Shock waves in the nozzle during supersonic separation under different conditions can disrupt the flow field’s thermodynamic equilibrium.While it contributes to the recovery of pressure energy,it also leads to the di...Shock waves in the nozzle during supersonic separation under different conditions can disrupt the flow field’s thermodynamic equilibrium.While it contributes to the recovery of pressure energy,it also leads to the dissipation of mechanical energy.This study aimed to investigate the effects of changes in back pressure on the shock wave position and its subsequent impact on the refrigeration performance of nozzles.A mathematical model for the supersonic gas in a nozzle was established and evaluated via experiments.The results show that when the back pressure is less than 0.2 MPa,no shock wave is generated in the nozzle,and high refrigeration and liquefaction efficiency can be ensured while effective pressure recovery is achieved.When the back pressure(pb)is increased from 0.3 to 0.6 MPa,the refrigeration efficiency of the nozzle decreases,and the shock wave position(x shock)is advanced from 157 to 118 mm.The maximum Mach number(Ma)that can be reached by the fluid in the nozzle is reduced from 1.97 to 1.27.When the back pressure is increased from 0.2 to 0.6 MPa,the minimum temperature is increased by 55.18 K.When the back pressure is greater than 0.3 MPa,the Mach number upstream of the shock wave is reduced from 1.97 to 1.27,the shock wave intensity is weakened,and the thickness of the boundary layer separation caused by the shock wave is also decreased accordingly.Therefore,to ensure refrigeration efficiency,measures should be taken to control the back pressure within a reasonable range.展开更多
Objective We aimed to compare the clinical outcomes of intravenous urography-assisted fluoroscopy-guided shockwave lithotripsy for radiolucent ureteral stones and standard shockwave lithotripsy for radiopaque ureteral...Objective We aimed to compare the clinical outcomes of intravenous urography-assisted fluoroscopy-guided shockwave lithotripsy for radiolucent ureteral stones and standard shockwave lithotripsy for radiopaque ureteral stones.Methods We retrospectively reviewed 734 patients with ureteral stones treated by fluoroscopy-guided shockwave lithotripsy between March 2014 and March 2021.The primary outcome was a stone-free rate with one session within 30 days,defined as no residual stones without auxiliary treatment.The multivariate analysis was used to examine whether the intravenous urography use predicted treatment success.Furthermore,we compared the outcomes using propensity score matching.Results Ninety-eight patients underwent the intravenous urography use protocol(Group I),and the remaining 636 patients underwent the non-intravenous urography protocol(Group N).Stone-free rates with one session within 30 days were 38%and 32%in groups I and N,respectively(p=0.3).No statistical differences were observed in the conversion rate to ureteroscopy(p=0.3)or complication rate(p=0.7)between Group I and Group N.One patient who developed skin redness was considered a complication of the contrast medium.Propensity score matching examined 88 matched pairs.Treatment success was obtained in 31(35%)patients in Group I and 33(38%)patients in Group N(p=0.9)within 30 days with one session.Conclusion Radiolucent stones can be safely and effectively treated by shockwave lithotripsy with intravenous urography.展开更多
Low-intensity extracorporeal shockwave therapy(LiESWT)represents a promising treatment for patients with erectile dysfunction(ED).We investigated the efficacy of LiESWT combined with tadalafil 5 mg once daily in men w...Low-intensity extracorporeal shockwave therapy(LiESWT)represents a promising treatment for patients with erectile dysfunction(ED).We investigated the efficacy of LiESWT combined with tadalafil 5 mg once daily in men with type 2 diabetes mellitus(T2DM)and ED and compared LiESWT protocols administering different number of shockwaves.We performed a retrospective matched-pair comparison using data from a prospectively maintained database.Seventy-eight patients who received tadalafil 5 mg once dai7ly for 12 weeks+LiESWT performed with an electrohydraulic source for 3 weeks(Group A)were matched 1:1 to patients who received tadalafil 5 mg once daily alone for 12 weeks(Group B).A subgroup analysis was performed according to the number of shockwaves delivered during each session(1500,1800,and 2400 in subgroup A1,A2,and A3,respectively).The mean International Index of Erectile Function-5(IIEF-5)score variations with respect to baseline recorded at 4,12,and 24 weeks after the end of the treatment were investigated as treatment outcomes.The mean IIEF-5 scores significantly improved in all groups and subgroups at 4-week follow-up without intergroup differences.At 12-and 24-week follow-up,the mean IIEF-5 improvement was significantly higher among patients in the A3 subgroup(+5.0±2.1[P<0.001]and+4.7±2.3[P<0.001],respectively).The combined approach with tadalafil 5 mg once daily and LiESWT with a protocol involving 2400 shockwaves provides significant advantages in terms of IIEF-5 improvement and durability compared to tadalafil 5 mg once daily alone in patients with T2DM and ED.展开更多
