nirantk/nli-triplets · Datasets at Hugging Face

anchor stringlengths 5 1.82k	entailment stringlengths 1 351	contradiction stringlengths 1 295	metadata dict
Even if the assessment is embedded in a general health-needs survey, patients know they are being asked about alcohol, and that could affect their answers.	Knowing they're being asked about alcohol, patients' answers could be affected.	Patients are not asked about alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Many treatment providers believe that intensity of treatment should be determined by level of alcohol problem, although controlled trials do not always support the assumption.	Many doctors disagree with the trials and think that treatment should be based on the level of alcohol problem.	Controlled trials show that the intensity of treatment should be determined by the level of the alcohol problem.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
6. Gale T, Ja W, Welty T. Differences in detection of alcohol use in a prenatal population (on a Northern Plains Indian Reservation) using various methods of ascertainment.	Different methods of ascertainment are used to detect alcohol use in a prenatal population.	The same method of ascertainment is used in detection of alcohol use in a prenatal population.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Regarding the issue of non-payment for services provided to alcohol-impaired patients, he observed	There is an issue of non-payment services provided to alcohol-impaired patients.	Alcohol-impaired patients always have to pay for services.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Concern about even lower levels of alcohol consumption in this group has prompted development of the screens TWEAK, T-ACE, and NET.	Screens like TWEAK have been developed to deal with alcohol consumption issues.	Accurate reporting of alcohol consumption has lead to the abandonment of future screening programs.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
A controlled trial of a similar motivational intervention with older adolescents ages 18 to 19 years treated in an emergency room following an alcohol-related event randomly assigned 94 of the 184 eligible patients.	There are some people under the age of 21 that drink alcohol.	It is impossible for people below 21 to have access to alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol use among subcritically injured emergency department patients.	Use of alcoholic beverages in patients.	Emergency department patients do not use alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He suggested a number of factors that might influence spontaneous remission such as an injury, type and severity of injury, degree of alcohol dependence, readiness to change, and marital or employment status.	Injury may have an effect on spontaneous remission.	Injury isn't a factor that has any influence on spontaneous remission.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Cherpitel reported that patient self-report of drinking prior to arrival had a sensitivity of 29% for alcohol problems in the ED.	Patients that reported drinking before their arrival had a sensitivity of 29% for alcohol problems.	39% of people that self reported their drinking activity had an alcohol problem.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Rapid Alcohol Problems Screen.	Specific problems screen.	No screen is available.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
ED staff has no systematic approach to alcohol screening.	The ED staff did not have an efficient way to approach alcohol screening.	The ED developed an amazing and efficient way to approach alcohol screening.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol and other an assessment of testing and clinical practices in U.S. trauma centers.	United States trauma centers practice Alcohol and other assessments.	Trauma centers are not concerned with the testing for alcohol and other clinical procedures because the main goal is the get the patient stabilized.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
6. Emergency and trauma physicians, their respective professional organizations, and alcohol advocacy groups should contact their state insurance regulator, state department of health and human services, and legislators involved in insurance issues to urge amending state insurance codes that financially penalize hospitals and physicians who screen for alcohol.	Emergency and trauma physicians screen for alcohol.	Emergency and trauma physicians don't screen for alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
7. Cherpitel C. Screening for alcohol problems in the emergency department.	7. Screening for alcohol problems in the emergency department, Cherpitel C.	There is no screening for alcohol problems, we trust everyone on their word.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Practical guidelines for performing alcohol interventions in trauma centers.	The guidelines for practicing alcohol interventions in trauma centers.	There are no interventions for alcohol at the trauma center.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Overall, 62% attributed being injured either somewhat (24%) or mostly or totally (38%) to be the result of drinking.	24% of people said their injuries were mostly due to drinking.	62% attributed being injured totally to drinking.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The emergency department surveillance of alcohol intoxication after motor vehicular accidents.	The ER screens for alcohol intoxication.	The ER is not converned with BAC, just treating the patient.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Serum alcohol levels, toxicology screens, and use of the breath alcohol analyzer.	Breath alcohol, alcohol levels and toxicology screens are used	Nothing is used to check alcohol level	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
One recent study demonstrated that a brief, patient-centered alcohol counseling intervention delivered in the context of a regularly scheduled internal medicine visit produced significant reductions in alcohol consumption among both male and female high-risk drinkers.	One study sowed that intervention delivered during a checkup is helpful.	The study said checkup interventions weren't helpful.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
