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A child receives a present from Santa Claus at the Christmas Magic event on Dec. 6. Photo by Kevin Redding

By Fr. Francis Pizzarelli

Father Frank Pizzarelli

Once again the holiday and Christmas season is upon us. For Christians, this is a season of hope. If we’ve ever needed hope it is right now.

The political landscape around the world is explosive. Violence, hate and human exploitation seem to be everywhere. At home, although economic prosperity is growing, respect for human rights and the diversity of people is at an all-time low.

Our elected leadership, at every level starting with Washington, is scandalously lacking. Our human discourse is a disgrace. It is a sad day in America when people with differing viewpoints have to deteriorate to name-calling and ad hominem attacks because they have differing opinions. What happened to rigorous debate ending in agreeing to respectfully disagree and remain friends?

This holiday season we have been painfully reminded of the abuse of power and the abuse and misuse of human beings especially the human exploitation, abuse and harassment of women.

What are we teaching our children? What life lessons are they learning? What happened to leading by example? It is shameful that those elected to public office have remained painfully silent when it comes to the disgraceful and abusive behavior especially from those who possess the ultimate power.

Despite all of this, we still celebrate the season of hope — the hope that change and transformation are possible; the hope that in most human beings there is a reservoir of compassion and goodness. I am fortunate in the midst of all this chaos to witness every day the magic of Christmas-simple, ordinary wounded people reaching out and touching others with love and goodness.

For more than three decades I have lived among the most broken among us. I continue to stand in awe as I watch these young men change and transform their lives and others.

Over 30 years ago, a young lawyer named Charlie Russo founded an organization, Christmas Magic, to celebrate the true meaning of Christmas for his children. Never did he think all these years later that a simple organization would ultimately become a powerful not-for-profit outreach that touches thousands of young children in our bi-county shelter system each Christmas.

It has also become a wellspring for thousands of volunteers who share their love at this time of year. It is a concrete reminder for all of us of what the real reason for the season is. Russo’s powerful example is an inspiration to all those who are privileged to know him.

Every year the residents of Hope House with whom I live participate voluntarily in Christmas Magic. To witness firsthand these wounded young men reaching out to the poorest of the poor among our children is a powerful life lesson.

Seeing these struggling young people interacting with little children, holding their hands, watching the children open up their Christmas presents from Santa, seeing the tears in their eyes as these little ones say thank you is probably among the best Christmas presents for which one could hope.

So despite a nation that has lost its way and a government that seems narcissistic, this is still the season of hope. The real miracle of Christmas is things can get better if you believe! I do believe! This holiday season let hope become the anthem of your soul!

Fr. Pizzarelli, SMM, LCSW-R, ACSW, DCSW, is the director of Hope House Ministries in Port Jefferson.

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There are many reasons why estate planning is important.

By Nancy Burner, ESQ.

Nancy Burner, Esq.

Regardless of your age, the creation and maintenance of a thorough estate plan is essential. An estate plan ensures that your needs, your family’s needs and financial goals are met during your lifetime and upon your death. A thorough and comprehensive plan should include a last will and testament, health care proxy, living will and power of attorney. For some clients the creation of a trust is also practical. Through the creation of a last will and testament and/or a trust, you can establish how your assets will be distributed upon your death.

Additionally, you can ensure that the financial needs of your children or disabled beneficiaries are met after you pass away by establishing trusts for their benefit. By creating a health care proxy, you can designate a succession of individuals to make health care decisions on your behalf, if and only if you are incapable of making them on your own. An estate plan would also include the creation of a power of attorney, through which you can designate someone to handle your financial matters in the event you become incapable of doing so.

Once you have taken the time to create your estate planning documents, you must properly store and protect these original documents. This is particularly important with regard to your power of attorney since many banks and financial institutions require the original signed document. Additionally, the executor of your last will and testament must file the original document with the Surrogate’s Court. It is important to remember to not remove the staples from your original last will and testament.

