• Title/Summary/Keyword: Two stage operation

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Two-Stage Latissimus Dorsi Flap with Implant for Unilateral Breast Reconstruction: Getting the Size Right

  • Feng, Jiajun;Pardoe, Cleone I;Mota, Ashley Manuel;Chui, Christopher Hoe Kong;Tan, Bien-Keem
    • Archives of Plastic Surgery
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    • v.43 no.2
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    • pp.197-203
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    • 2016
  • Background The aim of unilateral breast reconstruction after mastectomy is to craft a natural-looking breast with symmetry. The latissimus dorsi (LD) flap with implant is an established technique for this purpose. However, it is challenging to obtain adequate volume and satisfactory aesthetic results using a one-stage operation when considering factors such as muscle atrophy, wound dehiscence and excessive scarring. The two-stage reconstruction addresses these difficulties by using a tissue expander to gradually enlarge the skin pocket which eventually holds an appropriately sized implant. Methods We analyzed nine patients who underwent unilateral two-stage LD reconstruction. In the first stage, an expander was placed along with the LD flap to reconstruct the mastectomy defect, followed by gradual tissue expansion to achieve overexpansion of the skin pocket. The final implant volume was determined by measuring the residual expander volume after aspirating the excess saline. Finally, the expander was replaced with the chosen implant. Results The average volume of tissue expansion was 460 mL. The resultant expansion allowed an implant ranging in volume from 255 to 420 mL to be placed alongside the LD muscle. Seven patients scored less than six on the relative breast retraction assessment formula for breast symmetry, indicating excellent breast symmetry. The remaining two patients scored between six and eight, indicating good symmetry. Conclusions This approach allows the size of the eventual implant to be estimated after the skin pocket has healed completely and the LD muscle has undergone natural atrophy. Optimal reconstruction results were achieved using this approach.

A Study on the Development of PSEI and Measurement of Service Efficiency in Public Sector (공공부문의 서비스효율성 측정 및 지수개발에 관한 연구)

  • Song, Gwag-Suk;Baek, Pil-Ki;Yoo, Han-Joo
    • Journal of Korean Society for Quality Management
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    • v.37 no.4
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    • pp.100-110
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    • 2009
  • The customer-driven efficiency evaluation has been in the mainstream of public administration research, since the 1980s. However, there have been relatively fewer efficiency evaluation research in public administration compared to those of public institutions. This paper is to analyze the service efficiency of public sector using Data Envelopment Analysis(DEA). We suggested two stage DEA model to accomplish efficiency evaluation that an operation and performance characteristic of the public institution were reflected and then the number of the government employee and tax expenditure per residents were used as the input elements at the 1st stage and four integrated service dimensions were used as the output elements. At 2nd stage, four integrated service dimensions and citizen's satisfaction were used as the input and output elements respectively. In addition, we suggested PSEI(Public Service Efficiency Index) which showed the efficiency of the public sector using the two stages efficiency result. According to the results for '07, there were no efficient institutions among 15 DMUs and the most efficient public institution was K(0.9150). In case for '08 analysis, there was only one efficient DMU.

Effect of the Peace-Dam Construction on the Flood Discharge and the Flood Stage of the Hwachun-Dam

  • Jun, Byoung-Ho;Shin, Hyun-Suk;Yoon, Jae-Young
    • Korean Journal of Hydrosciences
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    • v.5
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    • pp.17-31
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    • 1994
  • Because of the Keumkangsan-Dam and the Peace-Dam constructed in recent years, it is expected that the peak flood discharge and the peak flood stage at the Hwachun-Dam site have been changed. In this study, two methods were used to simulate and compare the effects of the upstream dam construction on the change of the discharge and the stage. One is the storage function method widely used for the hydrological routing in the country. The other is the DWOPER(Dynamic Wave Operational Model) package conducted on four different scenarios: (1) before the construction of the Keumkangsan-Dam and the Peace-Dam; (2) the exclusion of the Keumkangsan-Dam watershed (before the construction of the Peace-Dam); (3) the exclusion of the Keumkangsan-Dam watershed (after the construction of the Peace-Dam) ; (4) the exclusion of the Peace-Dam watershed. The results of the four test cases from the two methods show that the peak flood discharge and the peak flood stage at the Hwachun-Dam site are reduced due to the construction of the Peace-Dam. From these findings, it is suggested that the operational criteria for the optimal dam-operation of the Hwachun-Dam need to be modified.

