A predefined subgroup analysis was conducted according to the type of shock — septic shock, which occurred in 1044 patients (542 in the dopamine group and 502 in the norepinephrine group); cardiogenic shock, which occurred in 280 patients (135 in the dopamine group and 145 in the norepinephrine group); or hypovolemic shock, which occurred in 263 patients (138 in the dopamine group and 125 in the norepinephrine group). The overall effect of treatment did not differ significantly among these subgroups (P=0.87 for interaction), although the rate of death at 28 days was significantly higher among patients with cardiogenic shock who were treated with dopamine than among those with cardiogenic shock who were treated with norepinephrine (P=0.03) (Figure 3). The Kaplan–Meier curves for the subgroup analysis according to type of shock are shown in Figure 7 in the Supplementary Appendix.
Hi I'm 14 turning 15 this year with a height of 5'8-5'9 and a standing reach of 7'5. Right now I am 190 pounds.I know I'm not physically fit. I can touch the net by just standing and jumping but not the rim. I really want to dunk since my friends can reach almost the rim while i can't even if I'm taller than them. Is it an impossible dream to dunk before my high school life ends? Also it will be nice to hear on how to lose weight. Since people tease me on how fat I am. But i am currently trying to lose weight and lost 14 pounds already. The only problem is my asthma which is making it hard for me to do physical activities.
The defining characteristic of the depth jump is that the jump is preceded with the strong eccentric (negative) muscle action caused by dropping down from a raised surface, as opposed to a standard box jump where you start on the floor. This makes the depth jump a true plyometric movement, where the muscles are stretched suddenly (by the impact of the landing), producing a powerful shortening of the muscle fibers.
I tried to work out at least a couple of hours a day doing something or other. So some days were lifting, doing arm and core lifting. Again, you can imagine these sprinters, they’re strong all over — if you think of Tyson Gay or someone. It’s not just their legs that are muscular, it’s their arms, too, because they have to pump furiously to get themselves to go faster.

I just got the bike on Friday and used it twice over the weekend so this isn't a long-term review but my initial impression is highly favorable. I am a "serious" cyclist, which is not to say I'm a professional or anything like that but I log a lot of miles on my road bike and use high-end equipment. I've always hated hooking a bike up to an indoor trainer and I've avoided that type of training for many years. I finally went in on a spinning bike and I am very impressed with the results.


A vital part of basketball training is improving your vertical leap. As an athlete, you should be incorporating exercises into your basketball drills and fitness training that focus on increasing muscle strength and leg speed. Simply put, you won’t turn into Vince Carter or Andre Iguodala overnight, but learning how to work the appropriate muscles on a daily basis will go a far way towards improving your overall vertical.
Even so, the back squat does differ in important ways from the vertical jump. Primarily, it involves a much greater trunk extension turning force, because of the barbell weight on the upper back, and this likely contributes to the more hip-dominant nature of the squat over the vertical jump. Secondly, it is often performed to a deeper depth, which can alter the relative contribution of each of the hip extensors to the movement, because of their different leverages at each joint angle. And thirdly, it only involves accelerating up to midway through the movement, while the vertical jump involves accelerating right up until take-off. This also affects the relative contribution of the hip extensors, as force production will be required in the jump even when the hip is nearly fully extended, while this is unnecessary in the squat.

I was under the impression that only tall people have the sole leverage of dunking well. This book proved me wrong. The book contains strategically laid out chapters with step by step jumping techniques. My friend have always wanted to play basketball but always held back due to his low height. With this book, there is no more stopping for him. There are also wonderful tips for improvisation. This is learning and beyond.
Hi I'm 14 turning 15 this year with a height of 5'8-5'9 and a standing reach of 7'5. Right now I am 190 pounds.I know I'm not physically fit. I can touch the net by just standing and jumping but not the rim. I really want to dunk since my friends can reach almost the rim while i can't even if I'm taller than them. Is it an impossible dream to dunk before my high school life ends? Also it will be nice to hear on how to lose weight. Since people tease me on how fat I am. But i am currently trying to lose weight and lost 14 pounds already. The only problem is my asthma which is making it hard for me to do physical activities.
I sent a video of my soccer ball dunk to Todd, the #fivefivedunker, who informed me that I was leading with the wrong leg. I’d been taking my last big step with my left foot, which, as a righty, was like swinging a bat cross-handed. A few days later I encountered a blogger and 43-year-old dunker named Andy Nicholson who showed me, among many other things, that I wasn’t the only one with blood on my hands. Nicholson was one of dozens of YouTubers, young and old (mostly young), who were documenting online their attempts to dunk. “Yes!” he yelled over the phone when I told him about the open sores on my fingers. “Those are badges of honor!”

