Monthly Archives: January 2014

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Betty Bezas celebrated her birthday on Christmas

Betty Bezas photo by Mallika Mitra

By Mallika Mitra

In her 101 years of life, Betty Bezas has seen a lot of the world. Bezas, who just celebrated her birthday on Christmas Day, was born on Dec. 25, 1912, in Greece, where she lived until she was 15 years old.

After her father died in a fire when she was only 1 month old, Bezas lived with her mother, grandmother and uncle.

On Oct. 20, 1929, she had an arranged marriage to Zachary Bezas in Salonika, a city in northern Greece. After honeymooning in Paris, the couple moved to the United States, where Bezas knew no one but her husband’s family.

On Oct. 28, 1930, Bezas gave birth to her first of three daughters. Her daughters Catherine Krusos, Irene Usher and Loretta Janelis currently live in Huntington, Setauket and South Carolina, respectively.

With five grandchildren, 10 great-grandchildren and twin great-great-grandchildren expected any day now, Bezas is excited to have five generations in the family.

When she first came to the United States, Bezas lived in Brooklyn where her husband worked in a bank until he lost his job during the Great Depression. The couple then moved to Dix Hills, where Bezas worked as an assistant district manager in food services at the Half Hollow Hills school district for 25 years, and her husband ran a chicken farm. His business of selling eggs and chickens lasted until the beginning of World War II, when he went to work at Republic Aviation in Farmingdale, an aircraft manufacturing company that is now Republic Airport.

When her husband died of leukemia, Bezas moved to North Babylon and now lives at Sunrise Senior Living in East Setauket.

Bezas loves to travel and has done quite a bit of it, including trips to Italy, France, Spain and Canada.

“You see all different cultures. You learn a lot,” Bezas said. “People who live in every country have something to offer.”

In her spare time, Bezas likes to crochet and knit. For much of her life she has made hats and blankets for premature babies, which she donates to hospitals, and blankets for senior citizens.

Bezas celebrated her 101st birthday with fellow Sunrise residents and friends from the Greek Orthodox Church of the Assumption in Port Jefferson, where she is a member. She has also been a member of Saint Paraskevi Greek Orthodox Shrine Church in Greenlawn for more than 50 years.

Of the Sunrise staff members who organized her birthday party with decorations, good food and many friends — “They went out of their way,” Bezas said.

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Frustration was mounting as the rejections poured in. His finding could potentially force a rewriting of textbooks and a rethinking of conventional wisdom on something near and dear to people: human evolution.

Sergio Almécija, a researcher in the Department of Anatomical Sciences at Stony Brook Medical School, had used state-of-the-art three-dimensional imaging to look at the femur (the thick thigh bone) of so-called Millennial Man, a fossil that was discovered in 2000. His finding was sufficiently different from what other scientists believed that some of them probably figured he was wrong, he said.

The bone was from an ape that lived about six million years ago, during the end of the Miocene period. These extinct apes haven’t exactly commanded the spotlight, especially in human evolution. Chimpanzees, who are the most closely linked to humans in DNA resemblance, are considered the most likely human cousins.

An analysis of this femur, however, suggests that human ancestors may have looked less like an earlier version of chimpanzees and more like a version of a fossil ape that doesn’t exist today.

Millennial Man, who was bipedal, is widely accepted as an early member of the human lineage, Almécija said. In the past, it was considered human-like in this femur bone. It has also been considered more similar to Australopithicus, like Lucy, and in between living apes and modern humans.

This study, however, shows that the femur is intermediate in time and shape between Lucy and previous apes that lived in the Miocene period, but not to chimpanzees.

“Our study shows that we should focus more attention on and understand those ancient fossil apes,” Almécija said.

He compared the femur of Millennial Man, known by its scientific name as Orrorin tugenensis, to all the living apes — gibbons, siamangs, orangutans, gorillas and chimps, as well as to modern humans, fossil humans and fossil apes. “I believe Orrorin represents a very good model of how the earliest bipeds would look,” he said.

The research paper has been translated into several languages, with people from the United States, Spain and France contacting the Stony Brook professor to discuss the implications of his finding.

