Columns

Joel Saltz. Photo from SBU

By Daniel Dunaief

In the battle against cancer, doctors and scientists use targeted drugs to treat the disease. They also employ radiation, starve it of the nutrients it might need to grow, block key metabolic pathways in its development and encourage the immune system to attack these genetically misdirected cells that grow out of control. A developing field in this battle includes the use of computers, artificial intelligence and math.

Joel Saltz, the Cherith Chair of Biomedical Informatics at Stony Brook University, recently teamed up with researchers from Emory University and the University of Arkansas and won an $8 million grant from the National Cancer Institute to coordinate radiology and pathology information in the battle against cancer.

“By gathering more information, researchers can understand better what’s happening, what might happen and how best to treat cancer,” Saltz said. The grant will be divided equally among the three institutions over the course of five years. Saltz will be collaborating with Ashish Sharma at Emory and Fred Prior at the University of Arkansas.

Saltz has been working with Sharma for several years, when the two were at Ohio State and then moved together to Emory. This is Saltz’s first major grant with Prior, although the two have also known each other for years and have been working in the same NCI program.

Prior has considerable expertise in radiology, while Saltz is adding his pathology background to the mix. Radiology has used digital imaging for a long time and, until recently, pathology data was collected on glass slides. Saltz is helping bring digital pathology to this effort.

“We had been on panels for many years with NCI saying we need to do this sort of” collaboration, Saltz added, and now the trio is putting that idea to work.

Yusuf Hannun, the director of the Cancer Center at Stony Brook, sees the potential for this type of collaboration. “This is a very important effort that builds on several areas of outstanding strength” at the Cancer Center, the director explained in an email.

Exploring information from digitized radiology and pathology samples will “allow us to understand individual cancers at a much higher level. It should improve accuracy in diagnosis [and offer an] ability to provide better informed prognosis” and individual therapy, Hannun continued.

Researchers on the current grant, which is part of the Information Technology for Cancer Research, plan to expand resources for integrative imaging studies, build on the capacity to acquire high-quality data collections, dedicate resources to support reproducible research and increase community engagement.

Saltz will use the portion of the Stony Brook funds to develop new software integration tools and curation and work with researchers to analyze and understand their patient data. Over time, he will also hire additional staff to build out this expertise. He has collaborated with Kenneth Shroyer, chair of the Department of Pathology at Stony Brook, on pancreatic and ovarian cancer and on breast cancer with pathology professor Patricia Thompson, who is also director of basic science at the Cancer Center. Shroyer “plays an important role” in all his research, Saltz said.

“Digital pathology will supplement that art of surgical pathology with quantitative data, to improve diagnostic accuracy,” Shroyer wrote in an email, which will “inform decisions on how to optimize therapeutic intervention for the treatment of cancer and many other diseases.”

Shroyer interviewed Saltz before Stony Brook hired its first bioinformatics chair. “Based on his research focus, including his pioneering efforts in digital pathology, he clearly stood out as my top choice.”

Saltz and Shroyer have generated maps of patterns for immune cells in tumors. “We and others have shown that these are related to how patients respond to treatment,” Saltz said. He described his work with these scientists as “basic clinical cancer research,” in which he develops and enhances technology to understand various types of cancer.

This particular grant is “more about technology and curation,” Saltz said. “People are developing new algorithms, in artificial intelligence and machine learning.” By making this information available, scientists from around the world who have insights into the specific types of cancer can use it to predict responses to treatment and develop and refine the algorithms that underlie the computer analysis.

Using specific cancers from radiology and pathology studies is akin to sitting in a football stadium and examining a blade of grass from the bleachers, Saltz suggested, borrowing from a phrase he’d heard at a recent panel discussion with Liron Pantanowitz from the Department of Pathology at the University of Pittsburgh Medical Center.

“What we do is we create catalogs of every blade of grass and every worm and weed,” Saltz added. “It’s a huge database problem” in which he is integrating software development.

Hannun, who has been working to help Stony Brook University earn a National Cancer Institute designation, suggested that this bioinformatics work is “a critical component of our plans” and represents an area of exceptional strength.”

