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.vx-pub-art-v3-home{background:transparent!important;border:none!important;border-radius:0!important;box-shadow:none!important;padding-block:1.9rem!important}[data-vx-cards=minimal-line] .vx-pub-art-v2:hover,[data-vx-cards=minimal-line] .vx-pub-art-v3-home:hover{box-shadow:none!important;transform:none!important}[data-vx-cards=minimal-line] .vx-pub-art-compact-v3__spine,[data-vx-cards=minimal-line] .vx-pub-art-v2__spine{display:none!important}[data-vx-cards=minimal-line] .vx-pub-art-compact-v3__title,[data-vx-cards=minimal-line] .vx-pub-art-v2__title{font-size:1.45rem!important}[data-vx-cards=evidence-card] .vx-pub-art-v2,[data-vx-cards=evidence-card] .vx-pub-art-v3-home{border-radius:4px!important;min-height:0!important}[data-vx-cards=evidence-card] .vx-pub-art-v2__body,[data-vx-cards=evidence-card] .vx-pub-art-v3-home__body{padding:.9rem 1.1rem!important;gap:.35rem!important}[data-vx-cards=evidence-card] .vx-pub-art-compact-v3__title,[data-vx-cards=evidence-card] 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[data-vx-region=stream][data-vx-prominence=lead]{padding-block-start:.4rem}[data-vx-family=institutional-scholarly] [data-vx-region=identity][data-vx-prominence=lead]{border-block-start:4px solid currentColor;padding-block-start:1.1rem}[data-vx-family=clinical-evidence] [data-vx-region=stream]{font-size:.95em}[data-vx-family=clinical-evidence] .vx-pub-topo-table__head{background:color-mix(in srgb,currentColor 6%,transparent);padding:.45rem .5rem}[data-vx-family=discovery-commons] [data-vx-region=discovery][data-vx-prominence=lead],[data-vx-family=discovery-commons] [data-vx-region=index][data-vx-prominence=lead]{padding-block:.4rem 1.2rem}[data-vx-family=structured-index] [data-vx-region=stream][data-vx-prominence=lead]{padding-inline-start:0;border-inline-start:0}[data-vx-family=structured-index] .vx-pub-topo-index{counter-reset:vx-axis-index;display:flex;flex-direction:column;gap:0}[data-vx-family=structured-index] .vx-pub-topo-index__row{counter-increment:vx-axis-index;position:relative;padding-inline-start:2.4rem;padding-block:.55rem;border-block-end:1px solid color-mix(in srgb,currentColor 14%,transparent)}[data-vx-family=structured-index] .vx-pub-topo-index__row:before{content:counter(vx-axis-index,decimal-leading-zero);position:absolute;inset-inline-start:0;inset-block-start:.7rem;font-size:.72rem;letter-spacing:.08em;font-variant-numeric:tabular-nums;color:color-mix(in srgb,currentColor 55%,transparent)}[data-vx-family=structured-index] .vx-pub-topo-index__link{display:block;max-inline-size:none}[data-vx-family=formal-record] [data-vx-region=issue][data-vx-prominence=lead]{padding-block:.55rem .85rem;border-block-end:1px solid currentColor}[data-vx-family=formal-record] .vx-pub-topo-split{display:block}[data-vx-family=formal-record] .vx-pub-topo-table__head{border-block-end:1px solid currentColor;background:transparent;letter-spacing:.1em;text-transform:uppercase;font-size:.68rem}[data-vx-family=editorial-discovery] [data-vx-region=stream][data-vx-prominence=lead]{padding-block:.4rem 1.6rem}[data-vx-family=editorial-discovery] .vx-pub-topo-feature__title{font-size:clamp(2rem,4.2vw,3.1rem);font-weight:500;max-inline-size:16ch;line-height:1.15;letter-spacing:-.02em}[data-vx-family=editorial-discovery] [data-vx-region=discovery]{padding-block:.35rem .85rem}[data-vx-family=editorial-discovery] .vx-pub-topo-matrix{display:flex;flex-wrap:wrap;gap:.35rem 1.1rem}[data-vx-article=classical] .vx-pub-article-v2__title{font-family:var(--font-display,Georgia,serif);max-inline-size:28ch}[data-vx-article=classical] .vx-pub-article-v2__masthead{border-block-end:3px double currentColor;padding-block-end:1.1rem}[data-vx-article=modern-rail] .vx-pub-article-v2__grid{-moz-column-gap:1.6rem;column-gap:1.6rem}[data-vx-article=minimal-wide] .vx-pub-article-v2__title{font-size:clamp(1.9rem,3.6vw,2.7rem);font-weight:500;max-inline-size:22ch}[data-vx-article=minimal-wide] .vx-pub-article-v2__body-card{box-shadow:none;border:none;background:transparent}[data-vx-article=structured-abstract] .vx-pub-article-v2__folio{display:flex;flex-wrap:wrap;gap:.35rem .75rem;font-size:.78rem;letter-spacing:.04em;text-transform:uppercase}[data-vx-article=standard] .vx-pub-article-v2__masthead{border-block-start:4px solid currentColor;padding-block-start:.85rem}.vx-pub-journal-root[dir=rtl] .vx-pub-srail__record dd.vx-pub-ltr,.vx-pub-journal-root[dir=rtl] .vx-pub-topo-meta__value.vx-pub-ltr,.vx-pub-journal-root[dir=rtl] .vx-pub-topo-table__meta{direction:ltr;unicode-bidi:isolate}.vx-pub-scholarly-canvas{max-inline-size:var(--vx-fam-site-max,72rem);margin-inline:auto;padding-inline:1.25rem}.vx-pub-scholarly-canvas__body{display:flex;flex-direction:row;align-items:start;gap:clamp(1.25rem,2.4vw,2.25rem)}.vx-pub-scholarly-canvas__main{flex:1 1 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.85rem}.vx-pub-srail--research-shelf .vx-pub-srail__group{border-block-end:0;padding-block:.55rem}.vx-pub-srail--research-shelf .vx-pub-srail__kicker{margin-block-end:.35rem}[data-vx-family=prestige-classical] .vx-pub-masthead__title,[data-vx-family=prestige-classical] .vx-pub-topo-heading__title{font-family:var(--font-display,Georgia,serif)}[data-vx-family=prestige-classical] .vx-pub-homepage-main{letter-spacing:.01em}[data-vx-family=prestige-classical] [data-vx-region=issue][data-vx-prominence=lead] .vx-pub-topo-heading__title{font-size:clamp(1.7rem,3vw,2.35rem)}[data-vx-family=prestige-classical] .vx-pub-srail--issue{font-family:var(--font-display,Georgia,serif)}[data-vx-family=modern-research] .vx-pub-masthead__grid{padding-block:clamp(1.05rem,2.2vw,1.55rem)!important}[data-vx-family=modern-research] .vx-pub-topo-stream__row{padding-block:.85rem}[data-vx-family=modern-research] .vx-pub-srail--discovery{border-inline-start:3px solid currentColor}[data-vx-family=high-impact-minimal] .vx-pub-homepage-shell{padding-block-start:1.25rem}[data-vx-family=high-impact-minimal] .vx-pub-topo-feature__title{font-size:clamp(1.85rem,3.8vw,2.7rem);font-weight:500;max-inline-size:18ch;line-height:1.2}[data-vx-family=high-impact-minimal] .vx-pub-fp-nav{border-block-start:0;box-shadow:none}[data-vx-family=high-impact-minimal] .vx-pub-masthead__grid .vx-pub-submit-cta,[data-vx-family=high-impact-minimal] .vx-pub-masthead__transition{display:none}[data-vx-family=high-impact-minimal] .vx-pub-art-v2,[data-vx-family=high-impact-minimal] .vx-pub-art-v3-home{border:none!important;box-shadow:none!important;background:transparent!important}[data-vx-family=institutional-scholarly] .vx-pub-topo-board__name{font-family:var(--font-display,Georgia,serif)}[data-vx-family=institutional-scholarly] [data-vx-region=editorial]{padding-block:1.2rem}[data-vx-family=institutional-scholarly] .vx-pub-srail--institutional .vx-pub-srail__link-note{display:block}[data-vx-family=clinical-evidence] 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currentColor;border-block-end-color:color-mix(in srgb,currentColor 22%,transparent);padding-block:.45rem}[data-vx-family=formal-record] .vx-pub-art-v2,[data-vx-family=formal-record] .vx-pub-art-v3-home{background:transparent!important;border:none!important;border-radius:0!important;box-shadow:none!important;border-block-end:1px solid color-mix(in srgb,currentColor 22%,transparent)!important}[data-vx-family=formal-record] .vx-pub-srail--metadata{background:transparent}[data-vx-family=editorial-discovery] .vx-pub-topo-feature__lead{padding-block-end:1.4rem;border-block-end:1px solid color-mix(in srgb,currentColor 16%,transparent);margin-block-end:1.1rem}[data-vx-family=editorial-discovery] .vx-pub-srail--research-shelf{background:transparent;padding-inline:0}[data-vx-family=editorial-discovery] .vx-pub-srail--research-shelf .vx-pub-srail__kicker{font-size:.62rem;letter-spacing:.2em}[data-vx-family=structured-index][data-vx-masthead=identity-bar] 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currentColor;border-radius:0;box-shadow:none}[data-vx-family=editorial-discovery] .vx-pub-eb-v3__group-title{letter-spacing:.08em;text-transform:uppercase}[data-vx-family=prestige-classical] .vx-pub-issue-v3__grid{gap:2rem}[data-vx-family=high-impact-minimal] .vx-pub-issue-v3__grid{max-inline-size:42rem}[data-vx-family=formal-record] .vx-pub-issue-v3__toc-head{border-block-end:1px solid currentColor}[data-vx-family=structured-index] .vx-pub-issue-v3__grid{display:block}@media (max-width:1024px){.vx-pub-scholarly-rail{flex-basis:12.5rem;min-inline-size:12rem;max-inline-size:13.5rem}[data-vx-rail-behavior=sticky]{position:static}}[data-vx-family=prestige-classical] .vx-pub-governance-surface{background:transparent!important;border:none!important;border-radius:0!important;box-shadow:none!important;border-block-start:2px double currentColor;border-block-end:2px double currentColor;padding-inline:0!important}[data-vx-family=modern-research] 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3%,transparent)!important;border-radius:0!important;box-shadow:none!important}[data-vx-family=clinical-evidence] .vx-pub-identity-grid{grid-template-columns:repeat(2,minmax(0,1fr))}[data-vx-family=discovery-commons] .vx-pub-governance-surface{background:#fffdf8!important;border:1px solid color-mix(in srgb,var(--vx-pub-accent,#1f6b4a) 28%,transparent)!important;box-shadow:none!important}[data-vx-family=structured-index] .vx-pub-governance-surface{background:transparent!important;border:none!important;border-radius:0!important;box-shadow:none!important}[data-vx-family=structured-index] .vx-pub-identity-cell{display:grid;grid-template-columns:8.5rem minmax(0,1fr);gap:.65rem;align-items:baseline}[data-vx-family=formal-record] .vx-pub-governance-surface{background:transparent!important;border:1px solid!important;border-radius:0!important;box-shadow:none!important}[data-vx-family=editorial-discovery] .vx-pub-governance-surface{background:transparent!important;border:none!important;border-radius:0!important;box-shadow:none!important;border-inline-start:2px solid currentColor;padding-inline-start:1.1rem!important}[data-vx-family=editorial-discovery] .vx-pub-governance-surface__title{font-style:italic}@media (max-width:768px){.vx-pub-scholarly-canvas__body{flex-direction:column}[data-vx-family] .vx-pub-topo-feature__title,[data-vx-masthead] .vx-pub-masthead__lead,[data-vx-masthead] .vx-pub-masthead__title{max-inline-size:none!important}[data-vx-masthead=centered-classic] .vx-pub-masthead__lead,[data-vx-masthead=centered-classic] .vx-pub-masthead__title{text-align:start;margin-inline:0!important}[data-vx-family=clinical-evidence] .vx-pub-identity-grid,[data-vx-family=structured-index] .vx-pub-identity-cell{grid-template-columns:minmax(0,1fr)}.vx-pub-scholarly-canvas[data-vx-rail-placement=end] .vx-pub-scholarly-rail,.vx-pub-scholarly-canvas[data-vx-rail-placement=start] 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.vx-pub-scholarly-canvas__body{display:block}[data-vx-shelf-voice=compact-research].vx-pub-srail--research-shelf .vx-pub-srail__shelf{grid-template-columns:repeat(auto-fit,minmax(8rem,1fr));border-block-width:1px;padding-block:.35rem .45rem;gap:0 .85rem}[data-vx-shelf-voice=compact-research].vx-pub-srail--research-shelf .vx-pub-srail__kicker{font-size:.68rem;letter-spacing:.14em}[data-vx-shelf-voice=discovery].vx-pub-srail--research-shelf .vx-pub-srail__shelf{grid-template-columns:repeat(auto-fit,minmax(11rem,1fr));border-block:0;border-inline-start:3px solid currentColor;padding-inline-start:1rem}[data-vx-shelf-voice=editorial-canvas].vx-pub-srail--research-shelf .vx-pub-srail__shelf{border-block-width:2px}[data-testid=vx-pub-issue-topology] .vx-pub-toc-v3__view-toggle{display:none}[data-vx-family=prestige-classical] .vx-pub-issue-v3__toc-head,[data-vx-issue-identity=ceremonial] .vx-pub-issue-v3__toc-head .vx-pub-section-heading{border-block-end:2px solid currentColor;padding-block-end:.85rem}[data-vx-issue-toc=archival-list] .vx-pub-art-list-v3{border-block-start:1px solid color-mix(in srgb,currentColor 28%,transparent)}[data-vx-issue-toc=compact-scan] .vx-pub-art-list-v3__td{padding-block:.35rem}[data-vx-issue-toc=typographic-list] .vx-pub-art-list-v3__td--type,[data-vx-issue-toc=typographic-list] .vx-pub-art-list-v3__th--type,[data-vx-issue-toc=typographic-list] .vx-pub-eb-v3__group-head{display:none}[data-vx-issue-identity=institutional] .vx-pub-issue-v3__toc-head{border-inline-start:3px solid currentColor;padding-inline-start:1rem}[data-vx-issue-toc=typed-register] .vx-pub-art-list-v3{border:1px solid color-mix(in srgb,currentColor 22%,transparent)}[data-vx-issue-toc=typed-register] .vx-pub-art-list-v3__th{letter-spacing:.12em;text-transform:uppercase;font-size:.68rem}[data-vx-issue-toc=section-matrix] .vx-pub-eb-v3__group-head{display:flex;flex-wrap:wrap;gap:.5rem 1rem;border-block-end:0}[data-vx-issue-toc=numbered-index] .vx-pub-art-list-v3 tbody{counter-reset:vx-issue-index}[data-vx-issue-toc=numbered-index] .vx-pub-art-list-v3 tbody tr{counter-increment:vx-issue-index}[data-vx-issue-toc=numbered-index] .vx-pub-art-list-v3__td--type:before{content:counter(vx-issue-index) ". ";font-variant-numeric:tabular-nums;margin-inline-end:.25rem}[data-vx-issue-toc=ruled-table] .vx-pub-art-list-v3__td,[data-vx-issue-toc=ruled-table] .vx-pub-art-list-v3__th{border-block-end:1px solid color-mix(in srgb,currentColor 18%,transparent)}[data-vx-issue-toc=editorial-canvas] .vx-pub-issue-v3__toc-head{max-inline-size:none}[data-vx-family=high-impact-minimal] .vx-pub-issue-v3__grid>.flex.flex-col.gap-6:last-child{gap:1.25rem}