study group for aspiring pce,npte students

My self Ashutosh Porwal... BPT from Indore... I too want to join ur group...


I think u can help me developing a platform for PHYSIOS on INDIA...I seek ur cooperation...mail me at [email protected]

whats ur mail id
myself...
ASHUTOSH PORWAL
BPT (INDORE)



ONE QUESTION>>>>> WHY NOT TRYING FOR AUSTRALIA??????

HELLO MEETANSHU SHARMAPHYSIO,
COME AND JOIN OUR LATEST DEBATE ON COMING SUNDAYS.KEEP IN TOUCH FOR INFORMATION OF TOPIC. MY MAIL ID IS [email protected]


WELL MEETANSHU YOU ASKED FOR AUSTRALIA.FOR ASCORP ONLY EXAMINATION'S BASIC FEE IS $1000.AFTER THAT LOT OF MONEY I HAVE TO SPEND IN ALL DOCUMENTATONS.WHICH I CANT BEAR.

NPTE IS MUCH MORE CHEAPER


ABOUT YOUR QUESTION TO GIVE YOU A PLATFORM IN INDIA,IM ALWAYS AVILABLE.ALWAYS KEEP IN CONTACT BUT LET ME AWARE WHAT DEVELOPMENTS YOU HAVE MADE AND WHAT YOU ARE SEEKING FOR.

DEAR FRIENDS,
MANY OF OUR MEMBERS HAVE TOLD ME PERSONALLY AND I MYSELF ALSO REALISED THAT THIS IS A VERY SLOW PROCESS BY WHICH WE ARE CARRYING ON OUR STUDIES. A TOPIC A WEEK FOR DEABTE WILL NOT GIVE US ANYTHING.
NOW IM REQUESTING ALL OF YOU TO POST AT LEAST TWO TOPIC BY EACH MEMBER A DAY TO BE PREPARED BY ALL THE MEMBERS.EVERY DAY POST YOUR QUERIES ,YOUR DIFFICULTIES AND ANYTHING TO KNOW ABOUT. WE WILL COLLECTIVLY REPLY ANY TIME WE WILL GET ONLINE EACH DAY.

AND THIS TIME I DONT WANT TO BE THE ONLY ORGANIZER FOR THE TOPICS. BUDDYS IM NOT THE ONLY ONE WHO HAVE TO CLEAR THE EXAMINATIONS. THIS IS NOT MY GROUP ,THIS IS OUR GROUP AND NO ONE IS SHOWNING ANY ENTHUSIASM IN THIS.IM REALLY DIPRESSED.

WE CAN COLLECTIVLY REALLY MAKE A DIFFERENCE.

DEAR FRIENDS,
IN ORDER TO MAINTAIN THE RYTHYM OF OUR STUDIES AND QUALITY OF OUR GROUP PERFORMANCE I FIND IT NECESSARY TO MAKE A ACTIVE MEMBERS DIRCTORY, IN WHICH WE WILL INCLUDE ONLY THOSE MEMBERS WHO ARE REGULARLY RESPONDING TO OUR GROUP AND GIVING ACTIVE CONTRIBUTIONS IN OUR DAILY ACTIVITIES.

FOR THAT PLEASE SEND YOUR FULL DETAILED INFORMATION ABOUT YOUR ADRESS,QUALIFICATION,YOUR EMAIL ID,AND THE EXAM FOR WHICH YOU ARE PREPARING.ILL COLLECTIVELY FILE THEM AND SEND THE WHOLE DIRECTORY TO EACH ACTIVE MEMBER ON THEIR IDs. YOU WILL ENJOY THE DIRECTORY AS BY THIS YOU WILL BE IN PERSONAL CONTACT WITH YOUR GLOBAL ACTIVE GROUP MEMBERS.MOST PROBABLY BY NEXT SUNDAY ILL SEND OUR FIRST ISSUE OF DIRECTORY TO YOU ALL

THOSE STUDENTS WHICH WILL LEAVE THE GROUP OR WILL NOT PERFORM WELL IN THE GROUP WILL NOT BE ABLE TO GO FUTHER.

