recursal/Fanatic-Fandom huggingface dataset:
Clinical Assessment Tools: Evidence Based Practice (EBP) Competency Assessment

Evidence Based Practice (EBP) Competency Assessment

* Evidence based practice (EBP) involves making clinical decisions informed by the most relevant and valid evidence available.

* EBP has been described as the integration of clinical expertise and patient values with the best available research evidence.
* Clinical expertise draws on the health professional's clinical skills and past experience to identify and treat each patient's individual circumstance.

EBP requires the health professional to apply the best available evidence to assist with their clinical decision making. The practice of EBP consists of the following key steps;

1. Converting clinical scenarios into a structured answerable question,
2. Searching the literature to identify the best available evidence to answer the question,
3. Critically appraising the evidence for its validity and applicability, and
4. Applying the results of the appraisal into clinical practice
5. Evaluation/assessment of the EBP process.

Each step of the EBP process requires a different level of knowledge and skill (i.e. competence):

Step 1 requires knowledge to construct a question using the PICO mnemonic,

Step 2 requires the acquisition and application of literature searching skills across a variety of databases,

Step 3 requires a certain level of expertise in epidemiology and biostatistics, and

Step 4 requires an ability to synthesise and communicate the results to relevant parties (i.e. health professionals, patients).

Step 5 requires the health professional to evaluate the EBP process and assess its impact within the clinical context in which it was implemented.
Clinical Assessment Tools: The Berlin Assessment Tool

The Berlin Assessment Tool:

* The *Berlin* assessment tool measures medical professionals' EBP competence (skills and knowledge).
* It is made up of 15 multiple choice questions, which are primarily focused on assessing the participant's epidemiological skills and knowledge.
* The EBP competencies of participants are compared to a 'control' group of medical professionals at the conclusion of the course.
* The *Berlin* tool was able to reliably distinguish expertise between the two groups. Although the *Berlin* tool is described as a tool that can assess EBP competence, it only assesses one component of EBP ('Step 3' of the EBP process). It contains no assessment of the other three key steps needed to demonstrate complete competence in EBP.
* Similarly, it has only been designed to assess EBP competence in medicine – it does not assess EBP competence across other health disciplines (e.g. nursing, allied health etc). Therefore, the *Berlin* tool can only at best truly assess one component of EBP competence.
Competency Testing

**What are benefits of competencies/testing?**

* Having competencies can serve as a structured understanding of what is expected, serve as a guide for development, and/or be used for evaluation purposes
* Competencies tell the students and faculty what the student needs to know – mainly so they are aware of what requirements are needed in order to graduate and find work after school
* For faculty, competencies are useful because they help guide the teacher in subjects that should be taught
* Good for the work setting to establish expected behaviours or outcomes for their employees

https://www.nursingcenter.com/journalarticle?Article\_ID=3205513&Journal\_ID=403341&Issue\_ID=3205199

https://elearningindustry.com/benefits-of-competency-based-training-healthcare - also a really useful article about the benefits of competency-based training

**What are limitations of competencies/testing?**

* Competency testing can tend to have disorganization if not done properly
* Students often struggle with time management and stress control
* Inability to work with real patients – every patient is different, sometimes different approaches must be used that can be unfamiliar to students when doing a general competency test

https://www.scielo.br/scielo.php?script=sci\_arttext&pid=S1516-31802004000100004

https://link.springer.com/article/10.1186%2F1472-6920-9-53

**How can we make sure that competency testing is fair and unbiased?**

* Using multiple examiners across different cases improves inter-rater reliability, as well as having more than one examiner ask the student questions makes a more reliable test than one examiner asking all the questions
* Have a variety of people who have diverse perspectives – this somewhat falls into using multiple examiners during testing

* Ensure that the questions and skills needed to be performed are clear and concise
* Try to organize a pre-assessment (like a mock) to make sure students will know what the objectives are and what is expected from them. This way if any of the students were confused by a certain part, it can be edited or adjusted

http://acmd615.pbworks.com/f/Wass.pdf - There’s a hierarchy pyramid of competence in this article that will show a good visual, feel free to include!

https://www.wiley.com/network/featured-content/6-ways-to-ensure-your-assessment-practices-are-fair-and-unbiased
Clinical Assessment Tools

When assessing clinical competencies there are many tools that preceptors can use to assess the competencies of student learners. Some of these tools include;

1. Patient Management Problems
2. Objective Structured Clinical Examination (OSCE)
3. Mini-Clinical Evaluation Exercise (Mini-CEX)
4. Clinical Skills Assessment (CSA)
5. Online Assessment Tools
6. Standardized Patients (SP's)
7. Evidence Based Practice (EBP) Competency Assessment
8. The Berlin Assessment Tool
9. The Fresno Assessment Tool

These tools assess students in a variety of different manners, all with the goal of ensuring students maintain the highest levels of clinical competency.
Preceptor

Student preceptors play an incredibly important role in the experience students have during their clinical practicum. They are there not just to teach the student, but to support them as well.

