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)
Paired samples from treatment-naïve gastric-cancer patients and controls showed substantially higher richness and diversity with mucosal brushing than biopsy. Brushing detected lower diversity and altered composition in cancer, whereas biopsy did not. Sampling method shapes microbiome signals, but causation and diagnostic utility are unproven.
Gizzard lesions in Thai chickens contained intranuclear inclusions, in-situ hybridization signal and PCR-confirmed fowl adenovirus. Hexon and fibre sequencing identified FAdV-8a strain FAdV8a_NPT_KU001_25, closer to a gizzard-tropic than an inclusion-body-hepatitis strain. Association is supported, but causation remains unproven.
A two-clinic Chiang Mai study of 150 MSM and transgender women found clinically significant depression in 5.3% of PrEP users and 13.3% of non-users. Mean depression was lower among PrEP users, while suicidal ideation occurred in 5.3% with no group difference.
An exploratory case-control study of 37 Thai adults with confirmed beta-lactam hypersensitivity identified HLA-DQA1*01:04 and HLA-DQA1*05:05 candidate signals after Bonferroni correction, with the latter stronger for immediate reactions. Small size, population controls and sensitivity-instability mean the findings are not ready for screening or drug avoidance.
Twenty male esports players were randomised to cup stacking three days weekly for four weeks or usual training. Post-intervention salivary alpha-amylase fell within the experimental group and differed significantly from controls.
Giant freshwater prawns received control diets or 10% and 20% fishmeal replacement with L. plantarum TISTR1284-fermented Leucaena for two weeks. Fermented diets increased immune markers and reduced post-A. hydrophila mortality by 26.14%, with normal intestinal morphology.
The systematic review identified 17 reports representing 15 randomised trials with 6,256 participants; 2,216 contributed to overweight subgroup analyses. The meta-analysis included 12 studies and 1,728 pregnant women with overweight. Interventions combined diet and physical activity, often with goal setting, self-monitoring and digital or remote follow-up.
A seven-country prospective cohort of 1,703 adults with HIV found Mycobacterium tuberculosis bloodstream infection predominantly among inpatients and associated it with higher 30-day mortality.
An evaluation of 1,838 stored sera from seven countries found that a second-generation Hcp1 antibody test had sensitivity ranging from 48% to 92%, with specificity varying by country and comparison group.
Thai researchersHasyanee Binmaeil · Thanakon Bunsong · Mary N. Burtnick · Paul J. Brett · Narisara Chantratita
Analysis of Thai national claims from 2015–2023 identified 60,916 paediatric hepatobiliary admissions. Admission rates were broadly stable and in-hospital mortality declined, while hepatic failure remained a high-risk condition.
An international expert statement spanning 22 countries reviews links among food systems, cardiometabolic health and the Sustainable Development Goals. It advocates plant-forward traditional diets rich in whole grains, legumes, vegetables, fruit, nuts and spices, with meat used sparingly.
The multicentre survey analysed 604 patients from 25 Thai hospitals between December 2023 and March 2024. SSRIs accounted for 70.2% of prescriptions, followed by TCAs at 13.9% and trazodone at 12.7%. The most common diagnoses were depressive disorders (55.0%), substance use disorders (15.2%) and psychotic disorders (13.7%). Clinicians cited limited availability (21.9%), reimbursement arrangements (36.3%) and patient finances (33.9%) as prescribing constraints.
Thailand-affiliated bibliographic records. These are not full analyses; they are ordered by Impact Signal and should be verified against the original source.
