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Keywords = low-intensity shock wave

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20 pages, 4581 KB  
Article
The Fracture Propagation Behavior of Coal Masses Under Various Waveforms, Amplitudes, and Frequencies of Water Hammer Pulsating Pressure: Numerical Simulation and Experimental Validation
by Jun Nian, Jingchi Zhu, Xiaobo Lv and Jinqi Fu
Water 2025, 17(18), 2743; https://doi.org/10.3390/w17182743 - 17 Sep 2025
Viewed by 450
Abstract
Deep coal seams have low permeability and poor wettability, making gas extraction difficult. This study presents a zero-energy consumption pulsating water hammer fracturing technique that uses the gravitational potential energy of high-elevation water and the pulsating pressure waves from the water hammer effect [...] Read more.
Deep coal seams have low permeability and poor wettability, making gas extraction difficult. This study presents a zero-energy consumption pulsating water hammer fracturing technique that uses the gravitational potential energy of high-elevation water and the pulsating pressure waves from the water hammer effect to induce fatigue damage in coal, creating an interconnected network of cracks. The research included experiments on water hammer pressure waves, multi-physics field coupling simulations at different flow rates, and discrete element simulations to analyze the fracture behavior of underwater hammer pressure. Results showed that initial flow velocity impacts the water hammer pressure’s intensity, range, and duration. Pressure shock waves propagate as expansion and compression waves, with peaks rising from 4.99 to 19.91 MPa within a 2–12 m/s flow rate range. Water hammer pressure reduced fracture initiation pressure by 23% compared to static pressure loading and increased fracture numbers by 13.4%. With pressure amplitudes between 2–18 MPa, fractures tripled, and the damaged area grew from 2.2 to 11%. A variable frequency combination loading strategy, starting with low frequency and then high frequency, was more effective for fracture propagation. This study offers a theoretical foundation for applying this technology to enhance coal seam permeability and gas pumping efficiency. Full article
(This article belongs to the Section Hydraulics and Hydrodynamics)
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12 pages, 2158 KB  
Article
Assessment of White Matter Changes Using Quantitative T1ρ Mapping in an Open-Field Low-Intensity Blast Mouse Model of Mild Traumatic Brain Injury (mTBI)
by Dina Moazamian, Shengwen Xie, Jiyo S. Athertya, Qingbo Tang, Roland R. Lee, Eric Y. Chang, Jeffrey M. Tomlin, Catherine E. Johnson, Jiang Du and Yajun Ma
Int. J. Mol. Sci. 2025, 26(12), 5431; https://doi.org/10.3390/ijms26125431 - 6 Jun 2025
Viewed by 828
Abstract
Blast-induced mild traumatic brain injury (mTBI) occurs when shock waves travel through blood vessels and cerebrospinal fluid, leading to cerebral demyelination, which results in cognitive impairments and neuropsychiatric issues that impact quality of life. This study aims to evaluate myelin changes in white [...] Read more.
Blast-induced mild traumatic brain injury (mTBI) occurs when shock waves travel through blood vessels and cerebrospinal fluid, leading to cerebral demyelination, which results in cognitive impairments and neuropsychiatric issues that impact quality of life. This study aims to evaluate myelin changes in white matter in mice with mTBI induced by an open-field low-intensity blast (LIB) using a newly implemented 3D adiabatic T1ρ prepared fast spin echo (Adiab-T1ρ-FSE) sequence for quantitative T1ρ MRI mapping. Thirty male C57BL/6 mice, including 15 mTBI and 15 sham controls, were scanned on a 3T Bruker MRI scanner. Luxol fast blue (LFB) staining was performed to assess myelin content differences between the mTBI and sham control groups. A significantly higher T1ρ value in the medial corpus callosum (MCC) was found in mTBI mice compared to controls (126.8 ± 2.5 ms vs. 129.8 ± 2.5 ms; p < 0.001), consistent with the reduced myelin observed in LFB staining (0.80 ± 0.14 vs. 1.02 ± 0.06; p = 0.004). Moreover, a significant negative correlation between T1ρ and histological myelin content measurements was observed (r = −0.57, p = 0.02). Our findings demonstrate that T1ρ is a promising biomarker for detecting mTBI-associated demyelination in the brain. Full article
(This article belongs to the Section Molecular Neurobiology)
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15 pages, 2712 KB  
Review
Solar Particle Acceleration
by Donald V. Reames
Astronomy 2025, 4(1), 5; https://doi.org/10.3390/astronomy4010005 - 18 Mar 2025
Viewed by 1553
Abstract
High-energy particles may be accelerated widely in stellar coronae; probably by the same processes we find in the Sun. Here, we have learned of two physical mechanisms that dominate the acceleration of solar energetic particles (SEPs). The highest energies and intensities are produced [...] Read more.
