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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xml:lang="en" article-type="research-article">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">applsci</journal-id>
      <journal-title>Applied Sciences</journal-title>
      <abbrev-journal-title abbrev-type="publisher">Appl. Sci.</abbrev-journal-title>
      <abbrev-journal-title abbrev-type="pubmed">Appl. Sci.</abbrev-journal-title>
      <issn pub-type="epub">2076-3417</issn>
      <publisher>
        <publisher-name>MDPI</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.3390/app2020368</article-id>
      <article-id pub-id-type="publisher-id">applsci-02-00368</article-id>
      <article-categories>
        <subj-group>
          <subject>Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Synthesis of Some New Fluorinated Hexahydroquinoline and Acridinedione Derivatives in Trifluoroethanol</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Okoro</surname>
            <given-names>Cosmas O.</given-names>
          </name>
          <xref rid="c1-applsci-02-00368" ref-type="corresp">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ogunwale</surname>
            <given-names>Mumiye A.</given-names>
          </name>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Siddiquee</surname>
            <given-names>Tasneem</given-names>
          </name>
        </contrib>
      </contrib-group>
      <aff id="af1-applsci-02-00368">Department of Chemistry, Tennessee State University, Nashville, TN 37209, USA; Email: <email>mumiye828@yahoo.com</email> (M.A.O.); <email>tsiddiqu@tnstate.edu</email> (T.S.)</aff>
      <author-notes>
        <corresp id="c1-applsci-02-00368"><label>*</label> Author to whom correspondence should be addressed; Email: <email>cokoro@tnstate.edu</email>; Tel.: +1-615-963-5325; Fax: +1-615-963-5326.</corresp>
      </author-notes>
      <pub-date pub-type="epub">
        <day>18</day>
        <month>04</month>
        <year>2012</year>
      </pub-date>
      <pub-date pub-type="collection"><month>06</month>
        <year>2012</year>
      </pub-date>
      <volume>2</volume>
      <issue>2</issue>
      <fpage>368</fpage>
      <lpage>374</lpage>
      <history>
        <date date-type="received">
          <day>29</day>
          <month>01</month>
          <year>2012</year>
        </date>
        <date date-type="rev-recd">
          <day>06</day>
          <month>04</month>
          <year>2012</year>
        </date>
        <date date-type="accepted">
          <day>09</day>
          <month>04</month>
          <year>2012</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>© 2012 by the authors; licensee MDPI, Basel, Switzerland.</copyright-statement>
        <copyright-year>2012</copyright-year>
        <license xmlns:xlink="http://www.w3.org/1999/xlink" license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0/">
          <p>This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).</p>
        </license>
      </permissions>
      <abstract>
        <p>This article describes one-pot synthesis of new fluorinated hexahydroquinoline derivatives via unsymmetric Hantzsch reaction involving 5-trifluoromethyl-1,3-cyclohexanedione, aldehydes, acetoacetate ester, and ammonium acetate in trifluoroethanol (TFE). The reaction is simple and rapid with high yield. </p>
      </abstract>
      <kwd-group>
        <kwd>unsymmetric Hantzsch reaction</kwd>
        <kwd>dihydropyridine</kwd>
        <kwd>trifluoromethyl</kwd>
        <kwd>hexahydroquinoline</kwd>
        <kwd>acridinedione</kwd>
        <kwd>trifluoroethanol</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec sec-type="intro">
      <title>1. Introduction</title>
      <p>Substituted 1,4-dihydropyridines (1,4-DHPs) are analogs of nicotine adenine dinucleotide dehydrogenase (NADH) coenzymes and are an important class of drugs [<xref ref-type="bibr" rid="B1-applsci-02-00368">1</xref>]. In recent years, attention has been paid to the synthesis of 1, 4-dihydropiridines due to their significant biological activities [<xref ref-type="bibr" rid="B2-applsci-02-00368">2</xref>]. They are well known as calcium channel modulators and have emerged as an important class of drugs for the treatment of cardiovascular diseases [<xref ref-type="bibr" rid="B3-applsci-02-00368">3</xref>]. In particular, dihydropyridine drugs, such as nifedipine, nicardipine, amlodipine are effective cardiovascular agents for the treatment of hypertension [<xref ref-type="bibr" rid="B4-applsci-02-00368">4</xref>]. Due to their ability to block the L-type calcium channel, DHPs, such as felodipines have been characterized as potentiators of several mutant cystic fibrosis transmembrane conductance regulator (CFTR) channels [<xref ref-type="bibr" rid="B5-applsci-02-00368">5</xref>]. In addition, dihydropyridine unit has been used as a hydride source for reductive amination [<xref ref-type="bibr" rid="B6-applsci-02-00368">6</xref>].</p>
