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February 17, 2012

MEDICAL UNIVERSITY of SOUTH CAROLINA

Vol. 30, No. 25

Inside ReseaRch Day

3

Department of Medicine offers an opportunity for researchers to spotlight their work.

aDDRessing

8

canceR equiTy

Dr. Chanita Hughes-Halbert joins MUSC in placing health disparities research as a priority. 2 Excellence 5 Meet Chelsey 11 Classifieds

T h e c aTa ly s T Online http://www. musc.edu/ catalyst

Dental hygienist Tricia Schell, left, explains to Kathy Zemp, a nurse at Jane Edwards Elementary School, the result of fourth grade student Cameron Reynolds’ teeth cleaning as part of Give Kids A Smile Day. Bottom photo: Dental student Jennifer Fiorica demonstrates the correct way to brush teeth with James Simons Elementary student Amariay Waring. To see the video, visit http://bit.ly/GiveKidsSmiles.

Focus on Healthy Smiles By Cindy ABole Public Relations

MUSC and area dentists did their part to keep some Lowcountry schoolaged children smiling as part of the annual Give Kids A Smile Day Feb. 3. More than 130 children received free dental services as part of the day at the James B. Edwards College of Dental Medicine. The event, sponsored by the South Carolina Dental Association and the American Dental Association (ADA), provided boys and girls with free oral health care services.

MUSC dentists, dental team members, faculty, staff and students provided dental exams, X-rays, teeth cleaning, fluoride treatments, restorative treatments (includes fillings and crowns), extractions and dental education. Each February, the dental school partners with community practitioners and students to provide these services as part of National Children’s Dental Health Month. Participants are usually between 3 and 16 years of age. This year’s event director, Katherine

See Smile on page 8


2 The CATAlyST, February 17, 2012

Excellence rewarded

James B. Edwards College of Dental Medicine (CDM) Dean Dr. John Sanders congratulates Debbie Reynolds (clinical), left, and Pam Graule (nonclinical) as recipients of the annual CDM Staff Recognition Program. Right photo: Sanders, center, presents Amy Duff (clinical) and Brad Hammond (non-clinical) with their certificate honoring them as recipients of the fourth quarter 2011 CDM Staff Recognition Program. The staff honored the four recipients on Jan. 26 with a pizza lunch.

Editorial of fice MUSC Office of Public Relations 135 Cannon Street, Suite 403C, Charleston, SC 29425. 843-792-4107 Fax: 843-792-6723 Editor: Kim Draughn catalyst@musc.edu Catalyst staff: Cindy Abole, aboleca@musc.edu Dawn Brazell, brazell@musc.edu

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.

EmployEE WEllnEss For smokers desperate to quit, the answer may be as close as the drawer with their workout clothes. Two of the most significant risk factors for chronic disease are smoking and a sedentary lifestyle. For smokers who are not physically active, starting an exercise regime while trying to quit smoking might seem difficult, but research suggests that smokers who take up a regular exercise program have a much higher quit-smoking success rate. Nicotine addiction and exercise affect the body and the brain in similar ways that may explain why physical activity can help relieve the symptoms associated with quitting smoking. A recent study conducted at The University of Exeter in England revealed the immediate physical and neurological benefits of exercise as a cessation tool. After a single, 10-minute exercise session, smokers deprived of tobacco for 15 hours reported reductions in nicotine cravings. Lead author Adrian Taylor said the research suggests that exercise produces neurotransmitters including dopamine — a chemical in the brain associated with positive mood. “In this way, exercise may mimic the effects of nicotine in the brain and provide smokers with the same relief from negative mood as smoking.” Even better, a review of 20 studies on exercise and quitting smoking found that exercise does not have to be hard or long-lasting to have these effects. Even brief bouts of physical activity can be an effective aid for smokers wishing to quit. In addition to the benefits related to cravings, exercise can also help improve overall health, reduce weight gain often associated with quitting smoking and improve self-confidence. Smoking damages the cardiorespiratory system, but much of its negative effects can be reversed by quitting. Adding exercise can improve heart and lung function, reduce the risk of lung cancer and reduce chronic shortness of breath. Exercise also can lead to a positive self-image, which contributes to successful changes in behavior, both in quitting smoking and maintaining a healthy lifestyle. Smokers who are ready to quit and

want to use exercise to help them be successful should follow these recommendations: q See a physician before starting any exercise routine q Start slow q Find something enjoyable q Include cardio, strength training and Susan Johnson flexibility routines q Find a workout partner For information on how exercise can help smokers quit for good, sign up for the Lunch & Learn with Katie Blaylock at 12:15 p.m., Feb. 22. Participants will receive a pedometer and fitness band.

