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Comparative Analysis of Spontaneous Infectious Spondylitis : Pyogenic versus Tuberculous

  • Lee, Yangwon;Kim, Bum-Joon;Kim, Se-Hoon;Lee, Seung-Hwan;Kim, Won-Hyung;Jin, Sung-Won
    • Journal of Korean Neurosurgical Society
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    • v.61 no.1
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    • pp.81-88
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    • 2018
  • Objective : Spondylitis is often chemotherapy resistant and requires long-term treatment. Without adequate chemotherapy, the outcome can be fatal or result in severe neurologic damage. Therefore, differentiating the etiology of spondylitis is very important, particularly in spontaneous cases. As the prevalence of tuberculosis in Korea has decreased in recent years, updated clinical research about spondylitis is warranted. Methods : From April 2010 to March 2016, data from spondylitis patients were collected retrospectively. In total, 69 patients (51 with pyogenic spondylitis and 18 with tuberculous spondylitis) were included. Clinical data, laboratory findings including erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) level, measurements of Cobb angles at the initial and final follow-up, and radiologic features on magnetic resonance imaging (MRI) scans were evaluated. To test differences between the pyogenic and tuberculous groups, numerical data were compared using the student's t-test and Mann-Whitney U test, and categorical data were compared using the chi-square test and Fisher's exact test. Results : The patients' mean age was 60.0 years. Male sex was slightly predominant (56.5%). There was no difference in mean age and sex between the two groups. The pyogenic group had a relatively higher proportion of immunocompromised patients. The peak CRP value was higher in the pyogenic group than in the tuberculous group (14.08 mg/dL and 8.50 mg/dL, respectively, p=0.009), whereas the ESR was not significantly different between the groups (81.5 mm/h and 75.6 mm/h, respectively, p=0.442). Radiologically, the presence of disc space sparing and vertebral body collapse differed between the groups. In the tuberculous group, the disc was more commonly preserved on contrast-enhanced MRI (50% and 23.5%, respectively, p=0.044), and vertebral body collapse was more common (66.6% and 15.7%, respectively, p<0.001). The mean length of hospitalization was longer in the pyogenic group (56.5 days and 41.2 days, respectively, p=0.001). Four mortality cases were observed only in the pyogenic group. The most commonly isolated microorganism in the pyogenic group was Staphylococcus aureus(S. aureus) (methicillin susceptible S. aureus and methicillin resistant S. aureus [MRSA] in 8 and 4 cases, respectively). Conclusion : The clinical and radiological manifestations of spontaneous spondylitis differ based on the causative organism. Pyogenic spondylitis patients tend to have a higher CRP level and a more severe clinical course, whereas tuberculous spondylitis patients present with destruction of the vertebral body with disc sparing more frequently. The presence of MRSA is increasing in community-acquired spondylitis cases.

Biosorption of Cadmium by a Methanotrophs Exopolysaccharide (메탄산화세균의 EPS를 이용한 Cd의 생물흡착)

  • Lee, Hee-Ja;Kim, Kwang-Soo;Cho, Yang-Seok
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.1415-1419
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    • 2006
  • 메탄을 탄소원 및 에너지원으로 이용하는 메탄산화균은 물질대사과정 중에 다량의 세포외 고분자물질인 Extracellular polymeric substances(EPS)를 생성하는데, EPS는 카르복실기와 같은 표면흡착 기능을 가지고 있어 생체흡착제로 사용이 가능하다. 따라서 본 연구에서는 메탄산화세균을 이용하여 중금속인 Cd의 흡착성능을 파악하여 활성슬러지의 흡착능과 비교하고, EPS 농도별, pH별 흡착량의 변화를 실험한 후 Freundlich 흡착모델식에 적용하여 흡착공정의 기본적인 설계인자를 도출하고자 하였다. 실험에 사용한 메탄산화세균은 매립지 복토층 상부 토양에서 분리하여 실험실에서 대량으로 배양하였으며, EPS 생성을 위해 메탄을 Head space의 20%를 주입하고 $30^{\circ}C$, 150rpm에서 질소원이 부족한 조건으로 48hr 동안 배양하였다. Cd의 흡착실험은 용액의 pH를 3에서 8까지 변화를 주면서 활성슬러지와 메탄산화세균의 시간별 흡착능을 측정하였다. 또한 중금속의 농도별 흡착능을 측정하여 흡착평형 상수를 파악하였으며, 중금속 흡착 전, 후 미생물의 SEM 촬영, FT-IR 분석, 전자현미분석(EPMA)을 통하여 무기성분 분석 및 표면관찰을 수행하였다. 실험결과 메탄산화세균에 의해 생성된 EPS 물질은 중금속에 대한 강한 결합능력이 있으며, Cd에 대한 최고 흡착능은 26mg Cd(Ⅱ)/g VSS의 값을 보였다. 이러한 미생물의 EPS의 흡착능은 pH와 칼슘이온의 영향을 많이 받았으며, 메탄산화세균의 FT-IR 분석결과 EPS에는 sulfate ester, pyruvate 등과 같은 작용기와 amino sugar, carboxyl 작용기들이 많이 존재하여 활성슬러지에 비해 중금속의 흡착능이 높은 것으로 사료되었다.X>${\mu}_{max,A}$는 최대암모니아 섭취률을 이용하여 구한 결과 $0.65d^{-1}$로 나타났다.EX>$60%{\sim}87%$가 수심 10m 이내에 분포하였고, 녹조강과 남조강이 우점하는 하절기에는 5m 이내에 주로 분포하였다. 취수탑 지점의 수심이 연중 $25{\sim}35m$를 유지하는 H호의 경우 간헐식 폭기장치를 가동하는 기간은 물론 그 외 기간에도 취수구의 심도를 표층 10m 이하로 유지 할 경우 전체 조류 유입량을 60% 이상 저감할 수 있을 것으로 조사되었다.심볼 및 색채 디자인 등의 작업이 수반되어야 하며, 이들을 고려한 인터넷용 GIS기본도를 신규 제작한다. 상습침수지구와 관련된 각종 GIS데이타와 각 기관이 보유하고 있는 공공정보 가운데 공간정보와 연계되어야 하는 자료를 인터넷 GIS를 이용하여 효율적으로 관리하기 위해서는 단계별 구축전략이 필요하다. 따라서 본 논문에서는 인터넷 GIS를 이용하여 상습침수구역관련 정보를 검색, 처리 및 분석할 수 있는 상습침수 구역 종합정보화 시스템을 구축토록 하였다.N, 항목에서 보 상류가 높게 나타났으나, 철거되지 않은 검전보나 안양대교보에 비해 그 차이가 크지 않은 것으로 나타났다.의 기상변화가 자발성 기흉 발생에 영향을 미친다고 추론할 수 있었다. 향후 본 연구에서 추론된 기상변화와 기흉 발생과의 인과관계를 확인하고 좀 더 구체화하기 위한 연구가 필요할 것이다.게 이루어질 수 있을 것으로 기대된다.는 초과수익률이 상승하지만, 이후로는 감소하므로, 반전거래전략을 활용하는 경우 주식투자기간은 24개월이하의 중단기가 적합함을 발견하였다. 이상의 행태적 측면과 투자성과측면의 실증결과를 통하여 한국주식시장에 있어서 시장수익률을 평균적으로 초과할 수 있는 거래전

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Soil Emission Measurements of N2O, CH4 and CO2 from Intensively Managed Upland Cabbage Field (배추 밭에서의 N2O, CH4, CO2 토양배출량 측정 및 특성 연구: 주요온실가스 배출량 측정 및 지표생태변화에 따른 특성 연구)

  • Kim, Deug-Soo;Na, Un-Sung
    • Journal of Korean Society for Atmospheric Environment
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    • v.27 no.3
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    • pp.313-325
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    • 2011
  • From October 2009 to June 2010, major greenhouse gases (GHG: $N_2O$, $CH_4$, $CO_2$) soil emission were measured from upland cabbage field at Kunsan ($35^{\circ}$56'23"N, $126^{\circ}$43'14"E), Korea by using closed static chamber method. The measurements were conducted mostly from 10:00 to 18:00LST during field experiment days (total 28 days). After analyzing GHG concentrations inside of flux chamber by using a GC equipped with a methanizer (Varian CP3800), the GHG fluxes were calculated from a linear regression of the changes in the concentrations with time. Soil parameters (e.g. soil moisture, temperature, pH, organic C, soil N) were also measured at the sampling site. The average soil pH and soil moisture were ~pH $5.42{\pm}0.03$ and $70.0{\pm}1.8$ %WFPS (water filled pore space), respectively. The ranges of GHG flux during the experimental period were $0.08\sim8.40\;mg/m^2{\cdot}hr$ for $N_2O$, $-92.96\sim139.38mg/m^2{\cdot}hr$ for $CO_2$, and $-0.09\sim0.05mg/m^2{\cdot}hr$ for $CH_4$, respectively. It revealed that monthly means of $CO_2$ and $CH_4$ flux during October (fall) were positive and significantly higher than those (negative value) during January (winter) when subsoil have low temperature and relatively high moisture due to snow during the winter measurement period. Soil mean temperature and moisture during these months were $17.5{\pm}1.2^{\circ}C$, $45.7{\pm}8.2$%WFPS for October; and $1.4{\pm}1.3^{\circ}C$, $89.9{\pm}8.8$ %WFPS for January. It may indicate that soil temperature and moisture have significant role in determining whether the $CO_2$ and $CH_4$ emission or uptake take place. Low temperature and high moisture above a certain optimum level during winter could weaken microbial activity and the gas diffusion in soil matrix, and then make soil GHG emission to the atmosphere decrease. Other soil parameters were also discussed with respect to GHG emissions. Both positive and negative gas fluxes in $CH_4$ and $CO_2$ were observed during these measurements, but not for $N_2O$. It is likely that $CH_4$ and $CO_2$ gases emanated from soil surface or up taken by the soil depending on other factors such as background concentrations and physicochemical soil conditions.

Real-Time Monitoring of Mitochondrial ATP Synthesis and Hydrolysis by Surface Infrared Spectroscopy

  • Yamaguchi, Ryo-Taro;Hirano-Iwata, Ayumi;Aonuma, Yuki;Yoshimura, Yuya;Shinohara, Yasuo;Kimura, Yasuo;Niwano, Michio
    • Proceedings of the Korean Vacuum Society Conference
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    • 2013.02a
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    • pp.108-109
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    • 2013
  • Mitochondria play key roles in the production of cell's energy. Their dominant function is the synthesis of adenosine 5'-triphosphate (ATP) from adenosine diphosphate (ADP) and phosphate (Pi) through the oxidative phosphorylation. Evaluation of drug-induced mitochondrial toxicity has become increasingly important since mitochondrial dysfunction has recently been implicated in numerous diseases including cancer and diabetes mellitus. Mitochondrial functions have been monitored via oxygen consumption, mitochondrial membrane potential, and more importantly via ATP synthesis since ATP synthesis is the most essential function of mitochondria. Various analytical methods have been employed to investigate ATP synthesis in mitochondria, including high performance liquid chromatography (HPLC), bioluminescence technique, and pH measurement. However, most of these methods are based on destructive analysis or indirect monitoring through the enzymatic reaction. Infrared absorption spectroscopy (IRAS) is one of the useful techniques for real-time, label-free, and direct monitoring of biological reactions [1,2]. However, the strong water absorption requires very short path length in the order of several micrometers. Transmission measurements with thin path length are not suitable for mitochondrial assays because solution handlings necessary for evaluating mitochondrial toxicity, such as rapid mixing of drugs and oxygen supply, are difficult in such a narrow space. On the other hand, IRAS in the multiple internal reflection (MIR) geometry provides an ideal optical configuration to combine solution handling and aqueous-phase measurement. We have recently reportedon a real-time monitoring of drug-induced necrotic and apoptotic cell death using MIR-IRAS [3,4]. Clear discrimination between viable and damaged cells has been demonstrated, showing a promise as a label-free and real-time detection for cell-based assays. In the present study, we have applied our MIR-IRAS system to mitochondria-based assays by monitoring ATP synthesis in isolated mitochondria from rat livers. Mitochondrial ATP synthesis and hydrolysis were in situ monitored with MIR-IRAS, while dissolved oxygen level and solution pH were simultaneously monitored with O2 and pH electrodes, respectively. It is demonstrated that ATP synthesis and hydrolysis can be monitored by the IR spectral changes in phosphate groups in adenine nucleotides and MIR-IRAS is useful for evaluating time-dependent drug effects of mitochondrial toxicants.

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Preparation and Biodistribution of Re-188 Sulfur Colloid (Re-188이 표지된 황 교질(Sulfur Colloid) 제조와 생체내 분포)

  • Kim, Young-Ju;Jeong, Jae-Min;Chang, Young-Soo;Lee, Yong-Sin;Lee, Dong-Soo;Chung, June-Key;Lee, Myung-Chul;Song, Yeong-Wook
    • The Korean Journal of Nuclear Medicine
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    • v.32 no.3
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    • pp.298-304
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    • 1998
  • Purpose: We evaluated the usefulness of Re-188 sulfur colloid for radiation synovectomy and therapy of intraperitoneal metastasis. Materials and Methods: We investigated the labeling efficiency of Re-188 sulfur colloid on various conditions. The stability of Re-188 sulfur colloid was observed at room temperature for 24 h and in human serum and synovial fluid for 72 h. The particle size distribution of Re-188 sulfur colloid was measured by filtering with various pore size filters. Animal experiment was performed in mice and rabbits. Results: The labeling efficiency of Re-188 sulfur colloid was $64.5{\pm}5.8%$ (n=5) at the conditions of sodium thiosulfate 40 mg, EDTA $Na_2.2H_2O$ 0.8 mg, $KReO_4$ 0.8 mg at pH 1. After purification, the radiochemical purity was higher than 99%. The stability of Re-188 sulfur colloid was high (>99%) at room temperature for 24 h and in human serum and synovial fluid for 72 h. The particle size distribution of Re-188 sulfur colloid was 0.3% ($<1{\mu}m$), 11.2% ($1{\sim}5{\mu}m$), 25.8% ($5{\sim}10{\mu}m$) and 52.8% ($>10{\mu}m$). In mice, 1 h postinjection of Re-188 sulfur colloid into tail vein, uptakes in lung, liver and muscle were $37.30{\pm}5.36$, $32.33{\pm}1.79$, $6.60{\pm}0.02%$ ID/organ respectively. After i.p. injection in mice, the uptakes of extraperitonial organs of Re-188 sulfur colloid at 1 and 24 h were $0.1{\pm}0.1$, $0.4{\pm}0.1%$ ID/organ, and the excretions through urine and feces (${\sim}70 h$) were low ($2.68{\pm}0.80$, $0.95{\pm}0.17%$). When Re-188 sulfur colloid was injected to synovial space of rabbit, the uptake in other organs except knee was very low. Conclusion: Re-188 sulfur colloid showed high labeling efficiency, stability and potency for clinical use.

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The effect of palatal height on the Korean vowels (구개의 높이가 한국어 모음 발음에 미치는 효과에 관한 연구)

  • Chung, Bo-Yoon;Lim, Young-Jun;Kim, Myung-Joo;Nam, Shin-Eun;Lee, Seung-Pyo;Kwon, Ho-Beom
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.1
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    • pp.69-74
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    • 2010
  • Purpose: The purpose of this study was to analyze the influence of palatal height on Korean vowels and speech intelligibility in Korean adults and to produce baseline data for future prosthodontic treatment. Material and methods: Forty one healthy Korean men and women who had no problem in pronunciation, hearing, and communication and had no history of airway disease participated in this study. Subjects were classified into H, M, and L groups after clinical determination of palatal height with study casts. Seven Korean vowels were used as sample vowels and subjects'clear speech sounds were recorded using Multispeech software program on computer. The F1 and the F2 of 3 groups were produced and they were compared. In addition, the vowel working spaces of 3 groups by /a/, /i/, and /u/ corner vowels were obtained and their areas were compared. Kruskal-Wallis test and Mann-Whiteny U test were used as statistical methods and P < .05 was considered statistically significant. Results: There were no significant differences in formant frequencies among 3 groups except for the F2 formant frequency between H and L group (P = .003). In the analysis of vowel working space areas of 3 groups, the vowel working spaces of 3 groups were similar in shape and no significant differences of their areas were found. Conclusion: The palatal height did not affect vowel frequencies in most of the vowels and speech intelligibility. The dynamics of tongue activity seems to compensate the morphological difference.

Vegetation Structure of Pinus densiflora Community for Conservation and Restoration of Tricholoma matsutake - Pine Mushroom Appearance Area in Yangyang-gun, Kangwon-do - (송이생산지 보전 및 복원을 위한 소나무군락의 식생구조 분석 - 강원도 양양군 송이발생지역을 중심으로 -)

  • Kim, Jeong-Ho;Choi, Song-Hyun;Cho, Woo;Sung, Chan-Yong
    • Korean Journal of Environment and Ecology
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    • v.26 no.5
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    • pp.730-740
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    • 2012
  • Korea Expressway Corporation have a plan to make a new highway from East Hongcheon to Yanayang in Kangwon-do(province). This research was conducted to analyze a vegetation structure of japanese red pine forest and to prepare conservation and restoration basic information for minimizing the effects on pine mushroom producing by road construction. Considering the range of effects by road construction, twenty plots were set up near road construction reserved area, and surveyed. The result analyzed by TWINSPAN, one of the classification technique, showed that the communities were divided into four groups which are two Pinus densiflora community, Pinus densiflora-Quercus variabilis community and Pinus densiflora-Deciduous broad leaves forest community(IV). Species diversity index of each community ranged from $1.7353{\pm}0.0341$ to $1.9079{\pm}0.2471$, and the average number of species was $9.2{\pm}2.8$, especially $9.6{\pm}5.0$ at canopy layer in the unit area($100m^2$). The number of individuals ranged from 4 to 29 and average 9.55 in the unit area($100m^2$). The average RSI(relative space index) was below 35%, the average estimated age of the forest was $38{\pm}8.34$ years. The depth of $A_0$ layer of soil was 4~6cm and the range of soil acidity was pH4.70~5.63(average pH 5.29). Pine mushroom and Japanes red pine have a close symbiosis relation. Therefore it is needed that minimizing the read construction which goes through the pine mushroom producing area. If a road goes through a pine mushroom producing area, restoration measurement is prepared to prevent forest from rapid change such as succession or vegetation structure.

Target Word Selection Disambiguation using Untagged Text Data in English-Korean Machine Translation (영한 기계 번역에서 미가공 텍스트 데이터를 이용한 대역어 선택 중의성 해소)

  • Kim Yu-Seop;Chang Jeong-Ho
    • The KIPS Transactions:PartB
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    • v.11B no.6
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    • pp.749-758
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    • 2004
  • In this paper, we propose a new method utilizing only raw corpus without additional human effort for disambiguation of target word selection in English-Korean machine translation. We use two data-driven techniques; one is the Latent Semantic Analysis(LSA) and the other the Probabilistic Latent Semantic Analysis(PLSA). These two techniques can represent complex semantic structures in given contexts like text passages. We construct linguistic semantic knowledge by using the two techniques and use the knowledge for target word selection in English-Korean machine translation. For target word selection, we utilize a grammatical relationship stored in a dictionary. We use k- nearest neighbor learning algorithm for the resolution of data sparseness Problem in target word selection and estimate the distance between instances based on these models. In experiments, we use TREC data of AP news for construction of latent semantic space and Wail Street Journal corpus for evaluation of target word selection. Through the Latent Semantic Analysis methods, the accuracy of target word selection has improved over 10% and PLSA has showed better accuracy than LSA method. finally we have showed the relatedness between the accuracy and two important factors ; one is dimensionality of latent space and k value of k-NT learning by using correlation calculation.

The effect of Postural Changes on Pleural Fluid Constituents (흉수 구성 성분의 체위에 따른 차이)

  • Park, Byung-Kyu;Lee, Hyo-Jin;Kim, Yun-Seong;Heo, Jeong;Yang, Yong-Seok;Seoung, Nak-Heon;Lee, Min-Ki;Park, Soon-Kew;Shin, Young-Kee;Han, Kyeong-Moon;Choi, Pil-Sun;Soon, Choon-Hee
    • Tuberculosis and Respiratory Diseases
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    • v.43 no.2
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    • pp.221-227
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    • 1996
  • Background : Measurement of pleural fluid constituents are of value in the diagnosis of pleural effusions and in the seperation of exudates from transudates. The position of the patient(sitting or lying) prior to thoracentesis may result in difference in the measurement of these constituents. The purpose of this study is to determine whether postural differences in pleural fluid constituents exist, and if so, whether they are of any clinical significance. Method : 41 patients with pleural effusions on chest roentgenography were prospectively studied. The fluid cell counts, partial gas tension, and concentrations of chemical constituents were compared in the supine and upright positions. Results : 1) A total of 10 patients were found to have an transudative effusion. In the transudates there was no significant difference in pleural fluid constituents according to posture change. 2) A total of 31 patients were found to have an exudative effusion. Statistically significant postural changes were noted in pH, WBC counts, protein, and LDH concentrations in the exudates. It may be due to postural sedimentary effect in the pleural space. 3) The PCO2 measurements and glucose concentration were not affected by changes in position in exudates or transudates. Conclusion : Postural sedimentary effect occurs in the pleural space with reference to the measurement of certain pleural fluid constituents when an inflammatory process is present. Therefore it is recommended that thoracentesis after 30 minutes in the sitting position should be performed.

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Synthesis and Magnetic Relaxation of [Mn12O12(O2CCH2CH2CH2Cl)16(H2O)4] Complex

  • Jeon, Won-Suk;Jin, Mi-Kyung;Kim, Yoo-Jin;Jung, Duk-Young;Suh, Byoung-Jin;Yoon, Seok-Won
    • Bulletin of the Korean Chemical Society
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    • v.25 no.7
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    • pp.1036-1040
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    • 2004
  • $Mn_{12}O_{12}(O_2CCH_2CH_2CH_2Cl)_{16}(H_2O)_4]$ (noted as $Mn_{12}$-BuCl), a new polynuclear complex of manganese chlorobutyrate has been successfully prepared by substitution of acetate with 4-chlorobutyric acid. The $Mn_{12}-BuCl$ crystallizes into triclinic space group P-1 with a = 14.5560(11) ${\AA}$, b = 14.5819(11) TEX>${\AA}$, c = 27.265(2) ${\AA}$, ${\alpha}\;=\;84.1140(10)^{\circ}\;,\;{\beta}\;=\;88.805(2)^{\circ},\;{\gamma}\;=\;89.8820(10)^{\circ}$, and Z = 2. The local environments of manganese 3+ and 4+ ions of the title compound are close to those of other $Mn_{12}$ compounds. The electrochemical data for $Mn_{12}-BuCl$ involve reversible reactions of two-electron reductions. The $Mn_{12}-BuCl$ also presents magnetic relaxation below 10 K implying that each molecule behaves as a single molecule magnet.