A pilot project to develop and implement a mobile smartphone application (App) that tracks and maps assistive technology (AT) availability in southern Africa was launched in Botswana in 2016. The App was developed and tested through an iterative process. The concept of the App (AT-Info-Map) was well received by most stakeholders within the pilot country, and broader networks. Several technical and logistical obstacles were encountered. These included high data costs; difficulty in accessing AT information from the public healthcare sector, the largest supplier of AT; and the high human resource demand of collecting and keeping up-to-date device-level information within a complex and fragmented supply sector that spans private, public and civil society entities. The challenges were dealt with by keeping the data burden low and eliminating product-level tracking. The App design was expanded to include disability services, contextually specific AT categories and make navigation more intuitive. Long-term sustainability strategies like generating funding through advertisements on the App or supplier usage fees must be explored. Outreach and sensitisation programmes about both the App and AT in general must be intensified. The project team must continually strengthen partnerships with private and public stakeholders to ensure ongoing project engagement. The lessons learnt might be of value to others who wish to embark on initiatives in AT and/or implement Apps in health or disability in southern Africa and in low-resourced settings around the world.

A pilot project to develop and implement a mobile smartphone application (App) that tracks and maps assistive technology (AT) availability in southern Africa was launched in Botswana in 2016. The App was developed and tested through an iterative process. The concept of the App (AT-Info-Map) was well received by most stakeholders within the pilot country, and broader networks. Several technical and logistical obstacles were encountered. These included high data costs; difficulty in accessing AT information from the public healthcare sector, the largest supplier of AT; and the high human resource demand of collecting and keeping up-to-date device-level information within a complex and fragmented supply sector that spans private, public and civil society entities. The challenges were dealt with by keeping the data burden low and eliminating product-level tracking. The App design was expanded to include disability services, contextually specific AT categories and make navigation more intuitive. Long-term sustainability strategies like generating funding through advertisements on the App or supplier usage fees must be explored. Outreach and sensitisation programmes about both the App and AT in general must be intensified. The project team must continually strengthen partnerships with private and public stakeholders to ensure ongoing project engagement. The lessons learnt might be of value to others who wish to embark on initiatives in AT and/or implement Apps in health or disability in southern Africa and in low-resourced settings around the world.

A pilot project to develop and implement a mobile smartphone application (App) that tracks and maps assistive technology (AT) availability in southern Africa was launched in Botswana in 2016. The App was developed and tested through an iterative process. The concept of the App (AT-Info-Map) was well received by most stakeholders within the pilot country, and broader networks. Several technical and logistical obstacles were encountered. These included high data costs; difficulty in accessing AT information from the public healthcare sector, the largest supplier of AT; and the high human resource demand of collecting and keeping up-to-date device-level information within a complex and fragmented supply sector that spans private, public and civil society entities. The challenges were dealt with by keeping the data burden low and eliminating product-level tracking. The App design was expanded to include disability services, contextually specific AT categories and make navigation more intuitive. Long-term sustainability strategies like generating funding through advertisements on the App or supplier usage fees must be explored. Outreach and sensitisation programmes about both the App and AT in general must be intensified. The project team must continually strengthen partnerships with private and public stakeholders to ensure ongoing project engagement. The lessons learnt might be of value to others who wish to embark on initiatives in AT and/or implement Apps in health or disability in southern Africa and in low-resourced settings around the world.

Abstract Background: Several mutations have been described leading to impaired immunity in the IL-12/IFN-γ axis and, they confer susceptibility to mycobacterial infections. One of the more serious clinical phenotypes is secondary to mutations at IFN-γ receptor 1 gene, characterized by an early onset and more severe disease. Case report: We present a 3-month-old female patient with systemic M. tuberculosis complex who has a homozygous mutation, it affects the splicing site at IFNGR1 c.201-1G> T. At time of this report, she is with antimycobacterial treatment in the protocol of pluripotent hematopoietic cell transplantation (TCHP). Conclusion: It has been reported that antiphimic treatment should be maintained until the immune system is restored by the TCHP. If patients receive THCP before the age of 1 year old, they have a better prognosis. Diminish the levels of IFN-γ in plasma before the procedure is associated to better results.

