Wartość krajobrazu dla rozwoju turystyki w uzdrowiskach Bernat, Sebastian
Annales Universitatis Mariae Curie-Skłodowska. Sectio B. Geographia, geologia, mineralogia et petrographia,
09/2018, Volume:
72, Issue:
2
Journal Article
Peer reviewed
Open access
Celem badań, których wyniki zaprezentowano w artykule było rozpoznanie relacji krajobraz - turystyka w miejscowościach uzdrowiskowych. Szczególną uwagę zwrócono na przestrzeń publiczną, która w ...ostatnich latach zmienia się głównie poprzez działania określane jako rewitalizacja. Artykuł oparto na analizie literatury, dokumentów źródłowych (ustawa, raporty, programy rewitalizacji, plany rozwoju) i stron internetowych oraz na obserwacjach terenowych. Dodatkowo odwołano się do sondażu diagnostycznego z wykorzystaniem kwestionariuszy ankiety skierowanych do przedstawicieli samorządów lokalnych gmin/miejscowości uzdrowiskowych oraz do studentów UMCS i słuchaczy Uniwersytetu Trzeciego Wieku w Lublinie. Stwierdzono, że poprzez działania rewitalizacyjne zwiększyła się atrakcyjność uzdrowisk. Bardzo ważnym elementem krajobrazu o właściwościach terapeutycznych są parki zdrojowe. Konieczne jest zatem wykorzystanie istniejącego w nich potencjału dla rozwoju turystyki.
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IZUM, KILJ, NUK, PILJ, PNG, SAZU, UL, UM, UPUK
The aim of the study was to show selected aspects of commercial offer of health resort facilities in Poland. The special attention was given to profile treatment, health services, average prices, ...additional offer of health and other services, including SPA&wellness as well as business services. The analysis of health resort treatment in 2010-2013 was conducted with special attention given to number of health resort facilities in general and by voivodeships. The activity of health resort facilities was presented in quantitative approach using number of inpatients including self-pay inpatients as well as number of beds in health resort facilities.
Background. Rehabilitation of patients with chlamydial spondyloarthritis (CSA) under the conditions of the health resort remains undeveloped, there are not enough data to elucidate the mechanism of ...natural and preformed physical factors in such category of patients, the criteria for the effectiveness of rehabilitation measures not yet defined. The objective of the study: to evaluate the results of treatment in patients with CSA in a Slaviansk balneological health resort. Materials and methods. The research included 117 patients, who were treated at the rheumatological clinic, and then underwent rehabilitation in health resort, which has continental sulfide lake muds and brines with highly mineralized chloride-sodium composition. Among the patients under the study, there were 61 % of males and 39 % of females with an average age of 35 years. Both genders did not differ in the duration of illness (median of 7 years) and the degree of activity of the pathological process. Seropositivity for rheumatoid factor is detected in 2 % of patients, and by the presence of antibodies to cyclic citrulline peptide — in 70 %. During the resort stage, in 91 % of cases of СSA, Chlamydia trachomatis was found in prostatic secretions, scrapings from the urethra, cervix, vaginal walls, 83 % reported positive serological tests for chlamydial infection. Results. Analysis of the results showed that in 3 % of cases the effect was absent, in 14 % there was a slight improvement, in 50 % — an improvement and in 33 % — a significant improvement. The effectiveness of sanatorium stage of rehabilitation for women was higher, and due to increasing degree of disease activity, the positive results were getting worse. A significant adverse effect on the efficiency of sanatorium and health resort treatment activity has the presence of sacroiliitis and cardiac pathology in patients. Differences in the effectiveness of rehabilitation of patients depends on the types of the autonomic (vegetative) neural system (“vegetative passport”), in particular, in comparing eutonics and sympathotonics, sympathotonics and vagotonics. Prior drug treatment did not affect the results of the health resort rehabilitation of patients, a correlation between the effectiveness of treatment of patients in the hospital and nursing home was not revealed. The results of rehabilitation of patients with CSA were affected by the use of the sulfosalicylate in sanatorium. There was noted the influence of drugs on the effect of baths and laser beams, but a correlation with the concurrent use of drugs for peloids effects or electric