Multicenter effect analysis of one-step acellular dermis combined with autologous ultra-thin split thickness skin composite transplantation in treating burn and traumatic wounds.

To evaluate the efficacy of one-step acellular dermis combined with autologous split thickness skin grafting in the treatment of burn or trauma wounds by a multicenter controlled study. In patients with extensive burns, it is even difficult to repair the wounds due to the shortage of autologous skin. The traditional skin grafting method has the disadvantages of large damage to the donor site, insufficient skin source and unsatisfactory appearance, wear resistance and elasticity of the wound tissue after skin grafting. One-step acellular dermis combined with autologous ultra-thin split thickness skin graft can achieve better healing effect in the treatment of burn and trauma wounds. A total of 1208 patients who underwent single-layer skin grafting and one-step composite skin grafting in the First Affiliated Hospital of Wannan Medical College, Wuhan Third People's Hospital and Lu 'an People's Hospital from 2019 to 2022 were retrospectively analysed. The total hospitalization cost, total operation cost, hospitalization days after surgery, wound healing rate after 1 week of skin grafting and scar follow-up at 6 months after discharge were compared and studied. The total cost of hospitalization and operation in the composite skin grafting group was significantly higher than those in the single-layer autologous skin grafting group. The wound healing rate after 1 week of skin grafting and the VSS score of scar in the follow-up of 6 months after discharge were better than those in the single-layer skin grafting group. One-step acellular dermis combined with autologous ultra-thin split thickness skin graft has high wound healing rate, less scar, smooth appearance and good elasticity in repairing burn and trauma wounds, which can provide an ideal repair method for wounds.

An eye tracking study of the application of gestalt theory in photography.

Photography is an art form where integration of the human visual perception and psychological experiences result in aesthetic pleasure. This research utilizes eye tracking to explore the impact of the properties of Gestalt in photography on people's visual cognitive process in order to understand the psychological processes and patterns of photography appreciation. This study found that images with Gestalt qualities can significantly affect fixation, sightline distribution, and subjective evaluation of aesthetics and complexity. Closure composition images seem to make cognition simpler, resulting in the least number of fixation and saccades, longer fixation duration, and more concentrated sightline indicating stronger feeling of beauty, while images which portray similarity results in the greatest fixation and saccades, longest saccade duration, and greater scattering of sightline, indicating feelings of complexity and unsightliness. The results of this research are closely related to the theories of art and design, and have reference value for photography theory and application.

Ellagic acid inhibits the formation of hypertrophic scars by suppressing TGF-ß/Smad signaling pathway activity.

Hypertrophic scar (HS) is a benign fibroproliferative skin disease, which lacks the ideal treatment and drugs. Ellagic acid (EA) is a natural polyphenol that prevents fibroblasts from proliferating and migrating. This study aimed to determine the role of EA in HS formation and its possible mechanism by in vitro experiments. HS fibroblasts (HSFs) and normal fibroblasts (NFs) were separated from HS tissue and normal skin tissue, respectively. HSFs were treated with 10 and 50 µM EA to assess their effect on HS formation. In particular, 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide (MTT) and scratch assay were used to detect the viability and migration ability of HSFs. Quantitative reverse transcriptase real-time polymerase chain reaction was used to measure the mRNA expression level of basic fibroblast growth factor (bFGF), extracellular matrix (ECM)-related gene collagen-I (COL-I), and fibronectin 1 (FN1) in HSFs. Finally, Western blot was utilized to measure the expression level of TGF-ß/Smad signaling pathway-related proteins in HSFs. The viability of HSFs was significantly increased compared with NFs. 10 and 50 µM EA treatment markedly inhibition the cell viability and migration of HSFs. EA treatment upregulated the bFGF expression level and downregulated the COL-I and FN1 expression level in HSFs. In addition, p-Smad2, p-Smad3, and transforming growth factor (TGF)-ß1 expression levels as well as p-Smad2/Smad2 and p-Smad3/Smad3 ratios remarkably decreased in HSFs after EA treatment. EA inhibited the formation of HSs by suppressing the viability and migration of HSFs and ECM deposition as well as by preventing the activation of TGF-ß/Smad signaling.

Expression level comparison of marker genes related to early embryonic development and tumor growth.

