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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 explicitly describe the representativeness of the exposed cohort in terms of being truly representative of the average exposed person in the community, somewhat representative, or a selected group. There is no mention of how the exposed cohort was derived or selected from a defined population, clinic, hospital, or specific patient group. The study focuses on monitoring AMR in aquaculture settings and surrounding marine environments but does not provide details on the representativeness of the exposed cohort.
no star awarded
S2: How was the non-exposed cohort selected?
cs_s2
The document does not explicitly describe how the non-exposed cohort was selected. While it mentions sampling sites and different 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 (AMR determinants in coastal waters and aquaculture systems) was ascertained. There is no mention of secure records, structured interviews, questionnaires, or any validation of exposure measurement methods.
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 explicitly confirm the absence of the outcome at the start.
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. The NOS requires explicit documentation of confounder control for this criterion.
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 methods (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 the methodology section.
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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