「stop」の検索結果

This skill suggests radiation therapy or radiosurgery for adult patients with Cushing's disease who have failed transsphenoidal surgery (TSS) or have recurrent disease after initial remission. Consider when postoperative urinary free cortisol or late-night salivary cortisol remains elevated, or when clinical recurrence is suspected.

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Suggests repeat transsphenoidal surgery for patients with persistent hypercortisolism after initial transsphenoidal surgery when imaging shows evidence of incomplete resection or a pituitary lesion. Clinical triggers include postoperative MRI revealing residual adenoma, persistent elevated UFC or late-night salivary cortisol, and visible pituitary lesion on imaging.

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This skill recommends using biochemical tests to screen for hypercortisolism to detect recurrence in patients with ACTH-dependent Cushing's syndrome after surgical remission. It is triggered during postoperative follow-up when the HPA axis has recovered, annually, or sooner if clinical signs of hypercortisolism (e.g., weight gain, hypertension, glucose intolerance) or abnormal late-night salivary cortisol/UFC appear.

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This skill recommends regularly evaluating for corticotroph tumor progression using pituitary MRIs and ACTH levels in patients with known Cushing's disease who underwent bilateral adrenalectomy and in patients undergoing this procedure for presumed occult ectopic ACTH secretion. Triggers include postoperative follow‑up after bilateral adrenalectomy, rising ACTH levels, or new pituitary lesion on MRI suggestive of tumor progression.

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This skill recommends measuring late-night salivary or serum cortisol to screen for Cushing's disease recurrence in patients with eucortisolism after transsphenoidal surgery, including cases where eucortisolism was established by medical treatment prior to surgery. Use when postoperative follow-up shows eucortisolism (normal morning cortisol/UFC) but concern for recurrence exists.

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This skill recommends glucocorticoid replacement and patient education for hypocortisolemic patients after surgical remission of Cushing's syndrome. Use when a postoperative Cushing's patient exhibits low cortisol (e.g., morning cortisol <5 µg/dL) or symptoms of adrenal insufficiency.

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This skill recommends obtaining serum free T4 and prolactin levels within 1–2 weeks after transsphenoidal surgery (TSS) for Cushing's syndrome to screen for overt hypopituitarism. Use in postoperative Cushing's syndrome patients during the early recovery window when evaluating for new pituitary hormone deficiencies.

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This skill recommends educating patients and families about the clinical features of remission in Cushing's syndrome when a patient achieves biochemical remission after treatment. Use when a CS patient has postoperative normal cortisol levels, reports symptom improvement, and requires guidance on long-term expectations and monitoring for recurrence.

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This skill recommends discontinuing glucocorticoid when the response to HPA axis recovery tests (morning cortisol, ACTH stimulation, or insulin-induced hypoglycemia) is normal, indicating adequate adrenal function recovery. Use in postoperative Cushing’s syndrome patients with at least one intact adrenal gland when test results are available.

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Recommends mineralocorticoid receptor antagonists for all primary aldosteronism patients to prevent target organ damage, irrespective of blood pressure control or serum potassium levels. Triggered when a clinician encounters a PA patient with well‑controlled BP and normal K and wonders, 'Do I still need to treat with MRA?' or considers stopping therapy.

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Provides evidence-based guidelines for preoperative optimization and postoperative monitoring in patients with primary aldosteronism undergoing adrenalectomy. Triggers include when planning surgery or starting treatment and asking 'What perioperative care is needed?' or managing complications such as resistant hypertension, hypokalemia, or suspected cortisol co-secretion.

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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.

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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.

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Manage multiple local CLI agents via tmux sessions (start/stop/monitor/assign) with cron-friendly scheduling.

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Makes sessions durable across `/clear`, machine reboots, and IDE switches. SessionStart catchup pulls scratch + last MemPalace recall + planning files into context. Stop promotion writes a handoff note and runs memory-keeper. Manual `/mddesign:handoff` re-runs either at any time.

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Disconnect the connected NeatContext Context from Codex. Use when the user explicitly invokes this skill or asks to disconnect, detach, clear, or stop using the connected context.

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。

Disconnect the NeatContext Context from the current Kimi Code session. Use when the user explicitly invokes this skill or asks to disconnect, detach, clear, or stop using the connected context.

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Plan complete day trips, walking tours, and multi-stop itineraries with time budgets using Camino AI's journey.

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This skill should be used when the user asks to "scrub JSON values", "mask config fields", "add a Git clean filter", "remove volatile values from tracked config", or "stop config churn".

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Stop. That last message did not land — re-pitch it.

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Run the full speckit workflow end-to-end — specify, plan, critique, tasks, implement, review — making all decisions autonomously. Stops before extract; run that manually.

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Run the speckit preparation phases end-to-end — specify, plan, critique, tasks — making all decisions autonomously. Stops before implementation.

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Use BEFORE planning/coding against a DB schema, API/GraphQL shape, DTO/Model/Entity, or vendor package — read the real source, emit an Evidence Report, stop inventing fields.

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Use to drive a scalar metric down or up across bounded iterations — keep on strict improvement, revert otherwise, state on disk. Triggers 'minimize X', 'optimize until it stops improving'.

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。