{
  "schemaVersion": 1,
  "objectClass": "claim-evidence-ledger",
  "identifier": "BRC-2026-W202:evidence-ledger",
  "clusterId": "BRC-CL-2026-002",
  "publicationObjectId": "BRC-OBJ-CL-2026-002-02",
  "title": {
    "ko": "수족 냉감과 재가온을 같은 시간축에서 기록하는 법",
    "en": "Recording distal cold and rewarming on the same timeline"
  },
  "publishedAt": "2026-08-21T14:47:00.000Z",
  "article": {
    "workId": "BRC-2026-W202",
    "slug": "recording-distal-cold-and-rewarming",
    "sha256": "9b6c702f7fd8430a3eafb21b7692b7129c1cc8461207cc850e0ca4638322c10a"
  },
  "evidencePolicy": {
    "modelOutputIsEvidence": false,
    "searchSnippetIsEvidence": false,
    "claimPromotionRequiresSourceLocator": true,
    "sourceAndPopulationBoundariesPreserved": true
  },
  "citationLedger": [
    {
      "id": "C1",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "constructMap",
        "episodeClockMap"
      ],
      "evidenceRole": "Supports separation of felt cold, surface temperature, named site- and compartment-specific flow or perfusion, and non-equivalent rewarming summaries, together with explicit episode clocks and the synchronized natural-episode evidence gap.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-closure-audit",
          "sha256": "3b54d7d1e5d2a996f9f7a449ccc2ebb227e58e70fb67fec6269e3107f63554f2"
        }
      ]
    },
    {
      "id": "C2",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "crossFramingFindings[0]",
        "crossFramingFindings[1]",
        "crossFramingFindings[3]",
        "sharedRules[0:5]"
      ],
      "evidenceRole": "Supports the coexistence of alignment and discordance, participant-level synchronized observation as the decisive missing design, separate site rules, and the prohibition on relabelling local measurements as generic circulation.",
      "sourceRecordIdentities": [
        {
          "label": "competing-syntheses-rival-matrix",
          "sha256": "64fe6eb2af5d6a957ead11aab151f65f88022a74d438ff1568c7e1e4f7d7a447"
        }
      ]
    },
    {
      "id": "C3",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "objects[objectId=BRC-OBJ-CL-2026-002-02].minimumEvidence",
        "objects[objectId=BRC-OBJ-CL-2026-002-02].evidenceReadiness",
        "objects[objectId=BRC-OBJ-CL-2026-002-02].unsupportedClaims"
      ],
      "evidenceRole": "Supports the object's explicitly unvalidated status, staged validation requirement, failure-aware design, and prohibitions on diagnostic, self-test, clinical-utility, and patient-specific uses.",
      "sourceRecordIdentities": [
        {
          "label": "publication-object-manifest",
          "sha256": "9f240988bfc8ad35ac1757f3f395b27ac798843fad1eb523adbc6101ea45c8f7"
        }
      ]
    },
    {
      "id": "C4",
      "source": "Norrbrand L, Kölegård R, Keramidas ME, Mekjavic IB, Eiken O. No association between hand and foot temperature responses during local cold stress and rewarming. European Journal of Applied Physiology. 2017;117(6):1141-1153. doi: 10.1007/s00421-017-3601-5. PMID: 28421275; PMCID: PMC5427170.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5427170/",
      "locators": [
        "verifiedResults",
        "constructsAndEndpoints",
        "missingnessAndIntegrity"
      ],
      "evidenceRole": "Supports separate hand and foot strata and blocks silent cross-site transfer: the controlled healthy-volunteer protocol showed materially different hand and foot baselines, cooling, rewarming, and limited cross-site association; it does not determine natural-episode effects or a recruitment phenotype.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc5427170",
          "sha256": "0ab39396a572216d9c0cfd386d57734c596fef083442e3ccba044a5533672d45"
        }
      ]
    },
    {
      "id": "C5",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "designContract.population",
        "designContract.episodeUnit",
        "sectionContract[sectionId=S2]"
      ],
      "evidenceRole": "Supports recruitment by reported recurrent localized episodes, prespecified eligibility fields, the nested episode hierarchy, prospective repeat-count rules, dependence, and the prohibitions on diagnosis-defined eligibility and prevalence inference.",