In tumor research, the occurrence and origin of tumors are the fundamental problems. In the 1970s, the basic discussion of the developmental biology problem of tumors was proposed, and it was believed that tumorigenesis is closely related to developmental biology. Tumors are abnormal biological structures in organisms, and their biological behavior is very similar to that of the early embryo. Many tumor-related genes also serve regulatory roles in the normal development and differentiation of embryos. However, it remains unclear whether gene expression in early embryos has any similarities with tumor cells. In this study, to compare the similarities and differences in gene expression between early embryos and tumor cells, reverse transcription-quantitative PCR was conducted to determine and compare the relative expression levels of nine tumor-related genes in the brain glioma cell line, T98G, and in the early embryo of Spodoptera litura, which is fast-growing, low-cost, easily accessible and easy to observe. The expression of tumor-related genes in early embryos and the similarity of regulatory mechanisms between early embryonic development and tumor growth were explored. In conclusion, tumor growth may be regarded as an abnormal embryogenic activation that happens in the organs of adult individuals.

Cucurbitacin E inhibits cellular proliferation and induces apoptosis in melanoma by suppressing HSDL2 expression.

BACKGROUND: Melanoma is among the most aggressive types of skin malignancy and can have an unpredictable clinical course. Exploration of novel therapeutic targets and their regulators remains essential for the prevention and treatment of melanoma. METHODS: HSDL2 protein levels were examined by immunohistochemistry. The roles of HSDL2 in cell proliferation and apoptosis were identified by CCK-8 and colony formation assays. The function of HSDL2 in cell apoptosis was analysed by flow cytometry. Western blotting, cell proliferation and apoptosis and a xenograft tumour model were utilized to explore the inhibitory functions and mechanisms of CuE in melanoma. RESULTS: HSDL2 is overexpressed in melanoma and promotes melanoma progression by activating the ERK and AKT pathways. CuE could inhibit the ERK and AKT pathways by decreasing HSDL2 expression; therefore, CuE could inhibit melanoma growth in vitro and in vivo. CONCLUSION: HSDL2 may be a promising therapeutic target against melanoma, and CuE can inhibit melanoma by downregulating HSDL2 expression.

Short-term efficacy and safety of TurboHawk atherectomy for in-stent restenosis in peripheral artery disease: a single-centre experience.

BACKGROUND: Information regarding the efficacy of the TurboHawk atherectomy for the treatment of in-stent restenosis (ISR) in patients with peripheral artery disease (PAD) of the lower extremity is scarce. This study was performed to investigate the curative efficacy and safety of the TurboHawk system for ISR in PAD patients over 60 years old. METHODS: The TurboHawk atherectomy device was used to treat ISR in 28 patients with PAD. The intraoperative, 2-day postoperative, 3-month, and 2-year follow-up data were obtained. Differences in the ankle-brachial index (ABI), Rutherford class and minimum diameter of the femoral-popliteal artery were analysed along with the correlations of the factors associated with patency. RESULTS: Twenty-six patients (92.86%) had successful surgeries. All patients reported alleviation of pain and intermittent claudication after surgery. One patient who had a malignant hepatoma and coronary heart disease received an amputation on the 76th postoperative day and another patient who had atrial fibrillation received a thrombectomy on the 40th postoperative day. TurboHawk atherectomy increased the ABI (from 0.30 to 0.70, P < 0.0001) and minimum diameter (from 0 to 4.93 mm, P < 0.0001) and reduced the Rutherford class (from 4.00 to 2.00, P < 0.0001). During the 3-month follow-up, the median minimum diameter, ABI, and Rutherford class were 4.12, 0.69, and 2.00, respectively. No death happened during the 3-month follow-up. CONCLUSIONS: The TurboHawk atherectomy is a safe and effective technique for ISR in PAD patients over 60 years old.

The Association of microRNA-34a With High Incidence and Metastasis of Lung Cancer in Gejiu and Xuanwei Yunnan.

