@media screen and (min-width:768px){#js-dfp-tag-header{min-height:90px}}

.footer-shadow{box-shadow:0 4px 6px 7px rgba(0,0,0,.05),0 2px 4px 7px rgba(0,0,0,.05);margin-top:3rem;padding-top:3rem}.footerMenu{padding-bottom:100px}.footerMenu nav{padding:3rem 0}.footerMenu nav>ul>li:last-child a{margin-bottom:0}
.ui-hamburger-02{background:linear-gradient(180deg,#4a4a4a,#4a4a4a,#4a4a4a);background-position:50%;background-repeat:no-repeat;background-size:100% 14%;border:none;cursor:pointer;height:21px;position:relative;transition:background-size .2s ease .25s;width:28px}.ui-hamburger-02:after,.ui-hamburger-02:before{background-color:#4a4a4a;content:"";height:14%;left:0;position:absolute;transition:transform .3s ease;width:100%}.ui-hamburger-02:before{top:0;transform-origin:91% 150%}.ui-hamburger-02:after{bottom:0;transform-origin:91% -50%}.ui-hamburger-02.is-active{background-size:0 10%;transition-delay:0s}.ui-hamburger-02.is-active:before{transform:rotate(-45deg);transition-delay:.15s}.ui-hamburger-02.is-active:after{transform:rotate(45deg);transition-delay:.15s}
header.sticky{-webkit-backface-visibility:hidden;background:#fff;text-align:center;top:0;z-index:4}header.sticky.h-max{height:76px!important}header.sticky:after{box-shadow:0 16px 20px -20px rgba(0,0,0,.45);content:" ";display:block;height:76px;position:sticky;-webkit-position:sticky;top:60px;z-index:-1}header.sticky:before{background:linear-gradient(#fff 10%,hsla(0,0%,100%,.8) 50%,hsla(0,0%,100%,.4) 70%,transparent);top:0;z-index:2}header.sticky>div{background:#fff;height:0;margin-top:0;z-index:3}.sticky-dropdown{top:60px}.account-menu{margin-top:56px}.account-menu li a{display:block;padding-bottom:.5rem;padding-top:.5rem}.submenu{box-shadow:5px 5px 15px -5px rgba(0,0,0,.5);width:100%;z-index:99}.submenu li:last-child div{border:none}.o-menuSecondary{box-shadow:inset 0 16px 20px -20px rgba(0,0,0,.4)}.o-menuSecondary_sub{position:relative}.o-menuSecondary:hover{background:#ae2327}.o-menuSecondary:hover a{color:#fff!important}header ul>li:first-child div.o-menuSecondary a span,header ul>li:first-child div.o-menuSecondary a:link span{color:#ae2327}header ul>li:first-child div.o-menuSecondary:hover a span,header ul>li:first-child div.o-menuSecondary:hover a:link span{color:#fff}header ul>li:last-child div.o-menuSecondary a:link{align-items:center;color:#ae2327;display:flex;justify-content:center}header ul>li:last-child div.o-menuSecondary a:link:before{background-image:url(/themes/custom/wingsuit/dist/app-drupal/images/MT_Covid_Red_25px.svg);background-position:50%;background-repeat:no-repeat;background-size:100%;content:"";display:block;height:24px;margin-right:5px;width:24px}header ul>li:last-child div.o-menuSecondary:hover a:link:before{background-image:url(/themes/custom/wingsuit/dist/app-drupal/images/MT_Covid_White_25px.svg)}
@media (min-width:1024px){.menu-processed:hover>.submenu,[data-menu-target=submenu][data-menu-level="0"]:hover>.submenu{display:block}}.line-effect{background:linear-gradient(#e8e8e9,#e8e8e9) 0 /2px 90%;background-repeat:no-repeat}.line-effect-2{background:linear-gradient(#fff,#fff) 0 /2px 90%,linear-gradient(#e9eaea,#e9eaea) 50% /100% 100%;background-repeat:no-repeat,repeat}.w-1-7{width:calc(14.28571% - 5px)}.menu-account .text-white:hover{--tw-bg-opacity:1;background-color:rgb(0 0 0/var(--tw-bg-opacity,1))}
