Contemporary Standards Research Articles

Introduction: Degrowth and Education – Expectations for an Anxious Future

Degrowth, often perceived as retrograde by contemporary standards, presents innovative alternatives by fundamentally breaking with the growth-centric paradigm dominating society and the economy. Rather than pursuing endless economic expansion, degrowth emphasizes quality of life through fair distribution, care, community, and autonomy. It advocates reducing overconsumption of energy and resources, especially in Western countries, aiming to balance the economy with planetary limits. While there is no unified degrowth theory, common values include consuming less, growing one’s own food, and repurposing existing structures. This special issue explores the implications of degrowth in education, driven by considerations of social justice, and existential wellbeing for learners and educators alike. The papers here do not blindly advocate degrowth, or merely deconstruct the concept of growth to replace it with another fixed model. Instead, they seek to foster open-ended exploration and criticism. The aim is to challenge the entrenched systems of growth, and promote a more inclusive, generous, and sustainable society, with particular focus on the role of education in this transformation.

Why Cosmetic Surgery is Prevalent in Korea: A Perspective Grounded in Basic Values.

The aim of this review is to explore the reasons behind the prevalence of cosmetic surgery in Korea from the viewpoint of "basic values." In societies characterized by high levels of prejudice, the hierarchy of values from highest to lowest is as follows: (1) political, (2) economic, (3) religious, (4) social, (5) theoretical, and (6) aesthetic. Conversely, in societies with low levels of prejudice, the ranking of values from highest to lowest is: (1) aesthetic, (2) social, (3) religious, (4) theoretical, (5) economic, and (6) political. In mature societies, higher levels of stability, cultural development, emphasis on quality of life, and greater tolerance and openness drive the appreciation of aesthetic values. As Korea's economy has developed and basic needs have been met, there has been an increasing emphasis on aesthetic values, including beauty standards and self-presentation. This trend is evident in the flourishing Korean beauty industries (K-beauty). There is a growing societal focus on physical appearance, fashion, and plastic surgery, which has become normalized in certain aspects of Korean culture. Rapid modernization, shifting social norms, competitive pressures, and evolving interpretations of traditional values have normalized and even popularized cosmetic surgery in Korean society. The combination of cultural expectations, advanced medical care, and social factors has positioned South Korea as a world leader in cosmetic surgery, despite its relatively small population. To keep pace with the rapidly evolving aesthetic values of Korean society, plastic surgeons must align with contemporary beauty standards, thoroughly understand surgical anatomy, and strive to minimize patient dissatisfaction.

Empagliflozin to prevent worsening of left ventricular volumes and systolic function after myocardial infarction (EMPRESS-MI).

Patients with a reduced left ventricular ejection fraction (LVEF) following an acute myocardial infarction (MI) are considered to be at risk of progressive adverse cardiac remodelling which can lead to the development of heart failure and death. The early addition of a sodium-glucose cotransporter 2 (SGLT2) inhibitor to standard treatment may delay or prevent progressive adverse remodelling in these patients. We performed a randomized, double-blind, placebo-controlled, multicentre trial using cardiovascular magnetic resonance imaging (MRI), in patients with left ventricular systolic dysfunction following MI. Eligible patients were those ≥12 h and ≤14 days following acute MI, with an LVEF <45% by MRI. Patients were randomized to empagliflozin 10 mg once a day or matching placebo. The primary outcome was the change in left ventricular end-systolic volume indexed to body surface area (LVESVI) from baseline to 24 weeks. Secondary outcomes included measures of left ventricular and atrial volumes, left ventricular mass, LVEF, and high-sensitivity troponin I (hs-TnI) and N-terminal prohormone of B-type natriuretic peptide (NT-proBNP) concentrations. From October 2022 to January 2024, 105 eligible patients were randomized. The mean age was 63 ± 11 years and 90 (87%) were male. The mean LVEF was 34.8 ± 6.0%. In the placebo group, LVESVI decreased by 7.8 ± 16.3 ml/m2, left ventricular end-diastolic volume index (LVEDVI) did not change (-0.3 ± 18.7 ml/m2) and LVEF increased by 8.5 ± 7.4% at 24 weeks from baseline. Empagliflozin did not affect the change in LVESVI from baseline to 24 weeks (between-group difference = 0.3 ml/m2, 95% confidence interval -5.2 to 5.8; p = 0.92). Compared with placebo, empagliflozin also had no effect on LVEDVI, LVEF, left atrial volume index, left ventricular mass index, NT-proBNP, or hs-TnI, but did increase haematocrit and reduced uric acid and weight. In patients with left ventricular systolic dysfunction after an acute MI receiving contemporary standard of care, treatment with empagliflozin had no effect on cardiac volumes or LVEF compared with placebo. Progressive adverse cardiac remodelling did not occur in the majority of patients.

