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WINTER 2013

Najim invests in children

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Reversing obesity among Latino youth

Keeping Kids Healthy Young lives are made better by pediatric research and clinical care

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Methodist Healthcare Ministries champions children

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UT Medicine San Antonio

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MISSION | Winter 2013 | Vol. 39, No. 1

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Your legacy, our future “The road to becoming a physician would be infinitely more difficult for students like myself if it were not for generous people who go out of their way to help others. Generosity is infectious. It has been passed on to me and in the future will surely be passed on to somebody else. Thank you for your continued trust and support.” – Jorge A. Ramirez, M.D., Class of 2010 and current resident

6 COVER STORY

TODAY for a healthy tomorrow 6 Learning National study brings Type 2 diabetes discoveries to light, gives patients healthy options ON THE COVER: Two-year-old Julianna has a bright and healthy future ahead, thanks to her mom, Amelia Quiroga, and the TODAY study conducted by researchers at The University of Texas Health Science Center at San Antonio. Amelia, 24, was diagnosed with Type 2 diabetes when she was a teenager and joined the TODAY study where she was treated and gained knowledge on how to manage her disease. Now that she’s a mother, Amelia is passing on to her daughter a healthy lifestyle. “Because of my family history, I know my daughter has a 75 percent chance of developing diabetes,” she said. “Even though I’m busy, I take time to look at the nutritional value of everything my daughter and I eat. I want her to be healthy and diabetes free for the long run.” See story, page 6. Cover photo by Lester Rosebrock, Multimedia Services

BRIEFINGS

5 News and Notes

FEATURES

9 Najim invests in building healthy future for children 10 Tipping the scales: reversing the obesity epidemic

among Latino children $2.1 million from Robert Wood Johnson Foundation supports Salud America!

12 Sustaining smiles Methodist Healthcare Ministries partners with Dental School to serve community

13 Hyundai Hope on Wheels gives $250,000 to support childhood leukemia research

PRESIDENT’S COUNCIL

14 Annual giving by the President’s Council

Please consider a gift to the UT Health Science Center in your estate planning. Your gift will create a healthier future for generations to come. Estate gifts provide for: yy World-class faculty yy Life-changing research yy Education of the next generation of health care professionals Support may be provided in many ways. Perhaps you would like to create a scholarship fund for deserving students. Or, with a named endowment, honor a loved one by supporting diabetes, cancer or Alzheimer’s research. We are here to help you with the sample language for your desired goals. Contact Kent Hamilton at hamiltonw@uthscsa.edu or 210-567-5001 for assistance.


A Message from the President

Looking forward to a bright and healthy future With a brand-new year soon to be upon us, we can look back with pride at the many accomplishments of our UT Health Science Center. Our new 190,000-squarefoot South Texas Research Facility has been successfully operating for more than a year; we have recruited many new, outstanding scientists who are pioneering research and patient care modalities; and we broke ground on our $95 million Center for Oral Health Care & Research that, when opened in 2015, will provide state-of-the-art facilities for educating dental students and treating patients. We are well positioned to meet the demands of the ever-changing landscape of health care, especially when it comes to our nation’s and our future’s most precious resource – our children. A recent agreement with Vanguard Health Systems, owner of Baptist hospitals, allows us to build a new academic children’s hospital in San Antonio. The Children’s Hospital of Philadelphia, one of the best in the nation, will join Vanguard in the administration of our children’s hospital. The Health Science Center will provide the faculty members responsible for the hospital’s clinical care, research and training programs. Our physicians and scientists are world renowned for their research and treatment of diseases that afflict children. Together, with the support of generous donors, community leaders and friends, we have made extraordinary advancements in treating and preventing deadly diseases in our pediatric population.

CHIEF OF STAFF AND VICE PRESIDENT, COMMUNICATIONS | Mary G. DeLay SENIOR EXECUTIVE DIRECTOR OF COMMUNICATIONS | Nancy Arispe EDITOR/DIRECTOR OF PUBLICATIONS | Natalie Gutierrez CREATIVE DIRECTOR | Jennifer Bernu-Bittle CONTRIBUTING WRITERS | Catherine Duncan, Rosanne Fohn, Tina Luther, Will Sansom WEB | Pamela Dyer Photo and illustration contributions provided by Multimedia Services and printing by UT Print, UT Health Science Center San Antonio. Not printed at state expense. Mission is published by the Office of Communications, UT Health Science Center San Antonio. Please send Letters to the Editor to the Office of Communications, 7703 Floyd Curl Drive, San Antonio, TX 78229-3900; e-mail to mission@uthscsa.edu or send faxes to 210-567-6811. To be removed from our magazine mailing and contact lists, send your name and address to the Office of Communications with your request. © The University of Texas Health Science Center at San Antonio, 2012. All rights reserved.

This issue of Mission highlights a few of these programs – and the faculty and donors who partner to make lives better for the children of San Antonio and South Texas. Dental decay, obesity, diabetes and cancer are among the major diseases plaguing children of our region, in particular. Without your support and the generosity of donors such as Mr. Harvey E. Najim and the Najim Family Foundation, Methodist Healthcare Ministries of South Texas Inc., the Robert Wood Johnson Foundation and Hyundai Motor America, highlighted in this issue, this progress and these programs would not be possible. We sincerely appreciate your continued support and look forward to an exciting new year of joining with you to make lives better for all in South Texas – and most especially for our children who are the promise of a bright and healthy tomorrow. Sincerely,

Kenneth L. Kalkwarf, D.D.S., M.S. President ad interim UT Health Science Center at San Antonio

