Results for “triggers”

Recommends ACE inhibitors, ARBs, or calcium channel blockers as first-line hypertension therapy rather than β‑adrenergic blockers in obese patients with type 2 diabetes. Triggers include when a clinician asks, 'What antihypertensive should I start for this obese patient with T2DM to avoid weight gain?' or 'Should I avoid β‑blockers in this patient with diabetes and hypertension?'

Compose a provider-neutral AI team by tiering accessible models on cost-efficiency, capability, latency, and governance, then mapping the 8 processkit role archetypes onto catalog Roles + RoleSlots inside a chartering Scope. Use when bootstrapping a new project team, rotating after a provider change, or quarterly rebalancing. Triggers: "create my AI team", "compose a team", "rebalance the team", "review the team".

Recommends a shared decision‑making process that provides patients with quantitative estimates of the expected weight effect of antidepressants to inform drug choice, also considering expected treatment length. Triggers include clinician questions such as ‘How should I discuss weight‑change risks with this patient starting an antidepressant?’ or ‘What tool can I use to show expected weight impact of sertraline vs bupropion?’.

Establishes age- and gender-specific blood pressure goals for pediatric patients with primary aldosteronism (PA) using published normative data to assess treatment adequacy and avoid over-treatment. Use when managing hypertension in children with PA to evaluate if BP is adequately controlled; triggers include pediatric PA hypertension, BP not normalized with glucocorticoid therapy, and need for age‑specific BP targets.

Create comprehensive, phased implementation plans with sprints and atomic tasks. Use when user says: "make a plan", "create a plan", "plan this out", "plan the implementation", "help me plan", "design a plan", "draft a plan", "write a plan", "outline the steps", "break this down into tasks", "what's the plan for", or any similar planning request. Also triggers on explicit "/planner" or "/plan" commands.

Generate Euro NCAP test scenarios and variants using the ADT Euro NCAP support package. Use when creating NCAP seed scenarios, generating variants, translating between drivingScenario and RoadRunner, plotting scenario descriptors, computing NCAP scores, or exporting reports. Triggers on: ncapScenario, euroAssessment, getScenario, getScenarioDescriptor, generateVariants, ScenarioDescriptor, ScenarioDescriptorPlot, ncapScore, ncapReport, exportReport, configureVUT, assessmentTable, Euro NCAP, CCRs, CCRm, CCRb, CCFtap, CCCscp, CPNA, CPFA, CBNA, variant generation.

Differentiates aldosterone-producing adenoma from idiopathic adrenal hyperplasia based on 18-hydroxycorticosterone levels, with APA patients generally having levels >100 ng/dL at 8:00 a.m. and IAH patients usually having levels <100 ng/dL. Use when reviewing 18-OHB test results to help subtype PA; triggers include 18-OHB >100 ng/dL (suggesting APA) or <100 ng/dL (suggesting IAH).

Publication Specialist - Writing, Review, Pre-registration & Quality Assurance Light VS applied: Avoids template-based writing + audience-specific message design Absorbed G3 (Peer Review Strategist), G4 (Pre-registration Composer), F1-F3 (Quality functions) capabilities Use when: writing abstracts, creating summaries, peer review response, pre-registration, reporting checklists, reproducibility Triggers: abstract, plain language, press release, summary, communication, peer review, revision, pre-registration, OSF, PRISMA, CONSORT, reproducibility

Universal transformation λ(ο,K).τ with recursive self-improvement. USE WHEN routing reasoning, validating knowledge graphs, preparing CICM/ANZCA examinations, or when self-improvement of reasoning/architecture/context is required. Routes queries through R0-R3 complexity pipelines, validates topology (η≥target) and governance (KROG), emits per style (Φ), and compounds learnings into knowledge K. Triggers on complexity assessment, multi-step reasoning, examination mode, or /λ invocation.

Fix broken or failing functionality through structured reproduction, root-cause analysis, minimal fix, and verification. Load when the user asks to fix a bug, debug an error, resolve an issue, or work on a Linear ticket. Also triggers on "this is broken", "fix this bug", "why is this failing", "debug this", "resolve this error", "what went wrong", or any request to diagnose and fix a problem.

