"IJMEDPH" "Amar Nath" 1532 1537

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mkdir -p "/tmp/workspace/ap-conference-presentation/src" "/tmp/workspace/ap-conference-presentation/output" "/tmp/workspace/ap-conference-presentation/assets" && python - <<'PY' from pypdf import PdfReader from pathlib import Path p=Path('/tmp/workspace/attachments/fdb54059-dcdf-4d65-952c-51d75b19ca2f/267. 4162. IJMEDPH_Amar Nath_1532-1537.pdf') r=PdfReader(str(p)) out=Path('/tmp/workspace/ap-conference-presentation/article_extracted.txt') with out.open('w',encoding='utf-8') as f: f.write(f'PAGES: {len(r.pages)}\nMETADATA: {r.metadata}\n\n') for i,page in enumerate(r.pages,1): f.write(f'\n\n===== PAGE {i} =====\n') f.write(page.extract_text() or '') print(out, len(r.pages)) PY

coblation tonsillectomy

coblation tonsillectomy systematic review 2024 2025

python - <<'PY' import pdfplumber p='/tmp/workspace/attachments/fdb54059-dcdf-4d65-952c-51d75b19ca2f/267. 4162. IJMEDPH_Amar Nath_1532-1537.pdf' with pdfplumber.open(p) as pdf: for i,page in enumerate(pdf.pages,1): print(i, len(page.images), page.width, page.height) for j,img in enumerate(page.images): try: crop=page.crop((img['x0'],img['top'],img['x1'],img['bottom'])) crop.to_image(resolution=150).save(f'/tmp/workspace/ap-conference-presentation/assets/page{i}_img{j}.png',format='PNG') except Exception as e: print('err',e) PY

python - <<'PY' from pptx import Presentation from pptx.util import Inches, Pt from pptx.dml.color import RGBColor from pptx.enum.shapes import MSO_SHAPE from pptx.enum.text import PP_ALIGN, MSO_ANCHOR from pptx.chart.data import CategoryChartData from pptx.enum.chart import XL_CHART_TYPE, XL_LEGEND_POSITION from pptx.enum.dml import MSO_THEME_COLOR from pathlib import Path OUT=Path('/tmp/workspace/ap-conference-presentation/output/Coblation_Tonsillectomy_AP_State_Conference_Kurnool.pptx') prs=Presentation(); prs.slide_width=Inches(13.333); prs.slide_height=Inches(7.5) blank=prs.slide_layouts[6] # colors NAVY=RGBColor(9,41,68); TEAL=RGBColor(0,133,143); AQUA=RGBColor(29,185,186); BLUE=RGBColor(41,111,181) ORANGE=RGBColor(232,130,45); RED=RGBColor(190,67,68); SLATE=RGBColor(70,84,97); LIGHT=RGBColor(244,248,250); MID=RGBColor(220,231,235); WHITE=RGBColor(255,255,255); DARK=RGBColor(33,44,52) def rect(s,x,y,w,h,color, radius=False, line=None): sh=s.shapes.add_shape(MSO_SHAPE.ROUNDED_RECTANGLE if radius else MSO_SHAPE.RECTANGLE, Inches(x), Inches(y), Inches(w), Inches(h)); sh.fill.solid(); sh.fill.fore_color.rgb=color; sh.line.color.rgb=line or color return sh def txt(s,text,x,y,w,h,size=18,color=DARK,bold=False,align=PP_ALIGN.LEFT,font='Aptos',margin=0.06): tb=s.shapes.add_textbox(Inches(x), Inches(y), Inches(w), Inches(h)); tf=tb.text_frame; tf.clear(); tf.word_wrap=True; tf.margin_left=tf.margin_right=Inches(margin); tf.margin_top=tf.margin_bottom=Inches(margin); tf.vertical_anchor=MSO_ANCHOR.MIDDLE p=tf.paragraphs[0]; p.alignment=align; r=p.add_run(); r.text=text; r.font.name=font; r.font.size=Pt(size); r.font.bold=bold; r.font.color.rgb=color return tb def bullet(s,items,x,y,w,h,size=18,color=DARK, gap=8): tb=s.shapes.add_textbox(Inches(x),Inches(y),Inches(w),Inches(h)); tf=tb.text_frame; tf.clear(); tf.word_wrap=True; tf.margin_left=Inches(.08); tf.margin_right=Inches(.04); tf.margin_top=Inches(.02); tf.margin_bottom=Inches(.02) for