• The Journal of Korean Institute of Communications and Information Sciences
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• v.22 no.12
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• pp.2644-2652
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• 1997

We ivestigate a two-stage queueing system which frequently arises in the study of overflow problems. A primary service facility consists of multiple primary queues where blocked calls are overflowed to a secondary queue. By approximating the input to the secondary queue with a two-state Markov Modulated Poisson Process (MMPP), we derive the blocking probability of the secondary queue. For the approximation, we employ the well-known Heffes' method and the SAM procedure.

• The Journal of Korean Academy of Prosthodontics
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• v.32 no.4
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• pp.573-592
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• 1994

A two-stage procedure is ideal for getting a successful osseointegration. But if a one-stage procedure can achieve a similar osseointegration, the one-stage procedure has several advantages. The purpose of this study was to observe the initial bone formation and bone remodeling of open type (nonsubmerged) and closed type (submerged) titanium implants. Eight ITI hollow-screws and eight Branemark fixtures were divided into two groups (submerged and nonsubmerged) and were installed on the lower jaws of four mongrel dogs. The animals were sacrificed three months later and bone sections with implants were processed for light microscopic and fluorescent microscopic observation. The results were as follows : 1 There was no significant difference in bone-to-implant contact between submerged and nonsubmerged implants. 2. Smooth surface titanium implants showed more bone-to-implant contact than that of titanium plasma coated implants histologically. 3. Under fluorescent microscopy, the active bone remodeling and new bone formation were observed in the interface zone. 4. Under fluorescent microscopy, submerged and nonsubmerged implants had no difference in bone remodeling pattern, and intramembranous bone formation was more prominent. 5. The connective tissue fibers orienting perpendicularly toward implant surface were oberved in the neck of implants.

• The Transactions of the Korean Institute of Power Electronics
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• v.19 no.5
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• pp.422-430
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• 2014

This study proposes a small-signal model and control design for a two-stage DC-DC-AC converter to investigate its dynamic characteristics in relation to battery energy storage system. When the circuit analysis of the two-stage DC-DC-AC converter is attempted simultaneously, the mathematical procedure of deriving the dynamic equation is complex and difficult. The main idea of modeling the two-stage DC-DC-AC converter states that this topology is separated into a bidirectional DC-DC converter and a single-phase inverter with an equivalent current source corresponding to that of the inverter or converter. The dynamic equations for the separated converter and inverter are then derived using the state-space averaging technique. The procedures of building the small-signal model of the two-stage DC-DC-AC converter are described in detail. Based on the derived small-signal model, the individual controllers are designed through a frequency-domain analysis. The simulation and experimental results verify the validity of the proposed modeling approach and controller design.

• Journal of Korean Institute of Industrial Engineers
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• v.33 no.2
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• pp.254-264
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• 2007

This paper considers a scheduling problem to minimize the total weighted completion time in the two-stage assembly-type flowshop. The system is composed of multiple fabrication machines in the first stage and a final-assembly machine in the second stage. Each job consists of multiple components, each component is machined on the fabrication machine specified in advance. The manufactured components of each job are subsequently assembled into a final product on the final-assembly machine. The objective of this paper is to find the optimal schedule minimizing the total weighted completion time of jobs. Three lower bounds are derived and tested in a branch-and-bound (B&B) Procedure. Also, three heuristic algorithms are developed based on the greedy strategies. Computational results show that the proposed B&B procedure is more efficient than the previous work which has considered the same problem as this paper.

• Hip & pelvis
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• v.35 no.1
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• pp.32-39
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• 2023

Purpose: A staged revision with placement of a temporary antibiotic-loaded cement spacer after removal of the implant is the "gold standard" for treatment of chronic prosthetic joint infection (PJI). It enables local delivery of antibiotics, maintenance of limb-length and mobility, easier reimplantation. However, bacterial colonization of spacers and mechanical complications can also occur. The aim of this study is to evaluate functional results and infection control in two-stage treatment of total hip arthroplasty (THA) PJI with and without a spacer. Materials and Methods: A retrospective review of 64 consecutive patients was conducted: 34 underwent two-stage revision using a cement spacer (group A), 30 underwent two-stage revision without a spacer (group B). At the final follow-up, functional evaluation of patients with a THA in site, without PJI recurrence, was performed using the Harris hip score (HHS). Measurement of limb-length and off-set discrepancies was performed using anteroposterior pelvic X-rays. Results: Most patients in group B were older with more comorbidities preoperatively. Thirty-three patients (97.1%) in group A underwent THA reimplantation versus 22 patients (73.3%) in group B (P<0.001). No significant differences in limb-length and off-set were observed. The results of functional evaluation performed during the final follow-up (mean, 41 months) showed better function in patients in group A (mean HHS, 76.3 vs. 55.9; P<0.001). Conclusion: The use of antibiotic-loaded cement spacer seems superior in terms of functional outcomes and reimplantation rate. Resection arthroplasty might be reserved as a first-stage procedure in patients who are unfit, who might benefit from a definitive procedure.

