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食管黏膜病变内镜黏膜下剥离术前和术后的临床病理分析 被引量:14
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作者 庄洁 吴洪磊 +4 位作者 王洪波 王红娟 陈兆生 郭建强 许伟华 《中国内镜杂志》 北大核心 2017年第10期31-36,共6页
目的回顾性分析早期食管癌和癌前病变的内镜下特征及临床病理特征,探讨内镜黏膜下剥离术(ESD)治疗的必要性、安全性和有效性。方法纳入2013年5月-2016年4月经白光内镜及病理活检诊断为早期食管癌及上皮内瘤变的患者51例,分析毛细血管袢(... 目的回顾性分析早期食管癌和癌前病变的内镜下特征及临床病理特征,探讨内镜黏膜下剥离术(ESD)治疗的必要性、安全性和有效性。方法纳入2013年5月-2016年4月经白光内镜及病理活检诊断为早期食管癌及上皮内瘤变的患者51例,分析毛细血管袢(IPCL)、碘染色、术前术后病理结果及相关并发症的发生情况。结果 51例患者共58处病变,IPCL分类58处病变中A型8处(13.79%),B1型44处(75.86%),B2型6处(10.34%);术前活检结果 11处(18.97%)为低级别上皮内瘤变(LGIN),42处(72.41%)为高级别上皮内瘤变(HGIN),5处(8.62%)为鳞状细胞癌,术后病理结果 10处(17.54%)病变为LGIN,27处(46.55%)为HGIN,21处(36.21%)病变为鳞状细胞癌,术前术后病理结果符合率为60.34%。微穿孔、狭窄和术后迟发性出血的概率分别为0.00%(0/58)、8.62%(5/58)和3.45%(2/58)。结论 ESD术后食管早癌的检出率显著增加,术前活检对诊断和治疗有指导意义,ESD治疗能减少食管早癌的漏诊。 展开更多
关键词 早期食管癌 上皮内瘤变 内镜黏膜下剥离术
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内镜下切除大肠息肉术后迟发性出血的危险因素分析 被引量:28
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作者 刘苗 王洪波 +2 位作者 陈清波 徐明垚 伍叶梅 《中国内镜杂志》 2018年第4期56-60,共5页
目的探讨大肠息肉内镜下切除术后迟发性出血(DPPB)的危险因素。方法对2014年7月-2017年7月在湖北省肿瘤医院行内镜下切除术治疗的大肠息肉1 098例患者的临床资料进行回顾性分析,研究术后DPPB的危险因素。结果纳入研究的患者1 098例,治... 目的探讨大肠息肉内镜下切除术后迟发性出血(DPPB)的危险因素。方法对2014年7月-2017年7月在湖北省肿瘤医院行内镜下切除术治疗的大肠息肉1 098例患者的临床资料进行回顾性分析,研究术后DPPB的危险因素。结果纳入研究的患者1 098例,治疗息肉2 169枚,18例患者(1.6%)出现术后DPPB,单因素分析发现患者有高血压病史(P=0.007)、息肉直径≥10 mm(P=0.009)、右半结肠息肉(P=0.015)、腺瘤性息肉(P=0.045)是DPPB的危险因素。多因素分析显示高血压病史(P=0.002,O■=4.654,95%CI:1.755~12.343)、息肉直径≥10 mm(P=0.009,O■=3.637,95%CI:1.390~9.517)、右半结肠息肉(P=0.016,O■=3.656,95%CI:1.273~10.504)是内镜下切除术后DPPB的独立危险因素。结论有高血压病史、息肉直径≥10 mm、息肉位于右半结肠的患者内镜下切除术后易出现迟发性出血,建议采取措施进行预防性止血。 展开更多
关键词 大肠息肉 内镜下切除术 迟发性出血
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Novel conductive polypyrrole/silk fibroin scaffold for neural tissue repair 被引量:6
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作者 Ya-Hong Zhao Chang-Mei Niu +3 位作者 Jia-Qi Shi Ying-Yu wang Yu-Min Yang hong-bo wang 《Neural Regeneration Research》 SCIE CAS CSCD 2018年第8期1455-1464,共10页
Three dimensional(3D) bioprinting, which involves depositing bioinks(mixed biomaterials) layer by layer to form computer-aided designs, is an ideal method for fabricating complex 3D biological structures. However,... Three dimensional(3D) bioprinting, which involves depositing bioinks(mixed biomaterials) layer by layer to form computer-aided designs, is an ideal method for fabricating complex 3D biological structures. However, it remains challenging to prepare biomaterials with micro-nanostructures that accurately mimic the nanostructural features of natural tissues. A novel nanotechnological tool, electrospinning, permits the processing and modification of proper nanoscale biomaterials to enhance neural cell adhesion, migration, proliferation, differentiation, and subsequent nerve regeneration. The composite scaffold was prepared by combining 3D bioprinting with subsequent electrochemical deposition of polypyrrole and electrospinning of silk fibroin to form a composite polypyrrole/silk fibroin scaffold. Fourier transform infrared spectroscopy was used to analyze scaffold composition. The surface morphology of the scaffold was observed by light microscopy and scanning electron microscopy. A digital multimeter was used to measure the resistivity of prepared scaffolds. Light microscopy was applied to observe the surface morphology of scaffolds immersed in water or