Shockwaves from fuel-air explosive(FAE)cloud explosions may cause significant casualties.The ground overpressure field is usually used to evaluate the damage range of explosion shockwaves.In this paper,a finite elemen...Shockwaves from fuel-air explosive(FAE)cloud explosions may cause significant casualties.The ground overpressure field is usually used to evaluate the damage range of explosion shockwaves.In this paper,a finite element model of multi-sources FAE explosion is established to simulate the process of multiple shockwaves propagation and interaction.The model is verified with the experimental data of a fourfoldsource FAE explosion,with the total fuel mass of 340 kg.Simulation results show that the overpressure fields of multi-sources FAE explosions are different from that of the single-source.In the case of multisources,the overpressure fields are influenced significantly by source scattering distance and source number.Subsequently,damage ranges of overpressure under three different levels are calculated.Within a suitable source scattering distance,the damage range of multi-sources situation is greater than that of the single-source,under the same amount of total fuel mass.This research provides a basis for personnel shockwave protection from multi-sources FAE explosion.展开更多
The shockwave induced by surface direct-current (DC) arc discharge is investigated both experimentally and numer- ically. In the experiment, the shockwave generated by rapid gas heating is clearly observed from Schl...The shockwave induced by surface direct-current (DC) arc discharge is investigated both experimentally and numer- ically. In the experiment, the shockwave generated by rapid gas heating is clearly observed from Schlieren images. The peak velocity of the shockwave is measured to be over 410 m/s; during its upright movement, it gradually falls to about 340 m/s; no remarkable difference is seen after changing the discharge voltage and the pulse frequency. In the modeling of the arc plasma, the arc domain is not simulated as a boundary condition with fixed temperature or pressure, but a source term with a time-varying input power density, which could better reflect the influence of the heating process. It is found that with a reference power density of 2.8× 1012 W/m2, the calculated peak velocity is higher than the measured one, but they quickly (in 30 Its) become agreed with each other. The peak velocity also rises while increasing the power density, the maximum velocity acquired in the simulation is over 468 m/s, which is expected to be effective for high speed flow control.展开更多
This paper presents a new technique,termed femtosecond laser shock peening ablation in liquids(fs-LSPAL),which can realize simultaneous crack microanomanufacturing and hierarchical microanolaser ablation,giving rise t...This paper presents a new technique,termed femtosecond laser shock peening ablation in liquids(fs-LSPAL),which can realize simultaneous crack microanomanufacturing and hierarchical microanolaser ablation,giving rise to the formation of diverse multiscale hierarchical structures,such as macroporous ratcheted structures and enéchelon microfringes decorated with parabolic nanoripples.Through analysis of surface morphologies,many phenomena have been confirmed to take place during fs-LSPAL,including enéchelon cracks,nanostriation,ripple densification,crack branching,and selective formation of high spatial frequency laser-induced periodic surface structures of 100–200 nm in period.At a high laser power of 700 mW,fs-LSPAL at scanning speeds of 0.2 mm s^-1 and 1 mm s^-1 enables the generation of height-fluctuated and height-homogeneous hierarchical structures,respectively.The height-fluctuated structures can be used to induce‘colony’aggregates of embryonic EB3 stem cells.At 200 mW,fs-LSPAL at 1 mm s^-1 is capable of producing homogeneous tilt macroporous structures with cracked structures interleaved among them,which are the synergistic effects of bubble-induced light refractioneflection ablation and cracks.As shown in this paper,the conventional laser ablation technique integrated with its self-driven unconventional cracking under extreme conditions expands the horizons of extreme manufacturing and offers more opportunities for complex surface structuring,which can potentially be used for biological applications.展开更多
