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Articles 331 - 360 of 758
Full-Text Articles in Entire DC Network
Identification And Characterization Of Ethanol Responsive Genes In Acute Ethanol Behaviors In Caenorhabditis Elegans, Joseph Alaimo
Identification And Characterization Of Ethanol Responsive Genes In Acute Ethanol Behaviors In Caenorhabditis Elegans, Joseph Alaimo
Theses and Dissertations
Alcohol abuse and dependence are complex disorders that are influenced by many genetic and environmental factors. Acute behavioral responses to ethanol have predictive value for determining an individual’s long-term susceptibility to alcohol abuse and dependence. These behavioral responses are strongly influenced by genetics. Here, we have explored the role of genetic influences on acute behavioral responses to ethanol using the nematode worm, Caenorhabditis elegans. First, we explored the role of ethanol metabolism in acute behavior responses to ethanol. Natural variation in human ethanol metabolism machinery is one of the most reported and reproducible associations found to alter drinking behavior. Ethanol …
Adam10 Overexpression Dysregulates Notch Signaling In Favor Of Myeloid Derived Suppressor Cell (Mdsc) Accumulation That Deferentially Modulates The Host Response Depending On Immune Stimuli And Interaction With Mast Cells., Sheinei Saleem
Theses and Dissertations
Although the physiological consequences of Notch signaling in hematopoiesis have been extensively studied, the differential effects of individual notch cleavage products remain to be elucidated. Given that a disintegrin and metalloproteinase 10 (ADAM10) is a critical regulator of Notch and that its deletion is embryonically lethal, we generated transgenic mice that overexpress ADAM10 at early stages of lymphoid and myeloid development (A10Tg). ADAM10 transgene expression alters hematopoiesis post-hematopoietic Lineage-Sca-1+c-kit+ (LSK) subset differentiation but prior to lineage commitment of progenitor populations. This results in delayed T cell development, abrogated B2 cell development, and dramatic expansion of functionally active myeloid derived suppressor …
Cannabinoids Delta-9-Tetrahydrocannabinol (Thc) And Cp55,940 Ablate Specific Chemokine And Cytokine Inflammatory Response In Bv-2 Mouse Microglial Cells Activated With Hiv-1 Pro-Inflammatory Protein Tat, Rebecca Maddux
Theses and Dissertations
Despite the widespread use of Highly Active Anti-retroviral Therapy (HAART) to combat Human Immunodeficiency Virus (HIV), the causative agent of acquired immunodeficiency syndrome (AIDS), HIV-Associated Neurocognitive Disorders (HANDs) still remain a dire issue. HIV can enter the brain through infected monocytes and infect microglia, the resident macrophages within that compartment. Due to its pro-inflammatory properties, HIV regulatory protein Tat (Transactivating protein) may play a role in the progression of neurocognitive disorders. The aim of this project was to determine whether the select cannabinoids THC and CP55,940 could ablate the inflammatory response on BV-2 mouse microglia cells caused by Tat. Within …
A Positive Dimension: Exploring Factors That Enhance Utilization Of And Adherence To Prevention Of Mother-To-Child Transmission (Pmtct) Of Hiv Services In An Urban Setting In Kenya, Lydia Murithi
Theses and Dissertations
Despite expansive scale-up of prevention of mother-to-child transmission (PMTCT) of HIV services in Kenya over the last decade, Kenya remains one of the countries contributing high numbers of children living with HIV globally and among the 22 PMTCT global plan priority countries. Using a mixed methods approach this study examined enabling factors –individual, social and structural – that enhance utilization of and adherence to PMTCT services in a plural urban setting in Kenya. The study was conducted from October-December of 2012 at St. Mary’s Mission Hospital, Lang’ata. HIV-positive birthmothers whose infants were HIV-negative at the time of the study were …
The Inflammasome In Acute Myocarditis, Harsha Kannan
The Inflammasome In Acute Myocarditis, Harsha Kannan
Theses and Dissertations
Acute myocarditis is an acute inflammatory syndrome characterized by myocardial damage and dysfunction often due to a viral infection followed by a variable development over time. There are currently no specific treatments and standard treatments for heart failure are generally applied. The inflammasome is a recently identified macromolecular structure that occupies a central role in the amplification of the inflammatory response and promotion of cell death during acute and chronic infections. We hypothesized the formation of the inflammasome in acute myocarditis. To investigate, samples of patients were collected from the Cardiomyopathy Registry in Trieste, with 12 cases of biopsy-proven myocarditis …
The Activation, Receptor Complexing And Endogenous Regulation Of The Type-I Interferon Response As It Pertains To Innate Immunity, James D. Marion Jr.