      "sourceRecordIdentities": [
        {
          "label": "editorial-brief-brc-obj-cl-2026-002-02",
          "sha256": "bdd14df14c9e85eb95963f0af348b8e50e3a33d3f53930dfb1a7d3fabcef6f3a"
        }
      ]
    },
    {
      "id": "C6",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "sharedRules[2:5]",
        "crossFramingFindings[1]",
        "crossFramingFindings[3]"
      ],
      "evidenceRole": "Supports participant-level synchronized observation, population and site non-transfer, and separation of natural episodes from standardized provocation without treating either as validating the other.",
      "sourceRecordIdentities": [
        {
          "label": "competing-syntheses-rival-matrix",
          "sha256": "64fe6eb2af5d6a957ead11aab151f65f88022a74d438ff1568c7e1e4f7d7a447"
        }
      ]
    },
    {
      "id": "C7",
      "source": "Norrbrand L, Kölegård R, Keramidas ME, Mekjavic IB, Eiken O. No association between hand and foot temperature responses during local cold stress and rewarming. European Journal of Applied Physiology. 2017;117(6):1141-1153. doi: 10.1007/s00421-017-3601-5. PMID: 28421275; PMCID: PMC5427170.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC5427170/",
      "locators": [
        "studyFrame.sites",
        "verifiedResults",
        "constructsAndEndpoints",
        "interpretation.establishedForCluster",
        "interpretation.transportLimits"
      ],
      "evidenceRole": "Supports separate hand and foot procedures and blocks cross-site substitution: in a controlled healthy-volunteer protocol, hand and foot baselines, cooling, rewarming, and cross-site associations differed. Its right-side, sequential provocation does not establish optimal sites, bilateral transfer, simultaneous hand-foot relations, or natural-episode validity.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc5427170",
          "sha256": "0ab39396a572216d9c0cfd386d57734c596fef083442e3ccba044a5533672d45"
        }
      ]
    },
    {
      "id": "C8",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "sectionContract[sectionId=S3]",
        "designContract.separateSiteProcedures",
        "designContract.deviceAndSiteMetadata",
        "designContract.missingDataPlan"
      ],
      "evidenceRole": "Supports the proposed site-family acquisition fields, explicit handling rules, missingness rather than silent substitution, and the cross-site non-transfer rule. These are unvalidated design requirements, not observed performance claims.",
      "sourceRecordIdentities": [
        {
          "label": "editorial-brief-brc-obj-cl-2026-002-02",
          "sha256": "bdd14df14c9e85eb95963f0af348b8e50e3a33d3f53930dfb1a7d3fabcef6f3a"
        }
      ]
    },
    {
      "id": "C9",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "constructMap",
        "episodeClockMap"
      ],
      "evidenceRole": "Supports separating felt cold, surface temperature, named flow or perfusion quantities, and rewarming summaries while making baseline, onset, provocation, immediate-post-context, recovery, and safety clocks explicit. It does not validate a shared nadir, universal clock, or clinical endpoint.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-closure-audit",
          "sha256": "3b54d7d1e5d2a996f9f7a449ccc2ebb227e58e70fb67fec6269e3107f63554f2"
        }
      ]
    },
    {
      "id": "C10",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "sectionContract[sectionId=S4]",
        "designContract.synchronizedSchedule",
        "designContract.constructSchedule"
      ],
      "evidenceRole": "Supports the proposed timestamp, construct, origin, schedule, endpoint, and non-equivalence fields. These are unvalidated design requirements rather than observed performance claims.",
      "sourceRecordIdentities": [
        {
          "label": "editorial-brief-brc-obj-cl-2026-002-02",
          "sha256": "bdd14df14c9e85eb95963f0af348b8e50e3a33d3f53930dfb1a7d3fabcef6f3a"
        }
      ]
    },
    {
      "id": "C11",
