mkdir -p /tmp/workspace/pdf-images && cd /tmp/workspace/pdf-images && \ curl -s -o img1.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173111_Chrome-1785416103832-hkhfjf.jpg" && \ curl -s -o img2.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173122_Chrome-1785416103817-gvtzcd.jpg" && \ curl -s -o img3.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173138_Chrome-1785416103824-30n4tm.jpg" && \ curl -s -o img4.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173152_Chrome-1785416103828-65uczh.jpg" && \ curl -s -o img5.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173244_Chrome-1785416103818-eb930l.jpg" && \ curl -s -o img6.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173449_Chrome-1785416103816-f4xhsm.jpg" && \ curl -s -o img7.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173504_Chrome-1785416103833-k3n1w5.jpg" && \ curl -s -o img8.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173515_Chrome-1785416103819-pqy2dn.jpg" && \ curl -s -o img9.jpg "https://d361swluvexzqs.cloudfront.net/chats-attachments/SmartSelect_20260730_173610_Chrome-1785416103820-crjwsd.jpg" && \ ls -la

python3 << 'EOF' from PIL import Image from reportlab.lib.pagesizes import A4 from reportlab.lib.utils import ImageReader from reportlab.pdfgen import canvas import os output_path = "/tmp/workspace/pdf-images/developmental_milestones.pdf" img_dir = "/tmp/workspace/pdf-images" # Images in logical order (timestamps suggest this order based on filenames) images = [ "img1.jpg", # AT 4 MO "img2.jpg", # AT 7 MO "img3.jpg", # AT 10 MO "img4.jpg", # AT 1 YR "img5.jpg", # 15 MO / 18 MO "img6.jpg", # 24 MO / 30 MO / 36 MO "img7.jpg", # 48 MO / 60 MO "img8.jpg", # Sleep chart "img9.jpg", # Table 13-1 ] page_width, page_height = A4 margin = 30 c = canvas.Canvas(output_path, pagesize=A4) for img_name in images: img_path = os.path.join(img_dir, img_name) img = Image.open(img_path) img_w, img_h = img.size # Calculate scale to fit within page with margins available_w = page_width - 2 * margin available_h = page_height - 2 * margin scale = min(available_w / img_w, available_h / img_h) draw_w = img_w * scale draw_h = img_h * scale # Center on page x = (page_width - draw_w) / 2 y = (page_height - draw_h) / 2 c.drawImage(img_path, x, y, width=draw_w, height=draw_h) c.showPage() c.save() print(f"PDF created: {output_path}") print(f"File size: {os.path.getsize(output_path):,} bytes") EOF

mkdir -p /tmp/workspace/dev-milestones-text && python3 << 'PYEOF' from reportlab.lib.pagesizes import A4, landscape from reportlab.lib import colors from reportlab.lib.units import cm, mm from reportlab.platypus import SimpleDocTemplate, Table, TableStyle, Paragraph, Spacer, PageBreak from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.lib.enums import TA_LEFT, TA_CENTER, TA_JUSTIFY from reportlab.platypus import KeepTogether output_path = "/tmp/workspace/dev-milestones-text/developmental_milestones.pdf" doc = SimpleDocTemplate( output_path, pagesize=A4, leftMargin=1.5*cm, rightMargin=1.5*cm, topMargin=1.5*cm, bottomMargin=1.5*cm, ) styles = getSampleStyleSheet() # Custom styles normal = ParagraphStyle('normal', fontName='Helvetica', fontSize=9, leading=13, spaceAfter=0) bold = ParagraphStyle('bold', fontName='Helvetica-Bold', fontSize=9, leading=13) bold10 = ParagraphStyle('bold10', fontName='Helvetica-Bold', fontSize=10, leading=14) bold11 = ParagraphStyle('bold11', fontName='Helvetica-Bold', fontSize=11, leading=15) header_white = ParagraphStyle('header_white', fontName='Helvetica-Bold', fontSize=10, leading=14, textColor=colors.white) section_bold = ParagraphStyle('section_bold', fontName='Helvetica-Bold', fontSize=9.5, leading=13) cell_normal = ParagraphStyle('cell_normal', fontName='Helvetica', fontSize=8.5, leading=12, spaceAfter=0) cell_bold = ParagraphStyle('cell_bold', fontName='Helvetica-Bold', fontSize=8.5, leading=12) story = [] # ───────────────────────────────────────── # PAGE 1: AT 4 MO, AT 7 MO # ───────────────────────────────────────── teal = colors.Color(0.85, 0.93, 0.93) dark_teal = colors.Color(0.15, 0.30, 0.35) def milestone_table(age_label, rows): """rows = list of (category, content) tuples""" data = [[Paragraph(age_label, bold11), '']] for cat, content in rows: data.append([Paragraph(cat, bold), Paragraph(content, normal)]) col_widths = [3.2*cm, 14.3*cm] t = Table(data, colWidths=col_widths) t.setStyle(TableStyle([ ('BACKGROUND', (0,0), (-1,0), teal), ('BACKGROUND', (0,1), (-1,-1), teal), ('SPAN', (0,0), (1,0)), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ('LEFTPADDING', (0,0), (-1,-1), 6), ('RIGHTPADDING', (0,0), (-1,-1), 6), ('VALIGN', (0,0), (-1,-1), 'TOP'), ('LINEBELOW', (0,-1), (-1,-1), 0.5, colors.Color(0.6,0.8,0.8)), ('BOX', (0,0), (-1,-1), 0.5, colors.Color(0.6,0.8,0.8)), ])) return t # AT 4 MO story.append(milestone_table('AT 4 MO', [ ('Prone:', 'Lifts head and chest, with head in approximately vertical axis; legs extended'), ('Supine:', 'Symmetric posture predominates, hands in midline; reaches and grasps objects and brings them to mouth'), ('Sitting:', 'No head lag when pulled to sitting position; head steady, tipped forward; enjoys sitting with full truncal support'), ('Standing:', 'When held erect, pushes with feet'), ('Adaptive:', 'Sees raisin, but makes no move to reach for it'), ('Social:', 'Laughs out loud; may show displeasure if social contact is broken; excited at sight of food'), ])) story.append(Spacer(1, 0.4*cm)) # AT 7 MO story.append(milestone_table('AT 7 MO', [ ('Prone:', 'Rolls over; pivots; crawls or creep-crawls (Knobloch)'), ('Supine:', 'Lifts head; rolls over; squirms'), ('Sitting:', 'Sits briefly, with support of pelvis; leans forward on hands; back rounded'), ('Standing:', 'May support most of weight; bounces actively'), ('Adaptive:', 'Reaches out for and grasps large object; transfers objects from hand to hand; grasp uses radial palm; rakes at raisin'), ('Language:', 'Forms polysyllabic vowel sounds'), ('Social:', 'Prefers mother; babbles; enjoys mirror; responds to changes in emotional content of social contact'), ])) story.append(Spacer(1, 0.4*cm)) # AT 10 MO story.append(milestone_table('AT 10 MO', [ ('Sitting:', 'Sits up alone and indefinitely without support, with back straight'), ('Standing:', 'Pulls to standing position; "cruises" or walks holding on to furniture'), ('Motor:', 'Creeps or crawls'), ('Adaptive:', 'Grasps objects with thumb and forefinger; pokes at things with forefinger; picks up pellet with assisted pincer movement; uncovers hidden toy; attempts to retrieve dropped object; releases object grasped by other person'), ('Language:', 'Repetitive consonant sounds ("mama," "dada")'), ('Social:', 'Responds to sound of name; plays peek-a-boo or pat-a-cake; waves bye-bye'), ])) story.append(Spacer(1, 0.4*cm)) # AT 1 YR story.append(milestone_table('AT 1 YR', [ ('Motor:', 'Walks with one hand held; rises independently, takes several steps (Knobloch)'), ('Adaptive:', 'Picks up raisin with unassisted pincer movement of forefinger and thumb; releases object to other person on request or gesture'), ('Language:', 'Says a few words besides \u201cmama,\u201d \u201cdada\u201d'), ('Social:', 'Plays simple ball game; makes postural adjustment to dressing'), ])) story.append(PageBreak()) # ───────────────────────────────────────── # PAGE 2: Table 11-1 15 MO, 18 MO, 24 MO, 30 MO, 36 MO, 48 MO, 60 MO # ───────────────────────────────────────── # Table 11-1 header tbl11_header_data = [ [Paragraph('Table 11-1', header_white), Paragraph('Emerging Patterns of Behavior from 1-5 Yr of Age*', header_white)] ] tbl11_header = Table(tbl11_header_data, colWidths=[3.2*cm, 14.3*cm]) tbl11_header.setStyle(TableStyle([ ('BACKGROUND', (0,0), (-1,-1), dark_teal), ('TOPPADDING', (0,0), (-1,-1), 5), ('BOTTOMPADDING', (0,0), (-1,-1), 5), ('LEFTPADDING', (0,0), (-1,-1), 6), ('RIGHTPADDING', (0,0), (-1,-1), 6), ('VALIGN', (0,0), (-1,-1), 'MIDDLE'), ])) story.append(tbl11_header) story.append(Spacer(1, 0.2*cm)) for age_label, rows in [ ('15 MO', [ ('Motor:', 'Walks alone; crawls up stairs'), ('Adaptive:', 'Makes tower of 3 cubes; makes a line with crayon; inserts raisin in bottle'), ('Language:', 'Jargon; follows simple commands; may name a familiar object (e.g., ball); responds to his/her name'), ('Social:', 'Indicates some desires or needs by pointing; hugs parents'), ]), ('18 MO', [ ('Motor:', 'Runs stiffly; sits on small chair; walks up stairs with 1 hand held; explores drawers and wastebaskets'), ('Adaptive:', 'Makes tower of 4 cubes; imitates scribbling; imitates vertical stroke; dumps raisin from bottle'), ('Language:', '10 words (average); names pictures; identifies 1 or more parts of body'), ('Social:', 'Feeds self; seeks help when in trouble; may complain when wet or soiled; kisses parent with pucker'), ]), ('24 MO', [ ('Motor:', 'Runs well, walks up and down stairs, 1 step at a time; opens doors; climbs on furniture; jumps'), ('Adaptive:', 'Makes tower of 7 cubes (6 at 21 mo); scribbles in circular pattern; imitates horizontal stroke; folds paper once imitatively'), ('Language:', 'Puts 3 words together (subject, verb, object)'), ('Social:', 'Handles spoon well; often tells about immediate experiences; helps to undress; listens to stories when shown pictures'), ]), ('30 MO', [ ('Motor:', 'Goes up stairs alternating feet'), ('Adaptive:', 'Makes tower of 9 cubes; makes vertical and horizontal strokes, but generally will not join them to make cross; imitates circular stroke, forming closed figure'), ('Language:', 'Refers to self by pronoun \u201cI\u201d; knows full name'), ('Social:', 'Helps put things away; pretends in play'), ]), ('36 MO', [ ('Motor:', 'Rides tricycle; stands momentarily on 1 foot'), ('Adaptive:', 'Makes tower of 10 cubes; imitates construction of \u201cbridge\u201d of 3 cubes; copies circle; imitates cross'), ('Language:', 'Knows age and sex; counts 3 objects correctly; repeats 3 numbers or a sentence of 6 syllables; most of speech intelligible to strangers'), ('Social:', 'Plays simple games (in \u201cparallel\u201d with other children); helps in dressing (unbuttons clothing and puts on shoes); washes hands'), ]), ('48 MO', [ ('Motor:', 'Hops on 1 foot; throws ball overhand; uses scissors to cut out pictures; climbs well'), ('Adaptive:', 'Copies bridge from model; imitates construction of \u201cgate\u201d of 5 cubes; copies cross and square; draws man with 2-4 parts besides head; identifies longer of 2 lines'), ('Language:', 'Counts 4 pennies accurately; tells story'), ('Social:', 'Plays with several children, with beginning of social interaction and role-playing; goes to toilet alone'), ]), ('60 MO', [ ('Motor:', 'Skips'), ('Adaptive:', 'Draws triangle from copy; names heavier of 2 weights'), ('Language:', 'Names 4 colors; repeats sentence of 10 syllables; counts 10 pennies correctly'), ('Social:', 'Dresses and undresses; asks questions about meaning of words; engages in domestic role-playing'), ]), ]: story.append(milestone_table(age_label, rows)) story.append(Spacer(1, 0.3*cm)) story.append(PageBreak()) # ───────────────────────────────────────── # PAGE 3: Table 13-1 # ───────────────────────────────────────── # Table 13-1 header tbl13_header_data = [ [Paragraph('Table 13-1', header_white), Paragraph('Selected Perceptual, Cognitive, and Language Processes Required for Elementary School Success', header_white)] ] tbl13_header = Table(tbl13_header_data, colWidths=[3.0*cm, 14.5*cm]) tbl13_header.setStyle(TableStyle([ ('BACKGROUND', (0,0), (-1,-1), dark_teal), ('TOPPADDING', (0,0), (-1,-1), 5), ('BOTTOMPADDING', (0,0), (-1,-1), 5), ('LEFTPADDING', (0,0), (-1,-1), 6), ('RIGHTPADDING', (0,0), (-1,-1), 6), ('VALIGN', (0,0), (-1,-1), 'MIDDLE'), ])) story.append(tbl13_header) story.append(Spacer(1, 0.2*cm)) # Column headers col_header_data = [ [Paragraph('PROCESS', cell_bold), Paragraph('DESCRIPTION', cell_bold), Paragraph('ASSOCIATED PROBLEMS', cell_bold)] ] col_header = Table(col_header_data, colWidths=[4.5*cm, 6.5*cm, 6.5*cm]) col_header.setStyle(TableStyle([ ('BACKGROUND', (0,0), (-1,-1), colors.white), ('TOPPADDING', (0,0), (-1,-1), 5), ('BOTTOMPADDING', (0,0), (-1,-1), 5), ('LEFTPADDING', (0,0), (-1,-1), 6), ('RIGHTPADDING', (0,0), (-1,-1), 6), ('VALIGN', (0,0), (-1,-1), 'TOP'), ('LINEBELOW', (0,0), (-1,-1), 0.8, colors.black), ])) story.append(col_header) # Section builder for Table 13-1 def tbl13_section(section_name, rows): """rows = list of (process, description, problems)""" data = [] # Section heading row data.append([Paragraph(section_name, cell_bold), '', '']) for proc, desc, prob in rows: data.append([Paragraph(proc, cell_normal), Paragraph(desc, cell_normal), Paragraph(prob, cell_normal)]) t = Table(data, colWidths=[4.5*cm, 6.5*cm, 6.5*cm]) style = [ ('BACKGROUND', (0,0), (-1,-1), teal), ('SPAN', (0,0), (2,0)), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ('LEFTPADDING', (0,0), (-1,-1), 6), ('RIGHTPADDING', (0,0), (-1,-1), 6), ('VALIGN', (0,0), (-1,-1), 'TOP'), ('LINEBELOW', (0,-1), (-1,-1), 0.5, colors.Color(0.6,0.8,0.8)), ] t.setStyle(TableStyle(style)) return t story.append(tbl13_section('PERCEPTUAL', [ ('Visual analysis', 'Ability to break a complex figure into components and understand their spatial relationships', 'Persistent letter confusion (e.g., between b, d, and g); difficulty with basic reading and writing and limited \u201csight\u201d vocabulary'), ('Proprioception and motor control', 'Ability to obtain information about body position by feel and unconsciously program complex movements', 'Poor handwriting, requiring inordinate effort, often with overly tight pencil grasp; special difficulty with timed tasks'), ('Phonologic processing', 'Ability to perceive differences between similar sounding words and to break down words into constituent sounds', 'Delayed receptive language skill; attention and behavior problems secondary to not understanding directions; delayed acquisition of letter-sound correlations (phonetics)'), ])) story.append(Spacer(1, 0.2*cm)) story.append(tbl13_section('COGNITIVE', [ ('Long-term memory, both storage and recall', 'Ability to acquire skills that are \u201cautomatic\u201d (i.e., accessible without conscious thought)', 'Delayed mastery of the alphabet (reading and writing letters); slow handwriting; inability to progress beyond basic mathematics'), ('Selective attention', 'Ability to attend to important stimuli and ignore distractions', 'Difficulty following multistep instructions, completing assignments, and behaving well; problems with peer interaction'), ('Sequencing', 'Ability to remember things in order; facility with time concepts', 'Difficulty organizing assignments, planning, spelling, and telling time'), ])) story.append(Spacer(1, 0.2*cm)) story.append(tbl13_section('LANGUAGE', [ ('Receptive language', 'Ability to comprehend complex constructions, function words (e.g., if, when, only, except), nuances of speech, and extended blocks of language (e.g., paragraphs)', 'Difficulty following directions; wandering attention during lessons and stories; problems with reading comprehension; problems with peer relationships'), ('Expressive language', 'Ability to recall required words effortlessly (word finding), control meanings by varying position and word endings, and construct meaningful paragraphs and stories', 'Difficulty expressing feelings and using words for self-defense, with resulting frustration and physical acting out; struggling during \u201ccircle time\u201d and in language-based subjects (e.g., English)'), ])) import os doc.build(story) print(f"PDF created: {output_path}") print(f"File size: {os.path.getsize(output_path):,} bytes") PYEOF

