:root{
  --ink:#102033;--ink2:#1f3349;--muted:#5e6f82;--line:#dbe7f0;--paper:#fff;--soft:#f6fafc;--soft2:#edf8f6;--blue:#1d4ed8;--teal:#0f9f9a;--teal2:#d8f5ee;--sand:#fff7ed;--rose:#fff1f5;--green:#ecfdf5;--shadow:0 20px 45px rgba(16,32,51,.09);--radius:22px}
*{box-sizing:border-box}html{scroll-behavior:smooth}body{margin:0;font-family:Arial,Helvetica,sans-serif;color:var(--ink);background:linear-gradient(135deg,#fbfdff,#eef8f6 55%,#f7faff);line-height:1.68;font-size:17px}a{color:var(--blue)}img{max-width:100%;height:auto}.wrap{max-width:1180px;margin:0 auto;padding:18px}.sitebar{position:sticky;top:0;z-index:20;background:rgba(255,255,255,.96);backdrop-filter:blur(12px);border-bottom:1px solid var(--line)}.sitebar .inner{max-width:1180px;margin:auto;padding:10px 18px;display:flex;gap:16px;align-items:center;justify-content:space-between}.brand{display:flex;gap:10px;align-items:center;text-decoration:none;color:var(--ink);font-weight:900}.brand-logo{width:48px;height:48px;border-radius:14px;background:#102033;display:grid;place-items:center;color:white;font-weight:900;box-shadow:0 8px 18px rgba(16,32,51,.14)}.brand-logo span{display:block;width:23px;height:23px;border-radius:6px;background:linear-gradient(135deg,#bff3ea,#ffd1df);position:relative}.brand-logo span:after{content:"+";position:absolute;color:#102033;font-weight:900;left:6px;top:-1px}.brand small{display:block;color:var(--muted);font-size:12px;font-weight:800;letter-spacing:.1px}.nav{display:flex;gap:8px;flex-wrap:wrap;align-items:center}.nav a{color:var(--ink);text-decoration:none;font-weight:800;border:1px solid var(--line);background:white;border-radius:999px;padding:8px 13px;font-size:14px}.nav a:hover,.nav a.active{border-color:var(--ink);background:var(--ink);color:white}.hero{border:1px solid var(--line);border-radius:30px;overflow:hidden;background:white;margin:20px 0;box-shadow:var(--shadow)}.hero-grid{display:grid;grid-template-columns:1.06fr .94fr;min-height:450px}.hero-text{padding:42px}.hero h1{font-size:clamp(36px,5vw,58px);line-height:1.04;margin:0 0 16px;letter-spacing:-1px}.hero p{font-size:20px;color:#334155}.hero-photo{min-height:380px;background:#dbeafe;position:relative}.hero-photo img{width:100%;height:100%;object-fit:cover;display:block}.hero-photo:after{content:"";position:absolute;inset:0;background:linear-gradient(90deg,rgba(255,255,255,.02),rgba(16,32,51,.05))}.eyebrow{display:inline-flex;border:1px solid var(--line);background:var(--soft2);border-radius:999px;padding:7px 12px;font-weight:900;margin-bottom:14px}.actions{display:flex;gap:10px;flex-wrap:wrap;margin-top:22px}.btn{display:inline-flex;align-items:center;justify-content:center;gap:8px;text-decoration:none;font-weight:900;border:1px solid var(--line);border-radius:999px;padding:12px 18px;background:white;color:var(--ink);box-shadow:0 8px 18px rgba(16,32,51,.08)}.btn.dark{background:var(--ink);border-color:var(--ink);color:white}.btn:hover{transform:translateY(-1px)}.card{background:rgba(255,255,255,.97);border:1px solid var(--line);border-radius:var(--radius);padding:24px;margin:18px 0;box-shadow:0 10px 28px rgba(16,32,51,.06)}.card h2{font-size:30px;line-height:1.18;margin:0 0 12px}.card h3{line-height:1.24;margin:0 0 8px}.lead{font-size:20px;color:#31465d}.muted{color:var(--muted)}.article-meta{font-size:14px;color:var(--muted);margin:8px 0 0}.grid{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:16px}.grid2{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:16px}.grid4{display:grid;grid-template-columns:repeat(4,minmax(0,1fr));gap:14px}.mini-card{background:white;border:1px solid var(--line);border-radius:20px;padding:18px;box-shadow:0 8px 22px rgba(16,32,51,.05)}.mini-card