      "source": "Stjernbrandt A, Björ B, Pettersson H, Lundström R, Liljelind I, Nilsson T, et al. Manifestations of cold sensitivity - a case series. International Journal of Circumpolar Health. 2020;79(1):1749001. doi: 10.1080/22423982.2020.1749001. PMID: 32264773; PMCID: PMC7178887.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7178887/",
      "locators": [
        "protocolAndTimeOrigins.perfusionAndColdChallenge",
        "verifiedResults.coldChallenge.rewarming",
        "missingnessAndIntegrity.rightCensoring",
        "constructsAndEndpoints.nonEquivalence"
      ],
      "evidenceRole": "Supports explicit origins, sampling schedules, construct separation, and right-censoring: four participant recovery times exceeded the 29-minute observation limit. The selected-cohort hand protocol does not determine a natural-episode endpoint, sampling interval, or normal range.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc7178887",
          "sha256": "1307f04dfbbd24b540c472da606272995ba3a24b8346574aab4e91b0c8aecc36"
        }
      ]
    },
    {
      "id": "C12",
      "source": "Weller RS, Buczny J, Daanen HAM. Cold-induced vasodilation: A meta-analysis. Temperature. 2026;13(2):139-185. doi: 10.1080/23328940.2026.2646391. PMID: 42282897; PMCID: PMC13251525.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13251525/",
      "locators": [
        "protocolAndSiteHeterogeneity",
        "rivalExplanationsAndCounterevidence"
      ],
      "evidenceRole": "Supports the non-transfer of pooled temperature-defined CIVD clocks across heterogeneous severe-provocation sites, doses, preconditioning, populations, and time windows. It supplies no natural-episode, foot, sensation, direct-flow, individual-normal, or clinical-threshold validation.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc13251525",
          "sha256": "4c51ab537cd922a9291eb5a09838d470e0543db3442db193d5a6c415e338f161"
        }
      ]
    },
    {
      "id": "C13",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "sectionContract[sectionId=S5]",
        "designContract.deviceAndSiteMetadata",
        "designContract.repeatabilityPlan",
        "designContract.missingDataPlan"
      ],
      "evidenceRole": "Supports the proposed metadata, comparison, repeatability, quality-failure, reason-code, missingness, and censoring requirements. These are unvalidated design requirements rather than observed performance claims.",
      "sourceRecordIdentities": [
        {
          "label": "editorial-brief-brc-obj-cl-2026-002-02",
          "sha256": "bdd14df14c9e85eb95963f0af348b8e50e3a33d3f53930dfb1a7d3fabcef6f3a"
        }
      ]
    },
    {
      "id": "C14",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "constructMap",
        "episodeClockMap"
      ],
      "evidenceRole": "Supports construct-specific observations and clocks and prohibits substitution among sensation, surface temperature, named flow or perfusion quantities, and rewarming summaries.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-closure-audit",
          "sha256": "3b54d7d1e5d2a996f9f7a449ccc2ebb227e58e70fb67fec6269e3107f63554f2"
        }
      ]
    },
    {
      "id": "C15",
      "source": "Maley MJ, Hunt AP, Bach AJ, Eglin CM, Costello JT. Infrared cameras overestimate skin temperature during rewarming from cold exposure. Journal of Thermal Biology. 2020;91:102614. doi: 10.1016/j.jtherbio.2020.102614. PMID: 32716864.",
      "url": "https://pubmed.ncbi.nlm.nih.gov/32716864/",
      "locators": [
        "verifiedResults",
        "constructsAndEndpoints",
        "missingnessAndIntegrity"
      ],
      "evidenceRole": "Supports retaining location, calibration, contact, spatial support, response and synchronization metadata: adjacent infrared and taped thermistor estimates disagreed over time without an independent same-location in-situ truth standard. The accepted manuscript is not treated as a version of record.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmid32716864",
          "sha256": "b31abd62b20a92b8642da2875a165ec3d11be9563b14fed7973aa0d006eb3a3b"
        }
      ]
    },
    {
      "id": "C16",
      "source": "Havenith G, Lloyd AB. Counterpoint to ‘Infrared cameras overestimate skin temperature during rewarming from cold exposure’. Journal of Thermal Biology. 2020;92:102663. doi: 10.1016/j.jtherbio.2020.102663. PMID: 32888566.",
