prompt_front: Now, answer the following question based on the text below, only give me the answer and do not output any other words.

Question: What is the purpose of an ICD?

Read the following text and answer briefly.

Context 1: Do you know the difference between V T  and T V?
Like any exclusive club, heart disease has its own jargon, understandable only by other members of the club, particularly by cardiac care providers  For example, I remember lying in my CCU bed (that’s the Coronary Intensive Care Unit), trying to memorize the letters LAD (that’s the Left Anterior Descending, the large coronary artery whose 99% blockage had caused my MI (myocardial infarction – in my case, the so-called ‘widowmaker’ heart attack) 
To help others needing simultaneous translation of this new lingo in your research or in your own medical records, here’s a helpful list of some of the most common acronyms/terms you’ll likely find around the cardiac ward 
NOTE from CAROLYN: This entire patient-friendly, jargon-free glossary (all 8,000 words!) is also part of my book “A Woman’s Guide to Living with Heart Disease“ (Johns Hopkins University Press, November 2017) 
AA – Anti-arrhythmic: Drugs used to treat patients who have irregular heart rhythms 
Ablation – See Cardiac Ablation 
ACE Inhibitor – Angiotension Converting Enzyme inhibitor: A drug that lowers blood pressure by interfering with the breakdown of a protein-like substance involved in regulating blood pressure 
ACS – Acute Coronary Syndrome: An emergency condition brought on by sudden reduced blood flow to the heart  The first sign of acute coronary syndrome can be sudden stopping of your heart (cardiac arrest) 
AED – Automatic External Defibrillator: A portable defibrillator for use during a cardiac emergency; it can be used on patients experiencing sudden cardiac arrest by applying a brief electroshock to the heart through electrodes placed on the chest 
AF or Afib – Atrial Fibrillation: An irregular and often rapid heart rate that can cause poor blood flow to the body  Afib symptoms include heart palpitations, shortness of breath, weakness or fainting  Episodes of atrial fibrillation can come and go, or you may have chronic atrial fibrillation 
AFL – Atrial Flutter: A type of arrhythmia where the upper chambers of the heart (the atria) beat very fast, causing the walls of the lower chambers (the ventricles) to beat inefficiently as well 
A-HCM – Apical Hypertrophic Cardiomyopathy: Also called Yamaguchi Syndrome or Yamaguchi Hypertrophy, a non-obstructive form of cardiomyopathy (a disease of the heart muscle that leads to generalized deterioration of the muscle and its pumping ability) in which a portion of the heart muscle is hypertrophied (thickened) without any obvious cause although there may be a genetic link  It was first described in individuals of Japanese descent 
AI – Aortic Insufficiency: A heart valve disease in which the aortic valve does not close tightly, leading to the backward flow of blood from the aorta (the largest blood vessel) into the left ventricle (a chamber of the heart) 
AIVR – Accelerated Idioventricular Rhythm: Ventricular rhythm whose rate is greater than 49 beats/min but less than 100 beats/min, usually benign  (Ventricles are the two main chambers of the heart, left and right) 
Angina (stable) – A condition marked by distressing symptoms typically between neck and navel that come on with exertion and go away with rest, caused by an inadequate blood supply to the heart muscle typically because of narrowed coronary arteries feeding the heart muscle  Also known as Angina Pectoris  Unstable angina (UA) occurs when fatty deposits (plaques) in a blood vessel rupture or a blood clot forms, blocking or reducing flow through a narrowed artery, suddenly and severely decreasing blood flow to the heart muscle  Unstable angina is not relieved by rest; it’s dangerous and requires emergency medical attention 
Antiplatelet drugs – Medications that block the formation of blood clots by preventing the clumping of platelets (examples: Plavix, Effient, Brillinta, Ticlid, etc)  Heart patients, especially those with implanted stents after PCI, are often prescribed dual antiplatelet therapy (DAPT) which includes one of these prescribed meds along with daily low-dose aspirin 
Aorta – The main artery of the body, carrying blood from the left side of the heart to the arteries of all limbs and organs except the lungs 
Aortic Stenosis: A disease of the heart valves in which the opening of the aortic valve is narrowed  Also called AS 
Aortic valve – One of four valves in the heart, this valve allows blood from the left ventricle to be pumped up (ejected) into the aorta, but prevents blood from returning to the heart once it’s in the aorta 
AP – Apical Pulse: A central pulse located at the apex (pointy bottom) of the heart 
Apex – the lowest (pointy) tip of the heart that points downward at the base, forming what almost looks like a rounded point 
Apical Hypertrophic Cardiomyopathy (A-HCM): Also called Yamaguchi Syndrome or Yamaguchi Hypertrophy, a non-obstructive form of cardiomyopathy (a disease of the heart muscle that leads to generalized deterioration of the muscle and its pumping ability) in which a portion of the heart muscle is hypertrophied (thickened) without any obvious cause  There may be a genetic link  It was first described in people of Japanese descent 
Arrhythmia – A condition in which the heart beats with an irregular or abnormal rhythm 
AS – Aortic Stenosis: A disease of the heart valves in which the opening of the aortic valve is narrowed 
ASD – Atrial Septal Defect: See Septal Defect 
Atrial Flutter – A heart rhythm problem (arrhythmia) originating from the right atrium, most often involving a large circuit that travels around the area of the tricuspid valve (between the right atrium and the right ventricle (this is called typical atrial flutter)  Less commonly, atrial flutter can also result from circuits in other areas of the right or left atrium that cause the heart to beat fast (called atypical atrial flutter) 
Atrial Septum, the membrane that separates the left and the right upper chambers of the heart (the atria) 
Atrium – A chamber of the heart that receives blood from the veins and forces it into a ventricle or ventricles  Plural: atria 
AV – Atrioventricular: A group of cells in the heart located between the upper two chambers (the atria) and the lower two chambers (the ventricles) that regulate the electrical current that passes through it to the ventricles  Also Atrioventricular Block: An interruption or disturbance of the electrical signal between the heart’s upper two chambers (the atria) and lower two chambers (the ventricles)  Also Aortic valve: The valve that regulates blood flow from the heart into the aorta 
AVNRT – Atrioventricular Nodal Re-entry Tachycardia: a heart rhythm problem that happens when there’s an electrical short circuit in the centre of the heart, one of the most common types of SVT, most often seen in people in their twenties and thirties, and more common in women than in men 
BAV – Bicuspid Aortic Valve: The most common malformation of the heart valves in which the aortic valve has only two cusps instead of three 
BB – Beta Blocker: A blood pressure-lowering drug that limits the activity of epinephrine, a hormone that increases blood pressure 
BBB – Bundle Branch Block: – A condition in which parts of the heart’s conduction system are defective and unable to normally conduct the electrical signal, causing an irregular heart rhythm (arrhythmia) 
BMI – Body mass index: A number that doctors use to determine if you’re overweight  BMI is calculated using a formula of weight in kilograms divided by height in meters squared (BMI =W [kg]/H [m2])  Better yet, just click here to figure out your own BMI 
BNP blood test – BNP (B-type Natriuretic Peptide) is a substance secreted from the ventricles or lower chambers of the heart in response to changes in pressure that happen when heart failure develops and/or worsens  The level of BNP in the blood increases when heart failure symptoms worsen, and decreases when the heart failure condition is stable 
BP – Blood Pressure: The force or pressure exerted by the heart in pumping blood; the pressure of blood in the arteries  See also hypertension 
BrS – Brugada Syndrome: Brugada syndrome is a genetic heart disease that is characterized by distinctively abnormal electrocardiogram (EKG/ECG) findings and an increased risk of sudden cardiac arrest 
CAA – Coronary artery anomaly: A congenital defect in one or more of the coronary arteries of the heart 
CABG – Coronary Artery Bypass Graft: A surgical procedure that reroutes blood flow around a diseased or blocked blood vessel that supplies blood to the heart by grafting either a piece of vein harvested from the leg or the artery from under the breastbone 
CA – Coronary Artery: The arteries arising from the aorta that arch down over the top of the heart and divide into branches  They provide blood to the heart muscle 
CAD – Coronary Artery Disease: A narrowing of the arteries that supply blood to the heart  The condition results from a plaque rupture/blood clot or spasm and greatly increases the risk of a heart attack 
Cardiac Ablation – A procedure performed by an Electrophysiologist (EP) – a cardiologist with specialized training in treating heart rhythm problems – that typically uses catheters — long, flexible tubes inserted through a vein in the groin and threaded to the heart — to correct structural problems in the heart that cause an arrhythmia  Cardiac ablation works by scarring or destroying the tissue in your heart that triggers an abnormal heart rhythm 
Cardiac Arrest – Also known as Sudden Cardiac Arrest: The stopping of the heartbeat, usually because of interference with the electrical signal that regulates each heartbeat (often associated with coronary heart disease)  Can lead to Sudden Cardiac Death 
Cardiac Catheterization – An invasive procedure in which a catheter is inserted through a blood vessel in the wrist/arm or groin with x-ray guidance  This procedure can help provide information about blood supply through the coronary arteries, blood pressure, blood flow throughout the chambers of the heart, collection of blood samples, and x-rays of the heart’s ventricles or arteries  It’s typically performed in the cath lab during angiography 
Cardiac Resynchronization Therapy (CRT) also called bi-ventricular pacemaker: an electronic pacing device that’s surgically implanted in the chest to treat the delay in heart ventricle contractions that occur in some people with heart failure 
Cardiac Tamponade – Pressure on the heart that occurs when blood or fluid builds up in the space between the heart muscle (myocardium) and the outer covering sac of the heart (pericardium)  Also called Tamponade 
Cardiomyopathy – a chronic disease of the heart muscle (myocardium), in which the muscle is abnormally enlarged, thickened, and/or stiffened 
Cardioversion – A medical procedure in which an abnormally fast heart rate (tachycardia) or cardiac arrhythmia like atrial fibrillation is converted to a normal rhythm using electricity or drugs  Synchronized electrical cardioversion uses a therapeutic dose of electric current to the heart at a specific moment in the cardiac cycle  Chemical cardioversion uses medications to convert to normal rhythm 
Cath lab – the room in the hospital/medical clinic where cardiac catheterization procedures take place (for example, when a stent is implanted into a blocked coronary artery) 
CCB – Calcium Channel Blocker: A drug that lowers blood pressure by regulating calcium-related electrical activity in the heart 
CDS – Cardiac Depression Scale: A scale that can help assess the effects of depression occurring as a result of a heart disease diagnosis 
CHF – Heart Failure (also called Congestive Heart Failure): A condition in which the heart cannot pump all the blood returning to it, leading to a backup of blood in the vessels and an accumulation of fluid in the body’s tissues, including the lungs 
CM – Cardiomyopathy: A disease of the heart muscle that leads to generalized deterioration of the muscle and its pumping ability 
CO – Cardiac Output: The amount of blood the heart pumps through the circulatory system in one minute 
Collateral arteries – These extra coronary blood vessels are sometimes able to bypass a blockage in an artery in order to supply enough oxygenated blood to enable the heart muscle to survive when in danger of being damaged because of blockage(s) 
Collateral arteries – Blood vessels that provide an alternative arterial supply of blood to an area of the heart that’s in danger of being deprived of oxygenated blood because of one or more blocked arteries 
Congenital heart defect – one of about 35 different types of heart conditions that happen when the heart or the blood vessels near the heart don’t develop normally before a baby is born (in about 1% of live births)  Because of medical advances that treat babies born with heart defects, there are now for the first time more adults with congenital heart disease than children 
Congestive heart failure (CHF) – a chronic progressive condition that affects the pumping power of your heart muscle  Often referred to simply as heart failure, CHF specifically refers to the stage in which fluid builds up around the heart and causes it to pump inefficiently 
COPD – Chronic Obstructive Pulmonary Disease: A lung disease defined by persistently poor airflow as a result of breakdown of lung tissue (known as emphysema) and dysfunction of the small airways Often associated with smoking, it typically worsens over time 
