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.

Tomorrow night, Brooklyn’s Barclays Center will host the annual NBA Slam Dunk Contest as part of the league’s All-Star Weekend. Dunking a basketball is generally reserved for seasoned athletes with the incredible vertical leap required to rise high enough to stuff a ball through a ten-foot rim. But what about the aging average Joes who grew up watching high-flying stars like Dominique Wilkins and Michael Jordan? Could they ever soar high enough to achieve the dream of every schoolyard baller in the country?
As far as sequels go, Ninn learned a lesson from his ill-fated follow-up to SEX. Without even a second of flashback footage, he designed SHOCK to surpass LATEX in every respect. It succeeds in some ways. In others, it merely (ha !) equals or falls just below its immediately illustrious predecessor. Simply put, and you can quote me on this, if LATEX blew your mind, SHOCK will turn it inside out !
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Shocks work and the ride is much better but installing them is a pain. They don't come compressed and are hard to compress by hand. For a 2012 F250 I bolted the lower portion of the shock up then took a racket strap and hooked it around the top bolt collar. Racket it till its close to the hole then release the strap and knock it over in the hole. That was the way I did it. The first side took forever trying to muscle it in then I busted out the strap and had it on in 5min.........Good product but I wish it would have came compressed.
When approaching your dunk, run up with tall form and on your toes. People tend to lean forward to gain speed, this is wrong. Lean back and you will see the difference. Also when running, start off slow then gain speed into the jump. Never slow down. When you are at the poin to jump, take small strides and don't drag your foot. You want to have your front leg straight with your entire body. Again, stay leaning back some. Explode up. Keep practicing this technique. I am doing it and i went from a 32" running vert to a 38". that is how much form can do with your Dunk. (NOTE: this is for one legged jumpers)
My four year old son has a whole bunch of books in this series. They are all AWESOME. My son really likes facts and history and these books are full of both. You don't read them like a story - rather, they are basically written as one fact after another with lots of exciting illustrations in between. I like that I can jump around from fact to fact or picture to picture, depending on my son's mood or attention span at that particular point in time. He has actually been absorbing many of the names and dates and facts and statistics. I love that these books make it fun for kids to learn! FIVE STARS!!!
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.
Start with a ping-pong ball, then a tennis ball, then a softball, then a volleyball, then a youth-sized basketball, and on up until you can dunk with a regulation size ball. If you can't palm the ball, then you will need to learn how to control the ball with two hands until the last minute extension for the dunk with one hand, or you will have to jump high enough to dunk two-handed.

For one-footed jumpers, the ball is generally transferred to the non-dominant hand just before or upon take-off; for two-footers, this transfer is often delayed for milliseconds as both hands control the ball to prevent dropping it. Once airborne, the dunker generally transfers the ball from non-dominant to dominant hand beneath a raised leg. Finally, the ball is brought upwards by the dominant hand and slammed through the rim.


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.
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.).
At the competitive level (i.e., the NFL and NBA combines), vertical leap is measured using a “jump tester”—a tripod with a series of thin plastic sticks one inch apart. If you have access to this equipment, it’s your best bet for getting an accurate measurement. A cheaper, more feasible option is to do your jump next to a wall and mark the highest point you touch with a piece of chalk.
“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 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
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.
Shocks work and the ride is much better but installing them is a pain. They don't come compressed and are hard to compress by hand. For a 2012 F250 I bolted the lower portion of the shock up then took a racket strap and hooked it around the top bolt collar. Racket it till its close to the hole then release the strap and knock it over in the hole. That was the way I did it. The first side took forever trying to muscle it in then I busted out the strap and had it on in 5min.........Good product but I wish it would have came compressed.
In this multicenter, randomized, blinded trial comparing dopamine and norepinephrine as the initial vasopressor therapy in the treatment of shock, there was no significant difference in the rate of death at 28 days between patients who received dopamine and those who received norepinephrine. Dopamine was associated with more arrhythmic events than was norepinephrine, and arrhythmic events that were severe enough to require withdrawal from the study were more frequent in the dopamine group. In addition, dopamine was associated with a significant increase in the rate of death in the predefined subgroup of patients with cardiogenic shock.
An impressive vertical jump is the ultimate standard of lower-body power and explosiveness—an attribute that pays as many dividends in high-impact sports like basketball, football, and soccer as it gets you wide-eyed looks in the gym. Increase your hops, and chances are you’ll also be able to run faster, lift more weight, and maybe even throw down a dunk at your next pickup basketball game.
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.
Keep your upper body straight and your arms relaxed at your side. Extend your left leg straight out behind you with a slight knee bend. Place your right leg in front of you with your knee bent at a 90-degree angle and your thigh parallel to the floor. This is your basic lunge position. From this position, slightly lower your entire body, and jump to the opposite lunge position with your right leg extended behind you and your left leg in front of you. Repeat 25 jumping lunges in a row for three sets with a 1-minute break between sets.
For smaller guys much of the problem, and one I struggled with, is managing the ball. Like most guys my size I can palm a basketball if a grab it carefully, but realistically it isn’t going to happen without a little concentrated effort. Some of those big guys can make a basketball look like a volleyball, and they have no trouble getting hold of it and shoving it over the rim.
A common, low-tech plyometrics method is performing box jumps, where the athlete jumps repeatedly from the floor to the top of the box and back again. By concentrating on the mechanics of the jump, directing propulsion from the balls of the feet and thrusting with an explosive extension of the legs, the ability of the athlete to land lightly and immediately return to the floor enhances motor control over the movement.
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