Yearly Archives: 2019

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By Linda Toga, Esq.

Linda Toga, Esq.

THE FACTS: I will be getting married soon. It is a second marriage for both me and Mary. We both have children from our prior marriages. 

THE QUESTION: Is there something I can have Mary sign to ensure that my assets will pass to my children when I die? 

THE ANSWER: If you are only worried about what happens to your assets when you die, you can ask Mary to sign a waiver of her right of election. As long as you have kept your assets separate from Mary’s as opposed to comingling your assets in joint accounts or investing your assets in jointly held property, a waiver should be adequate. 

Under the law, regardless of how assets are held or the wishes memorialized in a will, trust or beneficiary designation form, a surviving spouse is entitled to one-third of his/her deceased spouse’s assets. This entitlement is known as the surviving spouse’s right of election. The types of assets that are subject to the right of election are set forth in Estates, Powers and Trusts Law Article 5. 

Pursuant to Article 5, a surviving spouse’s elective share may include assets owned by the decedent individually but also assets that the decedent owned jointly with others and assets held in retirement and pension plans, to name a few. 

A surviving spouse must exercise his/her right of election within six months of the issuance by the Surrogate’s Court letters testamentary or letters of administration. Although spouses who voluntarily agree to live apart can still exercise their right of election, a spouse who is found to have “abandoned” a decedent is barred from claiming an elective share. 

In order for Mary to waive her right of election, she must sign a document that states that she waives her right of election and all claims against your estate. The waiver must be signed by Mary in the presence of a notary. Of course, if, after Mary signs a waiver, you choose to leave assets to Mary in your will, you can certainly do so. The waiver does not prevent Mary from being a beneficiary of your estate. It simply prevents her from demanding more than you may voluntarily allocate to her.

 It is important to note that a waiver only addresses Mary’s rights to your assets after your death. If you are concerned about what may happen to assets in the event of a divorce, you should discuss with an experienced attorney your options in terms of a pre- or postnuptial agreement. 

Linda M. Toga, Esq. provides legal services in the areas of estate planning and administration, real estate, small business services and litigation from her East Setauket office. Visit her website at www.lmtogalaw.com or call 631-444-5605 to schedule a free consultation.

Photo from DDI

Developmental Disabilities Institute (DDI) of Smithtown, the leading service provider for children and adults with autism and other developmental disabilities on Long Island, recently announced its Employee of the Year. Catherine Young of Medford accepted the honor at DDI’s 2019 Employee Service Awards event at the Watermill in Smithtown on Oct. 22. 

“Catherine has proven leadership skills and, more importantly, true dedication to the individuals we serve,” said DDI Executive Director John Lessard. 

“She is a caring, innovative manager who always provides fresh new ways to care for individuals and help them reach their full potential. A true inspiration to her peers as well, Catherine serves as a mentor to her colleagues that look for guidance and support. We are fortunate to have her here at DDI,” he added. 

Young began with DDI in 2014 as an assistant manager before being promoted to program manager in 2016 at DDI’s Adult Residential Services Creek Road site in Smithtown where she started the Creek Road Social. This initiative offers individuals from other programs the chance to socialize with each other and includes dancing, playing games and sharing a meal.  

“Catherine’s heartfelt commitment enables DDI to continue its mission to help children and adults with autism and other developmental disabilities experience personal growth,” said Lessard.

Pictured from left, Erin Davies, chief human resources officer; Kim Mudano, adult residential services director; Catherine Young, DDI 2019 Employee of the Year and program manager; Larry Boone, vice chairperson of DDI board; and DDI Executive Director John Lessard.

Photo from PJCC

RIBBON CUTTING

The Greater Port Jefferson Chamber of Commerce hosted a ribbon cutting and grand opening for Hair, Lash, & Brow Bar, located at 138 East Main St., Port Jefferson, on Nov. 9. The storefront was previously North Shore Interiors.

