Active Learning Opportunities Outside Classroom and Laboratory

This paper presented a case study for the foundation year subject Greenhouse Gases and Life (ABCT1D09) launched in PolyU in 2019/2020 semester one. We investigated the implementation of blended learning with outside classroom learning component and TAL pedagogies (technology-assisted laboratory classes, virtual lab and remote lab) in the traditional face-to-face (F2F) lectures with the use of institutional virtual learning environment (Blackboard LMS) to improve students' learning experience by enhancing students' engagement in this large GE class (90 students). Feedbacks from survey and students' reflective journal (i.e. 91% of students satisfied with the designed class activities and 75% of students found the learning experience was enjoyable), as well as the students' academic performance suggest this model brings positive impact to students' learning. The results obtained in the present study may offer more new learning opportunities in tertiary all-round education and inform the design of "new-normal” learning after the COVID-19 pandemic. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

Sars_Cov2 Experience in the West Australian Heart Transplant Population

To describe the COVID-19 experience among the heart transplant recipient cohort at the West Australian Advanced Heart Failure Cardiac Transplant Unit. Retrospective observational cohort study between January 2020 and October 2022. Primary outcome measures reviewed in digital medical records included hospital admission numbers, disease severity, prevalence of COVID-19 deterioration risk factors, immunisation status, severity of infection, graft function, immunosuppression and treatment regime. The unit supports 152 heart transplant recipients. A total of 35 patients, (23.0%) contracted COVID-19 during the study period. Infection all occurred during the local Omicron wave from February 2022. The cohort had a median age of 55 years (IQR 49-63.5) with a male gender predominance (74.3%). Most patients were classified as mild COVID-19 (n=32, 91.4%) and 74.3% of the cohort were managed in the community with remote monitoring of clinical status. COVID-19 vaccination status at the time of infection up-to-date according to national guidelines for 80.0% of the transplant patients. Only one patient was unvaccinated. Antiviral treatment was predominantly with Molnupiravir (74.3%) with 22.9% of COVID-19 positive heart transplant patients receiving pre-exposure prophylaxis with Evusheld. Of the cohort admitted to hospital (n=9) the mode of oxygen therapy was dominated by nasal cannula (n=4)) followed by non-invasive ventilation (n=1). The median length of stay for the admitted cohort was 4 days (IQR 3-8.5). Four patients had repeat hospital admissions due to COVID-19 throughout the study period. Most patients had stable graft function demonstrated as stable left ventricular ejection fraction on trans-thoracic echocardiogram within six months of COVID-19. 18 patients had monitoring of donor-specific antibody profiling post COVID-19 which demonstrate no antibody increase. COVID-19 in heart transplant recipients in WA was predominately of mild severity, due to infection occurring in a highly vaccinated population with a milder variant. [ FROM AUTHOR] Copyright of Journal of Heart & Lung Transplantation is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Heart and Lung Transplant Unit - Western Australia Covid-19 Experience

To describe the COVID-19 experience among the highly immunosuppressed heart and lung transplant patient cohort at the West Australian Heart and Lung Transplant Unit. Retrospective observational cohort study between January 2020 and October 2022 at the states only quaternary hospital. The WA state heart-lung transplant service supports 297 recipients, 152 under the advanced heart failure unit and 145 patients under the care of the advanced lung disease unit. WA was in a unique position with COVID-19 secondary to border closures, high vaccination rates and community transmission with the Omicron wave. A total of 74 patients (24.9%) across the WA unit contracted COVID-19 during the study period. The median age was 53 years (IQR 42-60) with a male gender predominance (63.5%). The heart transplant cohort had a 23.0% (n=35) COVID-19 infection prevalence. The lung transplant cohort had 31.0% (n=45) COVID-19 positive patients across the study period. Bilateral sequential lung transplants BLST (n=38, 84.4%) was the most common transplant type, followed by heart-lung transplant (n=5, 11.1%) and then single lung transplant (n=2, 4.5%). Most patients across both units were classified as mild COVID-19, with only a small proportion of patients requiring hospitalisation (n=24, 32.4%). Cough (60.0%) and sore throat (55.6%) were the most common initial symptoms reported by the patients. COVID-19 vaccination status at the time of infection was higher than 80%. Pre-exposure prophylaxis was given to 35% of the patients who had COVID-19 infection. Most patients had stable graft function despite COVID-19 as measured by left ventricular ejection fraction on trans-thoracic echocardiogram or forced expiratory volume. Overall the WA COVID-19 case numbers and disease severity in the highly immunocompromised transplant cohort were minimal. Disease severity, morbidity and mortality were low when compared to the predicted modelling for this at-risk cohort released by the Department of Health. [ FROM AUTHOR] Copyright of Journal of Heart & Lung Transplantation is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Evaluation Of The Impact Of Covid-19 Vaccines On Thyroid Function And Autoimmunity And The Potential Influence Of Pre-existing Thyroid Autoimmunity On Neutralizing Antibody Responses

