Columns

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By Daniel Dunaief

Daniel Dunaief

This time of year, my dog walks with relief and trepidation.

The relief comes from temperatures that have cooled off enough that his heavy fur doesn’t exacerbate the humidity and discomfort from stifling heat.

The trepidation arises out of the emergence of ominous additions to the neighborhood that change the world he knows.

The spiderwebs along fences and hanging on bushes and trees don’t bother him, but the ghosts planted in the ground, the green glow-in-the-dark skeletons and the hanging vampires terrify him, as he prefers to scamper toward the street and passing cars rather than walk near an inexplicable figure swaying in the wind, hovering over him like some supernatural predator.

And so it was, recently, that we took an early October walk through our neighborhood.

While these figures create anxiety for him, I was mulling the numerous global threats to the future for which we Americans and we humans are grappling. Global warming, debt limits, infrastructure bills, gun violence, the pandemic, partisanship, educational deficiencies, a destructive oil spill in California and everything else ricocheted around my head as I thought of the many looming crises.

A sight on the horizon snapped me out of my anxiety labyrinth. There, around the corner, appeared to be roadkill.

In the distance, I couldn’t recognize it, but I was sure that, once we got closer, my dog would pull desperately to inspect the flesh and innards of a former living creature.

Generally, when I try to pull away from decaying matter on the road, my dog seems eager to get as close as he can, like a forensic photographer or a police inspector from Law & Order, trying to figure out who might be at fault for the end of a life, whether the driver tried to maneuver away from the animal based on any skid marks nearby, or, perhaps, whether the animal contributed to its own untimely end.

I try to distract him, whistling, calling his name, tugging ever so slightly on his leash to redirect him away from these sites, hoping to keep far enough away that the flies feasting on rotting animal flesh don’t land on us.

Usually, such maneuvers have the same effect as making suggestions to my kids about what to do, like studying the bassoon because every band needs a bassoon player and many schools are lucky to have one or two such double-reeded wonders: they cause an equal and opposite reaction.

I’m sure Newton’s third law wasn’t referring to parenting, but it seems that when we say “here” they want to go “there,” and when we say “there,” they want to go “here.” My dog seems to have studied the same playbook in response to any such guidance or direction.

As we walked, I pulled left, trying to figure out what was on the road, which seemed broken into four parts. This could be a particularly unappealing mess, I thought, trying not to make a subconscious suggestion through the leash that he head straight for it.

I held my breath as a slight wind picked up from the other side of the detritus, hoping I wouldn’t smell something awful and that, somehow, neither would my dog.

As we got closer, I used my peripheral vision. That’s when I noticed something unusual. Amid the odd red and brown colors was a mixture of an orange and blue mess. What kind of animal’s innards are orange and blue? Was this a Halloween roadkill? 

I deciphered letters on the ground. That was definitely not blood. It was a Burger King wrapper, with obliterated fries, a flattened Whopper and a crushed cup.

Perhaps too focused on the Halloween decorations, the dog wasn’t at all interested or enticed by the fast food roadkill.

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By Leah S. Dunaief

Leah Dunaief

A good idea during this later stage of the pandemic is to have an at-home rapid COVID test, which indicates a result in 15 minutes. Sometimes you just don’t know whether it’s a simple cold that’s arrived and is making your throat sore, or if the situation is more dire and you need to seek help. Or perhaps you find that you have been exposed to someone who has now tested positive, and you want to check yourself accordingly. Or you are about to visit grandma and you want to be sure you are not carrying the pathogen to her. 

Besides the personal value, the tests can be an important public health tool, although for the moment demand is high and they are hard to find. I was able to locate two tests at a local drug store by calling around. They can be purchased at pharmacies for anywhere from $10 to $40 a test. The following are available without a prescription, according to The New York Times article, “At-Home COVID Tests: Valuable if Used Right,” in the issue of Oct. 5, and written by Emily Anthes: Abbott BinaxNOW, the Ellume COVID-19 Home Test (although there was some issue with this one yesterday), and the Quidel QuickVue At-Home COVID-19 Test. The tests “detect small viral proteins, called antigens,” and they “require rubbing a shallow nasal swab inside your nostrils, and then exposing the swab to a few drops of chemicals,” as described by the article. OraSure also makes them, among many other companies rushing their products to market.

While the manufacturers’ tests are fairly simple, their directions have to be followed carefully in order to provide a correct answer. And while their results are correct 85% of the time, the tests can give a false negative if taken too soon after exposure. Further, the tests are more sensitive to people with symptoms, especially during the first week, and when people are most infectious and can be actively transmitting the virus, according to Anthes.

The successful detection rate goes up to 98% when the tests are used repeatedly, say every three days for screening. But again, those with symptoms may test immediately, while those who have been exposed to the virus should wait 3-5 days to let the antigens accumulate in the nose, if they are there, before testing. In the event of a positive result, people should take the usual precautions: isolation, monitoring symptoms and calling for medical help if necessary. They should also get a second test to confirm the result.

