{
  "schema_version": "chamgap-public-evidence-check-1.0",
  "public_id": "v2988-s0",
  "verdict_number": "2988",
  "title": "Dark chocolate × small-letter contrast sensitivity about two hours later",
  "view_version": "1.0",
  "view_created_date": "2026-10-16",
  "criteria_version": "1.0",
  "criteria_date": "2026-10-06",
  "review_date": null,
  "legacy_evidence_date": "2026-09-07",
  "review_scope": {
    "materials_read": "Existing review summaries and stored records of methodological application",
    "clinical_papers_directly_read": false,
    "new_clinical_search": false,
    "limitation": "The whole stored parent-verdict summary and selected subclaim were read for production. External papers, abstracts, full texts, registry, protocol, SAP and funding disclosures were not separately read or accessed. Historical review records are not inherited as current clinical verification or a new verdict.",
    "date_meaning": "This is the date the stored materials were checked, not the date of a new search of the clinical literature."
  },
  "claim_context": {
    "population": "30 adults without eye disease; the parent describes healthy young adults. Exact age, eligibility, baseline vision, session/outcome-specific completion and eye-level denominators are unverified. People, eyes, conditions and repeated measurements are not added as new participants.",
    "intervention": "A single serving of the tested high-cacao, high-flavanol dark chocolate is compared with milk chocolate. Product name, exact amount, matching of flavanols/other ingredients and actual exposure are unverified. Cacao percentage alone does not guarantee the same exposure.",
    "dose": "Only the single-serving research exposure is preserved. Exact amount, product and adherence are unverified; no amount/ingredient/calorie conversions or ingestion, product, eye-health or treatment instructions are created.",
    "comparator": "The active control is milk chocolate consumed by the same people in separate sessions. It is not converted into no-ingestion, placebo, other-food or isolated-flavanol effects; sequence, washout, period effects and masking details are unverified.",
    "endpoint": "Small-letter dark 1.45 versus milk 1.30 logCS and mean difference 0.15 (95% CI 0.08 to 0.22, P<.001) are preserved. Large-letter 0.05 logCS/P=.07 null and visual-acuity 0.04 logMAR/P=.05 borderline results are separate endpoints; exact analysis units, model, prespecified hierarchy and clinical importance are unverified.",
    "duration": "Actual testing about 1.75 hours later, about 2 hours in the selected question and within 2 hours in the title are original descriptions of the same acute window. The unmeasured/untested scope for later persistence, repeated ingestion, lasting eyesight and eye health is preserved.",
    "excluded_extensions": [
      "Creating different trials or independent replications from about 1.75 hours, about 2 hours or within 2 hours",
      "Transferring small-letter 1.45/1.30 logCS, difference 0.15/CI 0.08 to 0.22/P<.001 to large letters, visual acuity or long-term eye health",
      "Mixing units, direction or effects of large-letter 0.05 logCS/P=.07 and visual-acuity 0.04 logMAR/P=.05, or calculating new CIs, standardized effects or individual benefits",
      "Using 30 people, eyes, conditions, repeated tests, registration numbers or two sheets as unique-participant/independent-trial totals",
      "Filling unverified tested-product/flavanol amounts from general cacao percentages, general products or isolated-ingredient efficacy",
      "Inheriting parent C54, Good safety, axes or historical checks as a subclaim score, current clinical review or overall safety, or creating ingestion, product, eye-health or treatment instructions"
    ]
  },
  "requirements": [
    {
      "item_id": "N01",
      "question_type": "Evidence condition",
      "question": "What are the selected acute contrast-sensitivity question and original verdict?",
      "needed": "Selected wording, grade and note versus parent/long-term questions",
      "role": "Required",
      "role_reason": "This condition connects Selected wording, grade and note versus parent/long-term questions with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Selected wording, grade and note versus parent/long-term questions must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Absent subclaim score, status and axes are not filled from parent values. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The selected question is “Small-letter contrast sensitivity about two hours after ingestion,” with original grade C and note “Positive difference of 0.15 logCS.” Subclaim score, status and axes are absent; parent C54 and lasting eyesight/eye-health questions are distinguished.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Absent subclaim score, status and axes are not filled from parent values.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Absent subclaim score, status and axes are not filled from parent values."