python3 << 'EOF' from pptx import Presentation prs = Presentation("/tmp/workspace/attachments/c7b3acfe-d3f2-4544-8233-75be0f24d1a6/Development_Milestones_Presentation.pptx") print(f"Total slides: {len(prs.slides)}") for i, slide in enumerate(prs.slides, 1): print(f"\n=== SLIDE {i} ===") for shape in slide.shapes: if shape.has_text_frame and shape.text_frame.text.strip(): print(f" [{shape.shape_type}] {shape.text_frame.text[:500]}") EOF

python3 << 'EOF' import pdfplumber for fname, label in [ ("/tmp/workspace/attachments/c7b3acfe-d3f2-4544-8233-75be0f24d1a6/developmental_milestones (1).pdf", "PDF1"), ("/tmp/workspace/attachments/c7b3acfe-d3f2-4544-8233-75be0f24d1a6/I can see all the images clearly from the visual i.pdf", "PDF2"), ]: print(f"\n{'='*60}") print(f"FILE: {label}") print('='*60) try: with pdfplumber.open(fname) as pdf: print(f"Pages: {len(pdf.pages)}") for i, page in enumerate(pdf.pages, 1): t = page.extract_text() if t and t.strip(): print(f"\n--- Page {i} ---") print(t[:3000]) except Exception as e: print(f"Error: {e}") EOF

mkdir -p /tmp/workspace/final-ppt && python3 << 'PYEOF' from pptx import Presentation from pptx.util import Inches, Pt, Emu from pptx.dml.color import RGBColor from pptx.enum.text import PP_ALIGN from pptx.util import Inches, Pt, Cm import copy prs = Presentation() prs.slide_width = Inches(13.33) prs.slide_height = Inches(7.5) # ── Color palette ───────────────────────────────────────────────────────────── NAVY = RGBColor(0x1B, 0x3A, 0x6B) # dark navy blue TEAL = RGBColor(0x0E, 0x7C, 0x86) # teal accent TEAL_LIGHT = RGBColor(0xD4, 0xF1, 0xF4) # very light teal (table bg) ORANGE = RGBColor(0xF0, 0x8C, 0x00) # warm orange accent WHITE = RGBColor(0xFF, 0xFF, 0xFF) DARK_TEXT = RGBColor(0x1A, 0x1A, 0x2E) GRAY_LIGHT = RGBColor(0xF2, 0xF4, 0xF8) GRAY_MID = RGBColor(0xCC, 0xD6, 0xE0) GOLD = RGBColor(0xF5, 0xC5, 0x18) from pptx.oxml.ns import qn from lxml import etree import copy def hex_to_rgb(hex_str): h = hex_str.lstrip('#') return tuple(int(h[i:i+2], 16) for i in (0, 2, 4)) def set_bg_color(slide, rgb: RGBColor): bg = slide.background fill = bg.fill fill.solid() fill.fore_color.rgb = rgb def add_rect(slide, left, top, width, height, fill_rgb, line_rgb=None, line_width=0): from pptx.util import Pt shape = slide.shapes.add_shape(1, left, top, width, height) # MSO_SHAPE_TYPE.RECTANGLE shape.fill.solid() shape.fill.fore_color.rgb = fill_rgb if line_rgb: shape.line.color.rgb = line_rgb shape.line.width = Pt(line_width) else: shape.line.fill.background() return shape def add_text(slide, text, left, top, width, height, font_name='Calibri', font_size=16, bold=False, italic=False, color=WHITE, align=PP_ALIGN.LEFT, wrap=True): txBox = slide.shapes.add_textbox(left, top, width, height) tf = txBox.text_frame tf.word_wrap = wrap p = tf.paragraphs[0] p.alignment = align run = p.add_run() run.text = text run.font.name = font_name run.font.size = Pt(font_size) run.font.bold = bold run.font.italic = italic run.font.color.rgb = color return txBox def add_text_multiline(slide, lines, left, top, width, height, font_name='Calibri', font_size=13, bold=False, color=DARK_TEXT, spacing=1.15): from pptx.util import Pt from pptx.oxml.ns import qn txBox = slide.shapes.add_textbox(left, top, width, height) tf = txBox.text_frame tf.word_wrap = True for i, (txt, b, sz, col) in enumerate(lines): if i == 0: p = tf.paragraphs[0] else: p = tf.add_paragraph() p.space_before = Pt(2) run = p.add_run() run.text = txt run.font.name = font_name run.font.size = Pt(sz if sz else font_size) run.font.bold = b if b is not None else bold run.font.color.rgb = col if col else color return txBox W = prs.slide_width H = prs.slide_height SLD = lambda: prs.slide_layouts[6] # blank # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 1 — Title # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, NAVY) # Top teal bar add_rect(sl, 0, 0, W, Inches(0.12), TEAL) # Bottom orange bar add_rect(sl, 0, H - Inches(0.12), W, Inches(0.12), ORANGE) # Large center box add_rect(sl, Inches(0.6), Inches(1.8), Inches(12.1), Inches(3.5), TEAL) add_text(sl, "NORMAL DEVELOPMENT", Inches(0.8), Inches(2.0), Inches(11.7), Inches(1.3), font_size=46, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_text(sl, "IN CHILDREN", Inches(0.8), Inches(3.1), Inches(11.7), Inches(0.9), font_size=38, bold=True, color=GOLD, align=PP_ALIGN.CENTER) add_text(sl, "Stages, Milestones & Development", Inches(0.8), Inches(3.95), Inches(11.7), Inches(0.7), font_size=22, bold=False, italic=True, color=WHITE, align=PP_ALIGN.CENTER) add_text(sl, "Based on: Nelson Textbook of Pediatrics | Harriet Lane Handbook | Kaplan & Sadock's Synopsis of Psychiatry", Inches(0.8), Inches(5.6), Inches(11.7), Inches(0.5), font_size=11, color=GRAY_MID, align=PP_ALIGN.CENTER) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 2 — Overview & Principles # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), NAVY) add_text(sl, "Overview of Normal Child Development", Inches(0.3), Inches(0.1), Inches(10), Inches(0.9), font_size=28, bold=True, color=WHITE) add_text(sl, "Slide 2", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=TEAL_LIGHT) # Left column add_rect(sl, Inches(0.3), Inches(1.3), Inches(6.0), Inches(5.7), WHITE, GRAY_MID, 0.5) add_text(sl, "Core Principles (Harriet Lane Handbook)", Inches(0.4), Inches(1.4), Inches(5.8), Inches(0.5), font_size=14, bold=True, color=NAVY) bullets_left = [ "Milestone acquisition follows a predictable sequence, though the rate varies among children.", "Development proceeds cephalocaudal (head to foot) and proximodistal (central to peripheral).", "Complex skills build on simpler ones.", "Developmental surveillance should occur at every well-child visit.", "Formal screening recommended by AAP at 9, 18, and 30 months (or 24 months if 30-month visit not feasible).", ] y = Inches(1.95) for b in bullets_left: add_text(sl, f"• {b}", Inches(0.5), y, Inches(5.6), Inches(0.65), font_size=12, color=DARK_TEXT) y += Inches(0.72) # Right column add_rect(sl, Inches(6.6), Inches(1.3), Inches(6.4), Inches(5.7), WHITE, GRAY_MID, 0.5) add_text(sl, "Developmental Domains", Inches(6.7), Inches(1.4), Inches(6.2), Inches(0.5), font_size=14, bold=True, color=NAVY) domains = [ ("Gross Motor", "Large muscle movements, posture, balance, locomotion"), ("Fine Motor", "Hand and finger skills, eye-hand coordination"), ("Language", "Receptive (understanding) & Expressive (speaking)"), ("Cognitive", "Thinking, learning, problem solving, memory"), ("Social / Emotional", "Relationship with others, self-regulation"), ("Adaptive", "Self-care, daily living activities"), ] y = Inches(1.95) for title, desc in domains: add_rect(sl, Inches(6.7), y, Inches(6.1), Inches(0.6), TEAL_LIGHT) add_text(sl, title, Inches(6.8), y + Inches(0.03), Inches(2.2), Inches(0.55), font_size=12, bold=True, color=TEAL) add_text(sl, desc, Inches(9.1), y + Inches(0.06), Inches(3.5), Inches(0.55), font_size=10.5, color=DARK_TEXT) y += Inches(0.68) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 3 — Growth & Caloric Requirements Table # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), TEAL) add_text(sl, "Table 