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Zakhour M, Haddad C, Sacre H, Tarabay C, Zeidan RK, Akel M, Hallit R, Kheir N, Obeid S, Salameh P, Hallit S. Differences in the Associations between Body Dissatisfaction and Eating Outcomes by Gender? A Lebanese Population Study. Rev Epidemiol Sante Publique 2021; 69:134-144. [PMID: 33965268 DOI: 10.1016/j.respe.2021.02.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 01/22/2021] [Accepted: 02/16/2021] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The objective of this study was to evaluate the impact of the interaction between body dissatisfaction and gender on eating disorders (restrained eating, binge eating, orthorexia nervosa, and emotional eating) among a sample of Lebanese adults. METHODS This cross-sectional study, conducted between January and May 2018, enrolled 811 participants selected randomly from all Lebanese Mohafazat. The mean age of the participants was 27.6±11.8 years. The majority were females (66.5%), had a high level of education (73.2%), and low income (77.9%). This study used the following scales: body dissatisfaction subscale of the Eating Disorder Inventory-second version, binge eating scale, Dutch restrained eating scale, orthorexia nervosa scale (ORTHO-15 scale), emotional eating scale, perceived stress scale, Hamilton Anxiety Rating Scale, and Hamilton Depression Rating Scale. RESULTS Body dissatisfaction was positively correlated to restrained eating (r=0.293, P<0.001), emotional eating (r=0.073, P=0.042) and binge eating (r=0.250, P<0.001). The interaction between body dissatisfaction and gender was significantly associated with more restrained eating (Beta=0.01, P<0.001) and orthorexia nervosa (Beta=-0.09, P<0.001), but not with emotional (Beta=-0.43, P=0.103) and binge eating (Beta=-0.08, P=0.358). When stratifying the analysis by gender, the results revealed that higher body dissatisfaction was significantly associated with more restrained eating in both genders, but particularly among women. Body dissatisfaction was significantly associated with higher emotional eating in men only and with higher orthorexia nervosa tendencies and behaviors in females only. CONCLUSION The interaction between body dissatisfaction and gender was significantly associated with orthorexia nervosa and restrained eating but not with binge or emotional eating. Higher body dissatisfaction was significantly associated with higher restrained eating, more pronounced in women, while it was significantly associated with higher orthorexia tendencies (lower ORTO-15 scores) in women only. Body dissatisfaction was associated with emotional eating in men only.
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Affiliation(s)
- M Zakhour
- Faculty of Science, Lebanese University, Fanar, Lebanon
| | - C Haddad
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon,INSERM, Univ. Limoges, CH Esquirol Limoges, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, Limoges, France,INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon
| | - H Sacre
- INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon
| | - C Tarabay
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - R K Zeidan
- INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon,CERIPH: Center for Research in Public Health, Pharmacoepidemiology Surveillance Unit, Faculty of Public Health, Lebanese University, Fanar, Lebanon,Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - M Akel
- INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon,School of Pharmacy, Lebanese International University, Beirut, Lebanon
| | - R Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - N Kheir
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - S Obeid
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon,INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon,Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - P Salameh
- INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon,Faculty of Pharmacy, Lebanese University, Hadat, Lebanon,University of Nicosia Medical School, Nicosia, Cyprus
| | - S Hallit
- INSPECT-LB (Institut National de Santé Publique, d’Épidémiologie Clinique et de Toxicologie-Liban), Beirut, Lebanon,Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
