9 research outputs found
Wykorzystanie ekstruderatu lubinowo-jeczmiennego w tuczu jagniat merynosa polskiego
Tryczki o masie ciała ok. 18 kg żywiono dawką zawierającą 14% białka ogólnego (BO w suchej masie), z którego ok. 25% stanowiło białko poekstrakcyjnej śruty rzepakowej - grupa „R” nasion łubinu żółtego - grupa „Ł” lub ekstruderatu łubinowo-jęczmiennego - grupa „E”. Proces ekstruzji nasion łubinu żółtego wpłynął na zmniejszenie tempa degradacji białka w żwaczu. Jagnięta grupy „E” przyrastały lepiej niż jagnięta grupy ,,E’ (234 vs 186 g, P0,05). Strawność składników pokarmowych, bilans N (5,1 - 7,0 g/dobę, SEM=0,81) i zawartość allantoiny w moczu (5,2 - 6,4 mmoli/dobę, SEM=0,54) nie różniły się istotnie między grupami.Young rams of body weights about 18 kg were fed a ration containing 14% crude protein (CP in DM), of which about 25% was rapeseed oilmeal protein (Group „R”), yellow lupine seeds (Group „Ł”), or lupine-barley extrudate protein (Group „E”). Extrusion of yellow lupine led to a decrease in rate of protein degradation in the rumen, Group „E” lambs showed better daily weight gains than Group ,,E’ lambs (234 vs. 186 g, P0.05). Nutrient digestibility, N balance (5.1 - 7.0 g/day, SEM=0.81) and urine allantoin content (5.2 - 6.4 mmole/day, SEM=0.54) did not differ significantly among the groups
Public health medicine and primary health care: convergent, divergent, or parallel paths?
Historically, general medical practitioners and public
health doctors have striven for health goals by different
means. General practice has concentrated on personal,
continuing health care focused on the consultation, usually
at the request of the patient. Public health doctors have
emphasised changes in the environment, society, and health
service provision and organisation as the basis of interventions
impacting on whole populations, or on marginalised
groups of the population.
Changes in medical practice, social and health care
organisation, and political and public expectation have
forced a radical reappraisal of the traditional relationship
between these two branches of medical practice. These
changes include the incorporation within general practice
of staff such as health visitors and district nurses
spurring on the concept of primary health care; the deliberate
and successful shift, continuing to gather
momentum, towards preventive health care in general
practice; and the move towards greater administrative
involvement of general practitioners in the management,
organisation, and development of health services, hastened
by the NHS reforms and best exemplified by fund holding
general practices.
The increasing focus of public health medicine on the
assessment of health and health care needs, the development
of policy and strategy, the promotion of health,
the control and prevention of disease, and the organisation
of services (activities undertaken at the expense, in practice
if not in principle, of the control of environmental hazards
and the advocacy role) has coincided with these changes
in general practice.
In the UK the fusion of the district and family health
services authorities, and the increasing involvement of
general practitioners in commissioning, and the requirement
of health authority staff to support general
practice commissioners make a strong relationship between
the two medial specialties essential. In what direction has
the relationship been moving