Spa Treatment Research Articles

The effect of spa treatment on pain, sleep and quality of life in patients with diabetic neuropathic pain

The effect of spa treatment on pain, sleep and quality of life in patients with diabetic neuropathic pain

Innowacje w przedsiębiorstwie uzdrowiskowym

W artykule przedstawiono potencjał i kierunki funkcjonowania przedsiębiorstw uzdrowiskowych. Przeprowadzono przegląd dotychczasowej literatury dotyczącej innowacji, a także innowacji w przedsiębiorstwie uzdrowiskowym. Zwrócono uwagę na sposób zarządzania przedsiębiorstwem uzdrowiskowym i funkcjonowanie tego typu przedsiębiorstw w ramach lecznictwa uzdrowiskowego i turystyki uzdrowiskowej. Opisano czynniki, które determinują model biznesu w przedsiębiorstwie uzdrowiskowym. Wykazano, że dla dużej części uzdrowisk klientem jest instytucja finansująca, a nie kuracjusz. Zauważono, że w tych uzdrowiskach, gdzie klientem jest kuracjusz, w dużo większym stopniu zaobserwować można innowacje. Cel artykułu to wskazanie specyfiki innowacji w przedsiębiorstwie uzdrowiskowym. W artykule przedstawiono źródła, bariery i przykłady innowacji w przedsiębiorstwach uzdrowiskowych, a także obszary, które będą eksploatowane w następnych latach. Wskazano strukturę innowacji w przedsiębiorstwie uzdrowiskowym. Omówiono również najbardziej charakterystyczne innowacje, które wprowadzono w przedsiębiorstwach uzdrowiskowych na Dolnym Śląsku, podnosząc przy tym zaangażowanie samorządu województwa dolnośląskiego w rozwój dolnośląskiego zagłębia uzdrowiskowego.

No effect of Turkish bath (Hammam) on sunburn after exposure to natural ultraviolet radiation: A randomized controlled blinded trial.

Scrubbing of the skin during Hammam, a Turkish spa treatment, removes cells from the ultraviolet radiation absorbing stratum corneum. The aim of this study was to assess if skin is more susceptible to sunburn after a Hammam treatment. In this randomized controlled trial with a paired design, healthy adult participants with skin types 1-3 were randomized to receive Hammam treatment on one side of the back while the other side was used as control. Participants had 30minutes of sun exposure on their backs. Erythema and pain were assessed before and 1, 4, 8, and 24hours after sun exposure. Erythema was assessed by a visual scale and by using chromatography on high-resolution photos. Pain was assessed with the Visual Analogue Scale (VAS). The primary outcome was the difference in chromatography-assessed erythema from baseline to the 24-hour assessment, compared between the Hammam- and the control side. Secondary outcomes were differences in pain and visually assessed erythema. Twelve participants were included with complete follow-up. Eight participants had type-3 skin and four had type-2 skin. There was no difference between the Hammam and the control side for any of the outcomes. Even though erythema assessed by chromatography was slightly higher for the Hammam side, the difference was insignificant. Hammam treatment did not increase sunburn, measured by UV-induced skin erythema and pain, compared with untreated skin following 30 minutes of sun exposure.

The Visit Rate of Bardejov Spa in the Context of its History

Abstract The main objective of this article was to evaluate the impact of historical events on the visit rate of Bardejov Spa in various periods of its development (in the years of 1814–2016). The collection of information on clients’ spa visits, especially the oldest data, was difficult (19th century and 1st and 2nd World War). Much information was available only in the State Archive of the Ministry of the Interior of the Slovak Republic in Hungarian and Latin. Some data for several years were not available at all, and some data were not recorded in writing. The paper summarizes the history of the spa, natural medical sources, spa treatment and indications. At present, the number of guests has an increasing trend, as evidenced by the visit rate for 2016, as well as by current data for 2017. In 2016, Bardejov Spa reached a pick of the visit rate with 25,863 clients. In 2017, there were 27,170 clients. The main clients are the Slovaks, about 90%.

Physiological changes after spa treatment - a focus on endocrinology.

