Case report on pre-orthodontic trainer in a 9-year-old child with 12 months follow up

BACKGROUND: Pre-fabricated myofunctional appliances for early orthodontic therapy have been designed specifically for the care of children at the time of mixed dentition in growing adolescents with class II division 1 malocclusions. Sophisticated prefabricated removable functional appliances known as pre-orthodontic trainers have been shown to train the orofacial musculature, thus correcting malocclusions. CASE DESCRIPTION: This is a case report of 9-year-old boy diagnosed as Class II division 1 malocclusion with protruded upper anterior teeth, constricted upper arch, space loss in lower arch and Class 2 molar relation on side. Functional treatment approach was decided using pre orthodontic T4K trainer for 12 months. At the end of this phase of treatment, improvements have been evaluated with lateral cephalograms superimposition between T1 and T2. DISCUSSION: Class II orthopaedic treatment along with the use of functional appliances by early interception assist in addressing the concerns with soft tissues, muscles, mouth respiration, and bruxism. The pre orthodontic trainer allowed a good dento-skeletal result as it had a major effect on the masticatory muscles after 12 months application which helped in obtaining a good esthetic outcome for the patient. CONCLUSIONS: The use of prefabricated functional appliance in children can be an advantageous method for early treatment of class II malocclusions with functional patterns as these devices influences masticatory muscle which help in molding the facial tissues and a viable alternative to braces for treating malocclusions in children because it stimulates the development of the dental arches transversely to stop the progression of the malocclusion. Therefore, when a lack of transverse development is discovered at a young age, this appliance is an invaluable tool for enhancing dental arch development, interceptive management of malocclusion, and oral habits.

Networking and co-occurrence of virulent and multidrug resistant environmental bacteria in different aquatic systems: A gap in MDR-virulence transfer?

Co-occurrence of resistance and virulence is often overlooked in aquatic bacteria as environmental reservoirs, while transmission of these characteristics to clinically significant strains present unforeseen problems in future. In this investigation, environmental bacteria identified concurrently from multiple aquatic habitats viz., groundwater, canal, river and coastal waters were profiled for antibiotic resistance, metal tolerance, virulence factors and genes coding for these determinants. Strains from polluted river and canal exhibited higher resistance and virulence, especially Pseudomonas gessardii and P. fluorescens displayed high antibiotic resistance index (ARI > 0.6-0.8) with Alkaline Protease and Phospholipase production. Opportunistic pathogens including Vibrio parahaemolyticus, V. alginolyticus, V. vulnificus, Corynebacterium and Comamonas testosteroni expressed all three virulence factors with relatively low resistance. However, V. vulnificus and V. alginolyticus exhibited multiclass antibiotic resistance (5/6 classes). Metagenomic analysis revealed that genes corresponding to beta-lactam resistance were significantly higher (p < 0.05) in freshwater than seawater, while multidrug resistance gene were higher (p < 0.05) in seawater. In all aquatic bodies, abundant virulence genes belonged to secretion system proteins followed by motility related genes. Culturable bacteria revealed differential distribution of positive and negative correlation between 31 targeted genes with expressed resistance and virulence. Among Acinetobacter, significant positive correlation was found between Phospholipase production, other virulence genes (OVGs) and resistance to DNA Synthesis Inhibitors (DSI). In Pseudomonas, positive correlation was detected between toxin genes (toxA, eta, hlyA and stx) and resistance to cell wall synthesis inhibitors (CSI) as well as with OVGs and adhesion genes (eae, afa, papC and papA). Network analysis displayed unique clustering of genes ncc, arsB, strA, merA and intI dominated by non-pathogens and distinct clustering of genes pho, erm, nfsA, trh, lasB, tdh and invA by Vibrio. This investigation extends insight on co-occurring resistance and virulence in aquatic reservoir bacteria that could pose serious threats to public health in future.

