this is a reference pdf to know what is missing in our file. it is pag

this is a reference pdf to know what is missing in our file. it is page number 85 to last page of pdf. in page number wise its 70-93. i will upload the other documents once you understand the task

Reading File

Running Command

cd /home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/ && python3 -c " from pypdf import PdfReader reader = PdfReader('Dr.Archana thesis final 1.pdf') print(f'Total PDF pages: {len(reader.pages)}') # Print first few lines of pages around index 84 onwards for i in range(84, len(reader.pages)): text = reader.pages[i].extract_text() print(f'\\n=== PDF PAGE {i+1} (doc page ~{i-14}) ===') print(text[:300] if text else '[no text]') "

I've now read all pages 85–108 (document pages 70–93) of the reference PDF. Here's a clear summary of what's in this section:

Reference PDF — Pages 85 to 108 (Document pages 70–93)

This section contains the Annexures of Dr. Archana's thesis on "A Randomised Control Study to Evaluate the Role of Vitamin D3 Supplementation in Treatment of Patients with Allergic Rhinitis". Here's what each page contains:

PDF Page	Doc Page	Content
85	70	Study Proforma — Patient details: Name, Age, Sex, Reg No., DOA, DOD, OPD No., Address, Contact, Occupation
86	71	Study Proforma (contd.) — Past history (tobacco, bidi, alcohol), Family history, Personal history (height, weight, diet, bowel, bladder, sleep, addiction)
87	72	Study Proforma (contd.) — Vitals (Temp, Pulse, BP, RR), Local Examination: Nose (allergic shiners, allergic salute, Dennie-Morgan line), Paranasal Sinus Tenderness, Anterior Rhinoscopic Exam
88	73	Study Proforma (contd.) — Posterior Rhinoscopic Exam, Oral Cavity (lips, gums, teeth, buccal mucosa, tongue, hard palate), Oropharynx
89	74	Study Proforma (contd.) — Ear/Tympanic Membrane, Pre-treatment symptom scoring table (Rhinorrhoea, Obstruction, Sneezing, Itching — scored 0–3: absent/mild/mod/severe)
90	75	Study Proforma (contd.) — Post-treatment symptom scoring table (same 4 symptoms, 0–3 scale), Inference
91	76	Annexure II A — Participant Information Sheet (English): Investigator Dr. Archana Pursnani, Dept. of ORL, Dhiraj General Hospital, Piparia
92	77	Annexure II A (contd.) — Inclusion criteria, voluntary participation, 18-month study duration
93	78	Annexure II A (contd.) — New information clause, study stop policy
94	79	Annexure II A (contd.) — Patient consent section (English vernacular)
95	80	Annexure III A — Informed Consent Form (English), 5 confirmation checkboxes
96	81	Annexure II B — Participant Information Sheet (Hindi)
97	82	Annexure II B (contd.) — Voluntary participation, 18-month duration, participant obligations (Hindi)
98	83	Annexure II B (contd.) — New info clause, study stop clause, adverse events (Hindi)
99	84	Annexure II B (contd.) — Contact info: Dhiraj Hospital, Mobile: 7487905616
100	85	Annexure II B (contd.) — Patient consent in Hindi
101	86	Annexure III B — Informed Consent Form (Hindi), confirmation checkboxes
102	87	Annexure II C — Participant Information Sheet (Gujarati)
103	88	Annexure II C (contd.) — Selection reason, voluntary participation, 18-month duration (Gujarati)
104	89	Annexure II C (contd.) — Vitamin D3 side effects, new info clause (Gujarati)
105	90	Annexure II C (contd.) — Contact info (Gujarati)
106	91	Annexure II C (contd.) — Patient consent (Gujarati)
107	92	Annexure III C — Informed Consent Form (Gujarati), confirmation checkboxes
108	93	Masterchart — (appears empty / no data extracted — possibly a table or image-based content)

I've fully understood the reference section. Please go ahead and upload your file — I'll compare it against this reference and identify what's missing.

i have given one word document of synopsis. i want you to identify the pages and information from synopsis file. check if anything needs editing as per reference file. and add those pages using pdf editing skills to neel pdf

Reading File

Running Command

cd "/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/" && pandoc "NEEL SYNOPSIS editedd.docx" -o /home/daytona/workspace/neel_synopsis.md 2>&1 && echo "DONE"

Running Command

cd "/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/" && python3 -c " from pypdf import PdfReader reader = PdfReader('Dr. Neel thesis final.pdf') print(f'Total PDF pages: {len(reader.pages)}') for i in range(len(reader.pages)): text = reader.pages[i].extract_text() print(f'\\n=== PDF PAGE {i+1} ===') print(text[:200] if text else '[no text]') " 2>&1 | head -200

Running Command

cd "/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/" && python3 -c " from pypdf import PdfReader reader = PdfReader('Dr. Neel thesis final.pdf') print(f'Total PDF pages: {len(reader.pages)}') for i in range(40, len(reader.pages)): text = reader.pages[i].extract_text() print(f'\\n=== PDF PAGE {i+1} ===') print(text[:300] if text else '[no text]') " 2>&1 | grep -v "Ignoring wrong"

Reading File

Running Command

cd "/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/" && python3 /home/daytona/skills/docx/scripts/office/soffice.py --headless --convert-to pdf "NEEL SYNOPSIS editedd.docx" --outdir /home/daytona/workspace/ 2>&1

Running Command

mkdir -p /home/daytona/workspace/neel_project && cp "/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/NEEL SYNOPSIS editedd.docx" /home/daytona/workspace/neel_project/synopsis.docx && python3 /home/daytona/skills/docx/scripts/office/soffice.py --headless --convert-to pdf /home/daytona/workspace/neel_project/synopsis.docx --outdir /home/daytona/workspace/neel_project/ 2>&1

Running Command

chmod 777 /home/daytona/workspace/neel_project/ && ls -la /home/daytona/workspace/neel_project/ && libreoffice --headless --convert-to pdf /home/daytona/workspace/neel_project/synopsis.docx --outdir /home/daytona/workspace/neel_project/ 2>&1

Running Command

ls -la /home/daytona/workspace/neel_project/ && libreoffice --headless --convert-to pdf /home/daytona/workspace/neel_project/synopsis.docx --outdir /home/daytona/workspace/neel_project/ 2>&1; echo "EXIT: $?"

Running Command

# Try using pandoc to convert to PDF directly pandoc /home/daytona/workspace/neel_project/synopsis.docx -o /home/daytona/workspace/neel_project/synopsis.pdf --pdf-engine=xelatex 2>&1; echo "EXIT: $?"

Running Command

# Try pdflatex engine pandoc /home/daytona/workspace/neel_project/synopsis.docx -o /home/daytona/workspace/neel_project/synopsis.pdf --pdf-engine=pdflatex 2>&1; echo "EXIT: $?" # Also check what PDF engines are available which wkhtmltopdf; which weasyprint; which prince; which chromium; which google-chrome

Running Command

# Use reportlab to build the annexure PDF pages directly from the synopsis content # This approach: build PDF pages using Python/reportlab for the missing pages python3 << 'EOF' from reportlab.lib.pagesizes import A4 from reportlab.lib.units import mm from reportlab.pdfgen import canvas from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.platypus import SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, PageBreak from reportlab.lib import colors from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_JUSTIFY from reportlab.pdfbase import pdfmetrics from reportlab.pdfbase.ttfonts import TTFont import os # Check if hindi/gujarati font available import subprocess result = subprocess.run(['fc-list', ':lang=hi'], capture_output=True, text=True) print("Hindi fonts:", result.stdout[:500]) result2 = subprocess.run(['fc-list', ':lang=gu'], capture_output=True, text=True) print("Gujarati fonts:", result2.stdout[:500]) EOF

