{
  "schema_version": "chamgap-public-criteria-1.0",
  "title": "Multicomponent oropharyngeal exercise × AHI and symptoms",
  "language": "en",
  "translation_date": "2026-10-16",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "condition_origin": "Chamgap's own application conditions",
  "method_sources": [
    {
      "id": "M03",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03",
      "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13",
      "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.",
      "review_level": "Preserved methodological linkages reused for production; no current methodological reassessment or external link checks, and historical quality review is not inherited"
    },
    {
      "id": "M04",
      "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04",
      "section": "§4.5, §4.6.1–4.6.3, MECIR C42",
      "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.",
      "review_level": "Preserved methodological linkages reused for production; no current methodological reassessment or external link checks, and historical quality review is not inherited"
    },
    {
      "id": "M08",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08",
      "section": "§8.1–8.2.3, Table 8.2.a",
      "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.",
      "review_level": "Preserved methodological linkages reused for production; no current methodological reassessment or external link checks, and historical quality review is not inherited"
    },
    {
      "id": "M15",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15",
      "section": "§15.2.4, §15.3.1–15.3.3",
      "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.",
      "review_level": "Preserved methodological linkages reused for production; no current methodological reassessment or external link checks, and historical quality review is not inherited"
    },
    {
      "id": "M19",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19",
      "section": "§19.1.2, §19.2.1–19.2.4",
      "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.",
      "review_level": "Preserved methodological linkages reused for production; no current methodological reassessment or external link checks, and historical quality review is not inherited"
    }
  ],
  "status_dictionary": {
    "Partly verified": "Some information is present in the stored source, with detailed original materials still unverified; this does not mean review passed or clinical efficacy certified",
    "Unverified": "Detailed materials for the selected condition could not be established within the stored scope; this does not mean zero effect, zero studies or safety",
    "Review incomplete": "Awaiting user review",
    "Met": "Use only within the relevant condition's scope after user review; no automatic display in this preparation",
    "Not reported": "Distinguish only within materials actually read; do not turn unread external materials into unreported findings",
    "Inaccessible": "Not applied during this preparation because actual access was not tested",
    "Not applicable": "Use with a reason for non-applicability based on an explicit question boundary",
    "Conflicting data": "Judge after actual material comparison; review was not performed during this preparation",
    "Insufficient evidence for the conditions": "Do not use as a clinical grade encompassing currently unread materials"
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Evidence condition",
      "question": "What is the original grade for the selected multicomponent-program claim?",
      "needed": "Multicomponent oropharyngeal AHI/symptom claim, note and parent context",
      "role": "Required",
      "role_reason": "This condition connects Multicomponent oropharyngeal AHI/symptom claim, note and parent context with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Multicomponent oropharyngeal AHI/symptom claim, note and parent context must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Details of components, population, comparator, direct AHI/symptom material and claim boundaries are unverified. Parent scores do not fill subclaim scores. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N02",
      "question_type": "Evidence condition",
      "question": "Are the key AHI values within-group changes?",
      "needed": "Guimarães exercise-group AHI versus comparative estimands",
      "role": "Required",
      "role_reason": "This condition connects Guimarães exercise-group AHI versus comparative estimands with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Guimarães exercise-group AHI versus comparative estimands must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original control values, direct/adjusted between-group estimates, CIs, denominators, models and the meaning of ± are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N03",
      "question_type": "Evidence condition",
      "question": "How specific are multicomponent symptom signals?",
      "needed": "Separate AHI, ESS, sleepiness and snoring outcomes",
      "role": "Required",
      "role_reason": "This condition connects Separate AHI, ESS, sleepiness and snoring outcomes with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Separate AHI, ESS, sleepiness and snoring outcomes must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Each symptom scale, time, denominator, comparator, effect, CI and prior hierarchy is needed. Symptom signals are not combined with AHI success. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N04",
      "question_type": "Evidence condition",
      "question": "Are multicomponent and tongue-only interventions the same?",
      "needed": "Muscles, components, supervision, tools and adherence",
      "role": "Required",
      "role_reason": "This condition connects Muscles, components, supervision, tools and adherence with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Muscles, components, supervision, tools and adherence must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Program components, original methods, comparators, actual exposure and component-specific contribution material are needed. No new oral/breathing-training methods are provided. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N05",
      "question_type": "Evidence condition",
      "question": "Which programs lasted three months, six weeks and eight weeks?",
      "needed": "Separate multicomponent, tongue-elevation and device-resistance durations",
      "role": "Required",
