In addition, patients who underwent cardiac surgery have a certain degree of myocardial stunning [4], and hence, caution should be taken regarding fluid management in patients with a limited cardiac reserve.
Some observations could also support our finding of lower mortality in peritoneal dialysis than haemodialysis: data indicate that more frequent dialysis is beneficial, 17 and peritoneal dialysis does not seem to result in the same degree of myocardial stunning, 5 two factors that could contribute to lower mortality rates in peritoneal dialysis than in haemodialysis.
"For a crime that Presidents describe as a major threat to national security and good government, the degree of 'underenforcement' is stunning," Pozen writes.
It also reflects a stunning degree of political and social cohesion.The most important economic reason for this is that emerging markets were less affected by the rich world's recession than seemed likely early in 2009.
It was this period, as Bremer ran around Iraq with his Blackwater mercenaries destroying the economy, that began the epic conflict that would unfold with a stunning degree of bloodshed and loss of life - overwhelmingly Iraqi.
To imply, as the article does, that doctors who advocate on behalf of these patients are somehow "in the pocket" of the pharmaceutical industry is to betray a stunning degree of cynicism, and of callow disregard for the real lives and deep suffering of millions of human beings.
With the all-but-certain rise of his close ally, Senator Bill Frist of Tennessee, as Republican leader, the president has consolidated what even Democrats say is a stunning degree of authority in the White House at the halfway point of his four-year term.
While an "Obama effect" of this kind was expected, this degree of transformation has been stunning.
Its stunning degree of globalization is relatively recent, the product of conscious policy and iron willpower.