Health at work

Employee Wellness events q Tobacco Free Tuesday: Visit Diane Conte, Prevention Partners manager with the State Employee Insurance Program in Children’s Hospital lobby to learn about Quit For Life, a free smoking cessation program offered to employees covered under the state health plan. Enroll from 11 a.m. – 1 p.m., Feb. 21 and receive a kit filled with gifts. q TST satellite clinic: Employee Health Services will be administering tuberculin skin tests for employees from 11 a.m. – 1 p.m. Feb. 8 outside Ashley River Tower cafeteria. No appointment necessary. q Lunch & Learn: “Exercise to Quit Smoking.” Join Katie Blaylock from 12:15 - 12:45 p.m., Feb. 22 in Room 103, Colbert Education Center & Library. Email musc-empwell@musc.edu. q Worksite screening: Feb. 22 in the Wellness Center auditorium. This screening, valued at about $350, is available to employees with the State Health Plan for $15 (covered spouses can participate for $15). Employees and spouses without this insurance can participate for $42. To register, visit http://www.musc.edu/medcenter/ health1st and click “Worksite Screening.” Email johnsusa@musc.edu to become involved in employee wellness at MUSC.


The CATAlyST, February 17, 2012 3

Department of Medicine holds annual research day

More than 150 presenters, judges and spectators gathered for the Department of Medicine’s annual Research Day Jan. 19 at the Harper Student Center. This event is an opportunity for junior researchers, clinicians and students to present their current research projects or clinical case studies. A $1,000 professional development award was given to the best poster in each of the following six categories: graduate students, medical students, Ellerbe postdoctoral basic science, clinical fellows/residents, clinical junior faculty, and basic junior faculty. q Graduate student: Caitlyn Ellerbe, “Seamless Phase II/III Adaptive Dose Finding Design for Longitudinal Data in Safety/ Efficacy Clinical Trials.” Mentor: Valerie Durkalski, Ph.D. LeBel

q Postdoctoral basic science: Fei Gu, “Acquired Defects of Lupus Prone Mice-derived Mesenchymal Stem Cells Lead to Poor Effects of Autologous Transplantation in NZB/ NZW F1 mice.” Mentor: Gary Gilkeson, M.D.

Hospital Acquired Infections (HAIs) in the Medical Intensive Care Unit (MICU).” Mentor: Michael Schmidt, Ph.D.

Gu

q Clinical fellow/resident: Nithin Karakala, “Urinary Biomarkers in Predicting Patient Outcome and Renal Recovery in Early Acute Kidney Injury.” Mentor: John Arthur, M.D., Ph.D. Karakala q Clinical junior faculty: Cassandra Salgado, M.D., “Copper Surfaces (CuS) Significantly Lower Rate of

q Basic junior faculty: Brett Harris, Ph.D., “Remodeling of the Peripheral Cardiac Conduction System in Response to PressureSalgado Overload.” Mentors: Roger Markwald, Ph.D., Donald Menick, Ph.D., and Terrence O’Brien, M.D. A divisional participation award was given to the two divisions with the highest percentage of overall participation (First place — $7,500 and second place — $2,500). These earnings go toward the professional development of junior Harris researchers. First place was the Division of Nephrology. Second place was the Division of Rheumatology.

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q Medical student: David

LeBel, “The Role of Tissue Transglutaminase 2 in the Modulation of Polymorphonuclear Leukocyte Function.” Mentor: Titus Reaves, Ph.D.

