その他のスキル

In patients with normal preoperative adrenal function, suggests an individualized clinical approach for postoperative glucocorticoid administration until HPA axis evaluation can be performed. Triggers include managing postoperative patient with normal preoperative adrenal function needing glucocorticoid management.

日本語の概要は準備中です。原文の説明を表示しています。

Suggests administering 25-75 mg hydrocortisone per 24 hours for 1-2 days in patients with adrenal insufficiency undergoing minor to moderate surgical stress. Triggers include patient undergoing minor to moderate surgery with known or suspected adrenal insufficiency.

日本語の概要は準備中です。原文の説明を表示しています。

Recommends using the lowest tolerable hydrocortisone dose to potentially decrease risks of metabolic and cardiovascular disease in central adrenal insufficiency. Triggers include managing a patient with central adrenal insufficiency requiring glucocorticoid replacement.

日本語の概要は準備中です。原文の説明を表示しています。

Recommends hydrocortisone replacement dosing of 15–20 mg total daily, administered as a single dose or divided doses with the highest dose given in the morning upon awakening and the second dose in the afternoon (two-dose regimen) or second and third doses at lunch and late afternoon (three-dose regimen). Use when initiating glucocorticoid replacement for adrenal insufficiency; triggers include diagnosing adrenal insufficiency requiring glucocorticoid replacement.

日本語の概要は準備中です。原文の説明を表示しています。

Screen a child with obesity for red flags suggesting monogenic, syndromic, or secondary endocrine causes — distinguishing atypical from typical exogenous obesity. Trigger when a clinician asks whether obesity could be genetic or hormonal, suspects Prader-Willi syndrome, Cushing disease, hypothyroidism, ROHHAD, Bardet-Biedl syndrome, leptin deficiency, or craniopharyngioma, or when a child has early-onset severe obesity, short stature with obesity, hyperphagia, hypotonia, dysmorphic features, or developmental delay with weight gain.

日本語の概要は準備中です。原文の説明を表示しています。

Suggests using longer-acting glucocorticoids when standard hydrocortisone regimens are impractical due to nonavailability, poor adherence, or need for once-daily dosing. Triggers include glucocorticoid replacement therapy decisions where patients report difficulty with multiple daily doses, lack of access to hydrocortisone, or preference for simplified regimens.

日本語の概要は準備中です。原文の説明を表示しています。

Suggests periodic screening for autoimmune diseases known to be more prevalent in PAI patients in whom autoimmune origin of PAI has not been excluded; optimal frequency unknown but can be done annually. Use when determining screening schedule for PAI patient with uncertain autoimmune origin.

日本語の概要は準備中です。原文の説明を表示しています。

Set absolute LDL-C, non-HDL-C, and ApoB treatment goals, PLUS percent LDL-C reduction, for a primary-prevention patient on lipid-lowering therapy per the re-introduced treatment goals in the 2026 ACC/AHA multisociety dyslipidaemia guideline. Covers goals by PREVENT-ASCVD category (low / borderline / intermediate / high), by CAC score, in severe hypercholesterolaemia / FH, in diabetes with multiple ASCVD risk factors, and the ApoB targets once LDL-C and non-HDL-C goals are met. Use when a clinician asks what LDL goal to aim for, LDL target for intermediate risk, non-HDL goal, ApoB target, dual goals on statin, patient at goal or not, how low should LDL go, statin not enough what next. Grounded in the 2026 ACC/AHA multisociety dyslipidaemia guideline.

日本語の概要は準備中です。原文の説明を表示しています。

Decide whether a kidney from a brain-dead deceased donor (DBD) with diabetes mellitus and/or hypertension is suitable for transplantation, using the ISOT 2025 Delphi consensus and Table 4 eligibility checklist. Trigger when a clinician asks "can I use a kidney from a diabetic deceased donor", "is this DBD with HTN/DM acceptable", "ECD donor with diabetes — accept or decline", "DBD eligibility for hypertensive donor", or shares a deceased donor with diabetes or hypertension and needs an accept/borderline/decline decision.

日本語の概要は準備中です。原文の説明を表示しています。

Generate or repair a project's .gitignore. Composes the baseline must-ignore set (the single source of truth in baseline-ignores.json) with optional gitignore.io enrichment, and merges add-only so existing entries are never lost. Use when a repo has no .gitignore, when the commit-leak guard reports a gap, or when onboarding a new stack. Trigger: "set up gitignore", "fix my gitignore", "ignore node_modules/secrets", "gitignore for <stack>".