Coronary Microvascular Disease – A heart condition that causes impaired blood flow to the heart muscle through the small vessels of the heart  Also called Microvascular Disease or Small Vessel Disease 
Coronary Reactivity Test – An angiography procedure specifically designed to examine the blood vessels in the heart and how they respond to different medications  Physicians use these images to distinguish different types of blood vessel reactivity dysfunction (such as Coronary Microvascular Disease) 
Costochondritis– the cause of severe chest pain, but NOT heart-related; it’s an inflammation of the cartilage that connects a rib to the breastbone 
Coumadin – A drug taken to prevent the blood from clotting and to treat blood clots  Coumadin is believed to reduce the risk of blood clots causing strokes or heart attacks  See also Warfarin 
Cox Maze procedure – A complex “cut-and-sew” surgical procedure done to treat atrial fibrillation through a complicated set of incisions made in a maze-like pattern on the left and right atria (the upper chambers of the heart) to permanently interrupt the abnormal electrical signals that are causing the irregular heartbeats of Afib  See also: Mini-Maze 
CP – Chest Pain (may also be felt as squeezing, pressure, fullness, pressure, heaviness, burning or tightness in the chest) 
CPR – Cardiopulmonary Resuscitation: An emergency procedure in which the heart and lungs are made to work by manually compressing the chest overlying the heart and forcing air into the lungs, used to maintain circulation when the heart stops pumping during Cardiac Arrest  Current guidelines suggest hands-only CPR  See also AED 
CQ10 – Co-enzyme Q10: A dietary supplement sometimes recommended for heart patients taking statin drugs 
CRP – C-reactive protein: A byproduct of inflammation, produce by the liver, found in the blood in some cases of acute inflammation 
CRT – Cardiac Resynchronization Therapy also called bi-ventricular pacemaker: an electronic pacing device that’s surgically implanted in the chest to treat the delay in heart ventricle contractions that occur in some people with heart failure 
CT – Computed tomography (CT or CAT scan): An x-ray technique that uses a computer to create cross-sectional images of the body 
CTA – Computerized Tomographic Angiogram: An imaging test to look at the arteries that supply the heart muscle with blood  Unlike a traditional coronary angiogram, CT angiograms don’t use a catheter threaded through your blood vessels to your heart but instead rely on a powerful X-ray machine to produce images of your heart and heart vessels 
CV – Coronary Vein: One of the veins of the heart that drain blood from the heart’s muscular tissue and empty into the right atrium 
CV – Cardiovascular: Pertaining to the heart and blood vessels that make up the circulatory system 
DBP – Diastolic blood pressure: The lowest blood pressure measured in the arteries  It occurs when the heart muscle is relaxed between beats 
DCM – Dilated Cardiomyopathy: A disease of the heart muscle, primarily affecting the heart’s main pumping chamber (left ventricle)  The left ventricle becomes enlarged (dilated) and can’t pump blood to your body with as much force as a healthy heart can 
DDI – Drug-drug interaction: A situation in which a medication affects the activity of another medication when both are administered together 
DIL – Diltiazem: A calcium channel blocker drug that acts as a vasodilator; used in the treatment of angina pectoris, hypertension, and supraventricular tachycardia 
Diuretic – A class of drugs used to lower blood pressure  Also known as “water pills” 
Dobutamine stress echocardiography: This is a form of a stress echocardiogram diagnostic test  But instead of exercising on a treadmill or exercise bike to stress the heart, the stress is obtained by giving a drug that stimulates the heart and makes it “think” it’s exercising  The test is used to evaluate your heart and valve function if you are unable to exercise  It is also used to determine how well your heart tolerates activity, and your likelihood of having coronary artery disease (blocked arteries), and it can evaluate the effectiveness of your cardiac treatment plan  See also TTE and Stress Echocardiogram 
Dressler’s syndrome – Happens to a small number of people three to four weeks after a heart attack  The heart muscle that died during the attack sets the immune system in motion, calling on lymphocytes, one of the white blood cells, to infiltrate the coverings of the heart (pericardium) and the lungs (pleura)  It also starts generating antibodies, which attack those two coverings  Chest pain (CP) is the predominant symptom; treated with anti-inflammatory drugs 
Dual Antiplatelet Therapy – Medications that block the formation of blood clots by preventing the clumping of platelets (examples Plavix, Effient, Brillinta, Ticlid, etc ) are often prescribed along with aspirin as part of what’s known as dual antiplatelet therapy, especially to patients who have undergone PCI and stent implantation 
DVT – Deep Vein Thrombosis: A blood clot in a deep vein in the calf 
ECG / EKG – Electrocardiogram: A test in which several electronic sensors are placed on the body to monitor electrical activity associated with the heartbeat 
Ectopic beats – small changes in an otherwise normal heartbeat that lead to extra or skipped heartbeats, often occurring without a clear cause, most often harmless 
EF – Ejection Fraction: A measurement of blood that is pumped out of a filled ventricle  The normal rate is 50-60% 
EKG/ECG – Electrocardiogram: A test in which several electronic sensors are placed on the body to monitor electrical activity associated with the heartbeat 
Endothelium: A single-cell layer of flat endothelial cells lining the closed internal spaces of the body such as the inside of blood vessels  Endothelial dysfunction affects the ability of these cells to help dilate blood vessels, control inflammation or prevent blood clots  The endothelium is associated with most forms of cardiovascular disease, such as hypertension, coronary artery disease, chronic heart failure, peripheral vascular disease, diabetes, chronic kidney failure, and severe viral infections 
Enhanced External Counterpulsation – EECP is an FDA-approved non-invasive, non-drug treatment for angina  It works by promoting the development of collateral coronary arteries  The therapy is widely used in prominent heart clinics such as the Cleveland Clinic, Mayo Clinic and Johns Hopkins – especially for patients who are not good candidates for invasive procedures such as bypass surgery, angioplasty or stenting 
EP – Electrophysiologist: A cardiologist who has additional training in diagnosing/treating heart rhythm disorders 
EPS – Electrophysiology Study: A test that uses cardiac catheterization to study patients who have arrhythmias (abnormal hear rhythm)  An electrical current stimulates the heart in an effort to provoke an arrhythmia, which is immediately treated with medications  EPS is used primarily to identify the origin of the arrhythmia and to test the effectiveness of medications used to treat abnormal heart rhythms 
EVH – Endoscopic Vessel Harvesting: To create the bypass graft during CABG open heart surgery, a surgeon will remove or “harvest” healthy blood vessels from another part of the body, often from the patient’s leg or arm  This vessel becomes a graft, with one end attaching to a blood source above and the other end below the blocked area  See CABG 
Exercise stress test – An exercise test (walking/running on a treadmill or pedalling a stationary bike) to make your heart work harder and beat faster  An EKG is recorded while you exercise to monitor any abnormal changes in your heart under stress, with or without the aid of drugs to enhance this assessment  See also: MIBI, Echocardiogram, Nuclear Stress Test 
Familial hypercholesterolemia (FH) – A genetic predisposition to dangerously high cholesterol levels  FH is an inherited disorder that can lead to aggressive and premature cardiovascular disease, including problems like heart attacks, strokes, or narrowing of the heart valves 
Femoral Artery: a major artery in your groin/upper thigh area, through which a thin catheter is inserted, eventually making its way into the heart during angioplasty to implant a stent; currently the most widely used angioplasty approach in the United States, but many other countries now prefer the Radial Artery access in the wrist 
FFR – Fractional Flow Reserve: A test used during coronary catheterization (angiogram) to measure pressure differences across a coronary artery stenosis (narrowing or blockage) defined as as the pressure behind a blockage relative to the pressure before the blockage 
HC – High Cholesterol: When fatty deposits build up in your coronary arteries 
HCTZ – Hydrochlorothiazide: A drug used to lower blood pressure; it acts by inhibiting the kidneys’ ability to retain water  Used to be called “water pills” 
Heart Failure – a chronic progressive condition that affects the pumping power of your heart muscle  Sometimes called Congestive Heart Failure (CHF) 
Holter Monitor – A portable monitoring device that patients wear for recording heartbeats over a period of 24 hours or more 
HTN – Hypertension: High blood pressure, the force of blood pushing against the walls of arteries as it flows through them 
Hypokinesia – Decreased heart wall motion during each heartbeat, associated with cardiomyopathy, heart failure, or heart attack  Hypokinesia can involve small areas of the heart (segmental) or entire sections of heart muscle (global)  Also called hypokinesis 
ICD – Implantable Cardioverter Defibrillator: A surgically implanted electronic device to treat life-threatening heartbeat irregularities 
IHD – Ischemic Heart Disease: heart problems caused by narrowing of the coronary arteries, causing a decreased blood supply to the heart muscle  Also called coronary artery disease and coronary heart disease 
INR – International Normalized Ratio: A laboratory test measure of blood coagulation, often used as a standard for monitoring the effects of the anti-coagulant drug, warfarin (coumadin) 
IST – Inappropriate sinus tachycardia: A heart condition seen most often in young women, in which a person’s resting heart rate is abnormally high (greater than 100 bpm), their heart rate increases rapidly with minimal exertion, and this rapid heart rate is accompanied by symptoms of palpitations, fatigue, and/or exercise intolerance 
Interventional cardiologist – A cardiologist who is trained to perform invasive heart procedures like angiography, angioplasty, percutaneous coronary intervention (PCI), implanting stents, etc 
IVS – Interventricular Septum: The stout wall that separates the lower chambers (the ventricles) of the heart from one another 
IVUS – Intravascular Ultrasound: A form of echocardiography performed during cardiac catheterization in which a transducer (a device that can act as a transmitter (sender) and receiver of ultrasound information) is threaded into the heart blood vessels via a catheter; it’s used to provide detailed information about the blockage inside the blood vessels 
LAD – Left Anterior Descending coronary artery: One of the heart’s coronary artery branches from the left main coronary artery which supplies blood to the left ventricle 
LAFB – Left Anterior Fascicular Block: A cardiac condition,distinguished from Left Bundle Branch Block because only the anterior half of the left bundle branch is defective and more common than left posterior fascicular block 
LAHB – Left Anterior Hemiblock: The Left Bundle Branch divides into two major branches – the anterior and the posterior fascicles  Occasionally, a block can occur in one of these fascicles 
Left Circumflex Artery – The artery carries oxygenated blood from the heart to the body; it’s a branch of the Left Main Coronary Artery after the latter runs its course in between the aorta and the Main Pulmonary Artery 
Left Main Coronary Artery – The artery that branches from the aorta to supply oxygenated blood to the heart via the Left Anterior Descending Artery (LAD) and the Left Circumflex Artery 
Lipids – fat-like substances found in your blood and body tissues; a lipid panel is a blood test that measures the level of specific lipids in blood to help assess your risk of cardiovascular disease, measuring four types of lipids: total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides 
Lipoprotein-a or Lp(a) – molecules made of proteins and fat, carrying cholesterol and similar substances through the blood  A high level of Lp(a) is considered a risk factor for heart disease; detectable via a blood test 
Long QT syndrome (LQTS): A heart rhythm disorder that can potentially cause fast, chaotic heartbeats that may trigger a sudden fainting spell or seizure  In some cases, the heart may beat erratically for so long that it can cause sudden death 
LV – Left Ventricle – One of four chambers (two atria and two ventricles) in the human heart, it receives oxygenated blood from the left atrium via the mitral valve, and pumps it into the aorta via the aortic valve 
LVAD – Left ventricular assist device: A mechanical device that can be placed outside the body or implanted inside the body  An LVAD does not replace the heart – it “assists” or “helps” it pump oxygen-rich blood from the left ventricle to the rest of the body, usually as a bridge to heart transplant 
LVH – Left Ventricular Hypertrophy: A thickening of the myocardium (muscle) of the Left Ventricle (LV) of the heart  
Lumen – The hollow area within a tube, such as a blood vessel 
Main Pulmonary Artery – Carries oxygen-depleted blood from the heart to the lungs 