Benthic foraminifera as an environmental proxy for pollutants along the coast of Chennai, India

Benthic foraminifera are increasingly used as an indicator of environmental disturbance. Their sensitivities to pollutants can be reflected by changes in assemblage, which can provide useful information about ecosystem health. This study aimed to investigate the impact of organic and inorganic pollutants on the benthic ecology of the Chennai coast, with a focus on the 2017 oil spill caused by the collision of two ships. Sediment samples collected from five distinct zones along the coast were analysed for pollutants such as polycyclic aromatic hydrocarbons (PAHs), total petroleum hydrocarbons (TPH), heavy metals (Cr, Cd, Pb) and total organic carbon (TOC). The maximum concentrations of Cr (137 μg/g), Cd (6.93 μg/g) and Pb (34.2 μg/g), as well as TPH (84.3 μg/g) and PAHs (227 ng/g), were observed. A total of 47 species of foraminifera were identified in this study, of which 12 were morphologically abnormal. In the low-impact zone, the species diversity index (H') was higher. TPH and PAH concentrations were positively associated with abnormal species. Pollution-resistant foraminifera species include Ammonia tepida, Elphidium discoidale, and Quinqueloculina lamarckiana, while opportunistic foraminifera include Pararotalia curryi, Nonionella stella, Rosalina globularis, and Spirillina vivipara. PAHs and heavy metals were adversely correlated with foraminiferal abundance, while TPH was positively correlated. To assess the response of the benthic ecosystem to hydrocarbon pollution, indices such as the Foraminiferal Index of Environmental Impact (FIEI), Exponential (H'_bc) index and the Foraminiferal Abnormality Index (FAI) were used as environmental health proxies. FIEI, exp(H'_bc) and FAI values show the impact of hydrocarbon pollution to an extent along the northern Chennai coast.

Hyperspectral imaging of exciton confinement within a moiré unit cell with a subnanometer electron probe

Electronic and optical excitations in two-dimensional systems are distinctly sensitive to the presence of a moiré superlattice. We used cryogenic transmission electron microscopy and spectroscopy to simultaneously image the structural reconstruction and associated localization of the lowest-energy intralayer exciton in a rotationally aligned WS₂-WSe₂ moiré superlattice. In conjunction with optical spectroscopy and ab initio calculations, we determined that the exciton center-of-mass wave function is confined to a radius of approximately 2 nanometers around the highest-energy stacking site in the moiré unit cell. Our results provide direct evidence that atomic reconstructions lead to the strongly confining moiré potentials and that engineering strain at the nanoscale will enable new types of excitonic lattices.

Structural Chirality of Polar Skyrmions Probed by Resonant Elastic X-Ray Scattering

An escalating challenge in condensed-matter research is the characterization of emergent order-parameter nanostructures such as ferroelectric and ferromagnetic skyrmions. Their small length scales coupled with complex, three-dimensional polarization or spin structures makes them demanding to trace out fully. Resonant elastic x-ray scattering (REXS) has emerged as a technique to study chirality in spin textures such as skyrmions and domain walls. It has, however, been used to a considerably lesser extent to study analogous features in ferroelectrics. Here, we present a framework for modeling REXS from an arbitrary arrangement of charge quadrupole moments, which can be applied to nanostructures in materials such as ferroelectrics. With this, we demonstrate how extended reciprocal space scans using REXS with circularly polarized x rays can probe the three-dimensional structure and chirality of polar skyrmions. Measurements, bolstered by quantitative scattering calculations, show that polar skyrmions of mixed chirality coexist, and that REXS allows valuation of relative fractions of right- and left-handed skyrmions. Our quantitative analysis of the structure and chirality of polar skyrmions highlights the capability of REXS for establishing complex topological structures toward future application exploits.

Hybridization of long short-term memory with Sparrow Search Optimization model for water quality index prediction