They need to know that screening works and that the sooner screening is implemented the sooner patients with alcohol problems can receive help.	Patients who are struggling with alcohol problems can receive treatment sooner the sooner that screening is implemented.	Ironically, setting up screening sooner will force patients with alcohol problems wait longer to receive help.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Fewer cases of alcohol abuse meet the ICD-10 definition.	Alcohol abuse is less common.	Alcohol abuse is more common.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients with alcohol problems in the emergency department, part 1: improving detection.	Part 1 attempts to improve detection of patients with alcohol problems.	Problems with alcohol is never a factor for those needing emergency care.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Although an opportunity exists to intervene with patients who have alcohol use problems, and there are published guidelines for emergency department and trauma centers concerning intervention, that opportunity has not been seized.	No one has seized the opportunity to invtervene with alochol use.	There are no published guidelines for alcohol intervention.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Screening and brief intervention for alcohol: what will it take?	Interventions for alcoholics.	Interventions for crowd sourcing experts.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol problems can be identified along a range of alcohol use and consequences.	There is a range of alcohol use that can constitute alcohol problems.	Alcohol problems are all grouped as one diagnosis.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Richard Longabaugh commented on how much remains unknown about what motivates patients to change their use of alcohol.	Richard stated that there's a lot that isn't known about how patients are motivated to change their use of alchohol.	Richard stated that we know everything there is to know about the motivations of patients that change their use of alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Also, he said the phrase alcohol problems does not always include risky drinking and problem drinking, so he suggested adding risky and problem drinking to the recommendation.	He suggested adding risky and problem drinking to the recommendation.	He doesn't think that drinking in certain environments is any worse than drinking at a bar.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Screening tests designed for patients with more severe problems (6 drinks) will be less sensitive at identifying patients with less severe problems (3 drinks).	Tests that are designed for end-scale results will be less sensitive low-scale results.	This is the most reliable test for any type of drinking problem.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol, Injury, and risk-taking data from a national sample.	Risk-taking data, injury and alcohol data from a national sample.	Alchohol, perjury, and clothing data from a national sample.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol-related medical problems, especially injuries, occur in the entire population of alcohol users.	All those who drink alcohol report alcohol-related medical problems.	Few who drink alcohol have medical problems related to drinking.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Intoxication in a driver would certainly be considered an alcohol problem.	If a driver is drunk, that is an alcohol problem.	If a driver is drunk, that is not necessarily an alcohol problem.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
However, ambivalent attitudes were revealed concerning alcoholics and alcoholism.	There were ambivalent attitudes expressed towards those who struggle with alcohol abuse.	Supportive attitudes were evidenced towards those struggling with alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
One study found that only one-third of intoxicated drivers had an alcohol use disorder.	Only one-third of intoxicated drivers had alcoholism issues.	More than 90% of intoxicated drivers suffered from long-term alcoholism.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
And so the U.S. official nutritional guidelines say just this about potential Current evidence suggests that moderate drinking is associated with a lower risk for coronary heart disease in some individuals.	Some individuals are at lower risk of heart disease in association with moderate drinking.	Moderate drinking produces a 20% increased chance of disease.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
For example, he noted that the American College of Surgeons' Resources for Optimal Care of the Injured 1999, which contains guidelines for the certification of trauma centers, omitted the requirement to test patients' blood alcohol content for the first time in 20 years.	The guidelines in 1999 neglected to require blood alcohol content testing.	The 1999 guidelines included the requirement of blood alcohol content testing in patients.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The MAST (Michigan Alcohol-Screening Test), developed in 1971 as a screen for alcohol abuse and dependence, has 24 yes/no questions.	There are 24 yes/no questions to determine whether there is a presence of alcohol abuse and dependence.	The test only contains 3 multiple choice questions to test for alcoholism.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
A three-sample test of a masked alcohol screening questionnaire.	The test uses three samples.	The test uses seven samples.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Acceptability of emergency department-based screening and brief interventions for alcohol problems.	It's acceptable of emergency departments to screen and have short interventions for alcoholics.	It isn't acceptable for emergency departments to hold screenings for alcohol problems.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Prevalence, detection and treatment of alcoholism in hospitalized patients.	Hospitalized patients are detected and treated for alcoholism.	Hospitalized patients are not treated for alcoholism.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