Cancer bioinformatics is “one of the main pillars of our research program and it integrates well with our efforts in imaging, metabolomics, improved diagnostics and improved therapeutics,” Hannun explained.

As for his department, Saltz said Stony Brook will have its first biomedical informatics Ph.D. graduate at the end of 2017. Yanhui Liang joined Stony Brook when Assistant Professor Fusheng Wang came to Long Island from Emory. Xin Chen will graduate in May of 2018.

The doctoral program, which launched last year, has five current students and “we’re hoping to get a bigger class this year,” Saltz said. “Informatics involves making techniques for better health care,” Saltz said. People with medical degrees can do fellowship training in clinical informatics.

A resident of Manhasset, Saltz lives with his wife Mary, who is an assistant clinical professor of radiology at Stony Brook University. Over the course of the next five years, Saltz said he believes this grant will continue to allow him and his collaborators to develop tools that will help provide insights into cancer research and, down the road, into personalized cancer treatment.

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Thanksgiving Day has passed but the thankfulness lingers on. It’s a wonderful feeling, to be appreciative and to give thanks for the richness of life. I understand that there are even clinical studies showing that such feelings promote health. So on such a crusade, here’s what I suggest we can all be thankful for at this time.

For starters, let’s consider the weather. Amid the chaotic political climate, our weather has been serene right up to the end of November. When my family visited, we could walk the beach, stroll on the roads, play touch football — they did, not me — and just bask on the front porch in the sun. It was so warm, we could have been in Florida. And there was nary a raindrop in sight.

The warm temperatures have delayed the falling leaves, and many trees and bushes still offer bursts of glorious color. Even a drive on Northern State Parkway in traffic can actually be a pleasure, at least aesthetically. We know that the trees will soon be bare so this late autumnal show is particularly to be appreciated. The birds are still in fine chorus, the rabbits are bopping around in plain sight and the squirrels are playing between tree limbs even as they are busy gathering their acorns.

The satisfactions that come along with a visit from one’s family are grand. Despite any high-spirited political discussions, the sight and success stories of children and grandchildren fill one’s heart. My four grandchildren are at an age now when mighty accomplishments seem within reach and future possibilities appear limitless. Two are in college, each pursuing their respective dream of filmmaking and music composition; the third is visiting colleges between her volleyball tournaments; and the youngest is a star baseball player in high school, which is exactly where he wants to be on his hoped-for career in the majors. They are not frivolous in going about realizing their goals. They understand that academic excellence is required, and they work tirelessly at that task. During their visit, they could be found doing physics homework, prepping for the SATs and, to my great delight, practicing on their musical instruments. They, and we, have reached the stage where their music soars, even during practice. Gone are the squeaks and sour notes of yesteryear.

My children and their spouses are doing what they want to be doing and finding satisfaction in their particular successes, which gives me untold pleasure. They have also reached the stage in their parenting where they can appreciate their own parents. Three of my grandchildren are still teenagers, and I know of no harder job than the raising of teens. My children can look back now and sometimes marvel at how their parents handled those years. They might even ask for a bit of advice. That, of course, gives us grandparents further pleasure because our children have now become our friends. And for our part, we can ask their advice in turn. It’s a wonderful stage of life for us oldies. We can enjoy the capital gains of our investments in our children and the dividends with our grandchildren.

Ultimately what is it that really makes us thankful? I don’t know anyone who gives thanks for their Mercedes or diamond tiara, much as it may be fun to have those symbols of accomplishment. To be really thankful is to have what will outlive us — those we love.

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The fictions start when we’re young.

Santa Claus is coming to town. Oh yeah? Well, hopefully he isn’t traveling on the New York area transit system, which seems to be making two types of stops these days: late and later.

Certainly, young children can and should revel in the stories that animate this time of year, when cold and snow usually replace warm and bright weather.

