[The influence of peloids from volcanic deposits in Azerbaijan on the dynamics of sugar content in blood and urine and the wound healing in patients at the early stages of diabetic gangrene of the lower extremities].
Vopr Kurortol Fizioter Lech Fiz Kult. 2009 Nov-Dec(6):42-3. PMID: 20050166
M Ia Nasirov, F M Efendieva, D A Ismaĭlova
The treatment of diabetic patients with pyonecrotic lesions in the lower extremities requires prolonged reflexo-segmental balneophysiotherapy to normalize functions of the nerve centres. Curative volcanic mud solutions (15-24 g/l) enriched with organic and nonorganic biologically active compounds from volcanic deposits in Azerbaijan were used for the first time to treat such patients. Peloids were applied to the lumbar region (location of sympathetic nerve nodes) and the lower legs above and beneath the affected sites. The patients were subjected to 12-15 seances of peloidotherapy (at 40-41 degrees Celsius) each lasting 20-30 minutes. The treatment was preceded by wound sanation using the standard procedure and a course of antibiotic therapy based on individual antibiotocograms. A total of 86 daibetic patients with leg gangrene underwent rheovasographic thermovision examination that revealed enhanced blood supply to the affected extremities under the action of the applied peloids. Peloidotherapy resulted in the normalization of blood and urine glucose levels in 53 (63%) of the patients. Simultaneously, the doses of medicamentous therapy could be lowered. Wound and ulcer healing was completed in the majority of the patients (86%) by the end of balneophysiotherapy when fresh granulation tissue began to develop and signs of oedema to disappear. These patients no longer needed amputation.
Article Published Date : Nov 01, 2009
[Spa therapy in rheumatology. Indications based on the clinical guidelines of the French National Authority for health and the European League Against Rheumatism, and the results of 19 randomized clinical trials].
Bull Acad Natl Med. 2009 Jun;193(6):1345-56; discussion 1356-8. PMID: 20120164
Alain Françon, Romain Forestier
The objective of this work was to update the rheumatologic indications of spa therapy, based on clinical practice guidelines published by the French National Authority for Health (HAS) and the European League Against Rheumatism (EULAR), and on the results of randomized clinical trials (RCT) METHODOLOGY: We first examined the indications for which spa therapy is mentioned and/or recommended in HAS and EULAR guidelines. We then identified RCTs in spa therapy and rheumatology by using the key words spa therapy, balneology, balneotherapy, hydrotherapy, mud therapy and mineral water in the Pubmed, Pascal and Embase databases. Only RCTs including a statistical analysis of between-group outcomes were retained We also examined the possible contribution of RCTs not listed in the bibliography of the guidelines. RESULTS: RECOMMENDATIONS: spa therapy is recommended by HAS for chronic lower back pain, rank B and for stabilized rheumatoid arthritis, rank C. In ankylosing spondylitis, EULAR classifies spa therapy along with physiotherapy, rank A. In fibromyalgia, EULAR recommends hot-water balneology, an important component of spa therapy, rank B, based on five RCTs, of which three were carried out in thermal springs. Nineteen RCTs that comprised a statistical comparison of between-group outcomes were identified Sixteen studies indicated a persistent improvement (at least twelve weeks) in pain, analgesic and non-steroidal antiinflammatory drug consumption, functional capacity and/or quality of life, in the following indications: chronic lower back pain, knee osteoarthritis, hand osteoarthritis, fibromyalgia, ankylosing spondylitis andrheumatoidarthritis (PR). CONCLUSION: Spa therapy, or hot-water balneology, appears to be indicated for chronic low back pain, stabilized rheumatoid arthritis, ankylosing spondylitis and fibromyalgia. RCT findings suggest that patients with knee and hand osteoarthritis might also benefit.
Article Published Date : Jun 01, 2009
The effect of mild whole-body hyperthermia on systemic levels of TNF-alpha, IL-1beta, and IL-6 in patients with ankylosing spondylitis.
Clin Rheumatol. 2009 Apr;28(4):397-402. Epub 2008 Dec 17. PMID: 19089489
Ingo H Tarner, Ulf Müller-Ladner, Christine Uhlemann, Uwe Lange
Serial mild whole-body hyperthermia is a widely used balneotherapy modality for clinically inactive ankylosing spondylitis (AS) in rehabilitative medicine. Thus far, the mechanisms of its favorable influence on the symptoms of AS are not completely understood. We therefore analyzed the effect of mild whole-body hyperthermia on the systemic levels of pivotal proinflammatory cytokines. Twelve male subjects with AS and 12 healthy control subjects received nine cycles of whole-body hyperthermia (target body core temperature, 38.5 degrees C; duration, 50 min). Serum samples were taken at the beginning of the last cycle and at 1, 6, and 24 h for measurement of tumor necrosis factor alpha, interleukin 1beta and interleukin 6. Significant differences of cytokine levels were found between both groups. In AS patients, hyperthermia caused a significant reduction of all cytokines by 40-50%. Thus, serial mild whole-body hyperthermia in AS results in heat-induced changes of the proinflammatory cytokine network.
Article Published Date : Apr 01, 2009
Synchronous balneophototherapy is effective for the different clinical types of psoriasis.
Neurochem Res. 2007 Dec;32(12):2094-102. Epub 2007 Jul 7. PMID: 16164712
P Holló, R Gonzalez, M Kása, A Horváth
BACKGROUND: The efficacy of synchronous balneophototherapy in clearing psoriasis is based on the multiple-targeted effects of UVB light and Dead Sea salt. Their synchronous application produces a synergic effect. OBJECTIVE: The purpose of this retrospective study is: 1) to evaluate the efficacy of synchronous balneophototherapy for treating different clinical types of psoriasis; 2) to determine whether there is any difference between response to treatment, and 3) to gain more data in order to predict the effect of treatment in different clinical types, and thus to support the selection of patients for treatment. METHODS: Patients received a basic course of synchronous balneophototherapy according to the Regensburg scheme, consisting of 35 treatment sessions, followed by a maintenance course of a further 25 treatments. The patients' skin status was monitored by weekly assessment using the PASI score throughout the course. The efficacy of the treatment was evaluated through the results of 373 patients treated according to protocol during the basic course, and the results of 78 of these patients during the maintenance course. One hundred and eighty-six patients were enrolled into the study comparing the efficacy of the basic course for the different clinical types of psoriasis: data of patients with large plaques, small plaques, guttate and confluating type of skin signs were summarized and compared. RESULTS: During the basic course of treatment 70.7% improvement of the average PASI index was observed; the average PASI index decreased from 16.14 to 4.73. A further improvement from 4.58 to 4.27 of the average PASI was found during the maintenance therapy. Small plaque-type skin signs showed the best response with a PASI decrease of 76.1%; Guttate type had a PASI decrease of 73.7%, large plaque type, 67.1% and confluating type, 62%. Comparing data with the average PASI decrease, a statistically significant lower decrease was found in confluating type cases. CONCLUSIONS: These results confirm that synchronous balneophototherapy is an effective treatment modality for different clinical types of psoriasis. Patients with small plaques have the greatest chance of the most marked clinical clearing; guttate and large plaque types of psoriasis also respond well to the treatment.
