Empty Heart Research Articles

Empty Heart Disease: Teaching and Learning in China.

Drawing on 15 years of experience teaching psychoanalytic theory and therapy primarily from an object relations perspective to Chinese psychotherapists onsite and online, the authors present their learning about Chinese culture, social history, and philosophy, and the Chinese way of communicating about emotional experience. Their essay is imbued with the Chinese use of metaphor and psychosomatic symbolization, particularly involving the heart. They elaborate on the Chinese concept of Empty Heart Disease, comparing and contrasting it to Western concepts from literature, sociology and psychoanalysis, namely spleen, anomie, dead mother, and schizoid, empty, false, and narcissistic self-states. They expand upon and extend the empty heart concept to various age groups and symptom presentations in China, illustrated by a vignette from individual psychoanalysis with a woman and three vignettes from applied psychoanalysis of a couple with no intimacy, a child with an obsessive psychosomatic symptom, and an adolescent school dropout who was self-harming and suicidal in response to academic pressure. Having emphasized the connection between symptom presentations and social life and times, they discuss the impact of trauma, its transgenerational transmission in China, and the impact of unprecedented economic growth and social change on individuals, couples and families.

청소년 어머니의 정서지능 기반 부모교육 참여경험 내러티브 탐구

Objectives This study was conducted to explore in-depth the actual participation experience of a mother with adolescents participating in emotional intelligence-based parent education and the meaning of the experiences. Methods To this end, emotional intelligence-based parent education was conducted from September to November 2023, and data were collected through face-to-face interviews three times by selecting one parent participant with adolescents. It was analyzed in the three-dimensional narrative inquiry’s space proposed by Clandinin & Connelly(2000) to interpret vivid experiences and their meanings in the context of the participant's life stories naturally and spontaneously. Results There were 3 experience domains and 1 semantic domains and 15 lower categories. The first domain were ‘desperate desire to become an expert and be comfortable from a empty heart’ as the motivation. The sec-ond domain were ‘I'm afraid I'm going to be hurt’, ‘I'm desperate to fill my childhood parent position’, ‘the moment when a spark bursts while doing my best to play the role of a parent’, ‘mother constantly cracking down on me for fear of being told that I raised my child wrong’, ‘I'm living a hard life without a break and collapsing because of my emotions,’ and ‘I pretend to be okay outside and I'm acting like a comedian.’ The third domain were ‘the joy of warm support and care toward me’, ‘the courage to experience deep inner fears’, and ‘the person who grows into true self-understanding’. Conclusions In the process of recognizing and understanding oneself, who unilaterally controlled and demanded change in relationships with children, it led to inner growth. The meaning of the participation experience in emo-tional intelligence parental education became an inflection point not only for the relationship with the children but also for the change in one's own growth through true meeting with oneself.

Use of semi-synthetic data for catheter segmentation improvement.

In the era of data-driven machine learning algorithms, data is the new oil. For the most optimal results, datasets should be large, heterogeneous and, crucially, correctly labeled. However, data collection and labeling are time-consuming and labor-intensive processes. In the field of medical device segmentation, present during minimally invasive surgery, this leads to a lack of informative data. Motivated by this drawback, we developed an algorithm generating semi-synthetic images based on real ones. The concept of this algorithm is to place a randomly shaped catheter in an empty heart cavity, where the shape of the catheter is generated by forward kinematics of continuum robots. Having implemented the proposed algorithm, we generated new images of heart cavities with various artificial catheters. We compared the results of deep neural networks trained purely on real datasets with respect to networks trained on both real and semi-synthetic datasets, highlighting that semi-synthetic data improves catheter segmentation accuracy. A modified U-Net trained on combined datasets performed the segmentation with a Dice similarity coefficient of 92.6±2.2%, while the same model trained only on real images achieved a Dice similarity coefficient of 86.5±3.6%. Therefore, using semi-synthetic data allows for the decrease of accuracy spread, improves model generalization, reduces subjectivity, shortens the labeling routine, increases the number of samples, and improves the heterogeneity.