The Activation, Receptor Complexing And Endogenous Regulation Of The Type-I Interferon Response As It Pertains To Innate Immunity, James D. Marion Jr.
Theses and Dissertations
To defend against pathogen challenge, multi-cellular organisms mount an immune response that recognizes, sequesters and eradicates invading infectious agents. Critical to this safeguard is the receptor-mediated detection of pathogens. Pathogen recognition then initiates a variety of signaling cascades that lead to the modulation of genes orchestrating an immune response. Toll-like receptor 3 (TLR3), a transmembrane receptor found in endosomes, is vital to the innate immune response against viruses. Double-stranded RNA (dsRNA) stimulation of TLR3 initiates a signaling cascade that leads to the production of type-I interferons and proinflammatory cytokines necessary to trigger the protective defenses of the immune system. Critical …
Bridging The Gap: Using The Theory Of Planned Behavior To Predict Hpv Vaccination Intentions In Men, Daniel Snipes
Bridging The Gap: Using The Theory Of Planned Behavior To Predict Hpv Vaccination Intentions In Men, Daniel Snipes
Theses and Dissertations
Genital human papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the US, with an estimated incidence rate of 6.2 million new cases each year. Men have higher instances of certain HPV related outcomes (e.g., head/neck cancers) when compared to women, so male vaccination with the HPV vaccine is also paramount to preventing cancer. The present study examined the theory of planned behavior (TPB) as a model for predicting HPV vaccination intentions among men. Results suggest the TPB was a well-fitting model to the data, but not all aspects of the TPB model were predictive of HPV vaccination …
Two-Component System Response Regulators Involved In Virulence Of Streptococcus Pneumoniae Tigr4 In Infective Endocarditis, My Trihn, Xiuchun Ge, Alleson Dobson, Todd Kitten, Cindy Munro, Ping Xu
Two-Component System Response Regulators Involved In Virulence Of Streptococcus Pneumoniae Tigr4 In Infective Endocarditis, My Trihn, Xiuchun Ge, Alleson Dobson, Todd Kitten, Cindy Munro, Ping Xu
Philips Institute for Oral Health Research Publications
Streptococci resident in the oral cavity have been linked to infective endocarditis (IE). While other viridans streptococci are commonly studied in relation to IE, less research has been focused on Streptococcus pneumoniae. We established for the first time an animal model of S. pneumoniae IE, and examined the virulence of the TIGR4 strain in this model. We hypothesized that two-component systems (TCS) may mediate S. pneumoniae TIGR4 strain virulence in IE and examined TCS response regulator (RR) mutants of TIGR4 in vivo with the IE model. Thirteen of the 14 RR protein genes were mutagenized, excluding only the essential …
Time To Blood Culture Positivity As A Predictor Of Clinical Outcome In Patients With Candida Albicans Bloodstream Infection, Cintia Zoya Nunes, Alexandre R. Marra, Michael B. Edmond, Elivane Da Silva Victor, Carlos Alberto Pires Pereira
Time To Blood Culture Positivity As A Predictor Of Clinical Outcome In Patients With Candida Albicans Bloodstream Infection, Cintia Zoya Nunes, Alexandre R. Marra, Michael B. Edmond, Elivane Da Silva Victor, Carlos Alberto Pires Pereira
Internal Medicine Publications
Background Few studies have assessed the time to blood culture positivity as a predictor of clinical outcome in fungal bloodstream infections (BSIs). The purpose of this study was to evaluate the time to positivity (TTP) of blood cultures in patients with Candida albicans BSIs and to assess its impact on clinical outcome.
Methods A historical cohort study with 89 adults patients with C. albicans BSIs. TTP was defined as the time between the start of incubation and the time that the automated alert signal indicating growth in the culture bottle sounded.
