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.

[Q]: In that time, at least 20 residents died and more than 100 suffered injuries after homes failed to provide care as required, the Atlanta Journal-Constitution found in examining reports issued by the Georgia Department of Community Health (DCH), which licenses and inspects long-term care facilities and investigates complaints. The actual death toll may be much higher. In interviews with the newspaper, and in lawsuits, families have tied other deaths and injuries for which there were no state citations to improper care. The newspaper examined thousands of regulatory citations and hundreds of police reports from 2015 through 2018, reviewed lawsuits and interviewed dozens of people. The investigation found breakdowns in care that often were rooted in inadequate staffing, poor training or efforts to cut costs. In some cases, seniors tried to summon staff for help and got no response for hours, wandered away from facilities unnoticed, or languished in unsanitary and hazardous conditions. Others fell repeatedly, suffering bruises, bloody faces and broken bones. Some suffered in pain for days without treatment. In some cases, caregivers physically, verbally and sexually abused residents. Georgians seeking care for aging family members pay thousands of dollars a month to facilities that have popped up across the state in recent years promising luxurious amenities and top-flight attentiveness. Many offer to provide safe, consistent care. But the reality, is that too often thin staffs are overwhelmed, seniors have been treated callously or ineptly, and safeguards have been ignored, the investigation discovered. In a 2016 case, it took an aide at a Savannah facility 26 minutes to respond to an emergency call from a resident who had diabetes and high blood pressure. The resident was unconscious by that time. Another 19 minutes elapsed before anyone called 911. When the ambulance made it to the hospital, the resident was pronounced dead. In October 2018, a 92-year-old woman was repeatedly bitten by ants at a facility in Sandy Springs. The upscale facility failed to eradicate the insects that had been reported in her room a week earlier. Then, over two consecutive days, ants attacked the woman in bed. She died days later. Though abuse is less common than neglect, police and DCH records showed that more than 100 residents reportedly were abused by workers of assisted living and large personal care homes over the four years the newspaper’s investigation covered. Records showed that at home near Athens, a worker in 2017 hit an 86-year-old woman with dementia who tried to leave the facility, bloodying her nose and bruising a cheek. The same worker was accused of pulling an 84-year-old resident’s hair and striking her. A facility in Decatur received a state citation in March 2018 after an aide was accused of abusing a resident late at night. Nine months earlier, a separate allegation of abuse involving two other employees surfaced on the night shift. Will Johnson, the elder abuse prosecutor with the Georgia Prosecuting Attorneys’ Council, told the newspaper that elder abuse and neglect is “not acceptable in our society, in our state, anywhere.” “No one who has lived their life and reached 70, 80, 90 years of age, raised a family, contributed to society — they should never be left to rot in a bed or be bashed in the face or have all of the money that goes to their care squandered,” Johnson  said. State Rep. Sharon Cooper, R-Marietta, said, “I’m saddened for the people that were injured, and I’m appalled for humanity in general that our elders would be treated this way.” “Certainly, as a state, we need to intervene,” said Cooper, who chairs the House Health and Human Services Committee. Top officials at DCH refused repeated requests over several months to meet with the Atlanta Journal-Constitution. After the newspaper provided its findings to DCH, a spokesman again declined an interview, saying it wasn’t in their “best interest.” The agency would only answer questions submitted in writing. While officials didn’t directly address some questions, DCH Commissioner Frank W. Berry said the agency manages a heavy workload and is always seeking ways to improve and carry out its mission. “The health and well-being of Georgians is always our top priority,” Berry wrote. A 2011 state law paved the way for assisted living communities, expanding choices for families whose only options previously were personal care homes, which serve seniors who need help with meals and medication reminders, or nursing homes for those requiring intense assistance. Assisted living facilities allow a higher level of care from staff who can administer medication and assist residents who need help moving around. The 2011 legislation and the rapid graying of the population have led to facilities’ taking in more residents who in their 80s and 90s who have chronic care needs. While facilities market an active lifestyle, some have residents who can’t push their own wheelchairs or who need assistance to get out of bed, dress or eat. Some residents are unable to speak. The state cited facilities 238 times for admitting residents with conditions and illnesses that staff could not handle. At the same time, the for-profit companies that dominate the industry have incentives to keep their costs low, which translates to minimal staffing, said Catherine Hawes, Regents Professor Emeritus at the Texas A&M Health Science Center and a nationally recognized expert on long-term care. “It’s like - let me sit down and write a prescription for disaster,” she said. “You’re writing a prescription for abuse and neglect.” ___ Information from: The Atlanta Journal-Constitution, http://www.ajc.com
[A]: Allegations of neglect, abuse at Georgia elder facilities.