Dulbecco's Modified Eagle's Medium at 37℃ for 30 days to assess stability. Results showed characteristic peaks of polypyrrole and silk fibroin in the synthesized conductive polypyrrole/silk fibroin scaffold, as well as the structure of the electrospun nanofiber layer on the surface. The electrical conductivity was 1 × 10^-5–1 × 10^-3 S/cm, while stability was 66.67%. A 3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2-H-tetrazolium bromide assay was employed to measure scaffold cytotoxicity in vitro. Fluorescence microscopy was used to observe Ed U-labeled Schwann cells to quantify cell proliferation. Immunohistochemistry was utilized to detect S100β immunoreactivity, while scanning electron microscopy was applied to observe the morphology of adherent Schwann cells. Results demonstrated that the polypyrrole/silk fibroin scaffold was not cytotoxic and did not affect Schwann cell proliferation. Moreover, filopodia formed on the scaffold and Schwann cells were regularly arranged. Our findings verified that the composite polypyrrole/silk fibroin scaffold has good biocompatibility and may be a suitable material for neural tissue engineering. 展开更多
关键词 nerve regeneration composite nanofiber SCAFFOLD three dimensional bioprinting ELECTROSPINNING silk fibroin POLYPYRROLE L929 cells conductivity Schwann cells BIOCOMPATIBILITY nerve repair neural regeneration
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The history, hotspots, and trends of electrocardiogram 被引量:4
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作者 Xiang-Lin YANG Guo-Zhen LIU +7 位作者 Yun-Hai TONG Hong YAN Zhi XU Qi CHEN Xiang LIU Hong-Hao ZHANG hong-bo wang Shao-Hua TAN 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2015年第4期448-456,共9页
心电图(ECG ) 在心血管的疾病的临床的诊断和预后有宽广应用。许多研究人员贡献了它的进步发展。纪念那些先驱,并且更好学习并且支持 ECG 的使用,我们考察了并且这里关于 ECG 的历史,热点,和趋势介绍系统的介绍。在历史的部分,包... 心电图(ECG ) 在心血管的疾病的临床的诊断和预后有宽广应用。许多研究人员贡献了它的进步发展。纪念那些先驱,并且更好学习并且支持 ECG 的使用,我们考察了并且这里关于 ECG 的历史,热点,和趋势介绍系统的介绍。在历史的部分,包括发明的信息,改进,和 ECG 的广泛的应用,例如在长 QT 症候群(LQTS )(MI ) ,咽峡炎,和心肌的梗塞,按序被介绍。从 1990 年代的新技术和应用也被介绍。在第二部分,我们使用 bibliometric 分析方法在 ECG 相关的研究的领域里分析热点。由把全部的引证和年特定的全部的引证用作我们的主要标准,在 ECG 相关的研究的四个关键热点从 11 篇文章被识别,包括 atrial 纤维性颤动, LQTS,咽峡炎和 MI,和心率可变性。在那些四个区域的最近的研究也被报导。在最后的部分,我们有关 ECG 相关的研究讨论未来趋势。作者相信 ECG 乐器学,为 ECG 的大数据采矿,和诊断的精确性的那改进,申请将是连续担心的区域。 展开更多
关键词 心电图 历史 总被引频次 长QT综合征 文献计量分析 临床诊断 心肌梗死 心血管疾病
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Accumulated Clinical Experiences from Successful Treatment of 1377 Severe and Critically Ill COVID-19 Cases 被引量:2
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作者 Yong GAO Hai-bo QIU +27 位作者 Shu ZHOU Zhen-ning wang Jian-chu ZHANG Zheng-liang ZHANG Zhao-xin QIAN hong-bo wang Shi-huan YU Yi-feng LUO Ya dan wang Zhuang LIU Wei-ci wang Ming JIA Li-ming ZHANG Yu ZHANG Yang JIN Yong ZHANG Yong LIU Zi-hua ZHOU Ying SU Hui-qing LI Wei-min XIAO Kai HUANG Ping HE Gang LI Zhao-hui FU Shi LIU Neng xing LIN Fan-jun CHENG 《Current Medical Science》 SCIE CAS 2020年第4期597-601,共5页