AND AS I TOLD YOU EARLIER THAT EVERY DAY WE ARE GOING TO CLEAR OUR SYLLABUS,TRY TO BE PRESENT ON FORUM EVERY DAY,NO MATTER AT WHAT TIME YOU ARE COMING.

hi friends three topics for coming two dayz are cystic fibrosis,chronic bronchitis and pleural effusion. these topics are from syllabus of written section of canadian physiotherapy exam handbook(PCE).SEND TO US ANY QUESTIONS RELATING THESE TOPICS.

hi,
really this way to study is much faster and efficient.three topics at one go is really result oriented.from my side three topics are from musculoskeleton portion of handbook of canadian physiotherapy exam handbook.these are O.A.,G.B.S. AND osteoporosis.


thanks for the copy of forum contributers directory.yesterday i got it on my mail id.

hey happy holi to all of you.

hi enjoyed holi....now back to studies......

hey guys!!
apologies for not being here. have had a few 'problems' to say the least. thankfully i can now make it and things are alittle settled. is it too late???? hope not.....!!!

my email address is: [email protected]
please feel free to get in touch. looks like alots been happening since ive gone...can i please be filled in!! lol

thanks,
jess

hi where are the topics of today
plz be punctual

my topics are neuroprexia,saturday night palsy,upper moter neuron disease

HI FRIENDS FOR OUR MOST ACTIVE MEMBERS WHO ARE PUNCTUAL TO OUR GROUP AND ARE CONTRIBUTING A LOT TO EACH OF US, I HAVE MADE A SEPERATE AREA WHERE WE CAN CARRY ON OUR STUDIES WELL. HERE WE WILL WORK INDEPENDENTLY WITHOUT ANY INTERFERANCE AS EVERY ONE NEED A PASSWORD TO ENTER. WHICH ILL ISSUE TO ONLY MOST ACTIVE MEMBERS WHO REPLY REGULARLY

hi, i sent u an email-did u get it?? i was wondering if anyone would kindly let me know, cheers

hello jess,
i have seen that you are not the regular candidate of our group so i cant give you the access to our password oriented study area as it is for regular persons only

but not to worry, if we all will found that you are replying daily to our group in this area than we will submerze u in our selves

keep regularity

hey,
as i explained before, i have had troubles in the family and could not make it for a bit. now that it settled things look brighter. much appreciate the reply however i am not sure what you mean by a regualr memeber for the group. obviously the group meets at certain times etc which i am not aware of.

when you first set everything up- that is when i had to be away. so unfortunately i do not know the workings of the 'group' and how you guys study.

by all means i can be a regular member but i need to know what to do!?

thanks
jess

hey jess,
there is nothing complicated to be regular, i have informed every body hundered times about it. you just need to post just three topics daily to study.

untill you get the regual membership you can post here only.

we all respond to your topics with our questions and queires by next day. we will also give you topics to study for which you will give your questions and so on.
for our meetings you will be already informed to you.


when we will feel that you are responding properly

we will issue a password to you to our new study area


best of luck

hi there.
i am shaikh parvez from surat just completed my bpt from bangalore, and willing to join you ...my email id is [email protected] and my contact no. is 09327672287
do reply

ok sounds cool.
large variety of topics to choose though. what area are you guys covering as it'd make sense to do something around a similar topic.

jess start with any thing you want pt cardiopulmo will be a nice start

ahh that sounds better.
ok here goes:

1. CORONARY ARTERY DISEASE, clinical manefestations
2. medical management of CAD
3. surgical management of CAD

i have split it into three as my work here involves alot of bulk and would be beneficial to us all.

cheers, jess

questions for jess topic


1. what is and how dobutamine stress echocardiography is being done for coronary disease?

2.what is hyperfibrinoginaemia?

3.what are the contraindications for use of beta blocklers and substitution should be prefered in this case?

swapnil sorry for not contacted for so long

i was busy with my practicals

my questions for jess topic are

1. what is the use of buccal GTN prepration like suscard buccal and imdur.

2. what is crescendo angina.

3. why males are more prone than females.

Dobutamine stress echocardiography for CHD

Dobutamine is a similar chemical that our bodies produce when our physical activity levels increase. It acts to:
1. increase heart rate
2. increase the force of the contraction.

Indications for this type of stress test are to see if a patient has evidence to support a diagnosis of CHD, to determine whether a patients symptoms are due to a cardiac problem and to check the efficiency of medical treatments for CHD.

Patients are prescribed this kind of stress test if they have contraindications for a normal excercise test. i.e. lung disease, severe arthritis or sever PVD.

The procedure involves;
1. an IV infusion of dobutamine.
2. the placement of 10 electrodes strategically on the chest and connected to an ECG machine.
3. blood pressure monitor throughout the test.
4. an initial ultrasound image of the heart at rest.
5. IV infusions od the drud at regular intervals with ultrasound images taken periodically until the IV has stopped. usually only 4 images in total.

these ultrasound images and ECG tracings are then used for the diagnosis of a cardiac problem.



