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Journal of Case Reports

INSTRUCTIONS TO AUTHORS


Journal of Case Reports (JCR) is a quarterly, peer-reviewed, open access, and constantly updated online journal which publishes case reports/case series; brief reports on clinical and laboratory observations; letter to the editor; photograph/radiograph and ECG of the month covering all medical specialties. The journal’s full text is available at http://casereports.in/. The journal allows free access (Open Access) to all its contents.

The JCR accepts manuscripts through online submission system.The manuscript progression can be tracked online by authors, selected reviewers and editors after the manuscript has been submitted. Online submission system of Journal of Case Reports can be accessed at http://submission.casereports.in/.

Authors can login directly at http://submission.casereports.in/. Sign up (first visit only) using email id. After registration is complete, information will be sent to e-mail address indicating user ID (email ID) and password. Utilize this information to log in to Online Submission System by putting user ID and password and select "Author". Follow the instructions to complete submission. Editorial office can be contacted at email id: editor@casereports.in in case of problems or queries. 

Abstract, Title page, Manuscript, Copyright and Disclosure form, Conflict of interest statement and Figures must be prepared as separate files; the online submission system requires that each of these files are uploaded individually. Authors should use only those formats that are acceptable to online submission system. Title page and main manuscript should be submitted as text file (.doc or .docx). Images must be submitted as .jpg format. Scanned copy of signed copyright and disclosure form (Annexure 1) and conflict of interest (COI) form (Annexure 2) in jpg/ PDF format is mandatory for article submission. A scanned copy of the covering letter may alternatively be sent by email to the editorial office (editor@casereports.in). Your submission will not be processed till the signed disclosure and copyright form is received by the editorial office. 

Adherence to the guidelines is mandatory, and incomplete manuscripts will be reverted back to authors for correction before they are considered for review or they may be rejected.

Criteria for acceptance by the Journal of Case Reports includes article originality and quality, clarity of writing, reasonable conclusions supported by reported case/cases, and potential importance of the work to the field of medical field. Indicate what is truly new in the present work compared to work already published in the field. Submitted manuscripts will be rejected if they do not conform to standard English usage and to the "Uniform Requirements for Manuscripts Submitted to Biomedical Journals" (http://www.icmje.org/) [1]. Manuscripts will be returned to authors if not prepared as per journal guidelines or ICMJE guidelines, insufficient recent literature, repetitive material, poor design or poor English.The editorial board reserves the right to modify article to meet the journal’s style, and improve the photographs and tables to enhance clarity of presentation without affecting the message and meaning being conveyed by the article. Edited manuscripts will be sent to author for approval. The journal reserves the right to use submitted manuscripts as part of editorial research for teaching and training activities, and to improve the peer-review process.

The copyright of all accepted and published manuscripts lies with Journal of Case Reports; these cannot be reproduced elsewhere or distributed in any form, in whole or part. Mass photocopying of published article would also amount to copyright violation. The name, logo, thumbnail, cover design or contents of JCR cannot be used to promote commercial goods, in any form. Unauthorized use will attract penalty and/or/ legal action. For permission to use copyrighted material, the editor-in-chief may be contacted at editor@casereports.in.

All submitted manuscripts undergo screening to determine if they are appropriate and would likely be accepted following peer review. Manuscripts will be returned to authors due to insufficient originality, ethical issues, non-submission in desired format, not of interest to majority of readers, not according to journal priorities, poor design or poor English. Decision on such papers is communicated to authors within two weeks.

After an initial review of the manuscript, two reviewers with sufficient experience on the subject are selected by Editor-in-Chief, in a masked fashion. The JCR does not reveal the identity of its reviewers and manuscripts are reviewed maintaining author’s confidentiality. Authors should not disclose their and their institution’s identity in the text of the ‘blinded manuscript.’ Once reviewer’s comments are received, Editor-in-Chief reviews the manuscript along with comments received from both reviewers and makes the publication decision, which is then communicated to corresponding author through e-mail. Period of submission to first decision usually varies from 2 weeks to 6 weeks depending on availability of reviewers and their timely response and the backlog of articles.

