There are a few different considerations here:
- Addition of new items
- Deletion of previously available items
- Changes to existing items
The exact nature of your app will have a lot of bearing on what the "right" approach is (and if you give us more information about the type of app and it's users, we can be more specific)... however...
Addition of New Items
The current design pattern for this seems to be to highlight the new item.
Most commonly, this is exhibited in social applications that support real-time updates. For instance, Facebook will highlight "just added" comments as they appear attached to a newsfeed story or on a wall -- comments that are new since last page load have a thin blue highlight on the left side.
Google Docs highlights new content as it is added (with a small "added by" indicator on the cursor):

Additionally, if the addition is relevant to the task at hand, you can notify users with a notification message or "toast", which is what StackExchange does when an answer is posted to a topic you're currently replying to:

Deletion of Previously Available Items
To maintain the user's context, it's really important that you don't remove already-seen things from a user's view without letting them know about it. I would recommend striking-out or graying the line that is no longer relevant, but keeping it on screen until the user refreshes the page.
Additionally, if it's relevant to the task at hand (for instance, if a user has selected an item that is no longer available), you'll want to let them know. Again, a notification can work well in this case, such as Amazon shows when the price of an item in your cart has changed, or an item in your cart is no longer available:

In the case of tabular data, it would also make sense to have a link on the notification to scroll back to the offending line.
Changes to Existing Items
Changes to existing items should be weighed carefully as to their importance to the user. For instance, if a table shows the quantity of an item available, and that quantity goes down by 1, you probably don't want to make a big production out of it - unless that change affect the user (e.g. they had added indicated that they wanted 2 of an item but now you only have 1 in stock).
Assuming, however, that a change will affect the user, you'll probably want to employ some combination of the methods outlined above to simultaneously highlight the new value, strike-through the old value, and notify the user IF the change is relevant to the task at hand.
Good luck!