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.
Overall, 309 patients (18.4%) had an arrhythmia; the most common type of arrhythmia was atrial fibrillation, which occurred in 266 patients (86.1%). More patients had an arrhythmia, especially atrial fibrillation, in the dopamine group than in the norepinephrine group (Table 3). The study drug was discontinued in 65 patients owing to severe arrhythmias — 52 patients (6.1%) in the dopamine group and 13 patients (1.6%) in the norepinephrine group (P<0.001). These patients were included in the intention-to-treat analysis. There were no significant differences between the groups in the incidences of other adverse events.
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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
An important component of maximizing height in a vertical jump is attributed to the use of counter-movements of the legs and arm swings prior to take off, as both of these actions have been shown to significantly increase the body’s center of mass rise. The counter-movement of the legs, a quick bend of the knees which lowers the center of mass prior to springing upwards, has been shown to improve jump height by 12% compared to jumping without the counter-movement. This is attributed to the stretch shortening cycle of the leg muscles enabling the muscles to create more contractile energy. Furthermore, jump height can be increased another 10% by executing arm swings during the take off phase of the jump compared to if no arm swings are utilized. This involves lowering the arms distally and posteriorly during the leg counter-movements, and powerfully thrusting the arms up and over the head as the leg extension phase begins. As the arms complete the swinging movement they pull up on the lower body causing the lower musculature to contract more rapidly, hence aiding in greater jump height. Despite these increases due to technical adjustments, it appears as if optimizing both the force producing and elastic properties of the musculotendinous system in the lower limbs is largely determined by genetics and partially mutable through resistance exercise training.