Dunking became a game again. After my closest misses I’d hop around and swear like a golfer whose playoff putt had lipped out. These outbursts were no longer harsh self-admonitions but celebrations of my progress, acknowledgements that I was getting tantalizingly close. I could feel my legs gaining in bounciness. I could feel my hips, quads and calves learning to fire simultaneously. My original lobber returned to the scene and suggested I try dunking in the morning instead of the evening, when the batteries in our old bodies are as low as the ones in our phones. I added this sage advice to the long list of microdetails “that help you steal inches,” as Todd had phrased it months earlier. “A quarter inch here, a half inch there.”
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.
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By emphasizing certain muscles in your legs, you can train your body for the force needed to leap high. Increasing your vertical jump will improve your rebounding, blocking, dunking, and make you an all-around better basketball player. Here are a few of CoachUp’s favorite exercises for improving your leg strength and vertical jump. If you ever need extra motivation to get through these exercises on a daily basis, just re-watch these gifs and focus up!
Smaller observational studies have suggested that treatment with dopamine may be detrimental to patients with septic shock.3,9,10 However, Póvoa et al. reported a lower rate of death among patients treated with dopamine than among those treated with norepinephrine.25 In our study, which included more than 1000 patients with septic shock, there was no significant difference in the outcome between patients treated with dopamine and those treated with norepinephrine.
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.
The method described above is the most common and simplest way to measure one's vertical jump, but other more scientifically accurate methods have been devised. A pressure pad can be used to measure the time it takes for an athlete to complete a jump, and then using a kinematics equation (h = g × t2/8), the computer can calculate his or her vertical jump based on the time in the air.