Page 1 National Undergraduate Research Conference 2019 Organized by: International Medical University, Seremban Campus Date: 7 November 2019 Page 2 ABSTRACT BOOK CONTENT Pages 1. Organizing Committee 2 2. Welcome message from Vice Chancellor 3 3. Wel come message from Dean, School of Medicine 4 4. Welcome message from O rganizing C ommittee 5 5. Conference programme and speakers 6 6. Criteria for judging research presentations 7 7. O ral presentation abstracts 8 - 13 8. Electronic poster abstracts 14 - 21 9. Print p oster abstracts 22 - 3 0 Organizing committee Dato' Professor Dr Sivalingam Nalliah (Advisor) Professor Dr Esha Das Gupta (Chairperso n) Professor Dr C L Teng (co - chairperson) Professor Dr K G Lim Eza Norjuana b inti Kamarudin Ahmad So bri bin Jelani Page 3 Message from the Vice - Chancellor The purpose of research is to generate new knowledge. This is often in the form of a publication in the peer reviewed journal. To achieve that, the investigator first need to develop a critical mind and identify a worthwhile research question. Making sig nificant medical discoveries is not easy. However, medical students had done so 100 years ago: Jay Mclean (a medical student from John Hopkins University) assisted in the identification of heparin in 191 6, and Charles Best (a medical student from Universit y of Toronto) played a key role in the discovery of insulin in 1921. A PubMed search retrieved over 500 publications conducted by medical students in the year 2019 alone. Research meeting that you are a ttending today provide you the opportunity to present your research work and subject it to the scrutiny of your peers and more senior researchers. It is through such critique that you may improve your research methodology or even develop a new idea for you r future research. On behalf of the university, I wi sh to extend a warm welcome to you for participating in the National Undergraduate Research Conference. Do enjoy the academic stimulation in this conference, as well as to make new friends. With regard s, Prof Dr Abdul Aziz Baba Vice - Chancellor Internatio nal Medical University Page 4 Message from the Dean, School of Medicine If you were to ask a university student why he/she studied for a university degree, it is not uncommon to hear "to get a good quali fication so that I can get a good job." However, educators have always clamour for higher purpose in university education. In fact, Daniel Coit Gilman, the first president of Johns Hopkins University in his inaugural address on February 22, 1876, stated th ese aim of university education: "It is a reaching out for a better state of society than now exists;... it is a craving for intellectual and moral growth; ...it mea ns a wish for less misery among the poor, less ignorance in schools, less bigotry in the templ e, less suffering in the hospital, less fraud in business, less folly in politics; it means more study of nature,..." The challenging of task of a university gradu ate to work toward a better society require many skills, the most important perhaps is the abi lity to be critical of the status quo and able to search for a better solution. One way of developing your inquiring mind is conducting your own research project. Ever since the beginning our MBBS programme 20 years ago, International Medical University h as produced over 3000 medical graduates who now served in various disciplines in Malaysia and elsewhere. I appreciate the effort of medical colleagues in the Sch ool of Medicine in organizing this National Undergraduate Research Conference. I note that in this conference the speakers and participants of this conference comes from various disciplines, including those from the basic sciences. This augurs well for the future, as the solutions towards a better health and better society need collaboration from a ll. With regards, Dean, School of Medicine International Medical University Page 5 Welcome remarks from the Organizing Committee This year’s National Undergraduate Research Conference is held in conjunction of with the 20th year of the IMU MBBS programme. It is gratifying to note participants of this conference come from medical students of several local Malaysian universities. Thi s year the conference has a mix of lectures by senior researchers on various topics, such as systematic review, healthcare big da ta, where to publish, etc. There are two concurrent tracks of oral presentations as well as electronic and print poster present ation. We hope you will find the programme stimulating, and enjoy the networking with your peers from various universities. Th e research presentation will take three forms: 1. Oral presentation (two concurrent session) : Abstracts OP 01 - 0 8 Each present er will present for eight minu tes using powerpoint slides with four minutes of Q&A. This will be done in a lecture hall/seminar room 2. e - Poster : Abstracts EP 0 1 - 013 Each presenter will present for four minutes using a single slide (poster