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The Comparison of Clinical Outcomes of Off-Pump versus On-Pump Coronary Artery Bypass Grafting in High Risk Patients (고위험군 환자에서 시행한 On-Pump CABG와 Off-Pump CABG의 비교연구)

  • 윤영남;이교준;김치영;안지영;오영준;유경종
    • Journal of Chest Surgery
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    • v.37 no.9
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    • pp.749-754
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    • 2004
  • Off-pump coronary artery bypass grafting (Off-Pump CABG) has been proven to have less morbidity and to facilitate early recovery. High-risk surgical patients may have benefitted by avoiding the adverse effects of the cardiopulmonary bypass. We compared the effectiveness of Off-Pump CABG with that of coronary artery bypass using cardiopulmonary bypass (On-Pump CABG) in high-risk patients. Material and Method: 682 patients (424 Off-Pump CABG and 258 On-Pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Patients who were considered high risk were selected High risk is defined as the presence of one or more of nine adverse prognostic factors. Data were collected from 492 patients in Off-Pump CABG and 100 in On-Pump CABG for risk factors, extent of coronary disease, and in-hospital outcomes. Result: Off-Pump CABG group and On-Pump CABG group did not show differences in their preoperative risk factors. We used more arterial grafts in Off-Pump CABG group (p < 0.05). Postoperative results showed that operative mortality (0.5% in Off-Pump CABG versus 2.0% in On-Pump CABG), renal failure (2.6% in Off-Pump CABG versus 7.0% in On-Pump CABG), and perioperative myocardial infarction (1.5% in Off-Pump CABG versus 1.0% in On-Pump CABG) did not differ significantly. However, Off-Pump CABG had shorter mean operation time (p<0.05), lower mean CK-MB level (p <0.05), lower rate of usage of inotropics (p < 0.05), shorter mean ventilation time (p <0.05), lower perioperative stroke (0% versus 2.0%), and shorter length of stay (p < 0.05) than On-Pump CABG. On-Pump CABG had more distal grafts (p<0.05) than Off-Pump CABG. Although Off-Pump CABG and On-Pump CABG did not show statistical differences in mortality and morbidity was more frequent in CABG. Conclusion: Off-Pump CABG reduces morbidity and favors hospital outcomes. Therefore, Off-Pump CABG is safe, reasonable and may be a preferable operative strategy for high-risk patients.

Development of Pump Selection Computer Program with Pump Performance Viscosity Correction Function (점도보정을 고려한 펌프선정 프로그램 개발)

  • Kim, Jin-Kwon;Jeon, Sang-Gyu
    • 유체기계공업학회:학술대회논문집
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    • pp.189-192
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    • 2004
  • Utilizing pump selection softwares is becoming a new general trend in pump industries, substituting the old fashioned pump catalogs. One of the most powerful pump selection softwares is developed, which features pump performance viscosity correction function as well as pump selection based on the exact pump performance curves, NPSH warning, automatic determination of impeller diameter cutting to meet the customer's performance specification, performance simulation for the rpm and diameter variation, standard motor recommendation according to the motor standards and enclosure types and automatic pump datasheet generation for sales submission, automatic pump drawings and dimension generation for installation check and part preparation. This software provides pump distributors and customers with a quick, easy and exact pump selection, various performance curves review (system curves, performance curve of series or parallel operation) of the selected pumps.

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Effects of the Impeller Shapes on the Non-Clogging and the Screw-type Centrifugal Pump Performances (논클로그 및 스크류식 원심펌프의 임펠러 형상이 펌프성능에 미치는 영향)

  • Kim, Dong-Joo;Suh, Sang-Ho;Sung, Sun-Kyung
    • The KSFM Journal of Fluid Machinery
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    • v.1 no.1
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    • pp.81-89
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    • 1998
  • In this study, the effects of the impeller shapes on the pump performances of the non-clogging and the screw-type centrifugal pumps are experimentally studied. The characteristics of total head, efficiency and power of the non-clogging pump increase as the number of vanes increases. The screw-type centrifugal pump with the linear-shape vane shows a little better performance than that of the screw-type centrifugal pump with the curved-shape vane. The differences in the characteristics of total head, efficiency and power are, however, insignificant. Therefore, it is advisable that, considering the convenience of pump manufacturing, the screw-type centrifugal pump with the linear-shape vane should be used. This study also compares the pump characteristics of the non-clogging pump and screw-type centrifugal pump. The characteristics of total head and efficiency of the non-clogging pump are better than those of the screw-type centrifugal pump. The screw-type centrifugal pump requires more shaft power than the non-clogging pump.

