instruction:
Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.
question:
Paragraph: It's too bad this story didn't mention costs. Considering that the trial found only small differences in the effectiveness of the treatments, it seems that cost might be a key deciding factor for many people with neck pain. It's notable that two educational sessions about home exercise were as effective as 15 chiropractic sessions. The story includes both some of the specific results reported by researchers as well as more conversational descriptions of the overall experiences of people in this trial. Readers get the message that people with neck pain tend to feel better as time passes no matter which treatment option they used and that none of the treatments is clearly superior or can deliver sure-fire pain relief. This rating is a close call. The story does warn readers that spinal manipulation can pose "rare, but serious risks." Also, none of the trial participants reported a serious adverse event. But the story could have been more specific and reported that, as the editorial accompanying the research article pointed out, "neck manipulation has a rare but potentially catastrophic risk for vertebral artery stroke." Also, the story should have at least briefly mentioned some of the harms that can be caused by the pain medications (including acetaminophen, narcotics and muscle relaxants) that were prescribed to some participants. This story gives readers the important highlights of the study design and how the researchers measured effectiveness. It also includes a comment from an independent source that the trial would have been better if it had included a no-treatment group (in order to look for improvements that were due simply to the passage of time or a placebo effect). The story could have pointed out that unlike major drug trials that use placebo pills there was no way to prevent patients from knowing which treatment they received, which means the researchers can't be sure that the reports from patients weren't partially influenced by their beliefs about how effective a treatment might be. For instance, it could be that people who got spinal manipulation from a professional (and paid for it) might tend to believe that the treatment was more effective than a set of exercises that they did themselves at home. The story accurately reports that neck pain is common. It also includes cautionary statements about the uncertainty that exists about what sort of treatment works best, thus helping readers keep expectations in line with reality. The story includes quotes from multiple independent sources. It reports that funding for this trial was provided by "U.S. National Center for Complementary and Alternative Medicine." It might have been helpful to point out that the center is part of the National Institutes of Health, so that it would be clear to readers that it is a public institution. Although the story does not report on any potential conflicts of interest on the part of the researchers, the article authors did not disclose any conflicts in their journal article. The trial was set up as a direct comparison of popular treatments for neck pain, and that is just how the story presents it. It even includes a comment from an independent source that this sort of neck pain tends to improve on its own. As mentioned above, the story could have provided more details about the potential harms of the various treatment options. It is clear that all of the treatments included in this trial are widely available. The story points out that this trial was designed to address the lack of solid evidence comparing common treatments for back pain, while also noting that this trial doesn't answer all of the questions. The story does not appear to rely on a news release. Claim: Spinal Manipulation, Home Exercise May Ease Neck Pain
answer:
When researchers randomized 272 neck pain patients to receive either spinal manipulation, medication, or instructions on home exercises, they found some differences that were statistically significant. But the big picture is that all the patients tended to get better and those who got manipulation or home exercise instructions fared about the same. And that the bottom line message that readers get from the news story. The story didn't mention costs and it could have provided more details about potential harms, but overall it gives readers a fair overview of the research and the broader background of neck pain treatment. News reports should always distinguish between study results that really mean something to people dealing with illnesses and those that are merely statistically significant, but clinically underwhelming. This story reports key findings about measured differences, but also helps readers to see the main message; that those differences didn't make a dramatic difference to how patients felt and that important questions remain. The study raises some interesting questions. It's difficult to know if similar results would be seen for patients coming for care in usual practice settings, rather than in response to newspaper and radio ads recruiting subjects. It's also worth looking at effective care versus efficient care. If two group instructional sessions are as good as 15 individual chiropractic sessions on average, one could surmise that home exercise might provide more bank for the buck. The story could have done a better job driving this point home. AS