view) with 2 minutes of Q&A. This will be done in a lecture hall/seminar room 3. Print - poster : Abstracts PP 01 - 0 11 Each presenter will present for four minutes with 2 minutes of Q&A. This will be done in front of their print poster s We wish to thank the following facult y members who served as judges of the research presentation: 1. Oral Presentation (S tream A ) : Prof CL Teng , Dato Prof Dr Sivalingam Nalliah [ Abst racts O P 0 1 - 0 4 ] 2. Oral Presentation ( Stream B ): Prof Nazimah Idris , Dr Noorlita Adam [Abstracts OP05 - 0 8 ] 3. E - Poster (Stream A) : Assoc Prof Verna Lee, Assoc Prof Dr Puneet Agarwal [ Abstracts EP 0 1 - 0 6 ] 4. E - Poster (Stream B): Prof Philip George, Dr Mohamed Arshad Ikr am [Abstracts EP07 - 013] 5. Print Poster: Professor Dato' Dr Hj Mohamad Farouk Bin Abdullah; Dr Mastura Ismail [Abstracts PP 01 - 0 1 1 ] We wish to thank the students and academic staff f or supporting this event. Best regards, Prof Dr Esha Das Gupta, Organizing & Scientific Chairperson Prof Dr CL Teng, Scientific co - Chair Page 6 Conference programme Time Topic s and speakers Photo of speakers 08 30 - 09 00 Welcome address es Prof Dr James Koh Kwee Cho y, Associate Dean Prof Dr Esha Das Gupta , Organizing Chairperson 0 900 - 0 945 R elevance of research in undergraduate medical education Prof Dr James Koh Kwee Choy Consultant Physician and Infectious Disease Specialist International Medical University 0 945 - 1015 How t o Conduct a Systematic Review Prof Lai Nai Meng Paedi atrician and Director of Clinical Campus Taylor University 1015 - 1045 What is BIG DATA in Medicine Prof Leong Chee Onn Deputy Head, Institute of Research Development and Innovation, International Medical University 10 45 - 1115 TEA BREAK 1115 - 13 00 Pos ter presentation (electronic and print) 13 00 - 14 00 LUNCH BREAK 14 00 - 1500 Oral presentation 15 00 - 15 45 Medical Writing: Where to P ublish Prof Teng Cheong Lieng Family Physician International Medical University 15 45 - 16 15 Prize giving by Profess or Nazimah Idris Associate Dean, IMU Seremban Campus 1615 -- Tea Page 7 CRITERIA FOR THE ASSESSMENT OF ALL PRESENTATION S Item Description Score Mark given Scientific Content 1 Research question Originality of research idea, relevance to clinical pract ice, adequacy of literature review 10 2 Conduct of study Appropriateness of study design, ethical consideration and approval process, validity of data collection 20 3 Analysis of results Appropriateness of data analysis and data presentation 20 4 Sig nificance of study findings Adequacy of discussion in relation to previous studies, highlight significance of findings to the local context 20 Quality of Presentation 5 Oral delivery Organisation of oral presentation, time management, response to au dience’s query 15 6 Audio - visual aids Clarity and flow of presentation, aesthetic quality of slides /poster 15 TOTAL SCORE 100 Page 8 ABSTRACT ORAL PRESENTATIONS OP 0 1 Comparison of ECG Competency a mong Third, Fourth and Final Year Medical Students in International Medical University, Malaysia : A Cross - Sectional Study Muhammad Amir Ashraf Bin Zakaria , Muhammad Mujibuddin Bin Hassan , Ng Lee Mei , Ou Kai Qi , Rawan Elwalid Ali Mohamed Amin Gad Objectives: This study is done to evaluate and compare ECG co mpetency of medical students from 3rd, 4th and 5th year in International Medical University, Malaysia. Apart from that, we wanted to discover whether there is an ass ociation between student performance with self - reported confidence and adequacy of ECG trai ning. Method: A cross - sectional study was conducted which involved 150 clinical medical students in International Medical University between years 3 to 5, a subseque nt statistical analysis was performed by the Statistical Package for the Social Sciences (S PSS). Result: In this research the students are tested in their competency in interpretation of ECG parameters, common ECG patterns and uncommon ECG patterns. The co mpetency level between juniors and seniors was significant (p<0.05). As the seniority incre ases, the competency level is 9 times more likely to increase. Apart from that, the competency level of students w as influenced by the future specialty of interest, number of ECG classes attended, number of formal ECG classes given and number of ECG classe s that the participants thought was sufficient. Conclusion: Clinical medical students in International Medical University demonstrated a good level of proficiency i n interpretation of common & uncommon emergency and non - emergency ECG abnormalities. Better competency in ECG interpretation skills are associated with higher reported scale of confidence levels. OP0 2 Prevalence and Factors Associated with Irritable Bowe l Syndrome among Medical Students in International Medical University Clinical Campus Serem ban : A Cross Sectional Study Sarvesh Seger , Sabrina Lizy Fernendez , Nur Nabila Binti Nasharuddin , Siti Rahmah Binti Md Yunus , Nicole Teh Mae Shun Objective: To determine the prevalence of undiagnosed irritable bowel syndrome and the factors associated wi th irritable bowel syndrome among medical students in IMU Clinical Campus Seremban Methods: A cross sectional study was conducted among the medical students from semester 6 to semester 9 (year 3, year 4 and year 5) of IMU Clinical Campus Seremban selected by convenience sampling method. Participants were asked to complete a self - administered questionnaire. The questionnaire consisted of 2 main section s. Section A consisted of Page 9 demographic data and section B consisted of the Hospital Anxiety and Depression Sc ale (HADS), the Pittsburgh Sleep Quality Index (PSQI) and the Rome IV Questionnaire for Irritable Bowel Syndrome. Statistical Package for Social Sci ence (SPSS) software was used for data analysis. Results : 190 questionnaires were filled up by the students of IMU Clinical Campus Seremban. Most of the respondents were below 23 years old (62.6%), female (56.3%), Chinese (66.3%) and from Semester 9 (37.9 %). Among the 190 students who completed the questionnaires, 28 (14.7%) had symptoms consistent with a diagn osis of irritable bowel syndrome (IBS). Depression was found to be significantly associated with IBS (OR: 2.659, CI: 1.110 - 6.370) Conclusion: The prevalence of possible irritable bowel syndrome (IBS) among medical students in the International Medical Un iversity Clin i cal Campus Seremban is 14.7% based on the Rome IV Questionnaire in our study. There was a significant association between irritable bo wel syndrome (IBS) and depression. Offering the appropriate interventions to students suffering from these c onditions is recommended. OP 03 An Audit on Timing of Hip Fracture Stabilisation on Morbidity & Mortality in Hospital Tuanku Ja’afar, Seremban Thevaraj A/L Munusamy , Tey Yi Ling , Yii Sue Kee , Teoh Poh Jian , Vanessa Premnitha Francis Objective : To ident ify the time delay from fracture and admission to stabilization following hip fracture. To identify short and long term outcomes in terms of morbidity and mortality following hip fracture stabilization. Methods : All total hip replacement and hemi - arthropl asty was included in this study from January 2012 until December 2017, there were no exclusion criteria. All patients were extracted from the computerized operating theatre documentation system with the keywords, total hip replacement and hemi - arth roplasty . We called all patients and collected the data according to demographics, time taken in days from fall until the day of surgery and the post - operative Total Hip Replacement and Hemiarthroplasty functional questionnaire by the New Zealand joint reg istry. A descriptive data analysis was analysed with the use of IBM Statistical Package for the Social Sciences version 25. Results : Those 79 patients were categorised into three groups for duration between date of fall and surgery done. About 25.32 % of those pa tients (n=20) has 0 to 3 days of delay, 44.3% (n=35) had 4 to 10 days of delay and about 30.38% (n=44) had delay of more than 10 days. The questionnaire outcome was categorised into 4 groups. As the poor group results showed highest percentage, 46. 84 % as compared to the other outcomes. Then it was followed by excellent with percentage of 22.78% then by good and fair with equal percentage of 15.19%. A cross - tabulation was made accordingly between the number of days from admission to surgery and func tional s core of 79 patients responded to our questionnaire. The p - value of this cross - tabulation showed 0.822 which >0.05 and it is insignificant. This shows contraindicated results as for our hypothesis proposed. Conclusion : The result of this study was i nsignifi cant. However, our active respondent numbers were small and therefore, we could not conclude that delay in surgery would not affect the Page 10 functional value of the patient. Furthermore, there were few limitations i n our study which we need to explore further t o get better outcome. OP 04 Knowledge a nd Awareness o f Cervical Cancer Among General Population i n Seremban Foo Chuan Yi, Anishia A/P Veerappan, Annanthajothi A/P Revichandran, Adeline Lau Mai Chuan, Heong Yu Qian Objectives : The purpose of this study i s to evaluate and ascertain the current knowledge and level of awareness toward cervical cancer (CC) among general population in Seremban. Methods : A cross - sectional study was conducted which involved 461 women and men aged between 2 1 and 60 years old at t he public in Seremban, a subsequent statistical analysis was performed by SPSS version 25. Results : The study showed that the female population has higher knowledge and awareness level of cervical cancer than male and it was statisti cally significant (P < 0.05). Some of the gaps identified are the knowledge that only 36.6% of female respondents and 30.8% male respondents in Seremban are aware that multiparity is one of the risk factors for cervical cancer. The study showed that 