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Alcohol-related the surgeon's responsibility.
The surgeon needed to be responsible with alcohol.
The patient was too drunk for surgery.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The Michigan Alcoholism Screening the quest for a new diagnostic instrument.
They are developing better assessment tools.
The group wishes to find and kill all alcohol dependent kittens.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In addition to these questionnaires, NIAAA suggests that all primary care physicians ask an opening question-Do you drink alcohol?
NIAAA says all doctors should ask about alcohol use.
NIAAA says doctors shoudn't ask about drinking.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Development of the Alcohol Use Disorders Identification Test (AUDIT).
It developed a test.
They failed the test.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
so he has overcome alcoholism at this point
He's gotten stronger and has overcome alcoholism.
He still is a heavy drinker and can't control it.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Although we know of no studies assessing clinical practices regarding alcohol problems in emergency departments, a survey of 1,055 emergency medicine physicians by Chang and colleagues found that most physicians favored testing and reporting injured, alcohol-impaired drivers.
We don't know of any studies that assess clinical practices about alcohol problems.
There are dozens of studies about alcohol problems in the ED.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
She believed that the ED setting is just one of many where alcohol problems should be addressed.
She believed the Ed setting is where alcohol issues should've talked about.
She never thought alcoholism was worth discussion.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Attribution of injury to alcohol involvement in young adults seriously injured in alcohol-related motor vehicle crashes.
Young people are sometimes hurt in motor vehicle accidents.
Alcohol-related injuries never happen to young people.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
and i think they should test for alcohol
Alcohol-testing should be done in my opinion.
Alcohol-testing shouldn't be done.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Brief intervention after alcohol-related injuries.
Short intervention after alcohol related injuries
Lengthy intervention from alcohol injuries
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
3 These definitions largely agree for dependence, but not for abuse.
They find people that are dependent on alcohol but are not abusing it.
They find people that are dependent on alcohol and are abusing it.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
2-6 A recent analysis of 12 randomized trials, each of which was limited to one session and consisted of less than one hour of motivational counseling, demonstrated that heavy drinkers were twice as likely to moderate their drinking when compared with those who did not receive an intervention.
An analysis showed that heavy drinkers were helped by an intervention.
An analysis showed that intervention did not help heavy drinkers.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Given the harmful levels of drinking among adolescents in his studies, he remarked that it is irresponsible for interventions not to focus on drinking as well as harm.
He thinks that interventions should focus on drinking and harm.
He reckons that it is not necessary for interventions to focus on drinking or harm.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
She said that the prevalence of alcohol problems was higher than other risk factors.
She said alcohol problems were more likely than other risk factors.
She said alcohol problems were less likely.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The regulations apply to hospitals that have either an identified unit that provides substance abuse treatment or medical personnel whose primary function is the provision of alcohol and other drug abuse diagnosis, treatment, or referral for treatment (C.F.R.
These regulations apply only to dedicated substance abuse treatment units or personnel.
These regulations do not apply to dedicated substance abuse treatment units or personnel.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Drinking patterns and problems and drinking in the an analysis of injury by cause among casualty.
Cause among casualty results from an analysis of drinking patterns and problems.
There is no analysis of injury by cause among casualty.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Jean Shope advocated that the definition of the full spectrum of alcohol problems include primary prevention.
Primary prevention is a part of the full spectrum, according to Jean Shope.
Jean Shope said that prevention wasn't part of the spectrum of alcohol problems
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Recommendation #5 Research is needed on how demographic and cultural attributes of ED patients, practitioners, and interventionists influence the success of screening and interventions for alcohol problems.
Recommendation #5 Research is needed on how demographic and cultural attributes of ED patients.
This research is not about interventions for alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
An intervention template with options incorporating the alcohol problem intervention into the various settings should be developed and evaluated.
A template for interventions should be developed and evaluated.
No templates should be developed and evaluated for intervention.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
EDs have reported high case rates of alcohol problems, especially acute intoxication, from 9% to 31%.
EDs have reported high case rates of alcohol problems.
EDs have seen no change in alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
If they had had to wait until patients were sober, many would be discharged because in his ED, patients are discharged when staff estimate their BAC is below 0.08 g/dl.
ED staff discharge patients when they estimate their BAC falls below 0.08 g/dl.
The staff in the ED are required to keep patients until their BAC is 0.02 g/dl before they are released.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
An original goal of the study was to encourage post-discharge alcohol treatment, but only 5% to 10% of study patients went to at least one treatment or Alcoholics Anonymous session.
