@oriro/orirocli 0.1.9 → 0.1.11

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

@@ -1,82 +1,82 @@
----
-watermark: ORIRO
-disable-model-invocation: true
-name: health-aging
-provider: ORIRO.ai
-copyright: Copyright (c) 2026 ORIRO.ai
-description: >
-
-
-  Aging and elder care — age-related health changes, fall prevention, cognitive health, polypharmacy, caregiver guidance, and end-of-life planning. Sources: NIA, CDC healthy aging, AGS geriatric guidelines.
-  Consult your healthcare provider for personal medical guidance.
----
-
-# Aging and Elder Care
-
-## Normal physiological changes with aging
-
-**Cardiovascular:** Decreased maximum heart rate, reduced cardiac reserve, increased vascular stiffness, BP tends to rise.
-**Musculoskeletal:** Sarcopenia (muscle loss) — ~1-2% per year after 50. Bone density decreases. Joint changes.
-**Cognitive:** Normal: slower processing speed, slight memory lag (tip of tongue), easier fatigue. NOT normal: getting lost in familiar places, forgetting recent events repeatedly, personality changes.
-**Sensory:** Presbyopia (reading glasses needed), presbycusis (high-frequency hearing loss), reduced taste/smell.
-**Sleep:** Earlier sleep phase, more fragmented, less deep sleep. Total hours similar but more interrupted.
-**Immune:** Immunosenescence — slower immune response, reduced vaccine efficacy, higher infection risk.
-**Renal/Hepatic:** Reduced kidney and liver function → drugs clear more slowly → dose adjustments needed.
-
-## Polypharmacy
-
-Using 5+ medications simultaneously (common in adults 65+; average is 8+).
-**Problems:** Drug interactions, falls risk, adverse effects, cognitive effects, adherence challenges.
-**Beers Criteria** (AGS): List of medications potentially inappropriate for older adults:
-
-- Benzodiazepines: fall/cognitive risk
-- First-generation antihistamines (diphenhydramine/Benadryl): anticholinergic, confusion, falls
-- Long-acting sulfonylureas (glipizide extended release): hypoglycemia
-- NSAIDs (long-term): GI bleeding, renal impairment, BP effects
-- Muscle relaxants (cyclobenzaprine): sedation, falls
-  **Medication review:** Ask doctor annually to review all medications for continued necessity.
-
-## Fall prevention — most important safety intervention
-
-Falls cause 36 million injuries/year in US older adults. 32,000 deaths annually.
-**Risk factors:** Prior fall, muscle weakness, balance problems, home hazards, polypharmacy, vision problems.
-**Prevention:**
-
-- Exercise: Tai chi, balance training, strength training all proven to reduce falls
-- Medication review: Reduce fall-risk medications
-- Home modification: Remove throw rugs, add grab bars, improve lighting
-- Vision check annually: Poor vision ↑ fall risk significantly
-- Vitamin D: 800-1000 IU/day reduces falls in deficient older adults
-
-## Cognitive health
-
-**Normal aging vs. MCI vs. Dementia:**
-Normal: Occasional word-finding, slower recall — doesn't interfere with daily function.
-MCI (Mild Cognitive Impairment): Noticeable cognitive change beyond normal, but still independent.
-Dementia: Cognitive decline that impairs daily functioning.
-
-**Alzheimer's warning signs (Alzheimer's Association):**
-Memory loss disrupting daily life, challenges with planning, familiar tasks become difficult, confusion with time/place, new visual problems, word-finding problems, misplacing items unable to retrace, poor judgment, withdrawal, personality/mood changes.
-
-**Risk reduction (evidence-based):**
-Physical exercise (strongest evidence), cognitively stimulating activities, social engagement, treating hearing loss (significant risk modifier), controlling vascular risk factors (hypertension, diabetes, cholesterol), sleep quality.
-
-**Mediterranean diet / MIND diet:** Associated with lower dementia risk in observational studies.
-
-## Caregiver guidance
-
-Caregiver burden is real — 40% of Alzheimer's caregivers develop depression.
-**Resources:** Alzheimer's Association 24/7 helpline: 800-272-3900
-**Respite care:** Temporary relief for caregivers. Adult day programs, in-home respite, short-term residential care.
-**Legal planning early:** Power of Attorney (financial), Healthcare Proxy, advance directive — do while person has capacity.
-
-## Advance directives
-
-**Living will:** Documents preferences for end-of-life care.
-**Healthcare proxy / DPOA for healthcare:** Designates someone to make medical decisions if unable.
-**POLST/MOLST:** (Physician Orders for Life-Sustaining Treatment) Portable medical order for patients with serious illness.
-**DNR/DNI:** Do Not Resuscitate / Do Not Intubate — medical orders, not just expressed wishes.
-
-Complete these documents while healthy. Review periodically. Provide copies to family, physicians, hospital.
-
-Sources: National Institute on Aging (nia.nih.gov), CDC Healthy Aging (cdc.gov), AGS Beers Criteria (americangeriatrics.org), Alzheimer's Association (alz.org)
