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The paradigm of text-to-speech implies a relationship in which tone of voice is somehow a secondary optional layer.
The hospital records include detailed information concerning the primary (mandatory) and secondary (optional) discharge diagnoses, procedures, and dates of hospital admission and discharge.
Admissions with rhabdomyolysis were identified from the reported primary (mandated), secondary (optional) and ultimate (optional) reasons for admission to the critical care unit and other conditions in past medical history, all coded using the Intensive Care National Audit & Research Centre Coding Method [ 5].
Thus, UAs were composed of one or more consent form templates (depending on, for instance, whether an IRB worked with a single consent form for genetic studies or a general consent form and a secondary, optional one, for genetic studies), whereas in some cases, UAs were composed of a template(s) and an additional document (i.e., guidelines).
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For every admission, one main diagnosis or diagnosis at discharge (mandatory) and up to 9 secondary diagnoses (optional) are registered.
For example, individualistic, biological paradigms made family work seem secondary or optional 62 64 and staff found it difficult to adopt a collaborative stance, relinquishing the role of didactic problem solver.
The prospective phase II clinical trial was powered to address the efficacy of upfront sunitinib and the imaging substudy was a secondary endpoint, optional for patients and exploratory in nature, resulting in a relatively small cohort.
And as with the Wii, there is an optional secondary controller for the other hand.
There are also optional secondary goals, such as completing certain tasks within a time limit or without taking damage.
The education system features a non-compulsory kindergarten education followed by six years of compulsory primary education, and five years of optional secondary education.
Some commentators have questioned the importance of the synagogue in the Second Temple period stating that the temple in Jerusalem was the center of worship, with the synagogue being secondary if not optional.
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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