      "role_reason": "This condition connects Separate multicomponent, tongue-elevation and device-resistance durations with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Separate multicomponent, tongue-elevation and device-resistance durations must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific duration, intensity, actual adherence, tools, post-intervention follow-up and condition-specific denominators are unverified. Duration identifies studies, not training or treatment-replacement instructions. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N06",
      "question_type": "Evidence condition",
      "question": "Do actual comparators also differ by program?",
      "needed": "Control exercise, sham and no intervention",
      "role": "Required",
      "role_reason": "This condition connects Control exercise, sham and no intervention with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Control exercise, sham and no intervention must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific control components, concurrent standard therapy, adherence, masking, attention differences and actual comparison details are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N07",
      "question_type": "Evidence condition",
      "question": "What was Poncin's primary AHI result?",
      "needed": "Direct AHI in the sham-controlled tongue-elevation trial",
      "role": "Required",
      "role_reason": "This condition connects Direct AHI in the sham-controlled tongue-elevation trial with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Direct AHI in the sham-controlled tongue-elevation trial must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The original primary AHI analysis table, arm denominators, effects, CIs, P values, prior plans and sham components are needed. Null results do not establish zero effect or equivalence. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N08",
      "question_type": "Evidence condition",
      "question": "Do Poncin ESS and tongue endurance establish primary success?",
      "needed": "Failed primary AHI versus secondary symptoms/function",
      "role": "Required",
      "role_reason": "This condition connects Failed primary AHI versus secondary symptoms/function with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Failed primary AHI versus secondary symptoms/function must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Secondary ESS/endurance values, denominators, P values, CIs, prior hierarchy, multiplicity and exact report attribution of endurance wording are unverified. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N09",
      "question_type": "Evidence condition",
      "question": "What were Yoshioka AHI and ESS results?",
      "needed": "Endpoint-specific device-based tongue-resistance results",
      "role": "Required",
      "role_reason": "This condition connects Endpoint-specific device-based tongue-resistance results with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Endpoint-specific device-based tongue-resistance results must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original endpoint values, comparative effects, CIs, denominators, missingness and prior hierarchy are unverified. P values do not produce regrading as zero effect or equivalence. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N10",
      "question_type": "Evidence condition",
      "question": "How should the combined tongue-trial summary be separated?",
      "needed": "Combined Poncin/Yoshioka summary versus individual bibliography",
      "role": "Required",
      "role_reason": "This condition connects Combined Poncin/Yoshioka summary versus individual bibliography with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Combined Poncin/Yoshioka summary versus individual bibliography must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific mapping of participants, comparator, duration, funding, endpoints and results is needed. Bibliography counts do not certify independence or unique-participant totals. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N11",
      "question_type": "Evidence condition",
      "question": "Are multicomponent and tongue-only populations the same?",
      "needed": "Moderate OSA, mild-to-moderate sleep-disordered breathing and snoring",
      "role": "Required",
      "role_reason": "This condition connects Moderate OSA, mild-to-moderate sleep-disordered breathing and snoring with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Moderate OSA, mild-to-moderate sleep-disordered breathing and snoring must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Baseline AHI, diagnosis, severity, snoring-only eligibility, BMI, medicines, standard therapy, exclusions and arm baseline values are unverified. Effects are not extended equally to every sleep disorder. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N12",
      "question_type": "Evidence condition",
      "question": "Are AHI, app snoring, sleepiness and tongue strength the same measure?",
      "needed": "Objective apnea, symptoms and function",
      "role": "Required",
      "role_reason": "This condition connects Objective apnea, symptoms and function with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Objective apnea, symptoms and function must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: AHI measurement, scoring and valid sleep time, ESS/snoring/tongue-function scales and their denominators, times and CIs are needed. No new diagnosis, training or replacement instructions are created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N13",
      "question_type": "Evidence condition",
      "question": "Are registered primary outcomes distinguished from retrospective registration?",
      "needed": "Report-specific registration identifiers, dates, changes and prior plans",
      "role": "Required",
      "role_reason": "This condition connects Report-specific registration identifiers, dates, changes and prior plans with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Report-specific registration identifiers, dates, changes and prior plans must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Initial/changed registration dates, protocols, SAPs, start dates, primary/secondary outcomes and analysis plans are needed. A registration number alone does not certify preregistration. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N14",
      "question_type": "Evidence condition",
      "question": "Are original participant counts, completers and analysis denominators known?",
      "needed": "31, 27 and 20 participants versus analysis flow",
      "role": "Required",
