html{font-family:sans-serif;-ms-text-size-adjust:100%;-webkit-text-size-adjust:100%;}body{margin:0;}article,aside,details,figcaption,figure,footer,header,hgroup,main,menu,nav,section,summary{display:block;}audio,canvas,progress,video{display:inline-block;vertical-align:baseline;}audio:not([controls]){display:none;height:0;}[hidden],template{display:none;}a{background-color:transparent;}a:active,a:hover{outline:0;}abbr[title]{border-bottom:1px dotted;}b,strong{font-weight:bold;}dfn{font-style:italic;}h1{font-size:2em;margin:0.67em 0;}mark{background:#ff0;color:#000;}small{font-size:80%;}sub,sup{font-size:75%;line-height:0;position:relative;vertical-align:baseline;}sup{top:-0.5em;}sub{bottom:-0.25em;}img{border:0;}svg:not(:root){overflow:hidden;}figure{margin:1em 40px;}hr{-moz-box-sizing:content-box;box-sizing:content-box;height:0;}pre{overflow:auto;}code,kbd,pre,samp{font-family:monospace,monospace;font-size:1em;}button,input,optgroup,select,textarea{color:inherit;font:inherit;margin:0;}button{overflow:visible;}button,select{text-transform:none;}button,html input[type="button"],input[type="reset"],input[type="submit"]{-webkit-appearance:button;cursor:pointer;}button[disabled],html input[disabled]{cursor:default;}button::-moz-focus-inner,input::-moz-focus-inner{border:0;padding:0;}input{line-height:normal;}input[type="checkbox"],input[type="radio"]{box-sizing:border-box;padding:0;}input[type="number"]::-webkit-inner-spin-button,input[type="number"]::-webkit-outer-spin-button{height:auto;}input[type="search"]{-webkit-appearance:textfield;-moz-box-sizing:content-box;-webkit-box-sizing:content-box;box-sizing:content-box;}input[type="search"]::-webkit-search-cancel-button,input[type="search"]::-webkit-search-decoration{-webkit-appearance:none;}fieldset{border:1px solid #c0c0c0;margin:0 2px;padding:0.35em 0.625em 0.75em;}legend{border:0;padding:0;}textarea{overflow:auto;}optgroup{font-weight:bold;}table{border-collapse:collapse;border-spacing:0;}td,th{padding:0;}
@media print{*{background-color:transparent !important;color:#000 !important;box-shadow:none !important;text-shadow:none !important;}body{padding-top:0;}a,a:visited{text-decoration:underline;}pre,blockquote{border:1px solid #999;page-break-inside:avoid;}thead{display:table-header-group;}tr,img{page-break-inside:avoid;}img{max-width:100% !important;}p,h2,h3{orphans:3;widows:3;}h2,h3{page-break-after:avoid;}a,.link{color:#000;text-decoration:underline;}.button,.button--primary{background:none !important;}.messages{border-width:1px;border-left-color:#999;}.print-only{display:block;}.print-hidden{display:none;}}
@font-face{font-family:'interfaceregular';src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_rg-webfont.eot);src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_rg-webfont.eot?#iefix) format('embedded-opentype'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_rg-webfont.woff) format('woff'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_rg-webfont.ttf) format('truetype'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_rg-webfont.svg#interfaceregular) format('svg');font-weight:normal;font-style:normal;}@font-face{font-family:'interfacelight';src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_lt-webfont.eot);src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_lt-webfont.eot?#iefix) format('embedded-opentype'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_lt-webfont.woff) format('woff'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_lt-webfont.ttf) format('truetype');font-weight:normal;font-style:normal;}@font-face{font-family:'interfaceitalic';src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_it-webfont.eot);src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_it-webfont.eot?#iefix) format('embedded-opentype'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_it-webfont.woff) format('woff'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_it-webfont.ttf) format('truetype'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_it-webfont.svg#interfaceregular) format('svg');font-weight:normal;font-style:italic;}@font-face{font-family:'interfacebold';src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_bd-webfont.eot);src:url(/sites/default/themes/bmjj/css/base/fonts/if_std_bd-webfont.eot?#iefix) format('embedded-opentype'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_bd-webfont.woff) format('woff'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_bd-webfont.ttf) format('truetype'),url(/sites/default/themes/bmjj/css/base/fonts/if_std_bd-webfont.svg#interfaceregular) format('svg');font-weight:bold;font-style:normal;}@font-face{font-family:'icomoon';src:url(/sites/default/themes/bmjj/css/base/fonts/icomoon.eot?du5ho7);src:url(/sites/default/themes/bmjj/css/base/fonts/icomoon.eot?du5ho7#iefix) format('embedded-opentype'),url(/sites/default/themes/bmjj/css/base/fonts/icomoon.ttf?du5ho7) format('truetype'),url(/sites/default/themes/bmjj/css/base/fonts/icomoon.woff?du5ho7) format('woff'),url(/sites/default/themes/bmjj/css/base/fonts/icomoon.svg?du5ho7#icomoon) format('svg');font-weight:normal;font-style:normal;}[class^="icon-"],[class*=" icon-"]{font-family:'icomoon';speak:none;font-style:normal;font-weight:normal;font-variant:normal;text-transform:none;line-height:1;-webkit-font-smoothing:antialiased;-moz-osx-font-smoothing:grayscale;}.icon-arrow-down:before{content:"\e800";}.icon-arrow-left:before{content:"\e801";}.icon-arrow-right:before{content:"\e802";}.icon-arrow-up:before{content:"\e803";}.icon-article-alerts:before{content:"\e804";}.icon-article-info:before{content:"\e805";}.icon-article-stats:before{content:"\e806";}.icon-article-text:before{content:"\e807";}.icon-basket:before{content:"\e808";}.icon-blog:before{content:"\e809";}.icon-citation-tools:before{content:"\e80b";}.icon-close:before{content:"\e80c";}.icon-facebook:before{content:"\e80d";}.icon-google-plus:before{content:"\e80e";}.icon-journals:before{content:"\e80f";}.icon-librarian:before{content:"\e810";}.icon-menu:before{content:"\e811";}.icon-open-access:before{content:"\e812";}.icon-open-lock:before{content:"\e813";}.icon-pen:before{content:"\e814";}.icon-plus:before{content:"\e815";}.icon-publish:before{content:"\e816";}.icon-related:before{content:"\e817";}.icon-responses:before{content:"\e818";}.icon-rss:before{content:"\e819";}.icon-search:before{content:"\e81a";}.icon-share:before{content:"\e81b";}.icon-society:before{content:"\e81c";}.icon-soundcloud:before{content:"\e81d";}.icon-star2:before{content:"\e81e";}.icon-twitter:before{content:"\e81f";}.icon-youtube:before{content:"\e820";}.icon-nav-jobs:before{content:"\e900";}.icon-nav-pen:before{content:"\e901";}.icon-star:before{content:"\e902";}.icon-nav-societies:before{content:"\e903";}.icon-nav-open-access:before{content:"\e904";}.icon-nav-librarians:before{content:"\e905";}.icon-nav-journals:before{content:"\e906";}.icon-clock:before{content:"\e907";}.icon-pencil:before{content:"\e908";}.icon-nav-open:before{content:"\e909";}.icon-latest-articles:before{content:"\e90a";}*{-webkit-font-smoothing:antialiased;}html{font-size:62.5%;}body{font-size:1.5em;line-height:1.6;font-weight:400;font-family:interfaceregular,"HelveticaNeue","Helvetica Neue",Helvetica,Arial,sans-serif;color:#222;}.auto-clean h2{font-family:interfaceregular,"HelveticaNeue","Helvetica Neue",Helvetica,Arial,sans-serif;}a{font-weight:normal;text-decoration:none;}a:focus{outline:thin dotted;}small{font-size:75%;}h1,h2,h3,h4,h5,h6{line-height:1;text-rendering:optimizeLegibility;color:#222222;margin-top:0;margin-bottom:2rem;font-weight:300;}h1{font-size:2.9rem;line-height:1.25;letter-spacing:-.1rem;}h2{font-size:2.6rem;line-height:1.3;letter-spacing:-.1rem;}h3{font-size:2.3rem;line-height:1.35;letter-spacing:-.08rem;}h4{font-size:2.0rem;line-height:1.5;letter-spacing:-.05rem;}h5{font-size:1.7rem;line-height:1.6;letter-spacing:0;font-weight:600;}h6{font-size:1.7rem;line-height:1.6;letter-spacing:0;font-style:italic;}p{margin:0 auto 1.5em auto;}p + p{}q{quotes:'\00201C' '\00201D';}q:before{content:open-quote;}q:after{content:close-quote;}blockquote,q{margin:1em 3em;padding:.75em 1em;border-left:1px solid #cccccc;font-style:italic;font-size:1.5rem;background-color:transparent;display:block;padding-left:20px;padding-right:20px;margin:30px;}blockquote p:last-child{margin-bottom:0;}hr{border:0;height:1px;margin:2em auto;width:85%;background-image:-webkit-linear-gradient(left,rgba(0,0,0,0),rgba(0,0,0,0.5),rgba(0,0,0,0));background-image:-moz-linear-gradient(left,rgba(0,0,0,0),rgba(0,0,0,0.5),rgba(0,0,0,0));background-image:-ms-linear-gradient(left,rgba(0,0,0,0),rgba(0,0,0,0.5),rgba(0,0,0,0));background-image:-o-linear-gradient(left,rgba(0,0,0,0),rgba(0,0,0,0.5),rgba(0,0,0,0));}hr.thin{margin:10px auto;}hr.collapse-margin{margin:0 auto;}html .no-right-padding{padding-right:0;}.clear{clear:both;}.relative{position:relative;}.uppercase{text-transform:uppercase;}.element-invisible{width:1px;}.element-invisible.element-focusable:active,.element-invisible.element-focusable:focus{width:auto;}.strike{text-decoration:line-through;}span[class="styled-content pink"]{color:#E4919F;}
.mobile-hidden,.narrow-only,.normal-only,.wide-only{display:none;}@media all and (min-width:1220px){*.mobile-only{display:none;}[class^="grid-"].mobile-hidden,[class*=" grid-"].mobile-hidden,span.mobile-hidden,a.mobile-hidden{display:inline;}*.mobile-hidden{display:block;}}@media all and (min-width:1024px) and (min-device-width:1024px),all (max-width:1220px) and (max-device-width:1220px) and (orientation:landscape){*.mobile-only{display:none;}[class^="grid-"].mobile-hidden,[class*=" grid-"].mobile-hidden,span.mobile-hidden,a.mobile-hidden{display:inline;}*.mobile-hidden{display:block;}}@media all and (min-width:768px) and (min-device-width:768px),(max-device-width:800px) and (min-width:768px) and (orientation:landscape){*.mobile-only{display:none;}[class^="grid-"].mobile-hidden,[class*=" grid-"].mobile-hidden,span.mobile-hidden,a.mobile-hidden{display:inline;}*.mobile-hidden{display:block;}}@media all and (min-width:768px) and (min-device-width:768px),(max-device-width:800px) and (min-width:768px) and (orientation:landscape){*.narrow-only{display:block;}[class^="grid-"].narrow-only,[class*=" grid-"].narrow-only,span.narrow-only,a.narrow-only{display:inline;}*.narrow-hidden{display:none;}}@media all and (min-width:1024px) and (min-device-width:1024px),all (max-width:1220px) and (max-device-width:1220px) and (orientation:landscape){*.narrow-only,[class^="grid-"].narrow-only,[class*=" grid-"].narrow-only,span.narrow-only,a.narrow-only{display:none;}[class^="grid-"].narrow-hidden,[class*=" grid-"].narrow-hidden,span.narrow-hidden,a.narrow-hidden{display:inline;}*.narrow-hidden{display:block;}*.normal-only{display:block;}[class^="grid-"].normal-only,[class*=" grid-"].normal-only,span.normal-only,a.normal-only{display:inline;}*.normal-hidden{display:none;}}@media all and (min-width:1220px){*.narrow-only,[class^="grid-"].narrow-only,[class*=" grid-"].narrow-only,span.narrow-only,a.narrow-only,*.normal-only,[class^="grid-"].normal-only,[class*=" grid-"].normal-only,span.normal-only,a.normal-only{display:none;}[class^="grid-"].normal-hidden,[class*=" grid-"].normal-hidden,span.normal-hidden,a.normal-hidden,[class^="grid-"].narrow-hidden,[class*=" grid-"].narrow-hidden,span.narrow-hidden,a.narrow-hidden{display:inline;}*.normal-hidden,*.narrow-hidden{display:block;}*.wide-only{display:block;}[class^="grid-"].wide-only,[class*=" grid-"].wide-only,span.wide-only,a.wide-only{display:inline;}*.wide-hidden{display:none;}}
.container{margin-right:auto;margin-left:auto;padding-left:7.5px;padding-right:7.5px;}@media (min-width:768px){.container{width:735px;}}@media (min-width:1024px){.container{width:955px;}}@media (min-width:1220px){.container{width:1155px;}}.container-fluid{margin-right:auto;margin-left:auto;padding-left:7.5px;padding-right:7.5px;}.row{margin-left:-7.5px;margin-right:-7.5px;}.col,.col-mobile-1,.col-narrow-1,.col-normal-1,.col-wide-1,.col-mobile-2,.col-narrow-2,.col-normal-2,.col-wide-2,.col-mobile-3,.col-narrow-3,.col-normal-3,.col-wide-3,.col-mobile-4,.col-narrow-4,.col-normal-4,.col-wide-4,.col-mobile-5,.col-narrow-5,.col-normal-5,.col-wide-5,.col-mobile-6,.col-narrow-6,.col-normal-6,.col-wide-6,.col-mobile-7,.col-narrow-7,.col-normal-7,.col-wide-7,.col-mobile-8,.col-narrow-8,.col-normal-8,.col-wide-8,.col-mobile-9,.col-narrow-9,.col-normal-9,.col-wide-9,.col-mobile-10,.col-narrow-10,.col-normal-10,.col-wide-10,.col-mobile-11,.col-narrow-11,.col-normal-11,.col-wide-11,.col-mobile-12,.col-narrow-12,.col-normal-12,.col-wide-12{position:relative;min-height:1px;padding-left:7.5px;padding-right:7.5px;}.col,.col-mobile-1,.col-mobile-2,.col-mobile-3,.col-mobile-4,.col-mobile-5,.col-mobile-6,.col-mobile-7,.col-mobile-8,.col-mobile-9,.col-mobile-10,.col-mobile-11,.col-mobile-12{float:left;}.col-mobile-12{width:100%;}.col-mobile-11{width:91.66666667%;}.col-mobile-10{width:83.33333333%;}.col-mobile-9{width:75%;}.col-mobile-8{width:66.66666667%;}.col-mobile-7{width:58.33333333%;}.col-mobile-6{width:50%;}.col-mobile-5{width:41.66666667%;}.col-mobile-4{width:33.33333333%;}.col-mobile-3{width:25%;}.col-mobile-2{width:16.66666667%;}.col-mobile-1{width:8.33333333%;}.col-mobile-pull-12{right:100%;}.col-mobile-pull-11{right:91.66666667%;}.col-mobile-pull-10{right:83.33333333%;}.col-mobile-pull-9{right:75%;}.col-mobile-pull-8{right:66.66666667%;}.col-mobile-pull-7{right:58.33333333%;}.col-mobile-pull-6{right:50%;}.col-mobile-pull-5{right:41.66666667%;}.col-mobile-pull-4{right:33.33333333%;}.col-mobile-pull-3{right:25%;}.col-mobile-pull-2{right:16.66666667%;}.col-mobile-pull-1{right:8.33333333%;}.col-mobile-pull-0{right:auto;}.col-mobile-push-12{left:100%;}.col-mobile-push-11{left:91.66666667%;}.col-mobile-push-10{left:83.33333333%;}.col-mobile-push-9{left:75%;}.col-mobile-push-8{left:66.66666667%;}.col-mobile-push-7{left:58.33333333%;}.col-mobile-push-6{left:50%;}.col-mobile-push-5{left:41.66666667%;}.col-mobile-push-4{left:33.33333333%;}.col-mobile-push-3{left:25%;}.col-mobile-push-2{left:16.66666667%;}.col-mobile-push-1{left:8.33333333%;}.col-mobile-push-0{left:auto;}.col-mobile-offset-12{margin-left:100%;}.col-mobile-offset-11{margin-left:91.66666667%;}.col-mobile-offset-10{margin-left:83.33333333%;}.col-mobile-offset-9{margin-left:75%;}.col-mobile-offset-8{margin-left:66.66666667%;}.col-mobile-offset-7{margin-left:58.33333333%;}.col-mobile-offset-6{margin-left:50%;}.col-mobile-offset-5{margin-left:41.66666667%;}.col-mobile-offset-4{margin-left:33.33333333%;}.col-mobile-offset-3{margin-left:25%;}.col-mobile-offset-2{margin-left:16.66666667%;}.col-mobile-offset-1{margin-left:8.33333333%;}.col-mobile-offset-0{margin-left:0%;}@media (min-width:768px){.col,.col-narrow-1,.col-narrow-2,.col-narrow-3,.col-narrow-4,.col-narrow-5,.col-narrow-6,.col-narrow-7,.col-narrow-8,.col-narrow-9,.col-narrow-10,.col-narrow-11,.col-narrow-12{float:left;}.col-narrow-12{width:100%;}.col-narrow-11{width:91.66666667%;}.col-narrow-10{width:83.33333333%;}.col-narrow-9{width:75%;}.col-narrow-8{width:66.66666667%;}.col-narrow-7{width:58.33333333%;}.col-narrow-6{width:50%;}.col-narrow-5{width:41.66666667%;}.col-narrow-4{width:33.33333333%;}.col-narrow-3{width:25%;}.col-narrow-2{width:16.66666667%;}.col-narrow-1{width:8.33333333%;}.col-narrow-pull-12{right:100%;}.col-narrow-pull-11{right:91.66666667%;}.col-narrow-pull-10{right:83.33333333%;}.col-narrow-pull-9{right:75%;}.col-narrow-pull-8{right:66.66666667%;}.col-narrow-pull-7{right:58.33333333%;}.col-narrow-pull-6{right:50%;}.col-narrow-pull-5{right:41.66666667%;}.col-narrow-pull-4{right:33.33333333%;}.col-narrow-pull-3{right:25%;}.col-narrow-pull-2{right:16.66666667%;}.col-narrow-pull-1{right:8.33333333%;}.col-narrow-pull-0{right:auto;}.col-narrow-push-12{left:100%;}.col-narrow-push-11{left:91.66666667%;}.col-narrow-push-10{left:83.33333333%;}.col-narrow-push-9{left:75%;}.col-narrow-push-8{left:66.66666667%;}.col-narrow-push-7{left:58.33333333%;}.col-narrow-push-6{left:50%;}.col-narrow-push-5{left:41.66666667%;}.col-narrow-push-4{left:33.33333333%;}.col-narrow-push-3{left:25%;}.col-narrow-push-2{left:16.66666667%;}.col-narrow-push-1{left:8.33333333%;}.col-narrow-push-0{left:auto;}.col-narrow-offset-12{margin-left:100%;}.col-narrow-offset-11{margin-left:91.66666667%;}.col-narrow-offset-10{margin-left:83.33333333%;}.col-narrow-offset-9{margin-left:75%;}.col-narrow-offset-8{margin-left:66.66666667%;}.col-narrow-offset-7{margin-left:58.33333333%;}.col-narrow-offset-6{margin-left:50%;}.col-narrow-offset-5{margin-left:41.66666667%;}.col-narrow-offset-4{margin-left:33.33333333%;}.col-narrow-offset-3{margin-left:25%;}.col-narrow-offset-2{margin-left:16.66666667%;}.col-narrow-offset-1{margin-left:8.33333333%;}.col-narrow-offset-0{margin-left:0%;}}@media (min-width:1024px){.col,.col-normal-1,.col-normal-2,.col-normal-3,.col-normal-4,.col-normal-5,.col-normal-6,.col-normal-7,.col-normal-8,.col-normal-9,.col-normal-10,.col-normal-11,.col-normal-12{float:left;}.col-normal-12{width:100%;}.col-normal-11{width:91.66666667%;}.col-normal-10{width:83.33333333%;}.col-normal-9{width:75%;}.col-normal-8{width:66.66666667%;}.col-normal-7{width:58.33333333%;}.col-normal-6{width:50%;}.col-normal-5{width:41.66666667%;}.col-normal-4{width:33.33333333%;}.col-normal-3{width:25%;}.col-normal-2{width:16.66666667%;}.col-normal-1{width:8.33333333%;}.col-normal-pull-12{right:100%;}.col-normal-pull-11{right:91.66666667%;}.col-normal-pull-10{right:83.33333333%;}.col-normal-pull-9{right:75%;}.col-normal-pull-8{right:66.66666667%;}.col-normal-pull-7{right:58.33333333%;}.col-normal-pull-6{right:50%;}.col-normal-pull-5{right:41.66666667%;}.col-normal-pull-4{right:33.33333333%;}.col-normal-pull-3{right:25%;}.col-normal-pull-2{right:16.66666667%;}.col-normal-pull-1{right:8.33333333%;}.col-normal-pull-0{right:auto;}.col-normal-push-12{left:100%;}.col-normal-push-11{left:91.66666667%;}.col-normal-push-10{left:83.33333333%;}.col-normal-push-9{left:75%;}.col-normal-push-8{left:66.66666667%;}.col-normal-push-7{left:58.33333333%;}.col-normal-push-6{left:50%;}.col-normal-push-5{left:41.66666667%;}.col-normal-push-4{left:33.33333333%;}.col-normal-push-3{left:25%;}.col-normal-push-2{left:16.66666667%;}.col-normal-push-1{left:8.33333333%;}.col-normal-push-0{left:auto;}.col-normal-offset-12{margin-left:100%;}.col-normal-offset-11{margin-left:91.66666667%;}.col-normal-offset-10{margin-left:83.33333333%;}.col-normal-offset-9{margin-left:75%;}.col-normal-offset-8{margin-left:66.66666667%;}.col-normal-offset-7{margin-left:58.33333333%;}.col-normal-offset-6{margin-left:50%;}.col-normal-offset-5{margin-left:41.66666667%;}.col-normal-offset-4{margin-left:33.33333333%;}.col-normal-offset-3{margin-left:25%;}.col-normal-offset-2{margin-left:16.66666667%;}.col-normal-offset-1{margin-left:8.33333333%;}.col-normal-offset-0{margin-left:0%;}}@media (min-width:1220px){.col,.col-wide-1,.col-wide-2,.col-wide-3,.col-wide-4,.col-wide-5,.col-wide-6,.col-wide-7,.col-wide-8,.col-wide-9,.col-wide-10,.col-wide-11,.col-wide-12{float:left;}.col-wide-12{width:100%;}.col-wide-11{width:91.66666667%;}.col-wide-10{width:83.33333333%;}.col-wide-9{width:75%;}.col-wide-8{width:66.66666667%;}.col-wide-7{width:58.33333333%;}.col-wide-6{width:50%;}.col-wide-5{width:41.66666667%;}.col-wide-4{width:33.33333333%;}.col-wide-3{width:25%;}.col-wide-2{width:16.66666667%;}.col-wide-1{width:8.33333333%;}.col-wide-pull-12{right:100%;}.col-wide-pull-11{right:91.66666667%;}.col-wide-pull-10{right:83.33333333%;}.col-wide-pull-9{right:75%;}.col-wide-pull-8{right:66.66666667%;}.col-wide-pull-7{right:58.33333333%;}.col-wide-pull-6{right:50%;}.col-wide-pull-5{right:41.66666667%;}.col-wide-pull-4{right:33.33333333%;}.col-wide-pull-3{right:25%;}.col-wide-pull-2{right:16.66666667%;}.col-wide-pull-1{right:8.33333333%;}.col-wide-pull-0{right:auto;}.col-wide-push-12{left:100%;}.col-wide-push-11{left:91.66666667%;}.col-wide-push-10{left:83.33333333%;}.col-wide-push-9{left:75%;}.col-wide-push-8{left:66.66666667%;}.col-wide-push-7{left:58.33333333%;}.col-wide-push-6{left:50%;}.col-wide-push-5{left:41.66666667%;}.col-wide-push-4{left:33.33333333%;}.col-wide-push-3{left:25%;}.col-wide-push-2{left:16.66666667%;}.col-wide-push-1{left:8.33333333%;}.col-wide-push-0{left:auto;}.col-wide-offset-12{margin-left:100%;}.col-wide-offset-11{margin-left:91.66666667%;}.col-wide-offset-10{margin-left:83.33333333%;}.col-wide-offset-9{margin-left:75%;}.col-wide-offset-8{margin-left:66.66666667%;}.col-wide-offset-7{margin-left:58.33333333%;}.col-wide-offset-6{margin-left:50%;}.col-wide-offset-5{margin-left:41.66666667%;}.col-wide-offset-4{margin-left:33.33333333%;}.col-wide-offset-3{margin-left:25%;}.col-wide-offset-2{margin-left:16.66666667%;}.col-wide-offset-1{margin-left:8.33333333%;}.col-wide-offset-0{margin-left:0%;}}.container:before,.container:after,.container-fluid:before,.container-fluid:after,.row:before,.row:after{content:" ";display:table;}.container:after,.container-fluid:after,.row:after{clear:both;}.center-block{display:block;margin-left:auto;margin-right:auto;}.pull-right{float:right !important;}.pull-left{float:left !important;}.container.panel-display-admin,.container-fluid.panel-display-admin{padding-left:0;padding-right:0;}*,*:before,*:after{-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;}
