MUSC | The Catalyst by Cindy Abole

March 4, 2011

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 29, No. 27

New Heart ValVe ProVides lifeliNe

Above, Dr. Laurie Fladd with her family at a Cooper River Bridge Run. Pictured right is her stented valve being expanded into position under fluoroscopy.

MUSC offers Melody transcatheter valve procedure, quicker recovery By DaWN BRazell Public Relations

aurie Fladd knew the procedure she was to have done at MUSC was new. She just didn’t realize how new. When she found out the day before her Jan. 26 procedure that she was to be the first patient at MUSC and first in the state

to have a transcatheter pulmonary valve inserted, it gave her pause. Briefly. Given that the only other option was open heart surgery, Fladd, Ph.D., decided she was willing. Fladd, department head for physical sciences at Trident Technical College and the active mother of two boys, had known

No. 3 RaNkiNg S.C. College of Pharmacy research faculty land NIH funding.

since age 13 that she would have to have another open heart surgery for a valve replacement at some point. She was thrilled to see that she could wait long enough for technology to provide a less invasive method, she said. Interventional pediatric cardiologists Rani Bandisode, M.D., and G. Hamilton Baker, M.D., performed the procedure

and were glad to see Fladd up using her iPad the day after getting her valve. An open heart surgery would have required a week to 10 days for recovery. The procedure has been done on three patients so far, two of them children, and all were able to leave the hospital the next day. Bandisode said they are treating See Valve on page 8

PatieNt Safety Week

Meet DeAnna

Visit a ‘Room of Errors’ and find mistakes that could be avoided.

Global Health

Classifieds

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2 the CatalySt, March 4, 2011

SCCP faculty gets No. 3 ranking in landing NIH research funding The South Carolina College of Pharmacy faculty is one of the most productive in the country, judging by the success of its research faculty in getting National Institutes of Health (NIH) funding. Recently released rankings by the American Association of Colleges of Pharmacy show the college to be No. 3 nationally in percent of research faculty with NIH funding. NIH funding is a common yardstick for measuring excellence in academic quality. The South Carolina College of Pharmacy (SCCP) ranked 17th overall in the country, out of more than 120 colleges of pharmacy. “The creation of the South Carolina College of Pharmacy was intended to increase productivity, leverage resources and ultimately enhance quality to be on par with the best pharmacy colleges in the country,” said Joseph T. DiPiro, executive dean of SCCP. “Successful researchers are at the forefront of knowledge and they bring that knowledge, to the

classroom, giving our students a better education. Our productivity matches the best in the U.S. and among colleges we compare favorably with now reflect how high the bar has been raised … and we’ll keep raising it.” Since 2005, when the college was created by the integration of the pharmacy colleges at University of South Carolina (USC) and MUSC, the SCCP has climbed steadily in NIH funding (see graph). At 17th, the SCCP is now ranked ahead of a number of nationally-recognized pharmacy programs commonly considered as among the country’s best, including Ohio State, Florida, Maryland, Wisconsin, Minnesota, Kentucky and Purdue. The success of the research faculty is a significant contributor; the only programs in the country with a higher percent of Ph.D. faculty with NIH funding than the SCCP are University of California-San Diego and

the University of California-San Francisco. More than 50 percent of SCCP’s research faculty is funded. “We have recruited and retained a highly motivated, highly successful and collegial group of research faculty,” said Rick Schnellmann, Ph.D., chair of the Department of Pharmaceutical and Biomedical Sciences. “Their work plows new ground, much of which has a chance to be rich in discovery that leads to new science. I think the NIH recognizes that and is supportive because the return on the investment could be significant.”

Key pharmacy faculty researchers

Schnellman

Rick Schnellmann, whose research focuses are directed toward understanding the signaling pathways of cell injury, death (apoptosis and necrosis) in epithelial and cancer cells,

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723

and regeneration of epithelial cells following injury

Creek

Kim Creek, vice chair of the Department of Pharmaceutical and Biomedical Sciences, whose

The Catalyst is published once a week. Paid adver tisements, which do not represent an endorsement by MUSC or the State of South Carolina, are handled by Island Publications Inc., Moultrie News, 134 Columbus St., Charleston, S.C., 843-849-1778 or 843-958-7490. E-mail: sales@moultrienews.com.

work on health disparities includes being co-principal investigator on a grant to fund a Center of Excellence in the Social Promotion of Health Equity Research, Education and Community Engagement