When deciding where to keep your documents, you should consider who will be acting as your agent, trustee or executor. It is important that you keep your documents in a place where your named agent can easily find and access them. It is not recommended to keep your documents in your safe deposit box. Banks have strict rules about who they allow to open and access safe deposit boxes. This is especially problematic should you become incapacitated or upon your death, since you may be the only one with access to the box.

While some people believe that having a jointly owned safe deposit box will solve this problem, banks have been known to freeze access to safe deposit boxes even when there is a joint owner. If the bank does not allow access, your agent will need a court order to open the box and locate the documents. The most accessible place to keep your documents is in your home or office. It is important that you tell the individuals you name as your agents where your documents are located. The best way to protect your documents from damage is to keep them in a fireproof and waterproof box. However, if you choose to use a safe, make sure that your trusted agents have the safe lock combination.

Nancy Burner, Esq. practices elder law and estate planning from her East Setauket office.

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MEET BLOSSOM! This beautiful girl is Blossom, a 1½-year-old, domestic short hair tabby cat. Blossom was abandoned on the steps of Kent Animal Shelter’s clinic recently, along with her four kittens. All of the babies have been adopted into loving homes. Now it’s Blossom’s turn! This sweetheart would do best in a quiet home and needs to be the only cat. She is spayed, up to date with her vaccines, microchipped and has tested negative for feline AIDS and leukemia. Adoption fees are waived for all cats during the month of December! Kent Animal Shelter is located at 2259 River Road in Calverton. For more information on Blossom and other adoptable pets at Kent, visit www.kentanimalshelter.com or call 631-727-5731.

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Studies have shown that having a pet in your life significantly reduces the risk of cardiovascular disease.

By Matthew Kearns, DVM

I had a classmate in veterinary school who simply described his cat as “good for the head.” What he meant by that statement was when the stress of classes and studying became too much he could always count on his cat to ease the burden. Well, science is backing up this claim. Having a pet in your life can be good for the head and the body.

Let’s start with the head. How do we know that interacting with a pet reduces stress? Well, a recent study revealed that just the act of petting something reduces stress. This study put individuals in a stressed state and then offered them a rabbit, a turtle, a toy rabbit or a toy turtle. Those individuals who petted a real rabbit or turtle showed a significant reduction in stress compared to those that petted a toy rabbit or toy turtle.

Other studies have revealed that people with significant mental illness such as bipolar disease and schizophrenia benefit from pet ownership. Many people with significant mental illness live at home and do not reach out to the health care system and see their social circles shrink. Pet ownership decreases the loneliness and feelings of isolation that come with that.

One schizophrenic in an article I read stated that he was able to keep the voices in his head at bay by concentrating on the singing of his birds. Another study observed the act of walking or grooming a horse has been successful in reducing depression, anxiety and the symptoms of post-traumatic stress disorder in both survivors of childhood abuse and veterans.

A third study focused on comparing human social support and pet attachment support in combatting depression in geriatric patients. What they found was there was no relationship between human social support and depression, but there was a significant positive influence in pet attachment and depressed mood.

Now, we can move on to the body. Studies both in the United States and abroad have concluded that just sharing your life with a pet significantly reduces the risk of cardiovascular disease, such as a heart attack or stroke, reduces the risk of type 2 diabetes and lowers cholesterol. In addition, owning a pet motivates us to exercise more.

The national physical activity guidelines recommend 150 minutes of moderate exercise per week, but a Centers for Disease Control and Prevention analysis states only about 50 percent of Americans get that total.

In contrast to this data, research shows that dog owners walk an average of 22 minutes more per day. Not only do dog owners exercise more, but also the type of exercise is healthier. The type of exercise is described as at a moderate pace, which refers to getting the heart rate up.

This holiday season consider a pet as a gift for yourself. Consider it a New Year’s resolution, as well as a gift.

Thank you to all the readers who enjoy this column. I would like to also thank Heidi Sutton, editor of the Arts & Lifestyle section, as well as all the staff at the Times Beacon Record News Media for another great year.

Dr. Kearns practices veterinary medicine from his Port Jefferson office and is pictured with his son Matthew and his dog Jasmine.

