Orris

Make a ppt on nutrition in PIH with appropriate diagram and pictures using recent guidelines

Reading File
Reading File
Reading File
Finding Sources
Finding Sources
Searching PubMed

"preeclampsia" AND "nutrition" AND "management"

Searching the Web

nutrition in PIH preeclampsia 2024 2025 guidelines calcium magnesium vitamin D diet

Finding Sources
Reading Web Page

https://www.pnfs.or.kr/journal/view.html?uid=1642&vmd=Full

Searching PubMed

"calcium supplementation" AND "preeclampsia" AND prevention

Finding Sources
Finding Sources
Reading File
Reading File
Running Command

ls /home/daytona/workspace/ 2>/dev/null || mkdir -p /home/daytona/workspace/pih-…

Running Command

mkdir -p /home/daytona/workspace/pih-nutrition-ppt && ls /home/daytona/workspace…

Writing File

~/pih-nutrition-ppt/create_ppt.js

const pptxgen = require("pptxgenjs");

let pres = new pptxgen();
pres.layout = "LAYOUT_16x9";
pres.title = "Nutrition in Pregnancy-Induced Hypertension (PIH)";
pres.author = "Clinical Nutrition Team";

// ─── THEME ─────────────────────────────────────────────────────────────────
const C = {
  navy:    "1A3A5C",   // dominant dark
  teal:    "1B7F8C",   // supporting mid
  sky:     "5BB8C8",   // accent light
  mint:    "D0F0EA",   // soft bg
  white:   "FFFFFF",
  offwht:  "F4F8FB",
  gold:    "E8A820",
  red:     "C0392B",
  txt:     "1A2A38",
  ltxt:    "4A6278",
};

// ─── HELPER: Add Section Header slide ───────────────────────────────────────
function sectionSlide(pres, title, sub) {
  let s = pres.addSlide();
  s.addShape(pres.ShapeType.rect, { x:0, y:0, w:10, h:5.625, fill:{color:C.navy} });
  s.addShape(pres.ShapeType.rect, { x:0, y:4.6, w:10, h:1.0, fill:{color:C.teal} });
  s.addText(title, { x:0.6, y:1.8, w:8.8, h:1.4, fontSize:34, bold:true, color:C.white, align:"center", fontFace:"Calibri" });
  if(sub) s.addText(sub, { x:1, y:3.2, w:8, h:0.8, fontSize:16, color:C.sky, align:"center", fontFace:"Calibri", italic:true });
  return s;
}

// ─── HELPER: Content slide with title bar ───────────────────────────────────
function contentSlide(pres, title) {
  let s = pres.addSlide();
  s.addShape(pres.ShapeType.rect, { x:0, y:0, w:10, h:0.9, fill:{color:C.navy} });
  s.addShape(pres.ShapeType.rect, { x:0, y:0.9, w:0.18, h:4.7, fill:{color:C.teal} });
  s.addShape(pres.ShapeType.rect, { x:0, y:5.25, w:10, h:0.375, fill:{color:C.sky} });
  s.addText(title, { x:0.3, y:0.08, w:9.4, h:0.75, fontSize:20, bold:true, color:C.white, valign:"middle", fontFace:"Calibri", margin:0 });
  s.addText("Nutrition in PIH | 2025 Guidelines", { x:0.3, y:5.27, w:9.4, h:0.3, fontSize:9, color:C.white, align:"right", fontFace:"Calibri", margin:0 });
  return s;
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 1 — TITLE
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = pres.addSlide();
  // Deep navy background
  s.addShape(pres.ShapeType.rect, { x:0, y:0, w:10, h:5.625, fill:{color:C.navy} });
  // Teal accent bar left
  s.addShape(pres.ShapeType.rect, { x:0, y:0, w:0.35, h:5.625, fill:{color:C.teal} });
  // Gold accent strip
  s.addShape(pres.ShapeType.rect, { x:0.35, y:2.4, w:9.65, h:0.07, fill:{color:C.gold} });
  // Bottom strip
  s.addShape(pres.ShapeType.rect, { x:0, y:5.1, w:10, h:0.525, fill:{color:C.teal} });

  s.addText("NUTRITION IN PIH", {
    x:0.6, y:0.5, w:9, h:1.3, fontSize:42, bold:true, color:C.white,
    align:"center", fontFace:"Calibri", charSpacing:3
  });
  s.addText("Pregnancy-Induced Hypertension", {
    x:0.6, y:1.75, w:9, h:0.65, fontSize:22, color:C.sky, align:"center", fontFace:"Calibri", italic:true
  });
  s.addText([
    { text:"Evidence-Based Dietary & Supplementation Strategies", options:{bold:false} }
  ], { x:0.6, y:2.55, w:9, h:0.7, fontSize:18, color:C.white, align:"center", fontFace:"Calibri" });

  s.addText("Based on WHO, ACOG & Recent 2024–2025 Guidelines", {
    x:0.6, y:3.35, w:9, h:0.5, fontSize:13, color:C.mint, align:"center", fontFace:"Calibri", italic:true
  });

  // Pill badges at bottom
  const badges = ["Calcium", "Vitamin D", "Magnesium", "Antioxidants", "Diet Pattern"];
  badges.forEach((b, i) => {
    s.addShape(pres.ShapeType.roundRect, { x:0.55 + i*1.84, y:4.15, w:1.65, h:0.45,
      fill:{color:C.teal}, line:{color:C.sky, width:1}, rectRadius:0.1 });
    s.addText(b, { x:0.55 + i*1.84, y:4.15, w:1.65, h:0.45,
      fontSize:10, color:C.white, align:"center", valign:"middle", fontFace:"Calibri", bold:true, margin:0 });
  });

  s.addText("Presented by: Clinical Nutrition & Obstetrics Team  |  July 2025", {
    x:0.4, y:5.12, w:9.2, h:0.38, fontSize:10, color:C.white, align:"center", fontFace:"Calibri", margin:0
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 2 — AGENDA
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Presentation Outline");
  const items = [
    ["01", "Overview of PIH / Preeclampsia",        "Definition, Classification & Epidemiology"],
    ["02", "Pathophysiology Relevant to Nutrition",  "Oxidative stress, endothelial dysfunction"],
    ["03", "Macronutrient Recommendations",          "Protein, calories, sodium, fluids"],
    ["04", "Key Micronutrients",                     "Calcium, Vitamin D, Magnesium, Iron, Zinc"],
    ["05", "Antioxidant Vitamins",                   "Vitamins C, E, Selenium, Folate"],
    ["06", "Dietary Patterns",                       "Mediterranean, DASH, whole-food approaches"],
    ["07", "Supplementation Guidelines",             "WHO/ACOG 2024–2025 recommendations"],
    ["08", "Foods to Encourage & Avoid",             "Practical plate guidance"],
    ["09", "Nutritional Monitoring",                 "Lab targets & clinical parameters"],
    ["10", "Key Takeaways & References",             "Evidence summary"],
  ];
  items.forEach((item, i) => {
    const col = i < 5 ? 0 : 1;
    const row = i < 5 ? i : i - 5;
    const x = col === 0 ? 0.35 : 5.3;
    const y = 1.05 + row * 0.82;