Article Published Date : Dec 01, 2007
The efficacy of balneotherapy and mud-pack therapy in patients with knee osteoarthritis.
Joint Bone Spine. 2007 Jan;74(1):60-5. Epub 2006 Nov 29. PMID: 17223602
Deniz Evcik, Vural Kavuncu, Abdurrahman Yeter, Ilknur Yigit
OBJECTIVES: Knee osteoarthritis (OA) is a common chronic degenerative disorder. There are various treatment modalities. This study was planned to investigate the efficacy of balneotherapy, mud-pack therapy in patients with knee OA. METHODS: A total of 80 patients with knee OA were included. Their ages ranged between 39-78. The patients were separated in to three groups. Group I (n=25) received balneotherapy, group II (n=29) received mud-pack therapy and group III (n=26) was hot-pack therapy group. The therapies were applied for 20 min duration, once a day, five times per week and a total of 10 session. Patients were assessed according to pain, functional capacity and quality of life parameters. Pain was assessed by using Visual Analogue Scale (VAS) and Western Ontario McMaster Osteoarthritis Index (WOMAC) pain scale (0-4 likert scale). Functional capacity was assessed by using WOMAC functional capacity and WOMAC global index. Quality of life was evaluated by Nottingham Health Profile (NHP) self-administered questionnaire. Also physician's global assessment and the maximum distance that patient can walk without pain, were evaluated. The assessment parameters were evaluated before and after three months. RESULTS: There were statistically significant improvement in VAS and WOMAC pain scores in group I (p<0.001), group II and III (p<0.05). The WOMAC functional and global index also decreased in group I (p<0.05), group II (p<0.001) and hot-pack group (p<0.05). Quality of life results were significantly improved in balneotherapy and mud-pack therapy groups (p<0.05). No difference was observed in hot-pack therapy group (p>0.05). The maximum distance was improved both in group I and II (p<0.05) but not in group III. Also physician's global assessment was found to be improved in all groups (p<0.05). CONCLUSIONS: Balneotherapy and mud-pack therapy were effective in treating patients with knee OA.
Article Published Date : Jan 01, 2007
Improvement of the clinical outcome in Ankylosing spondylitis by balneotherapy.
Joint Bone Spine. 2005 Jul;72(4):303-8. PMID: 16038841
Merih Yurtkuran, Alev Ay, Yüksel Karakoç
AIMS: This study is designed to show the efficacy of balneotherapy and balneotherapy (BT) + nonsteroid antiinflammatory drug (NSAID) use in Ankylosing spondylitis (AS) patients. METHODS: In this prospective study, BT, BT+ NSAID and NSAID therapy in 61 patients with AS were evaluated by ASAS core set. BT group (21 patients) was treated only with BT for 20 min, once a day, 5 days a week, over a period of 3 weeks. BT+NSAID group (20 patients) was treated with 1000 mg naproxen as well as BT. NSAID group (20 patients) was treated with 1000 mg naproxen. All of the participants did respiratory and postural exercises for 20 min a day and for the whole study period. Each patient was evaluated on admission (before treatment), at the end of the therapy and 6 months after the treatment. RESULTS: At the end of the study, statistically significant improvement was observed in all the clinical parameters of the patients in BT (G1), BT+NSAID (G2) and NSAID (G3) groups. This significant symptomatic and clinical improvement was maintained even 6 months after the treatment. The changes from baseline to follow up were similar in G1 and G2 except duration of morning stiffness (DMS) and chest expansion (CE). Improvements in CE and DMS were better in G1 and G2, respectively. Improvements observed in G1 and G2 were superior to the improvements observed in G3 for the variables of morning pain, nocturnal pain, DMS, global well being of the patient, occiput-wall distance, CE, finger to floor distance and functional index. In Schober test, improvement observed in G1 was statistically superior to G3. CONCLUSION: We concluded that BT can be suggested as an effective symptomatic treatment modality in patients with AS. Furthermore, sufficient improvement in clinical parameters can be obtained by BT alone.
Article Published Date : Jul 01, 2005
Balneotherapy at the Dead Sea area for patients with psoriatic arthritis and concomitant fibromyalgia.
Isr Med Assoc J. 2001 Feb;3(2):147-50. PMID: 11344827
S Sukenik, R Baradin, S Codish, L Neumann, D Flusser, M Abu-Shakra, D Buskila
BACKGROUND: Balneotherapy has been successfully used to treat various rheumatic diseases, but has only recently been evaluated for the treatment of fibromyalgia. Since no effective treatment exists for this common rheumatic disease, complementary methods of treatment have been attempted. OBJECTIVES: To assess the effectiveness of balneotherapy at the Dead Sea area in the treatment of patients suffering from both fibromyalgia and psoriatic arthritis. METHODS: Twenty-eight patients with psoriatic arthritis and fibromyalgia were treated with various modalities of balneotherapy at the Dead Sea area. Clinical indices assessed were duration of morning stiffness, number of active joints, a point count of 18 fibrositic tender points, and determination of the threshold of tenderness in nine fibrositic and in four control points using a dolorimeter. RESULTS: The number of active joints was reduced from 18.4 +/- 10.9 to 9 +/- 8.2 (P<0.001). The number of tender points was reduced from 12.6 +/- 2 to 7.1 +/- 5 in men (P<0.003) and from 13.1 +/- 2 to 7.5 +/- 3.7 in women (P<0.001). A significant improvement was found in dolorimetric threshold readings after the treatment period in women (P<0.001). No correlation was observed between the reduction in the number of active joints and the reduction in the number of tender points in the same patients (r = 0.2). CONCLUSIONS: Balneotherapy at the Dead Sea area appears to produce a statistically significant substantial improvement in the number of active joints and tender points in both male and female patients with fibromyalgia and psoriatic arthritis. Further research is needed to elucidate the distinction between the benefits of staying at the Dead Sea area without balneotherapy and the effects of balneotherapy in the study population.
Article Published Date : Feb 01, 2001
Immediate and delayed effects of treatment at the Dead Sea in patients with psoriatic arthritis.
Rheumatol Int. 2000;19(3):77-82. PMID: 10776684
O Elkayam, J Ophir, S Brener, D Paran, I Wigler, D Efron, Z Even-Paz, Y Politi, M Yaron
Department of Rheumatology, Tel Aviv Medical Center, Sackler Faculty of Medicine, University of Tel Aviv, Ichilov Hospital, Israel.