    },
    {
      "item_id": "N02",
      "question_type": "Evidence condition",
      "question": "What are the actual population and baseline visual conditions?",
      "needed": "Eligibility, age, eye disease, baseline vision and denominators",
      "role": "Required",
      "role_reason": "This condition connects Eligibility, age, eye disease, baseline vision and denominators with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Eligibility, age, eye disease, baseline vision and denominators must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exact age, sex, refraction/correction, baseline contrast sensitivity, recruitment and detailed eligibility are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "S01 includes 30 adults without eye disease; the parent describes healthy young adults. This is not extended to restored eyesight in eye-disease patients or other ages.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exact age, sex, refraction/correction, baseline contrast sensitivity, recruitment and detailed eligibility are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exact age, sex, refraction/correction, baseline contrast sensitivity, recruitment and detailed eligibility are unverified."
    },
    {
      "item_id": "N03",
      "question_type": "Evidence condition",
      "question": "Has the tested dark chocolate's identity been verified?",
      "needed": "Product, ingredients, amount and single research exposure",
      "role": "Required",
      "role_reason": "This condition connects Product, ingredients, amount and single research exposure with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Product, ingredients, amount and single research exposure must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Product name, exact amount, composition/flavanol content and actual adherence are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original text records a single serving of high-cacao, high-flavanol dark chocolate. Particular dark and milk products are compared; cacao percentage alone does not guarantee the same flavanol exposure.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Product name, exact amount, composition/flavanol content and actual adherence are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Product name, exact amount, composition/flavanol content and actual adherence are unverified."
    },
    {
      "item_id": "N04",
      "question_type": "Evidence condition",
      "question": "Are food comparisons distinguished from isolated-ingredient effects?",
      "needed": "Dark/milk differences, ingredient matching and direct comparison",
      "role": "Required",
      "role_reason": "This condition connects Dark/milk differences, ingredient matching and direct comparison with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Dark/milk differences, ingredient matching and direct comparison must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Matching of sugar, fat, caffeine, calories and other ingredients, and isolated-ingredient attribution, are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The direct comparison concerns two chocolate conditions. It is not converted into isolated flavanol effects, cacao-percentage effects or efficacy of general eye-health products.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Matching of sugar, fat, caffeine, calories and other ingredients, and isolated-ingredient attribution, are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Matching of sugar, fat, caffeine, calories and other ingredients, and isolated-ingredient attribution, are unverified."
    },
    {
      "item_id": "N05",
      "question_type": "Evidence condition",
      "question": "What comparison does the milk-chocolate control represent?",
      "needed": "Control product, exposure, sensory features and concurrent conditions",
      "role": "Required",
      "role_reason": "This condition connects Control product, exposure, sensory features and concurrent conditions with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Control product, exposure, sensory features and concurrent conditions must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Control amount, ingredients, taste, appearance, expectations, adherence and actual matching are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "S01's control is milk chocolate. It is not used as an effect against no ingestion, placebo or other foods.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Control amount, ingredients, taste, appearance, expectations, adherence and actual matching are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Control amount, ingredients, taste, appearance, expectations, adherence and actual matching are unverified."
    },
    {
      "item_id": "N06",
      "question_type": "Evidence condition",
      "question": "Do actual measurement timing and “about two hours” describe the same window?",
      "needed": "Ingestion/testing times, acute window and persistence",
      "role": "Required",
      "role_reason": "This condition connects Ingestion/testing times, acute window and persistence with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Ingestion/testing times, acute window and persistence must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Individual test intervals, allowed timing window and subsequent duration are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original actual test was about 1.75 hours later; the selected wording says about 2 hours and the title within 2 hours. These are not made into new replications at different trials or follow-up times.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Individual test intervals, allowed timing window and subsequent duration are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Individual test intervals, allowed timing window and subsequent duration are unverified."