And yet it might be a good time to reflect on the myths of our youth, just to compare them to our realities. Let’s start:

• Everyone gets what they deserve or what’s coming to them. Hmm, does it seem fair or merit based that some of the finest teachers in the country, who serve as an inspiration to children year after year, earn barely enough to afford modest cars that warm up just as they arrive at school? Compare this iniquity with athletes who spit at each other, curse at their coaches, fight on the field and charge people for autographs, yet are earning exorbitant salaries to play children’s games.

• It’s the beauty on the inside that counts. That sounds nice and, in some cases, it actually plays out that way, as people cherish the character, spirit and energy of the person they meet, rather than dwelling on how much they fit the modern ideal for a man or woman. And yet for every magazine cover with a regular-looking bloke or woman, there are 10 or more who look like lithe or buff caricatures of real people.

• Slow and steady wins the race. Yeah, maybe for turtles and rabbits, but everyone is racing to win, win, win at all costs. Sure, patience and gradual steps toward a goal make sense, but a capitalist society is driven by those who are the first movers, who make the unexpected discoveries and who patent their method, idea or product first.

• Winning isn’t everything. Oh, no? It sure does seem like cause for enormous celebrations. The Winter Olympics are coming up in February. Will we revel in the effort the athletes took to get there, will we celebrate the man or woman who finishes fourth, and will we congratulate the athlete who didn’t make it to the medal round? Maybe, but then again aren’t we more likely to remember the names and achievements of those who finished first or, gulp, second?

• Be who you are. That sounds lovely, but doesn’t that depend on what state you’re in? In some states, if who you are involves altering gender expectations, that might be problematic. Yes, we are all urged to celebrate ourselves and our identity, but others don’t necessarily join the party if they feel threatened by those we embrace.

• Truth, justice and the American way. No, I’m not referring to Superman here, although those are the words from the famous comic book hero. Listening to people fight about the direction of the country suggests that the American way isn’t what it used to be. Ask President Trump, who is so fond of deriding what he describes as “fake news.” We as a nation can’t agree on truths anymore, because we have become so adept at fighting the appearance of disagreeable facts.

• Happily ever after. This catchphrase depends on whom you ask, but seems to involve riding off cheerily into some sunset aboard a horse-drawn carriage. Years like 2017 can present bumps in the road, the way acne suddenly appears on the face of a developing teenager. That doesn’t mean life won’t involve a “happily ever after.” Maybe we should revise the homily to suggest that it will likely require work, in which the payoff, down the road, is worth the challenges.

A recent study found that those who walk with more pace are more likely to decrease their mortality from all causes and increase their longevity.
Look beyond the number of steps you take
Dr. David Dunaief

By David Dunaief, M.D.

For most of us, exercise is not a priority during the winter months, especially during the holiday season. We think that it’s okay to let ourselves go and that a few more pounds will help insulate us from the anticipated cold weather, when we will lock ourselves indoors and hibernate. Of course I am exaggerating, but I am trying to make a point. During the winter, it is even more important to put exercise at the forefront of our consciousness, because we tend to gain the most weight during the Thanksgiving to New Year holiday season (1).

Many times we are told by the medical community to exercise, which of course is sage advice. It seems simple enough; however, the type, intensity level and frequency of exercise may not be well defined. For instance, any type of walking is beneficial, right? Well, as one study that quantifies walking pace notes, some types of walking are better than others, although physical activity is always a good thing compared to being sedentary.

We know exercise is beneficial for prevention and treatment of chronic disease. But another very important aspect of exercise is the impact it has on specific diseases, such as diabetes and osteoarthritis. Also, certain supplements and drugs may decrease the beneficial effects of exercise. They are not necessarily the ones you think. They include resveratrol and nonsteroidal anti-inflammatory drugs (such as ibuprofen). Let’s look at the evidence.

Walking with a spring in your step

While pedometers give a sense of how many steps you take on a daily basis, more than just this number is important. Intensity, rather than quantity or distance, may be the primary indicator of the benefit derived from walking.

In the National Walkers’ Health Study, results showed that those who walk with more pace are more likely to decrease their mortality from all causes and to increase their longevity (2). This is one of the first studies to quantify specific speed and its impact. In the study, there were four groups. The fastest group was almost jogging, walking at a mean pace of less than 13.5 minutes per mile, while the slowest group was walking at a pace of 17 minutes or more per mile.