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newsandnotes

Dental School breaks ground on new era of clinical practice Leaders of The University of Texas Health Science Center at San Antonio broke ground Oct. 26 on the Center for Oral Health Care & Research. The $95 million Dental School facility to be located on Floyd Curl Drive in the South Texas Medical Center will serve as a modern venue for oral health care, education, training and research. The building will be four stories covering 198,000 gross square feet, along with a parking garage of more than 450 spaces. The current Dental School building is almost 40 years old and will be repurposed as existing clinical activities are moved to the new facility. The new center will be patient-friendly by design. “Visitors will enjoy natural Participating in the groundbreaking ceremony are (left to right) Monna Carpenter-Barin; Gary Guest, D.D.S.; Karen Cox; Norma Reyes, D.D.S.; Don Morgan, D.D.S., M.A.; Glenn Walters, D.D.S.; Dean ad interim William W. Dodge, D.D.S.; President ad light in many areas and the building interim Kenneth Kalkwarf, D.D.S., M.S.; Kenneth Shine, M.D.; Jim Reed; Michael Boland, D.D.S.; and Elan Lee. will be logically organized, with specialty clinics and a faculty practice clinic on the first and second floor, dental dean for 25 years. “The Center for Oral The Dental School will make a significant and student clinics on the third and fourth Health Care & Research will allow the Dental investment in this building and anticipates a floors,” said William W. Dodge, D.D.S., School to be flexible to accommodate new successful fundraising campaign that will be dean ad interim of the Dental School. technologies as they emerge.” essential to bring the center to fruition. “The delivery of oral health care is Architects on the project are Marmon For more information about the campaign changing, and changing rapidly,” said Kenneth Mok and Kahler/Slater. The general contractor and giving to the center, contact Sara Piety, L. Kalkwarf, D.D.S., M.S., president ad interim is J. T. Vaughn Construction LLC. The building director of development for the Dental School, of the UT Health Science Center. He served as is expected to open in mid-2015. at 210-567-6536 or piety@uthscsa.edu.

Vulcan Funshoot spells victory More than 300 turned out this past fall for the 19th annual Vulcan Funshoot which, this year, raised more than $112,000 in net proceeds for the Cancer Therapy & Research Center (CTRC) at the UT Health Science Center. The sporting clay fundraiser has been a labor of love since 1994 for the employees and leaders of the materials company and has raised more than $1.8 million over the years to support the CTRC’s mission to conquer cancer through research, prevention and treatment.

CTRC benefits from Book & Author Luncheon The 21st annual San Antonio Express-News Book & Author Luncheon held in October 2012 in San Antonio was attended by more than 1,000 and raised more than $269,000 in net proceeds to support the Phase I Clinical Research Program at the Cancer Therapy & Research Center (CTRC) at the UT Health Science Center. Over its history, since 1991, the event has raised a total of more than $3 million in gifts. Pictured above: Coleen Grissom, Ph.D., Ms. of ceremonies (far right, in purple), congratulates event supporters and invited authors on the success of the 21st Book & Author Luncheon. Pictured (front row, L-R) are: Sherry McNeil, event co-chair; Chris Bohjalian, author; Joe Nick Patoski, author; Sandra Cisneros, author; Donna Thompson, event co-chair; (back row, L-R) Laurie Kaplan, event co-chair; Nick van Frankenhuyzen, author; H.W. Brands, author; Jack Bishop, author; and Mary Brook, Cancer Center Council president.

Members of the Vulcan Materials Company Funshoot Committee volunteer on the silent auction board during the event. Pictured (L-R) are Steve Guenther, Michelle Weber, Kevin Arneil and Clay Upchurch.

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Learning TODAY for a healthy tomorrow By Tina Luther

National study brings Type 2 diabetes discoveries to light, gives patients healthy options

At 5 years old, Richard Zarate’s skin began to change. Dark, rough patches began to appear along his neckline. When he turned 10 and entered the fifth grade, Richard experienced more unusual changes in his health. He was constantly thirsty and made more frequent trips to the bathroom to urinate. His mother, Christine, who is a nurse, was alarmed by the changes. Using her own blood-glucose monitoring device, she checked her son’s sugar levels. They were very high, so Christine rushed him to the emergency room. Richard was diagnosed with Type 2 diabetes. Researchers at the UT Health Science Center San Antonio led a national study that has revealed a frightening fact – Type 2 diabetes is becoming more prevalent in children aged 10 to 17 and is more aggressive and deadly in children than in adults. Richard and his mom were quickly referred to the Texas Diabetes Institute, one of the nation’s largest and comprehensive diabetes and endocrinology centers 6 | MISSION WINTER 2013

operated by University Health System, which is the teaching hospital for the UT Health Science Center. There they learned of the TODAY study, a national collaborative clinical trial for children and adolescents with Type 2 diabetes. TODAY stands for Treatment Options for Type 2 Diabetes in Adolescents and Youth. The UT Health Science Center is one of 16 sites throughout the country and one of only two in Texas funded by the National Institute of Diabetes and Digestive and Kidney Diseases to enroll patients. The goal of the study is to improve treatment and outcomes for children with Type 2 diabetes. Christine was, at first, skeptical of the study and thought she could handle her son’s health situation. “Both of my parents have Type 2 diabetes, and I was diagnosed when I was 40 years old,” she said. But Richard had an instinct about the program. “Mom, maybe they can help me,” he suggested. “Maybe something good can come from this.” A year later, Richard convinced his mom, and in 2006 he became a part of TODAY. Richard is one of 699 children and adolescents with Type 2 diabetes nationwide who were enrolled in the study from 2004 to 2009. According to the U.S. Centers for Disease Control and Prevention (CDC), diabetes is becoming one of the most common chronic, preventable diseases among children in the United States. Family history, obesity and the low level of physical activity among young people may be major contributors to the increase in Type 2 diabetes during childhood and adolescence.


Participation in the TODAY study gave Richard Zarate (pictured center, left) the tools he needed to manage his Type 2 diabetes and look forward to a healthier future. He now serves as a “big brother” to fellow youths and encourages them to see their doctors if they describe symptoms similar to what he experienced when he was first diagnosed with the disease. He enjoys offering them positive advice on how to maintain a healthy lifestyle.

