Uninitiated Portland diners should take heed of Fermenter’s return. The vegan restaurant and kombucherie reintroduced themselves in October 2020 at Southeast 14th and Belmont, shifting into the space once held by their still-on-hiatus sister restaurant, Farm Spirit. Fermenter’s heated patio was installed in November, and in-person brunch followed this past summer. Mushrooms, smoked tempeh, and pickled veggies star alongside Fermenter’s crisp, locally sourced produce, animal-free pastries, and imaginative vinaigrettes and sauces. With their moist stacked sandwiches and restorative breakfast entrees, Fermenter’s offerings are far fresher than the restaurant’s preservative-packed name suggests on first impression, and could keep Portlanders enjoying this year’s harvest through next spring.
Fermenter owner and chef, Aaron Adams, specializes in non-dairy lactic acid and koji fermentation, as well as arranging vegan charcuterie. Chef August Winningham combines Adams’ cured veggies with non-cured, locally-sourced fruits, vegetables, nuts, and grains, while manager Maya Carlile oversees fermented drinks, such as kombucha, ginger beer, and kefir, a cultured milk drink originating from Russia’s North Caucus region that’s aged with kefir grains.
Fermenter’s vegan kefir comes out closer to a carbonated fruit juice than yogurt water. I tried raspberry hop kefir and Jupiter grape ginger beer, both house labels. Both drinks were tart, yet refreshingly bright. The Jupiter grape opened fruity, but exposed the signature spicy aftertaste of ginger beer. The kefir’s fizz activated its profile, opening even as it washes down.
Fermenter’s ingredients are all homegrown, some from companies that haven’t reopened to the public following the COVID-19 pandemic. Vibrant Valley Farms in Sauvie Island, Dancing Roots Farm in Troutdale, Stoneboat Farm in Hillsboro, Blue Truck Produce in Wilsonville, Groundwork Organics in Junction City, and Grano Breads in Oregon City all make their way onto Fermenter plates.
Fermenter should push carnivores beyond the imitation meat comfort zone without scaring them, while longtime vegetarians and vegans are hopefully inspired and refreshed by the regularly changing menu. Dining outside on a weekend afternoon, on Fermenter’s blue gingham tablecloths and branded glassware’s root-sprouting death metal font, felt like having Sunday brunch with elite Hot Topic managers. The staff aren’t “not like the other vegans,” but they’re just not like the other vegans. They’re laid back, can easily answer your questions, and are likely to point you towards the best new metal show, comedy open mic, or burlesque revue.
Fermenter sandwiches should leave diners pleasantly stuffed, touring a range of soothing textures and vibrant flavors along the way. They travel easily on a weekday afternoon. Our sandwiches were ripe without leaking, retaining their heat and composure when not eaten immediately. The BBQ oyster mushroom sandwich ($12) is saucy without melting the bread. It’s like a self-contained French dip sandwich, needing vegan cheese to make a dreamy Philly cheesesteak. Oyster mushrooms, like thicker portobello cuts, are balanced with sharp dill pickles, crunchy-soft grilled onions, and miso sauce.
The pastrami beet & tempeh sub ($10) piles like a báhn mí. It’s bright and juicy, sweet and peppered with zesty dijon seeds. The mung bean-quinoa tempeh’s pate texture could remind meat eaters of chicken salad, but shouldn’t taste enough like poultry to turn away vegans. Hazelnut cheese and pickled Jimmy Nardello peppers balance each other out on a verdant bed of shredded lettuce. For both sandwiches, the fluffy Grano bread soaked up veggie juices without getting their dusted, seed-laden crusts soggy.
Fermenter’s hazelnut buttermilk biscuits are less fluffy than toasty, but can’t dry out mixed with a hearty scoop of smoked maitake mushroom gravy ($15). The accompanying fried kale hit the artisan level of seared flakiness and just-plucked crunch, and should be a side dish on its own. The tempeh resembled sausage’s mouthfeel more than flavor, benefitting from pepper and a dollop of house green hot sauce. A flat of fried greasy hash browns holds its ground against your favorite late night or brunch spot’s hash sling.
The seasonally affected brunch grits bowl ($15) is more than enough food for one person, or great for two curious diners to split. Warm corn grits are dressed with hazelnut cheese spread, breakfast sausage tempeh, and a medley of diced apple, celeriac, kohlrabi turnip, and fermented celery and onions. The bowl also comes with two slices of roasted orange squash. As with the biscuits and gravy’s kale, the grits bowl’s squash keep their field-fresh fiber, but are cooked soft enough to cut with a spoon.
Where most dishes popped with the zing of brine, vinegar, or smoke, Fermenter’s dishes could get more experimental with their spice arrangements. House-made green hot sauce gave the grits bowl a distinctly Southwestern kick, opening the door for other regional interpretations of Fermenter’s comfort food classics.
Fermenter’s bar is well stocked with ginger beer, coffee, kombucha, kefir, Smith Teas, and locally sourced wine and beer.
Fermenter’s preservation classes have been suspended until the pandemic recedes, but the restaurant sells DIY kits and their accompanying ingredients for sauerkraut varieties. If you haven’t known what to make of your lockdown garden’s bounty, Fermenter’s kits should give you ideas. Picklers can work with shio koji, cauliflower, or cucumbers—or pick up a bottle of dilly brine for their own at-home creations. A monthly subscription box service is also underway, delivering house dressings, spreads, sauces, and brines to your front door.
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PO Box 86208, Portland, OR 97286
All contents © Index Newspapers LLC
PO Box 86208, Portland, OR 97286
UF celebrates the construction of a new Student Health Care Center – WCJB
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GAINESVILLE, Fla. (WCJB) – UF Health officials held a beam-signing event today to celebrate the construction of the new Student Health Care Center.
With the current facility being about 100 years old, officials with UF Health, said they’re thrilled to get a new building.
“Our current building was designed for in-patient infirmary, people stayed overnight there, and that’s not the way a modern medical office building for outpatient care is done,” said Dr. Ronald Berry, the Director of the Student Health Care Center.
Now, the new facility is being built with all the same services as the current one, and more.
“The infectious unit here is probably the first of its kind in a student health,” said Berry.
He said they started the design stage of the infectious care unit during the pandemic, giving the work even more meaning.
“You’ll be able to enter into the waiting area to infectious care, from a door at the front of the building that’s not going to the rest of the building,” said Berry.
The air in this unit does not get recirculated, making it one of the safest areas in the building.
UF Health is also implementing programs that promote a healthy lifestyle.
“There’s going to be the inclusion of the demo kitchen where our dietitian can host interactive cooking lessons for students, for faculty, and staff throughout campus,” said Adeel Markatia, an Assistant Director within the cabinet of health affairs in Student Government.
Markatia said the building will also have a sun terrace where students can study, hangout, or just relax.
“Things like that, like these new features, definitely make this building a great enhancement for our campus,” he said.
Berry said with a new facility, he hopes to provide more learning opportunities for medical students.
The construction is expected to be done around this time next year, and open for students in Spring 2023.
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What Causes Narcolepsy? These Factors May Play a Role | Health.com – Health.com
In many cases, chronic sleepiness is tied to low levels of certain brain chemicals.
When diagnosed with a new condition, the first question is almost always "How?" We naturally want to know exactly what brought us to that moment. This curiosity may be even stronger with something like narcolepsy, a chronic sleep disorder that is both under-recognized and misunderstood, according to the nonprofit Project Sleep.
While scientists have yet to pinpoint the exact cause of narcolepsy, a majority of cases are tied to low levels of a brain chemical involved in regulating our sleep-wake cycle, according to the Cleveland Clinic. And other factors are thought to play a role in triggering the disease process.
Here's how sleep experts explain the causes of narcolepsy.
Before delving into the causes, let's consider what narcolepsy looks like.
Narcolepsy is characterized by excessive daytime sleepiness, hallucinations, sleep paralysis, vivid dreams, and more, says Steven Thau, MD, division chief of the Pulmonary and Sleep Medicine Department and medical director of the Sleep Center at Phelps Hospital/Northwell Health.
It can present at any point in a person's life, but most commonly it initially occurs in a person's teens or 20s, Dr. Thau tells Health.
While each case is different, excessive daytime sleepiness is generally the first symptom to surface. Symptoms such as hallucinations, sleep paralysis, and cataplexy may follow, says Manjamalai Sivaraman, MD, FAASM, a sleep medicine specialist and neurologist at the University of Missouri. The latter may not happen for a few years, if at all.
RELATED: What Are the Types of Narcolepsy? Sleep Experts Explain the Differing Presentations of This Sleep Disorder
There are two main types of narcolepsy: types 1 and 2. There's also a third known as secondary narcolepsy. (More on that one below.)
Narcolepsy type 1 covers anyone who has low levels of hypocretin (a brain chemical that controls wakefulness) and experiences cataplexy (sudden muscle loss), according to the Mayo Clinic. Type 1 makes up about 70% of narcolepsy cases, says Richard Bogan, MD, a medical officer at SleepMed, Inc. and associate clinical professor at the University of South Carolina School of Medicine and the Medical University of South Carolina in Charleston.
People with narcolepsy type 2 may experience all the symptoms of narcolepsy except cataplexy—and their symptoms are often less severe, says the National Institute of Neurological Disorders and Stroke (NINDS). And their hypocretin levels are usually normal.
While there are no known ways to prevent or cure type 1 or type 2 narcolepsy, NINDS notes that lifestyle changes and medications may be helpful for maintaining alertness and managing other symptoms.
RELATED: Is Narcolepsy Genetic? What Sleep Experts Say About Inheriting This Chronic Disorder
While the science is still evolving, here's what's known so far.
People with type 1 narcolepsy have very low levels of brain chemicals called hypocretins. These chemicals, first discovered in 1998, are important for a couple of reasons, per the Division of Sleep Medicine at Harvard Medical School. For one thing, they keep people awake and alert. They also prevent people from drifting off into REM (rapid-eye movement) sleep while they're awake.
In people type 1 narcolepsy, however, the nerve cells that produce hypocretins die off, and the resulting dearth of these chemicals leads to sleepiness and poorly regulated REM sleep, per Harvard's Sleep Medicine Division.
Research by two separate investigative teams suggests that type 1 narcolepsy is caused by a severe loss of neurons that produce these chemicals, per a 2015 review in the New England Journal of Medicine.
As for what causes type 2 narcolepsy? It's possible that people who have this form of the disorder may sustain less injury to their neurons than those with type 1, according to that same review, which references a 2009 Sleep study. But data on the disease process involved in type 2 narcolepsy "are quite limited," notes the New England Journal.
Bottom line: Scientists don't fully understand what triggers the loss of hypocretin-producing cells, although it appears that one or more of the following factors may be involved:
Most people with narcolepsy, especially type 1, have a gene variation known as HLA-DQB1*06:02. It is a variation of the HLA-DQB1 gene, which "provides instructions for making part of a protein that plays an important role in the immune system," according the US National Library of Medicine. The risk of narcolepsy associated with this variation and related genes is unclear to researchers at this time.
That same gene variation is found in 50% of people with narcolepsy type 2, but only 12-30% of the general population, according to the New England Journal.
Speaking of risk factors, narcolepsy isn't a disorder that tends to run in the family. According to NINDS, just up to 10% of people with type 1 narcolepsy have a close family member who presents with similar symptoms. If a parent has narcolepsy, the odds of passing it down to a child is only about 1%, says Mayo Clinic.
People with the HLA-DQB1*06:02 gene variation may be at increased risk of developing narcolepsy after being exposed to a trigger, such as an infection, says NINDS. That's based on studies of people after they developed narcolepsy.
Upper airway infections such as streptococcus pyogenes and influenza A (including H1N1) are strongly associated with narcolepsy, per a 2011 study in the Annals of Neurology, especially in cases where it begins in childhood, notes Dr. Sivaraman.
We know that people with narcolepsy type 1 have low hypocretin levels—but why? A leading theory considers narcolepsy to be an autoimmune disorder.
"There are supporting evidences for autoimmune destruction—the immune system in one's body attacking its own healthy cells—of hypocretin neurons in the hypothalamus of the brain," says Dr. Sivaraman. To break it down, if this theory is true, then a person's own immune system is responsible for the brain lacking in hypocretin.
As Dr. Thau puts it, in this case, "the cells that control wakefulness are damaged."
Currently, researchers are working on using immunotherapy to reverse this loss, Dr. Bogan tells Health. According to a 2020 review published in Current Treatment Options in Neurology, small studies have shown an improvement in symptoms for narcolepsy patients after using immunotherapy treatment, especially those who recently presented with the disease. However, the experiments were uncontrolled and did not have clear endpoints, requiring more research to achieve any definitive answer on the treatment's benefits.
RELATED: 7 Narcolepsy Symptoms to Know, According to Sleep Specialists
Unlike narcolepsy types 1 and 2, doctors do know the "why" behind secondary narcolepsy. This form of narcolepsy occurs when the brain's hypothalamus region gets damaged, according to Harvard's Division of Sleep Medicine.
These people can experience all of the same symptoms as those with types 1 and 2. However, they might also have severe neurological problems and require a large amount of sleep—typically 10 hours or more.
"In rare cases, brain lesions or diseases such as tumors, vascular malformations, strokes or inflammatory diseases of the brain can result in the destruction of the signaling pathways that increase brain activity and promote wakefulness," says Dr. Thau.
According to the National Health Service, secondary narcolepsy causes include:
As Dr. Thau notes, "a healthy lifestyle and avoiding smoking or the use of illicit drugs decrease the risk of some of the disorders that cause secondary narcolepsy."
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Mount Laurel police asks public's help in finding child – Courier Post
MOUNT LAUREL – Police are asking the public’s help in finding a 6-year-old girl who was allegedly abducted by her non-custodial mother.
The girl, Grace Craytor of Pennsauken, was last seen around 7:10 p.m. Monday with her mother, Kristina Maletteri, at Lifetime Fitness in Mount Laurel, according to township police.
The girl’s father, who has a full custody order for Grace, had invited Maletteri to swim with the child during a supervised visit at the facility at Church and Fellowship roads, said a police account.
“At some point, Ms. Maletteri is said to have taken her daughter and left the area without consent,” the account said.
Maletteri is known to drive a 2017 silver Audi Q3 with New Jersey license plates “S64MPY.”
The missing child is 46 inches tall, 70 pounds, with blonde hair and hazel eyes, police said.
Anyone with information is asked to call Mount Laurel police at 856-234-8300 or the confidential tip line 856-234-1414, extension 1599.
Tips can also be emailed to Lamaro@mountlaurelpd.org.
Jim Walsh covers public safety, economic development and other beats for the Courier-Post, Burlington County Times and The Daily Journal.
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