Wachner conducted, his marked dynamic shifts heightening Gesualdo's atmosphere of psychological unease.
The less experienced ICU nurses, with <10 years of ICU work experience, tended to increase their BP and HR levels during the shift, a finding probably heightened during night shifts.
And, as Rebecca L. Davis observes in an astute, engaging, and disturbing history, "More Perfect Unions: The American Search for Marital Bliss" (Harvard; $29.95), the rise of couples counselling has both coincided with and contributed to a larger shift in American life: heightened expectations for marriage as a means of self-expression and personal fulfillment.
The feeling that Murdoch is a betrayer has been heightened by shifts in his political position.
But it seems he concentrated on America's agenda climate change, IS and Ebola rather than Jokowi's, or on how America might assist his shaky new administration.Softly, softlyPlaying down contentious issues of domestic politics in favour of international co-operation seems to make sense at a time of shifting global power and heightened tension.
Given this difficult economic backdrop, shifting demographics, complex politics and heightened scarcity of resources, the concept of sustainability in a company's business model will require a greater focus on the governance of sustainability.
The shift towards finance that Thatcher promoted heightened inequality and made the economy more volatile.
Her focus then shifted to the fabric, which she heightened with touches of couture.
Europe's fiscal woes have probably heightened the appeal of shifting business to JPMorgan's solid balance sheet already.
The cast does a nice job of shifting cleanly from naturalistic style to heightened showmanship: Arthur Aulisi brings to mind an accountant suddenly channeling a musical theater fan.
