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Parker
Update: Parker has a Forever Foster! Way to go Parker!

MEET PARKER!

Parker is a ten year-old Male Chihuahua Mix who came to the Smithtown Animal Shelter after losing his beloved previous owner to the COVID-19 virus. Parker loves meeting new friends, going on walks, snuggling, and snacks. Parker was not taught proper manners when he was younger, leading him to develop food and toy aggression and a habit of guarding things he perceives as “his”. He requires an adult-only home that is comfortable managing this, and implementing strict rules and structure; all while understanding that Parker is 100% worth the effort.

Parker has blood pressure and vision problems, and he needs an experienced owner who is willing to put in the extra effort despite these challenges. This poor boy has been through quite a lot in his life and needs a furrever home that won’t give up on him.

If you are interested in meeting Parker, please call ahead to schedule an hour to properly interact with him in a domestic setting, which includes a Meet and Greet Room, the dog runs and a Dog Walk trail.

The Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. Shelter operating hours are currently Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). 

For more information, call 631-360-7575 or visit www.smithtownanimalshelter.com.

 

MEET LUNA!

This week’s shelter pet is Luna, a 2-year-old petite domestic short hair currently up for adoption at the Smithtown Animal Shelter. Luna is a low key, but highly affectionate little lady.  She was found with her kittens as part of the shelter’s Trap Neuter Release program.

Luna likes other cats and any human attention she can get.  This little peanut would be a perfect addition to any family. She comes spayed, microchipped and is up to date on her vaccines.

If you would like to meet this sweetheart, please call ahead to schedule an hour to properly interact with her in a domestic setting.

The Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. Shelter operating hours are currently Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). Call 631-360-7575 or visit www.smithtownanimalshelter.com.

MEET IAN AND IRIS!

This week’s shelter pets are bonded siblings Ian (black and white male) and Iris (grey female) —7-month-old domestic short hair mixes up for adoption at the Smithtown Animal Shelter.

Ian and Iris were very skittish kittens when they came to the shelter through its TNR program.  With lots of time and patience, they have learned to love people.  Ian is a complete mush and will even let shelter vounteers dress him up. Iris is more adventurous than her affectionate brother, but loves to get some pets wherever she can.  These two are like a pair of therapy cats — they are pure stress relief.  They love to play and eat treats.  These two are very attached to each other and would love to find a home together.

If you would like to meet these sweethearts, please call ahead to schedule an hour to properly interact with them in a domestic setting.

The Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. Shelter operating hours are currently Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). Call 631-360-7575 or visit www.smithtownanimalshelter.com.

METRO photo

By Michael Ardolino

Michael Ardolino

The new year is around the corner. Many homeowners yearning for a fresh look may think about renovating their homes or making small changes to their house. Here’s a piece of advice — always keep in mind that you will sell your home one day. With the market staying steady for sellers, it may be sooner than later.

Stay relevant

Even if you’re not thinking of selling your home currently, when painting, buying new fixtures, working on the outside, or making any change, stay up to date with the latest trends.

There are plenty of ways to find looks that are pleasing to you while you’re living in the house and still trendy. One day when you are ready to sell your home, you’ll be glad you did. It will mean less time and money to get it ready for market.

The first step is to check out popular social media apps such as Pinterest and some home decor websites or magazines. Some beautiful colors are trending for 2022. 

For those who like a bright pop of color, purple will be a hot one. It works best in pillows or select pieces and the color pairs well with neutrals or a jewel tone such as red. Green is becoming another popular choice. The color is an earthy tone that is ideal for walls, and just like taupe, warm browns and off-whites, it works well with various decors.

Be bold with furniture and home decor items and mix materials such as metal, stone, wood and different fabrics to add an inviting look to a room. 

Homes with kitchens that open into a living or family room are very popular. At the same time, today’s buyers like to see some definition between areas so consider a kitchen island or area rug in the dining room.

As you walk around your house, remember with more work-from-home options and many people still exercising at home, setting up a room or area that can be identified as office space, a study room or yoga studio is still big. Remember your ceilings when updating your home, too. Textured ceilings are dated so work on replacing popcorn, textured or stucco to freshen up your home.

Breath of fresh air

One of the biggest trends over the last couple of years has been the growing appreciation for the outdoors and fresh air. No matter what time of year it is, you can think about creating a yard that is an oasis for you and future occupants with luscious gardens, or fun additions such as fire pits and porch swings.

Takeaway

Many sellers who real estate professionals have staged or painted for often comment, “Why didn’t I do this sooner so I could have enjoyed it! Now I don’t want to move!”

