Authors Posts by TBR Staff

TBR Staff

4866 POSTS 0 COMMENTS
TBR News Media covers everything happening on the North Shore of Suffolk County from Cold Spring Harbor to Wading River.

By Rita J. Egan

With the inventions of camera phones and social media, capturing the image of family members and friends is easier than ever. Even taking a photo of oneself is as simple as a quick click with a smartphone. Today’s version of the self-portrait, the selfie, has become so popular, reality television star Kim Kardashian has dedicated her soon-to-be released book, “Selfish,” to the art form, and last year the electric dance music DJ duo The Chainsmokers released their song “#Selfie.”

However, before social media and the Kardashians, even prior to the creation of the camera, artists have preserved the images of their fellow human beings and themselves for centuries. To celebrate the art of creating portraits, The Heckscher Museum of Art in Huntington offers two new portraiture exhibits starting April 25 — Before Selfies: Portraiture through the Ages and Poised Poses: Portraits from the August Heckscher Collection.

‘Self Portrait in Cape,‘ 1934, Heckscher Museum of Art, Gift of Audrey Webster. by Stokely Webster
‘Self Portrait in Cape,‘ 1934, Heckscher Museum of Art, Gift of Audrey Webster. by Stokely Webster

Lisa Chalif, museum curator, said it’s the perfect time for portraiture exhibits in this age of the selfie. “With the increasing use of social media, selfies stick in the news all the time. It’s so visible now, that it seems it sort of lends itself naturally to taking a look at portraiture historically. Before the age of your cell phone and the selfie, how did you get the likeness of yourself? Before the advent of photography really, how did you preserve your likeness?”

The Before Selfies exhibit, which includes both portraits and self-portraits donated by various individuals to the museum throughout the years, features approximately four dozen pieces by artists such as Thomas Anshutz, William Merritt Chase, Henri Matisse and 19th-century Long Island painter William Sidney Mount. Chalif said most of the portraits are from the 16th through 20th centuries with a few pieces from this century, and the pieces include oil paintings, pen and ink drawings on paper, chromogenic prints, bronze and marble sculptures as well as other mediums.

The curator said the exhibit not only focuses on the artists’ depictions of family, friends, public figures and character types but also takes a look at themes such as changing concepts of beauty and different approaches to depicting male and female subjects depending on underlying gender roles.

The Poised Poses: Portraits from the August Heckscher Collection exhibit complements the Before Selfies exhibit and features paintings from the museum founder’s private collection, which he donated in 1920.

Chalif said Heckscher had an extensive collection of historical European portraiture. The oil paintings on canvas and wood panels on display at the exhibit are by artists such as Sir William Beechey, George Romney, Antoine Vollon, Nicholas de Largilliere and Franz Wolfgang Rohrich.

When it comes to what she hopes visitors will learn from the exhibits, Chalif said, “A larger understanding of the portrait, of saving your appearance. What are you conveying when you are snapping a selfie, and how does that differ from historical portraiture? Just a larger sense of how to read a portrait, what does it convey beyond what somebody looked like? What can I learn about a period of history or the history of fashion? Just all the different ways that artists might convey something, information beyond somebody’s appearance.”

In honor of the museum’s two portraiture exhibits, there will be a selfie station for visitors where they can create their own portraits. Guests are also encouraged to share their images from the station on Instagram and use the hashtags #hmaselfie and #heckschermuseum.

Before Selfies: Portraiture through the Ages runs from April 25 through Aug. 9, and Poised Poses: Portraits from the August Heckscher Collection runs from April 25 through Aug. 2. The Heckscher Museum of Art is located at 2 Prime Avenue in Huntington and is open Wednesdays through Fridays from 10 a.m. to 5 p.m. and Saturdays and Sundays from 11 a.m. to 5 p.m. For more information, call 631-351-3250.

George Hoffman and Laurie Vetere overlook Setauket Harbor, which their new task force hopes to protect. Photo by Susan Risoli

By Susan Risoli

Setauket Harbor has a new best friend.

To speak up for this system of bays and ponds, residents have created the Setauket Harbor Task Force. Before the group met at the Neighborhood House Tuesday night, cofounders Laurie Vetere and George Hoffman said the task force can improve water quality and increase accessibility for all who love Setauket’s wetlands.