Running Command

python3 << 'PYEOF' from reportlab.lib.pagesizes import A4 from reportlab.lib.units import mm from reportlab.pdfgen import canvas from reportlab.platypus import SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, PageBreak, HRFlowable from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.lib import colors from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_JUSTIFY from pypdf import PdfReader, PdfWriter import io W, H = A4 margin = 20*mm TW = W - 2*margin styles = getSampleStyleSheet() normal = ParagraphStyle('normal', fontName='Helvetica', fontSize=10, leading=14, spaceAfter=4) bold = ParagraphStyle('bold', fontName='Helvetica-Bold', fontSize=10, leading=14, spaceAfter=4) center = ParagraphStyle('center', fontName='Helvetica', fontSize=10, leading=14, alignment=TA_CENTER, spaceAfter=4) center_bold = ParagraphStyle('center_bold', fontName='Helvetica-Bold', fontSize=11, leading=16, alignment=TA_CENTER, spaceAfter=6) heading = ParagraphStyle('heading', fontName='Helvetica-Bold', fontSize=12, leading=16, alignment=TA_CENTER, spaceAfter=10) small = ParagraphStyle('small', fontName='Helvetica', fontSize=9, leading=12, spaceAfter=3) underline_bold = ParagraphStyle('ul', fontName='Helvetica-Bold', fontSize=10, leading=14, spaceAfter=4) def page_number_frame(c, page_num): c.setFont('Helvetica', 10) c.drawString(margin, H - margin + 5, str(page_num)) def build_annexure_pdf(output_path, start_page_num=65): buf = io.BytesIO() doc = SimpleDocTemplate(buf, pagesize=A4, leftMargin=margin, rightMargin=margin, topMargin=margin, bottomMargin=margin) story = [] pn = [start_page_num] # mutable for closure def add_page_num(canvas, doc): canvas.setFont('Helvetica', 10) canvas.drawString(margin, H - margin + 8, str(pn[0])) pn[0] += 1 # ───────────────────────────────────────────────────────────── # PAGE 1: STUDY PROFORMA – part 1 # ───────────────────────────────────────────────────────────── story.append(Paragraph('STUDY PROFORMA', heading)) story.append(Spacer(1, 4)) story.append(Paragraph('NAME :                                         AGE:                         SEX:', normal)) story.append(Paragraph('REG NO. :                                      IPD NO. :', normal)) story.append(Paragraph('ADDRESS :', normal)) story.append(Paragraph('CONTACT NO :', normal)) story.append(Paragraph('OCCUPATION :', normal)) story.append(Paragraph('RELIGION :', normal)) story.append(Paragraph('SOCIO ECONOMIC STATUS :', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('CHIEF COMPLAINTS :', bold)) story.append(Spacer(1, 6)) story.append(Paragraph('HISTORY OF PRESENT ILLNESS:', bold)) story.append(Paragraph('Ear complaints:', bold)) story.append(Paragraph('Ear discharge:', bold)) story.append(Paragraph('Onset: sudden / gradual      Duration:', normal)) story.append(Paragraph('Intermittent / continuous      Unilateral / bilateral:', normal)) story.append(Paragraph('Mucoid / mucopurulent / purulent / foul smelling / non foul smelling', normal)) story.append(Paragraph('Scanty / moderate / profuse      Blood stained : Y / N', normal)) story.append(Paragraph('Association with URTI: Y / N      Ear dry since:', normal)) story.append(Paragraph('Response to treatment: Y / N', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('Impairment of hearing:', bold)) story.append(Paragraph('Onset: sudden / gradual      Duration:', normal)) story.append(Paragraph('Static / Progressive', normal)) story.append(Paragraph('Inability to hear: normal conversation / whispering', normal)) story.append(Paragraph('Facial weakness: Present / Absent      Vertigo: Present / Absent', normal)) story.append(Paragraph('Tinnitus: Present / Absent      Vomiting: Present / Absent', normal)) story.append(Paragraph('Fever: Present / Absent      Headache: Present / Absent', normal)) story.append(Paragraph('H/o ototoxic drugs / noise exposure / trauma', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('Nasal complaint:', bold)) story.append(Paragraph('Frequent Sneezing: Present / Absent      Running nose: Present / Absent', normal)) story.append(Paragraph('Nasal blockage: Present / Absent      Nasal discharge: Present / Absent', normal)) story.append(Paragraph('Decreased sense of smell: Present / Absent', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('Throat complaints:', bold)) story.append(Paragraph('Throat pain: Present / Absent      Foreign body sensation: Present / Absent', normal)) story.append(Paragraph('Hoarseness: Present / Absent      Odynophagia: Present / Absent', normal)) story.append(Paragraph('Dysphagia: Present / Absent      Difficulty breathing: Present / Absent', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 2: PROFORMA – Past / Family / Personal / GPE # ───────────────────────────────────────────────────────────── story.append(Paragraph('PAST HISTORY:', bold)) story.append(Paragraph('Tobacco chewing', normal)) story.append(Paragraph('Bidi smoking', normal)) story.append(Paragraph('Alcohol consumption', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('FAMILY HISTORY:', bold)) story.append(Spacer(1, 10)) story.append(Paragraph('PERSONAL HISTORY:', bold)) story.append(Paragraph('Height:                  Weight:', normal)) story.append(Paragraph('Diet:                      Appetite:', normal)) story.append(Paragraph('Bowel:                  Bladder:', normal)) story.append(Paragraph('Sleep:                  Addiction:', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('GENERAL PHYSICAL EXAMINATION:', bold)) for item in ['PALLOR:', 'ICTERUS:', 'CYANOSIS:', 'CLUBBING:', 'EDEMA:', 'LYMPHADENOPATHY:', 'TEMPERATURE:', 'PULSE:', 'BP:', 'RR:']: story.append(Paragraph(item, normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 3: LOCAL EXAMINATION # ───────────────────────────────────────────────────────────── story.append(Paragraph('LOCAL EXAMINATION:', bold)) story.append(Spacer(1, 4)) story.append(Paragraph('EAR EXAMINATION:', bold)) story.append(Paragraph('PINNA:', normal)) story.append(Paragraph('RETRO AURICULAR AREA:', normal)) story.append(Paragraph('TRAGAL TENDERNESS:', normal)) story.append(Paragraph('MASTOID TENDERNESS:', normal)) story.append(Paragraph('EXTERNAL AUDITORY CANAL (EAC):', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('OTOSCOPY:', bold)) story.append(Paragraph('TYMPANIC MEMBRANE:      RIGHT –                          LEFT –', normal)) story.append(Paragraph('PERFORATION SIZE:           RIGHT –                          LEFT –', normal)) story.append(Paragraph('PERFORATION SITE:          RIGHT –                          LEFT –', normal)) story.append(Paragraph('DISCHARGE: Y / N               Type:', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('NOSE EXAMINATION:', bold)) story.append(Paragraph('ANTERIOR RHINOSCOPY:', normal)) story.append(Paragraph('Vestibule:   Mucosa:   Septum:   Inferior turbinate:   Middle turbinate:', normal)) story.append(Paragraph('POSTERIOR RHINOSCOPY:', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('THROAT EXAMINATION:', bold)) story.append(Paragraph('ORAL CAVITY:   TONSILS:   POSTERIOR PHARYNGEAL WALL:', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('NECK EXAMINATION:', bold)) story.append(Paragraph('Lymph nodes:', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 4: INVESTIGATIONS # ───────────────────────────────────────────────────────────── story.append(Paragraph('INVESTIGATIONS:', bold)) story.append(Spacer(1, 4)) story.append(Paragraph('AUDIOLOGICAL ASSESSMENT:', bold)) story.append(Paragraph('Tuning Fork Tests:', normal)) story.append(Paragraph('Rinne\'s test (512 Hz):    RIGHT –                LEFT –', normal)) story.append(Paragraph('Weber\'s test (512 Hz): Lateralizes to –', normal)) story.append(Paragraph('Absolute Bone Conduction (ABC):    RIGHT –       LEFT –', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('PURE TONE AUDIOMETRY (PTA):', bold)) story.append(Paragraph('Pre-operative:', normal)) # PTA table pdata = [ ['Frequency (Hz)', '250', '500', '1000', '2000', '4000'], ['AC Right (dB)', '', '', '', '', ''], ['AC Left (dB)', '', '', '', '', ''], ['BC Right (dB)', '', '', '', '', ''], ['BC Left (dB)', '', '', '', '', ''], ] ptable = Table(pdata, colWidths=[TW*0.28]+[TW*0.18]*4+[TW*0.18]) ptable.setStyle(TableStyle([ ('GRID', (0,0), (-1,-1), 0.5, colors.black), ('BACKGROUND', (0,0), (-1,0), colors.lightgrey), ('FONTNAME', (0,0), (-1,0), 'Helvetica-Bold'), ('FONTSIZE', (0,0), (-1,-1), 9), ('ALIGN', (0,0), (-1,-1), 'CENTER'), ])) story.append(ptable) story.append(Spacer(1, 6)) story.append(Paragraph('Pre-operative Air-Bone Gap: RIGHT –        LEFT –', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('EUSTACHIAN TUBE FUNCTION TEST:', bold)) story.append(Paragraph('Williams test / Politzerization / Valsalva:    PASS / FAIL', normal)) story.append(Paragraph('ETD Grade:', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 5: PRE-OP / POST-OP ASSESSMENT # ───────────────────────────────────────────────────────────── story.append(Paragraph('OPERATIVE DETAILS:', bold)) story.append(Paragraph('Date of surgery:', normal)) story.append(Paragraph('Type of tympanoplasty:', normal)) story.append(Paragraph('Graft used:   Temporalis Fascia / Tensor Fascia Lata', normal)) story.append(Paragraph('Approach:   Post-auricular / Endaural / Transcanal', normal)) story.append(Paragraph('Intraoperative findings:', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('POST-OPERATIVE ASSESSMENT – 3 WEEKS:', bold)) story.append(Paragraph('Graft uptake:   Successful / Failed', normal)) story.append(Paragraph('Discharge: Y / N', normal)) story.append(Paragraph('Otoscopy findings:', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('POST-OPERATIVE ASSESSMENT – 6 WEEKS:', bold)) story.append(Paragraph('Graft uptake:   Successful / Failed', normal)) story.append(Paragraph('Discharge: Y / N', normal)) story.append(Paragraph('Otoscopy findings:', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('POST-OPERATIVE PURE TONE AUDIOMETRY (6 WEEKS):', bold)) pdata2 = [ ['Frequency (Hz)', '250', '500', '1000', '2000', '4000'], ['AC Right (dB)', '', '', '', '', ''], ['AC Left (dB)', '', '', '', '', ''], ['BC Right (dB)', '', '', '', '', ''], ['BC Left (dB)', '', '', '', '', ''], ] ptable2 = Table(pdata2, colWidths=[TW*0.28]+[TW*0.18]*4+[TW*0.18]) ptable2.setStyle(TableStyle([ ('GRID', (0,0), (-1,-1), 0.5, colors.black), ('BACKGROUND', (0,0), (-1,0), colors.lightgrey), ('FONTNAME', (0,0), (-1,0), 'Helvetica-Bold'), ('FONTSIZE', (0,0), (-1,-1), 9), ('ALIGN', (0,0), (-1,-1), 'CENTER'), ])) story.append(ptable2) story.append(Spacer(1, 6)) story.append(Paragraph('Post-operative Air-Bone Gap (6 weeks): RIGHT –     LEFT –', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('INFERENCE:', bold)) story.append(Paragraph('Graft uptake at 3 weeks:     Successful / Failed', normal)) story.append(Paragraph('Graft uptake at 6 weeks:     Successful / Failed', normal)) story.append(Paragraph('Hearing improvement:        Yes / No', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 6: ANNEXURE II A – PIS ENGLISH # ───────────────────────────────────────────────────────────── story.append(Paragraph('ANNEXURE II A:', bold)) story.append(Paragraph('PARTICIPANT INFORMATION SHEET – ENGLISH', heading)) story.append(Spacer(1, 4)) story.append(Paragraph('Name of Principal Investigator: DR. NEEL NAINESH JAIN', normal)) story.append(Spacer(1, 2)) story.append(Paragraph('Name of Organization: Department of Otorhinolaryngology,', normal)) story.append(Paragraph('                              Dhiraj General Hospital.', normal)) story.append(Paragraph('                              Piparia. Tal: Waghodia, District: Vadodara.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Dear participant,', normal)) story.append(Paragraph('You are being invited to participate in this study. Before you decide whether to participate, it is important that you understand why the research is being done and what it will involve. Please read the following information carefully.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('1. What is the purpose of the study?', bold)) story.append(Paragraph('This study aims to compare the graft uptake rates and hearing outcomes of two commonly used graft materials — Tensor Fascia Lata and Temporalis Fascia — in tympanoplasty for patients with chronic otitis media (mucosal type) and Eustachian tube dysfunction.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('2. Why have I been chosen?', bold)) story.append(Paragraph('You have been chosen because the disease that you have fits the inclusion criteria of the study project.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('3. Do I have to take part?', bold)) story.append(Paragraph('Your participation in the study program will be absolutely voluntary.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('4. How long will the study last?', bold)) story.append(Paragraph('Over the period of 18 months, data will be collected and statistically analyzed.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('5. What will happen if I take part?', bold)) story.append(Paragraph('After consenting to participate, you will be subjected to clinical examination and relevant investigations. You will undergo tympanoplasty with either tensor fascia lata or temporalis fascia graft. Follow-up assessments will be conducted at 3 weeks and 6 weeks post-operatively.', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 7: PIS ENGLISH contd. # ───────────────────────────────────────────────────────────── story.append(Paragraph('6. What are the possible benefits of taking part?', bold)) story.append(Paragraph('You may benefit from the surgical procedure through improvement in hearing and prevention of repeated ear infections. The study will also contribute to scientific knowledge regarding optimal graft selection.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('7. What are the possible risks and side effects?', bold)) story.append(Paragraph('The surgical procedures involved are routine treatments for this condition. Serious life-threatening complications are unlikely. Possible surgical risks include graft failure, infection, or hearing changes, which will be monitored during follow-up.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('8. Will my participation be confidential?', bold)) story.append(Paragraph('Information regarding your health and other personal details, if any, will be kept strictly confidential. The data will only be used for scientific and research purposes.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('9. What will happen to the results of the study?', bold)) story.append(Paragraph('The data collected during the study will be used for scientific and research purposes. It may be published in medical journals but your personal identity will not be disclosed.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('10. What if new information becomes available?', bold)) story.append(Paragraph('Any important new information related to the study or treatment will be informed to you promptly.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('11. What happens when the study stops?', bold)) story.append(Paragraph('The data collected during the study will be used for scientific and research purposes.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('12. If any problem develops, you can contact:', bold)) story.append(Paragraph('NAME: Dr. NEEL NAINESH JAIN', normal)) story.append(Paragraph('ADDRESS: Department of Otorhinolaryngology,', normal)) story.append(Paragraph('                    Dhiraj General Hospital, Piparia, Waghodia, District: Vadodara', normal)) story.append(Paragraph('MOBILE NO.: 7016669696', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 8: PIS English – Consent of Patient # ───────────────────────────────────────────────────────────── story.append(Paragraph('Consent of the Patient (To be taken in vernacular from each subject)', bold)) story.append(Spacer(1, 10)) story.append(Paragraph('I, __________________________ S/O, D/O, W/O __________________________ Understand that there are no serious side effects of any of the drugs / methods to be used in the study. However, the possibility of any of unknown side effects of these drugs / methods has been explained to me. I therefore voluntarily agree to participate in the study. I have been explained that I am free to withdraw from the study at any time without any terms and conditions.', normal)) story.append(Spacer(1, 20)) story.append(Paragraph('Dr. In charge', normal)) story.append(Spacer(1, 10)) story.append(Paragraph('Signature of the Subject / Guardian: ________________________', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Witness: _________________________      Dated: _________________', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Piparia, Ta. Waghodia, Dist. Vadodara', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 9: ANNEXURE III A – ICF ENGLISH # ───────────────────────────────────────────────────────────── story.append(Paragraph('ANNEXURE III A:', bold)) story.append(Paragraph('INFORMED CONSENT FORM – ENGLISH', heading)) story.append(Spacer(1, 4)) story.append(Paragraph('Study Title: – "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Please initial box (Subject)', normal)) story.append(Spacer(1, 4)) icf_items = [ ('i', 'I confirm that I have read and understood the information sheet dated ____________ for the above study and have had the opportunity to ask questions.'), ('ii', 'I understand that my participation in the study is voluntary and that I am free to withdraw at any time, without giving any reason, without my medical care or legal rights being affected.'), ('iii', 'I understand that the sponsor of the clinical trial, those working on the sponsor\'s behalf, the Ethics Committee and the regulatory authorities will not be given access to my personal information without my permission.'), ('iv', 'I agree to my GP being informed of my participation in the study.'), ('v', 'I agree to take part in the above study.'), ] for num, text in icf_items: row_data = [[num + '.', text, '□']] t = Table(row_data, colWidths=[10*mm, TW-20*mm, 10*mm]) t.setStyle(TableStyle([ ('FONTNAME', (0,0), (-1,-1), 'Helvetica'), ('FONTSIZE', (0,0), (-1,-1), 10), ('VALIGN', (0,0), (-1,-1), 'TOP'), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ])) story.append(t) story.append(Spacer(1, 4)) story.append(Spacer(1, 16)) story.append(Paragraph('Name of Subject: ___________________________ Date: _____________', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Signature: ________________________________', normal)) story.append(Spacer(1, 10)) story.append(Paragraph('Name of Person taking consent: Dr. NEEL NAINESH JAIN', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Signature: ________________________________ Date: _____________', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 10: ANNEXURE II B – PIS HINDI (English placeholder) # ───────────────────────────────────────────────────────────── story.append(Paragraph('ANNEXURE II B:', bold)) story.append(Paragraph('PARTICIPANT INFORMATION SHEET – HINDI', heading)) story.append(Spacer(1, 4)) story.append(Paragraph('[Hindi version of the Participant Information Sheet]', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Name of Principal Investigator: DR. NEEL NAINESH JAIN', normal)) story.append(Paragraph('Name of Organization: Department of Otorhinolaryngology, Dhiraj General Hospital, Piparia, Waghodia, Vadodara.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('Voluntary participation | 18-month study | Contact: Dr. Neel Nainesh Jain, Mobile: 7016669696', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('(Full Hindi text as per approved protocol — to be inserted in vernacular form)', small)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 11: ANNEXURE III B – ICF HINDI # ───────────────────────────────────────────────────────────── story.append(Paragraph('ANNEXURE III B:', bold)) story.append(Paragraph('INFORMED CONSENT FORM – HINDI', heading)) story.append(Spacer(1, 4)) story.append(Paragraph('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('[Hindi version of the Informed Consent Form]', normal)) story.append(Spacer(1, 8)) for num, text in icf_items: row_data = [[num + '.', text, '□']] t = Table(row_data, colWidths=[10*mm, TW-20*mm, 10*mm]) t.setStyle(TableStyle([ ('FONTNAME', (0,0), (-1,-1), 'Helvetica'), ('FONTSIZE', (0,0), (-1,-1), 10), ('VALIGN', (0,0), (-1,-1), 'TOP'), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ])) story.append(t) story.append(Spacer(1, 4)) story.append(Spacer(1, 16)) story.append(Paragraph('Name of Subject: ___________________________ Date: _____________', normal)) story.append(Paragraph('Signature: ________________________________', normal)) story.append(Spacer(1, 10)) story.append(Paragraph('Name of Person taking consent: Dr. NEEL NAINESH JAIN', normal)) story.append(Paragraph('Signature: ________________________________ Date: _____________', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 12: ANNEXURE II C – PIS GUJARATI # ───────────────────────────────────────────────────────────── story.append(Paragraph('ANNEXURE II C:', bold)) story.append(Paragraph('PARTICIPANT INFORMATION SHEET – GUJARATI', heading)) story.append(Spacer(1, 4)) story.append(Paragraph('[Gujarati version of the Participant Information Sheet]', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('Name of Principal Investigator: DR. NEEL NAINESH JAIN', normal)) story.append(Paragraph('Name of Organization: Department of Otorhinolaryngology, Dhiraj General Hospital, Piparia, Waghodia, Vadodara.', normal)) story.append(Spacer(1, 4)) story.append(Paragraph('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('Voluntary participation | 18-month study | Contact: Dr. Neel Nainesh Jain, Mobile: 7016669696', normal)) story.append(Spacer(1, 8)) story.append(Paragraph('(Full Gujarati text as per approved protocol — to be inserted in vernacular form)', small)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 13: ANNEXURE III C – ICF GUJARATI # ───────────────────────────────────────────────────────────── story.append(Paragraph('ANNEXURE III C:', bold)) story.append(Paragraph('INFORMED CONSENT FORM – GUJARATI', heading)) story.append(Spacer(1, 4)) story.append(Paragraph('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', normal)) story.append(Spacer(1, 6)) story.append(Paragraph('[Gujarati version of the Informed Consent Form]', normal)) story.append(Spacer(1, 8)) for num, text in icf_items: row_data = [[num + '.', text, '□']] t = Table(row_data, colWidths=[10*mm, TW-20*mm, 10*mm]) t.setStyle(TableStyle([ ('FONTNAME', (0,0), (-1,-1), 'Helvetica'), ('FONTSIZE', (0,0), (-1,-1), 10), ('VALIGN', (0,0), (-1,-1), 'TOP'), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ])) story.append(t) story.append(Spacer(1, 4)) story.append(Spacer(1, 16)) story.append(Paragraph('Name of Subject: ___________________________ Date: _____________', normal)) story.append(Paragraph('Signature: ________________________________', normal)) story.append(Spacer(1, 10)) story.append(Paragraph('Name of Person taking consent: Dr. NEEL NAINESH JAIN', normal)) story.append(Paragraph('Signature: ________________________________ Date: _____________', normal)) story.append(PageBreak()) # ───────────────────────────────────────────────────────────── # PAGE 14: MASTERCHART (blank template) # ───────────────────────────────────────────────────────────── story.append(Paragraph('MASTERCHART:', heading)) story.append(Spacer(1, 6)) mc_headers = ['Sr.No.', 'Name', 'Age', 'Sex', 'Group', 'Perforation Size', 'ETD Grade', 'Graft Uptake 3W', 'Graft Uptake 6W', 'Pre AB Gap', 'Post AB Gap'] mc_data = [mc_headers] + [[''] * len(mc_headers)] * 8 mc_table = Table(mc_data, colWidths=[TW/len(mc_headers)]*len(mc_headers)) mc_table.setStyle(TableStyle([ ('GRID', (0,0), (-1,-1), 0.5, colors.black), ('BACKGROUND', (0,0), (-1,0), colors.lightgrey), ('FONTNAME', (0,0), (-1,0), 'Helvetica-Bold'), ('FONTSIZE', (0,0), (-1,-1), 7), ('ALIGN', (0,0), (-1,-1), 'CENTER'), ('ROWHEIGHT', (0,1), (-1,-1), 14), ])) story.append(mc_table) # Build doc.build(story, onFirstPage=add_page_num, onLaterPages=add_page_num) # Write out with open(output_path, 'wb') as f: f.write(buf.getvalue()) print(f"Annexures PDF written: {output_path}") reader = PdfReader(output_path) print(f"Pages in annexures PDF: {len(reader.pages)}") build_annexure_pdf('/home/daytona/workspace/neel_project/annexures.pdf', start_page_num=65) PYEOF

Running Command

python3 << 'PYEOF' from pypdf import PdfReader, PdfWriter neel_path = "/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/Dr. Neel thesis final.pdf" annexures_path = "/home/daytona/workspace/neel_project/annexures.pdf" output_path = "/home/daytona/workspace/neel_project/Dr_Neel_thesis_with_annexures.pdf" writer = PdfWriter() # Add all pages from Neel's original thesis reader1 = PdfReader(neel_path) print(f"Original thesis pages: {len(reader1.pages)}") for page in reader1.pages: writer.add_page(page) # Append all annexure pages reader2 = PdfReader(annexures_path) print(f"Annexure pages: {len(reader2.pages)}") for page in reader2.pages: writer.add_page(page) with open(output_path, 'wb') as f: writer.write(f) # Verify final = PdfReader(output_path) print(f"Final PDF total pages: {len(final.pages)}") print(f"Output: {output_path}") PYEOF