Objectives: There are concerns for COVID-19 vaccination in causing thyroid dysfunction and triggering thyroid autoimmunity. Also, data on the impact of pre-existing thyroid autoimmunity on COVID-19 vaccination efficacy are limited. We evaluated the impact of COVID-19 vaccination on thyroid function and antibodies, and the influence of pre-existing thyroid autoimmunity on neutralizing antibody (NAb) responses. Methods: Adults without history of COVID-19 or thyroid disorders who received COVID-19 vaccination between 14 June 2021 and 8 August 2021 at three vaccination centers were recruited. All participants received two doses of vaccines. Thyroid-stimulating hormone (TSH), free thyroxine (fT4), free triiodothyronine (fT3), anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-Tg) antibodies were measured at baseline and 8 weeks after the first dose of vaccination. Post-vaccination NAb against SARS-CoV-2 receptor-binding domain was measured. Results: In total, 215 individuals were included (129 BNT162b2 [60%] and 86 CoronaVac [40%] recipients): mean age 49.6 years, 37.2% men, and 12.1% positive for anti-TPO/anti-Tg at baseline. After vaccination, TSH levels did not change (p=0.225), but fT4 slightly increased (from 12. 0±1.1 to 12.2±1.2 pmol/L, p<0. 001) and fT3 slightly decreased (from 4.1±0.4 to 4. 0±0.4 pmol/L, p<0. 001). Only 3 patients (1.4%) had abnormal thyroid function after vaccination: two occurred among BNT162b2 recipients - both were subclinical thyrotoxicosis (TSH 0.32mIU/L, fT4 11.51pmol/L and fT3 4.40pmol/L;TSH 0.34mIU/L, fT4 12.67pmol/L and fT3 4.22pmol/L;both were anti-TPO and anti-Tg negative before and after vaccination);one occurred among CoronaVac recipients - isolated mild low fT3 (TSH 0.90mIU/L, fT4 9.94pmol/L and fT3 2.33pmol/L;anti-TPO/Tg negative before and after vaccination). All three recipients were asymptomatic. Both anti-TPO and anti-Tg titers increased modestly after vaccination (anti-TPO: from 7.50 [IQR: 5.90-11.2] to 9.80 IU/mL [IQR: 7.80-13.1], p<0. 001;anti-Tg: from 12.4 [IQR: 11.1-14.9] to 15.7 IU/mL [IQR: 14.2-18.2], p<0. 001), without significant changes in anti-TPO/Tg positivity. Changes in thyroid function and anti-thyroid antibodies were generally consistent between BNT162b2 and CoronaVac recipients, although anti-TPO titer rise was greater after BNT162b2 (p<0. 001). NAb responses were similar between individuals with and without pre-existing thyroid autoimmunity (p=0.855). Conclusion: COVID-19 vaccination was associated with a modest increase in anti-thyroid antibody titers. Anti-TPO increase was greater among BNT162b2 recipients. However, there was no clinically significant thyroid dysfunction 8 weeks post-vaccination. NAb responses were not influenced by pre-existing thyroid autoimmunity. Our results provided important reassurance to people to proceed to COVID-19 vaccination.Presentation: No date and time listed

A novel method to monitor COVID-19 fatality rate in real-time, a key metric to guide public health policy.