Stuck between Stony Brook Harbor and Port Jefferson Harbor, Setauket Harbor is an “orphan” that could use some of the attention given to its neighbors, Hoffman said. Stony Brook’s strong harbor advisory committee and vocal boating community, and Port Jeff’s commerce and ferry navigation, ensure that those harbors stay in good shape, Hoffman said.

“And in Connecticut, every harbor has an advisory group,” he said. “We want to be out there to help our harbor.”

Setauket Pond is the first order of business, said Vetere, chairwoman of the task force, and Hoffman, a trustee on its board. This area next to the Se-Port Deli on Route 25A has seen better days.

A walk across the footbridge spanning the pond revealed a silt-choked catch basin below.

The basin is supposed to protect the harbor by filtering oil and trash from storm water road runoff, they said, but it’s no longer doing its job.

Vetere gestured to debris and fallen trees littering the water. If the task force can clean up the pond, Vetere said, “I want to see increased boating, kayaking, paddle boarding. Maybe creating a blueway trail that could be historic,” in recognition of George Washington’s colonial spies, who snuck in and out of the harbor with secrets.The task force has formed a not-for-profit corporation so it can apply for federal and state grants, Vetere and Hoffman said.

The group also wants to train volunteers to become “water guardians,” monitors who would test Setauket waters regularly for bacteria and nitrogen levels. They said they want volunteers for a “visioning committee” on the harbor’s future.

Hoffman and Vetere said the task force could use volunteers to help with a planned “Setauket Harbor Day.” Getting a state-issued permit to cut back the phragmites — a non-native species of tall reeds that has all but taken over the shoreline — is another priority, Hoffman said.

About 45 people gathered Tuesday night at the Setauket Neighborhood House to learn about the task force’s plans and to hear what speaker Eric Swenson, executive director of the Hempstead Harbor Protection Committee, shared about successful efforts to restore water quality and shellfish harvesting there.

Hempstead Harbor is a success story, Swenson said, because its protection committee is a collaborative effort between citizens, villages, towns, county government, and scientists.

Advising Three Villagers to network in similar fashion, Swenson said, “You’re not a harbor unto yourself.”
Suffolk County Legislator Kara Hahn (D-Setauket) and Town of Brookhaven Councilwoman Valerie Cartright (D-Port Jefferson Station) were at the meeting.

“Know that I am an ally and I will continue to work towards us improving the harbor,” Cartright said.
Hoffman said the Setauket Harbor group hopes to meet several times a year. Their harbor has its challenges, he said, but “it’s not too late to fix this.”

by -
0 1552
Martian water, in a lab. Maria-Paz Zorzano, of the Centro de Astrobiologia in Madrid, Spain, recreates the conditions in which perchlorate salts would melt water during the Martian summer night. Photo from Maria-Paz Zorzano

By Daniel Dunaief

It’s not exactly an oasis filled with unexplored life in the middle of a barren dessert. Rather, it is likely a small amount of liquid water that forms during the night and evaporates during the day. What makes this water so remarkable and enticing, however, is that, while it’s in our solar system, it is far, far away: about 225 million miles.

The rover Curiosity, which landed on Mars in the summer of 2012 after a 253-day journey from Earth, has gathered weather data from the Gale Crater on the Red Planet for the last year. That data has suggested the likely presence of liquid water.

“The cool part of this is the present-day nature of it,” said Tim Glotch, an associate professor at the Department of Geosciences at Stony Brook University, who studies the role of water in shaping the surface of Mars. “It’s there right now.”

The Rover Environmental Monitoring Station  on NASA’s Curiosity Mars rover includes temperature and humidity sensors mounted on the rover’s mast. Photo from Maria-Paz Zorzano
The Rover Environmental Monitoring Station on NASA’s Curiosity Mars rover includes temperature and humidity sensors mounted on the rover’s mast. Photo from Maria-Paz Zorzano

The liquid water is in the form of brine, which is a mix of water and salts. The perchlorate salts on or near the surface of Mars melt the ice that forms during the cold parts of the Martian night. It’s similar, Glotch said, to the way salts melt black ice during a frigid Long Island evening.

Curiosity, which is about the size of a small car, can’t detect this liquid water because its electronics don’t operate during temperatures that plunge at night to around 100 degrees below zero Fahrenheit.