You don’t have to be selling your house in the next few months to keep your home market-ready while still enjoying it yourself. You also never know when the opportunity to sell will arrive. Over the last couple of years, many people who weren’t even thinking of selling decided to do so to take advantage of the seller’s market or because a person or real estate professional reached out to them and asked them to consider selling.

Next year is going to be an exciting one in real estate, and I look forward to sharing with you more tips plus market news in this column during 2022. So, let’s talk.

Michael Ardolino is the Founder/Owner-Broker of Realty Connect USA.

Stock photo
NSAIDs and acetaminophens are not risk-free

By David Dunaief, M.D.

Dr. David Dunaief

What’s in your medicine cabinet? If you’re like most people, you have your typical “go-tos” for pain relief, fever or inflammation. You might have aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) and acetaminophen (Tylenol). 

Familiar NSAIDs include ibuprofen (Advil, Motrin) and naproxen sodium (Aleve). Over 70 million prescriptions for NSAIDs are written each year in the U.S., and Americans consume more than 30 billion doses, once over-the-counter (OTC) use is factored in (1).

According to a poll of these regular users of OTC NSAIDs, a substantial number — 60 percent — were unaware of their dangerous side effects (2). Acetaminophen is used frequently, as well. On a weekly basis, one quarter of Americans take it. Unfortunately, many think of these drugs as relatively benign. In fact, I find that until I specifically ask about their use, most patients don’t include them in a list of their medications.

NSAID risks

Unfortunately, NSAIDs, according to the Centers for Disease Control and Prevention, are responsible for 7,600 deaths annually and 10 times that number in hospitalizations (3). These are not medications that should be taken lightly. 

NSAIDs increase the risk of several maladies, including heart attacks, gastrointestinal bleeds, exacerbation of diverticular disease, chronic arrhythmias (abnormal heartbeats) and erectile dysfunction. In some instances, the cardiovascular effects can be fatal.

These risks prompted the FDA to strengthen the warning labels on non-aspirin NSAID labels, advising that those taking NSAIDs should immediately seek medical attention if they experience chest pain, shortness of breath or trouble breathing, weakness in one part or side of their body, or slurred speech (4).

Adverse side effects of NSAIDs

In a case control study using the UK Primary Care Database, chronic users of NSAIDs between ages 40 and 89 had a significantly increased risk of a serious arrhythmia (abnormal heartbeat) called atrial fibrillation (5).

Interestingly, chronic users were defined as patients who took NSAIDs for more than 30 days. Those patients who used NSAIDs more than 30 days had a 57 percent increased risk of atrial fibrillation. A Danish study reinforces these results after the first month of use (6). This is not very long to have such a substantial risk. For patients who used NSAIDs longer than one year, the risk increased to 80 percent. 

Caution should be used when prescribing NSAIDs or when taking them OTC. Atrial fibrillation is not an easy disease to treat.

NSAIDs also increase the risk of mortality in chronic users. Older patients who have heart disease or hypertension (high blood pressure) and are chronic NSAIDs users are at increased risk of death, according to an observational study (7). Compared to those who never or infrequently used them over about 2.5 years, chronic users had a greater than twofold increase in death due to cardiovascular causes. High blood pressure was not a factor, since the chronic users actually had lower blood pressure. Yet I have seen with my patients that NSAID use can increase blood pressure. 

Is acetaminophen better?

Acetaminophen does not cause gastrointestinal bleeds, arrhythmias and deaths due to cardiovascular events that NSAIDs can. However, the Food & Drug Administration announced in 2011 that acetaminophen should not exceed 325 mg every four to six hours when used as a prescription combination pain reliever (4). The goal is to reduce and avoid severe injury to the liver, which can cause liver failure. 

There is an intriguing paradox with acetaminophen: Hospitals typically dispense regular-strength 325-mg doses of the drug, whereas OTC doses frequently are found in extra-strength 500-mg tablets, and often the suggested dose is two tablets, or 1 gram. At the FDA’s request, Tylenol lowered its recommended daily dosage for extra strength Tylenol to no more than 3 grams a day to lower the risk of liver damage.

I have patients who have exceeded this, thinking that, because it is OTC, this is “safe.” Unfortunately, this is not true and can be dangerous.

The FDA’s recommendations for limiting the dose result from a conglomeration of data. For instance, one study that showed acute liver failure was due primarily to unintentional overdoses of acetaminophen (8). Accidental overdosing is more likely to occur when taking acetaminophen at the same time as a combination sinus, cough or cold remedy that also contains acetaminophen. OTC and prescription cold medications can contain acetaminophen.

