Yearly Archives: 2015

By Elof Carlson

William Bateson (1861-1926) grew up in an academic home and attended Cambridge University where he took an interest in embryology. He went to Johns Hopkins University to learn the new experimental approaches and insights into the cellular events leading to embryo formation. While there, he was inspired by William Keith Brooks who urged him to study heredity if he wanted to contribute to a field in need of scientific rigor.

When he returned to England, Bateson studied variations and identified two types that were unusual. He called one group homeotic changes because they put organs in the wrong place, such as a fly’s leg emerging from an eye. The other group he called meristic variations, which duplicated parts, like a child born with six fingers on each hand and foot. Both meristic and homeotic mutations were considered pathological by most breeders and physicians, but Bateson believed they could be the raw material for new organ systems or more dramatic origins of new species. He published the results of this work in 1894, and it made him regarded as an enemy by British Darwinists who favored all mutational change as gradual and never sudden.

In 1900 Bateson read Mendel’s papers and was immediately won over to his approach. He began studying mutations in plants and animals. He also gave a name (in 1906) to this new field and called it genetics. Bateson used the symbols P1, F1 and F2 for the generations of a cross. He used the terms homozygous and heterozygous for the genotype of the individuals in a cross. He described the mutant and normal states of hereditary units as alleles.

Bateson discovered blending types of inheritance and genetic interaction in which two or more nonallelic genes could jointly affect a trait. He even found (but did not correctly interpret) non-Mendelian recombination of genes. In this he was scooped by Thomas Hunt Morgan and his students. Morgan was also a student of Brooks at Johns Hopkins and, like Bateson, originally skeptical of Darwinian subtle variations as the basis for all of evolution. But Morgan added cytology to his studies and related the hereditary units (called genes after 1909) to the chromosomes on which they resided.

Bateson felt chromosomes had little to do with genetic phenomena. He was wrong and it was not until the 1920s that he grudgingly admitted Morgan’s fly lab had advanced the field of genetics he named.

Bateson’s work led to an explosion of interest in the field of genetics, and, while he was trapped by his views of the time, younger scientists had no difficulty adding genes to chromosomes, mapping them and accounting for the transmission of traits through their behavior during cell division and germ cell production.

In 1910 Bateson was probably the most famous geneticist in the world. By 1920 he was fading, and after his death in 1926, he was largely forgotten to all but historians of science.

That is not uncommon in the history of science. Science changes faster than any individual scientist can change views in a lifetime. Despite the loss of prestige, it is fitting to honor the memory of the person who named the field of genetics and whose battles to make Mendelism its core succeeded over the prevailing views of heredity at the end of the nineteenth century.

Elof Axel Carlson is a distinguished teaching professor emeritus in the Department of Biochemistry and Cell Biology at Stony Brook University.

From left to right, Stephanie Belli’s sister Diana and mother Carol receive their copy of the book with Rabbi Cohen of Chabad at Stony Brook. Photo from Chabad at Stony Brook

Four hundred acts of kindness turned out to be an underestimate.

It has been one month since a horrific Cutchogue car crash killed four North Shore women, and Chabad at Stony Brook set out to assemble a book of kind acts to show how good could come out of tragedy. But by the time that book was finished last week, it had grown into a much bigger list.

Smithtown’s Brittney Schulman, 23, and Lauren Baruch, 24, as well as Stephanie Belli, 23, of Kings Park, and Amy Grabina, 23, of Commack were riding in a limousine in the middle of a weekend wine tour on the eastern part of the Island when Steven Romeo, 55, T-boned their vehicle as it made a risky U-turn, killing the girls and injuring five others.

After the crash, Romeo was arraigned at Eastern Long Island Hospital and charged with driving while intoxicated. He was initially ordered held in lieu of $500,000 cash bail, or $1 million bond, but that bail was reduced to $50,000 cash or $100,000 bond. Suffolk County District Attorney Tom Spota said Romeo had recorded a blood alcohol content of .066 percent — below the legal limit of .08 — when he was tested roughly one hour after the crash. The DWI charge, however, was not dropped, Spota said. No additional charges were filed against Romeo as the investigation continued.

