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[Rationale for treating patients with hypertension and atherosclerosis of the lower extremities with iodine-bromine baths containing molecular iodine].

Higher therapeutic efficacy of iodine-bromine baths in conversion of iodine from an ionic form (standard iodine-bromine baths) into a molecular one is registered. This is explained by a 23.8 times increase in precipitation and a 4-times increase in iodine penetration into the body when it is molecular. A more effective function of the cardiovascular system, a stronger corrective effect on lipid metabolism, microcirculation in the absence of changes in a secretory function of the thyroid were registered.

Animals↗

[Site of discovery in the bath tub. Evaluation of a fatality after four years using postmortem roentgen diagnosis].

On the one hand the following case demonstrates the problems of finding a dead body in the bathroom and on the other hand the importance of postmortem x-ray examinations. The corpse of an 65-year-old woman was discovered in her bath tub. At the body's feet there was a hair dryer. Investigations concerning murder were negative, circumstances appeared to be unsuspicious. That was why a postmortem examination was not performed. -4 years later murder had to be considered. After manual strangling the deceased and the hair dryer were layed into the bath tub. The corpse was exhumed and taken to a forensic autopsy. It was found that the hyoid bone and the superior horn of the thyroid cartilage were both fractured on the right. Damages caused by the preparation itself were excluded by using serial roentgenographs. These observations in combination with histological findings and the results of further investigations convincingly supported the suspicion of strangling by hand.

Aged↗

[Application of yellow turpentine baths in patients with chronic prostatitis complicated by sexual dysfunctions].

Patients with chronic prostatitis complicated by sexual dysfunction took turpentine baths with yellow solution in concentration rising from 5 to 55 ml solution per 200 l water, temperature 35-40 degrees C, duration 5-16 min, daily, 12-15 procedures. Yellow turpentine baths raise efficacy of treatment of patients with copulative dysfunction to 64% due to intensive arterial blood inflow to the sexual organs including the cavernous bodies of the penis.

Baths↗

[Current evaluation of efficacy of radon baths of various concentrations during rehabilitation of patients with seronegative spondylarthritis].

141 patients with seronegative spondylarthritis including ankylosing spondylarthritis (n = 90), reactive arthritis and Reiter's disease (n = 51) took water radon baths (concentration 1.5, 3.0 and 4.5 kB/l). The baths proved similarly effective in patients with seronegative spondylarthritis. They produced analgetic, anti-inflammatory actions, raised quality of life for such patients.

Adult↗

[A case of hypersensitivity pneumonitis caused by inhalation of Mycobacterium avium from a home bath with a circulating water system].

A 26-year-old man presented with complaints of exertional dyspnea and cough. The patient has already been given corticosteroids at a previous hospital. Chest CT revealed small centrilobular nodules with diffuse ground-glass opacities in both lungs. Lung biopsy specimens at thoracoscopy revealed non-necrotizing granulomas, patchy foci of mononuclear cell infiltration and fibrous thickening of alveolar septa, and Masson's bodies in bronchioles. Sputum culture showed the growth of Mycobacterium avium complex (MAC). Culture of water from the bath tub of his home showed MAC. Administration of antituberculous drugs and corticosteroids, and avoidance of bathing at home resulted in the improvement of his symptoms and CT findings. We believe the case is hypersensitivity pneumonitis to MAC in an immunocompetent patient, simulating hot tub lung. Hypersensitivity pneumonitis caused by MAC is rare in Japan.

Adult↗

[Evaluation of bathing facilities on natural bodies of water].

The EC guideline of 1976 applies to the examination and assessment of water bodies used for bathing in the Federal Republic of Germany. The main aspect of hygienic assessment is to find out whether the water bodies in question involve the risk of infection from sewage water etc. (microbiological examination for the presence of faecal germs). Chemical parameters are of secondary importance. To obtain comparable results of investigation it will be necessary to elaborate examination methods that go beyond the formulations of the EC guideline and are well defined. Relevant suggestions have been made by an ad hoc working group of the Federal German coastland administrations. A special working team of the Federal Bathing Water committee is also engaged in finding a solution. Besides the examination methods themselves it is also important to pay attention to marginal conditions such as water depth, water renewal or standstill time etc. Of particular relevance are examinations of the site concerned (location, environment conditions etc.) Attention is drawn to the basic differences between assessing surface water from a hygienic and from an ecological point of view.

Bathing Beaches↗

[Analysis of formaldehyde in various chemical products for household use and in shampoos and bath liquids].

