P. Cantista

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Pedro Cantista El termalismo del siglo XXI, medicina y entornossaludables. Capital salud COMO PLANIFICAR UM POLO TERMAL NOS DIAS DE HOJE? El termalismo del siglo XXI, medicina y entornos saludables. Capital salud Pontos fundamentais Construir o futuro mantendo a tradio(no descaracterizar a identidadade local) A gua Mineral Natural como elemento diferenciador (conservao dos aquferos, permetros de proteco) Estncia e Balnerio: locais de sade! (superviso mdica; ligao aos sistemas de sade- publicos ou privados; termalismo social) Implementar e divulgar a Medicina Termal(formao, especializao e investigao)No matar o termalismo clssico(preveno, tratamento e reabilitao) Incluir o termalismo de bem estar numa ptica de sade(promoo de sade, comportamentos de sade) Introduzir o Modelo ICF no termalismo (Organizao Mundial de Sade; factores circunstanciais so tambm teraputicos) Conservar / melhorar o contexto Termal(arquitectura, qualidade hoteleira, ambiente circundante, instalaes, equipamentos, recursos humanos, modelo operativo, certificao ISO) Defender o termalismo no campo jurdico (aqufero, ambiente, boas prticas, modelo operativo ICF MODEL UM EXEMPLO DE BOA INTGRAO DOS FACTORES CIRUNSTANCIAIS Unhais da Serra Tradio / Investigao A tradio termal d-nos uma base emprica sobre a qual devemos desenvolver uma aprofundada investigao em ordem ao atingimento do conhecimento cientfico Tradio histrica CALDAS DA RAINHAPORTUGAL XV century Evoluo cientfica Francisco da Fonseca Henriques, 1726 Realidade Termal Europeiana actualidade EuropeanSurvey Bender Tams; Cantista, Pedro European Survey: ResultsAccording to this survey performed among the delegates of the UEMS-PRM section, in which27 countriestook partBalneology and/or Medical Hydrology is officiallyrecognized in 68%of the countries.In19% of the countries it is a medicalspeciality In44%is considered a medicalcompetence In56%it isincluded in another medical specialities(e.g. PRM, Rheumatology, Dermatology).Medical units using thermal waterfor therapeutic purposes exist in76%and Reimbursementof costs by health insurances is possible in72%of the countries.Pedro Cantista Balneology in Europe Some countries dont recognize Hydrology as a medical disciplineThey dont accept its scientific characterEx: England, Scandinavian Countries Medical Education on Balneology In 56% of the European countries undergraduate medical education includes Balneology Post-graduate courses also exist.Research units exist in 48% of the countries. Pedro Cantista Research Evidences on Crenotherapy Methodology in Medical Hydrology Research Pedro Cantista Portugal,25-28 June2008 www.ismh08.org Opening Ceremony Water, science and culture Research and Evidence Thermal research suffered a decline in the second half of the 20th century. But these last years very acceptable investigations have been performed They concern the biological properties, the specificity, the security of thermo-mineral products and components as well as the clinical efficiency of spa therapy;in the international literature in these last ten years60 controlled clinical trialscan befound out of about300 papers Teaching Balneology in Europe Pedro Cantista Wider recognition Scientific evidence Publication of relevant papers Standardization DefinitionsGlossary Methodology Consensus Pedro CantistaTeaching Balneology in Europe Which contents should we include ? Definitions and concepts within Hydrology, Climatology, Health Resort Medicine, Health behaviour (diet, exercise, relaxation, social interaction) Therapeutic principles of Medical Hydrology and Climatology (physical, chemical, biological, psychological, sociological, environmental). The physiologic effects of water immersionThe physiologic effects ofmineral products (water, steam, gas, pelloids)Characteristicsand Classification of different mineral waters The main Hydrotherapy and Crenotherapy techniques The main complementary techniques The indications, non indications and contra indications of thermal treatments Knowing how to orientate a patient to a specific thermal station or program Pedro Cantista *TERMALISM UNIVERSITY FACULTIES PRE GRADUATE POST GRADUATE INDEPENDENT DISCIPLIN PORTO 2 1 1 1 LISBOA 2 - 1 - COIMBRA 1 1 1 - BRAGA 1 - - - COVILH 1 1 1* - TOTAL 7 3 3 1 What about the Future ? What do we already achived? Consensus GUTENBRUNNER C ,BENDER T ,CANTISTA P ,KARAGLLE Z A proposal for a worldwide definition of health resort medicine, balneology, medical hydrology and climatology .Int J Biometeorol. 2010 Jun 9 Thermal Certification EOQ. Developed byMVEurope ISO INTERNATIONALORGANIZATION FOR STANDARDS ORGANISATION INTERNATIONALE DE NORMALISATION Como poderemos ento idealizar um balnerio para o futuro? O exemplo de Vidago Vidago Hotel (1910) Remodelao actual Vidago Conference Centre(antigo balnerio) CMARA MUNICIPAL DE CHAVES Projecto novo balnerio termal FUNES E VALNCIAS Clinica (diagnstica, assistencial) Crenoterapica Pedaggica (formativa, educativa) CientficaCooperativa Cultural Social Turstica Outros pontos de interveno Proteco do recurso Sistemas de aduo e armazenamento Integrao da populao no projecto Hotelaria e Restaurao (dietas, exerccio) Renovao urbana nfase na Hidropinia e Pista Medicalizada Termas de Monte Real10 e 11 de Junho, 2011 PEDRO CANTISTA Thermal Treatments and Methodologies Hydropinia (oral intake / drinking)Variable dosesDifferent posologies Ears, nose, throat Irrigation Inhalation Nebulization Pulverization Enteric Gynecological DouchesJet douche Circle douchePulverization Douche massage Sub aquatic douche Imersion modalities Imersion modalities Steam Flebology Many others Peloids Psamitotherapy (sand) Radon CavetherapyMophetas Sauna Turkish Baths Massage Glossaries Christoph Kirschner (German-English) Maria ngeles Ceballos Hernansanz (Several Languages)

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