Biological Agents for Treating Atezolizumab-Induced Psoriasis in Small-Cell Lung Cancer: A Case Report.

One of the immune-related adverse events from immune checkpoint inhibitors (ICIs) is skin toxicity. Oral corticosteroids are the first-line treatment for severe cutaneous immune-related adverse events. However, corticosteroids may conflict with the efficacy of ICIs. A 55-year-old Japanese man with a history of psoriasis vulgaris was diagnosed with small-cell lung cancer (Stage ⅣA) and administered combined chemoimmunotherapy, including atezolizumab, which resulted in exacerbation of psoriasis. In response, he was treated with biological agents, such as anti-IL-23 and IL-17 antibodies, risankizumab, and secukinumab, respectively, and achieved long-term survival with continued treatment with atezolizumab. This case report suggests that biological agents might be the best course of treatment against autoimmune-related adverse events caused by ICI therapy.

Manipulating the functionality and structures of π-conjugated polymers utilizing intramolecular noncovalent interactions towards efficient organic photovoltaics.

Careful control of electronic properties, structural order, and solubility of π-conjugated polymers is central to the improvement of organic photovoltaic (OPV) performance. In this work, we designed and synthesized a series of naphthobisthiadiazole-quaterthiophene copolymers by systematically replacing the alkyl groups with ester groups and changing the position of the fluorine groups in the quaterthiophene moiety. These alterations lowered the HOMO and LUMO energy levels and systematically varied the combination of intramolecular noncovalent interactions such as O⋯S and F⋯S interactions in the backbone. More importantly, although the introduction of such noncovalent interactions often lowers the solubility owing to the interlocking of backbone linkages, we found that careful design of the noncovalent interactions afforded polymers with relatively high solubility and high crystallinity at the same time. As a result, the power conversion efficiency of OPV cells that used fullerene (PC61BM) and nonfullerene (Y12) as the acceptor was improved. Our work offers important information for the development of high-performance π-conjugated polymers for OPVs.

Simple π-Conjugated Polymers Based on Bithiazole for Nonfullerene Organic Photovoltaics.

Thiazole, as a family of five-membered heteroaromatic rings, is an interesting building unit that can play a role in coplanarizing the backbone as well as deepening the HOMO energy level, which is beneficial for the design of π-conjugated polymers for the photoactive materials in organic photovoltaics (OPVs). Here, we designed and synthesized π-conjugated polymers with simple chemical structures, which consist of 2,2'-bithiazole or 5,5'-bithiazole and alkylthiophenes as the polymer backbone. In fact, the polymers can be easily synthesized in much fewer steps compared to the typical high-performance polymers based on fused heteroaromatic rings. Interestingly, PTN5 exhibited a markedly higher ordered structure than PTN2. This was likely ascribed to the more coplanar and rigid backbone of PTN5 than that of PTN2 originating in the effectively arranged S···N interaction. As a result, the nonfullerene photovoltaic cell based on PTN5 showed a PCE of 12.2%, which was much higher than the cell based on PTN2 (4.3%) and was high for the polymers consisting of only nonfused rings. These results demonstrate that thiazole-based polymers are promising photoactive materials for OPVs and emphasize the importance of careful molecular design utilizing noncovalent interactions.

Variability in sonographic anterior drawer test measurements of the ankle: Experienced versus beginner examiners.

BACKGROUND: This study aimed to clarify the variability in the measurements of stress sonography of the ankle and determine the effects of examiner experience on the measurements. METHODS: Twenty examiners (10 experienced and 10 beginners) were included in the study. Each examiner performed stress ultrasonography on a patient with a chronic anterior talofibular ligament injury and a patient with an intact ligament using the reverse anterior drawer method. Changes in ligament length before versus after stress were determined. The same 20 examiners performed ultrasonography on two other patients with an injured or intact ATFL using the anterior drawer method. The length change values and variance were compared between the groups using t-tests and F-tests. RESULTS: Using the reverse anterior drawer method, the change in the anterior talofibular ligament length was 3.3 mm (range, 2.2-4.8 mm) in the experienced group and 2.7 mm (0.0-4.1 mm) in the beginner group for the ligament injured patient. The length changes for the patient with intact anterior talofibular ligament were 0.5 mm (0.1-0.9 mm) and 0.4 mm (-0.1-1.5 mm) in the experienced and beginner groups, respectively. There were no significant intergroup differences in measurement amount (P = 0.37) or variance (P = 0.72). Similarly, using the anterior drawer method, no significant differences between the groups were found in measurement amount or variance. CONCLUSION: The quantitative evaluation of stress sonography of the ankle was variable regardless of examiner experience or stress method, particularly in patients with an anterior talofibular ligament injury. The amount of variability appeared to be unacceptably large for clinical application. Our study results highlight the need for technical standardization.

