Knowledge, attitude and practice towards hand, foot and mouth disease (HFMD) among nursery governesses in Klang Valley, Selangor

Introduction: Hand, foot and mouth disease (HFMD) is reported as endemic and rank in the third place among other communicable diseases in Malaysia. HFMD outbreak is often found in nurseries and playgroups where children have lots of close contacts with other children. The objective of study is to study the knowledge, attitude and practice of HFMD among nursery governesses of nurseries at public universities and residential areas. Methods: A total of 102 nursery governesses were selected as respondents which include 83 respondents from public university while 26 respondents from residential areas in Klang Valley. Questionnaires were administered to determine socio-demographic, knowledge, attitude and practice on HFMD among the study population. Results: The result indicated that no significance different between knowledge, attitude and practice between two groups (Z = -0.321, p > 0.005; Z = -1.196, p > 0.005; Z = -1.155, p > 0.005) respectively. Furthermore, there was no association between knowledge with practice (p = 0.581, p > 0.005) and attitude with practice (p = 0.298, p > 0.005). Thus, nursery governesses in this study perceived moderate knowledge and attitude level. However for practice, public universities showed better application of practice if compared to residential areas. Conclusion: Hence, it is recommended for the nursery governesses to attend program such as health talk on HFMD occasionally, as it can be efficiently induce positive outcome

Data Science in Healthcare

Data science is an interdisciplinary field that applies numerous techniques, such as machine learning, neural networks, and deep learning, to create value based on extracting knowledge and insights from available data. Advances in data science have a significant impact on healthcare. While advances in the sharing of medical information result in better and earlier diagnoses as well as more patient-tailored treatments, information management is also affected by trends such as increased patient centricity (with shared decision making), self-care (e.g., using wearables), and integrated care delivery. The delivery of health services is being revolutionized through the sharing and integration of health data across organizational boundaries. Via data science, researchers can deliver new approaches to merge, analyze, and process complex data and gain more actionable insights, understanding, and knowledge at the individual and population levels. This Special Issue focuses on how data science is used in healthcare (e.g., through predictive modeling) and on related topics, such as data sharing and data management

Construction of a novel kinetic model for the production process of a CVA6 VLP vaccine in CHO cells

Bioprocess development benefits from kinetic models in many aspects, including scale-up, optimization, and process understanding. However, current models are unable to simulate the production process of a coxsackievirus A6 (CVA6) virus-like particle (VLP) vaccine using Chinese hamster ovary cell culture. In this study, a novel kinetic model was constructed, correlating (1) cell growth, death, and lysis kinetics, (2) metabolism of major metabolites, and (3) CVA6 VLP production. To construct the model, two batches of a laboratory-scale 2 L bioreactor cell culture were prepared and various pH shift strategies were applied to examine the effect of pH shift. The proposed model described the experimental data under various conditions with high accuracy and quantified the effect of pH shift. Next, cell culture performance with various pH shift timings was predicted by the calibrated model. A trade-off relationship was found between product yield and quality. Consequently, multiple objective optimization was performed by integrating desirability methodology with model simulation. Finally, the optimal operating conditions that balanced product yield and quality were predicted. In general, the proposed model improved the process understanding and enabled in silico process development of a CVA6 VLP vaccine.The version of record of this article, first published in Cytotechnology, is available online at Publisher’s website: https://doi.org/10.1007/s10616-023-00598-

Identification of antibodies with non-overlapping neutralization sites that target coxsackievirus A16

