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[Psoriasis and mud bath therapy: clinical-experimental study].

OBJECTIVE: The psoriasis is chronic disease characterized from an acceleration of the kinetic of the cells of epidermis. To front of the empirical evidence of the benefits of the thermal therapy in the psoriasis, the experimentals-clinics studies is insufficient. The aim of research it has been that of quantify the benefits of the mud-bath therapy with mineral water in the psoriasis. PATIENT AND METHODS: The study has been channel on a champion of 30 subjects of which 19 of male sex and 11 of female sex with middle equal age to 56 years +/- 5.3 affected from psoriasis. The subjects of the examined champion have been divided to random in 2 groups: A and B. The group A has been treated with drugs used for psoriasis for 12 days; the B group has been treated, always for 12 consecutive days, with mud-bath therapy (FBT) with mineral water obtained from the mineral sources (chlorinate-sulphureous-bicarbonate) of the Spa of Stabia in Castellammare (NA). To the beginning and at the end of the advised treatments has been valued the prurient symptomatology and the PASI (Psoriasis and Severity Index). RESULTS: The data highlight an significant (P < 0.05) reduction is of the prurient symptomatology and of the PASI in both the groups considered. CONCLUSIONS: The results of this first step of investigations seems to highlight that the FBT treatment, to the same way of the drugs anti-psoriasis, results useful in the ameliorate the quality of life of these patients.

Anti-Inflammatory Agents↗

[Water fungi occurence in the River Supraśl-bath Jurowce near Białystok].

Studies on the occurrence of aquatic fungi in the bathing sites of the Supraśl River in Jurowce village were collected in years 2000-2003. Hydrochemical analysis was performed using standard methods. Bait method was used to isolate the fungi. In the Supraśl River at Jurowce village 36 fungi species were identified, among them fish pathogens Achlya orion, Aphanomyces laevis, Dictyuchus monosporus, Saprolegnia ferax, Saprolegnia monoica, S. parasitica, human pathogens Aspergillus flavus, Candida albicans, Lagenidium humanum, Penicillium mycetomagenum, Rhizophydium keratinophilum and Trichosporon cutaneum, phytopathogens Achlya racemosa, Phytophthora gonapodoides, Pythium butleri, P. myriotylum and P. debaryanum. Physicochemical parameters of waters in Supraśl River-bathing sites had no important effect on the occurrence of fungi.

Animals↗

Dead Sea bath salts for the treatment of rheumatoid arthritis.

Thirty patients with classical or definite rheumatoid arthritis were randomly divided into two groups of fifteen patients each of similar age, sex, duration and severity of disease, and medical treatment. All patients were treated once a day with bath salts heated to 35 degrees C for twenty minutes. Group I received Dead Sea bath salts and Group II, the control group, received sodium chloride (NaCl). The study was double-blind and of two weeks' duration. All patients were evaluated by one rheumatologist both before treatment, and two weeks later at the end of the treatment period. Follow-up evaluations were made one and three months after conclusion of the treatments. The clinical parameters evaluated included duration of morning stiffness, fifteen meter walk time, hand-grip strength, activities of daily living, circumference of proximal interphalangeal joints, number of active joints, Ritchie index and the patient's own assessment of disease activity. The laboratory parameters evaluated included erythrocyte sedimentation rate and serum levels of amyloid A, rheumatoid factor, sodium, potassium, calcium and magnesium. A statistically significant improvement (p less than 0.01 or p less than 0.05) was observed in Group I only, in most of the clinical parameters assessed. Maximal therapeutic effect was obtained at the end of the treatment and lasted up to one month.

Arthritis, Rheumatoid↗

Research of enterovirus, hepatitis A virus in a bathing area over a six month period and their salubrity impact.

Cell-culturable enterovirus and HAV levels in the effluent of a treatment plant were compared with those near the effluent outfall and in a neighbouring bathing area over a period of six months. Enteroviruses were found in all effluent samples, whereas only three contained HAV. No viruses were detected near the outfall nor in the bathing area. Despite the low impact of this scenario on human health, the view is expressed that the potential risk posed by the discharge of viruses from treatment plants must not be underestimated, since there is ample evidence that HAV can be epidemiologically transmitted via the consumption of shellfish.

Enterovirus↗

The biosynthesis and assembly of protein A of soluble methane monooxygenase of Methylococcus capsulatus (Bath).