Woster

Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Dawn Brazell, brazell@musc.edu

Lemasters

Patrick Woster, a new South Carolina Centers of Economic Excellence (CoEE) endowed chair in drug discovery, whose primary research program involves the synthesis and evaluation of polyamine-containing analogues as potential therapeutic agents John Lemasters, CoEE endowed chair for cell injury, death and regeneration, whose research interests concern

the cellular and molecular mechanisms underlying hypoxic and toxic injury to liver and heart cells and organs stored for transplantation surgery Charles Smith, Charles and Carol Cooper Chair in Pharmacy, whose main interests relate to cancer pharmacology, with focus on studying the molecular Smith mechanisms of action of established and experimental anticancer drugs and on designing and developing new drugs against novel molecular targets For information on the South Carolina College of Pharmacy, visit http://www.sccp.sc.edu, call 792-3740 (MUSC campus), 803-777-4151 (University of South Carolina campus in Columbia) or call 800-846-8896.

the CatalySt, March 4, 2011 3

‘Room of Errors’ challenge set

Pediatrics team helps food bank

National Patient Safety Awareness Week, held March 6 - 12, will feature two “Room of Errors.” The week, which focuses on strengthening the collaboration among patients, families, and health care providers, offers many special events. One of the main events will be the two ‘Room of Errors’ that will resemble patient rooms, but be filled with errors. Staff is encouraged to visit the rooms, sign in and write down all of the errors they recognize. There will be prizes for correctly recognizing these errors. The rooms will be open from 11 a.m. to 1:30 p.m. March 7 and 2:30 to 4:30 p.m. in Room 3037, ART and Room 241-B, university hospital. The purpose is promoting education and awareness of health care safety. Georgette McMillan, GI The start of National Patient Safety Awareness Week began with two pizza parties for two units that Clinic, enjoys her Wins for Patient Safety reward. entered the “Wins for Patient Safety.” These units submitted their patient safety programs that have been successful. GI medicine and Surgery clinics were chosen for their programs. For pictures of the teams, visit http://www.musc.edu/catalyst/archive/2011/co3-4rooms. html. There will be tables set up in the lobbies of Ashley River Tower (ART), Rutledge Tower, and the university hospital with goodies, information packets, and educational activities for patients and staff. MUSC is partnering with the National Patient Safety Foundation to celebrate this week. For more information, visit the patient safety website at http://www.npsf.org/.

Department of Pediatrics staff member Ray Heissenbuttle, center, helps pack meals for school-aged children at the Lowcountry Food Bank Feb. 19. In the Tri-county area, 1 in 4 children go to bed hungry. That fact stirred the Department of Pediatrics to hold a food drive in support of the Lowcountry Food Bank. The food drive collected a pallet-size donation of food weighing 296 pounds. Helping pack meals, but not pictured are Deborah Harrison, Kathy Anderson, Erica Brown, Richard Anderson, Brian Brown, David Geddings, Arthur Upshur, Suzanne Scott and Lori Upshur.

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Currents MarCh 1 People–Fostering employee pride and loyalty Employee of the Month Alison Spencer, a university hospital guest services representative, was nominated by Katy Kuder. Susan Petterson and Linda Bredewater, both of ART Pharmacy Services, were nominated by Hazel Marie Huff. HR update Helena Bastian, MUHA Human Resources director, and Kim Duncan, manager of HR information systems, presented the following topics: MUHA HR has a new newsletter which will contain a summary of information covered at the bi-monthly hospital communications meeting. The newsletter will be posted on the HR website. q SuccessFactors An updated timeline is available via SuccessFactors training/reference page. This includes dates for 360 Staff Peer Reviews, Customer Service surveys, HML conversations and annual reviews. Visit https://www.musc.edu/medcenter/ SuccessFactors/timeline.html There are three additional fields in Employee Files/My Employee File tab. Supervisors and employees can see pay grade, annual salary, and hourly rate. Visit https://appserve.musc.edu/ successfactors/ q My Records Employees who have short-term disability through MUHA can now see it in MyBenefits section of MyRecords. Visit https://appserve.musc.edu/ myrecords/ Employees may view their pay grade in MyPayStub section of MyRecords. The pay grade is visible on the main MyPayStub page, which is used to select a pay stub for viewing. https://appserve. musc.edu/myrecords q Benefit Update—Medical Spending Accounts