Halogen-Free π $\upi$ -Conjugated Polymers Based on Thienobenzobisthiazole for Efficient Nonfullerene Organic Solar Cells: Rational Design for Achieving High Backbone Order and High Solubility.

In π $\upi$ -conjugated polymers, a highly ordered backbone structure and solubility are always in a trade-off relationship that must be overcome to realize highly efficient and solution-processable organic photovoltaics (OPVs). Here, it is shown that a π $\upi$ -conjugated polymer based on a novel thiazole-fused ring, thieno[2',3':5,6]benzo[1,2-d:4,3-d']bisthiazole (TBTz) achieves both high backbone order and high solubility due to the structural feature of TBTz such as the noncovalent interlocking of the thiazole moiety, the rigid and bent-shaped structure, and the fused alkylthiophene ring. Furthermore, based on the electron-deficient nature of these thiazole-fused rings, the polymer exhibits deep HOMO energy levels, which lead to high open-circuit voltages (VOC s) in OPV cells, even without halogen substituents that are commonly introduced into high-performance polymers. As a result, when the polymer is combined with a typical nonfullerene acceptor Y6, power conversion efficiencies of reaching 16% and VOC s of more than 0.84 V are observed, both of which are among the top values reported so far for "halogen-free" polymers. This study will serve as an important reference for designing π $\upi$ -conjugated polymers to achieve highly efficient and solution-processable OPVs.

Naphthobisthiadiazole-Based π-Conjugated Polymers for Nonfullerene Solar Cells: Suppressing Intermolecular Interaction Improves Photovoltaic Performance.

Naphthobisthiadiazole has been known as a promising building unit of π-conjugated polymers for organic photovoltaics (OPVs). Here, we synthesized new NTz-based polymers that were combined with a benzodithiophene (BDT) unit having alkylthienyl substituents in the polymer backbone, named PNTzBDT, and PNTzBDT-F and PNTzBDT-Cl with fluorine and chlorine groups in the substituents, respectively. The polymers had significantly improved solubility than the previously reported NTz-based polymer (PNTz4T), most likely due to the torsion of the alkylthienyl substituents with respect to the BDT moiety, which suppresses the intermolecular interaction between the backbones. Despite the lower intermolecular interaction and thereby lower crystallinity, these polymers, in particular PNTzBDT and PNTzBDT-F, exhibited higher photovoltaic performances, with power conversion efficiencies as high as 13.3%, than PNTz4T in the cells that used Y6 as the acceptor material. The improved performance was ascribed to the enhanced miscibility of the polymers with the nonfullerene acceptor due to the increased solubility, which in addition led to the better charge generation and reduced charge recombination. These results indicate that NTz-based π-conjugated polymers have high potential for nonfullerene-based OPVs.

Influence of Age on Signal Intensity of Magnetic Resonance Imaging and Clinical Outcomes in Double-Bundle Anterior Cruciate Ligament Reconstruction: Comparisons Among Different Age Groups.

BACKGROUND: Thus far, the clinical results of anterior cruciate ligament (ACL) reconstruction have been observed to be comparable between young and older patients. In contrast, age-related changes in the structural and mechanical properties of tendons used for autografts have been described. However, age-related changes associated with graft maturation remain poorly understood. HYPOTHESES: The hypotheses of this study were that (1) clinical outcomes after ACL reconstruction would be comparable between younger and relatively older patients and (2) younger patients would show lower signal intensity changes on magnetic resonance imaging scans indicative of graft maturation that would be better than that in relatively older patients. STUDY DESIGN: Cohort study; Level of evidence, 3. METHODS: We retrospectively evaluated 236 patients who underwent double-bundle ACL reconstruction via the outside-in technique using hamstring autograft between January 2012 and December 2015. The patients were categorized by age into 3 groups: <20 years old, 20 to 39 years old, and ≥40 years old. Clinical outcomes were evaluated using the subjective International Knee Documentation Committee (IKDC) score, Tegner activity scale, Lysholm score, and objective assessment of joint laxity 24 months after surgery. In addition, graft maturation was evaluated using magnetic resonance imaging-derived measures of the signal intensity ratio (SIR) at 3, 6, 12, and 24 months postoperatively. Clinical outcomes and graft maturation were compared among the 3 groups. RESULTS: The SIR of both bundles increased from 3 months to 12 months and decreased by 24 months, showing the same tendency in all groups. No significant difference was found in the SIR among the 3 groups at any time point (P > .05). The IKDC score was significantly lower in the ≥40-year group than in the <20-year group (P < .01). In contrast, no significant differences were noted in other clinical outcomes. CONCLUSION: Patients aged ≥40 years exhibited lower IKDC scores compared with younger patients, although the results of graft maturation were comparable.

