Objectives: To examine the validity and reliability of the Jefferson Scale of Empathy-Health Care Provider Student version (JSE-HPS) in a sample of dental students in Malaysia, with the secondary aim of assessing empathy levels in first to final year dental students in public and private universities in Malaysia. Methods: The JSE-HPS was administered to 582 first to fifth (final) year dental students; 441 were enrolled at two public universities and 141 at a private university in Malaysia. Both descriptive and inferential statistics were performed using SPSS® version 18. Results:The JSE-HPS demonstrated good internal consistency (Cronbach's α = 0.70). A three-factor solution emerged and included 'perspective taking', 'compassionate care' and 'standing in patient's shoes' factors, accounting for 27.7%, 13.9%, and 6.3% of the variance, respectively. The total mean empathy score was 84.11±9.80, where the actual scores ranged from a low of 22.05 to a high of 133.35. Overall, male students (84.97±11.12) were more empathic than female students (83.78±9.24). Fourth-year students were more empathic than students in other undergraduate years, and public university students had significantly higher mean empathy score compared to those enrolled at a private university (84.74 versus 82.13, p=0.001). Conclusions: This study confirms the construct validity and internal consistency of the JSE-HPS for measuring empathy in dental students. Empathy scores among students vary depending on type of university and year of study. Future studies, preferably longitudinal in design should explore changes in empathy among dental students during progression through undergraduate courses.

Background In keeping with nation-wide efforts to contain the spread of COVID-19, Universiti Brunei Darussalam (UBD) transformed fully its pedagogical delivery to online mode, where we investigated teaching and learning experiences, physical and mental health of undergraduate students and lecturers during the COVID-19 pandemic. Methods We conducted a cross-sectional study on undergraduate students and lecturers in a health science faculty using a self-developed pretested questionnaire through anonymous online data collection method. Results Fifty-six lecturers (100% response rate) and 279 students (93.3% response rate) participated. The positive experiences reported by students include becoming independent (72.8%) and adapting to online learning (67.4%), while lecturers learned new teaching techniques (50.0%) and became more innovative (50.0%) by learning new tools (48.2%). However, studying at home caused students to feel more distracted (72.0%) with a feeling of uncertainty towards examinations (66.7%), while lecturers felt that students’ laboratory skills were compromised (44.6%). Even though online delivery of assessments enabled lecturers to explore all options (50.0%), they found it difficult to maintain appropriate questions (41.1%) and fair assessments (37.5%). Majority of students missed eating out (68.8%) and felt a lack of participation in extracurricular activities (64.9%), while lecturers reported more time for exercise (51.8%), despite having more screen time (50.0%) and computer-related physical stress (44.6%). In terms of mental health, increased stress in students was reported (64.9%), though they had more time for self-reflection (54.8%). Although lecturers reported a closer relationship with family (44.6%), they also felt more stressed due to deadlines, unexpected disruptions and higher workloads (44.6%) as well as concerns related to work, family and self (39.3%). Conclusion In this abrupt shift to online teaching, students and lecturers in our study identified both positive and negative experiences including the impact on their physical and mental health. Our findings are important to provide the evidence for online pedagogical benefits and can serve to promote the enhancement and adaptation of digital technology in education. Our findings also aim to promote the importance of addressing physical and mental health issues of the university community’s well-being through provision of emotional and mental health support and appropriate programs.

a b s t r a c tBackground: This study is aimed to explore the types of CAM and reasons of using CAM among elderly Malaysians. Method: This cross-sectional study was conducted on a sample of 256 conveniently selected elderly Malaysians who were residing in the states of Selangor and Kuala Lumpur. A pre-validated interviewadministered questionnaire was used to gather information. Data was entered into PASW version 18 and analyzed. Results: A total of 256 questionnaires were included in the study. A response rate of 64% was achieved. Out of 256 respondents, 92 (35.9%) were male while 164 (64.1%) were female. More than half of the respondents (n ¼ 141; 55.1%) agreed that CAM is more effective than allopathic medicine. Chinese respondents showed strong belief in the effectiveness of CAM. In terms of safety of CAM, close to three quarters of respondents (n ¼ 178; 69.5%) believed that CAM is safer than allopathic medicine. A large majority of respondents agreed that CAM has less side effects compared to allopathic medicine (n ¼ 201; 78.5%) and also agreed that CAM is good to maintain overall health and wellbeing (n ¼ 212; 82.8%). A majority of the respondents expressed that they use CAM because allopathic medicine is less effective (n ¼ 113; 44.1%). Conclusion: The current study reflects the reasons of using CAM among lay public from different ethnicities. There are no reports of adverse effects related to CAM use. Future approaches should be intended for awareness campaigns for consumers, highlighting safety profile of CAM and as well as forbidding their use without the consultation of healthcare professional.

Empathy has been identified as a crucial foundation in building an effective dentist-patient relationship. The aim of this study was to assess patients' perceptions of dental students' empathic care in the primary oral health care clinic at International Medical University in Kuala Lumpur, Malaysia in May-October 2014. The study also assessed the validity and reliability of the Consultation and Relational Empathy (CARE) Measure in this setting; the association between number of encounters and students' CARE Measure scores; and the association between students' empathy (measured by the Toronto Empathy Questionnaire) and CARE Measure scores. Participants were 283 patients (aged ≥18 years) who were asked to self-complete the ten-item CARE Measure immediately after their clinical encounter with students who provided care under supervision of the teaching staff. The results showed that the CARE Measure demonstrated good internal consistency (Cronbach's α=0.95). A single factor solution emerged, accounting for 69% of the variance. The mean CARE Measure score in the consultations was 43.55±6.14, and 26% of the students achieved the maximum possible score of 50. The mean number of encounters with each student was 2.33±2.78. An increase of one episode was associated with an insignificant average CARE score decrease of 0.05 (-0.28, 0.38), whereas students' empathy was associated with a small increase in average CARE Measure score of 0.63 (0.08, 1.18). These results provide evidence of the measure's ability to support feedback to dental students on their empathy when interacting with patients.

The purpose of the current research is to comprehend the use as well as the perception of mouthwash benefits among Malaysian adults in Selangor state, Malaysia. Materials and Methods: Questionnaires were distributed following convenience sampling to 400 respondents in public places around Selangor over a period of 3 months. The questions were divided into 4 main categories which were demographics, behavior, knowledge, and perceived benefits. The data collected were entered into PASW version 20 and analyzed. Descriptive and inferential statistics were applied. Chi-square was used to compute the association between the variables. Results: The majority of the respondents (n = 178, 44.5%) were between the ages of 18-25 years. Female respondents outnumbered males with 243 (60.8%) and 157 (39.3%), respectively. There was a high level of awareness among the respondents regarding the use of mouthwash where more than 57% answered the knowledge questions correctly. When asked for the reason for using a particular brand, respondents stated that their selection depends on it being "a family brand", affordability and taste. Respondents had a good perception on the use of mouthwash and its benefits. Conclusion: The public needs to be educated on the role of mouthwash. Knowledge gaps on mouthwash need to be bridged to ascertain the beneficial nature of mouthwash. A mixed method research is recommended to gather more information on oral hygiene practices among Malaysian general population, particularly focusing on the use of mouthwash.