RESUMO
Cardiorhythm Africa, the inaugural conference of AFHRA, was conceived during the biennial PASCAR congress held in Johannesburg in November 2019, with the ambition to be the largest ever pan-African conference focused purely on arrhythmia. Significant aims were to (1) bring together arrhythmia specialists from across Africa and from the diaspora; and (2) announce the newly formed African Heart Rhythm Association (AFHRA), an affiliate organisation of PASCAR formed from the amalgamation of the Cardiac Pacing and Arrhythmias taskforces. The meeting held in Nairobi (2931 January 2020) was organised to provide a focus on resource-constrained arrhythmia management within the African context and novel/advanced and potentially home-grown solutions. There was full representation from all five PASCAR regions (North, East, West, Central and Southern Africa). This report summarises the scope and perspective of the first Cardiorhythm Africa meeting and presents the future directions for this annual meeting
Assuntos
UgandaRESUMO
Introduction: A 24 hours long cyclic change in body temperature, ie. body temperature circadian rhythm is used as a marker of other body circadian rhythms.Objectives:To determine circadian rhythm in oral temperature of adult hyperthyroidsat Nyala and Alfashir-western cities, Sudan.Study Design:A descriptive cross-sectional of stratified random sampling.Place and Duration of Study:Department of Physiology, Faculty of Medicine, Gezira University, Wadmadani, Sudan, from December 2006 to March 2007.Methodology: A sample of thirty clinically diagnosed thyrotoxic cases (females = 29, and a male) of age ranging from 18 to 50 years, attended to Sudanese atomic energy corporation (SAEC) for receiving positively confirmed laboratory tests were enrolled to conduct this study. Early morning and late evening oral temperatures were recorded by the mercury-in-glass thermometer. A questionnaire was used to exclude any other fever conditions. Thyroid hormones, ie. T3, T4, and TSH levels were measured by radioimmunoassay (RIA) at SAEC of Nyala with reference ranges 0.4 -4.4 mIU/L, 0.69 -2.02 nmol/L, and 50 -150 nmol/L for TSH, T3, and T4 respectively. Subjects of T3and T4 values above reference ranges with TSH below reference were considered hyperthyroid. The obtained data were analyzed statistically by the statistical package for the social science programme (SPSS), ie. T-test.Results:Mean oral temperature and circadian rhythm were found to be 37.25 ± 0.34ºC and 0.43 ± 0.30ºC respectively. The effect of sex on mean oral temperature was statistically significant (p = 0.01), whereas age did not show any statistical effect (p = 0.36).Conclusion:The decreased oral temperature circadian rhythm of thyrotoxic patients, confirms that other body functions also abnormallyaffected when body temperature circadian rhythmis abnormal
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A 16-year-old girl was admitted with acute onset of abdominal pain associated with vomiting. There was no abdominal distension, fever, jaundice or gastrointestinal bleeding. She had two similar episodes in the preceding 6 months. On examination, there was mild tenderness in the epigastrium. Her blood sugar, renal parameters, results of liver function tests and serum amylase were normal. The blood samples collected for analysis are shown in Figure 1, Upper gastrointestinal endoscopy was unremarkable