Romeo’s court date, which was originally set for last week, was adjourned to Sept. 18.

The tragedy sent shockwaves through the greater North Shore community, and Chabad at Stony Brook called on everyone to help.

“People came out in big numbers to post all these heartfelt things they were going to do,” said Rabbi Shalom Ber Cohen of Chabad at Stony Brook, who helped launch the project in the wake of the tragic crash. “We’ve always encouraged to respond to darkness with light, and to evil with good.”

The group launched a Facebook group called “Goodness & Kindness x 400 for our girls,” and acquired thousands of page views in a matter of days, Cohen said. The goal, he said, was to remember the lives of those lost by compiling a book of names and acts of goodness committed in their honor, to show victims’ families that they were not alone in their darkest hour.

“We felt we were swarming in death,” Cohen said. “This was an act of goodness and kindness to bring more goodness to the world. While we can’t bring the girls back, when the community comes back and shows we are there, it does bring some kind of goodness.”

Good deeds included anything from committing to donate to worthy causes to something as simple as paying for succeeding cars in a Starbucks drive-thru.

Cohen, along with wife Chanie Cohen, a Chabad program coordinator, as well as Rabbi Chaim Grossbaum, Rabbi Motti Grossbaum and the rest of his staff, delivered those books to the victims’ families over the last week and said they helped everyone move forward in a time of great loss.

Diana Belli, sister of Stephanie Belli, took to the “Goodness & Kindness” Facebook page to express her gratitude.

“Thank you so much! With love, my entire family,” she wrote on the page. “This means a lot to us.”

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I think most of us can agree that we want to age as gracefully as possible. But, what does this mean? While we may want to avoid physical ailments, such as achy joints and musculoskeletal pain, cognitive decline seems to be one of the scarier prospects as we age. The one organ in our body that we can’t yet transplant is the brain, so we really need to keep it in the best shape possible. We will all experience some form of age-related cognitive decline. But what about more significant changes in brain function?

The prevalence of mild cognitive impairment is hard to quantify, but roughly 16 to 22 percent of us will experience it (1). The reason for the range is that it is difficult to define but is thought of as a disorder that is between normal cognition and dementia. However, it is not a normal stage of aging. Mild cognitive impairment may lead to dementia, which is defined as affecting the memory and also at least one other part of the brain, such as executive functioning (2). The most common form is Alzheimer’s disease.

Who is at highest risk for decline from mild cognitive impairment and dementia? It turns out that this is a potential question of gender. Of those with mild cognitive impairment, women tend to worsen at an almost two times faster rate than men (3). However, researchers were baffled as to why.

There are preventions and treatments that may alter these different disorders that affect our mental functioning.

There may also be tests to determine whether you are at increased risk for dementia. These range from a short mental exam in the physician’s office to a saliva test that measures cortisol levels, the stress hormone. Higher levels of cortisol at night than normal were associated with significantly less brain volume and reductions in cognitive function in participants who did not have signs of impairment yet (4).

As “location, location, location” is important to real estate, it seems that lifestyle modifications including exercise, diet and overall brain fitness may be important to cognitive functioning.

Where do drugs fit in terms of treating dementia? The main class of drugs, cholinesterase inhibitors, seems to disappoint and also appears to have significant side effects.

Let’s look at the evidence.

Side effects of medication

Unfortunately, we do not have medication that is a silver bullet to successful outcomes in dementia. The mainstay medications are among a class referred to as anti-cholinesterase inhibitors, drugs that have a mild effect on dementia. These drugs include Aricept (donepezil), Exelon (rivastigmine) and Razadyne (galantamine). In a recent study, results showed that anti-cholinesterase inhibitors caused significant weight loss (5). Compared to those not on anti-cholinesterase inhibitors, there was a 23 percent increased risk of at least 10 pounds or more in unintentional weight loss over 12 months. There were more than 6,000 patients who were 65 years and older involved in the VA health systems retrospective study. This means that approximately 1 in 21 patients treated with these drugs may experience harmful weight loss over one year. Talk to your doctor about the risks and benefits of this drug class.