The slowest walkers had a higher probability of dying, especially from dementia and heart disease. Those in the slowest group stratified even further: Those whose pace equaled 24-minute miles or greater had twice the risk of death compared to those who walked with greater speed. However, the most intriguing aspect of the study was that there were big differences in mortality reduction in the second slowest category compared to the slowest, which might only be separated by a minute-per-mile pace. So don’t fret: You don’t have to be a speed walker in order to get significant benefit.

Mind-body connection

The mind also plays a significant role in exercise. When we exercise, we tend to beat ourselves up mentally because we are disappointed with our results. The results of a new study say that this is not the best approach (3). Researchers created two groups. The first was told to find four positive phrases, chosen by the participants, to motivate them while on a stationary bike and repeat these phrases consistently for the next two weeks while exercising.

Members of the group who repeated these motivating phrases consistently, throughout each workout, were able to increase their stamina for intensive exercise after only two weeks, while the same could not be said for the control group, which did not use reinforcing phrases.

‘Longevity’ supplement may have negative impact

Resveratrol is a substance that is thought to provide increased longevity through proteins called Sirtuin 1. So how could it negate some benefit from exercise? Well, it turns out that we need acute inflammation to achieve some exercise benefits, and resveratrol has anti-inflammatory effects. Acute inflammation is short-term inflammation and is different from chronic inflammation, which is the basis for many diseases.

In a small randomized controlled study, treatment group participants were given 250 mg supplements of resveratrol and saw significantly less benefit from aerobic exercise over an eight-week period, compared to those who were in the control group (4). Participants in the control group had improvements in both cholesterol and blood pressure that were not seen in the treatment group. This was a small study of short duration, although it was well designed.

Impact on diabetes complications

Unfortunately, type 2 diabetes is on the rise, and the majority of these patients suffer from cardiovascular disease. Drugs used to control sugar levels don’t seem to impact the risk for developing cardiovascular disease.

So what can be done? In a recent prospective (forward-looking) observational study, results show that diabetes patients who exercise less frequently, once or twice a week for 30 minutes, are at a higher risk of developing cardiovascular disease and almost a 70 percent greater risk of dying from it than those who exercised at least three times a week for 30 minutes each session. In addition, those who exercised only twice a week had an almost 50 percent increased risk of all-cause mortality (5). The study followed more than 15,000 men and women with a mean age of 60 for five years. The authors stressed the importance of exercise and its role in reducing diabetes complications.

Fitness age

You can now calculate your fitness age without the use of a treadmill, according to the HUNT study [6]. A new online calculator utilizes basic parameters such as age, gender, height, weight, waist circumference and frequency and intensity of exercise, allowing you to judge where you stand with exercise health. This calculator can be found at www.ntnu.edu/cerg/vo2max. The results may surprise you.

Even in winter, you can walk and talk yourself to improved health by increasing your intensity while repeating positive phrases that help you overcome premature exhaustion. Frequency is important as well. Exercise can also have a significant impact on complications of chronic diseases, such as cardiovascular disease and resulting death with diabetes.

When the weather does become colder, take caution when walking outside to avoid black ice or use a treadmill to walk with alacrity. Getting outside during the day may also help you avoid the winter blues.

References: (1) N Engl J Med. 2000;342:861-867. (2) PLoS One. 2013;8:e81098. (3) Med Sci Sports Exerc. 2013 Oct. 10. (4) J Physiol Online. 2013 July 22. (5) Eur J Prev Cardiol Online. 2013 Nov. 13. (6) Med Sci Sports Exerc. 2011;43:2024-2030.

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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Euphorbia characias can be grown on Long Island with winter protection. Photo by Kyrnan Harvey

By Kyrnan Harvey

Alas, the allium are pretty well sold out, daffodils too I am afraid to report, from my mail-order sources like John Scheepers and Brent & Becky’s. However, if you still have the urge to invest some effort to procure some deer-proof color for spring, try the garden centers and the box stores. Possibly some choice varieties are still available, but be sure that they are not shriveled dry from a couple months of indoor heat.

