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.


When an individual has a force-velocity gradient angled such that force is too high and velocity is too low, they benefit most from high-velocity strength training exercises with light loads. Conversely, when an individual has a force-velocity gradient angled such that force is too low and velocity is too high, they benefit most from low-velocity strength training exercises with heavy loads. Often, individuals with a long history of heavy strength training display profiles that are not ideal for vertical jumping, because their force is too high, and their velocity is too low, so they need to focus on high-velocity strength training.

The primary end point of the trial was the rate of death at 28 days. Secondary end points were the rates of death in the ICU, in the hospital, at 6 months, and at 12 months; the duration of stay in the ICU; the number of days without need for organ support (i.e., vasopressors, ventilators, or renal-replacement therapy); the time to attainment of hemodynamic stability (i.e., time to reach a mean arterial pressure of 65 mm Hg)16; the changes in hemodynamic variables; and the use of dobutamine or other inotropic agents. Adverse events were categorized as arrhythmias (i.e., ventricular tachycardia, ventricular fibrillation, or atrial fibrillation), myocardial necrosis, skin necrosis, ischemia in limbs or distal extremities, or secondary infections.17

Before takeoff, or at the onset of the jump, the ball is brought to the abdomen and then the windmill motion is started by moving the ball below the waist according to the length of the player's fully extended arm. Then following the rotation of the outstretch arm, the ball is moved in a circular motion, typically moving from the front towards the back, and then slammed through the rim (from the profile view of a player facing the basket, the windmill motion most generally appears clockwise). Although, due to momentum, many players are unable to palm the ball through the entire windmill motion, the dunk is often completed with one-hand as centripetal force allows the player to guide the ball with only their dunking hand. In some instances sticky resins or powders may be applied to the palm, these are thought to improve grip and prevent loss of possession.[11] Amongst players, subtle variations in the direction of the windmill depend on bodily orientation at takeoff and also jumping style (one-foot or two-feet) in relation to dominant hand.
Better still is an eye-popping nightclub sequence with a unique floor show, the undeniable visual highlight in a feature fraught with such. Malcolm mimics Joel Grey's M.C. from CABARET, introducing the "original" Gwen as Marilyn warbling a haunting song which effectively sums up the movie in its deceptively simple lyrics which I have included in the above summary. A gospel choir and hoop-skirted beauties (à la Madonna's iconic MTV Vogue appearance) surround lusty lovers Sean Rider and Sharon Kane at her most heartbreakingly vulnerable. The cum shot segues into the slow motion flutter of milky white doves John Woo style !
High pulls can also be done using a dumbbell or kettlebell,. When doing so, position the weight between your feet and pull with one arm at a time (switching arms halfway through the set). A trap bar (aka, hex bar) is also an option, particularly for individuals who have a hard time keeping the lower back flat; the trap bar allows the hands to be positioned behind the shins to help pull the shoulders back.
A more accurate method would be to use a Jump Tester (like these here.) The problem with these, obviously, is that they are way too expensive. In fact, the only scenario in which I recommend using one of these is if you’re a coach, trainer, or athletic director who is purchasing it to test a large number of athletes over time and who needs as accurate of a number as possible for scouting purposes.
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.
There are a number of variations on the windmill, the most common being the aforementioned one- or two-hand variants. In these cases, the windmill motion may be performed with the previously discussed one-arm technique and finished with one- or two-hands, or the player may control the ball with two hands, with both arms performing the windmill motion, finishing with one or both hands. Additionally, the ball may be cuffed between the hand and the forearm—generally with the dominant hand. The cuff technique provides better ball security, allowing for a faster windmill motion and increased force exerted on the basket at finish, with either one or both hands. Using the cuffing method, players are also afforded the opportunity of performing the windmill motion towards the front (counterclockwise), a technique exploited by French athlete Kadour Ziani when he pioneered his trademark double-windmill.
One morning a week later, the gym at the Y was empty. I picked up the same mini-ball and unsuccessfully tried to throw it down. I found the more relad I was, the higher I could jump. So I loosened my shoulders, took a depth breath, and approached the rim. I held the ball for a beat longer this time, and easily popped it over the rim. It felt incredible. I did it a few more times, each easier than the last, pulling down on the rim with unnecessary force for maximum satisfaction. But as exhilarating as it was to dunk again, I was only using a mini-ball—I hadn’t completely reached my goal.
My early efforts were clumsy. Jumping willy-nilly as high as I could, with no regard for technique, I occasionally felt my finger graze the underside of the rim. Most times I did not. What I did feel early on was a firm self-awareness­ that I was a two-foot jumper (like Spud Webb, Dominique Wilkins, Vince Carter and myriad NBA Slam Dunk champions with whom I have nothing else in common athletically) as opposed to a one-foot jumper (see: Julius Erving, Clyde Drexler, Michael Jordan). This meant that my best shot at dunking would be to elevate like an outside hitter in volleyball—that is, by stepping forward with one foot, quickly planting my trailing foot next to it and then propelling myself upward off both.
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In basketball, the ability to jump high can be pretty important, especially for layups and dunks. Thus, it’s no surprise that many people who play basketball, either professionally or just for fun, want to be able to jump higher to improve their game. Luckily, by performing certain exercises, losing weight, and perfecting your technique, you can significantly improve your vertical leap and jump higher in basketball.
The baseline dunk is an approach-modifier of any dunk type in which the player approaches the basket along the court-boundary (baseline) which runs parallel with the backboard. In the game setting, the dunk often comes as the result of a pass, creating an assist opportunity for a teammate. In the contest, the baseline approach may be used as a means of convenience, facilitating a particular dunk type (e.g., passes bounced off the side of the backboard or its padding) or to increase the difficulty of a dunk type in hopes of meriting higher scores.
I'm 5"11 and 12 years old, and i'm able to touch the rim, but it's very inconsistent. like 50% of the time I can wrap my 3 biggest fingers around it, or i dont touch it the other 50% of the time. I've been training for about 4 months, doing calf raises every day until they cramp, and everyday i try to touch the rim at my gym or school or at any court. I found out i could touch the rim 2 days ago, but is there any way to add 7 inches to my vertical instead of doing thousands of calf raises again, because i really want to be able to dunk by 8th gradr