Rapid COVID-19 tests are for sale in grocery stores for one euro (a bit more than a dollar) in Germany, and in Britain a pack of seven are free. Policymakers around the world realized that rapid tests were a valuable public health aide. We here in the United States must make them available and more cheaply so that we can know who is infected, who is a carrier and where the outbreaks are. President Joe Biden (D) has recognized this need and is working to make the tests accessible and more affordable. He needs to make the rapid tests official public health tools rather than medical devices. That would only take an executive order. And it would allow global manufacturers of COVID-19 tests to enter our market and immediately increase our supply.

According to a piece on the Opinion page of The New York Times in the Oct. 2 issue, written by experts Michael Mina and Steven Phillips, “Past economic analyses predicted that a major government-funded rapid testing program that reached every American could add as much as $50 billion to the gross domestic product and save tens of thousands of lives or more,”

There is, happily, bipartisan support for making all this happen. Vaccination plus rapid testing would mean no more unnecessary isolations, no more missed holidays with families, no more randomly closed schools or businesses. We would, in effect, be able to live with the bug.

The red-eyed Eastern Towhee's scientific name is Pipilo erythrophthalmus. Photo from Unsplash

By John L. Turner

Human beings (Homo sapiens). Domestic dog and cat (Canus lupus familiaris and Felis catus, respectively). White Oak tree (Quercus alba). Blue Whale (Balaenoptera musculus). 

You may remember these “Latin/Greek “ or “Scientific” names from your high school biology days and probably have given them little to no thought ever since. Further, I bet you currently ignore them whenever you see them in a book, magazine or on-line article, quickly passing over these obscure, hard to pronounce, often multisyllabic words, tucked neatly inside a pair of parentheses.

First a little bit about the rules and convention concerning scientific names. All species on planet Earth have been assigned a binomial name, the first referring to the genus and the second the species; so with humans the scientific name “Homo sapiens” means that human beings belong to the genus Homo (the only existing species in the genus) and are unique belonging to the species “sapiens”. The generic name is capitalized but not the species name. Both are either italicized or are unitalicized but underlined. So in the case of the Blue Jay either Cyanocitta cristata or Cyanocitta cristata conforms. (By the way, the name means a chattering blue bird with a crest.)

You might well ask what’s the purpose of scientific names? Plain and simple, it is to eliminate ambiguity and prevent mistakes. It’s a way to ensure that a scientist on Long Island and a scientist elsewhere in the world are communicating about the same species…an uncertain outcome if these scientists are communicating using the common names of species. 

For example, two scientists discussing otter biology need to know what otter species they’re talking about. Is it the Sea Otter (Enhydra lutris)? Or maybe the River Otter (Lontra canadensis) or Asian Small-clawed Otter (Aonyx cinereus)? How about Giant River Otter, (Pteronura brasiliensis), European Otter (Lutra lutra) or any other of the thirteen species of otters found in the world. In discussing some aspect of otter ecology or biology, just mentioning “otter” may not be sufficient to provide the level of specificity or accuracy needed. Researchers need to know they’re both talking about the same species of otter. Or bacteria. Or slime mold. Or many other species that can affect us.

If you have an interest in nature and natural history, I’d encourage you take a second look at scientific names as they often impart some helpful information about or describe some aspect of a species, referring to the geographic range of the species or where it was first discovered. It may also provide information regarding some physical characteristic of the species, say possessing a long tail or having a red cap on its head.

For example, the Latin/Greek name for the Ring-billed Gull, a common gull on Long Island, is Larus delawarensis, the species name meaning “of Delaware,” stemming from the fact the first specimen of this species was collected near the Delaware River south of Philadelphia. And as but one of many examples relating to a physical feature, the scientific name for the Eastern Towhee is Pipilo erythrophthalmus; the species name is Greek for red-eyed — “erythros” meaning red and “ophthalmos” meaning eye (think ophthalmologist). Indeed one of the conspicuous features of this beautiful member of the sparrow family, a common breeding bird in the Long Island Pine Barrens, is its red eye.

The scientific name for the Bald Eagle (Haliaeetus leucocephalus) presents another example in which a scientific name expresses a physical feature — leucocephalus means white-headed and Haliaeetus means salty sea eagle, a description of the type of habitat it frequents, so the name provides an apt description of the species — the salty sea eagle with the white head.

Other scientific names honor their discoverer or someone who the discoverer of the species wants to honor. Former Presidents Reagan, Carter, Clinton, George W. Bush, Obama, and Trump have all been so honored with a species named after them as has all the members of the Rock Band Queen (Lead singer Freddie Mercury is honored with the name Heteragrion freddiemercuryi, a species of damselfly). So too the members of the Rolling Stones, Rush, and the Ramones. Lady Gaga and Beyonce have been so honored, so has Bob Dylan, and comedian and late night host Stephen Colbert has done very well — with three species named after him: a beetle, spider, and wasp.

