সিলেট এমএজি ওসমানী মেডিকেল কলেজ, সিলেট

AUTHOR DECLARATIONS FORM FOR SOMCJ

Manuscript Information

• Manuscript Title:
• Manuscript Type:☐ Original Article ☐ Review ☐ Case Report ☐ Short Communication ☐ Other:
• Manuscript ID (if assigned):

Author Details

(Please list all authors in the order they appear in the manuscript)

Corresponding Author:

Contact Number: Email:

Author Declarations

1. Authorship Responsibility

We declare that all listed authors meet the authorship criteria of the International Committee of Medical Journal Editors (ICMJE). Each author has made substantial contributions to the conception and design, data acquisition, analysis or interpretation, drafting or critical revision of the manuscript, and has approved the final version for submission.

2. Originality and Prior Publication

We confirm that the manuscript is original, has not been published previously, and is not under consideration for publication elsewhere, in whole or in part, in any language.

3. Ethics Approval and Consent to Participate

We declare that the study was conducted in accordance with the Declaration of Helsinki and relevant national/institutional guidelines. Ethical approval was obtained from the appropriate Institutional Review Board/Ethics Committee.

• Name of Ethics Committee: _______________________________________
• Approval Number/ID: ___________________ Date: ______________

4. Informed Consent

We confirm that informed consent was obtained from all participants. For case reports or studies involving identifiable information, written informed consent for participation was obtained from the patient(s) or their legal guardian(s).

5. Consent for Publication

We confirm that written consent for publication of clinical details and/or images was obtained from the patient(s) or their legal guardian(s), where applicable.

6. Conflict of Interest

All authors declare that they have no competing interests, financial or otherwise, related to this manuscript.

☐ No conflict of interest to declare
☐ Conflicts exist (please specify in details): ____________________________________

7. Funding Statement

We declare the sources of funding for this research, if any.

☐ No external funding received
☐ Funding source(s): _________________________________________________

8. Data Availability Statement

We declare that the data supporting the findings of this study are:

☐ Available within the article and/or supplementary materials
☐ Available from the corresponding author upon reasonable request
☐ Not publicly available due to ethical or legal restrictions (please specify):

9. Acknowledgements

We acknowledge individuals or institutions who contributed to the work but do not meet authorship criteria (if applicable):

10. Plagiarism and AI Use Declaration

We affirm that the manuscript is free from plagiarism. Any use of artificial intelligence-assisted tools, if applicable, was limited to language editing and did not influence the scientific content or conclusions, and has been appropriately disclosed in the manuscript.

11. Copyright and License Agreement

We agree to transfer copyright to Sylhet MAG Osmani Medical College Journal upon acceptance of the manuscript, and acknowledge that the journal may publish, reproduce, and distribute the article in print and electronic formats according to its publication policies.

Author Signatures

By signing below, we confirm that the above declarations are true and accurate to the best of our knowledge.