@font-face{font-family:MedicalClinicText;src:url('./regular.woff2') format('woff2');font-style:normal;font-weight:100 900;font-display:swap}
.medical-column{--ink:#263d3a;--teal:#124e4b;--muted:#627370;--line:#d6dfda;--wash:#f1f6f2;background:#fffefb;color:var(--ink);font-family:MedicalClinicText,'Apple SD Gothic Neo',sans-serif;padding-bottom:64px}
.medical-column *{box-sizing:border-box}.medical-column a{color:var(--teal);text-decoration:underline;text-underline-offset:4px}.medical-column a:hover{text-decoration-thickness:2px}.medical-column a:focus-visible,.medical-column summary:focus-visible,.medical-column .table-scroll:focus-visible{outline:3px solid #347a76;outline-offset:5px}
.medical-column h1,.medical-column h2{word-break:keep-all;overflow-wrap:anywhere}.medical-column p{margin:0 0 23px}.medical-column .medical-breadcrumb{max-width:1144px;margin:auto;padding:22px 24px 0;font-size:12px;color:var(--muted)}.medical-breadcrumb ol{display:flex;gap:8px;flex-wrap:wrap;list-style:none;margin:0;padding:0}.medical-breadcrumb li+li:before{content:'›';margin-right:8px}
.medical-column .article-heading{max-width:940px;margin:auto;padding:34px 32px 48px}.medical-column .back-link{display:inline-block;font-size:13px;color:var(--muted);text-decoration:none;margin-bottom:32px}.medical-column .eyebrow{color:var(--teal);font-size:13px;line-height:1.7;letter-spacing:.05em;margin-bottom:17px}.medical-column h1{font-size:clamp(32px,4.1vw,55px);line-height:1.35;letter-spacing:-.04em;margin-bottom:24px}.medical-column .subtitle{font-size:21px;line-height:1.65;color:var(--muted);word-break:keep-all}.medical-column .author-byline{font-size:14px;line-height:1.8;color:var(--teal);margin-bottom:22px}.medical-column .article-meta{font-size:12px;line-height:1.8;color:var(--muted);margin:0;padding-top:20px;border-top:1px solid var(--line)}
.medical-column .reading-layout{display:grid;grid-template-columns:220px minmax(0,780px);gap:54px;max-width:1144px;margin:auto;align-items:start;padding:0 24px}.medical-column .contents{position:sticky;top:164px;font-size:13px;max-height:calc(100vh - 190px);overflow-y:auto;padding:6px 12px 14px 0;scrollbar-width:thin}.medical-column .contents summary{font-weight:650;color:var(--teal);cursor:pointer;list-style:none;padding:0 0 15px;border-bottom:1px solid var(--line)}.medical-column .contents summary::-webkit-details-marker{display:none}.medical-column .contents summary:after{content:'−';float:right}.medical-column .contents details:not([open]) summary:after{content:'+'}.medical-column .contents ol{list-style:none;padding:0;margin:15px 0 0}.medical-column .contents li{margin-bottom:14px;line-height:1.65}.medical-column .contents a{text-decoration:none;color:var(--muted)}.medical-column .contents a:hover{text-decoration:underline;color:var(--teal)}
.medical-column .article-body{font-size:18px;line-height:1.95;overflow-wrap:break-word;min-width:0}.medical-column .article-body strong{font-weight:700;color:#163e3a}.medical-column .article-intro{padding-bottom:30px}.medical-column .article-intro>p:first-child{font-size:20px;line-height:1.95}.medical-column .article-section{padding-top:40px;margin-bottom:32px;border-top:1px solid var(--line)}.medical-column .article-section h2{font-size:28px;line-height:1.55;letter-spacing:-.026em;color:var(--teal);margin:0 0 25px}.medical-column .article-body h3{font-size:22px;line-height:1.6;color:var(--teal);margin:30px 0 15px;word-break:keep-all}.medical-column .article-body ul,.medical-column .article-body ol{padding-left:1.35em}.medical-column .article-body li{padding-left:.25em;margin-bottom:10px}.medical-column .citation{font-size:10px;line-height:0;vertical-align:super;white-space:nowrap;margin-left:2px}.medical-column .citation a{text-decoration:none;color:#4a7c73}
.medical-column .medical-figure{margin:38px 0 10px;border:1px solid var(--line);background:white;border-radius:3px;overflow:hidden}.medical-column .medical-figure img{display:block;width:100%;height:auto}.medical-column .medical-figure figcaption{font-size:13px;line-height:1.8;color:var(--muted);background:var(--wash);padding:20px 23px}.medical-column .figure-label{display:block;color:var(--teal);font-size:11px;letter-spacing:.06em;margin-bottom:7px}
