Handicapped Children - Park's SPM (Complete Notes)

ls /home/daytona/workspace/ 2>/dev/null || echo "workspace empty or not found"

mkdir -p /home/daytona/workspace/handicapped-children-spm

~/handicapped-children-spm/create_pdf.py

from reportlab.lib.pagesizes import A4
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.units import cm
from reportlab.lib.colors import (
    HexColor, white, black, Color
)
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    PageBreak, HRFlowable, KeepTogether
)
from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_JUSTIFY
from reportlab.platypus.flowables import Flowable
import reportlab.lib.colors as colors

# ── Color Palette ───────────────────────────────────────────────
DARK_BLUE   = HexColor("#1B3A6B")
MED_BLUE    = HexColor("#2563EB")
LIGHT_BLUE  = HexColor("#DBEAFE")
TEAL        = HexColor("#0F766E")
LIGHT_TEAL  = HexColor("#CCFBF1")
ORANGE      = HexColor("#C2410C")
LIGHT_ORANGE= HexColor("#FED7AA")
PURPLE      = HexColor("#6D28D9")
LIGHT_PURPLE= HexColor("#EDE9FE")
GREEN       = HexColor("#15803D")
LIGHT_GREEN = HexColor("#DCFCE7")
GREY_BG     = HexColor("#F8FAFC")
GREY_BORDER = HexColor("#CBD5E1")
HEADER_BG   = HexColor("#1E3A5F")
ACCENT_RED  = HexColor("#DC2626")

# ── Flowable: Flowchart Box ──────────────────────────────────────
class FlowchartBox(Flowable):
    """Draws a single rounded box used in flowcharts."""
    def __init__(self, text, width=None, height=40, bg=LIGHT_BLUE,
                 border=MED_BLUE, text_color=DARK_BLUE, font_size=9):
        super().__init__()
        self.text = text
        self.box_width = width or 14*cm
        self.box_height = height
        self.bg = bg
        self.border = border
        self.text_color = text_color
        self.font_size = font_size
        self.width = self.box_width
        self.height = self.box_height + 4

    def draw(self):
        c = self.canv
        c.saveState()
        c.setFillColor(self.bg)
        c.setStrokeColor(self.border)
        c.setLineWidth(1.2)
        c.roundRect(0, 2, self.box_width, self.box_height, 6, fill=1, stroke=1)
        c.setFillColor(self.text_color)
        c.setFont("Helvetica-Bold", self.font_size)
        lines = self.text.split('\n')
        line_h = self.font_size + 3
        total_h = len(lines) * line_h
        y = self.box_height/2 + total_h/2 - line_h/2 + 4
        for line in lines:
            c.drawCentredString(self.box_width/2, y, line)
            y -= line_h
        c.restoreState()


class Arrow(Flowable):
    """Draws a downward arrow."""
    def __init__(self, width=14*cm, color=MED_BLUE):
        super().__init__()
        self.arrow_width = width
        self.color = color
        self.width = width
        self.height = 18

    def draw(self):
        c = self.canv
        c.saveState()
        c.setStrokeColor(self.color)
        c.setFillColor(self.color)
        c.setLineWidth(1.5)
        cx = self.arrow_width / 2
        c.line(cx, 18, cx, 6)
        c.setLineWidth(0)
        c.beginPath()
        c.moveTo(cx, 2)
        c.lineTo(cx-5, 8)
        c.lineTo(cx+5, 8)
        c.closePath()
        c.fill()
        c.restoreState()


class SectionDivider(Flowable):
    """Colored section header bar."""
    def __init__(self, text, bg=DARK_BLUE, text_color=white, width=None):
        super().__init__()
        self.text = text
        self.bg = bg
        self.text_color = text_color
        self.div_width = width or 17*cm
        self.width = self.div_width
        self.height = 28

    def draw(self):
        c = self.canv
        c.saveState()
        c.setFillColor(self.bg)
        c.roundRect(0, 0, self.div_width, 26, 4, fill=1, stroke=0)
        c.setFillColor(self.text_color)
        c.setFont("Helvetica-Bold", 11)
        c.drawString(10, 8, self.text)
        c.restoreState()


# ── Multi-column flowchart helper ────────────────────────────────
def make_cause_table(causes_dict, col_colors):
    """
    causes_dict: {header: [list of items], ...}
    Returns a Table flowable.
    """
    headers = list(causes_dict.keys())
    items   = list(causes_dict.values())
    n = len(headers)
    col_w = 16.5*cm / n

    # header row
    header_cells = []
    for i, h in enumerate(headers):
        p = Paragraph(h, ParagraphStyle('ch', fontSize=8, fontName='Helvetica-Bold',
                                         textColor=white, alignment=TA_CENTER, leading=10))
        header_cells.append(p)

