nyuuzyou/wikis huggingface dataset:
Uncertainty

Uncertainty is the conscious awareness of being unsure, having doubt, or not fully knowing. Medical decision making by nature occurs in the setting of various levels of uncertainty. 
== Types ==
Uncertainty in medicine is categorised into aleotoric (chance uncertainty), and epistemic (limitations in knowledge). These two types of uncertainty tend to occur together. They have a direct impact on diagnostic error, as premature closure can lead to misdiagnosis (See Diagnosis).
Aleatoric uncertainty is chance uncertainty. It includes uncertainly due to variability in disease processes between people, disease incidence, outcomes, and personal significance of particular risks.
Epistemic uncertainty is uncertainty due to the limitations of medical knowledge and limitations in the doctors ability to access (e.g. limited access to medical literature) and process existing medical knowledge. It also includes uncertainty from translating population level findings to individuals, and uncertainty from complex or poorly understood evidence.
If the doctor does not have their own already formed illness scripts, then they can compare the patients presentation to illness scripts from medical literature.
== No Diagnosis ==
If a diagnosis is not able to be made, Dhaliwal says the doctor asks themselves the following questions:Rendon P, Roesch J, Dhaliwal G. The Writing on the Wall: An Exercise in Clinical Reasoning. J Gen Intern Med. 2020 Aug;35(8):2462-2466. doi: 10.1007/s11606-020-05855-6. Epub 2020 May 29. PMID: 32472494; PMCID: PMC7403249.
# Have I reached the limit of my knowledge but not that of my colleagues? 
# Have I reached the limits of my local network’s knowledge but not that of another physician or team elsewhere? 
# Have I reached the limits of medical knowledge entirely (i.e., there is no known answer to the problem)?
Due to the proliferation of information sources and diagnostic possibilities, for which Musculoskeletal Medicine is no exception, the endpoint is ambiguous. At what point is the presentation labelled idiopathic. At what point do you stop investigations. In Musculoskeletal Medicine, often the barrier is funding (such as ACC) rather than the desire of the patient and doctor to keep searching.
== Key Reading ==
== See Also ==
* Clinical Reasoning Articles
* Diagnosis
== References ==
Category:Clinical Reasoning
Upper Extremity Nerve Block

==Background==
*Provides anaesthesia in a larger area for wound exploration, irrigation, and repair without distorting local anatomy
==Indications==
*Upper extremity fracture
*Serious trauma/injury or need to perform painful procedure in area covered by distribution of nerve to be blocked
==Contraindications==
*Infection overlying injection site
*Previous allergic reaction to anaesthetic
*Proximal vascular graft or AV fistula
==Equipment Needed==
*Chlorhexidine or betadine
*5-10 mL Syringe
*25-27 gauge needle
*Local anaesthetic (lidocaine without epinephrine, bupivacaine)
*Sterile gloves 
*Sterile drape
==Procedure==
*Obtain informed consent
*Perform and document a thorough neurovascular examination of the extremity 
*Draw up your anesthetic and load a 25-27 gauge needle 
*Position the patient in position of comfort, placing the arm on a Mayo stand
===For Median Nerve block===
#Locate the palmaris longus (PL) and the flexor carpi radialis (FCR) tendons 
#you can have the patient flex the middle finger against resistance or pinch their thump and pinky together to help highlight these tendons
#some patients do not have PL but you can estimate its general location by going 5 mm medially to the FCR (~midpoint of the wrist)
#Prep the skin and drape it in sterile fashion 
#Insert the needle perpendicular to the skin between the PL and FCR tendons 2-3 cm proximal to the distal crease of the wrist to a depth of 1-2cm
#aspirate and then inject 3-5cc of anesthetic then remove needle
#allow anesthetic to sit ~10 minutes prior to performing procedure 
===For Radial Nerve Block===
#locate the radial styloid and prep and drape area sterily
#inject 5cc of anethetic just above the radial styloid aiming medially
#extend infiltration laterally using an aditional 5cc of anesthetic
==Complications==
*Infection
*Hematoma
*Nerve injury
*Vascular injury 
==References==
Category:Elbow and Forearm Procedures
Category:Hand and Wrist Procedures
Verapamil

