Authors Posts by Daniel Dunaief

Daniel Dunaief

1636 POSTS 0 COMMENTS

by -
0 2608
Gábor Balázsi with his daughter Julianna. Photo from Balázsi

The battle is like a game of chess, with each side making moves and countermoves to gain the upper hand. The difference between this contest and a game two players can walk away from is that the stakes are considerably higher, often marking the difference between life and death.

Predicting the responses of enemies like drug-resistant infections and cancers are critical to winning the high stakes battle.

Gábor Balázsi, a Henry Laufer associate professor of physical and quantitative biology at Stony Brook University, has created a synthetic biological model to understand how systems react to stresses such as antibiotic treatments, or, to extend the metaphor, different moves on the chess board.

Gábor Balázsi with his daughter Julianna. Photo from Balázsi
Gábor Balázsi with his daughter Julianna. Photo from Balázsi

He inserted genetic codes into yeast. Some start-up companies have tried to employ these techniques to increase the efficiency of the production of energy or medications.

Companies “engineer bacteria to do something good, but will they be stable? Will they stay the way you engineered them? It’s important to know how long it’ll last, when it’ll break and when you should start a new culture,” Balázsi said.

Indeed, Balázsi used computer simulations and mathematical models to predict the evolutionary fate of these synthetic gene circuits and then tested these predictions through experiments.

In these experiments, Balázsi introduced drugs that would test the yeast’s ability to tap into the inserted genes and make the kind of changes necessary to survive. In some of the experiments, he introduced another chemical that could turn on the synthetic genes. He published this work recently in the scientific journal, Molecular Systems Biology.

In one of the experiments, Balázsi did not enable the yeast to activate the drug resistance gene, and yet, the yeast figured out how to use that gene on its own. These mutations happened in the synthetic gene circuit and in the yeast genome. The mutations gave the yeast the ability to turn on its inserted genetic code.

“The yeast figures out how to start activating those genes without us enabling it to do so,” he said.

This is akin to putting a trombone next to a saxophone player, without teaching the sax player how to make music on the brass instrument. Without any need to play the trombone, the musician might stick with the instrument familiar to her. With enough motivation, such as playing in a high-paying wedding, the sax player is likely to retrain herself on the new instrument. Balázsi is seeking to understand how yeast make similar kinds of genetic changes to survive during drug treatment.

A physicist by training, Balázsi feels driven by the desire to make models that can make predictions. He hopes these kinds of experiments can find an application in the ongoing battle with drug resistance and diseases.

“His physics background provides him with a larger scale systems view of what’s happening,” said James Collins, a professor in the Department of Biological Engineering at the Massachusetts Institute of Technology. “He’s one of the pioneers at introducing network approaches into biology.”

Collins and Balázsi worked together when Balázsi was a postdoctoral researcher. The two researchers recently discussed beginning a collaboration using network biology on tuberculosis.

Working with yeast makes it possible to make the kinds of evolutionary predictions and conduct experiments that would be considerably more difficult with animals. With yeast, he can observe as many as 80 generations within 10 days because yeast divide eight to 10 times in the lab. Observing genetic changes in response to environmental conditions over a few weeks with yeast would be like traveling through centuries with animals or millennia with humans.

Last year, Balázsi completed a five-year grant from the National Institutes of Health through the Director’s Program.

While Balázsi is continuing to work with yeast cells, he is now also pursuing research on cancer. He has been working to introduce multiple synthetic gene circuits into cancer, similar to what he did with yeast, aiming to control cancer cells and understand their biology.

A native of Transylvania, a region that is now part of Romania, Balázsi grew up speaking Hungarian and studied Romanian in school. He came to the United States in 1997. He and his wife Erika live in East Setauket with their daughter Julianna. The Balázsi family moved to Long Island last summer.

Balázsi enjoys traveling to New York City and New Jersey, where he and his wife enjoy taking part in traditional Hungarian folk dancing.

The kind of experiments Balázsi has done and would like to continue to do may one day give scientists the ability to anticipate how a cancer or drug-resistant strain of a disease might react to a new treatment.

“If we are clever enough and we design a gene circuit that lures the cells into an evolutionary trap, where they evolve in a certain way that later on becomes disadvantageous, we could possibly help cure” these diseases, he said. This kind of approach and solution, however, is “far away” from the basic knowledge researchers now have because scientists don’t yet understand enough about the evolution of cancer cell populations in humans.

by -
0 1160

San Francisco lures tourists from all over the country and world. It’s a magnificent city, with the crooked Lombard Street, sea lions barking and bathing at Pier 39, the trollies riding up and down the hills, the Golden Gate Bridge, Ghirardelli Square and, for me, friends and family who have moved there.