Results Patients with BSIs and TTPs of culture of …
Improving The Diagnosis Of Meningitis Due To Enterovirus And Herpes Simplex Virus I And Ii In A Tertiary Care Hospital, Eduardo Casaroto, Alexandre R. Marra, Fernando Morgadinho S. Coelho, Joao Renato Rebello Pinho, Roberta Sitnik, Fernando Colombari, Elivane Silva Victor, Nair Hideko Muto, Carlos Senne, Oscar Fernando Pavão Dos Santos, Michael B. Edmond
Improving The Diagnosis Of Meningitis Due To Enterovirus And Herpes Simplex Virus I And Ii In A Tertiary Care Hospital, Eduardo Casaroto, Alexandre R. Marra, Fernando Morgadinho S. Coelho, Joao Renato Rebello Pinho, Roberta Sitnik, Fernando Colombari, Elivane Silva Victor, Nair Hideko Muto, Carlos Senne, Oscar Fernando Pavão Dos Santos, Michael B. Edmond
Internal Medicine Publications
Background Enterovirus and herpes simplex viruses are common causes of lymphocytic meningitis. The purpose of this study was to analyse the impact of the use molecular testing for Enteroviruses and Herpes simplex viruses I and II in all suspected cases of viral meningitis.
Methods From November 18, 2008 to November 17, 2009 (phase II, intervention), all patients admitted with suspected viral meningitis (with pleocytosis) had a CSF sample tested using a nucleic acid amplification test (NAAT). Data collected during this period were compared to those from the previous one-year period, i.e. November 18, 2007 to November 17, 2008 (phase I, …
Nosocomial Bloodstream Infections In Brazilian Pediatric Patients: Microbiology, Epidemiology, And Clinical Features, Carlos Albert Pires Pereira, Alexandre R. Marra, Luis Fernando A. Camargo, Antonio Carlos Campos Pignatari, Teresa Sukiennik, Paulo Renato Petersen Behar, Eduardo Alexandrino Servolo Medieros, Julival Ribeiro, Evelyne Girao, Luci Correa, Carla Guerra, Ima Cameiro, Carlos Brites, Marise Reis, Marta Antunes De Souza, Regina Tranchesi, Cristina U. Barata, Michael B. Edmond
Nosocomial Bloodstream Infections In Brazilian Pediatric Patients: Microbiology, Epidemiology, And Clinical Features, Carlos Albert Pires Pereira, Alexandre R. Marra, Luis Fernando A. Camargo, Antonio Carlos Campos Pignatari, Teresa Sukiennik, Paulo Renato Petersen Behar, Eduardo Alexandrino Servolo Medieros, Julival Ribeiro, Evelyne Girao, Luci Correa, Carla Guerra, Ima Cameiro, Carlos Brites, Marise Reis, Marta Antunes De Souza, Regina Tranchesi, Cristina U. Barata, Michael B. Edmond
Internal Medicine Publications
Background
Nosocomial bloodstream infections (nBSIs) are an important cause of morbidity and mortality and are the most frequent type of nosocomial infection in pediatric patients.
Methods
We identified the predominant pathogens and antimicrobial susceptibilities of nosocomial bloodstream isolates in pediatric patients (≤16 years of age) in the Brazilian Prospective Surveillance for nBSIs at 16 hospitals from 12 June 2007 to 31 March 2010 (Br SCOPE project).
Results
In our study a total of 2,563 cases of nBSI were reported by hospitals participating in the Br SCOPE project. Among these, 342 clinically significant episodes of BSI were identified in pediatric patients …
Natural Plasmodium Infection In Monkeys In The State Of Rondônia (Brazilian Western Amazon), Maisa S. Araújo, Mariluce R. Messias, Marivaldo R . Figueiró, Luiz Herman S. Gil, Christian M. Probst, Newton M. Vidal, Tony H. Katsuragawa, Luiz H. Pereira Da Silva, Luiz S. Ozaki
Natural Plasmodium Infection In Monkeys In The State Of Rondônia (Brazilian Western Amazon), Maisa S. Araújo, Mariluce R. Messias, Marivaldo R . Figueiró, Luiz Herman S. Gil, Christian M. Probst, Newton M. Vidal, Tony H. Katsuragawa, Luiz H. Pereira Da Silva, Luiz S. Ozaki
Study of Biological Complexity Publications
Background
Simian malaria is still an open question concerning the species of Plasmodium parasites and species of New World monkeys susceptible to the parasites. In addition, the lingering question as to whether these animals are reservoirs for human malaria might become important especially in a scenario of eradication of the disease. To aid in the answers to these questions, monkeys were surveyed for malaria parasite natural infection in the Amazonian state of Rondônia, Brazil, a state with intense environmental alterations due to human activities, which facilitated sampling of the animals.