The purpose of this study was to evaluate the immediate and delayed effects of balneotherapy at the Dead Sea on patients with psoriatic arthritis (PsA). A total of 42 patients with PsA were treated at the Dead Sea for 4 weeks. Patients were randomly allocated into two groups: group 1 (23 patients) and group 2 (19 patients). Both groups received daily exposure to sun ultraviolet rays and regular bathing at the Dead Sea. Group 1 was also treated with mud packs and sulfur baths. Patients were assessed by a dermatologist and a rheumatologist 3 days before arrival, at the end of treatment, and at weeks 8, 16, and 28 from the start of treatment. The clinical indices assessed were morning stiffness, right and left hand grip, number of tender joints, number of swollen joints, Schober test, distance from finger to floor when bending forward, patient's self-assessment of disease severity, inflammatory neck and back pain and psoriasis area and severity index (PASI) score. Comparison between groups disclosed a similar statistically significant improvement for variables such as PASI, morning stiffness, patient self-assessment, right and left grip, Schober test and distance from finger to floor when bending forward. For variables such as tender and swollen joints, and inflammatory neck and back pain, improvement over time was statistically significant in group 1. Addition of mud packs and sulfur baths to sun ultraviolet exposure and Dead Sea baths seems to prolong beneficial effects and improves inflammatory back pain.
Article Published Date : Jan 01, 2000
Treatment of psoriatic arthritis at the Dead Sea.
J Rheumatol. 1994 Jul;21(7):1305-9. PMID: 7966074
S Sukenik, H Giryes, S Halevy, L Neumann, D Flusser, D Buskila
Department of Medicine D, Epidemiology, Soroka Medical Center of Kupat-Holim, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
OBJECTIVE: To evaluate the effectiveness of balneotherapy (mud packs and sulfur baths) on patients with psoriasis and psoriatic arthritis (PsA). METHODS: One hundred and sixty-six patients with psoriasis and PsA were treated at the Dead Sea for a period of 3 weeks. The patients were divided into 2 groups. Both groups had the regular regimen of bathing in Dead Sea water and exposure to the sun's ultraviolet rays. The study group, which consisted of 146 patients also was treated with mud packs and sulfur baths. The control group, which had no additional therapy, consisted of 20 patients. The main clinical variables assessed were duration of morning stiffness, grip strength, activities of daily living, subjective patient assessment of disease severity, number of active joints, number of effluent joints. Ritchie index, psoriasis area and severity index score, cervical, thoracic, and lumbar spine pain and limitations of movement. RESULTS: Statistically significant improvement was found in most variables in both groups. However, better results were observed in the study group. In 2 variables, reduction of spinal pain and range of movement in the lumbar spine, significant improvement (p<0.001 and p = 0.022, respectively) was observed in the study group only. CONCLUSION: Treatment of psoriasis and PsA at the Dead Sea area is very efficacious and the addition of balneotherapy can have additional beneficial effects on patients with PsA. Other controlled studies with longer followup periods are needed to verify our results.
Article Published Date : Jul 01, 1994
[The comprehensive approach to the rehabilitative treatment of junior athletes].
Vopr Kurortol Fizioter Lech Fiz Kult. 2017;94(1):46-50
Authors: Stepanenko NP, Levitskaya TE, Tsekhmeistruk EA, Tren'kaeva NA, Tyulyupo SV, Dostovalova OV, Kremeno SV, Shakhova SS, Chekcheeva VD
AIM: The objective of the present study was the development of the comprehensive program for the medico-psychological follow-up of the male and female junior athletes (rhythmic gymnastics) with the purpose of stabilizing their hormonal and emotional status, as well as improving sport performances based on the use of modern hardware-software technologies.
MATERIAL AND METHODS: The comprehensive examination of 72 female athletes at the mean age of 11.5±0.6 years attending R. Kuznetsov specialized school of rhythmic gymnastics of the Olympic reserve in the city of Seversk has been undertaken on the basis of Tomsk Research Institute of Balneology and Physiotherapy, the branch of Siberian Federal Research and Clinical Centre.
RESULTS: The program of comprehensive medical psychological rehabilitation for the junior athletes of either sex engaged in sportive activities requiring precise technical actions has been elaborated. The method of the combined therapeutic treatment included physical exercises therapy, manual massage, dry carbonic bathtubs, psychological activities with the application of biological feedback trainings and cognitive trainings; it was intended for the correction of the hormonal status and the improvement of the psycho-emotional conditions of the athletes. The combined treatment based on the use of the modern hardware-software technologies was shown to promote the restoration and development of the psychophysical and psychological qualities of the male and female junior athletes indispensable for the maintenance of their high readiness for the efficient sports activities at the subsequent stages of the training cycle. In addition, such treatment enhances the adaptation resources of the athletes.
PMID: 28374732 [PubMed - in process]
Case of Legionnaires disease in a neonate following a home birth in a heated birthing pool, England, June 2014.
Euro Surveill. 2014 Jul 24;19(29):
Authors: Phin N, Cresswell T, Parry-Ford F, Incident Control Team
Public Health England was notified of Legionnaires' disease in a neonate following a home birth in a heated birthing pool filled from the domestic hot water supply two weeks earlier. We describe the incident, sampling results, and public health actions. It is recommended that heated birthing pools should not be used for home births. Neonates developing pneumonia within 14 days of labour or birth in any birthing pool should be tested for Legionnaires' disease.
PMID: 25080139 [PubMed - indexed for MEDLINE]
[Mineral springs on the north-east of Caucasus and its role in the treatment of soldiers of the Russian army in XIX--beginning XX c].
Voen Med Zh. 2013 Jul;334(7):62-6
Authors: Akhmadov TZ, Poddubnyĭ MV
The article is concerned to the history of formation of sanitary-treatment stations on the North Caucasus, in Chechnya (Goryachevodsky and Mikhailovsky mineral springs) till 1917 year. The basis of the article are archive documents, scientific papers of contemporaries and official documents. Goryachevodsky and Mikhailovsky mineral springs were more than 70 years the one the best recreative base of the Caucasian standing army including the caucasian cossack troop. The sanitary-treatment stations were of great importance during the active military actions with Hill people within the territory of Chechnya and Dagestan, during the Crimean War (1853-1856), The Russo-Turkish War of 1877-1878 and the First World War (1914-1918), when the amount of the wounded and ill soldiers increased.
PMID: 24341013 [PubMed - indexed for MEDLINE]
Inflammatory arthritis. The role of physical and rehabilitation medicine physicians. The European perspective based on the best evidence. A paper by the UEMS-PRM Section Professional Practice Committee.
