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It was impossible to ignore last week’s internet outage — a Microsoft processing error turned into mass panic.

Flights at MacArthur, LaGuardia, JFK and Newark airports were delayed, canceled or grounded. 

Local businesses were unable to complete payrolls, accept cards or run order-ahead options. 

Hospitals had to work around interruptions and in some cases halt services, resulting in canceled appointments and rescheduled surgeries.

So, with every aspect of our lives so inextricably linked to computers and smartphones, we are led to the question: What to do if the metaphorical — and literal — lights go out?

It is important to be informed, follow reliable news sources to stay updated on ongoing outages. You can also sign up for notifications from your service providers to receive real-time updates about outages.

Keep backup communication methods. Alternative communication tools such as email accounts from different providers, messaging apps or even traditional SMS technology can provide a different route to efficient communication. 

Ensure access to critical information. Much like the days of the Rolodex or encyclopedia, it is essential to store offline copies of crucial documents and information. Ensure you have important contact numbers written down or stored in a non digital format. Using physical storage devices like USB drives or external hard drives for backups can be beneficial in times of outage.

Don’t rely solely on one service provider, have accounts with multiple providers. For instance, use both Google Drive and OneDrive for file storage. Use websites like Downdetector, Is It Down Right Now? and similar services to monitor the status of various online services. 

Look to the community. Join professional and community networks where members share updates and solutions during outages. Participate in forums and groups related to your industry to stay informed about how others are coping with outages. Local libraries offer free technology and computer classes.

Protect your information by regularly backing up your data to multiple locations, including cloud services and physical storage. Implement redundancy in your critical systems, such as having secondary internet connections, power backups and alternative software tools.

Daisy Mae

Welcome to the 31st edition of Paw Prints, a monthly column for animal lovers dedicated to helping shelter pets find their furever home.

Ruffles

Meet Ruffles

This no frills, frilly girl is Ruffles, a nine year old Havanese mix up for adoption at Little Shelter in Huntington.  Finally finding herself on solid footing, she’s slowly learning to trust in her future and the possibility of a real home. Starting to accept all the well-deserved attention coming her way, she can often be seen settled into someone’s lap, enjoying pets and idle conversation. Full of feminism and flair, she’s poised to become the most delightful companion and loyal friend, given the opportunity of time and patience. Stop by to meet Ruffles and see the possibilities! 631-368-8770, ext. 21

Russet

Meet Russet

The approximate weight of a sack of potatoes, meet Russet, an eleven year old Havanese mi at Little Shelter in Huntington. While this Passage to Freedom traveler is gaining confidence every day, he’s still a bit reserved meeting new friends and is hoping to find a quiet, experienced home where he can settle in and feel secure. The Havanese are known to be intelligent and adaptable, so before you know it, Russet will be participating in all your fun family activities.

If you think this “spud” could be for you, stop by to meet Russet today!

*Fun fact: Charles Dickens owned a Havanese named Tim, who was beloved by his seven children.* 631-368-8770, ext. 21

Tuna and Caesar

Meet Tuna and Caesar

These adorable kittens were dumped in a parking lot on a hot day in a closed box. Luckily they were brought to the Smithtown Animal Shelter and are available for adoption.  

Estimated to be approximately 6 months old, Caesar is the whole package: sweet, funny, outgoing and playful.

Approximately 9 months old, Tuna is a very affectionate, playful and outgoing little lady. She was a very young mom and was abandoned with her baby and housemate when she was pregnant again! She deserves to have a home that will adore her and pamper her for life. Tuna is FIV positive.  FIV+ cats can live long and happy lives with other cats without issue. Tuna would love to be adopted with Caesar, but may go individually for the right home. 631-360-7575

Daisy Mae

Meet Daisy Mae

Patiently waiting at the Brookhaven Animal Shelter, Daisy Mae is a charming 4-year-old mixed breed looking for her forever home. Despite being returned by her previous owner, Daisy Mae is bursting with affection and eager to find a family to call her own.

If there’s one thing Daisy Mae adores, it’s her toys! She’s absolutely smitten with stuffed toys, and there’s no better sight than watching her playfully chase after them or carry them during her walks!

Daisy Mae is a smart girl who knows her basic commands like “sit.” While she might have a short attention span, she’s eager to learn and please her humans. Plus, she’s already housebroken and crate trained, making her transition into your home a breeze.

