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Website Terms and Conditions

The website and other BMJ Group websites which link to this page are owned by the BMJ Publishing Group Limited (“BMJ Group”) and its co-owners and licensors. Find out more about the BMJ Group.

Use of our websites

Please read the following Website Terms and Conditions, which relate to information regarding general use of our websites. By using our websites, you are agreeing to these Terms and Conditions whether as a guest or registered user. By using our sites you are indicating you accept these terms of use and that you agree to abide by them. From time to time we may change these Terms and Conditions, and will post revisions on this website. We recommend that you read these Terms and Conditions prior to using our sites and thereafter regularly review any changes and you are responsible for doing so.

If you have purchased a licence, subscription or otherwise entered into an agreement with us (for example as a delegate at a conference) you will also be governed by the terms of that agreement, which shall prevail in the event of a conflict. Online purchases have additional terms and conditions relating to the transaction as indicated on the relevant website.

Privacy

Use of the data that you provide us, or which is collected by use on our websites, is governed by our Privacy Policy. By using our site(s) you consent to such processing.

Access to BMJ Group websites

We try to ensure that website availability is uninterrupted and that transmissions will be error-free. However, we cannot, guarantee that your access will not be suspended or restricted from time to time, including to allow for repairs, maintenance or the introduction of new facilities or services. We of course try to limit the frequency and duration of any suspension or restriction.

Accounts and passwords

If you have registered or subscribed to a BMJ Group website, any user identification code or password must be kept confidential and used only by you (unless agreed in writing with the BMJ Group). We have the right to disable any user identification code or password whether chosen by you or allocated by us at any time if in our option you have failed to comply with any of the provisions of these terms of use.

Intellectual property rights

The content, layout, design, data, databases and graphics on this website are protected by UK and other international intellectual property laws and are owned by the BMJ Group or its licensors. Unless expressly permitted in writing  in a licence agreement or referenced  herein relating to BMJ and BMJ Journals “Open Access Articles” (below) and other than printing a small proportion of content or displaying this on your screen or both, (strictly for your personal non-commercial use), no part of the website may be reproduced, stored in any medium, including but not limited to a retrieval system or transmitted, in any form or by any means (electronic, mechanical, photocopying, recording, broadcasting)  nor, shown in public other than a BMJ Learning Personal Development Plan, which you may download and store for your personal, non-commercial use.  For the avoidance of doubt, all template documents and software you use to create any Personal Development Plan on the BMJ Learning is website are BMJ Group’s property, and you are granted a revocable, non-transferable licence for personal, non-commercial use.

You may not create any derivative work or make any other adaptation, without our prior written consent. You must not modify the copies you have displayed or printed in any way and you may not use any illustrations, photographs, videos or audio sequences or any graphics separately from any accompanying text. Any permitted use of our material is subject to ensuring that our copyright notices and trade marks appear as they do on all copies online and customary bibliographical citations including author attribution, date article title (where applicable) and the URL to the relevant BMJ Group website are included. If you print off or download any material from our website(s) in breach of these terms of use, any rights to use our site(s) will cease immediately and you must at our option return or destroy any copies of the materials you have made. All rights not expressly granted in these terms or any express written licence, are reserved.

The trademarks and logos which are displayed on the websites are the trademarks of the BMJ Publishing Group Limited and its licensors. Any use including framing, metatags or other text utilising the BMJ Publishing Group Limited's trademarks or other trademarks displayed, is strictly prohibited without our (or our licensor's) express written consent.

Any material you upload to our sites will be considered non-confidential and non-proprietary (unless otherwise stated on the site or within our privacy policy) and for such content you grant us a transferable, royalty free, worldwide, irrevocable licence to use, copy, distribute, edit, amend, disclose, sub licence to third parties and create derivative works in whole or party of any such material for any purpose, in any media.. We may remove, edit or amend any such material at any time without notice to you. To the extent moral rights attach to any material to the fullest extent permitted by law these are waived in our favour. All material posted must adhere to the requirements of “Your conduct" below.  We also have the right to disclose your identity to ay third party who is claiming that any material posted or uploaded by you to any of our sites constitutes a violation of their rights, including without limitation, their intellectual property rights, reputational rights or of their right to privacy.

Permission for use of our intellectual property

Any request for permission of our content or images, or other use of our intellectual property not authorised under a subscription, should be made using the contact us form. For BMJ Journals we recommend you first visit: http://journals.bmj.com/misc/permissions.dtl. If however the request relates to an item published before a full text was online you must use the permission request form at http://journals.bmj.com/cgi/permissions. BMJ Journals reprint requests should be made via http://journals.bmj.com/cgi/reprintform.