High-energy particles may be accelerated widely in stellar coronae; probably by the same processes we find in the Sun. Here, we have learned of two physical mechanisms that dominate the acceleration of solar energetic particles (SEPs). The highest energies and intensities are produced in “gradual” events where shock waves are driven from the Sun by fast and wide coronal mass ejections (CMEs). Smaller, but more numerous “impulsive” events with unusual particle compositions are produced during magnetic reconnection in solar jets and flares. Jets provide open magnetic field lines where SEPs can escape. Closed magnetic loops contain this energy to produce bright, hot flares; perhaps even contributing to heating the low corona in profuse nanoflares. Streaming protons amplify Alfvén waves upstream of the shocks. These waves scatter and trap SEPs and, in large events, modify the element abundances and flatten the low-energy spectra upstream. Shocks also re-accelerate the residual ions from earlier impulsive events, when available, that characteristically dominate the energetic heavy-ion abundances. The large CME-driven shock waves develop an extremely wide longitudinal span, filling much of the inner heliosphere with energetic particles. Full article
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22 pages, 8471 KB  
Article
Metal Powder Production by Atomization of Free-Falling Melt Streams Using Pulsed Gaseous Shock and Detonation Waves
by Sergey M. Frolov, Vladislav S. Ivanov, Viktor S. Aksenov, Igor O. Shamshin, Fedor S. Frolov, Alan E. Zangiev, Tatiana I. Eyvazova, Vera Ya. Popkova, Maksim V. Grishin, Andrey K. Gatin and Tatiana V. Dudareva
J. Manuf. Mater. Process. 2025, 9(1), 20; https://doi.org/10.3390/jmmp9010020 - 10 Jan 2025
Viewed by 2435
Abstract
A new method of producing metal powders for additive manufacturing by the atomization of free-falling melt streams using pulsed cross-flow gaseous shock or detonation waves is proposed. The method allows the control of shock/detonation wave intensity (from Mach number 4 to about 7), [...] Read more.
A new method of producing metal powders for additive manufacturing by the atomization of free-falling melt streams using pulsed cross-flow gaseous shock or detonation waves is proposed. The method allows the control of shock/detonation wave intensity (from Mach number 4 to about 7), as well as the composition and temperature of the detonation products by choosing proper fuels and oxidizers. The method is implemented in laboratory and industrial setups and preliminarily tested for melts of three materials, namely zinc, aluminum alloy AlMg5, and stainless steel AISI 304, possessing significantly different properties in terms of density, surface tension, and viscosity. Pulsed shock and detonation waves used for the atomization of free-falling melt streams are generated by the pulsed detonation gun (PDG) operating on the stoichiometric mixture of liquid hydrocarbon fuel and gaseous oxygen. The analysis of solidified particles and particle size distribution in the powder is studied by sifting on sieves, optical microscopy, laser diffraction wet dispersion method (WDM), and atomic force microscopy (AFM). The operation process is visualized by a video camera. The minimal size of the powders obtained by the method is shown to be as low as 0.1 to 1 μm, while the maximum size of particles exceeds 400–800 μm. The latter is explained by the deficit of energy in the shock-induced cross-flow for the complete atomization of the melt stream, in particular dense and thick (8 mm) streams of the stainless-steel melt. The mass share of particles with a fraction of 0–10 μm can be at least 20%. The shape of the particles of the finest fractions (0–30 and 30–70 μm) is close to spherical (zinc, aluminum) or perfectly spherical (stainless steel). The shape of particles of coarser fractions (70–140 μm and larger) is more irregular. Zinc and aluminum powders contain agglomerates in the form of particles with fine satellites. The content of agglomerates in stainless-steel powders is very low. In general, the preliminary experiments show that the proposed method for the production of finely dispersed metal powders demonstrates potential in terms of powder characteristics. Full article
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21 pages, 31149 KB  
Article
Biomechanics of Osseointegration of a Dental Implant in the Mandible Under Shock Wave Therapy: In Silico Study
by Alexey Smolin, Galina Eremina, Irina Martyshina and Jing Xie
Materials 2024, 17(24), 6204; https://doi.org/10.3390/ma17246204 - 19 Dec 2024
Viewed by 1393
Abstract
The most time-consuming aspect of dental prosthesis installation is the osseointegration of a metal implant with bone tissue. The acceleration of this process may be achieved through the use of extracorporeal shock wave therapy. The objective of this study is to investigate the [...] Read more.
