Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.
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Question: Paragraph: The story notes the an additional $20 per mammogram with CAD when billed to Medicare. With the newer technology, costs to public health would increase via additional screening and unnecessary biopsies, and treatment would increase for cancers that may never become problematic (i.e. some forms of DCIS or ductal carcinoma in situ). The story provides data that there was little positive difference between radiologists' and CAD detection of cancer via mammogram images. However, the story does not mention results of any other evaluations of the technology (e.g. how it has been used in UK and other countries where results did show benefit in terms of increased detection of cancer). The story mentions that the newer technology may result in over treatment as there are more false positives with the CAD technology vs. radiologists' analysis alone. In a recent study published in the New England Journal of Medicine, there was 20% increase in biopsy rates after mammographers used the CAD software. The article does not present the study well. It was an observational study of select practices in the US – not randomized, not controlled and there was no information about how representative these samples were, especially the centers that used CAD. The story presented some key results but virtually nothing about the study design. The story does not engage in disease mongering or suggest that women should opt for mammograms at centers that have the new CAD technology. The story provides many clinical perspectives on the CAD technology. The reporter interviews not only the study author and the author of an accompanying NEJM editorial, but also clinicians and radiologists who talk about use of CAD in practice. Interviews with clinicians who provide their rationale for not using the CAD technology provide excellent balance to the story. The story discusses the continued benefit of mammography for early detection of breast cancer. The story highlights that computer-assisted screening does not replace human judgment in interpretation of radiological films. The story mentions that about 30% of mammography centers use computer-aided detection (CAD) technology. The story mentions that CAD is a newer method of reading mammographies, but in a recent observational trial it was no better–and may have produced more false positives–than images read and interpreted by radiologists alone. The story does not rely solely on a press release for information, and there is independent reporting and sources cited not affiliated with the recently published data on CAD. Claim: Doubts on mammogram software

Answer: This story provides readers with a balanced discussion of the potential downside of incorporating newer technologies into routine practice too soon. Specifically, the story reports evidence recently published in the New England Journal of Medicine that computer-aided detection (CAD), a newer method of reading mammographies, was no better–and may have produced more false positives–than images read and interpreted by radiologists alone. There was 20% increase in biopsies after mammographers used the CAD software, and many of these women had non-malignant lesions. The article did not adequately describe the study. It was an observational study of select practices in the US – not randomized, not controlled and there was no information about how representative these samples were, especially in the centers that used CAD. The story reported on key results, but without adequately explaining how they were arrived at. The story provides multiple perspectives on the CAD technology in breast cancer detection. The reporter interviews not only the lead author of the NEJM study, but also the author of an accompanying editorial on this newer technology, as well as radiologists who talk about CAD in their practice. Interviews with clinicians who offer a rationale for not using the CAD technology give excellent balance to the story and provide an often overlooked perspective: newer and more high-tech devices are not necessarily better. The story notes the additional $20 per mammogram cost to Medicare with CAD. With the newer technology, costs to public health would increase via additional screening and unnecessary biopsies, and treatment would likely increase for cancers that may never become problematic (i.e. some forms of DCIS or ductal carcinoma in situ). Importantly, the story discuses the continued benefit of mammography for early detection of breast cancer. The story highlights that computer-assisted screening does not replace human judgment in interpretation of radiological films. More screening centers with the CAD technology are available; however, the new technology may not serve women any better. Traditional mammography with a radiologist interpreting the results may be more accurate and result in fewer unnecessary tests and biopsies.


