Deep generative models predict SARS-CoV-2 Spike infectivity and foreshadow neutralizing antibody escape (preprint)

Recurrent waves of SARS-CoV-2 infection, driven by the periodic emergence of new viral variants, highlight the need for vaccines and therapeutics that remain effective against future strains. Yet, our ability to proactively evaluate such therapeutics is limited to assessing their effectiveness against previous or circulating variants, which may differ significantly in their antibody escape from future viral evolution. To address this challenge, we developed deep learning methods to predict the effect of mutations on fitness and escape from neutralizing antibodies and used this information to engineer a set of 68 unique SARS-CoV-2 Spike proteins. The designed constructs, which incorporated novel combinations of up to 46 mutations relative to the ancestral strain, were infectious and evaded neutralization by nine well-characterized panels of human polyclonal anti-SARS-CoV-2 immune sera. Designed constructs on previous SARS-CoV-2 strains anticipated the antibody neutralization escape of variants seen subsequently during the COVID-19 pandemic. We demonstrate that designed Spike constructs using data available at the time of the implementation of the 2022 bivalent mRNA booster vaccine foretold the level of neutralizing antibody escape observed in the most recently emerging variants. Our approach provides extensive datasets of antigenically diverse escape variants to evaluate the protective ability of vaccines and therapeutics to inhibit future variants. This approach is generalizable to other viral pathogen

Applications of Multi-omics Approaches for Food and Nutritional Security

Food systems are constantly changing to accommodate the advancement of societies. Increased challenges, including the World Wars, natural disasters, and the COVID-19 pandemic, have stimulated the improvement of the economics, quantity, and quality of food around the globe. Food security was introduced to alleviate and eradicate hunger and poverty with an aim to provide access to enough food and calories to everybody all the time. In society, this was translated to an increase in food rich in carbohydrates but not specifically all the nutrients and minerals required for healthy growth and development. Agriculturally, this has resulted in a rise in large-scale production of starch and filling food that can be used as staples worldwide. While hunger is not a problem in most countries, malnutrition is rampant on many levels. There are several cohorts of people suffering from metabolic disorders related to an imbalance in nutrients, including diabetes, obesity, and anemia, amongst others. The introduction of nutritional security is to ensure that everybody has access to nutrients from all food groups;this means proteins, carbohydrates, fibers, vitamins, and minerals. Rapid development in omics research has resulted in high-throughput techniques that can profile the makeup of crops, environmental samples, food, and human biofluids. Genomics, transcriptomics, proteomics, and metabolomics all explain how the different systems behave. Multi-omics is the assembly of all the complex data recorded to explain what is happening at a macroscale. This chapter provides an overview of the most up-to-date applications of multi-omics in food and nutrition security. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2023.

Students' Perception and Acceptance of e-Learning and e-Evaluation in Higher Education

The COVID-19 pandemic has led to increased use of online resources in educational institutions, making e-learning a necessity. This study aimed to investigate how students from four colleges at Jazan University in Saudi Arabia perceived and accepted e-learning and e-evaluation. Methods: 236 students participated in a cross-sectional study conducted in October 2021. The students completed a well-constructed questionnaire with 22 closed-ended questions divided into five domains. The students rated their answers on a 5-point Likert scale from 1 to 5. To analyze the collected data, the researchers utilized SPSS (v26). Result: Out of the total 236 students who participated in the study, most (30.5%) from the College of Public Health and Tropical Medicine (59.8%) used laptops, while 78% of students had a favorable impression of e-learning. Students' perceptions were focused on whether e-learning and e-evaluation methods helped them understand the study material smoothly and clearly. Among the students, 27% strongly agreed, 25% agreed, 16% were neutral, 11% disagreed, and 11% strongly disagreed. Additionally, 28% of the students strongly agreed, and 34% agreed that exam questions during e-evaluation were appropriate and comprehensive. Although online learning may result in less social contact, a lack of social presence, and difficulties in communication harmonization, e-learning still has some positive effects on students. It is considered a powerful platform, especially during emergencies or for those unable to attend in-person classes to complete their studies. The study has significant implications for higher education institutions, especially during emergencies, where online learning is necessary. Future research can further explore the factors that affect student perceptions and acceptance of elearning and e-evaluation and how to improve them. © 2023, Pakistan Journal of Life and Social Sciences. All Rights Reserved.

