Where, as above, C is annuity payment, PV is principal, n is number of payments, starting at end of first period, and i is interest rate per period. Equivalently C is the periodic loan repayment for a loan of PV extending over n periods at interest rate, i.
Refractory epilepsy is a seizure disorder that resists drug treatment. There is some debate among clinicians and researchers about how to define refractory epilepsy. As a result, this term is used in a variety of ways, and when a patient's epilepsy is described as refractory, resistant, or nonresponsive, it can be advisable to ask for more detail about what the diagnosis means.
1 Refractory period (sex), the recovery phase after orgasm during which it is physiologically impossible for an individual to have additional orgasms.  Psychological refractory period, the delay in response to the second of two closely spaced psychological stimuli.