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NCP When you opened this issue of NCP, the first thing you may have noticed is our new "look." A.S.P.E.N. has partnered with SAGE Publications to help us publish and market our journals. While we will continue to offer practical, timely articles of interest to nutrition support practitioners, SAGE will be working behind the scenes helping us reach the next level with our journals. We think that you will find the new format "pleasing to the eye" and that you will continue to rely on NCP for articles on relevant clinical topics. Recently, the A.S.P.E.N. Board of Directors approved new vision and mission statements for NCP:
A.S.P.E.N.'s journals, Journal of Parenteral and Enteral Nutrition and Nutrition in Clinical Practice, are committed to being recognized internationally as the premiere resources on nutrition support science and practice.
To educate practitioners on topics relevant to clinical nutrition, and to promote safe, evidence-based nutrition support therapy. We, as the Editorial Staff and Editorial Board, strive to embody this mission in each issue by soliciting and selecting appropriate articles. This month's issue is no different: we have an excellent lineup of articles on metabolic and micronutrient issues. The issue starts with 2 articles on electrolyte and acid-base balance. First, Susan Whitmire explains the causes and treatment of hypo- and hypernatremia. Second, Ayers and Warrington review causes and treatments of acid-base disorders. Understanding these basic concepts is important to being an effective and knowledgeable nutrition support practitioner. The next section of articles addresses micronutrients. Dr Clark discusses the prevalence and etiology of iron deficiency anemia as well as diagnosis criteria and treatment suggestions. Next, Dr Champagne reviews the role of magnesium in blood pressure regulation, other cardiovascular diseases, diabetes mellitus, obesity, and the metabolic syndrome. Dr Boosalis' article on selenium follows; she defines the functions, stores, deficiencies, excesses, and sources of selenium. She then reviews the effect of selenium on chronic diseases such as hypertension, cardiovascular disease, cancer, and diabetes mellitus. An unsolicited paper by McMillan and colleagues highlights the need to measure levels of micronutrients (namely serum copper and manganese levels) in pediatric patients receiving parenteral nutrition (PN). They dispel the notion that all patients receiving PN who have cholestasis will have elevated serum manganese and copper levels. This section of articles is rounded out by a Pivotal Paper by Dr Sarah Miller. She eloquently walks us through the history of refeeding syndrome by highlighting a paper published over 25 years ago. Dr Miller drives home the point that refeeding can still occur today. Two Clinical Observations papers are teamed up to share insights into different types of feeding tube access methods. The first paper by Panagiotakis et al looks at the incidence of aspiration pneumonia among their group of 11 patients with a history of aspiration pneumonia and their experience with direct percutaneous endoscopic jejunostomy tubes. Another perspective on obtaining enteral nutrition access is presented by Mahadeva and colleagues. They discuss their experience with transnasal endoscopic placement of feeding tubes in patients in a non-critical care setting. This issue of NCP brings the first entry in an anticipated series of articles on nutrition support for cancer patients. Ms Huhmann and Dr August review the literature used to develop the 2002 A.S.P.E.N. Clinical Guidelines for cancer and nutrition therapy. Over the next year, they will review different sections of the cancer-related clinical guidelines in more detail than what was possible in those guidelines. The article in this issue focuses on nutrition screening and assessment in the oncology population. We also have 2 book reviews: the first by Connie Anastasio, the second by Judy Suneson. We hope to bring you more book reviews throughout the year. If you know of a new nutrition book, please let us know so we can review it. Or, better yet, volunteer to be a reviewer.
Finally, we end the issue with the abstracts from the 2008 A.S.P.E.N.
Clinical Nutrition Week Practice Posters. If you did not have a chance to see
the posters in Chicago, you now have the opportunity to view each abstract at
your leisure.
Nutrition in Clinical Practice, Vol. 23, No. 2,
106-107 (2008)
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