{
    "document_id": 10211,
    "page": 3,
    "width_pt": 595.276,
    "height_pt": 841.89,
    "rotation": 0,
    "pipeline_version": "paddleocr-vl-1.6+paul-48",
    "engine": "paddleocr_vl",
    "source_run_id": 10322,
    "item_count": 26,
    "counts_by_type": {
        "figure": 2,
        "footer": 1,
        "header": 1,
        "list": 3,
        "list_item": 17,
        "text": 2
    },
    "build_ms": 2,
    "items": [
        {
            "id": "p3.1",
            "order": 1,
            "type": "header",
            "bbox": {
                "l": 41.0287,
                "t": 828.4505,
                "r": 307.8352,
                "b": 817.4109
            },
            "text": "STRESS AND ANXIETY DURING FITNESS TO PRACTICE CASES",
            "attrs": {
                "block_label": "header"
            },
            "level": 2
        },
        {
            "id": "p3.2",
            "order": 2,
            "type": "figure",
            "bbox": {
                "l": 0,
                "t": 742.0536,
                "r": 290.56,
                "b": 520.3015
            },
            "text": "",
            "attrs": {
                "block_label": "image"
            }
        },
        {
            "id": "p3.3",
            "order": 3,
            "type": "figure",
            "bbox": {
                "l": 303.5164,
                "t": 743.0135,
                "r": 595.0361,
                "b": 520.7814
            },
            "text": "",
            "attrs": {
                "block_label": "image"
            }
        },
        {
            "id": "p3.4",
            "order": 4,
            "type": "text",
            "bbox": {
                "l": 40.069,
                "t": 500.1422,
                "r": 275.924,
                "b": 438.9444
            },
            "text": "As a health and social care worker you will be aware that there can be many signs of anxiety, both psychological and physical. The psychological signs include:"
        },
        {
            "id": "p3.5",
            "order": 5,
            "type": "list",
            "bbox": {
                "l": 39.829,
                "t": 431.2646,
                "r": 278.0834,
                "b": 156.4744
            },
            "text": "",
            "attrs": {
                "item_count": 9
            },
            "children": [
                {
                    "id": "p3.5.1",
                    "order": 6,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.069,
                        "t": 431.2646,
                        "r": 222.4187,
                        "b": 416.3852
                    },
                    "text": "Over thinking and over-worrying"
                },
                {
                    "id": "p3.5.2",
                    "order": 7,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.069,
                        "t": 408.2255,
                        "r": 258.1689,
                        "b": 379.4265
                    },
                    "text": "Finding even small things more difficult than usual",
                    "marker": "-"
                },
                {
                    "id": "p3.5.3",
                    "order": 8,
                    "type": "list_item",
                    "bbox": {
                        "l": 39.829,
                        "t": 369.8268,
                        "r": 268.2461,
                        "b": 341.2678
                    },
                    "text": "Focusing on problems and not being able to switch off",
                    "marker": "-"
                },
                {
                    "id": "p3.5.4",
                    "order": 9,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.069,
                        "t": 331.9082,
                        "r": 82.7772,
                        "b": 317.9887
                    },
                    "text": "Fear"
                },
                {
                    "id": "p3.5.5",
                    "order": 10,
                    "type": "list_item",
                    "bbox": {
                        "l": 39.829,
                        "t": 308.629,
                        "r": 278.0834,
                        "b": 294.2295
                    },
                    "text": "Feeling on edge, tense, and unable to relax"
                },
                {
                    "id": "p3.5.6",
                    "order": 11,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.069,
                        "t": 286.0698,
                        "r": 248.3316,
                        "b": 256.0709
                    },
                    "text": "Being irritable or snappy with friends, family and colleagues",
                    "marker": "-"
                },
                {
                    "id": "p3.5.7",
                    "order": 12,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.069,
                        "t": 247.6712,
                        "r": 235.855,
                        "b": 233.0317
                    },
                    "text": "Not being able to rationalise things"
                },
                {
                    "id": "p3.5.8",
                    "order": 13,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.3089,
                        "t": 224.392,
                        "r": 264.1672,
                        "b": 194.3931
                    },
                    "text": "Imagining the worse-case scenarios and convincing yourself they will happen",
                    "marker": "-"
                },
                {
                    "id": "p3.5.9",
