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
This is why using a slightly deeper countermovement often increases jump height, because the larger range of motion allows the muscles to exert force for a longer duration of time before take-off. Jump height *can* increase even though the force produced is almost always smaller. (Force is smaller when the countermovement is deeper partly because shortening through a longer range of motion leads to a faster contraction velocity, on account of the force-velocity relationship, and partly because the leverage of bodyweight on the lower body joints is larger with a deeper countermovement).
En la conclusión no se recapitula sobre el resto del libro, sino que se habla de la reacción contra la doctrina del choque y sobre las instituciones económicas que la propagan como el Banco Mundial y el FMI. América del Sur y el Líbano post-2006 se analizan como fuentes de noticias positivas donde los políticos están dejando atrás políticas de libre mercado, con alguna mención de la campaña de la comunidad de activistas en Sudáfrica y China.
Before and after every workout, stretch your legs. This can lead to increase flexibility which loosens your muscles and allows them to perform better with a greater range of motion. In other words, they are strong and function better. Be sure to include dynamic stretches into your warm-up to get your joints moving and static stretches into your cool down after the workout.
This isn’t just some light-duty assistance exercise. The rear-foot elevated split squat (aka, Bulgarian split squat) is a legitimate movement for increasing pure glute and quad strength, which will in turn enhance power and vertical jumping performance. Even if you’re a two-foot jumper, focusing on one leg at a time like you do here will ensure that your dominant side isn’t compensating for your weaker leg during the movement.

Randomization was performed in computer-generated, permuted blocks of 6 to 10, stratified according to the participating ICU. Treatment assignments and a five-digit reference number were placed in sealed, opaque envelopes, which were opened by the person responsible for the preparation of the trial-drug solutions. The solutions of norepinephrine or dopamine were prepared in vials or syringes according to the preference of the local ICU. Each vial or syringe was then labeled with its randomly allocated number. The doctors and nurses administering the drugs, as well as the local investigators and research personnel who collected data, were unaware of the treatment assignments. The trial was approved by the ethics committee at each participating center. Written informed consent was obtained from all patients or next of kin.
This phase begins with the athlete at the bottom of the jump, just as he begins exploding upwards towards the takeoff. The force-time graph shows that the athlete reaches peak forces shortly after reaching the lowest point of the jump. He then further accelerates until his feet leave the ground and there are no more ground reaction forces measurable.
Janik was available by text whenever I needed him, like my very own dunk training app. The important thing, he said, was to work out hard and smart. When my knees or back were sore, he advised lowering the weight for a few sessions and eliminating depth jumps. "Listen to your body," he told me. And I did: I took a day off here or there if I needed it; I added more weight when I felt good. When, after five weeks, I started to worry that I wasn’t going to dunk again, he kept me motivated. "Leg strength is the key. Squat deep. Ass to grass," he told me, unsympathetic to the known fact that squats are fucking terrible.
The loading phase of a vertical jump should look very similar to a Romanian dDeadlift—the only difference is the arm position. In this position, the weight is on the toes. The knees and ankles are slightly bent, the chest is leaned forward and the arms are extended just past the hips. In this position, the athlete can generate the most amount of vertical power.
Not so long ago, I played the worst basketball game of my life. I missed layups, turned over the ball, allowed my opponent free reign to the hoop. It was dark. As I slumped on the sidelines after the game, I realized how far I’d fallen from my prime a decade ago. Back then, I could dunk; now, at 33, I could barely curl my fingers over the rim. My game had regressed to hovering around the arc jacking threes. The last time I dunked a basketball, Michael Jordan was a Washington Wizard and people still listened to Coldplay.

After a one-week recovery period in January following Phase 1 of Jump Attack, Phase 2 brought an increase in intensity and time investment. This was the last stop before Phase 3, the wilderness where those attack depth jumps lived. (Attack depth jumps: Rest on your knees in front of a box; explode to your feet without using your hands; immediately jump onto the box; immediately jump as high as you can off the box, landing on the balls of your feet. Repeat. Many times. No blacking out allowed.) Phase 3 brought dramatic increases in both explosiveness and hip flexibility, two critical ingredients that I started to feel working in tandem. I emerged both confident and in dire need of another one-week recovery period, which I spent playing with our kids, watching dunk videos and mouthing the syllable Ow. Once healed, in early March, I returned to the rims with a friend whom I’d asked to toss lobs to me. There would be no more lifting. (After Jump Attack, what else could there possibly be?) From here on, I just jumped and recovered, jumped and recovered, attacking this tiny window of three or four weeks before my time away from the gym began to sap my strength. It would be over at that point, all over, whether I wanted it to be or not.
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.
My quest to dunk started poorly. The main problem was that I could only do about half of the very long list of ercises the Jump Manual instructed at the crowded and inadequate YMCA near my place. The basketball court—the only space big enough to do some of the drills—was always occupied with classes. The Strength Shoes, meanwhile, were so absurd that I was too embarrassed to wear them in front of other gym-goers. I used them only a handful of times, in an empty stairwell on the top floor of the gym.
Joe would die some 30 years later, at age 82, but what he said that day as he stood in a puddle of dry tobacco—his clothes disheveled, the other Fortenberrys yelping a chorus of excited Yessirs—spoke to me in a way that can only be understood by those who blindly take on missions that exact a greater toll than was envisioned. “Well,” he said with a grin, “that’s the last time I’ll ever do that.”
procedure (see also variations below): the athlete stands side on to a wall and reaches up with the hand closest to the wall. Keeping the feet flat on the ground, the point of the fingertips is marked or recorded. This is called the standing reach height. The athlete then stands away from the wall, and leaps vertically as high as possible using both arms and legs to assist in projecting the body upwards. The jumping technique can or cannot use a countermovement (see vertical jump technique). Attempt to touch the wall at the highest point of the jump. The difference in distance between the standing reach height and the jump height is the score. The best of three attempts is recorded.

