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        <title>OzEMedicine - Wiki for Australian Emergency Medicine Doctors</title>
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            <title>OzEMedicine - Wiki for Australian Emergency Medicine Doctors</title>
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        <item>
            <title>congestive cardiac failure - [signs] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=ccf</link>
            <description>congestive cardiac failure

see also:

	* cardiology
	* cor pulmonale
	* acute pulmonary oedema (APO)
	* Mx of the wheezy elderly patient - acute pulmonary oedema versus asthma
	* AFTB lectures - APO
	* heart failure with preserved EF (HFpEF)
	* heart failure with reduced ejection fraction (HFrEF)
	* NB. age &gt; 65 with primary Dx of CCF are admitted to cardio-geriatric unit at Western Hospital if present to Western Health
	* ScienceOpen Dec 2023: Heart Failure Guideline Directed Medical Therapy: …</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Thu, 17 Sep 2026 06:40:57 +0000</pubDate>
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        <item>
            <title>Event Calendar for 2026 - [Event Calendar for 2026] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=conf2026</link>
            <description>Event Calendar for 2026

	* events and conferences relevant to ED professionals
	* Conferences and event calendar for 2025
	* Conferences and event calendar for 2027
	* Victorian school term dates
	* Vic. public holidays
	* Gary's Melbourne event calendar
	* online conference directories:
		* American Centre for Medical Education (CCME) Emergency Medicine &amp; Acute Care Series courses


January:

	* 1st: New Year's Day
	*  Australia Day

February:

	* new HMO, registrar term
	* 18-20th Emcore Melb…</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Wed, 16 Sep 2026 08:05:13 +0000</pubDate>
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        <item>
            <title>Event Calendar for 2028 - [Event Calendar for 2028] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=conf2028</link>
            <description>Event Calendar for 2028

	* events and conferences relevant to ED professionals
	* Conferences and event calendar for 2027
	* Conferences and event calendar for 2029
	* Victorian school term dates
	* Vic. public holidays
	* Gary's Melbourne event calendar
	* online conference directories:
		* American Centre for Medical Education (CCME) Emergency Medicine &amp; Acute Care Series courses


January:

	* 1st: New Year's Day
	*  Australia Day

February:

	* new HMO, registrar term

March:

	* 3-13th: An…</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Wed, 16 Sep 2026 08:05:02 +0000</pubDate>
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        <item>
            <title>Event Calendar for 2027 - [Event Calendar for 2027] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=conf2027</link>
            <description>Event Calendar for 2027

	* events and conferences relevant to ED professionals
	* Conferences and event calendar for 2026
	* Conferences and event calendar for 2028
	* Victorian school term dates
	* Vic. public holidays
	* Gary's Melbourne event calendar
	* online conference directories:
		* American Centre for Medical Education (CCME) Emergency Medicine &amp; Acute Care Series courses


January:

	* 1st: New Year's Day
	* 18-22nd: Rusutsu Emergency Care Conference 2027 (Conference 1): Rusutsu Reso…</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Wed, 16 Sep 2026 08:04:43 +0000</pubDate>
        </item>
        <item>
            <title>upper GIT foreign body - [upper GIT foreign body] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=fb_uppergit</link>
            <description>upper GIT foreign body

see also:

	* FB_lowerGIT

	* Urgent endoscopy is generally indicated for oesophageal foreign bodies such as button batteries, lead and impacted sharp objects such as pins, toothpicks, larger bones, dentures, as well as symptomatic patients unable to manage oral secretions</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 16 Sep 2026 03:32:54 +0000</pubDate>
        </item>
        <item>
            <title>timeline of artificial intelligence development and related issues - [2026] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=it:ai_history</link>
            <description>timeline of artificial intelligence development and related issues

see also:

	* artificial intelligence
	* timeline of medical artificial intelligence development
	* AI terminology
	* information technology main index
	* AI Large Language Models (LLMs)
	* AI - image generation
	* AI and the future
	* the future world when AI reaches AGI level and beyond
	* Lev Selector's powerpoint slides on weekly AI news

	* Amara's Law:
		*  We are prone to overestimating the impact of new technologies in t…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
        <category>it</category>
            <pubDate>Tue, 15 Sep 2026 14:51:08 +0000</pubDate>
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        <item>
            <title>the brain - [neuronal structure] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=brain</link>
            <description>the brain

see also:

	* brain evolution and development
	* cerebrospinal fluid (CSF)
	* stroke (CVA)
	* neurology
	* consciousness
	* memory
	* speech / dysphasias
	* dementia
	* modelling the brain:
		*  Dec 2023: Uni of Cambridge, UK, announces by using their new concept 3D “spatially embedded recurrent neural networks” (seRNNs) they have created a self-organizing, artificially intelligent system that uses the same tricks as the human brain to solve specific tasks. The seRNNs converged on str…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 15 Sep 2026 09:02:17 +0000</pubDate>
        </item>
        <item>
            <title>physiology of sleep - [neurophysiology] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=sleep_physiology</link>
            <description>physiology of sleep

see also:

	* sleep
	* sleep hygiene
	* insomnia
	* fatigue
	* shift work
	* Managing jet lag and your body clock

introduction

	* During a single 24 hour day we have a period of 6-10 hours when we are very sleepy. This is the time when we normally sleep. During the remaining 14-18 hours we are usually awake; however, only a portion of that waking time is suitable for intellectual effort. This period of maximum alertness may last as little as 2-6 hours. We should plan our d…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 15 Sep 2026 08:52:10 +0000</pubDate>
        </item>
        <item>
            <title>migraine - [migraine triggers:] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=migraine</link>
            <description>migraine

see also:

	* Mx of acute migraine
	* acute unilateral headache
	* headache
	* neurology
	* cervicogenic headache
	* &lt;http://www.sciencemag.org/news/2016/01/feature-will-antibodies-finally-put-end-migraines&gt;

epidemiology:

	* the third most common medical condition worldwide
	* ranks as the seventh most disabling condition in terms of years of life lost to disability
	* of the general population:
		* 24% of females aged 40yrs have migraine</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 15 Sep 2026 08:37:58 +0000</pubDate>
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        <item>
            <title>dietary nitrates, nitrites and nitrosamines, processed meats and some vegetables - [Dietary ...</title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=nitrosamines</link>
            <description>dietary nitrates, nitrites and nitrosamines, processed meats and some vegetables

see also:

	* foods that may be toxic or bad for you

Introduction

	*  N-nitrosamines are carcinogenic and in the GIT appear to be a significant contributory cause of stomach cancer, oesophageal cancer and perhaps colorectal cancer (bowel cancer)
	*  nitrosamines in the gut may form from dietary nitrites which may already be in the food or may form from dietary nitrates, and the risk seems highest when processed m…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 15 Sep 2026 08:29:56 +0000</pubDate>
        </item>
        <item>
            <title>foods that may be toxic or bad for you - [unusually excessive food constituents adversely ...</title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=foods_toxins</link>
            <description>foods that may be toxic or bad for you

see also:

	* toxinology
	* blue-green algae (BGA) toxins in waterways
	* food poisoning
	* air pollution and health risks
	* bio-accumulations and long term health
	* diets and healthy foods
	* Toxins (Basel). 2010 Sep Naturally Occurring Food Toxins

Introduction

	* anything taken too much is bad for you - even water and oxygen
	* foods can cause illness if:
		*  a person has a medically specific intolerance
		*  a person has an allergy -</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 15 Sep 2026 06:20:38 +0000</pubDate>
        </item>
        <item>
            <title>sciatica - [Mx in ED] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=sciatica</link>
            <description>sciatica

see also:

	* The adult with back pain in the ED
	* mechanical musculo-skeletal lower back pain
	* lumbar facet joint degenerative arthropathy
	* high lumbar disc prolapse
	* lumbar disc prolapse
	* historical aspects of sciatica
	* spinal stenosis
	* cauda equina syndrome (CES)
	* Vic. Health patient information sheet - back pain (pdf)

introduction

	* acute and acute exacerbations of chronic back pain are a very common presentation to an adult ED
	* many of these have pain radiating…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 15 Sep 2026 04:22:35 +0000</pubDate>
        </item>
        <item>
            <title>lumbar disc prolapse</title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=lumbar_disc_prolapse</link>
            <description>lumbar disc prolapse

see also:

	* back pain in the ED
	* sciatica
	* cauda equina syndrome (CES)
	* high lumbar disc prolapse
	* cervical disc prolapse

Introduction

	* the intervertebral disc / disk comprises the annulus fibrosus and the nucleus pulposus.
	* degenerative disc disease (DDD) results from proteoglycans within the nucleus pulposus breaking down and losing their ability to retain water, thereby reducing the volume of intervertebral discs and decreasing their weight-bearing capaci…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 15 Sep 2026 04:20:56 +0000</pubDate>
        </item>
        <item>
            <title>unregulated peptides - [Retatrutide] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=peptides_unregulated</link>
            <description>unregulated peptides

see also:

	* hormones
	* sports injuries
	* &lt;https://www.tga.gov.au/safety/safety-monitoring-and-information/safety-alerts/understanding-your-responsibilities-when-importing-compounding-and-supplying-unapproved-peptide-products&gt;

Introduction

	* a number of synthetic injectable peptides are being sold which have not been approved by TGA and which may be harmful
	* their use is often driven by social media influencers who often spread medical misinformation</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 13 Sep 2026 23:03:07 +0000</pubDate>
        </item>
        <item>
            <title>drug reactions with eosinophilia and systemic symptoms (DRESS syndrome) - [drug reactions with ...</title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=dress</link>
            <description>drug reactions with eosinophilia and systemic symptoms (DRESS syndrome)

see also:

	* acute generalized non-vesicular non-purpuric rashes covering most parts of the body
	* acute rashes in adults
	* eosinophilia

Introduction

	* DRESS syndrome usually starts 2–8 weeks after the offending drug is started, most often around 2–6 weeks, this is in contrast to most other drug reactions as the onset is delayed compared with most simple drug rashes, which often appear much earlier</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Sun, 13 Sep 2026 07:22:52 +0000</pubDate>
        </item>
        <item>
            <title>creatine - [Daily requirements of creatine] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=creatine</link>
            <description>creatine

see also:

	* exercise for health
	* sarcopenia / generalised muscle wasting
	* diets and healthy foods

Introduction

	* creatine (α-N-methylguanidine acetic acid), is a naturally occurring compound made from three amino acids: L-arginine, glycine, and L-methionine
	* the body primarily produces creatine in the liver, kidneys, and pancreas and hence is not an essential nutrient</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Sun, 13 Sep 2026 04:39:30 +0000</pubDate>
        </item>
        <item>
            <title>disaster medical aspects for Melbourne - [Global catastrophe] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=disaster_melbourne</link>
            <description>disaster medical aspects for Melbourne

	* see also:
		*  disaster medicine
		*  Australian Disaster Resilience knowledge hub
		*  Aust. Govt. Geoscience Australia natural hazards and community safety


Introduction

	* Melbourne is relatively fortunate it is itself in a fairly low risk region for natural disasters with the most frequent events being:
		* bushfires and grassfires are common events but are generally confined to more rural areas and Melbourne itself is unlikely to be directly impa…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 13 Sep 2026 00:31:05 +0000</pubDate>
        </item>
        <item>
            <title>glymphatic system of the brain - [Introduction] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=glymphatic_system</link>
            <description>glymphatic system of the brain

see also:

	* the brain

Introduction

	* discovered in 2012, the glymphatic system is a “pseudo-lymphatic” perivascular network distributed throughout the brain, responsible for replenishing as well as cleansing the brain.</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 10 Sep 2026 06:12:56 +0000</pubDate>
        </item>
        <item>
            <title>stroke (CVA) - [medical conditions contributing risk] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=stroke</link>
            <description>stroke (CVA)

see also:

	* ED Mx of stroke 
	* stroke patterns
	* thrombolysis in stroke
	* neurology
	* transient ischaemic attack (TIA)
	* atherosclerosis and primary prevention
	* intraventricular haemorrhage (IVH) in adults
	* NICS care bundle of documents to assist in the ED management of TIA and stroke
	* Vic. DHS - stroke care strategy recommendations (pdf)
	* Vic. DHS - stroke care strategy for Victoria (pdf)
	* Vic. DHS - clinical networks documents
	* National Stroke Foundation
	* Str…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 10 Sep 2026 00:02:50 +0000</pubDate>
        </item>
        <item>
            <title>vasculitis - [small vessel vasculitis] </title>
            <link>http://www.ozemedicine.com/wiki/doku.php?id=vasculitis</link>
            <description>vasculitis

see also:

	* collagen vascular disorders

introduction

	* vasculitis is inflammation of the blood vessels (usually the term is applied to arterial system rather than venous which tend to fall under the thrombophlebitis term)
	* systemic vasculitis may be acute, subacute or chronic, and may cause widespread organ damage from either local bleeding, thrombosis or ischaemia, and generally only causes inflammation in certain sizes of vessels depending upon the pathology.</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 09 Sep 2026 23:40:51 +0000</pubDate>
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