i,item in enumerate(items): p=tf.paragraphs[0] if i==0 else tf.add_paragraph(); p.text=item; p.level=0; p.font.name='Aptos'; p.font.size=Pt(size); p.font.color.rgb=color; p.space_after=Pt(gap); p._element.get_or_add_pPr().insert(0, p._element._new_buChar('•')) return tb def header(s,title,kicker='AP STATE CONFERENCE | KURNOOL'): rect(s,0,0,13.333,.28,NAVY); txt(s,kicker,0.55,.32,7.6,.28,9,TEAL,True); txt(s,title,.55,.62,12.1,.55,27,NAVY,True); rect(s,.55,1.22,1.15,.05,ORANGE) def footer(s,n): rect(s,0,7.2,13.333,.3,NAVY); txt(s,'Source: Amarnath SB et al. Int J Med Pub Health. 2026;16(1):1532-1537.',.55,7.22,10.5,.18,8,WHITE); txt(s,str(n),12.2,7.22,.5,.18,9,WHITE,True,PP_ALIGN.RIGHT) def stat(s,num,label,x,y,w=2.5,color=TEAL): rect(s,x,y,w,1.22,WHITE,True,line=MID); txt(s,num,x+.12,y+.13,w-.24,.45,29,color,True,PP_ALIGN.CENTER); txt(s,label,x+.12,y+.66,w-.24,.38,12,SLATE,False,PP_ALIGN.CENTER) def add_chart(s,cats,series,x,y,w,h,colors,typ=XL_CHART_TYPE.COLUMN_CLUSTERED,legend=False): data=CategoryChartData(); data.categories=cats for name,vals in series: data.add_series(name,vals) ch=s.shapes.add_chart(typ,Inches(x),Inches(y),Inches(w),Inches(h),data).chart ch.has_legend=legend; ch.legend.position=XL_LEGEND_POSITION.BOTTOM; ch.legend.include_in_layout=False ch.value_axis.has_major_gridlines=True; ch.value_axis.major_gridlines.format.line.color.rgb=MID ch.value_axis.tick_labels.font.size=Pt(10); ch.category_axis.tick_labels.font.size=Pt(10) ch.chart_title.has_text_frame=False for i,ser in enumerate(ch.series): ser.format.fill.solid(); ser.format.fill.fore_color.rgb=colors[i%len(colors)]; ser.format.line.color.rgb=colors[i%len(colors)] return ch def notes(slide, text): slide.notes_slide.notes_text_frame.text=text #1 s=prs.slides.add_slide(blank); rect(s,0,0,13.333,7.5,NAVY); rect(s,0,0,13.333,.28,ORANGE); rect(s,8.8,0,4.533,7.5,TEAL) # abstract rings for i,sz in enumerate([4.6,3.3,2.0]): sh=s.shapes.add_shape(MSO_SHAPE.OVAL, Inches(9.5+(4.6-sz)/2), Inches(1.5+(4.6-sz)/2), Inches(sz), Inches(sz)); sh.fill.background(); sh.line.color.rgb=[AQUA,WHITE,ORANGE][i]; sh.line.width=Pt(2) txt(s,'COLD DISSECTION,\nWARM OUTCOMES',.7,.95,7.8,1.35,30,WHITE,True); txt(s,'Coblation tonsillectomy review from a tertiary care hospital',.72,2.48,7.5,.6,19,RGBColor(204,232,234)); rect(s,.72,3.35,1.2,.06,ORANGE) txt(s,'AP State Conference Presentation | Kurnool',.72,3.72,6.4,.32,15,WHITE,True); txt(s,'Amarnath S B | Gouthami Sushma S | Prathyusha Koneru',.72,4.22,7.2,.3,14,WHITE); txt(s,'Department of ENT, SVIMS-Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh',.72,4.62,7.4,.55,12,RGBColor(204,232,234)); txt(s,'Original research article | Int J Med Pub Health 2026;16(1):1532-1537',.72,6.65,8,.25,10,RGBColor(204,232,234)) notes(s,'Opening slide. State that this presentation summarizes a single-centre retrospective review of coblation tonsillectomy outcomes.') #2 s=prs.slides.add_slide(blank); header(s,'Why Coblation Tonsillectomy?'); footer(s,2) rect(s,.55,1.52,5.85,4.95,LIGHT,True); txt(s,'Clinical context',.85,1.78,4,.35,20,NAVY,True); bullet(s,['Tonsillectomy is performed for recurrent tonsillitis, sleep-disordered breathing and obstructive sleep apnoea.','Coblation uses bipolar radiofrequency energy in saline to create a plasma