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概要と使いどころ
Educates patients with primary adrenal insufficiency on increasing glucocorticoid dosage during intercurrent illness, fever (≥38°C), or physiological stress, including recognition of precipitating symptoms (e.g., fever, vomiting, trauma) and actions to prevent impending adrenal crisis. Trigger phrases: fever, intercurrent illness, stress, vomiting, inability to tolerate oral meds, need for parenteral glucocorticoid.
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。
This skill outlines monitoring of mineralocorticoid replacement in primary adrenal insufficiency, focusing on clinical assessment of salt craving, postural hypotension, or edema alongside serum electrolyte measurements. It is initiated when evaluating patients on fludrocortisone therapy to ensure adequate dosing and avoid over- or under-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。
Initiates a 6‑month trial of DHEA replacement in women with primary adrenal insufficiency (PAI) who have persistent low libido, depressive symptoms, or low energy despite otherwise optimized glucocorticoid and mineralocorticoid therapy. If the patient does not report a sustained beneficial effect after 6 months, discontinue DHEA.
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。
Calculates the lowest effective glucocorticoid dose (dexamethasone or prednisone) to normalize blood pressure and serum potassium in glucocorticoid-remediable aldosteronism (GRA/FH-I) by titrating to biochemical and clinical targets. Indicated when initiating medical treatment for confirmed GRA, triggered by findings such as early-onset hypertension, family history of stroke before age 40, spontaneous hypokalemia, or suppressed plasma renin activity with elevated aldosterone.
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 adjusting glucocorticoid dose according to severity of illness or magnitude of the stressor in patients with primary adrenal insufficiency. Use when patient with PAI has intercurrent illness, fever, or stress.
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 against dexamethasone for glucocorticoid replacement in primary adrenal insufficiency (PAI) due to risk of Cushingoid side effects from difficult dose titration. Use when selecting a glucocorticoid for PAI management to avoid iatrogenic Cushing syndrome.
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。
This skill guides annual evaluation of patients with primary adrenal insufficiency (PAI) for symptoms and signs of glucocorticoid and mineralocorticoid over- or under-replacement. Use during annual follow-up when assessing for weight changes, blood pressure abnormalities, edema, or symptoms such as fatigue, insomnia, or salt craving.
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。
Accounts for estrogen-induced elevation of total serum cortisol via increased corticosteroid-binding globulin (CBG) when evaluating adrenal reserve or hydrocortisone replacement adequacy. Triggered when assessing glucocorticoid adequacy in patients receiving estrogen therapy (e.g., oral estrogen replacement) or interpreting cortisol levels in estrogen-exposed individuals.
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 performing biochemical testing for HPA axis at least 18-24 hours after last hydrocortisone dose or longer for synthetic glucocorticoids. Use when scheduling HPA axis testing in glucocorticoid-treated patient needing assessment of adrenal reserve.
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。
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 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。
Recommends adjusting glucocorticoid doses on the day of surgery based on illness severity and magnitude of surgical stress. Triggers when managing a patient requiring surgery needing perioperative glucocorticoid management, such as "patient on HC for central AI undergoing major abdominal surgery" or "patient with hypopituitarism scheduled for minor procedure".
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 hydrocortisone 15–25 mg or cortisone acetate 20–35 mg daily in two or three divided oral doses for adult primary adrenal insufficiency (PAI) patients initiating glucocorticoid replacement. The highest dose is given upon awakening, with the second dose either early afternoon (≈2 h after lunch) or split into lunch and afternoon doses; consider total daily dose calculation based on chosen formulation and frequency.
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 testing HPA axis functionality before and after starting GH replacement in patients not receiving glucocorticoid replacement with apparently normal pituitary-adrenal function. Triggers include initiating GH replacement in a GHD patient who is not on glucocorticoids and has normal adrenal function.
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。
Estratega de Inteligencia de Dominio de Andru.ia. Analiza el nicho específico de un proyecto para inyectar conocimientos, regulaciones y estándares únicos del sector. Actívalo tras definir el nicho.
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。
Search and preview Irasutoya illustrations with the installed `irasutoya` command-line tool. Use this skill whenever the user wants to find, recommend, preview, randomly pull up, or get the page/image URL of an Irasutoya (いらすとや) image — from a topic, scene, Korean/Japanese/English phrase, visual description, emotion, character, object, or action — even if they don't say "Irasutoya" by name but clearly want a free, cute illustration for a slide, 발표자료, blog, doc, or chat. Also use it to optimize vague requests into fast Japanese keyword candidates and to return page/image URLs. Do NOT use it to generate brand-new AI art (e.g. DALL·E, Midjourney), draw charts or diagrams, design logos or icons, cut out/edit existing images, or recommend other stock-image sites — it only searches Irasutoya's existing catalog.
