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.

[EX Q]: A new generation of hoop activists is putting another spin on the hoop, which ancient Greeks fashioned from grapevines and used to exercise the hips. Circus hooper Marawa Ibrahim, known professionally as Marawa the Amazing, lives a nomad’s life performing and teaching hula hooping around the world. “Fitness hooping is what I’m really into. Even at circus school I developed a workout using core muscles to push the hoop,” said Ibrahim, who can spin 133 hoops simultaneously and has appeared on the UK reality show “Britain’s Got Talent.”  The 32-year-old Australian said anyone, regardless of age or fitness level, can keep the hoop spinning but choosing the right size hoop is essential. “You can’t hoop with a kid’s hoop. When you were a kid you were half as tall,” she said, adding that a hoop should reach to the hips, at least. “I used to teach a gym class of overweight women. I made hoops that were almost up to their armpits and they could do it.”  Proper technique also means balance. Even the pros can develop lopsidedness, she said, so spin in both directions in order to tone the body evenly, head to toe. Kelly Strycker is the director of Chicago Hoop Dance, a community-based collection of performers, teachers and students who practice hooping as a form of moving meditation similar to Yoga, or Chi-gong, the Chinese system of exercise and breath control. “There definitely is a circus overlay in hoop dance,” said Strycker, adding toned muscles and weight loss are common benefits. “It tends to be a fitness workout because of the nature of the movement.”  Strycker said hoop dancing, which includes elements of yoga, attracts mainly women between 25 and 60 who want a fitness routine they will do. Her classes, held at venues including parks and beaches around Chicago, include 20 to 25 minutes of yoga moves, lunges and squats, and hooping for the wrists, hands, shoulders, legs, hips and waists. “The meditative aspect is in the rhythm, the rocking movement that stimulates the heartbeat, the back and forth,”  she said. Dr. Cedric X. Bryant, chief science officer at the American Council on Exercise (ACE), said a 2011 ACE-sponsored study found that hooping could burn up to 600 calories an hour. “We found that just by the nature of movement it did a pretty effective job,” Bryant said. “The only downside is if one had difficulty mastering movement. But larger hoops reduce the learning curve.”  Ibrahim said a hoop, unlike a trapeze, is portable and fun. “Walk up to any kid and they’ll have a go at it,” she said. “Everyone’s happy.”
[EX A]: Hoopsters put circus-inspired spin on cardio workout.