field for tissue dissolution and vessel coagulation.','The article contrasts lower operating temperature (about 60°C) with electrocautery, which may reach up to 400°C.'],.85,2.3,5.05,3.6,17) rect(s,6.75,1.52,5.98,4.95,WHITE,True,line=MID); txt(s,'Rationale',7.08,1.78,3.5,.35,20,NAVY,True); txt(s,'Potential pathway to less thermal injury and postoperative morbidity',7.08,2.32,4.8,.55,19,TEAL,True); for y,label in [(3.35,'Low-temperature plasma field'),(4.2,'Capsular-plane dissection'),(5.05,'Focused recovery assessment')]: rect(s,7.1,y,.34,.34,ORANGE,True); txt(s,label,7.62,y-0.02,4.55,.38,16,DARK) notes(s,'Introduce why this technique was evaluated. These statements are paraphrased from the paper introduction.') #3 s=prs.slides.add_slide(blank); header(s,'Study Aim and Design'); footer(s,3) stat(s,'45','patients',.7,1.58); stat(s,'5-35 y','age range',3.45,1.58); stat(s,'Jan 2018 - Mar 2022','study period',6.2,1.58,2.8); stat(s,'6 months','follow-up',9.25,1.58,2.8) rect(s,.7,3.15,12,2.85,LIGHT,True); txt(s,'Objective',1,3.45,2,.35,19,NAVY,True); txt(s,'To evaluate postoperative outcomes following coblation-assisted tonsillectomy at the authors’ institution.',1,3.88,10.7,.45,19,TEAL,True); txt(s,'Design and setting',1,4.65,3,.35,19,NAVY,True); bullet(s,['Retrospective, single-centre review at the Department of ENT, SVIMS-Sri Padmavathi Medical College for Women, Tirupati.','Included recurrent tonsillitis/chronic adenotonsillitis, sleep-disordered breathing and obstructive sleep apnoea cases undergoing coblation tonsillectomy or adenotonsillectomy.','Ethical and scientific committee clearance: IEC no. 1278.'],1,5.05,10.9,.8,15) #4 s=prs.slides.add_slide(blank); header(s,'Methods: Standardized Procedure and Outcomes'); footer(s,4) # flow steps=[('Pre-operative','History, examination, baseline investigations and anaesthesia fitness'),('Intra-operative','General anaesthesia; Rose position; Bonns Plasma Surgical System ARS 700'),('Technique','Ablation setting 7; coagulation setting 3; dissection along capsular plane'),('Follow-up','Weekly in month 1, then monthly for five months')] for i,(a,b) in enumerate(steps): x=.65+i*3.15; rect(s,x,1.7,2.65,1.65,WHITE,True,line=MID); txt(s,a,x+.15,1.93,2.35,.3,17,NAVY,True,PP_ALIGN.CENTER); txt(s,b,x+.16,2.36,2.33,.67,12,SLATE,False,PP_ALIGN.CENTER) if i<3: txt(s,'›',3.31+i*3.15,2.2,.25,.45,28,ORANGE,True,PP_ALIGN.CENTER) rect(s,.65,4.15,12.05,1.85,LIGHT,True); txt(s,'Measured outcomes',.95,4.42,2.6,.35,19,NAVY,True); bullet(s,['Operative duration, postoperative pain (Wong-Baker FACES scale), haemorrhage, tonsillar-fossa healing, return to diet and routine activities.','Quality of life: Tonsillectomy Outcome Inventory-14 (TOI-14), a patient-reported disease-specific questionnaire.','Analysis: SPSS v20; frequencies/percentages, mean ± SD, chi-square and Student t-test; p < 0.05 considered significant.'],.95,4.85,11.2,.95,14) #5 s=prs.slides.add_slide(blank); header(s,'Cohort Profile'); footer(s,5) add_chart(s,['Male','Female'],[('Patients',[26,19])],.7,1.65,4.4,3.8,[TEAL]); txt(s,'Sex distribution',.85,1.35,3,.25,17,NAVY,True) add_chart(s,['5-10','11-15','16-20','25-30','31-35'],[('Patients',[16,19,5,2,3])],5.35,1.65,5.9,3.8,[BLUE]); txt(s,'Age distribution (years)',5.5,1.35,3.5,.25,17,NAVY,True) stat(s,'13.4 ± 7.2 y','mean age',.9,5.65,2.65); stat(s,'77.8%','paediatric patients',4.0,5.65,2.65,ORANGE); stat(s,'57.7%','male patients',7.1,5.65,2.65,BLUE); txt(s,'n = 45',10.3,5.92,1.6,.3,18,NAVY,True,PP_ALIGN.CENTER) #6 s=prs.slides.add_slide(blank); header(s,'Operative and Recovery Outcomes'); footer(s,6) stat(s,'15.8 ± 4.5 min','mean operative time',.7,1.55,3.05); stat(s,'5.44 ± 1.5 d','return to normal diet',4.1,1.55,3.05,ORANGE); stat(s,'6.1 ± 1.7 d','return to routine activity',7.5,1.55,3.05,BLUE); stat(s,'0 / 45','any reported haemorrhage',10.05,1.55,2.6,RED) rect(s,.7,3.3,12,2.55,LIGHT,True); txt(s,'Haemorrhage outcome',1,3.65,3,.35,20,NAVY,True); txt(s,'No primary, reactionary or secondary haemorrhage was reported in this cohort.',1,4.16,10.7,.45,21,TEAL,True); txt(s,'Interpret cautiously: the study is retrospective and has no comparator arm.',1,5.0,9.7,.3,15,SLATE) #7 s=prs.slides.add_slide(blank); header(s,'Pain Improves Across the First 3 Weeks'); footer(s,7) add_chart(s,['6 h','24 h','48 h','1 wk','2 wk','3 wk'],[('Average pain score',[6.58,5.58,4.78,2.73,1.29,.53])],.7,1.55,7.1,4.8,[ORANGE],XL_CHART_TYPE.LINE_MARKERS) rect(s,8.25,1.55,4.3,4.8,WHITE,True,line=MID); txt(s,'Key result',8.65,1.95,2.8,.35,19,NAVY,True); txt(s,'5.58',8.65,2.6,2.8,.6,38,ORANGE,True); txt(s,'± 1.2 at 24 hours',8.65,3.22,2.9,.25,15,SLATE); txt(s,'2.73',8.65,4.05,2.8,.6,38,TEAL,True); txt(s,'± 0.8 at 1 week',8.65,4.68,2.9,.25,15,SLATE); txt(s,'Pain scores: Wong-Baker FACES scale.',8.65,5.55,3,.35,11,SLATE) #8 s=prs.slides.add_slide(blank); header(s,'Patient-Reported Outcomes: TOI-14'); footer(s,8) # comparisons selected add_chart(s,['Snoring','Apnoea','Throat infection\n<2 wk','Doctor visits','Missing school'], [('Pre-op',[2.9,2.8,2.9,2.9,2.5]),('1 month',[1.4,1.5,.4,.5,.8]),('3-6 months',[.5,.5,.4,.3,.3])],.65,1.58,8.0,4.85,[NAVY,ORANGE,TEAL],XL_CHART_TYPE.COLUMN_CLUSTERED,True) rect(s,9.0,1.58,3.65,4.85,LIGHT,True); txt(s,'Quality-of-life signal',9.35,1.92,2.85,.6,19,NAVY,True); txt(s,'28.7',9.35,2.85,2.5,.55,34,TEAL,True); txt(s,'mean difference between pre-operative and 3-6 month TOI-14 scores',9.35,3.5,2.65,.8,14,SLATE); txt(s,'All listed TOI-14 symptom comparisons showed p = 0.000 in Table 3.',9.35,4.75,2.7,.62,15,DARK,True); txt(s,'Values shown are symptom scores reported in the article.',9.35,5.72,2.7,.3,11,SLATE) #9 s=prs.slides.add_slide(blank); header(s,'Interpretation'); footer(s,9) rect(s,.7,1.55,5.8,4.9,WHITE,True,line=MID); txt(s,'What this series suggests',1.05,1.95,4.7,.35,20,NAVY,True); bullet(s,['In this institutional cohort, coblation tonsillectomy was associated with a declining pain trajectory, return to diet in about 5.4 days, and return to routine activity in about 6.1 days.','No haemorrhage was observed among 45 patients.','TOI-14 symptom scores improved significantly during follow-up.'],1.05,2.55,4.85,2.8,17) rect(s,6.85,1.55,5.8,4.9,LIGHT,True); txt(s,'How to frame it responsibly',7.2,1.95,4.9,.35,20,NAVY,True); bullet(s,['This is an observational retrospective study, not a head-to-head comparison with another tonsillectomy technique.','The paper notes that published haemorrhage findings differ across studies.','Recent systematic reviews exist for coblation outcomes, but the conclusions here should be presented as findings from this cohort.'],7.2,2.55,4.85,2.8,17) #10 