Eur J Phys Rehabil Med. 2013 Aug;49(4):551-64
Authors: Küçükdeveci AA, Oral A, Ilıeva EM, Varela E, Valero R, Berteanu M, Chrıstodoulou N
One of the objectives of the Professional Practice Committee (PPC) of the Physical and Rehabilitation Medicine (PRM) Section of the Union of European Medical Specialists (UEMS) is the development of the field of competence of PRM physicians in Europe. To achieve this objective, UEMS PRM Section PPC has adopted a systematic action plan of preparing a series of papers describing the role of PRM physicians in a number of disabling health conditions, based on the evidence of effectiveness of the physical and rehabilitation medicine interventions. Inflammatory arthritis is a major cause of disability with an important economic burden in society. The goals in the management of inflammatory arthritis are to control pain and disease activity, prevent joint damage, protect and enhance function and improve quality of life. This paper aims to define the role of PRM physicians in people with inflammatory arthritis. PRM interventions imply non-pharmacological treatments which include patient education for joint protection, energy conservation and self-management techniques, exercise therapy, physical modalities, orthoses/assistive devices and balneotherapy. Therapeutic patient education and exercises are the cornerstones of therapy with strong evidence of their effectiveness to improve function. Physical modalities are primarily used to decrease pain and stiffness whereas orthoses/assistive devices are usually prescribed to enhance activities and participation. PRM physicians have distinct roles in the management of people with inflammatory arthritis such that they effectively organise and supervise the PRM program in the context of interdisciplinary team work. Their role starts with a comprehensive assessment of patient's functioning based on the International Classification of Functioning Disability and Health (ICF) as the framework. In the light of this assessment, appropriate PRM interventions individualised for the patient are administered. Future research and actions regarding the role of PRM in inflammatory arthritis should target access to care, updates on the use and effectiveness of physical modalities, orthoses/assistive devices, and standardization of therapeutic patient education programs.
PMID: 24084414 [PubMed - indexed for MEDLINE]
Non-invasive measurement of carbon monoxide burden in Guatemalan children and adults following wood-fired temazcal (sauna-bath) use.
J Environ Monit. 2011 Aug;13(8):2172-81
Authors: Lam N, Nicas M, Ruiz-Mercado I, Thompson LM, Romero C, Smith KR
The use of wood-fired steam baths, or temazcales, is a potentially dangerous source of CO exposure in Guatemalan Highland communities where adults and children use them regularly for bathing, relaxation, and healing purposes. Physical characteristics of children predispose them to absorb CO faster than adults, placing them at greater exposure and health risks. Efforts to quantify temazcal exposures across all age groups, however, have been hampered by the limitations in exposure measurement methods. In this pilot study we measured COHb levels in children and adults following use of the temazcal using three field-based, non-invasive CO measurement methods: CO-oximetry, exhaled breath, and by estimation of COHb using micro-environmental concentrations and time diaries. We then performed a brief comparison of methods. Average CO concentrations measured during temazcal use were 661 ± 503 ppm, approximately 10 times the 15 min WHO guideline. Average COHb levels for all participants ranged from 12-14% (max of 30%, min 2%), depending on the method. COHb levels measured in children were not significantly different from adults despite the fact that they spent 66% less time exposed. COHb measured by CO-oximetry and exhaled breath had good agreement, but precision of the former was affected substantially by random instrument error. The version of the field CO-oximeter device used in this pilot could be useful in screening for acute CO exposure events in children but may lack the precision for monitoring the burden from less extreme, but more day-to-day CO exposures (e.g. indoor solid fuel use). In urban settings, health effects in children and adults have been associated with chronic exposure to ambient CO concentrations much lower than measured in this study. Future research should focus on reducing exposure from temazcales through culturally appropriate modifications to their design and practices, and targeted efforts to educate communities on the health risks they pose and actions they can take to reduce this risk.
PMID: 21687856 [PubMed - indexed for MEDLINE]
[Crenobalneotherapy: a medical and scientific update].
Bull Acad Natl Med. 2009 May;193(5):1165-80
Authors: Roques CF, de Boissezon X, Queneau P
The PubMed database contains about eighty scientific papers on crenobalneotherapy (i.e., medical balneology or spa therapy) published in the last three years, mostly in journals with an impact factor. These studies focus on the actions of thermomineral products (waters, muds, gases, steam) on biological systems (immune system, antioxidant system, cytokine networks, nociception, etc.). Hot mineral waters can have an action on the circulatory system. Ingested mineral water can act on carbohydrate, lipid and mineral metabolism. Dermocosmetologic mineral products have shown real benefits. Medical benefits of thermal treatment have been observed in patients with rheumatic conditions, psoriasis, venous insufficiency, ENT conditions, gynecolgical disorders, and anxiety. Unfortunately, many publications in this area suffer from methodological flaws. Clinical investigations of thermal medicine encounter dificulties of a methodological and financial nature, and problems of patient recruitment. The aim of the French thermal research institute is to provide support and advice for teams wishing to conduct well-designed controlled trials.
PMID: 20120394 [PubMed - indexed for MEDLINE]
[The role of natural medicinal factors in federal and regional recreational zones in the rehabilitation of patients following surgical treatment of pathological periapical tissues and oral cavity phlegmonas].
Vopr Kurortol Fizioter Lech Fiz Kult. 2009 Nov-Dec;(6):40-1
The necessity of considering the problem with which this paper is concerned arises from the current scientific discussion of the actions of physicians working in municipal healthcare facilities and sanatoria directed toward rehabilitation of patients after surgical treatment of periapical tissues and oral cavity phlegmonas. The study elucidated the mechanism of action of mineral waters (alkaline, sodium hydrocarbonate or boron-containing water with elevated fluorine and chlorine content) extracted from natural deposits of the Belgorod Region and Krasnodar Krai (Territory). It was shown that drinking these waters contributed to the correction of the disturbed balance in the ratio of sodium and potassium ions excreted with urine and to the positive dynamics of serum phosphorus level in the patients included in this study.
PMID: 20050165 [PubMed - indexed for MEDLINE]
Hot air sauna burns--review of their etiology and treatment.
J Burn Care Res. 2009 Jul-Aug;30(4):705-10
Authors: Koljonen V
Hot air sauna burns (HASBs) are rare but potentially fatal injuries with simultaneous rhabdomyolysis. The mechanism of HASBs involves prolonged exposure to hot air because of immobility. The burned areas are on the parts of the body that are directly exposed to hot air. This type of heat exposure results in a complex injury, in which full-thickness skin damage occurs concurrently with deeper tissue destruction. Sauna bathing is becoming more and more a popular recreational activity around the world. The objective of this review article is to familiarize burn care specialists on this unique and clinically challenging type of burn injury and to illustrate our department's long experience in treating patients with HASBs. A thorough review of the current literature with PubMed interface using the key word "hot air sauna burn" was performed. Six articles were found under this topic, with 42 patients being recorded. Therapy for rhabdomyolysis and aggressive early operative treatment are the cornerstones of hot air sauna burn treatment and lifesaving actions. Treatment of HASBs differs from the more common flame and scald burns. Hot air sauna burn patients require early and aggressive surgical intervention to treat the rhabdomyolysis. Amputations and excision of the affected muscles are common. Contrary to other types of burn injuries, these patients need flap coverage during the acute surgery phase. Microvascular free flaps usually perish because of damage of vascular structures deeper to the visible burned cutaneous areas. Pedicled flaps are the treatment of choice.
PMID: 19506509 [PubMed - indexed for MEDLINE]
Immersion in CO2-rich water containing NaCl diminishes blood pressure fluctuation in anesthetized rats.