      "role_reason": "This condition connects 31, 27 and 20 participants versus analysis flow with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for 31, 27 and 20 participants versus analysis flow must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Arm allocation/analysis flow, exclusion reasons, endpoint-specific missingness and actual exposure are needed. Repeated observations of one participant are not added as new people. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N15",
      "question_type": "Evidence condition",
      "question": "Are historical checks of five RCTs the same as the current report count?",
      "needed": "Historical study count, identified reports and unidentified reports",
      "role": "Required",
      "role_reason": "This condition connects Historical study count, identified reports and unidentified reports with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Historical study count, identified reports and unidentified reports must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Mapping the historical five to original reports, cohorts and endpoints is needed. New R04/R05 reports, effects, denominators or confirmed independent-trial counts are not invented to fill gaps. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N16",
      "question_type": "Evidence condition",
      "question": "Does between-program conflict establish blanket benefit or blanket null effects?",
      "needed": "Component-specific directness, comparators and replication",
      "role": "Required",
      "role_reason": "This condition connects Component-specific directness, comparators and replication with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Component-specific directness, comparators and replication must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Separate direct material with the same components, comparators, populations and prior endpoints, plus effects/CIs, is needed. Parent R0/EX are original values, not new independent-replication certification. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N17",
      "question_type": "Evidence condition",
      "question": "Are exact comparative magnitudes, CIs and clinical importance available?",
      "needed": "AHI/symptom-specific estimands and precision",
      "role": "Required",
      "role_reason": "This condition connects AHI/symptom-specific estimands and precision with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for AHI/symptom-specific estimands and precision must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report/endpoint-specific comparative estimands, models, denominators, CIs and prior importance criteria are needed. ± is not converted into a CI; no new effects or hypothetical examples are created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N18",
      "question_type": "Evidence condition",
      "question": "Are there post-training or standard-treatment-replacement results?",
      "needed": "Persistence and long-term clinical outcomes by duration",
      "role": "Required",
      "role_reason": "This condition connects Persistence and long-term clinical outcomes by duration with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Persistence and long-term clinical outcomes by duration must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Post-intervention follow-up, the same components/comparators, concurrent standard therapy and direct clinical results/CIs are needed. No oral/breathing training, replacement or procedure instructions are created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N19",
      "question_type": "Evidence condition",
      "question": "Are shared reports distinguished from independence?",
      "needed": "Parent, two subclaim sheets, reports and population relationships",
      "role": "Required",
      "role_reason": "This condition connects Parent, two subclaim sheets, reports and population relationships with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Parent, two subclaim sheets, reports and population relationships must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific cohorts, duration, analysis populations and shared relationships are needed. Different bibliographies are distinguished from independent-replication certification. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N20",
      "question_type": "Evidence condition",
      "question": "Which materials were actually read?",
      "needed": "Complete stored summary versus external originals",
      "role": "Required",
      "role_reason": "This condition connects Complete stored summary versus external originals with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Complete stored summary versus external originals must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Actual papers, appendices, registration, plans and reading records are needed. No new external clinical lookup, reading or content review was performed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N21",
      "question_type": "Evidence condition",
      "question": "Are original Korean/English wording and historical checks distinguished?",
      "needed": "Original claims/notes and historical verification scope",
      "role": "Required",
      "role_reason": "This condition connects Original claims/notes and historical verification scope with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Original claims/notes and historical verification scope must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Detailed comparison of originals, translation, corrections and claim boundaries, plus review of existing content, remains incomplete. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N22",
      "question_type": "Evidence condition",
      "question": "Are subclaim values distinguished from parent scores and axes?",
      "needed": "Subclaim C/note versus parent C46, safety and axes",
      "role": "Required",
      "role_reason": "This condition connects Subclaim C/note versus parent C46, safety and axes with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Subclaim C/note versus parent C46, safety and axes must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Subclaim score, status and axes are absent from the original. No new scores, axes, grades or efficacy reassessment were performed. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N23",
      "question_type": "Evidence condition",
      "question": "Are evidence dates and corrections distinguished from production dates?",
      "needed": "Original date, empty corrections/deliberation and production",
      "role": "Required",
