MUSC | The Catalyst

March 4, 2011 MEDICAL UNIVERSITY of SOUTH CAROLINA Vol. 29, No. 27

READ THE CATALYST ONLINE - http://www.musc.edu/catalyst

2 3No. 3 RaNkiNg PatieNt Safety Week

S.C. College of Pharmacy researchfaculty land NIH funding.

5

11

6Visit a ‘Room of Errors’ and findmistakes that could be avoided.

Meet DeAnna

Global Health

Classifieds

MUSC offers Melody transcatheter valve procedure, quicker recovery

New Heart ValVeProVides lifeliNe

Laurie Fladd knew the procedure shewas to have done at MUSC was new.

She just didn’t realize how new. Whenshe found out the day before her Jan.26 procedure that she was to be the firstpatient at MUSC and first in the state

to have a transcatheter pulmonary valveinserted, 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 sciencesat Trident Technical College and theactive mother of two boys, had known

since age 13 that she would have to haveanother open heart surgery for a valvereplacement at some point.

She was thrilled to see that she couldwait long enough for technology toprovide a less invasive method, she said.

Interventional pediatric cardiologistsRani Bandisode, M.D., and G. HamiltonBaker, M.D., performed the procedure

and were glad to see Fladd up using heriPad the day after getting her valve. Anopen heart surgery would have required aweek to 10 days for recovery.

The procedure has been done on threepatients so far, two of them children,and all were able to leave the hospital thenext day. Bandisode said they are treating

Above, Dr. Laurie Fladd with her family at a Cooper RiverBridge Run. Pictured right is her stented valve beingexpanded into position under fluoroscopy.

By DaWN BRazell

Public Relations

See Valve on page 8

2 the CatalySt, March 4, 2011

The Catalyst is published once a week.Paid adver tisements, which do notrepresent an endorsement by MUSCor the State of South Carolina, arehandled by Island Publications Inc. ,Moultrie News, 134 Columbus St. ,Charleston, S.C., 843-849-1778 or843-958-7490. E-mail: [email protected].

Editorial of ficeMUSC Office of Public Relations135 Cannon Street, Suite 403C,Charleston, SC 29425.843-792-4107Fax: 843-792-6723

Editor: Kim [email protected]

Catalyst staff:Cindy Abole, [email protected] Brazell, [email protected]

The South Carolina College of Pharmacy faculty isone of the most productive in the country, judging bythe success of its research faculty in getting NationalInstitutes of Health (NIH) funding. Recently releasedrankings by the American Associationof Colleges of Pharmacy show thecollege to be No. 3 nationally in percentof research faculty with NIH funding.

NIH funding is a common yardstickfor measuring excellence in academicquality. The South Carolina College ofPharmacy (SCCP) ranked 17th overallin the country, out of more than 120colleges of pharmacy.

“The creation of the South CarolinaCollege of Pharmacy was intended to increaseproductivity, leverage resources and ultimately enhancequality to be on par with the best pharmacy collegesin the country,” said Joseph T. DiPiro, executive deanof SCCP. “Successful researchers are at the forefrontof knowledge and they bring that knowledge, to the

classroom, giving our students a better education. Ourproductivity matches the best in the U.S. and amongcolleges we compare favorably with now reflecthow high the bar has been raised … and we’ll

keep raising it.”Since 2005, when the college was

created by the integration of thepharmacy colleges at University ofSouth Carolina (USC) and MUSC,the SCCP has climbed steadily in NIHfunding (see graph). At 17th, the SCCPis now ranked ahead of a number ofnationally-recognized pharmacy programscommonly considered as among thecountry’s best, including Ohio State,

Florida, Maryland, Wisconsin, Minnesota, Kentuckyand Purdue.

The success of the research faculty is a significantcontributor; the only programs in the country with ahigher percent of Ph.D. faculty with NIH funding thanthe SCCP are University of California-San Diego and

the University of California-San Francisco. More than50 percent of SCCP’s research faculty is funded.

“We have recruited and retained a highly motivated,highly successful and collegial group of researchfaculty,” said Rick Schnellmann, Ph.D., chair ofthe Department of Pharmaceutical and BiomedicalSciences. “Their work plows new ground, much ofwhich has a chance to be rich in discovery that leadsto new science. I think the NIH recognizes that and issupportive because the return on the investment couldbe significant.”