The paper presents the results of our effort to reveal objective parameters for evaluation of the spa treatment for patients with anxiety-depressive disorders. The study was based on our previous experience with neuroactive steroids and neurosteroids, which play a crucial role in the psychological well-being of patients by maintaining balance of the organism. A total number of 94 steroids were determinated in a group of 70 female patients diagnosed with anxiety-depressive disorders. Patients underwent a month spa treatment while maintaining unchanged medication dosing with SSRI (selective serotonin reuptake inhibitors). The other investigated factors contributing to improving the health of treated subjects were amino-acid homocysteine and serotonin. The blood samples were collected at the beginning and the end of the spa treatment. Serotonin in all patients increased by a relative 23 % (results given as relative differences in percent), while homocysteine decreased by 17.1 %. Statistically significant increases were found in 21 steroids, which indicate activation of the adrenal cortex. It can be assumed, that the overall improvement in the mental condition of patients, which was proved by questionnaire from Knobloch and Hausner, the increase in immune suppressive substances and anti-autoimmune responses, will maintain for a longer time after the spa treatment.

Experience of dynamic magnetotherapy in neuroreabilitation of patients in intermediate period of light traumatic brain injury

Background. The high prevalence of minor craniocerebral injuries, a decrease in the labor activity of the victims, and disappointing data from long-term forecasts give the problem an important medical and social significance.
 Aim. Is to develop a method of sanatorium and spa treatment of patients with the consequences of light traumatic brain injury (LTBI) using radono- and dynamic magnetotherapy.
 Methods. Under supervision there were 150 patients in the intermediate period of LTBI at the age of 18 to 55 years old who were included in 3 randomized groups of 50 people in each: the 1st main group (MG1) was prescribed radon baths and magnetotherapy suboccipital; the 2nd MG was prescribed radon baths and magnetic therapy transcranially; the control group (CG) had only radon baths.
 Results. The patients of the MG2 had an improvement in brain biolectrogenesis in the form of a statistically significant (p 0.01) increase in the number of patients with dominant (alpha) rhythm, with diffuse-flattened type of EEG, a decrease in the number of EEG with conditional epileptiform phenomena and diffuse slow wave activity.
 There has been detected a statistically significant (p 0.01) increase in the number of patients with high functional activity of the cerebral cortex; whereas the analysis of EEG data among the patients of MG1 showed a statistically little efficacy in using radon baths and MT of cervical spine for bioelectric brain activity, which was clearly correlated with the physical and mental components of quality of life.
 Conclusion. The analysis of the studied data makes it possible to speak about the inclusion of running magnetic field transcranially and suboccipital in the process of neuroreabilitation of patients in the intermediate period of LTBI as a control factor that provides a targeted distribution of the flow of general afferent effects on tropical brain structures.

Baby Spa Effect on Growth

The aim of the study was to determine the effectiveness of Baby Spa on the growth of body weight and body length in infants aged 3-12 months. This research is a quasi-experimental study with a pretest-posttest design with control group design. The number of respondents as many as 70 respondents consisting of 1 group (35 respondents) with Baby Spa treatment and 1 group (35 respondents) was a control group without treatment. Data analysis using the MANCOVA test. The results of the study are Baby Spa effective for the growth of body weight and body length in infants aged 3-12 months. The conclusion that Baby Spa can be used to stimulate the growth of a baby's body weight and body length, but needs to pay attention to balanced feeding factors. The use of Baby Spa needs coordination between midwives and other health workers. Midwives must also provide health education about Baby Spa to stimulate baby growth so that babies can grow optimally.