Government Responsibility in Managing Illegal Drug Circulation During the Covid-19 Pandemic

The circulation of illegal drugs continues to increase from year to year, including during the COVID-19 pandemic. The circulation of these drugs must be disciplined and guarded so that the public is not harmed in terms of health or materially because the illegal drugs in circulation do not meet product and drug distribution standards. The research aims to explore the government's role in overcoming the distribution of drugs that are banned from circulating freely during the COVID-19 pandemic. The data comes from secondary data obtained by study documents, especially legal documents, including primary and secondary legal materials. Based on a study of the 1945 Constitution and health legislation found that the government must be responsible for tackling the circulation of drugs that are illegal from circulating freely to realize comprehensive public health. To deal with the distribution of drugs that are banned from circulating freely, the government established the Drug and Food Control Agency (BPOM) which oversees the distribution of pharmaceuticals and food in Indonesia. The supervision of drug distribution starts from the drug produced or before it is marketed (pre-market) to the drug marketing process (post-market). Copyright © 2023 Korean Society of Gastrointestinal Endoscopy.

Colorectal cancer in patients with SARS-CoV-2: a systematic review and meta-analysis.

BACKGROUND: Patients with colorectal cancer (CRC) are more likely to develop severe course of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and experience increased risk of mortality compared to SARS-CoV-2 patients without CRC. OBJECTIVES: To estimate the prevalence of SARS-CoV-2 infection in CRC patients and analyse the demographic parameters, clinical characteristics and treatment outcomes in CRC patients with COVID-19 illness. METHODS: For this systematic review and meta-analysis, we searched Proquest, Medline, Embase, Pubmed, CINAHL, Wiley online library, Scopus and Nature for studies on the incidence of SARS-CoV-2 infection in CRC patients, published from December 1, 2019 to December 31, 2021, with English language restriction. Effect sizes of prevalence were pooled with 95% confidence intervals (CIs). Sub-group analyses were performed to minimize heterogeneity. Binary logistic regression model was used to explore the effect of various demographic and clinical characteristics on patient's final treatment outcome (survival or death). RESULTS: Of the 472 papers that were identified, 69 articles were included in the systematic review and meta-analysis (41 cohort, 16 case-report, 9 case-series, 2 cross-sectional, and 1 case-control studies). Studies involving 3362 CRC patients with confirmed SARS-CoV-2 (all patients were adults) were analyzed. The overall pooled proportions of CRC patients who had laboratory-confirmed community-acquired and hospital-acquired SARS-CoV-2 infections were 8.1% (95% CI 6.1 to 10.1, n = 1308, 24 studies, I2 98%, p = 0.66), and 1.5% (95% CI 1.1 to 1.9, n = 472, 27 studies, I2 94%, p < 0.01). The median patient age ranged from 51.6 years to 80 years across studies. The majority of the patients were male (n = 2243, 66.7%) and belonged to White (Caucasian) (n = 262, 7.8%), Hispanic (n = 156, 4.6%) and Asian (n = 153, 4.4%) ethnicity. The main source of SARS-CoV-2 infection in CRC patients was community-acquired (n = 2882, 85.7%; p = 0.014). Most of those SARS-CoV-2 patients had stage III CRC (n = 725, 21.6%; p = 0.036) and were treated mainly with surgical resections (n = 304, 9%) and chemotherapies (n = 187, 5.6%), p = 0.008. The odd ratios of death were significantly high in patients with old age (≥ 60 years) (OR 1.96, 95% CI 0.94-0.96; p < 0.001), male gender (OR 1.44, 95% CI 0.41-0.47; p < 0.001) CRC stage III (OR 1.54, 95% CI 0.02-1.05; p = 0.041), CRC stage IV (OR 1.69, 95% CI 0.17-1.2; p = 0.009), recent active treatment with chemotherapies (OR 1.35, 95% CI 0.5-0.66; p = 0.023) or surgical resections (OR 1.4, 95% CI 0.8-0.73; p = 0.016) and admission to ICU (OR 1.88, 95% CI 0.85-1.12; p < 0.001) compared to those who survived. CONCLUSION: SARS-CoV-2 infection in CRC patient is not uncommon and results in a mortality rate of 26.2%. Key determinants that lead to increased mortality in CRC patients infected with COVID-19 include older age (≥ 60 years old); male gender; Asian and Hispanic ethnicity; if SARS-CoV-2 was acquired from hospital source; advanced CRC (stage III and IV); if patient received chemotherapies or surgical treatment; and if patient was admitted to ICU, ventilated or experienced ARDS.