The findings, which were reported last week in the journal Nature Geosciences, have competing implications. For starters, said lead author Javier Martin-Torres, who works at Lulea University of Technology in Sweden and is a part of the Spanish Research Council in Spain and a member of Curiosity’s science team, the water is in one of the least likely places on Mars.

“We see evidence of conditions for brine in the worst-case scenario on Mars,” Martin-Torres said in a Skype interview last week from Sweden. “We are in the hottest and driest place on the planet. Because we know that perchlorates are all over the planet — which we have seen from satellite images — we think there must be brine everywhere.”

Given the radiation, temperature fluctuations and other atmospheric challenges, however, the conditions for life, even microorganisms, to survive in these small droplets of water are “terrible,” Martin-Torres said.

Still, the fact that “we see a water cycle, in the present atmosphere, is very exciting,” Martin-Torres said. “This has implications in meteorology.”

Deanne Rogers, an assistant professor in the Department of Geosciences at Stony Brook, said the likelihood of water bound to perchlorate salts directly affects her own research.

“Something I work on is sulfate minerals on Mars,” she said. “They can take on water and get rid of them easily by exchanging water vapor with the atmosphere.” She may incorporate perchlorates into future grant proposals.

Briny water, Rogers said, may also explain the dark streaks that appear on Mars at mid and low latitudes. These streaks look like running water going down a slope.

“People try to explain what these are,” she said. “It can’t be pure liquid water. It might be perchlorates taking on water vapor and producing dark streaks.”

By landing on the planet and sending readings back to researchers, Curiosity and other land-based vehicles can offer firsthand evidence of environmental conditions.

“Direct measurements are way more precise than what we can do from orbit,” Rogers said.

In the first week after the paper came out, Martin-Torres said he spent about 85 percent of his work time talking to the media, scientists or people asking questions about his studies. He has also received more than 10 times the typical number of requests from prospective Ph.D. students who would like to work in his lab while scientists from around the world have reached out to form collaborations.

Rogers explained that students might react to this kind of discovery the same way she did to other data and images from Mars in the early stages of her career.

“When Pathfinder landed in 1997, I saw the beautiful, colorful panoramas in the newspaper,” she said. “That’s when I knew what I was going to do. I hope that kids feel the same way.”

Martin-Torres, who said he has already submitted additional research proposals based on this discovery, described the current era of Mars research as the “golden age of Mars exploration.”

by -
0 1412

By Leah Dunaief

To negotiate or not to negotiate, that is the question. At least that is how our mealtime conversations in the last week started on the subject of a possible treaty with Iran. It is a polarizing issue, and almost everyone I’ve shared a meal with has had a strong opinion on the matter.

“Don’t trust them. They cannot be held to any agreement they sign. Are we listening to what Supreme Leader Khamenei is saying or do we think it’s all rhetoric to rally his right wing?”

“We should definitely negotiate with them and at least try to postpone the production of a bomb in that volatile part of the world. We’ll be able to know if they are reneging because we have satellites and Israel has spies all over the country,” is another perspective. “What harm can negotiations do?”

“What harm? What is it that brought the Iranians to the negotiation table to begin with? The economic sanctions are having a real effect on their country. They just want us to lift them and to achieve that, they will agree to anything for now,” comes the retort. And so the back-and-forth goes.

This time in our 21st century has been compared, rightly or wrongly, to Munich and the Neville Chamberlain agreement with Hitler over the fate of Czechoslovakia in 1938. Chamberlain was prime minister of the United Kingdom from 1937-40, as Hitler was ramping up his aggression, and he desperately wanted to keep peace and stability within Europe. To that end, he is widely remembered for his attempt at appeasement of Hitler with the Munich Agreement that both men signed. Chamberlain had worked hard to get that treaty, traveling to Germany three times to meet with the dictator before bringing back that paper, along with the words, “peace for our time.” Although Czechoslovakia was effectively sacrificed in the deal, most of the British population, including King George VI and Queen Elizabeth, were ecstatically happy that Chamberlain had brought at least the possibility of peace to them.

One who objected strenuously was, we know, Winston Churchill, who declared that England had been offered a choice between war and shame at Munich. She had chosen shame, he continued, and will get war.