Daisy Mae prefers to be the center of attention and would thrive as the only pet in the household. She’s not a fan of other dogs, so she’s looking for a home where she can be the queen of her castle with a fenced yard of her own. She would do best in a home with older children aged 16 and up. She loves to romp around and have fun, making her the perfect companion for active teens and adults alike. 631-451-695

Cricket

Meet Cricket

‘Kittens are angels with whiskers.’ – Alexis Flora Hope 

Kent Animal Shelter in Calverton has many kittens available for adoption including this adorable little girl Cricket. Come visit them today!

Rescue is a lifestyle. Adopt, don’t shop.

Check out the next Paw Prints in the issue of August 22.

Paw Prints is generously sponsored by Mark T. Freeley, Esq

 

Mario Shields Photo by David Cardona-Jimenez

By Daniel Dunaief

Friend or foe? The question isn’t as easy in the world of molecular biology as it might be after captains pick players for a team.

An important biomolecule in one context could trigger the growth or spread of cancer, while in another system or organ, that same signal might suppress or stop the development or growth of a disease that can threaten people’s health.

So it is for G-proteins, which, in some tumors, serve as tumorigenic signaling hubs that participate in invasion and metastasis and promote inflammation and immune evasion.

In tumors “there was this notion that it works in a certain way, driving tumor development and progression,” said Mario Shields, Associate Professor of Research Pathology at Stony Brook University. “We had that original hypothesis when we investigated it in pancreatic cancer. We found that it’s the opposite.”

Indeed, when the specific proteins he studies, called G alpha 13, are absent, mouse models develop well-differentiated tumors that reduce their survival.

“My research now is to understand why it’s playing the opposite role that we initially expected,” Shields, who joined Stony Brook in July after six years at Northwestern University.

Having worked at Cold Spring Harbor Laboratory in the lab of Mikala Egeblad from 2012 to 2018, Shields is returning to the Long Island area with a focus on defeating a problematic type of cancer that steals precious time from people and robs families of important members.

“I have come to appreciate the dire situation of people who are diagnosed with pancreatic cancer,” Shields said. “We need to figure out how to lower the curve.”

A recipient of the National Cancer Institute’s Moonshot Award, Shields is one of the first 11 Cancer Moonshot Scholars who received a total of $5.4 million.

The program, which was launched by the Biden administration in the summer of 2023, seeks to advance cancer science while diversifying the pool of early-stage researchers and approaches to research that NCI funds.

The goal of the program is to inspire and support scientists from diverse backgrounds, including those from underrepresented groups in the biomedical sciences.

The NCI award, which Shields brings with him to Stony Brook, will support his efforts.

Egeblad, who is now Bloomberg Distinguished Professor of Tumor Microenvironment, has stayed in contact with Shields since he left her group. The work he’s doing is “very important” in understanding the “basic mechanism of pancreatic cancer progression” as he has been “very successful in making discoveries and raising funds for his research.”

Egeblad appreciates his contribution to her lab. Shields “was responsible for establishing our research program in pancreatic cancer,” she explained. “Before he joined my lab, I had only worked on breast cancer and [Shields] established the various models to also study pancreatic cancer — models that we are still using.”

Building on CSHL work

At CSHL, Shields worked in Egeblad’s lab and received advice and oversight from David Tuveson, Cancer Center Director at CSHL, who developed the mouse model Shields uses.

Shields has been using human and mouse cell lines to interrogate the mechanism of action of these G proteins in suppressing cancer. 

At Stony Brook, he plans to use patient samples to develop patient-derived tumor specimens.

The major hub of what Shields is studying is the mTOR pathway, which stands for mammalian/ mechanistic target of rapamycin. First isolated in a bacteria on Easter Island in the middle of the 20th century, rapamycin is an immunosuppressant drug.

Any defects that activate the mTOR pathway can lead to the growth and development of cancer.

A developing field

Shields explained that the G protein he is studying, G alpha 13, is a “niche” area right now, with few other labs pursuing the same mechanistic pathway. The G proteins are of more interest to molecular pharmacology and drug design.

In his studies, Shields hopes to use the information on the response to changes in the protein to predict how patients respond to therapy that inhibits the mTOR pathway.

Specifically, he is exploring how alterations in the microenvironment can cause the tumor to progress in pancreatic cancer.

Shields has found some “interesting dependencies” in the mechanism he’s studying. In the first year of work at Stony Brook, he would like to figure out how Ga13 regulates mTOR signaling, as the current context dependency is vague.