手足口病（Hand, Foot and Mouth Disease，HFMD）是一种由人肠道病毒引起的全球性传染病，主要发生于5岁以下的婴幼儿。2月5日，我校夏宁邵教授团队在《细胞》子刊《细胞•宿主与微生物》（Cell Host & Microbe）上在线发表题为“Identification of antibodies with non-overlapping neutralization sites that target coxsackievirus A16”的研究论文。该研究首次揭示了手足口病主要病原体柯萨奇病毒A组16型（CVA16）三种衣壳颗粒形式与三种不同类型的治疗性中和抗体的全面相互作用细节和非重叠的中和表位结构信息，阐明了CVA16成熟颗粒是疫苗候选主要保护性免疫原的理论基础，建立了可指导疫苗研制的免疫原特异检测方法，为CVA16疫苗及抗病毒药物研究提供关键基础。我校夏宁邵教授、李少伟教授、程通副教授和美国加州大学洛杉矶分校纳米系统研究所Z. Hong Zhou（周正洪）教授为该论文的共同通讯作者。我校博士生何茂洲、徐龙发博士后、郑清炳高级工程师、博士生朱瑞和尹志超为该论文共同第一作者。【Abstract】Hand, foot, and mouth disease is a common childhood illness primarily caused by coxsackievirus A16 (CVA16), for which there are no current vaccines or treatments. We identify three CVA16-specific neutralizing monoclonal antibodies (nAbs) with therapeutic potential: 18A7, 14B10, and NA9D7. We present atomic structures of these nAbs bound to all three viral particle forms—the mature virion, A-particle, and empty particle—and show that each Fab can simultaneously occupy the mature virion. Additionally, 14B10 or NA9D7 provide 100% protection against lethal CVA16 infection in a neonatal mouse model. 18A7 binds to a non-conserved epitope present in all three particles, whereas 14B10 and NA9D7 recognize broad protective epitopes but only bind the mature virion. NA9D7 targets an immunodominant site, which may overlap the receptor-binding site. These findings indicate that CVA16 vaccines should be based on mature virions and that these antibodies could be used to discriminate optimal virion-based immunogens.This work was supported by grants from the Major Program of National Natural Science Foundation of China ( 81991490 ), the National Science and Technology Major Projects for Major New Drugs Innovation and Development ( 2018ZX09711003-005-003 ), the National Science and Technology Major Project of Infectious Diseases ( 2017ZX10304402-002-003 ), the National Natural Science Foundation of China ( 31670933 and 81801646 ), the China Postdoctoral Science Foundation ( 2018M640599 and 2019T120557 ), the Principal Foundation of Xiamen University ( 20720190117 ), and the National Institutes of Health ( R37-GM33050 , GM071940 , DE025567 , and AI094386 ). 该研究获得了国家自然科学基金、新药创制国家科技重大专项、传染病防治国家科技重大专项和美国国立卫生研究院基金的资助

Developing an Easy-to-Maintain UV Sanitizer Cabinet for Safe and Efficient Disinfection and Improved Hygiene Practices

In day-to-day life, people constantly come in contact with pathogens such as bacteria and fungi that can negatively impact human health, causing skin infections and foot-related issues.  The aim of this research is to create an easy-to-maintain consumer level product utilizing UV-C to efficiently and effectively disinfect everyday household items to improve hygiene and general quality of life with a shortened time spent, less human labor required. Key design concepts are ‘minimal-design platform’ to keep things minimal and streamlined – highlighting uncomplicated forms plus having been made simpler, and ‘design for maintainability’ to achieve effective building’s performance - system functions in relation to designated criteria, easy-to-maintain, easy-to-access, convenient, and embracing a healthy lifestyle. Besides, the optional mobile application is added to the system for assisting users as a remote communication. The modules are adaptably made to future requirements while maintaining a stable usage cost throughout the building’s design life.  For protecting users from UVC radiation leakage or emitted out from the cabinet (0 UVC leakage in the unit of mW/cm2 measuring by UVC light meter), the polycarbonate sheet is applied as a cover. The efficiency of UV sanitizer cabinet can be evaluated via structural performance (the  maximum load that can be supported by rotary table  is  1 kg.), bacterial culture test (the number of colonies decrease significantly to < 5%), and reliability of system (99.47%)

Atomic structures of Coxsackievirus A6 and its complex with a neutralizing antibody

手足口病是一种由人肠道病毒引起的全球性传染病，主要发生于5岁以下的婴幼儿，严重危害公众健康。根据获得的手足口病流行病学和病原学调查数据，目前认为CVA6与EV71和CVA16一样应作为优先的手足口病疫苗预防对象，亟需研制有效的预防和治疗方法。然而令人遗憾的是，目前对于CVA6的基础病毒学特别是结构生物学知识均缺乏足够了解，严重制约了相关研究的有效开展。 夏宁邵教授团队研究首次揭示了手足口病重要病原体柯萨奇病毒A组6型（CVA6）的病毒颗粒及其与中和抗体复合物的精确三维结构，为新型疫苗和治疗药物的研制提供了重要的理论基础。这项研究发现并精确描绘了CVA6的病毒颗粒及其与优势中和抗体的结构特征，首次完成了对CVA6的高精度“成像”，为新型疫苗和治疗药物研制提供了关键基础。 该研究工作在厦门大学分子疫苗学和分子诊断学国家重点实验室、国家传染病诊断试剂与疫苗工程技术研究中心科研平台完成。夏宁邵教授、颜晓东博士、程通副教授为该研究论文的共同通讯作者。颜晓东博士来自美国加州大学圣地亚哥分校，同时受聘为我校双聘教授。共同第一作者为徐龙发博士生、郑清炳工程师和李少伟教授。【Abstract】Coxsackievirus A6 (CVA6) has recently emerged as a major cause of hand, foot and mouth disease in children worldwide but no vaccine is available against CVA6 infections. Here, we demonstrate the isolation of two forms of stable CVA6 particles-procapsid and A-particle-with excellent biochemical stability and natural antigenicity to serve as vaccine candidates. Despite the presence (in A-particle) or absence (in procapsid) of capsid-RNA interactions, the two CVA6 particles have essentially identical atomic capsid structures resembling the uncoating intermediates of other enteroviruses. Our near-atomic resolution structure of CVA6 A-particle complexed with a neutralizing antibody maps an immune-dominant neutralizing epitope to the surface loops of VP1. The structure-guided cell-based inhibition studies further demonstrate that these loops could serve as excellent targets for designing anti-CVA6 vaccines.This work was supported by a grant from the National Natural Science Foundation of China (No. 31670933 and 81401669), the National Science and Technology Major Projects for Major New Drugs Innovation and Development (No. 2017ZX09101005-005-003), the National Science and Technology Major Project of Infectious Diseases (No. 2017ZX10304402-002-003) and the Natural Science Foundation of Fujian Province (No. 2015J05073). This work was also supported in part by funding to T.S.B. from the National Institutes of Health (Grant R37-GM33050). 研究工作也得到了国际病毒结构生物学权威专家美国加州大学洛杉矶分校周正洪教授的大力支持和帮助，获得了国家自然科学基金、新药创制国家科技重大专项、传染病防治国家科技重大专项和福建省自然科学基金的资助