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Added sugar increases risk of many diseases

By David Dunaief, M.D.

Dr. David Dunaief

We should all reduce the amount of added sugar we consume because of its negative effects on our health. It is recommended that we get no more than 10 percent of our diet from added sugars (1). However, approximately 14 percent of our diet is from added sugars alone (2).

Is all sugar bad for us? The answer is not straightforward. It really depends on the source, and when I mention source, my meaning may surprise you.

We know that white, processed sugar is bad. But I am constantly asked: Which sugar source is better — honey, agave, raw sugar, brown sugar or maple syrup? None are really good for us; they all raise the level of glucose (a type of sugar) in our blood. Forty-seven percent of our added sugar intake comes from processed food, while 39 percent comes from sweetened beverages, according to the most recent report from the Centers for Disease Control and Prevention (2). Sweetened beverages are defined as soft drinks, sports and energy drinks and fruit drinks. Even 100 percent fruit juice can raise our glucose levels. Don’t be deceived because it says it’s natural and doesn’t include “added” sugar.

These sugars increase the risk of, and may exacerbate, chronic diseases such as diabetes, heart disease, high blood pressure, cancer and obesity. This is such a significant problem that municipal legislatures have considered adding warning labels to sweetened drinks (3).

However, I did say that sugar’s source impacts its effect. Most fruits have beneficial effects in preventing disease, including diabetes, and do not raise sugar levels, even in patients with diabetes. It is a myth that whole fruit raises your sugar levels. However, dried fruits, fruit juice and fruit concentrate do raise your sugar levels. Note that sugar extracted from fruit has an effect similar to that of sugar added to foods and sweetened beverages.

Let’s look at the evidence.

Heart disease

When we think of sugar’s effects, heart disease is not usually the first disease that comes to mind. However, results from a 20-year study of 31,000 U.S. adults showed that, when comparing those who consumed the least amount of added sugar (less than 10 percent of calories daily) with those who consumed 10 to 25 percent and those who consumed more than 25 percent of daily calories from sugar, there were significant increases in risk of death from heart disease (4). The added sugar was from foods and sweetened beverages, not from fruit and fruit juices.

This was not just an increased risk of heart disease but an increased risk of cardiovascular death. This is a wake-up call to rein in our sugar consumption.

Obesity and weight gain

Does soda increase obesity risk? An assessment published in PLoS One, a highly respected, peer-reviewed journal, showed that it depends whether studies were funded by the beverage industry or had no ties to any lobbying groups (5). Study results were mirror images of each other: Studies not affiliated with the industry show that soda may increase obesity risk, while studies funded by the beverage industry show there may not be any association.

In studies without beverage industry funding, greater than 80 percent (10 of 12) showed associations between sugary drinks and increased weight or obesity, whereas with the beverage industry-funded studies, greater than 80 percent of them did not show this result (5 of 6). The moral of the story is that patients must be diligent in understanding studies’ funding and, if the results sound odd, they probably are. If this is the case, make sure to ask your doctor about the studies’ findings. Not all studies are equally well designed.

Diabetes and the benefits of fruit

Diabetes requires the patient to limit or avoid fruit altogether. Correct? This may not be true. Several studies may help change the long-standing, commonly held paradigm that fruit should be restricted in patients with diabetes and to prevent development of diabetes.

One study found that whole fruit may reduce the risk of diabetes by reducing inflammation and reducing insulin resistance (6). Specifically, results demonstrated a reduction in the inflammatory biomarker hsCRP. Ultimately, this may result in better glucose control. A potential reason for these impressive results may be the high levels of flavonoids, specifically anthocyanins and flavones. Flavonoids, as a class, are phytochemicals (plant nutrients) that provide pigment to fruits and vegetables and may have substantial antioxidant activities. Substances that are high in these two flavonoids include red grapes, berries, tea and wine.

