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Quality Assessment Results

test.pdf

Status: Completed
Document Type: Cohort Study
Assessment Tool: Newcastle-Ottawa Scale (NOS) for Cohort Studies
Assessment completed!
8/8
Next check in: 5 seconds
12.5%
Overall Quality Score
1/8 criteria met

Assessment Details

Assessment Criterion AI Analysis AI Judgment Issues
S1: How representative was the exposed cohort?
cs_s1
The document does not provide explicit information about how the exposed cohort was selected or whether it is representative of the average exposed person in the community. The study focuses on monitoring AMR in aquaculture settings and surrounding marine environments but does not describe the representativeness of the exposed cohort in terms of community exposure.
no star awarded
S2: How was the non-exposed cohort selected?
cs_s2
The document does not explicitly describe the selection method for the non-exposed cohort. While it mentions sampling sites and aquaculture settings, there is no clear statement about whether the non-exposed cohort was drawn from the same community as the exposed cohort or from a different source.
no star awarded
S3: How was exposure ascertained?
cs_s3
The document does not explicitly describe how exposure (antimicrobial resistance risks) was ascertained. There is no mention of secure records, structured interviews, questionnaires, or any validation methods for exposure ascertainment. The methodology section focuses on sample collection and laboratory analysis but does not address exposure measurement procedures.
no star awarded
S4: Was the outcome of interest not present at the start of the study?
cs_s4
The document does not explicitly state whether the outcome of interest (antimicrobial resistance risks) was present at the start of the study. While the study describes a year-long monitoring program to evaluate AMR in aquaculture settings and surrounding marine environments, there is no clear indication that the outcome was absent at baseline. The study design is described as monitoring, but it does not specify whether this was a prospective cohort study with incident cases or if it included prevalent cases at baseline.
no star awarded
C1: Were the cohorts comparable on the basis of design or analysis, controlling for confounders?
cs_c1
The provided text does not contain any explicit information about how cohorts were controlled for confounders in the design or analysis. There is no mention of statistical adjustments, matching procedures, or any other methods to ensure comparability between cohorts. The study focuses on describing the sampling methodology and environmental measurements but does not address confounder control for cohort comparability.
no star awarded
O1: How was the outcome assessed?
cs_o1
The document does not explicitly describe the method of outcome assessment for antimicrobial resistance (AMR) determinants (ARB, ARGs, AB). There is no mention of independent blind assessment, record linkage, or validation of self-report methods. The methodology section focuses on sample collection and laboratory procedures but does not specify how outcomes were assessed in terms of bias prevention.
no star awarded
O2: Was the follow-up long enough for outcomes to occur?
cs_o2
The study explicitly states a year-long monitoring program was implemented, which is clearly sufficient duration for assessing antimicrobial resistance (AMR) outcomes in coastal waters and aquaculture systems. The follow-up duration is both clearly stated and appropriate for the outcome of interest.
star awarded
O3: Was the follow-up adequate (i.e., completeness)?
cs_o3
The document provides no explicit information about follow-up completeness, loss to follow-up rates, or descriptions of subjects lost to follow-up. Without any mention of these critical elements, we cannot determine if follow-up was adequate or if losses could introduce bias.
no star awarded
Assessment Summary
8
Total Criteria
1
Criteria Met
7
Issues Found
12.5%
Quality Score

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