Prévenir le développement et de la progression des SBAU liés à l’HBP

Our objective was to define potential risk factors for lower urinary tract symptoms (LUTS) related with benign prostatic hyperplasia (BPH). A non-systematic review of the scientific literature was conducted from the PubMed database to extract the most relevant scientific publications between 2000and July 2018and cross them with the recommendations of the AFU and the EA by combining the keywords HBP with diet, diet, physical activity, spa treatments, tobacco, alcohol, cardiovascular risk factors, testosterone or inflammation. A synthesis has been proposed in order to identify the important elements to proscribe or modify in order to limit the development and progression of LUTS/BPH. LUTS due to BPH are clearly associated with erectile dysfunction, cardiovascular diseases and metabolic syndrome. Some reversible risk factors have been identified such as low physical activity, overweight and hypercaloric nutrition. Interventions such as increased physical activity, weight-loss, and a diet including vegetables, tomatoes, carrots, vitamin E, lycopene, selenium, carotene, correction of the metabolic syndrome, stress reduction, and a suitable urinary behavior may impact progression of the disease. Education of the patients on reversible risk factors for LUTS due to BPH is crucial and should be included in everyday practice. Physical activity and weight-loss are the most important factors to take into account. 5consensus d'experts.

Review of the Book by Adam Szromek ”Organization of SPA Tourism and SPA Treatment”

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Mediterranean diet and SPA treatment: A healthy association?

BACKGROUND: In 2014, around 1.9 billion adults over the age of 18 were overweight. In the United States and Europe obesity has become a primary public health problem. Many people who go often to SPAs to perform mud therapy are overweight. The possibility of a dietetic evaluation to follow a dietetic program could be an occasion for both slimming and food education. OBJECTIVES: We have look for a possible cooperation between Mediterranean diet and mudpack treatment in losing weight. METHODS: A 1 week/2 week follow up intervention with a low calories Mediterranean diet combined or not with mudpack treatment. The main outcome measures are weight, BIA (Body Impedence Assessment), waist-hip ratio, abdominal circumference. RESULTS AND CONCLUSIONS: The thermal spas are an opportunity to regain a good state of health, undergoing to traditional mudpack treatments, a balanced and low calories diet, physical activity under strict control of a personal Trainer, and relaxing and draining treatments. Most overweight and obese patients have lost weight and fat, and this seems to be due not only to low caloric regimen, but also to the mudpack therapy itself. It will be very important to carry out studies with larger statistical relevance in the future.

2H4-4 The Effect of Different Lying Position during Head Spa Treatment Simulation on Mind and Body

2H4-4 The Effect of Different Lying Position during Head Spa Treatment Simulation on Mind and Body

The Effects of Ageing Population on the Economy and on Service Activities in Romania

Abstract Romania's ageing population is a fact well established by specialists in statistical data analysis. The effects of this irreversible phenomenon, which is difficult to counteract in the current circumstances, are multiple - on the economy, generally, but especially on the service activities which are necessary for the target population - "old age" - in order to increase their quality of life. In this paper we proposed to analyze the level of ageing of the Romanian population, to identify the effects of this phenomenon on the economy and on the major economic sectors with emphasis on service activities. Tertiary sector activities are divided into two categories namely: those that can improve the quality of life of elders and services absolutely necessary for them - elderly care services, medical services, spa treatment services, social services etc.In order to achieve the objectives proposed in this paper, we used the analysis of the specialized literature on this subject up to this point and the descriptive statistics with which we interpreted the statistical data found in the official databases. The results of this study are to establish the existing relationship between the ageing process of the Romanian population and the response of the economy, and especially of the services to the needs of the elderly

Efficiency of Multisensoric Therapy in Autism Spectrum Disorder Patients

Abstract The aim of this study was to investigate the role of various treatment methods for children with autistic spectrum disorders (ASD). The prospective study was conducted in 2013–2015 at the Children’s University Hospital and Social Pediatric Centre of the University of Latvia. The data analysis included 72 children (2 to 5 year old) with ASD, of whom 38 had infantile autism, 16 had atypical autism, and 18 had other diffuse developmental disorder). 86.1% patients received therapy. The most common treatment was by Montessori method and special pedagogue. Other treatments were dance-movement therapy, animal, sand and one patient received spa treatments. Univariate OR analysis showed that Montessori therapy had a decreasing trend on three health disorders (visual, hearing, and fine motor skills disorders) compared with other types of therapy, but the effect was not statistically significant. Special pedagogue therapy for autism patients showed similar results. A significant effect was observed for fine motor skills (p < 0.05) and speech development (p < 0.05), and Montessori method and special education were shown to be the most effective tools for promoting developmental progress and reducing developmental delay. Special pedagogue method showed statistically significant efficiency in fine motor skills and speech development. However, significant differences were not found for the Montessori method due to a limited number of patients.

