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Affiliation No.4

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Affiliation No.5

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Affiliation No.6

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Affiliation No.7

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Affiliation No.8

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Affiliation No.9

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Affiliation No.10

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Co-Author Information

General Session: A maximum of 20 authors (presenting author + co-authors).

First Author Affiliation Number	1 2 3 4 5 6 7 8 9 10

Co-Author Order	Name	Number
Sample	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
Co-Author 1	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
Co-Author 2	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
Co-Author 3	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
Co-Author 4	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
Co-Author 5	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
Co-Author 6	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
Co-Author 7	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
Co-Author 8	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
Co-Author 9	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
Co-Author 10	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
Co-Author 11	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
Co-Author 12	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
Co-Author 13	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
Co-Author 14	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
Co-Author 15	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
Co-Author 16	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
Co-Author 17	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
Co-Author 18	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
Co-Author 19	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

Title

Abstract Body

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

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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

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Example: Na+ for Na⁺

Subscript

Enclose the characters before and after with and .

Example: H2O for H₂O

Italic

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Example: c-fos for c-fos

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Example: Bold for Bold

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Example: Underline for Underline

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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.

Diagram Size: 5Mbyte or less / File format: PNG or JPEG

Diagram※

Yes

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

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Title

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Total

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Abstract Body※

Multi-institutional studies ※

Does this abstract qualify as a Multi-institutional studies?

Yes No

Published as a Paper ※

Has this abstract been published as a paper?

Disclosure of COI

*If you enter COI information as "Yes," you will be asked to submit another COI declaration form after notification of acceptance or rejection.

Details will be provided at the time of notification of acceptance or rejection.

First Author

Item		Conflict?※
1	①Were you or a family member an officer, advisor or other post of a business or commercial enterprise and did you receive remuneration therefor? （1 million yen or more per year from one company or organization）	Author Yes None
2	②Did you or a family member own stock or profit from owned stock? （1 million yen or more per year or holding 5% or more of shares in one private company）	Author Yes None
3	③Were you or a family member paid patent royalties by a business or commercial enterprise? （1 million yen or more per year for one patent）	Author Yes None
4	④Were you paid remuneration, such as a daily allowance, lecture fee or other financial support, by a business or commercial enterprise to attend (speak, give advice, etc., at) meetings as compensation for time and labor? （500, 000 yen or more per year from one company or organization）	Author Yes None
5	⑤Were you paid manuscript fees by a business or commercial enterprise for contributed articles for pamphlets, etc? （500,000 yen or more per year from one company or organization）	Author Yes None
6	⑥Were your medical research expenses covered by a business or commercial enterprise? （1 million yen or more per year of research funding (including funding for collaborative research, funded research, and drug trials) paid by one company or organization for medical research that the disclosing party may substantially make a decision on how to use）	Author Yes None
7	⑦Did you receive scholarship donations (incentives) from a business or commercial enterprise? （1 million yen or more per year provided by one company or organization to a disclosing party, his/her course/class, or laboratory that the disclosing party may substantially make a decision on how to use）	Author Yes None
8	⑧Did you belong to a course funded by a business, etc.? （1 million yen or more per year of the contributions that the disclosing party may substantially make a decision on how to use）	Author Yes None
9	⑨Did you receive any other forms of remuneration (travel support or gifts not directly related to research, study or diagnosis/treatment) from a business or commercial enterprise? （50,000 yen or more per year from one company or organization ）	Author Yes None

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Title ※

First Author Name

First Author Affiliation Agency Information

First Author Affiliation Address Information

First Author Email Address

Affiliation Information

Co-Author Information

Category

Title

Abstract Body

Multi-institutional studies ※

Published as a Paper ※

Disclosure of COI

Password