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Medical Center

‘Making a difference every day’ January Employees of the Month

Vanessa Stewart, Volunteer & Guest Services “This award is long over due for such a giving person on a daily basis. I am a board member and was given a donation from a visitor coming into the Hollings Cancer Center to support the Angel Tree. In my daily interaction with Vanessa I told about the story of the donation and how it touched my heart. Vanessa wanted to help in getting the gifts for the children and made it her project to go on her personal time and shop with the funds donated. She took the names of each child, shopped for them and made sure to get each of them gifts off their list. She wanted to make a difference and stepped in to assist with such a worthy cause.” Nominated by Barbara Busby Christopher Kling, Adult Respiratory Care “In my short time serving as a leader for the Respiratory Therapy (RT) department I have had the pleasure to work with many outstanding staff members. When I first met Chris Kling, he was a good, solid performer. In the past six months Chris has made significant headway and has developed into a high performer and a true role model. He is working on his clinical ladder for advancement to an RTIII, has completed training as a charge therapist, and was elected to co-chair the Respiratory Practice Council. He is always willing to help out in any way he can to ensure success of his team and the organization. He has trained in additional areas and serves a float resource whenever needed. He is adaptable, flexible, proactive and committed. An example of this

employee’s dedication was on New Year’s Eve when he came in to work his scheduled day shift holiday. In learning that a sick call would leave the night shift short without a supervisor, this employee went home and came back in that night to fill in as a charge therapist for the night shift. Chris Kling always goes above and beyond for patients, coworkers, and our organization as a whole.” Nominated by Amanda McGarrigle Jessica Credeur, Clinical Effectiveness “I just wanted to take the time to commend the outstanding work and services of MUSC. I worked an attempted murder of a baby and since this is an open investigation, I cannot detail any specifics. However, based upon the circumstances of that night, it is an absolute miracle what the doctors and staff at MUSC performed in order to sustain this child’s life. In light of the fact that this was a jurisdictional nightmare for our agency as it pertained to follow-ups and the legal procedures, Jessica Credeur guided me through the entire process. She ensured that I received all the appropriate paperwork and updated me with any situational changes for the child. As an investigator, having someone who accommodates in this manner makes my investigation go smoothly and ensures justice for the victims. The children of MUSC are very fortunate to have Ms. Credeur there for them. In addition, I would like to note the outstanding assistance of Dr. [Mia] Amaya. Dr. Amaya had an outstanding rapport with my victim. It is evident that Dr. Amaya has the best interest for the children. In closing, MUSC has a tremendous staff, and it is reassuring to know that the victim in my case is under your care.” Writen by Joshua Dowling (Beaufort police). Nominated by Joyce Rivers-Miller

January Physician of the Month Michael Bernard, M.D., Cardiology “Dr. Michael Bernard is a cardiac electrophysiology fellow at MUSC. On his way home from work he stopped to assist an MUSC nursing student performing CPR on a student who had collapsed while jogging. Dr. Bernard assisted EMS personnel until he was stable for transfer. When he learned the

patient was sent to MUSC, he sought out the family and shared the events that occurred immediately after their son's collapse. He recognized the efforts of the nursing student and provided them comfort and reassurance that immediate life sustaining interventions were provided while their son was maintained in a comatose state necessary for the hypothermia protocol. Thanks to the efforts of Dr. Bernard and the nursing student, the patient made a rapid recovery and is back in school.” Nominated by Natalie Ankney


The CATAlyST, February 17, 2012 5

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How are you changing what’s possible at MUSC I try to approach each day with a positive attitude and keep an open mind. Meal you love to cook Anything on the grill Where are you from I grew up in a small town, Beemer, Neb. I had 19 people in my graduating class. Favorite time of year College basketball — I love watching my Creighton Bluejays. Where did you go to school Creighton University in Omaha, Neb., for undergraduate training and medical school Dream vacation I want to go to South Africa.

We provide the highest quality of physical, spiritual and emotional care to our patients and their families. We are committed to meeting your needs any time including evening and weekend consultations and admissions. Your team of professionals includes Physicians, Registered Nurses, Licensed Social Workers, Chaplains and Certified Nursing Aides.

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6 The CATAlyST, February 17, 2012

Students celebrate staff for National Day of Solidarity

Fourth-year medical student Ben Friday shares a Valentine’s Day treat and thank you with university hospital cafeteria’s Erica Bailey.