Obesity may contribute to Type 2 diabetes yy Type 2 diabetes costs as much as one-third of the U.S. military budget. yy More than one in three children in Texas is overweight. yy Over the past three decades, the childhood obesity rate has more than doubled for preschool children aged 2 to 5 years and adolescents aged 12 to 19 years and has more than tripled for children aged 6 to 11 years. Sources: U.S. Centers for Disease Control and Prevention (CDC) and the Texas Department of State Health Services

Amelia Quiroga was diagnosed with Type 2 diabetes when she was 16 years old and immediately enrolled in the TODAY study at the UT Health Science Center San Antonio. Three of her five siblings also have diabetes. During the course of the study, Amelia became a mother, which has since changed her view of the disease and how she cares for herself and her daughter, Julianna, 2. Today, Amelia is 24, studying to be a radiology technician and working as a dispatcher for a towing company. “Because of my family history and what I learned from the TODAY study, I know my daughter has a 75 percent chance of developing diabetes,” she said. “Even though I’m busy, I take time to look at the nutritional value of everything my daughter and I eat. I want her to be healthy and diabetes free for the long run.” Photo by Lester Rosebrock, Multimedia Services

Daniel Hale, M.D., professor and chief of the Division of Pediatric Endocrinology, and Jane Lynch, M.D., professor of pediatric endocrinology at the UT Health Science Center, are the lead investigators of the San Antonio study and they and their staff are authors of an article revealing their findings published in an April 2012 issue of the New England Journal of Medicine. Patients aged 10 to 17 whose body mass index (BMI) indicated that they were overweight or obese received a minimum of six weeks to a maximum of six months of comprehensive, standardized diabetes education, including diet and exercise counseling from diabetes educators and were then randomly assigned to one of three groups: 1.) treatment with metformin alone; 2.) treatment with the drugs metformin and rosiglitazone (rosiglitazone is currently FDA-approved for therapy for adults only with Type 2 diabetes); or 3.) treatment with metformin and lifestyle intervention, which included diet and exercise counseling. Metformin and insulin are currently the only FDA-approved forms of therapy for children with Type 2 diabetes. “Standard education was provided at the beginning to give the participants a good knowledge base,” said Aimee D.

Wauters, M.S., RD, LD, CDE, a senior dietitian and diabetes educator with the TODAY study. “At every visit throughout the study, all of the participants had access to a diabetes educator, and everyone had tailored, customized education and health care based on what was happening to them,” she said. Researchers found that children who were given the combined therapy of metformin plus rosiglitazone did not have significantly better outcomes compared to children who were administered the metformin alone or who took metformin and had lifestyle intervention. Fifty two percent of children on metformin alone, nearly 40 percent of patients on metformin plus rosiglitazone, and 47 percent of children on metformin plus lifestyle intervention lost their ability to produce insulin and had to be placed on insulin therapy. The children in the combined therapy group of metformin plus rosiglitazone lost their ability to produce insulin later than the children in the group taking metformin alone and those taking metformin with a lifestyle intervention. Richard responded well to the metformin. “I wish I would have enrolled him right away because we could have gotten it under control a lot better sooner,” Christine said. “I could have kicked myself.” But mom and son are optimistic and moving

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Zarate Family Fruit Soda recipe

Daniel Hale, M.D., reviews Amelia Qu iroga’s progress in the TO DAY study, while Quiroga’s daughter, Juliann a, enjoys a book .

4 cups water 1 cup fruit (except citrus) 1/4 cup sugar substitute Carbonated water Mash fruit and add to water in a sauce pan; bring to a boil. As soon as the mixture boils, bring down to a simmer and let simmer for 20 to 30 minutes to reduce mixture. Strain mixture to remove pulp and sweeten with sugar substitute. Place from 1 tablespoon to 1/4 cup of mixture in a large glass with ice and fill with carbonated water. Enjoy!

Richard Zarate and his mom, Christine, have adopted healthier habits, including creating their own nutritious snacks such as the fruit soda recipe (above).

Dr. Hale’s healthy lifestyle tips 1. Turn off the television, computers and video games. Have no more than two hours of screen time a day for children older than 2. Read a book, play a game or talk instead. 2. Have at least one hour of vigorous physical activity every day for children and adults. 3. Put aside sodas, sports drinks and juices. Make water and low-fat milk the only beverages available at home. 4. Treat fast food as a treat by consuming it once per week or less. Beware of any meal greater than 500 calories. 5. Make healthy snacks from fruits and vegetables. Beware of all other foods labeled “snacks.”

forward. Among the many new approaches they’ve taken to adopt a healthier lifestyle – making their own sodas and vegetable chips. Today, Richard is a bright 17-year-old who dreams of becoming a chef or a physician – career opportunities influenced by his experience with Type 2 diabetes. He also serves as a “big brother” to fellow youths and encourages them to see their doctors if they describe symptoms similar to what he experienced. He enjoys offering them positive advice on how to maintain a healthy lifestyle. Researchers said unfortunately, most patients are not as compliant as Richard and consequentially experience serious, irreversible long-term damage, including neuropathy (nerve damage), or develop kidney or cardiovascular disease. Twenty two percent of the children in the study developed secondary complications, including high blood pressure and high cholesterol. “This study showed us that Type 2 diabetes in children is more aggressive, progressive and different than Type 2 8 | MISSION WINTER 2013

diabetes in adults,” said Rose Ann Barajas, study coordinator. “If this frightening trend continues, this generation of children will be the first who will not outlive their parents. Parents will have to bury their children.” The study also revealed insight on how rapidly the disease progresses in children and adolescents. “This is really contrary to what we know about pediatric illnesses,” Dr. Lynch said. “This disease is more aggressive than previously thought, with many more complications.” Dr. Hale added, “Typically children are more resilient across all chronic and acute illnesses compared to adults. This disease is ravaging kids at a faster rate.” Researchers said these findings will be published in the future. A continuation of the study, called TODAY 2 Phase I, is under way, and will follow the cohort of participants to track how Type 2 diabetes progresses. Natalie Gutierrez contributed to this story.


