As cardiac magnetic resonance imaging technology advances,T1 mapping has emerged as a non-invasive method offering visual and quantitative insights into myocardial fibrosis,edema,and infiltration associated with cardiac dis-eases.The application of T1 mapping in myocardial diseases allows for evaluating both focal and diffuse myocardial fibro-sis,playing a crucial clinical role in the differentiation,treatment,and prognostic risk assessment of diseases.This arti-cle aims to provide a thorough overview of the clinical applications of T1 mapping in patients with cardiomyopathy,summa-rizing the commonly employed scanning techniques and imaging principles.

With the rapid development of generative artificial intelligence(GAI)technologies,their widespread application in academic research and writing is continuously expanding the boundaries of sci-entific inquiry.However,this trend has also raised a series of ethical and regulatory challenges,inclu-ding issues related to authorship,content authenticity,citation accuracy,and accountability.In light of the growing involvement of AI in generating academic content,establishing an open,controllable,and trustworthy ethical governance framework has become a key task for safeguarding research integrity and maintaining trust within the academic community.This expert consensus outlines ethical requirements across key stages of AI-assisted academic writing-including topic selection,data management,citation practices,and authorship attribution.It aims to clarify the boundaries and ethical obligations surrounding AI use in academic writing,ensuring that technological tools enhance efficiency without compromising in-tegrity.The goal is to provide guidance and institutional support for building a responsible and sustainable research ecosystem.

Objective To investigate the risk factors for pneumonia complicating infectious mononucleosis(IM)in adults and construct a nomogram prediction model.Methods A retrospective analysis was conducted on 198 IM patients admitted to the Second Affiliated Hospital of Air Force Medical University from January 2015 to December 2021.Patients were divided into pneumonia group(n=52)and non-pneumonia group(n=146)based on whether pulmonary infection occurred during hospitalization.The baseline data(age,gender,place of onset,etc.),clinical manifestations(maximum body temperature,lymph node enlargement,splenomegaly,etc.),and inflammatory indicators[white blood cell count(WBC),C-reactive protein(CRP),etc.]were compared between the two groups.Kaplan-Meier curves were plotted to analyze the key indicators affecting the hospital stay of IM patients.Multivariate logistic regression was used to analyze the independent risk factors for pneumonia complicating IM in adults and construct a nomogram prediction model based on the identified risk factors.The predictive efficacy of the model was evaluated using the receiver operating characteristic(ROC)curve and the consistency of the model was assessed using the calibration curve.The fit of the model was evaluated using the Hosmer-Lemeshow test.Additionally,the sensitivity,specificity,and accuracy of the model were assessed using confusion matrix.Results Compared with non-pneumonia group,the pneumonia group had a significantly higher proportion of patients from rural areas,with body mass index(BMI)≥24 kg/m2,smoking history,hepatomegaly,fever duration of≥7 d,as well as increased total hospitalization costs and average daily hospitalization costs,and prolonged hospital stay(P<0.05).The proportion of patients with a history of antibiotic use was lower in the pneumonia group(P<0.05).Kaplan-Meier survival analysis showed that patients from rural areas,with BMI≥24 kg/m2,smoking history,no prophylactic use of antibiotics,fever duration≥7 d,and hepatomegaly had significantly prolonged hospital stays(P<0.05).Multivariate logistic regression analysis revealed that living in a rural area(OR=4.089,P<0.05),hepatomegaly(OR=4.082,P<0.05),and elevated WBC(OR=1.205,P<0.05)were independent risk factors for pneumonia complicating IM in adults,while the prophylactic use of antibiotics(OR=0.142,P<0.05)was an independent protective factor.The area under the ROC curve of the constructed nomogram prediction model was 0.827(95%CI 0.762-0.892),and the slope of the calibration curve was close to 1,and the Hosmer-Lemeshow test showed χ2=5.299,P=0.725,indicating good consistency and fit of the prediction model.The results of the confusion matrix assessment showed that the sensitivity of the model was 0.669(0.624-0.773),the specificity was 0.827(0.724-0.930),and the accuracy was 0.732(0.665-0.793).Conclusion The nomogram prediction model based on place of onset,hepatomegaly,the prophylactic use of antibiotics and WBC has excellent fit and discrimination,providing an effective quantitative tool for prognosis assessment of IM.

With the rapid development of generative artificial intelligence(GAI)technologies,their widespread application in academic research and writing is continuously expanding the boundaries of sci-entific inquiry.However,this trend has also raised a series of ethical and regulatory challenges,inclu-ding issues related to authorship,content authenticity,citation accuracy,and accountability.In light of the growing involvement of AI in generating academic content,establishing an open,controllable,and trustworthy ethical governance framework has become a key task for safeguarding research integrity and maintaining trust within the academic community.This expert consensus outlines ethical requirements across key stages of AI-assisted academic writing-including topic selection,data management,citation practices,and authorship attribution.It aims to clarify the boundaries and ethical obligations surrounding AI use in academic writing,ensuring that technological tools enhance efficiency without compromising in-tegrity.The goal is to provide guidance and institutional support for building a responsible and sustainable research ecosystem.

