Prevalence of Obesity and Dental Caries in High School Adolescents during the First Decade of Saudi Vision 2030: A Cross-Sectional Study.

Saudi Vision 2030 was launched in 2016. Obesity and dental caries are both highly prevalent in Saudi adolescents and have been targeted by the Vision's health initiatives. The aim is to assess their prevalence in adolescents during the first decade since the launch of the Vision. This cross-sectional study was conducted in Jeddah, Saudi Arabia using a stratified sample of 571 high school students, with an average age of 16.7 (0.6). Their height and weight were measured, and their body mass index (BMI) was calculated. The decayed, missed, and filled scores (DMFTs) were recorded after an oral examination. Non-parametric tests were used to assess the associations of DMFT with BMI, sex, and school type; and its predictors were assessed. One-third of males were overweight/obese compared with 22% of females. Males exhibited higher DMFTs than females. DMFTs were higher among public school students than among their private school counterparts. No significant association was observed between DMFT and BMI. Sex and school type were significant predictors of DMFT. The prevalence of obesity has slowly decreased in adolescents, but the prevalence of dental caries has not. There was no significant relationship between these conditions. Saudi Vision 2030's current preventive/educational initiatives may be more effective in combating obesity than dental caries.

Implications of circular economy, digitalization and technological innovation to achieve sustainable environmental goal: Pre and post-vision 2030.

The current study contributes to the existing literature by constructing a digitalization index to investigate the significance of digitalization in controlling the environmental footprint. Moreover, the dataset is divided into pre-Vision 2030 and post-Vision 2030 implementation to scrutinize the progress of Saudi Vision 2030 to counter the environmental challenges. Vision 2030 is a strategic framework to reduce Saudi Arabia's dependence on oil, diversify its economy, and develop public service sectors such as health, education, infrastructure, recreation, and tourism. The findings have documented the negative coefficients for post-Vision 2030 and post-COVID-19 estimations, reflecting that a significant digitalization increase is useful for controlling the environmental externalities in Saudi Arabia. In the case of post-Vision 2030, the role of environmental technology turns out to be significant and negative, but with a lower magnitude. The study results are useful for drawing significant environmental policies through enhancing the digitalization parameters and advancement of technology.

Women in Saudi secondary school EFL textbooks: a critical study of women's empowerment as enshrined in the Saudi Vision 2030.

Since the launch of the Saudi Vision 2030, Saudi Arabia has undergone significant economic and social reforms in order to move away from the country's reliance on oil and toward a more diverse and sustainable economy. One of the important chapters in this endeavour is the empowerment of Saudi women whereby they are to be given opportunities equal to men. Against this new paradigm, this study investigates whether Vision 2030's transformative efforts surrounding women's empowerment are reflected in the country's EFL textbooks, or whether the traditional representation of Saudi women has remained unchanged. The analytical focal point is the pictorial representation of Saudi women in six textbooks which form part of the Mega Goal series, and which are used to teach English in Saudi secondary schools. The analysis examined the representations of females from three different angles: the percentage of appearances in the textbooks from the total human pictorials; the social roles and occupations depicted, and the activities that they are engaged in. Analysis along all three of these angles revealed that there is a remarkable imbalance between the depiction of men and women in these textbooks, in favour of men. The study concludes that the Mega Goal series' EFL textbooks fall short of providing a realistic representation of Saudi women and fails to include representative depictions of women who, like their male counterparts, have occupied senior roles and prestigious positions in the country. This conclusion points to the need to include such representation in EFL textbooks, so that the role of women as envisaged in Saudi's Vision 2030 complies with the Vision's determination to provide equal opportunities for both men and women.

Cardiovascular Disease in Saudi Arabia: Facts and the Way Forward.