Medical student Donald Dickert, Dr. Sherron Jackson and Dr. Robert Turner work with students in assembling candy baskets and handwritten thank you cards for the intensive care units. The gesture honors MUSC employees for their support in excellent patient care during Solidarity Day, Feb. 14. The activity was led by MUSC Chapter of the Gold Humanism Honor Society medical students.

MUSC Gospel Choir performs at campus, community events

By hollen doddS Public Relations

Just as if it were a hot summer day, sweat glistened on the faces of jubilant vocalists as they raised their voices to hit the high notes. Members of MUSC’s Gospel Choir sang their praises last month, conveying both excitement and rich emotion at the annual Martin Luther King program. Rev. Charles Ryan, who works in the MUSC Physical Plant (Engineering & Facilities), is the director of the gospel choir. Ryan established the choir, which now has 27 members, in 2005 following a suggestion from the Office of Diversity to bring gospel music to MUSC. The first performance was a program honoring King. It wasn’t long before they were performing at various campus events such as the dedication of the new dental building and commencement ceremonies. Nurse Suzie Ravenel has been a member of the choir since its inception. “As a child, I remember visiting a church with my father to watch a gospel choir

Gospel choir members Allison McFall, Armina Omole, Ashley Price, Casey Holmes, Karla Williams, Sharonda Williams, Amanda Green, Ellen Hardin, Aunya Nance, Beth Reynolds, Leah Jarrett, Mia Taylor, Sara Rush, Sarawathi Ramachandran, Suzie Ravenel, Tana Wells, Adam Hardin, Brandon Hagan, Cassandra Coakley, Darrell Hayes, Derek Leiner, Lawrence Wiggins, Rhett Deaton, Tara Frazier, Tyler Caruso and director Rev. Charles Ryan, center. performance. They blew me away with their energy and forcefulness, and I knew I wanted to sing gospel music if I ever had the chance.”

The choir thrives on diversity. The members range from medical students to intensive care nurses. Secondyear College of Medicine student and president of the choir, Josh Holmes, works as the liaison by making connections and scheduling performances. “I have gotten to know a lot of people I probably wouldn’t have met otherwise,” he said. “Also, singing in the choir is a great way to release stress and worship.” Choir practices are held every first and third Tuesday of the month in St. Luke’s Chapel. The gospel choir will be performing Feb. 25 at Shiloh Seventh Day Adventist Church followed by a performance at Royal Baptist Church in North Charleston Feb. 26. The choir welcomes new members whether they have musical experience or not. Ryan hopes to recruit new members for the choir and to share the joy of singing gospel. “Gospel music is becoming a lost art in the community,” he said. “I want to try to keep gospel choirs alive—that’s what I am most passionate about.” For more information or to join the choir, contact Holmes at holmesjb@musc.edu.


The Catalyst, February 17, 2012 7

Making it from the heart

Students Tatiana Udalova and Matt Andrews decorate Valentine cards Feb. 10 at the Office of Student Programs. During the first part of February, Student Programs invited MUSC employees, staff and students to make their own Valentine’s Day card.

Internal Medicine to sponsor career day The Department of Medicine will be hosting an Internal Medicine Student Career Day from 11 a.m. to 1 p.m., Feb. 17 on the first floor of the Colbert Education Center & Library building. Any medical student wishing to learn more about the careers and opportunities available within Internal Medicine are welcome to attend. Free registration for the American College of Physicians will also be provided. There will also be opportunities for students to win prizes. If you have any questions, contact Mary Ann Snell, student coordinator, at 792-7282 or email snellma@musc. edu.

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8 The CATAlyST, February 17, 2012

Health disparities researcher joins MUSC

Chanita Hughes-Halbert, Ph.D., one of the country’s leading researchers in health disparities research, has joined MUSC. Hughes-Halbert brings extensive experience and a significant body of novel research in health disparities for cancer and other major diseases. A professor in the Department of Psychiatry and Behavioral Sciences, she has been named to the AT&T Distinguished Endowed Chair in Cancer Equity in Hollings Cancer Center and the SmartState Center of Economic Excellence Endowed Chair in Cancer Disparities. She joins MUSC from the University of Pennsylvania where she was director of Community-Based Research & Health Disparities; and the Community and Diversity Initiative at the Abramson Cancer Center. “MUSC and Hollings are strongly committed to addressing cancer equity issues in a state with an ethnically diverse population and, as a result, marked disparities in disease and health