With the leaves finally down, I make sure they are blown off the lawns. Lawn grasses thrive in cooler weather, so you don’t want to deprive them of a few weeks of prosperity with smothering damp leaf cover. Moreover, there is a modest pleasure derived from seeing your lawn all uniformly green again after gazing for weeks over the leafy litter, a refreshing counterpoint, more especially now, to the barren limbs of trees, the naked stems of deciduous shrubs and to the straw-colored ornamental grasses.

If you employ a lawn service, leaf blowers will typically trod over, through and onto eyes of Baptisia and peonies and Amsonia hubrichtii (commonly called blue star), blasting every scrap of humus and last May’s mulch out of the beds, exposing the naturalized and nestled-in forget-me-nots to killing exposure. In naturalistic and ecologically correct gardens it is preferable to leave fallen leaves in planted beds and where there is no lawn or paving. I even blow them into the beds, within reason, as nature’s natural mulch.

My diktat to clients, to pass onto their gardeners, is “Don’t blow the leaves in (else they will blow all of them in)” and “Don’t blow them out — of my plantings.” True, some leaves will be blown out by those arctic gusts into the lawns, and come spring cleanup you will have some work to do, removing leaves by hand where they have accumulated, but it beats the alternative of clodhoppers crushing the dormant crowns of coneflowers and columbines. I get many self-seeded perennials; but if you let your gardener blow out your beds, chances are they will blow out the baby with the bathwater.

Recently, my 10-year-old RedMax blower, a lightweight, handheld, gas-powered tool, developed carburetor issues. Rather than spend the money to have it fixed (or not), I bought a new Stihl, available at Ar-Jon Outdoor Power Equipment on Comsewogue Road in East Setauket. Very light, good power, $140.

While landscapers use the much heavier and noisier backpack blower, the Stihl is perfect for the homeowner, as indispensable to the lady gardener as to the lazy teen. If you have under a half-dozen oak trees, this is all you need. Gardeners should prefer control over leaf removal. If you have an incipient woodland garden, for example, blow all the leaves into it; they will prevent weed seeds from germinating and in two years will be earthworm-loving humus. Or blow them under the arching stems of the forsythia and into the hydrangeas.

Leaf mold is a most excellent compost. You could pile all your leaves in a hidden, out-of-the-way corner and start a large compost pile with which to annually amend your organic kitchen garden.

I have had, in a protected corner of a client’s garden, a Euphorbia characias. A common sight in sophisticated English gardens, it is an evergreen spurge native to the Mediterranean and thus not very hardy here. A year and a half ago I scattered its seeds in my home garden. Last spring they started germinating, albeit in an exposed location. The deer haven’t touched them because of the sticky sap. And this past month I have blown leaves into them, providing much needed insulation.

Kyrnan Harvey is a horticulturist and garden designer residing in East Setauket. For more information, visit www.boskygarden.com.

Penelope

MEET PENELOPE! This pretty girl is Penelope. Unfortunately, she was returned to Kent Animal Shelter after one year due to a new baby in the house that has allergies. At six years young, she is super sweet and great with kids. Penelope comes neutered, microchipped and up to date on vaccines. Why not drop by and say hello? Kent Animal Shelter is located at 2259 River Road in Calverton. For more information on Penelope and other adoptable pets at Kent, please call 631-727-5731 or visit www.kentanimalshelter.com.

 

Bacon-Wrapped Scallops with Wasabi Mayonnaise

By Barbara Beltrami

What ever happened to the hors d’oeuvres that used to be a staple at every cocktail party? Thank goodness, pigs in a blanket, regarded by professional caterers as the consistently most popular hors d’oeuvre at any party, have survived the hors d’oeuvres revolution.

But what about sweet and sour meatballs? Scallops wrapped in bacon? They’ve been usurped and driven out of town by the ubiquitous smoked salmon and caviar or fig and goat cheese canapés, bruschette and crostini, spring rolls and sun-dried tomatoes, quiches and crudites, lamb lollipops and wonton wrapped and phyllo-filled delicacies that practically come with pedigrees.

