April 17, 2013

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Daily

THE BROWN

vol. cxlviii, no. 53

INSIDE

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Learning curve Delaney ’15 argues learning styles should be unique. Page 7

Drug policy SSDP argues the current U. drug culture needs revision Page 8

The ‘Black Patti’ Community will honor the 19th-century performer

today

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tomorrow

58 / 53

Herald

WEDNESDAY, APRIL 17, 2013

since 1891

Ron Paul espouses wary view of big government The former congressman said his first priorities are ending war and reducing U.S. presence abroad By JENNIFER KAPLAN SENIOR STAFF WRITER

Ron Paul skirted around potentially controversial issues and was met with respectful enthusiasm at a lecture Tuesday night in Salomon 101. Sharing his views on a plethora of political issues, Paul punctuated his lecture by voicing his distrust of politicians and government, at one point saying he wanted to “neuter” lobbyists. “The bigger the government, the bigger the lies, the less liberty we have,” the former congressman told a packed house. Paul highlighted what he described as the plights of big government in policy areas ranging from the economy to international relations, calling big government the root of the nation’s

problems. Once the only OB/GYN in his town, Paul said he was not interested in becoming a politician until thenPresident Nixon “ominously” took the United States off of the “pseudoBretton Woods gold standard” in 1971. Since then, the government has continued to grow, the economy has become overregulated and the United States has ceased to produce tangible goods, Paul added. Paul cited the end of the gold standard and the increasing power of Federal Reserve monetary policy as the causes of the recent economic crisis. “In the ’50s and the ’60s when we were graduating from college and medical school, there was never a question about jobs,” Paul said, but now even graduates with advanced degrees face serious challenges finding work. Paul condemned the Fed’s response to the recent recession as an example of what he called the corruption of big government. // Paul page 3

EMILY GILBERT /HERALD

At the end of the talk, students asked former Congressman Ron Paul, who spoke Tuesday night, about comments he allegedly made regarding race.

White, older students more likely to use substances Admitted According to a poll by students The Herald, 85 percent of students have consumed descend on alcohol in the past year College Hill By HANNAH LOEWENTHEIL SENIOR STAFF WRITER

College social life is often perceived to be characterized by rampant drug and alcohol use, a stereotype reinforced by movies, television, books and popular culture. It may come as little surprise, then, that just shy of 85 percent of Brown students reported they have consumed alcohol and 49 percent have smoked marijuana within the past year, according to results of a Herald poll conducted in March. One in four students

reported tobacco use. The level of alcohol consumption at Brown ranks as average among other Ivy Leagues but higher than the national norm, said Margaret Klawunn, vice president for campus life and student services. “The level of drinking at Brown is not completely out of line with other campuses, but enough that we are concerned,” she said. But the prevalence of drug use excluding alcohol may be less common than perceived — less than 10 percent of students reported having used each of several drugs other than marijuana. The most frequently consumed drug after marijuana was ecstasy, which just over 9 percent of students polled have used in the past year. Around 4 to 6 percent of students reported having

used other drugs, including cocaine, hallucinogenic mushrooms, LSD and amphetamines that include study drugs like Adderall in the past year.

Trends White respondents reported drinking more alcohol and using more drugs than did non-white students, with 90 percent of white respondents reporting alcohol consumption in the past year, compared to 77 percent of non-white respondents. White students also reported smoking more marijuana than non-white students — 55 percent compared to 38 percent of non-white students. White students reported cocaine use at almost four times the rate of their non-white peers: 8.4 percent compared to 2.7 percent. Black students also reported signifi-

cantly less alcohol use than non-black students, at 74 percent. On average, black students reported using fewer drugs than non-black students. The poll results also showed a low correlation between Asian respondents and drug use. Just over a third of Asian students reported marijuana use this year. No significant correlation emerged between other races and substance use, suggesting the related statistics are similar to the average. Similar percentages of males and females reported having consumed alcohol at least once in the past year, but all other substance use exhibited differences by gender. More than half of male students said they smoked marijuana, compared to 44 percent of females. / / Poll page 4 Males may