p:last-child{margin-bottom:0}.number{display:inline-grid;place-items:center;width:34px;height:34px;border-radius:12px;background:var(--teal2);color:#057b78;font-weight:900;margin-bottom:10px}.photo-card{overflow:hidden;padding:0}.photo-card img{width:100%;height:210px;object-fit:cover;display:block}.photo-card .body{padding:18px}.case-grid{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:16px}.case-card{display:block;text-decoration:none;color:var(--ink);background:white;border:1px solid var(--line);border-radius:22px;overflow:hidden;box-shadow:0 10px 25px rgba(16,32,51,.07)}.case-card img{width:100%;height:210px;object-fit:cover;display:block}.case-card .body{padding:18px}.case-card b{display:block;font-size:20px;margin-bottom:6px}.case-card span{display:block;color:var(--muted);line-height:1.45}.case-card:hover{transform:translateY(-2px);border-color:var(--teal)}.notice,.warning,.ok{border-radius:18px;padding:16px;margin:16px 0}.notice{border-left:6px solid var(--blue);background:#eff6ff}.warning{border-left:6px solid #f59e0b;background:var(--sand)}.ok{border-left:6px solid #16a34a;background:var(--green)}.toc{background:white;border:1px solid var(--line);border-radius:18px;padding:18px}.toc a{text-decoration:none;font-weight:700}.toc ul{margin:8px 0 0}.table-wrap{overflow:auto}table{width:100%;border-collapse:collapse;background:white;margin:14px 0}th,td{border:1px solid var(--line);padding:11px;text-align:left;vertical-align:top}th{background:#f8fafc;color:var(--ink2)}.pae-table th.label{width:24%;background:#e8f5f7}.pae-table tr.nanda th,.pae-table tr.nanda td{background:#d8eef4}.pae-table tr.noc th,.pae-table tr.noc td{background:#fff0dc}.pae-table tr.nic th,.pae-table tr.nic td{background:#eef0f2}.source-list li{margin-bottom:8px}.article-body h2{margin-top:28px}.article-body h3{margin-top:20px}.article-body p{margin:10px 0}.footer{border-top:1px solid var(--line);margin-top:30px;padding:28px 0;color:#475569}.footer-links{display:flex;gap:10px;flex-wrap:wrap;margin-top:12px}.footer-links a{border:1px solid var(--line);border-radius:999px;background:white;padding:7px 11px;color:var(--ink);font-weight:800;text-decoration:none}.legal-small{font-size:14px;color:#5f6f83}.tool-shell{display:grid;grid-template-columns:360px 1fr;gap:18px}.tool-panel{position:sticky;top:88px;align-self:start}.form-group{margin-bottom:12px}.form-group label{display:block;font-weight:900;margin-bottom:5px}.form-group input,.form-group textarea,.form-group select{width:100%;border:1px solid var(--line);border-radius:12px;padding:10px 11px;font:inherit;background:white}.form-group textarea{min-height:90px;resize:vertical}.pattern-list{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:8px}.pattern-list label{display:flex;gap:8px;align-items:start;border:1px solid var(--line);border-radius:12px;padding:8px;background:#fff;font-weight:700}.output-paper{background:white;border:1px solid #cbd5e1;padding:34px;min-height:700px;box-shadow:0 16px 36px rgba(16,32,51,.08)}.output-paper h1{text-align:center;font-size:24px}.output-paper h2{font-size:19px;border-bottom:2px solid #102033;padding-bottom:4px;margin-top:26px}.output-paper table{font-size:14px}.cookie-banner{position:fixed;left:18px;right:18px;bottom:18px;z-index:50;background:white;border:1px solid var(--line);border-radius:18px;box-shadow:0 20px 50px rgba(16,32,51,.18);padding:16px;display:none;max-width:820px;margin:auto}.cookie-banner.show{display:block}.cookie-actions{display:flex;gap:8px;flex-wrap:wrap;margin-top:10px}.skip-link{position:absolute;left:-999px;top:auto}.skip-link:focus{left:18px;top:18px;background:white;padding:10px;z-index:100;border:2px solid var(--blue)}
@media(max-width:980px){.hero-grid,.tool-shell{grid-template-columns:1fr}.tool-panel{position:static}.grid,.grid2,.grid4,.case-grid,.pattern-list{grid-template-columns:1fr}.sitebar .inner{align-items:flex-start;display:block}.nav{margin-top:10px}.hero-text{padding:28px}.hero-photo{min-height:260px}.wrap{padding:14px}.card{padding:20px}.output-paper{padding:20px}.case-card img,.photo-card img{height:190px}}