    },
    {
      "item_id": "N07",
      "question_type": "Evidence condition",
      "question": "How was small-letter contrast sensitivity defined?",
      "needed": "Test task, letter size, units and equipment",
      "role": "Required",
      "role_reason": "This condition connects Test task, letter size, units and equipment with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Test task, letter size, units and equipment must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Letter size, test distance, lighting, equipment, assessment procedure and baseline test definitions are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The selected result is small-letter contrast sensitivity in logCS. It is distinguished from large-letter contrast, visual acuity in logMAR and everyday visual function.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Letter size, test distance, lighting, equipment, assessment procedure and baseline test definitions are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Letter size, test distance, lighting, equipment, assessment procedure and baseline test definitions are unverified."
    },
    {
      "item_id": "N08",
      "question_type": "Evidence condition",
      "question": "What are the original small-letter values, difference, CI and P value?",
      "needed": "Condition-specific values, estimate, denominator and original result",
      "role": "Required",
      "role_reason": "This condition connects Condition-specific values, estimate, denominator and original result with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Condition-specific values, estimate, denominator and original result must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exact eye/person analysis unit, denominator, model and baseline/order adjustments are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Dark 1.45 versus milk 1.30 logCS and mean difference 0.15 (95% CI 0.08 to 0.22, P<.001) are preserved. No new calculation or transfer to other outcomes or lasting improvement is made.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exact eye/person analysis unit, denominator, model and baseline/order adjustments are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exact eye/person analysis unit, denominator, model and baseline/order adjustments are unverified."
    },
    {
      "item_id": "N09",
      "question_type": "Evidence condition",
      "question": "Is the nonsignificant large-letter result distinguished?",
      "needed": "Outcome-specific effects, units and hierarchy",
      "role": "Required",
      "role_reason": "This condition connects Outcome-specific effects, units and hierarchy with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Outcome-specific effects, units and hierarchy must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: The exact large-letter CI, denominator, test conditions, model and prespecified hierarchy are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The large-letter difference of 0.05 logCS (P=.07) is described as null. The positive small-letter difference of 0.15 logCS is not converted into large-letter success or improvement in all contrast sensitivity.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "The exact large-letter CI, denominator, test conditions, model and prespecified hierarchy are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "The exact large-letter CI, denominator, test conditions, model and prespecified hierarchy are unverified."
    },
    {
      "item_id": "N10",
      "question_type": "Evidence condition",
      "question": "Is the borderline visual-acuity result in logMAR distinguished?",
      "needed": "Acuity result, direction, units and hierarchy",
      "role": "Required",
      "role_reason": "This condition connects Acuity result, direction, units and hierarchy with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Acuity result, direction, units and hierarchy must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exact acuity direction, condition-specific values, CI, denominator and test definitions are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The visual-acuity difference of 0.04 logMAR (P=.05) is described as borderline. It is not transferred to small-letter contrast units/effects or confirmed restoration of eyesight.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exact acuity direction, condition-specific values, CI, denominator and test definitions are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exact acuity direction, condition-specific values, CI, denominator and test definitions are unverified."
    },
    {
      "item_id": "N11",
      "question_type": "Evidence condition",
      "question": "Have single masking and participant recognition of conditions been verified?",
      "needed": "Who was masked, maintenance, testing and analysis conditions",
      "role": "Required",
      "role_reason": "This condition connects Who was masked, maintenance, testing and analysis conditions with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Who was masked, maintenance, testing and analysis conditions must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Who was masked, maintenance, expectation differences and assessor/analyst knowledge of conditions are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original design is a randomized single-masked within-person crossover trial. The original text says participants could recognize chocolate types. This is not extended to masking of all participants, assessors and analysts.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Who was masked, maintenance, expectation differences and assessor/analyst knowledge of conditions are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Who was masked, maintenance, expectation differences and assessor/analyst knowledge of conditions are unverified."
    },
    {
      "item_id": "N12",
      "question_type": "Evidence condition",
      "question": "Have crossover-session order and within-person analysis been verified?",
      "needed": "Sequence generation, concealment, session interval and within-person analysis",
      "role": "Required",
      "role_reason": "This condition connects Sequence generation, concealment, session interval and within-person analysis with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Sequence generation, concealment, session interval and within-person analysis must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Sequence generation/concealment, session intervals and order/period models are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Thirty healthy adults consumed dark and milk chocolate in separate sessions in a within-person crossover trial. Sequence generation, washout and control of period effects are not all described as verified.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Sequence generation/concealment, session intervals and order/period models are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Sequence generation/concealment, session intervals and order/period models are unverified."