The most time-consuming aspect of dental prosthesis installation is the osseointegration of a metal implant with bone tissue. The acceleration of this process may be achieved through the use of extracorporeal shock wave therapy. The objective of this study is to investigate the conditions for osseointegration of the second premolar implant in the mandibular segment through the use of a poroelastic model implemented in the movable cellular automaton method. The mandibular segment under consideration includes a spongy tissue layer, 600 µm in thickness, covered with a cortical layer, 400 µm in thickness, and a gum layer, 400 µm in thickness. Furthermore, the periodontal layers of the roots of the first premolar and first molar were considered, while the implant of the second premolar was situated within a shell of specific tissue that corresponded to the phase of osseointegration. The model was subjected to both physiological loading and shock wave loading across the three main phases of osseointegration. The resulting fields of hydrostatic pressure and interstitial fluid pressure were then subjected to analysis in accordance with the mechanobiological principles. The results obtained have indicated that low-intensity shock wave therapy can accelerate and promote direct osseointegration: 0.05–0.15 mJ/mm2 in the first and second phases and less than 0.05 mJ/mm2 in the third phase. In comparison to physiological loads (when bone tissue regeneration conditions are observed only around the implant distal end), shock waves offer the primary advantage of creating conditions conducive to osseointegration along the entire surface of the implant simultaneously. This can significantly influence the rate of implant integration during the initial osteoinduction phase and, most crucially, during the longest final phase of bone remodeling. Full article
(This article belongs to the Special Issue Latest Materials and Technologies in Dentistry)
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13 pages, 299 KB  
Article
Contribution of Shockwave Therapy in the Functional Rehabilitation Program of Patients with Patellofemoral Pain Syndrome
by Marius Neculăeș, Pablo Hernandez-Lucas, Ioja Ioana-Bianca and Paul Lucaci
J. Clin. Med. 2024, 13(23), 7260; https://doi.org/10.3390/jcm13237260 - 29 Nov 2024
Cited by 1 | Viewed by 2870
Abstract
Background: Patellofemoral pain syndrome is a condition with an increasing incidence in recent years, being known as the most common cause of knee pain in adults and adolescents. Undiagnosed and untreated, this condition can worsen over time. The aggravation leads to an [...] Read more.
Background: Patellofemoral pain syndrome is a condition with an increasing incidence in recent years, being known as the most common cause of knee pain in adults and adolescents. Undiagnosed and untreated, this condition can worsen over time. The aggravation leads to an increase in the intensity of the pain and the risk of injury, along with an increase in stress on the other joints of the lower limb. The objective of this study was to evaluate the contribution of shockwave therapy to a functional rehabilitation programme for patients with patellofemoral pain syndrome. Materials and Methods: The study was carried out on a group of 64 subjects (32 males and 32 females), aged between 20 and 39 years. The subjects were divided into two groups: 32 subjects who followed a program of functional rehabilitation based on low- and medium-frequency electrotherapy, ultrasound and laser therapy, along with a physical therapy program lasting approximately 3 weeks, and 32 subjects who followed a functional rehabilitation program based on shockwave therapy and specific physical therapy exercises lasting approximately 3 weeks. Results: Following the protocols applied to the two groups, the pain reported by the patients decreased, while the functional parameters of the knee improved, better results being obtained in the group that performed shock wave therapy together with specific physical therapy programs (Cohen Index 5916, p < 0.001). Conclusions: This study indicates that radial shockwave therapy combined with physiotherapy may provide additional benefits for patellofemoral syndrome, including greater pain reduction and improved joint mobility, compared to traditional treatments. However, further research is needed to confirm these findings and their broader clinical applicability. Full article
(This article belongs to the Section Sports Medicine)
18 pages, 1121 KB  
Review
Promising Experimental Treatment in Animal Models and Human Studies of Interstitial Cystitis/Bladder Pain Syndrome
by Ju-Chuan Hu, Hong-Tai Tzeng, Wei-Chia Lee, Jian-Ri Li and Yao-Chi Chuang
Int. J. Mol. Sci. 2024, 25(15), 8015; https://doi.org/10.3390/ijms25158015 - 23 Jul 2024
Cited by 5 | Viewed by 4911
Abstract
Interstitial cystitis/bladder pain Syndrome (IC/BPS) remains a mysterious and intricate urological disorder, presenting significant challenges to healthcare providers. Traditional guidelines for IC/BPS follow a hierarchical model based on symptom severity, advocating for conservative interventions as the initial step, followed by oral pharmacotherapy, intravesical [...] Read more.