s=prs.slides.add_slide(blank); header(s,'Limitations and Practice Implications'); footer(s,10) rect(s,.7,1.55,5.7,4.95,WHITE,True,line=MID); txt(s,'Limitations stated by the authors',1.05,1.9,4.9,.36,19,NAVY,True); bullet(s,['Retrospective design','Small sample size (n = 45), limiting power and generalisability','No control/comparator group','Equipment cost and availability','Learning curve for the technique'],1.05,2.55,4.65,2.8,17) rect(s,6.85,1.55,5.8,4.95,LIGHT,True); txt(s,'Implication',7.2,1.9,4.9,.36,19,NAVY,True); txt(s,'Coblation may be considered a safe and effective option in appropriately selected patients, with recovery and patient-reported outcomes worthy of further evaluation.',7.2,2.52,4.65,1.2,19,TEAL,True); txt(s,'Next research step',7.2,4.25,3,.3,16,NAVY,True); txt(s,'Larger prospective comparative studies with standardized outcome reporting.',7.2,4.65,4.75,.55,16,DARK) #11 s=prs.slides.add_slide(blank); rect(s,0,0,13.333,7.5,NAVY); rect(s,0,0,13.333,.28,ORANGE); txt(s,'Take-Home Messages',.72,.85,8,.5,30,WHITE,True); rect(s,.72,1.55,1.1,.06,ORANGE) for i,(num,body) in enumerate([('01','Mean operative time: 15.8 ± 4.5 minutes'),('02','Pain decreased from 5.58 ± 1.2 at 24 h to 2.73 ± 0.8 at 1 week'),('03','Normal diet and daily routine resumed at 5.44 and 6.1 days, respectively'),('04','No primary, reactionary or secondary haemorrhage was reported in 45 patients'),('05','TOI-14 symptom scores improved significantly through 3-6 months')]): y=1.9+i*.82; txt(s,num,.78,y,.55,.3,16,ORANGE,True); txt(s,body,1.55,y-.02,9.8,.35,18,WHITE) txt(s,'Thank you',.72,6.45,2.4,.5,25,WHITE,True); txt(s,'Questions and discussion',.72,6.92,3,.23,12,RGBColor(204,232,234)); txt(s,'Primary source: Amarnath SB, Gouthami Sushma S, Koneru P. Int J Med Pub Health. 2026;16(1):1532-1537.',5.1,6.93,7.4,.22,9,RGBColor(204,232,234),False,PP_ALIGN.RIGHT) # add core properties prs.core_properties.title='Coblation Tonsillectomy - AP State Conference, Kurnool'; prs.core_properties.author='Prepared from article by Amarnath SB et al.' prs.save(OUT) print(OUT) PY

python - <<'PY' from pptx import Presentation from pptx.util import Inches,Pt from pptx.dml.color import RGBColor from pptx.enum.shapes import MSO_SHAPE from pptx.enum.text import PP_ALIGN,MSO_ANCHOR from pptx.chart.data import CategoryChartData from pptx.enum.chart import XL_CHART_TYPE,XL_LEGEND_POSITION from pathlib import Path O=Path('/tmp/workspace/ap-conference-presentation/output/Coblation_Tonsillectomy_AP_State_Conference_Kurnool.pptx'); O.parent.mkdir(parents=True,exist_ok=True) p=Presentation();p.slide_width=Inches(13.333);p.slide_height=Inches(7.5);B=p.slide_layouts[6] N=RGBColor(9,41,68);T=RGBColor(0,133,143);A=RGBColor(232,130,45);L=RGBColor(244,248,250);M=RGBColor(218,230,234);W=RGBColor(255,255,255);D=RGBColor(45,57,66);S=RGBColor(88,104,115) def box(s,x,y,w,h,c,round=0): q=s.shapes.add_shape(MSO_SHAPE.ROUNDED_RECTANGLE if round else MSO_SHAPE.RECTANGLE,Inches(x),Inches(y),Inches(w),Inches(h));q.fill.solid();q.fill.fore_color.rgb=c;q.line.color.rgb=c;return q def text(s,z,x,y,w,h,sz=18,c=D,b=0,al=PP_ALIGN.LEFT): q=s.shapes.add_textbox(Inches(x),Inches(y),Inches(w),Inches(h));f=q.text_frame;f.clear();f.word_wrap=True;f.margin_left=f.margin_right=Inches(.06);f.margin_top=f.margin_bottom=Inches(.03);f.vertical_anchor=MSO_ANCHOR.MIDDLE;r=f.paragraphs[0].add_run();r.text=z;r.font.name='Aptos';r.font.size=Pt(sz);r.font.bold=b;r.font.color.rgb=c;f.paragraphs[0].alignment=al;return