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%).
Among the hundreds of lessons I learned during my youngest child’s first year of life was this: If you earnestly pursue dunking after your athletic peak years of 18 to 30, give or take, it can be done. You can enjoy what it feels like to dunk. You can even feel it more purely than I did, maybe without needing a lob from a friend, and hopefully without all the hand damage. But you should expect a long, frustrating, demeaning war of attrition that pits mind, body, spirit against the most oppressive, unrelenting opponent of them all: gravity. The sun rises and sets, the tides creep in and out—even taxes and death seem negotiable nowadays—but gravity remains constant, forever pounding our shoulders, stooping us shorter as we grow gray, never letting up—no matter what NASA tweets.
This is a dunk where the player takes off from a distance which is significantly further away from the basket than is considered typical. The free-throw line is most commonly constituted as the take-off point, an effect likely attributed to the easily observable span between the line and the basket in the view of the TV audience. In order to achieve the hang-time and altitude necessary, players will generally leap from one-foot to maximize the momentum generated from the half-court running start often required to complete the dunk. A cornerstone of dunk contests, dunks from a distance are also performed in games, most often on the fast break.
Thus, dopamine and norepinephrine may have different effects on the kidney, the splanchnic region, and the pituitary axis, but the clinical implications of these differences are still uncertain. Consensus guidelines and expert recommendations suggest that either agent may be used as a first-choice vasopressor in patients with shock.6-8 However, observational studies have shown that the administration of dopamine may be associated with rates of death that are higher than those associated with the administration of norepinephrine.3,9,10 The Sepsis Occurrence in Acutely Ill Patients (SOAP) study,3 which involved 1058 patients who were in shock, showed that administration of dopamine was an independent risk factor for death in the intensive care unit (ICU). In a meta-analysis,11 only three randomized studies, with a total of just 62 patients, were identified that compared the effects of dopamine and norepinephrine in patients with septic shock. The lack of data from clinical trials in the face of growing observational evidence that norepinephrine may be associated with better outcomes called for a randomized, controlled trial. Our study was designed to evaluate whether the choice of norepinephrine over dopamine as the first-line vasopressor agent could reduce the rate of death among patients in shock.
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.
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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.
Dunking isn’t much different. You’ll likely find yourself getting slightly higher with each attempt at first, but before long, fatigue will set in and your vertical leap will decrease. At this point, it’s a good idea to end the session, rather than try to push through and force yourself to jump higher. It’s an indication that your nervous system has mustered all the energy it has to help you jump, and you need to let it rest. Give your legs a couple days’ off, then come back again and try.
The first thing they have to do is improve their flexibility, for a couple of reasons. They need to be flexible to undertake the kind of exercises they need to be able to jump higher. They also just need to be able to increase their flexibility, because in the short sprints you take when you try to dunk a basketball, if you can imagine yourself running up to try to dunk on the rim, the higher you can bring your knees in a sprint, just like a sprinter running the hundred meters, the greater force you’ll be able to exert on the ground, especially with your leaping step.
How do you know these will work? A little over a year ago, I was a 6′7″ HS junior, and I could almost touch rim. I decided that I wanted to dunk as soon as possible. I worked by butt off, doing these numbers or more every day (well, almost). 3 to 4 months later, I threw down my first dunk on a regulation goal (10 feet). Fast forward to today, I am a 6′8″ HS senior, and can dunk regularly (am close to doing a two handed standing dunk).