Water quality (WQ) analysis is a critical stage in water resource management and should be handled immediately in order to control pollutants that could have a negative influence on the ecosystem. The dramatic increase in population, the use of fertilizers and pesticides, and the industrial revolution have resulted in severe effects on the WQ environment. As a result, the prediction of WQ greatly helped to monitor water pollution. Accurate prediction of WQ is the foundation of managing water environments and is of high importance for protecting water environment. WQ data presents in the form of multi-variate time-sequence dataset. It is clear that the accuracy of predicting WQ will be enhanced when the multi-variate relation and time sequence dataset of WQ are fully utilized. This article presents the Water Quality Prediction utilising Sparrow Search Optimization with Hybrid Long Short-Term Memory (WQP-SSHLSTM) model. The presented WQP-SSHLSTM model intends to examine the data and classify WQ into distinct classes. To achieve this, the presented WQP-SSHLSTM model undergoes data scaling process to scale the input data into uniform format. Followed by, a hybrid long short-term memory-deep belief network (LSTM-DBN) technique is employed for the recognition and classification of WQ. Moreover, Sparrow search optimization algorithm (SSOA) is utilized as a hyperparameter optimizer of the proposed DBN-LSTM model. For demonstrating the enhanced outcomes of the presented WQP-SSHLSTM model, a sequence of experiments has been performed and the outcomes are reviewed under distinct prospects. The WQP-SSHLSTM model has achieved 99.84 percent accuracy, which is the maximum attainable. The simulation outcomes ensured the enhanced outcomes of the WQP-SSHLSTM model on recent methods.

Comparative Evaluation of Fixed Functional Cantilever Space Maintainer and Fixed Nonfunctional Space Maintainer: A Randomized Controlled Trial

Background and objectives

Effective way to prevent mesial drift after the early loss of primary first molars is by inserting a durable space maintainer. Several space maintainers are available; fixed nonfunctional (FNF) space maintainer (crown and loop) is commonly used when abutment teeth need full-coronal restoration. Disadvantages of crown and loop space maintainer are nonfunctional, nonesthetic, and fracture of solder loop. To overcome this drawback, new design of fixed functional cantilever (FFC) space maintainer (crown and pontic) using bis-acrly composite resin. The study evaluated the longevity and acceptance of an FFC and compared it with a FNF space maintainer.

Materials and methods

A total of 20 healthy children, aged 6-9 years, were selected having bilateral premature loss of lower deciduous first molars. FFC space maintainer in one quadrant and FNF space maintainer in the other was cemented. The subject's acceptance of treatment was checked using a visual analog scale after the treatment completion. Criteria for complication leading to the failure was assessed in both the designs in the 3rd, 6th, and 9th month. Cumulative success longevity was obtained at a 9 month evaluation.

Results

Patient acceptability was greater in group I (FFC) in comparison to group II (FNF). In group I, fracture of the crown and pontic was the common complication leading to failure, followed by attrition of the crown and loss of material due to abrasion. In group II, fracture of the solder joint was the common complication leading to failure, followed by slippage of the loop gingivally and cement loss. The longevity of groups I and II were 70 and 85%, respectively.

Conclusion

FFC can be considered a viable alternative to conventional FNF space maintainers.

How to cite this article

Sathyaprasad S, Krishnareddy MG, Vinod V, et al. Comparative Evaluation of Fixed Functional Cantilever Space Maintainer and Fixed Nonfunctional Space Maintainer: A Randomized Controlled Trial. Int J Clin Pediatr Dent 2022;15(6):750-760.

Arsenic resistance and horizontal gene transfer are associated with carbon and nitrogen enrichment in bacteria

Coastal waters are confluences receiving large amounts of point and non-point sources of pollution. An attempt was made to explore microbial community interactions in response to carbon, nitrogen and metal pollution. Additionally, experiments were designed to analyze the influence of these factors on horizontal gene transfer (HGT). Shift in bacterial diversity dynamics by arsenic stress and nutrient addition in coastal waters was explored by metagenomics of microcosm setups. Phylogenetic analysis revealed equal distribution of Gammaproteobacteria (29%) and Betaproteobacteria (28%) in control microcosm. This proportional diversity from control switched to unique distribution of Gammaproteobacteria (44.5%)> Flavobacteria (17.7%)> Bacteriodia (11.92%)> Betaproteobacteria (11.52%) in microcosm supplemented with carbon, nitrogen and metal (C + N + M). Among metal-stressed systems, alpha diversity analysis indicated highest diversity of genera in C + N + M followed by N + M > C+M> metal alone. Arsenic and ampicillin sensitive E. coli XL1 blue and environmental strains (Vibrio tubiashii W85 and E. coli W101) were tested for efficiency of uptake of plasmid (P) pUCminusMCS (arsB^Ramp^R) under varying stress conditions. Transformation experiments revealed that combined effect of carbon, nitrogen and metal on horizontal gene transfer (HGT) was significantly higher (p < 0.01) than individual factors. The effect of carbon on HGT was proved to be superior to nitrogen under metal stressed conditions. Presence of arsenic in experimental setups (P + M, P + N + M and P + C + M) enhanced the HGT compared to non-metal counterparts supplemented with carbon or nitrogen. Arsenic resistant bacterial isolates (n = 200) were tested for the ability to utilize various carbon and nitrogen substrates and distinct positive correlation (p < 0.001) was found between arsenic resistance and utilization of urea and nitrate. However, evident positive correlation was not found between carbon sources and arsenic resistance. Our findings suggest that carbon and nitrogen pollution in aquatic habitats under arsenic stress determine the microbial community dynamics and critically influence uptake of genetic material from the surrounding environment.