Indeed, Churchill felt that by Chamberlain’s drift and surrender to Hitler’s territorial demands, the prime minister had almost fatally delayed the need for Britain to arm and to pull together European allies. Chamberlain had also seemed to Hitler as being weak. “Our enemies are small worms,” Hitler later scoffed. “I saw them at Munich.”

Peace is an almost universal yearning; only aggressors want war. Can we condemn Chamberlain for striving to guarantee peace — or President Obama for that matter? While the world stage is not exactly the same now as in 1938, we know that Iran has fueled proxy wars in an aggressive attempt to increase its power in the Middle East. Saudi Arabia had launched bombing missions to push back Iran, and the United States has moved ships off the Yemen coast in an attempt to thwart arms shipments getting into terrorists’ hands.

Overhanging the horror of slaughter and brutality is the real prospect that Iran is on the threshold of developing a game-changing atom bomb, much as Germany was during World War II.

When von Ribbentrop, Hitler’s foreign minister, objected to the Munich Agreement that Hitler had signed, pledging no further hostilities once he annexed Czechoslovakia’s Sudetenland, Hitler responded with, “Oh don’t take it so seriously. That piece of paper is of no further significance whatever.” Now as U.S. Secretary of State John Kerry lays out the terms of a possible agreement from the negotiations, Khamenei has stopped short of endorsing them. When Chamberlain was admonished by Churchill to arm Britain in the face of coming war, the prime minister refused to do so wholeheartedly because he feared that Hitler would think he was walking away from the Munich accord.

Yes, let’s negotiate. And let’s remember the key to any successful pullback is President Ronald Reagan’s famous line: “Trust, but verify.”

Let’s also remember that we broke the back of the Soviet Union by winning an economic war, despite the fact that both sides had the bomb. The Iranians are at the negotiating table because the economic sanctions are hurting — or like Hitler, they are merely stalling for time. Finally, we have learned what Chamberlain did not: That a well-armed and advanced nation is the best deterrent to war.

by -
0 1509

By Daniel Dunaief

In the course of a month, two events have occurred that, perhaps some time in the next several decades, may help people make that incredibly long journey to Mars.

First, Scott Kelly went up in space. OK, so, that’s not such a shocker. Kelly is an astronaut and that’s what astronauts do. What makes Kelly’s trip different, however, is that he plans to spend an entire year at the International Space Station, setting an American record for the longest time away from Earth.

Kelly’s identical twin Mark, a retired astronaut and husband of former Congresswoman Gabrielle Giffords, will of course spend that same year on Earth. Having identical twins in two places for the same period of time presents an incredible opportunity. Mark is in reality the “control” in the experiment, giving NASA, doctors and anyone else interested in the effects of prolonged periods of time in space an opportunity to see how the two brothers react differently to different environments. Identical twins present that rare opportunity to rule out the nature part of the nature-nurture dynamic.

Some day, the information NASA records from the Kelly twins will help us understand the kinds of preparations necessary to safeguard any would-be space traveler from the harmful effects of higher radiation and no gravity for a journey to Mars that by current technology would take some 250 days. After all, our genes have evolved over thousands of years to life on Earth. Just because we’ve figured out to send ourselves deep into space doesn’t mean we can suddenly fine-tune the gift of our biological systems the way we might raise a heat shield on a space module.

A month after Scott Kelly returned to the ISS, where he’d spent considerable time on previous missions, a team of scientists, led by Javier Martin-Torres, a Spanish researcher who is a professor in Sweden and used to work in the United States at NASA, published a study based on a year’s worth of meteorological data from the Red Planet.

As it turns out, Martin-Torres and his team have determined it is highly likely Mars has liquid water — today. It’s not enough water to open a super-exclusive pool club or to plant a couple of dozen grape trees to cultivate a deep-space vineyard for the elite and refined palates of the world’s wealthiest wine lovers.

The scientists recorded readings through the Mars rover Curiosity of water that likely evaporates during the Martian day and forms again during the cold night as perchlorate salts melt any frozen water vapor.

This study, Martin-Torres suggested, may have implications for planetary protection policies. The Committee on Space Research may look carefully at places where spacecraft couldn’t land on Mars out of concern that any vehicle might contaminate the planet by introducing new organisms.

The presence of water speaks to us because it makes up more than 60 percent of our own bodies. Water also is a key element to life on our blue planet, raising the question about whether life, even in the form of small microbes, could use it to survive.