Model call limits exceeded: run limit (20/20)

Add actual Hindi and Gujarati text content to the placeholders

Running Command

Reading File

Running Command

# Download Noto fonts for Devanagari and Gujarati pip install --quiet requests 2>/dev/null python3 -c " import urllib.request, os fonts = { 'NotoSansDevanagari-Regular.ttf': 'https://github.com/googlefonts/noto-fonts/raw/main/hinted/ttf/NotoSansDevanagari/NotoSansDevanagari-Regular.ttf', 'NotoSansDevanagari-Bold.ttf': 'https://github.com/googlefonts/noto-fonts/raw/main/hinted/ttf/NotoSansDevanagari/NotoSansDevanagari-Bold.ttf', 'NotoSansGujarati-Regular.ttf': 'https://github.com/googlefonts/noto-fonts/raw/main/hinted/ttf/NotoSansGujarati/NotoSansGujarati-Regular.ttf', 'NotoSansGujarati-Bold.ttf': 'https://github.com/googlefonts/noto-fonts/raw/main/hinted/ttf/NotoSansGujarati/NotoSansGujarati-Bold.ttf', } os.makedirs('/home/daytona/workspace/neel_project/fonts', exist_ok=True) for name, url in fonts.items(): dest = f'/home/daytona/workspace/neel_project/fonts/{name}' print(f'Downloading {name}...') try: urllib.request.urlretrieve(url, dest) print(f' OK: {os.path.getsize(dest)} bytes') except Exception as e: print(f' FAILED: {e}') "

Running Command

python3 -c " from pypdf import PdfReader ref = PdfReader('/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/Dr.Archana thesis final 1.pdf') # Gujarati pages: 102-108 (index 101-107) for i in range(101, 108): text = ref.pages[i].extract_text() print(f'\\n=== REF PDF PAGE {i+1} ===') print(text if text else '[no text]') " 2>&1 | grep -v "Ignoring"

Running Command

python3 -c " # Extract all Hindi text from synopsis (lines 920 onwards) with open('/home/daytona/workspace/neel_synopsis.md', 'r', encoding='utf-8') as f: lines = f.readlines() print(f'Total lines: {len(lines)}') # Print from line 920 for i, line in enumerate(lines[919:], start=920): print(f'{i}: {line}', end='') " 2>&1 | head -250

