← Paul Test
doc12874 bariatric-physiotherapy-advice-leafletpdf.pdf_ver_46911_doc_docm93jijm4n19075-artifacted.pdf
⬇ Export JSONBadge numbers are the reading order (depth-first). Nested children have dashed borders; grandchildren dotted. Hover a box for its type, text and attributes.
Page 1
49 item(s)
JSON
figure (3)
heading (10)
link (4)
list (7)
list_item (21)
text (3)
title (1)
1 · FIGURE
2 · FIGURE
3 · TEXT
4 · HEADING
5 · TEXT
6 · HEADING
7 · HEADING
8 · HEADING
9 · LIST
10
11
12 · HEADING
13 · LIST
14
15
16 · TITLE
17 · TEXT
18 · HEADING
19 · LIST
20
21
22
23
24 · HEADING
25 · LIST
26
27
28
29 · HEADING
30 · LIST
31
32
33 · HEADING
34 · LIST
35
36
37
38
39
40 · HEADING
41 · LIST
42
43
44
45
46
47
48
49 · FIGURE
Page 1 JSON
{
"document_id": 12874,
"page": 1,
"width_pt": 595.32,
"height_pt": 841.92,
"rotation": 0,
"pipeline_version": "paddleocr-vl-1.6+paul-48",
"engine": "paddleocr_vl",
"source_run_id": 12984,
"item_count": 49,
"counts_by_type": {
"figure": 3,
"heading": 10,
"link": 4,
"list": 7,
"list_item": 21,
"text": 3,
"title": 1
},
"build_ms": 10,
"items": [
{
"id": "p1.1",
"order": 1,
"type": "figure",
"bbox": {
"l": 30.4739,
"t": 822.48,
"r": 89.7419,
"b": 766.8
},
"text": "",
"attrs": {
"role": "page_header",
"block_label": "header_image"
}
},
{
"id": "p1.2",
"order": 2,
"type": "figure",
"bbox": {
"l": 413.4367,
"t": 821.28,
"r": 552.6086,
"b": 770.88
},
"text": "",
"attrs": {
"role": "page_header",
"block_label": "header_image"
}
},
{
"id": "p1.3",
"order": 3,
"type": "text",
"bbox": {
"l": 154.7688,
"t": 750.72,
"r": 460.4672,
"b": 737.04
},
"text": "Homerton bariatric service: physiotherapy essential advice"
},
{
"id": "p1.4",
"order": 4,
"type": "heading",
"bbox": {
"l": 53.7492,
"t": 719.76,
"r": 387.2819,
"b": 706.08
},
"text": "Why is exercise important before and after bariatric surgery?",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.5",
"order": 5,
"type": "text",
"bbox": {
"l": 53.9891,
"t": 689.28,
"r": 542.0507,
"b": 633.6
},
"text": "Physical activity plays a vital role in your bariatric surgery journey – from preparing your body for surgery to helping ensure a safe recovery, and supporting long-term weight management. Below we have outlined the advised recommendations for a safe and successful surgery outcome. If you are struggling to meet these guidelines, it is important you discuss this with a member of the Bariatric team to establish if any further support is required."
