Coronavirus disease 2019 (COVID-19) pandemic is caused by the severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) and since the outbreak, many neurological features and syndromes are reported with this multi-organ viral infection. Lance-Adams syndrome (LAS) also referred to as chronic post hypoxic myoclonus is defined as action myoclonus which can occur as generalized, focal, or multifocal repeated myoclonic motor movements which involve the face, trunk, or extremities and it is one of the neurological complications that are related to COVID-19 infection. LAS is reported as a delayed complication of cardiac arrest, which causes cerebral hypoxia leading to myoclonus. We report a case of a 58-year-old male patient diagnosed as a case of LAS secondary to hypoxia occurring because of COVID-19 without cardiac arrest and to the best of our knowledge it is the second case reported with this similar mechanism. Moreover, we discuss the possible pathophysiological relationship between LAS and COVID-19 and various treatment strategies. Eventually, we review the related articles in the literature regarding the LAS and various types of myoclonus associated with COVID-19 infection.
Background and Aim: Students’ perception of the educational environment is an important factor that affects the learning process in educational programs. Theories have offered support that the learning place affects a student’s academic achievement, performance, and future career markedly. Assessment of students’ satisfaction with and perception of their learning environment is an important indicator in most universities and institutions. This study aimed to evaluate the perception of the learning environment of medical undergraduates and interns at Umm Al-Qura University (UQU) and compare between the old and reformed curriculum participants.
Methods: This cross-sectional study was conducted at the College of Medicine at UQU, Makkah, Saudi Arabia. A total of 390 medical undergraduates and interns from the College of Medicine were invited to complete the Dundee Ready Educational Environment Measure questionnaire in the form of an online survey.
Results: A total of 390 medical undergraduates and interns completed the survey (response rate: 30.95%). Interns had higher mean DREEM scores than undergraduates; this difference was not significant (172±25 vs. 171±18; P=.974). The mean score percentage for the perception of teachers was 73.2% for interns compared with 72.1% for undergraduates. Perception of ambiance subscale received the lowest mean score percentage among all participants.
Conclusion: Medical undergraduates and interns perceived the learning environment at the College of Medicine of UQU positively. Areas of weakness should be addressed to improve and develop the educational environment at our university.
Background: Refractive errors are globally one of the most prevalent ocular disorders among pediatrics. This study aimed to determine the pattern of uncorrected refractive errors among children attending pediatric ophthalmology clinics at
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