Jiaying Li

Removing text [There was a mistake in the Discussion, Paragraph two：Duplicate content was identified between p. 6, line 575 and line 593, as follows: The patient's parents, concerned about their daughter's irregular menstrual cycles and the potential impact on her health and fertility, requested medical treatment with the expectation of restoring regular menstruation. Treatment with progesterone capsules (100 mg twice daily) was initiated to induce menstruation, with unsatisfactory results. From June 2025, the patient received Complex Packing Estradiol Tablets/Estradiol and Dydrogesterone Tablets 1 mg once daily combined with progesterone capsules (100 mg twice daily), which resulted in regular menstrual cycles.The patient's parents, concerned about their daughter's irregular menstrual cycles and the potential impact on her health and fertility, requested medical treatment with the expectation of restoring regular menstruation. Treatment with progesterone capsules (100 mg twice daily) was initiated to induce menstruation, with unsatisfactory results. From June 2025, the patient received Complex Packing Estradiol Tablets/Estradiol and Dydrogesterone Tablets 1 mg once daily combined with progesterone capsules (100 mg twice daily), which resulted in regular menstrual cycles.]. A correction has been made to the section [Discussion, Paragraph two]:"[The patient's parents, concerned about their daughter's irregular menstrual cycles and the potential impact on her health and fertility, requested medical treatment with the expectation of restoring regular menstruation. Treatment with progesterone capsules (100 mg twice daily) was initiated to induce menstruation, with unsatisfactory results. From June 2025, the patient received Complex Packing Estradiol Tablets/Estradiol and Dydrogesterone Tablets 1 mg once daily combined with progesterone capsules (100 mg twice daily), which resulted in regular menstrual cycles.]"Last Name author1 et al.[There was a mistake in the

Li G () Prioritizing perioperative organ injury prevention: a call to action from China's county-level hospitals.

Correction on: Yang J, Qin D and Li F (2025) Knowledge, attitudes, and practices regarding China's DRG payment policy among healthcare professionals in tertiary and secondary hospitals in Yunnan Province: a cross-sectional study. Front. Public Health 13:1685544. doi: 10.3389/fpubh.2025.1685544.(1) There was a mistake in figure/table [Table 8] as published. [The 'Lower' and 'Upper' confidence interval columns were incorrect and contradicted the 'Estimate' column. For example, the 'Indirect effects' Estimate 0.178 was not within its listed CI of (0.314, 0. The original version of this article has been updated.(2) There was a mistake in figure/ ①[In the "Age (years)" category, the percentage for "36-45" was "26.1%". This has been corrected to "26.0%"]②[In the "Hospital nature" category, the percentage for "Traditional Chinese Medicine Specialized Hospital" was "3.4%". This has been corrected to "3.3%"] Reminder: Figures, tables, and images will be published under a Creative Commons CC-BY license and permission must be obtained for use of copyrighted material from other sources (including re-published/adapted/modified/partial figures and images from the internet). It is the responsibility of the authors to acquire the licenses, to follow any citation instructions requested by third-party rights holders, and cover any supplementary charges.Adding/removing text(1) [In the published article, there was an error in the text. The text describing the findings for "Attitudes" by education level was incorrect and contradicted the data in Table 3].A correction has been made to the section [3.3, Analysis of KAP scores by demographic characteristics, Paragraph 2]:Interestingly, professionals with specialist-level (college) degrees reported more positive attitudes than their counterparts with undergraduate or postgraduate degrees."[Interestingly, professionals with specialist-level (college) degrees reported less positive attitudes (mean score: 12.41) than their counterparts with undergraduate (13.37) or postgraduate degrees (14.13).]"The original version of this article has been updated.(2) [In the published article, there was a related error in the Discussion section, which also contradicted the data in Table 3].A correction has been made to the section [4, Discussion, Paragraph 3]:The finding that professionals with specialist (college) degrees held more positive attitudes than those with postgraduate degrees is particularly intriguing (25)."[The finding that professionals with specialist (college) degrees held less positive attitudes than those with postgraduate degrees is particularly intriguing ( 25).]"The original version of this article has been updated.End of template. If you would like to request a correction for a reason not seen here, please contact the journal's editorial office.

Introduction: Excessive academic stress is a significant factor influencing the mental health of Chinese adolescents. This study aimed to examine the relationship between physical activity and academic stress and explore the chain-mediated role of general self-efficacy and psychological resilience.Methods: A survey was administered to 1,230 adolescents using the Physical Activity Questionnaire (PAQ-A), the Academic Stress Scale, the General Self-Efficacy Scale (GSES), and the Psychological Resilience Scale.Results: (1) Adolescents' physical activity was negatively correlated with academic stress and positively correlated with general self-efficacy and psychological resilience; general self-efficacy was positively correlated with psychological resilience and negatively correlated with academic stress, while psychological resilience was negatively correlated with academic stress. (2) Physical activity directly affected adolescents' academic stress (β = 0.513, accounting for 64.52% of the total effect) and also indirectly influenced it through three pathways: Physical activity → general self-efficacy → academic stress (β = 0.058, 11.31% of total effect), Physical activity → psychological resilience → academic stress (β = 0.027, 5.26% of total effect), and Physical activity → general self-efficacy → psychological resilience → academic stress (β = 0.098, 19.10% of total effect).Discussion: Physical activity can directly influence adolescents' academic stress and indirectly affect it through the separate and chain mediation of general self-efficacy and psychological resilience.

Introduction: Agricultural production in China faces mounting environmental pressures, including resource depletion, chemical pollution, and carbon-intensive practices, which threaten ecological sustainability. Agricultural science, technology and innovation (ASTI) is a key lever for harmonizing agricultural growth and green transformation, but its efficiency remains unevenly distributed across regions. This study assesses the spatiotemporal efficiency of ASTI in promoting green agricultural development across 30 Chinese provinces, aiming to uncover persistent regional disparities and dynamic evolution patterns.Methods: Constructing an evaluation model and indicator system for science, technology and innovation driven green development in agriculture, applying the network Slack-Based Measure (SBM) model to measure the level of efficiency, and analyzing regional differences and dynamic features through the Theil index, kernel density estimation and spatial Markov methods.Results and discussion: This study explores the regional differences and distributional dynamic evolution of the efficiency of Agricultural science and technology innovation (ASTI) driven green development in China. The regional efficiency level of each province from 2013 to 2022 was measured by constructing a network SBM model. The results show a clear regional imbalance, with the eastern region showing higher efficiency due to strong investment in innovation and policy coordination effects, while the central and western regions are lagging behind due to fragmented resource allocation and weak institutional support. There is a clear trend of multi-polarization in the kernel density curve, influenced by spatial agglomeration effects and green infrastructure investments; the spatial Markov transformation highlights path dependence and neighborhood effects, emphasizing the role of cross-regional technology diffusion. The integrated approach validates consistency with empirical realities and provides targeted insights for optimizing synergies between ASTI and agriculture, bridging regional gaps, and promoting a spatially coordinated green transition.

The emergence of polymyxin-resistant carbapenem-resistant Klebsiella pneumoniae (CRKP) severely limits clinical treatment options and poses a significant threat to anti-infective therapy. In this study, we investigated the genetic characteristics of an IncHI5-like plasmid co-harboring bla_NDM−1 and bla_OXA−1 in an mcr-8.1-positive clinical CRKP isolate using a combination of MIC testing, conjugation experiments, bacterial whole-genome sequencing, and bioinformatics analyses. The ST626 CRKP strain KP19-2581, isolated from a human clinical infection, exhibited a multidrug-resistant (MDR) phenotype. Whole-genome sequencing revealed that the colistin resistance gene mcr-8.1 was located on an IncFIA/IncFII plasmid, flanked by the conserved structure IS903B-orf-mcr-8.1-orf-IS903B. In addition, strain KP19-2581 carried a novel IncHI5-like MDR plasmid, designated pKP19-2581-367k-HI5-NDM1, which co-harbored the bla_NDM−1 and bla_OXA−1 genes. This plasmid contained two MDR regions, harboring a diverse array of resistance genes across multiple antibiotic classes. The dissemination of bla_OXA−1 in variable region is related to the structure of class 1 integron, while IS26 mediates the integration of bla_NDM−1 on IncHI5-like plasmid. Notably, this is the first report of an IncHI5-like plasmid carrying both bla_NDM−1 and two copies of bla_OXA−1, along with multiple resistance genes and insertion sequences. Given its potential to acquire additional resistance determinants, this plasmid may serve as a reservoir for further antimicrobial resistance evolution, underscoring the urgent need for surveillance of IncHI5 plasmids to mitigate their clinical and epidemiological impact.

Exercise intention is a crucial predictor of exercise behavior; however, the existence of the “intention-behavior gap” is an undeniable fact, and the strength and mechanisms of their relationship remain controversial. This study, based on 92 empirical studies (109 independent samples, 47,548 participants), employs meta-analysis to examine the relationship strength between exercise intention and behavior, the moderating effects of participant characteristics, and the mediating role of planning and action control. The findings are as follows: (1) the relationship strength between exercise intention and behavior is moderate (r = 0.41); (2) the moderating effects of age, educational stage, health status, socioeconomic status, cultural background, and economic level are significant, except for gender; (3) action planning, coping planning, and action control mediate the relationship between exercise intention and behavior in a chain-like manner, with action control (Single mediation effect was 13.45%) being the closest predictor of behavior. This undoubtedly provides inspiration for the formulation of intervention strategies. Strengthening action control as the core target, supplemented by action plans and coping plans can better promote the implementation of exercise behavior. Future research is recommended to strictly control participant characteristics, conduct long-term longitudinal tracking and experimental interventions, strengthen the use of objective measurement tools, and explore and analyze new theories and variables to facilitate the translation of exercise intention into behavior.

Background: Nutritional status plays a crucial role in the progression of diabetes complications. This study assessed sex differences in Controlled Nutritional Status (CONUT) score and diabetic retinopathy (DR).Methods: Clinical data between 2003 and 2018 were retrieved from the National Health Nutritional Examination Survey (NHANES) database. The association of CONUT score with DR was analyzed by multivariate weighted logistic regression with restricted cubic splines (RCS). The impact of CONUT scores on DR outcomes in male and female patients was evaluated by subgroup analyses and interaction tests.Results: A total of 3,762 participants were included in this study. After adjusting for all covariates, a higher CONUT score was positively associated with DR risk in women (OR = 1.88, 95% CI: 1.13–3.15), while no significant association between CONUT score and DR was observed in male participants and the overall participant population. In addition, RCS regression showed a linear positive correlation between CONUT score and DR risk in women (P-Nonlinear: 0.722). Subgroup analyses revealed a significant positive association of higher CONUT scores with DR risk in older female patients with diabetes, alcohol use, smoking history, hypertension, and hyperlipidemia.Conclusion: There is a sex difference in the link between higher CONUT scores and the prevalence of DR. Specifically, these findings highlight the importance of personalized nutritional intervention in women at high risk for DR.

Background: Between February 6 and 8, 2023, an increasing number of students showed symptoms of vomiting in a school in Shenzhen, China. To identify the cause of this outbreak and curb disease spread on February 9, 2023, and an outbreak investigation including a case-control study was conducted.Methods: A structured questionnaire was used to collect the symptoms of all cases, a retrospective cohort study were conducted to examine the risk factors for diarrhea or vomiting. To find the contamination source, we investigated the environment all buildings in schools. Relative risk was presented and Chi-square test was performed. All the analyses were performed with OpenEpi software version 2.3.1 online. PCR was used to test stool specimens.Results: This outbreak was caused by sapovirus, and lasted for 9 days. 70.9% of cases reported vomiting, 53.5% diarrhea, 38.4% bellyache, 14.0% feel nauseous, and 69.6% had diarrhea no more than twice. Eating food provided by the school or drinking water from direct-drinking machine was not associated with the acquisition of AGE based on univariate analysis. The students who had passed near a spot of vomit (<2.4 m) were more likely to get AGE with a relative risk of 5.09 (95%CI: 2.58, 10.04). The case number with AGE in classrooms using standard operating procedure for vomit cleanup is obviously lower than that in ones not handling vomit according to the standard procedure [relative risk (RR):0.34, 95%CI: 0.15, 0.77].Conclusion: Sapovirus was the causative agent of this AGE outbreak, and airborne transmission was the primary route of infection. Prompt decontamination and the use of vomit bags significantly reduce the incidence of AGE while close contact with contaminated materials increases the risk of infection. These measures should be prioritized in public health strategies to prevent and control viral gastroenteritis outbreaks.