Najim invests in building healthy future for children

Read d n a t u O Reach

By Rosanne Fohn Harvey Najim (pictured left) learned two lessons early in life: hard work pays off and that you have to make your own way in life to be successful. Najim applied those two principles and built a billion-dollar company, Sirius Computer Solutions, in San Antonio. “For more than 30 years I focused on building a successful business, but later in life I realized that I wanted to achieve something more. I wanted to become a community leader who supports the needs of others,” Najim said. In 2006 he created the Harvey E. Najim Family Foundation focused on children’s health and education. This year, his generosity included gifts for two programs at the UT Health Science Center San Antonio honoring Charles Butt and the Charles Butt and H-E-B Excellence Fund for the Future of Health. yy Gary Guest, D.D.S., professor and assistant dean for Predoctoral Clinics in the Dental School, received $5,000 for the annual Dental Sealant Program. Each February, about 650 second-graders from the Edgewood Independent School District ride the bus to the Dental School where they receive dental screenings, fluoride treatments and sealants from dental students and dental hygiene students. The grant provided dental equipment and supplies for the clinic, and toothbrushes, toothpaste and educational coloring books for the children to take home. yy Rebecca Huston, M.D., M.P.H., clinical professor of pediatrics, received a $5,000 grant to purchase 2,397 books for children who receive care at four clinics run by the School of Medicine. Health care professionals and medical residents from the Health Science Center “prescribe” reading developmentally appropriate books and provide a beautiful new board book at each well-child checkup. Affiliated with the national, nonprofit Reach Out and Read organization, the program aims to improve literacy and school readiness for preschoolers, especially those from low-income families.

“We are grateful to Mr. Najim and the Harvey E. Najim Family Foundation for recognizing the value of these two programs that help make lives better for our youngest patients,” said President ad interim Kenneth L. Kalkwarf, D.D.S., M.S. “These programs not only improve children’s health but help prepare them for a successful future.”

Dental Sealant Clinic Hector Aguilar (pictured left) had been thinking about running for president, but after getting an A+ at his dental screening during the Dental School’s annual Dental Sealant Clinic, he may be thinking about becoming a dentist. Aguilar is one of more than 7,500 students from the Edgewood Independent School District who, over the past 11 years, has smiled a little brighter after receiving preventive screenings and dental sealants from dental and dental hygiene students.

“This is a fun event for us and for the children,” said Gary Guest, D.D.S., professor and assistant dean for predoctoral clinics. “We choose second-graders because most of them have their first permanent molars. By sealing those teeth with dental plastic coating, we are preventing a lot of dental cavities.” Besides the free dental care received by children who might otherwise not visit a dentist, the youngsters see positive role models, learn about new careers and have the opportunity to visit a higher-education campus.

e delighted his family ar at the end d an 2, r, va Michael To ives a brand-new book when he rece ild checkup. of his well-ch

Wearing blue-striped overalls, tiny tennis shoes and a gigantic smile, you’d never guess the challenges 2-year-old Michael Tovar has overcome since his premature birth at 24 weeks, weighing just 1 pound, 9 ounces. However, it’s easy to see how delighted he is to receive a brand-new book at the end of his well-child checkup. Faculty members and medical residents from the Premature Infant Development Premiere Program (PREMIEre) encourage Michael’s parents to read to him every day. “Children typically receive 10 new books by the time they start school,” said Clinical Professor Rebecca Huston, M.D., M.P.H., who directs the Reach Out and Read program in the Children’s Health Center run by the Department of Pediatrics. “More than 15 peer-reviewed studies have reported the positive impact of the national Reach Out and Read program,” which promotes literacy and school readiness, she said. Third-year medical resident Ryan Van Ramshorst, M.D., added, “The families we see might be working three jobs, so having these books is very meaningful to them,” he said. “With their limited budgets, buying books is often not a priority.”

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Tipping

the sca

les: reversing the obesity epidemic among Latino children By Natalie Gutierrez

$2.1 million from Robert Wood Johnson Foundation supports Salud America! Obesity is deadly and growing in the United States. Heart disease, stroke, Type 2 diabetes and cancer are just some of the diseases linked to obesity. By 2030 the U.S. Centers for Disease Control and Prevention (CDC) predicts that 42 percent of Americans will be obese. Children, especially Hispanic children who are part of the largest U.S. minority group, are quickly falling victim to this deadly trend. Hispanic children aged 2 to 19 are more likely to be obese or overweight than white or black children. The CDC indicates that 50 percent of severe obesity in adults is a consequence of obesity during childhood. Thanks to a $2.1 million grant from the Robert Wood Johnson Foundation (RWJF), the UT Health Science Center San Antonio is leading national efforts to prevent childhood obesity in Hispanic children and to influence policy and create environmental solutions to the problem. Their gift is supporting Salud America! The RWJF Research Network to Prevent Obesity Among Latino Children. The program is headquartered at the Institute for Health Promotion

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Research (IHPR) within the School of Medicine at the UT Health Science Center. Amelie Ramirez, Dr.P.H., is director of Salud America! and founding director of the Institute for Health Promotion Research. “We are so grateful to the generosity of the Robert Wood Johnson Foundation,” Dr. Ramirez said. “With their support, Salud America! will continue to be the catalyst for reversing a deadly disease afflicting our nation’s and our future’s most precious resource – our children.”

Grant expands program, focuses on advocacy Launched in 2007, Salud America! built a network of researchers, academics, policymakers and community


leaders across the United States to address and reverse the obesity epidemic among Hispanic children and adolescents. In addition, a network of multimedia experts produced online resources to raise awareness of the latest research on Latino childhood obesity and educate Hispanic community leaders, parents and youth about the importance of healthy nutrition and physical activity. These are communicated through a variety of e-communications, blogs and social media. The new RWJF grant will allow Salud America! to expand this 2,000-member national network and focus on developing an innovative system to support, inform and empower researchers, policymakers and the public to advocate for policy changes that will help reverse the obesity epidemic.