The incidence and associated mortality of lung cancer in tin miners in Gejiu County and farmers in Xuanwei Country, Yunnan Province have been very high in the world. Current published literatures on the molecular mechanisms of lung cancer initiation and progression in Gejiu and Xuanwei County are still controversial. Studies confirmed that microRNA-34a (miR-34a) functioned as a vital tumor suppressor in tumorigenesis and progression. However, the role and precise mechanisms of miR-34a and its regulatory gene network in initiation and progression of lung cancer in Gejiu and Xuanwei County, Yunnan Province, have not been elucidated. In the current study, we first found that miR-34a was downregulated in Gejiu lung squamous carcinoma YTMLC-90, Xuanwei lung adenocarcinoma XWLC-05, and other non-small cell lung carcinoma (NSCLC) cell lines, and miR-34a overexpression inhibited cell proliferation, migration and invasion, as well as induced cell apoptosis in YTMLC-90 and XWLC-05 cells. Our findings revealed that miR-34a is critical and cannot be considered as the area-specific non-coding RNA in initiation and progression of lung cancer in Gejiu and Xuanwei County. Next we revealed that miR-34a overexpression suppressed lung cancer growth and metastasis partially via increasing PTEN but reducing CDK6 expression that might lead to subsequent inactivation of PI3K/AKT pathway. Furthermore, our findings demonstrated that YY1 functioned as a tumor suppressor gene in initiation and progression of lung cancer in Gejiu and Xuanwei County. In conclusion, our findings in the study confirmed that miR-34a overexpression could simultaneously suppress tumor growth and metastasis and play a vital role in tumorigenesis and progression of NSCLC via increasing PTEN and YY1 expression, but decreasing CDK6. Most interestingly, our findings also raised doubts about the current ideas about these area-specific diseases.

High-salt diet inhibits tumour growth in mice via regulating myeloid-derived suppressor cell differentiation.

High-salt diets are associated with an elevated risk of autoimmune diseases, and immune dysregulation plays a key role in cancer development. However, the correlation between high-salt diets (HSD) and cancer development remains unclear. Here, we report that HSD increases the local concentration of sodium chloride in tumour tissue, inducing high osmotic stress that decreases both the production of cytokines required for myeloid-derived suppressor cells (MDSCs) expansion and MDSCs accumulation in the blood, spleen, and tumour. Consequently, the two major types of MDSCs change their phenotypes: monocytic-MDSCs differentiate into antitumour macrophages, and granulocytic-MDSCs adopt pro-inflammatory functions, thereby reactivating the antitumour actions of T cells. In addition, the expression of p38 mitogen-activated protein kinase-dependent nuclear factor of activated T cells 5 is enhanced in HSD-induced M-MDSC differentiation. Collectively, our study indicates that high-salt intake inhibits tumour growth in mice by activating antitumour immune surveillance through modulating the activities of MDSCs.

Absorption coefficient of water vapor across atmospheric troposphere layer.

Absorption coefficient of water vapor proposed to be responsible for an increase in temperature in the troposphere layer with altitude less than 10 km is systematically presented in this work. Since global warming plays an important role in affecting the human life, a confirmative and detailed study of global warming is essentially need. Solar irradiation within short wavelength range can be extinguished from absorption and scattering by the atmosphere, and absorbed and reflected by the Earth's surface. Radiative within high wavelength range from the Earth's surface can be absorbed by atmospheric water vapor, carbon dioxide and other gases. The difference in solar irradiation and energy escaped to the space from the atmosphere results in the atmosphere acting as the glass of a greenhouse and increase atmospheric temperature. Extending the previous work [1] for predicting absorption coefficient of carbon dioxide through the troposphere, this work further determines absorption coefficients of water vapor in different wavelength bands centered at 71, 6.3, 2.7, 1.87 and 1.38 µ m across the temperature, pressure and concentration-dependent troposphere layer. Solving one-dimensional unsteady heat conduction-radiation equation with the COMSOL computer code, the predicted temperature together with water vapor density for different optical path lengths can be used to interpret in details absorption coefficient or the ratio between band intensity and effective band width by using the exponential wide band model. The results show that absorption coefficients are strongly affected by water vapor concentration. For example, absorption coefficients in the band centered at 71 µ m increases from 0.3 to 1.2 m - 1 at the tropopause and 0.6 to 3.1 m - 1 at the Earth's surface as mole fraction of water vapor increases from 0.005 to 0.02. The predicted absorption coefficients agree with experimental and theoretical results in the literature. A more detailed and realistic temperature profile through the troposphere with optical path length of 10 4 m is presented.

Absorption coefficient of carbon dioxide across atmospheric troposphere layer.

