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* Cardiology
* Dermatology
* Diabetes
* Flagship Journal
* Gastroenterology
* General Healthcare
* Hematology
* Hepatology
* Innovations
* Interventional Cardiology
* Microbiology & Infectious Diseases
* Nephrology
* Neurology
* Oncology
* Radiology
* Reproductive Health
* Respiratory
* Rheumatology
* Urology

* Podcasts
* Journals
* Webinars
* Collaborate

* EMJ Media Pack
* AMJ Media Pack
* Editorial Enquiries
* Contributors & Authors
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Home Terms & Conditions

TERMS & CONDITIONS

EUROPEAN MEDICAL JOURNAL

Copyright © 2023 European Medical Group Ltd trading as EMJ. All rights reserved.
EMJ is for informational purposes and should not be considered medical advice,
diagnosis or treatment recommendations.

* Important Information
* Terms and Conditions of services
* Acceptance of Terms and Conditions
* Use of the Website
* Privacy Policy
* Intellectual Property
* Contributions to the Website
* The Website Communities
* Disclaimers and Limitation of Liability
* External Links
* Open Access & Copyright

These Terms & Conditions were last updated on 01st May 2024.

IMPORTANT INFORMATION

* Registration No: 08198092.
* Registered in England and Wales.
* Registered Office: 88 Wood Street, London, EC2V 7RS
* Contact Email: info@emjreviews.com
* VAT No: 144219234

TERMS AND CONDITIONS OF SERVICES

1. PURPOSE AND UNDERSTANDING

1.1 These Conditions shall apply as part of the contract between the Company and
the Client in respect of the Services provided.

1.2 A number of words are used in these Conditions which have special meanings.
Where this is the case the relevant words as defined begin with a capital
letter. The meanings of these specially defined words and other guides to
understanding these Conditions can be found at the end of these Conditions.

2. SERVICES

2.1. The Client pursuant to the Contract engages the Company to provide the
Services to the Client and the Company agrees to provide the Services for the
Term subject to these Conditions with reasonable care and skill.

2.2. All proposals made, quotations given, instructions accepted, and contracts
entered by the Company with any person for the supply of the Services are
subject to these Conditions to the exclusion of any other terms and conditions
subject to which the Contract is accepted or purported to be accepted by the
Client. Any changes or additions to the Services or these Conditions must be
agreed in writing by the Company.

2.3. Unless otherwise agreed by the parties in writing, the Client shall at its
own expense supply the Company with all necessary Documents or other materials,
and all necessary data or other information relating to the Services, within
sufficient time to enable the Company to provide the Services in accordance with
the Contract and the Conditions. The Client shall ensure the accuracy of all
Client Material and clarity of any instructions.

2.4. The Services shall in so far as is reasonably practicable be provided in
accordance with the specification (if any) but subject to these Conditions and
shall be performed at such times as the Company shall in its sole discretion
decide and during its normal business hours (09.00 to 17.00 Monday to Friday)
excluding United Kingdom public holidays.

2.5. The Services will be delivered in line with the Company’s standard project
management and delivery processes. The completion of the Services will be
evidenced by standard deliverable milestones being the acceptance of the
proposal on signature of the Allocation Form, the provision of agreed project
timelines by the Company to the Client, the Company’s provision of the first
draft of the copy to the Client, and the publication of the copy by the Company.
The publication of the copy will represent the completion of the Company’s
Service.

2.6. The Company may at any time without notifying the Client make any changes
to the Services which are necessary to comply with any applicable safety or
other statutory requirements, or which do not materially affect the nature or
quality of the Services.

2.7. The Client shall afford to the Company all reasonable co-operation in all
matters relating to the performance of the Company’s obligations under the
Contract. In particular but without limitation to this Clause, the Client shall:

2.7.1. promptly and fully respond to all communications of the Company relating
to the provision of the Services and ensure (if applicable) that appropriate and
suitably qualified members of the Client’s staff are at all reasonable times
available to liaise with the Company on matters relevant to the provision of the
Services;

2.7.2. obtain or assist the Company to obtain at the Client’s cost all necessary
licences and consents required or reasonably necessary to enable the Company to
properly and lawfully provide the Services to the Client;

2.7.3. provide proper and clear instructions to the Company in respect of its
requirements in relation to the Services, the Additional Services or in
connection with the Contract;

2.7.4. pay all Charges promptly when due and if not paid on the due date to pay
such applicable default interest at the specified rate from time to time in
force.

2.8. The Company may elect to suspend the provision of Services if the Client is
in breach of the provisions of the Contract and these Conditions and may at its
entire discretion first serve notice of its intention to suspend provision of
the Services and allow the Client seven (7) days to remedy such breach failing
which the Services shall be suspended upon notice without prejudice to the
payment obligations and liability of the Client.

3. CHARGES AND PAYMENT

3.1. The Company’s Charges for the relevant Services are due and payable within
14 days of the accepted quotation or as specified in an agreed Contract,
Purchase Order or Charge Sheet and will be made promptly in GBP pounds sterling
or the currency specified therein.

3.2. All Charges are payable in advance of publication.

3.3. All Charges and sums quoted (unless otherwise specified) are exclusive of
any VAT, for which (where there is a requirement to charge VAT) the Client shall
be additionally liable at the applicable rate from time to time.

3.4. If the Charges are not paid by the due dates, reasonable debt recovery
costs can be claimed and interest shall accrue on the unpaid portion of the
Charges at the rate of 8 per cent per annum above the base rate from time to
time of the Bank of England in accordance with the terms of the Late Payment of
Commercial Debts (Interest) Act 1998. If any payments remain outstanding for 30
(thirty) days or more, the Client’s access to the Services may be suspended. The
Client agrees to pay all fees incurred by the Company in collecting outstanding
Charges or sums.

3.5. Subject to any special terms agreed in writing by the parties, the Client
shall pay the Charges and any expenses together with such additional sums which
are agreed between the Company and the Client for the provision of the Services
and any Additional Services or which, in the Company’s sole discretion, are
required as a result of the Client’s instructions or lack of instructions, the
inaccuracy of any Client Material or any other cause attributable to the Client.

3.6. In tthe absence of agreement, the Company’s standard charges and rates
shall apply. The Company shall be entitled to vary its standard Charges from
time to time by giving not less than fourteen (14) days’ written notice to the
Client.

3.7. The Client shall reimburse the Company for any copyright permission or
licensing fees charged by copyright holders for any materials or elements of
text, graphics, photos, designs, trademarks, information or other copyright work
required to provide the Service, the copyright of which is not held by the
Client.

3.8. Where an order has to be transferred to the next issue of the journal (e.g.
for reasons of non-provision of materials by the Client by the scheduled date,
when article development and approval time frames jeopardise the publishing
schedule), the invoicing terms will be synonymous with the original scheduled
date of Publication.

3.9. Where order has to be transferred to the next issue of the journal (e.g.
non-provision of materials by the Client within the agreed project timelines for
the scheduled date and or when article development and approval time frames
jeopardise the publishing schedule), the invoicing terms will be synonymous with
the originally scheduled date of Publication and in addition, the Client will be
liable for a Missed Publication Charge equal to 100% of the cost of the original
project – unless publication is moved to an individual Supplement, in which case
the additional cost is £13,500.

4. AUTHORISATION AND MATERIALS

4.1. The property, copyright and other intellectual property rights in any of
the independent editorial materials commissioned by the Company shall belong to
the Company.

4.2. The property, copyright and any other intellectual property rights in any
other Company Material shall belong to the Company, subject only to the right of
the Client to use the Company Material during the Term.

4.3. The property, copyright and any other intellectual property rights in any
Client Material shall belong to the Client.

4.5. The Client warrants that any Client Material provided to the Company does
not contravene any Law or Act of Parliament, nor in any way is illegal or
defamatory or an infringement of either any other party’s rights and/or the
British Code of Advertising Practice.

4.6. The Client confirms and authorises the Company to access and use the
Client’s data, database and materials in respect of the project and provision of
the Services. The Client shall indemnify the Company on a full indemnity basis
against any loss, damages, costs, expenses or other claims arising from any
infringement resulting from use of the information supplied.

4.7. The Client warrants that any Client Material and its use by the Company for
the purpose of providing the Services will not infringe the copyright or other
rights of any third party. The Client shall indemnify the Company against any
loss, damages, costs, expenses or other claims arising from any such
infringement.

5. DATA PROTECTION

5.1. The Client is responsible for ensuring that any “Personal Data” (as defined
by the Act) it supplies to the Company has been collected within the terms of
the General Data Protection Regulation, EU 2016/679 (GDPR) and the Data
Protection Act 2018 (DPA 2018). The Company agrees to process the data in
accordance with lawful and reasonable written instructions provided by the
Client.

