Circulatory shock is a life-threatening condition that is associated with high mortality.1,2 The administration of fluids, which is the first-line therapeutic strategy, is often insufficient to stabilize the patient's condition, and adrenergic agents are frequently required to correct hypotension. Among these agents, dopamine and norepinephrine are used most frequently.3 Both of these agents influence alpha-adrenergic and beta-adrenergic receptors, but to different degrees. Alpha-adrenergic effects increase vascular tone but may decrease cardiac output and regional blood flow, especially in cutaneous, splanchnic, and renal beds. Beta-adrenergic effects help to maintain blood flow through inotropic and chronotropic effects and to increase splanchnic perfusion. This beta-adrenergic stimulation can have unwanted consequences as well, including increased cellular metabolism and immunosuppressive effects. Dopamine also stimulates dopaminergic receptors, resulting in a proportionately greater increase in splanchnic and renal perfusion, and it may facilitate resolution of lung edema.4 However, dopaminergic stimulation can have harmful immunologic effects by altering hypothalamo–pituitary function, resulting in a marked decrease in prolactin and growth hormone levels. 5
Cancel, pause, or adjust your order at any time, hassle free. Your credit card will only be charged when your order ships. The discount applied every time is 15% off. Since it would be weird to subscribe to a kettlebell, the subscriptions and subscription discounts are only for things you'll need often, like supplements, foods, and personal care items.
A Tomahawk dunk can be performed with one or two hands, and when two hands are used, it is called a backscratcher. During the jump, the ball is raised above, and often behind the player's head for a wind-up before slamming the ball down into the net at the apex of the jump. Due to the undemanding body mechanics involved in execution, the tomahawk is employed by players of all sizes and jumping abilities.[citation needed] Because of the ball-security provided by the use of both hands, the two-handed tomahawk is a staple of game situations—frequently employed in alley-oops and in offense-rebound put-back dunks.
The vertical jump is one of the most explosive physical movements executed in sport. In a number of sports, the higher the athlete is able to jump, the greater the prospects of success in that discipline. Basketball and volleyball are the two most prominent examples of sports where that correlation is plain. The jumping ability of an athlete is also an indicator of overall athletic ability, as there is a clear relationship between the ability to jump and the running speed that the athlete will develop over short distances. The National Football League, where prospective players are subjected to various physical tests, requires every player to be tested for both vertical leaps and 40-yd (37 m) sprints, irrespective of the position played.

We have two diferent vertical jump bands that you can use as a volleyball player. The first bands are the M.V.P. Pro bands that are attached at the heels and a belt around the waist. These vertical jump bands can be worn during practice so everytime you jump your are improving your vertical with the resistance provided by the bands. These bands are best if you are 5' 6" or taller.
Resident Evil 2: DualShock Ver., known as Biohazard 2 DualShock Ver. (バイオハザード2:デュアルショックバージョン Baiohazādo Tsū: De~yuarushokkubājon?) in Japan, As the title suggests, is a second expanded version of Resident Evil 2 that became the base of other subsequent versions/ports of the game. The game was modified to incorporate support for the vibration function and analog control of the PlayStation DualShock controller.
Scaling the back squat for beginner-level athletes generally entails sticking to lighter loads (even bodyweight only to start) while learning proper technique. Goblet squats with a kettlebell or dumbbell can be used to practice form, but keep in mind that goblets are an anterior (front-loaded) variation and won’t directly mimic the mechanics of the back squat.
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.
Asher Price, a reporter at the Austin American-Statesman, spent a year of his life trying to find out and chronicled his quest to jam on a regulation hoop in the book The Year of the Dunk, which comes out in May. Price, who played coy about whether he was able to achieve his goal, spoke to Science of Us about what a rec leaguer would need to do to fly like a pro. (Spoiler: lots of squats and alley-oop attempts.)

My four year old son has a whole bunch of books in this series. They are all AWESOME. My son really likes facts and history and these books are full of both. You don't read them like a story - rather, they are basically written as one fact after another with lots of exciting illustrations in between. I like that I can jump around from fact to fact or picture to picture, depending on my son's mood or attention span at that particular point in time. He has actually been absorbing many of the names and dates and facts and statistics. I love that these books make it fun for kids to learn! FIVE STARS!!!
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.

But you know what? Because these help with your jumping, you will become an amazing rebounder, blocker, and, well, dunker! In 2016, according to MaxPreps, I was 14 in the country in average blocks per game (National Basketball (2016-17) Blocks Stat Leaders, I’m 14th ;P). I had two triple-doubles. No, not points, rebounds, and assists, but points, rebounds, and BLOCKS.
i am a basketball player! i''m interest in dunk, but my height is 165cm then it made me more diffidult to do it!i was spent 2 years to training jumping,finally i''m able to touch the rim!my problem is the training cant help me jump further! In here, i would like to ask for any method that can help me to achieve my goal which i can do a perfect slam dunk.

