Cardiopulmonary functional capacity in Taiwanese children with atrial septal defects.

BACKGROUND: Most existing studies measure atrial septal defect (ASD) outcomes based on morbidity rates such as atrial arrhythmias and heart failure rather than the functional assessment of physical capacity postprocedure. Few studies have evaluated cardiopulmonary function in ASD children. This study represents the largest sample population in the current research, encompassing a total of 122 Taiwanese children with ASD who had undergone treatment, to evaluate cardiopulmonary functional capacity through the implementation of cardiopulmonary exercise testing (CPET), and to investigate whether variations in treatment may impact their cardiopulmonary function. METHODS: This is a retrospective cohort study with the data collected from January 2010 to December 2021. All patients and controls (age-, sex-, and body mass index-matched) underwent CPET and pulmonary function testing. RESULTS: In total, 122 ASD patients (surgically closed ASDs 27, transcatheter-closed ASDs 48, and follow-up unrepaired ASD 47) and 244 healthy controls were recruited. The ASD group exhibited lower peak metabolic equivalent (MET), peak oxygen consumption (VO 2 , p < 0.001), and peak minute ventilation ( p = 0.028) along with MET and VO 2 at the anaerobic threshold (AT) ( p = 0.012) compared to the control group. No statistically significant differences were observed in the pulmonary function test. Among surgically closed, transcatheter closed and unrepaired ASD subgroups, no significant variances were seen in CPET and pulmonary function tests. CONCLUSION: Taiwanese ASD children exhibited diminished exercise capacity and cardiopulmonary performance compared to their healthy counterparts. Differences among specific ASD treatments in cardiopulmonary tests were non-significant.

Cardiopulmonary functional capacity in Taiwanese children with ventricular septal defects.

BACKGROUND: Children with ventricular septal defects (VSDs) are considered to have no difference in cardiopulmonary functional capacity with healthy children of the same age; however, studies have shown contradictory findings. The aim of this study was to assess whether Taiwanese children with VSDs exhibited cardiopulmonary deficits. METHODS: This is a retrospective cohort study with the data collected from January 2010 to December 2021. All patients and controls (age-, sex-, and body mass index -matched) underwent cardiopulmonary exercise testing (CPET) and pulmonary function test. RESULTS: In total, 157 VSD patients (80 patients with surgically closed VSDs, 77 patients with unrepaired VSDs) and 157 healthy controls were recruited. Pulmonary function test showed significant among-group differences in maximal voluntary ventilation (MVV) (p = 0.015). The surgically closed group had lower MVV compared to the control group. Regarding CPET, we found VSD patients had lower peak oxygen uptake than the controls (surgically closed group: 30.84 ± 6.27 ml/kg/min; unrepaired group: 32.00 ± 5.95 ml/kg/min; control group: 36.76 ± 6.50 ml/kg/min, p < 0.001). There was also significant among-group differences in aerobic capacity (surgically closed group: 21.20 ± 4.39 ml/kg/min; unrepaired group: 21.68 ± 4.47 ml/kg/min; control group: 26.25 ± 4.33 ml/kg/min, p < 0.001). In addition, the surgically closed group had lower heart rate average at anaerobic threshold than the control group (surgically closed group: 138.11 ± 16.42 bpm; control group: 145.78 ± 15.53 bpm, p = 0.002). CONCLUSION: Taiwanese children with VSD, whether surgically closed or not, have poorer cardiopulmonary performance than age-matched healthy children, and the results of the surgically closed group were even worse.

Moving boundary truncated grid method for electronic nonadiabatic dynamics.

The moving boundary truncated grid method is developed to study the wave packet dynamics of electronic nonadiabatic transitions between a pair of diabatic potential energy surfaces. The coupled time-dependent Schrödinger equations (TDSEs) in the diabatic representation are integrated using adaptive truncated grids for both the surfaces. As time evolves, a variable number of grid points fixed in space are activated and deactivated without any advance information of the wave packet dynamics. Essential features of the truncated grid method are first illustrated through applications to three one-dimensional model problems, including the systems of single avoided crossing, dual avoided crossing, and extended coupling region with reflection. As a demonstration for chemical applications, the truncated grid method is then employed to study the dynamics of photoisomerization of retinal in rhodopsin described by a two-electronic-state two-dimensional model. To demonstrate the capability of the truncated grid method to deal with the electronic nonadiabatic problem in high dimensionality, we consider a multidimensional electronic nonadiabatic system in two, three, and four dimensions. The results indicate that the correct grid points are automatically activated to capture the growth and decay of the wave packets on both of the surfaces. Therefore, the truncated grid method greatly decreases the computational effort to integrate the coupled TDSEs for multidimensional electronic nonadiabatic systems.

Moving Boundary Truncated Grid Method: Application to the Time Evolution of Distribution Functions in Phase Space.

The moving boundary truncated grid (TG) method, previously developed to integrate the time-dependent Schrödinger equation and the imaginary time Schrödinger equation, is extended to the time evolution of distribution functions in phase space. A variable number of phase space grid points in the Eulerian representation are used to integrate the equation of motion for the distribution function, and the boundaries of the TG are adaptively determined as the distribution function evolves in time. Appropriate grid points are activated and deactivated for propagation of the distribution function, and no advance information concerning the dynamics in phase space is required. The TG method is used to integrate the equations of motion for phase space distribution functions, including the Klein-Kramers, Wigner-Moyal, and modified Caldeira-Leggett equations. Even though the initial distribution function is nonnegative, the solutions to the Wigner-Moyal and modified Caldeira-Leggett equations may develop negative basins in phase space originating from interference effects. Trajectory-based methods for propagation of the distribution function do not permit the formation of negative regions. However, the TG method can correctly capture the negative basins. Comparisons between the computational results obtained from the full grid and TG calculations demonstrate that the TG method not only significantly reduces the computational effort but also permits accurate propagation of various distribution functions in phase space.

Moving Boundary Truncated Grid Method for Wave Packet Dynamics.

The moving boundary truncated grid method is developed to significantly reduce the number of grid points required for wave packet propagation. The time-dependent Schrödinger equation (TDSE) and the imaginary time Schrödinger equation (ITSE) are integrated using an adaptive algorithm which economizes the number of grid points. This method employs a variable number of grid points in the Eulerian frame (grid points fixed in space) and adaptively defines the boundaries of the truncated grid. The truncated grid method is first applied to the time integration of the TDSE for the photodissociation dynamics of NOCl and a three-dimensional quantum barrier scattering problem. The time-dependent truncated grid precisely captures the wave packet evolution for the photodissociation of NOCl and finely adjusts according to the process of the wave packet bifurcation into reflected and transmitted components for the barrier scattering problem. The truncated grid method is also applied to the time integration of the ITSE for the eigenstates of quantum systems. Compared to the full grid calculations, the truncated grid method requires fewer grid points to achieve high accuracy for the stationary state energies and wave functions for a two-dimensional double well potential and the Ar trimer. Therefore, the truncated grid method demonstrates a significant reduction in the number of grid points needed to perform accurate wave packet propagation governed by the TDSE or the ITSE.

Complex quantum Hamilton-Jacobi equation with Bohmian trajectories: application to the photodissociation dynamics of NOCl.

The complex quantum Hamilton-Jacobi equation-Bohmian trajectories (CQHJE-BT) method is introduced as a synthetic trajectory method for integrating the complex quantum Hamilton-Jacobi equation for the complex action function by propagating an ensemble of real-valued correlated Bohmian trajectories. Substituting the wave function expressed in exponential form in terms of the complex action into the time-dependent Schrödinger equation yields the complex quantum Hamilton-Jacobi equation. We transform this equation into the arbitrary Lagrangian-Eulerian version with the grid velocity matching the flow velocity of the probability fluid. The resulting equation describing the rate of change in the complex action transported along Bohmian trajectories is simultaneously integrated with the guidance equation for Bohmian trajectories, and the time-dependent wave function is readily synthesized. The spatial derivatives of the complex action required for the integration scheme are obtained by solving one moving least squares matrix equation. In addition, the method is applied to the photodissociation of NOCl. The photodissociation dynamics of NOCl can be accurately described by propagating a small ensemble of trajectories. This study demonstrates that the CQHJE-BT method combines the considerable advantages of both the real and the complex quantum trajectory methods previously developed for wave packet dynamics.

Multidimensional supersymmetric quantum mechanics: spurious states for the tensor sector two Hamiltonian.

We show that there exist spurious states for the sector two tensor Hamiltonian in multidimensional supersymmetric quantum mechanics. For one-dimensional supersymmetric quantum mechanics on an infinite domain, the sector one and two Hamiltonians have identical spectra with the exception of the ground state of the sector one. For tensorial multidimensional supersymmetric quantum mechanics, there exist normalizable spurious states for the sector two Hamiltonian with energy equal to the ground state energy of the sector one. These spurious states are annihilated by the adjoint charge operator, and hence, they do not correspond to physical states for the original Hamiltonian. The Hermitian property of the sector two Hamiltonian implies the orthogonality between spurious and physical states. In addition, we develop a method for construction of a specific form of the spurious states for any quantum system and also generate several spurious states for a two-dimensional anharmonic oscillator system and for the hydrogen atom.

Multidimensional supersymmetric quantum mechanics: a scalar Hamiltonian approach to excited states by the imaginary time propagation method.

Supersymmetric quantum mechanics (SUSY-QM) is shown to provide a novel approach to the construction of the initial states for the imaginary time propagation method to determine the first and second excited state energies and wave functions for a two-dimensional system. In addition, we show that all calculations are carried out in sector one and none are performed with the tensor sector two Hamiltonian. Through our tensorial approach to multidimensional supersymmetric quantum mechanics, we utilize the correspondence between the eigenstates of the sector one and two Hamiltonians to construct appropriate initial sector one states from sector two states for the imaginary time propagation method. The imaginary time version of the time-dependent Schrödinger equation is integrated to obtain the first and second excited state energies and wave functions using the split operator method for a two-dimensional anharmonic oscillator system and a two-dimensional double well potential. The computational results indicate that we can obtain the first two excited state energies and wave functions even when a quantum system does not exhibit any symmetry. Moreover, instead of dealing with the increasing computational complexity resulting from computations in the tensor sector two Hamiltonian, this study presents a new supersymmetric approach to calculations of accurate excited state energies and wave functions by directly using the scalar sector one Hamiltonian.

Scattered-wave-packet formalism with applications to barrier scattering and quantum transistors.

The scattered wave formalism developed for a quantum subsystem interacting with reservoirs through open boundaries is applied to one- or two-dimensional barrier scattering and quantum transistors. The total wave function is divided into incident and scattered components. Markovian outgoing wave boundary conditions are imposed on the scattered or total wave function by either the ratio or polynomial methods. For barrier scattering problems, accurate time-dependent transmission probabilities are obtained through the integration of the modified time-dependent Schrödinger equations for the scattered wave function. For quantum transistors, the time-dependent transport is studied for a quantum wave packet propagating through the conduction channel of a field effect transistor. This study shows that the scattered wave formalism significantly reduces computational effort relative to other open boundary methods and demonstrates wide applications to quantum dynamical processes.

Scattered wave packet formalism with markovian outgoing wave boundary conditions for open quantum systems.

The scattered wave formalism is developed for a quantum subsystem interacting with the external environment through open boundaries. The total wave function is divided into incident and scattered components and Markovian outgoing wave boundary conditions are applied to the scattered wave function. This formalism significantly reduces the computational effort relative to other methods which rely on Green functions and memory kernels. The method is applied to one-dimensional barrier scattering and to a three-dimensional model for the field effect transistor.

Wave front-ray synthesis for solving the multidimensional quantum Hamilton-Jacobi equation.

A Cauchy initial-value approach to the complex-valued quantum Hamilton-Jacobi equation (QHJE) is investigated for multidimensional systems. In this approach, ray segments foliate configuration space which is laminated by surfaces of constant action. The QHJE incorporates all quantum effects through a term involving the divergence of the quantum momentum function (QMF). The divergence term may be expressed as a sum of two terms, one involving displacement along the ray and the other incorporating the local curvature of the action surface. It is shown that curvature of the wave front may be computed from coefficients of the first and second fundamental forms from differential geometry that are associated with the surface. Using the expression for the divergence, the QHJE becomes a Riccati-type ordinary differential equation (ODE) for the complex-valued QMF, which is parametrized by the arc length along the ray. In order to integrate over possible singularities in the QMF, a stable and accurate Möbius propagator is introduced. This method is then used to evolve rays and wave fronts for four systems in two and three dimensions. From the QMF along each ray, the wave function can be easily computed. Computational difficulties that may arise are described and some ways to circumvent them are presented.

Complex-extended Bohmian mechanics.

Complex-extended Bohmian mechanics is investigated by analytically continuing the wave function in polar form into the complex plane. We derive the complex-extended version of the quantum Hamilton-Jacobi equation and the continuity equation in Bohmian mechanics. Complex-extended Bohmian mechanics recovers the standard real-valued Bohmian mechanics on the real axis. The trajectories on the real axis are in accord with the standard real-valued Bohmian trajectories. The trajectories launched away from the real axis never intersect the real axis, and they display symmetry with respect to the real axis. Trajectories display hyperbolic deflection around nodes of the wave function in the complex plane.

Hydrodynamic view of wave-packet interference: quantum caves.

Wave-packet interference is investigated within the complex quantum Hamilton-Jacobi formalism using a hydrodynamic description. Quantum interference leads to the formation of the topological structure of quantum caves in space-time Argand plots. These caves consist of the vortical and stagnation tubes originating from the isosurfaces of the amplitude of the wave function and its first derivative. Complex quantum trajectories display counterclockwise helical wrapping around the stagnation tubes and hyperbolic deflection near the vortical tubes. The string of alternating stagnation and vortical tubes is sufficient to generate divergent trajectories. Moreover, the average wrapping time for trajectories and the rotational rate of the nodal line in the complex plane can be used to define the lifetime for interference features.

Quantum streamlines within the complex quantum Hamilton-Jacobi formalism.

Quantum streamlines are investigated in the framework of the quantum Hamilton-Jacobi formalism. The local structures of the quantum momentum function (QMF) and the Polya vector field near a stagnation point or a pole are analyzed. Streamlines near a stagnation point of the QMF may spiral into or away from it, or they may become circles centered on this point or straight lines. Additionally, streamlines near a pole display east-west and north-south opening hyperbolic structure. On the other hand, streamlines near a stagnation point of the Polya vector field for the QMF display general hyperbolic structure, and streamlines near a pole become circles enclosing the pole. Furthermore, the local structures of the QMF and the Polya vector field around a stagnation point are related to the first derivative of the QMF; however, the magnitude of the asymptotic structures for these two fields near a pole depends only on the order of the node in the wave function. Two nonstationary states constructed from the eigenstates of the harmonic oscillator are used to illustrate the local structures of these two fields and the dynamics of the streamlines near a stagnation point or a pole. This study presents the abundant dynamics of the streamlines in the complex space for one-dimensional time-dependent problems.

Quantum vortices within the complex quantum Hamilton-Jacobi formalism.

Quantum vortices are investigated in the framework of the quantum Hamilton-Jacobi formalism. A quantum vortex forms around a node in the wave function in the complex space, and the quantized circulation integral originates from the discontinuity in the real part of the complex action. Although the quantum momentum field displays hyperbolic flow around a node, the corresponding Polya vector field displays circular flow. It is shown that the Polya vector field of the quantum momentum function is parallel to contours of the probability density. A nonstationary state constructed from eigenstates of the harmonic oscillator is used to illustrate the formation of a transient excited state quantum vortex, and the coupled harmonic oscillator is used to illustrate quantization of the circulation integral in the multidimensional complex space. This study not only analyzes the formation of quantum vortices but also demonstrates the local structures for the quantum momentum field and for the Polya vector field near a node of the wave function.

Quantum trajectories in complex space: one-dimensional stationary scattering problems.

One-dimensional time-independent scattering problems are investigated in the framework of the quantum Hamilton-Jacobi formalism. The equation for the local approximate quantum trajectories near the stagnation point of the quantum momentum function is derived, and the first derivative of the quantum momentum function is related to the local structure of quantum trajectories. Exact complex quantum trajectories are determined for two examples by numerically integrating the equations of motion. For the soft potential step, some particles penetrate into the nonclassical region, and then turn back to the reflection region. For the barrier scattering problem, quantum trajectories may spiral into the attractors or from the repellers in the barrier region. Although the classical potentials extended to complex space show different pole structures for each problem, the quantum potentials present the same second-order pole structure in the reflection region. This paper not only analyzes complex quantum trajectories and the total potentials for these examples but also demonstrates general properties and similar structures of the complex quantum trajectories and the quantum potentials for one-dimensional time-independent scattering problems.

Computational method for the quantum Hamilton-Jacobi equation: bound states in one dimension.

An accurate computational method for the one-dimensional quantum Hamilton-Jacobi equation is presented. The Mobius propagation scheme, which can accurately pass through singularities, is used to numerically integrate the quantum Hamilton-Jacobi equation for the quantum momentum function. Bound state wave functions are then synthesized from the phase integral using the antithetic cancellation technique. Through this procedure, not only the quantum momentum functions but also the wave functions are accurately obtained. This computational approach is demonstrated through two solvable examples: the harmonic oscillator and the Morse potential. The excellent agreement between the computational and the exact analytical results shows that the method proposed here may be useful for solving similar quantum mechanical problems.

Computational method for the quantum Hamilton-Jacobi equation: one-dimensional scattering problems.

One-dimensional scattering problems are investigated in the framework of the quantum Hamilton-Jacobi formalism. First, the pole structure of the quantum momentum function for scattering wave functions is analyzed. The significant differences of the pole structure of this function between scattering wave functions and bound state wave functions are pointed out. An accurate computational method for the quantum Hamilton-Jacobi equation for general one-dimensional scattering problems is presented to obtain the scattering wave function and the reflection and transmission coefficients. The computational approach is demonstrated by analysis of scattering from a one-dimensional potential barrier. We not only present an alternative approach to the numerical solution of the wave function and the reflection and transmission coefficients but also provide a computational aspect within the quantum Hamilton-Jacobi formalism. The method proposed here should be useful for general one-dimensional scattering problems.