6. COMPLETION AND ACCEPTANCE

6.1. The Company and the Client will work together to complete the relevant
project in a timely manner. The Company agrees to make best efforts to provide
the Services on the agreed terms and within the agreed timeframe. The parties
shall agree the relevant sign off and acceptance for the Services in accordance
with the Company’s standard procedures. The Company will endeavour to furnish
the Client with a proof of copy prior to printing the publication and any
amendments of or alterations to such proofs must be returned to the Company by
the date of the proof copy. The Company accepts no responsibility for
non-receipt or non-delivery of any materials.

6.2. Late fees of £13.5k may be charged for any delays caused by additional
revisions or missed deadlines. This may also result in a postponement of the
publication date.

6.3. European Medical Group Ltd trading as EMJ endeavours to publish all
journals in a timely and scheduled manner. European Medical Group Ltd trading as
EMJ reserves the right to transfer Orders to subsequent issues of a journal
should non-provision of materials, article development and approval timeframes
jeopardise the publishing schedule.

6.4. Where an Order has to be transferred to the next issue of the journal (e.g.
for reasons of non-provision of materials by the Client by the scheduled date,
when article development and approval time frames jeopardise the publishing
schedule), the date of settlement will be the original scheduled date of
Publication.

6.5. Journals are sent for publication at midday GMT/BST on the editorial
deadline, 3 days before the publication date. After this time, all articles
signed off will be published in the agreed journal, on the agreed date. Any
comments received later than this cannot be incorporated until post-publication.

6.6. If the Client fails to provide final publication instructions to the
Company within 12 months of entering into the agreement with the Company, the
full contract for works will be deemed as completed.

6.6.1. The Company will provide the client with 14 days’ notice before
expiration of this period.

6.6.2. Following notice being provided, the Client accepts that all works have
been completed and the Company will not carry out additional works for the
Client.

6.6.3. The Client also accepts that they will not be entitled to a refund of any
funds paid to the Company following exercise of this clause.

6.7. If the Client wishes to put a project on hold the project cannot be on hold
for greater than 6 months. If the 6-month period coincides with clause 6.6 then
clause 6.6 takes precedent. I.e. If a project is put on hold in month 8 the
maximum amount of time the project can be put on hold is 4 months.

6.8. When a project undergoes repurposing from its original agreement, there
will be a fee applied. This fee will be determined by:
– The percentage of completion of the project at the time of repurposing.
– and an additional flat rate 20%, intended to cover the expenses incurred by
the company during the repurposing process.

6.8.1. Any projects that have a 100% discount applied cannot be repurposed.

6.9. For email projects, the publication date shall be fixed within the week of
the planned publication and shall not be subject to modification during that
week. If the Client provides late notice of any changes, the project shall be
considered complete.

7. INTELLECTUAL PROPERTY RIGHTS

7.1. The independent editorial content commissioned by the Company shall be the
sole property of the Company.

7.2. Any product specifically produced by the Company for the Client (including
creative designs, copy or artwork, mechanical art, illustrations, photographs,
letters, brochures, mailing packages), shall be the sole property of the Client.
The Company agrees that such work product may not be provided to a third party
without the express written consent of the Client.

7.3. Save as otherwise provided, any intellectual property in any Client
database shall belong to the Client, and the intellectual property in any
software, specifications, material, procedures, data or intellectual property of
the Company used in the preparation of or which is embedded within the material
produced by the Company shall remain the property of the Company.

7.4. All confidential information, copyright works, database rights, toolsets,
inventions and patent rights and all other intellectual property rights
subsisting at the commencement of the Services and which may be utilised by
either party in the course of performing the Services or the project shall
remain the property of the originating party.

7.5. Notwithstanding any provision to the contrary, nothing in these Conditions
or in relation to any project or the provision of Services shall deprive the
Company or grant the Client rights to any of the Company’s research, know-how
functionality or methodology document, supplementary knowledge and design or
technology process including as used by the Company in its general business or
for its database management business.

7.6. In the event that new inventions, designs or processes evolve in
performance of the Services or as a result of the Contract, the Client
acknowledges that the same shall be the property of the Company unless otherwise
agreed in writing by the Company.

8. LIMITATION OF LIABILITY

8.1. The entire liability of the Company to the Client under or in connection
with the Contract and these Conditions (whether in respect of the provision of
the Services, damages, breach, indemnity or otherwise) shall not in any
circumstance exceed the amount of the Charges paid by the Client to the Company
for the provision of the Services for the period not exceeding twelve (12)
months.

8.2. The Company shall have no liability to the Client for any loss, damage,
costs, expenses or other claims for compensation arising from any Client
Material or instructions supplied by the Client which are incomplete, incorrect,
inaccurate, illegible, out of sequence or in the wrong form or any other fault
of the Client.

8.3. Except in respect of death or personal injury caused by the Company’s
negligence, the Company shall not be liable to the Client by reason of any
representation (unless fraudulent), or any term or any duty for any loss of
anticipated savings, business revenues, or profits (whether categorised as
direct or indirect) or any indirect, special or consequential loss, loss of
goodwill, data and all other such loss (whether or not arising in the normal
course of business), or other economic loss or other claims however caused under
the Contract or the provision of the Services.

8.4. The Client agrees and acknowledges that the allocation of risk in this
clause is fair and reasonable in the circumstances having been taken into
account by the Company in setting the level of Charges and agreeing the extent
of Services.

9. TERM AND TERMINATION

9.1. The Term of the Contract shall be as specified in the Contract or the
Allocation Form by the parties.

9.2. The signed Allocation Form shall constitute a non-cancellable binding
contract.

9.3. In the event that the Client elects to terminate any project or Services
prior to completion, the Client agrees to pay the in full the agreed charge for
the Service.

9.4. The Contract may be terminated:

9.4.1. by either party immediately if the other commits any material breach of
any term of these Conditions and which (in the case of a breach capable of being
remedied) shall not have been remedied within twenty one (21) days of a written
request to remedy the same;

9.4.2. forthwith by the Company upon notice if the Client fails to make payment
of any sums due or Charges pursuant to the Contract or Services on the due date;

9.4.3 forthwith by either party if the other shall convene a meeting of its
creditors (or be made bankrupt, if an individual) or if a proposal shall be made
for a voluntary arrangement within Part I of the Insolvency Act 1986 or a
proposal for any other composition scheme or arrangement with (or assignment for
the benefit of) its creditors or if the other shall be unable to pay its debts
within the meaning of section 123 of the Insolvency Act 1986 or if a trustee
receiver, administrative receiver or similar officer is appointed in respect of
all or any part of the business or assets of the other or if a petition is
presented (and not discharged within fourteen (14) days) or a meeting is
convened for the purpose of considering a resolution or other steps are taken
for the winding up of the other or for the making of an administration order
(otherwise than for the purpose of an amalgamation or reconstruction);

9.4.4 forthwith by the Company upon notice if any analogous event to the matters
set out in the foregoing sub-clause occurs in relation to the Client in its
jurisdiction or under applicable law.

9.5 Any termination of the Contract pursuant to this clause shall be without
prejudice to any other rights or remedies a party may be entitled to under the
Contract or at law and shall not affect any accrued rights or liabilities of
either party nor the coming into or continuance in force of any provision which
is expressly or by implication intended to come into or continue in force on or
after such termination.

10. FORCE MAJEURE

10.1. The Company shall not be liable for any default (or deemed to be in breach
of contract) by reason of any delay due to any circumstance beyond their
reasonable control.

11. NON-SOLICITATION

11.1. During the Term and for a period of six (6) months thereafter (except with
the prior written consent of the Company), the Client shall not induce, solicit
or employ (whether as an employee, agent, partner or consultant or any other
form of employment or engagement) any employee of the Company directly
associated with the Contract and the provision of the Services or other
management of the Contract or any significant part of it.

12. DISPUTE RESOLUTION

12.1 The parties will each use their reasonable efforts to negotiate in good
faith and settle any major or material dispute that may arise out of or relate
to the Contract, these Conditions, the Services or any breach of contract. If
any such dispute cannot be settled amicably through ordinary negotiations by the
respective representatives, the dispute shall be referred to the senior
representatives nominated by the managing director of the Company and the
Client’s managing director who will meet in good faith in order to try and
resolve the dispute.

12.2. If the dispute or difference is not resolved as a result of such meetings
either party may (at such meeting or within ten (10) days of its conclusion)
propose to the other in writing that structured negotiations be entered into
with the assistance of a neutral adviser or mediator (“the Adviser”) before
resorting to litigation with costs shared equally.