Reminder to close out 2010 Medical Spending accounts If you have an unused balance in 2010, you can use qualified expenses incurred up through March 15, 2011 to absorb these dollars. Be sure to communicate this on claim paperwork Employees have until March 31 to submit documentation to corroborate qualified expenses made in 2010 q Request to lift “Do Not Re-Hire Requirements for Consideration— Previous employees must have separated from MUSC medical center for a minimum of one year Previous employee must have recent continuous employment in a similar/ comparable full-time position for a minimum of one year since being employed at MUSC. Previous employee must provide a current employee performance evaluation. Previous employee must provide a letter on company letterhead from their current supervisor/manager addressing reason for “do not hire” status. A new ADA form is available on the MUHA HR website. Human Resources related Cost Saving Measures—The following initial set Human Resources related cost saving measures was announced. MUHA will continue to evaluate programs and identify other cost saving measures. They are: moving expense (relocation assistance) is limited to critical, hard-tofill positions; referral program—suspend immediately, prior commitments will be grandfathered; performance bonus–suspend immediately; hiring bonus—suspend immediately; prior commitments will be grandfathered; PTO Cash in–suspend immediately, PTO conversion to ESL will be considered at a later date. q Changes to HR Policy #18-Paid Time off (PTO) Eligible employees will automatically have up to 12 ESL hours transferred to SML, which will be reflected in the first pay period beginning in the new calendar year. SML balance may not exceed 24 hours.

To Medical Center Employees: This week we wrapped up a series of medical center town hall meetings. Our meetings are one of the methods we use to communicate with everyone. More than 1,400 individuals attended the town hall meetings. Our 5 & 5 cost savings plans were discussed during the town hall meetings. Within the last six months, service line administrators, physician leaders, other members of the management team and staff have been engaged in preparing more than 279 5 & 5 plans. We are using the IMPROVE performance improvement tool to structure and present the 5 & 5 plans. The 5 & 5 plans are intended to reduce the cost of care by 5 percent this year and 5 percent next year while improving quality of care. The medical center’s operating budget is approximately $1 billion and our goal is to reduce costs by $100 million. Fiscal year 2009 is being used as the base year. We will be providing updates on cost reductions achieved as we move forward. As discussed in the town hall meetings, the Medicaid funding outlook gives us a sense of urgency to make progress with our cost reduction initiatives. A substantial amount of the medical center’s revenue (approximately $200 million or 20 percent) is from Medicaid reimbursement. In addition, health care reform on the national level will likely adversely affect our reimbursement levels in the future. The Medicaid funding issue is being addressed by the S.C. House of Representatives and Senate. A proviso that once protected rates for providers, including hospitals and physicians, could no longer be in effect in the future. Indications are the state legislature will give the state director of Health and Human Services full discretion to lower Medicaid funding rates. We anticipated cuts next fiscal year, but it is possible cuts willl also be made this fiscal year. Total funding reductions could be in the range of 10 percent and this would present a major challenge for us. In addition to our 5 & 5 plans, two weeks ago we announced a freeze on this year’s capital purchases unless essential for patient care and safety; delaying the fiscal year 2012 capital review process; limiting hiring to only the most urgently needed positions; monitoring of staffing versus workload to eliminate any staffing variance; and freeze on out-of-state travel. Also, as discussed during the town hall meetings, we need everyone’s attention to reduce overtime unless absolutely essential for patient care. On a related matter, during the management communication meeting this week we announced a number of human resources-related cost savings measures and we expect to announce more in the weeks ahead. Details are included in this newsletter. Everyone’s support is needed at this time. Leaders should include an explanation of the “why” as they round on staff and conduct departmental meetings. By pulling together, consistently applying MUSC Excellence best practices and providing quality care we will weather the storm. In the long run, the MUSC medical center will be a stronger academic medical center. W. Stuart Smith Vice President for Clinical Operations and Executive Director, MUSC Medical Center (Employees with balances of more than 24 hours as of Dec. 31 will not be eligible to transfer additional hours. Balances exceeding 24 will not be cut off). Benefit of the Month—March Nutrition and the Good Eats program is the benefit for March. Recycling and Sustainability Program Caroline Davila, Engineering & Facilities, presented steps taken by

the department and the Sustainability and Recyling Program to reduce the campus’ carbon footprint. Earlier, MUSC President Ray Greenberg, M.D., Ph.D., signed the President’s Climate Commitment, which commits the campus to conduct an annual greenhouse gas inventory and adopt a climate action plan. Davila thanked employees for contributing to significant See Currents on page 9