Success stories encourage action Shari Barkin, M.D., a professor of pediatrics at Vanderbilt University in Nashville, Tenn., is among the 20 Salud America! grantees who conducted research focused on Latino childhood obesity. Her study focused on 132 Hispanic families with children aged 3 to 5 in Nashville’s Davidson County. Some families were introduced to their community recreation center for routine physical activity, while others had the same access but were not brought inside and educated about using the facility for fitness and well-being. “What we found was that exposure to and routine use of recreation centers by Latinos led to sustained use for physical activity one year later by both parents and their young children,” Dr. Barkin said. “Activity habits set in early childhood can profoundly influence lifelong paths for health. Our goal is to encourage policymakers to create programs that encourage Latino families to walk through the door and learn how to use their community recreation centers. It’s not just about building or refurbishing recreation facilities. Healthy lifestyle programs targeted at children as young as preschool age have enormous potential to prevent obesity.” Dr. Barkin and her team shared their results with the Metro Parks and Recreation Board of Nashville, Tenn., the Mayor’s Council on Child Wellness, and key community and policymaking partners.

Juan Carlos Mondragon, 32, and his family (pictured) participated in Dr. Barkin’s study from 2009 to 2011. He and his wife, Irma, and their two children, Leah, 7, and Shayla, 4, were given free access to and educated about their neighborhood recreation facility.

Latinos, the largest U.S. minority group, comprise 22 percent of all pre-K–12 students. Source: Pew Hispanic Center and Pew Research Center

“Going to the center helped us exercise together, as a family,” Mondragon said. “And we learned about eating healthier too. I know it’s going to help us in the long run so we don’t become overweight. There should be more programs like this one. And I hope to see more sidewalks, better parks and more bicycle paths in our neighborhood in the future, especially for our children.”

Local study involves churches In San Antonio, Meizi He, M.D., Ph.D., an associate professor of health and kinesiology at The University of Texas at San Antonio, conducted Salud America! research at nine churches on the city’s West Side. She and her team conducted interviews with Latino church leaders and church-attending children aged 10 to 17 and their parents. Researchers learned that church leaders and families were aware of the obesity epidemic and its dangerous health consequences. They identified the need to connect health education with a spiritual dimension through clergy role models; health sermons; Sunday school and Bible-study sessions; after-school and summer camp physical-activity programs; and healthy-cooking classes. “We found that gathering the ideas and insights of Latino church leaders and congregation members on the issue of childhood obesity is the first step in developing effective faith-based, obesityprevention strategies, as well as future policy and environmental changes that will help improve the health of Latino children,” Dr. He said. She and her team shared their findings with the City of San Antonio Metropolitan Health District and other community stakeholders to encourage support. Their research has garnered additional funding from the San Antonio Life Sciences Institute and the Baptist Health Foundation of San Antonio to develop and implement the faith-based, obesity prevention program, “Building a Healthy Temple,” in the predominantly Hispanic communities throughout the city.

Advocating for change Dr. Ramirez said Salud America!, fueled by these research success stories, will unite a team of research experts, Internet news curators and multimedia content producers to produce a continuous stream of evidence-based information, news and training that

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researchers, policymakers and the public can use to advocate for changes toward reversing the obesity epidemic. The information will be provided in easily accessible formats such as an online advocacy support platform (with advocacy and policy news, templates, resources, role models and ways to get involved), e-communications, blogs, and social and mass media. “We believe this platform will empower individuals and groups to advocate directly for evidence-based governmental and corporate policies addressing Latino childhood obesity,” Dr. Ramirez said. “We’re excited to continue our work. We hope everyone will join our effort because ensuring a healthy future for America will depend largely on reversing the obesity epidemic in the Latino population.” To learn more about Latino childhood obesity, click here.

Salud America! translates to Health America! Building on its successful research, Salud America! is now turning its attention to a first-of-its-kind effort to deliver and interpret scientific evidence to empower Latinos to advocate for healthy policies. The RWJF focuses on six policy priorities that evidence suggests will have the greatest and longestlasting impact on children. To see the RWJF’s six policy priorities, visit rwjf.org/en/about-rwjf/programareas/childhood-obesity/strategy.html. Visit the IHPR online at ihpr.uthscsa.edu or follow its blog at saludtoday.com/blog. For more information about Salud America!, visit salud-america.org.

Cliff Despress, in the Institute for Health Promotion Research (IHPR) in the School of Medicine at the UT Health Science Center, contributed to this story. 12 | MISSION WINTER 2013

