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Copyright Protection An individual may view, reproduce or store a single copy of a Journal of Rheumatology Online article if it is only for their personal, non-commercial use. Journal material (including abstracts) may not be otherwise reproduced or distributed to any other person or entity without the prior permission of The Journal of Rheumatology. No commercial use is permitted without prior, express written permission of The Journal of Rheumatology. Permission requests should be directed to the Managing Editor, The Journal of Rheumatology, 365 Bloor St. E. Ste. 901, Toronto, ON, Canada M4W 3L4. Any use of Journal material in whole or in part should include a copyright notice, stating the The Journal of Rheumatology is the copyright holder, and customary bibliographic citation that includes author, date, title, The Journal of Rheumatology Online, and the URL http://www.jrheum.com/ Online Service The Journal of Rheumatology intends the site to be available 24 hours per day, 7 days per week. However, The Journal will not be liable for damages, losses or refunds should the site become unavailable temporarily or if access to the site becomes slow or incomplete due to system backup procedures, Internet traffic volume, upgrades, overload of requests to the servers, general network failures or delays, or any other cause that may from time to time make the site inaccessible for users. If you wish to report a technical problem please E-mail our Website Administrator. Disclaimer While the publisher and authors try to ensure the accuracy, completeness of all materials in The Journal of Rheumatology, they make no guarantees or warranties as to such currency, completeness or accuracy or the results to be obtained from accessing and using the materials. The publisher does not endorse any information, advice or other material. The publisher and authors expressly disclaim all representations, warranties and conditions either expressed or implied including but not limited to implied warranties of merchantability or fitness for a particular purpose. They accept no responsibility or liability for damages or losses relating to any errors in or omissions from any material or from the use or inability to use such material. The publisher and authors assume no responsibility or liability for any information, advice or other material outside The Journal Online that may be accessed through this web site. Terms of Access The Journal of Rheumatology provides access to its full text online contents only for the term of your subscription, which is January to December of the current calendar year. For subscriptions entered and activated late in the current year, the term of access will be from the time of entry and activation until December 31 of the same calendar year. Jurisdiction This agreement is governed by the laws of the Province of Ontario, Canada and the federal laws applicable in Ontario, without respect to conflict of laws principles. The exclusive jurisdiction for any disputes with The Journal of Rheumatology Online resides in the courts of the province of Ontario, Canada. Language The parties acknowledge that they have requested this agreement, as well as all documents given pursuant to this agreement, to be drawn up in English. Les parties reconnaissent avoir exig? la r?daction en anglais de la pr?sente convention ainsi que de tous documents avis donn?s relatifs ? la pr?sente convention ou en vertu de l? pr?sente convention.