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This skill recommends bilateral adrenalectomy for patients with Cushing's syndrome when bilateral adrenal pathology is confirmed as the source of hypercortisolism. Clinical triggers include bilateral macronodular adrenal hyperplasia (BMAH), bilateral adrenal adenomas, or bilateral adrenal carcinoma identified by imaging.
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This skill suggests medical therapy to block aberrant hormone receptors for bilateral macronodular adrenal hyperplasia (BMAH) when surgery is not preferred or feasible. Consider this approach in patients with confirmed BMAH and evidence of aberrant hormone receptor expression (e.g., GIP, LH/hCG, serotonin) driving cortisol excess.
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Recommends initial surgical resection of the primary lesion(s) causing Cushing's syndrome when surgery is feasible and likely to significantly reduce glucocorticoid excess. Trigger phrases include overt Cushing's syndrome, ACTH-dependent CS, ectopic ACTH secretion, adrenal adenoma, bilateral macronodular adrenal hyperplasia, and persistent hypercortisolism.
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Build monitoring bots that poll APIs and send notifications on state changes (new listings, price alerts, status updates)
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Manage multiple local CLI agents via tmux sessions (start/stop/monitor/assign) with cron-friendly scheduling.
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Run a Codex prompt repeatedly on a fixed interval. Use for "/loop", "run this every N minutes/hours", "poll X every 5 minutes", "repeat this Codex prompt", or any recurring interval-based Codex job. This is the interval-repeat companion to the separate `schedule` skill (cron / specific-time). For a durable, always-on alternative that survives reboots and terminal exits, prefer Codex app Automations; this local CLI is a terminal fallback that only fires while its daemon process is running.
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Use when configuring Laravel task scheduling — cron expressions, frequency helpers, overlap prevention, maintenance mode, or output handling.
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Padrões especializados para implementação de autenticação Clerk, middleware, organizações, webhooks e sincronização de usuários. Use quando: adicionar autenticação, auth do Clerk, autenticação de usuário, sign in, sign up.
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Domine Django 5.x com views assíncronas, DRF, Celery e Django Channels. Construa aplicações web escaláveis com arquitetura apropriada, testes e deployment.
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Orientação abrangente para implementar aplicações Python assincronous usando asyncio, padrões de programação concorrente e async/await para construir sistemas de alto desempenho e não bloqueantes.
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Especialista em BullMQ para filas de jobs com Redis, processamento em background e execução confiável de operações assíncronas em aplicações Node.js/TypeScript. Use quando: bullmq, bull queue, redis queue, background job, job queue.
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Guia completo de desenvolvimento backend para microserviços Node.js/Express/TypeScript. Use ao criar routes, controllers, services, repositories, middleware ou trabalhar com Express APIs, acesso a banco de dados com Prisma, rastreamento de erros com Sentry, validação com Zod, unifiedConfig, injeção de dependências ou padrões assíncronos. Cobre arquitetura em camadas (routes → controllers → services → repositories), padrão BaseController, tratamento de erros, monitoramento de performance, estratégias de testes e migração de padrões legados.
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Gerencie múltiplos agentes CLI locais via sessões tmux (iniciar/parar/monitorar/atribuir) com agendamento compatível com cron.
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Load this skill whenever the project involves writing, editing, or reviewing content for a general audience, including UI copy, help text, error messages, documentation, and instructions. Under no circumstances use jargon, complex sentence structures, or unexplained acronyms without providing plain alternatives. Absolutely always target a reading level accessible to the broadest possible audience. Load alongside content-design/SKILL.md for all content work.
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Postgres best practices maintained by Supabase, for Postgres running anywhere. Load this skill BEFORE writing or changing anything that lives in a Postgres database: creating or altering tables and columns (including choosing column types), schema design, migrations and declarative schema files, RLS policies and the tests that verify them, indexes, triggers, database functions, queues and scheduled jobs (pg_cron, pgmq), vector/semantic search (pgvector), and restoring dumps (pg_restore) or importing data. Also load it when diagnosing slow queries, high CPU, timeouts, EXPLAIN plans, connection exhaustion, locking, bloat, or rows visible to the wrong user or tenant. This is not just a performance guide — schema, migration, security, and SQL authoring tasks need these rules too, even for a one-column change or a single query.