日本語の概要は準備中です。原文の説明を表示しています。

Bootstrap the central system spec at `docs/system/` for a repository that has never had one. Scans the governed surface, proposes a concept map clustered by directory, and materializes elements + shards ONLY after a human confirms that map. Use when adopting the baseline on an existing project, or when the corpus needs re-deriving from scratch. Re-runnable. Requires `memory.architecture_map.enabled` and a declared `governed_surface`.

日本語の概要は準備中です。原文の説明を表示しています。

Cross-consistency review of a drafted spec's diagrams. Verifies that C4 components appear in the dependency graph, class-diagram changes have matching DDL, every AC resolves to a concrete sequence, and the dependency graph is acyclic. Read-only. Run after `/spec-lint` passes and before implementation.

日本語の概要は準備中です。原文の説明を表示しています。

Review the auto-extracted candidates in `.claude/memory/_pending.md` and commit keepers to the canonical memory files (`landmarks.md`, `libraries.md`, `decisions.md`, `landmines.md`, `conventions.md`, `pending-questions.md`, `backlog.md`). Invoke at session start when the SessionStart hook reports pending candidates, or any time `_pending.md` has accumulated entries you want to curate. Reset the pending body after flushing.

日本語の概要は準備中です。原文の説明を表示しています。

Cycle-end retrospective converting recurring judgment failures into durable enforcement. Reviews the cycle's friction — repeated user corrections, guard trips, RCA themes, integrate failures — and turns each recurring one into a landmines.md entry, then proposes graduation candidates up the enforcement funnel (landmine → advisory hook → hard gate). Pairs with standup: standup says what shipped and what's next; retrospective says what kept going wrong and how to stop it structurally. Writes only memory entries and a report — graduation proposals are advisory and require the normal seed.md amendment path to become enforcement. Invoke at the end of a release cycle, an epic, or any stretch of work with repeated friction.

日本語の概要は準備中です。原文の説明を表示しています。

Traceability review — every spec AC must trace to a resolvable upstream AC in the intake (and BRD if present), and no upstream AC is silently dropped. Read-only. Run alongside `spec-diagram-review` before implementation.

日本語の概要は準備中です。原文の説明を表示しています。

Oracle-bound spec-review check that every structured Rollout prerequisite binds to an enforcement-type acceptance criterion. A prerequisite whose `enforced-by` is missing, dangling, or points at a non-enforcement AC is a BLOCKER (hard-blocks implementation entry via the checker fan-out verdict); a prerequisite left in free prose is ADVISORY. Read-only. Runs in the spec-review fan-out before implementation.

日本語の概要は準備中です。原文の説明を表示しています。

PM-mode brainstorm helper. Captures the requirement via Socratic dialogue before any entry phase (`/intake`, `/spec`, `/tdd`) drafts its artifact. Stage 0 skip-check, Stage 1 gap-analysis, Stage 2 probe-loop, Stage 3 confirm-and-persist. Output lives at `docs/brief/<slug>.md`. Never proposes solutions — Stage 2 dialogue discipline is structurally enforced via `discipline.mjs`.

日本語の概要は準備中です。原文の説明を表示しています。

Extract every PlantUML block from docs/specs/<slug>.md and render each to SVG under docs/specs/_rendered/<slug>/, with an index.md listing them in order. Run this before /approve-direction so the reviewer sees pictures instead of raw PlantUML.

日本語の概要は準備中です。原文の説明を表示しています。

PR 생성. 현재 브랜치 변경사항 분석 후 .claude/skills/pr 기준 제목, 본문, PR 생성

日本語の概要は準備中です。原文の説明を表示しています。

비대한 커스텀 훅을 스코프별 서브 훅으로 분리, composer 패턴 적용, 전용 서브디렉토리 구조화

日本語の概要は準備中です。原文の説明を表示しています。

작업 청크 종료 시점의 .progress/날짜/주제.md 진행 기록

日本語の概要は準備中です。原文の説明を表示しています。

커밋 생성. 변경사항 분석 후 .claude/skills/commit 기준 커밋 메시지 작성과 커밋 실행

日本語の概要は準備中です。原文の説明を表示しています。

비대한 커스텀 훅의 스코프별 서브 훅 분리. .claude/skills/custom-hook 기준

日本語の概要は準備中です。原文の説明を表示しています。

Convert Android XML layouts to Jetpack Compose. Use when asked to migrate XML layouts, convert views to composables, or help with Compose migration. Handles layouts, widgets, attributes, styles, and resource references.

日本語の概要は準備中です。原文の説明を表示しています。