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![]() * Invoke a Value or Directive that would help with the task and spend 1 Determination for a "Moment of Inspiration", which allows dice pool to be rerolled. * Invoke a Value or Directive that would help with the task and spend 1 Determination to "Create Perfect Opportunity", which adds a d20 to the dice pool that is considered to have already rolled a 1. * Spend 2 Momentum to "Create Advantage", which reduces the task Difficulty. * "Create Opportunity" can also be bought by adding to Threat instead of spending Momentum, on a "one for one" basis. The 3rd die of the pool costs 1 Momentum, the 4th costs 2 and the 5th and last costs 3. * Spend Momentum to "Create Opportunity", which adds a d20 to the dice pool. You can improve the odds of any task as follows. a 19 or 20 for a risky task, 18, 19 or 20 for a very risky task, etc. Some particularly risky tasks generate a Complication on lower rolls as well, e.g. If a d20 rolls a natural 20, it generates a "Complication". If a suitable Focus is invoked and a d20 rolls equal to or less than the Discipline used for the task, it generates 2 successes. If a d20 rolls a natural 1, it generates 2 successes. Any d20 that rolls equal to or less than the Attribute + Discipline assigned to the task generates 1 success. 2d20 is the default size of the pool but additional d20, up to a total of five, may be purchased. To perform a task, players roll a dice pool of between two and five d20. * Intense Scrutiny: Ignore 2 Resistance per "Effect" rolled on Extended task Control/Reason success * Testing a Theory: Success in Engineering/Science task grants reroll of one d20 to subsequent related task * Nerve Pinch: Weapon (1H, Intense, Non-lethal, Dmg: 1 die) Medicine/Science may replace Security (TN and Damage) * Computer Expertise: Bonus d20 to tasks involving the programming or study of a computer system * Close Protection: Spend 1 Momentum from successful attack for +1 difficulty to next attack against nearby ally * Cautious (Security): If spends Momentum to buy d20s for Security task, may reroll one d20 * Mind-Meld: Link minds with another task difficulty always at least 1 Opposed roll if against other's will * Role Benefit: Has "Security Detachment" Advantage when aboard ship Tactical ( Tactical Systems, Security Oversight): Lt.Cmdr Kovar * In the Nick of Time: 1 extra Work scored per "Effect" rolled on Extended task Engineering/Science success * Jury-Rig: Reduce Repair task difficulty by 2 to minimum of 0 but repair is only temporary (see p137) * Bold (Engineering): If raises Threat to buy d20s for Engineering task, may reroll one d20 ![]() * Strong Pagh: Difficulty of task to resist being coerced or threatened is reduced by 1 * Role Benefit: Successful task assisted by Computers/Sensors/Tricorder grants +1 Momentum Operations ( Internal Systems, Communications): Lt. * Fly-By: Swift Task (Momentum spend) not increased in difficulty if either Tasks is piloting a vessel or vehicle ![]() * Technical Expertise: Assistance by ship’s Computers/Sensors grants re-roll of one d20 (which may be the ship’s) * Push the Limits: Conn task increased difficulty (Environment or damaged Engines) is reduced by 1 to minimum of 1 * Role Benefit: May use Conn instead of Engineering when analysing or repairing flight/propulsion technology * Veteran: May roll a challenge die when spending Determination "Effect" result immediately returns pointĬonn ( Helm, Navigation): Lt. ![]() * Advisor: Assisting another officer using Command grants that officer a reroll of one d20 * Tough: Avoid Injury cost (Momentum spend or Threat) reduced by 1 to minimum of 1 * Spirit of Discovery: May spend 1 Determination to add 3 Momentum to group pool * Role Benefit: May give Determination point to subordinate officer if able to communicate with them Captain's Chair ( Commanding Officer): Cpt. ![]() ![]() ![]() Prior to the COVID-19 pandemic, remote testing and telehealth assessment were not routinely part of standard clinical practice and less often part of clinical trials in NMD. To ensure the continuation of clinical care and clinical trials, COVID-19 mitigation strategies were urgently required to accommodate circumstances where patients were unable to travel to their site. This was further exacerbated by heavily restricted travel within and between states, and countries globally. Due to the frequent comorbidities seen in NMD, it was considered a significant risk for many patients to leave their homes and attend hospital clinics during the height of the pandemic and subsequent waves. The COVID-19 pandemic presented unprecedented challenges to the delivery of clinical care and the conduct of clinical outcome assessments (COA) for individuals with neuromuscular disorders (NMD). Here we report on our methodology for adapting current practices to remote testing and considerations for remote evaluations. Similarly, application of these techniques to clinical telemedicine enabled objective evaluations for use in payer discussions, equipment procurement, and general access to expert physical therapy services. A number of Sponsors introduced amendments to their study protocols to enable remote evaluations, supported by live video streaming of the assessment to their local clinical evaluators. Physical therapists who are expert in neuromuscular disorders working across clinics, countries, and clinical trials developed initial guidelines and methods for the suitability and feasibility of performing remote evaluations. The COVID-19 pandemic had a global impact on the safety and feasibility of in-person visits and assessments, necessitating rapid development of mitigation strategies to ensure ongoing collection of key clinical trial endpoints and access to expert clinical care despite travel restrictions. These evaluations not only inform the efficacy of investigational agents in clinical trials, but also importantly track disease trajectory to prospectively advise need for equipment, home and work modifications, and other assistive devices. Clinical outcome assessments of function or strength, assessed by physical therapists, are commonly used as primary endpoints in clinical trials, natural history studies and within clinics for individuals with neuromuscular disorders. ![]() |
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