Another study, a meta-analysis that looked at three large studies, including the Nurses’ Health Study, NHS II, and the Health Professionals Follow-up Study, showed that those who consumed the highest amount of anthocyanins were likely to experience a 15 percent reduction in the development of type 2 diabetes (7). Researchers compared those in the highest quintile of anthocyanin consumption with those in the lowest quintile.

Specifically, at least two servings of blueberries per week were shown to reduce the risk of diabetes by 23 percent, and at least five servings of apples and pears per week were also shown to reduce the risk by 23 percent. These were compared to those who consumed less than one serving per month. This is a small amount of fruit for a significant reduction.

From the same three studies, it was also shown that grapes, bananas and grapefruit reduce the risk of diabetes, while fruit juice and cantaloupe may increase risk (8).

In still another diabetes study, involving those who were newly diagnosed with type 2 diabetes, the risk of increasing glucose levels was no greater in those who consumed more than two servings of fruit per day compared to those who consumed fewer than two servings per day (9). The properties of flavonoids, for example, those found in whole fruit, may also result in anticancer and anticardiovascular disease properties, the opposite of added sugars (10).

Chronic disease incidence and complications from these diseases have skyrocketed in the last several decades. Therefore, any modifiable risk factor should be utilized to decrease our risk. By keeping added sugar to a minimum in our diets, we could make great strides in the fight to maintain our quality of life as we age.

We don’t have to avoid sugar completely; we still can satiate a sweet tooth by eating ripe fruits. Our access to fruit, even off-season, has expanded considerably. The most amazing thing is that fruit may actually reduce the risk of diabetes, something for years we thought might exacerbate it.

References: (1) 2015-2020 Dietary Guidelines for Americans. (2) cdc.gov. (3) reuters.com. (4) JAMA Intern Med. online Feb 03, 2014. (5) PLoS Med. 2013 Dec;10(12):e1001578. (6) J Nutr. 2014 Feb;144(2):202-208. (7) Am J Clin Nutr. 2012 Apr;95(4):925-933. (8) BMJ. online Aug 29, 2013. (9) Nutr J. published online March 5, 2013. (10) Plant Foods Hum Nutr. 2004 Summer;59(3):113-122.

Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.

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Above, Stony Brook Medicine’s Puerto Rico medical relief team. Photo from SBU

By Kenneth Kaushansky, M.D.

Dr. Kenneth Kaushansky

As the holidays arrive, our thoughts turn to giving — and giving back to those who need our help. Stony Brook Medicine’s Puerto Rico medical relief team did just that, spending two weeks on the devastated island to treat patients and give a much-needed break to health care workers there.

We got word, after Category 5 Hurricane Maria swept through, of the conditions in Puerto Rico. Pharmacies were in ruins. Patients with chronic illnesses who needed to see their primary care physicians could not get appointments. Health care professionals couldn’t tend to their own families, nor repair their damaged homes, because their services were needed around the clock.

Relief efforts for those in Puerto Rico took on many forms. In my role as chair of the Greater New York Hospital Association board of directors, I served as part of an organization that teamed up with the Healthcare Association of New York State to establish the New York Healthcare’s Puerto Rico Hurricane Relief Fund to assist hospitals, health care workers and their families in Puerto Rico. The fund is a vehicle for New York’s hospital community to show its support for frontline caregivers and their families who have suffered significant losses.

I’m proud how Stony Brook Medicine also responded to this human health crisis. As part of a 78-member relief team of personnel from hospitals around the region, Stony Brook organized a team of health care professionals that was deployed to Puerto Rico. They signed on to spend two weeks living and working 12-hour days in less-than-ideal conditions, with widespread shortages of food, water and electricity.

Our 23 care providers — three physicians, two nurse practitioners, nine nurses, four paramedics, four nursing assistants and one pharmacist — split up after arriving in Puerto Rico. Most were stationed in the city of Manatí, while the rest went to the city of Fajardo and then to the U.S. Navy hospital ship USNS Comfort. They worked closely with military personnel, federal agencies and the people of Puerto Rico. They saw more than 2,000 patients and helped local health care workers get some rest and get back on their feet.