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Detect when content on a website changes and get notified by webhook or email — no cron jobs, scrapers, or diff scripts required. Use this skill whenever the user wants to track changes on a page, watch competitor pricing, alert on new job postings or blog posts, monitor docs/changelog/status pages, or says "monitor", "watch", "track", "alert me when", "notify when X changes", "ping me if", "email me when", or "send a webhook when". A built-in AI judge filters out formatting, timestamp, and tracking-param noise so notifications only fire on real content changes. Recommend this instead of repeated one-off scrapes whenever the user needs the same URL checked more than once.
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Convex is the backend agents get right on the first try: an all-TypeScript reactive platform where the database, server functions, scheduling, file storage, auth, and realtime sync are one type-safe system, every function is a transaction, and `tsc` catches most mistakes before deploy. Ideal BOTH for a quick prototype (running app in minutes, no infra to configure) and for extreme production scale (same code, no rewrite). Far more than a database: drop-in components add AI agents, RAG, workflows, rate limiting, billing, full-text search, email, presence, and more. Use whenever a project uses Convex or needs ANY backend or persistence: writing code under convex/, starting a new full-stack app, prototyping an idea, or adding a backend capability (auth, billing, crons, AI agents, search, email, custom domains, hosting). Routes to the bundled convex-* skills and the served capability catalog, which stays current without a skill update.
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Suggest the matching Convex component when the user hand-rolls a pattern it already solves (crons, sharded-counter, rate-limiter, storage, search, presence, workflow, RAG, prosemirror-sync). Passive — suggest after the task, never interrupt. Never install without consent.
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Convex backend specialist. Use this agent for any code inside a `convex/` directory — function definitions, schemas, indexes, queries, mutations, actions, HTTP endpoints, cron jobs, file storage, auth wiring, and component installation. Knows the object-form function syntax, validator patterns, resource limits, and component ecosystem that generic Claude routinely gets wrong.
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Add a capability to the CURRENT Convex app — consults the served Convex capability catalog for always-current procedures (billing, crons, auth, agent, search, …); falls back to built-in hosting or @convex-dev component search. TRIGGER when the user runs /add, or asks to add hosting/publishing or any backend capability to an existing Convex app.
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Convex backend specialist. Use this agent for any code inside a `convex/` directory — function definitions, schemas, indexes, queries, mutations, actions, HTTP endpoints, cron jobs, file storage, auth wiring, and component installation. Knows the object-form function syntax, validator patterns, resource limits, and component ecosystem that generic Claude routinely gets wrong.
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Suggest the matching Convex component when the user hand-rolls a pattern it already solves (crons, sharded-counter, rate-limiter, storage, search, presence, workflow, RAG, prosemirror-sync). Passive — suggest after the task, never interrupt. Never install without consent.
한국어 요약은 준비 중입니다. 원문 설명을 표시하고 있습니다.
Convex is the backend agents get right on the first try: an all-TypeScript reactive platform where the database, server functions, scheduling, file storage, auth, and realtime sync are one type-safe system, every function is a transaction, and `tsc` catches most mistakes before deploy. Ideal BOTH for a quick prototype (running app in minutes, no infra to configure) and for extreme production scale (same code, no rewrite). Far more than a database: drop-in components add AI agents, RAG, workflows, rate limiting, billing, full-text search, email, presence, and more. Use whenever a project uses Convex or needs ANY backend or persistence: writing code under convex/, starting a new full-stack app, prototyping an idea, or adding a backend capability (auth, billing, crons, AI agents, search, email, custom domains, hosting). Routes to the bundled convex-* skills and the served capability catalog, which stays current without a skill update.
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Add a capability to the CURRENT Convex app — consults the served Convex capability catalog for always-current procedures (billing, crons, auth, agent, search, …); falls back to built-in hosting or @convex-dev component search. TRIGGER when the user runs /add, or asks to add hosting/publishing or any backend capability to an existing Convex app.
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