With less than 2 minutes remaining, and the Grizzlies leading, 72-70, Pistons power forward Henry Ellenson appeared to have an easy dunk to tie the game. — Vince Ellis, Detroit Free Press, "Jaren Jackson Jr.'s weary Sunday caps fabulous NBA Summer League week," 9 July 2018 The high-energy guy in Game 1 was JaVale McGee, who scored a couple of times but also had a wide-open dunk blocked by the rim. — Bruce Jenkins, SFChronicle.com, "It was a grim scene inside the Cavs’ locker room after Game 1 loss to Warriors," 1 June 2018 When Bleacher Report posted a photo on Instagram about Wade wanting LeBron to sign a photo of their iconic pass and dunk in Miami, Chalmers chimed in on the comment section and took credit for the play. — Andrew Joseph, For The Win, "Mario Chalmers got busted after taking credit for iconic Wade-LeBron play," 22 May 2018 The game opened with George Hill having two dunks for the Cavs in the first three minutes. — Terry Pluto, cleveland.com, "Cleveland Cavaliers sweeping victory reason to be excited -- Terry Pluto (photos)," 7 May 2018 Insider: Why a graduate transfer makes sense for Archie Miller, IU basketball His top highlight of the night was a dunk in the second half that rattled the rim. — Dakota Crawford, Indianapolis Star, "Romeo Langford gets McDonald's All American Game viewers fired up with highlight plays," 28 Mar. 2018 There was still 2:41 left in the first quarter when Poly sophomore forward Justin Lewis had a rim-rattling dunk in the No. 4 Engineers’ Class 3A state semifinal against Stephen Decatur on Thursday night. — Glenn Graham, baltimoresun.com, "Record-setting Mims leads No. 4 Poly past Stephen Decatur, 63-46, and into 3A state title game," 9 Mar. 2018 At the center of it all was Wooten, who matched a career-high in blocks, had several highlight-worthy dunks and jumped completely over Payton Pritchard at one point pursuing another block. — Tyson Alger, OregonLive.com, "Kenny Wooten and Troy Brown spark dramatic turnaround in Oregon's win over Washington," 8 Feb. 2018 McDaniels flashed across the baseline, collected Watson’s pass and hammered home a dunk in the 85-49 final at Viejas Arena. — Bryce Miller, sandiegouniontribune.com, "Aztecs season has chance to be defined by unflappable freshman McDaniels," 9 Jan. 2018
In the tradition of New Year’s resolutions and the like, you can give yourself a year. I certainly didn’t want to give myself more than a year, because after a year I knew I would grow tired of it, and my body would start to get quite unhappy with me. But I would recommend to someone that they give it a go for at least six months. It’s also a way of just getting yourself in fantastic shape. I mean, trying to dunk a basketball in itself is awesome. It’s really great to be able to dunk a basketball, to get yourself higher up than you thought possible. But the process of getting yourself in that kind of position is itself rewarding.
Similar to building explosive power by jumping over a stationary object, hurdles allow you to practice your leap. Space eight flights of hurdles two feet from each other and aim to jump over each like a pogo stick—basically, as high as you can. Repeat this for 10 repetitions: one flight of eight hurdles equals one repetition. Do this twice per week.
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.
In fact, if you are a very short player and can barely reach the net when you jump you should probably put the dream of dunking the ball out of your mind. Better to spend time working on your layups and ball-handling skills. You can still lift weights and do all the other things to increase your vertical leap, and you can still be a very effective player.

An alley-oop dunk, as it is colloquially known, is performed when a pass is caught in the air and then dunked. The application of an alley-oop to a slam dunk occurs in both games and contests. In games, when only fractions of a second remain on the game or shot clock, an alley-oop may be attempted on in-bound pass because neither clock resumes counting down until an in-bounds player touches the ball. The images to the right depict an interval spanning 1/5 of a second.
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.

In the Noble Asylum's control room, Dr. Hellstrom (a devastating portrayal by Ona Zee) is browsing through the reports of missing Lillian Mangrove (a welcome return for Tyffany Million), the now catatonic Stevens' psychiatrist who went missing right after first examining him. She has been found in a state of severe shock, nursed back to health at the institution and is currently running a psycho-tracking agency, kicking serious nut case butt in attempts to retrieve runaway crazies. Subscribing to the beneficial qualities of shock treatment (hence the title), Hellstrom reactivates Stevens who drags an innocent young nurse tellingly also named Gwen (succulent Shayla LaVeaux) into the dark recesses of his twisted mind, vowing to free her only if the doctors agree to discharge him from their madhouse...