15-1: Growth and Caloric Requirements", Inches(0.3), Inches(0.1), Inches(12), Inches(0.9), font_size=26, bold=True, color=WHITE) add_text(sl, "Slide 3", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=WHITE) headers = ["Age", "Daily Weight Gain", "Monthly Weight Gain", "Growth in Length (cm/mo)", "Head Circumference (cm/mo)", "Recommended Daily Allowance (kcal/kg/day)"] rows = [ ["0–3 mo", "30 g", "~2 lb", "3.5", "2.00", "115"], ["3–6 mo", "20 g", "~1.25 lb", "2.0", "1.00", "110"], ["6–9 mo", "15 g", "~1 lb", "1.5", "0.50", "100"], ["9–12 mo", "12 g", "~13 oz", "1.2", "0.50", "100"], ["1–3 yr", "8 g", "~8 oz", "1.0", "0.25", "100"], ["4–6 yr", "6 g", "~6 oz", "3 cm/yr", "1 cm/yr", "90–100"], ] from pptx.util import Inches, Pt col_w = [Inches(1.4), Inches(1.7), Inches(1.8), Inches(2.0), Inches(2.2), Inches(2.7)] tbl = sl.shapes.add_table(len(rows)+1, 6, Inches(0.3), Inches(1.25), sum(col_w), Inches(4.9)) tbl.table.columns[0].width = col_w[0] tbl.table.columns[1].width = col_w[1] tbl.table.columns[2].width = col_w[2] tbl.table.columns[3].width = col_w[3] tbl.table.columns[4].width = col_w[4] tbl.table.columns[5].width = col_w[5] for c, h in enumerate(headers): cell = tbl.table.cell(0, c) cell.text = h cell.fill.solid(); cell.fill.fore_color.rgb = NAVY p = cell.text_frame.paragraphs[0]; p.alignment = PP_ALIGN.CENTER run = p.runs[0]; run.font.bold = True; run.font.size = Pt(10.5); run.font.color.rgb = WHITE for r, row in enumerate(rows): bg = TEAL_LIGHT if r % 2 == 0 else WHITE for c, val in enumerate(row): cell = tbl.table.cell(r+1, c) cell.text = val cell.fill.solid(); cell.fill.fore_color.rgb = bg p = cell.text_frame.paragraphs[0]; p.alignment = PP_ALIGN.CENTER run = p.runs[0]; run.font.size = Pt(11) if c == 0: run.font.bold = True; run.font.color.rgb = TEAL add_text(sl, "Source: Nelson Textbook of Pediatrics (Table 15-1)", Inches(0.3), Inches(6.6), Inches(10), Inches(0.4), font_size=10, italic=True, color=RGBColor(0x66,0x66,0x88)) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 4 — Neonatal Period & At 1–3 Months # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), NAVY) add_text(sl, "Neonatal Period — At 1 Month — At 2 & 3 Months", Inches(0.3), Inches(0.1), Inches(12), Inches(0.9), font_size=25, bold=True, color=WHITE) add_text(sl, "Slide 4", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=TEAL_LIGHT) boxes = [ ("NEONATAL (1st 4 Wk)", [ ("Prone:", "Lies in flexed attitude; turns head from side to side; head sags on ventral suspension"), ("Supine:", "Generally flexed and a little stiff"), ("Visual:", "May fixate face on light; \"doll's-eye\" movement of eyes on turning of the body"), ("Reflex:", "Moro response active; stepping and placing reflexes; grasp reflex active"), ("Social:", "Visual preference for human face"), ]), ("AT 1 MONTH", [ ("Prone:", "Legs more extended; holds chin up; turns head; head lifted momentarily to plane of body"), ("Supine:", "Tonic neck posture predominates; head lags when pulled to sitting"), ("Visual:", "Watches person; follows moving object"), ("Social:", "Body movements in cadence with voice; beginning to smile"), ]), ("AT 2–3 MONTHS", [ ("Prone (2mo):", "Raises head slightly farther; head sustained in plane of body"), ("Prone (3mo):", "Lifts head and chest with arms extended; head above plane of body"), ("Visual:", "Follows moving object 180 degrees"), ("Social:", "Smiles on social contact; listens to voice and coos; says \"aah, ngah\""), ("Reflex:", "Typical Moro response has not persisted; defensive movements appear"), ]), ] x_positions = [Inches(0.25), Inches(4.6), Inches(8.95)] for i, (title, items) in enumerate(boxes): x = x_positions[i] add_rect(sl, x, Inches(1.2), Inches(4.2), Inches(5.9), TEAL) add_text(sl, title, x + Inches(0.1), Inches(1.25), Inches(4.0), Inches(0.45), font_size=13, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, x, Inches(1.65), Inches(4.2), Inches(5.45), WHITE) y = Inches(1.72) for cat, content in items: add_text(sl, cat, x + Inches(0.1), y, Inches(1.1), Inches(0.38), font_size=10, bold=True, color=TEAL) add_text(sl, content, x + Inches(1.15), y, Inches(2.9), Inches(0.6), font_size=9.5, color=DARK_TEXT) y += Inches(0.72) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 5 — At 4 Months & At 7 Months # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), TEAL) add_text(sl, "At 4 Months & At 7 Months", Inches(0.3), Inches(0.1), Inches(12), Inches(0.9), font_size=28, bold=True, color=WHITE) add_text(sl, "Slide 5", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=WHITE) left_items = [ ("Prone:", "Lifts head and chest, with head in approximately vertical axis; legs extended"), ("Supine:", "Symmetric posture predominates, hands in midline; reaches and grasps objects and brings them to mouth"), ("Sitting:", "No head lag when pulled to sitting; head steady, tipped forward; enjoys sitting with full truncal support"), ("Standing:", "When held erect, pushes with feet"), ("Adaptive:", "Sees raisin, but makes no move to reach for it"), ("Social:", "Laughs out loud; may show displeasure if social contact is broken; excited at sight of food"), ] right_items = [ ("Prone:", "Rolls over; pivots; crawls or creep-crawls (Knobloch)"), ("Supine:", "Lifts head; rolls over; squirms"), ("Sitting:", "Sits briefly, with support of pelvis; leans forward on hands; back rounded"), ("Standing:", "May support most of weight; bounces actively"), ("Adaptive:", "Reaches out for and grasps large object; transfers objects hand to hand; grasp uses radial palm; rakes at raisin"), ("Language:", "Forms polysyllabic vowel sounds"), ("Social:", "Prefers mother; babbles; enjoys mirror; responds to changes in emotional content of social contact"), ] for title, items, x in [("AT 4 MONTHS", left_items, Inches(0.25)), ("AT 7 MONTHS", right_items, Inches(6.8))]: add_rect(sl, x, Inches(1.2), Inches(6.3), Inches(5.9), NAVY) add_text(sl, title, x + Inches(0.1), Inches(1.25), Inches(6.1), Inches(0.45), font_size=16, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, x, Inches(1.65), Inches(6.3), Inches(5.45), WHITE) y = Inches(1.72) for cat, content in items: add_text(sl, cat, x + Inches(0.12), y, Inches(1.2), Inches(0.42), font_size=10.5, bold=True, color=NAVY) add_text(sl, content, x + Inches(1.3), y, Inches(4.85), Inches(0.6), font_size=9.5, color=DARK_TEXT) y += Inches(0.65) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 6 — At 10 Months & At 1 Year # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), ORANGE) add_text(sl, "At 10 Months & At 1 Year", Inches(0.3), Inches(0.1), Inches(12), Inches(0.9), font_size=28, bold=True, color=WHITE) add_text(sl, "Slide 6", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=WHITE) left_items = [ ("Sitting:", "Sits up alone and indefinitely without support, with back straight"), ("Standing:", "Pulls to standing position; \"cruises\" or walks holding on to furniture"), ("Motor:", "Creeps or crawls"), ("Adaptive:", "Grasps objects with thumb and forefinger; pokes at things with forefinger; picks up pellet with assisted pincer movement; uncovers hidden toy; attempts to retrieve dropped object; releases object grasped by other person"), ("Language:", "Repetitive consonant sounds (\"mama,\" \"dada\")"), ("Social:", "Responds to sound of name; plays peek-a-boo or pat-a-cake; waves bye-bye"), ] right_items = [ ("Motor:", "Walks with one hand held; rises independently, takes several steps (Knobloch)"), ("Adaptive:", "Picks up raisin with unassisted pincer movement of forefinger and thumb; releases object to other person on request or