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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>traveling to Croatia for conferences - [Opatija Conf 2026] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=conferences_croatia</link>
            <description>traveling to Croatia for conferences

see also:

	* travel for international conferences - visas and travel authorisations
	* traveling to Prague and Czech Republic for conferences
	* traveling to conferences in Italy

Introduction

	* main airport and capital is Zagreb which is inland and north-east, near the Slovenia border
	* Dalmatian coastal towns include:
		*  Pula
		*  Opatija
			*  cool-mild in early May with max temperatures ~18degC</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Fri, 03 Apr 2026 08:55:27 +0000</pubDate>
        </item>
        <item>
            <title>timeline of artificial intelligence development and related issues - [2026] </title>
            <link>https://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>Fri, 03 Apr 2026 06:52:12 +0000</pubDate>
        </item>
        <item>
            <title>foods that may be toxic or bad for you - [food constituents that are generally harmful] </title>
            <link>https://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>Fri, 03 Apr 2026 04:08:55 +0000</pubDate>
        </item>
        <item>
            <title>ethanol (alcohol and alcohol withdrawal) - [Chronic use toxicity] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=ethanol</link>
            <description>ethanol (alcohol and alcohol withdrawal)

see also:

	* ethanol intoxication
	* cirrhosis
	* Western Health policies (intranet only):
		* alcohol withdrawal
		* alcohol withdrawal scale


Introduction

	* ethanol is primarily a CNS depressant acting by stimulating GABAA receptor in the CNS.
	* from 1996-2005 throughout Australia, each year, an average of over 80,000 were hospitalised, and over 3,000 died from alcohol attributable injury and disease caused by risky/high risk drinking - mainly due…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Fri, 03 Apr 2026 04:06:05 +0000</pubDate>
        </item>
        <item>
            <title>Salmonella typhi (typhoid enteric fever) - [ED Mx of suspected typhoid or paratyphoid enteric ...</title>
            <link>https://ozemedicine.com/wiki/doku.php?id=typhoid</link>
            <description>Salmonella typhi (typhoid enteric fever)

see also:

	* clinically important bacteria
	* antibiotics
	* shigella
	* paratyphoid enteric fever
	* gastroenteritis
	* the febrile returned traveller
	* traveller's diarrhoea

introduction

	* Salmonella are Gram negative anaerobe clinically important bacteria 
	* certain host factors make humans particularly susceptible to infection, contracted by ingesting contaminated food or water</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Thu, 02 Apr 2026 12:44:17 +0000</pubDate>
        </item>
        <item>
            <title>Japanese encephalitis virus (JEV) - [Japanese encephalitis virus (JEV)] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=jev</link>
            <description>Japanese encephalitis virus (JEV)

see also:

	* WHO fact sheet
	* malaria
	* dengue fever
	* viruses
	* Murray Valley encephalitis (MVE)
	* &lt;https://www.health.vic.gov.au/infectious-diseases/japanese-encephalitis-virus&gt;

	* in 2026, the Victorian Govt advisary now has been updated to recommend recreational campers who go to northern half of Victoria should consider getting the Japanese encephalitis vaccine</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 11:25:01 +0000</pubDate>
        </item>
        <item>
            <title>exercise for health - [Introduction] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=exercise</link>
            <description>exercise for health

see also:

	* nature exposure and benefits to health
	* atherosclerosis and primary prevention
	* obesity and weight management
	* frailty
	* Am Heart Association recommendations for exercise in adults

Introduction

	* regular exercise is critical to maintain cardiovascular health, reduce chronic disease risks including cancer and improve mental health
	* ideally there should be a variety of exercise types undertaken regularly such as walking, walking up hills or stairs, an…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 04:11:20 +0000</pubDate>
        </item>
        <item>
            <title>phthalates - [Risk reduction] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=phthalates</link>
            <description>phthalates

see also:

	* endocrine disrupting chemicals (EDCs)
	* foods that may be toxic or bad for you
	* bisphenols (Bisphenol A (BPA), etc)
	* Perfluoroalkyl and polyfluoroalkyl substances (PFAS) including PFOA, PFOS, GenX, Teflon

Introduction

	* phthalates are a group of commonly used chemicals which have been found to potentially have adverse effects on humans and presumably other animals
	* these substances can break down into microscopic particles and enter the body through food, air,…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 01:09:53 +0000</pubDate>
        </item>
        <item>
            <title>bisphenols (Bisphenol A (BPA), etc) - [bisphenols (Bisphenol A (BPA), etc)] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=bisphenols</link>
            <description>bisphenols (Bisphenol A (BPA), etc)

see also:

	* phthalates
	* Perfluoroalkyl and polyfluoroalkyl substances (PFAS) including PFOA, PFOS, GenX, Teflon
	* foods that may be toxic or bad for you
	* endocrine disrupting chemicals (EDCs)

Introduction

	* these are commonly used chemicals 
	* BPA and similar are used in the lining of some food and beverage packaging to protect food from contamination and extend shelf life</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 01:03:44 +0000</pubDate>
        </item>
        <item>
            <title>Perfluoroalkyl and polyfluoroalkyl substances (PFAS) including PFOA, PFOS, GenX, Teflon - ...</title>
            <link>https://ozemedicine.com/wiki/doku.php?id=pfas_pfoa</link>
            <description>Perfluoroalkyl and polyfluoroalkyl substances (PFAS) including PFOA, PFOS, GenX, Teflon

see also:

	* toxinology
	* phthalates
	* bisphenols (Bisphenol A (BPA), etc)
	* US EPA basic information on PFAS
	* NSW Health advisory
	* &lt;https://www.pfas.gov.au/about-pfas/affects&gt;
	* July 2020: A Probabilistic Approach to Evaluate the Risk of Decreased Total Triiodothyronine Hormone Levels following Chronic Exposure to PFOS and PFHxS via Contaminated Drinking Water
	* Youtube - a doco on the history of …</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 00:54:29 +0000</pubDate>
        </item>
        <item>
            <title>endocrine disrupting chemicals (EDCs) - [Sources of EDCs] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=endo_chemicals</link>
            <description>endocrine disrupting chemicals (EDCs)

see also:

	* endocrinology
	* foods that may be toxic or bad for you
	* &lt;https://www.who.int/teams/environment-climate-change-and-health/settings-and-populations/children/endocrine-disrupters&gt;
	* WHO publication 2002 Global assessment on the state of the science of endocrine disruptors

Introduction

	* endocrine disrupting chemicals (EDCs) are chemicals which can mimic, block, or interfere with the body's hormones
	* 95% of people have endocrine disruptin…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 00:46:46 +0000</pubDate>
        </item>
        <item>
            <title>infertility - [causes of male infertility] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=infertility</link>
            <description>infertility

see also:

	* gynaecology
	* follicle stimulating hormone (FSH)
	* luteinizing hormone (LH)

introduction

	* defined as the inability for a couple to concieve within 1 year of unprotected intercourse
	* 15% of couples meet this criterion
	* 35% of these are due to female factors alone, 30% due to male factors alone, 20% due to combined male and female factors, and 15% are unexplained</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 00:32:36 +0000</pubDate>
        </item>
        <item>
            <title>cellular physiology - [cellular replicative senescence] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=cell</link>
            <description>cellular physiology

see also:

	* cellular physiology - endoplasmic reticulum

Introduction

Organelles and other cellular components

nucleus

	* contains the genetic material (DNA), RNA to create proteins, and proteins to maintain correct folding and functioning of the nucleus components as well as transport across the nucleus membrane</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 00:31:04 +0000</pubDate>
        </item>
        <item>
            <title>vitamin D - [excessive vitamin D levels] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=vitd</link>
            <description>vitamin D

see also:

	* calcium
	* calcitonin
	* parathyroid hormone (PTH)
	* bone physiology
	* ultraviolet light exposure (UV)
	* patient information sheets:
		* RCH - rickets (pdf)


introduction

	* Inadequate vitamin D nutrition is associated with impaired intestinal calcium absorption and must be corrected for ingested calcium to be effective. 
	*</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 01 Apr 2026 00:11:12 +0000</pubDate>
        </item>
        <item>
            <title>aciclovir and related antivirals (famciclovir, valaciclovir) - [introduction] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=aciclovir</link>
            <description>aciclovir and related antivirals (famciclovir, valaciclovir)

see also:

	* viruses
	* Herpes simplex virus (HSV)
	* varicella-zoster virus (chickenpox/shingles)
	* herpes zoster (shingles)
	* meningitis

introduction

	* aciclovir is an antiviral agent which is active against Herpes simplex virus (HSV) types I and II and varicella-zoster virus (chickenpox/shingles)). 
	* also used as prophylaxis for cytomegalovirus (CMV) in patients with HIV / AIDS
	* in infected cells, HSV or VZV coded thymidi…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 31 Mar 2026 07:09:07 +0000</pubDate>
        </item>
        <item>
            <title>the patient with acute RUQ pain in ED - [differential diagnosis:] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=abdopain_ruq</link>
            <description>the patient with acute RUQ pain in ED

read this first:  abdominal pain in ED

right upper quadrant pain:

differential diagnosis:

hepatobiliary:

	* see also: liver function tests (LFTs)
		* differential diagnosis:
			* biliary colic:
				* acute onset severe RUQ pain, usually going through to R scapula
				*</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 31 Mar 2026 06:22:24 +0000</pubDate>
        </item>
        <item>
            <title>gallbladder polyps - [Introduction] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=gb_polyps</link>
            <description>gallbladder polyps

see also:

	* biliary colic
	* gallbladder and bile duct tumours
	* more details of GB polyps, see &lt;https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3359430/&gt;

Introduction

	* most are benign but as delayed diagnosis of malignancy is a poor prognosis, and even benign ones may become symptomatic, elective cholecystectomy may be indicated</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 31 Mar 2026 06:19:50 +0000</pubDate>
        </item>
        <item>
            <title>biliary colic</title>
            <link>https://ozemedicine.com/wiki/doku.php?id=biliary_colic</link>
            <description>biliary colic

see also:

	* the patient with acute abdominal pain in the ED
	* cholelithiasis (gallstones)
	* gallbladder polyps

	* at Western Health, these patients are generally suitable for admission to SSU (EOU) however all patients presenting with symptomatic known or suspected biliary disease (or those with stones &gt; 2cm) should be referred to surgical registrar to ensure timely surgical Mx and prevention of complicated disease</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Tue, 31 Mar 2026 06:19:20 +0000</pubDate>
        </item>
        <item>
            <title>motor neurone disease (MND) - [Risk factors] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=n_mnd</link>
            <description>motor neurone disease (MND)

see also:

	* Cranial nerve examination
	* Neuropathies
	* bulbar palsy and pseudobulbar palsy

Introduction

	* a group of progressive neuronal degenerative diseases with generally poor prognosis
	* when one talks on MND, they are usually referring to ALS which is a type of motor neuron disease</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Mon, 30 Mar 2026 04:46:52 +0000</pubDate>
        </item>
        <item>
            <title>acute generalized non-vesicular non-purpuric rashes covering most parts of the body - [DDx] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=rash_generalised</link>
            <description>acute generalized non-vesicular non-purpuric rashes covering most parts of the body

see also:

	* dermatology
	* localised rashes
	* paediatric exanthems
	* &lt;https://www.aafp.org/afp/2010/0315/p735.html&gt;

DDx

	* hypersensitivity reactions
		*  urticaria
		*  erythema multiforme
		*  drug eruption
			*  morbilliform drug reaction
			*  drug reactions with eosinophilia and systemic symptoms (</description>
            <author>wh@undisclosed.example.com (wh)</author>
            <pubDate>Sun, 29 Mar 2026 11:21:28 +0000</pubDate>
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