MIBI – Nuclear Stress Test/Cardiac Perfusion Scan/Sestamibi: tests that are used to assess the blood flow to the heart muscle (myocardium) when it is stressed by exercise or medication, and to find out what areas of the myocardium have decreased blood flow due to coronary artery disease  This is done by injecting a tiny amount of radionuclide like thallium or technetium (chemicals which release a type of radioactivity called gamma rays) into a vein in the arm or hand 
Microvascular disease – a heart condition that causes impaired blood flow to the heart muscle through the small blood vessels of the heart  Symptoms mimic those of a heart attack  Also called Coronary Microvascular Disease or Small Vessel Disease  I live with this diagnosis and have written more about it here, here and here 
Mini-Maze – a surgical procedure to treat atrial fibrillation, less invasive than what’s called the Cox Maze III procedure (a “cut-and-sew” procedure), and performed on a beating heart without opening the chest 
Mitral Valve: One of four valves in the heart, the structure that controls blood flow between the heart’s left atrium (upper chamber) and left ventricle (lower chamber)  The mitral valve has two flaps (cusps)  See also MV and/or Valves 
Mitral valve prolapse: a condition in which the two valve flaps of the mitral valve don’t close smoothly or evenly, but instead bulge (prolapse) upward into the left atrium; also known as click-murmur syndrome, Barlow’s syndrome or floppy valve syndrome 
MR – Mitral regurgitation: (also mitral insufficiency or mitral incompetence) a heart condition in which the mitral valve does not close properly when the heart pumps out blood  It’s the abnormal leaking of blood from the left ventricle, through the mitral valve and into the left atrium when the left ventricle contracts 
MRI – Magnetic Resonance Imaging: A technique that produces images of the heart and other body structures by measuring the response of certain elements (such as hydrogen) in the body to a magnetic field  An MRI can produce detailed pictures of the heart and its various structures without the need to inject a dye 
MS – Mitral Stenosis: A narrowing of the mitral valve, which controls blood flow from the heart’s upper left chamber (the left atrium) to its lower left chamber (the left ventricle)  May result from an inherited (congenital) problem or from rheumatic fever 
MUGA – Multiple-Gated Acquisition Scanning: A non-invasive nuclear test that uses a radioactive isotope called technetium to evaluate the functioning of the heart’s ventricles 
Murmur – Noises superimposed on normal heart sounds  They are caused by congenital defects or damaged heart valves that do not close properly and allow blood to leak back into the originating chamber 
MV – Mitral Valve: The structure that controls blood flow between the heart’s left atrium (upper chamber) and left ventricle (lower chamber) 
Myocardial Infarction (MI, heart attack) – The damage or death of an area of the heart muscle (myocardium) resulting from a blocked blood supply to the area  The affected tissue dies, injuring the heart 
Myocardium – The muscular tissue of the heart 
New Wall-Motion Abnormalities – Results seen on an echocardiogram test report (see NWMA, below) 
Nitroglycerin – A medicine that helps relax and dilate arteries; often used to treat cardiac chest pain (angina)  Also called NTG or GTN 
NSR – Normal Sinus Rhythm: The characteristic rhythm of the healthy human heart  NSR is considered to be present if the heart rate is in the normal range, the P waves are normal on the EKG/ECG, and the rate does not vary significantly 
NSTEMI – Non-ST-segment-elevation myocardial infarction: The milder form of the two main types of heart attack  An NSTEMI heart attack does not produce an ST-segment elevation seen on an electrocardiogram test (EKG)  See also STEMI 
Nuclear Stress Test – A diagnostic test that usually involves two exercise stress tests, one while you’re exercising on a treadmill/stationary bike or with medication that stresses your heart, and another set while you’re at rest  A nuclear stress test is used to gather information about how well your heart works during physical activity and at rest  See also: Exercise stress test, Nuclear perfusion test, MIBI 
Open heart surgery – Any surgery in which the chest is opened and surgery is done on the heart muscle, valves, coronary arteries, or other parts of the heart (such as the aorta)  See also CABG 
Pacemaker – A surgically implanted electronic device that helps regulate the heartbeat 
PAD – Peripheral Artery Disease: A common circulatory problem in which narrowed arteries reduce blood flow to the limbs, usually to the legs  Symptoms include leg pain when walking (called intermittent claudication) 
PAF – Paroxysmal Atrial Fibrillation: Atrial fibrillation that lasts from a few seconds to days, then stops on its own  See also Atrial Fibrillation 
Palpitations – A noticeably rapid, strong, or irregular heartbeat due to agitation, exertion or illness 
Paroxysmal Atrial Fibrillation – An unusual heart arrhythmia of unknown origin, at one time believed to be associated with an unusual sensitivity to alcohol consumption 
PDA – patent ductus arteriosus: A persistent opening between two major blood vessels leading from the heart  The opening is called ductus arteriosus and is a normal part of a baby’s circulatory system before birth that usually closes shortly after birth  But when it remains open, it’s called a patent ductus arteriosus  If it’s small, it may never need treatment, but a large PDA left untreated can allow poorly oxygenated blood to flow in the wrong direction, weakening the heart muscle and causing heart failure or other complications 
Pericardium: two thin layers of a sac-like tissue that surround the heart, hold it in place and help it work 
PET – Positron Emission Tomography: A non-invasive scanning technique that uses small amounts of radioactive positrons (positively charged particles) to visualize body function and metabolism  In cardiology, PET scans are used to evaluate heart muscle function in patients with coronary artery disease or cardiomyopathy 
PFO – Patent Forman Ovale: An opening between the left and right atria (the upper chambers) of the heart  Everyone has a PFO before birth, but in 1 out of every 3 or 4 people, the opening does not close naturally as it should after birth 
Plaque – A deposit of fatty (and other) substances in the inner lining of the artery wall; it is characteristic of atherosclerosis 
POTS – Postural Orthostatic Tachycardia Syndrome: A disorder that causes an increased heart rate when a person stands upright 
PPCM – Post-partum cardiomyopathy: A form of cardiomyopathy that causes heart failure toward the end of pregnancy or in the months after delivery, in the absence of any other cause of heart failure 
Preeclampsia – a late-pregnancy complication identified by spikes in blood pressure, protein in the urine, possible vision problems  Women who experience pregnancy complications like preeclampsia are at significantly higher risk for heart disease 
Prinzmetal’s Variant Angina – Chest pain caused by a spasm in a coronary artery that supplies blood to the heart muscle 
PSVT – Paroxysmal Supraventricular Tachycardia: – An occasional rapid heart rate (150-250 beats per minute) that is caused by events triggered in areas above the heart’s lower chambers (the ventricles)  “Paroxysmal” means from time to time  See also supraventricular tachycardia (SVT) 
Pulmonary Valve: One of the four valves in the heart, located between the pulmonary artery and the right ventricle of the heart, moves blood toward the lungs and keeps it from sloshing back into the heart 
PV – Pulmonary Vein: A vein carrying oxygenated blood from the lungs to the left atrium of the heart 
PVC – Premature Ventricular Contraction: An early or extra heartbeat that happens when the heart’s lower chambers (the ventricles) contract too soon, out of sequence with the normal heartbeat  In the absence of any underlying heart disease, PVCs do not generally indicate a problem with electrical stability, and are usually benign 
RA – Right Atrium: The right upper chamber of the heart  The right atrium receives de-oxygenated blood from the body through the vena cava and pumps it into the right ventricle which then sends it to the lungs to be oxygenated 
Radial Artery: the artery in the wrist where a thin catheter is inserted through the body’s network of arteries in the arm and eventually into the heart during a procedure to implant a stent  Doctors may also call this transradial access, the transradial approach, or transradial angioplasty  Because it’s associated with fewer complications, this is increasingly considered the default access approach in most countries, except in the U S  where the traditional Femoral Artery (groin) approach is still the most popular access 
RBBB – Right Bundle Branch Block: A delay or obstruction along the pathway that electrical impulses travel to make your heart beat  The delay or blockage occurs on the pathway that sends electrical impulses to the right side of your heart  See also Left Bundle Branch Block 
RCA – Right Coronary Artery: An artery that supplies blood to the right side of the heart 
Restenosis – The re-closing or re-narrowing of an artery after an interventional procedure such as angioplasty or stent placement  Sometimes called “stent failure” 
RHD – Rheumatic Heart Disease: Permanent damage to the valves of the heart caused especially by repeated attacks of rheumatic fever 
RM – Right Main coronary artery: A blood vessel that supplies oxygenated blood to the walls of the heart’s ventricles and the right atrium 
RV – Right Ventricle: The lower right chamber of the heart that receives de-oxygenated blood from the right atrium and pumps it under low pressure into the lungs via the pulmonary artery 
SA – Sinus node: The “natural” pacemaker of the heart  The node is a group of specialized cells in the top of the right atrium which produces the electrical impulses that travel down to eventually reach the ventricular muscle, causing the heart to contract 
SB – Sinus Bradycardia: Abnormally slow heartbeat 
SBP – Systolic Blood Pressure: The highest blood pressure measured in the arteries  It occurs when the heart contracts with each heartbeat  Example: the first number in 120/80 
SCAD – Spontaneous Coronary Artery Dissection: A rare emergency condition that occurs when a tear forms in one of the blood vessels in the heart, causing a heart attack, abnormalities in heart rhythm and/or sudden death  SCAD tends to strike young healthy women with few if any cardiac risk factors 
SD – Septal defect: A hole in the wall of the heart separating the atria (two upper chambers of the heart) or in the wall of the heart separating the ventricles (two lower chambers) 
Sestamibi stress test – See MIBI 
Short QT intervals (SQT): An abnormal heart rhythm where the heart muscle takes a shorter time to recharge between beats  It can cause a variety of complications from fainting and dizziness to sudden cardiac arrest 
Sick Sinus Syndrome (also known as sinus node dysfunction) is caused by an electrical problem in the heart; a group of related heart conditions that can affect how the heart beats, most commonly in older adults, although it can be diagnosed in people of any age  “Sick sinus” refers to the sinoatrial node (see below)  In people with sick sinus syndrome, the SA node does not function normally 
Sinoatrial node (SA): also commonly called the sinus node; it’s a small bundle of neurons situated in the upper part of the wall of the right atrium (the right upper chamber of the heart)  The heart’s electrical impulses are generated there  It’s the normal natural pacemaker of the heart and is responsible for the initiation of each heartbeat 
Spontaneous Coronary Artery Dissection (SCAD) – A rare emergency condition that occurs when a tear forms in one of the blood vessels in the heart, causing a heart attack, abnormalities in heart rhythm and/or sudden death  SCAD tends to strike young healthy women with few if any cardiac risk factors 
SSS – Sick Sinus Syndrome: The failure of the sinus node to regulate the heart’s rhythm 
ST – Sinus Tachycardia: A heart rhythm with elevated rate of impulses originating from the sinoatrial node, defined as greater than 100 beats per minute (bpm) in an average adult  The normal heart rate in the average adult ranges from 60–100 bpm  Also called sinus tach or sinus tachy 
Statins – Any of a class of drugs that lower the levels of low-density lipoproteins (LDL) – the ‘bad’ cholesterol in the blood – by inhibiting the activity of an enzyme involved in the production of cholesterol in the liver  Examples of brand name statins: Lipitor, Crestor, Zocor, Mevacor, Levachol, Lescol, etc  Also available as a cheaper generic form of the drug 
STEMI – ST-elevation heart attack (myocardial infarction)  The more severe form of the two main types of heart attack  A STEMI produces a characteristic elevation in the ST segment on an electrocardiogram (EKG)  The elevated ST segment is how this type of heart attack got its name  See also NSTEMI 
Stent – An implantable device made of expandable, metal mesh (looks a bit like a tiny chicken wire tube) that is placed (by using a balloon catheter) at the site of a narrowing coronary artery during an angioplasty procedure  The stent is then expanded when the balloon fills, the balloon is removed, and the stent is left in place to help keep the artery open  TRIVIA ALERT: the coronary stent was named after Charles Stent (1807-1885), an English dentist who invented a compound to produce dentures and other things like skin grafts and hollow tubes (essentially what a metal coronary stent is)  His real claim to fame occurred when he suggested using his material to coat underwater trans-Atlantic cable, which had broken several times as a result of corrosion by seawater  You’re welcome 
