الثلاثاء، 31 ديسمبر 2013

Stress, anxiety can lead to teeth grinding

dentists Diploma
Take a deep breath and relax. Stress and anxiety may bring some unwanted oral health concerns, such as teeth grinding—and you may not even be aware of it.
Also known as bruxism, teeth grinding is when you clench your teeth, or slide your teeth back-and-forth over each other. Often, it occurs unconsciously while you sleep.
Although it’s not considered a dangerous disorder, it can put pressure on the jaw muscles and tissues, and wear down your teeth, according to the National Institutes of Health. It may lead to jaw pain, headaches and earaches, and permanent damage to the teeth.
While there are various causes to teeth grinding, daily stress may be the biggest trigger for most people. Symptoms include sensitivity in the teeth, sore jaw and insomnia.
To treat teeth grinding, the NIH recommends reducing your daily stress and learning various relaxation techniques, such as meditation. Relaxing your face and jaw muscles throughout the day—to make a habit out of it—can also help.
Often, avoiding hard foods such as candies and nuts, drinking plenty of water, and massaging the muscles of the neck, shoulders and face can help relieve or reduce any pain.
However, there are other possible causes of teeth grinding. These include: sleep disorders; an abnormal bite; misaligned teeth; and in children, irritation in the mouth and allergies. In such cases, dentists may provide you with a mouth guard to protect your teeth during sleep. Dentists may also recommend a muscle relaxant to be used before going to bed.




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Stop the Excuses! Go to the Dentist

Dentist


Oh, you don't love spending time and money as a stranger picks, buffs, scrapes, fills or pulls your teeth? Join the club. No one says you ought to enjoy dental appointments, but that doesn't mean you should skip them. It's through the mouth that we breathe, eat, communicate and kiss, so it's usually worth 45 minutes of discomfort to keep your mouth healthy. If you're not convinced, we've debunked three popular excuses for skipping appointments.
Dental work is too expensive. Many of us have dropped a swollen, drool-soaked jaw upon leaving a dental appointment and hearing the cost of the procedure. In fact, more than one in three Americans delays dental care because of their financial situation, according to a 2013 survey by ORC International and Aspen Dental, which also shows that 61 percent of workers making less than $35,000 per year don't have dental insurance. A study from Harris Interactive and the American Dental Association elaborates on the dental divide: There are those who can afford dental care, go to the dentist and have good oral health, and then there are those who can't afford dental care, avoid the dentist and thus land with poor oral health, which is quite expensive to treat.
Yes, shelling out for fillings and cleanings can be frustrating and flat-out difficult to afford if you're broke. But putting off these necessary appointments can cost much more in the long run. Nathan Laughrey, owner of several Aspen Dental practices in western Pennsylvania, sees many patients with decay, broken teeth and lost fillings. "If they came in right away or had routine maintenance, we could have covered them with crowns and replaced fillings – a couple hundred dollars worth of work," he says. "But it turns into thousands of dollars worth of extractions and root canals."
Laughrey also has patients who have had gum disease for years but didn't recognize the warning signs – persistent bad breath and receding gums that may be red, swollen and tender, among others. So by the time they pay him a visit, he often needs to pull all their teeth. Indeed, the ADA survey shows that adults making less than $30,000 per year are more than twice as likely than those earning $30,000 or more to have had all their teeth removed.
Tooth decay and gum disease are slow, progressive problems; you don't wake up one morning and suddenly need all your teeth pulled. At regular appointments, professionals can detect warning signs, help you prevent the diseases if you're at risk and catch them in their early stages – before they do major damage to your mouth and wallet. "They're easily prevented and controlled diseases," says William Kohn, vice president of dental science and policy at Delta Dental Plans Association, and a former director of the Division of Oral Health at the Centers for Disease Control and Prevention. "But once they start, they're hard to reverse. Prevention is key to dental success."
The most obvious way to save money on dentistry, Kohn says, is to regularly spend a few bucks at the drugstore on fluoride toothpaste and floss, use the products regularly and get checkups twice a year to avoid costly dental ailments from the get-go. But if the classic "brush and floss" bit is too little too late, and you need to foot an intense bill for dental work, ask your health care provider for financing options, which may allow you to stretch payments across several months, Laughrey suggests. He also says, acknowledging that this advice could be filed under "easier said than done," to try budgeting money specifically for dentistry, just as you would for primary care checkups.
Dental appointments are uncomfortable. Well, yeah. Health care is personal, and lying back with machinery in your mouth can make you feel vulnerable. But it is what it is, and dentistry has improved vastly in the last couple decades. "A lot of people base their fears on what they had when they were kids," Laughrey says, "but modern dentistry is a whole lot different than it was in 1960." Think about what specific part of dental appointments makes you cringe, and communicate that fear to your dentist, Laughrey says. If it's the sound of the drill that curdles your blood, the dentist may suggest you bring in an iPod. If it's a needle you fear, the dentist may try an oral sedative or topical anesthetic. "We get lumped into this big pile, like we're sadists and enjoy inflicting pain, but it's much easier to work on a patient who is calm," Laughrey says. "And if you have a dentist that doesn't cater to your whims, find another one."
Even with a mouthful of cotton balls and drills, you have a voice with your dentist, so use it. Talk about fears and possible adjustments to curb them. Ask questions. "You shouldn't be afraid to ask questions, and you should really expect to receive good answers," Kohn says. And if the questions go unanswered? Or you feel unwarranted judgement as opposed to information and advice? Switch dentists.
I earn gold stars for my dental hygiene, and I'm in no oral pain. Kudos! Taking care of your teeth is the best way to ward off oral diseases and ailments. But often, the symptoms from the diseases won't be obvious until they've progressed considerably. Cue the medical expert checking for signs and risk factors. Plus, Laughrey says, a professional cleaning is usually leagues more thorough than the brushing you do at home. If you really feel like an oral health superstar – the kind with a toothbrush at the office and a special pride for being cavity-free – then simply ask the dentist if it makes more sense to come in once a year instead of twice.
And why wait until you feel pain to see the doctor? "If you have pain, it's usually too late," Laughrey says. "The definition of preventative care is to find pain ahead of time, and handle it when it's small."