Exercise, exercise, exercise

Why? There are three recent studies showing exercise’s beneficial impact on cognitive functioning. Exercise may play a role in not just prevention but also in treatment.

Two of the studies were presented at the Alzheimer’s Association International Conference. In one, results show that exercise actually reduced tau proteins in patients over the age of 70 with prediabetes and amnestic mild cognitive impairment (6). These are patients considered at very high risk for Alzheimer’s disease.

The patients who saw a benefit did moderate to high intensity aerobic exercise compared to those who did stretching. The key to success in patients who are older (55 to 89 years) was to gradually increase the intensity and duration of exercise over a six-week period until 30 out of 45 minutes were spent at 75 to 85 percent of their maximum heart rate. The frequency of exercise was four days a week. The exercise increased blood flow to areas of the brain typically affected by Alzheimer’s disease.

In another study, results show that walking 40 minutes in addition to warm-up and cool-down periods, totaling one hour of exercise three times a week, could improve cognition in those with vascular cognitive impairment (VCI), another form of dementia (7). This population was composed of 56- to 96-year-olds with mild VCI. The duration of the study was six months.

A third exercise study was a randomized controlled trial (RCT), the gold standard of studies. In this study, participants trained to moderate to intensive aerobic exercise levels, 70 to 80 percent of maximum heart rate (8). The subgroup population that maintained at least an 80 percent adherence to the exercise regimen saw a significant positive change in the Symbol Digit Modalities Test (SDMT), a test used for attention and mental speed, compared to the control. However, the primary end point did not reach statistical significance. There was also an improvement in neuropsychiatric symptoms in the treatment group. These patients trained over a four-month period and had mild to moderate Alzheimer’s disease at baseline. This is the first study to indicate that exercise could have an impact on those with Alzheimer’s disease. The median age was 72 for the treatment group.

The role of diet

In a study, those who had the greatest adherence (top tertile) to the MIND diet were cognitively 7.5 years younger compared to those who had the least adherence (bottom tertile) (9). The MIND diet is a modified combination of the Mediterranean diet and the dietary approach to stop hypertension (DASH) diet. This was a prospective (forward-looking) observational study over a 4.7-year period involving almost 1,000 patients with a mean age of 81 years.

Lifestyle modifications

So far, we have seen the potential benefits of diet and exercise as separate entities. But what if we brought numerous components of lifestyle modifications together? In the Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER) study, results show that a multidisciplinary approach to lifestyle modifications potentially slowed cognitive decline in a healthy older population (10). The treatment arm participants had a 25 percent improvement in cognitive scores, compared to the control group given health advice only. The lifestyle modifications in the treatment arm included diet, exercise, brain training and management of vascular risk factors. This was a large, 1,260-participant, RCT involving 60- to 70-year-olds over a two-year duration. The population, though healthy, was at risk for mild cognitive impairment.

Testing for risk

In a study involving the Memory Binding Test (MBT), those who did not perform well were at a significantly greater risk of amnestic mild cognitive impairment and dementia (11). This is a test that can be performed in a physician’s office in about 10 minutes. The test involves associative binding between two word lists. Those who do poorly on the test are at 2.5 times increased risk of amnestic mild cognitive impairment and at a greater risk of dementia. The test had good durability with up to a decade of follow-up.

Thus, lifestyle modifications, with or without medications may have powerful effects in preventing and potentially treating mild cognitive decline and dementia.

References:

(1) Lancet. 1997;349(9068):1793; Ann Intern Med. 2008;148(6):427. (2) uptodate.com. (3) AAIC 2015. Posters P4-108. (4) Neurology. Online 2015 Aug 19. (5) J Am Geriatr Soc. 2015;63(8):1512-1518. (6) AAIC 2015. Oral presentations 0504-05. (7) AAIC 2015. Oral presentations 05-04-04. (8) EAN 2015. Abstract O310. (9) Alzheimers Dement. 2015 Jun 15. (10) Lancet. 2015 Jun 6;385(9984):2255-2263. (11) AAIC 2015. Abstract O3-10-04.

