The phrase "a combination of systemic" is correct and usable in written English.
It can be used when discussing elements that work together within a larger system, often in contexts like analysis, research, or problem-solving.
Example: "The study revealed a combination of systemic factors that contributed to the decline in biodiversity."
Alternatives: "a blend of systemic" or "an amalgamation of systemic".
The system screened all adult ED patients for a combination of systemic inflammatory response syndrome and organ dysfunction criteria (hypotension, hypoxemia or lactic acidosis).
It was hypothesized that AA and energy-yielding substrates independently regulate AA metabolism and protein synthesis in mammary glands by a combination of systemic and local mechanisms.
This volume now presents the experience and expertise of Japanese surgeons who utilize preoperative or intraoperative chemotherapy, or a combination of systemic and regional chemotherapy.
The broad policy thrust is to reduce the cost barriers to access to high quality basic education for all through a combination of systemic developments (like abolishing informal payments) and targeted interventions (incentives for the poor, girls and ethnic minorities) to attend school (RGOC, 2003).
The inaccurate statistics "were due to a combination of systemic issues, procedural deficiencies, department-wide misconceptions about what constitutes an aggravated assault, and, in a small number of cases, individual officer error," the audit found.
Patients received a combination of systemic chemotherapy and intrathecal injection of methotrexate.
Sepsis was defined as a combination of a systemic inflammatory response syndrome (SIRS) on admission and a suspicion of having infection.
The RTOG 97-04 trial compared gemcitabine to 5-FU in a sequential combination of systemic chemotherapy (gemcitabine vs. 5-FU) for 3 weeks followed by 5-FU-based chemoRT and then 3 months of chemotherapy with the same previously used agent.
All community ambulating males and females 60 years of age or older surviving cancer (breast, prostate, colorectal, lung or lymphoma), with no evidence of disease, and at least 6 months post-treatment (local = surgery and/or radiation; or systemic = chemotherapy; or a combination of local and systemic), and a Folstein Mini-Mental State Examination score > 23 were eligible.
One subtype, systemic JIA (SJIA), is characterized by a combination of arthritis and systemic inflammation.
Systemic juvenile idiopathic arthritis (SJIA) is a chronic arthritis of children characterized by a combination of arthritis and systemic inflammation.
