Hydrogeochemistry of the Thermal Springs of Pojqpoquella and Phutina, Puno, Peru

This paper deals with the results of a hydrogeochemical study of two thermal springs that originate from in very high altitudes in southwestern Peru with outflow temperatures of maximal 38,4 °C and flow rates of 1.08 - 2.02 l/s. Water samples from the Pojqpoquella and Phutina geothermal wells, were collected during the period between September 2018 and January 2019 in the main area of Puno. Chemical types of the thermal spring are Na+, Ca2+, Cl- and CO 3 2 − in Ayaviri and Putina. According to the Piper and Schoeller diagrams for the Pojqpoquella thermal spring water is classified as Na++ K+ (75 %) and Cl- (60 %) type water while that of the Phutina thermal spring is classified as Na++ K+ (76 %) and Cl- (72 %) type water. The electrical conductivity (EC) values for the Pojqpoquella and Phutina thermal spring waters is 2160 - 3142 μS/cm and 3160 - 3184 μS/cm, respectively, the thermal spring waters have a high electrical conductivity which shows that it has interacted with the host rock for a long time. The reservoir rocks of the Pojqpoquella thermal system consist of a red sandstones and conglomerate rocks while the reservoir rocks of the Phutina thermal system consist of a thick sequence of cretaceous rocks.

Characteristics associated with clinical response to Comano thermal spring water balneotherapy in pediatric patients with atopic dermatitis

Background Several studies have investigated the efficacy of balneotherapy in atopic dermatitis (AD), including a pediatric open randomized clinical trial conducted at the Comano thermal spring water center, which showed a significant reduction in AD severity and an improvement of the quality of life. However, so far many studies on balneotherapy in pediatric AD have included relatively small populations without identifying patients’ characteristics associated with their response. The aim of the present study was to identify any features associated with the clinical response to the Comano thermal spring water balneotherapy in a large cohort of pediatric AD patients. Methods An observational study was conducted on 867 children aged ≤16 years (females 50.5%, mean patient’s age 5.9 years, standard deviation ±3.6 years) with mild to severe AD who underwent balneotherapy at the Comano thermal spring water center (Comano, Trentino, Italy) from April to October 2014. Patients were stratified according to their disease severity, which was evaluated using five SCORing Atopic Dermatitis (SCORAD) categories before and immediately after a thermal spring water balneotherapy course. Potential characteristics associated with the patients’ clinical response to Comano thermal spring water balneotherapy were investigated. Results A statistically significant improvement in AD severity was observed after Comano thermal spring water balneotherapy (p < 0.0001). A significantly higher percentage of patients achieving improvement in AD severity was reported among children ≤4 years old (p < 0.0001) with early-onset AD (p < 0.0001), severe AD (p < 0.0001) or coexistent reported food allergies (p < 0.01). The therapy was well tolerated, and no relevant adverse effects were reported during the treatment course. Conclusions Comano thermal spring water balneotherapy is a safe complementary treatment for pediatric patients with AD, as it was able to reduce the disease severity, especially in children ≤4 years old, with early onset AD, severe AD or concomitant food allergies.

Assessing patients’ characteristics and treatment patterns among children with atopic dermatitis

Background Atopic dermatitis (AD) is the most common immune-mediated skin disease in childhood. Several treatment options for pediatric AD, both topical and systemic, are currently available. We carried out a single-center observational study with the aim of describing characteristics and treatment patterns in pediatric AD patients. Methods The study included 867 patients aged ≤16 years (females 50.5%, mean patient’s age 5.9 years, standard deviation ±3.6 years) with a previous doctor-confirmed diagnosis of AD who underwent balneotherapy at the Comano Thermal Spring Water Center (Comano, Trentino, Italy) from April to October 2014. Results Among the patients included in the study, 41.2% had mild (SCORing Atopic Dermatitis, SCORAD 0-15), 43.6% moderate (SCORAD 16–40) and 15.2% severe AD (SCORAD > 40). A higher occurrence of reported food allergy was observed among children with more severe AD (p < 0.0001), while no association was found between AD severity and reported inhalant allergy or passive smoking (p = 0.15 and 0.92, respectively). Emollients (55.1%) and topical corticosteroids (TCS; 45.7%) were the main treatment options used in the previous month. The use of oral steroids and topical calcineurin inhibitors (TCI) was considerably less common (6.3 and 4.5%, respectively), while no patients were on systemic agents other than steroids. Among patients with severe AD, 9.8% had not used TCS, TCI or any systemic treatments. Moreover, 20.0% of the patients in the study population had followed elimination diets, although only 27.2% of them had a reported food allergy. Conclusions A significant difference in the prevalence of reported food allergy emerged across the different AD severity categories. Furthermore, although further data are necessary to confirm our findings, undertreatment in children with AD appeared to be very common, at least among those attending the Comano Thermal Spring Water Center. Moreover, many patients followed elimination diets in the absence of reported food allergy.

Investigation of healing effects of Afyonkarahisar Region thermal spring water on experimentally-induced nephritis in mice

The aim of this study was to determine the efficacy of Afyokarahisar termomineral water in the treatment of nephritis. For this purpose, 40 Albino mouse at the same daily age were used. Nephritis was induced by adding adenine to their feed at a rate of 0.2% for 6 weeks. After nephritis was induced, a 21-day treatment period was started, and the mice were equally divided into two groups as control and study. While control group mice were received tap water daily and bathing in tap water, study group animals were given fresh Süreyya I hot spring water daily and bathing in this water. Clinical, hematological, blood biochemical and histopathological examinations were performed before the study, after nephritis formation, and on days of 1st, 7th, 14th and 21st of treatment period. Results of this study showed that WBC, NEUT and MCV levels increased significantly (p < 0.05) following nephritis formation, while RBC, HB, HCT, LYM, MCH and MCHC levels decreased significantly (p < 0.05). It was also determined that AST, GGT, GLU, BUN and IgG levels of blood biochemical parameters were significantly increased (p < 0.05) and TP, ALB levels decreased significantly (p < 0.05) after nephritis formation. At the end of the study, it was seen that all the measured parameters turned to the normal range in the study group animals, whereas problems still continuing with control group animals. Consequently, it was concluded that Süreyya I hot spring water was very successful in the treatment of nephritis and considered as an option in the treatment of nephritis.