Sustaining smiles Methodist Healthcare Ministries partners with Dental School to serve community By Rosanne Fohn Marissa Lopez wanted to have beautiful teeth, so she and her mother began visiting the Ricardo Salinas Dental Clinic. “I learned to brush my teeth two times a day — in the night The UT Health Science Center has touched the lives of thousands and in the morning — to floss and of patients through health care professionals who receive state-of-the art training in programs and clinics supported by rinse my mouth with mouthwash. And Methodist Healthcare Ministries of South Texas Inc. now I have pretty teeth,” the smiling youngster said. The Dental School’s involvement with the Salinas Dental Clinic began in 2003 as a partnership with Methodist Healthcare Ministries of South Texas Inc. (MHM) and the city of San Antonio, which owns the Salinas Clinic. There, working under faculty supervision, dental students and pediatric dentistry residents provide dental services to children from all areas of San Antonio. “The need for oral health care is critical,” said Kevin Donly, D.D.S., M.S., professor and chair of developmental dentistry. The clinic is a centerpiece of the Dental School’s outreach education program. It gives students and residents the opportunity to provide comprehensive care, and to learn about the needs of underserved communities and different ways to deliver care. “In a typical year, we provide about five or six procedures per patient during 5,000 patient visits,” Dr. Donly said. As a sustaining partner, MHM has contributed nearly $1.3 million to the clinic since 2002. This clinic is just one of several long-term partnerships between the Dental School and MHM: yy In 2002, MHM and the Dental School began partnering on a school-based prevention program for second graders in the Edgewood Independent School District. MHM’s contributions for the Give Kids a Smile Program includes equipment and supplies valued at nearly $650,000. yy Since 2005, MHM has supported the Dental School’s clinical education programs in Laredo with grants for planning, equipment and program support totaling nearly $1 million. yy MHM also has supported pediatric dental services that students and residents provided at the Frank Bryant Clinic on the Eastside since 2005. Funding through 2012 exceeds $1 million. yy In 2012, MHM began funding a Dental School rotation through San Antonio Christian Dental at Haven for Hope. Funding of $214,088 in 2012 will support 3,000 dental visits. Kevin C. Moriarty, MHM president and CEO, said, “We firmly believe in the partnership we’ve created with the UT Health Science Center Dental School. We have succeeded because we share the same mission of caring for the least-served in San Antonio and South Texas.” In all, MHM has provided more than $2.45 million to the Dental School’s outreach education programs in pediatric dentistry, prosthodontics, general dentistry, dental public health and prevention. Beginning in 1998, MHM also was the driving force in educating the community about the value of fluoride in preventing cavities. As a result, voters approved adding fluoride to the city’s water supply. In addition to the generous support provided to the Dental School, MHM has been a longtime champion of a multitude of programs throughout the UT Health Science Center including programs in the School of Medicine and School of Nursing. Bill Dodge, D.D.S., dean ad interim of the Dental School, added, “It would not be an exaggeration to say that together, we have touched the lives of hundreds of thousands of people, not only through direct patient care, but through all the health care professionals who have received top-notch training from programs and clinics supported by Methodist Healthcare Ministries.”


Hyundai Hope on Wheels gives $250,000 to support childhood leukemia research Hyundai Motor America and local Hyundai dealers brought the Hyundai Hope on Wheels™ program to San Antonio, presenting a $250,000 Hope Grant to scientists in the School of Medicine at the UT Health Science Center San Antonio.

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(Right to left) Dr. Alexander Bishop celebrates the Hope Grant at the Greehey CCRI with 4-year-old Morgan Malone and Rick Dorn, regional south central manager of Hyundai Motor America. The grant will benefit children such as Morgan’s twin brother, Waylon, who was diagnosed with stage 4 neuroblastoma with bone marrow involvement last year.

The Hope Grant will support studies of myelodysplasia and leukemia conducted by Alexander Bishop, D.Phil., and Vivienne Rebel, M.D., Ph.D., assistant professors in the Department of Cellular and Structural Biology. These scientists work in laboratories at the Greehey Children’s Cancer Research Institute (CCRI), where Hyundai officials presented an oversized check. Myelodysplastic syndromes are serious blood cell disorders in which the bone marrow does not function normally. Dr. Rebel said the syndromes are difficult to treat, prompting the search for novel ways to address them. Dr. Bishop studies DNA repair defects in syndromes such as Bloom’s syndrome, a rare inherited disorder that frequently leads to cancer and often displays myelodysplastic syndrome. DNA, the genetic blueprint in cells, undergoes insults and repair constantly. The insults are from environmental and other factors. “We’re very excited about this grant,” Dr. Bishop said. “We asked whether the cells defective in patients with myelodysplasia have DNA repair defects, and the answer is yes. With this grant we can now ask why.” “Everyone knows someone, perhaps a child, who has been touched by cancer,” said Gail Tomlinson, M.D., Ph.D., who holds the Greehey Distinguished Chair in the Genetics of Cancer at the UT Health Science Center. “These universitycommunity relationships are so important.”

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Honor your friends and family with holiday cards created by our CTRC cancer patients

through the 2012 CTRC Holiday Card and Gift Program Benefiting the CTRC Patient Assistance Fund Cards are sold for a $10 donation each ($9 is tax deductible). Choose from an assortment of different styles. Purchase gift items such as CTRC ornaments, pen sets, photo coaster sets, mugs and snuggies! Your purchases directly support our cancer patients in need through the CTRC Patient Assistance Fund.

W

ishing yo u a healt hy, happ filled wi y holiday th the joy s of the sea son. s been giv en in your hono Cancer Th r to the erapy & Research at the UT Center Health Sci ence Cente r by

A gift ha

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For more information, call 210-450-1152 or visit CTRC.net.

WINTER 2013 MISSION | 13


the President’s Council annual giving by

As of 11/14/12 Lifetime President’s Circle ($500,000+) The Ewing Halsell Foundation President’s Circle ($25,000+) Holly Beach Public Library Association President’s Circle ($10,000+) Malu & Carlos Alvarez Sandra G. Brickman, MD Mr. & Mrs. Walter F. Brown Katherine & Walter Brown, Jr. Valerie & Jack Guenther Margie & Bill Klesse Martha W. Wood, PhD Professors’ Circle ($5,000+) Mr. & Mrs. William D. Balthrope Bartlett Cocke, Inc. – Mr. Jerry Hoog Phyllis & Jamie Browning Dr. & Mrs. Gilbert J. Garcia Betty & Bob Kelso Randolph T. Leone, MD Lucifer Lighting Company - Mr. Gilbert Mathews Minnie Stevens Piper Foundation Mr. & Mrs. Thomas I. O’Connor Harris K. & Lois G. Oppenheimer Foundation Drs. Sharon & Edward Rosenthal Mr. Gary V. Woods Research Circle ($2,500+) Lorraine & Curt Anastasio Colleen & Bruce Barshop Mr. & Mrs. Charles E. Cheever, Jr. Dr. & Mrs. Elias Dickerman Juliet Howard Fallah, MD Mr. & Mrs. William E. Greehey Mrs. Helen K. Groves Mr. Sean F. Gunn Mrs. Betty Murray Halff Mrs. Sally Halff Dr. & Mrs. William L. Henrich Mr. & Mrs. W. Michael Humphreys IBC San Antonio - Mr. Steve Edlund Colette M. Kohler, MD Dr. Michael J. Lichtenstein & Mrs. Mary Flanagan Jan & Bob Marbut Mrs. Janey Briscoe Marmion Mr. & Mrs. Thomas I. O’Connor Dr. John D. & Mrs. Lorraine L. Olson Mr. Dan F. Parman Mrs. Marie L. Pauerstein Dr. Amelie & Mr. David Ramirez Major General (Ret.) & Mrs. Josue Robles, Jr. Ann & Joe Salamone Courtney & Mark E. Watson, Jr. Mr. J. Tullos & Mrs. Carri Baker Wells Scholars’ Circle ($1,000) Mr. & Mrs. James R. Adams Alamo Travel Group – Ms. Patricia Stout Barbara & Wayne Alexander Dr. & Mrs. Odilon P. Alvarado Mr. & Mrs. Charles Amato