Summary:In late December 2019,COVID-19 was firstly recognized in Wuhan,China and spread rapidly to all of the provinces of China.The West Campus of Wuhan Union Hospital,the designated hospital to admit and treat the s... Summary:In late December 2019,COVID-19 was firstly recognized in Wuhan,China and spread rapidly to all of the provinces of China.The West Campus of Wuhan Union Hospital,the designated hospital to admit and treat the severe and critically ill COVID-19 cases,has treated a large number of such patients with great success and obtained lots of valuable experiences based on the Chinese guideline(V7.0).To standardize and share the treatment procedures of severe and critically ill cases,Wuhan Union Hospital has established a working group and formulated an operational recommendation,including the monitoring,early warning indicators,and several treatment principles for severe and critically ill cases.The treatment experiences may provide some constructive suggestions for treating the severe and critically ill COVID-19 cases all over the world. 展开更多
关键词 2019-nCoV COVID-19 PNEUMONIA TREATMENT GUIDELINES
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Synthesis and tumor resistance reverse activities of α-hederagenin-type ring-A fused pyrazine derivatives
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作者 Xiao wang Xian-xuan LIU +2 位作者 Yan-ting YANG hong-bo wang Yi BI 《中国药理学与毒理学杂志》 CAS CSCD 北大核心 2018年第4期308-308,共1页
α-Hederagenin(H),derived from Hedera nepalensis var.sinensis,is a pentacyclic oleane-type triterpenoid that exhibits clear cytotoxicity to different tumor cell lines.In this study,a series of novel C-28 derivatives o... α-Hederagenin(H),derived from Hedera nepalensis var.sinensis,is a pentacyclic oleane-type triterpenoid that exhibits clear cytotoxicity to different tumor cell lines.In this study,a series of novel C-28 derivatives of hederagenin(H) were designed and synthesized in attempt to develop potent tumor resistance reverse activities agents.Previous research showed that H6 displayed robust reverse activity for paclitaxel resistance in KBV cells.Importantly,Co-treatment of paclitaxel with H6 significantly reduced the tumor weight to 42%.Pleasingly,H6 enhanced the efficacy of paclitaxel against KBV cancer cell-derived xenograft tumors in nude mice.Mechanism studies had found that H6 activated permeability glycoprotein(P-gp) ATPase,reduced intracellular ATP levels and inhibited efflux of P-gp substrates,thus enhancing the antitumor activity of paclitaxel on KBV cells.Molecular docking analysis of homology P-gp and H6 then conducted using the Surflex-Dock module.H6 showed a high binding affinity docking score with a total score of 5.4148,much higher than that of H(0.1414).The nov.el C-28 derivatives of H was synthesized from H6 via three-step reaction.The reversal activity of all synthesized H derivatives were tested using the MTT assay.The results showed that the derivatives of nitrogen groups at C-28 displayed same even potent activity than parent compound H6.In addition,its underlying mechanism of action and in vivo activity are in explore. 展开更多
关键词 五环烯烃 化合物 治疗方法 临床分析
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Microstructure and nanoindentation hardness of shot-peened ultrafine-grained low-alloy steel 被引量:2
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作者 Xiao-wei Feng Juan Xie +3 位作者 Wen-ying Xue Yong-feng Shen hong-bo wang Zhen-yu Liu 《Journal of Iron and Steel Research(International)》 SCIE EI CAS CSCD 2019年第5期472-482,共11页