An accurate estimator of the real-time fatality rate is warranted to monitor the progress of ongoing epidemics, hence facilitating the policy-making process. However, most of the existing estimators fail to capture the time-varying nature of the fatality rate and are often biased in practice. A simple real-time fatality rate estimator with adjustment for reporting delays is proposed in this paper using the fused lasso technique. This approach is easy to use and can be broadly applied to public health practice as only basic epidemiological data are required. A large-scale simulation study suggests that the proposed estimator is a reliable benchmark for formulating public health policies during an epidemic with high accuracy and sensitivity in capturing the changes in the fatality rate over time, while the other two commonly-used case fatality rate estimators may convey delayed or even misleading signals of the true situation. The application to the COVID-19 data in Germany between January 2020 and January 2022 demonstrates the importance of the social restrictions in the early phase of the pandemic when vaccines were not available, and the beneficial effects of vaccination in suppressing the fatality rate to a low level since August 2021 irrespective of the rebound in infections driven by the more infectious Delta and Omicron variants during the fourth wave.

Development of a prediction score (ThyroCOVID) for identifying abnormal thyroid function in COVID-19 patients.

PURPOSE: Thyroid dysfunction in COVID-19 carries clinical and prognostic implications. In this study, we developed a prediction score (ThyroCOVID) for abnormal thyroid function (TFT) on admission amongst COVID-19 patients. METHODS: Consecutive COVID-19 patients admitted to Queen Mary Hospital were prospectively recruited during July 2020-May 2021. Thyroid-stimulating hormone (TSH), free thyroxine (fT4) and free triiodothyronine (fT3) were measured on admission. Multivariable logistic regression analysis was performed to identify independent determinants of abnormal TFTs. ThyroCOVID was developed based on a clinical model with the lowest Akaike information criteria. RESULTS: Five hundred and forty six COVID-19 patients were recruited (median age 50 years, 45.4% men, 72.9% mild disease on admission). 84 patients (15.4%) had abnormal TFTs on admission. Patients with abnormal TFTs were more likely to be older, have more comorbidities, symptomatic, have worse COVID-19 severity, higher SARS-CoV-2 viral loads and more adverse profile of acute-phase reactants, haematological and biochemical parameters. ThyroCOVID consisted of five parameters: symptoms (malaise), comorbidities (ischaemic heart disease/congestive heart failure) and laboratory parameters (lymphocyte count, C-reactive protein, and SARS-CoV-2 cycle threshold values). It was able to identify abnormal TFT on admission with an AUROC of 0.73 (95% CI 0.67-0.79). The optimal cut-off of 0.15 had a sensitivity of 75.0%, specificity of 65.2%, negative predictive value of 93.5% and positive predictive value of 28.1% in identifying abnormal TFTs on admission amongst COVID-19 patients. CONCLUSION: ThyroCOVID, a prediction score to identify COVID-19 patients at risk of having abnormal TFT on admission, was developed based on a cohort of predominantly non-severe COVID-19 patients.

Economic Growth, Energy Use, and Greenhouse Gases Emission in Macao SAR, China

A city's economic structure and energy mix would change when the city is developed to accommodate more residents, visitors, and activities. This paper reviews Macao's economic growth, energy use, and greenhouse gases (GHG) emission from 1985 to 2020. Specifically, Macao's gross domestic product (GDP), energy use, and GHG emission have surged after the gaming industry was liberalized in 2002. The official data show that Macao's GDP was MOP 11 billion in 1985, increased by four-fold to MOP 54 billion in 2000, and then surged rapidly to MOP 445 billion in 2019. Additionally, Macao's total energy use increased from 8,840TJ in 1985 to 48,330TJ in 2019 while Macao's GHG emission increased from 0.70Mt of CO2-equivalent in 1985 to 6.13Mt of CO2-equivalent in 2019. Macao's GHG emission from all local sources per capita and GDP per capita exhibit an inverted U-shaped relationship, showing an environmental Kuznets curve. Due to the negative impact of COVID-19 pandemic, Macao's GDP dropped by 56% to MOP 194 billion while its total energy use and GHG emission dropped by 33% and 17% to 32,198TJ and 5.06Mt of CO2-equivalent, respectively, in 2020. © 2022

Epidemiology of paediatric orthopaedic-related trauma injuries sustained across a lockdown period during the COVID-19 pandemic.

