Last updated: September 8, 2025

Welcome to Continuous Active Learning (CAL)® Tool for Rapid Evidence Reviews. This tool is intended to be used to help research professionals expedite the title and abstract screening phase for evidence synthesis projects.

The Content of this Platform, such as graphics, images, text and all other materials, is provided for reference and educational purposes subject to the following Terms. The Content is not intended to provide guidance on research methods or clinical decision-making.

THESE TERMS AND CONDITIONS OF USE (the “Terms”) represent a legal agreement between you and Unity Health Toronto (“UNITY,” “we,” “us”), that explains your rights and obligations around your Use of the website at cal-reviews.ktss.ca website (the “Site”) and all Content. The Site and its Content together represent our “Platform”.

  • PLEASE READ THESE TERMS CAREFULLY AS WELL AS THE PRIVACY NOTICE, WHICH ARE INCORPORATED BY REFERENCE. IF YOU DO NOT ACCEPT ALL THESE TERMS AS PROVIDED, DO NOT USE THE PLATFORM.

BY USING THE SITE YOU ACCEPT THESE TERMS AND PRIVACY NOTICE, AND YOU:

  1. ACKNOWLEDGE THAT UNITY HEALTH TORONTO IS NOT RESPONSIBLE FOR THE CONTENTS OF ANY DATABASE SEARCH RESULTS (E.G., PUBMED) OR THE INTERPRETATION OF THE RESULTS PRODUCED BY THIS TOOL
  2. AGREE THAT YOU HAVE READ AND UNDERSTOOD THESE TERMS AND THAT YOU WILL BE LEGALLY BOUND BY THESE TERMS AND ANY OTHER AGREEMENTS THAT THESE TERMS REFERENCE, SUCH AS OUR PRIVACY NOTICE WHEN YOU USE THE PLATFORM;
  3. ACKNOWLEDGE THAT THE PLATFORM IS INTENDED FOR PERSONAL, ACADEMIC AND/OR NON-COMMERCIAL PURPOSES ONLY, DOES NOT CONSTITUTE MEDICAL, LEGAL OR ANY OTHER TYPE OF PROFESSIONAL ADVICE, DOES NOT CREATE A PHYSICIAN-PATIENT RELATIONSHIP, AND IS NOT A SUBSTITUTE FOR MEDICAL CARE BY LICENSED HEALTHCARE PROVIDER;
  4. ACKNOWLEDGE THAT DOWNLOADING AND CIRCULATE AND PUBLISH THE INTENDED OUTPUTS OF THIS PLATFORM (I.E., .CSV FILES OF YOUR PROJECT RESULTS) IS PERMITTED. HOWEVER YOU MAY NOT REPRODUCE, SELL, DISPLAY, MODIFY, CREATE DERIVATIVES OF, DISTRIBUTE, LICENSE, RENT, OR OTHERWISE USE THE CONTENT OF THIS SITE NOT PERMITTED BY THESE TERMS;

We may make some changes to or update these Terms from time to time without notice. It is your responsibility to check the Last Updated date of the Terms at the top of this page from time to time. Your continued use of the Platform will mean you accept those changes.

YOU ARE BOUND BY THE TERMS IN EFFECT ON THE DATE YOU USE THE PLATFORM.

If you have questions about the Site, please contact us at knowledgesynthesis@unityhealth.to.

Detailed Terms and Conditions

1. Definitions

Capitalized terms not otherwise defined in these Terms or in the Privacy Notice shall have the following meaning:

“Content” means text, data, graphics, statistics, images, documents, forms, guidelines, video, audio, user interface, visual interfaces, or other multimedia content in whatever format, software, applications, programs, computer code, or other information or material we provide on the Platform, including any Metadata contained therein;

“Intellectual Property” means any property, tangible or intangible, that may be subject to Intellectual Property Rights, including proprietary ideas, formulae, algorithms, concepts, techniques, processes, procedures, protocols, instructions, methodologies, plans, systems, research, information, documentation, data, data compilations, specifications, requirements, designs, diagrams, programs, images, inventions, technologies, samples, compounds, organisms, antibodies, biologics, sequences, formulae, algorithms, software (including its source materials and codes), tools, product knowledge, know-how, trade secrets, unpublished patent applications, and other materials or things, trademarks, trade names, and domain names;

“Intellectual Property Rights”means any legal protection now recognized by law or that in the future may be recognized by law anywhere in the world – whether by statute, at common law, or otherwise – relating to the Intellectual Property including patents, copyright and moral rights, trademarks, service marks, domain names, design patents, industrial designs, plant breeders’ rights design rights, and database rights, a semiconductor chip or mask work, trade secrets, confidential information, or any other statutory provision or common law principle applicable to these Terms that may provide a right in either the Intellectual Property or the expression or use of the Intellectual Property, whether registered, registrable, unregistered, or unregistrable, and including without limitation all applications therefor or rights to apply for such rights and all similar or equivalent rights or forms of protection which subsist now or will subsist in the future in any part of the world. The Intellectual Property Rights shall include any substitutions, divisions, continuations, continuations-in-part, reissues, renewals, registrations, confirmations, re-examinations, extensions, supplementary protection certificates or the like, or provisional applications of any patents and patent applications, or foreign equivalents thereof.