Int J Biometeorol. 2007 Dec;52(2):109-16
Authors: Yamamoto N, Hashimoto M
Remarkably, bathing in hot springs containing high concentrations of carbon dioxide (CO(2)) influences cardiovascular function more than bathing in fresh water. The CO(2)-enriched water in hot springs generally contains many salts, whose interactions remain unknown. We separately evaluated the actions of individual factors in CO(2)-enriched water and confirmed that CO(2) and NaCl have combined effects on blood pressure fluctuations in anesthetized rats. Animals equipped with sensor probes to monitor body temperature, skin blood flow and arterial blood pressure were immersed in bathwater (35 degrees C) containing CO(2) with NaCl, KCl or sucrose. The effects of these factors on cardiovascular function were evaluated using power-spectral analysis of fluctuations in blood pressure and heart rate. Compared with immersion in tap water, heart rate and skin vascular resistance were reduced during immersion in CO(2)-enriched water irrespective of the presence of other components. In terms of the very low frequency range (0.02-0.195 Hz), the power of blood pressure fluctuation during immersion was significantly reduced when the CO(2)-enriched water contained more than 1.5% NaCl but was not influenced by other components of similar osmotic pressure and the same specific gravity. The results indicated that the coexistence of CO(2) and sodium ions in bathwater reduce blood pressure fluctuations, and suggested that this combination effect of CO(2) and salt contributes to the sedative effect on human cardiovascular functions while bathing in CO(2)-hot springs.
PMID: 17569993 [PubMed - indexed for MEDLINE]
[Magnesium-containing mineral waters in the treatment of patients with cardial manifestations of gastroesophageal reflux disease].
Vopr Kurortol Fizioter Lech Fiz Kult. 2006 Nov-Dec;(6):31-4
Authors: Efendieva MT, Batdieva VA, Rusenko NI
Drinking of sulphate-magnesium-calcium water by patients with gastroesophageal reflux disease of the first degree with cardial manifestations has a prokinetic and anti-inflammatory action leading to attenuation of gastroesophageal reflux and positive cardiovascular changes. Marked therapeutic efficacy of the water is due to specific action of magnesium ions having membrane-stabilizing, sedative effects, pronounced prokinetic and sympatholytic actions which manifest with weakening of ergotropic actions, higher efficacy of cardiac activity. These convert to a noticeable clinical response--regress of clinical symptoms and potentiation of anti-arrhythmic effects.
PMID: 17201221 [PubMed - indexed for MEDLINE]
Comano's (Trentino) thermal water interferes with the expression and secretion of vascular endothelial growth factor-A protein isoforms by cultured human psoriatic keratinocytes: a potential mechanism of its anti-psoriatic action.
Int J Mol Med. 2006 Jul;18(1):17-25
Authors: Chiarini A, Dal Pra I, Pacchiana R, Menapace L, Zumiani G, Zanoni M, Armato U
Thermal balneotherapy with Comano spa's water (CW; Trentino, Italy) is used for psoriasis and other skin disorders but the mechanism(s) of action of this hypotonic water are unknown. Since skin psoriatic manifestations are thought to be angiogenesis-dependent, we assessed CW's effects on the expression and release of VEGF-A protein isoforms by cultured human lesional keratinocytes isolated from skin biopsies performed in 9 patients. Confluent, psoriatic keratinocytes were exposed for 11 days to DMEM, whose chemicals had been dissolved in either deionised water (DW-DMEM, controls) or CW (CW-DMEM, treated cells). As detected by Western immunoblotting (WB), incubation in CW-DMEM elicited, with respect to DW-DMEM, an increase in intracellular and/or cell-bound L-VEGF-A189 and L-VEGF-A165 48 kDa protein isoforms with no concurrent change in L-VEGF-A121 and L-VEGF-A165 45 kDa proteins. Moreover, WB analysis of the secreted VEGF-A (sVEGF-A) proteins showed that the 20 and 15 kDa bands corresponding to different VEGF-A isoforms were directly and remarkably reduced in keratinocyte-conditioned CW-DMEM vs. DW-DMEM. Thus, CW interferes with VEGF-A isoform expression and secretion by the psoriatic keratinocytes. These effects would reduce all VEGF-A-mediated angiogenic, vessel permeabilising, and chemotactic effects, thereby at least in part explaining the beneficial actions of CW balneotherapy on the clinical manifestations of psoriasis.
PMID: 16786151 [PubMed - indexed for MEDLINE]
Towards understanding the unpresentable in nursing: some nursing philosophical considerations.
Nurs Philos. 2006 Jan;7(1):23-35
Authors: Cameron BL
While nursing practice embodies certain observable and sometimes habitual actions, much inheres in these actions that is not immediately discernible. Taking on Lyotard's exegesis of the unpresentable, I undertake an analysis of the unpresentable as it occurs in nursing practices. The unpresentable is a place of alterity often excluded from dominant discourses. Yet this very alterity is what practising nurses face day after day. Drawing from two nursing situations, one from a hermeneutic phenomenological study and the other from the literature, I elucidate the unpresentable from a nursing point of view. Evoking Lyotard as well as selected philosophers from the continental philosophical tradition, I also question whether nursing in its present discourse is capable of responding to the unpresentable in nursing situations. Through the philosophical stance of presentation and representation, I delineate the urgent need to bring the otherness of the unpresentable into our nursing discourse. Nurses in practice confront a wide array of human differences and diversities and come to the realization that no framework alone can ever really have primacy over the multiform presentations of human suffering that so strikingly evoke alterity.
PMID: 16412200 [PubMed - indexed for MEDLINE]
[Experimental base for use of low-mineral water with a high concentration of organic substances in balneological practice].
Vopr Kurortol Fizioter Lech Fiz Kult. 2005 Sep-Oct;(5):8-11
Authors: Martyniuk VK, Fedorov AA, Kurochkin VIu, Volkova NA, Okunev PV, Zhernakova ZM, Chudinova OA, Roslyĭ OF, Guliaev VIu, Potapov LV
Experimental evidence on stability of chemical composition (1991-2004), toxic and skin-irritating, mitotic and mutagenic, bacterio- and fungostatic actions of low-mineral water "Salekhard" with a high concentration of organic substances justifies initiation of clinical trials of therapeutic effects of this novel balneological factor in different diseases (locomotor, nervous, cardiovascular, cutaneous, etc.).
PMID: 16317998 [PubMed - indexed for MEDLINE]
[Combined use of hydrogen sulfide baths and galvanopeloid therapy with magnetolaser radiation in osteoarthrosis patients at a health resort].
Vopr Kurortol Fizioter Lech Fiz Kult. 2005 Jul-Aug;(4):23-5
Authors: Ibadova GD, Mamishev SN, Zavora MI, Sarian LA
The study included 174 patients with osteoarthrosis (OA) of the first and second x-ray stage, subclinical or mild reactive synovitis. The patients received sanatorium treatment including hydrogen sulphide balneotherapy, galvanopeloid therapy with sulphide muds of Imeretinsk deposit (Sochi) by the segmental-local technique, prior magnetic laser radiation in some cases. Anesthetic, anti-inflammatory effects were found which proved highest in consecutive use of magnetolaser radiation and galvanopeloid therapy as shown by normalization of autonomic function, improvement of peripheral circulation, inhibition of proteolysis due to antioxidant and adaptogenic actions.