The effect of shot peening (SP) on microstructure and hardness of ultrafine-grained (UFG) low-alloy steel was investigated. With increasing shot-peening time from 0.5 to 1.5 h, grain size of UFG low-alloy steel decrea... The effect of shot peening (SP) on microstructure and hardness of ultrafine-grained (UFG) low-alloy steel was investigated. With increasing shot-peening time from 0.5 to 1.5 h, grain size of UFG low-alloy steel decreases from 400 to 280 nm at surface whilst that of the layer with a depth of 160μm decreases from (230 ± 15) to (75 ± 5) nm. Interestingly, nanoindentation shows that hardness increases linearly with increasing the SP duration, reaching a value as high as (7.10 ± 0.1) GPa at the depth of 160 μm after the SP duration of 1.5 h. The thickness of the SP treated layer is measured as^300 μm. The Hall-Petch (H-P) relationship was established for the hardening layer. Correspondingly, abrasion resistance should be ~51% higher than that of as-prepared UFG low-alloy steel. As shown in SP processing, grain refinement is the key factor responsible for the strengthening of the studied steel. 展开更多
关键词 Low-alloy steel Shot PEENING GRAIN REFINEMENT NANOINDENTATION HARDNESS
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Hepatic Resection Versus Stereotactic Body Radiation Therapy Plus Transhepatic Arterial Chemoembolization for Large Hepatocellular Carcinoma:A Propensity Score Analysis 被引量:2
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作者 Jing Sun Wen-Gang Li +8 位作者 Quan wang Wei-Ping He hong-bo wang Ping Han Tao Zhang Ai-Min Zhang Yu-Ze Fan Ying-Zhe Sun Xue-Zhang Duan 《Journal of Clinical and Translational Hepatology》 SCIE 2021年第5期672-681,共10页
Background and Aims:There are no comparative studies on the efficacy of hepatic resection(HR)and CyberKnife stereotactic body radiation therapy(CK-SBRT)plus transhepatic arterial chemotherapy embolization(TACE)in the ... Background and Aims:There are no comparative studies on the efficacy of hepatic resection(HR)and CyberKnife stereotactic body radiation therapy(CK-SBRT)plus transhepatic arterial chemotherapy embolization(TACE)in the treatment of large hepatocellular carcinoma(HCC).Therefore,this study aimed to compare the efficacy of HR and CKSBRT+TACE in large HCC.Methods:A total of one hundred and sixteen patients were selected from November 2011 to December 2016.Among them,50 were allocated to the CKSBRT+TACE group and 66 were allocated to the HR group.The Kaplan-Meier method was applied to calculate overall survival(OS)and progression-free survival(PFS)rates.Propensity score matching was performed to control for baseline differences between the groups.Results:Thirtysix paired patients were selected from the CK-SBRT+TACE and HR groups.After propensity score matching,the 1-,2-and 3-year OS rates were 83.3%,77.8%and 66.7%in the HR group and 80.6%,72.2%and 52.8%in the CKSBRT+TACE group,respectively.The 1-,2-and 3-year PFS rates were 71.6%,57.3%and 42.3%in the HR group and 66.1%,45.8%and 39.3%in the CK-SBRT+TACE group,respectively(OS:p=0.143;PFS:p=0.445).Both a high platelet count and low alpha-fetoprotein value were revealed as influencing factors in improving OS and PFS.Conclusions:CK-SBRT+TACE brought local effects that were similar to those of HR in HCC patients with a large and single lesion.Moreover,the liver injury occurrence rate was acceptable in both groups. 展开更多
关键词 CYBERKNIFE Radiation-induced liver disease Survival rates Large hepatocellular carcinoma
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三种不同自适应开关的高效WENOCU4格式研究 被引量:1
