Data on hemodynamic variables and doses of vasoactive agents are shown in Figure 3 and Figure 4 in the Supplementary Appendix. The mean arterial pressure was similar in the two treatment groups at baseline, and it changed similarly over time, although it was slightly higher from 12 to 24 hours in the norepinephrine group. The doses of the study drug were similar in the two groups at all times. More patients in the dopamine group than in the norepinephrine group required open-label norepinephrine therapy at some point (26% vs. 20%, P<0.001), but the doses of open-label norepinephrine that were administered were similar in the two groups. The use of open-label epinephrine at any time was similar in the two groups (administered in 3.5% of patients in the dopamine group and in 2.3% of those in the norepinephrine group, P=0.10), as was the use of vasopressin (0.2% in both groups, P=0.67). Dobutamine was used more frequently in patients treated with norepinephrine, but 12 hours after randomization, the doses of dobutamine were significantly higher in patients treated with dopamine. The mean (±SD) time to the achievement of a mean arterial pressure of 65 mm Hg was similar in the two groups (6.3±5.6 hours in the dopamine group and 6.0±4.9 hours in the norepinephrine group, P=0.35). There were no major between-group differences in the total amounts of fluid given, although patients in the dopamine group received more fluids on day 1 than did patients in the norepinephrine group. Urine output was significantly higher during the first 24 hours after randomization among patients in the dopamine group than among those in the norepinephrine group, but this difference eventually disappeared, so that the fluid balance was quite similar between the two groups.
Vertical jumps are used to both train and test for power output in athletes. Plyometrics are particularly effective in training for power output, and include vertical jumps of different types in their protocol. In one recent study, training with plyometrics (which included continuous vertical jumps) was shown to improve jump height and boost vertical jump performance to similar degrees in combination with very different resistance training protocols, indicating that the plyometric jumping contributed to the increased jump height more than resistance training. Research into plyometric jumps found vertical jumps to be among the highest in terms of muscle recruitment (as measured by electromyography), power output, and ground reaction force produced. Fatigue has been researched in athletes for its effect on vertical jump performance, and found to decrease it in basketball players, tennis players, cyclists, rugby players, and healthy adults of both genders.
At pickup the next night, buoyed by the previous day’s accomplishment, I found a regulation ball that had good grip, one I could palm, and in between games, when no one was looking, I dunked for the first time in eleven years. If some dunks are described as thunderous, this one could be best described as a gentle fart in the breeze. But a dunk’s a dunk—and I had dunked.
El Premio Nobel y ex economista jefe del Banco Mundial, Joseph Stiglitz, escribió una reseña de La doctrina del shock para el New York Times, llamando al paralelismo entre la terapia de choque económico y los experimentos psicológicos realizados por Ewen Cameron "sobredramático y poco convincente" y afirmando que " Klein no es una académica y no puede ser juzgada como tal. Hay muchos lugares en su libro donde se simplifica en exceso." Sin embargo afirma que "la cuestión en contra de estas políticas es aún más fuerte que la que Klein hace" y que el libro contiene "una rica descripción de las maquinaciones políticas necesarias para obligar a desagradables políticas económicas en los países en resistencia."2 Paul B. Farrell del Dow Jones Business News afirmó que "hay que leer lo que puede ser el libro más importante sobre la economía en el siglo 21".3 John Gray escribió en The Guardian: "Hay muy pocos libros que realmente nos ayudan a comprender el presente. La doctrina del shock es uno de esos libros."4 William S. Kowinski del San Francisco Chronicle escribió: "Klein podría haber revelado la narrativa de nuestro tiempo",5 y fue nombrado uno de los mejores libros de 2007 por el Village Voice, Publishers Weekly,6 The Observer,7 y Seattle.8 El irlandés Times describe los argumentos de Klein como "peso" junto a los informes del Dr. Tom Clonan: "sistemáticamente y con calma se muestra al lector" la forma en que los neoconservadores estaban íntimamente ligadas a los eventos sísmicos que "dieron lugar a la pérdida de millones de vidas". Cerca del final de la revisión del Dr. Clonan, ofrece una síntesis de que el argumento central de Klein es que el proyecto neoconservador no se trata de "la implantación de la democracia", sino una receta represiva por la maximización del beneficio global para una pequeña élite. "Los neoconservadores ven como ideal la proporción de super-ricos/pobres permanentemente ligada a una súper clase de oligarcas empresariales y sus compinches políticos que son el 20%". El 80% restante sería la población del mundo, los pobres "desechables", que subsisten en la "miseria planificada", que no pueden pagar una vivienda adecuada, la educación o la asistencia sanitaria privatizada.9
Stand on the bottom step of a flight of stairs holding the railing on either side. Place the balls of your feet on the stair with your heels hanging off the edge. Slowly raise your heels as high as you can, and hold for two seconds. Slowly lower your heels below your toe level, and hold for two seconds. Repeat calf raises exercise 20 times for three sets with a 1-minute break between each set.