Stint – a common spelling mistake when what you really mean is the word “stent” (see above) 
Stress Echocardiography – A standard echocardiogram test that’s performed while the person exercises on a treadmill or stationary bicycle  This test can be used to visualize the motion of the heart’s walls and pumping action when the heart is stressed, possibly revealing a lack of blood flow that isn’t always apparent on other heart tests  The echocardiogram is performed just before and just after the exercise part of the procedure  See also TTE 
Sudden Cardiac Arrest – The stopping of the heartbeat, usually because of interference with the electrical signal (often associated with coronary heart disease)  Can lead to Sudden Cardiac Death 
Takotsubo Cardiomyopathy – A heart condition that can mimic a heart attack  Sometimes called Broken Heart Syndrome, it is not a heart attack, but it feels just like one, with common symptoms like severe chest pain and shortness of breath  It sometimes follows a severe emotional stress  Over 90% of reported cases are in women ages 58 to 75  Also referred to as Broken Heart Syndrome, stress cardiomyopathy, stress-induced cardiomyopathy or apical ballooning syndrome 
TAVR – Transcatheter aortic valve replacement: A minimally invasive procedure to repair a damaged or diseased aortic valve  A catheter is inserted into an artery in the groin and threaded to the heart  A balloon at the end of the catheter, with a replacement valve folded around it, delivers the new valve to take the place of the old  Also called TAVI (Transcatheter aortic valve implantation) 
Tetralogy of Fallot – A rare condition caused by a combination of four heart defects that are present at birth, affecting the structure of the heart and causing oxygen-poor blood to flow out of the heart and into the rest of the body  Infants and children with Tetralogy of Fallot usually have blue-tinged skin because their blood doesn’t carry enough oxygen  Often diagnosed in infancy, but sometimes not until later in life depending on severity 
Tg – Triglycerides: The most common fatty substance found in the blood; normally stored as an energy source in fat tissue  High triglyceride levels may thicken the blood and make a person more susceptible to clot formation  High triglyceride levels tend to accompany high cholesterol levels and other risk factors for heart disease, such as obesity 
TIA – Transient Ischemic Attack: A stroke-like event that lasts only for a short time and is caused by a temporarily blocked blood vessel 
TEE – Transesophageal echocardiogram: This test involves an ultrasound transducer inserted down the throat into the esophagus in order to take clear images of the heart structures without the interference of the lungs and chest 
Treadmill Stress Test – See Exercise Stress Test 
troponin – a type of cardiac enzyme found in heart muscle, and released into the blood when there is damage to the heart (for example, during a heart attack)  A positive blood test that shows elevated troponin is the preferred test for a suspected heart attack because it is more specific for heart injury than other blood tests, especially the newer high sensitivity troponin tests (hs-cTnT) 
TTE – Transthoracic Echocardiogram: This is the standard echocardiogram, a painless test similar to X-ray, but without the radiation, using a hand-held device called a transducer placed on the chest to transmit high frequency sound waves (ultrasound)  These sound waves bounce off the heart structures, producing images and sounds that can be used by the doctor to detect heart damage and disease 
TV – Tricuspid Valve: One of four one-way valves in the heart, a structure that controls blood flow from the heart’s upper right chamber (the right atrium) into the lower right chamber (the right ventricle) 
UA or USA – Unstable Angina: Chest pain that occurs when diseased blood vessels restrict blood flow to the heart; symptoms are not relieved by rest; considered a dangerous and emergency crisis requiring immediate medical help 
Valves: Your heart has four one-way valves that keep blood flowing in the right direction  Blood enters the heart first through the tricuspid valve, and next goes through the pulmonary valve (sometimes called the pulmonic valve) on its way to the lungs  Then the blood returning from the lungs passes through the mitral (bicuspid) valve and leaves the heart through the aortic valve 
Vasodilator: A drug that causes dilation (widening) of blood vessels 
Vasospasm: A blood vessel spasm that causes sudden constriction, reducing its diameter and blood flow to the heart muscle  See also Prinzmetal’s Variant Angina 
VB – Ventricular Bigeminy: A heart rhythm condition in which the heart experiences two beats of the pulse in rapid succession 
Vena Cava – a large vein that carryies de-oxygenated blood into the heart  There are two in humans, the inferior vena cava (carrying blood from the lower body) and the superior vena cava (carrying blood from the head, arms, and upper body) 
Ventricle – each of the two main chambers of the heart, left and right 
VF – Ventricular Fibrillation: A condition in which the ventricles (two lower chambers of the heart) contract in a rapid, unsynchronized fashion  When fibrillation occurs, the ventricles cannot pump blood throughout the body  Most sudden cardiac deaths are caused by VF or ventricular tachycardia (VT) 
VLDL – Very Low Density Lipoprotein: Molecules made up of mostly triglycerides, cholesterol and proteins  VLDL, also known as the “very bad” cholesterol, carries cholesterol from the liver to organs and tissues in the body  It may lead to low density lipoproteins (LDL), associated with higher heart disease risks  VLDL levels are tricky to measure routinely, and are usually estimated as a percentage of your triglyceride levels  By reducing triglycerides, you are usually also reducing your VLDL levels 
Warfarin – A drug taken to prevent the blood from clotting and to treat blood clots  Warfarin is believed to reduce the risk of blood clots causing strokes or heart attacks  Also known as Coumadin 
Widowmaker heart attack – The type of heart attack I survived, since you asked  A nickname doctors use to describe a severely blocked left main coronary artery or proximal left anterior descending coronary artery of the heart  This term is used because if the artery gets abruptly and completely blocked, it can cause a massive heart attack that will likely lead to sudden cardiac death  Please note the gender imbalance here: despite the number of women like me who do experience this type of cardiac event, doctors are not calling this the widowermaker, after all 
WPW – Wolff-Parkinson-White Syndrome: A condition in which an extra electrical pathway connects the atria (two upper chambers) and the ventricles (two lower chambers)  It may cause a rapid heartbeat 
NOTE FROM CAROLYN: I was very happy when we were able to include this entire glossary in my book, “A Woman’s Guide to Living with Heart Disease“ (Johns Hopkins University Press, 2017) 
Are we missing any important heart acronyms/terms from this list? Let me know!
Please can someone explain something for me  I am a 53 yr old woman and generally fit and healthy  Had 2 ECG’s due to a one off dizzy spell during a stressful time dealing with my fathers terminal diagnosis  The 2nd ECG request did give me concern as i did not know why i had to have one  On 24/01/19 at my doctors appointment she explained that on 3 the leads it showed inverted T waves  And she explained that it may suggest angina  I was so shocked  Wasn’t expecting that  She gave me a GNT (nitroglycerin) spray in case I do get pain and take 75Mg of aspirin  I’m now waiting for a Cardiology referral 
I am so stressed and consumed by what might be wrong  My maternal grandmother had angina and valve issues  Her 3 brothers all had double bypasses  Could I have inherited this? I am not overweight at 63kg and 5 ft 9  I walk 20-25 miles a week at work and general walking here and there  I started HRT (patches evorol 25 -50) in July as menopause pain was making me feel like I was 90 and was getting me down 
I am worried so much now and analysing every ache/ twinge I get  I feel like a hypochondriac at the moment  I’m worried what will happen at the cardiologist and what the test will entail and tell me  I am waiting on cholesterol test which I had on 25/01/19  Can I have inverted T waves and be fine  Please help I am so scared and crying far too much 
Hello Colleen – the first thing is: please take a big deep breath before you read another word here! I’m not a physician so of course cannot comment on your specific case, but I can tell you generally that the definition of “angina” (as this glossary lists above) is “distressing symptoms”, typically chest pain that gets worse with exertion, and goes away with rest  That’s classic stable angina… typically caused by something that’s reducing blood flow to the heart muscle (causing the chest pain of angina) 
A family history that might make a difference for you personally is only in what’s called your ‘first degree’ relatives: for example, if your mother or sister were diagnosed with heart disease before age 65, or if your Dad or brother were diagnosed before age 55, then doctors would consider that you have a family history as a risk factor for heart disease  There’s little if any scientific evidence that a grandparent or uncle’s heart disease history has any effect on your own risk 
It is a very good thing that you’re having further tests and a referral to a cardiologist, if only to ease your mind  There are many reasons for inverted T-waves, ranging from cardiac issues to completely benign conditions  One way of looking at this is choosing to believe that seeing a cardiologist will ease your mind one way or the other – so this is something to look forward to, not dread  If the cardiologist spots something suspicious, a treatment plan will be created  If not, you can wave goodbye and go back to happily living your life 
Try thinking of this cardiology appointment just as you would if your car were making some frightening noises and you were bringing it to your mechanic for a check up  You could work yourself into a complete state worrying ahead of time if the car trouble is going to be serious, or you could look at this appointment as the solution – at last! – to figuring out what’s wrong so the mechanic can recommend the next step 
Thank you for this list of so many definitions provided in plain English  what a valuable resource this is  THANK YOU, I have been looking for translations FOR PATIENTS not med school graduates– like this for three years 
My family doctor had me wear a 24 hr EKG  After reading the results, she has scheduled a scope to look inside my heart by a specialist  Completely forgoing a stress test  Said I have major changes in the EKG, what type of changes could they be looking at? Had LAD STENT INSERTED 7 YRS AGO – WHAT COULD THEY BE LOOKING FOR?
This is a great wealth of information, Carolyn! I looked and did not see my diagnosis, which is aortic stenosis  I looked under aortic as well as stenosis  Did I just miss it somehow?
I learned some new information, I am a bit familiar now, but not when I had my MI, it was like learning a new language  But, my favorite part was seeing SCAD on this list! Thank you 
Thanks and welcome! I was thinking of editing that SCAD definition actually: I suspect that that it isn’t so much that SCAD is “rare”, but it’s more that it’s “rarely correctly diagnosed” 
I totally agree that SCAD is not as rare as I believed for many years  Once awareness is spread to all medical staff, I believe many lives will be saved  Hoping for a brighter future for all SCAD patients 
I hope so too, Cathy  Perhaps when more SCAD studies (like Mayo Clinic’s) are published and read by more and more MDs, it will no longer be “rarely correctly diagnosed” 
It’s great to see IST on here  I was diagnosed with it 9 years ago and the lack of awareness is frustrating 
What a great resource for heart patients and their families!
Thanks so much, Ashley  I recently updated my original 2011 list after the world-famous Cleveland Clinic tweeted their glossary recently and I noticed that their list had a few glaring omissions (like SCAD and Brugada Syndrome) so this made me wonder what my list might be missing, too  Let me know if there’s anything else you think should be included, okay?
How is your health these days? How are you feeling?
New for me too  I have just been diagnosed with A-HCM: Apical Hypertrophic Cardiomyopathy 
I’ll add that one to my list, Kathleen – thanks!
Just saw this, Carolyn, and you’ve compiled a great resource  One note on A-HCM: Present thinking is that it’s due to a genetic modification  Runs in families though sometimes occurs spontaneously  I have not as yet done genetic testing, though it’s been offered 
Thanks Kathleen – like many cardiac diagnoses, it sounds like a moving target… Good luck to you!
This list is great  I’ve just been diagnosed and am utterly overwhelmed  Even in the WomenHeart online support community, I often have no clue most days what others are talking about with all these initials about their heart tests and specific disease  This is VERY helpful, thank you SO MUCH  Love your website which has been a godsend since my diagnosis 



