Simultaneous heart and kidney transplantation is quite a popular type of multiorgan transplant in the world, considered an optimum treatment for end stage cardiorenal syndrome. This report presents first successful simultaneous heart-kidney transplant in Vietnam. A 37-year-old male patient with 10 years of chronic disease: end-stage heart failure due to dilated cardiomyopathy with 15-25% of left ventricular systolic function, and renal failure due to IgA nephropathy completely depended on dialysis. The patient underwent a simultaneous heart-kidney transplant from a brain-dead multiorgan donor on February 15, 2023 at Viet Duc University hospital. He had quick recovery of all cardiac and renal functions on 5 days afters transplant. This is the 2nd successful case of multiorgan transplant at Viet Duc hospital, but the first heart-kidney transplantation.

Nowadays, microplastics are a global concern due to their potential environmental risks. However, there is currently a scarcity of data on the presence and health risks of microplastics in Southeast Asia, especially in Vietnam. This study investigated the levels of microplastics (MPs) in surface waters and sediments in Phu Ly, Ha Nam, Vietnam. MP concentrations range from 0.17 to 6.2 µg L− 1 in surface water and 3.74 to 31.23 mg kg− 1 wet-weight of sediment, respectively. Nine trace metals (TMs), including Cd, Pb, Co, Ni, Mn, Cr, As, Cu, and Zn, were detected to associate with MPs in surface water in a concentration range of 0.0004–42.75 mg/g. We hypothesized that the TMs adsorbed on the surface of MPs were strongly correlated with environmental pollution levels and hydrodynamic conditions. MPs can be viewed as transport vehicles for TMs in the aquatic environment. The link between AMR bacteria/ genes and MPs is weak, but the role of MPs in the transportation of those risks cannot be dismissed. Although the HQs of TMs associated with MPs in this study were less than 1, indicating low health risks from the pollutants, regular monitoring of MPs and other environmental concerns such as TMs and AMR are needed due to the high mobility of MPs in the ecological system.

with 4/6 functionalities and 6/17 of resources reaching consensus in VR2. Conclusions A consensus process was used to determine consensus for functionalities and resources needed to support CCCare-P. Most standard inclusions (e.g. disease activity indices) were non-contentious and thus minimally influenced by the consensus process. Conversely, complex items (e.g. mental health assessments) were markedly more influenced.