Abstract Submission Page

First Author Name

First Author Membership Number※

If you are non-member of The Japanese Society of Pediatric Surgeons, please fill in “9999999999” here.

Member Classification※

Member

non-member

First Author Name※

First Name

Middle Name

Last/Surname

Job Category ※

Medical doctor

Registered nurse

Other healthcare professionals

Junior resident/Intern/Medical student

Name of Supervising Instructor ※

Membership Number of The Japanese Society of Pediatric Surgeons ※

First Author Affiliation Agency Information

Affiliation Name※

City※

Country※

Affiliation Information

Affiliation Address※

Example: 1-1-1 Kasumigaseki, Chiyoda-ku, Tokyo 123-4567, Japan

Phone Number※

Please include "-" (hyphen)

Phone Number Extension

Fax Number

Please include "-" (hyphen)

First Author Email Address ※

First Author Email Address(For confirmation)※

Affiliation Agency Information

Affiliation No.2

Affiliation Name※

Country/Region※

Affiliation No.3

Affiliation Name※

Country/Region※

Affiliation No.4

Affiliation Name※

Country/Region※

Co-author’s Information

First Author Affiliation Number	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Co-Author Order		Name	Affiliation Number
Sample	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 1	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 2	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 3	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 4	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 5	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 6	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 7	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 8	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 9	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 10	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 11	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 12	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 13	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 14	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Co-Author 15	Member Classification※ Member non-member	First Name※ Middle Name Last/Surname	1　If you belong to the same affiliation as the first one, select 「1」. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16

Presentation Style ※

1.Main session

2.Requested Oral

3.Oral

4.Short Oral

Main session ※

Requested Oral ※

Would you be willing to present your abstract in a session (Oral / Short Oral) other than your preferred session if necessary for program scheduling purposes? ※

Yes.

No.

Oral/Short Oral ※

Application for PSI Issue ※

JSPS ISSUE

AAPS ISSUE

Not apply

Application for PSI Issue ※

AAPS ISSUE

Not apply

Title ※

Enter within 200 characters including spaces.

keyword1 ※

At least one keyword will be required.

keyword2

keyword3

keyword4

Abstract Body

Enter within 2,000 characters including spaces (approximately 330-400 words).

*Please note that the abstract will be published as submitted. We kindly ask you to carefully check for any typographical or grammatical errors before submission.

Type your abstract in the box below. You may also paste text processed offline into the box.

Follow the instructions below for special characters.
If you want to include symbols or Greek letters, type the respective code indicated in the tables at the position where you want to place it, or copy the code and paste it in the position.

If you want to use superscripts, subscripts, italics, bold, or underlines, follow the instructions below.

Symbols

When using the following symbols, please copy this field and paste it into the necessary place in the body of the abstract.

What to enter	Na<SUP>+</SUP>	H<SUB>2</SUB>O	<I>c-fos</I>	<B>Bold</B>	<U>Underline</U>	>	<
What to appear	Na⁺	H₂O	c-fos	Bold	Underline	>	<

Superscript

Enclose the text before and after with and .

Example: Na+ for Na⁺

Subscript

Enclose the characters before and after with and .

Example: H2O for H₂O

Italic

Enclose the text before and after with and .

Example: c-fos for c-fos

Bold

Enclose and before and after the text.

Example: Bold for Bold

Underline

Enclose and before and after the characters.

Example: Underline for Underline

"<" or ">" (greater than and less than signs)

Type "<" for < and ">" for > instead.

Example: p<0.05

If you wish to use symbols, please refer to the character code table here and copy and paste the input code.

Character Count
Affiliation name (co-author) is counted when the first author or the target institution number of the co-author is selected.

Subject Information

:0Count

Title

:0Count

Abstract Body

:0Count

Total

:0Count

Abstract Body※

Dual submission ※

Please select the status of the paper you are submitting: “First Publication,” “Previously Published,” or “Follow-up.”

If you select “Previously Published” or “Follow-up,” please provide details of the conference that it was presented (including planned publications).

First Publication

Previously Published

Follow-up

The conference that your paper was presented (including planned publications) ※

Please indicate the conference name (●●th ●● Conference) and the number of times this presentation has been given.

Travel Grant ※

Surgeons from overseas under 40 years at the end of the congress can apply for Travel Grant.

Apply

Not Apply

Date of Birth ※

Surgeons from overseas under 40 years at the end of the congress can apply for Travel Grant.

Password ※

Password must contain at least 6 characters, including at least one lowercase alphabet and one number.

You will need your reception number and password to check and correct your abstract, so make a note of these two displayed on the registration completion screen. Please be sure to fill in the question items displayed with *. Registration cannot be completed if there is no input. Please fill in the required questions and then click the "Next" button.

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