Running Command

python3 << 'PYEOF' from reportlab.lib.pagesizes import A4 from reportlab.lib.units import mm from reportlab.pdfbase import pdfmetrics from reportlab.pdfbase.ttfonts import TTFont from reportlab.platypus import SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, PageBreak from reportlab.lib.styles import ParagraphStyle from reportlab.lib import colors from reportlab.lib.enums import TA_CENTER, TA_LEFT from pypdf import PdfReader, PdfWriter import io # ── Register fonts ────────────────────────────────────────────── font_dir = '/home/daytona/workspace/neel_project/fonts/' pdfmetrics.registerFont(TTFont('NotoDevanagari', font_dir + 'NotoSansDevanagari-Regular.ttf')) pdfmetrics.registerFont(TTFont('NotoDevanagari-Bold', font_dir + 'NotoSansDevanagari-Bold.ttf')) pdfmetrics.registerFont(TTFont('NotoGujarati', font_dir + 'NotoSansGujarati-Regular.ttf')) pdfmetrics.registerFont(TTFont('NotoGujarati-Bold', font_dir + 'NotoSansGujarati-Bold.ttf')) W, H = A4 margin = 20*mm TW = W - 2*margin # ── Style helpers ──────────────────────────────────────────────── def S(font='Helvetica', size=10, leading=14, align=TA_LEFT, after=4, bold=False): fn = font + ('-Bold' if bold and not font.endswith('Bold') else '') return ParagraphStyle('_', fontName=fn, fontSize=size, leading=leading, alignment=align, spaceAfter=after) en = S() en_b = S(bold=True) en_c = S(align=TA_CENTER) en_cb = S(bold=True, align=TA_CENTER, size=11, leading=16, after=6) en_h = S(bold=True, size=12, leading=16, align=TA_CENTER, after=10) hi = S('NotoDevanagari', 11, 18) hi_b = S('NotoDevanagari-Bold', 11, 18, bold=False) hi_h = S('NotoDevanagari-Bold', 12, 18, align=TA_CENTER, after=8, bold=False) gu = S('NotoGujarati', 11, 18) gu_b = S('NotoGujarati-Bold', 11, 18, bold=False) gu_h = S('NotoGujarati-Bold', 12, 18, align=TA_CENTER, after=8, bold=False) sm = S(size=8, leading=11) pn = [65] def add_page_num(canvas, doc): canvas.setFont('Helvetica', 10) canvas.drawString(margin, H - margin + 8, str(pn[0])) pn[0] += 1 def P(text, style): return Paragraph(text, style) def SP(h=6): return Spacer(1, h) def PB(): return PageBreak() story = [] # ════════════════════════════════════════════════════════════════ # PAGE 1 – STUDY PROFORMA pt1 # ════════════════════════════════════════════════════════════════ story += [ P('STUDY PROFORMA', en_h), SP(4), P('NAME :                                        AGE:                      SEX:', en), P('REG NO. :                                     IPD NO. :', en), P('ADDRESS :', en), P('CONTACT NO :', en), P('OCCUPATION :', en), P('RELIGION :', en), P('SOCIO ECONOMIC STATUS :', en), SP(6), P('CHIEF COMPLAINTS :', en_b), SP(4), P('HISTORY OF PRESENT ILLNESS:', en_b), P('Ear complaints:', en_b), P('Ear discharge:', en_b), P('Onset: sudden / gradual      Duration:', en), P('Intermittent / continuous      Unilateral / bilateral:', en), P('Mucoid / mucopurulent / purulent / foul smelling / non foul smelling', en), P('Scanty / moderate / profuse      Blood stained : Y / N', en), P('Association with URTI: Y / N      Ear dry since:', en), P('Response to treatment: Y / N', en), SP(4), P('Impairment of hearing:', en_b), P('Onset: sudden / gradual      Duration:', en), P('Static / Progressive', en), P('Inability to hear: normal conversation / whispering', en), P('Facial weakness: Present / Absent      Vertigo: Present / Absent', en), P('Tinnitus: Present / Absent      Vomiting: Present / Absent', en), P('Fever: Present / Absent      Headache: Present / Absent', en), P('H/o ototoxic drugs / noise exposure / trauma', en), SP(4), P('Nasal complaint:', en_b), P('Frequent Sneezing: Present / Absent      Running nose: Present / Absent', en), P('Nasal blockage: Present / Absent      Nasal discharge: Present / Absent', en), P('Decreased sense of smell: Present / Absent', en), SP(4), P('Throat complaints:', en_b), P('Throat pain: Present / Absent      Foreign body sensation: Present / Absent', en), P('Hoarseness: Present / Absent      Odynophagia: Present / Absent', en), P('Dysphagia: Present / Absent      Difficulty breathing: Present / Absent', en), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 2 – PROFORMA pt2: Past/Family/Personal/GPE # ════════════════════════════════════════════════════════════════ story += [ P('PAST HISTORY:', en_b), P('Tobacco chewing', en), P('Bidi smoking', en), P('Alcohol consumption', en), SP(6), P('FAMILY HISTORY:', en_b), SP(10), P('PERSONAL HISTORY:', en_b), P('Height:                Weight:', en), P('Diet:                   Appetite:', en), P('Bowel:                Bladder:', en), P('Sleep:                Addiction:', en), SP(6), P('GENERAL PHYSICAL EXAMINATION:', en_b), ] + [P(x, en) for x in ['PALLOR:', 'ICTERUS:', 'CYANOSIS:', 'CLUBBING:', 'EDEMA:', 'LYMPHADENOPATHY:', 'TEMPERATURE:', 'PULSE:', 'BP:', 'RR:']] + [PB()] # ════════════════════════════════════════════════════════════════ # PAGE 3 – LOCAL EXAMINATION # ════════════════════════════════════════════════════════════════ story += [ P('LOCAL EXAMINATION:', en_b), SP(4), P('EAR EXAMINATION:', en_b), P('PINNA:', en), P('RETRO AURICULAR AREA:', en), P('TRAGAL TENDERNESS:', en), P('MASTOID TENDERNESS:', en), P('EXTERNAL AUDITORY CANAL (EAC):', en), SP(4), P('OTOSCOPY:', en_b), P('TYMPANIC MEMBRANE:      RIGHT –                        LEFT –', en), P('PERFORATION SIZE:          RIGHT –                        LEFT –', en), P('PERFORATION SITE:         RIGHT –                        LEFT –', en), P('DISCHARGE: Y / N              Type:', en), SP(6), P('NOSE EXAMINATION:', en_b), P('ANTERIOR RHINOSCOPY:', en), P('Vestibule:   Mucosa:   Septum:   Inferior turbinate:   Middle turbinate:', en), P('POSTERIOR RHINOSCOPY:', en), SP(6), P('THROAT EXAMINATION:', en_b), P('ORAL CAVITY:   TONSILS:   POSTERIOR PHARYNGEAL WALL:', en), SP(6), P('NECK EXAMINATION:', en_b), P('Lymph nodes:', en), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 4 – INVESTIGATIONS # ════════════════════════════════════════════════════════════════ pta_data = [ ['Frequency (Hz)', '250', '500', '1000', '2000', '4000'], ['AC Right (dB)', '', '', '', '', ''], ['AC Left (dB)', '', '', '', '', ''], ['BC Right (dB)', '', '', '', '', ''], ['BC Left (dB)', '', '', '', '', ''], ] def pta_table(): t = Table(pta_data, colWidths=[TW*0.30]+[TW*0.14]*5) t.setStyle(TableStyle([ ('GRID', (0,0), (-1,-1), 0.5, colors.black), ('BACKGROUND', (0,0), (-1,0), colors.lightgrey), ('FONTNAME', (0,0), (-1,0), 'Helvetica-Bold'), ('FONTSIZE', (0,0), (-1,-1), 9), ('ALIGN', (0,0), (-1,-1), 'CENTER'), ('ROWHEIGHT', (0,1), (-1,-1), 14), ])) return t story += [ P('INVESTIGATIONS:', en_b), SP(4), P('AUDIOLOGICAL ASSESSMENT:', en_b), P("Rinne's test (512 Hz):    RIGHT –              LEFT –", en), P("Weber's test (512 Hz): Lateralizes to –", en), P('Absolute Bone Conduction (ABC):    RIGHT –      LEFT –', en), SP(4), P('PURE TONE AUDIOMETRY (PTA) – Pre-operative:', en_b), pta_table(), SP(6), P('Pre-operative Air-Bone Gap: RIGHT –       LEFT –', en), SP(8), P('EUSTACHIAN TUBE FUNCTION TEST:', en_b), P('Williams test / Politzerization / Valsalva:    PASS / FAIL', en), P('ETD Grade:', en), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 5 – OPERATIVE + POST-OP # ════════════════════════════════════════════════════════════════ story += [ P('OPERATIVE DETAILS:', en_b), P('Date of surgery:', en), P('Type of tympanoplasty:', en), P('Graft used:   Temporalis Fascia / Tensor Fascia Lata', en), P('Approach:   Post-auricular / Endaural / Transcanal', en), P('Intraoperative findings:', en), SP(8), P('POST-OPERATIVE ASSESSMENT – 3 WEEKS:', en_b), P('Graft uptake:   Successful / Failed', en), P('Discharge: Y / N', en), P('Otoscopy findings:', en), SP(8), P('POST-OPERATIVE ASSESSMENT – 6 WEEKS:', en_b), P('Graft uptake:   Successful / Failed', en), P('Discharge: Y / N', en), P('Otoscopy findings:', en), SP(8), P('POST-OPERATIVE PURE TONE AUDIOMETRY (6 WEEKS):', en_b), pta_table(), SP(6), P('Post-operative Air-Bone Gap (6 weeks): RIGHT –     LEFT –', en), SP(6), P('INFERENCE:', en_b), P('Graft uptake at 3 weeks:     Successful / Failed', en), P('Graft uptake at 6 weeks:     Successful / Failed', en), P('Hearing improvement:       Yes / No', en), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 6 – ANNEXURE II A: PIS ENGLISH # ════════════════════════════════════════════════════════════════ story += [ P('ANNEXURE II A:', en_b), P('PARTICIPANT INFORMATION SHEET – ENGLISH', en_h), SP(4), P('Name of Principal Investigator: DR. NEEL NAINESH JAIN', en), P('Name of Organization: Department of Otorhinolaryngology,', en), P('                            Dhiraj General Hospital, Piparia, Tal: Waghodia, District: Vadodara.', en), P('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', en), SP(4), P('Study No. _____________      Date: _________________', en), SP(6), P('Invitation to Participant', en_b), P('Purpose & nature of the study:', en_b), SP(4), P('1. Voluntary nature of participation:', en_b), P('It is an absolutely voluntary participation in the study program.', en), P('2. Study methods:', en_b), P('It is a comparative study. The patients subjected to the treatment required for this condition will only be assessed by the researcher for outcome of the operation and symptoms improvement.', en), P('3. Participant\'s responsibilities:', en_b), P('After agreeing to participate in the study, the patients should extend full support. They should provide real facts when inquired into.', en), P('4. Expected adverse events, risks and solution:', en_b), P('You have been given assurance that during the study, the procedure conducted is a routine treatment for this condition, and any serious life threatening complications are unlikely to occur.', en), P('5. Confidentiality of the record:', en_b), P('Information regarding patient\'s health and other personal facts if any, will be kept confidential.', en), P('6. Consent for publication:', en_b), P('This study can be used for publications in future.', en), P('7. Financial consideration:', en_b), P('Patient will have to bear no extra cost to be a part of this study. All finance of the study is included in the routine workup carried out in Dhiraj General Hospital.', en), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 7 – PIS ENGLISH pt2 + Consent # ════════════════════════════════════════════════════════════════ story += [ P('8. If any problem develops, you can contact:', en_b), P('NAME: Dr. NEEL NAINESH JAIN', en), P('ADDRESS: Department of Otorhinolaryngology, Dhiraj General Hospital,', en), P('                  Piparia, Tal: Waghodia, District: Vadodara.', en), P('MOBILE NO.: 7016669696', en), SP(4), P('9. Protection for patient and security:', en_b), P("Patients' data and records collected will be kept confidential and secured.", en), P('10. Obtaining additional information:', en_b), P('If need arises, the patient may be contacted to inquire about past, personal and family history.', en), SP(10), P('Consent of the Patient (To be taken in vernacular from each subject)', en_b), SP(6), P('I, __________________________ S/O, D/O, W/O __________________________ Understand that there are no serious side effects of any of the drugs / methods to be used in the study. However, the possibility of any of unknown side effects of these drugs / methods has been explained to me. I therefore voluntarily agree to participate in the study. I have been explained that I am free to withdraw from the study at any time without any terms and conditions.', en), SP(16), P('Dr. In charge', en), SP(8), P('Signature of the Subject / Guardian: _________________________', en), SP(6), P('Witness: _________________________      Dated: _________________', en), SP(4), P('Piparia, Ta. Waghodia, Dist. Vadodara', en), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 8 – ANNEXURE III A: ICF ENGLISH # ════════════════════════════════════════════════════════════════ icf_items_en = [ ('i', 'I confirm that I have read and understood the information sheet dated ____________ for the above study and have had the opportunity to ask questions.'), ('ii', 'I understand that my participation in the study is voluntary and that I am free to withdraw at any time, without giving any reason, without my medical care or legal rights being affected.'), ('iii', "I understand that the sponsor of the clinical trial, those working on the sponsor's behalf, the Ethics Committee and the regulatory authorities will not be given access to my personal information without my permission."), ('iv', 'I agree not to restrict the use of any data or results that arise from this study provided such use is only for scientific purpose(s).'), ('v', 'I agree to take part in the above study.'), ] story += [ P('ANNEXURE III A:', en_b), P('INFORMED CONSENT FORM – ENGLISH', en_h), SP(4), P('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', en), SP(6), P('Please initial box (Subject)', en), SP(4), ] for num, text in icf_items_en: row = [[num + '.', text, '□']] t = Table(row, colWidths=[10*mm, TW-20*mm, 10*mm]) t.setStyle(TableStyle([('FONTNAME',(0,0),(-1,-1),'Helvetica'),('FONTSIZE',(0,0),(-1,-1),10),('VALIGN',(0,0),(-1,-1),'TOP'),('TOPPADDING',(0,0),(-1,-1),4),('BOTTOMPADDING',(0,0),(-1,-1),4)])) story += [t, SP(4)] story += [ SP(12), P('Signature or Thumb Impression of Participant / Guardian: ____________________', en), P('Date: ____ / ____ / ______', en), SP(6), P('Signature of Investigator: ____________________', en), P('Date: ____ / ____ / ______      Name: Dr. NEEL NAINESH JAIN', en), SP(6), P('Signature of Witness: ____________________', en), P('Date: ____ / ____ / ______', en), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 9 – ANNEXURE II B: PIS HINDI # ════════════════════════════════════════════════════════════════ story += [ P('ANNEXURE II B:', en_b), P('प्रतिभागी जानकारी पत्रक', hi_h), SP(4), P('प्रधान अन्वेषक का नाम: डॉ. नील नैनेश जैन', hi_b), P('संगठन का नाम: कान, नाक एवं गला विभाग', hi), P(' धीरज जनरल हॉस्पिटल', hi), P(' पिपरिया, ता: वाघोडिया, जिला: वडोदरा', hi), P('अध्ययन शीर्षक: "यूस्टेशियन ट्यूब डिसफंक्शन वाले क्रोनिक ओटिटिस मीडिया के रोगियों में टेन्सर फास्किया लता ग्राफ्ट बनाम टेम्पोरलिस फास्किया ग्राफ्ट के बीच एक तुलना अध्ययन"', hi), SP(6), P('अध्ययन संख्या: _____________      दिनांक: _________________', hi), SP(6), P('प्रतिभागी को निमंत्रण', hi_b), SP(4), P('1. भागीदारी की स्वैच्छिक प्रकृति:', hi_b), P('यह अध्ययन कार्यक्रम में एक पूरी तरह से स्वैच्छिक भागीदारी है।', hi), P('2. अध्ययन तरीको:', hi_b), P('यह एक तुलनात्मक अध्ययन है। इस स्थिति के लिए आवश्यक उपचार के अधीन रोगियों को केवल लक्षणों के लिए शोधकर्ता द्वारा मूल्यांकन किया जाएगा।', hi), P('3. प्रतिभागियों की जिम्मेदारियां:', hi_b), P('अध्ययन में भाग लेने के लिए सहमत होने के बाद, रोगियों को पूर्ण समर्थन देना चाहिए। पूछे जाने पर उन्हें वास्तविक तथ्यों को प्रदान करना चाहिए।', hi), P('4. अपेक्षित प्रतिकूल घटनाएं, जोखिम और समाधान:', hi_b), P('आपको यह आश्वासन दिया गया है कि अध्ययन के दौरान, आयोजित की गई प्रक्रिया इस स्थिति के लिए एक नियमित उपचार है, और किसी भी गंभीर समस्याओं की आशंका बहुत कम है।', hi), P('5. रिकॉर्ड की गोपनीयता:', hi_b), P('यदि रोगी के स्वास्थ्य और अन्य व्यक्तिगत तथ्यों के बारे में जानकारी गोपनीय रखी जाएगी।', hi), P('6. प्रकाशन के लिए सहमति:', hi_b), P('इस अध्ययन का उपयोग भविष्य में प्रकाशन के लिए किया जा सकता है।', hi), P('7. वित्तीय विचार:', hi_b), P('स्व वित्त — रोगी को इस अध्ययन का हिस्सा बनने के लिए कोई अतिरिक्त खर्च नहीं उठाना होगा।', hi), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 10 – PIS HINDI pt2 + मरीज की स्वीकृति # ════════════════════════════════════════════════════════════════ story += [ P('8. यदि कोई समस्या विकसित होती है, तो आप संपर्क कर सकते हैं:', hi_b), P('नाम: डॉ. नील नैनेश जैन', hi), P('पता: कान नाक और गला विभाग, धीरज जनरल अस्पताल,', hi), P(' पिपरिया, ता: वाघोडिया, जि: वडोदरा', hi), P('मोबाइल नं.: 7016669696', hi), SP(4), P('9. रोगी और सुरक्षा के लिए संरक्षण:', hi_b), P('मरीजों के डेटा और रिकॉर्ड को गोपनीय और सुरक्षित रखा जाएगा।', hi), P('10. अतिरिक्त जानकारी प्राप्त करना:', hi_b), P('अगर जरूरत पड़ी तो, मरीज को पिछले, व्यक्तिगत और पारिवारिक इतिहास के बारे में पूछताछ करने के लिए संपर्क किया जा सकता है।', hi), SP(10), P('मरीज की स्वीकृति (प्रत्येक विषय से स्थानीय रूप में लिया जाएगा)', hi_b), SP(6), P('मैं, __________________________ श्री __________________________ का बेटा / बेटी / पत्नी यह समझें कि अध्ययन में उपयोग की जाने वाली दवाओं / विधियों में से कोई भी गंभीर दुष्प्रभाव नहीं हैं। हालाँकि इसने मुझे इन दवाओं / विधियों के किसी भी अज्ञात दुष्प्रभाव की संभावना के बारे में समझाया है। इसलिए मैं स्वेच्छा से अध्ययन में भाग लेने के लिए सहमत हूं। जैसा कि मुझे समझाया गया है, मैं बिना किसी नियम और शर्तों के किसी भी समय अध्ययन छोड़ने के लिए स्वतंत्र हूं।', hi), SP(12), P('प्रभारी डॉ', hi), SP(6), P('विषय/अभिभावक का हस्ताक्षर: _________________________', hi), P('गवाह: _________________________      दिनांक: _________________', hi), SP(4), P('पिपरिया, ता. वाघोडिया, जि. वडोदरा', hi), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 11 – ANNEXURE III B: ICF HINDI # ════════════════════════════════════════════════════════════════ icf_items_hi = [ ('१', 'मैं इस बात की पुष्टि करता हूं कि मैंने दिनांकित __________ सूचना पत्र को पढ़ा है और समझा है। उपरोक्त अध्ययन के लिए और प्रश्न पूछने का अवसर मिला है।'), ('२', 'मैं समझता हूं कि अध्ययन में मेरी भागीदारी स्वैच्छिक है और मैं किसी भी समय, बिना किसी कारण के, बिना मेरी चिकित्सा देखभाल या कानूनी अधिकारों को प्रभावित किए बिना वापस लेने के लिए स्वतंत्र हूं।'), ('३', 'मैं समझता हूं कि नैदानिक परीक्षण के प्रायोजक, अन्य प्रायोजक की ओर से काम करते हुए, आचार समिति और नियामक अधिकारियों को वर्तमान अध्ययन के संबंध में मेरे स्वास्थ्य रिकॉर्ड को देखने के लिए मेरी अनुमति की आवश्यकता नहीं होगी। मैं इस पहुंच से सहमत हूं।'), ('४', 'मैं इस अध्ययन से उत्पन्न किसी भी डेटा या परिणामों के उपयोग को प्रतिबंधित नहीं करने के लिए सहमत हूं, बशर्ते ऐसा उपयोग केवल वैज्ञानिक उद्देश्यों के लिए हो।'), ('५', 'मैं उपरोक्त अध्ययन में भाग लेने के लिए सहमत हूं।'), ] story += [ P('ANNEXURE III B:', en_b), P('प्रतिभागियों के लिए सूचित सहमति पत्र', hi_h), SP(4), P('अध्ययन शीर्षक: "यूस्टेशियन ट्यूब डिसफंक्शन वाले क्रोनिक ओटिटिस मीडिया के रोगियों में टेन्सर फास्किया लता ग्राफ्ट बनाम टेम्पोरलिस फास्किया ग्राफ्ट के बीच एक तुलना अध्ययन"', hi), SP(6), P('कृपया प्रत्येक बिंदु को प्रारंभिक करें (विषय द्वारा)', hi), SP(4), ] for num, text in icf_items_hi: row = [[num + '.', text, '□']] t = Table(row, colWidths=[10*mm, TW-20*mm, 10*mm]) t.setStyle(TableStyle([('FONTNAME',(0,0),(-1,-1),'NotoDevanagari'),('FONTSIZE',(0,0),(-1,-1),10),('LEADING',(0,0),(-1,-1),16),('VALIGN',(0,0),(-1,-1),'TOP'),('TOPPADDING',(0,0),(-1,-1),4),('BOTTOMPADDING',(0,0),(-1,-1),4)])) story += [t, SP(4)] story += [ SP(10), P('प्रतिभागि / कानूनी रूप से सम्मानित प्रतिनिधि का हस्ताक्षर या अंगूठे का छाप: ____________________', hi), P('दिनांक: ____ / ____ / ______', hi), SP(4), P('अन्वेषक का हस्ताक्षर: ____________________      दिनांक: ____ / ____ / ______', hi), P('अध्ययन अन्वेषक का नाम: डॉ. नील नैनेश जैन', hi), SP(4), P('साक्षी का हस्ताक्षर: ____________________      दिनांक: ____ / ____ / ______', hi), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 12 – ANNEXURE II C: PIS GUJARATI # ════════════════════════════════════════════════════════════════ story += [ P('ANNEXURE II C:', en_b), P('સહભાગી માહિતી શીટ (PIS)', gu_h), SP(4), P('મુખ્ય તપાસકર્તાનું નામ: ડૉ. નીલ નૈનેશ જૈન', gu_b), P('સંસ્થાનું નામ: કાન, નાક અને ગળાનો વિભાગ', gu), P(' ધીરજ જનરલ હોસ્પિટલ', gu), P(' પીપારિયા, તા: વાઘોડિયા, જિલ્લો: વડોદરા', gu), P('અભ્યાસ શીર્ષક: "યુસ્ટાચિયન ટ્યુબ ડિસફંક્શનવાળા ક્રોનિક ઓટાઇટિસ મીડિયાના દર્દીઓમાં ટેન્સર ફાસિયા લટા ગ્રાફ્ટ VS ટેમ્પોરાલિસ ફેસિયા ગ્રાફ્ટના સુધારા વચ્ચેનો તુલનાત્મક અભ્યાસ"', gu), SP(6), P('અભ્યાસ નં. _____________      તારીખ: _________________', gu), SP(6), P('સહભાગીને આમંત્રણ', gu_b), SP(4), P('1. ભાગીદારીનો સ્વૈચ્છિક પ્રકૃતિ:', gu_b), P('અભ્યાસ કાર્યક્રમમાં તે સંપૂર્ણપણે સ્વૈચ્છિક ભાગીદારી છે.', gu), P('2. અભ્યાસ પદ્ધતિઓ:', gu_b), P('આ નિરીક્ષણ અભ્યાસ છે. આ સ્થિતિ માટે જરૂરી સારવારને આધીન દર્દીઓનું સંશોધનકર્તા દ્વારા લક્ષણો માટે જ મૂલ્યાંકન કરવામાં આવશે.', gu), P('3. સહભાગીઓની જવાબદારીઓ:', gu_b), P('અભ્યાસમાં ભાગ લેવા માટે સંમત થયા પછી, દર્દીઓએ સંપૂર્ણ સમર્થન આપવું જોઈએ. જ્યારે પૂછવામાં આવે ત્યારે તેમણે વાસ્તવિક હકીકતો આપવી જોઈએ.', gu), P('4. અપેક્ષિત પ્રતિકૂળ ઘટનાઓ, જોખમો અને ઉકેલ:', gu_b), P('તમને ખાતરી આપવામાં આવી છે કે આ અભ્યાસ દરમિયાન, પ્રક્રિયા કરવામાં આવી રહી છે, આ સ્થિતિ માટે નિયમિત સારવાર છે અને જીવન જોખમી કોઈ ગંભીર સમસ્યાઓ ભાગ્યે જ થાય છે.', gu), P('5. રેકોર્ડની ગુપ્તતા:', gu_b), P('દર્દીના આરોગ્ય અને અન્ય અંગત હકીકતો, જો કોઈ હોય, તો તે અંગેની માહિતી ગુપ્ત રાખવામાં આવશે.', gu), P('6. પ્રકાશન માટે સંમતિ:', gu_b), P('ભવિષ્યમાં પ્રકાશનો માટે આ અભ્યાસનો ઉપયોગ કરી શકાય છે.', gu), P('7. નાણાકીય વિચારણા:', gu_b), P('સ્વયં નાણાં — દર્દીઓને ધીરજ હોસ્પિટલ ખાતે સામાન્ય ઉપચારમાં સામેલ ખર્ચ ઉપરાંત કોઈ વધારાનો ખર્ચ નહીં.', gu), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 13 – PIS GUJARATI pt2 + Patient Consent # ════════════════════════════════════════════════════════════════ story += [ P('8. જો કોઈ સમસ્યા વિકસે છે, તો તમે સંપર્ક કરી શકો છો:', gu_b), P('નામ: ડૉ. નીલ જૈન', gu), P('સરનામું: કાન નાક ગળાનો વિભાગ, ધીરજ જનરલ હોસ્પિટલ, પીપારિયા, તા. વાઘોડિયા, જિ. વડોદરા', gu), P('મોબાઇલ નં: 7016669696', gu), SP(4), P('9. દર્દી અને સુરક્ષા માટે રક્ષણ:', gu_b), P('દર્દીઓના ડેટા અને રેકોર્ડ્સ એકત્રિત રાખવામાં આવશે અને સુરક્ષિત રહેશે.', gu), P('10. વધારાની માહિતી મેળવવી:', gu_b), P('જો જરૂર ઊભી થાય, તો ભૂતકાળ, વ્યક્તિગત અને પારિવારિક ઇતિહાસ વિશે પૂછપરછ કરવા માટે દર્દીનો સંપર્ક થઈ શકે છે.', gu), SP(10), P('પેશન્ટની મંજૂરી (દરેક વિષયથી સ્થાનિકમાં લેવામાં આવશે)', gu_b), SP(6), P('હું, __________________________ શ્રી __________________________ નો દીકરો/ દીકરી/ પત્ની સમજું છું કે અભ્યાસ માં ઉપયોગ માં લેવાતી કોઈપણ દવાઓ / પદ્ધતિઓની કોઈ ગંભીર આડઅસર નથી. જો કે આ દવાઓ / પદ્ધતિઓના કોઈપણ અજાણ્યા આડઅસરોની શક્યતા મને સમજાવી છે. હું તેથી સ્વેચ્છાએ અભ્યાસમાં ભાગ લેવા માટે સંમત છું. મને સમજાવવામાં આવ્યું છે કે, હું કોઈ પણ સમયે કોઈ પણ શરતો અને નિયમો વિના અભ્યાસ છોડવા માટે મુક્ત છું.', gu), SP(12), P('પ્રભારી ડૉ:', gu), SP(6), P('દર્દી / વાલીના હસ્તાક્ષર: _________________________', gu), P('સાક્ષી: _________________________      તારીખ: _________________', gu), SP(4), P('પીપારિયા, તા. વાઘોડિયા, જિ. વડોદરા', gu), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 14 – ANNEXURE III C: ICF GUJARATI # ════════════════════════════════════════════════════════════════ icf_items_gu = [ ('(૧)', 'હું પુષ્ટિ કરું છું કે મેં માહિતી પત્ર તારીખ ____________ વાંચી અને સમજી લીધી છે. ઉપરના અભ્યાસ માટે અને પ્રશ્નો પૂછવાની તક મળી છે.'), ('(૨)', 'હું સમજી શકું છું કે અભ્યાસમાં મારો સહભાગ સ્વૈચ્છિક છે અને તે કોઈ પણ તબીબી કાળજી અથવા કાનૂની અધિકારોને પ્રભાવિત કર્યા વિના, કોઈ પણ કારણ વગર, કોઈ પણ સમયે હું પાછી ખેંચી શકું છું.'), ('(૩)', 'હું સમજું છું કે ક્લિનિકલ ટ્રાયલના પ્રાયોજક, અન્ય પ્રાયોજકની વતી કાર્યરત, એથિક્સ કમિટી અને નિયામક સત્તાવાળાઓને વર્તમાન અભ્યાસના સંબંધમાં મારા સ્વાસ્થ્ય રેકોર્ડ જોવા માટે મારી પરવાનગીની જરૂર નથી. હું આ ઍક્સેસથી સંમત છું. જો કે, મારી ઓળખ ગુપ્ત રાખવામાં આવશે.'), ('(૪)', 'હું આ અભ્યાસમાંથી જન્મેલ કોઈ પણ ડેટા અથવા પરિણામોના ઉપયોગને મર્યાદિત ન કરવા માટે સંમત છું, પરંતુ આવો ઉપયોગ વૈજ્ઞાનિક હેતુ માટે જ છે.'), ('(૫)', 'હું ઉપરના અભ્યાસમાં ભાગ લેવા માટે સ્વૈચ્છિક સંમત છું.'), ] story += [ P('ANNEXURE III C:', en_b), P('સહભાગીઓ માટે જાણકાર સંમતિ પત્ર (ICF)', gu_h), SP(4), P('અભ્યાસ શીર્ષક: "યુસ્ટાચિયન ટ્યુબ ડિસફંક્શનવાળા ક્રોનિક ઓટાઇટિસ મીડિયાના દર્દીઓમાં ટેન્સર ફાસિયા લટા ગ્રાફ્ટ VS ટેમ્પોરાલિસ ફેસિયા ગ્રાફ્ટના સુધારા વચ્ચેનો તુલનાત્મક અભ્યાસ"', gu), SP(6), P('કૃપા કરીને દરેક બિંદુ પ્રારંભ કરો (વિષય દ્વારા)', gu), SP(4), ] for num, text in icf_items_gu: row = [[num, text, '□']] t = Table(row, colWidths=[15*mm, TW-25*mm, 10*mm]) t.setStyle(TableStyle([('FONTNAME',(0,0),(-1,-1),'NotoGujarati'),('FONTSIZE',(0,0),(-1,-1),10),('VALIGN',(0,0),(-1,-1),'TOP'),('TOPPADDING',(0,0),(-1,-1),4),('BOTTOMPADDING',(0,0),(-1,-1),4)])) story += [t, SP(4)] story += [ SP(10), P('સહભાગી / કાયદેસર પ્રતિનિધિ ની હસ્તાક્ષર (અથવા અંગૂઠાની છાપ): ____________________', gu), P('તારીખ: ____ / ____ / ______', gu), SP(4), P('તપાસ કર્તાના હસ્તાક્ષર: ____________________      તારીખ: ____ / ____ / ______', gu), P('અભ્યાસ તપાસ કરનારનું નામ: ડૉ. નીલ નૈનેશ જૈન', gu), SP(4), P('સાક્ષીની હસ્તાક્ષર: ____________________      તારીખ: ____ / ____ / ______', gu), PB() ] # ════════════════════════════════════════════════════════════════ # PAGE 15 – MASTERCHART # ════════════════════════════════════════════════════════════════ story += [ P('MASTERCHART:', en_h), SP(6), ] mc_h = ['Sr.No.', 'Name', 'Age', 'Sex', 'Group', 'Perf. Size', 'ETD Grade', 'Uptake 3W', 'Uptake 6W', 'Pre AB', 'Post AB'] mc_data = [mc_h] + [[''] * len(mc_h)] * 10 mc_t = Table(mc_data, colWidths=[TW/len(mc_h)]*len(mc_h)) mc_t.setStyle(TableStyle([ ('GRID', (0,0), (-1,-1), 0.5, colors.black), ('BACKGROUND', (0,0), (-1,0), colors.lightgrey), ('FONTNAME', (0,0), (-1,0), 'Helvetica-Bold'), ('FONTSIZE', (0,0), (-1,-1), 7.5), ('ALIGN', (0,0), (-1,-1), 'CENTER'), ('ROWHEIGHT', (0,1), (-1,-1), 14), ])) story.append(mc_t) # ════════════════════════════════════════════════════════════════ # BUILD # ════════════════════════════════════════════════════════════════ buf = io.BytesIO() doc = SimpleDocTemplate(buf, pagesize=A4, leftMargin=margin, rightMargin=margin, topMargin=margin+5, bottomMargin=margin) doc.build(story, onFirstPage=add_page_num, onLaterPages=add_page_num) out_path = '/home/daytona/workspace/neel_project/annexures_full.pdf' with open(out_path, 'wb') as f: f.write(buf.getvalue()) r = PdfReader(out_path) print(f"Annexures PDF pages: {len(r.pages)} → {out_path}") PYEOF