Use this skill when the user asks about commercial driver drug & alcohol testing under 49 CFR 382 + 40 — the six testing reasons (pre-employment, random, post-accident, reasonable suspicion, return-to-duty, follow-up), MRO process, SAP/return-to-duty process, post-accident triggers, random selection rates, what panels are tested, refusal definitions, or testing programs and consortiums. Cite specific 49 CFR 382 or 40 subsection.

Multimodal proposal brief intake — turns text, audio, or video into a structured, completeness-checked brief.md. Use when the user pastes a client brief, drops a voice memo or call recording, shares a video brief, asks to 'intake a proposal', 'structure this brief', or starts a new proposal run. Triggers: 'intake this brief', 'transcribe this recording', 'structure the brief', 'new proposal from voice memo', 'parse this RFP brief'.

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.

Produces legally focused summaries of California Environmental Impact Reports (EIRs) under CEQA and federal Environmental Impact Statements (EISs) under NEPA. Extracts impacts, mitigation, alternatives, and compliance vulnerabilities. Reflects the 2025 CEQA reforms (AB 130 + SB 131) and the April 2025 rescission of CEQ NEPA implementing regulations. Triggers on requests for EIR/EIS summary, CEQA/NEPA review, mitigation analysis, alternatives analysis, cumulative impacts review, permit challenge prep, or administrative record review.

AI-powered financial analysis suite. Generates executive CFO briefings from QuickBooks exports (P&L, Balance Sheet, General Ledger, Cash Flow, etc.) with anomaly detection, burn rate, runway analysis, and scenario modeling. Also estimates codebase development costs with organizational overhead and AI ROI analysis. Triggers on: 'CFO briefing', 'financial analysis', 'cost briefing', 'expense review', 'runway analysis', 'burn rate', 'cost estimate', 'how much would this cost to build', 'development cost', 'Claude ROI'.

OpenAI Codex CLI wrapper — three modes. Code review: independent diff review via codex review with pass/fail gate. Challenge: adversarial mode that tries to break your code. Consult: ask codex anything with session continuity for follow-ups. The "200 IQ autistic developer" second opinion. Use when asked to "codex review", "codex challenge", "ask codex", "second opinion", or "consult codex". (gstack) Voice triggers (speech-to-text aliases): "code x", "code ex", "get another opinion".

Suggests oral contraceptives over injectable contraceptives for women with BMI ≥27 kg/m2 with comorbidities or BMI ≥30 kg/m2 seeking contraception, provided they are well‑informed and oral contraceptives are not contraindicated. Triggers include clinician questions such as “Which contraceptive method is less likely to cause weight gain in this obese patient?” or “Should I recommend oral pills instead of depot injection for this patient with BMI 29 and hypertension?”.

Create and customize MATLAB charts and plots. Plot types (line, scatter, bar, histogram, heatmap, surface), axes configuration, annotations, data tips, interactive plots, animation, multiple axes with tiledlayout, colororder, and performance optimization. Works for standalone figures, Live Scripts, and uifigure apps. Use when plotting data, customizing axes, adding annotations or interactivity, animating charts, or arranging multiple axes. Triggers: plot, chart, graph, axes, uiaxes, annotation, data tips, animation, tiledlayout, colororder, heatmap, scatter, figure, visualization, export.

Launch GStack Browser — AI-controlled Chromium with the sidebar extension baked in. Opens a visible browser window where you can watch every action in real time. The sidebar shows a live activity feed and chat. Anti-bot stealth built in. Use when asked to "open gstack browser", "launch browser", "connect chrome", "open chrome", "real browser", "launch chrome", "side panel", or "control my browser". Voice triggers (speech-to-text aliases): "show me the browser".

Determines if primary aldosteronism is confirmed based on upright plasma aldosterone ≤6 ng/dL (170 nmol/L) on day 4 at 10 AM of fludrocortisone suppression test, provided plasma renin activity ≥1 ng/mL/h and plasma cortisol concentration lower than the 7 AM value to exclude ACTH confounding. Use when reviewing FST results to diagnose PA; triggers include "FST", "upright aldosterone ≤6 ng/dL", "PRA ≥1 ng/mL/h", and "cortisol drop".

