Simple gestures -- a mission organizer explaining to our 12 year old son Zack how important it is that he is here helping and why it matters; a plastic surgeon explaining his work in detail while Kathy observes a difficult procedure in the operating room, a child squealing with delight when we give her one of the Three Little Bears we have come to share.
During 10 days spent in Afghanistan at the invitation of Gen. David Petraeus, the head of Central Command, I observed that a difficult task has been further complicated by the checkered results of the Afghan election.
Conclusion We have observed in a difficult TI simulation trial that ES-1, as compared to conventional TI, was a powerful strategy to shorten TI delay when direct laryngoscopy was difficult for novices and skilled physicians.
One of the mothers' group participants observed "what a difficult question?" All three group participants mostly emphasised terms such as "to be more careful", "to be vigilant", "to be watchful and alert", "look after children" etc.
Only one maternal and child health supervisor said she observed a tendency to keep difficult cases at one health centre in her district, but after explanation and discussion with midwives there, things have now changed.
Intracranial hemorrhage in newborn infants can be observed also without a difficult delivery, and its complexity in etiology was already described a century ago [ 15].
However, it is often very difficult to observe a system of collective problem solving by observing every individual action.
If this is the case, direct competition may remain low, which makes it difficult to observe a clear relationship.
Six of the seven synagogues of Kazimierz were no longer in use and with too few people to sustain Jewish bakeries, restaurants or cultural centres, it was very difficult to observe a Jewish way of life.
Time scales involved in geomorphic change can make it difficult to observe a large number of states and transitions, which may constrain what types of STM structure can be identified, as the number of observed states and transitions required to develop particular graph structures varies widely.