This video from Dalhousie University describes the role of Respiratory Therapist Preceptors in the clinical environment.
A page about your topic

Clinical practicums are opportunities for students to leave the classroom and apply what they have learned in a real world setting, under the guidance of experienced preceptors. During this time they will interact with patients and other hospital staff and have the chance to learn and practice their skills.

**What is the purpose of a Clinical Practicum?**

Clinical practicums are essential to build on knowledge gained through the classroom portion of their chosen program of study. In addition it grants students an opportunity to hone their practical skills and gain experience in a real world setting. Exposure to the reality of real-life situations within the health community is essential to produce skilled, competent, and professional practitioners (1).

How does a Clinical Practicum differ from an Internship?

Clinical *practicums* may sometimes be used interchangeably with the term *internships*. However, this is not entirely accurate.

**Practicum** is defined as “A practical section of a course study” https://www.lexico.com/en/definition/practicum

While an **Internship** is described as “The position of a student or trainee who works in an organization, sometimes without pay, in order to gain work experience or satisfy requirements for a qualification” (https://www.lexico.com/en/definition/internship).

The main difference is that practicums are primarily for observation and documentation, with **significant coaching**, while internships are primarily for gaining experience in a job-like environment, with **less oversight**. Dalhousie University’s clinical practicums evolve from practicums into internships in upper years of study.

References:

(1) https://www.sciencedirect.com/science/article/abs/pii/S0260691705002388
Clinical Assessment Tools: Online Assessment Tools

**Online assessment tools**

* A webOSCE system for assessing clinical skills via teleconference, using the internet and videoconferencing facilities, there are the same staged clinical examinations held at several centres simultaneously. They reported technical difficulties with the system and students found lack of direct contact with the patients difficult.
* Another method is the “Primium© Simulations” in which students navigate through a clinical scenario on their computers, that is cued only by evolving facts. Students are are scored on their choices of testing and therapy, and the assessor attempts to determine the clinical reasoning ability of candidates.  (1)

References

(1) https://pmj.bmj.com/content/80/940/63
Clinical Assessment Tools: Standardized Patients (SP's)

**SP’s (Standardized Patients)**

* An SP is a person who has received coaching to accurately portray a patient and present consistent verbal and nonverbal communication, personality characteristics, emotions, and physical findings
* Standardized patient-based performance assessment has advanced to include undergraduate and graduate medical education and is commonly used to evaluate both the technical and nontechnical skills necessary for the safe and effective practice of medicine.
* A standardized, objective, and structured method of assessment is critical for quality and accountability in medical education and transition to clinical practice
* Standardized patients (SPs) provide an opportunity for the learner to interact in patient-care scenarios that may replicate actual clinical practice with planned attention to the psychological and physical safety of learners and SPs and without risk of harm to an actual patient
* Two exam formats have emerged that utilize a standardized patient methodology to assess learners' clinical skills, competence, and performance - the Objective Structured Clinical Exam (OSCE) and the Clinical Skills Assessment (CSA).   (1)

References:

(1) https://www.ncbi.nlm.nih.gov/books/NBK546672/
Core Competencies

**Core Competencies for all professions**

There are a variety of different healthcare professions (Nursing, speech pathology, physiotherapy, radiological technology, etc.) so there is a large spectrum of competencies which are specific to each profession. However, competencies are split between ***clinical competencies and core competencies***.

At Dalhousie University, we use the Canadian Inter-professional Health Collaborative (CIHC) National Inter-professional Competency Framework (2010). This describes the six competency domains, they highlight knowledge, skill, attitudes, and values.

The six domains are:

* Role Clarification
* Team Functioning

* Inter-professional Communication
* Patient/Client/Family/Community-Centered Care
* Inter-professional Conflict Resolution
* Collaborative Leadership

Each of the six domains can be assessed at three different levels – exposure, immersion, and integration. **\*If we want to include the 6 domains at each of the 3 levels let me know, I can forward the IPHE 4900 syllabus if you don’t have it already – just trying to keep this least wordy as possible\***

Aside from core competencies and the three levels of each domain, there are also levels that are similar to the three levels that Dalhousie uses for their Health Science programs:

* **Level 1 Readiness (S1) –** Know and be ready to act upon a sequence of steps in a process. Recognize one’s abilities and limitations (health and safety)
* **Level 2 Attempting (S2)-** Observe and pattern behavior after someone else, following instructions and practicing. Adequacy of performance is achieved by practicing

* **Level 3 Basic Proficiency (S3) –** Learned responses have become habitual and the movement can be performed with confidence, precision and proficiency. Conscious competence.
* **Level 4 Full Proficiency (S4) –** Skillful performance involves complex integration of concepts. Proficiency is indicated by a timely, accurate, and highly coordinated performance. This category includes performing without hesitation and automatic performance.

Competency Levels
Know and be ready to act upon a sequence of steps in a process. Recognize one's abilities and limitations (health and safety)
 Level 2 Attempting (S2)
Observe and pattern behavior after someone else, following instructions and practicing. Adequacy of performance is achieved by practicing.
 Level 3 Basic proficiency (S3)
Learned responses have become habitual and the movements can be performed with confidence, precision and proficiency. Conscious competence.
 Level 4 Full Proficiency (S4)
Skillful performance involves complex integration of concepts. Proficiency is indicated by a timely, accurate and highly coordinated performance. This catefory includes performing without hesitation and automatic performance.

www.CIHC.ca
He keiki kēia (haunapuma, 2013, Palakila)

**«He keiki kēia»** (pukī.: *Chiquititas*) — a mea drama ukaela palakiahine. Na pūkaʻina polokalamu kīwī mai 15 Iulai 2013 - 14 ʻAukake 2015. Hoʻokumu ʻia ia ma ka inoa ʻAlekina o 1995.

