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Complications, operative time, and the length of hospitalization in selected patients undergoing tubeless PCNL were all lower than those seen in the standard group. Tubeless PCNL was thus found to be safe and effective, even in patients with staghorn stones.

Multi-manned assembly lines are often designed to produce big-sized products, such as automobiles and trucks. In this type of production lines, there are multi-manned workstations where a group of workers simultaneously performs different operations on the same individual product. One of the problems, that managers of such production lines usually encounter, is to produce the optimal number of items using a fixed number of workstations, without adding new ones. In this paper, such a class of problems, namely, the multi-manned assembly line balancing problem is addressed, with the objective of minimising the cycle time. A mixed-integer mathematical programming formulation is proposed for the considered problem. This model has the primary objective of minimising the cycle time for a given number of workstations and the secondary objective of minimising the total number of workers. Since the addressed problem is NP-hard, two meta-heuristic approaches based on the simulated annealing algorithm have been developed: ISA and DSA. ISA solves the problem indirectly while DSA solves it directly. The performance of the two algorithms are tested and compared on a set of test problems taken from the literature. The results show that DSA outperforms ISA in term of solution quality and computational time

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Purpose This paper aims to study a generalized type of mixed-model assembly line with multi-manned workstations where multiple workers simultaneously perform different tasks on the same product. This special kind of assembly line is usually utilized to assemble different models of large products, such as buses and trucks, on the same production line. Design/methodology/approach To solve the mixed-model multi-manned assembly line balancing problem optimally, a new mixed-integer-programming (MIP) model is presented. The proposed MIP model is nondeterministic polynomial-time (NP)-hard, and as a result, a simulated annealing (SA) algorithm is developed to find the optimal or near-optimal solution in a small amount of computation time. Findings The performance of the proposed algorithm is examined for several test problems in terms of solution quality and running time. The experimental results show that the proposed algorithm has a satisfactory performance from computational time efficiency and solution accuracy. Originality/value This research is the very first study that minimizes the number of workers and workstations simultaneously, with a higher priority set for the number of workers, in a mixed-model multi-manned assembly line setting using a novel MIP model and an SA algorithm.