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63,65 Students�� perceptions of atmosphere SPA is very important, because it influences all aspects of teaching and learning. All the items from this domain scored above-average at UniSZA, which indicates that research participants have positive perceptions. Enzalutamide However, none of the items scored very well. The policy makers of UniSZA should concentrate more on leisure activities and encouraging didactic settings. Females�� perceptions regarding SPA were significantly different (P=0.038) than male students�� perceptions. Previous study results have shown that females have better coping strategies and adapt more readily than their male colleagues.70,71 The present study also exhibited that Indian students have a significantly better ability to cope with the ME milieu, followed by Malays, Chinese, and others (P=0.005). The overall SPA scores were comparable to scores generated in an Irish study,10 but a bit higher than scores achieved in a study in Kuwait.65 There were two negative statements (items 17, 35, Table 3). Student reported cheating and disappointment. The authors expect that with more intensive care in the future, these two issues can be improved in the near future. Students�� check details social self-perceptions Item 15 (Table 3) is the item in the SSSP domain with highest score. Item 3 and 14 scores were low. Other items achieved average scores. These findings prove that students depend mostly on their friends for their social and moral support. There was only one negative item reported, number 14, regarding SSSP. UniSZA medical students were ��rarely bored��, but students claimed that the UniSZA system does not provide adequate opportunities to manage stress, and also that social opportunities are inadequate. The authors expect that UniSZA will engineer more opportunities for students to relax and improve their social life. Male students disclosed a statistically significant, less positive perception when compared to females (PHistone demethylase with friends.72 The overall scores for UniSZA in the SSSP domain were comparable to an equivalent Irish study,10 but were slightly higher than scores generated in a study in Kuwait.65 Malaysia is a multi-ethnic country with a multi-cultural society; in fact, the UniSZA social environment was perceived to be well-balanced between Malay, Chinese, and Indian students. Current findings were very similar with another study of Malaysian student perceptions.28 Study limitations This is a cross-sectional study with its own inherent limitations. The number of participants who returned the questionnaire varied among the year of study. Only 195 out of 270 students responded to the questionnaire.