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Today learner Tomorrow leader

Fake Drugs Increasing On The Net And Finding Their Way Into Legitimate Supplies

Clinical Pharmacy


Fake drugs are increasingly being sold on the Internet in a global counterfeit medicines market that has doubled in the last five years to more than $75 million. The medicines, many of which are life-threatening, have even turned up in the legitimate supply chain and found their way into pharmacies, according a review by Dr Graham Jackson and colleagues published in the March issue of the IJCP, theInternational Journal of Clinical Practice.

The problem is so big, experts on Internet security reckon that one in four of all spam adverts sent by email is for a counterfeit or unlicensed drug.

A survey of 423 doctors by the UK medical newspaper GP found that one third said they had treated, or suspect they had treated, a patient suffering from the side-effects of substandard prescription-only medication bought over the Internet.

Jackson, who is editor of the IJCP, told the press:

"Counterfeit medicines pose an every-increasing threat to public health, including death and inadequate healthcare as a result of self medication."

He and his colleagues came across several studies reporting large numbers of people buying drugs on the Internet despite being aware of the risks.

There are also large numbers of websites supplying prescription-only drugs without the need for a prescription.

"Particularly worrying examples include counterfeit cancer and heart drugs and fake vaccines sold during the bird and swine flu scares," said Jackson.

The fake drugs, sold on unverified Internet sites, often don't even contain the ingredient the sites claim they contain.

Others have variable concentrations of active ingredients, and some of the fake drugs have been found to contain dangerous poisons such as arsenic, boric acid, floor and shoe polish, talcum powder, chalk dust, brick dust, nickel, and leaded road paint.

The problem is growing so big that the European Union is developing legislation specifically to deal with it, together with stronger penalties.

In 2010, as he finished his term as European Commissioner for Enterprise and Industry, Gunter Verheugen said:

"Every faked drug is a potential massacre. Even when a medicine only contains an ineffective substance, this can lead to people dying because they think they are fighting their illness with a real drug."

The reviewers also say there is clear evidence that fake drugs are finding their way into legitimate supplies. The evidence has been recovered at all levels of the supply chain: from warehouse level, through outlets like pharmacies, to patients.

For instance, in the UK, there have been nine product recalls in the last three years, all prompted by fake drugs being found in pharmacies, or with patients. Another five recalls were due to fake drugs found at wholesalers.