Expert-level condensed matter physics knowledge. Use when working with crystal structure, band theory, semiconductors, superconductivity, magnetism, phase transitions, Fermi liquids, topological materials, or strongly correlated systems. Also use when the user mentions 'band gap', 'Fermi energy', 'semiconductor', 'superconductor', 'phonon', 'crystal lattice', 'Brillouin zone', 'Bloch theorem', 'Hall effect', 'magnetism', 'phase transition', or 'topological insulator'.
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。
Cria automaticamente changelogs voltados para usuários a partir de commits do git, analisando o histórico de commits, categorizando mudanças e transformando commits técnicos em notas de lançamento claras e amigáveis para clientes. Transforma horas de escrita manual de changelog em minutos de geração automatizada.
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。
Inteligência de design UI/UX. 50 estilos, 21 paletas, 50 combinações de fontes, 20 gráficos, 9 stacks (React, Next.js, Vue, Svelte, SwiftUI, React Native, Flutter, Tailwind, shadcn/ui). Ações: plan, build, create, design, implement, review, fix, improve, optimize, enhance, refactor, check UI/UX code. Projetos: website, landing page, dashboard, admin panel, e-commerce, SaaS, portfolio, blog, mobile app, .html, .tsx, .vue, .svelte. Elementos: button, modal, navbar, sidebar, card, table, form, chart. Estilos: glassmorphism, claymorphism, minimalism, brutalism, neumorphism, bento grid, dark mode, responsive, skeuomorphism, flat design. Tópicos: color palette, accessibility, animation, layout, typography, font pairing, spacing, hover, shadow, gradient. Integrações: shadcn/ui MCP para busca de componentes e exemplos.
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。
Crie designs de websites premium com qualidade Awwwards como componentes React (.jsx) que pareçam ter sido construídos por uma agência de primeira linha cobrando R$250k+ por projeto. Use esta skill sempre que o usuário pedir um website, landing page, portfólio, ou componente web que deve parecer caro, premium, luxo, editorial, high-end, ou de qualidade agência. Também dispare quando o usuário mencionar Awwwards, FWA, design premiado, ou referenciar marcas como Apple, Aesop, Bottega Veneta, Stripe, ou qualquer marca luxury/fashion/design-forward. Dispare quando o usuário disser coisas como "faça parecer profissional", "faça parecer caro", "quero que fique realmente bom", "design de alta qualidade", "não genérico", ou expressar insatisfação com aesthetics típicos de websites gerados por IA. NÃO dispare para dashboards, admin panels, ferramentas internas, ou UI funcional onde aesthetics são secundárias à utilidade — a skill padrão frontend-design cuida disso.
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。
Guia completo para criar diagramas de software usando sintaxe Mermaid. Use quando usuários precisarem criar, visualizar ou documentar software por meio de diagramas, incluindo diagramas de classe (modelagem de domínio, design orientado a objetos), diagramas de sequência (fluxos de aplicação, interações de API, execução de código), fluxogramas (processos, algoritmos, jornadas do usuário), diagramas de relacionamento de entidades (esquemas de banco de dados), diagramas de arquitetura C4 (contexto do sistema, containers, componentes), diagramas de estado, git graphs, gráficos de pizza, gráficos de Gantt ou qualquer outro tipo de diagrama. Acionadores incluem solicitações para "diagram", "visualize", "model", "map out", "show the flow" ou ao explicar arquitetura de sistema, design de banco de dados, estrutura de código ou fluxos de usuário/aplicação.
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。
Criando visualizações de dados interativas usando d3.js. Esta habilidade deve ser usada ao criar gráficos customizados, diagramas de rede, visualizações geográficas ou qualquer visualização de dados complexa baseada em SVG que requeira controle fino sobre elementos visuais, transições ou interações. Use isto para visualizações personalizadas além das bibliotecas de gráficos padrão, seja em React, Vue, Svelte, JavaScript vanilla ou qualquer outro ambiente.
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。
Formato GGUF e quantização llama.cpp para inferência eficiente em CPU/GPU. Use ao implantar modelos em hardware de consumidor, Apple Silicon, ou quando precisar de quantização flexível de 2-8 bits sem requisitos de GPU.
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。