    },
    {
      "item_id": "N13",
      "question_type": "Evidence condition",
      "question": "Have learning, period and carryover effects been verified?",
      "needed": "Repeated testing, baseline, washout and period matching",
      "role": "Required",
      "role_reason": "This condition connects Repeated testing, baseline, washout and period matching with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Repeated testing, baseline, washout and period matching must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Practice/baseline testing, test order and handling of learning/carryover are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Visual tests in two conditions are repeated within the same people. The design's control of individual differences is preserved without filling gaps with absence of learning, period or carryover effects.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Practice/baseline testing, test order and handling of learning/carryover are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Practice/baseline testing, test order and handling of learning/carryover are unverified."
    },
    {
      "item_id": "N14",
      "question_type": "Evidence condition",
      "question": "Are people, eyes, conditions and repeated measurements distinguished?",
      "needed": "Analysis units, clustering/correlation and denominators",
      "role": "Required",
      "role_reason": "This condition connects Analysis units, clustering/correlation and denominators with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Analysis units, clustering/correlation and denominators must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Tested eyes, use of both eyes, eye-level data, repeat counts and within-person/between-eye correlation models are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original participant count is 30 people with two single-exposure conditions. Eyes, conditions and repeated measurements are not added as new participants, independent trials or denominators.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Tested eyes, use of both eyes, eye-level data, repeat counts and within-person/between-eye correlation models are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Tested eyes, use of both eyes, eye-level data, repeat counts and within-person/between-eye correlation models are unverified."
    },
    {
      "item_id": "N15",
      "question_type": "Evidence condition",
      "question": "Have completion, missingness and analysis populations been verified?",
      "needed": "Session/outcome-specific completion, exclusions and missing-data handling",
      "role": "Required",
      "role_reason": "This condition connects Session/outcome-specific completion, exclusions and missing-data handling with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Session/outcome-specific completion, exclusions and missing-data handling must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Session/outcome-specific completion, missingness, exclusions, analysis denominators and handling reasons are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original count of 30 adults without eye disease is preserved. Complete data for every session/outcome and ITT/PP analyses are not created from the stored summary alone.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Session/outcome-specific completion, missingness, exclusions, analysis denominators and handling reasons are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Session/outcome-specific completion, missingness, exclusions, analysis denominators and handling reasons are unverified."
    },
    {
      "item_id": "N16",
      "question_type": "Evidence condition",
      "question": "What is the scope of the mean difference and within-person estimate?",
      "needed": "Reported effects, covariates, model and units",
      "role": "Required",
      "role_reason": "This condition connects Reported effects, covariates, model and units with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Reported effects, covariates, model and units must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exact adjusted model, covariates, eye/person units and variance/correlation structure are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The parent records a mean difference of 0.15 logCS and a within-person crossover effect. No new standardized effects, response rates, CIs or individual benefits are calculated.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exact adjusted model, covariates, eye/person units and variance/correlation structure are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exact adjusted model, covariates, eye/person units and variance/correlation structure are unverified."
    },
    {
      "item_id": "N17",
      "question_type": "Evidence condition",
      "question": "Are registration identifiers distinguished from actual registry reading?",
      "needed": "Original registration identifier, changes and actual reading dates",
      "role": "Required",
      "role_reason": "This condition connects Original registration identifier, changes and actual reading dates with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Original registration identifier, changes and actual reading dates must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Exact registration/recruitment timing, original registration, change history and protocol remain unread. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "NCT03326934 in the evidence and citation lists is preserved. The number alone does not establish registry reading now, verification of a prerecruitment plan or prespecification of every outcome.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Exact registration/recruitment timing, original registration, change history and protocol remain unread.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Exact registration/recruitment timing, original registration, change history and protocol remain unread."
