@oriro/orirocli 0.1.11 → 0.3.1

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

@@ -1,277 +1,277 @@
----
-watermark: ORIRO
-disable-model-invocation: true
-name: health-general
-provider: ORIRO.ai
-copyright: Copyright (c) 2026 ORIRO.ai
-description: >
-  Health literacy — understanding medical diagnoses, test results, treatment
-  options, medications, and how to navigate healthcare. Activate for questions
-  about understanding a diagnosis, interpreting lab results, evaluating treatment
-  options, talking to doctors, understanding medical bills, or any general health
-  information question. Sources: NIH MedlinePlus, WHO, CDC, Mayo Clinic
-  patient education, NHS guidance. This is health information to help you
-  understand your situation. Always consult your healthcare provider for
-  personal medical decisions.
----
-
-# Health Literacy
-
-## How to read a diagnosis
-
-When a doctor gives you a diagnosis, you need to understand:
-
-1. What is the condition?
-2. What caused it?
-3. How serious is it?
-4. What are the treatment options?
-5. What happens if left untreated?
-6. What lifestyle changes help?
-
-**Questions to always ask your doctor:**
-
-- "Can you explain this in plain language?"
-- "What are my options?"
-- "What would you recommend for someone in my situation?"
-- "What are the risks of each option?"
-- "What happens if I choose watchful waiting?"
-- "How will we know if the treatment is working?"
-- "When should I come back?"
-- "Is there anything I should read?"
-
----
-
-## Understanding common lab tests
-
-### Complete Blood Count (CBC)
-
-**Red Blood Cells (RBC):** Normal 4.5-5.5 million/μL (men), 4.0-5.0 (women)
-
-- Low = anemia (fatigue, weakness)
-- High = polycythemia (blood too thick)
-
-**Hemoglobin:** Normal 13.5-17.5 g/dL (men), 12.0-15.5 (women)
-
-- Low = anemia
-
-**White Blood Cells (WBC):** Normal 4,500-11,000/μL
-
-- High = infection, inflammation, or rarely cancer
-- Low = bone marrow problems, autoimmune, some medications
-
-**Platelets:** Normal 150,000-400,000/μL
-
-- Low = bleeding risk
-- High = clotting risk
-
-### Basic Metabolic Panel (BMP)
-
-**Glucose:** Normal fasting: 70-99 mg/dL
-
-- 100-125 = prediabetes
-- ≥126 = diabetes (if confirmed)
-
-**Creatinine:** Normal 0.7-1.2 mg/dL (men), 0.5-1.0 (women)
-
-- High = kidneys not filtering well
-
-**Sodium:** Normal 136-145 mEq/L
-**Potassium:** Normal 3.5-5.0 mEq/L (heart rhythm critical)
-**Calcium:** Normal 8.5-10.5 mg/dL
-
-### Lipid Panel (Cholesterol)
-
-**Total cholesterol:** Desirable < 200 mg/dL
-**LDL ("bad"):** Optimal < 100 mg/dL; < 70 for high-risk
-**HDL ("good"):** Optimal > 60 mg/dL; < 40 is risk factor
-**Triglycerides:** Normal < 150 mg/dL; < 100 optimal
-
-### Thyroid (TSH)
-
-**TSH:** Normal 0.4-4.0 mIU/L
-
-- High TSH = underactive thyroid (hypothyroidism: fatigue, weight gain, cold)
-- Low TSH = overactive thyroid (hyperthyroidism: weight loss, anxiety, heat)
-
-### Liver Function (LFTs)
-
-**ALT/AST:** Normal < 40 U/L
-
-- High = liver inflammation (alcohol, fatty liver, hepatitis, medications)
-
-**Bilirubin:** Normal 0.2-1.2 mg/dL
-
-- High = jaundice, liver disease, or blood cell breakdown
-
-### A1C (Hemoglobin A1C)
-
-Measures average blood sugar over 3 months:
-
-- < 5.7% = normal