},
{
"id": "p1.6",
"order": 6,
"type": "heading",
"bbox": {
"l": 61.4276,
"t": 604.08,
"r": 268.5059,
"b": 589.44
},
"text": "Before Surgery – Get Your Body Ready",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.7",
"order": 7,
"type": "heading",
"bbox": {
"l": 313.6168,
"t": 604.08,
"r": 537.4917,
"b": 588.96
},
"text": "After Surgery – Keep Moving, Stay Strong",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.8",
"order": 8,
"type": "heading",
"bbox": {
"l": 61.6676,
"t": 573.6,
"r": 95.7407,
"b": 561.12
},
"text": "Goals:",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.9",
"order": 9,
"type": "list",
"bbox": {
"l": 81.74417,
"t": 559.47974,
"r": 477.557618,
"b": 516.82076
},
"text": "",
"attrs": {
"item_count": 2
},
"children": [
{
"id": "p1.9.1",
"order": 10,
"type": "list_item",
"bbox": {
"l": 81.74417,
"t": 559.47974,
"r": 467.874551,
"b": 546.46066
},
"text": "Improve fitness for surgery (reduces anaesthetic risks and surgical complications)",
"marker": "-"
},
{
"id": "p1.9.2",
"order": 11,
"type": "list_item",
"bbox": {
"l": 81.74424,
"t": 530.43984,
"r": 477.557618,
"b": 516.82076
},
"text": "Build muscle strength and stamina to improve post-op recovery"
}
]
},
{
"id": "p1.10",
"order": 12,
"type": "heading",
"bbox": {
"l": 61.6676,
"t": 487.68,
"r": 183.0831,
"b": 474.48
},
"text": "Recommended Activities:",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.11",
"order": 13,
"type": "list",
"bbox": {
"l": 60.7078,
"t": 473.27959999999996,
"r": 292.501,
"b": 374.4
},
"text": "",
"attrs": {
"item_count": 2
},
"children": [
{
"id": "p1.11.1",
"order": 14,
"type": "list_item",
"bbox": {
"l": 60.9477,
"t": 473.27959999999996,
"r": 292.501,
"b": 418.08
},
"text": "Aim for at least 150 minutes of moderate-intensity exercise per week (e.g., brisk walking, cycling). This can be broken down into 10-minute bouts.",
"marker": "-"
},
{
"id": "p1.11.2",
"order": 15,
"type": "list_item",
"bbox": {
"l": 60.7078,
"t": 416.03929999999997,
"r": 280.0236,
"b": 374.4
},
"text": "Include strength-building activities at least 2 days a week (e.g., bodyweight exercises, resistance bands)",
"marker": "-"
}
]
},
{
"id": "p1.12",
"order": 16,
"type": "title",
"bbox": {
"l": 60.9477,
"t": 372,
"r": 277.624,
"b": 345.6
},
"text": "Reduce sitting time – stand or move regularly throughout the day",
"level": 2
},
{
"id": "p1.13",
"order": 17,
"type": "text",
"bbox": {
"l": 60.7078,
"t": 343.68,
"r": 293.7008,
"b": 317.52
},
"text": "Start gradually if you are not active. Every movement counts!"
},
{
"id": "p1.14",
"order": 18,
"type": "heading",
"bbox": {
"l": 314.5766,
"t": 573.36,
"r": 348.4098,
"b": 560.88
},
"text": "Goals:",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.15",
"order": 19,
"type": "list",
"bbox": {
"l": 334.51007,
"t": 559.23934,
"r": 510.304407,
"b": 502.06055999999995
},
"text": "",
"attrs": {
"item_count": 4
},
"children": [
{
"id": "p1.15.1",
"order": 20,
"type": "list_item",
"bbox": {
"l": 334.51007,
"t": 559.23934,
"r": 467.874551,
"b": 546.46066
},
"text": "Enhance weight loss outcomes",
"marker": "-"
},
{
"id": "p1.15.2",
"order": 21,
"type": "list_item",
"bbox": {
"l": 334.51014,
"t": 544.47954,
"r": 510.304407,
"b": 531.7008599999999
},