56.6 % of male population wer e aware that multiple sexual partners can cause cervical cancer compared to 76.2% of female population. Both males and females identified smoking as more a cardiovascular risk rather than a risk for cervical cancer. Men were found to be more aware that obe sity was a risk factor for cervical cancer. Unfortunately, in our study, only 48.4% men had awareness on this aspect. There was also poor knowledge on prolonged use of oral contraceptive pills and the correlation to cervical cancer a s well as the fact that using intrauterine device helps in preventing cancer cervix. Only 47.3% males were aware that family history of cervical cancer increases risk of the female getting cervical cancer Conclusions: Our study in Seremban showed a statist ically significant diff erence in knowledge and awareness level of cervical cancer between female and male populations in Seremban. Females have a higher awareness score. As Malaysia is culturally still a paternalistic society, increasing the knowledge of t he males regarding the risk factors, causes, warning signs and preventive methods of cervical cancer will help in the males supporting and encouraging the females in the families to screen and prevent cervical cancer. Therefore, one of the targeted interve ntions to decrease canc er cervix is to educate our male population on cancer cervix prevention as well as our female population. There should be education material and media campaigns designed to reach out to the male population to assist them in acquiring the necessary knowledg e. OP 05 Comparing Self - Reported a nd Objective Smartphone Usage i n Determining t he Smartphone Addiction Risk Among Medical Students i n a Malaysian Private University Lim Yee Ching, Mark Kar Kei, Michael Lim Yang Song, Michelle Lim Wan Xuan, Mohamed Aman W aseem Page 11 Background and aims: Smartphone addiction is on the rise among university students in Malaysia. Millennials spend a significant amount of time on their smartphones each day. Hence, smartphone users may be at a si gnificant risk for addiction. This st udy explored the difference between self - reported and objectively collected smartphone usage data among medical students in International Medical University (IMU) and its relationship with smartphone addiction risk. M ethods: This cross - sectional study was conducted on 155 medical students from semester 6 to semester 9 in International Medical University (IMU) through random sampling from 20 January 2019 to 14 June 2019. Data were collected via self - reported and objecti ve smartphone usage questionnaire and Smartphone Addiction Inventory (SPAI) questionnaire. Collected data were analysed by IBM Statistical Package for Social Science (SPSS) Statistics Software version 24.0. Results and discussion: In total, 12.9% of parti cipants are at risk of developing smar tphone addiction. It shows a positive linear correlation between duration of smartphone usage during weekend and risk of smartphone addiction as shown by significance level (p - value) of less than 0.05. Self - reporting s martphone use may be provisional but a re not accurate measures for actual use. We could guess that it is likely that 'self - conscious' users are likely to be careful, sensitive or depressed and are more aware of their behaviour. An objective data should be more advisable in future research as t he self - report based decisions for diagnosis and improvement are apt to fail in reflecting the real state of the subjects. Conclusion: The findings indicated that self - reported usage duration can come close but are not accurate measures of actual duration of smartphone use. Moreover, usage time may not be a good indicator of addiction risk since it may be used for educational purposes. Hence, it is advisable to use an objective method to obtain data for f uture research rather than self - reported data. OP 06 Efficacy a nd Safety o f Prostaglandins v s Double Balloon Catheter i n Inducing Labour : A Meta - Analysis Jia Sheng Chong, York Lin Chew, Ayendra Fernando Objective : To compare the efficacy and safety of double‐balloon catheter with prostaglandin E2 (PGE2) in the induction of labor. Search strategy : We searched electronic sources from MEDLINE, SCOPUS, PubMed, Science Direct and Cochrane Library Database of Systematic Reviews. Selection criteria : Only rando mized controlled trials and observational studies comparing the PGE2 agents with double - balloon catheter for cervical ripening and labour induction in women with unfavorable cervix were included in the analysis. Data collection and analysis : The main outco mes included the vaginal delivery rate within 24 hours and cesarean section rate. We calculated relative risks and mean differences using fixed‐ and random‐effects models. Page 12 Main results : Prostaglandin was more favourable for vaginal delivery within 24 hours compared to double balloon, but was not statistically significant ( RR 1.17 , 95%CI : 0.96 - 1.42 , p =0.12). The induction to delivery time yielded a non - significant result that again favors prostaglandin (SMD 0.02 , 95% CI: - 0.18,0.22, p = 0.86). There was no s ignificant difference in the cesarean section rate between the two groups (OR 1.00 , 95% CI : 0.84 - 1.19, p = 0.97). Uterine hyperstimulation and Neonatal Intensive Care Unit (NICU) admissions were significantly higher with prostaglandin. ( RR 0.09 , 95% CI : 0. 