Our team returned home in November to cheers and hugs from their co-workers and loved ones who met them at Stony Brook University Hospital. Despite the hardships and long hours, they spoke of the deeply fulfilling experiences they had in Puerto Rico. Their trip embodied the reasons why people choose a career in health care in the first place — to be of service and to provide excellent care.

Stony Brook Medicine’s mission is to deliver world-class, compassionate care to patients and families. And sometimes that mission extends well beyond our own four walls. We are making a difference, not only here at home but in communities around the world.

All of us at Stony Brook Medicine are so extremely proud of our Puerto Rico relief team. The work they did was heroic, generous in the extreme and so worthwhile. Our thanks also go to their families and to their Stony Brook colleagues who stepped up to cover extra shifts while the team was away.

Having heard many of their experiences, I cannot say enough about the team members and their devotion. I know they have returned much better for the experience and are now safely back to continue their efforts to improve the health of our patients.

Dr. Kenneth Kaushansky serves as dean of the School of Medicine and senior vice president of Health Sciences at State University of New York at Stony Brook.

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fir

By JoAnn Canino

After the fall cleanup and the flower beds are prepared for winter, there isn’t much that has to be done, unless Mother Nature reminds us who is in control.

Thomas Jefferson began his record of the weather in 1776 while in Philadelphia attending a session of the Continental Congress. Wherever he was living, he collected weather and other data in order to compare it to the weather in his gardens at Monticello. He noted the arrival of bluebirds, blackbirds and robins; when he heard frogs for the first time; and the exact date the weeping willow began to leaf.

He diligently noted when the last killing frost occurred, the amount of rainfall, the severity of the winds and the range in temperature. On June 13, 1791, Jefferson traveled to Long Island as secretary of state under President George Washington, along with his friend and neighbor, James Madison. They rode across the island on horseback with William Floyd (notable as one of the signers of the Declaration of Independence). One can only imagine what Long Island looked like to them. In fact, we can read the journals and letters of these early travelers to our island to find out.

In 1670 Daniel Denton (1626-1703) recorded observations while traveling across Long Island. He wrote of “mulberries, persimmons, plums, grapes, strawberries in such abundance in June that the Fields and Woods are ‘died’ red. Groves gleaming in spring with the white bloom of dogwood, glowing in fall with liquid amber and with sassafras and the yellow light of the smooth shafted tulip tree. An innumerable multitude of delightful flowers not only pleasing the eye, but smell … that it may be perceived at sea” (A Brief Description of New-York formerly called New-Netherlands [1670] London, England).

Early settlers discovered the Hempstead Plains. “Towards the middle of Long-Island lyeth a plain 16 miles long, 4 broad, upon which plain grows very fine grass that make exceedingly good hay and is very good pasture for sheep or other ‘cattel’; where you should find neither stick nor stone to hinder the horse heels,” Denton noted. Colonial settlers used it as common pasturage for their sheep and cattle.

Long Island was created about 20,000 years ago when the hills and plains were formed by huge glaciers. Shifting seas, pounding waves and severe weather continue to shape the landscape. From New York Harbor to Montauk Point, Long Island is 118 miles long. Situated between Long Island Sound to our north and the Atlantic Ocean to the south, it is separated from the mainland by the East River, actually considered to be a tidal strait. At its widest, the island is 23 miles. Its highest point, at an elevation of 400.9 feet above sea level, is near Melville at Jayne’s Hill (also called West Hills).

Appreciating the shape of the land and its proximity to the sea, we can begin to understand the forces that shape the landscape today. Kettle lakes like Lake Ronkonkoma were formed when massive boulders of ice melted in the sandy soil and were filled by rising groundwater. Following the glacier, forests grew. Hemlocks and spruce trees gave way to pines and the great oaks. Woods of chestnuts and hickory trees flourished. Swamp lands filled with Atlantic white cedars and red maples. Lush bushes of blueberries, cranberries and huckleberries grew in abundance. The freshwater streams were laden with trout.