Aim: To determine retrospectively the safety and efficacy of extracorporeal shock wave therapy (ESWT) in patients with Peyronie's disease. Methods: Fifty-three patients with stable Peyronie's disease underwent E...Aim: To determine retrospectively the safety and efficacy of extracorporeal shock wave therapy (ESWT) in patients with Peyronie's disease. Methods: Fifty-three patients with stable Peyronie's disease underwent ESWT (group 1). Fifteen patients matched with the baseline characteristic of the patients in group 1, who received no treatment, were used as the control (group 2). The patients' erectile function (International Index of Erectile Function [IIEF-5] score), pain severity (visual analog scale), plaque size and degree of penile angulation were assessed before and after the treatment in group 1 and during the follow-up in group 2. Results: The mean follow-up time was 32 months (range: 6-64 months) in group 1 and 35 months (range: 9-48 months) in group 2. All the patients were available for the follow-up. Considering erectile function and plaque size, no significant changes (P 〉 0.05) were observed in group 1 before or after the ESWT. A total of 39 patients (74%) reported a significant effect in pain relief in group 1 after ESWT. However, regarding improvement in pain, IIEF-5 score and plaque size, no significant differences were observed between the two groups. In 21 patients (40%) of group 1, the deviation angle was decreased more than 10° with a mean reduction in all patients of 11° (range: 6-20°). No serious complications were noted considering ESWT procedure. Conclusion: ESWT is a minimally invasive and safe alternative procedure for the treatment of Peyronie's disease. However, the effect of ESWT on penile pain, sexual function and plaque size remains questionable.展开更多
We analyzed the efficacy of penile low-intensity extracorporeal shockwave treatment for erectile dysfunction(ED)combined with cavernous artery disease(CAD).ED was evaluated by the International Index of Erectile Funct...We analyzed the efficacy of penile low-intensity extracorporeal shockwave treatment for erectile dysfunction(ED)combined with cavernous artery disease(CAD).ED was evaluated by the International Index of Erectile Function,subdividing patients into mild and moderate/severe forms.CAD was assessed using penile color Doppler ultrasonography.Patients(n=111)with a positive outcome after treatment,based upon the minimal clinically important difference of the International Index of ED,were followed up for 3 months and 6 months.We found a significant mean increase in the index of erectile function,with an overall improvement in hemodynamic parameters of the cavernous artery.In particular,93.9%of the patients with mild ED without CAD responded to treatment and 72.7%resumed normal erectile function.Only 31.2%of the patients with moderate/severe ED and CAD responded to treatment,and none resumed normal erectile function.All patients with mild ED and no CAD maintained the effects of therapy after 3 months,while no patients with moderate/severe ED and CAD maintained the benefits of treatment after 3 months.Thus,patients with mild ED and no CAD have better and longer lasting responses to such treatment,with a higher probability of resuming normal erectile function than patients with moderate/severe ED and CAD.展开更多
The remarkable experimental progress in the studies of collisionless shockwave(CS) in laboratories employing highpower lasers is briefly reviewed. The results show that CS can be generated in laser-produced plasmas ...The remarkable experimental progress in the studies of collisionless shockwave(CS) in laboratories employing highpower lasers is briefly reviewed. The results show that CS can be generated in laser-produced plasmas due to the microturbulence associated with instabilities. CS is one of the most important astronomical phenomena. It has been found in supernova remnants(SNRs), Sun–Earth space, etc. This paper focuses on CS in ways relevant to SNRs. Laboratory astrophysics(LA), a new interdisciplinary frontier of astrophysics, plasma and laser physics, has developed rapidly in recent years. As an accessory to the astronomical observation, LA experimenters can closely study some astronomical events scaled-down to controllable phenomena.展开更多