And then there’s Alcatraz. There’s something about that famous prison where Al Capone, among many others, spent difficult years of their lives, that draws people to this famous prison. Like Liberty Island and Ellis Island, Alcatraz Island has a spectacular view of its nearby city.

It also offers numerous stories about the prisoner and their routines. I’ve been to the island three times, the last one with my wife and children. One of the details that stuck with me over the years was a testimonial by a prisoner who said the December holidays were always the most difficult time of the year, not only because the inmates missed their families, but also because they could hear the voices carried over the water of women and children singing Christmas carols.

The prison also recounts some of the noteworthy escape attempts. The Battle of Alcatraz, which occurred in 1946, was a bloody two-day siege in which prisoners and guards died.

The most famous escape, however, was the 1962 flight by brothers John and Clarence Anglin and Frank Morris, which was recreated in the 1979 movie, “Escape from Alcatraz,” starring Clint Eastwood. The trio, who were convicted of bank robberies, made fake heads, complete with their own hair, that they left in their beds, giving them time to head to a raft constructed out of raincoats.

The official version of the events of that night suggests that the three drowned in the bay. I’ve never been convinced of that perhaps because I was influenced by the Eastwood movie and also because it seemed like an unlikely ending for three men who had so meticulously planned their escape.

This past Monday, the History Channel shared a photo from relatives who said it showed the two brothers in Brazil in 1975. The show suggests that it could be these men, who would be in their 80s today. The investigation is reportedly considered open until the escapees reach 100 years old.

Is it them? Is this another step toward solving a mystery that’s 20 years older than the disappearance of Jimmy Hoffa?

There’s a part of me that would like to think it’s them and that, after that incredible planning, they started their lives again in another country, hopefully without causing harm to anyone else while keeping a low profile for all these years.

This is not the same as murderers David Sweat and Richard Matt, whose recent escape from an upstate New York prison terrified the nearby areas because they might threaten or hurt people.

Armed robbers can and should be punished, even if they are clever enough to have managed to escape from one of the most famous prisons in the world.

Their escape, however, raises compelling questions about the routes people take in their lives. If these three men were that clever, that tolerant of high risk and that prepared to outmaneuver even the most escape-proof prison, imagine what they could have done with their lives if they had decided to contribute to society?

They didn’t discover a new technology, cure cancer or make the country safer from a possible terrorist attack. What they did, however, was remarkable and dramatic, with enormous high stakes. They may have defied the odds, survived and lived for decades in Brazil. It connects the dots on a story that had blank pages filled with mystery for all these years.

by -
0 2287
Ice crystals grown in the lab with phytoplankton parts. Photo from SBU

Look, up in the sky! It’s a bird, it’s a plane, it’s … phytoplankton? Parts of tiny creatures that live on the top layer of the oceans, and the stuff they excrete, get carried into the air when bubbles at the surface burst and waves break on top of them. These airborne particles help form ice clouds.

In large parts of the Southern Ocean, the North Atlantic and the North Pacific, sea spray aerosol containing this marine biogenic material can represent a source of ice-forming particles.

While researchers had known that parts of these microorganisms could become freed from their water environment and rise into the air, they didn’t realize the extent to which so-called exudate material, which is secreted or released by phytoplankton into the water, could also become a part of ice clouds. This includes excess material from phytoplankton photosynthesis, waste material and other secretions.

“We found the ice forming material in the ocean microlayer and can attribute it to material produced by photoplankton,” said Daniel Knopf, an associate professor at the Institute for Terrestrial and Planetary Atmospheres at Stony Brook’s School of Marine and Atmospheric Sciences.

Indeed, Lynn Russell, a professor of Climate, Atmospheric Science and Physical Oceanography at Scripps Institution of Oceanography, described these results, which were recently published in the journal Nature, as a “big step.”

Stony Brook scientists Josephine Aller and Daniel Knopf in the laboratory. Photo from SBU
Stony Brook scientists Josephine Aller and Daniel Knopf in the laboratory. Photo from SBU

“It’s an interesting finding,” Russell said. “This shows that [other] organic material” can contribute to the formation of ice clouds.

Josephine Aller, a professor at the School of Marine and Atmospheric Sciences, said understanding the role of phytoplankton in the atmosphere could offer a better awareness of how any changes that affect phytoplankton, such as an increase in carbon dioxide or a rise in temperature, might also change the formation of clouds.

The Stony Brook researchers combined field work, which included a northwest Atlantic cruise, and lab work performed at Stony Brook and at the Advanced Light Source at Lawrence Berkeley National Laboratory. The Stony Brook team probed microlayer film to determine its spectroscopic, or chemical, signature. They discovered the controlled experiments produced particles that were similar to the ones in the field.