                    "order": 14,
                    "type": "list_item",
                    "bbox": {
                        "l": 40.069,
                        "t": 186.4734,
                        "r": 221.459,
                        "b": 156.4744
                    },
                    "text": "Going blank, memory problems, getting confused",
                    "marker": "-"
                }
            ]
        },
        {
            "id": "p3.6",
            "order": 15,
            "type": "text",
            "bbox": {
                "l": 302.5566,
                "t": 500.3822,
                "r": 514.4183,
                "b": 485.9827
            },
            "text": "The physical or anatomical signs include:"
        },
        {
            "id": "p3.7",
            "order": 16,
            "type": "list",
            "bbox": {
                "l": 302.3167,
                "t": 476.863,
                "r": 553.0476,
                "b": 256.0709
            },
            "text": "",
            "attrs": {
                "item_count": 4
            },
            "children": [
                {
                    "id": "p3.7.1",
                    "order": 17,
                    "type": "list_item",
                    "bbox": {
                        "l": 302.5566,
                        "t": 476.863,
                        "r": 524.7354,
                        "b": 447.3441
                    },
                    "text": "Saliva flow slows so your mouth and lips can become dry"
                },
                {
                    "id": "p3.7.2",
                    "order": 18,
                    "type": "list_item",
                    "bbox": {
                        "l": 302.3167,
                        "t": 439.1844,
                        "r": 510.5793,
                        "b": 393.586
                    },
                    "text": "Pupils can dilate meaning their shape can change from being really small to much larger",
                    "marker": "-"
                },
                {
                    "id": "p3.7.3",
                    "order": 19,
                    "type": "list_item",
                    "bbox": {
                        "l": 303.0365,
                        "t": 385.1863,
                        "r": 551.848,
                        "b": 325.1884
                    },
                    "text": "Your blood vessels can constrict – so you can feel or become cold or sweat in particular on your brow and chest, but your hands can become clammy"
                },
                {
                    "id": "p3.7.4",
                    "order": 20,
                    "type": "list_item",
                    "bbox": {
                        "l": 302.7966,
                        "t": 316.5487,
                        "r": 553.0476,
                        "b": 256.0709
                    },
                    "text": "Your pace and depth of breathing can change\n– meaning your may breath more quickly or\nseem breathless unable to get your words out\nand be heard"
                }
            ]
        },
        {
            "id": "p3.8",
            "order": 21,
            "type": "list",
            "bbox": {
                "l": 302.0768,
                "t": 247.6712,
                "r": 534.5727,
                "b": 133.9152
            },
            "text": "",
            "attrs": {
                "item_count": 4
            },
            "children": [
                {
                    "id": "p3.8.1",
                    "order": 22,
                    "type": "list_item",
                    "bbox": {
                        "l": 303.0365,
                        "t": 247.6712,
                        "r": 534.5727,
                        "b": 217.4323
                    },
                    "text": "Stomach enzymes can decrease effecting your digestion",
                    "marker": "-"
                },
                {
                    "id": "p3.8.2",
                    "order": 23,
                    "type": "list_item",
                    "bbox": {
                        "l": 303.0365,
                        "t": 209.2725,
                        "r": 534.3328,
                        "b": 180.4736
                    },
                    "text": "Our muscles can become tense so we can tremble"
                },
                {
                    "id": "p3.8.3",
                    "order": 24,
                    "type": "list_item",
                    "bbox": {
                        "l": 302.7966,
                        "t": 170.6339,
                        "r": 378.8556,
                        "b": 157.4344
                    },
                    "text": "Headaches"
                },
                {
                    "id": "p3.8.4",
                    "order": 25,
                    "type": "list_item",
                    "bbox": {
                        "l": 302.0768,
                        "t": 147.8347,
                        "r": 494.9836,
                        "b": 133.9152
                    },
                    "text": "And, in the extreme, panic attacks"
                }
            ]
        },
        {
            "id": "p3.9",
            "order": 26,
            "type": "footer",
            "bbox": {
                "l": 570.5628,
                "t": 23.9991,
                "r": 577.5209,
                "b": 14.1595
            },
            "text": "3",
            "attrs": {
                "block_label": "number"
            }
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": []
    }
}