HYPERFIBRINOGENAEMIA is defined as the increase of fibrinogen (a plasma protein) in the blood. It is a biochemical risk factor for CHD.



The contraindications for the use of beta blockers include:
cardiogenic shock
hypotension
bradycardia <50
active asthma
sever respiratoy disease

usually ACE inhibitors and beta blockers are given insync as a combined therapy to which most patients are administed if they can tolerate them. However an ACE inhibitor can be given alone instead. It acts to also improve the hemodynamics of the heart by decreasing preload and afterload with vasoconstriction of the coronary arteries. ( It also blocks angiotensin 2 formation and increase nitric oxide production. This in turn reduces the inflammatory process post a cardiac event.

For example, beta blockers increase bp. fewer patients have a low bp and can tolerate beta blockers and ace inhibitors. However a patients condition has to be evaluated first. I a patient has renal insufficiency and restricted ventricular function they would need beta blockers. But if a patient had DM, with decreased ventricular function and bronchospasmic disease, then giving an ace inhibitor alone may be prudent.


hope this helps!!
jess

hiya!

Clinically there is moderate evidence to prove that Buccal GTN is more effective at controlling exertional angina chest pain due to its longer acting duration. There is not an overwhelming collection of evidence about different drug delivery systems and whether one is more effective than the other. However it is possible to state that BGTN and SLGTN are equally effective at relieving acute coronary chest pain/angina. Yet BGTN is proven to be more effective over a longer period of time than single dose SLGTN.

It also has less side effects like headache. And Increases a patients exertional tolerance due to its delivery system.


CRESCENDO ANGINA
Many people have angina that can come on with exercise but is well controlled with drugs. This is known as stable angina. Unstable (or crescendo) angina is defined as episodes of angina on minimal effort or at rest. It can occur when you get angina for the first time, or when your angina has recently worsened. If you get severe chest pain at rest, which comes on suddenly, and reoccurs even after you have used nitrate tablets or spray

Gender differences:
Premenopausal women have a lower risk of angina than men, probably due to the favourable effect of natural oestrogen on the blood lipid profile. After menopause this advantage is lost and the female risk of CAD and symptoms rapidly approaches that of men of similar age.

jess

ok guys...was that enough info for you?? let me know if you want more.

topics for the day:
1 arrhythmias
2 PTCA and intravenous stents
3 CABGs

this does not cover the rehab part just yet...to come!

jess

thanks you for the information jess on buccal GTN

I was wondering what exectly you mean by clinically moderate evidence. As buccal GTN has been shown to be effective in multiple Random controlled trials and choice drug in acute angina.

cheers
Bhuvnesh Shah

thanks you for the information jess on buccal GTN

I was wondering what exectly you mean by clinically moderate evidence. As buccal GTN has been shown to be effective in multiple Random controlled trials and choice drug in acute angina.

cheers
Bhuvnesh Shah

hi there,
Regarding the dobutamine stress test, I feel one more thing to add in the information.

this version of Pharmacological stress test, is only indicated in the person with otherwise the exercise base stress test in not possible for eg. someone with orthopaedic impairment preventing him to starndard bycycle or treadmill stress test.

cheers
Bhuvnesh shah

hey...

what i meant was that there is moderate evidence to suggest a comparison for the buccal gtn with the other. however, yes i agree with your statement that there is sufficient evidence to support the use of buccal gtn and angina.

cheers
jess

questions for jess topic are

1. what diuretics would do in cardiac arrythmias?
2. explain cardiac defibrillation.
3. how can hypokalaemia and hypomagnesaemia can be treated?

topic from my side
1. cystic fibrosis
2. lung funtion testing
3. breathing exercise

Hypomagnesaemia

In treating magnesium deficiency, it is important to detect and
correct any associated potassium and calcium deficiencies.

In mild magnesium deficiency, restoration of body stores occurs quickly after providing a diet high in magnesium. In more severe magnesium deficiency, parenteral administration of magnesium salts is safe and effective but must be used cautiously in patients with renal insufficiency. Initial treatment requires 8 to 12 g of intravenous magnesium sulfate in divided doses over the first 24 hours, followed by 4 to 5 g daily for 3 to 4 days. It is important to replete magnesium stores in patients with hypomagnesaemia but not to provide an excess.