the CatalySt, March 4, 2011 5

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Reunion ‘takes away your breath’ By MaRiaNNe DuBaRD, M.D. Biochemistry and Molecular Biology I am sure most of you have never heard of the place. Reunion Island. Is that a place on Earth? Really? Never heard of it. Well, keep reading. Reunion is located in the Indian Ocean, south of the equator and east of South Africa and Madagascar. It belongs to the Mascarene Islands with Mauritius and Rodrigues. It is a tropical island, where the alternating summer and rain seasons offer gorgeous fruits and vegetables, wonderful fish and seafood and tropical storms that can pour 4 or 5 feet of rain in less than 24 hours. Snorkeling and scuba diving take you under the clear water of the lagoons and into the deep blue among beautiful schools of parrot fish, barracudas, turtles and grey dolphins. The waterfalls, preserved vegetated landscape and miles-long, high-altitude mountainous terrain will take your breath away. Some tourists even get a chance to see the volcano, See Reunion on page 10

Le piton de la Fournaise in action.

Clinician’s corner A 68-year-old male presents to the emergency room with a three-day 103 - 104 degree fever, polyarthralgias headache and a mild rash. He said he went to visit Reunion and returned four days ago. What is the likely diagnosis? A. Dengue virus B. Chikungunya virus C. Common flu D. Lupus E. Post leaving Reunion depression For the correct answer, see page 9

Reunion Island is a mountainous island situated near Madagascar.

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ValVe Continued from Page One a larger adult population than they’ve ever had before. “A lot of our patients with congenital heart disease are well into their adulthood. I think our oldest patient is 76 years old. Our patients are living longer with disease processes that they would like to be able to manage and increase their life spans even longer, or take away other risk factors, such as stroke. It’s pretty amazing.” MUSC is the only center in the state so far approved to have the Melody valve procedure, one of 40 to 50 centers nationally. This is a rapidly growing area of treatment and an exciting time to be in their field, she said. Currently, other types of valves are being tested, with the Melody valve the first of many types to be produced. “Otherwise, it would impact a good portion of Dr. G. Hamilton Baker reviews Laurie Fladd’s images from her Jan. 26 Melody transcatheter valve procedure. the population pumping chamber will catch up.’ It who would have to would have been very disruptive to their of the heart would doesn’t mean that undergo their fourth family schedule. “We’ve always joked dilate. Eventually, it no one will ever or fifth open heart that the longer I could wait, the likelier would cause patients need surgery, but surgery in their life they’d come up with something better. I to have decreased we can reduce the span. If this could understand it’s temporary, but even if I exercise tolerance, amount.” keep them out of the get half of the time I did with the other, Bandisode and we would get Baker said a operating room for I’d be thrilled.” to the point we’d difference with another open heart surgery–that would As a baby, she was born blue and had have to replace that the Melody valve be great,” Bandisode said. to have a valve replacement. She’s had valve surgically. That is that the device Phil Saul, M.D., director of the open-heart surgery three times. She said was really the only was built to be division of pediatric cardiology and this procedure was much easier and only option.” appropriate for Fladd’s primary cardiologist, agrees it’s required an overnight stay. “Everyone Dr. Phil Saul The Melody children as well as an exciting option to offer patients. from the time I checked in from the catheter-delivered adults. The Melody transcatheter valve time I went home was great. They’re valve allows doctors to intervene sooner “It was built for our specific procedure is for patients with either fantastic.” instead of waiting until patients get population. It makes parents damaged or absent valves in the She likes it that the procedure to the point of having poor exercise extraordinarily happy when their kids pulmonary position, which handles served as a preventative measure before get to come home the next day instead blood flow from the right ventricle to the tolerance, decreased right ventricular she started developing more serious of a few days to a week with a surgical lungs. The valve is sewn into a stent with function and an increased risk for the symptoms. She’s eager to get back to her right ventricle to be unable to recover, he scar that has to heal over the course of a the whole device being crimped down fitness activities that range from kayak said. month or two. They’re able to get back to to yoga. to fit over a balloon catheter. It’s placed “This represents another step of the their regular activities in a short period through a vein and is advanced through “We do the bridge run together as a pediatric heart team to take procedures of time.” a special delivery sheath. The balloon family. I want to make sure that I’m able that used to be done exclusively in the Saul said it worked perfectly for Fladd is expanded, which expands the stent, to keep up with my family. That means operating room and perform them in two ways. the vein and the valve into place in the the world to me. I don’t want be in a in minimally-invasive catherization “By using the stent expansion, we were wheelchair or not be able to see things correct position. The stent is a stainless procedures.” able to expand out the narrowed area so steel tube with many little slits that grab because it’s too tiring for me to get there. The hope is to put in devices that that she no longer had any stenosis and onto tissue when the stent is expanded, That’s really important to me.” will last long enough that patients can put the valve into place so that she no he said. have a series of catherizations that will longer had any regurgitation. It worked “In the past these kinds of patients WatCh get them through old age. Generally, like a perfect, normal valve.” have often gone many years with a leaky a ViDeo these bioprosthetic valves last seven to Fladd, who’s already training for the pulmonary valve—that’s the main valve 15 years. “We’re thinking ‘let’s put this Cooper River Bridge Run/Walk with that goes to the lungs. What would visit http://bit.ly/MUSC_Melody in now and see how the technology her family, said an open heart surgery happen is that over time, the right-sided

