Medical Hydrology and Balneology: Environmental Aspects

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The State of the art, Health Resort Medicine in Portugal Teixeira F (1-2) (1) Emerit Professor of Faculty of Medicine, University of Coimbra, Coimbra, Portugal (2) Head of Hidrology and Climatology Institute of Coimbra University, Coimbra, Portugal fredjt@ci.uc.pt Except for the existence of a Thermal Hospital (Caldas da Rainha), created in Portugal in 1498, the traditional spa organization is the existence of a thermalmedical-bathouse (named “balneário”), often surrounded by a park. And, even though this park or nearby can be one or more hotels included in the same spa complex (ie, the same owner), only one thermal-bathhouse was included in a hotel. Around the bathhouse (named “balneário”) and their park (when it exists), develops a "spa village" (officially called "estância termal”), with all the support structures: hotels and guest houses, private residences, restaurants and cafes, leisure facilities. The concept of "health resort" is therefore understood in the social group of spa village/”estância termal”, mentioned above, rather than a narrow concept of an individualized "health resort". However, there are spas where it remained, renewed or created their own space surrounding the resort with leisure park and sporting activities, with hotel, wellness center (these, designated in Portugal by SPA, even if not in the concept of "medical SPA", but only of recreational activities, aesthetics, etc..) - space and set of structures and activities that have been designated as" Health (or Thermal) Resort. " Keeping, however, this model, the thermal spas in Portugal have undergone profound transformations over the past 20 years: Of the 34 spas in operation in 2011, 17 resorts are totally new; in 12, the spas were substantially restored or increased in size. They all now have one of the most modern technical equipment there. The most recent legislation on the operation of the spa is included in the Decree- Law No. 142/2004. Three points must be highlight in this legislation: 1 - All spas operate under the medical responsibility of a clinical director, recognized as an hydrologist by the Medical College; 2 - No one is allowed to a thermal treatment without a previous medical appointment and monitoring; 3 - Hydrological research is fostered for the recognition of the vocations of each therapeutic spa, being created for it a "Technical Evaluation Committee." For a population of just over 10 million inhabitants, the total number of "termalistas" who annually attend the Portuguese spas is close to 100 000 (ie 1% of total population). Balnea 2012, núm. 6, 60 60 ISBN: 978-84-669-1887-0 978-84-669-3482-4
Health Benefit – Session 02 Lectures Impact of sulphurous water endotympanic insufflation on audiometric parameters in children with otitis media with effusion M VITALE Study of ciliary motility in patients treated with mineral waters from “Las Termas de Copahue”, Neuquén, Argentina AM MONASTERIO, E ZINGONI, L MERINO, F MARAVER Assessment of Spa therapy in chronic low back pain. Systematic review of randomized clinical trials A FRANÇON, R FORESTIER F BERKOZ Crenobalneotherapy in the treatment of chronic venous insufficiency. Preliminary results of a randomized clinical trial R FORESTIER, G BRIACON, J MOLLARD, A FRANCON Papers Sulfurous-arsenical-ferruginous thermal water nasal irrigation and wound healing after endoscopic surgery for chronic rhinosinusitis: a prospective, randomized study A STAFFIERI, G OTTAVIANO, C STAFFIERI, M LIONELLO, G MARIONI Smoking and chronic rhinitis: effects of nasal irrigations with sulfurous-arsenical- ferruginous thermal water. A prospective, randomized, double-blind study A STAFFIERI, G MARIONI, C STAFFIERI, M LIONELLO, G OTTAVIANO Rheumatoid arthritis and crenotherapy – preliminary results I SANTOS, A LIMA, P VITA, P CANTISTA, C VANCOSCELOS Improvement of generalized osteoarthritis after (creno)balneotherapy: an open study with evaluation of different outcomes F BERKÖZ, R FORESTIER, N ERDOGAN, M KARAGÜLLE The effect of spa therapy in chronic low back pain: a randomized- controlled, single blind, follow-up study IK TEFNER, A NÉMETH, A LÁSZLÓFI, T KIS, G GYETVAI, T BENDER T Balnea 61 ISBN: 978-84-669-1887-0 978-84-669-3482-4 2012, núm. 6, 61
Page 1 and 2: Balnea ISSN: 978-84-669-3482-4 Núm
Page 3 and 4: Balnea 2012, Núm. 6, 9-24 Contents
Page 11 and 12: Posters Papers Balnea 2012, Núm. 6
Page 17 and 18: 38 th World Congress of the Interna
Page 19 and 20: 38 th World Congress of the Interna
Page 21 and 22: Honorary Committee Honorary Preside
Page 23: PROGRAMME
Page 26 and 27: 34 Medical Hydrology and Balneology
Page 29: SCIENTIFIC SESSIONS
Page 33 and 34: What’s new in Balneology? Karagü
Page 35 and 36: Balneology in Europe: results of a
Page 37 and 38: Balneology Research in Germany Gute
Page 39 and 40: Balneology Research in France Roque