12.3. If the parties fail to reach agreement in the structured negotiations
within twenty one (21) days of the Adviser being appointed, either party may
then refer any dispute to litigation.

13. CONFIDENTIAL INFORMATION

13.1. The parties agree not at any time during or after the Term to divulge or
allow to be divulged to any person any Confidential Information relating to the
business or affairs of the other party to the Contract except as permitted by
law or with the other party’s consent.

14. WARRANTY

14.1. The Company makes no express warranties and specifically disclaims any
implied warranties, including any implied warranty of merchantability or fitness
for a particular purpose, with respect to the performance of Services under the
Contract and these Conditions to the extent permissible by law.

14.2. The Company does not guarantee, and nothing contained in the Contract or
these Conditions shall be construed as a guarantee, that the Service performed
or to be performed by the Client will achieve any projected level of results.

14.3. Whilst every care is taken to avoid mistakes, the Company cannot accept
liability for any errors and/or omissions due to third parties, subcontractors
or inaccurate copy instructions.

15. NOTICES

15.1. Any notice or other communications to be given under the Contract shall be
in writing and may be delivered by hand or sent by first class prepaid recorded
delivery post (or if the recipient is in another country by prepaid airmail) to
the relevant address(es) stated in the Contract (or to such other address as the
addressee may from time to time have notified for that purpose) or sent by
facsimile transmission to the relevant number. Communications shall be deemed to
have been received, if delivered by hand at the time of delivery, if posted two
(2) working days (seven (7) working days if prepaid airmail) after posting, and
if sent by fax transmission, at the date of transmission.

16. ACKNOWLEDGEMENTS AND GENERAL MATTERS

16.1. The parties acknowledge that the Services are not fault free and it may be
impaired by matters, conditions or circumstances beyond the Company’s control
and the Client will be entitled to the quality of Service generally provided by
the Company to their customers.

16.2. The Client agrees that (save in respect of statements made fraudulently)
it shall have no remedy in respect of any untrue statement upon which it relied
in entering the Contract and that its only remedies shall be for breach of
contract.

16.3. It is acknowledged that the Company shall not be liable for breach of
contract or any other failure or defect in performance of the Services which are
performed other than by employees of the Company or performed by the Client or
its agents or their employees or by any other third parties.

16.4. If any term or provision of these Conditions is held invalid, illegal or
unenforceable for any reason by any court of competent jurisdiction, such
provision shall be severed and the remainder of the provisions shall continue in
full force and effect as if these Conditions had been agreed with the invalid,
illegal or unenforceable provisions eliminated.

16.5. The Company may employ sub-contractors for carrying out any part of the
Services.

16.6. These Conditions (together with the terms (if any) set out in the
Contract, any Allocation Form or specification and/or Charges Sheet) constitute
the entire agreement between the parties, supersede any previous agreement or
understanding and may not be varied except in writing between the parties.

16.7. All other warranties, terms and conditions, express or implied by statute
or otherwise, are excluded to the fullest extent permitted by law.

16.8. In the event of any conflict between the provisions of these Conditions
and the Allocation Form or Charges Sheet, these Conditions shall prevail. In the
event of any conflict between the Contract provisions and these Conditions, the
parties shall adopt the meaning which best gives commercial efficacy to the
Contract having regard to the Company’s original intention.

16.9. No failure or delay by either party in exercising any of its rights under
the Contract shall be deemed to be a waiver of that right, and no waiver by
either party of any breach of the Contract by the other shall be considered as a
waiver of any subsequent breach of the same or any other provision.

16.10. The parties acknowledge and agree that the Contract shall not establish
or constitute any relationship of partnership, joint venture, franchise or
agency between the parties and except as otherwise expressly provided or agreed
neither party shall have the power to bind the other without the other’s prior
written consent.

16.11. The Client shall not assign all or any of its rights or obligations under
this Agreement without the written consent of the Company.

16.12. Except as expressly provided (including in respect of indemnity), the
parties do not intend any term of this Contract to create any rights or benefits
to any other party other than the parties to the Contract or to be enforceable
pursuant to the Contracts (Rights of Third Parties) Act 1999 but this does not
affect any right or remedy of any third party which exists or is available apart
from the Act.

16.13. If any provision of the Contract or these Conditions is held by any
competent authority to be invalid or unenforceable in whole or in part, the
validity of the other provisions of the Contract or these Conditions and the
remainder of the provision in question shall not be affected.

16.14. The Contract and these Conditions shall be governed by the law of England
and Wales, and the Client submits to the exclusive jurisdiction of the courts of
England and Wales.

17 .INTERPRETATION

In these Conditions the following words and phrases shall have the following
meanings unless the context requires otherwise:

* “Additional Services” any other services other than the Services agreed to be
provided by the Company to the Client on agreed terms and set out as such in
the Allocation Form or specification;
* “Allocation Form” the document setting out the Services agreed to be provided
under or pursuant to the Contract;
* “Charges” the Company’s charges as set out on the Charges Sheet, Allocation
Form or Contract and from time to time for the provision of the Services
unless otherwise expressly agreed with the Client;
* “Charges Sheet” the sheet or document setting out the applicable Charges in
respect of the Services;
* “Company Material” any Documents or other materials, and any data or other
information provided by the Company in connection with or relating to the
Services;
* “Client” the person, company, firm or entity being party to the Contract and
to whom the Services are provided;
* “Company” European Medical Group Ltd trading as EMJ;
* “Confidential Information” all and any information (including information of
whatever nature relating to the Company or the Client) as a result of the
Contract.
* “Contract” the contract between the Company and the Client (in whatever form)
for the provision of the Services to which these Conditions relate (whether
appended, incorporated or attached);
* “Client Material” any Documents or other materials, and any data or other
information provided by the Client relating to the Services;
* “Documents” includes, in addition to a document in writing, any map, data,
plan, graph, drawing or photograph, any film, negative, tape or other device
embodying visual images and any disc, tape or other device (electronic or
otherwise) embodying any other data;
* “Order”/“Services” the services agreed to be provided by the Company to the
Client and set out in the Services Sheet or Allocation Form (and the
“Services” shall include the Additional Services where the context admits)
and/or Contract;
* “Term” the period from the start date to the end date (being and including
any minimum or initial period for the provision of the Services) as set out
or agreed under the Contract and continuing thereafter in full force and
effect unless terminated in accordance with the provisions of these
Conditions;
* “VAT” value added tax.

ACCEPTANCE OF TERMS AND CONDITIONS

Access to and use of this website (the website) both within the UK and
internationally is provided by European Medical Group Ltd trading as EMJ on the
following terms:

1. By using the website you agree to be bound by these terms, which shall take
effect immediately on your first use of the website. If you do not agree to
be bound by all of the following terms please do not access, use and/or
contribute to the website.
2. European Medical Group Ltd trading as EMJ may change these terms from time
to time and so you should check these terms regularly. Your continued use of
the website will be deemed acceptance of the updated or amended terms. If
you do not agree to the changes, you should cease using this website.

USE OF THE WEBSITE

1. You agree to use the website only for lawful purposes and in a way that does
not infringe the rights of, restrict or inhibit anyone else’s use and
enjoyment of the website. Prohibited behaviour includes harassing or causing
distress or inconvenience to any person, transmitting obscene or offensive
content or disrupting the normal flow of dialogue within the website.

INTELLECTUAL PROPERTY

1. All copyright, trade marks, design rights, patents and other intellectual
property rights (registered and unregistered) in and on the website and all
content (including all applications) located on the site shall remain vested
in European Medical Group Ltd trading as EMJ or its licensors (which
includes other users). You may not copy, reproduce, republish, disassemble,
decompile, reverse engineer, download, post, broadcast, transmit, make
available to the public, or otherwise use the website content in any way
except for your own personal, non-commercial use. You also agree not to
adapt, alter or create a derivative work from any website content except for
your own personal, non-commercial use. Any other use of the website content
requires the prior written permission of European Medical Group Ltd trading
as EMJ
2. The names, images and logos identifying European Medical Group Ltd trading
as EMJ or third parties and their products and services are subject to
copyright, design rights and trade marks of European Medical Group Ltd
trading as EMJ and/or third parties. Nothing contained in these terms shall
be construed as conferring any licence or right to use any trade mark,
design right or copyright of European Medical Group Ltd trading as EMJ or
any other third party.