Pronounced Backbone Coplanarization by π-Extension in a Sterically Hindered Conjugated Polymer System Leads to Higher Photovoltaic Performance in Non-Fullerene Solar Cells.

Achieving both the backbone order and solubility of π-conjugated polymers, which are often in a trade-off relationship, is imperative for maximizing the performance of organic solar cells. Here, we studied three different π-conjugated polymers based on thiazolothiazole (PSTz1 and POTz1) and benzobisthiazole (PNBTz1) that were combined with a benzodithiophene unit in the backbone, where PNBTz1 was newly synthesized. Because of the steric hindrance between the side chains located on neighboring heteroaromatic rings, POTz1 had a much less coplanar backbone than PSTz1 in which such a steric hindrance is absent. However, POTz1 showed higher photovoltaic performance in solar cells that used Y6 as the acceptor material. This was likely due to the significantly higher solubility of POTz1 than PSTz1, resulting in a better morphology. Interestingly, PNBTz1 was found to have markedly higher backbone coplanarity than POTz1, despite having similar steric hindrance between the side chains, most likely owing to the more extended π-electron system, whereas PNBTz1 had good solubility comparable to POTz1. As a result, PNBTz1 exhibited higher photovoltaic performance than POTz1 in the Y6-based cells: specifically, the fill factor was significantly enhanced. Our results indicate that the backbone order and solubility can be achieved by the careful molecular design, which indeed leads to higher photovoltaic performance.

Contrasting Effect of Side-Chain Placement on Photovoltaic Performance of Binary and Ternary Blend Organic Solar Cells in Benzodithiophene-Thiazolothiazole Polymers.

π-Conjugated polymers are important materials for organic photovoltaics. While search for new backbone systems is central to the development of π-conjugated polymers, side-chain engineering is also imperative. Here, two benzodithiophene-thiazolothiazole copolymers, PSTz1 and POTz1, were synthesized, for which the side-chain placement was different. Due to less steric hindrance between the side chains, PSTz1 had a more coplanar backbone than POTz1. This led to significant differences in trend of the performance for the binary and ternary blend cells that used a fullerene (PC71 BM) and/or non-fullerene (ITIC) as the acceptor materials. Whereas PSTz1 showed higher photovoltaic performance in the PC71 BM-based cell, POTz1 showed higher performance in the ITIC-based cell. Furthermore, in the ternary blend cell, whereas increase in the PC71 BM content improved the photovoltaic performance for the PSTz1 system, it was detrimental to the performance for the POTz1 system. These results could be a good guideline for maximizing the performance of organic photovoltaics.

Molecular Understanding of How the Interfacial Structure Impacts the Open-Circuit Voltage of Highly Crystalline Polymer Solar Cells.

Herein, we study the origin of differences in open-circuit voltage (VOC) for polymer:fullerene solar cells employing highly crystalline conjugated polymers (PTzBT) based on the same thiophene-thiazolothiazole backbone with different side chains. By analyzing the temperature dependence of VOC and cyclic voltammogram, we find that the difference in VOC originates in the different cascaded energy structures for the highest occupied molecular orbital (HOMO) levels in the interfacial mixed phase. Furthermore, we find that this is due to the stabilization of HOMO caused by the different branching of side chains on the basis of density functional theory calculation. Finally, we discuss the molecular design strategy based on side-chain engineering for ideal interfacial cascaded energy structures leading to higher VOC and photocurrent simultaneously.

Self-powered ultraflexible photonic skin for continuous bio-signal detection via air-operation-stable polymer light-emitting diodes.