-- 5.7-6.4% = prediabetes
-- ≥ 6.5% = diabetes
-
----
-
-## Understanding vital signs
-
-**Blood pressure:**
-
-- Normal: < 120/80 mmHg
-- Elevated: 120-129 / < 80
-- Stage 1 hypertension: 130-139 / 80-89
-- Stage 2 hypertension: ≥ 140 / ≥ 90
-- Crisis: > 180 / > 120 (seek emergency care)
-
-**Heart rate:** Normal at rest: 60-100 bpm
-
-- Athletes may have 40-60 bpm (normal for them)
-- > 100 at rest repeatedly = tachycardia (evaluate)
-
-**Temperature:**
-
-- Normal: 97-99°F (36.1-37.2°C)
-- Fever: ≥ 100.4°F (38°C)
-- High fever: ≥ 103°F (39.4°C) — contact doctor
-- Dangerous: ≥ 105°F (40.6°C) — emergency
-
-**Oxygen saturation (SpO2):**
-
-- Normal: 95-100%
-- Concerning: < 92% — seek medical attention
-- Emergency: < 90%
-
-**BMI (Body Mass Index):**
-Weight (kg) / Height² (m²)
-
-- Underweight: < 18.5
-- Normal: 18.5-24.9
-- Overweight: 25-29.9
-- Obese: ≥ 30
-
-Note: BMI is a screening tool, not a diagnostic. It does not account for muscle mass, bone density, or fat distribution.
-
----
-
-## When to seek emergency care (go to ER or call 911)
-
-**Chest pain or pressure** — especially with shortness of breath, sweating, jaw/arm pain
-**Difficulty breathing** — severe shortness of breath, can't speak in full sentences
-**Stroke symptoms (BE-FAST):**
-
-- Balance loss suddenly
-- Eyes (sudden vision loss or double vision)
-- Face drooping
-- Arm weakness
-- Speech difficulty
-- Time to call 911
-
-**Severe bleeding** — not controlled by 10 minutes of direct pressure
-**Loss of consciousness** or altered mental status
-**Severe allergic reaction** — throat swelling, hives, difficulty breathing
-**Seizure** — first time, prolonged (> 5 min), or not returning to normal after
-**Severe abdominal pain** — especially sudden onset, worst of life
-**Severe headache** — worst headache of your life (possible aneurysm)
-**High fever with stiff neck and light sensitivity** (possible meningitis)
-**Poisoning or overdose**
-**Serious injury** — head trauma, suspected fractures, deep wounds
-
----
-
-## Understanding medications
-
-### How to read a prescription label
-
-- **Drug name:** Generic (e.g., "metformin") or brand (e.g., "Glucophage")
-- **Dose:** Amount per pill/dose
-- **Frequency:** How often (QD=once/day, BID=twice, TID=three times, QID=four times)
-- **Route:** How taken (PO=by mouth, SL=under tongue, TOP=topical)
-- **Refills:** Number of refills allowed
-
-### Drug interactions — what to tell your doctor
-
-Always tell your doctor and pharmacist:
-
-- All prescription medications
-- All OTC medications (including aspirin, ibuprofen, antacids)
-- All supplements and vitamins
-- Herbal remedies
-- Recreational substances
-- Allergies to medications
-
-**Common dangerous interactions:**
-
-- Blood thinners (warfarin) + NSAIDs (ibuprofen, naproxen) = bleeding risk
-- SSRIs + triptans = serotonin syndrome risk
-- ACE inhibitors + potassium supplements = dangerous potassium levels
-- Statins + certain antibiotics (clarithromycin) = muscle damage risk
-- MAOIs + many other drugs = hypertensive crisis
-
-### Medication adherence
-
-- Take medications at the same time daily
-- Do not stop prescription medications without telling your doctor
-- Finishing antibiotics is critical — stopping early causes resistance
