The Annals of British Medical Sciences (ABMS) is published Semi-annually. ABMS is an online, electronic publication of general circulation to the Medical and Biomedical community. The Annals of British Medical Sciences is a peer-reviewed publication that contains original general interest and discipline specific articles related to the Medical and Biomedical field. The materials, articles, and information provided in this journal have been peer reviewed by the independent reviewer and members of the editorial board of the ABMS. The information contained in this journal is not intended to create any kind of patient-therapist relationship or representation whatsoever.