      "role_reason": "This condition connects Original date, empty corrections/deliberation and production with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Original date, empty corrections/deliberation and production must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: New corrections, follow-up material and complete pre-change history are needed. Original dates and empty values are not arbitrarily filled. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N24",
      "question_type": "Evidence condition",
      "question": "Are bibliography/registration identities distinguished from actual access?",
      "needed": "Presence/absence of PMID, DOI, PMCID and registration identifiers",
      "role": "Required",
      "role_reason": "This condition connects Presence/absence of PMID, DOI, PMCID and registration identifiers with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Presence/absence of PMID, DOI, PMCID and registration identifiers must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report/registration/full-text identity, date and content links are needed. Numbers alone do not certify actual reading, prior planning or accessibility. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N25",
      "question_type": "Evidence condition",
      "question": "Are funding, products, employee authors and analysis/reporting roles distinguished?",
      "needed": "Four report-specific support/interest areas",
      "role": "Required",
      "role_reason": "This condition connects Four report-specific support/interest areas with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Four report-specific support/interest areas must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Original report-specific funding, COI, product/device support, employee affiliations and analysis/publication roles are unverified. Parent independence axes are not used as new certification. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N26",
      "question_type": "Evidence condition",
      "question": "Are allocation, measurement and selective-reporting bias details available?",
      "needed": "Report-specific design, masking and denominators",
      "role": "Required",
      "role_reason": "This condition connects Report-specific design, masking and denominators with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Report-specific design, masking and denominators must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Methods, registration, protocols, SAPs, measurement originals, denominators and change history are needed. Design labels alone do not establish official RoB/GRADE or passed review. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N27",
      "question_type": "Evidence condition",
      "question": "Are actual exposure, adherence and concurrent care known?",
      "needed": "Study exposure, adherence and cointerventions",
      "role": "Required",
      "role_reason": "This condition connects Study exposure, adherence and cointerventions with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Study exposure, adherence and cointerventions must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific actual exposure, adherence, intervention departures, concurrent care and denominators are needed. Total amounts/repetitions are not newly calculated; no oral/breathing-training methods are given. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N28",
      "question_type": "Evidence condition",
      "question": "Is the oral-abrasion narrative distinguished from harm denominators?",
      "needed": "Adverse event, report attribution, exposure, comparator and denominators",
      "role": "Supplementary",
      "role_reason": "This condition connects Adverse event, report attribution, exposure, comparator and denominators with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Adverse event, report attribution, exposure, comparator and denominators must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Report-specific harm definitions, collection, exposure, denominators, departures, controls, severity and original-report links are needed. Original safety values do not become no-harm findings or new safety certification. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N29",
      "question_type": "Evidence condition",
      "question": "Can results extend to long-term/rare harms and clinical outcomes?",
      "needed": "Selected populations, short duration and long-term/rare harms",
      "role": "Supplementary",
      "role_reason": "This condition connects Selected populations, short duration and long-term/rare harms with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Selected populations, short duration and long-term/rare harms must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Long-term follow-up, populations, exposure, harm surveillance, endpoint denominators and CIs are needed. No new oral/breathing training, standard-treatment replacement or treatment instructions are created. This records needed materials; no new research was executed."
    },
    {
      "item_id": "N30",
      "question_type": "Evidence condition",
      "question": "Which materials would trigger an update?",
      "needed": "Original material, conditions, observations and change events",
      "role": "Required",
      "role_reason": "This condition connects Original material, conditions, observations and change events with AHI/symptoms from multicomponent oropharyngeal programs, separate tongue training, and report-specific populations, comparators, durations, within/between-group results, denominators and harms.",
      "application_exception": "Preserve original numbers, P values and study exposure only. Distinguish multicomponent from tongue-only programs, within-group changes from between-group estimates, primary AHI from secondary ESS/function, and each comparator, duration, denominator and combined summary. Retrospective registration/historical checks do not become current reading or certification of prior plans. No new arithmetic, effects, CIs, hypothetical numbers, grades, independence certification, oral/breathing training, standard-treatment replacement or procedure instructions are created.",
      "criterion": "Material for Original material, conditions, observations and change events must be linked to the selected subclaim, parent context, same report/trial, outcome units, times, actual comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Complete pre-change originals, material/condition versions, separate applications and change history are needed. No new clinical searching, calculations, grades, independence certification or training/treatment methods were performed. This records needed materials; no new research was executed."
    }
  ]
}