A National Institutes of Health (NIH) expert panel has mentioned a daily methadone dose of at least 60 mg as a best practice in methadone maintenance. The focus of this research is to estimate the percentage of outpatient methadone clients receiving this level of methadone and examine the association between treatment retention and level of methadone dosage as recommended by the NIH expert panel. A sample of 428 methadone clients discharged from methadone treatment facilities from the Alcohol and Drug Services Study (ADSS) was used, representing 109,973 methadone clients nationally. It was estimated that more than two-thirds of methadone clients nationally were receiving below 60 mg/day. While controlling for a number of client and organizational variables, a daily methadone dose of 60 mg/day or above was found to be associated with longer retention in treatment. Exploring factors affecting the utilization of the recommended daily methadone dose remains an important issue in effective delivery of methadone treatment.
This mini review summarizes the current state of knowledge about automatic item generation in the context of educational assessment and discusses key points in the item generation pipeline. Assessment is critical in all learning systems and digitalized assessments have shown significant growth over the last decade. This leads to an urgent need to generate more items in a fast and efficient manner. Continuous improvements in computational power and advancements in methodological approaches, specifically in the field of natural language processing, provide new opportunities as well as new challenges in automatic generation of items for educational assessment. This mini review asserts the need for more work across a wide variety of areas for the scaled implementation of AIG.
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