This Martian water, however, isn’t exactly a refreshing stream. It’s probably up to three-and-a-half times as salty as the water in the Dead Sea, Martin-Torres said.

The saltiness, radiation and numerous other factors make that water inhospitable to life, even on a microbial scale.

“The conditions are terrible,” admitted Martin-Torres. Still, “it’s better to have water than not to have it.” Besides, while it’s likely that any life on Mars would struggle to survive in that water, “nature always surprises us.”

You know you’re from Long Island when …

1. You drive your car everywhere, including just up the road to the drug store or 7-Eleven. There is a car in your driveway or garage for every person in your house.
2. You water your lawn and plants even when it has recently rained because it’s on a timer and you just left it.
3. You pass at least one dead animal lying on the side of the road every day.
4. You have access to delicious foods imported from all over the country and the world.
5. You live in a terribly wasteful society.

Earth Day gives us time to reflect on what we do every day that affects the environment, both here on Long Island and the nation as a whole.

We burn up gas for every small trip we make, when we could walk or bike if we weren’t so rushed or lazy. We waste water by taking long showers or leaving the faucet on as we brush our teeth. We flush pills down the toilet or use a paper cup for coffee every morning or unnecessarily go through a ton of plastic shopping bags.
Almost all of us are guilty of at least one of these things, which all put strain on Mother Earth. But this is the only home we have — for now — so we should get our heads in the game.

Please join us in thinking about the impact of our everyday actions on the environment and make a commitment to cut out or reduce just one of those negative actions year-round — not just on a day like Earth Day.

A small change blazes the trail for larger ones, so it’s a good place to start.

Invited INN to hold annual walkathon on Saturday

Volunteer Giovanni Cassino, of Miller Place, helps set the table at the Invited INN soup kitchen at the Trinity Evangelical Lutheran Church in Rocky Point. File photo by Erika Karp

By Erin Dueñas

In order to raise funds to continue 23 years of preparing a warm and nutritious meal to those in need, the Invited INN soup kitchen of Rocky Point will host a walkathon this Saturday, April 25, at the Shrine of Our Lady of the Island in Manorville.

Every Thursday, volunteers at the soup kitchen cook and serve dinner to anywhere from 40 to 70 people who come seeking a fresh-cooked meal and the companionship that comes with eating together. According to Invited INN’s Director and President Carol Moor, the soup kitchen has a “no questions asked” policy on who gets served.

“We don’t check income or anything like that, some people come just for the company. Anyone who shows up gets a meal,” she said. “Everyone who comes is treated with dignity and respect.”

According to Moor, the guests of the Invited INN are a diverse group, including seniors and families with young children, as well as single adults. Although housed in the Trinity Evangelical Lutheran Church, the soup kitchen is ecumenical and any and all faiths are welcome to dine.

The INN, which stands for Interfaith Nutrition Network, is a nonprofit that provides food, shelter and support services to Long Island residents.

Moor said she helped start the soup kitchen more than two decades ago when she was chair of social ministries at Trinity.

“The church recognized a need for a soup kitchen,” she said. “We had the pantry, but we needed something more.”

The very first meal prepared at the Invited INN was served to just six people.

“It’s really grown since then and it’s been very successful,” Moor said. “People aren’t aware that people in their community need this kind of help.”

This is the seventh year the soup kitchen will host the walkathon, the only formal fundraiser it does throughout the year, according to Moor.

“You get a lot of bang for your buck doing a walkathon, and we tend to do very well,” Moor said. “The shrine is a beautiful place to walk and we make some money so it is really a win-win.”

Registration for the walk will begin at 10 a.m. and Moor said walkers can walk as many or as few times as they want around the shrine.

Every penny earned Saturday will go directly to providing the food prepared each Thursday. Running with no overhead and completely by volunteers, any donations the INN receives throughout the year goes solely toward buying food to prepare the weekly dinner.

Donated food items come from organizations such as Long Island Cares and Island Harvest, but the bulk of Invited INN’s monetary donations come from private donors: the congregation at Trinity, as well as from the Rocky Point Lions Club and the Rotary Club of Rocky Point.

Rotary member Tom Talbot said his organization’s intent is to provide help to people and that they enjoy giving to the Invited INN.