In the years 1987-1988 in cooperation with 34 Province Sanitary-Epidemiological Stations 938 samples of shampoos and bathing fluids were investigated, among them 40 imported shampoos, besides that 829 samples of chemical products for household use were analysed for the presence of formaldehyde. In the products which should not contain formaldehyde this compound was found in amounts from 0 to 50 mg/kg in 84.75% of shampoos and bathing fluids (77.18% of the samples contained no formaldehyde), 87.03% of fluids for washing of vessels, rinsing and softening of fabrics, and for washing or refrigerators (in 75.13% of these products formaldehyde was not found). The authors suggest that the permissible formaldehyde level for these products should be 50 mg/kg and should be accepted as contamination. In these products in which the permitted formaldehyde level was 0.1% already 99.12% of the samples was below that value.

Baths↗

A new treatment for ischemic ulcers: foot bath therapy using high oxygen soluble fluid.

We devised a new treatment for ischemic ulcer in which the diseased foot is soaked in perfluorodecalin, a fluorocarbon. Pure oxygen bubbles emerge from the perfluorodecalin, and dissolved oxygen levels reach 35% by volume within 60 minutes. The solution is placed in a bath once or twice a day for 2-3 hours and pure oxygen is allowed to bubble through it (3-5 1/min). Nine patients were treated by this technique. Drugs which seemed to have an effect on ischemic ulcers were not used during the treatment. Ischemic ulcers in three patients (5 X 5 mm, 23 X 6 mm and 10 X 5 mm) healed completely within two weeks and there were no recurrences. In six patients, the ulcers showed 30-70% reductions in size within 4 to 14 days. Four of them later underwent arterial reconstruction, which resulted in complete healing of the ulcers. In two patients, the ulcers reverted to their former size 6 to 12 months after the cessation of perfluorodecalin bath therapy.

Adult↗

[The diuretic effect of a bath. Study in healthy pregnant females and patients with edema and gestosis].

The effect of a 40 minute thermoneutral bath on diuretic function and blood volume in a total of 27 pregnant women (13 healthy and 14 pregnant women with edema rsep. EPH-gestosis) was investigated. In both groups water immersion led to a significant increase of urine flow, natriuresis, kaliuresis, osmotic and free water clearance. Plasma volume increased about 8-9%. The patients with gestosis showed a higher creatinine clearance. The same group also showed a higher osmotic clearance and relatively more sodium excretion. Regarding the flushing effect of bath, two mechanism of water immersion that originated in hydrostatic pressure have to be discussed-activation of renal functions and mobilisation of interstitial fluid.

Baths↗

The sauna and bathing in different countries.

Hot baths have been popular at different periods in different countries, although the sauna in Finland, has been popular for two thousand years. Bathing practices and the use of the sauna differ, though a common feature is inducing sweating followed by cooling off to create a sense of wellbeing. But in many places the sauna has been used to mask other practices, including those which pander to people's sexual appetites. It would be advantageous therefore for supporters and advocates of the sauna to try to correct the abuses.

Europe↗

Plasma concentrations after bath treatment and oral administration of trioxsalen.

An analytical method comprising homogenous extraction and determination by gas chromatography mass spectrometry has been developed for the quantitation of trioxsalen in plasma. The limit of sensitivity of the method has been 2 ng/ml of trioxsalen. The method was used to monitor concentrations of trioxsalen in plasma after a 40 mg oral dose or after trioxsalen bath treatment. The concentrations in plasma after oral administration did not exceed 3 ng/ml, while in 2 patients after bath treatment trioxsalen could be determined (2-3 ng/ml). The low plasma concentrations found throw light on the poor UV-sensitizing properties found after oral trioxsalen therapy.

Administration, Oral↗

[Complex medical rehabilitation of patients with rheumatic heart disease at the sanatorium stage using radon baths from a local source and homologous immunoglobulin].

The paper discusses the efficacy of rehabilitation of 108 patients with rheumatic fever with the use of radon baths, of them in 36 in conjunction with homologous immunoglobulin. The patients were treated in a local balneological hospital. Balneotherapy has been shown to have a beneficial effect on the humoral and cellular immune response, and on factors of the body non-specific resistance in patients with unstable clinicolaboratory characteristics after the treatment for protracted rheumocarditis with minimal activity and latent course. The number of relapses and intercurrent infections were found to be decreased, and the working ability to be improved. The most pronounced effect was recorded in a group of patients who received radon baths and homologous immunoglobulin.

Adult↗

[Clinico-psychological study of the functions of attention and memory in patients in the early recovery period after reconstructive surgery on the cerebral vessels and their dynamics during treatment with oxygen baths].