Of course, if you already suffer from liver damage or disease, you should consult with your physician before taking any medications.

In order to be aware of potentially adverse events, you have to be your own best advocate and read labels. Remember to tell your physician if you are taking OTC medications.

If you are a chronic user of NSAIDs or acetaminophen because of underlying inflammation, you may find an anti-inflammatory diet, which is usually plant-based, is an effective alternative.

References:

(1) Medscape.com, 2021 Oct 21 (emedicine.medscape.com/article/816117-overview). (2) J Rheumatol. 2005;32;2218-2224. (3) Annals of Internal Medicine, 1997;127:429-438. (4) fda.gov (5) Arch Intern Med. 2010;170(16):1450-1455. (6) BMJ 2011;343:d3450. (7) Am J Med. 2011 Jul;124(7):614-620. (8) Am J Gastroenterol. 2007;102:2459-2463. 

Dr. David 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. 

Photo by Gerard Romano

SILVER BELLS

Gerard Romano of Port Jefferson Station was out with his camera on Dec. 17 ‘looking for something appropriate for the season’ when he spied these pretty bells adorning the door of the Belle Terre Village Hall and took the perfect shot. Happy Holidays!

Send your Photo of the Week to [email protected]

Ramana Davuluri

By Daniel Dunaief

Ramana Davuluri feels like he’s returning home.

Davuluri first arrived in the United States from his native India in 1999, when he worked at Cold Spring Harbor Laboratory. After numerous other jobs throughout the United States, including as Assistant Professor at Ohio State University and Associate Professor and Director of Computational Biology at The Wistar Institute in Philadelphia, Davuluri has come back to Long Island. 

As of the fall of 2020, he became a Professor in the Department of Biomedical Informatics and Director of Bioinformatics Shared Resource at Stony Brook Cancer Center.

“After coming from India, this is where we landed and where we established our life. This feels like our home town,” said Davuluri, who purchased a home in East Setauket with his wife Lakshmi and their six-year-old daughter Roopavi.

Although Davuluri’s formal training in biology ended in high school, he has applied his foundations in statistics, computer programming and, more recently, the application of machine learning and deep algorithms to the problems of cancer data science, particularly for analyses of genomic and other molecular data.

Davuluri likens the process of the work he does to interpreting language based on the context and order in which the words appear.

The word “fly,” for example, could be a noun, as in an insect at a picnic, or a verb, as in to hop on an airplane and visit family for the first time in several years.

Interpreting the meaning of genetic sentences requires an understanding not only of the order of a genetic code, but also of the context in which that code builds the equivalent of molecular biological sentences.

A critical point for genetic sequences starts with a promoter, which is where genes become active. As it turns out, these areas have considerable variability, which affects the genetic information they produce.

“Most of the genetic variability we have so far observed in population-level genomic data is present near the promoter regions, with the highest density overlapping with the transcription start site,” he explained in an email.

Most of the work he does involves understanding the non-coding portion of genomes. The long-term goal is to understand the complex puzzle of gene-gene interactions at isoform levels, which means how the interactions change if one splice variant is replaced by another of the same gene.

“We are trying to prioritize variants by computational predictions so the experimentalists can focus on a few candidates rather than millions,” Davuluri added.

Most of Davuluri’s work depends on the novel application of machine learning. Recently, he has used deep learning methods on large volumes of data. A recent example includes building a classifier based on a set of transcripts’ expression to predict a subtype of brain cancer or ovarian cancer.

In his work on glioblastoma and high grade ovarian cancer subtyping, he has applied machine learning algorithms on isoform level gene expression data.

Davuluri hopes to turn his ability to interpret specific genetic coding regions into a better understanding not only of cancer, but also of the specific drugs researchers use to treat it.

He recently developed an informatics pipeline for evaluating the differences in interaction profiles between a drug and its target protein isoforms.

In research he recently published in Scientific Reports, he found that over three quarters of drugs either missed a potential target isoform or target other isoforms with varied expression in multiple normal tissues.

Research into drug discovery is often done “as if one gene is making one protein,” Davuluri said. He believes the biggest reason for the failure of early stage drug discovery resides in picking a candidate that is not specific enough.

Ramana Davuluri with his daughter Roopavi. Photo by Laskshmi Davuluri

Davuluri is trying to make an impact by searching more specifically for the type of protein or drug target, which could, prior to use in a clinical trial, enhance the specificity and effectiveness of any treatment.

Hiring Davuluri expands the bioinformatics department, in which Joel Saltz is chairman, as well as the overall cancer effort. 

