To begin, go up without a ball first. This will give you a great idea of where you’re at and just how close you are to being able to dunk. For beginners, you should focus on dunking with one hand. Your other hand should stay by your side to balance your body while you’re in the air. The two-handed dunk is awesome, but is surprisingly more of an advance dunk and should be an approach you build up to as you work on your dunking.
Technique Tip: Determining how far out in front of you to place your front foot may require some trial and error. At the bottom of the motion, your front knee should be somewhere above your heel to mid foot. If your knee is behind your heel, your foot is too far forward; if it’s out over your toes, step out further. One trick to find the right distance is to start in the bottom position and adjust your stance from there. Then stand up and have someone hand you the dumbbells.
Thus, dopamine and norepinephrine may have different effects on the kidney, the splanchnic region, and the pituitary axis, but the clinical implications of these differences are still uncertain. Consensus guidelines and expert recommendations suggest that either agent may be used as a first-choice vasopressor in patients with shock.6-8 However, observational studies have shown that the administration of dopamine may be associated with rates of death that are higher than those associated with the administration of norepinephrine.3,9,10 The Sepsis Occurrence in Acutely Ill Patients (SOAP) study,3 which involved 1058 patients who were in shock, showed that administration of dopamine was an independent risk factor for death in the intensive care unit (ICU). In a meta-analysis,11 only three randomized studies, with a total of just 62 patients, were identified that compared the effects of dopamine and norepinephrine in patients with septic shock. The lack of data from clinical trials in the face of growing observational evidence that norepinephrine may be associated with better outcomes called for a randomized, controlled trial. Our study was designed to evaluate whether the choice of norepinephrine over dopamine as the first-line vasopressor agent could reduce the rate of death among patients in shock.
The things I had going for me: an understanding spouse; a modicum of foot speed and leaping ability, flashed during the occasional Motrin-supported pickup game; proximity to one of the best training centers in the world; and, again, an understanding spouse. The forces working against me made for a longer list and included (but were far from limited to) my average hand size and arm length, a lower-back injury that I suffered while playing semipro football in 2009 and my age. I was 42.