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        <title>OzEMedicine - Wiki for Australian Emergency Medicine Doctors</title>
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            <title>steatohepatitis (fatty liver) - [non-alcoholic steatohepatitis (NASH) or non-alcoholic fatty ...</title>
            <link>http://ozemedicine.com/wiki/doku.php?id=steatohepatitis</link>
            <description>steatohepatitis (fatty liver)

see also:

	* hepatitis
	* liver diseases

introduction

	* steatohepatitis is a progression of fatty liver disease and may progress on to cirrhosis and hepatocellular carcinoma
	* initially it is asymptomatic and may only be discovered as a result of:
		* raised liver function tests (LFTs)
		* hepatomegaly
		* diagnosis on USS or CT abdo</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 30 Sep 2026 11:56:11 +0000</pubDate>
        </item>
        <item>
            <title>timeline of artificial intelligence development and related issues - [2026] </title>
            <link>http://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>Wed, 30 Sep 2026 00:46:39 +0000</pubDate>
        </item>
        <item>
            <title>thunderstorm asthma - [Grass pollen counts in Melbourne] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=asthma_thunderstorm</link>
            <description>thunderstorm asthma

see also:

	* asthma
	* allergens
	* Victorian forecast grass pollen count forecast
	* Vic Govt Thunderstorm Asthma forecast risk
	* Vic Govt funding new research Feb 2017
	* The Age: Feb 2017 reporting the Vic Govt's report on the Nov 2016 event
	* Vic Better Health patient information on thunderstorm asthma
	* Vic Govt public awareness toolkit
	* Vic Govt Thunderstorm Asthma webpage

Introduction

	* Thunderstorms may induce a sudden region wide increase in acute asthma in…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 29 Sep 2026 12:05:56 +0000</pubDate>
        </item>
        <item>
            <title>glucagon-like peptide-1 (GLP-1) peptide analogs (eg. Ozempic) - [Actions] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=glp-1analogs</link>
            <description>glucagon-like peptide-1 (GLP-1) peptide analogs (eg. Ozempic)

see also:

	* oral hypoglycaemic agents
	* obesity and weight management
	* glucagon

Introduction

	* these peptides mimic the action of the incretin glucagon-like peptide-1 (GLP-1) and need to be given by s/c injection
	* patients with pre-diabetes or type 2 diabetes mellitus often have defects in the effect of incretin</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Mon, 28 Sep 2026 05:52:17 +0000</pubDate>
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        <item>
            <title>toxoplasmosis - [Life cycle] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=toxoplasmosis</link>
            <description>toxoplasmosis

see also:

	* parasites
	* &lt;https://www.cdc.gov/toxoplasmosis/about/&gt;

Introduction

	* Toxoplasma gondii was discovered in 1908 and is one of the most successful global parasites which appears to be primarily spread by oocytes shed in cat faeces
	* cats appear to be the definitive host and the only host capable of shedding oocytes</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 27 Sep 2026 14:50:40 +0000</pubDate>
        </item>
        <item>
            <title>vertigo - peripheral vs central - [central vertigo features] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=n_vertigo</link>
            <description>vertigo - peripheral vs central

see also

	* neurology
	* examination of cranial nerves
	* ataxia
	* stroke (CVA)
	* transient ischaemic attack (TIA)
	* ED Mx of vertigo including BPV instructions

peripheral vs central vs systemic cause

peripheral vertigo features

	* see HINTS exam for vertigo and stroke

nystagmus characteristics

	* horizontal or horizontorotary (esp. Meniere's which can last for hours)
	*</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Sun, 27 Sep 2026 12:05:54 +0000</pubDate>
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        <item>
            <title>spider bites in Australia - [Introduction] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=spider_bites</link>
            <description>spider bites in Australia

see also:

	* toxinology
	* redback spider bites
	* funnel web spider bites (atraxis)
		* &lt;http://www.news.com.au/lifestyle/health/health-problems/i-felt-something-crawl-up-my-leg-this-woman-survived-every-aussies-worst-nightmare/news-story/d2a0358c13574494610ceeb1debaf04d&gt;


Introduction

	* there are 2 main venomous spiders in Australia whose bite can kill humans (although no deaths since 1979 when antivenom was made available in 1980):
		* male Sydney funnel web spi…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 27 Sep 2026 03:31:41 +0000</pubDate>
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        <item>
            <title>insect bites and stings - [insect bites and stings] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=insect_bites</link>
            <description>insect bites and stings

see also:

	* animal bites in Australia
	* ticks in Australia
	* centipede bites
	* spider bites in Australia
	* bed bugs
	* human louse / lice
	* toxinology
	* anaphylaxis
	* illness following floods
	* &lt;https://www.austin.org.au/bites-and-stings/&gt;

introduction

	* biting and stinging insects of medical concern include:
		* Diptera - mosquitoes, flies and gnats
		* Hymenoptera - ants, bees and wasps
		* Phthiraptera - lice</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 27 Sep 2026 03:12:42 +0000</pubDate>
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        <item>
            <title>ED overcrowding and bed access block - [ED over-crowding increases cognitive overload, stress, ...</title>
            <link>http://ozemedicine.com/wiki/doku.php?id=edadmin:accessblock</link>
            <description>ED overcrowding and bed access block

see also:

	* administrative aspects of Emergency Medicine in Australia
	* queue theory
	* ED system and patient complexity
	* edstats
	* UK 2015 Report: A&amp;E delays: Why did patients wait longer last winter? (pdf
		* Commentary: At last, a decent analysis of the English A&amp;E crisis
		* Commentary: The catastrophe is coming

	* &lt;https://www.abc.net.au/news/2019-04-20/doctors-warn-patients-dying-at-royal-hobart-hospital/11033348&gt;



summary

	* ED bed access bl…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
        <category>edadmin</category>
            <pubDate>Sat, 26 Sep 2026 03:57:59 +0000</pubDate>
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        <item>
            <title>chikungunya virus - [Introduction] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=chikungunya</link>
            <description>chikungunya virus

see also:

	* &lt;https://www.who.int/news-room/fact-sheets/detail/chikungunya&gt;

Introduction

	* arboviral infection spread by mosquitoes found mostly in West and East Africa, around the Indian Ocean, Asia, and South East Asis including the Pacific Islands
	* NOT acquired in Australia - no known cases as of 2025 although the mosquitoes which can transmit it (</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sat, 26 Sep 2026 00:47:52 +0000</pubDate>
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        <item>
            <title>ticks in Australia - [Debilitating Symptom Complexes Attributed to Ticks (DSCATT)] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=ticks</link>
            <description>ticks in Australia

see also:

	* insect bites and stings
	* toxinology

introduction

	* ticks are blood sucking, external parasites which belong to the order Acarina (which also contains mites) and are related to spiders and scorpions
	* globally, only mosquitoes spread more human and animal diseases than ticks</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Fri, 25 Sep 2026 14:05:29 +0000</pubDate>
        </item>
        <item>
            <title>aortic dissection - [definitive Rx:] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=aorticdissection</link>
            <description>aortic dissection

see also:

	*  chest pain in the ED; 
	*  ADD - an aortic dissection risk assessment tool
	*  Features and diagnosis of aortic dissection
	* AFTB lecture notes - aortic dissection

management in the ED:

	* mortality in 1st 24-48hrs is 1-2% per hour
	* all pts with suspected dissection should have careful monitoring of:
		* ECG
		* BP - preferably with arterial line
		* urine output</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Fri, 25 Sep 2026 14:03:45 +0000</pubDate>
        </item>
        <item>
            <title>physiology of sleep - [Evolution of human sleep and the role of protection from nocturnal ...</title>
            <link>http://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>Fri, 25 Sep 2026 11:56:05 +0000</pubDate>
        </item>
        <item>
            <title>sound, vibration and effects on the body - [Effects on the human body] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=sound</link>
            <description>sound, vibration and effects on the body

see also:

	* massage guns
	* Basics of ultrasound

Introduction

	* sound is the acoustic energy waves from vibrating particles at frequency ranges human can hear
	* sound intensity is usually measured in decibels (dB) 
	* vibrations can make other objects vibrate and this becomes amplified if the frequency of the vibrations match the resonant frequency of the object (this can cause bridges to collapse)</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 24 Sep 2026 01:58:11 +0000</pubDate>
        </item>
        <item>
            <title>massage guns - [Introduction] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=massage_guns</link>
            <description>massage guns

see also:

	* orthopaedics in the ED
	* sound, vibration and effects on the body

Introduction

	* percussion massage muscle guns are commonly used by professional athletes and nonathletes worldwide for warm-up and physical recovery as well as by the general community to help with low back pain and other muscle pains</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 24 Sep 2026 01:12:13 +0000</pubDate>
        </item>
        <item>
            <title>endometriosis - [MRI] </title>
            <link>http://ozemedicine.com/wiki/doku.php?id=endometriosis</link>
            <description>endometriosis

see also

	* gynaecology
	* RIF or pelvic pain
	* LIF or pelvic pain
	* dysmenorrhoea
	* chronic pelvic pain in women
	* Endometriosis Care Centre Of Australia
	* Epworth Julia Argyrou endometriosis centre

introduction

	* endometriosis is defined as the presence of endometrial glandular and stromal tissue outside the uterine cavity.
	* it is dependent upon oestrogen
	* clinical flare ups tend to have a catamenial (cyclical) pattern, occurring between 24h before and 72h after the…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 23 Sep 2026 23:53:36 +0000</pubDate>
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