CONTRIBUTIONS TO THE WEBSITE

1. By sharing any contribution (including any text, photographs, graphics,
video or audio) with European Medical Group Ltd trading as EMJ you agree to
grant European Medical Group Ltd trading as EMJ, free of charge, permission
to use the material in any way it wants (including modifying and adapting it
for operational and editorial reasons. In certain circumstance European
Medical Group Ltd trading as EMJ may also share your contribution with
trusted third parties.
2. Copyright in your contribution will remain with you and this permission is
not exclusive, so you can continue to use the material in any way including
allowing others to use it.
3. In order that European Medical Group Ltd trading as EMJ can use your
contribution, you confirm that your contribution is your own original work,
is not defamatory and does not infringe any UK laws, that you have the right
to give European Medical Group Ltd trading as EMJ permission to use it for
the purposes specified above, and that you have the consent of anyone who is
identifiable in your contribution or the consent of their parent / guardian
if they are under 16.
4. We may show your name or company name with your contribution, unless you
request otherwise, but for operational reasons this is not always the case.
European Medical Group Ltd trading as EMJ may need to contact you for
administrative or verification purposes in relation to your contribution, or
in relation to particular projects. For full details of when and how we may
contact you please see the European Medical Group Ltd trading as EMJ privacy
policy
5. Please do not endanger yourself or others, take any unnecessary risks or
break any laws when creating content you may share with European Medical
Group Ltd trading as EMJ
6. If you do not want to grant European Medical Group Ltd trading as EMJ
permission set out above on these terms, please do not submit or share your
contribution to or with the website.

THE WEBSITE COMMUNITIES

1. In order to participate in and contribute to selected website communities
you may be required to register with European Medical Group Ltd trading as
EMJ. Any personal information supplied to European Medical Group Ltd trading
as EMJ as part of this registration process and/or any other interaction
with the website will be collected, stored and used in accordance with the
EMJ privacy policy.
2. You agree to use the website communities (including message boards) in
accordance with the following Community Rules. These apply across all of the
website community sites and services as follows:

(I) ABOUT YOUR POSTS:

* Contributions must be civil and tasteful.
* No disruptive, offensive or abusive behaviour: contributions must be
constructive and polite, not mean-spirited or contributed with the intention
of causing trouble.
* No unlawful or objectionable content: unlawful, harassing, defamatory,
abusive, threatening, harmful, obscene, profane, sexually oriented, racially
offensive or otherwise objectionable material is not acceptable.
* Be patient: users of all ages and abilities may be taking part in the
relevant community.
* No spamming or off-topic material: we don’t allow the submission of the same
or very similar contributions many times. Please don’t re-submit your
contribution to more than one discussion, or contribute off-topic material in
subject-specific areas.
* No advertising or promoting.
* No spoilers: material which contains plot developments which haven’t been
transmitted on UK television will be deleted unless submitted in a designated
‘spoilers’ area or marked as a ‘spoiler’.
* Contributions containing languages other than English may be removed.
* No impersonation.
* No inappropriate (e.g. vulgar, offensive etc) user names.
* URLs (web site addresses) can only be posted if allowed under any relevant
local house rules.
* Deliberate misuse of the complaints facility is not permitted. If you persist
in doing this, action may be taken against your account.

(II) YOUR ACCOUNT:

If you use multiple logins for the purpose of disrupting a community or annoying
other users you may have action taken against all of your accounts.
All accounts must be registered with a valid personal email address that you
access regularly so that moderation emails can be sent to you. Accounts
registered with someone else’s email address, or with temporary email addresses
may be closed without notice. We may require users to re-validate their account
if we believe they have been using an invalid email address.
European Medical Group Ltd trading as EMJ reserves the right to close accounts
if any user is seen to be using proxy IPs (Internet Protocol addresses) in order
to attempt to hide the use of multiple accounts, or if an non UK user pretends
to be a UK user, or disrupts any of our services in any way.

(III) SAFETY:

We advise that you never reveal any personal information about yourself or
anyone else (for example: telephone number, postal address, home address or
email address or any other details that would allow you to be personally
identified) in any European Medical Group Ltd trading as EMJ community.

(IV) LEGAL REQUIREMENTS:

* You may not submit or share any defamatory or illegal material of any nature
in the communities. This includes text, graphics, video, programs or audio.
* Contributing material to a community with the intention of committing or
promoting an illegal act is strictly prohibited.
* You agree to submit to or share with the communities only contributions which
are your own original work. You must not violate, plagiarise, or infringe the
rights of European Medical Group Ltd trading as EMJ or third parties
including copyright, trade mark, trade secrets, privacy, publicity, personal
or proprietary rights.

(V) IF YOU BREACH THESE COMMUNITY RULES:

* If you fail to abide by these Community Rules (and/or any variations in
relevant local house rules) when taking part in the community, you will be
sent an email which informs you why your contribution has been refused or
edited. This email will also include a warning that continuing to break the
rules may result in action being taken against your account or accounts.
* This action may include any content posted by you being checked before
allowed to go on the site or a temporary or permanent suspension of your
ability to participate in any or all of the community areas.
* If you submit or share offensive or inappropriate content to or with any of
the communities or anywhere else on the website or otherwise engage in any
disruptive behaviour on the website, and European Medical Group Ltd trading
as EMJ considers such behaviour to be serious and/or repeated, European
Medical Group Ltd trading as EMJ may use whatever information that is
available to it about you to stop any further such infringements. This may
include informing relevant third parties such as your employer or email
provider about the infringement(s).
* European Medical Group Ltd trading as EMJ reserves the right to delete any
contribution, or take action against any account, at any time, for any
reason.

DISCLAIMERS AND LIMITATION OF LIABILITY

1. The majority of content posted in the communities is created by members of
the public. The views expressed are theirs and unless specifically stated
are not those of European Medical Group Ltd trading as EMJ. EMJ are not
responsible for any content posted by members of the public on the website
or for the availability or content of any third party sites that are
accessible through the website. Any links to third party websites from the
website do not amount to any endorsement of that site by European Medical
Group Ltd trading as EMJ and any use of that site by you is at your own
risk.
2. The website content, including the information, names, images, pictures,
logos and icons regarding or relating to European Medical Group Ltd trading
as EMJ, its products and services (or to third party products and services),
is provided “AS IS” and on an “AS AVAILABLE” basis. To the extent permitted
by law, European Medical Group Ltd trading as EMJ excludes all
representations and warranties (whether express or implied by law),
including the implied warranties of satisfactory quality, fitness for a
particular purpose, non-infringement, compatibility, security and accuracy.
European Medical Group Ltd trading as EMJ does not guarantee the timeliness,
completeness or performance of the website or any of the content. While we
try to ensure that all content provided by European Medical Group Ltd
trading as EMJ is correct at the time of publication no responsibility is
accepted by or on behalf of European Medical Group Ltd trading as EMJ for
any errors, omissions or inaccurate content on the website.
3. Nothing in these terms limits or excludes EMJ’s liability for death or
personal injury caused by its proven negligence. Subject to the previous
sentence, European Medical Group Ltd trading as EMJ shall not be liable for
any of the following losses or damage (whether such damage or losses were
foreseen, foreseeable, known or otherwise): (a) loss of data; (b) loss of
revenue or anticipated profits; (c) loss of business; (d) loss of
opportunity; (e) loss of goodwill or injury to reputation; (f) losses
suffered by third parties; or (g) any indirect, consequential, special or
exemplary damages arising from the use of the website regardless of the form
of action.
4. European Medical Group Ltd trading as EMJ do not warrant that functions
available on the website will be uninterrupted or error free, that defects
will be corrected, or that the website or the server that makes it available
are free of viruses or bugs. You acknowledge that it is your responsibility
to implement sufficient procedures and virus checks (including anti-virus
and other security checks) to satisfy your particular requirements for the
accuracy of data input and output.

GENERAL

1. If any of these terms are determined to be illegal, invalid or otherwise
unenforceable by reason of the laws of any state or country in which these
terms are intended to be effective, then to the extent and within the
jurisdiction in which that term is illegal, invalid or unenforceable, it
shall be severed and deleted from these terms and the remaining terms shall
survive and continue to be binding and enforceable.
2. The failure or delay of European Medical Group Ltd trading as EMJ to
exercise or enforce any right in these terms does not waive EMJ’s right to
enforce that right.
3. These terms shall be governed by and interpreted in accordance with the laws
of England and Wales which shall have exclusive jurisdiction over any
disputes.

EXTERNAL LINKS

Links from this site to other internet sites are provided only for the
convenience of visitors to the EMJ website. The EMJ does not endorse the content
or services delivered through these external websites and is not responsible for
their availability, reliability, or accuracy. Permission to reproduce
information from these sites may be required from the website provider.