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The Effect of Pump Intake Leaning Angle and Flow Rate on the Internal Flow of Pump Sump

  • Lee, Youngbum;Kim, Kyung-Yup;Chen, Zhenmu;Choi, Young-Do
    • The KSFM Journal of Fluid Machinery
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    • v.20 no.1
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    • pp.74-80
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    • 2017
  • Pump sump system or pumping stations are built to draw water from a source such as river and used for irrigation, thermal power plants etc. If pump sump is improperly shaped or sized, air entraining vortices or submerged vortices may develop. This may greatly affect pump operation if vortices grow to an appreciable extent. Moreover, the noise and vibration of the pump can be increased by the remaining of vortices in the pump flow passage. Therefore, the vortices in the pump flow passage have to be reduced for a good performance of pump sump station. In this study, the effect of pump intake leaning angle and flow rate on the pump sump internal flow has been investigated. There are three cases with different leaning angle. Moreover, a pipe type with elbow also has been studied. The flow rate with three classes of air entraining vortices has been examined and investigated by decreasing the water level. The result shows that the air entraining vortices easily occurs at the pump intake with large leaning angle. Moreover, the elbow type of the pump intake easily occurs air entraining vortices at the high flow rate (or velocity) in comparison to other pump intake type.

Improvement of Pump Performance and Suction Performance of a Very Low Specific Speed Centrifugal Pump (극저비속도 원심펌프의 펌프성능 및 흡입성능 향상)

  • Choi Young-Do;Kurokawa Junichi
    • The KSFM Journal of Fluid Machinery
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    • v.9 no.3
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    • pp.29-35
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    • 2006
  • There are high expectations of improving the performance of a centrifugal pump in the range of very low specific speed which has been developed recently for the use instead of a conventional positive displacement pump. However, even though elaborated studies has been done for the pump intensively, the pump performance has not increased so much. Also, it is difficult to find detailed information from published literatures for suction performance of the very low specific speed centrifugal pump. Therefore, this study is aimed to improve the pump performance more and to make clear suction performance of the very low specific speed centrifugal pump. Recircular flow stopper is installed on the pump casing wall at the region of impeller outlet to improve the pump performance and J-Groove is also installed at the inlet of the pump casing for the purpose of suppressing occurrence of cavitation as well as improving pump performance. The result suggests that the simultaneous improvement of pump performance and suction performance of the very low specific speed centrifugal pump is possible by adopting optimum configuration of the recirculation flow stopper and J-Groove.

The Comparison of Clinical Study of Off Pump and On Pump CABG (On Pump-CABG와 Off Pump-CABG의 임상적 고찰에 관한 비교연구)

  • 유경종;임상현;송석원;김치영;홍유선;장병철
    • Journal of Chest Surgery
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    • v.35 no.4
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    • pp.261-266
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    • 2002
  • In an attempt to avoid the adverse effects of the cardiopulmonary bypass, off pump coronary artery bypass grafting(Off pump CABG) that has recently been rediscovered and refined. We compared the preoperative risk factors and in-hospital outcomes of patients done Off pump with those done On pump CABG. Material na Method: One hundred seventy eight patients was underwent CABG between January 2001 and July 2001 12 patients whom underwent associated valvular or left ventricular volume reduction surgery were excluded in this study Data were collected for 52 Off pump CABG and 114 On pump CABG for patient and disease risk factors, extent of coronary disease, and in-hospital outcomes. Result: Off pump CABG and On pump CABG groups did not show any differences in their patient and disease risk factors, and extent of coronary disease. Off pump CABG group had significantly lower mean operation time(234 $\pm$ 37 min vs 290 $\pm$ 48 min, p<0.001), lower mean CK-MB level(10.1 $\pm$ 13.5 IU/L vs 33.1 $\pm$ 18.2 IU/L, p<0.001) and mean ventilation time(14.8 $\pm$ 3.5 hours vs 16.2 $\pm$ 4.9 hours, p=0.048) than On pump CABG groups. On pump CABG group had significantly more distal grafts(3.4 $\pm$ 0.9 vs 2.6 $\pm$ 0.8, p<0.001) than Off pump CABG groups. There were no operative mortality in two groups. Off pump) CABG and On pump CABG groups did not show any differences in their postoperative complications and outcomes including perioperative myocardial infarction, stroke, respiratory failure, renal failure, reoperation, the amount of bleeding, the need of intraaortic balloon pump, the need of inotropics, and the stay of intensive care unit and hospital. Two patients were converted to On pump CABG. Conclusion: This study showed that patients having Off pump CABG are not exposed to a greater risks of adverse outcomes and also provided evidence that patients having Off pump CABG have significantly lower operation time, CK-MB, ventilation time and less distal grafts. Although there may be potential benefits to Off pump CABG, further studies must be directed to determine those patients who would benefit from Off pump CABG.