Rick Schnellmann,whose researchfocuses aredirected towardunderstanding thesignaling pathwaysof cell injury, death(apoptosis andnecrosis) in epithelialand cancer cells,

and regenerationof epithelial cellsfollowing injury

Kim Creek,vice chair of theDepartment ofPharmaceuticaland BiomedicalSciences, whose

work on health disparities includes beingco-principal investigator on a grant tofund a Center of Excellence in the SocialPromotion of Health Equity Research,Education and Community Engagement

Patrick Woster, anew South CarolinaCenters of EconomicExcellence (CoEE)endowed chair indrug discovery,whose primaryresearch programinvolves the synthesisand evaluation ofpolyamine-containinganalogues as potentialtherapeutic agents

John Lemasters,CoEE endowed chairfor cell injury, deathand regeneration,whose researchinterests concern

the cellular and molecular mechanismsunderlying hypoxic and toxic injury toliver and heart cells and organs storedfor transplantation surgery

Charles Smith,Charles and CarolCooper Chair inPharmacy, whosemain interestsrelate to cancerpharmacology, withfocus on studyingthe molecularmechanisms of actionof established and

experimental anticancer drugs and ondesigning and developing new drugsagainst novel molecular targets

For information on the SouthCarolina College of Pharmacy, visithttp://www.sccp.sc.edu, call792-3740 (MUSC campus),803-777-4151 (University of SouthCarolina campus in Columbia) or call800-846-8896.

SCCP faculty gets No. 3 rankingin landing NIH research funding

Key pharmacy faculty researchers

Schnellman Creek

Woster

Lemasters

Smith

the CatalySt, March 4, 2011 3

Department of Pediatrics staff member Ray Heissenbuttle, center,helps pack meals for school-aged children at the Lowcountry FoodBank 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 drivein support of the Lowcountry Food Bank. The food drive collecteda pallet-size donation of food weighing 296 pounds. Helping packmeals, but not pictured are Deborah Harrison, Kathy Anderson, EricaBrown, Richard Anderson, Brian Brown, David Geddings, ArthurUpshur, Suzanne Scott and Lori Upshur.

Pediatrics team helps food bankNational 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 healthcare providers, offers many special events. One of themain events will be the two ‘Room of Errors’ thatwill resemble patient rooms, but be filled with errors.Staff is encouraged to visit the rooms, sign in andwrite down all of the errors they recognize. There willbe 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, ARTand Room 241-B, university hospital. The purposeis promoting education and awareness of health caresafety.

The start of National Patient Safety AwarenessWeek began with two pizza parties for two units thatentered the “Wins for Patient Safety.” These unitssubmitted their patient safety programs that havebeen successful. GI medicine and Surgery clinics were chosen for their programs. Forpictures 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), RutledgeTower, and the university hospital with goodies, information packets, and educationalactivities for patients and staff. MUSC is partnering with the National Patient SafetyFoundation to celebrate this week.

For more information, visit the patient safety website at http://www.npsf.org/.

‘Room of Errors’ challenge set

Georgette McMillan, GIClinic, enjoys her Winsfor Patient Safety reward.

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Currents MarCh 1 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 1,400individuals attended the town hall meetings.

Our 5 & 5 cost savings plans were discussed during the town hall meetings. Withinthe last six months, service line administrators, physician leaders, other members of themanagement 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 the5 & 5 plans.

The 5 & 5 plans are intended to reduce the cost of care by 5 percent this year and 5percent next year while improving quality of care. The medical center’s operating budgetis approximately $1 billion and our goal is to reduce costs by $100 million. Fiscal year2009 is being used as the base year. We will be providing updates on cost reductionsachieved as we move forward.

As discussed in the town hall meetings, the Medicaid funding outlook gives us a senseof urgency to make progress with our cost reduction initiatives. A substantial amountof the medical center’s revenue (approximately $200 million or 20 percent) is fromMedicaid reimbursement. In addition, health care reform on the national level will likelyadversely affect our reimbursement levels in the future.