Journal of Case Reports considers articles for publication with the understanding that the manuscript or any part of article, tables or figures has not been published previously in print or electronic format, and are not under consideration by any other publication or electronic medium. Corresponding author should include the signed statement that the article or part of article has not been published previously or submitted elsewhere for review and copyright transfer. It is responsibility of authors to obtain permission from appropriate authority, if any material (including tables, figures or text) is used in the article from another publication. Copyright violations and plagiarism will not be overlooked; and all authors will be held equally responsible for the same. If plagiarism or duplication is detected, the article will be rejected and strict action such as barring the author/(s) from future submissions, notification on the journal website, and information to authors institute or other medical editors will be taken. Previously rejected article should not be resubmitted. Authors should provide full information regarding previous submission, if any.
Authors are expected to maintain confidentiality of their manuscript after acceptance and before publication. Information about the accepted articles should not be released in print/ electronic form to any individual/media/agency, till the manuscript is published. Submission of safety data to government agencies prior to submission or publication will not forestall publication. Authors should inform the editors once it is done.

PROOFS AND REPRINTS
Once the article is processed, editor will send the corresponding author proof by e-mail, prior to publication. Corrections on the proof should be restricted to printing errors or errors in figures or data only and they should be corrected and returned within 48 hours. Authors should check their proofs carefully, because approval indicates that all copy-editing changes have been accepted. No further proof will be provided. Authors must also answer any copy-editing queries within the proof. No changes in author sequencing or change of corresponding author or addition or deletion of authors is permissible at this stage.

When reporting case reports on human beings, indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional or regional) and with the Helsinki Declaration of 1975, as revised in 2000 (available at http://www.wma.net/e/policy/17-c_e.html). For studies involving human participants, authors are expected to obtain informed consent from adult participants and obtaining assent for children aged over 7 years (Annexure 3). We adhere to the ethics in publication as per guidelines of COPE (https://publicationethics.org/resources/code-conduct).

Articles can be submitted as Case Reports, Case Series, Clinical sign revisited, Image of the month, Pictorial CME, Letter to the editor, Clinical videos, ECG of the month, and Teaching Round. Research articles on systemic review of published case reports, use of case reports, retrospective studies and the prevalence or importance of case reporting in the medical literature can also be submitted.

Case report submitted to JCR can be clinical case or procedure that illustrates an important clinical message or that illustrates the appropriate use of an important clinical guideline or review. In addition it must meet one of the following criteria:
  • Uncommon side effects or adverse interactions involving medications,
  • Unusual presentations of a disease,
  • New associations of a disease,
  • Diagnoses and/or management of new and emerging diseases,
  • An unexpected association between disease or symptoms,
  • An unexpected event while observing or treating a patient,
  • Rare feature of a disease or unique therapeutic approach.
The text should not exceed 1500-2000 words and should be arranged as Abstract, Introduction, Case report, Discussion, Conclusion, References, Tables and Legends to figures. Include a brief structured abstract of 200 words using the following headings: Background, Case Report, and Conclusion.

The manuscripts should be written in reasonably good English and must present a relevant clinical message. Case report should include patient’s history, clinical examination, investigations sufficient to explain the case, details of differential diagnosis, treatment plan, and follow-up with clear and definite outcome. Discussion section should explain the case in the context of published information and include an up-to-date review of similar cases in the field. Upto 15 most recent references can be included. Only colored photographs should be submitted. The patient’s written consent (or that of the next of kin) to publication must be obtained.

Reporting Standards
Journal of Case Reports requires authors to follow the CARE guidelines http://www.care-statement.org/ for preparing case reports. The CARE checklist http://www.care-statement.org/care-checklist.html can be provided as an additional file. 