Verapamil can be used off label in a topical formulation for superficial fibromatous disorders such as Plantar Fibromatosis. It is purported to have anti-collagen activity. 
The formula is 94 tablets of 80mg tablets crushed and mixed with a base to make 50g with a 15% strength. A cost effective base is white soft paraffin. But other more expensive bases are available for better transdermal penetration at specialized compounding pharmacies.
Category:Pharmacology
Vertebrogenic Low Back Pain

== Clinical Features ==
The pain is often inflammatory in nature and can mimic spondyloarthritis in that there is commonly night pain and prolonged morning stiffness. The pain is often midline rather than lateralised as is the case in other causes of chronic low back pain. The pain can refer to the buttocks. It is not typical for pain to refer past the knee. There may be an absence of pain with extension.
There may be a mixed picture as endplate pathology commonly co-exists with annular tears which is transmitted largely via the sinuvertebral nerve rather than the basivertebral nerve. Irritation of nerve roots such as in the presence of disc herniation can further mix the clinical features.
== Resources ==
Category:Lumbar Spine Conditions
Wartenberg Syndrome

Wartenberg Syndrome, also known as watch strap or handcuff neuropathy, is a condition where the superficial radial nerve is entrapped at the distal forearm. 
==Pathophysiology==
The superficial radial nerve is entraped in the subcutaneous tissue as it exits between the brachioradialis and extensor carpi radialis longus tendons.
==Aetiology==
Other than entrapment from handcuffs or watch straps, it can be caused be a tight cast or post-operative scarring.
==Clinical Features==
It causes pain and paraesthesia around the distal radial forearm and dorsal radial hand.
Category:Elbow and Forearm Conditions
Category:Mononeuropathies
Wrist Joint Aspiration

==Indications==
==Contraindications==
==Equipment Needed==
==Procedure==
===General Setup===
*Prep area with betadine or chlorhexadine using circular motion moving away from joint x 3
*Drape joint in sterile fashion 
*Inject lidocaine with 25-30ga needle superficially and then into deeper tissues
*Insert 18ga needle (for larger joints) into joint space while pulling back on syringe 
*Stop once you aspirate fluid; aspirate as much fluid as possible
**Send: cell count, culture, gram stain, crystal analysis
===Specific Approach===
*Palpate landmarks with wrist in neutral position:
**Radial tubercle of distal radius
**Anatomic snuffbox
**Extensor pollicis longus tendon
**Common extensor tendon of index finger 
*Insert needle perpendicular to skin, ulnar to radial tubercle and anatomic snuffbox, between extensor pollicis longus and common extensor tendons
==Evaluation==
==Complications==
==External Links==
*https://www.nuemblog.com/blog/joint-aspiration?rq=arthrocentesis
==References==
Category:Hand and Wrist Procedures
Category:Pages with broken file links
Wrist Pain Differential Diagnoses

==Landmarks==
===Dorsal Wrist Pain===
:A = Intersection syndrome
:B = De Quervain’s tenosynovitis
:C = Scaphoid fracture / Wartenbergs Syndrome (nerve entrapment)
:D = Base of thumb arthritis
:E = Ulnar collateral ligament injury
:F = Carpal boss
:G = Scapholunate ligament tear
:H = Keinbock’s disease
:I = Lunotriquetral ligament tear
:J = DRUJ (distal radioulnar joint) arthritis / instability
:K = Ulnar impaction / TFCC tear
:L = ECU dislocation / tendonitis
===Volar Wrist Pain===
:A = FCU tendonitis
:B = Pisiotriquetral arthritis / Ulnar nerve entrapment / ulnar artery thrombosis
:C = Hook of hamate fracture
:D = Trigger finger
:E = Base of thumb arthritis
Category:Differential Diagnosis Checklists
Category:Hand and Wrist
Accountant

