In-cylinder turbulence of an engine was generated by an intake pressure effect and inertia effect during the intake process and it was generated and decreased by the compression effect of a piston during the compression process. The separate measurement of the turbulence generated by these factors during each process was necessary to generate high turbulence around the spark timing. A single-shot rapid intake compression expansion machine (RICEM) was manufactured and evaluated for this purpose. The RICEM could carry out the intake and compression processes separately or in a row. It was proved that the RICEM simulated not only high temperature and high pressure field but also the same flow pattern as a real engine. The turbulence generated by each factor was measured in the swirl field of the RICEM. As the result, it was also found that enhancing the turbulence by the compression effect of a piston with improvement of the flow at the beginning of the compression process was desirable.

Background: The most effective treatment for end-stage renal disease is kidney transplantation, and the number of kidney transplantations has shown a rapid increase. The aim of this study was to determine graft survival and functional outcome of 1,500 kidney transplant cases in a single center. We also investigated the factors affecting graft failure after kidney transplantation.Methods: We retrospectively reviewed the clinical data of 1,500 pairs of donors and subsequent recipients who underwent kidney transplantation in Results: The mean follow-up period was 2,241.5±1,609.4 days. There were 851 (56.7%) male recipients; 62 (4.1%) recipients were younger than 19 years old. Eleven (0.7%) cases were ABO blood group incompatible kidney transplant. A total of 531 (35%) deceased and 969 (65%) living donors were included. Among them, 191 (12.7%) recipients were experienced in graft failure. The most common cause of graft loss was chronic allograft nephropathy. One-year, 5-year, 10-year, and 15-year graft survival were 97.3%, 92.8%, 81.6%, and 75.1% (85.2% for living, 75.4% for deceased donor), respectively. Higher incidence of graft failure was observed in recipients who received deceased donor kidneys or experienced a rejection episode.Conclusions: In our experience, overall 10-year graft survival after kidney transplantation was 81.6%. This report demonstrated that the type of donor (living or deceased) and history of allograft rejection are the only significant factors affecting graft survival.

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