Background: Carbapenem-resistant Enterobacteriaceae (CRE) is an increasing problem worldwide, but particularly problematic in low-and middle-income countries (LMIC) due to limitations of resources for surveillance of CRE and infection prevention and control (IPC). Methods: A point prevalence survey (PPS) with screening for colonisation with CRE was conducted on 2233 patients admitted to neonatal, paediatric and adult care at 12 Vietnamese hospitals located in northern, central and southern Vietnam during 2017 and 2018. CRE colonisation was determined by culturing of faecal specimens on selective agar for CRE. Risk factors for CRE colonisation were evaluated. A CRE admission and discharge screening sub-study was conducted among one of the most vulnerable patient groups; infants treated at an 80-bed Neonatal ICU from March throughout June 2017 to assess CRE acquisition, hospital-acquired infection (HAI) and treatment outcome. Results: A total of 1165 (52%) patients were colonised with CRE, most commonly Klebsiella pneumoniae (n = 805), Escherichia coli (n = 682) and Enterobacter spp. (n = 61). Duration of hospital stay, HAI and treatment with a carbapenem were independent risk factors for CRE colonisation. The PPS showed that the prevalence of CRE colonisation increased on average 4.2% per day and mean CRE colonisation rates increased from 13% on the day of admission to 89% at day 15 of hospital stay. At the NICU, CRE colonisation increased from 32% at admission to 87% at discharge, mortality was significantly associated (OR 5 •5, P < 0 •01) with CRE colonisation and HAI on admission.

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After Fukushima accident and stress test recommended by IAEA for existing reactors, higher safety requirements are enforced upon nuclear power plants during design extension and severe accident conditions. Based on those arguments, Vietnam Government requests a lot of effective safety solutions, in designs proposed for the nuclear power plants in Ninh Thuan province of Vietnam, which can prevent the accident progression toward severe accidents and mitigate severe accident consequences. One of safety requirements is related to delay time of core melt during design extension condition. Especially, if the worst case of accidents occurs, the reactor vessel integrity must be maintained at least 24 hours from the beginning of the accident. With the aim at investigation of Reactor Pressure Vessel (RPV) integrity, in this study, MELCOR 1.8.6 code is used to evaluate the integrity of RPV lower head for VVER-1200/V-491 reactor during a Large Break Loss of Coolant Accident (LBLOCA) in combination with Station Blackout (SBO) event. The study figures out several parameters related to melt down progress such as: rupture position and rupture timing, the amount of hydrogen generated. Availability of the second stage hydro-accumulators (HA2) in the VVER-1200/V-491 is assumed as an additional improvement to delay the timing of core melt as well as to maintain the vessel integrity for long-term.

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