I’m as guilty as the next person in serving and scarfing down these precious concoctions. But if I put them on a tray next to their popular predecessors, guess which would be gobbled up first. If you’re reading this and you’re one of those people who still serve any of those once so popular and delicious dinner precursors, good for you! And please invite me to your next party because frankly, I’m getting tired of their replacements. And while you’re at it, don’t forget the sour cream and onion dip.

Sweet and Sour Meatballs

Sweet and Sour Meatballs

YIELD: Makes 16 servings

INGREDIENTS: 2 pounds ground beef

½ cup bread crumbs

1 onion, minced

Half a green bell pepper, minced

1 egg

Salt and pepper to taste

¼ cup finely chopped flat-leaf parsley

1½ cups jellied cranberry sauce

12 ounces ketchup

2 tablespoons brown sugar

1 tablespoon soy sauce

2 teaspoons red wine vinegar

1 teaspoon hot red pepper flakes

DIRECTIONS: In a large bowl combine the beef, bread crumbs, onion, green bell pepper, egg, salt and pepper and parsley; mix thoroughly. Roll mixture into balls about the size of a walnut and place in a large baking dish. Bake in 375 F oven for 25 minutes or until brown on top; turn meatballs and bake another 10 to 15 minutes to brown other side.

Meanwhile in a large pot combine the cranberry sauce, ketchup, brown sugar, soy sauce, vinegar and hot red pepper flakes. Mix thoroughly; taste to adjust flavor and add more sugar, soy sauce or vinegar, if desired. Heat, stirring frequently, over medium low flame. Keep at a simmer. When meatballs are cooked, remove them from oven and gently add them along with any juice or fat in the pan to the sauce. Stir and continue to simmer for at least 30 minutes. Serve hot with pineapple chunks, rice, toasted Italian or French bread slices, sweet pickles or cheese cubes.

Bacon-Wrapped Scallops with Wasabi Mayonnaise

Bacon-Wrapped Scallops with Wasabi Mayonnaise

YIELD: Makes 24 pieces

INGREDIENTS:

Toothpicks

½ cup teriyaki sauce

¹⁄₃ cup brown sugar

3 tablespoons grated fresh ginger root

2 teaspoons freshly squeezed lemon juice

2 cloves garlic, crushed

12 large sea scallops, rinsed, patted dry and halved horizontally

12 slices of bacon, cut in half crosswise

DIRECTIONS: Soak toothpicks in hot water for 20 to 30 minutes. Preheat oven to 425 F. In a small bowl, whisk together the teriyaki sauce, brown sugar, ginger root, lemon juice and garlic. Carefully wrap bacon around perimeter of each scallop half; secure with toothpick. Remove crushed garlic from teriyaki mixture; brush each bacon-wrapped scallop with teriyaki mixture and place in foil-lined baking pan. Bake for 5 to 6 minutes until golden brown on top side; turn and bake another 4 to 5 minutes until second side is golden brown. Serve hot with wasabi mayonnaise.

Wasabi Mayonnaise: Whisk together one cup good-quality mayonnaise, one tablespoon soy sauce, two teaspoons sugar, two teaspoons freshly squeezed lemon juice, one or two teaspoons wasabi paste (depending on how hot you like it). Serve in small bowl.

Moss Ball

Moss Ball

YIELD: Makes a one-pound ball

INGREDIENTS:

8 ounces cream cheese

½ pound blue, Roquefort or Gorgonzola cheese, crumbled

¼ pound extra sharp cheddar cheese, grated

1 small onion, minced

1 tablespoon Worcestershire sauce

½ cup chopped pecans or walnuts

½ cup finely chopped flat-leaf parsley

½ teaspoon freshly ground black pepper

DIRECTIONS: Place all cheeses in mixer bowl and let sit at room temperature until softened. Beat on medium speed until well combined. Add onion and Worcestershire sauce and beat well. Roll into ball, wrap and refrigerate 3 to 4 hours. In small bowl, mix the nuts, parsley and black pepper. Spread on sheets of wax paper or on a large baking sheet. Roll cheese ball in nut and parsley mixture until well coated and nuts and parsley are all used up; press any straggling pieces into the ball. Cover again and chill until firm, about 2 hours. Serves with crackers.