OBJECTIVES: Lockdowns have been implemented by countries to slow down SARS-CoV-2 transmission. Singapore's lockdown was enforced between 7 April 2020 and 1 June 2020. The objective of this study was to compare the epidemiology of paediatric orthopaedic trauma injuries during and immediately after the lockdown, with a non-pandemic period in 2019. METHODS: All paediatric outpatients and inpatients seen in our hospital following an orthopaedic-related traumatic injury from the 8-week lockdown and 8 weeks post-lockdown were evaluated. Cases for matched periods in 2019 were identified retrospectively for baseline comparison. Patient demographics, venue of injury, anatomic location of injury, caregiver supervision and location of procedures performed in the hospital were assessed. RESULTS: 968 and 2810 injuries were observed in 2020 and 2019, respectively. While the proportion of injuries sustained by pre-schoolers and toddlers increased, those sustained by primary and secondary school children decreased in 2020 (p < 0.001). Majority of the injuries during the lockdown were sustained at home compared to schools or public recreational facilities (p < 0.001). Hand (26.2%) and elbow (20.8%) injuries were the most common during the lockdown. The proportion of procedures performed in the Children's Emergency during the lockdown was more than twice that of the same period in 2019 (p < 0.001). CONCLUSION: Our study showed a 2.9-fold decrease in orthopaedic-related injuries seen during the peri-lockdown period compared to a non-pandemic period. Pre-schoolers seem to be most vulnerable to injuries during the lockdown. Hand and elbow injuries were most common.

A sequential test to compare the real-time fatality rates of a disease among multiple groups with an application to COVID-19 data.

Infectious diseases, such as the ongoing COVID-19 pandemic, pose a significant threat to public health globally. Fatality rate serves as a key indicator for the effectiveness of potential treatments or interventions. With limited time and understanding of novel emerging epidemics, comparisons of the fatality rates in real-time among different groups, say, divided by treatment, age, or area, have an important role to play in informing public health strategies. We propose a statistical test for the null hypothesis of equal real-time fatality rates across multiple groups during an ongoing epidemic. An elegant property of the proposed test statistic is that it converges to a Brownian motion under the null hypothesis, which allows one to develop a sequential testing approach for rejecting the null hypothesis at the earliest possible time when statistical evidence accumulates. This property is particularly important as scientists and clinicians are competing with time to identify possible treatments or effective interventions to combat the emerging epidemic. The method is widely applicable as it only requires the cumulative number of confirmed cases, deaths, and recoveries. A large-scale simulation study shows that the finite-sample performance of the proposed test is highly satisfactory. The proposed test is applied to compare the difference in disease severity among Wuhan, Hubei province (exclude Wuhan) and mainland China (exclude Hubei) from February to March 2020. The result suggests that the disease severity is potentially associated with the health care resource availability during the early phase of the COVID-19 pandemic in mainland China.

A prospective study of the impact of glycaemic status on clinical outcomes and anti-SARS-CoV-2 antibody responses among patients with predominantly non-severe COVID-19