-- Some medications require gradual tapering (steroids, antidepressants, beta-blockers)
-
----
-
-## Preventive care — recommended screenings by age
-
-### For all adults
-
-- Blood pressure: every 2 years if normal; annually if elevated
-- Cholesterol: every 5 years starting at 35 (men) or 45 (women); earlier if risk factors
-- Diabetes screening: every 3 years starting at 35
-
-### Women
-
-- Pap smear: every 3 years age 21-65 (or every 5 years with HPV co-test age 30-65)
-- Mammogram: annually or every 2 years starting at 40-50 (discuss with doctor)
-- Bone density (DEXA): at 65; earlier if risk factors
-
-### Men
-
-- Prostate (PSA): discuss with doctor at 50 (45 if high risk, 40 if very high risk)
-- AAA screening (abdominal aortic aneurysm): once at 65-75 if ever smoked
-
-### Colorectal cancer screening (all adults)
-
-- Start at 45 (earlier if family history)
-- Options: colonoscopy every 10 years, or annual stool tests
-
-### Vaccinations (adults)
-
-- Flu: annually
-- Tdap: once, then Td booster every 10 years
-- Shingles (Shingrix): 2 doses at 50+
-- Pneumococcal: 65+ or younger with certain conditions
-- COVID-19: per current CDC guidance
-- RSV: 60+ (discuss with doctor)
-
----
-
-## Mental health basics
-
-See mental health skills for detailed guidance.
-
-**Depression screening (PHQ-2):**
-Over the past 2 weeks:
-
-1. Little interest or pleasure in doing things?
-2. Feeling down, hopeless?
-
-If yes to either: discuss with your doctor.
-PHQ-9 is the full 9-question screening tool used clinically.
-
-**Anxiety screening (GAD-2):**
-
-1. Feeling nervous, anxious, or on edge?
-2. Not being able to stop or control worrying?
-
-If yes to either: discuss with your doctor.
-
-Sources: NIH MedlinePlus (medlineplus.gov), CDC (cdc.gov),
-Mayo Clinic patient education (mayoclinic.org),
-NHS guidance (nhs.uk), USPSTF guidelines (uspreventiveservicestaskforce.org),
-ACC/AHA cardiovascular guidelines
+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-general
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+  Health literacy — understanding medical diagnoses, test results, treatment
+  options, medications, and how to navigate healthcare. Activate for questions
+  about understanding a diagnosis, interpreting lab results, evaluating treatment
+  options, talking to doctors, understanding medical bills, or any general health
+  information question. Sources: NIH MedlinePlus, WHO, CDC, Mayo Clinic
+  patient education, NHS guidance. This is health information to help you
+  understand your situation. Always consult your healthcare provider for
+  personal medical decisions.
+---
+
+# Health Literacy
+
+## How to read a diagnosis
+
+When a doctor gives you a diagnosis, you need to understand:
+
+1. What is the condition?
+2. What caused it?
+3. How serious is it?
+4. What are the treatment options?
+5. What happens if left untreated?
+6. What lifestyle changes help?
+
+**Questions to always ask your doctor:**
+
+- "Can you explain this in plain language?"
+- "What are my options?"
+- "What would you recommend for someone in my situation?"
+- "What are the risks of each option?"
+- "What happens if I choose watchful waiting?"
+- "How will we know if the treatment is working?"
+- "When should I come back?"
+- "Is there anything I should read?"