Kūkuluʻia ma Íris Abravanel a me ka i ke kuhikuhi o Reynaldo Boury, huaʻia e i nā kikowaena mai «SBT»-kīwī.

## Nā kūmole

1. ↑ A novela confirma estreia de "Chiquititas" em julho
Wiki rules

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4. **Do not harass other users**: If somebody asks you to stop posting certain content on their wall, respect their wishes. It is their wall.
5. **Do follow community guidelines for formatting**: When a community has established formatting, it’s important to adhere to that, especially when spoiler content is involved.
Clinical Assessment Project Wiki

Welcome to our clinical assessment project for HSCE 4900. This project was done by Lauren Hicks, Tyler Knickle, Zelyka Zorogole and Matthew Tennant.

Please feel free to explore this wiki for a brief history of clinical education, discussion on the pros and cons of clinical education, difficulties related to clinical experiences, how clinical experiences are assessed, a comparison of how different schools format their clinical experiences and more!
Callians

## **Overview**

Callians’ constant scowl and four arms give them a naturally intimidating appearance. Callians hail from the tropical Callia and resemble some of Earth’s tropical lizards. Callians have an average weight of 140 pounds and an average height of 6.5 feet. Callians scales can be varying shades of green, blue, or purple, with yellow markings on their backs. The pattern of a Callian’s back markings are hereditary and are used to determine lineage and clanship. Female Callians have bright yellow, orange, or red frills on their necks that can be retracted or extended at will. Callians are a matriarchal race, with almost all family, clan, and even business leaders being female. The middle finger of each hand is especially long and fortified, and are commonly used as drills and cutting tools.

Callian name generator.
Galactic Systems' Union

## **Overview**

The Galactic Systems' Council (GSU) is the prime, over-arching governing body in The Narrow Expanse. The GSU's domain includes nearly the entire Milky Way galaxy. It strives to promote galaxy-wide peace, security, and cooperation amongst the various system-level governments and organizations. The GSU is headquartered on a massive space station known as *The Felicity*. The only races that do not have any representatives in the GSU are the Pantorians, Edonese, and Corrunish.

## **Structure**

The basic structure of the GSU was initially modeled after the past United Nations of Earth, but eventually developed its own, unique format. The GSU has four major branches: the executive, ruling branch; the Galactic Corrections Bureau, the Galactic Bureau of Research, and the Galactic Social Bureau.

### **Galactic Systems' Council**

The Galactic Systems' Council (GSC) is the legislative and administrative body of the GSU. The GSC is made up of seventy-two members, with each race that is part of the GSU allowed three representatives.
List of Manufacturers

## **List of Common Manufacturers**

### **Ships**

* Annek Propulsions
* Antegap
* Beowulf Mining Corporation
* Gallseld
* Hulbank
* Intrazed
* Losonov Propulsion
* Malnion Metalworks
* Oda-Corellex Incorporated
* Postlho Engineering
* Reseool
* Staxus Armaments
* Tartarus
* Triel Engineering Corporation
* Transmend Aviation
* TWL Starships
* Unlapp
* Yecamorus Aeronautics
* Zobogora Defense

### **Weapons**

* Cantranight
* Contrapp
* Drayatov Solutions
* Ecru Defense
* Ferrago Technologies
* Hulbank
* Kaligol Tech
* Moucury
* Solcorp
* Staxus Armaments
* Tartarus
* Zobogora Defense

### **Industrial**

* Beowulf Mining Corporation
* Desoria Metals
* Exkled Solutions
* Ferrago Technologies
* Gallseld
* Guecarro
* Hypermor
* Jerrigul Mining
* Kaligol Tech
* Malnion Metalworks
* Oda-Corellex Incorporated
* Tiriel Engineering Corporation
* Ubedoh Crafts
Kanadarians

## **Overview**

Kanadarians have a reputation for being one of the smartest races in the Milky Way. Their homeworld of Kanadar is an ecumenopolis full of towering skyscrapers and research labs. Kanadar is known as the scientific capital of the Milky Way. Along with the Dalthians, Kanadarians played a major role in forming the GSC and bridging the gaps between the many races of the Milky Way. Kanadarians have an average height of 5 feet and an average weight of 100 pounds. Both males and females have blue or green skin. Males have white hair that often grows as tufts on the ears or as facial hair. All Kanadarians have reddish markings on their forehead. The pattern of these markings are determined by lineage and origin. In addition to the markings on their foreheads, Kanadarians tend to tattoo their foreheads to show social status or role.

Kanadarian name generator.
Clinical Assessment Tools: Objective Structured Clinical Examination (OSCE)

**Objective Structured Clinical Examination (OSCE)**

* Made up of multiple focused stations to assess discrete clinical skills, including;

* data and image interpretation,
* technical skills,
* communication skills,

* physical exam skills.

