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A couple of other things have contributed to the shift.
The reduction in income support for single working parents since 2008 may have contributed to the shift.
American multinationals have contributed to the shift, frequently making in Asia what they sell in Asia and, in many cases, in the United States.
Moreover, the demand for strategies that allow early productivity of the young patient and the relatively high cost of prolonged immobilization have contributed to the shift towards surgical interventions.
Two treatment-related factors that may have contributed to the shift from hyponatremia to hypernatremia are the less liberal use of intravenous fluids in combination with wider use of diuretic treatment and the increased use of steroids and in particular hydrocortisone.
This may have contributed to the shift toward earlier ages for receipt of the third hepatitis B vaccine dose and the improved coverage rates in this group.
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This likely facilitated access to surgery for those with private health insurance and may have contributed to the shifting of patients from the public to the private sector.
Increasing environmental awareness has contributed to the shift of mindset among the Malaysian construction industry stakeholders.
Shown as part of Sub-process1 in Figure 1, the redefinition of the TBA role has contributed to the shift towards the hospital and vice-versa.
Improved re-coding may also have contributed to the distributional shift.
The policy implication is that improvements in the quality of care in the population of all hospitals may have contributed to the observed shift in the average prognosis.
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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