.facet-item{display:flex;flex-wrap:wrap}.facet-item *{flex:1 1 auto}.facet-item input[type=checkbox]{flex:unset;margin-top:5px}.facet-item>ul{margin-top:5px}.facet-item label{flex:unset;width:80%}.facet-item a{visibility:collapse}.facet-hidden{display:none}.facet-container{border-bottom:1px solid #000;border-left:1px solid #000;border-right:1px solid #000;margin-bottom:1rem;padding:.5rem}.facet-container .button{margin:0}.facet-container h3{color:#ae2327;font-size:.8rem;font-weight:600;padding:.5rem 0;text-transform:uppercase}.facet-container .facet-item__count,.facet-container .facet-item__value{font-size:.9rem;margin-left:.5rem}.facet-container .facet-item__count{color:#a3a3a3}.facet-container .facets-soft-limit-link{display:block;font-size:.9rem;margin-top:.5rem}.facets-widget-date_range{display:none}
.article.full .full-text-pad .dropcap:first-letter,.article.something_borrowed .full-text-pad .dropcap:first-letter{--tw-text-opacity:1;color:rgb(212 212 212/var(--tw-text-opacity,1));float:left;font-size:9rem;line-height:7.7rem;margin-bottom:-13px;padding-right:8px}.cke_editable h4,.dermatology_quiz .full-text-pad h4,.in_brief .full-text-pad h4,.journal_watch .full-text-pad h4{font-family:Open Sans,sans-serif;font-weight:800;line-height:1.25rem;margin-bottom:1.5rem;text-transform:uppercase;--tw-text-opacity:1;color:rgb(174 35 39/var(--tw-text-opacity,1));font-size:1.2rem}.dermatology_quiz .authors{margin-bottom:1.5rem}.ad-position,.ad-slot-position{line-height:0}.cke_editable .ad-position,.cke_editable .ad-slot-position{display:block;height:auto}.article.full #page-body p,.article.full .full-text-pad p,.article.something_borrowed .full-text-pad p,.cke_editable p,.dermatology_quiz.full .full-text-pad p,.in_brief.full .full-text-pad p,.journal_watch.full .full-text-pad p{padding-bottom:1.5rem}.article.full #page-body p+ul,.article.full .full-text-pad p+ul,.article.something_borrowed .full-text-pad p+ul,.cke_editable p+ul,.dermatology_quiz.full .full-text-pad p+ul,.in_brief.full .full-text-pad p+ul,.journal_watch.full .full-text-pad p+ul{margin-top:-1.5rem}.article.full #page-body ul,.article.full .full-text-pad ul,.article.something_borrowed .full-text-pad ul,.cke_editable ul,.dermatology_quiz.full .full-text-pad ul,.in_brief.full .full-text-pad ul,.journal_watch.full .full-text-pad ul{list-style:disc;margin:0 0 0 20px;padding-bottom:1.5rem;padding-left:10px}.article.full #page-body ul li,.article.full .full-text-pad ul li,.article.something_borrowed .full-text-pad ul li,.cke_editable ul li,.dermatology_quiz.full .full-text-pad ul li,.in_brief.full .full-text-pad ul li,.journal_watch.full .full-text-pad ul li{margin-left:0}.article.full #page-body h2,.article.full .full-text-pad h2,.article.something_borrowed .full-text-pad h2,.cke_editable h2,.dermatology_quiz.full .full-text-pad h2,.in_brief.full .full-text-pad h2,.journal_watch.full .full-text-pad h2{font-family:Open Sans,Roboto,sans-serif;font-weight:800;--tw-text-opacity:1;color:rgb(174 