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Although spontaneous regression may occur, local expansion may cause significant morbidity and occasional death [23].
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This may occur when local resources are near exhaustion.
Furthermore, the thermal environment will become poorer to some extent; the urban heat island (UHI) area and intensity will increase compared with the current situation; continuous heat islands may occur in local areas; the UHI potential index of the core area will rise from 0.0878 to 0.1217 (still a favorable level).
The existence of ASS has important implications, particularly for ecosystem management, because it suggests that sudden and abrupt shifts in a regional community structure may occur after local environmental changes have occurred in one habitat (for details on regime shifts, see [15]-[17] [15]-[17]
Interstitial production of Ang II may occur following local production of angiotensinogen (AGT), ACE and renin, or through alternative pathways including cleavage of circulating AGT by other locally expressed enzymes such as cathepsin D and chymase [ 9].
Oral disease may occur when local environmental factors in the biofilm drive the selection and enrichment of putative pathogens belonging to the resident microbiota thus initiating an inflammatory response inducing progressive bone resorption at dental implants [ 15].
We therefore need to acknowledge that potential bias may occur if local informants provide answers skewed toward those that they believe the researchers (or officials) want to hear or that might offer them some advantage.
Changes may occur in: local resources (more or specialty EDs), access and reimbursement practices (facilities change which insurance plans with which they are associated, major shifts in insurers drives patients to other facilities), changes in the underlying population (shifts in population size or age), and changes in the local economy.
When buying from abroad, extra customs fees may occur (check local regulations).
A further mechanism of fibroblastic activation after injury may occur via the local release of platelet-derived growth factor (PDGF), which activates local fibroblasts that in turn then express basic fibroblast growth factor and chemokine (C-X-C motif) ligand (CXCL 5, which attracts MSCs into the liver where they can differentiate into myofibroblasts [ 48].
These variations in structure may occur due to local differences in the amounts of polymer extruded from the mineral during crystallization, which may even generate local areas of amorphous calcium carbonate that are too rich in polymer to crystallize.
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