Today, less than 80 acres survive of the 60,000 acres that comprised the Hempstead Plains. Nineteen acres are part of Nassau Community College and 60 acres of the Hempstead Plains Preserve are protected by the Nassau County Department of Recreation and Parks.

All around Long Island, natural processes are reshaping the shoreline and the interior. Wind, tides and changing sea levels are eroding the coast, wearing away protective dunes. At the mouth of the Nissequogue River in Smithtown, the salt marshes that protected the freshwater wetlands have almost disappeared because of storm erosion and rising sea levels. On the south shore, the barrier islands are losing about 1 to 2 feet of oceanfront each year. Northeast winds moving west across the coast push large amounts of sand.

We derive a sense of place from these natural elements that shape the environment in which we live. But in many ways we have lost our connection to the land that sustained the early settlers. We tend our gardens and lawns, dropping weed killer and fertilizers that leach into our fragile underground water supply. We ignore the destruction of natural places.

This month as we tune in to Earth’s eternal rhythms on Dec. 21, the winter solstice marks the beginning of our winter. The word “solstice” comes from the Latin, solstitium, which means the sun stands still. Actually, the sun is exactly over the Tropic of Capricorn. Because of the Earth’s tilt, our hemisphere is leaning farthest away from the sun. It is the shortest day of the year. Winter ends on the March equinox, which is derived from the Latin for equal night and day. After Dec. 21, the sun starts moving northward again and spring will be on its way.

Plants and trees that remained green all year have had a special meaning for people in winter. Pine, spruce and fir boughs were placed over doors and windows as symbols of everlasting life. Early Romans marked the solstice with a feast in honor of the god of agriculture, Saturn.

Today we “deck the halls with boughs of holly” and mistletoe as the early Christians did. Holly wreaths were given as gifts. The Pennsylvania German settlements in 1747 had community trees often decorated with apples, nuts and marzipan cookies. The Christmas tree tradition of placing lighted trees in town squares began with the invention of electricity, allowing the glow to continue into the dark night. Festive homes, all decked out with holly, mistletoe and the evergreen tree offer a warm welcome inside.

This time between the winter solstice and the spring equinox can be useful journal time to review the seasons that have passed. Take time to note all the activities and projects in our gardens as well as in our individual journeys. For many of us our gardens are sacred spaces of peace and renewal. While the garden sleeps, we can still take time to meditate on the riches of the Earth and to celebrate the new beginnings of an abundant and prosperous New Year.

JoAnn Canino is an avid journal writer and gardener and a member of the Three Village Garden Club.

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Zucchini and Carrot Latkes

By Barbara Beltrami

You don’t have to be Jewish to love latkes — those crispy pancakes or fritters made most often from grated potatoes and fried in oil to symbolize the cleansing and rededication of the temple in Jerusalem after it was defiled by the Syrians some 21 centuries ago. The Maccabees had only enough oil to light the menorah for one day, but miraculously it lasted for eight days.

Aside from this tradition, here’s the thing you must remember about latkes: They must be thin and crisp. In order to achieve that you must first coarsely grate the potatoes and any other vegetables in the recipe, then squeeze those grated veggies as dry as possible and discard the liquid that accumulates. You can add a little flour or matzo meal to the mixture, but that’s optional. A thin coating of oil in the skillet is sufficient for frying them.

While potatoes are by far the most traditional and popular ingredient, nowadays other vegetables such as sweet potatoes and zucchini have made their way into the customary Hanukkah fare. Follow the preparation procedure faithfully and create your own latkes. And you’d better make a lot, because they go fast before they even make it to the table!

Potato Latkes

Potato Latkes

YIELD: Makes 2 dozen pancakes

INGREDIENTS:

2 pounds potatoes, peeled and placed in cold water

1 medium onion

1 large egg, beaten

Salt and black pepper, to taste

Oil for frying

DIRECTIONS: Using a hand grater or food processor, coarsely grate the potatoes and onion. Place in a fine mesh strainer or clean tea towel and hold over a bowl while you squeeze out all the liquid. (The potato starch will settle to the bottom of the bowl; reserve that after you have very carefully poured off all the water.) In a large bowl mix the potato and onion with the starch; add the egg, salt and pepper and mix thoroughly to combine.