35 39/var(--tw-text-opacity,1));margin:0}.article.full #page-body h2 a:hover,.article.full .full-text-pad h2 a:hover,.article.something_borrowed .full-text-pad h2 a:hover,.cke_editable h2 a:hover,.dermatology_quiz.full .full-text-pad h2 a:hover,.in_brief.full .full-text-pad h2 a:hover,.journal_watch.full .full-text-pad h2 a:hover{--tw-text-opacity:1;color:rgb(174 35 39/var(--tw-text-opacity,1));text-decoration-line:none}.article.full #page-body h3,.article.full .full-text-pad h3,.article.something_borrowed .full-text-pad h3,.cke_editable h3,.dermatology_quiz.full .full-text-pad h3,.in_brief.full .full-text-pad h3,.journal_watch.full .full-text-pad h3{font-family:Open Sans,Roboto,sans-serif;font-weight:700;margin:0}.article.full #page-body h3 a:hover,.article.full .full-text-pad h3 a:hover,.article.something_borrowed .full-text-pad h3 a:hover,.cke_editable h3 a:hover,.dermatology_quiz.full .full-text-pad h3 a:hover,.in_brief.full .full-text-pad h3 a:hover,.journal_watch.full .full-text-pad h3 a:hover{--tw-text-opacity:1;color:rgb(0 0 0/var(--tw-text-opacity,1));text-decoration-line:none}.article.full #page-body h4,.article.full .full-text-pad h4,.article.something_borrowed .full-text-pad h4,.cke_editable h4,.dermatology_quiz.full .full-text-pad h4,.in_brief.full .full-text-pad h4,.journal_watch.full .full-text-pad h4{font-family:Open Sans,Roboto,sans-serif;font-size:1.125rem;font-style:italic;font-weight:600;line-height:1.75rem;margin:0}.article.full #page-body h4 a,.article.full .full-text-pad h4 a,.article.something_borrowed .full-text-pad h4 a,.cke_editable h4 a,.dermatology_quiz.full .full-text-pad h4 a,.in_brief.full .full-text-pad h4 a,.journal_watch.full .full-text-pad h4 a{font-style:italic}.article.full #page-body h4 a:hover,.article.full .full-text-pad h4 a:hover,.article.something_borrowed .full-text-pad h4 a:hover,.cke_editable h4 a:hover,.dermatology_quiz.full .full-text-pad h4 a:hover,.in_brief.full .full-text-pad h4 a:hover,.journal_watch.full .full-text-pad h4 a:hover{--tw-text-opacity:1;color:rgb(0 0 0/var(--tw-text-opacity,1));text-decoration-line:none}.article.full #page-body h2 a:hover,.article.full #page-body h3 a:hover,.article.full .full-text-pad h2 a:hover,.article.full .full-text-pad h3 a:hover,.article.something_borrowed .full-text-pad h2 a:hover,.article.something_borrowed .full-text-pad h3 a:hover,.cke_editable h2 a:hover,.cke_editable h3 a:hover,.dermatology_quiz.full .full-text-pad h2 a:hover,.dermatology_quiz.full .full-text-pad h3 a:hover,.in_brief.full .full-text-pad h2 a:hover,.in_brief.full .full-text-pad h3 a:hover,.journal_watch.full .full-text-pad h2 a:hover,.journal_watch.full .full-text-pad h3 a:hover{text-decoration:none}.article.full #page-body .references h2,.article.full .full-text-pad .references h2,.article.something_borrowed .full-text-pad .references h2,.cke_editable .references h2,.dermatology_quiz.full .full-text-pad .references h2,.in_brief.full .full-text-pad .references h2,.journal_watch.full .full-text-pad .references h2{color:#696969}.cke_editable,.page.full #page-body,.page.full .full-text-pad{font-family:Open