gesture"), ("Language:", "Says a few words besides \"mama,\" \"dada\""), ("Social:", "Plays simple ball game; makes postural adjustment to dressing"), ] for title, items, x, col in [("AT 10 MONTHS", left_items, Inches(0.25), ORANGE), ("AT 1 YEAR", right_items, Inches(6.8), NAVY)]: add_rect(sl, x, Inches(1.2), Inches(6.3), Inches(5.9), col) add_text(sl, title, x + Inches(0.1), Inches(1.25), Inches(6.1), Inches(0.45), font_size=16, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, x, Inches(1.65), Inches(6.3), Inches(5.45), WHITE) y = Inches(1.72) for cat, content in items: add_text(sl, cat, x + Inches(0.12), y, Inches(1.2), Inches(0.42), font_size=10.5, bold=True, color=col) add_text(sl, content, x + Inches(1.3), y, Inches(4.85), Inches(0.8), font_size=9.5, color=DARK_TEXT) y += Inches(0.72) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 7 — 15 MO, 18 MO # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), NAVY) add_text(sl, "Table 11-1: Emerging Patterns of Behavior — 15 & 18 Months", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=24, bold=True, color=WHITE) add_text(sl, "Slide 7", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=TEAL_LIGHT) for title, items, x in [ ("15 MONTHS", [ ("Motor:", "Walks alone; crawls up stairs"), ("Adaptive:", "Makes tower of 3 cubes; makes a line with crayon; inserts raisin in bottle"), ("Language:", "Jargon; follows simple commands; may name a familiar object (e.g., ball); responds to his/her name"), ("Social:", "Indicates some desires or needs by pointing; hugs parents"), ], Inches(0.25)), ("18 MONTHS", [ ("Motor:", "Runs stiffly; sits on small chair; walks up stairs with 1 hand held; explores drawers and wastebaskets"), ("Adaptive:", "Makes tower of 4 cubes; imitates scribbling; imitates vertical stroke; dumps raisin from bottle"), ("Language:", "10 words (average); names pictures; identifies 1 or more parts of body"), ("Social:", "Feeds self; seeks help when in trouble; may complain when wet or soiled; kisses parent with pucker"), ], Inches(6.8)), ]: add_rect(sl, x, Inches(1.2), Inches(6.3), Inches(5.9), TEAL) add_text(sl, title, x + Inches(0.1), Inches(1.25), Inches(6.1), Inches(0.45), font_size=16, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, x, Inches(1.65), Inches(6.3), Inches(5.45), WHITE) y = Inches(1.72) for cat, content in items: add_text(sl, cat, x + Inches(0.12), y, Inches(1.2), Inches(0.42), font_size=10.5, bold=True, color=TEAL) add_text(sl, content, x + Inches(1.3), y, Inches(4.85), Inches(0.75), font_size=9.5, color=DARK_TEXT) y += Inches(0.85) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 8 — 24 MO, 30 MO # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), TEAL) add_text(sl, "Emerging Patterns — 24 & 30 Months", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=26, bold=True, color=WHITE) add_text(sl, "Slide 8", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=WHITE) for title, items, x in [ ("24 MONTHS", [ ("Motor:", "Runs well, walks up and down stairs, 1 step at a time; opens doors; climbs on furniture; jumps"), ("Adaptive:", "Makes tower of 7 cubes (6 at 21 mo); scribbles in circular pattern; imitates horizontal stroke; folds paper once imitatively"), ("Language:", "Puts 3 words together (subject, verb, object)"), ("Social:", "Handles spoon well; often tells about immediate experiences; helps to undress; listens to stories when shown pictures"), ("Red Flag:", "Not walking (females); no 2-word phrases — Harriet Lane Handbook"), ], Inches(0.25)), ("30 MONTHS", [ ("Motor:", "Goes up stairs alternating feet"), ("Adaptive:", "Makes tower of 9 cubes; makes vertical and horizontal strokes, but generally will not join them to make cross; imitates circular stroke, forming closed figure"), ("Language:", "Refers to self by pronoun \"I\"; knows full name"), ("Social:", "Helps put things away; pretends in play"), ], Inches(6.8)), ]: add_rect(sl, x, Inches(1.2), Inches(6.3), Inches(5.9), NAVY) add_text(sl, title, x + Inches(0.1), Inches(1.25), Inches(6.1), Inches(0.45), font_size=16, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, x, Inches(1.65), Inches(6.3), Inches(5.45), WHITE) y = Inches(1.72) for cat, content in items: col = RGBColor(0xCC, 0x00, 0x00) if cat == "Red Flag:" else NAVY add_text(sl, cat, x + Inches(0.12), y, Inches(1.2), Inches(0.42), font_size=10.5, bold=True, color=col) add_text(sl, content, x + Inches(1.3), y, Inches(4.85), Inches(0.8), font_size=9.5, color=DARK_TEXT) y += Inches(0.82) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 9 — 36 MO, 48 MO # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), ORANGE) add_text(sl, "Emerging Patterns — 36 & 48 Months", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=26, bold=True, color=WHITE) add_text(sl, "Slide 9", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=WHITE) for title, items, x in [ ("36 MONTHS (3 YEARS)", [ ("Motor:", "Rides tricycle; stands momentarily on 1 foot"), ("Adaptive:", "Makes tower of 10 cubes; imitates construction of \"bridge\" of 3 cubes; copies circle; imitates cross"), ("Language:", "Knows age and sex; counts 3 objects correctly; repeats 3 numbers or a sentence of 6 syllables; most of speech intelligible to strangers"), ("Social:", "Plays simple games (in \"parallel\" with other children); helps in dressing (unbuttons clothing and puts on shoes); washes hands"), ], Inches(0.25)), ("48 MONTHS (4 YEARS)", [ ("Motor:", "Hops on 1 foot; throws ball overhand; uses scissors to cut out pictures; climbs well"), ("Adaptive:", "Copies bridge from model; imitates construction of \"gate\" of 5 cubes; copies cross and square; draws man with 2-4 parts besides head; identifies longer of 2 lines"), ("Language:", "Counts 4 pennies accurately; tells story"), ("Social:", "Plays with several children, with beginning of social interaction and role-playing; goes to toilet alone"), ], Inches(6.8)), ]: add_rect(sl, x, Inches(1.2), Inches(6.3), Inches(5.9), ORANGE) add_text(sl, title, x + Inches(0.1), Inches(1.25), Inches(6.1), Inches(0.45), font_size=14, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, x, Inches(1.65), Inches(6.3), Inches(5.45), WHITE) y = Inches(1.72) for cat, content in items: add_text(sl, cat, x + Inches(0.12), y, Inches(1.2), Inches(0.42), font_size=10.5, bold=True, color=ORANGE) add_text(sl, content, x + Inches(1.3), y, Inches(4.85), Inches(0.8), font_size=9.5, color=DARK_TEXT) y += Inches(0.85) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 10 — 60 MO & School Age # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), NAVY) add_text(sl, "60 Months (5 Years) & School-Age Development (5–12 Years)", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=23, bold=True, color=WHITE) add_text(sl, "Slide 10", W - Inches(1.2), Inches(0.25), Inches(1.0), Inches(0.5), font_size=11, color=TEAL_LIGHT) # 60 MO box add_rect(sl, Inches(0.25), Inches(1.2), Inches(6.3), Inches(3.6), NAVY) add_text(sl, "60 MONTHS (5 YEARS)", Inches(0.35), Inches(1.25), Inches(6.1), Inches(0.45), font_size=14, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, Inches(0.25), Inches(1.65), Inches(6.3), Inches(3.15), WHITE) items_60 = [ ("Motor:", "Skips"), ("Adaptive:", "Draws triangle from copy; names heavier of 2 weights"), ("Language:", "Names 4 colors; repeats sentence of 10 syllables; counts 10 pennies correctly"), ("Social:", "Dresses and undresses; asks questions about meaning of words; engages in domestic role-playing"), ] y = Inches(1.72) for cat, content in items_60: add_text(sl, cat, Inches(0.37), y, Inches(1.2), Inches(0.4), font_size=10.5, bold=True, color=NAVY) add_text(sl, content, Inches(1.55), y, Inches(4.85), Inches(0.58), font_size=9.5, color=DARK_TEXT) y += Inches(0.63) # School age box (from Kaplan & Sadock) add_rect(sl, Inches(0.25), Inches(4.95), Inches(6.3), Inches(2.15), TEAL) add_text(sl, "SCHOOL AGE (From Kaplan & Sadock's Synopsis of Psychiatry)", Inches(0.35), Inches(5.0), Inches(6.1), Inches(0.5), font_size=11, bold=True, color=WHITE, align=PP_ALIGN.CENTER) add_rect(sl, Inches(0.25), Inches(5.45), Inches(6.3), Inches(1.65), WHITE) school_items = [ ("Language:", "Complex ideas; logical expression; uses future tense (\"I will...