Anchor: The second recommendation, therefore, is intended to point out that results from the screening literature are not necessarily generalizable to real-world settings in which screening would be paired with interventions.
Entailed: The second recommendation is an additional filter for screening.
Contradiction: The second recommendation is an extra step and isn't necessary for accurate screening.
Contradiction: a baseball player kicks at a ball while the umpire and catcher watch.
Contradiction: There is an animal near water.
Contradiction: The results are thankfully consistent.  
Contradiction: Three children are indoors with no shoes.