“Metadata”” means all data related to our Platform, including but not limited to metadata contained in each Content.

“Representatives” means employees, officers, directors, consultants, contractors, advisors, and agents.

“Use” or “Using” means to access, navigate, read, and review.

2. Permitted Use

The Content of this Site is provided for reference and educational purposes only. The Content is not intended to provide guidance on research methods or clinical decision-making.

In the event you are dissatisfied with, or dispute, these Terms or Privacy Notice, the Site and/or the Content, your sole right and exclusive remedy is to terminate your use of the Platform, even if that right or remedy is deemed to fail of its essential purpose. You confirm that UNITY has no other obligation, liability or responsibility to you or any other party.

3. Use of the Site and Content Guidelines

Content and other features are subject to change or termination without notice in our sole discretion. All rights not expressly granted herein are reserved to us.

We authorize you to access the Site to view the Content solely for your personal, non-commercial educational Use to further the purpose of promoting education among researchers and students.

If you violate any of these Terms, your permission to use the Content automatically terminates and you must immediately destroy any copies or derivatives you have made of any portion of the Content in breach of these Terms.

You agree that the following actions are prohibited and shall constitute a material breach of these Terms and Conditions, nor may you assist or allow other to, directly or indirectly, in whole or in part:

  1. Use the Platform for any purpose in violation of these Terms and Conditions, local, state, national, or international laws;
  2. Sell, modify, transfer, create derivatives of (including resulting from the use of artificial intelligence tools), license, or rent, the Content. Downloading, distributing and publishing the results of your searches and projects on this site is permitted. Screenshots are permitted for educational purposes or to support technical trouble-shooting with our tea.
  3. Use the Site or any Content for any public, commercial, non-educational, non-academic or non-personal purpose;
  4. Use the Site or any Content in connection with the promotion of a commercial enterprise and/or its product(s) or service(s);
  5. Suggest that UNITY endorses any specific company or product (e.g., a specific health intervention)
  6. Alter, remove, or cover any marks or other notices included in the Site or Content;
  7. Distributing viruses or other harmful computer code;
  8. Harvesting, scraping, text or data mining, or otherwise collecting the Content or Metadata, including for AI training or validation or other similar technology;
  9. Use Content in combination with an artificial intelligence tool, (including to train an algorithm, test, process, analyse, generate output and/or develop any form of artificial intelligence tool)
  10. Decompile, disassemble, decrypt, extract, reverse engineer the Platform, or otherwise attempt to recreate or derive the source code, underlying ideas, or algorithms of the Platform, or in any way ascertain, decipher, or obtain the communications protocols for accessing the Platform;
  11. Use the name and/or logo of UNITY without our prior permission;
  12. Engaging in any other conduct that restricts, disrupts, or inhibits any other person from using or enjoying the Platform.

5. Location

We operate the Platform from Ontario, Canada. WE DO NOT REPRESENT OR WARRANT THAT EITHER THE SITE OR ANY CONTENT ARE LEGAL FOR USE IN ANY OTHER LOCATIONS.

If you use the Platform or access the Content from another location, you must comply with all provincial, state, or federal laws applicable in the location from which you access them at your sole risk.

6. Copyright Notice

Unless otherwise set out herein, Content comprised on the Site, including the design, layout, “look and feel and arrangement of Content, and any new features or tools that may be added to any of them, is owned by us, our licensors, or our content providers and is protected by copyright, trademark, and other intellectual property law. We retain all rights not specifically granted under this Agreement.

Any use of the Content not expressly permitted by these Terms is a breach of these Terms and may violate copyright, trademark, and other laws.

7. Hyperlinks and third-party Sites

The Platform may contain hyperlinks or references to third-party websites or resources that we provide for your convenience only. Those hyperlinks do not constitute our endorsement of those sites, their operators, or any products or services that may be offered on those sites. If we are associated with any third parties that we hyperlink on our Site or Platform, we will so indicate.

When you click on a link to a third-party site in any components of the Platform you will be subject to the terms and conditions of those sites. We have no control over any third-party websites, and we accept no responsibility for any content, material or information on them or your use or reliance on any of it. We are not responsible or liable for any content, advertising, products or other materials on or available from external sites or resources linked on the Platform. Transactions that occur between you and any third party are strictly between you and the third party and are not the responsibility of UNITY.