Page 41: The State of art - Session 01 Lectu
Page 44 and 45: Medical Hydrology and Balneology: E
Page 46 and 47: Health resort therapy (spa therapy)
Page 48 and 49: The State of art, Health Resort Med
Page 50 and 51: State of the art, Health Resort Med
Page 55 and 56: Impact of sulphurous water endotymp
Page 57 and 58: Balnea 2012, núm. 6, 64-65 Medical
Page 71: Methodology of Scientific Investiga
Page 84 and 85: Effectiveness the treatments with n
Page 86 and 87: Building a preventive medicine mode
Page 89: Climatotherapy - Thalassotherapy -
Page 94 and 95: Is Thalassotherapy simply a type of
Page 96 and 97: Assessment of the impact of weather
Page 98 and 99: Marine zootherapy as part of thalas
Page 100 and 101: Thalassotherapy and otaridotheraphy
Page 102 and 103:
Thalasso medical centre in the salt
Page 104 and 105:
Acute atopic dermatitis and balneot
Page 106 and 107:
Change of the psoriasis area and se
Page 109:
Climatotherapy - Dead Sea - Session
Page 112 and 113:
Ultra-violet (UV) radiation propert
Page 114 and 115:
Climatotherapy of skin diseases at
Page 116 and 117:
Medical Hydrology and Balneology: E
Page 118 and 119:
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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
Page 130 and 131:
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
Page 145:
Société Française de Médecine T
Page 148 and 149:
Therapeutic education programs for
Page 150 and 151:
Metabolic Syndrome: education progr
Page 152 and 153:
Development of a therapeutic progra
Page 154 and 155:
Therapeutic education for patients
Page 156 and 157:
Withdrawal from benzodiapezines in
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A proposal for a glossary of peloid
Page 161 and 162:
Biophysical skin effects of peloids
Page 163 and 164:
Mud cure in Russia: history, achiev
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Clinical effects of mud-bath therap
Page 167 and 168:
Impact of peloidotherapy on hystolo
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Impact of Mud Therapy in pathogenes
Page 171 and 172:
Effects of mud-bath applications on
Page 173 and 174:
Chondrogenic effect of the sulphuri
Page 175 and 176:
Balneotherapy and mud-therapy in kn
Page 177:
Biology - Session 09 Lectures Vetri
Page 180 and 181:
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Which is better for health promotio
Page 184 and 185:
Heat-shock protein 70 is affected b
Page 186 and 187:
A possible physiological mechanism
Page 188 and 189:
Thermal changes of fingers after co
Page 190 and 191:
Case study: geochemical transformat
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Hydrogen sulfide as an anti-inflama
Page 194 and 195:
Determination of selenium in minera
Page 196 and 197:
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Scientific Basics of Water and Hydr
Page 201 and 202:
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
Page 273:
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
Page 293 and 294:
An introduction to clinical ethics
Page 295 and 296:
Influence of sodium alginate on the
Page 297 and 298:
Bathing in hot water, utilizing ons
Page 299:
POSTERS PAPERS
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Omega-6-eicosanoid may be involved
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Health effects attributed to endocr
Page 307 and 308:
Underground microclimate influence
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Carbogaseous mineral water for pati
Page 311 and 312:
A developing complex research on na
Page 313 and 314:
An analysis of the behaviour of a m
Page 315 and 316:
Technical audit of the thermal wate
Page 317 and 318:
New trends P9 Does balneology still
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Effectiveness of exercise program f
Page 324 and 325:
Sulphurous mineral water for lower
Page 326 and 327:
Salt mines therapy for pulmonary re
Page 328 and 329:
High concentration artificial CO2-w
Page 330 and 331:
Hypoxic adaptation in patients with
Page 332 and 333:
Control of legionella Benhammou S (
Page 334 and 335:
Puente Viesgo’s spa therapy for p
Page 336 and 337:
Association of behaviral and psycho
Page 338 and 339:
Effects of a rehabilitation treatme
Page 340 and 341:
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
Page 348 and 349:
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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386 Medical Hydrology and Balneolog
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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
Page 426 and 427:
Efficency of underwater ultrasound
Page 428 and 429:
Health workers knowledge about medi
Page 430 and 431:
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Historiography of acidulous waters
Page 434 and 435:
Perception and Knowledge about Baln
Page 436 and 437:
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
Page 457:
Vita P: 74 Vitale M: 46, 63 Vitoria
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