Search Results (57)

Background/Objectives: Plantar fasciitis (PF) is a leading cause of heel pain and functional impairment in adults. Laser therapy, in its low-intensity laser therapy (LLLT), high-intensity laser therapy (HILT), and photobiomodulation (PBMT) modalities, has been proposed as a non-invasive alternative, although its clinical effectiveness remains a subject of debate. The aim of this systematic review and meta-analysis was to evaluate the efficacy of laser therapy in reducing pain, improving function, and modifying fascial thickness in patients with PF. Methods: A comprehensive search was conducted in PubMed, Embase, and PEDro (last search: August 2025). Randomized controlled trials comparing laser therapies versus placebo or alternative physical interventions were included. Two reviewers performed study selection, data extraction, and risk of bias assessment using the PEDro scale. Random-effects meta-analyses were performed for pain (VAS), heel tenderness (HTI), function (FFI, AOFAS, ASQoL, SF-36), and fascial thickness, expressing effects as standardized mean differences (SMDs) or mean differences (MDs). Results: Thirteen trials with 784 participants were included. Laser therapy showed a significant improvement in heel tenderness (SMD = −0.40; 95% CI −0.71 to −0.09; I² = 0%). No significant differences were observed in overall pain (SMD = −0.18), function (SMD = 0.20), or fascial thickness (MD = −0.18 mm). Pain and function analyses showed high heterogeneity. Conclusions: Laser therapy may reduce heel tenderness in plantar fasciitis, but it does not consistently improve overall pain, function, or fascial thickness. Its use should be considered as a therapeutic adjunct and not as a primary intervention. Larger trials with standardized protocols are needed. Full article

Purpose: In this systematic review, we compare the effectiveness of high-intensity laser therapy (HILT) and extracorporeal shockwave therapy (ESWT) in treating lateral elbow tendinopathy (LET). Methods: A comprehensive search of PubMed, the Cochrane Library, and EMBASE was conducted from database inception to 23 June 2025 to identify randomized controlled trials (RCTs) comparing the two interventions. The primary outcome was pain intensity (visual analog scale or numeric rating scale). Secondary outcomes included upper-limb disability (qDASH), grip strength (pain-free or maximal), ultrasound-measured common extensor tendon thickness, and safety (adverse events and withdrawals). Two reviewers independently extracted data and assessed methodological quality using the Physiotherapy Evidence Database (PEDro) scale; the certainty of evidence was rated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. Effects were synthesized as SMD (95% CI) using random- or fixed-effects models based on heterogeneity (I²). Significance was set at p < 0.05. Results: Four RCTs met the inclusion criteria and 169 participants were included. Methodological quality was moderate, with moderate-quality evidence indicating a significant improvement in short-term and medium-term upper-limb function in favor of HILT (SMD = −0.42; 95% CI: −0.73 to −0.12 and SMD = −0.50; 95% CI: −0.94 to −0.06, respectively). Evidence ranging from low to moderate quality showed no significant differences between the HILT and ESWT groups in terms of short-term or medium-term resting pain (SMD = −0.50; 95% CI: −1.15 to 0.16 and SMD = −0.42; 95% CI: −1.06 to 0.22, respectively), short-term or medium-term activity pain (SMD = −0.38; 95% CI: −1.05 to 0.29 and SMD = −0.73; 95% CI: −1.65 to 0.19, respectively), short-term or medium-term grip strength (SMD = 0.24; 95% CI: −0.20 to 0.67 and SMD = 0.20; 95% CI: −0.16 to 0.55, respectively), or short-term or medium-term common extensor tendon thickness (SMD = 0.04; 95% CI: −0.50 to 0.59 and SMD = −0.00; 95% CI: −0.55 to 0.55, respectively). Conclusions: HILT appears to offer significant benefits in improving upper-limb function at short-term (<1 month) and medium-term (1–3 months) follow-up. Regarding pain, grip strength, and tendon thickness, the pooled effects did not show clear between-group differences. Evidence certainty ranged from low to moderate, demonstrating that trials with a follow-up period beyond 3 months are needed to evaluate long-term efficacy. Systematic review registration number: PROSPERO: CRD420251026387. Full article