Mathematical analysis for tumor growth model of ordinary differential equations

Special functions occur quite frequently in mathematical analysis and lend itself rather frequently in physical and engineering applications. Among the special functions, gamma function seemed to be widely used. The purpose of this thesis is to analyse the various properties of gamma function and use these properties and its definition to derive and tackle some integration problem which occur quite frequently in applications. It should be noted that if elementary techniques such as substitution and integration by parts were used to tackle most of the integration problems, then we will end up with frustration. Due to this, importance of gamma function cannot be denied

Rational design of novel nucleoside analogues reveals potent antiviral agents for EV71

Different viruses belonging to distinct viral families, such as enterovirus 71, rely on the host methyltransferase METTL3 for the completion of fundamental cytoplasmic stages of their life cycle. Modulation of the activity of this enzyme could therefore provide a broad-spectrum approach to interfere with viral infections caused by viruses that depend on its activity for the completion of their viral cycle. With the aim to identify antiviral therapeutics with this effect, a series of new nucleoside analogues was rationally designed to act as inhibitors of human METTL3, as a novel approach to interfere with a range of viral infections. Guided by molecular docking studies on the SAM binding pocket of the enzyme, 24 compounds were prepared following multiple-step synthetic protocols, and evaluated for their ability to interfere with the replication of different viruses in cell-based systems, and to directly inhibit the activity of METTL3. While different molecules displayed moderate inhibition of the human methyltransferase in vitro, multiple novel, potent and selective inhibitors of enterovirus 71 were identified

The development and op timisation of a Theiler’s murine encephalomyelitis virus antiviral assay