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Development of 12V, 1000A Isolated Bidirectional Resonant DC-DC Converter (12V, 1000A 절연형 양방향 공진형 DC-DC 컨버터 개발)

  • Park, Jun-Sung;Choi, Se-Wan
    • The Transactions of the Korean Institute of Power Electronics
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    • v.19 no.1
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    • pp.57-63
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    • 2014
  • In this paper a bidirectional DC-DC converter is proposed for renewable energy systems, eco-friendly vehicles, energy storage systems, uninterruptible power supply(UPS) systems and battery test equipments. The two-stage bidirectional converter employing a fixed-frequency series loaded resonant converter is designed to be capable of operating under zero-current-switching turn on and turn off regardless of voltage and load variation, and hence its magnetic components and EMI filters can be optimized. And efficiencies and volumes of the two-stage bidirectional converters are compared according to configuration of isolated and non-isolated parts and a two-stage topology suitable for low voltage and high current applications is proposed. A 12kW(12V, 1000A) prototype of the proposed converter has been built and tested to verify the validity of the proposed operation.

Asymmetric Saturated 3-Stage Doherty Power Amplifier Using Envelope Tracking Technique for Improved Efficiency (효율 향상을 위해 포락선 추적 기술을 이용한 비대칭 포화 3-Stage 도허터 전력 증폭기)

  • Kim, Il-Du;Jee, Seung-Hoon;Moon, Jung-Hwan;Son, Jung-Hwan;Kim, Jung-Joon;Kim, Bum-Man
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.20 no.8
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    • pp.813-822
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    • 2009
  • We have investigated operation of a 1:2:2 asymmetric 3-stage Doherty PA(Power Amplifier) and implemented using the Freescale's 4 W, 10 W PEP LDMOSFETS at 1 GHz. By employing the three peak efficiency characteristics, compared to the two peak N-way Doherty PA, the asymmetric 3-stage Doherty can overcome the serious efficiency degradation along the backed-off output power region and maximize the average efficiency for the modulation signal. To maximize the efficiency characteristic, the inverse class F PA has been designed as carrier and peaking amplifiers. Furthermore, to extract the proper load modulation operation, the adaptive gate bias control signal has been applied to the two peaking PAs based on the envelope tracking technique. For the 802.16e Mobile WiMAX(World Interoperability for Microwave Access) signal with 8.5 dB PAPR(Peak to Average Power Ratio), the proposed Doherty PA has shown 55.46 % of high efficiency at an average output power of 36.85 dBm while maintaining the -37.23 dB of excellent RCE(Relative Constellation Error) characteristic. This is the first time demonstration of applying the saturated PA and adaptive gate bias control technique to the asymmetric 3-stage Doherty PA for the highly efficient transmitter of the base-station application.

A Characteristic Analysis of Single-Power-Stage High Frequency Resonant AC-DC Converter with High Power Factor (고역률 단일 전력단 고주파 공진 AC-DC 컨버터의 특성해석)

  • 남승식;원재선;황계호;오경섭;박재욱;김동희;오승훈
    • The Transactions of the Korean Institute of Power Electronics
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    • v.9 no.4
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    • pp.372-380
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    • 2004
  • This paper proposes a single-power-stage high frequency resonant AC-DC converter with high power factor using ZVS(Zero Voltage Switching), and integrates a conventional converter with two stage into single stage converter. Input power factor is possible to be improved as a high power factor because inductor for power factor correction(PFC) is connected in input and converter is operated in discontinued current mode(DCM) with constant duty cycle and variable switching frequency. The conventional converter with two stage need to add a switch in order to control a power factor, but single stage converter have a advantage that system is simple and cost is down, confidence is improved, etc. This paper described a operation principle and characteristic analysis for single stage AC-DC converter with high power factor and have evaluated characteristic values by using normalized parameter. We make a experimental equipment using MOSFET as a switching device on the basis of characteristic values obtained from characteristic evaluations and we conform a rightfulness of theoretical analysis by comparing theoretical waveforms and experimental waveforms.

