@oriro/orirocli 0.1.11 → 0.1.12

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

@@ -1,94 +1,94 @@
----
-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
+---
+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

@@ -1,21 +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.
+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

@@ -1,87 +1,87 @@
----
-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
+---
+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

@@ -1,21 +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.
+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

@@ -1,71 +1,71 @@
----
-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
+---
+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

@@ -1,21 +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.
+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.