P. Cantista

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<ul><li> Pedro Cantista El termalismo del siglo XXI, medicina y entornossaludables. Capital salud</li></ul> <p> COMO PLANIFICAR UM POLO TERMAL NOS DIAS DE HOJE? El termalismo del siglo XXI, medicina y entornos saludables. Capital salud Pontos fundamentais </p> <ul><li>Construir o futuro mantendo a tradio</li></ul> <ul><li>(no descaracterizar a identidadade local) </li></ul> <ul><li>A gua Mineral Natural como elemento diferenciador </li></ul> <ul><li>(conservao dos aquferos, permetros de proteco) </li></ul> <ul><li>Estncia e Balnerio: locais de sade! </li></ul> <ul><li>(superviso mdica; ligao aos sistemas de sade- publicos ou privados; termalismo social) </li></ul> <ul><li>Implementar e divulgar a Medicina Termal</li></ul> <ul><li>(formao, especializao e investigao)</li></ul> <ul><li>No matar o termalismo clssico</li></ul> <ul><li>(preveno, tratamento e reabilitao) </li></ul> <ul><li>Incluir o termalismo de bem estar numa ptica de sade</li></ul> <ul><li>(promoo de sade, comportamentos de sade) </li></ul> <ul><li>Introduzir o Modelo ICF no termalismo </li></ul> <ul><li>(Organizao Mundial de Sade; factores circunstanciais so tambm teraputicos) </li></ul> <ul><li>Conservar / melhorar o contexto Termal</li></ul> <ul><li>(arquitectura, qualidade hoteleira, ambiente circundante, instalaes, equipamentos, recursos humanos, modelo operativo, certificao ISO) </li></ul> <ul><li>Defender o termalismo no campo jurdico </li></ul> <ul><li>(aqufero, ambiente, boas prticas, modelo operativo </li></ul> <p> ICF MODEL UM EXEMPLO DE BOA INTGRAO DOS FACTORES CIRUNSTANCIAIS Unhais da Serra Tradio / Investigao </p> <ul><li>A tradio termal d-nos uma base emprica sobre a qual devemos desenvolver uma aprofundada investigao em ordem ao atingimento do conhecimento cientfico </li></ul> <p> 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: Results</p> <ul><li>According to this survey performed among the delegates of the UEMS-PRM section, in which27 countriestook part</li></ul> <ul><li>Balneology and/or Medical Hydrology is officiallyrecognized in 68%of the countries.</li></ul> <ul><li>In19% of the countries it is a medicalspeciality </li></ul> <ul><li>In44%is considered a medicalcompetence </li></ul> <ul><li>In56%it isincluded in another medical specialities(e.g. PRM, Rheumatology, Dermatology).</li></ul> <ul><li>Medical units using thermal waterfor therapeutic purposes exist in76%and </li></ul> <ul><li>Reimbursementof costs by health insurances is possible in72%of the countries.</li></ul> <p>Pedro Cantista Balneology in Europe </p> <ul><li>Some countries dont recognize Hydrology as a medical discipline</li></ul> <ul><li>They dont accept its scientific character</li></ul> <ul><li>Ex: England, Scandinavian Countries </li></ul> <p> Medical Education on Balneology </p> <ul><li>In 56% of the European countries undergraduate medical education includes Balneology </li></ul> <ul><li>Post-graduate courses also exist.</li></ul> <ul><li>Research units exist in 48% of the countries. </li></ul> <p>Pedro Cantista Research </p> <ul><li>Evidences on Crenotherapy </li></ul> <ul><li>Methodology in Medical Hydrology Research </li></ul> <p>Pedro Cantista Portugal,25-28 June2008 www.ismh08.org Opening Ceremony </p> <ul><li>Water, science and culture </li></ul> <p> Research and Evidence </p> <ul><li>Thermal research suffered a decline in the second half of the 20th century. </li></ul> <ul><li>But these last years very acceptable investigations have been