In addition to honoring an individual or providing some basic information about the species, some Latin names provide a more complete picture of the species. 

Let’s take Trailing Arbutus as an example. A beautiful low-growing plant with five-petaled, light pink flowers which grows along sandy trails in the Pine Barrens, the Latin name for the species is Epigaea repens. “Gaea” is Greek for the Earth or Earth Goddess and “Epi” mean “upon.” So the generic name means “upon the earth”. The species name “repens” comes from repent. What position are you typically in when repenting? Trailing or prostrate on the ground. So, the scientific name for Trailing arbutus means to “trail upon the earth” an accurate description of the plant’s growth form.

Another example involves the Northern Mockingbird, a common breeding bird in suburbia. Well-known for its ability to mimic the songs and sounds of other birds, the Mockingbird’s scientific name, Mimus polyglottis, means “many throated or many tongued mimic”; poly meaning many and glottis referencing the throat or tongue.

While the Latin names for the arbutus and Mockingbird are accurate, for some other scientific names of species the jury is still out with regard to accuracy of the name. Take us humans (Homo sapiens) which means “wise man.” Given the path we’re on, of global destabilization of this planet’s finely tuned climate, with potential catastrophic effects for human societies and the natural world, perhaps a change to our scientific name is in order. Indeed, time will soon tell whether “sapiens” should be kept or replaced.

A resident of Setauket, John Turner is conservation chair of the Four Harbors Audubon Society, author of “Exploring the Other Island: A Seasonal Nature Guide to Long Island” and president of Alula Birding & Natural History Tours.

METRO photo

Understand your risk profile and design a screening plan with your physician

By David Dunaief, M.D.

Dr. David Dunaief

Get out your pink attire, because October is Breast Cancer Awareness Month.

The most common cancer diagnosed in U.S. women, an estimated 30 percent of 2021 cancer diagnoses in women will be breast cancer (1). Of these, 85 percent of cases occur in those with no family history of the disease, and 85 percent of new cases will be invasive breast cancer.

A primary objective of raising awareness is to promote screening for early detection. While screening is crucial, prevention should be just as important, including primary prevention, preventing the disease from occurring, and secondary prevention, preventing recurrence.

Here, we will discuss current screening recommendations, along with tools to lower your risk.

At what age and how often should we be screened?

Here is where divergence occurs; experts don’t agree on age and frequency. The U.S. Preventive Services Task Force currently recommends mammograms every other year, from age 50 through age 74, with the option of beginning as early as age 40 for those with significant risk (2). It’s important to note that these guidelines, published in 2016, are currently being refined and are pending publication.

The American College of Obstetricians and Gynecologists recommends consideration of beginning annual or biennial mammograms at 40, but starting no later than 50, and continuing until age 75. They encourage a process of shared decision-making between patient and physician to determine age and frequency of exams, including whether to continue after age 75 (3).

The American Cancer Society’s physician guidelines are to offer a mammogram beginning at age 40 and recommend annual or biennial exams from 45 to 54, with biennial exams after 55 until life expectancy is less than 10 years (4).

While the recommendations may seem nuanced, it’s important to consult with your physician to determine your risk profile and plan or revise your regular screening schedule accordingly.

Do bisphosphonates help?

Bisphosphonates include Fosamax (alendronate), Zometa (zoledronic acid) and Boniva (ibandronate) and are used to treat osteoporosis. Do they have a role in breast cancer prevention? It depends on the population, and it depends on study quality.

In a meta-analysis involving two randomized controlled trials (RCTs), FIT and HORIZON-PFT, results showed no benefit from the use of bisphosphonates in reducing breast cancer risk (5). The study population involved 14,000 postmenopausal women from ages 55 to 89 women who had osteoporosis, but who did not have a personal history of breast cancer. In other words, the bisphosphonates were being used for primary prevention.

In a more recent meta-analysis of 10 studies with over 950,000 total participants, results showed that bisphosphonates did indeed reduce the risk of primary breast cancer in patients by as much as 12 percent (6). However, when the researchers dug more deeply into the studies, they found inconsistencies in the results between observational and case-control trials versus RCTs, along with an indication that longer-term use of bisphosphonates is more likely to be protective than use of less than one year.

Randomized controlled trials are better designed than observational trials. Therefore, it is more likely that bisphosphonates do not work in reducing breast cancer risk in patients without a history of breast cancer or, in other words, in primary prevention.

A Lancet metanalysis focused on breast cancer recurrence in distant locations, including bone, and survival outcomes did find benefits for postmenopausal women (7). A good synopsis of the research can be found at cancer.org.

How much exercise?

We know exercise is important in diseases and breast cancer is no exception. In an observational trial, exercise reduced breast cancer risk in postmenopausal women significantly (8). These women exercised moderately; they walked four hours a week over a four-year period. If they exercised previously, five to nine years ago, but not recently, no benefit was seen. The researchers stressed that it is never too late to begin exercise.

