@oriro/orirocli 0.1.0

package/skills/health/health-pediatric/LICENSE

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+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/health/health-pediatric/SKILL.md

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+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-pediatric
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+
+  Child health — developmental milestones, vaccinations, common childhood illnesses, growth, nutrition for children, and pediatric safety. Sources: AAP Bright Futures, CDC child development, WHO growth charts.
+
+  Consult your healthcare provider for personal medical guidance.
+---
+
+# Child Health
+
+## Developmental milestones
+
+### 2 months
+
+Social smile, begins to coo, can hold head up briefly. Tracks objects with eyes.
+**Red flags:** Not smiling at people, not watching things as they move.
+
+### 4 months
+
+Laughs, holds head steady, pushes up on elbows during tummy time.
+**Red flags:** Doesn't bring things to mouth, not pushing down with legs.
+
+### 6 months
+
+Begins to babble, sits with support, rolls both ways, starts solid foods.
+**Red flags:** Not reaching for things, not showing affection, not laughing.
+
+### 9 months
+
+Stands holding on, crawling, says mama/dada nonspecifically, stranger anxiety.
+
+### 12 months
+
+First words, walks with support, waves bye-bye, points.
+**Red flags:** No babbling, no pointing, no single words.
+
+### 18 months
+
+15+ words, walks well, copies others, points to body parts.
+**Red flags:** Not walking, fewer than 6 words, not noticing others' distress.
+
+### 24 months
+
+50+ words, 2-word phrases, runs, kicks ball, follows 2-step directions.
+**Red flags:** No 2-word phrases, not following instructions.
+
+### 36 months
+
+300+ words, 3-word sentences, climbs and runs, pretend play, parallel play with peers.
+
+## Vaccination schedule (CDC recommended, US 2024)
+
+**Birth:** Hepatitis B (#1)
+**2 months:** DTaP, Hib, IPV, PCV15/20, RV, HepB (#2)
+**4 months:** DTaP, Hib, IPV, PCV, RV
+**6 months:** DTaP, Hib, PCV, RV, HepB (#3), Flu (annual starting here)
+**12-15 months:** MMR, Varicella, Hib, PCV, HepA (#1)
+**15-18 months:** DTaP
+**18-23 months:** HepA (#2)
+**4-6 years:** DTaP, MMR, Varicella, IPV
+**11-12 years:** Tdap, HPV series (2 doses), MenACWY
+**16 years:** MenACWY booster
+
+## Common childhood illnesses
+
+**Fever management:** Under 3 months with any fever → emergency care. 3-12 months > 102.2°F → call doctor. Over 1 year: treat comfort (acetaminophen, ibuprofen after 6 months). Fever itself is not dangerous (normal immune response); the underlying illness is what matters.
+**DO NOT give aspirin to children** (Reye's syndrome risk).
+Acetaminophen dosing by weight: 10-15 mg/kg every 4-6 hours.
+Ibuprofen dosing by weight: 5-10 mg/kg every 6-8 hours.
+
+**Ear infections:** Most resolve without antibiotics (watchful waiting 48-72 hours in mild cases for age 2+). Amoxicillin first-line when needed.
+**Croup:** Barky seal cough, usually at night. Cool night air or steam often helps. Severe stridor at rest → emergency.
+**RSV bronchiolitis:** Common cause of infant hospitalization in winter. Supportive care. Nirsevimab (Beyfortus) available for high-risk infants.
+**Hand-foot-mouth disease:** Coxsackie virus. Vesicles in mouth and on hands/feet. Self-limiting. Treat symptoms.
+**Febrile seizures:** Occur in 2-5% of children 6 months - 5 years. Alarming but usually benign. Protect child from injury. Call 911 if > 5 minutes.
+
+## Growth monitoring
+
+Weight, height, head circumference plotted on WHO/CDC growth charts at every visit.
+Normal: consistent tracking along a percentile (any percentile is fine).
+Concerning: crossing percentile lines downward over time.
+
+## Child safety
+
+**Car seat:** Rear-facing until age 2 or maximum weight for seat. Forward-facing until 4-7+. Booster until 8-12 or until seat belt fits properly.
+**SIDS prevention:** Back to sleep (always), firm flat surface, no soft bedding, no smoking around baby, room-share (not bed-share) for at least 6 months.
+**Choking hazards:** Round foods (grapes, hot dogs, nuts) must be cut into small pieces until age 4.
+
+Sources: AAP Bright Futures (aap.org), CDC developmental milestones (cdc.gov/ncbddd), WHO child growth standards, ACIP immunization schedule

package/skills/health/health-pharmacology/LICENSE

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+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/health/health-pharmacology/SKILL.md