q def bullets(s,a,x,y,w,h,sz=16): q=s.shapes.add_textbox(Inches(x),Inches(y),Inches(w),Inches(h));f=q.text_frame;f.clear();f.word_wrap=True;f.margin_left=Inches(.04);f.margin_right=Inches(.04) for i,z in enumerate(a): g=f.paragraphs[0] if i==0 else f.add_paragraph();g.text='• '+z;g.font.name='Aptos';g.font.size=Pt(sz);g.font.color.rgb=D;g.space_after=Pt(10) return q def head(s,title,n): box(s,0,0,13.333,.28,N);text(s,'AP STATE CONFERENCE | KURNOOL',.55,.33,6,.22,9,T,1);text(s,title,.55,.62,12,.52,27,N,1);box(s,.55,1.22,1.15,.05,A);box(s,0,7.2,13.333,.3,N);text(s,'Source: Amarnath SB et al. Int J Med Pub Health. 2026;16(1):1532-1537.',.55,7.22,10.5,.16,8,W);text(s,str(n),12.2,7.22,.5,.16,9,W,1,PP_ALIGN.RIGHT) def stat(s,n,l,x,y,w=2.6,c=T): box(s,x,y,w,1.2,W,1);text(s,n,x+.1,y+.1,w-.2,.45,26,c,1,PP_ALIGN.CENTER);text(s,l,x+.1,y+.64,w-.2,.34,11,S,0,PP_ALIGN.CENTER) def chart(s,cats,ser,x,y,w,h,cols,typ=XL_CHART_TYPE.COLUMN_CLUSTERED,leg=False): d=CategoryChartData();d.categories=cats for k,v in ser:d.add_series(k,v) ch=s.shapes.add_chart(typ,Inches(x),Inches(y),Inches(w),Inches(h),d).chart;ch.has_legend=leg if leg:ch.legend.position=XL_LEGEND_POSITION.BOTTOM ch.value_axis.has_major_gridlines=True;ch.value_axis.major_gridlines.format.line.color.rgb=M for i,q in enumerate(ch.series):q.format.fill.solid();q.format.fill.fore_color.rgb=cols[i];q.format.line.color.rgb=cols[i] return ch # title s=p.slides.add_slide(B);box(s,0,0,13.333,7.5,N);box(s,8.8,0,4.533,7.5,T);box(s,0,0,13.333,.28,A) for sz,col in [(4.6,RGBColor(40,187,190)),(3.25,W),(1.9,A)]: q=s.shapes.add_shape(MSO_SHAPE.OVAL,Inches(11.05-sz/2),Inches(3.6-sz/2),Inches(sz),Inches(sz));q.fill.background();q.line.color.rgb=col;q.line.width=Pt(2) text(s,'COLD DISSECTION,\nWARM OUTCOMES',.7,.95,7.7,1.32,30,W,1);text(s,'Coblation tonsillectomy review from a tertiary care hospital',.72,2.5,7.5,.48,18,RGBColor(205,232,234));box(s,.72,3.32,1.2,.06,A);text(s,'AP State Conference Presentation | Kurnool',.72,3.72,6,.3,15,W,1);text(s,'Amarnath S B | Gouthami Sushma S | Prathyusha Koneru',.72,4.2,7,.28,14,W);text(s,'Department of ENT, SVIMS-Sri Padmavathi Medical College for Women, Tirupati, Andhra Pradesh',.72,4.58,7.5,.55,12,RGBColor(205,232,234));text(s,'Int J Med Pub Health 2026;16(1):1532-1537',.72,6.65,6,.2,10,RGBColor(205,232,234)) # background s=p.slides.add_slide(B);head(s,'Why Coblation Tonsillectomy?',2);box(s,.6,1.55,5.85,4.95,L,1);text(s,'Clinical context',.9,1.85,3,.3,20,N,1);bullets(s,['Tonsillectomy is used for recurrent tonsillitis, sleep-disordered breathing and obstructive sleep apnoea.','Coblation uses bipolar radiofrequency energy in saline to create a plasma field for tissue dissolution and haemostasis.','The paper describes a lower operating temperature (about 60°C) than electrocautery (up to 400°C).'],.9,2.35,5.05,3.4,16) box(s,6.8,1.55,5.9,4.95,W,1);text(s,'Study rationale',7.15,1.85,3,.3,20,N,1);text(s,'Potential pathway to lower thermal tissue injury and postoperative morbidity',7.15,2.38,4.75,.6,19,T,1) for y,z in [(3.5,'Low-temperature plasma field'),(4.25,'Capsular-plane dissection'),(5.0,'Recovery and QoL follow-up')]:box(s,7.15,y,.3,.3,A,1);text(s,z,7.7,y-.02,4,.3,16,D) # design s=p.slides.add_slide(B);head(s,'Study Aim and Design',3) for x,n,l,w,c in [(.7,'45','patients',2.5,T),(3.45,'5-35 y','age range',2.5,T),(6.2,'Jan 2018 - Mar 2022','study period',2.8,T),(9.25,'6 months','follow-up',2.8,T)]:stat(s,n,l,x,1.55,w,c) box(s,.7,3.15,12,2.8,L,1);text(s,'Objective',1,3.45,2,.3,19,N,1);text(s,'To evaluate postoperative outcomes following coblation-assisted tonsillectomy at the authors’ institution.',1,3.88,10.8,.4,19,T,1);text(s,'Design and setting',1,4.62,3,.3,18,N,1);bullets(s,['Retrospective, single-centre review at SVIMS-Sri Padmavathi Medical College for Women, Tirupati.','Included recurrent tonsillitis/chronic adenotonsillitis, sleep-disordered breathing and obstructive sleep apnoea cases.','Ethical and scientific committee clearance: IEC no. 1278.'],1,5.0,10.9,.75,14) # methods s=p.slides.add_slide(B);head(s,'Methods: Procedure and Outcome Measures',4) for i,(a,b) in enumerate([('Pre-operative','History, examination, investigations and fitness'),('Intra-operative','General anaesthesia; Rose position; ARS 700 system'),('Technique','Ablation 7, coagulation 3; capsular plane'),('Follow-up','Weekly in month 1, then monthly for 5 months')]): x=.65+i*3.15;box(s,x,1.65,2.65,1.65,W,1);text(s,a,x+.12,1.92,2.4,.27,16,N,1,PP_ALIGN.CENTER);text(s,b,x+.16,2.32,2.33,.55,12,S,0,PP_ALIGN.CENTER) box(s,.65,4.1,12.05,1.9,L,1);text(s,'Measured outcomes',.95,4.4,2.6,.3,19,N,1);bullets(s,['Operative duration, Wong-Baker FACES pain score, haemorrhage, healing, return to diet and activity.','TOI-14: disease-specific patient-reported quality-of-life questionnaire.','Analysis: SPSS v20; mean ± SD, chi-square/Student t-test; p < 0.05 significant.'],.95,4.83,11,.85,14) # cohort s=p.slides.add_slide(B);head(s,'Cohort Profile',5);chart(s,['Male','Female'],[('Patients',[26,19])],.7,1.6,4.3,3.9,[T]);text(s,'Sex distribution',.85,1.33,3,.25,17,N,1);chart(s,['5-10','11-15','16-20','25-30','31-35'],[('Patients',[16,19,5,2,3])],5.3,1.6,5.9,3.9,[RGBColor(41,111,181)]);text(s,'Age distribution (years)',5.45,1.33,3.5,.25,17,N,1);stat(s,'13.4 ± 7.2 y','mean age',.8,5.65);stat(s,'77.8%','paediatric',3.85,5.65,2.5,A);stat(s,'57.7%','male',6.9,5.65,2.5,RGBColor(41,111,181));text(s,'n = 45',10.25,5.9,1.6,.3,18,N,1,PP_ALIGN.CENTER) # recovery s=p.slides.add_slide(B);head(s,'Operative and Recovery Outcomes',6);stat(s,'15.8 ± 4.5 min','mean operative time',.7,1.55,3);stat(s,'5.44 ± 1.5 d','return to normal diet',4.05,1.55,3,A);stat(s,'6.1 ± 1.7 d','return to routine activity',7.4,1.55,3,RGBColor(41,111,181));stat(s,'0 / 45','reported haemorrhage',10.45,1.55,2.15,RGBColor(190,67,68));box(s,.7,3.35,12,2.4,L,1);text(s,'Haemorrhage outcome',1,3.7,3,.3,20,N,1);text(s,'No primary, reactionary or secondary haemorrhage was reported in this cohort.',1,4.2,10.5,.45,21,T,1);text(s,'Interpret cautiously: retrospective study, small sample and no comparator arm.',1,5.05,9.5,.28,15,S) # pain s=p.slides.add_slide(B);head(s,'Pain Improves Across the First 3 Weeks',7);chart(s,['6 h','24 h','48 h','1 wk','2 wk','3 wk'],[('Average pain score',[6.58,5.58,4.78,2.73,1.29,.53])],.7,1.55,7.1,4.8,[A],XL_CHART_TYPE.LINE_MARKERS);box(s,8.25,1.55,4.3,4.8,W,1);text(s,'Key result',8.65,1.95,2.8,.3,19,N,1);text(s,'5.58',8.65,2.58,2.8,.55,38,A,1);text(s,'± 