Cardiovascular diseases (CVDs) remain a major health concern globally. While some risk factors for CVDs are non-modifiable, other determinants like obesity, hypertension, type-2 diabetes and dyslipidemia can be mitigated by a wide plethora of measures to control CVD morbidity and mortality. Those determinants have been on the rise in Saudi Arabia, exacerbated by sedentary lifestyle. The Saudi Vision 2030 aims to reduce CVD clinical and economic burden and to scale up vitality and longevity; in a new era of comprehensive healthcare. From a health economics standpoint, CVDs entail a burden on healthcare systems directly through expenditure and indirectly through years living with the disease, low productivity, premature morbidity and mortality. This manuscript reviews current CV health and unmet needs in Saudi Arabia, discusses G20 countries' initiatives on primary prevention: public health measures, awareness programs; and proposes national registries and digital solutions to facilitate population-specific research, improve CV surveillance and alleviate CVD burden in Saudi Arabia.

Potentialities and priorities for higher educational development in Saudi Arabia for the next decade: Critical reflections of the vision 2030 framework.

Contributing to Vision 2030, Saudi higher educational institutions (HEIs) must reform their education system, reevaluate their potentialities, and priorities to support higher education development in achieving the Vision theme. With this goal, several educational innovation projects have been introduced to attain the vision's higher educational development strategic objectives. This study investigates the HEIs' current practices and analyses their achievements and the progress toward achieving the Vision's higher education development goals for the first review cycle (2016-2020) of the Vision. Academic expert interviews and surveys were conducted involving participants from the top ten Saudi universities to know how these institutions contribute to the Vision progress using an innovative approach. Juxtaposing HEIs' potential and priorities with the Vision's higher educational objectives to determine the development progress. The findings reveal that the most sought priorities are the new modern curriculum, industry-based academic learning outcomes, skilled graduates, faculty development, innovative research, foreign universities collaborations, accreditations, and lifelong learning focusing on future skills. The tendency of these priorities works on higher education development, improving professional competency, filling the gaps between higher education outcomes and the growing market needs, revitalizing universities, and linking to knowledge base society. The presented approach will be an effective tool for understanding how specifically these entities contribute toward achieving the vision's targets. It is a significant model for future studies, useful for analyses of higher education potentialities' performances, and enhances readers' understanding.

Empirical Evidence of Environmental Technologies, Renewable Energy and Tourism to Minimize the Environmental Damages: Implication of Advanced Panel Analysis.

The motivation behind this research is to investigate the determinants of the ecological footprint in MENA countries and find appropriate solutions. We updated the STIRPAT model and applied sophisticated panel techniques to data from 1996 to 2020. According to the findings, economic expansion along with urbanization and tourism is to blame for these countries' huge environmental footprints. In addition, when it comes to environmental degradation remedies, environmental innovation and the use of renewable energy play an important role in minimizing these environmental externalities. The results of post Saudi Vison 2030 analysis confirmed the significance of urban population and renewable energy in minimizing the environmental footprint. In light of the findings, it is advised that policymakers should revise the legislative framework to attract not only private sector investment, but also foreign investment to utilize the full potential of renewable energy generation.

University social responsibility under the influence of societal changes: Students' satisfaction and quality of services in Saudi Arabia.

Universities contribute to shaping the identity of a nation with their major university social responsibility (USR) in addition to their academic purposes and corporate strategies. In Saudi Arabia with Vision 2030, universities are facing a transformation in adapting to the societal changes and implementing a socially responsible management, considering the satisfaction of their most important stakeholders (i.e., the students) and the quality of services offered to them. This study aims to explore how USR fulfills the societal changes in Saudi Arabia from the perspective of university students in addition to inspecting USR's relationships with the students' satisfaction and the quality of services offered to them. A self-report study was conducted with 350 undergraduate students in the Faculty of Social Sciences in a Social Work program at a University in the Western region of Saudi Arabia. An inside-outside (I-O) map of USR was applied to investigate the relationships among USR's aspects. The study results demonstrated a moderate level of agreement by students toward the university's fulfillment of its USR, quality of services offered to them, and their satisfaction. In contrast, the results of a regression analysis revealed that all USR aspects could explain only 13% of the students' satisfaction. Legal responsibilities, among all USR aspects, exhibited the highest influence on students' satisfaction. Gender differences existed in favor of female students' perceptions toward the university's fulfillment of its USR. The I-O map provided interesting insights to interpret the correlations among all USR aspects under the influence of societal changes that have occurred under Saudi Vision 2030.