      <p>
        <bold>Examples of 1,4-Dihydropyridine drugs.</bold>
      </p>
      <p><inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i001.tif"/></p>
      <p>Heterocyclic ring system, such as acridinedione is generally considered to be among the most prevalent ring systems in medicinal chemistry [<xref ref-type="bibr" rid="B7-applsci-02-00368">7</xref>]. They are known to be potent frameshift mutagens in virus and bacteria [<xref ref-type="bibr" rid="B8-applsci-02-00368">8</xref>]. Acridinediones have also been reported as antimalarial agents [<xref ref-type="bibr" rid="B9-applsci-02-00368">9</xref>].</p>
      <p>Organic compounds bearing trifluoromethyl group have attracted considerable attention due to their role in organic, medicinal, and heterocyclic synthesis. In particular, the incorporation of fluorine atom has been used by medicinal chemists to tailor the physical and metabolic profiles of drug candidates [<xref ref-type="bibr" rid="B10-applsci-02-00368">10</xref>]. For instance, addition of fluorine in the place of hydrogen has been known to enhance binding interactions, improve metabolic stability, increase CNS penetration, and eliminates ancillary ion channel activity by attenuating amine basicity [<xref ref-type="bibr" rid="B11-applsci-02-00368">11</xref>]. The electronic effect of fluorine via induction is enormous and this change could have a major effect on the binding potential of the small molecules. </p>
      <p>Polycyclic compounds, particularly heterocycles are important in medicinal chemistry because their rigid structures permit selective interaction with proteins and other receptors. The literature has few reports of dihydropyridines containing the highly electronegative and lipophilic trifluoromethyl group. Thus, the synthesis of trifluoromethylated heterocyclic compounds has drawn much attention in recent years. In continuation of our efforts towards the synthesis of fluorinated heterocycles of biological importance, we turned our attention to the synthesis of fluorinated hexahydroquinoline derivatives in trifluoroethanol (<xref ref-type="scheme" rid="applsci-02-00368-f002">Scheme 1</xref>), as potential calcium channel modulators. We chose 2,2,2-trifluoroethanol because the solvent appears to have low nucleophilicity, strong hydrogen bond donating ability and high polarity [<xref ref-type="bibr" rid="B12-applsci-02-00368">12</xref>]. It is also cheap and relatively nontoxic. </p>
      <fig id="applsci-02-00368-f002" position="anchor">
        <object-id pub-id-type="pii">applsci-02-00368-scheme1_Scheme 1</object-id>
        <label>Scheme 1</label>
        <caption>
          <p>Synthesis of fluorinated hexahydroquinoline from 5-trifluoromethyi-1,3-cyclohehexanedione, aldehydes, β- ketoesters and ammonium acetate.</p>
        </caption>
        <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-g002.tif"/>
      </fig>
    </sec>
    <sec>
      <title>2. General</title>
      <p>Apart from 5-trifluoromethyl-1,3-cyclohexanedione that was discovered by our group [<xref ref-type="bibr" rid="B13-applsci-02-00368">13</xref>], the reagents and solvents in the appropriate grades were purchased and used without further purification. Melting points were done on Mel-temp LL and were uncorrected. IR spectra were recorded on a Perkin Elmer Spectrum One FT spectrometer. <sup>1</sup>H and <sup>13</sup>C were recorded in CDCl<sub>3</sub> on Oxford NMR (300 MHz) instrument using TMS as internal standard. The elemental analysis was carried out on Perkin Elmer 2400 Elemental Analysis (C-H-N). The single crystal X-ray diffraction of <bold>4d</bold> was performedon the Rigaku XtaLAB Mini.</p>
