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Form Name: Dr. George Perez Research Colloquium AbstractSubmission Time: November 17, 2016 3:17 pmBrowser: Firefox 47.0 / Windows 8.1IP Address: 149.150.236.168Unique ID: 287249143Location: 40.749000549316, -74.261299133301
School of Health and Medical Sciences and the Seton Hall-Hackensack Meridian School of
Medicine
28th Annual Dr. George Perez Research Colloquium Abstract Submission FormTitle of Abstract Title of Abstract
Author InformationPrimary Author Last Name (Surname) SmithInitials for First & Middle Names ofPrimary Author (e.g. "J.D." for "James"as first name, and "David" as middlename)
J.D.
Affiliation of Primary Author 1. Seton Hall University - Health Sciences Graduate Programs (M.S.Athletic Training, M.S. Occupational Therapy, M.S. PhysicianAssistant, M.S. Speech-Language Pathology, Doctor of PhysicalTherapy, Master of Healthcare Administration, PhD in HealthSciences)
Position/Title of Primary Author StudentIs there an additional author? Yes
Author 2Last Name (Surname) RileyInitials for First & Middle Names (e.g."J.D." for "James" as first name, and"David" as middle name)
S.P.
Affiliation 1. Seton Hall University - Health Sciences Graduate Programs (M.S.Athletic Training, M.S. Occupational Therapy, M.S. PhysicianAssistant, M.S. Speech-Language Pathology, Doctor of PhysicalTherapy, Master of Healthcare Administration, PhD in HealthSciences)
Position/Title FacultyIs there an additional author? No
Author 3
Author 4
1
Author 5
Author 6
Author 7
Author 8
Abstract ContentAbstract Introduction Abstract Introduction - 800 characters maximum. Sample text
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Abstract Category Basic Medical Sciences (BMS)
BMS, CI, HSR, IP: Methods, Results & ConclusionAbstract Methods Abstract Methods - 800 characters maximum. Sample text sample
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Abstract Results Abstract Results - 1200 characters maximum. Sample text sampletext sample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample te
Abstract Conclusion Abstract Conclusion - 800 characters maximum. Sample text sampletext sample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sa
CV: Case Report, Discussion
ConfirmationIs there a potential conflict of interest? YesPlease describe the conflict of interest: If a conflict exists, describe it here.Was the study approved by an IRB?(Note: Clinical Vignettes do not requireIRB approval. All other studies requireIRB approval or they will not beconsidered for the Colloquium.)
Yes
If yes, please indicate the IRB here: Enter the IRB here.If my abstract is accepted, I agree topresent it at the colloquium via posteror orally.
Yes
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Re-enter Primary Author's Full Name(cannot be a Faculty Member)
Joseph Smith
Primary Author Email Address shsmithly@gmail.comOptional: Email Address(es) ofadditional Individuals - 1
lrileyshms@gmail.com
Campaign Source (direct)Campaign Medium (none)Campaign Name (direct)
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Form Name: Dr. George Perez Research Colloquium AbstractSubmission Time: November 17, 2016 3:23 pmBrowser: Firefox 47.0 / Windows 8.1IP Address: 149.150.236.168Unique ID: 287250378Location: 40.749000549316, -74.261299133301
School of Health and Medical Sciences and the Seton Hall-Hackensack Meridian School of
Medicine
28th Annual Dr. George Perez Research Colloquium Abstract Submission FormTitle of Abstract Title of Abstract
Author InformationPrimary Author Last Name (Surname) SmithInitials for First & Middle Names ofPrimary Author (e.g. "J.D." for "James"as first name, and "David" as middlename)
J.D.
Affiliation of Primary Author 5. Trinitas Regional Medical CenterPosition/Title of Primary Author Resident/FellowIs there an additional author? Yes
Author 2Last Name (Surname) RileyInitials for First & Middle Names (e.g."J.D." for "James" as first name, and"David" as middle name)
S.P.
Affiliation 5. Trinitas Regional Medical CenterPosition/Title FacultyIs there an additional author? No
Author 3
Author 4
Author 5
Author 6
Author 7
5
Author 8
Abstract ContentAbstract Introduction Abstract Introduction - 800 characters maximum. Sample text
sample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample text.
Abstract Category Clinical Vignette (CV)
BMS, CI, HSR, IP: Methods, Results & Conclusion
CV: Case Report, Discussion
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Abstract Case Report Abstract Case Report - 2400 characters maximum. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample textsample text. Sample text sample text sample text. Sample textsample text sample text. Sample text sample text sample text.Sample text sample text sample text. Sample text sample te
Abstract Discussion Abstract Discussion - 500 words maximum. Sample text sample textsample text sample text. Sample text sample text sample textsample text. Sample text sample text sample text sample text.Sample text sample text sample text sample text. Sample textsample text sample text sample text. Sample text sample textsample text sample text. Sample text sample text sample textsample text. Sample text sample text sample text sample text.Sample text sample text sample text sample text. Sample textsample
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ConfirmationIs there a potential conflict of interest? YesPlease describe the conflict of interest: If there is a conflict, describe it here.Was the study approved by an IRB?(Note: Clinical Vignettes do not requireIRB approval. All other studies requireIRB approval or they will not beconsidered for the Colloquium.)
Yes
If yes, please indicate the IRB here: Enter the name of the IRB here.If my abstract is accepted, I agree topresent it at the colloquium via posteror orally.
Yes
Re-enter Primary Author's Full Name(cannot be a Faculty Member)
Joseph Smith
Primary Author Email Address shsmithly@gmail.comOptional: Email Address(es) ofadditional Individuals - 1
lrileyshms@gmail.com
Campaign Source (direct)Campaign Medium (none)Campaign Name (direct)
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