performed </li></ul> <ul><li>They concern the biological properties, the specificity, the security of thermo-mineral </li></ul> <ul><li>products and components as well as the clinical efficiency of spa therapy;</li></ul> <ul><li>in the international literature in these last ten years60 controlled clinical trialscan befound out of about300 papers </li></ul> <p> Teaching Balneology in Europe Pedro Cantista </p> <ul><li>Wider recognition </li></ul> <ul><li>Scientific evidence </li></ul> <ul><li>Publication of relevant papers </li></ul> <ul><li>Standardization </li></ul> <ul><li>Definitions</li></ul> <ul><li>Glossary </li></ul> <ul><li>Methodology </li></ul> <ul><li>Consensus </li></ul> <ul><li>Pedro Cantista</li></ul> <p>Teaching Balneology in Europe Which contents should we include ? </p> <ul><li>Definitions and concepts within Hydrology, Climatology, Health Resort Medicine, Health behaviour (diet, exercise, relaxation, social interaction) </li></ul> <ul><li>Therapeutic principles of Medical Hydrology and Climatology (physical, chemical, biological, psychological, sociological, environmental). </li></ul> <ul><li>The physiologic effects of water immersion</li></ul> <ul><li>The physiologic effects ofmineral products (water, steam, gas, pelloids)</li></ul> <ul><li>Characteristicsand Classification of different mineral waters </li></ul> <ul><li>The main Hydrotherapy and Crenotherapy techniques </li></ul> <ul><li>The main complementary techniques </li></ul> <ul><li>The indications, non indications and contra indications of thermal treatments </li></ul> <ul><li>Knowing how to orientate a patient to a specific thermal station or program </li></ul> <p>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 </p> <ul><li>INTERNATIONAL</li></ul> <ul><li>ORGANIZATION FOR STANDARDS </li></ul> <ul><li>ORGANISATION INTERNATIONALE DE NORMALISATION</li></ul> <p> 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 </p> <ul><li>Clinica (diagnstica, assistencial) </li></ul> <ul><li>Crenoterapica </li></ul> <ul><li>Pedaggica (formativa, educativa) </li></ul> <ul><li>Cientfica</li></ul> <ul><li>Cooperativa </li></ul> <ul><li>Cultural </li></ul> <ul><li>Social </li></ul> <ul><li>Turstica </li></ul> <p> Outros pontos de interveno </p> <ul><li>Proteco do recurso </li></ul> <ul><li>Sistemas de aduo e armazenamento </li></ul> <ul><li>Integrao da populao no projecto </li></ul> <ul><li>Hotelaria e Restaurao (dietas, exerccio) </li></ul> <ul><li>Renovao urbana </li></ul> <ul><li>nfase na Hidropinia e Pista Medicalizada </li></ul> <p> Termas de Monte Real10 e 11 de Junho, 2011 PEDRO CANTISTA Thermal Treatments and Methodologies Hydropinia (oral intake / drinking)</p> <ul><li>Variable doses</li></ul> <ul><li>Different posologies </li></ul> <p> Ears, nose, throat </p> <ul><li>Irrigation </li></ul> <ul><li>Inhalation </li></ul> <ul><li>Nebulization </li></ul> <ul><li>Pulverization</li></ul> <p> Enteric Gynecological Douches</p> <ul><li>Jet douche </li></ul> <ul><li>Circle douche</li></ul> <ul><li>Pulverization </li></ul> <ul><li>Douche massage </li></ul> <ul><li>Sub aquatic douche </li></ul> <p> Imersion modalities Imersion modalities Steam Flebology Many others </p> <ul><li>Peloids </li></ul> <ul><li>Psamitotherapy (sand) </li></ul> <ul><li>Radon </li></ul> <ul><li>Cavetherapy</li></ul> <ul><li>Mophetas </li></ul> <ul><li>Sauna </li></ul> <ul><li>Turkish Baths </li></ul> <ul><li>Massage </li></ul> <p> Glossaries Christoph Kirschner (German-English) Maria ngeles Ceballos Hernansanz (Several Languages) </p>