In 1999, an outbreak of Legionnaires' disease affected many visitors to a flower show in the Netherlands. To identify the source of the outbreak, we performed an environmental investigation, as well as a case-control study among visitors and a serologic cohort study among exhibitors to measure exposure to possible sources. Of 77,061 visitors, 188 became ill (133 confirmed and 55 probable cases)...

This study compares the efficiency of two methods of recruitment into a randomised controlled trial examining the cost-effectiveness of water therapy for elderly people with lower limb osteoarthritis. The direct cost of recruiting patients via general practice was 27.66 Pounds per patient (1.1 personnel hours/patient). The cost per recruited patient from a local newspaper article was 2.72 Pound...

OBJECTIVE To evaluate the effect of the Whirlpool hydrotherapy on pain and anxiety in chronic myofascial pain syndrome (MPS) patients, compared to the conventional hydrocollator pack therapy. METHODS Forty-one subjects who have MPS in the upper trapezius muscles without depression were recruited. The patients were randomly assigned into two groups: the whirlpool therapy group whose bodies wer...

Chestnuts were collected either every 7 days from suspended nets used to intercept the fruits, every 2 days from the ground or every 7 days from the ground. Nuts were visually inspected after collection for the presence of exit holes of the chestnut weevil (Curculio elephas) and the chestnut moth (Cydia splendana), and 20 nuts per sampling and tree were bisected to assess fungal colonization. A...

The paper sets out to present the history of a health resort and hydrotherapy centre in Bystra near Bielsko from 1898 to 1912. At that time Dr Ludwik Jekels, one of the Polish psychoanalysis forerunners, was the owner of the centre. Initially, Dr Jekels was very enthusiastic about climatic treatment and hydrotherapy, until 1905 when he got interested in psychoanalysis. Shortly afterwards he bec...

Objectives. This systematic overview of reviews aimed to summarize evidence and methodological quality from systematic reviews of complementary and alternative medicine (CAM) for the fibromyalgia syndrome (FMS). Methods. The PubMed/MEDLINE, Cochrane Library, and Scopus databases were screened from their inception to Sept 2013 to identify systematic reviews and meta-analyses of CAM interventions...

Chronic progressive lymphedema is a disorder of many draft horse breeds that presents with progressive swelling of the distal portions of the legs. This is associated with scaling, marked dermal fibrosis, and the development of skin folds and nodules. There seems to be a genetic predisposition to altered elastin metabolism and impaired function of the lymphatic system in the distal extremities....

<p><strong>Background:</strong> Hydrotherapy according to Halliwick concept is a physiotherapeutic intervention technique for disabled patients and children with neurodevelopmental disorders. Assessing the balance in cerebral palsy (CP) an extremely complex process more difficult evaluate results of some therapeutic interventions these patients. The purpose this study investig...