More than one new, interesting and rare cases belonging to a particular diagnosis/ clinical feature can be reported as “Case Series”. This can be retrospective or prospective and consists of patients with similar exposure given similar treatment or examines their records for exposure and outcome. These could be of up to 2000 words and include 20 references.  Case series should be described under the following headings: Abstract, Introduction, Case Series/Case Reports, Discussion, Conclusion, References, Tables and Legends to Figures in that order. The other details are same as of Case Report.

An interesting, novel, or highly educational image with/without skiagrams or pathological images that clearly define the condition and have the classical characteristics of the clinical condition can be displayed by the visual. Clinical photograph where diagnosis is not possible on images alone would not be considered for this section. The focus of this section is the image itself and text matter should be directed to the image description. This section is not intended to be used as a forum for case reports. Manuscripts are limited to 400 words, should include not more than 5 references. The electronically submitted image should be in .jpg format, of high quality and resolution (>300 dpi). Manuscript having poor quality or inappropriate resolution images will be returned to author. Image should reflect intended educational message. It is responsibility of author to obtain signed informed consent from the patient/parent/legal guardian, and the same must be stated on the Title page. The editorial board may ask for such a consent form at any time during the manuscript review process. 

JCR publishes videos and animation sequences to support your scientific research. Authors who wish to submit video or animation files with their manuscripts can include links to these within the body of the article. A video file submitted for publication should be first uploaded on you tube. A write-up of up to 400 words discussing the video/condition and its differential diagnoses must accompany the video. A still image in .jpg format from the video should be submitted. Authors should mask patients’ eyes so that he/she is not identifiable and remove patients’ names from supplemental digital content unless they obtain written consent from the patients and submit written consent with the manuscript. 

Letter-to-the-Editor should be brief (250 to 1,000 words) and short correspondence should be included. Two or three references, a small table, or a figure may be used. Letters may offer objective and constructive criticism of published material. Letters must not duplicate other material published, submitted or planned to be submitted for publication. The matter of the letter should be unstructured but should follow the general sequence of introduction, case report, discussion and references. Unstructured abstract of up to 50 words reporting the key findings should also be included.

Research articles on systematic review of published case reports, use of case reports, retrospective studies and the prevalence or importance of case reporting in the medical literature should be submitted as research article. A reasonably large series of cases can also be considered for this section. Abstract should be limited to 200 words, and structured using the following headings: Objective, Methods, Results, and Conclusions. Provide 4-5 key words, selected from the Medical Subject Headings (MESH) list of National Library of Medicine (https://www.nlm.nih.gov/mesh/MeSHonDemand.html). The text should contain no more than 2000 words, 2 illustrations/tables and up to 20 recent references. The text should be arranged in order of Introduction, Methods, Results and Discussion. Include a statement on consent, ethics approval, name of the ethics committee that approved the study and the committee’s reference number if appropriate.

JCR also publishes Brief Communication, Clinical sign revisited, Pictorial CME, ECG of the month, and Teaching Round. Please contact the Editorial Office for further information. 

For reporting, the authors are expected to comply with the “Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals (ICMJE Recommendations) (www.icmje.org) [1]. Detailed guidelines and word templates are also available at the website of Enhancing the Quality and Transparency of Health Research Network (www.equator-network.org).

