Preamble A question that should unsettle every editor, reviewer, and author is this: What happens when fabricated, unverifiable references appear in peer‑reviewed articles published in indexed journals? This is no longer hypothetical. It is a reality that forces us to confront an uncomfortable truth indexation is not innocence, and a Scopus badge is not a certificate of integrity. As Deputy Editor-in-Chief of Medicosphere, I believe this demands urgent attention. The integrity of the scholarly record the foundation of scientific progress is under threat from generative artificial intelligence.
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