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作者 Liang LI hong-bo wang +3 位作者 Guo-yan ZHAO Ming-bo SUN Da-peng XIONG Tao TANG 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2020年第9期695-720,共26页
目的:现有研究尚未提供WENOCU4格式中参数C的建议值。本文旨在根据流场特性自适应地调节参数C的量级从而提高格式的数值表现。为此,通过广泛的数值模拟以提供自适应参数C的参考值,并系统地评估三种能够自适应调节参数C的开关的性能,测... 目的:现有研究尚未提供WENOCU4格式中参数C的建议值。本文旨在根据流场特性自适应地调节参数C的量级从而提高格式的数值表现。为此,通过广泛的数值模拟以提供自适应参数C的参考值,并系统地评估三种能够自适应调节参数C的开关的性能,测得综合表现最佳的开关,进而为获得高阶WENO改进型格式提供参考。创新点:1.提供了高效WENOCU4格式的自适应参数C的参考值;2.系统地评估了三种自适应开关(二进制型、连续型和双曲正切型)的性能,并证实了二进制型开关的最佳表现。方法:1.通过理论分析,系统研究三种自适应开关的原理和性能特点;2.通过广泛的数值模拟(包括一维标量方程、经验色散关系和多维欧拉方程的标准算例),获得自适应参数C的参考值并验证其合理性;3.通过广泛的数值模拟,系统评估三种自适应开关的综合表现(包括数值色散和耗散特性以及计算效率),并获得综合性能最佳的自适应开关。结论:1.对于高效WENOCU4格式而言,本研究证实了Cmin=40和Cmax=400是合理的自适应参数C的参考值,因此不应该直接采用WENOCU6的原始建议值。2.根据流场的连续性,采用自适应的参数C可以在保证数值稳定性的同时,有效地抑制WENOCU4的数值耗散。3.相比于其它开关,二进制型开关的综合表现最佳;其能够过滤激波感知器在光滑区域的一些误判,构造简单,且计算效率较高。4.本研究对三种自适应开关的评估具有一般性,因此易于拓展到其它高阶WENO格式的改进工作中。 展开更多
关键词 WENOCU4 激波捕捉格式 自适应开关 数值鲁棒性 耗散性
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Application of Parallel Mechanism in Varistructured Quadruped/Biped Human-carrying Walking Chair Robot 被引量:1
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作者 Ling-Feng Sang hong-bo wang +3 位作者 Dian-Fan Zhang Zhen-Hua Tian Fu-Hai Deng De-Lei Fang 《International Journal of Automation and computing》 EI CSCD 2013年第5期447-454,共8页
For the existing problems of walking chair robot such as simple function,lower bearing capacity and not walking in complex environment,a novel varistructured quadruped / biped human-carrying walking chair robot is pro... For the existing problems of walking chair robot such as simple function,lower bearing capacity and not walking in complex environment,a novel varistructured quadruped / biped human-carrying walking chair robot is proposed.The proposed robot could be used as biped and quadruped walking chair robots.Considering the conversion of the walking chair robot from the quadruped to the biped or vice versa,6-UPS and 2-UPS+UP(U,P and S are universal joint,the prismatic pair,and sphere joint,respectively) parallel mechanisms are selected as the leg mechanism of the biped walking robot and quadruped walking robot,respectively.Combining the screw theory and theory of mechanism,the degrees of freedom of the leg mechanism and the body mechanism in diferent motion states are computed so as to meet the requirements of mechanism design.The motion characteristics of the 2-UPS+UP parallel mechanism which is the key part of the walking chair robot are analyzed.Then,the workspace of the moving platform is drawn and the efect of the structural parameters on the workspace volume is studied.Finally,it is found that the volume of the workspace of the moving platform is bigger when the side length ratio and the vertex angle ratio of the fxed platform and the moving platform which are isosceles triangles are close to 1.This study provides a theoretical foundation for the prototype development. 展开更多
关键词 Human-carrying walking chair robot parallel leg mechanism degree of freedom varistructure workspace kinematics
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Stabilization mechanisms of lifted flames in a supersonic stepped-wall jet combustor
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作者 Jin-cheng ZHANG Ming-bo SUN +2 位作者 Zhen-guo wang hong-bo wang Chao-yang LIU 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2021年第4期314-330,共17页