  • The manuscript is to be submitted electronically at http://submission.casereports.in/
  • Use American (US) English throughout.
  • Manuscripts must be submitted in double-spaced word document. Use 12-point font size (Times New Roman). Margins should be at least 2.5 cm (1 inch) all around. The manuscript should be formatted in ‘portrait’ layout.
  • Names and sequence of authors, and the corresponding author details, as submitted in the title page and as uploaded in the online manuscript management system should not have any discrepancy.
  • Abstract (wherever applicable) must be included in the main ‘blinded manuscript,’ apart from being uploaded in the relevant box at the manuscript submission website.
  • Units of measurement: Conventional units are preferred. The metric system is preferred for the expression of length, area, mass and volume.
  • Trade names: Trade names and brand names of drugs and devices should not be used in the title of the paper. They may appear only once in the paper. Thereafter, only generic names should be used throughout the article. Proprietary names, if given, should not have a superscript R, © or TM; just capitalize the first word.
  • Number the illustrations according to their sequence in the text.
  • All articles must be arranged in the following order:
  1. Title page: This should be a separate file.
  2. Manuscript: This consists of Abstract, Body text (introduction, case report, discussion, conclusion, and references), Tables and Figure legends. Number all pages of the manuscript consecutively, beginning with the abstract page.
  3. Figures: Each figure should be sent as a separate file.
  4. Copyright form: All authors should sign on a standard format of journal regarding authorship criteria, responsibility, financial disclosure and acknowledgement (Annexure 1). The statement with original signatures is to be uploaded as a scanned file.
  5. Conflict of Interest form: All authors should sign on a standard format of journal regarding conflict of interest. The statement with original signatures is to be uploaded as a scanned file (Annexure 2).
Title Page should have the following information:
  1. Title of article.
  2. First name, middle name, and last name of each author. Initials will not be accepted for surnames. For example; ‘Ramesh N’: here, ‘N’ will be considered as the Initial and ‘Ramesh’ will be indexed as Last name.
  3. Details of contribution of each author.
  4. Name of department(s) and institutional affiliations to which work should be attributed.
  5. Name, email id, mobile number and mailing address, of the corresponding author.
  6. Word count (not including abstract, tables, figures, acknowledgments, and references).
  7. Running title in less than 50 characters.
  8. Disclosure of support/funding in the form of grants, equipment, drugs or all of these received. Provide both the name and location of each funding agency/source.
  9. Declaration of conflicts or competing interests.

Authorship criteria
JCR endorses the recommendations of ICMJE for the conduct, reporting, editing and publication of scholarly work in medical journals (http://www.icmje.org/recommendations/browse/roles-and-responsibilities/defining-the-role-of-authors-and-contributors.html) to define following four criteria required for authorship: (a) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (b) Drafting the work or revising it critically for important intellectual content; AND (c) Final approval of the version to be published; AND (d) Accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. All (a), (b) (c) and (d) conditions must be met, for all authors, individually. Participation solely in the funding acquisition or data collection does not justify authorship. Those who do not meet all four criteria should be acknowledged. It is the responsibility of authors to obtain written permissions from everyone acknowledged by name. The list of persons who qualify as authors and the order listed must be established at the time of original submission.

Role of Corresponding Author
One designated corresponding author is must for each manuscript. The corresponding author serves as the primary contact during the submission and review process on behalf of all co-authors and is responsible for complying with all journal policies throughout the process. The corresponding author is responsible for ensuring that all authors have reviewed the manuscript and have completed the conflict of interest disclosures. If the manuscript is accepted, the corresponding author is responsible for reviewing the proof. The corresponding author should be available throughout the submission and peer review process to respond to editorial queries in a timely way, and should be available after publication to respond to critiques of the work and cooperate with any requests from the journal for data or additional information should questions about the paper arise after publication.

Group Authorship
When a large multi-author group has conducted the work, the group ideally should decide who will be an author before the work is started and confirm who is an author before submitting the manuscript for publication. All members of the group named as authors should meet all four criteria for authorship. If only the name of the group is provided, all group members must meet the authorship criteria. In case name of few authors is followed by name of the group linked by ‘and’; all members of the group must meet the authorship criteria. In case name of few authors is followed by name of the group linked by ‘for’; only the named authors need to meet the criteria of authorship. The names of all members of the group should be listed as an Annexure at the end of the manuscript.

Acknowledgements
Contributors who meet fewer than all four authorship criteria should not be listed as authors, but they should be acknowledged. Financial and material support should also be acknowledged. Acknowledgment may imply endorsement by acknowledged individuals of a study’s data and conclusions, the corresponding author must obtain written permission to be acknowledged from all acknowledged individuals. Provide complete name, department, institutional affiliation, city, state, and country. General statements like “we acknowledge and thank our patients and their families” or “we acknowledge the help of all research staff” or “we thank the editorial board” are discouraged.