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Greenberg DC, Kamara D, Tatsugawa Z, Mendoza M, Pineda E, Holschneider CH, Zakhour M. The role of the genetic testing industry in patient education of hereditary cancer: An observational study assessing the quality of patient education videos. Gynecol Oncol 2021; 161:516-520. [PMID: 33618842 DOI: 10.1016/j.ygyno.2021.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 02/07/2021] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Genetic testing (GT) companies have developed patient education videos to supplement or replace pre-test genetic counseling (GC) by certified genetic counselors (CGC). The aim of this study was to assess the quality of these videos compared to the standard of care (SOC). METHODS Videos from four major GT companies were selected from an internet search identifying pre-test patient education videos. A scoring rubric with 22 questions and 36 total points was devised to assess quality metrics, as described by the National Cancer Institute and National Society of Genetic Counselors. Twenty-two individuals with varying genetics expertise (3 gynecologic oncologists, 3 academic generalists, 4 CGC, a genetics community health worker, 3 cancer care navigators, and 8 medical students) scored each video. Scorers were blinded to others' assessments. RESULTS Invitae had the highest median score (26/36), followed by Myriad (22/36), Ambry (17.5/36), and Color (15/36). All videos scored highly in explaining DNA basics, cancer development, and hereditary cancer predisposition. All addressed benefits of GT but failed to address potential disadvantages. All scored poorly in explaining medical terms and different GT options. There was variability in addressing patient concerns including cost, privacy, and procedure. CONCLUSIONS There is significant variation in the content of pre-test patient education videos between GT companies. None of the videos met the SOC for pre-test GC, and none addressed disadvantages of GT, possibly due to a conflict of interest. With improvement in content, accessibility, and use of interactive platforms, these videos may serve as an adjunct to in-person pre-test GC.
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Affiliation(s)
- D C Greenberg
- UCLA David Geffen School of Medicine, Los Angeles, CA, USA; UC Irvine Department of Obstetrics and Gynecology, Orange, CA, USA
| | - D Kamara
- UCLA David Geffen School of Medicine, Los Angeles, CA, USA; UCLA Department of Obstetrics and Gynecology, Los Angeles, CA, USA
| | - Z Tatsugawa
- Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - M Mendoza
- Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - E Pineda
- UCLA David Geffen School of Medicine, Los Angeles, CA, USA; Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - C H Holschneider
- UCLA David Geffen School of Medicine, Los Angeles, CA, USA; UCLA Department of Obstetrics and Gynecology, Los Angeles, CA, USA; Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - M Zakhour
- UCLA David Geffen School of Medicine, Los Angeles, CA, USA; UCLA Department of Obstetrics and Gynecology, Los Angeles, CA, USA; Olive View-UCLA Medical Center, Sylmar, CA, USA.
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Nyakudarika N, Pineda E, Machicado R, Zakhour M, Sinno A, Holschneider C. Higher distress scores associated with reduced ability to complete prescribed gynecologic cancer therapy. Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2020.05.419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Prudnick R, Sterenberg G, Messingschlager C, Merrifield B, Shoemaker A, Seamon L, Harrison C, Zakhour M. Rural versus urban discrepancies in cervical cancer care in West Michigan: Does distance make a difference? Gynecol Oncol 2020. [DOI: 10.1016/j.ygyno.2019.11.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Schwartz Z, Zakhour M, Karlan B, Lester J, Rimel B, Walsh C, Li A, Cass I. Patterns of risk reducing surgery in germline homologous recombination deficiency/non-BRCA mutation carriers. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.03.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Neal A, Lai T, Nunez M, Lay F, Morselli M, Amneus M, Zakhour M, Moatamed N, Memarzadeh S. Analysis of the endometrial stroma may play an important role in predicting progestin response in complex atypical hyperplasia or grade I adenocarcinoma. Gynecol Oncol 2019. [DOI: 10.1016/j.ygyno.2019.04.551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Hodeib M, McMillen K, Beavis A, Zakhour M, Walsh C, Rimel B, Li A, Karlan B, Cass I. Risk of Uterine Cancer in Women with Deleterious BRCA Mutations Who Undergo Risk Reducing Salpingo-oophorectomy (RRSO). Gynecol Oncol 2017. [DOI: 10.1016/j.ygyno.2017.07.105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Zakhour M, Cohen JG, Gibson A, Walts AE, Karimian B, Baltayan A, Aoyama C, Garcia L, Dhaliwal SK, Elashoff D, Amneus M, Walsh C. Abnormal mismatch repair and other clinicopathologic predictors of poor response to progestin treatment in young women with endometrial complex atypical hyperplasia and well-differentiated endometrial adenocarcinoma: a consecutive case series. BJOG 2017; 124:1576-1583. [PMID: 28128512 DOI: 10.1111/1471-0528.14491] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/17/2016] [Indexed: 12/14/2022]
Abstract