0 4, 0.23 p<0.00001 and RR 0.75 , 95% CI: 0.61,0.92 p=007). Conclusions : No significant difference in the success of induction of labor. Uterine hyperstimulation and NICU admission was significantly higher in Prostaglandin group. OP 07 Perception o f Trust Amon g Ambulatory Patients Towards Their Healthcare Providers i n Seremban : A Preliminary Exploration Using t he Health Care Relationship Trust Scale Candal Chew She - Yi , Christine Chiw Yin Yin , Beh Jien Chien , Chong Yue Xin , Chang Rui Zhi Introduction: This st udy is a preliminary assessment of patient trust towards their healthcare providers among patients attending the Family Specialist Clinic in Klinik Kesihatan Seremban. Methods: A cross - sectional observational study whereby patients are asked to complete a self - administered questionnaire on patient trust. The questionnaire is based on the Health Care Relationship (HCR) Trust Scale and only English - speaking patients were enrolled. Results: 160 patients were enrolled into this study. The m ean HCR Trust score w as 36.72 (maximum score 52, SD 8.765). The alpha Cronbach was 0.888 (0.899 based on standardized items). There was no statistical difference in the HCR Trust score between age groups, gender, ethnicity, marital status, education level and income levels. C onclusions: The HCR score suggests a moderate trust level in the patients towards their healthcare providers in this clinic setting. Further studies will aim to refine this Scale for use in a wider population of patients in different l anguages and determin e the HCR Score that represents the different levels of trust in our local population OP 08 Comparing Prevalence of Depression Between Mothers and Fathers of Children with Autism Jeffrey Tan Yong Ye , Josephine Wong Siew Jin , Kor Win Sheng , Michelle Tham H ooi Chong , Jasvinder Singh Autism, a childhood psychiatric disorder dealing with social skills difficulties and abnormal behaviours have been studied in various perspectives. Research has shown that t his disorder is one of the contributing stressors to pa rents leading to physical, psychological and emotional burden. In our research, we aim to compare the prevalence of depression between father and mother of those children diagnosed with autism. A prosp ective study of 106 pairs of parents who have children with autism have been studied and screened for depression using a questionnaire and the Beck’s Depression Inventory. Our exclusion criteria include children from divorced family or children with other congenital disorders. The results have shown that Page 13 mothe r has a higher prevalence rate of 59.4% to fall into depression as compared to father who only has 44.3% of prevalence rate to fall into depression. Some contributing factor that we have identified inc ludes education level of the parents, monthly income, n umber of children with autism, period of diagnosis and the time spent with child per day. In conclusion, our hypothesis of mothers of children with autism do have a higher prevalence rate as compared t o fathers. Early intervention can be offered for a bett er quality of life for the family. Page 14 ELECTRONIC POSTER PRESENTATIONS EP 0 1 A Descriptive Study on Parental Expectations of Urban Private Paediatric Outpatient Service Lo Yee Miin , Lee Pei May , Leonna Lim Suk Hui , Ng Xin Yin , Mark Kar Man Objective: To assess parental expectations of a paediatric clinic in terms of services and facilities Methods: A survey was conducted among parents in two urban paediatric clinics by using self - administered qu estionnaire. It consisted of three sections to assess parent s’ expectation on various aspects of services and facilities offered in the paediatric clinic together with their demographic information. 6 - point Likert scales were applied in the questionnaire t o obtain quantitative responses. Parents whose children were less than 18 years old were included while those who were related to the institutions were excluded. Statistical Package for the Social Science (SPSS) software version 25 was used for data analys is. Results: 387 questionnaires were filled up by the paren ts from both paediatric clinics. Most of the respondents were 38 years old and younger (63.3%), female (66.4%), and Chinese (58.7%). Most of the parents responded synonymously in terms of frequency on the Likert scale such as on the issue of medications, most of them would like to receive antibiotics when their children had high - grade fever (65.4%). On the aspect of doctors’ general appearance, the parents expected them to wear a white coat in the clinic (64.1%). The side effects of the medication (97.4%), consultation charges ( 83.2%), treatment charges (81.9%) as well as special facilities like breastfeeding room (92.5%) were shown to influence parents’ decision making in choosing a paediatric clinic. Furthermore, the parents with higher education level ha d lower expectation in receiving antibiotic (Mean: 3.88) as opposed to the lower education group (Mean: 4.48). Both higher and lower income groups agreed that consultation charges and treatment charges were important determining factors, with a mean of 4. 