OPEN ACCESS & COPYRIGHT

This is an open-access journal in accordance with the Creative Commons
Attribution-Non Commercial 4.0 (CC BY-NC 4.0) license. This permits users to:

Share — copy and redistribute the material in any medium or format
Adapt — remix, transform, and build upon the material

Under the following terms:

Attribution — You must give appropriate credit, provide a link to the license,
and indicate if changes were made. You may do so in any reasonable manner, but
not in any way that suggests the licensor endorses you or your use.
Non Commercial — You may not use the material for commercial purposes.
No additional restrictions — You may not apply legal terms or technological
measures that legally restrict others from doing anything the license permits.

AMERICAN MEDICAL JOURNAL

These Terms of Service (the “Terms”) is a legally binding contract between you
and American Medical Journal LLC (“AMJ” “us,” “we,” or “our”) regarding your use
of the Website and Service (as each is defined herein). References to “Client”,
“you”, and “your” refer to the individual, company, or other entity that accepts
the Terms, by, as applicable, using the Website, executing an Order Form
provided to you by us, placing an order using online functionality AMJ makes
available like clicking a box, creating an Account (as defined herein), or
otherwise affirmatively accepting the Terms through another means AMJ offers
you. If the Website or Service is being used on behalf of a company or other
entity by an individual authorized to accept this Terms on its behalf, then all
references to “Customer,” “you,” or “your” refer to the company or other entity.
If you are a company or other entity, the individual accepting these Terms on
your behalf represents and warrants that they have authority to bind you to
these Terms. If you are not eligible, or do not agree to the terms and
conditions of the Terms, then you do not have our permission to use the Website
or Service. Your use of and our provision of the Website and Service to you,
constitutes an agreement by AMJ and by you to be bound by these Terms. The
Terms include the following sections:

* Service Terms of Service
* Website Terms
* Open Access & Copyright

These Terms of Service were last updated on 17th September 2024.

SERVICE TERMS OF SERVICE

1. PURPOSE AND UNDERSTANDING

1.1 These Terms shall apply as part of the contract between the Company and the
Client in respect of the Services provided.

1.2 A number of capitalized words are used in these Terms which have specific
definitions. The meanings of these specially defined words and other guides to
understanding these Terms can be found at the end of these Terms.

2. SERVICES

2.1. The Client pursuant to the Contract engages the Company to provide the
Services to the Client and the Company agrees to provide the Services for the
Term subject to these Terms with reasonable care and skill.

2.2. All proposals made, quotations given, instructions accepted, and contracts
entered by the Company with any person for the supply of the Services are
subject to these Terms to the exclusion of any other terms and conditions
subject to which the Contract is accepted or purported to be accepted by the
Client. Any changes or additions to the Services or these Terms must be agreed
in writing by the Company.

2.3. Unless otherwise agreed by the parties in writing, the Client shall at its
own expense supply the Company with all necessary Documents or other materials,
and all necessary data or other information relating to the Services, within
sufficient time to enable the Company to provide the Services in accordance with
the Contract and the Terms. The Client shall ensure the accuracy of all Client
Material and clarity of any instructions.

2.4. The Services shall in so far as is reasonably practicable be provided in
accordance with the specification (if any) but subject to these Terms and shall
be performed at such times as the Company shall in its sole discretion decide
and during its normal business hours (9:00 AM to 5:00 PM ET Monday to Friday)
excluding United States public holidays.

2.5. The Services will be delivered in line with the Company’s standard project
management and delivery processes. The Services may be provided through the
Company’s affiliates, and any reference to AMJ shall be deemed to include any
such affiliates providing Services to the Client. The completion of the Services
will be evidenced by standard deliverable milestones being the acceptance of the
proposal on signature of the Order Form, the provision of agreed project
timelines by the Company to the Client, the Company’s provision of the first
draft of the copy to the Client, and the publication of the copy by the Company.
The publication of the copy will represent the completion of the Company’s
Service.

2.7.2. obtain or assist the Company to obtain at the Client’s cost all necessary
licenses and consents required or reasonably necessary to enable the Company to
properly and lawfully provide the Services to the Client;

2.7.3. provide proper and clear instructions to the Company in respect of its
requirements in relation to the Services, the Additional Services or in
connection with the Contract;

2.7.4. pay all Fees promptly when due and if not paid on the due date to pay
such applicable default interest at the specified rate from time to time in
force.

2.8. The Company may elect to suspend the provision of Services if the Client is
in breach of the provisions of the Contract and these Terms and may at its
entire discretion first serve notice of its intention to suspend provision of
the Services and allow the Client seven (7) days to remedy such breach failing
which the Services shall be suspended upon notice without prejudice to the
payment obligations and liability of the Client.

3. FEES AND PAYMENT

3.1. The Company’s Fees for the relevant Services are due and payable within 14
days of the accepted quotation unless otherwise specified in an agreed
Contract, purchase order or Fee Sheet and will be made promptly in USD or the
currency specified therein.

3.2. All Fees are payable in advance of publication.

3.3. All Fees and sums quoted (unless otherwise specified) are exclusive of any
sales, use, GST, value-added, withholding, or similar taxes or levies that
apply, whether domestic or foreign, other than AMJ’s income tax , for which the
Client shall be additionally liable at the applicable rate from time to time.

3.4. If the Fees are not paid by the due dates, reasonable debt recovery costs
can be claimed and interest shall accrue on the unpaid portion of the Fees at
the rate of 1.5% per month or the highest amount permitted by applicable law. If
any payments remain outstanding for 30 (thirty) days or more, the Client’s
access to the Services may be suspended. The Client agrees to pay all fees
incurred by the Company in collecting outstanding Fees or sums.

3.5. Subject to any special terms agreed in writing by the parties, the Client
shall pay the Fees and any expenses together with such additional sums which are
agreed between the Company and the Client for the provision of the Services and
any Additional Services or which, in the Company’s sole discretion, are required
as a result of the Client’s instructions or lack of instructions, the inaccuracy
of any Client Material or any other cause attributable to the Client.

3.6. In the absence of agreement, the Company’s standard charges and rates shall
apply. The Company shall be entitled to vary its standard Fees from time to time
by giving no less than fourteen (14) days’ written notice to the Client.

3.9. Where order has to be transferred to the next issue of the journal (e.g.
non-provision of materials by the Client within the agreed project timelines for
the scheduled date and or when article development and approval time frames
jeopardise the publishing schedule), the invoicing terms will be synonymous with
the originally scheduled date of publication and in addition, the Client will be
liable for a missed publication Fee equal to 100% of the cost of the original
project – unless publication is moved to an individual supplement, which will
incur an additional cost

4. AUTHORIZATION AND MATERIALS

4.1. The property, copyright and other intellectual property rights in any of
the independent editorial materials commissioned by the Company shall belong to
the Company.

4.3. The property, copyright and any other intellectual property rights in any
Client Material shall belong to the Client.

4.4. The Client represents to the Company and unconditionally guarantees that
any elements of text, graphics, photos, designs, trademarks, information or
other copyright work provided to the Company for the Services are owned
exclusively by the Client, or that the Client has permission from the rightful
owner to use such material, and will indemnify, defend and hold the Company and
its affiliates and their respective shareholders, directors, managers, members,
officers, employees, consultants, subcontractors and agents (together, the
“Company Entities”) from and against every claim brought by a third party, and
any related liability, damage, loss, and expense, including attorneys’ fees and
costs, arising out of or connected with the use of such elements or materials
furnished by the Client.

4.5. The Client warrants that any Client Material provided to the Company does
not contravene any applicable law, nor in any way is illegal or defamatory or an
infringement of any other party’s rights and/or applicable advertising or
industry guidelines.

4.6. The Client confirms and authorizes the Company to access and use the Client
Materials and Client’s data, database and materials in respect of the project
and provision of the Services. The Client shall indemnify, defend and hold the
Company Entities from and against every claim brought by a third party, and any
related liability, damage, loss, and expense, including attorneys’ fees and
costs, arising out of or connected with the use of the Client Materials or
Client’s data, database and materials supplied.

5. DATA PROTECTION

5.1. The Client is responsible for ensuring that any “Personal Data” or
“Personally Identifiable Information” (as defined under applicable law) it
supplies to the Company has been collected within the terms of applicable law,
including, if applicable, the General Data Protection Regulation, EU 2016/679
(GDPR) and the Data Protection Act 2018 (DPA 2018). The Company agrees to
process the data in accordance with lawful and reasonable written instructions
provided by the Client.

6. COMPLETION AND ACCEPTANCE

6.1. The Company and the Client will work together to complete the relevant
project in a timely manner. The Company agrees to use commercially reasonable
efforts to provide the Services on the agreed terms and no later than the agreed
date in respect of the Contract. The parties shall agree the relevant sign off
and acceptance for the Services in accordance with the Company’s standard
procedures. The Company will use commercially reasonable efforts to furnish the
Client with a proof of copy prior to the publication and any amendments of or
alterations to such proofs must be returned to the Company by the date of the
proof copy. The Company accepts no responsibility for non-receipt or
non-delivery of any material.

