• 제목/요약/키워드: unit coordination

검색결과 131건 처리시간 0.024초

Understanding the Perspectives of Paediatric Physicians on Physiotherapy in Paediatric Rehabilitation in Chennai, India: A Qualitative Approach

  • Vadivelan Kanniappan;Abishek Jayapal Rajeswari;Pearlyn Esther Padma Lawrence;Subash Sundar
    • Journal of Preventive Medicine and Public Health
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    • 제57권2호
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    • pp.157-166
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    • 2024
  • Objectives: Children with disabilities may exhibit a multitude of symptoms, and treatment requires a multidisciplinary approach for a satisfactory outcome. Lack of awareness among physicians, lack of referral, and lack of inter-sectoral coordination have hindered paediatric practice in Tamil Nadu, a state in India with a striking childhood disability rate that warrants a timely interdisciplinary approach. However, the perspectives of paediatricians on paediatric physiotherapy are unknown. The aim of the study was to investigate the perspectives of practicing paediatric physicians in Chennai on the role of physiotherapy in paediatrics. Methods: For an in-depth exploration, qualitative semi-structured interviews were conducted in person with 10 paediatricians. Audio from the sessions was recorded and transcribed, and data saturation was achieved through iterative analysis. Results: A grounded theory analysis of the results yielded 5 domains under which the perspectives and expectations of the physicians were described, along with the barriers experienced by patients' parents as explained by their paediatrician. The responses highlighted deficits in awareness, structural support, accessibility and direct communication between physicians and physiotherapists. Conclusions: Paediatric physicians have different opinions, and some ignorance persists concerning paediatric physiotherapy. This study warrants a proper structure of the paediatric rehabilitation unit and regular interdisciplinary meetings and focus group discussions to increase access for parents and improve patient outcomes.

예비전력 정예화 방안 (A scheme on strengthening of R.O.K reserved force)

  • 김재삼
    • 안보군사학연구
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    • 통권5호
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    • pp.1-45
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    • 2007
  • Reserved forces of ROKA are in charge of replacement of TOE in the wartime and mission of rear area operation. But there is institutional inertia in the law and organization oriented to fill human resources rather than take mission. We need to prepare for the investment and arrangement of reserved forces as military power that would be replaced standing forces. In this portion, to reinforce reserve forces elite, First, efficient mobilization regulations and systems are suggested. I covered a maintenance of relevant mobilization ordinances which need to legislated and approved by national assembly for wartime and development of mobilization system which might lose the appropriate time for mobilization due to complicated declaration procedures and measures to overcome the panic at the initial stage of the war and organization and employment of nationwide transportation system and mobilization center. To ensure efficient resource management and mobilization of reserve forces with a number of approximately 3 million, there's a necessity of organization for integration and conciliation. To make it real, I suggested establishing and employing the mobilization center, on first phase, employ the mobilization center focusing on homeland divisions, on second phase, it is advisable to convert to national level mobilization system and develop to central mobilization center focusing on national emergency planning committee. During peacetime, in conjunction with Mobilization Cell, mobilization center can conduct resource survey and integrate and manage mobilization resources and take charge of mobilization training of subordinate units, and during wartime, in conjunction with mobilization coordination team and Cell, can ensure the execution of mobilization. Second, Future oriented reserve forces management system such as service system of reserve forces and support system of homeland defense operations. Current service and trainings of reserve forces by the year have very low connection, as it is very complex to manage the resources and trainings, and service and training lack the equity, re-establishment of service system is required. Also in an aspect of CSS and cultivation support for reserve forces, as the scope and limitation of responsibility between the armed forces and autonomous organization is obscure, conditions to conduct actual-fighting exercises are limited. Concentrated budgetting is extremely difficult because reserve forces training fields are scattered nationwide, and facilities and equipments are rapidly getting older. To improve all these, I suggest the organization of homeland defense battalion with a unit of "City-Gun-District" and supporting the local reserve forces. Conduct unit replacement or personal replacement for those who have finished their 1 or 2 years and homeland defense operation duty for those with 3-5 years for consistency and simplification. Third, I suggest Future oriented Reserved Training(FRT) and Training Center oriented training management to establish a reliable reserve training. Reserves carry out expansion of unit, conventional combat mission, homeland defense and logistics support during wartime, and actual-fighting exercise, and disaster relief, peace keeping activities. Despite diverse activities and roles, their training condition still stays definitely poor. For these reasons, Modernization of weapons and facilities through gradual replacement and procurement is essential to enhance mobilization support system.