The salon joins the already existing Hair, Lash, & Brow Loft at 120 E. Main St. Both businesses specialize in natural looking permanent makeup, scalp micropigmentation along with lash extensions, lifts and tinting. The expansion offers a larger facility to provide services for wedding and special occasion events.

Hours for the Hair, Lash & Brow Bar are 9 a.m. to 5 p.m. Tuesdays and Wednesdays, 9 a.m. to 8 p.m. on Thursdays and Fridays and Saturdays from 9 a.m. to 5 p.m. The salon is closed on Sundays and Mondays. For further information, please call 631-509-5944.

Pictured by bow, from left, owners Thomas Marr and Nancy Piazza (holding scissor) and Port Jefferson Chamber President Joy Pipe surrounded by family, staff and friends.

Mirna Kheir Gouda

By Daniel Dunaief

Mirna Kheir Gouda arrived in Commack from Cairo, Egypt, in 2012, when she was entering her junior year of high school. She dealt with many of the challenges of her junior year, including taking the Scholastic Aptitude Test, preparing for college and adjusting to life in the United States.

Her high school counselor at Commack High School, Christine Natali, suggested she apply to Stony Brook University. Once she gained admission, she commuted by train to classes, where she planned to major in biology on the road to becoming a doctor.

She did not know much about research and wanted to be involved in it to learn, especially because Stony Brook is so active in many fields.

“After some time conducting research, I came to be passionate about it and it was no longer just another piece of my resume, but rather, part of my career,” she explained in an email.

She reached out to Gábor Balázsi, a relatively new faculty member at the time, who suggested she consider joining a lab.

Balázsi uses synthetic gene circuits to develop a quantitative knowledge of biological processes such as cellular decision making and the survival and evolution of cell populations.

Balázsi knew Kheir Gouda from the 2015 international Genetically Engineered Machine team, which consisted of 14 members selected from 55 undergraduate students.

“Having this iGEM experience,” which included deciding on a project, raising funds, carrying out the project and preparing a report in nine months, was a “very promising indication” that Kheir Gouda would be an “excellent student,” Balázsi explained in an email.

Kheir Gouda chose Balázsi’s laboratory, where she worked with him and his former postdoctoral fellow Harold Bien, who offered her guidance, direction and encouragement.

As a part of the honors program, Kheir Gouda had to conduct an independent research project.

She wanted to “work on a project that involved adaptations and I always thought, ‘What happens when the environment changes? How do cells adapt?’”

She started her project by working with a mutant gene circuit that was not functioning at various levels, depending on the mutation. She wanted to know how cells adapt after beneficial but costly function loss.

An extension of this research, as she and Balázsi discussed, could involve a better understanding of the way bacterial infections become resistant to drugs, which threaten their survival.

“The idea for the research was hers,” Balázsi explained in an email. Under Bien’s mentorship skills, Kheir Gouda’s knowledge “developed quickly,” Balázsi said.

Balázsi said he and Kheir Gouda jointly designed every detail of this project.

Kheir Gouda set up experiments to test whether a yeast cell could overcome various mutations to an inducer, which regains the function of the genetic gene circuit.

Seven different mutations caused some type of loss of function of the inducible promoter of the gene circuit function. Some caused severe but not complete function loss, while others led to total function loss. Some were more able to “reactivate the circuit” rescuing its function, while others used an alternative pathway to acquire a resistance.

The presence of the resistance gene was necessary for cell survival, while the circuit induction was not necessary. At the end of the experiment, cells were resistant to the drug even in the absence of an inducer.

“This synthetic gene circuit in yeast cells can provide a model for the role of positive feedback regulation in drug resistance in yeast and other cell types,” Balázsi explained.

Kheir Gouda said she and Balázsi worked on the mathematical modeling toward the end of her research.

“What our work suggests is that slow growth can turn on quiescent genes if they are under positive feedback regulation within a gene network,” Balázsi wrote.

This mathematical model of limited cellular energy could also apply to cancer, which might slow its own growth to gain access to a mechanism that would aid its survival, Balázsi suggested. 