      "url": "https://pubmed.ncbi.nlm.nih.gov/32888566/",
      "locators": [
        "rivalExplanationLedger",
        "limitations"
      ],
      "evidenceRole": "Retains calibration, attachment, local-gradient, dynamic-response, and region-of-interest rivals. The counterpoint supplies no new experiment, independent truth standard, or foot validation and is not treated as a version of record.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmid32888566",
          "sha256": "e57760ab60639b548dc84b956cbb84428dbf1041214825d9a9c90cd7474547f5"
        }
      ]
    },
    {
      "id": "C17",
      "source": "Rosfors S, Modin A, Petrini J. Laser Doppler Measurements of Systolic Blood Pressure on the First and Second Toe in Patients with Peripheral Arterial Disease. International Journal of Angiology. 2022;31(1):52-55. doi: 10.1055/s-0041-1735237. PMID: 35221853; PMCID: PMC8881109.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC8881109/",
      "locators": [
        "protocolAndTimeOrigins",
        "verifiedResults",
        "interpretationAndRivals",
        "missingnessAndIntegrity"
      ],
      "evidenceRole": "Supports binding repeatability and technical-quality statements to a conditioned toe-pressure protocol with specific cuffs, local heating, averaged repeats, reconnection, and missing technical replicates. It does not validate skin temperature, sensation, natural episodes, rewarming, hands, or the proposed method.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc8881109",
          "sha256": "2d1a14be7445cf6116dd6f9df93eb86474fac1dc2750621bc05ced0f9379e004"
        }
      ]
    },
    {
      "id": "C18",
      "source": "Edalati M, Hastings MK, Muccigrosso D, Sorensen CJ, Hildebolt C, Zayed MA, et al. Intravenous contrast-free standardized exercise perfusion imaging in diabetic feet with ulcers. Journal of Magnetic Resonance Imaging. 2019;50(2):474-480. doi: 10.1002/jmri.26570. PMID: 30447040; PMCID: PMC6933046.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC6933046/",
      "locators": [
        "protocolAndTimeOrigins",
        "verifiedResults",
        "interpretationAndRivals",
        "missingnessAndIntegrity"
      ],
      "evidenceRole": "Supports binding repeatability to a seven-person, between-day, exercise-provoked plantar-muscle ASL protocol with region, motion, acquisition and processing constraints. It does not validate skin or toe perfusion, temperature, sensation, rewarming, hands, or the proposed method.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc6933046",
          "sha256": "7a9042f4979548858acc218dd0efbddaac296ddc60d864397952a810fa83e19b"
        }
      ]
    },
    {
      "id": "C19",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "claimLedger[claimId=OBJ02-CL-04]",
        "claimLedger[claimId=OBJ02-CL-05]",
        "claimLedger[claimId=OBJ02-CL-06]",
        "designContract.episodeUnit",
        "designContract.analysisPlan",
        "sectionContract[sectionId=S6]"
      ],
      "evidenceRole": "Supports the proposed hierarchy, primary estimand, separate hand and foot outputs, uncertainty, multiplicity, endpoint sensitivity, and prohibitions. These are unvalidated prospective rules rather than observed method performance.",
      "sourceRecordIdentities": [
        {
          "label": "editorial-brief-brc-obj-cl-2026-002-02",
          "sha256": "bdd14df14c9e85eb95963f0af348b8e50e3a33d3f53930dfb1a7d3fabcef6f3a"
        }
      ]
    },
    {
      "id": "C20",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "constructMap",
        "episodeClockMap"
      ],
      "evidenceRole": "Supports keeping sensory, temperature, named flow or perfusion, and recovery constructs distinct and sensitivity-testing non-equivalent clocks and endpoint summaries.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-closure-audit",
          "sha256": "3b54d7d1e5d2a996f9f7a449ccc2ebb227e58e70fb67fec6269e3107f63554f2"
        }
      ]
    },
    {
      "id": "C21",
