Current opinions on the mechanism, classification, imaging diagnosis and treatment of post-traumatic osteomyelitis / 中华创伤杂志(英文版)

Post-traumatic osteomyelitis (PTO) is a worldwide problem in the field of orthopaedic trauma. So far, there is no ideal treatment or consensus-based gold standard for its management. This paper reviews the representative literature focusing on PTO, mainly from the following four aspects: (1) the pathophysiological mechanism of PTO and the interaction mechanism between bacteria and the body, including fracture stress, different components of internal fixation devices, immune response, occurrence and development mechanisms of inflammation in PTO, as well as the occurrence and development mechanisms of PTO in skeletal system; (2) clinical classification, mainly the etiological classification, histological classification, anatomical classification and the newly proposed new classifications (a brief analysis of their scope and limitations); (3) imaging diagnosis, including non-invasive examination and invasive examination (this paper discusses their advantages and disadvantages respectively, and briefly compares the sensitivity and effectiveness of the current examinations); and (4) strategies, including antibiotic administration, surgical choices and other treatment programs. Based on the above-mentioned four aspects, we try to put forward some noteworthy sections, in order to make the existing opinions more specific.

First-order mean spherical approximation for attractive, repulsive, and multi-Yukawa potentials.

The first-order mean spherical approximation (FMSA) theory proposed by Tang et al. [Fluid Phase Equilib., 134, 21(1997)] is applied for studying several typical Yukawa fluids, including attractive, repulsive, and multi-Yukawa cases. The FMSA study is particularly advantageous in providing thermodynamics and structure information in a simple, analytical, and consistent manner. Comparisons with the latest reported computer simulation data for compressibility factor, internal energy, and radial distribution function show that FMSA performs very well and the performance is very close to the full MSA and to several other theories, developed individually for the above-mentioned cases or properties. The present study provides solid evidence to support FMSA applications to more complex fluids.

Study on osmotic pressures for aqueous lysozyme and alpha-chymotrypsin-electrolyte solutions with two Yukawa potentials.

The equation of state (EOS) of Duh and Mier-y-Terán for one Yukawa potential is expanded to two Yukawa potentials to describe the nonidealities of the charged lysozyme and alpha-chymotrypsin solutions. Instead of the classical DLVO theory, the attractive dispersion and double-layer repulsion interactions are represented by two Yukawa potentials, respectively. For the aqueous lysozyme solutions, the only adjustable dispersion energy parameter epsilon/k is regressed and the average deviation is 1.76%. For the aqueous alpha-chymotrypsin solutions, two adjustable parameters (the molecular weight and dispersion energy parameter) are regressed and the average deviation is 7.62%. Some correlation and prediction results are discussed.

Correlation and Prediction of Osmotic Pressures for Aqueous Bovine Serum Albumin-NaCl Solutions Based on Two Yukawa Potentials.

A new equation of state is proposed to correlate and predict the osmotic pressure data for aqueous bovine serum albumin (BSA) solutions with different NaCl concentrations and pH values with only one adjustable parameter. The Carnahan-Starling equation represents the contribution of the hard sphere repulsion to the osmotic pressure. The attractive dispersion and double-layer repulsion interactions are represented by two Yukawa potentials, respectively. The equation of state of Duh and Mier-Y-Teran for one Yukawa potential is expanded to two Yukawa potentials to describe the nonidealities of the charged BSA-aqueous NaCl solution, instead of the classical DLVO theory. The average relative deviation of correlation of the osmotic pressure in 0.15 M NaCl solution is 18%. The average relative deviation of prediction in 1-5 M NaCl solutions is 20.33%. A comparison with other models and the limitations of our model are discussed. Copyright 2001 Academic Press.