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+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-pharmacology
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+  Medication literacy — drug classes, mechanisms, interactions, dosing principles,
+  side effects, and safe medication use. Activate for questions about how
+  medications work, drug classes, medication interactions, reading a prescription,
+  OTC vs prescription, or any medication question. Sources: FDA, NIH MedlinePlus,
+  WHO Essential Medicines List, pharmacology textbook principles.
+  Always consult your pharmacist or physician about specific medications.
+---
+
+# Medication Literacy
+
+## How drugs work — basic mechanisms
+
+**Agonist:** Activates a receptor (same effect as natural substance). Morphine activates opioid receptors.
+**Antagonist:** Blocks a receptor. Beta-blockers block beta-adrenergic receptors.
+**Enzyme inhibitor:** Blocks enzyme activity. ACE inhibitors block angiotensin-converting enzyme.
+**Transport blocker:** Prevents reuptake. SSRIs block serotonin reuptake pump.
+
+## Major drug classes
+
+### Cardiovascular
+
+**ACE inhibitors** (-pril: lisinopril, enalapril): Block angiotensin II production. Lower BP, protect kidneys. SE: dry cough (in 15%).
+**ARBs** (-sartan: losartan, valsartan): Block angiotensin II receptor. Same effect, no cough.
+**Beta-blockers** (-olol: metoprolol, carvedilol, atenolol): Block beta-adrenergic receptors. Lower HR and BP. Don't stop abruptly.
+**Calcium channel blockers** (amlodipine, diltiazem, verapamil): Relax blood vessels/heart muscle.
+**Statins** (-statin: atorvastatin, rosuvastatin, simvastatin): Inhibit HMG-CoA reductase. Lower LDL.
+**Diuretics** (hydrochlorothiazide, furosemide, spironolactone): Increase urine output, lower BP. Monitor potassium.
+
+### Pain and anti-inflammatory
+
+**NSAIDs** (ibuprofen, naproxen, diclofenac): Block COX enzymes, reduce prostaglandins. Effective for pain/inflammation. GI, cardiovascular, kidney risks with long-term use.
+**Acetaminophen/Paracetamol (Tylenol):** Reduces pain and fever. NOT anti-inflammatory. Safe at correct dose; liver toxic in overdose. Max 3g/day (2g if liver disease, alcohol use).
+**Opioids** (morphine, oxycodone, hydrocodone, tramadol): Activate opioid receptors. Powerful pain relief. High dependence/abuse potential. Respiratory depression in overdose.
+**Gabapentinoids** (gabapentin, pregabalin): Modulate calcium channels. Neuropathic pain, anxiety, seizures.
+**Corticosteroids** (prednisone, methylprednisolone, dexamethasone): Potent anti-inflammatory. Short-term: effective. Long-term: significant side effects (immunosuppression, osteoporosis, diabetes, adrenal suppression — taper slowly, never stop abruptly).
+
+### Antibiotics
+
+**Penicillins** (amoxicillin, ampicillin): Beta-lactam. Gram-positive coverage. Allergic reactions possible.