China has made remarkable achievements during the past three decades in controlling chronic hepatitis B virus infection. The overall HBsAg positivity rate dropped from 9.72% in 1992 to 5.86% in 2020. Particularly, the HBsAg positivity rate among children under five years old has dropped from 9.67% in 1992 to 0.30% in 2020. This transition is due to the universal vaccination of newborns with hepatitis B vaccine since 1992, which has averted over 40 million of HBV infections and seven million hepatitis B-related deaths. However, there are still around 75 million cases of chronic hepatitis B virus infection in China, of which about 59.78% of the infected individuals were aware of their infection status before survey, and about 30 million people have not yet been diagnosed. Among the confirmed infected individuals, 38.25% (about 17 million people) have indications for antiviral treatment, but only 17.33% (about 3 million people) are receiving antiviral treatment. Therefore, in order to accelerate the actualization of the World Health Organization's goal of eliminating viral hepatitis as a public health threat by 2030, China has taken a series of active measures in recent years, including updating clinical guidelines and expanding treatment indications to improve the coverage of diagnosis and treatment. At the same time, Chinese pharmaceutical companies and academia have made significant progress in the research and development of innovative hepatitis B therapies, laying the foundation for achieving the functional cure of chronic hepatitis B. Furthermore, China has developed a comprehensive management model for the prevention, control, and elimination of hepatitis B through evidence-based public health interventions, optimized clinical management strategies, and promotion of innovative drugs, providing valuable experience for the world.

As cardiac magnetic resonance imaging technology advances,T1 mapping has emerged as a non-invasive method offering visual and quantitative insights into myocardial fibrosis,edema,and infiltration associated with cardiac dis-eases.The application of T1 mapping in myocardial diseases allows for evaluating both focal and diffuse myocardial fibro-sis,playing a crucial clinical role in the differentiation,treatment,and prognostic risk assessment of diseases.This arti-cle aims to provide a thorough overview of the clinical applications of T1 mapping in patients with cardiomyopathy,summa-rizing the commonly employed scanning techniques and imaging principles.

China has made remarkable achievements during the past three decades in controlling chronic hepatitis B virus infection. The overall HBsAg positivity rate dropped from 9.72% in 1992 to 5.86% in 2020. Particularly, the HBsAg positivity rate among children under five years old has dropped from 9.67% in 1992 to 0.30% in 2020. This transition is due to the universal vaccination of newborns with hepatitis B vaccine since 1992, which has averted over 40 million of HBV infections and seven million hepatitis B-related deaths. However, there are still around 75 million cases of chronic hepatitis B virus infection in China, of which about 59.78% of the infected individuals were aware of their infection status before survey, and about 30 million people have not yet been diagnosed. Among the confirmed infected individuals, 38.25% (about 17 million people) have indications for antiviral treatment, but only 17.33% (about 3 million people) are receiving antiviral treatment. Therefore, in order to accelerate the actualization of the World Health Organization's goal of eliminating viral hepatitis as a public health threat by 2030, China has taken a series of active measures in recent years, including updating clinical guidelines and expanding treatment indications to improve the coverage of diagnosis and treatment. At the same time, Chinese pharmaceutical companies and academia have made significant progress in the research and development of innovative hepatitis B therapies, laying the foundation for achieving the functional cure of chronic hepatitis B. Furthermore, China has developed a comprehensive management model for the prevention, control, and elimination of hepatitis B through evidence-based public health interventions, optimized clinical management strategies, and promotion of innovative drugs, providing valuable experience for the world.