The goal of the study at first was to encourage alcohol treatment after leaving the hospital.
There was never a goal to the study.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The alcohol concentration can be determined by saliva testing, breath analysis, or blood test.
There are a number of ways to find the levels of alcohol concentration.
There is no way to detect levels of alcohol concentration.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Rivara and colleagues in a survey of insurance commissioners found that 26 of 31 respondents indicated that intoxication at the time of injury allowed for exclusion of coverage.
26 of 31 respondents indicated that intoxication at the time of injury allowed for exclusion of coverage.
2 of 30 insurance commissioners indicated that intoxication at the time of injury allowed for exclusion of coverage.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The screening procedure can have a net with larger or smaller mesh that can be set for more or less severe alcohol problems.
The screening process can be adjusted to alcohol problem sizes.
The screening process' net is non-adjustable for different alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Self-report may be enhanced when specific alcohol questions are asked.
Self-report works when they ask about alcohol specifically.
Self-report works when they just speak generally and don't ask questions.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
52 More recently, the Substance Abuse Task Force from the Society of Academic Emergency Medicine led by D'Onofrio and colleagues emphasized that in the emergency department setting, Early intervention and appropriate referral of patients with alcohol problems have the potential to reduce alcohol-related morbidity and mortality.
Early intervention and appropriate referral of patients with alcohol problems have the potential to reduce alcohol-related morbidity and mortality.
Early intervention will make no difference for patients with alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Bernstein suggested that the supporting text for this recommendation would have to explain the need for political commitment to changing the health and social outcomes resulting from alcohol problems.
Alcohol problems have an impact on health and social outcomes.
Political commitment can have no impact on the effects of alcohol related societal problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In any case, the broader the net cast by the screening instrument that identifies individuals with alcohol problems, the more flexible and wide-ranging should be the referral and post-discharge options.
Individuals with alcohol problems should have post-discharge options.
Individuals with alcohol problems should not have post-discharge options.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
There's been a very long history in society of problems with alcohol.
Problems with alcohol have been going on for a very long time in society.
Problems with alcohol have been going on for a very short time in society.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Similarly, the American Heart Association's official recommendation advises, If you drink, do so in moderation.
The American Heart Association encourages intake of small amounts of alcohol.
The American Heart Association encourages drinking to oblivion.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The second was that we may have difficulty selling alcohol interventions because they are in competition with other types of interventions such as helmet use, seat belt use, or smoking prevention.
Alcohol interventions are in competition with other types of intervention.
Alcohol intervention is a huge priority.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Individuals with less severe alcohol problems may benefit from a brief intervention with little or no follow-up or referral.
People will smaller alcohol problems might not need follow-up.
People will smaller alcohol problems still need follow-up.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
For addiction specialists or psychiatrists, an outcome of reduced drinking would probably be appropriate.
For addiction specialists an outcome of reduced drinking would probably be appropriate.
All the addiction specialists and psychiatrists want are the outcome of greater drinking.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
i think so yeah yeah but you know alcohol destroys you know so many families so now
Alcohol destroys families.
I love to drink with my family.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Although 45% of patients were intoxicated, sensitivity was only 77%, and sensitivity decreased to 63% among patients who were severely injured, endotracheally intubated, or brain injured.
A total of 45% of patients were intoxicated.
All patients were heavily intoxicated.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
so does alcohol show up in these tests
Will alcohol show up in these tests?
I know alcohol won't show up in these tests.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In general, an alcohol use disorder is present when an aspect of the patient's function has been compromised
Alcohol abuse is present when a patient's functioning is compromised.
Alcoholism is present when a patient's functioning is not compromised.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Although drinking decreased over time for both intervention and control groups, their drinking levels were not significantly different.
Drinking decreased over time for both groups.
Drinking increased for the control group and decreased for the intervention group.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Davis L, Jr., Hurt R, Morse R, O'Brien P. Discriminant analysis of the Self-Administered Alcoholism Screening Test.
The self-administered alcoholism screening test has been analyzed.
Davis, Hurt, More, and O'Brien examined the clinical alcoholism screening test.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The effectiveness of routine screening questions in the detection of alcoholism.
Questions with regards to detecting alcoholism.
They did not use routine screening tools.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Friedman PD, McCullough D, Chin MH, Saitz R. Screening and interventions for alcohol a national survey of primary care physicians and psychiatrists.
