• Title/Summary/Keyword: return period

Search Result 1,005, Processing Time 0.029 seconds

Outcomes of Surgery for Total Anomalous Pulmonary Venous Return without Total Circulatory Arrest

  • Lee, Youngok;Cho, Joon Yong;Kwon, O Young;Jang, Woo Sung
    • Journal of Chest Surgery
    • /
    • v.49 no.5
    • /
    • pp.337-343
    • /
    • 2016
  • Background: Recent developments in surgical techniques and hospital care have led to improved outcomes following total anomalous pulmonary venous return (TAPVR) repair. However, the surgical repair of TAPVR remains associated with a high risk of mortality and need for reoperation. We conducted this retrospective study to evaluate mid-term outcomes following in situ TAPVR repair without total circulatory arrest (TCA), and to identify the risk factors associated with surgical outcomes. Methods: We retrospectively reviewed 29 cases of surgical intervention for TAPVR conducted between April 2000 and July 2015. All patients were newborns or infants who underwent in situ TAPVR repair without TCA. Results: Four anatomic subtypes of TAPVR were included in this study: supracardiac (20 cases, 69.0%), cardiac (4 cases, 13.8%), infracardiac (4 cases, 13.8%), and mixed (1 case, 3.4%). The median follow-up period for all patients was 42.9 months. Two (6.9%) early mortalities occurred, as well as 2 (6.9%) cases of postoperative pulmonary venous obstruction (PVO). Preoperative ventilator care (p=0.027) and preoperative PVO (p=0.002) were found to be independent risk factors for mortality. Conclusion: In situ repair of TAPVR without TCA was associated with encouraging mid-term outcomes. Preoperative ventilator care and preoperative PVO were found to be independent risk factors for mortality associated with TAPVR repair.

A development of trivariate drought frequency analysis approach using copula function (Copula 함수를 활용한 삼변량 가뭄빈도해석 기법 개발)

  • Kim, Jin-Young;So, Byung-Jin;Kim, Tae-Woong;Kwon, Hyun-Han
    • Journal of Korea Water Resources Association
    • /
    • v.49 no.10
    • /
    • pp.823-833
    • /
    • 2016
  • This study developed a trivariate Copula function based drought frequency analysis model to better evaluate the recent 2014~2015 drought event. The bivariate frequency analysis has been routinely used for the drought variables of interest (e.g. drought duration and severity). However, the recent drought patterns showed that the intensity can be regarded as an important factor which is being characterized by short duration and severe intensity. Thus, we used the trivariate Copula function approach to incorporate the trivariate drought characteristics into the drought frequency analysis. It was found that the return periods based on the trivariate frequency analysis are, in general, higher than the existing bivariate frequency analysis. In addition, this study concludes that the increase in drought frequency claimed by the Gumbel copula function has been overestimated compared to the Student t Copula function. In other words, the selection of copula functions is rather sensitive to the estimation of trivariate drought return periods at a given duration, magnitude and intensity.

Results Analysis of CPR in Emergency Center by In-Hospital Utstein Style (In-Hospital Utstein Style에 의한 응급의료센터의 심폐소생술 결과 분석 - 심정지 상태로 내원한 환자를 대상으로 -)

  • Roh, Sang-Gyun;Park, Jin-Ok
    • The Korean Journal of Emergency Medical Services
    • /
    • v.9 no.1
    • /
    • pp.79-87
    • /
    • 2005
  • Purpose: Investigates the results of CPR operation in visited patients with arrest state, and element to affect the results, and it is checks a problem, and it is made to promote. Methods: As for this study, analysis studied the results that operation CPR with the object arrest patients of 69 visited Jecheon Seoul hospital emergency center for during the period from January 2002 to February 2005. It was played writing partly changed In-hospital Utstein Style, and to stick a record in it. Paramedic which participated in CPR directly did the record of a variable, As for the data processing, use SPSS Version 12.0 for Windows. Results: It was male 68.1% female 31.9% for 69 people, and the sex ratio didn't affect return of spontaneous circulation, with female 8 people to male 16 people for ROSC(Return of spontaneous circulation) 24 people. with female 14 people to male 31 people for NROSC(Non-return of spontaneous circulation) 45 people(p>0.05). The initial EKG rhythm was asystole 34.8%, VF 31.9%, The case that initial EKG was VF compared it to a patient of asystole, and a survivor had a lot of VF and there were a lot of survivors(p<0.05). The wasn't relativity between VF and PEA(p>0.05), The CPR lead time was short in ROSC with NROSC $25.0{\pm}15.0$ minutes, ROSC $11.9{\pm}10.7$ minutes(p<0.01). Epinephrine administer time was NROSC $3.0{\pm}4.1$ minutes, ROSC $2.1{\pm}1.9$ minutes(p>0.05). It was survivor 18 people(21.1%) than 24 hours and the PAM Index affected in ROSC. with $9.0{\pm}1.2$ points NROSC, with $1.6{\pm}1.7$ points ROSC(p<0.01). A correlation was high between a CPR lead time and PAM Index(p<0.02), a correlation was examined by being high between ROSC and a CPR lead time, PAM Index(p<0.01).