* An OSCE station may include a standardized patient if the objective is best accomplished via a simulated patient encounter, e.g., communication or counseling skills. (1)

* It is designed to test clinical skill performance and competence for a range of skills and is a practical, real-world approach to learning and assessment.
* The OSCE content and scoring procedures are standardized

* Every OSCE candidate experiences the same problem, and is asked to perform the same task, within the same time frame. All are exposed to the same level of difficulty, no matter where the examination is taken, and is marked using the same marking scheme.

* The tasks in each OSCE station represent real-life clinical situations. These assess your ability to apply clinical knowledge and skills when, for example, meeting with a patient, writing an admission or discharge order, conferring with a colleague, etc. (2)

* The validity of an OSCE and other assessment tools depends upon the number of stations and skills evaluated to give an overall view of the trainees’ clinical skill level. (3)

References

(1) https://www.ncbi.nlm.nih.gov/books/NBK546672/

(2) https://mcc.ca/examinations/osce-orientation/history/

(3) https://pmj.bmj.com/content/80/940/63
Aquarnish

## **Overview**

The Aquarnish are an amphibious race native to the planets Aquarno and Hilvara. The second ship to ever leave Aquarno’s orbit crashed into the waters of Hilvara, but most of the crew lived. With no way to return to Aquarno, the crew of the wrecked ship made Hilvara their home. Eventually, natives form Aquarno were able to make it to Hilvara, discovering that their cultures and customs were largely intact, but the Hilvarans looked different. Aquarnish hailing from Aquarno are slightly larger than their Hilvaran counterparts, and have blue and purple skin. Aquarno natives have an average height of 6 feet and an average weight of 150 pounds. Hilvaran Aquarnish have an average height of five feet and average weight of 130 pounds, with greenish skin. Aquarnish have both an exoskeleton as well as an internal one. Their exoskeleton is protective and works as a sort of natural armor

Aquarnish name generator.
Dalthians

## **Overview**

Dalthians are the second oldest race in the Milky Way, behind the Shivans. Dalthians have a reputation for being introverts, and many believe that is why Dalthians never expanded their domain past Dalthi, despite how long they have been around. They are a very intelligent race, and played a major role in the formation of the GSC and adapting the different technologies of the Milky Way to each other. Dalthians have an average height of 7 feet and an average weight of 130 pounds. Both male and female Dalthians have very slender bodies. Males have small, wrinkle-like crests on the top of their heads, while females have smooth heads, typically decorated with metallic studs or piercings.

Dalthian name generator.
Sartans

## **Overview**

Sartans are a reptilian race hailing from the city-planet of Sarta. Sartans have a set of ram-like horns, a sharp, toothed beak, and a tusk protruding from each side of their beak. The tusks and horns are both considerably more prominent in males, and are used in courtship and argument settling. The tusks and horns are often decorated with metal rings and studs to denote where a Sartan comes from. Sartans are mostly pacifist, and thanks to their frightening and intimidating appearance, would-be foes are easily dissuaded.  Male Sartans have reddish-colored skin while females have a purple hue. Males have an average height of 6 feet and weight of 200 pounds. Female Sartans have an average height of 7 feet and weight of 260 pounds.

Sartan name generator.
Vobarti

## **Overview**

Vobarti are the strongest race in the Milky Way. Their weight surpasses that of the Insuhmians, and they are even taller than the largest Pantorian. Vobarti have an average height of 9 feet, and can be as tall as 11 feet. On top of that, they have an average weight of 600 pounds. Their sheer size makes them a very intimidating race, although most Vobarti are very peaceful pacifists. Male Vobarti are generally greenish-blue in color, while females have golden-colored skin. Both sexes have external bone structures on the top of their heads. These structures are used in traditional Vobarti rituals used to decide a wide variety of outcomes, from courtship rights to leadership positions. These bony structures are typically decorated through paints, studs, and sometimes even trimming.

Vobarti name generator.
Goskilians

## **Overview**

Goskilians are a small race hailing from the swampy world of Goskil. They have an average height of only 3 feet and an average weight of 90 pounds. Their weight comes from a hard, protective bony structure protruding from their backs. The structures represent the shell of a turtle, but Goskilians can not retreat into them. In addition to their shells, Goskilians are well known for their extraordinary hearing. They have two very powerful auditory canals that open up on each side of their head. Their excellent hearing makes them very sought after for jobs in communications, engineering, and reconnaissance. Both males and females have green skin, with cream colored faces and underbodies.

Goskilian name generator.
Shivans

## **Overview**

Shivans are the second-most prosperous race in the Milky Way, and are the most prominent race in the GSC. Shivans were the second race that humans came across after entering the wormhole, and soon became the humans’ closest ally in the Milky Way. They have a reputation for being very intelligent and studious, and are regarded as being the most thorough historians, records-keepers, and philosophers of the galaxy. Shivans’ anatomy is almost identical to that of humans, with the only differences being superficial. Shivans have long, pointed ears and sharper, pointed teeth. Shivans are bald-headed, but are capable of growing facial hair and hair on the back of their heads. Both males and females have varying shades of blue or purple skin, with tones depending on proximity to the equator. Shivans’ skin can range from a pale, almost white color to a very dark purple or blue hue. Shivans have an average height of 6 feet and weight of 180 pounds.

