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The Norwood Operation in Infants with Complex Congenital Heart Disease (복잡 선천성 심기형 환자에서의 Norwood 술식)

  • 박정준;김용진
    • Journal of Chest Surgery
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    • v.30 no.3
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    • pp.263-269
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    • 1997
  • From April 1987 to May 1996, 13 infants underwent a Norwood operation for complex congenital heart diseases including hypoplastic left heart syndrome (n : 7), mitral stenosis with small VSD and subaortic stenosis (n : 1), mitral atresia with ventricular septal defect, coarctation of aorta, and subaortic stenosis (n = 1), interrupted aortic arch with ventricular septal defect and subaortic stenosis (n : 1), tricuspid atresia with transposition of the great arteries (n = 1), and complex double-inlet left ventricle (n : 2). All patients without hypoplastic left heart syndrome were associated wit hypoplasia of ascending aorta and arch. Age at operation ranged from 3 days to 8.7 months (mean 60.6 $\pm$ 71.6 days, median 39 days). The operative mortality( < 30 days) was 46% (6 patients). Late mortality was 15% (2 patients). All operative deaths occured during the Erst 24 hours after the operation as a result of cardiopulmonary bypass weaning failure (5 patients) and sudden hemodynamic instability postoperatively (1 patient). Late death was due to aspiration pneumonia in two cases. There are 5 long-term survivals (39%). Three of them have undergone a two-stage repair with a modified Fontan operation in two and total cavopulmonary shunt in one at 12, 17, 4.5 months after Norwood procedure with no mortality. Two patients have entered a three-stage repair strategy by undergoing a bidirectional cavopulmonary shunt at 3 and 5.5 months after initial operation with 1 operative death. The actuarial survival rate for all patients at the first-stage operation, including hospital deaths and ate death was 30.8% at 1 year. In conclusion, the operative mortality of Norwood operation was relatively high compared to other operation for major cardiac anomalies, continuing experience will lead to an improvement in result.

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Influence Factors for Duration of Vancomycin Resistant Enterococci's Spontaneous Decolonization (반코마이신 저항 장구균의 자발적 집락 소실 기간에 대한 영향 인자)

  • Lee, Jae Sun;Kim, Dong Soo;Kim, Ki Hwan
    • Pediatric Infection and Vaccine
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    • v.22 no.1
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    • pp.16-22
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    • 2015
  • Purpose: The aim of this study was to identify the factors influencing the spontaneous decolonization period of vancomycin resistant enterococcus (VRE) species in pediatric patients. Methods: The medical records of patients presenting positive VRE cultures between January 2005 and November 2010 at a tertiary hospital in Seoul, Korea, were reviewed retrospectively. The subjects were divided into two groups according to the average number of days for decolonization (325 days). Clinical characteristics were compared between shorter VRE colonization patients (<325 days, n=41) and prolonged VRE colonization patients (>325 days, n=110). Results: There were 151 patients who had more than 1 year of follow up period or confirmed of VRE decolonization among patients who were identified with VRE. The average age at the time of initial VRE colonization was significantly younger in shorter decolonization group than in prolonged decolonization group (44.9 months vs 40.9 months, P =0.040). The prolonged decolonization group received more vancomycin treatments after VRE colonization in comparison with patients in shorter decolonization group (7.0% vs 27.2%, P =0.008). Conclusion: For the duration of VRE colonization, it was found that the initial age of acquiring VRE and use of antibiotics were important factors. Antibiotics should be used properly and precisely in order to treat infectious diseases and to control the colonization of antibiotic resistant bacteria.

AUTOTRANSPLANTATION OF A MALPOSITIONED MANDIBULAR SECOND PREMOLAR : A CASE REPORT (이소매복된 하악 제2소구치의 자가치아이식을 이용한 치험례)

  • Chung, Youn-Joo;Koong, Hwa-Soo;Choi, Sung-Chul;Kim, Kwang-Chul;Park, Jae-Hong
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.591-596
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    • 2009
  • In the case of the impacted teeth, the clinician has to consider development of tooth, site of impaction, eruption path, and cooperation of patient. Treatment options for the management of impacted teeth are separated into four categories: observation, intervention, orthodontic or surgical relocation and extraction. Autotransplantation may be defined as the transplantation of embedded, impacted or erupted teeth, from one site to another in the same individual into extraction site or surgically prepared sockets. Autotransplantation ensures preservation of natural tooth, induction of alveolar bone growth and root development, offers one of the fastest and most economically feasible means in the replacement of young patients' missing teeth. This case presents a malpositioned impacted mandibular premolar of an 11-year-old girl. It was thought that orthodontic traction was difficult because of its unfavorable impacted position. Therefore the tooth was treated by autotransplantation, we can observe good healing pattern during 12 months.

