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.
Learn about plyometrics. Plyometrics are exercises that use the resistance of your own body to build strength and are essential for building the kind of strength necessary to build your jump. It takes time to train your body to jump higher, but working the right muscle groups can improve your explosiveness and height without maxing out regularly in the weight room.
Justifying these selfish, skewed priorities in my head as I stuffed a basketball into my backpack and pedaled away from our home would turn out to be one of the most formidable obstacles in my path. I must have whispered, What the f--- am I doing? as many times as I leaped toward one of the rusty rims scattered around the south Los Angeles beach community where we live. That latter number tallied somewhere around 5,000, according to my journal and 24-plus hours of video. Many of these jumps were attempted while wearing a weighted vest that pulled me downward, the same way that home pulled me sideways.
After four months of failing to pull off anything even resembling a real dunk, the planets aligned on Aug. 9: After at least 19 failed attempts that afternoon, I dunked a soccer ball on a middle school court whose rim measured 9' 11". (The original basketball, incidentally, was a soccer ball, property of Dr. Naismith’s employer, Springfield College.) Video from that afternoon shows me standing there, looking confused, in the moment afterward. Did that just happen? Failing had become so routine that even this small success felt foreign.
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Also, using the lifting (concentric) phase of these exercises only, rather than both lowering and lifting phases, *might* further improve results. This is partly because lifting phases involve faster rate coding, and partly because this strategy might potentially help avoid optimizing stretch-shortening cycle function for lifting heavy weights, rather than for jumping.


A great summary of what it takes to improve vertical jumping ability Joe. There is definitely an art and science to optimizing vertical jump height. I actually just completed a huge post on the topic of How To Jump Higher which your readers may find complements this post nicely. It is a long read (12000+ words) but for those of your readers who want to learn more about the art of jumping they may find it helpful. Keep up the great work!

these shocks make a big difference in handling and ride on the2015 4wd F250. This will make the suspension work rather than the whole vehicle simply shuddering up and down over small bumps and holes in the road. Tires stay in contact with road, suspension moves, you and the seat stay still, what a concept! OEM shocks don't even move once compressed, pityful. You will need an 18 mm wrench or socket for lower shock mount bolts and a 21 mm open end, box end or deep socket for the top mount nut and a 20mm or adjustable wrench for the shaft bolt on the top mount. Once the old shocks are off, you need a 19mm open end or socket for the Bilstein top mount nut and you hold the shaft from moving with a hex key, in my experience I didn't really need that but you may want to. Check the top of the shaft you'll see a hex hole up there, seems like it was a 6mm but don't hold me to that. Forget any jacking, removing tires, etc to do this it isn't necessary, and much safer with wheels on the ground while you are under there. If you need some space I drove the wheel I was working on over a 2x12 and that gave me a little height to work with. I wasn't in the mood to fool with jacks, jack stands and all that. No need to. Just crank the steering wheel over away from the side you are working on and you'll have plenty of room. The only issue is after attaching the lower shock mounts using the OEM 18mm bolt/nut, you need to compress the shock about 3" to get it into the upper mounting hole. I used a common tie down racheting strap for this job. I hooked one hook to the chassis right under the lower shock mount bracket on the truck and after adjusting the strap length I put the upper hook around the top shock rubber grommet and washer (lower one already installed now, put upper ones on after shock is in place, of course). At this point you just crank the rachet on the strap until the shock compresses a few inches and shove the shaft under the mounting hole, release the rachet and up pops the shock into place. Put on upper grommet and washer, tighten 19mm nut and presto! IF the shaft turns while you tighten this nut hold the shaft still with the hex key mentioned earlier. Your truck is now a better place to be. Also just tighten upper nut until the grommet fills or slightly goes outside the washer, don't crank it down and flatten the grommet. If you aren't sure look at the OEM arrangement for an idea on how tight to go with that nut. Happy motoring !!