Almécija came up with this idea about the apes back in 2010, but it took almost three years to find a publication that would share his work. “We tried to publish this in other journals, but some wouldn’t even allow us to share this with reviewers,” he said.

In some ways, what didn’t kill the idea made it stronger, Almécija suggested. Each rejection created an opportunity to improve the work and clarify the message. The paper has evolved and the researchers have learned a great deal along the way, he said.

Almécija received the support of department chair William Jungers, a distinguished teaching professor in Anatomical Sciences at Stony Brook Medical School. Jungers discussed the results and encouraged Almécija to continue to move forward, despite the roadblocks.
Calling Almécija’s data, methods and results “novel, refreshing and profound,” Jungers said he “offered encouragement and some suggestions to improve his message because I was confident that reason and good science would ultimately prevail. And it did.”

Jungers suggested that textbooks will need to move away from the idea that living apes are the best window into early human evolution. Living apes, he continued, are specialized because they’ve been evolving for millions of years.

The chimpanzee is not a time machine that allows humans to look at a living ancestor. Miocene apes are much better candidates for what human ancestors likely looked like, Jungers said.

When the paper finally moved closer to publication, Almécija celebrated with members of his department, including his girlfriend Ashley Hammond, who is a research instructor. “She knows how hard it was for me to get this thing through,” Almécija said of Hammond, who lives with him in Port Jefferson. When the couple met two years ago while they were both working at the American Museum of Natural History, Almécija was already conducting an analysis of the femur.

The couple, who enjoy the beaches and being close to water, is thrilled to be a part of the Anatomical Sciences Department at Stony Brook, which Almécija described as the “top department in the world in functional morphology and human evolution.”

As for the next step with his research, Almécija said he wants to “understand the evolutionary changes in the skeleton of fossil apes and early hominins. Connecting the dots between a chimp and a human is not going to tell us most of the story, but only the last chapter of the book.”

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Guidelines loosen initial levels for blood pressure treatment

A few weeks ago, a patient walked in to my office with a newspaper article touting the release of new guidelines for the treatment of hypertension, or high blood pressure. The patient wanted to get my feedback on these guidelines released on Dec. 18, 2013, by the Eighth Joint National Committee (JNC 8). The big change is that treatment levels are relaxed. The previous version, JNC 7, was released a decade ago in 2003. Usually they are updated every five or six years, and it has been 10.

My initial reaction was excitement: the JNC 8 was trying to avoid the pitfalls of overtreatment, especially for older patients and those with diabetes and/or chronic kidney disease. However, it’s more complicated than that.

High blood pressure may lead to unwanted consequences, such as cardiovascular events (strokes and heart attacks), heart failure and premature death. The goal of treatment, whether with medication and/or lifestyle changes, is to prevent these complications from developing and, ultimately, lowering risk. Does raising the initial treatment levels impact these goals? Let’s look at the guidelines in more detail.

Previously, anyone with a blood pressure >140/90 mmHg was considered to have elevated levels. However, this is not the case with JNC 8 (1). According to the guidelines, people who are greater than 60 years old should not start blood pressure medications until their levels are >150/90 mmHg. Thus, the parameters for the treatment of systolic blood pressure, the top number, representing blood pumping from the heart to the rest of the body, was relaxed by 10 mmHg. The authors warn that this is not an opportunity to let the SBP rise above 150 mmHg. If you already are well controlled with blood pressure medications, the authors advise not changing the regimen.

For those who have diabetes or chronic kidney disease, the target goal for treatment also became more lenient, rising from a SBP of <130 mmHg to a suggested level of <140 mmHg. To make things a little more confusing, the guidelines go on to say that it is unclear what the cutoff for SBP should be to start treatment for those under 60.

There was dissension in the JNC 8 ranks relating to age. Though the American Society of Hypertension and the International Society of Hypertension agree that the initial treatment target should be changed, it should only be changed for those who are greater than 80 years of age, not older than 60 (2).

The reason for the less strict cutoff to treat high blood pressure is based on the dearth of randomized controlled trials for those who are greater than 60 years of age. In fact, there are only two RCT studies for this age group and only one RCT for patients greater than 80 years old. Obviously, we need more studies that focus on older populations, especially since our population is aging. Also, ironically, JNC 8 loosened SBP treatment levels for the population at greatest risk. Approximately two-thirds of patients greater than 60 years old will develop high blood pressure (3).