Andrey Platonov: A life beyond history

S. Martianov describes the attempt at screen adaptation of Platonov’s Chevengur by the Sverdlovsk film studio in 1989, offers a summary of the concept for the novel’s interpretation and analyses his own experience of working with Platonov’s text. The article’s literary plot centres on reminiscences about the meeting with the writer’s daughter Maria Platonova in 1989. Martianov found the key to unlocking the novel’s meaning in the scene where the protagonist A. Dvanov is killed in a train crash and then miraculously brought back to life. The screenwriter argues that the problem of Chevengur’s film adaptation lies in its incompatibility with traditional genres, sensual symbolism, and an unreal type of reality, all of which disrupt conventional cultural codes. The article suggests that, in order to solve the genre-related and stylistic problems of the novel’s screen adaptation, one must create an artistic image of ‘an empty heart,’ free from love of open spaces, where dear old huts and rivers are replaced with nature and weather, heroes and enemies — with drab faces and exhausted bodies, and beauty and amusements — with simplicity and the sensory clarity of intellectual cravings.

Cupid's Laugh (Amores 1.1)

Cupid's Laugh (Amores 1.1) Ovid Translated by Kyle Gervais (bio) Ready to write of heroes' deeds in serious rhythms and the cataclysmsof violent war, with each line equal to the one beforeand meter suiting the matter, I heard the distant sneak-thief laughterof Cupid, lusty hand clutching a bit of the perfect verse I'd planned. "Cruel boy," said I, "who gave you any authority when it comes to poetry?We poets play for the Muses, not you! And if, say,Venus were to seize the shield of blond Minerva, and she to wieldin turn the lovers' light of Venus' torches? If Ceres held the rightto rule the wooded mountainsides, while the Virgin's bow presidesover the farmers' fields, would anyone approve? Would anyone let Mars movehis fingers over Apollo's lyre, and equip long-haired Phoebus with Mars' spear-tip? Ambitious boy, the powers you command are dread enough already—why stretch your handfor even more? Or do you claim as yours everything everywhere? Is Helicon's famous [End Page 63] valley yours? Must even Phoebus fear to lose the lyre he holds so dear?Over and over I write a line of respectable meter, then the next one petersout— and I haven't a thing to write about!No tender he, no well-coiffed she: meet material for verse less lofty." I was whinging like that, when he reached behind to pick from his quiver an arrow designedfor my ruin, then bent his snaking bow back hard, breakingit into a crescent against his knee. "Take this," said he,"to sing of, poet," and shot with perfect accuracy (poor me!) I feel Love's fire, and in my empty heart desirereigns. Let my poetry rise up in strains for the bards to utter, then gutter.Farewell grim wars, and warlike tempo! Ring your golden temples,Muse, with the myrtle of sea-born Venus, and trip in time to my crooked rhyme. [End Page 64] Kyle Gervais Kyle Gervais is an Associate Professor of Classical Studies at the University of Western Ontario. His academic publications include editions, translations, and commentaries on Statius, Thebaid 2 (Oxford University Press) and John of Garland, Integumenta Ovidii (Medieval Institute Publications), a student commentary on Seneca, Hercules Furens (Dickinson College Commentaries), and chapters and articles on Latin poetry from Virgil to the Renaissance. His poems have appeared in Arion, Canadian Literature, Classical Outlook, Literary Imagination, PRISM international, and elsewhere. Copyright © 2022 Trustees of Boston University

Novel concept of routine total arterial coronary bypass grafting through a left anterior approach avoiding sternotomy

