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An Atomic-Scale Vector Network Analyzer. SMALL METHODS 2024:e2301526. [PMID: 38381093 DOI: 10.1002/smtd.202301526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 01/16/2024] [Indexed: 02/22/2024]
Abstract
Electronic devices have been ever-shrinking toward atomic dimensions and have reached operation frequencies in the GHz range, thereby outperforming most conventional test equipment, such as vector network analyzers (VNA). Here the capabilities of a VNA on the atomic scale in a scanning tunneling microscope are implemented. Nonlinearities present in the voltage-current characteristic of atoms and nanostructures for phase-resolved microwave spectroscopy with unprecedented spatial resolution at GHz frequencies are exploited. The amplitude and phase response up to 9.3 GHz is determined, which permits accurate de-embedding of the transmission line and application of distortion-corrected waveforms in the tunnel junction itself. This enables quantitative characterization of the complex-valued admittance of individual magnetic iron atoms which show a lowpass response with a magnetic-field-tunable cutoff frequency.
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Imaging conformations of holo- and apo-transferrin on the single-molecule level by low-energy electron holography. Sci Rep 2023; 13:10241. [PMID: 37353650 PMCID: PMC10290138 DOI: 10.1038/s41598-023-37116-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 06/15/2023] [Indexed: 06/25/2023] Open
Abstract
Conformational changes play a key role in the biological function of many proteins, thereby sustaining a multitude of processes essential to life. Thus, the imaging of the conformational space of proteins exhibiting such conformational changes is of great interest. Low-energy electron holography (LEEH) in combination with native electrospray ion beam deposition (ES-IBD) has recently been demonstrated to be capable of exploring the conformational space of conformationally highly variable proteins on the single-molecule level. While the previously studied conformations were induced by changes in environment, it is of relevance to assess the performance of this imaging method when applied to protein conformations inherently tied to a function-related conformational change. We show that LEEH imaging can distinguish different conformations of transferrin, the major iron transport protein in many organisms, by resolving a nanometer-scale cleft in the structure of the iron-free molecule (apo-transferrin) resulting from the conformational change associated with the iron binding/release process. This, along with a statistical analysis of the data, which evidences a degree of flexibility of the molecules, indicates that LEEH is a viable technique for imaging function-related conformational changes in individual proteins.
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Electrospray ion beam deposition plus low-energy electron holography as a tool for imaging individual biomolecules. Essays Biochem 2023; 67:151-163. [PMID: 36960786 PMCID: PMC10070476 DOI: 10.1042/ebc20220165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 02/17/2023] [Accepted: 02/22/2023] [Indexed: 03/25/2023]
Abstract
Inline low-energy electron holography (LEEH) in conjunction with sample preparation by electrospray ion beam deposition (ES-IBD) has recently emerged as a promising method for the sub-nanometre-scale single-molecule imaging of biomolecules. The single-molecule nature of the LEEH measurement allows for the mapping of the molecules' conformational space and thus for the imaging of structurally variable biomolecules, thereby providing valuable complementary information to well-established biomolecular structure determination methods. Here, after briefly tracing the development of inline LEEH in bioimaging, we present the state-of-the-art of native ES-IBD + LEEH as a method of single-protein imaging, discuss its applications, specifically regarding the imaging of structurally flexible protein systems and the amplitude and phase information encoded in a low-energy electron hologram, and provide an outlook regarding the considerable possibilities for the future advancement of the approach.
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Landing Proteins on Graphene Trampoline Preserves Their Gas-Phase Folding on the Surface. ACS CENTRAL SCIENCE 2023; 9:151-158. [PMID: 36844500 PMCID: PMC9951278 DOI: 10.1021/acscentsci.2c00815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Indexed: 06/18/2023]
Abstract
Molecule-surface collisions are known to initiate dynamics that lead to products inaccessible by thermal chemistry. These collision dynamics, however, have mostly been examined on bulk surfaces, leaving vast opportunities unexplored for molecular collisions on nanostructures, especially on those that exhibit mechanical properties radically different from those of their bulk counterparts. Probing energy-dependent dynamics on nanostructures, particularly for large molecules, has been challenging due to their fast time scales and high structural complexity. Here, by examining the dynamics of a protein impinging on a freestanding, single-atom-thick membrane, we discover molecule-on-trampoline dynamics that disperse the collision impact away from the incident protein within a few picoseconds. As a result, our experiments and ab initio calculations show that cytochrome c retains its gas-phase folded structure when it collides onto freestanding single-layer graphene at low energies (∼20 meV/atom). The molecule-on-trampoline dynamics, expected to be operative on many freestanding atomic membranes, enable reliable means to transfer gas-phase macromolecular structures onto freestanding surfaces for their single-molecule imaging, complementing many bioanalytical techniques.