"text": "Preserve muscle mass during weight loss",
"marker": "•"
},
{
"id": "p1.15.3",
"order": 22,
"type": "list_item",
"bbox": {
"l": 334.51021,
"t": 529.59944,
"r": 477.557618,
"b": 516.82076
},
"text": "Help reduce risk of weight re-gain",
"marker": "-"
},
{
"id": "p1.15.4",
"order": 23,
"type": "list_item",
"bbox": {
"l": 334.51028,
"t": 514.83924,
"r": 509.637398,
"b": 502.06055999999995
},
"text": "Improve blood pressure, blood sugar and cholesterol",
"marker": "-"
}
]
},
{
"id": "p1.16",
"order": 24,
"type": "heading",
"bbox": {
"l": 314.5766,
"t": 471.84,
"r": 442.9507,
"b": 458.64
},
"text": "Early Recovery (0–6 weeks):",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.17",
"order": 25,
"type": "list",
"bbox": {
"l": 334.51025,
"t": 457.59923999999995,
"r": 520.422564,
"b": 401.02045999999996
},
"text": "",
"attrs": {
"item_count": 3
},
"children": [
{
"id": "p1.17.1",
"order": 26,
"type": "list_item",
"bbox": {
"l": 334.51025,
"t": 457.59923999999995,
"r": 508.701302,
"b": 444.82055999999994
},
"text": "Start gentle walking as soon as advised – usually within 24 hours"
},
{
"id": "p1.17.2",
"order": 27,
"type": "list_item",
"bbox": {
"l": 334.51032,
"t": 428.67923999999994,
"r": 520.422564,
"b": 415.90056
},
"text": "Increase walking time daily (little and often)",
"marker": "•"
},
{
"id": "p1.17.3",
"order": 28,
"type": "list_item",
"bbox": {
"l": 334.51039,
"t": 413.79913999999997,
"r": 506.041216,
"b": 401.02045999999996
},
"text": "Avoid lifting heavy objects for 4–6 weeks",
"marker": "-"
}
]
},
{
"id": "p1.18",
"order": 29,
"type": "heading",
"bbox": {
"l": 314.5766,
"t": 384.96,
"r": 414.8764,
"b": 372.48
},
"text": "6 Weeks and Beyond:",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.19",
"order": 30,
"type": "list",
"bbox": {
"l": 334.51043,
"t": 370.69903999999997,
"r": 531.216089,
"b": 329.00036
},
"text": "",
"attrs": {
"item_count": 2
},
"children": [
{
"id": "p1.19.1",
"order": 31,
"type": "list_item",
"bbox": {
"l": 334.51046,
"t": 370.69903999999997,
"r": 531.216089,
"b": 357.92035999999996
},
"text": "Gradually return to 150–300 minutes/week of moderate-intensity aerobic activity",
"marker": "-"
},
{
"id": "p1.19.2",
"order": 32,
"type": "list_item",
"bbox": {
"l": 334.51043,
"t": 341.77903999999995,
"r": 522.414492,
"b": 329.00036
},
"text": "Add muscle-strengthening exercises (e.g., resistance training) at least 2 days/week",
"marker": "-"
}
]
},
{
"id": "p1.20",
"order": 33,
"type": "heading",
"bbox": {
"l": 56.6286,
"t": 288.48,
"r": 164.1269,
"b": 276.96
},
"text": "Risks of Not Exercising",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.21",
"order": 34,
"type": "list",
"bbox": {
"l": 53.7492,
"t": 275.26,
"r": 477.7437,
"b": 202.8
},
"text": "",
"attrs": {
"item_count": 5
},
"children": [
{
"id": "p1.21.1",
"order": 35,
"type": "list_item",
"bbox": {
"l": 53.9891,
"t": 275.26,
"r": 477.7437,
"b": 261.6
},
"text": "Higher risk of post-surgical complications (e.g., respiratory problems, slower wound healing)",
"marker": "•"
},
{
"id": "p1.21.2",
"order": 36,
"type": "list_item",
"bbox": {
"l": 53.7492,
"t": 260.3798999999999,
"r": 276.4243,
"b": 247.44
},
"text": "Slower recovery and return to daily activities"
},
{
"id": "p1.21.3",