Comparison of hydrochemical informations of groundwater obtained from two different underground storage systems

  • Lee, Jeonghoon;Kim, Jun-Mo;Chang, Ho-Wan
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2002.04a
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    • pp.110-113
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    • 2002
  • Statistical- based, principal component analysis (PCA) was applied to chemical data from two underground storage systems containing LPG to assess the usefulness of such technique at the initial stage (Pyeongtaek) or middle stage (Ulsan) of hydrochemical studies. For the first case, both natural and anthropogenic contamination characterize regional groundwater. Saline water buffered by Namyang lake affects as a natural factor, whereas cement grouting influence as an artificial factor. For the second study area, contaminations due to operation of LPG caverns, such as disinfection activity and cement grouting effect, deteriorate groundwater quality. This study indicates that principal component analysis would be particularly useful for summarizing large data set for the purpose of subsurface characterization, assessing their vulnerability to contamination and protecting recharge zones.

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A Two-Stage Heuristic for Capacitated Disassembly Scheduling (자원제약을 고려한 분해 일정계획 문제에 대한 2 단계 발견적 기법)

  • Jeon, Hyong-Bae;Kim, Jun-Gyu;Kim, Hwa-Joong;Lee, Dong-Ho
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 2005.05a
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    • pp.715-722
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    • 2005
  • Disassembly scheduling is the problem of determining the quantity and timing of disassembling used products while satisfying the demand of their parts or components over a planning horizon. The case of single product type with assembly structure is considered for the objective of minimizing the sum of disassembly operation and inventory holding costs. In particular, the resource capacity constraint is explicitly considered. The problem is formulated as an integer programming model, and a two-stage heuristic with construction and improvement algorithms is suggested in this paper. To show the performance of the heuristic, computational experiments are done on a number of randomly generated problems, and the test results show that the algorithm can give near optimal solutions within a very short amount of computation time.

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Experimental Study on the Discharge Electrode of A Two-Stage Electrostatic Air Cleaner (2단 평행판 전기집진기의 방전부 특성 실험)

  • Kim, I.S.;Lee, J.O.;Kim, Y.J.;Choi, H.O.
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.5 no.1
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    • pp.27-34
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    • 1993
  • The two-stage electrostatic air cleaner is a particle control device that uses electrical forces to move particles in the flowing gas stream onto collector plates. Despite a general understanding of electrostatic air cleaner operation and their successful use in industry, many questions regarding flow, electric fields and particle collection have remained unanswered. In this paper, an experimental investigation for designing the discharge electrode, including ionizer wire diameter, plate length and wire-to-plate spacing, is carried out. The electrical conditions, namely the electric field intensity, the space current and the particle charge intensity, in wire-plate electrostatic air cleaner are reported and examined.

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Design of Two-Stage Class AB CMOS Buffers: A Systematic Approach

  • Martin, Antonio Lopez;Miguel, Jose Maria Algueta;Acosta, Lucia;Ramirez-Angulo, Jaime;Carvajal, Ramon Gonzalez
    • ETRI Journal
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    • v.33 no.3
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    • pp.393-400
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    • 2011
  • A systematic approach for the design of two-stage class AB CMOS unity-gain buffers is proposed. It is based on the inclusion of a class AB operation to class A Miller amplifier topologies in unity-gain negative feedback by a simple technique that does not modify quiescent currents, supply requirements, noise performance, or static power. Three design examples are fabricated in a 0.5 ${\mu}m$ CMOS process. Measurement results show slew rate improvement factors of approximately 100 for the class AB buffers versus their class A counterparts for the same quiescent power consumption (< 200 ${\mu}W$).