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        <title>OzEMedicine - Wiki for Australian Emergency Medicine Doctors</title>
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        <item>
            <title>gene regulation - [Eukaryotic gene regulation] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=gene_regulation</link>
            <description>gene regulation

see also:

	* micro RNAs (miRNAs)
	* DNA and genes

Introduction

	* for a cell to function properly, necessary proteins must be synthesized at the proper time.
	* gene regulation is the process used to control the timing, location and amount in which genes are expressed as RNA and as a result protein is produced</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sat, 24 Oct 2026 23:31:39 +0000</pubDate>
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        <item>
            <title>DNA and genes - [DNA to RNA] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=dna</link>
            <description>DNA and genes

see also:

	* genetics
	* genomics
	* gene regulation
	* micro RNAs (miRNAs)

Introduction

	* the human genome consists of over three billion nucleotide pairs which make up the 46 chromosomes in each nucleated cell
		* an average chromosome contains 130 million nucleotide pairs which if put into a line would be 4cm long!</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sat, 24 Oct 2026 23:29:09 +0000</pubDate>
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        <item>
            <title>Formatting Syntax - created - external edit</title>
            <link>https://ozemedicine.com/wiki/doku.php?id=wiki:syntax</link>
            <description>Formatting Syntax

DokuWiki supports some simple markup language, which tries to make the datafiles to be as readable as possible. This page contains all possible syntax you may use when editing the pages. Simply have a look at the source of this page by pressing</description>
            <author>anonymous@undisclosed.example.com (Anonymous)</author>
            <pubDate>Sat, 24 Oct 2026 13:49:11 +0000</pubDate>
        </item>
        <item>
            <title>cervical disc prolapse - [Introduction] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=cervical_disc_prolapse</link>
            <description>cervical disc prolapse

see also:

	* lumbar disc prolapse

Introduction

	* cervical disc prolapse occcurs in 0.5-2% of the population and is thus a relatively common cause of neck or radicular pain radiating to one or both arms
	* it is usually due to degeneration of the disc but may be caused by an acute traumatic injury such as direct impact</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sat, 24 Oct 2026 08:57:10 +0000</pubDate>
        </item>
        <item>
            <title>artificial intelligence - [Potential security risks of running local AI models] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=it:ai</link>
            <description>artificial intelligence

see also:

	* information technology main index
	* timeline of artificial intelligence development and related issues
	* AI_history2
	* timeline of medical artificial intelligence development
	* AI and the future
	* computers for running artificial intelligence
	* AI fakes
	* my AI playground
	* artificial intelligence courses
	* laptops for designing and training AI apps
	* AI terminology
	* Python language
	* anaconda
	* AI machine learning
	* AI deep learning
	* AI - …</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 22 Oct 2026 14:07:44 +0000</pubDate>
        </item>
        <item>
            <title>diets and healthy foods - [Essential nutrients] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=diets</link>
            <description>diets and healthy foods

see also:

	* healthy living and diets
	* foods that may be toxic or bad for you
	* FODMAPs and the low FODMAP diet
	* salt / sodium in food products
	* honey
	* creatine
	* milk and dairy products
	* atherosclerosis and primary prevention
	* 2019 Lancet commission into best diet for health and environment
	* 2024: Underrated aspects of a true Mediterranean diet: understanding traditional features for worldwide application of a “Planeterranean” diet

	* accurate evidence…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 22 Oct 2026 12:07:59 +0000</pubDate>
        </item>
        <item>
            <title>pancreatic cancer - [risk factors] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=neo_pancreas</link>
            <description>pancreatic cancer

see also:

	* neoplasia / cancer / tumours
	* pancreatitis

Introduction

	* “pancreatic cancer” usually refers to adenocarcinoma of the exocrine pancreatic ducts which accounts for 85% of all pancreatic neoplasia
	* 95% of all malignant pancreatic tumours arise from the exocrine pancreas and are pancreatic ductal adenocarcinomas (PDAC), many of these develop from a precursor lesion called pancreatic intraepithelial neoplasia (PanIN)</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 22 Oct 2026 10:19:18 +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>Thu, 22 Oct 2026 10:08:09 +0000</pubDate>
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        <item>
            <title>tea and coffee - [Introduction] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=tea_coffee</link>
            <description>tea and coffee

see also:

	* caffeine
	* diets and healthy foods

Introduction

	* drinking coffee and tea daily in moderation appear to have a variety of health benefits with significant reductions in all cause mortality
	* regular caffeine intake results in tolerance (and also risk of withdrawal symptoms upon cessation):</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Thu, 22 Oct 2026 00:08:18 +0000</pubDate>
        </item>
        <item>
            <title>physiology of sleep - [clinical ramifications of circadian rhythms] </title>
            <link>https://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>Wed, 21 Oct 2026 23:42:06 +0000</pubDate>
        </item>
        <item>
            <title>depression - [In the news] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=depression</link>
            <description>depression

see also:

	* psychiatry and mental health
	* antidepressants
	* suicide
	* Geriatric depression scale
	* stress
	* happiness
	* sadness
	* loneliness
	* new screening tool for depression in Australian indigenous peoples - the aPHQ-9

Other references

	* Aust Presc 2008 - Rx of perinatal depression (post-partum)
	* Aust Presc 2007 - Antidepressants in pregnancy and breastfeeding

In the news

	* Dec 2008 - Antidepressants the most common PBS prescription for women aged 28-33yrs in A…</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 21 Oct 2026 23:41:42 +0000</pubDate>
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        <item>
            <title>Mx of acute migraine - [moderate-severe attack:] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=migraine_mx</link>
            <description>Mx of acute migraine

see migraine, neurology, pain, analgesia and analgesics, headache

see also:

	* NICS - Mx of acute migraine 006 (pdf)

general principles

	* look for alarm symptoms &amp; signs of headaches that may warrant a CT scan or alternate diagnosis
	* in general oral medications in acute attacks are poorly absorbed even with anti-emetic or in non-nauseated pts!!

mild-moderate attack:

	* simple pain, analgesia and analgesics:
		* paracetamol (acetaminophen) +/- codeine</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Wed, 21 Oct 2026 12:02:39 +0000</pubDate>
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        <item>
            <title>migraine - [differential diagnosis:] </title>
            <link>https://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>Wed, 21 Oct 2026 11:58:53 +0000</pubDate>
        </item>
        <item>
            <title>acute asthma in the adult patient - [acute asthma in the adult patient] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=asthma_adult</link>
            <description>acute asthma in the adult patient

see also:

	* paediatric asthma
	* asthma
	* beta 2 adrenergic agonists
	* Mx of the wheezy elderly patient - acute pulmonary oedema versus asthma
	* AFTB&#039;s lecture notes - Mx of acute asthma
	* patient information: Vic Govt asthma management plans in various languages
		*  patients should generally go to ED or call 000 for an ambulance and start their asthma “first aid” if either:
			*  they don&#039;t have access to asthma medications and can&#039;t get to a doctor in …</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Mon, 19 Oct 2026 11:20:31 +0000</pubDate>
        </item>
        <item>
            <title>painful scalp - [dermatomes of the head] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=painful_scalp</link>
            <description>painful scalp

see also:

	* painful ear
	* scalp folliculitis
	* headache

Introduction

	* the adult patient presenting with a painful scalp is not uncommon and can be difficult to diagnose and treat

Anatomy

dermatomes of the head

	* unlike the rest of the body (which uses spinal dermatomes), facial sensation is carried by the three main branches of the trigeminal nerve:</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Mon, 19 Oct 2026 00:06:32 +0000</pubDate>
        </item>
        <item>
            <title>headache - [introduction:] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=headache</link>
            <description>headache

see also:

	* meningitis
	* the child with headache
	* subarachnoid haemorrhage (SAH)
	* migraine
	* acute unilateral headache
	* cervicogenic headache
	* a diagnostic approach to the adult with acute headache
	* AFTB lectures - headache

introduction:

	* patients with headache as a prime feature are a worrying group of patients as there are a number of potentially life threatening or morbid conditions that, although uncommon, are easily missed:</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 18 Oct 2026 22:36:43 +0000</pubDate>
        </item>
        <item>
            <title>painful ear - [nerve supplies] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=ear_pain</link>
            <description>painful ear

	* paediatric emergency medicine
	* ears, nose and throat surgery (ENT)
	* otitis media
	* otitis externa
	* deafness / hearing loss

Introduction

Anatomy

nerve supplies

	* tympanic membrane
		*  auriculotemporal nerve (from the trigeminal nerve (CN V) via the mandibular nerve branch)
			* supplies outer surface ant/inf as well as the temporal region of the scalp</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 18 Oct 2026 22:15:23 +0000</pubDate>
        </item>
        <item>
            <title>scalp folliculitis - [scalp folliculitis] </title>
            <link>https://ozemedicine.com/wiki/doku.php?id=folliculitis_scalp</link>
            <description>scalp folliculitis

see also:

	* dermatology
	* facial rashes
	* scalp and hair conditions
	* painful scalp

introduction

	* scalp pustules are a relatively common problem and often recurrent
	* there are many causes and the various conditions can be divided in to those causing superficial pustules or vesicles vs those causing deeper granulomas</description>
            <author>gary1@undisclosed.example.com (gary1)</author>
            <pubDate>Sun, 18 Oct 2026 21:01:46 +0000</pubDate>
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