Alison & Jeff Andrews Drs. Martha & Rafael Aranda Mrs. Connie Aust Ruth & Edward Austin Kay C. Avant, RN, PhD, FAAN Ms. Estela Avery Barbara & Cal Banker Dr. Ben Barker Ann & Sam Barshop Perry E. Bassett, MD, PhD Dr. Cynthia L. Beamer Dr. & Mrs. Richard Becker Mr. & Mrs. Michael D. Beldon Teresa D. Bell, MD James V. Benedict, PhD, MD Mr. & Mrs. Glenn Biggs Irene & Michael Black Ms. Donna Block Ms. Margery L. Block Eleanor & Vaughn Bomberger Mr. John V. Booth Dr. & Mrs. Warren B. Branch Drs. Lois L. Bready & Joseph R. Holahan, Eileen Breslin & Bill Israel Howard A. Britton, MD Broadway National Bank – Mr. Jim Goudge Mr. & Mrs. Steven R. Brook Mrs. Gloria M. Bryant Louise & Michael Burke Mr. Charles C. Butt Dr. John H. Calhoon & Ms. Sarah Lucero Paula & Jim Callaway Mr. & Mrs. Richard W. Calvert Mr. & Mrs. Roy R. Campbell, III Amber & Jorge Canseco Dr. & Mrs. Timothy Caris Alicia & Raymond Casillas Mr. & Mrs. Raymond R. Carvajal Judy & Jimmy Cavender Drs. Theresa & Tom Chiang Dr. & Mrs. Alfonso Chiscano Dr. & Mrs. Delbert L. Chumley Dr. & Mrs. Henry Cisneros Robert A. Clark, MD Gloria & Fully Clingman Lisa & Don Cohick Ann & Bob Coleman Mr. Hal Bishop & Dr. Judith Anne Hamann Cook Drs. Linda & John Cook Mr. Taliaferro Cooper Dr. & Mrs. William T. Coppola Fred G. Corley, Jr., MD Mr. Paul Crall Jo Ann Crow, PhD Bill Crow & Margaret Anderson Mr. & Mrs. C. E. Davis Laura & Sam Dawson Drs. Christine & Andrew de la Garza Betty & Omer Dean Ralph A. DeFronzo, MD Mary & Alan DeLay Julia J. Delgado, MD Elia & Armando Diaz Drs. Beverly & Bryan Dickson Robert L. Dickson, MD

Dr. Parvin Dinyarian, Root Canal Specialist Dr. & Mrs. William W. Dodge Kevin J. Donly, DDS, MS Barbara & Alan Dreeben Raymond N. DuBois, Jr., MD Adele & Steve Dufilho Dr. & Mrs. David A. Duncan Mr. Frederick J. Dunn Mrs. Veronica Edwards Edward Ellis, III, DDS Mr. & Mrs. Frank Elston Jimmie Ruth & Dick Evans Maria Elena Falcon, MD Mr. H. Rugeley Ferguson Dr. Marvin & Mrs. Ellinor Forland Dr. Constance L. Fry & Mr. William R. Fry Mr. Jerry Fulenwider Mrs. Candy Katz Gardner Dr. & Mrs. Harold Vincent Gaskill, III Amy & Carl Gassmann Barbara & Michael Gentry James E. Gill, MD Birgit Junfin Glass, DDS Gayle Glenn, DDS, MSD Sandy & Cameron Godfrey Dr. & Mrs. William Gonzaba GPM Life Insurance Company – Mr. Peter Hennessey, III Dr. & Mrs. Christopher W. Graham Marci & Charles Granstaff Mr. & Mrs. Curtis C. Gunn, Jr. Mr. Bob Gurwitz Hannah Foundation Holly & Ken Hargreaves Mr. & Mrs. Houston H. Harte Dr. Patty L. Hawken Roxie & Jim Hayne Dr. Helen P. Hazuda Dot & Roger Hemminghaus James R. Herbst, II, DDS Deborah Heritage in memory of John Heritage O’Connor & Hewitt Foundation Mr. Roger Chilton Hill, Sr. Nancy & David Hillis Dr. & Mrs. William Hinchey Karen & Tim Hixon Joseph Thanh Hoang, MD Drs. Steve Holliday & Robin Brey Dr. John P. Howe, III & Ms. Tyrrell E. Flawn Byron & Billie-Kite Howlett Dr. & Mrs. Michaell A. Huber Dr. Norma A. Iglesias and Mr. Alvaro Iglesias, Jr. ING Financial Advisors, LLC – Mr. Ty Edwards Ms. Dana Ingram Mr. Charles H. Jackson, III & Dr. Brenda Gail Jackson Mr. Morgan C. Jackson Dr. & Mrs. J. Daniel Johnson Mrs. Anne W. Johnston Sharon & Ken Kalkwarf Glenda & David Keck Joan & Herb Kelleher Nancy & Ed Kelley Joan & Pat Kennedy Dr. & Mrs. Dietmar A. Kennel Bonnie & John Korbell Mr. Mike Kreager


The President’s Council is comprised of annual donors to the Health Science Center who make unrestricted contributions of $1,000 or more. For more information, visit www.PresidentsCouncil.info or call 210.567. 2063.