The easing of guidelines with diabetes patients was influenced by the results from the ACCORD trial, a large RCT (4). One part of the trial involved researchers looking at intensive treatment of SBP with medications to levels <120 mmHg. The goal was to reduce the risk of cardiovascular events. There were over 4,500 patients involved in this investigation into intensive blood pressure treatment over 4.3 years. After the first year, although they achieved the goal of a SBP of <120 mmHg in the intensive group, clinical outcomes did not pan out. Results showed no significant reduction in death from any cause between the intensive group and the standard treatment group. The conclusion was that intensive therapy had no more benefit than standard therapy for fatal and nonfatal cardiovascular events, though there were significantly more side effects with intensive therapy. This was disappointing.

Dr. Harlan Krumholz, professor of medicine and director of the Yale-New Haven Hospital Center for Outcomes Research and Evaluation, wrote an intriguing article in the New York Times on Dec. 18, 2013, entitled “3 Things To Know About the New Blood Pressure Guidelines” (5). I want to highlight his third point: even though we may lower blood pressure with medications, specifically borderline high blood pressure, it may not reduce subsequent risk of premature death, stroke or heart attacks.

To reduce the risk of cardiovascular events, there are several factors involved. To learn more, please look at my March 13, 2012, article entitled “Seven highly effective habits for preventing heart disease.” Of course, normal blood pressure of <120/80 mmHg is only one component in making cardiovascular disease much less significant (6).

There are a number of studies that show the impact that lifestyle modifications may have on hypertension. A recent population-based study involving over 3,000 participants in Sicily looked at different levels of adherence to the Mediterranean-type diet. Those who were in the top third for compliance noticed significant reductions in the risks for high blood pressure, diabetes and obesity (7). Though population studies are not as stringent as randomized controlled trials, they still can provide an association between diet and potential reduction in disease risk.

In the Nurses’ Health Study, those who followed a healthy lifestyle, including a nutrient-dense approach with significant amounts of fruit and vegetables called the DASH (dietary approaches to stop hypertension) diet, saw an 80% reduction in the risk of developing high blood pressure (8). Though this is an observational study, it is a very large trial with more than 80,000 women followed over a long duration of 14 years.

Though medications may help reduce SBP levels, they may or may not alter the clinical outcomes. Also, the lack of clinical trials in older patients suggests that the new JNC 8 guidelines are an improvement. I am especially impressed with their emphasis on lifestyle modifications; studies indicate that a nutrient-dense diet may reduce SBP to normal levels with hypertension and prevent high blood pressure for those who have yet to develop the disease.

I don’t agree that older patients should live with higher SBP levels just because we don’t have enough studies showing benefit with medications. Nutrient-dense diets, such as the Mediterranean-type and DASH diets, have shown potentially powerful effects with blood pressure control in the population at large. Thus, it behooves physicians to discuss and stress lifestyle changes, such as diet, exercise and smoking cessation. Patients should not stop blood pressure medications without first discussing it with their doctors. These are only guidelines, and each case may be different.

References:

(1) JAMA online. 2013 Dec. 18. (2) J Hypertens. 2014;32:3-15. (3) Circulation. 2013;127:e6-e245. (4) N Engl J Med. 2010;362:1575-1585. (5) nytimes.com. (6) N Engl J Med. 2012;366:321-329. (7) Nutr Metab Cardiovasc Dis online. 2013 Nov. 1. (8) JAMA. 2009;302:401-411.

Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, go to the website medicalcompassmd.com and/or consult your personal physician.

By Mallika Mitra

Three eighth-grade girls in the Huntington school district have made a difference this holiday season by raising money for the Make-A-Wish Foundation of Suffolk County.

Maggie Giles, Erica Vazquez, and Gaia D’Anna, who attend J. Taylor Finley Middle School, have spent the past several weeks selling holiday cards at the school. The girls raised more than $1,000, which has been sent to Make-A-Wish, an organization that grants the wishes of children diagnosed with life-threatening medical conditions.