    s.addShape(pres.ShapeType.roundRect, { x:x, y:y, w:4.7, h:0.72, fill:{color:C.offwht}, line:{color:C.sky, width:1}, rectRadius:0.05 });
    s.addShape(pres.ShapeType.roundRect, { x:x, y:y, w:0.52, h:0.72, fill:{color:C.teal}, line:{color:C.teal, width:1}, rectRadius:0.05 });
    s.addText(item[0], { x:x, y:y, w:0.52, h:0.72, fontSize:12, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
    s.addText(item[1], { x:x+0.58, y:y+0.04, w:4.05, h:0.34, fontSize:11, bold:true, color:C.navy, fontFace:"Calibri", margin:0 });
    s.addText(item[2], { x:x+0.58, y:y+0.38, w:4.05, h:0.28, fontSize:9, color:C.ltxt, fontFace:"Calibri", italic:true, margin:0 });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 3 — PIH OVERVIEW
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Overview of PIH / Preeclampsia");

  // Left column: Classification box
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.05, w:4.4, h:3.8, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.05, w:4.4, h:0.42, fill:{color:C.navy} });
  s.addText("CLASSIFICATION (ACOG 2019)", { x:0.3, y:1.05, w:4.4, h:0.42, fontSize:11, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });

  const classRows = [
    ["Gestational HTN",    "BP ≥140/90 mmHg after 20 wks, NO proteinuria"],
    ["Preeclampsia",       "HTN + proteinuria (≥300 mg/24h) or end-organ damage"],
    ["Severe Features",    "BP ≥160/110, thrombocytopenia, renal/hepatic dysfunction, IUGR"],
    ["Eclampsia",          "Preeclampsia + new-onset seizures"],
    ["HELLP Syndrome",     "Hemolysis, Elevated LFTs, Low Platelets"],
    ["Chronic HTN in PG",  "HTN before 20 wks or pre-existing hypertension"],
  ];
  classRows.forEach((r, i) => {
    const bg = i % 2 === 0 ? C.white : "EEF5FB";
    s.addShape(pres.ShapeType.rect, { x:0.3, y:1.47+i*0.56, w:4.4, h:0.56, fill:{color:bg} });
    s.addShape(pres.ShapeType.rect, { x:0.3, y:1.47+i*0.56, w:1.5, h:0.56, fill:{color:"DCE8F2"} });
    s.addText(r[0], { x:0.32, y:1.47+i*0.56, w:1.48, h:0.56, fontSize:10, bold:true, color:C.navy, valign:"middle", margin:4 });
    s.addText(r[1], { x:1.82, y:1.47+i*0.56, w:2.86, h:0.56, fontSize:9, color:C.txt, valign:"middle", margin:4 });
  });

  // Right column: Key stats + diagnostic criteria
  s.addShape(pres.ShapeType.rect, { x:5.0, y:1.05, w:4.7, h:1.55, fill:{color:"1A3A5C"}, line:{color:C.teal, width:1} });
  s.addText("GLOBAL BURDEN", { x:5.05, y:1.08, w:4.6, h:0.35, fontSize:11, bold:true, color:C.gold, margin:4 });
  const stats = [
    ["5–10%", "of all pregnancies affected worldwide"],
    ["~76,000", "maternal deaths/year attributed to PE"],
    ["10–15%", "of all maternal mortality globally"],
  ];
  stats.forEach((st, i) => {
    s.addText(st[0], { x:5.05, y:1.45+i*0.37, w:1.1, h:0.35, fontSize:16, bold:true, color:C.gold, margin:4 });
    s.addText(st[1], { x:6.15, y:1.45+i*0.37, w:3.5, h:0.35, fontSize:10, color:C.white, valign:"middle", margin:2 });
  });

  // Diagnostic criteria box
  s.addShape(pres.ShapeType.rect, { x:5.0, y:2.75, w:4.7, h:2.1, fill:{color:C.offwht}, line:{color:C.teal, width:1} });
  s.addShape(pres.ShapeType.rect, { x:5.0, y:2.75, w:4.7, h:0.38, fill:{color:C.teal} });
  s.addText("DIAGNOSTIC CRITERIA (Preeclampsia)", { x:5.0, y:2.75, w:4.7, h:0.38, fontSize:10, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
  const diag = [
    "✔  BP ≥140/90 mmHg on 2 occasions ≥4h apart",
    "✔  After 20 weeks gestation in a previously normotensive woman",
    "✔  Proteinuria ≥300 mg/24h OR protein:creatinine ≥0.3",
    "✔  OR end-organ damage (no proteinuria required)",
  ];
  diag.forEach((d, i) => {
    s.addText(d, { x:5.1, y:3.15+i*0.38, w:4.5, h:0.36, fontSize:10, color:C.txt, margin:3 });
  });

  // Risk factors
  s.addShape(pres.ShapeType.rect, { x:5.0, y:4.9, w:4.7, h:0.35, fill:{color:C.navy} });
  s.addText("Risk Factors: Nulliparity • Obesity • DM • Multiple gestation • Prior PE • Age >35", {
    x:5.0, y:4.9, w:4.7, h:0.35, fontSize:9, color:C.sky, align:"center", valign:"middle", margin:3
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 4 — PATHOPHYSIOLOGY & NUTRITION LINK (diagram)
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Pathophysiology Relevant to Nutrition");

  // Title note
  s.addText("How nutritional deficiencies contribute to PIH pathogenesis", {
    x:0.3, y:0.95, w:9.4, h:0.3, fontSize:11, color:C.ltxt, italic:true, fontFace:"Calibri", margin:0
  });

  // Flow diagram boxes — top row
  const topBoxes = [
    { label:"Poor Nutrition\n(Ca²⁺, Vit D, Mg)", col:C.red, tx:C.white },
    { label:"↑ Oxidative\nStress", col:"8B2E2E", tx:C.white },
    { label:"Endothelial\nDysfunction", col:C.navy, tx:C.white },
    { label:"Impaired\nPlacentation", col:"2C5F6F", tx:C.white },
  ];
  topBoxes.forEach((b, i) => {
    s.addShape(pres.ShapeType.roundRect, { x:0.3+i*2.35, y:1.35, w:2.1, h:0.85, fill:{color:b.col}, rectRadius:0.1 });
    s.addText(b.label, { x:0.3+i*2.35, y:1.35, w:2.1, h:0.85, fontSize:11, bold:true, color:b.tx, align:"center", valign:"middle", margin:4 });
    if(i<3) {
      s.addText("→", { x:2.35+i*2.35, y:1.55, w:0.35, h:0.45, fontSize:20, color:C.gold, align:"center", valign:"middle", margin:0 });
    }
  });

  // Arrow down
  s.addText("↓", { x:4.75, y:2.2, w:0.5, h:0.4, fontSize:22, color:C.gold, align:"center", valign:"middle", margin:0 });