== Lodsamoney! ==
Welcome Accountant! You've been approved by Nanotrasen to monitor people's accounts, hand out loans and do everything else that's money related.
Never syphon everyone's accounts unless you're antag, because NT will find out (as well as the station/admins at one point).
=== Your Office ===
You spawn inside your perfectly confined accountant's office, featuring most tools you need to successfully do your job!
* Accounts uplink console: Allow's you to view and manage everyone else's bank accounts (also making new ones). This is your bread and butter!
* Cash Exchange: It's like the monopoly machine! Insert two ID's to swap money between the two, it can also be used to exchange cash into smaller bils. Or convert coins into regular cash and finally make credit chips. These chips can be used in vending machines.
* Coin Press & Safe: It let's you forge minerals into coins, which can be exchanged for more credits! 
* ATM: Allow's you to get money from your account and new one's you've created.
=== Dosh! ===
You don't want to be forgotten, much like the chaplain do you? Well, how about you do a few things to make your presence known! Hand out wallets, lend out loans (if you get security to back you up) and everything else you can come up with. Shout it over common if necessary, people'll come at one point. If you get some miners to convince you to spend their useful minerals on your worthless coins, you're in for one hell of a ride!
== All this scratching's making me rich! ==
Being a traitor as an accountant is equal to being an assistant, people'll barely notice you, your access is piss-poor, but what puts you at an advantage is that you can make use of the Account uplink console to create yourself a near infinite supply of money, making your life a bit more easy.
=== Syphoning Account's ===
If you have to earn a certain amount of money as a traitor, this is the best way to do so. Not only that, but other traitor's will find out that this is the only manner in properly doing so. So you'd better watch your back.
Category:Guides
Blueshield

The Blueshield is the body guard of the heads, protecting them from anything that might do potential harm to them. Much like every officer, they are forced to follow Space Law.
==This shield isn't blue!==
At round start, you start off in your lovely office, containing everything you need for the rough time you have up a head. 
*Security Locker: This is a must-have for anyone working at security.
*Shotgun: With plenty of shells, should work excellently when dealing with criminals. The gun needs to be cocked between each shot tough (PAGE DOWN triggers your current hand-held object, which allows you to cock it easily).
*Armor: A fancy piece of hand-crated armor to suit your needs! It's actually better then the Protective vest!
*MED Hud: To check for any wounds that the heads take.
*Crew Monitoring Computer: To find lost heads.
*Vodka: To get wasted when you have nothing to do.
*Loyalty Implant: Basically, heads won't let you near them without it.
Usually, the best thing to do from round start is get implanted, ask HoS for his spare headset, ask HoP for bridge access then request an assigned head. This will make your job much easier, as you won't become a walking liability that needs to have every door opened for them.
==I'm Blue!==
The Blueshield usually needs to be armed to the teeth when guarding a head, because if they die because of your failure, you're going to the brig for it (in the best case scenario). That doesn't mean you have to cock and aim the gun at anyone getting remotely close to a head, it isn't however bad if you are wary from time to time, who knows what crazy assistant can storm to him any moment?
Usually from round start, people won't be needing you, so you're best off asking HoS for any choirs that need to be done (unless you want to make good use of the vodka). Usually he will either send you on patrol or give you actual choirs. Remember that you shouldn't use the shotgun unless necessary, as it can break bones and ruin people's day. 
In the event that a head get's injured or killed, it is recommended that he is to be brought to the medbay immediately, regardless if you have medical supplies or not, as you don't want them limping about in pain. Furthermore, you might be arrested for Failure to Excecute an order with serious consequences, should the HoS think that you could have prevented it, of course you could always go to IAA when he blames you for even more.
==Shield Bash.==
Blueshield Traitor is basically cheese on a mouse-trap, it might seem like the excellent spot, but when you realize that no one lets you near without a loyalty implant, it's going to be tough. You can always attempt to hide it or get a job transfer, as getting implanted means that you won't feel the need to complete antag objectives anymore. Naturally you can always go against it and get yelled at, but I guess no one wants to get yelled at for failRP do they?
Category:Guides
DJ Station Host