Picornaviruses belong to the Picornaviridae family which are one of the largest and most diverse family of RNA viruses that cause a broad spectrum of infections in both humans and animals. These diseases range from severe infections such as poliomyelitis, meningitis, myocarditis to mild illnesses such as the common cold. Picornavirus outbreaks are a worldwide threat as they are continuously occurring. A recent outbreak of foot-and-mouth disease caused by a picornavirus occurred in South Africa, resulting in a temporary ban on the movement of cattle. Currently, the FDA has not approved any antiviral drugs against this virus, increasing the urgency for identifying effective antivirals. Picornaviruses have similar genomes and capsid organisation as such, those that are non-hazardous to humans can be used as a model system. A Theiler’s murine encephalomyelitis virus (TMEV) strain GDVII and Baby Hamster Kidney fibroblasts (BHK-21 cells) was used as a replication system to develop and optimise a medium-throughput antiviral screening assay. The TMEV GDVII replication system in BHK-21 cells was validated, and preliminary experiments were performed that were necessary for the development of the TMEV GDVII antiviral assay. This was achieved by conducting a CPE assay to visually monitor the onset and development of CPE induced by TMEV GDVII. Plaque assays accurately quantified the number of infectious virus particles required for calculating the MOI in downstream experiments. Lastly, indirect immunofluorescence and Western blot analysis detected the expression of viral proteins using previously generated antibodies against the TMEV GDVII VP1 capsid and 2C protein, thereby confirming infection in BHK-21 cells. The development of robust and reproducible assays is an essential component in antiviral drug discovery. Therefore, the confirmed replication system was then used as a foundation to develop a medium-throughput CPE-based TMEV GDVII antiviral assay whereby the parameters were optimised to produce one of high quality. Firstly, the quantitation of viral-induced CPE was examined and confirmed in a 96-well plate using resazurin as a cell viability indicator. Each parameter was tested at varying conditions, and the optimal was concluded as 2 % FBS in the assay media, a 15 000 cells/well seeding density, infecting the cells with TMEV GDVII at an MOI of 0.00625 and measuring resazurin at an endpoint of 72 hpi. Furthermore, the parameters were ii validated by calculating the Z’- factor, which consistently produced scores above 0.5, indicative of a reliable, robust, reproducible antiviral assay. Currently, there are no inhibitors against TMEV GDVII that have been reported or confirmed in cell lines, animal models or clinical trials. Therefore, once the optimal assay parameters were selected, it presented an opportunity to assess whether potential compounds, including itraconazole (ITZ) and dipyridamole (DIP), possessed antiviral activity that could firstly, be utilised as a control inhibitor when screening compounds against TMEV GDVII and secondly, contribute to research on this virus. Additionally, the previously produced anti-TMEV GDVII capsid antibody was shown to neutralise viral infection and was also included as a potential control. The sensitivity of the cells towards DMSO, a solution in which the compounds were solubilised, was first investigated. It was found that concentrations above 1 % are toxic to the cells; as such, the final DMSO concentrations were always kept below 1 % when screening compounds. Lastly, the generation of dose-response curves aided in the conclusion that the antibody was the most suitable control inhibitor as it displayed potent antiviral activity and no cytotoxicity towards the cells. In contrast, ITZ and DIP did not possess effective antiviral action and were toxic to cells at high concentrations. Finally, after all the components of the medium-throughput TMEV GDVII antiviral assay were identified, it was possible to screen 24 compounds from a coumarin and marine natural product library for cell cytotoxicity and antiviral activity. After generating dose-response curves, it was concluded that no compound effectively inhibited virus-induced CPE, and most were toxic to cells at relatively high concentrations. In conclusion, this is the first study that describes the development and optimisation of a robust medium-throughput CPE-based antiviral assay that has immense potential to screen other libraries of compounds for antiviral activity against TMEV GDVII.Thesis (MSc) -- Faculty of Science, Biochemistry and Microbiology, 202

An integrated bioinformatics and computational biophysics approach to enterovirus surveillance and research

This PhD thesis examines the integration of complex computational methodologies with the surveillance and research of a genus of viruses implicated in a wide variety of clinical conditions, ranging from asymptomatic infection to death. These viruses, known as the enteroviruses, are some of the most studied viruses in history and as a result are represented by a vast body of literature. The fact that enterovirus research and surveillance rests upon such an extensive foundation of published material, makes enteroviruses a perfect candidate for the experimental application of modern computational methods, or in-silico experimentation. The hypothesis that computational power currently available can be utilised for multiple stages of virus study incorporating identification, epidemiology and atomic structure prediction forms the basis of this thesis. Fundamental to the understanding of virus behaviour is the determination of molecular structure and function, a fact which applies not only to viruses, but to biological entities in general. Extensive work was performed during the course of this thesis in adapting classical molecular dynamics techniques to the large scale simulation of a prototype poliovirus, using millions of simulated atoms. The successful application of these techniques has resulted in microsecond-timescale, atomistic simulations of complete virus particles. These simulations represent the first published instance of the simulation of a biologically complete pathogenic microorganism, incorporating the encoding genetic information. This thesis also examines the use of bioinformatics methods in the development and application of an advanced quantitative multiplex real-time reverse-transcription polymerase chain reaction (qRT-PCR) methodology, for the primary screening of samples from patients suffering acute flaccid paralysis (AFP), which is one of the most debilitating presentations of enterovirus infection. The application of this novel qRT-PCR method reduces the initial screening time of samples derived from a symptomatic patient from 4-5 days using virus culture, to four hours using the novel qRT-PCR. This novel qRT-PCR method can be rapidly scaled-up in response to an outbreak situation. The ability to screen large numbers of samples during an outbreak situation is important and is hampered when using virus culture methods exclusively. In Australia and the Western Pacific region over the last decade, the rate at which non-polio enteroviruses in cases of AFP have been identified, is on average 18%. With the introduction of PCR screening methods, a number of non-cultivable enteroviruses were identified, along with newly described and a previously undescribed enterovirus. Little is known about these newly described and novel enteroviruses. This thesis aimed to investigate the identification of viruses that may represent a significant public health threat and to then use their genetic sequence information to recreate major virus structural components in-silico. This reconstruction process was achieved by exploiting advances in comparative protein modelling and molecular dynamics simulation methods. In order to apply these methods to the reconstruction of previously undescribed viruses for which no structural data exist, validation of different comparative protein modelling techniques was required. The predictive in-silico methods generated reliable atomic coordinates, representing structures suitable for the reconstruction of virus capsid models for further study