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NCP You've probably heard of the term "brain food." Whether you think that "brain food" refers to food that is beneficial for brain function or activities that stimulate your brain, this issue contains articles that address both definitions. The theme of the solicited articles address nutrition needs related to neurological conditions, and there is certainly enough information in this issue to stimulate your brain and add to your knowledge. The first article is a Commentary by Dr Praveen Goday. He addresses the controversy surrounding a glutenand casein-restricted diet for autism. This prefaces an article by Dr Elder in which she defines autistic spectrum disorder and reviews research surrounding the use and efficacy of gluten-free, casein-free diets. Another restricted diet used occasionally in the pediatric population is the ketogenic diet; its aim is to reduce epileptic seizures in children who have not been able to achieve a seizure-free state with medications. Like the gluten- and casein-free diet, the ketogenic diet requires extensive counseling to maintain compliance with this very restricted and complicated diet. Zupec-Kania and Spellman review indications, contraindications, and implementation of the complex ketogenic diet. Still focusing on the pediatric population is an article about nutrition care of children with neurologic impairments. Mascarenhas, Meyers, and Konek discuss nutrition abnormalities of these children, common nutrition deficits and their causes, and nutrition treatment considerations. This issue also contains several unsolicited articles. The first is a Clinical Observation by Lipkin and Lenssen. They report their experience with 19 pediatric patients who underwent stem cell transplantation and developed hypervitaminosis A in the face of renal failure. Sneve et al reports results of an outcomes study in which adding a Registered Dietitian to a neonatal intensive care team seemed to improve infant weight gain and related parameters. Sungertekin and colleagues evaluated the Subjective Global Assessment (SGA) technique in malnourished ICU patients. The SGA rating correlated with several nutrition parameters, measures of injury, and mortality. The last 3 articles deal with tube feeding issues. The first, by Miller et al, reports the results of an observational study to evaluate use of 2 Canadian clinical practice guidelines: 1) use of early tube feeding, and 2) elevation of the head of bed of patients receiving tube feeding. Seder and Janczyk propose using a bridle for all ICU patients requiring a naso-enteral tube. In their series of 172 patients, there was a reduced rate of tube dislodgement when compared with the rate of displacement in a retrospective control group. Furlano, Sidler, and Haack also contributed a Clinical Observation; they report how they dealt with removal of a buried bumper in a 9-month-old boy.
A Letter to the Editor joins our final papers, Current Literature and Book
Reviews. All in all, reading these articles should provide great food for your
brain.
Nutrition in Clinical Practice, Vol. 23, No. 6,
578 (2008)
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