Evolución histórica de la catalogación a través del tiempo

The article examines the evolution of cataloging from ancient Sumerian tablets to current standards in the contemporary digital age. The relevance of structuring and classifying knowledge is highlighted in order to expide access and retrieval of information optimally. The milestones and key figures that have shaped the organization of knowledge over the centuries are analyzed, as well as the theoretical and practical currents that have influenced the development of cataloging regulations. The continuous evolution of cataloging procedures is highlighted, from the first book inventories to the adoption of contemporary standards such as RDA and conceptual models such as FRBR and FRAD. Likewise, the incorporation of technological advances such as the MARC 21 format and the implementation of linked data are mentioned, which have expanded search and discovery capabilities. The article emphasizes the importance of standardization and the processing of information in today's digital world.

International Society on Thrombosis and Haemostasis Clinical Practice Guideline for Treatment of Congenital Haemophilia-A Critical Appraisal.

Evidence-based clinical practice guidelines drive optimal patient care and facilitate access to high-quality treatment. Creating guidelines for rare diseases such as haemophilia, where evidence does not often come from randomized controlled trials but from non-randomized and well-designed observational studies and real-world data, is challenging. The methodology used for assessing available evidence should consider this critical fact. In formulating guidelines, it is essential to include treatment goals and patient preference. This paper comprehensively critiques, against this background, the recommendations of the ISTH clinical practice guidelines for the treatment of haemophilia. Each recommendation was critically reviewed against available evidence as well as existing guidelines and commented upon for its scientific validity, impact on clinical practice and access to care globally. The validity of the way in which the GRADE methodology was applied to existing evidence was also assessed. The critique provided shows that these recommendations have major limitations: they did not state treatment goals and contradict existing guidelines; opportunities for providing access to innovation were missed when the therapeutic benefits of the products approved in the last decades were not included. A major reason for this is the inappropriate adoption of the GRADE methodology without adaptations and without considering treatment goals and patient-relevant outcomes. These recommendations may mislead healthcare professionals, payers and governments and therefore cannot serve the patient community well. They setback the advances made in haemophilia care because they overlook important available evidence and do not guide clinical practice to contemporary standards.

Sustainable development in the renovation of historical buildings: the example of the Panoffs' Mansion in Wuhan

This study examines the energy-efficient transformation of Panoffs’ Mansion in Wuhan, integrating sustainability into urban renewal while preserving historical integrity. Through a qualitative methodology, the research employs field observations, literature reviews, and case studies. It explores how adaptive reuse of heritage structures can meet contemporary energy standards and urban demands, balancing preservation with modernization. This approach illuminates the potential of sustainable practices in revitalizing historical buildings, promoting a model for low-carbon urban development.

Проблема дуального характеру логіки (історико-логічний екскурс)

This paper argued that interpreting logic solely as a formal discipline is unjustified, as this science has always included a significant informal component related to its application in argumentative discourse. The Aristotelian paradigm, based on the subject-predicate approach to the logical-philosophical analysis of language, has influenced the history of logic significantly. The functional analysis of language introduced by Gottlob Frege marked a shift to the modern logical paradigm. This led to the rise of symbolic logic, disrupting the established balance between the formal and informal components of logical knowledge for a time. The application of the latest analytical methods in informal logic has enabled research in this field to meet contemporary scientific standards. This development helps restore the balance between the formal and informal aspects of general logic.

Mycotic aneurysms due to Burkholderia pseudomallei in Far North Queensland, tropical Australia: A case series and review of the literature