Interstitial cystitis/bladder pain Syndrome (IC/BPS) remains a mysterious and intricate urological disorder, presenting significant challenges to healthcare providers. Traditional guidelines for IC/BPS follow a hierarchical model based on symptom severity, advocating for conservative interventions as the initial step, followed by oral pharmacotherapy, intravesical treatments, and, in refractory cases, invasive surgical procedures. This approach embraces a multi-tiered strategy. However, the evolving understanding that IC/BPS represents a paroxysmal chronic pain syndrome, often involving extravesical manifestations and different subtypes, calls for a departure from this uniform approach. This review provides insights into recent advancements in experimental strategies in animal models and human studies. The identified therapeutic approaches fall into four categories: (i) anti-inflammation and anti-angiogenesis using monoclonal antibodies or immune modulation, (ii) regenerative medicine, including stem cell therapy, platelet-rich plasma, and low-intensity extracorporeal shock wave therapy, (iii) drug delivery systems leveraging nanotechnology, and (iv) drug delivery systems assisted by energy devices. Future investigations will require a broader range of animal models, studies on human bladder tissues, and well-designed clinical trials to establish the efficacy and safety of these therapeutic interventions. Full article
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34 pages, 23627 KB  
Article
Low-Intensity Extracorporeal Shock Wave Therapy Ameliorates Detrusor Hyperactivity with Impaired Contractility via Transient Potential Vanilloid Channels: A Rat Model for Ovarian Hormone Deficiency
by Kuang-Shun Chueh, Tai-Jui Juan, Jian-He Lu, Bin-Nan Wu, Rong-Jyh Lin, Jing-Wen Mao, Hung-Yu Lin, Shu-Mien Chuang, Chao-Yuan Chang, Mei-Chen Shen, Ting-Wei Sun and Yung-Shun Juan
Int. J. Mol. Sci. 2024, 25(9), 4927; https://doi.org/10.3390/ijms25094927 - 30 Apr 2024
Cited by 3 | Viewed by 2224
Abstract
This study explores low-intensity extracorporeal shock wave therapy (LiESWT)’s efficacy in alleviating detrusor hyperactivity with impaired contractility (DHIC) induced by ovarian hormone deficiency (OHD) in ovariectomized rats. The rats were categorized into the following four groups: sham group; OVX group, subjected to bilateral [...] Read more.
This study explores low-intensity extracorporeal shock wave therapy (LiESWT)’s efficacy in alleviating detrusor hyperactivity with impaired contractility (DHIC) induced by ovarian hormone deficiency (OHD) in ovariectomized rats. The rats were categorized into the following four groups: sham group; OVX group, subjected to bilateral ovariectomy (OVX) for 12 months to induce OHD; OVX + SW4 group, underwent OHD for 12 months followed by 4 weeks of weekly LiESWT; and OVX + SW8 group, underwent OHD for 12 months followed by 8 weeks of weekly LiESWT. Cystometrogram studies and voiding behavior tracing were used to identify the symptoms of DHIC. Muscle strip contractility was evaluated through electrical-field, carbachol, ATP, and KCl stimulations. Western blot and immunofluorescence analyses were performed to assess the expressions of various markers related to bladder dysfunction. The OVX rats exhibited significant bladder deterioration and overactivity, alleviated by LiESWT. LiESWT modified transient receptor potential vanilloid (TRPV) channel expression, regulating calcium concentration and enhancing bladder capacity. It also elevated endoplasmic reticulum (ER) stress proteins, influencing ER-related Ca2+ channels and receptors to modulate detrusor muscle contractility. OHD after 12 months led to neuronal degeneration and reduced TRPV1 and TRPV4 channel activation. LiESWT demonstrated potential in enhancing angiogenic remodeling, neurogenesis, and receptor response, ameliorating DHIC via TRPV channels and cellular signaling in the OHD-induced DHIC rat model. Full article
(This article belongs to the Section Molecular Pathology, Diagnostics, and Therapeutics)
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37 pages, 15804 KB  
Article
Ground Electric Field, Atmospheric Weather and Electric Grid Variations in Northeast Greece Influenced by the March 2012 Solar Activity and the Moderate to Intense Geomagnetic Storms
by Georgios Anagnostopoulos, Anastasios Karkanis, Athanasios Kampatagis, Panagiotis Marhavilas, Sofia-Anna Menesidou, Dimitrios Efthymiadis, Stefanos Keskinis, Dimitar Ouzounov, Nick Hatzigeorgiu and Michael Danikas
Remote Sens. 2024, 16(6), 998; https://doi.org/10.3390/rs16060998 - 12 Mar 2024
Cited by 2 | Viewed by 2880
Abstract
In a recent paper, we extended a previous study on the solar solar influence to the generation of the March 2012 heatwave in the northeastern USA. In the present study we check the possible relationship of solar activity with the early March 2012 [...] Read more.