IMPORTANT NOTE: Feb 2, 2019 - I am currently updating the site to have all the articles on the same format and also shooting new HD videos of the exercises in the library. For the duration of the this update I am selling Game Changers at an 80% discount (YES YOUR READ THAT RIGHT - 80% OFF the regular price). Instead of paying $47 you can pick up a copy of just $9. But hurry - this offer will be gone once I finish the updates.
these shocks make a big difference in handling and ride on the2015 4wd F250. This will make the suspension work rather than the whole vehicle simply shuddering up and down over small bumps and holes in the road. Tires stay in contact with road, suspension moves, you and the seat stay still, what a concept! OEM shocks don't even move once compressed, pityful. You will need an 18 mm wrench or socket for lower shock mount bolts and a 21 mm open end, box end or deep socket for the top mount nut and a 20mm or adjustable wrench for the shaft bolt on the top mount. Once the old shocks are off, you need a 19mm open end or socket for the Bilstein top mount nut and you hold the shaft from moving with a hex key, in my experience I didn't really need that but you may want to. Check the top of the shaft you'll see a hex hole up there, seems like it was a 6mm but don't hold me to that. Forget any jacking, removing tires, etc to do this it isn't necessary, and much safer with wheels on the ground while you are under there. If you need some space I drove the wheel I was working on over a 2x12 and that gave me a little height to work with. I wasn't in the mood to fool with jacks, jack stands and all that. No need to. Just crank the steering wheel over away from the side you are working on and you'll have plenty of room. The only issue is after attaching the lower shock mounts using the OEM 18mm bolt/nut, you need to compress the shock about 3" to get it into the upper mounting hole. I used a common tie down racheting strap for this job. I hooked one hook to the chassis right under the lower shock mount bracket on the truck and after adjusting the strap length I put the upper hook around the top shock rubber grommet and washer (lower one already installed now, put upper ones on after shock is in place, of course). At this point you just crank the rachet on the strap until the shock compresses a few inches and shove the shaft under the mounting hole, release the rachet and up pops the shock into place. Put on upper grommet and washer, tighten 19mm nut and presto! IF the shaft turns while you tighten this nut hold the shaft still with the hex key mentioned earlier. Your truck is now a better place to be. Also just tighten upper nut until the grommet fills or slightly goes outside the washer, don't crank it down and flatten the grommet. If you aren't sure look at the OEM arrangement for an idea on how tight to go with that nut. Happy motoring !!
Two foot jumpers spend a lot more time on the ground during take-off than one-foot jumpers. This allows them to generate a lot of force through the muscles of the calves, quads, glutes and hips. While one-foot jumpers rely heavily on elasticity and "bounciness", two-foot jumps are more reliant on strength and power. This is one of the reasons why football players are excellent two-foot jumpers - they have really strong lower bodies!

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).
Because of the foam edges the fear of scraping your shins are gone so you can go harder but also because of the foam it is a little unstable when you jump to the 30" level. Instead of scraping my shin on the edge, the foam made the base a little unstable and the box kicked out. Luckily I was on a mat and not a hard floor. That is the only problem I saw with this box.
Some players thinking jumping off two feet to be more comfortable, but it’s different for every player. Take time while you’re practice your jump to find what’s the most comfortable for you. As you’re learning the right way to jump, comfort is crucial because you don’t want to hurt yourself making a move that feels awkward. You want to be comfortable taking off and landing - and that can be done a number of different ways.
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.
Then you need to hold the chalk in your right hand, and then you need to jump from the same starting position (without a run-up). To do the jump, you’ll need to flex (bend) at the hip and knee joints and use your arms for momentum. At the top of the jump you’ll mark the wall (or chalk board) with the chalk. The score for the jump is the difference between the standing height and the jump height (in cm). The highest of three separate trials is recorded as your max score.