“The volunteers are very nice people who are so grateful for our help,” Talbot said. “They run a very important facility in Rocky Point.”

Talbot, who has volunteered at the soup kitchen as a pot washer for 10 years, said that the people who eat there seem to enjoy the meals.

“They are usually very satisfied with the food and it gives them the chance to be social too,” he said. “Some of them come early to make sure they get the same seat they have been sitting in for years.”

Trinity’s pastor Jeffrey Kolbo said that although the Invited INN is essentially a free hot meal program, he has found that it provides much more than that.

“For those who live on a limited income, money saved by eating each week at the Invited INN can be spent on other necessities,” he said. “For those who live by themselves, a night out at the INN breaks the tedium of eating alone. Our volunteers know this and do what they can to build community and feed those who come for our meals.”

To participate in the walkathon or sponsor a walker, contact Moor at 631-744-8686.

by -
0 1334

By David Dunaief

We know that inflammation is a critical part of many chronic diseases. Rheumatoid arthritis (RA) is no exception. With RA, inflammation is rampant throughout the body and contributes to painful joints, most commonly concentrating bilaterally in the smaller joints of the body, including the metacarpals and proximal interphalangeal joints of the hand, as well as the wrists and elbows. With time, this disease can greatly diminish our ability to function, interfering with our activities of daily living. The most basic of chores, such as opening a jar, can become a major hindrance.

In addition, RA can cause extra-articular, a fancy way of saying outside the joints, manifestations and complications. These can involve the skin, eyes, lungs, heart, kidneys, nervous system and blood vessels. This is where it gets a bit dicier. With increased complications comes an increased risk of premature mortality (1).

Four out of 10 RA patients will experience complications in at least one organ. Those who have more severe disease in their joints are also at greater risk for these extra-articular manifestations. Thus, those who are markedly seropositive for the disease, showing elevated biomarkers like rheumatoid factor (RF), are at greatest risk (2). They have an increased risk of cardiovascular disease events, such as heart attacks and pulmonary disease. Fatigue is also increased, but the cause is not well understood. We will look more closely at these complications.

Are there treatments that may increase or decrease these complications? It is a very good question, because some of the very medications used to treat RA also may increase risk for extra-articular complications, while other drugs may reduce the risks of complications. We will try to sort this out, as well. The drugs used to treat RA are disease-modifying antirheumatic drugs (DMARDs), including methotrexate; TNF inhibitors, such as Enbrel (etanercept); oral corticosteroids; and NSAIDs (non-steroidal anti-inflammatory drugs).

It is also important to note that there are modifiable risk factors. We will focus on two of these, weight and sugar. Let’s look at the evidence.

CARDIOVASCULAR DISEASE BURDEN
We know that cardiovascular disease is very common in this country for the population at large. However, the risk is even higher for RA patients; these patients are at a 50 percent higher risk of cardiovascular mortality than those without RA (3). The hypothesis is that the inflammation is responsible for the RA-cardiovascular disease connection (4). Thus, oxidative stress, cholesterol levels, endothelial dysfunction and high biomarkers for inflammation, such as ESR (erythrocyte sedimentation rate) and CRP (C-reactive protein), play roles in fostering cardiovascular disease in RA patients (5).

THE YING AND YANG OF MEDICATIONS
Although drugs such as DMARDS (including methotrexate and TNF inhibitors, Enbrel, Remicade, Humira), NSAIDs (such as celecoxib) and corticosteroids are all used in the treatment of RA, some of these drugs increase cardiovascular events and others decrease them. In meta-analysis (a group of 28 studies), the results showed that DMARDS reduced the risk of cardiovascular events by up to 30 percent, while NSAIDs and corticosteroids increased the risk (6). The oral steroids had the highest risk of heart complications, approximately a 50 percent rise in risk. This may be one reason rheumatologists encourage their RA patients to discontinue oral steroid treatments as quickly as possible.
In an observational study, the results reaffirm that corticosteroids increased the risk of a heart attack in RA patients, this time by 68 percent (7). The study involved over 8,000 patients with a follow-up of nine years. Interestingly, there was a dose-response curve. In other words, the results also showed that for every 5 mg increase in dosage, there was a corresponding 14 percent increase in heart attack risk.