Question: Paragraph: "As he asked Philadelphia City Council to consider a $300 million investment in the city’s parks and recreation centers, Mayor Jim Kenney told a success story. During his budget address in council chambers last week, the first-year mayor said that when the city and the Fairmount Park Conservancy invested $5 million in Hunting Park, ""crime went down 89 percent within a half mile radius of the park over the next three years."" That seemed like a huge drop in a high-crime area of the city, so we decided to check out the claim. The Kenney administration said it got the statistic from a Dickinson College study conducted in conjunction with Philadelphia Police and the Fairmount Park Conservancy, a nonprofit that leads capital projects and programming across 10,200 acres of Fairmount Park and 100 neighborhood parks throughout the city. Meg Holscher, the Conservancy’s senior director of development, said the 87-acre Hunting Park in North Philadelphia was identified in 2008 as an area of development because of how close it was to a high number of families. At the time, prostitution and drug trade were common in and around the park. After community meetings and input from neighbors, the Conservancy -- along with the Philadelphia Department of Parks and Recreation -- presented a master plan for the park in October 2009 that outlined two new playgrounds, a community garden and farmers market, new tennis courts and youth tennis programming, as well as a renovated football and soccer field. One of the most visible changes, though, was 64 lights placed around the park, which Holscher said residents wanted to curb illegal activity and violence. ""This project for us was a little bit of a game changer,"" she said. ""We’ve started to look at parks and how they are tied to healthy eating, healthy living and violence prevention."" Holscher said the $4.5 million Hunting Park capital projects and programming was funded through both public and private funds. In addition to that, another $500,000 was added through grants and corporate donations, bringing the total amount for phase one of the revitalization to some $5 million. After efforts to spruce up the park started in 2010, Conservancy staff started hearing from community members that it seemed like crime in the area had slowed, but an analysis wasn’t completed until 2014. That year, Amanda Vandenburg, then a researcher at Dickinson College in Carlisle, was interested in how parks influence communities. Vandenburg said she analyzed public data from the Philadelphia Police Department and charted crime statistics from 2006, before the revitalization efforts began, through 2013, when the first phase of the project had wrapped up. The data included both part I crimes (violent crimes like homicide, rape and aggravated assault) and part II crimes (like simple assault, prostitution, drug possession and other non-violent offenses.) She mapped instances of crime from inside and a half-mile buffer around the park, and found that there was a spike in crime between 2006 and 2007. After that point, crime began decreasing in 2008 citywide as police enforcement efforts in Philadelphia changed under a new mayoral administration. But crime continued to go down near Hunting Park. Between 2009 and 2013, ""there was an 89 percent drop in the number of crimes,"" according to Vandenburg’s study. Rape and theft from vehicle crime incidents increased over that time period, but other crimes decreased, including prostitution and drug use. Vandenburg also conducted a ""hot spot"" analysis that showed areas predicted to have the highest amounts of crime were closer to and in the park in 2009 and moved away from the park by 2013. While she said the revitalization of Hunting Park can’t be attributed as the only reason for a decrease in crime in the immediate area, the data does support the theory that illegal activity in the area decreased as the park was improved. Our Ruling Kenney used the efforts in Hunting Park as an example of why City Council should authorize more funds to revitalize parks and recreation centers throughout the city. He said ""when the city and the Fairmount Park Conservancy invested $5 million in Hunting Park, crime went down 89 percent within a half mile radius of the park over the next three years."" The Fairmount Park Conservancy confirmed that it -- along with the city and private donors -- invested about $5 million in revitalizing the park. Vandenburg, who conducted the study, said crime did in fact drop by 89 percent within a half-mile radius over the next three years. We rule the claim ." Claim: When the City and the Fairmount Park Conservancy invested $5 million in Hunting Park, crime went down 89 percent within a half mile radius of the park over the next three years.

Answer: "Kenney used the efforts in Hunting Park as an example of why City Council should authorize more funds to revitalize parks and recreation centers throughout the city. He said ""when the city and the Fairmount Park Conservancy invested $5 million in Hunting Park, crime went down 89 percent within a half mile radius of the park over the next three years."" The Fairmount Park Conservancy confirmed that it -- along with the city and private donors -- invested about $5 million in revitalizing the park. Vandenburg, who conducted the study, said crime did in fact drop by 89 percent within a half-mile radius over the next three years. We rule the claim True."


Question: Paragraph: Today’s fit-focused travelers want to pair exercise with escapades and fitness with fun, whether it’s yoga among the sea turtles, bootcamp on the beach or a zumba cruise. “Fitness retreat used to mean go away and lose weight,” said Melisse Gelula, co-founder of the wellness media company Well+Good. “Now it’s just working fitness into a schedule that might also include lavish dinners, beach time, cocktail hours, nights out dancing.”  Wellness tourism, which includes travel paired with activities such as yoga retreats, fitness centers, boot camps, cycling, gyms and other activities, is about a $500 billion global market, according to The Global Wellness Tourism Economy report of 2013. The report said wellness tourism represents 14 percent of total global tourism revenues overall and is projected to rise to 16 percent by 2017. In January, Royal Caribbean Cruises Ltd will launch its first ever Zumba Cruise, offering all-day classes in the popular Latin American dance-based aerobic program during a  cruise that will leave from Fort Lauderdale in Florida and make stops in Jamaica and Haiti. Daily classes will be led by 130 zumba instructors. “Our focus is more fun,” said Allison Robins of the global lifestyle brand Zumba Fitness, which is working with the cruise line. “You’ll never see us talking about weight loss, although that just happens.”  Maria Walker, founder of Getaway Fitness in Florida which offers workout vacations in Florida and California, refers to the growing industry as fitness adventure. “When I started, there were spa resorts and fat camps but not much in  the middle,” said Walker, whose clients are mostly  people in their 30s, 40s and 50s. Now activities range from boot camp and rock climbing to kayaking, and discussions focus more on exercise and nutrition than weight loss. YogaWorks, the national chain of yoga studios, offers 10 to 15 retreats a year and plans to scale up offerings in 2016. “It’s definitely a growing part of the business,” said spokesperson Kim Allardyce, adding it is not just about perfecting one’s yoga postures. Although the emphasis is on yoga, depending on where the tour is, local sites are also included. In Costa Rica vacationers might help release sea turtles and in Italy go on wine-tasting excursions. The goal, she said, is to marry fitness with an experience specific to the location. Claim: Fitness vacations favor fun, adventure over weight loss.

Answer:
Fitness vacations have ventured far from the fat farm.