Recontextualising communicative language teaching in Saudi Arabia

In 2004, a project spearheaded by the Saudi Arabian Government formed agreements with international companies to help develop Saudi English language skills so that the Saudi workforce could better meet international companies’ needs. This new project mainly used the Communicative Language Teaching (CLT) approach based on the concept of communicative competence. However, there are some issues with the implementation of this imported approach in terms of whether this new pedagogy fits the broader Saudi context and its pedagogic traditions. Findings of reviewed studies from various non-Western contexts show that there is often misunderstanding and resistance to CLT implementation, which may be related to a lack of teacher education in this area. This research addresses these issues as well as the lack of alignment with Saudi pedagogic culture and summative assessment, using a theoretical framework drawing on theories of communicative competence, Bernstein’s theory of pedagogic discourse, Shulman’s theory of teacher knowledges and Walsh’s categories of interaction in language classes. This framework was used to analyse data generated from the English Language Teaching course textbooks now used across Saudi schools, and from interviews with the teachers and students who use it. A typical unit from a middle school English Language standard textbook and the associated teacher guidance were analysed. Overall, the lesson designs outlined the possibility of communicative language teaching. Then qualitative case studies of four English teachers working in a middle school for boys were conducted using semi-structured interviews before and after classroom observations to explore teachers’ different understandings about the concept and principles of CLT as recommended by their set textbook. In addition, focus group interviews with students elicited students’ reflections on their experience of learning English. The case studies demonstrated a gap between the recommended CLT-based curriculum and the teachers’ pedagogic practices which reflected a more traditional method of the Grammar Translation Method (GTM). However, there was significant variation amongst the case studies reflecting residual practices and different approaches to the pedagogic content knowledge of language learning. The teacher interviews highlighted that the Saudi context is a pedagogic culture which is highly exam focused. Notably, the students’ comments also aligned with this exam orientation, which suggests that the power and consensus surrounding this pedagogic nexus is reinforced not only by teachers but also by the students, making it the dominant mode of pedagogy. In this way, the new curriculum and its emergent practices were working against a very different pedagogic culture. The CLT approach typically suggests pedagogy with weaker framing and C- in what Bernstein terms an “invisible” pedagogy. This would encourage students’ participation in weakly framed pedagogy, and a curriculum of C- that draws on students’ life experiences and common sense rather than technical rules or specialised knowledge. However, the official recontextualization field (ORF) of the textbook – though communicative in intent – is still carefully controlled and staged, and so can be understood to navigate a middle position between the Saudi context which typically favours very F+ and C+ in a visible pedagogy and the CLT approach. Overall, the teachers in all four cases constructed different relations with the students to that suggested by the CLT-aligned teacher’s book, as they all recontextualised the textbook material in activities with stronger framing that aligned with their pedagogic content knowledge and professional preferences. The conclusion argues that any imported approach such as CLT will inevitably be recontextualised to be more acceptable within the constraints and pedagogic culture of the particular context

Epidemiological Modeling of COVID-19 in Saudi Arabia: Spread Projection, Awareness, and Impact of Treatment

The first case of COVID-19 originated in Wuhan, China, after which it spread across more than 200 countries. By 21 July 2020, the rapid global spread of this disease had led to more than 15 million cases of infection, with a mortality rate of more than 4.0% of the total number of confirmed cases. This study aimed to predict the prevalence of COVID-19 and to investigate the effect of awareness and the impact of treatment in Saudi Arabia. In this paper, COVID-19 data were sourced from the Saudi Ministry of Health, covering the period from 31 March 2020 to 21 July 2020. The spread of COVID-19 was predicted using four different epidemiological models, namely the susceptible–infectious–recovered (SIR), generalized logistic, Richards, and Gompertz models. The assessment of models’ fit was performed and compared using four statistical indices (root-mean-square error (RMSE), R squared (R2), adjusted R2 ( Radj2), and Akaike’s information criterion (AIC)) in order to select the most appropriate model. Modified versions of the SIR model were utilized to assess the influence of awareness and treatment on the prevalence of COVID-19. Based on the statistical indices, the SIR model showed a good fit to reported data compared with the other models (RMSE = 2790.69, R2 = 99.88%, Radj2 = 99.98%, and AIC = 1796.05). The SIR model predicted that the cumulative number of infected cases would reach 359,794 and that the pandemic would end by early September 2020. Additionally, the modified version of the SIR model with social distancing revealed that there would be a reduction in the final cumulative epidemic size by 9.1% and 168.2% if social distancing were applied over the short and long term, respectively. Furthermore, different treatment scenarios were simulated, starting on 8 July 2020, using another modified version of the SIR model. Epidemiological modeling can help to predict the cumulative number of cases of infection and to understand the impact of social distancing and pharmaceutical intervention on the prevalence of COVID-19. The findings from this study can provide valuable information for governmental policymakers trying to control the spread of this pandemic