Shivan name generator.
Corrunish

## **Overview**

Corrunish resemble the gorillas of Earth, with hard, external bone structures protruding from their foreheads. These structures are much more prominent and elaborate on males, and are used in courtship and traditional combat. Corrunish are mostly arboreal and have built their cities around the giant trees of Corruna. Males have an average height of 7 feet and an average weight of 400 pounds. Corrunish have been engaged in a planet-wide civil war for centuries, with half of the population rebelling against the rule of the Pantorian Empire.

Corrunish name generator.
The Narrow Expanse Wiki

**Welcome to the The Narrow Expanse Wiki!**
The Narrow Expanse is a standalone, open-ended tabletop role-playing game that draws inspiration from a variety of sources. With no formal campaigns, The Narrow Expanse allows, and challenges, you to use the resources provided to create your own story. This wiki is the home of all the The Narrow Expanse lore you will want or need to create your own game or character. New to The Narrow Expanse? Get started with the Player's Guide.

*Need help building out this community?*

* Rules of this wiki
* Getting Started
* How to Contribute
* Managing your new community
* Guides
* All Help articles

You can also be part of the larger Fandom family of communities. Visit Fandom's Community Central!

*Community Founders*: Write a good and paragraph-length description for your welcome section about your topic. Let your readers know what your topic is about and add some general information about it. Then you should visit the admin dashboard for more tips.
Snowy (Albino Alaskan Husky Pup)

“Snowy was playful and needed very much attention. Angela had a job interview on Tuesday and Gerald had off. Snowy was all Gerald’s for the day. Snowy had almost pounced on the T.V., ripped open the couch, and nearly downloaded “Playful Puppies” on Gerald’s computer. Snowy was a handful! Gerald just turned on Cartoons and let Snowy get comfortable and watch them. He poured some dog food into her bowl and let her do her thing naturally but, only inside the bathroom, in the toilet and miraculously trained her to flush the toilet. She never said anything about the puppie. Snowy was still sound asleep. Snowy’s evil stare. They scooched away and Snowy went back to being happy.” (Snowy being comic relief) Snowy is a big comic relief character in the series and is cute.
Ummans

## **Overview**

Ummans are a race of mineral-based beings native to the volcanic Ummo. Ummans have a very perplexing anatomy; they have no fluids in their body, breath no air, and require no food or drink to survive. Because of this, they have a natural immunity to any diseases or toxins that any other living race has to worry about. There are no differences between male and female Ummans, and many races cannot tell the genders apart. Ummans have an average weight of 400 pounds and an average height of 7 feet. Ummans have distinct, identifying protrusions emerging from their head, back, and shoulders. The growths come in a wide variety of lengths, shapes, and patterns, and no two Ummans’ are alike.

Umman name generator.
Yulorians

## **Overview**

Just like the Ballarians, Yulorians are quite small compared to the other races of the Milky Way. They have an average height of  3.5 feet and an average weight of 100 pounds. Yulorians come from the aquatic Yulore, and are excellent swimmers. They have long tentacles covering their beak-like mouths. The tentacles are prehensile, and are typically used to aid in eating and communication. Yulorians are adapted to life underwater, and so are capable of breathing water directly through three gills on either side of their head. Because of this, Yulorians need to wear special equipment covering the gills when out of water.

Yulorian name generator.
Nexumish

## **Overview**

Nexumish hail from the mountainous world of Sig Nexum, and their bodies have adapted to the rough life that their homeworld demands. Life in the mountains and mines have turned the Nexumish into a gruff, no-nonsense people. Their size and stoicism give them an intimidating reputation as a race not to be messed with. Nexumish are generally introverts, but when the wormholes were discovered and navigated, many Nexumish left the mountains of Sig Nexum to seek out an easier, more rewarding life, The average male Nexumish has a height of 7 feet and weighs 250 pounds. Nexumish have thick grey, blue, or purple leathery skin. They also have hardened, reinforced skulls and forearms that serve as natural protection from rockslides and hard surfaces.

Nexumish name generator.
Kamarians

## **Overview**

Kamarians are a race of four-armed, feline-esque mammals. Kamarians are known as being very ferocious, and excelling in hunting, warfare, and general combat. Because of this, Kamarians are often very intimidating and respected. Kamarians have an average height of 6.5 feet and an average weight of 200 pounds. Males have grey or bluish hair covering their bodies, with dark colored hair on top of their head and facial hair. Females have golden, yellow-colored hair covering their bodies and dark hair on their head. Kamarians are one of the most prosperous races of the Edgeri System, and helped build Thesulia Prime into the ecumenopolis it is.