Sans,Roboto,sans-serif}.cke_editable p,.page.full #page-body p,.page.full .full-text-pad p{padding-bottom:1.5rem}.cke_editable p+ul,.page.full #page-body p+ul,.page.full .full-text-pad p+ul{margin-top:-1.5rem}.cke_editable ul,.page.full #page-body ul,.page.full .full-text-pad ul{list-style:disc;margin:0 0 0 20px;padding-bottom:1.5rem;padding-left:10px}.cke_editable ul li,.page.full #page-body ul li,.page.full .full-text-pad ul li{margin-left:0}.cke_editable h2,.page.full #page-body h2,.page.full .full-text-pad h2{font-family:Open Sans,Roboto,sans-serif;font-weight:800;--tw-text-opacity:1;color:rgb(174 35 39/var(--tw-text-opacity,1));margin:0}.cke_editable h3,.page.full #page-body h3,.page.full .full-text-pad h3{font-family:Open Sans,Roboto,sans-serif;font-weight:700;margin:0}.cke_editable h4,.page.full #page-body h4,.page.full .full-text-pad h4{font-family:Open Sans,Roboto,sans-serif;font-size:1.125rem;font-style:italic;font-weight:600;line-height:1.75rem;margin:0}.cke_editable h2 a:hover,.cke_editable h3 a:hover,.page.full #page-body h2 a:hover,.page.full #page-body h3 a:hover,.page.full .full-text-pad h2 a:hover,.page.full .full-text-pad h3 a:hover{text-decoration:none}.ct .full-text-pad a[href],.ct .full-text-pad h2{--tw-text-opacity:1;color:rgb(77 142 186/var(--tw-text-opacity,1))}.et .full-text-pad a[href],.et .full-text-pad h2{--tw-text-opacity:1;color:rgb(59 135 131/var(--tw-text-opacity,1))}.pmt .full-text-pad a[href],.pmt .full-text-pad h2{--tw-text-opacity:1;color:rgb(128 55 78/var(--tw-text-opacity,1))}.rmt .full-text-pad a[href],.rmt .full-text-pad h2{--tw-text-opacity:1;color:rgb(28 51 127/var(--tw-text-opacity,1))}.cke_widget_mtimagelightlinkElement,a.mt-figure-thumb-link,a.mt-lightbox-thumb-link{color:#000!important}.cke_widget_mtimagelightlinkElement:hover,a.mt-figure-thumb-link:hover,a.mt-lightbox-thumb-link:hover{text-decoration:none!important}.cke_widget_mtimagelightlinkElement,a.mt-figure-thumb-link,a.mt-lightbox-thumb-link{width:10rem}@media (min-width:768px){.cke_widget_mtimagelightlinkElement,a.mt-figure-thumb-link,a.mt-lightbox-thumb-link{width:13rem}}.cke_widget_mtimagelightlinkElement img,a.mt-figure-thumb-link img,a.mt-lightbox-thumb-link img{border-style:solid;border-width:1px;height:auto;--tw-border-opacity:1;border-color:rgb(115 115 115/var(--tw-border-opacity,1))}.cke_widget_mtimagelightlinkElement img+span,a.mt-figure-thumb-link img+span,a.mt-lightbox-thumb-link img+span{display:inline-block;font-family:Open Sans,Roboto,sans-serif;font-size:.875rem;line-height:1.25rem;padding-top:.5rem;--tw-text-opacity:1;color:rgb(64 64 64/var(--tw-text-opacity,1))}.cke_widget_mtimagelightlinkElement span.title,a.mt-figure-thumb-link span.title,a.mt-lightbox-thumb-link span.title{display:inline-block;font-family:Open Sans,Roboto,sans-serif;font-size:.875rem;font-weight:700;line-height:1.25rem;padding-bottom:.5rem;--tw-text-opacity:1;color:rgb(64 64 