The gene that codes for this protein is not heavily mutated. Shields anticipates that a threshold level of the protein may be responsible for conveying its benefit in suppressing cancer, rather than a specific mutational change.

He is eager to explore whether nutrient availability plays a role in cancer progression through the reduction in this G protein. He has exploring that in vitro and is curious how that will translate at the organismal level.

Returning to Long Island

Shields had recently been Research Associate Professor in the Department of Medicine at the Feinberg School of Medicine at Northwestern University.

Having worked at Cold Spring Harbor Laboratory, Shields felt comfortable moving back to the Long Island area.

“Stony Brook is a good place to do research,” said Shields.

Additionally, Shields was impressed with the number of people who had presented their research from Pathology Chair Kenneth Shroyer’s lab at a conference.

“Further discussions [with Shroyer] indicated we have areas of common interest in terms of pancreatic cancer,” Shields added.

Shields appreciates the greenness of Long Island. When he worked at CSHL, he enjoyed walking on trails and enjoyed the variety of fall colors.

Shields brought one person with him from Northwestern and plans to have a lab of about six people.

As for running his lab, Shields plans to “be patient” and to “see where people are coming from and what they are capable of” as he takes on the role of mentor for members of his lab at Stony Brook.

Shields hopes to inspire and encourage under represented groups to pursue careers in science, technology, engineering and math.

Egeblad suggested that Shields is warm and calm, which “helps those entering the field really take to his instruction.” She added she believes he is an inspiration to many young scientists.

METRO photo

By Robert Cannon, Esq.

Robert Cannon, Esq.

Consider this scenario: a 75-year-old woman, Jane, began to exhibit signs of cognitive decline last year. She is widowed and has one child. Moreover, her financial advisor contacted a relative to advise that Jane was making unusual withdrawals and that there is a concern that she may be the subject of financial exploitation. The relative no longer believes she can take care of her financial affairs and is concerned that she is not looking after her personal needs. 

As a first step, the family tried to talk to her last year about meeting with an estate planning attorney, but she refused to do so. There are no known advance directives in place and her condition has deteriorated significantly. In addition, Jane has a 40-year-old son with Down syndrome who is entirely reliant upon her. What can be done?

First step is to determine if Jane has the capacity to sign advance directives including a health care proxy and power of attorney. If this is not possible because she has deteriorated to the extent of being unable to handle her affairs or appoint someone to do so, the family may need to explore the commencement of a Mental Hygiene Law Article 81 proceeding seeking the appointment of a guardian of the person and property of Jane.

The commencement of the proceeding involves filing a verified petition with the Supreme Court of the county in which she resides outlining the reasons why it is believed that she does not understand or appreciate the extent of her limitations and that she is likely to suffer harm if a guardian is not appointed for her. The appointment of a guardian in MHL Article 81 proceedings is based on functional limitations and not on medical diagnoses.

In light of the financial advisors concerns regarding potential financial exploitation, at the outset of the proceeding, it may be prudent to request that the Court appoint a Temporary Guardian to immediately take steps to secure Jane’s finances and prevent any further abuse.

The Court will set a hearing date and all interested persons will have to be notified, including Jane’s son and her living siblings. The Court will appoint a Court Evaluator to conduct an investigation, which will include meeting Jane in person, speaking with other friends and family members, and investigating her finances. In limited circumstances it may be appropriate for the Court Evaluator to request the permission of the Court to review medical records. The Court may appoint an attorney to represent Jane. The Petitioner would be required to testify at the hearing along with any other witnesses that will help demonstrate to the Court Jane’s need for a guardian. The Court Evaluator will also testify as to their findings and recommendations.

If appointed, the permanent guardian will step into your Jane’s shoes. The petitioner can request to serve as guardian or it can be a third party. The Court can tailor the powers granted to the guardian to meet Jane’s individual needs and can appoint a guardian of the person, a guardian of the property, or both. There are various safeguards in place to ensure that once a guardian is appointed, Jane will be protected, including the requirement that the guardian obtain a bond and file annual reports with the Court.

Once Jane is squared away, the family members will need to turn their attention to Jane’s son. The first inquiry should be if Jane or anyone else was ever appointed as her son’s guardian. If not, we must consider the possibility of commencing a SCPA 17-A guardianship proceeding in the Surrogate’s Court of the County in which he resides. Unlike MHL Article 81, the appointment of a guardian in a SCPA 17-A proceeding is driven by medical diagnoses. 