Protein A of soluble methane monooxygenase (EC 1.14.13.25) of Methylococcus capsulatus (Bath) is the hydroxylase component of the enzyme complex, capable of inserting an atom of oxygen into methane. The protein possesses an unusual non-heme iron center consisting of two mu-hydroxo-bridged antiferromagnetically coupled iron atoms. It was possible to remove the iron center of protein A by subjecting the protein to freeze/thaw cycles or by dialysis against 8-hydroxyquinoline. Incubation of iron-depleted protein A with iron-EDTA and dithiothreitol resulted in the reassembly of the iron center of protein A as judged by restoration of enzyme activity (typically approximately 3 times the original activity) and by ESR spectroscopic methods. Reconstitution was inhibited by a number of metal ions, but none of the metals tested proved capable of replacing iron in the oxidation of methane. A number of iron-chelating agents exhibited weak inhibition of reconstitution. The KM(app) for iron in the reconstitution reaction was 133 microM. In vitro translation of total RNA isolated from M. capsulatus (Bath) produced protein A subunits equal to the native molecular weight, suggesting that there is no precursor form of this protein. Addition of the in vitro translated protein A to the reconstitution system resulted in low levels of hydroxylase activity suggesting that the subunits of protein A are self-assembling, a supposition supported by the presence of only one protein band on nondenaturing gels. Taken together, these data suggest that the subunits of protein A are synthesized in their native, mature form and self-assemble into an apoprotein A, into which the iron center is inserted.

Cations, Divalent↗

[Paraplegia due to sports and bathing accidents (author's transl)].

An analysis of 2346 paraplegics treated in the Heidelberg University orthopaedic hospital showed that 194 of the lesions (= 8,3%) were caused by accidents during sports and bathing. Of 123 bathing accidents, 98.4% produced a lesion of the cevical part of the medulla, the site of paresis being mostly below C 5 or C 6. The predominant accident mechanism of the most frequently occurring luxation fractures was hyperextension and hyperflexion. 71 of the 194 cases (= 36,6%) were genuine sports accidents. 35 cases of tetraplegia occured preferably during gymnastics, jumping on the trampoline, and high-tower diving, whereas 36 paraplegias were due to accidents during riding, skiing and mountaineering. Flexion and compression fractures mainly concern the pelvic region of the vertebral column. Only 4 of the 194 injured patients (= 2.1%) died as a result of their accident.

Adolescent↗

Effects on handgrip strength due to arm immersion in a 10 degree C water bath.

Thirteen male and female human subjects participated in an experiment to determine if cold water immersion of the arm increases post-immersion handgrip strength. The test involved immersion of a subject's fore-arm into a 10 degrees C water bath for 30 min once a week in a 3-week series, involving a control test and two immersion experiments. Handgrip strength was measured 20 min before and then once every 20 minutes after the cold bath immersion for 4 h, for a total of 18 readings. Grip strength significantly decreased as a consequence of immersion of the forearm. However, strength recovery to approximately normal values took place within 40 min. No increases in post-immersion strength were observed.

Adult↗

Denervation supersensitivity to norepinephrine in the guinea-pig vas deferens in vivo and in vitro: influence of the bathing solution.

After seven days of denervation there was a 10.7-fold increase in sensitivity without a significant alteration of the maximum response to norepinephrine (NE) in the guinea-pig vas deferens, in vivo. On the second postoperative day there was a significant increase in sensitivity and a decrease of the maximum response to NE in experiments performed in vivo. In the isolated guinea-pig vas deferens, immersed in Kreb's-Henseleit solution, an increased sensitivity to NE was demonstrable after two and seven days of denervation. However, an increased maximum response to NE was demonstrable only after seven days of denervation. Using McEwen solution there was no significant increase in the maximum response to NE in the seven-days denervated guinea-pig vas deferens. Slight alterations of the ionic composition of the physiological salt solutions prevented the demonstration of denervation-induced augmentation of the maximum response to NE in the isolated guinea-pig vas deferens. The characteristics of cocaine-induced supersensitivity to NE in the isolated guinea-pig vas deferens did not differ in vivo and were not affected by small changes in the ionic composition of the bathing solution. The absence of a postjunctional component of denervation supersensitivity to NE in the guinea-pig vas deferens, in vivo, is suggested. Furthermore, the demonstration of the postjunctional component of denervation supersensitivity to NE in the isolated guinea-pig vas deferens appears to be dependent of the composition of the bathing solution used.