Determination of Sizes of the Pump Rooms in Korean Nuclear Power Plants (한국형 원자력발전소 펌프실 면적 산정 방안)

  • Lee, Hyo-Sung;Koh, Churl-Kyun;Moon, Seung-Jae
    • Plant Journal
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    • v.9 no.2
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    • pp.36-41
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    • 2013
  • For areas installed with one pump, the trend for expected sizes of pump room areas is observed once pump power and floor dimensions are provided. However, these pump rooms with auxiliary charging pumps, turbine driven auxiliary feedwater pumps, and pump rooms with a separate valve room have unique ways to determine the pump room area. No definite trends are identified for areas installed with two pumps using pump power and floor dimensions. The relationship between pump power and floor dimensions is also unable to be found.

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Evaluation of Energy Savings for Inverter Driving Centrifugal Pump with Duty Cycles (인버터 구동 원심펌프의 급수 사용율에 따른 에너지 절감 평가)

  • Kim, Kyungwuk;Suh, Sang-Ho;Rakibuzzaman, Rakibuzzaman
    • The KSFM Journal of Fluid Machinery
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    • v.18 no.6
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    • pp.81-85
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    • 2015
  • The purpose of this study is to evaluate energy savings for inverter driving multi-stage centrifugal pump. Variable speed driving pump system has high efficiency compared with constant speed driving pump system. Because of difficulty to estimate operating efficiency of variable speed driving pump system, energy saving rates are used to replace operating efficiency. energy saving rates are calculated from pump input power and pump duty cycle. But another researches have used pump duty cycles of each season for energy saving rate. In this study, for estimating energy saving rate more high accuracy, pump duty cycles are measured for 1 year. pump duty cycles, depending on the season and be classified according to the weekday/weekend or during the week day. By this pump duty cycles, Energy saving rate is calculated appropriately.

A Comparative Study Between On-Pump and Off-Pump Coronary Artery Bypass Grafting on Clinical Outcomes

  • Moon Seong-Min;Choi Seok-Cheol
    • Biomedical Science Letters
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    • v.10 no.3
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    • pp.237-243
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    • 2004
  • In recent, many cardiac centers have preferred off-pump coronary artery bypass grafting (CABG) to on-pump CABG to prevent the adverse effects of cardiopulmonary bypass. The present study was performed to prove beneficial effects of off-pump CABG. Sixty adult patients scheduled for elective CABG were randomly assigned to On-pump group (n=30) or Off-pump group (n=30). Arterial blood samples were drawn before and after the operation (Pre-OP and Post-OP, respectively) for measuring CBC, prothrombin time, activated thromboplastine time, blood gas analysis, creatine kinase-MB (CK-MB) level, and lactate dehydrogenase (LDH) level. Perioperative parameters including heparin and protamine usages, complications, blood components usages, blood loss, ventilation and ICU-staying time, and hospitalization were also evaluated. Platelet count at Post-OP was high in Off-pump group whereas CK-MB and LDH levels were low compared with On-pump group. Off-pump group had significantly lower heparin and protamine usages, lower total leukocyte count, higher hematocrit and hemoglobin levels, less blood loss, lower usages of blood components, shorter ventilation and ICU-staying time, and lower incidence of pleural effusion than On-pump group. Other variables did not significantly differ between two groups. These results showed that Off-pump CABG was a satisfactory technique with less inflammatory reaction, less cardiac damage, less postoperative complications, and less cost.

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An Investigation of the Pump Operating Characteristics as a Novel Control Index for LVAD Control

  • Choi Seongjin;Boston J. Robert;Antaki James F.
    • International Journal of Control, Automation, and Systems
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    • v.3 no.1
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    • pp.100-108
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    • 2005
  • This work presents a novel control index to regulate the pump speed of an axial flow blood pump for the left ventricular assist device (LVAD). The control index is based on the characterization of pump operating conditions such as normal or suction status. The pump operating characteristics reveal that a certain pulsatility relationship between the pump pressure difference and the pump flow is a unique index to identify the pump operating status under the diverse pump operating environments.