Primary care physicians were surveyed about their screening for alcohol.
Physicians were never asked about their screening protocols.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients in the emergency setting range from those with no alcohol problems to those with severe dependence.
The range of patients in the emergency settings goes from zero problems of alcohol to the opposite.
Patients never have no alcohol problems, there is always something related to alcohol in their condition.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
33 T-ACE also screens for alcohol abuse and dependence.
Alcohol and dependence can also be checked by the 33 T-ACE.
Alcohol and dependence cannot be checked by the 33 T-ACE.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The validitiy of police assessment of driver intoxication in motor vehicle crashes leading to hospitalization.
Police assess driver intoxication in crashes that lead to hospital stays.
Police never assess driver intoxication in crashes that lead to hospital stays.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Herman Diesenhaus pointed out that hazardous drinking causes a complex set of problems that include personal, social, and legal problems in addition to medical problems.
Hazardous drinking causes personal, social, legal, and medical problems.
There are only personal problems associated with hazardous drinking
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
And drinking even less than what it takes to put you over the 0.08 standard is still not entirely safe.
Drinking just a little still isn't safe.
Drinking just a little is fine.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
A 0.08 alcohol limit is not going to catch as many people unawares as the ABI claims.
The alcohol limit of 0.08 is not going to catch many people unawares.
The alcohol limit of 0.08 is surely going to catch many people unawares.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Physicians have voiced a common concern about alcohol the potential denial of reimbursement for medical services provided to patients if they have a positive blood alcohol or drug screen.
Patients may not receive reimbursements if they have a positive drug screening.
Drug and alcohol screenings are never used to make reimbursement decisions.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Clinicians in the ED are interested in screening for several alcohol endpoints.
Screening is what interests clinicians in the ED.
Screening is what doesn't interest clinicials in the ED.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Another possibility would be to say, the full spectrum of alcohol misuse.
Because of the nature of alcohol's effects, it can be misused.
It is clear that alcohol can be misused, but the ways of misusing alcohol are very discrete.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
There are equally formidable obstacles when attempting to obtain funding from alcohol study sections.
There are difficult obstacles to overcome when trying to get funding from alcohol study sections.
It is easier to try to obtain funding from alcohol study sections.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
It goes on to say heart disease is lower in moderate drinkers but then warns of other dangers and cautions against guidelines to the general public that encourage drinking (for the full text, click here).
While it says that moderate drinkers have a lower incidence of heart disease, it argues against guidelines that promote drinking.
It claims that moderate to heavy drinking can cure heart disease and that this fact should be communicated to the public.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
51 A review of state statutes, including those of the District of Columbia, revealed that 38 states have a provision that allows third-party payors to issue policies that deny payment for injuries sustained while intoxicated.
If someone is injured while intoxicated it puts their medical coverage at risk in certain states because expenses may not be covered if the accident was a direct result of intoxication.
No matter the cause of an accident or injury, third party payers will always pay the medical expenses under the insurance plan.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Brief physician and nurse practitioner-delivered counseling for high risk drinkers.
High risk drinkers can be briefly counselled by physicians and nurse practitioners.
High risk drinkers also receive brief counsel from paramedics.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Reasons why trauma surgeons fail to screen for alcohol problems.
Alcohol problems are not screened in trauma surgeons.
Trauma surgeons successfully screen for alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Trained practitioners counseling alcoholics could identify only 50% of acutely intoxicated patients.
Not all acutely intoxicated patients were identified by trained practitioners.
Trained practitioners could identify 100% of acutely intoxicated patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He suggested the main point of the first recommendation was that research efforts should include the whole continuum of alcohol problems, not just a portion of the continuum such as alcohol-dependent drinkers.
Research should focus on all alcohol problems, not just alcoholics.
Research should only focus on alcohol problems.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
At the 12-month follow-up, the intervention group demonstrated an average reduction in drinking of 22 drinks per week compared with a reduction of 7 drinks per week for the control group.
At the follow-up at 12 months, the intervention patients had reduced their drinking amounts.
At the follow-up at 12 months, the intervention patients had not changed their drinking habits at all.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The American Psychiatric Association in DSM III-R, IV2 and the World Health Organization (WHO) in the 9th and 10th International Classification of Diseases (ICD-9, -10) have rigorously defined alcohol abuse and alcohol dependence.
The WHO has a strict definition for alcohol abuse.