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 www.medicalcompassmd.com or consult your personal physician.

Cops charge Eddie Schmidt with grand, petit larceny as association continues search for missing finances

Former Poquott civic President Eddie Schmidt goes over civic matters over the summer. File photo by Barbara Donlon

Former Poquott Village Trustee Eddie Schmidt, who was accused of stealing more than $23,000 from the civic association while the 22-year-old was the group’s president, was arrested and charged with grand and petit larcenies last week.

Police said Schmidt, who was arrested at 10:45 a.m. on Aug. 17 at his home on Birchwood Avenue, was charged with two counts of petit larceny and one count of grand larceny for incidents of theft that occurred between September 2013 and May 2014, according to a police spokeswoman. She said Schmidt took cash from the Poquott Civic Association.

Tad Scharfenberg, an attorney representing Schmidt, called the situation “outrageous,” and said “from what I’ve seen he’s actually done nothing wrong.” In a phone interview on Tuesday, Scharfenberg defended his client and said he didn’t steal any money.

“They’re just unhappy with the way it was spent.”

Scharfenberg said Schmidt didn’t spend any of the money on himself. Asked what he spent the money on, Schmidt’s attorney said they’re analyzing that now, and he called it a “situation where I don’t think he did a great job of record keeping.”

“This is a really good kid,” Scharfenberg said. “College kid, working hard. They’re trying to blow him up and it’s not right.”

The arrest marks a milestone in a saga that had gripped the village earlier this year, when civic officials alleged he took more than $23,000 while he was the president of the Poquott Civic Association.

Officials had claimed that while president, Schmidt used money raised at civic events to purchase things unrelated to civic expenses, like gasoline, Vineyard Vines clothing and dining at gourmet restaurants.

Schmidt resigned as president of the group last September.

Earlier this year, Schmidt fired back against the accusations in an email, breaking his silence since the allegations arose late last year. He called the claims rumors.

“The silence was a courtesy as I thought the present Board was genuinely working towards a mutual agreement between us to benefit the community. Unfortunately, the board was not genuine in its dealings, and has acted contrary to resolution,” Schmidt said in the letter. “I am writing this letter now to explain the situation, as I have genuine concerns regarding the presentation of the information by the Board, and by the climate of rumor that has spread throughout our village.”

In that letter, he spoke about the events he helped bring forward as president of the civic, despite carrying a hefty workload while attending college at 19 years old.

“I did my best to work towards common ground while rumors became widespread, and incorrect information and damaging assumptions were presented.”

In March, Poquott Civic Association officials spoke publicly about a potential settlement between Schmidt and the board for $15,000. President Carol Pesek said at the time that the settlement offer was for $15,000 — $5,000 less than the money originally demanded late last year — and also included a controversial confidentiality clause that would forbid the board from speaking of the matter. There was also a nondisclosure clause that would forbid it from letting the community know where the money came from, and an agreement that Schmidt would not be prosecuted, the civic board said. But civic officials couldn’t get past the confidentiality clause.

It’s not immediately clear what happened to that settlement offer.

Mountains of mulch dwarf Councilman Dan Panico, Highway Superintendent Dan Losquadro and Supervisor Ed Romaine at the Brookhaven Town highway yard in Setauket. Photo from Brookhaven Town

The severe thunderstorm that slapped around the North Shore earlier this month had one benefit: Lots of debris leads to lots of mulch.

Brookhaven Town officials announced recently that the town now has a large supply of mulch to give away to residents, and both mulch and compost will be distributed for free, as supplies last. Residents must bring their own containers to the distribution locations throughout the town and must load the materials into their vehicles themselves.

Pickup locations, which opened for distribution on Aug. 24, include:

Percy Raynor park, at Route 347 and Belle Mead Road in Centereach, Monday to Friday, 7 a.m. to 9 p.m.; and 8 a.m. to 8 p.m. on the weekend.