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Effects of Cutting Size and Planting Depth on Growth and Yield in Late-Cultivation of Sweet Potato (고구마 만기재배에서 생육 및 수량에 미치는 삽수크기 및 삽식깊이의 영향)

  • Lee, Seung-Yeob;Kim, Tae-Hwan;Lee, Na-Rha;Lee, Ear-Jin;Bae, Jong-Hyang
    • Journal of Bio-Environment Control
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    • v.19 no.3
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    • pp.153-158
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    • 2010
  • To obtain the basic information for late-cultivation of sweet potato [Ipomoea hatalas (L.) Lam. cv. 'Jinhongmi'], vine growth and storage root yield were investigated in variously cutting sizes (10, 20, and 30 cm) and planting depths (1~4 nodes in 30 cm vine) using black-film vinyl mulching cultivation ($75{\times}25\;cm$ planting density, June 20). At 30 days after planting, main vine length, number of node, and vine fresh weight were significantly affected by the cutting length, and these were significantly different 10 and 30 cm at 120 days. The vine elongation affected by planting depths showed the best growth in 2-nodes planting depth and the lowest growth in 4-nodes planting depth at 30 days, but the vine growth was not significantly different among planting depths at 120 days. Number of storage root per plant, weight of storage root per plant, mean weight of storage root and yield of storage root were increased in longer cutting length, and those in 10 cm cutting length were significantly reduced compared to the 20 and 30 cm cutting length. Number of storage root per plant in the deeper planting was much increased, but mean weight of storage root was much decreased. Yield of storage root per 10a was highest in 3-nodes planting depth. Therefore, planting methods by cutting length over 20 cm and planting depth of 2~3 nodes in late-cultivation of sweet potato will be more efficient to improve the vine growth and storage root yield.

The Effect of Foreign Bond Yield Shock on Corporate Bond Credit Spread: Evidence form Korean Market (해외금리 충격과 회사채 신용위험의 관계: 국내시장 분석)

  • Song, HyuckJun;Lee, Jong-Ryong
    • Journal of Service Research and Studies
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    • v.7 no.4
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    • pp.139-150
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    • 2017
  • Open economy tightly works with foreign economy. This paper investigates the effect of the shock of foreign bond yield on the credit spreads of domestic corporate bonds in Korea. Foreign bond is referred to as US treasury bond. Credit spreads are defined with the difference between log yields of domestic corporate bonds and log yield of Korea treasury bond. With the data of monthly three-year AA- and BBB- corporate bond yields- ratings, monthly three-year Korean treasury bond yields, monthly US dollar foreign exchange rates, and monthly three-year US Treasury bond yields during the period from October 2000 to September 2014 including global financial crisis period, the paper documents the results as follow. First of all, the yield of Korean treasury and the credit spreads are very sensitive to the increase in the level and the volatility of the yield of the US treasury bond. Changes in the level and the volatility little affect the change of the exchange rate. Second, the change in the level and the volatility negatively affect the level of Korean treasury bond yields but lead to the increase in the level of Korean treasury bond yields at the same time. Third, there exist time lags of the increases of credit spreads by the increase in the level and the volatility. These imply that credit spreads and bond yields are very sensitive to the change in the yields of foreign bonds such as US treasury bond.

