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95), the logarithmic version of the SMi (logSMi) was judged to have the best operational characteristics because it was the most normally distributed and least subject to skewness of the individual components. Therefore, it was selected as the definitive SMi formula for further evaluation and henceforth will be referred to as the SMi. Temporal Characteristics The SMi was significantly correlated with website age (r=0.372, p-value over one-week, two-week, three-week, and seven-month periods: December 29, 2013 to January 5, 2014, r=0.991, p-valuecheck details Followership The SMi demonstrated a wide range with normal distribution. For websites the mean (SD) was 4.52 (1.65), with a range from 1.06 to 9.40. When applied to the included journals the SMi had a mean (SD) of 6.27 (1.30) with a range from 3.84 to 9.26. Social media followership for websites and journals varied widely across each component of the SMi (Table 2). ECG Experts Study Cards (112,696 Facebook followers) and Life in the Fast Lane (14,216 Twitter followers) had high social medial followership for websites while the New England Journal of Medicine (847,603 Facebook followers) and JAMA (350,000 Twitter followers) had high social media followership for journals. selleck products Table 2 Summary statistics for the Social Media index and their individual components (163 websites and 29 journals). Ranked in their own media categories by SMi (Table 3a and ?and3b),3b), MASP1 the top three websites were Life in the Fast Lane (9.40), Academic Life in Emergency Medicine (8.89), and EMCrit (8.68). The top three journals (Table 3) were New England Journal of Medicine (9.26), British Medical Journal (9.09), and JAMA (8.75). The large increase in SMi, by approximately one standard deviation, between American Journal of Critical Care and Lancet illustrates the jump from specialty-specific EMCC journals to general medical journals. The highest ranked emergency medicine-specific journals were Annals of Emergency Medicine (6.61), Emergency Medicine Journal (6.22), and Academic Emergency Medicine (5.96). Table 3a The top five websites as calculated and by the Social Media index and its components. Table 3b The top five journals as calculated by the Social Media index and its components. Correlation with Journal Impact Factors Traditional journal impact metrics correlated significantly with journal SMi score (Table 4). The strongest correlations were seen between the journal SMi score and Immediacy Index (r=0.609, p-value=