"order": 37,
"type": "list_item",
"bbox": {
"l": 53.7492,
"t": 245.62009999999998,
"r": 336.4122,
"b": 232.32
},
"text": "Reduced weight loss and higher chance of regaining weight",
"marker": "•"
},
{
"id": "p1.21.4",
"order": 38,
"type": "list_item",
"bbox": {
"l": 53.9891,
"t": 230.74,
"r": 264.4267,
"b": 217.68
},
"text": "Loss of muscle mass and physical function",
"marker": "•"
},
{
"id": "p1.21.5",
"order": 39,
"type": "list_item",
"bbox": {
"l": 53.9891,
"t": 215.97979999999995,
"r": 427.5938,
"b": 202.8
},
"text": "Increased risk of long-term health problems (e.g., type 2 diabetes, heart disease)",
"marker": "•"
}
]
},
{
"id": "p1.22",
"order": 40,
"type": "heading",
"bbox": {
"l": 54.469,
"t": 169.2,
"r": 149.7298,
"b": 158.16
},
"text": "Further information:",
"attrs": {
"block_label": "paragraph_title"
},
"level": 3
},
{
"id": "p1.23",
"order": 41,
"type": "list",
"bbox": {
"l": 53.9891,
"t": 155.9497,
"r": 550.449,
"b": 57.12
},
"text": "",
"attrs": {
"item_count": 3
},
"children": [
{
"id": "p1.23.1",
"order": 42,
"type": "list_item",
"bbox": {
"l": 53.9891,
"t": 155.9497,
"r": 526.6938,
"b": 114
},
"text": "Please refer to the Homerton Bariatric Surgery Service Website (www.homerton.nhs.uk/obesity-surgery-bariatrics/). Under the ‘patient resources’ section, review the physiotherapy resources for further essential education videos, exercise videos and patient testimonials.",
"children": [
{
"id": "p1.23.1.1",
"order": 43,
"type": "link",
"bbox": {
"l": 344.98,
"t": 156.08,
"r": 561.55,
"b": 141.28
},
"text": "(www.homerton.nhs.uk/obesity-surgery-",
"attrs": {
"uri": "http://www.homerton.nhs.uk/obesity-surgery-bariatrics/",
"action_type": "/URI"
}
},
{
"id": "p1.23.1.2",
"order": 44,
"type": "link",
"bbox": {
"l": 54.45,
"t": 141.28,
"r": 120.99,
"b": 127.14
},
"text": "bariatrics/).",
"attrs": {
"uri": "http://www.homerton.nhs.uk/obesity-surgery-bariatrics/",
"action_type": "/URI"
}
}
]
},
{
"id": "p1.23.2",
"order": 45,
"type": "list_item",
"bbox": {
"l": 54.2291,
"t": 112.87,
"r": 550.449,
"b": 85.44
},
"text": "Seek out resources in your local borough, for example ask your GP to refer you to your local 'Physical Activity on Referral' programme if available."
},
{
"id": "p1.23.3",
"order": 46,
"type": "list_item",
"bbox": {
"l": 53.9891,
"t": 83.83359999999993,
"r": 525.974,
"b": 57.12
},
"text": "Search for resources online to exercise at home, such as the NHS fitness studio videos (www.nhs.uk/live-well/exercise/about-our-videos/).",
"children": [
{
"id": "p1.23.3.1",
"order": 47,
"type": "link",
"bbox": {
"l": 446.75,
"t": 84.053,
"r": 561.55,
"b": 69.249
},
"text": "(www.nhs.uk/live-",
"attrs": {
"uri": "http://www.nhs.uk/live-well/exercise/about-our-videos/",
"action_type": "/URI"
}
},
{
"id": "p1.23.3.2",
"order": 48,
"type": "link",
"bbox": {
"l": 54.45,
"t": 69.249,
"r": 212.96,
"b": 55.109
},
"text": "well/exercise/about-our-videos/).",
"attrs": {
"uri": "http://www.nhs.uk/live-well/exercise/about-our-videos/",
"action_type": "/URI"
}
}
]
}
]
},
{
"id": "p1.24",
"order": 49,
"type": "figure",
"bbox": {
"l": 95.2608,
"t": 50.64,
"r": 516.8558,
"b": 11.76
},
"text": "",
"attrs": {
"block_label": "image"
}
}
],
"excluded_furniture": {
"first": [],
"last": []
}
}