@charset "UTF-8";
:root{--paper:#f6f3e9;--paper-deep:#eae6d9;--ink:#234638;--body:#303c34;--muted:#626b60;--rust:#965735;--line:#cdcdbc;--serif:Georgia,"Palatino Linotype",Palatino,serif;--sans:system-ui,-apple-system,BlinkMacSystemFont,"Segoe UI",sans-serif}
*{box-sizing:border-box}
html{scroll-padding-top:2rem}
body{margin:0;background:var(--paper);color:var(--body);font-family:var(--sans);font-size:16px;line-height:1.65;-webkit-font-smoothing:antialiased}
a{color:var(--ink);text-underline-offset:.2em;text-decoration-thickness:1px}
a:hover{color:var(--rust)}
a:focus-visible{outline:2px solid var(--rust);outline-offset:5px}
img{display:block;max-width:100%;height:auto}
h1,h2,h3,p,figure{margin:0}
h1,h2,h3{font-family:var(--serif);font-weight:400;color:var(--ink)}
h1{font-size:clamp(2.55rem,4.5vw,4.6rem);line-height:1.04;letter-spacing:-.045em;max-width:20ch;text-wrap:balance;overflow-wrap:break-word}
h2{font-size:clamp(1.8rem,2.6vw,2.5rem);line-height:1.16;letter-spacing:-.025em;text-wrap:balance}
h3{font-size:1.45rem;line-height:1.3}
ul,ol{padding-left:1.25rem}
.wrap{width:min(1260px,calc(100% - 96px));margin-inline:auto}
.skip-link{position:absolute;z-index:10;top:10px;left:10px;background:var(--ink);color:var(--paper);padding:9px 16px;clip-path:inset(50%);width:1px;height:1px;overflow:hidden}
.skip-link:focus{clip-path:none;width:auto;height:auto;overflow:visible}
.site-header{padding-top:28px}
.masthead{display:flex;align-items:center;justify-content:space-between;gap:24px;padding-bottom:23px}
.wordmark{display:inline-flex;align-items:center;gap:13px;color:var(--ink);text-decoration:none}
.wordmark svg{width:31px;height:40px;flex:none}
.wordmark-name{display:block;font-family:var(--serif);font-size:1.75rem;line-height:1.05;letter-spacing:-.03em}
.wordmark-note{display:block;margin-top:5px;font-size:.65rem;letter-spacing:.14em;text-transform:uppercase}
.masthead-date{font-family:var(--serif);font-size:1.1rem;letter-spacing:.06em;color:var(--muted)}
.primary-nav{display:flex;flex-wrap:wrap;column-gap:34px;row-gap:9px;border-top:1px solid var(--line);border-bottom:1px solid var(--line);padding:13px 0;font-size:.85rem;letter-spacing:.035em}
.primary-nav a{text-decoration:none;padding:2px 0}
.primary-nav a[aria-current="page"]{color:var(--rust);text-decoration:underline}
.hero{display:grid;grid-template-columns:minmax(0,1.18fr) minmax(0,.95fr);gap:65px;align-items:center;padding:58px 0 56px}
.eyebrow{font-family:var(--sans);font-size:.67rem;font-weight:600;letter-spacing:.15em;text-transform:uppercase;color:var(--rust);margin-bottom:23px}
.hero .lead{font-size:1.02rem;line-height:1.7;max-width:52ch;margin-top:26px;color:#455046}
.hero .clinical-note{font-family:var(--sans);font-size:.9375rem;line-height:1.65;color:var(--muted);border-left:2px solid var(--line);padding-left:15px;margin-top:22px;max-width:64ch}
.closure-line{font-size:.72rem;font-weight:600;color:var(--rust);padding:8px 0;border-bottom:1px solid var(--line);width:fit-content;margin-bottom:22px}
.hero-figure{align-self:stretch;display:flex;flex-direction:column;justify-content:center}
.hero-figure img{width:100%;height:clamp(320px,35vw,490px);object-fit:cover;object-position:center}
.hero-figure figcaption{margin-top:12px;display:flex;justify-content:space-between;gap:16px;font-size:.66rem;line-height:1.5;color:var(--muted)}
.plate-number{font-family:var(--serif);font-style:italic;white-space:nowrap}
.home-page .hero{padding-top:55px;gap:62px;grid-template-columns:1.05fr 1fr}
.home-page h1{font-size:clamp(3rem,5.25vw,5rem)}
.home-page .hero-figure img{height:clamp(390px,41vw,555px)}
.reading-layout{display:grid;grid-template-columns:240px minmax(0,720px);column-gap:80px;padding:58px 0 78px;border-top:1px solid var(--line);align-items:start}
