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Living Your Best Life
Providence Hospital and Medical Centers

May, 2001

Monthly Cystic Fibrosis Newsletter

Julie Feldman MPH RD, Clinical Dietitian

Spring Summit

Our annual spring summit is scheduled for May 30, 2001 at 5:30 p.m. at Providence Hospital and Medical Centers Fisher Auditorium. The staff of the clinic is very excited to host this 2nd annual event to allow all of our friends and patients to learn about new research, visit with our favorite vendors and meet with each other.

This forum will be a great opportunity to meet with the representatives from Abi Vest to learn about the program being offered to Providence Patients. Please bring all of your vest questions with you when you come.

Patients and families will also be able to meet with representatives from Scandipharm, Pathogenesis, Several home-care agencies, Your clinic staff, respiratory therapists, just to name a few.

High Fiber Products Available

Many of our patients require diets that are high in fiber to eliminate and prevent many GI complications. To help you meet these high-fiber demands, there are medical nutritional products available to you. A company called Woodbury Products Inc. is a provider of NUTRA/BALANCE PRODUCTS.

Nutra/Balance products offer two high fiber items that many of our patients have had good results with.
These include:

Juice-Plus Fiber

¨ 10 grams fiber/serving
¨ $36.98/case (27 juices)

High Fiber Cookies

¨ 3 grams fiber/cookie
¨ $34.98/144 cookies

Purchase information is available at 1-800-431-1119 and ask for Linda

New Research

AP: May 21, 2001

Genzyme reported new research that pushes for the screening for CF to be broadened to include a wider range of gene mutations. This information follows an announcement by the American College of Medical Genetics which stated that couples planning a pregnancy or seeking prenatal care be offered DNA testing to screen for common mutations including CF. More than 10 million Americans are carriers of a CF mutation, and more than 900 mutations have been identified on the CFTR gene. Currently we test for 25 mutations known to occur with a frequency of .1% in the U.S. population. However, Genzyme report includes the fact that they have identified 64 mutations that occur with this frequency. The 25-mutation test would miss 1 in 17 carriers. The test currently offered by Genzyme looks at 87 gene mutations (64 plus 23 rarer mutations.)

AP: May 23, 2001

Researchers are finding that in efforts to control the spread of infection, it is mandatory to establish routine cleaning of computers in central areas. At Michigan ’s own McLaren Medical Center in Flint , computers were installed in all of the patient’s rooms to assist with quality of care. With the new computers came the spread of some rare bacteria not commonly seen within the hospital. The researchers had found that the exhaust fan located within the computer was spreading this bacteria. What to remember: clean all areas of your home regularly. You never know what sort of bacteria is being spread!

SciClone’s CPX, fiction or reality?

SciClone Pharmaceuticals announced on May 22, 2001 , that the company’s protein-repair therapy for the treatment of CF has been granted Orphan Drug Status in Europe . This drug is currently in phase 2 clinical trials in the US , where it has already been given Orphan Drug Status by the FDA. Such status grants 10 years of marketing exclusivity upon approval in Europe and 7 years in the US .

In pre-clinical trials in the US sponsored by NIH, CPX repaired the two basic CFTR protein-associated defects that cause CF in most patients. The drug was able to improve chloride ion transport and enable the CFTR to reach the epithelial cell membrane. SciClone is a pharmaceutical company that develops and commercializes unique medicines. Some of the other big targets for SciClone include hepatitis C, liver cancer, malignant melanoma, hepatitis B, HIV, TB and of course CF. Let’s wish them luck

Soy, PIT, and CF: not a good partnership!

If you have been to see Dr. Pichurko in the last year and had the chance to meet with me, everyone’s favorite dietitian, than you probably heard me mention the use of soy products. Soy and soybean-derived foods are becoming more and more popular in the United States . However, some research is telling us that CF patients may want to take caution with overuse of soy products. Soybeans have been grown over the last 50 years to increase the naturally occurring fungicide called phenyl isothiocyanate or PIT. Modern soybeans contain 2000-2500 parts per million of PIT where some old varieties only contained 1-2 parts per million of the same compound.

Why is this important for the CF patient? One of the systems that are affected by CF is the glutathione system, a natural antioxidant system within the body. Selenium, a mineral, plays an important role in this system by forming the glutathione peroxidase, a critical enzyme in the pathway. Without enough selenium, there is not enough of the critical enzyme and therefore it cannot function as well as an antioxidant.

PIT found in soybeans actually displaces selenium and in effect removes it from the body. PIT also interferes with the digestive enzymes as well. Because patients with CF commonly have problems with both of these systems, it is recommended that patients use caution when using modern soybean products in excess.

A High-Calorie, High-Fiber Delicious Dessert

Ready for an easy, good, high fiber, high calorie recipe? Well here it comes.

Ingredients:

· 1 cup 100% bran cereal
· 2/3 cup raisins
· ½ cup dark or light molasses
· 2 T unsalted butter cut into small pieces
· ¾ cup boiling water
· 1 egg
· 4 ounces (1 generous cup) walnut or pecan halves or large pieces
· ½ cup dates cut into pieces
· ½ cup unsifted all-purpose whole-wheat flour
· ½ cup unsifted all-purpose white flour
· ½ t baking soda
· ½ t slat
· ½ t ginger
· ½ t cinnamon

Preheat oven to 350, butter an 8 ½” x 4 ½” x 2 ¾” loaf pan. Dust the pan with wheat germ, quick cooking oats or dry breadcrumbs.

Place the bran, raisins, molasses and butter in a large mixing bowl. Add boiling water and stir to mix and melt butter. Beat the egg and stir it in. Stir in the nuts, dates, and optional seeds. Sift over the bran mixture both flours, baking soda, salt, ginger and cinnamon. Bake for 40 minutes until top is barely firm to the touch. Cool for 10-15 minutes. Cover pan with a rack and turn over the pan. Let stand and cool.

Maida Heatter’s New Book of Great Desserts

Cystic Fibrosis Monthly Newsletter
Providence Hospital Adult CF Clinic
Julie Feldman, MPH, R.D., 248-424-3000 ext. 3641



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