Since 2019, Burkholderia pseudomallei has been the most common cause of mycotic aneurysm at Cairns Hospital in tropical Australia. Among 233 culture-confirmed cases of melioidosis since this time, 8 (3.4 %) were diagnosed with a mycotic aneurysm. All 8 patients had at least 1 risk factor for melioidosis, all 8 had either established vascular disease (or risk factors for it) and all 8 presented during the local wet season or shortly thereafter. Although the patients were managed in a well-resourced, high-volume melioidosis centre, the diagnosis of mycotic aneurysm was frequently delayed. The patients had a turbulent course: 6/8 (75 %) required intensive care unit admission and 7/8 (88 %) required surgical intervention. While all 8 patients survived to hospital discharge, 2 (25 %) ultimately died as a result of their B. pseudomallei infection, a high case-fatality rate by contemporary Australian standards. Adverse drug reactions were documented in 4/7 (57 %) who commenced oral trimethoprim-sulfamethoxazole (TMP-SMX) eradication therapy; an additional 2 patients were unable to adhere to their prescribed TMP-SMX, one of whom died from relapsed melioidosis. Mycotic aneurysm is an infrequent manifestation of B. pseudomallei infection, is challenging to diagnose and has a high attributable mortality. The diagnosis should be considered in older patients who reside in, or who have travelled to, endemic areas and who present with fever and abdominal or back pain and who have risk factors for melioidosis and vascular disease. Early, comprehensive imaging, thorough microbiological evaluation, prompt vascular surgery review, targeted antimicrobial therapy, close longitudinal follow-up and strategies to ensure patients’ retention in care are crucial to achieve optimal outcomes.

A Qualitative Cohort Analysis of Older Women in Alcoholics Anonymous (AA)

ABSTRACT This qualitative analysis looks at older women in recovery as members of Alcoholics Anonymous (AA). Eleven women’s stories, taken together, encompass a white, middle-class, suburban American experience with adverse childhood events, alcohol use disorder (AUD), and membership in a women’s group of AA. Analysis focuses on the uniqueness of gender and generation (age) recognizing that this sample of women came of age at the cusp of the second wave of the feminist movement, and while considered privileged by contemporary standards, their personal narratives reflect gender-based trauma and an appreciation for a gendered approach toward recovery. Individual stories recount childhood experiences that further deepen the analysis and bring forth more intimate issues of psychological trauma and victimization in addition to their alcohol use disorder (AUD). In response, the final focus on their recovery stories includes insightful references to personal healing as contextualized by working the 12-steps of AA and by developing meaningful relationships with other women in recovery.

Improving the quality of postgraduate training in educational science and teacher training in Viet Nam

Introduction. Higher education plays a pivotal role in addressing the demands of socio-economic development and aligning with the needs of the labor market. To achieve this strategic objective, higher education institutions in Vietnam are redefining their pedagogical approaches, curriculum frameworks, and professional development initiatives. In response, some universities in the Mekong Delta region have introduced more postgraduate training programs in educational science and teacher training. However, these initiatives face challenges that impede their effectiveness. A significant gap exists between actual needs and the prevailing conditions necessary to ensure the quality of these training programs. This study aims to evaluate the effectiveness of quality assurance measures in these programs and highlight key areas for improvement to better align with contemporary educational standards. Materials and Methods. This research employs a convenience sample consisting of 235 participants, comprising managers such as presidents, vice presidents, principals, vice principals, deans, vice deans, and department heads, as well as lecturers from 8 universities offering educational science and teacher training programs in the Mekong Delta region of Vietnam. Notably, approximately 45% of the participants are female. Furthermore, nearly all participants, both managers and lecturers, hold doctoral degrees. Participants completed a comprehensive survey assessing various aspects of postgraduate training. The assessment used a Likert scale with 38 observed variables to quantify perceptions of quality across different facets of the educational experience. Results. Our result showed that there are 8 universities offer programs in educational sciences and teacher training. Postgraduate programs: 19 master's majors across 4 universities and only 4 doctoral majors across 3 universities; Teaching staff: the region has 2 professors, 39 associate professors, and 217 PhDs involved in training. Despite these efforts, challenges remain due to the limited number of postgraduate programs available. Evaluation of postgraduate training quality in the Mekong Delta region highlights areas of strength and opportunities for improvement. Key findings from 136 lecturers and 99 managers include: a) quality of teaching staff: average rating around 2.8 to 2.9, indicating room for improvement; b) research capacity: average rating around 2.7 to 2.8, highlighting the need for enhanced research initiatives; c) facilities and resources: rated positively with averages around 3.5 to 3.6; e) areas of concern: collaboration on scientific research and document compilation received lower ratings (2.2 to 2.4), indicating immediate need for improvement. Conclusion. The study underscores the necessity for continuous development in postgraduate training programs within the Mekong Delta's educational institutions, Vietnam. It recommends the adoption of integrated strategies that encompass upgrading faculty skills, revising curricula to include contemporary educational needs, and bolstering infrastructural and administrative support to foster a conducive learning environment. These enhancements are vital for preparing educators who are capable of navigating the complexities of modern educational demands and contributing effectively to the region's educational advancements.

