Given a paragraph, generate a claim that is supported by the given paragraph. 1) The claim must contain information from within the paragraph. 2) A sentence within the paragraph can be used as a claim. 3) The claim should not have contradictions within the paragraph. 4) The claim should be at most one sentence long.
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Question: In a report released Wednesday, the experts said annual cases of Legionnaires’ jumped more than fivefold from 2000 to 2017, and that as many as 70,000 Americans get the disease every year. Legionnaires’ is caused by bacteria that can thrive in buildings with large water systems. About 20 outbreaks are reported each year, including recent ones at an Atlanta hotel and a hospital near Chicago. But there is no single set of widely accepted guidelines for preventing infections. The National Academies of Sciences, Engineering and Medicine report pushes for requirements like minimum temperature levels for hot-water heaters, and registration and monitoring of cooling towers.

Answer: Experts call for steps to stem increases in Legionnaires’.


Question: Leaf appeared Thursday at C.M. Russell High School in Great Falls for the first time in more than 20 years, The Great Falls Tribune reported Friday. In a speech titled, “Lying to Myself,” Leaf discussed his football career as a star at Washington State University, Heisman Trophy finalist and second-overall pick in the 1998 NFL draft by the San Diego Chargers. Four years later he was out of professional football and became addicted to prescription pills, which led to burglary and drug charges and a prison sentence, Leaf said. He recalled attending a boxing match in Las Vegas in the time shortly after hanging it up in the NFL and being booed loudly by the crowd as the announcer recognized celebrities in attendance. At an after-fight party, he took a Vicodin, and for the next eight years, kept trying to chase that high, he said. “I was a drug addict long before I ever took a drug,” Leaf said. “I didn’t know any better.” Leaf’s goal in telling his story was to connect with the audience and “try to give back to a community that I took so much from and victimized,” he said. He also spoke about the need for more discussion of mental health issues in Montana. “There is a mental health epidemic in this state,” Leaf said. “We need to come together as a community.” He does not practice a specific religion but spoke of spirituality, community and accountability. Leaf found his calling working as an assistant to a substance abuse counselor in prison, he said. He is now a program ambassador for Transcend Recovery, an addiction treatment center in Los Angeles where he worked after getting sober. As a pro athlete, “I was making $5 million a year and was miserable,” Leaf said. “Now, I was making $15 an hour and felt valued.” ___ Information from: Great Falls Tribune, http://www.greatfallstribune.com

Answer: Former NFL player Ryan Leaf gives speech on  substance abuse.


Question: The story doesn’t address costs for any of the treatment options discussed. Is MBSR comparable to CBT? Does insurance cover either treatment option? The story tells readers what percentage of study participants who got MBSR treatment reported improvement in pain, as well as what percentage of MBSR participants “reported improvement in the activities they could do.” It also offered the same numbers for participants who received CBT and for the control group, which received typical medical care for this condition. These details deserve a Satisfactory rating. But: The story notes: “The study did caution that 30 of the 103, or about one-third, of the participants in the meditation group reported an ‘adverse event,’ most often an increase in pain due to yoga.” It’s good to see that included. Since the story is effectively comparing MBSR to CBT and conventional treatment, it would also have been worth noting “adverse events” for those groups in the study. According to the study, 10 percent of the CBT group also experienced “adverse events,” and no adverse events were mentioned for the control group. Defining “adverse events” would also have been good, since it’s not clear whether they mean momentary pain or a debilitating flare-up of long-term pain. According to the study, the pain–for both MBSR and CBT groups–was “mostly temporary” and no “serious” adverse events were reported. Those things are worth mentioning. (It’s also worth finding out what “mostly” and “serious” mean.) The story describes the study in detail, explicitly stating the study size and the absolute percentages in each arm that had benefit. It also acknowledged the study was randomized. We’ll count this as sufficient for Satisfactory, keeping in mind the following: As explained in the summary above, the story doesn’t make clear MBSR and CBT were used in addition to conventional medical treatment, rather than instead of medical treatment. The story didn’t mention that the study excluded participants with what the study authors term “a specific diagnosis (eg, spinal stenosis).” In other words, the study did not address treatments for back pain caused by issues like a herniated disc or rheumatoid arthritis. Many readers have these conditions, and should be informed that these study results may not be applicable to their situation. Lastly, we would have welcomed a discussion of the high rates of success within the control group. Forty-four percent in that group experienced a gain in functionality, for example. That seems pretty good! What do the researchers have to say about that? No disease mongering here. However, we did want to point out that the story “fear mongers” in a sense, by stating back pain is “one reason why more and more people are addicted to painkillers.” The story insinuates that these other treatment methods–especially meditation–could help with that. And maybe they could. But the study itself says “No overall differences in treatment effects were observed for…self-reported use of medications for back pain.” So why the mention of painkiller addiction? Conflicts of interest don’t appear to be an issue here, and the story includes statements from an accompanying editorial in JAMA, which was written by experts unaffiliated with the research. This squeaks by as Satisfactory, though it should be noted that most of this material was available via news releases (see below). The story is effectively all about comparing alternatives, though–again–it should have made clear that MBSR and CBT were used in conjunction with conventional medical treatment, and it left out discussion of other well-known non-medication treatment methods, such as exercise. It’s not clear from the story whether MBSR is widely available, is available in mainly metropolitan areas, or is a relatively new field that is still uncommon. The story does quote from a separate editorial in JAMA that says health care systems “should provide access to affordable mind-body therapies,” implying that it’s not widely available. Is this the case, or can it be easily accessed? Given the constraints of a brief news story, the piece does a nice job of articulating the differences between MBSR and CBT. It would have been even more helpful for the story to mention previous studies on the impact of MBSR and CBT on low back pain, to help us understand how novel this new study is. There is little in the story that is not found in the two news releases issued on this study. (Those releases can be found here and here.)

Answer:
Mindful meditation may be the answer to relieving chronic back pain, study suggests