This prospective observational study aimed to describe voriconazole administrations and trough concentrations in patients with Child-pugh class C clinically, and to investigate the variability of trough concentration. A total of 144 voriconazole trough concentrations from 43 Child-pugh class C patients were analyzed. The majority of patients (62.8%) received adjustments. The repeated measured trough concentration was higher than the first and final ones generally (median, 4.33 vs. 2.99, 3.90 mg/L). Eight patients with ideal initial concentration later got supratherapeutic with no adjusted daily dose, implying accumulation. There was a significant difference in concentrations among the six groups by daily dose (P=0.006). The bivariate correlation analysis showed that sex, CYP2C19 genotyping, daily dose, prothrombin time activity, international normalized ratio, platelet, and Model for end-stage liver disease score were significant factors for concentration. Subsequently, the first four factors mentioned above entered into a stepwise multiple linear regression model (variance inflation factor < 5), implying that CYP2C19 testing makes sense for precision medicine of Child-pugh class C cirrhosis patients. The equation fits well and explains the 34.8% variety of concentrations (R^2 = 0.348). In conclusion, it needs more cautious administration clinically due to no recommendation for Child-pugh class C patients in the medication label. The adjustment of the administration regimen should be mainly based on the results of repeated therapeutic drug monitoring.

In this paper, mineralogical and elemental geochemical characteristics of massive sulfide samples collected from Jade hydrothermal field, located in the Izena depression in the central graben of Okinawa Trough, were analyzed by means of optical microscopy, scanning electron microscopy and electron probe. The results show that the sulfide in Jade hydrothermal area can be divided into Zn-Cu-Pb rich massive sulfide and Zn-Fe rich massive sulfide. The former is composed of sphalerite, galena, anglesite, chalcopyrite and pyrite, and its formation stage can be divided into pyrite stage, sphalerite-chalcopyrite stage, anglesite stage and colloidal pyrite stage. The latter is mainly composed of sphalerite, pyrite, marcasite and a small amount of galena, which can be divided into galena stage, pyrite stage, sphalerite stage, pyrite and marcasite stage. Cu and Zn in pyrite may exist in the form of microinclusions, while Ag and Pb may exist in pyrite in the form of fine galena inclusions containing Ag. Fe and Cu may enter sphalerite in the form of ion replacement. Zn may enter chalcopyrite in the form of ion replacement, and As and Pb may be inclusions in chalcopyrite as As-bearing galena inclusions. Consistent with the previous understanding, the metal elements in the hydrothermal liquid system in Jade hydrothermal field mostly migrate with the hydrothermal fluid as sulfur complexes, and when the hydrothermal fluid mixes with seawater, the physical and chemical conditions of the fluid change, resulting in sulfide mineral precipitation. However, the chemical structure of chalcopyrite is still controversial, which restricts the understanding of the substitution mechanism of trace elements during chalcopyrite precipitation.

Desalinators are traditionally driven by fossil-fuels but in order to avoid greenhouse emissions, renewable energy must be used. In this paper, a coupling between multi-stage flash distillation apparatus and a parabolic trough solar collector is analyzed. The purpose of this study is to determine the economic feasibility of the system, considering four cities of Saudi Arabia and three different potable water productions. To avoid solar energy intermittency and unavailability at night, thermal storage is implemented. Whereas other researchers made parametric analyses, in this paper, the authors developed a mathematical program which was optimized with the help of GAMS software, where the capital cost of the plant was the objective function. After that, a life cycle cost analysis was carried out for each scenario. Depending on the region and water production, the costs of drinking water vary from 2.26 to 3.93 US$/m³, and from 7440 to 23825 tons of carbon dioxide emissions are avoided. As a consequence of the approach used, low costs are obtained; even though no auxiliary heater is implemented and the lowest irradiance conditions are considered. The results of this study reflect that the proposed process is competitive with respect to the traditional one.

Nutrient release from marine sediments in Osaka Bay has a significant impact on nutrient concentrations in seawater. A tsunami induced by the Nankai Trough earthquake may disturb marine sediments in the inner part of Osaka Bay. An incubation experiment to estimate the release rates of NH4-N and PO4-P was conducted to understand the present conditions and to quantify the changes caused by tsunamis. Two types of cores were created: a "control core" representing the current sediment, and a "redeposition core" representing the redeposition after the tsunami. The release rates have been decreasing since the year 2000 and have remained low. The experimental results suggest that the release rate after exposure to an aerobic environment by a tsunami may decrease to approximately 70% for NH4-N and 60% for PO4-P of the current level. In the past, the release rates were values experienced in the inner part of Osaka Bay. However, the reduction in the release rate by tsunamis may be more limiting for primary production under the current situation where the contribution of release for nutrients in seawater is significant.

The paper examines design and operating data of current concentrated solar power (CSP) solar tower (ST) plants. The study includes CSP with or without boost by combustion of natural gas (NG), and with or without thermal energy storage (TES). The latest, actual specific costs per installed capacity are very high, 6085 $/kW for Ivanpah Solar Electric Generating System (ISEGS) with no TES, and 9227 $/kW for Crescent Dunes with TES. The actual production of electricity is very low and much less than the expected. The actual capacity factors are 22% for ISEGS, despite combustion of a significant amount of NG largely exceeding the planned values, and 13% for Crescent Dunes. The design values were 33% and 52%. The study then reviews the proposed technology updates to produce better ratio of solar field power to electric power, better capacity factor, better matching of production and demand, lower plant’s cost, improved reliability and increased life span of plant’s components. The key areas of progress are found in materials and manufacturing processes, design of solar field and receiver, receiver and power block fluids, power cycle parameters, optimal management of daily and seasonal operation of the plant, new TES concepts, integration of solar plant with thermal desalination, integration of solar plant with combined cycle gas turbine (CCGT) installations and finally, specialization and regionalization of the project specification.