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so if you know if you know where where you're get getting your your automobile from
So if you know the place you're buying you car from...
So if you know who you're selling your plane to...
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
would have one i mean me and my husband have the same kind of car my brother and his wife drive the same kind of car my sister has the same kind of car and my father has the same kind so it's you know when we get together and go places
Everyone in my family has a similar car.
My husband and I have a blue Honda Accord; my brother has a green Mini; my sister has a black Range Rover.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
yeah a lot of people are you going to buy one of those minivans or you going to buy a full size
Are you going to buy a full size van?
Not many people are, actually.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
but you know i'm not so totally hung up on that that i wouldn't buy something else how about you
I might buy something else, I am not stuck on one thing in particular.
I completely need to buy this right now, I have been searching for it forever!
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
well what you can do is take your car payment and put it in the bank for for three or four years and when you're ready to get another car just pay cash for it
You can save for a car, and just pay cash when you are ready to get one.
It will take decades for a car payment to grow in your account.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
you know that is another thing that you know we feel like our long term goal is going to be benefitted by next time we buy a car we're not just going to go to Toyota of Irving you know we're going to go to somebody that we know we're going to take someone with us older and we didn't do any of those things
Goals that are long term are getting a car from someone that we know.
I am going to sell my car since I can walk everywhere I need to get to in this city.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
well we've been thinking about buying a van because it'd be nice to uh pack the kids and the dog in and
We are considering purchasing a van.
We are opposed to the idea of buying a van.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
oh i wish i had one of those
I really want one of those.
I do not care for it much.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
like a a clothes hamper kind of thing that you know you lay your string in then you put your papers in there and tie them all up and bundle them up so i figured i might get me one of those
"I thought about getting some of those clothes hamper kind of things."
"Those clothes hamper type of things don't seem like something I would like to get."
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
'Chaperones and cab-fare.'
Chauffer and money to pay for cabs
I don't need anything.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
oh i see oh and you made your own
I can see that you decided to make your own.
Oh I see you bought one instead of making one.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
a a exercise bicycle plus a dog i could go walk and a whole lot of things like that
An exercise bike and a dog I can walk.
A dog that I can't walk.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
like we i don't have a car because i'm paying for college and if i want a car my parents always said if we wanted a car we paid for the car and we paid for our own insurance and and i think that's right because
My parents paid for their car and I should do the same.
Cars are unnecessary, that's my opinion about them.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
It's important to try to find the ship.
It is vital that we find the ship.
We have to look for the car.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
right that's what i'm thinking about on my next car is do i want to get another brand new car because last two cars are brand new or do i want to look for a used car that's maybe two three years old that but that's you know low mileage and in good shape
I might get a car that's two years old, as long as it has low mileage.
I am not going to buy another car ever.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Car Buying" }
Alcohol use and trauma.
Alcohol use is related to trauma.
Trauma and Alcohol abuse is unrelated.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
We don't have much leeway around that 'one or two drinks a day,' he said, and what isn't known is whether encouraging moderate drinking will also encourage excessive drinking.
No one knows whether encouraging people to drink in moderation will lead to more people drinking excessively.
It's an established fact that encouraging moderate drinking does not increase rates of binge drinking.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Drawing blood and confronting patients with their blood alcohol levels may actually push them away from counseling.
Patients are less likely to seek counseling if they are confronted with their levels of blood alcohol.
When patients are confronted with their levels of blood alcohol, they are less likely to seek counseling.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
More recently, screens have been developed to detect at-risk drinkers.
At risk drinkers have been identified by screening.
There is no screening process to identify at risk drinkers.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol and Other Drug Screening of Hospitalized Trauma Patients, Treatment Improvement Protocol (TIP), No.
It was a protocol for treating trauma patients with regards to alcohol and drugs.
There was no protocol to deal the the trauma patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
TWEAK screens for alcohol abuse and dependence.
TWEAK checks for alcohol abuse and dependence
TWEAK is not used to check for alcohol abuse and depedence.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Brief interventions for alcohol a review.
A review of short alcohol interventions.
A short review of emergency interventions for alcohol.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Twenty years ago, Joseph Zuska, a surgeon with an interest in alcohol problems among injured patients The crisis that brings the alcoholic to the surgeon is an opportunity for intervention in a progressive, often fatal disease.
Joseph Zuska considered the usage of alcohol in patients who were injured.
