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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 sufficient information about how the exposed cohort was selected or whether it is representative of the average exposed person in the community. While the study describes the sampling sites and methods, it does not explicitly state whether the cohort is representative of a defined population or community.
no star awarded
S2: How was the non-exposed cohort selected?
cs_s2
The document does not explicitly describe the selection or derivation of the non-exposed cohort. While it mentions sampling at various sites including aquaculture farms and surrounding marine environments, there is no clear statement indicating 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 how exposure was determined or measured in the cohort.
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 a monitoring program, 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 controlling for confounders between cohorts. While the study describes different aquaculture settings (open cage farming vs. recirculating aquaculture system) and mentions environmental variables measured, there is no discussion of how cohorts were made comparable through design or analysis to control for potential confounders.
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) risks. While it mentions various analytical techniques (e.g., PCR for ARGs, MAR index for ARB), there is no clear statement about whether outcome assessors were independent/blinded, whether record linkage was used, or whether self-report was validated. The absence of explicit methodological details about outcome assessment prevents awarding a star for this criterion.
no star awarded
O2: Was the follow-up long enough for outcomes to occur?
cs_o2
The study explicitly states a 1-year follow-up period for monitoring antimicrobial resistance (AMR) in coastal waters and aquaculture systems, which is clearly sufficient for the outcome of interest (AMR development and propagation) to occur. The duration is explicitly mentioned in both the abstract and methodology sections.
star awarded
O3: Was the follow-up adequate (i.e., completeness)?
cs_o3
The document does not provide any explicit information about follow-up completeness, loss to follow-up rates, or descriptions of subjects lost to follow-up. Without this critical information, we cannot assess whether follow-up was adequate according to NOS criteria.
no star awarded
Assessment Summary
8
Total Criteria
1
Criteria Met
7
Issues Found
12.5%
Quality Score

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