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.
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.
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.
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

Cancel, pause, or adjust your order at any time, hassle free. Your credit card will only be charged when your order ships. The discount applied every time is 15% off. Since it would be weird to subscribe to a kettlebell, the subscriptions and subscription discounts are only for things you'll need often, like supplements, foods, and personal care items.
The amount of resistance a shock absorber develops depends on the speed of the suspension and the number and size of the orifices in the piston. All modern shock absorbers are velocity sensitive hydraulic damping devices - meaning the faster the suspension moves, the more resistance the shock absorber provides. Because of this feature, shock absorbers adjust to road conditions. As a result, shock absorbers reduce the rate of:
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
Keep that in mind, and progress slowly. A mini basketball is a little more challenging than a tennis ball, but it's easy to palm and that helps. See if you can get high enough to get your hand over the rim--almost up to your wrist--so you can stuff the mini ball. If you can't throw it down with a little authority, a bigger basketball won't be any easier.
I followed the Jump Attack program to the letter, and my training in December, January and February looked and felt nothing like what had preceded it. I spent a month doing those nonsensical lunge holds (and squat holds, push-up holds, chin-up holds). I trusted those holds, and the tendon-testing leg workouts that lasted 2 ½ hours and left me tasting my own broken down muscle in my mouth. I trusted all of it because I was living in that moment, as Carter put it, when the hammering of Carter’s “muscle memory” into my body finally would bear fruit and I’d pitch the ball downward into a 10-foot hoop like a cafeteria customer dunking a roll in coffee.

The hips and glutes are the primary muscles that help us jump higher and increase our vertical. To increase power in these muscle groups, attach the Kbands securely around your legs and plant your feet wider than shoulder width apart. Sit deep in a squat position (knees in line with toes, hips pushed back) and hold the move for a full 30 seconds. To see the effects of this move in your vertical jump, you should feel a burn in your rear, hips and quads.
Some days I would be doing leg exercises — you want to give yourself a 48-hour break between heavy lifting involving any given part of your body, to give yourself time to recover. Some days, I’d go out to the track and do a track workout like sprints. I was avoiding doing long-distance running, because I didn’t want to develop slow-twitch muscles. I wanted to concentrate on fast-twitch muscles. And then for fun, on the weekends, I would play soccer or pickup basketball. I was becoming a better athlete because of this. Not only was I faster and stronger, but I was also more confident, in terms of just the run of play in any of these team sports, because I was more athletic than I had been.
About 100 yards away from this 9' 10" breakaway rim (which came to sound, each time I grabbed and released it, like someone closing the metal baby gate at the top of our stairs) was a brown, oxidized, immobile 9' 1" version, a hand-ruining iron maiden where, in front of the occasional puzzled onlooker, I practiced (and practiced) the timing and the hand and wrist work required to dunk. I knew early on that my regulation dunk, if it ever came to pass, would have to come from a lob of some sort—a bounce to myself, either off the blacktop or underhanded off the backboard—after which I would hypothetically control the ball with one hand just long enough to flush it. Mastering the placement and the delicate timing of such lobs would prove to be a quixotic pursuit in and of itself. But it was necessary, not just because of my hand size (7 ¾ inches) but also because I needed to keep my arms free so I could swing them at takeoff, adding much-needed lift to my leap.
Use a smaller ball. It's much easier, when you're first starting out, to try dunking with a smaller ball. You'll be able to palm it more easily and control your approach, making the maneuver more satisfying and your practice closer to the real thing. Continue dribbling and shooting exercises with the appropriate-sized ball so you're not getting too used to the "wrong" size, but keep a small ball around for your sick dunks.[1]

Athletes often do depth jumps with two plyo boxes: one to step off of and another to jump onto. Essentially, it’s a depth jump into a box jump. When doing this variation, make sure to leave enough room between the boxes to allow you to land and jump safely (3–5 feet between boxes should work). To advance within this progression, increase the height of the second box gradually as you develop more strength and power.
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.
Increase your vertical leap. You will need the lifting power of your legs to get you in the air and up to the basket. Building a regimen of leg workouts that will increase the fast-twitch strength and the flexibility of your leg muscles can help you add inches to your vertical leap, getting you that much closer to the rim.[2] A good regimen to get started with might include:

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.
“There aren’t many people in the world who can [dunk], that’s why it has this allure, I guess,” Carter told me last fall, during his first training camp with the Grizzlies. “As far as trying to do it, there are so many ways people can go about it. The approach you’re taking is the right approach. When I was younger, that’s how I started. Tennis ball, to the point that it became easy. Then a volleyball. Then a girls’ ball. Finally I took—it was like a dodgeball. I dunked that and said, ‘You know what, I’m gonna try it.’ Next thing you know. . . .” He shrugged and smiled, the gray whiskers on his jaw sinking into a dimple.
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.
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