Only about one-third of women get the recommended level of exercise every week: 30 minutes for five days a week. Once diagnosed with breast cancer, women tend to exercise less, not more. We need to expend as much energy and resources emphasizing exercise for prevention as we do screenings.

What about soy?

Contrary to popular belief, soy may be beneficial in reducing breast cancer risk. In a meta-analysis, those who consumed more soy saw a significant reduction in breast cancer compared to those who consumed less (9). There was a dose-response curve among three groups: high intake of >20 mg per day, moderate intake of 10 mg and low intake of <5 mg.

Those in the highest group had a 29 percent reduced risk, and those in the moderate group had a 12 percent reduced risk when compared to those who consumed the least. In addition, higher soy intake has been associated with reduced recurrence and increased survival for those previously diagnosed with breast cancer (10). The benefit from soy is thought to come from isoflavones, plant-rich nutrients.

Hooray for Breast Cancer Awareness Month stressing the importance of mammography and breast self-exams. However, we need to give significantly more attention to prevention of breast cancer and its recurrence. Through potentially more soy intake, as well as a Mediterranean diet and modest exercise, we may be able to accelerate the trend toward a lower breast cancer incidence.

References:

(1) breastcancer.org. (2) uspreventiveservicestaskforce.org. (3) acog.org. (4) cancer.org. (5) JAMA Intern Med. 2014;174(10):1550-1557. (6) Clin Epidemiol. 2019; 11: 593–603. (7) Lancet. 2015 Jul 23. (8) Cancer Epidemiol Biomarkers Prev. 2014 Sep;23(9):1893-902. (9) Br J Cancer. 2008; 98:9-14. (10) JAMA. 2009 Dec 9; 302(22): 2437–2443.

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. 

A TRACER site similar to this one in Argentina is being constructed in Pearland, Texas. Photo courtesy of ARM

By Daniel Dunaief

Before they could look to the skies to figure out how aerosols affected rainclouds and storms around Houston, they had to be sure of the safety of the environment on the ground.

Researchers from several institutions, including Brookhaven National Laboratory, originally planned to begin collecting data that could one day improve weather and even climate models on April 15th of this year.

The pandemic, however, altered that plan twice, with the new start date for the one-year, intensive cloud, study called TRACER, for Tracking Aerosol Convection Interactions, beginning on Oct. 1st.

The delay meant that the “intensive observational period was moved from summer 2021 to summer 2022,” Michael Jensen, the Principal Investigator on Tracer and a meteorologist at Brookhaven National Laboratory, explained in an email.

Scientists and ARM staff pose during planning for TRACER (left to right): Iosif “Andrei” Lindenmaier, ARM’s radar systems engineering lead; James Flynn, University of Houston; Michael Jensen, TRACER’s principal investigator from Brookhaven National Laboratory; Stephen Springston, ARM’s Aerosol Observing System lead mentor (formerly Brookhaven Lab, now retired); Chongai Kuang, Brookhaven Lab; and Heath Powers, site manager for the ARM Mobile Facility that will collect measurements during TRACER. (Courtesy of ARM)

At the same time, the extension enabled a broader scientific scope, adding more measurements for the description of aerosol lifecycle and aerosol regional variability. It also allowed the researchers to include air quality data, funded by the National Aeronautics and Space Administration and urban meteorology, funded by the National Science Foundation.

The primary motivation for the project is to “understand how aerosols impact storms,” Jensen explained in a presentation designed to introduce the TRACER project to the public.

Some scientists believe aerosols, which are tiny particles that can occur naturally from trees, dust and other sources or from man-made activities like the burning of fossil fuels, can make storms stronger and larger, causing more rain.

“There’s a lot of debate in the literature” about the link between aerosols and storms, Jensen said.

Indeed, there may be a “sweet spot” in which a certain number or concentration of aerosols causes an invigoration of rainstorms, while a super abundance beyond that number reverses the trend, Jensen added.

“We don’t know the answers to those questions,” the BNL scientist said. “That’s why we need to go out there and take detailed measurements of what’s going on inside clouds, how precipitation particles are freezing or melting.”

Even though aerosols are invisible to the naked eye, they could have significant impacts on how mass and energy are distributed in clouds, as well as on broader atmospheric processes that affect weather patterns.

The TRACER study, which is a part of the Department of Energy’s Atmospheric Radiation Measurement, or ARM, user facility, could “help forecast heavy rains that can cause flash flooding,’ said Chongai Kuang, atmospheric scientist and TRACER co-investigator at BNL.

The TRACER study will explore the way sea and bay breeze circulations affect the evolution of deep convective storms as well as examining the influence of urban environments on clouds and precipitation.

Several additional funding agencies have stepped in to address basic scientific questions, including the National Aeronautics and Space Administration’s efforts to address air quality issues in Houston and the Texas Commission on Environmental Quality, which funded a study on ozone and low-level atmospheric mixing.

