The purpose of this paper is to present a study of finite-time thermodynamics applied to evaluate the ecological performance of a quantum heat engine which operates between two thermal reservoirs using the working substance of spin-1/2 systems. The quantum heat engine cycle is composed of two isothermal processes, an adiabatic process and an isomagnetic field process. A sequence of time evolution was determined from the quantum angular momentum rate based on the semigroup approach and the quantum master equation. The individual time duration is added to account for the total cycle time. The objective ecological function representing a compromise between power output and irreversibility is maximized with respect to cycle temperature ratio. Effects of thermal reservoir temperature ratio and magnetic field ratio on the ecological function have been discussed. A comparison of quantum heat engine performance under maximum ecological function and maximum power conditions is also presented.
the Heart and Blood in Living Beings," recognized that pulsatile flow through the arterial vessels was coordinated with the contraction of the heart muscle. Harvey described a "double circulation" where ".. . the blood, forced by the action of the left ventricle into the arteries, was distributed to the body at large, and its several parts, in the same manner as it is sent through the lungs, impelled by the right ventricle into the pulmonary artery." 1,2
Background
Transesophageal echocardiographic imaging plays an important role in assessing coronary sinus anatomy prior to placement of a retrograde cardioplegia cannula. The coronary sinus can be imaged in the long axis by advancing the TEE probe from the mid-esophageal 4-chamber view or using a modified mid-esophageal bicaval view, while a short axis view can be obtained in the mid-esophageal 2-chamber view. While use of a transgastric view is only briefly mentioned in the literature as an alternative to mid-esophageal views, the authors commonly include it in our comprehensive transesophageal echocardiographic exam of the coronary sinus. This study examines the various imaging strategies. We hypothesize that the transgastric view offers comparable coronary sinus imaging to the mid-esophageal views.
Methods
After approval by our institutional review board, the intraoperative transesophageal echocardiographic exams for 50 consecutive elective cardiac surgical patients with a comprehensive echocardiographic assessment of the coronary sinus were retrospectively reviewed and analyzed to evaluate imaging of the coronary sinus in the various views. For each view, we noted and recorded if the coronary sinus and coronary sinus cannula were visualized. Statistical analysis required pairwise comparisons between each of the 4 views. P values were calculated using McNemar’s Exact test.
Results
Both the coronary sinus and coronary sinus cannula were visualized a majority of the time for each view. There was no statistically significant difference between each view in its ability to visualize the coronary sinus, nor was there a statistically significant difference between each view in its ability to visualize the coronary sinus cannula.
Conclusions
Use of a transgastric window provides the echocardiographer with an effective alternate modality for imaging the coronary sinus when mid-esophageal views are limited.
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