Objective:The purpose of the study is to evaluate whether the clinical effects of focused extracorporeal shockwave therapy(f-ESWT)and acupuncture anticipate the clinical response in patients with rotator cuff tendinop...Objective:The purpose of the study is to evaluate whether the clinical effects of focused extracorporeal shockwave therapy(f-ESWT)and acupuncture anticipate the clinical response in patients with rotator cuff tendinopathy in the short term.Design:An observational retrospective clinical study.Setting/Location:Physical Medicine and Rehabilitation Unit,Sant’Andrea University Hospital in Rome,Italy.Subjects/Interventions:We analyzed retrospectively thirty patients(22 females and 8 males)with rotator cuff tendinopathy.Fifteen patients underwent f-ESWT and acupuncture combined therapy(Group A)and fifteen patients underwent only f-ESWT therapy(Group B).Outcome measures:The outcome measures were the Visual Analogic Scale(VAS),Assessment Shoulder and Elbow Scale(ASES)and Roles and Maudsley Score(RMS).The follow-ups were T0(pre-treatment),T1(3 weeks after the start of the treatment),and T2(at 8 weeks).In order to compare groups,the ANOVA and Friedman tests were adopted.Group A patients had a more rapid and statistically significant improvement trend in VAS(P<0.001),ASES scale(P<0.001),and a higher level of satisfaction to treatment assessed by RMS(P<0.001)than group B in the short term.Conclusions:The study showed that combined treatment decreases the recovery time of the shoulder involved in terms of pain and motor function in the short term.However,these results shall be confirmed by controlled randomized studies.展开更多
Previous published studies have shown an improvement of penile hemodynamic parameters after low-intensity extracorporeal shockwave therapy(Li-ESWT).However,the clinical significance of these findings remains unclear,a...Previous published studies have shown an improvement of penile hemodynamic parameters after low-intensity extracorporeal shockwave therapy(Li-ESWT).However,the clinical significance of these findings remains unclear,and definitive selection criteria for Li-ESWT based on preexisting comorbidities have yet to be established.This was an observational study of 113 patients with ED,evaluated between January 2019 and December 2021 in Andrology Unit at the Department of Urology and Renal Transplantation,University of Foggia(Foggia,Italy).Penile dynamic Doppler was performed to evaluate vascular parameters and 5-item version of the International Index of Erectile Dysfunction(IIEF-5)questionnaire was administered to assess the severity of ED.This was repeated 1 month after treatment.Patients with a peak systolic velocity(PSV)30 cm s−1 at posttherapeutic penile dynamic Doppler.A clinically significant IIEF-5 score improvement was observed in 7 patients,21 patients,and 2 patients with mild-to-moderate,moderate,and severe pretreatment ED,respectively.No different outcomes were assessed based on smoking habits,previous pelvic surgery,or use of oral phosphodiesterase-5 inhibitor(PDE5i).On the other side,only 1(6.7%)in 15 patients with diabetes mellitus showed an IIEF-5 score improvement after Li-ESWT.Shockwave treatment determined a significant increase in PSV and correlated IIEF-5 improvement in ED patients.This advantage seemed particularly evident for moderate ED and was not affected by smoking habits,previous pelvic surgery,and use of PDE5i.Conversely,diabetic patients did not benefit from the treatment.展开更多
Low intensity shockwave (LiSW) treatment is known to improve revascularization. The method has been evaluated and is used to treat vasculogenic erectile dysfunction (ED). The present study aimed to demonstrate the eff...Low intensity shockwave (LiSW) treatment is known to improve revascularization. The method has been evaluated and is used to treat vasculogenic erectile dysfunction (ED). The present study aimed to demonstrate the efficacy of a linear focused piezoelectric shockwave device (Richard Wolf/ELvationPiezowave2) to treat patients with vasculogenic ED using a novel linear shockwave tissue coverage LSTC-ED® technique. A total of 75 patients were treated using the Piezowave2 device and the LSTC-ED® technique. Patients’ erectile function was evaluated using the modified IIEF-5 (International Index of Erectile Function) scale at the beginning of treatment and at 1 month post treatment;patients were additionally questioned using our own Treatment Satisfaction Questionnaire (TSQ). The study also included a group of 50 patients treated by placebo;the outcomes of both groups were compared. The average IIEF-5 score of patients in the treatment group increased from 14.4 at baseline to 18.6 at 1 month post treatment. According to the IIEF-5 scale, treatment was successful in 81.33% of patients (61/75). According to the Treatment Satisfaction Questionnaire (answers 1 to 3 of the TSQ), treatment was successful in 77.3% of patients (58/75). In the placebo group of 50 patients only 5 patients showed an improvement based on IIEF score, and 8 reported an improvement based on their answers to the TSQ. No significant adverse effects were observed during treatment or in the follow-up period. The Piezowave2 device and the LSTC-ED® technique proved to be suitable and effective to treat erectile dysfunction.展开更多
基金supported by the National Science and Technology Major Project of China(2025ZD1406703)the Open Fund of Key Laboratory of Oil&Gas Equipment,Ministry of Education(Southwest Petroleum University)(Grant No.OGE20230206).