+**Cephalosporins** (cephalexin, ceftriaxone): Beta-lactam. Broader coverage. Partial cross-reactivity with penicillin.
+**Macrolides** (azithromycin, clarithromycin): Atypical organisms, respiratory infections. QT prolongation risk.
+**Fluoroquinolones** (ciprofloxacin, levofloxacin): Broad spectrum. Tendon rupture risk. Reserve for resistant organisms.
+**Tetracyclines** (doxycycline): Broad spectrum. Avoid with food/dairy/antacids. Not for children < 8 or pregnancy.
+**Key rule:** Complete the full course. Stopping early contributes to antibiotic resistance.
+
+### Mental health
+
+**SSRIs** (fluoxetine, sertraline, escitalopram): First-line depression/anxiety. 4-6 weeks for effect.
+**SNRIs** (venlafaxine, duloxetine): Also affect norepinephrine. Useful for pain and anxiety.
+**Benzodiazepines** (alprazolam, lorazepam, diazepam): Short-term anxiety only. Dependence develops quickly. Dangerous with alcohol or opioids — respiratory depression.
+**Antipsychotics** (quetiapine, olanzapine, risperidone, aripiprazole): Schizophrenia, bipolar, augmentation.
+
+### Diabetes
+
+**Metformin:** First-line Type 2. Reduces hepatic glucose output. GI side effects — take with food. Pause before iodinated contrast procedures.
+**GLP-1 agonists** (semaglutide/Ozempic/Wegovy, liraglutide): Injectable or oral. Weight loss + glucose. GI side effects.
+**SGLT-2 inhibitors** (empagliflozin, dapagliflozin): Kidney glucose excretion. CV and renal protection.
+**Insulins:** Basal (glargine, detemir — 24hr), Bolus (aspart, lispro — rapid-acting with meals), Mixed.
+
+## Drug interactions — the most dangerous combinations
+
+**Warfarin + NSAIDs/aspirin:** Bleeding risk (double anticoagulation effect).
+**MAOIs + SSRIs/SNRIs:** Serotonin syndrome — potentially fatal.
+**ACE inhibitors/ARBs + potassium-sparing diuretics:** Dangerous hyperkalemia.
+**Statins + clarithromycin/erythromycin:** Statin toxicity — muscle damage.
+**Metformin + iodinated contrast:** Lactic acidosis risk — hold metformin 48hrs.
+**Benzodiazepines + opioids:** Respiratory depression — potentially fatal.
+**Fluoroquinolones + antacids:** Dramatically reduced absorption.
+
+## Safe medication practices
+
+**5 Rights:** Right patient, right drug, right dose, right route, right time.
+**Tell every provider AND pharmacist** about ALL medications (prescriptions, OTC, supplements, herbals).
+**Never share prescription medications.**
+**Store properly:** Room temperature away from heat/light unless refrigerated; away from children.
+**Dispose safely:** Drug take-back programs or mix with coffee grounds/dirt in sealed bag — don't flush most medications (hormones: do flush if no take-back available).
+
+Sources: FDA Orange Book (fda.gov), NIH MedlinePlus drug database (medlineplus.gov),
+WHO Essential Medicines List, Katzung Basic and Clinical Pharmacology (principles),
+prescribinginfo.com, Epocrates public resources

