dumrongphuttidecha · Wongnapa Nakyai · Khemjira Jarmkom
Institutions
Rajamangala University of Technology
72IMPACT SIGNAL
Energy and Materials

Concentration-Dependent Effects of Hydrogen Peroxide Seed Priming on Seed Vigor and Phytochemical Quality of Thai Rat-Tailed Radish Microgreens

Seeds

Thailand-affiliated authors
Chanachai Natthaaek · Bhornchai Harakotr · Yaowapha Jirakiattikul · Panumart Rithichai
Institutions
Thammasat University
72IMPACT SIGNAL
Multidisciplinary

Assessing the Effects of Transition Small-Sided Game Format and Work-to-Rest Ratio on Training Load in Soccer Players

Physical Education Theory and Methodology

Thailand-affiliated authors
Pakorn Chootsungnoen · Chaiyasith Pavilas · Yutthana Riansoi · Sumeth Kaewprag
Institutions
Kasem Bundit University · Chandrakasem Rajabhat University
72IMPACT SIGNAL
Multidisciplinary

Bis vanillate ester with antioxidant activity and selective modulation of the NO/iNOS pathway in LPS-activated macrophages

Scientific Reports

Thailand-affiliated authors
Luelak Lomlim · Jiraporn Kara · Narin Changklungmoa · Prasert Sobhon · Kanta Pranweerapaiboon
Institutions
Prince of Songkla University · Burapha University · Mahidol University · Thammasat University
72IMPACT SIGNAL
Global Public Health

Effect of 2,4-Dichlorophenoxyacetic Acid on Callus Induction from Eurycoma Longifolia Leaves

International Journal For Multidisciplinary Research

Thailand-affiliated authors
Sitdoerotunmuntaha Doloh · Raheema Wamaedeesa · Nusanisa Chedao · Attapol Adulyasas
Institutions
Princess of Naradhiwas University · Yala Rajabhat University
72IMPACT SIGNAL
Multidisciplinary

ภาวะซมเศราทยงไมเคยไดรบการวนจฉยและปจจยทเกยวของในเดกและวยรนออทสตก

Journal of Mental Health of Thailand - วารสารสุขภาพจิต แห่งประเทศไทย

Thailand-affiliated authors
แพรว ไตลังคะ · สุนทรี ศรีโกไสย · นพวรรณ บัวทอง · อัสนีย์พร กุนแจ
Institutions
Rajanagarindra Institute of Child Development
72IMPACT SIGNAL
Clinical Medicine

Cardiovascular and Hemodynamic Adaptations in Selective Fetal Growth Restriction: A Cohort Study of Monochorionic Twins

Prenatal Diagnosis

Thailand-affiliated authors
Tanchanok Auwattanamongkol · Nisarat Phithakwatchara · Katika Nawapun · Sommai Viboonchart · Suparat Jaingam · Kanokwaroon Watananirun · Sriwipa Kaewsrinual · Tuangsit Wataganara
Institutions
Siriraj Hospital · Mahidol University
72IMPACT SIGNAL
Multidisciplinary

Intramolecular Oxidative Cyclization of Hydrazones Catalyzed by Iodinated Hypercrosslinked Polymers

ChemistrySelect

Thailand-affiliated authors
Watcharapon Prasitwatcharakorn · Chanachon Thiamsiri · Jaraspim Narkpuk · Peera Jaru-Ampornpan · Torsak Luanphaisarnnont
Institutions
Mahidol University · National Science and Technology Development Agency · National Center for Genetic Engineering and Biotechnology
72IMPACT SIGNAL
Multidisciplinary

Mukaria sakaeratensis sp. nov. (Hemiptera, Cicadellidae, Deltocephalinae), a new species of bamboo leafhopper from Sakaerat Biosphere Reserve, Thailand

PubMed

Thailand-affiliated authors
Kanyakorn Piraonapicha · NITHINA KAEWTONGKUM · Narin Chomphuphuang · Panrak Kimsawat · Kittisak Kumtanom · Yudthana Samung
Institutions
The Botanical Garden Organization · Thailand Institute of Scientific and Technological Research · Khon Kaen University · Pathumwan Institute of Technology · Mahidol University

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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