Form2

Date:

Contract
Attn:

The Editorial Committee
Toho Journal of Medicine

Manuscript Title:

We, the undersigned, hereby affirm that:
1. neither the above article nor its content has been previously published in any otherjournal than the Toho Journal of Medicine (hereafter “the Journal”); nor is it presently
in submission or review at any other journal;
2. all research involving human subjects has been conducted strictly in accordance with
the Helsinki Declaration, and any animal subjects involved received ethical treatment
according to the respective facility guidelines, based on regulations governing suchtreatment (if ethics committee approval was received, the approval number should beprovided);
3. all research involving human subjects has given careful consideration to protecting all
personally identifying information and has not included such information in themanuscript; and4. all possible conflicts of interest—including (but not limited to) professional
relationships involving payments received from any person, company, ororganization—which could have potentially influenced the research methods, results, orpresentation of these results, have been openly declared on the accompanying form.
If our manuscript is accepted for publication in the Journal, we also hereby accept thetransfer of all publication rights and copyrights to the Journal.
Author signatures (personal signatures of all manuscript authors)
Principal authors
Co-authors

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Copyright Ownership Information
The Toho Journal of Medicine (“the Journal”) is an electronic journal dedicated to wide
dissemination of articles with cutting-edge information. To maintain legal control over
reproduction rights, prevent unauthorized reproduction of articles, and protect thecopyrights of articles published in the Journal, the Medical Society of Toho University(“the Society”) must possess full ownership of all copyrights associated with articles in theJournal. For this purpose, the authors of all articles published in the Journal accept thetransfer of all copyrights to the Society.
The copyrights retained by the Society extend principally to the following:
1. all reproduction rights (all rights related to printed or mechanical copying, and all othergeneral publication rights);
2. all translation rights;
3. all adaptation rights (including but not limited to rights to summaries and edited
versions of the Journal’s published articles); and4. the right to permit third parties to reproduce, adapt, or quote articles published in theJournal for commercial purposes.
The authors of manuscripts submitted to the Journal thereby accept to transfer all
copyrights to the Journal if their manuscript is accepted for publication, and the Journal
will then be responsible for the maintenance and use of these rights. To this end, theSociety will execute the following administrative functions:
1. It will evaluate third-party requests for the reproduction, translation, summarization,and quotation of any of the Journal’s published articles and, after due deliberation, will
respond to these requests, either allowing or forbidding these third parties to proceed.
2. It will issue warnings to any publication, organization, or person who uses the Journal’s
published articles in a way similar to those above, without written permission from theSociety. In the event such a third party’s copyright infringement is perceived to be
willful and/or malicious, the Society will undertake against this third party such legal
procedures it deems necessary to protect its copyright ownership.
3. In the event the Society permits the reproduction, translation, or other use by anotherpublication of one of the articles published in the Journal, it will attempt first to receive
the approval of the authors of the article.
In every case, the authors will of course retain their rights as authors of the article (suchrights as cannot be transferred to any publication or other third party) as part of theirown personal rights. As a result, after authors of an article transfer their copyrights tothe Society, no other person will be allowed to falsely claim authorship of the article,
change its title, meaningfully alter its content, or change its wording.
4. The authors accept transfer of the copyrights described above to the Society at no cost.
The Society will retain and use such revenues as it will obtain from the permission tothird parties for the reproduction, etc., of its articles, in order to cover the administrative
costs involved.
5. The author(s) of articles published in the Journal retain all rights to use, present,
translate, or summarize their articles and the content of these articles, even after
publication in the Journal. The above rights do not include the right to submit the samearticle (or a different version of the same article) for publication in a journal orpublication other than the Toho Journal of Medicine.
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