The phrase "alterations or a" is not complete and lacks context, making it difficult to determine its correctness in written English.
It could be used in a context where you are discussing changes or modifications, but it needs to be part of a fuller sentence to convey a clear meaning.
Example: "The designer made several alterations or a few adjustments to the original plan."
Alternatives: "modifications or a" or "changes or a".
These findings cast doubts upon whether the changes in the mammary epithelia of parous animals are permanent phenotypical alterations or a reflection of altered hormonal environment.
As illustrated in Figure 2, several chromosomal regions tended to be altered together in the same tumour, possibly reflecting a functional relationship between the alterations or a genetic heterogeneity of the MFH entity or both.
The study was not designed to identify the magnitude of effect of individual interventions, and it remains therefore uncertain if the observed reduction in asthma is solely due to the reduction in tobacco smoke exposure or dietary alterations or a combination of both.
Two main anomalies were found: (1) One group of 21/130 cases with partial or total loss of Rb protein expression, which could reflect the existence of genetic alterations, or an altered transcriptional or translational regulation of Rb gene.
One or two suggest a padded coat- hanger (but shaggy with threads, like a dress stitched up for alterations), or again a group of sprouting fronds, playing in an aquarium.
Whether this signaling is secondary to an intrinsic neonatal alteration or a maternal (in utero) environmental effect is yet to be determined.
They hypothesized that a trigeminovascular and parasympathetic pathways activation, secondary to hypothalamic dysfunction related to hypothalamic pituitary axis alteration, or a vascular nociceptive receptor activation, secondary to cavernous sinus and tributary venous outflow obstruction, could explain the cluster-like presentation of IIH.
At this point in time, we can only speculate that a matrix alteration or a co-secretion (or lack thereof) of an as yet unidentified compound is the more likely reason, thus drastically changing the chemical partitioning of (Z -9-octadecenamide between the body surface of the different shrimp forms and the hexane extraction solvent.
A positive diagnosis requires as a first criterion an acute alteration or a fluctuating course of the mental state.
Main concepts modeling impacts on a semantic level are: Mutation: An alteration or a change to a gene and developing a different offspring.
However, due to the substantial corticothalamic projections, it is difficult to conclude whether this is a true subcortical alteration or a reflection of cortical changes.