Coronary artery bypass grafting (CABG) via full sternotomy remains a very invasive procedure, often requiring prolonged recovery of the patient. We describe a novel, less invasive approach for totally arterial CABG via a small left anterior thoracotomy in a pilot series of 20 unselected patients. From January to March 2020, 20 consecutive patients (mean age 65.9 ± 9.2 years, 100% male, STS-score: 1.6 ± 2) underwent CABG using only arterial conduits via a small left anterior thoracotomy. Patients were operated on cardiopulmonary bypass with peripheral cannulation and transthoracic aortic cross-clamping. Pulling tapes encircling the great vessels, the arrested empty heart was rotated and moved within the pericardium to enable conventional anastomotic techniques especially on lateral and inferior wall coronary targets. In all patients, left internal mammary artery and radial artery were utilized for bypass with 3.3 ± 0.7 distal coronary anastomoses per patient. Anterior, lateral, and inferior wall territories were revascularized in 100%, 85%, and 70% of patients, respectively. Complete anatomical revascularization was achieved in 95% of patients. ICU stay was 1 day in 17 patients, and 14 of patients left the hospital within 8 days. There was no hospital death, no stroke, no myocardial infarction, and no repeat revascularization. In this pilot series of 20 patients, minimally invasive, totally arterial CABG with avoidance of sternotomy was technically feasible with favorable patient outcomes.

Populism, culture and class: articulation and performance in contemporary British populism

ABSTRACT This research examines the role of populism and class within the discourse of three contemporary British political party leaders. It begins by outlining the Essex-School perspective, focusing upon populism’s antagonistic division between ‘the people’ and ‘the elite’ and its relationship with class. Following this, an overview of Pierre Bourdieu’s research upon class helps explore cultural and economic class capital’s complexities and contemporary British relevance. Attention then turns to the role of populism and class in contemporary British political discourse. Analysis of Nigel Farage, Jeremy Corbyn and Nicola Sturgeon’s political articulation exposes an important overlap of populist and class-based appeals. This intersect sees cultural class meaningfully aid the populist toolkit; whilst populism reciprocally broadens class appeals. Cultural class signifiers remedy populism’s empty heart, providing a relatable connection to ‘the people’ through behaviour and symbolism. This indicates a multi-dimensional populist approach; elucidating how populists have successfully engaged broadly with the electorate.

Modification of an Old Technique to Correct Kinking of Tubular Graft Interposed to Reconstruct Ascending Aorta

Cardiac surgeons are occasionally faced with ascending aorta graft kinking following ascending aorta replacement. Although it may be difficult to precisely assess the correct length of the graft during aortic clamping, while performing proximal and distal graft anastomoses on an empty heart, the major reason for graft kinking is its excessive length. Haemolytic anaemia, graft thrombosis or even heart failure have been reported as a consequence of unrecognised and uncorrected kinking of the ascending aortic graft. This paper describes a modification and improvement of an old aortic graft non-clamping technique to solve the problem of kinked tubular graft without resuming cardiopulmonary bypass.

Analysis of Symbol in Westlife Coast to Coast Album

Song is a series of words that are obtained from the inspiration of everyday life. a series of words arranged in such a way that they contain rhythm and meaning that will be conveyed to the listener. Songs are part of literary works. Listening to songs is a very fun activity. sometimes the listener just listens to it and doesn't understand the symbols and meanings in the song. sometimes the song consists of symbols to describe the feelings of the composer. 
 Based on the reason, it brought the reseasrcher to find out the symbol and application of Symbol in the song lyrics and To explain the meaning songs in Westlife’s Coast to Coast Album. This research applied a descriptive qualitative method. Through this method the researcher Tried to analyze, explain,and find out the symbols by using Charles Sanders Pierce’s theory. 
 In this case, Charles Sanders Pierce developed a triadic model in illustrating the definition of the sign as a symbol. The triadic model consisted of three components; representamen, object and interpretant. In this research researcher taken the specific objects of the analysis were songs from Westlife the name of album was Coast to Coast. 
 The song consist of seventeen songs, there were My love, What makes a man, I lay my love on you, When you’re looking like that, Close, Somebody needs you, Angel’s wing’s, Soledad, Puzzle of my heart, Dreams come true, No place that far, close your eyes, You make me feel, Loneliness knows me by name, Fragile heart, Every little thing you do, Uptown girl. 
 The symbols found are empty heart, enthusiasm, spirit, motivation, loyalty, simplicity, strength, happiness, and sadness. Every lyrics written must have a message aimed at both listeners and readers. The message is directed with the intention of making them impress after listening to and reading the lyrics.