BAFFLING DISEASE COMPLICATION
Most complications seem to have a logical connection to the original disease. Well, it was a surprise to researchers when the results of the Nurses’ Health Study showed that those with RA were at increased risk of cardiovascular disease and of respiratory disease (8). In fact, the risk of dying from respiratory disease was 106 percent higher in the women with RA compared to those without, and the risk was even higher in women who were seropositive (had elevated levels of rheumatoid factor). The authors surmise that seropositive patients have greater risk of death from respiratory disease because they have increased RA severity compared to seronegative patients. The study followed approximately 120,000 women for a 34-year duration.

WHY AM I SO TIRED?
While we have tactics for treating joint inflammation, we have yet to figure out how to treat the fatigue associated with RA. In a recently published Dutch study, the results showed that while the inflammation improved significantly, fatigue only changed minimally (9). The consequences of fatigue can have a negative impact on both the mental and physical qualities of life. There were 626 patients involved in this study for eight years of follow-up data. This study involved two-thirds women, which is significant; women in this and in previous studies tended to score fatigue as more of a problem.

LIFESTYLES OF THE MORE PAINFUL AND DEBILITATING
We all want a piece of the American dream. To some that means eating like kings of past times. Well, it turns out that body mass index plays a role in the likelihood of developing RA. According to the Nurses’ Health Study, those who are overweight or obese and are ages 55 and younger have an increased risk of RA, 45 percent and 65 percent, respectively (10). There is higher risk with increased weight because fat has pro-inflammatory factors, such as adipokines, that may contribute to the increased risk. Weight did not influence whether they became seropositive or seronegative RA patients.
With a vegetable-rich, plant-based diet you can reduce inflammation and thus reduce the risk of RA by 61 percent (11). In my clinical practice, I have seen numerous patients able to reduce their seropositive loads to normal or near-normal levels by following this type of diet.

SUGAR, SUGAR!
At this point, we know that sugar is bad for us. But just how bad is it? When it comes to RA, results of the Nurses’ Health Study showed that sugary sodas increased the risk of developing seropositive disease by 63 percent (12). In subset data of those over age 55, the risk was even higher, 164 percent. This study involved over 100,000 women followed for 18 years.

THE JUST PLAIN WEIRD – INFECTION FOR THE BETTER
Every so often we come across the surprising and the interesting. I would call it a Ripley’s Believe It or Not moment. In a recent study, those who had urinary tract infections, gastroenteritis or genital infections were less likely to develop RA than those who did not (13). The study did not indicate a time period or potential reasons for this decreased risk. However, I don’t think I want an infection to avoid another disease. When it comes to RA, prevention with diet is your best ally. Barring that, disease-modifying anti-rheumatic medications are important for keeping inflammation and its progression in check. However, oral steroids and NSAIDs should generally be reserved for short-term use. Before considering changing any medications, discuss it with your physician.

REFERENCES
(1) J Rheumatol 2002;29(1):62. (2) uptodate.com. (3) Ann Rheum Dis 2010;69:325–31. (4) Rheumatology 2014;53(12):2143-2154. (5) Arthritis Res Ther 2011;13:R131. (6) Ann Rheum Dis 2015;74(3):480-489. (7) Rheumatology 2013;52:68-75. (8) ACR 2014: Abstract 818. (9) RMD Open 2015.  (10) Ann Rheum Dis. 2014;73(11):1914-1922. (11) Am J Clin Nutr 1999;70(6),1077–1082. (12) Am J Clin Nutr 2014;100(3):959-67. (13) Ann Rheum Dis 2015;74:904-907.

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 and/or consult your personal physician.

Annual 5K walkathon to benefit rescued horses

One of the Kaeli Kramer Foundation’s horses that lives at Brookhaven’s Wildlife and Ecology Center. File photo

Brookhaven’s Wildlife and Ecology Center in Holtsville and the Kaeli Kramer Foundation will host a 5-kilometer walkathon on Saturday, April 25, to help care for rescued horses.

Registration, which costs $20 per person, begins at 9 a.m., and the walk kicks off at 10 a.m. Individuals, families, or teams that raise $50 and more do not have to pay the registration fee. Prizes for most enthusiastic walker, creative team and money raised will be awarded. There will also be entertainment, such as raffles, Help-a-Horse puppet show and face painting.