The Medicaid funding issue is being addressed by the S.C. House of Representativesand Senate. A proviso that once protected rates for providers, including hospitals andphysicians, could no longer be in effect in the future. Indications are the state legislaturewill give the state director of Health and Human Services full discretion to lowerMedicaid funding rates. We anticipated cuts next fiscal year, but it is possible cuts willlalso be made this fiscal year. Total funding reductions could be in the range of 10 percentand 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’scapital purchases unless essential for patient care and safety; delaying the fiscal year2012 capital review process; limiting hiring to only the most urgently needed positions;monitoring of staffing versus workload to eliminate any staffing variance; and freeze onout-of-state travel. Also, as discussed during the town hall meetings, we need everyone’sattention to reduce overtime unless absolutely essential for patient care.

On a related matter, during the management communication meeting this week weannounced a number of human resources-related cost savings measures and we expect toannounce 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 wewill weather the storm. In the long run, the MUSC medical center will be a strongeracademic medical center.

W. Stuart SmithVice President for Clinical Operationsand Executive Director, MUSC Medical Center

People–Fostering employeepride and loyaltyEmployee of theMonth

Alison Spencer, auniversity hospitalguest servicesrepresentative, wasnominated by KatyKuder.

Susan Pettersonand Linda Bredewater, both of ARTPharmacy Services, were nominated byHazel Marie Huff.

HR updateHelena Bastian, MUHA Human

Resources director, and Kim Duncan,manager of HR information systems,presented the following topics:

MUHA HR has a new newsletterwhich will contain a summary ofinformation covered at the bi-monthlyhospital communications meeting. Thenewsletter will be posted on the HRwebsite.q SuccessFactors

An updated timeline is available viaSuccessFactors training/reference page.This includes dates for 360 Staff PeerReviews, Customer Service surveys,HML conversations and annual reviews.Visit https://www.musc.edu/medcenter/SuccessFactors/timeline.html

There are three additional fields inEmployee Files/My Employee File tab.Supervisors and employees can seepay grade, annual salary, and hourlyrate. Visit https://appserve.musc.edu/successfactors/q My Records

Employees who have short-termdisability through MUHA can now seeit in MyBenefits section of MyRecords.Visit https://appserve.musc.edu/myrecords/

Employees may view their pay gradein MyPayStub section of MyRecords.The pay grade is visible on the mainMyPayStub page, which is used to selecta pay stub for viewing. https://appserve.musc.edu/myrecordsq Benefit Update—Medical SpendingAccounts

Reminder to close out 2010 MedicalSpending accounts

If you have an unused balance in 2010,you can use qualified expenses incurredup through March 15, 2011 to absorbthese dollars. Be sure to communicatethis on claim paperwork

Employees have until March 31 tosubmit documentation to corroboratequalified expenses made in 2010q Request to lift “Do Not Re-Hire

Requirements for Consideration—Previous employees must have separatedfrom MUSC medical center for aminimum of one year

Previous employee must have recentcontinuous employment in a similar/comparable full-time position for aminimum of one year since beingemployed at MUSC.

Previous employee must providea current employee performanceevaluation.

Previous employee must provide aletter on company letterhead from theircurrent supervisor/manager addressingreason for “do not hire” status.

A new ADA form is available on theMUHA HR website.

Human Resources related Cost SavingMeasures—The following initial setHuman Resources related cost savingmeasures was announced. MUHA willcontinue to evaluate programs andidentify other cost saving measures.

They are: moving expense (relocationassistance) is limited to critical, hard-to-fill positions; referral program—suspendimmediately, prior commitmentswill be grandfathered; performancebonus–suspend immediately; hiringbonus—suspend immediately; priorcommitments will be grandfathered;PTO Cash in–suspend immediately,PTO conversion to ESL will beconsidered at a later date.q Changes to HR Policy #18-Paid Timeoff (PTO)

Eligible employees will automaticallyhave up to 12 ESL hours transferredto SML, which will be reflected in thefirst pay period beginning in the newcalendar year.

SML balance may not exceed 24 hours.

(Employees with balances of more than24 hours as of Dec. 31 will not be eligibleto transfer additional hours. Balancesexceeding 24 will not be cut off).

Benefit of the Month—MarchNutrition and the Good Eats program

is the benefit for March.