My warmup on March 29, following a day of recovery, left me feeling hoppier than I’d expected, and not nearly as achy. After 10 devastating near misses, and several others that weren’t as close, Jeff lofted the best lob I would see during this journey. I leaped, controlled it with one hand and—boodaloomp—in and out. I could have wept. “You got this!” Jeff implored. “You know you got this!”
Since the magnitude of the effect derived from observational studies can be misleading, we opted for a sequential trial design with two-sided alternatives20; the trial design called for analyses to be performed after inclusion of the first 50 and 100 patients, and then after inclusion of each additional 100 patients, and allowed for the discontinuation of the trial according to the following predefined boundaries: superiority of norepinephrine over dopamine, superiority of dopamine over norepinephrine, or no difference between the two. An independent statistician who is also a physician monitored the efficacy analyses and the adverse events; on October 6, 2007, after analysis of the outcome in the first 1600 patients showed that one of the three predefined boundaries had been crossed, the statistician advised that the trial be stopped.
For one-footed jumpers, the ball is generally transferred to the non-dominant hand just before or upon take-off; for two-footers, this transfer is often delayed for milliseconds as both hands control the ball to prevent dropping it. Once airborne, the dunker generally transfers the ball from non-dominant to dominant hand beneath a raised leg. Finally, the ball is brought upwards by the dominant hand and slammed through the rim.
Four times a week, from April through October, I embarked on 90-minute explosive weightlifting sessions based on the years I’d spent working as a strength coach to club, college and professional volleyball players. Squats, squat jumps, deadlifts, lunges, box jumps, cleans, sprints. . . . Three or four days a week I visited one of my local blacktops, where I tried to dunk tennis balls on 10-foot rims or throw down basketballs and volleyballs on lower ones. By May 3—one month in—I could dunk a tennis ball on a 9' 10" rim. I considered this a better-than-good start, not realizing that compared to dunking a basketball, this tennis-ball jam was akin to a child scrawling the diagonal line that begins a capital A on his first day of learning the alphabet.
Dunking was banned in the NCAA from 1967 to 1976. Many people have attributed this to the dominance of the then-college phenomenon Lew Alcindor (now known as Kareem Abdul-Jabbar); the no-dunking rule is sometimes referred to as the "Lew Alcindor rule." Many others have also attributed the ban as having racial motivations, as at the time most of the prominent dunkers in college basketball were African-American, and the ban took place less than a year after a Texas Western team with an all-black starting lineup beat an all-white Kentucky team to win the national championship. Under head coach Guy Lewis, Houston (with Elvin Hayes) made considerable use of the "stuff" shot on their way to the Final Four in 1967.
Whether the result of a 180° spin or body angle at takeoff, the double clutch is generally performed with the player's back toward the rim. While this orientation is rather conducive to the double clutch motion, Spud Webb was known to perform the dunk while facing the basket. Additionally, Kenny "Sky" Walker, Tracy McGrady—in the 1989 and 2000 NBA Contests, respectively—and others, have performed 360° variation of the double clutch (McGrady completed a lob self-pass before the dunk). Circa 2007, independent slam dunker T-Dub performed the double clutch with a 540° spin which he concluded by hanging on the rim.
Slow-Motion Squats – Involves standing with your feet shoulder width apart. From this position slowly lower down until you are in a deep squat making sure your heels are ﬂat on the ground. Hold for 2 seconds before slowly rising back to the starting position. The descent and rise should each take 4 seconds to complete. Throughout the entire exercise make sure to keep your head up and your back straight.