Finley PTA President Julie LaBella said Vazquez was watching a television show a little over a year ago in which a Make-A-Wish child had her wish granted, according to a school press release. The story inspired her to start this fundraiser with her two friends. This is the second year the girls have sold the holiday cards, which exhibit original work by Patrick Giles, Maggie Giles’s father.

Finley students Gaia D’Anna, Maggie Giles and Erica Vazquez. Photo from Jim Hoops
Finley students Gaia D’Anna, Maggie Giles and Erica Vazquez. Photo from Jim Hoops

Last year, the girls raised $350. This year the girls’ original goal was $700, but they surpassed that and made more than $1,000, LaBella said.

“They are an amazing group of girls,” LaBella said in the press release. “It’s so refreshing to see young kids put so much effort into such a wonderful cause.”

The girls have received help from their parents, Finley Middle School Principal John Amato and Sharon Holly, a family and consumer science teacher at the school.

According to LaBella, the cards that the girls have been selling are popular with kids, teachers and parents. The eighth-graders sold so many cards that a second printing was required.

Jim Polansky, the Huntington school district superintendent, bought a package of cards from the girls.

“When listening to Gaia, Maggie and Erica describe their efforts, their caring, compassion, and selflessness simply jumped off the page,” Polansky said in a phone interview. “It was easy to discern how much they wish to make a difference. I was beyond pleased to purchase a package of cards and help contribute to their initiative, which was to do what they could to brighten the lives of others through the Make-A-Wish Foundation.”

Jim Hoops, the Huntington school district public information coordinator, said he believes the girls plan to make this fundraiser an annual event during the holiday season.

“This is an account of three incredible young people who are destined to make a difference,” Polansky said in a statement. “It is refreshing and energizing to speak with them about the initiative, to learn how much it means to them, and how readily they will place the needs of others before their own.”

The Make-A-Wish Foundation relies on donations from fundraisers, such as the one Maggie, Erica and Gaia hosted, to grant wishes and change lives.

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Members of UNICO Islip/Smithtown with the Good Samaritan Hospital staff at an Easter event. Photo from Joan Alpers

By Mallika Mitra

While educating their communities on Italian culture and heritage, UNICO members participate in civic engagement to help those in need. And last month, the Islip/Smithtown chapter of UNICO celebrated its 10th anniversary.

Dr. Anthony P. Vastola, who was discriminated against in the United States because he was Italian, founded UNICO  — meaning “unique” in Italian — in 1922. The nationwide organization is focused on funding education of Italian heritage and language, research for cancer and Cooley’s anemia — a type of anemia that occurs in people of predominantly Mediterranean descent — and grants for people with mental challenges, said Pat Pelonero, the office manger of UNICO national and editor of the organization’s publication.

The group also promotes positive images and opposes negative stereotypes of Italian Americans.

According to Pelonero, the 128 chapters of UNICO hold their own events, which range from pasta dinners to gala balls, but all donate to national causes.

Members of the North Shore chapter and Islip/Smithtown chapter, which are within the same district, attend one another’s events, said Ellen Leone, president of the North Shore chapter.

The Islip/Smithtown chapter, chartered in 2003, holds fundraisers and events throughout the year for the Smithtown Emergency Food Pantry, the Bay Shore United Methodist Church’s soup kitchen, the Good Samaritan Hospital Medical Center Pediatric Unit, among others, said Elizabeth Hansen, president of the UNICO Islip/Smithtown chapter.

The chapter also funds six scholarships for high school students of Italian descent.

According to Hansen, some of the fundraising events throughout the year include wine tasting and raffles, but their main fundraising event is an annual golf outing that takes place in July. The UNICO Islip/Smithtown chapter meets once a month at La Famiglia Italian Restaurant in Smithtown, where the members welcome Italian language lessons and speakers who discuss Italian heritage.

Hansen said her family members in Pennsylvania have been UNICO members for generations and convinced her to join her local chapter.

Pat Westlake, the executive coordinator of the Smithtown Emergency Food Pantry, said of UNICO, “They’re very caring people. They always ask what we need help with.”