6.2. Any additional rounds of revisions or failure to adhere to timelines will
be billed as additional costs, as agreed with client, and may result in failure
to publish on the agreed publication date. If timelines are not adhered to,
there will be additional costs, and it may result in failure to publish on the
agreed publication date.

6.3. AMJ uses commercially reasonable efforts to publish all journals in a
timely and scheduled manner. AMJ reserves the right to transfer Orders to
subsequent issues of a journal should non-provision of materials, article
development and approval timeframes jeopardise the publishing schedule.

6.5. Journals are sent for publication at midday ET on the editorial deadline, 3
days before the publication date. After this time, all articles signed off will
be published in the agreed journal, on the agreed date. Any comments received
later than this cannot be incorporated until post-publication.

6.6.1. The Company will provide the client with 14 days’ notice before
expiration of this period.

6.6.2. Following notice being provided, the Client accepts that all works have
been completed and the Company will not carry out additional works for the
Client.

6.6.3. The Client also accepts that they will not be entitled to a refund of any
funds paid to the Company following exercise of this clause.

6.8.1. Any projects that have a 100% discount applied cannot be repurposed.

7. INTELLECTUAL PROPERTY RIGHTS

7.1. The independent editorial content commissioned by the Company shall be the
sole property of the Company.

7.5. Notwithstanding any provision to the contrary, nothing in these Terms or in
relation to any project or the provision of Services shall deprive the Company
or grant the Client rights to any of the Company’s research, know-how
functionality or methodology document, supplementary knowledge and design or
technology process including as used by the Company in its general business or
for its database management business.

7.6. In the event that new inventions, designs or processes are created,
developed or evolve in performance of the Services or as a result of the
Contract, the Client acknowledges that the same shall be the property of the
Company (unless otherwise agreed in writing by the Company) and the Company may
use such inventions, designs or processes without restriction .

8. LIMITATION OF LIABILITY

8.1. TO THE FULLEST EXTENT PERMITTED BY LAW, IN NO EVENT WILL THE COMPANY
ENTITIES BE LIABLE TO CLIENT FOR ANY INDIRECT, INCIDENTAL, SPECIAL,
CONSEQUENTIAL OR PUNITIVE DAMAGES (INCLUDING DAMAGES FOR LOSS OF PROFITS,
GOODWILL, OR ANY OTHER INTANGIBLE LOSS) ARISING OUT OF OR RELATING TO YOUR
ACCESS TO OR USE OF, OR YOUR INABILITY TO ACCESS OR USE, THE SERVICE OR ANY
MATERIALS OR CONTENT ON THE SERVICE, WHETHER BASED ON WARRANTY, CONTRACT, TORT
(INCLUDING NEGLIGENCE), STATUTE, OR ANY OTHER LEGAL THEORY, AND WHETHER OR NOT
THE COMPANY ENTITIES HAVE BEEN INFORMED OF THE POSSIBILITY OF DAMAGE.

8.2. THE COMPANY ENTITIES SHALL HAVE NO LIABILITY TO THE CLIENT FOR ANY LOSS,
DAMAGE, COSTS, EXPENSES OR OTHER CLAIMS FOR COMPENSATION ARISING FROM ANY CLIENT
MATERIAL OR INSTRUCTIONS SUPPLIED BY THE CLIENT WHICH ARE INCOMPLETE, INCORRECT,
INACCURATE, ILLEGIBLE, OUT OF SEQUENCE OR IN THE WRONG FORM OR ANY OTHER FAULT
OF THE CLIENT.

8.3. TO THE FULLEST EXTENT PERMITTED BY LAW, THE AGGREGATE LIABILITY OF THE
COMPANY ENTITIES TO YOU FOR ALL CLAIMS ARISING OUT OF OR RELATING TO THE USE OF
OR ANY INABILITY TO USE ANY PORTION OF THE SERVICE OR OTHERWISE UNDER THESE
TERMS, WHETHER IN CONTRACT, TORT, OR OTHERWISE, IS LIMITED TO THE AMOUNT YOU
HAVE PAID TO COMPANY ENTITIES FOR ACCESS TO AND USE OF THE SERVICE IN THE 12
MONTHS PRIOR TO THE EVENT OR CIRCUMSTANCE GIVING RISE TO THE CLAIM.

8.4. EACH PROVISION OF THESE TERMS THAT PROVIDES FOR A LIMITATION OF LIABILITY,
DISCLAIMER OF WARRANTIES, OR EXCLUSION OF DAMAGES IS INTENDED TO AND DOES
ALLOCATE THE RISKS BETWEEN THE PARTIES UNDER THESE TERMS. THIS ALLOCATION IS AN
ESSENTIAL ELEMENT OF THE BASIS OF THE BARGAIN BETWEEN THE PARTIES. EACH OF THESE
PROVISIONS IS SEVERABLE AND INDEPENDENT OF ALL OTHER PROVISIONS OF THESE TERMS.
THE LIMITATIONS IN THIS SECTION 8 (LIMITATION OF LIABILITY) WILL APPLY EVEN IF
ANY LIMITED REMEDY FAILS OF ITS ESSENTIAL PURPOSE.

8.5. The Client agrees and acknowledges that the allocation of risk in this
clause is fair and reasonable in the circumstances having been taken into
account by the Company in setting the level of Fees and agreeing the extent of
Services.

9. TERM AND TERMINATION

9.1. The Term of the Contract shall be as specified in the Contract or the Order
Form by the parties.

9.2. The signed Order Form shall constitute a non-cancellable binding contract.

9.3. In the event that the Client elects to terminate any project or Services
prior to completion, the Client agrees to pay the in full the agreed charge for
the Service.

9.4. The Contract may be terminated:

9.4.1. by either party immediately if the other commits any material breach of
any term of these Terms and which (in the case of a breach capable of being
remedied) shall not have been remedied within thirty (30) days of a written
request to remedy the same;

9.4.2. immediately by the Company upon notice if the Client fails to make
payment of any sums due or Fees pursuant to the Contract or Services on the due
date;

9.4.3 Immediately by either party if the other ceases operation without a
successor, seeks protection under a bankruptcy, receivership, trust deed,
creditors’ arrangement, composition, or comparable proceeding, or if such a
proceeding is instituted against that party and not dismissed within 60 days;

9.4.4 Immediately by the Company upon notice if any analogous event to the
matters set out in the foregoing sub-clause occurs in relation to the Client in
its jurisdiction or under applicable law.

10. FORCE MAJEURE

10.1. The Company shall not be liable for any default (or deemed to be in breach
of contract) by reason of any delay due to any circumstance beyond their
reasonable control.

11. NON-SOLICITATION

12. DISPUTE RESOLUTION

12.1 The parties will each use their reasonable efforts to negotiate in good
faith and settle any major or material dispute that may arise out of or relate
to the Contract, these Terms, the Services or any breach of contract. If any
such dispute cannot be settled amicably through ordinary negotiations by the
respective representatives, the dispute shall be referred to the senior
representatives nominated by the managing director of the Company and the
Client’s managing director who will meet in good faith in order to try and
resolve the dispute.

12.2. If the dispute or difference is not resolved as a result of such meetings
either party may (at such meeting or within ten (10) days of its conclusion)
propose to the other in writing that structured negotiations be entered into
with the assistance of a neutral mediator before resorting to litigation with
costs shared equally.

12.3. If the parties fail to reach agreement in the structured negotiations
within twenty one (21) days of the mediator being appointed, either party may
then refer any dispute to litigation.

14. NO WARRANTY

14.1. THE COMPANY MAKES NO EXPRESS WARRANTIES AND SPECIFICALLY DISCLAIMS ANY
IMPLIED WARRANTIES, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS
FOR A PARTICULAR PURPOSE, WITH RESPECT TO THE PERFORMANCE OF SERVICES UNDER THE
CONTRACT AND THESE CONDITIONS TO THE EXTENT PERMISSIBLE BY APPLICBALE LAW.

14.2. THE COMPANY DOES NOT GUARANTEE, AND NOTHING CONTAINED IN THE CONTRACT OR
THESE CONDITIONS SHALL BE CONSTRUED AS A GUARANTEE, THAT THE SERVICE PERFORMED
OR TO BE PERFORMED BY THE CLIENT WILL ACHIEVE ANY PROJECTED LEVEL OF RESULTS.