package/skills/health/health-pregnancy/LICENSE

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+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/health/health-pregnancy/SKILL.md

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+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-pregnancy
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+  Pregnancy and maternal health — prenatal care, stages of pregnancy, labor, delivery, postpartum recovery, breastfeeding, and newborn care basics. Sources: ACOG, WHO antenatal care guidelines, CDC maternal health.
+
+
+  Consult your healthcare provider for personal medical guidance.
+---
+
+# Pregnancy and Maternal Health
+
+## Prenatal care schedule (standard)
+
+First trimester (0-13 weeks): First visit 8-10 weeks. Initial bloodwork, ultrasound, genetic screening options.
+Second trimester (14-27 weeks): Visits every 4 weeks. Anatomy ultrasound at 18-20 weeks.
+Third trimester (28-40+ weeks): Every 2 weeks until 36 weeks, then weekly.
+
+## Key prenatal tests
+
+**Cell-free DNA (NIPT) at 10+ weeks:** Screens for chromosomal abnormalities (Down syndrome, trisomies 18/13, sex chromosome). Non-invasive blood test. 99%+ sensitivity.
+**First trimester screening (nuchal translucency + bloodwork):** Combined risk assessment.
+**Anatomy scan at 18-20 weeks:** Detailed ultrasound of all organs, placenta, amniotic fluid.
+**Glucose tolerance test at 24-28 weeks:** Screens for gestational diabetes.
+**Group B Strep swab at 35-37 weeks:** Determines if antibiotics needed in labor.
+
+## Nutrition in pregnancy
+
+**Folic acid:** 400-800 mcg/day starting before conception and through first trimester. Prevents neural tube defects. Most prenatal vitamins contain 600-800 mcg.
+**Iron:** 27 mg/day (prenatal vitamins contain this). Take with vitamin C for absorption. Constipation common side effect — increase fiber and water.
+**DHA omega-3:** 200 mg/day minimum. Supports brain development. Prenatal with DHA or fish oil supplement.
+**Calcium:** 1,000 mg/day.
+**Iodine:** 150 mcg/day (many prenatal vitamins don't include — check label).
+**Calorie addition:** ~0 extra in first trimester, ~340 in second, ~450 in third.
+
+## Foods to avoid
+
+**Raw/undercooked meat, fish, poultry:** Listeria, Toxoplasma, Salmonella risk.
+**High-mercury fish:** Shark, swordfish, king mackerel, tilefish. Tuna: limit to 6 oz/week (canned light is lower mercury than albacore).
+**Unpasteurized dairy and juice:** Listeria.
+**Raw sprouts:** Salmonella and E. coli.
+**Deli meats and hot dogs:** Unless heated to steaming (Listeria).
+**Alcohol:** No safe amount established. Avoid completely.
+**Caffeine:** Limit to 200 mg/day (one 12oz coffee).
+
+## Warning signs requiring immediate medical contact
+
+- Vaginal bleeding
+- Severe abdominal pain or cramping
+- Preeclampsia symptoms: severe headache, visual changes, swelling of face/hands, upper abdominal pain + nausea (seek emergency care)
+- Reduced or absent fetal movement after 28 weeks (do kick counts: 10 movements in 2 hours)
+- Leaking fluid (possible membrane rupture)
+- Signs of preterm labor before 37 weeks: contractions < 10 min apart, pelvic pressure, low backache
+
+## Labor stages
+
+**Stage 1 (latent then active labor):** Cervix dilates from 0 to 10 cm. Latent (0-6cm): longest, can labor at home. Active (6-10cm): go to hospital when contractions 5-1-1 (5 min apart, 1 min long, 1 hour pattern).
+**Stage 2 (pushing):** Crowning to delivery. 20 min to 3+ hours.
+**Stage 3:** Delivery of placenta. 5-30 minutes.
+
+## Postpartum
+
+**Baby blues:** Mood swings, tearfulness first 2 weeks — normal; from hormone shifts.
+**Postpartum depression:** Persistent (beyond 2 weeks) depression, anxiety, or inability to care for baby. Affects 10-15% of mothers. Highly treatable. Screen at 1-month and 3-month visits.
+**Postpartum anxiety:** Equal or more common than PPD. Excessive worry, panic, intrusive thoughts.
+**Physical recovery:** Vaginal birth: 6 week recovery. C-section: 8-12 week recovery (major surgery). No sex, tampons, or heavy lifting until cleared (6 weeks typical).
+
+Sources: ACOG Committee Opinions (acog.org), CDC maternal health (cdc.gov), WHO Antenatal Care Guidelines 2016, AAP newborn care guidelines

package/skills/health/health-skin/LICENSE

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+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/health/health-skin/SKILL.md

