“…Among them, probably the most promising ones are the combination of ultrasound with pressure (referred to as manosonication, MS), with temperature (thermosonication) or with both simultaneously (manothermosonication, MTS) (Chemat, Huma, & Khan, 2011;Condón, Raso, & Pagán, 2005;Sala, Burgos, Condón, López, & Raso, 1995). The combination of ultrasound and heat to achieve a high degree of bacterial inactivation was first reported by Ordóñez, Aguilera, García, and Sanz (1987) and since then, it has been studied by several authors (Adekunte et al, 2010;Álvarez, Mañas, Sala, & Condón, 2003;Baumann, Martin, & Feng, 2005;Ciccolini, Taillandier, Wilhem, Delmas, & Strehaiano, 1997;D'Amico, Silk, Wu, & Guo, 2006;Guerrero, López-Malo, & Alzamora, 2001;Lee, Zhou, Liang, Feng, & Martin, 2009;Pagán, Mañas, Palop, & Sala, 1999;Pagán, Mañas, Raso, & Condón, 1999;Raso, Pagán, Condón, & Sala, 1998;Raso, Palop, Pagán, & Condón, 1998;Zenker, Heinz, & Knorr, 2003). In these works, researchers demonstrated that when ultrasound was employed, both at lethal and sublethal temperatures, an increase in the inactivation rate occurred; and some of them reported an effect much greater than the additive effect of the two treatments considered independently.…”