47 The fact that ACS conditions recorded as secondary diagnoses in an admission increased more than those in primary suggests a shift in data recording during this time.
Post-primary shifts may come naturally in any election — and the modulations of Mr. de Blasio, a veteran political operator, are more akin to the sanding-down of edges than full-fledged flip-flops.
According to Saba et al. [ 6] newer models of primary care necessitate a shift in practice, from the historical system of a lone physician to that of a high functioning primary health care team.
When Mr. Gore was asked in a primary debate whether the shift in power from Washington to Wall Street was good or bad for America, he called it a "natural development in a country that's free".
Religious communities became fixed under the Sāsānians, and Mesopotamia with its large Jewish and Christian populations experienced changes because of the shift in primary allegiance from the ruler to the head of the religious group.
As Stephen Duckett noted in a paper for the Grattan Institute, Medicare is not unsustainable, nor is the issue a lack of means testing, but more (among other technical funding issues) that the changing demographics has seen a shift in primary care from acute to chronic illness.
Eutrophication appeared as the major driving force behind the gradual shift in primary producers from a community dominated by rooted macrophytes (Z. noltii) to a community dominated by green macroalgae.
Some trends that emerge clearly are continued innovation and improvements such as weight reduction of individual items, increasing use of plastics (and bioplastics) in vehicle manufacturing, a shift in primary plastic production to transition and emerging economies and continued growth in the market share of bioplastics (despite some sorting and price barriers).
It can clearly be seen that there is minimal shift in primary sensorimotor cortex and medial prefrontal cortex.
Screening will lead to a shift in primary treatment modalities, as 15% of mastectomies will be replaced by breast conserving therapy.