Recently, Kheir Gouda, who graduated from Stony Brook in 2018, published a paper about her findings in the journal Proceedings of the National Academy of Sciences, which is a prestigious and high-profile journal for any scientist.

“Because PNAS has a lot of interdisciplinary research, we thought it would be a good fit,” Kheir Gouda said. The work she did combines evolutionary biology with applied math and synthetic biology.

The next steps in this research could be verifying how evolution restores the function of other synthetic gene circuits or the function of natural network modules in various cell types, Balázsi suggested.

Kheir Gouda’s experience proved positive for her and for Balázsi, who now has eight undergraduates working in his lab. “The experience of mentoring a successful undergraduate might help make me a better mentor for other undergraduates and for other graduate students or postdoctoral researchers, because it helps set goals based on a prior example,” Balázsi said.

He praised Kheir Gouda’s work, appreciating how she learned new techniques and methods while also collaborating with a postdoctoral fellow in Switzerland, Michael Mahart, who is an author on the paper.

“It is unusual for an undergraduate to see a research project all the way through to completion, including a publication in PNAS,” marveled Balázsi in an email. He said he was excited to have mentored a student of Kheir Gouda’s character.

Kheir Gouda has continued on a research path. After she graduated from Stony Brook, she worked for a year on cancer research in David Tuveson’s lab at Cold Spring Harbor Laboratory. She then transitioned to working at the Massachusetts Institute of Technology for Assistant Professor of Chemical Engineering Kate Galloway. Kheir Gouda, who started working at MIT in October, plans to continue contributing to Galloway’s effort until she starts a doctoral program next fall.

Kheir Gouda said her parents have been supportive throughout her education.

“I want to take this opportunity to thank them for all the sacrifices they made for me,” Kheir Gouda said.

She is also grateful for Balázsi’s help.

He has “always been a very supportive mentor,” she explained. She would like to build on a career in which she “hopes to answer basic biology questions but also build on research and clinical tools.”

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Speedy diagnosis and treatment improves outcomes

By David Dunaief, M.D.

Dr. David Dunaief

TIA (transient ischemic attack) is sometimes referred to as a “mini-stroke.” This is a disservice since it makes a TIA sound like something that should be taken lightly. Ischemia is reduced or blocked blood flow to the tissue, due to a clot or narrowing of the arteries. Symptoms may last less than five minutes. However, a TIA is a warning shot across the bow that needs to be taken very seriously on its own. It may portend life-threatening or debilitating complications that can be prevented with a combination of medications and lifestyle modifications.

Is TIA common?

It is diagnosed in anywhere from 200,000 to 500,000 Americans each year (1). The operative word is “diagnosed,” because it is considered to be significantly underdiagnosed. I have helped manage patients with symptoms as understated as the onset of double vision. Other symptoms may include facial or limb weakness on one side, slurred speech or problems comprehending others, dizziness or difficulty balancing or blindness in one or both eyes (2). TIA incidence increases with age (3).

What is a TIA?

It is a brief episode of neurological dysfunction caused by focal brain ischemia or retinal ischemia (low blood flow in the back of the eye) without evidence of acute infarction (tissue death) (4). In other words, TIA has a rapid onset with potential to cause temporary muscle weakness, creating difficulty in activities such as walking, speaking and swallowing, as well as dizziness and double vision.

Though they are temporary, TIAs have potential complications, from increased risk of stroke to heightened depressive risk to even death. Despite the seriousness of TIAs, patients or caregivers often delay receiving treatment.

Stroke risk

A TIA is a stroke that lasts only a few minutes.
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After a TIA, stroke risk goes up dramatically. Even within the first 24 hours, stroke risk can be 5 percent (5). According to one study, the incidence of stroke is 11 percent after seven days, which means that almost one in 10 people will experience a stroke after a TIA (6). Even worse, over the long term, the probability that a patient will experience a stroke reaches approximately 30 percent, one in three, after five years (7).

The EXPRESS study, a population-based study that considered the effect of urgent treatment of TIA and minor stroke on recurrent stroke, evaluated 1,287 patients, comparing their initial treatment times after experiencing a TIA or minor stroke and their subsequent outcomes (8).

