Nissando means “outcome.”
That verse is about separating the terms in Paticca Samuppada into four categories:
Hetu: Avijjā, taṇhā, saṅkhārā, upādāna
Paccaya: Viññāṇa is paccaya for nāmarūpa, that nāmarūpa is paccaya for saḷāyatana, phass, vedanā
Vipāka: Bhava
Nissanda (Outcome): jāti, jarāmaraṇa