Smile

Dr. Chanita Hughes-Halbert is the AT&T Distinguished Endowed Chair in Cancer Equity.

care outcomes across all populations,” Hughes-Halbert said. “Hollings is one of the few cancer centers I’ve seen with disparities as such a priority. MUSC has the potential to serve as a national model on minority health issues.” Hughes-Halbert said her work at MUSC and statewide will include incorporating basic behavioral science exploring how patients make treatment decisions; developing partnerships statewide that increase minority access to care; improving access to technology that enhances delivery of care; and raising health literacy across all populations. Thomas W. Uhde, M.D., chair of

the Department of Psychiatry and Behavioral Sciences, said Hughes-Halbert has conducted pioneering research in biomarker- and genetic testing in AfricanAmerican women at increased risk for cancer, particularly breast and cervical. “With the recruitment of Dr. HughesHalbert, South Carolinians gain the expertise of one of the foremost experts in advancing knowledge about the impact of cultural and ethnic factors in cancer control and prevention.” Anthony J. Alberg, Ph.D, associate director of Cancer Prevention and Control at Hollings, also praised her research, noting that it has spanned an impressive array of topics, including screening and prevention, genetic testing and classification of groups at high risk for cancer, patient trust in health care providers, and survivorship. “Her commitment, research acumen, and leadership skills will advance cancer disparities research and have a tangible impact on many lives of South Carolinians.”

Continued from Page One

Renne, DMD, assistant professor in the college’s Department of Pediatric Dentistry and Orthodontics, was excited that MUSC would again provide this service to the community. “It’s a great program that garners lots of support from the schools, teachers, parents and the dental community. It provides a desperately needed service to children who otherwise would not have this opportunity for excellent dental care.” Each year, an estimated 16 million American children suffer from untreated tooth decay or cavities that can affect a child’s sleep and had poor performance in school, according to ADA. More than 80 percent of tooth decay can be found in 25 percent of children, many of whom are from low-income, underserved communities. Many children enrolled in Medicaid receive no type of dental services throughout the year. Last year, more than 44,800 dentists and dental team members across the country participated in national Give Kids A Smile activities in their communities. Kathy Zemp, R.N., accompanied a busload of children from Jane Edwards and Minnie Hughes Elementary schools, which are located on the outskirts of Charleston County. “This is a wonderful service to be offered to these children. Some of these children would never have afforded to be seen by a dentist or dental professional if not for the generosity of this program.”

Dental Medicine student Ginny Fadeley paints a cat on the cheek of Minnie Hughes Elementary student Haylen Reynolds. Face painting by the dental students was a treat given after their dental visit.


The CATAlyST, February 17, 2012 9

Changing What’s Possible: An Attitude for Magnet-tude O Kelly Hannon, R.N., 8East, (1-1/2 years nursing experience)

Claudia Jo Mack, R.N., Pediatrics Emergency Department, (29 years)

“Since graduating from nursing school (University of South Carolina) in May 2010, I have worked as a nurse at MUSC. To me, working at a hospital of magnet status means that I am working at a hospital that delivers excellence in nursing care. It means that nurses practice with autonomy in delivering care and are important members of a wonderful health care team. Magnet status also is about taking pride in your facility and knowing that people want to be cared for at your hospital. I believe MUSC is all of this.”

“Magnet status to me means recognition of the wonderful care we give at MUSC. I feel we are already worthy of Magnet, we just need to get the word out to the community and the American Nursing Association. We have many great systems currently in place and need to tweak a few things to get them up to par. I am honored to have been selected as a Magnet Champion for the Pediatric Emergency Department and as a member of the transformational leadership team. I am excited to be a part of the Magnet journey. I have learned so much about all of the great things MUSC does and look forward to helping to share these things with the MUSC family as we move forward in our goal.”