    },
    {
      "item_id": "N18",
      "question_type": "Evidence condition",
      "question": "Have prior hierarchy and multiple visual outcomes been verified?",
      "needed": "First endpoint, SAP and testing/adjustment plan",
      "role": "Required",
      "role_reason": "This condition connects First endpoint, SAP and testing/adjustment plan with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for First endpoint, SAP and testing/adjustment plan must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Prerecruitment hierarchy, test direction, multiplicity, SAP and changes are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original text distinguishes the main small-letter signal from borderline/null other measures. The parent's grouped acuity/large-letter/small-letter endpoints are not used as proof of a prerecruitment first endpoint or multiplicity plan.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Prerecruitment hierarchy, test direction, multiplicity, SAP and changes are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Prerecruitment hierarchy, test direction, multiplicity, SAP and changes are unverified."
    },
    {
      "item_id": "N19",
      "question_type": "Evidence condition",
      "question": "Are acute functional testing and clinical importance distinguished?",
      "needed": "Relevance threshold, everyday function and clinical endpoints",
      "role": "Required",
      "role_reason": "This condition connects Relevance threshold, everyday function and clinical endpoints with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Relevance threshold, everyday function and clinical endpoints must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Prespecified relevance thresholds, everyday function and patient clinical endpoints remain unlinked. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The parent records a clear acute small-letter psychophysical signal. The statement that the CI excluded 0 is not transferred to everyday visual benefit, restored eyesight or clinical eye-health efficacy.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Prespecified relevance thresholds, everyday function and patient clinical endpoints remain unlinked.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Prespecified relevance thresholds, everyday function and patient clinical endpoints remain unlinked."
    },
    {
      "item_id": "N20",
      "question_type": "Evidence condition",
      "question": "Have persistence and repeated-ingestion results been verified?",
      "needed": "Distinguishing the acute time point from repeated/long-term outcomes",
      "role": "Required",
      "role_reason": "This condition connects Distinguishing the acute time point from repeated/long-term outcomes with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Distinguishing the acute time point from repeated/long-term outcomes must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Later persistence, repeated exposure and long-term clinical function/safety remain unlinked. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The original text records one test about 1.75 hours later, with duration and repeated-ingestion effects not measured/tested. This is not extended to lasting eyesight or eye-health improvement.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Later persistence, repeated exposure and long-term clinical function/safety remain unlinked.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Later persistence, repeated exposure and long-term clinical function/safety remain unlinked."
    },
    {
      "item_id": "N21",
      "question_type": "Evidence condition",
      "question": "Are direct data available for other populations?",
      "needed": "Direct data by age, eye disease and baseline function",
      "role": "Required",
      "role_reason": "This condition connects Direct data by age, eye disease and baseline function with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Direct data by age, eye disease and baseline function must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Contrast-sensitivity, clinical-function and safety data in other populations remain unlinked. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The direct population is healthy adults without eye disease. The same efficacy is not generalized to eye-disease patients, impaired vision, other ages or living conditions.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Contrast-sensitivity, clinical-function and safety data in other populations remain unlinked.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Contrast-sensitivity, clinical-function and safety data in other populations remain unlinked."
    },
    {
      "item_id": "N22",
      "question_type": "Evidence condition",
      "question": "Have concurrent meals, environment and testing conditions been verified?",
      "needed": "Records of meals, medicines, lifestyle, lighting and visual correction",
      "role": "Required",
      "role_reason": "This condition connects Records of meals, medicines, lifestyle, lighting and visual correction with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Records of meals, medicines, lifestyle, lighting and visual correction must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Concurrent exposures before/after ingestion, test lighting/timing, correction conditions and adherence are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "These are acute test data from two chocolate conditions. The stored summary is not extended to identical other meals, drinks, medicines, visual correction or test environments.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Concurrent exposures before/after ingestion, test lighting/timing, correction conditions and adherence are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Concurrent exposures before/after ingestion, test lighting/timing, correction conditions and adherence are unverified."
    },
    {
      "item_id": "N23",
      "question_type": "Evidence condition",
      "question": "What is the verification scope for funding, product support and commercial involvement?",
      "needed": "Separate originals for support, employee authors and competing interests",
      "role": "Required",
      "role_reason": "This condition connects Separate originals for support, employee authors and competing interests with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Separate originals for support, employee authors and competing interests must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Full original funding roles, product/free support, employee authors and competing-interest disclosures are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The funding record states “University research team; no commercial manufacturer involvement identified in the report.” This limited statement is not converted into absence of product support, employee authors or all competing interests.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Full original funding roles, product/free support, employee authors and competing-interest disclosures are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Full original funding roles, product/free support, employee authors and competing-interest disclosures are unverified."