Recycling and Sustainability ProgramCaroline Davila, Engineering &

Facilities, presented steps taken by

the department and the Sustainabilityand Recyling Program to reduce thecampus’ carbon footprint. Earlier,MUSC President Ray Greenberg,M.D., Ph.D., signed the President’sClimate Commitment, which commitsthe campus to conduct an annualgreenhouse gas inventory and adopta climate action plan. Davila thankedemployees for contributing to significant

See Currents on page 9

Meet Deanna


CollegeGraduate Studies, MD/PhD program

How long at MUSC7 years

Favorite TV show“The Good Wife”

Meal you love to cookItalian food

Nickname in high schoolSquirrel

Greatest moment in your lifeDefending my doctorate last year

One thing would you like to learnHow to ski

What’s playing in your CD playerIndia.Arie’s “Testimony: Vol. 1, Life &Relationships”

One cause you feel passionate aboutTaking care of patients

Most embarrassing momentTrying to put the diesel gas nozzle in my carwhen it would not fit and having a friendpoint out that it’s the wrong nozzle

Favorite quoteCharacter is what you do when no one iswatching

DeAnna BakerBakerDeAnna BakerDeAnna

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Clinician’s cornerA 68-year-old male presents to the emergency room

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A. Dengue virusB. Chikungunya virusC. Common fluD. LupusE. Post leaving Reunion depressionFor the correct answer, see page 9

By MaRiaNNe DuBaRD, M.D.

Biochemistry and Molecular Biology

Reunion ‘takes away your breath’

See Reunion on page 10

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 Africaand Madagascar. It belongs to theMascarene Islands with Mauritiusand Rodrigues. It is a tropical island,where the alternating summer andrain seasons offer gorgeous fruitsand vegetables, wonderful fish andseafood and tropical storms thatcan pour 4 or 5 feet of rain in lessthan 24 hours. Snorkeling and scubadiving take you under the clear water

of the lagoons and into the deep blue among beautifulschools of parrot fish, barracudas, turtles and greydolphins. The waterfalls, preserved vegetated landscapeand miles-long, high-altitude mountainous terrain willtake your breath away.

Some tourists even get a chance to see the volcano,

Le piton de la Fournaise in action.

Reunion Island is a mountainous islandsituated near Madagascar.

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The Catalyst, March 4, 2011 7

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a larger adult population than they’veever had before. “A lot of our patientswith congenital heart disease are wellinto their adulthood. I think our oldestpatient is 76 years old. Our patients areliving longer with disease processes thatthey would like to be able to manageand increase their life spans even longer,or take away other risk factors, such asstroke. It’s pretty amazing.”

MUSC is the only center in the stateso far approved to have the Melodyvalve procedure, one of 40 to 50 centersnationally. This is a rapidly growing areaof treatment and an exciting time to bein their field, she said. Currently, othertypes of valves are being tested, with theMelody valve the first of many types tobe produced.

“Otherwise, itwould impact agood portion ofthe populationwho would have toundergo their fourthor fifth open heartsurgery in their lifespan. If this couldkeep them out of theoperating room for

another open heart surgery–that wouldbe great,” Bandisode said.

Phil Saul, M.D., director of thedivision of pediatric cardiology andFladd’s primary cardiologist, agrees it’san exciting option to offer patients.

The Melody transcatheter valveprocedure is for patients with eitherdamaged or absent valves in thepulmonary position, which handlesblood flow from the right ventricle to thelungs. The valve is sewn into a stent withthe whole device being crimped downto fit over a balloon catheter. It’s placedthrough a vein and is advanced througha special delivery sheath. The balloonis expanded, which expands the stent,the vein and the valve into place in thecorrect position. The stent is a stainlesssteel tube with many little slits that grabonto tissue when the stent is expanded,he said.

“In the past these kinds of patientshave often gone many years with a leakypulmonary valve—that’s the main valvethat goes to the lungs. What wouldhappen is that over time, the right-sided

pumping chamberof the heart woulddilate. Eventually, itwould cause patientsto have decreasedexercise tolerance,and we would getto the point we’dhave to replace thatvalve surgically. Thatwas really the onlyoption.”

The Melodycatheter-deliveredvalve allows doctors to intervene soonerinstead of waiting until patients getto the point of having poor exercisetolerance, decreased right ventricularfunction and an increased risk for theright ventricle to be unable to recover, hesaid.

“This represents another step of thepediatric heart team to take proceduresthat used to be done exclusively in theoperating room and perform themin minimally-invasive catherizationprocedures.”