3,510records
3,510 records
74IMPACT SIGNAL
Clinical Medicine
Comparative study of endostatin levels in preeclampsia pregnancy and normal pregnancy
The Journal of Maternal-Fetal & Neonatal Medicine
Thailand-affiliated authors
Chatprateep Poosawang · Vorapong Phupong
Institutions
Chulalongkorn University
74IMPACT SIGNAL
Clinical Medicine
Symptom Clusters and Frailty Among Older Adults With and Without Cancer: Insights From Two Cross‐Sectional Studies
Nursing and Health Sciences
Thailand-affiliated authors
Chia‐Chin Lin
Institutions
Chulalongkorn University
74IMPACT SIGNAL
Environmental Engineering
Land Surface Feedbacks Regulate Atmospheric Water Demand and Maintain Global Drying Stability
Water Resources Research
Thailand-affiliated authors
Alan D. Ziegler
Institutions
Kasetsart University
74IMPACT SIGNAL
Clinical Medicine
Association of Acrochordon with Body Mass Index: A HospitalBased Cross-Sectional Study
Medical Journal of Armed Police Force Nepal
Thailand-affiliated authors
Kiran Bishwakarma
Institutions
Police General Hospital
74IMPACT SIGNAL
Global Public Health
Effect of corn silage treated with homo- and heterofermentative lactic acid bacteria on nutrient digestibility, rumen characteristics and rumen microbiota in goats
Veterinary and Animal Science
Thailand-affiliated authors
S. Bureenok · Benya Saenmahayak
Institutions
Rajamangala University of Technology Isan
74IMPACT SIGNAL
Clinical Medicine
Artificial Intelligence Applications in the Diagnosis and Management of Periodontitis: A Review
European Journal of General Dentistry
Thailand-affiliated authors
Zohaib Khurshid
Institutions
Chulalongkorn University
74IMPACT SIGNAL
Digital Health
An IoT-enabled machine learning framework for planning and optimization of melon cultivation systems
Journal of Open Innovation Technology Market and Complexity
WHO three-tier versus binary grading for predicting malignant transformation in oral epithelial dysplasia: a systematic review and network meta-analysis
Effectiveness of a tele-pulmonary rehabilitation program in individuals at risk of chronic obstructive pulmonary disease from artificial intelligence predictions
Kasetsart University · Rajamangala University of Technology Isan
74IMPACT SIGNAL
Clinical Medicine
Phenotypic plasticity and cryptic generic enigma in Pleosporales: Establishing Sporidesmioidesaceae fam. nov. and Rostriconidium synnematicum sp. nov. from India
MycoKeys
Thailand-affiliated authors
Nakarin Suwannarach
Institutions
Chiang Mai University
74IMPACT SIGNAL
Environmental Engineering
A mainland–maritime monsoon relay: Divergent ENSO and hydroclimatic growth signals in Tectona grandis from Thailand and Indonesia
Influence of a complex mycotoxin detoxifier on growth performance, liver health, inflammation, and redox status of broilers fed a diet contaminated with multiple mycotoxins
Kasetsart University · Huachiew Chalermprakiet University
74IMPACT SIGNAL
Clinical Medicine
The Posterior Oblique Lateral (POL) Full-Endoscopic Approach: A Transverse Process Docking Technique to Avoid Early Neural Contact in Challenging Foraminal and Extraforaminal Pathologies - Technical Note and Illustrative Case Series
Journal of Minimally Invasive Spine Surgery and Technique
Evaluation of Dried Plasma Spot‐Based Quantification of Glial Fibrillary Acidic Protein as a Disease‐Associated Biomarker in Neuromyelitis Optica Spectrum Disorder
Annals of Clinical and Translational Neurology
Thailand-affiliated authors
Nisa Vorasoot
Institutions
Khon Kaen University
74IMPACT SIGNAL
Digital Health
A forecast model for ionospheric TEC during solar flare events based on low-latitude GPS stations data
Performance enhancement of polymer composites using agro-waste-derived Artabotrys hexapetalus seed particle reinforcements
Next Materials
Thailand-affiliated authors
M.R. Sanjay · Suchart Siengchin
Institutions
King Mongkut's University of Technology North Bangkok
74IMPACT SIGNAL
Clinical Medicine
Bridging Conservative Management With Injectable Orthobiologic Therapies: Proceedings of the International Consensus Meetings on Cartilage Repair of the Ankle
Foot & Ankle Specialist
Thailand-affiliated authors
Tanawat Vaseenon
Institutions
Chiang Mai University
74IMPACT SIGNAL
Global Public Health
Morphological and Phenetic Evidence Support the Recognition of a New Limestone-Dwelling Species of Boesenbergia Kuntze (Zingiberaceae) from Northeastern Thailand