Epileptic seizures arise from abnormally synchronized neural activity and remain a major global health challenge, affecting more than 50 million people worldwide. Despite advances in pharmacological interventions, a significant proportion of patients continue to experience uncontrolled seizures, underscoring the need for alternative neuromodulation strategies. Rhythmic neural entrainment has recently emerged as a promising mechanism for disrupting pathological synchrony, but most existing systems rely on complex analog electronics or high-power stimulation hardware. This study investigates a proof-of-concept digital custom-designed chip that generates a stable 6 Hz oscillation capable of imposing a stable rhythmic pattern onto digitized seizure-like EEG dynamics. Using a publicly available EEG seizure dataset, we extracted and averaged analog seizure waveforms, digitized them to emulate neural front-ends, and directly interfaced the digitized signals with digital output recordings acquired from the chip using a Saleae Logic analyser. The chip’s pulse train was resampled and low-pass-reconstructed to produce an analog 6 Hz waveform, allowing direct comparison between seizure morphology, its digitized representation, and the entrained output. Frequency-domain and time-domain analyses demonstrate that the chip imposes a narrow-band 6 Hz rhythm that overrides the broadband spectral profile of seizure activity. These results provide a proof-of-concept for low-power digital custom-designed entrainment as a potential pathway toward simplified, wearable neuromodulation device for future healthcare diagnostics. Full article

Background: Plantar fasciitis is a prevalent musculoskeletal disease characterized by heel pain and functional impairment. Both high-intensity laser therapy (HILT) and extracorporeal shockwave therapy (ESWT) have demonstrated efficacy in managing plantar fasciitis; however, their relative effectiveness remains unclear. Purpose: This systematic review and meta-analysis aimed to compare the effects of HILT and ESWT for treating plantar fasciitis. Methods: A comprehensive literature search of PubMed, the Cochrane Library, EMBASE, and Scopus was conducted from inception to 13 July 2025 to identify randomized controlled trials (RCTs) investigating both interventions. Two reviewers independently extracted data and assessed the methodological quality of the trials using the Physiotherapy Evidence Database (PEDro) scale. The certainty of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. The primary outcomes of this study were pain intensity and foot function. The visual analog scale (VAS) was used for pain assessment. Foot function was evaluated by the total scores of the Foot Function Index (FFI) and American Orthopedic Foot & Ankle Society Scale (AOFAS) and the activities of daily living (ADL) subscale scores of the Foot and Ankle Ability Measure (FAAM). Outcomes were assessed at the end of treatment and during short-, medium-, and long-term follow-ups. The meta-analysis utilized standardized mean differences (SMDs), assessed heterogeneity using the I² test, applied the inverse variance method for pooling continuous variables, and employed a random-effects model because of the variable study methods used across the included articles. Results with p < 0.05 were considered statistically significant. The I² test was used to objectively measure statistical heterogeneity, with I² ≥ 50% indicating significant heterogeneity. Results: Five RCTs met the inclusion criteria, with methodological quality scores ranging from 6 to 7 on the 10-point PEDro scale. In total, 120 participants received HILT and 116 received ESWT. Regarding pain intensity (VAS), no statistically significant differences were detected between HILT and ESWT at any time point, including short-term morning pain (SMD = −0.11, 95% CI −0.42 to 0.19, p = 0.40), resting pain (SMD = 0.01, 95% CI −0.48 to 0.49, p = 0.05), and activity pain (SMD = −0.08, 95% CI −0.41 to 0.26, p = 0.89), as well as medium-term morning, resting, and activity pain (all p > 0.05). For foot function (FFI), the pooled analysis of all studies showed no significant short-term difference (SMD = 0.37, 95% CI −0.22 to 0.95, p = 0.01; I² = 73%); however, a subsequent sensitivity analysis, which excluded one studyreduced heterogeneity to 0% and revealed a significant short-term advantage of ESWT (SMD = 0.64, 95% CI 0.32 to 0.95, p < 0.01). Medium-term FFI also favored ESWT (SMD = 0.53, 95% CI 0.14 to 0.92, p < 0.01). Overall, the certainty of evidence ranged from moderate to low, mainly due to risk of bias and heterogeneity, as assessed by the GRADE approach. Conclusions: While the pooled results suggested a trend toward greater functional improvement with ESWT than with HILT in the short- and medium-term, the effect sizes were small. No significant between-group differences were observed in pain-related outcomes. Given the limited number of available trials and variability in treatment protocols, current evidence remains insufficient to draw definitive conclusions about the comparative efficacy of ESWT and HILT. Further high-quality, large-scale randomized controlled trials with standardized methodologies are needed to better inform clinical decision-making. Full article