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탈수한 $Ag^{+}$ 이온과 $Ca^{2+}$ 이온으로 치환한 제올라이트 $A,\;Ag_{12-2x}Ca_x-A\;(x=2\;and\;3)$를 Cs 증기로 처리한 결정구조 (Two Crystal Structures of Dehydrated $Ag^{+}$- and $Ca^{2+}$-Exchanged Zeolite $A,\;Ag_{12-2x}Ca_x-A\;(x=2\;and\;3)$ Treated with Cesium Vapor)

  • 송승환;김양
    • 대한화학회지
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    • 제38권9호
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    • pp.621-627
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    • 1994
  • $Ag^{+}$ 이온과 $Ca^{2+}$ 이온으로 치환된 제올라이트 $A(Ag_{12-2x}Ca_{x}-A$, x=2 및 3)$를 탈수하고 $250^{\circ}C$, 0.15torr의 Cs 증기로 처리한 결정구조를 X-선 단결정 회절법으로 입방공간군 Pm{\bar\3m(a=12.344(2){\AA}$/ 과 12.304(2) $\AA$)을 사용하여 해석하였다. 이들 구조에서 최종 오차인자 값 Rw는 I > $3\sigma(I)$인 180 및 179개의 반사를 이용하여 0.091 및 0.093까지 정밀화시켰다. 이들 구조에서 Cs종은 네 개의 서로 다른 결정학적 자리에 위치하였다. 단위세포당 세 개의 $Cs^{+}$ 이온은 8-링 중심에 위치하여, 6.81~7.14개의 $Cs^{+}$이온은 큰 동공내의 3회 회전축상 6-링상에 위치하고, 1.83~2.03개의 $Cs^{+}$ 이온은 소다라이트 동공내의 3회 회전축상에 위치하고, 0.66~0.71개의 $Cs^{+}$이온은 4-링에 위치하였다. 또한 4.12~4.27개의 Ag 원자는 큰 동공 중심 가까이에 위치하였다. 이들 구조에서 단위세포내에 과잉으로 흡착된 Cs원자들은 3회 회전축상 위에 놓여 있는 $Cs^{+}$이온과 결합하여 선형의 $(Cs_4)^{3+}$ 클라스터를 형성하고 있었다. 또 $Cs^+$ 이온이 8-링을 차지하고 있어서 은 원자가 구조 밖으로 나오지 못하게 막고 있었다. 이들 원자는 큰 동공 중심에서 hexasilver 클라스터를 형성하고 있었으며, 14개의 $Cs^{+}$ 이온과 배위하여 안정화되어 있었다.

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탈수한 $Ag_{12-x}Na_x-A$ (x = 4, 6, 및 8)를 루비듐 증기로 처리한 세가지 결정구조 (Three Crystal Structures of Dehydrated $Ag_{12-x}Na_x-A$ (x = 4, 6, and 8) Treated with Rubidium Vapor)

  • 이현도;김운식;박종열;김양
    • 대한화학회지
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    • 제38권3호
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    • pp.186-196
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    • 1994
  • $Ag^+$이온이 부분적으로 이온 교환된 zeolite A를 완전히 탈수한 결정 Ag_4Na_8-A, Ag_6Na_6-A, 및 Ag_8Na_4-A를 $250^{\circ}C에서$ 4시간 동안 약 0.1 torr의 Rb 증기로 처리하였다. 세 가지의 결정구조는 $22(1)^{\circ}C$에서 입방공간군 $Pm{\bar3}m$ (a = 12.264(4) $\AA$, a = 12.269(1) $\AA$, and a= 12.332(3) $\AA$임)을 이용하여 단결정 X-선회절법으로 해석하였고, Full-matrix 최소 자승법 정밀화 계산에서 각각 I > $3\sigma(I)$인 131개, 108개 및 94개의 독립반사를 사용하여 각각 최종오차인수 R=0.056,0.068 및 0.070까지 정밀화시켰다. 각각의 구조에서 $Rb^+$이온은 3개의 다른 결정학적 위치에서 발견되었다. 단위세포당 3개의 $Rb^+$ 이온은 8-링 중심에 위치하고 있고, 약 6.0 ~ 6.8개의 $Rb^+$ 이온은 큰 동공의 6-링과 마주보는 위치의 3회 회전축상에서 발견되었으며 약 2.5개의 $Rb^+$이온은 큰 소다라이트 동공내에서 발견되었다. 또한 Ag종은 2개의 서로 다른 결정학적 위치에서 발견되었다. 약 0.6~1.0개의 $Ag^+$이온은 4-링과 마주보는 위치에 존재하였고, 약 1.8~4.2개의 Ag원자는 큰 동공의 중심에서 헥사실버 클러스터를 형성하고 있다. 8-링 위치가 $Rb^+$이온으로 모두 차 있어서 $Ag^0$가 골조 밖으로 이동하는 것을 막을 수 있다. 각각의 헥사실버 클러스터는 6-링과 8-링의 $Rb^+$ 이온 및 4-링의 $Ag^+$이온에 의해 안종화된다.