As part of the application, a licensed physician and licensed psychologist with a PhD are required to submit Affirmations certifying that Jane’s son is intellectually or developmentally disabled. A guardian appointed in this manner is granted broad decision- making authority over financial and medical matters.

As you can see, seeking guardianship for an adult in New York can be quite nuanced. Whether it be through the Mental Hygiene Law Article 81 or SCPA Article 17-A, it is possible to provide for the needs of these vulnerable adults.

Robert Cannon, Esq. is a senior associate attorney at Burner Prudenti Law, P.C focusing his practice areas on Elder Law and Guardianships. Burner Prudenti Law, P.C. serves clients from Manhattan to the east end of Long Island with offices located in East Setauket, Westhampton Beach, Manhattan and East Hampton.

There are 8 grams of fiber in one cup of raspberries. Source: Mayo Clinic, Pixabay photo

Most Americans consume only half   the recommended daily fiber.

By David Dunaief, M.D.

Dr. David Dunaief

Based on an abundance of research, we should all be concerned with getting enough fiber in our diets (1). Most Americans are woefully deficient in fiber, consuming between 10 and 15 grams per day, which is about half of what we should be consuming. Probably not surprising, our consumption of legumes and dark green vegetables is the lowest in comparison to other fiber subgroups (2). This has significant implications for our health.

USDA fiber intake recommendations vary based on gender and age. For adult women, they recommend between 22 and 28 grams per day, and for adult men, the targets are between 28 and 35 grams (2). Some argue that even these recommendations are on the low end of the scale for optimal health.

Though fiber comes in supplement form, most of your daily intake should be from diet. It is actually relatively painless to increase your fiber consumption; you just have to be aware of which foods are fiber-rich.

What difference does fiber type make?

There are a number of different fiber classifications, including soluble, viscous, and fermentable. Within each of the types, there are subtypes. Not all fiber sources are equal.

At a high level, we break dietary fiber into two overarching categories: soluble and insoluble. Soluble fibers slow digestion and nutrient absorption and make us feel fuller for longer. Sources include oats, peas, beans, apples, citrus fruits, flax seed, barley and psyllium.

On the other hand, insoluble fibers accelerate intestinal transit, which promotes digestive health. Sources include wheat bran, nuts, berries, legumes and beans, dark leafy greens, broccoli, cabbage and other vegetables. 

Many plant-based foods contain both soluble and insoluble fiber.

How does fiber affect disease progression and longevity?

Fiber has powerful effects on our health. A very large prospective cohort study showed that fiber may increase longevity by decreasing mortality from cardiovascular disease, respiratory diseases and other infectious diseases (3). Over a nine-year period, those who ate the most fiber were 22 percent less likely to die than those consuming the lowest amount.

Patients who consumed the most fiber also saw a significant decrease in mortality from cardiovascular disease, respiratory diseases and infectious diseases. The authors of the study believe that it may be the anti-inflammatory and antioxidant effects of whole grains that are responsible for the positive results.

A study published in 2019 that performed systematic reviews and meta-analyses on data from 185 prospective studies and 58 clinical trials found that higher intakes of dietary fiber and whole grains provided the greatest benefits in protecting participants from cardiovascular diseases, type 2 diabetes, and colorectal and breast cancers, along with a 15-30 percent decrease in all-cause mortality for those with the highest fiber intakes, compared to those with the lowest (4).

We also see a benefit with fiber and prevention of chronic obstructive pulmonary disease (COPD) in a relatively large epidemiologic analysis of the Atherosclerosis Risk in Communities (ARIC) study (5). The specific source of fiber was important. Fruit had the most significant effect on preventing COPD, with a 28 percent reduction in risk. Cereal fiber also had an effect, but it was not as great.

Fiber also has powerful effects on breast cancer treatment. In a study published in the American Journal of Clinical Nutrition, soluble fiber had a significant impact on breast cancer risk reduction in estrogen receptor negative women (6). This is one of the few studies that has illustrated significant results for this population. Most beneficial studies for breast cancer have shown results in estrogen receptor positive women.

The list of chronic diseases and disorders that fiber prevents and/or treats is continually expanding.

How do I increase my fiber intake?