SPA programs as a method of worksite health promotion

Introduction: Recent research has shown, that in the current work environment, there is an established connection between a worker`s surroundings and working conditions, and their level of concentration and awareness, as well as the strong effectiveness of detoxicating SPA treatments in reducing the intensity of stress that an employee endures. The nature of work, as well as the environment in which it is carried out are important factors which affect the health and satisfaction of the worker, carrying it out. The negative effects that these factors contribute to could be counteracted by detoxicating SPA treatments. Aim: To research the positive effects of including detoxicating SPA treatments as a preventative measure against stress and its effects on the efficiency and productivity of employees. Materials and Methods : A comparison has been made between the effectiveness and productivity of people, working primarily intellectually taxing jobs in providing services, in the absence of detoxicating SPA treatments, and the effectiveness and productivity of people working identical jobs, who were given such treatments. The methods utilized for conducting the research are a corrective test, where the experimental and control groups, both consisting of 11 people, were made to mark out specific characters in a random string of characters, and a test, where the same groups were made to draw a curve inside of boundaries, describing a smooth zig-zag pattern, without escaping the said boundaries or lifting their hand. These tests were carried out at the beginning and end of a normal workday. Results and Discussion: A trend of delayed and reduced fatigue has been noticed in the subjects who were given detoxicating SPA treatments. Conclusion: An increase in the health and productivity of employees, primarily carrying out intellectually taxing work under psycho-emotional stress and hypokinesia in the department of provision of services can be achieved by utilizing well-developed regulation of work and rest hours and the inclusion of detoxicating SPA treatments.

Formation of trihalomethanes as disinfection byproducts in herbal spa pools

Herbal spa treatments are favorite recreational activities throughout the world. The water in spas is often disinfected to control pathogenic microorganisms and guarantee hygiene. However, chlorinated water may cause the formation of disinfection byproducts (DBPs). Although there have been many studies on DBP formation in swimming pools, the role of organic matter derived from herbal medicines applied in herbal spa water has been largely neglected. Accordingly, the present study investigated the effect of herbal medicines on the formation of trihalomethanes (THMs) in simulated herbal spa water. Water samples were collected from a spa pool, and then, disinfection and herbal addition experiments were performed in a laboratory. The results showed that the organic molecules introduced by the herbal medicines are significant precursors to the formation of THMs in spa pool water. Since at least 50% of THMs were produced within the first six hours of the reaction time, the presence of herbal medicines in spa water could present a parallel route for THM exposure. Therefore, despite the undeniable benefits of herbal spas, the effect of applied herbs on DBP formation in chlorinated water should be considered to improve the water quality and health benefits of spa facilities.

The rationale for Janus kinase inhibitors for the treatment of spondyloarthritis.

The pathogenesis of SpA is multifactorial and involves a range of immune cell types and cytokines, many of which utilize Janus kinase (JAK) pathways for signaling. In this review, we summarize the animal and pre-clinical data that have demonstrated the effects of JAK blockade on the underlying molecular mechanisms of SpA and provide a rationale for JAK inhibition for the treatment of SpA. We also review the available clinical trial data evaluating JAK inhibitors tofacitinib, baricitinib, peficitinib, filgotinib and upadacitinib in PsA, AS and related inflammatory diseases, which have demonstrated the efficacy of these agents across a range of SpA-associated disease manifestations. The available clinical trial data, supported by pre-clinical animal model studies demonstrate that JAK inhibition is a promising therapeutic strategy for the treatment of SpA and may offer the potential for improvements in multiple articular and extra-articular disease manifestations of PsA and AS.