      "source": "Stjernbrandt A, Björ B, Pettersson H, Lundström R, Liljelind I, Nilsson T, et al. Manifestations of cold sensitivity - a case series. International Journal of Circumpolar Health. 2020;79(1):1749001. doi: 10.1080/22423982.2020.1749001. PMID: 32264773; PMCID: PMC7178887.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC7178887/",
      "locators": [
        "verifiedResults.perfusion",
        "verifiedResults.patientLevelConcordanceMatrix",
        "verifiedResults.discordanceInterpretation",
        "constructsAndEndpoints",
        "missingnessAndIntegrity.rightCensoring"
      ],
      "evidenceRole": "Supports the group-to-person warning, the need to preserve opposing participant-level directions, site and compartment specificity, time-varying association, and explicit right-censoring. Its sign-defined categories are not independent phenotype validation.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc7178887",
          "sha256": "1307f04dfbbd24b540c472da606272995ba3a24b8346574aab4e91b0c8aecc36"
        }
      ]
    },
    {
      "id": "C22",
      "source": "Eglin CM, Wright J, Maley MJ, Hollis S, Massey H, Montgomery H, et al. The peripheral vascular responses in non-freezing cold injury and matched controls. Experimental Physiology. 2023;108(3):420-437. doi: 10.1113/EP090721. PMID: 36807667; PMCID: PMC10103892.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10103892/",
      "locators": [
        "verifiedResults",
        "interpretationAndRivals"
      ],
      "evidenceRole": "Supports treating a named local conductance measure, site-specific temperature, subjective sensation, and a wider vascular battery as non-collapsible observations; the injury cohort does not validate transfer to recurrent non-injury episodes.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc10103892",
          "sha256": "4de572d7f0393cc19e404b1fa440afda70e0df4e3055120e4347f5c49e996efb"
        }
      ]
    },
    {
      "id": "C23",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "matrix[*].discriminatingObservation",
        "crossFramingFindings"
      ],
      "evidenceRole": "Supports participant-level synchronized natural-episode trajectories, the coexistence of alignment and discordance, and prespecified device, site, clock, and endpoint sensitivity rather than a default winner.",
      "sourceRecordIdentities": [
        {
          "label": "competing-syntheses-rival-matrix",
          "sha256": "64fe6eb2af5d6a957ead11aab151f65f88022a74d438ff1568c7e1e4f7d7a447"
        }
      ]
    },
    {
      "id": "C24",
      "source": "Weller RS, Buczny J, Daanen HAM. Cold-induced vasodilation: A meta-analysis. Temperature. 2026;13(2):139-185. doi: 10.1080/23328940.2026.2646391. PMID: 42282897; PMCID: PMC13251525.",
      "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13251525/",
      "locators": [
        "protocolAndSiteHeterogeneity",
        "rivalExplanationsAndCounterevidence"
      ],
      "evidenceRole": "Supports prespecifying and sensitivity-testing non-equivalent sites, cold doses, preconditioning, time definitions, and endpoints. Pooled study means do not establish individual normal ranges or transfer to natural recurrent episodes.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-pmc13251525",
          "sha256": "4c51ab537cd922a9291eb5a09838d470e0543db3442db193d5a6c415e338f161"
        }
      ]
    },
    {
      "id": "C25",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "claimLedger[claimId=OBJ02-CL-08]",
        "claimLedger[claimId=OBJ02-CL-09]",
        "designContract.validationPlan",
        "sectionContract[sectionId=S7]",
        "redesignTriggers"
      ],
      "evidenceRole": "Supports the proposed phase order, success and failure conditions, qualified operational stops, redesign rules, and non-use boundaries. These are prospective governance requirements, not observed method performance.",
      "sourceRecordIdentities": [
        {
          "label": "editorial-brief-brc-obj-cl-2026-002-02",
          "sha256": "bdd14df14c9e85eb95963f0af348b8e50e3a33d3f53930dfb1a7d3fabcef6f3a"
        }
      ]
    },
    {
      "id": "C26",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "safetyPathways",
        "trueStopsAndResidualGaps"
      ],
