Medical Hydrology and Balneology: Environmental Aspects

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Medical Hydrology and Balneology: Environmental Aspects knee and the left (p≤0.0001), quadriceps muscle strength as both hamstrings (p
Serum levels of adiponectin and visfatin in knee osteoarthritis after spa therapy Giannitti C (1) , Pascarelli N (1) , Caciotti B (2) , Bacarelli M (1) , Simpatico A (1) , Lamboglia A (1) , Stortini E (2) , Galeazzi M (1) , Fioravanti A (1) (1) Department of Clinical Medicine and Immunological Sciences, Rheumatology Unit, University of Siena, Italy (2) Stabilimento Termale Chianciano Terme. Siena. Italy chiara.giannitti@libero.it Introduction and Objectives Osteoarthritis (OA) is the most common form of joint disease and a major contributor of disability in older people. Current treatment of OA include pharmacological and non-pharmacological modalities. Spa therapy can represent a useful backup to pharmacological treatment of OA or a valid alternative for patients who do not tolerate pharmacological treatments, but its mechanisms of action are not completely known. Adipocytokine, including visfatin and adiponectin, may play an important role in the pathophysiology of OA. In skeletal joints, adiponectin may act as a proinflammatory agent and may be involved in matrix degradation and visfatin may affect articular cartilage metabolism. The aim of this study is to evaluate serum levels of adiponectin and visfatin in patients with OA of the knee treated with a cycle of combination of daily locally applied mud-packs and mineral water baths in a single blind, controlled, randomized trial. Materials and Methods 100 outpatients aged between 50 and 75 years with OA of the knee according to the ACR criteria and x-rays of the knee (radiological staging I-III ) were enrolled: 50 patients (Group A) received a combination of daily local mud- packs applied on both knees for 20 min at an initial temperature of 51°C and bicarbonate–sulphatecalcic mineral bath water at 38°C for 15 min, from the spa centre of Chianciano Terme (Siena, Italy) for a total of 12 applications carried out over a period of 2 weeks; 50 patients (Group B, controls) continued regular, routine ambulatory care. Adiponectin and visfatin plasma levels were assessed at baseline time (T0) and after 2 weeks (T15), upon completion of the spa treatment period (for patients of group A). The differences in the plasma adiponectin and visfatin levels at baseline and after fangobalneotherapy were assessed using the Student’s paired t-test. Baseline blood samples (6 ml) were drawn from an antecubital vein, in the supine position in the morning after an overnight fast, and again after 2 weeks under the same Balnea 2012, núm. 6, 395-396 395 ISBN: 978-84-669-1887-0 978-84-669-3482-4
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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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148 Medical Hydrology and Balneolog
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Thermophysical study of peat from t
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Société Française de Médecine T
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Therapeutic education programs for
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Metabolic Syndrome: education progr
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Development of a therapeutic progra
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Therapeutic education for patients
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Withdrawal from benzodiapezines in
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A proposal for a glossary of peloid
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Biophysical skin effects of peloids
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Mud cure in Russia: history, achiev
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Clinical effects of mud-bath therap
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Impact of peloidotherapy on hystolo
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Impact of Mud Therapy in pathogenes
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Effects of mud-bath applications on
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Chondrogenic effect of the sulphuri
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Balneotherapy and mud-therapy in kn
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Biology - Session 09 Lectures Vetri
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Which is better for health promotio
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Heat-shock protein 70 is affected b
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A possible physiological mechanism
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Thermal changes of fingers after co
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Case study: geochemical transformat
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Hydrogen sulfide as an anti-inflama
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Determination of selenium in minera
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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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Splendour and decadence of spa tour
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Health workers knowledge about medi
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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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