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python -m markitdown "/home/daytona/workspace/attachments/a044b2de-2473-49f0-a8f8-5979cdc2dd77/III sem L15 II Innervation and blood vessels of Abd Viscera; T Chichinadze.pptx" 2>&1 | head -200

Running Command

cd /home/daytona/workspace && python3 -c " from pptx import Presentation import sys pptx_path = '/home/daytona/workspace/attachments/a044b2de-2473-49f0-a8f8-5979cdc2dd77/III sem L15 II Innervation and blood vessels of Abd Viscera; T Chichinadze.pptx' prs = Presentation(pptx_path) for i, slide in enumerate(prs.slides): print(f'--- Slide {i+1} ---') for shape in slide.shapes: if hasattr(shape, 'text') and shape.text.strip(): print(shape.text.strip()) print() "

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cd /home/daytona && ls skills/pptx/scripts/ && which node && node --version

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ls /home/daytona/skills/pptx/scripts/office/

Running Command

mkdir -p /home/daytona/workspace/unpacked_pptx && python3 /home/daytona/skills/pptx/scripts/office/unpack.py "/home/daytona/workspace/attachments/a044b2de-2473-49f0-a8f8-5979cdc2dd77/III sem L15 II Innervation and blood vessels of Abd Viscera; T Chichinadze.pptx" /home/daytona/workspace/unpacked_pptx/ 2>&1

Running Command

cd /home/daytona/workspace && unzip -o "attachments/a044b2de-2473-49f0-a8f8-5979cdc2dd77/III sem L15 II Innervation and blood vessels of Abd Viscera; T Chichinadze.pptx" -d unpacked_pptx2/ 2>&1 | tail -5

Running Command

ls -lh "/home/daytona/workspace/attachments/a044b2de-2473-49f0-a8f8-5979cdc2dd77/"

Running Command

cp "/home/daytona/workspace/attachments/a044b2de-2473-49f0-a8f8-5979cdc2dd77/III sem L15 II Innervation and blood vessels of Abd Viscera; T Chichinadze.pptx" /home/daytona/workspace/lecture.pptx && ls -lh /home/daytona/workspace/lecture.pptx

Running Command

cd /tmp && unzip -o /home/daytona/workspace/lecture.pptx -d pptx_extracted/ 2>&1 | tail -10

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ls /tmp/pptx_extracted/ppt/slides/ | head -30

Running Command

ls /tmp/pptx_extracted/ppt/slides/ | wc -l && python3 -c " import xml.etree.ElementTree as ET import os, re slides_dir = '/tmp/pptx_extracted/ppt/slides/' ns = {'a': 'http://schemas.openxmlformats.org/drawingml/2006/main', 'p': 'http://schemas.openxmlformats.org/presentationml/2006/main'} # Get slides in order slides = sorted([f for f in os.listdir(slides_dir) if f.startswith('slide') and f.endswith('.xml')], key=lambda x: int(re.search(r'\d+', x).group())) for slide_file in slides: tree = ET.parse(os.path.join(slides_dir, slide_file)) root = tree.getroot() texts = [] for elem in root.iter('{http://schemas.openxmlformats.org/drawingml/2006/main}t'): if elem.text and elem.text.strip(): texts.append(elem.text.strip()) if texts: num = re.search(r'\d+', slide_file).group() print(f'=== Slide {num} ===') print(' | '.join(texts[:30])) print() " 2>&1

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Lecture 15 (Part 2): Innervation and Blood Vessels of Abdominal Viscera

By Tamar Chichinadze, MD | Tbilisi, GAU Reference: Moore's Clinically Oriented Anatomy, 7th ed.

The presentation has 31 slides covering two main topics:

Part 1 - Blood Supply (Slides 1-9)

SlideTopic
1Title slide
2-3Arteries of the gut (Foregut, Midgut, Hindgut)
4Arteries of abdominal viscera; gonadal and renal arteries
5Veins of kidneys, suprarenal glands, gonads
6Hepatic portal system
7-8Arterial supply to the anterolateral abdominal wall; superior and inferior epigastric arteries
9Cross-reference to intestinal blood supply lecture

Part 2 - Innervation (Slides 10-31)

SlideTopic
10-11Innervation and dermatomes of the anterolateral abdominal wall
12-13Overview: Extrinsic (CNS) vs Intrinsic (enteric) innervation
14Control of abdominal viscera by CNS; visceral efferent (autonomic) and afferent fibers
15Structural components: preganglionic/postganglionic fibers, spinal roots, rami communicantes, sympathetic trunk, splanchnic nerves, prevertebral plexus/ganglia
16-19Sympathetic innervation - preganglionic fibers from T5-L3; Greater, Lesser, Least, and Lumbar splanchnic nerves; connections to Celiac, Aorticorenal, Superior and Inferior Mesenteric ganglia; function: decreases secretion/peristalsis, increases sphincter tone
20-21Parasympathetic innervation - Vagus nerve (CN X) innervates foregut and midgut; Pelvic splanchnic nerves (S2-S4) innervate hindgut; function: increases secretion/peristalsis, decreases sphincter tone
22-23Sympathetic trunks and splanchnic nerves (images)
24Abdominal prevertebral plexus and ganglia
25-27Sympathetic nervous system; autonomic innervation of GI tract; nerve fibers through prevertebral plexus
28Enteric nervous system
29-30Visceral afferent fibers; referred visceral pain (გადაცემითი ტკივილი)
31References (Moore 7th ed.; Gray's Anatomy for Students 3rd ed.)

Key Concepts Covered:
  • Sympathetic supply originates from T5-L3 spinal cord segments; preganglionic fibers form splanchnic nerves that synapse in prevertebral ganglia (celiac, aorticorenal, superior and inferior mesenteric). Effect: decreased GI motility/secretion, increased sphincter tone.
  • Parasympathetic supply: Vagus nerve (foregut + midgut); Pelvic splanchnic nerves S2-S4 (hindgut). Effect: increased GI motility/secretion, decreased sphincter tone.
  • The enteric nervous system (intrinsic) can function independently of the CNS.
  • Visceral afferent fibers carry sensory signals that can produce referred pain (slide 30 even uses the Georgian term გადაცემითი ტკივილი).
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