  // Centre box: PIH/Preeclampsia
  s.addShape(pres.ShapeType.roundRect, { x:3.4, y:2.6, w:3.2, h:0.75, fill:{color:C.red}, rectRadius:0.12 });
  s.addText("PIH / PREECLAMPSIA", { x:3.4, y:2.6, w:3.2, h:0.75, fontSize:14, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });

  // Consequence boxes below
  const consBoxes = [
    { label:"Vasoconstriction\n↑ BP", col:"1A3A5C" },
    { label:"Proteinuria\nRenal Damage", col:"1B7F8C" },
    { label:"IUGR /\nFetal Compromise", col:"5BB8C8" },
    { label:"HELLP /\nEclampsia", col:"C0392B" },
  ];
  consBoxes.forEach((b, i) => {
    s.addShape(pres.ShapeType.roundRect, { x:0.3+i*2.35, y:3.55, w:2.1, h:0.75, fill:{color:b.col}, rectRadius:0.08 });
    s.addText(b.label, { x:0.3+i*2.35, y:3.55, w:2.1, h:0.75, fontSize:10, bold:true, color:C.white, align:"center", valign:"middle", margin:4 });
    const cx = 0.3+i*2.35+1.05;
    s.addText("↑", { x:cx-0.2, y:3.35, w:0.4, h:0.22, fontSize:14, color:C.gold, align:"center", margin:0 });
  });

  // Nutrition intervention arrows
  s.addShape(pres.ShapeType.rect, { x:0.3, y:4.55, w:9.4, h:0.65, fill:{color:C.mint}, line:{color:C.teal, width:1} });
  s.addText("🛡  NUTRITIONAL INTERVENTIONS can interrupt this cascade at multiple points", {
    x:0.3, y:4.55, w:9.4, h:0.65, fontSize:12, bold:true, color:C.navy, align:"center", valign:"middle", margin:6
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 5 — MACRONUTRIENTS
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Macronutrient Recommendations in PIH");

  const macros = [
    {
      icon:"🥩", name:"PROTEIN", color:C.teal,
      recs:[
        "Intake: 60–75 g/day (1.1 g/kg/day minimum)",
        "Increased to 75–100 g/day with proteinuria",
        "Compensates for urinary protein losses",
        "Sources: lean meat, legumes, dairy, eggs, fish",
        "Avoid excessive protein (>2 g/kg) — no proven benefit",
      ]
    },
    {
      icon:"⚡", name:"CALORIES", color:"2C6E7F",
      recs:[
        "25–30 kcal/kg/day (non-obese)",
        "Obese women: 20–25 kcal/kg/day to limit excess weight gain",
        "Avoid both undernutrition and excess weight gain",
        "Gestational weight gain target: 5–9 kg (obese BMI >30)",
        "Monitor for IUGR if caloric restriction is applied",
      ]
    },
    {
      icon:"🧂", name:"SODIUM", color:"4A6278",
      recs:[
        "Moderate restriction: 2–3 g/day (not severe restriction)",
        "WHO: avoid <1.5 g/day — may cause electrolyte imbalance",
        "Severe restriction is NOT recommended in PIH",
        "Read labels; limit processed and fast foods",
        "DASH diet approach: 1.5–2.3 g/day sodium",
      ]
    },
    {
      icon:"💧", name:"FLUIDS", color:"1A7F8C",
      recs:[
        "Maintain adequate hydration: 2–2.5 L/day total fluid",
        "Severe PIH: careful fluid balance to avoid pulmonary edema",
        "Limit caffeine to <200 mg/day",
        "No routine fluid restriction in mild PIH",
        "Monitor for oliguria (<25 mL/hr) in severe disease",
      ]
    },
  ];

  macros.forEach((m, i) => {
    const x = i < 2 ? 0.3 : 5.15;
    const y = i % 2 === 0 ? 1.05 : 3.05;
    s.addShape(pres.ShapeType.rect, { x, y, w:4.55, h:1.9, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
    s.addShape(pres.ShapeType.rect, { x, y, w:4.55, h:0.45, fill:{color:m.color} });
    s.addText(m.icon + "  " + m.name, { x, y, w:4.55, h:0.45, fontSize:13, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
    s.addText(m.recs.map(r=>"• "+r).join("\n"), {
      x:x+0.08, y:y+0.48, w:4.38, h:1.38, fontSize:9.5, color:C.txt, valign:"top", fontFace:"Calibri", margin:4
    });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 6 — CALCIUM (MOST IMPORTANT)
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Calcium — The Most Evidence-Based Supplement");

  // Big highlight stat
  s.addShape(pres.ShapeType.roundRect, { x:0.3, y:1.05, w:9.4, h:0.72, fill:{color:C.navy}, rectRadius:0.08 });
  s.addText("Cochrane 2025: Calcium supplementation reduces risk of preeclampsia by ~55% and maternal death/serious morbidity by ~20%", {
    x:0.3, y:1.05, w:9.4, h:0.72, fontSize:11.5, bold:true, color:C.gold, align:"center", valign:"middle", margin:8
  });

  // Left: Mechanism
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.88, w:4.4, h:3.12, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.88, w:4.4, h:0.4, fill:{color:C.teal} });
  s.addText("MECHANISM OF ACTION", { x:0.3, y:1.88, w:4.4, h:0.4, fontSize:11, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });

  const mechs = [
    ["↓ Vasoconstriction", "Reduces smooth muscle contractility in uterine & umbilical arteries"],
    ["↑ Vasodilation", "Promotes prostacyclin synthesis → vasodilatory effect"],
    ["PTH Regulation", "Prevents secondary hyperparathyroidism → stable BP"],
    ["Cell signalling", "Regulates vascular tone via intracellular Ca²⁺ signalling"],
    ["Anti-inflammatory", "Modulates cytokine release and reduces placental oxidative stress"],
  ];
  mechs.forEach((m, i) => {
    s.addShape(pres.ShapeType.roundRect, { x:0.38, y:2.32+i*0.52, w:1.55, h:0.44, fill:{color:C.teal}, rectRadius:0.06 });
    s.addText(m[0], { x:0.38, y:2.32+i*0.52, w:1.55, h:0.44, fontSize:9.5, bold:true, color:C.white, align:"center", valign:"middle", margin:2 });
    s.addText(m[1], { x:1.98, y:2.32+i*0.52, w:2.65, h:0.44, fontSize:9, color:C.txt, valign:"middle", margin:3 });
  });