Rose Caracappa Senior Center on Route 25A in Mount Sinai, Monday to Friday, 7 a.m. to 9 p.m.; and 8 a.m. to 8 p.m. on the weekend.

Brookhaven Town Hall’s south parking lot, off 1 Independence Hill in Farmingville, Monday to Friday, 9 a.m. to 7:30 p.m.

Robert Reid park, at Defense Hill Road and Route 25A in Shoreham, Monday to Friday, 7 a.m. to 9 p.m.; and 8 a.m. to 8 p.m. on the weekend.

Holtsville Ecology Center, on Buckley Road in Holtsville, Monday to Friday, 9 a.m. to 3 p.m.

For more information and pickup locations, call 631-451-TOWN.

To date, 80 mosquitoes and seven birds test positive for virus in Suffolk

Stock photo

Nine more mosquitos and two birds have tested positive for West Nile virus in various neighborhoods across Suffolk County, Health Commissioner Dr. James L. Tomarken announced on Monday.

The mosquito samples, collected from Aug. 11 to 14, hailed from Huntington, Selden, West Babylon, Bay Shore, Holbrook, Farmingville and Watch Hill on Fire Island. A crow collected on Aug. 14 from Stony Brook and a blue jay, collected on Aug. 18 from Smithtown, also tested positive for the virus.

To date, this year Suffolk’s total West Nile count comes to 80 mosquitos and seven birds. No humans or horses have tested positive for the virus in Suffolk this year.

First detected in birds and mosquito samples in Suffolk in 1999, and again each year thereafter, the virus is transmitted to humans by the bite of an infected mosquito.

While Dr. Tomarken said there’s no cause for alarm, the county is urging residents to reduce exposure to he virus, which “can be debilitating to humans.”

“The breed of mosquito known as Culex pipiens-restuans lay their eggs in fresh water-filled containers, so dumping rainwater that collects in containers around your house is important,” he said.

Residents should try to eliminate stagnant water where mosquitos breed, in order to reduce the mosquito population around homes. That includes: disposing of tin cans, plastic containers, ceramic pots or similar water-holding containers; removing discarded tires; cleaning clogged gutters; turning over plastic wading pools and wheelbarrows when they’re not being used; changing the water in bird baths; and draining water from pool covers.

Most people infected with West Nile will experience mild or no symptoms, but some can develop sever symptoms including high fever, headache, neck stiffness, stupor, disorientation, coma, tremors, convulsions, muscle weakness, vision loss, numbness and paralysis. The symptoms may last several weeks, and neurological effects may be permanent. Individuals — especially those 50 years of age or older or those with compromised immune systems, who are most at risk — are urged to take precautions to avoid being bitten by mosquitoes.

Residents are advised to avoid mosquito bites by minimizing outdoor activities between dusk and dawn; wearing shoes and socks, long pants and long-sleeved shirts when outdoors for long periods of time, or when mosquitos are more active; using mosquito repellant when outdoors and following label directions carefully; making sure all windows and doors have screens and that all screens are in good condition.

To report dead birds, call the West Nile virus hotline in Suffolk County at 631-787-2200 from 9 a.m. to 4 p.m., Monday through Friday.  Residents are encouraged to take a photograph of any bird in question.

To report mosquito problems or stagnant pools of water, call the Department of Public Works’ Vector Control Division at 631-852-4270.

For medical questions related to West Nile virus, call 631-854-0333.

Long Islanders enjoyed food, rides and games at the Greek Festival in Port Jefferson Station, an annual event hosted by the Greek Orthodox Church of the Assumption.

The festival ran from Aug. 20 to Aug. 23. Before finding their way to the food, rides and games, people who attended the four-day event could pick up raffle tickets for Sunday’s raffle drawing, buy toys and jewelry and other things from the vendors. Those who entered the drawing could win prizes like a car, various electronics and cash, among other prizes. Visitors could dance or watch a group of dancers perform several traditional Greek dances and many viewed the 30-minute fireworks display on two of the festival evenings before returning to their games and rides or going home for the night.

