As if this situation were not grave enough, most nations are still increasing their energy and natural resource consumption.
As if the threat to paper were not grave enough, the old-fashioned till receipt is in trouble.
"I think it could've been a lot more," Mr. Flynn said, if not for grave warnings from the National Weather Service on Wednesday and improved response systems put in place after Hurricane Katrina.
It was as if the human prey inside Paris, fearing the cruelty of the steely Prussians, wanted to bring the ferocious predators at the city gates to the plate, if not the grave.
His old poker group had difficulty mustering five players, and his old golf foursome "had been dispersed to infirmity and Florida if not to the grave".
If not, the dangers are grave.
And finally… Frank Skinner A devout if, well, let's call it slightly harum-scarum Catholic, who should be able to inject a note of modernity and fun into what – forgive me – occasionally seems an overly grave, if not entirely moribund, institution.
In rough terms, the Democratic party's foreign policy establishment views this threat as grave, if not existential, and believes that the U.S. must be prepared to use military force and intelligence tools like domestic surveillance to counter it.
And while they are not as informed about international politics as many American prep school students are–only two students in my 10th grade class knew who Benazir Bhutto was, in the wake of her assassination our students can articulate with grave confidence, if not nuance, the troubles facing Palestine and Israel.
Though on average US K-12 spending in education is on par -- if not better than -- many, grave inequities persist that create an environment where, as OECD has noted, "students across the United States are not equally well prepared to compete in the United States labor market".
Stress cardiomyopathy (SC) is a severe complication which has varied presentation and has grave prognosis if not diagnosed and managed aggressively.