Finding the same material in the lab that they observed in nature was “like a rocket launch,” said Knopf. “For me, I thought, ‘Wow, this half millimeter thick ocean surface may affect a cloud at ten kilometers in height.’ How incredible is that?”

Over oceans, where dust and inorganic materials are scarce, ice clouds can form around these phytoplankton parts.

Some studies over the last few years suggest that ocean acidification is likely to impact biological processes in ocean surface waters and modify the nature and production of organic matter, Aller said. If this happens, there may be an effect on material that is transferred from the surface to the atmosphere, with the greatest effect likely occurring in polar regions.

Scientists don’t yet have enough of the big picture, such as a vertical distribution and numbers of particles and a physical description of how ice forms depending on temperature and relative humidity, to feed this information into global climate models, Knopf said.

To gather more information about clouds and the particles that make them up, researchers have used converted spy planes that take 20 minutes to reach their target altitude and can collect data for about seven hours.

“The pilot has to be like an astronaut in a space suit,” Knopf said. “Our knowledge is a bit limited” due to the limited sampling opportunities.

While scientists know that thunderstorm clouds have a cooling effect, while others, such as cirrus clouds, have a warming effect, they can’t always predict the type of clouds that will form under different conditions. The specific cloud type depends on the particle involved, Knopf said.

Still, the two scientists, who have worked together for seven years, said they will continue collecting this kind of information which, one day, may offer a greater understanding of how a changing ocean might impact phytoplankton growth and potentially the release of airborne particles.

A resident of Huntington, who is originally from Germany, Knopf and his wife, Jeong-A Seong, have a primary school daughter. Aller, meanwhile, lives in Stony Brook with her husband, Robert Aller, a distinguished professor at the School of Marine and Atmospheric Sciences. The couple have four adult children.

As a trained physicist, Knopf said he appreciates how his awareness of phytoplankton’s role in the atmosphere can inform what he sees.

“I go to the beaches on Long Island and I see the film and I sometimes think, ‘maybe this thing, in two weeks, is … making ice crystals,’” Knopf said. Under the right conditions “it could come back as a raindrop.”

by -
0 1125

Some readers may remember those egg-shaped roly-poly toys from the 1970s called the Weebles. The slogan they used was: “Weebles wobble, but they don’t fall down.”

All these years later, I get it. Adding a few pounds here and there has turned me into something closer to a Weeble, but that’s not what I mean. I get the notion of wobbling. That’s what we do.

Challenges cause us to rock back and forth as we endure losses and defeats.

But, then, much of the time, we don’t fall down. Using material that was more dense at the bottom of the egg-shaped creatures, these Weebles remained upright no matter how many times we flicked our fingers at them.

With humans, however, the mechanism includes the people around us.

I recently attended the bar mitzvah of the son of a great friend from middle school. My friend and I met when we were the same age as our sons. It’s one of the many pause-to-reflect landmarks along the road of life. I remember thinking how incredibly old I’d be in the year 2000. I also remember passing my mother’s age when she gave birth to me even before I met my wife.

Anyway, back at the bar mitzvah, my friend stood with his wife, both beaming as their son sang a text in a language none of them can speak.

These rites of passage aren’t easy. They’re not like getting up in the morning and deciding what clothing to wear at the last minute. They take months to plan, involve commitment and sometimes seem so far away that they are a distant dot on an unimaginable horizon.

And then, all of a sudden, the future is now. There we are, moving into a new role, cheering on our children or, in my case, the son of my friend.

Those years weren’t always easy. There isn’t a parenting playbook we can consult on Page 9 when a child can’t fall asleep or Page 15 when a child suddenly can’t keep any food down. Yes, of course, there are books on parenting that offer just that kind of advice, but there’s always an added curve. We also make our own playbook as we go, combining lessons each set of grandparents taught us.

One such curve hit us during the delivery of our daughter. We had taken several Lamaze classes. None of them, however, prepared us for the hours of attempting to deliver our daughter, followed by what now feels like the inevitable decision to perform a C-section.

My friend gave an emotional speech about his son, sharing the moments of triumph along with some of the unexpected tribulations. As he told the stories about those early years, I remember talking with him over the phone, hearing his voice weakened by fatigue and worry, unsure of the next steps he’d need to take to help his son grow and develop into the young man he would become.

My friend was wobbling. He, his wife and their son got through some of those early difficulties, thanks to the support of the people who were there celebrating this milestone.