The Phase 1 cohort was assessed within a median of three days of symptoms and received a first prescription within 20 days. In Phase 2, median delays for assessment and first prescription were less than one day. All patients were followed for two years after treatment. Phase 2 patients had significantly improved outcomes over the Phase 1 patients. Ninety-day stroke risk was reduced from 10 to 2 percent, an 80 percent improvement.

The study’s authors advocate for the creation of TIA clinics that are equipped to diagnose and treat TIA patients to increase the likelihood of early evaluation and treatment and decrease the likelihood of a stroke within 90 days. The moral of the story is: Treat a TIA as a stroke should be treated, the faster the diagnosis and treatment, the lower the likelihood of sequalae, or complications.

Predicting the risk of stroke

Both DWI (diffusion-weighted imaging) and ABCD2 are potentially valuable predictors of stroke after TIA. The ABCD2 is a clinical tool used by physicians. ABCD2 stands for Age, Blood pressure, Clinical features and Diabetes, and it uses a scoring system from 0 to 7 to predict the risk of a stroke within the first two days of a TIA (9).

Heart attack

In one epidemiological study, the incidence of a heart attack after a TIA increased by 200 percent (10). These were patients without known heart disease. Interestingly, the risk of heart attacks was much higher in those over 60 years of age and continued for years after the event. Just because you may not have had a heart attack within three months after a TIA, this is an insidious effect; the average time frame for patients was five years from TIA to heart attack.

Mortality

TIAs decrease overall survival by 4 percent after one year, by 13 percent after five years and by 20 percent after nine years, especially in those over age 65 (11). The reason younger patients had a better survival rate, the authors surmise, is that their comorbidity (additional diseases) profile was more favorable.

Depression

In a cohort study that involved over 5,000 participants, TIA was associated with an almost 2.5-times increased risk of depressive disorder (12). Those who had multiple TIAs had a higher likelihood of depressive disorder. Unlike with stroke, in TIA it takes much longer to diagnose depression, about three years after the event.

What can you do?

Awareness and education are important. While 67 percent of stroke patients receive education about their condition, only 35 percent of TIA patients do (13). Many risk factors are potentially modifiable, with high blood pressure being at the top of the list, as well as high cholesterol, increasing age (over 55) and diabetes.

Secondary prevention (preventing recurrence) and prevention of complications are similar to those of stroke protocols. Medications may include aspirin, antiplatelets and anticoagulants. Lifestyle modifications include a Mediterranean and DASH diet combination. Patients should not start an aspirin regimen for chronic preventive use without the guidance of a physician.

If you or someone you know has TIA symptoms, the patient needs to see a neurologist and a primary care physician and/or a cardiologist immediately for assessment and treatment to reduce risk of stroke and other long-term effects.

References:

(1) Stroke. Apr 2005;36(4):720-723; Neurology. May 13 2003;60(9):1429-1434. (2) mayoclinic.org. (3) Stroke. Apr 2005;36(4):720-723. (4) N Engl J Med. Nov 21 2002;347(21):1713-1716. (5) Neurology. 2011 Sept 27; 77:1222. (6) Lancet Neurol. Dec 2007;6(12):1063-1072. (7) Albers et al., 1999. (8) Stroke. 2008;39:2400-2401. (9) Lancet. 2007;9558;398:283-292. (10) Stroke. 2011; 42:935-940. (11) Stroke. 2012 Jan;43(1):79-85. (12) Stroke. 2011 Jul;42(7):1857-1861. (13) JAMA. 2005 Mar 23;293(12):1435.

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, visit www.medicalcompassmd.com.    

Brody

Update: Brody has been adopted!

MEET BRODY!

This week’s featured shelter pet is Brody, a 2-year-old handsome boy who was rescued from a Texas kill shelter and is now safe at Kent Animal Shelter.  