Kamarian name generator.
Zuolitans

## **Overview**

Zuolitans are a long-necked mammalian race hailing from the grassy planet of Zul. Zuolitans evolved from a species of grazing mammals that resemble the camels of Earth. As a result, Zuolitans have an ability to regurgitate at will, much like a grazing mammal does with cud. This gives them a natural way to fight toxins and any harmful substance they swallow. Another adaptation from their grazing ancestors is their great night vision and ability to see ultraviolet light, ensuring they can see predators coming. Zuolitans have brown or blonde fur covering their bodies. Their most distinct features are the bony protrusions on their face. Zuolitans have two flat, triangle-shaped crests protruding from their brows. Male Zuolitans have a long, hollow, bony spike protruding from their chins, used to channel sound like a musical horn. These long spikes are used during courtship and religious rituals. Both male and female Zuolitans have an average height of 5.5 feet and weight of 200 pounds.

Zuolitan name generator.
Ewolsans

## **Overview**

Ewolsans are another amphibious race of the Milky Way. They have natural webbing between their toes and hands, and have bodies evolved to be more aerodynamic while swimming around the waters of Ewolsa. Their bodies also evolved to life on land, with long legs adapted to moving quickly while hunting for food. Ewolsans have an average height of 6.5 feet and an average weight of 180 pounds. Males have bluish-green striped skin with cream-colored underbodies. Female Ewolsans still have bluish-green skin, but are much darker and their stripes are less distinct.

Ewolsan name generator.
Humans

## **Overview**

Humans are the most prosperous race of the Milky Way. The entire Sol System is under the domain of the human race. Humans’ have spread their race beyond the Sol System, however, and have interwoven themselves into the fabric of almost every other system. From the GSC to the Nocarian Brothers to the Pantorian Empire, humans have inserted themselves and become involved in nearly every group imaginable. Because of this, humans have earned a reputation as being neutral, and so are generally accepted by the other races. Human males have an average weight of 180 pounds and an average height of 6 feet. Females have an average height of 5.5 feet and average weight of 130 pounds.
Ballarians

## **Overview**

After humans and Shivans, Ballarians are one of the most prosperous races in the Milky Way. Ballarians are small in stature, averaging a height of 3 feet and a weight of only 75 pounds. Male and females are almost identical, which often confuses those who are unfamiliar with the race. Ballarians have scaly, orangish or brown skin, and large eyes and ears. Ballarians' small size and large eyes give them a natural affinity for tinkering and engineering. Because of this, Ballarians are typically employed as mechanics, electricians, and metalworkers.

Ballarian name generator.
Clinical Assessment Tools: Mini-Clinical Evaluation Exercise (Mini-CEX)

**MINI CEX (Mini-Clinical Evaluation Exercise)**

* The assessments use real clinical situations and are scored by supervising physicians, faculty members etc. As in all clinical examinations the ratings could be influenced by a particular examiner or the patients encountered therefore the residents have multiple 15–20 minute observations. (1)

* This is one of the most frequently used assessment tools that measure the trainees’ performance in workplace.

* It is a 9-point rating scale organized in three levels of unsatisfactory (1–3), satisfactory (4–6), and high satisfactory (7–9). An expert, usually a faculty member, observes the actual performance of trainees, rates their history taking and physical examination skills, and provides feedback to them. (2)

* Clinical Skills Evaluated

* Medical interviewing
* Physical examinations

* Informed decision-making/counseling
* Clinical judgment/reasoning  (3)

References

(1) https://pmj.bmj.com/content/80/940/63

(2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516345/

(3) https://www.abim.org/program-directors-administrators/assessment-tools/mini-cex.aspx
List of Planets

## List of Planets

* Ankumiare
* Aquarno
* Askorra
* Ballaria
* Batera
* Bostrillox
* Brivania
* Cagoros
* Callia
* Callisto
* Ceres
* Charon
* Corruna
* Dalthi
* Dentor
* Deruvoon
* Dione
* Dralla
* Dysnios
* Earth
* Edon
* Enceladus
* Ethi’ider
* Europa
* Ewolsa
* Feeoria
* Flufelea
* Ganymede
* Gapheon
* Goskil
* Greezuno
* Hilvara
* Horatov
* Iargo
* Ibora
* Io
* Insuhmia
* Jayloth
* Jestefed
* Jupiter
* Kamaria
* Kanadar
* Klesmon
* Klind
* Kucheystea
* Laibos
* Lassar
* Luna
* Mars
* Mercury
* Miccoria
* Mohiri
* Naclora
* Neptune
* Nurat
* Nusuliv
* Oitania
* Olloon
* Ozuno
* Panthea
* Pantor
* Paradia
* Pluto
* Qarratus
* Qoenus
* Quisorth
* Ragnurn
* Rekil
* Rojari
* Rollashem
* Sarta
* Saturn
* Selubir
* Serpo
* Shiva I
* Shiva II
* Sig Nexum
* Sunides
* Takka
* Titan
* Thazilia
* Thesulia Prime
* Trokar
* Udrienia
* Ummo
* Uranus
* Utar
* Venus
* Vobarthik
* Volaria
* Wathea
* Watruma
* Wusora
* Xafryke
* Xeltos I
* Xeltos II
* Xeltos III
* Yinderion
* Yobrone
* Yulore
* Zalax
* Zenronoe
* Zul
Flufeans

## **Overview**

Flufeans have tough, leathery skin similar to amphibians, but spend very little time in water. They have a hammer shaped head with eyes on both sides as well as a set of two smaller eyes on each side of their nose. The eyes on the outer sides of their head can move independently, allowing Flufeans to keep a lookout while they aim down the sights of a rifle, read, or engage in any other activity that keeps their smaller eyes busy. Flufean males have an average height of 6.5 feet and weight of 200 pounds. Females have an average height of 6 feet and average weight of 170 pounds. Both males and females have grey, green, or brownish skin. Flufeans near the equator of Flufelea tend to have dark colored stripes covering their body.