BMJ and BMJ Journals “Open Access Articles”

Some BMJ and BMJ Journals articles have expressly marked on then that they are an “Open Access Article”. Where this is so, certain extended rights of use are allowed without obtaining further permission from the BMJ Group. The rights of use for such articles is as set out in the Creative Commons, Attribution, Non Commercial Licence 2.0 see a summary of rights and the full licence:

http://creativecommons.org/licenses/by-nc/2.0/legalcode and http://creativecommons.org/licenses/by-nc/2.0/

Where use is to be made of any BMJ or BMJ Journal marked “Open Access Article”, you must attribute use as follows:

author name(s), date, article title, journal name, the URL for the original article on the relevant BMJ or BMJ Journals website and include any copyright notice from the original article.

You must also check that where any  third party rights within all images, diagrams, photographs or other illustrative material are indicated within such an article as not being owned by the authors or BMJ Group( and its co-owners for any co-owned journal) that these are cleared independently and appropriately with the owner indicated.

We also require that all BMJ Group (and any co-owners) trademarks are removed from any derivative works. For translations (other than where a prior translation agreement with BMJ Group has been established) you must include a prominently statement which states as follows:

“This is an unofficial translation of an article that appeared in a BMJ Group [and insert co owner if applicable] publication. BMJ Group [and insert co owner if applicable] has/have not endorsed this translation”.

Links

Our websites contain links including hyperlinks which may take you outside BMJ Group websites. Links are provided for your convenience, and an inclusion of any link does not imply endorsement or approval by us of the linked website, its operator or content. We have no control over the contents or functionality of those sites and accept no responsibility for any loss or damages that may arise from your use of them. We are not responsible for any website outside the BMJ Group websites, and such websites use will be subject to relevant terms and conditions and privacy policies.

You may link to articles or the home page of the BMJ or BMJ Journals websites otherwise you must not deep link to any of our other websites or link to our home pages without our agreement in writing. You may not provide a link which suggests a form of association, approval or endorsement on our part, unless we have expressly agreed to this in writing. We reserve the right to withdraw any linking permission upon notice to you or by amending these terms and conditions.

Disclaimers and limitations of liability

Disclaimers

a) General disclaimers

Description or reference to a product or publication does not imply endorsement of that product or publication, unless it is owned by the BMJ Group and in which case it is subject to the disclaimers limitations of liability herein and within any licence or other agreement with you the latter of which shall prevail in the event of a conflict. To the fullest extent permitted by law, the material and information displayed on our websites is provided “as is” without any guarantees, conditions or warranties as to accuracy.

We try and ensure our websites are available for use 24 hours per day, 7 days per week other than for a small period for scheduled down time, however we do not warrant that at other time our websites will be available. To the fullest extent permitted by law, we will be not be liable to you for damages or refunds should our sites become unavailable or access to a site becomes slow or incomplete due to system back-up procedures, internet traffic volume, upgrades, overload of requests to the servers, general network failures or delays, or any other cause which may from time to time make the any of our websites inaccessible to you.

b) Additional product specific disclaimers

Best Health

Best Health is designed for non-medically trained individuals. It does not offer medical advice and should not be seen as a replacement for consultation with a doctor or other health professional. The articles and information on the Best Health website are designed for you to help you talk to your doctor, not to be used instead of seeing your doctor.

Categories presented in Best Health indicate a judgement about the strength of evidence and the relevant importance of benefits and risks. We rely on our authors to confirm accuracy. Readers should be aware that professionals in the field may have different opinions. Also there are regular advances in medical research. Our categories do not indicate whether a particular treatment is generally appropriate or whether it is suitable for an individual.

Best Practice

Best Practice is intended for use by licensed medical health professionals outside of the United States and Canada. You are responsible for your decisions on diagnosis, treatment and follow up for a patient, or from choosing or not choosing specific treatments based on the Best Practice content. The content does not endorse drugs, diagnose patients, or recommend therapy. Users should use their professional judgment in using the BMJ content, which is done at their own risk. They should always check and ensure that in each situation at the point of care they are qualified to consult and/or treat and/or prescribe at the point of care of a patient. Categories presented indicate a judgment about the evidence and strength of evidence available to our authors prior to publication and the relevant importance of benefit and harms. For monographs included in Best Practice, BMJ Group relies on its authors to confirm the accuracy of the information presented to subscribe generally accepted practices. Users should be aware that professionals in the field may have different opinions. Because of this fact and because of regular advances in medical research and the possibility of human error, users should independently verify specified diagnosis methods, treatments, follow up, drugs and any contraindications or side effects including via manufacturers guidance. Also, the categories and information do not indicate whether a particular diagnosis, treatment and/or follow up is generally appropriate or whether it is suitable for a particular individual. Please also note that information whilst not warranted to be accurate is generally updated annually so may be out of date. Ultimately it is the User’s responsibility to make your own professional judgments, so to appropriately advise and treat yourself or your patients.