+
+---
+
+## Understanding common lab tests
+
+### Complete Blood Count (CBC)
+
+**Red Blood Cells (RBC):** Normal 4.5-5.5 million/μL (men), 4.0-5.0 (women)
+
+- Low = anemia (fatigue, weakness)
+- High = polycythemia (blood too thick)
+
+**Hemoglobin:** Normal 13.5-17.5 g/dL (men), 12.0-15.5 (women)
+
+- Low = anemia
+
+**White Blood Cells (WBC):** Normal 4,500-11,000/μL
+
+- High = infection, inflammation, or rarely cancer
+- Low = bone marrow problems, autoimmune, some medications
+
+**Platelets:** Normal 150,000-400,000/μL
+
+- Low = bleeding risk
+- High = clotting risk
+
+### Basic Metabolic Panel (BMP)
+
+**Glucose:** Normal fasting: 70-99 mg/dL
+
+- 100-125 = prediabetes
+- ≥126 = diabetes (if confirmed)
+
+**Creatinine:** Normal 0.7-1.2 mg/dL (men), 0.5-1.0 (women)
+
+- High = kidneys not filtering well
+
+**Sodium:** Normal 136-145 mEq/L
+**Potassium:** Normal 3.5-5.0 mEq/L (heart rhythm critical)
+**Calcium:** Normal 8.5-10.5 mg/dL
+
+### Lipid Panel (Cholesterol)
+
+**Total cholesterol:** Desirable < 200 mg/dL
+**LDL ("bad"):** Optimal < 100 mg/dL; < 70 for high-risk
+**HDL ("good"):** Optimal > 60 mg/dL; < 40 is risk factor
+**Triglycerides:** Normal < 150 mg/dL; < 100 optimal
+
+### Thyroid (TSH)
+
+**TSH:** Normal 0.4-4.0 mIU/L
+
+- High TSH = underactive thyroid (hypothyroidism: fatigue, weight gain, cold)
+- Low TSH = overactive thyroid (hyperthyroidism: weight loss, anxiety, heat)
+
+### Liver Function (LFTs)
+
+**ALT/AST:** Normal < 40 U/L
+
+- High = liver inflammation (alcohol, fatty liver, hepatitis, medications)
+
+**Bilirubin:** Normal 0.2-1.2 mg/dL
+
+- High = jaundice, liver disease, or blood cell breakdown
+
+### A1C (Hemoglobin A1C)
+
+Measures average blood sugar over 3 months:
+
+- < 5.7% = normal
+- 5.7-6.4% = prediabetes
+- ≥ 6.5% = diabetes
+
+---
+
+## Understanding vital signs
+
+**Blood pressure:**
+
+- Normal: < 120/80 mmHg
+- Elevated: 120-129 / < 80
+- Stage 1 hypertension: 130-139 / 80-89
+- Stage 2 hypertension: ≥ 140 / ≥ 90
+- Crisis: > 180 / > 120 (seek emergency care)
+
+**Heart rate:** Normal at rest: 60-100 bpm
+
+- Athletes may have 40-60 bpm (normal for them)
+- > 100 at rest repeatedly = tachycardia (evaluate)
+
+**Temperature:**
+
+- Normal: 97-99°F (36.1-37.2°C)
+- Fever: ≥ 100.4°F (38°C)
+- High fever: ≥ 103°F (39.4°C) — contact doctor
+- Dangerous: ≥ 105°F (40.6°C) — emergency
+
+**Oxygen saturation (SpO2):**
+
+- Normal: 95-100%
+- Concerning: < 92% — seek medical attention
+- Emergency: < 90%
+
+**BMI (Body Mass Index):**
+Weight (kg) / Height² (m²)
+
+- Underweight: < 18.5
+- Normal: 18.5-24.9
+- Overweight: 25-29.9
+- Obese: ≥ 30
+
+Note: BMI is a screening tool, not a diagnostic. It does not account for muscle mass, bone density, or fat distribution.