摘要Shock waves in the nozzle during supersonic separation under different conditions can disrupt the flow field’s thermodynamic equilibrium.While it contributes to the recovery of pressure energy,it also leads to the dissipation of mechanical energy.This study aimed to investigate the effects of changes in back pressure on the shock wave position and its subsequent impact on the refrigeration performance of nozzles.A mathematical model for the supersonic gas in a nozzle was established and evaluated via experiments.The results show that when the back pressure is less than 0.2 MPa,no shock wave is generated in the nozzle,and high refrigeration and liquefaction efficiency can be ensured while effective pressure recovery is achieved.When the back pressure(pb)is increased from 0.3 to 0.6 MPa,the refrigeration efficiency of the nozzle decreases,and the shock wave position(x shock)is advanced from 157 to 118 mm.The maximum Mach number(Ma)that can be reached by the fluid in the nozzle is reduced from 1.97 to 1.27.When the back pressure is increased from 0.2 to 0.6 MPa,the minimum temperature is increased by 55.18 K.When the back pressure is greater than 0.3 MPa,the Mach number upstream of the shock wave is reduced from 1.97 to 1.27,the shock wave intensity is weakened,and the thickness of the boundary layer separation caused by the shock wave is also decreased accordingly.Therefore,to ensure refrigeration efficiency,measures should be taken to control the back pressure within a reasonable range.
摘要Objective We aimed to compare the clinical outcomes of intravenous urography-assisted fluoroscopy-guided shockwave lithotripsy for radiolucent ureteral stones and standard shockwave lithotripsy for radiopaque ureteral stones.Methods We retrospectively reviewed 734 patients with ureteral stones treated by fluoroscopy-guided shockwave lithotripsy between March 2014 and March 2021.The primary outcome was a stone-free rate with one session within 30 days,defined as no residual stones without auxiliary treatment.The multivariate analysis was used to examine whether the intravenous urography use predicted treatment success.Furthermore,we compared the outcomes using propensity score matching.Results Ninety-eight patients underwent the intravenous urography use protocol(Group I),and the remaining 636 patients underwent the non-intravenous urography protocol(Group N).Stone-free rates with one session within 30 days were 38%and 32%in groups I and N,respectively(p=0.3).No statistical differences were observed in the conversion rate to ureteroscopy(p=0.3)or complication rate(p=0.7)between Group I and Group N.One patient who developed skin redness was considered a complication of the contrast medium.Propensity score matching examined 88 matched pairs.Treatment success was obtained in 31(35%)patients in Group I and 33(38%)patients in Group N(p=0.9)within 30 days with one session.Conclusion Radiolucent stones can be safely and effectively treated by shockwave lithotripsy with intravenous urography.