BMJ Updates

The information contained in BMJ Updates is intended for medical professionals. BVMJ Updates provides an educational service for practising clinicians, designed to alert clinicians to important new research; however we cannot warrant its accuracy. It is intended to support evidence based decision making, by providing links to published research reports about the diagnosis, treatment, preduction and prognosis, etiology and economics of medical conditions. However, “evidence does not make decisions”. Clinicians making decisions about the care of their patients must take into account the limitations of evidence from research as well as the unique nature of their patients’ circumstances and wishes. Readers should also be aware that professionals in the field may have different opinions. Because of this fact and also because of regular advances in medical research, we strongly recommend that readers independently verify any information they chose to rely on. Ultimately it is the reader’s responsibility to make their own professional judgements.

BMJ Updates attempts to provide access to the best new research of relevance for clinical practice in the fields of primary medical care and sub specialties of internal medicine. It does not report all research but uses explicit criteria (http://www.acpjc.org/shared/purpose_and_procedure.htm to define a subset of published research that is likely to be valid and ready for clinical attention. Practising physicians then provide their assessments of the relevance and newsworthiness of the reports through an online review process, the McMaster Online Rating of Evidence (MORE, http://hiru.mcmaster.ca/MORE).  Individual clinicians who then receive these reviews must then apply their own judgement concerning the strength and applicability of this evidence to their own patients.

BMJ, Student BMJ, BMJ Journals (including BMJ Case Reports) and BMJ Careers

We rely on our authors of articles, contractors and third party data providers to confirm the accuracy of information presented and to describe generally accepted practices and therefore we as the publisher and editors cannot warrant its accuracy. Readers should be aware that professionals in the field may have different opinions. Because of this fact and also because of regular advances in medical research we strongly recommend that readers independently verify any information that they chose to rely upon. Ultimately it is the reader’s responsibility to make their own professional judgements. Opinions posted on Rapid Responses, the Advice Zone international experience and any other parts of the sites are not of those of the individuals posting them and not the views of the BMJ Group.

BMJ Learning

We do not warrant that the completion of any Modules or use of other material on the BMJ Learning website will be all the necessary continuing professional development you need nor that it is accurate. We rely on our authors of articles, contractors and third party data providers to confirm the accuracy of information presented and to describe generally accepted practices and therefore we as the publisher and editors cannot warrant its accuracy or that this meets all or any requirements for professional development. Readers should be aware that professionals in the field may have different opinions. Because of this fact and also because of regular advances in medical research we strongly recommend that readers independently verify any information that they chose to rely upon. Ultimately it is the reader’s responsibility to make their own professional judgements. Opinions posted by users via the Fora and other parts of the sites are those of the individuals posting them and not the views of the BMJ Group. For BMA members, access to the BMJ Learning website is also conditional upon any agreement between the BMA and BMJ Group.

BMJ Masterclasses and BMJ Conferences (including International Forum on Quality and Safety in Health Care)

We do not confirm the accuracy of any information contained on these websites, including the accuracy of any speakers content or presentations and dates or venues for events.

Clinical Evidence

The information contained in this publication is intended for medical professionals. Categories presented in Clinical Evidence indicate a judgement about the strength of the evidence available to our authors prior to publication and the relevant importance of benefit and harms. We rely on our authors to confirm the accuracy of the information presented to describe generally accepted practices. Readers should be aware that professionals in the field may have different opinions. Because of this fact and because of regular advances in medical research we strongly recommend that readers independently verify specified treatments and drugs including manufacturers’ guidance. Also, the categories do not indicate whether a particular treatment is generally appropriate or whether it is suitable for a particular individual. Ultimately it is the reader’s responsibility to make their own professional judgements, so to appropriately advise and treat their patients. Opinions posted on Clinical Evidence are those of the individuals and not the views of the BMJ Group.