To build strength in the legs that will be compatible with the speed developed through successful plyometrics drills, squat and lunge exercises are important components. Squats are performed with free weights, where the athlete uses a weighted bar to carry out the exercise. The additional weight will be supported by the body through the abdominal, lumbar (low back), and gluteal muscles, in addition to the legs. This form of exercise permits the strengthening of the legs in conjunction with enhancing the core strength of the body, essential to the balance necessary to have the several muscle groups involved in leaping work in harmony.

In 2004, as a high school senior, Candace Parker was invited to participate in the McDonald's All-American Game and accompanying festivities where she competed in and won the slam dunk contest.[51] In subsequent years other women have entered the contest; though Kelley Cain, Krystal Thomas, and Maya Moore were denied entry into the same contest in 2007.[52] Brittney Griner intended to participate in the 2009 McDonald's Dunk Contest but was unable to attend the event due to the attendance policy of her high school.[53] Breanna Stewart, at 6'3" (191 cm), Alexis Prince (6'2"; 188 cm), and Brittney Sykes (5'9"; 175 cm) competed in the 2012 contest; Prince and Sykes failed to complete their dunks, while Stewart landed two in the first round but missed her second two attempts in the final round.[54][55]
I thought I needed a rim. But what I found I really needed was a constellation of them. Having choices would prove useful because of the daytime obstacles, like elementary school PE students and our own kids’ after-school activities; and nighttime obstacles, like chain-link and padlocks, that I encountered. My training windows were narrow, so I learned to employ these outdoor rims strategically, the way the skateboarders in Dogtown and Z-Boys timed their secret sessions at drained swimming pools. The six or seven courts nearest our house featured rims that measured anywhere between 9 feet and 10' 2", a variance that allowed for different kinds of practice. The blisters and flayed calluses that soon bloodied my hands instructed me in the value of breakaway rims—the less rust the better. Because a Snap Back wasn’t always available, local residents may have spotted a sweaty forty­something man rubbing Vaseline on his hands in the corner of their child’s favorite playground last year. Sometimes he wore a weight vest that made him look like a jihadist. What I’m saying is, Thanks for not calling the cops.
If you can jump high enough to dunk, but you’re having a hard time going up with the basketball in one hand, the solution is to start small and work your way up. A smaller ball such as a soft golf ball or tennis ball is a great starting point. From there, move slowly to a mini-basketball. It will provide more of a challenge but still be easy to palm as you go up. Once you can dunk the mini ball, try moving on to a volleyball until finally a regulation basketball.
I continued to follow the program for the next few weeks, and I was dunking fairly regularly. I got a friend to film me, and then bored everyone I knew by showing them the video for weeks on end, like a proud father of my own dunk. Each one was the same: I could only do it after a couple days’ rest, and only with a ball I could palm. I approached from the left, jumped off two feet, and dunked with my right hand. There would be no cocked-back, in-your-face, two-handed throw downs; no acrobatic Russell Westbrook highlight reel slams.
Mr Shaqy - your goal to dunk is good.... but, I want you to think about this.... watch some high school games and tell me how many dunks you see compared to a really good shooter especially from the arc. You have 3 more years of Middle School and there is lot more of your game to work on than just dunks.... good defense, good inside game at your height.... ball handling, passing and mid range shots..... 3s if you can do that.

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.
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The force-velocity relationship during muscle shortening occurs because the number of simultaneously attached crossbridges between the myofilaments inside the working muscle fibers determine the amount of force that a fiber can produce. The number of attached crossbridges at any one time is dependent upon the fiber shortening velocity, because the detachment rate of the crossbridges at the end of their working stroke is higher at faster shortening speeds.
Parte 3, se refiere a los intentos de aplicar la doctrina de choque sin la necesidad de violencia extrema en contra de amplios sectores de la población. La terapia de choque leve de Margaret Thatcher explica cómo se hace posible con la Guerra de las Malvinas, mientras que la reforma del mercado libre en Bolivia ha sido posible gracias a una combinación de una preexistente crisis económica y el carisma de Jeffrey Sachs.
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.