Davuluri had worked with Saltz years ago when both scientists conducted research at Ohio State University.

“I was impressed with him,” Saltz said. “I was delighted to hear that he was available and potentially interested. People who are senior and highly accomplished bioinfomaticians are rare and difficult to recruit.”

Saltz cited the “tremendous progress” Davuluri has made in the field of transcription factors and cancer.

Bioinformatic analysis generally doesn’t take into account the way genes can be interpreted in different ways in different kinds of cancer. Davuluri’s work, however, does, Saltz said.

Developing ways to understand how tumors interact with non-tumor areas, how metastases develop, and how immune cells interact with a tumor can provide key advances in the field of cancer research, Saltz said. “If you can look at how this plays out over space and time, you can get more insights as to how a cancer develops and the different part of cancer that interact,” he said.

When he was younger, Davuluri dreamt of being a doctor. In 10th grade, he went on a field trip to a nearby teaching hospital, which changed his mind after watching a doctor perform surgery on a patient.

Later in college, he realized he was better in mathematics than many other subjects.

Davuluri and Lakshmi are thrilled to be raising their daughter, whose name is a combination of the words for “beautiful” and “brave” in their native Telugu.

As for Davuluri’s work, within the next year he would like to understand variants. 

“Genetic variants can explain not only how we are different from one another, but also our susceptibility to complex diseases,” he explained. With increasing population level genomic data, he hopes to uncover variants in different ethnic groups that might provide better biomarkers.

Photo from Unsplash

With Christmas this weekend, families are looking to get together for some quality time.

Last Christmas, in the midst of the coronavirus pandemic, people quarantined with just those in their households. It was lonely for some, but they stayed safe, away from contact with other people.

Then 2021 came around and with the vaccines we saw some hope — we began slowly peeling off our masks and traveling again. Families became reunited.

But unfortunately, that was premature and now Suffolk County is at a 14% positivity rate as of Tuesday, Dec. 21.

To put it in perspective, municipalities across New York state were shut down at 5% in the spring of 2020. We have doubled the seven-day average compared to where we were at that time and have not shut down.

And there are reasons for that. Luckily more than a year-and-a-half later we have the vaccines, we have boosters and we know that masks work — we just need to continue using them and continue using common sense.

It’s sad to think that this is the second Christmas where some families might not be able to see their loved ones out of fear. It’s sad that we as a country were doing well and now have fallen back into old habits of not taking care of ourselves and of others.

If we continue not to listen to the Centers for Disease Control and Prevention, our health care providers and the science,

Politicians insist we won’t go into lockdown, but what will happen if the infection rate goes to 20%? What will we do if the hospitals are overfilled again?

With the comfort we felt during this past summer, newly vaccinated with restrictions lifted, some might have forgotten what early 2020 looked like. Visits to grandparents were through a window. Restaurants were not allowed to have inside dining. Disinfectants and masks were impossible to find, while bodies were kept in outside trailers because the morgue was filled to capacity.

We don’t want to head back in that direction, especially with all of the resources now available to us. We have the vaccine, we have the booster, we have masks and we know how to combat this virus. We just need to collectively do it and not treat it lightly.

So, for this holiday season, and throughout the rest of the winter, please take care of yourself, take care of others and be cautious.

Pexels photo

By Daniel Dunaief

Daniel Dunaief

He was a part of my wife’s family’s inner circle for years. He appeared at summer gatherings and at significant family events and celebrations.

With his white hair, his signature smile and a Polish accent that seemed as fresh in each conversation as it likely was the first time he arrived in the United States, Carl wandered in and out of conversations and rooms, often smiling and always listening.

He seemed as comfortable in his own skin as anyone I’d ever met, paying close attention to his wife, interacting with his children and grandchildren and soaking up life the way everyone around him soaked up the warm rays of the sun.

Carl watched one day almost 20 years ago when my daughter got too close to the pool’s edge, falling in before she could swim. I immediately jumped off the diving board and brought her back up, where, as I dried her off, she protested that it took too long for me to get her.

When my daughter felt comfortable and confident enough to walk away from me, Carl waited for me to make eye contact.

“That’s what you do when you’re a father,” he smiled.

I nodded and sighed while my blood pressure and pulse returned to normal.

Several times over the years, Carl and I sat next to each other, sharing buffet-style meals of chicken kebobs, pasta, and filets.

Carl didn’t have the numbers tattooed on his arm, but I knew some of the story of his life. I didn’t want to bother him or upset him with a discussion of what was a painful and difficult period.