High-Intensity Laser Therapy (HILT) represents a mechanistic subset of High-Power Laser Therapy (HPLT), distinguished by the addition of a photoacoustic component to established photochemical and photothermal effects. High-peak (kW), short-pulse emission generates pressure waves exceeding 10 kPa in water (27 °C) and approximately 100 kPa in vivo, levels that are compatible with the activation of mechanotransductive processes relevant to cellular differentiation. These pressure waves propagate several centimeters into biological tissues, extending beyond the optical penetration depth of light. We introduce Pulse Energy Dose (PED), a physically grounded and clinically oriented dose metric, to determine whether a laser system meets the photoacoustic threshold while remaining within the thermoelastic regime. Only systems combining kilowatt-range peak power, microsecond pulses, high pulse energy, and very low duty cycles (<1%) consistently induce pressure waves within the therapeutic thermoelastic regime. PED was validated against the Margheri equation, showing a strong linear correlation with calculated pressure wave amplitude (Pearson r > 0.9, p < 0.0001). Based on these results, we define operational bounds that identify high-power laser systems capable of producing reproducible photoacoustic effects within thermoelastic conditions. This framework shifts classification from average power to mechanism of action, providing guidance for safe parameter selection and supporting a mechanism-based clinical use of high-power lasers, particularly in musculoskeletal disorders, cartilage regeneration, bone healing, and deep-tissue repair. Full article

Words matter in science, particularly when they define technologies with distinct biological mechanisms. High-Intensity Laser Therapy (HILT) is often conflated with High-Power Laser Therapy or High-Level Laser Therapy (HPLT/HLLT), despite these terms referring to laser systems with fundamentally different physical properties and therapeutic effects. While many therapeutic lasers can elicit photochemical and photothermal effects, only devices delivering high-peak, short-duration pulses at very low duty cycles are able to generate acoustic pressure waves, which are characteristic of true HILT systems. These photoacoustic effects uniquely activate mechanotransduction pathways involved in cellular differentiation, extracellular matrix remodeling, and long-term tissue regeneration. This review highlights the widespread misclassification in the laser therapy literature, where devices lacking genuine photoacoustic capabilities are often incorrectly described as HILT. Such semantic ambiguity not only undermines biological specificity, but also inflates clinical claims, misleading practitioners, and obscures the comparative interpretation of clinical studies. Within the laser science community, it is widely recognized that average power alone is insufficient to characterize a therapeutic mechanism of laser therapies, as it does not provide insight into ability to generate pressure waves. To resolve these issues, we propose a mechanism-based classification that clearly distinguishes photochemical, photothermal, and photoacoustic effects. We further provide a quantitative comparison showing that systems delivering the same total energy produce peak parameters that differ by orders of magnitude depending on duty-cycle architecture, reinforcing the need for mechanism-based classification. We also advocate for greater rigor in reporting technical parameters such as peak power, pulse duration, and duty cycle. By ensuring proper terminology and transparent reporting, this framework will advance scientific rigor, facilitate accurate comparisons across studies, and improve the clinical application of regenerative medicine therapies. Full article

This study presents an eco-friendly approach to antibacterial polyester powder coatings by incorporating hybrid additives composed of biopolymers immobilized on halloysite nanotubes. Polylysine (PLY) and quaternized chitosan (CH-Q) were used as natural antimicrobial agents, while halloysite (HAL) acted as a carrier to improve dispersion and reduce leaching. HAL/PLY and HAL/CH-Q hybrids were incorporated into polyester coatings and evaluated for morphology, mechanical properties, water resistance, and antibacterial performance (ISO 22196). The HAL/PLY coating demonstrated a strong bactericidal effect, reducing Escherichia coli and Staphylococcus aureus by 99.9989% and 99.9993%, respectively. HAL/CH-Q showed moderate activity against E. coli (50.2323%) but high activity against S. aureus (98.6500%). Immobilization of biopolymers on the halloysite surface improved dispersion and barrier properties while enabling a silver-free antibacterial effect. The results demonstrate a sustainable strategy for multifunctional powder coatings based on naturally derived antimicrobial components. Full article