PMID: 16149413 [PubMed - indexed for MEDLINE]
[Current evaluation of efficacy of radon baths of various concentrations during rehabilitation of patients with seronegative spondylarthritis].
Vopr Kurortol Fizioter Lech Fiz Kult. 2005 Jul-Aug;(4):13-7
Authors: Barnatskiĭ VV, Grigor'eva VD, Kaliushina EN
141 patients with seronegative spondylarthritis including ankylosing spondylarthritis (n = 90), reactive arthritis and Reiter's disease (n = 51) took water radon baths (concentration 1.5, 3.0 and 4.5 kB/l). The baths proved similarly effective in patients with seronegative spondylarthritis. They produced analgetic, anti-inflammatory actions, raised quality of life for such patients.
PMID: 16149410 [PubMed - indexed for MEDLINE]
[Vibrophoresis of mud lipid extract in the rehabilitation of patients with osteoarthrosis].
Vopr Kurortol Fizioter Lech Fiz Kult. 2004 Jan-Feb;(1):30-3
Authors: Reshetova GG, Zaripova TN, Novikova SV, Titskaia EV, Matis EIa
Experimental and clinical evidence (76 patients with osteoarthrosis) justifies combined use of thermovibration massage and lipid extract from therapeutic mud eplir. This combination produces analgetic, antiedematic, antiinflammatory actions and promotes normalization of systemic immunity and peripheral hemodynamics.
PMID: 15052844 [PubMed - indexed for MEDLINE]
Comparative study of the thermal properties of mud and peat solutions applied in clinical practice.
Biomed Tech (Berl). 2003 Nov;48(11):301-5
Authors: Beer AM, Grozeva A, Sagorchev P, Lukanov J
Different peloids as e.g. mud and peat have been traditionally used for therapeutic purposes successfully, especially of there thermal actions. It was the aim of the experimental study to compare the thermal properties of two peloids, mud and peat, with a view to assessing their thermal effects when they are applied in clinical practice. The studies were carried out using peat of the marsh type of peats (Hochmoor), and curative Pomorie (Bulgaria) mud. As important parameters were determined the specific thermal capacity at constant pressure (Cp), the density of solutions (rho), the cooling rate (m), the coefficient of temperature transfer (a) of solutions and the coefficient of thermal conductivity (lambda) of solutions of peat and curative mud, compared to water bath. The comparative studies of the thermal properties of water and water solutions of peat and curative mud show that the thermal effect of the water bath is substantially smaller than that of the peat and mud applications. This difference is due to a greater extent to the high values of the dynamic viscosity, not allowing cooling by convection and protecting the surface of the skin upon applications of peloid solutions with a higher temperature.
PMID: 14661533 [PubMed - indexed for MEDLINE]
Nursing management of fever in children: a systematic review.
Int J Nurs Pract. 2003 Feb;9(1):S1-8
Authors: Watts R, Robertson J, Thomas G
OBJECTIVES: The aim of the present review was to determine whether the best available evidence supports the types and timing of the various nursing interventions that are commonly used to reduce fever in non-critically-ill children, and to what extent the outcomes are influenced by these nursing actions.
METHODS: Studies included were randomised or quasi-randomised controlled trials that involved non-critically-ill children with a fever aged between 3 months and 16 years. The search strategy sought to identify both published and unpublished research reports in the English language and covered all major databases up to 1998. The methodological quality of each study was assessed by two independent reviewers using a piloted critical appraisal checklist. Despite all studies being randomised, heterogeneity precluded conduction of a meta-analysis; therefore, evidence was synthesised using narrative summaries.
RESULTS: Ten studies were assessed as being of sufficient quality to be included in the review. These studies addressed two of the intervention categories identified in the protocol: (i) administration of antipyretics (paracetamol); and (ii) direct cooling measures on the outcome measure (reduction of or prevention of increase in fever). The review found little benefit from sponging in temperate climates and usually at the expense of the child's comfort. There may be situations in high environmental temperatures and high humidity, or where there is a need for immediate temperature reduction, in which sponging may be warranted. Risks were identified when paracetamol was administered on a sustained basis over even a short period of time and above a relatively low total daily dosage. There was a lack of evidence to support the administration of antipyretics to reduce the incidence of febrile convulsions. There is a need for parental education that focuses on knowledge of the body's protective physiological responses and how to support these responses.
CONCLUSION: The primary purpose for intervening when a child has a fever is to increase the child's comfort. This consideration should be weighed against any harm that might result from intervening. There was a lack of evidence to support the routine use of sponging. The administration of paracetamol should be used selectively and with caution. In summary, care needs to be individualised, based on current knowledge of the effectiveness and risks of interventions.
PMID: 12588622 [PubMed - indexed for MEDLINE]
[Mechanism of the effect of aqueous peat extract on spontaneous contractile activity of smooth muscles].
Forsch Komplementarmed Klass Naturheilkd. 2000 Oct;7(5):237-41
Authors: Beer AM, Lukanov J, Sagorchev P
BACKGROUND: There are reports in the literature about the effects of peat and its products on spontaneous contractile activity (SCA) of smooth muscles. In our earlier work we showed that the aqueous peat extract is a stimulus for SCA of smooth muscle fibres. After longstanding (4-5 h) influence from aqueous peat extract, a self-blocking effect of these influences can be observed. The mechanism of action could not be determined up to now.
PURPOSE: The purpose of this study is to elucidate the peat mechanism of action.
MATERIAL AND METHODS: In organ baths, the effects of aqueous peat extract on the SCA from smooth muscles have been studied under normal conditions and with presence of different receptor blocking substances.
RESULTS: Our investigations show that only with simultaneous blocking of alpha(2) and D(2) receptors the stimulating activity of aqueous peat extract on the SCA of smooth muscle fibres can be suppressed. The self-blocking actions of the stimulating activity of aqueous peat extract on the SCA of smooth muscles are interconnected with blocking of alpha(2 ) adreno and D(2) receptors.
CONCLUSION: The aqueous peat extract contains biologically active substances, which have a partial agonistic effect on alpha(2 ) and D(2) dopamine receptors. Corresponding to the results we start out at pharmacological effects as they are known from the mentioned receptors. The clinical efficacy have to be shown by clinical trials.
PMID: 11096263 [PubMed - indexed for MEDLINE]
[Spa therapy and sadness].
An R Acad Nac Med (Madr). 1999;116(2):279-95; discussion 295-6
Authors: Armijo Valenzuela M
The feeling of sadness is said to be an individual problem which can take advantage of an adequate Spa therapy in all its complexity. The sadness as a feeling of disproportional affective reaction with mental consequences, can find relief in the Spa cures and their different structural elements like the hydrothermal techniques, psychical actions, environmental features..., etc. These Spa cures have many favourable effects not only on the body but also on the mind, being capable of liberating the mind of worries and respecting the peculiar personality and way of suffering of the patient.