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Kinematic Effects of Newly Designed Knee-Ankle-Foot Orthosis With Oil Damper Unit on Gait in People With Hemiparesis

  • Park, Hyung-Ki;Kim, Tack-Hoon;Choi, Houng-Sik;Roh, Jung-Suk;Cynn, Heon-Seock;Kim, Jong-Man
    • 한국전문물리치료학회지
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    • 제20권1호
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    • pp.64-73
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    • 2013
  • The purposes of this study were to develop a new orthosis controlling ankle and knee joint motion during the gait cycle and to identify the effects of the newly designed orthosis on gait kinematics and tempospatial parameters, including coordination of the extremities in stroke patients. Fifteen individuals who had sustained a stroke, onset was 16 months, participated in this study. Before application of the measurement equipment the subjects were accustomed to walking on the ankle-foot orthosis (AFO) or stance control knee with knee flexion assisted-oil damper ankle-foot orthosis (SCKAFO) for 5 minutes. Fifteen patients were investigated for 45 days with a 3-day interval between sessions. Measurements were walking in fifteen stroke with hemiparesis on the 3D motion analysis system. Comparison of AFO and SCKAFO are gait pattern. The difference between the AFO and SCKAFO conditions was significant in the gait velocity, step length of the right affected side, stance time of both legs, step-length asymmetry ratio, single-support-time asymmetry ratio, ${\phi}$-thigh angle and ${\phi}$-shank angle in the mid swing (p<.001). Using a SCKAFO in stroke patients has shown similar to normal walking speeds can be attained for walking efficiency and is therefore desirable. In this study, the support time of the affected leg with the SCKAFO was longer than with the AFO and the asymmetry ratio of single support time decreased by more than with the AFO. This indicates that the SCKAFO was effective for improving gait symmetry, single-support-time symmetry. This may be due to the decrease of gait asymmetry. Thus, the newly designed SCKAFO may be useful for promoting gait performance by improving the coordination of the extremity and decreasing gait asymmetry in chronic stroke patients.

Forestry in Malaysia : An Institutional Overview

  • Nor, Salleh Mohd.
    • 한국산림과학회지
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    • 제76권3호
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    • pp.249-255
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    • 1987
  • Forestry as with all land matters, under the Constitution, is a State matter. Thus the States, numbering 14, have considerable autonomy in decisions on forestry and related matters. However, the Federal Government, having jurisdiction over such issues as defence, education and research, endeavours to coordinate, standardise and advise the States on matters where the States have jurisdiction. However, forestry being a major revenue earner, is jealously guarded by the States. Under such circumstances and recognising the interdependencies of impacts of decisions at the State level, the institutional organisations play an important role in coordinating state activities to ensure that the benefits to the country as a whole are not sacrificed in favour of interests of individual state. Various legislative mechanisms have been established to ensure this coordinated effort. A National Forestry Council forms the apex of national political coordination. The Federal Forestry Department is responsible for coordination of developmental activities at the State level, which are implemented be the State Forestry Departments within Peninsular Malaysia. Research is carried out centrally by the Forest Research Institute of Malaysia(FRIM), a statutory body formed in 1985 from a research division of the Forestry Department. The Stares of Sabah and Sarawak have their own Forestry Departments, independent of the Federal Department, and each with its own research unit independent of FRIM. Tertiary education in forestry is the sole responsibility of the Agricultural University at Serdang with a campus for Diploma level training in Sarawak. In the developmental area in the State of Sabah, institutions have been formed to focus on specific areas of activities. The Sabah Foundation is responsible for the long term development of the State forests with a concession of about one million ha. Sabah Forest Development Authority(SAFODA) was formed to carry out reforestation of denuded areas. Sabah Forest Industries Ltd.(SFI) is responsible for the country's only integrated pulp and paper industry with its own afforestation program to support its resource supply. In Peninsular Malaysia various states have established State Corporations to manage large "sustained yield" concessions. While wildlife and state parks are managed by the respective forestry departments in Sabah and Sarawak, it is the responsibility of a separate department in Peninsula Malaysia called the Department of Wildlife and National Parks(under the Ministry of Science, Technology and Environment). Timber trade legislation and promotion in the Peninsular is the responsibility of the Malaysian Timber Industries Board(MTIB) for Peninsular Malaysia and the Sarawak Timber Industries Development Corporation(STIDC) in Sarawak. In the area of NGOs ; the Institute of Foresters Malaysia, is the professional body of forestry in the country. A Malaysian Forestry Society caters for the public participation and interest. Other environmentally related NGOs such as the Malayan Nature Society, the Environmental Protection Society, World Wildlife Fund, Friends of the Earth and the Consumers Associations also involve themselves in specific forestry activities. A number of timber trade associations are also formed by the private sector to assist the industries.