We conducted this multicenter trial between December 19, 2003, and October 6, 2007, in eight centers in Belgium, Austria, and Spain. All patients 18 years of age or older in whom a vasopressor agent was required for the treatment of shock were included in the study. The patient was considered to be in shock if the mean arterial pressure was less than 70 mm Hg or the systolic blood pressure was less than 100 mm Hg despite the fact that an adequate amount of fluids (at least 1000 ml of crystalloids or 500 ml of colloids) had been administered (unless there was an elevation in the central venous pressure to >12 mm Hg or in pulmonary-artery occlusion pressure to >14 mm Hg) and if there were signs of tissue hypoperfusion (e.g., altered mental state, mottled skin, urine output of <0.5 ml per kilogram of body weight for 1 hour, or a serum lactate level of >2 mmol per liter). Patients were excluded if they were younger than 18 years of age; had already received a vasopressor agent (dopamine, norepinephrine, epinephrine, or phenylephrine) for more than 4 hours during the current episode of shock; had a serious arrhythmia, such as rapid atrial fibrillation (>160 beats per minute) or ventricular tachycardia; or had been declared brain-dead.
A common, low-tech plyometrics method is performing box jumps, where the athlete jumps repeatedly from the floor to the top of the box and back again. By concentrating on the mechanics of the jump, directing propulsion from the balls of the feet and thrusting with an explosive extension of the legs, the ability of the athlete to land lightly and immediately return to the floor enhances motor control over the movement.
procedure (see also variations below): the athlete stands side on to a wall and reaches up with the hand closest to the wall. Keeping the feet flat on the ground, the point of the fingertips is marked or recorded. This is called the standing reach height. The athlete then stands away from the wall, and leaps vertically as high as possible using both arms and legs to assist in projecting the body upwards. The jumping technique can or cannot use a countermovement (see vertical jump technique). Attempt to touch the wall at the highest point of the jump. The difference in distance between the standing reach height and the jump height is the score. The best of three attempts is recorded.
The primary end point of the trial was the rate of death at 28 days. Secondary end points were the rates of death in the ICU, in the hospital, at 6 months, and at 12 months; the duration of stay in the ICU; the number of days without need for organ support (i.e., vasopressors, ventilators, or renal-replacement therapy); the time to attainment of hemodynamic stability (i.e., time to reach a mean arterial pressure of 65 mm Hg)16; the changes in hemodynamic variables; and the use of dobutamine or other inotropic agents. Adverse events were categorized as arrhythmias (i.e., ventricular tachycardia, ventricular fibrillation, or atrial fibrillation), myocardial necrosis, skin necrosis, ischemia in limbs or distal extremities, or secondary infections.17

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Whichever equipment you use, the first thing you’ll need to do is measure your reach standing flat-footed on the floor with one arm fully extended straight overhead. (You can measure your reach up against a wall for the chalk option.) Then, when you mark the highest point you touched, you’ll subtract your reach from that number. For example, if your reach is 90 inches and you touched 115 inches up on the wall with your chalk, your vertical leap is 25 inches.

After warming up, I proceeded to slam Jeff’s best lobs off the back rim at least 10 times, watching these missed dunks rebound high over the lane and land somewhere near the three-point line. It’s tough to express how difficult it was to pack up and walk away from the court on such days, to listen to my body when it told me it had reached the point of diminishing returns. To come up with yet another way to tell the wife: No, not today, Sugar. But I came reeeally close.
All data were analyzed according to the intention-to-treat principle. Differences in the primary outcome were analyzed with the use of an unadjusted chi-square test. Results are presented as absolute and relative risks and 95% confidence intervals. Kaplan–Meier curves for estimated survival were compared with the use of a log-rank test. A Cox proportional-hazards regression model was used to evaluate the influence of potential confounding factors on the outcome (factors were selected if the P value in the univariate analysis was <0.20).

En la introducción del comienzo y final se muestra la historia de los últimos treinta años de la doctrina de choque económico que se ha aplicado alrededor del mundo, desde América del Sur en la década de los setenta hasta Nueva Orleans después del huracán Katrina. Klein introduce dos de sus temas principales. 1) En donde los profesionales de la doctrina de choque tienden a buscar una pizarra en blanco en el cual plasmar su ideal de crear economías de libre mercado, en el que inevitablemente requiere normalmente una violenta destrucción del orden económico preexistente. 2) Las similitudes entre la crisis económica y la doctrina original de la terapia de choque, una técnica psiquiátrica donde se aplicaron choques eléctricos a los pacientes con enfermedades mentales.


Of course, these forces increase linearly with increasing body weight. Therefore Olympic high-jumpers are usually build more like marathon runners and less like football players. Every unnecessary pound adds to the forces during take-off, and at some point the muscles and tendons of the jumping leg are just not strong enough any more to support all the weight.
To build strength in the legs that will be compatible with the speed developed through successful plyometrics drills, squat and lunge exercises are important components. Squats are performed with free weights, where the athlete uses a weighted bar to carry out the exercise. The additional weight will be supported by the body through the abdominal, lumbar (low back), and gluteal muscles, in addition to the legs. This form of exercise permits the strengthening of the legs in conjunction with enhancing the core strength of the body, essential to the balance necessary to have the several muscle groups involved in leaping work in harmony.
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