Medical Hydrology and Balneology: Environmental Aspects

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A possible physiological mechanism of thermal crisis during spa therapy with mud pack and sulphur baths in patients with osteoarthritis Jokic A (1) , Sremcevic N (1) , Karagulle M (2) , Davidovic J (3) , Karagulle MZ (2) (1) Specialized Rehabilitation Hospital, Banja Koviljača Spa,Serbia (2) Istanbul University, Istanbul Medical Faculty, Department of Medical Ecology and Hydroclimatology, Turkey (3) Military Academy, Belgrade, Serbia. jokic71@gmail.com Introduction and Objectives Thermal crisis or bath reaction is an experimentally well known phenomenon which usually appears in the patients during the first week (mostly on 3rd to 5th day) of a spa therapy. It has been estimated that it is experienced as a clinical presentation up to 60% of the patients. Symptoms associated with this reaction include malaise, fever, tachycardia, headache, fatigue, insomnia and pain. We aimed to investigate the changes in the plasma levels of oxidative system enzymes as possible indicators of bath reaction in the patients with osteoarthritis during a spa therapy course consisting of mud pack and sulfur bath applications. Materials and Methods Thirty patients (20 female and 10 male) with knee and/or hip osteoarthritis (OA) of both sexes who were diagnosed according to the American College of Rheumatology Criteria included in this prospective uncontrolled study. Blood samples were taken by venipuncture before and at the end of spa therapy as well as on the 5th day for the assay of Copper-Zinc superoxide dismutase (CuZnSOD) and catalase (CAT) activity. All patients had native mineral mud pack of 420C on affected joints for 20 minutes and went into individual bath-like pool containing native sulfurous water, where the temperature was adjusted individually according to the patient\'s wish (32-340C) for 20 minutes a day, 6 consecutive days a week, over 3 weeks. Results The mean blood SOD activity (±SD) before the therapy was found 1836.47 ±738.92 U/gHb. On day 5 during therapy, it was increased to 1942.15 ± 779.35 U/gHb, but then at the end decreased to the level even lower than before therapy, 1745.98 ± 450.89 U/gHb (p=0.530, F test). Mean measured CAT activity (±SD) was found 20.56 ±5.86 kU/gHb at the beginning, on the 5th day, decreased to 18.92 ±4.72 kU/gHb, and at the end it was lowest, 16.16 ± 3.98 kU/gHb. This change was statistically significant as compared to before the treatment values (p=0.002, F-test). Balnea 2012, núm. 6, 194-195 194 ISBN: 978-84-669-1887-0 978-84-669-3482-4
Balnea 2012, núm. 6, 194-195 Medical Hydrology and Balneology: Environmental Aspects Before therapy, mean pain (VAS) scores (±SD) were 5.88±1.52, on day 5 they increased up to 6.29±2.10, and at the end of spa treatment dramatically decreased down to 2.93 ± 1.70 (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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Marine zootherapy as part of thalas
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Thalassotherapy and otaridotheraphy
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Thalasso medical centre in the salt
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Acute atopic dermatitis and balneot
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Change of the psoriasis area and se
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Climatotherapy - Dead Sea - Session
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Ultra-violet (UV) radiation propert
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Climatotherapy of skin diseases at
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Influence of single immersion in De
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New Trends 2 - Session 06 Lectures
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Implementing comprehensive care cli
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Results 138 Medical Hydrology and B
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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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Technical audit of the thermal wate
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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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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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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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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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Vita P: 74 Vitale M: 46, 63 Vitoria
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Medical Hydrology and Balneology: Environmental Aspects

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