These big moments are a wonderful opportunity for us to recognize the life landmarks with the people who have kept us from falling down. They could include everyone from our parents to our neighbors and friends to the teacher who saw the best in our children, even when our children’s confidence was flagging and they felt like anything but The Little Engine That Could. They are also a chance to take stock of the support networks that enable us Weebles to head to the next celebration of life.

by -
0 1020

It’s a collision of colors, sights, sounds and ideas, of comings and goings. I know he wasn’t running for office here in the United States, but the love fest for Pope Francis was incredible. He drew enormous crowds, while discussing climate change and immigrants.

This is the time when the mean season meets the postseason. Republicans are gearing up to fight for us, but before they do, they’re fighting against each other, while they get ready to fight against Hillary Clinton, the presumptive frontrunner on the Democratic side who wants to unify a nation that’s divided over its feelings for her.

But wait, we’ve seen this Democratic show before, right? That guy with the eloquent speaking ability and the minimal experience in Illinois didn’t really have a chance to become president eight years ago, until he did and now President Obama is almost getting ready to leave his job.

Can’t you just feel the Republicans racing for position behind Donald Trump, wondering when and if there will be an opening that allows them to lead the party?

Speaking of comings and goings, Obama and Russian President Vladimir Putin had dueling ideas for what to do about Syria. Ideas and rhetoric collided at the United Nations — a place Putin hadn’t addressed in 10 years.

People are angry. Well, Trump certainly is. Or, wait, is he just playing angry on TV until we can all sort it out and realize that he’s just a patriotic American with a vision for America that will keep us safe, happy, fully employed and healthy?

Then, of course, there’s the postseason, where the boys of summer have a chance to become the men of October. The Mets are loaded with young guns, who are ready to drive the Dodgers and their manager Don Mattingly out of the postseason. My beloved Yankees look like a flawed team limping their way into the wild card in desperate need, perhaps, of someone with Yogi Berra’s legendary ability to drive in runs in big situations.

And then there’s water on Mars. We’ve been hearing about it for a long time, but NASA is excited that this evidence is for real. They don’t know where it comes from, exactly, or how it got there, but they’re convinced it’s there and it’s incredibly salty. The announcement left open the possibility that it might contain some form of life. While it’s exciting, it’s also a tad anticlimactic to those hoping for signs of life with hands and a face.

The stock market doesn’t know what to make of these times: Are we OK with China? Are we worried about low gas prices? Does the Federal Reserve know something it’s not telling us? Is this a great time to buy or the right time to sell? Watching stocks is like tracking a flock of birds who seem to be heading west in the sky, only to reverse course dramatically and go east before slingshotting back and forth again and again.

Next, there’s the surprise resignation by House Speaker John Boehner, and the start of a new era on “The Daily Show” with Trevor Noah.

The trees that turn color first are a sign that school really is open, that fly-by-night Halloween stores will start opening, and that pumpkin pie and mince will soon be available at favorite restaurants. By then, families scattered hither and yon will come together at Thanksgiving to reconnect, laugh and recharge their batteries.

By then, the leaves will be off the trees and the Halloween candy will be either eaten or donated. So, let’s not rush ahead, because we’ve got so many modern moments ahead.

by -
0 2760
From left, Dr. Kenneth Shroyer, graduate student Luisa Escobar-Hoyos and the pathology research team. Photo from Stony Brook Medicine

Luisa Escobar-Hoyos found, checked and rechecked something so remarkable that she wanted to share it. Her work, which had taken two and a half years to complete, had defied conventional wisdom when she discovered the unexpected role of an enemy most thought of as a bystander in the cancer battle.

When she and her lab director, Dr. Kenneth Shroyer, head of the Department of Pharmacology  at Stony Brook University, sent the paper off to publications to share what they’d learned, they received almost immediate rejections.

“We knew we had a good story,” Escobar-Hoyos recalled, “and we kept pursuing it.”

Indeed, Escobar-Hoyos and Shroyer submitted their results to Cancer Research, where they published their findings in the Sept. 1 issue.

Escobar-Hoyos focused on keratin 17, which is a part of a class of 54 proteins in the keratin family. Keratin 17 is not normally present in mature epithelia. It is expressed during embryologic development and in some immature cell types, including stem cells within normal hair follicles and in nail beds and in cells that are putative stem cells within the cervical mucosa, Shroyer said.

Scientists had long considered keratin 17 to play a supportive structural role, serving like a tent pole outside the cell, away from the genetic machinery in the nucleus that acts as a controller for the cell’s fate.

As it turns out, however, this protein, which is normally in the off state, can become a party crasher in cancer cells in the nucleus, entering this critical region and dragging the tumor suppressor protein p27 into the cytoplasm, where it is degraded. This action disrupts the work of a regulator of organized cell division and growth.