Absorption coefficient affected by carbon dioxide concentration and optical path length responsible for temperature or global warming across the troposphere layer, which is less than the altitude of 10 km in the atmosphere, is systematically presented in this work. Solar irradiation within a short wavelength range can be absorbed, scattered and transmitted by the atmosphere, and absorbed and reflected by the Earth's surface. Radiative emission in high wavelength ranges from the Earth's surface at low temperature can be absorbed by atmospheric water vapor, carbon dioxide and other gases. Unbalance of radiation thus results in the atmosphere to act as the glass of a greenhouse and increase atmospheric temperature. Even though global warming strongly affects the life of the human being, the cause of global warming is still controversial. This work thus proposes a fundamental and systematical unsteady one-dimensional heat conduction-radiation model together with exponential wide band model to predict absorption coefficients affected by concentration, temperature, optical path lengths and radiation correlated parameters in different bands centered at 15, 4.3, 2.7, and 2 µm of carbon dioxide across the troposphere layer. It shows that absorption coefficient required for calculating heat transfer is strongly affected by carbon dioxide concentration and optical path length across the troposphere. Relevant values of the latter should be greater than 5,000 m. Absorption coefficients in the band centered at 4.3 µm subject to a chosen optical path length of 10 4 m increase from 0.04 m-1 and 0.165 m-1at the tropopause to 0.11 m-1 and 0.44 m-1 at the Earth's surface for carbon dioxide concentrations of 100 and 400 ppm, respectively. A more relevant and detailed temperature profile across the troposphere is presented.

Ginsenoside G-Rh2 synergizes with SMI-4a in anti-melanoma activity through autophagic cell death.

BACKGROUND: Melanoma is a leading cause of cancer death worldwide, and SMI-4a and G-Rh2 exert anti-tumor activity in multiple cancer. However, SMI-4a as well as a synergistic relationship between SMI-4a and G-Rh2 in anti-melanoma capacity are still unknown. Therefore, we investigated the effects of SMI-4a and combined SMI-4a with G-Rh2 on the viability, apoptosis and autophagy of melanoma, and to preliminarily explore the underlying mechanism of SMI-4a and combined SMI-4a with G-Rh2 in inhibiting tumor growth. METHODS: Cell viability was examined with cell counting Kit 8 assay and colony formation assay; Apoptosis was evaluated by flow cytometry and Caspase 3/7 activity assay; Western blotting was used to test proteins related to autophagy and the AKT/mammalian target of rapamycin (mTOR) signaling pathway; Tumor xenograft model in BALB/c nude mice was performed to evaluate the effects of SMI-4a and combined SMI-4a with G-Rh2 in anti-melanoma in vivo. RESULTS: SMI-4a, a pharmacological inhibitor of PIM-1, could decrease cell viability, induce apoptosis, and promote Caspase 3/7 activity in both A375 and G361 melanoma cells, and SMI-4a inhibited tumor growth by inducing autophagy via down-regulating AKT/mTOR axis in melanoma cells. Furthermore, G-Rh2 amplified the anti-tumor activity of SMI-4a in melanoma cells via strengthening autophagy. CONCLUSIONS: Our results suggested that SMI-4a could enhance autophagy-inducing apoptosis by inhibiting AKT/mTOR signaling pathway in melanoma cells, and G-Rh2 could enhance the effects of SMI-4a against melanoma cancer via amplifying autophagy induction. This study demonstrates that combined SMI-4a and G-Rh2 might be a novel alternative strategy for melanoma treatment.

Salient collinear grouping diminishes local salience in visual search: an eye movement study.

Our eyes and attention are easily attracted to salient items in search displays. When a target is spatially overlapped with a salient distractor (overlapping target), it is usually detected more easily than when it is not (nonoverlapping target). Jingling and Tseng (2013), however, found that a salient distractor impaired visual search when the distractor was comprised of more than nine bars collinearly aligned to each other. In this study, we examined whether this search impairment is due to reduction of salience on overlapping targets. We used the short-latency saccades as an index for perceptual salience. Results showed that a long collinear distractor decreases perceptual salience of local overlapping targets in comparison to nonoverlapping targets, reflected by a smaller proportion of the short-latency saccades. Meanwhile, a salient noncollinear distractor increases salience of overlapping targets. Our results led us to conclude that a long collinear distractor diminishes the perceptual salience of the target, a factor which poses a counter-intuitive condition in which a target on a salient region becomes less salient. We discuss the possible causes for our findings, including crowding, the global precedence effect, and the filling-in of a collinear contour.

