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But Gawande, like all surgeons, operates with other members of a surgical team, and his piece doesn't explore the shared experience of his team members, all of whom are vitally aware of the progress of a surgery.
The frustration is especially poignant when widening intergroup contacts make the frustrated segment more vitally aware of its disadvantages, when its members have been encouraged by education or a public policy statement to aspire to relatively unattainable objectives, and when a period of steadily improving conditions is suddenly interrupted.
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"We're vitally aware that the stereotype is that of overpromising and underdelivering," he said.
Every moment some form grows perfect in hand or face; some tone on the hills or the sea is choicer than the rest; some mood of passion or insight or intellectual excitement is irresistibly real and attractive to us," and therefore we must be vitally aware, in order to be present at the focus of the intensest perception.
"We're vitally aware that scoring was our Achilles heel last year, but the right players haven't become available just yet.
It is vitally important for physicians to be aware of potential depression in their older patients.
It is vitally important that sport and exercise medicine practitioners are fully aware of the state of the evidence in relation to genetic testing and the limitations of current knowledge.
Policymakers should be aware of the ways in which children, as a vitally important component of society, relate to forests.
"But we need to find effective ways of helping too-heavy teenagers slim down and maintain a healthier weight, and it's vitally important that we find out whether it helps if they are more aware of their weight status.
It's vitally important to keep one's head down and one's feet on the ground; be aware of the dangers of fame and fortune in fashion; and manage growth rather than be managed by it.
Perhaps most important today and for the future, museum scientists should be well aware of database technology and how to apply it to the collection; it is vitally important that new generations of researchers be familiar with this realm of science.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com