.reading-aside{position:sticky;top:32px;font-family:var(--sans);font-size:.75rem;line-height:1.5}
.aside-label{font-size:.64rem;letter-spacing:.14em;text-transform:uppercase;color:var(--rust);margin-bottom:16px;font-weight:600}
.contents-list{list-style:none;padding:0;margin:0;counter-reset:section}
.contents-list li{border-top:1px solid var(--line);counter-increment:section}
.contents-list a{display:grid;grid-template-columns:24px 1fr;gap:6px;padding:13px 0;text-decoration:none}
.contents-list a::before{content:counter(section,decimal-leading-zero);font-family:var(--serif);color:var(--rust);font-size:.76rem}
.aside-bottom{margin-top:30px;border-top:1px solid var(--line);padding-top:20px;font-size:.69rem;color:var(--muted)}
.aside-bottom a{display:inline-block;margin-top:8px}
.prose{font-family:var(--serif);font-size:1.13rem;line-height:1.82;min-width:0}
.prose p{margin:0 0 1.4em}
.prose h2{margin:1.65em 0 .65em;padding-top:.15em}
.prose>h2:first-child{margin-top:0;padding-top:0}
.prose h3{margin:1.6em 0 .65em}
.prose li{margin:0 0 .65em;padding-left:.2em}
.prose ul,.prose ol{margin:1.1em 0 1.7em}
.prose blockquote{border-left:2px solid var(--rust);margin:2rem 0;padding:5px 0 5px 24px;color:var(--ink)}
.prose blockquote p:last-child{margin-bottom:0}
.prose strong{font-weight:600}
.prose .byline{font-family:var(--sans);font-size:.74rem;color:var(--muted);margin-bottom:2.2rem}
.prose .clinical-note{font-family:var(--sans);font-size:.82rem;line-height:1.65;border-left:2px solid var(--line);padding-left:18px;color:var(--muted)}
.prose .non-affiliation{font-family:var(--sans);font-size:.93rem;line-height:1.85;border:1px solid var(--line);padding:26px;margin:2rem 0;background:var(--paper-deep)}
.prose table{width:100%;border-collapse:collapse;font-size:.91em;margin:1.5rem 0}
.prose th,.prose td{text-align:left;padding:12px 15px;border-bottom:1px solid var(--line);vertical-align:top}
.prose th{font-family:var(--sans);font-size:.75rem;font-weight:600}
.prose a{overflow-wrap:anywhere}
.related-reading{margin-top:48px;padding-top:28px;border-top:1px solid var(--line)}
.related-reading h2{font-family:var(--sans);font-size:.66rem;letter-spacing:.13em;text-transform:uppercase;color:var(--rust);margin:0 0 17px}
.related-reading ul{list-style:none;margin:0;padding:0;font-family:var(--sans);font-size:.83rem}
.related-reading li{margin:0;padding:0;border-bottom:1px solid var(--line)}
.related-reading a{display:flex;align-items:baseline;justify-content:space-between;gap:20px;padding:12px 0;text-decoration:none}
.related-reading a::after{content:"↗";color:var(--rust)}
.chapter-directory{border-top:1px solid var(--line);padding:52px 0 64px}
.chapter-heading{display:flex;align-items:baseline;justify-content:space-between;gap:30px;margin-bottom:30px}
.chapter-heading p{font-size:.77rem;color:var(--muted);max-width:38ch}
.chapter-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));column-gap:70px;row-gap:40px}
.chapter{border-top:1px solid var(--ink);padding-top:17px}
.chapter-title{display:flex;align-items:baseline;gap:15px;margin-bottom:18px}
.chapter-title span{font-family:var(--serif);font-style:italic;color:var(--rust);font-size:1rem}
.chapter h3{font-size:1.7rem}
.chapter ul{list-style:none;margin:0;padding:0;font-size:.82rem}
.chapter li{border-bottom:1px solid var(--line)}
.chapter a{display:flex;justify-content:space-between;align-items:baseline;gap:12px;text-decoration:none;padding:11px 0}
.chapter a::after{content:"↗";color:var(--rust)}
.site-footer{background:var(--ink);color:#e9ede2;padding:46px 0 25px}
.footer-top{display:grid;grid-template-columns:1fr 1.6fr;gap:85px;padding-bottom:35px;border-bottom:1px solid #55705e}