The chapter’s members also visit the pediatric unit at Good Samaritan Hospital at Easter, when a member of the chapter dresses up as a bunny and passes out stuffed bunnies to all the children.

“It is even more stressful for children and their families when children are hospitalized [during the holidays]” said Joan Alpers, the director of the Child Life Program at the hospital, and UNICO members recognized that and wanted to help out.

It is “a group that loves to give back to the community,” Alpers said.

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John Trodden, above, with previous grand marshals Gerry Creighton, Buster Toner and Mattie O’Reilly, at the grand marshal’s ball in November. Photo by Denise Creighton

By Mallika Mitra

The annual Kings Park St. Patrick’s Day Parade will include a tribute to John Trodden, this year’s grand marshal.

Trodden, 67, was born in Copiague and moved to Kings Park with his family when he was 1 month old.

He was educated at St. Joseph’s elementary school, St. Anthony’s High School and Kings Park school of nursing.

He met his wife, Ellen, in Kings Park and moved to Pennsylvania where he began his career as an anesthetist but moved back to Kings Park where he and Ellen raised their five children, four of whom still live in Kings Park.

“I have traveled all over the world and I will never leave Kings Park,” Trodden said.

His mother, father, aunts, uncles and cousins, live in Ireland and he is very involved in the Irish community of Kings Park.

John Trodden photo from Cathy Cotter
John Trodden photo from Cathy Cotter

“American first, Irish always and Catholic forever,” said Trodden, a deacon at St. Joseph’s Church in Kings Park. “That’s my involvement in the Irish community.”

Receiving the most number of votes from the Kings Park St. Patrick’s Day Parade committee, Trodden will be the fourth grand marshal on March 1 at noon, starting at the corner of Lou Avenue and Pulaski Road and continuing down Main Street.

“John Trodden is a beautiful person,” said Kevin Denis, president of the Kings Park St. Patrick’s Day Parade and owner of Professors Diner on Indian Head Road.

He has known Trodden for 38 years and had the deacon renew his wedding vows.

This year the deacon was chosen because “he has done a lot of good for the people of Kings Park,” said Randy Shaw, a member of the committee parade who organizes all the bands.

Trodden has served in several administrative positions at the Kings Park, Pilgrim and Central Islip psychiatric centers and St. Catherine of Siena Medical Center, which at the time was St. John’s hospital.

“He is very involved in the state hospital system on Long Island,” said Councilman Bob Creighton, one of the parade organizers. “He is a progressive and enthusiastic administrator.”

Trodden was an altar boy at the councilman’s wedding 54 years ago, Creighton said. They now see each other often because Creighton is active at the church where Trodden is a deacon.

“He is a very community-oriented fellow who comes from a great family and is really a nice, decent, good man,” Creighton said.

Trodden also did administrative counseling at the Diocese of Rockville Centre after being asked by the bishop for his help, he said. He is a chaplain for the Kings Park Fire Department and the Suffolk County Police Department, where he provides pastoral counseling.

Trodden said he has also served as a deacon for Teams of Our Lady, which strengthens and provides support groups for marriage. Trodden is a member of Knights of Columbus, a Catholic fraternal benefits organization.

“I am honored,” Trodden said about being selected as this year’s grand marshal. “It is a tribute to my mother and father, a tribute to my wife, Ellen, a tribute to my children and to my grandchildren.”

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By Mallika Mitra

As the clerk of the historic Setauket Post Office on Main Street greeted customers and conversed with each one, all the while stamping their packages, she said that not all residents know the post office is still open for business.

After a scare in the past few years that the small post office might close, customers who used the post office think that the old building next to the Mill Pond is no longer in business, said Stephanie Ungarino, the post office’s clerk who heads up the branch.

“People come in and say, ‘Oh, I thought this place was closed,’” she said.

The woman who now runs the historic post office worked as a clerk at the larger Setauket Post Office on Route 25A for 19 years before moving to the small Setauket branch.

Marty Donnelly was the postmaster of the Setauket branch until his retirement in February.

In April, Ungarino moved from the larger post office to the one on Main Street to fill in Donnelly’s position.

