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: The story does not describe the costs of uterine artery embolization or how they compare to costs of surgery. The cost of UAE is quite high and for some women may not be covered by insurance. The story provides adequate quantification of some of the most important things for consumers to know, such as the fact that after a year, there were no differences in the quality of life of the women assigned to uterine artery embolization compared to those assigned to surgery and that 13% of those who underwent UAE had a repeat hospitalization, mostly for surgical intervention because of failure of UAE to achieve the desired results. The story could have provided more quantification of other pieces of information that women would want to know, such as length of hospital stay, time to return to work, or risk of serious adverse events. The story does mention some of the potential harms of uterine artery embolization, such as the need for repeat procedures for treatment of recurrent symptoms and the fact that there are questions about safety of pregnancy after the procedure. The story should have also mentioned the potential for ovarian failure, causing infertility, infection, delayed complications and a small risk of emergency hysterectomy. The story adequately describes the design of the current study. The story accurately describes the prevalence and symptoms of uterine fibroids. The story only uses quotes from the original article and accompanying editorial. It doesn't appear that the authors were even interviewed. The story should have quoted other clinicians/researchers who were not related to the study who could have provided some perspective on what this new information means for clinical practice. The story does mention alternative options such as myomectomy (surgical removal of the fibroids), hysterectomy (surgical removal of the uterus) in addition to uterine artery embolization. The story could have mentioned other treatments such as watchful waiting, pain medications or birth control pills. The story does not state whether uterine artery embolization (UAE) is available and if so, how widely. And availability is a real issue. It requires expertise in interventional vascular radiology and an interest in the female pelvic anatomy. Facilities offering the procedure would need strong links between gynecologists and radiologists to provide coordinated assessment and care. This is not explained in the piece. The story implies that uterine artery embolization is a new procedure. The story could have mentioned that the procedure has been performed for more than 10 years in Europe and the US, although it has been limited to mostly academic hospitals. There is no way to know if the story relied on a press release as the sole source of information, although it is noteworthy that the story only uses quotes lifted from the published study and from an accompanying editorial. It doesn't appear that these people were actually interviewed.