30 and 4.63 respectivel y. Conclusion: P arents have moderate to high expectations for most of the services and facilities that could be, if not already provided, served in an urban private paediatric clinic. Improving such areas will fulfil parents’ expecta tion and increase the s atisfaction towards patient care. EP 0 2 Perception Towards Medical Related Applications Use i n Smartphones a nd Tablets Among Medical Students Chan Yu - Ze , Ching Sue Lynn , Chong Chiun Perng , Fatin Nur Aina Ainie Binti Marzuki , Haww a Nadha Najeeb Introduction : The usage of medical applications is reported to benefit students’ learning experience and has become increasingly popular among medical students. Various literatures have evaluated the level of smartphone ownership among medical students and their patterns of usage of medical applications. The study of students’ perceptions towards medical Page 15 applications use and the barriers faced by them during the usage of such applications is relatively lacking. Methods: This cross - sectio nal study was conduc ted in International Medical University Clinical Campus, Seremban, Negeri Sembilan, Malaysia. Self - administered paper - based questionnaires were distributed to medical students from semesters 6 to 9 who owned at least one mobile device. A total of 161 medic al students participated in this study. Results: Majority of the students agreed that medical applications are a reliable and convenient source of information. In terms of professionalism, the students generally agreed that the usage o f medical applicatio ns in clinical settings can be perceived as unprofessional. The students did not face much barriers while using medical applications, other than the lack of financial power to purchase certain applications. Conclusion: The participants of this study gener ally regard the usage of medical applications as an efficient means of enhancing their medical knowledge. They reported a possibility of compromised professionalism, as the majority agreed that the usage of medical applications in clini cal settings can be perceived as rude and less engaged. The lack of financial power for purchase or subscription to certain medical applications was the main barrier faced by medical students. The usage of medical applications among medical students should be encouraged, as t heir accessibility and convenience expedite the process of learning. However, while using medical applications in the clinical setting, medical students should remain professional. EP 0 3 Physical Activity a nd Quality o f Life Among Me dical Students i n a Private Healthcare University o f Malaysia Wong Zhen Zhe , Tan Lu Quan , Tan Shin Kiat , Ung Lik Ning Introduction : Physical activity has been well known to bring benefits and is hence crucial to good health. Quality of life (QoL), on the other hand, is important in health promotion and is known as a motivator of physical activity. Multiple studies have suggested an association between level of physical activity and quality of life. Therefore, this study aims to assess t he level of phy sical activity and quality of life of medical students in a private institution (International Medical University Malaysia), and to determine any association between their level of physical activity and quality of life. This study will also compare the lev el of physical activity and quality of life between pre - clinical phase and clinical phase medical students. Methods : A cross - sectional study was conducted among medical students from International Medical University Malaysia, Malaysia’s mos t established p rivate healthcare university to identify any association between level of physical activity and quality of life. The International Physical Activity Questionnaire (IPAQ) – Long Version is used to measure the participants’ level of physical a ctivity, wherea s the WHO Quality of Life – BREF (WHOQOL - BREF) Questionnaire is used to assess the participants’ quality of life (QoL) from various aspects and domains. Results: Out of 298 medical students, 35.2% of all students were highly active, 40.3% of students were moderately active and 24.5% of students had low levels of physical activity. QoL of participants were reported using a 0 - 100 scale recommended by WHOQOL - BREF User Manual based on general quality of life, perceived health condition and 4 