미국달러 선물시장과 미국달러 옵션시장 활성화 방안에 관한 고찰

  • Tae, Seok-Jun
    • The Korean Journal of Financial Studies
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    • v.10 no.1
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    • pp.171-189
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    • 2004
  • 외환시장의 효율성을 증대시키고, 기업이나 금융기관들의 원/달러환율 변동위험관리가 보다 원활하게 이루어질 수 있도록 하며, 원/달러 환율과 연계된 다양한 투자전략 구사가 보다 용이하게 이루어질 수 있도록 하기 위하여 미국달러 선물시장과 미국달러 옵션시장에서의 유동성 확대 및 시장 활성화가 요구된다. 본 논문에서는 미국달러 선물시장과 미국달러 옵션시장의 유동성을 제고시키고 시장을 활성화 시키기 위한 방안들을 제시하였다. 미국달러선물의 만기시 최종결제와 미국달러옵션 만기시 옵션매입자가 옵션을 행사할 때 권리행사에 따른 결제는 실물인수도 방식으로 결제되며, 이러한 실물인수도 방식의 결제는 현물환 포지션을 취하여야 하는 불편함과 현물환 거래와 관련된 거래비용 등으로 인하여 투자자들의 시장 참여를 제약하는 주요 요인으로 작용하고 있다. 미국달러선물과 미국달러옵션의 만기시 결제방식을 현금결제 방식으로 바꾸게 되면 헤지거래자 등 투자자들의 참여가 확대되어 시장 유동성이 증대되고 시장이 활성화될 것이며, 차익거래자들도 적극적으로 참여하게 되어 시장의 효율성이 향상될 것이다. 그리고 미국달러선물과 미국달러옵션을 이용한 투자기법 및 투자전략에 대한 투자자들의 이해 수준을 높이고 환율변동위험 관리의 중요성에 대한 기업들의 인식을 제고시키기 위한 적극적인 노력이 요구되며, 중장기적으로 선물회사들의 지점망 확충과 선물거래소 회원사 확대 방안도 모색되어야 할 것이다. 미국달러 옵션은 거래가 매우 부진한 상태이므로 미국달러 옵션시장에서 유동성이 어느 정도 확보될 때까지는 선물회사들의 시장조성 기능 강화가 요구된다.주었다. 둘째, 주가 수익률을 결정하는 유의성있는 요인들은 당기순이익의 증감, 당해연도의 당기순이익의 분포, 자산증가율, 매매 유동성, 매출액 변동, 거래량 추세, 기업크기(시가총액), 과거 1개월간의 주가수익률, 자기자본증가율등으로 나타났다.이 있을 것으로 여겨진다.다중회귀분석에서 각각 일관되게 관찰할 수 있었다. 또한 이러한 결과는 IMF 이후에도 여전히 유지되는 것으로 나타났다.과와는 별개의 PER효과가 여전히 존재하며, 다만 이 PER 효과는 전통적 의미의 일반적으로 낮은 PER종목이 초과수익률을 내는 것이 아니라, 기업규모가 크더라도 그 기업의 개별특성을 고려했을 때 이와 비교해 상대적으로 PER가 낮은 종목에 투자하면 초과수익을 낼 수 있음을 의미한다. 발견하였다.적 일정하게 하는 소비행동을 목표로 삼고 소비와 투자에 대한 의사결정을 내리고 있음이 실증분석을 통하여 밝혀졌다. 투자자들은 무위험 자산과 위험성 자산을 동시에 고려하여 포트폴리오를 구성하는 투자활동을 행동에 옮기고 있다.서, Loser포트폴리오를 매수보유하는 반전거래전략이 Winner포트폴리오를 매수보유하는 계속거래전략보다 적합한 전략임을 알 수 있었다. 다섯째, Loser포트폴리오와 Winner포트폴리오를 각각 투자대상종목으로써 매수보유한 반전거래전략과 계속거래 전략에 대한 유용성을 비교검증한 Loser포트폴리오와 Winner포트폴리오 각각의 1개월 평균초과수익률에 의하면, 반전거래전략의 Loser포트폴리오가 계속거래전략의 Winner포트폴리오보다 약 5배정도의 높은 1개월 평균초과수익률을 실현하였고, 반전거래전략의 유용성을

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A Study on the Market Efficiency with Different Maturity in the Futures Markets (선물시장의 만기별 시장효율성에 관한 연구 - 베이시스간의 정보효과를 이용하여 -)

  • Seo, Sang-Gu;Park, Joung-Hae
    • Management & Information Systems Review
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    • v.35 no.2
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    • pp.273-284
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    • 2016
  • The objective of this study is to analyze the market efficiency in the futures markets. Although many previous studies have investigated market efficiency between spot and futures prices, that with different maturities has not been studied in the futures markets extensively. For our objective, this paper examines KOSPI200 stock index future market with different maturities. We analyze the dynamic serial relationship of the difference of basis between nearest-month contract and next nearest-month contract using dynamic regression analysis suggested by Kawamoto and Hamori(2011) Using the data from 2000. 1 to 2013. 12, the major empirical findings are as follows: First. the mean and standard deviation of basis of next nearest-month contract is bigger than those of nearest-month contract. Second, the t-period basis of nearest-month contract can be explained by (t-1)period basis of that. Third, the basis spread of t-period and (t-1)period have negative affect on the return of underlying assets. This result is very reasonable because two basis spreads are derived from same underlying assets. Finally, basis information of next nearest-month contract can be used for the prediction of nearest-month contract and spot market return.