== Welcome to your very own DJ Station! ==
In short, your DJ station is your home, and your very own station! You're a free man, a pirate! Arr. Here are a few tips to go about being a DJ station host:
 jobtitle = DJ Station Host
 access = Your very own DJ station! (none)
 difficulty = Easy
 superior = You are your own superior!
 duties = Be annoying, host a radio show, stalk ERPers
* Start a talk show over the communications radio
* Talk to security about things like donuts
* Stalk people and tell everybody what they're doing
* Go to the station in your sleek, shiny pod
* https://www.youtube.com/watch?v=SLMJpHihykI
Category:Guides
ERP

ERP: The magical land where people masturbate to text.
== So what is ERP really? ==
Well, in short, ERP is an acronym that stands for Erotic Role-Play. Basically, it's when you roleplay one of the few things that the internet is most capable of: sex. It's the equivalent to sexting, really.
== What are some examples of ERP? ==
...
This is the most simplest example:
> Person 1 starts to insert their penis into Person 2's vagina.
> Person 2 moans.
== So how do I become an 'ERPer'? ==
Easy.
* Describe how big your boobs are (Even if you're a tajaran, it's ok! You have THREE pairs of boobs to deal with! Unathi are better, because then they're SCALY boobs, and who doesn't like it rough?!?!) in your flavor text.
* Explain how sexy and submissive you are in 3 paragraphs of flavor text.
* Have it so that if anybody looks into your characters eyes, they become instantly horny
* Be very, very descriptive in your me commands.
** "Person moans." doesn't just do it well, "Person moans as she/he feels the dick go in and out of he(r) vagina/anus" is better!
* Roleplay ALL your fantasies in the chat! (For example, sticking hair into your PENIS! WOW! OR TURNING INTO MULTIPLE TENTACLES)
* Stick your dick in everything you can pizza's ai's holes in the bathroom wall.
* cable cuff all the humans and rape them in the toilet.
*be Sshadow bend perlek over and pound dat ass
== Ok, I'm serious now. ==
Well, in short, ERP is when people have sex over text. Many people put their fantasies over the lore itself, causing multiple lorebreaks. A few good examples of lorebreak:
* Tajaran having only 1 pair of giant tits (Tajaran don't have tits, they have 6 nipples that extend when they need to feed their young while pregnant.)
* Every single human looking like female playboy models (You're saying that you look too dirty to even be on the Exodus)
* Skrell having ERP (They can't, they don't have vaginas. They reproduce like fish.)
* Aviskree having ERP (They have cloaca. Google cloaca to figure out what a cloaca is.)
* Having sex 95% of the shift (Nanotrasen expects you to WORK. Not have SEX EVERY FIVE MINUTES.)
If you can successfully ERP while following the lore (This is hard for most people to grasp) then you probably won't be fucked over. Even then, you'll probably still be fucked over by an admin.
Good luck.
Category:Guides
Look at this photograph