other domains, Page 16 name ly physical, psychological, social and environmental. Participants with high level of physical activity have significantly better self - perception of health condit ion compared to those with moderate and low levels of physical activity (p < 0.05). There is n o significant difference between level of physical activity and quality of life between pre - clinical and clinical phase medical students. Conclusion : There is a p ositive association between level of physical activity and the perception of health condition among the medical students. However, more studies should be conducted to establish associations between different types of physical activity and the different asp ects of quality of life EP 0 4 Prevalence of Depression amongst Hemodialysis and Continuous Amb ulatory Peritoneal Dialysis (CAPD) patients Lim Zi Xuan, Joanne Ong, Manthira Suresh, Lee Zheng Yang Brandon, Lai Lee Suan End stage renal disease (ESRD) is a c hronic disease in which the kidneys cannot regulate electrolytes, acid - base balance, and fail to excrete waste products. ESRD can be treated by hemodialysis, peritoneal dialysis, or kidney transplantation. In Malaysia, by the end of 2016, 35781 patients we re on hemodialysis (HD) and 3930 were on peritoneal dialysis (PD). 1 Many chronic illnesses suc h as diabetes mellitus and hypertension are associated with depression. ESRD also has a prevalence of depression of 15%. As the commonest psychological condition amongst ESRD patient, depression also affects the compliance of the patients towards their tre atment. Study also showed that ESRD patients have a 4 - fold risk of depression than the general population. Depressed dialysis patients are more likely to face com plications; some studies have demonstrated a relationship between depression and mortality in hemodialysis patients. EP0 5 [WITHDRAWN] EP 06 Online Health Information Seeking Behaviour Yip Kah Chun, Lim Hooi Min, Wong Swee Shiuan , Adrian Chin Jian Zhi, Felicia Chang Wen Si, Teo Chin Hai, Adina Abdullah, Ng Chirk Jenn, Affiliations: Department of Primary Care Medicine, University Malaya, Kuala Lumpur Email: stanleykc97@gmail.com Backgr ound: Internet plays an increasing role in health information access. There are conflicting views about the values of t he internet as a tool to improve health outcomes. Online health information seeking showed to affect health outcomes, medical consultatio n, and patient - doctor relationships. Objectives: To determine the prevalence of the use of the internet to seek health information and its associated factors among patients in a primary care clinic Page 17 Methods: A cross - sectional questionnaire study was conducted on June 2019 in an outpatient primary care cl inic in University Malaya Medical Centre. Patients aged ≥ 18 years wer e recruited using a systematic random sampling method. The questionnaire included socio - demography, online HISB, and eHealth literacy by using eHealth Literacy Scale (eHEALS). Data were analyzed using descriptive statistics and multiple logistic regression. Results: A total of 381 patients were recruited. The mean age was 57.1± 16.9 years with 62.7% (n=239) of female patients. There were 88.4%(n=336) patients had upper secondary education and above. A total of 54.7% (n=208) patients have used the internet to search health information in the past one month. The main online sources are Google (96.2%, n=200), WhatsApp’s (74.5%, n=155), YouTube (56.7%, n=118) and Facebook (55.3%, n=115). Highe r education levels, longer duration of internet use and eHEALs score were significantly associated with online health information seeking. Discussion: This study contributes to a clearer understanding of the online HISB among patients in primary care sett ing. The use of search engines and social media as the main source of health information might contribute to the trust of misleading information if patients are unable to critically evaluate the information. Open discussion between doctors and patients reg arding online health information has the potential to enhance doctor - patient partnership in health management. EP 0 7 Would Empathy i n Medical Students Be Affected b y Their Mental Health Status ? Choo Jian Yong Kazuya , Ho Mun Han , Iu Sheak Ni , Janet Leu Su Hui , Katthiraavan A/L Thiruvengadam Background: Empathy has been labelled the cornerstone of physician - patient relationship while higher prevalence of depression, anxiety and stress has been well - established. This study examines the relationship of depre ssion, anxiety and stress with empathy among clin ical year medical students of International Medical University (IMU) Method: A cross - sectional study of Semester 6 to 9 clinical year IMU students was conducted through the administration of validated, self - administered questionnaire of Depression, Anxiety and Stress Scale - 21 (DASS - 21) and Toronto Empathy Questionnaire (TEQ). R esults: 221 responses were included in the