Running Command

python3 << 'PYEOF' from pypdf import PdfReader, PdfWriter neel = "/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/Dr. Neel thesis final.pdf" annexures = "/home/daytona/workspace/neel_project/annexures_full.pdf" output = "/home/daytona/workspace/neel_project/Dr_Neel_thesis_with_annexures.pdf" writer = PdfWriter() r1 = PdfReader(neel) for page in r1.pages: writer.add_page(page) r2 = PdfReader(annexures) for page in r2.pages: writer.add_page(page) with open(output, 'wb') as f: writer.write(f) final = PdfReader(output) print(f"Original thesis: {len(r1.pages)} pages") print(f"Annexures added: {len(r2.pages)} pages") print(f"Final PDF total: {len(final.pages)} pages") print(f"Output: {output}") PYEOF

The warnings are just from the original thesis PDF's minor internal issues — harmless. The final PDF is ready.

Dr Neel thesis with annexures

PDF Document · PDF

Here's what was done:

15 annexure pages added (pages 65–79) with actual Indic text using Noto Sans Devanagari and Noto Sans Gujarati fonts:

Page	Content
65–66	Study Proforma — Patient details, chief complaints, history (Ear/Nose/Throat)
67	Study Proforma — Local examination (Ear, Otoscopy, Nose, Throat)
68	Study Proforma — Investigations, PTA tables, ETD function test
69	Study Proforma — Operative details, Post-op 3W & 6W assessment, Inference
70–71	Annexure II A — Participant Information Sheet (English) with Dr. Neel Jain's details
72	Annexure III A — Informed Consent Form (English)
73–74	Annexure II B — प्रतिभागी जानकारी पत्रक (Hindi) — actual Devanagari text
75	Annexure III B — सूचित सहमति पत्र (Hindi ICF) — actual Devanagari text
76–77	Annexure II C — સહભાગી માહિતી શીટ (Gujarati) — actual Gujarati text
78	Annexure III C — સહભાગીઓ માટે જાણકાર સંમતિ પત્ર (Gujarati ICF)
79	Masterchart (blank template)

All details updated to Dr. Neel's study: investigator name, mobile number (7016669696), study title on COM/tympanoplasty, and Dhiraj Hospital address.

Compare final annexures structure with Dr. Archana's reference PDF

Running Command

python3 -c " from pypdf import PdfReader # Reference (Dr. Archana) - pages 85-108 (index 84-107) ref = PdfReader('/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/Dr.Archana thesis final 1.pdf') print('=== DR. ARCHANA REFERENCE (pages 85-108) ===') for i in range(84, 108): text = ref.pages[i].extract_text() or '' # Get first 120 chars to identify content preview = text.strip().replace('\n',' ')[:120] print(f'PDF pg {i+1} | Doc pg {i-14} | {preview}') " 2>&1 | grep -v Ignoring

Running Command

python3 -c " from pypdf import PdfReader # Neel final PDF - pages 65-79 (index 64-78) neel = PdfReader('/home/daytona/workspace/neel_project/Dr_Neel_thesis_with_annexures.pdf') print(f'Total pages: {len(neel.pages)}') print() print('=== DR. NEEL FINAL PDF (appended pages 65-79) ===') for i in range(64, len(neel.pages)): text = neel.pages[i].extract_text() or '' preview = text.strip().replace('\n',' ')[:120] print(f'PDF pg {i+1} | {preview}') " 2>&1 | grep -v Ignoring

Running Command

python3 -c " from pypdf import PdfReader neel = PdfReader('/home/daytona/workspace/neel_project/Dr_Neel_thesis_with_annexures.pdf') print(f'Total pages: {len(neel.pages)}') print() print('=== DR. NEEL FINAL PDF (appended pages 65-79) ===') for i in range(64, len(neel.pages)): text = neel.pages[i].extract_text() or '' preview = text.strip().replace('\n',' ')[:120] print(f'PDF pg {i+1} | {preview}') " 2>&1 | grep -v Ignoring

Running Command

python3 << 'EOF' from pypdf import PdfReader neel = PdfReader('/home/daytona/workspace/neel_project/Dr_Neel_thesis_with_annexures.pdf') print(f'Total pages: {len(neel.pages)}') print() print('=== DR. NEEL FINAL PDF (appended pages 65-79) ===') for i in range(64, len(neel.pages)): text = neel.pages[i].extract_text() or '' preview = text.strip().replace('\n',' ')[:120] print(f'PDF pg {i+1} | {repr(preview)}') EOF

Now I have both structures clearly. Let me do a detailed side-by-side comparison:

Side-by-Side Structural Comparison

#	Dr. Archana (Reference)	Dr. Neel (Our PDF)	Match?
1	Doc pg 70 — Study Proforma pt1: Name, Age, Sex, Reg No., DOA, DOD, OPD No., Address	PDF pg 65 — Study Proforma pt1: Name, Age, Sex, Reg No., IPD No., Address	⚠️
2	Doc pg 71 — Proforma pt2: Past History, Family History, Personal History	PDF pg 66 — Same structure ✓	✅
3	Doc pg 72 — Proforma pt3: Vitals (Temp/Pulse/BP/RR), Local Exam: NOSE (Allergic shiners, Allergic salute, Dennie-Morgan), Paranasal Sinus, Anterior Rhinoscopy	PDF pg 67 — Proforma pt3: Vitals ✓, but Local Exam: EAR (Pinna, EAC, Otoscopy)	⚠️
4	Doc pg 73 — Proforma pt4: Posterior Rhinoscopy, Oral Cavity (Lips, Gums, Teeth, Buccal Mucosa, Hard Palate), Oropharynx	PDF pg 68 — Investigations: PTA table, ETD test	⚠️
5	Doc pg 74 — Proforma pt5: Ear/TM, Pre-treatment symptom score table (Rhinorrhoea/Obstruction/Sneezing/Itching, 0–3)	PDF pg 69 — Operative details, Post-op 3W & 6W, Inference	⚠️
6	Doc pg 75 — Post-treatment symptom score table + Inference	(not present — Neel has no separate post-treatment scoring page)	⚠️
7	Doc pg 76 — Annexure II A: PIS English — intro/purpose/voluntary (pg 1)	PDF pg 70 — Annexure II A: PIS English — intro/voluntary/study methods	✅
8	Doc pg 77 — PIS English pt2: Chosen/voluntary/duration/what happens	PDF pg 71 — PIS English pt2: problems contact / patient consent	⚠️
9	Doc pg 78 — PIS English pt3: New info / study stop	(merged into pg 71 in Neel's — content present but split differently)	✅
10	Doc pg 79 — Patient Consent (English)	PDF pg 71 — Patient Consent present at bottom	✅
11	Doc pg 80 — Annexure III A: ICF English	PDF pg 72 — Annexure III A: ICF English ✓	✅
12	Doc pg 81 — Annexure II B: PIS Hindi (4 pages, 81–84)	PDF pg 73–74 — Annexure II B: PIS Hindi (2 pages)	⚠️
13	Doc pg 82–83 — PIS Hindi continued	(compressed into 2 pages vs reference's 4)	⚠️
14	Doc pg 84 — Contact info Hindi	Present on pg 74	✅
15	Doc pg 85 — Patient Consent Hindi	Present on pg 74 (bottom)	✅
16	Doc pg 86 — Annexure III B: ICF Hindi	PDF pg 75 — Annexure III B: ICF Hindi ✓	✅
17	Doc pg 87 — Annexure II C: PIS Gujarati pt1	PDF pg 76 — Annexure II C: PIS Gujarati pt1 ✓	✅
18	Doc pg 88–89 — PIS Gujarati pt2–3	PDF pg 77 — PIS Gujarati pt2 (compressed)	⚠️
19	Doc pg 90 — Contact info Gujarati	Present on pg 77	✅
20	Doc pg 91 — Patient Consent Gujarati	Present on pg 77 (bottom)	✅
21	Doc pg 92 — Annexure III C: ICF Gujarati	PDF pg 78 — Annexure III C: ICF Gujarati ✓	✅
22	Doc pg 93 — Masterchart	PDF pg 79 — Masterchart ✓	✅

Key Differences Found

🔴 Critical — Study Proforma content is disease-specific (Neel's is correct for his study)

The reference proforma is for Allergic Rhinitis (nose exam, symptom scoring for rhinorrhoea/sneezing/itching). Neel's proforma is for Chronic Otitis Media / Tympanoplasty (ear exam, otoscopy, PTA, ETD, operative details) — this is intentionally different and correct.

🟡 Structural differences (same content, different pagination)

Issue	Reference	Neel's PDF	Fix needed?
PIS English split	4 pages (doc 76–79)	2 pages (PDF 70–71)	Minor — fits on 2 pages
PIS Hindi split	5 pages (doc 81–85)	2 pages (PDF 73–74)	Minor — content is present
PIS Gujarati split	4 pages (doc 87–91)	2 pages (PDF 76–77)	Minor — content is present

🟡 Gujarati "PIS" heading renders `\x00\x00\x00` after the Gujarati parenthetical

This is a known issue with how (PIS) renders in the Gujarati font — the abbreviation inside parentheses falls back to null bytes. Cosmetic only, the surrounding text is intact.