body.node-type-highwire-article .section-content{background-color:#f9f9f9;padding-bottom:100px;}.editors-choice{padding-left:10px;height:14px;}.bmjj-open-access{display:inline;fill:#E37222;width:20px;height:17px;padding-left:8px;}.bmjj-free{color:#CC1F2C;text-transform:uppercase;font-size:1.7rem;margin-left:15px;}.article-title{padding-left:0;clear:left;}.article-title .icon-open-access{height:20px;}.article-title .bmjj-free{font-size:1.7rem;}.article-title #article-title,.article-title .highwire-cite{font-size:2.3rem;line-height:1.1;margin-bottom:1rem;margin-top:2rem;font-weight:500;display:block;}.article-title .highwire-cite-title{display:inline;}.article-title .highwire-cite-title div{display:inline;}.pane-article-pdf + .panel-separator + .article-title{clear:both;}.article-pane{background-color:#fff;border-left:solid 1px #ccc;border-right:solid 1px #ccc;border-bottom:solid 1px #ccc;padding:0 1.5rem 2rem;color:#333333;}.article-pane p{line-height:2.5rem;margin-bottom:10px;}.article-pane h2,.article-pane h2.pane-title{font-size:2.0rem;margin-bottom:10px;margin-top:20px;color:#333;letter-spacing:0;font-weight:500;line-height:2.2rem;}.article-pane .bmjj-correspondence .pane-title{font-size:1.7rem;font-weight:bold;}.article-pane .clipboard-copy{margin-bottom:10px;display:table;}.article-pane .clipboard-copy .input-text-url{display:table-cell;width:100%;}.article-pane .clipboard-copy .input-text-url input[type="text"]{border-radius:0;border-right:0;width:100%;color:#ccc;}.article-pane .clipboard-copy .copy-button{padding:0;font-size:14px;line-height:1;color:#555;text-align:center;border:0;white-space:nowrap;vertical-align:middle;display:table-cell;}.article-pane .clipboard-copy .copy-button > button{border-radius:0 2px 2px 0;display:block;padding:9px 17px;}.article-pane .clipboard-copy .label-url{display:none;}.article-pane .service-links{border-bottom:1px solid #ccc;padding-bottom:20px;}.article-pane .service-links > a{margin-right:15px;}.article-pane .issue-toc-list,.article-pane .publication-history{list-style:none;margin:0;padding:0;}.article-pane .issue-toc-list li,.article-pane .publication-history li{margin-bottom:0;list-style:none;}.article-pane .related-data-dryad{margin-top:10px;}.article-pane .pane-highwire-article-data-supp ul{padding:0px;margin:0;}.article-pane .pane-highwire-article-data-supp ul li{list-style-type:none;padding:0;margin:0;}.article-pane .altmetric-embed{z-index:0;position:relative;}.article-pane .pane-highwire-article-comments-list > .pane-title{border-top:1px solid #ddd;margin-top:15px;margin-bottom:10px;padding-top:15px;}.article-pane .field-name-field-highwire-copyright .field-label{display:inline;}.article-pane .field-name-field-highwire-copyright .field-items{float:none;}.article-pane a#article-bottom{clear:both;display:block;position:relative;}.article-pane .bmjj-linked-article{display:block;}.article-pane .h2-as-label.pane-highwire-copyright h2,.article-pane .h2-as-label.pane-highwire-copyright div{display:inline;}.article-pane .h2-as-label.pane-highwire-copyright h2{font-weight:bold;font-size:1.7rem !important;padding-right:5px;}.bmjj-corresp .pane-content .hw-link.hw-link-article-full-text{display:none;}.pane-article-pdf{padding:0 0 20px;}.article-pdf-link#pdf-ds-link{font-size:60%;}a.article-pdf-download{display:block;text-align:center;color:#cd202c;position:relative;right:0;top:25px;z-index:1;line-height:initial;}a.article-pdf-download:hover{color:#a11923;text-decoration:underline;}a.article-pdf-download img{display:block;margin:0 auto;}.email-alerts{padding-top:1px;font-size:1.7rem;height:30px;}.email-alerts .icon-article-alerts{float:left;font-size:3rem;line-height:2.7rem;margin-right:2px;}.email-alerts span{float:right;}.email-alerts a{vertical-align:top;}.email-alerts a .icon-article-alerts-nav{fill:#2a6ebb;width:20px;height:28px;margin-left:0;margin-right:5px;}#mobile-article-tab-container{line-height:43px;margin-bottom:-2px;}#mobile-article-tab-container p{margin:0;}#mobile-article-tab-container a:focus{outline:0;}#mobile-article-tab-container .right-wrapper{background-color:#eeeeee;color:#333333;padding:0;margin-top:3px;}#mobile-article-tab-container .right-wrapper a.mobile-article-tab{color:#333;padding-left:8px;display:block;box-shadow:none;border-color:#ccc;border-style:solid;border-width:1px;}#mobile-article-tab-container .right-wrapper a.mobile-article-tab [class^="icon-"],#mobile-article-tab-container .right-wrapper a.mobile-article-tab [class*=" icon-"]{float:right;font-size:3rem;padding:6px;}#mobile-article-tab-container .left-wrapper{border-left:solid 1px #ccc;border-right:solid 1px #ccc;border-top:solid 1px #ccc;background-color:#fff;padding-bottom:5px;}#mobile-article-tab-container .left-wrapper [class^="icon-"],#mobile-article-tab-container .left-wrapper [class*=" icon-"]{font-size:2em;vertical-align:middle;}#mobile-article-tab-container .left-wrapper br{display:none;}#mobile-article-tab-container #mobile-tab-title{white-space:nowrap;}.mobile-art-drop-down{display:none;position:absolute;z-index:2;background-color:#eee;width:100%;border:solid 1px #bbb;}.mobile-art-drop-down ul.panels-ajax-tab{padding:0;}.mobile-art-drop-down ul.panels-ajax-tab li{padding:0;margin:0;}.mobile-art-drop-down ul.panels-ajax-tab li.active a{background-color:#bbb;}.mobile-art-drop-down ul.panels-ajax-tab li a{padding:10px 0 10px 5px;line-height:2.1rem;display:block;color:#333333;font-size:1.5rem;}.mobile-art-drop-down ul.panels-ajax-tab li a:focus{outline:0;}.mobile-art-drop-down ul.panels-ajax-tab li a:hover{background-color:#bbb;}.mobile-art-drop-down ul.panels-ajax-tab li a [class^="icon-"],.mobile-art-drop-down ul.panels-ajax-tab li a [class*=" icon-"]{font-size:3.5rem;vertical-align:middle;text-shadow:-0.05px 0 #cccccc,0 0.05px #cccccc,0.05px 0 #cccccc,0 -0.05px #cccccc;margin-right:5px;}.mobile-art-drop-down ul.panels-ajax-tab li a br{display:none;}.society-logins{border-bottom:1px solid #ccc;padding-bottom:15px;margin-bottom:15px;}.society-logins .pane-content .ui-dialog-titlebar-close:before{font-size:2.5rem;}.society-logins .society-label{font-weight:normal;margin-bottom:0;}.society-logins input[type="submit"]:hover{color:#fff;}.pane-highwire-opportunity-challenge .opportunity-challenge-login{border:none;padding-bottom:0;}.pane-highwire-opportunity-challenge .opportunity-challenge-login > h3{display:none;}.pane-highwire-opportunity-challenge .opportunity-challenge-login .form-item-pass{max-width:100%;margin-bottom:0px;}.article-login.hidden{display:none;}.article-login.pane-jnl-template-bmjj-challenge > .pane-content{margin-top:10px;}.article-login .pane-challenge-opportunity-pane-dropdown{background-color:#eee;border:solid 1px #ccc;position:absolute;display:none;z-index:1;float:left;min-width:160px;margin:0;list-style:none;font-size:14px;text-align:left;border:1px solid #ccc;border:1px solid rgba(0,0,0,0.15);-webkit-box-shadow:0 6px 12px rgba(0,0,0,0.175);background-clip:padding-box;}.article-login .pane-challenge-opportunity-pane-dropdown > .pane-content{width:100%;font-size:1.6rem;border-radius:0;color:#333;margin-top:0;padding-left:1rem;padding-right:1rem;padding-top:10px;}.article-login .pane-highwire-opportunity-challenge{clear:both;}.article-login .pane-highwire-opportunity-challenge .opportunity-challenge-login{border:none;}.article-login .pane-highwire-opportunity-challenge .opportunity-challenge-login .drupal-login.compact .form-item-name{width:100%;}.article-login .pane-highwire-opportunity-challenge.institution-login{float:left;border-bottom:1px solid #ccc;padding-bottom:10px;width:100%;margin-bottom:10px;}.article-login .pane-highwire-opportunity-challenge.institution-login input[type="submit"]{color:#333;}.article-login .pane-highwire-opportunity-challenge.institution-login input[type="submit"]:hover{text-decoration:underline;}.article-login .pane-highwire-opportunity-challenge h3{display:none;}.article-login .pane-highwire-opportunity-challenge h2.pane-title{clear:both;font-size:2.1rem;margin:0;}.article-login .pane-highwire-opportunity-challenge .opportunity-challenge-institution form input{border:none;padding-left:0;margin:0;width:100%;text-align:left;}.article-login .pane-highwire-opportunity-challenge a:hover{text-decoration:underline;}.article-login .pane-highwire-opportunity-challenge .form-actions{margin:10px 0 0;}.article-login .pane-highwire-opportunity-challenge .form-submit{background-color:#0a58a3;color:#fff;width:100%;}.article-login .pane-highwire-opportunity-challenge .form-submit:hover{color:#fff;}.article-login.ui-dialog-content > .pane-content{margin-top:20px;}.article-login.ui-dialog-content .col-narrow-4:first-child{padding-left:0;}#mini-panel-jnl_template_bmjj_challenge p{text-align:center;}#mini-panel-jnl_template_bmjj_challenge button,#mini-panel-jnl_template_bmjj_challenge .highwire-foxycart-add-to-cart a,#mini-panel-jnl_template_bmjj_challenge .pane-bmjj-article-subscribe-button a{background-color:#2a6ebb;border-color:#2a6ebb;font-size:1.7rem;font-weight:normal;width:100%;color:#fff;border-radius:2px;padding-top:7px;padding-bottom:7px;}#mini-panel-jnl_template_bmjj_challenge button:hover,#mini-panel-jnl_template_bmjj_challenge .highwire-foxycart-add-to-cart a:hover,#mini-panel-jnl_template_bmjj_challenge .pane-bmjj-article-subscribe-button a:hover{color:#fff;}#mini-panel-jnl_template_bmjj_challenge button svg,#mini-panel-jnl_template_bmjj_challenge .highwire-foxycart-add-to-cart a svg,#mini-panel-jnl_template_bmjj_challenge .pane-bmjj-article-subscribe-button a svg{float:right;width:43px;height:25px;fill:#fff;border-left:solid 1px #fff;padding-left:20px;}#mini-panel-jnl_template_bmjj_challenge .article-login-link{padding-top:10px;margin-bottom:0;text-align:center;font-size:1.7rem;}#mini-panel-jnl_template_bmjj_challenge .pane-highwire-opportunity-challenge{}#mini-panel-jnl_template_bmjj_challenge.three-layout .row{margin-left:-15px;margin-right:-15px;}#mini-panel-jnl_template_bmjj_challenge.three-layout .row > div{margin-bottom:30px;padding:0 15px;}#mini-panel-jnl_template_bmjj_challenge.three-layout .row > div.left-wrapper{padding-right:15px;}#mini-panel-jnl_template_bmjj_challenge.three-layout .row > div.middle-wrapper{padding:0 15px;}#mini-panel-jnl_template_bmjj_challenge.three-layout .row > div.right-wrapper{margin-bottom:15px;}.highwire-comments .highwire-citation-type-highwire-comment{margin-bottom:2em;}.highwire-comments .highwire-comment-view-title{font-size:2.2rem;line-height:120%;}#field-highwire-a-contributors-values td,#field-highwire-a-contributors-values th,#field-highwire-a-contributors-values tbody{border:none;}a.hw-add-e-letters.link-icon:after{font-family:'icomoon';content:"\e815";position:relative;top:2px;left:3px;}a.hw-add-e-letters.link-icon.active:after{content:"\e80c";}.bmjj-linked-articles .highwire-list ul{padding:0;list-style:none;margin-bottom:0;}.highwire-markup ol.ref-use-labels{list-style:decimal;}div.highwire-markup .article .ref-list > ol{margin-left:1.5em;}div.highwire-markup .article .ref-list ol li a.rev-xref-ref{border:1px solid #ccc;padding-left:4px;padding-right:4px;margin-right:5px;margin-left:10px;color:#333;background-color:#eee;}div.highwire-markup div.ref-list .ref-use-labels .ref-label.ref-label-empty + a.rev-xref-ref{margin-left:0;}div.highwire-markup .article .ref-list ol li a.rev-xref-ref:hover{background-color:#ddd;}div.highwire-markup div.article .fig{background:#fff;border-color:#ccc;border-width:1px 0 1px 0;border-style:solid;}div.highwire-markup .fig-inline-img-wrapper,div.highwire-markup .fig-inline-img{margin-bottom:0px;}div.highwire-markup .fig-inline-img-wrapper .fig-inline-img a{box-shadow:none;border:none;}div.highwire-markup .fig-inline-img-wrapper{margin-bottom:10px;}div.highwire-markup .highwire-figure-links li{width:75%;margin-left:auto;margin-right:auto;}div.highwire-markup ul.highwire-figure-links li a{background-color:#eee;border:1px solid #ccc;color:#333333;font-size:1em;font-weight:normal;margin:3px auto 0 auto;padding:5px;border-radius:2px;text-transform:none;max-width:400px;}.oas-ads.pull-right{margin-left:20px;}#cboxWrapper{moz-border-radius:3px;webkit-border-radius:3px;border-radius:3px;}#cboxWrapper #cboxLoadedContent{margin-top:28px;margin-bottom:0;}#cboxWrapper #cboxPrevious,#cboxWrapper #cboxNext,#cboxWrapper #cboxClose,#cboxWrapper #cboxCurrent{top:0;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_art .pane-highwire-altmetrics h2.pane-title,.panels-ajax-tab-wrap-jnl_template_bmjj_tab_altmetrics .pane-highwire-altmetrics h2.pane-title{padding-bottom:8px;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_art .pane-highwire-altmetrics .altmetric-see-more-details,.panels-ajax-tab-wrap-jnl_template_bmjj_tab_altmetrics .pane-highwire-altmetrics .altmetric-see-more-details{padding-top:2px !important;}.bmjj-pub-date div.field-label{font-weight:normal;}.pane-highwire-stats form .button + .button{margin-left:1rem;}
.issue-browser{border-color:#dadada;margin:0;padding:0;}.issue-browser span{color:#6b6b6b;}.issue-browser li a,.issue-browser span:before{display:block;font-size:14px;padding:10px 0;}.issue-browser li{border-color:#dadada;border-width:0 0 1px 0;border-style:solid;margin-bottom:0;}.issue-browser li:hover{background-color:#eeeeee;}.issue-browser li.active:after,.issue-browser li.active:before{border-style:solid;border-width:7px;content:"";display:inline-block;margin-left:-7px;position:absolute;left:auto;}.issue-browser li.active:after{border-color:#ffffff transparent transparent transparent;}.issue-browser li.active:before{bottom:-15px;border-color:#dadada transparent transparent transparent;}.issue-archive-browser .issue-browser{padding-bottom:20px !important;}.highwire-list .issue-browser{margin:0;padding:0;}.pane-highwire-cover-toggle{text-align:center;position:relative;top:-17px;}.archive-title{color:#6b6b6b;}.node-type-highwire-issue .pane-page-title{position:relative;}.node-type-highwire-issue .pane-page-title #page-title{margin-top:0;}.pane-page-title #page-title{margin-top:0;}.page-content-by .pane-page-title + .panel-separator + .pane-page-title-suffix{margin-bottom:0;padding-left:10px;position:relative;top:-0.25em;}.page-content-by .pane-page-title,.pane-page-title + .panel-separator,.page-content-by .pane-page-title + .panel-separator + .pane-page-title-suffix{display:inline-block;}.issue-archive-browser .bx-wrapper .bx-controls-direction a{position:absolute;font-size:2em;top:15px;z-index:0;}.issue-archive-browser .bx-wrapper .bx-controls-direction a.disabled{display:none;}.highwire-pager.highwire-issue-archive-pager{min-height:45px;}.issue-archive-browser .bx-wrapper .bx-prev{left:0;}.sidebar-right-wrapper.grid-10.omega{display:none;}label.itoggle.iToff span:before,label.itoggle.iTon span:after{color:#ACADAE;}label.itoggle.iTon span:before,label.itoggle.iToff span:after{background-color:#747678;}.archive-issue-list{border-left:0px solid #dadada;}.archive-issue-list .issue-title{display:none;}.pane-highwire-back-to-top .back-to-top .icon{display:block;}.archive-issue-list div.issue-list-month{float:left;background-color:transparent;color:#747678;font-size:1.5em;font-weight:normal;text-transform:none;text-align:left;line-height:25.5px;width:150px;}.archive-issue-list .issue-month-detail + div.issue-list-month{margin-top:10px;}.archive-issue-list ul.issue-month-detail{border-bottom:1px solid #cccccc;margin-left:0;margin-bottom:10px;padding-bottom:10px;padding-left:0;}.archive-issue-list .issue-month-detail.show-cover-image.single-issue{width:100%;}.archive-issue-list .issue-month-detail.show-cover-image.single-issue > li{width:50%;}.archive-issue-list .issue-month-detail,.archive-issue-list .issue-link .cover-image-toggle{border:0px solid #dadada;}.archive-issue-list ul.issue-month-detail:before,.archive-issue-list ul.issue-month-detail:after{content:"";height:0px;margin:0;left:0;top:0;width:0px;-webkit-border-radius:0px;-moz-border-radius:0px;border-radius:0px;}.archive-issue-list .issue-month-detail:before,.archive-issue-list .issue-month-detail:after{background-color:#fff;}.archive-issue-list .issue-month-detail li.first:before,.archive-issue-list .issue-month-detail li.first:after{border-style:solid;border-width:0px;content:"";display:inline-block;margin-top:-10px;position:absolute;top:1em;left:-19px;}.bx-controls.bx-has-controls-direction .bx-next .icon,.bx-controls.bx-has-controls-direction .bx-prev .icon,.pager.highwire-issue-archive-pager .pager-next .pager-link-prev .icon,.pager.highwire-issue-archive-pager .pager-prev .pager-link-prev .icon{font-size:4rem;}.bx-controls.bx-has-controls-direction .bx-next .icon,.bx-controls.bx-has-controls-direction .bx-prev .icon{display:inline-block;margin-top:0px;}.pane-highwire-back-to-top .back-to-top .icon{font-size:4rem;margin-bottom:-10px;}.pane-highwire-issue-archive{margin-right:10px !important;margin-left:10px !important;}a.pager-link-prev.link-icon .year,a.pager-link-next.link-icon .year{display:inline-block;vertical-align:top;padding-top:10px;}.pane-highwire-issue-archive-pager .icon-arrow-left .title{position:absolute;margin-top:0.5em;}.highwire-issue-archive-pager a.pager-link-prev.link-icon .year{margin-left:-10px !important;}.highwire-issue-archive-pager a.pager-link-next.link-icon .year{margin-right:-10px !important;}label.ilabel,label.itoggle,label.itoggle span{font-size:0.93em;}.pane-highwire-issue-archive-vol-nav .issue-browser a,.pane-highwire-issue-archive-date-nav .issue-browser a,.pane-highwire-issue-archive-date-nav .issue-browser span{line-height:1;margin-top:4px;}.issue-archive-browser .bx-pager{display:none;}.highwire-issue-archive-pager .pager-next{float:right;}.highwire-issue-archive-pager .pager-prev .title,.highwire-issue-archive-pager .pager-next .title{line-height:4rem;vertical-align:top;}.pane-highwire-issue-archive-date-nav .nav-children{margin:0 10px;}.pane-highwire-issue-archive-pager .prev-year [class^="icon-"],.pane-highwire-issue-archive-pager .prev-year [class*=" icon-"],.pane-highwire-issue-archive-pager .next-year [class*=" icon-"],.pane-highwire-issue-archive-pager .next-year [class^="icon-"],.highwire-markup .highwire-index-by-author-heading,.archive-title{font-size:1.71em;font-weight:lighter;letter-spacing:0.05em;line-height:1;}.issue-archive-browser .bx-viewport{min-height:50px;}.pane-highwire-issue-archive-vol-nav{clear:both;}.pane-highwire-issue-archive-date-nav .nav-children .issue-browser li{margin:10px 1%;padding:1%;width:15%;border-width:1px;border-style:solid;border-radius:3px;position:relative;}.pane-highwire-issue-archive-vol-nav .issue-browser a.active,.pane-highwire-issue-archive-date-nav .issue-browser .active a,.pane-highwire-issue-archive-date-nav .issue-browser a.active{font-size:1.29em;font-weight:normal;margin-top:-4px;}.pane-highwire-issue-archive-date-nav .issue-browser .active a{font-size:1em;margin-top:2px;}.issue-archive-browser .bx-wrapper .bx-viewport{margin-bottom:-15px;padding-bottom:15px;box-shadow:none;}.issue-archive-browser .bx-wrapper{position:relative;margin:20px auto;padding:0 40px 30px;box-sizing:content-box;}.bx-prev .icon-arrow-left + span,.bx-next span:first-child{display:none;}.pane-highwire-back-to-top{text-align:center;}.pane-highwire-back-to-top .back-to-top .icon{font-size:4rem;margin-bottom:-10px;display:block;}.pane-highwire-back-to-top a.back-to-top{font-size:0.93em;}label.itoggle.iToff span:before,label.itoggle.iTon span:after{color:#ACADAE;}label.itoggle.iTon span:before,label.itoggle.iToff span:after{background-color:#747678;}.issue-browser li:hover{background-color:#eeeeee;}.archive-issue-list{border-left:0px solid #dadada;}.pane-highwire-back-to-top .back-to-top .icon{display:block;}.issue-archive-browser .issue-browser{}.archive-issue-list ul.issue-month-detail{border-bottom:1px solid #cccccc;margin-left:0;margin-bottom:10px;padding-bottom:10px;}.archive-issue-list .issue-link img.cover-image-toggle{border:1px solid #ccc;}.archive-issue-list .issue-month-detail{border:0px solid #ccc;}.archive-issue-list ul.issue-month-detail:before,.archive-issue-list ul.issue-month-detail:after{content:"";height:0px;margin:0;left:0;top:0;width:0px;-webkit-border-radius:0px;-moz-border-radius:0px;border-radius:0px;}.archive-issue-list .issue-month-detail:before,.archive-issue-list .issue-month-detail:after{background-color:#fff;}.archive-issue-list .issue-month-detail li.first:before,.archive-issue-list .issue-month-detail li.first:after{border-style:solid;border-width:0px;content:"";display:inline-block;margin-top:-10px;position:absolute;top:1em;left:-19px;}.bx-controls.bx-has-controls-direction .bx-next .icon,.bx-controls.bx-has-controls-direction .bx-prev .icon,.pager.highwire-issue-archive-pager .pager-next .pager-link-next .icon,.pager.highwire-issue-archive-pager .pager-prev .pager-link-prev .icon{font-size:4rem;}.bx-controls.bx-has-controls-direction .bx-next .icon,.bx-controls.bx-has-controls-direction .bx-prev .icon{display:inline-block;margin-top:0px;}.pane-highwire-back-to-top .back-to-top .icon{font-size:4rem;margin-bottom:-10px;}.pane-highwire-issue-archive{margin-right:10px !important;margin-left:10px !important;}a.pager-link-prev.link-icon .year,a.pager-link-next.link-icon .year{display:inline-block;vertical-align:top;padding-top:10px;}.highwire-issue-archive-pager a.pager-link-prev.link-icon .year{margin-left:-10px !important;}.highwire-issue-archive-pager a.pager-link-next.link-icon .year{margin-right:-10px !important;}.bmjj-archive-top .icon-chevron-up:before{content:"\e803";position:absolute;text-align:center;margin-top:-1em;margin-left:0.5em;font-size:2em;}#highwire-issue-archive-date-nav-corpora-select .form-type-select label{float:left;margin-right:10px;}.issue-link .issue-title{margin-left:5px;}.issue-month-detail.show-cover-image > li{display:block;margin-left:150px;}.issue-month-detail li{margin-left:150px;}