      "evidenceRole": "Supports redirecting only when exposure, tissue, trauma, systemic, diabetes-foot, vascular-course, or other qualified context changes the question, while preserving the NICE access, CG147 currentness, and NHS Raynaud editorial-currentness stops. It does not supply a universal action rule.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-closure-audit",
          "sha256": "3b54d7d1e5d2a996f9f7a449ccc2ebb227e58e70fb67fec6269e3107f63554f2"
        }
      ]
    },
    {
      "id": "C27",
      "source": "Publication-object manifest",
      "url": null,
      "locators": [
        "objects[objectId=BRC-OBJ-CL-2026-002-02].minimumEvidence",
        "objects[objectId=BRC-OBJ-CL-2026-002-02].evidenceReadiness",
        "objects[objectId=BRC-OBJ-CL-2026-002-02].unsupportedClaims"
      ],
      "evidenceRole": "Supports retaining validation, reuse, safety-stop, and explicit-failure requirements while stating that the proposed method is not a validated instrument, diagnostic test, self-test, or clinical pathway.",
      "sourceRecordIdentities": [
        {
          "label": "publication-object-manifest",
          "sha256": "9f240988bfc8ad35ac1757f3f395b27ac798843fad1eb523adbc6101ea45c8f7"
        }
      ]
    },
    {
      "id": "C28",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "crossFramingFindings[2]",
        "matrix[framingId=CS-SAFETY-REDIRECT]"
      ],
      "evidenceRole": "Supports separating isolated thermal wording from safety-sensitive contexts and binding any redirect to added course, examination, lesion, exposure, population, anatomy, and jurisdiction information rather than treating it as diagnosis or universal triage.",
      "sourceRecordIdentities": [
        {
          "label": "competing-syntheses-rival-matrix",
          "sha256": "64fe6eb2af5d6a957ead11aab151f65f88022a74d438ff1568c7e1e4f7d7a447"
        }
      ]
    },
    {
      "id": "C29",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "designContract.reuseMaterials",
        "sectionContract[sectionId=S8]",
        "citationPlan.rule",
        "citationPlan.integrityWarnings",
        "redesignTriggers"
      ],
      "evidenceRole": "Supports the proposed versioned reuse components, provenance requirements, redesign boundaries, synthetic-only example-data rule, and unresolved validation agenda. These are prospective documentation requirements, not observed performance.",
      "sourceRecordIdentities": [
        {
          "label": "editorial-brief-brc-obj-cl-2026-002-02",
          "sha256": "bdd14df14c9e85eb95963f0af348b8e50e3a33d3f53930dfb1a7d3fabcef6f3a"
        }
      ]
    },
    {
      "id": "C30",
      "source": "Publication-object manifest",
      "url": null,
      "locators": [
        "objects[objectId=BRC-OBJ-CL-2026-002-02].minimumEvidence",
        "objects[objectId=BRC-OBJ-CL-2026-002-02].evidenceReadiness",
        "objects[objectId=BRC-OBJ-CL-2026-002-02].unsupportedClaims"
      ],
      "evidenceRole": "Supports retaining reuse materials and explicit non-use boundaries while stating that the method, examples, and package are not validated, diagnostic, clinically useful, or a completed study.",
      "sourceRecordIdentities": [
        {
          "label": "publication-object-manifest",
          "sha256": "9f240988bfc8ad35ac1757f3f395b27ac798843fad1eb523adbc6101ea45c8f7"
        }
      ]
    },
    {
      "id": "C31",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "trueStopsAndResidualGaps",
        "safetyPathways"
      ],
      "evidenceRole": "Supports preserving sparse direct natural-episode evidence, the NICE access restriction, CG147 currentness caution, NHS Raynaud external-editorial stop, historical and 검증되지 않은 역사 자료 탐색 verification boundary, and separately governed safety actions.",
      "sourceRecordIdentities": [
        {
          "label": "passage-verification-closure-audit",
          "sha256": "3b54d7d1e5d2a996f9f7a449ccc2ebb227e58e70fb67fec6269e3107f63554f2"
        }
      ]
    },
    {
      "id": "C32",
      "source": "Baekrokdam Research Commons. Cold hands and feet: claim, methods, and bounded-negative-yield evidence ledger [dataset]. 2026.",
      "url": null,
      "locators": [
        "unsupportedBridgeAudit",