The Kaeli Kramer Foundation, which houses unwanted horses and provides humane education classes at the center, is competing for one of five $10,000 grants from the American Society for the Prevention of Cruelty to Animals.

For more information, or to pre-register for the event, visit www.kaelikramerfoundation.org/pledge or call 516-443-9861. A rain date is set for April 26.

‘Short But Sweet,’ the butterfly bra created by Tammy Colletti in memory of her mother. Photo by Erin Dueñas

By Erin Dueñas

Covered in feathers, decorated in shells and bedazzled in rhinestones, the bras on display at the Wang Center at Stony Brook University last Thursday looked like they could have been part of the latest collection from an eccentric lingerie designer. The bras were actually created by members of the community, local businesses, cancer survivors and television personalities as part of Bodacious Bras for a Cure, a fundraising event to benefit women’s cancer programs at Stony Brook Cancer Center.

Dr. Michael Pearl says the services offered to cancer patients involved in the cancer center help to restore some control in their lives. Photo by Erin Duenas
Dr. Michael Pearl says the services offered to cancer patients involved in the cancer center help to restore some control in their lives. Photo by Erin Duenas

Bodacious Bras was initiated by Linda Bily, director of Cancer Patient Advocacy and the Woman to Woman program at the center and inspired by a similar event called Creative Cups at Adelphi University. Bras were decorated and then put up for auction at the Stony Brook event. “It’s just a fun, different way of promoting awareness of all women’s cancers,” Bily said.

Twenty-two bras were auctioned off, raising $5,000 that will help fund women’s patient services at the Cancer Center.

According to Bily, each bra entry had to be created on a size 36C garment. Nothing perishable was permitted on the creations and the entire bra needed to be decorated. A brief summary accompanied each bra explaining the creator’s motivation. The “Mandala” bra, which fetched $250, created by local artist Jessica Randall, was made of shells and won the Best in Show prize. “I made this bra,” Randall’s summary read, “to honor women who have struggled with the debilitating disease of breast cancer.” “That Meatball Place” bra was created by the restaurant of the same name, located in Patchogue. Featuring bows and rhinestones and the restaurant’s logo, the bra fetched $500 at the auction. “Whichever [meatball] style suits you, we support them all, while always saving room for hope of a cure,” that summary read. Another bra called the “Hooter Holster” was created by Port Jefferson Station native Clinton Kelly, co-host of  “The Chew.”

22 bras were featured at Bodacious Bras for a Cure bringing in $5000 to fund women’s cancer services. Photo by Erin Duenas
22 bras were featured at Bodacious Bras for a Cure bringing in $5000 to fund women’s cancer services. Photo by Erin Duenas

Tammy Colletti of Setauket made a bra called “Short But Sweet” dedicated to her mother Marion who passed away a year and a half ago. Using purple and teal feathers, the bra was made to look like a butterfly. A small vial containing a piece of paper that read “Cure Breast Cancer” rested in the center in between the feathers.

Colletti, who volunteers at the Cancer Center, said she was inspired to create a butterfly bra after watching her mother live out the remainder of her life in hospice care. “When they brought her in to hospice she was all wrapped up, and I told her it looked like she was in a cocoon,” Colletti said. When she passed away, Colletti imagined her mother shedding that cocoon and turning into a butterfly. “She was transformed into something beautiful, into something that I know is flying all around us.”

The Cancer Center provides a wide variety of support to ill patients to help them cope with a cancer diagnosis. In the Woman to Woman program, patients can get help with childcare, transportation to treatments, financial assistance to pay for costs associated with being ill and selecting wigs if needed.

Dr. Michael Pearl, professor of medicine and chief of the Division of Gynecologic Oncology, said that a cancer diagnosis has a huge impact not just on the woman affected but on her family as well. “In a lot of families, the woman acts as the glue that keeps everything together,” Pearl said. When a woman gets sick, often the day-to-day operations of family life get disrupted. That is when the Woman to Woman program can step in.

“We have volunteers that provide active support services,” Pearl said. Services could even include driving a patient’s children to sports or band practice. “Getting sick takes away your control. The program tries to restore some control and normalcy into their day-to-day lives.”

Bily said she was expecting Bodacious Bras to take a while to catch on, but she was happy with the positive response of the event. “It was a great night,” she said. “People who designed a bra are already thinking about what they will make next year.”