Nonvolatile Electric Field Control of Thermal Magnons in the Absence of an Applied Magnetic Field

Spin transport through magnetic insulators has been demonstrated in a variety of materials and is an emerging pathway for next-generation spin-based computing. To modulate spin transport in these systems, one typically applies a sufficiently strong magnetic field to allow for deterministic control of magnetic order. Here, we make use of the well-known multiferroic magnetoelectric, BiFeO_{3}, to demonstrate nonvolatile, hysteretic, electric-field control of thermally excited magnon current in the absence of an applied magnetic field. These findings are an important step toward magnon-based devices, where electric-field-only control is highly desirable.

Ingestion and toxic impacts of weathered polyethylene (wPE) microplastics and stress defensive responses in whiteleg shrimp (Penaeus vannamei)

Weathered plastic litter is recognized as hazardous secondary microplastics(MPs) in the coastal and marine ecosystems, which are of high concern due to their greater impact on the environment. The present study aims to elucidate the impacts of environmentally weathered polyethylene (wPE) MPs on ingestion, growth and enzymatic responses in Penaeus vannamei. The Penaeus vannamei was chronically exposed to five varying concentration (0.1 mg-0.5 mg) of wPE particles in the size range between 43 and 32 μm for a period of 25days, followed by 5days depuration. At the end of exposure, a considerable number of wPE particles were observed from <2 to 14 per individual organism. However, around 60% of the wPE particles were removed after the depuration phase. The toxic exposure on P. vannamei resulted in significant changes in the enzymatic and growth responses with increasing concentration and duration. In addition, growth assessment confirmed that wPE exposure inhibited the growth of organism, and the effect was particularly evident at increasing concentrations and prolonged exposure. Also observed an elevated levels of lipid peroxidation, glutathione-S-transferases, whereas lower levels of reduced-glutathione and catalase at all exposed concentrations. This study confirmed that the ingestion of wPE was completely influenced by exposure duration, rather than the concentrations of administered. The present biomarker assay might act as an appropriate oxidative stress index for wPE toxicity. Findings of this study is useful in providing the basic biological information for environmental risk assessments of MPs, which are of high concern due to the rising input of microplastics into the environment.

Microplastic pollution in fragile coastal ecosystems with special reference to the X-Press Pearl maritime disaster, southeast coast of India

Microplastics (MPs) are a global environmental concern and pose a serious threat to marine ecosystems. This study aimed to determine the abundance and distribution of MPs in beach sediments (12 beaches), marine biota (6 beaches) and the influence of microbes on MPs degradation in eco-sensitive Palk Bay and Gulf of Mannar coast. The mean MP abundance 65.4 ± 39.8 particles/m² in beach sediments; 0.19 ± 1.3 particles/individual fish and 0.22 ± 0.11 particles g^-1 wet weight in barnacles. Polyethylene fragments (33.4%) and fibres (48%) were the most abundant MPs identified in sediments and finfish, respectively. Histopathological examination of fish has revealed health consequences such as respiratory system damage, epithelial degradation and enterocyte vacuolization. In addition, eight bacterial and seventeen fungal strains were isolated from the beached MPs. The results also indicated weathering of MPs due to microbial interactions. Model simulations helped in tracking the fate and transboundary landfall of spilled MPs across the Indian Ocean coastline after the X-Press Pearl disaster. Due to regional circulations induced by the monsoonal wind fields, a potential dispersal of pellets has occurred along the coast of Sri Lanka, but no landfall and ecological damage are predicted along the coast of India.

