CD38 expression level and pattern of expression remains a reliable and robust marker of progressive disease in chronic lymphocytic leukemia

Chronic lymphocytic leukemia (CLL) follows a variable clinical course which is difficult to predict at diagnosis. We assessed somatic mutation (SHM) status, CD38 and ZAP-70 expression in 87 patients (49 male, 38 female) with stage A CLL and known cytogenetic profile to compare their role in predicting disease progression, which was assessed by the treatment free interval (TFI) from diagnosis. Sixty (69%) patients were SHM+, 24 (28%) were CD38+ and ten (12%) were ZAP-70+. The median TFI for: (i) SHM + versus SHM- patients was 124 versus 26 months; hazard ratio (HR) = 3.6 [95% confidence interval (CI) = 1.8 - 7.3; P = 0.001]: (ii) CD38- versus CD38+ patients was 120 versus 34 months; HR = 2.4 (95% CI = 1.4 - 5.3; P = 0.02); and (iii) ZAP70- versus ZAP70+ was 120 versus 16 months; HR = 3.4 (95% CI = 1.4 - 8.7; P = 0.01). SHM status and CD38 retained prognostic significance on multivariate analysis whereas ZAP-70 did not. We conclude that ZAP-70 analysis does not provide additional prognostic information in this group of patients.

Flow Pattern in Compound Channel with Floodplain Double Groyne

The results of an experimental study and velocity analysis of the flow characteristics in the vicinityof a floodplain with two rows of permeable/impermeable groynes in compound channels with oneand two floodplains are presented. A 60% permeable groyne model with three different lengthsrelative to the floodplain width was used. The results showed that double groyne could beconsidered as one groyne (one block) for aspect ratio Sr < 2 (Sr = distance between twosuccessive groynes/groyne length). When Sr > 2, each groyne started to act independently.The velocity reduction was more than 45-52% of the floodplain’s approach velocity compared with30-35% in the case of a single groyne. The significant velocity reduction was located at a distance1.5-2 times the groyne length downstream of the single or the double groynes. Generally, themaximum velocities in the main channel ranged from 1.1 to 1.35 times the original approachingvelocity. The effective groyne relative length and aspect ratio should not to be more than 0.5 and 2,respectively.