Translation is part of the explanation for the lack of evidence for lean, and translation can be decisive for outcomes.
Second, there are reasons to believe that the ways in which translations are performed can be decisive for outcomes [ 47, 66].
There are also more rational and instrumental "how-to" theories, some of which argue for top-down implementation strategies [ 34, 35], while others consider bottom-up approaches as decisive for outcomes [ 36, 37].
A study of integration processes in European cities concluded that 'the receiving society, its institutional structure and its reactions to newcomers are consequently far more decisive for the outcome of the process than the immigrants themselves' (Penninx & Martiniello, 2004, p. 142).
The ability of the central government to control the peripheral and interior provinces of the Empire was reduced and the actions of the local and provincial governors became more decisive for the outcome of the war with Byzantium.
Arguably, this conclusion should apply to all mammals, except maybe for present-day humans, in which muscle n-6 PUFA content of competing runners might be decisive for the outcome of short-distance races, but will hardly affect their fitness in the evolutionary sense of the word.
There are allegations that the patient's opinion rather than the GP's is decisive for the outcome sick leave or no sick leave [ 30, 31].
In heterozygous patients, also the risk of occurrence of aGVHD was reduced, suggesting that the effect of MICA-129Met variants on the expression of NKG2D is decisive for this outcome.
Therefore, infection with Sr does not affect the protective response against Plasmodium, although it generates small changes in parasitemia levels; which is not decisive for the outcome of Plasmodium infection (Table 4(d)).
Given that the two studies that favoured the IGRA-only strategy were valid in respect of the progression rates and the specificity of the TST, assumptions about these two factors appear to be decisive for the outcome of the cost-effectiveness analysis.