well that's true i i agree that there should be something done about people that drink alcohol because i'm sure that there's people that drink and come to work especially on a second shift or third shift so uh i agree with you there but it just uh and it and it probably is an invasion of privacy	Although I think people that work late and come in after having drank is a problem, I think doing anything about it, such as testing, is an invasion of privacy, and therefore don't agree with it.	I think that people who come to work drunk should be tested, and disciplined for that action.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The emergency department at Harborview probably sees 50 times as many patients with alcohol problems as the psychiatry or family medicine departments.	The emergency department treats people with alcohol problems.	The family medicine departments do not treat alcohol problems.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Major trauma, injuries, assaults,72 depression, and alcohol-related medical problems like gastrointestinal bleeding or seizures define even higher risk subgroups.	Alcohol related medical problems are one of many in higher risk subgroups.	Higher risk subgroups do not include major trauma, injuries or assaults.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Much of the emphasis of screening has shifted toward identifying patients with high alcohol consumption before disease develops.	People with high consumption of alcohol are the focus of much of the screening.	Emphasis has been placed on screening those who do not drink or smoke.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In another ED study, a saliva alcohol level equivalent to a BAC greater than 0.10 g/dl in an injured patient identified harmful drinkers (AUDIT > 8) with a sensitivity of 65 percent.	It is possible to identify harmful drinkers over half of the time.	Alcohol is impossible to detect in the human body.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The ABI lobbyists are right that drivers with a 0.08-percent alcohol level are not the core of the drunken-driving problem.	The ABI lobbyists are right.	The ABI lobbyists are incorrect in their assumption.	{ "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 recurrance.	Alcohol interventions in trauma centers can reduce future injuries.	Alcohol interventions in trauma centers have no impact on future injuries.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Other studies have demonstrated that even blood alcohol concentration (BAC) determinations under-estimate the extent of alcohol problems among the patients who are triaged and treated in emergency settings.	Patient alcohol problems are often under-estimated with BAC determinations.	Patient alcohol problems are often over-estimated with BAC determinations.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
and um they they gave you a paper right there and they said if you were out drinking or if you went out for a good time last night go ahead and write down that you did have beer or you did have alcohol or if you are on medicine go ahead and write down what medicine you are on	If you had gone for drinks previously, you were supposed to write that down on the paper.	They didn't expect you to disclose whether you'd been drinking before.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Gentilello and colleagues noted that although trauma centers are uniquely positioned to implement pro-grams of alcohol screening, intervention, and referral, and despite emphasis on injury control and prevention, little has been done to incorporate alcohol intervention programs into care of the injured patient.	Little has been done to add intervention programs into the care of the injured patient.	Trauma centers are not uniquely positioned to implement programs of alcohol screening.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
44 Most physicians reported asking about alcohol use but few used recommended screening protocols or offered formal treatment.	Even though a majority of physicians check for alcohol use, only a few carried out the correct screening or treatment.	Very few physicians check for alcohol use because almost no patients drink alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Gentilello reported that in a trauma center ED, staff suspected alcohol-ism in 26% of patients who screened negative on structured questionnaires.	In a trauma center ED, staff suspected alcohol-ism in 26% of patients who screened negative on structured questionnaires, reported Gentilello.	Gentilello reported that in a trauma center ED, staff suspected alcohol-ism in 1% of patients who screened positive on structured questionnaires.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Of course, some ED patients may spontaneously volunteer information about drinking.	Some patients will randomly volunteer information about their drinking habits.	None of the patients ever voluntarily offer up information on drinking.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Moderate, and even light drinkers, often require emergency care because many alcohol-related events are not related to total alcohol consumption, but rather to the activities the patient engages in while drinking and to where, when, and with whom alcohol is consumed.	Total alcohol consumption isn't a crucial factor in alcohol-related events.	Amount of alcohol consumed is the main factor in alcohol-related incidents.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
SAAST (Self-Administered Alcoholism Screening Test) was developed in 1972 to screen for alcohol abuse and dependence.	In 1972 the SAAST was developed to screen for alcohol dependence.	The SAAST was created in 1997.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol problems defined	Alcohol has a number of problems associated with its use.	No hard evidence exists linking any problems with alcohol use.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
A screening with the Alcohol Use Disorders Identification Test (AUDIT) in an inner-city population.	The Alcohol Use Disorders Identification Test would be part of the screening process.	The AUDIT won't be used as a screening test.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Fiellin reviewed 38 studies of screening for alcohol use disorder in the primary care setting.	The number of studies is greater than 30.	There is no use of alcohol in the primary car setting.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The accuracy of the CAGE, the Brief Michigan Alcohol Screening Test, and the Alcohol Use Disorders Identification Test in screening trauma center patients for alcoholism.	There are different ways to screen for alcoholism in trauma center patients.	There are no good ways to screen for alcoholism in trauma patients.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He admitted that many times a positive blood alcohol test in patients with head injuries can be trouble-some.	Positive blood alcohol test can be troublesome for patients with head injuries.	A positive blood alcohol test is good for patients with head injuries.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