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Effects of Intake on Digestibility of Grass Silage Harvested at Different Cutting Dates (예취시기를 달리한 Silage의 섭취량이 소화율에 미치는 영향)

  • 성경일;김창주;김동암
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.5 no.3
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    • pp.176-179
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    • 1985
  • Digestion trials were conducted to evaluate intake and digestibility of grass harvested at different dates. Silage was prepared from first-growth forage (predominantly timothy) which cutting dates; 4 June (vegetative, called early-cut) and 30 June (heading, called late-cut). The silage was fed to wethers at restricted and ad libitum levels of intake. The crude protein and crude fat of silage decreased with advancing maturity, while contents of fibre increased. DM intake of early-cut and late-cut silage were $99g/W_{kg}^{0.75}\;and\;75g/W_{kg}^{0.75}$, respectively. In digestibility and TDN, significant differences (p<0.01) between early-cut and late-cut silage were found. There was no significant difference in DM digestibility of early-cut silage between restricted and ad libitum feeding, but DM digestibility was decreased markedly in ad libitum feeding that out of account in fecal condition. Digestibility of all composition in early-cut silage, except for hemicellulose, was not observed with increasing levels of intake. Digestibility of crude protein, NDF and hemicellulose in late-cut silage were decreased (p<0.05) in ad libitum when compared with restricted feeding. Results of this study suggest that digestibility of early and late forages harvested as silage varies with levels of intake. Thus, relationship levels of intake and digestibility must be considered cautiously.

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The State of Dangbyongmuye through 『Mangiyoram』 in late Joseon Dynasty (조선후기 『만기요람(萬機要覽)』을 통해 본 단병무예(短兵武藝) 연구)

  • Kwak, Nak-hyun
    • (The)Study of the Eastern Classic
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    • no.43
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    • pp.209-231
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    • 2011
  • This study aims to examine what danmyeongmuye was enforced to military in Hullyeon dogam, Geumweyeong, and Eoyeong-cheong through Siye in chapter gunjeong of Mangiyoram. The conclusions are as in the following. First, the typical type of siye performed to military were jungsun and gwanmujae. magun and bogun were performed separately with chosi as their center and the basic forms of test have wongi and byeolgi in common. Second, there was a special restriction of application in jungsun. applicants in waegeomgyojeonsu must not apply yedo and hyeopdo in duplicate and applicants in yedo and hyeopdo must not do in the same manner. this was a considerate system to the military because they could be a professional through a systematic training of only one kind of danmyeongmuye. Third, one of the special features in gwanmujae was bogun byeolgi. waegeomgyojeon, yedo, hyeopd eonwoldo, jedokgeom, bongukgeom, gichang, deungpae, nangseon, jukjangchang, dangpa, gwonbeop, gonbang, mokjangchang were designated and performed. 13gi except mokjangchang were martial art in muyedobotongji. danmyeongmuye was actually supplied and very helpful to the military. Forth, Siye made the military practice skills and improve martial art ability of their own free will and it was a great reward system to an excellent military at the same time. through this study we can understand the concrete meaning of danmyeongmuye at the central military camp in late Joseon dynasty.

The Fuzzy Power Function of a Test (검정에 관한 퍼지 검정력 함수의 성질)

  • Gang, Man-Gi;Jeong, Ji-Yeong;Park, Yeong-Rye;Choe, Gyu-Tak
    • Proceedings of the Korean Institute of Intelligent Systems Conference
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    • 2007.11a
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    • pp.183-186
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    • 2007
  • We introduction some properties for fuzzy power function of performance of a test. First we define fuzzy type I error and type II error for the probability of the two types of error. And we show that an fuzzy error probability of one kind can only be reduced at cost of increasing the other fuzzy error probability.

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