  // Right: Dosage + Food sources
  s.addShape(pres.ShapeType.rect, { x:5.0, y:1.88, w:4.7, h:1.55, fill:{color:"EAF6FF"}, line:{color:C.teal, width:1} });
  s.addShape(pres.ShapeType.rect, { x:5.0, y:1.88, w:4.7, h:0.4, fill:{color:C.navy} });
  s.addText("WHO / ACOG DOSAGE RECOMMENDATIONS", { x:5.0, y:1.88, w:4.7, h:0.4, fontSize:10, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
  const doseTbl = [
    ["Population", "Dose", "Timing"],
    ["Low dietary intake", "1.5–2 g/day", "From 20 wks → delivery"],
    ["High intake (>900 mg/day)", "500 mg–1 g/day", "From 20 wks → delivery"],
    ["High-risk women", "1.5–2 g/day", "From 12–16 wks"],
  ];
  doseTbl.forEach((row, ri) => {
    const isHdr = ri === 0;
    const bg = isHdr ? C.teal : (ri%2===0 ? C.white : "EEF5FB");
    const fc = isHdr ? C.white : C.txt;
    const fw = isHdr;
    row.forEach((cell, ci) => {
      const cx = 5.0 + ci*1.56 + (ci>0?0.02:0);
      const cw = ci===0?1.58 : ci===1?1.55:1.55;
      s.addShape(pres.ShapeType.rect, { x:cx, y:2.28+ri*0.29, w:cw, h:0.29, fill:{color:bg} });
      s.addText(cell, { x:cx+0.02, y:2.28+ri*0.29, w:cw-0.04, h:0.29, fontSize:9, bold:fw, color:fc, valign:"middle", margin:2 });
    });
  });

  // Food sources
  s.addShape(pres.ShapeType.rect, { x:5.0, y:3.52, w:4.7, h:1.48, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:5.0, y:3.52, w:4.7, h:0.38, fill:{color:C.teal} });
  s.addText("DIETARY CALCIUM SOURCES", { x:5.0, y:3.52, w:4.7, h:0.38, fontSize:10, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
  const foods = [
    ["Milk (250 mL)", "300 mg"],["Yoghurt (200 g)", "240 mg"],
    ["Cheese (30 g)", "200 mg"],["Tofu (100 g)", "350 mg"],
    ["Ragi (100 g)", "344 mg"],["Sesame seeds (30 g)", "270 mg"],
  ];
  foods.forEach((f, fi) => {
    const fc_x = 5.05 + (fi%2)*2.3;
    const fc_y = 3.95 + Math.floor(fi/2)*0.35;
    s.addText("🥛 " + f[0] + " — " + f[1], { x:fc_x, y:fc_y, w:2.25, h:0.3, fontSize:9, color:C.txt, margin:2 });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 7 — VITAMIN D, MAGNESIUM, IRON, ZINC
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Key Micronutrients in PIH");

  const micros = [
    {
      name:"VITAMIN D", icon:"☀️", col:C.gold, evidence:"Strong",
      dose:"1000–2000 IU/day; deficiency doubles PE risk (OR 2.11)",
      mech:"Immunomodulation, angiogenesis, trophoblast survival, anti-inflammatory",
      foods:"Sunlight • Fatty fish • Egg yolk • Fortified milk",
      note:"WHO: Screen & supplement; target 25-OHD >30 ng/mL",
    },
    {
      name:"MAGNESIUM", icon:"⚡", col:"2C8A6E", evidence:"Moderate",
      dose:"350–400 mg/day dietary; MgSO₄ IV for seizure prophylaxis",
      mech:"Vasodilatory, anti-platelet, Ca antagonist, reduces endothelial injury",
      foods:"Nuts • Seeds • Dark leafy greens • Legumes • Whole grains",
      note:"MgSO₄ remains gold standard for eclampsia seizure prevention",
    },
    {
      name:"IRON", icon:"🩸", col:"8B2E2E", evidence:"Moderate",
      dose:"30–60 mg elemental iron/day (WHO); Higher if anaemic",
      mech:"Prevents anaemia-induced trophoblast ischaemia; excess iron pro-oxidant",
      foods:"Red meat • Lentils • Spinach • Fortified cereals • Jaggery",
      note:"Monitor: excess supplementation may worsen oxidative stress in PE",
    },
    {
      name:"ZINC", icon:"🔵", col:"1A5C8C", evidence:"Limited",
      dose:"11 mg/day (RDA); consider 25 mg/day in deficient women",
      mech:"Antioxidant enzyme cofactor; endothelial protection; placental function",
      foods:"Oysters • Red meat • Pumpkin seeds • Legumes • Nuts",
      note:"Zinc deficiency associated with increased PE risk in some populations",
    },
  ];

  micros.forEach((m, i) => {
    const x = i < 2 ? 0.3 : 5.15;
    const y = i % 2 === 0 ? 1.05 : 3.08;
    s.addShape(pres.ShapeType.rect, { x, y, w:4.55, h:1.95, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
    s.addShape(pres.ShapeType.rect, { x, y, w:4.55, h:0.42, fill:{color:m.col} });
    // Evidence badge
    s.addShape(pres.ShapeType.roundRect, { x:x+3.5, y:y+0.06, w:0.9, h:0.28, fill:{color:C.white}, rectRadius:0.06 });
    s.addText(m.evidence, { x:x+3.5, y:y+0.06, w:0.9, h:0.28, fontSize:8, bold:true, color:m.col, align:"center", valign:"middle", margin:0 });
    s.addText(m.icon + "  " + m.name, { x, y, w:3.5, h:0.42, fontSize:13, bold:true, color:C.white, valign:"middle", margin:8 });
    s.addText("📏 Dose: " + m.dose, { x:x+0.08, y:y+0.46, w:4.38, h:0.32, fontSize:9.5, bold:true, color:C.navy, margin:2 });
    s.addText("⚙️ Mechanism: " + m.mech, { x:x+0.08, y:y+0.76, w:4.38, h:0.32, fontSize:9, color:C.txt, margin:2 });
    s.addText("🍽️ Foods: " + m.foods, { x:x+0.08, y:y+1.07, w:4.38, h:0.28, fontSize:9, color:C.ltxt, margin:2 });
    s.addShape(pres.ShapeType.rect, { x:x+0.08, y:y+1.4, w:4.3, h:0.46, fill:{color:C.mint}, line:{color:C.teal, width:1} });
    s.addText("💡 " + m.note, { x:x+0.1, y:y+1.4, w:4.28, h:0.46, fontSize:9, color:C.navy, valign:"middle", italic:true, margin:3 });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 8 — ANTIOXIDANT VITAMINS & FOLATE
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Antioxidant Vitamins, Selenium & Folate");