In July 2011, the United States Postal Service announced the historic post office was one of 3,700 across the country considered for closing because they were not providing enough revenue.

However, residents and elected officials rallied against the closing and spoke out and have been successful in keeping the post office open.

Although Ungarino has the same responsibilities at the historic Setauket branch as she did at the larger Setauket branch, she said it is different working at the smaller building.

“This is just a one-man show,” Ungarino said, and she likes it that way.

“I know them all,” she said about the residents who come into the small post office.

“I wish it was a little busier,” Ungarino said of her new workplace. “I like to keep busy.”

According to Ungarino, after all the talk about whether the small post office would be closed, some people who had previously used the historic Setauket Post Office began to go to the larger branch.

Because of the support the post office receives from Setauket residents, “this place is not going anywhere,” Ungarino said.

Northport’s artistic identity on display in some businesses

Campari Ristorante restaurateur Danyell Miller stands in front of one of her favorite curated pieces, ‘Psychoblue’ by local artist Michael Krasowitz. Photo by Chris Mellides

By Chris Mellides

Inside the dimly lit dining hall at Campari Ristorante on Northport’s Main Street, Danyell Miller arranges the place setting on one of the dinner tables and takes a moment to admire the artwork of Michael Krasowitz, whose vibrant paintings adorn the room’s walls.

Miller, the new owner of the establishment, makes her way to the head of the room as the sound of a jazz piano drifts through the still air.

Campari is unlike your traditional eatery; it also doubles as an art gallery.

“I’ve always had a vision that if I ever had a public space, I’d want to include a gallery space for artists,” Miller said. “The first month I had it, I had met an artist, and we had a rotating exhibit of local artists every month. There was always somebody new.”

Campari Ristorante isn’t alone: more businesses on Main Street have been dressing their walls with art than before, according to the Northport Arts Coalition. Some of those stores include The Wine Cellar on Main and Caffé Portofino.

Kristy Falango, an employee of Caffé Portofino, admits to not knowing exactly when the coffee house began curating the work of local artists, but that since the practice began, it’s garnered a lot of attention.

“I just think that a lot of people that live in the community like to come in and see pieces of art that represent our town,” Falango said. “It started bringing a lot more people in.”

According to the barista, town residents have several destinations to choose from when they feel like indulging in the arts. Northport has a tradition of embracing the arts, and the village serves as a hub for local artists wanting to introduce their work to the public.

“Anything in the arts is going to enhance the community, and having art in the storefront is putting it out there. It’s putting it out there to the public,” said Isabella Eredita Johnson, founder and former chairwoman of the coalition.

Established in 1998, the goal of the coalition is to create a vibrant hub for the arts and humanities in Northport. The organization works to “inspire and support artists and to help them make connections with other artists and with the larger community,” according to the group’s website.

“I had kind of rounded up a whole group of people from the various arts and we really spearheaded sort of a cultural organization,” said Johnson, “and of course it was filled with musicians, visual artists, poets and singer-songwriters.”

When Johnson resigned as chairwomen in 2006, the coalition had already made significant contributions to the art community in Northport, including Happenings on Main Street, which promotes local street music and gives musical performers the ability to reach a larger audience, and Art in the Park, a free family event featuring artists displaying their photography and fine art pieces.

Down the block from Campari and Caffé Portofino is Wilkes Gallery. The gallery is a prominent fixture in the neighborhood and specializes in custom framing services and the sale of fine art. The business will be celebrating its 50th anniversary next year. Its long-standing relationship with fine art publishers gives its owner the opportunity to display and sell the work of renowned artists.

Wilkes employee Linda Frey, who’s starting on her 22nd year with the company, stressed the importance of supporting artists on the local level.

“You’ll come down here in the summer and different artists are set up in different corners painting,” Frey said. “Everybody promotes the locals around here as much as they can.”

In the time she’s been working at Wilkes, Frey admits that she’s seen the local art community change, but believes that Northport’s passion for the arts is still alive and well among young people.

“It seems like even the high school is very into the arts; they promote art there and they do a lot of shows there,” said Frey. “This town is just very big on the arts.”

Echoing that sentiment is Dan Paige, the current executive director of the coalition. He believes that by giving back to the community, he and his coordinators are enhancing the level of opportunity for local artists to receive recognition.