Ultraflexible optical devices have been used extensively in next-generation wearable electronics owing to their excellent conformability to human skins. Long-term health monitoring also requires the integration of ultraflexible optical devices with an energy-harvesting power source; to make devices self-powered. However, system-level integration of ultraflexible optical sensors with power sources is challenging because of insufficient air operational stability of ultraflexible polymer light-emitting diodes. Here we develop an ultraflexible self-powered organic optical system for photoplethysmogram monitoring by combining air-operation-stable polymer light-emitting diodes, organic solar cells, and organic photodetectors. Adopting an inverted structure and a doped polyethylenimine ethoxylated layer, ultraflexible polymer light-emitting diodes retain 70% of the initial luminance even after 11.3 h of operation under air. Also, integrated optical sensors exhibit a high linearity with the light intensity exponent of 0.98 by polymer light-emitting diode. Such self-powered, ultraflexible photoplethysmogram sensors perform monitoring of blood pulse signals as 77 beats per minute.

Three-year clinical and radiological results of a cruciate-retaining type of the knee prosthesis with anatomical geometry developed in Japan.

BACKGROUND: The FINE total knee was developed in Japan and clinical use began in 2001. It has unique design features, including an oblique 3o femorotibial joint line that reproduces anatomical geometry. Although 20 years have passed since the FINE knee was clinically used for the first time in Japan, a formal clinical evaluation including patient-reported and radiographic outcomes has not been undertaken. METHODS: A total of 175 consecutive primary cruciate-retaining (CR)-FINE total knee arthroplasties (TKAs) at our hospital between February 2015 and March 2017 were included in this study. Three years postoperatively, range of motion (ROM), Knee Society Score (KSS), Knee Injury and Osteoarthritis Outcome Score (KOOS) and Forgotten Joint Score (FJS) were recorded and compared with preoperative scores. Radiographic analyses including mechanical alignment, component alignment, and incidence of radiolucent lines also were undertaken based on the radiographs 3 years postoperatively. RESULTS: One-hundred twenty-two knees (70%) were available for 3-year follow-up data using KOOS, except for the sports subscale. Postoperative KOOS-symptom, -pain and -ADL were > 85 points, but KOOS-sports, -QOL and FJS were less satisfactory. ROM, KSS and all the subscales of KOOS were significantly improved compared with preoperative scores. Postoperative mean FJS was 66 and was significantly correlated with all the subscales of KOOS, but not with postoperative ROM. Radiolucent lines ≧1 mm wide were detected in five knees (4.1%). There were no major complications needing revision surgeries. CONCLUSIONS: Patient-reported outcomes (PROs) for symptoms, pain and ADL after the CR-FINE TKA were generally improved, but those for sports, QOL and FJS were improved less. The incidence of radiolucent lines was rare but detected around the femoral components. With the mid- to long-term follow-up, improvements of surgical technique will be necessary to achieve better PROs from patients receiving the FINE knee.

Dithiazolylthienothiophene Bisimide: A Novel Electron-Deficient Building Unit for N-Type Semiconducting Polymers.

N-type (electron-transporting) semiconducting polymers are essential materials for the development of truly plastic electronic devices. Here, we synthesized for the first time dithiazolylthienothiophene bisimide (TzBI), as a new family for imide-based electron-deficient π-conjugated systems, and semiconducting polymers by incorporating TzBI into the π-conjugated backbone as the building unit. The TzBI-based polymers are found to have deep frontier molecular orbital energy levels and wide optical bandgaps compared to the dithienylthienothiophene bisimide (TBI) counterpart. It is also found that TzBI can promote the π-π intermolecular interactions of the polymer backbones relative to TBI most probably because the thiazole ring, which replaced the thiophene ring, at the end of the framework gives a more coplanar backbone. In fact, TzBI-based polymers function as the n-type semiconducting material in both organic field-effect transistor (OFET) and organic photovoltaic (OPV) devices. Notably, one of the TzBI-based polymers provides a power conversion efficiency of 3.3% in the all-polymer OPV device, which could be high for a low-molecular-weight polymer (<10 kDa). Interestingly, while many of the n-type semiconducting polymers utilized in OPVs have narrow bandgaps, the TzBI-based polymers have wide bandgaps. This is highly beneficial for complementing the visible to near-IR light absorption range when blended with p-type narrow bandgap polymers that have been widely developed in the last decade. The results demonstrate great promise and possibility of TzBI as the building unit for n-type semiconducting polymers.

High Operation Stability of Ultraflexible Organic Solar Cells with Ultraviolet-Filtering Substrates.