    # body rows - zip_longest
    from itertools import zip_longest
    body_rows = []
    for row_items in zip_longest(*items, fillvalue=''):
        row = []
        for cell in row_items:
            row.append(Paragraph(f"• {cell}" if cell else '',
                                  ParagraphStyle('ci', fontSize=7.5, fontName='Helvetica',
                                                  textColor=DARK_BLUE, leading=11, leftIndent=4)))
        body_rows.append(row)

    all_rows = [header_cells] + body_rows
    col_widths = [col_w]*n

    tbl = Table(all_rows, colWidths=col_widths, repeatRows=1)

    style_cmds = [
        ('BACKGROUND', (0,0), (-1,0), col_colors[0]),
        ('ROWBACKGROUNDS', (0,1), (-1,-1), [GREY_BG, white]),
        ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
        ('VALIGN', (0,0), (-1,-1), 'TOP'),
        ('TOPPADDING', (0,0), (-1,-1), 4),
        ('BOTTOMPADDING', (0,0), (-1,-1), 4),
        ('LEFTPADDING', (0,0), (-1,-1), 6),
    ]
    for i, bg in enumerate(col_colors[:n]):
        style_cmds.append(('BACKGROUND', (i,0), (i,0), bg))

    tbl.setStyle(TableStyle(style_cmds))
    return tbl


# ── Document Setup ───────────────────────────────────────────────
OUTPUT = "/home/daytona/workspace/handicapped-children-spm/Handicapped_Children_SPM.pdf"
doc = SimpleDocTemplate(
    OUTPUT,
    pagesize=A4,
    leftMargin=1.8*cm, rightMargin=1.8*cm,
    topMargin=2*cm, bottomMargin=2*cm,
    title="Handicapped Children - Park's SPM",
    author="Orris Medical Assistant"
)

styles = getSampleStyleSheet()

# Custom styles
title_style = ParagraphStyle('Title', parent=styles['Title'],
    fontSize=20, textColor=white, fontName='Helvetica-Bold',
    alignment=TA_CENTER, spaceAfter=4, spaceBefore=0, leading=24)

subtitle_style = ParagraphStyle('Subtitle',
    fontSize=11, textColor=LIGHT_BLUE, fontName='Helvetica',
    alignment=TA_CENTER, spaceAfter=0, leading=14)

h1 = ParagraphStyle('H1', fontSize=13, fontName='Helvetica-Bold',
    textColor=DARK_BLUE, spaceBefore=14, spaceAfter=6, leading=16,
    borderPad=4, leftIndent=0)

h2 = ParagraphStyle('H2', fontSize=11, fontName='Helvetica-Bold',
    textColor=TEAL, spaceBefore=10, spaceAfter=4, leading=14)

h3 = ParagraphStyle('H3', fontSize=9.5, fontName='Helvetica-Bold',
    textColor=DARK_BLUE, spaceBefore=6, spaceAfter=3, leading=12)

body = ParagraphStyle('Body', fontSize=9, fontName='Helvetica',
    textColor=HexColor("#1E293B"), spaceBefore=3, spaceAfter=3,
    leading=13, alignment=TA_JUSTIFY)

bullet = ParagraphStyle('Bullet', parent=body, leftIndent=14,
    bulletIndent=4, spaceBefore=2, spaceAfter=2, leading=12)

note_style = ParagraphStyle('Note', fontSize=8, fontName='Helvetica-Oblique',
    textColor=HexColor("#64748B"), leftIndent=10, spaceBefore=4, leading=11)

# ── Cover Page ───────────────────────────────────────────────────
class CoverBackground(Flowable):
    def __init__(self):
        super().__init__()
        self.width = A4[0] - 3.6*cm
        self.height = 120

    def draw(self):
        c = self.canv
        c.saveState()
        c.setFillColor(HEADER_BG)
        c.roundRect(-0.5*cm, -10, self.width+1*cm, self.height+20, 10, fill=1, stroke=0)
        c.setFillColor(MED_BLUE)
        c.roundRect(-0.5*cm, -10, self.width+1*cm, 8, 0, fill=1, stroke=0)
        c.restoreState()

story = []

# Cover header
story.append(CoverBackground())
story.append(Spacer(1, -115))
story.append(Paragraph("HANDICAPPED CHILDREN", title_style))
story.append(Paragraph("Preventive & Social Medicine (Park's SPM)", subtitle_style))
story.append(Paragraph("Complete Notes with Prevention Flowcharts", subtitle_style))
story.append(Spacer(1, 30))
story.append(Paragraph(
    '<font color="#64748B" size="8">Source: Park\'s Textbook of Preventive and Social Medicine, pp. 674–677 &nbsp;|&nbsp; '
    'International Classification of Functioning, Disability and Health (ICF, WHO 2001)</font>',
    ParagraphStyle('src', fontSize=8, alignment=TA_CENTER, textColor=HexColor("#64748B"))))
story.append(HRFlowable(width="100%", thickness=1.5, color=MED_BLUE, spaceAfter=12))

# ── SECTION 1: DEFINITIONS ───────────────────────────────────────
story.append(SectionDivider("1.  DEFINITIONS & TERMINOLOGY"))
story.append(Spacer(1, 8))

story.append(Paragraph(
    '<b>Handicap</b> (WHO): "Reduction in a person\'s capacity to fulfil a social role as a consequence of an impairment, '
    'inadequate training for the role, or other circumstances." In children, the term refers to the presence of an impairment '
    'or other circumstances likely to interfere with normal growth and development or with the capacity to learn.', body))

story.append(Spacer(1, 6))

# ICIDH --> ICF table
story.append(Paragraph("WHO Classification Framework:", h3))
fw_data = [
    [Paragraph('<b>Classification</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER)),
     Paragraph('<b>Year</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER)),
     Paragraph('<b>Focus</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER))],
    ['ICIDH', '1980', 'Consequences of disease (Impairment → Disability → Handicap)'],
    ['ICF', '2001', 'Components of health (Body Function, Activities, Participation)'],
]
fw_tbl = Table(fw_data, colWidths=[5*cm, 3*cm, 8.5*cm])
fw_tbl.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), DARK_BLUE),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [LIGHT_BLUE, white]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('FONTSIZE', (0,1), (-1,-1), 9),
    ('FONTNAME', (0,1), (-1,-1), 'Helvetica'),
    ('VALIGN', (0,0), (-1,-1), 'MIDDLE'),
    ('TOPPADDING', (0,0), (-1,-1), 5),
    ('BOTTOMPADDING', (0,0), (-1,-1), 5),
    ('LEFTPADDING', (0,0), (-1,-1), 8),
]))
story.append(fw_tbl)
story.append(Spacer(1, 8))