“It doesn’t mean that no one will ever need surgery, but we can reduce the amount.”

the CatalySt, March 4, 2011 9

Even if you missed the National Nutrition Month kickoff event, there are plenty of opportunities to take advantage of special events this month. At the World Cuisine in the university hospital cafeteria from 11:30 a.m. to 1:30 p.m. on March 9, employees can sample wellness items prepared at the cooking demonstration that will be featured as part of Meatless Monday. MUSC executive chef Fred Bennett and Farrah Hoffmire, Organic Process, will host a “meet and greet” in the cafeteria where visitors may learn more about their collaborative efforts, the featured items and about Giddy Goat Cheese and Organic Process (http://www. organicprocess.com/home/). National Nutrition Month is a nutrition education and information campaign held annually in March by the American Dietetic Association. The campaign focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits. This year’s theme is “Eat Right with Color.” MUSC Employee Wellness is partnering with Sodexo and MUSC registered dietitians to celebrate National Nutrition Month with the campaign “MUSC Good Eats!” Additional activities and events include the following: q Wellness and You Specials: Thursday, March 10 - Marsala chicken and grape salad for $4.99 available in Ashley River Tower and university hospital cafeterias. q Wellness Wednesday: Along with proper nutrition, daily exercise has been shown to reduce stress levels, reduce the risk of cardiovascular disease, improve sleep patterns and help manage weight. Visit the MUSC dietetic interns on March 9 in the university hospital cafeteria to learn more about the health benefits of daily exercise. There will be a drawing to win a pedometer. q Lunch and Learn Series: Join registered dietitian Debra Petitpain on Wednesday, March 9, from 12:15 p.m. – 12:45 p.m. in Room 102 of the Colbert Educaiton Center & Library for the presentation, “Beans, Greens and

Magical Fruit.” Learn about the benefits of a plantbased diet, how to meet protein, calcium and iron needs using beans, greens and fruits, and ways to include more of these foods in a healthy diet. Bring your own lunch. A sampling of Mediterranean eggplant soup, the featured item for Meatless Monday March 14, will be provided complements of Sodexo. Space is limited. Register by e-mailing muscempwell@musc.edu. Employee Wellness events q MUSC employee fitness series: A free Pilates class will be held from 12:15 to 12:45 p.m., March 8 at the MUSC Wellness Center. Participants will also receive a free one-day pass to the Wellness Center. E-mail musc-empwell@ musc.edu to register. q Wellness Wednesday: Visit Josh Brown and Tonya Turner from the Weight Management Center on Wednesday, March 9, in the university hospital near Starbucks, from 11 a.m. – 1 p.m. Body mass index and body composition measurements will be available, as well as information about programs and free consultation scheduling. q Free bone density screenings: The MUSC Osteoporosis and Bone Health Center and MUSC Employee Wellness are offering a bone mineral density screening, free of charge, to any employee who is at risk including any postmenopausal woman (not currently taking prescription medications for osteoporosis) who has not had a DXA scan in the last two years. The first screening is scheduled from 11 a.m. – 3 p.m on March 9. For information or to schedule an appointment, e-mail muscempwell@musc.edu. q Farmers market: Fresh fruits and vegetables are available from local farmers from 7 a.m. to 3:30 p.m. every Friday in the Horseshoe and in the grassy area next to Ashley River Tower behind Charleston Memorial Hospital. Contact Susan Johnson at johnsusa@ musc.edu to become involved in employee wellness at MUSC.

