/**
 * Global/mobile default styles for this theme, usually page level adjustments of component styles.
 *
 * You could optionally split this into separate files for easier management (i.e. header.css, article.css etc)
 */
/**
  * Button helper class
  */
.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;
}
/**
 * Header
 */
.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 dropdown / slide out
 */
.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;
}
/**
 * End mobile slide-out
 * Content Area (all pages)
 */
.icon-arrow-up-top {
  width: 35px;
  height: 35px;
  margin: 7px 5px 5px 8px;
}
/* LINKS */
.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;
}
/**
 * User page
 */
.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;
}
/**
 * Search page
 */
.page-search .tabs-wrapper {
  display: none;
}
.page-search input + fieldset {
  margin-top: 15px;
}
/**
 * Footer
 */
#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 Page
 */
.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;
}
/* Styles for the TOC page */
.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;
}
/**
 * Front Page
 */
.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 site
 */
.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;
}
/**
 * Online First - supplied by BMJ
 */
.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%;
}
/**
 * eLetters
*/
.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;
}
/** SF01127024 request to remove Feedbackify functionality
/* Feedbackify styling BMJDRUJ-573 
@media screen and (max-width: 650px) {
  html #feedbackify {
    width:90%!important;
    margin-left:4%!important;
    margin-right:4%!important;
  }
  html #feedbackify #fby-form {
    width:90%!important;
    left:4%!important;
  }
  html #feedbackify a.flink {
    display:none!important;
  }
}
html #feedbackify .rating-intro {
  display: none !important;
}
html #feedbackify .score-tbl {
  display: none !important;
}
html #feedbackify #fbya #fbyb .rating-question {
  display: none !important;
}
*/
/* BMJDRUJ-724 */
/* crossmark height */
.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;
}
/*SF-01028555 adjusted css for upper-alpha*/
.highwire-markup ol.list-alphaupper li {
  list-style: upper-alpha;
}
/*SF-01093288 */
ul.menu .active-trail {
  font-weight: normal;
}
/* MINORPROJ-525 */
.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;
}
/* SF01109553 - temp fix to suppress date string fields in eletter form. Can be removed post JCORE-3164 */
#highwire-comment-node-form > div > fieldset.collapsible.required-fields.group-dates-string {
  display: none;
}
/* SF01131658 - prevents child divs from overflowing out of parent divs in article headers */
.field-name-field-highwire-article-cat.field-type-text .field-item {
  display: table;
}
/* SF 01160056 - space the category terms at top of article */
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;
}
/* BMJBULK-43: metrics tab altmetics pane */
.panels-ajax-tab-wrap-jnl_template_bmjj_tab_altmetrics .pane-highwire-altmetrics {
  padding-top: 30px;
}