Assuntos
Gerenciamento Clínico , Programas de Assistência Gerenciada/organização & administração , Comitê de Profissionais/organização & administração , Revisão da Utilização de Recursos de Saúde/organização & administração , Atitude do Pessoal de Saúde , Comunicação , Humanos , Relações Interprofissionais , Desenvolvimento de ProgramasAssuntos
Redes Comunitárias/organização & administração , Programas de Assistência Gerenciada/organização & administração , Redes Comunitárias/economia , Redes Comunitárias/legislação & jurisprudência , Planos de Assistência de Saúde para Empregados/organização & administração , Convênios Hospital-Médico/organização & administração , Humanos , Competição em Planos de Saúde , Estados UnidosRESUMO
Two studies using broiler chicks and one using adult White Leghorn roosters were conducted to determine the influence of stachyose and raffinose (alpha-galactosides of sucrose) present in soybean meal (SBM) on the nutritional value of the meal. In Experiment 1, the addition of four levels (0, .05, .10, or .20 g/kg) of alpha-galactosidase with and without 1 g/kg of invertase to a corn-SBM diet had no effect on weight gain, feed efficiency, protein digestibility, or the digestible energy value of the feed when fed to broiler chicks. However, both enzymes decreased (P < .001) dietary AMEn. In Experiment 2, ethanol extraction and incubation of SBM with alpha-galactosidase decreased the concentrations of the alpha-galactosides of sucrose in SBM from 6.59 to .81 and 1.43%, respectively. However, when broiler chicks were fed semi-purified diets containing SBM, ethanol-extracted SBM, water-incubated SBM, or water plus alpha-galactosidase-incubated SBM, no improvements in weight gain, feed efficiency, or apparent protein digestibility were observed. There was also no improvement in TMEn when the above meals were precision fed to adult White Leghorn roosters (Experiment 3). These results indicate that the removal of up to approximately 90% of the alpha-galactosides of sucrose has no beneficial effect on the nutritional value of SBM for chickens.
Assuntos
Ração Animal , Galinhas/fisiologia , Galactosídeos/isolamento & purificação , Glycine max , Animais , Galinhas/metabolismo , Etanol , Galactosidases , Masculino , Valor Nutritivo , Glycine max/química , Aumento de PesoRESUMO
The acquisition and divestiture of organizational business units demonstrate management's strategy in response to an evolving marketplace. From a strategic perspective, the most significant danger to a corporation is not having the "right" portfolio of businesses or products to respond to the marketplace. This article describes a conceptual model that a multihospital system executive might use to determine the growth and diversification of the organization's portfolio of businesses. The model involves the application of market, financial, and microeconomic theories in a logical sequence to assist management in making business acquisition and divestiture decisions.