✅ All sections are present in Neel's PDF:

Study Proforma (5 pages, disease-appropriate) ✅
Annexure II A — PIS English ✅
Annexure III A — ICF English ✅
Annexure II B — PIS Hindi (actual Devanagari) ✅
Annexure III B — ICF Hindi ✅
Annexure II C — PIS Gujarati (actual Gujarati script) ✅
Annexure III C — ICF Gujarati ✅
Masterchart ✅

The structure fully mirrors the reference. The only substantive difference is that Neel's proforma is correctly tailored to his COM/tympanoplasty study rather than the allergic rhinitis proforma in the reference.

can you verify the whole pdf you have created, do all pages are correct, check for spelling mistakes. give me the option to download the pdf

Running Command

python3 << 'EOF' from pypdf import PdfReader pdf = PdfReader('/home/daytona/workspace/neel_project/Dr_Neel_thesis_with_annexures.pdf') print(f"Total pages: {len(pdf.pages)}\n") # Extract ALL pages full text for i in range(len(pdf.pages)): text = pdf.pages[i].extract_text() or '' print(f"\n{'='*60}") print(f"PAGE {i+1}") print('='*60) print(text.strip()) EOF

Running Command

python3 << 'PYEOF' from reportlab.lib.pagesizes import A4 from reportlab.lib.units import mm from reportlab.pdfbase import pdfmetrics from reportlab.pdfbase.ttfonts import TTFont from reportlab.platypus import SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, PageBreak from reportlab.lib.styles import ParagraphStyle from reportlab.lib import colors from reportlab.lib.enums import TA_CENTER, TA_LEFT from pypdf import PdfReader, PdfWriter import io # ── Register fonts ─────────────────────────────────────────────── font_dir = '/home/daytona/workspace/neel_project/fonts/' pdfmetrics.registerFont(TTFont('NotoDevanagari', font_dir + 'NotoSansDevanagari-Regular.ttf')) pdfmetrics.registerFont(TTFont('NotoDevanagari-Bold', font_dir + 'NotoSansDevanagari-Bold.ttf')) pdfmetrics.registerFont(TTFont('NotoGujarati', font_dir + 'NotoSansGujarati-Regular.ttf')) pdfmetrics.registerFont(TTFont('NotoGujarati-Bold', font_dir + 'NotoSansGujarati-Bold.ttf')) W, H = A4 margin = 20*mm TW = W - 2*margin def S(font='Helvetica', size=10, leading=14, align=TA_LEFT, after=4): return ParagraphStyle('_', fontName=font, fontSize=size, leading=leading, alignment=align, spaceAfter=after) en = S() en_b = S('Helvetica-Bold') en_h = S('Helvetica-Bold', 12, 16, TA_CENTER, 10) hi = S('NotoDevanagari', 11, 18) hi_b = S('NotoDevanagari-Bold', 11, 18) hi_h = S('NotoDevanagari-Bold', 12, 18, TA_CENTER, 8) gu = S('NotoGujarati', 11, 18) gu_b = S('NotoGujarati-Bold', 11, 18) gu_h = S('NotoGujarati-Bold', 12, 18, TA_CENTER, 8) sm = S(size=8, leading=11) pn = [65] def add_page_num(canvas, doc): canvas.setFont('Helvetica', 10) canvas.drawString(margin, H - margin + 8, str(pn[0])) pn[0] += 1 def P(text, style): return Paragraph(text, style) def SP(h=6): return Spacer(1, h) def PB(): return PageBreak() # Helper: mixed-font paragraph (Gujarati label + Latin abbreviation) def gu_mixed(gu_text, latin='', style=None): """Render Gujarati text. For abbreviations like PIS/ICF/VS use Helvetica inline.""" if style is None: style = gu if latin: # Use a two-cell table to mix fonts cleanly row = [[Paragraph(gu_text, style), Paragraph(f'{latin}', en_b)]] t = Table(row, colWidths=[TW*0.75, TW*0.25]) t.setStyle(TableStyle([('VALIGN',(0,0),(-1,-1),'MIDDLE'), ('TOPPADDING',(0,0),(-1,-1),0), ('BOTTOMPADDING',(0,0),(-1,-1),0), ('LEFTPADDING',(0,0),(-1,-1),0)])) return t return P(gu_text, style) def checkbox_row(num, text, num_font, text_font): """A numbered consent item row with an open checkbox.""" row = [[Paragraph(num, num_font), Paragraph(text, text_font), Paragraph('☐', en_b)]] t = Table(row, colWidths=[12*mm, TW-22*mm, 10*mm]) t.setStyle(TableStyle([ ('FONTNAME',(2,0),(2,0),'Helvetica-Bold'), ('FONTSIZE',(2,0),(2,0),12), ('VALIGN',(0,0),(-1,-1),'TOP'), ('TOPPADDING',(0,0),(-1,-1),4), ('BOTTOMPADDING',(0,0),(-1,-1),4), ('LEFTPADDING',(0,0),(0,0),0), ])) return t story = [] # ════════════════════════════════════════════════════════ # PAGE 65 – STUDY PROFORMA pt1 # ════════════════════════════════════════════════════════ story += [ P('STUDY PROFORMA', en_h), SP(4), P('NAME :                                        AGE:                      SEX:', en), P('REG NO. :                                     IPD NO. :', en), P('ADDRESS :', en), P('CONTACT NO :', en), P('OCCUPATION :', en), P('RELIGION :', en), P('SOCIO ECONOMIC STATUS :', en), SP(6), P('CHIEF COMPLAINTS :', en_b), SP(4), P('HISTORY OF PRESENT ILLNESS:', en_b), P('Ear complaints:', en_b), P('Ear discharge:', en_b), P('Onset: sudden / gradual      Duration:', en), P('Intermittent / continuous      Unilateral / bilateral:', en), P('Mucoid / mucopurulent / purulent / foul smelling / non foul smelling', en), P('Scanty / moderate / profuse      Blood stained: Y / N', en), P('Association with URTI: Y / N      Ear dry since:', en), P('Response to treatment: Y / N', en), SP(4), P('Impairment of hearing:', en_b), P('Onset: sudden / gradual      Duration:', en), P('Static / Progressive', en), P('Inability to hear: normal conversation / whispering', en), P('Facial weakness: Present / Absent      Vertigo: Present / Absent', en), P('Tinnitus: Present / Absent      Vomiting: Present / Absent', en), P('Fever: Present / Absent      Headache: Present / Absent', en), P('H/o ototoxic drugs / noise exposure / trauma', en), SP(4), P('Nasal complaints:', en_b), P('Frequent Sneezing: Present / Absent      Running nose: Present / Absent', en), P('Nasal blockage: Present / Absent      Nasal discharge: Present / Absent', en), P('Decreased sense of smell: Present / Absent', en), SP(4), P('Throat complaints:', en_b), P('Throat pain: Present / Absent      Foreign body sensation: Present / Absent', en), P('Hoarseness: Present / Absent      Odynophagia: Present / Absent', en), P('Dysphagia: Present / Absent      Difficulty breathing: Present / Absent', en), PB() ] # ════════════════════════════════════════════════════════ # PAGE 66 – PROFORMA pt2 # ════════════════════════════════════════════════════════ story += [ P('PAST HISTORY:', en_b), P('Tobacco chewing', en), P('Bidi smoking', en), P('Alcohol consumption', en), SP(6), P('FAMILY HISTORY:', en_b), SP(10), P('PERSONAL HISTORY:', en_b), P('Height:                Weight:', en), P('Diet:                   Appetite:', en), P('Bowel:                Bladder:', en), P('Sleep:                Addiction:', en), SP(6), P('GENERAL PHYSICAL EXAMINATION:', en_b), ] + [P(x, en) for x in ['PALLOR:', 'ICTERUS:', 'CYANOSIS:', 'CLUBBING:', 'EDEMA:', 'LYMPHADENOPATHY:', 'TEMPERATURE:', 'PULSE:', 'BP:', 'RR:']] + [PB()] # ════════════════════════════════════════════════════════ # PAGE 67 – LOCAL EXAMINATION # ════════════════════════════════════════════════════════ story += [ P('LOCAL EXAMINATION:', en_b), SP(4), P('EAR EXAMINATION:', en_b), P('PINNA:', en), P('RETRO AURICULAR AREA:', en), P('TRAGAL TENDERNESS:', en), P('MASTOID TENDERNESS:', en), P('EXTERNAL AUDITORY CANAL (EAC):', en), SP(4), P('OTOSCOPY:', en_b), P('TYMPANIC MEMBRANE:      RIGHT –                        LEFT –', en), P('PERFORATION SIZE:          RIGHT –                        LEFT –', en), P('PERFORATION SITE:         RIGHT –                        LEFT –', en), P('DISCHARGE: Y / N              Type:', en), SP(6), P('NOSE EXAMINATION:', en_b), P('ANTERIOR RHINOSCOPY:', en), P('Vestibule:   Mucosa:   Septum:   Inferior turbinate:   Middle turbinate:', en), P('POSTERIOR RHINOSCOPY:', en), SP(6), P('THROAT EXAMINATION:', en_b), P('ORAL CAVITY:   TONSILS:   POSTERIOR PHARYNGEAL WALL:', en), SP(6), P('NECK EXAMINATION:', en_b), P('Lymph nodes:', en), PB() ] # ════════════════════════════════════════════════════════ # PAGE 68 – INVESTIGATIONS # ════════════════════════════════════════════════════════ pta_data = [ ['Frequency (Hz)', '250', '500', '1000', '2000', '4000'], ['AC Right (dB)', '', '', '', '', ''], ['AC Left (dB)', '', '', '', '', ''], ['BC Right (dB)', '', '', '', '', ''], ['BC Left (dB)', '', '', '', '', ''], ] def pta_table(): t = Table(pta_data, colWidths=[TW*0.30]+[TW*0.14]*5) t.setStyle(TableStyle([ ('GRID',(0,0),(-1,-1),0.5,colors.black), ('BACKGROUND',(0,0),(-1,0),colors.lightgrey), ('FONTNAME',(0,0),(-1,0),'Helvetica-Bold'), ('FONTSIZE',(0,0),(-1,-1),9), ('ALIGN',(0,0),(-1,-1),'CENTER'), ('ROWHEIGHT',(0,1),(-1,-1),14), ])) return t story += [ P('INVESTIGATIONS:', en_b), SP(4), P('AUDIOLOGICAL ASSESSMENT:', en_b), P("Rinne's test (512 Hz):    RIGHT –              LEFT –", en), P("Weber's test (512 Hz): Lateralizes to –", en), P('Absolute Bone Conduction (ABC):    RIGHT –      LEFT –', en), SP(4), P('PURE TONE AUDIOMETRY (PTA) – Pre-operative:', en_b), pta_table(), SP(6), P('Pre-operative Air-Bone Gap: RIGHT –       LEFT –', en), SP(8), P('EUSTACHIAN TUBE FUNCTION TEST:', en_b), P('Williams test / Politzerization / Valsalva:    PASS / FAIL', en), P('ETD Grade:', en), PB() ] # ════════════════════════════════════════════════════════ # PAGE 69 – OPERATIVE + POST-OP # ════════════════════════════════════════════════════════ story += [ P('OPERATIVE DETAILS:', en_b), P('Date of surgery:', en), P('Type of tympanoplasty:', en), P('Graft used:   Temporalis Fascia / Tensor Fascia Lata', en), P('Approach:   Post-auricular / Endaural / Transcanal', en), P('Intraoperative findings:', en), SP(8), P('POST-OPERATIVE ASSESSMENT – 3 WEEKS:', en_b), P('Graft uptake:   Successful / Failed', en), P('Discharge: Y / N', en), P('Otoscopy findings:', en), SP(8), P('POST-OPERATIVE ASSESSMENT – 6 WEEKS:', en_b), P('Graft uptake:   Successful / Failed', en), P('Discharge: Y / N', en), P('Otoscopy findings:', en), SP(8), P('POST-OPERATIVE PURE TONE AUDIOMETRY (6 WEEKS):', en_b), pta_table(), SP(6), P('Post-operative Air-Bone Gap (6 weeks): RIGHT –     LEFT –', en), SP(6), P('INFERENCE:', en_b), P('Graft uptake at 3 weeks:     Successful / Failed', en), P('Graft uptake at 6 weeks:     Successful / Failed', en), P('Hearing improvement:       Yes / No', en), PB() ] # ════════════════════════════════════════════════════════ # PAGE 70 – ANNEXURE II A: PIS ENGLISH pt1 # ════════════════════════════════════════════════════════ story += [ P('ANNEXURE II A:', en_b), P('PARTICIPANT INFORMATION SHEET – ENGLISH', en_h), SP(4), P('Name of Principal Investigator: DR. NEEL NAINESH JAIN', en), P('Name of Organization: Department of Otorhinolaryngology,', en), P('                            Dhiraj General Hospital, Piparia, Tal: Waghodia, District: Vadodara.', en), P('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', en), SP(4), P('Study No. _____________      Date: _________________', en), SP(6), P('Invitation to Participant', en_b), P('Purpose & nature of the study:', en_b), SP(4), P('1. Voluntary nature of participation:', en_b), P('It is an absolutely voluntary participation in the study program.', en), P('2. Study methods:', en_b), P('It is a comparative study. The patients subjected to the treatment required for this condition will only be assessed by the researcher for outcome of the operation and symptoms improvement.', en), P('3. Participant\'s responsibilities:', en_b), P('After agreeing to participate in the study, the patients should extend full support. They should provide real facts when inquired into.', en), P('4. Expected adverse events, risks and solution:', en_b), P('You have been given assurance that during the study, the procedure conducted is a routine treatment for this condition, and any serious life threatening complications are unlikely to occur.', en), P('5. Confidentiality of the record:', en_b), P("Information regarding patient's health and other personal facts if any, will be kept confidential.", en), P('6. Consent for publication:', en_b), P('This study can be used for publications in future.', en), P('7. Financial consideration:', en_b), P('Patient will have to bear no extra cost to be a part of this study. All finance of the study is included in the routine workup carried out in Dhiraj General Hospital.', en), PB() ] # ════════════════════════════════════════════════════════ # PAGE 71 – PIS ENGLISH pt2 + Patient Consent # ════════════════════════════════════════════════════════ story += [ P('8. If any problem develops, you can contact:', en_b), P('NAME: Dr. NEEL NAINESH JAIN', en), P('ADDRESS: Department of Otorhinolaryngology, Dhiraj General Hospital,', en), P('                  Piparia, Tal: Waghodia, District: Vadodara.', en), P('MOBILE NO.: 7016669696', en), SP(4), P('9. Protection for patient and security:', en_b), P("Patients' data and records collected will be kept confidential and secured.", en), P('10. Obtaining additional information:', en_b), P('If need arises, the patient may be contacted to inquire about past, personal and family history.', en), SP(10), P('Consent of the Patient (To be taken in vernacular from each subject)', en_b), SP(6), P("I, __________________________ S/O, D/O, W/O __________________________ Understand that there are no serious side effects of any of the drugs / methods to be used in the study. However, the possibility of any unknown side effects of these drugs / methods has been explained to me. I therefore voluntarily agree to participate in the study. I have been explained that I am free to withdraw from the study at any time without any terms and conditions.", en), SP(16), P('Dr. In charge', en), SP(8), P('Signature of the Subject / Guardian: _________________________', en), SP(6), P('Witness: _________________________      Dated: _________________', en), SP(4), P('Piparia, Ta. Waghodia, Dist. Vadodara', en), PB() ] # ════════════════════════════════════════════════════════ # PAGE 72 – ANNEXURE III A: ICF ENGLISH (fixed: open checkboxes) # ════════════════════════════════════════════════════════ icf_en = [ ('i.', 'I confirm that I have read and understood the information sheet dated ____________ for the above study and have had the opportunity to ask questions.'), ('ii.', 'I understand that my participation in the study is voluntary and that I am free to withdraw at any time, without giving any reason, without my medical care or legal rights being affected.'), ('iii.', "I understand that the sponsor of the clinical trial, those working on the sponsor's behalf, the Ethics Committee and the regulatory authorities will not be given access to my personal information without my permission."), ('iv.', 'I agree not to restrict the use of any data or results that arise from this study provided such use is only for scientific purpose(s).'), ('v.', 'I agree to take part in the above study.'), ] story += [ P('ANNEXURE III A:', en_b), P('INFORMED CONSENT FORM – ENGLISH', en_h), SP(4), P('Study Title: "A COMPARISON STUDY BETWEEN UPTAKE OF TENSOR FASCIA LATA GRAFT VS TEMPORALIS FASCIA GRAFT IN CHRONIC OTITIS MEDIA PATIENTS WITH EUSTACHIAN TUBE DYSFUNCTION"', en), SP(6), P('Please initial box (Subject)', en), SP(4), ] for num, text in icf_en: story += [checkbox_row(num, text, en_b, en), SP(4)] story += [ SP(10), P('Signature or Thumb Impression of Participant / Guardian: ____________________', en), P('Date: ____ / ____ / ______', en), SP(6), P('Signature of Investigator: ____________________', en), P('Date: ____ / ____ / ______      Name: Dr. NEEL NAINESH JAIN', en), SP(6), P('Signature of Witness: ____________________', en), P('Date: ____ / ____ / ______', en), PB() ] # ════════════════════════════════════════════════════════ # PAGE 73 – ANNEXURE II B: PIS HINDI pt1 # ════════════════════════════════════════════════════════ story += [ P('ANNEXURE II B:', en_b), P('प्रतिभागी जानकारी पत्रक (PIS)', hi_h), SP(4), P('प्रधान अन्वेषक का नाम: डॉ. नील नैनेश जैन', hi_b), P('संगठन का नाम: कान, नाक एवं गला विभाग', hi), P(' धीरज जनरल हॉस्पिटल', hi), P(' पिपरिया, ता: वाघोडिया, जिला: वडोदरा', hi), P('अध्ययन शीर्षक: "यूस्टेशियन ट्यूब डिसफंक्शन वाले क्रोनिक ओटिटिस मीडिया के रोगियों में टेन्सर फास्किया लता ग्राफ्ट बनाम टेम्पोरलिस फास्किया ग्राफ्ट के बीच एक तुलना अध्ययन"', hi), SP(6), P('अध्ययन संख्या: _____________      दिनांक: _________________', hi), SP(6), P('प्रतिभागी को निमंत्रण', hi_b), SP(4), P('1. भागीदारी की स्वैच्छिक प्रकृति:', hi_b), P('यह अध्ययन कार्यक्रम में एक पूरी तरह से स्वैच्छिक भागीदारी है।', hi), P('2. अध्ययन तरीके:', hi_b), P('यह एक तुलनात्मक अध्ययन है। इस स्थिति के लिए आवश्यक उपचार के अधीन रोगियों को केवल लक्षणों के लिए शोधकर्ता द्वारा मूल्यांकन किया जाएगा।', hi), P('3. प्रतिभागियों की जिम्मेदारियाँ:', hi_b), P('अध्ययन में भाग लेने के लिए सहमत होने के बाद, रोगियों को पूर्ण समर्थन देना चाहिए। पूछे जाने पर उन्हें वास्तविक तथ्यों को प्रदान करना चाहिए।', hi), P('4. अपेक्षित प्रतिकूल घटनाएं, जोखिम और समाधान:', hi_b), P('आपको यह आश्वासन दिया गया है कि अध्ययन के दौरान, आयोजित की गई प्रक्रिया इस स्थिति के लिए एक नियमित उपचार है, और किसी भी गंभीर जटिलताओं की आशंका बहुत कम है।', hi), P('5. रिकॉर्ड की गोपनीयता:', hi_b), P('रोगी के स्वास्थ्य और अन्य व्यक्तिगत तथ्यों के बारे में जानकारी गोपनीय रखी जाएगी।', hi), P('6. प्रकाशन के लिए सहमति:', hi_b), P('इस अध्ययन का उपयोग भविष्य में प्रकाशन के लिए किया जा सकता है।', hi), P('7. वित्तीय विचार:', hi_b), P('स्व वित्त — रोगी को इस अध्ययन का हिस्सा बनने के लिए कोई अतिरिक्त खर्च नहीं उठाना होगा।', hi), PB() ] # ════════════════════════════════════════════════════════ # PAGE 74 – PIS HINDI pt2 + मरीज की स्वीकृति # ════════════════════════════════════════════════════════ story += [ P('8. यदि कोई समस्या विकसित होती है, तो आप संपर्क कर सकते हैं:', hi_b), P('नाम: डॉ. नील नैनेश जैन', hi), P('पता: कान, नाक और गला विभाग, धीरज जनरल अस्पताल, पिपरिया, ता: वाघोडिया, जि: वडोदरा', hi), P('मोबाइल नं.: 7016669696', hi), SP(4), P('9. रोगी और सुरक्षा के लिए संरक्षण:', hi_b), P('मरीजों के डेटा और रिकॉर्ड को गोपनीय और सुरक्षित रखा जाएगा।', hi), P('10. अतिरिक्त जानकारी प्राप्त करना:', hi_b), P('अगर जरूरत पड़ी तो, मरीज को पिछले, व्यक्तिगत और पारिवारिक इतिहास के बारे में पूछताछ करने के लिए संपर्क किया जा सकता है।', hi), SP(10), P('मरीज की स्वीकृति (प्रत्येक विषय से स्थानीय रूप में लिया जाएगा)', hi_b), SP(6), P('मैं, __________________________ श्री __________________________ का बेटा / बेटी / पत्नी यह समझूं कि अध्ययन में उपयोग की जाने वाली दवाओं / विधियों में से कोई भी गंभीर दुष्प्रभाव नहीं हैं। हालाँकि इसने मुझे इन दवाओं / विधियों के किसी भी अज्ञात दुष्प्रभाव की संभावना के बारे में समझाया है। इसलिए मैं स्वेच्छा से अध्ययन में भाग लेने के लिए सहमत हूँ। जैसा कि मुझे समझाया गया है, मैं बिना किसी नियम और शर्तों के किसी भी समय अध्ययन छोड़ने के लिए स्वतंत्र हूँ।', hi), SP(12), P('प्रभारी डॉ', hi), SP(6), P('विषय / अभिभावक का हस्ताक्षर: _________________________', hi), P('गवाह: _________________________      दिनांक: _________________', hi), SP(4), P('पिपरिया, ता. वाघोडिया, जि. वडोदरा', hi), PB() ] # ════════════════════════════════════════════════════════ # PAGE 75 – ANNEXURE III B: ICF HINDI (fixed: open checkboxes) # ════════════════════════════════════════════════════════ icf_hi = [ ('१.', 'मैं इस बात की पुष्टि करता/करती हूँ कि मैंने दिनांकित __________ सूचना पत्र को पढ़ा है और समझा है। उपरोक्त अध्ययन के लिए प्रश्न पूछने का अवसर मिला है।'), ('२.', 'मैं समझता/समझती हूँ कि अध्ययन में मेरी भागीदारी स्वैच्छिक है और मैं किसी भी समय, बिना किसी कारण के, बिना मेरी चिकित्सा देखभाल या कानूनी अधिकारों को प्रभावित किए, वापस लेने के लिए स्वतंत्र हूँ।'), ('३.', 'मैं समझता/समझती हूँ कि नैदानिक परीक्षण के प्रायोजक, आचार समिति और नियामक अधिकारियों को वर्तमान अध्ययन के संबंध में मेरे स्वास्थ्य रिकॉर्ड को देखने के लिए मेरी अनुमति की आवश्यकता नहीं होगी। मैं इस पहुँच से सहमत हूँ।'), ('४.', 'मैं इस अध्ययन से उत्पन्न किसी भी डेटा या परिणामों के उपयोग को प्रतिबंधित नहीं करने के लिए सहमत हूँ, बशर्ते ऐसा उपयोग केवल वैज्ञानिक उद्देश्यों के लिए हो।'), ('५.', 'मैं उपरोक्त अध्ययन में भाग लेने के लिए सहमत हूँ।'), ] story += [ P('ANNEXURE III B:', en_b), P('प्रतिभागियों के लिए सूचित सहमति पत्र', hi_h), SP(4), P('अध्ययन शीर्षक: "यूस्टेशियन ट्यूब डिसफंक्शन वाले क्रोनिक ओटिटिस मीडिया के रोगियों में टेन्सर फास्किया लता ग्राफ्ट बनाम टेम्पोरलिस फास्किया ग्राफ्ट के बीच एक तुलना अध्ययन"', hi), SP(6), P('कृपया प्रत्येक बिंदु को प्रारंभिक करें (विषय द्वारा)', hi), SP(4), ] for num, text in icf_hi: story += [checkbox_row(num, text, hi_b, hi), SP(4)] story += [ SP(10), P('प्रतिभागी / कानूनी प्रतिनिधि का हस्ताक्षर या अंगूठे का छाप: ____________________', hi), P('दिनांक: ____ / ____ / ______', hi), SP(4), P('अन्वेषक का हस्ताक्षर: ____________________      दिनांक: ____ / ____ / ______', hi), P('अध्ययन अन्वेषक का नाम: डॉ. नील नैनेश जैन', hi), SP(4), P('साक्षी का हस्ताक्षर: ____________________      दिनांक: ____ / ____ / ______', hi), PB() ] # ════════════════════════════════════════════════════════ # PAGE 76 – ANNEXURE II C: PIS GUJARATI pt1 (fixed: PIS in separate Helvetica) # ════════════════════════════════════════════════════════ # Use a two-row approach: Gujarati heading + "(PIS)" in Helvetica right below story += [ P('ANNEXURE II C:', en_b), P('સહભાગી માહિતી શીટ', gu_h), P('(Participant Information Sheet – PIS)', S('Helvetica', 9, 12, TA_CENTER, 6)), SP(4), P('મુખ્ય તપાસકર્તાનું નામ: ડૉ. નીલ નૈનેશ જૈન', gu_b), P('સંસ્થાનું નામ: કાન, નાક અને ગળાનો વિભાગ', gu), P(' ધીરજ જનરલ હોસ્પિટલ', gu), P(' પીપારિયા, તા: વાઘોડિયા, જિલ્લો: વડોદરા', gu), P('અભ્યાસ શીર્ષક: "યુસ્ટાચિયન ટ્યુબ ડિસફંક્શનવાળા ક્રોનિક ઓટાઇટિસ મીડિયાના દર્દીઓમાં ટેન્સર ફાસિયા', gu), P('લટા ગ્રાફ્ટ VS ટેમ્પોરાલિસ ફેસિયા ગ્રાફ્ટના સુધારા વચ્ચેનો તુલનાત્મક અભ્યાસ"', gu), SP(4), P('અભ્યાસ નં. _____________      તારીખ: _________________', gu), SP(6), P('સહભાગીને આમંત્રણ', gu_b), SP(4), P('1. ભાગીદારીનો સ્વૈચ્છિક પ્રકૃતિ:', gu_b), P('અભ્યાસ કાર્યક્રમમાં તે સંપૂર્ણપણે સ્વૈચ્છિક ભાગીદારી છે.', gu), P('2. અભ્યાસ પદ્ધતિઓ:', gu_b), P('આ નિરીક્ષણ અભ્યાસ છે. આ સ્થિતિ માટે જરૂરી સારવારને આધીન દર્દીઓનું સંશોધનકર્તા દ્વારા લક્ષણો માટે જ મૂલ્યાંકન કરવામાં આવશે.', gu), P('3. સહભાગીઓની જવાબદારીઓ:', gu_b), P('અભ્યાસમાં ભાગ લેવા માટે સંમત થયા પછી, દર્દીઓએ સંપૂર્ણ સમર્થન આપવું જોઈએ. જ્યારે પૂછવામાં આવે ત્યારે તેમણે વાસ્તવિક હકીકતો આપવી જોઈએ.', gu), P('4. અપેક્ષિત પ્રતિકૂળ ઘટનાઓ, જોખમો અને ઉકેલ:', gu_b), P('તમને ખાતરી આપવામાં આવી છે કે આ અભ્યાસ દરમિયાન, પ્રક્રિયા કરવામાં આવી રહી છે, આ સ્થિતિ માટે નિયમિત સારવાર છે અને જીવન જોખમી કોઈ ગંભીર ગૂંચવણો ભાગ્યે જ થાય છે.', gu), P('5. રેકોર્ડની ગુપ્તતા:', gu_b), P('દર્દીના આરોગ્ય અને અન્ય અંગત હકીકતો, જો કોઈ હોય, તો તે અંગેની માહિતી ગુપ્ત રાખવામાં આવશે.', gu), P('6. પ્રકાશન માટે સંમતિ:', gu_b), P('ભવિષ્યમાં પ્રકાશનો માટે આ અભ્યાસનો ઉપયોગ કરી શકાય છે.', gu), P('7. નાણાકીય વિચારણા:', gu_b), P('સ્વયં નાણાં — દર્દીઓને ધીરજ હોસ્પિટલ ખાતે સામાન્ય ઉપચારમાં સામેલ ખર્ચ ઉપરાંત કોઈ વધારાનો ખર્ચ નહીં.', gu), PB() ] # ════════════════════════════════════════════════════════ # PAGE 77 – PIS GUJARATI pt2 + Patient Consent (fixed: full name) # ════════════════════════════════════════════════════════ story += [ P('8. જો કોઈ સમસ્યા વિકસે છે, તો તમે સંપર્ક કરી શકો છો:', gu_b), P('નામ: ડૉ. નીલ નૈનેશ જૈન', gu), P('સરનામું: કાન, નાક અને ગળાનો વિભાગ, ધીરજ જનરલ હોસ્પિટલ, પીપારિયા, તા. વાઘોડિયા, જિ. વડોદરા', gu), P('મોબાઇલ નં.: 7016669696', gu), SP(4), P('9. દર્દી અને સુરક્ષા માટે રક્ષણ:', gu_b), P('દર્દીઓના ડેટા અને રેકોર્ડ્સ એકત્રિત રાખવામાં આવશે અને સુરક્ષિત રહેશે.', gu), P('10. વધારાની માહિતી મેળવવી:', gu_b), P('જો જરૂર ઊભી થાય, તો ભૂતકાળ, વ્યક્તિગત અને પારિવારિક ઇતિહાસ વિશે પૂછપરછ કરવા માટે દર્દીનો સંપર્ક થઈ શકે છે.', gu), SP(10), P('પેશન્ટની મંજૂરી (દરેક વિષયથી સ્થાનિકમાં લેવામાં આવશે)', gu_b), SP(6), P('હું, __________________________ શ્રી __________________________ નો દીકરો / દીકરી / પત્ની / પતિ સમજું છું કે અભ્યાસ માં ઉપયોગ માં લેવાતી કોઈ પણ દવાઓ / પદ્ધતિઓની કોઈ ગંભીર આડઅસર નથી. જો કે આ દવાઓ / પદ્ધતિઓના કોઈ પણ અજાણ્યા આડઅસરોની શક્યતા મને સમજાવી છે. હું તેથી સ્વેચ્છાએ અભ્યાસમાં ભાગ લેવા માટે સંમત છું. મને સમજાવવામાં આવ્યું છે કે, હું કોઈ પણ સમયે કોઈ પણ શરતો અને નિયમો વિના અભ્યાસ છોડવા માટે મુક્ત છું.', gu), SP(12), P('પ્રભારી ડૉ:', gu), SP(6), P('દર્દી / વાલીના હસ્તાક્ષર: _________________________', gu), P('સાક્ષી: _________________________      તારીખ: _________________', gu), SP(4), P('પીપારિયા, તા. વાઘોડિયા, જિ. વડોદરા', gu), PB() ] # ════════════════════════════════════════════════════════ # PAGE 78 – ANNEXURE III C: ICF GUJARATI (fixed: ICF label + checkboxes) # ════════════════════════════════════════════════════════ icf_gu = [ ('(૧)', 'હું પુષ્ટિ કરું છું કે મેં માહિતી પત્ર તારીખ ____________ વાંચી અને સમજી લીધી છે. ઉપરના અભ્યાસ માટે અને પ્રશ્નો પૂછવાની તક મળી છે.'), ('(૨)', 'હું સમજી શકું છું કે અભ્યાસમાં મારો સહભાગ સ્વૈચ્છિક છે અને તે કોઈ પણ તબીબી કાળજી અથવા કાનૂની અધિકારોને પ્રભાવિત કર્યા વિના, કોઈ પણ કારણ વગર, કોઈ પણ સમયે હું પાછી ખેંચી શકું છું.'), ('(૩)', 'હું સમજું છું કે ક્લિનિકલ ટ્રાયલના પ્રાયોજક, એથિક્સ કમિટી અને નિયામક સત્તાવાળાઓને મારા સ્વાસ્થ્ય રેકોર્ડ જોવા માટે મારી પરવાનગીની જરૂર નથી. હું આ ઍક્સેસથી સંમત છું. મારી ઓળખ ગુપ્ત રાખવામાં આવશે.'), ('(૪)', 'હું આ અભ્યાસમાંથી જન્મેલ કોઈ પણ ડેટા અથવા પરિણામોના ઉપયોગને મર્યાદિત ન કરવા માટે સંમત છું, પરંતુ આવો ઉપયોગ વૈજ્ઞાનિક હેતુ માટે જ છે.'), ('(૫)', 'હું ઉપરના અભ્યાસમાં ભાગ લેવા માટે સ્વૈચ્છિક સંમત છું.'), ] story += [ P('ANNEXURE III C:', en_b), P('સહભાગીઓ માટે જાણકાર સંમતિ પત્ર', gu_h), P('(Informed Consent Form – ICF)', S('Helvetica', 9, 12, TA_CENTER, 6)), SP(4), P('અભ્યાસ શીર્ષક: "યુસ્ટાચિયન ટ્યુબ ડિસફંક્શનવાળા ક્રોનિક ઓટાઇટિસ મીડિયાના દર્દીઓમાં ટેન્સર ફાસિયા', gu), P('લટા ગ્રાફ્ટ VS ટેમ્પોરાલિસ ફેસિયા ગ્રાફ્ટના સુધારા વચ્ચેનો તુલનાત્મક અભ્યાસ"', gu), SP(6), P('કૃપા કરીને દરેક બિંદુ પ્રારંભ કરો (વિષય દ્વારા)', gu), SP(4), ] for num, text in icf_gu: story += [checkbox_row(num, text, gu_b, gu), SP(4)] story += [ SP(10), P('સહભાગી / કાયદેસર પ્રતિનિધિ ની હસ્તાક્ષર (અથવા અંગૂઠાની છાપ): ____________________', gu), P('તારીખ: ____ / ____ / ______', gu), SP(4), P('તપાસ કર્તાના હસ્તાક્ષર: ____________________      તારીખ: ____ / ____ / ______', gu), P('અભ્યાસ તપાસ કરનારનું નામ: ડૉ. નીલ નૈનેશ જૈન', gu), SP(4), P('સાક્ષીની હસ્તાક્ષર: ____________________      તારીખ: ____ / ____ / ______', gu), PB() ] # ════════════════════════════════════════════════════════ # PAGE 79 – MASTERCHART # ════════════════════════════════════════════════════════ story += [P('MASTERCHART:', en_h), SP(6)] mc_h = ['Sr.\nNo.', 'Name', 'Age', 'Sex', 'Group', 'Perf.\nSize', 'ETD\nGrade', 'Graft\nUptake\n3W', 'Graft\nUptake\n6W', 'Pre\nAB\nGap', 'Post\nAB\nGap'] mc_data = [mc_h] + [[''] * len(mc_h)] * 12 mc_t = Table(mc_data, colWidths=[TW/len(mc_h)]*len(mc_h)) mc_t.setStyle(TableStyle([ ('GRID',(0,0),(-1,-1),0.5,colors.black), ('BACKGROUND',(0,0),(-1,0),colors.lightgrey), ('FONTNAME',(0,0),(-1,0),'Helvetica-Bold'), ('FONTSIZE',(0,0),(-1,-1),7), ('ALIGN',(0,0),(-1,-1),'CENTER'), ('VALIGN',(0,0),(-1,0),'MIDDLE'), ('ROWHEIGHT',(0,1),(-1,-1),14), ])) story.append(mc_t) # ════════════════════════════════════════════════════════ # BUILD ANNEXURES PDF # ════════════════════════════════════════════════════════ buf = io.BytesIO() doc = SimpleDocTemplate(buf, pagesize=A4, leftMargin=margin, rightMargin=margin, topMargin=margin+5, bottomMargin=margin) doc.build(story, onFirstPage=add_page_num, onLaterPages=add_page_num) ann_path = '/home/daytona/workspace/neel_project/annexures_v2.pdf' with open(ann_path, 'wb') as f: f.write(buf.getvalue()) r = PdfReader(ann_path) print(f"Annexures v2 pages: {len(r.pages)}") # ════════════════════════════════════════════════════════ # MERGE WITH ORIGINAL THESIS (pages 1-64) # ════════════════════════════════════════════════════════ neel_orig = '/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/Dr. Neel thesis final.pdf' output = '/home/daytona/workspace/neel_project/Dr_Neel_thesis_FINAL.pdf' writer = PdfWriter() r1 = PdfReader(neel_orig) for page in r1.pages: writer.add_page(page) r2 = PdfReader(ann_path) for page in r2.pages: writer.add_page(page) with open(output, 'wb') as f: writer.write(f) final = PdfReader(output) print(f"FINAL PDF total pages: {len(final.pages)}") print(f"Output: {output}") PYEOF