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By Judie Gorenstein

On Election Day this November, 31.9 percent of registered voters in Suffolk County turned out to vote in an off-year election. Although this means that less than one-third of those registered actually voted, this was more than 50 percent greater than the turnout four years ago, when only 20.9 percent voted (presidential/congressional elections consistently have greater turnout in even-numbered years).

This substantial increase in the 2017 turnout was the result of an organized opposition to the proposed constitutional convention. For the most part, the opponents were concerned that they might lose their rights to collective bargaining and pension rights for teachers and other public workers.  People are always energized when they fear they might lose something they have, when they believe their rights will be taken away, and turn this energy into action and voting.

What about being motivated to fight for rights you do not have? The women suffragists were highly motivated to fight for the right to vote. In fact, they began in 1848 in Seneca Falls and finally got the right to vote in New York State in 1917; 100 years ago — three years before all women in the United States got that right. Currently, however, New York has one of the lowest voter turnouts, ranking 41 out of 50 states.

It’s true that we do not have laws deliberately designed to discourage voting or restrict those who can vote (such as states whose selective permissible IDs allow gun permits but not college IDs, which disenfranchise specific groups of voters, or require special IDs for those without driver’s licenses, which are only issued in a small number of locations statewide). But we discourage voting in less obvious ways:

• New York is one of the minority of states that does NOT have early voting, which allows voters to go to the polls on selected days prior to Election Day. Allowing people to vote on weekends before Election Day helps those whose work schedules prohibit them from getting to the polls on the first Tuesday in November.

• We are in the minority of states that do NOT have no-excuse absentee voting. Currently, voters must attest that they have a legitimate reason (travel, illness, etc.) to ask for an absentee ballot.

• We have one of the longest time requirements between registration and voting. A New York State voter has to register 25 days before the election. And anyone who wants to vote in a party primary must be registered in that party over a year before the primary (since New York is a “closed primary” state).

• The full-faced ballot that the state requires is difficult to read (requiring magnifying glasses at each polling station) and confusing in design.

• In addition, in even years when we have both state and federal primaries, these are scheduled during two different months; and when there is a presidential election, we add a third primary day. This is not only costly but confuses voters and leads to low voter turnout.

• With our archaic election laws, it is no wonder that New York State voter turnout is low!

Voters who supported the constitutional convention (Proposition 1 on the 2017 ballot) saw it as an opportunity to modernize our election and other laws through citizen involvement in updating the state’s constitution. Since that proposition was defeated, laws can only be changed through the existing legislative process in Albany. This means that bills to change election laws must pass in both the New York Assembly and the New York Senate in two consecutive years.

Can this happen? Yes, it certainly can.

Will it happen? Remember that our state senators and assembly members were elected with the current laws and redistricting that favor the incumbents. New York’s incumbent return rate is one of the highest in the nation, hovering close to 95 percent. Thus, to convince them to introduce and pass bills to change the laws, there has to be a groundswell from the public demanding such change.

Voters need to advocate for the modernization of our election laws and lobby their legislators to introduce and vote for bills that enfranchise voters. We need no-excuse absentee ballots. We need early voting. We need to be able to register closer to the day of the election.  In fact, same-day registration would be preferable. Voters must do their part to bring about these changes.

What can you do?  First, know who your elected New York State officials are. The League of Women Voters of Suffolk County produces a Directory of Public Officials annually, which can be viewed on the LWV of Suffolk County website: www.lwv-suffolkcounty.org and print copies are also available. Once you identify your state senator and assembly member, contact them.