  // Header note
  s.addShape(pres.ShapeType.roundRect, { x:0.3, y:1.0, w:9.4, h:0.48, fill:{color:"FFF3DC"}, line:{color:C.gold, width:1}, rectRadius:0.06 });
  s.addText("⚠️  Vitamins C & E: Despite plausible mechanism, RCTs show NO significant reduction in PE risk — NOT routinely recommended (ACOG/WHO)", {
    x:0.3, y:1.0, w:9.4, h:0.48, fontSize:10, bold:true, color:"7B4A00", align:"center", valign:"middle", margin:4
  });

  const avits = [
    {
      name:"VITAMIN C", icon:"🍊", col:"E8A820",
      rda:"85 mg/day",
      role:"Antioxidant; regenerates Vit E; collagen synthesis",
      evidence:"Cochrane: Supplementation does NOT prevent PE (high-dose)",
      foods:"Citrus fruits, bell peppers, amla, guava, broccoli",
      note:"Ensure RDA met through diet; routine supplementation NOT recommended"
    },
    {
      name:"VITAMIN E", icon:"🌿", col:"2C8A6E",
      rda:"15 mg/day",
      role:"Lipid-soluble antioxidant; prevents membrane lipid peroxidation",
      evidence:"RCTs: High-dose Vit E does NOT reduce PE risk; may increase preterm birth",
      foods:"Nuts, seeds, vegetable oils, wheat germ, leafy greens",
      note:"Avoid supplementation beyond RDA; dietary intake is sufficient"
    },
    {
      name:"SELENIUM", icon:"🔬", col:"4A6278",
      rda:"60 µg/day in pregnancy",
      role:"Antioxidant enzyme (GPx) cofactor; anti-inflammatory; placental protection",
      evidence:"Selenium deficiency linked to PE; limited RCT evidence for supplementation",
      foods:"Brazil nuts, tuna, eggs, sunflower seeds, chicken",
      note:"Selenium supplementation may be considered in deficiency states"
    },
    {
      name:"FOLATE / FOLIC ACID", icon:"🟢", col:"1A7F8C",
      rda:"600 µg DFE/day; 5 mg/day if prior NTD",
      role:"Homocysteine regulation; endothelial protection; DNA methylation",
      evidence:"High homocysteine is PE risk factor; folate reduces homocysteine levels",
      foods:"Dark leafy greens, legumes, fortified cereals, liver",
      note:"400–5000 µg/day periconception → delivery; reduces NTD + possible PE risk"
    },
  ];

  avits.forEach((v, i) => {
    const x = i < 2 ? 0.3 : 5.15;
    const y = i % 2 === 0 ? 1.6 : 3.38;
    s.addShape(pres.ShapeType.rect, { x, y, w:4.55, h:1.7, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
    s.addShape(pres.ShapeType.rect, { x, y, w:4.55, h:0.4, fill:{color:v.col} });
    s.addText(v.icon + "  " + v.name + "   (RDA: " + v.rda + ")", { x, y, w:4.55, h:0.4, fontSize:11, bold:true, color:C.white, valign:"middle", margin:8 });
    s.addText("Role: " + v.role, { x:x+0.08, y:y+0.43, w:4.38, h:0.28, fontSize:9, bold:true, color:C.navy, margin:2 });
    s.addText("Evidence: " + v.evidence, { x:x+0.08, y:y+0.7, w:4.38, h:0.28, fontSize:9, color:C.txt, margin:2 });
    s.addText("Foods: " + v.foods, { x:x+0.08, y:y+0.98, w:4.38, h:0.28, fontSize:9, color:C.ltxt, margin:2 });
    s.addShape(pres.ShapeType.rect, { x:x+0.08, y:y+1.28, w:4.3, h:0.34, fill:{color:C.mint} });
    s.addText("💡 " + v.note, { x:x+0.1, y:y+1.28, w:4.28, h:0.34, fontSize:8.5, color:C.navy, italic:true, valign:"middle", margin:2 });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 9 — DIETARY PATTERNS (DASH + Mediterranean)
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Dietary Patterns for PIH Prevention & Management");

  // DASH diet
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.05, w:4.4, h:3.85, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.05, w:4.4, h:0.45, fill:{color:C.teal} });
  s.addText("🥗 DASH DIET", { x:0.3, y:1.05, w:4.4, h:0.45, fontSize:14, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });

  s.addText("Dietary Approaches to Stop Hypertension", { x:0.35, y:1.53, w:4.3, h:0.28, fontSize:10, italic:true, color:C.ltxt, margin:2 });
  const dashItems = [
    ["Fruits & Vegetables", "4–5 servings each per day"],
    ["Whole Grains", "6–8 servings/day"],
    ["Low-fat Dairy", "2–3 servings/day (calcium)"],
    ["Lean Protein", "≤6 oz/day (fish, poultry)"],
    ["Nuts & Seeds", "4–5 servings/week"],
    ["Sodium", "< 2.3 g/day (ideally 1.5 g)"],
    ["Saturated fat", "< 6% of total calories"],
  ];
  dashItems.forEach((d, i) => {
    const bg = i%2===0 ? C.white : "EEF5FB";
    s.addShape(pres.ShapeType.rect, { x:0.35, y:1.83+i*0.44, w:4.28, h:0.42, fill:{color:bg} });
    s.addText(d[0], { x:0.38, y:1.83+i*0.44, w:2.0, h:0.42, fontSize:10, bold:true, color:C.navy, valign:"middle", margin:3 });
    s.addText(d[1], { x:2.4, y:1.83+i*0.44, w:2.2, h:0.42, fontSize:10, color:C.txt, valign:"middle", margin:3 });
  });
  s.addShape(pres.ShapeType.rect, { x:0.3, y:4.72, w:4.4, h:0.18, fill:{color:C.teal} });

  // Mediterranean diet
  s.addShape(pres.ShapeType.rect, { x:5.0, y:1.05, w:4.7, h:3.85, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:5.0, y:1.05, w:4.7, h:0.45, fill:{"color":"2C6E7F"} });
  s.addText("🫒 MEDITERRANEAN DIET", { x:5.0, y:1.05, w:4.7, h:0.45, fontSize:13, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
  s.addText("Meta-analysis (Yang 2023): Assoc. with 22% ↓ risk of PE", { x:5.05, y:1.53, w:4.6, h:0.28, fontSize:9.5, italic:true, color:C.ltxt, margin:2 });
  const medItems = [
    ["Olive oil (EVOO)", "Primary fat source — anti-inflammatory"],
    ["Fish & Seafood", "2–3×/week — omega-3, selenium"],
    ["Legumes", "Daily — protein, fibre, folate"],
    ["Vegetables", "Abundance — antioxidants, potassium"],
    ["Whole fruits", "2–3 servings/day"],
    ["Whole grains", "Replace refined carbohydrates"],
    ["Dairy (moderate)", "Yoghurt, cheese — calcium"],
    ["Red meat", "Limited to 1–2×/week"],
  ];
  medItems.forEach((m, i) => {
    const bg = i%2===0 ? C.white : "EEF5FB";
    s.addShape(pres.ShapeType.rect, { x:5.05, y:1.83+i*0.36, w:4.58, h:0.34, fill:{color:bg} });
    s.addText(m[0], { x:5.08, y:1.83+i*0.36, w:1.85, h:0.34, fontSize:9.5, bold:true, color:C.navy, valign:"middle", margin:3 });
    s.addText(m[1], { x:6.95, y:1.83+i*0.36, w:2.65, h:0.34, fontSize:9, color:C.txt, valign:"middle", margin:3 });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 10 — SUPPLEMENTATION SUMMARY (WHO/ACOG 2024-25)
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Supplementation Guidelines — WHO / ACOG 2024–2025");