Venoarterial Extracorporeal Membrane Oxygenation.

Venoarterial Extracorporeal Membrane Oxygenation.

The way to control the interventricular septum thickness during septal myectomy. An experimental study

Background: At present, there are no methods for intraoperative monitoring of the interventricular septum (IVS) thickness in a stopped and empty heart. This might be an obvious reason for unsatisfactory results after a number of septal myectomies.Aim: To provide an experimental background for the method to control the IVS thickness (that we had proposed) during septal myectomy.Materials and methods: The proposed technique is based on the transillumination method. The experimental models were cadaveric porcine hearts, as well as fragments of the human myocardium removed during septal myectomies. The thickness of the translucent myocardium was estimated depending on the local illumination value at the entrance to the myocardium and the external illumination of the surgical field. We compared the results of 67 septal myectomies performed in the clinic of the Almazov National Medical Research Centre with the results of 35 similar experimental procedures with cadaveric porcine hearts using the proposed way of measurement.Results: A graph of the illumination at the entrance to the myocardium against the thickness of the translucent myocardium was constructed. After conventionally performed septal myectomies the median variation of the myocardial thickness was 4 [3; 6] mm. In the experiment using the proposed control method, the median variation was 1 [1; 2] mm, i.e. significantly less than with the conventional approach (p = 3 x 10-10).Conclusion: The method to control the IVS thickness when performing septal myectomy makes it possible to achieve the required myocardial thickness the resection area with much greater accuracy than with the conventional one.

Diagnosis and Treatment of Contemporary Chinese College Students’ ‘Empty Heart Disease’: Based on the Theory and Practice of Philosophical Counseling and Therapy

In their daily lives, with varying degrees, many Chinese college students are stuck in the predicaments of lacking life meanings and values. They have a strong sense of loneliness and meaninglessness, not knowing what they are living for. If such ethical predicaments are not solved efficiently and timely, then they may result in very serious psychological, mental or even physical problems. In fact, the so-called ‘empty heart disease’ (空心病) is not a kind of psychological or mental disease, but rather a ‘perplexity’ in mind which is very commonly seen during the growth of the youth. Based on the philosophical theories and methods, the trained philosophical workers can provide suggestions and guidances towards people’s concrete problems and situations, so that people can obtain larger space and also better capacity of thinking; by ‘clarifying concepts’ and ‘distinguishing levels, the perplexities that trouble the people will thus be hopefully solved, achieving the purpose of ‘disambiguation’. In the philosophical counselors’ opinions, it is the human beings themselves that give meanings to their lives. Therefore, to solve the ‘empty heart disease’ problem, we can not depend on just preaching or inculcating externally; rather, we should encourage and inspire the college students to reflect on the purposes of their lives and their self-identities, so that they can afterwards recreate and develop their values and senses of meanings. Finally, the differences of ‘empty heart disease’, ‘noogenic neurosis’ and ‘existential neurosis’ are discussed in this paper, while an analysis of the boundaries between the need for psychotherapy and the need for philosophical counseling in relation to the three ‘diseases’ is also made.

Research of the Stainless Steel-Concrete-Carbon Steel Circular Concrete-Filled Double Skin Steel Tubes under Axial Compression

Concrete-Filled Steel Tube with high capacity, good ductility and toughness, convenient construction, good fire resistance and other advantages. Currently[1] . Concrete-Filled Steel Tube structure has been widely used in the basic components and the overall structure of behavioral research has made many achievements. There are many advantages of concrete pipe above, but it also has fatal flaws, Stainless steel steel that is the difference[2]. The stainless steel has a beautiful appearance, durability, corrosion resistance, low maintenance costs, good fire resistance and other advantages. New stainless steel pipe concrete structure has both ordinary steel concrete good mechanical properties and excellent durability of stainless steel, can be widely used in buildings and bridges of the marine environment as well as some of the high durability and aesthetic requirements important building structures. Based on the outer stainless steel hollow sandwich - the carbon steel pipe shaft of light pressure test concrete results of load and displacement of the structure, variation of load and strain, and the impact of the empty heart of these parameters.