Termination of Prosecution Based on Restorative Justice in Indonesia it is Associated with the Renewal Criminal Law

Criminal acts arise from various aspects of human activity, including the political, social and economic spheres. The success of law enforcement is traditionally measured by the ability to bring criminals to justice and impose appropriate penalties. However, in certain minor cases, such as theft, embezzlement, and fraud with minimal losses, the public questions the need for prosecution, as they believe that prosecution does not match the seriousness of the offense. The purpose of this study is to analyze the implications and effectiveness of prosecution discontinuation based on restorative justice in the Indonesian legal framework. Using a qualitative research approach, this study examines the regulatory structure and practical application of restorative justice in Indonesia. Data was collected through document analysis and interviews with legal practitioners to explore alignment of regulations with legal principles and community expectations. The research findings show that, although restorative justice offers a viable avenue to achieve peace between offenders and victims, its implementation in Indonesia is still limited, as it is not yet embedded in the broader criminal law system. Currently, peace agreements between the parties are only considered as a mitigating factor in the sentencing process. This research suggests that stronger legal legitimacy for restorative justice, such as the inclusion of restorative justice into the Draft Criminal Procedure Code is essential to adapt to the evolving legal culture and public expectations. The implications of this research highlight the need for comprehensive criminal law reform to ensure justice that aligns with societal values and contemporary legal standards.

Protecting children in criminal justice: a comparative analysis of legal frameworks and best practices

The article examines the evolution of criminal law protections for minors. Focusing on Central and Eastern Europe, with implications for Azerbaijan, it highlights the impact of historical trends, including the socialist era, on legal frameworks and policies for juvenile offenders and victims. Main purpose of the paper is to analyze the historical and modern mechanisms of protecting minors' rights within the criminal justice system, with an emphasis on aligning national practices with international legal standards. The object of the article is the system of criminal law protection for minors in Central and Eastern European countries, including Azerbaijan. The subject of the article is legal norms, historical trends, and practical measures influencing the protection of juvenile offenders and victims in the criminal justice system. Key findings include: 1. Historical and Ideological Influences: The Soviet era shaped a shared ideological approach to juvenile justice, emphasizing parental rights and educational methods. Political changes often necessitated stricter policies and revisions to address societal challenges. 2. International Legal Standards: Modern international norms have introduced alternative sanctions and public measures to improve juvenile justice systems, promoting alignment with best European practices. 3. Azerbaijan's Integration: As a former socialist state, Azerbaijan can benefit from examining shared historical trends while adhering to contemporary international legal standards to enhance minors' rights protections and integrate into the global legal community. The study employs comparative legal, historical legal, policy analysis, and case study methods to assess the effectiveness of legal frameworks and the practical application of juvenile rights protections.

Plastic Surgeons and Portraits Before the Invention of Photography.

The aim of this paper is to review portraits from the Renaissance to the Romantic eras, created before the invention of photography, and to discuss their usefulness to plastic surgeons. Before photography and film were invented, portraits played a critical role in documenting individuals, conveying power, and immortalizing people's appearance and identity. Portraits were not merely simple representations of a person's physical appearance; they played a crucial role in conveying the subject's inner qualities and social position, as well as the cultural values of the era. Artists often idealized or embellished certain features to align with the cultural and aesthetic ideals of their time. Portraits of the Renaissance to Romantic eras could have a significant impact on plastic surgeons' understanding of beauty and aesthetics. A plastic surgeon drawing on Renaissance ideals might prioritize symmetry and balanced facial features, which continue to be regarded as attractive in contemporary beauty standards. Beauty standards during these times favored curvaceous and lively figures, potentially inspiring modern plastic surgeons to focus on creating more dramatic or unique appearances. A plastic surgeon inspired by Romantic art might value uniqueness and avoid rigid beauty standards, focusing instead on enhancing a person's natural traits rather than conforming to a singular "ideal" appearance. Plastic surgeons could gain a richer, more classical perspective on aesthetics by studying historical art, potentially leading to more personalized and balanced outcomes. However, integrating these classical ideals into modern practice must also consider the diverse and varying definitions of beauty prevalent in today's multicultural society.

