• Clinical and Experimental Pediatrics
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• v.50 no.11
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• pp.1078-1084
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• 2007

Purpose : The prevalence of childhood obesity has doubled over the last 30 years. Obesity-associated sequelae in the vasculature begins in the early stages of life. The purpose of this study was to investigate how pulse wave velocity (PWV) and ankle brachial index (ABI) change with height, weight and body mass index (BMI) in obese adolescents. Methods : Seventy-nine obese adolescents (group 1: $85th{\leq}BMI<95th$ percentile, n=40; group 2 ($BMI{\geq}95th$ percentile, n=39) were included. The control group(group 3) included 99 healthy adolescents. Brachial- ankle (ba) PWV and ABI were estimated with blood pressure from four extremities. Heart rate (HR), and pre-ejection period/ejection time (PEP/ET) were also estimated. BMI was calculated from individual height and weight. Linear regression analysis was performed to evaluate the correlations between BMI and PWV. Results : Blood pressure and baPWV were significantly higher in group 2, compared to either group 1 or group 3. However, there was no significant difference in ABI, HR and PEP/ET between the groups. PWV showed linear correlation with both BMI and body weight. Conclusion : Obesity was associated with higher arterial stiffness in adolescents, which was demonstrated by an increase in PWV. There was no significant correlation between obesity and ABI.

• Clinical and Experimental Pediatrics
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• v.49 no.7
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• pp.769-776
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• 2006

Purpose : Pulse wave velocity(PWV) and ankle brachial index(ABI) are not only noninvasive methods used to assess arterial stiffness in adults, but also useful, simple ways to estimate the severity of hypertension, end stage renal disease and atherosclerosis in adults. But there are few studies on PWV and ABI in adolescents and children. In this study, hypertensive adolescents were compared to normal individuals to find out the usefulness of PWV as the index of progress in the disease. Methods : 413 teenagers were divided into three groups. The first group consisted of adolescents that only had hypertension(Group 1 : 23 teenagers). The second group consisted of the adolescents who had hypertension with obesity(Group 2 : 17 teenagers), and the last group was the normal subjects(Group 3 : 328 teenagers). Weight, height and body mass index were measured. Simultaneous measurements of systolic, diastolic and average blood pressure were obtained from the four extremities. PWV, ABI, ejection time and preejection period were also measured. Results : Right brachial-ankle PWV was significantly higher in both group 1 and group 2 compared with group 3, and significantly higher in group 2 compared with group 1. Likewise, left brachial-ankle PWV also showed significantly higher values in both group 1 and group 2 compared with group 3, and also higher values in group 2 compared with group 1. Positive correlations were found between the systolic, diastolic, average blood pressure and PWV. There were also positive correlations between the blood pressure and weight, body mass index. Conclusion : Higher PWV was demonstrated in adolescents with essential hypertension compared to normal subjects. Follow-up study is needed to evaluate the progress.

• Journal of Chest Surgery
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• v.43 no.6
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• pp.627-634
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• 2010

Background: The durability of the tissue valve is important in choice between a mechanical valve and a tissue valve in cardiac surgery. We studied the mid-term results of tissue valve in the aortic position. Material and Method: The subjects were 380 patients who had undergone aortic prosthesis replacement between May 1990 and March 2009. We retrospectively analyzed hospital and outpatient records: the mean age was $69{\pm}9$ years; the male to female ratio was 227 : 162; and the mean follow-up duration was $46.7{\pm}40.8$ months (range 0~196 months). Result: 389 surgical cases in total had been taken with 380 patients. Early death occurred in 15 patients (3.9%). Overall survival rate at 1, 5 and 10 years were 92.3%, 78.1% and 54.2% respectively. Freedom from reoperation at 1, 5 and 10 years were 98.4%, 97.1% and 91.7% respectively. Freedom from structural valvular deterioration at 1, 5 and 10 years were 96.1%, 92.3% and 88.0% respectively. In the multivariate analysis of preoperative risk factors, young age (p<0.001) was significant risk factor for reoperation. High peak velocity in the postoperative period (p=0.034) and young age (p=0.029) were significant risk factors for structural valvular deterioration. Old age (p=0.001), long bypass time (p=0.035), concomitant coronary artery bypass graft surgery (p=0.003) and preoperative low left ventricular ejection fraction (p=0.003) were significant factors for early mortality. Preoperative estimated glomerular filtration rate (< 60 mL/min) (p=0.025) and persistent left ventricular hypertrophy (p=0.032) were the risk factors for late mortality. Conclusion: This study showed that the freedom from reoperation and the freedom from structural valvular deterioration in aortic tissue valve replacement were acceptable. It will be necessary to conduct further studies with long-term follow-up and more patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.9
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• pp.69-76
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• 2018

The present study analyzed the effect of film hole position of 45 degree ribbed cooling channel on film cooling performance of gas turbine blades. We also investigated the influence of the ribs under the fixed blowing ratio. Three-dimensional numerical model was constructed and extensive simulation was conducted using the commercial code (Fluent ver. 17.0) under steady-state condition. Base on the simulation results, We investigated the cooling effectiveness, flow velocity, streamline, and pressure coefficient. Moreover, We analyzed the effect of cooling hole position on ejection of the secondary flow caused by the rib structure. From the results, It was found that internal flow of the cooling channel forms a vortex pair in the counterclockwise from the top side, and clockwise from the bottom side. For the channels with ribs, the vortex flow generated by the ribs caused a higher pressure difference near the hole outlet, resulting in at least 12% higher cooling effectiveness than the channel without ribs. Additionally, when the hole is located on the left side of the ribbed channel (Rib-Left), it can be found that the secondary flow generated by the ribs hits against wall surface near the hole to form a flow in the direction of the hole inclination angle. Therefore, It is considered that the region where the cooling gas discharged to the blade surface stays in the main flow boundary layer is wider than the other cases. In this case, The largest pressure coefficient difference was observed near the outlet of the hole, and as a result, the discharge of the cooling gas was accelerated and the cooling efficiency was slightly increased.

• Journal of the Korean Society of Marine Environment & Safety
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• v.24 no.7
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• pp.939-944
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• 2018

Clean fire extinguishing agents refer to chemical that can replace Halon 1211 and Halon 1310 according to the Montreal Protocol fermented to protect the Earth's ozone layer. In Korea and abroad, system standardization and performance evaluation of clean fire extinguishing agents are being carried out. This paper proposes an optimal nozzle shape by modeling and numerical analysis of various nozzle shapes based on general clean fire extinguishing system. The ejection speed of the nozzle can be improved by studying three - dimensional modeling of the nozzle for two shapes, Type A and B. Flow analysis was performed on the two types of nozzles and the gas velocity and pressure distribution were measured with different nozzle diameters. It was confirmed that the jetting speed was changed at the nozzle outlet according to the number and diameter of the nozzle holes. The flow rate increased with increasing the pressure regardless of the nozzle hole diameter. Based on the results obtained from the experiment, the K-factor value was deduced. Finally, a nozzle with a 12-hole structure with a 5-mm nozzle hole was proposed.