№ files_lp_3_process_9_31103
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Conflict of interest disclosure form documenting financial, professional, and intellectual property relationships related to a medical manuscript submission.
Date: 7/13/2023
Author: Ronald W. Lindsey, MD
Manuscript Title: JBJS Deputy Editor
Manuscript Number: Not provided
Document Type: Conflict of Interest Disclosure Form
Organization: International Committee of Medical Journal Editors (ICMJE)
Subject: Disclosure of relationships/activities/interests related to manuscript content
Time Frame Item 1: Since the initial planning of the work
Time Frame Items 2–13: Past 36 months
Editorial Roles Disclosed: Co-Editor, Texas Orthopaedic Journal; Co-Editor, Journal of Bone and Joint Surgery (JBJS) Case Connector
Patents Issued: Tissue Integration Design for Seamless Implant Fixation; Mesh Bone Screw
Patents Pending: Treatment of Subjects Undergoing Orthopaedic Surgery and Local Radiation Using Thrombin Derived Peptides
Advisory Role: Member of the Advisory Board for the Max Biedermann Institute for Biomechanics at the University of Miami and the Mount Sinai Medical Center in Miami Beach, Florida
Certification Statement: Author certified completion and accuracy of all responses
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ICMJE Disclosure Form for JBJS Associate Editor, March 19, 2025
Date: 3/19/2025
Your Name: Daniela Seidel
Manuscript Title: JBJS Associate Editor
Manuscript Number: NA
Type of Document: Disclosure Form
Purpose: Declaration of relationships, activities, and interests
Time Frame: Since initial planning of the work and past 36 months
Status: All items marked as None
JBJS EST Storyboard Submission Template
Year: 2023
Region / City: Not specified
Subject: Medical procedure
Document Type: Submission template
Institution: JBJS EST
Author: Not specified
Target Audience: Medical professionals
Effective Period: Not specified
Approval Date: Not specified
Modification Date: Not specified
ICMJE DISCLOSURE FORM
Note: Year
ICMJE Conflict of Interest Disclosure Form
Date: Click or tap to enter a date
Author: Click or tap here to enter text
Manuscript Title: Click or tap here to enter text
US-based Author: YES/NO
Manuscript Number: Click or tap here to enter text
Journal: Ophthalmology
Reference: Van Gelder RN and Siegfried CJ, Ophthalmology, 2022; 129: 602-604
Disclosure Type: Conflict of Interest
Time Frame: Item #1 – since initial planning of the work; other items – past 36 months
ICMJE Disclosure Form for JBJS Associate Editor, March 19, 2025
Date: 3/19/2025
Your Name: Daniela Seidel
Manuscript Title: JBJS Associate Editor
Manuscript Number: NA
Type of Document: Disclosure Form
Purpose: Declaration of relationships, activities, and interests
Time Frame: Since initial planning of the work and past 36 months
Status: All items marked as None
BIONATURA ICMJE DISCLOSURE FORM
Note: Year
ICMJE DISCLOSURE FORM
Note: Year
ICMJE Disclosure Form for Reporting Relationships and Conflicts of Interest
Document Type: Author Disclosure Form
Issuing Organization: International Committee of Medical Journal Editors (ICMJE)
Purpose: Disclosure of Relationships and Conflicts of Interest
Related Journal: Maltepe Tıp Dergisi
Scope: Financial and Non-Financial Interests Related to Manuscript Submission
Time Frame: Since Initial Planning of the Work and Past 36 Months
Sections Included: Financial Support, Grants, Royalties, Consulting Fees, Honoraria, Expert Testimony, Travel Support, Patents, Advisory Roles, Stock Ownership, Other Interests
Additional Declarations: Patient Consent, Ethics Committee Approval
Certification Requirement: Author Confirmation of Complete and Unaltered Responses
Signatories: Contributing Authors and Corresponding Author
ICMJE DISCLOSURE FORM
Date: 6/26/23
Your Name: Kimberly Templeton, MD
Note: Manuscript Title
Year: 2023
Region / city: Kansas
Subject: Manuscript disclosure
Document type: Disclosure form
Organization / institution: University of Kansas Medical Center
Author: Kimberly Templeton, MD
Target audience: Authors of academic manuscripts
Period of validity: Not specified
Approval date: Not specified
Date of changes: Not specified
Topics: 7132023 JBJS ICMJE