The Battalion. (College Station, Tex.) 1893-current, October 07, 2003, Image 11
WORLI THE BATTALIO' [ical iging ology evelopers of magnetic ich allows doctors to without surgery. atient in a ing hydrogen up. s radio signals which itoms out of alignment ng the signal released ovement. This signal used to determine ifics about the tissue. iree smaller magnets ry the strength of the d in the precise location measurement. MRI es the reading from oh location to build a image of the body. Opinion The: Battalion Page 11 • Tuesday, October 7, 2003 ie field from left to riglil Inflaming the pain Anti-inflammatory medications cause more harm than good after injuries et Dan DelorenzrMP ace Prize, but mdied about in n Paul II, i Luiz Inacio I Afghan zai. )rd 165 nominate ived by the ugh the committee names secret, those l a candidate often heir preference, nown or likely non ode Karzai; Cuban hts activist Oswald' inas; Chinese Jingsheng; former iv. George Ryan I lis state’s death n nates; fonner Czecli Vaclav Havel; l? no; and Morded nuclear scientist W Israel for treason- •ges. F or many athletes and exercising stu dents, pain-relief medicine becomes an essential part of the routine after a long workout. Over-the-counter drugs avail able for treating aching muscles and stiff joints fall into two categories: those contain- ; acetaminophen such as Tylenol, or non steroidal anti-inflammatory drugs, known as Nsaids. Some well-known examples of these are Advil, Aleve, Orudis and aspirin. Currently, Nsaids are the most widely used drugs in the United States, with almost $2 billion spent on them annually. Sports medicine experts agree that Nsaids are by far the first choice among doctors and athletes for treatment of sports injuries. However, recent research has shown that Nsaids are not very effective at healing certain injuries, and that chron ic use leads to serious side effects. Student athletes and exercising Aggies should not automati cally rely on Nsaids whenever they are in pain. Declan Connolly, an associate professor of exercise physiol- >yat the University of Vermont, said there are two different types of soreness: acute pain due to bumps and bruises and the pain one feels the day after a workout. “If somebody plays a contact sport — rugby, lacrosse, hockey — and they get a few whacks, yes, ibuprofen (an Nsaid) is effective,” he said. However, he believes these drugs do little for the casual athlete who plays a few hours of tennis, then awakens the following day feeling sore. Connolly has also questioned the use of Nsaids in treating athletic injuries. Most athletes and exercising students suffer from muscle injuries, ligament sprains, tendon injuries or low-back pain at some point, and Nsaids are commonly recommended to treat such ailments. Yet, when Connolly and his colleagues reviewed the scientific evidence, they found that little research has been done regarding the healing properties of Nsaids. The “beneficial” effects of Nsaids are unproven, but, the percep tion holds that since inflammation is at the root of exercise-related pain, stopping it will bring relief and help a tissue heal faster. Inflammation is a necessary part of the healing process. When a tissue is injured, the body responds by increasing blood flow and inflammatory cells in the region. These cells remove debris and recruit factors to the injury site. The same molecules that are blockd by Nsaids are responsible, in part, for producing this inflammatory phase after an injury. While inflammation may be able looccur without healing, healing cannot take place very successfully without inflammation. Nsaids may be potent pain-relievers, but they don’t shorten healing time. Theoretically, then, Nsaids delay the healing of common sports injuries, so athletes relying on these medications to relieve their injuries are actually doing themselves more harm than good. Researchers at Stanford have already shown that some Nsaids prevent bone growth in animals, which shows they can do damage. And, interestingly, researchers at the Yale School of Medicine have found that anabolic steroids — drugs that actually increase inflammation — hasten the healing of muscle injuries in mice. One may argue that since Nsaids are excellent at reducing pain, they encourage activity of an injured joint. It is well-known that controlled movement of sprains tends to shorten healing times. Thus, Nsaids may provide some therapeu tic benefit. However, it is unknown whether a similar effect could be obtained with other sub stances that have fewer side effects and cost less, such as ice. Furthermore, prolonged use of Nsaids has serious side effects, which may include gas trointestinal ulcers and bleeding, dehydration, high-blood pressure and kidney failure. Gastrointestinal bleeding after Nsaid use is the 15th leading cause of death in the United States. Plus, individuals who have such bleeding while taking Nsaids have a significantly higher mortali ty than those who are not taking these drugs. This is because Nsaids increase the time it takes for clotting to occur. There is evidence that many competitive athletes abuse these drugs to reduce the pain of their strenuous training. A survey of ath letes at the 2000 Sydney Olympics found that nearly one-third of them used these drugs in inappropriate doses or for a prolonged time to reduce pain and inflammation. Steven D. Stovitz, director of sports-medicine education at the University of Minnesota in Minneapolis, says even sporadic use of Nsaids should be a red flag. “Perhaps the pain from a once-a-week basketball game should indicate that someone is Ivan Flores • THE BATTALION not in shape,” he said. The best way to be pain-free is to open the medicine bottle less and the gym door more. Mirlhat Farooqi is a senior genetics majdr. Medical journals finally requiring accountability M edical researchers have failed the public and ■become advertisers rather than scientists by giving money-blinded, biased opin ions on new products. Until recently, journals have ;allowed this by requiring only ; writers of research reports — ■and not the more influential ■review articles — to disclose financial interests in the products and treatments reviewed, according to The New York Times. While this may sound like a small techni cality, the loophole has allowed unethical con flicts of interest that should outrage an ■informed public. For instance, The Times reported that a 2002 Nature Neuroscience article advocated three therapies for depression — a “promis ing” lithium patch patented by the author, an “effective” drug produced by a company in which the author owned 60,000 shares of stock land another product manufactured by a compa ny in which the author was a board member and received stock options and consulting fees. I In essence, the public has been trusting information on health care that comes from researcher’s wallets. At the urging of 32 concerned scientists, Nature Publishing Group made public its new