Objective: This study aimed to evaluate the effects of daily immersion in thermomineral water from Caldas da Imperatriz-SC in a preclinical model of inflammatory pain. Methods: After approval of the protocol by the Ethics Committee on Animal Use UNISUL - CEUA / UNISUL (Protocol 13.0064.08.IV), male Swiss mice (25 to 35g) received an intraplantar injection of complete Freund's adjuvant (CFA). Twenty-four hours after the injection we initiated the immersion treatments with thermomineral water (ATM for ―água termomineral‖ in portuguese). 3, 10 or 30 minute treatments were performed six days a week for three weeks. Mechanical hyperalgesia and edema were evaluated. Additionally, at the end of first week after injection the concentrations of pro- and anti-inflammatory cytokines in the paw and spinal cord were determined. Results: Daily ATM immersion reduced the mechanical hyperalgesia in a dose dependent effect (corresponding to immersion time); Daily treatment with immersion in ATM induced a summed effect, which can be evidenced by the extension of the anti-hyperalgesic response in the time-course evaluations; daily immersion in ATM restored sensory response even after the end of the treatment; daily immersion in ATM did not affect paw edema. Furthermore, our findings indicate that immersion treatment reduced hyperalgesia through a reduction of pro-inflammatory cytokines and concomitant increase of antiinflammatory cytokine concentration in animal’s paws; in association with a decrease of pro-inflammatory cytokines spinal cord concentration. Conclusion: This study provides evidence that BT (balneotherapy) carried out with ATM from Santo Amaro da Imperatriz, SC reduces inflammatory mechanical hyperalgesia, but does not decrease edema in an animal model of persistent peripheral inflammatory pain. / Submitted by Tatyane Barbosa Philippi (tatyane.barbosa@unisul.br) on 2017-10-23T18:54:42Z No. of bitstreams: 2 Dissertação FERNANDA MADEIRA.pdf: 1080681 bytes, checksum: 6cb202ad90aa08750a638e01466812d9 (MD5) Fernanda_Madeira.pdf: 747592 bytes, checksum: 5fd2fc38d3265d29c5caa0511dbea9b2 (MD5) / Approved for entry into archive by Fabiane dos Santos (fabiane.santos3@unisul.br) on 2017-10-23T19:27:08Z (GMT) No. of bitstreams: 2 Dissertação FERNANDA MADEIRA.pdf: 1080681 bytes, checksum: 6cb202ad90aa08750a638e01466812d9 (MD5) Fernanda_Madeira.pdf: 747592 bytes, checksum: 5fd2fc38d3265d29c5caa0511dbea9b2 (MD5) / Made available in DSpace on 2017-10-23T19:27:08Z (GMT). No. of bitstreams: 2 Dissertação FERNANDA MADEIRA.pdf: 1080681 bytes, checksum: 6cb202ad90aa08750a638e01466812d9 (MD5) Fernanda_Madeira.pdf: 747592 bytes, checksum: 5fd2fc38d3265d29c5caa0511dbea9b2 (MD5) Previous issue date: 2016-07 / Objetivo: O presente estudo teve como objetivo avaliar os efeitos da imersão diária em água termomineral de Caldas da Imperatriz-SC em um modelo pré-clínico de dor inflamatória. Métodos: Após aprovação do protocolo pela Comissão de Ética no Uso de Animais da UNISUL – CEUA/UNISUL sob o protocolo nº 16.009.4.01.IV, camundongos Swiss machos (25 a 35g) receberam uma injeção intraplantar do adjuvante completo de Freund (CFA). Vinte quatro horas após a injeção iniciou-se os tratamentos com imersão em água termomineral (ATM) por 3, 10 ou 30 minutos, sendo realizados seis dias por semana durante três semanas. A hiperalgesia mecânica e o edema foram analisados. Por fim, as concentrações de citocinas pró- e anti-inflamatórias foram determinadas na pata e na medula espinal no final da primeira semana após a injeção. Resultados: a imersão diária em ATM por diferentes tempos reduziu a hiperalgesia mecânica na pata dos animais, sendo este efeito dependente do tempo de imersão; O tratamento diário por imersão diária em ATM induziu efeito somatório, evidenciado pelo prolongamento da resposta antihiperalgésica nas avaliações dos decursos temporais; A imersão diária em ATM restabeleceu a resposta sensorial dos animais mesmo após o final dos tratamentos; A imersão diária em ATM não alterou o edema na pata dos animais com inflamação; Além disso, os resultados encontrados aqui apontam que os tratamentos por imersão em ATM reduziram a hiperalgesia por reduzir as concentrações de citocinas pró-inflamatórias e aumentar as concentrações de citocinas anti-inflamatórias na pata dos animais com inflamação e; também por reduzir as concentrações de citocinas pró-inflamatórias na medula espinal dos camundongos com inflamação periférica. Conclusão: o presente estudo apresenta evidências de que a BT realizada com ATM de Santo Amaro da Imperatriz-SC reduz a hiperalgesia mecânica inflamatória, mas não alterou o edema, em um modelo animal de dor inflamatória periférica persistente.

The aim of this diploma thesis is to point out European Union´s goals such as low carbon economy, mainly future increasing the use of renewable sources as a potential source of energy. Slovak republic has due to its position in central Europe, rich in natural healing sources of water, which are considered as the most perspective sources of renewable energy in this country. The problem was solved as energy, economic and environmental analysis of Balneotherapy at Slovak Heath Spa Piešťany a.s. This analyzation was provided by real experimental measurement of temperature and flow rate and computational simulation of technological devices in opened natural healing water system. Experimentally measured data were afterwards use for elaboration conceptual design of new technological devices in order to increase efficiency of collection energy from potential renewable source of energy. The research shows that with help of new design technological devices connected to existing ones will be possible to cool down temperature of hot natural healing water from 67 °C to 21 °C, which decrease operation costs of Balneotherapy for more than 1 414 € per day. By Slovak republic entering to European Union it was necessary to accept global goals of low carbon economy. This diploma thesis provides an attention on potential energy in natural healing sources of water as renewable source of energy and helps Slovak Health Spa Piešťany to decrease amount of green-house gases released to atmosphere by efficient increasing the use of energy potential in natural healing source of water.