ground_truth: Implantable Cardioverter Defibrillator (ICD) is a surgically implanted electronic device to treat life-threatening heartbeat irregularities.

prompt_front: Now, answer the following question based on the text below, only give me the answer and do not output any other words.

Question: When was Weep Not, Child first published?

Read the following text and answer briefly.

Context 2: Weep Not, Child is a 1964 novel by Kenyan author Ngũgĩ wa Thiong'o  It was his first novel, published in 1964 under the name James Ngugi  It was among the African Writers Series  It was the first English language|English novel to be published by an East African  Thiong'o's works deal with the relationship between Africans and white settlers in colonial Kenya, and are heavily critical of colonial rule  Specifically, Weep Not, Child deals with the Mau Mau Uprising, and "the bewildering dispossession of an entire people from their ancestral land " Ngũgĩ wrote the novel while he was a student at Makerere University 

The book is divided into two parts and eighteen chapters  Part one deals mostly with the education of Njoroge, while part two deals with the rising Mau Mau movement 

Plot summary

Njoroge, a little boy, is urged to attend school by his mother  He is the first one of his family able to go to school  His family lives on the land of Jacobo, an African made rich by his dealings with white settlers, namely Mr  Howlands, the most powerful land owner in the area  Njoroge's brother Kamau works as an apprentice to a carpenter, while Boro, the eldest living son, is troubled by his experiences while in forced service during World War II, including witnessing the death of his elder brother  Ngotho, Njoroge's father and a respected man in the surrounding area, tends Mr  Howlands' crops, but is motivated by his passion to preserve his ancestral land, rather than for any compensation or loyalty 

One day, black workers call for a strike to obtain higher wages  Ngotho is ambivalent about participating in the strike because he fears he will lose his job  However, he decides to go to the gathering, even though his two wives do not agree  At the demonstration, there are calls for higher wages  Suddenly, the white police inspector brings Jacobo to the gathering to pacify the native people  Jacobo tries to put an end to the strike  Ngotho attacks Jacobo, and the result is a riot where two people are killed  Jacobo survives and swears revenge  Ngotho loses his job and Njoroge’s family is forced to move  Njoroge’s brothers fund his education and seem to lose respect for their father 

Mwihaki, Jacobo's daughter and Njoroge's best friend, enters a girls' only boarding school, leaving Njoroge relatively alone  He reflects upon her leaving, and realizes that he was embarrassed by his father's actions towards Jacobo  For this reason, Njoroge is not upset by her exit and their separation  Njoroge switches to another school 

For a time, everyone's attention is focused on the upcoming trial of Jomo Kenyatta – a revered leader of the movement  Many blacks think that he is going to bring forth Kenya’s independence  But Jomo loses the trial and is imprisoned  This results in further protests and greater suppression of the black population 

Jacobo and a white landowner, Mr  Howlands, fight against the rising activities of the Mau Mau, an organization striving for Kenyan economic, political, and cultural independence  Jacobo accuses Ngotho of being the leader of the Mau Mau and tries to imprison the whole family  Meanwhile, the situation in the country is deteriorating  Six black men are taken out of their houses and executed in the woods 

One day Njoroge meets Mwihaki again, who has returned from boarding school  Although Njoroge had planned to avoid her due to the conflict between their fathers, their friendship is unaffected  Njoroge passes an important exam that allows him to advance to High School  His village is proud of him, and collects money to pay Njoroge's High School tuition 

Several months later, Jacobo is murdered in his office by a member of the Mau Mau  Mr  Howlands has Njoroge removed from school for questioning  Both father and son are brutally beaten before release and Ngotho is left barely alive  Although there doesn't seem to be a connection between Njoroge's family and the murder, it is eventually revealed that Njoroge's brothers are behind the assassination, and that Boro is the real leader of the Mau Mau  Ngotho soon dies from his injuries and Njoroge finds out that his father was protecting his brothers  Kamau has been imprisoned for life  Only Njoroge and his two mothers remain free, and Njoroge is left as the sole provider of his two mothers  Njoroge fears that he cannot make ends meet; he gives up hope of continuing in school and loses faith in God 

Njoroge asks Mwihaki's for support, but she is angry because of her father’s death  When he finally pledges his love to her, she refuses to leave with him, realizing her obligation to Kenya and her mother  Njoroge decides to leave town and makes an attempt at suicide; however, he fails when his mothers find him before he is able to hang himself  The novel closes with Njoroge feeling hopeless, and ashamed of cowardice 

Characters in Weep Not, Child
 Njoroge: the main character of the book whose main goal throughout the book is to become as educated as possible 
 Ngotho: Njoroge's father  He works for Mr Howlands and is respected by him until he attacks Jacobo at a workers strike  He is fired and the family is forced to move to another section of the country  Over the course of the book his position as the central power of the family weakened, to the point where his self-realization that he has spent his whole life waiting for the prophecy (that proclaims the blacks will be returned their land) to come true rather than fighting for Kenyan independence, leads to his depression 
 Nyokabi and Njeri: the two wives of Ngotho  Njeri is Ngotho's first wife, and mother of Boro, Kamau, and Kori  Nyokabi is his second wife, and the mother of Njoroge and Mwangi 
 Njoroge has four brothers: Boro, Kamau, Kori and Mwangi (who is Njoroge's only full brother, who died in World War II) 
 Boro: Son of Njeri who fights for the Allies in World War II  Upon returning his anger against the colonial government is compounded by their confiscation of the his land  Boro's anger and position as eldest son leads him to question and ridicule Ngotho, which eventually defeats their father's will (upon realizing his life was wasted waiting and not acting)  It is eventually revealed that Boro is the leader of the Mau Mau (earlier alluded to as "entering politics") and murders Mr Howlands  He is caught by police immediately after and is scheduled to be executed by the book's end  It is highly likely that it is also Boro who kills Jacobo 
 Mwihaki: Njoroge's best friend (and later develops into his love interest)  Daughter of Jacobo  When it is revealed that his family killed Jacobo (most likely Boro), Mwihaki distances herself from Njoroge, asking for time to mourn her father and care for her mother 
 Jacobo: Mwihaki's father and an important landowner  Chief of the village 
 Mr  Howlands: A white settler who emigrated to colonial Kenya and now owns a farm made up of land that originally belonged to Ngotho's ancestors  Has three children: Peter who died in World War II before the book's beginning, a daughter who becomes a missionary, and Stephen who met Njoroge while the two were in high school 

Themes and motifs
Weep Not, Child integrates Gikuyu mythology and the ideology of nationalism that serves as catalyst for much of the novel's action  The novel explores the negative aspects of colonial rule over Kenya  Njoroge's aspiration to attend university is frustrated by both the violence of the Mau Mau rebels and the violent response of the colonial government  This disappointment leads to his alienation from his family and ultimately his suicide attempt 

The novel also ponders the role of saviours and salvation  The author notes in his The River Between: "Salvation shall come from the hills  From the blood that flows in me, I say from the same tree, a son shall rise  And his duty shall be to lead and save the people " Jomo Kenyatta, the first prime minister of Kenya, is immortalised in Weep Not, Child  The author says, "Jomo had been his (Ngotho's) hope  Ngotho had come to think that it was Jomo who would drive away the white man  To him, Jomo stood for custom and traditions purified by grace of learning and much travel " Njoroge comes to view Jomo as a messiah who will win the struggle against the colonial government 

