Objective To investigate the factors influencing shorter survival in standard-risk multiple myeloma(MM)patients as defined by the mSMART3.0 criteria,and to provide a basis for constructing a more precise risk prediction model for MM patients.Methods A retrospective analysis was conducted on 388 MM patients from the First Affiliated Hospital of Chongqing Medical University between January 2015 and January 2022.Clinical baseline data,laboratory test results,and overall survival(OS)data were collected.SPSS 27.0 software was used for the analysis of relevant factors,with a P-value of less than 0.05 considered statistically significant.Results Analysis of the 82 mSMART 3.0 standard-risk MM patients revealed that age(P＜0.01)and monocyte percentage(P=0.025)differed significantly between the groups with differing survival outcomes.Further COX regression analysis indicated that advanced age(HR=1.057,95％CI:1.022-1.093,P=0.01)and a high monocyte percentage(HR=1.115,95％CI:1.041-1.193,P=0.02)were independent risk factors influencing the OS of standard-risk MM patients.Conclusion Both age and monocyte percentage are independent adverse factors affecting the survival of standard-risk MM patients ac-cording to the mSMART 3.0 staging system.Incorporating these factors into the stratification criteria is ex-pected to enhance the accuracy of risk stratification.

To provide in-service medical technicians and nurses with convenient access to continuing education resources in transfusion medicine, reduce transfusion-related adverse events, and ensure the safety, rationalization, and effectiveness of clinical transfusion, we designed and developed an online transfusion continuing education platform. The platform was based on the new managed code programming model.NET Core and the powerful functions of hypertext preprocessor PHP 7.4, addressing current issues in transfusion online continuing education. Through in-depth analysis of student attributes, learning behaviors, and teaching behaviors, a comprehensive online continuous teaching quality evaluation index system was established. This system not only facilitates the quantitative assessment of teaching quality but also successfully integrates the two core functions of teaching and management, thereby achieving unified online teaching.

To provide in-service medical technicians and nurses with convenient access to continuing education resources in transfusion medicine, reduce transfusion-related adverse events, and ensure the safety, rationalization, and effectiveness of clinical transfusion, we designed and developed an online transfusion continuing education platform. The platform was based on the new managed code programming model.NET Core and the powerful functions of hypertext preprocessor PHP 7.4, addressing current issues in transfusion online continuing education. Through in-depth analysis of student attributes, learning behaviors, and teaching behaviors, a comprehensive online continuous teaching quality evaluation index system was established. This system not only facilitates the quantitative assessment of teaching quality but also successfully integrates the two core functions of teaching and management, thereby achieving unified online teaching.