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We evaluated factors associated with normalization of the absolute CD4+ T-cell counts, per cent CD4+ T cells and CD4+/CD8+ T-cell ratio. A multicentre observational study was carried out in patients with sustained HIV-RNA <50 copies/mL. Outcomes were: CD4-count >500/mm(3) and multiple T-cell marker recovery (MTMR), defined as CD4+ T cells >500/mm(3) plus%CD4 T cells >29%plus CD4+/CD8+ T-cell ratio >1. Kaplan-Meier survival analysis and Cox regression analyses to predict odds for achieving outcomes were performed. Three hundred and fifty-two patients were included and followed-up for a median of 4.1 (IQR 2.1-5.9) years, 270 (76.7%) achieving a CD4+ T-cell count >500 cells/mm(3) and 197 (56%) achieving MTMR. Using three separate Cox models for both outcomes we demonstrated that independent predictors were: both absolute CD4+ and CD8+ T-cell counts, %CD4+ T cells, a higher CD4+/CD8+ T-cell ratio, and age. A likelihood-ratio test showed significant improvements in fitness for the prediction of either CD4+ >500/mm(3) or MTMR by multivariable analysis when the other immune markers at baseline, besides the absolute CD4+ count alone, were considered. In addition to baseline absolute CD4+ T-cell counts, pretreatment %CD4+ T cells and the CD4+/CD8+ T-cell ratio influence recovery of T-cell markers, and their consideration should influence the decision to start antiretroviral therapy. However, owing to the small sample size, further studies are needed to confirm these results in relation to clinical endpoints.

Meander migration and planform evolution depend on the resistance to erosion of the floodplain materials. To date, research to quantify meandering river adjustment has largely focused on resistance to erosion properties that vary horizontally. This paper evaluates the combined effect of horizontal and vertical floodplain material heterogeneity on meander migration by simulating fluvial erosion and cantilever and planar bank mass failure processes responsible for bank retreat. The impact of stream bank failures on meander migration is conceptualized in our RVR Meander model through a bank armoring factor associated with the dynamics of slump blocks produced by cantilever and planar failures. Simulation periods smaller than the time to cutoff are considered, such that all planform complexity is caused by bank erosion processes and floodplain heterogeneity and not by cutoff dynamics. Cantilever failure continuously affects meander migration, because it is primarily controlled by the fluvial erosion at the bank toe. Hence, it impacts migration rates and meander shapes through the horizontal and vertical distribution of erodibility of floodplain materials. Planar failures are more episodic. However, in floodplain areas characterized by less cohesive materials, they can affect meander evolution in a sustained way and produce preferential migration patterns. Model results show that besides the hydrodynamics, bed morphology and horizontal floodplain heterogeneity, floodplain stratigraphy can significantly affect meander evolution, both in terms of migration rates and planform shapes. Specifically, downstream meander migration can either increase or decrease with respect to the case of a homogeneous floodplain; lateral migration generally decreases as result of bank protection due to slump blocks; and the effect on bend skewness depends on the location and volumes of failed bank material caused by cantilever and planar failures along the bends, with possible achievement of downstream bend skewness under certain conditions.

ATV/r plus tenofovir caused greater GFR decreases compared with EFV. The evaluation of eGFR by cystatin C confirmed this result, but this method seemed to be more stringent, probably precluding the possibility to detect a significant difference in the pattern of eGFR evolution between the two arms over time. More studies are needed to understand the clinical relevance of these alterations and whether cystatin C is a more appropriate method for monitoring GFR in clinical practice.

[1] Past analytical studies of meander planform development have mostly focused on the complexity of the governing equations, i.e., hydrodynamics, and less so on the stream bank resistance to erosion, whose spatial heterogeneity is difficult to describe deterministically. This motivated the use of a Monte Carlo approach to examine the effects of floodplain soils and their distribution on planform development, with the goal of including bank erosion properties in the analysis. Simulated bank erosion rates are controlled by the resistance to hydraulic erosion of the bank soils using an excess shear stress approach. The spatial distribution of critical shear stress across the floodplain is delineated on a rectangular, equidistant grid with varying degrees of variability. The corresponding erodibility coefficient is computed using a field-derived empirical relation. For a randomly disturbed distribution, in which the mean resistance to erosion exponentially increases away from the valley centerline, two relevant parameters are identified: the standard deviation of the critical shear stress distribution, which controls skewness and variability of the channel centerline, and the cross-valley increase in soil resistance, which constrains lateral migration and also affects bend skewness. For a purely random distribution, migrated centerlines exhibit larger variability for increasing spatial scales of floodplain soil heterogeneity. For equal stochastic variability of the corresponding governing parameters, relating meander migration to hydraulic erosion of the bank soils produces more variability and shape complexity than the "classic" bank migration approach of Ikeda et al. (1981), which relates migration rate to excess velocity at the outer bank. Finally, the proposed stochastic approach provides a foundation for estimating a suitable spatial density of measurements to characterize the physical properties of floodplain soils and vegetation.

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This paper evaluates conveyance and flow characteristics for the Anio Novus, the aqueduct bringing water from the greatest distance to ancient Rome. Travertine accumulations, deposited from water on floor and walls, were used to reconstruct the flow rate and associated spatial and temporal variations. Hydraulic quantities (e.g., flow depth and velocity) markedly varied over the course of the aqueduct, implying that constraints such as topography and construction techniques were combined with hydraulic considerations to determine the aqueduct layout. Design practices differed along the aqueduct and channel size design was not based exclusively on anticipated carrying capacity, tending towards larger‐than‐necessary design based on experience.