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+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-skin
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+  Skin health and dermatology — skin care, common conditions, sun protection,
+  acne, eczema, psoriasis, and skin cancer prevention. Activate for questions
+  about skin care, rashes, acne, skin conditions, sun protection, or any
+  skin health question. Sources: AAD (American Academy of Dermatology), NIH.
+---
+
+# Skin Health and Dermatology
+
+## Skin basics
+
+**Three layers:** Epidermis (outer, barrier), Dermis (collagen, blood vessels, hair follicles, glands), Subcutis/Hypodermis (fat, insulation).
+**Skin functions:** Barrier (infection, UV), temperature regulation, sensation, vitamin D synthesis.
+**Skin types:** Normal, dry, oily, combination, sensitive. Can change with age, climate, products.
+
+## Sun protection (most important anti-aging and cancer prevention)
+
+**UV radiation:** UVA (ages skin, penetrates glass) + UVB (burns, main cause of skin cancer).
+**SPF:** Measures UVB protection only. SPF 30 blocks 97%. SPF 50 blocks 98%. Diminishing returns above 50.
+**Broad spectrum:** Protects against both UVA and UVB. Required on the label.
+**Application:** 1 ounce (shot glass) for full body. Reapply every 2 hours in sun, after swimming/sweating.
+**Daily use:** On face even without direct sun exposure. UVA penetrates windows.
+**Melanoma:** Most dangerous skin cancer. ABCDEs: Asymmetry, Border irregularity, multiple Colors, Diameter > 6mm, Evolving. Any changing mole → dermatologist.
+
+## Common skin conditions
+
+### Acne
+
+**Pathophysiology:** Excess sebum + C. acnes bacteria + clogged pores + inflammation.
+**Treatment ladder:**
+Mild: Benzoyl peroxide (kills bacteria) or salicylic acid (exfoliates) — OTC.
+Moderate: Topical retinoids (tretinoin) + topical antibiotics — prescription.
+Severe: Oral antibiotics + topical retinoids, or isotretinoin (Accutane) for severe nodular/cystic.
+**Retinoids:** Most evidence for acne AND anti-aging. Start slowly (every other night), expect initial irritation. Results in 3-6 months.
+
+### Eczema (Atopic Dermatitis)
+
+Chronic inflammatory skin condition. Itchy, red, dry patches. Often begins in childhood.
+**Management:** Moisturize frequently (thick creams, not lotions). Avoid triggers (soaps, certain fabrics, temperature extremes). Topical corticosteroids for flares. Dupilumab (Dupixent) biologic for moderate-severe.
+
+### Psoriasis
+
+Autoimmune. Rapid skin cell turnover → thick plaques with silvery scales. Elbows, knees, scalp common.
+Can be associated with psoriatic arthritis.
+Treatment: Topical corticosteroids, vitamin D analogues, systemic biologics for severe (TNF inhibitors, IL-17, IL-23 inhibitors).
+
+## Skincare routine (evidence-based)
+
+**Morning:**
+
+1. Gentle cleanser (if needed — many people only need water in AM)
+2. Vitamin C serum (antioxidant, brightening)
+3. Moisturizer
+4. SPF 30+ broad spectrum
+
+**Evening:**
+
+1. Cleanser (double-cleanse if wore SPF)
+2. Retinol/retinoid (anti-aging, acne)
+3. Moisturizer
+
+**Don't need:** Most of what advertising says you need. Fewer products with proven ingredients beat elaborate routines with trendy ones.
+Proven ingredients: SPF (prevent), Retinoids (treat aging, acne), Vitamin C (antioxidant), Niacinamide (multiple benefits), Hyaluronic acid (hydration), Ceramides (barrier repair).
+
+Sources: AAD (aad.org — free patient education), Skincare by Hyram evidence-based content (free), r/SkincareAddiction wiki (community-curated free resource)

package/skills/health/health-sleep/LICENSE

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+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/health/health-sleep/SKILL.md