“Our original TRACER field campaign provided a seed for what is now a major, multi-agency field campaign with a significantly expanded scientific scope,” Jensen explained in an email.

A joint team from BNL and Stony Brook University is developing new software to scan the precipitation radar system to select and track storm clouds to observe the rapid development of these storms. Additionally, aerosol instrumentation will help provide updated information on the precursor gases and the smallest aerosol particles at the earliest stages of the aerosol cycle, Jensen explained.

Ultimately, the data that these scientists gather could improve the ability to forecast storms in a range of areas, including on Long Island.

“Understanding sea breezes and the coastal environment is a very important aspect of TRACER,” Jensen said. “Even though it’s not the preliminary focus, there’s an opportunity to learn new science, to improve weather forecasting and storm forecasting for those coastal environments.”

Researchers chose Houston because of their desire to study a more densely populated urban area and to understand the way numerous factors influence developing clouds, weather patterns and, ultimately, the climate.

“We know the urban environment is where most people live,” Jensen said. “This is taking us in new directions, with new opportunities to influence the science” in these cities.

Researchers plan to collect information about clouds, aerosols and storms everywhere from ground-based instruments stationed at four fixed sites, as well as through mobile facilities, to satellite images.

The program operates a tethered balloon which is “like a big blimp that goes up half a mile into the atmosphere,” said Heath Powers, the Atmospheric Radiation Measurement facility site manager for Tracer from Los Alamos National Laboratory.

The tethered balloon is located at Smith Point, Texas, on the eastern shore of Galveston Bay and will do low-level profiling of aerosols, winds, thermodynamics and ozone as it is influenced by bay breeze circulation, Jensen explained.

The National Science Foundation is planning to bring a C-130 plane to conduct overflights, while the group will also likely use drones, Powers added.

The TRACER study will launch around 1,500 weather balloons to gather information at different altitudes. The research will use over four dozen instruments to analyze meteorology, the amount of energy in the atmosphere and the air chemistry.

“Clouds are the big question,” Powers said. “Where they form, why they form … do they rain or not rain. We are well-positioned to get at the core of a lot of this” through the information these scientists gather.

METRO photo

By Bob Lipinski

Bob Lipinski

Marsala is both the name of a city in northwest Sicily and the name of a fortified wine (around 18% alcohol) first made in 1773 by the English Port merchant, John Woodhouse. Marsala is made from a blend of local grapes and is fortified with alcohol either during or after fermentation, depending on the desired level of sweetness.

White grapes include Grillo, Catarratto, Inzolia, and Damaschino. Red grapes include Perricone, Nero d’Avola, and Nerello Mascalese.

All Marsala wines are available in three colors: ambra (amber), oro (golden), and rubino (ruby). Italian law has set production rules for three types of Marsala: Marsala Fine, Marsala Superiore, and Marsala Vergine. A 1984 law banned using the name Marsala for concoctions flavored with almonds, bananas, chocolate, coffee, eggs, mocha, strawberries, tangerine, and so forth.

Marsala Fine is made in a dry, semidry, and sweet version. This type must be aged for a minimum of one year in a barrel. It is the most consumed Marsala in the United States.

Marsala Superiore is made in a dry, semidry, and sweet version. This Marsala must be aged a minimum of two years in a barrel.

Marsala Vergine is made only in a dry version and is considered the finest Marsala. It is made from the best wines of the vintage and must be aged a minimum of five years in a barrel.

Dry Marsala is light amber with aromas and flavors of roasted nuts, cocoa, hints of tobacco, raisins, hazelnuts, and vanilla. Sweet Marsala is dark amber with aromas and flavors of nuts and honey, with cream, cocoa, tobacco, dates, hazelnuts, apricots, licorice, and vanilla and is an excellent apéritif served chilled from the refrigerator while sweet Marsala is excellent after dinner, served at room temperature.

Cheeses to pair with dry Marsala include Asiago, Camembert, Cheddar, Parmigiano-Reggiano, and Provolone. Pair sweet Marsala with Blue Cheeses, Cantal, Gruyère, Havarti, and Monterey Jack.

Marsala usually comes in screw top bottles so they can be stored upright. There is no reason to age Marsala because it has been aged before bottling. Once opened it should be refrigerated, which will extend its shelf life to about six weeks.

When making recipes that call for Marsala, use imported brands for they are superior in quality. Dry Marsala is best to use for cooking, for it imparts a nutty-tangy flavor without a heavy sweetness. Cooking with equal parts of dry and sweet Marsala adds an extra dimension in taste. If using as an ingredient in desserts, then use the sweet style.

Bob Lipinski is the author of 10 books, including “101: Everything You Need To Know About Whiskey” and “Italian Wine & Cheese Made Simple” (available on Amazon.com). He consults and conducts training seminars on Wine, Spirits, and Food and is available for speaking engagements. He can be reached at www.boblipinski.com OR [email protected].

