ALL ABSTRACT SUBMITTERS USE THIS FORM * Please fill out this form carefully * Fields marked with (*) are required. * Characters other than English letters, numbers or punctuation cannot be accepted by this website.
FELLOWS, NURSES/ALLIED PROFESSIONALS (See Abstract Submission for details)
Choose One (if you are a Fellow/Nurse/Allied Professional) I am a Fellow requesting a Travel/Registration Award. My signed verification letter will be submitted on the same day as this form. I am a Nurse/Allied Professional requesting a Travel/Registration Award. Remove Selection PEDIATRIC ABSTRACT AWARDThe Top Pediatric Abstract will be recognized with the 3rd Steven Alexander Top Pediatric Abstract Award. The awardee will receive grant and plaque awards. The award is sponsored by the Cincinnati Children’s Hospital Center for Acute Care Nephrology. Yes, please consider my pediatric related abstract for this award. CONTACT INFORMATION: Last Name:(*) First name:(*) Title/Degree(s): Mailing Address Institution: Department: Address:(*) City:(*) State(*) Country:(*) Postal code:(*) Work Phone: (*) Country code/city code/number Fax: Country code/city code/number E-mail address:(*) Password:(*) 4 to 10 characters - please enter new password for each abstract AUTHORS (*) Please list ALL authors in the order they should appear in the publication (10 max). The Primary Author's institution (#1) is the default setting for all authors. Additional co-author institutions should be added to the Co-Authors' Institution List. Co-author's institutions can then be selected from the list using the drop down menu. Institutions only need to be listed ONCE. Please enter institution information as follows: Institution, City, State, Country (i.e., Columbia University, New York, NY, USA) Primary Author's Information First Name M.I. Last Name Primary Institution 1 1 Co-Authors' Information First Name M.I. Last Name Select Institution if different than Primary Institution (add institutions to list below) 2 1 2 3 4 5 6 7 8 9 10 3 1 2 3 4 5 6 7 8 9 10 4 1 2 3 4 5 6 7 8 9 10 5 1 2 3 4 5 6 7 8 9 10 6 1 2 3 4 5 6 7 8 9 10 7 1 2 3 4 5 6 7 8 9 10 8 1 2 3 4 5 6 7 8 9 10 9 1 2 3 4 5 6 7 8 9 10 10 1 2 3 4 5 6 7 8 9 10 Co-Author's Institution List - if needed (list institution only once) 2 3 4 5 6 7 8 9 10 Entities That Provided Funding For this Abstract: 1 2 3 ABSTRACT CATEGORY: (*)You must choose one of the categories below. Epidemiology and Outcomes from AKI Research in AKI (Basic, translational, clinical including clinical trials) RRT Technique Characteristics RRT Applications and Targeted Interventions New Technology RRT Research Nursing Issues (education, training, care delivery) ABSTRACT TITLE: (*) Please use initial caps when entering title, for example: Levels in Patients Immediately After Cardiopulmonary Bypass Surgery Predicts AKI ABSTRACT BODY: (*) Please note: * Symbols, Sub and Super Script cannot be used in this form. Symbols may be written in full (e.g. ta)alpha, be. * Characters other than English letters, numbers or punctuation cannot be accepted by this website. * Abstract body with table contents limited to 2,500 characters (includes spaces) * PLEASE DO NOT PASTE TABLES IN THE ABSTRACT BODY. Use the table maker below. characters left (allow space for your table characters in step 2 if needed) TABLE or FIGURE (choose one): Enter how many rows and columns are needed for your abstract table. Data can be added in step 2. OR proceed to step 2 to upload a figure (jpg, tif, png or gif images only!). Rows Columns KEY WORDS: 1 2 3
Choose One (if you are a Fellow/Nurse/Allied Professional) I am a Fellow requesting a Travel/Registration Award. My signed verification letter will be submitted on the same day as this form. I am a Nurse/Allied Professional requesting a Travel/Registration Award. Remove Selection
PEDIATRIC ABSTRACT AWARDThe Top Pediatric Abstract will be recognized with the 3rd Steven Alexander Top Pediatric Abstract Award. The awardee will receive grant and plaque awards. The award is sponsored by the Cincinnati Children’s Hospital Center for Acute Care Nephrology. Yes, please consider my pediatric related abstract for this award.
CONTACT INFORMATION:
Last Name:(*)
First name:(*)
Title/Degree(s):
Mailing Address
Institution:
Department:
Address:(*)
City:(*)
State(*)
Country:(*)
Postal code:(*)
Work Phone: (*)
Country code/city code/number
Fax:
E-mail address:(*)
Password:(*)
4 to 10 characters - please enter new password for each abstract
AUTHORS (*)
Please list ALL authors in the order they should appear in the publication (10 max). The Primary Author's institution (#1) is the default setting for all authors. Additional co-author institutions should be added to the Co-Authors' Institution List. Co-author's institutions can then be selected from the list using the drop down menu. Institutions only need to be listed ONCE. Please enter institution information as follows:
Institution, City, State, Country (i.e., Columbia University, New York, NY, USA)
Primary Author's Information
First Name
M.I.
Last Name
Primary Institution
1
Co-Authors' Information
Select Institution if different than Primary Institution (add institutions to list below)
2
1 2 3 4 5 6 7 8 9 10
3
4
5
6
7
8
9
10
Co-Author's Institution List - if needed (list institution only once)
Entities That Provided Funding For this Abstract:
ABSTRACT CATEGORY: (*)You must choose one of the categories below.
Epidemiology and Outcomes from AKI Research in AKI (Basic, translational, clinical including clinical trials) RRT Technique Characteristics RRT Applications and Targeted Interventions New Technology RRT Research Nursing Issues (education, training, care delivery)
ABSTRACT TITLE: (*)
Please use initial caps when entering title, for example: Levels in Patients Immediately After Cardiopulmonary Bypass Surgery Predicts AKI
ABSTRACT BODY: (*)
Please note: * Symbols, Sub and Super Script cannot be used in this form. Symbols may be written in full (e.g. ta)alpha, be. * Characters other than English letters, numbers or punctuation cannot be accepted by this website. * Abstract body with table contents limited to 2,500 characters (includes spaces) * PLEASE DO NOT PASTE TABLES IN THE ABSTRACT BODY. Use the table maker below.
characters left (allow space for your table characters in step 2 if needed)
TABLE or FIGURE (choose one): Enter how many rows and columns are needed for your abstract table. Data can be added in step 2. OR proceed to step 2 to upload a figure (jpg, tif, png or gif images only!). Rows Columns KEY WORDS: 1 2 3
TABLE or FIGURE (choose one):
Enter how many rows and columns are needed for your abstract table. Data can be added in step 2. OR proceed to step 2 to upload a figure (jpg, tif, png or gif images only!).
Rows
Columns
KEY WORDS:
Please enter the conference code of - (in lower case).
Conference Code (*)