摘要Low-intensity extracorporeal shockwave therapy(LiESWT)represents a promising treatment for patients with erectile dysfunction(ED).We investigated the efficacy of LiESWT combined with tadalafil 5 mg once daily in men with type 2 diabetes mellitus(T2DM)and ED and compared LiESWT protocols administering different number of shockwaves.We performed a retrospective matched-pair comparison using data from a prospectively maintained database.Seventy-eight patients who received tadalafil 5 mg once dai7ly for 12 weeks+LiESWT performed with an electrohydraulic source for 3 weeks(Group A)were matched 1:1 to patients who received tadalafil 5 mg once daily alone for 12 weeks(Group B).A subgroup analysis was performed according to the number of shockwaves delivered during each session(1500,1800,and 2400 in subgroup A1,A2,and A3,respectively).The mean International Index of Erectile Function-5(IIEF-5)score variations with respect to baseline recorded at 4,12,and 24 weeks after the end of the treatment were investigated as treatment outcomes.The mean IIEF-5 scores significantly improved in all groups and subgroups at 4-week follow-up without intergroup differences.At 12-and 24-week follow-up,the mean IIEF-5 improvement was significantly higher among patients in the A3 subgroup(+5.0±2.1[P<0.001]and+4.7±2.3[P<0.001],respectively).The combined approach with tadalafil 5 mg once daily and LiESWT with a protocol involving 2400 shockwaves provides significant advantages in terms of IIEF-5 improvement and durability compared to tadalafil 5 mg once daily alone in patients with T2DM and ED.
基金The authors would like to acknowledge the China Postdoctoral Science Foundation(Grant No.2019M660488)to provide fund for this work.
摘要Shockwaves from fuel-air explosive(FAE)cloud explosions may cause significant casualties.The ground overpressure field is usually used to evaluate the damage range of explosion shockwaves.In this paper,a finite element model of multi-sources FAE explosion is established to simulate the process of multiple shockwaves propagation and interaction.The model is verified with the experimental data of a fourfoldsource FAE explosion,with the total fuel mass of 340 kg.Simulation results show that the overpressure fields of multi-sources FAE explosions are different from that of the single-source.In the case of multisources,the overpressure fields are influenced significantly by source scattering distance and source number.Subsequently,damage ranges of overpressure under three different levels are calculated.Within a suitable source scattering distance,the damage range of multi-sources situation is greater than that of the single-source,under the same amount of total fuel mass.This research provides a basis for personnel shockwave protection from multi-sources FAE explosion.
基金Project supported by the Key Program of the National Natural Science Foundation of China(Grant No.51336011)the National Natural Science Foundation of China(Grant Nos.51207169 and 51276197)
摘要The shockwave induced by surface direct-current (DC) arc discharge is investigated both experimentally and numer- ically. In the experiment, the shockwave generated by rapid gas heating is clearly observed from Schlieren images. The peak velocity of the shockwave is measured to be over 410 m/s; during its upright movement, it gradually falls to about 340 m/s; no remarkable difference is seen after changing the discharge voltage and the pulse frequency. In the modeling of the arc plasma, the arc domain is not simulated as a boundary condition with fixed temperature or pressure, but a source term with a time-varying input power density, which could better reflect the influence of the heating process. It is found that with a reference power density of 2.8× 1012 W/m2, the calculated peak velocity is higher than the measured one, but they quickly (in 30 Its) become agreed with each other. The peak velocity also rises while increasing the power density, the maximum velocity acquired in the simulation is over 468 m/s, which is expected to be effective for high speed flow control.
基金the financial support by RIKEN FY2019‘Emerging Collaboration Seed’of‘Collaboration Seed Fund’(Grant No.100948-201901010000-340130)。
摘要This paper presents a new technique,termed femtosecond laser shock peening ablation in liquids(fs-LSPAL),which can realize simultaneous crack microanomanufacturing and hierarchical microanolaser ablation,giving rise to the formation of diverse multiscale hierarchical structures,such as macroporous ratcheted structures and enéchelon microfringes decorated with parabolic nanoripples.Through analysis of surface morphologies,many phenomena have been confirmed to take place during fs-LSPAL,including enéchelon cracks,nanostriation,ripple densification,crack branching,and selective formation of high spatial frequency laser-induced periodic surface structures of 100–200 nm in period.At a high laser power of 700 mW,fs-LSPAL at scanning speeds of 0.2 mm s^-1 and 1 mm s^-1 enables the generation of height-fluctuated and height-homogeneous hierarchical structures,respectively.The height-fluctuated structures can be used to induce‘colony’aggregates of embryonic EB3 stem cells.At 200 mW,fs-LSPAL at 1 mm s^-1 is capable of producing homogeneous tilt macroporous structures with cracked structures interleaved among them,which are the synergistic effects of bubble-induced light refractioneflection ablation and cracks.As shown in this paper,the conventional laser ablation technique integrated with its self-driven unconventional cracking under extreme conditions expands the horizons of extreme manufacturing and offers more opportunities for complex surface structuring,which can potentially be used for biological applications.