Jackson and colleagues' review contains a wealth of facts and figures on what is happening internationally with counterfeit drugs, such as:

In the United States, five 'Tamiflu' vaccines tested by the Food and Drug Administration (FDA) contained no active ingredient at all.

Another four flu vaccines contained levels of active ingredient that were not FDA approved.

Seizures and detentions of counterfeit drugs in the European Union are increasing. In 2009, they accounted for 10% of all materials detained.

A large number of drugs available through the Internet are prescription only medications, but many are being sold without a prescription.

For instance, a UK study of 96 websites marketing painkillers, found that 48% of the sites sold prescription painkillers and 76% of them did not require a prescription.

Similarly, a US study that reviewed 159 websites offering controlled drugs, found 85% of them did not require a prescription.

A study by the European Alliance for Access to Safe Medicines found that 62% of the drugs bought over the Internet were counterfeit or substandard. Of these, 68% were unlicensed copies, and the rest were counterfeit branded drugs.

The study also found that 90% of sites did not require a prescription to buy prescription-only drugs.

Jackson and his colleagues even found a report of a 13-year-old being able to buy the psychostimulant drug Ritalin through the Internet.

Considering why people buy over the Internet, the reviewers write:

"Although many consumers acknowledge some degree of risk with purchasing medications via the Internet, speed, convenience and cost often prompt these purchases. "

One study they reviewed estimates that 9% of Europeans have bought prescription-only drugs via the Internet, even though 69% agreed that it was "dangerous" or a "bad idea" to do so. The most common reasons were cheaper costs (46%) and convenience (30%).

They suggest healthcare professionals should be proactive about fighting this rise in fake drugs, and urge them to report all suspected cases to the authorities.

They should advise their patients to stay clear of unregulated Internet pharmacies, and be especially suspicious of sites that offer prescription medication without prescriptions, or at huge discounts.

Jackson said the criminals that make and sell these drugs don't care about what their products do to people's health. They are increasingly targeting cancer and heart drugs, and opportunist drugs like flu vaccines, he said.

"There have also been reports of deaths from Internet drugs and some investigators suspect that many more have been overlooked or wrongly attributed to other causes," said Jackson.



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الأحد، 29 ديسمبر 2013

Monthly Pharmacy Visits Improve Adherence

Monthly Pharmacy


A program in which patients taking medication for multiple chronic conditions picked up all their medications on the same day of the month and regularly met with a pharmacist led to increased adherence.

Patients whose chronic medications were all synchronized to be refilled on the same day each month and who regularly met with a pharmacist were more likely to take the drugs as prescribed, a new study finds.



The study, published in the November/December 2013 issue of the Journal of the American Pharmacists Association, tested the effectiveness of an appointment-based medication synchronization program on medication adherence and persistence in patients taking multiple chronic medications. The program combined 2 of the most successful strategies used to improve medication adherence: constant monitoring tailored to a patient’s specific needs and standardized refill dates for complex regimens.



The quasi-experimental study was conducted in Thrifty White Pharmacy locations in rural areas of Midwestern states. Patients receiving at least 2 refills for angiotensin-converting enzyme inhibitors, beta blockers, dihydropyridine calcium channel blockers, thiazide diuretics, metformin, or statins were contacted by the pharmacy about the program. Interested patients were scheduled for a synchronization appointment, and their medication use was monitored from June 30, 2011, through October 31, 2012.



During the first synchronization appointment, pharmacists reviewed the patient’s medications, established the monthly medication refill date, scheduled a monthly call to review current medications and identify any necessary changes to the regimen, calculated a cost estimate for monthly prescriptions, and answered any questions the patient had about the program or their medications. The appointments were tailored to each patient’s needs, and pharmacists worked to identify and address patients’ specific barriers to adherence. Patients were reminded to pick up their medications 3 days before their refill date and could opt to have their prescriptions delivered or mailed. Specialized software tracked patient progress, scheduled reviews of prescription records, and sent automated messages to patients before pharmacy visits.