Animals↗

A new approach to defining disease status in ankylosing spondylitis: the Bath Ankylosing Spondylitis Disease Activity Index.

OBJECTIVE: Disease status, in terms of disease activity, disease progression and prognosis is difficult to define in ankylosing spondylitis (AS). No gold standard exists. Therefore, the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), a self-administered instrument, has been developed as a new approach to defining disease activity in patients with AS. METHODS: The index, designed by a multidisciplinary team with input from patients, consists of six 10 cm horizontal visual analog scales to measure severity of fatigue, spinal and peripheral joint pain, localized tenderness and morning stiffness (both qualitative and quantitative). The final BASDAI score has a range of 0 to 10. The index was distributed to a cross section of patients, including inpatients receiving 3 weeks of intensive physiotherapy treatment and hospital outpatients. BASDAI was completed by a total of 154 patients. Validation of the new instrument was achieved through analysis of user friendliness, reliability (consistency), score distribution and sensitivity to change. Comparisons were made with a previous Bath disease activity index (DAI) and the Newcastle Enthesis Index. RESULTS: The BASDAI was found by patients to be quick and simple to complete (mean: 67 s). Test-retest reliability was good (r = 0.93; p < 0.001), as was the distribution of scores across the scale (score range: 0.5-10; mean: 4.31). BASDAI was sensitive to change, reflecting a 16% (mean) improvement in inpatient scores after 3 weeks of treatment. It is superior to the DAI in terms of construct and content validity and to the Enthesis Index in all aspects. CONCLUSION: In summary, BASDAI is user friendly, reliability, sensitive to change and reflects the entire spectrum of disease. It is a comprehensive self-administered instrument for assessing disease activity in AS.

Data Interpretation, Statistical↗

[Dead Sea bath salts for osteoarthritis of the knee].

26 patients with osteoarthritis of the knees were randomly divided into 2 groups of 13 each with patients of similar ages, sex distribution and duration and severity of disease. All were treated with daily baths at 34-35 degrees C for 20 min. containing Dead Sea bath salts (Group I) or sodium chloride (Group II). The study was double-blind and of 2 weeks duration. Patients were evaluated by a rheumatologist before, at the end of treatment and 1 month later. Clinical parameters evaluated included index of severity of osteoarthritis, patient's assessment of disease severity, range of movement of knees, soft tissue swelling, effusion and crepitus. There was significant improvement in the index of severity of osteoarthritis at the end of the treatment in both groups (p < 0.01). 1 month later, in Group I the significance of the index was still p < 0.01, but p < 0.05 in Group II. Patient's assessment of improvement was significant only in Group I at the end of the treatment period (p < 0.01). There was no statistical improvement in either group in the other parameters assessed.

Balneology↗

[Formaldehyde determination in shampoos, bath preparations and dish washing liquids by colorimetric methods].

In the years 1992-1993 in cooperation with Province Sanitary-Epidemiological Stations 2415 samples of shampoos and bath preparations for adults and children as well as of dish washing liquids, imported and produced in Poland, were analysed. The colorimetric method either with the chromotropic acid or acetylacetone was used. Among polish preparations, only in 6% samples of cosmetic products for children the level of formaldehyde exceeded permitted level of 50 mg/kg. In all cosmetic products for adults as well as in all samples of dish washing liquids the content of formaldehyde was below permitted level 500 mg/kg. Among imported products, 40% of samples of cosmetics for children, 3%--for adults and 2% of dish washing liquids revealed formaldehyde level above permitted values. It is advisable to determine periodically formaldehyde content in particular cosmetic products, such as shampoos and bath preparations, mainly used by children.

Adult↗

Determination of chromium and nickel in commercial foam bath products by ETA-AAS.

The presence of some inorganic elements, such as Ni and Cr in cosmetic products could be responsible for some skin diseases, such as allergic dermatitis. This paper deals with the determination of these two elements in commercial samples of foam bath products by means of the ETA-AAS technique. Four different analytical procedures for sample digestion are evaluated and discussed. Results indicated that the high-pressure microwave digestion is the best procedure for treatment of the complex matrices considered in the study. Chromium values were in the range of 22-199 micrograms/kg, whereas those of nickel fell within the range 26-287 micrograms/kg. The detection limit (3 sigma) of the whole procedure was 3 micrograms/kg for Cr and 15 micrograms/kg for Ni. The analytical data demonstrated that both Ni and Cr were present in all the samples at very low concentrations, and that foam bath products are a relatively minor source of exposure to these elements.