Computational Intelligence with Wild Horse Optimization Based Object Recognition and Classification Model for Autonomous Driving Systems

Presently, autonomous systems have gained considerable attention in several fields such as transportation, healthcare, autonomous driving, logistics, etc. It is highly needed to ensure the safe operations of the autonomous system before launching it to the general public. Since the design of a completely autonomous system is a challenging process, perception and decision-making act as vital parts. The effective detection of objects on the road under varying scenarios can considerably enhance the safety of autonomous driving. The recently developed computational intelligence (CI) and deep learning models help to effectively design the object detection algorithms for environment perception depending upon the camera system that exists in the autonomous driving systems. With this motivation, this study designed a novel computational intelligence with a wild horse optimization-based object recognition and classification (CIWHO-ORC) model for autonomous driving systems. The proposed CIWHO-ORC technique intends to effectively identify the presence of multiple static and dynamic objects such as vehicles, pedestrians, signboards, etc. Additionally, the CIWHO-ORC technique involves the design of a krill herd (KH) algorithm with a multi-scale Faster RCNN model for the detection of objects. In addition, a wild horse optimizer (WHO) with an online sequential ridge regression (OSRR) model was applied for the classification of recognized objects. The experimental analysis of the CIWHO-ORC technique is validated using benchmark datasets, and the obtained results demonstrate the promising outcome of the CIWHO-ORC technique in terms of several measures

Characteristics and Outcomes of Liver Transplantation Recipients after Tranexamic Acid Treatment and Platelet Transfusion: A Retrospective Single-Centre Experience

Background and Objectives: Patients undergoing liver transplantation (LT) often require increased blood product transfusion due to pre-existing coagulopathy and intraoperative fibrinolysis. Strategies to minimise intraoperative bleeding and subsequent blood product requirements include platelet transfusion and tranexamic acid (TXA). Prophylactic TXA administration has been shown to reduce bleeding and blood product requirements intraoperatively. However, its clinical use is still debated. The aim of this study was to report on a single-centre practice and analyse clinical characteristics and outcomes of LT recipients according to intraoperative treatment of TXA or platelet transfusion. Materials and Methods: This was a retrospective observational cohort study in which we reviewed 162 patients’ records. Characteristics, intraoperative requirement of blood products, postoperative development of thrombosis and outcomes were compared between patients without or with intraoperative TXA treatment and without or with platelet transfusion. Results: Intraoperative treatment of TXA and platelets was 53% and 57.40%, respectively. Patients who required intraoperative administration of TXA or platelet transfusion also required more transfusion of blood products. Neither TXA nor platelet transfusion were associated with increased postoperative development of hepatic artery and portal vein thrombosis, 90-day mortality or graft loss. There was a significant increase in the median length of intensive care unit (ICU) stay in those who received platelet transfusion only (2.00 vs. 3.00 days; p = 0.021). Time to extubate was significantly different in both those who required TXA and platelet transfusion intraoperatively. Conclusions: Our analysis indicates that LT recipients still required copious intraoperative transfusion of blood products, despite the use of intraoperative TXA and platelets. Our findings have important implications for current transfusion practice in LT recipients and may guide clinicians to act upon these findings, which will support global efforts to encourage a wider use of TXA to reduce transfusion requirements, including platelets

Characteristics and Outcomes of Liver Transplantation Recipients after Tranexamic Acid Treatment and Platelet Transfusion: A Retrospective Single-Centre Experience

Background and Objectives: Patients undergoing liver transplantation (LT) often require increased blood product transfusion due to pre-existing coagulopathy and intraoperative fibrinolysis. Strategies to minimise intraoperative bleeding and subsequent blood product requirements include platelet transfusion and tranexamic acid (TXA). Prophylactic TXA administration has been shown to reduce bleeding and blood product requirements intraoperatively. However, its clinical use is still debated. The aim of this study was to report on a single-centre practice and analyse clinical characteristics and outcomes of LT recipients according to intraoperative treatment of TXA or platelet transfusion. Materials and Methods: This was a retrospective observational cohort study in which we reviewed 162 patients’ records. Characteristics, intraoperative requirement of blood products, postoperative development of thrombosis and outcomes were compared between patients without or with intraoperative TXA treatment and without or with platelet transfusion. Results: Intraoperative treatment of TXA and platelets was 53% and 57.40%, respectively. Patients who required intraoperative administration of TXA or platelet transfusion also required more transfusion of blood products. Neither TXA nor platelet transfusion were associated with increased postoperative development of hepatic artery and portal vein thrombosis, 90-day mortality or graft loss. There was a significant increase in the median length of intensive care unit (ICU) stay in those who received platelet transfusion only (2.00 vs. 3.00 days; p = 0.021). Time to extubate was significantly different in both those who required TXA and platelet transfusion intraoperatively. Conclusions: Our analysis indicates that LT recipients still required copious intraoperative transfusion of blood products, despite the use of intraoperative TXA and platelets. Our findings have important implications for current transfusion practice in LT recipients and may guide clinicians to act upon these findings, which will support global efforts to encourage a wider use of TXA to reduce transfusion requirements, including platelets