\")"), ("Cognitive:", "Counts to 10; names colors and numbers; copies triangle; draws person with 6 body parts"), ("Motor:", "Skips; hops; rides bicycle (with training wheels); uses fork/knife/spoon"), ("Social:", "Follows rules, takes turns; sings/dances/acts; does simple chores"), ] y = Inches(5.52) for cat, content in school_items: add_text(sl, cat, Inches(0.37), y, Inches(1.2), Inches(0.35), font_size=10, bold=True, color=TEAL) add_text(sl, content, Inches(1.55), y, Inches(4.85), Inches(0.5), font_size=9, color=DARK_TEXT) y += Inches(0.43) # Right side: Gross & Fine Motor milestone tables add_rect(sl, Inches(6.8), Inches(1.2), Inches(6.2), Inches(5.9), WHITE, GRAY_MID, 0.5) add_text(sl, "Key Gross Motor Milestones (Age in Months)", Inches(6.9), Inches(1.25), Inches(6.0), Inches(0.4), font_size=12, bold=True, color=NAVY) gm = [ ("2 mo", "Holds head steady while sitting"), ("3 mo", "Pulls to sit with no head lag; brings hands to midline"), ("4 mo", "ATNR gone; can inspect hands in midline"), ("6 mo", "Sits without support"), ("6.5 mo", "Rolls back to stomach"), ("12 mo", "Walks alone (range: 9–15 months)"), ("16 mo", "Runs"), ] y = Inches(1.7) for age, milestone in gm: bg = TEAL_LIGHT if gm.index((age,milestone)) % 2 == 0 else WHITE add_rect(sl, Inches(6.9), y, Inches(5.9), Inches(0.38), bg) add_text(sl, age, Inches(7.0), y + Inches(0.03), Inches(0.9), Inches(0.35), font_size=9.5, bold=True, color=TEAL) add_text(sl, milestone, Inches(7.9), y + Inches(0.03), Inches(4.7), Inches(0.38), font_size=9.5, color=DARK_TEXT) y += Inches(0.4) add_text(sl, "Key Fine Motor Milestones", Inches(6.9), y + Inches(0.05), Inches(6.0), Inches(0.4), font_size=12, bold=True, color=NAVY) y += Inches(0.5) fm = [ ("3.5 mo", "Grasps rattle"), ("4 mo", "Reaches for objects; palmar grasp gone"), ("5.5 mo", "Transfers object hand to hand"), ("8 mo", "Thumb-finger grasp"), ("12 mo", "Turns pages of book"), ("13 mo", "Scribbles"), ("15 mo", "Builds tower of 2 cubes"), ("22 mo", "Builds tower of 6 cubes"), ] for age, milestone in fm: bg = TEAL_LIGHT if fm.index((age,milestone)) % 2 == 0 else WHITE add_rect(sl, Inches(6.9), y, Inches(5.9), Inches(0.38), bg) add_text(sl, age, Inches(7.0), y + Inches(0.03), Inches(0.9), Inches(0.35), font_size=9.5, bold=True, color=TEAL) add_text(sl, milestone, Inches(7.9), y + Inches(0.03), Inches(4.7), Inches(0.38), font_size=9.5, color=DARK_TEXT) y += Inches(0.4) print(f"Slides built so far: {len(prs.slides)}") prs.save("/tmp/workspace/final-ppt/ppt_part1.pptx") print("Part 1 saved.") PYEOF

python3 << 'PYEOF' from pptx import Presentation from pptx.util import Inches, Pt, Emu from pptx.dml.color import RGBColor from pptx.enum.text import PP_ALIGN prs = Presentation("/tmp/workspace/final-ppt/ppt_part1.pptx") W = prs.slide_width H = prs.slide_height NAVY = RGBColor(0x1B, 0x3A, 0x6B) TEAL = RGBColor(0x0E, 0x7C, 0x86) TEAL_LIGHT = RGBColor(0xD4, 0xF1, 0xF4) ORANGE = RGBColor(0xF0, 0x8C, 0x00) WHITE = RGBColor(0xFF, 0xFF, 0xFF) DARK_TEXT = RGBColor(0x1A, 0x1A, 0x2E) GRAY_LIGHT = RGBColor(0xF2, 0xF4, 0xF8) GRAY_MID = RGBColor(0xCC, 0xD6, 0xE0) RED = RGBColor(0xCC, 0x00, 0x00) def set_bg_color(slide, rgb): bg = slide.background; fill = bg.fill; fill.solid(); fill.fore_color.rgb = rgb def add_rect(slide, left, top, width, height, fill_rgb, line_rgb=None, line_width=0): shape = slide.shapes.add_shape(1, left, top, width, height) shape.fill.solid(); shape.fill.fore_color.rgb = fill_rgb if line_rgb: shape.line.color.rgb = line_rgb; shape.line.width = Pt(line_width) else: shape.line.fill.background() return shape def add_text(slide, text, left, top, width, height, font_name='Calibri', font_size=16, bold=False, italic=False, color=WHITE, align=PP_ALIGN.LEFT, wrap=True): txBox = slide.shapes.add_textbox(left, top, width, height) tf = txBox.text_frame; tf.word_wrap = wrap p = tf.paragraphs[0]; p.alignment = align run = p.add_run(); run.text = text run.font.name = font_name; run.font.size = Pt(font_size) run.font.bold = bold; run.font.italic = italic; run.font.color.rgb = color return txBox SLD = lambda: prs.slide_layouts[6] # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 11 — Cognitive & Language Milestones # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), TEAL) add_text(sl, "Cognitive & Communication/Language Milestones", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=25, bold=True, color=WHITE) add_text(sl, "Slide 11", W - Inches(1.2), Inches(0.25), Inches(1), Inches(0.5), font_size=11, color=WHITE) # Left: Cognitive add_rect(sl, Inches(0.25), Inches(1.2), Inches(6.3), Inches(0.4), NAVY) add_text(sl, "COGNITIVE MILESTONES", Inches(0.35), Inches(1.22), Inches(6.1), Inches(0.38), font_size=13, bold=True, color=WHITE, align=PP_ALIGN.CENTER) cog = [ ("2 mo", "Stares at spot where object disappeared — lack of object permanence"), ("4 mo", "Stares at own hand — self-discovery, cause and effect"), ("8 mo", "Bangs 2 cubes — active comparison of objects"), ("8 mo", "Uncovers toy (after seeing it hidden) — object permanence"), ("12 mo", "Egocentric symbolic play (e.g., pretends to drink from cup) — beginning symbolic thought"), ("17 mo", "Uses stick to reach toy — able to link actions to solve problems"), ("17 mo", "Pretend play with doll (e.g., gives doll bottle) — symbolic thought"), ] y = Inches(1.65) for age, milestone in cog: bg = TEAL_LIGHT if cog.index((age,milestone)) % 2 == 0 else WHITE add_rect(sl, Inches(0.25), y, Inches(6.3), Inches(0.52), bg) add_text(sl, age, Inches(0.35), y+Inches(0.05), Inches(0.85), Inches(0.45), font_size=9.5, bold=True, color=TEAL) add_text(sl, milestone, Inches(1.2), y+Inches(0.05), Inches(5.2), Inches(0.5), font_size=9, color=DARK_TEXT) y += Inches(0.54) # Right: Language add_rect(sl, Inches(6.8), Inches(1.2), Inches(6.2), Inches(0.4), NAVY) add_text(sl, "COMMUNICATION & LANGUAGE MILESTONES", Inches(6.9), Inches(1.22), Inches(6.0), Inches(0.38), font_size=12, bold=True, color=WHITE, align=PP_ALIGN.CENTER) lang = [ ("1.5 mo", "Smiles in response to face, voice — more active social participant"), ("6 mo", "Monosyllabic babble — experimentation with sound"), ("7 mo", "Inhibits to \"no\" — response to tone (nonverbal)"), ("7 mo", "Follows one-step command with gesture — nonverbal communication"), ("10 mo", "Follows one-step command without gesture — verbal receptive language"), ("10 mo", "Says \"mama\" or \"dada\" — expressive language"), ("10 mo", "Points to objects — interactive communication"), ("12 mo", "Speaks first real word — beginning of labeling"), ("15 mo", "Speaks 4-6 words — acquisition of object and personal names"), ("18 mo", "Speaks 10-15 words; acquisition of object and personal names"), ("19 mo", "Speaks 2-word sentences (e.g., \"Mommy shoe\") — beginning grammatization; 50-word vocabulary"), ] y = Inches(1.65) for age, milestone in lang: bg = TEAL_LIGHT if lang.index((age,milestone)) % 2 == 0 else WHITE