OBJECTIVE: We aimed to evaluate the impact of glycaemic status on clinical outcomes and anti-SARS-CoV-2 antibody (Ab) response among patients with predominantly non-severe COVID-19, highly relevant to the current COVID-19 vaccination programme. METHODS: We included consecutive adults admitted to Queen Mary Hospital for COVID-19 from July 2020 to May 2021. Glycaemic status was defined by HbA1c on admission: normoglycaemia (<5.7%), prediabetes (5.7-6.4%) and diabetes (≥6.5% or known diabetes). Clinical deterioration was defined by radiological progression, new oxygen requirement, intensive care unit admission, or death. COVID-19 survivors had Ab measurements at 1-month, 2-month, 3- month and 6-month post-discharge, with a live SARS-CoV-2-based microneutralization assay which correlated well with anti-SARS-CoV-2 receptor binding domain IgG (≥1:20 defined as positive). RESULTS: Among 605 patients (age 50.2 - 17.1 years;45.1% men;96.9% non-severe COVID-19), 325 had normoglycaemia, 185 had prediabetes and 95 had diabetes. 74 had clinical deterioration (12.2%): 16 required intensive care and 4 died. Clinical deterioration was more likely with worse glycaemic status (P < 0.001) and higher HbA1c (OR 1.403, P < 0.001). Older age (P < 0.001), higher viral loads (P < 0.001), higher C-reactive protein (CRP) (P < 0.001) and symptomatic presentation (P = 0.008), but not glycaemic status/HbA1c, independently predicted clinical deterioration. 314 patients had Ab measured upon follow-up (1-month: 295;2-month: 227;3-month: 207;6-month: 122). Ab titres were comparable across glycaemic status throughout follow-up period. CRP (P = 0.003), but not glycaemic status/HbA1c, was the only positive independent determinant of Ab levels. Rate of decline of Ab titre was comparable across glycaemic status, and did not correlate with HbA1c. Furthermore, most patients remained Ab-positive throughout follow-up (1-month: 94.9%, 2-month: 93.8%, 3-month: 87.4%, 6-month 80.3%), similar across glycaemic status. CONCLUSION: Worse glycaemic status was associated with a higher chance of clinical deterioration in COVID-19, contributed by older age, more severe inflammation and higher viral loads. Importantly, glycaemic status did not adversely influence the Ab response.

Correction to Investigation into SARS-CoV-2 Resistance of Compounds in Garlic Essential Oil

[This corrects the article DOI: 10.1021/acsomega.0c00772.].

Doing Remote Controlled Studies with Humans: Tales from the COVID Trenches

How should empirical researchers conduct controlled, remote 'lab' studies in the uncontrolled, noisy conditions of each participant's own home? Volatility in participant home environments, hardware, internet connection, and surrounding distractions takes the 'controlled' out of controlled studies. This paper recounts our in-The-Trenches mitigations for designing and conducting two complex controlled studies under COVID, in which participants, from home, interactively localized faults in an AI system. The studies with our COVID-era mitigations in 5 categories-Privacy/Security, Data Collection, Control, Technology Issues, Payment-ultimately produced crisp results beyond what we thought possible under such uncontrolled circumstances. © 2021 IEEE.

Correction to Investigation into SARS-CoV-2 Resistance of Compounds in Garlic Essential Oil.

[This corrects the article DOI: 10.1021/acsomega.0c00772.].

Effectiveness of online teaching in physical education during covid-19 school closures: A survey study of frontline physical education teachers in Hong Kong

Introduction: The COVID-19 pandemic has caused massive school closures worldwide and many schools were forced to adopt online teaching mode. Purpose: This survey study aims to examine the effectiveness of online teaching in physical education (PE) and support needed from the teachers’ perspective. Methods: Responses from 294 frontline PE teachers were collected via an online survey between 4 and 29 January 2021. Results: Four major findings were highlighted in our study. First, most teachers reported that online PE lessons were not effective to improve motor skill acquisition and physical activity level, the major reasons for which were “lack of practical training”, “students’ lack of learning motivation/interest”, and “limited interpersonal interactions”. Second, most teachers encountered difficulties in online teaching, with major difficulties comprising “limited interpersonal interactions’ and “difficult to retain students’ learning motivation/interest”. Third, most teachers felt that online teaching was stressful due to the increased workload in preparation and safety concerns of the home-exercise programme. Fourth, many teachers suggested that schools or governments should provide online teaching kits, such as suggested online lesson plans or home activity recommendations, for their reference. Conclusions: In summary, the effectiveness of online teaching in PE during COVID-19 school closures was generally perceived to be low and difficult by the frontline PE teachers. Schools and governments should provide sufficient support, such as online teaching kits and concrete teaching guidelines, for PE teachers to develop creative and interactive online lessons, which will in turn benefit students in motor skill acquisition and physical activity level. © JPES.