“The major thing is helping artists get their art out there, and then by doing that, we’re serving a purpose of bringing the arts to the community,” Paige said.

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They both compete in triathlons. They live three blocks from each other in Poquott and work at Stony Brook University. And thanks to a chance meeting in a park near their home, they have worked together to gather information about a medical problem that is likely to become more common as the baby boomer generation ages: Alzheimer’s disease.

A professor in the departments of neurosurgery and medicine at Stony Brook Medical School, William Van Nostrand created a mouse model of Alzheimer’s disease. Realizing, however, that he needed someone with an expertise in behavior, he turned to his longtime collaborator John Robinson, a professor in integrative neuroscience in the psychology department at Stony Brook.

Recently, the physically fit tandem showed how the collection of a protein called amyloid beta around small capillaries in their model of Alzheimer’s results in signs of the disease, even before the typical collection of amyloid plaques in the brain resulted in the cognitive decline associated with the disease.

The study shows, Van Nostrand said, that a small amount of amyloid buildup in the blood vessels is “very potent at driving impairment.” That could be a result of inflammation or inflammatory pathways or changes in the blood flow, he speculated.

While scientists and doctors had known about the build up of amyloid proteins in the vessels and in plaques, they hadn’t compared the changes in the affected region in a side-by-side way while monitoring a deterioration in behavior.

Van Nostrand was cautious about extending the results of this study to humans. He suggested that this result might be “an earlier indicator” or even a “potential contributor” to the disease and impairment later on.
“A lot more work needs to be done in looking at how this translates into humans,” Van Nostrand said.

Additionally, the amyloid accumulation is not the whole story, as defects in tau proteins, which are responsible for stabilizing polymers that contribute to maintaining cell structure, also play a role in Alzheimer’s symptoms. Most recent work, Van Nostrand explained, suggests that amyloid is likely an important initiator of other problems.

A complex disease, Alzheimer’s can vary from patient to patient. Indeed, there are people who show no signs of any deterioration in their intellectual abilities who have “lots of pathology, but they haven’t hit that tipping point yet,” where the disease progresses from the physical stage to mental impairment, Van Nostrand said.

As for what’s next for the productive collaboration, Robinson suggested they are interested in how lifestyle factors, such as diet, exercise and lifelong learning, help or hurt the chances of developing symptoms of Alzheimer’s.

The two scientist/athletes recognize, Robinson said, that their own athletic pursuits may help their health over the longer term, although the connection with Alzheimer’s or any other disease is difficult to make.

“If you ask Bill and me, ‘Do you think we’ll live longer because of this?’ We’d both say, yes. That’s a bias we recognize,” Robinson said. Robinson said he has collaborated with many researchers since he started working at Stony Brook in 1994 and called the connection with Van Nostrand one of his longest standing scientific partnerships.

As for their athletic training, the duo have traveled together to triathlons in Montauk and in New Jersey. Van Nostrand often competes in longer races (like Ironman competitions).

The two sometimes compete in the same triathlon, where Robinson sees his colleague’s feet amid the churned bubbles at the beginning of a race, while Van Nostrand listens over his shoulder for Robinson during the run.

While Van Nostrand has had a successful collaboration with Robinson, he has another collaboration even closer to home. His wife, Judianne Davis, who has been working with him for over 20 years, is his lab manager.

A swimmer, Davis has an interest in her family that is unique: she enters sheepherding competitions with her border collie. Van Nostrand has two sons from a previous marriage (26-year-old Joffrey and 21-year-old Kellen). The couple has an eight-year-old daughter, Waela, who is also a swimmer.

Robinson met his wife, Alice Cialella, a group leader of the Scientific Information Systems Group at Brookhaven National Laboratory, on a college track team and the couple still trains together. The Poquott pair have a 16-year-old daughter Zoe, who, naturally, runs cross country and track at Ward Melville High School.

One of Davis’ dogs helped facilitate a meeting between the two researchers. Davis was walking her dog in a park near their homes when she met Robinson.

It’s a “strong collaboration,” Van Nostrand said, and has “worked out really well.”