Form for Nurses/AHP's
Deadline 20 February 2012

Follow the fields carefully. Obligatory information is indicated by stars ( * ) coloured in red.

Submitting Person:
                                                                                                                      

*Password:    (Please use 5-20 letters)   *Date:  (mm.dd.jjjj)
 

*First names (initials only: example A.A.):    *Last name: 

*Street:   *Number:  

*Zipcode:       *City:  

*Country: 

*E-mail: 
It is important that you enter your e-mail address accurately! Please inform us about any changes immediately!  

*Phone:        *Fax:    

 

Abstract Details:
                                                                                                                                                                                                                  
*Presentation Preference:   
   
*Subject area/Topic:  
 

*Abstract title

 
Max. 200 characters/signs, including blanks!
 

*Abstract  text

Max. 2000 characters/signs, including blanks!
Tables and graphics/figures are to be submitted separately after successful abstract submission via email including the AID.
Avoid complex mathematical formulae. For the plus minus symbols, type +/- instead of ±
Avoid Greek letters and symbols, e.g.  'IFN-g' or 'IFN-gamma'.

 

 

*1. Presenting Author                                                                                                                                                                             

*Mrs./Mr.:      *Academic title:       *Age:  
*First names (initials only: example A.A.):    *Last name: 
*Institution:  
*City: *Country:  

*E-mail presenting auhtor:  
It is important that you enter your e-mail address accurately! Please inform us about any changes immediately!  

2. Co-Author:
First names (initials only: example A.A.):   Last name:
Institution:
City: Country:

3. Co-Author:
First names (initials only: example A.A.):   Last name:
Institution:
City: Country:

4. Co-Author:
First names (initials only: example A.A.):   Last name:
Institution:
City:   Country:

5. Co-Author:
First names (initials only: example A.A.):   Last name:
Institution:
City: Country:

6. Co-Author:
First names (initials only: example A.A.):   Last name:
Institution:
City:   Country:

7. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

8. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

9. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

10. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

11. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

12. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

13. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

14. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:  
City: Country:

15. Co-Author:
First names (initials only: example A.A.): Last name:
Institution:
City: Country:

Trialists:

                                                                                                                                                                                                                                                            
General Information:   

*Hereby  I confirm, that this abstract has not been published before!  

* Copyright transfer to Karger Pub, Switzerland in case of acceptance is agreed   

*Conflict of interests will be disclosed!  

*I am <35 years and would like to compete for the ESO Poster Prize:  


Please check your data carefully before submission!