Christine Greco, R.N., clinic manager, Adult Endocrinology Clinic, Rutledge Tower, (42 years)

“Magnet status communicates a level of professionalism aspired to by all organizations. This professionalism is demonstrated by a high level of commitment to our patients, and to each other. In practice, our patients can say that they have received the best care possible in a knowledgeable and caring way. The patients say how much the nurse cared, how gentle they were, how they listened and kept the patient their only focus while with them. It is the difference between performing tasks and being proud and content in the service we provide. I believe as we continue to grow professionally, we’ll see increasing numbers of pride and satisfaction examples among our caregivers.”

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n Jan. 18, MUSC medical center kicked off its journey to achieve Magnet designation. Magnet status recognizes health care organizations for quality patient care, nursing excellence and innovations in professional nursing practice. According to Andrea Coyle, R.N., professional excellence coordinator and MUSC Nurse Alliance chair, becoming Magnet-designated is a prestigious award that requires dedication and commitment to excellence by everyone in the organization. “At MUSC, quality patient outcomes, nursing satisfaction and nursing excellence is paramount and is supported by the MUSC Health Strategic Plan.” The following are nurses’ responses to what the Magnet journey means to them.

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10 The CATAlyST, February 17, 2012

Dunkin’ Donuts donates to Child Life program

On Feb. 8, Coastal Franchising, an established owner of Dunkin’ Donuts, presented a check for $11,000 to MUSC Children’s Hospital for its Child Life program. The program is the only one of its kind in the Lowcountry offering diverse services designed to meet the psychosocial needs of infants, children, adolescents and their families. The program supports nearly 10,000 visits of patients and siblings to its atrium annually and offers services such as preparing children for procedures. “Hospital and medical experiences can be upsetting for children and may interfere with normal childhood activities,” said Sandra Oberman, Child Life Department manager. “Through the use of play, education, and support, Child Life specialists work to minimize stress and to help children, adolescents and their families cope with health care encounters. This wonderful donation will help us reach our goals of providing the best in psychosocial support for pediatric patients.” The funds were collected by Dunkin’ Donuts franchises throughout the region as part of a “Cups for Kids” charity effort. Coastal Franchising had been awarded a grant from the Dunkin’ Donuts and Baskin-Robbins Community Foundation and its locations raised matching funds to add to the grant. In a promotion that ended Dec. 17, the stores sold cut-out paper cups for a $1. Donors wrote their names or message on the cup, which was placed on a wall or window in the store. Additionally, the stores donated $1 when customers purchased a dozen donuts or 50-count of Munchkin donut hole treats. “We are so fortunate to have this opportunity to present these funds for such a worthwhile cause,” said George Ross, CEO of Coastal Franchising. “The ‘Cups for Kids’ campaign had such a marvelous effect bringing our employees and customers together for a common good, and we’re sure we will pursue additional opportunities to benefit the Charleston community in the future.” According to Barbara Rivers, director

Presenting the check to Sandra Oberman, second from right, Betsy McMillan, a Child Life specialist, and Dr. David Habib, right, Department of Pediatrics, is George Ross. of development, MUSC Children’s Hospital Fund, an integral part of the Children’s Hospital is dedicated to enhancing the health of children throughout South Carolina and to providing an environment that supports excellence in pediatric patient care, teaching and research. “No child, rich or poor, is denied the

finest care available,” said Rivers. “Many are facing serious, chronic, congenital or life-threatening conditions, yet, thanks to MUSC Children’s Hospital, they are able to hope for a brighter tomorrow. All of this is made possible through the generosity of donors in the community such as Dunkin’ Donuts and their customers, who give unselfishly, knowing

their families may never need our help. We are most grateful for this campaign and the funds it has generated as we work to provide the very best for those we treat.” Staff in the Child Life department encourage therapeutic play to elicit children’s concerns and develop coping strategies, family support, special events and support groups. Child Life provides a lending library of toys, games and DVDs to children and families to make them feel calmer and have a better overall experience during their stay at MUSC. The funds will go toward replenishing the supply and adding new products for different age levels. Working in partnership with franchisees across the country, the Dunkin’ Donuts and Baskin-Robbins Community Foundation serves the basic needs of communities through food for the hungry, safety and children's health. The foundation partners with national nonprofit organizations and works with franchisees to support regional and local community organizations. Since 2006, the foundation has donated more than $2 million.


The CATAlyST, February 17, 2012 11

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