OBJECTIVE To report the response to progestin therapy in young women with endometrial complex atypical hyperplasia (CAH) or FIGO grade 1 endometrial adenocarcinoma (FIGO 1 EAC) based on clinicopathologic features, including abnormal DNA mismatch repair (MMR) by immunohistochemistry (IHC). DESIGN Consecutive case series. SETTING Olive View-UCLA Medical Center in Sylmar, CA, USA, and Cedars-Sinai Medical Center in Los Angeles, CA, USA. POPULATION Women ≤55 years old with CAH or FIGO 1 EAC. METHODS Response to progestin therapy in 84 consecutive patients was assessed based on clinicopathologic factors, including age, body mass index (BMI), initial histology, and IHC staining for MMR proteins. MAIN OUTCOME MEASURES Rates of abnormal MMR protein expression and response to progestin therapy were determined. RESULTS Six (7%) patients had abnormal IHC staining, of whom five (83%) had FIGO 1 EAC at initial diagnosis. Following progestin treatment, none of the endometrial lesions in patients with abnormal IHC for MMR proteins had resolution of hyperplasia or malignancy, in contrast to 41 (53%) with normal staining (P = 0.028). Age ≤40 years and initial lesion (CAH versus FIGO 1 EAC) were predictors of response to progestin; BMI was not. CONCLUSIONS In this cohort, 7% of women ≤55 years of age with CAH or FIGO 1 EAC had loss of MMR proteins by IHC. These patients had a higher incidence of invasive cancer and a lower incidence of resolution with progestin therapy. TWEETABLE ABSTRACT Abnormal MMR protein expression predicts poor response to progestins in young women with CAH or FIGO 1 EAC.
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Affiliation(s)
- M Zakhour
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, University of California Los Angeles Medical Center, Los Angeles, CA, USA.,Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - J G Cohen
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, University of California Los Angeles Medical Center, Los Angeles, CA, USA
| | - A Gibson
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, University of California Los Angeles Medical Center, Los Angeles, CA, USA
| | - A E Walts
- Department of Pathology & Laboratory Medicine, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | - B Karimian
- Department of Pathology & Laboratory Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - A Baltayan
- Department of Pathology & Laboratory Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - C Aoyama
- Department of Pathology & Laboratory Medicine, Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - L Garcia
- Department of Obstetrics & Gynecology, Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - S K Dhaliwal
- Department of Medicine Statistics Core, University of California Los Angeles Medical Center, Los Angeles, CA, USA
| | - D Elashoff
- Department of Medicine Statistics Core, University of California Los Angeles Medical Center, Los Angeles, CA, USA
| | - M Amneus
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Olive View-UCLA Medical Center, Sylmar, CA, USA
| | - C Walsh
- Division of Gynecologic Oncology, Department of Obstetrics & Gynecology, Cedars-Sinai Medical Center, Los Angeles, CA, USA
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Hodeib M, Zakhour M, Kamrava M, Cohen J. Patterns of failure and the potential role for localized therapy inpatients with recurrent endometrial adenocarcinoma. Gynecol Oncol 2016. [DOI: 10.1016/j.ygyno.2016.08.293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Zakhour M, Laury A, Lester J, Rimel B, Walsh C, Li A, Karlan B, Leuchter R, Cass I. Serous tubal intraepithelial carcinoma lesions are common in primary peritoneal serous carcinomas. Gynecol Oncol 2016. [DOI: 10.1016/j.ygyno.2016.04.378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Vogel T, Dhaliwal J, Zakhour M, Holschneider C, Amneus M. Metabolic impact of progestin therapy for complex atypical hyperplasia and grade 1 endometrial cancer. Gynecol Oncol 2016. [DOI: 10.1016/j.ygyno.2016.04.129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Prendergast E, Green M, Zakhour M, Lester J, Li A, Walsh C, Rimel B, Leuchter R, Karlan B, Cass I. Gynecologic health surveillance and outcomes in BRCA mutation carriers following risk-reducing salpingo-oophorectomy. Gynecol Oncol 2016. [DOI: 10.1016/j.ygyno.2016.04.174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Neaime C, Amela-Cortes M, Grasset F, Zakhour M, Molard Y. Preparation of colloidal solution of silica encapsulating cyanobiphenyl unit-capped ZnO QD emitting in the blue region. Dalton Trans 2016; 45:886-90. [PMID: 26658406 DOI: 10.1039/c5dt03851k] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The encapsulation of ZnO nanoparticles (5 nm) coated by cyanobiphenyl units by the sol-gel technique leads to spherical ZnO@SiO2 nanoparticles displaying blue emission under UV excitation.
