A predefined subgroup analysis was conducted according to the type of shock — septic shock, which occurred in 1044 patients (542 in the dopamine group and 502 in the norepinephrine group); cardiogenic shock, which occurred in 280 patients (135 in the dopamine group and 145 in the norepinephrine group); or hypovolemic shock, which occurred in 263 patients (138 in the dopamine group and 125 in the norepinephrine group). The overall effect of treatment did not differ significantly among these subgroups (P=0.87 for interaction), although the rate of death at 28 days was significantly higher among patients with cardiogenic shock who were treated with dopamine than among those with cardiogenic shock who were treated with norepinephrine (P=0.03) (Figure 3). The Kaplan–Meier curves for the subgroup analysis according to type of shock are shown in Figure 7 in the Supplementary Appendix.
ClickBank is the retailer of products on this site. CLICKBANK® is a registered trademark of Click Sales, Inc., a Delaware corporation located at 917 S. Lusk Street, Suite 200, Boise Idaho, 83706, USA and used by permission. ClickBank's role as retailer does not constitute an endorsement, approval or review of these products or any claim, statement or opinion used in promotion of these products.
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%).
A strut is a major structural part of a suspension. It takes the place of the upper control arm and upper ball joint used in conventional suspensions. Because of its design, a strut is lighter and takes up less space than the shock absorbers in conventional suspension systems. Struts perform two main jobs. First, struts perform a damping function like shock absorbers. Internally, a strut is similar to a shock absorber. A piston is attached to the end of the piston rod and works against hydraulic fluid to control spring and suspension movement. Just like shock absorbers, the valving generates resistance to forces created by the up and down motion of the suspension. Also like shock absorbers, a strut is velocity sensitive, meaning that it is valved so that the amount of resistance can increase or decrease depending on how fast the suspension moves.

Still, by the late 1950s and early 1960s players such as Bill Russell and Wilt Chamberlain had incorporated the move into their offensive arsenal. The dunk became a fan-favorite, as offensive players began to aggressively intimidate defenders with the threat of vicious slams. Through the 1970s, the slam dunk was standard fare; David Thompson, Julius Erving, Darryl Dawkins, and others wowed crowds with high-flying moves.


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.
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.”
Early in my mission, my editor had given me a book, Jump Attack, by Tim Grover, personal trainer to Jordan, Dwyane Wade and myriad other NBA stars. I’d ignored it at first; I figured I knew plenty about how to jump higher. When I finally opened it last December, I was further dissuaded. The exercises Grover prescribed to increase one’s vertical leap looked either nonsensical (hold a deep lunge for 90 excruciating seconds, without moving) or sadistic (the series of rapid-fire bursts and landings that he’d named “attack depth jumps”). These self-immolations, Grover wrote, would last for three months.
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 record for the most WNBA dunks belongs to Brittney Griner. As a high school senior, she dunked 52 times in 32 games and set a single-game record of seven dunks.[47] As a standout at Baylor University, Griner became the seventh player to dunk during a women's college basketball game[48] and the second woman to dunk twice in a single college game.[49] In her WNBA debut on May 27, 2013, Griner dunked twice, and as of 2014, has five WNBA dunks, including the first in a playoff game (August 25, 2014).
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.
Turn on the windmill. As you approach, bring the ball into your abdomen and back, extending your arm behind your body and up in a circular fashion, like a windmill spinning. At the apex of your jump, bring your arm all the way around to throw it down like a boss. Dominique Wilkins, the Dunkmaster General of the 90s, used to blow crowds away with this spectacular dunk.
During the 1940s and 1950s, 7-foot center and Olympic gold medalist Bob Kurland was dunking regularly during games.[7] Yet defenders viewed the execution of a slam dunk as a personal affront that deserved retribution; thus defenders often intimidated offensive players and thwarted the move. Satch Sanders, a career Boston Celtic from 1960 to 1973, said:
Then, in terms of exercises, you really need to get your whole body stronger. You need to improve your core, and obviously you need to improve your legs. So someone who is interested in jumping higher will find themselves doing a lot of squats. And I would suggest that if someone just started this, they could do a lot of squat exercises without even going to the gym or even bearing weight. You know, get up in their office cubicle and do ten squats. Three sets of ten reps of squats is a good workout.

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.


During the 1940s and 1950s, 7-foot center and Olympic gold medalist Bob Kurland was dunking regularly during games.[7] Yet defenders viewed the execution of a slam dunk as a personal affront that deserved retribution; thus defenders often intimidated offensive players and thwarted the move. Satch Sanders, a career Boston Celtic from 1960 to 1973, said:
Sports scientist are able to measure these ground reaction forces with a technology called force plates. These plates record the exact forces occurring during a vertical jump (or any other movement) and allow you to see how quickly athletes can produce forces, how large these forces are, and to expose potential imbalances between the left and right leg.
Seventy-nine years later, the feat that Daley unwittingly named “the dunk” still flabbergasts. But how it felt to Fortenberry, a pioneering barnstormer whose name we’ve forgotten despite the gold medal he and his teammates won in 1936, remains a mystery. “He never talked about being the first person to dunk and all that,” says 65-year-old Oliver Fortenberry, the only son of Big Joe, who died in ’93. Indeed, the famous dunkers throughout history have been either reticent on the subject or unable to adequately express how it felt to show Dr. Naismith that he’d nailed his peach baskets too low. After more than a year of rigorous research on the subject, I’ve concluded that the inadequacies of modern language—not the ineloquence of the dunk’s practitioners—are at fault. In the eight decades since Fortenberry rocked the rim, words have repeatedly fallen short in describing the only method of scoring, in any sport, that both ignores one of its game’s earliest tenets and, in its very execution, carries a defiant anger.
For many years now both nationally and internationally the name BILSTEIN has been synonymous with best quality and top performance in chassis design - whether it's in motor sports, Original Equipment or car customizing. You can rest assured that this 46Mm Monotube Shock Absorber was manufactured with top notch materials under the highest quality control standards in the industry. To achieve that celebrated BILSTEIN driving experience, our BILSTEIN engineers rely on not only technology that is truly at the cutting edge, but also something that has withstood the test of time: how it feels to the driver. As a result, all of our high-performance absorbers, as well as our sport suspensions and threaded ride height adjustable kits, undergo a rigorous testing program. Satisfaction is always guaranteed and your 46Mm Monotube Shock Absorber is covered by Bilsteins no-hassle warranty.