Charlie and Nancy Cheever attend the 2012 President’s Council Luncheon.

Laura & Weir Labatt Gretchen & Lance Lahourcade Drs. Barbara & Leonard Lawrence Dr. & Mrs. Edward J. Lefeber, Jr. Ellen & Charles Leone J. T. & B. K. Lim Mr. & Mrs. Ricardo E. Longoria Mrs. Gladys I. Lynch Mary Anne & Steve Lynch Barbara & Roger Lyons Jyoti Mann, DDS, PA Mr. Mike Manuppelli Drs. Jorge N. Martinez-Prieto & Laura Bon Dr. Bettie Sue Masters & Mr. Robert S. Masters Mrs. Edith S. McAllister Charline & Red McCombs Drs. James McMichael & Melinda Cook Yona & Tom McNish Dr. & Mrs. Brian Mealey Dr. & Mrs. Larry B. Melton Methodist Healthcare Ministries of South Texas Mr. Kevin C. Moriarty, President & CEO Dr. & Mrs. Frank R. Miller Debbie & Frank Morrill Mrs. Judy Morton Drs. Brett Mueller & Cindy Banker Syd & Gregg Muenster Mr. & Mrs. Charles C. Murray Nicolas Musi, MD Dr. & Mrs. Claude L. Nabers Dr. & Mrs. Joseph J. Naples Mr. & Mrs. John E. Newman, Jr. Bay Van Nguyen, MD Bavi H. & Dennis E. Nixon Drs. Simone & Robert Norris Nancy P. & John A. Oberman Beverly & Will O’Hara Mr. & Mrs. Homer Olsen, Jr. Mrs. Claire O. O’Malley Dr. Louis & Mrs. Debra Orsatti Drs. Pam & Randy Otto Dr. & Mrs. Patrick M. Palmer Mr. & Mrs. John Paparelli Camilla & Bill Parker

(Left to right) Veronica Galvan, Ph.D., assistant professor of physiology in the School of Medicine, visits with Kirti Patel and Jorge Canseco at the 2012 President’s Council Luncheon.

Dr. & Mrs. Robert W. Parker Drs. Norma Partida & John D. Jones Dr. & Mrs. Mahendra C. Patel Drs. Jan & Tom Patterson Mrs. Tom E. Pawel Mr. & Mrs. Richard M. Peacock Dr. & Mrs. Dan C. Peavy J. Lee Pettigrew, DDS Mr. & Mrs. Scott Petty, Jr. Diane & Philip Pfeiffer Maria Luisa C. Policarpio-Nicolas, MD Dr. & Mrs. Bradley H. Pollock Karen & Bobby Presley Mr. & Mrs. Robert B. Price James E. Pridgen, MD Carl F. Raba, Jr. Patricia & Renato Ramirez Dr. & Mr. Frank P. Ramos Raul Ramos, MD Dr. Joan M. Ratner Drs. Peter M. Ravdin & Anne-Marie R. Langevin Rodney K. Rayburn, DDS Dr. Robert L. Reddick & Mrs. Bettie Stone-Reddick Spencer W. Redding, DDS Katie & Jim Reed Carol Ann Reineck, PhD, RN Mrs. Corinne L. Robichaux Dr. & Mrs. Charles W. Robinson, Jr. Ms. Maria Cristina Rodriguez Dr. & Mrs. James H. Rogers, Jr. Dr. & Mrs. Waid Rogers Mr. & Mrs. Stanley D. Rosenberg The Honorable Louis E. Rowe John D. Rugh, Ph.D. Mr. & Mrs. W. Marvin Rush Dr. & Mrs. Anthony Daniel Sabino Drs. Edward Sako & Jennifer Sorenson Ms. Debra Salge Mr. & Mrs. George Sandidge Dr. & Mrs. Oladayo A. Sanusi Mr. & Mrs. William Scanlan, Jr. Mr. Richard T. Schlosberg, III Katherine A. Schwesinger, BSN, MSN Melvin L. Shanley, DDS, PA

(Left to right) Ian Thompson Jr., M.D., director of the Cancer Therapy & Research Center at the UT Health Science Center; Gary Woods; and Ann and Glenn Biggs get together at the 2012 President’s Council Luncheon in San Antonio.

Paula Shireman, MD Dr. Phyllis B. Siegel Dr. & Mrs. Paul H. Smith, Jr. Mr. & Mrs. Stephen M. Speakes Dr. & Mrs. K. V. Speeg Mr. & Mrs. Dennis Stahl Mr. Jack E. Stalsby Dr. & Mrs. Robert M. Starr Drs. Jane & Bjorn Steffensen Mrs. Elsie G. Steg Joci & Joe Straus Mrs. Ruth Eilene Sullivan Dr. & Mrs. Roy H. Trawick Mr. & Mrs. William F. Trieschmann Drs. Richard Usatine & Janna Lesser Mr. Mario A. Vazquez Dr. & Mrs. Leonel Vela Dr. & Mrs. Raul Vela Mr. & Mrs. J. Jorge Verduzco Mr. & Mrs. Jack M. Vexler Drs. Anne & Ken Washburn Mr. Mark E. Watson, III Angela & Eric Weissgarber Senator & Mrs. Jeff Wentworth Mr. & Mrs. Lewis F. Westerman Charles S. Wheelus, DDS Edwin J. Whitney, MD Dr. & Mrs. David E. Wilcox Dee & Jack Willome Mr. Ellis M. Wilson, Jr. Drs. Jan & Michael Wilson Barry D. Winston, MD Mr. Joseph O. Wong & Dr. Vivian Lim Lori & Mark Wright William Wu, MD Mrs. Barbara R. Wulfe Dr. & Mrs. Allison Yee Mrs. June A. Young


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