Evaluation of wind power generation projects to reduce air pollution using multi-criteria decision-making methods in Saudi Arabia.

Currently, Saudi Arabia has very limited renewable energy generation capacity, as most of the country's electricity sector is dependent on cheap fossil fuels. However, in recent years, the Saudi government has announced a national development program called "the Saudi Vision 2030," whereby the country intends to increase the share of renewable energies in its total power generation to 20% by 2030. This research is aimed on the possibility of developing wind farms in Saudi Arabia's Al-Jawf area, which is known to be rich in wind sources. The potential of wind energy in the region was examined in the first phase of the research, which focused at the environmental, economic, and technical aspects. For this goal, the two-parameter Weibull function was used to model wind energy in the area. The economic assessment was performed in terms of the Levelized Cost of Energy and payback period. Multi-criteria decision-making approaches were employed in the second phase of the study to determine the most proper sites for harvesting wind energy in the study region based on eight factors including technical, economic, environmental, and social aspects. The most proper site for wind farms was identified by the combined use of Stepwise Weight Assessment Ratio Analysis and Weighted Aggregated Sum Product Assessment. The results showed that the most proper site for locating wind farms in the study area is the city of Al-Qurrayyat, where, using 1 MW turbines, it will be possible to produce 2357 MWh/year of electricity at a cost of 0.092 $/kWh, resulting in a payback period of 8.1 years. From the environmental perspective, wind power generation in Al-Qurrayyat will result in 1124.15 ton/year of CO2 emissions reduction.

A proposal to activate the role of early intervention programs for the rehabilitation of mothers of children with Down syndrome, in light of the Saudi vision 2030.

BACKGROUND: Early intervention programs are supremacy in health, psychological, social, and sports care policies in many developed countries, considering the necessity to identify the circumstances and any support required as soon as possible. Consequently, understanding the critical role of mothers of children with Down syndrome in meeting the needs of their children is crucial, as well as developing their capacity to make positive contributions to the psychosocial harmony of their children. Hence, this study aims at determining the real role of early intervention programs in the rehabilitation of mothers of children with Down syndrome and identifying the obstacles that prevent early intervention services and programs from achieving their objective and how to treat it. MATERIALS AND METHODS: The descriptive-analytical approach was used. In order to achieve these objectives, an online questionnaire consisting of (88) phrases, divided into three areas, was applied to (20) mothers of children with Down syndrome. RESULTS: The assessment study concluded several results from the mothers' perspective, indicating that cognitive qualifications were highest at an average of 52.66%, followed by educational qualifications at an average of 50.73%, social qualification at an average of 48.78%, and religious qualification at an average of 48.33%. Finally, psychological qualifications were lowest at an average of 45.22%. The approval rate of all these proposals exceeded 90%. CONCLUSION: Based on these results, a proposal for activating early intervention programs for the rehabilitation of mothers of children with Down syndrome, in light of the Saudi Vision 2030, was set. It was also recommended to give continuous and intensive courses to mothers, in order to improve their children's skills and self-sufficiency.

Satisfaction of patients with health care services in tertiary care facilities of Riyadh, Saudi Arabia: A cross-sectional approach.