PMID: 10682393 [PubMed - indexed for MEDLINE]
[Observations on organic components of thermal mud: morphohistochemical and biochemical studies on lipid components of mud of the Terme dei Papi (Laghetto del Bagnaccio, Viterbo). Chemical bases of the interpretation of biological and therapeutic actions of thermal mud].
Clin Ter. 1997 Dec;148(12):637-54
Authors: Curri SB, Bombardelli E, Grossi F
In previous findings the lipidic fractions extracted acc. to Folch from the mature muds of the majority of the Italian thermal springs hot baths was studied, with the aim to identify the organic substrates of their therapeutical activity. The organic components of the "mature" peloids are produced by the metabolism of the microphytozooplankton growing spontaneously in the clay-substrate, in contact with the hot water. The Popes thermal springs (Bagnaccio's Lake) are characterised by an unique environmental situation, because the muds are naturally matured in the hot thermal water, but not in artificial baths. The morphohistochemical aspects of thermal algae growing in the Bagnaccio's lake have been studied by means of Computerised Optic Probe Video-Microscopy, using a not contact zoom objective 70-400x. Peloid types, both the "white" and the "black" contains yellow pigments, fragments of hyphae, monocellular algae, Diatomeae, Cyanophyceae and few other species. The biochemical aspects of the muds extracts are characterised by the presence of Phospholipids (PC, PE, PS, SP), a series of Hydrocarbons ranging from C30 to C38, Phytosterols (beta-sitosterol, Campesterol, Stigmasterol and traces of Cholesterol), Free Fatty Acids (Palmitic, Palmitoleic, Myristic, Stearic, Oleic and Linoleic, heptadecenoic and heptadecanoic) and Terpenes (beta-amirrhyne, 24-methylene-cyclo-arthanole). In our opinion, the therapeutic effects of the mature muds are related to its organic components, with special regards to Phospholipids, Phytosterols and Terpenes. The richness of these components in the Popes Thermal springs seems to be great interest in the dermatological and cosmetic applications, other then the traditional use.
PMID: 9528201 [PubMed - indexed for MEDLINE]
Balneotherapy in autoimmune disease.
Isr J Med Sci. 1997 Apr;33(4):258-61
Authors: Sukenik S, Abu-Shakra M, Flusser D
The mechanisms of action of balneotherapy in the treatment of autoimmune disease are not sufficiently clear. Although this therapy does not replace but rather complements conventional drug therapy, it is certainly beneficial in suitable cases. Additional controlled studies are needed to delineate the mechanisms of actions and the effectiveness of balneotherapy in autoimmune disease.
PMID: 9347875 [PubMed - indexed for MEDLINE]
Cooperation during morning care between nurses and severely demented institutionalized patients.
Clin Nurs Res. 1995 Feb;4(1):78-104
Authors: Hallberg IR, Holst G, Nordmark A, Edberg AK
Nurse-patient cooperation during morning care in two wards for the care of severely demented patients (107 observations) were analyzed by using a hermeneutic-phenomenological approach. Nurse-patient cooperation was found to be characterized by their acting in mutuality or unilaterality and in or out of pace with each other. When acting iri pace and mutuality, the nurse and patient turned to each other as persons as well as to the task. This theme related to confirming nurse actions and actions that provided opportunities for the patient to participate. When acting out of pace and unilaterality, cooperation was mainly task oriented and related to acts of resistance, the use of force, loss of attention or turning to others, or the patient wanted to escape. The findings were interpreted within the contexts of power, empowerment, and powerlessness and may serve as indicators of low- or high-quality nurse-patient cooperation during morning care provided for demented patients.
PMID: 7703879 [PubMed - indexed for MEDLINE]
[The use of low-temperature pelotherapy in the treatment of patients with rheumatoid arthritis (II)].
Vopr Kurortol Fizioter Lech Fiz Kult. 1995 Jan-Feb;(1):20-3
Authors: Grigor'eva VD, Mamiliaeva DR
Low-temperature peloids (t = +13, +14, +15 degrees C) application in rheumatoid arthritis patients produces local antiinflammatory, analgetic actions, suppresses immunocompetent system, improves locomotor functions. The above balneotherapy is indicated for patients with articular seropositive or seronegative RA irrespective of its activity in the presence of exudative-proliferative manifestations in the affected joints. In articular-visceral RA it is better to apply peloids in minimal activity of the inflammation.
PMID: 7785214 [PubMed - indexed for MEDLINE]
Effects of a Finnish sauna on the pharmacokinetics and haemodynamic actions of propranolol and captopril in healthy volunteers.
Eur J Clin Pharmacol. 1995;48(2):133-7
Authors: Vanakoski J, Seppälä T
The effects of a Finnish sauna on propranolol pharmacokinetics and on the pharmacodynamics of propranolol and captopril were studied in healthy, young volunteers (2 males, 6 females) in a double-blind, cross-over trial. The subjects received single oral doses of placebo, propranolol (40 mg) or captopril (12.5 mg) in sauna and control sessions at a one-week interval. The sauna sessions consisted of three repetitive 10-min stays in a sauna (85-100 degrees C, relative humidity 25-35%) separated by two 5-min rest periods in a cool room. Sauna bathing started 35, 50 and 65 min after ingestion of the drugs. Venous blood for plasma propranolol measurement were collected before and 15, 30, 45, 60, 75, 90 min and 2, 3, 4, 5, 7 and 24 h after drug intake. The sauna significantly increased the maximum concentration (Cmax 41 vs. 28 ng.ml-1) of propranolol and the mean plasma propranolol concentration 60 and 90 min, and 2 and 3 h after drug administration. It also significantly increased the AUC0-5h (119 vs 71 micrograms.h.l-1) of propranolol from 0 to 5 hours tmax, t1/2 beta and AUC0-24h of propranolol did not differ between the control and sauna sessions. The higher propranolol levels during and after the cessation of sauna bathing did not lead to significant changes in blood pressure or heart rate compared to the control period. Captopril had no major effects on these parameters during the post-sauna phase.(ABSTRACT TRUNCATED AT 250 WORDS)
PMID: 7589027 [PubMed - indexed for MEDLINE]
[The therapeutic efficacy of the Russian bath].
Vopr Kurortol Fizioter Lech Fiz Kult. 1993 Sep-Oct;(5):54-7
Authors: Levina IL, Klepikov II, Mandrova RR
Some mechanisms of steam inhalation effects in patients with nonspecific pulmonary diseases have been investigated. This type of aerosol therapy proved highly effective due to its broncholytic, antimicrobial and pulmonary hemodynamic stabilizing actions.
PMID: 8266671 [PubMed - indexed for MEDLINE]
Nursing rituals: doing ethnography.
