Immunogenicity and Loss of Effectiveness of Biologic Therapy for Inflammatory Bowel Disease Patients Due to Anti-Drug Antibody Development

Many patients with inflammatory bowel disease (IBD) experience a loss of effectiveness to biologic therapy (i.e., anti-TNF therapy, etc.). Therefore, in addition to the adverse effects of the treatment, these patients also face failure to achieve and maintain remission. Immunogenicity, the process of production of antibodies to biological agents, is fundamental to the evolution of loss of response to treatment in IBD patients. The presence of these antibodies in patients is linked to decreased serum drug levels and inhibited biological activity. However, immunogenicity rates exhibit significant variability across inflammatory disease states, immunoassay formats, and time periods. In this review, we aimed to elucidate the immunogenicity and immune mechanisms of antibody formation to biologics, the loss of therapy response, clinical results of biological treatment for IBD from systematic reviews and meta-analyses, as well as to summarize the most recent strategies for overcoming immunogenicity and approaches for managing treatment failure in IBD.

Fault-Tolerant Control of a Variable-Pitch Quadrotor under Actuator Loss of Effectiveness and Wind Perturbations

The actuator fault-tolerant control problem for a variable-pitch quadrotor is addressed under uncertain conditions. Following a model-based approach, the plant nonlinear dynamics are faced with a disturbance observer-based control and a sequential quadratic programming control allocation, where only kinematic data of the onboard inertial measurement unit are required for the fault-tolerant control, i.e., it does not require the measurement of the motor speed nor the current drawn by the actuators. In the case of almost horizontal wind, a single observer handles both faults and the external disturbance. The estimation of the wind is fed forward by the controller, while the actuator fault estimation is exploited in the control allocation layer, which copes with the variable-pitch nonlinear dynamics, thrust saturation, and rate limits. Numerical simulations in the presence of measurement noise show the capability of the scheme to handle multiple actuator faults in a windy environment.

Refrigeration Capacity and Effect of Ageing on the Operation of Cellulose Evaporative Cooling Pads, by Wind Tunnel Analysis

This study investigates the temperature reduction capacity and water consumption of a fan-pad system installed in a greenhouse located in the coastal regions of Almería. The suitability of this system for coastal zones with high environmental humidity during the summer is analyzed. Historical temperature and relative humidity series are studied, obtaining the thermal difference and maximum, medium, and minimum monthly water consumption of the pads based on the operation data of the pads. Despite the high relative humidity of the air in the hottest hours of the day, a decrease of 5.92 °C in the mean temperature and a water consumption of 13.55 l/h per square meter of an evaporative cooling pad are obtained in the month of August. Additionally, the operation of a cellulose evaporative cooling pad installed for 3 years in a greenhouse is analyzed in a wind tunnel and compared with that of a new pad of the same model. Over time and with low maintenance, the porosity of the pad decreases due to salt incrustation. The salt incrustation makes airflow more difficult in the pad, increasing the pressure drop by 170.04%; however, the air saturation efficiency of the pad increases by 6.6% due to the greater contact time between the air and the water.