Highlights on molecular targets in the management of COVID-19: Possible role of pharmacogenomics.

By the end of 2022, there had been a reduction in new cases and deaths caused by coronavirus disease 2019 (COVID-19). At the same time, new variants of the severe acute respiratory syndrome coronavirus 2 virus were being discovered. Critically ill patients with COVID-19 have been found to have high serum levels of proinflammatory cytokines, especially interleukin (IL)-6. COVID-19-related mortality has been attributed in most cases to the cytokine storm caused by increased levels of inflammatory cytokines. Dexamethasone in low doses and immunomodulators such as IL-6 inhibitors are recommended to overcome the cytokine storm. This current narrative review highlights the place of other therapeutic choices such as proteasome inhibitors, protease inhibitors and nuclear factor kappa B inhibitors in the treatment of patients with COVID-19.

Impact of COVID - 19 Pandemic on Teaching Strategy methods among Students in higher education Institutions in Jeddah City

During the COVID-19 pandemic, most learning strategies have been transitioned to an online setting across the world. Students and teachers who previously relied on traditional learning are now confronted with a new challenge. This dramatic adjustment may have an impact on their teaching strategy methods, learning habits, and willingness to embrace the change. A descriptive cross sectional online survey was used among students in selected higher education institutes in Jeddah city. The intended aim of this study was to assess the impact of COVID-19 pandemic on selecting teaching strategy methods and to measure the students' perceptions. Using the Non-Probability Snowball Sample technique, 220 student participants were chosen, and the results were then analyzed using the SPSS program. According to the students' results of the survey, although the participant faces difficulties from the virtual transition classes (42.7%), the teaching strategy in online transition seems to be more beneficial in the future and it will continue after COVID- 19 with (65.5%) of student's approval. Overall, the modern teaching strategy methods that have been measured on students in Jeddah city demonstrated a highly positive impact in higher education institutions. Keywords: Assess the impact of COVID-19 pandemic, teaching strategy methods, virtual transition classes, students' results of the survey.

Spatiotemporal Accessibility of COVID-19 Healthcare Facilities in Jakarta, Indonesia

During the first year of the COVID-19 pandemic in Jakarta, Indonesia, the government designated some hospitals as specific COVID-19 healthcare centers to meet demand and ensure accessibility. However, the policy demand evaluation was based on a purely spatial approach. Studies on accessibility to healthcare are widely available, but those that consider temporal as well as spatial dynamics are lacking. This study aims to analyze the spatiotemporal dynamics of healthcare accessibility against COVID-19 cases within the first year of the COVID-19 pandemic, and the overall pattern of spatiotemporal accessibility. A two-step floating catchment area (2SFCA) was used to analyze the accessibility of COVID-19 healthcare against the monthly data of the COVID-19 infected population, as the demand. Such a spatiotemporal approach to 2SFCA has never been used in previous studies. Furthermore, rather than the traditional buffer commonly used to define catchments, the 2SFCA in this study was improved with automated delineation based on the road network using ArcGIS Service Areas Analysis tools. The accessibility tends to follow the distance decay principle, which is relatively high in the city's center and low in the outskirts. This contrasts with the city's population distribution, which is higher on the outskirts and lower in the center. This research is a step toward optimizing the spatial distribution of hospital locations to correspond with the severity of the pandemic condition. One method to stop the transmission of disease during a pandemic that requires localizing the infected patient is to designate specific healthcare facilities to manage the sick individuals. 'What-if' scenarios may be used to experiment with the locations of these healthcare facilities, which are then assessed using the methodology described in this work to obtain the distribution that is most optimal.

Symptomatic Renal Infarct Secondary to COVID-19 Infection and Concomitantly Positive Antiphospholipid Antibody