The hope is to put in devices thatwill last long enough that patients canhave a series of catherizations that willget them through old age. Generally,these bioprosthetic valves last seven to15 years. “We’re thinking ‘let’s put thisin now and see how the technology

will catch up.’ Itdoesn’t mean thatno one will everneed surgery, butwe can reduce theamount.”

Baker said adifference withthe Melody valveis that the devicewas built to beappropriate forchildren as well asadults.

“It was built for our specificpopulation. It makes parentsextraordinarily happy when their kidsget to come home the next day insteadof a few days to a week with a surgicalscar that has to heal over the course of amonth or two. They’re able to get back totheir regular activities in a short periodof time.”

Saul said it worked perfectly for Fladdin two ways.

“By using the stent expansion, we wereable to expand out the narrowed area sothat she no longer had any stenosis andput the valve into place so that she nolonger had any regurgitation. It workedlike a perfect, normal valve.”

Fladd, who’s already training for theCooper River Bridge Run/Walk withher family, said an open heart surgery

would have been very disruptive to theirfamily schedule. “We’ve always jokedthat the longer I could wait, the likelierthey’d come up with something better. Iunderstand it’s temporary, but even if Iget half of the time I did with the other,I’d be thrilled.”

As a baby, she was born blue and hadto have a valve replacement. She’s hadopen-heart surgery three times. She saidthis procedure was much easier and onlyrequired an overnight stay. “Everyonefrom the time I checked in from thetime I went home was great. They’refantastic.”

She likes it that the procedureserved as a preventative measure beforeshe started developing more serioussymptoms. She’s eager to get back to herfitness activities that range from kayakto yoga.

“We do the bridge run together as afamily. I want to make sure that I’m ableto keep up with my family. That meansthe world to me. I don’t want be in awheelchair or not be able to see thingsbecause it’s too tiring for me to get there.That’s really important to me.”

Dr. G. Hamilton Baker reviews Laurie Fladd’s images from her Jan. 26 Melody transcatheter valve procedure.

ValVe Continued from Page One

Bandisode

visit http://bit.ly/MUSC_Melody

WatCha ViDeo

“It doesn’t meanthat no one willever need surgery,but we can reducethe amount.”

Dr. Phil Saul


eMployee WellnessEven if you missed the National

Nutrition Month kickoff event, there areplenty of opportunities to take advantageof special events this month.

At the World Cuisine in the universityhospital cafeteria from 11:30 a.m. to1:30 p.m. on March 9, employees cansample wellness items prepared at thecooking demonstration that will befeatured as part of Meatless Monday.MUSC executive chef Fred Bennett andFarrah Hoffmire, Organic Process, willhost a “meet and greet” in the cafeteriawhere visitors may learn more abouttheir collaborative efforts, the featureditems and about Giddy Goat Cheeseand Organic Process (http://www.organicprocess.com/home/).

National Nutrition Month is anutrition education and informationcampaign held annually in March bythe American Dietetic Association.The campaign focuses attention on theimportance of making informed foodchoices and developing sound eating andphysical activity habits.

This year’s theme is “Eat Right withColor.” MUSC Employee Wellness ispartnering with Sodexo and MUSCregistered dietitians to celebrate NationalNutrition Month with the campaign“MUSC Good Eats!”

Additional activities and eventsinclude the following:q Wellness and You Specials: Thursday,March 10 - Marsala chicken and grapesalad for $4.99 available in Ashley RiverTower and university hospital cafeterias.q Wellness Wednesday: Along withproper nutrition, daily exercise has beenshown to reduce stress levels, reduce therisk of cardiovascular disease, improvesleep patterns and help manage weight.Visit the MUSC dietetic interns onMarch 9 in the university hospitalcafeteria to learn more about the healthbenefits of daily exercise. There will be adrawing to win a pedometer.q Lunch and Learn Series: Joinregistered dietitian Debra Petitpainon Wednesday, March 9, from 12:15p.m. – 12:45 p.m. in Room 102 of theColbert Educaiton Center & Library forthe presentation, “Beans, Greens and

Magical Fruit.”Learn about the benefits of a plant-

based diet, how to meet protein, calciumand iron needs using beans, greens andfruits, and ways to include more of thesefoods in a healthy diet. Bring your ownlunch. A sampling of Mediterraneaneggplant soup, the featured item forMeatless Monday March 14, will beprovided complements of Sodexo. Spaceis limited. Register by e-mailing [email protected].