Enabling ultra-low-voltage switching in BaTiO3

Single crystals of BaTiO₃ exhibit small switching fields and energies, but thin-film performance is considerably worse, thus precluding their use in next-generation devices. Here, we demonstrate high-quality BaTiO₃ thin films with nearly bulk-like properties. Thickness scaling provides access to the coercive voltages (<100 mV) and fields (<10 kV cm^-1) required for future applications and results in a switching energy of <2 J cm^-3 (corresponding to <2 aJ per bit in a 10 × 10 × 10 nm³ device). While reduction in film thickness reduces coercive voltage, it does so at the expense of remanent polarization. Depolarization fields impact polar state stability in thicker films but fortunately suppress the coercive field, thus driving a deviation from Janovec-Kay-Dunn scaling and enabling a constant coercive field for films <150 nm in thickness. Switching studies reveal fast speeds (switching times of ~2 ns for 25-nm-thick films with 5-µm-diameter capacitors) and a pathway to subnanosecond switching. Finally, integration of BaTiO₃ thin films onto silicon substrates is shown. We also discuss what remains to be demonstrated to enable the use of these materials for next-generation devices.

Pervasive beyond Room-Temperature Ferromagnetism in a Doped van der Waals Magnet

The existence of long-range magnetic order in low-dimensional magnetic systems, such as the quasi-two-dimensional van der Waals (vdW) magnets, has attracted intensive studies of new physical phenomena. The vdW Fe_{N}GeTe_{2} (N=3, 4, 5; FGT) family is exceptional, owing to its vast tunability of magnetic properties. In particular, a ferromagnetic ordering temperature (T_{C}) above room temperature at N=5 (F5GT) is observed. Here, our study shows that, by nickel (Ni) substitution of iron in F5GT, a record high T_{C}=478(6)  K is achieved. Importantly, pervasive, beyond room-temperature ferromagnetism exists in almost the entire doping range of the phase diagram of Ni-F5GT. We argue that this striking observation in Ni-F5GT can be possibly due to several contributing factors, including increased 3D magnetic couplings due to the structural alterations.

Inherent Spin-Polarization Coupling in a Magnetoelectric Vortex

Solid-state materials are currently being explored as a platform for the manipulation of spins for spintronics and quantum information science. More broadly, a wide spectrum of ferroelectric materials, spanning from inorganic oxides to polymeric systems such as PVDF, present a different approach to explore quantum phenomena in which the spins are set and manipulated with electric fields. Using dilute Fe³⁺-doped ferroelectric PbTiO₃-SrTiO₃ superlattices as a model system, we demonstrate intrinsic spin-polarization control of spin directionality in complex ferroelectric vortices and skyrmions. Electron paramagnetic resonance (EPR) spectra show that the spins in the Fe³⁺ ion are strongly coupled to the local polarization and preferentially aligned perpendicular to the ferroelectric polar c axis in this complex vortex structure. The effect of polarization-spin directionality is corroborated by first-principles calculations, demonstrating the variation of the spin directionality with the polar texture and offering the potential for future quantum analogues of macroscopic magnetoelectric devices.