摘要Aim: To determine retrospectively the safety and efficacy of extracorporeal shock wave therapy (ESWT) in patients with Peyronie's disease. Methods: Fifty-three patients with stable Peyronie's disease underwent ESWT (group 1). Fifteen patients matched with the baseline characteristic of the patients in group 1, who received no treatment, were used as the control (group 2). The patients' erectile function (International Index of Erectile Function [IIEF-5] score), pain severity (visual analog scale), plaque size and degree of penile angulation were assessed before and after the treatment in group 1 and during the follow-up in group 2. Results: The mean follow-up time was 32 months (range: 6-64 months) in group 1 and 35 months (range: 9-48 months) in group 2. All the patients were available for the follow-up. Considering erectile function and plaque size, no significant changes (P 〉 0.05) were observed in group 1 before or after the ESWT. A total of 39 patients (74%) reported a significant effect in pain relief in group 1 after ESWT. However, regarding improvement in pain, IIEF-5 score and plaque size, no significant differences were observed between the two groups. In 21 patients (40%) of group 1, the deviation angle was decreased more than 10° with a mean reduction in all patients of 11° (range: 6-20°). No serious complications were noted considering ESWT procedure. Conclusion: ESWT is a minimally invasive and safe alternative procedure for the treatment of Peyronie's disease. However, the effect of ESWT on penile pain, sexual function and plaque size remains questionable.
摘要We analyzed the efficacy of penile low-intensity extracorporeal shockwave treatment for erectile dysfunction(ED)combined with cavernous artery disease(CAD).ED was evaluated by the International Index of Erectile Function,subdividing patients into mild and moderate/severe forms.CAD was assessed using penile color Doppler ultrasonography.Patients(n=111)with a positive outcome after treatment,based upon the minimal clinically important difference of the International Index of ED,were followed up for 3 months and 6 months.We found a significant mean increase in the index of erectile function,with an overall improvement in hemodynamic parameters of the cavernous artery.In particular,93.9%of the patients with mild ED without CAD responded to treatment and 72.7%resumed normal erectile function.Only 31.2%of the patients with moderate/severe ED and CAD responded to treatment,and none resumed normal erectile function.All patients with mild ED and no CAD maintained the effects of therapy after 3 months,while no patients with moderate/severe ED and CAD maintained the benefits of treatment after 3 months.Thus,patients with mild ED and no CAD have better and longer lasting responses to such treatment,with a higher probability of resuming normal erectile function than patients with moderate/severe ED and CAD.
基金Project supported by the National Basic Research Program of China(Grant No.2013CBA01501)the National Natural Science Foundation of China(Grant No.11135012)
摘要The remarkable experimental progress in the studies of collisionless shockwave(CS) in laboratories employing highpower lasers is briefly reviewed. The results show that CS can be generated in laser-produced plasmas due to the microturbulence associated with instabilities. CS is one of the most important astronomical phenomena. It has been found in supernova remnants(SNRs), Sun–Earth space, etc. This paper focuses on CS in ways relevant to SNRs. Laboratory astrophysics(LA), a new interdisciplinary frontier of astrophysics, plasma and laser physics, has developed rapidly in recent years. As an accessory to the astronomical observation, LA experimenters can closely study some astronomical events scaled-down to controllable phenomena.