        "stageDecision"
      ],
      "evidenceRole": "Supports carrying unresolved bridges into future validation instead of treating proposed procedures or adjacent evidence lanes as established equivalence or clinical utility.",
      "sourceRecordIdentities": [
        {
          "label": "competing-syntheses-closure-audit",
          "sha256": "3af0f7c469833be2921d0cd978a4f12e1d7d533bb52c356a6bb090f7bb7c4ffb"
        }
      ]
    }
  ],
  "claimsNotEstablished": {
    "ko": [
      "이 번역은 제안된 방법의 실행 가능성, 안전, 반복성, 장치·부위 일치, 이중언어 등가성, 구성타당도, 재현 또는 임상적 유용성을 확립하지 않는다.",
      "검증된 설문·도구·진단 역치·정상 범위·선별·자가검사·치료·선별 경로 또는 보편적 안전 규칙을 확립하지 않는다.",
      "냉감, 피부 표면 온도, 이름이 명시된 국소 혈류·관류와 재가온이 같은 기전이나 일대일 관계를 가진다고 확립하지 않는다.",
      "손·발, 자연·유발 에피소드, 부위·장치·구획 또는 서로 다른 시간 기준 사이의 풀링·전이를 허가하지 않는다.",
      "13개 PubMed 구간과 238개 기록의 한정된 음성 수확은 다른 곳에 동기화 자연 에피소드 자료가 없음을 증명하지 않는다.",
      "차단된 NICE, CG147 현재성, NHS 레이노 외부 편집 중지 또는 더 넓은 안전 검증을 해결하지 않는다.",
      "사람 이중언어·임상·통계·방법론 검토, 실행 가능한 프로토콜, 브라우저·보조기술·PDF·JATS QA, 출판 준비, 동료 심사, 공개 또는 기록본 지위를 확립하지 않는다."
    ],
    "en": [
      "This revision-applied draft does not establish feasibility, safety, repeatability, validity, replication, or clinical utility of the proposed method.",
      "It does not establish a validated questionnaire, instrument, protocol, site, device, compartment, clock, endpoint, threshold, normal range, or clinical pathway.",
      "It does not establish a one-to-one or causal relation among felt cold, surface temperature, named flow or perfusion, and rewarming.",
      "It does not authorize hand-foot pooling, natural-provoked transfer, or any data release.",
      "It does not resolve blocked NICE access, CG147 currentness, NHS Raynaud currentness, or the broader safety-source gate.",
      "It does not establish human bilingual, clinical, or methods review completion, publication readiness, peer review, release, or version-of-record status."
    ]
  },
  "accessibility": {
    "result": "pass",
    "auditedAt": "2026-08-21T10:51:17.325Z",
    "displays": [
      {
        "sha256": "30af810355a50cce7cf656fc3f5175ea4191b3f11654dfd5dec5a7ab74cae807",
        "result": "pass",
        "checks": {
          "documentLanguage": true,
          "documentTitle": true,
          "singleMain": true,
          "singleH1": true,
          "headingOrder": true,
          "uniqueIds": true,
          "fragmentTargets": true,
          "tableSemantics": true,
          "imageAlternatives": true,
          "keyboardReachability": true,
          "accessibilityTree": true,
          "accessibleNames": true,
          "runtimeErrors": true
        }
      },
      {
        "sha256": "0567e6e806979c6329732791cb3cb2efdaad98d81cd267b48e5dd4acf1bb1907",
        "result": "pass",
        "checks": {
          "documentLanguage": true,
          "documentTitle": true,
          "singleMain": true,
          "singleH1": true,
          "headingOrder": true,
          "uniqueIds": true,
          "fragmentTargets": true,
          "tableSemantics": true,
          "imageAlternatives": true,
          "keyboardReachability": true,
          "accessibilityTree": true,
          "accessibleNames": true,
          "runtimeErrors": true
        }
      },
      {
        "sha256": "9690edd30b79f39be0a922f99d22d16947c2e9c8fa58d6128edabcde572bee01",
        "result": "pass",
        "checks": {
          "documentLanguage": true,
          "documentTitle": true,
          "singleMain": true,
          "singleH1": true,
          "headingOrder": true,
          "uniqueIds": true,
          "fragmentTargets": true,
          "tableSemantics": true,
          "imageAlternatives": true,
          "keyboardReachability": true,
          "accessibilityTree": true,
          "accessibleNames": true,
          "runtimeErrors": true
        }
      }
    ],
    "limits": [
      "This automated audit does not claim exhaustive conformance across every screen reader, browser, operating system, zoom level, or reader comprehension context.",
      "A passing audit does not change the evidence, clinical inference, peer-review, or version-of-record status of the underlying research objects."
    ]
  }
}