Patients who participated in the program had significantly higher adherence rates than those who chose not to enroll in the program. Depending on the drug class, program participants were covered by their medications for 80% to 87% of the days in the month on average, while control patients had their medications on hand only 58% to 63% of the days. Over 1 year, 66.1% to 79.5% of program patients were considered adherent, compared with 37.0% to 40.8% of those who did not participate in the program. Patients in the program had 3.4 to 6.1 times the odds of being adherent compared with control patients, and control patients were 52% to 73% more likely to stop taking their medications over the year. Approximately 67% to 74% of control patients became non-persistent, compared with just 34% to 48% of program patients.



The results indicate the effectiveness of the program in improving adherence. However, more research is needed to investigate its long-term effects. Although medication synchronization may have played a large role in improving adherence rates, the authors of the study note that patient interaction with pharmacists was also an important factor.



“Although synchronization can help remind patients, provide updates on their progress, simplify the process, and make refilling a prescription more convenient, the monthly appointment allows pharmacists to educate, engage, and solve problems,” they write. “Overemphasizing synchronization can miss a key ingredient of the program’s value.”



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handbook of nonprescription drugs

handbook of nonprescription drugs


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pharmacology 5th edition

pharmacology 5th edition


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pharmacotherapy handbook

كتاب فارماكوثيرابى









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physicians home assistant

physicians home assistant
برنامج يشخص الحالات ويحتوى على 10 موسوعات 


حمل من هناااا ....






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الأربعاء، 25 ديسمبر 2013

Symptoms in the Pharmacy




A Guide to the Management of Common Illness, 6th edition


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......Download from here


password: no password


size: 2.69 MB


type: .pdf







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The Herbal Pharmacy program

The Herbal Pharmacy program


بـرنــامــج مـتـمـيـز جــــدا



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size: 27.85 MB

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British National Formulary 61

British National Formulary 61






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Pharmaceutical Compounding and Dispensing Second Edition

Pharmaceutical Compounding and Dispensing Second Edition

Pharmaceutical Compounding


and Dispensing Second Edition


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This is a detailed and practical guide to the theory and 

practice of extemporaneous compounding and dispensing,

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size: 5.60 MB

type: .pdf





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Martindale The Complete Drug Reference

Martindale The Complete Drug Reference



أفضل مرجع فى مجال الدواء على مستوى العالم للصيادلة والأطباء


هدية لجميع من يبحث علي الانترنت ولم يجد الاسطوانة 


Martindale The Complete Drug Reference


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Download links


-------------------------------------------------

مقسم علي 3 أجزاء يلزم تحميلها جميعا

1 - القسم الاول من هنا

2 - القسم الثاني من هنا

3 -القسم الثالث من هنا

كيفية تسطيب البرنامج بالصور

http://www.mediafire.com/?sd1cw7ibgqtow74

فيديو توضيحي يشرح كيفية تغيير الامتداد علي سفن لو حد 

معرفش 

http://www.youtube.com/watch?v=rsoxC6bYO5w

بعد تحميل جميع الأجزاء قم بعمل اعادة تسمية للملفات منMp3 

الي rar

بعد تحميل جميع الأجزاء يتم تجميعها في ملف واحد من خلال 

برنامج winrar

كليك يمين علي الجزء الأول ثم اختار extract to M35\

ثم فك الضغط مرتين باستخدام نفس البرنامج

يتم تسطيب البرنامج من Setup

ثم يلزم عمل ريستارت للجهاز وبعدها سوف يستكمل البرنامج 

تسطيبه الكامل تلقائيا

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type: Prog



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Download atlas of clinical diagnosis

Download atlas of clinical diagnosis


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type: .pdf








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الثلاثاء، 24 ديسمبر 2013

Saudi Equivalences

Saudi Equivalences


Have you ever dreamed to travel to Arabian Gulf to work in your field as a pharmacist?

Now your way to success in Saudi, Emirates and Kuwait equivalences.Learn with us at the hands of skilled lecturers in this field of science.



We help you in:





Registration steps in the exam steps to obtain a visa.

Paperwork required to register for the exam method.

Studying the appropriate and most important sources that will help you to pass the exam gets all school books.

Each student will receive handout to explain board written by lecturers have passed the exam, and the most important questions and examinations.



The duration of the study is 14 lectures; 12 lectures of the explaining and 2 lectures of review and solutions exams.



There are two systems for either by the audience at the Lecture Hall or the audience Online (online for Where is the live broadcast of the lectures at the same timing at the Lecture Hall and thus able learner to communicate with lecturersvia chat or mice during the lecture and has also been recording the lecture the next day of the live broadcast).