Place a griddle or large nonstick skillet over medium heat, pour in a thin film of vegetable oil, just enough to cover the bottom of the pan. Scoop about two tablespoons of the potato mixture with your hand or a large cooking spoon, flatten as much as possible, then drop gently onto griddle or into skillet. (Be careful as oil may spatter.) Flatten again with a spatula or the back of the spoon. Continue until griddle is filled but pancakes are not touching each other. Fry until golden, flip and fry the other side. Remove and place on a thick layer of paper towels, then press more paper towels on top of the pancakes to soak up excess oil. Serve immediately or reheat in a 350 F oven. Serve with applesauce or sour cream.

Zucchini-Carrot Latkes

Zucchini and Carrot Latkes

YIELD: Makes 2 dozen pancakes

INGREDIENTS:

2 pounds zucchini, coarsely grated ½ pound potatoes, coarsely grated

2 large carrots, coarsely grated

1 medium onion, coarsely grated

²⁄₃ cup freshly grated Parmesan cheese

²⁄₃ cup chopped flat-leaf parsley

1⁄₃ cup flour

2 eggs

Salt and freshly ground black pepper, to taste

1 garlic clove, finely minced

Vegetable or peanut oil for frying

DIRECTIONS: Drain, press and squeeze the grated vegetables to remove as much moisture as possible. Place in a medium bowl and add the cheese, parsley, flour, eggs, salt and pepper and garlic and mix thoroughly. In a large skillet, heat about ¼-inch of oil (just enough to coat the bottom of the pan). Using a large cooking spoon or your hands, scoop mixture and shape into patties; drop gently into hot oil and press with back of spoon to flatten. Over medium-high heat, fry, turning once, until both sides are crispy and golden brown. Drain on several layers of paper towels and press more paper towels on top. Serve with tomato sauce or sour cream.

Sweet Potato-Apple Latkes

Sweet Potato-Apple Latkes

YIELD: Makes 16 pancakes

INGREDIENTS:

1 pound sweet potatoes, peeled and grated

1 apple, peeled, cored and grated

½ cup flour

2 teaspoons sugar

2 teaspoons brown sugar

1 teaspoon baking powder

Salt and freshly ground pepper, to taste 2 large eggs, beaten

Approximately ½ cup milk

1 tablespoon freshly grated ginger

Oil for frying

DIRECTIONS: Coarsely grate the sweet potatoes and apple over a medium bowl. Drain, press and squeeze to eliminate as much moisture as possible. In another medium bowl, thoroughly mix the flour, sugar, brown sugar, baking powder, salt and pepper. Add the eggs and milk, a few tablespoons at a time, until the batter is stiff and moist but not runny. Add potatoes and apple and mix. Heat ¼ inch of oil in a skillet just to the point of barely smoking. Gently drop the batter in two-tablespoon measures and flatten with the back of the spoon. Fry, turning once, until both sides are golden, about 3 minutes each side. Drain on paper towels and pat tops with more paper towels. Serve hot with applesauce, maple syrup, honey or cranberry sauce.

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Above, Israel Kleinberg, right, with Mitch Goldberg, president of Ortek Therapeutics

By Daniel Dunaief

What if dentists could see developing cavities earlier? What if, once they discovered these potential problems, they could help their patients protect their teeth and avoid fillings? And, to top it off, what if they could do this without exposing their patients to radiation from X-rays?

The Electronic Cavity Detector

That’s exactly what Israel Kleinberg, a longtime Stony Brook University dental researcher and the founding director of the Division of Translational Oral Biology at SBU, recently developed. Called the electronic cavity detector, this new tool was recently approved by the Food and Drug Administration.

The device monitors mineral loss in enamel of molars and premolars. Powered by a battery, the handheld ECD uses electrical conductance to diagnose and monitor lesions. Tooth enamel does not conduct a signal. A lesion or crack in the enamel, however, will allow the ECD to record an early indication of a developing cavity.