The WHO has no strict definition for alcohol abuse.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
For example, if we're interested in identifying patients with binge drinking, we can define binge drinking as 3, 4, 5, or 6 drinks on an occasion.
Binge drinking can be defined as having 3-6 drinks on a particular occasion.
It's impossible to identify binge drinking in patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Accuracy and usefulness of the breath alcohol analyzer.
How useful and accurate the breath alcohol analyzer is
The Inaccuracy and Useless of the breach alcohol analyzer
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Hargarten suggested that we do not have to ask federal agencies to make research on alcohol problems in the ED a high priority.
Hargarten asserts that we don't need to ask federal agencies to place importance on research on alcohol problems in the ED.
Hargarten suggested that we need to ask federal agencies to make research on alcohol problems in the ED a high priority.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
8. Cherpitel C. Comparison of screening instruments for alcohol problems between black and white emergency room patients from two regions of the country.
Cherpitel carried out a study of how to screen emergency room patients.
The study only looked at the alcohol problems of white emergency room patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Recommendation #1 Research on screening and intervention should address the full spectrum of alcohol problems among ED patients.
There should be at least one recommendation on research on screening and intervention.
There are no alcohol problems among ED patients.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Individuals who may benefit from alcohol counseling are often unaware of their need for treatment.
Most alcoholics are not aware that they are alcoholic and need counseling.
Alcoholics are often self-aware.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
well what about the Joe Shmoe who's an alcoholic and he's trying to fix it you know but he's not getting any
Joe Schmoe may be an alcoholic.
Even Joe Schmoe, who's trying to address his alcoholism, can get opportunities to fix it.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The blood or breath alcohol concentration (BAC), coupled with our clinical observations, may help us identify intoxication.
The BAC helps physicians find intoxicated people.
The BAC provides little help for physicians finding intoxicated people.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Nevertheless, drinking and driving, moving violations, alcohol-related injuries, and alcohol-related problems were significantly reduced at the six-month follow up, with the intervention group experiencing one-third to one-half fewer events than the control group.
Drinking and driving was reduced after 6 months.
Drinking and driving skyrocketed in the next few months.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol-related problems occur at lower rates, but in much greater numbers, among patients with mild to moderate alcohol problems because such patients constitute the greatest proportion of the drinking population.
The drinking population is made up mostly of patients with mild to moderate drinking problems.
Alcohol related problems occur at higher rates due to the many heavy drinkers.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Brief physician advice for problem alcohol a randomized controlled trial in community-based primary care practices.
There is brief physician advice for drinking too much.
They don't have advice for physicians, as they never address the drinking.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Implementation will, therefore, require the emergence of leaders who endorse the concept that alcohol screening and intervention is their responsibility.
Alcohol screening and intervention should be implemented by leaders.
Leaders should not have to bother with alcohol screening and intervention.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol problems designate a spectrum from risk behavior to illness, and from problematic consumption to alcohol use disorder.
Abuse of alcohol can have a range of problems.
Alcohol problems show to not have a wide range of issues for users.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
A national survey of training in substance use disorders in residency programs.
There is training about substance use disorders in some programs.
No survey was conducted for residency programs.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
ED patient care should be improved by implementing alcohol screening programs.
ED patient care should be improved by implementing alcohol screening programs.
ED patient care should not be improved by implementing alcohol screening programs.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Most alcohol screening tests identify patients with alcohol use disorders or problematic consumption of alcohol.
Screening more people for alcohol abuse helps identify people in need.
Screening more people for alcohol abuse fails to identify people in need.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Carl Soderstrom wondered whether alcohol problems referred to the spectrum of drinking problems or the medical problems associated with drinking.
Carl had some questions about the terminology.
Carl was very proud of the article he wrote about drug addiction.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
4. National Institute on Alcohol Abuse and Alcoholism.
Figure 4 marks the National Institute on Alcohol Abuse and Alcoholism.
Figure 4 doesn't show the National Institute on Alcohol Abuse and Alcoholism.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Is lowering the legal alcohol level worth it?
Is it worth the headaches to lower the legal alcohol limit?
Lowering the legal alcohol level is unquestionably worth it
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients were assigned to a motivational intervention or a standard control of a handout about drinking and driving and a list of alcohol treatment agencies.
Both handouts and motivational interventions were attempted in this study.
The study used inpatient confinement as the control group.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
She noted that we have to help patients who have severe alcohol problems.