64/var(--tw-text-opacity,1))}.cke_widget_mtimagelightlinkElement.cke_widget_wrapper_float-right,.cke_widget_mtimagelightlinkElement.float-right,a.mt-figure-thumb-link.cke_widget_wrapper_float-right,a.mt-figure-thumb-link.float-right,a.mt-lightbox-thumb-link.cke_widget_wrapper_float-right,a.mt-lightbox-thumb-link.float-right{float:right;margin-left:1rem;margin-right:0}.cke_widget_mtimagelightlinkElement.cke_widget_wrapper_float-right-clear,.cke_widget_mtimagelightlinkElement.float-right-clear,a.mt-figure-thumb-link.cke_widget_wrapper_float-right-clear,a.mt-figure-thumb-link.float-right-clear,a.mt-lightbox-thumb-link.cke_widget_wrapper_float-right-clear,a.mt-lightbox-thumb-link.float-right-clear{clear:both;float:right;margin-left:1rem;margin-right:0}.cke_widget_mtimagelightlinkElement.cke_widget_wrapper_float-left,.cke_widget_mtimagelightlinkElement.float-left,a.mt-figure-thumb-link.cke_widget_wrapper_float-left,a.mt-figure-thumb-link.float-left,a.mt-lightbox-thumb-link.cke_widget_wrapper_float-left,a.mt-lightbox-thumb-link.float-left{float:left;margin-left:0;margin-right:1rem}.cke_widget_mtimagelightlinkElement.cke_widget_wrapper_float-left-clear,.cke_widget_mtimagelightlinkElement.float-left-clear,a.mt-figure-thumb-link.cke_widget_wrapper_float-left-clear,a.mt-figure-thumb-link.float-left-clear,a.mt-lightbox-thumb-link.cke_widget_wrapper_float-left-clear,a.mt-lightbox-thumb-link.float-left-clear{clear:both;float:left;margin-left:0;margin-right:1rem}.competing-interests,.references{color:#696969;font-family:Open Sans,sans-serif}.references{font-family:Open Sans,sans-serif;font-size:11px;line-height:1.8;margin:0;padding:0}.references div,.references li,.references p,.references span{margin-bottom:.5rem!important;padding-bottom:0!important}.references ol li{list-style:number;margin-left:1rem}.references h2 a{color:#696969!important}span.mt-text{color:#666;display:inline-block;font-family:Open Sans,sans-serif}span.mt-text:first-letter{color:#ae2327}
.key-points ul.key-points-pad{letter-spacing:-1px;list-style:disc;padding-left:8px}.key-points ul.key-points-pad li{list-style:disc;margin-left:10px}
.article.full .abstract .article-pad,.supplement.full .abstract .article-pad h5{font-weight:700}.supplement.full .abstract .article-pad p{padding-bottom:.5rem}
.recent-articles{border-top-width:1px;margin-top:1rem;--tw-border-opacity:1;border-color:rgb(163 163 163/var(--tw-border-opacity,1))}.recent-articles .recent-header{border-bottom-width:1px;--tw-border-opacity:1;border-color:rgb(163 163 163/var(--tw-border-opacity,1));font-size:.875rem;font-weight:700;line-height:1.25rem;padding-bottom:.5rem;padding-top:.5rem}.recent-articles .recent-header span{letter-spacing:.05em;text-transform:uppercase}.recent-articles--article a{border-bottom-width:1px;display:block;--tw-border-opacity:1;border-color:rgb(163 163 163/var(--tw-border-opacity,1));--tw-bg-opacity:1;background-color:rgb(250 250 250/var(--tw-bg-opacity,1));font-family:Gelasio,serif;padding:.75rem}.recent-articles--article a:hover{text-decoration-line:underline}



.article-masthead{margin-bottom:1.6rem}
