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vasopressors for a maximum of 4 hours before randomization and since during the 28-day study period, the study drug was withdrawn last when patients were weaned from vasopressor therapies and was resumed first if resumption of vasopressor therapy was necessary.
Perhaps the most popular obstruction-modified dunk is the Dubble-Up. Aptly eponymous of the its pioneer—T-Dub, an American dunker hailing from Minnesota—the Dubble-Up starts with a person standing before the basket, holding the ball above their head. The dunker approaches and leaps as though their groin would soar above just above the head and their legs around the stationary person. Just prior to clearing the person, the dunker will assume control of the ball with one or both hands, guide it under a raised leg, transferring it to the appropriate hand, clearing the ball-holder, raising the ball above the horizontal plane of the rim, and finally guiding it downward through the basket. While the Dubble-Up mimics a between-the-legs dunk, Kenny Dobbs and Justin Darlington have both performed an under-both-legs variant.
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
I gave myself ten weeks to dunk again. It wasn’t going to be easy: I figured I’d need to add five or six inches to my vertical in order to dunk a regulation basketball. I was in half-decent shape, and at six-foot-three, I had height on my side. But I had a few things other than age working against me—namely feet that had flattened over the years to canoe paddles, and an ankle injury I’d never properly rehabbed.
I think one way of thinking about it is, less parts of the body, and more the kind of muscle. You want to develop your quick-twitch, or fast-twitch, muscles, because at the end of the day, trying to dunk a basketball is an explosive activity. You’re not going for a long-distance run here. You’re doing three quick steps, a hard shove against the ground, and exploding upwards. So the question is how to turn yourself into basically a sprinter. You do a lot of jumping exercises where you’re doing box jumps, where you jump off one box and as soon as you hit the ground, you try to jump up onto another box. That sort of thing.
Barry, who retired from the NBA in 2009, recalled that a few days before our sit-down he “drove out to the Clippers’ practice facility, wearing sneakers and board shorts, just to get my basketball fix in. Between games I pick up a ball and start shooting. In the back of my mind I’m thinking, You’re 42, man; can you still? So I get a rebound, do a little power dribble in the paint and, sure enough, throw it down. I put the ball down and walked out. I can still do that. That’s good.”
I am in grade 10, 15 years old and 6'1 3/4". I have big hands and can palm the ball...I could touch rim in grade 8 and getting closer to dunking everyday now..it literally takes no effort to touch rim now but whenever I go for the dunk I get the ball above rim easily but have trouble getting that wrist motion to actually throw the ball in the hoop...and help?
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.
Jonathan Chait escribió en The New Republic que Klein "presta, sorprendentemente (pero, habida cuenta de sus premisas, no es de sorprender), poca atención a las ideas de derecha. Ella reconoce que el neoconservadurismo se encuentra en el corazón del proyecto guerra de Irak, pero no parece saber qué es el neoconservadurismo, y no hace ningún esfuerzo para averiguarlo".16
Like Todd and me, Nicholson was a two-foot jumper, and he echoed what Todd had told me was another flaw in my technique: “Your next-to-last step has to be a lot bigger. That big leap forward with your right foot—your penultimate step—that’s what allows you to explode off the ground.” To demonstrate, Nicholson sent me a video of Carter’s performance at the 2000 NBA Dunk Contest, which was a bit like showing a Monet to a finger painting kindergartner and saying, “No, like this.”
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.
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!
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. Colloquially, the dunk has a variety of names including 'honey dip', 'cookie jar', and 'elbow hook'.
High Reach Jumps – with your feet shoulder width apart, bend down into a comfortable squat position and then jump up as high as you can reaching for the sky! This drill is great to do under the basketball goal or near a wall so you can have a visual of how high you’re jumping – or how low you jump once you start getting tired. Try to reach the same height through all your reps.
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.
An important component of maximizing height in a vertical jump is attributed to the use of counter-movements of the legs and arm swings prior to take off, as both of these actions have been shown to significantly increase the body’s center of mass rise. The counter-movement of the legs, a quick bend of the knees which lowers the center of mass prior to springing upwards, has been shown to improve jump height by 12% compared to jumping without the counter-movement. This is attributed to the stretch shortening cycle of the leg muscles enabling the muscles to create more contractile energy. Furthermore, jump height can be increased another 10% by executing arm swings during the take off phase of the jump compared to if no arm swings are utilized. This involves lowering the arms distally and posteriorly during the leg counter-movements, and powerfully thrusting the arms up and over the head as the leg extension phase begins. As the arms complete the swinging movement they pull up on the lower body causing the lower musculature to contract more rapidly, hence aiding in greater jump height. Despite these increases due to technical adjustments, it appears as if optimizing both the force producing and elastic properties of the musculotendinous system in the lower limbs is largely determined by genetics and partially mutable through resistance exercise training.