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+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-sleep
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+  Sleep science and sleep disorders — sleep architecture, insomnia, sleep apnea,
+  sleep hygiene, and evidence-based sleep improvement. Activate for questions
+  about sleep problems, insomnia, sleep hygiene, feeling tired, or any sleep
+  question. Sources: AASM, NIH sleep research, Matthew Walker sleep science.
+---
+
+# Sleep Science
+
+## Sleep architecture
+
+Sleep cycles last ~90 minutes. 4-6 cycles per night.
+**NREM Stage 1 (5%):** Light sleep. Easy to wake.
+**NREM Stage 2 (45%):** Temperature drops, heart rate slows. Memory consolidation begins. Sleep spindles.
+**NREM Stage 3/SWS (25%):** Deep sleep. Growth hormone release. Physical restoration. Hardest to wake. Most restorative for body.
+**REM (25%):** Rapid Eye Movement. Dreaming. Emotional processing. Memory consolidation. Brain activity near-waking levels.
+
+**Sleep pressure and circadian rhythm:** Two processes regulate sleep timing.
+Adenosine builds during waking (sleep pressure — caffeine blocks adenosine).
+Circadian clock driven by light exposure controls alertness cycle.
+Both must align for optimal sleep.
+
+## How much sleep you need
+
+Adults: 7-9 hours (most need 8; few genuinely function on 6).
+Teens: 8-10 hours. Children 6-12: 9-12 hours.
+**You cannot sleep train yourself to need less.** People who claim to function on 5-6 hours are typically impaired and unaware of it (studies show self-reported vs. objective performance diverge dramatically).
+
+## Sleep hygiene — evidence-based practices
+
+### The environment
+
+**Cool room:** 65-68°F (18-20°C). Body must drop core temperature to initiate sleep.
+**Dark:** Blackout curtains or sleep mask. Light at 10 lux (dim room light) delays melatonin by 1.5 hours.
+**Quiet:** White noise if needed.
+
+### Timing and habits
+
+**Fixed wake time:** Wake the same time every day (including weekends). Most important sleep hygiene factor. Anchors your circadian rhythm.
+**No caffeine after 2pm:** Caffeine has ~5-7 hour half-life. Afternoon coffee stays in your system.
+**Limit alcohol:** Alcohol causes sedation but disrupts REM sleep. Net sleep quality loss.
+**No screens 30-60 min before bed:** Blue light delays melatonin. Even if device has "night mode" — the stimulation itself matters.
+**Wind-down routine:** Same pre-sleep sequence. Signals brain that sleep is coming.
+**Don't lie in bed awake:** If awake >20 minutes, get up, do something quiet in dim light, return when sleepy. Prevents bed becoming associated with wakefulness.
+
+## Insomnia
+
+**Defined:** Difficulty falling asleep or staying asleep ≥3 nights/week for ≥3 months, causing daytime impairment.
+**Prevalence:** ~10% chronic insomnia; 30-35% experience occasional insomnia.
+
+**CBT-I (Cognitive Behavioral Therapy for Insomnia):** First-line treatment. More effective than sleeping pills long-term.
+Core components: Sleep restriction (initially limit time in bed), stimulus control (bed only for sleep/sex), relaxation training, cognitive restructuring.
+**Sleeping pills:** Short-term use only. Benzodiazepines and Z-drugs cause rebound insomnia. Don't address root causes.
+
+## Sleep apnea
+
+**Obstructive Sleep Apnea (OSA):** Upper airway collapses repeatedly during sleep.
+**Signs:** Loud snoring, gasping/choking, witnessed breathing pauses, excessive daytime sleepiness, morning headaches, partner complaints.
+**Risk factors:** Obesity, male sex, age, neck size, craniofacial anatomy.
+**Diagnosis:** Sleep study (polysomnography — in lab or home sleep test).
+**Treatment:** CPAP (continuous positive airway pressure) — highly effective. Oral appliances for mild-moderate. Weight loss. Positional therapy.
+Untreated OSA: Hypertension, cardiovascular disease, diabetes, cognitive impairment.
+
+## Shift work and jet lag
+
+**Jet lag:** Cross 2+ time zones. Body clock lags behind local time.
+Eastward travel (losing time) harder than westward.
+Recovery: ~1 day per time zone.
+Melatonin: 0.5-3mg at local bedtime helps reset. Timing matters more than dose.
+
+**Shift work:** Chronic misalignment between circadian clock and work schedule.
+Associated with: Metabolic syndrome, cardiovascular disease, cancer, depression.
+Strategies: Strategic light exposure, blackout sleep environment, melatonin, consistency in schedule.
+
+Sources: AASM (aasm.org — free patient resources), NIH sleep research summaries (sleepfoundation.org), Matthew Walker "Why We Sleep" (principles), CBTI Coach app (VA-developed, free)

package/skills/health/health-womens/LICENSE

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+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.