In a recent paper, we extended a previous study on the solar solar influence to the generation of the March 2012 heatwave in the northeastern USA. In the present study we check the possible relationship of solar activity with the early March 2012 bad weather in northeast Thrace, Greece. To this end, we examined data from various remote sensing instrumentation monitoring the Sun (SDO satellite), Interplanetary space (ACE satellite), the Earth’s magnetosphere (Earth-based measurements, NOAA-19 satellite), the top of the clouds (Terra and Aqua satellites), and the near ground atmosphere. Our comparative data analysis suggests that: (i) the winter-like weather (rainfall, fast winds, decreased temperature) in Thrace started on 6 March 2012, the same day as the heatwave started in USA, (ii) during the March 2012 winter-like event in Thrace (6–15 March), the ACE satellite recorded enhanced fluxes of solar energetic particles (SEPs), while SOHO and PAMELA recorded solar protons at very high energies (>500 MeV), (iii) Between 3–31 March, the temperature in Alexandoupoli and the ACE/EPAM solar high energy (1.88–4.70 MeV) proton flux were strongly anticorelated (r = −0.75, p = 0.5). (iv) Thrace experienced particularly intense cyclonic circulation, during periods of magnetic storms on 8–10 and 12–13 March, which occurred after the arrival at ACE of two interplanetary shock waves, on March 8 and March 11, respectively, (v) at the beginning of the two above mentioned periods large atmospheric electric fields were recorded, with values ranging between ~−2000 V/m and ~1800 V/m on 8 March, (vi) the winter-like weather on 8–10 March 2012 occurred after the detection of the main SEP event related with a coronal mass ejection released in interplanetary space as a result of intense solar flare activity observed by SDO on 7 March 2012, (vi) the 8–10 March weather was related with a deep drop of ~63 °C in the cloud top temperature measured by MODIS/Terra, which favors strong precipitation. Finally, we analyzed data from the electric power network in Thrace (~41°N) and we found, for the first time sudden voltage changes of ~3.5 kV in the electric grid in Greece, during the decay phase of the March 2012 storm series. We discuss the winter-like March 2012 event in Thrace regarding the influence of solar cosmic rays on the low troposphere mediated by positive North Atlantic Oscillation (NAO). Finally, we infer that the novel finding of the geomagnetic effects on the electric power grid in Thrace may open a new window into space weather applications research. Full article
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16 pages, 597 KB  
Review
Effectiveness of Low-Intensity Extracorporeal Shock Wave Therapy in Erectile Dysfunction: An Analysis of Sexual Function and Penile Hardness at Erection: An Umbrella Review
by Esther M Medrano-Sánchez, Belén Peña-Cantonero, Paloma Candón-Ballester, María Blanco-Díaz and Esther Díaz-Mohedo
J. Pers. Med. 2024, 14(2), 177; https://doi.org/10.3390/jpm14020177 - 4 Feb 2024
Cited by 4 | Viewed by 13102
Abstract
The present umbrella review of five systematic reviews and meta-analyses was conducted to investigate the effectiveness of Low-Intensity Extracorporeal Shock Wave Therapy (Li-ESWT) in the treatment of vascular origin Erectile Dysfunction (ED). A search was carried out in the databases of Pubmed, Scopus, [...] Read more.