Conflict of Interest
Authors must disclose following information (i) associations with commercial entities that provided support for the work reported in the submitted manuscript or having an interest in the area of the submitted manuscript, (ii) indirect support, e.g., to a local research foundation that funded the project. This includes departmental, hospital, or institutional funds, (iii) conflicts can also occur due to personal relationships, academic competition and intellectual passion and therefore should be disclosed. Consultancies, equity interests, or patent-licensing arrangements should also be noted at submission. If competing interest exists, the author(s) must disclose them in title page while submitting the manuscript or in separate conflict of interest form (Annexure 2).

Funding
Authors are required to report all financial and material support for the research work, including grant number and funding agency.

Unless otherwise specified, all articles must be accompanied by a structured abstract. Abstract should be structured within 200 words as:
Background: Why you want to report this case?
Case Report: This should include case summary in concise manner
Conclusion: What is the single most important conclusion?
No abbreviations should be used in the abstract, unless very essential.

Four to five key words to facilitate indexing should be provided in alphabetical order below the abstract. Terms from the Medical Subject Headings (MESH) list of National Library of Medicine (https://www.nlm.nih.gov/mesh/MeSHonDemand.html) should preferably be used. Do not repeat words already included in the title.

The introduction section should provide the subject, purpose, and merit of the case. This section should present background information that provides clarity to the reported case, and describe why the case report is novel or merits review, and objective of the case report. Cite only the most relevant and recent (within the past five years) references.

The case description forms the foundation of the case report. The case is best presented in chronological order and in enough detail for the reader to establish his or her own conclusions about the case's validity [2]. The presenting clinical history, including relevant past and family history, physical examination findings, laboratory and diagnostic findings, differential diagnosis, management, follow-up, and final diagnosis should be described in chronological order. The case presentation should only include information that pertaining to the case and avoid using own interpretation or inferences. Tables/figures should be used to reveal chronological findings or to compare observations using different methods. Figures need a brief but clear description. The patient’s confidentiality must be preserved; any identifying features of a patient’s photograph should be blocked. 

The discussion should summarize and interpret the key findings of the reported case, to contrast the case report with published literature and justify its uniqueness, to derive new knowledge, and to draw clinically useful conclusions [2].The author should also list the limitations of the case. The author should next summarize the essential features of the case report, and draw recommendations and conclusions.



Only justifiable and reasonable conclusion supported by reported case/cases should be stated.  Avoid making firm judgments and recommendations based on speculation and limited information. This section should be concise and not exceed 50 words.

References should be according to the Vancouver style. References should be numbered consecutively in the order in which they are first mentioned in the text in square brackets []. If you cite a reference more than once in the text, use the same number each time. Last name of the authors are written first followed by the initials. All authors of the article should be listed when six or less; when seven or more list only the first six and add et al. Use abbreviated titles of the medical journals as they appear in National Library of Medicine Catalogue available at http://www.ncbi.nlm.nih.gov/nlmcatalog/journals. In case of a Journal that is not available in NLM catalogue, provide full name of Journal. Use the style of the examples below.

Articles in Journal (list the first 6 authors, followed by et al.)
Gupta P, Narang M, Gomber S, Saha R. Effect of quinine and artesunate combination therapy on platelet count of children with severe malaria. Paediatr Int Child Health. 2017;37:139-143.

Material published early on website but not yet published in print
Narang M, Puri AS, Sachdeva S, Singh J, Kumar A, Saran RK. Celiac Disease and H. pylori infection in children: Is there any association? J Gastroenterol Hepatol. 2016;Nov 15 (Epub ahead of print).

Personal author (book):
Narang M. Approach to Practical Pediatrics, 2nd ed. New Delhi: Jaypee publications; 2011.

Chapter in a book:
Aggarwal A, Narang M. Acute stroke in children. In: Gupte S (ed). Recent Advances in Pediatrics.15th ed. Jaypee Brothers: New Delhi; 2004. pp.145-153.

