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概要と使いどころ
Assesses that CGM low- and high-glucose alarm thresholds are individualized to optimize patient benefit and minimize alarm fatigue. Triggered by clinician prompts to 'Review low-glucose alarm thresholds' or 'Ensure alarms are individualized and not excessive'.
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Recommends continuous subcutaneous insulin infusion (CSII) over multiple daily injections (MDI) for adults with type 1 diabetes who have achieved their A1C goal but experience severe hypoglycemia or high glucose variability, provided the patient and caregivers are willing and able to use the device. Consider CSII when clinicians hear 'A1C is at goal but patient has severe lows or glucose swings' or think 'pump for hypoglycemia-prone controlled T1DM'.
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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.
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Suggests reducing the fludrocortisone dose in patients who develop new-onset hypertension while on fludrocortisone replacement for primary adrenal insufficiency. Consider dose reduction when hypertension arises alongside signs of mineralocorticoid excess such as edema, weight gain, or hypokalemia.
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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.
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Bedside prescribing reference for Bemdec (bempedoic acid / NEXLETOL) — indication check, dose, statin co-prescribing safety caps, monitoring plan, warnings for hyperuricemia and tendon rupture, and special population guidance. Use when a clinician asks "can I start bempedoic acid", "Bemdec indication", "is bempedoic acid safe with my statin", "patient on Nexletol has joint pain or high uric acid", "bempedoic acid in CKD or liver disease or pregnancy", or any prescribing or monitoring question about bempedoic acid.
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Phase 10.6 — sync the project's execution roadmap (project.json → roadmap.path, default docs/roadmap-execution-plan.md) to the just-landed work. Flips the tasks named in workflow.json → roadmap_tasks[] from ⬜ to ✅ and promotes their epic headings ⬜→🟡→✅, preserving the standup parser format contract. On the epic track it appends instead — the epic's heading plus one row per slice — and stamps roadmap_epic back into the epic state. Also hosts the ad-hoc backfill that puts every epic already on disk onto the roadmap. Fail-open: never throws, no-ops when roadmap.path is unset/absent or no task matches, and never blocks a commit. Runs after /archive and before /memory-sync on every committing track.
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EXPERIMENTAL. Join or leave an org-team coordination channel as a session peer. `/companion on <channel_id> [peer_id]` registers this Claude Code session as a `pclass:"session"` peer and works the claim → execute → signal loop, escalating un-decidable forks to the lead (never deciding). `/companion off` deregisters. `/companion status` reports the current peer. Part of org mode (Article X), which is opt-in via `velocity.org_mode.enabled` and OFF by default. Use when a human launches a second session to act as a peer alongside a lead.
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Drift check between the baseline implementation on disk and the claims in `docs/init/seed.md` + cross-references in CLAUDE.md, README.md, and the rendered docs site. Verifies hook/agent/skill/command names + counts, settings.json wiring, project.json key presence, .mcp.json servers, vendored license files, and helper script presence. Exit 0 PASS / 1 FAIL — suitable for CI. Read-only; safe to invoke any time.
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Workflow Phase 8 (optional) — OWASP-aligned security review of pending code changes. Produces a prioritized findings report (Critical/High/Medium/Low) mapped to OWASP Top 10 and CWE IDs. Output at `docs/security/<slug>-<date>.md`. Read-only.
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Draft a Workflow Phase 1 intake document capturing a new request — the problem, the desired outcome, constraints, and testable acceptance criteria. Use when a user brings a new feature, change, or investigation that doesn't yet have a spec. The output lives at `docs/intake/<slug>.md` and feeds `/scout`, `/research`, and `/spec` downstream.
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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.
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Dev-only check that a drafted spec for THIS baseline repo won't ship dev-tree references to consumer installs. Catches three failure modes — shipped SKILL.md prose that references paths under `src/`, `tests/`, `scripts/`, `obj/` as runtime invocations (in ```bash fences``` OR `inline backticks`, plus shipped `.mjs`/`.js`/`.sh`/`.py` helper-file imports); new Python helpers added under `.claude/skills/<slug>/` (shipped helpers must be `.sh` or `.mjs`/`.js` going forward); and imports of modules that aren't in `obj/template/.claude/manifest.json` (consumer won't have the file). The aggregate scanner (`scan-shipped-skills.mjs`) walks only baseline-owned skill dirs (via `owner: baseline` frontmatter) at top level — `references/` and other subdirs are documentation, not runtime. BLOCKER findings hard-block implementation entry; ADVISORY surfaces but doesn't block. Read-only — surfaces a punch list; maintainer edits the spec and re-runs until CLEAN.
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Use when the user wants to design, redesign, shape, critique, audit, polish, clarify, distill, harden, optimize, adapt, animate, colorize, extract, or otherwise improve a frontend interface. Covers websites, landing pages, dashboards, product UI, app shells, components, forms, settings, onboarding, and empty states. Handles UX review, visual hierarchy, information architecture, cognitive load, accessibility, performance, responsive behavior, theming, anti-patterns, typography, fonts, spacing, layout, alignment, color, motion, micro-interactions, UX copy, error states, edge cases, i18n, and reusable design systems or tokens. Also use for bland designs that need to become bolder or more delightful, loud designs that should become quieter, live browser iteration on UI elements, or ambitious visual effects that should feel technically extraordinary. Not for backend-only or non-UI tasks.
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Use for SWOT analysis, or when the user wants to assess where a team, product or company stands: "strengths and weaknesses", "should we enter this market?", "review our position", "competitor comparison". Turns findings into actions. Skip for detailed planning or pure market sizing.
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Use when a request needs external sources, current facts, listings, a supplied URL, papers, or library and API documentation. When using Firecrawl for the request, use firecrawl_search to find sources and firecrawl_scrape to read a supplied or discovered URL. Firecrawl also retrieves documents, collects structured data, and tracks website changes. Respect explicit source and tool preferences.
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Take a markdown file of raw material and shape it into an article through a conversational session — drafting candidate openings, growing the piece paragraph by paragraph, arguing about format (lists, tables, callouts, quotes) at each step. Use when the user has a pile of notes, fragments, or a rough draft and wants help turning it into something publishable.
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Discover and analyze trending GitHub repositories from TrendShift and other sources — evaluate usefulness, extract learnings, and identify valuable skills/tools
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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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Audio spectrograms/features (mel, chroma, MFCC) via CLI.
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⚠️ DEPRECATED: This SDK has been renamed to Call Automation. For new projects, use azure-communication-callautomation instead. This skill is for maintaining legacy code only.
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Azure App Configuration SDK for Python. Use for centralized configuration management, feature flags, and dynamic settings.
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Azure App Configuration SDK for Java. Centralized application configuration management with key-value settings, feature flags, and snapshots.
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Azure OpenAI SDK for .NET. Client library for Azure OpenAI and OpenAI services. Use for chat completions, embeddings, image generation, audio transcription, and assistants.
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