Once, when we were alone inside a screened-in area, I raised the topic.

“Hey, Carl, I understand you survived the holocaust,” I said.

When he looked me in the eyes, he narrowed his lids slightly, processing what I said and, likely, trying to figure out whether he wanted to talk.

“It’s okay,” I said, immediately backing off. As a journalist, I have a tendency to ask questions. I recognize, however, the boundaries that exist during social interactions and with family and friends. I wanted to speak with him to hear about what had been an unspoken part of his life.

“Yes, I survived,” I said.

“How? Where?”

“In the woods,” he said. “I lived in the woods when the Nazis came.”

He described how he was so hungry that he ate leaves, bugs and bark. That, however, was far preferable to being caught by the Nazis, who had murdered the rest of his family. Carl had been a teenager when he escaped to the woods, avoiding Nazi guards who were always searching for people they deemed enemies and who they readily killed.

Surrounded by a collection of other people who might, at any given time, vanish forever, Carl survived for several years, emerging at the end of the war to try to restart a life shattered by violence and cruelty.

After a brief description of his experience, he told me how important he felt it was that people study the specifics of World War II and understand what really happened to him, his family and people in so many other countries. It angered him that people tried to ignore a history that took so much from him.

All those years later, Carl seemed so easy going and relaxed, so prepared to laugh and smile and to enjoy another bite of lunch or dinner.

Carl recently died. I’m sorry for the loss to his family. I’m glad to have known him and to have shared a few meals, a few smiles and a few stories. All those days, months and years of life, like initials carved into a tree, showed that he was, indeed, here and, having seen his family react and interact with him, that his life had meaning.

By Leah S. Dunaief

Leah Dunaief

As the year draws to a close, I think of the Chinese curse, “May you live in interesting times.” That would seem an apt description of the times we are living through today. Why do I say that? Let me count the ways.

For one, we have been tricked by the coronavirus. As spring faded into summer this year, we thought the pandemic was ebbing. We gathered in groups again, even without masks, visited relatives, returned to restaurants, went on vacations. Surprise! By the end of October, the virus started making itself felt again, by November, it was led by the new variant, Omicron, and now it commands the front page of newspapers and the top of the network and cable newscasts.

Yes, we have made impressive progress with vaccines and precautions, but society is still in the grip of the disease, still with some 30 percent of the population unvaccinated, still with those refusing to don masks, and now lined up not for inoculating but for testing. Testing and boosters are the new battle cry. Just as our grandparents, who were living through it, didn’t know when WWII would end, so we who are at war with the virus don’t know when the pandemic will fade into just another annoying wintertime contagion.

For another unprecedented way in recent memory that times are interesting, we have a country so divided and vehemently at odds that neighbors, friends and family members are afraid to talk politics with each other. It is such a contrast with the 9/11 era, when we all held doors open for each other, flew the American flag together and identified as one nation. “Democracy is at risk” is the new battle cry. And the threat of political violence and random shootings simmers just beneath the surface.

Meanwhile, worthy issues involving any sort of social safety net and how to provide money for them, like pre-school education and acceptable child care enabling parents to work, lie undebated in a symbolically divided Congress. It’s no wonder that the national birthrate for this past year is the lowest since 1979. That’s not just due to the pandemic but has been a trend for the last six years.

Climate change is another subject that has driven itself to top of mind this past year. Fires, the likes of which never before seen, also floods, tornadoes and melting ice caps have changed the face of the nation and have killed many residents.

And then there is racism, the shadow that has always loomed over the United States since its inception and has burst forth to claim attention across the country, spawning marches and protests. Is it better for bigotry to come out of the woodwork and be viewed in all its aspects in the clear light of day? Perhaps that is a necessary step for it to be ultimately eradicated. Until then, the atmosphere is bitter with recriminations.

There are some bright spots. Although the possibility of spiraling inflation has lately been a concern, unemployment is decidedly low and the economy has been growing. So has the stock market, while not the economy, is nonetheless a telltale of how their financial standing is perceived by residents. Stimulative monetary policy on the part of the Federal Reserve and equally generous fiscal action by the administrations of both presidents and Congress have kept civil unrest at bay. Savings rates are at a high. And the kinks in the supply chain, although most apparent now with the gift-giving demands of the holidays, will eventually be straightened out.

Furthermore, Dec. 21 is one of my favorite days because it brings with it the longest night of the year. After that, each day has a bit more light. So I hope for whatever darkness we are presently living through to lift, and I am optimistic that it will.

Until the new year, wishing you all healthy holidays filled with devotion and love.