Flufean name generator.
Jestefedi

## **Overview**

Jestefedi are one of the least common races in The Narrow Expanse. They have an internal anatomy very similar to humans, but have a hard, crystalized layer of skin covering almost their entire body. Jestefed is a temperate world, largely composed of savannahs and grasslands. Because of this, Jestefedi skin patterns are evolved to blend in with the tall grasses while hunting. Both males and females have earth-tone colored skin with camouflage-esque patterns. Insuhmian males and females both have an average height of 5.5 feet and an average weight of 170 pounds. Males tend to have rugged crests on the top of their head, while females have smoother, smaller heads.

Jestefedi name generator.
A Main Character

```
Gerald Jubnought

```

Gerald was born in 1999 and lives in Ashore, California. He went to Upwards High School and met his best friend, Todd Ford. Him and Todd once got in trouble when they studied for an upcoming exam and were framed for cheating when seen with the answer key that was sneakily put in their backpacks. Gerald swore to bring justice and help anyone who needed it. He unfortunately wasn’t able to get into law school and decided to take up on his girlfriend at the time’s offer with a office job. He was laid off when his supervisor met a superior candidate. Gerald found a newspaper ad for a computer programmer and was immediately hired. He faces multiple villains throughout the series (I do not want to spoil it as I think it is going to be a epic series).
Mraekommo

## **Overview**

The Mraekommo are an ancient race that once inhabited Trokar, but disappeared long ago. They are viewed as little more than a myth, due largely to the fact that very little proof of their civilization still exist. Another factor that contributes to the skepticism of the Mraekommo's existence is the volatile nature of Trokar. Many people believe that there is no way anybody could ever inhabit the planet.
Ultimate lifeform james

an eldritch god who has the power to be bald and have long hair at the same time, legends say he helps waseem on his travels because he thought it would be funny.

other than helping waseem & co. on their adventures, he destroys star systems and reddit moderators

THAT IS NOT TRUE i didnt think it would be funny i knew it would be funny
Wiki rules

1. like waseem :)
2. no
3. akoshfew;fi-awe0porlwaefkpapewinrfiodsamf[034u9f0[aewofp3'j;fodsifohae'f'oads;hnfoaerw'nf;osaudfhoaew;fjdsoaivadspkvicnhadkjsfm;adshj;faer
4. join the IRA
5. hey blinx!!!!!
6. anime girl is cool
7. wjfrpuf034jyr9pui3jro3n9 ru893jrioferkf[034inhr nwpf[w ]3=rfkn;erejfirbfnm,rsfjh brifsydctysab,3ondiyhwef wnonwhegrj sk'k]frepwou hqf kerspofijmersighfhid9r;hg;erh eprh ns'jpa'jnfjgo[es'gseg[ ign'sh
8. hitle
9. Obabomba
The waseem Wiki

**\ The waseem Wiki!**
t The waseem that anyone, inclu PlaceholderA page about your topicPlaceholderThe First EpisodePlaceholderAn Important LocationPlaceholderoogPlaceholderA Crucial Itemdisciple of waseemthis is him

*Need help building out this community?*

* Rules of this wiki
* Getting Started
* How to Contribute
* Managing your new community
* Guides
* All Help articles

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*Community Founders*: Write a good and paragraph-length description for your welcome section about your topic. Let your readers know what your topic is about and add some general information about it. Then you should visit the admin dashboard for more tips.
Ceiling fans

## **Origin**

Ceiling fans have the most durability out of any thing on the planet, we do not know how they came to be on Earth but we do know that Waseem wants to combine them all into a planet. this ambition came to be after snorting copious amounts of things you shouldn't be snorting, he is fully aware of this and beleives it to be his greatest accomplishment.

## Uses in society as of today

Ceiling fans are widely used in military vehicles, such as tanks, in order to create the most gaming car in the universe, though the fans are painted grey or camo in order to keep the power of ceiling fans a secret from the public, everyone outside the world leaders (former and current) are to be killed in the fastest way possible to keep this secret from getting out.

otherwise they're used in construction equipment, a little bit of ceiling fan is infused into riot sheilds, the nokia is

entirely made of ceiling fans, and they're used to cool people off, really poorly though.
Edonese

## **Overview**

The Edonese are close allies of the Pantorians and voluntarily part of the Pantorian Empire. The Edonese people sympathized with the Pantorians and the injustice they endured. The Edonese leadership, however, felt the safer option was to stay loyal to the GSC and turned their back on the Pantorians. This led to a revolt, with the people of Edon taking control of the planet, and the new leadership swearing fealty to the Empire. Edonese look like a mix between reptiles and insects, and have a sturdy exoskeleton with soft, scaly skin underneath.  They also have an internal respiratory system that makes them more resistant to contaminants and toxins. They are also small in stature and quick, giving them a natural affinity for spying and sneaking. Edonese have an average height of five feet and average weight of 170 pounds. Their shells are typically black or dark grey, but very few Edonese have dark blue or dark green shells. Edonese also have long tails that help them with balance.

