Smoking and chronic rhinitis

Purpose

Smoking is a self-destructive behavior that is known to induce remodeling of the lower airways, leading to squamous metaplasia, but little is known about its effects on the nose and paranasal sinuses. Nasal irrigations are often mentioned as measures for treating sinonasal inflammations. The purpose of our study was to compare the effects of nasal irrigations with sulfurous-arsenical-ferruginous thermal water or isotonic sodium chloride solution in smokers with nonallergic chronic rhinosinusitis, based on clinical and olfactory evidence.

Materials and methods

The present study was a prospective, randomized, double-blind study performed in a tertiary academic referral center. Seventy smokers with nonallergic chronic rhinitis were enrolled. Nasal endoscopy, rhinomanometry, nasal cytology, and odor threshold measurements were performed in subjects randomized to daily nasal irrigations with either thermal water or isotonic sodium chloride solution for 1 month.

Results

Immediately after the treatment, the thermal water irrigations revealed a positive pharmacologic action, judging from a tendency toward lower nasal resistances (P = .07) and larger numbers of ciliated cells in the patients treated (P = .003). Endoscopic findings in the thermal water group were still better than in the control group a further 2 months later (P = .03).

Conclusions

Our results indicate that nasal irrigations with thermal water had a good effect on endoscopic objective signs, nasal resistances, and epithelial trophism. Read more

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Hypertonic Saline and Acute Wheezing in Preschool Children

Conclusions

Using Hypertonic Saline inhalations significantly shortens length of stay in hospital (LOS) and lowers admission rate (AR) in preschool children presenting with an acute wheezing episode to the emergency department. Read more

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Halotherapy in combined non-puncture therapy of patients with acute purulent maxillary sinusitis

Halotherapy was applied for non-puncture treatment of 45 patients with acute purulent maxillary sinusitis. The response was evaluated by changes in clinico-immunological, cytological, x-ray and bacteriological parameters. Halotherapy was found effective in the treatment of acute purulent maxillary sinusitis without puncture.

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The use of an artificial microclimate chamber in the treatment of patients with chronic obstructive lung diseases(COPD)

Halotherapy was used for sanatorium rehabilitation in 29 patients with chronic obstructive pulmonary diseases (chronic bronchitis and asthma). Significant positive effects of this method resulted in the improvement of the flow-volume parameters curve of lung function and in hypotensive effects on blood pressure. Halotherapy is recommended for use in patients suffering from chronic obstructive pulmonary diseases with hypertension or coronary heart disease. Read more

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The dynamics of the persistence characteristics of staphylococci under the action of the microclimate of a speleotherapy mine

A decrease in the persistence characteristics of staphylococci under the influence of microclimate in a spelean pit has been demonstrated under experimental conditions. Clinical investigations have confirmed the capacity of speleotherapy to decrease the microbial contamination of the upper respiratory tract and to inhibit the persistence properties of staphylococcal microflora in children with respiratory allergosis, which seems to be the basis of the positive effect achieved by treatment with microclimate in a spelean pit. Read more

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The efficacy of speleotherapy in salt mines in children with bronchial asthma based on the data from immediate and late observations

Speleotherapy was conducted in 216 children with bronchial asthma treated in conditions of salt mines situated near the town of Nakhichevan. The assessment of clinical, immunological and functional parameters showed that the best results had been achieved in atopic asthma running a light or moderate course. Speleotherapy courses noticeably diminished broncho-obstructive syndrome, improved pulmonary ventilation. The improvement proved stable in the majority of the patients. It is recommended to include speleotherapy in salt mines into combined rehabilitation treatment of pediatric asthmatics. Read more

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Halotherapy in the combined treatment of chronic bronchitis patients

Halotherapy proved to be a highly effective method in a complex sanatorium treatment of patients with chronic bronchitis. Its use promotes more rapid liquidation of clinical manifestations of disease, improves indices of vent function of lungs, especially those values that characterize bronchial conduction (volume of forced exhalations per second, index Tiffno), increases tolerance to physical load, normalizes indices of reduced immunity and leads to increasing the effectiveness of patient treatment in sanatorium. Read more

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Skin barrier changes induced by aluminum oxide and sodium chloride microdermabrasion

The results of this investigation suggest that both NaCl and Al2O3 microdermabrasion alter the epidermal barrier. These changes in epidermal barrier function may be responsible for the clinical improvement following microdermabrasion. Read more

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The efficacy of speleotherapy in atopic dermatitis in children

After proper clinical and immunological examinations 112 children with atopic dermatitis underwent immunocorrective speleotherapy in a chamber with artificial microclimate created with the use of natrium chloride spraying. During the treatment positive trends were observed in the patients’ dermatological status and immune homeostasis. A complete 6-24-month response was reported in 58%, partial in 20%, no response in 6.9% of patients. The method is recommended for treatment of atopic dermatitis. Read more

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Halotherapy for treatment of respiratory diseases

