She declares that this does not influence the use of such products in her clinical practice where the clinical condition, age and nutritional status of the child in conjunction with the scientific evidence is paramount to her decision making.
For many older people change is difficult to deal with and the fear of change can be paramount in their decision making processes, partly because change often relates to health deteriorating and an associated loss of independence.
It is worthy to note that accurate determination of the amount and direction of dip of the buried target can be of a paramount importance for effective decision making on directional drilling.
Distinguishing between signal and noise becomes paramount when these noisy measurements are used in decision making.
THE decision made history.
That said, lawyers advising clients facing parallel proceedings usually recommend treating the criminal case as paramount and making decisions on that basis, even if that ends up sacrificing the clients' interests in the civil cases.