add_rect(sl, Inches(6.8), y, Inches(6.2), Inches(0.48), bg) add_text(sl, age, Inches(6.9), y+Inches(0.04), Inches(0.9), Inches(0.42), font_size=9.5, bold=True, color=TEAL) add_text(sl, milestone, Inches(7.8), y+Inches(0.04), Inches(5.0), Inches(0.45), font_size=8.5, color=DARK_TEXT) y += Inches(0.5) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 12 — Primitive Reflexes Table # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), NAVY) add_text(sl, "Primitive Reflexes — Appears & Disappears", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=28, bold=True, color=WHITE) add_text(sl, "Slide 12", W - Inches(1.2), Inches(0.25), Inches(1), Inches(0.5), font_size=11, color=TEAL_LIGHT) headers = ["REFLEX", "APPEARS", "DISAPPEARS"] rows_ref = [ ["Rooting", "Birth", "3–4 months"], ["Moro (startle)", "Birth", "4 months"], ["Grasp (palmar)", "Birth", "4 months"], ["Tonic neck (ATNR)", "Birth", "4–6 months"], ["Babinski", "Birth", "12 months"], ["Parachute reaction", "8–9 months","Persists lifelong"], ] col_w = [Inches(5.5), Inches(3.0), Inches(3.0)] tbl = sl.shapes.add_table(len(rows_ref)+1, 3, Inches(1.0), Inches(1.3), sum(col_w), Inches(3.6)) tbl.table.columns[0].width = col_w[0] tbl.table.columns[1].width = col_w[1] tbl.table.columns[2].width = col_w[2] for c, h in enumerate(headers): cell = tbl.table.cell(0, c) cell.text = h; cell.fill.solid(); cell.fill.fore_color.rgb = NAVY p = cell.text_frame.paragraphs[0]; p.alignment = PP_ALIGN.CENTER run = p.runs[0]; run.font.bold = True; run.font.size = Pt(13); run.font.color.rgb = WHITE for r, row in enumerate(rows_ref): bg = TEAL_LIGHT if r % 2 == 0 else WHITE for c, val in enumerate(row): cell = tbl.table.cell(r+1, c) cell.text = val; cell.fill.solid(); cell.fill.fore_color.rgb = bg p = cell.text_frame.paragraphs[0]; p.alignment = PP_ALIGN.CENTER run = p.runs[0]; run.font.size = Pt(12) if c == 0: run.font.bold = True; run.font.color.rgb = NAVY add_text(sl, "Source: Harriet Lane Handbook, Table 9.4 (based on AAP guidelines)", Inches(1.0), Inches(5.1), Inches(8), Inches(0.4), font_size=10, italic=True, color=RGBColor(0x55,0x55,0x77)) # AAP Screening reminder add_rect(sl, Inches(0.5), Inches(5.5), Inches(12.3), Inches(1.6), TEAL) add_text(sl, "AAP Developmental Screening Recommendation", Inches(0.7), Inches(5.55), Inches(12), Inches(0.45), font_size=13, bold=True, color=WHITE) add_text(sl, "Formal developmental screening is recommended at 9 months, 18 months, and 30 months " "(or 24 months if the 30-month visit is not feasible). Developmental surveillance should occur at every well-child visit.", Inches(0.7), Inches(5.95), Inches(12), Inches(1.0), font_size=11, color=WHITE) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 13 — Red Flags # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), RED) add_text(sl, "Table 16-3: Red Flags in Developmental Screening & Surveillance", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=22, bold=True, color=WHITE) add_text(sl, "Slide 13", W - Inches(1.2), Inches(0.25), Inches(1), Inches(0.5), font_size=11, color=WHITE) add_text(sl, "These indicators suggest that development is seriously disordered and that the child should be promptly referred to a developmental or community pediatrician.", Inches(0.3), Inches(1.15), Inches(12.7), Inches(0.6), font_size=11, italic=True, color=RGBColor(0x44,0x44,0x55)) # Left: Positive indicators add_rect(sl, Inches(0.25), Inches(1.8), Inches(6.3), Inches(0.45), RED) add_text(sl, "POSITIVE INDICATORS (Presence of ANY of the following)", Inches(0.35), Inches(1.82), Inches(6.1), Inches(0.42), font_size=11.5, bold=True, color=WHITE) positive = [ "Loss of developmental skills at any age", "Parental or professional concerns about vision, fixing, or following an object or a confirmed visual impairment at any age (simultaneous referral to pediatric ophthalmology)", "Hearing loss at any age (simultaneous referral for expert audiologic or ENT assessment)", "Persistently low muscle tone or floppiness", "No speech by 18 months, especially if the child does not try to communicate by other means such as gestures (simultaneous referral for urgent hearing test)", "Asymmetry of movements or features suggestive of cerebral palsy, such as increased muscle tone", "Persistent toe walking", "Complex disabilities", "Head circumference above 99.6th centile or below 0.4th centile, or crossed 2 centiles (up or down)", "An assessing clinician who is uncertain about any aspect of assessment but thinks development may be disordered", ] y = Inches(2.3) for item in positive: add_text(sl, f"▪ {item}", Inches(0.35), y, Inches(6.1), Inches(0.58), font_size=9, color=DARK_TEXT) y += Inches(0.46) # Right: Negative indicators add_rect(sl, Inches(6.8), Inches(1.8), Inches(6.2), Inches(0.45), NAVY) add_text(sl, "NEGATIVE INDICATORS (Activities child CANNOT do)", Inches(6.9), Inches(1.82), Inches(6.0), Inches(0.42), font_size=11.5, bold=True, color=WHITE) negative = [ "Sit unsupported by 12 months", "Walk by 18 months (boys) or 2 years (girls) — check creatine kinase urgently", "Walk other than on tiptoes", "Run by 2.5 years", "Hold object placed in hand by 5 months (corrected for gestation)", "Reach for objects by 6 months (corrected for gestation)", "Point at objects to share interest with others by 2 years", ] y = Inches(2.3) for item in negative: add_text(sl, f"▪ {item}", Inches(6.9), y, Inches(6.0), Inches(0.58), font_size=10, color=DARK_TEXT) y += Inches(0.55) add_rect(sl, Inches(6.8), y + Inches(0.1), Inches(6.2), Inches(0.45), ORANGE) add_text(sl, "Ages 0–3: Refer to Early Intervention services. Special attention at 4–5 yr visit (before school entry) — Harriet Lane Handbook", Inches(6.9), y + Inches(0.12), Inches(6.0), Inches(0.55), font_size=9.5, bold=True, color=WHITE) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 14 — Table 13-1: Perceptual, Cognitive, Language Processes # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), NAVY) add_text(sl, "Table 13-1: Perceptual, Cognitive & Language Processes for Elementary School Success", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=21, bold=True, color=WHITE) add_text(sl, "Slide 14", W - Inches(1.2), Inches(0.25), Inches(1), Inches(0.5), font_size=11, color=TEAL_LIGHT) headers = ["PROCESS", "DESCRIPTION", "ASSOCIATED PROBLEMS"] section_data = [ ("PERCEPTUAL", [ ("Visual analysis", "Ability to break a complex figure into components and understand their spatial relationships", "Persistent letter confusion (e.g., between b, d, and g); difficulty with basic reading and writing and limited \"sight\" vocabulary"), ("Proprioception and motor control", "Ability to obtain information about body position by feel and unconsciously program complex movements", "Poor handwriting, requiring inordinate effort, often with overly tight pencil grasp; special difficulty with timed tasks"), ("Phonologic processing", "Ability to perceive differences between similar sounding words and to break down words into constituent sounds", "Delayed receptive language skill; attention and behavior problems secondary to not understanding directions; delayed acquisition of letter-sound correlations (phonetics)"), ]), ("COGNITIVE", [ ("Long-term memory, both storage and recall", "Ability to acquire skills that are \"automatic\" (i.e., accessible without conscious thought)", "Delayed mastery of the alphabet (reading and writing letters); slow handwriting; inability to progress beyond basic mathematics"), ("Selective attention", "Ability to attend to important stimuli and ignore distractions", "Difficulty following multistep instructions, completing assignments, and behaving well; problems with peer interaction"), ("Sequencing", "Ability to remember things in order; facility with time concepts", "Difficulty organizing assignments, planning, spelling, and telling time"), ]), ("LANGUAGE", [ ("Receptive language", "Ability to comprehend complex constructions, function words (e.g., if, when, only, except), nuances of speech, and extended blocks of language (e.g., paragraphs)", "Difficulty following directions; wandering attention during lessons and stories; problems with reading comprehension; problems with peer relationships"), ("Expressive language", "Ability to recall required words effortlessly (word finding), control meanings by varying position and word endings, and construct meaningful paragraphs and stories", "Difficulty expressing feelings and using words for self-defense, with resulting frustration and physical acting out; struggling during \"circle time\" and in language-based subjects (e.g., English)"), ]), ] col_w = [Inches(3.2), Inches(4.6), Inches(5.1)] y_start = Inches(1.25) current_y = y_start for section_name, rows in section_data: # Section header row add_rect(sl, Inches(0.25), current_y, sum(col_w), Inches(0.35), TEAL) add_text(sl, section_name, Inches(0.35), current_y + Inches(0.03), Inches(12), Inches(0.32), font_size=11, bold=True, color=WHITE) current_y += Inches(0.35) for proc, desc, probs in rows: row_h = Inches(0.74) bg = TEAL_LIGHT if rows.index((proc,desc,probs)) % 2 == 0 else WHITE add_rect(sl, Inches(0.25), current_y, sum(col_w), row_h, bg) add_text(sl, proc, Inches(0.35), current_y + Inches(0.04), col_w[0] - Inches(0.15), row_h, font_size=9, bold=True, color=NAVY) add_text(sl, desc, Inches(0.25) + col_w[0], current_y + Inches(0.04), col_w[1] - Inches(0.1), row_h, font_size=8.5, color=DARK_TEXT) add_text(sl, probs, Inches(0.25) + col_w[0] + col_w[1], current_y + Inches(0.04), col_w[2] - Inches(0.1), row_h, font_size=8.5, color=DARK_TEXT) current_y += row_h add_text(sl, "Source: Nelson Textbook of Pediatrics (Table 13-1)", Inches(0.3), current_y + Inches(0.05), Inches(8), Inches(0.4), font_size=10, italic=True, color=RGBColor(0x55,0x55,0x77)) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 15 — Developmental Theories # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, GRAY_LIGHT) add_rect(sl, 0, 0, W, Inches(1.1), TEAL) add_text(sl, "Developmental Theories Relevant to Pediatrics", Inches(0.3), Inches(0.1), Inches(12.5), Inches(0.9), font_size=26, bold=True, color=WHITE) add_text(sl, "Slide 15", W - Inches(1.2), Inches(0.25), Inches(1), Inches(0.5), font_size=11, color=WHITE) theories = [ ("Piaget", "Cognitive Development Theory", "Sensorimotor (0–2 yr): Explores world through senses and actions\n" "Pre-operational (2–7 yr): Symbolic thinking, language; egocentric\n" "Concrete operational (7–11 yr): Logical thinking about concrete objects\n" "Formal operational (12 yr+): Abstract reasoning"), ("Erikson", "Psychosocial Development Theory", "Trust vs. Mistrust (0–1 yr)\n" "Autonomy vs. Shame & Doubt (1–3 yr)\n" "Initiative vs. Guilt (3–6 yr)\n" "Industry vs. Inferiority (6–12 yr)\n" "Identity vs. Role Confusion (12–18 yr)"), ("Freud", "Psychosexual Development Theory", "Oral (0–1.5 yr): Feeding\n" "Anal (1.5–3 yr): Toilet training\n" "Phallic (3–6 yr): Oedipus/Electra complex\n" "Latency (6–12 yr): Social skills\n" "Genital (12 yr+): Sexual maturity"), ("Vygotsky", "Sociocultural Theory", "Zone of Proximal Development (ZPD): Gap between what child can do independently vs. with help\n" "Scaffolding: Support provided by adults or peers\n" "Language as a tool for cognitive development"), ] # Column layout: header row across full width, then 2x2 grid header_data = [["THEORIST", "THEORY", "KEY STAGES RELEVANT TO PEDIATRICS"]] col_w_th = [Inches(2.0), Inches(3.5), Inches(7.5)] tbl = sl.shapes.add_table(1, 3, Inches(0.25), Inches(1.25), sum(col_w_th), Inches(0.45)) tbl.table.columns[0].width = col_w_th[0] tbl.table.columns[1].width = col_w_th[1] tbl.table.columns[2].width = col_w_th[2] for c, h in enumerate(["THEORIST", "THEORY", "KEY STAGES RELEVANT TO PEDIATRICS"]): cell = tbl.table.cell(0, c); cell.text = h cell.fill.solid(); cell.fill.fore_color.rgb = NAVY p = cell.text_frame.paragraphs[0]; p.alignment = PP_ALIGN.CENTER run = p.runs[0]; run.font.bold = True; run.font.size = Pt(12); run.font.color.rgb = WHITE colors_th = [TEAL, ORANGE, NAVY, RGBColor(0x5C, 0x40, 0xA0)] y = Inches(1.75) for i, (theorist, theory, stages) in enumerate(theories): row_h = Inches(1.35) bg = TEAL_LIGHT if i % 2 == 0 else WHITE add_rect(sl, Inches(0.25), y, sum(col_w_th), row_h, bg) add_text(sl, theorist, Inches(0.35), y + Inches(0.1), col_w_th[0] - Inches(0.15), row_h, font_size=13, bold=True, color=colors_th[i]) add_text(sl, theory, Inches(0.25) + col_w_th[0] + Inches(0.05), y + Inches(0.05), col_w_th[1] - Inches(0.15), row_h, font_size=10.5, bold=True, color=DARK_TEXT) add_text(sl, stages, Inches(0.25) + col_w_th[0] + col_w_th[1] + Inches(0.05), y + Inches(0.05), col_w_th[2] - Inches(0.15), row_h, font_size=9.5, color=DARK_TEXT) y += row_h add_text(sl, "Sources: Kaplan & Sadock's Synopsis of Psychiatry; Harriet Lane Handbook", Inches(0.3), y + Inches(0.05), Inches(10), Inches(0.4), font_size=10, italic=True, color=RGBColor(0x55,0x55,0x77)) # ══════════════════════════════════════════════════════════════════════════════ # SLIDE 16 — Summary / Key Takeaways # ══════════════════════════════════════════════════════════════════════════════ sl = prs.slides.add_slide(SLD()) set_bg_color(sl, NAVY) add_rect(sl, 0, 0, W, Inches(0.12), ORANGE) add_rect(sl, 0, H - Inches(0.12), W, Inches(0.12), TEAL) add_text(sl, "Key Takeaways", Inches(0.5), Inches(0.3), Inches(12), Inches(0.9), font_size=32, bold=True, color=WHITE, align=PP_ALIGN.CENTER) takeaways = [ ("Development is predictable but variable", "Milestones follow a cephalocaudal and proximodistal sequence; timing varies among children."), ("Domains are interlinked", "Motor, language, cognitive, social/emotional, and adaptive skills all develop together and influence each other."), ("Surveillance at every visit", "AAP recommends formal screening at 9, 18, and 30 months. Any concerns warrant prompt referral."), ("Primitive reflexes guide assessment", "Persistence of primitive reflexes beyond expected age is a red flag for neurological concerns."), ("Red flags require action", "Loss of skills, absent speech by 18 months, asymmetric movements, or failure to walk — refer immediately."), ("Theories inform practice", "Piaget, Erikson, Freud, and Vygotsky all contribute frameworks for understanding child behavior and learning."), ] colors_tk = [TEAL, ORANGE, TEAL, ORANGE, RED, TEAL] x_positions = [Inches(0.4), Inches(6.8)] y_positions = [Inches(1.3), Inches(2.7), Inches(4.1)] for i, (title, desc) in enumerate(takeaways): x = x_positions[i % 2] y = y_positions[i // 2] add_rect(sl, x, y, Inches(5.9), Inches(1.25), colors_tk[i]) add_text(sl, title, x + Inches(0.1), y + Inches(0.08), Inches(5.7), Inches(0.45), font_size=13, bold=True, color=WHITE) add_text(sl, desc, x + Inches(0.1), y + Inches(0.5), Inches(5.7), Inches(0.7), font_size=10.5, color=WHITE) add_text(sl, "Normal Development in Children — Stages and Milestones | Compiled from Nelson, Harriet Lane Handbook & Kaplan-Sadock", Inches(0.5), Inches(5.7), Inches(12.3), Inches(0.5), font_size=9.5, italic=True, color=GRAY_MID, align=PP_ALIGN.CENTER) import os output_path = "/tmp/workspace/final-ppt/Normal_Development_Children.pptx" prs.save(output_path) print(f"Final PPT saved: {output_path}") print(f"Total slides: {len(prs.slides)}") print(f"File size: {os.path.getsize(output_path):,} bytes") PYEOF