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Phase Reconstruction of Low-Energy Electron Holograms of Individual Proteins. ACS NANO 2022; 16:18568-18578. [PMID: 36367752 PMCID: PMC9706659 DOI: 10.1021/acsnano.2c06897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
Low-energy electron holography (LEEH) is one of the few techniques capable of imaging large and complex three-dimensional molecules, such as proteins, on the single-molecule level at subnanometer resolution. During the imaging process, the structural information about the object is recorded both in the amplitude and in the phase of the hologram. In low-energy electron holography imaging of proteins, the object's amplitude distribution, which directly reveals molecular size and shape on the single-molecule level, can be retrieved via a one-step reconstruction process. However, such a one-step reconstruction routine cannot directly recover the phase information encoded in the hologram. In order to extract the full information about the imaged molecules, we thus implemented an iterative phase retrieval algorithm and applied it to experimentally acquired low-energy electron holograms, reconstructing the phase shift induced by the protein along with the amplitude data. We show that phase imaging can map the projected atomic density of the molecule given by the number of atoms in the electron path. This directly implies a correlation between reconstructed phase shift and projected mean inner potential of the molecule, and thus a sensitivity to local changes in potential, an interpretation that is further substantiated by the strong phase signatures induced by localized charges.
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Quantum stochastic resonance of individual Fe atoms. SCIENCE ADVANCES 2021; 7:7/33/eabg2616. [PMID: 34380616 PMCID: PMC8357227 DOI: 10.1126/sciadv.abg2616] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 06/22/2021] [Indexed: 06/13/2023]
Abstract
Stochastic resonance, where noise synchronizes a system's response to an external drive, is a wide-reaching phenomenon found in noisy systems spanning from the dynamics of neurons to the periodicity of ice ages. Quantum tunneling can extend stochastic resonance to the quantum realm. We demonstrate quantum stochastic resonance for magnetic transitions in atoms by inelastic electron tunneling with a scanning tunneling microscope. Stochastic resonance is shown deep in the quantum regime, where spin-state fluctuations are driven by tunneling of the magnetization, and in a semiclassical crossover region, where thermally excited electrons drive transitions between ground and excited states. Inducing synchronization by periodically modulating transition rates provides a general mechanism to determine real-time spin dynamics ranging from milliseconds to picoseconds.
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Variable Repetition Rate THz Source for Ultrafast Scanning Tunneling Microscopy. ACS PHOTONICS 2021; 8:702-708. [PMID: 33763504 PMCID: PMC7976605 DOI: 10.1021/acsphotonics.0c01652] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Indexed: 05/31/2023]
Abstract
Broadband THz pulses enable ultrafast electronic transport experiments on the nanoscale by coupling THz electric fields into the devices with antennas, asperities, or scanning probe tips. Here, we design a versatile THz source optimized for driving the highly resistive tunnel junction of a scanning tunneling microscope. The source uses optical rectification in lithium niobate to generate arbitrary THz pulse trains with freely adjustable repetition rates between 0.5 and 41 MHz. These induce subpicosecond voltage transients in the tunnel junction with peak amplitudes between 0.1 and 12 V, achieving a conversion efficiency of 0.4 V/(kV/cm) from far-field THz peak electric field strength to peak junction voltage in the STM. Tunnel currents in the quantum limit of less than one electron per THz pulse are readily detected at multi-MHz repetition rates. The ability to tune between high pulse energy and high signal fidelity makes this THz source design effective for exploration of ultrafast and atomic-scale electron dynamics.