[CO2 exchanges between mangrove- and shoal wetland ecosystems and atmosphere in Guangzhou].

Based on the investigation of biomass and the measurement of CO2 and CH4 fluxes, the CO2 exchanges between mangrove- and shoal wetland ecosystems and atmosphere in Guangzhou were studied, and the CO2 absorption capability of the wetlands vegetation net productivity as well as the carbon sink function of the wetlands under different waterlogged conditions (perennial, intermittent, and no water-logging) was analyzed. As for mangrove wetland ecosystem, its vegetation net productivity absorbed 33.74 t x hm(-2) x a(-1) of CO2, and soil emitted 12.26 t x hm(-2) x a(-1) of CO2 (including the greenhouse effect amount of CH4 converted into that of CO2,) illustrating that mangrove wetland had a 21.48 t x hm(-2) x a(-1) net absorption of CO2, being a strong carbon sink. For shoal wetland ecosystem, its vegetation net productivity absorbed 8.54 t x hm(-2) x a(-1) of CO2, and soil emitted 5.88 t x hm(-2) x a(-1) of CO2 and 0.19 t x hm(-2) x a(-1) of CH4. If converting into carbon, the wetland absorbed 2.33 t C x hm(-2) x a(-1), and soil emitted 1.74 t C x hm(-2) x a(-1) (including the carbon in CH4), illustrating that shoal wetland fixed 0.59 t C x hm(-2) x a(-1), being a weak carbon sink. If the greenhouse effect amount of CH4 was converted into that of CO2, the soil emitted 9.78 t x hm(-2) x a(-1) of CO2, which was 1.24 t x hm(-2) x a(-1) more than the absorption. As a result, shoal wetland was a weak carbon source. Between the two test greenhouse gases, CH4 was the main one emitted under perennial water-logging, while CO2 was that under no water-logging. Moreover, the wetland under perennial water-logging had the strongest carbon sink function, while that under no water-logging was in adverse.

Expression evolution in yeast genes of single-input modules is mainly due to changes in trans-acting factors.

Both cis- and trans-regulatory mutations contribute to gene expression divergence within and between species. To estimate their relative contributions, we examined two yeast strains, BY (a laboratory strain) and RM (a wild strain), for their gene-expression divergence by microarray. Using these data and published ChIP-chip data, we obtained a set of single-regulator-regulated genes that showed expression divergence between BY and RM. We randomly selected 50 of these genes for further study. We developed a step-by-step approach to assess the relative contributions of cis- and trans-variations to expression divergence by using pyrosequencing to quantify the mRNA levels of the BY and RM alleles in the same culture (co-culture) and in hybrid diploids. Forty genes showed expression divergence between the two strains in co-culture, and pyrosequencing of the BY/RM hybrid diploids showed that 45% (18/40) can be attributed to differences in trans-acting factors alone, 17.5% (7/40) mainly to trans-variations, 20% (8/40) to both cis- and trans-acting factors, 7.5% (3/40) mainly to cis-variations, and 10% (4/40) to cis-acting factors alone. In addition, we replaced the BY promoter by the RM promoter in each of 10 BY genes that were found from our microarray data to have expression divergence between BY and RM, and in each case our quantitative PCR analysis revealed a cis effect of the promoter replacement on gene expression. In summary, our study suggests that trans-acting factors play the major role in expression evolution between yeast strains, but the role of cis variation is also important.

Unconscious processing embedded in conscious processing: evidence from gaze time on Chinese sentence reading.

The current study aims to separate conscious and unconscious behaviors by employing both online and offline measures while the participants were consciously performing a task. Using an eye-movement tracking paradigm, we observed participants' response patterns for distinguishing within-word-boundary and across-word-boundary reverse errors while reading Chinese sentences (also known as the "word inferiority effect"). The results showed that when the participants consciously detected errors, their gaze time for target words associated with across-word-boundary reverse errors was significantly longer than that for targets words associated with within-word-boundary reverse errors. Surprisingly, the same gaze time pattern was found even when the readers were not consciously aware of the reverse errors. The results were statistically robust, providing converging evidence for the feasibility of our experimental paradigm in decoupling offline behaviors and the online, automatic, and unconscious aspects of cognitive processing in reading.