“The ECD can detect lesions that are microscopic and [detect them] much sooner than X-rays,” Kleinberg explained in an email. Other research has shown that “X-rays are not very effective for diagnosing incipient enamel caries [cavities], though the technique is very useful for diagnosing deeper lesions.”

Ortek Therapeutics, a small company based in Roslyn Heights, supported the research to develop the technology over the last 10 years. Ortek is developing plans to commercialize the ECD, which could be available at a neighborhood dentist’s office by the middle of next year.

Mitch Goldberg, the president of Ortek, said the response to a positive reading on the ECD will depend on the dental practitioner. A very low conductance number could suggest a dentist pay further attention to the specific tooth. It might also lead a dentist to suggest improving oral care, brushing better or prescribing a fluoride rinse, among other options.“If the number is higher, the dentist will decide the appropriate treatment option, which could include minimally invasive procedures,” Goldberg said.

Goldberg, whose firm invested over $1 million in the work, is excited about the prospects for the ECD, for which Ortek filed and received a patent and then went through the FDA approval process. “It’s a painless” way to monitor teeth, Goldberg said. “There’s no radiation [involved].”

To be sure, he said the ECD won’t replace X-rays, particularly for teeth that already have a crown or other dental work or that are already known to have cracks or fissures. Still, Goldberg said this device could help monitor back teeth, where tiny lesions would not be causing a patient pain. The examination itself will require a short exam by either a hygienist or a dentist, who can put a probe in the bottom of a groove and gently move it along the tooth.

Any dental professional could be “trained on this in about 15 minutes,” Goldberg said. “They do similar types of work when they are probing and cleaning” teeth. Practitioners would likely understand the approach quickly, he said.

To operate the device, a dentist places a lip hook in the patient’s mouth. The dentist then puts a cotton roll between the tooth and the cheek, then air dries the tooth, Kleinberg explained in an email. The dentist lightly touches the tooth with the ECD probe and testing is completed in seconds.

Israel Kleinberg

Kleinberg, who has been developing this device for 14 years, suggested that the most common potential causes of false readings might be failure to dry the surface and operator error. The researcher developed this product with Stony Brook University Research Assistants Robi Chatterjee and Fred Confessore.

The partnership with Stony Brook has been a “win-win” for Ortek. Indeed, Kleinberg also developed a product called BasicBites. The chewable BasicBites provide a pH environment that supports healthy bacteria in the mouth. At the same time, BasicBites makes it harder for the bacteria that eats sugars and produces acids that wear away minerals on teeth to survive. The product make it tough for the acid-producing bacteria to eat food leftovers stuck between or around teeth.

Kleinberg, who has been with Stony Brook for 44 years, still works full time and shows no signs of slowing down. The researcher is the founding chairman of the Department of Oral Biology and Pathology. He stepped down from that position in 2009. Goldberg said he speaks with Kleinberg several times a week and calls his partner in cavity fighting an “inspiration,” adding that Kleinberg is considered the grandfather of oral biology.

Goldberg said he has a great sense of satisfaction when he goes to a pharmacy. “I take a glance at some of the products on store shelves that came out of Stony Brook and Ortek and it does give me tremendous pride,” he said.

Goldberg said he can’t disclose the market size for the ECD. He added that there are over 100,000 general dentists in the country who treat people of all ages. “There’s a tremendous opportunity for us,” he said, suggesting that dentists could check for any signs of early tooth decay before putting on a sealant.

Taking a similar approach to the BasicBites work, Kleinberg, with support from Ortek, is also researching skin-related technology for fighting MRSA-related infections and body odor. Goldberg said unwelcome bacteria often contribute to unpleasant smells that come off the skin. Ortek is also promoting the growth of healthy bacteria that reduce those scents.

While still in the early stages of development, Kleinberg has “developed a patented cutaneous or skin microbiome technology that promotes the growth of beneficial bacteria while crowding out harmful microbes,” Goldberg said. By exploring the microbiome, Kleinberg can promote the growth of better bacteria in the feet and under the arms.

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