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8
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Minimally invasive spin sensing with scanning tunneling microscopy. NANOSCALE 2020; 12:11619-11626. [PMID: 32435779 DOI: 10.1039/c9nr10252c] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Minimizing the invasiveness of scanning tunneling measurements is paramount for observation of the magnetic properties of unperturbed atomic-scale objects. We show that the invasiveness of STM inspection on few-atom spin systems can be drastically reduced by means of a remote detection scheme, which makes use of a sensor spin weakly coupled to the sensed object. By comparing direct and remote measurements we identify the relevant perturbations caused by the local probe. For direct inspection we find that tunneling electrons strongly perturb the investigated object even for currents as low as 3 pA. Electrons injected into the sensor spin induce perturbations with much reduced probability. The sensing scheme uses standard differential conductance measurements, and is decoupled both by its non-local nature, and by dynamic decoupling due to the significantly different time scales at which the sensor and sensed object evolve. The latter makes it possible to effectively remove static interactions between the sensed object and the spin sensor while still allowing the spin sensing. In this way we achieve measurements with a reduction in perturbative effects of up to 100 times relative to direct scanning tunneling measurements, which enables minimally invasive measurements of a few-atom magnet's fragile spin states with STM.
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Quantum dynamics of a single molecule magnet on superconducting Pb(111). NATURE MATERIALS 2020; 19:546-551. [PMID: 32066930 DOI: 10.1038/s41563-020-0608-9] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2019] [Accepted: 01/07/2020] [Indexed: 06/10/2023]
Abstract
Magnetic materials interfaced with superconductors may reveal new physical phenomena with potential for quantum technologies. The use of molecules as magnetic components has already shown great promise, but the diversity of properties offered by the molecular realm remains largely unexplored. Here we investigate a submonolayer of tetrairon(III) propeller-shaped single molecule magnets deposited on a superconducting lead surface. This material combination reveals a strong influence of the superconductor on the spin dynamics of the single molecule magnet. It is shown that the superconducting transition to the condensate state switches the single molecule magnet from a blocked magnetization state to a resonant quantum tunnelling regime. Our results open perspectives to control single molecule magnetism via superconductors and to use single molecule magnets as local probes of the superconducting state.
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Tunable Spin-Superconductor Coupling of Spin 1/2 Vanadyl Phthalocyanine Molecules. NANO LETTERS 2018; 18:7955-7961. [PMID: 30452271 DOI: 10.1021/acs.nanolett.8b03921] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/12/2023]
Abstract
Atomic-scale magnetic moments in contact with superconductors host rich physics based on the emergence of Yu-Shiba-Rusinov (YSR) magnetic bound states within the superconducting condensate. Here, we focus on a magnetic bound state induced into Pb nanoislands by individual vanadyl phthalocyanine (VOPc) molecules deposited on the Pb surface. The VOPc molecule is characterized by a spin magnitude of 1/2 arising from a well-isolated singly occupied d xy-orbital and is a promising candidate for a molecular spin qubit with long coherence times. X-ray magnetic circular dichroism (XMCD) measurements show that the molecular spin remains unperturbed even for molecules directly deposited on the Pb surface. Scanning tunneling spectroscopy and density functional theory (DFT) calculations identify two adsorption geometries for this "asymmetric" molecule (i.e., absence of a horizontal symmetry plane): (a) oxygen pointing toward the vacuum with the Pc laying on the Pb, showing negligible spin-superconductor interaction, and (b) oxygen pointing toward the Pb, presenting an efficient interaction with the Pb and promoting a Yu-Shiba-Rusinov bound state. Additionally, we find that in the first case a YSR state can be induced smoothly by exerting mechanical force on the molecules with the scanning tunneling microscope (STM) tip. This allows the interaction strength to be tuned continuously from an isolated molecular spin case, through the quantum critical point (where the bound state energy is zero) and beyond. DFT indicates that a gradual bending of the VO bond relative to the Pc ligand plane promoted by the STM tip can modify the interaction in a continuously tunable manner. The ability to induce a tunable YSR state in the superconductor suggests the possibility of introducing coupled spins on superconductors with switchable interaction.
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Magnetic bistability of a TbPc 2 submonolayer on a graphene/SiC(0001) conductive electrode. NANOSCALE 2018; 10:2715-2720. [PMID: 29372744 DOI: 10.1039/c7nr08372f] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The alteration of the properties of single-molecule magnets (SMMs) due to the interaction with metallic electrodes is detrimental to their employment in spintronic devices. Conversely, herein we show that the terbium(iii) bis-phthalocyaninato complex, TbPc2, maintains its SMM behavior up to 9 K on a graphene/SiC(0001) substrate, making this alternative conductive layer highly promising for molecular spintronic applications.
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Dynamical Negative Differential Resistance in Antiferromagnetically Coupled Few-Atom Spin Chains. PHYSICAL REVIEW LETTERS 2017; 119:217201. [PMID: 29219401 DOI: 10.1103/physrevlett.119.217201] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2017] [Indexed: 06/07/2023]
Abstract
We present the appearance of negative differential resistance (NDR) in spin-dependent electron transport through a few-atom spin chain. A chain of three antiferromagnetically coupled Fe atoms (Fe trimer) was positioned on a Cu_{2}N/Cu(100) surface and contacted with the spin-polarized tip of a scanning tunneling microscope, thus coupling the Fe trimer to one nonmagnetic and one magnetic lead. Pronounced NDR appears at the low bias of 7 mV, where inelastic electron tunneling dynamically locks the atomic spin in a long-lived excited state. This causes a rapid increase of the magnetoresistance between the spin-polarized tip and Fe trimer and quenches elastic tunneling. By varying the coupling strength between the tip and Fe trimer, we find that in this transport regime the dynamic locking of the Fe trimer competes with magnetic exchange interaction, which statically forces the Fe trimer into its high-magnetoresistance state and removes the NDR.
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Nonlocally sensing the magnetic states of nanoscale antiferromagnets with an atomic spin sensor. SCIENCE ADVANCES 2017; 3:e1603137. [PMID: 28560346 PMCID: PMC5446215 DOI: 10.1126/sciadv.1603137] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Accepted: 03/27/2017] [Indexed: 05/11/2023]
Abstract
The ability to sense the magnetic state of individual magnetic nano-objects is a key capability for powerful applications ranging from readout of ultradense magnetic memory to the measurement of spins in complex structures with nanometer precision. Magnetic nano-objects require extremely sensitive sensors and detection methods. We create an atomic spin sensor consisting of three Fe atoms and show that it can detect nanoscale antiferromagnets through minute, surface-mediated magnetic interaction. Coupling, even to an object with no net spin and having vanishing dipolar stray field, modifies the transition matrix element between two spin states of the Fe atom-based spin sensor that changes the sensor's spin relaxation time. The sensor can detect nanoscale antiferromagnets at up to a 3-nm distance and achieves an energy resolution of 10 μeV, surpassing the thermal limit of conventional scanning probe spectroscopy. This scheme permits simultaneous sensing of multiple antiferromagnets with a single-spin sensor integrated onto the surface.
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Magnetic bistability in a submonolayer of sublimated Fe4 single-molecule magnets. NANO LETTERS 2015; 15:535-541. [PMID: 25489967 DOI: 10.1021/nl503925h] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
We demonstrate that Fe4 molecules can be deposited on gold by thermal sublimation in ultra-high vacuum with retention of single molecule magnet behavior. A magnetic hysteresis comparable to that found in bulk samples is indeed observed when a submonolayer film is studied by X-ray magnetic circular dichroism. Scanning tunneling microscopy evidences that Fe4 molecules are assembled in a two-dimensional lattice with short-range hexagonal order and coexist with a smaller contaminant. The presence of intact Fe4 molecules and the retention of their bistable magnetic behavior on the gold surface are supported by density functional theory calculations.
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UHV deposition and characterization of a mononuclear iron(III) β-diketonate complex on Au(111). BEILSTEIN JOURNAL OF NANOTECHNOLOGY 2014; 5:2139-48. [PMID: 25551042 PMCID: PMC4273306 DOI: 10.3762/bjnano.5.223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2014] [Accepted: 10/23/2014] [Indexed: 06/04/2023]
Abstract
The adsorption of the sterically hindered β-diketonate complex Fe(dpm)3, where Hdpm = dipivaloylmethane, on Au(111) was investigated by ultraviolet photoelectron spectroscopy (UPS) and scanning tunnelling microscopy (STM). The high volatility of the molecule limited the growth of the film to a few monolayers. While UPS evidenced the presence of the β-diketonate ligands on the surface, the integrity of the molecule on the surface could not be assessed. The low temperature STM images were more informative and at submonolayer coverage they showed the presence of regular domains characterized by a flat morphology and height of ≈0.3 nm. Along with these domains, tetra-lobed features adsorbed on the kinks of the herringbone were also observed. DFT-simulated images of the pristine molecule and its possible decomposition products allowed to assess the partial fragmentation of Fe(dpm)3 upon adsorption on the Au(111) surface. Structural features with intact molecules were only observed for the saturation coverage. An ex situ prepared thick film of the complex was also investigated by X-ray magnetic circular dichroism (XMCD) and features typical of high-spin iron(III) in octahedral environment were observed.