  • PDF

Impacts of Seasonal Pumping on Stream Depletion (계절양수가 하천건천화에 미치는 영향)

  • Lee, Hyeonju;Koo, Min-Ho;Lim, Jinsil;Yoo, Byung-Ho;Kim, Yongcheol
    • Journal of Soil and Groundwater Environment
    • /
    • v.21 no.1
    • /
    • pp.61-71
    • /
    • 2016
  • Visual MODFLOW was used for quantifying stream-aquifer interactions caused by seasonal groundwater pumping. A hypothetical conceptual model was assumed to represent a stream-aquifer system commonly found in Korea. The model considered a two-layered aquifer with the upper alluvium and the lower bedrock and a stream showing seasonal water level fluctuations. Our results show that seasonal variation of the stream depletion rate (SDR) as well as the groundwater depletion depends on the stream depletion factor (SDF), which is determined by aquifer parameters and the distance from the pumping well to the stream. For pumping wells with large SDF, groundwater was considerably depleted for a long time of years and the streamflow decreased throughout the whole year. The impacts of return flow were also examined by recalculating SDR with an assumed ratio of immediate irrigation return flow to the stream. Return flow over 50% of pumping rate could increase the streamflow during the period of seasonal pumping. The model also showed that SDR was affected by both the conductance between the aquifer and the stream bed and screen depths of the pumping well. Our results can be used for preliminary assessment of water budget analysis aimed to plan an integrated management of water resources in riparian areas threatened by heavy pumping.

Successful removal of permanent spinal cord stimulators in patients with complex regional pain syndrome after complete relief of pain

  • Lee, Su Jung;Yoo, Yeong Min;You, Jun A;Shin, Sang Wook;Kim, Tae Kyun;Abdi, Salahadin;Kim, Kyung Hoon
    • The Korean Journal of Pain
    • /
    • v.32 no.1
    • /
    • pp.47-50
    • /
    • 2019
  • Background: It is uncommon for patients who have received a permanent implant to remove the spinal cord stimulator (SCS) after discontinuation of medication in complex regional pain syndrome (CRPS) due to their completely painless state. This study evaluated CRPS patients who successfully removed their SCSs. Methods: This 10-year retrospective study was performed on patients who had received the permanent implantation of an SCS and had removed it 6 months after discontinuation of stimulation, while halting all medications for neuropathic pain. Age, sex, duration of implantation, site and type of CRPS, and their return to work were compared between the removal and non-removal groups. Results: Five (12.5%, M/F = 4/1) of 40 patients (M/F = 33/7) successfully removed the permanent implant. The mean age was younger in the removal group ($27.2{\pm}6.4$ vs. $43.5{\pm}10.7$ years, P < 0.01). The mean duration of implantation in the removal group was $34.4{\pm}18.2$ months. Two of 15 patients (13.3%) and 3 of 25 patients (12%) who had upper and lower extremity pain, respectively, had removed the implant. The implants could be removed in 5 of 27 patients (18.5%) with CRPS type 1 (P < 0.01). All 5 patients (100%) who removed their SCS returned to work, while only 5 of 35 (14.3%) in the non-removal group did (P < 0.01). Conclusions: Even though this study had limited data, younger patients with CRPS type 1 could remove their SCSs within a 5-year period and return to work with complete pain relief.

Outcomes of epidural steroids following percutaneous transforaminal endoscopic discectomy: a meta-analysis and systematic review

  • Song, Yinghao;Li, Changxi;Guan, Jingjing;Li, Cheng;Wu, Haisheng;Cheng, Xinzhi;Ling, Bingyu;Zhang, Jinglang
    • The Korean Journal of Pain
    • /
    • v.35 no.1
    • /
    • pp.97-105
    • /
    • 2022
  • Background: Percutaneous transforaminal endoscopic discectomy (PTED) has been widely used in the treatment of lumbar degenerative diseases. Epidural injection of steroids can reduce the incidence and duration of postoperative pain in a short period of time. Although steroids are widely believed to reduce the effect of surgical trauma, the observation indicators are not uniform, especially the long-term effects, so the problem remains controversial. Therefore, the purpose of this paper was to evaluate the efficacy of epidural steroids following PTED. Methods: We searched PubMed, Embase, and the Cochrane Database from 1980 to June 2021 to identify randomized and non-randomized controlled trials comparing epidural steroids and saline alone following PTED. The primary outcomes included postoperative pain at least 6 months as assessed using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). The secondary outcomes included length of hospital stay and the time of return to work. Results: A total of 451 patients were included in three randomized and two non-randomized controlled trials. The primary outcomes, including VAS and ODI scores, did not differ significantly between epidural steroids following PTED and saline alone. There were no significant intergroup differences in length of hospital stay. Epidural steroids were shown to be superior in terms of the time to return to work (P < 0.001). Conclusions: Intraoperative epidural steroids did not provide significant benefits, leg pain control, improvement in ODI scores, and length of stay in the hospital, but it can enable the patient to return to work faster.

