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Article title:

Author(s):

(In identical order to the electronic submission and the corresponding author should be underlined)

Journal: Anesthesia and Pain Medicine

In the event that the above manuscript is accepted for publication in the Anesthesia and Pain Medicine, the copyright is transferred to the Korean Society of Anesthesiologists.

The author shall have the right to use all or part of the Work to revise, adapt, prepare derivative works, present orally, or distribute provided that such use is for the personal noncommercial benefit of the author. With written consent from the Anesthesia and Pain Medicine, the author may use contents from the Work in other works provided that a full acknowledgment is made to the original source of the material including the journal name, volume, issue, page numbers, year of publication, title of article.

All co-authors of the Work certify that they have participated sufficiently in the intellectual content, the analysis of data if applicable, and the writing of the Work to take public responsibility for it. Each author of the Work certifies that none of the material in the Work has been previously published, included in another work, or is currently under consideration for publication elsewhere. Each author certifies that this Work has not been accepted for publication elsewhere, nor has assigned any right or interest in the Work to any third party. All funding sources supporting the Work and all institutional or corporate affiliations of the authors and commercial associations (e.g. consultancies, stock ownership, equity interests, patent-licensing arrangements, etc.) that might pose a conflict of interest in connection with the Work should be acknowledged in a footnote on the front cover of the Work.

I/we give consent to the above statements (It is THE RESPONSIBILITY of the Corresponding Author to collect the signatures of all authors before sending the form to the Editorial Office).

Author’s Signature Date Author’s Signature Date
Author’s Signature Date Author’s Signature Date
Author’s Signature Date Author’s Signature Date
Author’s Signature Date Author’s Signature Date



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Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: apm@anesthesia.or.kr                

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