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. 2023 Oct 12;59(10):1820. doi: 10.3390/medicina59101820

Table A2.

Authors’ translation of the informed consent.

  Informed Consent. Estimated colleague, the present survey has been developed and shared with the aim to assess the knowledge, attitudes, and practices of medical professionals on the N2O abuse in Italy. Alongside vaccination practice, preventive practices against tick bites will also be inquired about. The present survey has only scientific aims. No economic or similar compensation is guaranteed to the participants.
  While we thank you for your cooperation, we stress that web-based surveys must fulfill the requirements represented by the “Helsinki protocol” and EU Regulation 2016/679.
  In order to fulfill the requirements of the Helsinki protocol, we are formally requesting your consent. Without your consent, the survey will not continue. Even after your consent, you can leave the present survey at any moment, until the sharing of the questionnaire (button “share module” at the end of the questionnaire). Moreover, we stress that the questionnaire will be registered in anonymous form, and in no way could it be associated with the compiler, as we will not retain any specific, individual information (e.g., signature, personal address, etc.). All requested personal data are generic ones and functional to the demographic analyses (gender, age, etc.).
  According to the EU Regulation 2016/279 (GDPR), we also state the following:
  • (1)

    The data controller and processor as well as the party responsible for their retention during the analyses will be Dr. **********, whom you can ask about the process through his personal email (*********). Collected data are generic ones, with solely scientific aims that have been previously reported. Please be aware that all personal data must be shared with Criminal Law Authorities; without a previous personal consent, in the cases that are specifically reported by the current legal framework and without a specific request, the retrieved data will not be shared with third parties.

  • (2)

    After the completion of the questionnaire, we cannot identify in any way the compiler; as the questionnaire is totally anonymous by design, we cannot perform any modification, correction, or removal of the data collected.

  Data will be retained only for the time strictly required for the aforementioned analyses.