폭력가정에서 성장한 여자 대학생에 대한 부성 콤플렉스 관점에서의 모래놀이치료 사례연구

This study explored how a female college student from a wife-battering family overcame her negative father complex and found her femininity through sandplay therapy. The client wanted to have good relationships with people as a result of the therapy. Thirty-one therapy sessions were held. The initial phase of therapy included 1-7 sessions, the intermediate phase included 8-27 sessions, and the final phase included 28-31 sessions. The client expressed her empty heart, frozen femininity and potential to work that was blocked in terms of her internal work as well as in her ability to have relationships in the first phase of therapy. During the middle phase of therapy she pursued her real and authentic self by meeting her shadow and acknowledging the different viewpoints of others. In the final phase of therapy she welcomed a new world with determination of what she would do after graduation in a real life. Through sandplay therapy in a free and protected space, the client overcame her negative father complex and found her natural femininity.

A Meta-Synthesis of Women's Experiences of Cesarean Birth

The cesarean birth rate has increased dramatically over the past 10 years. With such a large number of women having a cesarean birth, it is important to understand the woman's experience of a cesarean birth and postoperative recovery. A meta-synthesis was conducted to allow for a deeper interpretation of prior qualitative research findings and thus produce a more comprehensive understanding of women's emotional and physical needs when having a cesarean birth. Qualitative studies that were published between 2000 and 2010 and were about women's experiences with cesarean births were eligible. A meta-synthesis of 10 qualitative studies was conducted. The studies created a combined sample of 3,721 nulliparous and multiparous women, 16 to 43 years of age. The following six overarching themes emerged: scared to death, in your hands, out of control, broken body and soul, empty heart and arms, and shattered dreams. It is important for healthcare professionals to realize women experience similar physical and emotional difficulties irrespective of whether the cesarean was emergent or planned. The overarching themes of (a) in your hands and (b) scared to death reveal the importance of assessing the woman's level of knowledge about cesarean birth throughout the pregnancy so misconceptions can be rectified and correct information can be provided. Healthcare professionals need to be aware of the differences in perspectives about the care provided.

English Sijo: 2010 English Sijo Writing Contest at the US Embassy in Seoul

English Sijo:2010 English Sijo Writing Contest at the US Embassy in Seoul Kim Eun Su, Cho Hye Ryeong, and Cho Ki Woong First Prize Kim Eun Su Seongnam Foreign Language High School The Moon I sigh as if the ground would sink, yet today the moon glistens beyond my sorrow. I run, I hide and beg to get away but still a stream of light fills my empty heart, Tonight I rise without a single doubt, I throw away my worries and embrace the moon. Second Prize Cho Hye Ryeong Korean Minjok Leadership Academy Blossom Bow I saw an azalea that lowered its blossom, [End Page 223] The dawning dewdrops that bent it downward The sun has long since risen, yet still it bows in silence Third Prize Cho Ki Woong Myungduk Foreign Language High School Fan I stand still in the corner'Till dusk lay on my shoulderWaiting for you, I amWhen damp sultry summer comesYou smile at me and invite me homeSmiling a "Yes," I am Finally with you, face to faceHeart keeps beating, it lost its paceFeeling it burn, I am'Though it feels painful, I cannot stop'Cause you're giving the pleasing smileThanking for the blessing, I am Twenty-four seven, next to youLabor becomes a pleasureTasting happiness, I amAfter the blazing yet short summerPushed away to the very same cornerAgain, waiting, I am [End Page 224] Copyright © 2011 President and Fellows of Harvard College

Role of SNA in the pathophysiology of cardiovascular collapse during syncope: muscle vs. brain

Role of SNA in the pathophysiology of cardiovascular collapse during syncope: muscle <i>vs.</i> brain

