• Journal of Chest Surgery
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• v.37 no.7
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• pp.553-558
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• 2004

Avoiding cardiopulmonary bypass (CPB) in coronary artery bypass grafting (CAB G) has been known to reduce early mortality and morbidity. Diabetes Mellitus is a significant risk factor for adverse early and late outcomes after CABG. We compared the clinical results of off-pump CABG versus on-pump CABG in diabetes 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. Data were collected 242 patient who had diabetes. Among them, 154 patients underwent off-pump CABG and 90 patients underwent on-pump CABG. We analyzed the preoperative risk factors and postoperative results between 2 groups. Result: Two groups did not show statistical differences in age, sex, coronary and operative risk factors. Operative time was significantly shorter in off-pump CABG, however, number of grafts was fewer in off-pump CABG. Postoperative inotropic usage was lower in off-pump CABG. Postoperative CK-MB level was lower in off-pump CABG, and ICU stay and ventilation time was significantly shorter in off-pump CABG. However, there was no statistical difference between 2 groups in operative mortality, reoperation rate, perioperative myocardial infarction, wound infection, renal failure, neurological complications and hospital stay. Conclusion: Off-pump CABG group showed less myocardial damage and early recovery. We concluded that off-pump CABG is the more reasonable technique in diabetes patients although two techniques showed good results. The long-term follow up and prospective study may be warranted.

• 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.

• 유체기계공업학회:학술대회논문집
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• 2004.12a
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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.

• The KSFM Journal of Fluid Machinery
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• v.1 no.1 s.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.

• Proceedings of the Korean Society of Precision Engineering Conference
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• 1997.10a
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• pp.282-285
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• 1997

The torque efficiency of oil hydraulic pump is an important factor for it's performance characteristics. A study on the performance test method of oil hydraulic pump is based on test standard, but there is to be desired an study for double or tandem type oil hydraulic piston pump. So in this study present a test method on the tandem pump for torque efficiency and analysis method of the results.

• The KSFM Journal of Fluid Machinery
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• v.9 no.3 s.36
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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.

• 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.

• 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.

• International Journal of Fluid Machinery and Systems
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• v.2 no.3
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• pp.239-247
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• 2009

Sewage pumps are designed with a wide flow channel by, for example, sacrificing some efficiency and reducing the number of blades, in order to prevent plugging with foreign bodies. However, the behavior of foreign bodies which actually flow into a pump is extremely complex, and there are questions about whether the presumed foreign bodies will actually pass through. This paper proposes a new type of sewage pump impeller designed to further improve pump efficiency and performance in passing foreign bodies. This sewage pump impeller has a structure in which the suction flow channel of a closed type non-clog pump is wound in a helical spiral. The focus of this research was to investigate pump performance and internal flow in this single blade sewage pump impeller. The results clearly indicated the following facts: The developed sewage pump impeller exhibits high efficiency over a wide range of flow rates; internal flow of the pump is very complicated; and the internal flow state varies greatly when the flow rate changes.

• 유체기계공업학회:학술대회논문집
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• 2004.12a
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• pp.43-48
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• 2004

A screw-type centrifugal pump was manufactured to carry solids primarily and its impeller has a wide flow passage. However, the effect of flow passage shape on delay of the choke due to entrained air has not been clarified yet. Moreover, because its impeller has a particular shape, only few studies have tried to clarify the pump performance and details of internal flow pattern of that pump. For that reason, we carried out the pump performance experiment under air-water two-phase flow condition with different impeller tip clearances, pump rotational speeds and void fractions by using a small screw-type centrifugal pump designed to acquire basic data. In a general centrifugal pump, it was reported that loss of pump head from single-phase flow to the choke due to air entrainment new the best efficiency point was large. However, the loss near the best efficient point in a screw-type centrifugal pump became less than that in a general centrifugal pump.