    },
    {
      "item_id": "N24",
      "question_type": "Evidence condition",
      "question": "What is the safety scope of a single food exposure?",
      "needed": "Adverse-event collection, exposure, denominators and discontinuation",
      "role": "Supplementary",
      "role_reason": "This condition connects Adverse-event collection, exposure, denominators and discontinuation with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Adverse-event collection, exposure, denominators and discontinuation must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Event definitions, collection, denominators, discontinuation, vulnerable populations and long-term safety are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Parent safety is “Good,” but the original text says this was not a systematic safety trial of a single exposure. Wording about product/person differences in allergy, caffeine sensitivity, sugar and calories is not used as new incidence estimates or safety certification.",
      "condition_status": "Unverified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Event definitions, collection, denominators, discontinuation, vulnerable populations and long-term safety are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Event definitions, collection, denominators, discontinuation, vulnerable populations and long-term safety are unverified."
    },
    {
      "item_id": "N25",
      "question_type": "Evidence condition",
      "question": "How are reports, crossover conditions and independent trials distinguished?",
      "needed": "Report, population, conditions and independent-trial relationships",
      "role": "Required",
      "role_reason": "This condition connects Report, population, conditions and independent-trial relationships with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Report, population, conditions and independent-trial relationships must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Separate replications using the same product/time/endpoint and actual independent-family relationships remain unlinked. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Thirty people, two conditions and multiple visual outcomes in the single Rabin 2018 report belong to the same trial. Eyes, conditions, repeated tests, the registration number and other visual measures are not counted as independent trials or participant totals.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Separate replications using the same product/time/endpoint and actual independent-family relationships remain unlinked.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Separate replications using the same product/time/endpoint and actual independent-family relationships remain unlinked."
    },
    {
      "item_id": "N26",
      "question_type": "Evidence condition",
      "question": "Are subclaim/parent verdicts, original values and history distinguished?",
      "needed": "Parent C54, subclaim C, corrections and historical review",
      "role": "Required",
      "role_reason": "This condition connects Parent C54, subclaim C, corrections and historical review with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Parent C54, subclaim C, corrections and historical review must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: Subclaim score, status and axes are absent; new corrections and details of historical review are unverified. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "Parent C54, B/S/R1/I2/E+/B2/C0, four false flags, empty override reasons and subclaim C/note are preserved. Original Korean/English text, 2026-09-07, empty corrections/deliberation and historical PubMed/PMCID/effect checks are not inherited as current clinical review or a subclaim score.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "Subclaim score, status and axes are absent; new corrections and details of historical review are unverified.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "Subclaim score, status and axes are absent; new corrections and details of historical review are unverified."
    },
    {
      "item_id": "N27",
      "question_type": "Evidence condition",
      "question": "Are stored summaries, external links and later updates distinguished?",
      "needed": "Actual summary use, unread external material and additional sources",
      "role": "Required",
      "role_reason": "This condition connects Actual summary use, unread external material and additional sources with the selected acute small-letter question, tested foods, milk-chocolate control, within-person crossover, people/eyes, conditions, times, denominators, other visual outcomes and harms.",
      "application_exception": "Preserve original numbers while distinguishing tested dark/milk food comparisons from isolated-ingredient effects, small-letter logCS, large-letter logCS and acuity logMAR, the same acute window of about 1.75 hours/about 2 hours/within 2 hours, people/eyes/conditions/repeated tests and long-term clinical efficacy. No new arithmetic, effects, CIs, hypothetical examples, grades, independence certification, amounts, products, eye-health or treatment instructions are created.",
      "criterion": "Material for Actual summary use, unread external material and additional sources must be linked to the selected subclaim, parent context, same report/crossover trial, test units, times, comparator and denominators, distinguishing unread external material.",
      "basis": "Preserved C/E/H application conditions concerning questions, populations, interventions, comparators, reports versus studies, endpoints, denominators and harms were referenced.",