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Magnetic behaviour of TbPc2 single-molecule magnets chemically grafted on silicon surface. Nat Commun 2014; 5:4582. [PMID: 25109254 PMCID: PMC4129938 DOI: 10.1038/ncomms5582] [Citation(s) in RCA: 100] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2014] [Accepted: 07/02/2014] [Indexed: 12/26/2022] Open
Abstract
Single-molecule magnets (SMMs) are among the most promising molecular systems for the development of novel molecular electronics based on the spin transport. Going beyond the investigations focused on physisorbed SMMs, in this work the robust grafting of Terbium(III) bis(phthalocyaninato) complexes to silicon surface from a diluted solution is achieved by rational chemical design yielding the formation of a partially oriented monolayer on the conducting substrate. Here, by exploiting the surface sensitivity of X-ray circular magnetic dichroism we evidence an enhancement of the magnetic bistability of this single-molecule magnet, in contrast to the dramatic reduction of the magnetic hysteresis that characterises monolayer deposits evaporated on noble and ferromagnetic metals. Photoelectron spectroscopy investigations and density functional theory analysis suggest a non-innocent role played by the silicon substrate, evidencing the potentiality of this approach for robust integration of bistable magnetic molecules in electronic devices.
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Enhanced Vapor-Phase Processing in Fluorinated Fe4 Single-Molecule Magnets. Inorg Chem 2013; 52:5897-905. [DOI: 10.1021/ic400037c] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Magnetism of TbPc2 SMMs on ferromagnetic electrodes used in organic spintronics. Chem Commun (Camb) 2013; 49:11506-8. [DOI: 10.1039/c3cc46868b] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Depth-dependent spin dynamics in thin films of TbPc2 nanomagnets explored by low-energy implanted muons. ACS NANO 2012; 6:8390-8396. [PMID: 22917162 DOI: 10.1021/nn3031673] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We present measurements of the magnetic properties of thin film TbPc(2) single-molecule magnets evaporated on a gold substrate and compare them to those in bulk. Zero-field muon spin relaxation measurements were used to determine the molecular spin fluctuation rate of TbPc(2) as a function of temperature. At low temperature, we find that the fluctuations in films are much faster than in bulk and depend strongly on the distance between the molecules and the Au substrate. We measure a molecular spin correlation time that varies between 1.4 μs near the substrate and 6.6 μs far away from it. We attribute this behavior to differences in the packing of the magnetic cores, which change gradually on the scale of ~10-20 nm away from the TbPc(2)/Au interface.
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Does cancer survivors' health-related quality of life depend on cancer type? Findings from a large French national sample 2 years after cancer diagnosis. Eur J Cancer Care (Engl) 2011; 20:132-40. [PMID: 20345457 DOI: 10.1111/j.1365-2354.2009.01160.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We investigated whether health-related quality of life (HRQL) depends on cancer type, after adjustment for demographic and medical variables. A French national population-based survey was conducted between November and December 2004 to assess surviving cancer patients' HRQL 2 years after diagnosis. HRQL was measured by the 36-Item Short Form Survey scale. The sample included 3900 persons. All cancer diagnoses were entered in the study. We demonstrated that medical and treatment variables have an impact on patients' physical HRQL but not on mental HRQL. Cancer type impacted on physical HRQL, with those suffering from upper aerodigestive tract /lung cancers and haematological malignancies being affected to a greater degree. Disturbing side effects impacted both HRQL domains. Socio-demographic variables had statistically significant effects but not clinically meaningful ones. Socio-economic variables led to potentially clinically meaningful differences for cancer patients' HRQL and represented a socio-economic gradient in HRQL among cancer survivors. From our results, we may assert that cancer survivors, 2 years after cancer diagnosis, share a similar pattern of psychological morbidity, independent of cancer type. Patients disproportionately affected by cancer, such as those with lower educational levels and income, need to be identified and targeted and interventions which address their unique needs and concerns need to be developed.
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