Step 2. Nudge the bar out of the rack and step back, setting your feet at shoulder width, with your toes turned slightly outward. Without letting your feet actually move, try to screw both legs into the floor, as if you were standing on grass and wanted to twist it up—you’ll feel your glutes tighten and the arches in your feet rise. Take a deep breath into your belly and brace your core, pulling your ribs down so your torso forms a solid column.
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.
Step 3. Jump as high as you can while flinging your arms forward and overhead. When you leave your feet, only reach up with one arm; you’ll be able to reach a higher point this way versus reaching with both arms. Land softly with a slight knee bend, being careful not to let your knees cave inward. Drive them outward as you did when preparing to jump in the first place.
Many models have been constructed to identify the most important muscles in the vertical jump, with some conflicting results. Some have suggested that movement is governed by the gluteus maximus and quadriceps, while others have proposed that the hamstrings, quadriceps, and calf muscles are key. Importantly, no model has yet explored the role of the adductor magnus, which is the primary hip extensor in the barbell squat. This is relevant, as many studies have found that the squat is an ideal exercise for improving jump height, and maximum back squat strength is closely associated with vertical jump performance among athletes.
Many models have been constructed to identify the most important muscles in the vertical jump, with some conflicting results. Some have suggested that movement is governed by the gluteus maximus and quadriceps, while others have proposed that the hamstrings, quadriceps, and calf muscles are key. Importantly, no model has yet explored the role of the adductor magnus, which is the primary hip extensor in the barbell squat. This is relevant, as many studies have found that the squat is an ideal exercise for improving jump height, and maximum back squat strength is closely associated with vertical jump performance among athletes.
Using only a lifting (concentric) phase for strength training exercises could also be more effective for improving vertical jump height than traditional, stretch-shortening cycle exercises under load, for two reasons. Firstly, using only a lifting phase involves faster rate of force development through higher rate coding, and this may increase high-velocity strength more over the long-term. Secondly, doing stretch-shortening cycle exercises under load *might* cause the tendons to increase stiffness to a greater extent. This would make the muscle lengthen more in the countermovement phase of a jump, and thereby reduce muscle force for a given countermovement depth.

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.
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I just turned 14 year old 5''10-5''11 8th grade 160-70 poundsand i''m wondering what stretching exercises and weight lifting exercises i can do to increase my vertical its already at like 30-32 inches but i want maybe a 40 by high school ive dunked maybe over 10 times with one hand it effortless to touch rim with both feet and easier with one but i''''''''m also wondering how to take of when i dunk because i stutter step and i want to get my explosiveness up. Can anyone help me?
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),[4] the computer can calculate his or her vertical jump based on the time in the air.
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