  // Banner
  s.addShape(pres.ShapeType.roundRect, { x:0.3, y:0.95, w:9.4, h:0.38, fill:{color:C.navy}, rectRadius:0.06 });
  s.addText("Evidence-Based Supplementation Recommendations for All Pregnant Women with / at Risk of PIH", {
    x:0.3, y:0.95, w:9.4, h:0.38, fontSize:10, bold:true, color:C.sky, align:"center", valign:"middle", margin:4
  });

  const supps = [
    { nutrient:"Calcium", dose:"1.5–2 g/day", timing:"20 wks → delivery", strength:"STRONG ✔✔✔", col:C.teal, who:"Yes", acog:"Yes" },
    { nutrient:"Folic Acid", dose:"400–800 µg/day", timing:"Periconception → 12 wks (cont.)", strength:"STRONG ✔✔✔", col:"2C8A6E", who:"Yes", acog:"Yes" },
    { nutrient:"Iron", dose:"30–60 mg/day", timing:"Throughout pregnancy", strength:"STRONG ✔✔✔", col:"8B2E2E", who:"Yes", acog:"Yes" },
    { nutrient:"Vitamin D", dose:"400–1000 IU/day", timing:"Throughout pregnancy", strength:"MODERATE ✔✔", col:C.gold, who:"Yes*", acog:"Yes*" },
    { nutrient:"Magnesium", dose:"350 mg/day dietary", timing:"Throughout pregnancy", strength:"MODERATE ✔✔", col:"1A5C8C", who:"No routine", acog:"No routine" },
    { nutrient:"Low-dose Aspirin", dose:"81 mg/day", timing:"12–28 wks (high-risk only)", strength:"STRONG ✔✔✔", col:C.red, who:"Yes (HR)", acog:"Yes (HR)" },
    { nutrient:"Vit C + E (high-dose)", dose:"1000 mg + 400 IU", timing:"—", strength:"NOT RECOMMENDED ✖", col:"666666", who:"No", acog:"No" },
    { nutrient:"Omega-3 (fish oil)", dose:"≥1 g DHA/EPA/day", timing:"From 12 wks", strength:"EMERGING ✔", col:"4A6278", who:"Considered", acog:"Considered" },
  ];

  // Table header
  const cols = [["Supplement", 2.6], ["Daily Dose", 1.6], ["Timing", 2.0], ["Strength", 1.6], ["WHO", 0.72], ["ACOG", 0.72]];
  let hx = 0.3;
  cols.forEach(([hdr, w]) => {
    s.addShape(pres.ShapeType.rect, { x:hx, y:1.38, w:w, h:0.38, fill:{color:C.navy} });
    s.addText(hdr, { x:hx+0.02, y:1.38, w:w-0.04, h:0.38, fontSize:10, bold:true, color:C.white, valign:"middle", align:"center", margin:0 });
    hx += w + 0.02;
  });

  supps.forEach((sup, ri) => {
    const bg = ri%2===0 ? C.white : "EEF5FB";
    const rowData = [sup.nutrient, sup.dose, sup.timing, sup.strength, sup.who, sup.acog];
    let rx = 0.3;
    cols.forEach(([_, w], ci) => {
      s.addShape(pres.ShapeType.rect, { x:rx, y:1.78+ri*0.41, w:w, h:0.41, fill:{color: ci===0 ? bg : bg} });
      const isStrength = ci === 3;
      const isNutrient = ci === 0;
      const textColor = isStrength && sup.strength.includes("NOT") ? C.red : isStrength ? "1A6B2A" : isNutrient ? C.navy : C.txt;
      s.addText(rowData[ci], { x:rx+0.03, y:1.78+ri*0.41, w:w-0.06, h:0.41, fontSize:ci===3?8.5:9.5, bold:ci===0||ci===3, color:textColor, valign:"middle", margin:2 });
      rx += w + 0.02;
    });
    // Colour accent on first cell
    s.addShape(pres.ShapeType.rect, { x:0.3, y:1.78+ri*0.41, w:0.1, h:0.41, fill:{color:sup.col} });
  });

  s.addText("*Evidence is growing; screen for deficiency. HR = High-Risk women.", {
    x:0.3, y:5.12, w:9.4, h:0.22, fontSize:8.5, italic:true, color:C.ltxt, margin:2
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 11 — FOODS TO ENCOURAGE vs AVOID (Visual plate)
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Foods to Encourage vs. Foods to Limit in PIH");

  // Green column
  s.addShape(pres.ShapeType.rect, { x:0.28, y:1.05, w:4.5, h:4.0, fill:{color:"F0FFF4"}, line:{color:"2C8A6E", width:1.5} });
  s.addShape(pres.ShapeType.rect, { x:0.28, y:1.05, w:4.5, h:0.5, fill:{color:"2C8A6E"} });
  s.addText("✅  FOODS TO ENCOURAGE", { x:0.28, y:1.05, w:4.5, h:0.5, fontSize:13, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });

  const encourage = [
    ["🥛 Dairy (low-fat)", "Milk, yoghurt, paneer — calcium rich"],
    ["🥦 Leafy vegetables", "Spinach, methi, broccoli — Mg, Ca, folate"],
    ["🐟 Oily fish (2×/wk)", "Salmon, mackerel, sardine — omega-3"],
    ["🫘 Legumes daily", "Lentils, chickpeas, beans — protein & folate"],
    ["🌾 Whole grains", "Oats, brown rice, ragi — fibre & Mg"],
    ["🫐 Berries & citrus", "Antioxidants, vitamin C, flavonoids"],
    ["🥚 Eggs", "Protein, vitamin D, selenium"],
    ["🥜 Nuts & seeds", "Walnuts, flaxseed — Mg, zinc, omega-3"],
    ["🫒 Olive oil / EVOO", "Anti-inflammatory; replaces saturated fat"],
  ];
  encourage.forEach((e, i) => {
    s.addText(e[0], { x:0.35, y:1.6+i*0.38, w:1.9, h:0.36, fontSize:10, bold:true, color:"1A5C2A", margin:3 });
    s.addText(e[1], { x:2.28, y:1.6+i*0.38, w:2.42, h:0.36, fontSize:9, color:C.txt, margin:3 });
  });