She said that we need to help patients with more severe alcohol related problems.
Patients wit severe alcohol problems can be completely ignored.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients with severe dependence have a disproportionate share of alcohol-related medical consequences, but it is estimated that such patients generate only a fraction of all alcohol-related problems.
Patients with severe dependence are portion of alcohol-related issues.
All alcohol-related problems are due to patients with severe dependence.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Davis L, Jr., Morse R. Self-Administered Alcoholism Screening a comparison of conventional versus computer-administered formats.
Some alcoholism screening is administered in computer format.
Self administered alcoholism screening cannot be compared to computer administered screenings.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Therefore, the study was able to correlate mental status exam scores with alcohol levels at the time of consent.
The study made a correlation between alcohol levels at the time of consent and mental status exam scores.
The study was unable to correlate mental status exam scores with alcohol levels at the time of consent.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
CAGE, AUDIT, and TWEAK were the best tests for alcohol dependence among women.
Some tests are better for testing women for alcohol dependence.
All alcohol dependence tests are good for either sex.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
An Act Concerning Substance Abuse Emergency Room Screening and Training and Education for Health Care Professionals, 1998.
Health care professionals might be trained to screen for substance abuse.
Health care professionals already have plenty of training to screen for substance abuse.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Clinicians often use their general impression to help with diagnosis, but clinical impressions concerning alcohol problems can be inaccurate.
Workers in the clinic frequently use general impressions they have to assist with diagnosis.
Clinicians never use general impression to help with diagnosis.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The assessment and intervention could be delivered by a variety of trained professionals who have some expertise in motivational interventions, understand alcohol problems, and are armed with a series of viable options to assist the patient.
There are a number of trained professionals who could provide the assessment.
There's no need for trained professionals when delivering interventions.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The accuracy of the CAGE, the Brief Michigan Alcoholism Screening Test, and the Alcohol Use Disorders Identification Test in screening trauma center patients for alcoholism.
The accuracy of the CAGE Test is screening trauma center patients for alcoholism.
The accuracy of the CAGE Test isn't screening trauma center patients for alcoholism.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
A serious concern expressed by physicians is that documenting alcohol use in the medical record has the potential to abridge patient confidentiality about sensitive issues.
A serious concern is expressed by physicians.
An un-serious concern is expressed by physicians.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He reported that CAGE performed best, with a sensitivity of 84 percent, for a DSM-IV diagnosis of alcohol dependence.
For achieving a DSM-IV diagnosis for alcohol dependence, he said CAGE performed best, with a sensitivity of 84 percent.
CAGE performed the worst out of all of them, barely able to achieve even 20 percent sensitivity.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Theoretically, an ideal test should remain accurate throughout the alcohol use spectrum.
The test should be valid.
They were not able to use the test.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol interventions in a trauma center as a means of reducing the risk of injury recurrence.
Interventions reduce risk of injury
Interventions do not prevent injury
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Finally, he suggested that the patient's level of distress could influence motivational level as much as the severity of a patient's alcohol problems.
He said that the patient's motivation level might be affected by their level of distress.
He denied that the patient's level of distress would have any effects.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Chang G, Astrachan BM, Weil U, Bryant K. Reporting alcohol-impaired results from a national survey of emergency physicians.
Emergency physicians were surveyed about alcohol-impaired results.
Emergency physicians were never surveyed about alcohol-impaired results.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The impact of a physician's warning on recovery after alcoholism treatment.
Warnings from physicians have an effect on recovery from alcoholism.
Physicians never warn alcoholics about recovery treatments.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
As we have indicated, guidelines and best practices have been published that deal with alcohol dependence and abuse and emergency medicine.
Guidelines and best practices for alcoholism have been published as we have indicated.
There are no guidelines in place that deal with alcohol dependence and abuse.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He related that his alcohol studies used to be returned without being reviewed.
He said his studies weren't reviewed.
He said his studies were reviewed very extensively.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
For example, driving while intoxicated overlaps with alcoholism, but it constitutes an important issue in its own right because surveys consistently show that a substantial number of individuals who do not meet diagnostic criteria for alcohol abuse or dependence admit to having driven an automobile while intoxicated.
There are some people who are not alcoholics, who have driven while drunk.
Anyone who drives under the influence of alcohol is an alcoholic.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Detection of alcohol-related problems in general practice.
In general practice, detecting signs of problems related to alcohol
Detecting signs of Drug-related problems within the general practice.
{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }