.psh-header,
.psh-footer {
  --shell-ink: light-dark(#2b2d42, #f3f3f8);
  --shell-muted: light-dark(#565c70, #c8cbda);
  --shell-line: light-dark(#dce0e8, #46495e);
  --shell-link: light-dark(#365b71, #b2d7ed);
  --shell-red: light-dark(#bb1425, #ffacb2);
  box-sizing: border-box;
  color: var(--shell-ink);
  font: 400 15px/1.55 system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", sans-serif;
}
.psh-header {
  display: flex;
  align-items: center;
  justify-content: space-between;
  flex-wrap: wrap;
  gap: 8px 24px;
  min-height: 67px;
  padding: 12px max(4.5%, calc((100% - 1160px) / 2));
  border-block-end: 1px solid var(--shell-line);
}
.psh-header .psh-brand {
  display: inline-flex;
  align-items: center;
  gap: 11px;
  color: inherit;
  font-weight: 740;
  letter-spacing: -.025em;
  text-decoration: none;
}
.psh-header .psh-brand-copy {
  display: grid;
  gap: 2px;
  line-height: 1.2;
}
.psh-header .psh-brand-credentials {
  color: var(--shell-muted);
  font-size: .75rem;
  font-weight: 400;
  letter-spacing: normal;
}
.psh-header .psh-acvs {
  display: block;
  width: 66px;
  height: auto;
  flex: none;
  border-radius: 50%;
}
.psh-nav {
  display: flex;
  flex-wrap: wrap;
  gap: 2px clamp(10px, 1.9vw, 23px);
}
.psh-nav a {
  display: inline-flex;
  align-items: center;
  min-height: 34px;
  color: inherit;
  font-size: 13px;
  font-weight: 600;
  text-decoration: none;
}
.psh-nav a:hover {
  color: var(--shell-red);
  text-decoration: underline;
  text-underline-offset: .24em;
}
.psh-header .psh-nav a[aria-current="page"] {
  text-decoration: underline;
  text-decoration-color: var(--shell-red);
  text-decoration-thickness: 2px;
  text-underline-offset: .24em;
}
.psh-header :focus-visible,
.psh-footer :focus-visible {
  outline: 2px solid var(--shell-link);
  outline-offset: 4px;
}
.psh-header .psh-menu-toggle {
  display: none;
  align-items: center;
  justify-content: center;
  flex: none;
  width: 44px;
  height: 44px;
  padding: 0;
  border: 1px solid #626579;
  border-radius: 50%;
  color: #fff;
  background: #2b2d42;
  cursor: pointer;
}
.psh-menu-icon {
  position: relative;
  display: block;
  width: 18px;
  height: 2px;
  background: currentColor;
}
.psh-menu-icon::before,
.psh-menu-icon::after {
  content: "";
  position: absolute;
  inset: 0;
  background: currentColor;
}
.psh-menu-icon::before { transform: translateY(-6px); }
.psh-menu-icon::after { transform: translateY(6px); }
.psh-menu-toggle[aria-expanded="true"] .psh-menu-icon { background: transparent; }
.psh-menu-toggle[aria-expanded="true"] .psh-menu-icon::before { transform: rotate(45deg); }
.psh-menu-toggle[aria-expanded="true"] .psh-menu-icon::after { transform: rotate(-45deg); }

.psh-header .psh-nav.psh-grouped-nav {
  --menu-background: #2b2d42;
  --menu-surface: #36394f;
  --menu-text: #fff;
  --menu-muted: #dadce7;
  --menu-divider: #626579;
  --menu-accent: #ffadb0;
  display: flex;
  align-items: center;
  gap: 0 clamp(10px, 1.2vw, 20px);
  min-width: 0;
}
.psh-nav-group { position: relative; min-width: 0; }
.psh-header .psh-nav-group > summary {
  box-sizing: border-box;
  display: flex;
  align-items: center;
  gap: 8px;
  min-height: 44px;
  padding-block: 8px;
  list-style: none;
  color: inherit;
  font-size: .875rem;
  font-weight: 650;
  overflow-wrap: anywhere;
  cursor: pointer;
}
.psh-nav-group > summary::-webkit-details-marker { display: none; }
.psh-nav-group > summary::after {
  content: "";
  flex: none;
  width: 6px;
  height: 6px;
  margin-block-start: -3px;
  border-inline-end: 2px solid currentColor;
  border-block-end: 2px solid currentColor;
  transform: rotate(45deg);
}
.psh-nav-group[open] > summary::after { transform: rotate(225deg); margin-block-start: 3px; }
.psh-header .psh-nav-group > summary:hover,
.psh-header .psh-nav-group[open] > summary,
.psh-header .psh-nav-recovery > summary {
  color: var(--shell-red);
  text-decoration: underline;
  text-underline-offset: .24em;
}
.psh-header .psh-nav-recovery > summary {
  font-weight: 700;
  text-decoration-thickness: 2px;
}
.psh-nav-panel {
  box-sizing: border-box;
  position: absolute;
  z-index: 20;
  inset-block-start: 100%;
  inset-inline-start: 0;
  width: min(18rem, 36vw);
  max-height: 70vh;
  max-height: 70dvh;
  padding: 10px 14px;
  overflow: auto;
  overscroll-behavior: contain;
  border: 1px solid var(--menu-divider);
  border-radius: 8px;
  color: var(--menu-text);
  background: var(--menu-background);
  box-shadow: 0 12px 24px #1e203040;
}
.psh-nav-recovery > .psh-nav-panel { inset-inline: auto 0; }
.psh-nav-panel:has(.psh-nav-columns) { width: min(24rem, 36vw); }
.psh-nav-columns { display: grid; grid-template-columns: repeat(2, minmax(0, 1fr)); gap: 14px; }
.psh-nav-panel ul { margin: 0; padding: 0; list-style: none; }
.psh-nav-panel li + li { border-block-start: 1px solid var(--menu-divider); }
.psh-nav-panel :is(.psh-nav-panel-label, h2, h3) {
  margin: 6px 6px 2px;
  color: var(--menu-muted);
  font: 650 .8125rem/1.45 system-ui, -apple-system, BlinkMacSystemFont, "Segoe UI", sans-serif;
}
.psh-header .psh-nav-panel a {
  box-sizing: border-box;
  display: flex;
  min-height: 44px;
  padding: 6px;
  color: var(--menu-text);
  font-size: .875rem;
  overflow-wrap: anywhere;
}
.psh-header .psh-nav-panel a:hover { color: var(--menu-text); background: var(--menu-surface); }
.psh-header .psh-nav-panel a[aria-current] { text-decoration: underline; text-decoration-color: var(--menu-accent); }
.psh-header .psh-nav-panel :focus-visible { outline-color: var(--menu-accent); outline-offset: -2px; }
.psh-nav-utility { display: flex; flex-wrap: wrap; align-items: center; gap: 0 12px; }
.psh-header .psh-nav-utility a { min-height: 44px; }

.psh-footer {
  display: flex;
  justify-content: space-between;
  flex-wrap: wrap;
  align-items: baseline;
  gap: 3px 16px;
  width: min(91%, 1160px);
  margin-inline: auto;
  padding-block: 20px;
  color: var(--shell-muted);
  font-size: 12px;
}
.psh-footer .psh-nav a {
  font-size: inherit;
  text-decoration: underline;
  text-underline-offset: .19em;
}
.psh-footer .footer-review-details {
  flex-basis: 100%;
  margin: 0;
}
.psh-footer .footer-review-details > summary {
  width: fit-content;
  min-height: 34px;
  padding-block: 7px;
  color: inherit;
  cursor: pointer;
}
.psh-footer .clinical-review-meta {
  display: grid;
  gap: 6px;
  margin: 0;
  padding: 12px 0;
  border-top: 1px solid var(--shell-line);
  color: inherit;
  font: inherit;
}
.psh-footer .clinical-review-meta :is(a, strong) { color: inherit; }

@media (max-width: 650px) {
  .psh-header { justify-content: flex-start; padding-inline: 4.5%; }
  .psh-header .psh-acvs { width: 52px; }
  .psh-nav { flex-basis: 100%; }
}
@media (max-width: 365px) {
  .psh-header .psh-nav { display: grid; grid-template-columns: repeat(2, minmax(0, 1fr)); }
}
@media (max-width: 880px) {
  .psh-header:has(.psh-grouped-nav) { justify-content: space-between; gap: 8px 12px; }
  .psh-header:has(.psh-grouped-nav) .psh-brand { flex: 1 1 0; min-width: 0; overflow-wrap: anywhere; }
  .psh-header[data-menu-ready] .psh-menu-toggle:not([hidden]) { display: inline-flex; }
  .psh-header[data-menu-ready] .psh-menu-toggle[aria-expanded="false"] + .psh-grouped-nav { display: none; }
  .psh-header .psh-nav.psh-grouped-nav {
    box-sizing: border-box;
    flex: 1 0 100%;
    flex-direction: column;
    align-items: stretch;
    width: 100%;
    margin-block-start: 4px;
    overflow: hidden;
    border-radius: 8px;
    color: var(--menu-text);
    background: var(--menu-background);
  }
  .psh-nav-group + .psh-nav-group,
  .psh-nav-utility { border-block-start: 1px solid var(--menu-divider); }
  .psh-header .psh-nav-group > summary {
    justify-content: space-between;
    min-height: 48px;
    padding: 10px 16px;
    color: var(--menu-text);
  }
  .psh-header .psh-nav-group > summary:hover,
  .psh-header .psh-nav-group[open] > summary,
  .psh-header .psh-nav-recovery > summary { color: var(--menu-accent); }
  .psh-header .psh-nav-group[open] > summary { background: var(--menu-surface); }
  .psh-nav-panel,
  .psh-nav-panel:has(.psh-nav-columns) {
    position: static;
    width: 100%;
    max-height: none;
    padding: 0 16px 8px 24px;
    border: 0;
    border-radius: 0;
    background: var(--menu-surface);
    box-shadow: none;
  }
  .psh-nav-columns { grid-template-columns: 1fr; gap: 6px; }
  .psh-nav-utility { padding: 0 10px; }
  .psh-header .psh-nav-utility a { padding-inline: 6px; }
  .psh-header .psh-nav-utility a:hover { color: var(--menu-accent); }
  .psh-header .psh-grouped-nav :focus-visible { outline-color: var(--menu-accent); outline-offset: -2px; }
}
@media (pointer: coarse) {
  .psh-nav a, .psh-footer .footer-review-details > summary { min-height: 44px; }
}
@media print {
  .psh-nav,
  .psh-header .psh-menu-toggle,
  .rad-page :is(.psh-header, .psh-footer) { display: none !important; }
}