      <p><bold>General Procedure for synthesis of compounds 4a–u</bold>: 5-(trifluoromethyl)-1,3-cyclohexanedione (1 mmol), acetoacetate ester (1 mmol) aldehyde (1 mmol), ammonium acetate (1 mmol) were dissolved in 2 mL of TFE and stirred at 50 °C. The reaction progress was monitored by TLC and TFE was removed at the end of the reaction by distillation. The crude product was purified by recrystallization from ethanol with a few drops of water to afford pure fluorinated hexahydroquinoline derivatives. </p>
      <p><bold>General Procedure for synthesis of compounds 5a–b</bold>: A mixture of 5-(trifluoromethyl)-1,3-cyclohexanedione (2 mmol), aldehyde (1 mmol), ammonium acetate (1 mmol), were dissolved in 2 mL of TFE and stirred at 50 °C for 50 min. The progress of the reaction was monitored by TLC. The crude product was purified by recrystallization from ethanol to afford pure fluorinated acridinedione <bold>5a-b</bold>.</p>
      <p>The spectroscopic data of selected compounds are shown below.</p>
      <p><bold>4-(4-chlorophenyl)-2-methyl-5-oxo-7-trifluoromethyl-1,4,5,6,7,8-hexahydroquinoline-3-carboxylic acid</bold><bold>ethyl ester (4d)</bold>: mp = 258–259 °C, <sup>1</sup>H NMR 300 MHz, CDCl<sub>3</sub> : δ = 1.28 (t, J = 7.2 Hz, 3H), 1.65 (s, 3H), 2.55–2.80 (m, 1H), 4.05 (q, J = 7.2, 2H), 5.01 (s, 1H), 6.60 (s, 1H, NH), 6.77 (d, J = 8.4 Hz, 2H), 7.28 (d, J = 8.4 Hz, 2H), <sup>13</sup>C NMR (300 MHz CDCl<sub>3</sub>): δ = 14.2, 19.1, 19.6, 25.9, 32.8, 41.4, 61.7, 102.3, 112.0, 128.7, 130.5, 131.2, 137.5, 142.2, 150.7, 167.7, 198.8; IR (KBr, cm<sup>−1</sup>) 3287, 3209, 3088, 2950, 1708, 1610; MS m/z: 75 (5%), 303 (100%), 413 (M<sup>+</sup>, 55%); Anal. Calc for C<sub>20</sub>H<sub>19</sub>ClF<sub>3</sub>NO<sub>3</sub>: C, 58.05; H, 4.63; N, 3.38%. Found: C, 57.02; H, 4.60; N, 3.40%.</p>
      <p><bold>9-(4-fluorophenyl)-3,6-bis(trifluoromethyl)-3,4,6,7,9,10-hexahydroacridine-1,8(2H,5H)-dione (5a):</bold> mp &gt; 300 (decomposes), <sup>1</sup>H NMR 300 MHz, CDCl<sub>3</sub>): δ = 1.36–2.81 (m, 8H, cyclohexyl-Hs), 2.81 (m, 4H), 2.99 (m, 2H, CH next to CF<sub>3</sub>), 4.82 (s, 1H, CH), 7.10–7.21 (m, J = 8.0, 4H, Ar-H), 8.53 (s, 1H, NH); <sup>13</sup>C NMR (300 MHz CDCl<sub>3</sub>): δ = 19.8, 25.8, 33.0, 111.9, 115.2, 130.7, 137.5, 140.0, 149.3, 160, 198.9; IR(Nujol, cm<sup>−1</sup>): 3436 (NH), 1653 (O=C–C=C–NH). MS m/z: 75(5%), 353 (100%), 447(M<sup>+</sup>, 50%). Calc for C<sub>21</sub>H<sub>16</sub>F<sub>7</sub>NO<sub>2</sub>: C, 56.38; H, 3.61; N, 3.13%. Found: C, 56.35; H, 3.66; N, 3.15%.</p>
    </sec>
    <sec sec-type="results">
      <title>3. Results and Discussion</title>
      <p>In an initial endeavor, we carried out the asymmetric Hantzsch reaction by condensing equimolar amount of 5-trifluoromethyl-1,3-cyclohexanedione, methylacetoacetate, unsubstituted benzaldehyde and ammonium acetate at 50 °C in trifluoroethanol. The reaction reached completion in 25 min (monitored by tlc) with 98% yield. Next, we extended the reactions using substituted aromatic aldehyde. The reactions were complete in 25 min as before with excellent yield regardless of the nature of the substituents on the aromatic ring. However when the reaction was carried out using butyraldehyde, the reaction was over in 50 min albeit in lower yields (entries 15, 16, <xref ref-type="table" rid="applsci-02-00368-t001">Table 1</xref>)</p>
      <table-wrap id="applsci-02-00368-t001" position="float">
        <object-id pub-id-type="pii">applsci-02-00368-t001_Table 1</object-id>
        <label>Table 1</label>
        <caption>
          <p>List of Compounds Synthesized and their percent yields.</p>
        </caption>
        <table rules="all" style="border:solid thin">
          <thead>
            <tr>
              <th align="center" valign="middle">Entry 
              <italic><sup>a</sup></italic></th>
              <th align="center" valign="middle">R</th>
              <th align="center" valign="middle">R<sub>1</sub></th>
              <th align="center" valign="middle">Product</th>
              <th align="center" valign="middle">Yield (%) 
              <italic><sup>b</sup></italic></th>
            </tr>
          </thead>
          <tbody>
            <tr>
              <td align="center" valign="middle">1</td>
              <td rowspan="2" align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i002.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4a</td>
              <td align="center" valign="middle">98</td>
            </tr>
            <tr>
              <td align="center" valign="middle">2</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4b</td>
