This research aims to explore the prevalence and perspectives on e-cigarette use at King Khalid University in Saudi Arabia. This is a cross-sectional study that was conducted during April and May 2023, recruiting students from the College of Medicine at King Khalid University, from Aseer region, Saudi Arabia. We included 534 participants, of those 19.3% had used electronic-cigarettes (e-cigarettes). The most reported reason for using e-cigarettes were reduce/quit conventional smoking because it is not a healthy habit (23%). A significantly lesser proportion of E. users rather than the users, think that e-cigarettes are a source of secondhand smoking, causing various diseases, burning tobacco as a source of power and harmful to pregnant women. Furthermore, the prevalence of the 2 groups was comparable when they were asked if e-cigarette is a nicotine delivery system and it contains addictive flavor. Female sex is inversely associated with e-cigarette smoking (odds ratio: 0.25 (0.15–0.42), P < .001). However, age, grade point average, and MBBS year were not associated with E. smoking. One fifth of the medical students at King Khaled University are E. users with a large proportion of males. The health care authorities in conjunction with the educational authorities should raise the awareness level towards e-cigarettes use in particular the reasons for usage as well as it is harmful hazards.

Acute otitis media (AOM) is an infection of the middle ear that produces pain, fever, and discharge, as well as hearing loss. It is one of the most common problems that pediatricians encounter. Almost 80% of children have had at least one episode of AOM, and between 80% and 90% have had at least one episode of otitis media with effusion before entering school. The cross-sectional study is conducted among male and female patients, adults, and children who visited two of the largest government hospitals in the Aseer region in Southern Saudi Arabia (Aseer Central Hospital and Khamis Mushait General Hospital). The children and adults with AOM who visited the hospitals were traced by searching the medical record system by the keyword “acute otitis media.” Two authors extracted data from the medical record and patients. After extracting data, the patient will be called through mobile phone to invite them to participate in the study. If the patient agrees to participate, she/he would be sent through email link containing an encrypted and high-security electronic signature to obtain his/her consent. One of the most common pediatric infections is otitis media (inflammation of the middle ear). Children are more often than adults to get otitis media, and the majority of cases are treated with antibiotics. Clinicians commonly miss the acute stage of the disease, especially in children under the age of five. Delay or omission of diagnoses leads to inefficient management and an increased risk of negative effects.