The answer is B. Chikungunya virus. Chikungunya virus belongs to alphavirus genus of the Togaviridae family and is a arbovirus. Its symptoms and signs are very similar to those of dengue fever. In the 2005-2006

CuRReNtS Continued from Page Four the utility management program. Fiscal year 2010 saw a savings of 2.25 million kilowatts in overall yearly usage. Visit http://www.musc.edu/gogreen.

Quality—Providing quality patient care in a safe environment

Pat Gaylor, Quality and Safety specialist, shared details about 2011 National Patient Safety Week, March 6-12. Last week, ART’s GI Medical/Surgical Clinics were recognized for their hand hygiene awareness campaign. Others recognized included the Neurosurgical ICU, Neurology/Neurosurgery Unit 9W and Pediatric ICU. In February, the Transitional Care Unit was recognized for their wanderguard system, On Firm Ground campaign and activation of bed alarms to prevent patient falls. The Pediatric ICU was praised for avoiding ventilator-associated pneumonia. This year’s Patient Safety Week’s focus will be on patients, families and health care providers and their commitment to be partners in their care. Patients and families will be given information on

epidemic, the Chikungunya virus affected one third of the population, 250,000 people. As of today, no vaccine has shown significant protection. Treatment consist in symptomatic and preventive measures. steps to follow when visiting with health care providers to include hand hygiene and medications check. Avatar Patient Safety Goal-FY 2011 Joan Herbert, director of Organizational Performance, reviewed details with Avatar, a new patient satisfaction measurement tool. Since October, Avatar has been used to survey all patients except in the Children’s Hospital and Peds ED areas. Instead of using percentile rankings, the Avatar system uses a star rating system based on normal distribution of across the database – Three stars – score is in the “middle of the pack” (+/- one standard deviation of database average); four stars is “above average” (>+1 standard deviation); and five stars represents a statistical difference above the database average (2+ standard deviation). Star ratings are based on rolling 12 months worth of data to calculate ratings. Patient types have different rating scales. For FY 2011, the medical center will use one overall rating scale. Goals will be based on mean score. Administrators have the ability to approve exceptions (standard practice); exception option is relevant patient type scale; any exceptions will be routed through the leader evaluation team for review and administrative/ operations group.

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eMployee Wellness

CliNiCiaN Continued from Page Six

10 the CatalySt, March 4, 2011

Le piton de la Fournaise, in action. It erupts about once a year and shoots thousands of cubic meters of lava all the way down to the ocean. Reunion Island was a territory occupied by the French in the 17th century, given its strategic location on the East Indies trade route. Immigrants and slaves contributed to the economic early development by working on Reunion’s fertile lands and producing coffee, vanilla, sugar cane and tobacco, crops that were sent around the world. After abolishing slavery in 1848, French colonists promoted immigration from Western Africa and Madagascar, the Cantonese coast of China, South East Asia and the French ports of India. That created a diverse mix of ethnic and cultural surroundings and a unique melting pot. The population’s major food among all social backgrounds consisted of rice and starchy roots with vegetables. During the past four generations though, Reunion has gotten more industrialized and has adopted a more modern lifestyle; we have developed a strong background for insulin resistance and obesity. Fifteen percent of the population has Type 2 diabetes, and it is estimated that another 10 to 15 percent is

Reunion Island Facts q Reunion Island is one of the 26 regions of France (being an overseas region) and an integral part of the Republic. q Reunion Island was discovered by the Portuguese in the early 16th century and was uninhabited at that time. q The island was renamed as Reunion Union in 1793 q Reunion Island remained a French colony throughout, except for a brief occupation by British, from 1810 to 1815. q Sugarcane industry dominates the economy of Reunion Island. q The main exports of Reunion Island include sugar, prediabetic. Many Reunionese don’t see the benefit in losing weight and exercising, while many patients don’t see the importance of keeping their glucose levels under control, giving Reunion one of the highest incidences of chronic renal failures and retinopathies in France. Reunion is facing an enormous public health challenge. Editor’s note: The Global Health page focuses on raising awareness of international health issues through an academic venue with the purpose of improving the quality of care for patients. For information, e-mail globalhealthnews@musc.edu.

seafood, rum and vanilla. q The lowest point in Reunion Island is formed by the Indian Ocean, at 0 ft (0 m). q Reunion Island was the first region in the world to use the euro, mainly because of being located in a time zone to the east of Europe. q Reunion Island sends five deputies to the French National Assembly and three senators to the French Senate. q The culture of Reunion Island is a blend of European, African, Indian, Chinese and insular traditions. q Majority of the people are Catholics, followed by Hindus, Muslims and Buddhists.