Joseph Zuska became interesting in alcohol overuse among injured patients in the past five years.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Since alcohol interventions in the ED cut across different disciplines, the peer-review group should embrace multiple perspectives.
Multiple perspectives should be embraced by the peer-review group.
There are no interventions in the ED.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Screening for alcohol problems in the emergency department.
It is necessary to detect alcohol problems in the emergency department
Nothing adresses possible alcohol problems
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The high-minded The two cases underscore an epidemic of binge drinking in frats and colleges in general.
Binge drinking is a serious and generally widespread problem in frats and colleges.
There is hardly any drinking in frats and colleges.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In the majority of domestic violence cases I see, alcohol, drug and mental health problems are at the heart of the problem.
Many domestic violence cases involve outside factors.
All domestic violence incidents involve alcohol.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
well now the thing you you know course they've always said separately that um you know we have a we have a policy on alcohol course if anybody's under the uh influence or if you have reasonable suspicion then that would result in corrective action for them also and that of course has been in place for years
Corrective action policies have been in place for years.
We only recently developed corrective action policies.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The ED seems like an appropriate venue for alcohol interventions because many ED patients have alcohol problems and the ED visit may represent a teachable moment.
The ED can be used as a teaching tool for people with alcoholism.
The ED isn't an appropriate venue for alcohol interventions.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Most existing screens were developed for primary care settings to detect alcohol use disorders.
Most were made to detect alcohol use disorders.
This machine still lacks capabilities to detect alcohol disorders.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
aspartate aminotransferase (AST), alanine aminotransferase (ALT), and carbohydrate deficient transferrin (CDT) perform poorly with sensitivities of 13 percent to 67 percent for alcohol use disorders or problematic con-sumption.
The use of aspartate aminotransferase (AST), alanine aminotransferase (ALT), and carbohydrate deficient transferrin (CDT) is ineffective in treating alcohol disorders.
aspartate aminotransferase (AST), alanine aminotransferase (ALT), and carbohydrate deficient transferrin (CDT) are extremely effective in treating alcoholism.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Recommendation #6 Research is needed to identify the factors that foster the organizational and practitioner behavior changes needed to institutionalize screening and intervention for alcohol problems among ED patients.
ED patients have alcohol problems that need to be intervened.
ED patients do not suffer from alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The survey also found that although 59 percent of the centers had substance abuse counselors, only 5 percent used screening questionnaires to identify patients with alcohol use problems.
Only 5 percent of the centers used questionnaires to find out if its patients abused alcohol.
10 percent of centers screened for alcohol use problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Even though the intervention did not decrease drinking, it did decrease drinking-related consequences, which may be part of what we're looking for in this setting.
The intervention didn't lower drinking rates.
The intervention lowered drinking rates by 50%.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Most EDs provide very limited alcohol services.
ED's provide services for alcohol.
All ED's provide limited alcohol services.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Injury as a motivator to reduce drinking.
Aversion therapy applied to excessive drinking.
Injury can never be a motivator to reduce drinking.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Then follow-up interviews would have to do less alcohol intake assessment, and that would mean less intervention effect on the control group.
There would be some follow-up assessments.
More alcohol intake assessments would need to happen during follow-up interviews.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Daniel Hungerford noted that the supporting text could provide detail on the spectrum of alcohol problems.
Hungerford said they could give information about alcohol problems.
Hungerford said they could not give information about alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The effects of acute alcohol intoxication and chronic alcohol abuse on outcome from trauma.
Acute alcohol intoxication and chronic alcohol abuse have traumatic effects.
Chronic alcohol abuse has no effects whatsoever to the consumer.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Recommendation #7 Research is needed to explore and define the role of information technology in facilitating screening and intervention for alcohol problems among ED patients.
The role of Information Technology in alcohol screening demands further refinement.
There's no need to consider what IT can do for the purposes of screening problematic alcohol use in ED patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Despite the prevalence of alcohol use disorders, hospital administrators are likely to raise concerns about hiring additional staff to conduct interventions because they do not consider addressing alcohol problems as part of their mission.
Addressing alcohol problems as part of the mission of a hospital is unlikely because hospital administrators typically think of substance abuse disorders as being a separate category from traditional medical diagnoses.
Substance abuse disorders do not impact the medical need of patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Monti believed that a decision to screen only for patients with severe alcohol problems is premature.