Ultralightweight and flexible power sources are essential for driving textile or wearable electronic devices and soft robots because they do not induce discomfort or limit movement when they are attached to human skin, textiles, or soft actuators. Organic solar cells (OSCs) are good candidates for developing such power sources because they have the advantages of being lightweight and flexible. However, achieving operational stability and ultrathin shape simultaneously remains difficult because the ultrathin substrate cannot prevent the penetration of ultraviolet (UV) light, which is major a cause for the degradation of OSCs. Here, ultrathin OSCs that show great operational stability and high performance are reported. The 1.3 µm thick transparent polyimide utilized as a substrate can block light of 350 nm wavelength in the UV range by 90%. The ultrathin OSCs with the transparent polyimide substrate produce a power conversion efficiency (PCE) of 9.0% and realize both photostability and operational stability. The PCE was maintained at 90% after 3 h in a maximum power point tracking test, indicating much better operational stability than the reference rigid OSCs.

Information exchange using a prescribed form and involvement of occupational health nurses promotes occupational physicians to collaborate with attending physicians for supporting workers with illness in Japan.

The maintenance of a balance between work and disease treatment is an important issue in Japan. This study explored factors that affect collaboration between occupational physicians (OPs) and attending physicians (APs). A questionnaire was mailed to 1,102 OPs. The questionnaire assessed the demographic characteristics of OPs; their opinions and behaviors related to collaboration, including the exchange of medical information with APs; and the occupational health service system at their establishments. In total, 275 OPs completed the questionnaire (25.0% response rate). Over 80% of respondents believed OPs should collaborate with APs. After adjusting for company size, collaboration ≥10 times/yr (with regard to both returning to work following sick leave and annual health check-ups for employees) was significantly associated with environmental factors, such as the presence of occupational health nurses (odds ratio (OR): 5.56 and 5.01, respectively, p<0.05) and the use of prescribed forms for information exchange (OR: 4.21 and 3.63, respectively, p<0.05) but not with the demographic characteristics of the OPs (p>0.05). The majority of OPs believed that collaboration with APs is important for supporting workers with illnesses. Support systems including prescribed forms of information exchange and occupational health nurses, play pivotal roles in promoting this collaboration.

[A study on the implementation of stress checks to small-scale workplaces and the taking is effective to promote the implementation].

OBJECTIVES: The Industrial Safety and Health Law implemented in December 2015 mandates that workplaces with more than 50 employees should perform annual stress checks on their employees; workplace with fewer than 50 employees are required only to make an effort to perform such checks. Notably, more than half of all workers in Japan work for workplaces with fewer than 50 employees. Therefore, the effectiveness of this legislation is compromised by its limited applicability to small-scale workplace. This research examined the extent to which workplaces with 30-49 employees provide mental health measures and stress checks, and considered the effective types of taking to promote the implementation of stress checks in a small-scale workplaces. METHODS: Questionnaires were mailed to workplaces in Aichi Prefecture with 30-49 employees. Data from independent companies were compared with those from branch offices of larger businesses, whereas data from workplaces with and without an individual charged with promoting mental health were also compared. RESULTS: The number of workplaces in the independent group was 290, whereas that in the branch group was 331. In the independent group, 55 workplaces appointed an individual to promote mental health, whereas 235 did not; in the branch group, 102 offices appointed an individual to promote mental health, whereas 229 did not. Compared with independent workplaces, a greater proportion of branch offices not only appointed individuals to promote mental health but also actively engaged in efforts to promote mental health. Indeed, stress checks had been performed in almost half of the branch offices surveyed. The workplaces in both groups that appointed an individual to promote mental health reported more positive efforts in this regard and were more likely to implement stress checks. Our data also suggest that the success of extending mandatory stress checks to workplaces with fewer than 50 employees would be facilitated by appointing skilled individuals to promote the mental health of employees in both groups. Such efforts by independent workplaces could be facilitated by an adequate budget, whereas the availability of experts would be of assistance to branch offices. However, public support for use of such services was low in both groups, and this was especially pronounced in independent workplaces. CONCLUSIONS: A smaller proportion of independent workplaces, compared with branch offices, engaged in not only efforts to promote mental health but also the implementation of stress checks. However, groups with an individual promoting the mental health of employees reported more positive efforts. Encouraging the appointment of individuals charged with promoting employee mental health is expected to lead to a positive approach to stress checking.

Superior graft maturation after anatomical double-bundle anterior cruciate ligament reconstruction using the transtibial drilling technique compared to the transportal technique.