NLN Publ. 1993 Aug;(19-2535):269-310
Authors: Wolf ZR
Types of nursing rituals identified in this study include therapeutic and occupational rituals. Therapeutic rituals (Douglas, 1963, 1966, 1975; Turner, 1957, 1967, 1969) are identified as symbolic healing actions that improve the condition of patients. Occupational rituals or rituals of socialization include symbolic actions that facilitate the transition of professional neophytes into their professional role (Bosk, 1980; Fox, 1979; Zerubavel, 1979). Nursing rituals fulfill an important although not highly visible function in a nursing unit of a modern American hospital. They enable nurses to carry out caring activities for patients who are acutely or chronically ill, old, and dying. Rituals help to reaffirm values and beliefs of nurses. Explication of the implicit meanings of nursing rituals illuminates nursing for nurses and others who seek to understand nursing services. Descriptive analyses of nursing rituals direct attention to the hidden work of the hospital staff nurse, work sometimes taken for granted by professionals and the public who fail to see the many difficult, intimate, and risky aspects of nursing work and how certain ritual behavior promotes its accomplishment. Other studies on nursing ritual are needed to expand the theory of nursing ritual in this descriptive analysis, and to move it from descriptive to explanatory theory. For example, the transmission of the beliefs, rules of conduct, and customs that take place during change-of-shift report has not been extensively investigated. Neither have the more practical aspects of shift report been studied, including the types of information exchanged or the influence of shift report on planning and priority setting for the nurses who work during the ensuing shift. Also, few empirical studies examine the effects of bathing on patient outcomes, such as skin integrity, cardiac function, and comfort levels, and patient bathing preferences. This is surprising, because the bath is such an essential ritual for the nursing profession and is thought to help patients. Nursing's close association with profane materials, including excretions and secretions, has most likely affected society's perception of the role of nurse. Investigations about these influences may reveal valuable insights into some of the status problems that nurses have encountered for many years. Equally important is the association of nurses with death. Although nurses are frustrated with the intrusion of hospital technology on patients' deaths, they have not yet established themselves as standard setters for helping patients achieve tranquil deaths.(ABSTRACT TRUNCATED AT 400 WORDS)
PMID: 7504237 [PubMed - indexed for MEDLINE]
[Effect of treatment with salt from the Dead Sea (Tomesa therapy) on epidermal Langerhans cells--a clinical study].
Z Hautkr. 1990 Dec;65(12):1146-51
Authors: Gruner S, Zwirner A, Boonen H, Sönnichsen N
Among the therapeutical modes of psoriasis, sea-water baths with salts from the Dead Sea in combination with ultraviolet light (Tomesa therapy) play an important part. In a previous paper, we showed that treatment of isolated murine skin with Tomesa salt solutions resulted in an irreversible decrease of ATPase-positive epidermal Langerhans' cells. Our present study is concerned with the treatment of healthy persons and psoriasis patients with baths containing Tomesa salts, which lead to reduced amounts of detectable Langerhans' cells in the epidermis, as well. Baths containing sodium chloride in comparable concentrations, however, were without effect at all. Our findings demonstrate that the antipsoriatic activity of Tomesa therapy is not only due to physical effects but may also be the result of definable pharmacological actions of the salts on skin cells.
PMID: 2087844 [PubMed - indexed for MEDLINE]
[Significance of the cleansing actions in the development of a relationship between the student and the patient].
Kango Kyoiku. 1986 Mar;27(4):253-6
Authors: Sueki S
PMID: 3637412 [PubMed - indexed for MEDLINE]
The AIDS epidemic and gay bathhouses: a constitutional analysis.
J Health Polit Policy Law. 1986;10(4):729-47
Authors: Rabin JA
Some legal scholars propose that the right of privacy articulated by the United States Supreme Court should be extended to protect homosexual activity. In light of the advent of AIDS, should that extension include constitutional protection for homosexual men who frequent gay bathhouses? The author argues that although the government has the power to close the baths in the name of public health, it should not do so without careful and conscious balancing against the privacy rights infringed upon by its actions. Balancing the tension between public health policy and individual rights applies not only to the specific situation of the baths, but also to insurance companies' aim to test all single, young, male life and health policy applicants for exposure to the putative AIDS virus; to potential health department releases of names of those testing antibody-positive for HTLV-III; to the military's rumored plans to discharge all personnel suspected of having AIDS; and to school districts seeking to exclude children with AIDS.
PMID: 3701009 [PubMed - indexed for MEDLINE]
[Health education for about 100 children (aged 6 to 14) in heat therapy at La Bourboule, compared to controls].
Sem Hop. 1984 Feb 23;60(9):630-4
Authors: Benigno M, Fourot-Bauzon M, Fourot H, Besançon F
99 children, aged 6 to 14, received health education and were compared to 93 controls, living in another "children house" at the same resort. The two groups were similar, and completely separated. All children had respiratory and cutaneous infections or allergies, none of them being disabled. The health education consisted in five sessions held over three weeks. Topics were the excesses of what people put into their glasses, ash-trays, plates and medicine chests. The teaching method was mainly based on creative games. Evaluations were presented as games, with colored blocks. The answers given to ten questions, before the educational sessions, were similar in both groups. The final answers did not show any progress in the control group, whereas the rate of correct answers increased by 30% in the educated group. Differences were highly significant, in all age groups. Progresses concerned especially the excesses of sugar, tobacco and meat. The educational needs seemed different according to age, with the main excesses being sugar and other food in children under ten, and tobacco and alcoholic drinks in older children. Spa resorts, and La Bourboule in particular, are suitable for brief controlled health education actions.
PMID: 6324372 [PubMed - indexed for MEDLINE]
[The strain of physiotherapeutical treatment in elderly patients (author's transl)].
Aktuelle Gerontol. 1982 Mar;12(2):54-9
Authors: Lang E
The strain of physiotherapeutical treatment in elderly patients depends on their age, their disease and on the type of the physiotherapy chosen. A survey carried out on 296 patients primarily suffering from heart circulation disease in the preclinical and clinical stage has shown that in case of elderly patients one generally must reckon with a latent heart and circulation disease. The risk of complications arising as result of the physiotherapy with respect to the heart and circulation system can be reduced by a thorough diagnosis. The relative intensity of the exercise employed should be on the low side. The risk particularly rises if the performance exceeds 80% of the maximal physical endurability involving the ergometer and gymnastical training with an average increase of the heart frequency over 120/min., swimming in cool water, balneotherapy in the full bath and exercises using mainly extensive isometrical actions.
PMID: 6123272 [PubMed - indexed for MEDLINE]
[Change in the cerebral cortical bioelectrical activity and in the brain noradrenaline content under the actions of mud applied to the cervical reflexogenic zone].
Vopr Kurortol Fizioter Lech Fiz Kult. 1976 May-Jun;0(3):48-54
Authors: Gaske OD, Leonova NN, Ruchkina AS
PMID: 1007112 [PubMed - indexed for MEDLINE]