Edonese name generator
Wiki rules

Below is a suggested set of rules to follow when editing this wiki. Administrators of this wiki should read these rules and adapt them as necessary. It is also recommended to move this page into the Project namespace.

1. **Keep it civil**: Do not make personal attacks on other people. If you need to criticize another user’s argument, do so without attacking them as a person. Do not use bigoted language, including slurs which degrade another person or group of people based on gender, race, sexual orientation, nationality, religion, etc.
2. **Be a productive member of the wiki**: Contribute to the wiki in line with the established processes and conventions. Need help? Ask an administrator! Disrupting the wiki with “edit warring” over differing opinions of a topic with another user or group of users is not productive.
3. **Do not engage in excessive self-promotion**: The wiki is a collaborative community resource for the topic at hand. It is NOT a free place to advertise your related website, YouTube channel, blog, social media account, etc. Have a question about whether your link would be welcome? Ask an administrator!
4. **Do not harass other users**: If somebody asks you to stop posting certain content on their wall, respect their wishes. It is their wall.
5. **Do follow community guidelines for formatting**: When a community has established formatting, it’s important to adhere to that, especially when spoiler content is involved.
Base 1

Base 1 is the first base. It was built by LMLMlax and TurtleOutLoud.

## Contents

Base 1 contains:

* Common House
* The Lighthouse
* Egg Machine
* Villager Castle
* Train Station
	+ Lots of mine cart tracks came to and from it
* Big Farm
	+ A big farm of wheat and carrots
* Pathetic Villager Pen
	+ Turtle's pathetic Villager pen
Neptune's Utensils

*Long ago, Neptune went to sleep right after having dinner. Three of his Peasants each stole one of his utensils, his Fork, Spoon, and Knife. The carriers of the Fork and Spoon were later slain by TurtleOutLoud and the tools were used for his, and in some cases LMLMlax's benefit. The carrier of the Knife may have traveled so far by now, however, that it may possibly never be claimed by the human inhabitants of lo5.*

## Neptune's Fork

Neptune's Fork is a Trident possessed by Turtle that was enchanted with Unbreaking III, Mending, Loyalty III and Impaling IV. It was his primary weapon from when he received it until he forged Triangulator shortly after the release of 1.16.

## Neptune's Spoon

Neptune's Spoon is a Trident primarily possessed by Turtle, but has been lent to LMLMlax on certain occasions. It was enchanted with Mending and Riptide II. It is commonly used as a source of quick transport for short distances if used alone, but may be used for long distances if paired with an Elytra While is is raining (research is being conducted to produce a way in which the user can travel vast distances using it and an Elytra while it is not raining, however).
TurtleOutLoud

TurtleOutLoud is known as one of the first people to join the realm, the other being LMLMlax. He is a poor soul working to build his own bases, find his own monster spawners, and get his own money on his free time. He is also the one who typed this.

## Other stuff

His twitter is @turtleoutloud. I know what a surprise.

Even though it says he is a builder, he's kinda ass when it comes to building.
Lo5 Wiki

**Welcome to the Lo5 Wiki!**
We're a collaborative community website about Lo5.

## Important articles

lo5

*Need help building out this community?*

* Rules of this wiki
* Getting Started
* How to Contribute
* Managing your new community
* Guides
* All Help articles

You can also be part of the larger Fandom family of communities. Visit Fandom's Community Central!

*Community Founders*: Write a good and paragraph-length description for your welcome section about your topic. Let your readers know what your topic is about and add some general information about it. Then you should visit the admin dashboard for more tips.
Egg Machine

The Egg Machine was a machine built by TurtleOutLoud as a fun joke but LMLMlax did not like it so he insisted Turtle would take it apart. Turtle would not so LMLMlax sent a creeper to perform the task for him. It was in Base 1.

## Function

The Egg Machine would work by having the player flip a switch, stand in the middle, and throw items up. Items would funnel through a system which dispenses the item back onto the player.

## Trivia

Turtle will only reveal the reasoning behind the name if you give him a gift of 1 netherite block.
Common House

The Common House, built by LMLMlax and TurtleOutLoud (LMLMlax built the walls and floors and Turtle built the roof), was originally the home of both until

### Other info

First big Building

Turtle built The Lighthouse. LMLMlax was selfish and the thought The Lighthouse was a good enough home and kicked him out.

It has four floors with a Council Meeting Room on the fourth.

It is in Base 1.
Tamur

this is waseem's little FORTNITE brother who lives in FORTNITE vile. He is also Arab and Arab at the same time

he's wanted for:

tax evasion

107 accounts of vehicular manslaughter

being good at fortnight and blank at the same time

saying the N-word in a black neighborhood

owning a google stadia

being a redditer