Flame stabilization is the key to extending scramjets to hypersonic speeds;accordingly,this topic has attracted much attention in theoretical research and engineering design.This study performed large eddy simulations... Flame stabilization is the key to extending scramjets to hypersonic speeds;accordingly,this topic has attracted much attention in theoretical research and engineering design.This study performed large eddy simulations(LESs)of lifted hydrogen jet combustion in a stepped-wall combustor,focusing on the flame stabilization mechanisms,especially for the autoignition effect.An assumed probability density function(PDF)approach was used to close the subgrid chemical reaction source.The reliability of the solver was confirmed by comparing the LES results with experimental data and published simulated results.The hydrogen jet and the incoming stream were first mixed by entraining large-scale vortices in the shear layer,and stable combustion in the near-wall region was achieved downstream of the flame induction region.The autoignition cascade is a transition of fuel-rich flame to stoichiometric ratio flame that plays a role in forming the flame base,which subsequently causes downstream flame stabilization.Three cases with different jet total temperatures are compared,and the results show that the increase in the total temperature reduces the lift-off distance of the flame.In the highest total temperature case,an excessively large scalar dissipation rate inhibits the autoignition cascade,resulting in a fuel-rich low-temperature flame. 展开更多
关键词 Large eddy simulation(LES) AUTOIGNITION Lifted flame Flame stabilization Assumed probability density function(PDF)
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High-pressure polymorphs of LiPN2: A first-principles study
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作者 Jian Lv Xin Yang +3 位作者 Dan Xu Yu-Xin Huang hong-bo wang Hui wang 《Frontiers of physics》 SCIE CSCD 2018年第5期147-152,共6页
In this work, high-pressure phase behavior of LiPN2 within 0-300 GPa was studied by using an unbiased structure searching method in combination with first-principles calculations. Three pressure- induced phase transit... In this work, high-pressure phase behavior of LiPN2 within 0-300 GPa was studied by using an unbiased structure searching method in combination with first-principles calculations. Three pressure- induced phase transitions were predicted, as tI16 →hR4 →cF64 → oP8 at 44, 136, and 259 GPa, respectively. The six-fold coordination environments were found for all high-pressure polymorphs, which are substantially different from the four-fold coordination environments observed in the tI16 structure. The hR4 and cF64 structures consist of close-packed PN6 and LiN6 octahedra connected by edge-sharing, whereas the oP8 structure is built up from edge- and face-sharing PN6 and LiN6 octahedra with N lying in the center of the trigonal prisms. The electronic structure analysis reveals that LiPN2 is a semiconductor within the pressure range studied and P-N and Li-N bonds are covalent and ionic, respectively. The results obtained are expected to provide insight and guidance for future experiments on LiPN2 and other alkali metal nitridophosphates. 展开更多
关键词 lithium nitridophosphates phase transition high pressure first principles
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