Teleological physiology analysis framework for understanding biological systems through multi-constraint optimization. Use when analyzing physiological mechanisms, explaining apparent biological "inefficiencies", preparing for medical examinations (CICM/ANZCA Primary), understanding why biological systems are designed the way they are, or when seeking deeper mechanistic understanding beyond descriptive knowledge. Triggers on questions like "why is X designed this way", "what purpose does Y serve", "how is Z optimized", analysis of physiological trade-offs, or exploration of evolutionary/design constraints.

Determines unilateral vs bilateral aldosterone excess based on cortisol-corrected aldosterone ratios from adrenal venous sampling, with ratio >4:1 indicating unilateral excess, ratio 3:1 suggestive of bilateral hypersecretion, and interpretation dependent on cosyntropin stimulation protocol used during sampling. Use when analyzing AVS results to guide surgical vs medical treatment decisions; triggers include 'AVS lateralization ratio', 'cosyntropin-stimulated AVS', 'aldosterone-to-cortisol ratio >4:1', and 'ratio 3:1 suggestive of bilateral disease'.

Python video composition with moviepy 2.x — overlaying deterministic text on AI-generated video (LTX-2, SadTalker), compositing clips, single-file build.py video projects. Use when adding labels/captions/lower-thirds to LTX-2 or SadTalker outputs, building short ad-style spots in pure Python without Remotion, or doing programmatic video composition. Triggers include text overlay on video, label LTX-2 clip, caption SadTalker output, lower third, build.py video, moviepy, Python video composition, sub-30s ad spot.

Eng manager-mode plan review. Lock in the execution plan — architecture, data flow, diagrams, edge cases, test coverage, performance. Walks through issues interactively with opinionated recommendations. Use when asked to "review the architecture", "engineering review", or "lock in the plan". Proactively suggest when the user has a plan or design doc and is about to start coding — to catch architecture issues before implementation. (gstack) Voice triggers (speech-to-text aliases): "tech review", "technical review", "plan engineering review".

Design the small details -- triggers, rules, feedback, loops and modes -- that separate good products from great ones. Use when the user mentions "microinteraction", "button feedback", "loading state", "toggle design", "animation detail", "interaction polish", "state transitions", or "input feedback". Also trigger when designing form validation responses, progress indicators, confirmation dialogs, or any UI element where the user expects immediate feedback. Covers trigger design, state rules, feedback mechanisms, and progressive loops. For overall UI polish, see refactoring-ui. For affordance design, see design-everyday-things.

Select alternative execution paths when a plan step fails — branch on outcomes instead of blind retry. Load when a structured plan step fails, an unexpected observation arrives, or the user asks what to try next after an error. Also triggers on "try another approach", "route around this failure", "replan on failure", "if X fails try Y", or outcome-based branching during multi-step work. Pairs with structured-planning and debug-and-fix. Does not replace root-cause debugging — adds plan-level path selection.

Map symbol dependencies, callers, and blast radius before editing code. Load when the user asks what depends on a symbol, what breaks if they change something, blast radius of a change, reverse dependencies, or which tests cover a function. Also triggers on "who calls this", "impact of changing", "dependency map", "what uses this", "find callers", or before any non-trivial edit when safe-change is not yet active. Pairs with codebase-understanding for broad architecture; this skill is symbol-scoped and edit-gated.

Build a compact, validation-gated implementation plan for multi-step, risky, or ambiguous work — typically when phases need explicit checkpoints, the change touches multiple files/services, or the user wants alignment before execution. Output goes to `.claude/plans/<topic>.md` (or `.agents/plans/`) with goal, in/out-of-scope, phased steps, validation per phase, and replanning triggers. Skip for trivial single-file fixes, bug investigations (use `tracer`), or open-ended exploration (use `explore`). Pair with `ship` once the plan ends and merge work begins.

Use for PUA/try-harder productivity coaching when the user expresses frustration, repeated failure, quality complaint, passive behavior, says retry/change approach/don't give up, asks for evidence/completion check/test before done, or wants Ding-style workplace reminders. Triggers include: try harder, stop giving up, figure it out, again??, why still failing, change approach, no evidence, run tests, done without proof, 换个方法, 再试试, 别摆烂, 别偷懒, 为什么还不行, 又错了, 证据呢, 没跑测试别说完成, 验收, 闭环, 自嗨, 置身钉外, 无招, 老板体感. Do not use for calm first-attempt requests.