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목조주택 모형개발을 위한 평면모듈 설정에 대한 연구 - 기둥-보 방식 구조를 중심으로 - (A study on the Plan Modular Establishment for the Development of Wooden Dwelling Model - Focused on the Post & Beam Structure -)

  • 강만호;주석중;김재덕
    • 한국주거학회논문집
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    • 제18권1호
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    • pp.141-148
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    • 2007
  • In this research, to develope wooden house model with post & beam structure which is commensurate with domestic environment, we analyzed the size and module of a unit space and space organization of existing habitation, then, based on the result, we tried to suggest general wood house modules. For this, we investigated 98 floor plans for 30 pyeong apartment in Seoul, Gyounggi-do, Gwangju, and Jeolla-do. The results are showed as follows. 1) It has shown that 7 posts distances are available in 2 bay floor plan type - 3.0 m, 3.3 m, 3.6 m, 3.9 m, 4.2 m, 4.5 m, and 4.8 m. 2) It has shown that 8 posts distances are available in 3 bay floor plan type - 3.0 m, 3.3 m, 3.6 m, 3.9 m, 4.2 m, 4.5 m, 4.8 m, and 5.1 m. It was concluded as follows, applying the standard of regulations of horizontal modular coordination design, from $\ulcorner$the standard of modular coordination design in architecture(KSF 1525)$\lrcorner$. 1) The available widths are 3.0 m, 3.3 m, 3.6 m, 4.2 m, and 4.8 m, and the available depths are 3.0 m, 3.3 m, 3.6 m, and 4.2 m. 2) To guarantee a space through post module of a room combination, we can use a module of 3.6 m, 4.2 m, 4.8 m except 3.0 m, 3.3 m among available modules. The module investigated in post & beam structure wooden house is applied in basic 6 floor plans as follows. 1) When organize the room on the basis of tile module of 3.6 m, 4.2 m, it was possible to organize the floor plan. 2) After arranging main room, making practical application of variableness which is advantage of post & beam structure, putting to practical use of extra space that becomes the combination of atypical room such as kitchen, dining room, and bathroom, it was possible to organize the floor plan of the residence. 3) It is possible to organize whole rooms through the plan module from 3.6 m to 4.2 m, that decides the floor plan of a wooden house.

항만공사와 터미널운영사간 최적임대계약 결정에 관한 모형 (A Study on the Optimal Concession Contract Decision Model between Port Authority and Terminal Operators)

  • 아슈로프 압둘라지즈;김재봉
    • 한국항만경제학회지
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    • 제35권3호
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    • pp.1-18
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    • 2019
  • 오늘날 선사 간 제휴 및 기술진보 등 세계 해운환경의 급격한 변화로 항만 간 경쟁이 더욱 치열해지고 있으며, 이에 따라 항만물류서비스를 제공하는 항만공사와 터미널 운영사 간의 협력이 매우 중요하다 하겠다. 항만들은 터미널운영사와 다양한 방식으로 임대 계약을 체결하고 있으며, 터미널 운영사는 산정된 임대료 하에서 최적 운임을 결정하여 수익을 창출하고 있다. 이와 같은 상황에서 본 연구는 항만공사와 터미널운영사의 상호 이익을 극대화하는 계약 방식 도출을 목적으로 하고 있다. 즉, 본 연구는 항만공사의 이익 극대화에 초점을 맞춘 기존 연구들과 달리, 항만공사와 터미널 운영사 간의 공유이익 극대화 측면에서 최적화 계약방식을 도출하고자 한다. 이러한 맥락에서 본 연구는 항만공사와 터미널 운영사 간의 네 가지 유형의 계약방식들을 과점시장 모형인 Non-cooperation, Cooperation, Cournot 및 Collusion 모델을 상호 비교하여 각 모형의 균형을 도출하고자 한다. 본 연구의 결과 two-part tariff 계약방식이 fixed contract 및 unit contract 계약방식에 비해 항만공사와 터미널운영사간의 공유이익이 많이 창출되는 것으로 분석되고 있다. 이는 two-part tariff 계약방식의 경우 항만공사와 터미널운영사가 수익과 위험을 상호 공유하므로 터미널 운영사는 보다 많은 물동량 확보를 위해 노력을 하게 됨에 따라 공유 이익이 극대화되는 것으로 사료된다. 본 연구는 향후 항만공사와 터미널운영자 간의 항만임대료 및 운임 결정을 위한 의사결정과정에서 중요한 이론적 토대를 제공할 수 있을 것으로 기대된다.