Not everyone agreed that it was time to screen for severe alcohol problems.
Monti insisted that all patients be screened for alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Cyr reported that a single question in a primary care setting-Have you ever had a drinking problem?
They asked if you have had a drinking problem.
They asked a whole bunch of questions.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Many injured ED patients are screened with a BAC, which can help identify intoxication.
Screening using a BAC can be good for picking up intoxication.
BAC are not used for screening injured patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He suggested that the final report from the conference include a section that addresses the difficult human subjects issues involved in working with intoxicated patients, such as protocols and procedures that IRBs found unacceptable.
Working with patients who are intoxicated comes with a number of difficult human subjects issues.
Working with patients who are intoxicated doesn't involve any human subjects issues, let alone difficult ones.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Screening undertaken using clinical impression or biochemical tests is not as accurate or as sensitive as structured questionnaires for identifying alcohol use disorders or problematic consumption.
Clinical impression isn't as good as structured questionnaires.
There is no way to determine if someone abuses alcohol.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
One study of 2,500 randomly selected emergency department physicians found that only 55% believed that mental health professionals (psychologists and psychiatrists) can effectively address alcohol problems.
More than half of the ER doctors selected think that mental health pros can help those with alcoholism.
All ER doctors think alcoholism does not exist.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients who returned 7 to 10 days later for a second intervention session did not improve on outcomes at 3 months, but they did improve on alcohol-related negative consequences and injuries at 1 year.
Patients didn't improve in 3 months with a 2nd intervention,but did in one year.
Patients improved within just a week.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol and injury, as well as brief interventions, are on the list.
The list includes alcohol and injury.
The list has removed alcohol.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
5. Research studies of cost-effectiveness are needed to convince physicians and administrators that having staff available to address alcohol problems is an integral component of the practice of medicine and part of their mission.
An integral component of the practice of medicine is to address alcohol problems in a cost-effective manner.
Physicians do not practice medicine.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
To avoid that, for this recommendation we would have to say something like, Problematic alcohol-use screening instruments under consideration for use in the ED should be evaluated as a component of protocols that provide alcohol-use interventions for patients to decrease problems or use.
We need to word our recommendation carefully in order to avoid that.
For this recommendation we have to email something like, problematic cocaine use screening instruments under construction.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The Physician's Guide to Helping Patients with Alcohol Problems.
The Helping Patients with Alcohol Problems is a guide for Physician's.
The AMA has announced that most physician's have stopped using the Guide entitled Helping Patients with Alcohol Problems because it is full of outdated and meaningless data.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He noted a growing understanding of the importance of screening for alcohol and other drugs together.
It is important to screen for drugs and alcohol.
It is fruitless to screen for drugs and alcohol.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Screening for alcohol problems in emergency department patients with minor results and recommendations for practice and policy.
There is screening for alcohol problems in emergency department patients.
No screening policy exists for emergency patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Most of the drinking reduction occurred among the patients with mild to moderate alcohol problems and not in the heaviest drinking subgroup.
Most of the reduction in drinking was in the patients who didn't drink the most.
Most of the reduction in drinking was in the patients who drank the most in the group.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In the first study, TWEAK and AUDIT were most sensitive, identifying 84 percent and 81 percent of patients, respectively, with an ICD-10 diagnosis of alcohol dependence.
There were two studies that were quite sensitive.
There is no way to determine alcohol dependence.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The CAGE was developed in 1968 as a brief screening tool for primary care providers to detect alcohol abuse and dependence.
It was designed almost 50 years ago to assist doctors in diagnosing substance abuse.
CAGE was criteria for screening for diabetes.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
For alcohol abuse or dependence, CAGE was found most effective with sensitivities of 43 percent to 94 percent.
CAGE was found most effective for alcohol abuse or dependence.
For alcohol abuse or dependence, CAGE was found to be less effective than AA.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
16 In another study by Sommers and colleagues15 involving two trauma centers, patients who were injured in vehicular crashes and had a positive BAC were asked, To what extent do you believe your alcohol consumption was responsible for this injury?
Vehicle accident victims brought to the trauma center with a positive BAC were asked how much they thought drinking alcohol played a part in causing the injury.
Vehicle accident victims with a positive BAC were never asked if they thought their drinking caused the injury.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
and patient plans to address excessive drinking.
The patients plan address drinking in excess.