Yusuf Hannun, the director of the Cancer Center at Stony Brook University, called this a “very exciting development” and suggested this was a “surprising role” for keratin 17, which is “likely to be a key player in the pathogenesis of cancer.”

Scientists generally believed keratins provided structural and mechanical support within the cytoplasm. Another group of researchers, led by Pierre Coulombe at Johns Hopkins University, discovered that nuclear K17 can regulate gene expression in skin cancer cells. Nature Genetics accepted Coulombe’s paper less than a month after the work of Shroyer and Escobar-Hoyos, and provided “important cross-validation of our discovery that nuclear K17 can impact the biologic properties of cancer cells.”

The only one of the class of keratins that Shroyer is aware has the ability to enter the nucleus, keratin 17 somehow becomes more abundant in some forms of cancer.

“We suspect that there is a molecular switch or other molecular events that turn on the expression of K17,” Shroyer said. “We have not yet explored all the potential actions that K17 may have, once it enters the nucleus.”

Led by Danielle Fassler, an M.D./Ph.D. student, Shroyer’s lab is studying what increases productions of this protein.

Shroyer and Escobar-Hoyos are also looking for ways to inhibit K17 function inside the nucleus. Based on the research conducted by Shroyer and Escobar-Hoyos, Stony Brook has recently signed a licensing agreement with OncoGenesis, a biotechnology company that plans to use K17 as a diagnostic marker rather than a therapeutic target.

The company plans to incorporate it in a panel for a new cervical cancer screening device. The scientific duo will give three talks at an upcoming human papilloma virus meeting in Lisbon, Portugal.

Shroyer is inspired by the results in the paper and by the determination of Escobar-Hoyos, a Fulbright Scholarship winner who will complete her Ph.D. thesis in November and will begin a postdoctoral research program at Memorial Sloan Kettering next February.

“It’s definitely the most complex paper that has ever come out of my lab,” Shroyer said.

“The fact that she was able to track down with such precision exactly how K17 targets p27 was really extraordinary.”

Shroyer and Escobar-Hoyos will continue to work together after she completes her Ph.D. Escobar-Hoyos is training Fassler to do some of the work. She also plans to come to Stony Brook at least once a month and potentially more than that.

“I have seen [Escobar-Hoyos] present her work and we are all very proud of her,” added Hannun.

Escobar-Hoyos, who lives in Riverhead, said she feels at home on Long Island, where she and her husband Nicolas Hernandez, who was also a Fulbright scholar, go kayaking on Peconic Lake.

When she was in college in Colombia, Escobar-Hoyos knew she wanted to become a scientist. She also knew she wanted to study cancer and, once she started her graduate career, perform research that might have a clinical benefit.

“I wanted to have a role as a young scientist in this disease,” she said. “Now, I want to understand it and be able to diagnose it earlier and cure it.”

When she conducted her research on K17, she knew she had to overcome some resistance.

“People would disregard keratins” in the nucleus because “they are so sticky,” she said. “They wanted to focus on the other, more interesting parts.”

Escobar-Hoyos appreciated the consistent help from Shroyer and said Shroyer was “always supportive as a mentor.”

When they work as they should, they become a part of a process that helps us remember the Amendments to the Constitution, the Pythagorean Theorem, or the words to a love poem by Elizabeth Barrett Browning. When they don’t work correctly, we can run into all kinds of problems, some of which can get worse over time.

The N-methyl-D-aspartate receptor, also known as the NMDA receptor, which has parts that are bound in the membrane of brain cells, or neurons, is at the center of learning and memory.

Up until last year, only parts of the NMDA receptors sticking out of the membrane were known. A lack of a three-dimensional understanding made it difficult to see how this receptor works. Hiro Furukawa, an associate professor at Cold Spring Harbor Laboratory, and his postdoctoral researcher, Erkan Karakas, provided considerably more structural details of this receptor.

“The structures of the full-length NMDA receptor that [Furukawa’s] lab generated last year are seminal,” said Lonnie Wollmuth, a professor in the Department of Neurobiology and Behavior at Stony Brook University and a collaborator with Furukawa on other work. “They are fundamental to understanding how the NMDA receptor operates and how it can be modified in the clinic.”

Wollmuth suggested Furukawa has an “outstanding” reputation and said the structure of the receptor will “drive the field in new directions.”

Furukawa cautioned that scientists are still missing a structural understanding of a piece of the receptor that protrudes into the cell. Seeing the structure of this receptor will “provide clues for developing new compounds and for redesigning existing compounds to minimize side effects associated with nonspecific targeting,” Furukawa explained.

