Results for “adr”

Recommends measurement of plasma ACTH to establish primary adrenal insufficiency (PAI) diagnosis in patients with confirmed cortisol deficiency; a plasma ACTH concentration ≥2-fold the upper limit of the reference range supports PAI. Use when evaluating plasma ACTH in a patient with low morning cortisol or abnormal corticotropin stimulation test.

Trợ lý khóa học AI Thực Chiến (A20) cho sinh viên VinUni. Dùng skill này khi user gõ /a20 hoặc nhắc đến journal, worklog, ADR, sprint, check PR, tạo PR, setup project A20. Skill giúp sinh viên tự động tạo JOURNAL.md, WORKLOG.md, kiểm tra compliance, và tạo PR đúng format yêu cầu của khóa học.

Interprets the saline infusion test (SIT) to assess the probability of primary aldosteronism when a patient has a positive aldosterone-to-renin ratio (ARR) and requires confirmatory testing. Triggers include evaluating post‑infusion plasma aldosterone concentration (PAC) after a positive ARR, hypertension work‑up, or when deciding whether to proceed to adrenal venous sampling (AVS).

Complete bedside prescribing reference for Mirago (mirabegron, beta-3 adrenoceptor agonist) for overactive bladder — covering contraindications, safety screening, drug interactions, dose selection in special populations, titration, and administration. Use when a clinician asks how to start mirabegron, what dose to use in renal or hepatic impairment, is mirabegron safe in this patient, mirabegron drug interactions, or Mirago for OAB.

Konfiguracja systemu i funkcje domenowe platformy Soneta (enova365, Triva): (A) IMPORT/EKSPORT DANYCH I USTAWIEŃ przez pliki XML — element session, import według rekordów (business="false", *.dbinit.xml, demo) i przez logikę biznesową (business="true"), eksport datapacku, GUID, formaty wartości; (B) `scan-folders` — inwentaryzacja folderów menu (`[assembly: FolderView]`) z DLL; (C) KONFIGURACJA URUCHOMIENIOWA `appsettings.json` — porty i adresy komponentów (orchestrator/server/web/webapi/router/commhub), kolejność nadpisań (profil systemu, nakładki `-c`, zmienne `SONETA_`, CLI). Używaj gdy użytkownik: (1) buduje lub analizuje XML importu danych (dbinit.xml, dane demo, przenoszenie ustawień); (2) pyta o atrybuty guid/where/key/id/business/deleted/dbversion; (3) eksportuje rekordy guidowane; (4) mapuje menu z DLL lub wpina nowy folder; (5) konfiguruje porty/adresy albo pyta o klucz w `appsettings.json`. Kod importu (SessionReader/SessionWriter) → /soneta-programming; operacje na bazie z CLI → /soneta-tools.

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?'

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).

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'.

The living embodiment of WinDAGs V3 — the AI orchestration platform where agents accumulate genuine expertise. Knows the full constitution, convention process, tradition positions, behavioral contracts, and derivative documents. Advises on architecture with ADR provenance, explains decisions with tradition attribution, grows source material as we build. Activate on "windags", "WinDAGs", "constitution", "convention", "why did we decide", "what does WinDAGs say", "how should we build", "architecture decision", "tradition", "behavioral contract". NOT for building specific DAGs (use windags-architect), creating individual skills (use skill-architect), or managing skill libraries (use windags-librarian).