Effects of starch and protein sources on starch disappearance in the gastrointestinal tract of Hanwoo (Korean native) steers.

Hanwoo (Korean native) steers (274.8 +/- 4.6 kg) with ruminal and duodenal cannulae were used in a 4 x 4 Latin square design experiment to examine the effects of dietary treatments on starch disappearance in the gastrointestinal tract. Dietary treatments consisted of concentrate that were based on ground corn with soybean meal (C-SBM), ground corn with corn gluten meal (C-CGM), ground barley with soybean meal (B-SBM) and ground barley with corn gluten meal (B-CGM). Although the intakes of starch and protein for steers fed experimental diets were different, it did not change ruminal pH and total volatile fatty acid concentrations. Average duodenal CP flow and quantity of CP apparently digested post-ruminally was higher (P = 0.001) for CGM-based diets than SBM-based diets. There were increases in quantity (P < 0.001) and percentage (P < 0.001) of corn starch digested post-ruminally compared to barley starch. Synchronized diets showed higher percentages (P = 0.03) of starch apparently digested post-ruminally than asynchronization. Hanwoo steers fed a corn-based diet with a large quantity of starch reaching the duodenum and fed C-CGM supplying great amounts of protein to the small intestine may have contributed to increased post-ruminal starch digestion.

[Clinical and angiographic follow-up study of sirolimus-eluting stent for treatment of in-stent restenosis].

OBJECTIVE: To evaluate the effectiveness and safety of sirolimus-eluting stents (SESs) for treatment of in-stent restenosis (ISR). METHODS: All 27 patients with ISR and clinical evidence of ischemia had been treated with SESs. Among them, 23 patients had diffuse and complex lesions, and 5 of them received 2 SESs. Clinical and angiographic follow-up were performed for all patients and the results were analyzed. RESULTS: All stents were implanted successfully. There were no remained stenosis and major in-hospital complications. Average follow-up time was 8.9 +/- 2.1 (5-14) months, with a clinical follow-up rate of 96.3% and angiographic follow-up rate of 92.6%. During the follow-up, there was none of death. One patient had recurrent angina with an angiographic evidence of the proximal edge restenosis of the stent. Mild neointimal hyperplasia in the proximal edge was found in 2 patients, but the stenosis was less than 25%. No late lumen loss was found in other 24 patients. The late lumen loss of the in-stent averaged 0.09 +/- 0.02 mm, and of the distal edge vessel averaged 0.10 +/- 0.03 mm, and of the proximal edge vessel averaged 0.20 +/- 0.06 mm. The rate of target vessel revascularization was 3.8%. CONCLUSION: The SES implantation is safe and feasible for the treatment of in-stent restenosis, which could effectively prevent neointimal hyperplasia and recurrent restenosis of the lesion.