The present umbrella review of five systematic reviews and meta-analyses was conducted to investigate the effectiveness of Low-Intensity Extracorporeal Shock Wave Therapy (Li-ESWT) in the treatment of vascular origin Erectile Dysfunction (ED). A search was carried out in the databases of Pubmed, Scopus, Medline, Scielo and Embase. Participants were divided into two groups: an experimental group receiving Li-ESWT and a control group receiving simulated shock waves. The main variable of this study is ED, measured using the International Index of Erectile Function-Erectile Function (IIEF-EF) and the Erection Hardness Score (EHS) scale. The results showed a statistically significant increase in the mean IIEF-EF score in the experimental group. Overall, four out of five articles reported an increase in the EHS score in the Li-ESWT group compared to the placebo. Concerning the treatment parameters, better outcomes were observed with an energy density of 0.09 mJ/mm2 and the application of 1500–2000 pulses. Additionally, a follow-up of 6–12 months resulted in greater improvement in ED compared to 3 months, although more studies investigating follow-ups beyond 12 months are needed. Obtaining conclusive and clear results is challenging; however, everything indicates that Li-ESWT is an innovative therapeutic alternative for vascular-origin ED due to its low risk and improvement in erectile function. Full article
(This article belongs to the Section Sex, Gender and Hormone Based Medicine)
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20 pages, 17494 KB  
Article
Transient Flow Evolution of a Hypersonic Inlet/Isolator with Incoming Windshear
by Simin Gao, Hexia Huang, Yupeng Meng, Huijun Tan, Mengying Liu and Kun Guo
Aerospace 2023, 10(12), 1021; https://doi.org/10.3390/aerospace10121021 - 9 Dec 2023
Cited by 2 | Viewed by 2125
Abstract
In this paper, a novel flow perturbation model meant to investigate the effects of incoming wind shear on a hypersonic inlet/isolator is presented. This research focuses on the transient shock/boundary layer interaction and shock train flow evolution in a hypersonic inlet/isolator with an [...] Read more.
In this paper, a novel flow perturbation model meant to investigate the effects of incoming wind shear on a hypersonic inlet/isolator is presented. This research focuses on the transient shock/boundary layer interaction and shock train flow evolution in a hypersonic inlet/isolator with an on-design Mach number of 6.0 under incoming wind shear at high altitudes, precisely at an altitude of 30 km with a magnitude speed of 80 m/s. Despite the low intensity of wind shear at high altitudes, the results reveal that wind shear significantly disrupts the inlet/isolator flowfield, affecting the shock wave/boundary layer interaction in the unthrottled state, which drives the separation bubble at the throat to move downstream and then upstream. Moreover, the flowfield behaves as a hysteresis phenomenon under the effect of wind shear, and the total pressure recovery coefficients at the throat and exit of the inlet/isolator increase by approximately 10% to 12%. Furthermore, this research focuses on investigating the impact of wind shear on the behavior of the shock train. Once the inlet/isolator is in a throttled state, wind shear severely impacts the motion of the shock train. When the downstream backpressure is 135 times the incoming pressure (p0), the shock train first moves upstream and gradually couples with a cowl shock wave/boundary layer interaction, resulting in a more significant separation at the throat, and then moves downstream and decouples from the separation bubble at the throat. However, if the downstream backpressure increases to 140 p0, the shock train enlarges the separation bubble, forcing the inlet/isolator to fall into the unstart state, and it cannot be restarted. These findings emphasize the need to consider wind shear effects in the design and operation of hypersonic inlet/isolator. Full article
(This article belongs to the Special Issue Shock-Dominated Flow)
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17 pages, 919 KB  
Review
Extracorporeal Shock Wave Therapy for the Treatment of Musculoskeletal Pain: A Narrative Review
by Hortensia De la Corte-Rodríguez, Juan M. Román-Belmonte, Beatriz A. Rodríguez-Damiani, Aránzazu Vázquez-Sasot and Emérito Carlos Rodríguez-Merchán
Healthcare 2023, 11(21), 2830; https://doi.org/10.3390/healthcare11212830 - 26 Oct 2023
Cited by 23 | Viewed by 19292
Abstract
Extracorporeal shock waves are high-intensity mechanical waves (500–1000 bar) of a microsecond duration with a morphology characterized by a rapid positive phase followed by a negative phase. Background: Extracorporeal shock waves have been used for pain treatment for various sub-acute and chronic musculoskeletal [...] Read more.