The Way to Use Information on Long-term Returns: Focus on U.S. Equity Funds (장기 수익률 정보의 활용 방안: 미국 주식형 펀드를 대상으로)

  • Ha, Yeon-Jeong;Oh, Hae-June
    • Asia-Pacific Journal of Business
    • /
    • v.13 no.1
    • /
    • pp.167-183
    • /
    • 2022
  • Purpose - The purpose of this study is to show the need to use the past long-term returns for investment decisions in U.S. equity funds and to suggest an investment strategy using long-term returns. Design/methodology/approach - This study solves the problem of high return volatility in long-term returns and proposes new investment portfolios based on the behavior of fund investors according to past returns. For the investment portfolio of this study, 60 months are divided into several periods and the average of the performance ranks for each period is used. Findings - First, funds with high average returns over multiple periods have lower future outflows and higher future returns than funds with high 60-month cumulative returns. Second, funds with low average returns over multiple periods have lower future inflows and lower future returns than funds with low 60-month cumulative returns. The findings mean that when making decisions based on past long-term returns, it is a smarter investment choice to buy funds with high average returns over multiple periods and sell funds with low average returns over multiple periods. Research implications or Originality - This study shows that it is necessary to use long-term returns in fund investment by analyzing the characteristics of the portfolio based on past returns. In addition, the study is meaningful in that it suggests a way to use long-term returns more efficiently based on the behavior of fund investors and shows that such investments lead to higher returns in the future.

Development of Return flow rate Prediction Algorithm with Data Variation based on LSTM (LSTM기반의 자료 변동성을 고려한 하천수 회귀수량 예측 알고리즘 개발연구)

  • Lee, Seung Yeon;Yoo, Hyung Ju;Lee, Seung Oh
    • Journal of Korean Society of Disaster and Security
    • /
    • v.15 no.2
    • /
    • pp.45-56
    • /
    • 2022
  • The countermeasure for the shortage of water during dry season and drought period has not been considered with return flowrate in detail. In this study, the outflow of STP was predicted through a data-based machine learning model, LSTM. As the first step, outflow, inflow, precipitation and water elevation were utilized as input data, and the distribution of variance was additionally considered to improve the accuracy of the prediction. When considering the variability of the outflow data, the residual between the observed value and the distribution was assumed to be in the form of a complex trigonometric function and presented in the form of the optimal distribution of the outflow along with the theoretical probability distribution. It was apparently found that the degree of error was reduced when compared to the case not considering where the variance distribution. Therefore, it is expected that the outflow prediction model constructed in this study can be used as basic data for establishing an efficient river management system as more accurate prediction is possible.

Determinants of Debt Policy for Public Companies in Indonesia

  • MUKHIBAD, Hasan;SUBOWO, Subowo;MAHARIN, Denis Opi;MUKHTAR, Saparuddin
    • The Journal of Asian Finance, Economics and Business
    • /
    • v.7 no.6
    • /
    • pp.29-37
    • /
    • 2020
  • This research seeks to determine the influence of investment opportunity set (IOS); profitability (Return on Assets - ROA), liquidity, business risk and firm size on debt policy. We used 42 manufacturing companies registered on the Indonesian Stock Exchange (Bursa Efek Indonesia) as object research. We used purposive sampling method to determined samples, consider the period observation from 2012 to 2016, and produce 168 units analysis. Data analysis uses the multiple regressions with the SPSS tools. The results of the study found that companies' debt policies in Indonesia are negatively affected by the liquidity. Investment opportunity set (IOS) has negative effect on debt policy. Meanwhile, ROA, Return on Invested Capital (ROIC), and firm size of a company has no impact on debt policy. These findings indicate that Indonesian manufacture companies do not see the high investment opportunity set and profitability as a policy basis for increasing debt. Moreover, the high profitability also does not cause companies to increase their debt ratio. Our study indicates that Indonesian manufacture companies use internal funds to fund their investment. This finding is a concern for creditors, as they can now see the ability of the companies, and especially their performance, in determining their credit policies.

Strategic Cross-Fund Subsidization: Evidence from Equity Funds in Korea (우리나라 주식형 펀드의 전략적 행동: 주식형 펀드 간 교차보조를 중심으로)

  • Cho, Sungbin
    • KDI Journal of Economic Policy
    • /
    • v.33 no.1
    • /
    • pp.45-72
    • /
    • 2011
  • This study uses Korea's equity fund-related data ranging from Jan. 2002 to Apr. 2010 to analyze the existence of cross-subsidization among funds managed by the same management company. The findings are as follows: i) a transfer of performance outcome is confirmed to move from low-fee funds to high-fee funds, meaning that management companies tend to maximize their own interest than investors' return. And such a tendency has been strengthened since 2008. ii) young funds overperform old funds, iii) funds with high returns in the previous quarter perform better than funds with low return in the same period. These results suggest that in order to protect investors, it is necessary to conduct close monitoring on transactions that might undermine the benefits of investors and comprehensive evaluation on the capability of management companies.

  • PDF