摘要Objective:The purpose of the study is to evaluate whether the clinical effects of focused extracorporeal shockwave therapy(f-ESWT)and acupuncture anticipate the clinical response in patients with rotator cuff tendinopathy in the short term.Design:An observational retrospective clinical study.Setting/Location:Physical Medicine and Rehabilitation Unit,Sant’Andrea University Hospital in Rome,Italy.Subjects/Interventions:We analyzed retrospectively thirty patients(22 females and 8 males)with rotator cuff tendinopathy.Fifteen patients underwent f-ESWT and acupuncture combined therapy(Group A)and fifteen patients underwent only f-ESWT therapy(Group B).Outcome measures:The outcome measures were the Visual Analogic Scale(VAS),Assessment Shoulder and Elbow Scale(ASES)and Roles and Maudsley Score(RMS).The follow-ups were T0(pre-treatment),T1(3 weeks after the start of the treatment),and T2(at 8 weeks).In order to compare groups,the ANOVA and Friedman tests were adopted.Group A patients had a more rapid and statistically significant improvement trend in VAS(P<0.001),ASES scale(P<0.001),and a higher level of satisfaction to treatment assessed by RMS(P<0.001)than group B in the short term.Conclusions:The study showed that combined treatment decreases the recovery time of the shoulder involved in terms of pain and motor function in the short term.However,these results shall be confirmed by controlled randomized studies.
摘要Previous published studies have shown an improvement of penile hemodynamic parameters after low-intensity extracorporeal shockwave therapy(Li-ESWT).However,the clinical significance of these findings remains unclear,and definitive selection criteria for Li-ESWT based on preexisting comorbidities have yet to be established.This was an observational study of 113 patients with ED,evaluated between January 2019 and December 2021 in Andrology Unit at the Department of Urology and Renal Transplantation,University of Foggia(Foggia,Italy).Penile dynamic Doppler was performed to evaluate vascular parameters and 5-item version of the International Index of Erectile Dysfunction(IIEF-5)questionnaire was administered to assess the severity of ED.This was repeated 1 month after treatment.Patients with a peak systolic velocity(PSV)30 cm s−1 at posttherapeutic penile dynamic Doppler.A clinically significant IIEF-5 score improvement was observed in 7 patients,21 patients,and 2 patients with mild-to-moderate,moderate,and severe pretreatment ED,respectively.No different outcomes were assessed based on smoking habits,previous pelvic surgery,or use of oral phosphodiesterase-5 inhibitor(PDE5i).On the other side,only 1(6.7%)in 15 patients with diabetes mellitus showed an IIEF-5 score improvement after Li-ESWT.Shockwave treatment determined a significant increase in PSV and correlated IIEF-5 improvement in ED patients.This advantage seemed particularly evident for moderate ED and was not affected by smoking habits,previous pelvic surgery,and use of PDE5i.Conversely,diabetic patients did not benefit from the treatment.
摘要Low intensity shockwave (LiSW) treatment is known to improve revascularization. The method has been evaluated and is used to treat vasculogenic erectile dysfunction (ED). The present study aimed to demonstrate the efficacy of a linear focused piezoelectric shockwave device (Richard Wolf/ELvationPiezowave2) to treat patients with vasculogenic ED using a novel linear shockwave tissue coverage LSTC-ED® technique. A total of 75 patients were treated using the Piezowave2 device and the LSTC-ED® technique. Patients’ erectile function was evaluated using the modified IIEF-5 (International Index of Erectile Function) scale at the beginning of treatment and at 1 month post treatment;patients were additionally questioned using our own Treatment Satisfaction Questionnaire (TSQ). The study also included a group of 50 patients treated by placebo;the outcomes of both groups were compared. The average IIEF-5 score of patients in the treatment group increased from 14.4 at baseline to 18.6 at 1 month post treatment. According to the IIEF-5 scale, treatment was successful in 81.33% of patients (61/75). According to the Treatment Satisfaction Questionnaire (answers 1 to 3 of the TSQ), treatment was successful in 77.3% of patients (58/75). In the placebo group of 50 patients only 5 patients showed an improvement based on IIEF score, and 8 reported an improvement based on their answers to the TSQ. No significant adverse effects were observed during treatment or in the follow-up period. The Piezowave2 device and the LSTC-ED® technique proved to be suitable and effective to treat erectile dysfunction.