The clear water of the lagoons makes for great snorkeling.

Dietetic Intern Fundraiser

*Bring this coupon and receive one free baked good with the purchase of a mug. *Redeemable at MUSC or Ashley River Tower from 11 a.m. to 2 p.m. March 21 Coffee mugs, designed by the dietetic interns, will be sold along with baked goods. Proceeds will benefit the dietetic interns’ trip to the South Carolina Dietetic Association conference.

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ReuNioN Continued from Page Six

the CatalySt, March 4, 2011 11

CLASSIFIED P AGE • Household Personal Items for MUSC employees are free.

All other classifieds are charged at rate below. Ads considered venture-making ads (puppy breeder, coffee business, home for sale, etc.) will be charged as PAID ADS •• PROOF OF ELIGIBILITY REQUIRED * NO MORE THAN 3 LINES * FREE ADS RUN 2 WEEKS ONLY!

PAID ADS are $3 per line (1 line = 28 characters) DEADLINE: TUESDAY – 10:00 AM * CLASSIFIED ADS CAN BE E-MAILED TO sales@moultrienews.com, OR MAILED (134 Columbus St., Charleston SC 29403) Please call 849-1778 with questions. *Must provide Badge No. and Department of Employment for employees and Student I.D. Number for MUSC Students. IP01-213824a

Discounts for MUSC folks: 1, 2, & 3 bedroom apartments available. Closest complex to dntn walking distance to Carta bus stop. jtvillage@bellsouth.net or call 843-795-9232

Johns Island Home 2100 sqft 3bed, 3 bath home with marsh views and dock to Stono River 15 mins from MUSC 5 years young call 559 7066 $370,000 1369 river rd /forsalebyowner. com

2BR 2.5 BA Townhome Near I526 in W Ashley. 145K 843-696-5148.

1601 ANGELFISH CT CHARLESTON, SC 4 BR 2 Full Baths 1,890 SqFt $300,000

Homes For Sale

3BR 2.5BA, FP, fenced yard townhouse, pool, garage in MP $1500, No pets, no smokers. Call for appointment, very nice 856-4342

1747 CRYSTAL LAKE DR CHARLESTON, SC 3 BR 2 Full Baths & 1 Half Bath 1,690 SqFt $275,000

Matthew W. Poole mpoole@carolinaone.com Charleston Pier Partners Cell (843)830-0027 Fax (843)202-8566

Randall Sandin rsandin@carolinaone.com Charleston Pier Partners 843-209-9667 Fax: 843-202-8928

Items for Sale 5 Gallon Buckets of Liquid Laundry Detergent (Tide/Gain) for Sale Only $25 - Call 843214-9567 to Order

IP07-487676

Rental Properties

1182 JULIAN CLARK RD CHARLESTON, SC 2 BR 1 Full Bath & 1 Half Bath 1,177 SqFt $110,000

1265 Folly Rd • Charleston SC • WWW.CHARLESTONPIERPARTNERS.COM

MOODY CPAs & Advisors LLC

Enjoy Iacofano's instead of sitting in traffic...

MOUNT PLEASANT 843-849-3000 W. BRIAN MOODY, CPA CHRIS O’NEAL, CPA, CVA

Chef John Iacofano

www.moodycpas.com

~ $5 and under appetizers ~ $2 Miller Lite, Yuengling and Peroni drafts ~ $2.50 liquor drinks ~ $3.00 glasses of house wine COUPON

Not valid with any other offer. One coupon per table. Expires: March 31, 2011

AUDIT, TAX AND ACCOUNTING SERVICES BUSINESS VALUATIONS AND LITIGATION SUPPORT TRUST AND ESTATE SERVICES IP04-463162

Moultrie Plaza • Mt. Pleasant • 881-2313 • www.iacofanos.com

IP03-485528

Buy 1 Get 1 Free Entree!

12 the CatalySt, March 4, 2011

IP05-457213