EmailMeForm
COPHA 2023 Abstract Submission Form
We welcome you to join us for the 5th Conference on Public Health in Asia held Saturday and Sunday, 2-3 December 2023 in Hiroshima, Japan.
The information collected here is for internal use only and shall not be shared with third parties.
For general inquiries, please contact us at:
COPHA2023.secretariat@intesda.org
COPHA
Section I: General Details
Name
*
First
Last
Capitalize the first letter only of each name (i.e. Hanako Tanaka). Do not use all uppercase.
それぞれの名前の最初の文字だけを大文字にします(例:Hanako Tanaka)。すべての大文字を使用しないでください。
Citizenship
*
I hold a passport from
Afghanistan
Albania
Algeria
Andorra
Angola
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Hercegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Cote D`ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (ROK)
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Micronesia
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Nambia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
UAE
UK
USA
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zaire
Zambia
Zimbabwe
Academic Degree
*
Select
Doctorate
Doctoral Candidate
Masters
Bachelors
No Degree
最高学歴
Position
*
Select
Professor
Assoc Professor
Asst Professor
Lecturer
Researcher
President
Chair
Dean
Doctoral Student
Masters Student
Undergraduate Student
仕事
Presentation Type Request
*
Select
Poster Presenter (ポスター)
Poster Co-presenter (ポスター共同プレゼンター)
Virtual Oral Presenter (バーチャル)
Section II: Email Policy and Contact Details
Decisions will NOT be sent to personal email accounts (i.e. Gmail, Yahoo, etc.)
*
I understand.
For security, participants must provide an email address verified by their university or employer.
安全のため、参加者は大学または雇用主によって認証された電子メール アドレスを提供する必要があります。
Questions? COPHA2023.secretariat@intesda.org
My Email Address (University)
*
We require that you provide the email address issued to you by your university.
My Personal Email
*
For your personal email address, it is fine to submit Gmail, Yahoo, Hotmail, etc.
Institution
*
Capitalize the first letter only of each word (i.e. Center University).
Department
*
Country
*
Select
Afghanistan
Albania
Algeria
Andorra
Angola
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Hercegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Cote D`ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (ROK)
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Micronesia
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Nambia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
UAE
UK
USA
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zaire
Zambia
Zimbabwe
Section III: Abstract Submission Guidelines
Submission Title
*
Use Title Case (i.e. The History of Language). Do NOT type title in all uppercase.
Abstract (Limit 250 Words)
*
Do NOT begin submission with word Abstract. Do NOT include title. Do NOT include your name.
投稿の冒頭に「Abstract」と記載しないでください。タイトルは入れないでください。自分の名前を書かないでください。
Submission Category
*
Select
Biotechnology and Biomedical Science
Cancer Care and Oncology
Child Health, Pediatric, Neonatal, Maternal Nursing
Community and Public Health
Communicable and Non-Communicable Diseases
Elderly Care, Gerontology and Geriatrics
Environmental Science and Health
Mental Health and Nursing
Nursing Science, Practice and Education
Nutrition, Malnutrition and Dietetics
Preventive Health Care and Palliative Care
Sanitation, Water and Hygiene
Other Areas of Public Health & Nursing (Please Specify)
If you chose "Other" please specify
Section IV: Main Author Information
Include the names of all authors in the order they should appear in the proceedings.
Author 1: Full Name
*
Do NOT include titles such as "Dr Ms., Mr. etc."
Dr. Ms.、Mr.etc.のような肩書きは含めないでください。
Do NOT include degrees such as "Ph.D."
"Ph.D. "のような学位は含めないでください。
Do NOT type details in all capitals.
詳細をすべて大文字で入力しないでください。
Author 1: University/Institution
*
Do NOT type university name in all capitals.
Author 1: University/Institution Country
*
Select
Afghanistan
Albania
Algeria
Andorra
Angola
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia Hercegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Cote D`ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (ROK)
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Mauritania
Mauritius
Mexico
Micronesia
Monaco
Mongolia
Morocco
Mozambique
Myanmar
Nambia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Samoa
San Marino
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
UAE
UK
USA
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Yemen
Zaire
Zambia
Zimbabwe
Section V: Additional Author Details (optional)
Include the names of all authors in the order they should appear in the proceedings.
Author 2: Full Name, University, Country
Author 2: E-mail Address
Author 3: Full Name, University, Country
Author 3: E-mail Address
Author 4: Full Name, University, Country
Author 4: E-mail Address
Author 5: Full Name, University, Country
Author 5: E-mail Address
Author 6: Full Name, University, Country
Author 6: E-mail Address
Author 7: Full Name, University, Country
Author 7: E-mail Address
Author 8: Full Name, University, Country
Author 8: E-mail Address
If you have more than 8 authors, please contact us.
8名以上の著者がいる場合は、下記の「発表者略歴」にお名前と詳細を追加していただくか、お問い合わせください。
COPHA2023.secretariat@intesda.org
Section VI: Presenter Biography
Please provide a short 100 word biography about yourself (i.e. your position, research interest, associations, etc). Do NOT list your publications or include personal details such as family or hobbies.
ご自身の略歴(役職、研究テーマ、所属団体など)を100字程度で記入してください。出版物のリストや、家族や趣味などの個人的な内容は記載しないでください。
About me
*
Section VII: Submission Policies
How did you learn about COPHA 2023?
*
Please select
A friend / colleague told me.
An announcement from my school.
I attended COPHA in the past.
All authors have approved this submission.
*
Please select
I confirm.
I cannot confirm now.
Confirming grants the organizers the right to include your abstract in the proceedings. 確認により、主催者はあなたの抄録を議事録に含める権利を付与されます。
If your abstract was previously presented, please specify below (option)
過去に発表された演題がある場合は、以下に明記してください(オプション)。
The grammar, spelling and author information in my application is correct.
*
I confirm.
For corrections related to the program schedule and proceedings, please contact the Secretariat.
Section IX: Questions? For general inquiries, please contact us at:
COPHA2023.secretariat@intesda.org
Section VIII: Important Reminders & Policies
Plagiarized submissions will be rejected.
*
I understand.
盗作されたものは不採用とさせていただきます。