In this multicenter, randomized trial, we assigned patients with shock to receive either dopamine or norepinephrine as first-line vasopressor therapy to restore and maintain blood pressure. When blood pressure could not be maintained with a dose of 20 μg per kilogram of body weight per minute for dopamine or a dose of 0.19 μg per kilogram per minute for norepinephrine, open-label norepinephrine, epinephrine, or vasopressin could be added. The primary outcome was the rate of death at 28 days after randomization; secondary end points included the number of days without need for organ support and the occurrence of adverse events.
The back squat and jump squat are the two most commonly-used strength training exercises for increasing vertical jump height. The back squat is clearly more effective for improving maximum force, while the jump squat can be used to shift the force-velocity gradient towards a more “velocity-oriented” profile when required. In addition, the jump squat has the secondary benefit of training force production right through until the muscles are contracting at short lengths, because of its longer acceleration phase. Even so, it is unclear whether squat variations are optimal for improving vertical jump height, because the center of mass is in a different place from in the vertical jump.
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.

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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.

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.


Secondly, in addition to the rate of force development, the size of the force itself produces a negative feedback effect on vertical impulse, because higher forces lead to faster accelerations, which in turn reduce the time spent producing force before take-off. This is *partly* why drop jumps tend to involve higher forces, shorter ground contact times, and yet similar jump heights to countermovement jumps.
Dunking is a dramatic, crowd-pleasing offensive move. Many times, a rousing dunk can turn that mysterious factor, momentum, right around in your favor. Clearly, dunking is easier if you're tall and can palm the ball with one hand, but there have been relatively short players who couldn't palm the ball who worked hard enough to be able to dunk. If you are considering adding the dunk shot to your repertoire, follow these steps:

Unfortunately, I’m not the 6' 7" son of a Hall of Famer, so I had to resort to desperate devices—like Hennessy, an infamous and inexpensive cognac that, according to one of the two NBA players who recommended it to me, “will give you that Yah! That bounce. That little bit of meanness you need.” The little minibar-sized bottle that I downed 30 minutes into an intense session of dunk attempts on a sweltering day last summer, had no effect other than scorching my esophagus, giving me a headache and releasing from my pores an aura that, as my six-year-old put it that evening, “smells like medicine.”
I gave myself six months to dunk because that was the low end of the “six to eight months” prescribed on the website of Brandon Todd, a 5'5" former D-III star who set the same goal for himself in 2005, and then, at age 22, accomplished it. When I first contacted him, Todd perfectly expressed the more shallow reason behind my goal: “When you can dunk, it means you’re a good athlete. Period. It takes away any subjectiveness.” I also chose six months because, as would be proved repeatedly during this mission, I am prone to tragic spells of overconfidence.

The dose was determined according to the patient's body weight. Doses of dopamine could be increased or decreased by 2 μg per kilogram per minute and doses of norepinephrine by 0.02 μg per kilogram per minute (or more in emergency cases) (see Figure 1 and Figure 2 in the Supplementary Appendix, available with the full text of this article at NEJM.org). An example of the dose-escalation table is provided in Table 1 in the Supplementary Appendix. The target blood pressure was determined by the doctor in charge for each individual patient. If the patient was still hypotensive after the maximum dose of either agent had been administered (20 μg per kilogram per minute for dopamine or 0.19 μg per kilogram per minute for norepinephrine — doses that have been shown to have similar effects on mean arterial blood pressure12,13), open-label norepinephrine was added. The dose of 20 μg per kilogram per minute for dopamine was selected as the maximal dose because this upper limit was the standard of care in the participating ICUs, in line with expert recommendations14 and international guidelines.15

Ok I just turned 18 2 months ago and I'm 6,2 and weigh about 155 and I'm very athlectic I've played basketball ever since 3rd grade so I'm very familiar with tecniques and fundamentals I don't play as much as I used to but I can still get rim on my thumb no prob but can't dunk.what can I do bc I wanna jam on my bro. Also being noted that I've dunked about 2 Times but were sloppy plz help
When I started to work on the video tool that measures vertical jump, I had to dust off my old textbooks to learn about the relationship between hang time and jump height. And to my surprise, it turned out that the vertical jump is a great (and interesting!) example of the laws of physics at work. You can really learn about the relationship between velocity, acceleration, forces and hang time. Definitely more interesting than the average example of your physics textbook!
I paid a lot of money for a vertical leap training system in the past that was a total scam. The red flags were everywhere, but I overlooked them because I was so eager to train and get results. That's why I was tentative when I first found out about TTS and Coach Cascio. Not wanting to be ripped off again, I decided to thouroughly look through his website. I was surprised to see that he actually communicated with customers via social media and actually shared useful information and excercises for free with email, Youtube, and now this book. This honest approach made me feel confortable and so I decided to give his program a shot. Thanks a lot for working hard for us, Jack.