+
+---
+
+## When to seek emergency care (go to ER or call 911)
+
+**Chest pain or pressure** — especially with shortness of breath, sweating, jaw/arm pain
+**Difficulty breathing** — severe shortness of breath, can't speak in full sentences
+**Stroke symptoms (BE-FAST):**
+
+- Balance loss suddenly
+- Eyes (sudden vision loss or double vision)
+- Face drooping
+- Arm weakness
+- Speech difficulty
+- Time to call 911
+
+**Severe bleeding** — not controlled by 10 minutes of direct pressure
+**Loss of consciousness** or altered mental status
+**Severe allergic reaction** — throat swelling, hives, difficulty breathing
+**Seizure** — first time, prolonged (> 5 min), or not returning to normal after
+**Severe abdominal pain** — especially sudden onset, worst of life
+**Severe headache** — worst headache of your life (possible aneurysm)
+**High fever with stiff neck and light sensitivity** (possible meningitis)
+**Poisoning or overdose**
+**Serious injury** — head trauma, suspected fractures, deep wounds
+
+---
+
+## Understanding medications
+
+### How to read a prescription label
+
+- **Drug name:** Generic (e.g., "metformin") or brand (e.g., "Glucophage")
+- **Dose:** Amount per pill/dose
+- **Frequency:** How often (QD=once/day, BID=twice, TID=three times, QID=four times)
+- **Route:** How taken (PO=by mouth, SL=under tongue, TOP=topical)
+- **Refills:** Number of refills allowed
+
+### Drug interactions — what to tell your doctor
+
+Always tell your doctor and pharmacist:
+
+- All prescription medications
+- All OTC medications (including aspirin, ibuprofen, antacids)
+- All supplements and vitamins
+- Herbal remedies
+- Recreational substances
+- Allergies to medications
+
+**Common dangerous interactions:**
+
+- Blood thinners (warfarin) + NSAIDs (ibuprofen, naproxen) = bleeding risk
+- SSRIs + triptans = serotonin syndrome risk
+- ACE inhibitors + potassium supplements = dangerous potassium levels
+- Statins + certain antibiotics (clarithromycin) = muscle damage risk
+- MAOIs + many other drugs = hypertensive crisis
+
+### Medication adherence
+
+- Take medications at the same time daily
+- Do not stop prescription medications without telling your doctor
+- Finishing antibiotics is critical — stopping early causes resistance
+- Some medications require gradual tapering (steroids, antidepressants, beta-blockers)
+
+---
+
+## Preventive care — recommended screenings by age
+
+### For all adults
+
+- Blood pressure: every 2 years if normal; annually if elevated
+- Cholesterol: every 5 years starting at 35 (men) or 45 (women); earlier if risk factors
+- Diabetes screening: every 3 years starting at 35
+
+### Women
+
+- Pap smear: every 3 years age 21-65 (or every 5 years with HPV co-test age 30-65)
+- Mammogram: annually or every 2 years starting at 40-50 (discuss with doctor)
+- Bone density (DEXA): at 65; earlier if risk factors
+
+### Men
+
+- Prostate (PSA): discuss with doctor at 50 (45 if high risk, 40 if very high risk)
+- AAA screening (abdominal aortic aneurysm): once at 65-75 if ever smoked
+
+### Colorectal cancer screening (all adults)
+
+- Start at 45 (earlier if family history)
+- Options: colonoscopy every 10 years, or annual stool tests
+
+### Vaccinations (adults)
+
+- Flu: annually
+- Tdap: once, then Td booster every 10 years
+- Shingles (Shingrix): 2 doses at 50+
+- Pneumococcal: 65+ or younger with certain conditions
+- COVID-19: per current CDC guidance
+- RSV: 60+ (discuss with doctor)
+
+---
+
+## Mental health basics
+
+See mental health skills for detailed guidance.
+
+**Depression screening (PHQ-2):**
+Over the past 2 weeks:
+
+1. Little interest or pleasure in doing things?
+2. Feeling down, hopeless?
+
+If yes to either: discuss with your doctor.
+PHQ-9 is the full 9-question screening tool used clinically.
+
+**Anxiety screening (GAD-2):**
+
+1. Feeling nervous, anxious, or on edge?
+2. Not being able to stop or control worrying?
+
+If yes to either: discuss with your doctor.
+
+Sources: NIH MedlinePlus (medlineplus.gov), CDC (cdc.gov),
+Mayo Clinic patient education (mayoclinic.org),
+NHS guidance (nhs.uk), USPSTF guidelines (uspreventiveservicestaskforce.org),
+ACC/AHA cardiovascular guidelines

package/skills/health/health-mens/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.