14.3. WHILE EVERY CARE IS TAKEN TO AVOID MISTAKES, THE COMPANY CANNOT ACCEPT
LIABILITY FOR ANY ERRORS AND/OR OMISSIONS DUE TO THIRD PARTIES, SUBCONTRACTORS
OR INACCURATE COPY INSTRUCTIONS.

15. NOTICES

15.1. Any notice or other communications to be given under the Contract shall be
in writing and may be delivered by hand or sent by first class prepaid recorded
delivery post (or if the recipient is in another country by prepaid airmail) to
the relevant address(es) stated in the Contract (or to such other address as the
addressee may from time to time have notified for that purpose). Communications
shall be deemed to have been received, if delivered by hand at the time of
delivery, if posted two (2) working days (seven (7) working days if prepaid
airmail) after posting.

16. ACKNOWLEDGEMENTS AND GENERAL MATTERS

16.2. The Client agrees that (other than with respect to statements made
fraudulently) it shall have no remedy in respect of any untrue statement upon
which it relied in entering the Contract and that its only remedies shall be for
breach of contract.

16.4. If any term or provision of these Terms is held invalid, illegal or
unenforceable for any reason by any court of competent jurisdiction, such
provision shall be severed and the remainder of the provisions shall continue in
full force and effect as if these Terms had been agreed with the invalid,
illegal or unenforceable provisions eliminated.

16.5. The Company may employ sub-contractors for carrying out any part of the
Services.

16.6. These Terms (together with the terms (if any) set out in the Contract, any
Order Form or specification and/or Fees Sheet) constitute the entire agreement
between the parties, supersede any previous agreement or understanding and may
not be varied except in writing between the parties.

16.7. All other warranties, terms and conditions, express or implied by statute
or otherwise, are excluded to the fullest extent permitted by law. AMJ is for
informational purposes and should not be considered medical advice, diagnosis or
treatment recommendations.

16.8. In the event of any conflict between the provisions of these Terms and the
Order Form or Fees Sheet, these Terms shall prevail. In the event of any
conflict between the Contract provisions and these Terms, the parties shall
adopt the meaning which best gives commercial efficacy to the Contract having
regard to the Company’s original intention.

16.11. The Client shall not assign all or any of its rights or obligations under
this Terms without the written consent of the Company.

16.13. If any provision of the Contract or these Terms is held by any competent
authority to be invalid or unenforceable in whole or in part, the validity of
the other provisions of the Contract or these Terms and the remainder of the
provision in question shall not be affected.

16.14. The Contract and these Terms are governed by the laws of the State of
Delaware without regard to conflict of law principles. You and AMJ submit to the
personal and exclusive jurisdiction of the state courts and federal courts
located within Wilmington, Delaware for resolution of any lawsuit or court
proceeding permitted under these Terms

17. MODIFICATION OF TERMS

AMJ may change these Terms from time to time and so you should check these Terms
regularly for revisions. Revisions will be effective immediately except that,
for existing users, material revisions will be effective 30 days after posting
or notice to you of the revisions unless otherwise stated. We may require that
you accept modified terms in order to continue to use the Website and Service.
If you do not agree to the modified terms, then you should discontinue your use
of the Website and Service. Except as expressly permitted in this Section 17
(Modification of Terms), these Terms may be amended only by a written agreement
signed by authorized representatives of the parties to these Terms.

18. DEFINITIONS AND INTERPRETATION

In these Terms the following words and phrases shall have the following meanings
unless the context requires otherwise:

* “Additional Services” means any other services other than the Services agreed
to be provided by the Company to the Client on agreed terms and set out as
such in the Order Form or specification;
* “Fees” means the Company’s charges as set out on the Fees Sheet, Order Form
or Contract and from time to time for the provision of the Services unless
otherwise expressly agreed with the Client;
* “Fees Sheet” means the sheet or document setting out the applicable Fees in
respect of the Services;
* “Company Material” means any Documents, technology, platform or other
materials, and any data or other information provided by the Company in
connection with or relating to the Services;
* “Client” means the person, company, firm or entity being party to the
Contract and to whom the Services are provided;
* “Company” means AMJ ;
* “Contract” means the contract between the Company and the Client (in
whatever form) for the provision of the Services to which these Terms relate
(whether appended, incorporated or attached);
* “Client Material” means any Documents or other materials, and any data or
other information provided by the Client relating to the Services;
* “Documents” means in addition to a document in writing, any map, data, plan,
graph, drawing or photograph, any film, negative, tape or other device
embodying visual images and any disc, tape or other device (electronic or
otherwise) embodying any other data;
* “Order”/“Services” means the services agreed to be provided by the Company to
the Client and set out in the Services Sheet or Order Form (and the
“Services” shall include the Additional Services where the context requires)
and/or Contract;
* “Order Form” means the document setting out the Services agreed to be
provided under or pursuant to the Contract;
* “Term” means the period from the start date to the end date (being and
including any minimum or initial period for the provision of the Services) as
set out or agreed under the Contract and continuing thereafter in full force
and effect unless terminated in accordance with the provisions of these
Terms;

WEBSITE TERMS

Access to and use of this website at https://www.emjreviews.com/en-us/ (the
“Website”) is provided by American Medical Journal LLC (“AMJ”) on the following
terms:

1. By using the Website you agree to be bound by these terms, which shall take
effect immediately on your first use of the Website. If you do not agree to
be bound by all of the following terms please do not access, use and/or
contribute to the website.

USE OF THE WEBSITE

1. Access to and use of this website at https://www.emjreviews.com/en-us/ (the
“Website”) is provided by American Medical Journal LLC (“AMJ”) on the terms
set forth herein.
2. By using the Website you agree to be bound by these terms, which shall take
effect immediately on your first use of the Website. If you do not agree to
be bound by all of the following terms please do not access, use and/or
contribute to the website.

3. You agree to use the website only for lawful purposes and in a way that does
not infringe the rights of, restrict or inhibit anyone else’s use and
enjoyment of the Website. Prohibited behaviour includes harassing or causing
distress or inconvenience to any person, transmitting obscene or offensive
content or disrupting the normal flow of dialogue within the Website.

INTELLECTUAL PROPERTY

1. All copyright, trade marks, design rights, patents and other intellectual
property rights (registered and unregistered) in and on the Website and all
content (including all applications) located on the site shall remain vested
in AMJ or its licensors (which includes other users). You may not copy,
reproduce, republish, disassemble, decompile, reverse engineer, download,
post, broadcast, transmit, make available to the public, or otherwise use
the Website content in any way except for your own personal, non-commercial
use. You also agree not to adapt, alter or create a derivative work from any
Website content except for your own personal, non-commercial use. Any other
use of the Website content requires the prior written permission of AMJ
2. The names, images and logos identifying AMJ or third parties and their
products and services are subject to copyright, design rights and trade
marks of AMJ and/or third parties. Nothing contained in these terms shall be
construed as conferring any license or right to use any trade mark, design
right or copyright of AMJ or any other third party.

CONTRIBUTIONS TO THE WEBSITE

1. By sharing any contribution (including any text, photographs, graphics,
video or audio) with AMJ you hereby grant AMJ , free of charge, a license to
such contribution and permission to use the contribution in any way it wants
(including modifying and adapting it for operational and editorial reasons.
In certain circumstance AMJ may also share your contribution with trusted
third parties.
2. Copyright in your contribution will remain with you and this permission is
not exclusive, so you can continue to use the material in any way including
allowing others to use it.
3. In order that AMJ can use your contribution, you confirm that your
contribution is your own original work, is not defamatory and does not
infringe any applicable laws, that you have the right to give AMJ permission
to use it for the purposes specified above, and that you have the consent of
anyone who is identifiable in your contribution or the consent of their
parent / guardian if they are under 18.
4. We may show your name or company name with your contribution, unless you
request otherwise, but for operational reasons this is not always the case.
AMJ may need to contact you for administrative or verification purposes in
relation to your contribution, or in relation to particular projects. For
full details of when and how we may contact you please see the AMJ privacy
policy
5. Please do not endanger yourself or others, take any unnecessary risks or
break any laws when creating content you may share with AMJ
6. If you do not want to grant AMJ permission set out above on these terms,
please do not submit or share your contribution to or with the Website.