Extracorporeal shock waves are high-intensity mechanical waves (500–1000 bar) of a microsecond duration with a morphology characterized by a rapid positive phase followed by a negative phase. Background: Extracorporeal shock waves have been used for pain treatment for various sub-acute and chronic musculoskeletal (MSK) problems since 2000. The aim of this article is to update information on the role of extracorporeal shock wave therapy (ESWT) in the treatment of various pathologies that cause MSK pain. Methods: Given that in the last two years, articles of interest (including systematic reviews and meta-analyses) have been published on less known indications, such as low back pain, nerve entrapments, osteoarthritis and bone vascular diseases, a literature search was conducted in PubMed, the Cochrane Database, EMBASE, CINAHL and PEDro, with the aim of developing a narrative review of the current literature on this topic. The purposes of the review were to review possible new mechanisms of action, update the level of evidence for known indications and assess possible new indications that have emerged in recent years. Results: Although extracorporeal shock waves have mechanical effects, their main mechanism of action is biological, through a phenomenon called mechanotransduction. There is solid evidence that supports their use to improve pain in many MSK pathologies, such as different tendinopathies (epicondylar, trochanteric, patellar, Achilles or calcific shoulder), plantar fasciitis, axial pain (myofascial, lumbar or coccygodynia), osteoarthritis and bone lesions (delayed union, osteonecrosis of the femoral head, Kienbock’s disease, bone marrow edema syndrome of the hip, pubis osteitis or carpal tunnel syndrome). Of the clinical indications mentioned in this review, five have a level of evidence of 1+, eight have a level of evidence of 1−, one indication has a level of evidence of 2− and two indications have a level of evidence of 3. Conclusions: The current literature shows that ESWT is a safe treatment, with hardly any adverse effects reported. Furthermore, it can be used alone or in conjunction with other physical therapies such as eccentric strengthening exercises or static stretching, which can enhance its therapeutic effect. Full article
(This article belongs to the Special Issue The 10th Anniversary of Healthcare—Pain Management)
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6 pages, 165 KB  
Article
Ten-Year Sepsis Rates Comparing Extracorporeal Shock Wave Lithotripsy and Ureterorenoscopic Laser Lithotripsy in an Australian Population
by Matthew Farag, Clancy Mulholland, Deanne Soares, Lih Ming Wong, Damien Bolton and Daniel Lenaghan
Soc. Int. Urol. J. 2023, 4(5), 363-368; https://doi.org/10.48083/GJFH9113 - 19 Sep 2023
Viewed by 1059
Abstract
Objectives: To compare the rate and predictors of septic complications after shock wave lithotripsy (SWL) and flexible ureteroscopy and laser lithotripsy (FURS) in an Australian population. Methods: Hospital admission data were extracted from the Victorian Admitted Episodes Dataset (VAED) regarding all elective admissions [...] Read more.
Objectives: To compare the rate and predictors of septic complications after shock wave lithotripsy (SWL) and flexible ureteroscopy and laser lithotripsy (FURS) in an Australian population. Methods: Hospital admission data were extracted from the Victorian Admitted Episodes Dataset (VAED) regarding all elective admissions for SWL and FURS for treatment of intrarenal stones from 2009 to 2018, inclusive. Sepsis was defined by the ICD-10 diagnostic code, A41. Results: There were 13 154 inpatient episodes analysed, comprising SWL (6033) and ureterorenoscopic laser lithotripsy (7121). Males made up 67.43% of SWL patients and 63.34% of FURS patients. Median age was 57 years in both groups. Median American Society of Anesthesiologists physical status classification grade (ASA grade) was 2 for both groups, but proportionally more FURS patients were ASA grade 3 to 4 (p < 0.001). Postoperative sepsis was more common in the FURS group (1.43% vs. 0.03%), as was intensive care unit admission (1.00% vs. 0.10%). Average length of stay was longer for FURS (1.43 days vs. 1.06 days). There were 4 inpatient deaths, all from the FURS group. FURS procedure, female sex, and a higher ASA grade were each independent predictors of sepsis. Conclusions: FURS may have a significantly higher relative risk of postoperative sepsis than SWL in high-risk patients as determined in this study. While overall risk is low, higher comorbidity (ASA grade 3 or 4) and female sex were independent predictors of sepsis. For these patients in particular, and when clinically appropriate, SWL may be considered as a potentially safer alternative to FURS. Full article
26 pages, 12223 KB  
Article
Control of Cowl Shock/Boundary Layer Interaction in Supersonic Inlet Based on Dynamic Vortex Generator
by Mengge Wang, Ziyun Wang, Yue Zhang, Daishu Cheng, Huijun Tan, Kun Wang and Simin Gao
Aerospace 2023, 10(8), 729; https://doi.org/10.3390/aerospace10080729 - 20 Aug 2023
Cited by 8 | Viewed by 3385
Abstract
A shock wave/boundary layer interaction (SWBLI) is a common phenomenon in supersonic inlet flow, which can significantly degrade the aerodynamic performance of the inlet by inducing boundary layer separation. To address this issue, in this paper, we propose the use of a dynamic [...] Read more.