See also

Things Fall Apart
Death and the King's Horseman

References

External links
Official homepage of Ngũgĩ wa Thiong'o
BBC profile of Ngũgĩ wa Thiong'o
Weep Not, Child at Google Books

British Empire in fiction
Novels set in colonial Africa
Historical novels
Kenyan English-language novels
Novels by Ngũgĩ wa Thiong'o
Novels set in Kenya
1964 novels
Heinemann (publisher) books
Postcolonial novels
African Writers Series
1964 debut novels
Context 3: 2015-05-14 Assigned to ROVI GUIDES, INC  reassignment ROVI GUIDES, INC  MERGER (SEE DOCUMENT FOR DETAILS)  Assignors: TV GUIDE, INC 
2015-05-14 Assigned to UV CORP  reassignment UV CORP  MERGER (SEE DOCUMENT FOR DETAILS)  Assignors: UNITED VIDEO PROPERTIES, INC 
2015-05-14 Assigned to TV GUIDE, INC  reassignment TV GUIDE, INC  MERGER (SEE DOCUMENT FOR DETAILS)  Assignors: UV CORP 
Methods and systems are described herein for quickly and easily displaying supplemental information about an event occurring in a media asset  In some embodiments, a media application may use a content-recognition module to determine the context of an event and distribute itemized tasks to multiple entities in order to generate the supplemental information about the event 
While viewing media assets (e g , a television program), users may wish to learn more information about an event (e g , a statement made by a person appearing in the media asset, the validity of a claim in an advertisement, etc ) occurring in the media asset  While some media assets allow a user to select additional options or added features (e g , pop-up biographies about the cast and crew), when the added features appear and what topic the added features concern are determined by the content producer and not the user  Furthermore, as the added feature is derived from the content producer, the added feature may be biased or may present limited viewpoints about an event  Therefore, added features provided by a content producer may not provide the added information about an event that a user desires 
In order to gain the added information that a user desires, the user may use additional devices (e g , a laptop computer) to search (e g , using an Internet search engine) for more information about the event  However, without knowing the proper context (e g , who said the statement, what was the tone of the statement, when was the statement said, etc ) of the event or what search terms to use to describe the context of the event (e g , how to describe the tone of the statement), a user may not be able to determine (even using a search engine) more information about the event  Moreover, the use of general search terms may not provide the accuracy or precision needed by the user  Furthermore, even if a user may eventually determine the information, the effort and time required may distract the user from the media asset 
Accordingly, methods and systems are described herein for quickly and easily displaying supplemental information about an event occurring in a media asset  In some embodiments, a media application may use a content-recognition module to determine the context of an event in a media asset and distribute itemized tasks to multiple users in order to generate the supplemental information about the event  The context-recognition module prevents the user from being distracted from the media asset (e g , while the user attempts to describe the context of the event or search for information about the event)  In addition, by distributing tasks to multiple entities (e g , crowd-sourcing), the media application may collect large amounts of information in relatively short periods of time (or in real-time) and aggregate and/or filter the information to generate the supplemental information about the event based on multiple viewpoints and/or sources  By using multiple viewpoints and/or sources, the media application enhances the completeness (e g , by providing unbiased information) and accuracy of the supplemental information 
For example, when a statement or action is made by a character or person appearing on a media asset (e g , a television program), a user may request supplemental information about the statement or action  In response, the media application may determine the context of the statement (e g , who said the statement and to what the statement was referring) or action (e g , what was the reason for the action)  After determining the context of the statement or action, the media application may itemize into tasks the additional information it requires in order to generate the supplemental information  The media application may then transmit requests including the tasks to a plurality of other users  Based on the responses from the plurality of other users, the media application may generate the supplemental information for display to the user 
In some embodiments, a media application may use multiple types of content-recognition modules and/or algorithms to determine the context of an event  For example, the media application may process data associated with the event in order to determine the context of an event  In some embodiments, processing the various types of data may include cross-referencing the data in a database indicating the different contexts the event may have 
In some embodiments, a media application may generate supplemental information about an event in a media asset in response to a user request  In order to generate the supplemental information, the media application may transmit, to multiple users, a request for additional information regarding a context of an event shown in a media asset  Upon receiving messages from the plurality of users that include the requested additional information, the media application may generate the supplemental information associated with the context of the event based on the messages 
It should be noted, the systems and/or methods described above may be applied to, or used in accordance with, other systems, methods and/or apparatuses 
FIG  9 is a flowchart of illustrative steps for generating supplemental information based on additional information provided by a plurality of users in accordance with some embodiments of the disclosure 
Accordingly, methods and systems are described herein for quickly and easily displaying supplemental information about an event occurring in a media asset  The methods and systems described herein alleviate the need for a user to determine the proper context (e g , who said a statement, what was the tone of the statement, when was the statement said, etc ) of an event in a media asset, or the search terms to use to describe the event (e g , the proper search terms to describe the tone of the statement), in order to determine more information about the event  In addition, the methods and systems increase the completeness and accuracy of the information compared to information gathered using traditional searching methods (e g , an Internet search engine), without distracting the user from the media asset 
In some embodiments, a media application may receive a user input from a user device for supplemental information about the context of an event shown in a media asset  The media application may determine additional information required to generate the supplemental information about the context of the event shown in a media asset, and transmit requests for the additional information to one or more users  The media application may receive one or more messages, which include the requested additional information, from the one or more users and generate the supplemental information based on the one or more message  The media application may then instruct the user device to display the supplemental information 
As used herein, “supplemental information” refers to any information related to or associated with an event in a media asset  For example, supplemental information may include, but is not limited to, the verification of a statement or claim in a media asset, further descriptions and/or information about objects or entities shown and/or described in a media asset, and/or any other information, including, but not limited to, a video or audio segment, that may interest a user about an event in a media asset  In some embodiments, the media application may generate supplemental information based on one or more pieces of additional information 
As used herein, “additional information” refers to any information used to generate supplemental information  For example, in an embodiment in which supplement information is the verification of a statement made by a person displayed in a media asset, and a request for the additional information from the media application includes a request for a fact needed to verify the factual basis of the statement, the additional information may be the fact used to verify the statement  For example, if an advertisement claims to have the best product on the market, the media application may use additional information such as the name of the product in question, a list of all other products in the market, and the results of a comparison study of the product in question to all other products to determine whether or not the product is actually the “best” product on the market  Additionally or alternatively, the media application may request industry and/or user reviews related to the event (e g , reviews indicating the quality of the product)  The media application may then use the information in the reviews to generate the supplemental information 
As used herein, an “event” is any action (e g , a verbal statement, opinion and/or physical movement), segment (e g , a portion of a news broadcast featuring a particular topic), or other occurrence during a media asset that may be of particular interest to a user  For example, in some embodiments an event may be a statement or gesture made by a character or person in a media asset affirming or denying a claim 
As referred to herein, the terms “media asset” and “content” should be understood to mean an electronically consumable user asset, such as television programming, as well as pay-per-view programs, on-demand programs (as in video-on-demand (VOD) systems), Internet content (e g , streaming content, downloadable content, Webcasts, etc ), video clips, audio, content information, pictures, rotating images, documents, playlists, websites, articles, books, electronic books, blogs, advertisements, chat sessions, social media, applications, games, and/or any other media or multimedia and/or combination of the same  Media applications also allow users to navigate among and locate content  As referred to herein, the term “multimedia” should be understood to mean content that utilizes at least two different content forms described above, for example, text, audio, images, video, or interactivity content forms  Content may be recorded, played, displayed or accessed by user equipment devices, but can also be part of a live performance 
As referred to herein, the phrase “user equipment device,” “user equipment,” “user device,” “electronic device,” “electronic equipment,” “media equipment device,” or “media device” should be understood to mean any device for accessing the content described above, such as a television, a Smart TV, a set-top box, an integrated receiver decoder (IRD) for handling satellite television, a digital storage device, a digital media receiver (DMR), a digital media adapter (DMA), a streaming media device, a DVD player, a DVD recorder, a connected DVD, a local media server, a BLU-RAY player, a BLU-RAY recorder, a personal computer (PC), a laptop computer, a tablet computer, a WebTV box, a personal computer television (PC/TV), a PC media server, a PC media center, a hand-held computer, a stationary telephone, a personal digital assistant (PDA), a mobile telephone, a portable video player, a portable music player, a portable gaming machine, a smart phone, or any other television equipment, computing equipment, or wireless device, and/or combination of the same 
In some embodiments, the user equipment device may have a front facing screen and a rear facing screen, multiple front screens, or multiple angled screens  In some embodiments, the user equipment device may have a front facing camera and/or a rear facing camera  On these user equipment devices, users may be able to navigate among and locate the same content available through a television  Consequently, media may be available on these devices, as well  The media provided may be for content available only through a television, for content available only through one or more of other types of user equipment devices, or for content available both through a television and one or more of the other types of user equipment devices  The media applications may be provided as on-line applications (i e , provided on a website), or as stand-alone applications or clients on user equipment devices  Various devices and platforms that may implement media applications are described in more detail below 
In some embodiments, a media application may transmit, to a plurality of users, a request for additional information regarding a context of an event shown in a media asset  As used herein, a “plurality of users” may include, but is not limited to any device, entity, or source of information that may process a request for additional information  For example, the plurality of users may include a person operating a user equipment device  In some embodiments, the person may receive (e g , via e-mail, Internet posting, advertisement, or any other applicable information delivery method) the request from the media application for additional information, and in response generate a message (e g , via a return e-mail, an answer to the Internet posting, a user input in the advertisement, or any other applicable method of transmitting information) that includes the additional information  It should be noted that in some embodiments, transmitting a request to a plurality of users may also include querying one or more databases (e g , an Internet search engine or any other storage device, including, but not limited to, databases containing previously generated supplemental information and/or additional information) or consulting one or more data gathering services (e g , a intelligent personal assistant application) for the additional information 
In some embodiments, a media application may use a content-recognition module or algorithm to determine the context of an event and distribute itemized tasks to multiple users in order to generate the supplemental information about the event  The content-recognition module may use object recognition techniques such as edge detection, pattern recognition, including, but not limited to, self-learning systems (e g , neural networks), optical character recognition, on-line character recognition (including but not limited to, dynamic character recognition, real-time character recognition, intelligent character recognition), and/or any other suitable technique or method to determine the objects and/or characteristics in media assets  For example, the media application may receive media assets in the form of a video  The video may include a series of frames  For each frame of the video, the media application may use a content-recognition module or algorithm to determine the context (e g , the person that is speaking or a facial gesture affirming or denying a statement) of an event occurring during the frame or series of frames 
In some embodiments, the content-recognition module or algorithm may also include speech recognition techniques, including but not limited to Hidden Markov Models, dynamic time warping, and/or neural networks (as described above) to translate spoken words into text  The content-recognition module may also use other techniques for processing audio and/or visual data  For example, the media application may monitor the volume of a statement in a media asset to determine the tone of the statement (e g , a high volume may indicate an angry tone) 
In addition, the media application may use multiple types of optical character recognition and/or fuzzy logic, for example, when determining the context of a keyword(s) retrieved from data (e g , media data, translated audio data, subtitle data, user-generated data, etc ) associated with the media asset (or when cross-referencing various types of data with databases indicating the different contexts of events as described below)  For example, the particular data field may be a textual data field  Using fuzzy logic, the system may determine two fields and/or values to be identical even though the substance of the data field or value (e g , two different spellings) is not identical  In some embodiments, the system may analyze particular data fields of a data structure or media asset frame for particular values or text  The data fields could be associated with characteristics, additional information, and/or any other data required for the function of the embodiments described herein  Furthermore, the data fields could contain values (e g , the data fields could be expressed in binary or any other suitable code or programming language) 
As used herein, the “context” of an event refers to the set of circumstances or facts that surround a particular event that influence or affect the meaning of the event  For example, when determining the context of a written and/or spoken statement, the media application may determine who or what authored/stated the statement, the written and/or spoken words and/or other statements that preceded and/or followed the statement, the tone of the statement, and/or any other conditions that may alter the connotation of the statement 
