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1. General. Access to and use of this Web site (“NEJM Online”) is subject to the Terms and Conditions set forth herein. Any use of this Web site shall constitute acceptance of these Terms and Conditions.

2. Copyright Ownership and Permitted Use. Unless otherwise stated, the materials available on NEJM Online are the property of MMS and are protected under United States and international copyright laws and conventions. Except as otherwise provided by United States copyright law, materials from NEJM Online may be viewed, reproduced, or stored for private, noncommercial purposes only.

   For information on obtaining permission to copy beyond that permitted by these Terms and Conditions, or United States copyright law, please refer to the MMS copyright information pages.

3. Trademark Ownership. The Massachusetts Medical Society (and logo design) and The New England Journal of Medicine (and logo design) (’MMS Trademarks“) are trademarks of MMS. Any use of MMS Trademarks in connection with the sale, offering for sale, distribution, or advertising of any goods or services, which is likely to cause confusion, to cause mistake, or to deceive, is strictly prohibited.

4. Web site Integrity. Interfering with the operation of NEJM Online or circumventing the NEJM Online security system is strictly prohibited.

5. Modifications of Terms and Conditions. MMS reserves the right to modify the Terms and Conditions for NEJM Online at any time. Any such modification will be posted on NEJM Online and the continued use of NEJM Online after any such posting shall constitute acceptance of the Terms and Conditions as modified.

6. Web site Modifications and Availability. MMS will make reasonable efforts to keep NEJM Online available twenty-four hours a day, seven days a week. However, owing to technical failures, routine maintenance, or other unforeseen circumstances, availability may be limited and MMS will not be responsible for the nonavailability of NEJM Online. MMS reserves the right to modify, suspend, or discontinue all or any part of NEJM Online at any time.

7. Disclaimer of Warranties and Liability. Materials published in NEJM and on NEJM Online are the result of research and/or contribution by independent individuals or organizations. MMS is not responsible for the accuracy of any data or conclusions reported in such materials.

8. NEJM Online is intended for educational, research, and reference purposes only. The content of this publication should not be substituted for the advice of a qualified health care professional.

   NEJM ONLINE IS PROVIDED "AS IS" ON AN "AS AVAILABLE BASIS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NONINFRINGEMENT. IN NO EVENT WILL MMS, ITS EMPLOYEES, OFFICERS, MEMBERS, AGENTS, OR LICENSORS BE LIABLE FOR ANY SPECIAL, INCIDENTAL, INDIRECT, OR CONSEQUENTIAL DAMAGES OF ANY KIND, OR ANY DAMAGES RESULTING FROM THE INABILITY TO USE, OR THE USE OF, NEJM ONLINE, WHETHER OR NOT ADVISED OF THE POSSIBILITY OF DAMAGES, OR ON ANY THEORY OF LIABILITY ARISING OUT OF OR IN CONNECTION WITH THE USE OR PERFORMANCE OF NEJM ONLINE.

9. Choice of Law and Forum. The use of NEJM Online, these Terms and Conditions, and all actions contemplated by these Terms and Conditions shall be governed by the laws of the United States of America and the Commonwealth of Massachusetts as if these Terms and Conditions were an agreement wholly entered into and wholly performed within the Commonwealth of Massachusetts. The exclusive jurisdiction for any claim or action arising from or relating to these Terms and Conditions or the use of NEJM Online shall be with the state or federal courts located in the Commonwealth of Massachusetts, USA.

10. Endorsements. Descriptions of, references to, or links to other products, publications, or services does not imply endorsement of any kind unless expressly stated by MMS.

11. Login Security. Sharing NEJM Online login information is strictly prohibited.