Chronic musculoskeletal pain (CMP) is the leading global cause of disability and a major contributor to healthcare burden. Its pathogenesis reflects regenerative failure, driven by extracellular matrix (ECM) fibrosis, calcific deposition, mitochondrial dysfunction, and neuroimmune sensitization. Conventional pharmacological therapies such as NSAIDs, corticosteroids, and opioids offer only transient symptomatic relief while exposing patients to systemic complications. In contrast, energy-based, drug-free regenerative interventions directly address underlying pathology and restore physiological function. This Perspective synthesizes recent evidence (2020–2025) on three modalities that together form a regenerative triad: extracorporeal shockwave therapy (ESWT), high-intensity laser therapy (HILT), and ultrasound-guided mechanical needling with sterile water injection (SWI). ESWT promotes mechanotransduction, angiogenesis, and ECM remodeling; HILT enhances mitochondrial bioenergetics and downregulates inflammatory pathways; and SWI disrupts fibrosis and calcification while restoring neurovascular dynamics. Evidence from randomized controlled trials and meta-analyses supports moderate-to-high certainty (GRADE B–A–) for ESWT and HILT. SWI, initially supported by large observational cohorts and comparative studies, is now reinforced by a randomized comparative trial and meta-analyses of lavage effects, justifying an upgrade from moderate (B) to moderate-to-high certainty (B–A–). Risk of bias assessment using Cochrane RoB 2.0 and the Newcastle–Ottawa Scale (NOS) indicates overall low-to-moderate concerns across modalities. Together, these interventions integrate mechanistic biology with translational rehabilitation practice. This Perspective outlines their mechanistic foundations, clinical evidence, and alignment with the WHO decade of healthy ageing, offering a drug-free, mechanism-based framework for sustainable CMP management. Full article

Aim: This retrospective observational clinical cohort study evaluated 84-month clinical and radiographic outcomes of a regenerative protocol combining autologous dentin grafts processed with the Tooth Transformer^® device and Concentrated Growth Factors (CGFs) in patients with severe maxillary atrophy undergoing sinus augmentation with simultaneous implant placement. Materials and Methods: Thirty-one patients (30–75 years) with residual crestal bone height ≥ 5 mm and requiring extraction of ≥2 molars were included. Extracted teeth were processed with the Tooth Transformer^® to obtain demineralized dentin granules (500–1000 µm), which were combined with CGFs prepared using the Medifuge MF200^® to form “sticky bone.” All patients underwent sinus lift via a lateral window approach (Hilt Tatum technique) with simultaneous placement of 98 implants (12–14 mm), which were loaded after six months. Results: At the 84-month follow-up, no implant failures or peri-implantitis were recorded. CBCT and clinical evaluations showed stable regenerated bone volume and absence of peri-implant bone resorption. All patients received fixed prostheses within six months without complications. Conclusions: The combined use of processed autologous dentin and CGFs proved to be a safe, predictable, and effective regenerative technique in cases of severe maxillary atrophy, with a 100% implant survival rate at five years. Full article

This paper presents a problem definition and feasibility check for an algorithm to select a connection point in an existing fiber-optical access network topology that can be used to connect a new site, the planned location, via an E-band millimeter-wave radio link. The newly added fixed wireless access connections must meet end-to-end network requirements for availability, latency, and bandwidth. To accommodate highly dynamic service traffic patterns, requirements are defined with a suitable time granularity. Similarly, dynamic changes in available network capacity affect end-to-end availability, latency, and bandwidth. The proposed algorithm is designed to handle these dynamic changes both in the service requirements and in the available resources. Full article