Conference proceedings:
Kimura J, Shibasaki H, editors. Recent advances in clinical neurophysiology. Proceedings of the 10th International Congress of EMG and Clinical Neurophysiology; 1995 Oct 15-19; Kyoto, Japan. Amsterdam:Elsevier;1996.

Conference paper:
Bengtsson S, Solheim BG. Enforcement of data protection, privacy and security in medical informatics. In: Lun KC, Degoulet P, Piemme TE, Rienhoff O, editors. MEDINFO 92. Proceedings of the 7th World Congress on Medical Informatics; 1992 Sep 6-10; Geneva, Switzerland. Amsterdam: North-Holland; 1992. p. 1561-5.

Dictionary
Taber’s Cyclopedic Medical Dictionary. 16th ed. Philadelphia: F.A. Davis company; 1989. Anxiety neurosis; p. 120.

Newspaper article
Encephalitis battle tough test for Yogi. Hindustan Times 2017 April 27; Delhi: p. 17 (col 1-6).

Material from the Internet: Website addresses must be in italics, and not underlined; give the date of accessing the website. Remove all hyperlinks. 

CARE Case Report Guidelines. Available from: http://www.care-statement.org/. Accessed April 27, 2017.

Electronic material
Neonatal Resuscitation Program (NRP) Training Aids [on CD-ROM]. National Neonatology Forum, New Delhi, 2006. Hemodynamics III: the ups and downs of hemodynamics [computer program]. Version 2.2. Orlando (FL): Computerized Educational Systems;1993.

Tables should be numbered consecutively in order of appearance [Table 1, etc]. Each Table should be submitted on a separate page of main manuscript. Each table must have a title and should be numbered with Arabic numerical [1,2]. These must be self-explanatory. The data must be clearly organized and should supplement and not duplicate the text. Give each column a short or abbreviated heading.Tables should be word processed documents. Do not submit tables as photographs. All abbreviations should also be outlined beneath the tables. The source of the table should be in the footnote in full, and not by reference number alone. Obtaining the permission from the original copyright holder for reproducing already published material is the responsibility of the author, and any relevant queries will be directed to the corresponding author.

Figures / Illustrations
The electronically submitted image should be in .jpg format, of high quality and resolution (>300 dpi). Manuscript having poor quality or inappropriate resolution images will be returned to author. Image should reflect intended educational message. Photographs should not identify the individual or patient. It is responsibility of author to obtain signed informed consent from the patient/parent/legal guardian, and the same must be stated on the Title page.

A video file submitted for publication should be first uploaded on you tube. A link to that video can be provided to us in the main manuscript. A write-up of up to 400 words discussing the video/condition and its differential diagnoses must accompany the video. Authors should mask patient’s eyes so that he/she is not identifiable and remove patients’ names from supplemental digital content unless they obtain written consent from the patients and submit written consent with the manuscript. 

Legends should be mentioned on a separate page, corresponding to the figures. When symbols, arrows, numbers, or letters are used to identify parts of the illustrations, identify and explain each one clearly in the legend. 




SUBMISSION CHECKLIST
The following list will be useful during the final checking of an article prior to sending it to the journal for review.
  • Title page: containing all required information [article title, author(s) details, corresponding author details, contribution of each author, funding, conflict of interest and running title].
  • Manuscript: consisting of Abstract (and MeSH keywords), Body text (introduction, case report, discussion, conclusion, references), Tables, Appendices, Figure legends.
  • Copyright form
  • Conflict of Interest statement
  • Figures: Each figure should be sent as a separate file.

The processing charges will need to be submitted once the article is accepted for publication. The Journal of Case Report charges authors from India & SAARC countries, Rs. 4000/- (INR four thousand only) as processing charges for all articles. Authors from other countries need to pay USD 150 (USD one hundred and fifty only) as processing charges for all articles.

REFERENCES
  1. International Committee of Medical Journal Editors. Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals (Updated December 2016). Available from: http://www.icmje.org/icmje recommendations.pdf. Accessed December 18, 2016.
  2. Cohen H. How to write a patient case report. Am J Health-Syst Pharm. 2006;63:1888-1892.