Register Now.....


Fees:


4000 LE for class
( Can be paid on 2 installments )


4500 LE for On Line
( Can be paid on 2 installments )






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Foreign Equivalences

Diploma for Pharmacists
Have you ever dreamed to travel abroad to work in your field as a pharmacist?
Now your way to success in American, Australian and Canadian board first steps to travel abroad. Learn with us at the hands of skilled lecturers in this field of science

We help you in:

Registration steps in the exam steps to obtain a visa.
Paperwork required to register for the exam method.
Booking hotels and accommodation choose suitable mandates for the exam manner.
Studying the appropriate and most important sources that will help you to pass the exam gets all school books.
Each student will receive handout to explain board written by lecturers have passed the exam, and the most important questions and examinations.

The duration of the study is 21 lectures; 18 lectures for explaining and 3 lectures for review and solutions exams.

There are two systems for either by the audience at the Lecture Hall or the audience Online (online for where is the live broadcast of the lectures at the same timing at the Lecture Hall and thus able learner to communicate with lecturers via chat or mice during the lecture and has also been recording the lecture the next day of the live broadcast)

Contents:


01- Microbiology.
02- Immunology.
03- Autacoids and their antagonists.
04- Medicinal ghemistry and pharmacology.
05- Drug metabolism, prodrugs and pharmacogenetics.
06- Drug-drug and drug-nutrient interaction.
07- Pharnaceutical care and disease state management.
08- Drug information resource.
09- Advers drug reaction reporting.
10- Medication errors.
11- Clinical toxicology.
12- Federal pharmacy law.
13- Reviewing and dispensing prescription and medication orders.
14- Sterile products.
15- Herbal medicine.
16- Clinical pharmacokinetics and therapeutic drug monitoring.
17- Drug use in special patient population.
18- Clinical laboratory tests.
19- Coronary artery disease.
20- Cardiac arrythmia.
21- Hypertention 22-heart failure.
23- Thromboembolic disease.
24- Id.
25- Seizure disorders.
26- Parkinson disease.
27- Schizophrenia.
28- Mood disorder.
29- Astma and copd.
30- OA and RA.
31- Gout.
32- Pud.
33- Ibd.
34- Dm.
35- Thyroid disease.
36- Renal failure.
37- Cancer chemotherapy.
38- Immunosuppressive agents in organ transplantation.


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Fees:
5000 LE for class
( Can be paid on 2 installments )

5500 LE for On Line
( Can be paid on 2 installments )








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الاثنين، 23 ديسمبر 2013

Scientists capture first images of molecules before and after reaction

Every chemist’s dream – to snap an atomic-scale picture of 
achemical before and after it reacts – has now come true, 
thanks to a new technique developed by chemists and 
physicists at the University of California, Berkeley.

Using a state-of-the-art atomic force microscope, the 
scientists have taken the first atom-by-atom pictures, 
including images of the chemical bonds between atoms, 
clearly depicting how a molecule’s structure changed during a 
reaction. Until now, scientists have only been able to infer 
this 
type of information from spectroscopic analysis.
الجزيئات
Non-contact atomic force microscope (nc-AFM) images (center) of a molecule before and after a reaction improve immensely over images (top) from a scanning tunneling microscope and look just like the classic molecular structure diagrams (bottom).
“Even though I use 
these 
molecules on a day to 
day basis, actually being 
able to see these 
pictures blew me away. 
Wow!” said lead 
researcher Felix 
Fischer, 
UC Berkeley assistant 
professor of chemistry. 
“This was what my 
teachers used to say 
that you would never be 
able to actually see, and 
now we have it here.”

The ability to image 
molecular reactions in 
this way will help not 
only 
chemistry students as they study chemical structures and 
reactions, but will also show chemists for the first time the 
products of their reactions and help them fine-tune the 
reactions to get the products they want. Fischer, along with 
collaborator Michael Crommie, a UC Berkeley professor of 
physics, captured these images with the goal of building new 
graphene nanostructures, a hot area of research today for 
materials scientists because of their potential application in 
next-generation computers.