      "condition_origin": "Internally applied conditions preserved for the existing subclaim. They do not establish preregistration, official-tool certification or completed content review.",
      "proposed_research": "Material needed: External original acquisition, actual reading, source-link verification and review of existing content remain incomplete. This records needed materials; no new research was executed.",
      "current_reports": [
        "S01"
      ],
      "existence": "Display information in the original parent stored summary is preserved. Public availability, acquisition and actual reading of detailed external material are separately unverified.",
      "acquired_read": "Stored summary read; external abstracts, full texts, registration, protocols, SAPs and support disclosures unread",
      "observation": "The stored summary/bibliography were used for production and the original paper link retained. External abstracts, full text, registration, protocols, SAPs and competing-interest disclosures remain unread; no external access or source-link testing was performed.",
      "condition_status": "Partly verified",
      "status_reason": "The selected claim, parent material and reports are distinguished and transferred from the stored summary. Detailed original material is unverified and review of existing content remains incomplete. This does not establish completed clinical review or certification.",
      "missingness": "External original acquisition, actual reading, source-link verification and review of existing content remain incomplete.",
      "uncertainty": "External original material is unread and review of existing content remains incomplete. Original grades, scores, axes, historical verification and independence statements are not treated as new verdicts or certification.",
      "review_date": null,
      "reading_status": "Full text not read · Stored summary read",
      "additional_material": "External original acquisition, actual reading, source-link verification and review of existing content remain incomplete."
    }
  ],
  "reports": [
    {
      "report_id": "S01",
      "title": "Rabin JC et al. 2018",
      "url": "https://pubmed.ncbi.nlm.nih.gov/29710322/",
      "report_type": "Randomized single-masked within-person crossover trial",
      "existence": "The stored evidence/citation lists contain the original report bibliography. External public availability and access status are unverified.",
      "acquired_read": "Stored summary read; external paper, registration, protocols, SAPs and support disclosures unread",
      "study_family": "RG2988-RABIN-2018",
      "independent_replication": "The same report, people, eyes, crossover conditions, repeated tests, times and two sheets are not counted as new independent trials. Review of existing content remains incomplete.",
      "observed_result": "Small-letter +0.15 logCS (95% CI 0.08 to 0.22), P<.001; large-letter P=.07; acuity P=.05",
      "result_level": "Stored-summary acute small-letter contrast result, distinguished from large-letter, acuity and persistence questions; prespecified hierarchy, model and clinical importance are unverified",
      "source_evidence_date": "2026-09-07",
      "materials": [
        {
          "material_type": "Stored summary",
          "public_status": "Preserved copy of the complete parent-verdict stored summary",
          "access_status": "Stored summary",
          "acquired": true,
          "actually_read": "Summary read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMCID, DOI and NCT03326934 identifiers are preserved. Numbers/bibliography alone do not certify reading, acquisition, prior plans or condition fulfillment now; full-text/registration URLs are not inferred."
        },
        {
          "material_type": "External paper",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMCID, DOI and NCT03326934 identifiers are preserved. Numbers/bibliography alone do not certify reading, acquisition, prior plans or condition fulfillment now; full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Registration material",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMCID, DOI and NCT03326934 identifiers are preserved. Numbers/bibliography alone do not certify reading, acquisition, prior plans or condition fulfillment now; full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Protocol",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMCID, DOI and NCT03326934 identifiers are preserved. Numbers/bibliography alone do not certify reading, acquisition, prior plans or condition fulfillment now; full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Statistical analysis plan",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMCID, DOI and NCT03326934 identifiers are preserved. Numbers/bibliography alone do not certify reading, acquisition, prior plans or condition fulfillment now; full-text/registration URLs are not inferred."
        },
        {
          "material_type": "Funding, product-support and COI material",
          "public_status": "Original bibliographic link or needed material; external public availability/access status unverified",
          "access_status": "Unread; access not attempted",
          "acquired": false,
          "actually_read": "Not read",
          "as_of": "2026-09-07",
          "qualification": "Original PubMed URL, PMCID, DOI and NCT03326934 identifiers are preserved. Numbers/bibliography alone do not certify reading, acquisition, prior plans or condition fulfillment now; full-text/registration URLs are not inferred."
