Objective COVID-19 is a public health emergency of international concern. There is still no definitive cure for this highly transmittable illness. Immunization and breaking the chain of infection is the only successful approach to mitigate its spread. Our study explored the adherence to COVID-19 preventive measures and its associating factors among Health Care Professionals (HCPs) working in Saudi Arabia. Methods For this cross-sectional study, an online survey was conducted from December 01, 2020, to March 31, 2021, among 978 HCPs in Saudi Arabia. The self-administered questionnaire consisted of demographic information, COVID-19 preventive behaviors, knowledge, attitude, fear, and risk. Mann–Whitney U -test, Kruskal–Wallis one-way analysis, Spearman correlation, and binary logistic regression tests were used in data analysis. Results Most of the HCPs were Saudi nationals (86.9%), females (63.1%), age group 20–29 years (42.3%), Middle Eastern ethnicity (82.5%), and working in the government sector (80.8%). A 52.2% of the participants were compliant with COVID-19 preventive behavior. The most and the least compliant preventive behaviors were “wearing masks” (88.8% compliance) and “keeping social distancing” (60.7% compliance). Preventive behavior was significantly higher in HCPs having a) more knowledge of COVID-19 (U=104849; p 0.001); b) positive attitude (U=84402; p 0.001); c) higher fear (U=103138; p less than 0.001) and d) nursing profession (p 0.01). COVID-19 knowledge (p<0.001), attitude (p<0.001), and fear (p<0.001) contributed significantly to the prediction of preventive behavior compliance. A unit increase in COVID-19 knowledge, attitude, and fear scores raised the odds of being compliant with preventive behavior by factors of 2.34, 1.87, and 1.53 respectively. Conclusion About half of the study participants were compliant with COVID-19 preventive behavior. Preventive behavior is significantly higher among HCPs having more knowledge of COVID-19, more fear, a positive attitude, and the “nursing” profession. Having more knowledge, a positive attitude, and more fear of COVID-19 may increase the likelihood of being compliant with preventive behavior.

Background: Multifetal gestation is problematic for both the mother and her fetuses, as it dramatically increases the rate of perinatal morbidity and mortality. In addition, the risks for congenital anomalies and its consequences are higher with multifetal gestations. Case presentation: A 26-year-old mother, married for 3 years, known case of polycystic ovarian syndrome (PCOS), had normal vaginal delivery (NVD) 18 months ago. The patient visited the infertility clinic on 20th June, 2021, where ovulation induction was started and three dominant follicles were seen. When ultrasonography was done at GA of 11 weeks. It showed triplet pregnancy. Patient was counseled regarding her triplet pregnancy and was referred for fetal reduction, but patient refused. Patient was admitted at GA 34 weeks, an emergency Cesarean Section was done. All neonates were females, first one (one with normal head had low apgar score and was managed in neonatal intensive care unit (NICU). While the other two were anencephalic and died immediately. Conclusion: The underlying etiology for anencephaly is multifactorial, involving genetic predisposition with exposure to environmental factors, thus folic acid could be used to prevent neural tube defect. Further, anencephaly could be diagnosed by transvaginal sonography as early as 11- 14 weeks.

Digital transformation has become inseparable from education, and its implementation has broadly increased due to the increased adoption of e-learning during the COVID-19 pandemic. The present study evaluated the levels and influence of computer anxiety and digital readiness for academic engagement among undergraduate students. A cross-sectional study was conducted on 272 medical students enrolled in a medicine program. Two previously validated instruments were adopted. We examined the association between students’ sociodemographic variables, internet use, and perceived academic performance during e-learning and their computer anxiety and digital readiness. The results show a significant effect of gender, age, and internet use on students’ computer anxiety and digital readiness. Males’ information-sharing behavior and skills outperformed those of females, and students’ computer anxiety decreased with increasing age. In addition, the results indicate that the greater the students’ internet use, the better their digital readiness for academic engagement. Furthermore, computer anxiety and digital readiness affect students’ perceptions of their academic performance in e-learning. The rapid rate of technological advancements and the integration of e-learning into education means that careful attention must be paid to student characteristics as well as their skills. This will allow educators to create a successful, personalized learning framework.

Focal dermal hypoplasia (FDH), also known as Goltz syndrome, is a rare syndrome described in the literature. Patchy skin hypoplasia is the most evident sign. Hyperpigmentation, hypopigmentation, papillomas, limb defects, and orofacial manifestations have also been reported. A 12-year-old Saudi girl with unremarkable family history presented with FDH. The diagnosis was confirmed using a genetic study. Physical examination revealed asymmetrical streaks of vermiculate dermal atrophy, telangiectasia with hyperpigmentation, and hypopigmentation on the left half of the face, trunk, and bilateral extremities. It appears along Blashko lines. No mental impairment was observed. Intraoral examination generalized plaque-induced gingivitis with erythematous gingival hyperplasia. Examination of the teeth showed generalized enamel hypoplasia with abnormal tooth formations, malalignment, microdontia, spacing and tilting, and minimal caries. As reported cases of FDH are rare worldwide, this syndrome is yet to be fully understood. As the manifestation of the syndrome varies among cases, the management of each case is unique. This emphasizes the importance of reporting cases of FDH.