She noted that many researchers feel rushed to move These interventions into clinical settings because they know we need to be addressing alcohol problems.	Researchers feel that alcohol problems are being overlooked.	The interventions are not important.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The staff was asked to subjectively deter-mine if patients were intoxicated (blood alcohol count).	The staff was queried on whether the patients had taken alcohol and were drunk.	The staff were not to do any tests on the patient.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Each intervention attempts to highlight problematic alcohol consumption, the connection between injury and drinking,	The problems with the alcohol consumption are what every intervention is supposed to highlight.	The problems with alcohol consumption are not what the intervention is supposed to highlight.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In an earlier report, Chang and Astrachan documented low BAC testing rates for intoxicated drivers by emergency department physicians.	Emergency department physicians have low BAC testing rates.	Physicians in the emergency department are known to be obsessive about documenting BAC levels.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
This confirms the lack of knowledge regarding the progress in alcohol treatment that has led to expert consensus recommendations that all patients at risk for alcohol problems should be screened and counseled or referred for counseling.	This confirms that they don't know about the progress in alcohol treatment.	This shows they are experts about alcohol treatment.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Paper presented at the National Conference on Evaluation in Alcohol, Drug Abuse, and Mental Health Programs, Washington, D.C., 1974.	The paper was presented in 1974.	A regional conference was used to debut the paper.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Brief intervention for harm reduction with alcohol-positive older adolescents in a hospital emergency department.	An intervention in a hospital for kids whose siblings use alcohol.	There is no way to help kids who use alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
CAGE and AUDIT had low sensitivities (59 percent and 48 percent respectively) for alcohol dependence among white women.	CAGE and AUDIT's alcohol dependency test resulted in low sensitivities for women.	Women were proven to have high alcohol tolerance.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The effectiveness of alcoholism screening in an ambulatory care setting.	There is screening for alcoholism in ambulatory care settings.	There is never screening for alcoholism in ambulatory care settings.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Counseling problem drinkers in medical a controlled study.	A controlled study was performed on the counseling of problem drinkers.	The study was highly informal and collected only anecdotal evidence.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Excessive alcohol consumption plays an important role in many of the medical conditions, accidents, and injuries that cause visits to emergency departments and trauma centers.	Emergency room visits are commonly caused by excessive alcohol consumption.	Alcohol is typically not a cause of trauma center visits.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Alcohol abuse/dependence in motor vehicle crash victims presenting to the emergency department.	Motor vehicle crash victims present to the ER because of alcohol drinking.	Motor vehicle crash victims walk away from the crash because of alcohol drinking.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In the second study, RAPS and AUDIT were more sensitive than TWEAK and CAGE, identifying 79 percent and 78 percent compared with 72 percent and 71 percent, respectively, of patients with an ICD-10 or DSM-IV diagnosis of alcohol dependence, harmful drinking, or abuse.	it was in the second study that AUDIT was more sensitive than TWEAK.	There was not a second study that was funded.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
She noted that collaboration with community groups and public health agencies is appropriate for alcohol problems because they are not just present in the ED.	She noted that community groups and public health agencies can help treat alcohol problems	She does no research about problems of any kind.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
In one trauma center, BAC had a sensitivity of 63 percent for an alcohol disorder.	BAC can be measured by sensitivity to deduce alcohol disorder status.	BAC cannot be measured by sensitivity to deduce alcohol disorder status.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
He thinks screening for alcohol problems in EDs is on the horizon.	He suspects that screening for alcohol issues in EDs is about to begin.	He believes that there will never be a screening related to alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
so why are you know why don't they just to me they ought to just do the blood test for alcohol	The blood test for alcohol would be the best way to do it.	They shouldn't do blood tests for alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
i think uh i've been reading a lot lately about the alcohol children of alcoholics syndrome i don't know if you've heard of that or not	I've been reading about children of alcoholics, are you familiar with that syndrome?	I've been reading a lot about how drinking alcohol is really good for kids.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Breath analysis and self-reports as measures of alcohol-related emergency room admission.	Breath analysis as a measure of emergency room admissions related to alcohol.	Breath analysis isn't a measure of emergency room admission related to alcohol although self reports are.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Injury in the role of alcohol and other drugs-an EAST position paper prepared by the Injury Control and Violence Prevention Committee.	Injury in alcohol and drugs is an east position paper written by the injury control and violence prevention committee	The east paper does not mention drugs or alcohol	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Many of the college students who visit the ED have mild alcohol problems and are confident they could overcome their alcohol problems if they wanted to.	The ED sees many college students with alcohol problems.	College students do no drink alcohol.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