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Affiliation(s)
- C Neaime
- Institut des Sciences Chimiques de Rennes, UMR 6226 UR1-CNRS, Université de Rennes 1, Campus de Beaulieu, 35042 Rennes Cedex, France.
| | - M Amela-Cortes
- Institut des Sciences Chimiques de Rennes, UMR 6226 UR1-CNRS, Université de Rennes 1, Campus de Beaulieu, 35042 Rennes Cedex, France.
| | - F Grasset
- Institut des Sciences Chimiques de Rennes, UMR 6226 UR1-CNRS, Université de Rennes 1, Campus de Beaulieu, 35042 Rennes Cedex, France. and CNRS, UMI 3629, Laboratory for Innovative Key Materials and Structures-LINK, National Institute of Material Science, 1-1 Namiki, 305-0044, Tsukuba, Japan
| | - M Zakhour
- Lebanese University-Faculty of Science II, Chemistry Department, Laboratory of Physical Chemistry of Materials (LCPM PR2N), 90656 Fanar, Beirut, Lebanon
| | - Y Molard
- Institut des Sciences Chimiques de Rennes, UMR 6226 UR1-CNRS, Université de Rennes 1, Campus de Beaulieu, 35042 Rennes Cedex, France.
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Zakhour M, Lester J, Rimel B, Walsh C, Li A, Karlan B, Leuchter R, Cass I. Frequency of serous tubal intraepithelial carcinomas in primary peritoneal serous carcinomas. Gynecol Oncol 2015. [DOI: 10.1016/j.ygyno.2015.07.045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Zakhour M, Labrant L, Rimel B, Walsh C, Li A, Karlan B, Cass I. Too much, too late: Aggressive measures and the timing of end-of life care discussions in women with gynecologic malignancies. Gynecol Oncol 2014. [DOI: 10.1016/j.ygyno.2014.03.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Zakhour M, Li A, Walsh C, Cass I, Karlan B, Rimel B. Post treatment surveillance of type II endometrial cancer survivors. Gynecol Oncol 2012. [DOI: 10.1016/j.ygyno.2012.07.092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Cohen J, Zakhour M, Rimel B, Li A, Cass I, Karlan B, Walsh C. Identification of gynecologic oncology patients that can be fast-tracked for early discharge. Gynecol Oncol 2012. [DOI: 10.1016/j.ygyno.2012.07.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Cass I, Zakhour M, Walts A, Gross J, Karlan B. Occult cancers at risk-reducing salpingo-oophorectomies (RRSO) in BRCA mutation carriers. Gynecol Oncol 2012. [DOI: 10.1016/j.ygyno.2011.12.207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Kabalan L, Matar S, Desplanches C, Létard J, Zakhour M. Molecular and all-solid DFT studies of the magnetic and chemical bonding properties within KM[Cr(CN)6] (M=V, Ni) complexes. Chem Phys 2008. [DOI: 10.1016/j.chemphys.2008.05.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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