A reply

We would like to thank Professor Wildsmith for his interest in our case report [1]. We would, however, like to address several of the comments he makes. There was a consultant anaesthetist present throughout the case. The case report was written by the cardiology team, with advice on the discussion from the corresponding author. The trigger for the administration of vasopressors was not the ‘modest’ fall in blood pressure, but the patient’s signs and symptoms of pallor and faintness. We believe that this was clear from the wording of the case report, but apologise if it was not. Pallor, faintness and a heart rate of 60 beats.min−1 cannot reliably be attributed to parasympathetic over-activity, and can equally be caused by decreased venous return due to vasodilation from sympathetic blockade. Our patient developed a modest bradycardia after induction of spinal anaesthesia. However, as we previously discussed, the mechanism for bradycardia during spinal anaesthesia is multifactorial, and not completely explained by cardiac sympathetic fibre blockade [2]. Parasympathetic over-activity should be considered, with optimal patient positioning and the judicious use of atropine if it is suspected. However, atropine should not be used for hypotension where the cause is not known to be vaso-vagal, because if the underlying problem is decreased venous return, stimulating an empty heart will increase myocardial oxygen demand without augmenting supply [2]. Ephedrine may therefore be the more appropriate agent, for its combined chronotropic and vasoconstrictor properties [2, 3]. We would also caution against the use of sedative drugs to treat parasympathetic over-activity, which may or may not be due to anxiety, in patients with cardiovascular compromise. Sedatives have an increased effect during spinal anaesthesia [4], presumably due to deafferentiation, and this phenomenon has been implicated in several cardiac arrests [5]. Deep sedation should therefore be avoided [6]. We agree that there is little evidence for prophylactic fluids before spinal anaesthesia for surgery other than caesarean section, and did not advocate their use. We included the Cochrane review on caesarean section [7] as part of a broader discussion on hypotension following regional anaesthesia. We agree that the maintenance of venous return is paramount during regional anaesthesia, and that a slight head-down tilt can help to treat any resultant hypotension [3]. However, we would disagree that head-down positioning can reliably prevent hypotension. We found only one randomised trial, which found no benefit [8]. We accept that the relative benefits of regional and general anaesthesia are not fully delineated, but would point out that before Rodgers et al.’s meta-analysis [9] did find that regional anaesthesia conferred mortality and morbidity benefits, and the authors concluded that their data ‘should result in more widespread use of spinal or epidural anaesthesia’. Professor Wildsmith suggests that we have not carefully interpreted the evidence and lack ‘a clear understanding of the physiology’ in this area. We believe that we have made reasonable and pragmatic recommendations, and provided a clear and accurate overview of some of the physiology and complications of regional anaesthesia, based on a comprehensive, up-to-date literature search. We feel supported in this by the very positive correspondence that we have received from several anaesthetists about our discussion of the case.

Orthostatic stress, haemorrhage and a bankrupt cardiovascular system

Orthostatic stress, haemorrhage and a bankrupt cardiovascular system

Lung perfusion during cardiac surgery with cardiopulmonary bypass: is it necessary?

Thirty-two pigs were randomized into group I (aortic cross clamping, antegrade cardioplegia, moderate hypothermia) and group II (normothermia, beating empty heart). Groups were subdivided into subgroups A, B and C, receiving no lung perfusion, perfusion with arterial blood and perfusion with venous blood. Swan-Ganz catheter was used to take mean pulmonary artery pressure which would be used as lung perfusion pressure. Cardiopulmonary bypass (CPB) was established through cannulating aorta and double venae cavae, mechanical ventilation was interrupted and lung perfusion was carried out for 30 min. Blood samples and pulmonary specimens were withdrawn pre- and postoperatively for gasometrical, histological and genic analyses. Postoperative comparison revealed that pulmonary vascular resistance was lower in IC than IA (P=0.01) and it was lower in IIC than IIA (P=0.005). Subgroup IIB had increasing venous oxygen tension (P=0.01) as well as arterial and venous oxygen saturation (P=0.01) compared to IIA. Arterial oxygen saturation was decreased in IIC vs. IIA (P=0.006). Histological differences were observed between subgroups A and B as well as A and C (P=0.003). Lung perfusion during CPB may improve pulmonary hemodynamic performance, optimize gas exchange and maintain cellular integrity.