Pixabay photo

By Michael Ardolino

Michael Ardolino

In past columns, I’ve mentioned how it’s important to keep an eye on real estate trends when deciding whether to sell your home. There are some slight changes, but once homeowners know all the information, they’ll find fall is looking good. 

It’s still a sellers’ market

The housing market may be cooling slightly as temperatures dip, but it’s still the time to sell. 

Odeta Kushi, First American Financial Corporation’s deputy chief economist, recently commented on the current housing market. “We are seeing some signs of softening in the housing market, but context is important here … We’re still very much in a sellers’ market, but we are seeing some early signs of softening.” 

Earlier in the year, the real estate market saw record-low inventory which meant homes were selling for more than they would have been just a couple of years ago. Over the last few months, inventory has grown slowly, and there are fewer buyers out there. 

Data from the real estate technology firm OJO Labs confirms that the housing market continues to be competitive. The firm’s data shows that 49.6% of homes sold for more than the initial list price in July. In July 2020, it was 26.8%.

One of the most important things to know in the housing market is the definition of “months supply.” The term means the number of months it would take for the current inventory in the housing market to sell. The current sales pace is the main factor. The rule of thumb is six months of supply equals moderate price appreciation. When listings are low, prices go up.

Looking to the future

Many experts have said sales were slowing down because of a lack of supply. The strong demand is still there, and lately there has been an increase in listings. However, more homes on the market are still needed.

Danielle Hale, chief economist for realtor.com, has said, “If these changing inventory dynamics continue, we could see a wave of real estate activity heading into the latter part of the year.”

For the fall, experts are expecting a busy season. More sellers are putting their homes on the market which is something we normally see in the spring.

Tune in to the news

Federal Reserve Chairman Jerome Powell and Treasury Secretary Janet Yellen appeared before a Senate panel Tuesday, Sept. 28. They testified in a hearing about economic recovery. The overall economy, which has shown signs of slowing, affects the real estate market, and we’ll talk more about this in next month’s column.

Takeaway

When deciding on selling or buying a home, timing is everything, and trends and staying on top of financial news can help you make the right decision for you and your family. I’ll be keeping on top of the trends and financial news for you. So … let’s talk.

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

Pentimento Restaurant

This week a Stony Brook Village Center icon closed its doors for the last time after 27 years in business, and residents wonder how it will ever be replaced.

At the end of July, the owner of Pentimento Restaurant, Dennis Young, began informing customers that his lease wasn’t being renewed. Frequent visitors to his establishment started a Facebook page and petition on Change.org to save the restaurant and show their support. Many even protested in front of the business and throughout the shopping center. They also rallied in front of Gloria Rocchio’s house, the president of Eagle Realty Holdings and The Ward Melville Heritage Organization.

Unfortunately, the owner and the board of Eagle Realty, the landlord, couldn’t come to an agreement after Young forgot to give notice about his intent to renew last year, 365 days before his lease expired as specified in the agreement.

The Village Times Herald and the TBR News Media website featured five articles within the past two months on the closing and protests, and some of the stories also appeared in The Times of Smithtown. Talking to all parties involved, hearing the different sides of the issue, it was apparent there was more to the impasse than forgetting to renew a lease. A couple of matters couldn’t even be discussed because lease negotiations between private businesses are private matters.

We are saddened that something couldn’t be worked out. Especially since Young was hoping to retire in the near future and extending the lease and being able to sell the business to someone else would have meant he could have walked away with something more in his pockets.

A couple of weeks ago we wrote about the closing of Book Revue in Huntington village. Just like the iconic bookstore drew people to Huntington with its eclectic selection of books and celebrity author signings, the restaurant has done the same in the Three Village community by serving up its delicious meals and more.

As one reader wrote in a letter to the editor last week, in the last 27 years the restaurant served as the place “where we have celebrated birthdays, weddings, anniversaries and religious milestones. It’s where we have had our first dates and our first jobs.”

Regular visitors to Stony Brook Village Center would find that on the nights the restaurant was closed, the parking lot in the section of the shopping center it is located on was practically empty. When it was open, it could be difficult to find a spot.

When people come to eat in a restaurant, especially if they have to wait for a table, they’ll visit nearby stores. And, Pentimento has been a big attraction for both locals and residents from surrounding towns. As we mentioned in our editorial about Book Revue, sometimes the closing of a popular establishment can have a domino effect. We hope this won’t be the case with the village center.

We’re not quite sure what will replace Pentimento, but it will take a long time for residents to create new memories in whatever business goes into the empty space.

We thank Young, restaurant manager Lisa Cusumano and the staff for their service to the community, and we wish them all the happiness in the world.

Pixabay photo
Fracture risk is not linked to steroid use

By David Dunaief, M.D.

Dr. David Dunaief

Eczema is a common skin condition in both children and adults. It’s estimated that over seven percent of the U.S. adult population is afflicted (1), with twice as many females as males affected (2). Ranging in severity from mild to moderate to severe, adults tend to have moderate to severe eczema.