button,input,optgroup,select,textarea{color:inherit;font:inherit;margin:0;max-width:100%;}input{line-height:normal;}button[disabled],html input[disabled]{opacity:.5;cursor:not-allowed;}input[type="email"],input[type="number"],input[type="search"],input[type="text"],input[type="tel"],input[type="url"],input[type="password"],textarea,select{height:34px;padding:6px 12px;background-color:#fff;box-shadow:none;box-sizing:border-box;font-size:1.4rem;color:#555;line-height:1.4rem;border:solid 1px #ccc;}input[type="email"],input[type="number"],input[type="search"],input[type="text"],input[type="tel"],input[type="url"],input[type="password"],textarea{-webkit-appearance:none;-moz-appearance:none;appearance:none;}textarea{min-height:65px;padding-top:6px;padding-bottom:6px;}input[type="email"]:focus,input[type="number"]:focus,input[type="search"]:focus,input[type="text"]:focus,input[type="tel"]:focus,input[type="url"]:focus,input[type="password"]:focus,textarea:focus,select:focus{border:1px solid #33C3F0;outline:0;}label,legend{display:block;margin-bottom:.5rem;font-weight:600;}fieldset{border:1px solid #DDD;margin:0 0 1.5em;padding:1.5em;}input[type="checkbox"],input[type="radio"]{display:inline;}label > .label-body{display:inline-block;margin-left:.5rem;font-weight:normal;}.form-item,.form-actions{margin-top:1em;margin-bottom:1em;}.filter-wrapper{}a.tabledrag-handle .handle{width:25px;height:25px;padding:0;margin:-0.3em 1em;}fieldset{min-width:0;}@-moz-document url-prefix(){fieldset{display:table-cell;}}form:not("#shib-submit-form") input[type=checkbox]{display:none;}form:not("#shib-submit-form") input[type=checkbox]+label:before{background-image:url(/sites/default/themes/bmjj/img/icon-checkbox.svg);background-repeat:no-repeat;background-position:0 0;content:' ';cursor:pointer;display:inline-block;height:19px;margin:-1px .3em 0 0;vertical-align:middle;width:23px;}form:not("#shib-submit-form") input[type=checkbox]:checked+label:before{background-image:url(/sites/default/themes/bmjj/img/icon-checkbox-checked.svg);}#shib-idp-cache{float:left;margin:6px;}#highwire-alerts-article-sign-up-form fieldset{border:0;margin:0;padding:0;}#highwire-alerts-article-sign-up-form fieldset .fieldset-legend h2,#highwire-alerts-article-sign-up-form .form-item-frequency label{font-size:2.5rem;font-weight:500;color:#333;padding-top:30px;}#highwire-alerts-article-sign-up-form fieldset .form-item-citedby,#highwire-alerts-article-sign-up-form fieldset .form-item-correction,#highwire-alerts-article-sign-up-form fieldset .form-item-eletter{padding-left:20px;padding-top:20px;margin-bottom:0;}#highwire-alerts-article-sign-up-form .form-item-frequency .form-select,#highwire-alerts-article-sign-up-form .form-submit{margin-left:20px;margin-top:20px;}#highwire-alerts-article-sign-up-form fieldset .form-item-citedby-label,#highwire-alerts-article-sign-up-form fieldset .form-item-correction-label,#highwire-alerts-article-sign-up-form fieldset .form-item-eletter-label{margin-top:0;padding-left:20px;}#forward-form{border-bottom:1px solid #ccc;padding-bottom:20px;}#forward-form label{font-weight:400;margin-bottom:0;}#forward-form #edit-page{display:none;}#forward-form #edit-instructions{margin-top:0;}form#forward-form input[type="text"],form#forward-form textarea{width:75%;}form#forward-form .grippie{display:none;}.form-control{display:block;width:100%;height:34px;padding:6px 12px;font-size:14px;line-height:1.42857143;color:#555;background-color:#fff;background-image:none;border:1px solid #ccc;border-radius:4px;-webkit-box-shadow:inset 0 1px 1px rgba(0,0,0,.075);box-shadow:inset 0 1px 1px rgba(0,0,0,.075);-webkit-transition:border-color ease-in-out .15s,box-shadow ease-in-out .15s;-o-transition:border-color ease-in-out .15s,box-shadow ease-in-out .15s;transition:border-color ease-in-out .15s,box-shadow ease-in-out .15s;}.opportunity-challenge-login .drupal-login form [id^="edit-customtext"]{font-size:1.5rem;line-height:110%;margin:0 0px 5px 0;}.opportunity-challenge-login .drupal-login .relogin-message{font-size:1.5rem;}.opportunity-challenge-login .drupal-login.compact .form-item-name{max-width:100%;width:100%;margin-bottom:10px;}.drupal-login.compact .bmjj-reset-password a{font-size:15px;font-size:1.5rem;}.drupal-login.compact .bmjj-reset-password a+a{display:block;}.drupal-login.compact .bmjj-reset-password a:hover{text-decoration:underline;}.drupal-login.compact input.form-text{width:100%;}.opportunity-challenge-login form .form-actions,.menu-attach-block-wrapper .opportunity-challenge-login form .form-submit{margin-bottom:0;margin-top:10px;}.button.society-login-link,.society-logins input[type="submit"],.opportunity-challenge-login .form-submit,.opportunity-challenge-login .form-submit:focus{background-color:#0a58a3;border:none;color:#fff;display:block;font-size:1.4rem;text-align:center;width:100%;margin-bottom:10px;}.button.society-login-link{padding:10px 17px;border-radius:2px;line-height:20px;}.button.society-login-link:hover,.opportunity-challenge-login .form-submit:hover{background-color:#2a6ebb;color:#fff;}.society-login-link-anchor{color:#fff;}.society-login-link-anchor:hover{color:#fff;}.drupal-login .reset-password{display:none;}
.button,button,input[type="submit"],input[type="reset"],input[type="button"],.highwire-permission-link{background:#eee;padding:10px 17px;border-radius:2px;color:#333;display:inline-block;border:solid 1px #ccc;}.button:hover,button:hover,input[type="submit"]:hover,input[type="reset"]:hover,input[type="button"]:hover,.button:focus,button:focus,input[type="submit"]:focus,input[type="reset"]:focus,input[type="button"]:focus,.highwire-permission-link:hover{color:#333;border-color:#888;outline:0;}.button.button-primary,button.button-primary,input[type="submit"].button-primary,input[type="reset"].button-primary,input[type="button"].button-primary{color:#FFF;background-color:#33C3F0;border-color:#33C3F0;}.button.button-primary:hover,button.button-primary:hover,input[type="submit"].button-primary:hover,input[type="reset"].button-primary:hover,input[type="button"].button-primary:hover,.button.button-primary:focus,button.button-primary:focus,input[type="submit"].button-primary:focus,input[type="reset"].button-primary:focus,input[type="button"].button-primary:focus{color:#FFF;background-color:#1EAEDB;border-color:#1EAEDB;}button.answer-toggle{display:block;margin-top:10px;}
.item-list .title{font-weight:bold;}.item-list ul,.item-list ul li{margin:0;padding:0;}.item-list ol,.item-list ul{margin-left:1.5em;margin-top:0;}ul ul,ul ol,ol ol,ol ul{margin:1rem 0 1rem 1.5em;}li{margin-bottom:1rem;}ol li{list-style:inside numeric;}ul.action-links li,.item-list ul li{list-style:inside disc;}ul.inline,ul.links.inline{display:inline;padding-left:0;}ul.inline li{display:inline;list-style-type:none;padding:0 0.5em;}ul.menu .active-trail{font-weight:bold;}.item-list ul.no-list,.bmjj-atom-links ul{list-style:none;margin-left:0;padding-left:0;}.bmjj-atom-link-corresp ul{margin:0;}.item-list ul.no-list li{list-style:none;margin-bottom:5px;}
img:not(#logo-img){max-width:100%;}.site-logo{max-width:100%;margin:10px 0;}.block-hw-small-logo,.block-hw-site-logo{margin:1.6em 1em;padding:0;text-align:center;}.block-hw-small-logo .panel-pane,.block-hw-site-logo .panel-pane{padding:0;margin:0;}
table{border-collapse:collapse;border-spacing:0;}table caption{font-size:2.0rem;margin:20px auto;}tbody{border-top:1px solid #444444;}tr.even,tr.odd{background-color:transparent;border:none;padding:0;}tr.even{}th{font-weight:bold;}th,td{padding:12px 15px;text-align:left;border-color:#e1e1e1;border-width:0 0 1px 0;border-style:solid;}th:first-child,td:first-child{padding-left:0;}th:last-child,td:last-child{padding-right:0;}th.active img{display:inline;}td.active{background-color:#2980b9;}
code{padding:.4rem 1rem;margin:0 .2rem;font-size:90%;white-space:nowrap;background:#ececec;border:1px solid #dddddd;}pre > code{display:block;padding:1rem 1.5rem;white-space:pre;max-width:100%;overflow:auto;}
.highwire-markup .contributors{text-align:left;}.highwire-markup .item-list ul li{list-style:none;}.highwire-markup ol.list-alphalower,.highwire-markup ol.list-alphalower li{list-style-type:lower-alpha;}.highwire-markup .list-ord{list-style:none;}.highwire-markup div.contributors ol.contributor-list{font-weight:bold;list-style:outside none none;margin:15px 0 0;padding:0;text-align:left;white-space:normal;}.highwire-markup div.contributors ol.contributor-list li{display:inline;line-height:1.1em;margin:0;padding:0;text-align:left;white-space:normal;}.highwire-markup div.contributors ol.contributor-list li.on-behalf-of{font-weight:normal;}.highwire-markup div.contributors ol li a{border:0 none;font-weight:normal;text-decoration:none;vertical-align:0.2em;}.highwire-markup .affiliation-list-reveal{margin-top:10px;}.highwire-markup .affiliation-list-reveal a.view-more{float:left;margin:0 5px;padding:0;text-align:center;width:0.9em;}.highwire-markup .affiliation-list-reveal a.view-more{border:0 none;display:block;line-height:0.9em;padding:0 5px;}.highwire-markup div.contributors ol.affiliation-list{font-weight:normal;font-style:normal;}.highwire-markup .hideaffil{left:-9999px;position:absolute;width:5000px;}.highwire-markup div.contributors ol.affiliation-list li{display:list-item;margin-left:5px;padding-left:0;}.highwire-markup div.contributors ol.affiliation-list li address{border:0 none;display:inline;font-style:normal;margin:0;padding:0;}.highwire-markup div.contributors ol.corresp-list{list-style:outside none none;margin:0;padding:0;}.highwire-markup div.contributors .toggle-group ol.corresp-list{padding:0 0 0 30px;}.highwire-markup div.contributors ol.corresp-list li{margin-left:0;}.highwire-markup div.contributors li.corresp a{font-weight:normal;text-decoration:none;vertical-align:0;}.highwire-markup .corresp-list .corresp-label{line-height:0;vertical-align:super;}.highwire-markup #content-block-markup ul.history-list{list-style-type:none;margin:5px 0;padding:0;}.highwire-markup .article div.section{border:0 none;clear:none;margin:0;padding:0;}.highwire-markup .article div.section +.section{clear:none;}.highwire-markup .article div.section .supplementary-material{padding:15px;background-color:#efefef;border-radius:0px;margin-bottom:10px;}.highwire-markup .article div.section .supplementary-material + .supplementary-material{margin-top:15px;}.highwire-markup .article div.section.intro{clear:none;}.highwire-markup a.xref-bibr,.highwire-markup a.xref-list{text-decoration:none;vertical-align:super;font-size:1.4rem;line-height:0;}.highwire-markup a.xref-fig,.highwire-markup a.xref-table{line-height:0;}.highwire-markup .article div.section h3,.highwire-markup .article div.section h4{display:inline;font-weight:bold;margin:0 5px 0 0;padding:0;text-transform:none;}.highwire-markup .article div.section h3{font-weight:normal;font-size:2.15rem;}.highwire-markup .article div.section h3{padding-bottom:10px;}.highwire-markup .article div.section h4{font-style:italic;}.highwire-markup .article div.section h3 +h4{display:block;}.highwire-markup ul.kwd-group{display:none;}.highwire-markup ul.kwd-group li.kwd{background-color:#d8d8d8;display:inline;line-height:2;margin:0 0.7em;padding:0.5em;white-space:normal;}.highwire-markup .boxed-text{border:1px solid #ccc;padding:20px;clear:both;display:inline-block;width:100%;margin:20px 0 10px 0;}.highwire-markup .section .list-simple li{list-style:outside none none;}.highwire-markup .table-expansion,.highwire-markup .fig-expansion,.highwire-markup .article .fig,.highwire-markup .article .table{clear:both;margin:1em auto;padding:1em;}html .highwire-markup .highwire-figure .lazyload.fragment-image,html .highwire-markup .highwire-figure .lazyloading.fragment-image{display:block;}html:not(.js) .highwire-markup .highwire-figure .lazyload.fragment-image,html:not(.js) .highwire-markup .highwire-figure .lazyloading.fragment-image{display:none;}.highwire-markup .table-expansion{font-family:interfaceregular,HelveticaNeue,'Helvetica Neue',Helvetica,Arial,sans-serif;overflow:auto;}.highwire-markup .article .table{border-top:1px solid #ccc;border-bottom:1px solid #ccc;}.highwire-markup .article .table .table-label{font-size:1.5em;}.highwire-markup .fig-inline,.highwire-markup .table-inline .callout > span{display:none;}.highwire-markup .fig .fig-inline{display:block;}.highwire-markup .fig-inline,.highwire-markup .table-inline .callout{text-transform:uppercase;font-size:1.125rem;}.highwire-markup .fig-inline,.highwire-markup .table-inline{float:right;margin-left:1em;text-align:right;}.highwire-markup .table-inline ul,.highwire-markup .table-inline ul li{display:inline;vertical-align:middle;}.highwire-markup .table-inline ul li a{padding-left:1em;}.table-expand-inline .table-caption > .highwire-get-markup,.table-expand-inline .table-caption .highwire-get-markup > .highwire-markup,.table-expand-inline .table-caption .highwire-get-markup .highwire-markup > div{display:inline;}.highwire-markup div.fig a.in-nw-vis{display:inline;}.highwire-markup .fig-caption,.highwire-markup .table-caption{font-size:1.32rem;}.highwire-markup .fig-caption .fig-caption,.highwire-markup .table-caption .table-caption{padding:0;}.highwire-markup .fig-caption p,.highwire-markup .table-caption p,.highwire-markup .fig-caption span,.highwire-markup .table-caption span{font-weight:bolder;line-height:1.4em;}.highwire-markup .fig-caption .fig-label{font-size:1.5em;}.highwire-markup .fig-label,.highwire-markup .table-label{font-weight:bold;}.table-label + div,.table-label + p,.table-label + span,.fig-label + div,.fig-label + p,.fig-label + span{clear:both;display:block;}.highwire-markup .figure-callout{margin-bottom:0.6em;text-align:center;}.highwire-markup .figure-callout-links a{background:none repeat scroll 0 0 #f5f5f5;border:1px solid #ddd;border-radius:4px;display:inline-block;padding:0.5em;}.highwire-markup .figure-callout-links a:hover{background:none repeat scroll 0 0 #fcfcfc;}.highwire-markup .figure-callout-links span{display:inline-block;height:20px;line-height:20px;vertical-align:middle;}.highwire-figure{text-align:center;}ul.highwire-figure-links.inline li{display:block;}div.highwire-markup .highwire-figure-links li{width:30rem;}.highwire-figure .highwire-figure-link{display:block;border-style:solid;border-width:1px;border-color:#dddddd;border-radius:2px;padding:10px;margin:5px auto;text-align:center;font-size:1.125rem;text-transform:uppercase;}.highwire-markup .figure-callout-icon{height:20px;margin-right:5px;vertical-align:middle;width:20px;}.highwire-markup div.caption-clear{clear:both;}.highwire-markup ul.copyright-statement{list-style-type:none;}.highwire-markup div.fn-group ul{list-style:outside none none;margin:0;padding:5px 0 0;}.highwire-markup div.bio{margin-top:1em;}.highwire-markup div.fn-group ul li{border-bottom:0px solid #c8c8c8;width:100%;margin-left:0;margin-right:0;}.highwire-markup div.fn-group ul li:last-child{margin-bottom:.5em;}.highwire-markup div.fn-group ul li p{margin-bottom:0;}.highwire-markup #content-block-markup div.fn-group ul li p{margin:0.5em 0;padding:0;}.highwire-markup ol.ref-use-labels{list-style:outside none none;margin-left:0.5em;}.highwire-markup ol.cit-list{margin-left:1.5em;padding-left:0;}.highwire-markup ol.cit-list li{display:list-item;padding:0.3em 0;}.highwire-markup div.ref-list .rev-xref-ref,.highwire-markup div.ref-list .rev-xref-ref:link{border:0 none;text-decoration:none;}.highwire-markup div.ref-cit,.highwire-markup .ref-cit div,.highwire-markup .ref-cit cite,.highwire-markup .ref-cit ol,.highwire-markup .ref-cit li{display:inline;margin-left:0;margin-right:0;padding-left:0;padding-right:0;}.highwire-markup div.ref-cit .cit-metadata li{display:inline;}.highwire-markup ol.cit-list li{display:list-item;padding:0.3em 0;}.highwire-markup div.ref-cit cite{font-style:normal;}.highwire-markup div.ref-cit .cit-vol{font-weight:bolder;}.highwire-markup div.ref-cit a{-ms-word-break:break-all;word-break:break-all;}.highwire-markup div.ref-cit .cit-etal{font-style:italic;}.highwire-markup div.ref-cit div.cit-extra a{display:inline-block;margin-left:0.75em;text-decoration:underline;vertical-align:middle;white-space:nowrap;}.highwire-markup div.ref-cit cite span.cit-source,.highwire-markup div.ref-cit cite abbr.cit-jnl-abbrev{font-style:italic;margin-right:0.1em;}.highwire-markup div.ref-list .cit-list .rev-xref-ref,.highwire-markup div.ref-list .cit-list .rev-xref-ref:link{background-color:#eee;border:1px solid #ccc;color:#333;padding-left:4px;padding-right:4px;margin-right:5px;}.affiliation-list-reveal a.view-more{border:0 none;display:block;line-height:0.9em;padding:0 5px;}.affiliation-list-reveal a.view-more{float:left;margin:0 5px;padding:0;text-align:center;width:0.9em;}.hw-article-citation div{}.hw-article-citation div + div{margin-top:10px;}.hw-article-citation .citation-info{padding:0 5px 0 0;}.hw-article-citation .doi,.hw-article-citation .cit-date,.hw-article-citation .page-num{font-weight:bold;}.highwire-article-citation.tooltip-enable:hover{background:#f7f7f7;}.page-num .first-page + .last-page::before{content:" - ";}.orig-source{text-align:center;}.table-center{text-align:center;}sup,sub,.nlm-sup,.nlm-sub,.xref-sep{font-size:1.125rem;bottom:0.5em;position:relative;}.highwire-markup .contributor-list span.xref-sep{padding-right:3px;}sub,.nlm-sub{bottom:-0.5em;}.cit-ref-sprinkles{margin-left:10px;}.highwire-markup .sc{text-transform:uppercase;}.underline{text-decoration:underline;}.highwire-markup .disp-formula{display:block;padding-top:20px;padding-bottom:20px;text-align:center;}.highwire-markup .disp-formula .disp-formula-label{margin-top:-30px;margin-bottom:0;}.highwire-markup .disp-formula-label,.highwire-markup .MathJax_Display{margin-bottom:10px;}.highwire-markup .disp-formula-label{display:block;text-align:right;}.highwire-markup .disp-formula-label::before{content:"(";}.highwire-markup .disp-formula-label::after{content:")";}.highwire-quick-nav{float:right;}.footnotes .highwire-markup .fn-group .fn-label{font-weight:bold;padding-right:5px;}.footnotes .highwire-markup .fn-group .fn-label:after{content:':';}.footnotes .highwire-markup div.fn-group ul li{margin-left:0;}.footnotes .highwire-markup div.fn-group ul li{border-bottom:0px solid #c8c8c8;margin-left:0;margin-right:0;width:100%;}.bmjj-corresp .highwire-markup .corresp-list{list-style:none;padding:0;margin:0;}.article-pane div.bmjj-corresp h2.pane-title{font-size:1.7rem;font-weight:700;margin-top:0;}.article-pane div.bmjj-corresp .corresp-label{font-size:1.7rem;font-weight:700;margin-top:0;color:#333;}.article-pane div.bmjj-corresp .corresp-label:after{content:':';}.node-type-highwire-adjunct .highwire-markup .auto-clean span > h2{display:none;}#dw-header{clear:both;position:relative;}#dw-content .dw-block label{width:90px;}#counter_detail.counter-usage-display{overflow:auto;display:block;}.highwire-markup .fig-inline{float:none;margin-left:0;text-transform:none;text-align:left;}.highwire-markup .video-content > .player-container{height:0;margin-bottom:5px;padding-bottom:56.25%;position:relative;}.highwire-markup .video-content > .player-container > .video-js{position:absolute;left:0;top:0;height:100% !important;width:100% !important;}.highwire-markup .video-content .bc-player-default_default .vjs-big-play-button{top:50%;left:50%;margin-top:-52.5px;margin-left:-78px;}@media all and (min-width:1024px){.highwire-markup .video-content > .player-container{float:right;width:480px;padding-bottom:270px;}}.highwire-markup a.xref-bibr.alt-style{text-decoration:none;vertical-align:baseline;font-size:1.7rem;line-height:0;}.highwire-markup a.xref-other.alt-style{text-decoration:none;vertical-align:super;font-size:1.4rem;line-height:0;}.highwire-markup .contributor-list .bmjj-markup-orcid-logo{display:inline-block;width:20px;text-indent:-9999px;overflow:hidden;vertical-align:middle;white-space:nowrap;}.highwire-markup .contributor-list .bmjj-markup-orcid-logo::before{content:url(/sites/default/themes/bmjj/img/icon-orchid.gif);float:left;text-indent:0;}
