To control the spread of COVID-19 transmission, Indonesia government has broadcasted information about the pandemic. The aim of this study is to evaluate the understanding of young people, about COVID-19 during the early outbreak in Indonesia. An online-based cross-sectional data collection was conducted from adolescents aged 10 to 25 years, based on 10 questions regarding general COVID-19 information. There were 355 subjects from 25 out of 34 Indonesian provinces who participated in the study, with mean age of 19.93 ± 2.91 years. Better understanding was found in the female and higher-income population. Largely, the subjects got the information from social media, instead of the official government site for COVID-19. Lack of understanding about crucial preventive measures was found, such as handwashing and physical distancing. In conclusion, the participants have an overall moderate-good initial understanding toward COVID-19 during the early outbreak in Indonesia. These results can be used as baseline data for development of awareness measurement tools.

BackgroundThe preventive measure of Coronavirus Disease pandemic, such as nationwide lockdown, might lead to stress, depression, and anxiety, prominently in adolescents. Many factors were indicated to influence its severity. This study aimed to investigate the magnitude of COVID-19-related mental health problems in adolescents and the associated factors.Methods This cross-sectional study gathered 2018 adolescents throughout Indonesia from April 22nd-28th 2020. The questionnaire was spread through social media and included Kessler-10 Psychological Distress scale and closedended questions about the risk and protective factors. The results were analyzed using Mann-Whitney U test, Kruskal-Wallis test, and Logistic Regression. ResultsThe participants were mostly males (91.8%) with a median age of 19. The results showed 54.1% experienced varying degrees of distress. All variables were significantly related with psychological distress during Mann-Whitney-U and Kruskal-Wallis test. The logistic regression analysis showed maintaining or improving dietary pattern and sleep quality was found to be protective against psychological distress (OR = 0.497,95%CI = 0.34-0.725 and OR = 0.515,95%CI = 0.372-0.714, respectively), while others were risk factors, i.e.: Not having a confidant (OR = 1.539,95%CI = 1.226-1.931), frequent argument with parents (OR = 1.735,95%CI = 1.343-2.24), feeling worried (OR = 2.364, 95%CI1.528-3.656), chronic diseases (OR = 2.601,95%CI = 1.468-4.606), and mental illnesses (OR = 9.866,95%CI = 3.855-25.249). ConclusionMore than half of adolescents experienced distress. The findings called for initiatives by experts in providing psychosocial support for adolescents.

Conclusion: Risk of death increases similarly in all 4 world regions at BMI<22. There is no indication that the cutoff for increased risk depends on the distribution of BMI in the population.

Background: Breast cancer is the most common type of cancer amongst female in Indonesia. Among other therapies, chemotherapy is believed as the primary solution for Cancer. However, some reports stated the declining on individual function after chemotherapy. The aim of this study is to find out the increasing dependency due to chemotherapy. Methods: The study was a cross-sectional, consecutive and randomized sampling study using Instrumental Activities of Daily Living questionnaire which focused on individual dependency to spot progression or regression over time. Cut off point of 6 indicates independence or dependence of an individual. Data was collected at January 2018 at our general hospital by asking the questions twice (before and after chemotherapy). Chi Square method was used to define the relationship between dependency and chemotherapy. Results: There were 22 breast cancer patients with median of age 49 (32-65) with average of 5 chemotherapy were done, excluding their chronic diseases. Relations between dependency before and after chemotherapy was statistically significant with p val-ue¼0.000. Patients who were independent and still independent now were 11 over 19 (57.89%), patients who were independent then and dependent now were 8 over 19 (42.10%) and 3 patients were dependent even before they started chemotherapy. Of all deteriorating aspects, shopping had the most significant decline. Conclusion: There were relations between chemotherapy with a decline in patients independence. However, further study with greater sample is needed to confirm the results. P3 À 186 Risk of sarcopenia as the side effect of chemotherapy among breast cancer patients: preliminary study

Background: Breast cancer is the most common type of cancer amongst female in Indonesia. Among other therapies, chemotherapy is believed as the primary solution for Cancer. However, some reports stated the declining on individual function after chemotherapy. The aim of this study is to find out the increasing dependency due to chemotherapy. Methods: The study was a cross-sectional, consecutive and randomized sampling study using Instrumental Activities of Daily Living questionnaire which focused on individual dependency to spot progression or regression over time. Cut off point of 6 indicates independence or dependence of an individual. Data was collected at January 2018 at our general hospital by asking the questions twice (before and after chemotherapy). Chi Square method was used to define the relationship between dependency and chemotherapy. Results: There were 22 breast cancer patients with median of age 49 (32 -65) with average of 5 chemotherapy were done, excluding their chronic diseases. Relations between dependency before and after chemotherapy was statistically significant with p val-ue¼0.000. Patients who were independent and still independent now were 11 over 19 (57.89%), patients who were independent then and dependent now were 8 over 19 (42.10%) and 3 patients were dependent even before they started chemotherapy. Of all deteriorating aspects, shopping had the most significant decline. Conclusion: There were relations between chemotherapy with a decline in patients independence. However, further study with greater sample is needed to confirm the results.P3 À 186 Risk of sarcopenia as the side effect of chemotherapy among breast cancer patients: preliminary study