FIG  1 shows an illustrative example of a media application that may be used to display supplemental information in accordance with some embodiments of the disclosure  Display 100 illustrates a display on a user device displaying a media asset  Display 108 illustrates a display featuring supplemental information as described and/or generated in FIGS  6-9  It should be noted that display 100 and display 108 may be presented on any of the devices shown in FIGS  3-4  For example, in some embodiments, display 100 and display 108 may be displayed on user equipment 402, 404, and/or 406 (FIG  4) 
In FIG  1, display 100 represents a display of a media asset (e g , a streaming television program) on a user device (e g , user equipment 402, 404, and/or 406 (FIG  4))  Display 100 includes entity 102 and entity 104  In display 100, entity 104 is currently speaking as indicated by event 106  As shown in FIG  1, event 106 is a statement (e g , “We export a lot of coal”) by a person in the media asset 
In some embodiments, display 108 represents the continued display of the media asset on a user device, after a user has requested supplemental information about event 106  For example, a media application may have received a user input (e g , via user input interface 310 (FIG  3)) while entity 104 was speaking  Using the systems and methods described herein (e g , FIGS  6-9), the media application generated supplemental information 110  Supplemental information 110 represents more information about event 106 
For example, the media application (e g , media application 206 (FIG  2)) may have determined the context of event 106  Specifically, the media application may determine via a content-recognition module or algorithm the words spoken and/or actions by the person during the event  Additionally or alternatively, the media application may analyze the words and/or action during a predetermined amount of time (e g , ten seconds) before and/or after the event (e g , in order to better understand the context of the event)  Furthermore, by cross-referencing the words and/or other information obtained by the content-recognition module (e g , as discussed below in relation to FIG  5) with a database, the content-recognition module determines that the term “we,” the person in the media asset refers to an organization or body  The content-recognition module or algorithm may also determine that the term “export” refers to shipping goods out of a country  The content-recognition module or algorithm may also determine that the term “a lot” refers to a particular numerical amount  Finally, the content-recognition module or algorithm may also determine that the term “coal” refers to a mineral of fossilized carbon 
The content-recognition module or algorithm may also determine the relationships between words and/or other information obtained by the content-recognition module  For example, by processing the relationship between the words, the media application determines that event 106 is a statement regarding a particular amount of a particular substance shipped out of a particular country  Therefore, the media application determines that the request for supplemental information is likely a request to determine the validity of the statement  The media application then generates the supplemental information 
The media application may also have stored supplemental information generated by previous requests (e g , supplemental information generated in response to the same or different user viewing the media asset at an earlier date), and display the supplemental information again during the event (either in response to a user input requesting supplemental information or automatically without a user requesting supplemental information) 
FIG  2 shows an illustrative example of a system that may be used to generate supplemental information (e g , supplemental information 110 (FIG  1)) based on additional information provided by a plurality of users in accordance with some embodiments of the disclosure  For example, in some embodiments, system 200 may be used to generate supplemental information (e g , supplemental information 110 (FIG  1)) on a display (e g , display 108 (FIG  1)) of a user device (e g , user equipment 402, 404, and/or 406 (FIG  4))  It should be noted that in some embodiments, the devices shown in FIG  2 may correspond to one or more devices in FIGS  3-4 
FIG  2 shows system 200  In system 200, a user is currently accessing a media asset on display 202  In some embodiments, display 202 may correspond to display 100 (FIG  1))  During an event (e g , event 106 (FIG  1)) a user may have requested supplemental information about an event (e g , event 106 (FIG  1)) in display 202 using user device 204  Media application 206, which in some embodiments, may be implemented on user device 204 or at a remote location (e g , supplemental information source 418 (FIG  4)), receives the request for supplemental information 
Media application 206 determines the context of the event (e g , who said the statement making up the event and to what the statement was referring)  After determining the context of the statement, the media application may itemize into one or more tasks, additional information (e g , facts) it requires in order to generate the supplemental information (e g , a verification or correction of the factual basis of the statement)  For example, if the event is a statement about the amount of coal that is exported from the United States (e g , as described in relation to FIG  1 above), media application 206 may determine the fact required to generate the supplemental information is the exact numerical amount of coal that is exported from the United States  The media application may then transmit requests for the additional information (e g , a request for the exact numerical amount of coal that is exported from the United States) to a plurality of other users 
In FIG  2, users operating user device 208, user device 210, and user device 212 represent a plurality of users  Having determined the additional information it requires in order to generate the supplemental information, media application 206 requests the additional information from the plurality of users  In system 200, media application 206 has transmitted the same task (e g , the same question) to each of the plurality of users  In some embodiments, one or more of the users may receive different tasks  For example, by breaking the additional information into small, independent tasks, media application 206 may increase the speed (e g , multiple users may work concurrently to solve different parts of a problem) and accuracy (e g , reducing the tasks to smaller, less complex problems reduces the chance of human error) of the additional information returned by the plurality of users 
In addition, by breaking the additional information into small, independent tasks, the plurality of users may not know to what they are contributing (enhancing the privacy of the user that requested the supplemental information), however, the plurality of users can still be effective in their individual tasks  In addition, by breaking the additional information into small, independent tasks, the media application may more easily outsource the requests for additional information  For example, one or more of the tasks used to generate the additional information may be the same as one or more of the tasks used to generate other additional information (e g , additional information used to generate different supplemental information in response to a request for supplemental information about the same or a different event issued by the same or a different user)  The response to each of the request and/or the additional information may be stored (e g , on any of the devices accessible by communications network 414 (FIG  4)) for subsequent retrieval 
Based on the responses, transmitted as messages including the additional information, from the plurality of other users, media application 206 may generate the supplemental information (e g , supplemental information 110 (FIG  1)) for display to the user on the user device 204  For example, media application may aggregate, append, and/or compare the additional information in each of the messages received from the plurality of users  The supplemental information may then be generated based on the aggregated, appended, and/or compared additional information (e g , as described in FIG  9 below) 
In some embodiments, the plurality of users may receive summary information about the event with the request for additional information  (e g , a video clip of a portion or segment of the media asset, a textual description, etc ), which may help the plurality of users provide additional information  For example, in some embodiments, the media application may instead of (or in addition to) determining the context of an event, determine a particular portion of the event that would be needed for the plurality of users to provide additional information about the event 
For example, the media application may use progress information associated with the progress of the media asset (e g , line 506 (FIG  5)) to determine at what point during the progression of the media asset the event occurred, and in response, transmit a portion of the media asset beginning ten second before that point and ending ten seconds after that point  For example, if the event is a statement made by a character or person in a media asset, the media application may determine when the statement began (e g , the point of progress of the media asset in which the statement began) and ended  The media application may then include the portion containing the entire statement (and the event) in the request for additional information sent to the plurality of users 
The selected portion may include any amount of summary information that the media application determines is necessary for the user or any one of the plurality of users to understand the main action sequence  This summary information (e g , a portion of the media asset) may be included with the request for additional information (e g , in a file transmitted with the request), or may be included with the generated supplemental information as a reference for the user  For example, the media application may select a segment of the play length of the media asset or a particular scene of the media asset, which includes the event, for to display to the plurality of users along with the request for additional information 
For example, if an event (e g , a statement) was in response to a question, the media application may also determine when the question began and ended, and send the entire question (or the play length of the media asset corresponding to the question) to the plurality of users as well  After determining the portion to provide to the plurality of users (e g , a segment including the ten seconds before and the ten seconds after the event), the media application may provide the summary information of the event and any other material needed by the plurality of users to understand the event and/or request for supplemental information from the user 
In some embodiments, a portion of the media asset containing the event, as selected by the media application, may also include any amount of the play length of the media asset, or any amount of scenes or segments from the media asset  In some embodiments, the portion may include segments of the play length of the media asset or scenes from the media asset that are not adjacent during the normal playback of the media asset  For example, in some embodiments, a portion of the media asset may include one or more sequences or scenes of interest to the plurality of users, even though the particular sequences or scenes are featured at different points in the play length of the media asset  The media application may determine the segments or scenes to include based on a content recognition file (e g , data structure 500 (FIG  5)) describing the media asset  For example, if a plot point or other information, which may be relevant to an event is displayed earlier in the media asset, the summary information may include a portion of the media asset displaying the plot point 
In some embodiments, the length of a portion may be determined based on the genre of the media asset  In some embodiments, the length of the portion may depend on a user profile for the user or for anyone of the plurality of users  For example, a user profile and/or a content recognition file (e g , data structure 500 (FIG  5)) may indicate that a particular user may require more or less additional content  For example, the user may be aware of particular characters or plot points in the media asset and, therefore, may not require the additional content to introduce those aspects 
In some embodiments, the plurality of users may receive a particular user interface, which organizes the data about the event (e g , a clip of the actual event, summary information about the event, information about the request for supplemental information issued by the user, etc )  The interface may also include an automatic submission form, which may be used to generate a message, which is sent to the media application 
In some embodiments, the media application may also receive user input from the user requesting the supplemental information that further affects the generation of supplemental information by the media application  For example, the user may request the supplemental information includes particular information (e g , the factual basis of a statement), may request a multimedia format of the supplemental information (e g , textual description, a video clip, etc ), may request a form of the supplemental information (e g , a short description about the event, an Internet link to other sources of information on the event, or a true or false designation about the event) by entering user inputs (e g , via user input interface 310 (FIG  3)) 
It should be noted that any information or process referred to in this disclosure that is referred to as being in response to a user input may alternatively and/or additionally be performed automatically by the media application (e g , via control circuitry 304 (FIG  3))  For example, in some embodiments, a user may request a true or false designation (e g , an on-screen pop-up box indicating whether an event was true or false)  Additionally and/or alternatively, in some embodiments, the true or false designation may appear automatically based on predetermined settings indicating to the media application to display a true or false designation in response to detecting an event 
In some embodiments, an indicator that supplemental information has previously been generated or is currently ready to generate (e g , a plurality of users are available) may be displayed to a user (e g , on display 100 (FIG  1) during the event)  The indicator may also indicate the particular information, the multimedia format, and/or the form of supplemental information that is available  An indicator may also appear with the supplemental information (e g , supplemental information 110 (FIG  1)), which allows the user to request additional supplemental information or provide feedback/responses (e g , rating the quality of the supplemental information) to the media application and/or plurality of users 
In some embodiments, a user may also access (e g , via selection of an indicator and/or automatically upon the supplemental information being generated) summary information about the event  For example, in some embodiments (e g , when the supplemental information is not generated in real-time), the media asset may have progressed to a different point by the time the supplemental information is ready for display  Therefore, the media application may need to provide a video clip of the event or other summary information, so that the user remembers about what or why the supplemental information was requested 
FIG  3 is a block diagram of an illustrative user equipment device in accordance with some embodiments of the disclosure  It should be noted that the components shown in FIG  3 may be used to store, receive, transmit, and/or display the media assets, additional information, and/or supplemental information as described herein  For example, media application 206 (FIG  2) may be implemented on user equipment device 300, and may issue instructions (e g , displaying supplemental information 110 (FIG  1)) via control circuitry 304 
Users may access media assets and the media application (and its display screens described above and below) from one or more of their user equipment devices  FIG  3 shows a generalized embodiment of illustrative user equipment device 300  More specific implementations of user equipment devices are discussed below in connection with FIG  4  User equipment device 300 may receive content and data via input/output (hereinafter “I/O”) path 302  I/O path 302 may provide content (e g , broadcast programming, on-demand programming, Internet content, content available over a local area network (LAN) or wide area network (WAN), and/or other content) and data to control circuitry 304, which includes processing circuitry 306 and storage 308  Control circuitry 304 may be used to send and receive commands, requests, and other suitable data using I/O path 302  I/O path 302 may connect control circuitry 304 (and specifically processing circuitry 306) to one or more communications paths (described below)  I/O functions may be provided by one or more of these communications paths, but are shown as a single path in FIG  3 to avoid overcomplicating the drawing 
Control circuitry 304 may be based on any suitable processing circuitry such as processing circuitry 306  As referred to herein, processing circuitry should be understood to mean circuitry based on one or more microprocessors, microcontrollers, digital signal processors, programmable logic devices, field-programmable gate arrays (FPGAs), application-specific integrated circuits (ASICs), etc , and may include a multi-core processor (e g , dual-core, quad-core, hexa-core, or any suitable number of cores) or supercomputer  