We do not suggest any restriction to our patients concerning alcohol.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
24,25 Once motivated, the patient may need a variety of options depending on the nature of the alcohol problem and the needs of the patient.
A variety of options will be necessary, depending on both the patient and the problem.
It is easy to treat patients with alcohol problems, the process is very straightforward.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The phrase alcohol problems includes all those problems as well as the hazardous drinking.
The alcohol issues involved dangerous drinking.
They cracked open a bottle of wine while reading the report.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Meta-analysis of randomized control trials addressing brief interventions in heavy alcohol drinkers.
Brief interventions done with heavy drinkers of alcohol were being analyzed.
The control trials weren't randomized in the case of the heavy drinkers.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
With that in mind, he suggested listing the full spectrum of alcohol problems, from risky drinking to alcohol abuse to alcohol dependency.
He suggested listing all the problems that stem from alcohol.
He suggested listing all the problems that stem from drug use.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
There are also reports that after a couple of days, spurred by concerns about legal responsibility, family member advice, or rationalizations, patient openness to discuss drinking and other problem behaviors decreases dramatically.
Patients are more likely to discuss problem behaviors if they are engaged sooner rather than later.
People will be more likely to discuss drinking problems if they are given time to consider their situation.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Change of drinking and risky behaviors is left to the treatment program, and almost always, abstinence from alcohol is the goal of these treatment programs.
The treatment programs usually aim towards teetotalism.
The treatment programs all aim to increase alcohol consumption.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
uh-huh uh how do you find uh with an alcoholic father how do you find how what effect do you think that has on your life as an adult
How do you think it affected your life to have an alcoholic father while you were growing up?
How has it affected you growing up without alcoholism in your family?
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Self-help groups like Alcoholics Anonymous, Women for Sobriety, or Rational Recovery; outpatient treatments; and guided self-change45 may also be appropriate for a wide range of drinking problems.
Alcoholics Anonymous falls within the category of self-help group.
Alcoholics Anonymous falls outside the category of a self-help group.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
yeah same with drunk drivers
Exactly like with drunk drivers.
Different with drunk drivers.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The presence of alcohol may not always indicate an alcohol problem.
If there's alcohol, it doesn't mean it indicates an alcohol problem.
If there's alcohol, it means it indicates an alcohol problem.
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A major limit to realizing this improvement is the lack of counseling available to address patients' alcohol problems in most EDs.
This improvements has limits addressing patients' alcohol problems.
There are no issues with these improvements.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Detection of acute alcohol intoxication and chronic alcohol dependence by trauma center staff.
The trauma center is staffed.
The staff at the trauma center do not deal with chronic alcohol use.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Stephen Hargarten said that screening for alcohol applies not only to the potential for interventions, but also to the patient's overall quality of care, including safety from injury due to alcohol impairment or from alcohol withdrawal during the acute phase of treatment for medical or surgical conditions.
Stephen Hargarten said that screening for alcohol applies to patient's overall quality of care.
Stephen Hargaten said that screening for alcohol is not associated with patient's overall quality of care.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Thus, if all patients with severe problems stopped drinking, a substantial number of patients with alcohol-related problems would still present to the emergency department.
The emergency department would still have to deal with many patients who suffer from alcoholism.
There are very few patients with alcohol-related problems who actively seek help.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Recommendation #4 Research is needed to evaluate the effects of legal, privacy, confidentiality, regulatory, and human subjects issues on screening and interventions for alcohol problems among ED patients.
ED patients can have alcohol problems.
Research is needed only for the legal issues around alcohol problem screening.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients who screened positive on a combination of blood alcohol concentration (BAC), serum gamma glutamyl transpeptidase (GGT), and SMAST scores, and who agreed to a follow-up study, were randomized into an intervention or control procedure.
The positively screened patients were randomized into the procedures.
The patients never agreed to have a follow up study.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Motivational interview counselors typically discussed the perceived consequences, readiness to change, pros and cons of change, and plans to reduce drinking and avoid alcohol-related injuries in the future.
Motivational interview counselors talked about the good and bad things about change.
Motivational interview counselors were not allowed to discuss the readiness to change with their patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Bernstein noted that alcohol-dependent patients clearly need specialized treatment and that some patients with hazardous drinking need out-patient counseling.
Special treatment is necessary for helping patients who are alcohol dependent.