THE WEBSITE COMMUNITIES

1. In order to participate in and contribute to selected Website communities
you may be required to register with AMJ . Any personal information supplied
to AMJ as part of this registration process and/or any other interaction
with the Website will be collected, stored and used in accordance with the
AMJ privacy policy.
2. You agree to use the Website communities (including message boards) in
accordance with the following Community Rules. These apply across all of the
Website community sites and services as follows:

(I) ABOUT YOUR POSTS:

* Contributions must be civil and tasteful.
* No disruptive, offensive or abusive behaviour: contributions must be
constructive and polite, not mean-spirited or contributed with the intention
of causing trouble.
* No unlawful or objectionable content: unlawful, harassing, defamatory,
abusive, threatening, harmful, obscene, profane, sexually oriented, racially
offensive or otherwise objectionable material is not acceptable.
* Be patient: users of all ages and abilities may be taking part in the
relevant community.
* No spamming or off-topic material: we don’t allow the submission of the same
or very similar contributions many times. Please don’t re-submit your
contribution to more than one discussion, or contribute off-topic material in
subject-specific areas.
* No advertising or promoting.
* No spoilers: material which contains plot developments which haven’t been
transmitted on US television will be deleted unless submitted in a designated
‘spoilers’ area or marked as a ‘spoiler’.
* Contributions containing languages other than English may be removed.
* No impersonation.
* No inappropriate (e.g. vulgar, offensive etc) user names.
* URLs (web site addresses) can only be posted if allowed under any relevant
local house rules.
* Deliberate misuse of the complaints facility is not permitted. If you persist
in doing this, action may be taken against your account.

(II) YOUR ACCOUNT:

If you use multiple logins for the purpose of disrupting a community or annoying
other users you may have action taken against all of your accounts.
All accounts must be registered with a valid personal email address that you
access regularly so that moderation emails can be sent to you. Accounts
registered with someone else’s email address, or with temporary email addresses
may be closed without notice. We may require users to re-validate their account
if we believe they have been using an invalid email address.
AMJ reserves the right to close accounts if any user is seen to be using proxy
IPs (Internet Protocol addresses) in order to attempt to hide the use of
multiple accounts, or if an non UK user pretends to be a UK user, or disrupts
any of our services in any way.

(III) SAFETY:

(IV) LEGAL REQUIREMENTS:

* You may not submit or share any defamatory or illegal material of any nature
in the communities. This includes text, graphics, video, programs or audio.
* Contributing material to a community with the intention of committing or
promoting an illegal act is strictly prohibited.
* You agree to submit to or share with the communities only contributions which
are your own original work. You must not violate, plagiarise, or infringe the
rights of AMJ or third parties including copyright, trade mark, trade
secrets, privacy, publicity, personal or proprietary rights.

(V) IF YOU BREACH THESE COMMUNITY RULES:

* If you fail to abide by these Community Rules (and/or any variations in
relevant local house rules) when taking part in the community, you will be
sent an email which informs you why your contribution has been refused or
edited. This email will also include a warning that continuing to break the
rules may result in action being taken against your account or accounts.
* This action may include any content posted by you being checked before
allowed to go on the site or a temporary or permanent suspension of your
ability to participate in any or all of the community areas.
* If you submit or share offensive or inappropriate content to or with any of
the communities or anywhere else on the Website or otherwise engage in any
disruptive behaviour on the Website, and AMJ considers such behaviour to be
serious and/or repeated, AMJ may use whatever information that is available
to it about you to stop any further such infringements. This may include
informing relevant third parties such as your employer or email provider
about the infringement(s).
* AMJ reserves the right to delete any contribution, or take action against any
account, at any time, for any reason.

DISCLAIMERS AND LIMITATION OF LIABILITY

1. The majority of content posted in the communities is created by members of
the public. The views expressed are theirs and unless specifically stated
are not those of AMJ . AMJ are not responsible for any content posted by
members of the public on the Website or for the availability or content of
any third party sites that are accessible through the Website. Any links to
third party websites from the Website do not amount to any endorsement of
that site by AMJ and any use of that site by you is at your own risk.
2. The Website content, including the information, names, images, pictures,
logos and icons regarding or relating to AMJ , its products and services (or
to third party products and services), is provided “AS IS” and on an “AS
AVAILABLE” basis. TO THE EXTENT PERMITTED BY APPLICABLE LAW, AMJ EXCLUDES
ALL REPRESENTATIONS AND WARRANTIES (WHETHER EXPRESS OR IMPLIED BY LAW),
INCLUDING THE IMPLIED WARRANTIES OF SATISFACTORY QUALITY, FITNESS FOR A
PARTICULAR PURPOSE, NON-INFRINGEMENT, COMPATIBILITY, SECURITY AND ACCURACY.
AMJ DOES NOT GUARANTEE THE TIMELINESS, COMPLETENESS OR PERFORMANCE OF THE
WEBSITE OR ANY OF THE CONTENT. WHILE WE TRY TO ENSURE THAT ALL CONTENT
PROVIDED BY AMJ IS CORRECT AT THE TIME OF PUBLICATION NO RESPONSIBILITY IS
ACCEPTED BY OR ON BEHALF OF AMJ FOR ANY ERRORS, OMISSIONS OR INACCURATE
CONTENT ON THE WEBSITE.
3. TO THE FULLEST EXTENT PERMITTED BY LAW, IN NO EVENT WILL AMJ BE LIABLE TO
YOU FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES
(INCLUDING DAMAGES FOR LOSS OF PROFITS, GOODWILL, OR ANY OTHER INTANGIBLE
LOSS) ARISING OUT OF OR RELATING TO YOUR ACCESS TO OR USE OF, OR YOUR
INABILITY TO ACCESS OR USE, THE SERVICE OR ANY MATERIALS OR CONTENT ON THE
SERVICE, WHETHER BASED ON WARRANTY, CONTRACT, TORT (INCLUDING NEGLIGENCE),
STATUTE, OR ANY OTHER LEGAL THEORY, AND WHETHER OR NOT THE COMPANY HAS BEEN
INFORMED OF THE POSSIBILITY OF DAMAGE.
4. TO THE FULLEST EXTENT PERMITTED BY LAW, THE AGGREGATE LIABILITY OF AMJ TO
YOU FOR ALL CLAIMS ARISING OUT OF OR RELATING TO THE USE OF OR ANY INABILITY
TO USE ANY PORTION OF THE SERVICE OR OTHERWISE UNDER THESE TERMS, WHETHER IN
CONTRACT, TORT, OR OTHERWISE, IS LIMITED TO THE GREATER OF: (a) THE AMOUNT
YOU HAVE PAID TO COMPANY FOR ACCESS TO AND USE OF THE SERVICE IN THE 12
MONTHS PRIOR TO THE EVENT OR CIRCUMSTANCE GIVING RISE TO THE CLAIM AND (b)
US$100.
5. EACH PROVISION OF THESE TERMS THAT PROVIDES FOR A LIMITATION OF LIABILITY,
DISCLAIMER OF WARRANTIES, OR EXCLUSION OF DAMAGES IS INTENDED TO AND DOES
ALLOCATE THE RISKS BETWEEN THE PARTIES UNDER THESE TERMS. THIS ALLOCATION IS
AN ESSENTIAL ELEMENT OF THE BASIS OF THE BARGAIN BETWEEN THE PARTIES. EACH
OF THESE PROVISIONS IS SEVERABLE AND INDEPENDENT OF ALL OTHER PROVISIONS OF
THESE TERMS. THE LIMITATIONS IN SECTIONS 2-5 WILL APPLY EVEN IF ANY LIMITED
REMEDY FAILS OF ITS ESSENTIAL PURPOSE

GENERAL

1. If any of these terms are determined to be illegal, invalid or otherwise
unenforceable by reason of the laws of any state or country in which these
terms are intended to be effective, then to the extent and within the
jurisdiction in which that term is illegal, invalid or unenforceable, it
shall be severed and deleted from these terms and the remaining terms shall
survive and continue to be binding and enforceable.
2. The failure or delay of AMJ to exercise or enforce any right in these terms
does not waive AMJ ’s right to enforce that right.
3. These terms shall be governed by the laws of the State of Delaware without
regard to conflict of law principles. You and AMJ submit to the personal and
exclusive jurisdiction of the state courts and federal courts located within
Wilmington, Delaware for resolution of any lawsuit or court proceeding
permitted under these Terms.

EXTERNAL LINKS

Links from this site to other internet sites are provided only for the
convenience of visitors to the AMJ Website. The AMJ does not endorse the content
or services delivered through these external websites and is not responsible for
their availability, reliability, or accuracy. Permission to reproduce
information from these sites may be required from the website provider.

OPEN ACCESS & COPYRIGHT

The American Medical Journal is an open-access journal in accordance with
the Creative Commons Attribution-Non Commercial 4.0 (CC BY-NC 4.0) license. This
permits users to:

Share — copy and redistribute the material in any medium or format
Adapt — remix, transform, and build upon the material

Under the following terms:

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* Careers
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* Compliance
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* Contact Us
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* Subscribe to our email newsletter
* Media Pack
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* Editorial Policy
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