ground_truth: Weep Not, Child was first published in 1964.

prompt_front: Now, answer the following question based on the text below, only give me the answer and do not output any other words.

Question: How does a media application determine the context of an event?

Read the following text and answer briefly.

Context 4:  The main purpose is to compare our Monte Carlo results to these analytic predictions 

Exact enumeration

To establish that our Monte Carlo simulations indeed sample the partition functions Eq  ( ) and Eq  ( ), we have obtained analytic results on a 2 4 volume at strong coupling, and at finite beta in two dimensions on a 4 × 4 volume, comparing O (β) and O β 2 truncations  Our strategy to obtain an exact enumeration of the partition function Z is to enumerate plaquette configurations first, then fixing the fermion fluxes which together with the gauge fluxes that are induced by the plaquettes form a singlet, a triplet or anti-triplet, i e  on a given bond b, g b + f b ∈ {−3, 0, 3}, and last we perform the monomerdimer enumeration on the available sites not saturated by fermions yet by a depth-first algorithm  
At strong coupling, with no plaquettes, g b = 0 and f b are baryonic fluxes  All observables that can be written in terms of derivatives of log(z), such as the baryon density, the chiral condensate, the energy density, and also the average sign, are shown in Fig 

Expectations from mean field theory

Another analytical method to study strong coupling lattice QCD is the mean field approach, where the partition function is expanded in 1 d (d is the spatial dimension) and then a Hubbard-Stratonovich transformation performed   After this procedure, the free energy is a function of temperature T , the chiral condensate σ and chemical potential µ B :
here E[m] is one-dimensional quark excitation energy which is a function of the quark mass m = am q   For N c = 3 and d = 3 we determined the minimum of the free energy with respect to the chiral condensate  This gives us the equilibrium chiral condensate as a function of (T, m, µ B )  The chiral condensate and the baryon density as a function of the baryon chemical potential in lattice units aµ B and for various temperatures at quark mass m = 1 5 is shown in Fig    We have determined the critical temperature to be aT c = 0 23 , which is characterized by an infinite slope of the chiral condensate 
For lower temperatures, there is a clear discontinuity of the chiral con-densate, separating the low density phase from the high density phase  For temperatures above and in the vicinity of aT c the chiral condensate and baryon density has no discontinuity but rapidly changes, corresponding to a crossover transition 
With this method, the phase diagram is plotted for different quark masses in Fig    The second order phase transition in the chiral limit is plotted in solid blue line, the dotted lines show the first order phase transition for different quark masses and the solid red line indicates the critical end point for the different quark masses 
Mean field theory also gives an expression for the pion mass am π and the baryon mass am B : The mean field baryon mass for N c = 3, d = 3 is also plotted in red in Fig    Whereas the baryon mass is around N c in the chiral limit (am B 3 12 for N c = 3), it approximately doubles at m = 3 5 (am B 6 28) which corresponds to the pion mass am π = 4 45, i e  m π /m B = 0 708 
Hence, at around bare mass m = 3 5, the valence quark mass of the baryon corresponds roughly to 1/3 of the chiral limit value of the baryon mass  The first Monte Carlo simulations that could extend in the µ B − T plane was the MDP algorithm , but it required the introduction of the worm algorithm to make substantial progress 
First studies of the worm algorithm applied to the strong coupling limit QCD (with gauge group U(3)) are , and for gauge group SU   Monte Carlo simulations to extend the worm to incorporate leading order corrections were first proposed in   We will shortly review the setup of or Monte Carlo strategy for the nuclear transition, with an emphasis on the challenges to address large quark masses 

Strong Coupling

Without any further resummation, there is a mild sign problem in the dual formulation of lattice QCD in the strong coupling limit  When the average sign σ is not too small (close to zero), it implies that most of the configurations have a positive weight thus allowing us to perform sign reweighting strategies 
In Fig  , ∆f is plotted as a function of the baryon chemical potential and the quark masses  It is seen that ∆f is close to zero for most cases except near the critical chemical potential and for small quark masses, but never exceeds 5 × 10 −4   Hence sign reweighting can be performed in the full parameter space 
The result that the sign problem becomes even milder when increasing the mass is related to the fact that larger critical chemical potentials result in a larger fraction of static baryons (spatial baryon hoppings become rare)  FIG    ∆F at strong coupling as a function of chemical potential and quark mass on a 6 3 × 8 
The sign problem becomes milder as the quark mass increases 

Finite β

All runs at finite β have been obtained for N τ = 4, which corresponds to a moderately low temperature aT = 0 25 compared to the value of the chiral transition aT 1 54  Those simulations were too expensive to attempt N τ = 8 runs, in particular as a higher statistics was required  The spatial volumes are 4 3 , 6 3 and 8 3  
For β values are from 0 0 to 1 0 with step size 0 1, and for am q values from 0 00 to 1 00 with step size 0 01  The values of aµ were chosen close to the nuclear transition, the scanning range is shifted to large values as am q increases  At small quark masses the scanning range is from aµ = 0 4 to 1 0 and for the large quark masses, it is from 0 6 to 1 2 with step size 0 01 
The statistics used for are 15 × 10 4 measurements and between measurement, 40 × N 3 s worm updates 

Residual sign problem

Although it is possible to resum the sign problem at strong coupling with a resummation of baryon and pion world lines, this is not possible when including gauge corrections  In order to compare both sign problems, we kept the original dual formulation to monitor the severity of the sign problem  This is done via the relation
between the average sign σ and the difference of the free energy density ∆f between the full ensemble f and of the sign-quenched ensemble f ||  

Nuclear interactions

We have found that aµ 1st B is very different from the baryon mass  This must be due to strong attractive interactions of nucleons  In contrast to continuum physics, in the strong coupling limit there is no pion exchange due to the Grassmann constraint  Instead, nucleons are point like and hard core repulsive 
However, the pion bath, which is modified by the presence of static baryons, results in an attractive interaction  In , this has been analyzed in the chiral limit using the snake algorithm, and it has been found that the attractive force is of entropic origin  Here, we do not quantify the nuclear interaction via the nuclear potential, but via the difference between critical baryon chemical potential and baryon mass, in units baryon mass, as shown in Fig  , given the am B as measured in Section III C 
This compares better to the 3dim  effective theory  The nuclear interaction is maximal and more than 40% in the chiral limit, which is related to pions being massless: the modification of the pion bath is maximal  We clearly find that the nuclear interaction decreases drastically and almost linearly until it almost approaches zero at about am q = 2 0, corresponding to a pion mass am π = 3 36, see Section II B  The large error bars for larger quark masses, that are due to the subtraction of almost same magnitudes, makes it difficult to extract a non-zero nuclear interaction at the largest quark masses 
In this work, we have determined the baryon mass and the nuclear transition via Monte Carlo: the worm algorithm based on the dual formulation, at finite β equipped with additional updates  All those numerical results and various analytic expressions are summarized in Fig    We find that as the quark mass becomes large, spatial mesons hoppings (i e 
spatial dimers) become rare, which makes this 3+1-dimensional system closer to 1dim  QCD   Also, both the baryon mass and the baryon chemical potential obtained in our dual representation, i e  for staggered fermions, approaches the baryon mass of the 3-dim  effective theory which is based on Wilson fermions 
Another comparison that summarizes the validity of the mean field approach discussed in Section II B is shown in Fig    It is evident that mean field theory has strong deviations for small quark masses, but this discrepancy becomes smaller for larger quark masses  The extension of the study of the nuclear transition to finite inverse gauge coupling β is summarized in Fig  , which shows the β-dependence of aµ c B for various quark masses 
For all quark masses ranging from am q = 0 to am q = 1 0, there is only a very weak β-dependence, confirming the expectation from mean field theory   This works was restricted to isotropic lattices ξ = a/a t = 1, i e  we performed simulations at fixed temperature  Non-isotropic lattices are necessary to vary the temperature at fixed values of β 
This requires to include two bare anisotropies, γ for the fermionic action and γ G for the gauge action  Finite β has only been studied by us in the chiral limit   Clearly, it is interesting to study the location of the nuclear critical point also including higher order gauge corrections and at finite quark mass 
Simulations including O(β 2 ) are under preparation 



ground_truth: It uses a content-recognition module or algorithm.