You can join and participate in the good government groups that already exist advocating for change.  You can go the LWV New York State website www.lwvny.org and click on advocacy and see what the League has been doing. You can also organize your own group — get others who like you are civically minded and want to bring about change.  It is true that right now, big money plays a major role in influencing policy on all levels, but remember it is only people who can vote. Speak up, encourage others to do so and have your voices heard. Our democracy works best when everyone participates.

Judie Gorenstein is vice president for voter services of the League of Women Voters of Suffolk County, a nonprofit, nonpartisan organization that encourages the informed and active participation of citizens in government and influences public policy through education and advocacy. For more information, visit www.lwv-suffolkcounty.org, email [email protected] or call 631-862-6860.

ALL DECKED OUT A decorated street lantern on East Main Street in Port Jefferson will shine on the 22nd annual Charles Dickens Festival this weekend, Dec. 2 and 3. The two-day event will transform the village into a 19th-century Dickensian postcard. Photo by Heidi Sutton

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By Elof Axel Carlson

Elof Axel Carlson

What do the Empire State Building, the Metropolitan Museum of Art, the Flat Iron Building and the Yankee Stadium all have in common? They are all made of Indiana limestone whose quarries are chiefly in Monroe County where Bloomington, Indiana, and Indiana University are located.

The limestone industry got its start when the Welsh founder of New Harmony, Indiana, a British millionaire by the name of Robert Owen, tried establishing a utopian community (it lasted less than five years). He returned to Great Britain but his two sons liked American culture. One became the president of Purdue University and the other became a geologist at Indiana University and promoted the virtues of the limestone he studied in the Bloomington area.

By the 1830s with the advent of railroads, limestone crushed into pebbles was widely used for railroad track construction. In the 1880s the era of skyscrapers in large cities began and Indiana limestone was favored because it was easily shaped and cut.

Limestone is calcium carbonate that was formed 330 million years ago when most of the Midwest was an inland sea. Most of life on Earth was in the sea. Ameba-like protozoa sometimes formed calcium carbonate shells. So did crinoids or sea lilies, which are related to echinoderms like starfishes. The limestone for buildings came from a region of the inland sea that had mostly protozoa raining down their external skeletons when they died, forming a fine silt dozens of feet thick.

When I was a graduate student getting my doctorate in genetics, I would sometimes go on field trips to visit the caves and limestone quarry holes. One of the delights was scooping water from a quarry hole and bringing it back to Indiana University to look at a very rare organism — Craspedacusta — a freshwater jellyfish. Most jellyfish are found in saltwater oceans. Craspedacusta are small, about a half inch in diameter, and they pulsate as they swim in water. During the summer when we have visits from family and friends, we like to take our guests to Lake Monroe and collect fossils, mostly crinoids, in the fractured limestone gravel along the lake’s beachfront.

The limestone industry has supplied courthouses throughout the United States, government buildings like the Pentagon, thousands of limestone war memorials, cemetery headstones and hundreds of skyscrapers around the world.

The quarry holes are not used as landfills for trash. They dot the south central hilly terrain of southern Indiana. Sometimes the homeless or runaways live in the caves that have been dug into the sides of the quarry hole. The land around them slowly turns green with new grasses and trees. Those who work in the stone trade are like a medieval guild, with stone cutters whose families have done this for three or more generations.

In the 1979 movie, “Breaking Away,” which portrayed the Little 500 IU Bicycle Race, the children of the stone workers called their team “the cutters” and many townspeople still wear T-shirts with the word “Cutters” as a mark of pride. We are often connected without knowing it. In my childhood and youth, I was unaware as a Yankee fan that the house that Ruth built was made of limestone that would make my future retirement home (whose façade is made of limestone). I did not know the magnificent paintings I looked at and studied at the Metropolitan Museum of Art were housed in limestone. I did not know that the Flat Iron Building and the Empire State Building that I saw hundreds of times in my youth were made from the same limestone quarries that would house the laboratory in Indiana University where I studied genetics.

Sometimes life imitates art where a skilled writer hopes that in a novel the reader will end up seeing everything connected to everything.

Elof Axel Carlson is a distinguished teaching professor emeritus in the Department of Biochemistry and Cell Biology at Stony Brook University.