  // Red column
  s.addShape(pres.ShapeType.rect, { x:5.05, y:1.05, w:4.65, h:4.0, fill:{color:"FFF5F5"}, line:{color:C.red, width:1.5} });
  s.addShape(pres.ShapeType.rect, { x:5.05, y:1.05, w:4.65, h:0.5, fill:{color:C.red} });
  s.addText("🚫  FOODS TO LIMIT / AVOID", { x:5.05, y:1.05, w:4.65, h:0.5, fontSize:13, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });

  const avoid = [
    ["🧂 Excess sodium", "Processed foods, pickles, papad, chips"],
    ["🍔 Ultra-processed food", "Linked to ↑ PE risk (meta-analysis 2024)"],
    ["🍟 Saturated/trans fat", "Red meat, fried foods, margarine"],
    ["🍬 Refined sugar/sweets", "Cakes, sweets, sugary drinks — ↑ weight"],
    ["☕ Excess caffeine", "> 200 mg/day — vasoconstrictor effect"],
    ["🍺 Alcohol", "Absolutely contraindicated in pregnancy"],
    ["🛒 Canned/preserved food", "High sodium, preservatives"],
    ["🧈 Full-fat processed dairy", "Cream, processed cheese — sat fat"],
    ["🌶 Excessive spices", "May worsen GI symptoms & oedema"],
  ];
  avoid.forEach((a, i) => {
    s.addText(a[0], { x:5.12, y:1.6+i*0.38, w:1.9, h:0.36, fontSize:10, bold:true, color:C.red, margin:3 });
    s.addText(a[1], { x:7.05, y:1.6+i*0.38, w:2.58, h:0.36, fontSize:9, color:C.txt, margin:3 });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 12 — NUTRITIONAL MONITORING & TARGETS
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Nutritional Monitoring Parameters in PIH");

  // Left: Lab targets
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.05, w:4.5, h:4.0, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:0.3, y:1.05, w:4.5, h:0.45, fill:{color:C.navy} });
  s.addText("🔬 LABORATORY TARGETS", { x:0.3, y:1.05, w:4.5, h:0.45, fontSize:12, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });

  const labs = [
    ["25-OH Vitamin D", "> 30 ng/mL", "Screen & supplement"],
    ["Serum Calcium", "8.5–10.5 mg/dL", "Monitor on supplementation"],
    ["Serum Magnesium", "1.8–2.4 mg/dL", "If on MgSO₄: monitor closely"],
    ["Haemoglobin", "≥ 11 g/dL", "Iron supplementation if low"],
    ["Serum Ferritin", "> 30 µg/L", "Iron stores assessment"],
    ["Serum Albumin", "> 3.5 g/dL", "Nutritional status proxy"],
    ["24h Urine Protein", "< 300 mg/day", "Worsening = increase protein"],
    ["Urine output", "≥ 25 mL/hr", "Fluid balance monitoring"],
  ];

  labs.forEach((lab, i) => {
    const bg = i%2===0 ? C.white : "EEF5FB";
    s.addShape(pres.ShapeType.rect, { x:0.3, y:1.52+i*0.44, w:4.5, h:0.42, fill:{color:bg} });
    s.addText(lab[0], { x:0.35, y:1.52+i*0.44, w:1.6, h:0.42, fontSize:9.5, bold:true, color:C.navy, valign:"middle", margin:2 });
    s.addText(lab[1], { x:1.97, y:1.52+i*0.44, w:1.1, h:0.42, fontSize:9.5, color:C.teal, bold:true, valign:"middle", margin:2 });
    s.addText(lab[2], { x:3.1, y:1.52+i*0.44, w:1.65, h:0.42, fontSize:8.5, color:C.ltxt, italic:true, valign:"middle", margin:2 });
  });

  // Right: Clinical monitoring
  s.addShape(pres.ShapeType.rect, { x:5.05, y:1.05, w:4.65, h:2.2, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:5.05, y:1.05, w:4.65, h:0.45, fill:{color:C.teal} });
  s.addText("📋 CLINICAL MONITORING", { x:5.05, y:1.05, w:4.65, h:0.45, fontSize:12, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
  const clinMon = [
    "Weight gain: 0.3–0.5 kg/wk (2nd & 3rd trimester)",
    "BMI assessment each antenatal visit",
    "BP monitoring: twice-weekly in mild PIH",
    "24h dietary recall / food frequency questionnaire",
    "Signs of nutritional deficiency (pallor, rickets, goitre)",
    "Fetal growth monitoring (USG at 28, 32, 36 wks)",
  ];
  clinMon.forEach((c, i) => {
    s.addText("• " + c, { x:5.1, y:1.53+i*0.3, w:4.55, h:0.28, fontSize:9.5, color:C.txt, margin:3 });
  });

  // Weight gain targets
  s.addShape(pres.ShapeType.rect, { x:5.05, y:3.3, w:4.65, h:1.75, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
  s.addShape(pres.ShapeType.rect, { x:5.05, y:3.3, w:4.65, h:0.42, fill:{color:"4A6278"} });
  s.addText("⚖️  GESTATIONAL WEIGHT GAIN TARGETS (IOM)", { x:5.05, y:3.3, w:4.65, h:0.42, fontSize:10, bold:true, color:C.white, align:"center", valign:"middle", margin:0 });
  const wgt = [
    ["Underweight (<18.5)", "12.5–18 kg"],
    ["Normal (18.5–24.9)", "11.5–16 kg"],
    ["Overweight (25–29.9)", "7–11.5 kg"],
    ["Obese (≥30)", "5–9 kg"],
  ];
  wgt.forEach((w, i) => {
    const bg = i%2===0 ? C.white : "EEF5FB";
    s.addShape(pres.ShapeType.rect, { x:5.05, y:3.73+i*0.33, w:4.65, h:0.32, fill:{color:bg} });
    s.addText("BMI " + w[0], { x:5.1, y:3.73+i*0.33, w:2.8, h:0.32, fontSize:9.5, color:C.txt, valign:"middle", margin:3 });
    s.addText(w[1], { x:7.92, y:3.73+i*0.33, w:1.75, h:0.32, fontSize:9.5, bold:true, color:C.teal, valign:"middle", align:"right", margin:3 });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 13 — POSTPARTUM NUTRITION
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "Postpartum Nutrition After PIH / Eclampsia");

  s.addText("~20% of eclamptic episodes occur >48h AFTER delivery — nutritional care does not end at birth", {
    x:0.3, y:0.98, w:9.4, h:0.38, fontSize:11, bold:true, color:C.red, align:"center", margin:4
  });

  const ppCards = [
    { title:"Breastfeeding Support", col:C.teal, items:[
      "Continue calcium 1 g/day during lactation",
      "Increase protein to 71 g/day",
      "Iodine 290 µg/day — critical for infant brain",
      "Continue prenatal vitamins 6–12 wks postpartum",
      "Most antihypertensives are compatible with breastfeeding",
    ]},
    { title:"Continued Monitoring", col:"4A6278", items:[
      "BP may remain elevated 6–12 wks postpartum",
      "Reassess calcium & Vit D status at 6-wk visit",
      "Screen for postpartum depression (linked to PE)",
      "Anaemia: continue iron supplementation if Hb <11",
      "Renal function: creatinine, urine protein at 6 wks",
    ]},
    { title:"Long-Term Cardiovascular Risk", col:C.navy, items:[
      "PE is an independent cardiovascular risk factor",
      "Women with prior PE: ↑ risk of HTN, CVD, stroke",
      "Adopt DASH / Mediterranean diet long-term",
      "Maintain healthy weight; regular exercise",
      "Annual BP check; fasting lipids every 3–5 yrs",
    ]},
  ];