Brody is great on a leash, house trained, very sweet, loves attention and especially loves a few extra treats thrown his way! He is especially fond of turkey treats (hint, hint). Come on down to the shelter and meet him! He comes neutered, microchipped and up to date on his vaccines.

Kent Animal Shelter is located at 2259 River Road in Calverton. The adoption center is open seven days a week from 10 a.m. to 4 p.m. For more information on Brody and other adoptable pets at Kent, call 631-727-5731 or visit www.kentanimalshelter.com.

'Kicking up the Dust'

By Melissa Arnold

Ask Sally Anne Keller what she loves most about painting with watercolors, and she’ll give an interesting response: She says it’s like painting backward.

“There’s no white paint in watercolor, so if you want to have a white cloud in your piece, for example, you have to paint around the area you want it to go. It’s a little tricky, and I enjoy that,” said Keller, 53, of Rocky Point.

The artist fell in love with painting when she was just a little girl, and since then her work has appeared in galleries, libraries, hotels and local businesses. Her next event is a solo exhibit entitled Atmospheric Watercolors, appearing at the North Shore Public Library in Shoreham for the month of December.

“I grew up with a single mom and she worked a lot, and I was always doodling or painting something. Then one day when I was in elementary school, we had an art class about watercolors. That was it for me,” she recalled.

‘Path to Beach’

Aside from public school art classes, Keller is entirely self-taught, gathering much of her painting expertise from poring over books. Her family was supportive, she said, and pushed her to create and share whatever she could.

Ultimately, Keller began a career in the insurance industry, working jobs in various parts of the field for 30 years. On the weekends, she works as a consultant at an art gallery. And of course, whenever she can steal a few moments to herself, she’s painting in her home studio.

“You can be your own worst critic, and to hear other people say that they enjoy your work feels really good,” Keller said about the exhibition process. Her first exhibit a decade ago in Southampton brought her out of a solitary hobby and into the local art scene.

She’s now a part of the North Shore Art Guild and loves selling her work at affordable prices to raise money for causes close to her heart. Even the infamous radio host Howard Stern has purchased one of Keller’s paintings — at the time, he shared that he enjoyed painting with watercolors himself.

“I love getting people together, especially when it can help other people at the same time,” she said. “I’ve donated to veterans’ causes, animal rescues, and children’s hospitals in the past.”

With Atmospheric Watercolors, Keller has selected about a dozen watercolor paintings of varied sizes that depict Long Island landscapes. What makes her work special, she said, is the way she tries to pull viewers into the scene.

“I’m really into nature — I see shapes, shadows, and colors in ways that most people overlook. I like to create pieces that make you feel what you see. If it’s a sunny day, then I want you to be able to feel the warmth. If it’s a storm, you might feel the heaviness of the clouds coming in or smell the rain,” Keller said. “If people can experience that by looking at my work, then it makes me happy.”

Currently, the Holiday Inn Express Stony Brook, located at 3131 Nesconset Hwy. in Centereach, is featuring a collection of works from the North Shore Art Guild. The exhibit includes several of Keller’s paintings. All the artwork on display is for sale, and proceeds from sales of those pieces will benefit Stony Brook Children’s Hospital. 

Vito Marrone, incoming president of the North Shore Art Guild, met the watercolor artist when he first joined the organization in 2011. At the time, Keller was participating in a mixed exhibit of more than 50 artists. Marrone recalls Keller’s work catching his eye right away.

 “We have some really great artists that are part of the North Shore Art Guild, and Sally is one of them. I’ve had the chance to take classes with her and she’s so good at what she does,” he said. “Watercolor is difficult, and she’s taught me a lot about how to engineer a watercolor and maintain control of the paint so that the finished piece comes out well.”

Keller’s work has been featured in several exhibits at the North Shore Public Library, and Adult Program Coordinator Lorena Doherty said they’re excited to welcome her back again.

“Sally is a skilled watercolor artist. Her work is direct, and luscious in the use of color and light,” Doherty said. “Sally has a way of isolating the beauty of nature and creating the feeling of standing inside the work, not just on the outside looking in. Atmospheric artwork is timeless and enduring, and the exhibit is a beautiful addition to the library.”