The causes of eczema are unknown, but it is thought that nature and nurture are both at play (3). Essentially, it is a chronic inflammatory process that involves symptoms of itching, pain, rashes and redness (4).

While there is no cure, treatments for eczema run the gamut from over-the-counter creams and lotions to prescription steroid creams to oral steroids and injectable biologics. Some use phototherapy for severe cases, but the research on its effectiveness is scant. Antihistamines are sometimes used to treat the itchiness. Interestingly, lifestyle modifications, specifically diet, may play an important role.

Two separate studies have shown an association between eczema and fracture risk, which we will investigate further. Let’s look at the evidence.

Not just skin deep

Eczema may be related to broken bones, according to several studies. For example, one observational study of 34,500 patients showed that those with eczema had a 44 percent increased risk of injury causing limitation and an even more disturbing 67 percent risk of bone fracture and bone or joint injury for those 30 years and older (5).

And if you have both fatigue or insomnia and eczema, you are at higher risk for bone or joint injury than having one or the other alone. The researchers postulated that the use of corticosteroids in treatment could be one reason for increased fracture risk, in addition to chronic inflammation, which may also contribute to the risk of bone loss.

Steroids may weaken bone, ligaments and tendons and may cause osteoporosis by decreasing bone mineral density.

A recently published study of over 500,000 patients tested this theory and found that the association between major osteoporotic fractures and atopic eczema remained, even after adjusting for a range of histories with oral corticosteroids (6). Also, fracture rates were higher in those with severe atopic eczema.

For those who have eczema, it may be wise to have a DEXA (bone) scan.

Do supplements help?

There are two well-known supplements for helping to reduce inflammation, evening primrose oil and borage oil. Are these supplements a good replacement for – or addition to – medications? The research is really mixed, leaning toward ineffective – and with some concerns.

In a meta-analysis of seven randomized controlled trials, evening primrose oil was no better than placebo in treating eczema (7).

The researchers also looked at eight studies of borage oil and found there was no difference from placebo in terms of symptom relief. While these supplements only had minor side effects in the study, they can interact with other medications. For example, evening primrose oil in combination with aspirin can cause clotting problems (8).

But don’t look to supplements for significant help.

Injectable solutions

Dupilumab is a biologic monoclonal antibody (9). In trials, this injectable drug showed good results, improving outcomes for moderate to severe eczema sufferers when topical steroids alone were not effective. Like any drug therapy, it does have side effects.

Topical probiotics

There are also potentially topical probiotics that could help with atopic dermatitis. In preliminary in-vitro (in a test tube) studies, the results look intriguing and show that topical probiotics from the human microbiome (gut) could potentially work as well as steroids (10). Currently, additional trials are underway in children with the atopic dermatitis form of eczema (11). This may be part of the road to treatments of the future. However, this is in very early stage of development.

Dietary possibilities

In a Japanese study involving over 700 pregnant women and their offspring, results showed that when the women ate either a diet high in green and yellow vegetables, beta carotene or citrus fruit there was a significant reduction in the risk of the child having eczema of 59 percent, 48 percent and 47 percent, respectively, when comparing highest to lowest consumption quartiles (12).

Elimination diets may also play a role. One study’s results showed when eggs were removed from the diet in those who were allergic, according to IgE testing, eczema improved significantly (13).

From an anecdotal perspective, I have seen very good results when treating patients who have eczema with dietary changes. My patient population includes about 15 to 20 percent of patients who suffer some level of eczema. For example, a young adult had eczema mostly on the extremities. When I first met the patient, these were angry, excoriated, erythematous and scratched lesions. However, after several months of a vegetable-rich diet, the patient’s skin had all but cleared.

Eczema exists on a spectrum from annoying to significantly affecting a patient’s quality of life (14). Supplements may not be the solution, at least not borage oil or evening primrose oil. However, there may be promising topical probiotics ahead and medications for the hard to treat. It might be best to avoid long-term systemic steroid use, because of the long-term side effects. Lifestyle modifications appear to be very effective, at least at the anecdotal level.

References:

(1) J Inv Dermatol. 2017;137(1):26-30. (2) BMC Dermatol. 2013;13(14). (3) Acta Derm Venereol (Stockh) 1985;117 (Suppl.):1-59. (4) uptodate.com. (5) JAMA Dermatol. 2015;151(1):33-41. (6) J Allergy Clin Immunol Pract. 2021 Sep 24;S2213-2198(21)01018-7. (7) Cochrane Database Syst Rev. 2013;4:CD004416. (8) mayoclinic.org (9) Medscape.com. (10) ACAAI 2014: Abstracts P328 and P329. (11) nih.gov. (12) Allergy. 2010 Jun 1;65(6):758-765. (13) J Am Acad Dermatol. 2004;50(3):391-404. (14) Contact Dermatitis 2008; 59:43-47.

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. 