# Key term table
story.append(Paragraph("Key Terms (ICIDH):", h3))
terms_data = [
    [Paragraph('<b>Term</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Definition</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Level</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white))],
    ['Impairment', 'Any loss or abnormality of psychological, physiological, or anatomical structure or function', 'Organ level'],
    ['Disability', 'Restriction or lack of ability to perform an activity in a manner considered normal for a human being', 'Person level'],
    ['Handicap', 'Disadvantage resulting from impairment/disability that limits fulfilment of a normal role', 'Society level'],
]
t = Table(terms_data, colWidths=[3.5*cm, 9.5*cm, 3.5*cm])
t.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), TEAL),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [LIGHT_TEAL, white]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('FONTSIZE', (0,1), (-1,-1), 8.5),
    ('FONTNAME', (0,1), (-1,-1), 'Helvetica'),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 5),
    ('BOTTOMPADDING', (0,0), (-1,-1), 5),
    ('LEFTPADDING', (0,0), (-1,-1), 8),
]))
story.append(t)

story.append(Spacer(1, 6))
story.append(Paragraph(
    '<b>Types of Handicap:</b> <b>Intrinsic</b> (e.g., blindness) | <b>Extrinsic</b> (e.g., loss of parents) | '
    '<b>Primary</b> (direct - e.g., blindness) | <b>Secondary</b> (arises from primary - e.g., poverty due to blindness)', body))

# ── SECTION 2: EXTENT ────────────────────────────────────────────
story.append(Spacer(1, 10))
story.append(SectionDivider("2.  EXTENT OF THE PROBLEM"))
story.append(Spacer(1, 8))

extent_data = [
    [Paragraph('<b>Condition</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Burden</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Rank</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white))],
    ['Mental Retardation', '~83 million worldwide; 41 million with long-term/permanent disability', '4th leading cause of disability'],
    ['Hearing Loss (>41 dB, age >3)', '~42 million worldwide', '3rd leading cause of disability'],
    ['Poliomyelitis disability', '~10 million worldwide', 'Major cause in India'],
    ['Mental disability in India', '~2% of population', 'Census data underestimates'],
]
ext_tbl = Table(extent_data, colWidths=[4.5*cm, 8.5*cm, 3.5*cm])
ext_tbl.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), PURPLE),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [LIGHT_PURPLE, white]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('FONTSIZE', (0,1), (-1,-1), 8.5),
    ('FONTNAME', (0,1), (-1,-1), 'Helvetica'),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 5),
    ('BOTTOMPADDING', (0,0), (-1,-1), 5),
    ('LEFTPADDING', (0,0), (-1,-1), 8),
]))
story.append(ext_tbl)

# ── SECTION 3: CLASSIFICATION ────────────────────────────────────
story.append(PageBreak())
story.append(SectionDivider("3.  CLASSIFICATION OF HANDICAPPED CHILDREN"))
story.append(Spacer(1, 10))

# Flowchart - Classification
story.append(FlowchartBox("HANDICAPPED CHILDREN", bg=HEADER_BG, border=DARK_BLUE,
                           text_color=white, height=36, font_size=11))
story.append(Arrow())

# Three boxes side by side
class_row = Table(
    [[FlowchartBox("1. PHYSICALLY\nHANDICAPPED", width=5*cm, bg=LIGHT_BLUE, border=MED_BLUE, text_color=DARK_BLUE, height=42),
      FlowchartBox("2. MENTALLY\nHANDICAPPED", width=5*cm, bg=LIGHT_TEAL, border=TEAL, text_color=HexColor("#134E4A"), height=42),
      FlowchartBox("3. SOCIALLY\nHANDICAPPED", width=5*cm, bg=LIGHT_PURPLE, border=PURPLE, text_color=HexColor("#3B0764"), height=42)]],
    colWidths=[5.5*cm, 5.5*cm, 5.5*cm]
)
class_row.setStyle(TableStyle([('VALIGN', (0,0), (-1,-1), 'MIDDLE'), ('ALIGN', (0,0), (-1,-1), 'CENTER')]))
story.append(class_row)
story.append(Spacer(1, 16))

# ── 3a. Physically Handicapped ───────────────────────────────────
story.append(HRFlowable(width="100%", thickness=1, color=MED_BLUE, spaceAfter=6))
story.append(Paragraph("3a.  Physically Handicapped Children", h1))
story.append(Paragraph(
    "Includes children who are <b>blind, deaf and mute</b>; those with <b>hare-lip, cleft palate, talipes</b>; "
    "and the <b>'crippled'</b> - e.g., resulting from polio, cerebral palsy, congenital heart disease, road accidents, burns, injuries, etc.", body))
story.append(Spacer(1, 6))
story.append(Paragraph("Three broad causative groups:", h3))

phys_causes = Table(
    [[FlowchartBox("(a) BIRTH DEFECTS", width=5*cm, bg=LIGHT_BLUE, border=MED_BLUE, text_color=DARK_BLUE, height=36),
      FlowchartBox("(b) INFECTIONS", width=5*cm, bg=LIGHT_TEAL, border=TEAL, text_color=HexColor("#134E4A"), height=36),
      FlowchartBox("(c) ACCIDENTS", width=5*cm, bg=LIGHT_ORANGE, border=ORANGE, text_color=HexColor("#7C2D12"), height=36)]],
    colWidths=[5.5*cm, 5.5*cm, 5.5*cm]
)
phys_causes.setStyle(TableStyle([('ALIGN', (0,0), (-1,-1), 'CENTER'), ('VALIGN', (0,0), (-1,-1), 'MIDDLE')]))
story.append(phys_causes)
story.append(Spacer(1, 4))
story.append(Paragraph(
    '<i>All are largely preventable through adequate prenatal, natal, postnatal services, and genetic counselling.</i>',
    note_style))

# ── 3b. Mentally Handicapped ─────────────────────────────────────
story.append(Spacer(1, 10))
story.append(HRFlowable(width="100%", thickness=1, color=TEAL, spaceAfter=6))
story.append(Paragraph("3b.  Mentally Handicapped Children", h1))
story.append(Paragraph(
    "Current preferred term for <b>mental retardation</b>. Defined as sub-average intellectual function combined with "
    "deficits in adaptive behaviour. At least <b>2% of India's population</b> is affected. "
    "Earliest recognition: look for <b>delayed milestones and development</b>.", body))

story.append(Spacer(1, 6))
story.append(Paragraph("WHO Classification of Mental Retardation (IQ-based):", h3))
iq_data = [
    [Paragraph('<b>Category</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>IQ Range</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Description</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white))],
    ['Mild (Educable)', '50 - 70', 'Can be educated in special schools'],
    ['Moderate (Trainable)', '35 - 49', 'Can be trained for simple tasks'],
    ['Severe', '20 - 34', 'Requires supervised care'],
    ['Profound', 'Below 20', 'Requires full-time nursing care'],
]
iq_tbl = Table(iq_data, colWidths=[5*cm, 3.5*cm, 8*cm])
iq_tbl.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), TEAL),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [LIGHT_TEAL, white]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('FONTSIZE', (0,1), (-1,-1), 9),
    ('FONTNAME', (0,1), (-1,-1), 'Helvetica'),
    ('VALIGN', (0,0), (-1,-1), 'MIDDLE'),
    ('TOPPADDING', (0,0), (-1,-1), 5),
    ('BOTTOMPADDING', (0,0), (-1,-1), 5),
    ('LEFTPADDING', (0,0), (-1,-1), 8),
]))
story.append(iq_tbl)

# Causes of MH - table
story.append(Spacer(1, 8))
story.append(Paragraph("Causes of Mental Handicap:", h3))

causes_data = [
    [Paragraph('<b>Genetic</b>', ParagraphStyle('th', fontSize=8.5, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER)),
     Paragraph('<b>Antenatal</b>', ParagraphStyle('th', fontSize=8.5, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER)),
     Paragraph('<b>Perinatal</b>', ParagraphStyle('th', fontSize=8.5, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER)),
     Paragraph('<b>Postnatal</b>', ParagraphStyle('th', fontSize=8.5, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER)),
     Paragraph('<b>Miscellaneous</b>', ParagraphStyle('th', fontSize=8.5, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER))],
    [Paragraph("• Down's syndrome\n• Klinefelter syndrome\n• PKU\n• Tay-Sachs disease\n• Galactosaemia\n• Microcephaly\n• Congenital hypothyroidism",
               ParagraphStyle('c1', fontSize=7.5, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=2)),
     Paragraph("• Neural tube defects\n• Rh incompatibility\n• Rubella\n• CMV\n• Toxoplasmosis\n• Syphilis\n• Drugs\n• Irradiation",
               ParagraphStyle('c2', fontSize=7.5, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=2)),
     Paragraph("• Birth injuries\n• Birth asphyxia/hypoxia\n• Cerebral palsy",
               ParagraphStyle('c3', fontSize=7.5, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=2)),
     Paragraph("• Head injuries\n• Accidents\n• Encephalitis\n• Lead poisoning\n• Mercury poisoning",
               ParagraphStyle('c4', fontSize=7.5, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=2)),
     Paragraph("• Maternal malnutrition\n• PEM\n• Iodine deficiency\n• Consanguineous marriages\n• Pregnancy >40 years",
               ParagraphStyle('c5', fontSize=7.5, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=2))],
]
cw = 16.5*cm / 5
causes_tbl = Table(causes_data, colWidths=[cw]*5)
causes_tbl.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (0,0), MED_BLUE),
    ('BACKGROUND', (1,0), (1,0), TEAL),
    ('BACKGROUND', (2,0), (2,0), ORANGE),
    ('BACKGROUND', (3,0), (3,0), PURPLE),
    ('BACKGROUND', (4,0), (4,0), HexColor("#B45309")),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [GREY_BG]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 5),
    ('BOTTOMPADDING', (0,0), (-1,-1), 6),
    ('LEFTPADDING', (0,0), (-1,-1), 4),
]))
story.append(causes_tbl)

# ── 3c. Socially Handicapped ─────────────────────────────────────
story.append(Spacer(1, 10))
story.append(HRFlowable(width="100%", thickness=1, color=PURPLE, spaceAfter=6))
story.append(Paragraph("3c.  Socially Handicapped Children", h1))
story.append(Paragraph(
    "A child whose opportunities for healthy personality development and full unfolding of potentialities are hampered "
    "by certain elements in the social environment.", body))

soc_data = [
    [Paragraph('<b>Causes (Social Environment)</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Who is Included?</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white))],
    [Paragraph("• Parental inadequacy\n• Environmental deprivation (lack of stimulation)\n• Emotional disturbances\n• Social rejection / misunderstanding",
               ParagraphStyle('s1', fontSize=8.5, fontName='Helvetica', textColor=DARK_BLUE, leading=12, leftIndent=4)),
     Paragraph("• Orphaned children (death/loss of parents)\n• Neglected and destitute children\n• Exploited or victimized children\n• Delinquent children",
               ParagraphStyle('s2', fontSize=8.5, fontName='Helvetica', textColor=DARK_BLUE, leading=12, leftIndent=4))],
]
soc_tbl = Table(soc_data, colWidths=[8.25*cm, 8.25*cm])
soc_tbl.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), PURPLE),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [LIGHT_PURPLE]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 6),
    ('BOTTOMPADDING', (0,0), (-1,-1), 6),
    ('LEFTPADDING', (0,0), (-1,-1), 8),
]))
story.append(soc_tbl)

# ── SECTION 4: PREVENTION ────────────────────────────────────────
story.append(PageBreak())
story.append(SectionDivider("4.  APPROACHES TO PREVENTION  (Flowcharts)"))
story.append(Spacer(1, 10))

story.append(Paragraph(
    "One of the objectives of Mother and Child Health (MCH) Services is the prevention of handicapping conditions "
    "and the early management of illness to prevent crippling sequelae. Prevention is organized at three levels:", body))
story.append(Spacer(1, 8))

# Primary Prevention flowchart
story.append(Paragraph("PRIMARY PREVENTION", h2))
story.append(Paragraph(
    "Objective: Prevent the handicap from occurring through preventive measures during preconceptual, prenatal, intranatal periods "
    "and during infancy, childhood and adolescence.", body))
story.append(Spacer(1, 6))

story.append(FlowchartBox("PRIMARY PREVENTION OF HANDICAP IN CHILDREN",
                           bg=HEADER_BG, border=DARK_BLUE, text_color=white, height=34, font_size=10))
story.append(Arrow())

pp_items = [
    ("(a) GENETIC COUNSELLING", LIGHT_BLUE, MED_BLUE, DARK_BLUE,
     "• Optimal maternal age: 20-30 years\n• After age 30-35: increased risk of Down's syndrome\n"
     "• Reduce consanguineous marriages through education\n• Identify at-risk individuals (chromosomal/sex-linked diseases)\n"
     "• Provide investigations & competent advice on future risks"),
    ("(b) IMMUNIZATION", LIGHT_TEAL, TEAL, HexColor("#134E4A"),
     "• Polio vaccine (OPV/IPV) - KEY: main cause of disability in India\n"
     "• Rubella vaccine\n• All EPI vaccines (prevent infections leading to handicap)"),
    ("(c) PRENATAL NUTRITION", LIGHT_ORANGE, ORANGE, HexColor("#7C2D12"),
     "• Proper nutrition of expectant mother\n• Reduces prematurity (associated with mental handicap)\n"
     "• Adequate intake of iodine (prevents cretinism)\n• Protein-energy adequacy"),
    ("(d) ANTENATAL CARE", LIGHT_PURPLE, PURPLE, HexColor("#3B0764"),
     "• Screen for Rh incompatibility\n• Screen for infections (rubella, CMV, syphilis, toxoplasmosis)\n"
     "• Avoid teratogenic drugs, X-rays, smoking\n• MTP Act 1971: allows abortion of seriously handicapped foetus"),
    ("(e) SAFE DELIVERY & POSTNATAL CARE", LIGHT_GREEN, GREEN, HexColor("#14532D"),
     "• Skilled birth attendant\n• Prevent birth asphyxia and birth injuries\n"
     "• Special care of high-risk women during labour\n• Accident prevention in infancy/childhood\n"
     "• Developmental milestone monitoring"),
]

for title, bg, border, tc, content in pp_items:
    row = Table(
        [[FlowchartBox(title, width=5*cm, bg=bg, border=border, text_color=tc, height=36),
          Paragraph(content, ParagraphStyle('fc', fontSize=8, fontName='Helvetica', textColor=DARK_BLUE, leading=12, leftIndent=6))]],
        colWidths=[5.2*cm, 11.3*cm]
    )
    row.setStyle(TableStyle([
        ('VALIGN', (0,0), (-1,-1), 'MIDDLE'),
        ('BACKGROUND', (1,0), (1,0), GREY_BG),
        ('BOX', (0,0), (-1,-1), 0.5, GREY_BORDER),
        ('TOPPADDING', (0,0), (-1,-1), 4),
        ('BOTTOMPADDING', (0,0), (-1,-1), 4),
        ('LEFTPADDING', (1,0), (1,0), 10),
    ]))
    story.append(row)
    story.append(Spacer(1, 4))

# Secondary Prevention
story.append(Spacer(1, 8))
story.append(HRFlowable(width="100%", thickness=1, color=TEAL, spaceAfter=6))
story.append(Paragraph("SECONDARY PREVENTION", h2))
story.append(Paragraph(
    "Objective: Bring handicapped children as close to normality as possible - physically, mentally and socially. "
    "Involves early diagnosis, treatment and education/training.", body))
story.append(Spacer(1, 6))

story.append(FlowchartBox("SECONDARY PREVENTION — EARLY DIAGNOSIS + TREATMENT + REHABILITATION",
                           bg=TEAL, border=TEAL, text_color=white, height=34, font_size=10))
story.append(Arrow(color=TEAL))

sp_steps = [
    ("EARLY DIAGNOSIS", LIGHT_TEAL, TEAL, HexColor("#134E4A"),
     "• Parents bring child to paediatrician\n• Full history + assessment of degree of handicap\n"
     "• Special investigations; assess natural potentialities\n• Through MCH and School Health Services\n"
     "• Look for delayed developmental milestones"),
    ("TREATMENT (Physical Medicine & Rehabilitation)", LIGHT_BLUE, MED_BLUE, DARK_BLUE,
     "• Physiotherapy: correct deformities, exercise weakened muscles (polio, CP); infrared rays, diathermy\n"
     "• Occupational therapy: music, painting, weaving, woodwork, pottery, basket making\n"
     "• Speech therapy: train child to talk normally\n• Prosthetics: artificial limbs, hearing aids, other equipment"),
    ("TRAINING & EDUCATION (Vocational Guidance)", LIGHT_GREEN, GREEN, HexColor("#14532D"),
     "• 'Work with what is left' - train for independent living\n"
     "• 150+ schools and institutions for handicapped in India\n"
     "• Key institutions: Occupational Therapy School (Mumbai);\n  All India Institute of Physical Medicine & Rehabilitation\n"
     "• Foster care, adoption, observation homes for socially handicapped"),
]

for title, bg, border, tc, content in sp_steps:
    row = Table(
        [[FlowchartBox(title, width=5*cm, bg=bg, border=border, text_color=tc, height=40),
          Paragraph(content, ParagraphStyle('fc2', fontSize=8, fontName='Helvetica', textColor=DARK_BLUE, leading=12, leftIndent=6))]],
        colWidths=[5.2*cm, 11.3*cm]
    )
    row.setStyle(TableStyle([
        ('VALIGN', (0,0), (-1,-1), 'MIDDLE'),
        ('BACKGROUND', (1,0), (1,0), GREY_BG),
        ('BOX', (0,0), (-1,-1), 0.5, GREY_BORDER),
        ('TOPPADDING', (0,0), (-1,-1), 4),
        ('BOTTOMPADDING', (0,0), (-1,-1), 4),
        ('LEFTPADDING', (1,0), (1,0), 10),
    ]))
    story.append(row)
    story.append(Spacer(1, 4))

# Tertiary Prevention
story.append(Spacer(1, 8))
story.append(HRFlowable(width="100%", thickness=1, color=ORANGE, spaceAfter=6))
story.append(Paragraph("TERTIARY PREVENTION", h2))
story.append(Paragraph(
    "Objective: Reduce the impact of disability and restore maximum possible function. Focuses on rehabilitation.", body))
story.append(Spacer(1, 6))

tert_row = Table(
    [[FlowchartBox("MEDICAL\nREHABILITATION", width=5*cm, bg=LIGHT_BLUE, border=MED_BLUE, text_color=DARK_BLUE, height=44),
      FlowchartBox("SOCIAL\nREHABILITATION", width=5*cm, bg=LIGHT_TEAL, border=TEAL, text_color=HexColor("#134E4A"), height=44),
      FlowchartBox("VOCATIONAL\nREHABILITATION", width=5*cm, bg=LIGHT_GREEN, border=GREEN, text_color=HexColor("#14532D"), height=44)]],
    colWidths=[5.5*cm, 5.5*cm, 5.5*cm]
)
tert_row.setStyle(TableStyle([('ALIGN', (0,0), (-1,-1), 'CENTER'), ('VALIGN', (0,0), (-1,-1), 'MIDDLE')]))
story.append(tert_row)
story.append(Spacer(1, 4))

tert_desc = Table(
    [[Paragraph("• Physical medicine\n• Correct deformity\n• Prosthetics & aids\n• Long-term therapy",
                ParagraphStyle('td1', fontSize=8, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=4)),
      Paragraph("• Integrate child into community\n• Remove social barriers\n• Foster care / adoption\n• Legal protection",
                ParagraphStyle('td2', fontSize=8, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=4)),
      Paragraph("• Skill training\n• Job placement\n• NGO / Govt support\n• Financial assistance",
                ParagraphStyle('td3', fontSize=8, fontName='Helvetica', textColor=DARK_BLUE, leading=11, leftIndent=4))]],
    colWidths=[5.5*cm, 5.5*cm, 5.5*cm]
)
tert_desc.setStyle(TableStyle([
    ('ROWBACKGROUNDS', (0,0), (-1,-1), [GREY_BG]),
    ('BOX', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('INNERGRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 6),
    ('BOTTOMPADDING', (0,0), (-1,-1), 6),
]))
story.append(tert_desc)

# ── SECTION 5: COMPLETE PREVENTION SUMMARY ───────────────────────
story.append(PageBreak())
story.append(SectionDivider("5.  COMPLETE PREVENTION SUMMARY FLOWCHART"))
story.append(Spacer(1, 10))

full_fc_steps = [
    ("CHILD AT RISK OF HANDICAP", HEADER_BG, DARK_BLUE, white, 32, 10, ""),
    ("PRECONCEPTUAL STAGE", DARK_BLUE, DARK_BLUE, white, 28, 9,
     "• Genetic counselling  • Maternal age advice (20-30 yrs)  • Reduce consanguineous marriages"),
    ("ANTENATAL STAGE", MED_BLUE, MED_BLUE, white, 28, 9,
     "• Immunization (rubella, polio)  • Good maternal nutrition  • Avoid teratogens/X-rays/smoking\n"
     "• Screen for infections  • Screen for chromosomal anomalies  • Rh-factor management"),
    ("INTRANATAL STAGE", TEAL, TEAL, white, 28, 9,
     "• Skilled birth attendant  • Prevent birth asphyxia  • Prevent birth injuries"),
    ("POSTNATAL / INFANCY & CHILDHOOD", GREEN, GREEN, white, 28, 9,
     "• Immunization (EPI schedule)  • Accident prevention\n"
     "• Nutritional support (PEM, iodine)  • Developmental milestone monitoring"),
]

for title, bg, border, tc, h, fs, desc in full_fc_steps:
    story.append(FlowchartBox(title, bg=bg, border=border, text_color=tc, height=h, font_size=fs))
    if desc:
        story.append(Paragraph(desc, ParagraphStyle('fdesc', fontSize=8, fontName='Helvetica',
                                                      textColor=HexColor("#334155"), leftIndent=20, leading=12,
                                                      spaceBefore=2, spaceAfter=2)))
    story.append(Arrow())

# Outcome split
outcome_row = Table(
    [[FlowchartBox("NO HANDICAP\n(Primary prevention\nachieved)", width=7cm, bg=LIGHT_GREEN, border=GREEN,
                   text_color=HexColor("#14532D"), height=50),
      FlowchartBox("HANDICAP DETECTED\n(Proceed to secondary\nprevention)", width=7cm, bg=LIGHT_ORANGE, border=ORANGE,
                   text_color=HexColor("#7C2D12"), height=50)]],
    colWidths=[8.25*cm, 8.25*cm]
)
outcome_row.setStyle(TableStyle([('ALIGN', (0,0), (-1,-1), 'CENTER'), ('VALIGN', (0,0), (-1,-1), 'MIDDLE')]))
story.append(outcome_row)
story.append(Spacer(1, 4))

# Arrow only under right box
a2 = Table([[Spacer(1,1), Arrow(width=7*cm, color=ORANGE)]], colWidths=[8.25*cm, 8.25*cm])
story.append(a2)

next_steps = [
    ("EARLY DIAGNOSIS", LIGHT_BLUE, MED_BLUE, DARK_BLUE, 34,
     "MCH Services  |  School Health Services  |  Developmental assessment  |  Full history"),
    ("TREATMENT", LIGHT_TEAL, TEAL, HexColor("#134E4A"), 34,
     "Physiotherapy  |  Occupational therapy  |  Speech therapy  |  Prosthetics"),
    ("REHABILITATION", LIGHT_GREEN, GREEN, HexColor("#14532D"), 34,
     "Medical  +  Social  +  Vocational  Rehabilitation"),
    ("COMMUNITY INTEGRATION", HEADER_BG, DARK_BLUE, white, 34,
     "Mainstreaming  |  Legal protection  |  Support services  |  Remove barriers"),
]

for title, bg, border, tc, h, desc in next_steps:
    a_row = Table([[Spacer(1,1), Arrow(width=7*cm, color=border)]], colWidths=[8.25*cm, 8.25*cm])
    story.append(a_row)
    b_row = Table([[Spacer(1,1), FlowchartBox(title, width=7*cm, bg=bg, border=border, text_color=tc, height=h)]],
                  colWidths=[8.25*cm, 8.25*cm])
    story.append(b_row)
    story.append(Paragraph(desc, ParagraphStyle('ns', fontSize=8, fontName='Helvetica', textColor=HexColor("#475569"),
                                                 leftIndent=(8.25+0.5)*cm, leading=12, spaceBefore=2, spaceAfter=2)))

# ── SECTION 6: KEY LEGISLATION ───────────────────────────────────
story.append(PageBreak())
story.append(SectionDivider("6.  KEY LEGISLATION & INSTITUTIONS IN INDIA"))
story.append(Spacer(1, 10))

leg_data = [
    [Paragraph('<b>Act / Policy</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Key Provision</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white))],
    ['Medical Termination of Pregnancy Act, 1971',
     'Allows abortion of foetus that may be seriously handicapped'],
    ['Mental Health Act',
     'Legal framework for mentally handicapped individuals'],
    ['National Policy for Persons with Disabilities',
     'Addresses rehabilitation, education, and employment of disabled persons'],
    ['Persons with Disabilities Act, 1995',
     'Equal opportunities, protection of rights, full participation'],
    ['Rehabilitation Council of India Act, 1992',
     'Regulates training of rehabilitation professionals'],
]
leg_tbl = Table(leg_data, colWidths=[7*cm, 9.5*cm])
leg_tbl.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), DARK_BLUE),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [LIGHT_BLUE, white]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('FONTSIZE', (0,1), (-1,-1), 8.5),
    ('FONTNAME', (0,1), (-1,-1), 'Helvetica'),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 6),
    ('BOTTOMPADDING', (0,0), (-1,-1), 6),
    ('LEFTPADDING', (0,0), (-1,-1), 8),
]))
story.append(leg_tbl)

story.append(Spacer(1, 10))
story.append(Paragraph("Important Institutions for Handicapped in India:", h3))
inst_data = [
    [Paragraph('<b>Institution</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white)),
     Paragraph('<b>Location</b>', ParagraphStyle('th', fontSize=9, fontName='Helvetica-Bold', textColor=white))],
    ['Occupational Therapy School', 'Mumbai'],
    ['All India Institute of Physical Medicine and Rehabilitation', 'Mumbai'],
    ['Ali Yavar Jung National Institute for the Hearing Handicapped', 'Mumbai'],
    ['National Institute for the Visually Handicapped', 'Dehradun'],
    ['National Institute for the Orthopaedically Handicapped', 'Kolkata'],
    ['National Institute for the Mentally Handicapped', 'Secunderabad'],
    ['150+ schools and institutions across India', '(Various states)'],
]
inst_tbl = Table(inst_data, colWidths=[11*cm, 5.5*cm])
inst_tbl.setStyle(TableStyle([
    ('BACKGROUND', (0,0), (-1,0), TEAL),
    ('ROWBACKGROUNDS', (0,1), (-1,-1), [LIGHT_TEAL, white]),
    ('GRID', (0,0), (-1,-1), 0.5, GREY_BORDER),
    ('FONTSIZE', (0,1), (-1,-1), 8.5),
    ('FONTNAME', (0,1), (-1,-1), 'Helvetica'),
    ('VALIGN', (0,0), (-1,-1), 'TOP'),
    ('TOPPADDING', (0,0), (-1,-1), 5),
    ('BOTTOMPADDING', (0,0), (-1,-1), 5),
    ('LEFTPADDING', (0,0), (-1,-1), 8),
]))
story.append(inst_tbl)

# ── ICF MODEL section ─────────────────────────────────────────────
story.append(Spacer(1, 12))
story.append(SectionDivider("7.  ICF MODEL (WHO 2001)"))
story.append(Spacer(1, 8))
story.append(Paragraph(
    "ICF (International Classification of Functioning, Disability and Health) classifies functioning and disability "
    "based on body functions and structure, activities, and participation - all modified by environmental and personal factors. "
    "ICD-10 provides aetiologic framework; ICF classifies functioning - both are complementary and should be used together.", body))

story.append(Spacer(1, 8))

# Draw ICF model as a table diagram
icf_data = [
    ['', Paragraph('<b>Health Condition\n(disorder/disease)</b>',
                   ParagraphStyle('icf_h', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER, leading=12)), ''],
    [Paragraph('<b>Body Function\n& Structure\n(Impairment)</b>',
               ParagraphStyle('icf1', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER, leading=12)),
     Paragraph('<b>Activities\n(Limitation)</b>',
               ParagraphStyle('icf2', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER, leading=12)),
     Paragraph('<b>Participation\n(Restriction)</b>',
               ParagraphStyle('icf3', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER, leading=12))],
    [Paragraph('<b>Environmental\nFactors</b>',
               ParagraphStyle('icf4', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER, leading=12)),
     '',
     Paragraph('<b>Personal\nFactors</b>',
               ParagraphStyle('icf5', fontSize=9, fontName='Helvetica-Bold', textColor=white, alignment=TA_CENTER, leading=12))],
]
icf_tbl = Table(icf_data, colWidths=[5.5*cm, 5.5*cm, 5.5*cm], rowHeights=[42, 50, 42])
icf_tbl.setStyle(TableStyle([
    ('BACKGROUND', (1,0), (1,0), DARK_BLUE),
    ('BACKGROUND', (0,1), (0,1), MED_BLUE),
    ('BACKGROUND', (1,1), (1,1), TEAL),
    ('BACKGROUND', (2,1), (2,1), PURPLE),
    ('BACKGROUND', (0,2), (0,2), ORANGE),
    ('BACKGROUND', (2,2), (2,2), GREEN),
    ('BACKGROUND', (1,2), (1,2), white),
    ('BACKGROUND', (0,0), (0,0), white),
    ('BACKGROUND', (2,0), (2,0), white),
    ('VALIGN', (0,0), (-1,-1), 'MIDDLE'),
    ('ALIGN', (0,0), (-1,-1), 'CENTER'),
    ('GRID', (0,0), (-1,-1), 0, white),
    ('TOPPADDING', (0,0), (-1,-1), 6),
    ('BOTTOMPADDING', (0,0), (-1,-1), 6),
    ('ROUNDEDCORNERS', [6]),
]))
story.append(icf_tbl)
story.append(Spacer(1, 6))

icf_note = Paragraph(
    '<i>ICF Components: Body Functions & Structure (Impairment) ↔ Activities (Limitation) ↔ Participation (Restriction), '
    'all influenced by Environmental Factors and Personal Factors. Arrows indicate bidirectional interaction. '
    'Source: WHO ICF, 2001</i>',
    ParagraphStyle('icf_note', fontSize=7.5, fontName='Helvetica-Oblique', textColor=HexColor("#64748B"),
                   alignment=TA_CENTER, leading=11))
story.append(icf_note)

# Footer note
story.append(Spacer(1, 16))
story.append(HRFlowable(width="100%", thickness=0.8, color=GREY_BORDER, spaceAfter=6))
story.append(Paragraph(
    '<b>Reference:</b> Park\'s Textbook of Preventive and Social Medicine, pp. 674-677. '
    'Park K, Park JE. Handicapped Children. In: Park\'s Textbook of Preventive and Social Medicine. '
    'Jabalpur: M/s Banarsidas Bhanot Publishers.',
    ParagraphStyle('ref', fontSize=7.5, fontName='Helvetica', textColor=HexColor("#64748B"), leading=11)))

# ── BUILD ─────────────────────────────────────────────────────────
doc.build(story)
print(f"PDF created: {OUTPUT}")

cd /home/daytona/workspace/handicapped-children-spm && python create_pdf.py 2>&1

~/handicapped-children-spm/create_pdf.py

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/handicapped-children-spm/create_pdf.py'

cd /home/daytona/workspace/handicapped-children-spm && python create_pdf.py 2>&1

~/handicapped-children-spm/create_pdf.py

Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/handicapped-children-spm/create_pdf.py'

cd /home/daytona/workspace/handicapped-children-spm && python create_pdf.py 2>&1

ls -lh /home/daytona/workspace/handicapped-children-spm/Handicapped_Children_SPM…