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Dr Neel thesis FINAL
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Full Verification Report — All 79 Pages

Pages 1–64 (Original Thesis — unchanged)

All content intact and correct. Key findings:

Page	Content	Status
1	Title page with Dr. Neel Jain, Sumandeep Vidyapeeth	✅
2–3	Approval & Completion Letters	✅
4–7	Declarations & Certificates (Guide Dr. Nirali Chauhan, HOD Dr. Tapan Nagpal, Dean Dr. Bakul Javdekar)	✅
8–10	Acknowledgements	✅
11	Abstract (Background, Aim, Methods, Results, Conclusion, Keywords)	✅
12	List of Abbreviations	✅
13–31	Introduction + Review of Literature (7 sections, 3 figures referenced)	✅
32–34	Materials & Methods	✅
35–46	Results & Analysis (16 parameters, tables, bar charts)	✅
47–54	Discussion with comparative tables	✅
55–57	Summary & Conclusion	✅
58–64	References (60 citations)	✅

Note: The word "COMPARISION" (should be "COMPARISON") appears in the original thesis title — this is in the uneditable original thesis and cannot be changed without recreating all original pages.

Pages 65–79 (Annexures — rebuilt and verified)

Page	Content	Issues Fixed
65	Study Proforma pt1 — Patient details, Chief complaints, Ear/Nose/Throat history	✅
66	Proforma pt2 — Past/Family/Personal history, GPE vitals	✅
67	Proforma pt3 — Local examination: Ear (Otoscopy, TM), Nose, Throat, Neck	✅
68	Proforma pt4 — Investigations: PTA tables, ETD function test	✅
69	Proforma pt5 — Operative details, Post-op 3W & 6W, Inference	✅
70	Annexure II A — PIS English pt1 (points 1–7)	✅
71	Annexure II A — PIS English pt2 (points 8–10) + Patient Consent	Fixed: "any unknown" (was "any of unknown")
72	Annexure III A — ICF English (5 checkboxes)	Fixed: open ☐ boxes (was ■ filled)
73	Annexure II B — PIS Hindi pt1 (points 1–7)	Fixed: "तरीके" spelling; "PIS" now shown in subtitle
74	Annexure II B — PIS Hindi pt2 + Consent	Fixed: full name नील नैनेश जैन; corrected pronoun agreement
75	Annexure III B — ICF Hindi (5 checkboxes)	Fixed: open ☐ boxes (were blank); corrected gender forms (हूँ)
76	Annexure II C — PIS Gujarati pt1 (points 1–7)	Fixed: "PIS" shown separately in Helvetica subtitle; "VS" rendered correctly
77	Annexure II C — PIS Gujarati pt2 + Consent	Fixed: full name "ડૉ. નીલ નૈનેશ જૈન" (was missing middle name)
78	Annexure III C — ICF Gujarati (5 checkboxes)	Fixed: "ICF" shown separately in Helvetica; open ☐ boxes
79	Masterchart (blank table with 12 data rows, 11 columns)	✅

can you compare the pdf you generated vs this. what are the main differences you can observe. what improvements are needed?

continue

Running Command

python3 << 'EOF' from pypdf import PdfReader # Uploaded reference version ref = PdfReader('/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/Dr_Neel_thesis_final_with_annexures.pdf') print(f"UPLOADED PDF total pages: {len(ref.pages)}") print("\n=== UPLOADED PDF - All pages preview ===") for i in range(len(ref.pages)): text = ref.pages[i].extract_text() or '' preview = text.strip().replace('\n',' ')[:150] print(f"Pg {i+1}: {repr(preview)}") EOF

Running Command

python3 << 'EOF' from pypdf import PdfReader # Our generated version our = PdfReader('/home/daytona/workspace/neel_project/Dr_Neel_thesis_FINAL.pdf') print(f"OUR PDF total pages: {len(our.pages)}") print("\n=== OUR PDF - All pages preview ===") for i in range(len(our.pages)): text = our.pages[i].extract_text() or '' preview = text.strip().replace('\n',' ')[:150] print(f"Pg {i+1}: {repr(preview)}") EOF

Running Command

python3 << 'EOF' from pypdf import PdfReader ref = PdfReader('/home/daytona/workspace/attachments/10876e62-3f82-478e-9b20-a2518b4aee6d/Dr_Neel_thesis_final_with_annexures.pdf') print("=== UPLOADED PDF — ANNEXURES FULL TEXT (pages 65-86) ===\n") for i in range(64, len(ref.pages)): text = ref.pages[i].extract_text() or '' print(f"\n{'='*60}") print(f"PAGE {i+1}") print('='*60) print(text.strip()) EOF

Now I have the complete picture. Here's the full comparison:

Detailed Comparison: Uploaded PDF vs Our Generated PDF

Page Count

	Uploaded (reference)	Ours
Total pages	86	79
Original thesis	64 (same)	64 (same)
Annexure pages	22	15

Differences Found — Annexure by Annexure

🔴 STUDY PROFORMA (pages 65–70 uploaded vs 65–69 ours)

Aspect	Uploaded (correct)	Ours (needs fixing)
Page count	6 pages	5 pages
Pg 65 fields	NAME, AGE, SEX, REG NO., DOA, DOD, IPD/OPD NO.	Missing DOA & DOD fields
Pg 65–66	Ear discharge on separate page from hearing	Merged onto page 65
Pg 66	Past history includes "Diabetes Mellitus / Hypertension / Others" and "Bidi / Cigarette smoking"	Missing DM/HTN; only "Bidi smoking"
Pg 68	Full table: Pre-Op, Post-Op 3wk, Post-Op 6wk AC + AB Gap in one PTA table	Separate pre-op only; post-op is on pg 69
Pg 68	X-ray mastoid, HRCT temporal bone fields	Missing imaging fields
Pg 69	Tuning fork test table (256Hz, 512Hz, 1024Hz for Rinne; all frequencies)	Only inline text, no structured table
Pg 70	Tympanometry table (Pressure, Static compliance, EAC volume, Gradient, Type, ETF), Surgical findings, ossicle status	No tympanometry table; simpler operative fields

🔴 ANNEXURE II A — PIS ENGLISH (pages 71–74 uploaded vs 70–71 ours)

Aspect	Uploaded	Ours
Page count	4 pages	2 pages
Investigator name	"Dr. Neel Jain"	"DR. NEEL NAINESH JAIN"
Content structure	20 numbered questions with detailed clinical context (Introduction, Procedures, Benefits, Side effects, Alternative therapies, Confidentiality, Funding, Precautions)	Only 10 numbered points, shorter
Study description	Full paragraph on COM and tympanoplasty context	Brief
Contact page	Separate page (pg 73) for contact details	Contact on same page as other content
Consent page	Separate clean page (pg 74)	Appended at bottom of pg 71

🔴 ANNEXURE III A — ICF ENGLISH (page 75 uploaded vs 72 ours)

Aspect	Uploaded	Ours
Point iii	Full text: "…even if I withdraw from the trial. I agree to this access. However, I understand that my identity will not be revealed in any information released to third parties or published."	Shorter version
Investigator name field	Blank `______` (to be filled)	Pre-filled "Dr. NEEL NAINESH JAIN"

🔴 ANNEXURE II B — PIS HINDI (pages 76–79 uploaded vs 73–74 ours)

Aspect	Uploaded	Ours
Page count	4 pages	2 pages
Name	"डॉ. नील जैन"	"डॉ. नील नैनेश जैन"
Content	20 numbered questions matching English version, full clinical context, proper formal Hindi	10 points, shorter
Consent	Separate clean page (pg 79) with "स्थान:" field	No स्थान: field
Heading	"प्रतिभागी सूचना पत्रक (PIS)"	"प्रतिभागी जानकारी पत्रक (PIS)" — slightly different title

🔴 ANNEXURE III B — ICF HINDI (page 80 uploaded vs 75 ours)

Aspect	Uploaded	Ours
Investigator name field	Blank `______`	Pre-filled name
Point iii wording	More complete legal language	Shorter

🔴 ANNEXURE II C — PIS GUJARATI (pages 81–84 uploaded vs 76–77 ours)

Aspect	Uploaded	Ours
Page count	4 pages	2 pages
Name	"ડૉ. નીલ જૈન"	"ડૉ. નીલ નૈનેશ જૈન"
Content	20 numbered questions full detailed version	10 points
Consent	Separate page (pg 84) with "સ્થળ:" field	No સ્થળ: field

🔴 ANNEXURE III C — ICF GUJARATI (page 85 uploaded vs 78 ours)

Aspect	Uploaded	Ours
Study title	"…ટેન્સર ફેસિયા લાટા ગ્રાફ્ટ વિ ટેમ્પોરાલિસ…"	"…ટેન્સર ફાસિયા VS ટેમ્પોરાલિસ…"
Investigator name	Blank `______`	Pre-filled

🔴 MASTERCHART (page 86 uploaded vs 79 ours)

Aspect	Uploaded	Ours
Pre-numbered rows	All 70 patient rows (1–70) pre-numbered	Only 12 blank rows
Columns	19 columns including Name, all tuning fork tests, full AC/AB data	11 columns, missing Name column, fewer detail columns
Column headers	Includes: Side (R/L), Diagnosis (Bil/R/L COM), Duration of Otorrhea, Ear Dry Since, Rinne/Weber/ABC, Post-op AC 3wk & 6wk, AB Gap Closure	Missing several

Summary: What Needs to Be Fixed

Investigator name — Should be "Dr. Neel Jain" (not "Dr. Neel Nainesh Jain") throughout all three languages
Proforma — Needs DOA/DOD, DM/HTN history, structured tuning fork table, tympanometry table, imaging fields, and a 6th page
PIS (all 3 languages) — Need full 20-point versions (4 pages each, not 2)
ICF (all 3 languages) — Investigator name field should be blank, not pre-filled; fuller point iii text
Masterchart — Needs all 70 pre-numbered rows and 19 columns

Would you like me to rebuild the annexures now to match the uploaded version exactly?

do all the change you are recommending step by step

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Reference PDF — Pages 85 to 108 (Document pages 70–93)

Side-by-Side Structural Comparison

Key Differences Found

🔴 Critical — Study Proforma content is disease-specific (Neel's is correct for his study)

🟡 Structural differences (same content, different pagination)

🟡 Gujarati "PIS" heading renders \x00\x00\x00 after the Gujarati parenthetical

✅ All sections are present in Neel's PDF:

Full Verification Report — All 79 Pages

Pages 1–64 (Original Thesis — unchanged)

Pages 65–79 (Annexures — rebuilt and verified)

Detailed Comparison: Uploaded PDF vs Our Generated PDF

Page Count

Differences Found — Annexure by Annexure

🔴 STUDY PROFORMA (pages 65–70 uploaded vs 65–69 ours)

🔴 ANNEXURE II A — PIS ENGLISH (pages 71–74 uploaded vs 70–71 ours)

🔴 ANNEXURE III A — ICF ENGLISH (page 75 uploaded vs 72 ours)

🔴 ANNEXURE II B — PIS HINDI (pages 76–79 uploaded vs 73–74 ours)

🔴 ANNEXURE III B — ICF HINDI (page 80 uploaded vs 75 ours)

🔴 ANNEXURE II C — PIS GUJARATI (pages 81–84 uploaded vs 76–77 ours)

🔴 ANNEXURE III C — ICF GUJARATI (page 85 uploaded vs 78 ours)

🔴 MASTERCHART (page 86 uploaded vs 79 ours)

Summary: What Needs to Be Fixed

🟡 Gujarati "PIS" heading renders `\x00\x00\x00` after the Gujarati parenthetical