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["The 50th Annual Meeting of the Japanese Society for \nSpine Surgery and Related Research"]
["Abstract Submission Form"]
["*…Required "]
["Contact information of Presenting Author"]
["Name*"]
["Affiliation*"]
["Mailing Address*"]
["Zip / Postal Code*"]
["Country*"]
["Phone*",null,null,null,"Extension No.    "]
["Fax*"]
["E-mail*"]
["<<Author>>"]
["Presenting Author*\n(Head Author)",{"$f":"B5","v":0},null,{"$f":"D5","v":0}]
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[]
["Co-Author 01"]
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["Co-Author 02"]
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["Co-Author 03"]
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["Co-Author 04"]
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["Co-Author 05"]
[]
["Co-Author 06"]
[]
["Co-Author 07"]
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["Co-Author 08"]
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["Co-Author 09"]
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["Co-Author 10"]
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["Co-Author 11"]
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["<<Affiliations>>"]
["Affiliation 01*"]
["Affiliation 02"]
["Affiliation 03"]
["Affiliation 04"]
["Affiliation 05"]
["<<Abstract>>"]
["Title of Abstract*"]
["Keyword01"]
["Keyword02"]
["Keyword03"]
["Abstract Text*"]
["Summary*"]
["Upload tables and figures (GIF, JPG,PNG)*"]
["<<Disclosure of Conflict of Interest>>"]
["To promote appropriate forms of collaborative clinical research between industry and academia and ensure neutrality and transparency in presentations on clinical research findings based on sound science and ethics, all presenters are expected to disclose any \"conflicts of interest\" (COI) at Annual Meeting of the Japanese Society for Spine Surgery and Related Research.\nMatters for which disclosure is required shall be matters that occur from one year before abstract submission to the time of presentation."]
["Question 1*","\nAnnual value of remuneration received from a single company or for-profit organization as an officer or an advisor is 1 million yen or more.\n\n"]
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["Question 2*","\nAnnual profit from shares of a single company is 1 million yen or more or the proportion of shares owned in the company is 5% or more.\n\n"]
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["Question 3*","\nAnnual value of patent royalties or licensing fees received from a single company or for-profit organization is 1 million yen or more."]
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["Question 4*","\nTotal annual value of daily allowances (lecture fees or fees for the chairperson or the moderator) received from a single company or for-profit organization as compensation for the time or labor of a researcher retained for conference attendance (for a presentation or serving as the chairperson or the moderator, etc.) is 500,000 yen or more."]
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["Question 5*","\nTotal annual value of manuscript fees received from a single company or for-profit organization is 500,000 yen or more.\n\n"]
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["Question 6*","\nTotal annual value of clinical research funding (e.g. clinical trials and clinical studies) received from a single company or for-profit organization is 2 million yen or more."]
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["Question 7*","\nTotal annual value of research funding (e.g. funded research, collaborative research, and donations) received from a single company or for-profit organization is 2 million yen or more."]
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["Question 8*","\nEndowed departments received from a single company or for-profit organization."]
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["Question 9*","\nAnnual remuneration received from a single company or for-profit organization (travel expenses, gifts, etc., that are not directly related to research) is 50,000 yen or more."]
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["Please fill out this form completely and send it to Congress Secretariat, indicated below by Tuesday, October 20 at noon."]
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["Contact\nCongress Secretariat  of JSSR2021\nE-mail: jssr2021@congre.co.jp"]

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