COVID-19 infection predisposes patients to a hypercoagulable state. The clinical significance of concomitantly positive antiphospholipid antibodies as a risk factor for thrombus formation is unknown. We report a case of renal infarct secondary to COVID-19 infection with mildly elevated antiphospholipid antibodies. A 71-year- old woman with a history of hypertension, supraventricular tachycardia, resected carcinoid tumor in remission, COVID-19 infection (20 days prior), presented to the hospital with acute onset severe left lower quadrant pain radiating to the left flank for one day. She reported a fever of 101 F. Vital signs were normal in the emergency room. Physical exam showed left costovertebral angle tenderness, otherwise benign abdomen with no guarding or rigidity. Laboratory findings showed normal liver function tests, mildly elevated creatinine at 1.1 mg/dl (baseline 0.8 mg/dl), and leukocytosis (14.2 K/ul). Urinalysis showed no evidence of proteinuria or microscopic hematuria. CT scan of the abdomen demonstrated a large area of patchy hypoattenuation involving the upper pole and interpolar region of the left kidney with adjacent perinephric inflammation representing a sequela of an infarct. Hypercoagulable workup including HIV, hepatitis, ANA, ANCA, complements, B2 glycoprotein, homocysteine, factor V Leiden, anti-thrombin III, protein C, protein S were done. All tests resulted negative except for mildly elevated anticardiolipin antibody, IgM 12.90 MPL (normal 0.00-12.49 MPL). Holter monitor was negative for atrial fibrillation. An echocardiogram did not show any thrombus. Considering her negative tests, renal infarct was believed to be secondary to a hypercoagulable state from COVID-19 infection. Antiphospholipid antibodies repeated 3 months after this admission were mildly elevated. Renal infarction was treated with a heparin infusion and was subsequently transitioned to apixaban. Acute kidney injury resolved with intravenous fluid resuscitation. At a 3-month follow-up, her renal function remained stable with a resolution of symptoms. Renal artery infarct is a possible thrombotic complication of COVID -19. Role of lupus anticoagulant antibodies in increasing this risk warrants further studies.

Ayurveda and Siddha systems polyherbal formulations to treat COVID-19 caused by SARS-CoV-2 and brief insight on application of Molecular Docking and SWISS Target prediction tools to study efficacy of active molecules

Ayurveda and Siddha systems are the two ancient medical systems originated in India more than 4000 years ago had given many formulary and treatment methods against influenza like infections. Kabasura churan from Siddha system and Maha sudharshan churan from the Ayurvedic system are the two major formulations along with many other individual herbs mentioned in the texts to treat Influenza like infections. Kabasura churan and Maha Sudarshan churan both have antipyretic, analgesic and anti-inflammatory effects. Both formulations were prepared according to Siddha and Ayurvedic texts. Herbs mentioned in both formulations like Turmeric, Tulsi (Basil), Kalmegh (Andrographis), Black Pepper, Liquorice (Mulethi), and Dronapushpi (Leucas) etc., had direct antiviral effect. Herbs like Aswagandha, Ginger, Guduchi (Tinospora), Kulanjan (Galangal) etc., had immunomodulatory and anti-inflammatory effect. Active compounds from different herbs were selected to study their antiviral activity through molecular docking algorithm. Application of modern of tools like Bioinformatics and Highthroughput screening methods can predict the efficacy of the ancient documented formulations and can be compared as per their literature. Compounds like curcumin, Glycyrrhizin, Ursolic acid, Quercetin, Andrographolide, Coumarins etc. were showed polyspecific activity like inhibition of Spike protein, Furin, Main Protease (Mpro) and Papain like Proteases (PLpro). Thus we propose use of Kabasura churan and Maha Sudharshan churan as alternative complementary medicine as a palliative treatment against COVID-19 caused by SARS-CoV-2 by conducting proper Randomized Clinical Trials.

Instrument Measuring the Adaptability of University Students to Online Learning (SOLE) and Its Predicting Factors

Online learning has become a practical method in the teaching and learning process, especially during the unprecedented Covid-19 pandemic. Additionally, this situation has forced students to adapt to the new norms of the virtual learning environment. This study intends to validate the instrument used to measure the students’ adaptability to online learning (SOLE). A total of 316 students were selected using purposive sampling from several universities in Malaysia. The validity and reliability of SOLE were both evaluated using exploratory and confirmatory factor analysis. As a result of the findings, the instruments remained at 35 items across four constructs, namely physical, spiritual, and emotional as well as the students’ values. The Cronbach’s alpha coefficient for the scales is above 0.85. The results reveal that overall student adaptability is at a high level across all constructs. It was also observed that there is a significant relation between emotional constructs and SOLE (t=4.726, p<0.000), physical constructs and SOLE (t=6.899, p<0.000), as well as between spiritual constructs and SOLE (t=9.461, p<0.000). Based on this finding, the SOLE instrument has proven to be a suitable instrument measurement to assist students in the context of adjusting to an online learning condition, even though further research is necessary to be carried out on a more diverse population. © 2022 Society for Research and Knowledge Management. All rights reserved.