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
The things I had going for me: an understanding spouse; a modicum of foot speed and leaping ability, flashed during the occasional Motrin-supported­ pickup game; proximity to one of the best training centers in the world; and, again, an understanding spouse. The forces working against me made for a longer list and included (but were far from limited to) my average hand size and arm length, a lower-back injury that I suffered while playing semipro football in 2009 and my age. I was 42.
Belibi dunked a one-handed alley-oop on the break off an assist from sophomore Avery Vansickle. — Doug Feinberg, The Seattle Times, "Tennessee loses three in a row for first time in 33 years," 14 Jan. 2019 After seeing what happened to me in 2009, Eric Strabel dunked his entire body in the river shortly before his race. — Holly Brooks, Anchorage Daily News, "It’s gonna be a hot Mount Marathon, so racers be warned and spectators stand by — preferably with ice," 3 July 2018 Antetokounmpo was angry that night with Knicks forward Mario Hezonja, who had dunked over him in the first quarter, then stared and stepped over him. — Brian Mahoney, The Seattle Times, "Antetokounmpo powers Bucks past Knicks in Christmas debut," 26 Dec. 2018 This is a movie in which the de-rigueur baptism scene is of the preacher himself being dunked to sober up. — Author: Ann Hornaday, Anchorage Daily News, "Is ‘Damsel’ the first Western for the #MeToo generation?," 28 June 2018 Simons sprinted to the hoop, the big passed the ball and Simons elevated and dunked. — Josh Robbins,, "Edgewater High alum Anfernee Simons enjoys solid NBA debut," 7 July 2018 Here's the proof: top 5 Dennis Smith Jr. dunks this season. — Peter Dawson, star-telegram, "Dallas rookie Dennis Smith Jr. favored in slam dunk contest | Fort Worth Star-Telegram," 15 Feb. 2018 Even a sandwich made from cold ingredients straight from the fridge dunked in hot gravy can be tasty. — Stephanie Wu, Town & Country, "How to: Thanksgiving Leftover Tips from Culinary Stars," 16 Nov. 2015 Three-year-old An Biên specializes in Haiphong-style seafood, like thick bánh da noodles in a rich crab-and-pork broth, or plump mantis shrimp to dunk in a bubbling hot pot. — Peter Jon Lindberg, Condé Nast Traveler, "Hanoi, Time and Again," 20 Nov. 2018

Start on a lower hoop and practice on that, just to get the feel of dunking. Jump height is one thing, but you would be surprised at the number of people that find it hard just to slam the ball into the basket, even if they are high enough. Make sure the hoop is high enough for you to only touch the rim. Different jumping styles and distances from the basket can change your vertical drastically and could be the difference between a rim-block and a slam. Keep progressing and eventually you will see results. Good luck!

A total of 1679 patients were enrolled — 858 in the dopamine group and 821 in the norepinephrine group (Figure 1). All patients were followed to day 28; data on the outcome during the stay in the hospital were available for 1656 patients (98.6%), data on the 6-month outcome for 1443 patients (85.9%), and data on the 12-month outcome for 1036 patients (61.7%). There were no significant differences between the two groups with regard to most of the baseline characteristics (Table 1); there were small differences, which were of questionable clinical relevance, in the heart rate, partial pressure of arterial carbon dioxide (PaCO2), arterial oxygen saturation (SaO2), and ratio of partial pressure of arterial oxygen (PaO2) to fraction of inspired oxygen (FIO2). The type of shock that was seen most frequently was septic shock (in 1044 patients [62.2%]), followed by cardiogenic shock (in 280 patients [16.7%]) and hypovolemic shock (in 263 patients [15.7%]). The sources of sepsis are detailed in Table 2 in the Supplementary Appendix. Hydrocortisone was administered in 344 patients who received dopamine (40.1%) and in 326 patients who received norepinephrine (39.7%). Among patients with septic shock, recombinant activated human protein C was administered in 102 patients in the dopamine group (18.8%) and 96 patients in the norepinephrine group (19.1%).
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.
Hi I'm 14 years old and 6 foot 4 I can dunk but not really good like I need more air so that I can dunk better and I'm trying to get my vertical jump up to 5 feet my vertical you probably will say that's crazy but it's possible a really love it that a 13 year old can dunk but I want to do something amazing and that is to be better that micheal Jordan and I will succeed thank you so much hope you see me in the NBA .
Squats – start with the bar behind your neck, resting on your shoulders and make sure you’re standing with your feet shoulder width apart. From this position, slowly lower your body by bending at your knees. You’ll go all the way down until you’re in a deep squat and holding that position for two seconds. Then you can slowly rise back up to your starting position. Make sure you keep your back straight and you’re bending at your knees.
“Put in the work. It’s muscle memory, first and foremost. Training­wise, people say, ‘You gotta do this, you gotta do that.’ I didn’t believe in that. I never worked on my legs in high school or middle school. I would just go through this routine over and over and over, visualizing that day when you dunk on the court. And then you live in that moment.”

The force-velocity relationship during muscle shortening occurs because the number of simultaneously attached crossbridges between the myofilaments inside the working muscle fibers determine the amount of force that a fiber can produce. The number of attached crossbridges at any one time is dependent upon the fiber shortening velocity, because the detachment rate of the crossbridges at the end of their working stroke is higher at faster shortening speeds.