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概要と使いどころ
This skill guides postoperative management after Cushing's syndrome surgery by classifying patients into hypocortisolism, hypercortisolism, or eucortisolism based on serum cortisol levels. Use when postoperative cortisol is <5 µg/dL (hypocortisolism), >20 µg/dL (hypercortisolism), or 5-20 µg/dL (eucortisolism) to direct glucocorticoid replacement, further treatment, or monitoring.
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Identifies patients with a positive aldosterone-to-renin ratio screening who may proceed directly to subtype testing without confirmatory testing based on specific clinical criteria. Triggers include spontaneous hypokalemia, baseline plasma aldosterone concentration >100 pg/mL (CLEIA), renin suppression, or a clinician questioning the need for a confirmatory test after a positive screen.
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Identifies patients with normokalemia and no adrenal tumors on CT who likely have bilateral PA and may proceed directly to medical therapy without AVS. Triggers include when a clinician notes normokalemia and clean adrenal CT and asks 'Is AVS necessary if I suspect bilateral disease?'
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Identifies young patients with classic primary aldosteronism features who may proceed directly to unilateral adrenalectomy without adrenal venous sampling based on high probability of unilateral disease. Triggered when a clinician sees a patient <35 years with hypokalemia, unilateral adrenal tumor on CT, and high plasma aldosterone concentration and asks whether AVS can be bypassed.
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In patients with primary aldosteronism receiving mineralocorticoid receptor antagonist therapy, the guideline recommends titrating the MRA dose upward to raise renin when blood pressure remains uncontrolled and renin is suppressed. Consider this step when hypertension is not at goal despite MRA therapy and plasma renin activity (or direct renin concentration) is low.
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Workflow track for tasks that need no TDD — documentation edits, governance count bumps, vendored-skill content updates, configuration tweaks, formatting, typo fixes, dependency bumps where no project code changes. Skips `/scenario` and `/implement` (no failing test to drive) and runs the work directly. `archive`, `memory-sync`, `/grant-commit`, and `/commit` remain mandatory. `verify`, `simplify`, `integrate`, and `document` are conditional — required when the diff hits one of the listed triggers, optional otherwise. `verify` is skipped only when the diff is pure-docs/prose AND `project.json → test.kind` is `behavior` (absent/invalid `test.kind` → `structural` → verify runs). Chore is a stripped-down pipeline, not a bypass; never silently skip a conditional phase whose triggers apply.
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Draft a Workflow Phase 4 technical spec from an intake (and optionally a BRD + scout + research memo). The spec defines how the system will change: design (C4 + UML + dependency graph in PlantUML), data, APIs, tests, rollout, rollback. Output lives at `docs/specs/<slug>.md`. Never self-approves — approval happens via `/approve-direction`.
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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。
End-to-end workflow orchestrator. Walks the 11-phase pipeline, invoking each phase skill in order inside an internal loop, yielding at consent gates (/approve-direction, /approve-swarm, /grant-commit), and exiting cleanly on yield/failure/done. Decides swarm-vs-solo at Phase 6. Auto-loops /tdd on integrate failures that don't require a spec change. The harness_continuation Stop hook is a safety net that re-fires harness only when the loop exited mid-flow.
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`.
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Use for strategic thinking, or when the user must choose a direction under constraints: "where should we focus?", "how do we win?", "roadmap for next year", "what should we not do?". Ends in explicit bets and risks. Skip for step-by-step implementation.
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Create exercise directory structures with sections, problems, solutions, and explainers that pass linting. Use when user wants to scaffold exercises, create exercise stubs, or set up a new course section.
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Generate images, video, and audio with ComfyUI — install, launch, manage nodes/models, run workflows with parameter injection. Uses the official comfy-cli for lifecycle and direct REST/WebSocket API for execution.
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Build real-time voice AI applications with bidirectional WebSocket communication.
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。
Azure AI Voice Live SDK for JavaScript/TypeScript. Build real-time voice AI applications with bidirectional WebSocket communication.
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。
Azure AI VoiceLive SDK for Java. Real-time bidirectional voice conversations with AI assistants using WebSocket.
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。
Azure AI Voice Live SDK for .NET. Build real-time voice AI applications with bidirectional WebSocket communication.
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。
Skill for discovering and researching autonomous AI agents, tools, and ecosystems using the AgentFolio directory.
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Advogado especialista em todas as areas do Direito brasileiro: familia, criminal, trabalhista, tributario, consumidor, imobiliario, empresarial, civil e constitucional.
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Find and fix WCAG 2.2 accessibility issues. Two modes — report (sweep a codebase or page, produce a prioritized written report, no edits) and fix (audit→edit→verify loop on a target). Prefers direct-CDP live-DOM auditing; falls back to a browser-MCP composition or HTML-string audits.
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Advogado criminalista especializado em Maria da Penha, violencia domestica, feminicidio, direito penal brasileiro, medidas protetivas, inquerito policial e acao penal.
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This skill should be used when the user asks to "implement LLM-as-judge", "compare model outputs", "create evaluation rubrics", "mitigate evaluation bias", or mentions direct scoring, pairwise comparison, position bias, evaluation pipelines, or automated quality assessment.
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Use when Amazon Ads optimization analysis, recommendations, approval packets, demos, recordings, or public artifacts must preserve exact source KPIs while masking account/profile/project names, products, ASINs, SKUs, campaigns, ad groups, keywords, search terms, targets, placements, filenames, URLs, and source-derived identifiers. Produces masked approval packets only; it must not directly mutate Amazon Ads.
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Find the first batch of foreign-trade prospect companies from public web, LinkedIn, and user-authorized data sources such as customs exports, trade show lists, association directories, CRM/Excel files, or historical customer data, then output a conservative, structured candidate list ready for lead screening.
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。