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Stratejik seçim teorisi çevrenin etkisini ve önemini yadsımaz ancak yönetici tercihlerinin örgüt üzerinde etkili olduğunu ve hatta örgütün çevresini etkileyebileceğini savunmaktadır (Cameron, 1984). 1.2 Hambrick ve Mason'un Üst Kademe Modeli Üst kademe teorisi Hambrick ve Mason (1984) tarafından yapılan
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Background Low anterior resection syndrome (LARS) is a defecation disorder that frequently occurs after a low anterior resection (LAR) with a total mesorectal excision (TME). The transanal (ta) TME for low rectal pathologies could potentially overcome some of the difficulties encountered with the abdominal approach in a narrow …
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Total mesorectal excision (TME) of rectal cancer leverages existing tissue planes to perform a complete resection of the tumor and the associated draining lymph nodes.9 By maintaining the intact fascia propria of the rectum and operating in the space between the mesorectum and the presacral fascia, the surgeon can achieve a resection
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Liang Kang, Ziwei Zeng, Shuangling Luo, Hong Zhang, Quan Wang, Mingyang Ren, Miao Wu, Weidong Tong, Qing Xu, Yi Xiao, Aiwen Wu, Yuan-Guang Chen, Bo Feng, Zhanlong Shen, Liang Huang, Xingwei Zhang, Minhua Zheng, Jian-Ping Wang, Transanal vs laparoscopic total mesorectal excision for rectal cancer: a multicenter …
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Total mesorectal excision (TME) is an important surgical technique to prevent the local recurrence of rectal cancer [ 1 ]. On the other hand, TME may not be suitable for every case of rectal cancer, such as rectosigmoid junction and …
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The circumferential resection margin (CME) involvement is 5% or less for anterior resections with total mesorectal excision.TME reduces local recurrence up to 6 to 12 % and improves 5-year survival by 57-87%. Who described total mesorectal excision? The TME technique was developed by Professor Bill Heald at Basingstoke Hospital.
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game theory, branch of applied mathematics that provides tools for analyzing situations in which parties, called players, make decisions that are interdependent. This interdependence causes each player to consider the other player's possible decisions, or strategies, in formulating strategy. A solution to a game describes the optimal …
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And when I first imagined this-- and I think if it's also a byproduct of how it's named-- Big Bang, you kind of imagine this type of explosion, that everything was infinitely packed in together and then it exploded. And then it exploded outward. And then as all of the matter exploded outward, it started to condense.
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Zaman serisi analizlerinde amaç olarak geçmiş veriler ile şimdiki veriler arasındaki ilişkiler anlaşılarak gelecekteki veriler tahmin edilmeye çalışılır. Yapılacak iyi tahminler sayesinde gelecekle ilgili yapılan hedefler, planlar daha tutarlı hale gelebilir. Ya da bir olay hakkında karar vermek için zaman serisi tahminlerine ...
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LMX teorisi, üst-ast bireyleri arasındaki ilişkiler değişimi üzerine yoğunlaşır. Yol-amaç teorisi, uygun lider tarzını organizasyonel koşullara ve ast kişiliğine bağlayan bir beklenmedik durum teorisidir. Transformasyonel liderlik teorisi, liderlerin yüksek seviye motivasyon ile bağlılığını ve takipçilerinin ...
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McTaggart's Argument. In a famous paper published in 1908, J.M.E. McTaggart argued that there is in fact no such thing as time, and that the appearance of a temporal order to the world is a mere appearance. Other philosophers before and since (including, especially, F.H. Bradley) have argued for the same conclusion.
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Transanal TME (TaTME) is a technique that combines abdominal and transanal endoscopic approach to overcome limitations and facilitate standard laparoscopic TME. The authors present some specific tips and tricks to perform this complex procedure using a double team approach and a new reusable transanal port.
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Şimdi, bu örneğe bir başka entrika ekleyelim. Bazı durumlarda karesel sayıları başka karesel sayılar elde etmek için toplayabiliriz ve Pisagor teoremini (a 2 +b 2 =c 2) sağlayan bu sayılara Pisagor üçlüsü denir.Örnek olarak 3 2 +4 2 =5 2 ya da 3,4,5. Sayılar teorisi, bu tür matematiksel ilişkilerin analiz edilmesi ile ilgilendiği kadar onlar hakkında …
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Generally, the outcome for patients with rectal cancer [ 1] has significantly improved, due to the adoption of the total mesorectal excision (TME) [ 2] as a standard of care and the progress made in neo-adjuvant and adjuvant therapy. Currently, the open technique has increasingly been replaced with minimally invasive techniques.
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Transanal TME (taTME) is a new procedure to treat low rectal cancer. Some published studies have proven that taTME can provide a better-quality resected specimen in low-rectal-cancer patients in comparison to the transabdominal procedure, yet long-term outcomes must be investigated.
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Total mesorectal excision (TME) has emerged as a gold standard for more than two decades for the treatment of rectal cancer. This concept was popularized by Heald after propagating the concept that rectum and its mesentry are derivates of hindgut embryologically, and in order to save patients from recurrence, it is wise to dissect rectum …
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