Port Jefferson jumped into a time machine over the weekend, hosting a new event that celebrated the local culture, traditions, history and achievements.

Heritage Weekend saw historical fun at several locations throughout Port Jefferson and Belle Terre, including at the library on Thompson Street, at the Cedar Hill Cemetery and at the Port Jefferson Village Center, where vintage cars lined up for the Hill Climb on Sunday before making the 2,000-foot ascent of East Broadway to Belle Terre Road.

 

File photo

A motorcyclist was seriously injured on Friday when his head struck a curb in Elwood.

The Suffolk County Police Department said 44-year-old Greenlawn resident Joseph Alyward was wearing a helmet when he lost control of his bike, a 2012 Harley Davidson Legend, while traveling east on Little Plains Road. At about 6:30 p.m., near Hillock Court, his helmeted head struck a curb.

Alyward was in critical condition at Stony Brook University Hospital, police said. It did not appear that any other vehicles were involved in the crash.

Detectives from the SCPD’s 2nd Squad are investigating the incident. Anyone who may have witnessed it is asked to call them at 631-854-8252.

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Patrick Scali hoists a tunny caught from the waters of the Long Island Sound. Photo from Angelo Peluso

By Angelo Peluso

What connection does the Latin phrase dies caniculares have with summer fishing on the North Shore of Long Island? Literally translated the idiom means dog days. The Romans linked hot summer weather to Sirius, the brightest star in the constellation Canis Major, or large dog. Contemporary humans link “canicule” to dogs sleeping in the shade on hot days, beach and pool time, barbecues and a period of stagnation in the fishing season, but the dog days of July actually bring some great fishing throughout the Long Island Sound and the North Shore of Long Island.

Anglers may lament during mid to late summer that they can’t wait for the fall run to begin in the Long Island Sound, but while those anglers are looking to the future for quality fishing, others are cashing in on the summer bounty that the North Shore of Long Island provides.

If you give up on fishing in the Sound when the mercury rises, you may miss out on some of the largest bass and bluefish, which has said to have been caught in July and can continue to hang around into the late summer months. I once even enjoyed a very special fly and light tackle surprise: an advance guard of early Atlantic bonito. And the best part was that I had that fabulous fishing all to myself for almost a week.

There can be a lot of fishing variety to appeal to even the most ardent anglers.

July entertained, and August continues to host open seasons for fluke, striped bass, bluefish, sea bass, scup and the occasional weakfish. There was a time when sizeable tiderunner weaks could be found mixed in with hordes of July bluefish and bass.

While the extreme western areas of the North Shore of Long Island that heated up first in the spring may experience somewhat of a daytime slowdown in fishing activity, changing tactics to early morning and evening tides can prove to be the key to unlocking the secrets of summer bass fishing.

As one moves farther east along the North Shore toward the central and eastern regions of the Sound, you will begin to encounter some unique hydrodynamics that are favorable for supporting good fishing throughout the summer months. Deeper, cooler water combined with a solid dispersing of oxygen throughout the water works to keep these central and eastern areas of the Sound suitable for sustaining baitfish and game fish. As a matter of fact, some of the areas within this part of the Sound are so oxygen-rich that clams are transplanted from lower water quality areas farther west so that the filter feeding bivalves can cleanse themselves before being shipped off to market.

So far, the 2015 season has shaped up as a decent one.

Striped bass settled in late, but have maintained an extended presence in the Sound. While the peak of early season fishing has passed, and August will continue to see summer feeding and behavioral patterns emerge in full swing. Daytime fishing will have its share of rewarding surprises as will the magical times around dawn and dusk. If your bass fishing is being done from a boat, make sure to spend some time prowling the deeper water off rock promontories, the drop-offs around shoals and around the depths of the offshore lobster pots.

Most all the areas around the navigation buoys from Eatons Neck out to Rocky Point will hold fish during periods of the tide cycles, as will most areas in between. Light tackle jigging and bucktailing these areas will yield fine results.