package/skills/health/health-womens/SKILL.md

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+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-womens
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+  Women's health — reproductive health, hormones, menstrual health, menopause,
+  breast health, contraception, and women-specific health concerns. Activate
+  for questions about periods, contraception, fertility, PCOS, endometriosis,
+  menopause, or any women's health question. Sources: ACOG, NWHN, CDC women's health.
+---
+
+# Women's Health
+
+## Menstrual health
+
+**Normal cycle:** 21-35 days. Duration 2-7 days. Blood loss 20-80 mL. Some cramping normal.
+**Dysmenorrhea (painful periods):** Primary (no underlying cause) or secondary (endometriosis, fibroids).
+Treatment: NSAIDs (start 1-2 days before onset), hormonal contraception, heat therapy.
+
+**When to see a doctor:**
+
+- Cycles < 21 or > 35 days consistently
+- Bleeding > 7 days or soaking a pad/tampon every 1-2 hours
+- Severe cramping disrupting daily life
+- Spotting between periods (especially post-menopause)
+- Significant recent changes in cycle
+
+**PCOS (Polycystic Ovary Syndrome):** Most common endocrine disorder in reproductive-age women. Irregular cycles, excess androgens (acne, hair loss, facial hair), ovarian cysts. Management: Lifestyle (exercise, nutrition), hormonal contraception, metformin for metabolic features, spironolactone for androgen effects.
+
+**Endometriosis:** Uterine tissue growing outside uterus. Severe painful periods, pain with sex, infertility. Often delayed diagnosis (7-10 years average). Treatment: Pain management, hormonal therapy, surgery.
+
+## Contraception options
+
+**Hormonal:**
+Combination pill (estrogen + progestin): 91% effective (typical use), 99.7% (perfect). Daily pill. Also regulates periods, reduces cramps, improves acne.
+Progestin-only pill (mini-pill): For those who can't tolerate estrogen. Must take at same time daily.
+Patch (Xulane): Weekly. Same hormones as combined pill.
+Ring (NuvaRing): Monthly vaginal ring. Convenient.
+Injectable (Depo-Provera): Every 3 months. May cause irregular bleeding or amenorrhea.
+Implant (Nexplanon): 3-year arm implant. 99.9% effective. Most effective reversible option. Can cause irregular bleeding.
+Hormonal IUD (Mirena, Liletta, Kyleena, Skyla): 3-8 years. 99.9% effective. Reduces bleeding significantly.
+
+**Non-hormonal:**
+Copper IUD (Paragard): 10+ years. 99.9% effective. May increase cramping/bleeding. Also emergency contraception within 5 days.
+Condoms: 85% effective (typical use), 98% (perfect). Only method preventing STIs.
+Diaphragm/cap with spermicide: Requires fitting, insertion before sex. Less effective (88% typical use).
+
+**Emergency contraception:**
+Plan B/levonorgestrel: Within 72 hours (less effective 72-120 hours). 89% effective.
+Ella (ulipristal acetate): Within 120 hours. More effective than levonorgestrel, especially near ovulation.
+Copper IUD: Within 120 hours. Most effective (> 99%).
+
+## Breast health
+
+**Self-exam:** Know your normal. Report changes (lumps, skin changes, nipple discharge, pain).
+**Mammogram guidelines (USPSTF 2024):** Begin at age 40 for average-risk women. Every 2 years.
+Higher-risk women (BRCA mutation, strong family history): Earlier and more frequent screening + MRI. Discuss with doctor.
+
+**Dense breast tissue:** Common (40% of women). More mammograms needed. Supplemental ultrasound or MRI often recommended.
+
+## Menopause
+
+**Average age:** 51 (range 45-55). Defined as 12 months without period.
+**Perimenopause:** Transition period (2-10 years). Irregular cycles, hot flashes may begin.
+**Symptoms:** Hot flashes, night sweats, vaginal dryness, sleep disruption, mood changes, cognitive symptoms, joint pain, decreased libido.
+**Menopause Hormone Therapy (MHT/HRT):** Most effective treatment for vasomotor symptoms.
+Current evidence: Initiated before age 60 or within 10 years of menopause = favorable risk/benefit. Benefits: Symptom relief, bone protection, may reduce cardiovascular risk when started early. Risks: Slight increase in breast cancer risk with combined estrogen+progestin (not estrogen alone for hysterectomy patients).
+**Non-hormonal options:** SSRIs/SNRIs (off-label, reduce hot flashes), gabapentin, clonidine, cognitive behavioral therapy.
+
+Sources: ACOG (acog.org — free patient education), NWHN (nwhn.org — free), CDC women's health (cdc.gov/women — free), Menopause Society (menopause.org — free patient resources)

package/skills/health/health-yoga-wellness/LICENSE

@@ -0,0 +1,21 @@
+MIT License
+
+Copyright (c) 2026 ORIRO.ai
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in all
+copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
+SOFTWARE.