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And it comes just as costs show some sign of stabilising, and changes to means-testing last October may cut another £35m a year.
But now, increasingly, it's also old enough for these format changes to mean something's lost in the changeover.
No significant changes to mean glance duration was detected as a result of using the device on condition (Foot-LITE) trials.
The effects of daily rain pattern were smaller but of the same order of magnitude as changes to mean annual precipitation.
The Vatican II doctrine of collegiality was changed to mean that bishops were being collegial if they agreed with him – and he appointed bishops who did that.
The translators must have seen their point, because in the second edition of their version, published last year, the line has been changed — to mean the opposite.
" 'Changes' to me means more of everything — more traffic, more people".
But making changes to policies, means going to a different regulator in each state to get approval, according to Baldwin.
Interactions with these genes result in changes to the mean period and variability.
Many clinicians preferred the mean change to the mean follow-up score.
Recent changes to legislation could mean the education they provide does not meet new standards.
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