Bridge Structural Design Simulation: Case Study of Nongsa Pura Bridge

The influence of various components, including the deck, girders, trusses, cables, and other structural elements, plays a significant role in determining the long-term stability and service life of bridges. With the increasing demands of traffic loads, environmental factors, and material degradation, it is crucial to reassess and enhance the existing calculations for bridge superstructure designs. This paper aims to redesign and reanalyze the superstructure of the Nongsa Pura Bridge by using secondary data for calculations. The results of this study include updated design specifications, specifically WF 500x200x10x16 and WF 800x300x14x22 structural profiles. The research methodology involves a detailed re-evaluation of the bridge's structural elements, focusing on adapting to contemporary standards and ensuring the bridge’s resilience to evolving demands.

Frances Duberly: a failed Crimean heroine?

ABSTRACT Frances Duberly aimed to address a nation enraptured by the Crimean War (1853–1856) in her 1855 Journal Kept During the Russian War. Travelling with her officer husband and living amongst the army for two years, she wrote as a self-professed authority on the conflict and constructed herself as a ‘Crimean heroine’. Duberly attempted to secure her own sense of belonging, which existed in tension with many contemporary social standards, by presenting the publication of her Journal as a patriotic act and constructing herself in terms of an extension of the soldiers’ heroism. However, that patriotic display proved fragile and problematic in the face of a competing narrative of feminine heroism, constructed around Florence Nightingale, which dominated the public consciousness.

Functions for noise reduction in acoustic standards: evaluating reverberation time, mean absorption coefficient, and a novel approach

Contemporary European acoustic standards utilize dimensioning functions based on either reverberation time or mean absorption coefficient. For spaces with the primary goal of noise reduction, achieving consistent overall sound pressure level (SPL) reduction, regardless of room sizes and shapes is evidently desirable. The conditions under which reverberation time and mean absorption coefficient approaches align with the objective of consistent SPL reduction are analyzed. Generally, both approaches fall short of achieving consistency in case of varying ground surface or room shape, i.e. length, width and height relations. Additionally, in large rooms, constant or room height-dependent reverberation time functions may lead to extensive absorption areas, complicating the installation of acoustical treatments and degrading their economic efficiency. A novel dimensioning function, providing consistent SPL reduction independently of room size and shape, is derived based on diffuse field theory. The novel function is multiplied by a linear function of room height and length, to alleviate accuracy limitations of diffuse field theory in case of varying room shapes. Finally, simulations systematically varying room sizes and shapes demonstrate that the novel dimensioning function significantly outperforms existing approaches in achieving consistent SPL reduction.

Men's skincare trends: Korean wave hyperreality media men's beauty standards

The desire for a white and smooth face is not only a woman's need, but has become a man's need as well. This new phenomenon is influenced by the globalization of the Korean wave, which has created contemporary cultural standards. Such as the increased need for facial skin care products among men. Therefore, this paper discusses how the development of the Korean Wave affects men's skincare needs that are provided through Instagram. It even leads to the emergence of a new hyperreality that replaces the previous cultural standard. Hyperreality is the result of postmodernism, which makes the role of media a source of new human needs. The preparation of this paper is through the netnography method and literature review. The netnography method itself is a development of ethnography that uses Internet media to find information and connect with informants. Netnography helps research to examine social phenomena that appear in the Internet world, and has special methods in interviewing and validating information data obtained from Internet media. This paper shows that Somethinc's local product is a symbol of hyperreality that shifts the special needs of one gender to a common need raised by the globalization of the Korean Wave at this time. The new standards of life brought by the media show that the media has penetrated human life. It has even become a new standard or a standard for the continuation of life.

A Machine Learning Approach for Predicting Biochemical Outcome After PSMA-PET-Guided Salvage Radiotherapy in Recurrent Prostate Cancer After Radical Prostatectomy: Retrospective Study.