[EX Q]: After hearing about a few more episodes Breckenridge had, Berger suggested she get a gate for the top of the stairs, in case Breckenridge were to fall. She then asked Breckenridge if she had set up Alexa, the virtual assistant developed by Amazon, which she had. They then discussed different exercises they had gone over in the past. Berger asked the patient about her arm mobility — asking her to lift her arm — and stability, prompting her to stand up without holding on to anything. After about a 30-minute session, they said their goodbyes and logged off their computers. Berger, a physical therapist, certified dementia specialist and owner of Rehab Smarter, conducted the entire session online. Rehab Smarter is a local telehealth business that provides comprehensive rehabilitation services to patients over the internet. “This has been a saving grace for me,” Breckenridge said. “It’s not because I don’t want to go to the doctor’s office. It’s because I can’t get to them. If I could, I would be there.” The Brunswick resident turned to telehealth services due to her decreased mobility. She is, for the most part, homebound due to having multiple seizures a day. While she has online sessions with doctors, they still recommend that she come into the office at times to run certain tests and other functions that physicians are not yet capable of completing online. She works with Berger through online sessions about twice a week. Working with her is “completely the same” as if she were sitting with Berger face to-face. “Just because you’re stuck at home doesn’t mean that you can’t get the help that you need,” she said. “People just need to find the help that they need, and sometimes it’s on the internet.” Berger started Rehab Smarter about 18 months ago. She conducts sessions with her patients through an online portal where she can email with them directly, upload videos and add notes for their benefit. Everything is Health Insurance Portability and Accountability Act, or HIPAA, compliant. She typically doesn’t do a face-to-face assessment with the patient, but she has gone in-home to see the setup and suggested any modifications to help the patient with mobility. She may also do an initial assessment and meet with the caregiver, if there is one, and ask what the patient’s goals are. “Most of what clinicians do is educate and teach the client how to take care of themselves,” she said. She demonstrates different exercises with her patients online and, with her expertise, can detect muscle strength and functionality by just observing them perform simple tasks. “You can test cognition over the internet, you can test sensation,” she said. “You can’t listen to the heart without special equipment, but that exists.” Her average client has COPD, heart failure, diabetes, kidney disease, arthritis, high blood pressure and other conditions, all at once. They turn to telehealth because it’s difficult for them to get out of the home and go to a doctor’s office, although they sometimes do so. “It’s not really home care,” she said. “It’s not really outpatient. It’s a platform for clients that either have maxed out their benefits through traditional means or have prevention and wellness issues that will not be covered. It’s another opportunity for people.” Telehealth can be beneficial to the healthcare provider as well. When Berger provides home care through a company she works for, she can see up to six clients a day and then has hours of paperwork to complete, for insurance purposes. Through virtual care, she can see up to 12 patients with minimal paperwork. Her telehealth service is not covered under insurance, which cuts out a lot of the paperwork. A session can range from $80 to $200. With telehealth, a patient is not limited to one doctor. If Berger finds that a patient needs care in an area in which she’s not an expert, she can consult with a doctor across the country to get the patient the care they need. “So you can now get care by anybody who’s appropriate, wherever you are, at least to a point that you could not have gotten before,” she said. But even with the internet playing such a vital role in the future of medicine, there are still many limitations to telehealth. “You can’t touch a patient,” Berger said. “If you have an abdominal problem and your physician is palpitating your stomach to feel for tension and different things, you can’t do that (over the internet). Blood tests and physical surgeries also can’t be done, at this point in time at least.” Frederick Memorial Hospital is also making headway in telehealth services. The Chronic Care Management Program gives patients tablets, blood pressure monitors, a pulse oximeter and a scale to detect their vitals in the comfort of their own home. They consult with a nurse on the team once a week by phone. By the end of the summer, they plan to have video conferencing, according to Lisa Hogan, a nurse at FMH and the team lead for both the Chronic Care Management and telemonitoring programs. The program took off in 2017 and started with 30 monitors for in-home patients. Today it has 203 in the community. Up to 200 more monitors will be added in 2020. There is already a waiting list to be a part of the program. This past winter, the hospital also launched a separate Virtual Visit Program through Monocacy Health Partners, the hospital’s own physician group. The program is for employees and primary care patients of MHP, according to Alex Nason, director of IT innovation at FMH. Through a series of questions, primary care providers can assess ailments such as upper respiratory infections, flu, cold, rash and pink eye. Although physicians can make diagnoses and write prescriptions after conducting a telehealth session, about 20 percent of the time the provider decides that they would like to see the patient in person. Through these efforts, FMH saw an 84 percent reduction in readmission rates and a 56 percent reduction in emergency room visits in 2018, according to Hogan. “Telehealth as technology has become easier to use, less expensive and more accepted. And the clinical validation is there as more and more parts of health care are embracing it,” Nason said. “I think as the technology advances, the research continues to accrue validation and the economics of healthcare continue to evolve, we’re seeing more and more movement, acceptance and options of telehealth because the stars are starting to align.” ___ Information from: The Frederick (Md.) News-Post, http://www.fredericknewspost.com
[EX A]: Telehealth rises as medium increases in validity.

[EX Q]: "The story mentioned that CT scans are faster and better at diagnosing certain problems than are other types of imaging. It did not, however, provide information about the costs of various types of imaging or whether there were differences in terms of costs covered by insurance. Since the story focused on the harms of the approach, quantifying the benefits of CT scans is not imperative in this case. The article fails to flesh out the quantification of the effect under study, namely additional risk of cancers. While the source study reports on ""attributable risk"" of cancer and cancer-deaths due to CT scanning, it would be helpful for the viewer to know what this means in terms of numbers of cancers and risk to the individual. The story mentioned that it was reporting on information in a recently published article in the New England Journal of Medicine. However they did not report on the nature of the study. They did not mention the methods used to estimated the additional risk due to CT radiation exposure. The source article mentions that a more definitive prospective observational study is ongoing. This story should have pointed out the possible limitations of the study. The story reported that the article it discussed estimated that the percentage of cancer caused by CT scans will increase from 0.4% to 2.0%. It did not, however explain that the content was extrapolated from epidemiological data and estimation of radiation doses. It would have been useful to provide a framework to understand the relative significance of the reported on increase in number of cancers. How does it compare, for example to the numbers of cancers due to cigarette smoking? The reporter interviewed two sources in the story. One was the first author of the article being reported on. One appeared not to be involved in the study reported on. It would have been helpful to clearly identify the doctors beyond their names to explain why they were interviewed. Two other scanning methods -MRI and ultrasound – were briefly mentioned. The story did not include information about availability of CT scans (i.e. in hospital setting, in free standing imaging centers). However, the point of the story was that the technology is over used. While not meeting our usual standard of describing availability, the context of the news spot makes this less important. Although the story mentioned that patients ought to make sure that the doctor gives you ‘the least possible dose’, it did not inform the viewer that this option is not available on all CT equipment. The story was clear that it wasn’t reporting on a new approach but rather on the increased use of an existing diagnostic method. While mentioning that ‘many of these CT scans are unnecessary’ the story did little in terms of better enabling a viewer to distinguish between necessary and unnecessary scans. Does not appear to rely solely or largely on a press release."
[EX A]:
CT scans add to cancer risk