On the basis of the results of the SOAP study,3 which showed a rate of death of 43% among patients receiving dopamine and a rate of 36% among patients receiving norepinephrine, we estimated that with 765 patients in each group, the study would have 80% power to show a 15% relative difference in the rate of death at 28 days, at a two-sided alpha level of 0.05.

In the past, it has been possible for players to dunk a basketball and pull the rim down so hard that the glass backboard shatters, either around the rim itself or, at times, shattering the entire backboard, or the entire goal standard fails. Reinforced backboards and breakaway rims have minimized this at the college and professional levels, but it still happens at lower levels.
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, OrlandoSentinel.com, "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
I just turned 14 year old 5''''10-5''''11 8th grade 165 pounds and 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 and a 48 or more by the time i''m out of high school i''ve dunked over 15 times ( in practice and alone with one hand its effortless to touch rim with both feet and easier with one but i''m also wondering how to take off when i dunk because i stutter step and i want to get my explosiveness up. And i want to be able to dunk with two hands. Can anyone help me?
The back squat and jump squat are the two most commonly-used strength training exercises for increasing vertical jump height. The back squat is clearly more effective for improving maximum force, while the jump squat can be used to shift the force-velocity gradient towards a more “velocity-oriented” profile when required. In addition, the jump squat has the secondary benefit of training force production right through until the muscles are contracting at short lengths, because of its longer acceleration phase. Even so, it is unclear whether squat variations are optimal for improving vertical jump height, because the center of mass is in a different place from in the vertical jump.
From the Department of Intensive Care, Erasme University Hospital (D.D.B., A.B., J.-L.V.); the Department of Intensive Care, Brugmann University Hospital, Université Libre de Bruxelles (J.D., P.G.); and the Department of Intensive Care, Centre Hospitalier Etterbeek Ixelles (D.C.) — all in Brussels; the Department of Intensive Care, Centre Hospitalier Universitaire de Charleroi, Charleroi, Belgium (P.B., P.D.); the Department of Medicine III, Intensive Care Unit 13H1, Medical University of Vienna, Vienna (C.M.); and the Department of Anesthesia and Critical Care, Rio Hortega University Hospital, Valladolid, Spain (C.A.).
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.
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.
Struts also perform a second job. Unlike shock absorbers, struts provide structural support for the vehicle suspension, support the spring, and hold the tire in an aligned position. Additionally, they bear much of the side load placed on the vehicle's suspension. As a result, struts affect riding comfort and handling as well as vehicle control, braking, steering, wheel alignment and wear on other suspension
I met Janik at Velocity Sports Performance in Manhattan, where he trains clients. Janik was so handsome and well built he looked like an X-Men character. We talked about my athletic background and what I needed to do in order to dunk in ten weeks. He assigned me a three-days-a-week program that would improve my explosiveness and overall leg strength and told me to check back in three weeks to adjust it. "If you follow the program and your intensity level is high," he said, "I guarantee you’ll dunk again."
In the 1950s, Jim Pollard[28] and Wilt Chamberlain[29] had both dunked from the free throw line—15 feet from the basket. Chamberlain was able to dunk from the free-throw line without a running start, beginning his forward movement from within the top half of the free-throw circle.[29] This was the catalyst for the 1956 NCAA rule change which requires that a shooter maintain both feet behind the line during a free-throw attempt.[30]

During the takeoff an athlete generates forces that ultimately result in a vertical velocity high enough to leave the ground. We have shown before, that this vertical velocity reaches 0 at the peak of the jump, and it is easy to show that the velocity is exactly the same during landing as it was during takeoff (but directed in the opposite direction).
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.
The vertical jump is defined as the highest point that the athlete can touch from a standing jump, less the height that the athlete can touch from a standing position. The measurement of the jump is flawed if the athlete is permitted to take one or more steps before jumping, as the athlete will convert some of the energy developed in the step taken into the force of propulsion that generates upward lift. Basketball has numerous legends and other urban myths concerning the seemingly superhuman leaping ability attributed to certain players; one such player, former University of Louisville star Darrell "Dr. Dunkenstein" Griffith, was reputed to possess a 42 in (1 m) vertical leap. It is likely that the average National Basketball Association player 6 ft 6 in (1.97 m) or shorter has a vertical leap of between 25 and 30 in (0.63 and 0.75 m); taller and heavier players will usually not be able to jump as high.
×