Use for PUA/try-harder productivity coaching when the user expresses frustration, repeated failure, quality complaint, passive behavior, says retry/change approach/don't give up, asks for evidence/completion check/test before done, or wants Ding-style workplace reminders. Triggers include: try harder, stop giving up, figure it out, again??, why still failing, change approach, no evidence, run tests, done without proof, 换个方法, 再试试, 别摆烂, 别偷懒, 为什么还不行, 又错了, 证据呢, 没跑测试别说完成, 验收, 闭环, 自嗨, 置身钉外, 无招, 老板体感. Do not use for calm first-attempt requests.

Apply one logical code change with mandatory impact mapping, git snapshot, verification, and automatic revert on failure. Load when the user asks for a safe edit, verified change, one change at a time with rollback, or codespine-style edit loop. Also triggers on "safe change", "edit with verification", "don't break the build", "revert if tests fail", or any non-trivial code edit where blast radius matters. Always runs dependency-mapping first. Pairs with incremental-implementation for multi-slice work; this skill is one atomic verify cycle per invocation.

Match a user request to the right skill using trigger matching, project context, and conversation history. Score ambiguity 1–10 and resolve it using context signals or a single clarifying question. Load when project-orchestrator needs to route a request, or when multiple skills could match and the right one is unclear. Also triggers on "which skill should handle this", "route this request", "I'm not sure which skill to use", "disambiguate this", "skill routing". Called by project-orchestrator for request routing. For finding whether a skill exists for a capability, use skill-finder instead.

E1-Quantitative Analysis Guide with Code Generation & Sensitivity Analysis VS-Enhanced with Full 5-Phase process: Avoids obvious analyses, explores innovative methodologies Expanded to include qualitative analysis (thematic, grounded theory, content, narrative) Absorbed E4 (Analysis Code Generator) and E5 (Sensitivity Analysis - Primary Study) capabilities Use when: selecting statistical/qualitative methods, interpreting results, checking assumptions, generating code, sensitivity analysis Triggers: statistical analysis, ANOVA, regression, t-test, power analysis, assumption checking, effect size, thematic analysis, grounded theory, content analysis, narrative analysis, NVivo, ATLAS.ti, coding, qualitative data, R code, Python code, SPSS syntax, sensitivity analysis, robustness check

This skill recommends obtaining a baseline BMD measurement by DXA in adolescents or women with functional hypothalamic amenorrhea (FHA) and concurrent polycystic ovary syndrome (PCOS) who have six or more months of amenorrhea, and earlier if there is history or suspicion of severe nutritional deficiency, other energy deficit states, or skeletal fragility. Use when a clinician states, “She has PCOS and no periods for seven months—let’s get a DXA,” or similar triggers such as “Check BMD in PCOS+FHA after six months amenorrhea” or “Order DXA sooner due to low weight.”

Break a stuck or complex problem into the smallest sub-question that, if answered, unlocks the next step — then answer it and repeat until the path forward is clear. Load when a problem feels genuinely stuck, when reasoning keeps circling, or when deep-thinking diagnoses a Socratic frame. Also triggers on "I keep going in circles", "what is the real question here", "help me reason through this step by step", "unstick my thinking", "recursive questioning", "what is the root question". Based on the recursive Socratic questioning method (EMNLP 2023) which outperforms CoT and Tree-of-Thought on complex reasoning tasks.

Flip a problem, goal, or decision 180 degrees to find what forward thinking misses. Asks what would guarantee failure, then works backward to what must be avoided or changed. Load when the user says "invert this", "flip this problem", "what would guarantee failure", "think backward", "reverse engineer the goal", "think about it backwards", or when deep-thinking diagnoses an inversion frame. Also triggers on "what's the opposite of success here", "how would we sabotage this". Two methods: Failure Inversion and Opposite Goal. Max 2 clarifying questions before inverting. Always returns forward actions. For broader analysis, deep-thinking calls this.