Magnesium oxide is typically supplied as 600 mg tablets containing 30 mEq/L of magnesium per tablet. Several days of 4 to 6 tablets per day should be sufficient to restore the deficit in most patients. Administration of oral magnesium can cause diarrhoea.
( a little detailed doubt us physios would need to know figures...just here to bore you! 8) )

Hypokalaemia

patients are placed on a cardiac monitor
the physician will establish an iv access
and the respiratory staus including ABG's will be periodically assessed.
Potassium replacemtn therapy is given via oral tablets or in severe cases of hypokalaemia, by iv infusion

As for diuretics, they help the body get rid of unneeded water and salt through the urine. Getting rid of excess fluid makes it easier for your heart to pump and controls blood pressure.
We know that abnormal levels of of potassium in the body distort nervous transmission, cardiac contraction and renal functions.

So, diuretics themselves actually reduce potassium levels (especially in the elderly) which can lead to hypokalaemia and as a consequence cardiac arrhythmias. Instead, patients should be given potassium-sparing diuretics which help retain potassium levels rather than deplete them.



[b]Cardiac defibrillation[/b]

Defibrillation is an emergency procedure that restores the normal electrical activity of the heart by applying an electric shock to the chest. -Involves high energy shocks applied for the purpose of ending the fibrillation.

hey....

which are the most commonly used lft's by physios? and how reliable are they?

as for breathing exercises....naturally you mean active cycle breathing techniques and manual techniques. what else have you found on this?

cheers
jess

jess,
About breathing exercises i am agree with you that it consists not more than some manual tech.. but one important factor which i feel is the pulmo management for icu patients(ex. comma) where the subject is subconsious or unconsious and application of breathing exercises are obtructed

well see what swapnil replies to your questions

for swapnil my questions are
1. how common cystic fibrosis is within indians?
2. what are the contraindications of treadmill testing?
3. what are cardiac conditioning exercises?

tommorow ill send my topics.

jess will you please inform me about the topic which you gave previously
intravenous stents
CABGs

ill be thankfull to you

hi swapnil and all friends i am back

sorry for not contacting you for long

ill surly search on your current topic and feedback by tommorow

swapnil congratulations! 4 new study area given by physio base when ill be allowed to enter in that?


else tumoro

gudbye

what exactly were you looking for? i'm thinking you have some specific questions??

jess

jess ans of ur questions are

the commonly used lung funtion testings used by physical therapists are
tests of ventilation
1.plethysmography
2.peak expiratory flow rate
3.forced expiratory flow volume in 1 sec.

exercise testing

it includes
1. treadmill testing
2.12 min walikng test
3.cycle ergometry

jess and anisha yes the application of breathing exercises on icu patients or the patients who must remain in bed for an extended period of time is a very critical task but with great care and regular testing and checkups we can apply it boldly.

i have pointed out a few breathing techniques other than the traditional breathing exercises.

1. insentive respiratory spirpmetry:
it is a form of ventillatory traning emphasizing sustained maximum inspirations. a synonymous term is sustained inspiratory maneuver, which is performed with or with out specification.
it increases the volume of air inspired.
the patient have to take three to four slow,easy breaths than place the spirometer and maximally inhale through the spirometer and hold the inspiaration for few seconds.


2. segmental breathing:
in this patient is taught to emphasize on localized areas of lungs while keeping others quit.hypoventilation occurs in certain areas of lungs because of chest wall fibrosis,pain and muscle guarding after susgery.

3. pursed lip breathing: it is thought to keep airways open by creating backpressure in airways.

4. glossopharyngeal breathing: it is used to increase patients inspiratory capacity when there is severe weakness of inspiratory muscles.

anisha answers for you.

1. as what i recovered from some written materials it has shown that cystic fibrosis is found only in white skinned community as europeans. so it is likly to happen that indians are not the sufferers of this condition.

2. contraindications for treadmill testing are:
1. systolic pressure should not exceed 220 to 240 mmhg.
2. diastolic pressure should not exceed 120mmhg.
3. respiration should not be labored.
4. the patient should not have perception of shortness of breath,
5. the increase in blood flow while exercing.
6. results in change in skin ,cheeks etc. they become moist warm pink


3.cardiac conditioning exercising are aerobic exercise training(conditioning):
it is an augmentation of energy utilization of the muscles by means of exercise program.
>training is dependent on exercise of sufficient intensity,duration and frequency.
>training produces a cardiovascular and or muscular adaptation and is reflected in an individuals endurance.
>training for particular sport or event is dependent on the specificity principle.