Background Problem-based learning (PBL) is a student-centered innovating instructional approach in which students define their learning objectives by using triggers from the problem case or scenario. Objectives To assess undergraduate medical students’ perception toward PBL sessions and to compare their perceptions among different sex and grade point average (GPA) in the college of medicine, Al-Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia. Materials and methods We conducted a cross-sectional study based on a self-administered anonymous online questionnaire during the first semester of the 2017–2018 academic year in IMSIU. The data were collected from male and female students of the second and third year, as well as male students of the fourth year. Results Out of 259 students, 152 (58.7%) completed the questionnaire. The students’ perception toward PBL was more positive than negative. Most of the students reported that PBL sessions increased their knowledge of basic sciences ( P =0.03). Furthermore, most students agreed that PBL provided a better integration between basic and clinical sciences which differed significantly between the different GPA groups ( P =0.02). Nevertheless, only 28.3% of the students agreed that the teaching staff is well prepared to run the sessions with significant statistical difference among different GPA groups ( P =0.02). Moreover, only 26.3% of the students reported that there was proper student training before starting the PBL sessions with no significant difference. Additionally, only 34.2% and 28.9% of the students felt that they learn better and gain more knowledge thorough PBL than lectures respectively, with no significant difference. Conclusion This study showed that tutors should be trained to guide the process of PBL effectively to achieve its goals. Moreover, students should be securely introduced to PBL and experience the development of their clinical reasoning through PBL. Further improvements are needed to provide students with an effective favorable learning environment and to take the students recommendations into consideration.
IntroductionFor optical, cosmetic, or therapeutic purposes, contact lenses (CLs) are temporary prostheses positioned on the eye. CLs do not only improve the quality of life by correcting, but also providing a better appearance and less activity restriction. Patients' failure to comply with the hygienic practices prescribed in using CLs is often considered an important risk factor for eye complications and it is not often clarified to CLs consumers at the time of dispensation. AimThe objective of this study was to assess the knowledge and practices towards the use of CLs in a sample of the Saudi population in Riyadh. MethodsA cross-sectional study was performed using an online questionnaire among adult residents in Riyadh, Saudi Arabia from April to May of 2020. The statistical analysis was performed using R v 3.6.2 (R Foundation for Statistical Computing, Vienna, Austria). Ordinal (Likert-scale) variables were summarized using mean ± standard deviation, or median and interquartile range (IQR) as needed. ResultsThe majority of current users of CLs had no sight problem (P < 0.001). Using CLs was thought to be harmful in non-users (12.4%) versus CL users (2.93%) (P < 0.001). The main reason for using CLs in all groups was the emulation of others. Dryness was a well-known complication in current users (P < 0.05) and evening discomfort was a well-known one in previous users (P < 0.05). Social circle was the main source of information in 40% of users. High monthly income has a significant association with knowledge regarding the complications of CLs compared with low income (B = 0.94, P < 0.05). Education has a major effect on the users' knowledge regarding the increase of refractive error and infection by CLs (P < 0.05). ConclusionsKnowledge and practice were less than desired among CLs users. Many use CLs without prescription and solely for cosmetic purposes. More education is needed to lessen eye complications among CLs users.
Background: Type 2 diabetes mellitus (T2DM) is defined as a chronic medical condition in which the blood glucose level remains high. The risk factors of T2DM are high body mass index due to obesity or being overweight, genetics, and certain medical conditions. Lifestyle modification plays a crucial role in T2DM regulation and prevention, and if it is not controlled well by either lifestyle modification or DM regulatory medications, it may lead to medical complications ranging from mild to life-threatening complications.Aim: The purpose of this study is to find the contributory factors of noncompliance with oral antidiabetic drugs and lifestyle modifications in patients with T2DM in the eastern province of Saudi Arabia. This will help control one of the most widespread comorbidities that might otherwise be a significant burden on patients' health and financial status as well as on the government. Methodology: A cross-sectional questionnaire study was conducted on T2DM patients in the eastern province of Saudi Arabia through a link distributed on social media, and the contributory factors of noncompliance to diabetes medication and lifestyle modification were evaluated.Results: A total of 426 participants were included in the study. Regarding compliance with DM medications, 199 (46.7%) participants were adherent to their medications, 148 (34.7%) were not adherent to their medication, 42 (9.9%) were sometimes adherent, and 37 (8.7%) were mostly adherent to their medication. Regarding lifestyle modification, the level of adherence to a healthy diet and exercise among T2DM patients in the eastern province was low and unsatisfactory. According to the participants, the most reported factors contributing to noncompliance with DM medications and lifestyle modifications were forgetfulness, lack of knowledge about diabetes and the importance of controlling it, side effects of the medications, and difficulty in following a healthy diet. Regarding the influence of sociodemographic variables on the level of adherence in T2DM patients, factors such as age, marital status, occupation, comorbidities, diagnosis period, and previous complaints of DM complications showed significant associations with compliance with DM medication. Conclusion:The findings of this study revealed that the level of adherence to DM medications among T2DM patients in the eastern province was suboptimal. Although free medicines were available with a high level of healthcare access through government primary healthcare centers (PHCCs), poor adherence was observed. This study highlighted that medication adherence might be affected by age, marital status, occupation, chronic diseases, diagnosis period, and previous complaints of DM complications. Regarding lifestyle modification, this study showed that the level of adherence to a healthy diet and exercise among T2DM patients in the eastern province was low and unsatisfactory. Our recommendation is to measure the presence of dietician clinics, patient relationships with their healthcare providers, and their ef...
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