Evidence Summary Pages

This content is meant for use by medical professionals. The BMJ Publishing Group Ltd (“BMJ Group”) tries to ensure that the information provided is accurate and up-to-date, but we do not warrant that it is. The BMJ Group does not advocate or endorse the use of any drug or therapy contained within nor does it diagnose patients. Medical professionals should use their own professional judgement in using this information and caring for their patients and the information herein should not be considered a substitute for that. This information is not intended to cover all possible diagnosis methods, evidence, treatments, follow up, drugs and any contraindications or side effects. We strongly recommend that users independently verify specified diagnosis, evidence, treatments and follow up and ensure it is up to date and appropriate for your patient. This information is provided on as “as is” basis and to the fullest extent permitted by law the BMJ Group assumes no responsibility for any aspect of healthcare administered with the aid of this information or any other use of this information.

Limitation of Liability

TO THE FULLEST EXTENT PERMITTED BY LAW, THE BMJ GROUP EXPRESSLY EXCLUDES:

i.    ALL CONDITIONS, WARRANTIES AND OTHER TERMS WHICH MIGHT OTHERWISE BE IMPLED BY STATUTE, COMMON LAW OR THE LAW OF EQUITY;

ii.    ANY LIABILITY CAUSED BY A FORCE MAJEURE EVENT;

iii.    ANY OBLIGATION OF EFFECTIVENESS OR ACCURACY; AND

iv.    OTHER THAN AS SET OUT BELOW, ANY LIABILITY FOR ANY DIRECT, INDIRECT OR CONSEQUENTIAL LOSS OR DAMAGE INCURRED BY YOU IN CONNECTION WITH THIS AGREEMENT, INCLUDING BY YOUR USE OR INABILITY TO USE ANY INFORMATION ON OUR WEBSITE OR WITHIN ANY PUBLICATION SUBSCRIBED TO, VIA ANY WEBSITES LINKED TO OUR WEBSITE(S) AND ANY MATERIAL POSTED ON IT, INCLUDING WITHOUT LIMITATION ANY LIABILITY FOR LOSS OF INCOME OR REVENUE, LOSS OF BUSINESS, LOSS OF PROFITS OR CONTRACTS ANTICIPATED SAVINGS, LOSS OF DATA, LOSS OF GOODWILL, WASTED TIME AND FOR ANY OTHER LOSS OR DAMAGE OF ANY KIND, HOWSEOEVER AND WHETHER CAUSED BY TORT INCLUDING NEGLIGENCE, BY BREACH OF CONTRACT OR OTHERWISE, EVEN IF FORSEEABLE.

NOTHING IN THIS PROVISION AFFECTS OUR LIABILITY FOR DEATH OR PERSONAL INJURY ARISING FROM OUR NEGLIGENCE NOR FOR LIABILITY FOR FRAUDULENT MISREPRESENTATION OR MISREPRESENTATION AS TO A FUNDAMENTAL MATTER NOR ANY OTHER LIABILITY WHICH CANNOT BE EXLUDED OR LIMITED UNDER THE APPLIACABLE LAW. THESE PROVISIONS DO NOT AFFECT ANY APPLICABLE STATUTORY RIGHTS.

Your conduct

You must not use the website in any way that causes or is likely to cause the website or access to it to be interrupted, damaged or impaired in any way. You understand that you are solely responsible for all electronic communications and contents sent from your computer to us. You must use the website for lawful purposes only. You must not use the website for any of the following:

  • For fraudulent purposes  or in connection with a criminal offence or otherwise carry out any unlawful activity
  • To send, use or re-use any material that is illegal, offensive, abusive, indecent, harmful, defamatory, obscene or menacing racist, abusive, threatening, defamatory, invasive of privacy, in breach of confidence, infringes any intellectual property rights,; or is otherwise injurious to third parties; or objectionable; or which consists of or contains software viruses, trojan horses, worms, time bombs, keystroke loggers, spyware, adware or any other harmful or similar computer code designed to adversely affect the operation of any computer software or hardware, political campaigning, commercial solicitation, chain letters, mass mailings or any spam
  • To cause annoyance, inconvenience or needless anxiety
  • To impersonate any third party or otherwise mislead as to the origin of your content
  • To reproduce, duplicate, copy or resell any part of our site in contravention with these terms of use or any other agreement with the BMJ Group.

Governing law

These Terms and Conditions shall be governed and construed in accordance with the laws of England and Wales, whose courts shall have exclusive jurisdiction, although we retain the right to bring proceedings against you for breach of these conditions in your country of residence or other relevant country.