Introduction: High death and injury rates at work are continually reported by the Ministry of Labour, Thailand, despite the promotion of the occupational safety, health, and environment (OSHE) management system across all enterprises. To identify the gap between OSHE and workers’ perception in terms of safety climate in Thai organizations, the Nordic Safety Climate Questionnaire-Thai Version (T-NOSACQ) was used in this study. Methods: The content validity index of the T-NOSACQ was assessed and this tool was employed to examine workers in six manufacturing firms and a tertiary care hospital between October 2015 and December 2016. Exploratory and confirmatory factor analysis was performed on the total dataset to justify the final questionnaire. Multiple regression analysis was performed to determine the factors related to the safety climate score. Results: The final T-NOSACQ included 5 dimensions with a total of 42 items. The internal consistency of each subscale was in the range of 0.73–0.89. There were 1191 participants, including 88.9% workers and 11.1% leaders, who voluntarily responded to the questionnaire. The lowest safety climate score was obtained on the dimension ‘employees’ risk acceptance’, especially at factory A (2.67±0.45 and 2.92±0.45 for the worker and leader groups, respectively). The highest score was obtained on the dimension ‘employees’ engagement to safety, especially at factory F (3.30±0.33 and 3.46±0.42 for the worker and leader groups, respectively). Conclusion: The safety climate in both leader and workers groups can be predicted by T-NOSACQ. Thai employees exhibited a positive perception of safety engagement. However, the OSHE management system in Thailand, especially employees’ risk acceptance, should be improved.

Background: The hypertensive crisis is characterized by poorly controlled hypertension, which can lead to unfavorable outcomes and high utilization. The purpose of this study was to examine the prevalence, clinical characteristics, and factors associated with hypertensive emergency. Material and Methods: This cross-sectional study collected data from the hospital information system that included patients greater than or equal to 18 years who were diagnosed with hypertensive crisis (blood pressure ≥180 and/or 120 mmHg) and receiving care from the primary care unit and emergency department from 2020 to 2022. The prevalence and clinical characteristics of these patients were examined. Multiple logistic regression analysis was used to analyze factors associated with hypertensive emergency. Results: Among 3329 patients with hypertension, 17.33% had a hypertensive crisis (16.64 vs. 0.69%, urgency and emergency types). Most patients were female (63.6%), with a median age of 66 years. Almost half the patients (42.2%) with hypertensive crisis presented without specific symptoms, and the most common presenting symptom was vertigo/dizziness (27.7%). The initial and after treatment blood pressures were 203/98 and 174/91 mmHg. In the hypertensive emergency, the most common end-organ damage was ischemic stroke (33.3%), hemorrhagic stroke (25%), and acute heart failure (20.8%). An oral angiotensin-converting enzyme (57.5%) was the most commonly administered medication. Multiple logistic regression was performed but did not reveal any statistically significant. Conclusion: Our result revealed a high prevalence of hypertensive crises; most were of hypertensive urgency. The most common presenting symptom was vertigo/dizziness. There was no factor significantly associated with the hypertensive emergency in this study. Further studies should explore the cause of the hypertensive crisis to improve care delivery to patients with hypertension.

Free-roaming dogs are a neglected population that poses public health concerns in tourist areas. This study, conducted during both the high and low tourist seasons, aimed to (i) investigate the movement patterns of free-roaming dogs on the Lipe tourist destination island, southern Thailand, focusing on their daily distance, and (ii) identify habitat land type preferences. Between September and December 2024, eight owned and seven unowned dogs were fitted with Catlog GPS devices. Tracking data were collected for the dog’s coordinates every 15 min for at least four consecutive days. Data analysis and visualization were performed using R software. On average, dogs traveled 5300 m daily. Unowned dogs exhibited their highest speed on beaches (median = 70, IQR = 44–79 m per 15 min). Free-roaming dogs spent most of their time in human habitats. The time of day influenced dogs’ appearance across different land types. In conclusion, free-roaming dogs on the island traveled longer distances than in most previous studies. The dogs mostly preferred being around human habitats. Land types influenced dogs’ speed. Dogs appeared on different land types at different times of day. Guided by these data, we recommend (i) better dog registration and other measures to reduce free-roaming activities of dogs and (ii) regular blanket coverage of dog rabies immunization to make the island safer for tourists and residents.