Answer: Treating fibroids without surgery


Question: In July 2020, readers asked us about news articles claiming that a couple in Radcliff, Kentucky, had been placed under house arrest for refusing to sign an agreement to self-isolate and quarantine, after one of them tested positive for COVID-19. Elizabeth Linscott told WAVE 3 News that, although she had no symptoms, she got tested for COVID-19 as a precaution before a planned visit to her parents in Michigan in July. According to Linscott, after she tested positive the “health department” sent her a document for her signature, in which she was asked to “agree to comply to call the health department … prior to leaving my house for any reason.” Linscott told WAVE 3 that she refused to sign the document because of a provision that she said required her to notify public health officials in advance of traveling to the hospital for care, but that she was not refusing to self-isolate in principle, adding “I have to go to the ER, if I have to go to the hospital, I’m not going to wait to get the approval to go.”  Linscott’s husband Isaiah said that a few days after his wife refused to sign the agreement, officers from the Hardin County’s Sheriff’s Department and a public health official visited the family’s home and produced three written orders, for the couple and their daughter, effectively forcing each of them to quarantine at home. WAVE 3 reported that the Linscotts were “ordered to wear ankle monitors.” The family’s story was covered by national news outlets including The Associated Press, Fox News, and the New York Post. In response to our inquiries, the Hardin County Sheriff’s Office confirmed, without naming the Linscotts, that on July 16 its officers had “delivered Notices and Orders to Isolate and Quarantine,” as a result of a court order. In response to our inquiries about the Linscott case, the Hardin County District Court provided Snopes with a copy of the three isolation orders that the Sheriff’s department served upon the Linscott family. The isolation orders, dated July 16 and signed by Hardin Circuit Court Judge Ken Howard, specify that each of the Linscotts were ordered to isolate at home for 14 days, by virtue of a petition from the Lincoln Trail District Health Department, which covers several counties including Hardin County. That petition outlined the following: The “Self-Isolation and Controlled Movement Agreed Order” asks the recipient to agree to several provisions, including: “As long as I do not require hospitalization, I will self-isolate at home, reducing contact with all others as much as is practicable” as well as “I will not leave my house without the approval of the Department for Public Health” and “I will not travel by any public, commercial or healthcare conveyance such as ambulance, bus, taxi…without the prior approval of the Department for Public Health.” On July 15, the district health department filed its petition with Hardin Circuit Court, and the following day Judge Howard issued an injunction ordering the Linscotts to comply with the provisions of the order. The ruling was based in part on the “nature of the disease,” as well as Linscott’s positive diagnosis, of course, but Howard also specified that his decision to grant the isolation order was also partially based on Linscott’s “conduct,” noting that she had “declined to voluntarily agree to isolate… and has conveyed that she will leave her home to get supplies and do errands which she considers necessary.” Howard also ordered the couple to wear ankle monitors, to be installed by a company called Envivo Health, and ordered the district health department to pay for the monitors and ensure the family has “adequate provisions of food, medicine or other necessities during the period of confinement.” The isolation order issued by the district health department, and the injunction signed by Howard, were both based on Kentucky state law. Specifically, Chapter 212, Section 245(6) of the Kentucky Revised Statutes states that: “County, city-county, and district health departments may: […] Issue written orders directed to the owner or occupant of any property, or to any person, firm, or corporation whatever, commanding, within the time and manner specified in the order, compliance with applicable public health laws of this state and all regulations of the Cabinet for Health and Family Services or the county board of health. Notwithstanding the provisions of this section and KRS 212.210, any health officer may institute and maintain mandatory or prohibitory injunction proceedings in the appropriate Circuit Courts of this state to abate nuisances that are or may be a menace to the health of the people of the state or community, and to compel compliance with the public health laws of this state and the rules and regulations of the Cabinet for Health and Family Services and the county board of health and the orders described in this section or in KRS 212.210.” Title 902, Chapter 2, Section 50 of the Kentucky Administrative Regulations further states that: “Whenever any person has been implicated as a possible reservoir or possible source of infection of any communicable disease, the local health department or the Cabinet for Human Resources shall employ such measures as are necessary to secure adequate isolation, restriction of employment or other control procedures that may be necessary to insure cessation of transmission of infection.” Based on the evidence provided to Snopes by the Hardin County Sheriff’s Office and Hardin Circuit Court, it’s true that the Linscotts were indeed ordered to remain confined to their home for 14 days, after Elizabeth Linscott contracted COVID-19 and subsequently refused to sign a “Self-Isolation and Controlled Movement Agreed Order.” Hardin Circuit Court did indeed order the couple to be fitted with ankle monitors to ensure their compliance, and the isolation order papers were given to Isaiah Linscott during a visit from the Hardin County Sheriff’s Office. Most of the basic facts of the case were therefore accurately reported in the news articles mentioned above.

Answer: A Kentucky couple were placed under house arrest in July 2020 after a woman diagnosed with COVID-19 refused to agree to self-isolate because it would require her to get prior approval to go to the hospital.


Question: Japan has so far been spared a major spreading of the coronavirus that has hit Europe and North America, but authorities fear a rise in cases with no known source of infection could signal a bigger new wave. Authorities confirmed 28 new coronavirus cases from a cluster related to a home for the disabled in Chiba prefecture, adjacent to Tokyo, NHK said. The outbreak has infected more than 1,800 people in Japan, with 55 deaths as of Sunday afternoon, excluding 712 cases and 10 deaths from a cruise ship that was moored near Tokyo last month, NHK said. Prime Minister Shinzo Abe on Saturday promised an unprecedented package of steps to cushion the world’s third-biggest economy from the coronavirus pandemic, warning that Japan may need to prepare for a national emergency. Tokyo Governor Yuriko Koike has also asked the tens of millions of people in the city and surrounding regions to avoid non-essential, non-urgent outings until April 12, as the city has become the center of Japan’s coronavirus epidemic. Of the 68 new cases in Tokyo, more than 20 are linked to a hospital in the eastern Tokyo ward of Taito, where many patients and staff have already tested positive, NHK said. Tokyo authorities had no immediate comment on the NHK report.

Answer:
Tokyo coronavirus cases jump in record daily rise: NHK.