When NMDA receptors open, sodium and calcium ions flow into the cells. Too much calcium in the cells can cause toxicity that results in the neurodegeneration observed in Alzheimer’s disease and injuries related to strokes. Changes in the concentration of these ions can excite the neuron and cause symptoms such as epilepsy.

Seeing the structure of this receptor can provide a road map to find places on it that can become too active or inactive. Researchers typically look for binding sites, where they can send in a drug that can affect the function of the receptor. The more binding pockets scientists like Furukawa find, the greater the opportunity to regulate the NMDA receptor function.

Furukawa’s lab includes two graduate students, four postdocs and a technician. He is collaborating with scientists at Emory University to design and synthesize novel compounds based on the protein structures. As he gets more research funding, Furukawa would like to add more expertise in bioinformatics, which involves using computer science and statistics to understand and interpret large collections of data.

Experts in this field can go through a database of compounds quickly, enabling scientists to conduct the equivalent of thousands of virtual experiments and screen out candidates that, for one reason or another, wouldn’t likely work.

Furukawa is also studying autoimmune disorders in which immune cells attack these important receptors. One of these diseases is called anti-NMDA receptor encephalitis. Susannah Cahalan wrote an autobiographical account of her struggle with the disease in a New York Times Best Selling Book called “Brain on Fire: My Month of Madness” in 2012.

Furukawa is collaborating with a group at the University of Pennsylvania to find a way to detect the autoimmune antibodies that causes encephalitis. He is working to find a way to quench autoimmune antibodies for an anti-NMDA receptor.

Furukawa lives in Cold Spring Harbor with his wife, Megumi, who used to be an elementary school teacher but is now taking care of their sons Ryoma, 7, and Rin, 4.

Furukawa, who moved from Japan to Boston in fifth grade, then back to Japan for junior high school and finished high school in Missouri, is enjoying an opportunity to grow his own vegetables on Long Island.

As an undergraduate at Tufts, Furukawa was more interested in international politics and economics than in science. When he took chemistry and physics classes, he said the work “clicked comfortably” and he wound up majoring in chemistry. As an eight-year-old, he recalled watching the stars at night through a telescope. When he saw a ring of Saturn for the first time, he was so excited that he couldn’t sleep.

Furukawa’s colleagues appreciate his dedication to his work.

“He is certainly driven,” said Wollmuth. “He is in an extremely competitive field, so he must work efficiently and hard.”

‘CinemAbility’ film director Jenni Gold with actress Jane Seymour. Photo courtesy of ‘CinemAbility'

St. Charles Hospital in Port Jefferson invites the public to a free week of movies filled with inspiration, perspiration and determination. In honor of the 25th anniversary of the Americans with Disabilities Act, St. Charles will host a moviethon from Sept. 28 through Oct. 2. Each night, starting at 6 p.m. at the Wisdom Conference Center, the hospital will host films that share stories of people with different abilities.

The movies include “Wampler’s Ascent,” which chronicles Stephen Wampler’s remarkable climb to the top of El Capitan at Yosemite National Park. Confined to a wheelchair because of cerebral palsy, Wampler nevertheless did the equivalent of 20,000 pull-ups over the course of five nights and six days to make what is often a landmark rock climb.

“This is a story about a gentleman who is very visibly disabled,” said Jennifer Semel, medical director of Physical Medicine and Rehabilitation at St. Charles and one of the organizers of the event. “He is in constant motion. He has to lean on his limbs to quiet them down. It shows what perseverance can do.”

Semel said her work at the hospital centers around making patients as functionally independent as possible, which, she said, “goes hand in hand with the ADA.”

Semel’s goal is to take people who have spinal injuries or strokes and return them as much as possible to their quality of life. Her staff also works with children born with cerebral palsy or other conditions. Semel finds her work “very rewarding” because she and her staff can help people with various challenges gain independence.

The movies may help members of the community understand the world of people with disabilities better and may inspire them to become involved and contribute where they can, she said. “Exposing individuals who don’t have physical or developmental challenges to the world that does gets them to see the world through those people’s eyes,” Semel said.

All of the films “expose us to different sides of disabilities,” she said. “Some of the challenges and successes re-instill in all of us the importance of equal rights for people with disabilities.”

While the movies will provide a window into the lives of people with different abilities, they aren’t as effective as a day of real life experience, Semel said. When she was training as a physician, she had to spend a day in a wheelchair.

“You never know what that’s like until you’ve done it,” she said. “Not having a curb on a Manhattan sidewalk can be the end of an outing. The challenges in our world that we don’t recognize as people without physical disabilities are hard to capture” completely in the movies.