              <td align="center" valign="middle">92</td>
            </tr>
            <tr>
              <td align="center" valign="middle">3</td>
              <td rowspan="2" align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i003.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4c</td>
              <td align="center" valign="middle">91</td>
            </tr>
            <tr>
              <td align="center" valign="middle">4</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4d</td>
              <td align="center" valign="middle">90</td>
            </tr>
            <tr>
              <td align="center" valign="middle">5</td>
              <td rowspan="2" align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i004.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4e</td>
              <td align="center" valign="middle">90</td>
            </tr>
            <tr>
              <td align="center" valign="middle">6</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4f</td>
              <td align="center" valign="middle">89</td>
            </tr>
            <tr>
              <td align="center" valign="middle">7</td>
              <td rowspan="2" align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i005.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4g</td>
              <td align="center" valign="middle">95</td>
            </tr>
            <tr>
              <td align="center" valign="middle">8</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4h</td>
              <td align="center" valign="middle">96</td>
            </tr>
            <tr>
              <td align="center" valign="middle">9</td>
              <td rowspan="2" align="center" valign="middle">
               <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i006.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4i</td>
              <td align="center" valign="middle">97</td>
            </tr>
            <tr>
              <td align="center" valign="middle">10</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4j</td>
              <td align="center" valign="middle">93</td>
            </tr>
            <tr>
              <td align="center" valign="middle">11</td>
              <td rowspan="2" align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i007.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4k</td>
              <td align="center" valign="middle">99</td>
            </tr>
            <tr>
              <td align="center" valign="middle">12</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4l</td>
              <td align="center" valign="middle">91</td>
            </tr>
            <tr>
              <td align="center" valign="middle">13</td>
              <td rowspan="2" align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i008.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4m</td>
              <td align="center" valign="middle">97</td>
            </tr>
            <tr>
              <td align="center" valign="middle">14</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4n</td>
              <td align="center" valign="middle">84</td>
            </tr>
            <tr>
              <td align="center" valign="middle">15</td>
              <td rowspan="2" align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i009.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4o</td>
              <td align="center" valign="middle">79</td>
            </tr>
            <tr>
              <td align="center" valign="middle">16</td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4p</td>
              <td align="center" valign="middle">72</td>
            </tr>
            <tr>
              <td align="center" valign="middle">17</td>
              <td align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i010.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4q</td>
              <td align="center" valign="middle">90</td>
            </tr>
            <tr>
              <td align="center" valign="middle">18</td>
              <td align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i011.tif"/>
              </td>
              <td align="center" valign="middle">Me</td>
              <td align="center" valign="middle">4r</td>
              <td align="center" valign="middle">90</td>
            </tr>
            <tr>
              <td align="center" valign="middle">19</td>