policy of complete financial disclosure for reviews, as well as primary research reports in the October issue of Nature Neuroscience, according to The Associated Press. While Nature executive editor Charles Jennings agreed to new disclosure policies, he also stressed in The Boston Globe that “nobody should be embarrassed about com mercializing their work. It’s a tremendous engine for economic growth.” Expensive medical research certainly bene fits from the monetary backing of companies interested in seeing their products reviewed favorably, but by not disclosing sources of financial support, the public is severely misled into thinking results are purely objective. Already a step ahead of its London-based counterpart, America’s leading journal, Science, currently requires disclosure of financial inter ests for primary research reports, reviews and even opinion essays. However, the 32 scientists included Science in their appeal for higher ethi cal standards, so one can infer that stricter poli cies are required there as well to ensure fact- driven rather than money-driven endorsements and evaluations. Furthermore, conflicts of financial interest are not restricted to journals, pointing to a broader problem tainting the entire medical field. Earlier this year, the world’s leading associ ation of cancer doctors, The American Society of Clinical Oncology, issued a similar impera tive to curb unethical practices. As of April, cancer researchers must now disclose financial support from trial sponsors, and efforts are being made to limit the finan cial stakes for clinical trial leaders, according to The Houston Chronicle. Dr. Lowell Schnipper, who chaired the task force respon sible for the new policy, told The Chronicle that “the rationale behind the new pol icy is the national abuses that came to light in recent years. While we remain confident in the integrity of clinical inves tigators, the goal of this poli cy is to increase the trans parency of clinical cancer research overall.” The problem is not that researchers are publishing incorrect or altered findings; it is that they are not providing the public with the entire story. Because the majority of people do not have the ability or resources to perform research firsthand, they have to trust researchers to provide them with accurate evaluations. Furthermore, evaluations published in medical journals may influence doctors’ or clinics’ choices in treatment. A vulnerable public deserves treatment based on effectiveness, not on which company pumps the most money into research that will yield positive findings. Unfortunately, national attention and reform efforts were brought about only after irreparable dam age. An 18-year-old died in a University of Pennsylvania gene therapy experiment, and Seattle’s Fred Hutchinson Cancer Research Center neg lected to tell patients of risks, according to The Chronicle. While these new initiatives for reform will increase uni formity, accountability and objectivity in medical research, greater patient safety comes with a human cost even trial sponsors and companies seeking to advance their prod ucts cannot reimburse. The public deserves to know whether researchers’ medical findings are truly in the public’s best interests or simply what is best for the researchers’ wallets. Lindsay Orman is a senior English major. LINDSAY ORMAN a A vulnerable public deserves treatment based on effectiveness, not on which company pumps the most money into research that will yield positive findings. ? I, you jIus onald. 'X r and ucks nd Skyrocket does not deserve ridicule ; In response to Collins Ezeanyim’s pet. 1 column: i ; If I have to listen to one more per son whine about how much they (late Skyrocket, I think I’m going to scream. I’m pretty sure ■Chigaroogarem” isn’t intimidating, and I’m just about positive that ■Riffity Riffity Riff Raff” makes us the Mt of a lot of jokes, but do we care? No, because it’s tradition, and so is Skyrocket — an old tradition that has ust been rekindled, but a tradition Nonetheless. What makes people think tiat they alone have the authority to feide what yells are good enough for this school? Isn’t that why we elect Yell leaders, to make those decisions and finite us as a student body? With all due respect to Mr. Ezeanyim, the logic used was ridiculous. Skyrocket isn’t intimidating like the rest of our yells? i wasn’t aware that “Rah Rah Rah Rah TAMC” struck fear into the hearts of our enemies. The “Whistle-eeee” sounds silly? Whoops, I must have missed the past about “Hullabaloo Caneck Caneck” being sophisticated vocabulary. People don’t know the words? Hardly anyone knows the words to the “Twelfth Man,” but we still keep it around. Stacy Reeves Class of2006 Kennedy should not be receiving award Ted Kennedy is getting the Bush Public Service Award? Is Texas A&M saying that of all the people in this MAIL CALL country that do good public service, they could not find anyone better than Sen. Kennedy? Putting it politely, Sen. Kennedy has questionable morals as well as other faults which most Aggies find offensive and in some cases revolt ing. Not to mention that Sen. Kennedy just outrageously accused President George W. Bush of fraud and bribery related to the Iraq war. The people at A&M who made this selection should be removed from that duty at once. Was this just a publicity stunt? If so, shame on A&M for stooping so low. I am under no delusion that A&M will change its mind. But I would still like to know how A&M justifies overlooking all of Kennedy’s faults to give him this award when there are hundreds of other people who would have been perfect recipients for this award. If Texas A&M goes through with this, they will sully the meaning of the award and shame the institution. I already have Aggie friends that are vowing to discontinue their financial support for the library and the University because of this. James Wilson Class of 1995 A&M about more than just academics I am amazed at the recent bicker ing in regards to uncovering when we do yells at the football games and leaving early. When I first heard of Texas A&M and the unity among its student body, I was thoroughly impressed and knew I had to come here. As Aggies, we must evaluate why we are here. Yes, academics are a top priority. After all, we attend one of the best universities for academics. We must also remember that A&M is unique because it has managed to keep its traditions and student unity over the past 127 years. At no other university can a student meet so many people and befriend them for life simply because they go to the same school. Texas A&M also has amazing network opportunities because of its high percentage of stu dent involvement and a friendly cam pus environment. We have something special at A&M and it is called the Aggie Spirit. It is up to us to maintain that spirit so that future generations can experience it and learn what it means to be a Fightin’Texas Aggie. Derek Brown Class of 2005