html{margin-right:0!important}body,html{font-family:Open Sans,sans-serif}main.main-content{position:relative}.hide-image img{display:none}input[type=text]::-moz-placeholder{color:#a3a3a3}input[type=text]:-ms-input-placeholder{color:#a3a3a3}input[type=text]::placeholder{color:#a3a3a3}#drupal-off-canvas{color:#fff}.layout{margin-top:0!important}.login .article-sidebar,.password .article-sidebar{display:none}@media screen and (max-width:767px){#page-body{margin-top:2rem}}.load-show{visibility:hidden}.dialog-off-canvas-main-canvas{margin:0 auto}body .ui-dialog{box-shadow:0 20px 50px #000}body .ui-dialog,body .ui-dialog .ui-dialog-content{padding:0}body .ui-dialog{height:-moz-max-content!important;height:max-content!important;width:100%!important}@media screen and (min-width:768px){body .ui-dialog{height:auto!important;max-height:calc(100vh - 32px)!important;max-width:calc(100vw - 32px)!important;width:70%!important}body .ui-dialog .ui-widget-content.ui-dialog-content{height:calc(100vh - 100px)!important;max-height:calc(100vh - 32px)!important}body .ui-dialog .ui-widget-content.ui-dialog-content iframe{height:calc(100vh - 140px)!important;max-height:calc(100vh - 32px)!important}}body .ui-dialog .ui-dialog-titlebar.ui-widget-header{background-color:#fff;border:none}body .ui-widget-overlay{background-color:#000!important;z-index:99}body .ui-dialog .ui-widget-content.ui-dialog-content{background:#fff;overflow-y:auto;padding:10px}body .ui-dialog .ui-widget-content.ui-dialog-content .user-login-form,body .ui-dialog .ui-widget-content.ui-dialog-content article{overflow-y:auto}@media screen and (min-width:768px){body .ui-dialog .ui-widget-content.ui-dialog-content .user-login-form,body .ui-dialog .ui-widget-content.ui-dialog-content article{padding:20px}}body .ui-dialog:not(.ui-dialog-off-canvas){border-radius:0}body .ui-dialog .ui-dialog-titlebar{padding:.5rem 1.5rem}body .ui-dialog .ui-dialog-titlebar-close{background:none;border:none;height:20px;margin:0;opacity:.8;padding:1px;position:absolute;right:18px;top:20px;transform:none;width:20px}body .ui-dialog .ui-dialog-titlebar-close .ui-icon-closethick{background-position:50%;height:100%;left:0;margin:0;mask-image:unset;-webkit-mask-image:unset;top:0;transform:none;width:100%}body .ui-dialog:not(.ui-dialog-off-canvas) .views-displays,body .ui-dialog:not(.ui-dialog-off-canvas) .views-exposed-form.views-exposed-form{border:none!important}body .ui-dialog .ui-dialog-titlebar .ui-dialog-title,body .ui-widget-content a.text-black{color:#000;font-weight:700}body .ui-dialog .ui-dialog-titlebar .ui-dialog-title{font-size:1.5rem}.ui-dialog,.ui-widget{background:#fff;border:0!important;border-radius:0;font-family:Open Sans,sans-serif!important;margin:1rem;max-width:1280px}body .ui-widget-content .shown a.text-black{color:#ae2327}.bef-toggle{color:#ae2327!important;margin-right:1.25rem;text-decoration:underline}.ct .bg-mt_primary{background-color:#4d8eba}.et .bg-mt_primary{background-color:#3b8783}.pmt .bg-mt_primary{background-color:#80374e}.rmt .bg-mt_primary{background-color:#1c337f}.ct .text-mt_primary,.ct .text-mt_teal{color:#4d8eba}.et .text-mt_primary,.et .text-mt_teal{color:#3b8783}.pmt .text-mt_primary,.pmt .text-mt_teal{color:#80374e}.rmt .text-mt_primary,.rmt .text-mt_teal{color:#1c337f}.ct .o-menuSecondary:hover{background:#4d8eba}.et .o-menuSecondary:hover{background:#3b8783}.pmt .o-menuSecondary:hover{background:#80374e}.rmt .o-menuSecondary:hover{background:#1c337f}