That is, there is always an interaction between context and mechanism, and that interaction is what creates the programme's impacts or outcomes: Context+Mechanism=Outcome. Since programmes work differently in different contexts and through different change mechanisms, programmes cannot simply be replicated from one context to another and automatically achieve the same outcomes.
Archant's London editorial director, Laura Adams, is quoted as saying: "Malcolm has steered the editorial teams through many different changes as we have sought to respond to a challenging industry.
"A kid growing up has to go through seven different changes of car seat by law in some states," said Dr. Daniel Perl, a professor of pathology at Uniformed Services University of the Health Sciences in Bethesda, Md., the medical school for the United States military, "and what that prevents in terms of injuries or deaths are probably a couple of handfuls.
It goes through many different changes.
If your high-risk problem is causing your auto insurance rates to be extremely high or unaffordable, you can get lower rates through applying different changes to a policy agreement.
BL: Yeah, it kind of went through a couple different changes there.
Each deme would be expected to have somewhat different mutational histories and, as they are living in a variety of different ecological settings, to undergo different changes through natural selection and through genetic drift.
Overnutrition during different periods of life from the intrauterine and lactation periods through to adulthood caused markedly different changes in the neural markers involved in energy homeostasis.
So that was left untreated or a good maybe eight or nine months, to where I had been going through different mood changes and whatnot, really affecting my ability to perform, to live a regular life.