This work elucidates the questions upon the development of a new drug-free method of a respiratory diseases treatment. Halotherapy (HT)–is mode of treatment in a controlled air medium which simulates a natural salt cave microclimate. The main curative factor is dry sodium chloride aerosol with particles of 2 to 5 mkm in size. Particles density (0.5-9 mg/m3) varies with the type of the disease. Other factors are comfortable temperature- humidity regime, the hypobacterial and allergen-free air environment saturated with aeroions. The effect of HT was evaluated in 124 patients (pts) with various types of respiratory diseases. The control group of 15 pts received placebo. HT course consisted of 10-20 daily procedures of 1 hour. HT resulted in improvements of clinical state in the most of patients. The positive dynamics of flow-volume loop parameters and decrease of bronchial resistance measured by bodyplethysmography were observed. The changes in control group parameters after HT were not statistically significant. The specificity of this method is the low concentration and gradual administration of dry sodium chloride aerosol. Data on healing mechanisms of a specific airdispersive environment of sodium chloride while while treatment the respiratory diseases are discussed.

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The scientific validation and outlook for the practical use of halo-aerosol therapy

The paper describes a new medical technique–halo-aerosol therapy, the main acting factor of which is dry highly dispersed aerosol of sodium chloride in natural concentration. Halo-aerosol therapy represents a new trend in aerosol medicine. It includes two methods: halotherapy and halo-inhalation. Biophysical and pathophysiological foundations of the new method, how it can be realized are outlined. Clinical reasons are provided for application of halo-aerosol therapy for prevention, treatment and rehabilitation of patients with respiratory diseases. Characteristics and differences of the two halo-aerosol therapy variants are analyses. Read more

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A daily nasal spray with saline prevents symptoms of rhinitis

Objective

To ascertain whether a daily nasal spray with physiological saline could prevent symptoms of common cold in a population of otherwise healthy adults.

Material and methods

This was study involving 10 weeks of daily use of a nasal saline spray and 10 weeks of only recording symptoms. Young adults eligible for military service at an army barrack in Boden, Sweden were invited to participate in the study and 108 healthy conscripts aged approximately 20 years agreed to do so. Data were recorded by the participants in a diary at home. In the diary the participants noted symptoms such as rhinitis, blocked nose, cough, fever and sore throat (pharyngeal pain). They also recorded inability to perform their duties due to the symptoms, and any medication or antibiotics necessitated by upper respiratory tract infection.

Results

A total of 69 subjects completed the 20-week diary period. For 60 of them, compliance during the spray period exceeded 60% and their data were used in the statistical calculations. During the spray period the number of days with nasal secretion and/or blocked nose (mean 6.4 days) was significantly (p=0.027) lower than that during the observation period (mean 11 days). Furthermore, the participants had a mean of 0.7 episodes of upper respiratory tract infection during the spray period, compared with 1.0 episodes during the observation period (p=0.05).

Conclusion

A daily nasal spray with saline can prevent nasal symptoms of common cold in a population of otherwise healthy adults. Read more

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The results of the combined treatment of patients with dust-induced bronchitis

A study in 84 patients with dust-induced bronchitis receiving combined drug treatment, hyperbaric oxygenation, hypobarotherapy and artificial speleotherapy indicates that the first place by its efficacy is occupied by artificial speleotherapy resulting in an improvement of the functional indices of the cardiopulmonary system. The second place is occupied by hypobaric regimen. Hyperbaric oxygenation was of low efficacy. Read more

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Effect of the microclimate of salt mines on T- and B-lymphocyte function in bronchial asthma patients

A study of 55 patients with bronchial asthma revealed a reduction of the relative number of T-lymphocytes and their IgA content. The changes were most pronounced in patients during the phase of unstable remission of the disease. Disorders of the T- and B-system of lymphocytes were associated with an increased number of cortisol-resistant lymphocytes. After a course of speleotherapy one could observe an increase of the number of T-lymphocytes and their functional activity, normalization of the number of B-lymphocytes, increase of the level of IgA, reduction of the IgM content and of the relative content of cortisol-resistant lymphocytes fraction. Read more

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Speleotherapy: a special kind of climatotherapy, its role in respiratory rehabilitation

Speleotherapy, the use of the climate of caves, is an accepted but not widely known therapeutic measure in the treatment of chronic obstructive airway diseases. This study summarizes the therapeutic experiences of more than 4000 patients who were treated in a 10-year period in a hospital-cave complex in Tapolca,Hungary. A sharp and long-lasting clinical improvement and a significant recovery from airway obstruction could be observed in the overwhelming majority of patients. It is established that the microclimate of some caves can beneficially affect these disorders, but the cave should be considered as an optimal environment for complex respiratory rehabilitation. Read more

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Nebulized hypertonic saline solution for acute bronchiolitis in infants

Current evidence suggests nebulized 3% saline may significantly reduce the length of hospital stay among infants hospitalized with non-severe acute viral bronchiolitis and improve the clinical severity score in both outpatient and inpatient populations. Read more

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Other Resources:

The XIVth INTERNATIONAL SYMPOSIUM OF SPELEOTHERAPY 2012 – Clinical Abstracts for using salt therapy in respiratory conditions and skin disorders
http://www.saltinstitute.org/health/overview/ – Salt is an important ingredient in your good health
http://www.cff.org/treatments/Therapies/Respiratory/HypertonicSaline/ – Saline Therapy in Cystic Fibrosis

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