The role of The National Institute for Rehabilitation, Physical Medicine and Balneology

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The role of The National Institute for
Rehabilitation, Physical Medicine and Balneology

• Ph.D.Dima Augustin-research dpt. INRMFB

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WHO IS NIRPMB?

• Purposes and Activities
• -was founded in 1924, under the label of
  BALNEOLOGY INSTITUTE being at that time the
  2-nd of this type in Europe( first was in
  France).
• -INRMFB- the new denomination legalised by the
  government legislation (law nr.343 since 2002).

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NIRPMB

• Purposes and Activities
• -INRMFB is a medical unit with public utility
  with subordonated to the Governement Health
  Departament of whom activities consists in
• - Medical assistance in rehabilitation,
  balneo-climatology speciality.
• -insure the Medical Universitary activities
• -medical scientifical researches
• -Methodologycal coordination in the same field of
  activities

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NIRPMB

• Purposes and Activities
• -To insure the legal functioning of
  Medical-Balnear treatment bases in balnear
  resorts.
• - Continuous Medical Education

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NIRPMB

• Relationships
• HEALTH DEPARTAMENT -in order
• - to establish the indications for employment of
  the naturat therapeutical factors, specific to
  diferent kind of pathology.
• - To improve the quality of life, and of the
  medical act, establishies the functioning normes
  inside the medical-balnear functioning normatives.

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NIRPMB

• Relationships
• NATIONAL AUTHORITY ON MINERAL RESOURCES
• -periodicaly, when is necesary and on demand
  makes complex analises for the quality of The
  natural therapeutical factors

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NIRPMB

• Initiates the functioning authorisation for
  medical-balnear resorts, in cooperation with the
  other authorities.

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Water as an elixir of life

• Water is the main part of health resorts. It
  could be spring water to use in balneotherapy or
  other water in hydrotherapy.

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Water as an elixir of life

• Dietetic baths
• cleanse
• refresh
• give pleasure
• enjoy

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Water as an elixir of life

• Medical baths
• take healthy
• compose
• palliative effect
• healing effect

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Water as an elixir of life

• Water is good for treatment and for health
• It can be used in prevention (Dietetic)
• By drinking as food
• By bathing as cosmetic

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Water as an elixir of life

• Water is good for treatment and for health
• It can be used in medical treatment
• By bathing about its physical and pharmacological
  effects mediated by the skin
• By drinking about its stimulating effect to the
  inner organs
• By inhaling about its effect on the respiratory
  systems

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Water as an elixir of life

• Water can be a medicament or is used for health.
  In case of healthy water we talking about the
  dietetic application for drinking and for bathing
  in hygiene. It is both a food and a cosmetic.

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Water as an elixir of life

• The healing power of water is used in Balneology
  as mineral water and in Hydrotherapy water
  without minerals based on the experiences of
  Priesnitz and Sebastian Kneipp.

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Water as an elixir of life

• Water is the most used medicament
• Everybody is using it.
• Everybody believes its effectiveness.
• The medical experience is bigger than in any
  other drug.
• The private share in costs is higher than in any
  other medicament.
• It is the cheapest medicament.
• No other medicament was described so many times
  by artists than water.

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Water as an elixir of life

• Effects of the Water
• Effect by immersion. Many endocrinological
  metabolic functions result from this primary
  effect. It is a strong stimulation of all systems
  of life

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Water as an elixir of life

• Effect of cold bathing
• Thermic Stimulation for Training of regulation of
  blood flow
• Functional disturbance of blood flow
• Phlebopathy
• Cardio vascular diseases
• Thermic Stimuli for Training of inurity
• Infect prophylaxis

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Water as an elixir of life

• Effect of hot bathing
• Muscle relaxation
• Increase of extensibility the structures of
  connective tissue
• Analgesic
• Anti Inflammatory by Overheating
• Rheumatic diseases
• chronic-inflammatory diseases of the urogenital
  system
• Post acute after trauma conditions and operations
  on locomotor system

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Water as an elixir of life

• Effect of changing cold-hot bathing
• Thermic Stimuli for Training of
  vegetative-hormonal Functions
• Convalescence
• Psycho-vegetative Syndrome
• Cardio vascular regulation disturbance
• Metabolic disturbance

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Water as an elixir of life

• Chemical bath effects
• Activation of endogenous inflammatory resistance
• Decrease of increased pain sensitivity
• Normalisation of blood pressure