There has been no difference in success in symptom improvement between the transsternal approach and the minimally invasive transcervical approach.

* The transsternal approach is most common and uses the same length-wise incision through the sternum ( breast bone ) used for most open-heart surgery.

Interestingly, there has been no difference in success in symptom improvement between the transsternal approach and the minimally invasive transcervical approach.

There are a number of surgical approaches to the removal of the thymus gland: transsternal ( through the sternum, or breast bone ), transcervical ( through a small neck incision ), and transthoracic ( through one or both sides of the chest ).

There are a number of surgical approaches to the removal of the thymus gland: transsternal ( through the breast bone ), transcervical ( through a small neck incision ), transthoracic ( through one or both sides of the chest.

An approach that has appealed to some choreographers is reminiscent of Charles Olson's statement of the process of projective verse: `` one perception must immediately and directly lead to a further perception ''.

But in this approach it is the artist's ultimate insight, rather than his immediate impressions, that gives form to the work.

The approach to the depiction of the experience of creation may be analytic, as it is for Miss Litz, or spontaneous, as it is for Merle Marsicano.

An order can be chanced rather than chosen, and this approach produces an experience that is `` free and discovered rather than bound and remembered ''.

It is testimony to the deep respect in which Mr. Eisenhower was held by members of all parties that the moral considerations raised by his approach to the matter were not explicitly to be broached.

I am suggesting that a case-history approach to the Oedipus complex is a blind alley for a storyteller.

The interesting thing about Mr. Lyford's approach, and the approach of the contributors to The Agreeable Autocracies ( Oceana Publications, 1961 ) to the situation of American civilization, is that it is concerned with comprehending the psychological relationships which are having a decisive effect on American life.

For it is their catastrophic concept of the Anglo-Saxon invasions rather than Kemble's gradualist approach which dominates the field.

This is not to assume that his work was without merit, but the validity of his assumptions concerning the meaning of history must always be considered against this background of an unprofessional approach.

In this respect, his approach to poetry-and-jazz is in marked contrast to Kenneth Rexroth's.

His approach to music is highly individualistic ; ;

Since Laos is of no more purely military value to Moscow itself than it is to Washington, this approach might be expected to head off Mr. Khrushchev for the moment.

But if any realism and feeling for truth remain in the General Assembly, it is time for men of courage to measure the magnitude of the failure and urge some new approach.

That is one approach.

Mr. Richard Preston, executive director of the New Hampshire State Planning and Development Commission, in his remarks to the Governors Conference on Industrial Development at Providence on October 8, 1960, warned against the fallacy of attempting to attract industry solely to reduce the tax rate or to underwrite municipal services such as schools when he said: `` If this is the fundamental reason for a community's interest or if this is the basic approach, success if any will be difficult to obtain ''.

A systematic approach to development budgeting and programing is one important kind of self-help.

The most fundamental concept of the new approach to economic aid is the focusing of our attention, our resources, and our energies on the effort to promote the economic and social development of the less developed countries.

This problem of fair and equitable assessment of value is a difficult one to solve in that the determination of fair valuation is dependent on local assessors, who in general are non-professional and part-time personnel taking an individualistic approach to the problem.

But the most impressive testimony to Schnabel's distinction as a teacher is reflected by the individuality which marks each student's approach as distinctly his own.

It is one that most try to avoid, as long as they can see an alternative approach to the problem.

Lincoln's foreign policy approach had been initially hands off, due to his inexperience ; he left most diplomacy appointments and other foreign policy matters to his Secretary of State, William Seward.

Since the randomization-based analysis is complicated and is closely approximated by the approach using a normal linear model, most teachers emphasize the normal linear model approach.

Clearly, an evaluation of a user's abilities and requirements is necessary to match a user with the most appropriate AAC method, input approach, and vocabulary.

Schools will vary in their approach, but in North America the most popular method taught derives from the " system " of Constantin Stanislavski, which was developed and popularised in America by Lee Strasberg, Stella Adler, and others.

Not that angels have wings, but that you may know that they leave the heights and the most elevated dwelling to approach human nature.

Although such a conversion can be prone to loss, most modern audio systems use this approach as the techniques of digital signal processing are much more powerful and efficient than analog domain signal processing.

One of the most famous contemporary buildings by an anthroposophical architect is ING House, an ING Bank building in Amsterdam, which has received several awards for its ecological design and approach to a self-sustaining ecology as an autonomous building and example of sustainable architecture.

Either approach is adequate for most uses, provided that one attends to the necessary changes in language, notation, and the definitions of concepts like restrictions, composition, inverse relation, and so on.

Most individuals who balance their cheque-book each month are using such a system, and most personal finance software follows this approach.

For surveys, the most common approach is to follow a historical path by associating stances with the philosophers who are most strongly associated with them, for example Descartes, Locke, Kant, etc.

The most thorough account of the spiritual approach may be Ken Wilber's book The Spectrum of Consciousness, a comparison of western and eastern ways of thinking about the mind.

Conservative Judaism believes that its approach is the most authentic expression of Judaism as it was traditionally practiced.

The most common approach to turn this intuitive idea into a precise definition uses limits, but there are other methods, such as non-standard analysis.

Frances and others have published debates on what they see as the six most essential questions in psychiatric diagnosis-are they more like theoretical constructs or more like diseases ; how to reach an agreed definition ; whether the DSM-V should take a cautious or conservative approach ; the role of practical rather than scientific considerations ; the issue of use by clinicians or researchers ; and whether an entirely different diagnostic system is required.

The most common processing approach in the time or space domain is enhancement of the input signal through a method called filtering.

While music and the approach to missionary work were the most visible issues, there were also some deeper ones.

Nevertheless, perhaps Derrida's most famous mark was, from the start, differance, created to deconstruct the opposition between speech and writing and open the way to the rest of his approach:

The first extant grammar of Greek, " Art of Grammar " ( Tékhnē grammatiké, Greek: ) is attributed to him but many scholars today doubt that the work really belongs solely to him due to the difference between the technical approach of most of the work and the more literary approach ( similar to the 2nd century's Alexandrian tradition ) of the first few sections.

Although most of the relevant tissues and endocrine glands had been identified by early anatomists, a more humoral approach to understanding biological function and disease was favoured by the ancient Greek and Roman thinkers such as Aristotle, Hippocrates, Lucretius, Celsus, and Galen, according to Freeman et al., and these theories held sway until the advent of germ theory, physiology, and organ basis of pathology in the 19th century.