              <td align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i012.tif"/>
              </td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4s</td>
              <td align="center" valign="middle">97</td>
            </tr>
            <tr>
              <td align="center" valign="middle">20</td>
              <td align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i013.tif"/>
              </td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4t</td>
              <td align="center" valign="middle">98</td>
            </tr>
            <tr>
              <td align="center" valign="middle">21</td>
              <td align="center" valign="middle">
                <inline-graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-i014.tif"/>
              </td>
              <td align="center" valign="middle">Et</td>
              <td align="center" valign="middle">4u</td>
              <td align="center" valign="middle">97</td>
            </tr>
          </tbody>
  </table>
		<table-wrap-foot><fn><p><italic><sup>a</sup></italic> All reactions proceeded to completion <italic><sup>b</sup></italic> Yield after recrystallization</p>
		</fn>
		</table-wrap-foot>
      </table-wrap>
     <p>Upon completion of the synthesis of fluorinated hexahydroquinoline derivatives, we explored the synthesis of hexahydroacridinedione under similar conditions (<xref ref-type="scheme" rid="applsci-02-00368-f003">Scheme 2</xref> below). The reaction of two equivalents of 5-trifluoromethyl-1,3-cyclohexanedione with one equivalent each of aromatic aldehyde and ammonium acetate proceeded with good yield to give 5a and 5b, as shown in <xref ref-type="scheme" rid="applsci-02-00368-f003">Scheme 2</xref>.</p>
      <fig id="applsci-02-00368-f003" position="anchor">
        <object-id pub-id-type="pii">applsci-02-00368-scheme2_Scheme 2</object-id>
        <label>Scheme 2</label>
        <caption>
          <p>Synthesis of fluorinated hexahydroacridinedione from 5-trifluoromethyi-1,3-cyclohehexanedione, aldehydes, and ammonium acetate.</p>
        </caption>
        <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-g003.tif"/>
      </fig>
      <p>The Infra-red spectra of all the products showed intense signals for carbonyl (1740–1690 cm<sup>−1</sup>) and NH (3500–3300 cm<sup>−1</sup>) functional groups. The detailed results are given in <xref ref-type="table" rid="applsci-02-00368-t001">Table 1</xref>. The structure of <bold>4d</bold> was established by single crystal X-ray analysis (<xref ref-type="fig" rid="applsci-02-00368-f001">Figure 1</xref>) [<xref ref-type="bibr" rid="B12-applsci-02-00368">12</xref>] and IR, NMR, and elemental analysis. The crystal data has been deposited in the Cambridge Crystallographic Data Center as supplementary publication number, CCDC 843861. This is the first report of such synthesis using 5-trifluoromethyl-1,3-cyclohexanedione, rather than dimedone.</p>
      <fig id="applsci-02-00368-f001" position="anchor">
        <label>Figure 1</label>
        <caption>
          <p>ORTEP diagram of the single-crystal X-ray structure of 4d [<xref ref-type="bibr" rid="B14-applsci-02-00368">14</xref>].</p>
        </caption>
        <graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="applsci-02-00368-g001.tif"/>
      </fig>
    </sec>
    <sec sec-type="conclusions">
      <title>4. Conclusions</title>
      <p>In summary, we have described the synthesis of some new trifluoromethylated hexahydroquinoline and acridinedione derivatives via Hantzsch route using 5-trifluoromethyl-1,3-cyclohexanedione as a CF<sub>3</sub>-building block. The reaction conditions are mild, yields are high; reaction time is short; product isolation and purification are easy; and the overall process is cost effective and easy to handle. All the products are new and represent synthetically useful compounds for further elaboration. The biological evaluation of these compounds will be investigated in the future and will be published in specialized journals.</p>
    </sec>
  </body>
  <back>
    <ack>
      <title>Acknowledgments</title>
      <p>We are grateful to the US Department of Education Title III Grant, Tennessee State University, for financial support. </p>
    </ack>
    <notes>
      <title>Conflict of Interest.</title>
      <p>There is no Conflict of Interest</p>
    </notes>
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