P. Cantista

  • View

  • Download

Embed Size (px)




  • 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


  • 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: Results

  • According to this survey performed among the delegates of the UEMS-PRM section, in which27 countriestook part
  • Balneology 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 discipline
  • They dont accept its scientific character
  • Ex: 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
  • Definitions
  • Glossary
  • Methodology
  • Consensus
  • Pedro Cantista

Teaching 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 immersion
  • The 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


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)
  • Cientfica
  • Cooperativa
  • 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 doses
  • Different posologies

Ears, nose, throat

  • Irrigation
  • Inhalation
  • Nebulization
  • Pulverization

Enteric Gynecological Douches

  • Jet douche
  • Circle douche
  • Pulverization
  • Douche massage
  • Sub aquatic douche

Imersion modalities Imersion modalities Steam Flebology Many others

  • Peloids
  • Psamitotherapy (sand)
  • Radon
  • Cavetherapy
  • Mophetas
  • Sauna
  • Turkish Baths
  • Massage

Glossaries Christoph Kirschner (German-English) Maria ngeles Ceballos Hernansanz (Several Languages)