8. Disclaimer of Warranties and Liability

WE PROVIDE THE PLATFORM AND CONTENT RESULTS ‘AS IS’ AND ‘AS AVAILABLE’ FOR NON-COMMERCIAL, INFORMATION AND EDUCATIONAL PURPOSES ONLY AND DO NOT AND ARE NOT INTENDED TO CONSTITUTE ADVICE OF ANY KIND.

WE GIVE NO REPRESENTATION, WARRANTY, GUARANTEE OR UNDERTAKING THAT RELEASES OR CONSENTS WHICH ARE REQUIRED, DESIRABLE OR NECESSARY FOR REPRODUCTION HAVE BEEN OR WILL BE OBTAINED WHETHER IN RELATION TO THE USE OF IMAGES, PEOPLE, INTELLECTUAL PROPERTY RIGHTS OR ANY UNDERLYING WORKS OF WHATEVER NATURE DEPICTED IN ANY IMAGE, OR THAT ANY WAIVERS OF ANY MORAL RIGHTS HAVE BEEN OBTAINED. OUR CONTENT IS BEING DISPLAYED WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED.

WE ARE NOT RESPONSIBLE FOR ANY DECISIONS YOU MAKE OR FAIL TO MAKE ABOUT YOUR HEALTH OR YOUR PATIENT OR THIRD PARTY, AS THE CASE MAY BE, BASED ON YOUR USE OF OR RELIANCE ON THE PLATFORM. THE ENTIRE RISK AS TO THE USE OF OR RELIANCE ON THE PLATFORM OR ANY CONTENT RESTS WITH YOU.

WE EXPRESSLY DISCLAIM ALL REPRESENTATIONS AND WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, CONCERNING THE PLATFORM INCLUDING, WITHOUT LIMITATION: ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OF THE PLATFORM, NON-INFRINGEMENT OF ANY INTELLECTUAL PROPERTY OF A THIRD PARTY, ANY WARRANTY THAT THE PLATFORM WILL MEET YOUR REQUIREMENTS, AND ALL WARRANTIES REGARDING YOUR USE OF OR RELIANCE ON THE CONTENT, OR ON THE PLATFORM TO FUNCTION OR BE AVAILABLE UNINTERRUPTED, SECURE, ERROR-FREE, ACCURATE, CURRENT, OR COMPLETE; OR ANY IMPLIED REPRESENTATIONS OR WARRANTIES ARISING OUT OF A COURSE OF PERFORMANCE, OR THE COURSE OF USAGE OR TRADE, OR ANY WARRANTY ARISING FROM STATUTE OR OTHERWISE IN LAW.

9. Limitation of Liability

In no event will UNITY or our Representatives be liable to you or any third party for anything related to the Platform, Terms or Privacy Notice, or arising directly or indirectly from (1) your reliance on the platform (2) your use of, or the inability to use, the platform for any reason; (3) your use or reliance on any content, information, or on any linked sites, (4) any errors or omissions in the content; (5) our or your transmission of confidential information, personally identifiable information, or other sensitive information through the internet, including by email; or (5) any incidental, indirect, special, punitive, exemplary, or consequential damages. To the extent permitted under applicable law, UNITY nor its Representatives assume responsibility for any injury and/or damage to persons as a matter of malpractice, failure to warn, negligence or otherwise, or from any use or operation of any ideas, instructions, methods, tests, or procedures displayed on or referenced on the Site or external links accessible on the Platform. Practitioners must rely on their own experience, knowledge and judgment in evaluating or applying any information, which remains their professional responsibility. UNITY and its Representatives will not be liable for any medical treatment provided by users to their patients, whether or not the Platform and its Content or resources were used in connection with such treatment.

This exclusion of liability applies regardless of the legal theory upon which any such claim is based, whether contract, tort or other legal theory, even if we have been advised of the possibility of such damages in advance and even if any available remedy fails its essential purpose. Despite the above, in no event will our total liability exceed cad$10. Any claims arising in connection with your Use of the Platform must be brought within one (1) year of the date of the event giving rise to such action occurred.

10. Indemnification

You hereby agree to release, defend, indemnify, and hold UNITY, and its directors, officers, harmless from and against any and all liabilities, damages, claims, costs, threats, losses, fines, fees, costs and expenses (including reasonable attorneys’ fees and expenses), arising in any manner whatsoever, directly or indirectly, from: a) your Use or reliance on any component of the Platform (b) your breach of these Terms or the Privacy Notice; (c) your violation of any rights or Intellectual Property Rights of a third-party or, (d) your use or reliance upon any sites linked on any components of the Platform, or (f) your negligent or willful misconduct. In addition, you agree to reimburse us for all costs, attorney’s fees and expenses we may incur to enforce the provisions of these Terms against you, whether by arbitration, prosecution of a lawsuit, or otherwise.