Methods
Parasites were detected and identified in DNA from blood …
Effect Of Daily Chlorhexidine Bathing On Hospital-Acquired Infection, Michael W. Climo, Edward S. Wong, Kakotan Sanogo, Deborah S. Yokoe, David K. Warren, Trish M. Perl, Maureen Bolon, Robert A. Weinstein, Loreen A. Herwaldt, Kent A. Sepkowitz, John A. Jernigan
Effect Of Daily Chlorhexidine Bathing On Hospital-Acquired Infection, Michael W. Climo, Edward S. Wong, Kakotan Sanogo, Deborah S. Yokoe, David K. Warren, Trish M. Perl, Maureen Bolon, Robert A. Weinstein, Loreen A. Herwaldt, Kent A. Sepkowitz, John A. Jernigan
VCU Health Publications
BACKGROUND
Results of previous single-center, observational studies suggest that daily bathing of patients with chlorhexidine may prevent hospital-acquired bloodstream infections and the acquisition of multidrug-resistant organisms (MDROs).
METHODS
We conducted a multicenter, cluster-randomized, nonblinded crossover trial to evaluate the effect of daily bathing with chlorhexidine-impregnated washcloths on the acquisition of MDROs and the incidence of hospital-acquired bloodstream infections. Nine intensive care and bone marrow transplantation units in six hospitals were randomly assigned to bathe patients either with no-rinse 2% chlorhexidine– impregnated washcloths or with nonantimicrobial washcloths for a 6-month period, exchanged for the alternate product during the subsequent 6 months. …
Fyn Kinase Is Required For Optimal Humoral Responses, Natalia S. Chaimowitz, Yves T. Falanga, John J. Ryan, Daniel H. Conrad
Fyn Kinase Is Required For Optimal Humoral Responses, Natalia S. Chaimowitz, Yves T. Falanga, John J. Ryan, Daniel H. Conrad
Microbiology and Immunology Publications
Abstract
The generation of antigen-specific antibodies and the development of immunological memory require collaboration between B and T cells. T cell-secreted IL-4 is important for B cell survival, isotype switch to IgG1 and IgE, affinity maturation, and the development of germinal centers (GC). Fyn, a member of the Src family tyrosine kinase, is widely expressed in many cell types, including lymphocytes. This kinase is known to interact with both the B cell and T cell receptor (BCR and TCR, respectively). While Fyn deletion does not impair the development of immature T cells and B cells, TCR signaling is altered in …
Cpg And Interleukin-15 Synergize To Enhance Ifn-Γ Production By Activated Cd8+ T Cells, Dustin Cobb, Siqi Guo, Ronald B. Smeltz
Cpg And Interleukin-15 Synergize To Enhance Ifn-Γ Production By Activated Cd8+ T Cells, Dustin Cobb, Siqi Guo, Ronald B. Smeltz
Microbiology and Immunology Publications
Interleukin-15 (IL-15) regulates the development and maintenance of memory CD8+ T cells. Paradoxically, we previously reported that IL-15 could enhance CD8+ T-cell responses to IL-12, a proinflammatory cytokine required for optimal priming of effector CD8+ T cells. To expand the physiological relevance of these findings, we tested IL-15 for its ability to enhance T-cell responses to bacterial CpG. Expectedly, CpG enhanced the production of IFN-γ by CD8+ T cells polyclonally activated with anti-CD3. However, addition of IL-15 to CpG-stimulated cultures led to a striking increase in IFN-γ production. The effect of CpG and IL-15 was also …
Virginia Commonwealth University Fall Commencement Program [2013], Virginia Commonwealth University
Virginia Commonwealth University Fall Commencement Program [2013], Virginia Commonwealth University
VCU Commencement Programs
No abstract provided.
Virginia Commonwealth University Graduate And Professional Programs Bulletin Courses [2013], Virginia Commonwealth University
Virginia Commonwealth University Graduate And Professional Programs Bulletin Courses [2013], Virginia Commonwealth University
VCU Bulletins
Listing of professional and graduate courses for 2013-2014.