Preliminary Report on Stone Breakage and Lesion Size Produced by a New Extracorporeal Electrohydraulic (Sparker Array) Discharge Device

To determine if an innovative extracorporeal electrohydraulic shock wave (SW) device (sparker array [SPA]) can effectively fracture artificial stones in vitro and in vivo, and if SPA treatment produces a renal lesion in our pig model of lithotripsy injury. Results of these experiments will be used to help evaluate the suitability of this device as a clinical lithotripter. Ultracal-30 artificial stones were placed in a holder at the focus of the SPA and treated with 600 SWs (21.6 kV, 60 shocks/min). Stone fragments were collected, dried, and weighed to determine stone breakage. In vivo stone breakage entailed implanting stones into pigs. These stones were treated with 600 or 1200 SWs and the fragments were collected for analysis. Lesion analysis consisted of treating the left kidney of pigs with 1200 or 2400 SWs and quantitating the hemorrhagic lesion. In vitro, 71% ± 2% of each artificial stone was fractured to <2 mm in size. In vivo stone breakage averaged 63%. Renal injury analysis revealed that only 1 of 7 kidneys showed evidence of hemorrhagic injury in the treated area. The SPA consistently comminuted artificial stones demonstrating its ability to fracture stones like other lithotripters. Also, the SPA caused little to no renal injury at the settings used in this study. These findings suggest further research is warranted to determine the potential of this device as a clinical lithotripter.

Usługi spa i wellness w wybranych krakowskich hotelach

Kreowanie zdrowego stylu życia, zwiększająca się świadomość prozdrowotna oraz starzejące się społeczeństwo spowodowały zmiany na rynku usług turystycznych. Z każdym rokiem przybywa nowych hoteli oferujących usługi upiększające i poprawiające samopoczucie. W Krakowie, jednym z najlepiej turystycznie rozwijających się miast europejskich, gdzie występuje nasilona konkurencja, hotele nie poprzestają na ofercie podstawowej, ale poszukują możliwości wyróżnienia się poprzez dodatkową usługę turystyczną, stwarzając nowe propozycje spędzania wolnego czasu. Jedną z nich, zgodną z ogólnoświatowym trendem dążenia do poprawy zdrowia, oferowaną przez krakowskie obiekty noclegowe, jest umożliwienie korzystania z zabiegów spa i wellness. Hotele oferujące tego typu usługi zwiększają obłożenie i szansę wyróżnienia się z bogatej infrastruktury turystycznej Krakowa. Celem opracowania jest diagnoza liczby krakowskich hoteli oferujących usługi spa i wellness na terenie miasta Krakowa w wybranych hotelach. Opracowanie ukazuje kształtowanie się „przemysłu zdrowotnego”, a także dalsze możliwości rozwoju rynku krakowskiego hotelarstwa związanego z tymi usługami.

Sanatorium and spa treatment for workers with long length of service in chemical industry, having osteoarthrosis

Observations covered 100 workers with long length of service in chemical industry, having osteoarthrosis. The data obtained helped to reveal that complex sanatorium treatment with radon, magnetotherapy and natural brine Bishofit application is healing for inflammatory reactions of osteoarthrosis. So this treatment is recommended to prevent progression of locomotory system diseases and to improve life quality in workers with long length of service in chemical industry.

DRINKING MINERAL WATER IN RESTORATIVE TREATMENT OF PATIENTS WITH METABOLIC SYNDROME

The aim of the study was to assess the effectiveness of the integrated spa therapy of the metabolic syndrome (MS) with the use of drinking mineral waters (MB) of different chemical composition and mineralization, taking into account the dynamics of hormonal parameters, carbohydrate, lipid metabolism, liver function. Eighty patients with MS received a standard clinical and laboratory examination at the beginning and at the end of the course of treatment. By random sampling, two groups of 40 people were formed, each of whom received an internal intake of MB Essentuki-Novaya or Essentuki No. 4. It was established that the complex spa treatment of patients with MS and the pathology of carbohydrate metabolism in the form of impaired fasting glucose and non-alcoholic fatty liver disease with drinking MB is pathogenetically directed and includes the main means of actively affecting the well-being of patients, body weight, metabolic processes, hormonal regulatory systems and liver function, the course of concomitant diseases. The results of the study allowed us to recommend MB Essentuki-Novaya for the specified category of people as a curative and preventive agent in order to prevent further progression of carbohydrate metabolism and pathological changes in the liver.