Emphasize plants on your plate. Animal products don’t contain natural fiber. It’s easy to increase your fiber by choosing bean- or lentil-based pastas, which are becoming easier to find in general grocery stores. Sometimes, they are tucked in the gluten-free section, rather than with wheat pastas. Personally, I prefer those based on lentils, but that’s a personal preference. Read the labels, though; you want those that are made from only beans or lentils and not those that include rice.

If you are trying to prevent chronic diseases in general, aim to consume fiber from a wide array of sources. Ensuring you consume substantial amounts of fiber has several health protective advantages: it helps you avoid processed foods, it reduces your risk of chronic disease, and it increases your satiety and energy levels.

References:

(1) Nutrients. 2020 Oct; 12(10): 3209. (2) USDA.gov. (3) Arch Intern Med. 2011;171(12):1061-1068. (4) Lancet. 2019 Feb 2;393(10170):434-445. (5) Amer J Epidemiology 2008;167(5):570-578. (6) Amer J Clinical Nutrition 2009;90(3):664–671.

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 or consult your personal physician.

Herbed Olive Chicken Pasta

By Heidi Sutton

I don’t know about other gardeners out there, but my raised beds are already overflowing with red cherry tomatoes and orange and yellow grape tomatoes (Thank you bees!!) and big, bushy basil plants. When harvesting this summer bounty I always think of how to incorporate these two ingredients into a delicious pasta dish. Garden fresh tomatoes and herbs tossed with mozzarella and garlic over pasta delivers a burst of flavor everyone will love. Here are some recipes to try including my all-time favorite, Rotelle alla Caprese.

Herbed Olive Chicken Pasta

Herbed Olive Chicken Pasta

YIELD: Serves 4

INGREDIENTS:

8 ounces rotini or rotelle pasta

1 cup cooked chicken breast meat, cut into bite-size pieces

1 cup grape tomatoes, quartered

24 pitted olives, coarsely chopped

1/4 cup extra virgin olive oil

4 medium garlic cloves, minced

1/4 cup chopped, fresh basil leaves

Salt and pepper to taste

2 ounces feta cheese, crumbled (1/2 cup)

DIRECTIONS:

Bring a large pot of salted water to a boil. Add the pasta to the boiling water and cook as the label directs for al dente. Remove pot from heat. Place chicken in a colander; pour pasta over chicken and shake off excess liquid. Return pasta and chicken to pot. Stir in remaining ingredients, except feta. Divide into bowls and top with feta before serving.

Cellentani Caprese Pasta Salad

Cellentani Caprese Salad

YIELD: Serves 7

INGREDIENTS: 

1 16 oz. box cellentani (double elbow) pasta

4 tablespoons extra-virgin olive oil, divided

2 pints grape tomatoes, mixed color, halved

4 tablespoons lemon juice

8 basil leaves, julienned

2 cups small mozzarella cheese balls, halved

salt and pepper to taste

DIRECTIONS:

Bring large pot of water to boil. Cook pasta according to package directions and drain. Drizzle pasta with 1 tablespoon olive oil and place on sheet tray to cool. Set aside. In large bowl, combine tomatoes, lemon juice, basil, remaining olive oil, cheese, salt and pepper. Add pasta and stir. 

Rotelle alla Caprese

Rotelle alla Caprese

YIELD: Serves 4 to 6

INGREDIENTS: 

2 1/2 cups cherry or grape tomatoes

8 ounces mozzarella cheese (not fresh)

1 cup sliced fresh basil

6 tablespoons olive oil

3 tablespoons red wine vinegar

2 tablespoons minced garlic

Salt and pepper to taste

12 ounces rotelle pasta

DIRECTIONS:

Cut tomatoes in half and cheese into 1/2 inch cubes and place in large bowl. Mix in chopped basil, oil, vinegar and garlic. Season with salt and pepper and let sit at room temperature for 30 minutes. Bring large pot of water to boil. Cook pasta, drain and return to the same pot. 

Immediately add tomato mixture and toss until cheese begins to melt. Transfer pasta to bowls and serve with garlic bread or breadsticks.

Pixabay photo

By Daniel Dunaief

Daniel Dunaief

When we don’t know how to reprogram our remote control for our garage, search engines like Google can not only offer a written explanation, but can also provide videos with step by step guides that make even the least mechanical people — okay, me —barely competent.

Yes, I can change most light bulbs. Let me rephrase that: I can change most conventional light bulbs. For whatever reason, the fluorescent ones that require turning them at exactly the right angle befuddle me.