+---
+watermark: ORIRO
+disable-model-invocation: true
+name: health-aging
+provider: ORIRO.ai
+copyright: Copyright (c) 2026 ORIRO.ai
+description: >
+
+
+  Aging and elder care — age-related health changes, fall prevention, cognitive health, polypharmacy, caregiver guidance, and end-of-life planning. Sources: NIA, CDC healthy aging, AGS geriatric guidelines.
+  Consult your healthcare provider for personal medical guidance.
+---
+
+# Aging and Elder Care
+
+## Normal physiological changes with aging
+
+**Cardiovascular:** Decreased maximum heart rate, reduced cardiac reserve, increased vascular stiffness, BP tends to rise.
+**Musculoskeletal:** Sarcopenia (muscle loss) — ~1-2% per year after 50. Bone density decreases. Joint changes.
+**Cognitive:** Normal: slower processing speed, slight memory lag (tip of tongue), easier fatigue. NOT normal: getting lost in familiar places, forgetting recent events repeatedly, personality changes.
+**Sensory:** Presbyopia (reading glasses needed), presbycusis (high-frequency hearing loss), reduced taste/smell.
+**Sleep:** Earlier sleep phase, more fragmented, less deep sleep. Total hours similar but more interrupted.
+**Immune:** Immunosenescence — slower immune response, reduced vaccine efficacy, higher infection risk.
+**Renal/Hepatic:** Reduced kidney and liver function → drugs clear more slowly → dose adjustments needed.
+
+## Polypharmacy
+
+Using 5+ medications simultaneously (common in adults 65+; average is 8+).
+**Problems:** Drug interactions, falls risk, adverse effects, cognitive effects, adherence challenges.
+**Beers Criteria** (AGS): List of medications potentially inappropriate for older adults:
+
+- Benzodiazepines: fall/cognitive risk
+- First-generation antihistamines (diphenhydramine/Benadryl): anticholinergic, confusion, falls
+- Long-acting sulfonylureas (glipizide extended release): hypoglycemia
+- NSAIDs (long-term): GI bleeding, renal impairment, BP effects
+- Muscle relaxants (cyclobenzaprine): sedation, falls
+  **Medication review:** Ask doctor annually to review all medications for continued necessity.
+
+## Fall prevention — most important safety intervention
+
+Falls cause 36 million injuries/year in US older adults. 32,000 deaths annually.
+**Risk factors:** Prior fall, muscle weakness, balance problems, home hazards, polypharmacy, vision problems.
+**Prevention:**
+
+- Exercise: Tai chi, balance training, strength training all proven to reduce falls
+- Medication review: Reduce fall-risk medications
+- Home modification: Remove throw rugs, add grab bars, improve lighting
+- Vision check annually: Poor vision ↑ fall risk significantly
+- Vitamin D: 800-1000 IU/day reduces falls in deficient older adults
+
+## Cognitive health
+
+**Normal aging vs. MCI vs. Dementia:**
+Normal: Occasional word-finding, slower recall — doesn't interfere with daily function.
+MCI (Mild Cognitive Impairment): Noticeable cognitive change beyond normal, but still independent.
+Dementia: Cognitive decline that impairs daily functioning.
+
+**Alzheimer's warning signs (Alzheimer's Association):**
+Memory loss disrupting daily life, challenges with planning, familiar tasks become difficult, confusion with time/place, new visual problems, word-finding problems, misplacing items unable to retrace, poor judgment, withdrawal, personality/mood changes.
+
+**Risk reduction (evidence-based):**
+Physical exercise (strongest evidence), cognitively stimulating activities, social engagement, treating hearing loss (significant risk modifier), controlling vascular risk factors (hypertension, diabetes, cholesterol), sleep quality.
+
+**Mediterranean diet / MIND diet:** Associated with lower dementia risk in observational studies.
+
+## Caregiver guidance
+
+Caregiver burden is real — 40% of Alzheimer's caregivers develop depression.
+**Resources:** Alzheimer's Association 24/7 helpline: 800-272-3900
+**Respite care:** Temporary relief for caregivers. Adult day programs, in-home respite, short-term residential care.
+**Legal planning early:** Power of Attorney (financial), Healthcare Proxy, advance directive — do while person has capacity.
+
+## Advance directives
+
+**Living will:** Documents preferences for end-of-life care.
+**Healthcare proxy / DPOA for healthcare:** Designates someone to make medical decisions if unable.
+**POLST/MOLST:** (Physician Orders for Life-Sustaining Treatment) Portable medical order for patients with serious illness.
+**DNR/DNI:** Do Not Resuscitate / Do Not Intubate — medical orders, not just expressed wishes.
+
+Complete these documents while healthy. Review periodically. Provide copies to family, physicians, hospital.
+
+Sources: National Institute on Aging (nia.nih.gov), CDC Healthy Aging (cdc.gov), AGS Beers Criteria (americangeriatrics.org), Alzheimer's Association (alz.org)

package/skills/health/health-chronic/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.