Medical Hydrology and Balneology: Environmental Aspects

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Therapeutic education programs for the patients with chronic venous disease in the setting of spa resorts Carpentier P (1) (1) Recherche Universitaire de La Léchère, Université Joseph Fourier, Grenoble, France PCarpentier@chu-grenoble.fr Background Severe chronic venous disease (CVD), with a high risk of leg ulcer, is found in more than 5% of the adult population of industrialized countries. Each year, in France, such 30 000 to 40 000 patients benefit from a spa treatment in one of the 13 resorts accredited for this disease, and we wanted to take this opportunity to develop therapeutic education programs dedicated to these patients, aiming at improving their knowledge, skills and motivation for their treatment,and to improve their health related behaviors and lifestyle (physical activity, weight control, compliance to elastic stockings, etc…). Two programs were developed: the first one to be organized in a regular 3 weeks spa treatment for CVD, and the second one with a specifically designed intensive spa treatment of six days for patients with severe deep vein thrombosis. Methods The first program was developed by a pluri-professional working group of 15 health professionals developed for patients with advanced CVI, with the help of a group of patients. This program includes for each patient: an individual educational diagnosis, three interactive groups workshops, and an educational personalized follow up by phone interview. The second program was developed in the same way, and organized as a six days training course for small groups of 6 to 10 patients who benefit from one individual educative consultation, four group education workshops and six sessions of active balneotherapy, also aiming at educational objectives. These two programs were experimented in five different venous spa resorts. Results During experimentation, one hundred forty eight patients with advanced venous insufficiency (CEAP classes C4 to C6) were enrolled in the first program. After a 3 months follow-up, the evaluation by phone interview (1% drop-out) showed that 61% of the health behavior objectives were fully achieved, 21% partially obtained and 18% unreached; 83% of the patients fully achieved at least one objective. In the mean time, the CIVIQ score decreased in 69% of the patients (p
Balnea 2012, núm. 6, 156-157 Medical Hydrology and Balneology: Environmental Aspects The second program was experimented in twelve women and nine men (median age 58 years; 20-89) with a recent severe proximal deep vein thrombosis. No dropout was observed during follow-up. Every participant declared a high satisfaction level and achieved at least one behavioral change objective at two months. Two and six months follow-up showed a significant improvement of the CIVIQ2 and Euroqol 5D quality of life scales (P
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Balnea ISSN: 978-84-669-3482-4 Núm
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Balnea 2012, Núm. 6, 9-24 Contents
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Posters Papers Balnea 2012, Núm. 6
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38 th World Congress of the Interna
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38 th World Congress of the Interna
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Honorary Committee Honorary Preside
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PROGRAMME
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34 Medical Hydrology and Balneology
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SCIENTIFIC SESSIONS
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What’s new in Balneology? Karagü
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Balneology in Europe: results of a
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Balneology Research in Germany Gute
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Balneology Research in France Roque
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The State of art - Session 01 Lectu
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Medical Hydrology and Balneology: E
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Health resort therapy (spa therapy)
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The State of art, Health Resort Med
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State of the art, Health Resort Med
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The State of the art, Health Resort
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Impact of sulphurous water endotymp
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Balnea 2012, núm. 6, 64-65 Medical
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Methodology of Scientific Investiga
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Effectiveness the treatments with n
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Building a preventive medicine mode
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Climatotherapy - Thalassotherapy -
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Is Thalassotherapy simply a type of
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Assessment of the impact of weather
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Scientific Basics of Water and Hydr
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Balnea 2012, núm. 6, 208-209 Medic
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Health tourism sustainable - Enviro
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Recent contributions of the Geologi
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Salt rooms and halotherapy in europ
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Meteo-climatic factors influence an
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Carbocrenotherapy and the scleroder
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Legionella infection from spa water
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Threats and opportunities facing Fr
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Miscellaneous - 1 - Session 14 Lect
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“Balneo-check”: software for ba
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Clinical practice and scientific in
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Sociedad Española de Hidrología M
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The story of Spanish Society Medica
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Medical Hydrology and Climatology T
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Hippolytus´ house: a roman medical
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Spatio-cultural sustainability of t
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An introduction to clinical ethics
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Influence of sodium alginate on the
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Bathing in hot water, utilizing ons
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POSTERS PAPERS
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Omega-6-eicosanoid may be involved
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Health effects attributed to endocr
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Underground microclimate influence
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Carbogaseous mineral water for pati
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A developing complex research on na
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An analysis of the behaviour of a m
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Technical audit of the thermal wate
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New trends P9 Does balneology still
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Effectiveness of exercise program f
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Sulphurous mineral water for lower
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Salt mines therapy for pulmonary re
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High concentration artificial CO2-w
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Hypoxic adaptation in patients with
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Control of legionella Benhammou S (
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Puente Viesgo’s spa therapy for p
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Association of behaviral and psycho
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Effects of a rehabilitation treatme
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Water physical therapy is effective
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Effects on body composition in brea
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Depression and thermal treatments:
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Analysis of the effects of a hydrot
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A comparison land-water environment
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Aquatic physiotherapy program in pr
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Physiotherapy and low back pain: ef
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Musculoskeletal disorders and aquat
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Nutrition as a potential determinan
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Magnesium waters from Serbia Jovano
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Neurological activity of mineral wa
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Diuresis-crenotherapy in reno-urina
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Mud therapy resources in Bulgaria I
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Mud maturation in Copahue, Argentin
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Efficacy and tolerability of mud pa
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Climatotherapy - Thalassotherapy De
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Temperature and relative air humidi
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The medical spa preferences of the
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Therapeutic indications of the mine
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Study of density, thermal conductiv
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Efficency of underwater ultrasound
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Health workers knowledge about medi
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Historiography of acidulous waters
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Perception and Knowledge about Baln
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Splendour and decadence of spa tour
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Aqui o Thermes, cluster thermal aqu
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Traffic evolution of the website of
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Abramovic D: 181 Adeagbo JT: 272 Ad
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Fernández-González MV: 387, 389,
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Metlak A: 227 Michán A: 102 Mígue
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Vita P: 74 Vitale M: 46, 63 Vitoria
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