Heavy alcohol drinkers weren't considered to be in need for specialized treatments.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He noted that alcohol screening in the ED is currently being discussed on the ethics circuit.
The ethics circuit is interested in the subject of alcohol screening in the ED.
The ethics circuit is not concerned by any aspect of alcohol screening.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Prosecuting the drunken drivers who turn up in emergency rooms or offering breathalyzer checks in bars and stadiums would probably save many more.
It's probably a good idea to prosecute drunk drivers who end up emergency rooms.
Drunk drivers who end up in nursing homes should probably be prosecuted to save them from flooding the bathtub.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
8. Are there significant policy issues that must be resolved to make interventions for alcohol problems more feasible?
There are a lot of policy issues that must be fixed to make it easier to intervene in alcohol problems.
There are a lot of policy issues that must be fixed to make it easier to intervene in drug problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
They no longer require him to strike any references that show alcohol treatment is effective.
They don't require him to remove references about alcohol treatment being effective.
They made him remove all references to alcohol treatment.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Screening elderly veterans for alcoholism.
Elderly veterans may be alcoholics.
No veterans struggle with alcoholism.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In his study of adolescents, he saw a decrease in drinking among all groups.
All groups of adolescents decreased drinking in his study.
All of the adolescents increased their drinking by a large margin.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Li added his support to alcohol-related problems, but suggested another alternative, problem drinking, which is commonly used.
Problem drinking is commonly used.
Li does not support alcohol-related programs.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism.
Covering various aspects of caregiving and caregivers for alcohol abuse.
Alcoholism treatment is not a concern in this case.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
However, it may be difficult to get physicians to deliver These alcohol-focused interventions for a variety of practical, philosophical, orientation, and training reasons.
It could be tough to get physicians to deliver the interventions.
The physicians are skilled with alcohol infused interventions.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
If police get even a large fraction of drunken drivers off the road, at most they might save a few hundred lives.
Getting drunk drivers off the road could save lives.
If police get even a small portion of drunk drivers off the roads, thousands of lives will be saved.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Screening for pregnancy risk-drinking.
Pregnant women can be screened for risk-drinking.
Pregnant women do not need to be screened.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
crowded, busy venue may allow a level of privacy that addresses the shame and stigma many individuals feel about problems related to alcohol misuse and abuse.
Many individuals feel ashamed of their problems related to alcohol abuse.
All individuals are proud of their problems related to alcohol misuse.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Brief interventions for patients with alcohol-related trauma.
Short term interventions for drinking.
Short term memory loss interventions.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
If a blood alcohol level is obtained to facilitate treatment of an illness or injury, it is not under special protection.
Blood alcohol levels aren't protected
Blood alcohol levels are always protected
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
While a very high BAC in an unimpaired patient can be a specific screen for dependence,42 BAC is an insensitive screen for an alcohol use disorder.
If someone has a high BAC but does not show symptoms of impairment, this may mean they are dependent.
A very high BAC is normal for all patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
18,19 However, changes in alcohol consumption are often not sustained among participants in control conditions.
Participants don't stay with their changes with alcohol consumption.
Participants keep up with their alcohol habits.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
How involved should the patient's attending physician in the medical treatment be in the intervention for alcohol problems?
Someone is wondering about the level of involvement a physician should have in the intervention of a patients alcohol problem.
It is illegal for physicians to intervene if they feel a patient has an alcohol problem
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
ED staff does not use structured questionnaires for alcohol screening.
ED staff does not have good questionnaires for alcohol screening.
The ED staff has amazing questionnaires for alcohol screening.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients with alcohol problems experience an average of 1.32 injury-related events requiring outpatient or inpatient care per year.
Alcoholics tend to get hurt more often than ordinary people.
Alcoholics experience fewer injuries on average requiring medical care.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Hargarten's initial understanding of this recommendation was that screening activities for alcohol problems should be integrated with the screening and interventions the ED does for a whole range of problems.
Hargarten thought the recommendation was to integrate screening activities.
Hargarten thought that the recommendation was that alcohol screening should be separate.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol related attendances at the accident and emergency department.
The accidents caused by alcohol and related incidents.
The accident and emergency department do not treat alcohol abuse.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
i think alcohol's a a whole lot worse drug and it's more widely accepted
I think alcohol's a much more harmful drug, and it's completely accepted in our society despite that.
I don't think there's any dangers associated with alcohol.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }