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By using the methods of literature review and field investigation, the game behavior and interest motivation in the process of the internal governance of physical education in the county schools are analyzed and modelled based on the evolutionary game theory. The results show that the choice probability of school leaders, the participation of students and parents, the right and interest of physical education teachers, and the accountability of county-level government supervision can all cause changes in the direction of internal governance of school sports; The values, behaviors, attitudes and participation willingness of class teachers and culture teachers (the main subjects such as language and mathematics) will directly or indirectly influence its internal governance efficiency. As the leading party, school leaders are the core points of "upward promotion" and "downward suppression" in the internal governance process, while students and parent groups will influence the decision-making of school leaders and physical education teachers, and the three parties are in a closed-loop check and balanced mode. Suggestions are included as follows: Pay attention to the influence of the game of interests in the relations of the "small circle" in the county, and coordinate the balance of interests by "comprehensive consultation"; Avoid the "intensive mobilization" behavior of the internal governance of school sports in the county and coordinate the supervision relationship by "co-construction"; Strengthen the willingness of internal forces in county schools to participate in governance and build "co-governance" through regulatory means; Advocate the integration of the concept of school-family-society collaborative governance responsibility and build a "three-party" collaborative governance system. [ABSTRACT FROM AUTHOR]

Background: In China, Atractylodes-containing Chinese medicines are widely used as adjuvant therapy to neoadjuvant chemotherapy (NAC) in individuals diagnosed with advanced gastric cancer (AGC). Nevertheless, the findings concerning its effectiveness are still restricted. The aim from this research was to examine the efficiency and security Atractylodes macrocephala-containing traditional Chinese medicine together with NAC in the management of AGC., Methods: Literature was systematically searched across 8 electronic databases until September 20, 2023. Two researchers conducted a thorough review of the selected studies. The primary outcome measures included the objective response rate (ORR), disease control rate (DCR), quality of life (QOL), adverse drug reactions (ADRs), and levels of peripheral blood lymphocytes. The relevant effect estimates are as follows as risk ratios (RR) or mean differences (MD) with corresponding 95% confidence intervals (CI). Credibility of information was evaluated using the GRADE analyzer., Results: The results showed that solely on the basis of the accessible literature examined in NAC patients, individuals who received the therapeutic regimen containing Atractylodis Macrocephalae Chinese herbal preparations demonstrated a superior overall response rate (Relative Risk: 1.41, 95% confidence interval: 1.27-1.57, P < 0.001); DCR (RR: 1.20, 95% confidence interval: 1.13-1.27, P < 0.001), as compared to QOL (RR: 1.43, 95% confidence interval: 1.30-1.57, P < 0.001, MD: 8.47, 95% confidence interval: 7.16 - 9.77, P < 0.001); the proportions of CD3 + T-cells, CD4 + T-cells, CD8 + T-cells, CD4 + CD8 + T-cells were increased; and the incidence of adverse reactions was decreased. Subgroup analyses showed that oral administration of all the traditional Chinese medicines containing Atractylodes macrocephala could improve tumor efficacy. Regardless of the duration of therapy of ≥8 weeks or <8 weeks, Atractylodes macrocephala-containing traditional Chinese medicine increased the tumor response in AGC patients. Combination of Atractylodes macrocephala-containing TCM with neoadjuvant chemotherapy increased ORR and DCR; when used in conjunction with cisplatin, only ORR was increased., Conclusion: The combination of Atractylodes macrocephala-containing herbs with NAC in the treatment of AGC improves efficacy, improves prognosis, and reduces adverse effects. Nevertheless, additional high-quality randomized trials are required., Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023461079., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Niu, Gu, Li, Zuo, Ren, Huang, Shu, Jiang and Shu.)