In this multicenter, randomized, blinded trial comparing dopamine and norepinephrine as the initial vasopressor therapy in the treatment of shock, there was no significant difference in the rate of death at 28 days between patients who received dopamine and those who received norepinephrine. Dopamine was associated with more arrhythmic events than was norepinephrine, and arrhythmic events that were severe enough to require withdrawal from the study were more frequent in the dopamine group. In addition, dopamine was associated with a significant increase in the rate of death in the predefined subgroup of patients with cardiogenic shock.


4. verb By extension, to achieve a forceful, dramatic success or accomplishment handily or easily, often at the expense of someone or something else. Sometimes hyphenated. The incumbent president has slam dunked his opponent in every televised debate so far. If we can slam-dunk this proposal, we'll get enough funding to see us through to the end of next year.


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 !!
The slam dunk is usually the highest percentage shot and a crowd-pleaser. Thus, the maneuver is often extracted from the basketball game and showcased in slam dunk contests such as the NBA Slam Dunk Contest held during the annual NBA All-Star Weekend. The first incarnation of the NBA Slam Dunk Contest was held during the half-time of the 1976 American Basketball Association All-Star Game.
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 !!

Add some flair with a double-pump. Suggesting you're so high you could dunk it twice, in the double-pump dunk you bring the ball back down to chest level at the apex of your leap, then force it back up to slam it with authority. Some notable players, Tracy McGrady among them, would do this regularly while spinning in the air, doing a 360 dunk variation.
This is a high quality gear set for the next generation recoil shock series.  They only use one gear set through out the entire range, so this will fit all NEXT gen guns. This is a extremely well made piece of kit, This is possibly one of the strongest gear sets on the market, i would say the main benefit over other gear sets is its tuning option, you can by it in both single torque which is a little over the standard gear ratio and the double torque which is a lot over the standard ratio. Both provide increased torque up on the gun ie less effort to turn the spring, which in turn gives you increased battery life and and faster trigger response, sacrificing a little ROF. Although technically they should see a decrease in ROF because of the ratio, ive actually seen increases in ROF because of how efficient these gears are and because they are balanced.  Expensive gears but a very awesome piece of kit if these where cheaper they would no doubt be in ever ones guns.. no exceptions.
Other binary end points were analyzed with the use of chi-square tests, and continuous variables were compared by means of an unpaired Student's t-test or a Wilcoxon rank-sum test, as appropriate, with the use of SPSS software, version 13.0 (SPSS). All reported P values are two-sided and have not been adjusted for multiple testing. The study statistician and investigators remained unaware of the patients' treatment assignments while they performed the final analyses.
I cannot honestly say that the program absolutely works since I have yet to execute it. However, I believe that the principles and exercises absolutely work. They are honed into a system by Mr. Grover and Attack Athletics. I believe Mr. Grover to be at the top in athletic training. His list of clients and their success speaks for itself. As far as the book goes...it looks like it was written in the stone ages! But once you get past its appearance and the stars of yesteryear that appear in the book...it has quality and value. Although I believe it to be somewhat overpriced (what isn't these days???), it can help an athlete get to the next level in sports performance! Do it!
From Jordan to Lebron, even Yao Ming, nothing elicits more awe and applause than a dunk. As one of the highest percentage field goals one can attempt in basketball, this is a move that's worth mastering. While it doesn't hurt to be taller, you can build up both the muscles and skills required to execute this famous feat on the court, regardless of your height and experience. See Step 1 for more information.

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!”

My son asked me to get book to help improve his jump and was thrilled with the terrific tips it gave him. According to him, this book covers all the important basics and is a must-read for anyone looking to increase their athletic performance. The exercises are described in a clear, easy to follow manner...and now that I've read it as well I'm happy to say, I understand more of what my son is always going on about! ;)
Here is the thing. Even if you think you do not need this book but you are playing basketball be sure - you need this one. Here is why. I really had no idea this will be met with such enthusiasm. We got the book for the friends son, 16 year old Barty. Next to snickers we gave him, he did not even see or react on this book. We knew he is devoted to this sport and he was much appreciated in his school team so I thought he would take interest. After good few weeks, I got the call from Barty's dad telling me I will receive the call from Barty very soon. Well, he was wrong - I received a call to a game! After the game Barty and his team mates were explaining us how they got the 'missing link' in this work and how they ... full review
Independent 6'2" North American athlete Eric Bishop introduced a dunk entitled the 'Paint Job'. The title is in reference to the key on a basketball court, often known as 'paint' in common parlance.[36] Approaching along the baseline with a running dribble, Bishop jumped with one-foot at the border of the key, dunked with one-hand while gliding over the key and landed just beyond the border on the side opposite his take-off—a 16-foot flight.