and magnetic fields was not found. Mud baths caused an increased efficiency due to electroprocedures and peloids, besides, were further intensifying magnetic field’s effect. Health resort mud treatment exceeded the efficiency of balneoprocedures. Thus, in 7 % of patients treated with the bath, there was no effect, 25 % has a slight improvement, 32 % — an improvement and 36 % — a significant improvement. In turn, peloidotherapy gave positive results in all cases, and in 8 % a slight improvement was established, in 55 % — an improvement and in 37 % — a significant improvement. Meanwhile, in patients, who received baths, there was a higher degree of the pathological process activity. We emphasize that in terms of such indicators, as joint index, the severity of tendovaginitis, enthesopathies, spondylopathies, sacroiliitis, urogenital, eye, skin and heart lesions, patients, who received peloids and bath treatment, are not much different among themselves. Any specific contraindications for CSA patients’ staying in balneological health resort have not been established. Conclusions. In CSA, the positive results of rehabilitation of patients is higher for women, and the effectiveness of sanatorium and health resort treatment depends on the presence of sacroiliitis and cardiomyopathy and is reduced in patients with left ventricular hypertrophy and its systolic dysfunction, but can be enhanced by the concomitant administration of sulfasalazine. There is the connection between the effect of rehabilitation and the use of natural and preformed physical factors, which are potentiating their interaction, and besides, electroprocedures are advisable to use in parallel peloids or baths, but in case of magnetic field — only with mud therapy.
Wstęp: Schorzenia narządu głosu zajmują 3 miejsce wśród rozpoznawanych chorób zawodowych w Polsce. Nadal istnieje potrzeba wdrażania skutecznych i ekonomicznych metod prewencji pierwotnej i wtórnej ...zaburzeń głosu u nauczycieli. Celem pracy była ocena skuteczności kompleksowej rehabilitacji głosu u nauczycieli prowadzonej w warunkach szpitala uzdrowiskowego. Materiał i metody: Przedstawiono wyniki kompleksowej rehabilitacji głosu przeprowadzonej podczas 24-dniowego turnusu sanatoryjnego u 100 lek ze pracy 10-30 lat (M = 17 lat). W pierwszym i ostatnim dniu turnusu wykonano badania laryngologiczne i foniatryczne czas fonacji (maximum phonation time - MPT), ocenę percepcyjną głosu w skali GRBAS, badanie laryngowideostroboskopowe, analizę akustyczną głosu, wypełnienie Kwestionariusza samooceny głosu (Voice Handicap Index - VHI), ocenę logopedyczną i audiometrię tonalną. W zakres programu terapeutycznego wchodziły: zajęcia edukacyjne dotyczące higieny głosu, terapia głosu, fizjoterapia i psychoterapia. Efekty rehabilitacji sanatoryjnej pacjenci oceniali również w badaniu ankietowym. Wyniki: Stwierdzono poprawę obiektywnych parametrów akustycznych, oceny percepcyjnej głosu, samoceny głosu VHI i MPT. Zmiany w sposobie fonacji potwierdzono w badaniu laryngowideostroboskopowym, w którym obserwowane zwarcie fonacyjne poprawiło się znamiennie u 30% badanych. W ankiecie oceniającej korzyści z sanatoryjnej rehabilitacji głosu 97% uczestników potwierdziło skuteczność i celowość okresowego powtarzania takiej rehabilitacji. Wnioski: Wyniki przedstawionych badań i pozytywne oceny uczestników rehabilitacji sanatoryjnej potwierdzają skuteczność sanatoryjnej terapii zawodowych zaburzeń głosu. Leczenie i rehabilitacja w formie stacjonarnej powinny zmierzać do poprawy głosu oraz kontynuacji pracy zawodowej. Tak ukierunkowane postępowanie może przyczynić się do zmniejszenia nakładów finansowych związanych z leczeniem, urlopami dla poratowania zdrowia i rentami zawodowymi. Med. Pr. 2021;72(4):399-405
Lymphedema is a chronic and progressive disorder of the lymphatic system that impairs the return of lymphatic fluid. Breast cancer treatment can cause breast cancer-related lymphedema (BCRL), with ...axillary lymph node dissection and regional lymph node radiation being established risk factors. BCRL can cause severe morbidity, disability, and reduced quality of life. Early detection and treatment are essential to prevent the disease from progressing and causing complications. According to the International Society of Lymphology, complex decongestive therapy (CDT) is the most effective conservative treatment for lymphedema. Aquatic exercise is a safe and effective form of therapeutic CDT exercise that can improve joint range of motion, reduce pain, and positively impact limb volume. Additionally, health resort medicine and thermal mineral-rich waters may provide synergistic benefits for therapeutic exercise programs. Therefore, we believe that consideration should be given to whether the spa setting could represent a viable alternative for the rehabilitation of BCRL patients.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
