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"mainly manifested as" is correct and usable in written English.
You can use it to describe something that is expressed or made apparent in a particular way. For example: "The symptoms of the disease were mainly manifested as coughing and difficulty breathing."
Exact(8)
It has been demonstrated that patients with functional dyspepsia have experiences social life stress events, and accompanied by psychological disorders, mainly manifested as depression and anxiety.
With respect to the other models, the changes of the conductance spectra are mainly manifested as the shift of the Fano antiresonances.
The effects of the superposition of tremors' dynamic disturbance with static stress on rockburst are mainly manifested as following three situations: (1) High static stress ((sigma_{text{s}})).
Horizontally, the development is mainly manifested as the evolution of different channel system types; and vertically, the development is primarily represented by the evolution of its internal complex channels.
Severe toxicity was mainly manifested as leucopenia, neutropenia, and associated infection, but the frequency of these symptoms did not differ between dose levels (Table 3>).
The cases rating of 83.93% (1885) with posterior circulations mainly manifested as nonintegral and the integrity rate was only 16.07% including 131 cases with FTPs.
Similar(52)
Amyloidosis of the oral cavity predominantly involves the tongue, mainly manifesting as macroglossia.
Enhanced CT is the most important tool for the diagnosis of liver abscess due to a foreign body, which mainly manifests as a calcified linear structure on CT [7].
S. aureus is a part of the commensal microbiota mainly manifesting as bacterial skin and soft tissue infections [ 14, 15].
To date, we have recorded 532 disease episodes in these individuals, mainly manifesting as fever, diarrhea, or respiratory infections.
This reflex mainly manifests as bradycardia, hypotension, asystole, and gastric hypermotility and may occur in up to 10−12% of transsphenoidal pituitary surgeries [ 15].
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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