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Space Law

This is the Space Law of the NSS Horizon, the map for the Russle Station 13 server.
== What is Space Law? ==
Space Law is the law of space, specifically, your station/ship. This is to be followed by ALL personnel of the station. Breaking this is very, very punishable.
== Interpretation of Space Law ==
A good working knowledge of Space Law is important for any person on the station. It can be the difference between a shiny pair of handcuffs and sipping drinks in the bar. More in-depth interpretations of Space Law are required for such positions as the Warden, Head of Personnel, Captain, and the Head of Security.
For certain crimes, the accused's intent is important. The difference between 'assault' and 'attempted murder' can be very hard to ascertain. It is important to note though, that 'assault' and 'attempted murder' are mutually exclusive. You cannot be charged with 'assault' and 'attempted murder' from the same crime as the intent of each is different. Likewise, 'assault with a deadly weapon' and 'assaulting an officer' are also crimes that exclude others. Pay careful attention to the requirements of each law and select the one that best fits the crime when deciding sentence.
In the case of violent crimes (assault, manslaughter, attempted murder and murder), and theft (petty, pickpocketing, and high value) take only the most severe.
A single incident has a single sentence, so if, for instance, the prisoner took 3 items off someone, this is a single count of pickpocketing.
Keep in mind that people that cause major mayhem (and potentially any other criminals) have probably committed more than one crime. Add the time for each case together.
Aiding a criminal makes you an accomplice; you can be charged with the same crime as the person you aided.
As an arresting officer, follow standard security procedures, to ensure you don't fall foul of legal proceedings.
== Additional ==
The Captain is not above Space Law, and can be arrested by Security for breaking it. The only time that Space Law can be overridden is when there is an imminent and overwhelming threat to the station.
Pardons are only legitimate if they come from a NanoTrasen higher-up (that is, someone who ranks above the Captain). Despite his high ranking, the Captain cannot spit in the face of Space Law, and any attempts to do so are crimes.
If you can't find the crime listed in here you can set up a tribunal. See Legal Standard Operating Procedure.
Tribunals should be held in place of hearings or trials, see Legal Standard Operating Procedure. Trials by jury or 'regular' trials are usually done very badly, so don't.
Do NOT demand a tribunal for anything less than 10 minutes. You'll just be laughed at.
The time you took for bringing the suspect in and the time you spend questioning are NOT to be calculated into this. This is the pure time someone spends in a cell staring at the wall.
On laggy games first take a look at how quickly the cell timer tick. We don't want people to spend an eternity in jail just for stealing a pair of gloves.
Category:Guides
Vulpan

==Lore== 
== The Vulpan ==
 
	“It began as a project, a small experimentation on how we could fuse the Human and another species – we chose the Vulpine, the Red Fox. The result, and God did we think it was wrong, but we had our result. The result: The Vulpan, otherwise known as Vulpes Sapiens. We thought it wasn’t possible, the merge of a human and a Terran animal. We had a group of 100 humanoids, 70% male, 30% female. We felt like gods.
Curious little species these so-called ‘Vulpan’ were, always looking around their surroundings. They quickly learned our patterns, clever bastards. Soon, they began learning our language. It was like teaching a child. Soon, they began learning our language. They continued to learn, but it took time. Some were more interested in doing things at our lab, help us out. Hell, they needed to learn more. They were only children at the time.
It took time, yes. We had a test group of about 100, all started as babies grown in test tubes. We grew more in batches, at least 5 years apart. Let them outside into a new development, meant for the Vulpan. Eighteen years later, we had 300. We tried to`	 teach them everything we knew, and hired a few dozen private teachers along the way – it worked out great. We knew that our scientists couldn’t leave the Vulpan isolated for long. By 2490, the population doubled, most of them were at least 20 now. We called up a few corporations, and told them that we had a ‘new development of workers,’ and that ‘they were ready for work.’ The last thing I saw before the megacorps started to get the Vulpan was the curious look on their faces, and wonder from what was to happen next.”
-- REPORT
Subject: VULPAN
Date: 2510
Details:
	The Vulpes Sapiens, aka the ‘Vulpan’ have been growing well. Their education levels match that of Humans, surprisingly due to the fact that there are some bits of human genetic code in their body, and th-&@^%^#*(@*)(_)TWO9*#(@@)@+@)(*&^#&*#()*&^%$#%^&*((@ <<End Transmission>>
Category: Species
Category:Fluff
Bang, Bang

Bang, Bang is the name of the forth episode of State of Affairs and aired on December 8 2014.
Charlie and Nick get threatening texts, find out the source of the mysterious photo but things only get worse when it is revealed the photo was sold to the Krieg Group. The team deal with a smallpox outbreak in a former US lab in Panama, Constance is warned of the upcoming senate report by a former political friend, Senator Green and Charlie's trust in her team is destroyed when a phone linked to the texts messages is found at the bottom of the burn chute from the seventh floor.
== Plot Summary ==
== Quotes ==
== Gallery ==