As part of Saudi Vision 2030, the country's healthcare system is undergoing a significant makeover, with accessibility and effectiveness serving as the benchmarks for measuring patient care quality. This study's goal was to ascertain the degree of patient satisfaction with the medical care and services received in Riyadh's tertiary care facilities. The PSQ-18 (Patient Satisfaction Questionnaire-18), a standardized validated questionnaire including areas of "overall satisfaction," "technical quality," "interpersonal aspect," "communication," "financial aspect," "time spent with the doctor," and "accessibility and convenience," was used in this cross-sectional study on 384 patients of two tertiary care facilities in Riyadh, Saudi Arabia, over a 6-month period. The degree to which sociodemographic characteristics and components of patient satisfaction are correlated was assessed using binary and multiple regression analysis. When the P-value was < 0.05, the results were considered significant and were presented as adjusted odds ratios (AOR). To ascertain how each PSQ-18 subscale affected other subscales, a Pearson Correlation analysis was conducted. The overall degree of satisfaction with all 18 items was 73.77%. The financial component received a rating of 81% compared to 77% for general satisfaction. Technical quality (75%) was followed by accessibility and convenience (73.5%), communication (73%), and interpersonal elements (72%). At 68%, the time spent in the doctor's domain received the lowest rating. The odds of satisfaction were increased by 3.87 times, 3.45 times, and 3.36 times among those who are employed, qualified by university education, and married compared to unemployed (P-value = 0.018), less qualified (P-value = 0.015) and singles (P-value = 0.026), respectively. The younger age group also made 1.78 times more of a difference in higher satisfaction ratings. The general satisfaction domain showed a positive association with other areas. Participants who were satisfied with the communication and accessibility and convenience domains of healthcare providers were the only ones who were typically satisfied with the domain of doctor time spent. The study's findings could act as a benchmark for Saudi Arabia's healthcare services as well as a starting point for quality assurance procedures.

Healthcare Human Resources: Trends and Demand in Saudi Arabia.

This paper estimates the impact of policies on the current status of Healthcare Human Resources (HHR) in Saudi Arabia and explores the initiatives that will be adopted to achieve Saudi Vision 2030. Retrospective time-series data from the Ministry of Health (MOH) and statistical yearbooks between 2003 and 2015 are analyzed to identify the impact of these policies on the health sector and the number of Saudi and non-Saudi physicians, nurses and allied health specialists employed by MOH, Other Government Hospitals (OGH) and Private Sector Hospitals (PSH). Moreover, multiple regressions are performed with respect to project data until 2030 and meaningful inferences are drawn. As a local supply of professional medical falls short of demand, either policy to foster an increase in supply are adopted or the Saudization policies must be relaxed. The discrepancies are identified in terms of a high rate of non-compliance of Saudization in the private sector and this is being countered with alternative measures which are discussed in this paper. The study also analyzed the drivers of HHR demand, supply and discussed the research implications on policy and society. The findings suggest that the 2011 national Saudization policy yielded the desired results mostly regarding allied health specialists and nurses. This study will enable decision-makers in the healthcare sector to measure the effectiveness of the new policies and, hence, whether to continue in implementing them or to revise them.

Linking nurses' job security to job satisfaction and turnover intention during reform and privatization: A cross-sectional survey.

BACKGROUND: Reforming health care systems can influence the workers. Among the aspects that could be influenced are the perception of job security, job satisfaction and turnover intention. However, nurses' perception on job security, job satisfaction and turnover intention during health care reform and privatization is a topic yet to be explored. OBJECTIVES: To examine the link between job security, job satisfaction and turnover intention during the reform and privatization of a health care system. DESIGN: A cross-sectional survey design was utilized in this study. METHODS: The survey was composed of sociodemographic items, global job satisfaction item, global turnover items and job security scale. Data were analysed using SPSS, and univariate, bivariate and multivariate analyses tests were used. RESULTS: Although job satisfaction partially mediated the association between job security and organisational turnover during health care reform, it completely mediated the association between job security and professional turnover intention. CONCLUSIONS: Further research is needed to examine this finding. IMPLICATION FOR NURSING MANAGEMENT: The findings of this study benefit nurse managers and leaders for their evidence-based management. Moreover, this study will help them focus on practices that satisfy the staff and improve the job security by improving the communication and work on changing the policy.

The mediating role of ICTs in the relationship between international tourism and environmental degradation: fit as a fiddle.