[Preparation of oligosaccharides from alginate by fermenting combined with membrane separation method and analysis of the oligomers].

Changes in biomass, oligosaccharides content and alginate lyase activity in broth of Alteromonas sp. incubated in shaking flask and fermentation jar were studied. According to those changes, parameters were established for preparing oligosaccharides from alginate by fermentation combined with nano-filtration membrane separation method. Resulting oligosaccharides were analyzed by gel permeation chromatography and thin layer chromatography. One liter culture medium(pH 7.5) contains 5 g yeast extract, l0 g peptone, 0.1 g FeSO4, 12 g sodium alginate and 1.5 g NaCl. When incubating at 28 degrees C, the result showed that the optimal fermentation time was 30 h to obtain the highest production of oligosaccharides in the broth. After ultra-filtration and nano-filtration, 94.0% of the total oligosaccharides was recovered from the broth, and meanwhile 93.3% of the salt was removed. Gel permeation chromatography and TLC analyses indicated that the resulting oligosaccharides were composed of five fractions with different degree of polymerization.

Allele-specific differential expression of a common adiponectin gene polymorphism related to obesity.

Adiponectin gene polymorphisms have recently been reported to be associated with obesity, insulin sensitivity, and the risk of type 2 diabetes. We examined a T94G polymorphism of the adiponectin gene in 245 ostensibly normal nondiabetic subjects. The G allele frequency was lower among subjects with higher BMI (> or =27) than in those with lower BMI. BMI was inversely correlated with the dose of G allele. Multivariate linear regression analyses showed that the adiponectin genotypes were significantly related to BMI after adjusting for age and gender. The dose of the G allele was associated with a reduction of approximately 1.12 kg/m(2) in BMI. We further found that the relative mRNA levels of G allele were consistently higher than those of T allele in the omental adipose tissue from 21 heterozygous subjects. Finally, we observed that the expression levels of adiponectin affected insulin-stimulated glucose uptake in differentiated 3T3-L1 adipocytes. In conclusion, the allele-specific differential expression of this common polymorphism could be responsible for its biological effects observed in this and the other studies.

[The change of cholesterol level and Na+ -K+ -ATPase activity of erythrocyte membrane in early stage of severe burn patients].

AIM: To study the relationship between erythrocyte filtration index (EFI) and cholesterol and Na+ -K+ -ATPase activity of erythrocyte membrane in early stage of severe burns. METHODS: The EFI was measured by means of percolation, the erythrocyte membrane cholesterol level was measured by means of chemically modified electrode, and the membrane Na+ -K+ -ATPase activity by means of detection of Pi. RESULTS: In early stage of severe burns, the cholesterol level and Na+ -K -ATPase activity of erythrocyte membrane were always higher than those of control group (P < 0.01), but the EFI was lower than that of control group (P < 0.01). The cholesterol level and Na+ -K+ -ATPase activity of the erythrocyte membrane were negative correlation with EFI (r cho= -0.871, r ATPase = -0.801, P < 0.01) nospectively. CONCLUSION: The cholesterol level and Na+ -K+ -ATPase activity of erythrocyte membrane play a key role in the change of EFI.

The change of cholesterol level and Na+ -K+ -ATPase activity of erythrocyte membrane in early stage of severe burn patients / 中国应用生理学杂志

<p><b>AIM</b>To study the relationship between erythrocyte filtration index (EFI) and cholesterol and Na+ -K+ -ATPase activity of erythrocyte membrane in early stage of severe burns.</p><p><b>METHODS</b>The EFI was measured by means of percolation, the erythrocyte membrane cholesterol level was measured by means of chemically modified electrode, and the membrane Na+ -K+ -ATPase activity by means of detection of Pi.</p><p><b>RESULTS</b>In early stage of severe burns, the cholesterol level and Na+ -K -ATPase activity of erythrocyte membrane were always higher than those of control group (P < 0.01), but the EFI was lower than that of control group (P < 0.01). The cholesterol level and Na+ -K+ -ATPase activity of the erythrocyte membrane were negative correlation with EFI (r cho= -0.871, r ATPase = -0.801, P < 0.01) nospectively.</p><p><b>CONCLUSION</b>The cholesterol level and Na+ -K+ -ATPase activity of erythrocyte membrane play a key role in the change of EFI.</p>