Clinical characteristics and predictors of mortality among COVID-19 patients in Saudi Arabia

Background: The new coronavirus disease (COVID-19) has caused more than 1.8 million deaths, with a fatality rate of 2.5% in more than 200 countries as of January 4, 2021. Analysis of COVID-19 clinical features can help predict disease severity and risk of mortality, early identification of high-risk patients, and provide knowledge to inform clinical interventions. Objective: The purpose of this study is to investigate the clinical characteristics and possible predictors associated with mortality in patients with COVID-19 admitted to King Fahad (KFH), Ohood, and Miqat hospitals in Madina, Saudi Arabia. Methods: This retrospective observational study to investigate the clinical characteristic and possible predictors associated with mortality for those 119 mild, moderate, or critically ill patients confirmed by laboratory results to have COVID-19 who were admitted to three hospitals in Madina, Saudi Arabia, from March 25, 2020, to July 30, 2020. Data were collected from December 1, 2020, to December 14, 2020. Results: Of the 119 patients included in the study, the mean age was 54.2 (±15.7) years, with 78.2% survivors and 21.8% non-survivors. The demographic analysis indicated that the likelihood of mortality for patients in the older age group (i.e., ≥65 years) was five times higher than those in the younger age group (OR = 5.34, 95% CI 1.71–16.68, p = 0.004). The results also indicated those patients who admitted to the intensive care unit (ICU) was approximately seven times higher odds of mortality compare with those who were not admitted (OR = 6.48, 95% CI 2.52–16.63, p < 0.001). In addition, six laboratory parameters were positively associated with the odds of mortality: white blood cell count (OR = 1.11, 95% CI 1.02–1.21, p = 0.018), neutrophil (OR = 1.11, 95% CI 1.02–1.22, p = 0.020), creatine kinase myocardial band (OR = 1.02, 95% CI 1.00–1.03, p = 0.030), C-reactive protein (OR = 1.01, 95% CI 1.00–1.01, p = 0.002), urea (OR = 1.06, 95% CI 1.01–1.11, p = 0.026), and lactate dehydrogenase (OR = 1.00, 95% CI 1.00–1.01, p = 0.020). Conclusions: In this cohort, COVID-19 patients within the older age group (≥65 years) admitted to the ICU with increased C-reactive protein levels in particular, were associated with increased odds of mortality. Further clinical observations are warranted to support these findings and enhance the mapping and control of this pandemic

Probiotics and yogurt modulate oxidative stress and fibrosis in livers of Schistosoma mansoni-infected mice

Abstract Background Considerable morbidity, mortality, and economic loss result from schistosomiasis infection. Deposition of Schistosoma eggs in the hepatic portal vein is considered as the main causative agent for the development of liver fibrosis and subsequent liver cirrhosis. Probiotics are exogenous and beneficial microorganisms to living hosts against the harmful effect of many parasites. Strong evidence suggests the importance of probiotics in the control strategy of helminth. The ultimate goal of this study is to evaluate the protective effect of probiotics and yogurt on Schistosoma mansoni-induced oxidative stress and hepatic fibrosis in mice. Methods Mice were infected by tail immersion of schistosomal cercariae followed by an oral treatment with either probiotics or yogurt for one week before infection and immediately post-infection. Mice were scarified on day 56 following infection with S. mansoni and liver sample were obtained. Results We showed that oral administration of probiotics or yogurt revealed a significant reduction in worm number, egg load, and granuloma size in liver tissue, which is mainly assigned to the decreased expression level of matrix metalloproteinases 9 (MMP-9) in liver tissue. A significant reduction in the oxidative stress markers-induced by S. mansoni infection including lipid peroxidation and nitrite/nitrate was also detected. The level of some antioxidant enzymes (superoxide dismutase, catalase, glutathione peroxidase and glutathione reductase) and reduced glutathione was greatly enhanced. Furthermore, treatment with probiotics or yogurt inhibited apoptosis in hepatic tissue, which is mainly assigned to the decreased expression level of caspases-3 in liver tissue. Conclusion Our findings represent the promising anti-schistosomal activities of probiotics and yogurt