Semel is encouraged by the progress she sees in the community. “There have been tremendous strides in terms of making places, restaurants and public places accessible to individuals,” Semel said. “There’s no question that there’s a long way to go.”

Semel coordinated the moviethon with Mike Apostoli, the care coordinator in the Community Re-Entry Program at St. Charles. Apostoli facilitates the Patient and Family Advisory Council, which is a group of patients and caregivers who have been through the rehabilitation program. The group meets monthly and was pleased to provide feedback on the movie choices.

“We tried to stick to movies that were consistent with what it is that we do here,” Apostoli said. “It reflects the patients we see with similar challenges, limitations and assets.”

Apostoli said stroke, spinal cord and brain injuries are often like a tsunami for people’s lives, transporting them to another world. “If we can give people who have not gone through that a glimpse into what that’s like, we will have met a very large challenge to begin to formulate better attitudes,” which includes getting services approved through insurance.

The movies profile compelling people who have sometimes achieved something extraordinary. Apostoli suggested the public can become aware that the average person with a disability may not achieve something as remarkable, but they can overcome obstacles to have a meaningful day. “They may not be climbing mountains, but that doesn’t mean what they are doing isn’t just as difficult,” he said.

Each night, a senior member of the staff will introduce the movie. Semel said she hopes to invite individuals with disabilities and the community to join the celebration. She is also hopeful that this may become an annual event.

Semel said the group screened 27 films and narrowed the list down to five. Along with “Wampler’s Ascent,” which will be screened on Sept. 29, the screenings will include “CinemAbility.” Narrated by Jane Seymour, the film takes a look at the evolution of disability in entertainment by interviewing filmmakers, studio executives and celebrities, including Jamie Foxx, Helen Hunt, Marlee Matlin, Ben Affleck, Gary Sinese and Geena Davis, on Sept. 28.

“Endless Abilities,” a movie about four best friends who have physical disabilities who drive across the country seeking adaptive sports for people like them will be screened on Sept. 30. The movie includes footage of these athletes water skiing, snow skiing and surfing.

“The Intouchables,” the French subtitled film based on a true story about a friendship between a handicapped millionaire and his ex-con caretaker who refuses to take pity on him, will be screened on Oct. 1 followed by “A Whole Lott More” on Oct. 2, which examines the impact of Lott Industries’ struggles and examines the world of employment options for people with disabilities while focusing on three people who each have a different attitude toward work. The film was the winner of the Cincinnati Film Festival for Best Documentary in 2013.

St. Charles Hospital is located at 200 Belle Terre Road, Port Jefferson. The moviethon is free but advance reservations are required for each film by calling 631-474-6797.

by -
0 1658

To reply all, or not to reply all, that is the question. But, seriously, when is replying to everyone by email necessary? I know we live in a world where we share every thought that occurs to us because we can. Distributing our thoughts electronically to as many people as possible gives new meaning to the words “publish
or perish.”

Still, something about replying all is the equivalent of spraying graffiti, with your initials on it, in my email box. I already get more than enough emails from all the stores that send me hundreds of discounts a day. With all these discounts, I feel like an idiot for paying the listed price for anything. But I digress.

I know there are times when replying all is helpful. You see that the conference room is unavailable. Sharing the news will allow everyone to be more productive through the day.

There might be a time when you need everyone on a list to know something, like not to park on a side street where the permit-parking-only signs might be hard to see.

But do all 100 of us on a long email distribution list really need to know that you, specifically, received the email? Not only do people tell us they got the message we all received, but some of them feel the need to embarrass themselves in the process.

A teacher asks all the parents in her six classes to confirm that they received her message. A reply-all message that says: “The Smiths received the email and couldn’t be more excited about the start of a new school year. Every morning, Johnny can’t wait to sit in your class,” is a surefire way to sabotage Johnny as he navigates through the middle school minefield.

Then there are the simple emails that don’t require any reply, such as an email with the address of a field or a meeting.

“Got it, Dan. We’ve been there so many times before.”

Of course you know where it is — everyone knows where it is. The directions and the address for the GPS make it possible for everyone to get there.

Seasonal greetings are not, repeat not, an opportunity to hit reply all, especially when the group includes people you’ve never met.

An email that “wishes everyone a healthy and a happy start to the new school year” is not an opportunity to echo the same, exact thoughts to strangers.

“So do we” is not an appropriate reply-all response, nor is “Ditto for us” or “Same to everyone else” or “The Dunaiefs feel the same way.” Adding emojis doesn’t make the email message more personal. It’s like doodling next to your graffiti. Cut it out, people — we’re not all 12.

I’m tempted, when these reply-all messages come through, to write something snarky, but in a distribution list that includes people I don’t know, someone will undoubtedly take it the wrong way because, let’s face it, there’s always someone ready to take offense.