Ultrathin ferroic HfO2-ZrO2 superlattice gate stack for advanced transistors

With the scaling of lateral dimensions in advanced transistors, an increased gate capacitance is desirable both to retain the control of the gate electrode over the channel and to reduce the operating voltage¹. This led to a fundamental change in the gate stack in 2008, the incorporation of high-dielectric-constant HfO₂ (ref. ²), which remains the material of choice to date. Here we report HfO₂-ZrO₂ superlattice heterostructures as a gate stack, stabilized with mixed ferroelectric-antiferroelectric order, directly integrated onto Si transistors, and scaled down to approximately 20 ångströms, the same gate oxide thickness required for high-performance transistors. The overall equivalent oxide thickness in metal-oxide-semiconductor capacitors is equivalent to an effective SiO₂ thickness of approximately 6.5 ångströms. Such a low effective oxide thickness and the resulting large capacitance cannot be achieved in conventional HfO₂-based high-dielectric-constant gate stacks without scavenging the interfacial SiO₂, which has adverse effects on the electron transport and gate leakage current³. Accordingly, our gate stacks, which do not require such scavenging, provide substantially lower leakage current and no mobility degradation. This work demonstrates that ultrathin ferroic HfO₂-ZrO₂ multilayers, stabilized with competing ferroelectric-antiferroelectric order in the two-nanometre-thickness regime, provide a path towards advanced gate oxide stacks in electronic devices beyond conventional HfO₂-based high-dielectric-constant materials.

Room-temperature skyrmion lattice in a layered magnet (Fe0.5Co0.5)5GeTe2

Novel magnetic ground states have been stabilized in two-dimensional (2D) magnets such as skyrmions, with the potential next-generation information technology. Here, we report the experimental observation of a Néel-type skyrmion lattice at room temperature in a single-phase, layered 2D magnet, specifically a 50% Co-doped Fe₅GeTe₂ (FCGT) system. The thickness-dependent magnetic domain size follows Kittel's law. The static spin textures and spin dynamics in FCGT nanoflakes were studied by Lorentz electron microscopy, variable-temperature magnetic force microscopy, micromagnetic simulations, and magnetotransport measurements. Current-induced skyrmion lattice motion was observed at room temperature, with a threshold current density, j_th = 1 × 10⁶ A/cm². This discovery of a skyrmion lattice at room temperature in a noncentrosymmetric material opens the way for layered device applications and provides an ideal platform for studies of topological and quantum effects in 2D.

The role of lattice dynamics in ferroelectric switching

Reducing the switching energy of ferroelectric thin films remains an important goal in the pursuit of ultralow-power ferroelectric memory and logic devices. Here, we elucidate the fundamental role of lattice dynamics in ferroelectric switching by studying both freestanding bismuth ferrite (BiFeO₃) membranes and films clamped to a substrate. We observe a distinct evolution of the ferroelectric domain pattern, from striped, 71° ferroelastic domains (spacing of ~100 nm) in clamped BiFeO₃ films, to large (10’s of micrometers) 180° domains in freestanding films. By removing the constraints imposed by mechanical clamping from the substrate, we can realize a ~40% reduction of the switching voltage and a consequent ~60% improvement in the switching speed. Our findings highlight the importance of a dynamic clamping process occurring during switching, which impacts strain, ferroelectric, and ferrodistortive order parameters and plays a critical role in setting the energetics and dynamics of ferroelectric switching.

Reducing the switching energy of ferroelectric films remains an important goal. Here, the authors elucidate the fundamental role of lattice dynamics in ferroelectric switching on both freestanding BiFeO₃ membranes and films clamped to a substrate.

Tunable Nanoscale Evolution and Topological Phase Transitions of a Polar Vortex Supercrystal

Understanding the phase transitions and domain evolutions of mesoscale topological structures in ferroic materials is critical to realizing their potential applications in next-generation high-performance storage devices. Here, the behaviors of a mesoscale supercrystal are studied with 3D nanoscale periodicity and rotational topology phases in a PbTiO₃ /SrTiO₃ (PTO/STO) superlattice under thermal and electrical stimuli using a combination of phase-field simulations and X-ray diffraction experiments. A phase diagram of temperature versus polar state is constructed, showing the formation of the supercrystal from a mixed vortex and a-twin state and a temperature-dependent erasing process of a supercrystal returning to a classical a-twin structure. Under an in-plane electric field bias at room temperature, the vortex topology of the supercrystal irreversibly transforms to a new type of stripe-like supercrystal. Under an out-of-plane electric field, the vortices inside the supercrystal undergo a topological phase transition to polar skyrmions. These results demonstrate the potential for the on-demand manipulation of polar topology and transformations in supercrystals using electric fields. The findings provide a theoretical understanding that may be utilized to guide the design and control of mesoscale polar structures and to explore novel polar structures in other systems and their topological nature.