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- Patients pagination: render the prev/next + page-number controls as COSS Buttons inside the Pagination structure. PaginationLink drops its buttonVariants styling when given a `render` prop, so the controls were unstyled and wrapping; using Button restores proper pill/number buttons. - Patient detail sheet: move the action buttons (Download summary / Transfer / Edit / Delete) to their own wrapping row beneath the identity block so the patient name is no longer truncated on the narrow sheet. - Messages thread: add sender/recipient avatars (MessageAvatar) at the bottom of each message group, with a spacer to keep stacked bubbles aligned. Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>