Microbes Bind Complement Inhibitor Factor H Via A Common Site, T. Meri, H. Amdahl, M. J. Lehtinen, S. Hyvarinen, J. V. Mcdowell, A. Bhattachargee, S. Meri, R. Marconi, A. Goldman, T. S. Jokiranta
Microbes Bind Complement Inhibitor Factor H Via A Common Site, T. Meri, H. Amdahl, M. J. Lehtinen, S. Hyvarinen, J. V. Mcdowell, A. Bhattachargee, S. Meri, R. Marconi, A. Goldman, T. S. Jokiranta
VCU Health Publications
To cause infections microbes need to evade host defense systems, one of these being the evolutionarily old and important arm of innate immunity, the alternative pathway of complement. It can attack all kinds of targets and is tightly controlled in plasma and on host cells by plasma complement regulator factor H (FH). FH binds simultaneously to host cell surface structures such as heparin or glycosaminoglycans via domain 20 and to the main complement opsonin C3b via domain 19. Many pathogenic microbes protect themselves from complement by recruiting host FH. We analyzed how and why different microbes bind FH via domains …
The E. Coli Effector Protein Nlef Is A Caspase Inhibitor, Sonja Blasche, Mario Mortl, Holger Steuber, Gabriella Siszler, Shahista Nisa, Frank Schwarz, Inna Lavrik, Thomas M. A. Gronewold, Klaus Maskos, Michael S. Donnenberg, Dirk Ullmann, Peter Uetz, Manfred Kogl
The E. Coli Effector Protein Nlef Is A Caspase Inhibitor, Sonja Blasche, Mario Mortl, Holger Steuber, Gabriella Siszler, Shahista Nisa, Frank Schwarz, Inna Lavrik, Thomas M. A. Gronewold, Klaus Maskos, Michael S. Donnenberg, Dirk Ullmann, Peter Uetz, Manfred Kogl
Study of Biological Complexity Publications
Enterohemorrhagic and enteropathogenic E. coli (EHEC and EPEC) can cause severe and potentially life-threatening infections. Their pathogenicity is mediated by at least 40 effector proteins which they inject into their host cells by a type-III secretion system leading to the subversion of several cellular pathways. However, the molecular function of several effectors remains unknown, even though they contribute to virulence. Here we show that one of them, NleF, binds to caspase-4, -8, and -9 in yeast two-hybrid, LUMIER, and direct interaction assays. NleF inhibits the catalytic activity of the caspases in vitro and in cell lysate and prevents apoptosis in …
Irb-Approved Community-Engaged Research At Vcu: Analysis Of Baseline Data And Overview Of New Data System, Valerie Holton
Irb-Approved Community-Engaged Research At Vcu: Analysis Of Baseline Data And Overview Of New Data System, Valerie Holton
Community-Engaged Research Resources
Within the academy and across VCU there is growing recognition that community-engaged research (CEnR) is a valuable framework that enables researchers to conduct research and produce results that can be directly translated into improvements in human health, education, sustainability, and economic development. One example of VCU’s institutional commitment to community engagement is that a description of CEnR has been added to the revised university promotion and tenure guidelines. Additionally, it is included as a key strategy in advancing the discovery of new knowledge, creative expression, and innovation by increasing and diversifying sponsored research and promoting translational research and scholarship that …
The Impact Of Imprecision In Hcv Viral Load Test Results On Clinicians’ Therapeutic Management Decisions And On The Economic Value Of The Test, Roberta M. Madej
The Impact Of Imprecision In Hcv Viral Load Test Results On Clinicians’ Therapeutic Management Decisions And On The Economic Value Of The Test, Roberta M. Madej
Theses and Dissertations
Clinical laboratory test results are integral to patient management. Important aspects of laboratory tests’ contributions are the use of the test information and the role they have in facilitating efficient and effective use of healthcare resources. Methods of measuring those contributions were examined using quantitative HCV RNA test results (HCV VL) in therapeutic management decisions as a model. Test precision is important in those decisions; therefore, the clinical use was evaluated by studying the impact that knowledge of inherent assay imprecision had on clinicians’ decisions. A survey describing a simulated patient at a decision point for HCV triple-combination therapy management …
Medication-Related Problems Experienced By Patients During Transitions To Assisted Living, Deanna Flora
Medication-Related Problems Experienced By Patients During Transitions To Assisted Living, Deanna Flora
Theses and Dissertations