.medical-column .table-scroll{width:100%;overflow-x:auto;margin:28px 0 30px;border:1px solid var(--line);border-radius:3px}.medical-column table{width:100%;border-collapse:collapse;min-width:570px;font-size:15px;line-height:1.8}.medical-column th,.medical-column td{text-align:left;padding:16px 18px;border-bottom:1px solid var(--line);vertical-align:top}.medical-column th{background:var(--wash);font-weight:650;color:var(--teal)}.medical-column tr:last-child td{border-bottom:0}.medical-column td+td,.medical-column th+th{border-left:1px solid var(--line)}
.medical-column .references-section{margin-top:55px}.medical-column .references-section h2{font-size:24px}.medical-column .references{font-size:13px;color:var(--muted);line-height:1.8;padding-left:1.5em!important}.medical-column .references li{padding-left:8px;margin-bottom:20px}.medical-column .references p{margin:0}.medical-column .references a{overflow-wrap:anywhere}.medical-column .references li:target{background:var(--wash);outline:6px solid var(--wash)}.medical-column .article-end{border-top:1px solid var(--line);padding-top:28px;display:flex;justify-content:space-between;gap:24px;font-size:13px}.medical-column .article-end a{text-decoration:none}
@media(max-width:1100px){.medical-column .reading-layout{display:block;max-width:790px;margin:auto;padding:0 28px}.medical-column .contents{position:static;max-height:none;overflow:visible;padding:20px 0 26px;margin-bottom:32px;border-top:1px solid var(--line);border-bottom:1px solid var(--line)}.medical-column .contents summary{border:0;padding:0}.medical-column .contents ol{columns:2;column-gap:25px}.medical-column .contents li{break-inside:avoid}.medical-column .article-heading{max-width:790px;padding:32px 28px}.medical-column .article-intro>p:first-child{font-size:19px}}
@media(max-width:600px){.medical-column .medical-breadcrumb{padding:18px 22px 0}.medical-column .medical-breadcrumb li:last-child{display:none}.medical-column .article-heading{padding:28px 22px 30px}.medical-column h1{font-size:32px;line-height:1.4}.medical-column .subtitle{font-size:18px}.medical-column .eyebrow{font-size:12px}.medical-column .reading-layout{padding:0 22px}.medical-column .contents{margin-bottom:28px}.medical-column .contents ol{columns:1}.medical-column .contents li{margin-bottom:11px}.medical-column .article-body{font-size:17px;line-height:1.95}.medical-column .article-intro>p:first-child{font-size:18px}.medical-column p{margin-bottom:21px}.medical-column .article-section{padding-top:30px;margin-bottom:30px}.medical-column .article-section h2{font-size:23px;line-height:1.6;margin-bottom:23px}.medical-column .medical-figure{margin:27px -6px 6px}.medical-column .medical-figure figcaption{font-size:12px;padding:17px 18px}.medical-column table{font-size:14px;min-width:530px}.medical-column .references{font-size:12px}.medical-column .article-end{display:grid;gap:12px}}
@media print{.medical-column-page>.skip-link,.medical-column-page .site-header,.medical-column-page .site-topbar,.medical-column-page footer,.medical-column-page .gm-quick-contact,.medical-column .contents,.medical-column .back-link,.medical-column .article-end,.medical-column .medical-breadcrumb{display:none!important}.medical-column-page{padding:0!important}.medical-column{padding:0;background:white}.medical-column .article-heading{padding:20px 0;max-width:none}.medical-column .reading-layout{display:block;max-width:none;padding:0}.medical-column .article-body{font-size:10.5pt;line-height:1.7}.medical-column .article-section h2{font-size:17pt;break-after:avoid}.medical-column .medical-figure{break-inside:avoid}.medical-column .medical-figure img{max-height:330px;object-fit:contain}.medical-column .table-scroll{overflow:visible}.medical-column table{min-width:0;font-size:9pt}}