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.

Paragraph: Alexis Shapiro suffered damage to her pituitary gland, which helps regulate weight, as a result of the brain disease. She has gained about 140 pounds (63.5 kgs) in less than two years because of the problem, her mother said. Her extreme excess of body fat is clinically defined as morbid obesity. "It has been heartbreaking for her and for us. She cannot do the things she used to love," Jennifer Shapiro, her mother, said on the fundraising site GoFundMe. The mother said she is seeking about $50,000 for life-saving surgery to reduce the size of her daughter's stomach because the family's insurance company will not pay for the procedure unless the patient is at least 18 or has achieved full bone growth. Dr. Thomas Inge, a specialist in pediatric obesity at the Cincinnati Children's Hospital Medical Center, told NBC News that Alexis could receive the surgery at the hospital where he works within six weeks now that the funding appears to be in place. "Alexis will be seen this week in Cincinnati, and the preparations for surgery will be made at that time," Inge told Reuters by email. Claim: Donors pitch in to pay for surgery for extremely obese Texas girl.
Nearly 1,500 donors have pledged more than $62,000 to help pay for surgery for a 12-year-old Texas girl diagnosed as morbidly obese due to a brain disease that is causing her to gain about two pounds a week.

Paragraph: According to Simon and Schuster's website, it's the truth. The game is called "Panty Raider: From Here to Immaturity." The publicity says, "Gamers will Seek Out Supermodels to Strip Them Down to Their Bra and Panties." Here are some other tidbits from the Simon and Schuster publicity: PANTY RAIDER takes gamers to Model Isle where a supermodel photo shoot is taking place. The player is on a mission to photograph specific styles and colors of panties worn by supermodels to satisfy three testosterone-driven aliens and keep them from blowing up the Earth.One day on a planet far, far away, a catalog from a famous lingerie store inexplicably showed up in the mailbox at one horny alien's home. Some time later, he and his two buddies had worn out the catalog and they needed more! So they hijacked a flying saucer for a joy ride across the universe in search of supermodels in their underwear.The player assumes the role of "Nelson," an innocent bystander who is forced to help the aliens in their perverted quest. Nelson's job is to photograph specific models, wearing specific types and colors of underwear (as specified by the aliens). If Nelson does not get the photos that the aliens are asking for, in the amount of time given, the aliens will destroy Earth.Once on the island, Nelson can use all the tools available to him: * Pick up lines Use cheesy pickup lines to lure models out of the woods. * X-Ray glasses You know the ones seen in the back of comic books? These actually work allowing the player to see what kind of underwear each girl is wearing, before they go through the process of undressing her. Keep in mind if you waste too much time undressing a supermodel Earth will be destroyed can you control yourself? * Lures Items such as tiny mints (lunch!) and credit cards. No self-respecting supermodel can resist these items. * Camera Once the correct model is found wearing the right panties, and the outer clothing has been removed, it's time to use the camera to photograph the model. These photos are then added to the player's inventory. If all the correct models in the correct lingerie are photographed within the given amount of time, Earth is saved. Otherwise, the frustrated aliens are forced to take their hormone driven anger out on the planet. Last updated 11/13/00 For more information: Simon and Schuster News Release Comments Claim: The email says that Simon and Schuster has announced a new CD-ROM computer game where "to win the game, boys must strip supermodels down to their underwear, then provide photographs of them to aliens who wore out their one lingerie catalog or else the aliens hormone driven anger will destroy the earth."
New CD-ROM computer game features panty raids

Paragraph: The release notes that casting instead of surgery as an initial treatment would result in "reduced intervention costs" but that's not very helpful if you're unsure of the base cost of surgery. Estimates of a cost differential would have been helpful. Close contact casting would be much cheaper than open surgery for these fractures. The release includes a list of benefits of the modified casting method, with some quantification, mostly in terms of reduced complications. It says, "At 6 months, casting resulted in measures of ankle function equivalent to that with surgery. Infection and wound breakdown were more common with surgery (10 percent vs 1 percent), as were additional operating room procedures (6 percent vs 1 percent)." A release devotes a fair amount of space to harms from casting as compared with surgery: "Radiologic malunion (abnormal healing of a fracture) was more common in the casting group (15 percent vs 3 percent for surgery). Casting required less operating room time compared with surgery. There were no significant differences in other secondary outcomes: quality of life, pain, ankle motion, mobility, and patient satisfaction." This large randomized study with high rates of completion suggests a high quality of evidence, all noted in the news release. The release would have been better if it had noted that the outcome was blinded, a very important marker of quality as it is likely to reduce the risk of bias. No signs of disease mongering. These fractures are actually quite common, especially in the elderly, so it would have been appropriate to discuss the high disease burden from these fractures. No funding sources and conflicts are mentioned in the news release. Instead, readers are referred to the published study for details on "financial disclosures, funding and support." However, the study is only available to JAMA subscribers. The release aptly compares this new treatment with traditional surgery, which has largely been abandoned due to high rates of malunion resulting in functional deficits in displaced ankle fractures. The release also briefly mentions traditional "hard" casting. The release quotes an accompanying editorial stating that "close contact casting may be unfamiliar to some orthopedic surgeons." Although that's a vague statement, we can assume it's not in widespread use. In the U.S., most orthopedists are not trained in close contact casting nor do they feel comfortable using it. Most patients will not be offered this treatment as an option for their fracture care. This treatment is not novel, but the results of this study are new. It appears to be the first to compare these treatments and show the results in a well done randomized study. The release does not rely on sensational or exaggerated language. Claim: Modified cast instead of surgery results in similar functional outcomes for ankle fracture in older adults
This news release reports on the results of a randomized trial of older adults (average age 71) who had ankle fractures that were either treated with "close contact casting" or with surgery. While the outcomes after six months were similar in both groups the close contact casting was superior in terms of reduced infections and additional operating roomprocedures as well as being a lot safer. Yet many patients who received casting as an an initial treatment subsequently required repeat casting or surgery. The release covers most of the bases and reported fairly onthe essentials of the study, while not exaggerating either the benefits or risks of the surgical option. Readers might benefit from a definition of a 'stable' versus an 'unstable' ankle fracture and of "radiologic malunion." The term sounds threatening but does not necessarily result in pain or functional impairment. Ankle fractures are extremely common, and perhaps more common in older people so if one type of lower-tech procedure (close casting) can be proven to be safer, equally effective and less costly than the current standard of care (surgery) this could be a major plus to the healthcare systems around the world. Even though some of the patients in the study (about 20%) who received the casting option first had to go on to have a surgical intervention or a recasting,this study reinforces the view thatsurgery should be the second resortin most cases. Proof that a simpler closed intervention works well and should be tried first for these fractures stands to change the treatment of this common fracture.