Google can also help us find ways to improve our daughter’s softball swing, can explain the Pythagorean Theorem, and can give us quizzes to help us prepare for important exams in school.

When we don’t know the history of an important event, when we want to find some information about someone before we go to a job interview, or when we are curious about what other movies someone who looks vaguely familiar in a streaming show has also been in, we can type their names and find instant answers.

And yet, shockingly, Google and other search engines have their limitations.

Search engines connect the words we’re looking for to the information, or misinformation, available online. These engines don’t have a fact filter, a scientifically proven filter, or an incontrovertible truth filter. It’s up to us to decide whether what we see or read is valid.

In fact, I would advocate for a high school class on information vs. misinformation, giving students a chance to think for themselves to spot online fakes. Most teenagers and 20-somethings, for example, can spot an altered photograph based on the unusual shape of an arm, different shading patterns, or, perhaps, a turn in a shoulder that defies our normal biological range of motion.

When people are in panic mode about a rash, the sudden onset of vague symptoms — a high fever, fatigue and muscle aches, perhaps — they sometimes race to plug those symptoms in to a search engine in the hopes of self diagnosing.

While that might save them the trouble of going to an emergency room in the middle of the night, where they could have to wait hours to see a medical professional, the use of a search engine can also create unnecessary anxiety and frustration or provide a false sense of security.

A search engine diagnosis that indicates you or your loved one might have some horrific disease likely raises your blood pressure and may cause you to drive erratically to a hospital.

A friend of ours once received a horrific call that his daughter was injured at school. During a long and excruciatingly painful drive through the night, he set his cruise control to the speed limit, despite his urge to drive 100 miles per hour. He recognized that he wouldn’t do himself, his family or his daughter any good by getting into a car accident or endangering the lives of others on the road during that painful trip. Fortunately, his daughter made a complete recovery.

Such rational thinking on the part of someone in intense distress, however, may not apply when people make a search engine diagnosis.

Recently, I spoke with Dr. Sharon Nachman, Chief of the Division of Pediatric Infectious Disease at Stony Brook Children’s Hospital, about several different viruses. I suggested to her that the symptoms for different conditions seemed remarkably similar, with the kinds of general physical discomfort, fever, and aches dominating the list, making it difficult to come up with an accurate diagnosis. 

“That’s why Dr. Google is not the right answer,” Dr. Nachman said.

For illnesses or symptoms that rise to the level of genuine concern, people should consult physicians who can test for a range of potential problems, ruling out conditions until they come up with an informed diagnosis.

In some cases, time is of the essence, with drugs like Paxlovid providing effective relief for Covid-19 within a limited time window, or Ttaamiflu offering the most effective benefit for people with the flu within 48 hours of the beginning of symptoms.

And, while Google may help with your science homework, the search engine may prove especially useful in directing you to experts at hospitals or urgent care centers who can interpret your symptoms and offer an informed diagnosis.

Photo from Staller Center Facebook

By Leah S. Dunaief

Leah Dunaief,
Publisher

It may be summer, but the livin’ certainly hasn’t been easy. Events have been like rapid tidal waves breaking against the news shore. First came the fumbling performance by President Biden in his televised debate with ex-President Trump. Just as we were coming to some sort of terms with that, there was an assassination attempt on Trump’s life, with a bullet from a high powered rifle nicking his right earlobe as he began his speech at a rally in Pennsylvania. Millions of dollars then poured into his campaign chest. 

Next came Biden’s withdrawal, after his adamant refusal to do so, from running for re-election. That was quickly followed by Vice President Kamala Harris announcing her bid for the presidency a mere 105 days before the vote. She immediately garnered support from many other Dems and a rapid accumulation of millions of campaign dollars. Speculation about who her vice presidential choice might be now dominates the news. Somewhere in the midst of those events was the GOP National Convention and the announcement of JD Vance as Trump’s running mate.

It’s been a remarkable past month, and as the news has see-sawed between the parties, many have reacted with anxiety. I can suggest an antidote.

Go see the nightly selection of movies at the Stony Brook Film Festival at the Staller Center for the Arts at Stony Brook University. This year is the 29th such offering, and you can judge what Alan Inkles, the director, and his talented staff call “the best in new and independent films.” It is a contest, and we, the audience, decide the winners. There were initially over 2000 entries that the staffers pared down, and until it ends Saturday night, there is still time for enjoying the program. Tonight and tomorrow will feature two movies, each preceded by a short. Saturday, July 27, the closing night, there will be one short, one full length movie and then a presentation of awards to the winners.

To me, movies are magic carpets that take us away from our lives to other worlds. We meet new people in different situations, whose stories may make us laugh or tear up, and we go back home somehow aired out. One we saw was “The Strangers’ Case,” a moving story about the terrified society enduring the Syrian Civil War, as Assad’s forces want to squelch the rebels, and the desperate people who try to flee. We view their plight as they become refugees in another country, strangers in a strange land, risking their lives on rubber rafts over open ocean to get there.

The convenience of attending this festival is top notch. Parking in the adjoining garage is ample and free, and the drive to the Center and back home takes mere minutes and is usually without traffic. Admission is reasonable, and there is pleasure in experiencing the movie with neighbors as a community. And, as in all good movie theaters, snacks are sold in the lobby. I even enjoyed my favorite ice cream pop, an almond-crusted coffee toffee delight, one night during intermission.

Another way to escape the inevitable current events stress is with immersion in a family visit. That, of course, assumes we don’t start talking politics at the dinner table. It just so happens that two of my sons have birthdays two days apart and right around the time the Film Festival opens, and so we get a double distraction from the news. They come, with my daughters-in-law, and we celebrate together.

Each of us has our particular task. One of my daughters-in-law decorates the house with Happy Birthday banners. Another makes her fluffy chocolate-covered cupcakes to host the candles. My job is to provide the food — their favorite dishes, of course — and to fulfill any specific request for a birthday cake. This year’s star selection was a banana cream pie. We happily endured the annual sugar rush that ensued.

As you might guess, after the family leaves, we all go on diets.

Pixabay photo

By David Dunaief, M.D.

Dr. David Dunaief

What is one of the most widely consumed over-the-counter drugs? Would it surprise you to hear that it’s alcohol?

There are many myths surrounding alcohol consumption. For example, you may have heard that Europeans who drink wine regularly live longer because of this. Or that only heavy drinkers need to be concerned about the resulting long-term health impacts. Both have been studied extensively. 

Let’s look at what the research shows.

What’s the relationship between alcohol and cancer risk?

Alcohol is listed as a known carcinogen by the National Toxicology Program of the US Department of Health and Human Services (1). Among the research it details, it lists head and neck, esophageal, breast, liver and colorectal cancers as key cancer risks that are increased by alcohol consumption. Of these, esophageal and breast cancer risks are increased with even light drinking.

The World Health Organization reports that the International Agency for Research on Cancer classified alcohol at the highest level of carcinogen, along with asbestos, radiation, and tobacco (2). 

In a January 2023 New York Times interview with Marissa Esser from the Centers for Disease Control and Prevention, she explained: “When you drink alcohol, your body metabolizes it into acetaldehyde, a chemical that is toxic to cells. Acetaldehyde both ‘damages your DNA and prevents your body from repairing the damage.’” Damaged DNA allows cells to develop into cancer tumors (3).

A meta-analysis of European studies on the effects of light to moderate alcohol use, defined as no more than two standard drinks per day, found that this level of intake caused 23,000 new cancers in the European Union in 2017 (4). Female breast cancer accounted for almost half of these.

These results support an earlier meta-analysis of 113 studies, which found there was a four percent increased risk of breast cancer with daily alcohol consumption of one drink or fewer a day (5). The authors warned that women who are at high risk of breast cancer should not drink alcohol or should drink it only occasionally.

It was also shown in the Nurses’ Health Study that drinking three to six glasses a week increased the risk of breast cancer modestly over a 28-year period (6). This study involved over 100,000 women. Even a half-glass of alcohol was associated with a 15 percent elevated risk of invasive breast cancer. The risk was dose-dependent, meaning the more participants drank in a day, the greater their risk increase. In this study, there was no difference in risk by type of alcohol consumed, whether wine, beer or liquor.

Based on what we think we know, if you are going to drink, a drink a few times a week may have the least impact on breast cancer. According to an accompanying editorial, alcohol may work by increasing the levels of sex hormones, including estrogen, and we don’t know if stopping diminishes this effect (7).

Does alcohol affect stroke risk?

On the positive side, an analysis of over 83,000 women in the Nurses’ Health Study demonstrated a decrease in the risk of both ischemic (caused by clots) and hemorrhagic (caused by bleeding) strokes with low to moderate amounts of alcohol (8). Those who drank less than a half-glass of alcohol daily were 17 percent less likely than nondrinkers to experience a stroke. Those who consumed one-half to one-and-a-half glasses a day had a 23 percent decreased risk of stroke, compared to nondrinkers. 

However, women who consumed more experienced a decline in benefits, and drinking three or more glasses daily resulted in a non-significant increased risk of stroke. The reasons for alcohol’s benefits in stroke have been postulated to involve an anti-platelet effect (preventing clots) and increasing HDL (“good”) cholesterol. Patients should not drink alcohol solely to get stroke protection benefits.

If you’re looking for another option to achieve the same benefits, an analysis of the Nurses’ Health Study recently showed that those who consumed more citrus fruits had approximately a 19 percent reduction in stroke risk (9). The citrus fruits used most often in this study were oranges and grapefruits. Note that grapefruit may interfere with medications such as Plavix (clopidogrel), a commonly used antiplatelet medication used to prevent strokes (10).

Where does this leave us?

Moderation is the key. It is important to remember that alcohol is a drug, and it does have side effects. The American Heart Association recommends that women drink no more than one glass of alcohol a day. Less is better.

For those at high risk of breast cancer, consider forgoing alcohol.

The stroke benefit is tiny, and in some studies, non-existent. Therefore, it’s better to err on the side of caution and minimize your intake.

If you choose to forgo alcohol, the good news is that there are many more appealing, non-alcoholic beverages on the market than there have been in the past.

References:

(1) cancer.gov. (2) who.int (3) nytimes.com (4) Eur J Public Health. Jun 2021;31(3):591-596. (5) Alc and Alcoholism. 2012;47(3)3:204–212. (6) JAMA. 2011;306:1884-1890. (7) JAMA. 2011;306(17):1920-1921. (8) Stroke. 2012;43:939–945. (9) Stroke. 2012;43:946–951. (10) Medscape.com.

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 or consult your personal physician.

Photo from Unsplash/David Close

One of the many attractions of Long Island is access to our beautiful beaches. As we take full advantage of our island’s coasts in this hot weather, it is important to stay informed on the risks of the ocean. 

While deaths from shark attacks are uncommon — there were only two recorded fatalities nationally caused by a shark in 2023 — Long Island has seen an uptick in shark bites in recent years. Here, at least five people were bitten by sharks in 2023 and eight bites were recorded in 2022. 

Robert Moses State Park was a popular spot for sharks last summer with several bites and multiple sightings. Several of the bites occurred during the Fourth of July weekend, so while it’s possible more sharks may be visiting our coast, there was likely an uncommonly large number of people at the beach for the holiday, and therefore more people who were ignorant of shark safety. 

This summer, it is important to prepare for what the increased number of bites in the last two years have shown us: that we share the water with sharks. 

Experts trace the increase to the stabilization of endangered shark species, such as the sandbar shark, as well as warming water temperatures that are attracting prey closer to the shores. 

Luckily, there are many ways to prepare ourselves before plunging into potentially dangerous environments. 

An attack can be prevented by staying up to date on sightings and checking the state of the water. Last year, Robert Moses State Park prohibited swimming after a shark sighting. However, you don’t always have to wait for officials to take action in order to stay safe. 

Before swimming, it is helpful to observe the water yourself, making note of any schools of fish, dolphins and seabirds — signs that a shark could be nearby. Often, being alert to your surroundings is the primary way you can protect yourself. 

If the coast is clear and you choose to swim, stay with other swimmers and in the line of sight of a lifeguard. Avoid swimming when sharks are most active, at dawn or after dusk. To further protect yourself, don’t wear shiny jewelry — the sheen resembles the shimmer of fish scales — or bright colors.

Lifeguards and other officials have taken steps to diminish the danger, such as monitoring beaches with drones, patrolling the area and carrying bite-specific first-aid materials. 

The sharks visiting Long Island are primarily nonaggressive and on the smaller side. If you are in the water and see a shark, try to maintain eye contact. 

Remember, attacks occur when sharks mistake a person or surfboard for prey. They aren’t vengeful, malicious creatures as movies like “Jaws” might suggest, but an essential part of the ecosystem of the ocean. In fact, biologists and experts see an increase in sharks as a good sign that the ecosystem is stabilizing after years of overfishing.

 Swim safely this summer, keeping in mind that sharks, too, love our Long Island beaches.