  ppCards.forEach((card, i) => {
    const x = 0.28 + i * 3.22;
    s.addShape(pres.ShapeType.rect, { x, y:1.45, w:3.08, h:3.6, fill:{color:C.offwht}, line:{color:C.sky, width:1} });
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      s.addText("• " + item, { x:x+0.08, y:1.95+ii*0.56, w:2.9, h:0.52, fontSize:9.5, color:C.txt, margin:3 });
    });
  });
}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 14 — KEY TAKEAWAYS
// ─────────────────────────────────────────────────────────────────────────────
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  let s = pres.addSlide();
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  s.addShape(pres.ShapeType.rect, { x:0, y:0, w:10, h:0.9, fill:{color:C.teal} });
  s.addShape(pres.ShapeType.rect, { x:0, y:5.1, w:10, h:0.525, fill:{color:C.teal} });

  s.addText("KEY TAKEAWAYS", { x:0.4, y:0.1, w:9.2, h:0.72, fontSize:22, bold:true, color:C.white, align:"center", valign:"middle", charSpacing:3, margin:0 });

  const takeaways = [
    { no:"1", text:"Calcium 1.5–2 g/day from 20 wks is the STRONGEST nutritional intervention to prevent preeclampsia (Cochrane 2025)." },
    { no:"2", text:"Vitamin D supplementation (400–1000 IU/day) is recommended; deficiency doubles PE risk." },
    { no:"3", text:"MgSO₄ remains the gold standard for eclampsia seizure prophylaxis and treatment." },
    { no:"4", text:"DASH and Mediterranean diets are associated with reduced PIH risk and cardiovascular benefit." },
    { no:"5", text:"Moderate sodium restriction (2–3 g/day); severe restriction is NOT recommended." },
    { no:"6", text:"Vitamins C & E high-dose supplementation does NOT prevent PE — not recommended (ACOG/WHO)." },
    { no:"7", text:"Low-dose aspirin (81 mg/day) from 12–28 wks is recommended for high-risk women alongside nutritional care." },
    { no:"8", text:"PIH increases lifetime CVD risk; postpartum and long-term dietary counselling is essential." },
  ];

  takeaways.forEach((t, i) => {
    const col = i < 4 ? 0 : 1;
    const row = i < 4 ? i : i - 4;
    const x = col === 0 ? 0.3 : 5.2;
    const y = 1.05 + row * 0.98;

    s.addShape(pres.ShapeType.roundRect, { x, y, w:4.65, h:0.88, fill:{color:"0D2B44"}, line:{color:C.teal, width:1}, rectRadius:0.08 });
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}

// ─────────────────────────────────────────────────────────────────────────────
// SLIDE 15 — REFERENCES
// ─────────────────────────────────────────────────────────────────────────────
{
  let s = contentSlide(pres, "References & Further Reading");

  const refs = [
    "1. Cluver CA et al. Calcium supplementation during pregnancy for preventing hypertensive disorders. Cochrane Database Syst Rev. 2025;12.",
    "2. Ushida T et al. Dietary supplements and prevention of preeclampsia. Hypertens Res. 2025;48:1444–1457.",
    "3. Wright D et al. Calcium supplementation for the prevention of pre-eclampsia: Challenging the evidence from meta-analyses. BJOG. 2024.",
    "4. Yang J et al. Mediterranean diet and female reproductive health: a systematic review and meta-analysis. Am J Obstet Gynecol. 2023 Dec.",
    "5. Talebi S et al. Ultra-processed food and pregnancy adverse outcomes: dose-response systematic review. BMC Pregnancy Childbirth. 2024.",
    "6. WHO. WHO recommendation: Calcium supplementation during pregnancy for the prevention of pre-eclampsia and its complications. 2018 (reaffirmed 2023).",
    "7. ACOG Practice Bulletin No. 222: Gestational Hypertension and Preeclampsia. Obstet Gynecol. 2020 (Updated 2024).",
    "8. Nadeem M et al. Dietary and Lifestyle Management of Pre-Eclampsia and Postpartum Eclampsia. J Nutr Food Sci (Korea). 2025.",
    "9. Pmc.ncbi.nlm.nih.gov/articles/PMC9237898 — Dietary factors affecting risk of pre-eclampsia. BMJ review 2022.",
    "10. Goodman & Gilman's Pharmacological Basis of Therapeutics, 14th Ed. McGraw-Hill. Chapter 14: Hypertension in Pregnancy.",
  ];

  refs.forEach((ref, i) => {
    const y = 1.05 + i * 0.42;
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  s.addText("Prepared using WHO, ACOG, Cochrane, PubMed sources | July 2025 | For educational use only", {
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  });
}

// ─────────────────────────────────────────────────────────────────────────────
// WRITE FILE
// ─────────────────────────────────────────────────────────────────────────────
pres.writeFile({ fileName: "/home/daytona/workspace/pih-nutrition-ppt/Nutrition_in_PIH.pptx" })
  .then(() => { console.log("SUCCESS: PPT saved."); })
  .catch(err => { console.error("ERROR:", err); });
Running Command

cd /home/daytona/workspace/pih-nutrition-ppt && node create_ppt.js

Running Command

ls -lh /home/daytona/workspace/pih-nutrition-ppt/Nutrition_in_PIH.pptx

Your presentation is ready!

Nutrition in PIH

Presentation · PPTX

What's inside the 15-slide deck

SlideContent
1Title slide — bold navy/teal design with nutrient badge pills
2Outline — 10-point agenda with numbered cards
3PIH Overview — ACOG classification table + global burden stats + diagnostic criteria
4Pathophysiology diagram — visual flowchart: poor nutrition → oxidative stress → endothelial dysfunction → placental impairment → PIH consequences
5Macronutrients — Protein, Calories, Sodium, Fluids with detailed recs
6Calcium deep-dive — mechanism (5 pathways), WHO/ACOG dose table, food sources; Cochrane 2025 finding (55% PE risk reduction)
7Key micronutrients — Vitamin D, Magnesium, Iron, Zinc with doses, mechanism, foods
8Antioxidant vitamins — C, E, Selenium, Folate; clear "NOT recommended" warnings for high-dose C+E
9Dietary patterns — Full DASH diet guide + Mediterranean diet (Yang 2023 meta-analysis cited)
10Supplementation summary table — WHO/ACOG 2024–25 grid with strength-of-evidence ratings
11Foods to encourage vs. avoid — green/red two-column visual plate
12Monitoring parameters — Lab targets + clinical monitoring + IOM gestational weight gain table
13Postpartum nutrition — Breastfeeding, continued monitoring, long-term CVD risk
14Key Takeaways — 8 evidence-based summary points
15References — 10 citations including Cochrane 2025, Hypertens Res 2025, ACOG, WHO
Design: Navy/teal/gold professional theme with colour-coded evidence badges, data tables, flow diagrams, and two-column comparative layouts throughout.

Not able to download the ppt

Running Command

ls -lh /home/daytona/workspace/pih-nutrition-ppt/ && file /home/daytona/workspac…

Running Command

cd /home/daytona/workspace/pih-nutrition-ppt && node create_ppt.js && ls -lh Nut…

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Nutrition in PIH

Presentation · PPTX

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