Search

Additional file 2: Supplemental Table2a. Multiple logistic regression between oral number of teeth, and frailty after removing the worst frailty status in different models, Supplemental Table2b: Multiple logistic regression between oral teeth categories, and frailty after removing the worst frailty status in different models.

Additional file 1: Supplementary Table 1. Variables in The 32-Item Frailty Index and Their Respective Scorings.

Jiamin Li,1 Qiuwen Zhang,2 Xinjuan Wu,1 Dong Pang2 1Department of Nursing, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, People’s Republic of China; 2School of Nursing, Health Science Center for Evidence-Based Nursing, Peking University, Beijing, People’s Republic of ChinaCorrespondence: Xinjuan Wu; Dong Pang, Email wuxinjuan@sina.com; pangdong@bjmu.edu.cnAim: To systematically search ostomy clinical practice guidelines, critically assess their quality and clinical applicability of recommendations, and summarize the recommendations.Design: Systematic review.Data Sources: The PubMed, ProQuest and CINAHL databases, eight guideline databases, and three ostomy institution websites were searched on September 3, 2021.Review Methods: Appraisal of Guidelines for Research and Evaluation II (AGREE II) and AGREE Recommendation EXcellence (AGREE-REX) were used to assess the guideline.Results: The initial search identified 1475 documents. Of these, 27 full-text documents were reviewed. Finally, 10 guidelines were included. Among these, the 2019 Registered Nurses’ Association of Ontario (RNAO) guidelines had the highest total scores using AGREE II and AGREE-REX. The 2019 National Institute for Health and Care Excellence (NICE) and 2018 European Hernia Society (EHS) were also ranked as high-quality and evaluated as “recommended.” The median of the “applicability” domain was the lowest (45%) among the six AGREE II domains. The median of the “values and preferences” domain was the lowest (38%) among the three AGREE-REX domains. In total, 172 recommendations were summarized and parastomal hernia received the most attention among the recommendations.Conclusion: The quality of the 10 clinical practice guidelines varied widely. The three identified high-quality guidelines might be appropriate first choices in daily ostomy care and management practice and can be tailored to the local context. Ostomy guidelines require further improvement in the “applicability” and “values and preferences” domains.No Patient or Public Contribution: This review only searched and evaluated relevant documents, so such details do not apply to this review.Keywords: clinical practice guidelines, ostomy, quality appraisal, clinical applicability, systematic review

Additional file 3: Supplement Fig. 3. Graph of sensitivity analysis.

Additional file 2: Supplement Fig. 2. Publication bias was reported using the funnel graph.

Additional file 1: Supplemental Table1. Multivariable linear regression analysis of the association between handgrip strength and the depression score in different adjusted models.

Additional file 1: Supplement Fig. 1. Publication bias was reported using the Begg test.

In this study, the long-term effects of different salinities on the performance, sludge morphology and shifts in microbial communities were studied in a simultaneous anammox and denitrification (SAD) process at a C/N ratio of 0.5. Stable nitrogen removal efficiencies of 86.96 and 84.58% and nitrogen removal rates of 0.95 and 0.93 kg (m 3 d) −1 could be achieved under low (25 mmol l −1 ) and moderate (50 mmol l −1 ) salinity, respectively. However, the performance collapsed when the system was exposed to high salinity (100 mmol l −1 ). The content of extracellular polymeric substances increased as salinity increased, which resulted in larger sizes of granular sludge under low and moderate salinities. Nevertheless, high salinity shock disintegrated granular sludge, thereby decreasing the average granule size. The Illumina-Miseq sequencing results revealed that Candidatus Jettenia was the sole salinity-tolerant AnAOB genus during the entire operation, whereas the main denitrification bacterial genera shifted from Denitrisoma under low salinity to Denitrisoma , Thauera and Ignavibacterium under high salinity. The results of this study provide a comprehensive and practical evaluation of the SAD process for organic nitrogen-rich saline wastewater treatment.