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DRUGS FOR REFLUX                                                REFERENCES
                  There are unlimited examples of the clash between what a holistic/  Calcium in Critically Ill Children. Journal of Pediatric Med 1989
                                                                               Jun: 114 (6) 946-51.
               nutritional practitioner would prescribe and what an allopathic physician   Prevalence and Clinical Implication of Hypocalcaemia in Acutely
               would prescribe. One example is frequent use of ranitidine (Zantac) for   Ill Patients in a Medical Intensive Care Setting. American Journal
               gastro-esophageal reflux in our NICU.                           of Med, 1988 Feb: 84(2) 209-14.
                  On one particular day we had eighteen out of thirty-one infants dosed   Calcium Spike in Activated Macrophages During Receptor Medi-
                                                                               ated Phagocytosis. Journal of Leukocyte Biology 2002:72:677-684.
               with ranitidine. Ranitidine is recommended by the pharmaceutical industry   Hypocalcaemia: a pervasive metabolic abnormality in the criti-
               and is indicated in research for gastrointestinal disturbances such as reflux   cally ill. Am J Kidney Disease 2001 Apr: 37(4) 689-98.
               to reduce the amount of acid produced in the gastrointestinal tract. This   Calcium inhibits E. coli-induced diarrhea. Gastroenterology,
               medication is contraindicated for reflux in holistic and nutritional therapies   2003: 125: 469-476.
               as it has the potential to create more problems than what it attempts to   Reid, F and others. (Oct 2003) Potential uses of probiotics in
                                                                               clinical practice. Microbiol. Rev. 16 (4) 658-72.
               treat.
                                                                               Cooke, J and others. (June 2002) Probiotics in prevention of anti-
                                                                               biotic associated diarrhea, meta-analysis. British Medical Journal
               OUTSIDE EDUCATION                                               324 (7350) 1361.
                  Physicians, nurses, pharmacists and dietitians must obtain continuing   McFarland, LV and others. (Apr 2006) Meta-analysis of probiotics
               education hours to maintain their license after graduation. This education   for the prevention of antibiotic associated diarrhea and disease.
                                                                               Am J Gastroenterol 101 (4) 365-72.
               most often is offered by the pharmaceutical or food industries whose goal   Szajewska H and others. (Sep 2006) Probiotics in the prevention
               is to sell their products. Practitioners will not be exposed to education   of antibiotic associated diarrhea in children. Journal of Pediatrics
               outside of these industries unless they seek it out themselves.  149 (3) 367-72.
                                                                               Kirjavainen PV and others. (Feb 2003) Probiotic bacteria in the
                                                                               management of atopic disease. Journal of Pediatr. Gastroenerol
               MY VISION                                                       Nutr. 36 (2) 223-27.
                  I envision a hospital’s health care team that encompasses holistic nutri-  Oliveria, V. Food assistance research brief-WIC and breastfeeding
               tional modalities in the current pharmaceutically based type of care. This   rates. USDA.gov July 15, 2003.
               team might include a neonatologist, pharmacist, nurse, properly trained   Samuels, SE and others. (1985) Incidence and duration of breast-
                                                                               feeding in a health maintenance organization population. Am J
               nutritionist, and naturopath.                                   of Clinical Nutr: 42 504-10.
                  I envision an approach to health care that focuses on the ability of the   World Health Organization (1981) Geneva. International Code of
               body to heal when given the right tools (such as proper nutrition) instead   Marketing of Breast Milk Substitutes.
               of mandating reactions via pharmaceutical therapies.            Gartner, SM, Greer FR, Section on Breastfeeding and Commit-
                                                                               tee on Nutrition, American Academy of Pediatrics. Prevention of
                  I envision every infant fed breast milk, healthier babies, and less of   Rickets and Vitamin D deficiency. New guidelines for Vitamin D
               my tax money going to those mothers who find it merely inconvenient to   intake. Pediatrics 2003: 908-10.
               breastfeed.                                                     Datta S and others. Vitamin D deficiency in pregnant women for
                                                                               a non-European ethnic minority population. GJOG 2002:109:905-
                  I envision fewer infants requiring NICU services because mom is   08.
               healthy (eating well).                                          Rasmussen SA and others. (June 2010) “Pre-pregnancy obesity
                  I envision mothers’ nutrition education no longer coming from the   and birth defects. Am J of Clin Nutr 91:1539-40.
               food industry, whose only goal is to sell product, not keep us healthy.  World Health Organization (1996). Iodine deficiency disorders.
                                                                               Fact sheet No. 121. Geneva.
                  I envision a world where we no longer see bias around anything that   Tyler PE, (June 4, 1996). Lacking iodine in their diets, millions
               takes away from pharmaceutical or health care profits.          in China are retarded. New York Times A1-10.
                  I envision a neonatologist who recognizes and analyzes research   Hollowell, JG, and others. Iodine nutrition in the United States.
               outside of the research presented by the pharmaceutical industry.  Trends and public health implications, iodide excretion data from
                                                                               National Health and Nutrition Examination Surveys (1971-1974
                  I envision a world where no one values disease as a way to make a   and 1988-1994). J Clin Endocrinol Metab: 1998:83:3401-08.
               profit.                                                         Morris L Tateman JK (December 2009). The agenda for continu-
                                                                               ing medical education – limiting industries influence. N. Eng. J
               Kim Rodriguez, MS, RD, LD, is the proprietor of Aiken Nutrition, offering   Med 361 (25) 2478-82.
               private nutrition consultations, and is a WAPF chapter leader in Aiken, South   Institute of Medicine, Conflict of Interest in Medical Research,
               Carolina. Contact Kim at (803) 644-4463 or aikennutrition@bellsouth.net  Education, and Practice. Washington, DC. National Academies
                                                                               Press 2009.
                                                                               Children’s Hospital, Boston, MA. Nutrition studies conclusions
               STAY TUNED:                                                     tied to funding source. Jan 8, 2007.
               A Dietitian’s Experience Working in a Nursing Home              Tang and others. Relationship between funding source and con-
               A Dietitian’s Experience Working in a Prison Hospital           clusion among nutrition-related scientific articles Pub Library of
                                                                               Science 2007:4 (2).


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