Annexure 1



Manuscript Title:

Manuscript No. (if known): 

I/We certify that this manuscript represents original work and that neither this manuscript nor one with similar content under my/our authorship has been published or is being considered for publication elsewhere. For papers with more than one author, we agree to allow the corresponding author to be the primary correspondent with the editorial office, to review the edited manuscript and proof. Corresponding author also agrees to inform the co-authors regarding terms of agreement of Journal of Case Reports.

The undersigned authors warrant that they have read and approved the submitted manuscript. All the authors should fulfill following four criteria required for authorship: (a) Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work; AND (b) Drafting the work or revising it critically for important intellectual content; AND (c) Final approval of the version to be published; AND (d) Accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. The contributors not fulfilling the authorship criteria are named in acknowledgment section with their written permission.

I/We also certify that all my/our affiliations or financial involvement with any organization or entity or financial conflicts are completely disclosed on the title page of the manuscript. My/our right to examine, analyze, and publish the article is not infringed upon by any contractual agreement. I/We further declare that I/we have obtained, prior to submission, written consent from patients for publishing this work and identity of patient has not been revealed. Should the Journal request copies of such written releases, the author(s) shall provide them in a timely manner.

We also agree to pay the processing charges for the publication of the article, if it is accepted for publication. The author(s) undersigned hereby transfer(s), assign(s), or otherwise convey(s) all copyright ownership, including any and all rights incidental thereto, exclusively to the Journal of Case Reports, in the event that this work is published in Journal of Case Reports. We grant the journal the right to analyze the information obtained from submitted manuscripts as part of editorial research to improve the peer-review process, and for teaching and training activities. The author(s) also warrant that the manuscript or any supplementary file contains no unlawful statements, does not infringe upon the rights (including patent, trademark or copyright rights) or the privacy of others, or contain contents that may cause harm or injury, and that I/we shall indemnify the editors against any costs, expenses and damages arising from any breach of this warranty. We understand that the views/opinions expressed in the article are that of the author(s) and not of the journal.


Authors’ name(s)                                                          Signatures (date)

1.

2.

3.

4.

5.











Annexure 2

CONFLICT OF INTEREST FORM



Title of article:


Manuscript number (if known):


I/We have no conflicts of interest to declare; OR


I/We hereby declare following conflicts of interest for conduct of this study and/or preparation of this manuscript which is to be published in compliance with ethical standards section of the manuscript.






























Authors’ name(s)                                                          Signatures (date)

1.

2.

3.

4.

5.















Annexure 3

CONSENT FORM


Patient’s consent to publication of information about him/her in a journal

Name of person described in article or shown in photograph:

Category of article:  

Title of article:

Manuscript number (if known):

Medical practitioner or corresponding author:

I_________________________________________ [insert name of person giving consent] give my consent for this information about MYSELF OR MY CHILD OR WARD/MY RELATIVE [insert full name]:__________________________________, relating to the subject matter mentioned above to appear in a journal article.

I understand the following: 
  1. The content will be published without my name/child’s name/relatives name attached and every attempt will be made to ensure anonymity. I understand, however, that complete anonymity cannot be guaranteed. It may be possible that somebody somewhere may identify me from the photographs/videos/ or accompanying write-up.
  2. The information will be published in a worldwide read journal or an online journal. Journals are aimed mainly at health care professionals but may be viewed by others also.The information may be placed on a website.
  3. I understand that I will not receive, and am giving up any claim to receive, any payment or royalties in connection with the use of the material.
  4. I can withdraw my consent at any time before online publication, but once the information has been committed to publication it will not be possible to withdraw the consent. 







Signed:__________________________________                                                                                                  Date: ______________________


Address:___________________________________________________________________


__________________________________________________________________________


Witness Name:_____________________________                   Signed:__________________________                     Date:____________________


Signature of requesting medical practitioner/health care worker: _______________________________                  Date:____________________