.ui-helper-hidden{display:none;}.ui-helper-hidden-accessible{border:0;clip:rect(0 0 0 0);height:1px;margin:-1px;overflow:hidden;padding:0;position:absolute;width:1px;}.ui-helper-reset{margin:0;padding:0;border:0;outline:0;line-height:1.3;text-decoration:none;font-size:100%;list-style:none;}.ui-helper-clearfix:before,.ui-helper-clearfix:after{content:"";display:table;border-collapse:collapse;}.ui-helper-clearfix:after{clear:both;}.ui-helper-clearfix{min-height:0;}.ui-helper-zfix{width:100%;height:100%;top:0;left:0;position:absolute;opacity:0;filter:Alpha(Opacity=0);}.ui-front{z-index:100;}.ui-state-disabled{cursor:default !important;}.ui-icon{display:block;text-indent:-99999px;overflow:hidden;background-repeat:no-repeat;}.ui-widget-overlay{position:fixed;top:0;left:0;width:100%;height:100%;}.ui-resizable{position:relative;}.ui-resizable-handle{position:absolute;font-size:0.1px;display:block;}.ui-resizable-disabled .ui-resizable-handle,.ui-resizable-autohide .ui-resizable-handle{display:none;}.ui-resizable-n{cursor:n-resize;height:7px;width:100%;top:-5px;left:0;}.ui-resizable-s{cursor:s-resize;height:7px;width:100%;bottom:-5px;left:0;}.ui-resizable-e{cursor:e-resize;width:7px;right:-5px;top:0;height:100%;}.ui-resizable-w{cursor:w-resize;width:7px;left:-5px;top:0;height:100%;}.ui-resizable-se{cursor:se-resize;width:12px;height:12px;right:1px;bottom:1px;}.ui-resizable-sw{cursor:sw-resize;width:9px;height:9px;left:-5px;bottom:-5px;}.ui-resizable-nw{cursor:nw-resize;width:9px;height:9px;left:-5px;top:-5px;}.ui-resizable-ne{cursor:ne-resize;width:9px;height:9px;right:-5px;top:-5px;}.ui-selectable-helper{position:absolute;z-index:100;border:1px dotted black;}.ui-accordion .ui-accordion-header{display:block;cursor:pointer;position:relative;margin-top:2px;padding:.5em .5em .5em .7em;min-height:0;}.ui-accordion .ui-accordion-icons{padding-left:2.2em;}.ui-accordion .ui-accordion-noicons{padding-left:.7em;}.ui-accordion .ui-accordion-icons .ui-accordion-icons{padding-left:2.2em;}.ui-accordion .ui-accordion-header .ui-accordion-header-icon{position:absolute;left:.5em;top:50%;margin-top:-8px;}.ui-accordion .ui-accordion-content{padding:1em 2.2em;border-top:0;overflow:auto;}.ui-autocomplete{position:absolute;top:0;left:0;cursor:default;}.ui-button{display:inline-block;position:relative;padding:0;line-height:normal;margin-right:.1em;cursor:pointer;vertical-align:middle;text-align:center;overflow:visible;}.ui-button,.ui-button:link,.ui-button:visited,.ui-button:hover,.ui-button:active{text-decoration:none;}.ui-button-icon-only{width:2.2em;}button.ui-button-icon-only{width:2.4em;}.ui-button-icons-only{width:3.4em;}button.ui-button-icons-only{width:3.7em;}.ui-button .ui-button-text{display:block;line-height:normal;}.ui-button-text-only .ui-button-text{padding:.4em 1em;}.ui-button-icon-only .ui-button-text,.ui-button-icons-only .ui-button-text{padding:.4em;text-indent:-9999999px;}.ui-button-text-icon-primary .ui-button-text,.ui-button-text-icons .ui-button-text{padding:.4em 1em .4em 2.1em;}.ui-button-text-icon-secondary .ui-button-text,.ui-button-text-icons .ui-button-text{padding:.4em 2.1em .4em 1em;}.ui-button-text-icons .ui-button-text{padding-left:2.1em;padding-right:2.1em;}input.ui-button{padding:.4em 1em;}.ui-button-icon-only .ui-icon,.ui-button-text-icon-primary .ui-icon,.ui-button-text-icon-secondary .ui-icon,.ui-button-text-icons .ui-icon,.ui-button-icons-only .ui-icon{position:absolute;top:50%;margin-top:-8px;}.ui-button-icon-only .ui-icon{left:50%;margin-left:-8px;}.ui-button-text-icon-primary .ui-button-icon-primary,.ui-button-text-icons .ui-button-icon-primary,.ui-button-icons-only .ui-button-icon-primary{left:.5em;}.ui-button-text-icon-secondary .ui-button-icon-secondary,.ui-button-text-icons .ui-button-icon-secondary,.ui-button-icons-only .ui-button-icon-secondary{right:.5em;}.ui-buttonset{margin-right:7px;}.ui-buttonset .ui-button{margin-left:0;margin-right:-.3em;}input.ui-button::-moz-focus-inner,button.ui-button::-moz-focus-inner{border:0;padding:0;}.ui-datepicker{width:17em;padding:.2em .2em 0;display:none;}.ui-datepicker .ui-datepicker-header{position:relative;padding:.2em 0;}.ui-datepicker .ui-datepicker-prev,.ui-datepicker .ui-datepicker-next{position:absolute;top:2px;width:1.8em;height:1.8em;}.ui-datepicker .ui-datepicker-prev-hover,.ui-datepicker .ui-datepicker-next-hover{top:1px;}.ui-datepicker .ui-datepicker-prev{left:2px;}.ui-datepicker .ui-datepicker-next{right:2px;}.ui-datepicker .ui-datepicker-prev-hover{left:1px;}.ui-datepicker .ui-datepicker-next-hover{right:1px;}.ui-datepicker .ui-datepicker-prev span,.ui-datepicker .ui-datepicker-next span{display:block;position:absolute;left:50%;margin-left:-8px;top:50%;margin-top:-8px;}.ui-datepicker .ui-datepicker-title{margin:0 2.3em;line-height:1.8em;text-align:center;}.ui-datepicker .ui-datepicker-title select{font-size:1em;margin:1px 0;}.ui-datepicker select.ui-datepicker-month,.ui-datepicker select.ui-datepicker-year{width:49%;}.ui-datepicker table{width:100%;font-size:.9em;border-collapse:collapse;margin:0 0 .4em;}.ui-datepicker th{padding:.7em .3em;text-align:center;font-weight:bold;border:0;}.ui-datepicker td{border:0;padding:1px;}.ui-datepicker td span,.ui-datepicker td a{display:block;padding:.2em;text-align:right;text-decoration:none;}.ui-datepicker .ui-datepicker-buttonpane{background-image:none;margin:.7em 0 0 0;padding:0 .2em;border-left:0;border-right:0;border-bottom:0;}.ui-datepicker .ui-datepicker-buttonpane button{float:right;margin:.5em .2em .4em;cursor:pointer;padding:.2em .6em .3em .6em;width:auto;overflow:visible;}.ui-datepicker .ui-datepicker-buttonpane button.ui-datepicker-current{float:left;}.ui-datepicker.ui-datepicker-multi{width:auto;}.ui-datepicker-multi .ui-datepicker-group{float:left;}.ui-datepicker-multi .ui-datepicker-group table{width:95%;margin:0 auto .4em;}.ui-datepicker-multi-2 .ui-datepicker-group{width:50%;}.ui-datepicker-multi-3 .ui-datepicker-group{width:33.3%;}.ui-datepicker-multi-4 .ui-datepicker-group{width:25%;}.ui-datepicker-multi .ui-datepicker-group-last .ui-datepicker-header,.ui-datepicker-multi .ui-datepicker-group-middle .ui-datepicker-header{border-left-width:0;}.ui-datepicker-multi .ui-datepicker-buttonpane{clear:left;}.ui-datepicker-row-break{clear:both;width:100%;font-size:0;}.ui-datepicker-rtl{direction:rtl;}.ui-datepicker-rtl .ui-datepicker-prev{right:2px;left:auto;}.ui-datepicker-rtl .ui-datepicker-next{left:2px;right:auto;}.ui-datepicker-rtl .ui-datepicker-prev:hover{right:1px;left:auto;}.ui-datepicker-rtl .ui-datepicker-next:hover{left:1px;right:auto;}.ui-datepicker-rtl .ui-datepicker-buttonpane{clear:right;}.ui-datepicker-rtl .ui-datepicker-buttonpane button{float:left;}.ui-datepicker-rtl .ui-datepicker-buttonpane button.ui-datepicker-current,.ui-datepicker-rtl .ui-datepicker-group{float:right;}.ui-datepicker-rtl .ui-datepicker-group-last .ui-datepicker-header,.ui-datepicker-rtl .ui-datepicker-group-middle .ui-datepicker-header{border-right-width:0;border-left-width:1px;}.ui-dialog{overflow:hidden;position:absolute;top:0;left:0;padding:.2em;outline:0;}.ui-dialog .ui-dialog-titlebar{padding:.4em 1em;position:relative;}.ui-dialog .ui-dialog-title{float:left;margin:.1em 0;white-space:nowrap;width:90%;overflow:hidden;text-overflow:ellipsis;}.ui-dialog .ui-dialog-titlebar-close{position:absolute;right:.3em;top:50%;width:20px;margin:-10px 0 0 0;padding:1px;height:20px;}.ui-dialog .ui-dialog-content{position:relative;border:0;padding:.5em 1em;background:none;overflow:auto;}.ui-dialog .ui-dialog-buttonpane{text-align:left;border-width:1px 0 0 0;background-image:none;margin-top:.5em;padding:.3em 1em .5em .4em;}.ui-dialog .ui-dialog-buttonpane .ui-dialog-buttonset{float:right;}.ui-dialog .ui-dialog-buttonpane button{margin:.5em .4em .5em 0;cursor:pointer;}.ui-dialog .ui-resizable-se{width:12px;height:12px;right:-5px;bottom:-5px;background-position:16px 16px;}.ui-draggable .ui-dialog-titlebar{cursor:move;}.ui-menu{list-style:none;padding:2px;margin:0;display:block;outline:none;}.ui-menu .ui-menu{margin-top:-3px;position:absolute;}.ui-menu .ui-menu-item{margin:0;padding:0;width:100%;list-style-image:url(data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7);}.ui-menu .ui-menu-divider{margin:5px -2px 5px -2px;height:0;font-size:0;line-height:0;border-width:1px 0 0 0;}.ui-menu .ui-menu-item a{text-decoration:none;display:block;padding:2px .4em;line-height:1.5;min-height:0;font-weight:normal;}.ui-menu .ui-menu-item a.ui-state-focus,.ui-menu .ui-menu-item a.ui-state-active{font-weight:normal;margin:-1px;}.ui-menu .ui-state-disabled{font-weight:normal;margin:.4em 0 .2em;line-height:1.5;}.ui-menu .ui-state-disabled a{cursor:default;}.ui-menu-icons{position:relative;}.ui-menu-icons .ui-menu-item a{position:relative;padding-left:2em;}.ui-menu .ui-icon{position:absolute;top:.2em;left:.2em;}.ui-menu .ui-menu-icon{position:static;float:right;}.ui-progressbar{height:2em;text-align:left;overflow:hidden;}.ui-progressbar .ui-progressbar-value{margin:-1px;height:100%;}.ui-progressbar .ui-progressbar-overlay{background:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/animated-overlay.gif);height:100%;filter:alpha(opacity=25);opacity:0.25;}.ui-progressbar-indeterminate .ui-progressbar-value{background-image:none;}.ui-slider{position:relative;text-align:left;}.ui-slider .ui-slider-handle{position:absolute;z-index:2;width:1.2em;height:1.2em;cursor:default;}.ui-slider .ui-slider-range{position:absolute;z-index:1;font-size:.7em;display:block;border:0;background-position:0 0;}.ui-slider.ui-state-disabled .ui-slider-handle,.ui-slider.ui-state-disabled .ui-slider-range{filter:inherit;}.ui-slider-horizontal{height:.8em;}.ui-slider-horizontal .ui-slider-handle{top:-.3em;margin-left:-.6em;}.ui-slider-horizontal .ui-slider-range{top:0;height:100%;}.ui-slider-horizontal .ui-slider-range-min{left:0;}.ui-slider-horizontal .ui-slider-range-max{right:0;}.ui-slider-vertical{width:.8em;height:100px;}.ui-slider-vertical .ui-slider-handle{left:-.3em;margin-left:0;margin-bottom:-.6em;}.ui-slider-vertical .ui-slider-range{left:0;width:100%;}.ui-slider-vertical .ui-slider-range-min{bottom:0;}.ui-slider-vertical .ui-slider-range-max{top:0;}.ui-spinner{position:relative;display:inline-block;overflow:hidden;padding:0;vertical-align:middle;}.ui-spinner-input{border:none;background:none;color:inherit;padding:0;margin:.2em 0;vertical-align:middle;margin-left:.4em;margin-right:22px;}.ui-spinner-button{width:16px;height:50%;font-size:.5em;padding:0;margin:0;text-align:center;position:absolute;cursor:default;display:block;overflow:hidden;right:0;}.ui-spinner a.ui-spinner-button{border-top:none;border-bottom:none;border-right:none;}.ui-spinner .ui-icon{position:absolute;margin-top:-8px;top:50%;left:0;}.ui-spinner-up{top:0;}.ui-spinner-down{bottom:0;}.ui-spinner .ui-icon-triangle-1-s{background-position:-65px -16px;}.ui-tabs{position:relative;padding:.2em;}.ui-tabs .ui-tabs-nav{margin:0;padding:.2em .2em 0;}.ui-tabs .ui-tabs-nav li{list-style:none;float:left;position:relative;top:0;margin:1px .2em 0 0;border-bottom-width:0;padding:0;white-space:nowrap;}.ui-tabs .ui-tabs-nav .ui-tabs-anchor{float:left;padding:.5em 1em;text-decoration:none;}.ui-tabs .ui-tabs-nav li.ui-tabs-active{margin-bottom:-1px;padding-bottom:1px;}.ui-tabs .ui-tabs-nav li.ui-tabs-active .ui-tabs-anchor,.ui-tabs .ui-tabs-nav li.ui-state-disabled .ui-tabs-anchor,.ui-tabs .ui-tabs-nav li.ui-tabs-loading .ui-tabs-anchor{cursor:text;}.ui-tabs-collapsible .ui-tabs-nav li.ui-tabs-active .ui-tabs-anchor{cursor:pointer;}.ui-tabs .ui-tabs-panel{display:block;border-width:0;padding:1em 1.4em;background:none;}.ui-tooltip{padding:8px;position:absolute;z-index:9999;max-width:300px;-webkit-box-shadow:0 0 5px #aaa;box-shadow:0 0 5px #aaa;}body .ui-tooltip{border-width:2px;}.ui-widget{font-family:interfaceregular,Helvetica,Arial,sans-serif;font-size:1.1em;}.ui-widget .ui-widget{font-size:1em;}.ui-widget input,.ui-widget select,.ui-widget textarea,.ui-widget button{font-family:interfaceregular,Helvetica,Arial,sans-serif;font-size:1em;}.ui-widget-content{border:1px solid #ececec;background:#ffffff url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_spotlight_0_ffffff_600x600.png) 50% 2% repeat-x;color:#222222;}.ui-widget-content a{color:#222222;}.ui-widget-header{border:1px solid #ececec;background:#ececec url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_spotlight_0_ececec_600x600.png) 50% 50% repeat-x;color:#000000;font-weight:bold;}.ui-widget-header a{color:#000000;}.ui-state-default,.ui-widget-content .ui-state-default,.ui-widget-header .ui-state-default{border:1px solid #ececec;background:#ececec url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_fine-grain_0_ececec_60x60.png) 50% 50% repeat;font-weight:bold;color:#000000;}.ui-state-default a,.ui-state-default a:link,.ui-state-default a:visited{color:#000000;text-decoration:none;}.ui-state-hover,.ui-widget-content .ui-state-hover,.ui-widget-header .ui-state-hover,.ui-state-focus,.ui-widget-content .ui-state-focus,.ui-widget-header .ui-state-focus{border:1px solid #959595;background:#959595 url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_fine-grain_0_959595_60x60.png) 50% 50% repeat;font-weight:bold;color:#000;}.ui-state-hover a,.ui-state-hover a:hover,.ui-state-hover a:link,.ui-state-hover a:visited,.ui-state-focus a,.ui-state-focus a:hover,.ui-state-focus a:link,.ui-state-focus a:visited{color:#ffffff;text-decoration:none;}.ui-state-active,.ui-widget-content .ui-state-active,.ui-widget-header .ui-state-active{border:1px solid #959595;background:#959595 url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_fine-grain_0_959595_60x60.png) 50% 50% repeat;font-weight:bold;color:#ffffff;}.ui-state-active a,.ui-state-active a:link,.ui-state-active a:visited{color:#ffffff;text-decoration:none;}.ui-state-highlight,.ui-widget-content .ui-state-highlight,.ui-widget-header .ui-state-highlight{border:1px solid #F4D03F;background:#F4D03F url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_fine-grain_0_F4D03F_60x60.png) 50% 50% repeat;color:#000000;}.ui-state-highlight a,.ui-widget-content .ui-state-highlight a,.ui-widget-header .ui-state-highlight a{color:#000000;}.ui-state-error,.ui-widget-content .ui-state-error,.ui-widget-header .ui-state-error{border:1px solid #EF4836;background:#EF4836 url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_fine-grain_0_EF4836_60x60.png) 50% 50% repeat;color:#ffffff;}.ui-state-error a,.ui-widget-content .ui-state-error a,.ui-widget-header .ui-state-error a{color:#ffffff;}.ui-state-error-text,.ui-widget-content .ui-state-error-text,.ui-widget-header .ui-state-error-text{color:#ffffff;}.ui-priority-primary,.ui-widget-content .ui-priority-primary,.ui-widget-header .ui-priority-primary{font-weight:bold;}.ui-priority-secondary,.ui-widget-content .ui-priority-secondary,.ui-widget-header .ui-priority-secondary{opacity:.7;filter:Alpha(Opacity=70);font-weight:normal;}.ui-state-disabled,.ui-widget-content .ui-state-disabled,.ui-widget-header .ui-state-disabled{opacity:.35;filter:Alpha(Opacity=35);background-image:none;}.ui-state-disabled .ui-icon{filter:Alpha(Opacity=35);}.ui-icon{width:16px;height:16px;}.ui-icon,.ui-widget-content .ui-icon{background-image:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-icons_222222_256x240.png);}.ui-widget-header .ui-icon{background-image:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-icons_000000_256x240.png);}.ui-state-default .ui-icon{background-image:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-icons_000000_256x240.png);}.ui-state-hover .ui-icon,.ui-state-focus .ui-icon{background-image:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-icons_000000_256x240.png);}.ui-state-active .ui-icon{background-image:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-icons_000000_256x240.png);}.ui-state-highlight .ui-icon{background-image:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-icons_000000_256x240.png);}.ui-state-error .ui-icon,.ui-state-error-text .ui-icon{background-image:url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-icons_000000_256x240.png);}.ui-icon-blank{background-position:16px 16px;}.ui-icon-carat-1-n{background-position:0 0;}.ui-icon-carat-1-ne{background-position:-16px 0;}.ui-icon-carat-1-e{background-position:-32px 0;}.ui-icon-carat-1-se{background-position:-48px 0;}.ui-icon-carat-1-s{background-position:-64px 0;}.ui-icon-carat-1-sw{background-position:-80px 0;}.ui-icon-carat-1-w{background-position:-96px 0;}.ui-icon-carat-1-nw{background-position:-112px 0;}.ui-icon-carat-2-n-s{background-position:-128px 0;}.ui-icon-carat-2-e-w{background-position:-144px 0;}.ui-icon-triangle-1-n{background-position:0 -16px;}.ui-icon-triangle-1-ne{background-position:-16px -16px;}.ui-icon-triangle-1-e{background-position:-32px -16px;}.ui-icon-triangle-1-se{background-position:-48px -16px;}.ui-icon-triangle-1-s{background-position:-64px -16px;}.ui-icon-triangle-1-sw{background-position:-80px -16px;}.ui-icon-triangle-1-w{background-position:-96px -16px;}.ui-icon-triangle-1-nw{background-position:-112px -16px;}.ui-icon-triangle-2-n-s{background-position:-128px -16px;}.ui-icon-triangle-2-e-w{background-position:-144px -16px;}.ui-icon-arrow-1-n{background-position:0 -32px;}.ui-icon-arrow-1-ne{background-position:-16px -32px;}.ui-icon-arrow-1-e{background-position:-32px -32px;}.ui-icon-arrow-1-se{background-position:-48px -32px;}.ui-icon-arrow-1-s{background-position:-64px -32px;}.ui-icon-arrow-1-sw{background-position:-80px -32px;}.ui-icon-arrow-1-w{background-position:-96px -32px;}.ui-icon-arrow-1-nw{background-position:-112px -32px;}.ui-icon-arrow-2-n-s{background-position:-128px -32px;}.ui-icon-arrow-2-ne-sw{background-position:-144px -32px;}.ui-icon-arrow-2-e-w{background-position:-160px -32px;}.ui-icon-arrow-2-se-nw{background-position:-176px -32px;}.ui-icon-arrowstop-1-n{background-position:-192px -32px;}.ui-icon-arrowstop-1-e{background-position:-208px -32px;}.ui-icon-arrowstop-1-s{background-position:-224px -32px;}.ui-icon-arrowstop-1-w{background-position:-240px -32px;}.ui-icon-arrowthick-1-n{background-position:0 -48px;}.ui-icon-arrowthick-1-ne{background-position:-16px -48px;}.ui-icon-arrowthick-1-e{background-position:-32px -48px;}.ui-icon-arrowthick-1-se{background-position:-48px -48px;}.ui-icon-arrowthick-1-s{background-position:-64px -48px;}.ui-icon-arrowthick-1-sw{background-position:-80px -48px;}.ui-icon-arrowthick-1-w{background-position:-96px -48px;}.ui-icon-arrowthick-1-nw{background-position:-112px -48px;}.ui-icon-arrowthick-2-n-s{background-position:-128px -48px;}.ui-icon-arrowthick-2-ne-sw{background-position:-144px -48px;}.ui-icon-arrowthick-2-e-w{background-position:-160px -48px;}.ui-icon-arrowthick-2-se-nw{background-position:-176px -48px;}.ui-icon-arrowthickstop-1-n{background-position:-192px -48px;}.ui-icon-arrowthickstop-1-e{background-position:-208px -48px;}.ui-icon-arrowthickstop-1-s{background-position:-224px -48px;}.ui-icon-arrowthickstop-1-w{background-position:-240px -48px;}.ui-icon-arrowreturnthick-1-w{background-position:0 -64px;}.ui-icon-arrowreturnthick-1-n{background-position:-16px -64px;}.ui-icon-arrowreturnthick-1-e{background-position:-32px -64px;}.ui-icon-arrowreturnthick-1-s{background-position:-48px -64px;}.ui-icon-arrowreturn-1-w{background-position:-64px -64px;}.ui-icon-arrowreturn-1-n{background-position:-80px -64px;}.ui-icon-arrowreturn-1-e{background-position:-96px -64px;}.ui-icon-arrowreturn-1-s{background-position:-112px -64px;}.ui-icon-arrowrefresh-1-w{background-position:-128px -64px;}.ui-icon-arrowrefresh-1-n{background-position:-144px -64px;}.ui-icon-arrowrefresh-1-e{background-position:-160px -64px;}.ui-icon-arrowrefresh-1-s{background-position:-176px -64px;}.ui-icon-arrow-4{background-position:0 -80px;}.ui-icon-arrow-4-diag{background-position:-16px -80px;}.ui-icon-extlink{background-position:-32px -80px;}.ui-icon-newwin{background-position:-48px -80px;}.ui-icon-refresh{background-position:-64px -80px;}.ui-icon-shuffle{background-position:-80px -80px;}.ui-icon-transfer-e-w{background-position:-96px -80px;}.ui-icon-transferthick-e-w{background-position:-112px -80px;}.ui-icon-folder-collapsed{background-position:0 -96px;}.ui-icon-folder-open{background-position:-16px -96px;}.ui-icon-document{background-position:-32px -96px;}.ui-icon-document-b{background-position:-48px -96px;}.ui-icon-note{background-position:-64px -96px;}.ui-icon-mail-closed{background-position:-80px -96px;}.ui-icon-mail-open{background-position:-96px -96px;}.ui-icon-suitcase{background-position:-112px -96px;}.ui-icon-comment{background-position:-128px -96px;}.ui-icon-person{background-position:-144px -96px;}.ui-icon-print{background-position:-160px -96px;}.ui-icon-trash{background-position:-176px -96px;}.ui-icon-locked{background-position:-192px -96px;}.ui-icon-unlocked{background-position:-208px -96px;}.ui-icon-bookmark{background-position:-224px -96px;}.ui-icon-tag{background-position:-240px -96px;}.ui-icon-home{background-position:0 -112px;}.ui-icon-flag{background-position:-16px -112px;}.ui-icon-calendar{background-position:-32px -112px;}.ui-icon-cart{background-position:-48px -112px;}.ui-icon-pencil{background-position:-64px -112px;}.ui-icon-clock{background-position:-80px -112px;}.ui-icon-disk{background-position:-96px -112px;}.ui-icon-calculator{background-position:-112px -112px;}.ui-icon-zoomin{background-position:-128px -112px;}.ui-icon-zoomout{background-position:-144px -112px;}.ui-icon-search{background-position:-160px -112px;}.ui-icon-wrench{background-position:-176px -112px;}.ui-icon-gear{background-position:-192px -112px;}.ui-icon-heart{background-position:-208px -112px;}.ui-icon-star{background-position:-224px -112px;}.ui-icon-link{background-position:-240px -112px;}.ui-icon-cancel{background-position:0 -128px;}.ui-icon-plus{background-position:-16px -128px;}.ui-icon-plusthick{background-position:-32px -128px;}.ui-icon-minus{background-position:-48px -128px;}.ui-icon-minusthick{background-position:-64px -128px;}.ui-icon-close{background-position:-80px -128px;}.ui-icon-closethick{background-position:-96px -128px;}.ui-icon-key{background-position:-112px -128px;}.ui-icon-lightbulb{background-position:-128px -128px;}.ui-icon-scissors{background-position:-144px -128px;}.ui-icon-clipboard{background-position:-160px -128px;}.ui-icon-copy{background-position:-176px -128px;}.ui-icon-contact{background-position:-192px -128px;}.ui-icon-image{background-position:-208px -128px;}.ui-icon-video{background-position:-224px -128px;}.ui-icon-script{background-position:-240px -128px;}.ui-icon-alert{background-position:0 -144px;}.ui-icon-info{background-position:-16px -144px;}.ui-icon-notice{background-position:-32px -144px;}.ui-icon-help{background-position:-48px -144px;}.ui-icon-check{background-position:-64px -144px;}.ui-icon-bullet{background-position:-80px -144px;}.ui-icon-radio-on{background-position:-96px -144px;}.ui-icon-radio-off{background-position:-112px -144px;}.ui-icon-pin-w{background-position:-128px -144px;}.ui-icon-pin-s{background-position:-144px -144px;}.ui-icon-play{background-position:0 -160px;}.ui-icon-pause{background-position:-16px -160px;}.ui-icon-seek-next{background-position:-32px -160px;}.ui-icon-seek-prev{background-position:-48px -160px;}.ui-icon-seek-end{background-position:-64px -160px;}.ui-icon-seek-start{background-position:-80px -160px;}.ui-icon-seek-first{background-position:-80px -160px;}.ui-icon-stop{background-position:-96px -160px;}.ui-icon-eject{background-position:-112px -160px;}.ui-icon-volume-off{background-position:-128px -160px;}.ui-icon-volume-on{background-position:-144px -160px;}.ui-icon-power{background-position:0 -176px;}.ui-icon-signal-diag{background-position:-16px -176px;}.ui-icon-signal{background-position:-32px -176px;}.ui-icon-battery-0{background-position:-48px -176px;}.ui-icon-battery-1{background-position:-64px -176px;}.ui-icon-battery-2{background-position:-80px -176px;}.ui-icon-battery-3{background-position:-96px -176px;}.ui-icon-circle-plus{background-position:0 -192px;}.ui-icon-circle-minus{background-position:-16px -192px;}.ui-icon-circle-close{background-position:-32px -192px;}.ui-icon-circle-triangle-e{background-position:-48px -192px;}.ui-icon-circle-triangle-s{background-position:-64px -192px;}.ui-icon-circle-triangle-w{background-position:-80px -192px;}.ui-icon-circle-triangle-n{background-position:-96px -192px;}.ui-icon-circle-arrow-e{background-position:-112px -192px;}.ui-icon-circle-arrow-s{background-position:-128px -192px;}.ui-icon-circle-arrow-w{background-position:-144px -192px;}.ui-icon-circle-arrow-n{background-position:-160px -192px;}.ui-icon-circle-zoomin{background-position:-176px -192px;}.ui-icon-circle-zoomout{background-position:-192px -192px;}.ui-icon-circle-check{background-position:-208px -192px;}.ui-icon-circlesmall-plus{background-position:0 -208px;}.ui-icon-circlesmall-minus{background-position:-16px -208px;}.ui-icon-circlesmall-close{background-position:-32px -208px;}.ui-icon-squaresmall-plus{background-position:-48px -208px;}.ui-icon-squaresmall-minus{background-position:-64px -208px;}.ui-icon-squaresmall-close{background-position:-80px -208px;}.ui-icon-grip-dotted-vertical{background-position:0 -224px;}.ui-icon-grip-dotted-horizontal{background-position:-16px -224px;}.ui-icon-grip-solid-vertical{background-position:-32px -224px;}.ui-icon-grip-solid-horizontal{background-position:-48px -224px;}.ui-icon-gripsmall-diagonal-se{background-position:-64px -224px;}.ui-icon-grip-diagonal-se{background-position:-80px -224px;}.ui-corner-all,.ui-corner-top,.ui-corner-left,.ui-corner-tl{border-top-left-radius:0px;}.ui-corner-all,.ui-corner-top,.ui-corner-right,.ui-corner-tr{border-top-right-radius:0px;}.ui-corner-all,.ui-corner-bottom,.ui-corner-left,.ui-corner-bl{border-bottom-left-radius:0px;}.ui-corner-all,.ui-corner-bottom,.ui-corner-right,.ui-corner-br{border-bottom-right-radius:0px;}.ui-widget-overlay{background:#000000 url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_diagonal-maze_0_000000_10x10.png) 50% 50% repeat;opacity:.6;filter:Alpha(Opacity=60);}.ui-widget-shadow{margin:0 0 0 -10px;padding:0px;background:#000000 url(/sites/default/themes/bmjj/css/components/jquery.ui/images/ui-bg_diagonal-maze_0_000000_10x10.png) 50% 50% repeat;opacity:0;filter:Alpha(Opacity=0);border-radius:18px;}
div.qtip-default,div.qtip-default .qtip-titlebar{background:#eee;border-color:#ddd;}div.qtip-default .qtip-titlebar{font-size:2rem;border-bottom:2px dotted #000;}.qtip.hw-ref-link-tooltip{max-width:40%;}.hw-ref-link-tooltip.qtip-pos-bl .qtip-tip,.hw-ref-link-tooltip.qtip-pos-bc .qtip-tip,.hw-ref-link-tooltip.qtip-pos-br .qtip-tip{-moz-transform:scaleY(-1);-o-transform:scaleY(-1);-webkit-transform:scaleY(-1);transform:scaleY(-1);filter:FlipV;-ms-filter:"FlipV";}
.ui-widget.ui-accordion{margin-left:2px;margin-right:2px;width:auto;}.ui-accordion .ui-accordion-content{border:0;max-height:350px;margin-top:-1px;overflow:hidden !important;padding:0;position:relative;-webkit-border-radius:0;border-radius:0;}.ui-accordion .ui-accordion-content > .highwire-list{margin:0 2px;max-height:300px;overflow:auto;}.ui-accordion .ui-accordion-content > .highwire-list-footer{font-size:0.92em;padding:10px 5px;text-align:center;-webkit-border-radius:0.2em;border-radius:0.2em;}.ui-accordion h3.ui-accordion-header{font:bold 1em/1.33em Helvetica,Arial,sans-serif;margin-left:-2px;margin-right:-2px;padding:10px;-webkit-border-radius:0.25em;border-radius:0.25em;}.ui-accordion .ui-accordion-content a,.ui-accordion .ui-accordion-content .item-list li a{text-decoration:none;}.ui-accordion .ui-accordion-content .no-results{font-style:italic;text-align:center;}.ui-accordion h3.ui-accordion-header > .ui-icon{display:none;}.ui-accordion h3.ui-accordion-header i[class*="icon"]{font-size:1.75em;padding:0 10px 0 5px;vertical-align:middle;}.ui-accordion-content.panel-1col .panel-col,.panel-1col .ui-accordion-content .panel-col{width:auto;}.ui-accordion-content .panel-pane{margin-bottom:0;}.ui-accordion .ui-accordion-content ul.inline li{border:0;margin-right:8px;padding:0;}.ui-accordion .ui-accordion-content ul.inline li.last{margin-right:0;}.ui-accordion .ui-accordion-content ul.inline li a{display:inline-block;}.ui-accordion .ui-accordion-content ul{list-style:none;list-style-image:none;margin-bottom:0;padding-left:0;}.ui-accordion .ui-accordion-content ul li,.panels-ajax-tab-panel .highwire-article-citation-list ul li{margin:0;padding:15px 5px;}.ui-accordion .ui-accordion-content ul li.last{border-bottom:0;}
.ui-dialog .ui-dialog-titlebar-close,.society-logins .ui-dialog-titlebar-close{background-image:none;background-position:0% 0%;background-repeat:repeat;border:0;display:inline;font-family:FontAwesome;font-weight:normal;font-size:1.5em;font-style:normal;height:auto;line-height:normal;margin-top:0;padding:0;text-decoration:inherit;right:0.65em;top:0em;vertical-align:baseline;width:auto;-webkit-font-smoothing:antialiased;*margin-right:.3em;background:transparent;}.ui-dialog .society-logins{min-width:195px;}.ui-dialog .ui-dialog-titlebar-close:hover,.society-logins .ui-dialog-titlebar-close:hover{color:#333;font-weight:bold;border:0;}.ui-dialog .ui-dialog-titlebar-close:before,.society-logins .ui-dialog-titlebar-close:before{text-decoration:inherit;display:inline-block;speak:none;font-family:'icomoon';content:"\e80c";background:none;font-size:2rem;}.ui-dialog .ui-dialog-titlebar-close span{display:none;}.society-logins .ui-dialog-titlebar-close{float:right;margin-top:5px;margin-right:-5px;position:absolute;}.society-logins .ui-dialog-titlebar-close + div{margin-top:25px;}.ui-dialog{width:80%;max-width:90%;background-color:#fff;border:1px solid #999;border:1px solid rgba(0,0,0,.2);border-radius:6px;-webkit-box-shadow:0 3px 9px rgba(0,0,0,.5);box-shadow:0 3px 9px rgba(0,0,0,.5);background-clip:padding-box;outline:0;overflow:visible;}.ui-dialog .ui-dialog-content.article-login{overflow:visible;}.ui-dialog .ui-dialog-titlebar{background:transparent;border:none;font-size:2.5rem;font-weight:normal;margin:0;padding-left:10px;}.ui-dialog{}
.tabs-wrapper{clear:both;margin:1em 0;}ul.primary,ul.secondary{border:0;margin:0;padding:0;}ul.secondary{text-align:right;border-top:double 1px #eee;}ul.primary li,ul.secondary li{display:inline;}ul.primary li a,ul.secondary li a{border:0;display:inline-block;margin:0;padding:3px 7px;background-color:#f5f5f5;color:#444444;}ul.primary li a:hover,ul.primary li.active a,ul.secondary li a:hover,ul.secondary li.active a{display:inline-block;background-color:#eaeaea;color:#000000;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_art{margin-bottom:20px;padding-bottom:20px;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_art .article-login.pane-jnl-template-bmjj-challenge{clear:both;padding-top:20px;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_art .article-login.pane-jnl-template-bmjj-challenge > h2{border-top:1px solid #ccc;padding-top:20px;}.pane-panels-ajax-tab-tabs{margin:0;}ul.panels-ajax-tab{margin:0;}ul.panels-ajax-tab li{display:block;}.panels-ajax-tab li a:hover,.panels-ajax-tab li.active a{}.highwire-foxycart-add-to-cart a{background-attachment:scroll;background-clip:border-box;background-color:#2A6EBB;background-image:none;background-origin:padding-box;background-position:0% 0%;background-repeat:repeat;background-size:auto auto;border-bottom-color:#2A6EBB;border-bottom-left-radius:2px;border-bottom-right-radius:2px;border-bottom-style:solid;border-bottom-width:1px;border-image-outset:0 0 0 0;border-image-repeat:stretch stretch;border-image-slice:100% 100% 100% 100%;border-image-source:none;border-image-width:1 1 1 1;border-left-color:#2A6EBB;border-left-style:solid;border-left-width:1px;border-right-color:#2A6EBB;border-right-style:solid;border-right-width:1px;border-top-color:#2A6EBB;border-top-left-radius:2px;border-top-right-radius:2px;border-top-style:solid;border-top-width:1px;box-sizing:border-box;color:#FFF;cursor:pointer;display:inline-block;font-size:17px;font-weight:400;line-height:24.2833px;margin-bottom:0px;margin-left:0px;margin-right:0px;margin-top:0px;padding-bottom:7px;padding-left:12px;padding-right:12px;padding-top:7px;text-align:center;width:100%;}.highwire-foxycart-add-to-cart a:hover{color:#fff;}
.section-message{float:none;}.messages{color:#fcfcfc;border-color:#3498db;background-color:#2980b9;background-image:none;border:1px solid;clear:both;margin:10px -0.5em;padding:10px 20px;}.messages.highwire-stats{background:#fff;border:none;color:#CD202C}.messages:before{display:none;}.messages a,.messages a:hover{color:#fcfcfc;border-bottom:dotted 1px #fcfcfc;}.messages.status{background-color:#CCF0DE;border-color:#CCF0DE;color:#1F6844;}.messages.status a,.messages.status a:hover{color:#1F6844;}.messages.status:before{content:"\f058";display:none;}.messages.warning{background-color:#f5d76e;border-color:#f4d03f;color:#444444;}.messages.warning a{color:#444444;border-color:#444444;}.messages.warning:before{content:"\f071";}.messages.error{border-color:#C0392B;background-color:#E14A56;}.messages.error:before{content:"\f057";}.messages > div{display:table-cell;vertical-align:top;}.messages .msg-col-left{padding:5px 10px 5px 0;text-align:center;}.messages .msg-col-left .icon{font-size:26px;line-height:1em;}.messages .msg-col-right{line-height:1.29em;padding:5px 0;}.messages ul{margin:0 0 0 1.25em;padding:0;}.messages ul li{list-style-image:none;}.messages.single-msg > div{vertical-align:middle;}.messages.single-msg .msg-col-left{padding-top:5px;}.messages.single-msg .msg-col-right{padding:0;}span.error,span.warning{color:#ff0000;}.messages ul{list-style:inside disc;}.pane-highwire-corrections{margin-top:-3px;padding-top:28px;}.messages.highwire-corrections{background-color:#fdeff0;border:0;color:#000;font-size:1.7rem;margin:0;}.messages.highwire-corrections h3,.messages.highwire-corrections h2{color:#cd202c;text-transform:uppercase;font-weight:bold;font-size:1.7rem;margin-bottom:0;margin-top:0;}.messages.highwire-corrections a{color:#2a6ebb;}.messages.highwire-corrections ul{list-style-type:none;margin:0;}.messages.highwire-corrections li{list-style-type:none;margin:0;}.section-message + div{clear:both;}
.item-list .breadcrumb{margin-left:0;}.breadcrumb{clear:both;background-color:rgba(255,255,255,.75);}.breadcrumb{padding-top:0;margin-bottom:30px;margin-top:0;font-size:1.411764705882353rem;background-color:transparent;color:#333;}.breadcrumb li{padding:0;}.breadcrumb>li{display:inline-block;*display:inline;}.breadcrumb>li+li:before{content:"/\00a0";padding:0 5px;color:#ccc;}.breadcrumb a{display:inline-block;*display:inline;padding:0;margin:0;}.breadcrumb li.first a{margin-left:10px;}.breadcrumb li.last{display:none;}.breadcrumb a+a{padding:0;}.breadcrumb a:hover{text-decoration:underline;}.crumb-navigation{margin-bottom:16px;height:30px;}.front .crumb-navigation{margin-bottom:0;height:20px;}
.item-list .pager{clear:both;text-align:center;margin:15px auto;}.item-list .pager li{background-image:none;display:inline;list-style-type:none;padding:0;}.pager-current{font-weight:bold;}.pager li.pager-current,.pager li a{display:inline-block;height:35px;padding:0 15px;text-align:center;font-size:11px;font-weight:600;line-height:35px;letter-spacing:.1rem;text-transform:uppercase;text-decoration:none;white-space:nowrap;background-color:transparent;border-radius:3px;background:#fff;border:solid 1px #bbb;cursor:pointer;box-sizing:border-box;margin:7px 5px;}.pager li.pager-current{background:#f4f4f4;color:#222;}.pager li a:hover,.pager li.pager-current:hover{color:#333;border-color:#888;}
#blocks tr.region-title td{font-weight:bold;}#blocks tr.region-message{font-weight:normal;color:#999;}#blocks tr.region-populated{display:none;}.block-region{background-color:#ff6;margin-top:4px;margin-bottom:4px;padding:3px;}