Objective To investigate the therapeutic effect of Ganoderic acid A on depressed rats and its possible mechanism.Methods Rats were randomly divided into control group(normal feeding),model group(chronic unpredictability mild stimulation method to build depression model),low-dose group(depression model+10 mg·kg-1 ganoderic acid A),high-dose group(depression model+20 mg·kg-1 ganoderic acid A),positive group(depression model+2.1 mg·kg-1 fluoxetine hydrochloride),each group consisted of 10 animals.The sugar water preference test and the forced swimming test measured depression-like behavior in rats.The expression of neurotransmitters and cytokines was detected by enzyme-linked immunosorbent assay;Western blot assay was used to detect the expression of related proteins in hippocampus;the apoptosis of hippocampus was detected by TdT mediated dUDP nick end labeling(Tunel)assay.Results The sugar water preference rates of rats in control group,model group,low-dose group,high-dose group and positive group were(80.88±6.20)％,(60.40±8.61)％,(68.70±5.90)％,(76.32±2.79)％and(80.08±5.64)％,respectively;the stationary time was(117.60±6.26),(188.40±19.49),(169.80±17.54),(152.40±15.84)and(136.00±7.31)s,respectively;5-hydroxytryptamine(5-HT)levels were(24.13±1.65),(9.70±0.89),(13.93±1.68),(17.95±1.36)and(15.09±1.39)ng·mL-1,respectively;the levels of IL-6 were(9.20±1.05),(64.90±5.95),(44.19±4.23),(30.16±2.91)and(52.81±7.73)pg·mL-1,respectively;the relative expression levels of CD1l b were 0.42±0.06,1.03±0.14,0.73±0.09,0.57±0.04 and 0.99±0.14,respectively;the relative expression levels of glial fibrillary acidic protein(GFAP)were 0.77±0.09,0.43±0.03,0.59±0.09,0.73±0.07 and 0.46±0.03,respectively;the apoptosis rates were(3.53±0.27)％,(23.11±1.73)％,(18.18±1.98)％,(12.08±1.97)％and(15.91±0.94)％,respectively.Compared with the control group,the above indexes in the positive group and the low-and high-dose groups were significantly different from those in the model group(all P＜0.05).Conclusion Ganoderma A can reduce depression-like behavior in rats,inhibiting neuritis and apoptosis by regulating the function of glial nerve cells.

Objective To investigate the therapeutic effect of Ganoderic acid A on depressed rats and its possible mechanism.Methods Rats were randomly divided into control group(normal feeding),model group(chronic unpredictability mild stimulation method to build depression model),low-dose group(depression model+10 mg·kg-1 ganoderic acid A),high-dose group(depression model+20 mg·kg-1 ganoderic acid A),positive group(depression model+2.1 mg·kg-1 fluoxetine hydrochloride),each group consisted of 10 animals.The sugar water preference test and the forced swimming test measured depression-like behavior in rats.The expression of neurotransmitters and cytokines was detected by enzyme-linked immunosorbent assay;Western blot assay was used to detect the expression of related proteins in hippocampus;the apoptosis of hippocampus was detected by TdT mediated dUDP nick end labeling(Tunel)assay.Results The sugar water preference rates of rats in control group,model group,low-dose group,high-dose group and positive group were(80.88±6.20)％,(60.40±8.61)％,(68.70±5.90)％,(76.32±2.79)％and(80.08±5.64)％,respectively;the stationary time was(117.60±6.26),(188.40±19.49),(169.80±17.54),(152.40±15.84)and(136.00±7.31)s,respectively;5-hydroxytryptamine(5-HT)levels were(24.13±1.65),(9.70±0.89),(13.93±1.68),(17.95±1.36)and(15.09±1.39)ng·mL-1,respectively;the levels of IL-6 were(9.20±1.05),(64.90±5.95),(44.19±4.23),(30.16±2.91)and(52.81±7.73)pg·mL-1,respectively;the relative expression levels of CD1l b were 0.42±0.06,1.03±0.14,0.73±0.09,0.57±0.04 and 0.99±0.14,respectively;the relative expression levels of glial fibrillary acidic protein(GFAP)were 0.77±0.09,0.43±0.03,0.59±0.09,0.73±0.07 and 0.46±0.03,respectively;the apoptosis rates were(3.53±0.27)％,(23.11±1.73)％,(18.18±1.98)％,(12.08±1.97)％and(15.91±0.94)％,respectively.Compared with the control group,the above indexes in the positive group and the low-and high-dose groups were significantly different from those in the model group(all P＜0.05).Conclusion Ganoderma A can reduce depression-like behavior in rats,inhibiting neuritis and apoptosis by regulating the function of glial nerve cells.

Patients with severe trauma require an extremely timely treatment and transfusion plays an irreplaceable role in the emergency treatment of such patients. An increasing number of evidence-based medicinal evidences and clinical practices suggest that patients with severe traumatic bleeding benefit from early transfusion of low-titer group O whole blood or hemostatic resuscitation with red blood cells, plasma and platelet of a balanced ratio. However, the current domestic mode of blood supply cannot fully meet the requirements of timely and effective blood transfusion for emergency treatment of patients with severe trauma in clinical practice. In order to solve the key problems in blood supply and blood transfusion strategies for emergency treatment of severe trauma, Branch of Clinical Transfusion Medicine of Chinese Medical Association, Group for Trauma Emergency Care and Multiple Injuries of Trauma Branch of Chinese Medical Association, Young Scholar Group of Disaster Medicine Branch of Chinese Medical Association organized domestic experts of blood transfusion medicine and trauma treatment to jointly formulate Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients ( version 2024). Based on the evidence-based medical evidence and Delphi method of expert consultation and voting, 10 recommendations were put forward from two aspects of blood support mode and transfusion strategies, aiming to provide a reference for transfusion resuscitation in the emergency treatment of severe trauma and further improve the success rate of treatment of patients with severe trauma.