11. Dispute Resolution

You agree to settle any dispute, claim, or controversy arising directly or indirectly from the enforcement, interpretation, validity, breach, application or termination of these Terms or the Privacy Notice (collectively, “Disputes“) through binding arbitration under the Arbitration Rules of the ADR Institute of Canada Inc.. We shall always retain the right to seek injunctive or other equitable relief in a court of competent jurisdiction to prevent the actual or threatened infringement, misappropriation, or violation of our Intellectual Property Rights. The arbitration shall be conducted in Toronto, Ontario, in the English language, by a single arbitrator appointed under the Rules. The arbitration will include a written confidential record of the arbitrator’s findings, which shall be final.

12. Changes to Platform

We reserve the right, at any time and for any reason, to (1) modify, suspend, or terminate any elements of the Platform, in whole or in part, without notice to you and without liability to you or any third-party; (2) refuse to offer the Platform to you, or in any jurisdiction; and (3) to report abuse of any kind you make toward us, our Representatives, or the Platform to the authorities.

13. Changes to these terms

  • We may make some changes or updates to these Terms from time to time without notifying you. A log of such changes will appear in the Change Log on the last page of these Terms. The changes will come into effect on the day they are made or on a future date as indicated. It is your responsibility to check these Terms and the Change Log from time to time.
    • ○ WHEN YOU USE THE PLATFORM OR RECEIVE SERVICES, YOU ARE BOUND TO THE TERMS IN EFFECT ON THE DATE ON WHICH YOU USE THE PLATFORM OR RECEIVE THE SERVICES.

14. Contacting Us and Code of Conduct

If you have any questions regarding these Terms visit our Contact Us page. Please refer to the Privacy Notice on how we collect and use your information.

  • ● To help us maintain dialogue that is relevant and respectful of the rights of others, you understand that when you submit comments or messages, or otherwise contact us via the Platform, via email, or to our mailing address, you will not: Include content that is discriminatory, abusive, vulgar, hateful, harassing, obscene, profane, sexually oriented, threatening, intimidating, coercive, invasive of a person’s privacy or right to publicity, or otherwise violate of any law.
  • ● Infringe on copyrights, trademarks or trade secrets.
  • ● Include content that includes additional private and/or personal information (of you or another, including an individual who is photographed).
  • ● Attempt to inform us of the identity of a photographed subject who is not you or impersonate a photographed subject.
  • ● Request us to identify or disclose the personal (health) information of a photographed subject without lawful authority
  • ● Seek medical advice (consult your personal physician) or disclose personal health information.
  • ● Promote commercial services and products, or causes.
  • ● Contact or message us in manner that would constitute spamming (e.g., messages that are irrelevant to the topic and/or to the Platform’s purpose), trolling (defined as comments that appear intended to send the discussion in a fruitless direction), or harassing.
    • ○ Messages that are sent (in whichever medium or format, digital or physical) in violation of these Terms may be blocked at our sole discretion.

We do not accept submissions for Content on this Site.

15. General

Entire Agreement. These Terms and the Privacy Notice and any other documents, policies, notices, or guidelines are incorporated by reference in these Terms or in the Privacy Notice, contain the entire understanding and agreement between us and you about your Use of the Site and Content, and supersede any prior agreements between you and us about the subject matter of these Terms, including, but not limited to, any previous versions of these Terms.

Severability. If any part of these Terms is found void and unenforceable by a court or arbitrator of competent jurisdiction, then that provision shall be severed from these Terms and the rest of these Terms will remain valid and enforceable.

Cumulative Remedies. Other than as expressly stated in these Terms, and subject to the Dispute Resolution section, the remedies provided in these Terms are in addition to, and without prejudice to, any other remedies you or we may have at law or in equity.

Waiver. If we choose not to enforce any right that we have against you at any time, this does not prevent us from later exercising or enforcing that right.

Assignment. We may assign these Terms without notice to you or consent from you.

Governing Law and Jurisdiction. These Terms shall be governed by and interpreted under the laws of the Province of Ontario and the laws of Canada applicable in Ontario, without regard to principles of conflicts of laws that may impose the laws of another jurisdiction. Subject to the Dispute Resolution provisions, you and we irrevocably and unconditionally submit to the exclusive jurisdiction of the courts of the Province of Ontario regarding any dispute or claim that may arise from or in connection with these Terms.

Enurement. These Terms will be binding upon and inure to your and our benefit and to the use of your and our respective heirs, successors, permitted assigns, and legal representatives.

Survival. Any provisions of these Terms that require or contemplate performance after termination and, by their nature, must survive the termination, or your Use of the Services will survive such termination.

16. Change Log

Last updated: September 8, 2025