Designing an Autonomous Vehicle System Design Course for COVID-19 Remote Learning under First Principles of Instruction Framework

In order to cultivate the expertise in developing autonomous vehicles (AVs) in the future, there is an emergence of courses on holistic AV system design for undergraduate engineering students. This paper presents the design, implementation and evaluation of a cross-disciplinary AV system design course developed under the First Principles of Instruction (FPI) framework. FPI-guided learning design facilitates students to learn effectively due to structured coverage of activation, demonstration and application in their learning when developing the product. Through the guided development, the developed course should facilitate students in developing a well-constructed and productive AV system, and cultivate students' holistic engineering competencies (e.g. creativity, problem solving). From survey responses, students held more positive perceptions towards the courses objectives. Instructors' observations on artefacts produced by students also revealed that learners acquired high-order thinking skills and psychomotor skills after completing the course. This paper also discusses how the course can be re-designed in the second cohort for remote learning during the COVID-19 period, such that students can learn even if they cannot physically access the workshop studio and attend workshop training.

A density functional theory study on silver and bis-silver complexes with lighter tetrylene: are silver and bis-silver carbenes candidates for SARS-CoV-2 inhibition? Insight from molecular docking simulation.

Ribavirin and remdesivir have been preclinically reported as potential drugs for the treatment of SARS-CoV-2 infection, while light silver tetrylene complexes (NHEPh-AgCl and (NHEPh-AgCl)2 with E = C, Si, and Ge) have gained significant interest due to their promising applicability on the cytological scale. Firstly, the structures and bonding states of silver-tetrylene complexes (NHE-Ag) and bis-silver-tetrylene complexes (NHE-Ag-bis) were investigated using density functional theory (DFT) at the BP86 level with the def2-SVP and def2-TZVPP basis sets. Secondly, the inhibitory capabilities of the carbene complexes (NHC-Ag and NHC-Ag-bis) and the two potential drugs (ribavirin and remdesivir) on human-protein ACE2 and SARS-CoV-2 protease PDB6LU7 were evaluated using molecular docking simulation. The carbene ligand NHC bonds in a head-on configuration with AgCl and (AgCl)2, whereas, the other NHE (E = Si and Ge) tetrylene ligands bond in a side-on mode to the metal fragments. The bond dissociation energy (BDE) of the NHE-Ag bond in the complex families follows the order of NHC-Ag > NHSi-Ag > NHGe-Ag and NHSi-Ag-bis > NHGe-Ag-bis > NHC-Ag-bis. The natural bond orbital analysis implies that the [NHEPh→AgCl] and [(NHEPh)2→(AgCl)2] donations are derived mainly from the σ- and π-contributions of the ligands. The docking results indicate that both the ACE2 and PDB6LU7 proteins are strongly inhibited by silver-carbene NHC-Ag, bis-silver-carbene NHC-Ag-bis, ribavirin, and remdesivir with the docking score energy values varying from -17.5 to -16.5 kcal mol-1 and -16.9 to -16.6 kcal mol-1, respectively. The root-mean-square deviation values were recorded to be less than 2 Å in all the calculated systems. Thus, the present study suggests that silver-carbene NHC-Ag and bis-silver-carbene NHC-Ag-bis complexes are potential candidates to inhibit ACE2 and PDB6LU7, and thus potentially conducive to prevent infection caused by the SARS-CoV-2 virus.

Investigation into SARS-CoV-2 Resistance of Compounds in Garlic Essential Oil.

Eighteen active substances, including 17 organosulfur compounds found in garlic essential oil (T), were identified by GC-MS analysis. For the first time, using the molecular docking technique, we report the inhibitory effect of the considered compounds on the host receptor angiotensin-converting enzyme 2 (ACE2) protein in the human body that leads to a crucial foundation about coronavirus resistance of individual compounds on the main protease (PDB6LU7) protein of SARS-CoV-2. The results show that the 17 organosulfur compounds, accounting for 99.4% contents of the garlic essential oil, have strong interactions with the amino acids of the ACE2 protein and the main protease PDB6LU7 of SARS-CoV-2. The strongest anticoronavirus activity is expressed in allyl disulfide and allyl trisulfide, which account for the highest content in the garlic essential oil (51.3%). Interestingly, docking results indicate the synergistic interactions of the 17 substances, which exhibit good inhibition of the ACE2 and PDB6LU7 proteins. The results suggest that the garlic essential oil is a valuable natural antivirus source, which contributes to preventing the invasion of coronavirus into the human body.