The United Nations sustainable development goals (SDGs) proposed 17 effective plans linked with three principal aims, i.e., eradicating poverty, conserving the natural environment, and ensuring prosperity for all. Travel and tourism are the leading stream sector through which all the three stated United Nations themes could be achieved efficiently. The future project of Saudi Arabia's vision is also in line with the United Nation SDGs that much emphasized on tourism expansion, innovation, and sustainable development, which directly supports the SDG-8 (i.e., decent work and economic growth), SDG-9 (i.e., industries, innovation, and infrastructure), SDG-12 (i.e., responsible consumption and production), and SDG-13 (i.e., climate change). The study's objective is to evaluate the country's e-tourism initiatives and green development agenda in the long-run by using the quarterly data from 1995Q1 to 2018Q4. The study employed the autoregressive distributed lag (ARDL) model for estimating the short- and long-run relationship between the variables. Further, the study developed an "e-tourism index" that combines ICT's share in tourism income and expenditures items by principle component matrix (PCM). The results show that oil rents, ores and metal exports, and railways goods transportation depleted natural resources, while ICT's share in energy demand, inbound tourism, and trade openness conserve natural resources via the adoption of advanced technologies, eco-tourism knowledge, and green technology imports in a country. The results confirmed the U-shaped relationship between the country's per capita income and natural resource depletion in a given period. The positive relationship (negative impact) of air transportation freight and trade openness with carbon emissions is evident in the short-run; however, the result is insignificantly determined in the long-run. The industry value-added and ICT's share in energy demand substantially delimit carbon emissions through cleaner production techniques and green innovation. The U-shaped relationship in the short- and flat relationship in the long-run is found for carbon-growth nexus. In the long-run, inbound tourism has a positive (negative impact) relationship with carbon emissions that need sustainable tourism policies to delimit carbon emissions. The air-railways passengers carried and trade openness is the main antecedents that influenced fossil fuel energy consumption in the short- and long-run, while in the long-run, tourism income, ICT's share in energy demand, and industry value-added delimit fossil fuel combustion. The study confirmed the inverted U-shaped relationship between carbon emissions and per capita income in a country. The e-tourism index positively influences the country's economic growth, mobile share in the energy demand, industry value-added, and railways goods transportation. In the long-run, the mobile share in energy demand and railways goods transported increase while air transport freight decreases economic growth. Finally, the e-tourism index is positively influenced by industrial value-added and ICT's share in fossil fuel energy demand. Simultaneously, air transportation passengers carried and ICT's share in carbon emissions negatively affected the e-tourism index in a country. The study concludes that Saudi Arabia's vision 2030 of e-tourism and green sustainable development could be achieved by promoting green ICTs, cleaner production technologies, sustainable consumption and production, tight environmental regulations, and green travel and tourism infrastructure, which ultimately will support the Saudi's vision realization programs towards the country's prosperity.

The Impact of COVID-19 Outbreak on Reassessing the Need for Drive Thru Community Pharmacy: Cross-Sectional Study.

INTRODUCTION: Community pharmacies spread all over Saudi Arabia. Customers face some of the logistic problems, such as parking availability and privacy. This study was aimed to evaluate the need, awareness, perception, and barriers of the drive-thru community pharmacy services. METHODS: A cross-sectional study was conducted between January 1, 2020, and February 1, 2020, based on a questionnaire that was published on WhatsApp and Twitter. RESULTS: From 1001 participants who completed the questionnaire, 54% of them are female and 70% between the age group of 18 and 30 years. The most common reason to visit the pharmacy among the participants is to purchase over-the-counter medications (36.4%). Although (86.5%) reported that there is no pharmacy provide drive-thru service in their city, 78% of participants think that this service will help all the community component. Participants believe that the drive-thru service will help in reducing car parking problems and traffic violations (83.8% and 86.3%, respectively) and will help in keeping patient privacy and (82.2%). CONCLUSION: Establishing community pharmacy with drive-thru service is very important to ensure a more convenient service to customers and to assist all ages, women, and special needs. Giving the recent declaration to live with coexisting COVID-19 pandemic, further procedures should be implemented to support this recommendation.