The structure of silicene, the two-dimensional honeycomb sheet of Si, grown on Ag(111) was investigated by scanning tunneling microscopy (STM) and low-energy electron diffraction (LEED) combined with density functional theory (DFT) calculation. Two atomic arrangements of honeycomb configuration were found by STM, which are confirmed by LEED and DFT calculations; one is 4×4 and the other is √13×√13 R13.9°. In the 4×4 structure, the honeycomb lattice remains with six atoms displaced vertically, whereas the √13×√13 R13.9° takes the regularly buckled honeycomb geometry.

We demonstrate that silicene, a 2D honeycomb lattice consisting of Si atoms, loses its Dirac fermion characteristics due to substrate-induced symmetry breaking when synthesized on the Ag(111) surface. No Landau level sequences appear in the tunneling spectra under a magnetic field, and density functional theory calculations show that the band structure is drastically modified by the hybridization between the Si and Ag atoms. This is the first direct example demonstrating the lack of Dirac fermions in a single layer honeycomb lattice due to significant symmetry breaking.

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MDC patients were found to have more effective medication prescription according to K/DOQI guidelines and slower renal function declines in advanced/late-stage CKD. After MDC intervention, CKD patients had a better survival rate and were more likely to initiate renal replacement therapy (RRT) instead of mortality.