Employee Wellness eventsq MUSC employee fitness series: Afree Pilates class will be held from 12:15to 12:45 p.m., March 8 at the MUSCWellness Center. Participants willalso receive a free one-day pass to theWellness Center. E-mail [email protected] to register.q Wellness Wednesday: Visit JoshBrown and Tonya Turner from theWeight Management Center onWednesday, March 9, in the universityhospital near Starbucks, from 11a.m. – 1 p.m. Body mass index andbody composition measurements willbe available, as well as informationabout programs and free consultationscheduling.q Free bone density screenings:The MUSC Osteoporosis and BoneHealth Center and MUSC EmployeeWellness are offering a bone mineraldensity screening, free of charge, to anyemployee who is at risk including anypostmenopausal woman (not currentlytaking prescription medications forosteoporosis) who has not had a DXAscan in the last two years. The firstscreening is scheduled from 11 a.m. – 3p.m on March 9. For information or toschedule an appointment, e-mail [email protected] Farmers market: Fresh fruits andvegetables are available from localfarmers from 7 a.m. to 3:30 p.m. everyFriday in the Horseshoe and in the grassyarea next to Ashley River Tower behindCharleston Memorial Hospital.

Contact Susan Johnson at [email protected] to become involved inemployee wellness at MUSC.

the utility management program. Fiscalyear 2010 saw a savings of 2.25 millionkilowatts in overall yearly usage. Visithttp://www.musc.edu/gogreen.

Quality—Providing qualitypatient care in a safeenvironment

Pat Gaylor, Qualityand Safety specialist,shared details about2011 NationalPatient Safety Week,March 6-12. Lastweek, ART’s GIMedical/SurgicalClinics were recognized for their handhygiene awareness campaign. Othersrecognized included the NeurosurgicalICU, Neurology/Neurosurgery Unit9W and Pediatric ICU. In February, theTransitional Care Unit was recognizedfor their wanderguard system, On FirmGround campaign and activation ofbed alarms to prevent patient falls. ThePediatric ICU was praised for avoidingventilator-associated pneumonia.

This year’s Patient Safety Week’s focuswill be on patients, families and healthcare providers and their commitment tobe partners in their care. Patients andfamilies will be given information on

steps to follow when visiting with healthcare providers to include hand hygieneand medications check.

Avatar Patient Safety Goal-FY 2011Joan Herbert, director of

Organizational Performance, revieweddetails with Avatar, a new patientsatisfaction measurement tool. SinceOctober, Avatar has been used to surveyall patients except in the Children’sHospital and Peds ED areas. Instead ofusing percentile rankings, the Avatarsystem uses a star rating system basedon normal distribution of across thedatabase – Three stars – score is in the“middle of the pack” (+/- one standarddeviation of database average); fourstars is “above average” (>+1 standarddeviation); and five stars represents astatistical difference above the databaseaverage (2+ standard deviation). Starratings are based on rolling 12 monthsworth of data to calculate ratings. Patienttypes have different rating scales. For FY2011, the medical center will use oneoverall rating scale. Goals will be basedon mean score. Administrators have theability to approve exceptions (standardpractice); exception option is relevantpatient type scale; any exceptions willbe routed through the leader evaluationteam for review and administrative/operations group.

CuRReNtS Continued from Page Four

The answer is B. Chikungunyavirus. Chikungunya virus belongs toalphavirus genus of the Togaviridaefamily and is a arbovirus. Its symptomsand signs are very similar to thoseof dengue fever. In the 2005-2006

epidemic, the Chikungunya virusaffected one third of the population,250,000 people. As of today, novaccine has shown significantprotection. Treatment consist insymptomatic and preventive measures.

CliNiCiaN Continued from Page Six

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Le piton de la Fournaise,in action. It erupts aboutonce a year and shootsthousands of cubic metersof lava all the way down tothe ocean.

Reunion Island was aterritory occupied by theFrench in the 17th century, given its strategic locationon the East Indies trade route. Immigrants and slavescontributed to the economic early development byworking on Reunion’s fertile lands and producingcoffee, vanilla, sugar cane and tobacco, crops thatwere sent around the world. After abolishing slaveryin 1848, French colonists promoted immigration fromWestern Africa and Madagascar, the Cantonese coastof China, South East Asia and the French ports ofIndia. That created a diverse mix of ethnic and culturalsurroundings and a unique melting pot.