Chromium↗

Safety of milbemycin as an oral or bath treatment for the tropical freshwater angelfish Pterophyllum scalare.

Technical grade milbemycin (A3-A4 oxime) was formulated in propylene glycol to produce a stock concentration of 5.0 mg/ml. Groups of six pond-reared freshwater angelfish (Pterophyllum scalare) randomly housed in 32-L aquaria were exposed to milbemycin by prolonged bath at 63, 125, and 188 PPB or by its incorporation into their gelatinized food at 2.5 mg or 5.0 mg/100 g food, which they were fed ad lib. for 1 day. Control fish were exposed to a prolonged bath (24 hr without charcoal filtration) of 0.8 ml propylene glycol/32 L water, were given gelatinized food incorporating 1 ml propylene glycol/100 g food ad lib. for 1 day, or were untreated (no propylene glycol exposure). All fish treated at 188 PPB and the smallest individuals from the 63- and 125-PPB aquaria died. Other fish at 125 PPB exhibited transient lethargy and increased opercular movement but recovered within 24 hr. No deleterious effects were noted in the fish given milbemycin orally. Pretreatment parasitic nematode infection rate, evaluated by gut dissection of 16 randomly selected fish, was 68.75%. Identification of nematodes to species was not performed. No significant differences in infection rates between treated and untreated groups were detected.

Administration, Oral↗

[Drainage-bathing system in surgical treatment of soft tissue and bones purulent diseases].

For the last 10 years 5531 patients were operated on in clinic for purulent inflammatory diseases of soft tissues and bones, 1609 of them being treated by the routine open method with the drainage of purulent cavity and gauze tampons, rubber tubes and wicks (turundae) and 3922 patients being operated on with the use of drainage bathing system (DBS) and primary sutures of the wound. The use of an active, closed surgical method of treatment, including thoroughly done intraoperative necrectomy, the application of DBS of through, opposite or T-shaped construction as well as postoperative dropping or flowing fractional bathing of residual cavity by antiseptic solutions reduced the terms of treatment 2-3 times, comparing to the standard (open) method with good functional and cosmetic results.

Anti-Infective Agents, Local↗

[History of healing; bath treatment as psychiatric therapy (1900-1950)].

During the first decade of the twentieth century the prolonged bath treatment was introduced as a therapy for restless patients in Dutch psychiatric institutions. They were kept for hours or days at a stretch in lukewarm water, in order to calm them down. It became a common treatment, which nevertheless was gradually replaced by occupational therapy. The rise of psychopharmacology during the fifties of this century marked the end of the prolonged bath treatment.

History, 20th Century↗

Psychotherapy in primary care: the BATHE technique.

The family physician occupies a front-line position in the detection and treatment of emotional problems and psychiatric illnesses. The practice pattern of the family physician necessitates an efficient, effective model of psychotherapy The BATHE technique is a brief psychotherapeutic method that addresses the patient's background issues, affect and most troubling problem. The emphasis of the interview then shifts to how the patient is handling the problem and a demonstration of empathy by the physician. Some of the challenges in psychotherapy are presented, and cases in which the BATHE technique was used are described.

Humans↗

[Influence of removal of Na from the bath solution on the antispasmodic actions of isoproterenol and papaverine, with special reference to their relations to Ca (experiments using the isolated rat rectum)].

Influence of the Na removal from bath solution on the antispasmodic actions of isoproterenol and papaverine against the phasic contractions by K and acetylcholine were investigated in relation to the mobilization of Ca in isolated rectal strip from the rat. Effect of the Na removal on the uptake of intracellular Ca into storage sites was also examined. The Na removal attenuated the inhibitory actions of isoproterenol and papaverine on the release of Ca, whereas the Na removal did not affect the inhibitory action of isoproterenol on Ca influx and that of papaverine on the response of the muscle contractile elements. Furthermore, the Na removal inhibited the uptake of intracellular Ca into storage sites. Thus, it is suggested that isoproterenol and papaverine may generate the inhibitory action on the release of Ca by accelerating Ca uptake into storage sites, therefore the antispasmodic actions of these agents are depressed by the deprivation of Na from the bath solution which attenuates the Ca uptake.

Acetylcholine↗