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Paragraph: He's not sure when the second-year starter will be healthy enough to be cleared to play. Allen was placed in the NFL's concussion protocol after taking a helmet-to-helmet hit by Patriots defensive back Jonathan Jones in the opening minute of the fourth quarter of a 16-10 loss to New England on Sunday. Putting aside the three interceptions Allen threw, McDermott's biggest question was why Jones wasn't ejected. "There's no room in football for that," McDermott said. "I thought he should have been thrown out. But other than that, I'm not going to get into that. That's for the league to get into." The hit occurred when Allen scrambled out of the pocket and burst through a hole up the middle while facing third-and-8 at the New England 45. He gained 7 yards before Jones closed in on him, lowered his helmet and struck the quarterback in the crown of his helmet. Jones was flagged for a personal foul for unnecessary roughness. Allen lay on the field for several minutes before hopping up on his own. He was briefly evaluated on the sideline before being escorted up the tunnel. Allen was spotted in the locker room chatting with teammates following the game. NFL officiating chief Al Riveron told a pool reporter the decision to not eject Jones came because the hit did not rise to the level of the league standard for disqualification. "There was a foul called and obviously the penalty stood, but we did not feel this contact rose to that level," Riveron said, who also noted Jones was turning his head just before hitting Allen. Bills safety Micah Hyde questioned the official's judgment saying he or any of his teammates would have been ejected for a similar hit on New England's Tom Brady. "That's our quarterback. We ride or die with him," Hyde said. "To see that happen, Josh didn't slide, but at the end of the day it doesn't matter if you're a running back, you can't head to the head." Jones defended the hit saying it was never his intent to hurt Allen. "No malice or intent. Just a part of football," Jones said. "We're just running around playing football. I hope he's OK. I'm going to check on him." Allen finished going 13 of 28 for 153 yards, and scored on a 1-yard touchdown dive. Allen's uncertain status leaves Buffalo with veteran backup Matt Barkley the only quarterback on the active roster in preparing to play at Tennessee next weekend. Buffalo then enters its bye week. The loss prevented Buffalo (3-1) from getting off to its first 4-0 start since 2008. Though the Bills defense held Brady in check, their offense was busy coughing up the ball at critical moments for the third time in four games. Allen threw three interceptions, two of which translated into a touchdown and a field goal. Punter Corey Bojorquez also had a punt blocked by J.C. Jackson, which led to Matthew Slater returning it 11 yards for a touchdown to put the Patriots up 13-0 in the first quarter. McDermott was unhappy with Allen's continuing string of committing turnovers. He's now thrown six interceptions and lost two fumbles in four starts this season. "He's a young quarterback and sometimes they have to learn those lessons. Those are hard lessons and we have to continue to coach it up," McDermott said. The game was decided on Buffalo's fourth turnover with 1:27 left. Facing third-and-9 on the New England 39, Barkley was pressured by linebacker Kyle Van Noy, who got his hand on the quarterback's chest. That forced Barkley to throw the ball up into the air, and have it easily picked off by Jamie Collins. The loss spoiled a stout effort by a Bills defense which limited the Patriots to just 11 first downs and 224 yards. Brady finished 18 of 39 for 150 yards and an interception. He was picked off by Hyde in the end zone on third-and-goal from the 2 in the second quarter. Brady's 45.9 passer rating was the sixth lowest of his career and lowest since finishing with a 34 rating in a 27-20 loss to Indianapolis on Nov. 5, 2006. Barkley lamented how the Bills let the Patriots off the hook. "Especially with the way our defense played and where we had the ball at the end of the game, it's tough," Barkley said. "This is a tough one." ___ More AP NFL: https://apnews.com/NFL and https://twitter.com/AP_NFL Claim: Bills fall to Pats, and lose QB Josh Allen to head injury.
answer:
Bills coach Sean McDermott suddenly has bigger worries than Josh Allen's carelessness with the football.

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Paragraph: U.S. Attorney Mike Stuart announced the suspension against Oak Hill Hometown Pharmacy on Thursday. Stuart says the pharmacy filled about 2,000 prescriptions for a widely-abused drug called Subutex over a three-year period despite red flags that the pills were being misused. He says more than half of the prescriptions came from an out-of-state clinic and that almost all prescriptions were paid for in cash. Stuart says the pharmacy constitutes an "imminent danger to the public health or safety." The Drug Enforcement Administration says Subutex is used to treat opioid addiction but has gained popularity as a drug of abuse. A phone call to the Oak Hill Hometown Pharmacy rang unanswered Thursday. Claim: Feds: Pharmacy ignored red flags when filling prescriptions.
answer:
Federal prosecutors say they've suspended a West Virginia pharmacy's registration for improperly dispensing prescription drugs.