PURPOSE: To evaluate and compare the femoral tunnel aperture position, graft bending angle and the magnetic resonance imaging (MRI) graft signal intensity after anatomical double-bundle anterior cruciate ligament (ACL) reconstruction between transtibial and transportal drilling techniques of the femoral tunnel. METHODS: Eighty-seven patients who underwent anatomic double-bundle ACL reconstruction with hamstring tendon autograft between January 2012 and December 2014 were included in this retrospective study. Forty-one patients underwent reconstruction using a transportal technique (TP group) and 46 patients underwent reconstruction using a transtibial technique (TT group). The anteromedial (AM) femoral aperture position and the graft bending angle were assessed using transparent three-dimensional CT 2 weeks postoperatively. MRI assessment was performed with proton density-weighted images in an oblique coronal plane 6 and 12 months postoperatively. Signal/noise quotient was calculated for two specific graft sites (femoral tunnel site and mid-substance site). Femoral aperture position, the graft bending angle and signal/noise quotient were compared between the TP and TT groups. RESULTS: There was no significant difference in the aperture position between the two groups. The graft bending angle of the AM tunnel in the axial plane was significantly greater in the TP group (p < 0.001). On the other hand, the TP group had a significantly more acute angle in the coronal plane (p < 0.001). There was no significant difference at either site in the signal/noise quotient of the graft between the two groups at 6 months. However, the TT group had a lower signal/noise quotient at 12 months at both sites (femoral aperture: p = 0.04, mid-substance: p = 0.004). CONCLUSION: There was a significant difference in signal/noise quotient between the two drilling techniques 12 months postoperatively. There was no significant difference in femoral tunnel aperture position between the two groups. However, graft bending angle at the femoral tunnel aperture was significantly different between the two groups, indicating the possibility that graft bending angle is a factor that influences graft maturation. This indicates that the TT technique has an advantage over the TP technique in terms of graft maturation.

Correlation between Distribution of Polymer Orientation and Cell Structure in Organic Photovoltaics.

The backbone orientation of semiconducting polymers is one of the important structural factors that determines the charge transport and thus the performance of optoelectronic devices. Here, we study two sets of thiophene-thiazolothiazole polymers, which primarily form edge-on and face-on orientations, termed "edge-on-polymers" and "face-on-polymers", respectively; both orientation types co-exist in their polymer/fullerene blend films. Interestingly, we find that the dependence of the photoactive layer thickness on the fill factor in the photovoltaic cells, with the inverted and conventional structures, is quite distinct in the edge-on-polymer; however, this is not evident in the face-on-polymers. An in-depth study by grazing incidence X-ray diffraction analysis reveals that the face-on/edge-on ratio is unevenly distributed through the film thickness in the edge-on-polymers, while it is evenly distributed in the face-on-polymers. The difference in the distribution of the backbone orientation correlates with the difference in the thickness dependence on the fill factor. We thus propose that the distribution of the backbone orientation is an important factor to understand the performance of polymer-based photovoltaic cells and that the cell structure should be carefully selected by considering the distribution for maximizing the performance.

Salivary nitrate-nitrite conversion capacity after nitrate ingestion and incidence of Veillonella spp. in elderly individuals.

Dietary nitrate has several beneficial effects, including blood pressure reduction and improved oxygen consumption efficiency, but in order to do so it must first be reduced to nitrite by oral bacteria. Veillonella spp., a strictly anaerobic group, are the most prevalent nitrate-reducing bacteria in the oral cavity. In response to some early studies that have hinted at inter- and intra-individual variation in salivary nitrate-nitrite conversion capacity, the purpose of the present study was to investigate the incidence of and variation in the Veillonella species V. atypica, V. dispar, and V. rogosae by direct PCR and to assess salivary nitrate-nitrite conversion capacity and its reproducibility after dietary nitrate consumption in 24 elderly individuals. V. atypica, V. dispar, and V. rogosae were detected in 10 (41.7%), 24 (100%), and 14 (58.3%) participants, respectively. The coefficients of correlation between the first and second experiments on increased nitrate/nitrite were 0.637 and 0.583, respectively, both of which were statistically significant (P < 0.01). In both experiments, 6 participants produced relatively low levels of nitrite (<0.5 mM Δ nitrite) while 7 produced relatively high levels (>1.0 mM Δ nitrite). The data suggested that V. dispar was the most prevalent species, being present even in individuals producing low levels of salivary nitrite.