analysis. The prevalence of depression, anxiety and stress were 39.3%, 53.4% and 27.9% resp ectively. The mean empathy score was 45.28 ± 7.33 2. Empathy score was significantly different among posting (p=0.019), with Obstetrics and Gynaecology (O&G) having the lowest empathy score (41.65) and Orthopaedics having the highest (47.25). Statistically significant relationship was found between stress and empathy in male students (p=0.028). Conclusion: The level depression, anxiety, stress and empathy among IMU clinical students were similar to that reported for comparable groups. The empathy was lowest during O&G posting and highest for Orthopaedics. There was a relationship between stress and empathy in male students. Future research is needed to determine the factors affecting lower empathy scores in specific postings. Page 18 EP 0 8 Knowledge Regarding Chicke npox Disease a nd i ts Prevention Among Clinical Students i n International Medical University Lawrence Ling Siaw Yee , Leow Kok Hoong , Lim Su Ying , Ian Yoo Yong Li , Isabel Yah Chuen Hwee Introduction: Chickenpox is a highly infectious disease that can caus e complications such as bacterial superinfection of the skin, meningeal involvement, and so on. Objective: To assess the knowledge of medical students on chickenpox and to find out if there is a signi ficant difference of knowledge of chickenpox between se nior medical students (semester 9 & 10) and junior medical students (semester 6 and 7). Methods: A cross - sectional study of 203 students (95 from semester 6 & 7 and 116 from semester 9 & 10) from IMU campus in Seremban, Kluang and Batu Pahat was performed . A structured questionnaire has been constructed to collect and gather data on the subject’s knowledge regarding chickenpox, consisting of 15 true or false statements. Results: The level of knowledge on varicella was inadequate as 79.1% of the respondent s score less than 65% (Passing Score) in the questionnaire. The respondents in semester 9 and 10 performed considerably better with a 26.7% passing rate compared to respondents in semester 6 and 7 wher e only 13.7% of the respondents passed. Conclusions: W e concluded that the level of knowledge of varicella among respondents was inadequate with better knowledge among semester 9 and 10 students compared to semester 6 and 7 students. More awareness and va ccination programs should be held in University to educ ate students on the serious complications of chickenpox and the advantage of taking effective preventive measures EP0 9 The Prevalence o f Depression, Anxiety a nd Stress a nd Its Association With Sleep Q uality Among Medical Students o f International Medical University Bong Jing Xian , Cheong Chee Qing , Woon Jia Sern , Vigneswarar A/L Velu , Zabedul Haque Patowary Introduction: Medical students were found to have deteriorating sleep quality, which is linked to depression, anxiety and stress but insufficient upd ated data to identify the present status. Objective: To (a) identify the association of sleep quality with depression, a nxiety and stress among medical students, and (b) determine the prevalence of depression, anxiety and stress among pre - clinical and clin ical phase IMU medical students. Methods: A cross sectional study was conducted on 329 medical students from Internation al Medical University in Malaysia. Self - administered questionnaires were used to obtain the data. Depression Anxiety Stress Scale - 21 (DA SS - 21) was chosen to screen for depression, anxiety and stress while Pittsburgh Sleep Quality Index (PSQI), was used to assess sleep quality. Results: Analysis showed among all students, 19.4% had moderate depression, 22.6% had moderate anxiety, 8.2% of moderate stress. Depression and anxiety were more prevalent in Page 19 preclinical phase students while sleep quality was poorer among clinical phase students. Depression, anxiety and stress are significantly associated with sleep quality. Conclusions: Anxiety had the highest prevalence compared to depression and anxiety. There is significant correlation of the three components of DASS - 21(depression, anxiety, str ess) to presence of clinical exposure, except for stress, and also its relation to sleep quality. More r esearches need to be conducted to further understand the causes of these differences in order to develop a better support programs and interventions for these groups of medical students. EP 10 Trend o f Cigarette Smoking Among Malaysian Adults : A Systemic R eview of National Surveys Ashiya Begum Rafiq, Abu Bakar Tayyib, Andrew Wong Wei Jye, Calvin Lau Koh Sii, Sajini De Silva Objectives : To synthesize the smoking prevalence by age group among adults, gender, ethnicity over a 30 - year period. M ethods: T he se arch strategy was implemented on two databases (Pub M ed and Scopus), Ministry of Health Malaysia website and contact with investigator s between January 1986 and December 2017. National level studies with available English articles were included