Resumen Antecedentes: Se han descrito diversas mutaciones que llevan a inmunidad alterada en el eje interleucina 12/interferón gamma (IL-12/IFN-γ) y confieren susceptibilidad a infecciones por micobacterias. Uno de los fenotipos clínicos más graves es secundario a mutaciones en el gen del receptor 1 de IFN-γ, caracterizado por su inicio a temprana edad y mayor gravedad. Caso clínico: Paciente femenina de 3 meses de edad, con afección sistémica por complejo M. tuberculosis, en quien se identificó una mutación homocigota que afecta el sitio de splicing a nivel de IFNGR1 c.201-1G>T. Al momento de este reporte es manejada con antifímicos en un protocolo de trasplante de células hematopoyéticas pluripotenciales. Conclusión: Se ha informado que el tratamiento antifímico debe mantenerse hasta que se restaure el sistema inmunológico mediante trasplante de células hematopoyéticas pluripotenciales, cuyo mejor pronóstico se asocia con edad del receptor menor a un año y reducción de los niveles plasmáticos de IFN-γ.

A técnica de processamento de colagem por fita (tape casting) tem sido amplamente utilizada na obtenção de cerâmicas para diferentes aplicações: substratos cerâmicos e estruturas planares em multicamadas para circuitos integrados e capacitores; eletrólitos sólidos para células a combustível e sensores; cerâmicas piezoelétricas para atuadores e transdutores; membranas de separação para micro-filtragem; compósitos estruturais e trocadores de calor. Neste trabalho, a técnica convencional de colagem por fita foi adaptada com a utilização do processo de pirólise controlada de misturas de polímeros e carga, empregando-se polissiloxanos e cargas de silício e alumina nas suspensões. Foram preparadas suspensões com 60% vol. de fase polimérica (polissiloxanos e metil-trietoxi-silano) e 40% vol. de carga (Si e Al2O3), com diferentes concentrações dos polímeros e das cargas. As amostras na forma de substratos foram pirolisadas em atmosfera de nitrogênio a 1400 °C/2 h e 1500 °C/2 h, sendo convertidas em materiais cerâmicos no sistema Si-Al-O-N-C. O processo de pirólise foi caracterizado até a temperatura de 1000 ºC por análise termogravimétrica. As cerâmicas foram caracterizadas quanto às fases formadas, microestrutura, massa específica aparente e condutividade térmica. Os substratos cerâmicos apresentaram porosidade relativamente alta (entre 12 e 22%) e baixa condutividade térmica (entre 3 e 8 W/m.K), sendo constituídos por fases cristalinas de beta-SiC, Si2ON2, O'-SiAlON, Al2O3, mulita e fase amorfa de SiOC; o Si foi observado nas amostras pirolisadas a 1400 ºC.

The tape casting technique has been widely used to prepare ceramic tapes for different applications: ceramic substrates and multilayer planar structures for integrated circuits and capacitors, solid electrolytes for fuel cells and sensors, piezoelectric ceramics for actuators and transducers, membrane systems for micro-filtration, structural composites and heat exchanger. In this work the conventional tape casting technique was adapted to utilize the active filler controlled polymer pyrolysis process making use of polyssiloxanes and fillers in the initial suspension. Suspensions were prepared with 60 vol. % of polymeric phase (polyssiloxanes and methyl-trietoxy-silane) and 40 vol. % of fillers (Si and Al2O3) with different contents of polymer and fillers. The cured tapes were pyrolysed In nitrogen atmosphere at 1400 ºC/2 h and 1500 ºC/2 h, converting the material to ceramic tapes in the Si-Al-O-N-C system. The pyrolysis process was characterized by thermogravimetry up to 1000 ºC and pyrolyzed tapes were characterized according to phase formation, microstructure, density and thermal conductivity. The converted tapes showed relatively high porosity (between 12 and 22%) and low thermal conductivity (between 3 and 8 W/m.K.). The tapes are mainly composed by crystalline phases of beta-SiC, Si2ON2, O'SiAlON, Al2O3 and mullite and a SiOC amorphous phase; Si was observed in tapes pyrolysed at 1400 ºC.