Learn about plyometrics. Plyometrics are exercises that use the resistance of your own body to build strength and are essential for building the kind of strength necessary to build your jump. It takes time to train your body to jump higher, but working the right muscle groups can improve your explosiveness and height without maxing out regularly in the weight room.

Other investigators and participants in the trial are as follows: R. Kitzberger, U. Holzinger, Medical University of Vienna, Vienna; A. Roman, Centre Hospitalier Universitaire St. Pierre; D. De Bels, Brugmann University Hospital; S. Anane, Europe Hospitals St. Elisabeth, and S. Brimioulle, M. Van Nuffelen, Erasme University Hospital — all in Brussels; M. VanCutsem, Centre Hospitalier Universitaire de Charleroi, Charleroi, Belgium; J. Rico, J.I. Gomez Herreras, Rio Hortega University Hospital, Valladolid, Spain; H. Njimi (trial statistician), Université Libre de Bruxelles, Brussels; and C. Mélot (independent statistician and physician responsible for conducting sequential analysis and evaluation of serious adverse effects), Erasme University Hospital, Brussels.
Two foot jumpers spend a lot more time on the ground during take-off than one-foot jumpers. This allows them to generate a lot of force through the muscles of the calves, quads, glutes and hips. While one-foot jumpers rely heavily on elasticity and "bounciness", two-foot jumps are more reliant on strength and power. This is one of the reasons why football players are excellent two-foot jumpers - they have really strong lower bodies!
When performing a vertical jump, the athlete exerts force at the low back, hip, knee, and ankle joints. The spine flexes as the athlete squats downwards, and then is extended by the spinal erectors over the course of the jump. The hip extensors (gluteus maximus, hamstrings, and adductor magnus) work to move the trunk and the thigh apart, which pushes the torso up and backwards. Meanwhile, the knee extensors (quadriceps) contract to extend the knee, and the calf muscles contract to move the shin backwards, towards the vertical.

Sets/Reps: For general strength and lower-body development, Benguche recommends 3–6 sets of 3–8 reps with moderate loading—70%–85% of your one-rep max (1RM). For developing more speed and power, he recommends lighter loads (55%–70% of 1RM) for 3–6 sets of 2–5 reps. Squats performed with light weights but done so explosively that your feet leave the floor when you come up are called jump squats (see “Progressions” below).


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.
Three weeks after I received that counsel, on a rare afternoon when I felt fully rested, I dunked a volleyball on a 9' 11" rim. Again, I knew I could never swing my arms while palming a basketball the way I’d swung them while palming that volleyball, but I’d be lying if I said it didn’t feel badass. Thirteen failed attempts later, I did it again. Then two more times, each one an unexpected thunderclap. All of the explosive Olympic lifting I’d been doing was paying off, but my problem wasn’t going anywhere: How could I get my hand and a basketball over the cylinder? A lob to myself off the backboard? A big bounce off the blacktop?
variations: The vertical jump test can also be performed using a specialized apparatus called the Vertec. The procedure when using the Vertec is very similar to as described above. Jump height can also be measured using a jump mat which measures the displacement of the hips. To be accurate, you must ensure the feet land back on the mat with legs nearly fully extended. Vertical jump height can also be measured using a timing mat. The vertical jump test is usually performed with a counter movement, where there is bending of the knees immediately prior to the jump. The test can also be performed as a squat jump, starting from the position of knees being bent. Other test variations are to perform the test with no arm movement (one hand on hip, the other raised above the head) to isolate the leg muscles and reduce the effect of variations in coordination of the arm movements. The test can also be performed off one leg, with a step into the jump, or with a run-up off two feet or one foot, depending on the relevance to the sport involved. For more details see vertical jump technique.
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