Implantation in Ruminants: Changes in Pre-Implantation, Maternal Recognition of Pregnancy, Control of Attachment and Invasion - Review -

  • Nagaoka, K.;Yamaguchi, H.;Aida, H.;Yoshioka, K.;Takahashi, M.;Christenson, R.K.;Imakawa, K.;Sakai, S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권6호
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    • pp.845-855
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    • 2000
  • As high as 50% of pregnancies are known to fail and the majority of such losses occur during the peri-implantation period. For the establishment of pregnancy in mammalian species, therefore, implantation of the conceptus to the maternal endometrium must be completed successfully. Physiological events associated with implantation differ among mammals. In ruminant ungulates, an elongation of the trophohlast in early conceptus development is required before the attachment of the conceptus to the uterine endometrium. Moreover, implantation sites are restricted to each uterine caruncula where tissue remodeling, feto-maternal cell fusion and placentation take place in a coordinated manner. These unique events occur under strict conditions and are regulated by numerous factors from the uterine endometrium and trophoblast in a spatial manner. Interferon-tau (IFN-${\tau}$), a conceptus-derived anti-Iuteolytic factor, which rescues corpus luteum from its regression in ruminants, is particularly apt to play an important role as a local regulator in coordination with other factors, such as TGF-${\beta}$, Cox-2 and MMPs at the attachment and placentation sites.

One-Pot Reaction Involving Two Different Amines and Formaldehyde Leading to the Formation of Poly(Macrocyclic) Cu(II) Complexes

  • Lee, Yun-Taek;Kang, Shin-Geol
    • Bulletin of the Korean Chemical Society
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    • 제33권8호
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    • pp.2517-2522
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    • 2012
  • New polynuclear poly(hexaaza macrocyclic) copper(II) complexes $[1](ClO_4)_{2n}{\cdot}(H_2O)_{2n}$, $[2](ClO_4)_{2n}{\cdot}(H_2O)_{2n}$, and $[3](ClO_4)_{2n}{\cdot}(H_2O)_{2n}$ have been prepared by the one-pot reaction of formaldehyde with ethylenediamine and 1,2-bis(2-aminoethoxy)ethane, 1,3-diaminopropane, or 1,6-diaminohexane in the presence of the metal ion. The polymer complexes contain fully saturated 14-membered hexaaza macrocyclic units (1,3,6,8,10,13-hexaazacyclotetradecane) that are linked by $N-(CH_2)_2-O-(CH_2)_2-O-(CH_2)_2-N$, $N-(CH_2)_3-N$, or $N-(CH_2)_6-N$ chains. The mononuclear complex $[Cu(H_2L^5)](ClO_4)_4$ ($H_2L^5$ = a protonated form of $L^5$) bearing two $N-(CH_2)_2-O-(CH_2)_2-O-(CH_2)_2-NH_2$ pendant arms has also been prepared by the metal-directed reaction of ethylenediamine, 1,2-bis(2-aminoethoxy)ethane, and formaldehyde. The polymer complexes were characterized employing elemental analyses, FT-IR and electronic absorption spectra, molar conductance, X-ray diffraction (XRD), thermogravimetric analysis (TGA), differential scanning calorimetry (DSC), and scanning electron micrograph (SEM). Electronic absorption spectra of the complexes show that each macrocyclic unit of them has square-planar coordination geometry with a 5-6-5-6 chelate ring sequence. The polymer complexes as well as $[Cu(H_2L^5)]^{4+}$ are quite stable even in concentrated $HClO_4$ solutions. Synthesis and characterization of the polynuclear and mononuclear copper(II) complexes are reported.