For many years now both nationally and internationally the name BILSTEIN has been synonymous with best quality and top performance in chassis design - whether it's in motor sports, Original Equipment or car customizing. You can rest assured that this 46Mm Monotube Shock Absorber was manufactured with top notch materials under the highest quality control standards in the industry. To achieve that celebrated BILSTEIN driving experience, our BILSTEIN engineers rely on not only technology that is truly at the cutting edge, but also something that has withstood the test of time: how it feels to the driver. As a result, all of our high-performance absorbers, as well as our sport suspensions and threaded ride height adjustable kits, undergo a rigorous testing program. Satisfaction is always guaranteed and your 46Mm Monotube Shock Absorber is covered by Bilsteins no-hassle warranty.
The boundary for stopping the trial owing to the lack of evidence of a difference between treatments at a P value of 0.05 was crossed (Figure 5 in the Supplementary Appendix). There were no significant differences between the groups in the rate of death at 28 days or in the rates of death in the ICU, in the hospital, at 6 months, or at 12 months (Table 2). Kaplan–Meier curves for estimated survival showed no significant differences in the outcome (Figure 2). Cox proportional-hazards analyses that included the APACHE II score, sex, and other relevant variables yielded similar results (Figure 6 in the Supplementary Appendix). There were more days without need for the trial drug and more days without need for open-label vasopressors in the norepinephrine group than in the dopamine group, but there were no significant differences between the groups in the number of days without need for ICU care and in the number of days without need for organ support (Table 3). There were no significant differences in the causes of death between the two groups, although death from refractory shock occurred more frequently in the group of patients treated with dopamine than in the group treated with norepinephrine (P=0.05).
If you can jump high enough to dunk, but you’re having a hard time going up with the basketball in one hand, the solution is to start small and work your way up. A smaller ball such as a soft golf ball or tennis ball is a great starting point. From there, move slowly to a mini-basketball. It will provide more of a challenge but still be easy to palm as you go up. Once you can dunk the mini ball, try moving on to a volleyball until finally a regulation basketball.
The rate of death at 28 days in this study was close to 50%, which is to be expected in a study with very few exclusion criteria and is similar to the rate in previous observational studies.3,9,21-24 Our trial was a pragmatic study that included all patients who were treated for shock states, and therefore, it has high external validity. The study design allowed for maximal exposure to the study drug, since we included patients who had received open-label vasopressors for a maximum of 4 hours before randomization and since during the 28-day study period, the study drug was withdrawn last when patients were weaned from vasopressor therapies and was resumed first if resumption of vasopressor therapy was necessary.
This study has several limitations. First, dopamine is a less potent vasopressor than norepinephrine; however, we used infusion rates that were roughly equipotent with respect to systemic arterial pressure, and there were only minor differences in the use of open-label norepinephrine, most of which were related to early termination of the study drug and a shift to open-label norepinephrine because of the occurrence of arrhythmias that were difficult to control. Doses of open-label norepinephrine and the use of open-label epinephrine and vasopressin were similar between the two groups. Second, we used a sequential design, which potentially allowed us to stop the study early if an effect larger than that expected from observational trials occurred; however, the trial was eventually stopped after inclusion of more patients than we had expected to be included on the basis of our estimates of the sample size. Accordingly, all conclusions related to the primary outcome reached the predefined power.
The days and jumps and deadlifts and calf raises rolled on, rep by rep, protein shake by protein shake. Six months became seven, then eight. To protect my right hand, I began wearing a canvas gardening glove with the fingers cut off. It soon became stained with blood—the equivalent of Curt Schilling’s bloody sock, but with one-millionth the significance. The rims where I toiled belonged to me now, such that I barely noticed the toddlers wobbling nearby, the skateboarders swirling around me as day turned to dusk, the elderly couple ambling arm in arm, looking for all the world like my wife helping me to the shower on the morning after a double day.
Start with a ping-pong ball, then a tennis ball, then a softball, then a volleyball, then a youth-sized basketball, and on up until you can dunk with a regulation size ball. If you can't palm the ball, then you will need to learn how to control the ball with two hands until the last minute extension for the dunk with one hand, or you will have to jump high enough to dunk two-handed.