A shock wave/boundary layer interaction (SWBLI) is a common phenomenon in supersonic inlet flow, which can significantly degrade the aerodynamic performance of the inlet by inducing boundary layer separation. To address this issue, in this paper, we propose the use of a dynamic vortex generator to control the SWBLI in a typical supersonic inlet. The unsteady simulation method based on dynamic grid technology was employed to verify the effectiveness of the proposed method of control and investigate its mechanism. The results showed that, in a duct of finite width at the inlet, the SWBLI generated complex three-dimensional (3D) flow structures with remarkable swirling properties. At the same time, vortex pairs were generated close to the side wall as a result of its presence, and this led to the intensification of transverse flow and, in turn, the formation of a complex 3D structure of the flow of the separation bubble. The dynamic vortex generator induced oscillations of variable intensity in the vortex system in the supersonic boundary layer that enhanced the mixing between the boundary layer flow and the mainstream. Meanwhile, the unique effects of “extrusion” and “suction” in the oscillation process continued to charge the airflow, and the distribution of velocity in the boundary layer significantly improved. As the oscillation frequency of the vortex generator increased, its charging effect on low-velocity flow in the boundary layer increased, and its control effect on the flow field of the SWBLI became more pronounced. The proposed method of control reduced the length of the separation bubble by 31.76% and increased the total pressure recovery coefficient at the inlet by 6.4% compared to the values in the absence of control. Full article
(This article belongs to the Special Issue Shock-Dominated Flow)
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16 pages, 6504 KB  
Article
Theoretical Basis and Technical Method of Permeability Enhancement of Tectonic Coal Seam by High Intensity Acoustic Wave In Situ
by Weidong Li, Yongmin Zhang, Dalong Wang, Cunqiang Chen, Yongyuan Li, Youzhi Zhao, Shuo Zhang, Jing Ren and Yong Qin
Processes 2023, 11(8), 2372; https://doi.org/10.3390/pr11082372 - 7 Aug 2023
Cited by 2 | Viewed by 1617
Abstract
Tectonic coal seams are characterized by soft, low permeability and high gas outburst. The traditional gas control method is the intensive drilling and extraction in this seam, which is not only large in engineering quantity, high in cost, difficult to form holes and [...] Read more.
Tectonic coal seams are characterized by soft, low permeability and high gas outburst. The traditional gas control method is the intensive drilling and extraction in this seam, which is not only large in engineering quantity, high in cost, difficult to form holes and low in extraction efficiency, but also easy to induce coal and gas outburst, which is a difficult problem for global coal mine gas control. To solve this difficult problem, the controllable shockwave equipment developed by the author’s team and successfully applied in the practice of permeability enhancement of coal seam, combined with the principles of shock vibration sound wave generation and shock wave attenuation and evolution in the rock stratum, a new idea of loading a controllable shock wave in the roof and floor of coal seam is proposed. The shock wave first attenuates and evolves into a high-strength sound wave in the roof and floor rock stratum, and then enters and loads into the coal seam to achieve the purpose of increasing permeability without damaging the physical properties of the tectonic coal seam and facilitating the opening of the original fractures. According to the new technical ideas, the implementation scheme and key parameters of the gas pre-extraction models in tectonic coal seam are designed, including the penetration drilling, roof and floor horizontal holes, shield tunneling and the high-strength acoustic wave of the working face, which provides a new technical approach to solve the problem of high efficiency and low cost gas extraction in the tectonic coal seam. Full article
(This article belongs to the Special Issue Exploration, Exploitation and Utilization of Coal and Gas Resources)
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