Exploring the knowledge, awareness and practices of COVID-19 among dentists in Bangladesh: A Cross-sectional Investigation

Background: COVID-19 pandemic has caused an unprecedented strike on humanity around the world. The scenario in Bangladesh is getting worse day by day, and every aspect of the society is observing its impact. Health care professionals are at a greater risk of contracting the disease while caring for patients. Objective: The research objective is to explore knowledge, awareness, and practices of registered dentists regarding COVID-19 epidemiology and transmission during the rapid outbreak of this highly contagious virus in Bangladesh. Material and Methods: A cross-sectional web-based survey was conducted among the dentists who were enrolled with their valid unique Bangladesh Medical and Dental Council (BMDC) registration number. A structured questionnaire was distributed among the dentists through different social media platforms. A total of 184 dentists participated in the survey between March and April 2020. Both descriptive analysis and multivariable logistic regression analysis was performed. Results: The dentists' mean age was 31.75 years, with a standard deviation of 6.5 years. About 29.3% of dentists completed their postgraduate qualification, and 76% of them were engaged in private practice at the time of data collection. Compared to the dentists with undergraduate education, the dentists with a postgraduate education are three times (OR=3.1, 95%CI 1.2-7.9 and over 5 times (OR=5.3, 95% CI: 1.2-23.3) more likely to have) better knowledge and practices toward COVID-19 respectively. Dentists aged 26-30 years are less likely to have good practices than the younger dentists (OR:.1;95% CI:.01-.5). However, dentists with less than five years experience are 10.3 (1.6-68.9) times more likely to have good practices compared to the dentists with more experience. Conclusion: Majority of the dentists from Bangladesh have shown good knowledge, awareness, and practice regarding COVID-19. We recommend that the healthcare authorities, professional organizations, and hospitals coordinate, and conduct mandatory advanced infectious disease training for all the practicing dentists in the country. © 2021, Universidad de Concepcion. All rights reserved.

Mucormycoses in Covid-19 Patients

Objective: The goal of the study was to report clinical characteristics, contributing variables and outcome of patients with coronavirus disease 2019 (COVID-19)-Associated mucormycosis (CAM). Study Design: Observational/descriptive study Place and Duration: Multan Medical and Dental College and Bakhtawar Amin Medical and Dental College. Duration Jan 2021 to July 2021. Methods: Total 90 patients of both genders had symptoms of mucormycosis during pandemic corona virus disease were presented in this study. Patients were aged between 22-80 years. Patients detailed demographics age, sex, body mass index and duration of disease were calculated after taking informed written consent. Patients were admitted in COVID-19 emergency ward and underwent for RT-PCR and MRI. Comorbidities, symptoms and cause of mucormycosis were assessed. At the end of study mortality rate, hospital stay and ICU admission were calculated. The SPSS 20.0 version was used to examine the entire set of data. Results: Majority of the patients 65 (72.2%) were males and the rest were females 25 (27.8%). Mean age of the patients were 51.42±12.64 years with mean BMI 28.44±8.72 kg/m2. 55 (61.1%) cases had COVID-19 and 35 (38.9%) were recovered from corona virus in this study. Mean duration of mucormycosis was 18.08±7.11 days. Most common symptoms of disease were eye pain/swollen of eyes, nasal stiffness, headache and blurring of vision. Rhino-orbital mucormycosis found in 63 (70%) cases. Majority of the cases were from urban areas 60 (66.7%) and 38 (42.2%) were literate. Diabetes mellitus was the most common comorbidity found in 70 (77.8%). Frequent consumption of the steroids during pandemic disease was the most common cause found in 59 (65.6%) cases. Mortality rate was 32 (35.6%) at the end of study. Conclusion: In this study we found that the complication of COVID-19 in high-risk patients can be mucormycosis. Poor diabetes mellitus is a significant CAM predisposing factor and frequent usage of excess steroids were the most common cause. Systematic surveillance for diabetes mellitus control and to educate the doctors are indicated for early detection of CAM.