A forceful, dramatic move, as in That indictment was a slam dunk if ever there was one. This expression is also often put as a verb, slam-dunk, meaning "make a forceful move against someone," as in This is a great chance for us to slam-dunk the opposition. The idiom comes from basketball, where it refers to a dramatic shot in which the ball is thrust into the basket from above the rim. It was transferred to other activities from about 1980 on.
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Dunk types reflect the various motions performed on the way to the basket. They start with the basic one- or two-hand forward-facing dunk and go on through various levels of athleticism and intricacy. Discrete dunk types can be modified by appending other moves; for example, a player who passes the ball off the backboard, catches it in the air, and executes a double-pump dunk would be said to have completed a "self-pass off the backboard, double pump".

In the Noble Asylum's control room, Dr. Hellstrom (a devastating portrayal by Ona Zee) is browsing through the reports of missing Lillian Mangrove (a welcome return for Tyffany Million), the now catatonic Stevens' psychiatrist who went missing right after first examining him. She has been found in a state of severe shock, nursed back to health at the institution and is currently running a psycho-tracking agency, kicking serious nut case butt in attempts to retrieve runaway crazies. Subscribing to the beneficial qualities of shock treatment (hence the title), Hellstrom reactivates Stevens who drags an innocent young nurse tellingly also named Gwen (succulent Shayla LaVeaux) into the dark recesses of his twisted mind, vowing to free her only if the doctors agree to discharge him from their madhouse...


The player approaches the basket and leaps as they would for a generic dunk. Instead of simply dunking the ball with one or two hands, the player allows their forearm(s) to pass through the basket, hooking their elbow pit on the rim before hanging for a short period of time. Although the dunk was introduced by Vince Carter in the 2000 NBA Slam Dunk contest, Kobe Bryant was filmed performing the dunk two years earlier at an exhibition in the Philippines.[22] Colloquially, the dunk has a variety of names including 'honey dip', 'cookie jar', and 'elbow hook'.
After four months of failing to pull off anything even resembling a real dunk, the planets aligned on Aug. 9: After at least 19 failed attempts that afternoon, I dunked a soccer ball on a middle school court whose rim measured 9' 11". (The original basketball, incidentally, was a soccer ball, property of Dr. Naismith’s employer, Springfield College.) Video from that afternoon shows me standing there, looking confused, in the moment afterward. Did that just happen? Failing had become so routine that even this small success felt foreign.
The boundary for stopping the trial owing to the lack of evidence of a difference between treatments at a P value of 0.05 was crossed (Figure 5 in the Supplementary Appendix). There were no significant differences between the groups in the rate of death at 28 days or in the rates of death in the ICU, in the hospital, at 6 months, or at 12 months (Table 2). Kaplan–Meier curves for estimated survival showed no significant differences in the outcome (Figure 2). Cox proportional-hazards analyses that included the APACHE II score, sex, and other relevant variables yielded similar results (Figure 6 in the Supplementary Appendix). There were more days without need for the trial drug and more days without need for open-label vasopressors in the norepinephrine group than in the dopamine group, but there were no significant differences between the groups in the number of days without need for ICU care and in the number of days without need for organ support (Table 3). There were no significant differences in the causes of death between the two groups, although death from refractory shock occurred more frequently in the group of patients treated with dopamine than in the group treated with norepinephrine (P=0.05).
Vertical jump training and assisted vertical jump training (essentially with a negative load) can each increase vertical jump height through increases in countermovement depth, even while actually reducing peak force produced in the jump. This seems to happen because the tendon becomes more compliant after these types of training, which means they elongate more during the countermovement phase of the jump.
High-Reach Jumps – Are similar to tuck jumps, but instead of brining your knees to your chest, you just reach as high as you can. This is done best under a basketball ring or near a wall so that you can tell how much lower your reach becomes as you fatigue. Try to reach the same height through all repetitions. if you don’t have anything to measure against, that’s fine. Just jump as high as you can each repetition.
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