We need to further examine and refine alcohol-screening questionnaires in the ED.	We need to study what questions we use to screen for alcohol problems in the ED.	We need to study what we ask about seat belt use in the ED.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
The authors suggest that this type of intervention alone is insufficient for patients with more chronic and severe alcohol dependence.	According to the authors, this type of intervention standing alone isn't enough for patients with more chronic and severe alcohol dependence.	The authors found that this type of intervention alone is more than good enough for patients with severe alcoholic dependence.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
This observation was based in part on the results of a national survey of trauma centers which revealed that blood alcohol testing, which is often a precursor for any intervention, was routinely conducted at only 64 percent of centers despite a published guideline by the Committee on Trauma of the American College of Surgeons indicating that testing was an essential characteristic for those centers.	A national survey of trauma centers was conducted, revealing that blood alcohol testing was only conducted at 64% of centers, although very strict guidelines indicate it is essential.	A national survey revealed 100% of centers were conducting the mandatory blood alcohol testing.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Identifying problem lack of sensitivity of the two-question drinking test.	Lack of sensitivity helps to identify the problem of the two question drinking test	The three question drinking test has lots of sensitivity	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
43 In an ED study, BAC was a poor screen for alcohol abuse or dependence with a sensitivity of 20 percent, less sensitive than self-reported drinking.	BAC performed worse than self-reporting in the study.	BAC was the best method for alcohol abuse screening.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
At his hospital, attending physicians are responsible for dealing with the results of alcohol screens and they receive a letter when they fail to do so.	Alcohol screening results are the responsibility of attending physicians.	The hospital doesn't have any physicians responsible for screens.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Robert Woolard related that many ED patients they approached to participate in research still had measurable blood alcohol levels.	Many of the patients approached still had alcohol in their systems.	The researchers could not find anyone in the ED who had been drinking.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
A 1995 meta-analysis of 32 alcohol treatment modalities found that brief motivational counseling ranks near the top in four	For alcohol treatment, motivational counselors rank towards the top.	The motivating counselors were towards the very bottom.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
7 Of course, BAC can help identify acute intoxication.	One of the things BAC does is identify intoxication.	BAC is a bad judge of indentifiying intoxication.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
If many patients have no primary care or primary care providers do not screen for alcohol-related problems, then primary care has failed.	Primary care is a failure if they don't screen for alcoholism.	Primary care is always a success no matter what they screen for.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Patients with alcohol problems in the emergency department, part 2: intervention and referral.	The emergency department has patients with alcohol problems.	There are no alcohol users in the emergency department.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
This process may identify patients who have not yet developed severe dependence, thereby pre-venting the development of more intractable stages of alcoholism.	This process can identify patients who haven't developed a severe dependence, preventing the development of more serious stages of alcoholism.	This process cannot identify patients who haven't developed a severe dependence, which increases the development of more serious stages of alcoholism.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
An assessment of blood alcohol testing practices found that 91% of physicians who do not measure blood alcohol concentration believe the test is not clinically important because knowledge of the patient's blood alcohol level does not benefit the patient.	Many doctors believe testing for blood alcohol is not beneficial.	Only 10% of physicians think alcohol levels are not beneficial to patients.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
Many studies have documented the presence of alcohol among patients admitted to emergency depart-ment1-5 and trauma center6,7 settings.	Many emergency and trauma patients have been found with alcohol in their system.	It has been proven that intoxicated people get into less emergency situations than sober ones.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
13 Primary care physicians and emergency physicians identified fewer than 50% of patients with alcohol problems.	Primary care physicians only find half the people that have alcohol problems.	Primary care physicians identify 95% of people with alcohol problems.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Alcoholism" }
'But if they catch me...'	It's possibly that they catch me.	But if they kill me	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Militia" }
Now we accept our standing and limitations.	We will now accept our limitations.	We are unwilling to accept our standing.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Militia" }
We'll need food, water, and shelter.	The people need basic necessities.	The people don't need anything other than a water bottle.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Militia" }
yeah Ninja Turtles got to have those	Need to have the Ninja Turtles.	They don't need Ninja Turtles.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Militia" }
well you know if if they have time enough they can	If they have enough time, they're able to.	They wont be able to, even with infinite time.	{ "objective": { "paired": [ [ "anchor", "entailment" ] ], "self": [], "triplet": [ [ "anchor", "entailment", "contradiction" ] ] }, "topic": "Militia" }

Even if the assessment is embedded in a general health-needs survey, patients know they are being asked about alcohol, and that could affect their answers.

Knowing they're being asked about alcohol, patients' answers could be affected.

Patients are not asked about alcohol.