Patients’ perspectives on the medical primary-secondary care interface : systematic review and synthesis of qualitative research

Funding NHS Highland Research, Development & Innovation Department, Aberdeen University, and Stirling University provided funds to meet publication costs.Peer reviewedPublisher PD

Managing Supply Chain Networks: A Framework for Achieving Superior Performance through Leadership Capabilities Development in Supply Chain Node

Leadership capability is acknowledged as a major challenge for organizations and a pre-requisite for sustaining high levels of organizational performance and supply chain competitiveness. Recent research highlights how globalisation has led to the extension of domestic supply chains, particularly SME ones, to include both suppliers and customers globally. This paper examines the role capabilities development in managers and leaders as nexus of their supply chain networks have to play in achieving better performance through case studies. Once banished to the backburners of business management thinking, leveraging core leadership competencies is now critical to company‟s superior performance in supply chain networks

Implant Strategies on Performance and Carcass Characteristics of Finishing Steers

A 145-day finishing trial was conducted to evaluate implant strategies on performance and carcass characteristics of yearling steers. Implanting steers with Synovex® C initially and then reimplanting with Synovex® Plus 75 days prior to slaughter improved feed efficiency compared to a single implant of Synovex® Plus or a reimplant program using Synovex® S. Carcass quality, as measured by the percentage USDA Choice carcasses and marbling scores, was unaffected by implant strategy. However, implanting steers with Synovex® PlusTM as a single implant or in a reimplant program increased profitability because feed efficiency and carcass weight were increased without decreasing carcass merit

Phase-feeding Metabolizable Protein for Finishing Steers

A finishing trial was conducted to evaluate phase-feeding of metabolizable protein in order to match requirements. Treatments were: 1) one finishing diet which matched requirements at initial weight; 2) one finishing diet which matched requirements at mid-weight; and 3) six finishing diets fed in sequential order which matched requirements throughout the feeding period. The 1996 Beef NRC was used to determine metabolizable protein requirements. No performance differences were observed. Gains and efficiencies were lower than projected, likely due to mud, causing protein requirements to be over-predicted. Phase-feeding metabolizable protein maintained equal performance and reduced nitrogen excretion compared to treatment 1

Phase-feeding Metabolizable Protein for Finishing Steers

A finishing trial was conducted to evaluate phase-feeding of metabolizable protein in order to match requirements. Treatments were: 1) one finishing diet which matched requirements at initial weight; 2) one finishing diet which matched requirements at mid-weight; and 3) six finishing diets fed in sequential order which matched requirements throughout the feeding period. The 1996 Beef NRC was used to determine metabolizable protein requirements. No performance differences were observed. Gains and efficiencies were lower than projected, likely due to mud, causing protein requirements to be over-predicted. Phase-feeding metabolizable protein maintained equal performance and reduced nitrogen excretion compared to treatment 1

Developing a case-based experiential learning model at a program level in a regional university : reflections on the developmental process

This article reflects on the developmental process of a case-based experiential learning model: the Federation University model, in an undergraduate community and human services program at a regional university. There is abundant literature that addresses the use and need for introducing experiential learning at the subject/unit level in community and human services/social work content. However, despite the expansion of research on experiential learning, there is limited literature that bridges the gap between course/program level teaching philosophy and using experiential learning activities in individual subjects. The article will demonstrate how Kolb’s four stage cycle (Kolb, 1984) and case-based experiential learning were integrated to develop curriculum at a program level. It will also demonstrate how a move to experiential learning facilitated better alignment with face-to-face and online learning. As a way of argument, we suggest that case-based experiential learning is very relevant and useful to human services/ social work education because of its emphasis on bridging the theory and praxis nexus and providing graduates with an opportunity to work effectively in a complex, fluid and ever-changing sector. © 2020, Adult Learning Australia. All rights reserved

Observations on Acidosis Through Continual Feed Intake and Ruminal pH Monitoring

A system of continual data acquisition of feed intake and ruminal pH has been developed for studying subacute acidosis in finishing steers. Feed intake is monitored with feedbunks which are suspended from weigh cells. Ruminal pH is monitored with submersible pH electrodes suspended in the rumen. Numerous anecdotal observations of subacute acidosis have been made throughout the feeding periods of several steers, providing information unlikely to be recognized during a planned trial. Therefore, this model for studying subacute acidosis offers many unique opportunities for enhancing our understanding of the interactions between feed intake and acidosis

Corn Bran, Solvent-Extracted Germ Meal, and Steep Liquor Blends for Finishing Yearlings

Finishing performance of yearling steers was used to assess eight treatments containing corn wet milling byproducts. Interactions were encountered for dry matter intake, average daily gain and feed efficiency as level of dietary steep liquor/distillers solubles increased and corn bran and(or) corn bran with solvent- extracted germ meal decreased. Average daily gain and feed efficiency increased as steep liquor/distillers solubles replaced corn bran or a combination of corn bran and solvent-extracted germ meal. Steep liquor with distillers solubles had higher feeding value than corn bran or solvent-extracted germ meal and solvent-extracted germ meal had 19.9 percent higher energy than corn bran

Development of a brief, reliable and valid diet assessment tool for impaired glucose tolerance and diabetes:The UK Diabetes and Diet Questionnaire

OBJECTIVE: Dietary advice is fundamental in the prevention and management of type 2 diabetes (T2DM). Advice is improved by individual assessment but existing methods are time-consuming and require expertise. We developed a twenty-five-item questionnaire, the UK Diabetes and Diet Questionnaire (UKDDQ), for quick assessment of an individual’s diet. The present study examined the UKDDQ’s repeatability and relative validity compared with 4 d food diaries. DESIGN: The UKDDQ was completed twice with a median 3 d gap (interquartile range=1–7 d) between tests. A 4 d food diary was completed after the second UKDDQ. Diaries were analysed and food groups were mapped on to the UKDDQ. Absolute agreement between total scores was examined using intra-class correlation (ICC). Agreement for individual items was tested with Cohen’s weighted kappa (κ (w)). SETTING: South West of England. SUBJECTS: Adults (n 177, 50·3 % women) with, or at high risk for, T2DM; mean age 55·8 (sd 8·6) years, mean BMI 34·4 (sd 7·3) kg/m(2); participants were 91 % White British. RESULTS: The UKDDQ showed excellent repeatability (ICC=0·90 (0·82, 0·94)). For individual items, κ (w) ranged from 0·43 (‘savoury pastries’) to 0·87 (‘vegetables’). Total scores from the UKDDQ and food diaries compared well (ICC=0·54 (0·27, 0·70)). Agreement for individual items varied and was good for ‘alcohol’ (κ (w)=0·71) and ‘breakfast cereals’ (κ (w)=0·70), with no agreement for ‘vegetables’ (κ (w)=0·08) or ‘savoury pastries’ (κ (w)=0·09). CONCLUSIONS: The UKDDQ is a new British dietary questionnaire with excellent repeatability. Comparisons with food diaries found agreements similar to those for international dietary questionnaires currently in use. It targets foods and habits important in diabetes prevention and management

Wet Corn Gluten Feed Levels for Steam-flaked Corn Based Finishing Diets

A finishing trial was conducted to evaluate level of wet corn gluten feed in steam-flaked corn based finishing diets. Feed efficiency and daily gain were similar among all levels (10, 20, 25, 30, and 35%, DM basis) of inclusion of Sweet Bran® wet corn gluten feed evaluated in this trial. These data indicate wet corn gluten feed is similar in energy content to steam-flaked corn based on animal performance