“However, the implications go far beyond just graphene,” 
Fischer said. “This technique will find application in the study 
of heterogeneous catalysis, for example,” which is used 
widely in the oil and chemical industries. Heterogeneous 
catalysis involves the use of metal catalysts like platinum to 
speed reactions, as in the catalytic converter of a car.

“To understand the chemistry that is actually happening on a 
catalytic surface, we need a tool that is very selective and 
tells us which bonds have actually formed and which ones 
have been broken,” he added. “This technique is unique out 
there right now for the accuracy with which it gives you 
structural information. I think it’s groundbreaking.”

“The atomic force microscope gives us new information 
about the chemical bond, which is incredibly useful for 
understanding how different molecular structures connect up 
and how you can convert from one shape into another 
shape,” said Crommie. “This should help us to create new 
engineered nanostructures, such as bonded networks of 
atoms that have a particular shape and structure for use in 
electronic devices. This points the way forward.”

Fischer and Crommie, along with other colleagues at UC 
Berkeley, in Spain and at the Lawrence Berkeley National 
Laboratory (LBNL), published their findings online May 30 in 
the journal Science Express.

From shadow to snapshot

Traditionally, Fischer and other chemists conduct detailed 
analyses to determine the products of a chemical reaction, 
and even then, the actual three-dimensional arrangement of 
atoms in these products can be ambiguous.

“In chemistry you throw stuff into a flask and something else 
comes out, but you typically only get very indirect 
information 
about what you have,” Fischer said. “You have to deduce 
that 


by taking nuclear magnetic resonance, infrared or ultraviolet 
spectra. It is more like a puzzle, putting all the information 
together and then nailing down what the structure likely is. But 
it is just a shadow. Here we actually have a technique at hand 
where we can look at it and say this is exactly the molecule. 
It’s like taking a snapshot of it.”
molecules
An atomic force microscope probes a molecule adsorbed onto a surface, using a carbon monoxide molecule at the tip for sensitivity.
Fischer is developing new 
techniques for making 
graphene nanostructures 
that display unusual 
quantum properties that 
could make them useful in 
nano-scale electronic 
devices. The carbon atoms 
are in a hexagonal 
arrangement like chicken 
wire. Rather than cutting up 
a sheet of pure carbon – graphene – he hopes to place a b
unch of smaller molecules onto a surface and induce them to 
zip together into desired architectures. The problem, he said, 
is how to determine what has actually been made.

That’s when he approached Crommie, who uses atomic 
force 
microscopes to probe the surfaces of materials with atomic 
resolution and even move atoms around individually on a 
surface. Working together, they devised a way to chill the 
reaction surface and molecules to the temperature of liquid 
helium – about 4 Kelvin, or 270 degrees Celsius below zero – 
which stops the molecules from jiggling around. They then 
used a scanning tunneling microscope to locate all the 
molecules on the surface, and zeroed in on several to probe 
more finely with the atomic force microscope. To enhance 
the spatial resolution of their microscope they put a single 
carbon monoxide molecule on the tip, a technique called non-
contact AFM first used by Gerhard Meyer and collaborators 
at IBM Zurich to image molecules several years ago.

After imaging the molecule – a “cyclic” structure with several 
hexagonal rings of carbon that Fischer created especially for 
this experiment – Fischer, Crommie and their colleagues 
heated the surface until the molecule reacted, and then again 
chilled the surface to 4 Kelvin and imaged the reaction 
products.

“By doing this on a surface, you limit the reactivity but you 
have the advantage that you can actually look at a single 
molecule, give that molecule a name or number, and later 
look at what it turns into in the products,” he said.

“Ultimately, we are trying to develop new surface chemistry 
that allows us to build higher ordered architectures on 
surfaces, and these might lead into applications such as 
building electronic devices, data storage devices or logic 
gates out of carbon materials.”

The research is coauthored by Dimas G. de Oteyza, Yen-
Chia Chen, Sebastian Wickenburg, Alexander Riss, Zahra 
Pedramrazi and Hsin-Zon Tsai of UC Berkeley’s Department 
of Physics; Patrick Gorman and Grisha Etkin of the 
Department of Chemistry; and Duncan J. Mowbray and Angel 
Rubio from research centers in San Sebastián, Spain. 
Crommie, Fischer, Chen and Wickenburg also have 
appointments at Lawrence Berkeley National Laboratory.





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