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 Input:
"The article states that the costs are “generally … close to $45,000.” The news story notes in a sentence that hip replacement has a success rate of more than 90%, and defines “success” as “relatively pain-free mobility.” The article also clearly states why this new device was developed — to provide longer lifetime use prior to device failure. It quantifies this benefit vaguely, saying the device is ""much more durable"" and lasts ""much longer."" The news story focuses on one main harm—squeaking in hip implants made of ceramic—and provides estimates of its prevalence. A spokesperson for the hip maker points out that hip replacement has other potential risks as well, including infection, dislocation, and leg-length discrepancy. The news story makes it fairly clear that the research it is citing is from cohort studies. The first mention of the prevalence of squeaking in ceramic hip implants appears to cite the highest known estimate—7% of ceramic implants in one study of 143 patients. Only later do readers discover that other studies suggest the prevalence of the problem may be much smaller, from 3% (in a study of 1500 people) to less than 1%. This is not disease mongering, but it could cause some people to fear ceramic hip implants more than may be justified. In addition, the Times article says no squeaking occurred in patients with metal and plastic implants. But a recent 2007 review in the Journal of Bone & Joint Surgery (JBJS) reported that squeaking in similar implants made out of metal and plastic occurred in 4% of patients. (JBJS 2007;89:1874-85) If the JBJS review is accurate, the news story would be misleading. Unfortunately, the JBJS failed to support its own contention with a complete reference. The story cites 4 patients, 4 surgeons, a spokesperson for implant maker Stryker, and a lawyer representing aggrieved patients. All in all, they provide a balance of viewpoints. The story mentions a conflict of interest for one surgeon. It appears that 2 of the patients are clients of the lawyer. The story points out that the alternatives to a ceramic total hip replacement include hip replacements with implants made from metal and plastic. It doesn’t mention whether there are nonsurgical alternatives to hip replacement, but this is beyond the scope of the story. The story does not explicitly state that ceramic hip replacements are approved by the FDA, but with “tens of thousands” implanted, it’s clear that surgeons’ adoption of the devices is widespread. The FDA’s warning to implant maker Stryker about squeaking suggests the devices may not be perfect, but are approved. The story notes that Stryker introduced ceramic hip implants into the U.S. in 2003. The story cites several sources and does not appear to rely solely or largely on a news release."

Ex Output:
That Must Be Bob. I Hear His New Hip Squeaking.


Ex Input:
The Yakima Health District said Thursday that the cases involve people experiencing homelessness or those who use illicit drugs. The health district announced the outbreak Nov. 7, when five cases were confirmed in Yakima County. Since then, various local agencies have done outreach and vaccinated 74 people. The virus affects the liver and spreads through contaminated feces. It causes symptoms like fever, dark urine, yellow-tinged skin or eyes, fatigue and gastric issues. People pass it along by eating or drinking tainted food or water, or through sex. On July 30, the Washington State Department of Health announced a multi-county hepatitis A outbreak. Through genetic testing, it was found that the Yakima County hepatitis A strain that is being observed is related to the hepatitis A outbreak in Spokane.

Ex Output:
Hepatitis A outbreak increases to 11 cases in Yakima County.


Ex Input:
HIIT can blast calories, build muscle and boost endurance with impressive efficiency in just 20 minutes a day, but the catch is finding the right level of intensity outside the comfort zone, fitness trainers say. Sean Bartram, author of the book “High Intensity Interval Training for Women,” said to find that level people should think about what it is like being chased by a rabid dog. “It’s just below that,” he said. “To gain maximum benefits you have to push your body to a place that’s almost uncomfortable.”   The American College of Sports Medicine predicts HIIT will be a top fitness trend in 2015. Bartram said people are drawn to it for its efficiency and almost endless variety of exercises. The bursts can be sprinting or spot jumps and the recovery can be rests or slower paced movements, he explained. “You could alternate 30 seconds of sprinting with 30 seconds of walking, or you could engage in a series of bodyweight exercises, such as push-ups, doing each for 30 seconds with 10 seconds of rest in between,” he said. Dr. Michele Olson, a professor of exercise science at Auburn University at Montgomery, Alabama, said it’s not high intensity unless the heart rate is elevated to near 90-plus percentage of its maximum. “Many people think they are engaging in HIIT but they are really doing traditional interval training, where the heart rate is around 75 to 85 percent of max,” she said. Maximum heart rate is about 220 minus age, according to the American Heart Association. Olson said that if done properly, HIIT can increase the effectiveness in losing abdominal fat and prompt favorable changes in cholesterol and insulin levels. “There is research showing that you can cut your exercise time nearly in half,” she said. About 20 minutes of HIIT can reap similar benefits of doing 35 to 40 minutes of moderate, steady-state cardio, she added, noting the training level must be intense. Hayley Zawadzki, personal training manager at New York Health and Racquet Club fitness centers, suggests that anyone starting HIIT should have a fitness analysis. “If you have a history of high blood pressure or medications, you cannot push to the absolute max,” she said.

Ex Output:

Key to High Intensity Interval Training found outside comfort zone.