The aim of the present study was to assess the thermal effects of high-intensity laser therapy (HILT) on the temporomandibular joint (TMJ) area of clinically healthy Thoroughbred racehorses. The study was conducted on 21 clinically healthy Thoroughbreds in regular training. The horses were subjected to thermographic examinations before and immediately after a HILT session to measure changes in the body surface temperature in the TMJ area. The left TMJ was subjected to therapy, while the contralateral joint served as a control. Statistically significant differences in the body surface temperature in the TMJ area—before and after HILT—were found (p < 0.001). The body surface temperature of the area examined was higher by an average of 2.0 °C after HILT, compared to the temperature measured before HILT. The results prove the thermal effect of HILT in the TMJ area, which can be helpful in determining the appropriate and safe HILT parameters for the treatment of TMJ injuries and inflammation. Full article

Coating systems used for anticorrosion protection usually consist of a primer, intermediate layers, and topcoats. Zinc-rich primers, which serve as cathodic and barrier protection, are widely used for the corrosion protection of steel structures. Due to the fact that the functioning of the above-mentioned coatings is related to the conduction of galvanic current, these types of coatings are highly pigmented with zinc (up to 80 wt% in the dry coating). This may result not only in a deterioration of the performance of the coating system but also have a negative impact on the environment. Taking the above into account, solvent-based and water-based organic epoxy primers with zinc content reduced to approximately 50% have been developed. Zinc pigments of different shapes and with different surface treatments were used in the primers, as well as pigments without chemical treatment but with the addition of nanoparticles. It was found that, depending on the type of zinc pigment, both the developed solvent-based and water-based primers demonstrate good protective properties comparable to traditional zinc-rich coatings. Water-based paints tend to absorb more moisture compared to solvent-based systems, but their water uptake reversibility is limited. Moreover, the organic treatment of zinc flakes helps to improve this water uptake reversibility, improving the mechanical properties of coatings. Full article

Patients with COVID-19 suffering in the acute phase from both the sequelae of the disease and prolonged immobilization require a rehabilitation phase for functional recovery and a comprehensive functional evaluation. This study proposes using the 6-Minute Walk Test (6MWT) as a global functional assessment tool to quantify rehabilitation outcomes in post-COVID patients. Additionally, investigating the effect of High-Intensity Laser Therapy (HILT) on patients with musculoskeletal comorbidities was another key research question. Two post-COVID rehabilitation programs were retrospectively analyzed as follows: one consisting of kinesiotherapy combined with High-Intensity Laser Therapy for patients with musculoskeletal comorbidities and the other consisting of kinesiotherapy alone. Functional evaluation using 6MWT was conducted before and after 10 daily therapeutic sessions with 33 ambulatory patients divided into 2 groups (18 patients treated with HILT and kinesiotherapy vs. 15 patients treated with kinesiotherapy only). The 6MWT was successfully completed by 32 out of 33 patients (96.96%), with performance improvements ranging from 3% to 60% among patients. Statistical differences were also observed between the groups, suggesting that the 6MWT is a sensitive, objective, and valuable tool for functional assessment of post-COVID rehabilitation, supporting the potential benefits of HILT in enhancing functional recovery. Full article

Our long journey on the road of telecommunications is continuously evolving. We have experienced several technological changes, modernizations, optimizations, and various mergers in the past decades. Virtualization and ‘cloudification’ of legacy telecommunication equipment has made communication networks not only more flexible, but also opened new doors. Brand new types of services have become available thanks to the ongoing fusion of the two domains of telecommunications and IT (Information Technology). This overview paper first discusses the evolution of services with an enhanced focus on mobile networks. Then, the possibilities offered by IT are shown. Finally, some examples are given of how Communication Service Providers and end users can benefit from these recent changes. Full article

The synthesis of unsymmetrical diorganyl selanes was accomplished under electrochemical conditions in an undivided cell utilizing a magnesium cathode and a carbon anode made out of aryl and alkyl iodides and diselanes. This electrochemical cross-electrophile coupling (eXEC) was accomplished using a simple nickel catalyst formed in situ out of Ni(acac)₂ and 2,2′-bipyridine in DMF at ambient temperatures. The reaction showed good functional group compatibility, and heteroaryl iodides, such as thiophene or pyridine derivatives, were well accepted. Full article