As I had found in a previous trip to Sudan, the greatest threat in the region came from the changing manifestation of Islamic observance, from locally attuned or Sufi to Salafism/Wahhabism.
An active surveillance, death certificate based reporting system represents an important tool that should provide further insights into the natural history and changing clinical manifestations of leptospirosis infection in diverse geographic regions in which the disease is endemic and epidemic.
First it was in the form of box (Buxus sempervirens), and then ever-changing manifestations each year - species such as Ilex crenata - as boundaries were pushed to exhaustion.
In his music, Levine explores the unity of memory and imagination through ever-changing manifestations of the work's core materials in a network of processes inspired by movement and the contemplation of change both in the physical world and the psyche.
Species' ranges are often treated as a fixed characteristic, rather than a fluid, ever-changing manifestation of their ecological requirements and dispersal abilities.
It posits that the emergence of bioventure firms, the increase in their number and, arguably, their changing nature are manifestations of the coevolution of organizations with changes to the institutional framework.
However, unlike the LeWitt's written instructions for his wall drawings, Sehgal's work risks changing with each manifestation as oral specifications for works like "This Progress" are passed on from curator to curator and institution to institution.
As DF/DHF features dynamically changing clinical and laboratory manifestations within a few days [ 14, 16, 31, 32], clinicians may repeatedly sample serum specimens for daily-practice-based laboratory tests if the initial ones do not disclose clear enough information for evaluation of the likelihood of DF/DHF.
14 17 Despite the gender shift there was no difference in the prevalence between the two time points hinting perhaps at an ever changing pattern of clinical manifestation of respiratory symptoms that cannot be unravelled from point prevalence data.