The population’s major food among all socialbackgrounds consisted of rice and starchy roots withvegetables. During the past four generations though,Reunion has gotten more industrialized and hasadopted a more modern lifestyle; we have developed astrong 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

q Reunion Island is one of the 26 regions of France(being an overseas region) and an integral part of theRepublic.q Reunion Island was discovered by the Portuguesein the early 16th century and was uninhabited at thattime.q The island was renamed as Reunion Union in1793q Reunion Island remained a French colonythroughout, except for a brief occupation by British,from 1810 to 1815.q Sugarcane industry dominates the economy ofReunion Island.q The main exports of Reunion Island include sugar,

seafood, rum and vanilla.q The lowest point in Reunion Island is formed bythe Indian Ocean, at 0 ft (0 m).q Reunion Island was the first region in the worldto use the euro, mainly because of being located in atime zone to the east of Europe.q Reunion Island sends five deputies to the FrenchNational Assembly and three senators to the FrenchSenate.q The culture of Reunion Island is a blend ofEuropean, African, Indian, Chinese and insulartraditions.q Majority of the people are Catholics, followed byHindus, Muslims and Buddhists.

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 from11 a.m. to 2 p.m. March 21

Coffee mugs, designed by the dietetic interns, will be sold alongwith baked goods. Proceeds will benefit the dietetic interns’ trip to

the South Carolina Dietetic Association conference.

Reunion Island Facts

Editor’s note: The Global Health page focuses on raisingawareness of international health issues through an academicvenue with the purpose of improving the quality of care forpatients. For information, e-mail [email protected].

prediabetic. Many Reunionese don’t see the benefit inlosing weight and exercising, while many patients don’tsee the importance of keeping their glucose levelsunder control, giving Reunion one of the highestincidences of chronic renal failures and retinopathiesin France. Reunion is facing an enormous public healthchallenge.

ReuNioN Continued from Page Six

The clear water of the lagoons makes for greatsnorkeling.

IP07-487680


CLASSIFIED PCLASSIFIED PAGEAGE• 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 [email protected],

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

Homes For Sale Homes For Sale

Items for Sale

Rental Properties

IP04-463162

MOUNT PLEASANT

843-849-3000

W. BRIAN MOODY, CPACHRIS O’NEAL, CPA, CVAwww.moodycpas.com

AUDIT, TAX AND ACCOUNTING SERVICES

BUSINESS VALUATIONS AND LITIGATION SUPPORT

TRUST AND ESTATE SERVICES

MOODYCPAs & Advisors LLC

Discounts for MUSC folks: 1, 2,& 3 bedroom apartments avail-able. Closest complex to dntnwalking distance to Carta busstop. [email protected] orcall 843-795-9232

Johns Island Home 2100 sqft3bed, 3 bath home with marshviews and dock to Stono River15 mins from MUSC 5 yearsyoung call 559 7066 $370,0001369 river rd /forsalebyowner.com

3BR 2.5BA, FP, fenced yardtownhouse, pool, garage in MP$1500, No pets, no smokers.Call for appointment, very nice856-4342

2BR 2.5 BA Townhome Near I526in W Ashley. 145K 843-696-5148.

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

Chef John Iacofano

Enjoy Iacofano's instead ofsitting in traffic...~ $5 and under appetizers~ $2 Miller Lite, Yuengling and

Peroni drafts~ $2.50 liquor drinks~ $3.00 glasses of house wine

IP03-485528

Buy 1 Get 1 FreeEntree!

Not valid with any other offer.One coupon per table.

Expires: March 31, 2011

COUPON

5 Gallon Buckets of LiquidLaundry Detergent (Tide/Gain)for Sale Only $25 - Call 843-214-9567 to Order

Matthew W. [email protected] Pier PartnersCell (843)830-0027Fax (843)202-8566

Randall [email protected] Pier Partners843-209-9667Fax: 843-202-8928

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

IP07-487676

1182 JULIAN CLARK RDCHARLESTON, SC

2 BR1 Full Bath & 1 Half Bath

1,177 SqFt$110,000

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3 BR2 Full Baths & 1 Half Bath

1,690 SqFt$275,000

1601 ANGELFISH CTCHARLESTON, SC

4 BR2 Full Baths1,890 SqFt$300,000


IP05-457213

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