The scientific paradigm of exploring health resort towns’ municipal economies is just emerging and becomes a relevant research issue, because the problems of maintaining, promoting and restoring ...population health have been gaining particular significance recently. The paper aims to generalise about and systematise the scientific heritage concerning the factors behind and conditions of appearance, as well as peculiarities of economic structure and dynamics of urban settlements, the principal function of which is providing health resort services. The methodological basis of the research rests on an interdisciplinary approach that combines the achievements of economic and social geography (principles underlying the typology of settlements), economic sociology (theory of the consumer society), and municipal science (municipal economics as its main part). The research benefits from methods of systematisation and formalisation, bibliometric analysis and content analysis. As a result, the study explicates the scientific paradigm of the research of health resorts’ municipal economies and exemplifies it by the case of Russia’s urban districts; identifies essential characteristics of the concept “urban district of a health resort type”; and justifies the peculiarities of functioning and transformation of municipal economies of health resort towns. The said peculiarities include special infrastructure, high degree of specialisation, distinct seasonality of municipal economy, dependence of business activities on the characteristics of the arriving population. The theoretical and methodological findings allow organising scientific achievements in the field of functioning and transformation of the municipal economies of health resort towns and outlining the directions for further exploration to complete the paradigmatic foundations and determine the key predictors of the future dynamics and economic growth.
Kilkanaście miejscowości w Polsce od kilku lat czyni starania o uzyskanie statusu uzdrowiska. Wiąże się to nie tylko z ograniczeniami w prowadzeniu działalności gospodarczej, wynikającymi z ...konieczności zachowania wysokiej jakości środowiska, lecz także przynosi gminie określone korzyści materialne i pozamaterialne. To właśnie ze względu na korzyści status uzdrowiska coraz częściej staje się statusem pożądanym przez wiele gmin mających walory uzdrowiskowe. Celem badań, których wyniki przedstawiono w niniejszym artykule, było rozpoznanie stanu i możliwości rozwoju funkcji uzdrowiskowej na obszarach wiejskich w Polsce. W szczególności zwrócono uwagę na przykład województwa lubelskiego, będącego peryferyjnym regionem Unii Europejskiej. W tym celu przeanalizowano wybrane dokumenty planistyczno-strategiczne gmin typowanych jako potencjalne uzdrowiska w Planie Zagospodarowania Przestrzennego Województwa Lubelskiego. Ważną rolę odegrało studium przypadków na tle prezentacji kontekstu rozwoju uzdrowisk w Polsce, oparte na literaturze, aktach prawnych i danych GUS.
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The aim of this paper is to present an overview of protected areas in Polish seaside
spa towns in order to preserve their nature value while focusing on the spatial
order. Analyses were conducted ...considering the status of works on the Landscape
Act concerning the interior of Polish spa towns and advantageous effects of that
Act in the town space. This review paper presents protected areas based on the
resources of the Central Register of Nature Conservation Forms (Centralny Rejestr
Form Ochrony Przyrody CRFOP) available at the website of the General Directorate
for Environmental Protection (Generalna Dyrekcja Ochrony Środowiska GDOŚ),
which data may find multiple uses. The material for analyses is related to all the
six Polish seaside spa towns (as for 01.2020). Polish seaside spa towns have
many common natural characteristics. All of the six towns are located on the
Baltic Sea, have sandy beaches and dunes and they are situated in the vicinity
of protected areas. Frequently a green belt, typically a pine forest, separates the
seaside zone from the town. Despite its very long seaside line Poland in 2019 has
only six seaside spa towns (Kołobrzeg, Świnoujście, Sopot, Kamień Pomorski,
Ustka, Dąbki).