For those interested in meeting Keller and learning more about working with watercolor, she will host a demonstration at the library on Dec. 11 at 7 p.m. All are welcome and the event is free.

North Shore Public Library, 250 Route 25A, Shoreham will present Atmospheric Watercolors throughout the month of December. For library hours and more information, please call 631-929-4488. 

The Community Food Council on East 5th Street in Huntington Station needs help. 

Over the last three months, the food pantry has seen a 33 percent increase in demand for groceries. 

The nonprofit, all-volunteer organization has been feeding the hungry of Huntington Township since 1972 and expects to provide over 40,000 meals this year. 

They need more volunteers, to pick up bread from Stop & Shop once a week on Tuesday and to work at the pantry. Typically, volunteers help for about two hours at least one day a month.  

If you and your club or organization want to help restock the shelves, the council is in particular need of chicken soup, peanut butter and jelly, pasta, sauce, toilet paper, etc. 

Religious organizations in the area, as well as a couple of food markets and restaurants, provide food or support to the pantry. The group is a member of Long Island Cares and Island Harvest, which both also provide food to  for the hungry. The council is looking for additional support. 

The pantry is open Monday through Friday from 10 a.m. to 12 noon to give out food and receive donations.

For more information contact Jackie or Steven at 631-351-1060 or email the council at [email protected] or visit www.comfoodcouncil.org. 

Harborfields High School. Photo from Google Maps

The Harborfields Central School District will host its capital improvement bond referendum vote on Tuesday, Dec. 3. Polls will be open from 2-9 p.m. in the Oldfield Middle School auditorium.

The majority of projects proposed in the new bond referendum are basic infrastructure upgrades such as replacing outdated boilers, repairing cracked sidewalks, improving fresh air intake and replacing deteriorating ceiling and lighting fixtures. Not only have many of these systems exceeded their useful lifespan, but they are no longer compliant with code.

With an increased focus on student and staff safety, a number of security enhancements are also included in the proposal, including the construction of security vestibules at every school. Original doors and hardware will also be replaced to enhance building security.

The proposal includes a number of academic improvements for students, including the renovation of school libraries at TJL, OMS and HHS. The new spaces will provide students with modern environments for group collaboration, while using the latest in educational technology. A new general science classroom will also be added at TJL. A number of physical education and athletic enhancements are also included in the proposal, such as the construction of a new outdoor play area at Washington Drive Primary School and the renovation of the South Gym and the installation of a synthetic turf field at high school.

The proposed bond would cost approximately $20.4 million. Even with the community’s approval of these expenditures, residents will see a decrease in their taxes due to the timing of this bond to overlap with two expiring bonds. This is due to the fact that the district has approximately $52.7 million in debt that will be retiring in 2021 and 2023 from the bonds issued to construct Washington Drive Primary School. The new debt associated with this proposal would essentially “replace” a portion of the old debt.

All eligible residents are encouraged to vote. For information on voting including absentee ballot information, as well as a complete listing of projects proposed through the referendum, please visit the district’s website, www.harborfieldscsd.net.

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Xavier Arline breaks free for one of his 4 touchdowns in a Shoreham Wading River rout of Seaford in the Long Island Championship game Nov. 30. Bill Landon photo

The Wildcats of Shoreham-Wading River’s football team have been sprinting towards success for the past six years, and now this year’s Long Island Championship adds another tally to their streak.

SWR senior quarterback Xavier Arline did what he’s done all season long leading his team to victory where the Wildcats pummeled Seaford 49-7 in the D-IV championship game at Hofstra University’s James M. Shuart Stadium Nov. 30.

Arline ran for four touchdowns in the game with carries of six yards, 54 yards, 64 yards and 67 yards, while throwing a pair of touchdown passes to tight-end Jake Wilson and senior running-back Mike Casazza. Seaford managed to find the end-zone with 29 seconds left as the Wildcats claimed their 4th Long Island Championship trophy in six years.