Using psychological methods memory and attention were examined in a control group (normal subjects) and in patients at the early rehabilitation period following reconstructive surgery on cerebral vessels before and after therapy with oxygen baths. The psychological methods of examination were found to be valuable in terms of both diagnosis and assessment of the time-course of the studied parameters at various stages of the treatment. The use of oxygen baths was shown to be effective in disorders of memory and attention.

Adult↗

Persistent neurological deficit precipitated by hot bath test in multiple sclerosis.

For a half century, the hot bath test has been used as a "diagnostic test" in multiple sclerosis. The appearance of new neurological signs or aggravation of preexisting signs generally is transient, with resolution on return of body temperature to normal. We have observed four patients, however, with considerable and prolonged neurological debilitation after hot bath testing. We suggest caution in the application of such testing.

Adult↗

Effect of rewarming at various water bath temperatures in experimental frostbite.

Studies have been conducted on 72 rats to determine the most suitable temperature at which rapid rewarming should be done as an immediate treatment for frostbite. Animals were put in a harness containing arrangements for warming the body. Their hind limbs were left out of the harness. They were then exposed to -15 degrees +/- 1 degrees C in a deep freeze for 60 min, during which paw temperature was recorded every 5 min. After this, the animals were taken out, the left hind limb was rapidly rewarmed in a water bath maintained at 35 degrees, 37 degrees, 39 degrees, 41 degrees, 43 degrees, or 45 degrees C for different batches and the right hind limb was left free for slow rewarming at room temperature (27 degrees -29 degrees C). The severity of cold injury in the two limbs was compared. The paw temperature showed a drop on cold exposure, followed by a rapid rise and then a second fall. The degree of injury was related to the duration of exposure after the rise in the paw temperature. The rapid rewarming was effective only at water bath temperature of 37 degrees-39 degrees C and was harmful at 45 degrees C. This shows that rewarming at about body temperature is most effective as immediate treatment for frostbite.

Animals↗

Effects of a postexercise sauna bath on ECG pattern and other physiologic variables.

In an attempt to determine the risk of sauna bathing after heavy exercise, the responses of 10 clinically normal adult males (mean age 44 years) were observed and recorded for 26 min. during recovery from a standard, heavy exercise task on two separate days. On one of the 2d, recovery was interrupted by a 10-min (min 6-16) exposure to intense, dry heat (70-74 degrees C, 3-6% R.H.). The higher heart rate and rectal temperature during the treatment (min 6-16) and post treatment (min 16-26) phases on the experimental day were indicative of the expected response to the heat stress. Systolic blood pressure did not differ on experimental and control days during either phase of recovery, while diastolic blood pressure decreased during the heat exposure. Double product was higher during treatment and post-treatment phases on the experimental day indicating an increased myocardial O2 need in response to the heat. ECG (CM5) changes were limited to increased J-point displacement during the treatment phase on the experimental day, with S-T segment flattening (0.08 s) in one case, and prolongation of the Q-T interval (corrected for rate) with reduction in T-wave amplitude. The prolongation of electrical systole and T-wave flattening were not observed during exercise at comparable and higher heart rates and may be associated with reduced subendocardial perfusion. We concluded that sauna bathing of short duration after exercise represents a tenable risk for clinically normal males.

Adult↗

[The effect of contrast baths on physical work capacity and autonomic regulation in hypertension patients].

Examining the impact of contrast baths (CB) having temperatures of 38-40 and 25-26 degrees C on the physical fitness, blood pressures, and autonomic regulatory parameters of patients with Stages I and II hypertensive disease has demonstrated that CB exerts a hypotensive effect, reduces the tonicity of the sympathetic nervous system, enhances physical fitness and saves oxygen for cardiac performance. The outcomes remained for 3-12 months. The findings provide evidence for that CB is a pathogenetic and effective hydrotherapeutic technique for patients with Stages I and II hypertensive disease. CB was ascertained to have a more pronounced action on the tonicity of the sympathetic nervous system, when it ends with a cool bath (25-26 degrees C), so it is mostly indicated for hypertensives with severe hypersympathicotonia.

Adult↗

[The role of carbonate mineral baths in the total health-resort treatment complex and the mechanisms of their effect on patients with ischemic heart disease who have had an aortocoronary bypass].

The data obtained by the authors demonstrate a favourable effect of effervescent baths on coronary heart disease patients who have undergone aortocoronary shunt. The baths have a training effect on the cardiac muscle, improve coronary circulation autoregulation and stimulate basic metabolism.

Baths↗