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As the wave amplitude grows along the primary instability branch, nonlinear coupling to the surrounding air is expected to be the primary trigger for the secondary instabilities.
In the same line, pretest probability should be the primary trigger in drawing optimal diagnostic workup rather than patients' condition (with vs. without MV for example) or associated conditions (thrombocytopenia for example).
Abdi et al. state that IL-12p70 cannot be the primary trigger that initiates Th1 T-cell responses, as it is not produced in response to bacterial stimulation when costimulation in the form of activated T cells or IFN-γ are absent [2].
According to our hypothesis Ca2+ could be the primary trigger of LTM after multiple conditioning trials.
In accordance with previous findings, we found circulating MIF levels to correlate with the duration of cardioplegic arrest, which may suggest myocardial ischemia to be the primary trigger of perioperative MIF release (35, 36).
In our studies in Peru (16 ), water temperature was found to be the primary trigger for these environmental blooms and could be correlated with subsequent increases in environmental counts and occurrence of human illness.
Similar(53)
Taken together, these findings suggest that ER stress in cancer cells may be the primary triggering event for Lipocalin 2 activation via the Grp78/AKT/NF-κB axis.
Atherosclerotic plaque rupture is the primary trigger of fatal cardiovascular events.
On the other hand, Ca2+ influx via ICa-L is the primary trigger for SR Ca2+ release.
Although in utero alcohol exposure is the primary trigger, there is evidence for genetic- and other susceptibility factors in FAS development.
Over the past several decades, the theory that somatic mutations are the primary trigger for carcinogenesis has become the predominant paradigm to explain the origin of most cancers.
More suggestions(17)
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com