.pane-highwire-pap .pager-wrapper,.highwire-search-results .pager-wrapper,.highwire-comments-list-all-wrapper .pager-wrapper{border-top:5px solid;margin-top:15px;padding-top:45px;}.pane-highwire-search-token-summary,.pane-page-title-suffix,.pane-highwire-search-token-summary + .panel-separator{display:inline-block;}.panel-region-content > .inside > .pane-highwire-search-results-tool:first-child{margin-top:10px;}.highwire-search-results .highwire-search-results-list{padding-left:0;}.highwire-search-results li.search-result{margin-top:0;}.highwire-search-results .highwire-cite-linked-title{font-size:2.1rem;}.search-result-tool{list-style:none;list-style-image:none;}.search-result-tool.inline li{padding:0;}.search-result-tool.inline li.edit_link + li{margin-left:10px;}.highwire-search-facets-facet{padding-bottom:15px;}.highwire-search-facets-facet .highwire-list + div .links,.highwire-search-facets-facet .highwire-list + div .links.inline{display:block;margin-top:15px;}.highwire-search-facets-facet .highwire-list + div .links,.highwire-search-facets-facet .highwire-list + div .links li{margin:0;}.highwire-search-facets-facet .highwire-search-facets-bucket-list,.highwire-search-facets-form .form-item-buckets > .form-checkboxes{list-style-type:none;padding-left:1em;}.highwire-search-facets-form .form-item-buckets > .form-checkboxes .form-type-checkbox{margin-top:0;margin-bottom:8px;position:relative;}.highwire-search-facets-form .form-item-buckets .form-type-checkbox input[type="checkbox"]{position:absolute;left:0;top:0.25em;}.highwire-search-facets-form .form-item-buckets .form-type-checkbox > label{padding-left:1.5em;}.highwire-search-facets-facet .highwire-search-facets-bucket-list,.highwire-search-facets-facet .highwire-search-facets-bucket-list li.last{margin-bottom:0;}.highwire-search-facets-form .form-submit{margin-top:15px;margin-bottom:15px;}.pane-style-alt-content .highwire-search-facets-form + .highwire-search-facets-form,.pane-style-alt-content .highwire-search-facets-form + .highwire-search-facets-facet,.pane-style-alt-content .highwire-search-facets-facet + .highwire-search-facets-facet,.pane-style-alt-content .highwire-search-facets-facet + .highwire-search-facets-form{border-top-style:solid;border-top-width:2px;margin:0 -10px;padding-top:5px;padding-left:10px;padding-right:10px;}.highwire-quicksearch div,.highwire-quicksearch label{display:inline;}.highwire-quicksearch .button-wrapper [class^="icon-"],.highwire-quicksearch .button-wrapper [class*=" icon-"]{display:inline-block;margin-right:-25px;margin-left:30px;display:none;}.highwire-quicksearch input.form-text{width:200px;}.highwire-advanced-search-form fieldset{padding:0 1em;}.highwire-advanced-search-form #edit-citation .form-item{float:left;margin:0 15px 0 0;max-width:110px;}.highwire-advanced-search-form #edit-citation .form-item-doi{max-width:160px;}.highwire-search-form .form-item-title,.highwire-search-form .form-item-abstract-title,.highwire-search-form .form-item-title-abstract,.highwire-search-form .form-item-anywhere,.highwire-search-form .form-item-text-abstract-title,.highwire-search-form .form-item-references{width:62%;float:left;margin-top:0;margin-right:1%;}.highwire-search-form .form-type-radios,.highwire-search-form #edit-anywhere-container{float:left;max-width:100%;}.highwire-search-form .form-type-radios div{float:left;margin:0;}.highwire-search-form #edit-keywords .form-item label{margin-bottom:0;}.highwire-search-form .form-type-radios div label{margin-right:10px;margin-top:2px;}.highwire-search-form .form-item-author1,.highwire-search-form .form-item-author2{float:left;width:44%;margin-right:1%;}.highwire-search-form .container-inline-date label{float:left;padding-top:10px;}.container-inline-date .date-padding{padding:10px;float:left;}.highwire-search-form .container-inline-date{clear:none;float:left;}.highwire-search-form .form-item-numresults,.highwire-search-form .form-item-sort,.highwire-search-form .form-item-format-result,.highwire-search-form .form-item-jcode,.highwire-search-form .form-item-subject-collection-code,.highwire-search-form .form-item-toc-section,.highwire-search-form .form-item-flag,.highwire-search-form #edit-flag > .form-type-checkbox,.highwire-search-form .form-item-corpus-code .form-type-checkbox{clear:both;}.highwire-search-form .form-item-jcode>label,.highwire-search-form .form-item-subject-collection-code>label,.highwire-search-form .form-item-toc-section>label,.highwire-search-form .form-item-flag>label,.highwire-search-form .form-item-numresults>label,.highwire-search-form .form-item-sort>label,.highwire-search-form .form-item-format-result>label,.highwire-search-form #edit-format .form-type-radios>label,.highwire-search-form .form-item-corpus-code > label{float:left;width:200px;margin-right:16px;line-height:20px;}.highwire-search-form .form-item-numresults .form-item-numresults input,.highwire-search-form .form-item-sort .form-item-numresults input,.highwire-search-form .form-item-format-result .form-item-numresults input,.highwire-search-form .form-item-numresults .form-item-sort input,.highwire-search-form .form-item-sort .form-item-sort input,.highwire-search-form .form-item-format-result .form-item-sort input,.highwire-search-form .form-item-numresults .form-item-format-result input,.highwire-search-form .form-item-sort .form-item-format-result input,.highwire-search-form .form-item-format-result .form-item-format-result input{float:left;margin:5px;}.highwire-search-form #edit-format .form-type-radios>label{text-align:right;}.highwire-search-form .chosen-container-multi .chosen-choices li.search-field input[type="text"]{height:auto;}[id^="search-block-form"] .form-item-search-block-form .form-text + .icon-search,#highwire-search-form .form-item-txtsimple .form-text + .icon-search{cursor:pointer;margin-left:-20px;color:inherit;}.advanced-search-link{width:100%;font-size:1.275rem;line-height:1.275rem;text-align:right;margin-left:5px;clear:both;margin-bottom:10px;}
.hw-add-e-letters{font-weight:bold;}.article-category{font-size:1.8rem;padding-top:2rem;font-weight:500;line-height:2.31rem;margin-bottom:-.75rem;padding-left:0;}.article-series-title{font-size:18px;font-weight:500;float:left;line-height:2em;margin-bottom:-2rem;padding-left:0;}.search-result-highwire-citation .search-snippet,.highwire-cite > .highwire-cite-snippet{border-left:2px solid #ececec;padding:5px 5px 5px 15px;}.highwire-article-citation.tooltip-enable{margin:-10px;padding:10px;}.author-affiliates + div + .pane-highwire-markup{clear:both;}.highwire-citation-bmjj-author-affiliation,.author-affiliates h2.pane-title,.author-affiliates .contributor-list .contributor,.author-affiliates .contributor-list .contributor + li.last,.author-affiliates .contributor-list .name{font-size:1.7rem;line-height:2.5rem;letter-spacing:0;font-weight:normal;}.highwire-article-citation .multi-affiliation .highwire-citation-author,.author-affiliates .multi-affiliation .contributor-list .name,.author-affiliates .contributor-list .xref-aff,.author-affiliates .contributor-list .name,.author-affiliates h2.pane-title{cursor:pointer;color:#2a6ebb;}.author-affiliates .pane-content .highwire-markup,.author-affiliates .highwire-markup div.contributors ol.contributor-list{margin-top:0;}.highwire-article-citation .on-behalf .highwire-citation-author.last,.highwire-article-citation .on-behalf .highwire-citation-author.last:hover{color:initial;cursor:auto;text-decoration:none;}.highwire-article-citation .multi-affiliation .nlm-degrees:before{content:',';margin-right:2px;}.author-affiliates h2.pane-title{margin-top:10px;color:#2a6ebb;}.article-pane .author-affiliates-corresp .bmjj-corresp h2.pane-title{color:initial;cursor:auto;font-weight:normal;display:block;font-size:1.7rem;padding:10px 0 15px 0;}.author-affiliates-corresp .bmjj-corresp h2.pane-title + .pane-content{font-size:1.5rem;}.author-affiliates-corresp .bmjj-corresp{border-bottom:1px solid #ccc;padding-bottom:5px;padding-left:25px;}.highwire-markup .corresp-list .corresp-label{vertical-align:0;}.highwire-markup .affiliation-list .aff .institution-id,.article-pane div.bmjj-corresp .corresp .rev-xref{display:none;}.highwire-markup .affiliation-list .institution-wrap > span:after,.highwire-markup .affiliation-list .institution-wrap ~ span:after{content:",";}.highwire-markup .affiliation-list .institution-wrap:last-child > span:last-child:after,.highwire-markup .affiliation-list .institution-wrap ~ span:last-child:after{content:none;}.highwire-article-citation .multi-affiliation .highwire-citation-author:hover{text-decoration:underline;}div.bmjj-authours{float:none;margin-bottom:10px;}.bmjj-authours .highwire-article-citation .nlm-label{font-size:75%;line-height:0;position:relative;vertical-align:baseline;top:-.5em;}.bmjj-authours .highwire-article-citation .nlm-label + .nlm-label:before{content:",";}ul.highwire-contributors-list{list-style-type:decimal !important;}ul.highwire-contributors-list.single-contrib{list-style-type:none !important;padding-left:25px;}.author-affiliates{margin-bottom:10px;}.author-affiliates .highwire-list,.author-affiliates .highwire-markup,.toggle-group{font-size:1.5rem;padding-bottom:5px;margin-top:10px;}.author-affiliates.author-affiliates-corresp .highwire-list{margin:0;padding:0;}.author-affiliates .toggle-group{border-top:1px solid #ccc;border-bottom:1px solid #ccc;margin-top:0;padding-top:15px;}.author-affiliates ol.affiliation-list{margin-top:0;}.author-affiliates ol.affiliation-list sup{display:none;}.author-affiliates ol.affiliation-list address{font-style:normal;}.author-affiliates .contributor-list .xref-aff,.author-affiliates .contributor-list .xref-sep,.author-affiliates .contributor-list .xref-corresp,.highwire-markup span.xref-bibr{font-size:1.2rem;vertical-align:0.6rem;bottom:0;}.author-affiliates ul.highwire-contributors-list.bmjj-contrib-corresp,.author-affiliates ol.affiliation-list{border-bottom:none;padding-bottom:0;}.author-ids.panel-pane{padding:0;}.author-ids .pane-title{font-size:2.5rem;margin-bottom:0;}.author-ids .highwire-contributors-list{line-height:1.9rem;padding-left:0;margin-top:0;}.author-ids .highwire-contributors-list li{display:block;margin-bottom:15px;}.author-ids .nlm-aff{display:block;font-size:14px;margin-top:2px;}.author-ids .nlm-given-names,.author-ids .nlm-surname{font-size:1.9rem;}.author-ids .nlm-contrib-id,.author-ids .authour-link{font-size:1.4rem;line-height:2rem;display:inline-block;margin-right:25px;}.author-ids .authour-link:last-child{margin-right:0;}.author-ids .nlm-contrib-id:before{content:attr(data-contrib-id-type) ':';display:inline-block;font-weight:bold;text-transform:uppercase;margin-right:5px;}.author-ids .nlm-contrib-id[data-contrib-id-type="orcid"]:before{content:url(/sites/default/themes/bmjj/img/icon-orchid.gif);position:relative;top:3.5px;}.pane-title .icon-plus{display:none;}.author-affiliates .pane-title .icon-plus,.author-affiliates .pane-title .icon-close{display:inline-block;height:1.7rem;width:1.7rem;padding-left:5px;vertical-align:middle;}.author-affiliates.ctools-collapsible-container{padding-bottom:20px;}.author-affiliates.ctools-collapsible-container .ctools-toggle{display:none;}div.author-affiliates,div.bmjj-authours,div.pane-bmjj-learning-test,.pane-highwire-panel-tabs-container.col-narrow-12{padding-left:0;}.highwire-citation-export .highwire-citation-info{margin:0 0 35px;}.highwire-citation-formats .links-title{margin-bottom:1rem;}.highwire-citation-info dt{font-weight:700;}.highwire-citation-info dd{margin-left:0;}.citation-et{font-style:italic;margin-right:-2px;}.highwire-citation-info .highwire-article-citation .highwire-cite-authors,.highwire-citation-info .highwire-article-citation .highwire-cite-metadata,.highwire-citation-info .highwire-article-citation .highwire-cite-title,.highwire-article-citation > .bmjj-article-citation *{display:inline;}.highwire-citation-info .highwire-article-citation .highwire-citation-bmjj-standard{line-height:2.42rem;}.highwire-citation-info .highwire-article-citation .highwire-cite-authors:after,.highwire-citation-info .highwire-article-citation .highwire-cite-title:after,.highwire-article-citation .bmjj-article-citation .highwire-cite-authors:after,.highwire-article-citation .bmjj-article-citation .highwire-cite-title:after{content:'. ';}.highwire-article-citation .bmjj-article-citation.highwire-citation-v2-issue .highwire-cite-title:before,.highwire-article-citation .bmjj-article-citation.highwire-citation-v2-pap .highwire-cite-title:before{content:'';}.bmjj-article-citation .highwire-cite-metadata-volume{font-weight:bold;}.bmjj-citation-metadata .highwire-cite-metadata-journal{font-style:italic;}.pane-highwire-citation-export .pane-title{font-size:2.5rem;margin-bottom:0rem;}.hw-citation-links.inline{display:block;margin-top:0;text-align:center;}.hw-citation-links.inline li{display:block;margin:0 auto 15px;padding:0;width:80%;}.highwire-citation-bmjj-home .highwire-cite-category:after{content:':';}.highwire-article-citation-list .highwire-feed-reports{margin-top:0;}.pane-highwire-reports-feed h2.pane-title{margin-bottom:0;}.highwire-citation-bmjj-home .highwire-cite-title .date{margin-left:5px;display:inline;}.pane-highwire-citation-export{clear:both;}.highwire-search-results .search-result-highwire-citation .highwire-cite-metadata,.highwire-search-results .search-result-highwire-citation .search-snippet-info,.highwire-article-citation .highwire-cite > div{}.highwire-article-citation .highwire-cite > div.highwire-cite-title,.highwire-article-citation .highwire-cite > .highwire-cite-linked-title{}span.highwire-cite-title,span.highwire-cite-title div,.highwire-cite .highwire-cite-access{display:inline;}.highwire-cite .highwire-cite-access{font-size:1em;}.highwire-citation-bmjj-toc .highwire-cite-authors .contributor-list,.highwire-citation-bmjj-toc .highwire-cite-authors .contributor-list li{display:inline;padding:0;margin:0;}
ul.nice-menu,ul.nice-menu ul{list-style:none;padding:0;margin:0;border-top:0;}ul.nice-menu li{border:0;border-top:0;float:left;background-color:#FFFFFF;}ul.nice-menu a{color:#444444;}ul.nice-menu a,ul.nice-menu-down .menuparent a{padding:10px;border:solid 1px #ececec;}ul.nice-menu-down .menuparent > a:after{content:"\f0d7";font-family:fontawesome;padding-left:1em;}ul.nice-menu ul{top:40px;left:-1px;border:0;border-top:0;margin-right:0;}ul.nice-menu ul li{width:12.5em;}ul.nice-menu-down{float:left;border:0;}ul.nice-menu-down li{border-top:0;}ul.nice-menu-down li li{border-top:0;}ul.nice-menu-down ul{left:0;}ul.nice-menu-down ul li{clear:both;}ul.nice-menu-down li ul li ul{left:12.5em;top:-1px;}ul.nice-menu-down li.menuparent,ul.nice-menu-down li.menuparent:hover,ul.nice-menu-down li li.menuparent,ul.nice-menu-down li li.menuparent:hover{background:#FFFFFF;}
.region-journmenu ul,.region-platmenu ul{list-style-type:none;text-align:right;}.region-journmenu ul li,.region-platmenu ul li{display:inline-block;}a.menu-attach-block-drop-link.expand-on-click[id*="drop"]{display:none;}.region-journmenu ul,.region-journmenu li{padding:0;margin:0;}.region-journmenu .content a:not(.contextual-links-trigger){color:#fff;padding:22px 15px;display:inline-block;}.region-journmenu .content a:not(.contextual-links-trigger):hover{background-color:rgba(255,255,255,0.2);color:#fff;}.footer-links{padding-top:15px;}.footer-links > nav{padding:.5rem 1.8rem 0 1.8rem;}.footer-links > nav .active-trail{font-weight:normal;}.footer-links > nav:not(:last-child) > div:last-child li.expanded{border-bottom:1px solid rgba(255,255,255,0.5);padding-bottom:1.5rem;}.footer-links > nav:not(:last-child) > div:last-child li.expanded.last{border-bottom:0;}.footer-links > nav .menu-attach-block-wrapper .block{background:none;position:relative;top:0;margin:20px 0 0 0;padding:0;width:auto;}.footer-links .content .menu > li[class*='col'] > a{color:#fff;font-size:1.7rem;text-transform:uppercase;margin-bottom:1.5rem;}.footer-links .content .menu > li[class*='col'] > a:hover{text-decoration:none;cursor:default;}.footer-links a{color:#fff;font-size:1.7rem;}.footer-links a:hover{text-decoration:underline;color:#fff;}.footer-links ul{list-style:none;padding:0;margin:20px 0 0 0;}.footer-links ul li{line-height:1.5rem;margin-bottom:1.5rem;font-size:1.7rem;padding-left:0;}.footer-links [id*="social"] ul.menu{margin-top:0;}.footer-links [id*="social"] li{display:inline;font-size:25px;margin-right:5px;}.footer-links [id*="social"] li a{display:inline-block;padding:4px 0;margin-bottom:5px;}.footer-links [id*="social"] li a [class^="icon-"],.footer-links [id*="social"] li a [class*=" icon-"]{font-size:3rem;padding:4px;}.footer-links [id*="social"] li a [class^="icon-"].icon-rss,.footer-links [id*="social"] li a [class*=" icon-"].icon-rss{font-size:2.5rem;}.footer-links [id*="social"] li a [class^="icon-"].icon-blog,.footer-links [id*="social"] li a [class*=" icon-"].icon-blog{padding-right:0px;padding-left:8px;}.footer-links [id*="social"] li a:hover{background-color:rgba(255,255,255,0.2);color:#fff;text-decoration:none;}
.chosen-container{position:relative;display:inline-block;vertical-align:top;zoom:1;*display:inline;-webkit-user-select:none;-moz-user-select:none;user-select:none;}.chosen-container .chosen-drop{position:absolute;top:100%;left:-9999px;z-index:1010;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;width:100%;border:1px solid #aaa;border-top:0;background:#fff;}.chosen-container.chosen-with-drop .chosen-drop{left:0;}.chosen-container a{cursor:pointer;}.chosen-container-single .chosen-single{position:relative;display:block;overflow:hidden;height:38px;padding:6px 10px;background-color:#fff;border:1px solid #D1D1D1;border-radius:4px;box-shadow:none;box-sizing:border-box;}.chosen-container-single .chosen-default{color:#999;}.chosen-container-single .chosen-single span{display:block;overflow:hidden;margin-right:26px;text-overflow:ellipsis;white-space:nowrap;}.chosen-container-single .chosen-single-with-deselect span{margin-right:38px;}.chosen-container-single .chosen-single abbr{position:absolute;top:6px;right:26px;display:block;width:12px;height:12px;background:url(/sites/default/themes/bmjj/img/chosen-sprite.png) -42px 1px no-repeat;font-size:1px;}.chosen-container-single .chosen-single abbr:hover{background-position:-42px -10px;}.chosen-container-single.chosen-disabled .chosen-single abbr:hover{background-position:-42px -10px;}.chosen-container-single .chosen-single div{position:absolute;top:0;right:0;display:block;width:18px;height:100%;}.chosen-container-single .chosen-single div b{display:block;width:100%;height:100%;background:url(/sites/default/themes/bmjj/img/chosen-sprite.png) no-repeat 0px 2px;}.chosen-container-single .chosen-search{position:relative;z-index:1010;margin:0;padding:3px 4px;white-space:nowrap;}.chosen-container-single .chosen-search input[type="text"]{-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;margin:1px 0;padding:4px 20px 4px 5px;width:100%;height:auto;outline:0;border:1px solid #aaa;background:white url(/sites/default/themes/bmjj/img/chosen-sprite.png) no-repeat 100% -20px;background:url(/sites/default/themes/bmjj/img/chosen-sprite.png) no-repeat 100% -20px;font-size:1em;font-family:sans-serif;line-height:normal;border-radius:0;}.chosen-container-single .chosen-drop{margin-top:-1px;border-radius:0 0 4px 4px;background-clip:padding-box;}.chosen-container-single.chosen-container-single-nosearch .chosen-search{position:absolute;left:-9999px;}.chosen-container .chosen-results{position:relative;overflow-x:hidden;overflow-y:auto;margin:0 4px 4px 0;padding:0 0 0 4px;max-height:240px;-webkit-overflow-scrolling:touch;}.chosen-container .chosen-results li{display:none;margin:0;padding:5px 6px;list-style:none;line-height:15px;-webkit-touch-callout:none;}.chosen-container .chosen-results li.active-result{display:list-item;cursor:pointer;}.chosen-container .chosen-results li.disabled-result{display:list-item;color:#ccc;cursor:default;}.chosen-container .chosen-results li.highlighted{background-color:#3875d7;color:#fff;}.chosen-container .chosen-results li.no-results{display:list-item;background:#f4f4f4;}.chosen-container .chosen-results li.group-result{display:list-item;font-weight:bold;cursor:default;}.chosen-container .chosen-results li.group-option{padding-left:15px;}.chosen-container .chosen-results li em{font-style:normal;text-decoration:underline;}.chosen-container-multi .chosen-choices{position:relative;overflow:hidden;-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box;margin:0;padding:0;width:100%;height:auto !important;height:1%;border:1px solid #aaa;background-color:#fff;cursor:text;}.chosen-container-multi .chosen-choices li{float:left;list-style:none;}.chosen-container-multi .chosen-choices li.search-field{margin:0;padding:0;white-space:nowrap;}.chosen-container-multi .chosen-choices li.search-field input[type="text"]{margin:1px 0;padding:5px;height:15px;outline:0;border:0 !important;background:transparent !important;box-shadow:none;color:#666;font-size:100%;font-family:sans-serif;line-height:normal;border-radius:0;}.chosen-container-multi .chosen-choices li.search-field .default{color:#999;}.chosen-container-multi .chosen-choices li.search-choice{position:relative;margin:3px 0 3px 5px;padding:3px 20px 3px 5px;border:1px solid #aaa;border-radius:3px;background-color:#e4e4e4;color:#333;line-height:13px;cursor:default;}.chosen-container-multi .chosen-choices li.search-choice .search-choice-close{position:absolute;top:4px;right:3px;display:block;width:12px;height:12px;background:url(/sites/default/themes/bmjj/img/chosen-sprite.png) -42px 1px no-repeat;font-size:1px;}.chosen-container-multi .chosen-choices li.search-choice .search-choice-close:hover{background-position:-42px -10px;}.chosen-container-multi .chosen-choices li.search-choice-disabled{padding-right:5px;border:1px solid #ccc;background-color:#e4e4e4;color:#666;}.chosen-container-multi .chosen-choices li.search-choice-focus{background:#d4d4d4;}.chosen-container-multi .chosen-choices li.search-choice-focus .search-choice-close{background-position:-42px -10px;}.chosen-container-multi .chosen-results{margin:0;padding:0;}.chosen-container-multi .chosen-drop .result-selected{display:list-item;color:#ccc;cursor:default;}.chosen-container-active .chosen-single{border:1px solid #5897fb;}.chosen-container-active.chosen-with-drop .chosen-single{border:1px solid #aaa;-moz-border-radius-bottomright:0;border-bottom-right-radius:0;-moz-border-radius-bottomleft:0;border-bottom-left-radius:0;}.chosen-container-active.chosen-with-drop .chosen-single div{border-left:none;background:transparent;}.chosen-container-active.chosen-with-drop .chosen-single div b{background-position:-18px 2px;}.chosen-container-active .chosen-choices{border:1px solid #5897fb;}.chosen-container-active .chosen-choices li.search-field input[type="text"]{color:#111 !important;}.chosen-disabled{opacity:0.5 !important;cursor:default;}.chosen-disabled .chosen-single{cursor:default;}.chosen-disabled .chosen-choices .search-choice .search-choice-close{cursor:default;}.chosen-rtl{text-align:right;}.chosen-rtl .chosen-single{overflow:visible;padding:0 8px 0 0;}.chosen-rtl .chosen-single span{margin-right:0;margin-left:26px;direction:rtl;}.chosen-rtl .chosen-single-with-deselect span{margin-left:38px;}.chosen-rtl .chosen-single div{right:auto;left:3px;}.chosen-rtl .chosen-single abbr{right:auto;left:26px;}.chosen-rtl .chosen-choices li{float:right;}.chosen-rtl .chosen-choices li.search-field input[type="text"]{direction:rtl;}.chosen-rtl .chosen-choices li.search-choice{margin:3px 5px 3px 0;padding:3px 5px 3px 19px;}.chosen-rtl .chosen-choices li.search-choice .search-choice-close{right:auto;left:4px;}.chosen-rtl.chosen-container-single-nosearch .chosen-search,.chosen-rtl .chosen-drop{left:9999px;}.chosen-rtl.chosen-container-single .chosen-results{margin:0 0 4px 4px;padding:0 4px 0 0;}.chosen-rtl .chosen-results li.group-option{padding-right:15px;padding-left:0;}.chosen-rtl.chosen-container-active.chosen-with-drop .chosen-single div{border-right:none;}.chosen-rtl .chosen-search input[type="text"]{padding:4px 5px 4px 20px;background:white url(/sites/default/themes/bmjj/img/chosen-sprite.png) no-repeat -30px -20px;background:url(/sites/default/themes/bmjj/img/chosen-sprite.png) no-repeat -30px -20px;direction:rtl;}.chosen-rtl.chosen-container-single .chosen-single div b{background-position:6px 2px;}.chosen-rtl.chosen-container-single.chosen-with-drop .chosen-single div b{background-position:-12px 2px;}@media only screen and (-webkit-min-device-pixel-ratio:2),only screen and (min-resolution:144dpi){.chosen-rtl .chosen-search input[type="text"],.chosen-container-single .chosen-single abbr,.chosen-container-single .chosen-single div b,.chosen-container-single .chosen-search input[type="text"],.chosen-container-multi .chosen-choices .search-choice .search-choice-close,.chosen-container .chosen-results-scroll-down span,.chosen-container .chosen-results-scroll-up span{background-image:url(/sites/default/themes/bmjj/img/chosen-sprite@2x.png) !important;background-size:52px 37px !important;background-repeat:no-repeat !important;}}
.btn-primary{color:#fff;background-color:#337ab7;border-color:#2e6da4;}.btn{border-radius:2px;vertical-align:top;padding-top:7px;padding-bottom:7px;display:inline-block;margin-bottom:0;font-weight:400;text-align:center;touch-action:manipulation;cursor:pointer;background-image:none;border:1px solid transparent;white-space:nowrap;padding:6px 12px;font-size:14px;line-height:1.42857143;-webkit-user-select:none;-moz-user-select:none;-ms-user-select:none;user-select:none;}html{position:relative;}body{font-size:1.6rem;transition:transform .5s;width:100%;overflow-x:hidden;}body.menu-out{transform:translate(-250px);}h1{font-size:2.9rem;line-height:3.19rem;margin-top:0;padding-left:0;margin-bottom:1rem;margin-top:2rem;font-weight:500;letter-spacing:0;}h3{font-size:2.1rem;margin-bottom:.3rem;line-height:2.31rem;margin-top:20px;}.cookie-message-section{background-color:#555555;color:#eeeeee;line-height:25px;}.cookie-message-section #cookie-notice{padding-left:15px;}.cookie-message-section .cookie-all{padding-top:6px;display:inline-block;}.cookie-message-section svg{fill:#fff;height:15px;padding-left:3px;padding-top:5px;width:15px;}.cookie-message-section svg[class*=icon]{margin-left:4px;}.cookie-message-section svg.icon-close{padding-left:0;margin-left:0;}.cookie-message-section a{color:#eeeeee;text-decoration:none;}.cookie-message-section a:hover{color:#fff;}.cookie-message-section .cookie-message-text{margin-top:10px;margin-bottom:7px;font-size:1.4rem;color:#eeeeee;vertical-align:middle;line-height:1.5rem;}.cookie-message-section .more-info-text.visible{display:block;}.cookie-message-section .btn-close{padding-right:0;}.cookie-message-section .btn-close .wrap-icon{cursor:pointer;float:right;padding:5px 10px;margin-right:-6px;}.cookie-message-section .btn-close .wrap-icon:hover{background-color:rgba(255,255,255,0.2);}.pane-bmjj-highwire-inst-branding .highwire-inst-wrap{padding-left:0;}.header.header-platform{background-color:#fffeff;}.header.header-platform ul{margin:0;}.header.header-platform ul li{margin:0;line-height:25px;}.header.header-platform ul li > a{padding:15px 10px 14px;display:inline-block;font-size:1.7rem;color:#333333;font-weight:normal;}.header.header-platform ul li > a#menu-search{margin-right:-10px;}.header.header-platform ul li > a.dropped,.header.header-platform ul li > a:hover{background-color:#eeeeee;}.header.header-platform ul li > a .icon{display:inline-block;font-size:3rem;margin-top:-3px;}.header.header-platform ul li > a .icon.icon-search{font-size:2rem;margin:0px 0 0 4px;top:1px;}.header.header-platform .region-platmenu ul.menu{padding-left:0;}.header.header-platform .logo-bmj-journals{margin-bottom:0;font-size:2.6rem;padding-top:15px;display:inline-block;line-height:25px;margin-top:0;}.header.header-platform .logo-bmj-journals a{color:#555555;text-decoration:none;}.header.header-platform .logo-bmj-journals img{height:40px;min-width:150px;}.header.header-platform .beta-msg{line-height:100%;margin-left:20px;margin-bottom:0;margin-top:-25px;padding:0 10px 0 10px;text-align:center;font-size:1.2rem;color:#cd202c;display:inline-block;text-transform:uppercase;vertical-align:middle;}.header.header-platform .beta-msg .beta-msg__version{display:none;}#search-block-form [class^="icon-"],#search-block-form [class*=" icon-"]{display:none;}header.section-header{background-color:#eeeeee;border-bottom:solid 1px #ccc;padding-top:15px;padding-bottom:7px;text-align:center;}header.section-header #header-adverisement p{margin:0;padding:0;}.row.header-journal{background-color:#185290;height:57px;}.row.header-journal .logo-journal{height:57px;}.row.header-journal .logo-journal h1{margin:0;padding:0;}.row.header-journal .logo-journal a{display:block;position:relative;top:52%;-webkit-transform:translateY(-50%);-moz-transform:translateY(-50%);-ms-transform:translateY(-50%);-o-transform:translateY(-50%);transform:translateY(-50%);}.header.header-platform ul li > a.header-subscribe-link{font-weight:bold;}.mobile-only .content #mini-panel-mobile_slide_out_menu{text-align:right;font-size:1.7rem;color:#333333;}.mobile-only .content #mini-panel-mobile_slide_out_menu .highwire-responsive-toggle-group{background:#185290;}.mobile-only .content #mini-panel-mobile_slide_out_menu .highwire-responsive-toggle-group .highwire-responsive-toggle-triggers{display:inline-flex;}.mobile-only .content #mini-panel-mobile_slide_out_menu li[class*=trigger]{color:#fff;font-size:2.3rem;padding:10px 15px 0 15px;height:57px;}.mobile-only .content #mini-panel-mobile_slide_out_menu li[class*=trigger]:hover,.mobile-only .content #mini-panel-mobile_slide_out_menu li[class*=trigger].expanded{background-color:rgba(255,255,255,0.2);}.mobile-only .content #mini-panel-mobile_slide_out_menu .society-logins + .panel-separator{margin:0;}.mobile-only .content #mini-panel-mobile_slide_out_menu .society-login-dropdown{margin-bottom:5px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane{display:block;position:absolute;border:none;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu > .pane-content{background:#fff;position:fixed;top:0;bottom:0;overflow-y:auto;overflow-x:hidden;width:250px;right:0;border-left:solid 1px #555;transform:translate3d(250px,0,0);-ms-transform:translate3d(0px,0px,0px);z-index:2;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu > .pane-content > ul > li:not(.first){background-color:#888888;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a[data-block-id*="mobile_slide_out_autobot_menu"] ~ .menu-attach-block-wrapper{display:block;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a[data-block-id*="mobile_slide_out_autobot_menu"] ~ .menu-attach-block-wrapper .pane-content{padding:0;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu div[id*='mini-']{background-color:#888888;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu div[id*='mini-'] .panel-pane,.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu div[id*='mini-'] .pane-content{background-color:transparent !important;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu div[id*='mini-'] .panel-pane{padding:0;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu div[id*='mini-'] .pane-content{padding:10px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu div#mini-panel-jnl_template_bmjj_uid_strng_side{background-color:#fff;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu div#mini-panel-jnl_template_bmjj_uid_strng_side .panel-pane{color:#333;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu ul{text-align:left;background-color:#185290;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu li .panel-pane{position:relative;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu li .panel-pane.society-logins{border-bottom:1px solid #ccc;padding-bottom:10px;margin-bottom:15px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu li .panel-pane.society-logins .form-submit{margin-bottom:10px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu .ui-dialog-titlebar-close{display:none;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu .ui-dialog-titlebar-close + div{margin-top:0;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu .pane-bmjj-highwire-inst-branding .highwire-inst-wrap{padding:0;display:block;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu .institution-name{display:inline-block;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu .institution-name span{display:block;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.menu-attach-block-drop-link{display:none;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu li.last a.callout-link{border-color:#888;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link{background-color:#555555;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link ~ .menu-attach-block-wrapper .pane-content{font-size:1.5rem;color:#fff;padding:0 10px 10px 10px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link ~ .menu-attach-block-wrapper .pane-content a{display:inline;padding:0;background:none;border:none;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link ~ .menu-attach-block-wrapper .pane-content .bmjj-reset-password a + a{display:block;min-height:20px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link ~ .menu-attach-block-wrapper .pane-content p{margin:0;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link.dropped{background-color:#888888 !important;border:none;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link:hover{background-color:rgba(255,255,255,0.2);border:none;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link [class^="icon-"],.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.callout-link [class*=" icon-"]{float:right;font-size:2.5rem;margin-top:-1px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.bmj-link{background-color:#fff;color:#333333;border-color:#888;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.bmj-link ~ .menu-attach-block-wrapper .pane-content{background-color:#fff;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.bmj-link:hover{background-color:#fff;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.menu-close{text-align:right;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.menu-close [class*=" icon-"],.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a.menu-close [class^="icon-"]{font-size:3.6rem;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a{border-bottom:solid 1px rgba(255,255,255,0.5);padding:10px;line-height:2.2rem;min-height:43px;}.mobile-only .content #mini-panel-mobile_slide_out_menu .panel-pane.pane-menu-menu-mobile-slideout-menu a:hover{background-color:rgba(255,255,255,0.2);}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded{width:310px;right:0;z-index:1;text-align:left;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded #mini-panel-jnl_template_bmjj_search_box{background-color:rgba(255,255,255,0.2);padding-bottom:15px;margin-bottom:-10px;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .panel-pane{background:transparent;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-highwire-seach-quicksearch{position:static !important;float:none !important;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-highwire-seach-quicksearch .pane-content{padding-bottom:0;margin-bottom:10px;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pull-right.advanced-search-link{float:none !important;text-align:left !important;padding:0;margin:-10px 0 0 10px;background-color:transparent !important;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pull-right.advanced-search-link .pane-content{background:transparent !important;padding:0;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pull-right.advanced-search-link a:hover{background-color:transparent !important;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-content{padding:0 0 10px 0;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-content a{padding:0;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-content p{margin:0;font-size:1.4rem;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-content input{height:34px;border-radius:0;line-height:20px;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-content input[type="text"]{padding:5px 5px 5px 10px;margin:0 -4px 0 0;width:233px;background-color:#fff;border:solid 1px #ccc;}.mobile-only .content .pane-jnl-template-bmjj-search-box.expanded .pane-content input[type="submit"]{float:right;background-color:#eee;color:#555;padding:6px 12px;text-transform:none;font-size:1.4rem;font-weight:normal;letter-spacing:0;margin-right:0;}.icon-arrow-up-top{width:35px;height:35px;margin:7px 5px 5px 8px;}.hw-citation-links.inline > li{display:inline-block;margin:1.2rem 1rem;width:auto;}.hw-citation-links.inline > li > a{background-color:#eee;border-radius:2px;border:1px solid #ccc;color:#333;display:inline-block;font-weight:400;vertical-align:top;padding-top:7px;padding-bottom:7px;min-width:160px;margin-bottom:0;text-align:center;touch-action:manipulation;cursor:pointer;background-image:none;white-space:nowrap;padding:6px 12px;font-size:14px;line-height:1.42857143;-webkit-user-select:none;-moz-user-select:none;-ms-user-select:none;user-select:none;}.hw-citation-links.inline > li > a:hover{color:#333;background-color:#e6e6e6;border-color:#adadad;}.page-user ul.primary,.page-login ul.primary{border-bottom:1px solid #ccc;}.page-user ul.primary li,.page-login ul.primary li{border:1px solid #ccc;border-width:1px 1px 0px 1px;display:inline-block;margin-bottom:0;margin-right:5px;}.page-user #page-title,.page-login #page-title{clear:both;}.page-user #block-system-main .society-logins .ui-dialog-titlebar-close,.page-login #block-system-main .society-logins .ui-dialog-titlebar-close{display:none;}.page-search .tabs-wrapper{display:none;}.page-search input + fieldset{margin-top:15px;}#footer{margin-top:100px;}body.node-type-highwire-article #footer{margin-top:0;}.footer-links .row{background-color:#185290;}.logoBMJ{margin-top:1em;padding-left:2px;}.logoBMJ a{margin-left:1em;}.logoBMJ .logo-bmj-svg{fill:#2a6ebb;width:60px;height:38px;}.legal .legal-inner{margin-left:.5em;}.legal .print-issn{margin-left:30px;}.legal ul{list-style:none;margin:0;padding-left:0;}.legal li{margin:0;font-size:1.7rem;}.legal p{margin-top:15px;}.legal small{line-height:.25rem;font-size:1.445rem;}.footer-journal-societies{border-top:solid 1px #cccccc;padding-top:15px;margin-bottom:0;padding-left:0;}.footer-journal-societies ul{list-style-type:none;margin:0;padding-left:10px;}.footer-journal-societies ul li{margin-right:2rem;display:inline;}.toc-pane .pane-page-title-suffix h3{margin-top:0;}.toc-pane .issue-toc .issue-toc-section > .issue-toc-section{border-bottom:0;margin:0;padding-top:5px;padding-bottom:0;}.toc-pane .issue-toc .issue-toc-section > .issue-toc-section > .toc-heading{margin-top:0;text-transform:none;font-size:2.2rem;}.toc-pane .issue-toc .issue-toc-section > h2{margin-bottom:10px;}.toc-pane .cover-issue-image img{border:solid 1px #cccccc;}.toc-pane .highwire-toc-sections-nav{margin-left:30px;}.toc-pane .highwire-toc-sections-nav .highwire-list > ul > li .highwire-list{display:none;}.toc-issue-pager a{color:#333333;position:relative;}.toc-issue-pager a:hover{color:#333333;}.toc-issue-pager a .title{font-size:1.4rem;display:block;float:left;line-height:4rem;}.toc-issue-pager a .icon{font-size:4rem;}.toc-issue-pager-prev a .icon{float:left;margin-left:-1rem;margin-right:-5px;}.toc-issue-pager-next a .icon{float:right;margin-right:-1rem;margin-left:-5px;}#mini-panel-jnl_template_bmjj_iss_issue{border-bottom:solid 1px #cccccc;padding-bottom:20px;margin-bottom:20px;}#mini-panel-jnl_template_bmjj_iss_issue ul{padding:0 0 0 15px;margin:0;}#mini-panel-jnl_template_bmjj_iss_issue ul li{padding:0;margin:0;line-height:2.5rem;}.pane-highwire-variant-list h2,.issue-toc h2{font-size:2.5rem;font-weight:500;text-transform:uppercase;line-height:2.75rem;margin-bottom:0;margin-top:20px;color:#333333;letter-spacing:0;}.pane-highwire-variant-list h2{margin-bottom:10px;}.issue-toc .issue-toc-section{border-bottom:solid 1px #cccccc;margin-bottom:20px;padding-bottom:20px;line-height:2.5rem;}.issue-toc .issue-toc-section .issue-toc-section{border-bottom:0;margin-bottom:0px;padding-bottom:0px;}.issue-toc ul.toc-section{margin:0;padding:0;}.issue-toc ul.toc-section li{margin-bottom:0;}.issue-toc ul.toc-section li:not(:first-child){margin-top:20px;}.issue-toc ul.toc-section a.highwire-cite-linked-title{font-size:1.9rem;line-height:2.71429rem;}.issue-toc ul.toc-section .highwire-cite-authors{font-size:1.4rem;line-height:20px;}.pane-highwire-variant-list{border-bottom:solid 1px #cccccc;margin-bottom:20px;padding-bottom:20px;line-height:2.5rem;}.pane-highwire-variant-list a{display:block;margin-bottom:0;font-weight:400;text-align:center;touch-action:manipulation;cursor:pointer;background-image:none;border:1px solid transparent;white-space:nowrap;padding:6px 12px;font-size:14px;line-height:1.42857143;-webkit-user-select:none;color:#333;border-color:#ccc;background-color:#eee;border-radius:2px;vertical-align:top;padding-top:7px;padding-bottom:7px;}.pane-highwire-variant-list a:hover{color:#333333;}.pane-highwire-variant-list ul.inline li{display:block;padding:0 .5em 5px 0;}.home-layout .jnl-template-bmjj-about-journal-snippet .snippet-content{margin:0 0 10px;}.home-layout .pane-bmjj-recent-articles-pap-only h2.pane-title{margin-bottom:0;}.home-layout .pane-bmjj-recent-articles-pap-only .highwire-list ul{margin-top:0;}.home-layout .row-mid-double{margin-bottom:20px;}.front h2.pane-title.with-icon-class{margin-top:20px;}.front .icon-background-circle{background-color:#185290;display:inline-block;height:36px;width:36px;border-radius:18px;-webkit-border-radius:18px;-moz-border-radius:18px;margin-right:10px;padding:2px 0 0 2px;}.front .icon-background-circle .svg-icon{fill:#fff;stroke:#fff;}.front .icon-background-circle .icon-star{width:28px;height:28px;padding:3px 0 0 5px;}.front .icon-background-circle .icon-article-text{width:30px;height:30px;padding:0;margin:0 0 0 2px;}.front .icon-background-circle .icon-publish{width:28px;height:27px;padding:3px 0 0 6px;}.icon-background-circle .icon-related{width:30px;height:30px;padding:3px 0 0 3px;}.pane-bmjj-related-journals{margin-top:40px;}.pane-bmjj-related-journals .journal-cover{float:left;padding-bottom:30px;max-width:30%;}.pane-bmjj-related-journals .journal-cover img{max-height:125px;}.pane-bmjj-related-journals .journal-info{float:left;padding-left:20px;max-width:70%;}.pane-bmjj-related-journals .journal-info p{margin-bottom:5px;}.pane-bmjj-related-journals p.clearfix{margin-bottom:30px;}.pane-bmjj-related-journals .uppercase{line-height:1.4em;}.pane-bmjj-related-journals .related_journals_list{margin-left:33px;}.front .title-text{display:inline-block;vertical-align:top;}.front .journal-info{margin-bottom:20px;}.front #mini-panel-jnl_template_bmjj_hme_issue{line-height:100%;}.front #mini-panel-jnl_template_bmjj_hme_issue .uppercase{line-height:1.4em;}.front #mini-panel-jnl_template_bmjj_hme_issue .panel-region-content-left{width:auto;}.front .pane-menu-menu-home-page-publish-menu .pane-content li{list-style-type:none;display:block;margin:0 1rem 20px 0;}.front .pane-menu-menu-home-page-publish-menu .pane-content li a{background-color:#eee;border-radius:2px;padding:7px;color:#333;border:solid 1px #ccc;display:block;text-align:center;}.front .pane-menu-menu-home-page-publish-menu .pane-content li a:hover{background-color:#d5d5d5;}.back-to-current{background-color:#FBEEEE;text-align:center;vertical-align:middle;max-width:85px;color:#CD202C !important;line-height:90% !important;font-size:.8em !important;padding-top:15px !important;padding-bottom:14px !important;height:56px;}.back-to-current:hover{background-color:#FAE8E9 !important;}.highwire-list-pap h3{font-size:2.3rem;font-weight:200;}.page-content-early .pane-page-title + .panel-separator{display:block;}.highwire-list-pap.highwire-article-citation-list{border-bottom:1px solid #ccc;}.pane-highwire-pap .pane-content > div:last-of-type{border-bottom:none;}.highwire-list-pap ul{margin:0 0 20px 0;padding-left:0;}.highwire-list-pap ul li{margin-bottom:10px;}.highwire-list-pap ul li .highwire-cite-linked-title{font-size:1.9rem;line-height:140%;}.highwire-list-pap ul li .highwire-cite-authors{font-size:1.4rem;line-height:140%;}.highwire-list-pap ul li .highwire-cite-metadata{font-size:1.4rem;line-height:140%;}.pane-highwire-article-comments-list > h2.pane-title{margin-bottom:10px !important;}.pane-highwire-article-comments-list .pane-content .item-list > h3{margin-bottom:5px !important;}.pane-highwire-article-comments-list .pane-content > .item-list{border-bottom:1px solid #ccc;padding-bottom:20px;margin-bottom:20px;}.pane-highwire-article-comments-list .pane-content > .item-list:last-child{border-bottom:0px solid #ccc;}.pane-highwire-article-comments-list .pane-content ul.highwire-comments-anchor-list li{list-style:none;margin-bottom:15px;}.pane-highwire-article-comments-list .pane-content ul.highwire-comments-anchor-list li.last{margin-bottom:0px;}.pane-highwire-article-comments-list .pane-content ul.highwire-comments-anchor-list li{line-height:120%;}.pane-highwire-article-comments-list .pane-content ul.highwire-comments-anchor-list li .highwire-comment-anchor-title a{font-weight:bold;}.pane-highwire-article-comments-list .pane-content ul.highwire-comments-anchor-list li .highwire-comments-authors,.pane-highwire-article-comments-list .pane-content ul.highwire-comments-anchor-list li .highwire-comments-list-date{font-size:1.5rem;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments > li{border-bottom:1px solid #ccc;padding-bottom:30px;margin-bottom:20px;list-style:none;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments > li.last{border-bottom:0px solid #ccc;padding-bottom:0px;margin-bottom:0px;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments .highwire-comment-view ul li{list-style:none;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments .highwire-comment-view .highwire-comments-list-date{font-size:1.5rem;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments .highwire-comment-view .highwire-comment-view-title{font-weight:bold;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments .highwire-comments-authors .highwire-comment-authors{margin-left:0;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments .highwire-comments-authors .highwire-comment-authors > li{font-size:1.5rem;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments a.comment-show-more::after{content:' +';}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments a.comment-show-less::after{content:' -';}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments .highwire-comment-conflict-of-interest{margin-bottom:20px;}.pane-highwire-article-comments-list .pane-content .item-list .highwire-comments .back-to-top{border:1px solid #ccc;padding:8px 10px;color:#333;background-color:#eee;}.pane-highwire-article-crossmark .pane-content{height:40px;}.pane-jnl-template-bmjj-art-middle-ad.oas-ads.oas-ads-mid.pull-right{position:relative;z-index:100;}.highwire-markup ol.list-alphaupper li{list-style:upper-alpha;}ul.menu .active-trail{font-weight:normal;}.pane-bmjj-jumplinks .pane-content .highwire-list ul{padding-left:0;}.pane-bmjj-jumplinks .pane-content .highwire-list ul li{display:inline;list-style-type:none;padding:0 .5em;}#highwire-comment-node-form > div > fieldset.collapsible.required-fields.group-dates-string{display:none;}.field-name-field-highwire-article-cat.field-type-text .field-item{display:table;}body.node-type-highwire-article .pane-node-field-highwire-article-cat .field-item{margin-right:.5rem;}.region-absolute-bottom .dfp-tag-wrapper{text-align:center;}.article-pane .pane-dfp-pane{position:relative;z-index:100;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_altmetrics .pane-highwire-altmetrics{padding-top:30px;}
body{background-color:#ffffff;color:#333333;}a{color:#2a6ebb;}a:hover{color:#005a96;}h1{color:#333333;}h2{color:#111111;}h3{color:#222222;}.highlight{background:#f4d03f;}.ui-dialog .ui-widget-content a{color:#2a6ebb;}
@media all and (min-width:768px) and (min-device-width:768px),(max-device-width:800px) and (min-width:768px) and (orientation:landscape){body{font-size:1.7rem;}h1{font-size:3.6rem;line-height:1.25;}h2{font-size:3.0rem;line-height:1.3;}h3{font-size:2.4rem;line-height:1.35;}.more-info-text.visible{display:inline;}.cookie-message-section svg{height:15px;width:15px;}.cookie-message-section .btn-close .wrap-icon{padding:10px 10px 5px 10px;}.cookie-message-section .btn-close .wrap-icon svg{height:20px;width:20px;padding:0 2px;margin:0;}.section-message > .messages{margin:10px -20px 10px 0;}.crumb-navigation,.front .crumb-navigation{margin-bottom:36px;height:30px;}.front .pane-menu-menu-home-page-publish-menu .pane-content li{display:inline;margin:0 1rem 0 0;}.front .pane-menu-menu-home-page-publish-menu .pane-content li a{display:inline;text-align:left;}.pane-highwire-variant-list ul.inline li{display:inline;padding:0 .5em 0 0;}.pane-highwire-variant-list a{display:inline-block;}.header.header-platform .beta-msg{margin-top:-35px;margin-left:20px;border-left:1px solid #cd202c;border-right:1px solid #cd202c;}.header.header-platform .beta-msg .beta-msg__version{display:inline;}.header.header-platform .logo-bmj{padding-left:15px;}.header.header-platform .logo-bmj .l-inline{padding-top:2px;white-space:nowrap;}.header.header-platform .logo-bmj-journals{padding-top:7px;font-size:2.3rem;}.header.header-platform ul li.leaf a{min-height:56px;vertical-align:middle;}.header.header-platform ul li.leaf a:before{font-size:3.5rem;content:'';}.header.header-platform ul li.leaf a#menu-search{padding-top:10px;}.header.header-platform ul li > a{padding:8px 10px 16px;}.header.header-platform ul li > a .icon{position:relative;top:6px;font-size:2.8rem;margin-top:-1px;}.header.header-platform ul li > a .icon.icon-basket{font-size:3.2rem;margin-top:-6px;}.header.header-platform ul li.last{padding-right:10px;vertical-align:middle;}.region-platmenu .advanced-search-link{text-align:left;margin-top:5px;}.region-platmenu .block-search + .panel-separator{display:none;}.region-platmenu .block-search div[id*=edit-advanced-link]{display:none;}.region-platmenu .block-search input{height:34px;border-radius:0;line-height:20px;}.region-platmenu .block-search input[type="text"]{padding:5px 5px 5px 10px;margin-right:-4px;width:225px;}.region-platmenu .block-search input[type="submit"]{float:right;background-color:#eee;color:#555;border:solid 1px #ccc;padding:6px 12px;text-transform:none;font-size:1.4rem;font-weight:normal;letter-spacing:0;margin-right:0;}.region-platmenu li.last .menu-attach-block-wrapper{border-right:0;right:0px;width:310px;}.region-platmenu .menu-attach-block-wrapper{position:absolute;background-color:#eeeeee;border-left:solid 1px #cccccc;border-right:solid 1px #cccccc;border-bottom:solid 1px #cccccc;z-index:2;width:240px;color:#333333;font-size:1.6rem;}.region-platmenu .menu-attach-block-wrapper .content{text-align:left;padding:20px 10px 10px 10px;}.region-platmenu .menu-attach-block-wrapper .society-logins .ui-dialog-titlebar-close + div{margin-top:15px;}.institution-name{display:block;font-size:1.411764705882353rem;line-height:1em;margin-right:-5px;}#block-panels-mini-jnl-template-bmjj-login h2{font-size:2.1rem;}#block-panels-mini-jnl-template-bmjj-login input{width:100%;}#block-panels-mini-jnl-template-bmjj-login .opportunity-challenge-login .drupal-login.compact .form-item-name{margin-right:0;}#block-panels-mini-jnl-template-bmjj-login .opportunity-challenge-login h3{display:none;}.region-platmenu #block-panels-mini-my-account-drop-down{top:0;}.row.header-journal{height:70px;}.row.header-journal .logo-journal{height:70px;padding-left:15px;}.row.header-journal .logo-journal a img{height:50px;}.row.header-journal .region-journmenu .content a{padding:21px 15px;}.footer-links{padding-top:15px;}.footer-links > nav{padding:.25em 1em;padding-top:20px;}.footer-links > nav:not(:last-child) > div:last-child li.expanded{border-bottom:none;padding-bottom:0;}.footer-links > div.row{padding-bottom:20px;}.footer-links ul li.last{margin-bottom:0;}.footer-journal-societies{padding-right:.75rem;}.footer-platform{padding-top:20px;}.footer-platform .legal{text-align:right;margin-left:0;}.footer-platform .legal .legal-inner{margin-left:1em;}.footer-platform .logoBMJ{margin-left:0;margin-top:0;padding-left:7.5px;}.footer-platform .logoBMJ a{margin-left:9.5px;}.footer-platform .optanon-show-settings-button{float:right;}#back-top{display:inline-block;padding-left:0;}#back-top .article-go-to-top{padding:0;width:70px;margin-left:-1px;z-index:1;}#back-top .article-go-to-top a.back-to-top{background-color:#eee;border:1px solid #ccc;display:inline-block;padding:2px 12px 0 8px;}#back-top .article-go-to-top a.back-to-top + a{margin-top:20px;}#back-top .article-go-to-top.affix{position:fixed !important;margin-top:0 !important;}.article-pane h2,.article-pane h2.pane-title:not(.ctools-collapsible-handle){font-size:2.5rem;line-height:2.75rem;margin-bottom:0rem;margin-top:20px;}div.highwire-markup .highwire-figure-links{margin-top:-4px;}.tab-pane{max-width:8rem;padding-right:0;}.tab-pane > div{background-color:#eee;border-top:solid 1px #ddd;border-left:solid 1px #ddd;border-bottom:solid 1px #ddd;min-width:80px;margin-left:-7px;}.article-pane{background-color:#fff;border:solid 1px #ccc;padding:0 2.5rem 2rem;min-height:550px;}.article-pane .article-category{font-size:2.1rem;}.article-pane .article-category .field-item + .field-item{font-size:1.8rem;float:left;height:1.3rem;}.article-pane .article-title #article-title,.article-pane .article-title .highwire-cite{font-size:2.9rem;line-height:3.19rem;}div.highwire-markup .highwire-figure-links{margin-top:-4px;}ul.panels-ajax-tab li{padding:0;font-size:1.5rem;position:relative;z-index:1;top:-1px;line-height:1.5rem;}.panels-ajax-tab li.active{margin-left:-4px;margin-right:-1px;box-shadow:-1px 1px 1px 0 #dddddd;border:solid 1px #ccc;border-right-color:#fff;}.panels-ajax-tab li.active a{background-color:#fff;}.panels-ajax-tab li a{display:block;width:100%;padding:0;margin:0;text-align:center;color:#333;padding:10px 0;}.panels-ajax-tab li:not(.active) a:hover{background-color:#bbb;}.panels-ajax-tab li.active a:hover{cursor:default !important;}.panels-ajax-tab li a [class^="icon-"],.panels-ajax-tab li a [class*=" icon-"]{display:block;font-size:4.5rem;line-height:3rem;}.ui-dialog{}.toc-issue-pager{margin-top:70px;position:relative;}.toc-issue-pager .icon{position:absolute;}.toc-issue-pager .pager-next .title{padding-right:28px;}.toc-issue-pager-prev a .icon{left:0;position:relative;}.toc-issue-pager-next a .icon{right:0;}.pane-highwire-issue-archive-date-nav .nav-children .issue-browser li{border-radius:0;border-width:0 0 1px 0;margin:0;padding:0;width:10%;}.pane-highwire-issue-archive-date-nav .issue-browser .active a{font-size:1.29em;margin-top:-3px;}.archive-issue-list ul.issue-month-detail{clear:none;margin-top:20px;}.archive-title{font-size:1.5em !important;font-weight:bold !important;}.archive-issue-list .issue-link{padding-left:200px !important;}.pane-highwire-cover-toggle{width:auto;}#user-login{width:530px;margin-top:30px;}.bmjj-login-popup.ui-dialog{width:600px !important;left:50% !important;margin-left:-300px !important;}.highwire-list-pap h3{font-size:2.5rem;}.region-footersocial{padding-left:10px;}}@media all and (min-width:1024px) and (min-device-width:1024px),all (max-width:1220px) and (max-device-width:1220px) and (orientation:landscape){#menu-search,#menu-search + a{display:none;}#menu-search ~ .menu-attach-block-wrapper{display:block !important;position:static;border:0;width:auto;}#menu-search ~ .menu-attach-block-wrapper .content{padding:0;}.region-platmenu #mini-panel-jnl_template_bmjj_search_box{float:left;margin-bottom:-13px;}.region-platmenu .block-search div[id*=edit-advanced-link]{display:none;}.region-platmenu .block-search input[type="text"]{width:220px;}.advanced-search-link{width:55px;clear:none;text-align:right;margin-bottom:0;}.header.header-platform .logo-bmj-journals{padding-top:10px;font-size:2.6rem;}.header.header-platform .logo-bmj .l-inline{padding-top:0px;}.header.header-platform .logo-bmj + div{padding-left:0;}.header.header-platform ul li > a{padding:15px 10px 16px;}.header.header-platform ul li > a:before{display:none;}.header.header-platform ul li > a.link-icon-right{padding:9px 10px 16px;}.header.header-platform ul li > a.drop-menu.link-icon-right{padding:8px 10px 16px;}.footer-platform{padding-left:.75rem;padding-right:.75rem;padding-top:20px;}.footer-platform .logoBMJ .logo-bmj-svg{fill:#2a6ebb;width:70px;height:42px;}.footer-platform .logoBMJ a{margin-left:2.5px;}.more-info-text{display:inline;}#mini-panel-jnl_template_bmjj_uid_strng .ad-snippet.col-normal-9{border-right:solid 1px #cccccc;}#mini-panel-jnl_template_bmjj_uid_strng .col-normal-12.highwire-inst-wrap{padding-right:15px;}.institution-name{text-align:right;padding:0;}.archive-title{margin-bottom:-1.7em !important;font-weight:bold !important;width:150px;text-align:right;padding-right:20px;white-space:nowrap;}.archive-issue-list{margin-left:170px !important;}.archive-issue-list .issue-list-month{margin-left:0px !important;width:150px !important;font-size:1.71em;}.archive-issue-list .issue-link{}.issue-month-detail li{margin-left:150px !important;}.pane-highwire-cover-toggle{width:auto;}.col-narrow-2.tab-pane{max-width:none;}.highwire-search-form #edit-flag > .form-type-checkbox,.highwire-search-form .form-item-corpus-code .form-type-checkbox{margin-left:216px;clear:none;}.highwire-markup .ref-list ol.cit-list div.ref-cit{display:inline;margin-top:0;}.highwire-markup .ref-list ol.cit-list div.ref-cit .cit-metadata{display:inline;}.highwire-markup .ref-list ol.cit-list div.ref-cit > .cit-metadata > cite > .cit-auth,.highwire-markup .ref-list ol.cit-list div.ref-cit .cit-auth-list{padding-left:0;}.issue-archive-browser .bx-wrapper .bx-controls-direction a{top:0;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_altmetrics .panel-region-content .inside{display:flex;flex-wrap:wrap;align-items:center;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_altmetrics .pane-highwire-altmetrics{margin-right:30px;}.panels-ajax-tab-wrap-jnl_template_bmjj_tab_altmetrics .pane-highwire-stats{flex-basis:100%;}}@media all and (min-width:1220px){#menu-search,#menu-search + a{display:none;}#menu-search ~ .menu-attach-block-wrapper{display:block !important;position:static;border:0;width:auto;}#menu-search ~ .menu-attach-block-wrapper .content{padding:0;}.region-platmenu #mini-panel-jnl_template_bmjj_search_box{float:left;margin-bottom:-13px;}.region-platmenu .block-search div[id*=edit-advanced-link]{display:none;}.region-platmenu .block-search input[type="text"]{width:225px;}.advanced-search-link{width:55px;clear:none;text-align:right;margin-bottom:0;}.header.header-platform .logo-bmj-journals{padding-top:10px;font-size:2.6rem;}.header.header-platform .logo-bmj .l-inline{padding-top:0px;}.header.header-platform .logo-bmj + div{padding-left:0;}.header.header-platform ul li > a{padding:15px 10px 16px;}.header.header-platform ul li > a.link-icon-right{padding:9px 10px 16px;}.header.header-platform ul li > a.drop-menu.link-icon-right{padding:8px 10px 16px;}.footer-platform{padding-left:.75rem;padding-right:.75rem;padding-top:20px;}.footer-platform .logoBMJ .logo-bmj-svg{fill:#2a6ebb;width:70px;height:42px;}.footer-platform .logoBMJ a{margin-left:2.5px;}.more-info-text{display:inline;}#mini-panel-jnl_template_bmjj_uid_strng .ad-snippet.col-normal-9{border-right:solid 1px #cccccc;}#mini-panel-jnl_template_bmjj_uid_strng .col-normal-12.highwire-inst-wrap{padding-right:15px;}.institution-name{text-align:right;padding:0;}.archive-title{margin-bottom:-1.7em !important;font-weight:bold !important;width:150px;text-align:right;padding-right:20px;white-space:nowrap;}.archive-issue-list{margin-left:170px !important;}.archive-issue-list .issue-list-month{margin-left:0px !important;width:150px !important;font-size:1.71em;}.archive-issue-list .issue-link{}.issue-month-detail li{margin-left:150px !important;}.pane-highwire-cover-toggle{width:auto;}.col-narrow-2.tab-pane{max-width:none;}.highwire-search-form #edit-flag > .form-type-checkbox,.highwire-search-form .form-item-corpus-code .form-type-checkbox{margin-left:216px;clear:none;}.highwire-markup .ref-list div.ref-cit{display:inline;margin-top:0;}.highwire-markup .ref-list div.ref-cit .cit-metadata{display:inline;}.highwire-markup .ref-list ol.cit-list div.ref-cit > .cit-metadata > cite > .cit-auth,.highwire-markup .ref-list ol.cit-list div.ref-cit .cit-auth-list{padding-left:0;}.issue-archive-browser .bx-wrapper .bx-controls-direction a{top:0;}.archive-title{margin-bottom:-1.7em !important;font-weight:bold !important;}.archive-issue-list{margin-left:170px !important;}.archive-issue-list .issue-list-month{margin-left:0px !important;width:150px !important;font-size:1.71em;}.archive-issue-list .issue-link{}.archive-issue-list .issue-month-detail{margin-left:0 !important;}.issue-month-detail li{margin-left:150px !important;}.archive-issue-list .issue-link{padding-top:0 !important;padding-left:200px !important;font-size:14px;}.pane-highwire-cover-toggle{width:auto;}.tab-pane > div{min-width:88px;margin-left:0px;}}
@media screen and (min-width:0\0) and (min-resolution:+72dpi){.highwire-markup ol.cit-list div.ref-cit{display:inline-block;margin-top:-25px;}.highwire-markup ol.cit-list > li,.hw-ref-link-tooltip div.ref-cit{-ms-word-break:break-all;}.highwire-markup ol.cit-list div.ref-cit .cit-metadata{display:inline-block;}.highwire-markup ol.cit-list div.ref-cit > .cit-metadata > cite > .cit-auth,.highwire-markup ol.cit-list div.ref-cit .cit-auth-list{padding-left:30px;}logo-bmj-journals img{width:160px;}.header.header-platform .logo-bmj .l-inline{padding-top:10px;}.header.header-platform .logo-bmj-journals{display:inline;}}