[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.”
[A]: Hoopsters put circus-inspired spin on cardio workout.


[Q]: Once in 2002, Hon forgot to remove a nicotine patch from his stomach before bed and had nightmares all night. He traced it to the continuous dose of nicotine and then realized it was precisely that steady release that made patches inadequate for him. Without the sharp nicotine highs he got from smoking, he found there was no relaxation or stress relief. Armed with a background in Oriental medicine, knowledge of mechanics and an interest in electronics, Hon set out to make something that would mimic smoking - without the deadly smoke. His drive was galvanized further when his father, also a smoker, was diagnosed with lung cancer shortly afterwards. He died in 2004. “I believed that if I could use vapor to simulate cigarette smoke, this could help me,” Hon told Reuters on Tuesday. Thirteen years on from those nightmares, the 59-year-old stopped off in London after participating in a global summit in Warsaw on nicotine as the father of the most disruptive technology the industry has seen. He is also now employed by one of its biggest players, Imperial Tobacco Group, following Imperial’s 2013 purchase of Hon’s business. Imperial, the world’s fourth-largest tobacco company, will become a major e-cigarette player in the United States following its purchase of the Blu brand in a deal expected to close this week. E-cigarettes, which heat nicotine-laced liquid into vapor, have ignited a global market for “vaping” products that could top $7 billion this year. In the absence of definitive studies about the long-term health effects of vaping, they are the subject of great debate. Tobacco giants including Philip Morris International, British American Tobacco and Japan Tobacco are also racing to enter the market as governments race to control it. ‘CLOUD-CHASERS’  Authorities in Wales on Tuesday proposed a new public health law that would ban e-cigarettes in enclosed spaces like offices and restaurants following similar moves in Ireland and elsewhere. Some regulators fear e-cigarettes could lead non-smokers to vape or even smoke, while proponents say bans discourage smokers from switching. “E-cigarettes are a consumer-driven revolution,” Hon said, noting the array of products now on the market that address the needs of various groups, from people wanting to cut back or quit smoking to a new band of recreational “cloud-chasers” who use nicotine-free vapor to blow the biggest and densest clouds. “When automotive manufacturers first started out, they were not thinking about a sport to be called Formula One. You always have groups of people who are looking for excitement,” Hon said of the cloud-chasing phenomenon. Although most e-cigarettes are manufactured in China, the market there is very small and tobacco smoking remains high. China is by far the world’s biggest tobacco market, and is a virtual monopoly dominated by state-owned firm China National Tobacco. Some estimates peg revenue from tobacco sales as making up as much as 10 percent of the government’s coffers. Yet Hon could soon see more people in his home city of Beijing vaping, due to this month’s implementation of strict rules on smoking in public places. Anyone who violates a ban on smoking in restaurants, hotels, schools, hospitals and in certain outdoor public places must pay a 200 yuan ($32.25) fine. That is 20 times the current, albeit rarely enforced, penalty. Hon said second and third-tier cities in China could follow Beijing’s lead as governments seek to improve public health. “I understand the market is slowly changing,” said Hon, who now only smokes when his job requires him to compare the flavors of various tobaccos and vapes. “What could happen to the Chinese market could be similar to what’s happening here.”
[A]:
E-cigs a 'consumer-driven' revolution born from a bad dream.