Medication reconciliation is a systematic and comprehensive review of medication regimens during care transitions aiming to prevent adverse drug events. Poorly executed transitions negatively impact patient welfare and cause financial burden. Medication-related problems (MRPs) experienced during transitions to an assisted living facility (ALF) were evaluated. Data was collected from pharmacy records for transitions to an ALF over three months, including demographics, medications, potentially inappropriate medications, and MRPs. MRPs were categorized and summarized using descriptive statistics. Forty-five patients (71% female) experienced 59 transitions. Average age was 85.6 years. Median length of stay away from the ALF was three days. There were …
Investigating The Transcriptional Regulation By Oxyr In Porphyromonas Gingivalis., Anuya R. Paranjape
Investigating The Transcriptional Regulation By Oxyr In Porphyromonas Gingivalis., Anuya R. Paranjape
Theses and Dissertations
Periodontal diseases are bacterially induced, inflammatory diseases which are responsible for loss of alveolar bone and connective tissue supporting the teeth which results in loss of teeth. Gram negative anaerobic bacteria are highly associated with these diseases. One of them is Porphyromonas gingivalis belonging to the phylum Bacteroidetes. Infection by P. gingivalis is recurrent after physical removal of the bacteria from the oral cavity and even after antibiotic treatment as development of resistance is not rare. Hence complete understanding the biology of this bacterium is of significance. This gram negative obligate anaerobe, being aerotolerant, manages to survive inside the oral …
Role Of Fyn And Lyn In Igg-Mediate Immune Responses, Yves Falanga
Role Of Fyn And Lyn In Igg-Mediate Immune Responses, Yves Falanga
Theses and Dissertations
Anaphylaxis is a rapid, life-threatening hypersensitivity reaction. Until recently, it was mainly attributed to histamine released by mast cells activated by allergen crosslinking (XL) of FcεRI-bound allergen-specific IgE. However, recent reports established that anaphylaxis could also be triggered by basophil, macrophage and neutrophil secretion of platelet activating factor subsequent to FcγR stimulation by IgG/Ag complexes. I have investigated the contribution of Fyn and Lyn tyrosine kinases to FcγRIIb and FcγRIII signaling in the context of IgG-mediated passive systemic anaphylaxis (PSA). I found that mast cell IgG XL induced Fyn, Lyn, Akt, Erk, p38 and JNK phosphorylation. Additionally, IgG XL of …
Behavioral Phenotyping Of The Discriminative Stimulus Properties Of The Atypical Antipsychotic Drug Clozapine In 129s2/Hsv Mice, Kevin Webster
Behavioral Phenotyping Of The Discriminative Stimulus Properties Of The Atypical Antipsychotic Drug Clozapine In 129s2/Hsv Mice, Kevin Webster
Theses and Dissertations
The 129S2 inbred mouse strain is often used as a background strain in the production of genetically altered mice (i.e. knockout and transgenic mice). It is important to establish the behavioral phenotype of wild-type mice before making comparisons to genetically altered mice. Also, those comparisons can assist in the evaluation and interpretation of the in vivo effects of drugs. The drug discrimination assay measures the subjective effects of drugs and provides a measure of underlying neuropharmacological mechanisms responsible for the discriminative stimulus properties of drugs. The present study established the atypical antipsychotic drug clozapine as a discriminative stimulus in male …
Cohort Membership, Dental Insurance And Utilization Of Dental Services In Adults Age 47 And Over Receiving Dental Care At Virginia Commonwealth University’S School Of Dentistry, Patricia Brown Bonwell
Cohort Membership, Dental Insurance And Utilization Of Dental Services In Adults Age 47 And Over Receiving Dental Care At Virginia Commonwealth University’S School Of Dentistry, Patricia Brown Bonwell
Theses and Dissertations
This cross-sectional, non-experimental study evaluates associations between cohort membership, type of dental coverage, and utilization of dental services in all patients age 47 and over who received dental care at Virginia Commonwealth University’s (VCU) School of Dentistry in 2011. Structural Lag Theory poses that society’s institutions lag behind the actuality of a healthy and capable older adult population. The two dynamisms of the Structural Lag Theory were used for this study. The Dynamism of Changing Lives is represented by Cohort differences. Cohort differences include cohort size, people living longer and retaining more of their natural teeth along with different attitudes …