A call for standardised age-disaggregated health data

The 2030 Sustainable Development Goals agenda calls for health data to be disaggregated by age. However, age groupings used to record and report health data vary greatly, hindering the harmonisation, comparability, and usefulness of these data, within and across countries. This variability has become especially evident during the COVID-19 pandemic, when there was an urgent need for rapid cross-country analyses of epidemiological patterns by age to direct public health action, but such analyses were limited by the lack of standard age categories. In this Personal View, we propose a recommended set of age groupings to address this issue. These groupings are informed by age-specific patterns of morbidity, mortality, and health risks, and by opportunities for prevention and disease intervention. We recommend age groupings of 5 years for all health data, except for those younger than 5 years, during which time there are rapid biological and physiological changes that justify a finer disaggregation. Although the focus of this Personal View is on the standardisation of the analysis and display of age groups, we also outline the challenges faced in collecting data on exact age, especially for health facilities and surveillance data. The proposed age disaggregation should facilitate targeted, age-specific policies and actions for health care and disease management.

Migrant workers in Malaysia: Covid-19’s impact on the rights of their children and siblings in Pakistan

With the help of narratives of migrant workers in Kuala Lumpur, Malaysia, this article seeks to understands the impacts of the covid-19 (known as the 2019 novel coronavirus) pandemic on the rights of their children and children’s siblings in Pakistan. The pandemic impacted the flow of remittances to their families, which further impacted children’s right to education, livelihoods and food. They also revealed that the pandemic had impacted their children’s right to protection, play and development. Children had lost the freedom to play and go outside, socialise and learn. Migrant workers’ children and siblings with limited financial support should have been provided with adequate financial and social security support by Pakistan, but they were not. They also revealed that during the pandemic, children were also regular victims of harsh treatment and physical abuse by adult family members, reflecting the exacerbation of issues of breaches of their fundamental right to protection and emotional integrity. © koninklijke brill nv, leiden, 2021.

Multilevel systems biology analysis of lung transcriptomics data identifies key miRNAs and potential miRNA target genes for SARS-CoV-2 infection.

BACKGROUND: The spread of a novel severe acute respiratory syndrome corona virus 2 (SARS-CoV-2) has affected both the public health and the global economy. The current study was aimed at analysing the genetic sequence of this highly contagious corona virus from an evolutionary perspective, comparing the genetic variation features of different geographic strains, and identifying the key miRNAs as well as their gene targets from the transcriptome data of infected lung tissues. METHODS: A multilevel robust computational analysis was undertaken for viral genetic sequence alignment, phylogram construction, genome-wide transcriptome data interpretation of virus-infected lung tissues, miRNA mapping, and functional biology networking. RESULTS: Our findings show both genetic similarities as well as notable differences in the S protein length among SARS-CoV-1, SARS-CoV-2 and MERS viruses. All SARS-CoV-2 strains showed a high genetic similarity with the parent Wuhan strain, but Saudi Arabian, South African, USA, Russia and New Zealand strains carry 3 additional genetic variations like P333L (RNA -dependant RNA polymerase), D614G (spike), and P4715L (ORF1ab). The infected lung tissues demonstrated the upregulation of 282 (56.51%) antiviral defensive response pathway genes and downregulation of 217 (43.48%) genes involved in autophagy and lung repair pathways. By miRNA mapping, 4 key miRNAs (hsa-miR-342-5p, hsa-miR-432-5p, hsa-miR-98-5p and hsa-miR-17-5p), targeting multiple host genes (MYC, IL6, ICAM1 and VEGFA) as well as SARS-CoV2 gene (ORF1ab) were identified. CONCLUSION: Systems biology methods offer a new perspective in understanding the molecular basis for the faster spread of SARS-CoV-2 infection. The antiviral miRNAs identified in this study may aid in the ongoing search for novel personalized therapeutic avenues for COVID patients.

Australian, malaysian and indonesian accounting academics’ teaching experiences during the COVID-19 pandemic

This study analyses and presents accounting academics’ experiences in six universities in Australia, Malaysia, and Indonesia to adapt to the swift change to the remote virtual classroom delivery model forced by the COVID-19 pandemic, while also gaining valuable lessons from this unique situation. In this study, autoethnography’s basic principles were used. The main results suggest that the universities’ combined current information and communication technologies, learning management systems, blended learning experiences, training, and supports, although not without hitches, were able to accommodate the shift to a remote virtual classroom model quite effectively. However, the move to fully online assessment has been conceded to likely increase the embedded risk of student cheating. The availability of reliable internet connection for students is also crucial in ensuring access equality and effective remote virtual classroom delivery. © 2021 Australasian Accounting Business and Finance Journal and Authors.