.footer-title{font-family:var(--serif);font-size:1.8rem;line-height:1.2;max-width:16ch}
.footer-kicker{margin-top:10px;text-transform:uppercase;letter-spacing:.12em;font-size:.62rem;color:#ccd5c9}
.footer-notice{font-size:.9375rem;line-height:1.8;max-width:78ch}
.footer-bottom{display:flex;justify-content:space-between;gap:30px;align-items:center;padding-top:22px;font-size:.65rem;color:#ccd5c9}
.footer-links{display:flex;gap:22px;flex-wrap:wrap}
.site-footer a{color:#eef0e9}
.footer-links a{text-decoration:none}
.error-page .hero{padding-bottom:48px}
.error-code{font-family:var(--serif);font-size:1.25rem;font-style:italic;color:var(--rust);margin-bottom:18px}
@media(min-width:1440px){.hero{padding-top:70px;padding-bottom:68px}}
@media(max-width:1100px){.wrap{width:calc(100% - 64px)}.hero,.home-page .hero{gap:36px}.reading-layout{grid-template-columns:200px minmax(0,1fr);gap:45px}.hero-figure img{height:390px}.primary-nav{column-gap:25px}.footer-top{gap:50px}}
@media(max-width:760px){.wrap{width:calc(100% - 40px)}.site-header{padding-top:22px}.masthead{padding-bottom:20px}.wordmark-name{font-size:1.52rem}.wordmark-note{font-size:.57rem}.masthead-date{font-size:.83rem}.wordmark svg{width:25px;height:34px}.primary-nav{column-gap:21px;row-gap:8px;font-size:.8rem;padding:11px 0}.hero,.home-page .hero{grid-template-columns:1fr;gap:30px;padding:36px 0}.hero h1,.home-page h1{font-size:clamp(2.6rem,9vw,4rem);max-width:20ch}.eyebrow{margin-bottom:18px}.hero .lead{font-size:.96rem;margin-top:20px;max-width:60ch}.hero .clinical-note{font-size:.9rem;margin-top:18px}.hero-figure img,.home-page .hero-figure img{height:auto;aspect-ratio:3/2;object-fit:cover}.hero-figure figcaption{font-size:.62rem}.reading-layout{display:block;padding:30px 0 48px}.reading-aside{position:static;max-width:none;margin-bottom:36px}.contents-list{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));column-gap:22px}.contents-list a{font-size:.71rem;padding:10px 0}.aside-bottom{display:none}.prose{font-size:1.07rem;line-height:1.8}.prose h2{font-size:1.85rem}.prose .non-affiliation{padding:20px}.chapter-directory{padding:35px 0 42px}.chapter-heading{display:block}.chapter-heading p{margin-top:13px;max-width:55ch}.chapter-grid{gap:30px}.chapter-title{gap:10px}.chapter h3{font-size:1.4rem}.chapter ul{font-size:.76rem}.footer-top{grid-template-columns:1fr;gap:25px}.footer-title{max-width:none;font-size:1.65rem}.site-footer{padding-top:34px}.footer-bottom{align-items:flex-start;flex-direction:column;gap:14px}.footer-notice{font-size:.9rem}}
@media(max-width:450px){.wrap{width:calc(100% - 32px)}.masthead-date{font-size:.73rem}.wordmark-name{font-size:1.4rem}.wordmark{gap:8px}.wordmark-note{letter-spacing:.1em}.primary-nav{column-gap:18px}.chapter-grid{grid-template-columns:1fr}.chapter-heading h2{font-size:2rem}.contents-list{grid-template-columns:1fr}.hero h1,.home-page h1{font-size:2.65rem}.hero-figure figcaption{display:block}.plate-number{display:block;margin-top:2px}.prose{font-size:1.03rem}}
@media(prefers-reduced-motion:reduce){html{scroll-behavior:auto}}
@media print{body{background:white;color:black}.wrap{width:100%}.site-header,.reading-aside,.chapter-directory,.related-reading,.footer-links,.skip-link{display:none}.hero,.home-page .hero,.reading-layout{display:block;padding:20px 0}.hero h1,.home-page h1{font-size:30pt}.hero-figure{max-width:400px;margin-top:20px}.hero-figure img,.home-page .hero-figure img{height:auto}.prose{font-size:12pt}.site-footer{background:white;color:black;border-top:1px solid #777}.footer-top{display:block}.footer-notice{font-size:9pt;margin-top:15px}.footer-kicker,.footer-bottom{color:black}.site-footer a{color:black}h2,h3{break-after:avoid}}