1.2 at 24 hours',8.65,3.22,2.9,.25,15,S);text(s,'2.73',8.65,4.05,2.8,.55,38,T,1);text(s,'± 0.8 at 1 week',8.65,4.68,2.9,.25,15,S);text(s,'Wong-Baker FACES scale.',8.65,5.52,3,.3,11,S) # TOI s=p.slides.add_slide(B);head(s,'Patient-Reported Outcomes: TOI-14',8);chart(s,['Snoring','Apnoea','Throat infection','Doctor visits','Missing school'],[('Pre-op',[2.9,2.8,2.9,2.9,2.5]),('1 month',[1.4,1.5,.4,.5,.8]),('3-6 months',[.5,.5,.4,.3,.3])],.65,1.58,8,4.85,[N,A,T],XL_CHART_TYPE.COLUMN_CLUSTERED,True);box(s,9,1.58,3.65,4.85,L,1);text(s,'Quality-of-life signal',9.35,1.92,2.8,.55,19,N,1);text(s,'28.7',9.35,2.85,2.5,.55,34,T,1);text(s,'mean difference between pre-operative and 3-6 month TOI-14 scores',9.35,3.5,2.7,.8,14,S);text(s,'Table 3 reports p = 0.000 for all listed symptom comparisons.',9.35,4.85,2.7,.6,15,D,1);text(s,'Values shown are article-reported symptom scores.',9.35,5.72,2.7,.3,11,S) # limitations s=p.slides.add_slide(B);head(s,'Interpretation, Limitations and Implication',9);box(s,.7,1.55,5.8,4.95,W,1);text(s,'What this series suggests',1.05,1.92,4.7,.3,20,N,1);bullets(s,['Pain fell steadily over 3 weeks.','Diet and daily activity resumed in about 5.4 and 6.1 days.','No haemorrhage was reported in 45 patients.','TOI-14 symptoms improved over follow-up.'],1.05,2.52,4.8,2.7,17);box(s,6.85,1.55,5.8,4.95,L,1);text(s,'Limitations and next step',7.2,1.92,4.7,.3,20,N,1);bullets(s,['Retrospective design, small sample and no comparator group.','Equipment cost, availability and learning curve may affect implementation.','The authors recommend larger prospective comparative studies.'],7.2,2.52,4.8,2.7,17) # conclusion s=p.slides.add_slide(B);box(s,0,0,13.333,7.5,N);box(s,0,0,13.333,.28,A);text(s,'Take-Home Messages',.72,.85,8,.5,30,W,1);box(s,.72,1.55,1.1,.06,A) for i,(n,z) in enumerate([('01','Mean operative time: 15.8 ± 4.5 minutes'),('02','Pain decreased from 5.58 ± 1.2 at 24 h to 2.73 ± 0.8 at 1 week'),('03','Normal diet and routine activity resumed at 5.44 and 6.1 days'),('04','No primary, reactionary or secondary haemorrhage was reported'),('05','TOI-14 symptom scores improved significantly through follow-up')]): y=1.9+i*.82;text(s,n,.78,y,.55,.3,16,A,1);text(s,z,1.55,y-.02,9.8,.35,18,W) text(s,'Thank you',.72,6.45,2.4,.45,25,W,1);text(s,'Questions and discussion',.72,6.92,3,.2,12,RGBColor(205,232,234));text(s,'Primary source: Amarnath SB, Gouthami Sushma S, Koneru P. Int J Med Pub Health. 2026;16(1):1532-1537.',5.1,6.92,7.4,.2,9,RGBColor(205,232,234),0,PP_ALIGN.RIGHT) p.core_properties.title='Coblation Tonsillectomy - AP State Conference, Kurnool';p.save(O);print(O) PY python - <<'PY' from pptx import Presentation p=Presentation('/tmp/workspace/ap-conference-presentation/output/Coblation_Tonsillectomy_AP_State_Conference_Kurnool.pptx');print('slides',len(p.slides)) PY

python - <<'PY' from pptx import Presentation from pathlib import Path f=Path('/tmp/workspace/ap-conference-presentation/output/Coblation_Tonsillectomy_AP_State_Conference_Kurnool.pptx') p=Presentation(f) print('exists',f.exists(),'bytes',f.stat().st_size,'slides',len(p.slides)) for i,s in enumerate(p.slides,1): texts=[sh.text.replace('\n',' | ') for sh in s.shapes if getattr(sh,'has_text_frame',False) and sh.text.strip()] print(i, ' :: '.join(texts[:3])) PY