During the takeoff an athlete generates forces that ultimately result in a vertical velocity high enough to leave the ground. We have shown before, that this vertical velocity reaches 0 at the peak of the jump, and it is easy to show that the velocity is exactly the same during landing as it was during takeoff (but directed in the opposite direction).

Dunking (or attempting to dunk) is a high-impact, highly intense activity that deserves a sufficient warm-up prior to a throw-down session. Just as you would for a lifting workout, start your warmup with a few minutes of low-intensity cardio, then progress to more dynamic movements—dynamic stretching/mobility drills as well as jumping. Before attempting your first dunk, take a couple dry runs with no ball where you’re touching or grabbing the rim at the top.
I mean, I think you can probably improve your vertical some in a month. I think, though, that for most normal people who aren’t teenagers who are trying out for their basketball team, who don’t have all that time on their hands, I think there’s a much saner way to go about it, where you’re steadily improving your vertical over a period of time. You know, there’s a lot of this kind of slightly crazy, kamikaze, self-improvement type of thing, whether it’s trying to jump higher or do anything else. I’m sure those things work to some extent, but it’s not the way I would have wanted to go about it.
As an athlete pushes off the ground, he or she must overcome his/her own body weight. The lighter the athlete, the less force is necessary to do this. Imagine trying to jump as high as you can and then immediately repeating this same test wearing a 20-pound vest. It's obvious that the second jump will be much smaller. Now, imagine how much higher you could jump if you were 20 pounds lighter.
Jumpsoles v5.0. The Jumpsoles are vertical jump shoes that fit onto your existing shoe. They are plyometric platforms that attach to your shoes and focuses your body weight onto your calves and train you to spring off the balls of your feet. By doing the special plyometric exercises in the video you develop fast twitch muscle fibers in your legs for explosive leaping improvement. Jumpsoles have been around for over 20 years and many players have increased their vertical jump with them. See real Jumpsoles reviews here.
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".
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.
To perform two-foot dunks, jumpers bend their knees very deeply and spend a lot more time on the ground loading the jump. This increased time during takeoff is useful because it allows the athlete to transfer force into the ground thereby improving height. Using this approach makes it more difficult to transform speed into jump height making a fast approach far less useful than in one-foot jumping.
Other binary end points were analyzed with the use of chi-square tests, and continuous variables were compared by means of an unpaired Student's t-test or a Wilcoxon rank-sum test, as appropriate, with the use of SPSS software, version 13.0 (SPSS). All reported P values are two-sided and have not been adjusted for multiple testing. The study statistician and investigators remained unaware of the patients' treatment assignments while they performed the final analyses.

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.

slang To best someone in a spectacular fashion and/or in a way that is humiliating to them. In basketball, to "dunk on" a defender is to perform a slam dunk over them, a move often considered humiliating to the defender. The phrase is commonly used in a passive construction ("(one) got dunked on"). Here's the part of the debate where she really dunks on him by completely destroying his argument. You can't just tweet at this person and make fun of their opinion. If you really want to dunk on them, you have to correct their horrible grammar too.


At the onset of the jump, the ball is controlled by either one or both hands and once in the air is typically brought to chest level. The player will then quickly thrust the ball downwards and fully extend their arms, bringing the ball below the waist. Finally the ball is brought above the head and dunked with one or both hands; and the double clutch appears as one fluid motion. As a demonstration of athletic prowess, the ball may be held in the below-the-waist position for milliseconds longer, thus showcasing the player's hang time (jumping ability).
If the patient was already being treated with a vasopressor at baseline, that agent was replaced as soon as possible with the trial-drug solution. If the patient was already receiving dopamine and this agent could not be discontinued after introduction of the trial-drug solution, the dopamine was replaced with an open-label norepinephrine infusion. Open-label dopamine was not allowed at any time. Epinephrine and vasopressin were used only as rescue therapy. Inotropic agents could be used, if needed, to increase cardiac output.
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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 Dual Shock Ver. served as the basis for the majority of ports, such as the Windows 9x-based PC-CD release, which was titled Resident Evil 2 Platinum in North America. Aside from retaining all previously added features, the PC version can be run in higher Display resolution.[1] A "Data Gallery" was also added to the main menu, allowing the player to view movies, rough sketches, illustrations and 3D models.[1]
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.
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).

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.
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