After the resolution of the acute SARS-COV-2 infection, an important percentage of patients do not fully recover and continue to present several symptoms. Nevertheless, there is a lack of data in the ...literature on the effects of rehabilitation programs on medium- and long-term long COVID symptoms. Therefore, the aim of this study was to evaluate the long-term outcomes after rehabilitation programs in long COVID syndrome patients. A prospective cohort study was conducted from August 2021 to March 2022, involving 113 patients with long COVID syndrome. The patients in the experimental group (EG, n=25) received a tailored and multidisciplinary rehabilitative program, involving aquatic exercises, respiratory and motor exercises, social integration training and neuropsychologic sessions, LASER therapy and magnetotherapy. Patients in the other three comparison groups received eastern medicine techniques (CG1), balneotherapy and physiotherapy (group CG2), self-training and home-based physical exercise (CG3). Once the several rehabilitation protocols had been performed, a structured telephone contact was made with the patients after 6 months ± 7 days from the end of the rehabilitation treatment, in order to record the frequency of hospital ad-missions due to exacerbation of post-exacerbation syndrome, death or disability, and the need for other types of care or drugs. The patients in the comparison groups were more likely to request therapeutic care for emerging long COVID symptoms (χ2=6.635, p=0.001; χ2=13.463, p=0.001; χ2=10.949, p=0.001, respectively), as well as more likely to be hospitalized (χ2=5.357, p=0.021; χ2=0.125, p=0.724; χ2=0.856, p=0.355, respectively) when compared to the patients of the EG. The relative risk (RR) of hospital admissions in the observed cohort was 0.143 ±1,031 (СI: 0.019; 1.078); 0.580±1,194 (CI: 0.056; 6.022); 0,340±1,087 (CI: 0.040; 2.860). The RR of hospital admissions for patients with long COVID syndrome was reduced by 85.7%; 42.0% and 66.0%, respectively, when the experimental rehabilitation technique was employed. In conclusion, a tailored and multidisciplinary rehabilitative program seems to have a better preventive effect not only in the short term, but also over the next 6 months, avoiding the new onset of disabilities and the use of medicines and specialist advice, than other rehabilitative programs. Future studies will need to further investigate these aspects to identify the best rehabilitation therapy, also in terms of cost-effectiveness, for these patients.
BACKGROUND: In the context of the COVID-19 pandemic, the relevance of rehabilitation measures for patients with COVID-associated pneumonia has increased.
AIM: The study aimed to review the effect of ...bioacoustic stimulation of the respiratory system (BSRS) with high-intensity low-frequency sounds on the dynamics of functional indicators of the respiratory system and the cardiovascular system, as well as indicators of psychoemotional and somatic states, the severity of post-traumatic stress disorders (PTSD) and cognitive capabilities in patients who have had COVID-associated pneumonia in the process of their medical rehabilitation at a health resort immediately after treatment of the disease in a hospital.
MATERIALS AND METHODS: The randomized controlled open parallel prospective clinical study involved 28 patients undergoing medical rehabilitation after suffering moderate to severe COVID-19 complicated by community-acquired bilateral polysegmental pneumonia (COVID-associated pneumonia) of moderate to severe severity. Spirometry, pulse oximetry, compression oscillometry, bioelectrography, Mississippi Scale (civil version), and cognitive speed test were used to assess the functional parameters of the respiratory and cardiovascular systems, as well as indicators of psychoemotional and somatic states, the intensity of PTSD and cognitive abilities of patients before and after the course of rehabilitation measures.
RESULTS: According to significant differences in changes in the indexes of external respiration, cardiac activity, psychological status, and the intensity of PTSD in patients of the main and control groups before and after a course of rehabilitation measures, it has been reliably established that the use of BSRS as a part of a complex of rehabilitation measures significantly increases the effectiveness of medical rehabilitation at a health resort for patients after COVID-associated pneumonia.
CONCLUSION: The possibility and feasibility of using medical technology of BSRS with high-intensity low-frequency sound in complex medical rehabilitation of patients after COVID-associated pneumonia at the health resort stage have been scientifically substantiated.
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