        }
      ],
      "links": [
        {
          "label": "PubMed",
          "url": "https://pubmed.ncbi.nlm.nih.gov/29710322/"
        }
      ]
    }
  ],
  "method_sources": [
    {
      "id": "M03",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-03",
      "section": "§3.1, §3.2.1–3.2.3, MECIR C5/C7/C13",
      "official_principle": "Clearly record the question, eligibility conditions and reasons for changes, and distinguish variations in interventions.",
      "review_level": "Preserved method HTML copies; no current method-content re-review or official tool execution"
    },
    {
      "id": "M04",
      "version": "Cochrane Handbook 6.5.1 (2025), chapter updated 2025-03",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-04",
      "section": "§4.5, §4.6.1–4.6.3, MECIR C42",
      "official_principle": "Distinguish studies from reports and link them; do not omit a study solely because results are unreported.",
      "review_level": "Preserved method HTML copies; no current method-content re-review or official tool execution"
    },
    {
      "id": "M08",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-08",
      "section": "§8.1–8.2.3, Table 8.2.a",
      "official_principle": "Define the outcome and effect of interest, then examine randomization, deviations, missing data, measurement and selective reporting.",
      "review_level": "Preserved method HTML copies; no current method-content re-review or official tool execution"
    },
    {
      "id": "M15",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2023-08",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-15",
      "section": "§15.2.4, §15.3.1–15.3.3",
      "official_principle": "Distinguish effect estimates, intervals, importance and applicability. Sample size alone does not determine precision.",
      "review_level": "Preserved method HTML copies; no current method-content re-review or official tool execution"
    },
    {
      "id": "M19",
      "version": "Cochrane Handbook 6.5 (2024), chapter updated 2019-10",
      "url": "https://www.cochrane.org/authors/handbooks-and-manuals/handbook/current/chapter-19",
      "section": "§19.1.2, §19.2.1–19.2.4",
      "official_principle": "Harm questions may require different designs, populations and follow-up from efficacy questions. Case reports do not establish incidence rates.",
      "review_level": "Preserved method HTML copies; no current method-content re-review or official tool execution"
    }
  ],
  "status_dictionary": {
    "Met": "Status for necessary evidence confirmed after existing content review. No completion is declared in the current presentation.",
    "Partly verified": "Some information in the stored summary is linked into the table. External comparison/content review is not complete.",
    "Unverified": "The article leaves this unverified, or required material is absent from the current stored summary. This is distinct from zero, absence or safety.",
    "Review incomplete": "Existing content review remains incomplete.",
    "Not reported": "Not reported within the stored material actually read; not extended to the entire primary paper.",
    "Inaccessible": "Means an actual access failure. Access not attempted here is not assigned this state.",
    "Not applicable": "Not used as a substitute for an evidence gap.",
    "Conflicting data": "Requires an observed disagreement under the same comparison criteria; not automatically judged in this production.",
    "Insufficient evidence for the conditions": "Marks a gap in additional material required by the selected conditions; not a new efficacy grade."
  },
  "study_overlap": {
    "state": "Unverified",
    "unique_trial_count": null,
    "unique_participant_count": null,
    "reason": "30 people without eye disease and two single-exposure tested dark/milk conditions in the single Rabin 2018 report are the same randomized single-masked within-person crossover trial. About 1.75 hours, about 2 hours and within 2 hours are preserved as one acute testing window. Small-letter 0.15 logCS/CI 0.08 to 0.22/P<.001, large-letter 0.05 logCS/P=.07 and visual-acuity 0.04 logMAR/P=.05 are distinguished. People, eyes, conditions, repeated tests, the registration number and two subclaim sheets are not added as independent trials/participants or extended to long-term clinical efficacy. Confirmed unique-trial, participant and independent-replication totals remain unrecorded."
  },
  "history": [
    {
      "date": "2026-10-16",
      "kind": "Separation of public-facing pages and materials",
      "view_version": "1.0",
      "change": "Public pages and materials were prepared from the existing 27 items. No new clinical search, verification-status change or scoring was performed."
    }
  ],
  "language": "en",
  "translation_date": "2026-10-16"
}