• Journal of Korean Institute of Industrial Engineers
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• v.10 no.2
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• pp.29-36
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• 1984

This paper proposes a procedure for solving a multi-stage stockpile problem with budget constant. To establish the stockpile importance index, value assessment procedure is employed with two attributes; item's essentiality and Unsatisfactoriness rate of requirements, Then we propose the balancing of stockpile importance index among stockpile items as a reasonable objective for stockpile problem.

• Archives of Plastic Surgery
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• v.49 no.5
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• pp.580-586
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• 2022

Background Appropriate position of the nipple-areolar complex (NAC) is crucial following nipple-sparing mastectomy (NSM). The prevention of NAC malposition in two-stage implant-based breast reconstruction has not been well described, and the efficacy of the techniques has not been evaluated. This study aimed to evaluate the efficacy of our technique to prevent NAC malposition in patients who underwent implant-based breast reconstruction after NSM. Methods Patients who underwent two-stage implant-based breast reconstruction with NSM between January 2012 and December 2019 were included. We used a surgical technique to fix the NAC to the rigid base, assuming a pocket-like appearance, with pectoralis major muscle and lateral adipofascial flap at the time of tissue expander (TE) insertion. Patients were classified into two groups based on the performance of the technique for the prevention of NAC malposition. Results In 35 patients who underwent implant-based breast reconstruction after NSM, the clavicle-to-nipple distance ratio was 96.0±5.0% in those who underwent NAC fixation and 86.1±11.5% in those who did not undergo NAC fixation. Conclusions Using our technique, NAC malposition could be prevented in two-stage implant-based breast reconstruction. NAC fixation during TE insertion was found to be extremely effective. This procedure successfully prevented NAC malposition without the formation of extra scars.

• Korean Management Science Review
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• v.27 no.2
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• pp.45-54
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• 2010

In this paper we analyze the effects of loading-unloading environments on the efficiency of freight railroad stations using a two-stage procedure for efficiency model estimation. And from the results we explore a way for efficiency improvement of freight railroad stations. Two-stage procedure is composed of data envelopment analysis and regression analysis. The results show that we could expect efficiency improvement through the government"s effort to make railway stations to be strategic position. Furthermore, they advocate policy-makers that efficiency can be improved by simplifying the kinds of freight items and increasing the scale.

• Journal of the Korean Statistical Society
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• v.19 no.1
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• pp.24-44
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• 1990

The purpose of this paper is to extend the idea of Tamhane and Bechhofer (1977, 1979) concerning the normal means problem to some general class of distributions. The key idea in Tamhane and Bechhofer is the derivation of the computable lower bounds on the probability of a correct selection. To derive such lower bounds, they used the specific covariance structure of a multivariate normal distribution. It is shown that such lower bounds can be obtained for a class of stochastically increasing distributions under certain conditions, which is sufficiently general so as to include the normal means problem as a special application. As an application of the general theory to the scale parameters problem, a two-stage elimination type procedure for selecting the population associated with the smallest variance from among several normal populations is proposed. The design constants are tabulated and the relative efficiencies are computed.

• Archives of Plastic Surgery
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• v.37 no.6
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• pp.775-778
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• 2010

Purpose: Reconstruction of soft tissue defects with osteomyelitis in the lower third of the leg represents a challenge to plastic surgeons. Moreover, it is more arduous in multimorbid patients. One excellent option for reconstruction of these defects is to use a delayed distally based sural flap. Methods: We successfully used delayed distally based sural flap with a two-step procedure. During the first operation, radical debridement and elevation of flap were performed. The raised flap was fixed again at the donor site. The delay period ranged from seven to ten days. Between August 2008 and July 2009, we underwent operations for five patients using this technique. The size of flap varied from $10{\times}6\;cm$ to $12{\times}14\;cm$. Results: All flaps successfully survived. Partial skin loss of the grafted site was seen in two patients but no further surgical procedure was required for wound healing. Complaints of hypoesthesia on the lateral part of the foot was observed. In a three month follow-up period, hypoesthesia was resolved spontaneously. Conclusion: Delayed procedure improves the viability of distally based sural flap in high risk, critically multimorbid patients. We recommend that, if a two-stage operative approach is required, the delayed procedure should be considered.