Run a fork around the perimeter of the cooked spaghetti squash to release the strands. Photo from Pixabay

By Barbara Beltrami

Spaghetti squash is that pale yellow oval variety that takes its name from its textured flesh that very much resembles spaghetti.  It is delicious with all sorts of sauces and seasonings, but spaghetti it is not. It’s an acceptable substitute for those who are carb or calorie conscious, but I repeat, it is not spaghetti. All that being said, I enjoy cooking and eating it and have found and tweaked some interesting recipes that take it to a couple of ethnic facsimiles. Spaghetti Squash Carbonara, Spaghetti Squash Sauerkraut with Kielbasa, and Spaghetti Squash Chili are particularly tasty. Nothing but spaghetti is spaghetti but spaghetti squash is still a very nice veggie.

Spaghetti Squash Carbonara

YIELD: Makes 4 servings

INGREDIENTS: 

2 large spaghetti squash, 2 1/2  to 3 pounds each

1 cup freshly grated parmesan cheese

1 large egg

Coarse salt to taste and a generous amount of freshly ground pepper

6 ounces pancetta, finely chopped

1 garlic clove, minced

Pinch crushed hot red pepper flakes

1/2 cup heavy cream

1/3 cup chopped fresh flat leaf parsley

DIRECTIONS: 

Cut squash in half lengthwise. With a sharp spoon, scrape out the seeds and discard. Cover halves tightly with plastic wrap and microwave on high until flesh is very tender, then using a fork, scrape the spaghetti-like strands of flesh into a bowl. Meanwhile in a medium bowl mix together the grated cheese, egg, salt and pepper. 

In a large skillet over medium high heat, cook the pancetta until slightly brown, about 5 minutes; add garlic and red pepper flakes and cook just until garlic release its aroma, about 30 to 45 seconds. Stir in cream, bring to a boil, reduce heat to medium and stir in squash strands. Add cheese mixture and gently toss with squash mixture. Transfer to bowl, sprinkle with parsley and serve hot or warm with an arugula salad.

Spaghetti Squash Sauerkraut with Kielbasa

YIELD: Makes 4 servings

INGREDIENTS: 

1 large spaghetti squash (about 2 1/2 -3 pounds), halved lengthwise and seeded

2 large eggs, well beaten

1 1/3 cups sauerkraut, squeezed dry and chopped

Salt and freshly ground black pepper to taste

1 1/4 cups seeded rye bread crumbs

4 kielbasa sausages, cooked and sliced as desired

2 tablespoons vegetable oil

1 cup shredded Swiss cheese

DIRECTIONS: 

Place squash cut side down, uncovered, in a microwave safe dish with 1/4 cup water and cook on high until flesh is tender, about 10 minutes. Meanwhile in a large bowl combine eggs, sauerkraut, salt and pepper, bread crumbs, and kielbasa slices. When squash is cool enough to handle use a sharp spoon to scrape the flesh into the bowl with the sauerkraut mixture. Position rack in upper third of oven; preheat broiler. Place an ovenproof skillet over medium high heat to warm the oil; turn squash mixture in skillet and spread evenly; reduce heat to medium and cook without stirring until bottom is golden. Sprinkle with cheese and broil until top is golden, about 5 minutes. Serve with hash browned potatoes.

Spaghetti Squash Chili

YIELD: Makes 4 servings

INGREDIENTS: 

1 large spaghetti squash, about 2 1/2 to 3 pounds, halved lengthwise, seeds scraped out and discarded

1 medium onion, diced

1/4 cup vegetable oil

2 garlic cloves, chopped

1 pound ground beef

2 tablespoons tomato paste

2 tablespoons chili powder

2 teaspoons ground cumin

1 teaspoon ground coriander

1 tablespoon chopped fresh oregano

1/2 teaspoon hot red pepper flakes

Salt and freshly ground black pepper

One 28-ounce can diced tomatoes

One 14-ounce can red kidney beans, rinsed and drained

1 cup shredded Manchego cheese

1/2 cup chopped fresh cilantro

1/2 cup sour cream

DIRECTIONS: 

Cover cut side of squash with plastic wrap and microwave on high setting until soft, about 10 to 12 minutes. With fork, scrape into strands. Remove half of onion, place in cold water and cover tightly. Heat oil in large saucepan over medium heat; add remaining onion and garlic and cook, stirring occasionally until soft, about 3 minutes. Add beef, tomato paste, chili powder, cumin, coriander, oregano, pepper flakes and salt and pepper. Cook stirring occasionally until meat is brown, about 6 to 8 minutes. 

Add tomatoes with their juice and about 3/4 cup water to mixture, raise heat to high and bring to a boil, then reduce heat to medium low, add beans and cook until mixture is slightly thickened, about 20 minutes. Transfer chili to bowl, top with spaghetti squash, drained remaining onion, cheese, cilantro and sour cream. Serve hot or warm with tortilla chips.

Spaghetti Squash. Pixabay photo