High-risk meds prescribed mainly to elderly, study finds Women and low-income individuals are also more likely to be prescribed high-risk medications By MAX SCHINDLER CONTRIBUTING WRITER

Doctors prescribe high-risk medications to over one-fifth of elderly patients in the United States, with higher prescription rates found in the Southeast, according to a new study by University researchers. The paper was published in the Journal of General Internal Medicine earlier this month. To conduct the study, co-authors Amal Trivedi, assistant professor of community health, and Danya Qato GS, a doctoral candidate in community health, combed through the demographic data of 6.2 million patients

SCIENCE & RESEARCH

enrolled in Medicare Advantage health plans in 2009. More than 1.3 million seniors — 21.5 percent of patients — were prescribed one high-risk medication, with 5 percent receiving two or more prescriptions, Qato said. High-risk medications should be avoided, Trivedi said, because “it’s likely that the harm outweighs the benefits.” Safer alternatives are usually available, he added. Around 100 medications are classified as high-risk for seniors, according to the National Committee for Quality Assurance. Most of these commonly prescribed drugs carry few side effects in younger patients, Qato said. The drugs include anti-anxiety and antihistamine medications such as Equanil and Benadryl as well as oral estrogens. Americans living in the Southeast are 10 to 12 percent more likely to be prescribed high-risk medications than patients in the Northeast, the study found. Similarly, the 20 worst-

performing hospital referral regions are located in the Southeast. “I was struck by the scope of geographic variation,” Trivedi said. “That’s important from a policy perspective. It suggests that we should focus on areas of the country where rates are much higher.” A number of interconnected factors may explain the geographic differences, including different prescibing cultures, a higher prevalence of chronic conditions in the area and “a lower quality of care in the South in general,” Qato said. Women, lower-income individuals and whites were also more likely to receive high-risk medication, the paper stated. Women are prescribed high-risk medication at greater rates because some of the classified medications, such as oral estrogens, are prescribed only to women, the authors wrote in the study. But even after controlling for gender-related variables, “women were still at higher risk,” Qato said. Despite the findings, doctors con-

tinue to prescribe high-risk medications, and patients are unaware of the risks, Trivedi said. Doctors often prescribe the medications without being fully aware of the dangerous side effects, he added. “Changing provider behavior is a difficult proposition. The necessary first step is to provide information and lay out the scope of the problem,” he said. There also remains “the need to further emphasize medication management of geriatric patients in clinical training,” the authors wrote. As a pharmacist, Qato emphasized the study’s importance in empowering patients by giving them knowledge about their medication therapies. But doctors and legislators need to take the next step, she said. “It’s a call to action for clinicians and policy makers to take this variation seriously,” Qato said. “It’s about the patient acknowledging that they’re participants in an imperfect health care system. They can be active participants in shaping their health care.”

ADOCH was extended to three days and two nights for regular decision admits By MAGGIE LIVINGSTONE SENIOR STAFF WRITER

A Day on College Hill had record-high attendance among students admitted through the regular decision process, with 823 of 2,649 students accepted to the class of 2017 flocking to campus from Sunday to Tuesday. This year also marked the first time the Third World Welcome was incorporated into the ADOCH program. In previous years, TWW was held as an overnight event that invited admitted students of color to come to Brown one day before ADOCH began. All the events that used to be held during TWW were held during ADOCH and open to all students, said ADOCH co-coordinator Jamie Marsicano ’15. The Admission Office also extended ADOCH to three days and two nights this year to give prospective students more time to experience campus life, student organizers said. “This year there was so much more time for the students to see everything,” said ADOCH co-coordinator Kate Brennan ’14. “A lot of them said they appreciated being able to go to two nights of different activities.” The events that used be part of TWW, which are now incorporated into ADOCH, featured more discussion and Minority Peer Counselor workshops this year, said Shane Lloyd, assistant di/ / ADOCH page 2


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