Salvage radiation therapy (sRT) is often the sole curative option in patients with biochemical recurrence after radical prostatectomy. After sRT, we developed and validated a nomogram to predict freedom from biochemical failure. This study aims to evaluate prostate-specific membrane antigen-positron emission tomography (PSMA-PET)-based sRT efficacy for postprostatectomy prostate-specific antigen (PSA) persistence or recurrence. Objectives include developing a random survival forest (RSF) model for predicting biochemical failure, comparing it with a Cox model, and assessing predictive accuracy over time. Multinational cohort data will validate the model's performance, aiming to improve clinical management of recurrent prostate cancer. This multicenter retrospective study collected data from 13 medical facilities across 5 countries: Germany, Cyprus, Australia, Italy, and Switzerland. A total of 1029 patients who underwent sRT following PSMA-PET-based assessment for PSA persistence or recurrence were included. Patients were treated between July 2013 and June 2020, with clinical decisions guided by PSMA-PET results and contemporary standards. The primary end point was freedom from biochemical failure, defined as 2 consecutive PSA rises >0.2 ng/mL after treatment. Data were divided into training (708 patients), testing (271 patients), and external validation (50 patients) sets for machine learning algorithm development and validation. RSF models were used, with 1000 trees per model, optimizing predictive performance using the Harrell concordance index and Brier score. Statistical analysis used R Statistical Software (R Foundation for Statistical Computing), and ethical approval was obtained from participating institutions. Baseline characteristics of 1029 patients undergoing sRT PSMA-PET-based assessment were analyzed. The median age at sRT was 70 (IQR 64-74) years. PSMA-PET scans revealed local recurrences in 43.9% (430/979) and nodal recurrences in 27.2% (266/979) of patients. Treatment included dose-escalated sRT to pelvic lymphatics in 35.6% (349/979) of cases. The external outlier validation set showed distinct features, including higher rates of positive lymph nodes (47/50, 94% vs 266/979, 27.2% in the learning cohort) and lower delivered sRT doses (<66 Gy in 57/979, 5.8% vs 46/50, 92% of patients; P<.001). The RSF model, validated internally and externally, demonstrated robust predictive performance (Harrell C-index range: 0.54-0.91) across training and validation datasets, outperforming a previously published nomogram. The developed RSF model demonstrates enhanced predictive accuracy, potentially improving patient outcomes and assisting clinicians in making treatment decisions.

The Influence of a New Geopolitical Environment on the Peace and Security of the Western Balkans

Trends in the EU and NATO are certainly a part of global international efforts and communications along with being integral parts of the actions of those progressive forces that strive towards global peace, security, and social progress. Therefore, European trends cannot be taken out of the global context of international relationships or any other efforts to make positive changes in the world. The countries of the Western Balkans are faced with important political, economic, and security challenges, and should support one another in the process of their accessions to the EU and NATO and create the necessary conditions for the development of a better European defense and security relevant as regards the security interests of NATO. As part of democracy and humanity, their friends should help in the building of a safer geopolitical environment. In the search of a better solution, it is recommended to focus on the values and goals of all citizens and peoples of the Western Balkans. This primarily includes dignified living in a modern, prosperous, and democratic country. A country of this kind in the Western Balkans can exist only by being fully integrated in the European and global organisations and by respecting contemporary global standards. The future of the countries of the Western Balkans cannot rely on negative, narrow-minded concepts or approaches. Their future should be founded on universal human values. And not only the future of the Western Balkans, but the entire region where it is situated. All of us should understand that happiness and prosperity of one people in this region should not be built upon the misfortune of others.

A new patient-reported outcome measure for the evaluation of ankle instability: description of the development process and validation protocol

BackgroundAcute ankle sprains represent one of the most common traumatic injuries to the musculoskeletal system. Many individuals with these injuries experience unresolved symptoms such as instability and recurrent sprains, leading to chronic ankle instability (CAI), which affects their ability to maintain an active lifestyle. While rehabilitation programs focusing on sensorimotor, neuromuscular, strength and balance training are primary treatments, some patients require surgery when rehabilitation fails. A critical analysis of the patient-reported outcome tools (PROs) used to assess CAI surgical outcomes raises some concerns about their measurement properties in CAI patients, which may ultimately affect the quality of evidence supporting current surgical practice. The aim of this research is to develop and validate a new PRO for the assessment of ankle instability and CAI treatment outcomes, following recent methodological guidelines, with the implicit aim of contributing to the generation of scientifically meaningful evidence for clinical practice in patients with ankle instability.MethodsFollowing the COnsensus-based Standards for the selection of Health Measurement Instruments (COSMIN), an Ankle Instability Treatment Index (AITI) will be developed and validated. The process begins with qualitative research based on face‒to‒face interviews with CAI individuals to explore the subjective experience of living with ankle instability. The data from the interviews will be coded following an inductive approach and used to develop the AITI content. The preliminary version of the scale will be refined through an additional round of face‒to‒face interviews with a new set of CAI subjects to define the AITI content coverage, relevance and clarity. Once content validity has been examined, the AITI will be subjected to quantitative analysis of different measurement properties: construct validity, reliability and responsiveness.DiscussionThe development of AITI aims to address the limitations of existing instruments for evaluating surgical outcomes in patients with CAI. By incorporating patient input and adhering to contemporary standards for validity and reliability, this tool seeks to provide a reliable and meaningful assessment of treatment effects.Trial registrationNot applicable.