@media print{body{background:white;font-size:12pt}.sitebar,.footer,.actions,.tool-panel,.no-print,.cookie-banner{display:none!important}.wrap{max-width:none;padding:0}.card,.hero{box-shadow:none;border:none}.output-paper{border:none;box-shadow:none;padding:0}.output-paper h1{font-size:18pt}.output-paper h2{font-size:14pt}.output-paper table{font-size:10pt}a{color:#000;text-decoration:none}}


/* NandiNurse - diseño académico y módulos enfermeros */
.nav a{white-space:nowrap}.page-hero{border:1px solid var(--line);border-radius:30px;background:linear-gradient(135deg,#ffffff,#f3fbfa);padding:32px;margin:20px 0;box-shadow:var(--shadow)}.page-hero h1{font-size:clamp(34px,5vw,54px);line-height:1.06;margin:0 0 14px;letter-spacing:-.8px}.page-hero .lead{max-width:980px}.two-col{display:grid;grid-template-columns:1.1fr .9fr;gap:18px;align-items:start}.content-index{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:14px}.content-index a{display:block;text-decoration:none;color:var(--ink);border:1px solid var(--line);background:#fff;border-radius:18px;padding:16px;font-weight:900}.content-index span{display:block;color:var(--muted);font-weight:500;margin-top:5px}.checklist li{margin-bottom:8px}.badge{display:inline-flex;align-items:center;border:1px solid var(--line);border-radius:999px;background:var(--soft2);padding:5px 10px;font-weight:900;margin:3px}.source-note{font-size:14px;color:var(--muted);border-top:1px solid var(--line);padding-top:12px;margin-top:18px}.ref-card{background:#fff;border:1px solid var(--line);border-radius:18px;padding:16px;margin:12px 0}.ref-card h3{margin-bottom:6px}.tech-card{border:1px solid var(--line);border-radius:22px;background:#fff;padding:20px;margin:18px 0;box-shadow:0 9px 24px rgba(16,32,51,.05)}.tech-card h2{margin:0 0 6px}.tech-meta{display:flex;gap:8px;flex-wrap:wrap;margin:10px 0}.tech-meta span{background:var(--soft);border:1px solid var(--line);border-radius:999px;padding:5px 10px;font-weight:800;color:var(--ink2);font-size:14px}.steps{counter-reset:item;margin:12px 0;padding:0}.steps li{list-style:none;counter-increment:item;display:grid;grid-template-columns:34px 1fr;gap:10px;margin:10px 0}.steps li:before{content:counter(item);display:grid;place-items:center;width:30px;height:30px;border-radius:11px;background:var(--teal2);font-weight:900;color:#057b78}.calculator{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:14px}.calc-box{border:1px solid var(--line);border-radius:20px;background:#fff;padding:18px}.calc-box input,.calc-box select{width:100%;border:1px solid var(--line);border-radius:12px;padding:10px;font:inherit;margin:5px 0 10px}.calc-result{background:#ecfdf5;border:1px solid #bbf7d0;border-radius:14px;padding:12px;font-weight:900;margin-top:8px;min-height:48px}.matrix-controls{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:14px}.tag-box{background:#fff;border:1px solid var(--line);border-radius:18px;padding:14px}.tag-box label{display:flex;gap:8px;margin:7px 0;align-items:start}.result-card{border:1px solid var(--line);border-radius:20px;background:#fff;padding:18px;margin:14px 0;box-shadow:0 9px 24px rgba(16,32,51,.05)}.result-card h3{margin:0 0 8px}.result-grid{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:12px}.result-grid div{border:1px solid var(--line);border-radius:16px;background:#f8fafc;padding:12px}.pill{display:inline-block;border-radius:999px;padding:3px 9px;background:#eef2ff;border:1px solid #dbeafe;margin:2px;font-size:13px;font-weight:800}.danger-note{border-left:6px solid #dc2626;background:#fff1f2;border-radius:18px;padding:16px;margin:16px 0}.page-list{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:12px}.page-list