No abstract

No abstract

The purpose of this study was to investigate the clinical effects of balneotherapy in the treatment of Fibromyalgia Syndrome (FMS) and to determine if balneotherapy influences serum levels of inflammation markers, IL-1, PGE2 and LTB4. 24 primary fibromyalgia female patients diagnosed according to American College of Rheumatology criteria were included to the study. Their ages ranged between 33 and 55 years. FMS patients were randomly assigned in two groups as, group 1 (n = 12) and group 2 (n = 12). Group 1 received 20-min bathing, once in a day for five days per week. Patients participated in the study for 3 weeks (total of 15 sessions) in Denizli. Group 2 did not receive balneotherapy. FMS patients were evaluated by tenderness measurements (tender point count and algometry), Visual Analogue Scale, Beck's Depression Index, Fibromyalgia Impact Questionnaire. Ten healthy women recruited group three as the controls. Serum PGE2, LTB4 and IL1-alpha levels were measured in all three groups. The biochemical measurements and clinical assessments were performed before and at the end of general period of therapy. Statistically significant alterations in algometric score, Visual Analogue score, Beck's Depression Index and PGE2 levels (P < 0.001), numbers of tender points (P < 0.01) and Fibromyalgia Impact Questionnaire score (P < 0.05) were found after the balneotherapy between group 1 and 2. Mean PGE2 level of FMS patients were higher compared to healthy control group (P < 0.0001) and decreased after the treatment period, only in group 1 (P < 0.05). As in the group 2 and 3, detectable IL-1 and LTB4 measurements were insufficient, statistical analysis was performed, only in group 1. After balneotherapy IL-1 and LTB4 significantly decreased in group 1 (P < 0.05). In conclusion, balneotherapy is an effective choice of treatment in patients with FMS relieving the clinical symptoms, and possibly influencing the inflammatory mediators.

The Güney waterfall area is a perched springline tufa site developed on the southeast slope of the Büyük Menderes River near Güney town, in the Denizli province, Western Turkey. The site is 12 km away from Güney and 72 km from the city centre of Denizli. The spring waters emerge from the boundary between Palaeozoic marble and micaschist and precipitated tufa deposits downslope at the altitudes ranging from 220 to 400 metres. The tufa deposits cover an area of about 20 hectares. Flat upper surfaces of the deposits are indicative of mature stage. The waters are of the Ca–HCO3 type and supersaturated with respect to CaCO3. The stable isotope values of the spring waters are −49.94 for δ2H and −7.15 for δ18O. The δ13C and δ18O values of active and passive tufa samples are in the range from −9.13 to −6.0‰, and from −8.44 to −7.40‰, respectively. These isotopic values are typical for fresh water tufa. The passive tufas give the 14C age in the range from 2000 to 5800 yr BP. According to the 14C age data, passive tufas are not older than Holocene. The stable isotope composition is similar south European examples.

A sedimentological and geochemical study was performed on the travertines in the southern part of the Uşak geothermal field, western Turkey, to assess the applicability of a fluvial tufa facies model in interpreting late Quaternary travertine deposits developed along the stream valleys that follow fault and fracture systems. Modern thermal (31 to 38°C) springs are found on the floor of the valley between 480 m and 520 m above sea‐level. The distribution and nature of travertine facies were determined from natural outcrops. Samples of the travertines and spring water were characterized using a range of geochemical and petrographic methods. Waterfall, slope and pool facies associations consist of various combinations of travertine facies and subordinate detrital facies. Waterfall and slope facies associations of the older deposits occur where the springs emerged onto a hillslope or topographic break. In contrast, the pool facies association developed in depressions or flat areas that were fed by thermal springs. The youngest generation (1·85 ka) precipitated at lower elevations than the older ones (147 to 153 ka). Stable carbon and oxygen isotope values of the Aksaz travertines range between +4·3‰ and +6·3‰ (Vienna Pee Dee Belemnite) and −12·6‰ and −7·2‰ (Vienna Pee Dee Belemnite), respectively. The high δ13C values suggest that the thermal waters were charged with isotopically heavy CO2 of deep origin. Based on palaeotemperature calculations, the temperatures of the palaeosprings are slightly higher (up to 44°C) than the present equivalents, but sometimes the temperature is lower, probably due to mixing with the stream water. Although the thermal waters occasionally are impeded by fluvial activity, travertine precipitation occurs in the protected parts of the Aksaz Stream valley. This contribution highlights the applicability of the fluvial facies model for tufa for the interpretation of travertine deposits worldwide.