Then there are the reply-all messages that seem to highlight a specialized talent or experience. Someone might, for example, be asking people to bring baked goods to a party, a meeting or a fundraiser. By indicating that you’ll bake miniature tarte tatin, crème brûlée or flourless chocolate soufflé, you seem to be bragging first and contributing to something a distant second.

It reminds me of that old joke about an 80-year-old man who goes to a priest to confess that he spent a magical evening with two 25-year-old women. The priest, in shock, asks the gentleman how long it’s been since last confession.

The man said, “Confession? I’ve never gone to confession. I’m not religious.”

The skeptical priest replied, “So why are you telling me this?”

“Are you kidding?” the man answered. “I’m telling everyone I know.”

by -
0 2362
Professor Helen Benveniste. File photo from SBU

Sleeping doesn’t just provide a break from the daily grind, prevent you from chowing down on more Oreo cookies, or keep you out of trouble when it gets dark. It may also serve an important brain-cleaning function, getting rid of tau and beta amyloid proteins.

Merely shutting your eyes and letting the sandman sprinkle dust on your forehead may not be enough. You might actually help your brain, over the long term, with the way you sleep.

Helene Benveniste, a professor of anesthesiology and radiology and vice chair for research in the Department of Anesthesiology at Stony Brook University, recently conducted research on anesthetized rodents, tracking how the glymphatic system worked in various sleep positions. The animals were better at flushing tau and beta amyloid proteins from their brains when they slept laterally, or on their sides, than when they slept on their stomachs. Resting on their backs wasn’t as efficient as sleeping on their sides, although it was better than face down.

These proteins aren’t just a part of everyday maintenance. They likely play a role in the onset of Alzheimer’s disease and other age-related neurological problems, Benveniste said.

Since Benveniste published her study in the Journal of Neuroscience in early August, she has received a flood of emails from around the world, including from Brazil, France and Colombia, with people asking about various sleep positions and neurological disorders.

The Stony Brook professor said it is too soon after this study to come to any conclusions about sleep or preventing cognitive disorders. For starters, she and a research team that included scientists at the University of Rochester, NYU Langone Medical Center and Stony Brook conducted the studies on animal models, rather than on humans.

“In general, the rodent is a pretty good model for core aspects of human brain function,” said Dennis Choi, the chairman of the Neurology Department at Stony Brook. The specifics, however, can differ from one species to another. As a result, Benveniste said, “I don’t think anybody should panic” about the way he or she sleeps.

Scientists know that in the glymphatic pathway, cerebrospinal fluid moves through the brain and exchanges with interstitial fluid to get rid of waste. In the studies with rodents, the face down position seemed to divert the cerebrospinal fluid away from the brain, Benveniste said.

The research could be another step toward understanding how sleep might help with the human glymphatic system.

An anesthesiologist who does clinical work one day a week, Benveniste said she started thinking about conducting this kind of study a few years ago. Benveniste is a “good example of a physician/scientist,” Choi said.

Two years ago, a study by a co-author on the paper, Maiken Nedergaard from the University of Rochester, showed that sleep or general anesthesia enhances the clearance of waste from the brain of rodents.

“Since I am an anesthesiologist, I immediately thought about how body/head positions during anesthesia might affect clearance,” Benveniste said. The data took over a year and a half to collect and analyze.

“The quantitative aspect of this system should not be overlooked. To find out how these [proteins] are moving through the brain is a huge issue,” she said. The collaboration with Jean Logan, senior research scientist in the Department of Radiology at NYU “enabled us to move forward.”

Benveniste used a dynamic contrast MRI method to calculate the exchange rates between the cerebrospinal fluid and the interstitial fluid. The next step in these studies is to move toward the human brain. Benveniste said she is working with colleagues at the National Institutes of Health.

Just from observing wildlife outside the lab, Benveniste said many animals tend to sleep in what she and her team found was the optimum position for clearing waste in rodents: on their sides. “Even elephants lie down in recumbent, lateral positions,” she added.

As for Benveniste, she said she naturally sleeps on her right side. She said she’s well aware of how well she slept during the night. If she wakes up after getting enough rest, she said she thinks, “this was a good night’s sleep. This was good for my brain.”

Benveniste, who lives in Northport with her husband, Peter Huttemeier, is also an advocate of exercise for brain health, although she doesn’t suggest marathon running. “I do think this may be affecting the cerebrospinal fluid flow dynamics,” she said, adding that she wants to take up yoga.

Benveniste is eager to continue to build on this sleep study. “The workings of this system so far has been an amazing exploratory adventure,” she said.