a{background:#fff;border:1px solid var(--line);border-radius:16px;padding:13px;text-decoration:none;color:var(--ink);font-weight:900}.page-list small{display:block;color:var(--muted);font-weight:500;margin-top:4px}.download-box{background:#f8fafc;border:1px solid var(--line);border-radius:18px;padding:16px;margin:14px 0}.clinical-disclaimer{border:1px solid #fecaca;background:#fff1f2;border-radius:18px;padding:14px;margin:12px 0}.academic-table td:first-child{font-weight:900;background:#f8fafc}.case-summary{display:grid;grid-template-columns:repeat(4,minmax(0,1fr));gap:12px;margin:16px 0}.case-summary div{background:#fff;border:1px solid var(--line);border-radius:16px;padding:14px}.case-summary b{display:block;margin-bottom:4px}.quality-grid{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:14px}.quality-grid .mini-card{min-height:170px}
@media(max-width:980px){.two-col,.content-index,.calculator,.matrix-controls,.result-grid,.page-list,.case-summary,.quality-grid{grid-template-columns:1fr}.page-hero{padding:24px}.sitebar .inner{display:block}.nav{overflow-x:auto;flex-wrap:nowrap;padding-bottom:5px}.nav a{flex:0 0 auto}}

/* Selector de idioma V68 */
.nn-language{display:inline-flex;align-items:center;flex:0 0 auto}.nn-language-button{border:1px solid var(--line);background:#fff;color:var(--ink);border-radius:999px;padding:8px 13px;font:inherit;font-size:14px;font-weight:800;min-height:39px;cursor:pointer;white-space:nowrap}.nn-language-button:hover,.nn-language-button:focus{border-color:var(--ink)}.nn-language-button:focus-visible,.nn-language-close:focus-visible,.nn-language-grid button:focus-visible{outline:3px solid #70d8ca;outline-offset:2px}.nn-language-modal{position:fixed;inset:0;z-index:10000;display:grid;place-items:center;padding:18px;background:rgba(16,32,51,.6);backdrop-filter:blur(5px)}.nn-language-modal[hidden]{display:none!important}.nn-language-card{width:min(760px,100%);max-height:calc(100vh - 36px);overflow:auto;border:1px solid var(--line);border-radius:24px;background:#fff;padding:26px;box-shadow:0 28px 70px rgba(16,32,51,.35)}.nn-language-head{display:flex;justify-content:space-between;align-items:flex-start;gap:20px;margin-bottom:20px}.nn-language-head h2{margin:0;font-size:28px;line-height:1.15}.nn-language-head p{margin:5px 0 0;color:var(--muted)}.nn-language-close{display:grid;place-items:center;flex:0 0 auto;width:44px;height:44px;border:1px solid var(--line);border-radius:50%;background:#fff;color:var(--ink);font-size:30px;line-height:1;cursor:pointer}.nn-language-grid{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:12px}.nn-language-grid button{display:grid;grid-template-columns:52px 1fr;align-items:center;gap:11px;min-height:74px;padding:11px 14px;border:1px solid var(--line);border-radius:16px;background:#fff;color:var(--ink);font:inherit;text-align:left;cursor:pointer}.nn-language-grid button:hover{border-color:var(--teal);background:var(--soft2);transform:translateY(-1px)}.nn-language-grid button span{font-size:36px;line-height:1}.nn-language-grid button b{font-size:15px;overflow-wrap:anywhere}.nn-translator-engine{height:1px;overflow:hidden;opacity:0}.nn-language-note{margin:18px 0 0;padding-top:14px;border-top:1px solid var(--line);color:var(--muted);font-size:14px;line-height:1.5}.goog-te-banner-frame.skiptranslate{display:none!important}body{top:0!important}@media(max-width:720px){.nn-language-grid{grid-template-columns:repeat(2,minmax(0,1fr))}}@media(max-width:480px){.nn-language-card{padding:17px;border-radius:18px}.nn-language-head h2{font-size:23px}.nn-language-grid{grid-template-columns:1fr 1fr;gap:8px}.nn-language-grid button{grid-template-columns:40px 1fr;min-height:62px;padding:8px}.nn-language-grid button span{font-size:29px}.nn-language-grid button b{font-size:14px}}